Houston Methodist understands the importance of breastfeeding and mother’s milk to the health and development of newborn babies. We are proud to partner with you to provide you with the personalized, expert lactation support you deserve.
Whether breastfeeding (also called lactation) comes easily to you or not, we know a strong support system will help you meet your feeding goals. We are available to all mothers in our community, no matter where you delivered your baby.
Outpatient breastfeeding consultations provide you:
- Access to international board-certified breastfeeding lactation consultants.
- Confidence to breastfeed successfully.
- Support to address all aspects of feeding such as latching, milk supply and more.
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Frequently Asked Questions About Breastfeeding
What should I do to prepare for seeing a breastfeeding lactation consultant?
Make a list of questions: Write down any concerns or challenges you’re facing, like latching issues, milk supply worries or discomfort during feeding.
Track feeding patterns: Keep a log of your baby’s feeding times, duration and any observations, like fussiness or signs of hunger after feeding.
Bring supplies: If you’re using a breast pump or specific feeding tools, bring them along so the consultant can help you use them effectively.
Feed your baby if needed: Don’t stress about timing it perfectly — whether your baby is hungry or has just eaten, the consultant can work with your situation.
Remember, you don’t need to have it all figured out — lactation consultants are there to guide and support you!
What questions should I ask a breastfeeding lactation consultant?
Here are some helpful questions to ask your breastfeeding lactation consultant:
Latching and positioning:
- How can I help my baby latch more effectively?
- What positions might work better for us?
Milk supply:
- How can I tell if my baby is getting enough milk?
- What can I do to increase or maintain my milk supply?
Feeding concerns:
- Is my baby feeding too often or not often enough?
- What should I do if nursing is painful?
Pumping and storing milk:
- How can I choose the right breast pump for my needs?
- What’s the best way to store expressed milk?
Your health:
- Are there foods or habits that could affect my milk supply?
- How can I care for myself while breastfeeding?
Feel free to ask about anything else on your mind—they’re there to support you and your baby’s feeding journey!
What should I expect at a breastfeeding lactation consult?
At a breastfeeding lactation consultation, you can expect personalized support to help you and your baby with breastfeeding. Here's an overview of what typically happens:
- Discussion of your concerns:
- You'll talk about any challenges you're experiencing, like latching, milk supply or discomfort.
- Baby's feeding assessment:
- The consultant will observe a feeding session to evaluate your baby's latch, positioning and milk transfer. They may also check your baby’s weight before and after feeding to see how much milk they’re taking in.
- Breast assessment:
- If needed, the consultant might examine your breasts to check for issues like engorgement, nipple damage or clogged ducts.
- Hands-on guidance:
- You’ll get help adjusting your baby’s latch, trying different feeding positions or using breastfeeding tools like shields or pumps.
- Personalized recommendations:
- The consultant will provide tips and resources tailored to your needs, including feeding schedules, milk storage tips or follow-up care if necessary.
Remember, a breastfeeding lactation consult is a judgment-free space designed to support you and your baby. It’s a great time to ask questions and build confidence in your breastfeeding journey.
Is six weeks too late to see a breastfeeding lactation consultant?
Six weeks is not too late to see a breastfeeding lactation consultant. Many people seek help at this stage and beyond as breastfeeding challenges can arise or change over time. Here's why seeing a breastfeeding lactation consultant at 6 weeks can still be helpful:
- Improving latch and comfort: If nursing is still painful or your baby isn’t latching well, a consultant can help identify and resolve the issue.
- Addressing milk supply concerns: Whether you’re worried about low supply or managing an oversupply, a breastfeeding consultant can provide strategies tailored to your needs.
- Adjusting to growth spurts: Around six weeks, babies often hit a growth spurt, which can lead to cluster feeding or changes in feeding behavior. A consultant can guide you through this transition.
- Pumping and returning to work: If you’re planning to pump or transition to a different routine, a consultant can help you establish an effective schedule and give tips for storing milk.
