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Posts Tagged ‘nursing’

My son Haydon just turned 4 months old today! Yippy! I am finally out of the land of newborn-hood and on to baby land! Along with Haydon’s 4 month birthday, he also dropped his 4th nap. I knew it was time to adjust his schedule because his 3rd of 4th nap of the day were just brief catnaps and no longer than 45 minutes each.

From 9 weeks- 15 weeks, Haydon’s schedule looked like this:
7:00Nurse
8:20-10:00 Nap
1o:00 Nurse
11:30-1:00 Nap
1:00 Nurse
2:30-4:00 Nap***
4:00 Nurse
5:30-6:15 Catnap***
6:15 Nurse
7:30 Bottle of expressed milk, followed by bedtime

***However, from 15-16 weeks his 3rd nap of the day went from being 1.5 hours long to only 45 minutes long. I played around with his waketime, but that still did not fix the nap length. I also noticed that Haydon was not nursing as much every 3 hours so I thought it might be good to try and extend his schedule to eat every 3.5-4 hours, except in the evening when I cluster feed. Extending the schedule worked. It got rid of the 4th nap and he is nursing better. Also, by extending the scheduled feedings, Haydon started taking a longer nap!

Haydon’s new schedule at 4 months (17 weeks old)
7am Nurse
8:30-10:30 Nap
10:30 Nurse
12:15/20-2:15 Nap
2:15 Nurse
4:00-5:00 Nap
5:00 Nurse
7:00 Nurse +Bottle of Expressed milk, followed by bedtime

 

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I found that around 4 months of age, babies start to get very distracted while nursing. With my son, nursing was so difficult I almost stop nursing all together. He just was so fidgety and distractable. I made it to 10 months with my son before I weaned him, or should I say he weaned himself. Then with my twins, I was tandem breastfeeding them using the Best-friends Twin Plus Nursing Pillow. They did great nursing on the same pillow and did not bother each other. Actually, the girls use to hold hands and nurse together until the hit about 6 months of age. It was so sweet to see my two daughter holding hands. But then starting around 6 months, they started to swat, scratch, grab, and punch each other while nursing. OH, they even started to pull each others hair- OUCH! I thought I was going to have to give up nursing.

Around 6 months old, I gave them blankies to sleep with in their cribs. I started allowing the girls to hold the blankies while they nursed. Wouldn’t you know it, it made nursing so much easier. The twins stopped hitting, grabbing, pulling hair, and bothering each other while nursing. Instead, the girls played with their blankies. They would rub them, clutch them, and stroke them while they were nursing. I wish I would have thought to give my son a blankie while he nursed because I think it would have helped him to have some sort of distraction to help him stay still long enough to nurse. My twin girls are now 13 months old, we are only nursing in the morning and at bedtime now, but I still allow them to have blankies while they nurse and it is still working!

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If you have a newborn, I bet you are looking forward to getting a longer stretch at night, at least longer than 3 hours. I really wanted to get my twin girls to sleep through the night as soon as possible so I could get some sleep. I have a toddler, who was only 18 months old when my twins were born. Therefore, it was very important that I get some good sleep so I could be my best to take care of not only the twins during the day, but my toddler too.

Dreamfeed
A dreamfeed is a feeding that you give typically around 10/11pm. Your baby has already gone to sleep for the night and you wake your baby to give him a feeding and then put him right back to bed. Typically, this feeding you don’t turn on the lights. You don’t talk to you baby. You don’t make eye contact. You don’t change a diaper unless it is really wet or poopy. You try to keep your baby almost asleep through the feeding and then place your baby back down in his crib or bassinet for the night. The goal of dreamfeeding is hopefully fill your baby up so that he or she will sleep longer through the night. This means, you the parent gets to sleep longer.

Cluster Feeding
Cluster feeding is feeding in short intervals in the late afternoon or early evening. Many mothers who breastfeed do this because their milk supply is not as high in the late afternoons or evenings. This also keeps your baby from getting as fussy in the evenings, during the dreaded “Witching” hours. Clusterfeeding also acts like dreamfeeding, in that you are trying to “tank-up” your baby with lots of feedings/ milk in order that he would sleep longer at night.

