Lactation Clinic

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The Queen's Medical Center

Queen’s Maternity Services
Breastfeeding: The First Weeks at Home


How Will I Know if My Baby is Getting Enough Milk?
Babies who are nursing well and getting enough milk are:

  • Sucking actively for 10-20 minutes on each breast and act satisfied after a feeding
  • Swallowing during the feeding
  • Nursing 8 to 12 times every 24 hours, during the day and night
  • Having wet diapers and stools as follows:
    • 1 stool and 1 wet diaper during the first day
    • 2 to 3 stools and 2 to 3 wet diapers per day in the first 2-3 days of age
    • 3 stools and at least 6 wet diapers per day after 4 days of age (Stools are at least the size of a quarter)
  • Regaining their birth weight by 10 to 14 days of age.

It is important to have close follow up with your baby’s doctor to monitor your baby’s progress and weight gain.

If you think your baby is not nursing well, please call us and your baby’s doctor for help.

 

What if My Nipples are Sore?
The best way to prevent and cure sore nipples is to make sure baby opens his mouth wide and pull him onto your breast so close that his nose and chin are touching your breast. Your nipples may get sore if baby does not take a big mouthful of breast. Also:

  • Do not use soap on your nipples.
  • To take baby off your breast, first break the suction by putting a clean finger between his lips and your breast.
  • Use a different position each feeding. Alternate between the football hold, lying down and holding the baby next to your tummy.
  • If your nipples are sore: put some lanolin cream on the nipples after feeds. It's safe for your baby so there's no need to remove it when you are ready to feed again.
  • Be patient. With good positioning and time, your nipples will feel better in a few days. If not, please reger to the resources provided below.

 

Help! My Milk is in and My Breasts are so Full

  • Feed your baby every 1 1/2 to 2 hours. It is okay to wake your baby up and offer him the breast. Avoid giving your baby any bottles. The more your baby nurses, the more comfortable you will be.
  • If your breasts are so full that your baby cannot latch on, take one or two minutes to squeeze some milk out with your fingers. This will soften the area behind the nipple so your baby can latch on. Do this right before feeding your baby. For some women, this is easier to do in a warm shower.
  • If your baby cannot latch onto your breast, please call us at 808.691.4213, for help.
  • The fullness will go away in about 1 week, but you will still have plenty of milk as long as your baby is nursing every 3 hours or more often.

*References: Biancuzzo, Marie, Breastfeeding the Newborn, Clinical Strategies for Nurses, 2003, pp 164-165, 335-334. Lawrence, Ruth A. and Robert M Lawrence, Breastfeeding, A Guide for the Medical Profession, 2005, p. 310.

 

Breastfeeding Resources:
Counseling
The first weeks of breastfeeding can be full of challenges. Be patient with yourself and your baby as you both learn this new skill. If you have any questions or concerns, please call your doctor or one of the resources below:
 
1. Breastfeeding Support at The Queen's Medical Center
Call 808.691.4213 to speak with one of our trained nurses.
 
2. Hawai’i Mothers' Milk
Open Monday to Friday from 9:00am to 2:00pm. Phone: 808.949.1723. Phone counseling and help with breastfeeding problems is available at no charge; donations accepted. Call for an appointment.

3. La Leche League
Mother to mother support. Call for assistance and meeting information.

O’ahu:
     Holli — 808.265.1416 (This email address is being protected from spambots. You need JavaScript enabled to view it.)
     Melissa — 808.888.2321 ( This email address is being protected from spambots. You need JavaScript enabled to view it. )

Big Island:
     Heather (Hilo) — 808.987.9157 (This email address is being protected from spambots. You need JavaScript enabled to view it.)
     Sally (Hilo) — 808.982.9605 (This email address is being protected from spambots. You need JavaScript enabled to view it.)
     Rachel (Kona) — 808.325.3055

Kauai:
     Chole — 808.332.9181 (This email address is being protected from spambots. You need JavaScript enabled to view it.)

4. WIC
If you are enrolled in WIC, they will be happy to help you with breastfeeding questions. Call your local WIC agency. If not enrolled, call 808.586.8175 on O’ahu, or 1.888.820.6425 on the outer islands, to see if your family qualifies for WIC services.

5. IBCLC  Lactation Consultants
For a current listing of internationally board certified lactation consultants in the area, go to www.ilca.org/directories/find a lactation consultant.

6. National Breastfeeding Helpline
Phone counseling is available from trained breastfeeding peer counselors at 1.800.994.9662. Hours are Monday thru Friday between 3:00am and 12:00pm Hawai’i Standard Time (9:00am and 6:00pm EST).

 

Breast Pumps to Rent

1. Hawai’i Mothers' Milk at Kapiolani Medical Center - 808.949.1723

2. WIC - If you are enrolled in WIC, you may be eligible to receive a breast pump. Call your local WIC agency.

3. Ohana Daze - 808.625.7774

4. Breast Pump Hawai’i (Heather) - 808.226.8884

 


Open 24 Hours a Day,
7 Days a Week

 


Labor and Delivery:
808.691.4227

Postpartum:
808.691.4213

 


808.691.5096

 


maternity@queens.org

 

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