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The whole time you are lactating, you'll be making milk twenty-four
hours a day. It collects in the tiny ducts throughout your
breast and makes you feel more and more full as time passes between
nursings. You produce milk fastest when your breast is emptiest,
most slowly when your breast feels full. That's why it doesn't
make sense to "wait for your breast to fill" before nursing again. The
ducts in our breasts make pretty small storage tanks, but they
connect to many powerful factories. Nursing more often
puts those factories into high gear and produces more milk. Nursing less often
sends a strong signal to cut back on overall production.
Your between-nursings "seeped" milk
is a rather lowfat milk. When your baby nurses, she first
drinks this "soup course". But the action of her nursing
begins to draw down a higher and higher fat milk. Most
of what she gets from that breast is a medium-fat "main course," but
near the end, when she isn't swallowing very often, she gets
the highest fat milk of all - like the small, high-fat dessert
after your own meal. If she nurses again soon after, the
fat tends to be mixed all through the milk. As the time
between nursings gets longer, the difference between low fat
and high fat milk becomes greater and greater.
If you follow the old, rigid advice
to wait a certain length of time and then nurse on both sides,
taking her off Side One in order to give her Side Two, you'll
be giving your baby two "soup courses" and may leave her too
full for "dessert". She'll be full - but not necessarily
happy. All that lower fat milk without enough high-fat
milk can upset her intestines, making her gassy and colicky. And
all that pent-up milk can feel to your baby like nursing on a
firehose. Is your baby fussy and irritable, squirming and
pulling off the breast? Before you blame your milk supply or
diet, ask yourself if you've been making a point of nursing on
both sides each time, or of spacing out nursings. | It
makes more sense to do what every other mammal does: nurse whenever
the baby likes, and let a happily nursing baby stay where she is. If
she wants the other side too, fine. If she doesn't, it will
keep. Nursing isn't meant to be formal or complicated; you
can nurse your baby as casually and willingly as you kiss her.
Like any other loving relationship,
nursing works best when it has the fewest rules attached to
it. Most mothers find that they really begin to enjoy
nursing when they stop thinking about it - when they
no longer know or care how often the baby nurses, or when the
last nursing was, or how long it lasted. Nursing is like
dancing. Once you both learn the basic steps, you become
partners in your own special style, and the rules lose their
importance. If your baby likes to nurse on one side each
time or if she wants both sides, if she prefers several quick
snacks each hour, if you want to keep her quiet while youíre
on the phone, if one arm gets tired and you want to switch,
if she wants to nurse again right away, if you need
for her to nurse, or if... well, you get the picture. If
it's working for you and your baby, it's right. Invent
your own steps and enjoy your "dinner dance"!
©2001 Diane Wiessinger, MS, IBCLC
136 Ellis
Hollow Creek Road Ithaca, NY 14850
Used with permission
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