Booby tricks: How to get a successful start to breastfeeding

I gathered a few breastfeeding advocates from the Singapore Mom Bloggers‘ group, and got them to share their tips and experiences on breastfeeding.

Here are their tricks and tips to common issues that breastfeeding mums face.

Issue #1 - I don’t know how to latch!

1) Get help

Zee: Look for a good lactation consultant and a pro-breastfeeding confinement nanny. My confinement nanny gave me practical tips on breastfeeding and helped with the latching-on. May not be as pro as a lactation consultant but definitely helped on a day to day basis. She also reminded and encouraged me to pump.

My lactation consultant gave me a very good tip. When baby’s mouth opens slightly upon teasing, you have to be decisive and push the baby towards the boob. It shocked me at first because it was a little rough but it helped the baby take most of the areola and latch on correctly.

Mary: For my #2 and #3, I drank papaya and fish soup, faithfully massaged breasts before feeding, drank lots of water etc. I also got in a private lactation consultant to my place. They work like magic. In an hour, they are able to get baby to latch on and feed. Money well spent!

Editor’s note: Keep practising in the hospital, and ask to see the lactation consultant. Don’t leave the hospital without being confident of your latch.

Issue #2 - Engorgement, blocked ducts, and sore nipples = PAIN!

1) Massage

Zee: I had this amazing Malay lady who helped me with post-partum massage and who also helped to massage my boobies to ease engorgement and blocked ducts. Definitely helped to make breastfeeding less painful for me.

Editor’s note: Here were my three weapons: Nipple cream (I used Medela Purelan), a good lactation consultant (when I could not clear the blocked ducts myself), and air (yup air those nipples when they’re sore, it helps.)

Issue #3 - I don’t have enough milk! How do I increase my supply?

1) Feed on demand

Baby Hiroshi: Start as early as possible, feed exclusively and on demand.

Cindy: Feed and feed on demand, and when not on demand, pump! This demand-supply econs theory works well for me. The outcome of breastfed babies also largely depends on the food that we eat during the period. I remember pumping one side and holding a milk bottle on the other because when there’s a let-down, both sides let!

Hai Fang: During the first month I pumped after every feed to increase the supply, frequently massaged to prevent clogged ducts. After that I was too lazy, just fed on demand. I think the law of demand and supply works.

2) Eat well

Baby Hiroshi: Fish & green papaya soup and lots of sashimi worked for me.

Adora: I took organic nursing tea from Origins Jamu Massage called “Sacred Tea for Nursing Mothers”. It’s $25 per pack. Having a pro-breastfeeding PD and GP helps too. I have friends who have been told “You have carpel tunnel syndrome and the only cure is to take steroids, which means you’ll have to stop breastfeeding”. Check out this list of breastfeeding-friendly doctors in Singapore.

Sarah: My secret ingredient is fenugreek. It really worked. My American friend convinced me to try it when she told me how she took it and lactated even though she wasn’t pregnant! She did so that she could breastfeed her adopted baby.

Sharon: I breastfed my first son by pumping exclusively until he was 12 months. For my second son, I had an over-supply of milk, but I also pumped and fed him breastmilk exclusively until he was 12 months. I drank lots of soup, milk, and milo, but fenugreek didn’t work for me.

But note that exclusive pumping sometimes creates blocked ducts, so it helps if one is able to locate the “hardened duct” and give it a gentle press from the side. When the milk shoots out, the duct is cleared.

littlebluebottle: Take lots of warm fluids, lots of rest, lots of encouragement even when you pump out pittance.

3) Invest in a good pump, and…pump

Zee: Invest in a good pump. Some people think its better to establish supply first then spend money on the pump. But I think a good pump is key to establishing good supply. Because baby may not latch on as often as you would like to increase supply so got to rely on pump. And if you’re using a hand-held one, chances are you will probably want to give up because of sheer tiredness.

Pamela: To increase milk supply, latch on one side and pump the other side AT THE SAME TIME! That’s my secret to fully breastfeeding twins to 18 months!

