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Mary Ausman

Number vs. Duration

Boob Scoop: Although it may be tempting to extend a pumping session to produce more milk, it is more important to focus on the number of times you pump instead of the duration of the pumping session. Since milk production is primarily dependent on demand, the number of pumping sessions plays a greater role in milk production and supply than the length of each pump. (The recommended amount of time for a pumping session is 10-15 minutes, however some moms may stop before 10 minutes if they have drained their breasts before then). This tip is especially helpful for mothers who pump at work or who choose to exclusively pump, since a key to maintaining milk production is making sure the breasts are drained enough times during a 24-hour period.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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Evening Supply

Boob Scoop: Even when breastfeeding is going well, the evening hours can make a mother question her milk supply. The primary reason is that in the evening mothers produce less milk than in the earlier part of the day. Although this dip is normal, it causes babies to cluster feed or feed more often, which can then lead a mother to doubt her supply. But generally a mom need not worry - cluster feeding is attributed to milk supply patterns and normal infant behavior rather than poor supply.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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Feeding on Demand

Boob Scoop: The advice of feeding a baby on demand can be challenging when you are tired and feeding frequently throughout the day. However, feeding on demand helps to maintain good milk supply and signals a mother's body to produce the right amount of milk for her baby. Although the phrase "feeding on demand" is generally applied to breastfeeding babies, it's actually how we continue to eat throughout our lives. That is, we eat when our body signals hunger not when the clock strikes a certain time.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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Pumping and Bottle Feeding

Boob Scoop: When a baby is getting a bottle of expressed breastmilk, it is encouraged that his mother pump at that same time to match her baby's demand. Oftentimes, the expressed breastmilk offered in the bottle is greater than the amount a baby would be receiving if he nursed. This increase in volume from the bottle can cause the baby to skip a feeding. A skipped feeding sends the body a message that the baby is feeding less which in turn may cause a mother's milk supply to dip.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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How Often Does My Baby Breastfeed?

Boob Scoop: One of the toughest questions for a breastfeeding mother to answer is: How often does my baby breastfeed? It's a tricky question because breastfeed babies tend not to feed on fixed intervals or schedules, primarily because a baby does not receive the same amount of milk at each nursing session. Rather, she drinks just what she needs at each feed. In addition, the composition and volume of breastmilk changes throughout the day, so for one feeding a baby may drink 2 oz while for another she'll drink 4 oz, feeling equally satiated with each feed. More importantly, these breastmilk properties help babies self-regulate their feedings. That is, they feed until they feel content and slow down or de-latch from the breast once they are done. Learning to self-regulate by breastfeeding has been linked to a decrease in obesity in infancy and later on in life.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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