Features > Geraldine Miskin > Breastfeeding in the real world....One breast or two?
Breastfeeding in the real world....One breast or two?
November 23, 2008 14:56 Published by Geraldine Miskin 6 Comments
I am a little frustrated this afternoon having returned from a day in the community helping mums with breastfeeding related problems. I guess the most frustrating thing of all is that so many of these problems could have been avoided if the mums had been given the correct advice or advice that is suitable to the two of them as a unique breastfeeding dyad. So I think we should have a chat about the advice mums are given and how this could apply to you or maybe not.
One breast or two? Is a popular question with mums on my Breastfeeding Workshops. The answer is not as straight forward as many other health professionals seem to think it is and here is why. Firstly, your breast shape and size is not going to be the same as the lady next door or the lady down the road, so how can we honestly expect the same feeding routine to suit all three of you? Whilst we know that breast size has little to do with the amount of milk you will produce, it does however give us an indication of how much milk you are able to store. So how does this relate to you and your breast size and shape and your baby?
If you have small breasts, you may need to feed more frequently or at least every three hours and probably from both breasts. However it is important to remember that small breasts do not always equate to frequent feeds.
If you have larger breasts you may find that your baby is able to take bigger feeds from only one breast and is satiated and content.
There are times when things will change and larger breasted mums find themselves feeding frantically off both breasts at each feed, and this may very well be normal. Remember that there is another little person involved in this equation and this little person may be very hungry or not so interested. Amazing this will vary from baby to baby and also from feed to feed.
So with all this under our buckles, when do we absolutely offer both breasts to baby? Well I am sure that many of you will have been told to do so ‘When your breast is empty’ but has anyone ever told you how you know when that is? No, thought not. You have to look at your baby. We know that milk composition changes from the beginning of the feed to the end of the feed and we call this foremilk – hindmilk transition. It is important to know that this is a gradual change and a notable difference is that the fat content increases and slows down the rate of flow of the milk. So, when you are looking at your baby feeding, pay attention to how many sucks he is doing before he swallows. If it is one or two, he has probably just gone on or you have quite a lot of milk. If he is doing closer to twenty sucks with no swallows, we can assume that he is working to get the calorie rich hindmilk. When he is doing lots of little sucks and no swallows, do some breast compression. This should result in a manual let down. If it doesn’t and baby is still not doing any swallows, you can assume that the breast is empty. If your baby is still awake, offer him the second side. Remember, if your baby’s poos are yellow he is getting to the hindmilk. If he wasn’t getting to the hindmilk, his poos would be spinach green. If this is the case, feed him from the first breast for a longer period before offering the second breast and seek professional help.
