FEATURED ARTICLES:
Finding good information about medication use during lactation

Finding good information about medication use during lactation

Have you ever been told you need to stop breastfeeding (temporarily or otherwise) because you need medical testing or a ...

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Credit: NASA/GSFC/Jeff Schmaltz/MODIS Land Rapid Response Team

My power went out and I have breastmilk in the freezer - Help!

How to preserve your "liquid gold" when your power goes out, plus some tips for pump-dependent mothers.

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Breastfeeding Helplines

Breastfeeding Helplines

Breastfeeding phone helplines, listed alphabetically by country, plus some resources for finding local breastfeeding help.

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How does milk production work?

How does milk production work?

To understand how to effectively increase (or decrease) milk supply, we need to look at how milk production works...
For ...

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Image credit: koadmunkee on flickr

Increasing Low Milk Supply

First of all, is your milk supply really low? Often, mothers think that their milk supply is low when it ...

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Image credit: jcgoforth on flickr

Breastfeeding your newborn — what to expect in the early weeks

Frequent nursing encourages good milk supply and reduces engorgement. Aim for breastfeeding at least 10 - 12 times per day ...

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Image credit: Jerry Bunkers on flickr

Frequent nursing

First of all, do know that frequent nursing is normal and expected in the early months - most newborns need ...

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Growth spurts

Most babies go through several growth spurts (also called frequency days) during the first 12 months. During a growth spurt, ...

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My baby fusses or cries during nursing - what's the problem?

Some babies will fuss, cry or pull off the breast during nursing. There are a number of reasons why this ...

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Spitting Up & Reflux in the Breastfed Baby

Spitting up, sometimes called physiological or uncomplicated reflux, is common in babies and is usually (but not always) normal. Most ...

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BF Concerns: Mother

Depression or other negative emotions upon milk let-down (D-MER)

Depression or other negative emotions upon milk let-down (D-MER)

A small percentage of breastfeeding mothers experience feelings of depression (or anxiety, agitation or anger) beginning immediately before their milk lets down. This is called Dysphoric Milk Ejection Reflex, or D-MER. According to D-MER.org, “Dysphoric Milk Ejection Reflex is a condition affecting lactating women that is characterized by an abrupt dysphoria, or negative emotions, that occur just before milk release and continuing not more than a few minutes.” This is a physiological response (not a psychological response) that has been tied to a sudden decrease in the brain chemical dopamine immediately before milk let-down.

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Baby's Health

Mother-2-Mother Concerns: Reflux

Mother-2-Mother Concerns: Reflux

Many parents have never heard of reflux. Reflux, or GER (Gastroesophageal reflux) is a condition where irritating stomach acids are regurgitated into the esophagus, causing pain similar to adult heartburn. It usually occurs more when the baby is lying flat, and is often marked by frequent and/or excessive spitting up. It can be a hidden cause of colicky and night waking babies.

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Mother-2-Mother.com

Mother-2-Mother Concerns: Fussiness

Mother-2-Mother Concerns: Fussiness

Young babies, both breast and formula fed, are often fussy. It is not unusual for this to happen during the late afternoon and evenings, and is usually NOT due to hunger, wet/dirty diaper, or anything that mom or dad can fix. It is usually NOT related to milk supply, although some mothers may worry about this.

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Mother-2-Mother.com

Mother-2-Mother Concerns: Baby’s Sleep

Mother-2-Mother Concerns: Baby's Sleep

When, where and how baby sleeps is a hot topic. Everyone has an opinion as to what is best for mother and baby. It is important to remember when considering these issues that “what is important” is important only as it relates to *you* – in other words, what is important to some, is not important to others, and it’s really nobody’s business “how” (or where or when) you and baby sleep! “Crying it out” isn’t an option for many parents and luckily, it doesn’t *have* to be. There are many options to the “cry it out” method which are not as harsh and which provide parents and babies with loving, gentler solutions to getting more sleep.

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Common Newborn Concerns

Sleepy Babies

Sleepy Babies

If your baby is sleepy here are some suggestions to help keep the baby awake and interested.

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Baby's Health

Mother-2-Mother Concerns: Green Stools

Mother-2-Mother Concerns: Green Stools

The occasional green stool is not unusual in the breastfed baby. Consistently green stools, however, are not normal for the breastfed baby. Most doctors don’t seem to recognize this as a potential problem because they often define “normal stool” as that of the formula-fed infant. Baby’s stool can be a wide variety of colors and textures , and not all of these are cause for concern. It is helpful to know what is normal for the bf baby as well.

