Essential Tips for New Moms: Breastfeeding and Infant Care - Pediatrics

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New mother


Hello, doctor.
My child is currently 22 days old.
Since it's inconvenient to see a doctor in the United States, I have some questions to ask:
1) I am currently breastfeeding.
Will consuming drinks like red tea or coffee affect my baby? Does what the mother eats directly affect what the baby absorbs?
2) If I store breast milk in the refrigerator (not the freezer), will the nutrients degrade? How long can it be stored?
3) I have been using a breast pump to feed due to previous nipple pain.
Is this inappropriate?
4) How much milk should I feed at one time? Currently, I am giving 60-80 cc every 2-3 hours.
Should I increase this amount?
Thank you for your time.
I greatly appreciate it.

yen, 20~29 year old female. Ask Date: 2001/02/18

Dr. Shi Zhongxian reply Pediatrics


(1) As long as it is not excessive (within one to two cups a day), it will not affect the baby.
(2) It can be stored for about seven days.
(3) There is no issue, but it must be expressed properly to avoid the risk of weaning.
(4) At 22 days old, it is advisable to feed every 3 to 4 hours, with each feeding being 120 to 150 cc.

Reply Date: 2001/02/18

More Info


As a new mom, navigating the world of infant care and breastfeeding can be overwhelming, especially when you have questions about your baby's nutrition and health. Here are some essential tips and insights based on your inquiries:
1. Impact of Maternal Diet on Breastfeeding: It’s common for new mothers to worry about how their diet might affect their breast milk. Consuming moderate amounts of caffeine, such as from coffee or tea, is generally considered safe while breastfeeding. However, it’s advisable to limit caffeine intake to about 300 mg per day (approximately 2-3 cups of coffee) to avoid potential irritability or sleep disturbances in your baby. While what you eat can influence your breast milk composition, the effects are usually minimal. Babies are more likely to react to certain foods if they are consumed in large quantities or if the mother has a specific allergy.

2. Storing Breast Milk: When it comes to storing breast milk, it’s crucial to follow proper guidelines to ensure its safety and nutritional quality. Freshly expressed breast milk can be stored in the refrigerator (not the freezer) for up to 4 days. While some nutrient loss can occur over time, breast milk remains a rich source of essential nutrients and antibodies for several days. If you need to store it longer, consider freezing it, where it can last for about 6 months to a year, although using it within 6 months is ideal for maintaining quality.

3. Using a Breast Pump: If you’re experiencing nipple pain, using a breast pump can be a practical solution to continue providing breast milk for your baby. However, it’s essential to ensure that the pump is used correctly and that the flanges fit well to avoid further discomfort. If you find that pumping is causing pain, it may be worth consulting a lactation consultant for personalized advice. Additionally, alternating between breastfeeding and pumping can help maintain your milk supply while allowing your nipples to heal.

4. Feeding Amounts: For a newborn, the typical feeding amount can vary, but generally, babies will consume about 60-90 cc (2-3 ounces) per feeding at this age. Since your baby is 22 days old and feeding every 2-3 hours, this amount seems appropriate. As your baby grows, their appetite will increase, and you may find that they will naturally start to consume more per feeding. It’s essential to pay attention to your baby’s hunger cues and allow them to guide their feeding amounts. If they seem unsatisfied or are consistently finishing their bottles, you may consider gradually increasing the amount.

5. General Tips for New Moms:
- Stay Hydrated: Drink plenty of fluids, especially water, to maintain your milk supply.

- Rest When Possible: Sleep deprivation can affect your milk production and overall well-being, so try to rest when your baby sleeps.

- Seek Support: Don’t hesitate to reach out to lactation consultants, pediatricians, or support groups for new mothers. They can provide valuable resources and emotional support.

- Trust Your Instincts: Every baby is different, and what works for one may not work for another. Trust your instincts as a mother and learn to recognize your baby’s unique needs.

In conclusion, breastfeeding and infant care involve a learning curve, and it’s perfectly normal to have questions along the way. By following these tips and staying informed, you can provide the best care for your baby while also taking care of yourself. Remember, you’re not alone in this journey, and seeking help when needed is a sign of strength.

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