How to increase mother feed for baby
Low Milk Supply | WIC Breastfeeding Support
Many moms worry about low milk supply, but most of the time your body makes exactly what your baby needs, even if you don't realize it. There are also ways to tell if your baby is getting enough milk. If you aren't making enough, there are ways you can build your supply. And your WIC breastfeeding staff is always there to help!
Am I Making Enough Milk?
First, look for these signs that your baby is getting enough milk. For example, pay attention to the number of wet and dirty diapers and your baby's weight gain.
Things you should NOT worry about:
- How your breasts feel. Your breasts will feel softer and less full as your milk supply adjusts to your baby's needs. This does not mean you have low supply.
- If your baby nurses for shorter periods of time, such as only 5 minutes on each breast.
- If your baby's feeds are bunched together. This is called cluster feeding and happens when your baby starts nursing more often and for longer. This can happen in the evenings or because of growth spurts.
- Not getting much milk when you express. Your baby is much more effective than a pump or hand expression at getting out milk. Find tips to help you pump.
If you are still concerned, talk to your baby's doctor about their growth.
Causes of Low Milk Supply
While most moms make plenty of milk, some do have low milk supply. This might happen if you:
- Limit your baby's breastfeeding sessions. Remember, the more you feed on demand, the more milk you make.
- Give your baby infant formula instead of breastfeeding.
- Introduce solid foods before baby is 4-6 months old.
- Take certain birth control pills or other medicine.
- Don't get enough sleep.
- Drink alcohol or smoke.
- Have had breast surgery.
Talk to your doctor if you have hepatitis B or C, herpes, or diabetes. These conditions may also affect milk supply.
Increasing Your Milk Supply
Breastfeeding frequently—especially in the first hours, days, and weeks—is the main way to increase your milk supply. Your body will make milk to meet your baby's demand.
Try these tips to help you make more milk:
- Breastfeed every time your baby is hungry. In the early weeks, your baby will eat 8-12 times every 24 hours. It's best not to put your baby on a strict feeding schedule. Follow your baby's cues, and let your baby tell you when it's time to eat.
- Make sure your baby is latching well.
- Offer both breasts at each feeding. Let your baby finish the first side, then offer the other side.
- Empty your breasts at each feeding. Hand express or pump after a feeding to draw out all the milk and signal your body to make more.
- Avoid bottles and pacifiers in the early weeks. Feed your baby from your breast whenever you can.
- Get plenty of sleep, and eat a healthy diet.
- Pump or express your milk. Pumping or expressing milk frequently between nursing sessions, and consistently when you're away from your baby, can help build your milk supply.
- Relax and massage. Relax, hold your baby skin-to-skin, and massage your breasts before feeding to encourage your milk to let down.
- Take care of yourself. Get plenty of rest, eat well, drink enough fluids, and let others help you.
Consider Charting Your Progress
Record how often your baby is breastfeeding, for how long, and on which sides. If you are supplementing with infant formula, record how much your baby is getting and decrease the infant formula as your milk supply increases. WIC breastfeeding staff can help you determine how much infant formula your baby needs.
Still Have Questions?
Contact your WIC breastfeeding expert. They can talk to you about supply concerns and give you tips to increase your supply to meet your baby's needs.
How to increase breast milk supply
How to increase breast milk supply | Pregnancy Birth and Baby beginning of content6-minute read
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The best way to establish a healthy supply of breast milk is to start early, breastfeed frequently and make sure your baby is latching on correctly.
Some women have low supply, particularly during the early weeks of breastfeeding. This is the main reason some mothers start weaning or move to formula feeding. However, it's rare for a mother to produce less milk than her baby needs.
What are some reasons for a low supply?
