Category: Ask Nurse Nancy

Here’s a question from Jayne in Kincardine, ON:

Q: Can my son be nursing too often? He is 5 days old today, and seems to want to nurse constantly. He nurses and seems to settle, but when I put him down he starts fussing again. He’s making lots of diapers but I’m wondering why he does this – I don’t remember my first son (now 2 ½ ) doing this. I feel so worn out from running after my toddler and nursing all the time!

A: Sounds like you’ve got a lot on your plate, Jayne! Looking after a newborn and a toddler is challenging, especially as you’re recovering from childbirth. Your newborn is engaging in what is known as “cluster feeding”, which means he feeds frequently to signal your breasts to bring in your mature milk. This is a gradual process, and it sounds like your milk is coming in, if he is making “lots of diapers” as you say. A rule of thumb for wet diapers is to expect one on day 1, two on day 2, three on day three and so on until day 6 and onwards when you’re looking for 6-8 soaking wet diapers and multiple stools.

It may be that your fatigue in parenting both children is contributing to the baby’s fussiness. For now, be sure to let all non-essentials like cleaning and phone calls go. A great time to order in food or call in favours from friends who have offered to cook or to spend time with your toddler. Lie down to feed the baby as much as possible to increase your rest time. Hang in there – this phase won’t last long!

Nancy Lahn RN

Developer of the Cozy Cuddles Nursing Pillow

Originally posted 2017-01-07 22:19:45.

We were sent a very interesting article today, by Dr. Tim Lahn, that shows what happens when breast milk is introduced into a petri dish along with bacteria.  The start of the article reads…

“Breastfeeding has been shown to be a health boon for both babies and moms, improving everything from an infant’s immune system to a mother’s heart heath. But studies are one thing; photos of experiments posted for the world to see on Facebook are another. Seeing is believing, after all.

“This viral image, which shows droplets of breast milk placed inside bacteria-infested petri dishes, has mesmerized the internet about the potential benefits of breastfeeding:

“The image was posted by Vicky Greene, a first year biosciences student at South Devon College in Paignton, England, as part of a microbiology research project. It shows a collection of petri dishes that contain the bacteria M. luteus. The bacteria grows abundantly everywhere in the dishes except where there are white splotches in the middle. Those white splotches are, of course, droplets of breast milk, each from different breastfeeding stages.”

To see the full article click on this link … http://www.mnn.com/family/babies-pregnancy/stories/petri-dish-experiment-shows-amazing-powers-breast-milk

More proof that breast feeding is the best choice for your baby!

Originally posted 2017-02-10 19:42:12.

Here’s a question from Roxanne in Toronto, ON:

Q: My daughter is a month old now and I’m breastfeeding her – my problem is that I think I have TOO much milk! When she latches on and the milk lets down, she seems to pull away and fuss, as if it’s too much for her. I also notice that her stools are often greenish, and they irritate her skin. What can I do to help with this problem?

A: Yes, it sounds like you have an abundant milk supply, Roxanne, which is great but it can be a bit daunting for a newborn! The cause of the problem is usually a combination of an overactive letdown reflex, and an imbalance of foremilk (the more watery, sweet milk at the beginning of the feeding) to hindmilk (the milk more rich in fat at the end of the feeding). In the course of a feeding, the milk gradually changes from more watery to fat-rich. If a mother with an over-abundant milk supply feeds at both breasts, the baby may receive a higher than normal proportion of foremilk, which can result in the greenish, irritating stools. It may help to offer the baby only one breast at a feeding. One breast will supply all she needs at a feeding, and the ratio of hindmilk will be higher.

Also, you can try positioning the baby so that gravity helps to slow the milk flow rate. The fastest flow rate will be when Mom is sitting up, so try lying on your side, or on your back with your head supported with a pillow (your Cozy Cuddles Nursing Pillow is perfect for this!) and with baby resting on your chest. If the milk sprays with let-down, try catching it with a towel until it slows down, and then latch the baby on. Try to avoid pumping or hand expression – if you do this for comfort, limit it to a few seconds as this will encourage more milk production.

The good thing is that as your baby matures, she will regulate the flow and will become accustomed to your abundant milk supply!

Nancy Lahn RN

Developer of the Cozy Cuddles Nursing Pillow

Originally posted 2016-11-16 13:09:43.

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: www.PharmaWatchDogs.com) 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.