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Preparing to Nurse

Breast Changes

You may have noticed some enlargement of your breasts. They can grow up to 4 times pre-pregnant size.  Size does not determine the amount of milk you will make. The size of the breast is related to the amount of fatty tissue in your breasts.

You may have notice “pimple looking” bumps on areola, those are called Montgomery glands. they help to clean the nipples. When washing you do not want to clog those, so only use water to wash with. Do not use soap or lotion on your nipples.

You may have noticed your areola has darkened. It does that to become a “target” for baby. The can actually see it better and it can help them to attach.

You may have noticed some tenderness. Your breasts may feel very sensitive and tender. This is normal.

You may have noticed your nipples drying and crusting. This is normal and helps to prevent soreness, do not rub nipples to “toughen”, it removes the natural keratin layer that will help with soreness and it may cause premature contractions. If you are uncomfortable from the dryness, you may use Lansinoh or Purelan on your nipples.

Bras

If you are not comfortable wearing a bra, you do NOT have to. It can help with support and when the milk volume increases which can help prevent engorgement.

 There are many types and many brands of nursing bras available. The most important thing to consider when purchasing a nursing bra is to make sure it fits well.  If you MUST wear an underwire bra, watch for plugged ducts and make sure it is well fitted.  Buy one or two in the last month of pregnancy and get one size larger than you are. After about two to three weeks you can get more and will remain about that size.  Sleep bras are comfortable for nursing and prevent leaking at night. There are also newer products that help you to not need a bra at night. (Fitted nursing gowns and Lily Padz)

Nursing Pads

 Disposable nursing pads can be purchased at most stores that have baby supplies. There are also washable nursing pads that are more economical. They can be washed and reused. There are wool pads, that even though it may sound itching and uncomfortable, I tried these with my 3rd child and actually really like them. They do not have to be washed as often and contain natural lanolin.  Lily Padz are other options. They are fairly new and I have heard very good reports from women using these. 

Benefits

Making Milk : the hormones of Lactation

Hunger Cues and Normal behavior the first few weeks .

Latch on and Positioning

Possible challenges

How to know baby is getting enough

Breastfeeding Diet

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For more information, fees or to set up an appointment, please email me.