My personal experience:
My kids have not done that great with dreamfeeds. I am not really sure why because I know so many moms who swear by the dreamfeed. The dreamfeed really helped their baby sleep longer through the night. I found that dreamfeeding actually made my kids wake up more frequently. I think they thought that if I put them to be at 7pm and woke them at 10pm that they should wake up and eat every 3 hours through the night. Yikes!!! I did not want that to happen. But I have use dreamfeeds when there have been points in my twins lives when they go to bed super early- 6pm and I want them to sleep until 7am. When they go to bed at 6pm, I know they will not make it to 7am without needing a feeding. I would much rather feed them before I go to bed than at 4/5am. You know what I mean.

Now with my son, I never cluster fed him. He never really seem to need it, but in hindsight, I wish I had done it with him when he was a small infant because I think it would have helped him to sleep though the night quicker. I did cluster feed my girls, and I did it for a long time. Once I started to clusterfeed them, it was like magic and they started to sleep longer stretches for me. I also breastfeed so my supply is lower in the late afternoon/ evening and I think the girls needed to cluster feed in order to get enough milk to hold them over through the night. Check out the schedules I kept with my twins to see examples of the clusterfeeding in the late afternoons/ evenings. https://blogginaboutbabies.wordpress.com/2010/09/14/infant-schedules-by-month-updated/

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My twin girls are now 3 months old and I have been pretty successful at exclusively breastfeeding them and not having to supplement with formula yet. I recently have had some issues trying to keep up my milk supply while feeding them both. I have not been getting enough sleep and eating well and thus my milk supply has suffered. I also believe that the girls hit a growth spurt which meant I needed to nurse more frequently to increase my milk supply.

I thought I would share some pointers to successful breastfeeding twins and maintaining your milk supply that I have recently learned and implemented (and they are working!!!):
1. You must feed at least 7-8 times a day. More frequent nursing helps to drain your breast and stimulate milk production.  My girls are sleeping though the night so this was hard to achieve so what I do is I feed every 3 hours during the day, then cluster feed in the late afternoons and evening, as well as pump right before bed. So here it the feeding schedule: 7am, 10am, 1pm, 4pm, 5:45pm, 7pm, 10pm (pump). This way I can squeeze in 7 nursing/ pumping session in during the day.

2. You must eat well, at least 3.000 calories a day and at least 110g of protein a day. If you are nursing two, you need to stop and take time to feed yourself properly. I know this is easier said then done because you are busy running around the house trying to take care of house hold chores, your twins, and perhaps other children that are still at home. It is important to fuel your body well so have enough nutrition to produce adequate milk for two infants. I have been making a protein shake to have in the later afternoon that has 60g of protein. I also went out and bought some healthy snacks that are high in protein to have on hand to much on throughout the day. Nuts are a really great source of protein and they are quick and easy! I also made sure to have some chicken cooked ahead of time to make sandwiches from lunch. Remember, you are feeding 3 so you need to take in more. If you find it hard to prepare a meal, try to do some precooking ahead of time so all you have to do is grab the meal and go!

3. Drink plenty of water! I make sure to fill up a very large water bottle and carry it around with me at all times. I found that if I did not carry around the water bottle, I did not drink nearly enough. I strive to drink at least 10oz of water after each nursing session and then sip on water in between.

4. Rest, Rest, Rest!!! If you can, makes sure you take some time in the afternoons to rest, even if it is only for 30 minutes. You body does not produce as much milk in the afternoons because of fatigue. If you take time to rest or nap in the afternoons, it will significantly help to boost your milk supply in the later afternoons and evenings. Try to get 8 hours of sleep a night. I know this is hard, but everything I read says that getting proper nighttime sleep is very important to creating a good milk supply.

5. Tandem Nurse. When you tandem nurse, nurse both babies at the same time, you are simulating both breasts. When you stimulate both breasts you actually produce more milk than breastfeeding one breast at time. I am using the Breastfriends Twin Plus nursing pillow to tandem nurse my girls and it is working out great. I love the pillow and highly recommend that you look into buying one if you want to successfully tandem breastfeed. To read more about My Bestfriend’s Twin Plus Nursing Pillow read this: https://blogginaboutbabies.wordpress.com/2010/06/19/my-best-friend-twins-plus-nursing-pillow/

6. Take a supplement with Fenugreek. The supplement that seems to be working really well for me is More Milk Plus by Mother Love. It contains fenugreek and it has been proven to help boost milk supply.

