Breastfeeding Questions


If you would like to submit your own question to be answered click here.  For more information on breastfeeding, please visit GBMC's Lactation Services.

General Questions


I would like to know what can I do to adequately prepare for breastfeeding. I am 27 weeks and a little concerned because with my first child I was told I had inverted nipples which made it difficult for her to latch on and she would not feed for a consistent period of time. I tried to breastfeed for a week and a half but eventually went straight to using the breast pump for 6 weeks because after 3 days she became dehydrated and had to go back in the hospital for 3 days. I tried different techniques but she was so impatient and would not latch on. I decided to just use the pump but my milk supply decreased more and more and my nipples started cracking, hurting and peeling as the weeks went by so I switched to just formula. Is it possible I will not have the same problem again because I would like to breastfeed for as long as possible? Is there anything I can do to be proactive?

Marla Newmark, IBCLC, RN, BSN writes... 

It is great that you are being so proactive this time.  Unfortunately, there is not too much you can before your baby is born.  READ, READ, READ.  Know that breastfeeding takes time, patience, practice and work to establish effectively.  When you are in the hospital ask for all the help you can get. 

If you need to pump know that one must pump 8-10 times in 24 hours in the beginning to build up a good milk supply.  (You know supply and demand.  If you do not use it you will lose it.)   Make sure that you are using a hospital grade pump (most efficient) and that the flange fits correctly.  Most breast pumps come with a set of breast pump flanges. The breast pump flange is typically a 24-27 mm size breast pump flange, which are average sizes.  Not all women fit into these sizes.  Most companies sell various size flanges.  To tell if you have the correct breast pump flanges:

  1. Your nipple should move freely in the tunnel of the breast pump.
  2. Your areola should have little or no tissue inside the tunnel of the breast pump.
  3. You should not be able to feel areas of the breast that still have milk inside. (Uneven removal of milk.)
  4. You should not experience pain in your nipple.
  5. You should not see a white circle at the base of the nipple, nor should your nipple blanche.

If you don't have the right size, you will want to see if your breast pump came with other flanges or if you will need to order flanges.  Not having the right size breast pump flange can result in problems. One problem is that you will not be getting the most amount of breast milk possible. The other potential problem is actually causing nipple damage like rub marks and cuts on the nipple.  

You might want to do Revers Pressure Softening to help soften the tissue around nipple making it easier for baby to grasp.

Reverse Pressure Softening
K. Jean Cotterman RNC, IBCLC (

What is it?

Reverse pressure softening is a new way to soften the circle around your nipple (the a-re-o-la) to make latching and getting your milk out easy while your baby and you are learning. Latching shouldn't be painful. If your areola is soft enough to change shape while feeding, it helps your baby gently extend your nipple deep inside his mouth, so his tongue and jaws can press on milk ducts under the areola. (These motions differ from those that artificial nipples force a baby to use.)

This new method is not the same as removing milk with your fingers. Don't expect milk to come from your nipple while you soften your areola this way. (But it's OK if some milk does come out.)

When is it helpful?

Try reverse pressure softening in the early days after birth if you begin to notice firmness of the areola, latch pain or breast fullness. (This full feeling is only partly due to milk. Delayed or skipped feedings may also cause the tissue around your milk ducts to hold extra fluid much like a sponge does. This fluid never goes to your baby.) Intravenous (IV) fluids, or drugs such as pitocin may cause even more retained tissue fluid, which often takes 7-14 days to go away. Avoid long pumping sessions and high vacuum settings on breast pumps to prevent extra swelling of the areola itself.

Feel your areola and the tissue deeper inside it. Is it soft and easy to squeeze, like your earlobe or your lip? Or does it feel firmer and harder to compress, like your chin? if so, it's time to try reverse pressure softening just before each time you offer your baby your breast. (Some mothers soften their areola before feeding, for a week or longer, till swelling goes down, baby can be heard swallowing milk regularly, and latching is always painfree without softening first.)

