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Breastfeeding Solutions to Top Problems

If doing cradle-hold while sitting down/semi-reclining:
  • Use a nursing pillow – this brings baby to needed height and doesn’t easily slide off compared to a regular pillow.
  • Hold baby facing you from head to toe. You should be tummy-to-tummy.
  • Place baby’s head closer to the middle of your arm, not the crook of your elbow.
  • Hold your breast with the hand not holding baby, tickle baby from nose to chin repeatedly until baby’s mouth opens wide (as big as a yawn).
  • ONLY then do you bring baby  to your breast, use your hand to guide your nipple to your baby’s mouth.
  • Pull the chin down so that the lower lip down is jutting outwards (like a fish).
  • Chin should be pressing against your breast.
  • Signs of a good latch: mouth, jaw and ear is moving. Sometimes, swallowing sounds can be heard. ZERO pain.
  • If your breasts are large, you can squeeze them as if forming a breast burger with your thumb in line with baby’s upper lip.
If breastfeeding on your side, here are the tips that apply:
  • Should be tummy-to-tummy.
  • Baby’s nose (not mouth) should be aligned with your nipple so that baby has to tilt back head a little.
  • Your lower arm should be on your pillow, baby’s lower arm should be raised towards her head.
  • Do not support baby’s head with your arm, let baby’s head lie on the bed and let your breast lie on baby’s arm.
  • Support your and baby’s back with a pillow so both of you won’t lean away.
  Also, try  the laid-back position. You should be semi-reclining with baby on your chest  in between both breasts. Laid-back position lets baby decide when to latch. Gravity should help with a deeper latch.
  • Your baby’s tummy is as big as a quail egg.
  • Your baby just needs drops of your yellowish milk (colostrum) for the first few days.
  • Trust yourself that you have milk even if you don’t see or feel it. Let your baby feed whenever she wants and your milk will come in.
  • You can include fresh malunggay in all your meals even before giving birth, or if hard to come by, take 3 malunggay tabs 3x a day with all meals. Malunggay is proven to increase milk.
  • If baby can’t latch on, hand express or pump your milk into a clean container to lessen engorgement (you can freeze the milk and feed the baby when you go out).
  • Do not empty your breast, just express enough.
  • Your body’s supply will adjust in a few days.
  • Take note of warning signs:

Hard bump: put hot compress, massage the bump and feed from the breast

Hard bump that turns red and there’s fever: this could be mastitis, consult with your doctor who will give you antibiotics. Don’t stop breastfeeding – these antibiotics are safe for your baby.

  • The primary reason is that the latch is too shallow. Your nipple is being pressed against the hard palate instead of farther back the mouth (soft palate known as comfort zone). Check your latch.
  • It’s safe for baby to drink milk even if it has blood & pus.
  • Pat your nipples with expressed milk to soften your nipples between feeding; this will also hasten healing
  • Babies suck not just for food but also for comfort.
  • Cluster feeding is normal for newborn babies, this doesn’t mean you don’ t have enough milk.
  • This phase will pass.
  • If your breasts can’t take it anymore, give the baby to another caregiver to comfort or amuse while you stay in another room to rest.
  • Dinner date? Dress up in nice clothes? You deserve it.
  • Take baby steps first when leaving your baby.
  • Save about 4 ounces of milk in the ref.
  • Warm the milk (don’t microwave!) before baby is about to be hungry .
  • Cup feed
  • Leave right at the end of a feeding and time to be back after 4 hours.
  • 1 week to 2 weeks before – decide on the pump you need, think of your milk storage, how to transport your milk.
  • Store enough supply to last 1 day (4 ounces per feeding x number of feedings you’ll be out plus buffer you’re comfortable with).
  • Start pumping, output will be low at the beginning until your breasts adjust. Best time to pump is in the morning, on the breast that isn’t fed from.
  • Practice being away from baby to let your caregiver grow confidence in feeding baby; start with several hours to half a day to a full day; at the same time, practice your pumping routine.
  • Once back at work, nurse your baby directly when you’re home and during weekends to maintain your milk supply.
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