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Caring for Your Breasts When Breastfeeding

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Your breasts may change a great deal during pregnancy and breastfeeding, or they may not change very much at all. Hormones that are released by your body while you're pregnant trigger the milk-making tissue in your breasts to grow and begin producing breast milk. Then, after the birth of your child breast milk production kicks into gear and your breasts will start to fill up with breast milk. With all these changes, what can you do to care for your breasts while you're breastfeeding?

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A Nurse’s Guide to Breastfeeding

When you first start breastfeeding your baby, your breasts produce colostrum in small amounts that gradually increase over the first few days. One of the signs milk is coming in is your breasts become fuller and firmer. This swelling is not just caused by the greater quantity of milk, but also by increased blood flow and extra lymph fluids in your breast tissue. For most new mums, if their baby is feeding well and frequently, these feelings of heaviness pass without problems. But some produce almost more milk than their breasts can hold, which makes them feel rock hard and uncomfortably full — a condition called engorgement. While this is usually only temporary, the 24 to 48 hours it typically lasts for can be painful. Engorgement can happen in one or both breasts.
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The Loneliness of Breastfeeding

Newborn babies are at their most alert right after being born and have a great instinctual drive to find their mothers breast to feed. Fun fact: when placed on their mothers stomachs skin-to-skin, babies can actually move themselves up to the breast and latch on independently if given the opportunity. Regardless of how baby gets on the breast, giving baby a long feeding immediately after birth will set them up for success during the long sleep phase afterwards. Of course this is not always possible if mom had a caesarean or there were complications with mom or baby after the birth. If you feel a pinch, do not automatically take baby off the breast as taking them on and off frequently can cause nipple pain.
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The first time I nursed my son in public, he was one month old. So there was nothing for it. I shrugged inwardly, pulled down the panel on my nursing top, and lifted him to my breast. And there, in the back of the church, I nursed in front of God and everybody. That was the first time, but it was far from the last.
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