One Breast or Two?

Many of my clients run into difficulty when they follow a rule-based approach to breastfeeding. Unfortunately, breastfeeding books and websites are often full of rules. “Always breastfeed on both sides each feeding.” or “Baby should only have one side per feeding.” There are scary warnings about baby not getting enough “hindmilk” and details about how many minutes to spend on each breast. Really? How do other mammals (and humans) do this without watches and books? Continue reading

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