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Mary Ausman

Building Your Stash

Boob Scoop: Once your milk supply has leveled off, around week eight, you may find it difficult to pump extra breastmilk to build a freezer stash. This does not mean that you have a milk supply issue, but rather that your body has adjusted to produce the amount of milk that your baby needs. As you reach the point of producing just the right amount of milk for your baby, your breasts may not feel as full as in the early weeks. This too is normal. If breastfeeding has been going well and your baby is gaining steadily and her diaper output is good, your milk supply is also likely to be on point.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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Hind Milk and Fatty Milk

Boob Scoop: Mothers will sometimes encourage their baby to feed longer at the breast to assure greater intake of hind milk, which is the fatty milk that comes at the end of a feeding. However, research indicates that there is no reason to worry about foremilk (which comes at the beginning) and hindmilk. If a baby breastfeeds effectively and feedings are not cut short, he will receive about the same amount of milk fat over the course of a day, despite the breastfeeding pattern. Therefore, there's no need to time feedings. Good milk transfer and steady growth are better indicators that a baby is getting just what he needs.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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Pumping & Work

Boob Scoop: A great way to minimize the worry that comes with the thought of pumping and returning to work, is to do a practice run of what a work day will look like. A week or two before returning, pick a day when someone can watch your baby and schedule pumping sessions as if you were back at work. And of course it's okay if you never get a chance to do this: more important than squeezing in a practice run is to establish good milk supply during the weeks of maternity leave. Establishing good milk supply in the first 8 -12 weeks will play a key role in making the transition to work easier.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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Production Adjusting

Boob Scoop

Boob Scoop: Once your milk supply has leveled off, around week eight, you may find it difficult to pump extra breastmilk to build a freezer stash. This does not mean that you have a milk supply issue, but rather that your body has adjusted to produce the amount of milk that your baby needs. As you reach the point of producing just the right amount of milk for your baby, your breasts may not feel as full as in the early weeks. This too is also normal. If breastfeeding has been going well and your baby is gaining steadily and her diaper output is good, your milk supply is also likely to be on point. Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

Time Feedings?

Boob Scoop

Boob Scoop: Mothers will sometimes encourage their baby to feed longer at the breast to assure greater intake of hind milk, which is the fatty milk that comes at the end of a feeding. However, research indicates that there is no reason to worry about foremilk (which comes at the beginning) and hindmilk. If a baby breastfeeds effectively and feedings are not cut short, he will receive about the same amount of milk fat over the course of a day, despite the breastfeeding pattern. Therefore, there's no need to time feedings. Good milk transfer and steady growth are better indicators that a baby is getting just what he needs. Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

Nipple Shields

Boob Scoop: If you need to use a nipple shield, it's important to make sure it's a good fit for you and also for your baby, especially if he is preterm. A nipple shield that is too big for a baby can cause him to gag and in turn result in an aversion to the breast. When using a nipple shield, it is always recommended to work with a Board Certified Lactation Consultant to assure that your milk supply is adequate and that your baby is feeding well.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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Feeding or Comfort

Boob Scoop: As you may know, some babies don't de-latch from the breast when done with a feeding. Who can blame them, right? Staying at the breast offers babies a great opportunity to cuddle with mom and to suck. However, if you're unsure whether your baby is still actually feeding or is sucking just for comfort instead, watch for active sucking and swallowing. Once the suck/swallow pattern slows down, it's likely that your baby is reaching the end of a feed. Active suck/swallow feeding, like a baby's output and weight gain, is a good sign of effective nursing.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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Nipple Shields

Boob Scoop

Boob Scoop: If you need to use a nipple shield, it's important to make sure it's a good fit for you and also for your baby, especially if he is preterm. A nipple shield that is too big for a baby can cause him to gag and in turn result in an aversion to the breast. When using a nipple shield, it is always recommended to work with a Board Certified Lactation Consultant to assure that your milk supply is adequate and that your baby is feeding well. Sharen Medrano, IBCLC (www.nycbreastfeeding.com)