There are many different reasons why some women have low supply including:
- delays in breastfeeding after delivery or separations of mother and baby such as if the baby needs to be admitted to the special care nursery or if the mother is unwell after delivery
- poor attachment to the breast, which can be caused by flat or inverted nipples, a tongue or lip tie, a sleepy baby because of jaundice, or a difficult or prolonged delivery
- if the mother is unwell due to problems like mastitis, retained placental tissue or large blood loss after the baby is born
- scheduled or timed feeding, rather than feeding baby on demand
- taking an oral contraceptive pill that contains oestrogen
- formula feeding as well as breastfeeding
- skipping breast feeds and offering a supplement formula feed but not expressing breast milk at that time to ensure that supply continues to meet baby's demand
- long-term use of dummies or nipple shields
- smoking
Breast milk supply can be low if the woman has medical problems such as polycystic ovarian syndrome, hypothyroidism, diabetes and pre-diabetes, or takes some blood pressure medications and cold and flu preparations, or has taken the contraceptive pill or has been infertile.
In some women, breast or nipple surgery makes breastfeeding difficult. In a few women, the breasts did not change during puberty and early pregnancy in a way that makes breastfeeding easier.
Typical baby behaviour
Some health professionals and mothers have an unrealistic expectation of how the baby will behave and might be concerned that what is normal baby behaviour could indicate low supply.
If your baby is having a good number of wet nappies each day, low supply is not a likely cause.
Some issues with breastfeeding include:
- wanting to be fed often — breast milk is digested in about 1.5 to 2 hours, whereas formula takes longer to digest
- being more fussy in the evening; you might produce less milk at this time and your baby will request fewer feeds or will 'cluster feed' (feed frequently at certain times of the day)
- liking to suck even if they have had a good breastfeed — sucking comforts them
- wanting lots of cuddles and skin to skin contact — this makes them feel secure and ensures that baby's needs are being met
- wanting to feed more frequently, which will happen when a baby is having a growth spurt — increased feeding will increase your supply
- reduced amount of sucking time at the breast — this often happens after 2 or 3 months as your baby becomes more efficient at the breast
What is normal for mum?
Although breastfeeding is different for every woman, the following do not mean that you have a low supply:
- your breasts suddenly seem softer — this is normal as your milk supply adjusts to your baby's needs
- your breasts do not leak milk, stop leaking or only leak a little
- you don’t feel a 'let-down' when milk pushes out of the breast
- you are unable to pump very much with an electric pump — remember the baby is much more efficient and will always get more than a pump
- how much you pump decreases over time
How do I know that baby is getting enough milk?
Always look at the whole picture to ensure that baby's growth and development is with normal limits. The baby is getting enough milk if they:
- go through 6 to 8 wet nappies in a 24-hour period including at least a few dirty nappies
- wake for feeds by themselves and feed vigorously at the breast
- have 8 to 12 breastfeeds in 24 hours
- pass a soft yellow stool
- settle and sleep fairly well after most feeds
- is back to birth weight in about 2 weeks
- gain on average 150g or more every week for the first 3 months
If your supply is low
Milk supply is considered to be low if you are not producing enough milk to meet your baby's normal growth and development needs.
Low milk supply is usually a temporary situation that will improve with appropriate breastfeeding support and management. Making more milk is all about supply and demand — the more milk is removed from the breast, the more milk is made. The less milk removed, the less made.
How to increase your supply
The following may help increase your breastmilk supply:
- ensure that baby is attaching well and removing milk efficiently from the breast
- be prepared to feed your baby more frequently — breastfeed on demand every 2-3 hours at least 8 times in 24 hours
- switch your baby from one breast to the other; offer each breast twice
- ensure your breasts are emptied well at each feed or pumping session; you can express after breastfeeds to make sure
- do not go longer than 5 hours without milk removal — your baby at the breast sucking is the most effective way to do this, but otherwise use a hand or electric pump
- when your baby is feeding, compress your breast to aid milk flow as this will also encourage more effective sucking
- make sure you are drinking a lot of water, eating a healthy balanced diet and not missing any meals
- also ensure you are resting as much as possible between feeds
Other options that can help with a low supply include:
- a supplemental nursing system or 'supply line'
- herbal and pharmacological remedies that are known to increase milk supply (galactogogues)
Some cultures use food or herbs to increase breast milk supply but many of these have not been formally studied. Domperidone is a prescription medicine that can increase the hormone prolactin, which can help stimulate breast milk production. Your doctor may discuss if this medicine is right for you. The main way to increase breast milk supply is through breastfeeding or expressing milk more than you currently do.
