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Learn about breastfeeding positions, tips, where to get support and how to continue when going back to work or school.

Breastfeeding is natural, but isn't always easy... like anything new, it can take some time to figure out! Get help right away if things aren't going well.

Breastfeeding tips

The following tips may help you and your baby learn how to breastfeed.

Latching

Helping your baby latch

It’s important that your baby takes a large amount of the darker area around your nipple (the areola) into her mouth and not just the nipple. Your baby’s mouth will probably cover more of the areola with the lower jaw.

This allows your baby to “milk” the breast and not hurt your nipple.

Tips to help baby latch:

  • Tummy to mommy: Turn your baby toward you.
  • Face to breast: Support your baby so that her head is level to your breast.
  • Nose to nipple: Your baby’s nose should be at the same level as your nipple.
  • Baby’s chin and lower lip should touch your breast first.
  • Wait for your baby to open her mouth wide over your nipple.
  • More of the breast below the nipple (not above the nipple) should be in baby’s mouth.
  • Your baby’s chin should be against your breast and her nose should be slightly back from the breast.

If your baby is not latching, try hand expressing right away, so that your milk supply is being stimulated. This may also help to interest your baby and make it easier for her to latch.

Baby-led latching (Laid back breastfeeding)

Babies are born with a natural instinct to latch and feed at the breast. Baby-led latching is a good way for your baby to learn breastfeeding.

It’s also helpful if breastfeeding is not going well or if you have sore nipples.

How to do baby-led latching:

  • Position yourself in a laid back position, propped up with pillows.
  • Place your baby skin-to-skin and tummy-to-tummy on your chest with his head near your breast.
  • Your baby will start rooting (looking for the nipple) by bobbing his head up and down.
  • Help to support your baby’s bottom and back while he is rooting. This allows him to tilt his head back a little, which helps him to latch.
  • Your baby will eventually find your nipple, though he may find it with his hands first.
  • Your baby will open his mouth wide, pushing his chin into your breast, and latch on.
  • When your baby has latched on, you can adjust his position and provide support to keep him in place. Keeping his bottom tucked in helps to keep him latched well.

Keep the following tips in mind when positioning your baby:

  • Make sure you’re comfortable before you start feeding your baby.
  • Lay back supported by pillows or sit upright and bring baby to the breast without bending down to baby. This will help prevent you from having a sore neck and shoulders.
  • If you need to protect sore areas after a C-section or episiotomy, experiment to find the most comfortable position: baby-led latching (laid-back breastfeeding), sitting or lying down.

Baby-led latching

See 'Latching' section above for more detail.

Sitting or lying down

You may prefer to feed your baby while you are sitting or lying down. As you learn to breastfeed, you will likely find other positions that work well for you.

Whatever position you choose, remember:

  • Good back support can help keep you comfortable.
  • Your baby’s ear, shoulder and hip should be in a straight line.
  • Your baby’s head should be tilted back slightly, so he can latch deeply and swallow easily.
  • Tuck your baby’s bottom in so that it is against your body.

Vitamin D for breastfeeding babies

Babies and toddlers who are breastfed or receive breastmilk should continue to have a daily vitamin D supplement of 10 ug (400 IU) until two years of age.

Why is vitamin D important for babies?

Vitamin D is an essential nutrient to help build and maintain strong bones and teeth. A daily vitamin D supplement will help prevent against vitamin D deficiency rickets (a condition where the bones are soft and weak), which can lead to:

  • skeletal deformities (e.g. bowed legs)
  • increased risk of fractures
  • dental problems

When should I start giving my baby a vitamin D supplement?

A vitamin D supplement of 10 ug (400 IU) should be given to your baby within the first few days after birth.

What should I look for when buying a vitamin D supplement?

A single vitamin D3 supplement (without other vitamins) is recommended.

Some liquid supplements require you to place a drop of vitamin D on the breast and others need you to fill use a dropper filled to 400 IU. Follow the manufacturer’s instructions carefully and only use the dropper that comes with the vitamin D supplement purchased.

For older children, chewable vitamin D tablets are available.

Does my baby get enough vitamin D from sunlight?

Although sunshine (ultraviolet light) allows skin cells to convert vitamin D into an active state, there are several reasons this alone is not sufficient for babies:

  • Halton Region is in the northern part of the world, so we don’t get enough sunshine throughout the year for babies to make the vitamin D they need through their skin.
  • Clothing acts as a sun barrier.
  • We keep babies out of direct sunlight because of their sensitive skin and to prevent skin cancer.

When can I stop giving my baby a vitamin D supplement?

After two years of age, a vitamin D supplement is no longer recommended. Your child’s eating patterns should follow Canada’s Food Guide (external link).