Editor’s note: This worked for me too. I would usually pump about 1 oz. from the second breast while baby fed on the first. Then when he’s done, I would let him have the second breast. This made sure my supply was always a few steps ahead of his demand. I only did this for the first 3 months, and only during the morning and evening feeds, as these are the usually the first feeds to increase when the baby goes through growth spurts.

Sarah: Invest in a good quality pump like Medela or Ameda. Pumping was what helped me really bring on the milk for #2. He was hospitalised on day 5 for breastfeeding jaundice and my milk supply then wasn’t too great. As I stayed with him in hospital I used their Medela pump, which helped me increase my milk output from like 20-30 ml both breasts to 90- 130 ml in a matter of 2 days. Within a week, my onetime output could reach about 180ml. For my #1, I used a not so good pump and after a year only averaged 100 ml.

Editor’s note: I’ve used both Medela and Ameda electric pumps before, and I must say Medela worked better for me. icon wink Booby tricks: How to get a successful start to breastfeeding

Susan: Start pumping as soon as you can. Learn how to massage boobies to relax and also get the flow going.

Winnie: Drink lots of water, have a relaxed mind, and think of baby when you pump.

4) Cheat, just a little

Zee: I actually listened to someone’s advice and gave Aly formula the first few days before my supply came in. This has always been controversial but I took the view that if I’m not so stressed dealing with a crying baby my milk would come in more quickly. And although I had to supplement Aly with formula in the first two weeks, she has been on total breast milk ever since.

Editor’s note: Agree that this is controversial, but I did the same thing for Vera. I supplemented whenever the baby was hungry and I did not have enough, and spent the following days pumping and resting to help my supply increase. It did!

Issue #4 - There’s so much negative talk around me. I feel like giving up!

1) Believe in yourself

Nadia: Never ever have a tin of formula at home as “back up”. Trust yourself that you’re producing enough fluids for your little one. Once you get that tin, you’ll always see it as an easy way out.

2) Develop selective hearing

Selena: Develop selective hearing. Believe you will have enough, agree with those who agree with you and support you, ignore those who have less than positive impressions of breastfeeding. Decide for yourself what you’re comfortable with (feeding in public or not, how long to feed for, etc). Because at the end of the day, you know breastfeeding is a good thing!

Zhenzhu: You must be stubborn…Because no matter how ‘good’ we are at producing milk, there are always dissuading voices around. So, be stubborn and ignore everybody.

3) Stay positive, find support

Baby Hiroshi: Have a positive mindset, surround yourself with supportive family members / friends, and arm yourself with correct information about breastfeeding.

4) Set your own goals

Mama J: Been feeding non-stop (one kid after another) for 3.5 years. Main thing for me would be to have a goal on how long you want to feed. I had numerous quarrels with my mum who said I was starving my kid when I had supply issues, but having that goal helped me to stick with it through all the problems.

Thanks everyone for sharing your breastfeeding experience so willingly!

This post is dedicated to my closest bunch of girlfriends, many of whom are expecting at this present moment. I’m so excited for you mums-to-be, and I’m praying for the best for all of you! icon smile Booby tricks: How to get a successful start to breastfeeding

Further reads:

Breastfeeding and dreams of Cherry Garcia

I’m in my tenth month of breastfeeding baby J, and while I must confess I’ve got it quite cushy this round, I feel my goal of breastfeeding him till 18 months is slowly slipping away.

Reason? Well, baby J can’t take dairy, which means I can’t take dairy. Yup, no cow’s milk, no yoghurt, no cheese, no ice-cream… I haven’t had my favourite Ben & Jerry’s for what seems like a lifetime. Okay 10 months, but still, that’s even longer then it took to grow a baby in the womb!

Most days, I feel like there’s an internal battle going on.

<<- Go on, just take a sip of that cup of teh-si (tea with evaporated milk), you know you want to. And while you’re at it, down some Ben & Jerry’s Cherry Garcia.

->>June, you know that’s a no no — baby will keep pooping and it’s not the kind of poop you wanna be cleaning at 3am in the morning.

Yes, it’s like a tug o’ war in my head, but still I’m determined to press on.

