{"id":28227,"date":"2023-08-02T07:00:23","date_gmt":"2023-08-02T07:00:23","guid":{"rendered":"https:\/\/updates-www.mccdn.io\/vitals\/?p=28227"},"modified":"2025-06-10T18:08:49","modified_gmt":"2025-06-10T18:08:49","slug":"breastfeeding-challenges-benefits-support-nursing-moms","status":"publish","type":"post","link":"https:\/\/updates-www.mccdn.io\/vitals\/breastfeeding-challenges-benefits-support-nursing-moms\/","title":{"rendered":"The hard, the good and the unexpected of breastfeeding","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"<p>Some mothers choose to exclusively breastfeed their newborns. Others prefer a combination of breastfeeding and bottles, and some may want to supplement with formula.<\/p>\n<p>\u201cI want moms to do what\u2019s best for them and their household,\u201d says Paula Judah, LPN, RLC, an International Board-certified lactation consultant at the <a href=\"https:\/\/updates-www.mccdn.io\/find-a-location\/deaconess-hospital\/departments\/birth-center\/\">MultiCare Deaconess Hospital<\/a> breastfeeding clinic. \u201cIt doesn\u2019t have to be one or the other. We as women can be very cruel and mean to other women and judge what others do. We don\u2019t know their life, though.\u201d<\/p>\n<p>Whether it\u2019s hesitancy of the unknown with a first child, financial burdens or a busy work\/life schedule, the decision of how to feed your baby is personal.<\/p>\n<p>So, while breastfeeding is the best source of nutrition for most infants and can reduce the risk of certain health conditions in both mothers and babies, it isn\u2019t always easy.<\/p>\n<hr \/>\n<h2>The hard<\/h2>\n<h3>Learning the \u2018dance\u2019<\/h3>\n<p>\u201cBreastfeeding is very difficult, especially in the beginning. They call it a dance,\u201d Judah says. \u201cEveryone says it\u2019s natural, but in the beginning it\u2019s not something you\u2019ve done before \u2026 moms and babies have to learn together.\u201d<\/p>\n<p>The first week is always the hardest, but by the second week, most moms have rebounded from their engorgement phase and things fall into place, she says.<\/p>\n<p>Engorgement typically happens when milk production ramps up within the first few days of giving birth. The increased milk and blood supply in the breasts causes pain, swelling or tenderness.<\/p>\n<blockquote><p>&#8220;Everyone says it\u2019s natural, but in the beginning it\u2019s not something you\u2019ve done before \u2026 moms and babies have to learn together.\u201d<\/p><\/blockquote>\n<h3>Sore\/damaged nipples<\/h3>\n<p>Even the most experienced moms run the risk of sore or damaged nipples. These conditions are often a result of improper or poor latching, especially during the first few days, Judah says.<\/p>\n<p>Your baby may still be learning, have oral tethering or need to be repositioned.<\/p>\n<p>When in the womb, babies tuck their chin tight into their chest, which can weaken their neck and back muscles, Judah explains. As newborns, they may have a hard time relaxing those muscles into a correct feeding position.<\/p>\n<h3>Risk of infection<\/h3>\n<p>With damaged nipples, bacteria can enter the body and cause infection, she adds.<\/p>\n<p>The other most common way to contract an infection of the breasts \u2014 known as mastitis \u2014 is by not emptying the breast sufficiently. When milk sits and becomes stagnant, it can cause infection.<\/p>\n<p>Most infections can be treated for their physical symptoms, but more severe cases require antibiotics. The most important thing is getting the milk out and moving as much as possible, Judah says, which may mean pumping.<\/p>\n<hr \/>\n<h2>The good<\/h2>\n<h3>Health benefits<\/h3>\n<p>Most moms naturally produce the amount of breast milk their baby needs. It also reaches baby at the right temperature to promote proper digestion and avoid shocking their taste buds.