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Breastfeeding: What Every Parent Should Know - Dr Nalin Agarwal

Breastfeeding is widely regarded as the gold standard for infant nutrition, offering essential nutrients and immune protection. It plays a critical role in both short-term and long-term health for both the baby and the mother. However, many new mothers and families often have questions or face conflicting advice. This article addresses some of the most important aspects of breastfeeding, relying solely on established medical facts and evidence-based guidelines –

How Long Should a Baby Be Exclusively Breastfed?

According to the World Health Organization (WHO) and American Academy of Pediatrics (AAP) –

*Exclusive breastfeeding is recommended for the first 6 months of life.*

“Exclusive” means the baby receives only breast milk, with no other liquids or solids — not even water — except for oral rehydration solutions or prescribed medications.

* After six months, complementary foods (such as pureed fruits, vegetables, grains, etc.) should be introduced while continuing breastfeeding.

* The AAP recommends continuing breastfeeding along with solid foods for at least *1 year*, and WHO recommends continuing up to 2 years or beyond, as mutually desired by mother and child.

These recommendations are based on evidence showing that exclusive breastfeeding for six months lowers the risk of gastrointestinal infections, respiratory illnesses, and promotes optimal growth and brain development.

How to Make a Breastfed Baby Burp?

Burping helps release swallowed air during feeding, which may reduce discomfort, fussiness, and gassiness.

Steps to Burp a Breastfed Baby –

Timing : Burp the baby when switching from one breast to the other, and after feeding is complete.

Common Burping Positions :

1. Over the shoulder: Hold the baby upright with their chin resting on your shoulder. Gently pat or rub their back.
2. Sitting on your lap: Support the baby’s chest and head with one hand while patting the back with the other.
3. Lying on your lap: Lay the baby face-down across your lap, supporting their head slightly elevated, and gently rub their back.

Note: Some breastfed babies may not burp often, especially if their latch is effective and they’re not swallowing much air. That’s normal unless the baby shows signs of discomfort.

What Should a Mother Eat and Drink While Breastfeeding?

A breastfeeding mother’s nutritional needs are slightly higher to support milk production.

General Diet Recommendations:

* Balanced, varied diet: Include whole grains, fruits, vegetables, lean proteins, and healthy fats.
* Caloric intake: On average, lactating women need about 450–500 extra calories per day.
* Hydration: Drink water regularly. There’s no set “required” amount, but drink to thirst — especially after nursing sessions.

Specific Nutrients to Focus On:

  • Calcium – Needed for bone health, Can be found in Dairy, leafy greens, fortified plant milk etc.
  • Iron – Prevents maternal anemia, Can be found in Lean meats, beans, fortified cereals etc.
  • Vitamin B12 – Essential for baby’s brain development, can be Animal products (vegans may need supplements)
  • DHA (an omega-3 fat) – Important for baby’s brain and vision, can be Fatty fish (salmon, sardines), flaxseeds, walnuts
  • Iodine – Supports baby’s brain development, can be Iodized salt, dairy, seafood

What to Limit or Avoid:

  • Caffeine – Limit to about 200–300 mg/day (about 1–2 cups of coffee). Excess can cause irritability or poor sleep in the baby.
  • Alcohol – Avoid alcohol and smoking completely.
  • High-mercury fish: Avoid shark, swordfish, king mackerel, and tilefish.

Note: Very few foods must be avoided universally. If the baby shows signs of allergies or intolerance (such as blood in stool, rash, or extreme fussiness), consult a pediatrician before eliminating foods from your diet.

Common Myths About Breastfeeding — Debunked

Despite widespread awareness campaigns, myths around breastfeeding still persist. Here’s what science says:

Myth 1: “Formula is just as good as breast milk.”

Fact: While infant formula is a safe and nutritious alternative, breast milk contains ‘live antibodies, hormones, enzymes, and growth factors’ that cannot be replicated. These elements protect babies from infections and diseases.

Myth 2: “You must drink milk to make milk.”

Fact: Human milk production is ‘not dependent on dairy consumption’. Mothers who don’t consume dairy can still produce plenty of breast milk if they maintain overall nutritional balance.

Myth 3: “Breastfeeding makes your breasts sag.”

Fact: Studies show that factors such as **pregnancy itself, genetics, age, and smoking** contribute more to breast sagging than breastfeeding.

Myth 4: “Small breasts can’t make enough milk.”

Fact: Breast size does **not affect milk production**. Glandular tissue, not fatty tissue, determines milk output.

Myth 5: “You can’t breastfeed if you’re sick.”

Fact: In most cases, mothers should **continue breastfeeding during common illnesses** (like cold or flu). Breast milk actually passes protective antibodies to the baby, helping prevent illness.

Myth 6: “If the baby feeds frequently, your milk isn’t enough.”

Fact: Frequent feeding is **normal**, especially during growth spurts. It doesn’t mean milk supply is low — it’s part of the baby’s way of stimulating more milk production.

Additional Things to Consider

Breastfeeding Positions

Different positions work for different mothers and babies. Some common ones include:

  • Cradle hold
  • Football hold
  • Side-lying position
  • Laid-back breastfeeding

A comfortable position with a good latch is critical to prevent sore nipples and ensure efficient feeding.

Signs the Baby is Getting Enough Milk

  • Baby feeds **8–12 times** per 24 hours.
  • Regular **wet and dirty diapers** (at least 6 wet diapers a day after day 4).
  • Steady **weight gain** after the first week of life.
  • Baby appears **content and alert** after feeding.

When to Seek Help

Contact a *lactation consultant or pediatrician* if you notice:

* Painful or cracked nipples
* Baby has trouble latching or sucking
* Baby isn’t gaining weight
* Concerns about milk supply or baby’s feeding pattern

Conclusion

Breastfeeding is a natural and healthy process, but it comes with questions and sometimes challenges. Understanding the science-based facts about exclusive breastfeeding, how to burp a baby, maternal nutrition, and common myths can empower parents to make informed decisions.

If you are having trouble breastfeeding your kid or you want to get your baby’s checkup done from an experienced pediatrician in Noida, then visit Dr Nalin Agarwal today. With the right guidance and patience, most breastfeeding challenges can be overcome, allowing mother and child to benefit from this important bond.