67 | Breastfeeding Q&A: Common Question I Get Asked about Breastfeeding

Episode Title: Common Questions I Get Asked about BreastfeedingHost: Dr. Kailyn GallowayPodcast: New Mom NaturopathEpisode Number: 66Date: 01/11/24Duration: 26:34:23 Episode Summary: In this episode, Dr. Galloway discusses various aspects of breastfeeding, focusing on the challenges and concerns new mothers often face. She delves into the initial stages of breastfeeding, explaining the importance of colostrum, the baby’s nutritional needs in the first few days, and how to recognize a proper latch. The episode also covers common issues such as infections, engorgement, and emotional aspects of breastfeeding. Key Points Discussed: The Early Stages of Breastfeeding: Colostrum and its benefits.Normal intake for newborns in the first few days. Recognizing a Proper Latch: Signs of good positioning and latch.Dealing with nipple pain and latch issues. Common Breastfeeding Challenges: Dealing with infections, engorgement, and oversupply.Understanding the signs of vasospasm. Emotional Aspects of Breastfeeding: Navigating the emotions and decisions around breastfeeding.When to consider alternatives like formula feeding. Practical Tips and Advice: How to measure feeding success.When to seek help from a lactation consultant. Transcription:     📍 I'm here. I'm kind of sick, so I'm gonna have to play a lot of pause, restart, pause, restart on this to avoid editing. But today I really wanted to talk about the common things that happen which make breastfeeding or nursing very difficult for new moms. And At first, I want to talk about what's normal. So, what's typically normal is that the first 24 hours, your child's going to have between 2 and 10 milliliters of breast milk intake. And technically speaking, this is not breast milk, this is what is called colostrum. And it's the very sticky first part of the production of milk in the breast tissue. And it's got a very high density, high caloric density and high amounts of nutrients for your child to really wake up their, their bowels and to wake up their body and to give them the nutrients they need to maintain their glucose levels, to maintain all the changes that are rapidly happening in the body. It's actually really. Like, the physiology of childbirth from the baby's perspective, what they have to go through in terms of changes of their physiology is fascinating and I'm probably going to do a, an episode on that in the future, but during this day they're going to have two to ten milliliters of feeding. So for all you Americans, two to ten milliliters of feeding is only ten milliliters is two teaspoons. Which is not very much. So, we're talking about half a teaspoon to two teaspoons in the first day. Now, they're going to get that over numerous feedings. Which seems kind of crazy, and you kind of will feel during this time that nothing is coming out or they're not getting enough. In reality, they don't need very much to be able to be satisfied in that first 24 hour period. What's really important during this time frame is that they actually do have their first bowel movement, which is called meconium. It's the first bit of of poop that your body will, that your baby will ever secrete. And it's really important that it passes within the first 24 to 48 hours. And so your Care team is going to be looking for that and making sure it occurs. And then between 24 and 48 hours, you'll have the infant take anywhere from 5 to 15 milliliters, which is 1 to 3 teaspoons of colostrum. And they'll probably have around 2 bowel movements in the second day. And it should be this dark green to black, and it's sticky. And then after that, we have between 48 and 72 hours, they're going to have between 15 and 30 milliliters. And this is when you'll have a huge spike of 6 to 8 stools per day. And that stays fairly consistent throughout the newborn phase. The poop in this part, the color of the stool, is going to start changing from green and moving to a light mustard. seed. It's totally normal for it then to have green colored poop until 96 hours or 4 days after birth. After 5 days, the breast milk should definitely be in. So the patient, the infant will be taking in around 60 to 120 milliliters of breast milk per day. Or per, not per day, per feeding, and that is 2 to 4 ounces. Most newborns are going to be around that 2 to 3 ounces per meal. But the crazy thing about this, you're sitting there going, but how do I measure that? How do I measure, how do I know if they're going to be getting enough? Because it's coming out of me, I'm not like measuring it before it goes into their mouth. So there's a lot of milestones that happen in the first five days that people look at to make sure that you're actually meeting targets for feeding your baby enough. It's super difficult to measure without some sort of external help. So for a totally healthy baby, newborns are going to feed between 10 and 12 ...