Most women don’t have a problem with producing enough milk to breast feed. The ideal way to make sure that your baby is getting enough milk is to be sure that he’s well positioned, attached to the breast, and feed him as often as he gets hungry.

Some mom’s that are breast feeding will stop before they want to, simply because they don’t think they have enough breast milk.

There are signs that might make you believe your baby isn’t getting enough milk. If your baby seems hungry or unsettled after feeding, or if he wants to feed often with short pauses between feedings, you may think he isn’t getting enough milk - which are often times not the case.

There are however, two reliable signs that let you know your baby isn’t getting enough milk. If your baby has poor or really slow weight gain, or is passing small amounts of concentrated urine, he’s not getting enough milk.

All babies will lose weight within the first few days after birth. Babies are born with supplies of fat and fluids, which will help them keep going for the first several days.

Once your baby regains birth weight, he should begin putting on around 200g for the first four months or so. To get back to their birth weight, it normally takes a few weeks.

If the weight gain for your baby seems to be slow, don’t hesitate to ask your doctor or nurse to observe you breast feeding. This way, they can make sure that your technique is right and if they think your baby is breast feeding often enough.

To help you with your breast feeding, here are some ways that you can increase your supply of milk:

1. Be sure that your baby is positioned correctly and attached to your breast.
2. Let your baby feed for as long and often as he wants.
3. If you feel that your baby isn’t breast feeding enough, offer him more breast feeds.
4. During each breast feed, make sure you feed from both breasts.
5. If your baby has been using a dummy, make sure you stop him.
6. Some babies may be sleepy and reluctant to feed, which may be the cause of problems with milk supply.

By following the above tips, you’ll do your part in making sure you have enough milk when it comes time
to breast feed. If you are uncertain or have other questions, be sure to ask your doctor, as he can answer any type of question you may have.

The sole purpose of breast compression is to continue the flow of milk to the baby once the baby no longer drinks on his own. Compression will also stimulate a let down reflex and often causes a natural let down reflex to occur. This technique may also be useful for the following:

1. Poor weight gain in the baby.
2. Colic in the breast fed baby.
3. Frequent feedings or long feedings.
4. Sore nipples for the mother.
5. Recurrent blocked ducts
6. Feeding the baby who falls asleep quick.

If everything is going well, breast compression may not be necessary. When all is well, the mother should allow the baby to finish feeding on the first side, then if the baby wants more - offer the other side.

How to use breast compression

1. Hold the baby with one arm.
2. Hold the breast with the other arm, thumb on one side of your breast, your finger on the other far back from the nipple.
3. Keep an eye out for the baby’s drinking, although there is no need to be obsessive about catching every suck. The baby will get more milk when drinking with an open pause type of suck.
4. When the baby is nibbling or no longer drinking, compress the breast, not so hard that it hurts though. With the breast compression, the baby should begin drinking again.
5. Keep up the pressure until the baby no longer drinks with the compression, then release the pressure. If the baby doesn’t stop sucking with the release of compression, wait a bit before compressing again.
6. The reason for releasing pressure is to allow your hand to rest, and allow the milk to begin flowing to the baby again. If the baby stops sucking when you release the pressure, he’ll start again once he tastes milk.
7. When the baby starts to suck again, he may drink. If not, simply compress again.
8. Continue feeding on the first side until the baby no longer drinks with compression. You should allow him time to stay on that side until he starts drinking again, on his own.
9. If the baby is no longer drinking, allow to come off the breast or take him off.
10. If the baby still wants more, offer the other side and repeat the process as above.
11. Unless you have sore nipples, you may want to switch sides like this several times.
12. Always work to improve the baby’s latch.

For some people, the process of breast feeding seems to come natural, although there’s a level of skill required for successful feeding and a correct technique to use. Incorrect positioning is one of the biggest reasons for unsuccessful feeding and it can even injure the nipple or breast quite easily.

By stroking the baby’s cheek with the nipple, the baby will open its mouth towards the nipple, which should then be pushed in so that the baby will get a mouthful of nipple and areola. This position is known as latching on. A lot of women prefer to wear a nursing bra to allow easier access to the breast than other normal bras.

