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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 FAQ: Tandem

Will tandem nursing spread germs between my children?

Will tandem nursing spread germs between my children?

No special measures are normally needed as far as hygiene and the sharing of the breasts. Normal baths and showers will suffice. There is no reason to clean the nipple area between children and, as always during lactation, use of soap on the nipple is not recommended except under special circumstances.

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BF FAQ: Tandem

What if I want to wean?

What if I want to wean?

Pregnancy has a way of making moms think of weaning, especially if it turns breastfeeding into an uncomfortable experience. It is important that you take your own needs into account with breastfeeding decisions.

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BF FAQ: Tandem

Sore nipples and agitation during pregnancy

Sore nipples and agitation during pregnancy

Many mothers experience nipple soreness when breastfeeding during pregnancy. Others report feelings of restlessness and irritation while nursing. This varies widely from mother to mother and is due mainly to hormonal changes. Soreness may also be associated with decreased milk supply later into the pregnancy, latch issues, thrush, etc.

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BF FAQ: Tandem

Will pregnancy cause my child to wean prematurely?

Will pregnancy cause my child to wean prematurely?

It may feel strange to think of your breastfeeding relationship as vulnerable to the influences of pregnancy. As parents there are so many things that we cannot control. Starting with pregnancy, the new baby will change family life in many unexpected ways, some more welcome than others. If you can, open yourself to the various possibilities and trust that you and your older child can make it through no matter what. Remember, your fundamental relationship with your older child is not at stake.

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BF FAQ: Tandem

How can I answer critics?

How can I answer critics?

The first thing to bear in mind is that your breastfeeding relationship is a private one between yourself and your child. Although everyone is entitled to their opinion, you need not feel that you must defend or explain your choices.

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BF FAQ: Tandem

Will I like tandem nursing? Is tandem nursing worth it?

Will I like tandem nursing? Is tandem nursing worth it?

Like everything else when a new baby first arrives, tandem nursing tends to be intense and unpredictable. Chances are it will be a godsend in many ways: helping with engorgement, helping meet the older child’s needs and the baby’s needs simultaneously, keeping the older child’s immunity up (so less illness, and shorter illnesses), providing incomparable nutrition for the older child, and providing a quick fix for temper tantrums. Moms who can comfortably nurse both children lying down may actually get to nap!

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BF FAQ: Tandem

How does tandem nursing affect sibling rivalry?

How does tandem nursing affect sibling rivalry?

Many tandem nursing mothers say that “reduced sibling rivalry” is one of the biggest advantages of tandem nursing. Some nurslings hold hands while they nurse and prefer to nurse together. But it is important to bear in mind that some emotional upheaval is natural when a toddler is getting used to a new baby in the house.

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BF FAQ: Tandem

What positions are best for tandem nursing?

What positions are best for tandem nursing?

To find your best arrangement you will need to experiment and to try a variety of pillows (including a U-shaped nursing pillow). The positioning that works best is likely to change as your baby grows. Following are some options to consider:

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BF FAQ: Tandem

Does my newborn always need to nurse first?

Does my newborn always need to nurse first?

Although you may be advised to make sure the newborn always nurses first, this advice usually only holds for the first few days until your milk “comes in.” Prior to this point your breasts are making colostrum for the newborn (and it will transition into “mature milk” in the early weeks).

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BF FAQ: Tandem

Nipple soreness and engorgement after birth

Nipple soreness and engorgement after birth

During pregnancy, nipple pain is generally caused by hormones. By contrast, if you notice nipple pain in the early days after your baby is born, you should assume there is a problem in need of a solution. Although nipple pain in the early days (usually peaking at 3-7 days postpartum) is common, it is not necessarily normal.

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BF FAQ: Tandem

Is it safe to use a breastpump during pregnancy?

Is it safe to use a breastpump during pregnancy?

It is often stated that a woman should not use a breastpump when pregnant. However, there is considerable reason to believe that pumping, like breastfeeding, will not trigger preterm labor in a healthy pregnancy.

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BF FAQ: Tandem

Nutrition for mom

Nutrition for mom

If a mother is reasonably well-nourished her body can continue to meet her own needs and the needs of both her unborn child/infant and the older nursling. This is especially true if the older nursling is at least a year old when mom gets pregnant. In some cases, the health care provider may recommend that the mother consume more calories and/or take prenatal vitamins (but it’s unwise to take more than one a day).

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BF FAQ: Tandem

Will nursing affect the nutrition of my unborn child?

Will nursing affect the nutrition of my unborn child?

This concern is valid for malnourished mothers, but it does not appear to be grounded for well-nourished mothers. Although we do not yet have a medical study that can speak directly to the question for well-nourished mothers, we have two reasons to be quite encouraged:

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BF FAQ: Tandem

Is it safe to nurse during pregnancy?

