Breastfeeding/Chestfeeding Resources

Additional Breastfeeding/Chestfeeding Resources 

If you have any questions about breastfeeding/chestfeeding call: 

  • Your local public health nurse , nursing station, health centre, health-care provider 
  • Health Links-Info Santé – 204-788-8200, toll-free 1-888-315-9257. You can speak to a nurse 24/7, 365 days of the year in over 100 languages. They can answer your health questions and help you find health services in your community. 
  • Your health care provider to ask about a referral to a breastfeeding/chestfeeding medicine doctor.  

Dial-a-Dietitian

If you have a nutrition or food question, call Dial-a-Dietitian Manitoba at 204-788-8248 or toll-free at 1-877-830-2892

Keeping your baby warm in winter

In the winter you will want to make sure that your home is warm enough for your baby but not too hot.

In your Home

  • Dress your baby as you would dress yourself. If you are comfortable in pants and a light sweater, your baby will be too.
  • The temperature in your home should be:
    • at least 21°C in the day (7a.m. to 11 p.m.).
    • no lower than 18°C at night (11 p.m. to 7 a.m.)

Did you know?

If you rent, you can ask your landlord to follow these recommendations. If your landlord does not comply, you can call the Residential Tenancies Branch at 204-945-2476 or toll free 1-800-782-8403.

In the Crib or Bassinet

a baby in a white onesie sleeping on their back in a crib. An adult and a toddler are reaching in to gently touch them

The safest place for a baby to sleep is in a crib, cradle or bassinet in your room for the first six months, or ideally, for the first year.

  • Dress baby in one-piece footed sleepers. For an extra layer, use a onesie or undershirt.
  • Use a flannel fitted sheet in your baby’s crib.
  • Crib or bassinet should not be near radiators, heaters, fireplaces and woodstoves, windows, drafts and outside walls.
  • Babies may need a hat to stay warm if the room is too cold.
  • Do not use hot water bottles or electric blankets, these could cause a burn or your baby to overheat.

If baby is still cold and you want to use a blanket in a crib

Use a crib-sized blanket.  It should be large enough to be firmly tucked in without coming loose, but small enough so it does not make the mattress uneven when tucked in.

  • Lay baby on back with feet near the bottom of the crib.
  • Place blanket so that it is no higher than baby’s armpits.
  • Tuck the blanket into the sides and bottom of the crib.

Out and about

Dress your baby for the weather

  • Keep your baby warm by dressing them in layers that are easy to put on and remove.
  • Mitts, socks, boots will help keep your baby warm.
  • A warm hat is important because babies lose a lot of heat through their heads.
  • When you go indoors remove or at least unzip baby’s snowsuit and take off the hood or hat to prevent overheating.

Did you know?

When using a stroller or sled, exercise can make you feel warm, though your baby is just sitting and will feel the cold much more than you.

Winter Car Seat Safety

Here are some tips to keep your child warm and safely buckled in their car seat.

As a general rule, infants should wear one more layer than adults. If you’re wearing a coat, your baby will likely need a coat and a blanket, too. Just remember to take off the coat and blanket once you’re inside the car before buckling your child into the car seat. A safer option is to drape a blanket or coat over the car straps after your baby is buckled in.

Your baby needs to be dressed warmly in the winter.  Choose a snowsuit that isn’t puffy or made from slippery material. Take care that your baby’s snowsuit or other clothing doesn’t interfere with the fit of the car seat:

When clicking your baby in:

  • Only one finger should fit between the car seat straps and your baby’s collarbone.
  • The chest clip should be at armpit level.

If you are using a blanket: 

  • Make sure it is no higher than baby’s armpits
  • Never place the blanket behind or under baby.

If you are using an infant car seat cover:

  • Only use the infant car seat covers briefly when taking baby outside.
  • Remove the cover as soon as you are inside or in the vehicle.
  • Only use the car seat covers that go over the car seat. Do you use the ones that go under your baby.

How to tell if your baby is cold

  • Feel their under their armpits, or their thighs if they are cold. Cold hands and feet do not always mean that the baby is cold.
  • They are fussy
  • Their skin looks pale or blotchy

To warm your baby

  • Hold Them Close – skin to skin is best
  • Add Layers – Start with close-fitting layers like a onesie and then add a blanket or a warm sleeper. Make sure the blanket is not too tight around their chest and always leave their face uncovered.  
  • Adjust the Room Temperature you may need to turn room temperature up

References

Is it a cold, the flu or COVID-19?

What is a cold? 