If you think you have low milk supply, talk to your doctor, lactation consultant, breastfeeding counsellor or child health nurse. You can call Pregnancy Birth and Baby on 1800 882 436 for advice and support.
Sources:
Australian Breastfeeding Association (Increasing supply), Karitane (Breastfeeding), Royal Women's Hospital (Low milk supply)Learn more here about the development and quality assurance of healthdirect content.
Last reviewed: October 2021
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Introduction of complementary foods to an infant
Breast milk contains enzymes, essential amino acids, antibodies, vitamins and other substances necessary for the growth and development of the baby. However, with age (between 6-24 months, according to WHO), the needs of the child change, and then it is necessary to introduce complementary foods. At the same time, it is not necessary to immediately turn off breastfeeding (WHO recommends breastfeeding until 2 years of age). Anna Aleksandrovna Tsaregorodtseva, a CTA pediatrician, spoke about how to competently introduce new foods into a child's diet. nine0003
You can start feeding your baby if:
- He is 6 months old or older.
- He holds his head well.
- Can touch his mouth with his hand and actively "chews" various objects.
- If placed in a highchair or on an adult's lap, the child can sit up.
- He has a food interest: when adults eat, the baby watches, pulls his hands and wants to try.
Getting Started
The first foods should be puréed to make it easier for the baby to digest them!
As a rule, the child is first introduced to vegetables. If you want to introduce vegetables from jars, then it is better to buy mono-products - so that the puree contains only zucchini or only broccoli, etc. It is best to start with zucchini. After that, you can enter cauliflower, then broccoli, then potatoes, pumpkin and carrots.
Enter at lunchtime (12-15 hours) and no more than one product at a time. Vegetable puree (like any other complementary foods) is given before breastfeeding or formula, 1 teaspoon. The next day, you need to observe the skin and stool of the child and do not give him complementary foods, but only breastfeed! If the body perceives the new product normally, in a day you can give 2 tsp already. zucchini. According to the same scheme - if everything is in order, you can increase the amount to 3 tsp. Gradually give more complementary foods (up to 5 spoons) and less and less often supplement the child with milk. When the volume of vegetables in the diet is approximately 150-200 g per day, you can stop breastfeeding your baby at this meal. nine0003
How to enter a new dish
The 2nd dish (cauliflower) must be added to the one already entered. That is, 5 tsp. zucchini and 1 tsp. cauliflower. On the "fasting day" you can give 5 tsp. zucchini, but discard the cabbage and watch. As a result, you will give the baby 5 tsp. zucchini and 5 tsp. cauliflower.
Then you can enter the 3rd dish - broccoli - and then other vegetables. When the child is familiar with different vegetables, vegetable mixtures can be introduced.
If you want to feed your child with home-cooked vegetables, then note that it is best to boil vegetables in a double boiler. So it will be possible to save vitamins and minerals. nine0003
Fruits and berries
When the child digests vegetables well, fruits can be added to the diet. It is better to give them from jars. The time for the introduction of fruit is an afternoon snack (16-18 hours).
As the first fruit, it is better to take an apple, then a pear, then a prunes. The scheme is the same: 1 tsp. applesauce before breastfeeding. The next day, you do not give fruit and feed the child vegetables that he is already used to. A day later, the amount of applesauce increases to 2 tsp. and so on. nine0003
Liquids
When complementary foods are introduced, the child should be offered bottled or boiled water. Pour water into a cup so that your baby does not get used to a bottle with a pacifier. Children drink well from a cup from birth!
Other products
You can also introduce ground cereals into the diet, gradually adding butter or vegetable oil to them. If this is baby porridge and needs to be diluted with liquid, then it is better to use mother's milk or a mixture, rather than cow's.
From 7-8 months, semi-solid food should be introduced so that the child develops chewing skills (and with them the correct work of the tongue and speech), fine motor skills, and eye work. Products can be kneaded, rubbed or ground. So it will be easier for the child to eat them.
