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Breastfeeding Unpacked: A Q&A with an IBCLC Specialist

Writer's picture: Hannah GoldenHannah Golden

Navigating the world of breastfeeding can feel overwhelming, especially with so much information out there. As a birth doula, it is imperative that I make connections with other birth workers in the area. I was thrilled to meet Liz Chang, a highly experienced International Board-Certified Lactation Consultant (IBCLC). Liz brings a wealth of knowledge and a compassionate approach to supporting families on their feeding journeys. In this Q&A, she answers some of the most common breastfeeding questions, offering practical tips and expert advice to help you and your baby thrive.




What inspired you to become an IBCLC, and what do you love most about helping moms?

Breastfeeding has been a part of my life for as long as I can remember. Growing up, I was surrounded by the powerful, nurturing image of my mom breastfeeding my siblings. I watched my relatives and neighbors care for their families in the same beautiful way, and it left a lasting impression on me.

When I became a mother, I knew I wanted to breastfeed—it was a personal goal I was determined to achieve. With the unwavering support of my husband, who encouraged me every step of the way, and armed with knowledge and determination, I successfully breastfed my son until he naturally weaned at 34 months. It was a journey filled with challenges and triumphs, and one I’ll always cherish.

This experience ignited my passion for educating and empowering mothers and families during the delicate and transformative times of pregnancy and postpartum. I understand firsthand the challenges mothers face—the sleepless nights, the self-doubt, and the moments of joy and connection. I believe that with the right support, every mother can overcome these challenges and achieve her breastfeeding goals.

From celebrating a successful first latch to offering a reassuring hug when it’s needed most, I find so much joy in working closely with mothers, babies, and their families. Watching parents grow in confidence and seeing the bond that breastfeeding creates is incredibly rewarding.

You are not alone on this journey. With the right knowledge and support, you can succeed—and I am here to help you every step of the way

 

What are the most common challenges new moms face when starting to breastfeed, and how can they overcome them?

There are many challenges and each challenge is unique to the individual. The many unnecessary birth interventions and the lack of not having prenatal breastfeeding education are major challenges for mothers that birth in hospital settings.

 

How soon after birth should I try breastfeeding my baby, and what are the signs of a good latch?

The first hour after birth—often called The Golden Hour—is a magical time for both you and your baby. Starting breastfeeding as soon as possible, ideally within this first hour or two, can make a big difference in your breastfeeding journey.

Right after birth, your baby is usually alert, ready to bond, and eager to suckle. Some babies will latch on naturally without much assistance, while others might take a little more time to figure it out. That’s completely normal! The key is to stay consistent and offer the breast to your baby early on. If needed, you can hand-express colostrum (your first, nutrient-packed milk) and feed it to your baby to ensure they get the benefits of this liquid gold. Breastfeeding in those early moments not only helps your baby and you bond, but it stimulates your milk supply and even helps your uterus recover.

A good breastfeeding latch is essential for your baby to feed effectively and comfortably while protecting your nipples from unnecessary pain or damage. Here’s what a good latch looks like, step by step:

  1. Comfortable for You: A good latch shouldn’t be painful. While you may feel a gentle tug or pull as your baby begins to nurse, ongoing pain, pinching, or soreness is a sign that the latch might need adjustment.

  2. Positioning on the Areola: Instead of just latching onto the nipple, your baby should take a significant portion of your areola (the darker area around the nipple) into their mouth, with more focus on the bottom part of the areola. This allows for better milk flow and helps your baby latch deeply.

  3. Deep Nipple Placement: The nipple should extend far back into your baby’s mouth, passing beyond the hard palate (the firm front roof of the mouth) and reaching the soft palate (the softer area towards the back). This deep placement prevents nipple compression and discomfort while allowing for efficient milk transfer.

  4. Cheeks and Jaw Movement: Your baby’s cheeks should appear full and rounded, not sunken, while nursing. You’ll also notice gentle, rhythmic jaw movement as your baby sucks and swallows milk.