7. Make sure that your twins are taking full feedings. You want to make sure you twins take full feedings and drain your breast adequately after nursing. You will know they took a full feeding if your breast feel softer at the end of the nursing schedule. Make sure to burp your baby and re-latch her after her burping to see if she will nurse some more. The longer your twin nurses at the breast, the more stimulation your breast will receive to make more milk.

8. Feed more frequently during growth spurts. I know that a lot of twin moms feed on a schedule to keep things simple. I feed on a schedule, but if you do this during a growth spurt your babies will be fussy and also not get enough to eat. You also will not be stimulating your supply to increase if you keep to a strict feeding schedule. Growth spurts usually only last a few days or a week at most so it is best to just feed on demand during a growth spurt. Usually once the growth spurt is over, your babies will return to schedule feeding and naps again.

For more information on breastfeeding twins and multiples, read the book: Oh Yes You Can Breastfeed Twins and The Nursing Mothers Companion
If you are having supply issues, please read the following posts:
How To Increase Low Milk Supply
Milk Supply & Breastfeeding During Menstruation

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Here is what I did to give myself some sanity:

As far as nursing goes- I tired to makes sure that Cooper was occupied while I was nursing, especially because I am tandem nursing and it is really hard to watch him and nurse at the same time. The hardest time for me to nurse was the 4pm nursing because he was around. I made sure to have a snack, milk, and his favorite things on his blanket. Even if he was watching a DVD, I made sure he stayed on his mat/ blanket.
7am nursing, Cooper still in bed
10am nursing, Cooper in Independent Play Time
1pm nursing, Cooper was just put down for his nap
4pm nursing, Cooper has blanket time or DVD
6pm nursing, Cooper is with Daddy
8pm nursing, Cooper is getting his bath or getting ready for bed

As far as getting them down for naps- This was hard for me. It still continues to be a challenge, but it is getting better. The girls wake time at that time was about 40 minutes. After I was done nursing them, I would swaddle them and place them in their swings/ bouncers. I would watch them until their eyes got heavy and start to shut. I would them pick them up and place them in their cribs. I found that if I swaddled them after they started to get sleepy at that age, that they would wake up and fight going to sleep. Plus, I had Cooper running around begging for my attention. It was hard to bring them into to their rooms and spend time shush/ patting them when Cooper was following me or whining and waking them up. So the swing and bounce were my friend for a few weeks. I did not have to turn the vibrate on or the swing on all the time. It was just being swaddled and cradled in their swings/ bouncers that helped. I did buy a great bouncer seat that I swear by. It really helps my girls to relax and get ready to sleep. www.target.com/Bright-Starts-InGenu… Luckily Cooper was somewhat occupied while I was putting the girls down for their naps due to their short awake time. Here is what I did with Cooper while trying to get the girls down for their naps:
7:40 Cooper Still in Crib (he stays in crib from 7-8am)
10:40 Cooper still in Independent Play Time
1:40 Cooper still napping
4:40 I put Cooper in our game room that has a gate so that he cannot leave the room and follow me. I made sure he had on a DVD for the 5-10 minutes that I was gone. (Cooper’s TV hours was between 4-5 which is when I had to nurse and put my girls down for their nap while Cooper was awake, not occupied, and with me).
6:40 The girls napped in bouncers/ swings if they slept at all. So I did not worry about Cooper at that given nap time
8:40 Cooper was in bed for the night and it was the girls bedtime. My husband helped me put them to bed at this time.

Now that the girls are 9 weeks old, I don’t put them in their swings and bouncers that often anymore before their naps to get them drowsy. It seems that they have just figured out how to go to sleep on their own. I watch for their sleepy cues. As soon as I see them, I swaddle them, and lay them in their cribs. But from the time they got home from the hospital until they were 7/8 weeks old, they always were allowed to get drowsy in their swings/ bouncers (whether they were on or off). But just remember, I swaddled them first, then put them in their swings/ bouncers. If I swaddled them after they got drowsy, they would fully wake up and then I would have a hard time getting them down for their naps.


