Nutrition and Breastfeeding

Optimum growth during childhood and good nutrition go hand in hand.  Common problems during this age include newborn feeding problems, breastfeeding problems, food allergies, feeding difficulties, excessive or inadequate weight gain, and nutritional deficiencies.  Each age has unique nutritional issues to address. These links will provide useful information to help you insure that your child is getting what they need.

Important information:

  • Lakeside Pediatrics Breast Feeding Recommendation, Click Here.
  • Lakeside Pediatrics Feeding Handout, Click Here.

Breast Feeding Resources:

Lakeside Pediatrics is proud to be a breastfeeding friendly practice. We promote and support breastfeeding at our practice and in the community. Our board-certified lactation consultants (IBCLCs) provide skilled education and counseling for new mothers.
All experts agree that breast milk is the BEST milk for babies. Breastfeeding can be challenging sometimes, especially in the early weeks. Call us if you are struggling, we can help. Listed below are some common questions and concerns:
Why is breast milk the best nutrition for my baby?
• It’s free
• Decreases risks of serious health conditions such as: allergies, asthma, eczema, ear infection, obesity, childhood cancers, and diabetes
• Strengthens the newborn immune system and enhances brain development
• Reduces the risks of SIDS
• A newborn stomach is perfectly designed to digest breastmilk which reduces fussiness, spitting up and reflux.
Who can I call for breastfeeding help?
• Lakeside Pediatrics- Call today to schedule a lactation appointment
• La Leche League of Lakeland- trained volunteers and bi-monthly meetings
How big is my baby’s stomach?
• Day 1: the size of a marble or about a teaspoon per feed (5ml)
• Day 3: the size of a larger marble or about 3 teaspoons per feed (15ml)
• Day 7: the size of a ping pong ball or about 6 teaspoons per feed (1oz)
Is my baby getting enough even if my milk is not in yet?
• YES!
• Colostrum is the first food a baby gets and is just enough for the size of the infants stomach
• At this stage, your baby may want to eat very frequently and this is expected
• Colostrum is full of antibodies that protect the baby from diseases
How do I know if my baby is latching well?
• You should not have significant pain after the baby starts drinking
• You can see the baby’s lips pressed open on the breast
• You can hear swallowing as the baby begins to drink
• the baby’s chin will be pressed against the breast allowing the head to tilt back and the jaw to move while the baby swallows
How often do I need to feed my baby?
• Each time your baby gives a feeding cue, offer the breast
• Feeding cues are hands to the mouth, opening the mouth when the cheek is touched, fussing
• This may be very frequently or happen in cluster periods- sometimes as often as every 30 minutes
• During the first few weeks of life, feed the baby at a minimum of every 2-3 hours
• You cannot feed your baby too much or too often when you are breastfeeding!
Should I use a pacifier?
• This is not recommended for the first month of life
• Sucking on a pacifier may change the way the baby latches to the breast
• Pacifier use can cause a delay in weight gain because the baby could “pacify” through a feeding
How will my baby eat while I am at work?
• When you are working the baby will take expressed breast milk take milk from a bottle
• It is best to start introducing a bottle about 1 month of age
• It is best for you to pump while you are working at times close to when the baby will eat
• There are laws in Florida that mandate employers to allow you time to pump and a clean space
What if my baby refuses a bottle?
• Attempt feeds from a bottle when the baby gives a hunger cue, not on a schedule
• Some babies do best taking a bottle in an upright position
• Switch sides midway through a feeding just as the mother does from the breasts
• Make the feedings from the bottle last about 20 mins
• Attempt to have the feedings similar to the breastfed rhythm
• Smaller yet more frequent feedings are encouraged rather than a large bottle with hours between the next feed are encouraged
• Try different types of nipples
What breast pump should I rent/buy?
• Private insurance companies are providing many mothers with electric breast pumps, call the insurance company to find about getting a pump.
• WIC is also helpful in determining if a pump is necessary
• There are several places in town that can rent a hospital grade breast pump
Can I take medicine while breastfeeding?
• Many medications are safe to use while breastfeeding
• Unfortunately many doctors and pharmacists are not comfortable giving appropriate advice on the safety of a medication to take while breastfeeding
• Please call our office so we can provide you with the safety information about a medication if necessary
How can I get enough sleep?
• Sleep when the baby sleeps
• It is important to take time in the day to nap with the baby
• Infants do not know a day and night pattern and may have wakeful periods in the night which is expected
• Try not to plan activities in the first 4 weeks that are outside the home which prevent you from resting in the day and also expose the infant to unnecessary germs
If I do not eat well or enough will this affect my milk supply?
• Eating well balanced meals with a few snacks in between will help to maintain your energy and milk supply
• Many times in the early weeks mom’s do not feel hungry. It is important to have some nutritious snacks available
• Having a support person that will help feed you while you feed the baby is important
Do I need to avoid any foods while breastfeeding?
• Most foods a mom eats do not cause problems with the baby
• If you feel like a certain food causes a problem, schedule an appointment with the lactation counselor to discuss this further
What are some helpful resources for me?
www..facebook.com/LLLLakeland/
• www.kellymom.com
• www.makingmoremilk.com
• www.LactationStationLakeland.com
• www.dol.gov/whd/nursingmothers/

Breastfeeding Video:  globalhealthmedia.org/videos/breastfeeding/

References:
Huggins, K. (2005). The nursing mother’s companion. Boston, MA: Harvard Common Press.
Lawrence, R. A., & Lawrence, R. M. (2005). Breastfeeding: A guide for the medical profession. St. Louis:
Mosby.

Lakeside Pediatrics has the distinction of being awarded the 2016 IBCLC Care Award “for the excellence demonstrated in staffing International Board Certified Lactation Consultants as part of our maternal-child health care team, and for conducting activities that demonstrate promotion, protection, and support of breastfeeding”.  We are proud that we have providers on staff to knowledgeably guide and assist you with any and all breastfeeding questions and concerns.

General Nutrition Resources: