The Doula’s Guide to Breastfeeding

Introduction

Breastfeeding is widely recognized as the optimal form of nourishment for infants. The World Health Organization (WHO) recommends exclusive breastfeeding for the first six months of a baby's life, followed by continued breastfeeding alongside complementary foods until two years or longer, depending on the preferences of both mother and baby. The benefits of breastfeeding extend far beyond basic nutrition, contributing to the physical health of both mother and child, emotional well-being, and the developmental health of the baby.

In this guide, we will explore essential breastfeeding tips, from getting started to overcoming common challenges, as well as local resources in Guam that can support your breastfeeding journey. Whether you're a first-time mom or looking for ways to improve your breastfeeding experience, this article offers valuable insights and practical advice to help you succeed.

Why Breastfeeding Can Be Challenging

Breastfeeding is a natural process, but it doesn’t always come easily. In fact, research shows that many women face significant challenges early on. In the first week after birth, 92% of nursing mothers report difficulties, including latching problems, concerns about milk production, and nipple pain. Despite the desire to exclusively breastfeed, many mothers find themselves struggling to reach their goals.

Common issues such as sore nipples, engorgement, plugged ducts, and even nursing strikes can make breastfeeding feel overwhelming. But remember, you are not alone. In this guide, I'll provide tips on identifying whether breastfeeding is going well, how to ensure your baby is getting enough milk, and strategies for achieving a good latch. Additionally, we'll touch on the importance of proper nutrition and support in the postpartum period.

How to Start Breastfeeding

Preparation for breastfeeding can begin before your baby arrives. The following steps will set the foundation for a successful breastfeeding journey:

Opt for a Natural, Unmedicated Birth: This can promote easier breastfeeding initiation.
Skin-to-Skin Contact: Hold your baby skin-to-skin immediately after birth to stimulate milk production.
Initiate Breastfeeding Early: Aim to breastfeed within the first hour after delivery.
Ensure a Good Latch from the Start: Proper latch is crucial for both comfort and milk flow.
Frequent Breastfeeding: Newborns should nurse often, around 8-12 times within 24 hours.
Stay Close to Your Baby: Keeping your baby nearby encourages frequent nursing.
Avoid Pacifiers and Bottles: Early introduction can interfere with breastfeeding.
Delay Formula Supplements: Exclusive breastfeeding is recommended unless medically necessary.

For more tips, check out resources like Mother.ly's Expert Tips for the First Week.

Postpartum Nutrition and Support

Taking care of yourself during the postpartum period is key to a successful breastfeeding experience. Focus on eating nutrient-rich foods like fruits, vegetables, proteins, and healthy fats, and stay hydrated to support milk production. Creating comfortable breastfeeding stations around your home with essentials like pillows, water, snacks, and breastfeeding supplies can make each session more manageable.

Additionally, consider asking family or friends for help with household tasks, so you can focus on rest, healing, and bonding with your baby. Whether it's bringing the baby to you for nursing or helping with chores, having a support system in place can make all the difference.

Helpful Herbs for Breastfeeding

Certain herbs can help with milk production and overall breastfeeding health. Here are some commonly used herbs:

Calendula: Supports blocked ducts and mastitis.
Dandelion: Boosts milk supply.
Fenugreek: Widely known for increasing supply.
Raspberry Leaf/Nettle: Provides nutritional support.
Lemon Balm & Plantain: Useful for soothing cracked nipples.

If you’re interested in herbal support, consult your healthcare provider or a lactation consultant before incorporating any supplements. I am a certified herbalist and can provide recommendations with your provider’s knowledge and approval.

Positioning for Comfortable Breastfeeding

One of the keys to successful breastfeeding is finding a position that works for both you and your baby. Traditional breastfeeding holds, such as the cross-cradle or football hold, can be awkward and uncomfortable for some mothers. Instead, many moms find more success with a laid-back breastfeeding position, which allows you to recline comfortably while your baby naturally finds the breast.

Benefits of Laid-Back Breastfeeding:

Promotes comfort and relaxation.
Encourages better latching and milk flow.
Leaves your hands free to stroke or hold your baby.
Helps prevent back and shoulder pain.

For more information, visit lactation expert Nancy Mohrbacher’s website here.

Latching Tips

A proper latch is essential for both comfort and effective breastfeeding. Signs of a good latch include:

Lips wide and flanged out like “fish lips.”
No pain or pinching during feeding.
Baby looks content after feeding.

If you’re experiencing discomfort, nipple pain, or any other issues, it’s important to seek help from a lactation consultant.

Additional Information

Breastfeeding Schedules

Newborns typically nurse every 2-3 hours, and cluster feeding in the evening is normal. Feeding on demand ensures your baby gets the nourishment they need while supporting your milk supply. You can monitor your baby’s intake by observing their diaper output and tracking their weight gain. If your baby is producing enough wet and dirty diapers, they are likely getting enough milk.

Breastfeeding and Alcohol

Contrary to popular belief, moderate alcohol consumption is generally safe for breastfeeding mothers. Alcohol levels in breast milk peak 30-60 minutes after consumption, and small amounts won’t harm your baby. However, if you feel intoxicated, it’s best to wait before breastfeeding. Pumping and dumping is usually unnecessary.

Breastfeeding in Public

It’s important to know your rights when it comes to breastfeeding in public. You are legally allowed to breastfeed your baby anywhere you have the right to be. To feel more comfortable, you can wear nursing-friendly clothing or use a baby carrier for added coverage.

Conclusion

Breastfeeding can be a rewarding journey, and every mother’s experience is unique. By preparing ahead of time, seeking support when needed, and prioritizing self-care, you can overcome common hurdles and establish a healthy breastfeeding relationship with your baby. If you’re in Guam, local resources like the La Leche League of Guam can offer additional guidance and support.

Remember, breastfeeding is a deeply personal choice, and every drop of breastmilk is valuable, whether you breastfeed for weeks, months, or years. Reach out to local lactation consultants or doulas like me for personalized support, and know that you are not alone in this journey!