- Weaning or combination feeding: If you’re considering adding formula or transitioning from breastfeeding, a consultant can provide advice to ensure it’s done smoothly.
No matter where you are in your breastfeeding journey, a lactation consultant can offer support and solutions.
When is the best time to see a breastfeeding consultant?
Right after birth: For help with latching, milk supply or pain.
When challenges arise: Like latching issues, pain or concerns about weight gain.
Before transitions: Starting pumping, returning to work or during growth spurts.
Later stages: For help with weaning, combination feeding, or ongoing issues.
Anytime you feel uncertain or need guidance is a good time to reach out!
How long should a mother breastfeed?
Exclusive breastfeeding: The American Academy of Pediatrics (AAP) and the World Health Organization (WHO) recommend exclusive breastfeeding for the first 6 months.
Breastfeeding with complementary foods: After six months, continue breastfeeding while introducing solid foods. The AAP suggests breastfeeding for at least 1 year, while the WHO recommends up to 2 years or longer.
As long as desired: Ultimately, the decision is up to you and your baby. Breastfeeding can continue as long as it works for both of you.
What are the benefits of breastfeeding?
Breastfeeding offers numerous benefits for both baby and mother.
For Baby
- Optimal nutrition: Breast milk contains the perfect mix of nutrients tailored to your baby’s needs.
- Boosts immunity: Provides antibodies that protect against infections and illnesses.
- Supports development: Promotes healthy brain development and reduces the risk of chronic conditions like asthma, allergies and obesity.
- Easier digestion: Breast milk is gentle on a baby’s digestive system, reducing issues like constipation and colic.
For Mother
- Promotes recovery: Helps the uterus return to its normal size and reduces postpartum bleeding.
- Lowers health risks: Reduces the risk of breast and ovarian cancers, type 2 diabetes and heart disease.
- Convenient and cost-effective: Always available, at the right temperature, and free.
- Strengthens bonding: Releases oxytocin, fostering a close emotional connection with your baby.
Breastfeeding benefits are long-lasting, but any amount of breastfeeding is valuable, even if it’s just for a short time.
Are special precautions needed for handling breast milk?
Yes, handling breast milk safely is essential to preserve its quality and protect your baby. Here are key precautions:
Storage
- Use clean, BPA-free containers or breast milk storage bags.
- Label with the date it was expressed and use the oldest milk first.
- Store at the right temperature:
- Room temperature: Up to 4 hours.
- Refrigerator: Up to 4 days.
- Freezer: Up to 6 months (ideal) or 12 months (acceptable).
Thawing and Warming
- Thaw in the fridge overnight or place the container in warm water.
- Avoid microwaving; it can cause hot spots and destroy nutrients.
- Use thawed milk within 24 hours and never refreeze.
Hygiene
- Wash hands before expressing or handling milk.
- Sterilize bottles, pump parts, and storage containers regularly.
Discarding
- Discard leftover milk from a feeding after 2 hours.
Proper handling ensures breast milk remains safe and nutritious for your baby.
Where can mothers find more information about preparation and storage of breast milk?
Mothers can find reliable information about breast milk preparation and storage from these sources:
Health Care Providers
- Breastfeeding lactation consultants: Provide personalized guidance tailored to your needs.
- Pediatricians or OB-GYNs: Offer evidence-based recommendations.
Hospitals and Clinics
- Many hospitals with maternity services offer breastfeeding classes or resources.
Trusted Organizations
- Centers for Disease Control and Prevention (CDC): Detailed guidelines on breast milk storage and handling.
- Visit CDC Breastfeeding Guidelines.
- La Leche League International (LLLI): Practical tips and peer support.
- Visit LLLI.org.
- American Academy of Pediatrics (AAP): Information on breastfeeding benefits and practices.
- Visit AAP.org.
Books and Online Resources
- Parenting books and reputable websites focused on infant care. Look for information vetted by medical experts.
These resources provide clear, accurate and supportive guidance for your breastfeeding journey.
How can a mother continue to provide breast milk to her infant after returning to work or school?