A common cold is most often caused by rhinoviruses, an illness which affects the nose, throat and sinuses. Cold symptoms are usually mild and often include a runny or stuffy nose.  There are many different cold viruses, so your child may have eight to 10 colds in a year. 

What is the flu (influenza)? 

The flu is a respiratory infection caused by influenza viruses. In Manitoba, flu season usually begins in the fall and lasts into the spring. Symptoms are generally more severe than the common cold and can include sudden high fever, body aches, extreme tiredness, sore throat and dry cough. Young children may also have nausea and an upset stomach.  

What is COVID-19? 

COVID-19 is caused by the SARS-CoV-2 virus, a virus in the coronavirus family. Most people infected with the virus will experience mild to moderate respiratory illness. Some may become seriously ill and require medical care. COVID-19 can cause symptoms that are similar to a cold or the flu. 

How is a cold, the flu or COVID-19 spread? 

Colds, the flu and COVID-19 are all caused by viruses (germs). They are spread from one person to another when the germ gets into the mouth, nose or eyes. This can happen when: 

  • coughing
  • sneezing
  • kissing
  • holding hands 
  • touching used tissues, toys and other surfaces 

Common signs and symptoms of colds, the flu and COVID-19 

Common Symptoms*ColdFluCovid
Fever and/or chills
Headache
Muscle pain and body aches
Feeling tired or weak
Sore throat
Runny or stuffy nose
Sneezing
Cough
Shortness of breath or difficulty breathing
*Symptoms may vary based on new COVID-19 variants and vaccination status 

Adapted from Common Symptoms of a Cold, the Flu and COVID-19 – The National Institute on Aging. 

What should I do if I think my child has a cold, the flu or COVID-19? 

  • A cold, the flu and COVID-19 are all caused by viruses. They will last a few days to a few weeks and go away on their own. Antibiotics will not help. 
  • If your child is sick, you should keep them comfortable and care for them at home. 
  • Children with chronic diseases, cancer and those taking medications that suppress the immune system should contact their doctor if they have symptoms of influenza or COVID-19.  
  • For advice about when your child should see a doctor, click here

Tips for comforting your sick child: 

  • Make sure your child gets plenty of rest and fluids. 
  • Gargling with warm salt water can help soothe a sore throat. 
  • If your child has a fever, dress them in light clothing and remove any extra blankets. For managing fever, see our page:  Kid’s Fever: What to Know, When to Get Help. 
  • For information about fever medicine, cough and cold medicines and medicated nose sprays, see our page: Over the Counter Medication and Children
  • Colds, the flu and COVID-19 cannot be treated with antibiotics. Antibiotics should only be used when children develop bacterial infections, such as an ear infection or pneumonia. 
  • Use saline (salt water) drops to help clear a stuffy nose. If your infant is having trouble feeding because of a stuffed nose, you can use nose suction products such as a nasal aspirator or bulb suction. Use saline nose drops or saline nose spray if the mucus is very thick. The spray goes well into the nasal passages and may be easier to use and may work better than the drops. 
  • Try a cool mist humidifier. This can help clear a stuffy nose more comfortable. Be sure to clean and dry the humidifier to prevent bacteria or mould buildup. 

Used with permission from the Hospital for Sick Children Note: Other videos may be recommended by the host channel (e.g., YouTube, Vimeo). These suggestions may be based on your personal search history and other factors. The Manitoba government does not control these suggestions and is not responsible for and may not endorse the content.  

How is a cold, the flu or COVID-19 diagnosed? 

  • To diagnose a cold or the flu, your health-care provider will examine your child and ask about their signs and symptoms. They may also do a nose and throat swab to test for the influenza virus if your child has a serious medical condition such as cancer or is being admitted to the hospital. 
  • For information on COVID-19 testing, see COVID-19 Testing Advice and Guidance – Government of Manitoba

How to prevent the spread of a cold or the flu 

  • If your child has symptoms of a respiratory infection, follow public health guidance to help limit the spread of viruses to others.  
  • Have your child vaccinated for all recommended illnesses including the seasonal influenza vaccine (the “flu shot”) and the COVID-19 vaccine. The flu vaccine is safe for any child over six months of age and it is suggested your child gets it every year.
    • It is also important for parents, family members and caregivers of your child to get vaccinated for the flu so that they do not spread the flu.  
  • To learn more about vaccine preventable respiratory illnesses, visit Manitoba.ca/vaccine  
  • Wash your and your child’s hands with soap and water after coughing, sneezing or wiping a nose. To learn more see Hand Hygiene – Government of Manitoba.
    • Sing your child’s favourite song while washing their hands to make sure they are washing long enough. 
  • Cough and sneeze into the inside of your elbow or into a tissue instead of your hands. Teach your child to do this too! To learn more, see: Cover your Cough and Sneeze – Government of Manitoba
  • Keep your child home from daycare or school when they are sick to prevent spreading germs to other people. 
  • Teach your child not to share items that may be dirty with germs such as cups and eating utensils. 