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UPDATE: I am still using this pillow and my twin girls are 12 months old. We are still going strong on nursing and I am still tandem nursing them. Without this pillow I would have given up nursing a long time ago. I LOVE THIS PILLOW. I can nurse both girls in under 15 minutes now. They both still fit on the pillow just fine and I could not be happier!
I have been nursing my twins for 10 weeks now. I am tandem nursing them, which means I am nursing them at the same time. I bought my first twin nursing pillow which was the EZ-2-Nurse Twin Nursing Pillow from Double Blessings. It worked pretty well. I was able to tandem feed, but I found it difficult. There is not a very good back rest. The pillow is not very wide, not giving the twins a lot of room to lay on the pillow as they get bigger. My twin girls also seemed to roll inward on the pillow and I was also having to reposition them so they did not totally fall off the pillow. I got frustrated with the pillow so I decided to break down and buy the Best Friend Twin Plus Nursing Pillow. I am so glad that I did!

Here are all the benefits of the Best Friend Twin Nursing Pillow:
1. It is wider, giving my girls more room to lay comfortably.
2. It has a better back support, making it more comfortable for mommy to breastfeed.
3. The pillow is ticker, raising the twins up higher to my breast which means I don’t have to lean over (and that keep my back from aching).
4. The velcro closure is a lot easier to secure the pillow around our body with. It also has a clasp that is easy to release and secure the pillow with.
5. The pillow is firmer. This keeps my twins from rolling inward.  This allows me to keep my hands free because I do not have to hold onto the girls to keep them from rolling off the pillow.

This is a must buy if you want to tandem nurse!

http://www.mybrestfriend.com/twins

For more information about breastfeeding twins and multiples read my post:
Breastfeeding Twins: https://blogginaboutbabies.wordpress.com/2010/07/21/nursing-twins/

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My son is now 9 months old. I had contemplated switching to formula full time for a while now because of concerns of my milk supply. Between my son’s distractability and teething, he became very uninterested in nursing. Then to top things off every month my milk supply dips right before my period while I am PMSing. Then my family moved cross country from Maryland to Texas and I think the stress that I was experiencing caused my already low milk supply to start dipping. My son became very fussy at my breast and would suck hard, but I would not have any milk. After talking to my son’s pediatrician, she recommended that I start supplementing with formula. So I have done that (thankfully he’ll drink it now), but it is causing my milk supply to dip to a sever low. I don’t want to quit breastfeeding. I would like to breastfeed him until he is a year old. So I have decided to really try everything I know to get my milk supply up. Here is my plan:

  1. Nurse/ Pump every 1.5- 2 hours and every 3 hours at night
  2. Drink lots of water
  3. Take More Milk Plus Special Blend
  4. Take Goat Rue
  5. Drink Mother’s Milk Tea
  6. Eat a diet high in protein/ carbs
  7. Rest, Rest, Rest

I am hoping that the combination of these things will help to bring my milk supply up. I will let you know my plan was successful or not.

References:

http://breastfeeding.hypermart.net/supply.html

http://www.kellymom.com/bf/supply/low-supply.html

http://www.llli.org/FAQ/increase.html

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According to the Book The Baby Whisperer Solves All Your Problems a “child who wakes habitually doesn’t need more food unless she’s going through a growth spurt (p.191).” I know that when my son was between 6-8 weeks old he was waking at up around 1am every night. I knew that between 6-8 weeks old he could sleep for at least 6-8 hours a stretch at this age (see my post on sleep requirements). My husband I decided to do the Cry-It-Out method with my son. It took about a week, but at the end of a week, my son was no longer waking around 1am. I was practical and decided to only eliminate the first middle of the night feeding because I knew he was physically ready to go a longer stretch at night between feedings.

NEVER eliminate a feeding before your child is ready. If you child is 8 weeks old, he should be able to go 6-8 hours at night without a feeding. It would be unrealistic to expect an 8 week old to sleep longer than 9 hours without a feeding and for some babies at that age 8 hours is unrealistic too. Go with your maternal instincts and only eliminate the nighttime feeding if they are physically ready!

Please note: If you child is waking up at different times every night, that is most likely due to hunger and not habit. It is best when they are under two months old or in a growth spurt, to feed them when this occurs.

