Table of Contents
Introduction xi
Part I Breastfeeding 1
1 What You Need to know to Start Nursing 2
Preparing to Nurse 3
Building and Maintaining a Healthy Supply 4
2 The Basics of Breastfeeding 9
Latching 9
Positioning 11
Switching Breasts 16
Engorgement 17
Do I Need Breastfeeding Accessories? 18
Support 23
3 The Science Behind Making Milk 25
The Stages of Milk Production 26
Milk-Making Hormones 28
Part II The Myth of Low Milk Supply: Separating fact from fiction
4 Am I Experiencing Low Milk Supply or Transfer? 32
Evaluating Your Milk Supply 33
Is My Baby Getting Enough Milk? 35
5 Medical Reasons for Low Milk Supply 39
Breast Reduction Surgery 39
Mastitis and Plugged Ducts 40
Insufficient Glandular Tissue 42
Polycystic Ovary Syndrome (PCOS) 43
Thyroid Issues 44
Prolactin Deficiency 46
Infertility Secondary to Pituitary Disorders 47
Sheehan's Syndrome 47
Hormonal Birth Control 48
Infant Anatomical Abnormalities 50
Birthing Methods and Medications Given During Birth 54
Retained Placenta 55
Preterm Births 55
Overweight and Obesity 56
6 Nonmedical Reasons for Low Milk Supply 58
Ineffective Suck or Latch 59
Nipple Shields 61
Supplementing with Formula 63
Reducing or Eliminating Nighttime Feedings 68
Scheduling Feedings 70
Pacifier Use Between Feedings 71
Ineffective Milk Expression 72
Early Introduction of Solid Food 76
7 Milk Slumps 79
Growth Spurts 79
Returning to Work or School 81
Welcome Back, Aunt Flo! 84
Stress 85
Malnutrition 85
Part III Breastfeeding and Nutrition
8 Nourishing Your Body 90
Managing Food Allergies and Breastfeeding 91
Maternal Energy Needs During Pregnancy and Lactation 91
Losing Weight While Breastfeeding 93
Macronutrient Needs of the Breastfeeding Woman 95
Micronutrient Needs of the Breastfeeding Woman 99
9 Boosting Your Breast Milk through Foods and Herbs 104
Lactogenic Foods 105
Potential Lactogenic Foods and Herbs 113
Superfoods to Help You Breastfeed 114
Antilactogenic Foods, Herbs, and Medications 119
Other Foods to Avoid 122
10 Frequently Asked Questions 125
Are there any medications that have been shown to improve milk supply? 125
Should I continue to take vitamins and supplements? 126
Can diet cause a fussy baby? 127
How do I know if my baby has a food allergy? 127
Can my diet affect the nutrient content or quality of my milk? 129
How do I choose the lactogenic foods that are right for me? 130
Are lactogenic foods and galactagogues safe for my family to eat? 130
Is it OK to take more than one galactagogue at a time? 131
How much water should I be drinking? 132
Part IV The Recipes
A Note About the Recipes 134
Milk-Makin' Milks 136
Teas, Tonics, and Smoothies 144
Breakfast 150
Breads and Rolls 164
Side Dishes 170
Soups, Stews, and Salads 177
Dips, Bars, and Snacks 189
Entrées 196
Desserts 211
Notes 222
Acknowledgments 234
Index 236
About the Author 244