Why does it work?

Reverse pressure softening briefly moves some swelling backward and upward into your breast to soften your areola so it can change shape and extend your nipple. It sends a special signal to the back of your breasts to start moving milk forward (let-down reflex) where your baby's tongue can reach it. It also makes it easy to remove milk with your fingertips or with short periods of slow gentle pumping, combined with gentle forward massage of the upper breast, if you need to remove milk for your baby.

Where should I press?

It is most important to soften the areola in the whole one-inch area all around where it joins your nipple. Soften even more of the areola if you wish. You may also want to soften a place where your baby's chin will be able to move easily against the breast. Reverse pressure softening should cause no discomfort.

How do I do Reverse Pressure Softening?
K. Jean Cotterman RNC, IBCLC (
Illustrations by Kyle Cotterman, Dayton, Ohio

  • You (or your helper, from in front, or behind you) choose one of the patterns pictured.
  • Place the fingers/thumbs on the circle touching the nipple.
  • (If swelling is very firm, lie down on your back, and/or ask someone to help by pressing his or her fingers on top of your fingers.)
  • Push gently but firmly straight inward toward your ribs.
  • Hold the pressure steady for a period of 1 to 3 full minutes.
  • Relax, breathe easy, sing a lullaby, listen to a favorite song or have someone else watch a clock or set a timer. To see your areola better, try using a hand mirror.
  • It's OK to repeat the inward pressure again as often as you need. Deep "dimples" may form, lasting long enough for easy latching. Keep testing how soft your areola feels.
  • You may also press with a soft ring made by cutting off half of an artificial nipple.
  • Offer your baby your breast promptly while the circle is soft.

One handed "flower hold."
Fingernails short,
fingertips curved,
placed where baby's
tongue will go

Two handed, one-step method.
Fingernails short,
fingertips curved,
each one touching
the side of the nipple

(You may ask
someone to help
press by placing
fingers or thumbs
on top of yours.)

Two step method, two hands,
using 2 or 3 straight fingers
each side, first knuckles
touching nipple. Move ¼ turn,
repeat above & below nipple

Two step method, two hands,
using straight thumbs, base
of thumbnail even with side
of nipple. Move ¼ turn, repeat,
thumbs above & below nipple

Soft ring method.
Cut off bottom half
of an artificial nipple
to place on areola to
press with fingers

© 2004 Lactation Education Consultants. May be reproduced for non-commercial purposes

I was wondering if I would receive a hand pump from the lactation specialist before I leave the hospital? I do know that they do give them out at certain hospitals.

Marla Newmark, IBCLC, RN, BSN writes...

GBMC does not routinely issue breastpumps to patients.  If there is a medical need for the use of a breastpump (ie: baby not feeding well, baby and mother separated, etc., we do give breast pumps.  Here at GBMC we use the Ameda brand breast pumps.  The "kit" we give out has the Ameda hand pump as well as all the pieces that connect to any Ameda electric pump.

Hope that this information is helpful.  If there is anything else we can help you with please contact us again.



Hello. I was wondering how much the fee is for a one-on-one lactation consultation?

Marla Newmark, IBCLC, RN, BSN writes...

A consult is done by appointment only. It costs $80.00 for a hour consult. Please call if you have any questions/concerns.



I am 23 weeks pregnant with my second baby. In 1998 (age 17), I had a breast reduction. My daughter was born in 2009, and I was somewhat able to breastfeed, although I had to supplement with formula because I never made enough milk. From birth (when they did her Apgar), she had a poor sucking reflex. At a visit with a LC when my daughter was nearly four weeks old, she pulled less than 1/2 ounce of milk in 20 minutes of nursing (based on the weigh-feed-weigh technique). By that point, my milk supply had dropped so much from her lack of pulling milk that I was never able to get it back up even with other interventions (pumping, Fenugreek, Reglan). Of course, it's impossible to tell how much of the issue was due to my daughter's poor suck and how much was due to the breast reduction. I very much want to nurse my second baby and wonder if there is anything I can be doing during the last trimester to better prepare my body for breastfeeding. Also, I wonder if you have any suggestions as to how I can avoid the same difficulties I experienced last time, leading to a drop in supply that could not be fixed by the time it was caught (e.g. pumping after each feeding from birth to increase supply, getting a scale at home to do weigh-feed-weigh to be sure the baby is eating, etc.). Thank you for your help.

