If you have any questions about breastfeeding, email me.
Does the baby need to burp after feeding? What should I do if she doesn’t?
Although it’s common that mothers burp their babies after feeding, it’s not mandatory. Many people think that the baby is only full if she burps. It’s actually the opposite: babies who latch on correctly leave no space for air, therefore they may not burp in most of the cases. Yet, it’s recommended that you burp your baby and the best way to do it is to sit her on your lap, support her chest and neck with one hand and gently pat her back with the other hand. You can do this for a few minutes and keep the baby in this vertical position for a while longer after burping. Do not worry if the baby doesn’t burp though.
Recommendation: burp your baby after feedings. If she doesn’t burp, don’t worry. If she burps really loud after she’s done feeding, you may want to nurse her again to fill the space left by the air out.
Check the images below for the best positions to burp the baby.
How can I donate my breast milk? How can I know if I have enough supply to donate?
First let’s talk about the importance of donating breast milk. Donated breast milk will feed babies whose mothers could not breastfeed them, either because of death or illness or any other reason. You will help a child to be fed with the best nutrients. You will have to dedicate yourself to this task, when you’re probably very busy with taking care of your baby. But it’s worth it.
You can express your milk before or after feeding your baby. If your supply is well established, if you don’t feel your breasts too full anymore, you can express milk before nursing your baby. If you do it at the same time everyday, either manually or with the electric pump, your body will adjust to it and you’ll have better results. If you still have an excessive supply and you want to relieve your breasts, you can express the milk after feeding your baby. Do not worry about not having enough milk for your own baby. Breast milk is produced according to the body demand. The more you express it, the more you have breast milk.
The milk expressed needs to be stored in a sterilized glass or plastic jar, with a lid. You can keep it in the freezer, label it with your name and date and contact the Milk Bank to register as a donator. They will let you know when the milk will be picked up at your home and will give you more jars for milk storage. If you live in Rio de Janeiro, call 0800 266 877.
I will go back to work before my baby is 6 months old. Can I still keep the exclusive lactation?
You sure can! You just need a little planning and a good support network (baby caregiver or childcare professionals). You can start expressing your own milk, before feedings, a few weeks before you return to work. Brazilian law entitles mothers to some breaks at work for expressing milk, and also the right to reduce one hour of work per day (arriving later or leaving earlier) until the baby is 6 months old.
Your milk can be stored in the refrigerator freezer for 15 days or 30 days in a deep freezer. The baby caregiver can feed the baby with a small cup. You don’t need to warm or boil the milk, just place the jar in a pan with hot water and shake it until thawed and at room temperature. If you have questions, call me or the nearest Milk Bank.
I have breast implants and am pregnant with my first child. Can I breastfeed my baby?
There’s nothing wrong with breastfeeding your baby if you had had breast implants. Many mothers are successful in breastfeeding their babies despite their implants. Nowadays surgeons place the implants below the muscles in a way it does not affect the milk production. However, you may need to observe a few things to make sure your baby is feeding effectively:
– the mother feels the breasts empty after feedings
– the baby seems full and leave the breast on her own
– the baby wets about 6 to 8 diapers a day, with clear urine
Besides this, you need to take your baby to the regular check-ups with the paediatrician to evaluate her weight gain to make sure your milk production was not damaged by the esthetic procedure.