Is it safe to nurse during pregnancy?

Yes, in most cases. At this time no medical study has been done on the safety of breastfeeding during pregnancy so it is impossible to list any definitive contraindications. If you are having a complicated pregnancy, such as lost weight, bleeding, or signs of preterm labor, you should problem-solve your individual situation with your caregiver.

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Book: Tandem Nursing

Table of Contents

Table of Contents

Foreword by Peggy O’Mara Introduction PART ONE: THE ADVENTURE BEGINS CHAPTER 1 PREGNANT PAUSE: TO NURSE ON OR NOT? Weighing the Needs on Both Sides of the Breast What’s the “Natural” Thing to Do? How Will I Ever Make a Decision? CHAPTER 2 REST AND SELF-CARE Self-Care Daytime Rest Restful Nights CHAPTER 3 DISCOMFORTS WHILE [...]

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Book: Tandem Nursing

From the back cover…

From the back cover...

Can a mother produce enough milk for two children? How can weaning be accomplished without causing jealousy? Is breastfeeding safe during pregnancy? How do you arrange a toddler and a newborn at the breast, anyway? There is no doubt about it – when breastfeeding and pregnancy overlap, the questions abound! In this, the first full-length [...]

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Book: Tandem Nursing

What if a “weaned” child asks to nurse again?

What if a "weaned" child asks to nurse again?

Excerpted with permission from Adventures in Tandem Nursing: Breastfeeding During Pregnancy and Beyond by Hilary Flower La Leche League International, ©LLLI 2003 ISBN: 0912500972 “Mommy, can I have some num-num?” These unexpected overtures can happen weeks or months after the child weaned; classic triggers are the return of milk in late pregnancy or the birth [...]

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Book: Tandem Nursing

What if I lose weight in the first trimester?

What if I lose weight in the first trimester?

Excerpted with permission from Adventures in Tandem Nursing: Breastfeeding During Pregnancy and Beyond by Hilary Flower La Leche League International, ©LLLI 2003 ISBN: 0912500972 Now this is a tricky question. Of course if early pregnancy nausea has dampened your appetite, and especially if vomiting occurs frequently, it is common to gain weight slowly or even [...]

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Book: Tandem Nursing

The nature of breastfeeding contractions

The nature of breastfeeding contractions

Excerpted with permission from Adventures in Tandem Nursing: Breastfeeding During Pregnancy and Beyond by Hilary Flower La Leche League International, ©LLLI 2003 ISBN: 0912500972 The hormone oxytocin is often considered to be at the crux of any potential connection between breastfeeding and adverse pregnancy outcomes. When a child suckles, oxytocin is released. Oxytocin is the [...]

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Book: Tandem Nursing

What are miscarriage and preterm labor experts saying?

What are miscarriage and preterm labor experts saying?

Lesley Regan, PhD, MD, heads the Miscarriage Clinic at St. Mary’s Hospital in London, the largest referral unit in Europe, and is the author of Miscarriage: What every woman should know. She was surprised to hear that anyone considers issues related to miscarriage to be reasons for weaning. She added:

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Book: Tandem Nursing

Pregnancy Complications

Pregnancy Complications

When the pregnancy is complicated decisions become more complicated, too. When faced with weight loss, unexplained bleeding, threatened preterm labor or twin pregnancies, the mothers who contributed to this book have made a variety of different choices including: immediate weaning, initiation of gradual weaning, taking a “wait and see” approach, reducing nursing to a lower level in order to continue, and nursing on. It’s a heart-wrenching position to be in. One mother said she felt as though she was forced to choose between the baby at her breast and the baby in her womb. It takes courage to make these decisions and mothers deserve support for this unenviable responsibility.

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Blog Posts

Meet our new logo!

Meet our new logo!

Please join me in congratulating Keith Hanssen on creating the winning design!

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Supply worries

Oatmeal for increasing milk supply

Oatmeal for increasing milk supply

Eating a bowl of oatmeal for breakfast each morning is a frequently heard recommendation for increasing milk supply. Although there is no scientific evidence regarding oatmeal and milk supply, oatmeal does seem to work for some. Many working moms have noticed that on the days they eat oatmeal for breakfast, they can pump more milk than on the days they eat something else. In some countries, “traditional wisdom” recommends eating oatmeal as a way to increase milk supply. A number of lactation consultants recommend eating oatmeal as a way to increase supply.