  5. Lips Flanged Outward: Your baby’s lips should be flared outward, like “fish lips,” creating a tight seal around the breast. This seal ensures effective suction and prevents air from getting in.

  6. Audible Swallowing: Listen for soft, regular swallowing sounds, which indicate that your baby is effectively drinking milk.

  7. No Clicking Sounds: Clicking or smacking noises may suggest that the latch is too shallow or that your baby is struggling to maintain suction.

Remember, every breastfeeding journey is unique, and it’s okay if it takes a little time to master the latch. If you’re having difficulties or experiencing discomfort, reach out to a lactation consultant for personalized guidance. A good latch not only ensures your baby gets the nourishment they need but also helps make breastfeeding a positive and rewarding experience for you both

To set yourself up for success, consider learning about breastfeeding before your baby arrives. Working with a lactation professional during pregnancy can give you the confidence and tools to recognize what a good latch looks like, understand newborn feeding cues, and know what to expect in those precious first days.

Remember, you and your baby are learning this together, and support is always available to help you on this incredible journey. You’ve got this, mama!

 

How do I know if my baby is getting enough milk?

One of the most common concerns for new mothers is ensuring their baby is getting enough milk. Since breastfeeding doesn’t allow you to see exactly how much your baby is drinking, here are several signs to watch for that can give you confidence:

1. Frequent Feeding

Newborns typically nurse 8–12 times in 24 hours. This frequent feeding is normal and helps establish your milk supply.

2. Effective Swallowing

While nursing, listen for soft swallowing sounds or observe a rhythmic pattern in your baby’s jaw and throat movements. This indicates that milk is being transferred effectively.

3. Contentment After Feeding

After nursing, your baby should seem satisfied and relaxed. While some babies may still enjoy sucking for comfort, a well-fed baby is usually calm and not continuously rooting or crying for food.

4. Diaper Output

Diaper output is one of the best indicators of adequate milk intake:

  • In the first week, expect an increasing number of wet and dirty diapers each day. By day 6, your baby should have about 6 or more wet diapers and 3–4 yellow, seedy stools daily.

  • After 4–6 weeks, stool frequency may vary, but wet diapers should remain consistent.

5. Weight Gain

Your baby’s weight is a critical measure. It’s normal for newborns to lose some weight in the first few days, but they should regain their birth weight by 10–14 days of life. Regular weight checks at pediatric appointments will help confirm steady growth.

6. Breast Softening

During feeding, your breasts should feel softer and less full as milk is removed. This is a good sign that your baby is effectively transferring milk.

7. Alertness and Activity

A well-fed baby will have periods of alertness and activity appropriate for their age, along with healthy skin tone and muscle tone.

8. Let-Down Sensation (Optional)

Some mothers feel a tingling or tightening sensation during let-down, signaling milk flow. While not everyone experiences this, it can be a helpful cue for some.

9. Comfort During Feeding

Breastfeeding should not be painful. If you experience pain, your baby may not be latched deeply enough, and it’s worth seeking support from a lactation consultant.


When should I seek help?

If your baby seems persistently hungry, isn’t producing enough wet or dirty diapers, or isn’t gaining weight as expected, consult your pediatrician or a lactation professional immediately. They can assess your baby’s feeding and offer personalized guidance.

Breastfeeding is a journey, and it’s okay to have questions or need reassurance. With time, practice, and support, you’ll gain confidence and learn to trust your body and your baby’s cues.


What area do you serve?

I serve the South Bay Area, from Daly City down to Gilroy. My lactation private practice is in network with many major health insurance companies!


Where can people find you?





Thank you so much for all of this information, Liz, and I’m so happy that I was able to introduce your services to my readers today. I hope that everyone enjoyed this useful information.

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Supporting new and growing families with birth doula services, in-person and virtual pre/postnatal training, and nutrition coaching in the South San Francisco Bay Area. Serving San Jose, Campbell, Los Gatos, Saratoga, Santa Clara, Sunnyvale, Cupertino, Mountain View, Palo Alto, and nearby communities.

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