Marla Newmark, IBCLC, RN, BSN writes...

It is great that you are being so proactive. The good news is that with each time we are pregnant our bodies lay down "ductal work." So maybe with a very interested and cooperative baby you will be able to make plenty of milk. We can start you pumping as soon as you are up to it.

The main thing I strongly encourage is a lot of skin to skin with you and your baby. Even if he/she is not latching right away try to hand express colostrum.

Keep in touch.

First Week

Is there any foods that breastfeeding mother's should not be eating? I have a La Leche Breastfeeding book at home and I have not seen anything about a breastfeeding diet. I am concerned because I am getting a lot of "advice" that eating fish/seafood makes my milk "cold" and spoiled. I was not aware that this could happen and I don't believe it to be true. Please help. Thanks!
Marla Newmark, IBCLC, RN, BSN writes...
You are correct. For the most part there are no food restrictions with breastfeeding. If you or the baby's father have any food allergies or food sensitivities those are good thing to avoid. It is also to eat foods in moderation. Many physicians recommend avoiding seafood while pregnant it is not necessary while breastfeeding; only eat it in moderation. (In other words do not eat seafood 3 times a day 7 days a week.)
On the other hand, each baby is an individual so sometimes a certain food might affect your baby differently. Remember our babies do NOT get as much of a certain thing as we eat. Food does not go from our mouths start to our milk!
I hope that this helps. Please do not hesitate to call (443-849-3428) or write if you have additional questions.
Good luck. 

First Month

My daughter is 15 days old and has only gained 3 oz in ten days. Exclusively breastfeeding. It's not working. I was advised by her pediatrician to either offer formula or try pumping breastmilk. Pumping is not going well either. What do I do? Thanks. What colorectal conditions can be treated using the da Vinci System?

Marla Newmark, IBCLC, RN, BSN writes...

What to do depends on what you would like to ultimately accomplish and how much energy you have. The first thing is when you say she only gained 3 ounces in 15 days do you mean from her birth weight or from what she had lost initially? As far as pumping not going well, what is not going well? How much you are getting? How often, how long, and what type of pump are you using?

Please call (443-849-3428) and/or write back.


Return to Work

I just had my baby on January 17th and breastfeeding has been going very well. I will be returning to work in early March and plan to pump in order to feed her during the day. At what point should I start pumping and introduce her to bottles to ensure a smooth transition?

Marla Newmark, IBCLC, RN, BSN writes...

You can start pumping at any point. Some women find that it works best to pump after first 1-2 feedings. (For a lot of women that is when we make the most milk.) I generally suggest that one double pumps even when the person usually only feeds her baby on one side. When offering a bottle try Paced Bottle feeding. Hold the bottle parallel to the floor so that the milk does not flow too quickly.) Have the baby open his mouth wide and place bottle teat deep in his mouth so that he does not eat his way onto the nipple. This appears to be a healthier way to bottle feed. Your baby will not guzzle, gulp or be inclined to over eat. Do not hesitate to call (443-849-3428) or write back. Good Luck.


Dear Marla, good morning. This is me again :) everything is going great with my son and our nursing journey. He was born 12/7/2011. I am very thankful for the help you and your team have provided. I am very confident about everything now and I am enjoying without worrying.

I am writing today to ask for advice on pumping and returning to work and about length of time for each feeding.

