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Breastfeeding

Most asked questions

How to establish a routine for feeding my baby?

Newborns have tiny tummies and so need to feed frequently.  Feeding frequently in the early days and weeks helps make sure you have a good milk supply.

Because breastmilk is easily digested, it is normal for breastfed babies to feed 8–12 times in a 24-hour period. This usually means that your baby will breastfeed on average every 2–3 hours around the clock (day and night), with possibly one longer stretch between feeds somewhere in a 24-hour period. The length of time between feeds can vary greatly from baby to baby. The time between feeds is from the beginning of the last feed, not the end. Newborns also tend to have periods each day where they feed very frequently for a few hours (cluster feeds). So often baby’s cluster feed late afternoon into the evening, this is very normal and healthy. They are preparing your milk supply for the night time. Often these cluster feeding periods are followed by a longer stretch of sleep.

In most cases, healthy, thriving newborns will wake of their own accord for feeds and so get all the milk they need. Feeding your baby when he/she is showing early feeding cues can help him to feed better.

However, there are some reasons why a newborn may be extra sleepy. It may be necessary to wake your baby for feeds to ensure he/she gets the milk they need. Some of the reasons are medical (eg jaundice or perhaps medications/pain relief used during labour/birth) others may be related to their weight or general health. It is important to be guided by your doctor or midwife in these situations. They will communicate openly with you about why your baby’s needs are different, how to meet their needs and when to ask for help.

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More questions

Does a nipple piercing affect breastfeeding?
If you have a nipple piercing you can still breastfeed your baby. You should take the jewelry out during pregnancy before beginning to breastfeed to eliminate any choking hazards for baby. You may find that the milk comes out of the hole the piercing was in.
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If I have had a breast reduction can I still breastfeed?
Women who have had a breast reduction can still breastfeed. Some may find that they have a low supply, however by seeing a lactation consultant before baby is born a plan can be made for if this is the case. It’s important to remember, even if a baby is partially breastfed it’s still of great benefit.
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I have breast implants, will this affect my ability to breastfeed?
Most women who have had breast implants will be able to breastfeed. It’s a good idea to find out where the incision was made- under the breast or around the nipple and if the implant was placed under or above your chest muscles and discuss this with your health care provider before birth. It may be beneficial to see a lactation consultant before birth so that you have a plan in case your breasts don’t produce enough for a full feed.
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What are Montgomery’s Tubercles?
Montgomery's tubercles are small sebaceous (oil) glands that can be found in the areolar tissue (dark area) around the nipple. They look like goosebumps and can be noticed early on in pregnancy. Their role is to secrete an oily substance which keeps the nipple well lubricated whilst also creating a barrier against potential infection.
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How will my breasts change during pregnancy?
Breast changes can be one of the first signs that you’re pregnant. Breasts and nipples become tender as a result of hormone and structural changes, this can continue throughout the duration of your pregnancy. The areola may become darker and nipples can change in size and shape. Some women notice that as their breasts get larger their nipples become flatter- this is normal, you will still be able to breastfeed. You may also notice small bumps on your nipples that look like goosebumps- these are Montgomery’s tubercles (oil glands) which keep the nipple moisturized and protected against any potential infection. Some of the changes you notice will stay until after you have stopped breastfeeding, every woman is different. If you have any concerns about these changes, talk to your health care professional.
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