Everybody becomes stressed when a baby cries -that’s nature’s way of making sure somebody looks after these helpless little beings. But it also tends to give rise to lots of well meant advice, and somebody is bound to ask, “are you sure you have enough milk?” or “Are you sure your milk is strong enough?”
To maintain your confidence, it is important to be well-informed and find yourself a cheering squad. Surround yourself with positive voices - other women who have happily breastfed and people who will tell you, “you are doing a great job!”. If you don’t have any friends or family who fit this category, get along to a support group like the Australian Breastfeeding Association (www.breastfeeding.asn.au ). These groups have trained counsellors who can boost your confidence on line or with a phone call (day or night), and they also have lending libraries of books about all aspects of parenting, as well as breastfeeding.
Partners, take note: protect your lady and your baby from anybody (even your own mother) who so much as whispers, “perhaps she needs a bottle.”
Meanwhile, remember, baby’s sucking at your breast stimulates milk production. According to the law of supply and demand, the more baby sucks, the more milk your breasts will make. If you are worried that baby is hungry, offer the breast again, even after a few minutes (he may have had an air bubble that popped and left a gap).
If your baby is having a growth spurt (these are common at 6 weeks and 3 months, but can happen at any time), he will have a corresponding appetite increase . This doesn’t mean you are running out of milk -it simply means he will need to suck more often for a few days to give your breasts the message that they need to produce more milk. When your breasts catch up with the increased demand (and they will, if you take things easy for a few days, offer skin to skin cuddles to stimulate your milk production hormones, and respond to your baby’s early hunger signals), things will settle down again. If you offer a bottle as a ‘top up’, he won’t be sucking the whole amount of milk from your breasts and they won’t get the message to increase the supply. At the next feed you may offer another bottle, and again, the decreased sucking causes your milk supply to dwindle until you find that, very soon, your baby is weaned.
Babies regulate the type of milk they need by the way they suck. The first (fore) milk will quench their thirst, which is why they often have very short, frequent feeds on hot days (if you feed your baby according to his needs, he won’t need bottles of water). Hunger will be satisfied by longer sucking periods when baby gets the fatty hind milk that is squeezed down into your ducts by the reflex known as “letdown”.
You baby’s needs will change from day to day and as he grows. A baby needs to “finish” the first breast first, in order to get the hind milk. But if you continue to feed on one side only as baby grows and goes longer between feeds, each breast may only be emptied every six to eight hours. Ouch! A good way to avoid the lopsided look (and mastitis) is to feed baby on one side until he chooses to drop off, then have a little play and a nappy change, wrap him securely and give him the other side before you put him back to bed. This way he will seem to go longer between feeds too - a win/win all round!
Problems with your milk supply may be the result of incorrect positioning, or a problem with baby’s ’suck’ or perhaps a problem such as tongue tie (this can be easily fixed with a quick snip by a doctor), which may prevent baby from emptying your breasts properly (get your maternal and child health nurse or a lactation consultant to watch you breastfeed if you have doubts- babies who can’t maintain a ’suck’ may need assessment by a paediatrician); of feeding from one side only; of offering bottles (which require a different sucking action so can make breastfeeding less efficient); or of rigorously scheduling feeds, so you are offering feeds either when your baby isn’t hungry or has waited too long so isn’t able to feed effectively.
So, watch your baby, not the clock. By responding to your baby’s cues for food and comfort, you are helping him learn to communicate his needs, and experience having them satisfied. It is perfectly normal for a breastfed baby to need feeding every two hours at first - and that means two hours from the beginning of one feed to the beginning of the next, not two hours between feeds. As your baby grows and his stomach capacity increases, feeding will become much more efficient and quicker so you won’t be ‘feeding all day’.
Some mothers swear by herbal remedies such as raspberry leaf tea or fenugreek tea, or fenugreek or blessed thistle tablets (not milk thistle) to help boost their milk supply, and one way to overcome tension if you think your let down reflex is affected by stress, or a lack of confidence, is to practise relaxation breathing and visualise milk flowing over a waterfall when you begin feeding. Meanwhile, be reassured that what comes out must have gone in: Your baby is getting enough milk if she is having six to eight pale wet (cloth) or five heavy disposable nappies every day, is thriving and gaining weight, and is only drinking breast milk.
Pinky McKay is the author of ‘Sleeping Like a Baby’ ( Penguin Australia) , ‘100 Ways to Calm the Crying‘ and ‘Toddler Tactics’. A mother of five, Pinky is an international Board certified lactation consultant and a certified infant massage instructor. For information about classes and workshops visit Pinky’ s website www.pinkymckay.com.au











