Establishing Breastfeeding: Shanika’s Journey to Success

By Dr. Priya Sammani

Hi everyone, it’s Dr. Priya again. Today, I want to continue Shanika’s story to give you an inside view of how we approached breastfeeding challenges. Breastfeeding is a beautiful journey, but for many new mothers like Shanika, it can also be overwhelming. Let’s explore the essentials of breastfeeding. We’ll cover positioning and latching. Understanding the process is crucial. These are all things that helped Shanika thrive in her early days as a mom.

Positioning: Finding Comfort for You and Your Baby

When Shanika first tried breastfeeding, she struggled with pain and discomfort. It was clear that a few small changes could make a big difference, especially in positioning. So, I talked her through the basics:

  • Your posture: I suggested Shanika make herself comfortable. This meant sitting upright but letting her shoulders relax, and using cushions for support if needed. It’s all about taking the strain off.
  • Your baby’s position: I noticed that her baby seemed a little bundled up, so I told Shanika to unwrap his arms and turn his whole body towards her, keeping his chest close to hers. “Bring him up to the same level as your nipple,” I advised, so there would be no pulling or straining.

A simple tweak to positioning—getting baby to chest height and letting Shanika fully relax—helped set the stage for a better latching experience.

Latching: The Key to a Successful Start

Once Shanika was comfortable, it was time to focus on getting a good latch. Here’s what we did together:

  • Support across the shoulder: I showed Shanika how to support her baby along his back, just across his shoulders. This helps open the mouth wide for a great latch.
  • Encouraging a wide-open mouth: I suggested tickling her baby’s lips with her nipple. Wait until his mouth opens wide. It should look like a little yawn.
  • Aim for more than just the nipple: I told Shanika to aim her nipple towards his top lip. She should ensure her baby has a good mouthful of breast. This should cover more than just the areola.

We worked through this step-by-step. When her baby’s tongue was in the right position—resting over the lower gum—we both knew we were getting somewhere. “It takes practice,” I reassured her as she adjusted. “Don’t worry if it takes a few tries.”

The Let-Down Reflex: Understanding Your Body’s Natural Process

As Shanika and I continued, she asked me about the strange tingling sensation she had felt earlier. She described it as a pins-and-needles feeling in her breast. I smiled because I knew exactly what she was talking about—the let-down reflex.

  • I explained to her that the tingling was a signal that her body was getting ready to release milk. The nerves in her nipple triggered a reflex action. This action allowed the milk-producing alveoli to squeeze. They send milk through the ducts.
  • “Some moms feel it strongly, while others may not notice it at all,” I told her. “It’s perfectly normal either way.” I emphasized how managing stress could really help. Creating a relaxed atmosphere is also beneficial. Hence, the importance of our warm cup of tea earlier.

Supply and Demand: Understanding How Your Body Responds

“Will I have enough milk for my baby?” Shanika asked, her concern clear. I told her the good news: our bodies are amazingly intuitive.

  • Supply and demand are the magic words here. I explained that the more her baby nursed, the more her breasts would respond by producing milk. If her baby fed often, the supply would increase; if feeds were skipped or delayed, her milk production would slow down.
  • Your baby knows what he needs,” I said, smiling. “If he’s feeding more often, that’s a signal for your body to step up production.”

Table: Quick Tips for Effective Breastfeeding

Breastfeeding AspectTip to Remember
PositioningSit upright, relax shoulders, use cushions for support.
Baby PositionKeep baby’s body facing you, with chest close to your chest.
LatchingAim for a wide-open mouth and a large mouthful of breast.
Let-Down ReflexRelax, breathe deeply, and understand tingling is a good sign.
Supply & DemandFeed on demand to naturally boost milk production.

Tips for a Positive Experience

In those first weeks, a lot of our work is about reassurance. Shanika felt better once she knew what to expect—the engorgement, the let-down, and the supply and demand cycle. I encouraged her to try a few things that I’ve seen help many mothers:

  • Create a calming environment: I encouraged her to try feeding in a space where she felt relaxed. Her favorite chair, for example.
  • Stay patient and persistent: I reminded her that it’s normal to have days when feeding doesn’t go as smoothly. Those early days are all about learning—both for Shanika and for her baby.

The Journey Ahead: Growing Confidence

It was wonderful to see the transformation in Shanika. From her initial fear and frustration, she began to approach breastfeeding with a sense of confidence. She knew that engorgement was a temporary challenge. She understood that let-down was part of her body working perfectly. Feeding her baby on demand would ensure enough milk. By taking things step-by-step, we turned what seemed like an impossible task into something she began to trust. It became a journey where both she and her baby were learning together.

To all the mothers out there, remember that breastfeeding is about teamwork between you and your little one. It’s okay to ask for help and it’s completely normal to face challenges. Let your body guide you, lean into those natural cues, and take things day by day. If Shanika can do it, so can you.

And if you’re struggling, don’t forget to reach out to a healthcare professional—like me—who can support you on this journey. You’re not alone, and you are doing great.

Until next time, stay well and embrace every little moment with your baby.