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What to Expect While Breastfeeding | Nutrition
Every mother’s experience with breastfeeding is different. Whether this is your first baby or you have many, each baby is unique.
Breastfeeding will be a learning process.
Your baby is learning how to:
- Latch.
- Suck.
- Swallow.
You are learning how to:
- Position your baby to feed.
- Observe and follow his or her hunger cues.
- Manage your breast milk supply and breast health.
Breastfeeding support is available. Visit our resources page to find the right kind of help for you.
Top of Page
First Days and Weeks
Milk Coming In
At birth, your breasts will make a thick, yellowish substance called colostrum. Colostrum is packed with nutrients and other important substances that help your baby start building up his or her immune system. There will not be a lot of this liquid at first, but the amount will gradually increase over the first couple of days. Most babies will get all the nutrition they need through colostrum during the first few days of life. As you begin breastfeeding, your baby’s sucking will tell your body to start making milk.
For most mothers, this thinner, whiter form of milk comes in by about 3 days after birth, but may take longer for first-time moms. You may notice your breasts feeling full, hard, and warm as this happens. Your baby may begin to want to breastfeed more frequently around this time. If you are concerned about your milk coming in, talk to a lactation consultant or your doctor or nurse.
Pacifiers and your baby.
If you are breastfeeding your baby, you may want to wait to use a pacifier until breastfeeding is well-established. At that time, using a pacifier for naps and at bedtime can help reduce the risk of Sudden Infant Death Syndrome (SIDS).
Leaking
Your breasts may feel full and leak. Over time, the leaking may slow down as your body gets used to breastfeeding. If your breasts leak, you may find it helpful to put disposable or cloth pads in your bra.
Engorgement
Over the first few weeks after birth, your breasts may become larger, firm, warm, and uncomfortable as your body adjusts to making milk.
This is called engorgement. As your breasts get used to filling and emptying as you feed your baby, this should improve. Feeding your baby frequently should help to prevent severe engorgement and relieve discomfort.
Sore Nipples
During the first few weeks of breastfeeding, your nipples may be sore or sensitive as they adjust to your baby’s sucking. If you have cracked or damaged nipple skin, or pain that is not improving over the first 1–2 weeks, talk to a lactation consultant or your doctor or nurse.
Pain While Breastfeeding
Although your breasts and nipples may be tender or uncomfortable, once your baby is well-latched, breastfeeding should not be painful. Sometimes pain can happen if you have an improper latch, a milk duct that is clogged with milk (plugged milk duct), a breast infection (mastitis), or other issues. If you have pain while breastfeeding, especially with a fever, talk with your doctor or nurse to figure out why.
Postpartum Depression
Postpartum depression is depression that some women feel after having a baby.
Feelings of postpartum depression are more intense and last longer than those of “baby blues,” a term used to describe the worry, sadness, and tiredness many women experience after having a baby. “Baby blues” symptoms typically resolve on their own within a few days. Postpartum depression is common and doesn’t feel the same for everyone. How often symptoms occur, how long they last, and how intense they may feel can be different for each person. Mothers with postpartum depression can usually continue to breastfeed. If you think you may be experiencing postpartum depression, or have other mental health concerns, contact your healthcare provider for help right away. Many medications do pass into breastmilk, but you can work with your healthcare provider to identify treatment options that are safe to use while breastfeeding.
Breastfeeding Considerations
Human milk provides the best nutrition for most babies, including premature and sick newborns. However, there are rare exceptions when human milk or breastfeeding is not recommended.
Learn more about when breastfeeding is not recommended.
Only a few medications are not recommended while breastfeeding. Learn more about safe prescription medication use while breastfeeding.
Learn more about breastfeeding and certain illnesses and conditions.
Top of Page
As Your Baby Gets Older
Teething/Biting
You can continue to breastfeed once your baby starts to get teeth. Babies use their tongues, not their teeth, to breastfeed. If your baby is latched well and sucking, you should not feel the teeth while your baby is feeding. Once in a while babies might bite the nipple or breast, especially when they are teething. Talk to a lactation consultant for tips on how to teach your baby not to bite.