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Mother-2-Mother.com

Insurance Reimbursement of Breast Pumps – Sample Letter

Insurance Reimbursement of Breast Pumps - Sample Letter

UPDATE: Federal law now includes breast pumps and other supplies that directly assist with lactation as medical care expenses.

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Mother-2-Mother.com

Pumping While Nursing

Pumping While Nursing

Pumping while nursing can be an easy way to collect milk. At first it may seem awkward, but with practice, it gets much easier! Following is a photo tutorial…

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Mother-2-Mother.com

What to Expect When Pumping

What to Expect When Pumping

The very thought of pumping breastmilk can cause concern for the new mother. Questions like what kind of pump, when, where, and how much to pump are primary concerns, followed by concerns about the milk looking funny, storage issues and how much expressed breastmilk is needed per bottle. The answers to these concerns will vary for both individual mothers and babies depending on their individual needs and circumstances.

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Mother-2-Mother.com

Exclusive Pumping – The Best… Expressed!

Exclusive Pumping - The Best… Expressed!

There are occasions that arise which may prevent a mom from being able to nurse her baby. A mother who has a baby who cannot or will not latch, for whatever reason, may assume there is no choice but for her to use infant formula. There is another option however, and one that doesn’t seem to get the support or acknowledgment it deserves – exclusively pumping, also known as “EPing”.

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About

Evidence-Based Practice

Evidence-Based Practice

Following are some useful links on evidence-based practice: Evidence-Based Medicine: What it is and what it isn’t Evidence-based medicine is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence-based medicine means integrating individual clinical expertise with the best available external clinical [...]

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Tandem Breastfeeding

Welcome to NursingTwo!

Welcome to NursingTwo!

My name is Hilary Flower. I tandem nursed my daughter and son for 18 months, and my son is still nursing. While I was trying to sort through the challenges and joys of my own tandem nursing experience, I began writing a book on the topic. How exciting to connect with 200 other mothers who had breastfed during pregnancy and either weaned during pregnancy or went on to tandem nurse! How gratifying to dig into scientific literature and correspond with researchers, finally getting some answers to the many questions that arise!

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BF FAQ: Tandem

Nursing During Pregnancy and Tandem Nursing: The Official FAQ

Image credit: Mothering Touch on flickr

Nursing During Pregnancy and Tandem Nursing: The Official FAQ

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Growth & Development

Infant Growth Calculators – Metric

Infant Growth Calculators - Metric

Many moms wonder if their baby is growing as expected. It may be helpful to use this calculator, together with the information in Average Weight Gain for Breastfed Babies, when analyzing your baby’s growth.

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Growth & Development

Infant Growth Calculators

Infant Growth Calculators

Many moms wonder if their baby is growing as expected. It may be helpful to use this calculator, together with the information in Average Weight Gain for Breastfed Babies, when analyzing your baby’s growth.

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Preparing to Breastfeed

Financial costs of not breastfeeding

Financial costs of not breastfeeding

Financial costs of not breastfeeding
…or cost benefits of breastfeeding

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Pumping issues

How much expressed milk will my baby need?

Image credit: Jerry Bunkers on flickr

Many mothers wonder how much expressed breastmilk they need to have available if they are away from baby.

In exclusively breastfed babies, milk intake increases quickly during the first few weeks of life, then stays about the same between one and six months (though it likely increases short term during growth spurts). Current breastfeeding research does not indicate that breastmilk intake changes with baby’s age or weight between one and six months. After six months, breastmilk intake will continue at this same level until — sometime after six months, depending in baby’s intake from other foods — baby’s milk intake begins to decrease gradually

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Common Newborn Concerns

Breastfeeding your Premature Infant (Resources)

Breastfeeding your Premature Infant (Resources)

Links: Breastfeeding a Premature Infant

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Blog Posts

Milk vs. formula… under the microscope

Milk vs. formula... under the microscope

We just got a digital camera attachment for our microscope, so what do you think I photographed first?

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Breastfeeding Basics

Baby’s Second Night

Baby's Second Night

You’ve made it through your first 24 hours as a new mom. Maybe you have other children, but you are a new mom all over again…and now it is your baby’s second night.