From 8-9 months you can cut food (cooked vegetables and fruits) into small pieces and offer to your baby. He will take food with his hand, put it in his mouth and eat.
By the age of one, the child will be ready to eat solid food.
COMPLETE FOOD: TO GROW YOUR BABY HEALTHY. PEDIATRIC ADVICE
Doctor, when is the best time to introduce complementary foods? What are the dangers of introducing complementary foods too early or too late?
In fact, there are no universal recommendations regarding the introduction of complementary foods, - says Solomiya Maksimchuk, - because each baby has its own characteristics, so the approach should be individual. Therefore, answering the first question - when it is advisable to introduce complementary foods, I cannot name a specific figure, because in fact complementary foods are introduced at 3 months, and at 4, and at 6, and at 8 - depending on the indications. In my medical practice, there were children who were one year old, and no matter how we tried to introduce complementary foods, everything was in vain - the kids did not show any food interest, especially those who were breastfed. They had a good weight gain, psychomotor development, but they did not show food interest, and this is not very good, because the children did not form and did not prepare the gastrointestinal tract for the perception of other foods. What, then, can be advised to a mother who is faced with this problem? In this case, I am more guided not by my professional experience, but by the experience of the mother, understanding how difficult it is to force a child to eat if he does not want to. nine0003
In which case is it advisable to introduce complementary foods earlier, in which case - adhering to standard norms?
In the case of breastfeeding (if the baby is completely healthy), I start talking about this when the baby is 6 months old. With artificial feeding, we are talking about the introduction of complementary foods when the baby is 4 months old. Some mothers are of the opinion that breast milk contains all the necessary micronutrients, so you should not rush to complementary foods. Of course, this is true - if the mother adheres to the right diet, she eats fully. But in fact, complementary foods help prepare the baby’s herbal system - the child learns different tastes, because it’s no secret that when a baby receives only breast milk, some digestive juices are released, and in the case of complementary foods, completely different ones, therefore, introducing complementary foods, we gradually prepare an enzymatic system. nine0003
Which foods are the first to be introduced into complementary foods, because there are different views on this issue - someone advises fermented milk products, someone vegetable purees or juice?
It all depends on the specific situation. If complementary foods are introduced at 3 months, indications are necessary for this - these are digestive disorders of the baby, the child's tendency to constipation. In this case, I recommend giving fermented milk products to the child at the first stage of the introduction of complementary foods. For children who are bottle-fed and have digestive problems, I recommend fermented milk mixtures (horses are considered the first complementary foods). If we are talking about a completely healthy child, first of all, I advise you to introduce vegetable puree - it is easily digested by the children's gastrointestinal tract. Usually, this is a puree of zucchini, broccoli, cauliflower, parsnips, parsley, white carrots, potatoes. Unfortunately, in our area there is not a wide variety of products. Pediatricians should take this into account when advising the mother what to choose at the beginning of complementary foods in winter, because if we advise a zucchini in February, will we find it on the shelves, and if so, will this exotic product benefit the baby? nine0003
The first complementary foods start with a small amount - a teaspoon per day. Prepare, for example, zucchini puree. We give the baby half a teaspoon of puree once a day - at lunchtime, and every next day we increase the amount of the product. On average, in 14 days it is possible to increase the amount of complementary foods to 50-70 grams - it all depends on how the child perceives the new food. When a child eats more - up to 100 grams of vegetables, we can diversify the menu - add boiled broccoli or cauliflower to the zucchini. When a child eats mostly 2-3 vegetables, we can introduce the next complementary foods (mashed potatoes based on several vegetables are considered one complementary food). The next step is the introduction of fruit puree. Provided that the child responds well to the first complementary foods, after 3 weeks, vegetable complementary foods in the amount of 100 grams can be introduced. And then at 6.5-7 months you can introduce fruits - apples of green or yellow varieties in a baked form. nine0003
At the same time, we add a certain amount of fat - olive or sunflower oil - to the prepared vegetable mixture. After the introduction of vegetables and fruits, depending on the age, we introduce the yolk or meat. Regarding when it is worth introducing fruit juices - at one time pediatricians focused considerable attention on this. Today, if a child is breastfed, we do not insist on a drinking regimen or suggest adding water or herbal decoctions from chamomile, dill, fennel to drinking. Fruit juices must be administered concurrently when the child consumes a certain amount of fruit. It can be apple juice - by no means multivitamin or citrus. nine0003
What if the baby does not accept a certain product?
