Motherhood brings a multitude of unexpected challenges, regardless of the stage of life one’s child is in. First-time moms find themselves learning something new every day, which can be exciting and rewarding but can also often feel overwhelming. Among the very first and most significant challenges they can encounter is understanding and mastering breastfeeding.
Breastfeeding is a natural and beneficial process for both mother and baby, offering numerous health benefits. However, it is not always easy and often different for everyone. Some mothers may choose not to breastfeed or may be unable to; others may struggle before discovering what works best for them and their newborns.
Common Challenges
Breastfeeding can be accompanied by a range of common concerns and issues that many mothers face. One major worry is whether the baby is getting enough milk, which can lead to low or slow infant weight gain. Sore or painful nipples are another frequent problem, often caused by improper latching or positioning. Breast engorgement can also occur, resulting in swollen and uncomfortable breasts. Establishing and maintaining a sufficient milk supply is a challenge for some, especially when dealing with difficulties such as a baby’s refusal or confusion at the breast. Special situations, such as caring for a baby with jaundice, a premature infant, or multiples, can add another layer of complexity. Additionally, pumping and managing breastfeeding while returning to work can pose significant challenges for many mothers.
Latching and Positioning
A proper latch is essential for effective breastfeeding and to prevent nipple pain. Ensuring the baby has a deep latch, where the nipple and a good portion of the areola are in the baby's mouth, can help. Various positions, such as the cradle hold, football hold, and side-lying position, can be helpful to find the most comfortable and effective one.
Milk Supply
Concerns about milk supply are common among new mothers. In the first few days postpartum, the body produces colostrum, a nutrient-rich pre-milk, before transitioning to mature milk. Regular feeding and ensuring the baby empties the breast can help establish and maintain milk supply. “Frequent breastfeeding is an excellent way to build a good milk supply," says Sarah Rieber, DNP APN-C IBCLC Women’s Health Nurse Practitioner and Lactation Consultant at RWJBarnabas Health. "The more the baby nurses, the more milk the mother will produce.”
Breastfeeding vs. Formula Feeding
Breastfeeding and formula feeding are both viable options for nourishing an infant, each with its own set of benefits and considerations. Breastfeeding is often praised for its natural provision of essential nutrients and antibodies, which can help strengthen a baby’s immune system and foster a unique bond between mother and child. It is also convenient and cost-effective, requiring no preparation or sterilization. On the other hand, formula feeding offers flexibility and convenience, allowing other family members to participate in feeding and giving mothers the freedom to return to work or rest. Modern infant formulas are designed to closely mimic breast milk, providing necessary vitamins and minerals to support a baby’s growth and development. Ultimately, the decision between breastfeeding and formula feeding is a personal one, best made based on individual circumstances, health considerations, and family needs.
How to Seek Help
Educational and supportive sources, such as those available at RWJBarnabas Health’s Cooperman Barnabas Medical Center and the Breastfeeding Wellness Center at the Anne Vogel Family Care and Wellness Center, are available to encourage and support breastfeeding mothers. Guidance is not only available after the baby's arrival, but before delivery to assist mothers in gaining the confidence and skills necessary for a satisfying nursing experience.
Sarah advises that providing mothers with reassurance is important. "Breastfeeding offers incredible benefits for both mother and baby, but it's normal to encounter hurdles along the way. Seeking support from lactation consultants or healthcare providers can make a significant difference, ensuring that both mother and baby have a positive and healthy breastfeeding experience.”
While breastfeeding is a natural process, it is not always a smooth ride. Being prepared, seeking support, and understanding the benefits can help make the experience more rewarding. Each breastfeeding journey is unique, and finding what works best for each mother and baby is key.
Curious to know more about breastfeeding? Visit https://www.rwjbh.org/treatment-care/breastfeeding/ for a brief Q&A addressing common questions.