1. He takes both breasts during feedings, very rarely accepts just one. So far I am able to pump 2-3 oz from a full breast, I pump when he does not take the breast, sometimes I also pump at the end of a session (I get about an ounce altogether). He nurses every 2 to 3 hours. I often find myself feeding him for a full hour. I don't want to cut him off too soon, but I wonder if he is done around 20 minutes on each breast. What should I do to make the feedings more efficient for him and for me? Can I stop him at 20 minutes if he had strong sucking and slows down? I want to start leaving the house and I found myself "stuck" for a long time feeding him... I hope to nurse him if I am with him, and only use the bottle if he is in daycare. I also want to mention he is taking prevacid for acid reflux.

2. Pumping. I am returning to work on Feb 6, just about a month from now. At what times of the day do I pump? What should be my strategy considering his eating habits. I am also expecting growth spurts coming up soon. Until I return to work I am building on my stored milk supply. How should I pump and store once I am at work? I have heard of pumping every 3 hours or so, but what should I do with the milk, freeze or use next day? I am a little confused.

3. Night feedings: my husband suggested I pump and feed the baby at night, so I can rest more. What do you think? Will I have enough for day care and night feedings?

Thank you so much!

Marla Newmark, IBCLC, RN, BSN writes...

I am happy to hear that breastfeeding is going well for you and your little guy. Now to try to answer your questions.

When your baby starts with the slow, sleepy sucks, try taking him off and see if he is satisfied. If he is definitely end the feeding. You could also try breast compression to see if that will get him sucking more energetically. (Breast compression taken from Jack Newman, MD)

1. Hold the breast, cupping the breast from underneath with your thumb on one side of the breast and your fingers on the other.

2. Watch for the baby's swallowing. The milk flows more rapidly when baby is drinking with an open-pause-close type of suck. Open-pause-close is one suck; the pause is not a pause between sucks, but of milk flowing into his mouth before a swallow. You may notice the same pause yourself when fluid flows in as you drink deeply and continuously. If using compressions while pumping, watch for sprays of milk.

3. When baby is nibbling or no longer drinking with the open-pause-close type of suck, compress the breast gently but firmly (not so hard that it hurts) and try not to change the shape of the areola (the part of the breast near the baby's mouth). With the compression, baby should start drinking again briefly with the open-pause-close type of suck.

4. Keep the pressure up until the baby no longer drinks even with the compression, then release the pressure. Often the baby will stop sucking altogether when the pressure is released, but will start again shortly as milk starts to flow. If the baby does not stop sucking with the release of pressure, wait a short time before compressing again.

5. Releasing the pressure allows your hand to rest and milk to start flowing to the baby again. If the baby stops sucking when you release the pressure, he will start again when he starts to taste milk.

6. When the baby starts sucking again, he may drink (open-pause-close). If not, rotate your hand position and compress again as above.

7. Continue on the first side until the baby does not drink even with compression. You should allow the baby to stay on that side for a short time longer, since you may occasionally get another milk ejection and the baby will start drinking again, on his own. If the baby no longer drinks, however, allow him to come off or take him off the breast.

8. If the baby wants more, offer the other side and repeat the process.

9. You may wish to switch sides back and forth in this way a few times.

If you find a way that works better at keeping the baby sucking with an open-pause-close type of suck, use whatever works best for you and your baby. As long as it does not hurt your breast to compress, and as long as the baby is "drinking" (open-pause-close type of suck), breast compression is working. (2) If you don't find compressions helpful, try them again a few days or a week later. Techniques that aren't helpful at one stage of your production-building efforts may be helpful at another.

As far as pumping, make sure that you are using a good pump that works well for you. If the pump is not working effectively think about a different pump. I usually suggest that mother's try pumping (double gives the most in the least time, usually) after the first one or two feedings of the day. Pump for 10-15 minutes. Initially you might not get very much milk but gradually the amount you get should increase.

(Please if there is anything that you do not understand call or write so that I can clarify it).

