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Using the Cozy Cuddles Nursing Pillow for Premature Babies

Here’s a question from Kirsten in Barrie, ON:

Q:  I have a preemie born at 26 weeks, he’s now 33 weeks and I hope to start NNS (Non-Nutritive Sucking) in the next 2 weeks.  Do you recommend a position best for preemies?

A:  Thank you for your question, Kirsten!  For those reading this blog who are not familiar with the term ”Non-Nutritive Sucking” for premature infant the practice of allowing a premature infant who has not yet developed the ability to nurse at the breast to become familiar with the idea of nursing.  In the womb, around 32 weeks gestation, the fetus begins to display bursts of sucking, so when a preemie reaches this age they may be ready to begin spending time at the breast.  There will be no intake of milk, but often what happens is that babies “lick and sniff”, and may latch on briefly and then fall off.  All this is very beneficial for Mom and preemie, as NNS helps digestion of the feeding (still given by tube), promotes better sleep and calmness, as well as giving the baby a very pleasant feeling of being at the breast which makes the transition to full breastfeeding later much easier.  It also increases milk production for Mom.

The positions most use at this time are cross-cradle and football hold.  With cross-cradle on the left breast, you hold your left breast with your left hand (with thumb above the areola and fingers beneath) and you lay the baby across your lap tummy-to-tummy with you and support the baby’s head with your right hand.  This allows you to support his head more, and gives you more control to guide him to your nipple.  You just reverse this hold when you use the right breast.

With the football hold on the left, tuck the baby under your left arm and support his head with your left hand, while holding your breast with your right hand, reversing this when you feed on the right.

For both positions, the Cozy Cuddles Nursing Pillow will really help to support the baby’s body and prevent back and neck strain for you.  All the best to you and your little boy!  I’m sure that in the next few weeks he will graduate to being able to fully breastfeed and you’ll be a happy breastfeeding couple!

Originally posted 2016-09-10 08:30:10.

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Help! Soreness has returned!

Here’s a question from Jade in Sudbury:

Q: My baby’s a month old and has been nursing well. The nipple tenderness I felt at the beginning went away – until now! I feel a shooting pain when she nurses on one side that lasts throughout the feeding, and after as well. The baby often fusses during a feeding and pulls away. I noticed that the milk seems to be curdling in her mouth – it looks like cottage cheese on her tongue! Is this normal in the heat of the summer?

A: What you’re describing, Jade, sounds like a yeast infection, commonly known as “thrush”. It’s caused by the fungus candida albicans and fortunately can be treated by a topical anti-fungal medication you can get from your doctor. (More details: You’ll both need to be treated, as the infection passes between you – that is likely what is causing the white coating on her tongue and your nipple pain. It can also pass through the digestive tract and cause diaper rash, which will also need to be treated.

Nancy Lahn RN

Developer of the Cozy Cuddles Nursing Pillow

Originally posted 2015-09-10 16:06:38.

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How long can I keep expressed breastmilk in the refrigerator?

Here’s a question from Sandy in Ingersoll, Ontario:

Q: If I’m unable to breastfeed immediately, how long can I keep my expressed breastmilk in the refrigerator? And if I take it in a cooler, how many hours is it safe to use?

A: Good question, Sandy! Here’s a handy guide for the safety of expressed breastmilk:ColdThermometer

  • Room temperature (less than 25 degrees C) for 6-8 hours
  • Refrigerator (<4 degrees C) for 5 days
  • Freezer of a 2-door refrigerator (-18 degrees C) for 3-6 months
  • Freezer of a deep freezer – chest or upright (-20 degrees C) for 6-12 months
  • When travelling, carry expressed breastmilk in cooler bag with ice packs and use within 24 hours


Nancy Lahn RN
Developer of the Cozy Cuddles Nursing Pillow

Originally posted 2015-04-07 16:35:44.

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Will I Be Able To Breastfeed?

I teach prenatal classes regularly, and here’s a question we hear all the time from expectant moms…

Q: How do I know if I will be able to breastfeed my baby?

A: While pregnant women may doubt their ability to feed their babies, your body assumes that you will breastfeed and begins to prepare for it right from the day you conceive! The milk production tissues and ducts develop throughout your pregnancy, and it is estimated that 97% of women are physically capable of producing all the milk their baby will need. The key is ensuring that the baby latches well to the breast so that he/she can access the wonderful milk that you have!

Originally posted 2017-06-21 11:27:22.