Some mom’s that are breast feeding will stop before
they want to, simply because they don’t think they
have enough breast milk.

There are signs that might make you believe your baby
isn’t getting enough milk. If your baby seems hungry
or unsettled after feeding, or if he wants to feed
often with short pauses between feedings, you may
think he isn’t getting enough milk – which are often
times not the case.

There are however, two reliable signs that let you
know your baby isn’t getting enough milk. If your
baby has poor or really slow weight gain, or is
passing small amounts of concentrated urine, he’s
not getting enough milk.

All babies will lose weight within the first few
days after birth. Babies are born with supplies of
fat and fluids, which will help them keep going for
the first several days.

Once your baby regains birth weight, he should begin
putting on around 200g for the first four months or
so. To get back to their birth weight, it normally
takes a few weeks.

If the weight gain for your baby seems to be slow,
don’t hesitate to ask your doctor or nurse to observe
you breast feeding. This way, they can make sure
that your technique is right and if they think your
baby is breast feeding often enough.

To help you with your breast feeding, here are some
ways that you can increase your supply of milk:
1. Be sure that your baby is positioned
correctly and attached to your breast.
2. Let your baby feed for as long and often
as he wants.
3. If you feel that your baby isn’t breast
feeding enough, offer him more breast feeds.
4. During each breast feed, make sure you
feed from both breasts.
5. If your baby has been using a dummy,
make sure you stop him.
6. Some babies may be sleepy and reluctant
to feed, which may be the cause of problems with
milk supply.

By following the above tips, you’ll do your part in
making sure you have enough milk when it comes time
to breast feed. If you are uncertain or have other
questions, be sure to ask your doctor, as he can
answer any type of question you may have.

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If your baby has trouble finding or staying on
your nipple, you shouldn’t panic. Breast feeding is
an art that will require a lot of patience and a
lot of practice. No one expects you to be an
expert when you first start, so you shouldn’t
hesitate to ask for advice or have a nurse show you
what you need to do.

Once you start, keep in mind that nursing shouldn’t
be painful. When your baby latches on, pay attention
to how your breasts feel. If the latching on
hurts, break the suction then try again.

You should nurse quite frequently, as the more
you nurse the more quickly your mature milk will
come in and the more milk you’ll produce. Breast
feeding for 10 – 15 minutes per breast 8 – 10 times
every 24 hours is an ideal target. Crying is a
sign of hunger, which means you should actually
feed your baby before he starts crying.

During the first few days, you may have to wake
your baby to begin breast feeding, and he may end
up falling asleep during feeding. To ensure that
your baby is eating often enough, you should wake
him up if it has been four hours since the last
time he has been fed.

Getting comfortable
Feedings can take 40 minutes or longer, therefore
you’ll want a cozy spot. You don’t want to be
sitting somewhere where you will be bothered, as it
can make the process very hard.

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The causes
Within 72 hours of giving birth, an abundance
of milk will come in or become available to your
baby. As this happens, more blood will flow
to your breasts and some of the surrounding tissue
will swell. The result is full, swollen, engorged
breasts.

Not every postpartum mom experienced true
engorgement. Some women’s breasts become only
slightly full, while others find their breasts
have become amazingly hard. Some women will hardly
notice the pain, as they are involved in other
things during the first few days.

Treating it
Keep in mind, engorgement is a positive sign
that you are producing milk to feed to your
baby. Until you produce the right amount:
1. Wear a supportive nursing bra, even
at night – making sure it isn’t too tight.
2. Breast feed often, every 2 – 3 hours
if you can. Try to get the first side of your
breasts as soft as possible. If your baby seems
satisfied with just one breast, you can offer
the other at the next feeding.
3. Avoid letting your baby latch on and
suck when the areola is very firm. To reduce
the possibility of nipple damage, you can use
a pump until your areola softens up.
4. Avoid pumping milk except when you
need to soften the areola or when your baby
is unable to latch on. Excessive pumping can
lead to the over production of milk and prolonged
engorgement.
5. To help soothe the pain and relieve
swelling, apply cold packs to your breasts for
a short amount of time after you nurse. Crushed
ice in a plastic bag will also work.
6. Look ahead. You’ll get past this
engorgement in no time and soon be able to
enjoy your breast feeding relationship with your
new baby.

Engorgement will pass very quickly. You can
expect it to diminish within 24 – 48 hours, as
nursing your baby will only help the problem. If
you aren’t breast feeding, it will normally
get worse before it gets better. Once the
engorgement has passed, your breasts will be
softer and still full of milk.

During this time, you can and should continue to
nurse. Unrelieved engorgement can cause a drop
in your production of milk, so it’s important
to breast feed right from the start. Keep an
eye for signs of hunger and feed him when he
needs to be fed.

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However, the newborn baby will often become
jaundiced during the first few days due to the
liver enzyme that metabolizes the bilirubin becoming
relatively immature. Therefore, newborn babies
will have more red blood cells than adults, and
thus more will break down at any given time.

Breast milk jaundice
There is a condition that’s commonly referred to
as breast milk jaundice, although no one knows
what actually causes it. In order to diagnose it,
the baby should be at least a week old. The baby
should also be gaining well with breast feeding
alone, having lots of bowel movements with the
passing of clean urine.

In this type of setting, the baby has what is
referred to as breast milk jaundice. On occasion,
infections of the urine or an under functioning
of the baby’s thyroid gland, as well as other
rare illnesses that may cause the same types of
problems.

Breast milk jaundice will peak at 10 – 21 days,
although it can last for 2 – 3 months. Contrary
to what you may think, breast milk jaundice is
normal. Rarely, if at all ever, does breast
feeding need to be stopped for even a brief
period of time.

If the baby is doing well on breast milk, there
is no reason at all to stop or supplement with
a lactation aid.

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