For more information: 

Kids’ Fevers: What to Know, When to Get Help

Most children will get a fever at some point. This can feel scary for parents. 

If you think your child has a fever, you may wonder: 

  • How do I know for sure? 
  • How can I keep my child comfortable? 
  • When should I seek health care? 

What is a fever?  

  • A fever is a sign your body is fighting an infection and is not dangerous.
    • Normal body temperature is about 37 C (98.6 F). 
    • A fever is when your body temperature is 38 C (100 F) or higher. 
  • Fevers are most often caused by infections. Your child may have other symptoms such as earache, sore throat, rash or stomachache. 
  • It is common for children to have a low-grade fever up to two days after an immunization

How do I know if my child has a fever? 

A child with a fever may: 

  • have red cheeks or pale skin 
  • feel very hot and sweaty or cold and shivery (or both) 
  • be more fussy or tired than usual 
  • not want to eat (loss of appetite) 
  • be more thirsty than usual 
  • feel hot to touch on the face or body but have cold hands and feet 

How do I take my child’s temperature? 

  • The safest way to take a young child’s temperature is to hold a digital thermometer under the armpit. 
  • Once your child is over two years of age, you can use an ear thermometer. 

Safety Tip

Do not use a mercury thermometer.  If it breaks, it can expose your child to mercury, which is poisonous. 

How do I care for my child with a fever? 

Keep your child comfortable by: 

  • Keeping them hydrated by offering plenty of fluids or breastfeeding/chestfeeding 
  • Removing extra blankets and clothing 
  • Dressing your child in light clothing: diapers or underwear and a light shirt to allow the extra heat to escape from your child’s body. 

Did you know? 

If cooling your child is making them shiver, this can increase the fever. Things to avoid doing: 

  • sponging your child with cold water 
  • giving your child a cold bath or ice bath 
  • using ice packs 

Does my child need medicine to lower the fever? 

  • When your child’s body is fighting an infection, they may get a fever. 
  • Your child does not need medicine to bring down the fever. However, a child with a fever may be cranky, sleepy and not want to eat or drink. Fever medication can be used to help your child feel more comfortable, alert and more likely to drink. 
  • Acetaminophen (Tylenol®, Tempra®) or ibuprofen (Advil®, Motrin®) are the medicines that can be used to reduce your child’s aches and pains from the fever and illness.
    • How much you give is based on your child’s age and weight. 
    • Follow the medicine’s directions for how much and how often you can give the medicine to your child. 

Safety Tips

To avoid giving your child too much medication: 

  • Use only the measuring syringe or cup that comes with the medicine. Kitchen spoons are not all the same and can cause overdosing. 
  • Make note of the time and amount you gave. Tip – your calendar or phone works great for this. 
  • Write clear instructions for other caregivers about your child’s medicine. (What medicine, how much and when). 

To keep your kids safe: 

Put all medicine away after every use, even if you are going to be using it again soon. Store it out of sight and out of reach of children

Choose the right medication for your child: 

  • Do not give acetylsalicylic acid (ASA, Aspirin®) to children because it can cause a rare and dangerous disease called Reye’s Syndrome. 
  • Do not give ibuprofen if your child is dehydrated, vomiting or has diarrhea because it can harm the kidneys. 
  • Do not give over-the-counter cough and cold medicines to children under six. 
  • Check with your pharmacist if your child is taking two or more medications to make sure it is safe. 

Call your local pharmacist or Health Links – Info Santé (Winnipeg 204-788-8200, toll-free 1-888-315-9257) for information. 

When should I seek health care? Where should I go? 