As far as your last question "pump and feed the baby at night, so I can rest more" I am not sure how well this really works. First off will you really sleep longer. Secondly, that might mean more stress trying to pump to get enough milk for night feedings. Third, as far as milk production, it would not be such a good idea to go such a long stretch without breast stimulation. How about a compromise: let dad change his diaper and bring the baby to you. Then all you would have to do is feed and dad can put him back in his crib.

Hope that this helps.


Storage of Human Milk


I breastfeed only for 8 weeks 2 days, but stopped due to new necessary medication. After baby being exclusively on formula for 3+ wks, I was wondering if it would be ok to mix formula & breastmilk for a few feedings? I have about 15 oz. breastmilk remaining in freezer. It's healthy and I would love to feed to her. Is this advised? many thanks.

Marla Newmark, IBCLC, RN, BSN writes...

It is fine to mix breastmilk with formula. I would probably encourage you not to mix them together, but first feed the human milk and then feed the amount of formula that is needed. The rational is why chance wasting your milk that you worked hard to produce


Breast Pumps


My sister is going to be a first time mom delivering at GBMC and my mom wants to get her the "cadillac" of breast pumps, whatever that may be. We heard the best way to get a pump is through a lactation consultant, so I was wondering which pump(s) you recommend and the most economical way of getting one (we know they are not inexpensive). Thank you.

Marla Newmark, IBCLC, RN, BSN writes...

The two pumps that we usually recommend to purchase are the Ameda Purely Yours or the Medela Pump in Style. Please note that if the baby is born early (premature) or if having breast feeding problems we strongly encourage the use of a hospital grade pump-NOT a purchasable pump. Do not hesitate to call or write with any other questions.

Is it ok to breastfeed on lamitcal? My neurologist states yes but want to make sure before purchasing pump.

Marla Newmark, IBCLC, RN, BSN writes...

Lamictal appears to be fine to take if the dose is below 500 mg per day .    Study show that generally these baby's do not show side effects.  (Information obtained from Medications and Mother's Milk by Thomas Hale, LactMed (NIH) website and Lactation Study Line.

Hope that this information helps.  Please do not hesitate to call or write back.


Paced Bottle Feeding


Hi-I am exclusively breastfeeding my baby girl- born 8/4/10 and work full time. I am having a really hard time keeping up with her intake. I have had to use frozen milk just so she has enough to drink while at daycare. I only have 3 bags of frozen milk left. I pump 3 times while I am away from her (which is pretty hard to fit in while working but I was hoping when I added the 3rd time it would really help but it hasn't)and I only get 3 4-5oz bottles. She is drinking 4 4-5oz bottles while at daycare. I really really want to keep breastfeeding and would like to do so with out supplementing. What can I do to keep up with her? I also pump after she goes to bed but by that time usually only get about a total of 2oz. She is still waking up 2-3 times a night for a "snack" so its not like I am overflowing in the AM. I feed her one last time before she goes to daycare at 540 AM and then I pump at 730 AM; 11ish and 2ish. Then by the time I get home I breastfeed her. Should I try some of the herbal remedies to increase my milk supply? I do drink close to 64oz of water a day- 44oz at work and then the rest at home. Thank you for your help!

Marla Newmark, IBCLC, RN, BSN writes...

It sounds like you are doing a fantastic job. The volume you are pumping is amazing! I think that your little one is a consuming a lot right now. One easy thing to try is having your day car provider feed using pace bottle feeding, so that your baby does not guzzle the milk down too quickly. I would not encourage you to drink any more unless your urine is concentrated or you are thirsty. Try to continue with the 3 pumpings at work and the extra pumping in the evening. Two other pumping suggestions are power pumping and pumping after the first 1 or 2 nursings on the days your home. You probably will not get a lot of milk at those times, but the milk will probably be high fat quantity. Power pumping is pumping for 10 minutes, off for 5 minutes, then pump for 10, etc. for an hour. Hope that this helps. You can definitely try one of the herbal remedies. If you have any questions about them do write back or call.