Refusing to Breastfeed
Sometimes babies will suddenly stop wanting to breastfeed. Many times it is hard to know why this happens. Refusing to breastfeed is usually temporary and your baby will start breastfeeding again within a few days.
Some reasons your baby may refuse breastfeeding include teething, illness, stress, a change in environment such as a new childcare situation, or a major change in routine. This usually does not mean your baby is ready to wean.alert icon
To help your baby return to breastfeeding:
- Keep offering your baby the breast or breast milk from a bottle if bottle feeding.
- Spend extra time cuddling and holding your baby.
- Offer the breast in quiet spaces and when your baby is sleepy or relaxed.
- Pump or express milk frequently to keep your breast milk supply up until your baby starts breastfeeding again.
Distracted Breastfeeding
Your baby is starting to notice all the things going on around him or her. This can mean that your baby might get distracted while breastfeeding. Help your baby focus by turning off the TV, dimming the lights, or feeding in a quiet place.
Weaning
Although breastfeeding is recommended until your baby is at least 12 months old, weaning may happen before then.
Learn about when and how to wean your baby from breastfeeding.
Visit the Office on Women’s Health websiteexternal icon for more information on learning to breastfeedexternal icon and breastfeeding challengesexternal icon.
Top of Page
Why Mothers "Urate" breasts to their own daughters
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There is a practice of "flattening" girls' breasts in Britain, and the country's National Education Union is calling for education to be part of the compulsory school curriculum to protect young girls from bullying. nine0018
Girls' breasts are "ironed" with hot objects to retard their growth so that they do not attract the attention of men.
Conservative MP Nikki Morgan says teachers should be made aware of these practices as they can play a very important role in detecting and stopping them.
The Home Office says teachers are required to report their suspicions about such incidents.
No shouting
Kinaya (not her real name) lives in the UK.
Her family is from West Africa, where the custom of "flattening" the chest originates. The girl became his victim at the age of 10.
"If you don't iron your breasts, men will start coming to you to have sex with you," Kinaya recalls her mother's words.
It is mothers who most often "iron" their daughters' breasts - to do this, they heat a stone or a spoon over a fire, and then press it against the girl's breasts, trying to "flatten" it in this way.
Such practices can last for months.
"Even time can't erase this pain," says Kinaya.
"You're not even allowed to scream.
If you scream, you'll embarrass your family, so you're not a 'strong girl'," she adds.
Kinaya with her daughter0011
Kinaya is a grown woman with daughters of her own.
When her eldest was 10 years old, Kinaya's mother suggested that she "flatten" her breasts.
Kinaya replied that she would never let her children go through what she had to go through, because she still lives with this trauma.
After this incident, she moved away from her family, fearing that relatives might "iron" her daughters' breasts without her consent.
It is believed that in Britain about a thousand girls became victims of "ironing" breasts. nine0011
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however that few people know about the "ironing" of the chest at all.
nine0011
A woman in the Victoria Derbyshire program said that she only realized that "flattening" her breasts was not normal when, in a PE class at a British school, she saw that her body looked different from her classmates.
Her sister's breasts were "ironized" from the age of eight, but none of the teachers noticed this, even when she stopped going to physical education classes.
"If my PE teacher had known, if he had been properly trained, I could have gotten the help I needed when I was growing up," she said. nine0011
Kiri Tunks, vice president of the National Education Union, urges that school staff - physical education teachers in particular - be taught to recognize the signs of such practices.
She also believes it is essential that this topic be taught in schools in the same way that female circumcision will be taught from 2020 - in compulsory sex education classes in high school.
Image copyright, Getty Images
Image caption,Hot stones are often used to flatten breasts
According to Nikki Morgan, issues such as "flattening" breasts should be discussed and resolved.
