Breast and Bottle Feeding Advice with Charlotte Young IBCLC

Breast and Bottle Feeding Advice with Charlotte Young IBCLC

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http://www.analyticalarmadillo.co.uk/

1) Is it safe to have a glass of wine whilst I am breastfeeding?

 A glass is usually considered fine. It’s estimated < 2% of the alcohol reaches BM – so to transfer significant amounts, you would be too drunk to look after a baby (however they’re fed). Lots more info & link to a detailed article on my blog here:http://www.analyticalarmadillo.co.uk/…/breastfeeding… …

2) I have been told that chilli and garlic can affect the taste of breastmilk and affect the baby’s tummy, but my inlaws are Indian and we eat a lot of spicy curries, I am worried this is going to upset my baby.

Breastmilk does impart the taste of foods, which can help with solids as baby has experienced a wide range of flavours. Different cultures have different beliefs;some say avoid greens, some onions, some citrus, some spices etc ollowed them all we wouldn’t eat  Many continue with a normal diet and experience no problems. Some Indian cultures do avoid HOT chillies and extremely spicy dishes for between 6-12 weeks postpartum (depending upon local traditions). Remember breastmilk is made from your blood, not directly from your food, and lots of other things can cause fussing. Plus food like garlic is great for health & immune system when healing postpartum.

3)  I have given up smoking whilst I am pregnant but would like to know if I have a cigarette after the baby is born, will the nicotine/tar/chemicals get into my breast milk?

Nicotine has been found in breastmilk, at lower levels than in mother’s blood (rather like alcohol) and halves around 90 minutes post cigarette. But if you’re going to smoke, it’s better to smoke & breastfeed than formula feed. BF can help to protect baby from diseases linked with tobacco smoke (via clothes, hair etc) & babies can take in up to 20 times more thirdhand smoke than adults. If you’ve already stopped during pregnancy, you’ve done the hard bit why not spend the money on a treat for yourself, breastfeeding mums get hungry & can sometimes consume lots of cake 

4) My breasts leak very badly, I wake up soaked. I use breast pads, sometimes two. I have tried every brand. Do you have any tips?

If baby is still young, it’s very common that whilst supply regulates there is more milk than needed. Washable pads are most economical if using lots. Some mums sleep on a towel, or fold a muslin inside a tank top for extra absorbency. If you have times double padding isn’t a look you want, some mums like Lilypadz they’re a silicone non absorbent breast pad that prevents leaks by applying gentle pressure to the nipple. They need to be applied carefully as per instructions or don’t work well. Some people love, others hate 

5) My baby is 10 days old, when she sucks on the breast, she will not come off of her own accord. If I let her, she will stay on for two or even three hours. Is she still getting milk or just sucking for comfort? What can I do?

Has someone sat with you during a feed? It can be normal for young babies to want to feed lots, they will drink well, take a full feed, but are happy to stay attached sucking & snoozing. Usually if you pop them off they appear “milk drunk” and full.If for some reason baby can’t transfer milk quite as effectively as they need, this may lso result in very long or frequent feeds.. In this case baby tends to drink well only for a few minutes, before getting slower until asleep, & if you try and put them down they wake signalling hunger ie it was a powernap. In UK you can see a breastfeeding counsellor, lactation consultant (IBCLC) or your area might have a local Baby Café. hospital infant feeding advisor. In US you can often see an IBCLC via health insurance.

6) One breast has stopped producing milk, can I get it to start again? If I don’t, will my other breast grow bigger to compensate?

Milk usually drops when baby isn’t removing enough to maintain, so would need to know more re what happened prior to. If baby is fussy that side due to lower supply, switching back to the other, then back until he fusses, switch again etc can help. Expressing that side can also boost supply – expressing tips here http://www.analyticalarmadillo.co.uk/…/12-tips-for… … again really, in person help, observing a feed and finding root cause is key. And, yes the other breast may grow larger if double producing.

7) My 4 month old pulls off my breast and screams a lot. I gave up cheese and its has helped a bit, is this a coincidence?

Some babies can be sensitive to dairy, if you think this may be the case perhaps try cutting milk and other dairy products. Some babies seem to struggle with dairy/wheat when they have an upset digestive system for another reason o if he’s taking in air when feeding/pulling off/crying, this can cause tummy upset too.

8) My baby was a v difficult feeder, always pulled off and screamed, same with bottle and breast. Terrible sleeper too. Diagnosed with silent reflux at 6 mths. Now 20 months and terrible eater, do you think this is connected?

Babies who are classed as difficult to feed, may be babies struggling to transfer milk easily, or move it back for swallowing in a co-ordinated way. This often seems to now be diagnosed as silent reflux, & sometimes there is reflux because whatever is causing the feeding problem is also impacting on digestion. You mention fussy eating now and so it may also be worth ruling out tongue tie. Lots more information here:http://milkmatters.org.uk/…/hidden-cause-of-feeding…/ …

9) My baby was born at 32 Weeks and I could not breastfeed her. I have been told that my next baby may also be premature, do you have any feeding tips?

Lots of support in place.  Dr Nils Bergman talks about the importance of skin to skin contacthttp://www.kangaroomothercare.com/ expressing 8-12 times per day (as freq as a baby would feed), and avoiding bottles in early days would be my top tips.

10) My 8 m.o. has had 2 posterior tongue tie revisions & also had v high palette.he has rather substantial upper lip frenulum which attached to bottom of gums. Feeding (breast & solids) is fine. Do I need to worry?could it cause problems with teeth/ speech?

In the UK they’re usually treated around 10 years of age, ie if it’s still a significant problem when adult teeth are in There seems to be very little quality evidence prior to this, and treatment varies depending upon practitioner. Some release where it attaches to lip but don’t remove tissue on the gumline. Basically everyone has a different opinion about this at the moment, but as a lactation consultant we can only assess for feeding purposes.