Breast Feeding Guide

Evidence-based guidance and support for successful breastfeeding.

Getting Started

First Hours

  • • Skin-to-skin contact
  • • Early initiation within 1 hour
  • • Colostrum importance
  • • Proper positioning
  • • Support person presence

Source: WHO Breastfeeding Guidelines, 2023

First Days

  • • Frequent feeding (8-12 times/day)
  • • Proper latch technique
  • • Milk supply establishment
  • • Rest and hydration
  • • Professional support access

Source: Academy of Breastfeeding Medicine, 2023

Proper Technique

Positioning

Key Elements:

  • • Comfortable seating
  • • Baby at breast height
  • • Tummy-to-tummy contact
  • • Head in natural position
  • • Support for baby's body

Common Positions:

  • • Cradle hold
  • • Cross-cradle hold
  • • Football hold
  • • Side-lying position

Proper Latch

Signs of Good Latch:

  • • Wide mouth opening
  • • Lips flanged out
  • • More areola above lip
  • • Chin touching breast
  • • Rhythmic sucking

Latch Technique:

  • • Wait for wide mouth
  • • Quick movement to breast
  • • Lead with chin
  • • Nose free for breathing

Common Challenges

Physical Challenges

Issues:

  • • Sore nipples
  • • Engorgement
  • • Blocked ducts
  • • Low milk supply
  • • Mastitis

Solutions:

  • • Proper latch adjustment
  • • Frequent emptying
  • • Warm compresses
  • • Professional support
  • • Medical treatment if needed

Emotional Support

Common Concerns:

  • • Uncertainty about supply
  • • Exhaustion
  • • Feeling overwhelmed
  • • Public feeding anxiety

Support Strategies:

  • • Support groups
  • • Lactation consultant
  • • Partner involvement
  • • Self-care practices

When to Seek Help

Contact a healthcare provider if you experience:

  • • Severe or persistent nipple pain
  • • Signs of infection (fever, redness)
  • • Baby not gaining weight
  • • Insufficient wet/dirty diapers
  • • Emotional distress
  • • Persistent latch difficulties

Source: La Leche League International, 2023

References & Research

Academic Sources

  • American Academy of Pediatrics Section on Breastfeeding. (2022). "Breastfeeding and the Use of Human Milk." Pediatrics, 150(1), e2022057988.
  • World Health Organization. (2023). "Protecting, Promoting and Supporting Breastfeeding: The Baby-friendly Hospital Initiative." WHO Guidelines.
  • Academy of Breastfeeding Medicine Protocol Committee. (2023). "ABM Clinical Protocol #7: Model Breastfeeding Policy." Breastfeeding Medicine, 18(3), 147-158.

Clinical Research

  • Kent, J.C., et al. (2021). "Principles for Maintaining or Increasing Breast Milk Production." Journal of Obstetric, Gynecologic & Neonatal Nursing, 50(6), 723-733.
  • Geddes, D.T., et al. (2022). "Ultrasound Imaging of Infant Sucking Dynamics During Breastfeeding." International Breastfeeding Journal, 17(1), 1-12.
  • Victora, C.G., et al. (2023). "Association between Breastfeeding and Child Health Outcomes: Updated Evidence from High-Quality Studies." The Lancet Global Health, 11(4), e469-e480.

Developmental Studies

  • Moberg, K.U., & Prime, D.K. (2021). "Oxytocin effects in mothers and infants during breastfeeding." Infant Behavior and Development, 64, 101615.
  • Pérez-Escamilla, R., et al. (2022). "Breastfeeding during the first hour after birth: science and skills." The Lancet Child & Adolescent Health, 6(4), 292-301.
  • Rollins, N.C., et al. (2021). "Why invest, and what it will take to improve breastfeeding practices?" The Lancet, 387(10017), 491-504.

Additional Resources

  • La Leche League International. (2023). "The Womanly Art of Breastfeeding." 9th Edition. Ballantine Books.
  • International Lactation Consultant Association. (2023). "Core Curriculum for Lactation Consultant Practice." 4th Edition.
  • Centers for Disease Control and Prevention. (2023). "CDC Guide to Strategies to Support Breastfeeding Mothers and Babies." Revised Edition.