Here’s a question from Dianna in Leamington, ON:

Q: Help! My baby is two weeks old now, and has been nursing well, but I’m noticing a real change in my breasts. Last week, my breasts were so full and hard, and now they’re a lot softer even though he’s nursing every couple of hours. Is my milk decreasing?

A: What you describe, Dianna, is very normal. When your milk began to come in last week (usually day 2-3) it sounds like you experienced engorgement, which is a combination of your milk changing from colostrum to mature milk, and accompanying swelling from increased blood flow to the breasts. After a couple of days of frequent nursing, the swelling reduced and you continued to produce milk at the rate that your baby needs. This more efficient production means that your breasts become softer and more comfortable, and baby gets all the milk he needs. As long as he’s producing regular bowel movements and 6-8 wet diapers per day, all is well!

Originally posted 2015-11-27 11:31:43.

Here’s a question from Danielle in Thornhill:

Q: Everyone’s talking about the Canadian government’s plan to legalize marijuana use. My friends all say it’s harmless – but can it have an effect on the baby if a woman uses it while pregnant or breastfeeding?

A: So glad you asked this question, Danielle. There’s a lot of misinformation out there about marijuana (cannabis), and many people are not aware of the long-term effects on babies, children and teens/young adults. There is no known safe amount of cannabis use in pregnancy and when breastfeeding.

Cannabis smoke contains many of the same harmful chemicals (over 700 of them) found in cigarette smoke. It can reduce the oxygen supply and nutrients to the fetus, and can affect the newborn with lower birth weight, lower alertness and slower growth rate. It can also cause a decreased ability for the baby to self-soothe and make them more irritable and have sleep disturbances. As the child grows, studies have linked maternal cannabis use to poorer memory and verbal reasoning skills, hyperactivity and attention deficit disorder (ADD), learning disorders, and also depression and anxiety.

When a breastfeeding mother uses cannabis, the chemical THC (the ingredient that makes the user feel “high”) passes into the breast milk and is taken into a baby’s fat cells and brain. It can be stored for weeks, and research has shown that it can cause slower motor development in the baby.

Research has shown that a young person’s brain is continuing to develop into their mid twenties. Cannabis use has been shown to cause reduced school performance, delinquency problems, hyperactivity, impulsivity and inattention.

Being high while parenting can affect your interaction with your child, causing you to miss your child’s cues for hunger, their need to be comforted, or to play and learn. It can also affect your ability to judge correctly and to be alert to situations that are dangerous to your child.

So as you can see, Danielle, you are right to be concerned about cannabis use during pregnancy and breastfeeding, during the parenting years and also about the effects upon our teens and young adults who use it. Contrary to what your friends have told you, it is far from “harmless”.

Nancy Lahn BScN
Developer of the Cozy Cuddles Nursing Pillow

Originally posted 2017-07-11 18:00:45.

Since we get this question, and hear these comments, a lot, I thought it would make sense to re-publish this question from nearly a year ago…

Here’s a question from Debbie in Niagara Falls, ON:

Q: My baby is due soon. I’ve heard that most mothers don’t have enough milk for their babies in the first 3 days after birth. Is this true?

A: No, Debbie, that’s not true – right now, you have colostrum that will be there for your baby right after birth. Colostrum, or “first milk”, is perfect for your newborn – it is thick, yellowish in colour, and packed full of nutrition and antibodies. It is so concentrated and full of energy that your baby only needs a small amount to meet all of his or her needs. As your baby latches on frequently and receives your colostrum, your body will be stimulated to produce your mature milk, which begins to come in on the second or third day after birth.

Originally posted 2015-02-23 10:58:22.

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

Q: My baby is four days old. The nurses at the hospital said she has a good latch (we’ve been home for two days now), but my nipples are getting so sore! Is there some kind of cream that will help?

A: You mentioned that the hospital nurses said your baby is latching well – it would be good to confirm this by going back to the breastfeeding clinic at your hospital or Public Health clinic, since a proper latch is critical in avoiding nipple trauma. It is normal to experience some tenderness in the early days of breastfeeding, but pain that does not lessen in the first few seconds after latching can be a sign of other problems, including an improper latch. If the latch is determined to be correct, an excellent nipple ointment is available called APNO – All Purpose Nipple Ointment”. It was developed by Dr. Jack Newman, world-renowned breastfeeding expert whose clinic is right in your hometown of Toronto, Connie! APNO is made up of four ingredients that have been shown to treat a wide variety of nipple problems – you can learn more about it at http://www.breastfeedinginc.ca/content.php?pagename=doc-APNO.

Originally posted 2013-10-01 11:46:14.