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Breastfeeding - self-care
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Breastfeeding - self-care

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Nursing mothers - self-care

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  • Definition

    As a breastfeeding mother, know how to take care of yourself. Keeping yourself well is the best thing for breastfeeding your baby. Here are some tips about taking care of yourself.

  • Eat to Stay Healthy and to Feed Your Baby

    You should:

    • Eat 3 meals a day.
    • Try to eat foods from all the different food groups.
    • Vitamin and mineral supplements are not a substitute for healthy eating.
    • Know about food portions so that you eat the right amount.

    Eat at least 4 servings of milk foods each day. Here are ideas for 1 serving of milk food:

    • A cup of milk
    • 1 cup of yogurt
    • 4 small cubes of cheese or 2 slices of cheese

    Eat at least 3 servings of protein-rich foods each day. Here are ideas for 1 serving of protein:

    • 1 to 2 ounces of meat, chicken, or fish
    • 1/4 cup cooked dried beans
    • 1 egg
    • 1 tablespoon of peanut butter

    Eat 2 to 4 servings of fruits each day. Here are ideas for 1 serving of fruit:

    • 1/2 cup fruit juice
    • Apples
    • Apricots
    • Peaches
    • 1/2 cup cut up fruit, such as watermelon or cantaloupe
    • 1/4 cup dried fruit

    Eat at least 3 to 5 servings  of vegetables each day. Here are ideas for 1 serving of vegetables:

    • 1/2 cup cut up vegetables
    • 1 cup salad greens
    • 1/2 cup vegetable juice

    Eat about 6 servings of grains like bread, cereal, rice, and pasta. Here are ideas for 1 serving of grain:

    • 1/2 cup cooked pasta
    • 1/2 cup cooked rice
    • 1 cup cereal
    • 1 slice bread

    Eat 1 serving of oil each day. Here are ideas for 1 serving of oil:

    • 1 teaspoon oil
    • 1 tablespoon low-fat mayo
    • 2 tablespoons light salad dressing

    Drink plenty of fluids.

    • Stay hydrated when you are nursing.
    • Drink enough to satisfy your thirst. Try to drink 8 cups of fluid each day.
    • Choose healthy fluids such as water, milk, juice, or soup.

    DO NOT worry about your food bothering your baby.

    • You can safely eat any foods you like. Some foods may flavor your breast milk, but babies are usually not bothered by this.
    • If your baby is fussy after you eat a certain food or spice, avoid that food for a while. Try it again later to see if it is a problem.
  • Caffeine, Alcohol, Smoking, and Breastfeeding

    Small amounts of caffeine will not hurt your baby.

    • Limit your caffeine intake. Keep your coffee or tea at 1 cup per day.
    • If you drink larger amounts of caffeine, your baby may get agitated and have trouble sleeping.
    • Learn how your baby reacts to caffeine. Some babies may react to even 1 cup a day. If that happens, stop drinking caffeine.

    Avoid alcohol.

    • Alcohol affects your milk.
    • If you choose to drink, limit yourself to 2 ounces of alcohol a day.
    • Talk to your health care provider about drinking alcohol and breastfeeding.

    Try not to smoke. There are many ways to help you quit.

    • You put your baby at risk if you smoke.
    • Breathing in smoke increases your baby's risk for colds and infections.
    • Get help to quit smoking now. Talk to your provider about programs that can support you to quit.
    • If you can quit, you will feel better and decrease your risk of getting cancer from smoking. Your baby will not get any nicotine or other chemicals from cigarettes in your breast milk.

    Know about your medicines and breastfeeding.

    • Many medicines pass into mother's milk. Most of the time, this is safe and okay for your baby.
    • Talk with your provider about any medicines you take. DO NOT stop taking your medicine without first speaking to your provider.
    • Medicines that were safe when you were pregnant may not always be safe when you breastfeed.
    • Ask about drugs that are ok to take while you are breastfeeding. The American Academy of Pediatrics' Committee on Drugs keeps a list of these drugs. Your provider can look at the list and talk to you about medicines you take when breastfeeding.
  • Breastfeeding and Contraception

    You can get pregnant when breastfeeding. DO NOT use breastfeeding for birth control.

    You are less likely to get pregnant while breastfeeding if:

    • Your baby is younger than 6 months old.
    • You are breastfeeding only, and your baby does not take any formula.
    • You have not yet had a menstrual period after having your baby.

    Talk to your provider about birth control. You have lots of choices. Condoms, diaphragm, progesterone-only pills or shots, and IUDs are safe and effective.

    Breastfeeding delays the return of normal menstrual periods. Your ovaries will make an egg before you have your period so you can get pregnant before your periods begin again.

Related Information

References

Dieterich CM, Felice JP, O'Sullivan E, Rasmussen KM. Breastfeeding and health outcomes for the mother-infant dyad. Pediatr Clin North Am. 2013;60:31-48.

Feldman-Winter L. Evidence-based interventions to support breastfeeding. Pediatr Clin North Am. 2013;60:169-187.

Holmes AV. Establishing successful breastfeeding in the newborn period. Pediatr Clin North Am. 2013;60:147-168.

Newton ER. Lactation and breastfeeding. In: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obstetrics: Normal and Problem Pregnancies. 6th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 23.

Valentine CJ, Wagner CL. Nutritional management of the breastfeeding dyad. Pediatr Clin North Am. 2013;60:261-274.

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Review Date: 11/21/2014  

Reviewed By: Cynthia D. White, MD, Fellow American College of Obstetricians and Gynecologists, Group Health Cooperative, Bellevue, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

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