Call 911 or your local emergency number if: 

  • your child is having a seizure 
  • you cannot wake up your child 
  • your child is having severe difficulty breathing or is turning blue 

Go to your local emergency department or nursing station, or call Health Links – Info Santé at 204-788-8200 or toll-free 1-888-315-9257 if your child has a fever AND: 

  • is less than three months old.
  • has had a seizure today (child does not respond to you and may be stiff or have jerking movements) 
  • has difficulty breathing or is wheezing 
  • is immunocompromised (neutropenia, transplant, steroids, has no spleen) 
  • doesn’t seem like themselves
    • is very cranky, fussy or irritable. 
    • is very sleepy or does not respond to you 
  • has a headache or sore neck that does not go away with pain medicine 
  • has cool skin that looks pale, grey or mottled 
  • develops a rash that looks like bruises or small red or purple dots that do not go away when you apply pressure with your fingers 

Go to your child’s health-care provider or walk-in clinic, urgent care, nursing station or community health centre today if your child has a fever and: 

  • is older than three months old and:
    • looks unwell 
    • has no energy 
    • symptoms do not improve with fever medicine 
  • may be dehydrated:
    • throwing up a lot 
    • is not drinking fluids 
    • has a dry mouth 
    • is not peeing 
  • has a new rash or sore throat 
  • has an earache that does not go away with pain medication 
  • has symptoms of a kidney or urinary infection (pees more often than usual and it hurts to pee) 

Contact your child’s health-care provider if your child has a fever and: 

  • The fever has lasted for more than three days (72 hours) 
  • The fever went away for 24 hours and then returned 
  • Is being treated for a bacterial infection and the fever is not going away after two to three days of being on antibiotics 
  • Your child recently had surgery 
  • Your child has a chronic medical condition 
  • Your child’s immunizations are not up to date 
  • You have recently returned from travelling outside of Canada. 

If you do not have a health-care provider, Family Doctor Finder can help. 

Do you still have questions?  

Call Health Links – Info Santé (Winnipeg 204-788-8200, toll-free 1-888-315-9257). You can speak to a nurse 24/7, 365 days of the year in over 100 languages. They can answer any of your health questions and help you find services in your community. 

What to do if a seizure occurs 

In some cases, seizures can happen with a fever. This is known as a “febrile seizure.” Not all seizures cause stiffness or jerking movements of the arms and legs. Some seizures look like “passing out.” If your child develops a seizure: 

  1. Stay calm. 
  2. Place your child on a flat surface on their side. 
  3. Do not move them unless they are near something dangerous. 
  4. Do not restrain them (do not hold them down). 
  5. Wipe away any vomit or saliva outside their mouth, but do not put anything between their teeth. 
  6. After the seizure stops, keep your child on their side. 
  7. Call 911 for further instructions. 
  8. On the same day, take your child to their doctor for a check-up. 

Do I need to keep my child home? 

If your child is prescribed antibiotics, ask the doctor when the child can return to school or daycare. 

References: 

How to Care for Your Child During Respiratory Virus Season

Having a sick child can be scary. Know what symptoms to watch for, how to provide care and comfort at home, and when to seek help — it’s all part of providing good Kid Care! At an emergency department, the sickest patients are always seen first. Less sick patients will have to wait for care. 

Depending on your child’s symptoms, you may be able to provide care at home, or be seen faster by your doctor, at a walk-in clinic or urgent care, nursing station or health centre. When deciding where to go, consider these cold and flu symptoms to determine whether your child needs emergency care. 

EmergencyNot an Emergency
Breathing Problems
  • in respiratory distress, having difficulty breathing, breathing faster than usual
  • pale skin with blue lips
  • wheezing, not responding to medication
  • nasal congestion and cough
  • mild wheezing that is responding to medication and there is no difficulty breathing
Fever
  • in a child less than three months old
  • immune system or chronic health problems
  • difficult to wake or excessively sleepy
  • fever ongoing for more than five to seven days
  • neck stiffness with vomiting and sleepiness
  • unable to walk or weakness of arms or legs
  • fever with a new rash
  • in healthy and vaccinated babies older than three months
  • in children who are generally well
  • on its own a high fever does not require a trip to emergency
Vomiting or Diarrhea
  • in a child less than three months old
  • repeated vomiting and unable to keep down any fluids
  • signs of dehydration (no tears, has a dry mouth or sunken soft spot) or if no urine is passed for 12 hours
  • vomiting with blood
  • vomiting or diarrhea less than three or four times per day
  • ongoing diarrhea after the “stomach flu” as this can last for up to two weeks
  • see a doctor if there is bloody diarrhea or recent travel out of the country

Not sure where to go? 

For more information visit KidCareMB.ca

Vaccination 

All children in Manitoba aged six months and older can get COVID and flu vaccines. Keeping your kids up to date on vaccinations can prevent them from getting sick. There are many locations across the province where they can be immunized, and we have an online map to help you find a spot that is convenient. 