Well, there are lots of good factors that I can dwell on. After all, Javier is a pretty good feeder. He learnt to latch on well since the early days, which helped a lot in getting those nipples ‘seasoned’ without any bleeding or cracking. (Of course Medela Purelan cream was my best friend during those first few weeks.)

At first I was worried that he would develop a reliance on nursing to get to sleep (like Vera) but it turned out that he is quite different - he never fell asleep without finishing his feed.

I had virtually no blocked duct episodes this time, well…at least nothing so major that I could not clear by myself anyway. During my first breastfeeding journey, that was a major sore point and I remember running to my lactation consultant many times, each time with tears shed due to frustration and helplessness (sister Kang at Mount Alvernia was such a blessing during those times).

Then of course, there is that precious, irreplaceable feeling of being needed by my little baby. (I secretly think this is really what keeps me hanging on anyway). You know that part of you that just doesn’t want to let go? (Yeah, silly me, I know.) One of the highlights of breastfeeding for me is that it never fails to chase away the blues and worries of the present.

I know deep down that I really have nothing to complain about. After all, it’s just sacrificing some calorific ice-cream and teh-si, right? Okay, there’s still the tight schedules and disciplined routine I’m bound to — you know, expressing milk at work, a self-imposed 10pm curfew just so I can make my date with the baby. But really, I am thankful that we’ve been able to enjoy a smooth breastfeeding journey thus far and I hope that at the end of it, I will still be able to say: “I wouldn’t have traded this for anything else in the world.”

If you’re a breastfeeding mum, I hope you’re enjoying your journey as much as I am. If you have any success stories or struggles to share, please do so in the comment box. Meanwhile, if you need some tips on breastfeeding do check out these posts:

8 tips for breastfeeding success

How to get a successfully start to breastfeeding (part 1)

How to get a successfully start to breastfeeding (part 2)

10 essentials for breastfeeding mums

Baby refuses the bottle! (And other working mum woes)

Had a rather hair-raising first day back at work this week. Just as I was happily out of the office and making my way to nice Thai food at Boat Quay (can’t remember the restaurant name), I received a distress call. From mum. With baby wailing in the background.

Mum: “He doesn’t want to drink milk!”

Me: (Frazzled because I knew this was way past baby’s first feed time, and sharing his hunger pains. But tried to process the information as rationally as I could, in a matter of seconds.) “Have you tried spooning? Or using a small cup?”

Mum: “Ok ok, I try.”

That seriously took my mind off food for the rest of the trot to Boat Quay (and the rest of the arvo for that matter). I was frantically searching my mental archives for further solutions if those failed. Once seated at the Thai place, I called home to check. Whew, mum managed to get baby J to drink about half of the feed. I advised her to try again later, when his mood has recovered.

In the evening, I rushed home, and was greeted by the teary baby whom my mum had resorted to carrying and walking around the corridor outside our house. He apparently had taken a little from the bottle, but was by now cranky-hungry. (As a woman, I know what cranky-hungry feels like. Totally empathised with my poor bub.)

Thankfully we’ve managed to find ways to get him to drink from the bottle. But he seems to have gone on a mini hunger strike - taking roughly half of his usual feed. This is formally known as reverse cycling (where baby nurses more at night to make up for missed nursing sessions in the day). Which is also why my eye rings are getting deeper and darker.

Still, I can’t help but berate myself and asking why I failed to prepare for such a situation? I thought I knew everything there is to know about going back to work, including how much milk baby will need, and how to handle and store breastmilk. Apparently, I was wrong. Looks like however prepared I try to be, something never fails to knock my well-crafted plans out-of-whack.

I’m totally game to continue breastfeeding my baby - with the zillion good things that it does for baby (and me), why give up?…but I’m starting to think that I may not be able to cope long-term with working 8-5 whilst having to wake twice / thrice at night.

If you’re a working, breastfeeding mummy, would certainly love to hear about how you cope. Do leave a comment / email me, if you have any tips to share. icon smile Baby refuses the bottle! (And other working mum woes)