<\/p>\n<p>Some of the health benefits of breastfeeding for babies include reduced risk of asthma, obesity, Type 1 diabetes, severe lower respiratory disease, ear infection, SIDS and diarrhea\/vomiting.<\/p>\n<p>Breastfeeding also lowers the risk of high blood pressure, Type 2 diabetes and ovarian and breast cancer for moms, and can promote weight loss and emotional well-being.<\/p>\n<h3>Bonding<\/h3>\n<p>As hormones fluctuate post-delivery, the risk of postpartum depression heightens.<\/p>\n<p>\u201cBreastfeeding can help stabilize some of these things and allow us to bond with our kids,\u201d Judah says. \u201cIf we can get moms to feel comfortable in their skin and with baby, it\u2019s such a nice thing to see them relax into their bed, feel that love and bond with their baby.\u201d<\/p>\n<p>Psychologically, breastfeeding can increase affection and decrease physiological and social stress. But Judah cautions that the \u201cbreast is best\u201d motto can add extra pressure during an already emotional time.<\/p>\n<h3>Cost<\/h3>\n<p>One thing Judah can\u2019t stress enough is that breast milk is free.<\/p>\n<p>As a lactation consultant for 14 years, Judah says recent formula shortages and rising costs prompt her to remind her patients that \u2014 if they\u2019re able to produce enough \u2014 breast milk is the easiest way to ensure their child is getting what they need.<\/p>\n<hr \/>\n<h2>The unexpected<\/h2>\n<h3>Each baby is different<\/h3>\n<p>\u201cSome moms just want to be perfect right away,\u201d Judah says. \u201cBut every kid is different.\u201d<\/p>\n<p>Your first child could pick up breastfeeding right away, but your second may have trouble latching for months. It\u2019s also not uncommon for boys to be more challenging than girls, she adds.<\/p>\n<p>When babies are born can also play a role in how quickly they latch or learn to self-regulate their schedule, Judah says. For example, late- or near-term babies may need to be woken up when it\u2019s time to eat, as their bodies naturally want more sleep.<\/p>\n<h3>Finding your flow and schedule<\/h3>\n<p>Getting into a groove that works for both you and baby can take some trial and error. You may plan to exclusively breastfeed and find that your baby only latches to one breast, meaning you have to pump from the other. Or maybe you want to return to work sooner, or have a partner who wants to bottle-feed at times.<\/p>\n<p>Start by consulting with your doctor or other health care provider about how much your baby is eating and their weight changes. Also track how much you\u2019re producing and how much you may need to supplement with.<\/p>\n<p>Judah cautions that over-pumping early on can trigger an oversupply of milk, which can be hard to stabilize. If you choose pumping, mimic your baby\u2019s natural feeding schedule as close as possible.<\/p>\n<p>\u201cMost moms only need to pump enough to stockpile a few days\u2019 worth as they get back to work or as babies grow and need a little more each day,\u201d she says.<\/p>\n<h3>Keep your support close<\/h3>\n<p>Like any big life change, it\u2019s important to have a close support network and lean into them as needed. Whether that\u2019s your partner, family, friends or a support group, Judah says it\u2019s important to find a network that works for you.<\/p>\n<p>\u201cSometimes we have women that have to stop breastfeeding because they don\u2019t have that support,\u201d she says. \u201cEspecially make sure you talk with your partner about how you want to feed your baby as a team before anything.