What foods contain vitamin D?

Some foods naturally offer vitamin D, including:

  • eggs (yolk)
  • liver
  • fatty fish (tuna, salmon, trout, halibut, mackerel, sardines and herring)
  • cod liver oil

In Canada, vitamin D is added to:

  • cow’s milk, tofu and margarine
  • some orange and apple juices
  • some soy milk, almond milk, rice milk, goat’s milk and yogurt

Read food labels to see how much vitamin D a product provides.

In the first six months, breastfeeding can be an effective method of birth control. You might hear this referred to as Lactational Amenorrhea Method (LAM).

For this method to be effective, you must answer “yes” to all of the following:

  • Is your baby less than 6 months old?
  • Has your period not yet returned?
  • Is your baby fully or nearly fully breastfed?
    • “Fully breastfed” means that your baby gets all his food from drinking at your breast.
    • “Nearly fully breastfed” means that your baby does not take more than one to two mouthfuls per day of other fluids or solids.
  • Does your baby breastfeed at least every four hours during the day and at least every six hours during the night?

There are many other types of birth control that can be used while breastfeeding.

Breastfeeding is a human right in Ontario. According to the Ontario Human Rights Code (external link), an employer should accommodate any needs women have for breastfeeding or expressing milk for their child.

Supporting breastfeeding mothers makes good business sense too! Breastfed babies are less likely to get sick and therefore mothers should require less time away from work to care for an ill child.

Breastfeeding options

Breastfeeding moms have plenty of options as they plan for returning to work or school. It’s not as hard as you might think!

Options for continuing breastfeeding:

  • Pump or hand express to keep the same number of breastmilk feeds per day. Expressed breast milk may be stored in a refrigerator or a cooler bag with ice packs.
  • Plan for your baby to take breastmilk in other ways:
    • Open cups (for babies older than 6 months) or bottles.
    • Mixed into baby’s food, such as infant cereal.
  • If your baby doesn't like to drink breastmilk in a cup or bottle, they can drink water (if older than 6 months) or homogenized milk (if older than 9 months) instead.
  • Consider visiting your child during the day to breastfeed or have your care provider bring your child to you.
  • Wean your baby from the breastfeeds you will miss during the work or school day. Many mothers find that they and their babies can easily adapt to less breastfeeds on working days and more when mom is home.

Breastfeeding is a great way to reconnect with your child at the end of the work or school day.

Tips to help you transition back to work or school

The return to work or school will go more smoothly if you take some time to plan ahead.

  • Discuss your plans with your employer ahead of time.
  • Talk to your employer about being a baby-friendly organization (external link).
  • Speak with other mothers who have continued breastfeeding when returning to work or school.
  • Begin to store breast milk before returning to work or school.

For strategies to help you adjust to the return to work, review the Returning to Work After Baby booklet (external link) from Ontario’s Best Start program.

Check out our HaltonParents breastfeeding blogs:

Breastfeeding FAQ

Your baby will show feeding cues when she is ready to eat and when she has had enough. View this Baby Feeding Cues chart and Pre-Term Baby Feeding Cues chart to learn what feeding cues look like.

If you see "late feeding cues", calm your baby by trying:

  • skin-to-skin holding
  • cuddling
  • talking
  • rocking

For the first several weeks:

  • most babies will feed at least eight times in 24 hours.
  • feedings should last as long as your baby is actively sucking.

While some babies feed regularly, many have short, frequent feedings. This often happens in the evening or at night. It is called cluster feeding and is very common in the early weeks.

As your baby grows, it is important to remember that:

  • your baby will often feed faster.
  • some babies will consume all the milk they need in 5 minutes, while others will take 20 minutes or longer.
  • some babies will only want one breast at each feeding.

Watch your baby, not the clock or an app.

Always follow your baby’s feeding cues (external link). Your baby knows when and for how long they need to eat. When your baby comes off the first breast, burp them and offer the second breast.

Offer whichever breast is fuller. This is usually either the breast that your baby did not take at the last feed, or if you fed from both sides, the breast that your baby took last.

To help you remember which side to start with, wear a bracelet, or tie a ribbon on your bra.

Yes. At birth, your baby’s stomach is only the size of a cherry. (external link) By the end of the first week, it is still just the size of an egg. This means they need to eat very frequently. Always offer your breast if your baby is stirring and showing feeding cues.

In the beginning, some newborn babies are sleepy and do not wake up to feed at least eight times in 24 hours. Until you know that your baby is gaining weight steadily, you may need to wake up your baby.

These tips may help:

  • Keeping your baby close by can help you notice hunger cues (babies wake to feed better when they are skin-to-skin).
  • Try undressing your baby and rubbing their back to help wake them up.
  • Express a little breastmilk so your baby is tempted to feed.