All of a sudden, your little one discovers that he’s no longer back in the warm and comfortable – albeit a bit crowded – womb where he has spent the last 8 ½ or 9 months – and it is SCARY out here!

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Breastfeeding Basics

Breastfeeding your newborn — what to expect in the early weeks

Image credit: jcgoforth on flickr

Frequent nursing encourages good milk supply and reduces engorgement. Aim for breastfeeding at least 10 – 12 times per day (24 hours). You CAN’T breastfeed too often–you CAN breastfeed too little. Nurse at the first signs of hunger (stirring, rooting, hands in mouth)–don’t wait until baby is crying. Allow baby unlimited time at the breast when sucking actively, then offer the second breast. Some newborns are excessively sleepy at first–wake baby to nurse if 2 hours (during the day) or 4 hours (at night) have passed without nursing.

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Breastfeeding Basics

Hunger Cues – When do I feed baby?

Hunger Cues – When do I feed baby?

Babies should be fed when they indicate hunger. Crying is a late indicator of hunger – breastfeeding is much easier for both mom and baby if mom is able to pick up on baby’s earlier hunger cues.
Common infant hunger cues include:…

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Breastfeeding Basics

How does milk production work?

How does milk production work?

To understand how to effectively increase (or decrease) milk supply, we need to look at how milk production works…
For the most part, milk production is a “use it or lose it” process.
The more often and effectively your baby nurses, the more milk you will make.

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Supply Basics

Frequently Asked Questions about Milk Production

Frequently Asked Questions about Milk Production

How does milk production change over the course of lactation?

For the first few days, up to and including the point at which mom’s milk “comes in,” milk production does not depend upon milk being removed from the breast. After those first few days, it is necessary for milk to be regularly removed from the breast (via baby or pump) to continue milk production. The breasts will begin to shut down milk production within several days if milk is not regularly and effectively removed.

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Breastfeeding Basics

Tips for juggling a newborn and toddler

Tips for juggling a newborn and toddler

First off, per a wise friend of mine who is a mom of five: Be creative, patient, and hold tight to your sense of humor!

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Supply Basics

I’m confused about foremilk and hindmilk – how does this work?

I'm confused about foremilk and hindmilk - how does this work?

Foremilk is the milk (typically lower in fat) available at the beginning of a feeding; hindmilk is milk at the end of a feeding, which has a higher fat content than the foremilk at that feeding. There is no sharp distinction between foremilk and hindmilk – the change is very gradual. Research from Peter Hartmann’s group tells us that fat content of the milk is primarily determined by the emptiness of the breast — the less milk in the breast, the higher the fat content

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Breastfeeding Basics

Latching and Positioning Resources

Latching and Positioning Resources

No matter what latch and positioning look like, the true measure is in the answers to these two questions:

Is it effective?
Is it comfortable?

Even if latch and positioning look perfect (and, yes, even if a lactation consultant told you they were fine), pain and/or ineffective milk transfer indicate that there is a problem somewhere, and the first suspect is ineffective latch/positioning.

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Breastfeeding Basics

Lactation yoga …side-lying nursing without getting up to switch sides

Lactation yoga ...side-lying nursing without getting up to switch sides

If you’ve mastered the art of side-lying to nurse, then the next trick is to be able to nurse off the top breast so that you don’t have to change sides of the bed at night. If you co-sleep and breastfeed, then I’m sure you’ve had an experience like mine at some point. You’re all snuggled in, warmly and cozily cuddled with your baby. You are breastfeeding in the side-lying position and drowse off to sleep. waking a while later to find that baby is hungry again, and unfortunately the most convenient breast is the least full one.

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Common Newborn Concerns

Establishing and maintaining milk supply when baby is not breastfeeding

Establishing and maintaining milk supply when baby is not breastfeeding

It is important to express your milk to establish and maintain milk supply if your baby is not nursing at all or not nursing well. By expressing, you will also have your milk available to feed baby – every bit of moms’ milk that baby gets (even the tiniest amount) is like liquid gold.

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Breastfeeding Basics

Latching: Thoughts on pushing baby’s chin down when latching

Latching: Thoughts on pushing baby's chin down when latching

When it comes to pushing down on baby’s chin to get a wider latch, sometimes it works but often it doesn’t… Many a baby will naturally resist the downward pressure and close his mouth further if you push down on his chin.

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