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Parents copy of Bambis Antenatal Workshop

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Parents copy of Bambis Antenatal Workshop

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Here you will find all the slides from our antenatal infant feeding workshop for you to look over at home. Following discharge from hospital, if you have a Liverpool postcode, Bambis will contact you and arrange a home visit for 1-1 support. We work 7 days per week (excluding Bank Holidays)

You can also message us if you have any questions or concerns on our social media sites Facebook, Instagram, Tik-tok and Threads.

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PARENTS COPY  Antenatal Workshop July 26 FINALlll

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https://www.alderhey.nhs.uk/services/infant-feeding-team/

Support for You and Your Baby

Our team is here to offer additional help for unsettled babies with feeding issues.

Our Team

Our multidisciplinary team includes three infant feeding specialists with backgrounds in children’s nursing, midwifery, adult nursing, and health visiting, as well as a paediatric consultant and a community paediatric dietitian.

What We Offer

We provide support for the following conditions:

Suspected non-IgE mediated cow’s milk protein allergy (CMPA)

Reflux

Infantile Colic

Unsettled or excessively crying babies

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Our Bambis Stay and Play groups are the perfect way for you to meet other breastfeeding families, share expereinces and find encouragement to keep going. Our groups are located in lots of Liverpool Children's Centres/Family Hubs. Staff have received breastfeeding training to support you on your breastfeeding journey and help give you the confidence to succeed. Support for breastfeeding issues is available in each group or if issues cant be resolved you can be sign posted back to the Bambis team, your midwife, health visitor or infant feeding lead.

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https://laleche.org.uk/thrush/

What is thrush?

Thrush is a yeast infection, usually caused by the fungus Candida albicans. (5) Candida is naturally present on our bodies and usually causes us no harm. It thrives in warm, dark, and moist environments, where it can sometimes multiply enough to cause a problem for the host – a thrush infection. Babies can get thrush in their nappy area, and women can get vaginal thrush. Both babies and adults can get oral (mouth) thrush, especially after taking certain medications, such as antibiotics or asthma inhalers. (6) Thrush doesn’t usually invade deeper tissues, though, unless the person has a weakened immune system. This means that ‘ductal thrush’ (thrush inside the breast) is very unlikely.

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When infants undergo thrush treatment, mothers do not need to undergo antifungal treatment themselves.  Pump parts, infant toys, and other household items do not need to be sterilized; in fact, harsh detergents may worsen allergy, which is often at the root of mom’s symptomatology. Many people ask why they temporarily improve after anti-fungal treatment.  This is related to the anti-inflammatory effect some people obtain from anti-fungals.  However, the improvement is almost always not definitive and moms will return for repeat treatment or seek alternative interventions.

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Nipple shields can be a helpful tool in certain breastfeeding situations, but they should not be used as a long-term solution without guidance. They are generally recommended as a last resort.

It's important to use the correct size shield, to monitor your baby’s latch, milk transfer, and feeding progress to ensure that you’re meeting baby's needs while breastfeeding. We hope this leaflet helps support you if you need to use shields.

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Milk Donation -  sharing my experience ✨

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World Breastfeeding Week 2025

I first started donating breastmilk in April 2025, 3 months after giving birth to my first baby Poppy. I found the service purely by accident one evening whilst googling ways to use excess breastmilk. I’m extremely lucky in that I have a healthy oversupply so I wanted to look at ways I could use it instead of pouring it away. The process of donating milk is so simple, I already exclusively pumped for my little girl due to tongue tie issues so taking some milk each day to donate was super easy.

The process of signing up was really easy and the Milk Bank team have been wonderful from day one, really supportive and always on hand to send out extra bottles or schedule a pick up.

I am so so proud that I donate breastmilk to the Milk Bank, I tell everyone what an amazing service it is and wish it was more widely known about so more mums can get involved.

The sense of pride I feel each time I fill a bottle is beyond words. To know I’m helping a little baby somewhere or just taking the pressure off a new mum is the greatest feeling ever. My little girl is now 6 months old and thriving, I hope my breastmilk helps lots of little babies thrive too ❤️

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If you would like to donate your breast milk please contact @milkbankatchester for further guidance and information 💜

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Milk supply normally varies somewhat throughout the day and over weeks and months. As long as baby is allowed to breastfeed on cue, your milk supply will typically accommodate baby’s needs. However, when you are pumping part-time or full-time, pumping output can become an issue due to a few factors:

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By Kelly Bonyata, BS, IBCLC

Introduction

Milk supply normally varies somewhat throughout the day and over weeks and months. As long as baby is allowed to nurse on cue, your milk supply will typically accommodate baby's needs. However, when you are pumping part-time or full-time, pumping output can become an issue due to a few factors:

The ability to measure how much milk you are pumping makes any decrease in pumping output more obvious and more worrying, even when it's a normal variation.

You generally need to pump x amount of milk for baby for a particular day, and it can be quite stressful when you do not pump this amount.

No pump can remove milk from the breast as well as an effectively nursing baby, so pumping does not maintain milk supply as well as a nursing baby. Because of this, the greater the percentage of baby's nourishment provided by pumping (rather than direct breastfeeding), the greater the possibility that you may have to work harder to maintain supply.

What is normal when it comes to pumping output and changes in pumping output?

It is typical for a mother who is breastfeeding full-time to be able to pump around 1/2 to 2 ounces total (for both breasts) per pumping session. Mothers who pump more milk per session may have an oversupply of milk, or may respond better than average to the pump, or may have been able to increase pump output with practice. Many mothers think that they should be able to pump 4-8 ounces per pumping session, but even 4 ounces is a rather large pumping output for a mom who is breastfeeding full-time.

Now infants can get
all their vitamin D
from their mothers' milk;
no drops needed with
our sponsor's
TheraNatal Lactation Complete
by THERALOGIX. Use PRC code "KELLY" for a special discount!

It is not unusual to need to pump 2-3 times to get enough milk for one feeding for baby (remember that the pump cannot get as much milk as a baby who nurses effectively).

Many mothers are able to pump more milk per session when they are separated from baby or if they are exclusively pumping. Milk pumped when you are breastfeeding full-time is "extra" milk - over and beyond what baby needs. Don't get discouraged if you are trying to build up a freezer stash when breastfeeding full time and don't get much milk per pumping session - this is perfectly normal and expected.

It is very common to have more milk than baby needs in the early weeks, which regulates down to baby's needs over the first few weeks or months. When your milk supply regulates (this change may occur either gradually or rather suddenly), it is normal for pumping output to decrease. For moms who have oversupply, this change often occurs later (6-9+ months postpartum rather than 6-12 weeks).

It is normal for pumping output to vary from session to session and day to day. Having an occasional low volume day is not unusual.

During a growth spurt, don't be surprised if baby drinks more expressed milk than usual, making it harder for mom to provide enough expressed milk. Growth spurts are temporary - try increasing nursing and adding a pumping session or two until the growth spurt is over.

Menstruation or ovulation can result in a temporary drop in milk supply. You might also notice cyclical dips in milk supply before your period returns, as your body begins the return to fertility. Hormonal changes also cause milk supply to decrease during pregnancy.

Remember that the amount of milk that you pump is not a measure of the milk supply available to your baby at the breast!

What can cause a decrease in pumping output?

First, consider the possibility that baby is being overfed by bottle when you and baby are separated. If this is the case, you may actually not need to be expressing as much milk as is being requested. This is certainly not always the case, but it is not at all uncommon. See How much expressed milk will my baby need? for additional information.

When you do need to pump more milk, the first thing to check is your pump:

Are you using an appropriate pump for the amount of pumping that you do?

How old is your pump? If you have an older electric pump (particularly older than a year), or if you are pumping more often than the pump was designed for, the motor may be wearing out.