The length of feeding time will vary. Regardless of the duration of feeding time, it’s important for mothers to be comfortable. The following are positions you can use:

1. Upright - The sitting position where the back is straight.
2. Mobile - Mobile is where the mother carries her baby in a sling or carrier while breast feeding. Doing this allows the mother to breast feed in the work of everyday life.
3. Lying down - This is good for night feeds or for those who have had a caesarean section.
4. On her back - The mother is sitting slightly upright, also a useful position for tandem breast feeding.
5. On her side - The mother and baby both lie on their sides.
6. Hands and knees - In this feeding position the mother is on all fours with the baby underneath her. Keep in mind, this position isn’t normally recommended.

Anytime you don’t feel comfortable with a feeding position, always stop and switch to a different position. Each position is different, while some mothers prefer one position, other’s may like a totally different position. All you need to do is experiment and see which position is best for you.

Just like breast feeding, pumping is a skill that you learn. When first trying a breast pump, most mothers are only able to express a few drops of milk. With the proper practice and knowledge, the mother will be more efficient at pumping.

Preparing the breast pump

1. Read all the instructions in the kit very carefully.
2. Every part of the breast pump will need to be sterilized before you begin using it.
3. After use, all the parts of the pump will need to be washed in warm, soapy water, then rinsed with hot water and drained on a clean towel. The plastic tubing doesn’t need to be cleaned unless you get milk into it. If you do wash it, it should be hung to allow time to dry and drain thoroughly.
4. If your doctor feels the need, the entire kit can be sterilized every day.
5. When you first start with an electric pump, the suction level should be on the lowest possible setting.

Getting started

1. Warm compresses, gentle massages of the breast and gentle nipple stimulation will help to stimulate a quick let down.
2. You should always relax while doing breast massages during pumping. Some mothers prefer to close their eyes then think about nursing the baby, imagining the baby in their arms. The more relaxed a mother is, the better let down she’ll have and the more milk will be dispensed.
3. Your first attempts at pumping should be considered practice sessions with learning to use the breast pump as the goal, not how much milk is actually dispensed.
4. When you use a hand pump, quick, short pumps at the start is stimulating and will imitate more closely the way a baby breast feeds. Once the let down occurs and milk starts to flow freely, long, steadier strokes are more effective and less tiring.
5. When you learn to pump, you should practice for 5 minutes on a side at least once or twice a day. Always pick the least stressful part of your day for pumping.

Relaxing and realizing that the pump is your friend is the single most important thing that a mother can do. There are several things that a mother can do to help herself relax, such as putting a picture of the baby on the pump, playing cards or a game with friends, watching television, read books, or talk on the phone. Simply watching the collection bottle is not helpful and will probably put more stress on you than you actually need.

The milk production in the breasts, much like so many other things, work on the shear principal of supply and demand. The more breast milk your baby consumes, the more your body will need to make.

Breast pumps are generally used to insure continued production of breast milk when you cannot feed your baby - whether you are back to work, traveling, taking medication, or just out of town.

Basic types of pumps

Breast pumps can either be battery operated, hand operated, semi automatic electric, or even self cycling electric.

Hand pumps
Manual hand pumps are designed to use the strength of your hand or arm muscles for pumping one breast at a time. You can also get pumps that will use the leg and foot muscles for pumping both breasts at one time. Mothers that with carpal tunnel syndrome may want to consider using a pump designed for the arm or leg muscles or even an automatic model.

Playtex Manual Breast Pump, Deluxe Kit

Battery operated pumps
Pumps with battery operation are the best for women who have an established supply of milk and want to pump once or even twice a day. These pumps use batteries to create suction, minimizing any type of muscle fatigue. Most battery type pumps are designed for pumping one breast at a time and are recommended for occasional usage.

Evenflo Comfort Select Breast Pump

Electric pumps
Even though electric pumps are more efficient than hand or even battery operated pumps, they also tend to be more expensive. You can however, rent them if you need to. Electric pumps can normally plug directly into an outlet and are designed for pumping both breasts at a time and even frequent use. Hospital grade pumps are the most efficient for initiating and maintaining milk supply, and are available for rent or purchase.

Philips Avent ISIS iQ Uno Complete, Handheld Electronic Breast Pump

Once you’ve reached the third trimester, you’ll probably start stocking up on nursing bras, breast pads, and loose button down shirts for the coming months ahead. While getting ready to breast feed, you can also create your personal area, a custom designed breast feeding area for yourself.

Your nursing area should reflect your personality. If you like a loud, yet friendly surrounding, you should consider setting in a corner of the living room or family room. Keep an extra chair or two near you so family members or even friends can keep you company.

If you prefer peace and quiet, a cozy study or empty guest room would be ideal. You can close the door, dim the lights down, then take a few deep, calming breaths while you breast feed.

