Myths vs Facts: Breastfeeding During Pregnancy and Tandem Nursing By Hilary Flower

Full Article of Myths & Facts Here

1. “At 24 weeks gestation, the uterus changes in such a way that breastfeeding goes from being safe to risky.” …MYTH or FACT?

Myth. Oxytocin is a hormone released during breastfeeding that causes uterine contractions, usually too mild to notice. This fact has raised concern that breastfeeding could contribute to preterm labor in an otherwise healthy pregnancy. The uterus starts out pregnancy fairly insensitive to oxytocin, and somehow the rumor got started that it increases in sensitivity in mid-pregnancy. Research does not support this. Instead, the first marked increase occurs after the 37th week—with little or nothing happening before that time.

4. “Most mothers experience a significant drop in milk supply during pregnancy.” …MYTH or FACT?

Fact. 70% of mothers notice a significant drop in supply during pregnancy. Still, a minority of mothers continue to produce an abundance of milk throughout pregnancy.

8. “Tandem nursing will ensure a smooth sibling adjustment for your older child.” …MYTH or FACT?

Myth. Your older child may experience a range of emotions, from fear of displacement–to anger at you–to delight in the new baby. And remember that sibling relationships tend to have their own rhythms of bonding and fighting, and both can happen at your breast! Realistic expectations, lots of mama love, open communication and a sense of humor will help you move through any challenges that arise.


My full featured post on, which includes baby wearing benefits for mom and baby, can be found Here

Skin to Skin, Babywearing, and Breastfeeding

“Skin to skin” is when a diapered baby is placed on the bare chest of their mother and a blanket is place over baby’s back to keep them warm (partners can do skin to skin too!). The benefits of skin to skin for mom and baby have been well documented. Skin to skin can help regulate the baby’s heart rate, body temperature, breathing, weight, immune system, and aid in more restful sleep.  Benefits for mom include regulation of her hormones, increased levels of maternal oxytocin, and ultimately helps increase her milk supply.

Skin to skin is recommended at any point during infancy but can be difficult for some moms to do once they get home from the hospital. While having baby on the bare chest is ideal, Baby wearing is a great way to keep baby close and provides continued benefits for baby, mom, and breastfeeding.


Worries About Foremilk and Hindmilk By Nancy Mohrbacher

A little knowledge can be a dangerous thing.  This has never been so true as in the ongoing debate about foremilk and hindmilk and their impact on breastfeeding.  The misunderstandings around these concepts have caused anxiety, upset, and even led to breastfeeding problems and premature weaning.

The 2003 edition of The Breastfeeding Answer Book defines these terms this way:

“The milk the baby receives when he begins breastfeeding is called the ‘foremilk,’ which is high in volume but low in fat.  As the feeding progresses, the fat content of the milk rises steadily as the volume decreases. The milk near the end of the feeding is low in volume but high in fat and is called the ‘hindmilk’” (Mohrbacher and Stock, p. 34).

It goes on to explain that by simply letting the baby “finish the first breast first”—switching breasts when the baby comes off the breast on his own rather than after a set time—the mother can be sure her baby receives the “proper balance of fluid and fat.”  Since this book was published, research has expanded our understanding of foremilk and hindmilk and answered many of the common questions mothers have about these concepts.

Full Article HERE

Cleft Lip and Palate Breastfeeding Resources

Australian breastfeeding Association:

Breastfeeding babies with clefts of lip and/or palate

Babies with a cleft of the lip only can usually breastfeed as a newborn. You can use your breast or fingers to block the cleft to help your baby to get proper suction.

The soft palate may have a cleft. This is often hard to see, so it may only be found after a few hours or days if your baby seems unable to breastfeed. The baby may make a clicking sound while breastfeeding or slip off the breast. The cleft will cause a break in the seal, which is needed for a ‘good’ breastfeeding ‘technique’.

Full article can be found here. has a great list of resources that can be found here. has video, stories, medical articles, and more. Click here.

Breastfeeding and Alcohol

By Kelly Bonyata, IBCLC

Full article can be found here


  • Current research says that occasional use of alcohol (1-2 drinks) does not appear to be harmful to the nursing baby.
  • Per Hale (2012), “mothers who ingest alcohol in moderate amounts can generally return to breastfeeding as soon as they feel neurologically normal.”
  • The American Academy of Pediatrics Section on Breastfeeding notes: “ingestion of alcoholic beverages should be minimized and limited to an occasional intake but no more than 0.5 g alcohol per kg body weight, which for a 60 kg mother is approximately 2 oz liquor, 8 oz wine, or 2 beers. Nursing should take place 2 hours or longer after the alcohol intake to minimize its concentration in the ingested milk.”
  • Many experts recommend against drinking more than 1-2 drinks per week.
  • There is no need to pump & dump milk after drinking alcohol, other than for mom’s comfort — pumping & dumping does notspeed the elimination of alcohol from the milk.
  • Alcohol does not increase milk production, and has been shown to inhibit let-down and decrease milk production (see below).
  • If you’re away from your baby, try to pump as often as baby usually nurses (this is to maintain milk supply, not because of the alcohol). At the very least, pump or hand express whenever you feel uncomfortably full – this will help you to avoid plugged ducts and mastitis.

In general, if you are sober enough to drive, you are sober enough to breastfeed. Less than 2% of the alcohol consumed by the mother reaches her blood and milk. Alcohol peaks in mom’s blood and milk approximately 1/2-1 hour after drinking (but there is considerable variation from person to person, depending upon how much food was eaten in the same time period, mom’s body weight and percentage of body fat, etc.). Alcohol does not accumulate in breastmilk, but leaves the milk as it leaves the blood; so when your blood alcohol levels are back down, so are your milk alcohol levels.

Image credit: kizzzbeth on flickr CC BY 2.0

Image credit: kizzzbeth on flickr CC BY 2.0

Always keep in mind the baby’s age when considering the effect of alcohol. A newborn has a very immature liver, so minute amounts of alcohol would be more of a burden. Up until around 3 months of age, infants detoxify alcohol at around half the rate of an adult. An older baby or toddler can metabolize the alcohol more quickly.