Guest writer Anya Dimaculangan RN, BScN shares 5 essential tips on breastfeeding for new moms.  Anya is a Registered Nurse, Mama Coach, Lactation Counsellor and mom of two.  Instagram @anyathemamacoach

Breastfeeding is a beautiful way to nourish your newborn baby, but it often comes with challenges that can be overcome with the right preparation and support. As a Registered Nurse, Mama Coach, Lactation Counsellor and Mother of Two, I have both personally experienced and professionally witnessed all the difficulties mothers must navigate in the early days of establishing breastfeeding. 

Lack of education, lack of support, engorgement, under supply, ductal narrowing, mastitis, oral restrictions, over supply, birth trauma, and other obstacles can make it a struggle to meet breastfeeding goals.  The World Health Organization recommends early initiation of breastfeeding within 1 hour of birth; exclusive breastfeeding for the first 6 months of life; and introduction of solid foods at 6 months together with continued breastfeeding up to 2 years of age or beyond.

 

Here are five essential tips to help increase your success with breastfeeding:

1. Education - Prenatal Breastfeeding Class

Knowledge is power, especially when it comes to breastfeeding. Taking a prenatal breastfeeding class can provide you with invaluable information about breastfeeding techniques, positioning, achieving a deep and effective latch, newborn normals, feeding cues, signs of fullness, common challenges, and how to overcome them. These classes are often offered by hospitals, birthing centers, or lactation specialists. By learning about breastfeeding before your baby arrives, you'll feel more confident and prepared to tackle any issues that may arise.

2. Golden Hour - Breastfeeding Immediately

The first hour after birth is often referred to as the "Golden Hour." This is a critical time for initiating breastfeeding because newborns are typically alert and eager to latch during this period. Skin-to-skin contact with your baby immediately after birth stimulates oxytocin release, which helps your milk flow and promotes bonding. Breastfeeding during the Golden Hour establishes early breastfeeding patterns and can lead to a smoother transition into breastfeeding in the following days and weeks. Ensure to advocate for that at your birth facility and with your health care providers by including it in your birth plan.  Birth facilities often have lactation support services available for you to access.  If your baby needs to be transferred to the Neonatal Intensive Care Unit for medical reasons, it is important to request for a hospital grade pump to start pumping immediately if your baby is unable to breastfeed directly.

If you need to use an electric breast pump for a prolonged period, there are several options available to suit your needs. Electric breast pumps are designed to mimic an infant’s natural sucking pattern. Here are some choices:

• Hospital Grade Pumps: Ideal for mothers who will be exclusively pumping, these are very powerful and effective. The Medela Symphony is a top choice and available for rent from hospitals and local pump rental companies.
• Double Electric Pumps: If you plan to pump regularly and provide expressed milk to your baby, a double electric pump is essential for maintaining your milk supply. In Canada, the Lansinoh Signature Pro is highly recommended. In the United States, the Spectra S2 Plus and Baby Buddha Double Pump are excellent options.
• Wearable Pumps: For convenience and flexibility, wearable pumps are a popular choice among moms these days. Brands like Elvie, Willow, and Mom Cozy are great if you are only pumping occasionally.
• Pumping Bras: For regular pumping, investing in a comfortable pumping bra is important. The Bravado Original Pumping and Nursing Bra is a wonderful option.

Choosing the right pump and accessories will help ensure a more comfortable and effective pumping experience. 

3. Adequate Nutrition and Fluid Intake During the Fourth Trimester

Mothers often dedicate extensive time and energy to preparing for labour and delivery, meticulously planning every detail to ensure a smooth birth experience. However, it's easy to overlook the importance of preparing for the postpartum period. During the fourth trimester, which encompasses the first three months postpartum, maintaining adequate nutrition and fluid intake is crucial for new mothers as your body is recovering and adapting to the demands of early motherhood. Proper nutrition supports healing from childbirth, replenishes energy reserves, and stabilizes mood, while adequate fluid intake is essential for staying hydrated, supporting lactation, and promoting overall well-being. This period often brings significant physical and emotional challenges, and a balanced diet rich in essential vitamins, minerals, and protein can help to manage fatigue, enhance immune function, and aid in the production of breast milk. It is important to fuel your body with nutrient dense foods such as protein, whole grains, sweet potatoes and leafy vegetables.  Hydration also plays a key role in ensuring that new mothers can meet the increased demands of breastfeeding and maintain their own health. Did you know that you need an extra 500 calories a day to make milk for your baby? Whenever a new mom mentions she has noticed a dip in her supply, I ask if she has been eating and drinking enough.  Prioritizing these needs can make a substantial difference in your postpartum recovery.  Some great hydration options other than water include bone broth, soup, herbal teas, and coconut water.  Don’t forget to take care of you mama!

4. Skin-to-Skin Contact During the Fourth Trimester

Skin-to-skin contact isn't just beneficial during the Golden Hour; it is important to continue throughout the early weeks and months after birth. This practice helps regulate your baby's temperature, heart rate, and breathing, and it promotes feelings of security and comfort. Skin-to-skin contact also encourages frequent breastfeeding sessions, which stimulates milk production and strengthens the bond between you and your baby. Incorporating regular skin-to-skin contact into your daily routine can significantly support breastfeeding success.

5. Get Professional Lactation Support Early On

Breastfeeding can present challenges, especially in the early days. Seeking professional lactation support early on can make a world of difference. Lactation counselors and lactation consultants are trained to assist with breastfeeding difficulties, such as latch issues, low milk supply, engorgement, or nipple pain. We have received specialized training in order to provide thorough feeding and oral assessments for you and your baby. We can also assist you with measuring and ensuring the correct flange fitting for your breast pump.  We provide personalized guidance, troubleshooting tips, and emotional support tailored to your specific needs. Whether you choose to see a lactation specialist in the hospital, at a breastfeeding clinic, or through a home visit, their expertise can help you overcome obstacles and achieve your breastfeeding goals.

Breastfeeding is a journey that requires preparation, patience, and support. Breastfeeding is a brand new skill for you and your baby.  Give yourself loads of grace! Don’t try to figure it out all alone, that is what lactation specialists are here for!  By educating yourself through prenatal classes, practicing antenatal hand expression, embracing the Golden Hour, prioritizing skin-to-skin contact, and seeking professional lactation support early on, you can enhance your chances of breastfeeding success. Remember, every breastfeeding journey is unique, and with the right tools and support, you can navigate any challenges that come your way and enjoy the many benefits that breastfeeding offers for both you and your baby.  You’ve got this!