Your own chair

No matter if it’s a glider, overstuffed recliner, or desk chair with wheels, you should make sure your nursing chair is very comfortable. You’ll be sitting in the chair for hours each day, soyou’ll want it to be very comfortable. You should always look for one that offers back and shoulder support, along with arm rests.

Support underfoot

You can use a footstool, low coffee table or a stack of pillows to elevate your feet as you breast feed. If you raise your legs and feet to bring your baby to your breast, you’ll avoid possible backache.

Pillows and more pillows

Your neck, arms, feet, and back will need as much support as you can give, so don’t hesitate to surround your body with pillows. If you lay a pillow across your lap for your baby to lay on, he’ll be very comfortable and that much closer to your nipple. For extra comfort, you can even purchase a specially made nursing pillow that will encircle your waist.

Table for one

You should always keep a small table or stand within arm’s length of your breast feeding chair. What you use should be big enough to hold a coaster and glass of liquid. Some women prefer to drink through a straw, while others prefer to drink from the glass.

You’ll also want to keep healthy snacks on hand as well, such as fresh fruit, nuts, or crackers and peanut butter to help you replace the energy you use while you breast feed.

Distractions

If your baby is a slow eater or has a really big appetite, you may want to keep yourself busy while he feeds. You can fill the shelves of a nearby cupboard or bookcase with your favorite books or crossword puzzles to occupy yourself until your baby is full. You should also keep a phone nearby as well so that you can talk to family or friends to pass the time.

Kids Step Stool - Nursing Stool in White - KidKraft Furniture
This KidKraft nursing stool is adjustable to three positions so that mom can always get comfortable. With its classic and easy-to-use design, this nursing stool makes a great baby shower gift for the mom who has everything. 15101 Features: Anti-slip pads on the base Lead-free and non-toxic finish Easy assembly Material: MDF Age Range: Adult Finish: White Dimensions: 11″(W) x 14.5″(D) x 8″(H)

Within the first two to three days after you have given birth, you may discover that your breasts feel swollen, tender, throbbing, lumpy, and overly full. Sometimes, the swelling will extend all the way to your armpit, and you may run a low fever as well.

The causes

Within 72 hours of giving birth, an abundance of milk will come in or become available to your baby. As this happens, more blood will flow to your breasts and some of the surrounding tissue will swell. The result is full, swollen, engorged breasts.

Not every postpartum mom experienced true engorgement. Some women’s breasts become only slightly full, while others find their breasts have become amazingly hard. Some women will hardly notice the pain, as they are involved in other things during the first few days.

Treating it
Keep in mind, engorgement is a positive sign that you are producing milk to feed to your baby. Until you produce the right amount:
 

1. Wear a supportive nursing bra, even at night - making sure it isn’t too tight.
2. Breast feed often, every 2 - 3 hours if you can. Try to get the first side of your breasts as soft as possible. If your baby seems satisfied with just one breast, you can offer the other at the next feeding.
3. Avoid letting your baby latch on and suck when the areola is very firm. To reduce the possibility of nipple damage, you can use a pump until your areola softens up.
4. Avoid pumping milk except when you need to soften the areola or when your baby is unable to latch on. Excessive pumping can lead to the over production of milk and prolonged engorgement.
5. To help soothe the pain and relieve swelling, apply cold packs to your breasts for a short amount of time after you nurse. Crushed ice in a plastic bag will also work.
6. Look ahead. You’ll get past this engorgement in no time and soon be able to enjoy your breast feeding relationship with your new baby.

Engorgement will pass very quickly. You can expect it to diminish within 24 - 48 hours, as nursing your baby will only help the problem. If you aren’t breast feeding, it will normally get worse before it gets better. Once the engorgement has passed, your breasts will be softer and still full of milk.

During this time, you can and should continue to nurse. Unrelieved engorgement can cause a drop in your production of milk, so it’s important to breast feed right from the start. Keep an eye for signs of hunger and feed him when he needs to be fed.

When you hold your baby for the first time in the delivery room, you should put his lips to your breast. Although your mature milk hasn’t developed yet, your breasts are still producing a substance known as colostrum that helps to protect your baby from infections.

If your baby has trouble finding or staying on your nipple, you shouldn’t panic. Breast feeding is an art that will require a lot of patience and a lot of practice. No one expects you to be an expert when you first start, so you shouldn’t hesitate to ask for advice or have a nurse show you what you need to do.

