There's no shortage of breastfeeding advice. Before your baby even arrives, you'll hear tips from friends, family, social media, and strangers in the grocery store, often all saying something different. It's no wonder so many new moms wonder if they're doing it "right."
For Breastfeeding Awareness Month, we spoke with Chrisie Rosenthal, IBCLC, PHM-C, and COO of MilkWise, about the questions she hears every day from new and expecting parents. From what a good latch actually feels like to the truth about low milk supply, she shares the guidance she wishes every family had before beginning their feeding journey.
Breastfeeding isn't always intuitive.
KB: What is the most common misconception about breastfeeding you hear from new mothers?
CR: Breastfeeding will come naturally because women have been breastfeeding since the beginning of time. No need for me to take a prenatal class or line up support in advance.
About latch...
KB: What does a good latch actually feel like, and how do you know if something is off?
CR: Generally speaking, when baby and mom have a good latch, breastfeeding is comfortable for both people, and breast milk is transferred efficiently. Parents should keep in mind that latching is a learned skill, and it can take time for both mom and baby to get the hang of it. That doesn't mean you need to push through painful, inefficient breastfeeding. That's where a lactation consultant (IBCLC, the highest credentialed lactation consultant) can help you!
KB: What are the early signs that a baby may have a latch issue, and what should a mother do if she suspects one?
CR: Early signs of latch issues include painful breastfeeding, damaged nipples, a baby in the first few days who loses 10% or more of their birth weight, and a baby who is not gaining weight appropriately. These can all be related to latch, but there can also be other factors. Mothers who are having any breastfeeding challenges should reach out to a local lactation consultant for support and a plan.
One of the biggest worries new moms have
KB: How do you know if your supply is actually low versus just feeling that way?
CR: That's a complex answer. Your IBCLC will do a thorough history and assessment in your lactation consult and then be able to make recommendations as needed. It’s very common for moms to believe they have low supply, even when they have a strong supply!
The first six weeks
KB: What does a realistic first few weeks of breastfeeding look like, and what is actually "normal"?
CR: The first few weeks of breastfeeding are a time of rapid change, for both baby and parent. In the first days, babies receive concentrated, nutrient-rich colostrum (your first breast milk) before milk begins transitioning around days 3–5. Sometimes parents are surprised to learn that newborns commonly feed 8–12 times every 24 hours, are often more alert at night, and cluster-feed during growth spurts that occur in the first six weeks. These weeks can be demanding, and parents are often sleep-deprived. Support systems are incredibly valuable. IBCLCs help parents understand what is expected, assess milk transfer and supply, and provide individualized, evidence-based guidance whenever questions or concerns arise.
Knowing when to ask for help
KB: When should a new mother reach out to a lactation consultant, and is it ever too early or too late?
CR: The ideal time to connect with an IBCLC is prenatally. Studies show that connecting with a lactation consultant prenatally is one of the biggest factors that positively determines whether mothers reach their feeding goals. And, of course, it's never too late! Lactation consultants have the expertise to guide your feeding journey and support you at every stage, from prenatal through weaning.
A few final thoughts
KB: What is one thing you wish every mother knew before her baby arrived?
CR: You're not alone. It's common to experience struggles with feeding. Lactation consultants are your support person, and support is often covered by your insurance plan!
KB: What would you say to a mother who is struggling and considering stopping?
CR: If you're struggling with breastfeeding or making the decision to stop breastfeeding because you don't feel supported or because you’re receiving conflicting breastfeeding information, talk to an IBCLC first! Lactation consults with IBCLCs are often covered by your insurance. Having said that, sometimes weaning is the right choice. Your LC will help you with a safe weaning plan for you and your little one.
KB: What is one piece of advice you give every single client regardless of their situation?
CR: You need to make the feeding decision that works best for you. And don't rely on the internet, online groups, or even friends and family for your breastfeeding information. Everyone is different, and your IBCLC is your feeding expert. We offer non-judgmental, evidence-based support and guidance for how to reach your goals.
Looking to learn more about breastfeeding support? Visit MilkWise for additional information and resources.
Checkout