To continue providing breast milk after returning to work or school, try these tips:
- Pumping: Pump every 3-4 hours during the day to maintain supply. Consider a double electric pump for efficiency.
- Storing Milk: Store milk properly in the fridge or freezer, labeling containers with the date.
- Bottle Feeding: Practice bottle feeding with your baby before returning to work. Choose bottles that mimic breastfeeding.
- Bonding: Breastfeed before and after work and spend quality skin-to-skin time when possible.
- Support: Ensure your workplace or school provides time and space for pumping, and make sure the caregiver is comfortable with handling breast milk.
With preparation, you can continue breastfeeding even after you return to your routine.
What do I do about a painful latch?
Check baby's positioning: Ensure your baby’s mouth is wide open, covering both the nipple and part of the areola. Try different positions (e.g., cradle hold, cross-cradle or football hold) to find what works best.
Ensure a deep latch: A shallow latch can cause pain. Aim for your baby’s mouth to cover a good portion of the areola, not just the nipple.
Use nipple cream: Apply a lanolin-based nipple cream after each feeding to soothe and heal sore nipples.
Break the latch gently: If the latch is painful, gently insert your finger into the corner of your baby’s mouth to break the suction before trying again.
Evaluate for issues: Look for signs of tongue-tie, lip-tie or other issues that may affect the latch. A lactation consultant can help identify and address these.
Feed frequently: Early intervention can help prevent nipple damage.
If pain persists, reach out to a lactation consultant for support and further evaluation.
How do I use a breast pump?
Using a breast pump is straightforward, but it’s important to follow the right steps for effective and comfortable pumping. Here’s a guide to get you started:
1. Gather Your Supplies
- Breast pump: Make sure it’s clean and assembled properly.
- Storage containers: Have bottles or storage bags ready for the expressed milk.
- A comfortable, quiet space: Find a place where you can relax during pumping.
2. Prepare Your Breasts
- Wash your hands: Clean your hands thoroughly before pumping.
- Position the breast shields: Choose the right size breast shield for comfort, and center it over your nipple.
3. Pumping
- Start on a low setting: Turn the pump on at a low suction setting to mimic the initial let-down.
- Increase suction gradually: Once milk starts flowing, increase the suction to a level that’s comfortable but effective.
- Pump for 15-20 minutes: Continue until the milk flow slows down. If you need to switch sides, do so after a few minutes.
4. After Pumping
- Store the milk: Transfer the milk into bottles or bags for storage, labeling with the date and time.
- Clean the pump parts: Wash all pump parts with warm, soapy water after each use to avoid contamination.
5. Practice and Comfort
- Find your rhythm: It may take a few tries to get comfortable with the pump. Relax and give yourself time to adjust.
With practice, using a breast pump will become easier.
Are there any infant weight loss concerns with breast feeding?
Infant weight loss can happen during the first few days after birth and is usually normal, but it’s important to monitor your baby’s weight and feeding patterns to ensure they’re getting enough milk.
Here’s what to watch for:
Normal Weight Loss
- It’s typical for babies to lose up to 7-10% of their birth weight in the first few days, but they should start gaining it back by day 5-7.
- By 2 weeks, your baby should be back to their birth weight and gaining steadily.
Signs of Concerns
- Slow weight gain or weight loss after 2 weeks: This may indicate that your baby isn’t getting enough milk.
- Signs of hunger: If your baby is always hungry, seems lethargic, or isn’t satisfied after feedings, it may be a sign of low milk intake.
- Poor feeding habits: If your baby has difficulty latching or seems frustrated during feedings, it can impact their milk intake.
What to Do
- Frequent feedings: Breastfeed at least 8-12 times a day in the first few weeks to ensure a good milk supply and sufficient intake.
- Monitor output: A well-fed baby typically has 6 or more wet diapers and at least 3-4 bowel movements per day after the first few days.
- Seek help: If you’re concerned about weight loss or breastfeeding, consult with a lactation consultant or pediatrician to address any issues.
Early intervention can help address concerns and ensure your baby’s growth and development are on track.