Book Now at Manitoba.ca/vaccine or Protect Our People MB  

Fevers

Fever is not dangerous. It is the body’s natural response to infections and actually helps to fight infection. Higher temperatures do not mean the infection is more serious and a fever on its own does not require medical attention in most children.

You do not need to treat fever with medicine. Cool your child by dressing them in light clothing, offering extra fluids and keeping the room cool. 

*Children under three months of age and those with chronic health conditions should be seen if a fever develops. See Kids Fevers: What to know, when to get help

A Dose of Prevention Goes a Long Way! 

A house: Stay home - Keep sick kids at home to slow the spread.
A hand and drops of water: Hand washing - Teach your kids to wash hands with soap for at least 20 seconds.
A figure coughing into a tissue: Cough - cover your cough or sneeze.
A mask: Masks - consider wearing a mask when indoors in crowded locations.)

Need Advice? 

Health Links – Info Santé can help 24/7. Call 204-788-8200 or 1-888-315-9257 

In an emergency, call 9-1-1 or your local emergency number. 

Visit KidCare

Kid Care – How to Care for Your Child During Respiratory Virus Season 

Caring for Your Child with Pertussis

What is pertussis (whooping cough)? 

Pertussis is an illness caused by a type of bacteria (germs) known as Bordetella pertussis that gets into your child’s nose, throat and lungs. Pertussis is very serious because: 

  • It causes long, intense coughing spells that makes it hard for infants and children to eat, drink or even breathe. 
  • It can lead to pneumonia, brain damage, seizures and death, especially in infants.
    • About one in 400 infants with pertussis dies because of pneumonia or brain damage. 
  • A child can be sick with pertussis for two to three months .

What are the symptoms of pertussis? 

Symptoms generally appear nine to 10 days after infection and can vary based on age. 

Pertussis usually starts like a cold with a runny nose, red watery eyes, mild fever and cough. 

After a few days, the cough may worsen with coughing spells that are followed by a “whoop” sound before the next breath. The cough is usually severe for two to three weeks before it starts getting better.  

Your child may cough so much that they: 

  • throw up 
  • have trouble breathing 
  • become exhausted 

Check out this video from the Mayo Clinic to hear what a whooping cough sounds like.

Note: Other videos may be recommended by the host channel (e.g. YouTube, Vimeo).  These suggestions may be based on your personal search history and other factors. The Manitoba Government does not control these suggestions and is not responsible for and may not endorse the content.

How do you get pertussis? 

Pertussis is very contagious. It is easily spread from one person to another though the air when a person with pertussis sneezes or coughs. This can happen when spending time with someone with pertussis 

How can I protect my child? 

The best way to protect you or your child is to be immunized with a pertussis containing vaccine.   

Did you know? 

If your child is exposed to pertussis and is not vaccinated or up to date, you should get them vaccinated right away.  If your child gets pertussis the vaccine, it may reduce the severity.

What should I do if I think my child has pertussis?  

If you suspect your child has pertussis, take them to:  

If you do not have a health-care provider, Family Doctor Finder can help. 

How is pertussis diagnosed? 

  • To diagnose pertussis, your health-care provider will take a swab from your child’s nose and test it.  
  • A health-care provider will contact you if you or your child tests positive for pertussis and will provide further information on prevention of exposure to others. 

How is pertussis treated? 

  • Treatment with appropriate antibiotics can help to shorten the length of symptoms and prevent the spread to others. 
  • If antibiotics are prescribed, your child should take all the medication, even if they seem better. 

Do I need to keep my child home? 

  • If your child has pertussis, your child is contagious. They need to have antibiotics for five days before they can attend daycare or school. 
  • After being treated for five days with appropriate antibiotics, only send them if they are feeling well enough to attend.  
  • Avoid contact with infants under one year of age, pregnant women and those who are unvaccinated until considered no longer infectious.   
  • A public health nurse will contact you if you or your child tests positive for pertussis and will provide further information on prevention of exposure to others. 

Tips for comforting your child: 

  • Keep your child hydrated by offering plenty of fluids or breastfeeding/chestfeeding on cue. 
  • Let your child rest .
  • If your child is over one year old and does not have an allergy, offer them honey. 
  • If your child has a fever, dress your child in light clothing and remove any extra blankets. 
  • Acetaminophen (Tylenol®, Tempra®) or ibuprofen (Advil®, Motrin®) are the medicines that can be used to reduce your child’s aches and pains from the fever and illness.
    • How much you give is based on your child’s age and weight. 
    • Follow the medicine’s directions for how much and how often you can give the medicine to your child. 
    • Do not give any medication if your child is allergic to it. 