Too Much Milk


I have an over supply of breast milk more than our 12 week old can consume at her current demand rate. I kept on freezing, and already have enough to last for two months for my baby. My plan is to breast feed her for one year. I hope her demand of milk increases and at some point I have to freeze less everyday. In the mean time do you know if there is a milk bank in Baltimore where breast milk could be shared for the needy newborns? Thank You.

Marla Newmark, IBCLC, RN, BSN writes...

Currently there is no Human Milk Bank in Maryland.

Below is a list of some Milk Banks in the United States. I have had good and helpful response from the Milk Bank in Ohio.

NEW ENGLAND Mothers' Milk Bank of New England (developing) PO Box 600091 Newtonville, MA 02460

NORTH CAROLINA WakeMed Mothers' Milk Bank and Lactation Center 3000 New Bern Ave Raleigh, NC 27610 Phone (919) 350-8599 FAX (919) 350-8923

OHIO Mothers' Milk Bank of Ohio Grant Medical Center @ Victorian Village Health Center 1087 Dennison Avenue Columbus, OH 43201 Phone (614) 544-0810 FAX (614) 544-0812

All donors to Human Milk Bank Association of North America member milk banks undergo a screening process that begins with a short interview over the telephone. Donor mothers are women who are currently lactating and have surplus milk. Donor mothers must be:

  • In good general health
  • Willing to undergo a blood test (at the milk bank's expense)
  • Not regularly using medication or herbal supplements (with the exception of progestin-only birth control pills or injections, Synthroid, insulin, pre-natal vitamins; for other exceptions, please contact a milk bank for more information)
  •  Willing to donate at least 100 ounces of milk; some banks have a higher minimum

A woman would not be a suitable donor if:

* She has a positive blood test result for HIV, HTLV, hepatitis B or C, or syphilis

* She or her sexual partner is at risk for HIV

* She uses illegal drugs

* She smokes or uses tobacco products

* She has received an organ or tissue transplant or a blood transfusion in the last 12 months

* She regularly has more than two ounces or more of alcohol per day

* She has been in the United Kingdom for more than 3 months or in Europe for more than 5 years since 1980

* She was born in or has traveled to Cameroon, Central Africa Republic, Chad, Congo, Equatorial Guinea, Gabon, Niger, or Nigeria

If you would like any additional information please do not hesitate to call. Good luck.


Not Enough Milk


My baby is 6 months and I have been breastfeeding since birth. I recently went on a four day vacation without my baby. At this time my breast became engorged and I squeezed out some milk for relief. By the fourth day my breast went down, but now that I am home and trying to breastfeed, I can not produce any milk. I normally produce 4 to 8 oz at a time and now I'm barely getting out one milliliter. Can you offer any suggestions? I would like to continue breastfeeding.

Marla Newmark, IBCLC, RN, BSN writes...

I would encourage you to keep breastfeeding frequently and pump for about 10-15 minutes every 3 hours, even if nothing comes out.  With frequent, effective stimulation the volume should increase.  If this does not help ,please, call or write back for additional tips for increasing milk supply.   Good luck.


Nipple Care

I think I have inverted nipples. My baby is due Aug 8th. Is there anyway to set up an evaluation before then so an expert can examine them and help me prepare to breastfeed if I do have inverted nipples?

Thank you!

Marla Newmark, IBCLC, RN, BSN writes...

We could definitely meet with you and check your nipples, but there is little to no point.  Babies are suppose to breastfeed, not nipple feed.  Read and learn about breastfeeding.  Do NOT worry about it.  And once your munchkin is born feed early and feed often.  If you have any more questions or feel that you need more information do not hesitate to write back and/or call 443-849-3428.


