It has proved that 99% of the mothers have the breast milk sufficient for two babies. If you are experiencing breastfeeding problem; either the baby may be sick, the mother may be sick, or the breastfeeding technic is wrong. There is not any other reason than that. Contrary to the popular belief breastfeeding problems can be solved easily. The rumor on my milk is low or my milk is of poor quality etc. are not true. Not being able to breastfeed or not to breastfeed is a disease, not a normal situation. When you have a problem about breastfeeding, apply to your physician. There may be conditions such as underlying infection, breast cancer, etc. You must breastfeed at different positions. Compared to breastfed babies, the risk of heart disease, diabetes risk, blood cancer risk, sudden infant death risk, obesity risk, pneumonia risk, middle ear infection risk, asthma/allergy risk, severe diarrhea, and the risk of diarrhea for a long time, the risk of psychiatric disease, the risk of breaking ties with the mother, the risk of chronic intestinal inflammation (crohn’s disease), the risk of celiac disease for the babies grown with formula are higher. As they are frequently sick and have a risk of having chronic diseases, they have a shorter life expectancy. Their IQ scores are lower than the others. It has been identified by the economic research that they will have lower income in busines life. When the breastfeeding and no-breastfeeding mothers have been compared, the risk of getting pregnant, anemia, breast cancer and ovarian cancer is higher than the breastfeeding mother. Since the babies delivered cesarian section do not encounter vaginal environment, their immune systems are not prepared like normal babies, and they start life 1-0. The only way to achieve the equality is breastfeeding. If the breastfeeding is applied, equality is achieved within 2 months.
How long should I breastfeed?
Babies born on time and prematurely are given only breast milk for the first 6 months. Breastfeeding should be continued up to 2-3 years old. The baby who takes only breast milk for the first 6 months should not be given water even in the hottest weather because 80% of the mother’s milk is water. In the newborn period (first 30 days), infants are not given herbal tea, sugary water and pacifiers. Breastfeeding up to the age of two is vital. Breastfeeding can be stopped at the age of 1.5 years with the decision of the doctor.
How often should I breastfeed?
0-1 Month: Daytime; at least 12 times (every 2 hours), should be breastfed as much as the baby wants, Night; setting alarm at 2-3 hours.
1-3 Months: Daytime; at least 8 times (every 3 hours), should be breastfed as much as the baby wants, Night; setting alarm at 2-3 hours.
3-6 Months: Daytime; at least 8 times (every 3 hours), should be breastfed as much as the baby wants, Night; when the baby gets up. There is no need to wake the baby up.
When and Which breast should I breastfeed?
Do not switch to the other breast until one breast is empty. Start the next feed from the last breast at the previous feed. The contents of the beginning, middle and end of breast milk are different from each other, so you should breastfeed until your breast is empty.
How can I understand my breast is empty?
You can feel the difference at the beginning and end of breastfeeding by touching the milk flow stops by itself, the baby stops sucking, the baby’s swallowing sound and movements change, you do not see milk in the baby’s mouth or lips. These are signs that your breast is emptying. If your baby has stopped sucking and if you feel that your breast is not fully emptied, and it has not been more than 1-2 hours, start breastfeeding from the breast from which was in the previous breastfeeding.
How can I understand the breastfeeding is true?
If the lips of the baby are curved inwards, there is a smacking sound, there is no swallowing-swallowing sound, the cheeks collapse, the baby fights with the breast while breastfeeding, if you still feel tickling-pain 1 minute after you start breastfeeding, you are breastfeeding incorrectly. Put your little finger in the baby’s mouth and remove your breast, never pull it out. Then open the mouth of the baby by pulling the chin and push your breast into the mouth of the baby (do not pull the baby to you) and allow the baby to take the brown ring behind the nipple. When the nipple touches the palate, the baby is locked to the breast and start to suck even the baby is not hungry. Stimulate sucking by occasionally waking up, pressing under the chin, touching the corner of the mouth while breastfeeding.
How do I know if I have enough milk?
If your baby urinates 4 or mor times in a day and gains 20 grams (30 grams if the baby was born before 37 weeks) daily, your milk is sufficient.
What should I do to increase my milk?
If you eat this way your breastmilk will increase. Daily: 3 liters of water should be drunk daily by measuring with a bottle. Yoghurt: 2-3 water glass. Cheese: size of 2 matchboxes. Egg: 1 pc. Meat: 2 portions. Meat-fish-chicken, one of the three. Spicy-deli products are not recommended. Legumes; 4 days a week: 1 portion legumes (dry beans, chickpeas, kidney beans, lentils). Fresh vegetables/salad: 3 portions. Fruit: 2 portions. Bread: 4-6 slices. Whole wheat bread is recommended. Rice, bulgur, and pasta: 1 portion. Oil: up to 1 teaspoon per bowl. Olive oil and butter are recommended. Nuts: 2 walnut, 5 hazelnuts, 5 almonds, 10 raisins. Tea: Not to exceed 1 tea glass per day. Coffee: not consumed every day. It will not exceed 2-3 cups per week. 1 small chocolate. Herbal teas: not recommended, it may cause allergy for the baby. Milk-increasing tea/medicine: Not recommended unless prescribed by a physician. it may cause allergy for the baby.
I can’t wake my baby, is this normal?
All babies, especially babies that were born cesarian section, may have difficulty waking up in the first week. If you can breastfeed 20-30 minutes every 2 hours and there are not any additional complaints, this is a normal situation. Babies can sleep up to 16-18 hours a day in the first month. You must stimulate the baby when the baby falls asleep. You should push below the chin or push around the lips. If the baby sleeps so much that you cannot breastfeed for 20 minutes every 2-3 hours, you should bring the baby to the pediatrician control.
How long should I burp after breastfeeding?
The main reason of burping application is providing time for the milk to pass from the stomach ton intestines. Otherwise the baby will vomit and the milk may leak into the lungs. After breastfeeding, keep the baby upright on your shoulder for 10-15 minutes and allow the baby to burp. At this time, stomach of the baby will also be emptied. There may be occasional vomiting while burping, it is normal if there is no additional complaint.
How long can I store the milk?
You can store the milk 3 hours in the ambient temperature, 3 days in the door shelf unit of the refrigerator and 3 weeks in the freezing unit of the refrigerator and 3 months in the deepfreeze. Frozen milk is melted in the warm water. Melted milk is not re-frozen, remaining amount is discharged.
I am pregnant during breastfeeding; do I need to stop breastfeeding?
No, breastfeeding does not cause preterm deliver and hurt the other baby. Do not stop breastfeeding. Your milk may decrease due to the pregnancy, it is normal.
ATTİLA ALP GÖZÜBÜYÜK M.D.