Many times a decrease in pumping output is because pump parts need to be replaced. Have you checked your pump and replaced any parts that are worn or that haven't been replaced in the last 3-6 months?

Do you have a type of pump (check your user manual) that benefits from occasionally boiling the boilable parts?

Switching to a larger pump flange makes a difference in pumping comfort and/or output for some moms. See Choosing a Correctly-Fitted Breastshield for more information.

Supply-demand cycle:

Have you reduced the number of pumping or nursing sessions recently, or cut back on nursing/pumping in other ways? Milk production is a demand-supply process. More nursing/pumping results in a greater milk supply. If you consistently decrease nursing or pumping for several days, your overall milk supply will decrease and you can expect to see a decrease in pumped amounts.

Has baby started solids recently? As baby eats more solids and takes in less milk, overall milk supply naturally decreases and you may see a decrease in pumping output. You may not notice a change in nursing pattern, as some babies nurse just as often, but take in less milk during those sessions. If baby started solids early (before around 6 months) or is eating lots of solids early on, you are more likely to notice a drop in supply. A very gradual start to solids around 6 months or later is less likely to affect milk supply.

Hormonal causes of decreased milk supply:

Have you started hormonal birth control recently? Hormonal birth control, particularly that containing estrogen, can significantly decrease milk supply.

Are you expecting either ovulation or your period soon, or has it recently started?

Are you pregnant?

Taking care of mom:

Have you started a strict diet? Are you getting enough calories? Snacking during the day on healthy, protein-rich foods may be helpful.

Are you drinking to thirst? Some moms, particularly when they are at work, will get busy and forget to drink enough fluids.

Are you getting enough rest? This can be hard to do when you have a baby. Try to go to bed a little earlier and to take a nap each day on your days off. Consider co-sleeping so you can get more sleep. Just a little added rest may make a big difference.

Have you been under an unusually large amount of stress? Stress can affect let-down and pumping output.

Have you been sick? Illness, especially if you have a fever, mastitis or get dehydrated, can result in a temporary decrease in milk supply. Some medications can also decrease milk supply (hormonal birth control, pseudoephedrine, ethanol/alcoholic beverages, bromocriptine, ergotamine, cabergoline...).

See also Hidden Hindrances to a Healthy Milk Supply

How can I increase pumping output?

To speed milk production and increase overall milk supply, the key is to remove more milk from the breast and to do this frequently, so that less milk accumulates in the breast between feedings.

Increasing frequency

Nurse more often when you are with your baby.

Are you pumping frequently enough? Is there any way you can add a pumping session at work? If necessary, when pumping times are very limited, adding even a short 5 minute pumping session is better than not pumping at all.

Add a pumping session or two outside of work hours or on the weekend. Try pumping after baby nurses, or pump one side while baby nurses on the other side. You might also try pumping while baby is napping, at night, or when baby goes longer than usual between nursings.

Does your baby complain about slower milk flow when you pump between nursings? If so, try single pumping between nursings, instead of double pumping. Although single pumping is not as effective for increasing milk supply, this leaves one breast more full, so the milk will flow more quickly. See also these tips for babies who want a faster milk flow.

Try cluster pumping, instead of a regular nursing/pumping session. Sit down with your baby and your pump, and nurse and pump every half-hour to hour for several hours.

Some moms find it helpful to do a 2-3 day long power pump every couple of weeks to "super charge" their milk supply. This is simply a nursing vacation with pumping added in. On these days, get lots of rest, nurse very frequently and pump after as many nursing sessions as possible.

Removing more milk from the breasts

Are you pumping long enough? When pumping to increase milk supply, it's recommended that you (double) pump for at least 15 minutes; to ensure that the pump removes an optimum amount of milk from the breast, keep pumping for 2-5 minutes after the last drops of milk. If you don't always have time to pump this long, remember that adding even a short pumping session (increasing frequency but perhaps not removing milk thoroughly) is helpful.

Use a good double pump. Double pumping generally results in better pumping output and is better for maintaining milk supply. Pump quality can make a huge difference in pumping output, and different moms have better results with different pumps. However, some moms with abundant milk supplies do not respond well to pumping (even using the best of pumps) and do not get much milk when pumping. These moms may get better results using manual expression.

Use breast massage and breast compression.

If your pump has a soft shield or shield insert available (for example, the Medela Comfort breastshield or the Ameda Flexishield insert), then try using the pump with and without it. Some moms get better results with the softer shield; some get better results without it.

Switching to a larger pump flange increases pumping output for some moms. Scroll down here for more information on sizing the flange.

Galactagogues

Many working and pumping moms have found that eating oatmeal and staying hydrated is very helpful for increasing pumping output. It can be helpful to snack on protein-rich foods during the day and to have something to drink every time you sit down to pump or breastfeed.

Many moms have gotten good results using fenugreek or other herbs to increase supply, either on a short- or long-term basis. This is most effective when combined with increased nursing/pumping.

Other things to try

The following things are useful for maximizing nursing and minimizing the amount of expressed milk that baby needs while you are away.

Nurse right before you leave baby and immediately after you return from work. Make sure your care provider does not feed baby right before you are due to return.

Has your baby started solids? If so, have your care provider offer all (or most) solids, and only (or mainly) breastfeed when you are with baby. By doing this, baby may need less milk when you are apart (due to the solids) and will nurse more when you are together. This can both help your supply (more nursing) and decrease the amount of pumped milk you need to provide.

Encourage baby to " reverse cycle " - reverse cycling is when baby nurses frequently when mom and baby are together (usually at night) and takes little milk when mom & baby are separated.

One study has shown that the moms of hospitalized babies who listened to guided relaxation or soothing music while pumping had an increased pumping output. When mom listened to a recording that included both music and guided relaxation while pumping, in addition to looking at photos of her baby, pumping output was increased even more. In this study, the interventions led to moms producing 2-3 times their normal pumping output. Milk fat content also increased for these moms in the early days of the study.

Additional information

Increasing Low Milk Supply @KellyMom

Let-down Reflex: Too slow? @KellyMom

How Much Milk Should You Expect to Pump? by Nancy Mohrbacher, IBCLC, FILCA

What to Expect When Pumping by Paula Yount

How much expressed milk will my baby need? @KellyMom

To Pump More Milk, Use Hands-On Pumping by Nancy Mohrbacher, IBCLC, FILCA

Breastpumps - troubleshooting and general info @KellyMom

Ouch! What If Pumping Hurts? by Nancy Mohrbacher, IBCLC, FILCA

Working & Pumping Tips @KellyMom

See the Working, Pumping, Bottle Feeding menu for information on formula and other foods

Keith DR, Weaver BS, Vogel RL. The effect of music-based listening interventions on the volume, fat content, and caloric content of breast milk-produced by mothers of premature and critically ill infants. Adv Neonatal Care. 2012 Apr;12(2):112-9.

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I'm not pumping enough milk. What can I do? * KellyMom.com

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Milk supply normally varies somewhat throughout the day and over weeks and months. As long as baby is allowed to nurse on cue, your milk supply will accomodate baby's needs. However, when mom is pumping part-time or full-time, pumping output can become an issue due to a few factors.

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🎉 Celebrate World Breastfeeding Week with Bambis

Join us for a morning of celebration and fun in Big Art for Little Artists at the Walker Art Gallery!

🗓️ Wednesday 6 August

⏰ 10:00 – 11:30am

📍 Big Art for Little Artists, Walker Art Gallery

As part of World Breastfeeding Week (1–7 August), Bambis will be taking over the space with creative activities, support, and a warm welcome for families.

