Question: I have just started breast feeding my baby, who is three weeks old. I keep hearing about the trouble some women have with breast feeding, but I am very keen to feed myself for at least six months, as I know it is better for her. What problems can occur with breast feeding and how can I avoid them?
Many problems can arise with breast feeding, but most are easily prevented and treated, and should not cause feeding to stop. The most common problems are engorgement and infection. If the breasts are swollen and overfilled with milk, expressing the excess milk usually relieves the discomfort. This can be done by hand under a shower or into a container, or with the assistance of a breast pump. At other times, expressed milk may be kept and given to the baby by a sitter while the mother attends a social function. Breast feeding need not tie the mother to the home.
Mastitis is an infection of the breast that requires rapid treatment by a doctor to prevent the formation of an abscess. If one of the many lobes in the breast does not empty its milk, the milk may become infected, and the breast becomes very tender red and sore. Fortunately, antibiotics can usually settle the problem, and it does not mean that the woman must stop feeding.
The best way to determine if the baby is receiving adequate milk is regular weighing at a child welfare clinic or doctor’s surgery. Provided the weight is steadily increasing, there is no need for concern. If the weight gain is very slight, or static, then supplementation of the breast feeds may be required. It is best to offer the breasts first, and once they appear to be empty of milk, a bottle of suitable formula can be given to finish the feed.

Question: How does the mother’s diet affect breast milk?
In a majority of cases, the child gets maximum nutrition from its mother. Although all these nutritive elements may not be present in the mother’s meal, her milk usually contains everything that is present in the milk of a relatively better fed mother. However, a mother who consumes more fatty food is likely to have a greater percentage of fat-soluble vitamins (A,D,E) in her milk than the lesser nourished mother. Medicines also enter the milk. Small doses do not have adverse effects but if the mother has to be on long-term medication, she should consult her doctor about the advisability of breast feeding.