So-called Breastmilk Jaundice

See the article on early onset jaundice.   So called “breastmilk jaundice” is considered abnormal by many physicians, perhaps even the majority of physicians.  Even those who understand that it is usually normal for babies of 3 or 6 weeks of age to have visually obvious jaundice,...

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Once sided feedings or two?

Many mothers are now being advised to feed the baby on one breast at a feeding only.  Though the number who email me about breastfeeding problems varies, usually, on any given day 25% of mothers experiencing breastfeeding problems are feeding the baby on just one...

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Domperidone

Domperidone can be very useful to increase the mother’s milk supply and, more importantly, milk flow from the mother to the baby.   An important point: If all mothers had the best start with breastfeeding from the very start, as few interventions as is reasonable during labour and...

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When the baby does not yet latch on

When a baby does not latch on, it can be very distressing for the mother, her partner, for the hospital staff, and for the rest of the family. A baby who does not latch on represents the third most common problem we see in our clinic, not far...

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Is My Baby Getting Enough Milk? (Part 2)

Our approach to increasing the baby’s intake of breastmilk when the baby is not getting as much as we would like is based on four principles:   1. When breastfeeding goes well it is easy and pleasant for the mother and the baby. When breastfeeding is not...

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Using a lactation aid to supplement

Supplementing breastfeeding with a lactation aid at the breast   Many mothers feel, rightly or wrongly, that they do not produce enough milk for their babies and end up supplementing their babies with donated breastmilk or formula. Their belief usually starts immediately after birth because in too...

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Breastfeeding the premature baby: Part 2

Premature babies cannot start going to the breast until 34 weeks gestation?   This is simply not true. Experience and evidence from Scandinavia clearly shows that babies can go to the breast well before 30 weeks gestation and as early as 27 weeks gestation.  Not only can...

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