Here is what my son’s nighttime sleep looked like prior to sleep training (CIO) to eliminate the 1pm feeding (6-8 weeks old):

  • 10pm Nurse & Right Back to Bed for the Night
  • 1am Wakes & Nurses & Right Back to Bed
  • 4-5 am Wakes & Nurse & Right Back to Bed
  • 7am Wakes & Nurse- this is the official start to our day and I make sure to keep him up after this feeding

Here is what my son’s nighttime sleep looked like after sleep training (CIO) to eliminate the 1pm feeding (6-8 weeks old):

  • 10pm Nurse & Right Back to Bed for the Night
  • 4-5 am Wakes & Nurse & Right Back to Bed
  • 7am Wakes &  Nurse- this is the official start to our day and I make sure to keep him up after this feeding

Other Methods to Eliminate a nighttime feeding

  • Lengthen the time between night feedings: So if your baby has been waking at 1am, you could try to hold her out until 1:15am. You can do this by rocking her, giving her a pacifier, patting her on the back or tummy while in her crib, holding her in a the rocking chair. Sometimes the baby will fall asleep on her own and not even need the feeding, but if she is still awake and it is 1:15am feed her. Do this for several days until she starts to wake at 1:15am instead of 1:00am. Then try to increase the time by 15 minute again so that you try to hold her out until 1:30am and so on. This process takes a lot longer, but I have heard from other moms that this method has worked from them.
  • Gradually reduce food at the night feeding: if you are breastfeeding, you will reduce the length of your nursing session. So if you are nursing for 20 minutes, only nurse for 18 minutes the next night. Then try reducing the length the third night down to 16 or 15 minutes. I would decrease the length of nursing by 2-5 minutes each night until you are down to nothing. If you bottle feed, try reducing the amount in the bottle by 1/2 ounce each night until you are done to nothing. At this point, I would try to let your child cry. You can be in the room while your child cries if you don’t want to leave them alone, but don’t pick them up. Remember, your child is just waking out of habit at this point. It may take several days after you have eliminated the feeding, but they should eventually sleep through that feeding time. This worked for me when I was trying to stop the 4/5am feeding with my son when he was between 17-20 weeks old. I first reduced the length of the nursing session and then I let him cry-it-out. He finally stopped waking for that feeding at 20 weeks old. (This idea comes from The Baby Sleep Solution)
  • Wake-To-Sleep Technique: "Instead of lying there waiting for her to wake up, set your clock an hour earlier than her habitual waking time and wake her. She probably won’t wake up completely, but her little eyes may dart back and forth under her lids, she’ll murmur and move a bit, just as an adult would if you interrupted his deep sleep. Do this for three nights in a row….but I recommend that you keep it up for three nights nonetheless. If it doesn’t work, you have to reevaluated whether her habitual waking is due to another cause. If you’ve ruled everything else out, do this wake-to-sleep technique another three days. "(The Baby Whisperer Solves All Your Problems p. 191-192).
  • Shush-Pat: go to your child and "you simultaneously whisper, ‘shh, shh, shh….’ into your baby’s ear and pat his back." If that does not work to settle him, hold him over your shoulder: Pat him on his back in a steady rhythmic motion- like the tick-tock, tick-tock, of a clock. The patting need to quite firm, and you want to be in the center of the back, not on one side or the other, and certainly not as far down as their little bottom…While you are patting him, put your mouth to his ear, and whisper a slow, fairly loud, "shh…shh…shh." Elongate the shh sound so that it slows to a chug-chug of a train…When you sense his breathing is getting a little deap and his body is starting to relax, gently lay him down, slightly on his side, so that you can have access to his back [ to continue patting if needed].” This works for babies under the age of 3 months. (The Baby Whisperer Solves All Your Problems p.184-185).
  • Offer Pacifier: This seems to work if your baby is truly waking up out of habit. If you child is hungry, then the pacifier will not work. Try not to offer the pacifier after you baby is 3 months old. The pacifier can become habit forming at that point.
  • Cry-It-Out: Allow your child to cry when they wake. If you want to go in and check on them when they first wake to make sure they don’t need a diaper change or are ill, then go to them. But if you can, stay out of the room. With my son, the moment he saw me, it was all down hill. He would refuse to go to sleep unless I nursed him or held him. His crying would become ten times worse if he saw me. I had to learn to let him cry-it-out on his own. It was really hard to hear him cry, but in a few nights there was no more crying.
  • Cry-It-Out Variations: Some parents just cannot stand to hear their child cry alone in their room, and that is okay. You can try sitting near the crib as they cry or setting a timer and only going in the room every few minutes while they are crying to check on them and let them know you love them until they fall asleep.
  • P.U./P.D. (Pick Up/ Put Down): This method is intended for a baby 4 month or older. Prior to this try the shush-pat method. You pick your child up while he is crying and the minute he stops crying you put him back in his crib. If he starts crying, pick him up again. Then if he stops crying, place him in the crib again. You will repeat the pick up/ put down until he stops crying and will fall asleep in his crib on his own. "On average, P.U./ P.D. takes 20 minutes, but it can go on for an hour or more. If while you are hold your baby and he is crying and arching his back or trying to wiggle free, don’t fight your baby just place him back into his crib. He is just trying to settle himself and may not want to be held. You may still need to pick him up again after he has arched his back, but that’s okay. Just keep repeating the PU/ PD until he quietly lays in his crib without crying. (The Baby Whisperer Solves All Your Problems p.221-224) I have a friend who used this method with her son with great success. I have never personally used it, but it worked for her and her son!  For more on this method read this: https://blogginaboutbabies.wordpress.com/2009/05/11/pupd-pick-up-put-down-baby-whisperers-sleep-training-method/