If you keep your baby skin-to-skin, they are more likely to wake up on their own for feedings.

Some babies want to feed more often at night and less often during the day. This is sometimes referred to as “reverse cycling”. There are some things you can try to encourage more daytime feeding:

  • Keep normal house lighting and noises during the day.
  • Talk to and play with your baby when they are awake during the day.
  • Wake your baby to feed at least every two to three hours.
  • During night wakings, keep things dark and quiet. Feed your baby with minimal talking.

Every baby is different. In the early weeks, night feedings are needed:

  • because your baby’s tummy is small
  • to increase or maintain your milk supply

Gradually, as your baby grows, they will not need to feed as often.

Many babies wake up more often when:

  • they are having a growth spurt
  • they are sick
  • they are learning a new skill
  • their mother has recently returned to work or school

Almost every parent of young children wishes for more sleep. Here are some tips to help you survive the lack of sleep.

Some newborn babies fall asleep at the breast before they have finished feeding. If your baby has stopped actively sucking and swallowing, you can help her to start sucking again by using breast compressions. To do this:

  • make a C-shape with your hand; and
  • gently compress your breast behind the areola to squeeze a little milk into your baby’s mouth.

Sometimes your baby will want to suck more for comfort than to feed. Babies are born with a strong need to suck, which ensures their survival. In the early days, when your baby is fussy, try offering the breast. It may calm her enough to help her fall asleep.

Babies like to suck, some more than others. Before introducing a pacifier, here are some things that are helpful to know:

  • Many babies do not use a pacifier.
  • Babies suck differently on the pacifier than on the breast. Your baby may not suck as well on the breast if they use a pacifier.
  • Your baby might want to breastfeed less often after sucking on a pacifier. This can result in you not making enough milk for your baby.
  • There are many other ways to comfort a crying baby.
  • If you decide to try a pacifier, wait until your milk supply is well established and only use it for a short time after feedings.

Here is some important safety information about using a pacifier:

  • If using a pacifier, select one that is Canadian Standards Association (CSA) (external link) approved.
  • Do not dip it in honey, sugar or sweet liquid. This can cause tooth decay.
  • Do not hang it around your baby’s neck with a string. Your baby could be accidentally strangled.
  • Do not clean a pacifier in your own mouth to avoid spreading bacteria.

As your baby grows, your breasts adapt to their needs and may not feel full even though there is plenty of milk. Most mothers of older babies have softer breasts.

The more milk the baby takes from the breast, the more milk you make.

  • Are you thinking of giving your baby formula? Call 311 to talk to a public health nurse.
  • He feeds at least eight times in 24 hours when newborn.
  • He is active and has a strong cry.
  • The inside of his mouth is wet and pink.
  • He has enough wet and dirty diapers for his age (external link).
    • 6+ days old: at least six wet diapers in 24 hours with pale yellow or clear urine
    • babies from 3 days to around 3 weeks old should have 3 large soft yellow and seedy poops per day
    • at around one month old, some babies will only have 1-2 poops per day or one large poop every few days

On average, babies will double their birth weight by five or six months.

Get help from a breastfeeding professional (external link) right away if your baby does not have enough wet and dirty diapers!

Consider the following:

  • It is normal for your baby to lose about seven per cent of her birth weight in the first three days after birth.
  • From day four onward, she should be gaining 20 to 35 grams per day.
  • She should be back to birth weight by 10 to 14 days old.
  • Follow up with your healthcare provider to monitor your baby’s weight gain.

Even though babies feeding at the breast do not take in much air, it’s a good idea to burp your baby after feeding.

  • Your baby may fuss or come off the breast if they need to burp.
  • In the beginning, try burping after each breast.

By watching your baby, you will see how often they need to be burped. Some babies will not need to burp every time.

Hold your baby in an upright position against your shoulder or sitting on your lap. This helps the air bubble to come up more easily. Gently rub or pat baby’s back.

Sometimes a burp brings up some milk as well. Some babies spit up after feedings. This is nothing to worry about as long as your baby is gaining weight.

A healthy full-term baby gets all the fluid they need for the first six months from breastmilk. They do not need any other fluids (including water) until around 6 months old.

Even from six to twelve months of age, your baby’s main source of fluid and nutrition is still breastmilk.

Visit Feeding Your Baby Solid Food for more information.

After six months of age, you can start offering your baby water in a cup with meals and snacks.

Offer small amounts of water (1/4 of a cup at a time and no more than half a cup per day) so babies can get used to the taste.

Breastmilk will still provide your baby’s main source of nutrition and fluids from six to twelve months. Water should not replace your baby’s feed.

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