My Baby Has Reflux!

Baby with tight frenulum.  No tongue elevation present.“My pediatrician says my baby has reflux! She says there are medications to help. I really don’t want my baby to take medicine. He’s so little. But I also don’t want him to suffer and spit up so much. What should I do? Can you help me?”

Although the diagnosis of reflux seems ominous, keep in mind that all babies have reflux to some degree. The sphincter muscle that separates the stomach and the esophagus is loose and lets fluids go back and forth. That’s why it’s common for babies to spit up after a meal. If your baby seems uncomfortable, however, he may need some help.

I see many babies diagnosed with reflux in my practice. I have found that some simple changes in feeding posture or management can decrease symptoms substantially. Most of my clients do not need to medicate their babies. Continue reading

Never Wake a Sleeping Baby?

Newborn sleeping

Breastfeeding seemed to go OK at first. After all, the baby was nursing a lot and slept well. It didn’t seem right to the new mom that her 1-week-old baby slept 6-8 hour stretches, but everyone said “don’t worry.” A pediatric visit at 2 weeks confirmed this mom’s worst fears. Her baby had lost weight!  She was told to supplement with formula and contact a lactation consultant. Continue reading

Let Your Baby Lead with the Latch!

As a mother, you want to help your baby breastfeed. But often our help results in uncomfortable, ineffective breastfeeding. Many of you have already experienced the “help” of a well-intentioned nurse or lactation consultant who forces a baby to the breast against his will. Ramming a baby to the breast will only result in frustration and tears for everyone. In addition, a baby treated this way may learn to avoid the breast altogether.

Healthy newborns are equipped with instincts and reflexes that facilitate breastfeeding. Continue reading

Cookies for Milk Supply?

As a lactation consultant, I have the privilege of talking with hundreds of breastfeeding moms every year. Many of those mothers are concerned with milk production at some point in their nursing career. As you can imagine, (and as many of you know!) it’s very frustrating to do everything “right” and still not have enough milk for your baby. Moms know that breast milk is the best thing for babies, yet when supply problems exist, it can be difficult to give baby 100% breast milk. I have found that moms will do just about anything to help increase their milk production—prescriptions medications, strenuous pumping regimens or drinking bitter herbal concoctions.

A few years ago, I was approached by the founder of Milkmakers. She enthusiastically told me about her product—a cookie—that reportedly helps with milk production in breastfeeding moms. Some of the ingredients in Milkmakers are known to support milk production, but I was skeptical, to say the least. Continue reading

Is My Baby Getting Enough Milk?

 

This 6-day old baby just had plenty to eat!

Wouldn’t it be nice if your breasts were equipped with little gauges that indicated how much milk was removed when your baby ate? Fortunately there are other ways to measure milk intake when a baby is breastfeeding.

Your baby should eat at least 8 times every 24 hours. If your baby is eating and not just sucking, you will be able to observe swallows. Swallows will be infrequent immediately after birth, but will gradually increase to about 1 swallow per second around day 4 or 5. Continue reading