Breast milk is a fantastic first food for babies because it protects them from illness, which formula milk can’t do.
Breastfeeding or baby
receiving breastmilk by other means has many health benefits for
mum and baby and can reduce the risk of the following
illness, diabetes, ear infections, colitis, allergies, obesity,
Urinary tract infections,
certain childhood leukaemia, cardiovascular disease, coeliac
Necrotising enterocolitis (a
serious bowel condition in premature babies)
Sudden infant death
Breast cancer, osteoporosis,
Positioning and attachment of breastfeeding
Although there are many different positions you may want to try
depending on how comfortable you feel, the positioning of your baby
are all underpinned by some key principles below:
You can find a useful video
on positioning and attachment here and
there is also information on breastfeeding in the 'Best Beginnings'
video 'From Bump to
You may find more
useful information and resources on the following pages:
Friendly Initiative video resources
Best Beginnings video
In the first couple of days after you have had your baby the
amount of milk (colostrum) that you will produce will be very
small, therefore it is better to hand express and use a sterile
syringe to store the colostrum. Research has shown that hand
expression can be more effective at removing milk in the first few
days after birth when the colostrum is thick and the breasts are
Learning how to hand express during your pregnancy can make
you more comfortable touching and feeling your breasts.
Experimenting slowly with techniques to figure out what it takes to
get drops of milk can be empowering, especially during
pregnancy before there is any pressure to express milk for
A video showing hand expression technique can be found here.
If I'm breastfeeding, why do I need to know how
to hand express?
Hand expression of breastmilk is a useful skill in the presence
of breastfeeding problems, or to assist with baby attaching to the
breast and can be likened to something you keep in the first
aid box when there may be problems!
Information on expressing breast milk and
storage can be found on the Breastfeeding
network web pages.
There are lots of signs to suggest that breastfeeding is going
well, our leaflet 'How can I tell breastfeeding is going
well' can be found on our patient
information leaflet page. If you have any concerns, you
can ask your Midwife.
Frequently asked questions
Q. Why is breastfeeding important?
A. Breastmilk is the normal food for babies, it is a complete
food containing all your baby's nutritional needs for the first 6
months of life, It satisfies both hunger and thirst; extra water is
not needed. Breastmilk not only meets the baby's nutritional
requirements, it increases your baby's resistance to infection and
some long-term illnesses.
Breastfeeding is important for mothers too
- It's convenient, cheap and always there when you need it.
- It's always fresh, clean, safe and at the right
- It can quickly soothe an unhappy baby.
- It helps your uterus return to its normal size after
- It gives you a chance to sit down during the day and rest.
- Mothers who don't breastfeed have increasd risks of cancer of
the breast and ovaries
- Breastfeeding helps create a close and loving bond between you
and your baby and can be a deeply satisfying experience for you
Q. I have sore nipples, is this normal for the first few days
A. Sore nipples can be a sign that baby is not attaching to the
breast effectively; ask your Midwife or Maternity Support Worker to
check the way baby attaches to the breast. If it is thought that
baby is attached optimally, your nipples should not get sore. There
are other factors which may cause sore nipples i.e. if baby has a
tongue tie, this can be assessed by a health care professional and
a referral made to the correct department if it is deemed
You can find some useful information here from
the Breastfeeding Network.
Q. How can I tell that my breastfed baby is getting enough
A. There are signs to look out for to ensure that baby is
getting enough, our leaflet 'how can i tell breastfeeding is going
well' can be found on our patient
information leaflets page.
Q. I want to express my breastmilk, how do I store it?
A. Expressed breastmilk can be stored at 4°C for not more than 5
days in your refrigerator at home. The breastmilk should be
stored in a sealed container towards the back of the refrigerator
and not in the door compartments.
- You can store your breastmilk in a freezer at -18°C for not
more than 6 months at home.
- Breastmilk can be stored for 2 weeks in the ice compartment of
a refrigerator at home.
- Fresh breastmilk can be stored in a sealed container for no
more than 4 hours at room temperature.
Q. I want to give my breastmilk to my baby via a bottle, are
there any tips?
A. It is recommended that you express at least 8 times in a 24
hour period to maintain your supply; in practice this means
expressing fairly frequently during the day with one expression
between midnight and 06:00hrs (one of the hormones to stimulate
your supply is high during this period of time).
It is recommended that you limit the number of people who feed
your baby during the early days and weeks, this is because your
baby will be familiar with your technique and will feel safe and
secure, this also helps you to build a close and loving
relationship with your baby.
It can be a good time to express when you are close to your
baby, this is because the hormone levels for making milk will be
Q. I am being sick, is it safe to carry on breastfeeding?
A. As with most illnesses the antibodies you are making to fight
the infection will be passed to your baby via your breastmilk. It
is safe to carry on breastfeeding as your milk will help protect
your baby from getting the same illness or at least make it
For vomiting and / or diarrhoea, try drinking water or
other clear drinks to help you keep your fluid levels up. Even
small amounts of fluid taken regularly will help. You don't need to
eat food to keep making milk. Your breasts may feel softer but you
will still have enough milk. Your baby may want to feed for shorter
times but more often when you are ill. You may need help from
relatives with caring for baby, who can then bring baby to you for
See your GP if you are concerned about your own illness.
Q. I haven't managed to stop smoking altogether, would my baby
be better being fed formula or is it still worth
A. It is still much better to breastfeed if you smoke.
Breastfeeding will still protect your baby from infections and
provide nutrients they can't get from formula milk.
If possible, limit your smoking to after a feed and go outside,
to keep the smoke to a minimum (breastfeeding and bottle-feeding).
Consider using nicotine patches to reduce your need for a
cigarette, these are safe to use while breastfeeding and will
reduce the amount of nicotine in your breastmilk. It is important
to avoid smoking in the same room as your baby.
If you or your partner smoke, it's important not to share a bed
with your baby (co-sleep). This is known to raise the risk of
Sudden Infant Death Syndrome (SIDS), particularly if you smoke,
you have recently consumed alcohol, or you're taking
medication that makes you sleep more heavily.
Q. I have been diagnosed with postnatal depression and told I
have to stop breastfeeding my 3 month old daughter because of
needing medication, is this correct?
A. Most of the new drugs that nay help with depression are
not licensed to be given to breastfeeding women. However
there is information about the amount of the drug which will reach
the baby through breastmilk. Most drugs can be taken during
breastfeeding and only small amounts pass into
breastmilk. You can check this information here but should
still discuss the risks with your GP or a
It is important that you enjoy your time with your baby, so
please don't be put off taking medication. Breastmilk with a small
amount of drug is very beneficial. Some people think that formula
would be safer but this is not true. It may be that
breastfeeding is a time for you to relax and enjoy at the moment,
so concentrate on looking after yourself and your baby but accept
help with routine tasks.
Q. Is it ok to have some alcohol whilst breastfeeding?
A. There's some evidence that regularly drinking more than two
units of alcohol a day while breastfeeding may affect your baby's
development. But an occasional drink is unlikely to harm your
It's recommended that breastfeeding mothers have no more
than one or two units of alcohol once or twice a
week. One unit of alcohol is approximately a single (25ml)
measure of spirits, half a pint of beer, or 125ml (small) glass of
wine, although this depends on the strength of the drink
If you do intend to have a social drink, you should try avoiding
breastfeeding for two to three hours per unit after drinking.
This allows time for the alcohol to leave your breast milk.
You will need to make sure breastfeeding is established before you
try this. You can find more information here
regarding this subject.
Back to 'feeding your baby'.