Those who work with girls and young women need to be aware that breast “flattening” is taking place in the UK as well, and they need to be able to advise victims on how to deal with the situation.
A woman named Simone (not her real name) told the Victoria Derbyshire program that her mother "patched" her breasts when she was 13 when she found out she was a lesbian. nine0011
“According to her, I could be attractive because of my breasts, and if they were “ironed”, I might become ugly, and no one would be interested in me,” she recalls.
Her breasts were "ironed" for several months.
Like many other young girls, she was also forced to wear a very tight bandage around her chest to further suppress her growth, which even made it difficult for the girl to breathe.
A few years later, when she gave birth to a child from a man whom she was forcibly married to, the harm that "ironing" caused her became obvious.
nine0011
"When I try to breastfeed, it's very hard to do it, it's like there's a knot inside," she explains.
"Hidden Crime"
Breast flattening is not a specific crime, but the Home Office describes it as a case of child abuse and says it should be tried under general abuse laws.
Angie Marriott, a former gynecological nurse who is now a security lecturer for the Cheshire Police, says the true extent of breast flattening in the UK is blurred by the fact that such cases are not commonly reported. nine0011 Photo caption,
Angie Marriott says many girls are afraid to admit to having their breasts "perforated"
She called it a "sensitive, hidden crime" that women are afraid to talk about for fear of being "expelled from their communities" .
"I know this is happening because people tell me about it," she says.
"And they say that for the first time they openly talk about what happened to them and that they were ashamed," adds Marriott.
nine0011
Simone is scarred from the abuse and wants to raise awareness of the crime.
"It's a cruel attitude to say the least. It hurts and it's dehumanizing," she says. "It's like you're not human at all."
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Breast milk production | Baby's needs
Did you know that the amount of breast milk adapts to your baby's needs? In this article, you will learn amazing facts about breast milk production in the first days, weeks and months. nine0011
Share this information
Your body is capable of producing breast milk for your baby at every stage of development. Understanding how milk production “turns on”, what happens to milk when you feed your baby, and why production adjusts to his needs as he grows, will help you start this amazing process in the right way.
First day: milk production at birth
The baby is usually ready to breastfeed from birth.
When he grabs the breast and begins to suck rhythmically, the milk-producing cells “turn on” and the formation of the first breast milk, colostrum, starts. 1 Try to feed your baby as much as possible in the first hour of his life, and then as soon as he shows interest in feeding. This will help lay the foundation for good milk production later on. 2
The first days: the arrival of milk
At this stage, the level of progesterone in your body decreases,
pregnancy hormone, which begins to fall after the placenta is released, and the hormones responsible for milk production, prolactin, insulin and hydrocortisone, are included in the work. These hormones will help start milk production. 3 Approximately on the third day of the baby's life, milk will begin to come in, and you will feel that your breasts are full and noticeably firmer. 1
First month: shaping milk production
During the first weeks, your body will be especially sensitive to the amount of milk produced as it learns to produce the right amount.
Prolactin levels increase dramatically each time you empty your breasts, thereby helping shape the lactation process. It also contributes to the maturation of your milk in terms of composition. At this stage, transitional milk is produced and the amount continues to grow. nine0155 3.4
For good long-term milk production, it is very important that you are close to your baby during the first few weeks. The more often you breastfeed, the more milk will be produced. This process resembles the law of supply and demand. Each time after emptying the breast, whether it is feeding the baby or pumping, even more milk will be produced.
Remember that it is normal for newborns to eat frequently, perhaps even every 45 minutes, and this does not mean that they are not getting enough milk. Frequent feedings help shape milk production, so feed your baby on demand, not on a schedule. nine0011
“During the first weeks, you may feel like you don’t have enough milk because your baby will be feeding all the time, but that’s okay,” says UK mom-of-two Jo, “We tend to think that the baby wants to eat every few hours, but that is not necessarily the case.
