See also The Fourth Trimester and Your Baby Week By Week for more information on breastfeeding in the first three months

Breastfeeding

Human infants are breastfed until natural weaning occurs. This is sometimes called full-term or natural-term breastfeeding. We endorse the World Health Guidelines which state:

“WHO and UNICEF recommend that children initiate breastfeeding within the first hour of birth and be exclusively breastfed for the first 6 months of life – meaning no other foods or liquids are provided, including water.

Infants should be breastfed on demand – that is as often as the child wants, day and night. No bottles, teats or pacifiers should be used.

From the age of 6 months, children should begin eating safe and adequate complementary foods while continuing to breastfeed for up to 2 years and beyond.”

— https://www.who.int/health-topics/breastfeeding

When direct breastfeeding is not possible, babies should be fed their own mothers expressed breastmilk and/or donor breastmilk. The use of infant formula is considered a last resort. We do not permit any form of brand promotion of infant formula or products used with breastmilk substitutes in accordance with the The International Code of Marketing of Breastmilk Substitutes, informally known as The WHO Code

We support Informal Milk Sharing through online communities including Human Milk For Human Babies and Eats On Feets. We encourage and support the establishment of human milk banking making human milk available to all babies unable to be fully fed their Mothers Own Milk

We support antenatal expression of colostrum and the use of this in the postnatal period in circumstances where babies need supplementation.

We support relactation and induced lactation. We consider the terminology “breast”, “breastmilk” and “breastfeeding” to be biologically accurate at a population level but respect the right of individuals to use terminology like “chestfeeding”.

We recognise the Australian Infant Feeding Guidelines Information for health workers

“In Australia, it is recommended that infants be exclusively breastfed until around 6 months of age when solid foods are introduced. It is further recommended that breastfeeding be continued until 12 months of age
and beyond, for as long as the mother and child desire. ”

— https://www.eatforhealth.gov.au/sites/default/files/files/the_guidelines/n56b_infant_feeding_summary_130808.pdf

We respect child-led weaning from the breast as optimal but recognise that circumstance may led to mother-led weaning after two years.

We do not support night weaning or adult-modification of infant sleep patterns and recognise the normality and benefit of nighttime breastfeeding throughout the early years of life.

While we recognise that the majority of mothers in Australia initiate breastfeeding but only a minority achieve 6 months of exclusive breastfeeding due to circumstances beyond their control, this is not a community for those who choose not to breastfeed for non-medical reasons. This is not a formula feeding support forum. Questions around choosing and using infant formula are not permitted. We choose to describe the risks of infant formula and/or lack of breastfeeding, which may cause distress.

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Breastfeeding needs more support.

Breastfeeding is natural for mothers and babies. They are biologically prepared to do it with only a small minority facing insurmountable barriers.

However, the practical aspects of breastfeeding, the skills and techniques, are learned behaviours which become habitual with practice.

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Releasing Your Breastmilk

The Let-down Reflex is not something mothers do, it is something which happens.

Your Baby is the main stimulus for the release of oxytocin into your bloodstream, which in turn begins to eject milk out of the glands and into the ducts.

Hidden away under our brain is the pituitary gland, no bigger than a walnut but with significant influence over our bodies. It is from here that oxytocin begins to switch on the milk flow.

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And a kiss on top of the head

Skin-to-skin contact with your baby triggers the release of oxytocin, preparing you physically and emotionally for a breastfeed.

I ran a breastfeeding drop in for several years and encouraged mothers to use #babyledattachment . Almost without exception, as a mother prepared to position their baby against their bared chest, they would pop a brief kiss on top of their head. I also see this instinctive response when women hold babies in this position as they place them into a baby carrier. It is so automatic and so quick, I doubt they are even aware they are doing it. I have caught myself doing it with my grandchildren in the early days too.

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Oxytocin #love

Oxytocin is such an integral part of our body systems yet many people have little understanding of what it does.

I sometimes describe it as the hormone of pleasure and pain! It is the power behind childbirth yet also has an enormous role in bonding and love.

But it is is importance in lactation we often first hear of it by name. Oxytocin is the hormone which releases milk from the breast. Mothers usually know this as the let-down reflex but it is sometimes referred to as the milk-ejection reflex.

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Night Weaning: keeping it real

Toddlers in the second year wake in the night for many reasons. Sleep disruption due major developmental milestones is typical as significant mobility, dental and cognitive stages collide.

Expectations of night time parenting demands decreasing in the second half-year have nothing to do with evidence-based research. While babies begin to develop their own circadian rhythm from around 12 weeks, this does not mean they will begin to wake less.

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Feed the baby … not the freezer!

So many women are under unnecessary stress because they can't express extra breastmilk to build a #freezerstash

Let's take a moment to unpack this: a mother is breastfeeding well. Her baby is thriving. But she feels she is failing because she isn't producing more milk than her baby requires! Breastfeeding is about supply and demand. The baby's feedback to the breast, through the removal of milk during a feed, drives milk production.