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We’ve teamed up with John Lewis Liverpool during #wbfw2025

Book your place here 💜

https://www.eventbrite.co.uk/e/bambis-big-breastfeeding-friendly-sign-up-tickets-1501965793119?fbclid=IwQ0xDSwL0y5RleHRuA2FlbQIxMQABHmLD1fJiwNPMrln-5zktd2CWttq_p57hlDMmoG8ALWNlyzeZhOGDF2U-WtwM_aem__XoJxp8py3t9w-qrouiUog

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We’ve teamed up with the Walker Art Gallery to ‘take over’ their fabulous Big Art on Wednesday 6th August.

Limited spaces

Book your place FREE through this link

https://book.liverpoolmuseums.org.uk/walkerartgallery/events/4b0d1730-cc74-6407-f3f3-7e6eb880060a

#breastfeeding

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Display at Dingle Lane Children’s Centre

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Display in West Derby children’s centre

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Display in Tuebrook children’s centre

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Display in Clubmoor children’s centre/Family Hub

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‘Breastfeeding is Timeless’ display in Wavertree children’s centre.

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Thank you Sophie for allowing us to share your story and raise awareness 💕

I didn’t realise how much breastfeeding meant to me until I was unexpectedly diagnosed with bowel cancer in February this year when my second daughter was 3 weeks old. I was trying to come to terms with my illness, rushing from test to test ahead of surgery and easing into breastfeeding after a challenging start that included triple feeding. Amongst other things, I was upset at the prospect of not being able to breastfeed my baby through treatment. What happened before, during and after urgent surgery to remove part of my bowel was truly amazing. The Hearts Milk Bank generously approved me for donor milk to cover my stay in hospital with additional help from Chester Milk Bank, delivered to my door by a committed Blood Biker. Medics and staff at the Liverpool Royal went above and beyond, considering my situation as a new, breastfeeding mother throughout and implementing practical solutions on the ward. Sarah and the Bambis gave me their constant support.

For anyone pregnant or a new Mum with cancer, the charity Mummy’s Star are brilliant for emotional support. And my husband and family met baby’s needs and more when I couldn’t, including the night feeds. My daughter and I were exclusively breastfeeding again at 3 months and I am so grateful - I couldn’t have done it alone. I now have a stoma and whilst I have to pay extra attention to hydration, it is absolutely compatible with breastfeeding.

To anyone who wants to keep breastfeeding through similar health challenges, I’d recommend being vocal about your needs and concerns within your health and community support network as you will find allies, more personalised care and valuable signposting as well as some realism about what sustaining breastfeeding might require of you. And ultimately - if you don’t end up where you wanted to be with breastfeeding, be kind to yourself and proud of yourself.

#bowelcancer #breastfeeding #newborn #breastfeedingmama #breastfedbaby #breastmilk #surgery #donated #milk #help #guidance #support #health #pregnancy #recovery #stoma #cancer #awareness

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Merseyside Breastfeeding Week

We had an amazing turnout this year. The rain stopped and the sun shined 🤩 Follow us on Instagram, TikTok or Facebook for more photos of the day

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What to expect in the first few days of breastfeeding

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Katie the reality of breastfeeding as a mum

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A few signs to check if breastfeeding is going well

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A few signs to check if breastfeeding is going well

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Download 24 Magic Months to see more

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Tell tell signs breastfeeding is going well

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Events at all our children's centre Bambis groups

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Events at all our children's centre Bambis groups

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Book on to our Bambis events happening in your local children's centre. We look forward to seeing you there! <3

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Join Bambis and many other breastfeeding services across Merseyside on Monday 23rd June at St Georges Hall to celebrate your breastfeeding, expressing, mix feeding achievements! This is our 14th year celebrating this event, it would be lovely to see you there!

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Drop in session at Liverpool central Library. all welcome

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I wouldn’t have had such a wonderful breastfeeding journey without the incredible support and guidance of the Bambis team. Their dedication, knowledge, and compassion made all the difference during those early days and beyond. The Bambis have consistently gone above and beyond to support women breastfeeding across Liverpool, creating a warm, empowering community for mums. I’m so grateful for everything they do — their work truly changes lives.

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Bambis are such an amazing supportive team of women. It was great to have help when going through such a hard and emotional and amazing time as a first time mum. I had visits from Bambis in my house and lots of supportive messages. I found Bambis stay and play groups to be really supportive and helpful. Was great to chat to other mums who may be in similar situations and also great to know that Bambis was there to help if any issues arise. Bambis were always supportive and I would 💯 recommend reaching out to Bambis or going to groups.

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I cannot recommend Bambis enough! They provided incredible support with both of my babies, making such a difference in our journey. They are so easy to access, whether it’s through phone/text, in person at the children's centre, or their immensely helpful home visits. Their support at the hospital was crucial for the success of my breastfeeding journey with my first baby. The team is knowledgeable, approachable, and genuinely caring. I also highly recommend their Stay and Play support group.
Thank you, Bambis, for all your help!

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Meet other Bambis babies at our Stay and Play sessions and organised events throughout the year.

Babies can play, make friends, mums can ask questions, share experiences and generally support each other.

Staff are on hand to help with position and attachment, hand expressing and answer questions or sign post to the correct support service.

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Meet up with many other breastfeeding mums and babies at our main event at St Georges Hall on Monday 23rd June for photo opportunity followed by a family picnic at Chavasse Park, Liverpool One.

Book onto one of our events arranged with our amazing children's centres.

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Bambis BF WEEK 2025 childrens centres FINAL TT

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Find support in Bambis Stay and Play sessions 

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Find support in Bambis Stay and Play sessions 

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What's it like to come to a Bambis Stay and Play session? Watch here to meet the staff and find out more. We have 15 groups running in different children’s centres/family hubs, at various times, throughout the week.

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Liverpool University is breastfeeding friendly

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Liverpool University is breastfeeding friendly

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We are proud to have signed up University of Liverpool up to LCC/Bambis breastfeeding friendly charter

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Bambis Bambis Breastfeeding Charter- Human Resources - University of Liverpool

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Liverpool John Moores University is breastfeeding friendly

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Liverpool John Moores University is breastfeeding friendly

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Bambis are proud to have signed up Liverpool John Moores University up the LCC/Bambis breastfeeding friendly charter.

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LJMU was awarded the Liverpool Bambis Breastfeeding Friendly Mayoral Award in June 2022. The award recognises commitment to supporting staff, students and visitors who are breastfeeding their children to feel welcome to do so across campus buildings.

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If you have used our service for support either with a home visit, phone calls, text messages or engaged with us on our social media sites please leave us a google review here by following the link below.  Thank you!

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https://www.google.com/search?safe=active&client=ms-android-samsung-ga-rev1&sca_esv=a7afae622429358f&hl=en-GB&si=APYL9bs7Hg2KMLB-4tSoTdxuOx8BdRvHbByC_AuVpNyh0x2KzWkjv5BIVIbhG5lk33cxEE7cR1t8jc5_qXsP820-E125UBnWN6rSlu63SJhtYFi5E37ku0Bptvv3kRQqOKZ9OnT_l86T&q=Bambis+Reviews&sa=X&ved=2ahUKEwj9lOKwmdCMAxXeZ0EAHbM4OeYQ0bkNegQIPhAE&biw=1280&bih=569&dpr=1.5

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You can message Bambis through our Instagram or Facebook pages but if you would like to speak to someone in person, through the night, The National Breastfeeding Helpline will be available to help you

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National Breastfeeding Helpline - Helpline

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You can message Bambis through our Instagram and on our Facebook group or alternatively The Breastfeeding Network are also here to support you on your feeding journey.

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How can I tell that breastfeeding is going well?

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How can I tell that breastfeeding is going well?

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Here is a quick guide to follow from UNICEF UK. If you're worried your baby isn't getting enough breastmilk please ask for support.

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How will I feed my babies? Is it possible to breastfeed twins?  Will I make enough milk to breastfeed twins or triplets?  How long can I breastfeed twins? What if my babies are born early? Will I be able to feed my twins at the same time? What happens if they both cry at the same time? Will I ever sleep again?!

