The benefits of breastfeeding, or providing breastmilk to your baby, are well known. Most of my clients intend to breastfeed for some length of time.
What I try to impart in prenatal discussions with clients, however, is that intention is usually not enough to get off to a good start with breastfeeding. Maximizing the breastfeeding relationship also involves education, planning, and knowing where to turn if difficulties arise.
1. Take a prenatal breastfeeding class. There is so much more to breastfeeding than putting baby to the breast. While breastfeeding is a natural process, that doesn’t mean it is necessarily intuitive, easy, or without complications.
A good prenatal breastfeeding class should cover most of these topics:
While you may not retain or need all the information you learn in a prenatal breastfeeding class, you never know what important facts will be helpful as you learn to feed your baby. Misconceptions you may have had will be dispelled, enabling you to use the most accurate information to support your efforts.
Plus, it will be much easier to find the time and energy to learn about breastfeeding before your baby is born, rather than while you are recovering from birth and learning to feed your baby, all with limited sleep.
2. Get hands-on help with latch. A good, deep latch is one of the most important factors in establishing a good breastmilk supply.
When your baby suckles at the breast, it signals to your body to produce the hormone prolactin, which stimulates the production of breastmilk. Oxytocin is also released, triggering the let-down reflex which expels the breastmilk from the milk ducts.
When the latch is shallow, or there is a problem with latching, this hormonal interplay is interfered with and over time, your milk supply and/or baby’s ability to transfer milk from the breast can be negatively affected.
Most hospitals offer lactation support, sometimes immediately after birth and in postpartum recovery. Birth center and home birth midwives also help with breastfeeding and latch; during postpartum home visits, midwives assess baby’s weight gain and can make recommendations for additional lactation support if needed.
As a birth doula, I can help my clients with that initial breastfeeding right after baby is born, showing them the hallmarks of a good latch. Or, I can help them to facilitate baby latching on his or her own, either via a breast crawl or with a laid-back breastfeeding position. If there is separation from baby for a period of time, I can help them hand-express colostrum into a cup or syringe that can be given to their baby instead of formula, if that is their preference.
And when I visit my clients at home, either at the follow-up postpartum visit or as a postpartum doula, we can continue to work on latch after their milk has come in, trying out different positions. If there are signs of a complication beyond my scope as a doula, I can refer them to a local lactation specialist for professional support and problem solving.
Getting frequent, hands-on help with latch can ease anxiety and frustration in the birthing person, possibly avoid supply issues and injury to the nipples, ease pain or discomfort during nursing, and make the experience more enjoyable.
3. Turn to the experts for help. Breastfeeding problems and solutions can be complex and can involve several factors, including breast anatomy, baby’s anatomy, diet and nutrition, hormones, birth influences, emotional and cultural considerations, the need for supplementation, and more.
Sometimes, people get advice or help from family members or friends, or even professionals, including lactation consultants, pediatricians, and family doctors, that aren’t based on the latest research. Or the advice doesn’t take into account all of the factors mentioned above that can make breastfeeding issues challenging. They may not be familiar with alternatives or breastfeeding best practices. And they might not have the availability or resources to provide the frequent, hands-on help that nursing people often need.
When my clients need breastfeeding help beyond what I can provide, I refer them to the infant feeding experts: International Board Certified Lactation Consultants (IBCLC’s). The requirement to become an IBCLC includes extensive education, over 1,000 hours of clinical experience, and passing a rigorous exam. IBCLC’s know breastfeeding and can help you work through a myriad of problems, with solutions tailored to your individual needs and preferences.
See my Parent Resources page for some local IBCLC’s I know and trust.
4. Support for breastfeeding goes beyond actual breastfeeding. Knowing how to support breastfeeding and actually having the support you need to breastfeed are two different things.
When you are recovering from birth and learning to care for your new baby, it becomes much more difficult to learn to breastfeed when you also have to worry about preparing meals, keeping your house in order, caring for older kids, entertaining visitors, or “bouncing back” to a preconceived notion of how your life should look.
Anything that adds stress instead of reducing it can interfere with breastfeeding. Making a postpartum plan while you are pregnant, reframing in your mind for what the postpartum period should look like, and enlisting help wherever possible— whether that be from your partner, family and friends, outsourcing tasks, or a hiring a postpartum doula— are all ways to support breastfeeding.
5. Be gentle with yourself in your journey. Breastfeeding doesn’t always go as you plan. Sometimes you find that supplementation, or exclusively pumping, or formula feeding, or sourcing donor milk, or weaning, or some combination of these, is the best choice for you at any point in time.
Know that what works for you now may not be what works for you down the road. Know that if you struggle now, that doesn’t mean you will be struggling later. Know that if you hit a snag, there are people in the community who can help.
And know that your mental and physical health matters. There is no “right” time to wean, except when you and/or your child are ready. Be gentle with yourself and allow yourself the grace to find your own way.