Until around the 1990s, Australian mothers generally only expressed breastmilk if their baby was sick or premature and unable to direct feed. Or her breasts were too engorged for her baby to attach. Other reasons to express were less common: separation due to work, study or social commitments etc. Electric breast pumps were only available by hire and often reserved for those with babies in special care nurseries. Hand pumps and hand expressing were sufficient for most mothers. Expressed milk might be frozen in small amounts but disposable bags were expensive and hard to get and freezer space was at a premium.

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Cluster Feeding: Normal, Natural and Hard Work.

Ah, it's that time of day!

That time when your baby latches on to the boob around sunset and only come off the swap sides ... again. Quick nappy change and ... back on the boob. Into the baby carrier and ... boob. More boob while you prep Dinner, more while you eat dinner. Boob in front of the TV ... boob in bed while you scroll on your phone. Asleep! Ninja roll out from beside them to dash to the loo and ... okay, more boob!

And this is entirely normal!

Is it lots of feeds or one never-ending one? Does it matter?

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World Human Milk Donation Day

"For more than a decade, May 19th has been celebrated annually as the international World Human Milk Donation Day. Originating in Brazil in 2004 as a national event, the day was created to promote the importance of donating human milk to non-profit human milk banks.

May 19th is now marked by milk banks and milk bank supporters globally - and with over 750 human milk banks in 66 countries - there are very many donors to thank! It is estimated more than 800,000 at-risk infants receive donor human milk each year, which suggests well over 1 million liters of milk are donated annually in support of optimal infant nutrition and breastfeeding."

Informal milk sharing is more common here in Australia, where there are still very few milk banks and access to most is limited to premature or sick infants.

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The Reality of Breastfeeding

We're not supposed to talk about it, especially to people about to become parents for the first time.

The reality of breastfeeding.

We don't want to put them off the whole idea. And if we discuss it with family and friends, they either want to help you "fix" it, convince you to stop it or - possibly worst of all - say you only have yourself to blame, "you wanted to breastfeed" or you are creating a rod for your own back "giving in all the time".

Reality check: babies spend more time on the breast than they do off it. And this is not only normal but it's optimal!

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The synergy of breastfeeding and babywearing.

Breastfeeding and Babywearing:

It just makes sense to keep babies close to the breast. We know that human infants, like all primates, feed frequently. Despite what we are (mis)led to believe, it is not normal for breastfed babies to spend long hours sleeping away from their mother. Indeed, books and so-called "baby whisperers" have greatly undermined mothers confidence in the past decades.

Schedules, routines and charts suggesting feed times spaced neatly round the clock are not evidence-based. They are simply cut and pasted across generations since the first doctor intruded into the maternal space and tried to organise everything!

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Protect, Promote and Support Breastfeeding

Breastfeeding.

How did the very foundation of life become such a triggering topic in the modern world?

Humans are mammals. The females of our species, like every other mammal, conceive, gestate, birth and lactate: it is a continuum.

For more than thirty years, supporting women to establish and maintain #breastfeeding so they can reach their goals has been central to my life. In 1984, I needed the wisdom and understanding of those who had breastfed to assist me in learning the skills of this natural process. Later, when my second and third babies came along, they brought their own challenges to overcome, building my knowledge base further.

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How much milk do breastfed babies drink?

Don't be fooled by the measurements on baby bottles or recommended quantities on formula cans: they have nothing to do with breastfed babies!

Each baby takes exactly what they need, when they need it, from the breast. When reserch was finally done on breastmilk intake over 24 hours, the results surprised everyone!

Surely all babies would be much the same?

Surely the daily volume would steadily increase over the first six months?

Surely every feed would be roughly the same?

Nope. Nope. Nope!

Who knew? Nature knew!

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What Are Wonder Weeks?

Growth spurts.

Appetite increases.

Fussy periods.

All new mothers know there are times when babies are extra unsettled due to development. When mothers come together to talk, they find their babies go through these stages at similar ages. “It’s just a phase” is commonly said to reassure them, by experienced mothers, doctors and nurses.

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Six Steps to Breastfeeding

Breastfeeding is natural and we all agree it the preferred way to feed babies. But establishing breastfeed isn’t always easy – most mothers find meeting their breastfeeding goals takes patience, determination and lots of support.

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Breastfeeding in Pregnancy

It's gone from something which tended to happen unplanned to a very intentional plan. I see this as a combination of personal goals around meeting the WHO recommendation for two years and beyond, with pressure to have children within a defined period around career/study and other lifestyle issues.

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Breastfeeding In Summer

Like everyone, babies need additional hydration when temperatures start to rise. But there’s no need to reach for a bottle of boiled water. Breastmilk is wonderfully adaptive to the changing needs of babies and toddlers and is all that they need to quench thirst, as well as satisfy hunger.

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