\u201d<\/p>\n<p>Lastly, don\u2019t forget to research what options and support systems are in place at your work, such as private pumping rooms, and know your state\u2019s laws that protect you as a mother.<\/p>\n<blockquote style=\"font-size: 1rem\">\n<h2>Breastfeeding resources<\/h2>\n<p>It\u2019s never too early to prepare yourself for breastfeeding.<\/p>\n<p><strong>Classes (in-person\/virtual)<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/updates-www.mccdn.io\/services\/obstetrics-gynecology\/obstetrics\/postpartum-newborn-care\/breastfeeding-lactation-support\/\">MultiCare breastfeeding and lactation support services<\/a><\/li>\n<li><a href=\"https:\/\/milkology.org\/\" target=\"_blank\" rel=\"noopener\">Milkology<\/a><\/li>\n<\/ul>\n<p><strong>Online resources<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/llli.org\/\" target=\"_blank\" rel=\"noopener\">La Leche League International<\/a><\/li>\n<li><a href=\"https:\/\/kellymom.com\/\" target=\"_blank\" rel=\"noopener\">Kelly Mom<\/a><\/li>\n<li><a href=\"https:\/\/www.aap.org\/en\/patient-care\/breastfeeding\/\" target=\"_blank\" rel=\"noopener\">American Academy of Pediatrics<\/a><\/li>\n<\/ul>\n<p><strong>Books<\/strong><\/p>\n<ul>\n<li>\u201cThe Nursing Mother\u2019s Companion\u201d by Kathleen Huggins\n<div class=\"hHq9Z\">\n<div data-hveid=\"CAoQAA\" data-ved=\"2ahUKEwj-2rq1uOeNAxVYLTQIHU_gBOUQlcAGegQIChAA\">\n<div class=\"KsRP6\">\n<div class=\"MDY31c\">\n<div class=\"nwVKo\">\n<div class=\"r2VLS WAvXif\">\n<div data-ias=\"false\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"GRl5yb a8pxAe\">\n<div><\/div>\n<\/div>\n<\/li>\n<li>\u201cThe Womanly Art of Breastfeeding\u201d by Diane Wiessinger, Diana West and Teresa Pitman<\/li>\n<li>\u201cBestfeeding: Getting Breastfeeding Right for You\u201d by Mary Renfrew,\u00a0Chloe Fisher and\u00a0Suzanne Arms<\/li>\n<li>\u201cWhat to Expect When You\u2019re Expecting\u201d by Heidi Murkoff<\/li>\n<li>\u201cWhat to Expect the First Year\u201d\u00a0by Heidi Murkoff<\/li>\n<\/ul>\n<p><strong>Laws<\/strong><\/p>\n<ul>\n<li>Federal \u2014 <a href=\"https:\/\/www.dol.gov\/agencies\/whd\/fact-sheets\/73-flsa-break-time-nursing-mothers\" target=\"_blank\" rel=\"noopener\">Fair Labor Act<\/a><\/li>\n<li>Washington state \u2014 <a href=\"https:\/\/apps.leg.wa.gov\/RCW\/default.aspx?cite=43.70.640\" target=\"_blank\" rel=\"noopener\">RCW 43.70.640<\/a>, <a href=\"https:\/\/apps.leg.wa.gov\/rcw\/default.aspx?cite=49.60.030#:~:text=(g)%20The%20right%20of%20a,accommodation%2C%20assemblage%2C%20or%20amusement.\" target=\"_blank\" rel=\"noopener\">RCW 49.60.030(1)(g)<\/a> and <a href=\"https:\/\/app.leg.wa.gov\/RCW\/default.aspx?cite=49.60.215\" target=\"_blank\" rel=\"noopener\">RCW 49.60.215(1)<\/a><\/li>\n<\/ul>\n<\/blockquote>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"<p>Some mothers choose to exclusively breastfeed their newborns. Others prefer a combination of breastfeeding and bottles, and some may want to supplement with formula. \u201cI want moms to do what\u2019s best for them and their household,\u201d says Paula Judah, LPN, RLC, an International Board-certified lactation consultant at the MultiCare Deaconess Hospital breastfeeding clinic. \u201cIt doesn\u2019t [&hellip;]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":115,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[99,115],"tags":[],"class_list":["post-28227","post","type-post","status-publish","format-standard","hentry","category-primary-care","category-womens-health"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.6 (Yoast SEO v27.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Common breastfeeding challenges and tips - MultiCare Vitals<\/title>\n<meta name=\"description\" content=\"How to feed your baby is a personal choice. 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