Here at Breastfeeding Twins and Triplets UK we will answer all of these questions and more. We will try to put your mind at rest whilst being honest about the journey on which you are about to embark. Breastfeeding more than one baby is challenging, but it is definitely possible and a lot of mums go on to have a really enjoyable experience.

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How will I feed my babies? Is it possible to breastfeed twins? Will I make enough milk to breastfeed twins or triplets? How long can I breastfeed twins? What if my babies are born early? Will I be able to feed my twins at the same time? What happens if they both cry at the same time? Will I ever sleep again?!

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Free sessions held at your local Children's Centres

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Free sessions held at your local Children's Centres

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This poster is from Anfield Children's Centre. Please contact them to book on.

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Magic Milestones - Intro to Solids (002)

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Breastfeeding your newborn — what to expect in the early weeks

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Breastfeeding your newborn — what to expect in the early weeks

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This is useful information from Kellymom which looks at breastfeeding your newborn, how to know they are getting enough, breast changes, weight gain and nappy output.

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By Kelly Bonyata, BS, IBCLC

The First Week

How often should baby be nursing?

Frequent nursing encourages good milk supply and reduces engorgement. Aim for nursing at least 10 - 12 times per day (24 hours). You CAN'T nurse too often-you CAN nurse too little.

Nurse at the first signs of hunger (stirring, rooting, hands in mouth)-don't wait until baby is crying. Allow baby unlimited time at the breast when sucking actively, then offer the second breast. Some newborns are excessively sleepy at first-wake baby to nurse if 2 hours (during the day) or 4 hours (at night) have passed without nursing.

Now infants can get
all their vitamin D
from their mothers' milk;
no drops needed with
our sponsor's
TheraNatal Lactation Complete
by THERALOGIX. Use PRC code "KELLY" for a special discount!

Is baby getting enough milk?

Weight gain: Normal newborns may lose up to 7% of birth weight in the first few days. After mom's milk comes in, the average breastfed baby gains 6 oz/week (170 g/week). Take baby for a weight check at the end of the first week or beginning of the second week. Consult with baby's doctor and your lactation consultant if baby is not gaining as expected.

Dirty diapers: In the early days, baby typically has one dirty diaper for each day of life (1 on day one, 2 on day two...). After day 4, stools should be yellow and baby should have at least 3-4 stools daily that are the size of a US quarter (2.5 cm) or larger. Some babies stool every time they nurse, or even more often-this is normal, too. The normal stool of a breastfed baby is loose (soft to runny) and may be seedy or curdy.

Wet diapers: In the early days, baby typically has one wet diaper for each day of life (1 on day one, 2 on day two...). Once mom's milk comes in, expect 5-6+ wet diapers every 24 hours. To feel what a sufficiently wet diaper is like, pour 3 tablespoons (45 mL) of water into a clean diaper. A piece of tissue in a disposable diaper will help you determine if the diaper is wet.

Breast changes

Your milk should start to " come in" (increase in quantity and change from colostrum to mature milk) between days 2 and 5. To minimize engorgement: nurse often, don't skip feedings (even at night), ensure good latch/positioning, and let baby finish the first breast before offering the other side. To decrease discomfort from engorgement, use cold and/or cabbage leaf compresses between feedings. If baby is having trouble latching due to engorgement, use reverse pressure softening or express milk until the nipple is soft, then try latching again.

Call your doctor, midwife and/or lactation consultant if:

Baby is having no wet or dirty diapers

Baby has dark colored urine after day 3(should be pale yellow to clear)

Baby has dark colored stools after day 4(should be mustard yellow, with no meconium)

Baby has fewer wet/soiled diapers or nurses less frequently than the goals listed here

Mom has symptoms of mastitis(sore breast with fever, chills, flu-like aching)

Weeks two through six

How often should baby be nursing?

Frequent nursing in the early weeks is important for establishing a good milk supply. Most newborns need to nurse 8 - 12+ times per day (24 hours). You CAN'T nurse too often-you CAN nurse too little.

Nurse at the first signs of hunger (stirring, rooting, hands in mouth)-don't wait until baby is crying. Allow baby unlimited time at the breast when sucking actively, then offer the second breast. Some newborns are excessively sleepy-wake baby to nurse if 2 hours (during the day) or 4 hours (at night) have passed without nursing. Once baby has established a good weight gain pattern, you can stop waking baby and nurse on baby's cues alone.

The following things are normal:

Frequent and/or long feedings.

Varying nursing pattern from day to day.

Cluster nursing (very frequent to constant nursing) for several hours-usually evenings-each day. This may coincide with the normal "fussy time" that most babies have in the early months.

Growth spurts, where baby nurses more often than usual for several days and may act very fussy. Common growth spurt times in the early weeks are the first few days at home, 7 - 10 days, 2 - 3 weeks and 4 - 6 weeks.

Is baby getting enough milk?

Weight gain: The average breastfed newborn gains 6 ounces/week (170 grams/week). Consult with baby's doctor and your lactation consultant if baby is not gaining as expected.

Dirty diapers: Expect 3-4+ stools daily that are the size of a US quarter (2.5 cm) or larger. Some babies stool every time they nurse, or even more often-this is normal, too. The normal stool of a breastfed baby is yellow and loose (soft to runny) and may be seedy or curdy. After 4 - 6 weeks, some babies stool less frequently, with stools as infrequent as one every 7-10 days. As long as baby is gaining well, this is normal.

Wet diapers: Expect 5-6+ wet diapers every 24 hours. To feel what a sufficiently wet diaper is like, pour 3 tablespoons (45 mL) of water into a clean diaper. A piece of tissue in a disposable diaper will help you determine if the diaper is wet. After 6 weeks, wet diapers may drop to 4-5/day but amount of urine will increase to 4-6+ tablespoons (60-90+ mL) as baby's bladder capacity grows.

Milk supply?

Some moms worry about milk supply. As long as baby is gaining well on mom's milk alone, then milk supply is good. Between weight checks, a sufficient number of wet and dirty diapers will indicate that baby is getting enough milk.
This information is also found as part of the professional Breastfeeding Logs.
Additional information

@
Breastfeeding Logs Hunger Cues - When do I feed baby? Resources: Is Baby Getting Enough Milk? Normal Growth of Breastfed Babies Breastfeeding Basics
Information is Your Ally in preparing to breastfeed: 10 Tips for Success by Eva Lyford
Tips for juggling a newborn and toddler Frequent Nursing
Worried about milk supply?
How does milk production work? Is your milk supply really low? My breasts feel empty! Has my milk supply decreased? How can I find help for my breastfeeding problem?
@ other websites

The Importance of Colostrum by Paula Yount

Baby Explains- Normal Newborn Behavior by Diana Cassar-Uhl, IBCLC

It's Not Just About Breastfeeding by Danielle Rigg, JD CLC

What is Normal? by Paula Yount

Breastfeeding as Baby Grows by Becky Flora, IBCLC

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Breastfeeding your newborn - what to expect in the early weeks * KellyMom.com

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Frequent nursing encourages good milk supply and reduces engorgement. Aim for breastfeeding at least 10 - 12 times per day (24 hours). You CAN'T breastfeed too often--you CAN breastfeed too little. Nurse at the first signs of hunger (stirring, rooting, hands in mouth)--don't wait until baby is crying.

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Know your rights. You should not ever be made to feel uncomfortable about breastfeeding in public. It is illegal for anyone to ask a breastfeeding woman to leave a public place, such as a cafe, shop or public transport.

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Breastfeeding in public can mean breastfeeding in front of a relative or friend in your own home, or in a public place, such as a cafe or shopping centre.
During your baby's first few days, you may prefer to breastfeed only where you feel most comfortable. But, as you get more used to doing it, you're likely to feel more confident about breastfeeding in front of other people when you're out and about.

