Breastfeeding is natural — but that doesn’t mean it’s always easy. Some estimates suggest that around 70% of women experience breastfeeding challenges, particularly in the first month, including issues like pain, latch problems and concerns about milk supply.
Here, lactation consultant Sandra Johnson and Jill Stephens, Memorial’s first neonatal intensive care unit (NICU) lactation consultant, offer their top tips for breastfeeding success:
START WITH EDUCATION AND SUPPORT
“The first thing I would suggest for parents who plan to breastfeed is to attend prenatal breastfeeding classes …,” Johnson says. “Educating yourself can eliminate unrealistic expectations and help you feel prepared.”
Jill Stephens adds, “Asking for help is key. In addition to the (local) Breastfeeding Center, multiple international board-certified lactation consultants have practices across the coastal counties, there are free support groups that offer virtual meetings, and several social media groups are monitored and addressed by these professionals as well.”
KNOW WHAT’S NORMAL
One of the most common concerns is milk supply.
“A baby’s stomach on their first days of life ranges from the size of a teaspoon (5 milliliters) to a tablespoon (15 milliliters),” Johnson says. “Colostrum is produced in the right quantity for a baby’s tiny stomach; it is highly concentrated with carbs, proteins and antibodies.”
MOMS ARE ENCOURAGED TO:
- Breastfeed a minimum of eight times in 24 hours.
- Monitor wet and dirty diapers, as they can indicate whether a baby is getting enough milk.
- Avoid limiting time at the breast.
In the NICU, “The ‘normal’ can be a bit different,” Stephens says. Potential breastfeeding delays may happen based on unique circumstances.
“Early and frequent stimulation, including using proper hand expression techniques alone or in conjunction with pumping, can aid in the removal of colostrum,” she adds. “A sick or pre-term baby can benefit from mere drops of this first milk, and every drop is worth saving.”
SKIN-TO-SKIN (STS) MATTERS
“STS releases oxytocin, a milk-making hormone. Take advantage of STS immediately following birth to establish the first latch,” Johnson advises.
Stephens notes that in the NICU, STS still can provide benefits days or weeks later, including reduced stress, improved heart rate and better neurological development.
DISPELLING COMMON MYTHS
There’s a lot of misinformation out there about breastfeeding; here are some truths to remember:
- Breast size doesn’t affect milk supply.
- Most medications are safe, but always check with your provider or the Infant Risk Center.
- Feeding on demand is better than on a schedule.
YOU’RE NOT ALONE
“Feeling overwhelmed is normal,” Johnson emphasizes. “Often, moms are doing better than they think.”
Stephens adds, “Give yourself grace. Your baby is lucky to have a mom who cares so much.”
Breastfeeding consultation appointments are available Monday-Friday from 9 a.m.-3 p.m. Appointment scheduling and telephone assistance are available during business hours by calling (228) 867-4053.