"
Don't forget that babies also breastfeed for comfort. Breastfeeding helps them calm down and adjust to their new life outside the womb. In addition, feeding helps to establish a connection between you. nine0011
Stable milk production in the first month
If you follow your baby's needs and feed him as often and for as long as he wants, milk production should adjust. 5
Some mothers try to increase the period between feedings so that the breasts can produce more milk during this time, but this should not be done, as this may have the opposite effect. 2
If you are unable to breastfeed directly for the first two weeks, express your milk to build and maintain your milk supply during this critical period and beyond. nine0011
Did you know that feeding your baby extra formula unnecessarily can reduce your milk production? The chest will not receive a signal to increase production, because it will not be emptied. In addition, if the baby sleeps longer after formula, he may miss his usual next feeding time.
This is a kind of "supplementary trap". After three to four days of formula supplementation, during which the breasts have emptied less, the body will receive a signal that breastfeeding has stopped, and the amount of milk produced will begin to decrease. As a result, the baby will remain hungry and will need additional formula supplementation. And so on in a circle ... As a result, this will lead to really low milk production, and the baby will eat mainly the mixture. nine0011
Breast milk production after six weeks
After a month of breastfeeding, post-feeding bursts of prolactin secretion begin to decrease, milk matures, and the body gets used to producing as much milk as your baby needs. In fact, the chest begins to work "on autopilot." 4 You may also notice at this time that your breasts are softer and your milk flow has stopped.
At this stage, women often have fears of "losing milk". nine0163 However, this only means that milk production has been established and now fully meets the needs of the child.
It is noteworthy that although the baby continues to grow, he will consume approximately the same amount of milk both at six weeks and at six months. You may notice that the baby began to suckle the breast longer, but less often. On some days he may eat a little less than usual - his appetite changes in the same way as an adult.
Now your body will produce exactly the amount of milk,
as much as your baby needs. Therefore, the more milk the baby drinks (or you express), the more milk will be produced.
How does this happen? The reason for this is thought to be the so-called "feedback lactation inhibitor" that controls milk production. The more milk in the breast, 2 the higher the inhibitor level, so a full breast produces less milk than one that has been emptied.
What is the rate of milk production? nine0028
Mothers often worry about their milk supply and think about how to increase it. However, if the baby is healthy and growing well, problems usually do not arise.
“I was worried that my newborn daughter was not getting enough milk as she was feeding very quickly and always from only one breast, although I offered both,” says Marjorie, mother of two from the UK, “But when I pumped milk from using a breast pump, I was surprised at how much milk I produced, and calmed down. I just had to keep feeding her little and often.” nine0011
Keep in mind, however, that not all mothers are able to express a lot of milk right away. You can also try hand expressing milk and see if there is a change in breast fullness.
If you're worried about your milk supply, read our tips for symptoms of too little or too much milk.
Literature
1 Pang WW, Hartmann PE. Initiation of human lactation: secretory differentiation and secretory activation. J9 Gland Biol Neoplasia . 2007;12(4):211-221. - Pang, W.W., Hartmann, P.I., "Lactation initiation in the lactating mother: secretory differentiation and secretory activation.
" G Mammary Gland Biol Neoplasia. 2007;12(4):211-221.
2 Kent JC et al. Principles for maintaining or increasing breast milk production. J Obstet Gynecol Neonatal Nurs . 2012;41(1):114-121. - Kent J.S. et al., "Principles for Maintaining and Increasing Milk Production". F Obstet Ginecol Neoneutal Nurs. 2012;41(1):114-121.
3 Ostrom KM. A review of the hormone prolactin during lactation. Prog Food Nutr Sci . 1990;14(1):1-43. - Ostrom KM, "Review of the role of the hormone prolactin during lactation." Prog Food Nutr Sai. 1990;14(1):1-43.
4 Cox DB et al. Blood and milk prolactin and the rate of milk synthesis in women. Exp Physiol. 1996;81(6):1007-1020. - Cox D.B. et al., Effects of blood and milk prolactin on milk production in women.