Most people support women breastfeeding in public. The more it's done, the more normal it will become.

Here are some ideas to help you get started.

Know your rights. You should not ever be made to feel uncomfortable about breastfeeding in public. It is illegal for anyone to ask a breastfeeding woman to leave a public place, such as a cafe, shop or public transport.

Plan ahead. Before you go out, it can help to think about where you will feel comfortable breastfeeding when your baby gets hungry. Ask breastfeeding friends for recommendations.

A midwife, health visitor or peer supporters at a local breastfeeding drop-in will also know of good places in your area where you can feed your baby.

Clothes and bra. What you wear when you're breastfeeding is a matter of personal taste and what you feel comfortable in. For example, some mums like to wear loose tops that can be lifted up.

Others, who prefer to keep their tummy covered, wear two stretchy tops, so that the top layer can be lifted up and the bottom layer can be pulled down. A soft, non-underwired bra can be easily pulled up or down when you want to feed your baby.

Baby slings, scarves and cloths. Some baby slings are designed so you can breastfeed while your baby is in the sling. Some mums feel more comfortable putting a scarf or muslin cloth over their chest while they're breastfeeding.

Take someone with you. It can help to go with a friend who has an older baby and can take you to places that she already knows. You could go with someone else, such as your mum, partner, sister or friend, so that there's always someone to talk to.

Avoid the loos. Do not feel that you should sit in a public toilet to breastfeed. You would not eat in there, so do not feel that your baby should be fed there.

Mums talk about breastfeeding away from home

2 breastfeeding mums talk about their experiences of feeding in public:

Cara, from Banbury

"I thought I would need special nursing tops, but once my baby finally arrived, I realised that my normal clothes (and favourite maternity tops) all worked much better. I could pop my baby under my top to feed her, and she would be tucked up next to my skin.

"It took me a while to get the hang of attaching her easily without looking, but soon I felt confident feeding almost anywhere. I've never had any negative comments from other people. I do not think people realise I'm feeding a baby most of the time."

Claire, from Aberystwyth

"At first, I could not imagine how I would be able to feed the twins away from home. I was really nervous, as they each took half an hour to feed, and I would only be able to feed 1 at a time when I was out. But then I became so confident that I hardly noticed I was feeding them."

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Breastfeeding in public can mean breastfeeding in front of a relative or friend in your own home, or in a public place, such as a cafe or shopping centre. During your baby's first few days, you may prefer to breastfeed only where you feel most comfortable.

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Spitting Up and Reflux in the Breastfed Baby

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Spitting Up and Reflux in the Breastfed Baby

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Useful information in this link. Is baby spitting up due to their diet being 100% liquid or do they possibly have reflux

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Spitting Up & Reflux in the Breastfed Baby • KellyMom.com

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Spitting up, sometimes called physiological or uncomplicated reflux, is common in babies and is usually (but not always) normal. Most young babies spit up sometimes, since their digestive systems are immature, making it easier for the stomach contents to flow back up into the esophagus (the tube con…

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January 2025

This information sheet gives a brief guide to the law and what to do if you are treated unfavourably because you are breastfeeding while out and about with your baby in public places.

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This information sheet gives a brief guide to the law and what to do if you are treated unfavourably because you are breastfeeding while out and about with your baby in public places.
For more information on your rights to continue to breastfeed on return to work, see the information sheet: Continuing to breastfeed when you return to work.

What does the law say?

The Equality Act 2010 says that it is discrimination to treat a woman unfavourably because she is breastfeeding. It applies to anyone providing services, benefits, facilities and premises to the public, public bodies, further and higher education bodies and association. Service providers include most organisations that deal directly with the public. Service providers must not discriminate, harass or victimise a woman because she is breastfeeding.

Discrimination includes refusing to provide a service, providing a lower standard of service or providing a service on different terms. Therefore, a cafe owner cannot ask you to stop breastfeeding, ask you to move or cover up or refuse to serve you.

How long does protection apply for?

There is no age restriction, the law protects you for as long as you wish to breastfeed your baby.

Where can a woman breastfeed?

You are protected in public places such as parks, sports and leisure facilities, public buildings and when using public transport such as buses, trains and planes. You are protected in shops, public, restaurants and hotels regardless of how big of small. You are also protected in places like hospitals, theatres, cinemas and petrol stations.

Am I protected if I am asked to stop breastfeeding at work?

If your employer provides services to the public, your employer is also responsible for the actions of its employees.

The law does not currently provide a right to time off at work to breastfeed but you have health and safety rights at work as an employee and the right to ask for flexible work. For more information, see: Continuing to breastfeed when you return to work. Employers are not obliged to provide facilities for expressing and storing milk but they may wish to as a matter of good practice and they must take steps to protect the health and safety of an employee who is breastfeeding on return to work.

What protection is there for students?

Further and higher education bodies must not discriminate, harass or victimise a student who is breastfeeding in terms of admission or provision of education or by excluding the student or subjecting her to any detriment. This includes access to benefits, facilities or services.

Which associations are included?

An association must not discriminate, harass or victimise a person because she is breastfeeding by refusing membership or discriminating in provision of benefits, facilities or services.

An association includes clubs, such as golf clubs, that have rules of membership, with at least 25 members, where members have to apply to join. Private clubs, with less than 25 members, that have no formal rules of membership, such as a book club, would not be counted as an association. Clubs where you simply pay a membership fee to join are not counted as an association but would be considered to be providing public services.

Are there some places where I cannot breastfeed in public?

Yes, it is not against the law to prevent a woman breastfeeding in a service which is a single sex service for men. This single sex service must be justified, for example, where only one sex needs it or one sex needs the service more than the other. Voluntary groups or charities set up specifically to benefit one sex may be acting lawfully if they exclude women. Religious organisations may offer services to one sex if it is in line with the doctrines of that religion. In some cases, where single sex services are justified, it would be reasonable to object to members of the opposite sex being there.

It is not against the law to prevent a woman breastfeeding where there are legitimate health and safety risks, for example, near to certain chemicals or radiation.

What can I do if I am discriminated against because I am breastfeeding?

If you have been asked to stop breastfeeding or to cover up or you have been refused services while you are out and about, you can make a complaint to the company or organisation. This includes complaints about how you were treated by other customers as well as members of staff.

Ask the company or organisation, e.g. restaurant, sports complex, cinema, if they have a complaints policy. This will tell you who to write to. Alternatively, you can look on their web page for their complaints policy or find the address of their Head Office.

You can make a complaint by email or by sending a letter, outlining what happened and when and who was involved. Think about what you would like to ask for to remedy the situation, for example, an apology and a commitment to providing staff training in breastfeeding rights. You can use the model letter below if you wish.

You could also send the company a tweet or post a comment on their Facebook page. This may be effective in raising awareness of their treatment of mothers who are breastfeeding but businesses are unlikely to treat tweets and Facebook comments as formal complaints so they may not investigate your complaint.
What can I do if I'm not happy with the response?
If you have made a complaint and you are unhappy about the service providers' response you can take a case in a county court in England or Wales or a Sheriff court in Scotland. You should seek advice as these can be expensive cases to bring. You must start the case within 6 months of the day that it happened. This time limit will only be extended in very exceptional circumstances.

If you win your case, the court can order compensation which can include an amount for injury to feelings. The court can also issue an injunction or make a declaration that you have been discriminated against. If you lose, you may be ordered to pay the other side's legal costs so it is very important to get expert advice.

Additional protection in Scotland

In Scotland a person has a right to breastfeed or bottle feed a child under two and it is a criminal offence to try to stop or to prevent a woman from feeding a child under two in any place in which the public has access and in which a child under two is entitled to be. Anyone who tries to stop or prevent a person feeding milk to a child under the age of two can be prosecuted and can face a claim under the Equality Act.