Safety Tips

To avoid giving your child too much medication: 

  • Use only the measuring syringe or cup that comes with the medicine. Kitchen spoons are not all the same and can cause overdosing. 
  • Make a note of the time and amount you gave. Tip: your calendar or phone works great for this. 
  • Write clear instructions for other caregivers about your child’s medicine – what medicine, how much and when. 

To keep your kids safe

Choose the right medication for your child

  • Do not give acetylsalicylic acid (ASA, Aspirin®) to children because it can cause a rare and dangerous disease called Reye’s Syndrome. 
  • Do not give ibuprofen (Advil®, Motrin®) if your child is dehydrated, vomiting or has diarrhea because it can harm the kidneys. 
  • Do not give over-the-counter cough and cold medicines to children less than six years old. 
  • Check with your pharmacist if your child is taking two or more medications to make sure it’s safe. 

Call your local pharmacist or Health Links-Info Santé (Winnipeg 204-788-8200, toll-free 1-888-315-9257) for information. 

How to prevent the spread of pertussis 

When to seek emergency care 

Call 911 or your local emergency number if: 

  • your child is having severe difficulty breathing or is turning blue 
  • your child is having a seizure 
  • you cannot wake up your child 

Go to the emergency department, nursing station or health centre if your child: 

  • is coughing so hard and for so long that they cannot breathe or stop breathing 
  • has had a seizure today (child passes out and is stiff or has jerking movements) 
  • has difficulty breathing or is wheezing 

References

Got Too Much Milk?

Sometimes a parent may make far more milk than their baby needs. Extra pumping, taking herbal supplements or prescription medication (e.g., domperidone) that increase milk supply can lead to oversupply. Parents with too much milk may have frequently engorged breasts/chest which could lead to mastitis or plugged ducts. So how do you know if you have too much milk? And what can you do about it? 

You may notice: 

  • Your breast/chest size growing more than two cup sizes. 
  • A strong or painful “letdown” of milk once or many times when baby is feeding. 
  • Milk sprays from the nipple if baby unlatches. 
  • It is very easy to express your breastmilk/chestmilk. 
  • The other breast/side of the chest leaks when you are feeding on the opposite breast/side. 
  • Your breasts/chest feel very full or hard most of the time. 
  • Frequently blocked ducts or mastitis

Your baby may: 

  • Gulp quickly, cough, choke or sputter while feeding at your breast/chest. 
  • Bite the nipple to try and slow down the milk. They may come off the breast/chest often or not able to stay latched. 
  • Stiffen their body, arch their back or scream. 
  • Spit-up and be gassy. 
  • Have green or watery poop and lots of heavy, wet diapers. 
  • Gain too much weight quickly. 

Did you know? 

If you are unsure if you have too much milk, you can check in with your health-care provider or public health nurse. 

“I have so much milk and yet my baby still seems hungry” 

If you have too much milk, you may be surprised that your baby: 

  • is hard to settle 
  • seems unsatisfied 
  • wants to feed often 

This is because your baby is filling up on the foremilk that contains more milk sugar (lactose), which doesn’t keep them feeling full. This also causes a gassy baby and green poops. For more information on foremilk and hindmilk, see Le Leche League’s information on oversupply. 

What can help? 

Adjust your breastfeeding/chestfeeding position to one that allows baby’s head to be level with or above the breast/chest. This way: 

  • Gravity won’t have as much effect on your milk flow. 
  • Choking is reduced, since milk is directed away from the back of baby’s throat. 


Laid-back Nursing 

Do the cradle, cross cradle or football hold and then lay back. 

hree breastfeeding/chestfeeding positions demonstrated by a person wearing a hijab: Cradle position showing the baby supported on one arm with the head in the crook of the elbow; Cross-cradle position showing the baby supported with the opposite arm while the hand cradles the baby’s head; Football hold showing the baby tucked under the parent’s arm on a pillow, with the head supported by the hand.
A person breastfeeding/chestfeeding a baby while reclining back on a couch.
  • Get comfortable with your back supported either in bed, on a couch or in a recliner. 
  • Latch baby using whatever hold you choose (cradle, cross-cradle or football), then lay back so that baby’s head is either at the same level as the breast/chest or above it. You can use pillows to support baby as well. 