Once you start, keep in mind that nursing shouldn’t be painful. When your baby latches on, pay attention to how your breasts feel. If the latching on hurts, break the suction then try again.

You should nurse quite frequently, as the more you nurse the more quickly your mature milk will come in and the more milk you’ll produce. Breast feeding for 10 - 15 minutes per breast 8 - 10 times every 24 hours is an ideal target. Crying is a sign of hunger, which means you should actually feed your baby before he starts crying.

During the first few days, you may have to wake your baby to begin breast feeding, and he may end up falling asleep during feeding. To ensure that your baby is eating often enough, you should wake him up if it has been four hours since the last time he has been fed.

Feedings can take 40 minutes or longer, therefore you’ll want a cozy spot. You don’t want to be sitting somewhere where you will be bothered, as it can make the process very hard.

The practice of baby-swaddling dates back centuries and is still common in many cultures. Swaddling involves wrapping a baby securely from shoulders to feet with a small blanket. American Indians and people from the Middle East use bands and more sophisticated swaddling techniques, but more traditional swaddling techniques are still practiced in such countries as Turkey, Afghanistan and Albania.

Not only can swaddling be a great way to calm and sooth a fussy infant, it’s also been shown to lower the risk of SIDS (Sudden Infant Death Syndrome). At the age of three months, when the risk for SIDS is greatest, traditional American swaddling techniques allow a baby to escape. It allows the baby to stay in a more stable position while sleeping, thereby lowering the SIDS risk. In addition, swaddling has been shown to help babies sleep longer and more restfully by preventing the sudden movements that can cause them to wake up, thereby improving mom and dad’s sleep quality and quantity also. Babies who are swaddled are said to feel secure, similar to how they felt while in utero. It can also assist in temperature regulation, keeping baby nice and toasty warm while sleeping.

A couple of additional perks to swaddling come during waking hours, too. A swaddled baby is easy to carry and hold an adorable, compact little package. It can also help baby focus on breast or bottle feeding by keeping little hands out of the way.

Swaddling usually works best from newborn to approximately four months, but if baby is used to being swaddled, and then it might be utilized even longer. Babies just being introduced to swaddling may require an adjustment period. Modified swaddling, such as leaving arms free while swaddling the rest of baby’s body, might be needed when first introducing the practice to your baby. The blanket should always feel snug but not tight. Take special care to ensure baby’s circulation is not compromised in any way or that baby is not uncomfortable. Ask a nurse, physician, midwife or other knowledgeable healthcare practitioner to demonstrate the correct technique for swaddling your baby.

Sozo Juicy Fruit Swaddle and Cap Set
The Juicy Fruit Swaddle and Cap Set includes everything you need to give your baby a warm, good night’s sleep. This precious ensemble features a pink blanket with black spots and a turquoise cap , leaving your baby looking like a cute little watermelon.

Stylish Swaddling Blanket - Giving and Receiving Blanket
Each super-soft blanket comes with a sewn-in tag complete with swaddling instructions. Excellent baby shower gift.

A fussy or crying baby can make for a fussy and often frustrated parent. There are many reasons a baby could be fussy or unable to sleep, including illness, colic, or something as simple as either too much noise or too little noise. Before altering your baby’s sleeping environment, take a moment to evaluate just why your baby has been fussy or upset at bedtime. Things like changes in the weather, a neighbor’s new puppy continually barking, a loud car stereo blaring, or a bright street light can all contribute to changing a baby’s otherwise familiar and comfortable sleeping environment. If after evaluating, you discover that there has been an environmental change that has occurred, but are out of your control, you might consider creating some ‘white noise’ in your baby’s environment to help drown out these unpleasant and loud sleep disruptors.

Noises that are repetitive and almost monotonous sounding are known as ‘white noise’ – noise that is occurring constantly, and, as a result, we’ve ‘tuned it out.’ There are many items in our house that create white noise that we might not even realize – our air conditioners, vacuum cleaners, clothes dryers, or fans all create white noise as they operate. Other things such as running water, an analog clock with a ticking second hand, or a fish aquarium also create white noise. These noises might actually help ‘drown out’ the disruptive external noises that are keeping your baby, and thereby you, from a good night’s sleep.

Another option might be to run a favorite lullaby on continuous play in your baby’s room. There are many options out there for newborns and toddlers alike in the music department of your favorite store. You could even put together a special mix just from mommy and daddy on your personal computer. Better yet, put together a recording of mommy and daddy’s soft, soothing and gentle voices, and baby will be back in dreamland before you know it – and so will you!