Employers are responsible for ensuring that their staff are fully aware of the law. If an employee tries to stop or prevent a woman from breastfeeding in the course of their employment, the employer may also be liable even if they were unaware of the incident. You should complain to the employer in the first instance and, if necessary, you can report the matter to the police.

Model letter

Dear [add name]

This information sheet was produced in January 2023. It is very important to get up-to-date advice as law and guidance changes.
This guide is for information purposes only and should not be treated as legal advice. You are strongly advised to get personal legal advice about the individual circumstances of your case.
Where to go for more help
Maternity Action
For information on maternity and parental rights at work and benefits, see: www.maternityaction.org.uk

Maternity Rights Advice Line:

Nationwide (except London) - 0808 802 0029

London (if you live or work in a London borough) - 0808 802 0057

For opening hours see: https://maternityaction.org.uk/advice-line/
ACAS
For advice on employment rights or for Early Conciliation if you are thinking of making a tribunal claim

Helpline: 0300 123 11 00 (offers telephone interpreting service)
Citizens Advice
For information about your rights see: www.citizensadvice.org.uk

You can telephone the national Citizens Advice phone service on 03444 111 444

You can get help with Universal Credit claims through the free national Help to Claim service: England: 0800 144 8444, Wales: 0800 024 1220, Scotland: 0800 023 2581

For more information on how to find your local Citizens Advice Bureau, see:
https://www.citizensadvice.org.uk/about-us/contact-us/contact-us/contact-us/ Civil Legal Advice
If you are eligible for legal aid you can get free legal advice on 0345 345 4 345 (offers translation service). To check your eligibility see www.gov.uk/civil-legal-advice

To search for specialist legal advisers or solicitors in your area see: https://find-legal-advice.justice.gov.uk/
Equality Advisory Support Service
Help and advice on discrimination and human rights www.equalityadvisoryservice.com

Helpline: 0808 800 0082 Mon - Fri 9am - 7pm, Sat 10am - 2pm

Textphone: 0808 800 0084
Equalities and Human Rights Commission (EHRC)
For information and advice about discrimination law www.equalityhumanrights.com

For information for employees and employers about pregnancy and maternity rights in the workplace see: www.equalityhumanrights.com/about-us/our-work/key-projects/managing-pregnancy-and-maternity-workplace
GOV.UK
The government's online information service
Jobcentre Plus
To make new telephone benefit claims or request claim forms, including Maternity Allowance and Sure Start Maternity Grant: 0800 055 6688 Mon - Fri 8am - 6pm

For ESA/JSA/Income Support claims: 0800 169 0310 Mon - Fri 8am - 6pm

For Maternity Allowance claims: 0800 169 0283 Mon - Fri 8am - 6pm

For Sure Start Maternity Grant claims: 0800 169 0140 Mon - Fri 8am - 6pm/For Best Start Grant claims in Scotland: 0800 182 2222

Universal Credit helpline - for new claims and existing online claims: 0800 328 5644. Mon - Fri 8am - 6pm

For help with claiming Universal Credit see: www.gov.uk/universal-credit
HM Revenue & Customs (HMRC)
Tax Credit Helpline: 0345 300 3900 Mon - Fri 8am-8pm, Sat 8am-4pm, Sun 9am -5pm

Child Benefit: 0300 200 3100 Mon - Fri 8am-8pm, Sat 8am- 4pm

For queries about Statutory Maternity Pay, Adoption Pay, Paternity Pay and Shared Parental Pay:

Employees helpline 0300 200 3500

Employers helpline 0300 200 3200
HMRC Statutory Payments Disputes Team
If you cannot resolve a dispute about your SMP, you can ask HMRC for a formal decision on your entitlement. You can also ask HMRC to pay your SMP if your employer has refused to pay, has dismissed you to avoid paying SMP or has gone into liquidation. This includes disputes about Statutory Maternity Pay/Adoption Pay/Paternity Pay/Shared Parental Pay/Parental Bereavement Pay or Statutory Sick Pay

See: https://www.gov.uk/guidance/statutory-pay-entitlement-how-to-deal-with-disagreements

Telephone: 0300 322 9422

You can also write to the Statutory Payments Disputes Team at HM Revenue and Customs, PT Operations, Statutory Payments Dispute Team, BX9 1AN.
Insolvency Service Helpline
You can currently only contact the Insolvency Service online.

For what you can claim if your employer goes out of business, see: https://www.gov.uk/your-rights-if-your-employer-is-insolvent
Law Centres Network
To find out if there is a Law Centre in your area telephone 020 3637 1330 or see: www.lawcentres.org.uk/
Turn2us
Online benefits calculator and grant search www.turn2us.org.uk

More Maternity Action information sheets
Rights during pregnancy Pregnant at work 2021 Pregnancy Discrimination Time off for antenatal care Health and safety during pregnancy and return to work Resigning from your job during pregnancy and maternity leave Changing jobs or more than one job
Pregnant during maternity leave (when you are expecting again)
Premature births - rights to maternity leave and pay Miscarriage stillbirth and neonatal death - rights to time off and pay Maternity pay and benefits Maternity Pay Questions Money for Parents and Babies Maternity and parental leave Rights during maternity leave and return to work Keeping in touch during leave Shared Parental Leave and Pay Time off for Working Parents Asking to change your working hours or go part-time Child friendly working hours Redundancy, dismissal and discrimination Pregnancy Discrimination Rights during maternity leave and return to work Redundancy during pregnancy, maternity and parental leave Dealing with problems at work Health and safety, breastfeeding and sickness Sickness during pregnancy maternity leave and return to work Health and safety during pregnancy and return to work Postnatal depression and depression during pregnancy Childbirth injuries - rights at work and benefits for new mothers Breastfeeding on return to work Breastfeeding while out and about Self-employed, agency and zero hours work Maternity and parental rights for agency workers Maternity and parental rights if you are self-employed Changing jobs or more than one job Zero hours contracts - maternity and parental rights Apprentices - maternity and parental rights at work Fathers and partners, including same sex partners Rights at work for fathers and partners Shared Parental Leave and Pay Child friendly working hours Time off for Working Parents Dealing with problems at work Adoption or surrogacy Time off and pay for parents-surrogacy Shared parental leave and pay - adoption Money for Parents and Babies
Available at www.maternityaction.org.uk

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Breastfeeding while out and about - Maternity Action

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This page contains information on:What does the law say?How long does protection apply for?Where can a woman breastfeed? Am I protected if I am asked to stop breastfeeding at work? What protection is there for students? Which associations are included? Are there some places where I cannot breastfeed in public?

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Did you know your local children's centre can support you when your baby is ready to be introduced onto solid foods? They offer a free information session which looks at the signs of readiness and will give you ideas of different foods to try.

It's recommended to begin offering foods (alongside milk) around 6 months of age but you can book onto a session before this so you are prepared.

Some centres also offer a 'Meet and Eat' or 'Mini Munchers' session where you are invited to attend with your baby, try new foods and guide you through this stage. Please contact your local children's centre for more information.

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Alternative methods of feeding your baby

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Alternative methods of feeding your baby

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Information is here which discusses alternative methods of feeding your baby including cups, spoon, syringe, bottle. We would recommend you speak with your health care professional to support you with this if necessary.