Side-lying 

an adult lying in bed on their side while breastfeeding/chestfeeding their baby and demonstrating the below four points.
  • Lay down on your side. Use cushions or pillows to support your back, shoulders and neck. Be sure none of these supports are covering or near your baby’s face or head. 
  • Place baby on their side facing you with their ear, shoulder and hip in a straight line. Pull your baby in close, tummy to tummy. Your baby’s nose should be lined up with your nipple. 
  • Place a rolled-up towel or baby blanket behind your baby for support. Remember to remove it after you finish feeding. 
  • Latch baby to your breast/chest. 


Baby sitting upright in front 

An adult breastfeeding/chestfeeding a baby while sitting cross-legged on the floor with the baby sitting upright on adult’s knee.
  • Find a comfortable position. You may want to support your back and use a footstool for your feet. 
  • Position baby so they are sitting upright, straddling one of your legs as close to your body as possible. You may need to use a pillow under baby to get them to the level of your nipple. Latch baby to your breast/chest. You may choose to lay back or stay sitting upright. 


Safety Tip

When using pillows or rolled up towels or blankets to position yourself or your baby, make sure that none of these supports are covering or near your baby’s face or head. When your baby is finished feeding, place them in a crib, cradle or bassinet for sleep.  

How to reduce oversupply if you have too much milk 

  • Feed your baby based on their hunger cues: Feed your baby as soon as they show signs of hunger (licking their lips, opening and closing the mouth or sucking on their hands/fingers). This is when babies are more likely to suck gently. If you wait until your baby is very hungry, crying and frantic (late hunger cue), they are more likely to suck harder. 
  • Avoid any extra pumping.  If you are separated from your baby or are exclusively pumping, aim to produce only the amount of milk your baby needs and not more. 
  • Express only a little milk to get relief if your breasts/chest are full. 
  • Talk to a health-care provider to discontinue any medications or overthe counter supplements that you are taking to increase milk supply. 
  • Feed with one breast/side of the chest each time. Offer only one breast/side of the chest until baby is satisfied. Switch to the other side on the next feed. 
  • Block feeding is meant to be a short-term strategy. How to do it:
    • Use only one breast/side of the chest to feed baby for a block of three hours. If the other breast/side feels uncomfortable during this block of time, express only enough milk to relieve the pressure. 
    • After this three-hour time has passed, switch to the other breast/side of the chest for the next three hours. 
    • Because this reduces your milk supply, you don’t want to continue this for too long. If you have questions or need support, speak with your health-care provider or public health nurse

If you have a strong letdown:

Express before feeding

Express some milk for one to two minutes before putting baby to your breast/chest. This can help release the first big rush of milk and help slow the flow to an amount that baby can handle. 

Un-latch baby when coughing, choking begins

Allow this rush of milk to spray onto a towel or into a sterile container. Re-latch baby once the flow of milk has slowed down. Repeat if it happens again. 

Use the scissor-hold on your breast

Use the first and second fingers of your free hand to push the area just above and below the edge of the areola (the darker area around the nipple). Your fingers will look like a pair of scissors. The pressure should slow down the flow of milk. Change the position of your fingers around the areola to avoid blocking the milk duct. You can stop doing this when the flow of milk slows down. 

Burp Baby Often

References

Burping Your Baby

Babies often swallow air while feeding, which can make them uncomfortable. This happens with breastfed/chestfed and bottle-fed babies. Burping helps get rid of air that the baby has swallowed. Burp your baby: 

  • Part-way through the feed and then again after feeding. 
  • When they seem uncomfortable. 
  • When breastfeeding/chestfeeding when/if you switch sides during feeding. 
  • More often if the baby has problems with gas or spitting up. 

Signs that your baby may need to burp: 

  • arches the back 
  • gets fussy or cranky 
  • pulls away from the bottle 
  • slows or stops sucking 

Did you know?

Crying babies swallow a lot of air which can cause discomfort and spitting up. Watch your baby for hunger cues and feed before they are hungry to prevent crying.  

To Burp a Baby

  • Place the baby in an upright position. See the pictures below for good burping positions. 
  • Gently rub or pat baby’s back with a cupped hand. The baby will not always burp each time you do this. Wait a few minutes and try again. 
  • Sometimes formula or breastmilk/chest milk comes up with the air when the baby burps. A clean face cloth, cloth diaper or bib can help keep you and the baby clean during burping. 

To help the baby swallow less air during bottle feedings: 

  • Make sure the formula is not too hot or too cold. 
  • Sit the baby upright in your arms when feeding. 
  • See our page Bottle-Feeding 101 for tips on bottle-feeding. 