I am a certified birth doula, postpartum doula, and childbirth educator serving clients in Boise, Meridian, Eagle, Nampa, and the Greater Treasure Valley.
What kind of breastfeeding help will you need when you have your new baby?
One minute they are in your body, the next minute they aren’t. It’s pretty insane when you think about the moment of birth, when the baby who grew from a speck of cells inside of you, is now an individual, still very much dependent on you, but now distinctly their own--although tiny--person.
Experienced parents will tell you that babies are born with a particular personality, and that looking back, traces of that personality were evident as early as birth. Some strong-willed tots emerged from the womb with mighty wails from their freshly-initiated lungs, and more pensive kids met the world with a quiet awareness. It’s one of the greatest lessons I personally have learned as a parent— that there is so little about my children that I can control. They are who they were when they were born.
Still, newborn babies share many common characteristics. The various newborn reflexes that have been identified are the same in babies the world over. Many of these reflexes are designed as survival mechanisms, or to facilitate finding and latching onto the breast.
Newborn sleep cycles, those initial smiles and coos, the surprisingly tight grasp of a baby’s hand around your finger (or strand of hair— ouch!) We take classes during pregnancy and read books to prepare ourselves for life with a newborn, but often most of our learning comes from on-the-job training. They teach us how to be their parents.
And there are some things the books don’t tell you, or even if they did, you may have glossed over. So here are five newborn facts you may not know, that may help you as you meet and learn to care for your new baby:
1. Babies sometimes take a while to breathe. When babies are born, it can take about ten seconds—sometimes longer— until they begin to breathe with their lungs. Because the umbilical cord is still attached to the placenta, which at this point, is still attached to your uterus, your baby continues to receive oxygen through the blood that is traveling from the placenta to your baby. As soon as the umbilical cord is cut, the placental oxygen supply is cut as well. (This is one reason why parents and care providers choose to delay clamping of the cord, so that baby receives as much blood from the placenta as possible.)
Babies can appear blue or purple in color for minutes after birth; once their bodies are fully oxygenated, they begin to “pink up.” Parts of their bodies, especially their extremities, can still appear bluish after birth, but this usually improves after their circulatory system begins to mature.
2. Babies benefit from the breast even before your milk comes in. Your breasts don’t begin to fill with milk until around 2-3 days after birth, sometimes even longer. However, babies benefit from latching onto the breast as soon as they are born, if possible, and then every few hours after that.
At birth (and sometimes during pregnancy), you produce colostrum, a concentrated form of early breastmilk that contains antibodies and nutrients. Even though it may not seem like they are getting much from the breast, colostrum is usually all your baby needs until your milk comes in. Plus, the very act of sucking at your breast puts in your baby’s “order” for milk later on. The more your baby latches on, the more your body gets signals to produce milk. So if you intend on breastfeeding for any length of time, have someone help you get a good latch going and get lots of nursing practice!
3. You may want to opt out of that first bath. Not yours— a nice, hot shower after labor can feel like heaven! I’m talking about your baby’s first bath. Many hospitals have changed their policies to delay bathing newborn babies for at least 24 hours, or not at all. Here are some reasons why you may want to wait to bathe your baby:
4. Newborns are noisy. Your baby's cries can feel like the loudest sound on earth. But newborns are noisy when they sleep, too. They grunt and grimace, whimper and yelp. All while they are sound asleep. While it is important to respond to your baby's cries and offer immediate comfort, you may be unintentionally waking a baby who is actually asleep!
If your baby is due for a feeding soon, look for cues like rooting or sticking their hands in their mouths. These are more reliable sign of hunger than the noises you hear when they are actually asleep. If you co-sleep with your baby, you may find that you become more quickly familiar with the noises she makes, and begin to anticipate your baby's needs before she begins to cry.
5. Newborns learn with their hands. You may look back on photos of you as a baby, hands covered by cotton drawstring baby mittens, and assume that mittens are a must for your baby registry. This thought is confirmed when your baby’s dagger-like nails are already scratching up her cheeks with red marks just days after birth. Or maybe you feel she needs mittens to keep her hands warm.
However, baby development experts now advise to ditch the mittens. Babies learn by touch, and when their hands are covered by mittens, they miss out on valuable tactile learning time. Instead, use a baby nail file to shorten and smooth out their nails, and allow them to explore their new world through their sense of touch.
So let those baby hands free!
I am a certified labor(birth) doula and professional postpartum doula serving Boise, Eagle, Meridian, and the greater Treasure Valley.
Need help preparing for birth or need help with your baby? Let's talk!
I've worked in the forest, in the lab, and in an office cubicle. My favorite and most passionate work has been alongside clients as they reach inside to find their innermost strength, and give birth to their babies. Each birth is an honor to witness.