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.

For many years, scientists have been playing out the ingredients that make breast milk the perfect food for babies. They’ve discovered to day over 200 close compounds to fight infection, help the immune system mature, aid in digestion, and support brain growth - nature made properties that science simply cannot copy.

The important long term benefits of breast feeding include reduced risk of asthma, allergies, obesity, and some forms of childhood cancer. The more that scientists continue to learn, the better breast milk looks.

In addition to making your baby healthier, breast feeding may also make him smarter. Many studies have proved that breast fed babies tend to be more smarter than babies who were fed with formula or other methods. Breast feeding does help with nutrients and the support of brain growth, which is something every mother should think about.

The benefits for the nursing mom are just as good as they are for the baby. The hormones that are released during breast feeding will curb blood loss post delivery and help to shrink the uterus back to it’s normal size.

Long term, the breast feeding mom will have a lower risk for premenopausal breast cancer, which is the kind that strikes before the age of 50. The benefits will begin to show with three to six months of breast feeding and increase the longer that breast feeding continues.

By now, you should realize that breast milk is one power packed liquid. It offers more for your baby than formula, or any other scientific creation for that matter. As you begin to plan for the future of your baby, make a commitment to breast feeding him for as long as you possibly can - as it will do both your bodies good.

If you’ve every been pregnant or if you are pregnant now, you’ve probably noticed a metamorphisis in your bra cups. The physical changes (tender, swollen breasts) may be one of the earliest clues that you have conceived. Many experts believe that the color change in the areola may also be helpful when it comes to breast feeding.

Perhaps what’s even more remarkable than visible changes is the extensive changes that are taking place inside of your breasts. The developing placenta stimulates the release of estrogen and progesterone, which will in turn stimulate the complex biological system that helps to make lactation possible.

Before you get pregnant, a combination of supportive tissue, milk glands, and fat make up the larger portions of your breasts. The fact is, your newly swollen breasts have been preparing for your pregnancy since you were in your mother’s womb!

When you were born, your main milk ducts had already formed. Your mammary glands stayed quiet until you reached puberty, when a flood of the female hormone estrogen caused them to grow and also to swell. During pregnancy, those glands will kick into high gear.

Before your baby arrives, glandular tissue has replaced a majority of the fat cells and accounts for your bigger than before breasts. Each breast may actually get as much as 1 1/2 pounds heavier than before!

Nestled among the fatty cells and glandular tissue is an intricate network of channels or canals known as the milk ducts. The pregnancy hormones will cause these ducts to increase in both number and size, with the ducts branching off into smaller canals near the chest wall known as ductules.

At the end of each duct is a cluster of smaller sacs known as alveoli. The cluster of alveoli is known as a lobule, while a cluster of lobule is known as a lobe. Each breast will contain around 15 - 20 lobes, with one milk duct for every lobe.

The milk is produced inside of the alveoli, which is surrounded by tiny muscles that squeeze the glands and help to push the milk out into the ductules. Those ductules will lead to a bigger duct that widens into a milk pool directly below the areola.

The milk pools will act as reservoirs that hold the milk until your baby sucks it through the tiny openings in your nipples.

Mother Nature is so smart that your milk duct system will become fully developed around the time of your second trimester, so you can properly breast feed your baby even if he or she arrives earlier than you are anticipating.