Most babies burp on their own after two months of age. 

Try These Positions to Burp Your Baby

Hold your baby upright over your shoulder 

an adult holding a baby upright on their shoulder while burping them.

Place your baby on their stomach across your lap. 

An adult holding a baby on their lap, with one hand supporting their jaw and the other hand on their back.

Hold your baby in a sitting position on your lap. Your baby should be leaning slightly forward with your hand supporting the jaw.

an adult holding a baby across their lap with the baby on their stomach.)

How to Express and Store Breastmilk

Feeding your baby early and often at the breast/chest is helpful to establish your milk supply and breastfeeding/chestfeeding relationship with your baby. Expressing your milk stimulates your body to make more milk. There may be times when you want to give your baby expressed breastmilk/chest milk. 

Do I need to pump to breastfeed/chestfeed?

If your baby is growing well and you do not have to be away from them, don’t feel like you have to pump. If you are pumping because you are worried about your breastmilk/chestmilk supply, check out our breastfeeding/chestfeeding resources and reach out for help. 

What do I need to know about exclusive pumping?  

Exclusive pumping is another way to provide breastmilk/chestmilk to your baby. If you decide to exclusively pump, express milk at a frequency that mimics how often your baby feeds. Initially, this could mean pumping every one to three hours for a newborn. As your baby gets older, they would go longer intervals without feeding. Use the most comfortable pressure setting and pump for 10 to 15 minutes. It would also be important to check if the flange size of your breast pump is a good fit for you. 

Ways to Express your Breastmilk/Chestmilk 

Expressing by hand

Expressing by breast pump/chest pump

  • You can rent or buy different types of breast pumps/chest pumps. Ask your midwife, public health nurse, lactation consultant or pharmacy for more information. 
  • When you are choosing your breast/chest pump, try and find one that meets your needs and you feel comfortable using.

Did you know? 

If you have health care benefits, you may have coverage for a breast/chest pump. It may be listed under special medical devices and you might need a doctor’s prescription. 

Types of Breast Pumps/Chest Pumps

Manual (hand-held) breast pumps/chest pumps

A manual breast pump and bags of breast/chest milk.

Single electric breast/chest pump

 A single electric breast pump latched onto a breast.

Double electric breast pump/chest pump 

A double electric pump latched onto both breasts.
 

How should I store my expressed breast milk?

How should I store my expressed breastmilk/chestmilk? 

  • Freshly expressed breastmilk/chestmilk is safe to use at room temperature for up to four hours. 
  • Breastmilk/chestmilk must be stored in a sterilized bag or container.
    • You can buy sterile milk storage bags designed for freezing and storing breastmilk/chestmilk. 
    • If you are using a container, you must sterilize it. See below for information on how to sterilize.

a stainless steel refrigerator

In a refrigerator for 3-5 days. In a fridge freezer for 3-6 months.

A white deep freezer with the door opened.

Store your milk in a deep freezer for six to 12 months

Did you know?

You can freeze your milk in two-to-four-ounce (60-120ml) quantities so you can thaw and warm it quickly. You can label the stored milk with the day, month and year.

How to Clean and Sterilize Your Equipment

Step by step instructions on how to sterilize, with corresponding images. 1. Wash and clean your hands and countertops with soap and water. 2. Wash all items in warm, soapy water and make sure nipple holes are not clogged. 3. Use a bottle brush that is only used on your infant feeding equipment. Scrub the inside of the bottles and nipples to make sure they are clean. 4. Rinse all items in hot water. Place on clean surface. Now you are ready to sterilize. 5. Put items in a large pot. Fill the pot with enough water to cover all the items. Bring water to a rolling boil for two minutes. 6. Let water cool. Remove items with tongs and place no clean towel.)

How do I use frozen breastmilk/chestmilk? 

  • Place frozen milk under cold running water until thawed or thaw frozen milk in the fridge for several hours before it is needed. 
  • To warm breastmilk/chestmilk, place container in a bowl of warm water. Never heat breastmilk/chestmilk in the microwave because it can cause hot spots that can burn the baby’s mouth and affect the quality of the milk. 
  • Thawed breastmilk/chestmilk should be refrigerated and used within 24 hours. Do not refreeze. 
  • Frozen milk can separate when thawed, so shake the container gently. 

Safety Tips

When purchasing bottles look for ones that are BPA free. 

It is recommended to sterilize all your equipment for the entire time your child is bottle feeding. 

Reference