Breast feeding
Breast feeding
If I noticed that a client was not producing enough breast milk and that the baby may not be receiving enough milk, I would approach the situation with compassion, respect, and without judgment. I would first reassure the client that breastfeeding challenges are common and that needing additional support does not mean they are failing as a parent. I would explain what I observed and encourage the client to speak with a healthcare professional or lactation specialist to determine what may be contributing to the concern.
I would provide resources such as an International Board Certified Lactation Consultant (IBCLC), the baby’s pediatrician, the mother’s healthcare provider, and local breastfeeding support groups. I would also provide information about breastfeeding positions, proper latch, feeding frequency, and recognizing signs that the baby is receiving enough milk. If appropriate, I would help the client locate community resources such as WIC breastfeeding support.
As a doula, I would offer emotional support and help the client practice comfortable feeding positions and maintain a calm environment for feeding. I would encourage frequent feeding or pumping based on the recommendations of the client’s healthcare team. I would also remind the client to monitor the baby’s feeding patterns, wet and dirty diapers, and overall behavior rather than focusing only on how much milk is being expressed.
I would reach out for professional help immediately if I was concerned that the baby was not getting adequate nutrition, was unusually sleepy or difficult to wake for feeds, or had concerning diaper patterns. I would contact the baby’s pediatrician or an IBCLC and encourage the client to seek prompt medical evaluation. My role as a doula would be to support the family while recognizing when professional medical care is needed.
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