If rashes appear on the baby’s skin, the baby is worried about intestinal disorders, anxiety associated with abdominal pain, or if there is a tendency to constipation-diarrhea due to the introduction of a certain product, we leave in the diet products of all previous stages of complementary feeding, but the one that provoked disorders, cancel. If it is difficult for the mother to understand which particular product caused the disorders, it is necessary to return to the initial level for a certain time - breastfeeding, which at the same time will encourage the mother to adhere to a hypoallergenic diet or a balanced diet. If the baby is on artificial feeding, it is necessary to return to the use of the mixture, without complementary foods. Then, at a slightly more intense pace, you need to take the same steps to introduce complementary foods as before, carefully observing the reaction of the baby. nine0003
At what stages of complementary feeding do we introduce cereals, meat, fish, egg yolk? What foods do we start introducing when teeth are erupting in a baby?
After vegetables and fruits, we introduce the yolk into complementary foods, then meat or cereals, the next is sour-milk complementary foods. However, I want to note that the presence of teeth has nothing to do with the introduction of complementary foods, because in fact, children do not chew for a long time. The purpose of complementary foods and the task of the child is to be able to form a food lump in the oral cavity. Then, when the baby swallows liquid food, he hardly retains it in his mouth. And complementary foods make it possible to retain food, enveloping it with saliva and then swallowing it in small portions. In some babies, teething happens even a year, but they have complete complementary foods. nine0003
Regarding the timing of complementary foods - meat is given to the baby after about 7 months. Rabbit meat, turkey fillet, beef, quail are best suited. I am often asked whether it is possible to give a child chicken meat during the complementary feeding period. If you are sure that the chicken is home grown without the addition of hormones, chicken is also suitable for the baby's diet.
I recommend eating fish after 10 months - in any case, not red varieties (red fish can be given to a child only after two years of life). The best option is white sea fish of low-fat varieties. When introducing cereals into the diet, it must be remembered that they must be adapted by age - it is these cereals that contain the destroyed grain shell, which contains the most harmful carbohydrates, in particular, gluten. Once upon a time, parents ground rice or buckwheat, but because of these products, the baby had problems with digestion, because there was a certain load on his body. At the beginning of complementary foods, it is better to give free-flowing adapted dairy-free cereals - we breed them in water. When the child has taken this complementary food well, we can introduce milk porridge. For children who are breastfed and are underweight after 4 months, there are other recommendations. As a breastfeeding aficionado, my advice is to stimulate a mother's lactation by reviewing her diet. At the same time, it is advisable to introduce dairy-free cereals, since they provide more calories than vegetables. There are also cases when a child is one year old and mothers replace breastfeeding with formula milk from a bottle. In fact, the baby does not need additional nutrients, moreover, there is no need for supplementation or feeding from a bottle - this is a step back. nine0003
Were there cases of anemia among children under one year of age? How to prevent this problem?
Although not often, there are cases of anemia in the practice of a pediatrician. Iron deficiency anemia in a baby occurs in the majority in the absence of a child’s nutritional interest, when it is not possible to adequately introduce complementary foods. But it is necessary to take into account the fact that if the child has low hemoglobin, then the mother has it even lower, because the baby receives everything that is possible during lactation. Therefore, first of all, we work with mom's diet. At the same time, we are taking more intensive steps in replacement feeding - introducing red meats, in particular beef, if age permits (at 8-9months), offal: boiled beef tongue, beef, turkey, rabbit liver, apples, buckwheat for children under one year of age.
Up to what age is it best to breastfeed a baby?
When it comes to the formation of immunity, breastfeeding up to 6 months of a child's life is most appropriate, because the baby needs the protection that he receives from his mother. After 6 months of life, the child's immune system independently forms antibodies.