My daughter is 5 weeks old now and I've been breastfeeding her. My nipples are cracked at the base. I have forgotten to use the Lanolin cream a few times. I try to make sure it is next to me when I breastfeed her so that I can put it on right after she's done eating. My nipples are not dry, but the cracks are still there and don't seem to be healing. It is very painful when she first latches on. I try to push my nipple in as far as I can while trying to open her mouth wider, but sometimes it just doesn't work and it's painful. Is there anything I can do to help the cracks heal? I sometimes pump while she eats from a bottle of milk I've already pumped because it's so painful. Also, I sometimes have pain throughout my breast while she's eating. The pain runs in a straight line, like it's a duct that is giving me pain. It doesn't happen at every feeding though. What can cause this?

Marla Newmark, IBCLC, RN, BSN writes...

I would not worry so much about using lanolin. Since the base is already cracked I would consider rinsing with clear water after each pumping or nursing, pat dry and apply an antibiotic ointment such as bactroban or polysporin (per Dr. Thomas Hale).

Click here for a terrific description of achieving a good latch and positioning. A poor latch and/or positioning is usually the cause of sore nipples. The web site for this hand out is Education Resources
The other thing that I would have you check is that the flange from the pump you are using fits correctly.


When a breast flange fits correctly there is space around the nipple during pumping, which gives greater comfort and milk flow.


The nipple rubs against the sides of the breast flange during pumping, which squeezes the milk ducts and decreases milk flow. This rubbing can also cause skin trauma and pain.

The pain throughout breast can also be the result of poor latch/positioning. Please do not hesitate to write/call (443-849-3428) and/or set up a consult.

Good luck.







I have been breastfeeding my son since he was born 19 weeks ago. My right breast has always produced more than my left one but lately it's been really bad. My right will produce 8 ounces and my left will only put out around 1-2 ounces. Also my right breast always stays engorged. I can feed my son and even pump and it will never come close to empty. And within the hour I'm engorged again and I leak all the time. I can't go without doubling up my breast pads any where at anytime. My breasts now are really different sizes. It's very noticeable no matter what I wear. My right size is like an e and my left is a big c. It's just become really frustrating and embarrassing to go anywhere because of it. I've tired to only feeding on my small side but it hasn't helped and I can't go long without relieving right one. I was wondering if you could tell me if I could wrap my right one for a few days and drink sage tea would it help me decrease my supply to even out my breast or would that dry up my supply? And if that would work how would you recommend I wrap myself and should I relieve myself at all during the time. I'm looking forward to hearing back from you. Thank you for your time.

Marla Newmark, IBCLC, RN, BSN writes...

This is a little tricky to solve.  It is GREAT how you have managed until now. Taking sage will decrease milk on both sides so I do not think that it would be the best choice.  How often is your baby breastfeeding or you pumping ?  You could try breastfeeding 2 out of 3 times on your lower producing side and the 3rd time on your super producer.  The times you are breastfeeding on left only express off your right enough to keep you comfortable (and store that milk).  Before you nurse on the right (every third breastfeeding) express until you are MUCH softer and then put baby on that side. 

Do not hesitate to call back or write.



My son will be a week old tomorrow and we are breastfeeding. I became engorged on Saturday. I think my milk is fully in now however my breasts do not feel hard anymore. Are they supposed to feel hard before I feed him again? My friends have told me to feed till one of my breasts feel empty. I don't really feel a big difference. I did, but now they just feel pretty much the same. My baby is getting milk, when he lets go there is milk in his mouth, but I just don't know if I am doing this right or if there is a problem with my milk supply.

Marla Newmark, IBCLC, RN, BSN writes...

Generally speaking after the very beginning a mother only gets that full feeling only if she skips a feeding or her baby does not do a good job of draining the breast. If your munchkin appears content after a feeding, is having plenty of wet and soiled diapers and is gaining weight life is GREAT in the breastfeeding world. It sounds like you and your baby are doing very well. Marla 443-849-3428




Greater Baltimore Medical Center | 6701 North Charles Street | Baltimore, MD 21204 | (443) 849-2000 | TTY (800) 735-2258
© 2017  GBMC. This website is for informational purposes only and not intended as medical advice or a substitute for a consultation with a professional healthcare provider.