Ask Judy: Should I Pump?

My son is still nursing at least twice a day at 20 months: long one at wakeup time and variably at bedtime (20 min to 1 hour depending on his mood). I work part time, so we also nurse for naptime on the days I am with him.

Next week, I need to work . . . → Read More: Ask Judy: Should I Pump?

Ask Judy: How Can I Prevent Mastitis?

Dear Judy, I have a breastfeeding question. Every time we drive in the car for long spells, my daughter doesn’t nurse as often. I have been getting these crazy bouts of mastitis. It’s not just a surface plugged duct, its a sudden, deep plug that hurts worse than you can imagine. I don’t know . . . → Read More: Ask Judy: How Can I Prevent Mastitis?

Ask Judy: My Nipples Are Blanched After Breastfeeding

Dear Judy, We had my son’s tongue tie clipped and he is eating better now, but now I have blanching on my nipples? Do you think this might be from shallow latch? Or a forceful letdown? Do you have any advice?

I am so happy to hear that your son is nursing better now . . . → Read More: Ask Judy: My Nipples Are Blanched After Breastfeeding

How Do I Know What Size Nursing Bra To Get?

I am currently pregnant and would like to purchase some nursing bras. My current bras don’t fit me well anymore, but I still have 6 weeks before my baby arrives. What size nursing bra should I purchase?

You should always purchase a bra that is going to fit you now. If your current bras . . . → Read More: How Do I Know What Size Nursing Bra To Get?

Ask Judy: Has My Baby Weaned?

Dear Judy. So as you know we recently moved. The move allowed us to put our two older boys in the same room, giving the baby his own room. So the other night we set his crib up and let him sleep there. He ended up sleeping from 9:30 pm to 9 am! Needless . . . → Read More: Ask Judy: Has My Baby Weaned?

Ask Judy: Breastfeeding An Adopted Baby

Dear Judy, I noticed that your signature says you are a doctor and since your blog is about breast feeding do you mind if I pick your brain a little? I was wondering if you had any info on starting to nurse a baby at four months old – we are adopting and expect the baby to come home at about four months old since I had an oversupply when my daughter was born I have worked at keeping it up and know i have enough milk but I wonder how easy/difficult it will be for the new baby to latch and nurse. Do you have any thoughts?

Thanks for writing to Mommy News & Views! How exciting that you will be getting an adopted baby and how wonderful that you will be able to breastfeed him. Most of the difficulties that moms have with adopted babies is getting their milk supply established – so you already have that one figured out. I would suggest calling your local LLL or a lactation consultant for tips on getting the baby to latch on. Since he will be 4 months old, he is going to be used to taking a bottle and it may be difficult for him to latch. I would recommend the following tricks:

      1) The taste of breastmilk is going to be different than formula, so he may not like it at first. Try giving it to him in a bottle first to see if he minds the taste at all. If he does, you may have to gradually get him used to it by mixing it 50-50 with formula and then slowly lowering the amount of formula and increasing the amount of breastmilk.
      2) When you feed him with the bottle, hold him close and tilt him toward you so that he gets used to the position he would be in if he were nursing.
      3) Try to get him to latch. He probably won’t know how to. You can start by making sure his lips are flanged well on the bottle and get a good latch there and then try on your body. He may take to the breast without a problem, but it is more likely that he won’t recognize the texture and may not even know to suck. You may need to resort to using a nipple shield (read these two posts for more info: Does My Son Have Nipple Confusion Continue reading Ask Judy: Breastfeeding An Adopted Baby

Judy’s Advice: Use Gradual Adjustments To Alter Your Baby’s Sleep Times

So I know that at 10 months, my daughter does not physically “need” to be fed during the night, but I have a dilemma. She is in bed early at 6pm. I nurse right before bed and she is put in the crib awake and usually goes to sleep without much protest. She stays . . . → Read More: Judy’s Advice: Use Gradual Adjustments To Alter Your Baby’s Sleep Times