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Daily skin-to-skin contact alters microbiota development in healthy full-term infants

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Daily skin-to-skin contact alters microbiota development in healthy full-term infants

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The gut microbiota is vital for human body development and function. Its development in early life is influenced by various environmental factors. In this randomized controlled trial, the gut microbiota was obtained as a secondary outcome measure in…

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Benefits of Colostrum                                              

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Baby receives colostrum for the first feeds Colostrum is rich in antibodies. It serves as the baby’s first immunisation and protects against many infections. It helps to regulate the baby’s own developing immune system. Colostrum contains growth factors, which help the infant’s intestine to mature and function effectively. This makes it more difficult for micro-organisms and allergens to get into the baby’s body. Colostrum is rich in Vitamin A, which helps protect the eyes and reduce infection. Colostrum stimulates the baby to have bowel movements so that meconium (first poo) is cleared quickly from the gut. This will help reduce jaundice in the baby. Colostrum comes in small volumes, just right for your new baby.

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Why is skin-to-skin contact important?

There is a growing body of evidence that skin-to-skin contact after the birth helps babies and their mothers. The practice:

calms and relaxes both mother and baby

regulates the baby’s heart rate and breathing, helping them to better adapt to life outside the womb

stimulates digestion and an interest in feeding

regulates temperature

enables colonisation of the baby’s skin with the mother’s friendly bacteria, thus providing protection against infection

stimulates the release of hormones to support breastfeeding and mothering.

Skin-to-skin contact also provides benefits for babies in the neonatal unit, in that it:

improves oxygen saturation

reduces cortisol (stress) levels, particularly following painful procedures

encourages pre-feeding behaviour

assists with growth

may reduce hospital stay

improves milk volume if the mother expresses following a period of skin-to-skin contact, with the expressed milk containing the most up-to-date antibodies.

Read more about Skin to skin contact here

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Skin-to-skin contact - Baby Friendly Initiative

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Skin-to-skin contact is important for babies and mothers to develop close, loving parent-infant relationships and to initiate breastfeeding.

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The Importance of Responsive Feeding by Prof Amy Brown

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Responding to a baby’s feeding cues (both of hunger and satiation), whether they are breast or bottle fed is an important step to helping a baby develop not only a secure attachment relationship, but in establishing longer term positive eating behaviours. Read more here in this link. https://kellymom.com/ages/newborn/bf-basics/importance-responsive-feeding/?fbclid=IwAR1-WKKwN6A22FmiWOSmSYXVq7Kk8zw2Aw6LqS3bVcf-dxbSpQrRIrkDfUY

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https://www.unicef.org.uk/babyfriendly/wp-content/uploads/sites/2/2008/02/Start4Life-Introducing-Solid-Foods-2015.pdf

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Useful, clear information here about returning to work when breastfeeding.

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Breastfeeding exclusively (giving your baby no other food or drink) is recommended for around the first 6 months. After this time, breastfeeding is recommended alongside solid food.

Therefore, it's likely that you'll be breastfeeding when you return to work, training or education.

There are several options. You can:

arrange for childcare close to work or college so that you can breastfeed during breaks, or before and after work - the evening feed can be a wonderful way for you to relax with your baby

express breast milk (taking milk from the breast by hand or using a pump) so that someone else can feed your baby while you're at work

ask your employer or college for flexible working hours arranged around your breastfeeding needs

combine breastfeeding and bottle feeding to fit around your hours

Think about it early. Before you go back to work or college, tell your employer or tutor you're breastfeeding.

You may have an HR department that can help. It can make preparations, such as finding you a private room where you can breastfeed or express your milk.

Organising breastfeeding and work

Before returning to work you can:

label and date expressed breast milk before putting it in the fridge or freezer so your childminder knows which one to use first

have a trial run with childcare before returning to work

store breast milk in a sterilised container or in special breast milk storage bags in the fridge for up to 8 days at 4C or lower (you can buy fridge thermometers online) - if you're not sure of the temperature of your fridge, or it's higher than 4C, use it within 3 days

Information for employers about breastfeeding mothers

Employers have certain legal obligations to breastfeeding mothers. Supporting breastfeeding has business benefits too. These include:

reduced absence due to child sickness (breastfed babies are generally healthier)

increased staff morale and loyalty, and a subsequently higher rate of return to work

lower recruitment and training costs

an extra incentive to offer potential employees

How employers can help breastfeeding mothers

Employers can have a policy to support breastfeeding. This includes:

a break allowance for mothers to express milk

provision of a clean, warm, private room (not the toilet) for expressing

a secure, clean fridge to store expressed milk

flexible working hours for breastfeeding mothers

Let your employees know about your policy before they start their maternity leave.

What the law says about breastfeeding mothers at work

It's up to mothers to decide how long they want to breastfeed. Returning to work doesn't mean a mother has to stop. Before returning to work, she should give her employer written notification that she's breastfeeding. Her employer must then conduct a specific risk assessment.

Workplace regulations require employers to provide suitable facilities where pregnant and breastfeeding mothers can rest.

The Health and Safety Executive (HSE) recommends that it's good practice for employers to provide a private, healthy and safe environment for breastfeeding mothers to express and store milk. The toilets are not a suitable place to express breast milk.

The HSE has more advice about protecting new and expectant mothers at work.

Talk to other breastfeeding mums

If you know any breastfeeding mothers who have already gone back to work, ask them for advice.

You could also visit healthtalk.org to see mothers talking about breastfeeding and working.

Got a breastfeeding question?

Sign into Facebook and message the Start4Life Breastfeeding Friend chatbot for fast, friendly, trusted NHS advice anytime, day or night.

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Information for employees and employers on returning to work and breastfeeding, including tips on expressing and storing breast milk.

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Continuing to breastfeed when you return to work

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Continuing to breastfeed when you return to work

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https://maternityaction.org.uk/advice/continuing-to-breastfeed-when-you-return-to-work/

This guide covers your options for continuing to breastfeed your baby on return to work, your legal rights and how to negotiate with your employer.

Going back to work may be the first time you have been separated from your baby for long periods. It can be a difficult time for you and your baby. Continuing to breastfeed is one way to maintain the close relationship you have built up, providing your baby with extra comfort and security. Mothers who feel unhappy about leaving their baby when they return to work often find that continuing to breastfeed helps them to cope better.

There is also good scientific evidence of the benefits of breastfeeding.

Breastmilk protects babies against infections, so babies who are breastfed are significantly less likely to suffer from serious conditions such as gastro-enteritis, respiratory infections, urinary tract infections and ear infections. Breastfeeding is associated with a reduced risk of later childhood diseases such as eczema, asthma, wheezing and diabetes.

Breastfeeding also protects the mother’s health. Mothers who breastfeed are less likely to develop breast cancer, some forms of ovarian cancer, and hip fractures as a result of osteoporosis in old age.

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Another top tip we recommend is to practice breastfeeding your baby in front of the mirror before you go out, just to see what other people will see.

Wear a vest top that you can pull down and wear a t-shirt that you can pull up. Baby's head will cover your breast when they latch on.

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Feeding cues

Watch your baby not the clock!

It is really important to follow your baby’s cues when they want to feed rather than looking at the clock or putting them on a feeding schedule. Did you know, from birth, they use cues to let us know.

Facial movements - furrowed eyebrows

Mouth opening - lip smacking

Stretching arms then legs

Rooting or sucking fingers

Turning head

Becoming restless

Crying is a late sign of hunger

It is important to also remember that we would expect approximately eight to twelve feeds within a 24 hour period.

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https://www.basisonline.org.uk/

Basis is a project of the Durham Infancy and Sleep Centre (DISC), in the Department of Anthropology at Durham University, UK.

The aim of Basis (the Baby Sleep Information Source) is to provide access to research based evidence about biologically normal infant sleep, in forms that are accessible to parents and health practitioners, supported by references to research relevant to families in the UK. We conceptualise ‘biologically normal infant sleep’ as being the sleep of babies who are exclusively or predominantly breastfed to at least 6 months of age and cared for in a responsive manner. We do not consider sleep training methods that require leaving babies alone for sleep in the first year of life to be biologically normal.

