A Birth Plan For Breastfeeding

A Birth Plan for Breastfeeding

Adapted from article by Carrie Dean, Mama Bear LLC

While most families go to great lengths to craft their birth plan, often times not as much preparation is put into the next two weeks at home. Of course, the first part of your postpartum plan is to hold, snuggle, kiss, and cuddle this tiny human you just brought into the world. Skin to skin is their favorite place! Enjoy this time and relish in the fact that your heart just grew to a capacity you never knew possible.

The next part of the plan is lots of feeding. To get you started, have a look at 4 key elements to making your postpartum weeks a bit smoother.

Know the Pros.

If you choose to breastfeed, getting off to a good start is integral. Many IBCLC’s (International Board Certified Lactation Consultant, the gold standard of lactation care) offer a prenatal consult. During this visit, a medical history and breast assessment are done. It’s an incredibly efficient way to prepare mom with personalized tools to get through the early days. Additionally, most OB and pediatrician offices offer breastfeeding classes. Online resources and videos are also helpful, as long as you are using a trusted source. Kellymom, Dr. Jack Newman, and Stanford University are some of the favorites among IBCLC’s.

You can find an IBCLC to  to do a virtual consult or come to your home or   office near you by texting the free NYLCA referral line (646) 397-4640or search our listings yourself here. All NYLCA members are IBCLCs in good standing in the NYC metro area.

Two golden words: hand expression

It is helpful in all breastfeeding scenarios. It starts with “the Golden Hour,” the first hour after birth. By removing milk in the first hour of life, your supply can double what it would be if you removed milk after 4-6 hours of life. Yes, double.

So, we support moms and partners learning hand expression before the birth. If mom and baby have to be separated for whatever reason, mom can hand express. This stimulation is a necessary signal for the body to start making milk. Baby only needs a few teaspoons per feeding in the early days. If latching is difficult or mom’s supply is slow to come in, hand expression is the answer!

Let’s talk Pain

It’s the number one complaint among newly breastfeeding mothers.

Discomfort, tenderness or soreness

Burning, pinching or stabbing

Gritting your teeth pain is not normal. It’s a bright red flag begging you to get help. STAT. The great news is that it’s often due to a poor, shallow latch – an easy fix! Have your lactation consultant on speed dial.

I also suggest preparing by researching pictures and videos of deep latch versus shallow latch. Usually baby needs help from mom to achieve deep latch. Baby can benefit if mom creates a “sandwich’ with her breast to match baby’s mouth while latching. It helps ensure a deep latch. Deep latch = no pain. Check that the mouth is open wide, hinged at the jaw as opposed to pursed lips sipping through a straw. Straw lips = pain.

The other cause of pain can be anatomy.  If mom has flat or inverted nipples, you might need extra help with positioning or tools like a nipple shield or supple cups. Anatomical challenges for babies include oral ties of the lip or tongue. Depending on the severity of the restriction, this could make latching exceptionally difficult. IBCLC’s are trained to perform an oral assessment on baby to help identify ties and refer to necessary providers for intervention.

Even super moms need help

Rely on your tribe, folks who want nothing more than to be your champion through this transition. Trust me, they are happy to help…hand over your grocery list, basket of laundry, and baby with the dirty diaper. Schedule an appointment for a postnatal massage.

Be kind to yourself. Spend time staring at your baby, not a feeding timer. Let your success be measured by going from size 1 to 2 diapers, and by learning to trust your maternal instinct more each day.

And as my 8 and 4-year-old boys are presently listening to poop songs on Alexa and toilet papering the living room behind me, trust me…this precious baby time goes by quickly.

This article also appeared on the Westchester County Moms Blog.

Published by Margot Mann

A lactation consultant since 1986, representative to the United Nations for the International Lactation Consultant Association for 32 years, past president of the New York Lactation Consultant Association, Vice President for External Affairs for the International Lactation Consultants Association and current faculty of Pediatrics Department, Columbia University. It is a privilege to assist mothers and babies nurse so they can cuddle up and enjoy each other optimally. The extraordinary health benefits to mother, baby and health costs savings to society are nice side benefits to facilitating a most pleasurable way of feeding one's babies.

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