Ultimately, we have to do what is best for our family. There is no right or wrong way to do sleep training. Just remember to be consistent with what ever method you choose to do and don’t set unrealistic expectations. Remember, your baby is young and will still need some nighttime feedings for a while. Please read the posts below before starting sleep training!

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If you are one of the lucky mom’s who has still not had the return of her monthly period- then count yourself luck! My menstrual cycle returned when my son Cooper was 6 months old. Prior to that, I had one fluke period when Cooper was two months old. I have had my period three times and each time the week leading up to my period my milk supply decreased significantly. I was terrified that I was drying up. My son was fussy because he was not getting enough milk. The first time this happened I went searching the internet for help. Here is what I discovered has helped me and I hope it will help you:

  1. calcium/magnesium supplement: take one a day and this is suppose to help with maintaining your milk supply levels prior to your period
  2. Nurse more frequently: because your supply level is lower, it will mean your child will become hungrier faster. My son is on a 4.5 hour schedule. During the week leading up to my period  sometimes feed him every 3.5 hours or less (if needed). Yes, this messes up the schedule somewhat, but it helps him get enough to eat.
  3. Supplement with frozen breast milk: This I read no where, but I started to do it on my own. I found that I was just not producing enough milk and after each feeding I would offer my son a few more ounces of warmed breast milk that I had  stored in our freezer. I stored the milk in ice cube trays. Each ice cube is equal to 1 oz of milk. It was easy for me to take 2-3 cubes out and warm them to account for the decrease in my supply. This method worked the best for my son and I.
  4. Pump:  Your milk can have a slightly different flavor due to the hormonal changes in your body. My son does not nurse well because of the change in flavor. He often will pull off and refuse to relatch even when I have milk left. In order to keep my milk supply up, I often pump after he is done nursing to keep my milk supply up and running. I would then offer him some warmed frozen breast milk that I had previously pumped because it does not have the strange taste he is resisting. Seems to work.
  5. Funugreek capsules/ more milk plus: I have found both supplements to help increase my milk supply at various times while I have been nursing. I have found the most success at taking more milk plus. I bought it at an organic market. It comes in a liquid form. I took it for 36 hours and saw a huge different in my milk supply. This is not something you would want to take long term, so just do it leading up to your period. http://www.motherlove.com/product_more_milk_plus.php

Other Problems with Breastfeeding while menstruating

  • Baby can be more fussier than usual
  • might refuse to nurse or shorten length of nursing
  • sore nipples
  • flavor of milk can appear more sour or bitter- causing baby to refuse nursing or nurse less

Yes, I know it is frustrating that you have to put all this extra work into breastfeeding during your menstration. I know I have had moments when I am totally ready to throw in the towel and say the hex with breast feeding, let’s just switch to formula. But then my period comes, my milk supply returns, and Cooper and I go back to nursing as usual. No one ever said that breast feeding would be easy. And if you are an unlucky one like me, your nipples are so sensitive while mentrating, making breast feeding even more difficult. But hang in there- breast feeding is the best food for your baby and it is worth it!

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