6. Feed often
New babies feed frequently. You might have been told something about ‘feeding on demand’ and waiting for babies to tell you if they want the breast, but anyone who specialises in breastfeeding will tell you otherwise. SOMETIMES WE HAVE TO TAKE THE LEAD AND MAKE SURE FEEDING HAPPENS.
New babies can be sleepy. They sometimes have jaundice. They sometimes sleep through feeds and their blood sugar levels drop. We may have to be bossy at the start. Being bossy also reduces the risk of getting engorged which happens in the first few days as our breasts are moving from colostrum onto the next stage of milk.
We don’t want a young baby to go longer than 3 hours from the beginning of a feed to the beginning of the next feed. That includes at night too until we are really confident they are putting on weight and doing well.
We will need to wake a sleeping baby sometimes. If a baby is sleepy, you might take off layers or tickle them or blow on them. As long as they are attached to the breast, you can also push milk into them using a technique called breast compressions.
And just because we talk about not going longer than 3 hours, that does not mean we are aiming for 3-hour gaps. That really would be a minimum. Healthy babies breastfeeding will often feed a lot more than that. We need to respond to their requests to breastfeed as that helps make sure they get enough milk, they feed calmly and don’t take in more air because they are upset. It also means our milk supply gets the signals it needs. It’s important we don’t try and push babies to ‘go longer’ thinking that will make breastfeeding easier. It can have some serious consequences.
A baby asking to feed will show you in lots of different ways. They will be a little restless, move their head from side to side, open their mouths and sometimes make murmuring noises. They might suck on anything nearby.
Crying is what we call a ‘late stage’ hunger cue. But if you are ever not sure a baby wants to be on the breast, you can’t go wrong by offering. You can’t overfeed a breastfeeding baby. If they aren’t wanting to feed, they may suckle instead. As mentioned before, breastfeeding has a lot of value that goes far beyond feeding.
7. Expect babies to want to be close
We are primates and like other primate parents, our babies want to be close to us. When they are close (and skin-to-skin isn’t just for straight after the birth), they are calmer. Their heart rate and respiratory rate is optimised, and it helps us to notice when they are asking to breastfeed. Babies like being held and you can’t ‘spoil’ a baby. They might like being held in a sling, which can also be helpful if you have other children to look after. They want to be close at night too. About 70-80% of breastfeeding families share their sleeping space with a new baby and it’s important to know how to do that safely. When we don’t prepare and fall asleep accidentally when holding a baby, there is far greater risk. The BASIS website has guidance around safe sleep for babies.
8. If a baby isn’t feeding at the breast…
…You’ll want to get some help. You can call a midwife or a health visitor (once you have been discharged by the midwife). You can call a helpline or sometimes you may have been given a number to call at the hospital. In the meantime, there are ways to still get milk into your baby. You can hand express (take milk out of the breast by hand).
And you can give milk to the baby in different ways. Cup-feeding using something like an egg cup or small plastic medicine cup is one option (do watch a video as it’s not pouring milk into a baby’s mouth and needs some care).
You can also spoon feed milk into a baby. Even getting them to suck on a milky finger may mean they take a little milk which may help them to breastfeed.
No one is expecting you to know everything. You don’t have to solve every problem or know every answer. There are lots of people who are here to help you.
But there are some keys principles that will help you to feel more confident and help breastfeeding to go well: know that breastfeeding shouldn’t be painful, know how to tell if a baby is getting milk, know that we respond to baby’s requests for feeds but sometimes we may need to nudge, and know where to get help.
If a parent breastfeeding does get unwell, continuing to breastfeed is ideal. Your baby will benefit from the anti-viral antibodies that are tailor-made to fight this specific virus and delivered in the milk. There is no evidence that the virus is carried in breastmilk. Some are choosing to express some extra milk and have a store of some milk in the freezer as a protection in case they feel very unwell. For most people, their symptoms will be mild and they can breastfeed as normal while being more careful around hygiene. You can read more here.
Originally published here
After a career as a Deputy Headteacher in central London, Emma initially trained with UK charity Association of Breastfeeding Mothers, qualifying as a breastfeeding counsellor with them in 2007. She qualified as a Board Certified Lactation Consultant (IBCLC) in 2011. She recertified in 2016 and continues to offer voluntary support at groups across West Haringey and volunteers on the National Breastfeeding Helpline and ABM national helpline alongside her private lactation consultant work. You can find her on Twitter as @makesmilk. Her book, “You’ve Got It In You: a positive guide to breastfeeding” can be found on Amazon and from other retailers.
