Breastfeeding Course

Everything you need to know about breastfeeding

(Preparation, latching, pumping, problems, storage)


Origin and Benefits

🩺 How and when breastfeeding begins

  • The body prepares during pregnancy
  • From around 16 weeks: the mammary glands start producing colostrum
  • After birth:
    • Prolactin → milk production
    • Oxytocin → let-down reflex

💛 Benefits of breastfeeding

  • Fully tailored to your baby
  • Contains antibodies → protection against illness
  • Always at the right temperature and immediately available
  • Lower risk of colic or allergies
  • Practical and environmentally friendly

Initiating Breastfeeding and Latching

🌿 First milk production after birth

  • Latching the baby onto the breast → triggers the let-down reflex
  • First milk = colostrum (rich in proteins & antibodies)
  • Baby seeks the breast when thirsty or hungry
  • Proper latching stimulates the milk glands

👶 Latching – how do you do it?

  • Bring the baby to the breast, not the other way around
  • Make sure the areola is also in the baby's mouth
  • Does it hurt? Gently insert a finger to break the suction and latch again

🪶 Different breastfeeding positions

  • Side-lying: a moment of rest, baby lying next to you
  • Sitting with a pillow: useful with small babies
  • Cradle hold: baby's legs on the same side as the breast
  • Semi-prone (laid-back): helpful for fast drinkers

How do you ensure (sufficient) breastfeeding?

⏰ Feeding on demand

  • The baby decides when to feed
  • Signs: searching/rooting or crying
  • This helps keep milk production in balance

🍼 Which breast, and when?

  • 10–20 minutes on the first breast → hindmilk
  • Then offer the second breast
  • Switch breasts at the next feeding
  • Milk production naturally recovers after about 2 hours

⚙️ Pumping

  • Pump temporarily if milk supply is insufficient
  • Manual pump or electric pump
  • Choose what feels most comfortable for you

❄️ Storing breast milk

  • Use clean storage bags or bottles
  • Label with date and quantity
  • Freeze in small portions (50–120 ml)
  • Shelf life:
    • 6 months (–18 °C)
    • 12 months (–20 °C)
  • Never refreeze thawed milk

🧼 Breast care

  • Keep nipples clean with lukewarm water
  • Do not use soap or alcohol
  • Helps prevent thrush and cracked nipples

🥗 Mother's nutrition

  • Drink enough fluids
  • Eat a varied diet
  • Limit spicy foods (may cause cramps in baby)

🩷 Helpful tools

  • Nipple shield for cracked or inverted nipples
  • Nursing bra for convenience and comfort

Common Discomforts and Problems  

🩺 Breast engorgement

  • Common in the first week
  • Cause: milk glands are not yet fully adjusted
  • Symptoms: swollen, warm, painful breasts

💧 Too little or too much milk

  • Milk supply may fluctuate during growth spurts
  • The body adjusts naturally
  • Continue feeding on demand

👶 Inverted nipples

  • Latching can be difficult
  • Tip: use a cold compress to help draw the nipple outward

💥 Cracked nipples

  • Caused by improper latching or thrush
  • Treat with nipple cream
  • Remove any residue before feeding

🍄 Thrush

  • Fungal infection in mother and/or baby
  • Symptoms: white patches or painful nipples
  • Cause: contamination via pacifiers or poor hygiene
  • Treatment: consult a doctor, antifungal medication

🌡 Breast infection (mastitis)

  • Milk remains in the breast → blocked milk ducts
  • Symptoms: redness, warmth, fever
  • Action: contact your doctor; antibiotics may be needed
  • Continue breastfeeding

Weaning from Breastfeeding

🕒 When to wean?

  • As long as you and your baby want
  • Often around 1 year of age or later
  • As solid foods increase, breastfeeding naturally decreases
  • Gradual weaning helps prevent engorgement

🔁 How to wean?

  • Replace one feeding with a bottle or solid food
  • Wait until breast fullness decreases (about 1 week)
  • Then replace the next feeding
  • Repeat until you reach the desired situation

🧊 If you skip a feeding

  • Massage or pump briefly if there is discomfort
  • Use chilled cabbage leaves
  • Avoid stimulating too often to prevent overproduction

⚖️ Important points to consider

  • Listen to your body
  • Drink slightly less than before
  • Seek advice if you experience pain or engorgement
  • Allow your baby to get used to a bottle or cup
  • If needed, initially mix formula with expressed breast milk