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Translations

Häufig gestellte Fragen zum Tandemstillen:

Häufig gestellte Fragen zum Tandemstillen:

Ja, in den meisten Fällen. Bisher sind keine klinischen Studien zur Sicherheit des Stillens während der Schwangerschaft durchgeführt worden, so dass es unmöglich ist, eine Liste eindeutiger Gegenanzeigen zu erstellen. Wenn Sie in der Schwangerschaft Komplikationen erlebt haben, wie z.B. Gewichtsabnahme, Blutungen oder Anzeichen vorzeitiger Wehen, sollten Sie Ihre Situation mit Ihrem Arzt bzw. Ihrer Hebamme besprechen. Unter den jeweiligen Umständen können Sie dann entscheiden, ob Sie weiterhin stillen, vermindert stillen oder abstillen möchten.

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Translations

Häufig gestellte Fragen zum Tandemstillen:

Häufig gestellte Fragen zum Tandemstillen:

Diese Bedenken sind bei mangelernährten Müttern angebracht, jedoch anscheinend nicht bei wohlgenährten Müttern. Auch wenn bisher keine klinische Studie vorliegt, die sich direkt zu dieser Frage im Falle einer gut ernährten Mutter äußern kann, haben wir zwei Gründe, optimistisch zu sein.

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Translations

Häufig gestellte Fragen zum Tandemstillen:

Häufig gestellte Fragen zum Tandemstillen:

mmer daran denken: Schwangerschaft und Stillzeit sind gesunde Phasen in einem Frauenleben, kein Krankheitszustand!
Bei der Ernährung besonders zu berücksichtigen (für schwangere Stillende und Tandemstillende)

Wenn eine Mutter wohlgenährt ist, kann ihr Körper sowohl ihre eigenen als auch die Bedürfnisse des ungeborenen Kindes bzw. Säuglings und des älteren Stillkindes erfüllen. Das gilt besonders dann, wenn das ältere Stillkind zu Beginn der zweiten Schwangerschaft mindestens ein Jahr alt ist. In manchen Fällen kann der Arzt oder die Hebamme empfehlen, dass die Mutter mehr Kalorien aufnimmt und/oder Vitaminpräparate für Schwangere einnimmt.

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Translations

Häufig gestellte Fragen zum Tandemstillen:

Häufig gestellte Fragen zum Tandemstillen:

Es wird oft gesagt, dass Frauen in der Schwangerschaft keine Milchpumpen verwenden sollten. Es gibt jedoch erhebliche Gründe für die Annahme, dass das Abpumpen, genau wie das Stillen, bei einer normalen Schwangerschaft nicht zu vorzeitigen Wehen führt.

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Translations

Häufig gestellte Fragen zum Tandemstillen:

Häufig gestellte Fragen zum Tandemstillen:

Während der Schwangerschaft werden schmerzende Brustwarzen in der Regel durch Hormone verursacht. Wenn Sie dagegen in den ersten Tagen nach der Geburt des Babys Schmerzen bemerken, können Sie davon ausgehen, dass es sich um ein Problem handelt, das behoben werden muss. Auch wenn schmerzende Brustwarzen in den ersten Tagen häufig sind (am stärksten meist um den 3. bis 7. Tag nach der Geburt herum), so sind sie nicht unbedingt normal. Ein häufiges Problem, das zu schmerzenden Brustwarzen führt, ist das ineffektive Anlegen. Auch wenn Sie Erfahrung mit dem Stillen haben – Ihr Neugeborenes hat sie nicht, und Sie beide müssen das erfolgreiche Anlegen erst gemeinsam einüben.

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Translations

Häufig gestellte Fragen zum Tandemstillen:

Häufig gestellte Fragen zum Tandemstillen:

Auch wenn Ihnen dazu geraten wird, das Neugeborene immer zuerst zu stillen, so gilt dieser Rat doch meist nur für die ersten Tage, bis die Milchproduktion in Gang kommt. Davor produzieren Ihre Brüste Kolostrum für das Neugeborene (das in den ersten Wochen dann zur reifen Milch übergeht). Dieses „flüssige Gold“ ist reich an Immunfaktoren und Wirkstoffen, die den Darm des Neugeborenen auf die nachfolgende Milch vorbereiten. Da die Kolostrumproduktion nach der Geburt begrenzt ist, ist es wichtig, darauf zu achten, dass das Neugeborene zuerst trinkt und seinen Bedarf decken kann.

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Translations

Häufig gestellte Fragen zum Tandemstillen:

Häufig gestellte Fragen zum Tandemstillen:

Um die für Sie beste Position zu finden, müssen Sie einige verschiedene Haltungen und Kissen (darunter auch ein U-förmiges Stillkissen) ausprobieren. Welche Position am besten ist, ändert sich wahrscheinlich auch mit dem Größerwerden des Babys. Hier sind einige Möglichkeiten, die Sie in Erwägung ziehen sollten:

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