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Are you nervous about breastfeeding your baby in public? Why not come along to a Bambis Stay and Play group, located in lots of Liverpool Children's Centres to experience your first 'public feed' in a safe space. The Children's Centre staff have received breastfeeding training and are here to support you on your breastfeeding journey and help give you the confidence to succeed.

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Liverpool City Council (LCC) Breastfeeding Quality Mark- Folder for Venue to keep

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Liverpool City Council Bambis Breastfeeding Friendly Charter

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Liverpool City Council Bambis Breastfeeding Friendly Charter

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What is the Liverpool City Council (LCC) Breastfeeding Quality Mark?

Liverpool City Council and Bambis have developed a quality mark for businesses across the city to sign up to. By signing up, your business has agreed to commit to the following points:

1. We welcome babies to be breastfed in any public area of these premises.

2. A mother, who is breastfeeding, will not be asked to move or stop breastfeeding.

3. We understand that some women prefer privacy when breastfeeding and we will do all we can to help them. Where possible, private areas will be made available for breastfeeding mothers who would prefer privacy to feed.

4. We will always provide at least a glass of water free of charge to any breastfeeding mum and if possible a free tea/ coffee per visit.

5. All our staff will be informed about the ‘LCC Breastfeeding Quality Mark’ scheme and how to be supportive of the needs of breastfeeding mothers and families.

6. We will ensure our staff team are briefed on the World Health Organisation breastfeeding guidelines (in order to understand why supporting mothers to breastfeed in our community is important).

7. We will display the ‘LCC Breastfeeding Quality Mark’ to the public and our staff.

8. We will promote the ‘LCC Breastfeeding Quality Mark’ to other businesses.

9. We will advertise the ‘LCC Breastfeeding Quality Mark’ on our social media sites to encourage more businesses to join the scheme. Digital logo available upon request.

10. We will be committed to offering our support in helping Liverpool increase its breastfeeding rates.

If you have had a positive experience in a shop, café, restaurant or local business please let us know. You can nominate them for our breastfeeding friendly sticker here communitybambis@liverpool.gov.uk

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https://www.lullabytrust.org.uk/safer-sleep-advice/co-sleeping/

To reduce the risk of sudden infant death syndrome (SIDS) the safest place for a baby to sleep is in their own clear, flat, separate sleep space, such as a cot or Moses basket. However, many parents find themselves co-sleeping whether they mean to or not. Wherever you’re planning for your baby to sleep we recommend making your bed a safer place for baby. The Lullaby Trust information on co-sleeping with your baby will tell you how.

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Important information here about feeding your baby in bed.  Please read before doing so to help you make an informed choice.

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https://laleche.org.uk/safe-sleep-the-breastfed-baby/#:~:text=%E2%9C%94%20Place%20your%20baby%20to,any%20cot%2C%20crib%20or%20pram.

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If your baby struggles to breastfeed and you need or want to give baby a bottle responsive bottle feeding or pace feeding is recommended. Watching closely for baby's feeding cues and reminding them to pause will ensure baby has a comfortable feed. This technique may help baby get back to the breast easier if that is your intention.

https://www.nhs.uk/start-for-life/baby/feeding-your-baby/bottle-feeding/bottle-feeding-your-baby/feeding-on-demand/#paced

Paced feeding

Paced feeding is way of giving your baby more control over feeds.

Babies usually take small amounts of milk and stop for a rest, and then take more. You can help them to "pace" their feeds so that it mimics the way they would breastfeed.

To do this:

1. Start by touching the teat on your baby's top lip, inviting your baby to draw the teat into their mouth.

2. Keep the bottle almost horizontal – just very slightly tipped to prevent the milk flowing too fast.

3. Watch your baby for signs that they are finished or need a break, as this gives them time to feel full and avoid overfeeding.

4. Your baby might become upset when you take the teat away from their mouth. If this happens, try tilting the bottle down with the teat still in their mouth – this will slow down the milk flow, but still feel comforting to your baby.

Never force your baby to finish a feed as this will be distressing and can mean your baby is overfed.

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Some families choose to continue to express milk following the loss of their baby. While this option does not suit everyone, some families find comfort in continuing to express and donate. Please discuss milk donation with your healthcare professionals if you would like further information about this.

Alternatively, you can contact Milk Bank At Chester on 01244 362 226 for further information on their Memory Milk Gift initiative.

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Please click on this link to see all the different services and agencies who offer support when breastfeeding doesn't work out as planned. We have also shared other peoples experiences and welcome you to share your stories.

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Register with a Liverpool Children's Centre

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Register with a Liverpool Children's Centre

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Once you register with your local children's centre you will be able to access support and guidance to help you prepare to feed and care for your newborn. The children's centres also offer free sessions such as Baby Massage, Sensory play, Stay and Play, Story Time and so much more.

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Anyone who cares for or is expecting a child can register to use our children's centres.

You can register online below, or visit your nearest children's centre and complete a registration form.

We'll ask for your contact details and your child's details. If you are pregnant, let us know so we can let you know about courses or sessions that may be of interest to you.

Read our privacy notice which tells you how we use your data.
Register online

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Anyone who cares for or is expecting a child can register to use our children's centres. You can register online below, or visit your nearest children's centre and complete a registration form. We'll ask for your contact details and your child's details.

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If you're registered with a Liverpool children's centre you can book on to a Bambis Infant Feeding workshop in your third trimester. We offer different times and days to suit your availability. We also offer an online session on a Saturday morning, once per month.

Please contact your local centre for further information.

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Bambis Instagram aims to share inspiring posts and useful information. We welcome followers to DM us any questions or queries and aim to respond quickly.

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Bambis Antenatal Infant Feeding Sessions

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Bambis Antenatal Infant Feeding Sessions

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BAMBIS BREASTFEEDING SUPPORT🤱🤱🏽 on Instagram: “Free antenatal sessions including Bambis Infant Feeding session and New Born Know How at your local Liverpool children’s centre. Book on in your third trimester🤰🏽 #pregnancy #preparation #prep #antenatal #class #knowledge #skills #information #free”

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BAMBIS BREASTFEEDING SUPPORT🤱🤱🏽 on Instagram: “Free antenatal sessions at your local Liverpool children’s centre. Book on in your third trimester🤰🏽 #pregnancy #preparation #prep #antenatal #class #knowledge #skills #information #free”

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bambis_breastfeeding_support on August 3, 2023: “Free antenatal sessions at your local Liverpool children’s centre. Book on in your third trimester🤰🏽 #pregnancy #preparation #prep #antenatal #class #knowledge #skills #information #free”.

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The 'Flipple' technique can help baby achieve a deeper latch. This video is in slow motion to show you how to do it. Baby always comes to the breast rather than you trying to bring the breast to the baby.

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We are a group of parents from Liverpool with real life experience of feeding and feeding challenges and with Bambis support we have created this Padlet. We hope you find it useful and can help support it moving forward with your stories, experiences and any resources you have found to be helpful.
All of our experiences are different, but we are united by a wish to make sure all parents have the best access possible to support for feeding their babies and maintaining their own well-being.

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Mine and Archies experience- we ended up staying in hospital for a while due to myself having a PPH, Archie having jaundice, and he needed a scan on lower spine.

The Bambis team in the women's where a god send! & I was really struggling to pick up Archie on my own due to my blood levels making me dizzy, so they kindly lent me a pump to express. This eased my mind so much!

We also found out Archie was 80% tongue-tied, thankfully with Rachel's help we where able to get an appointment to release his tongue and i was able to get a good latch with amazing support & 13 months later, I'm still breastfeeding! I honestly can't thank Bambis enough for all the help and support! You are amazing!!

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Was this tool useful for you?
Is there any information you think is missing/would be helpful to add?
Is there anything you would remove/amend?

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We have included a range of information aiming to cover areas of infant feeding information and well-being support that in our experience are most needed.

We have used trusted sources as well as opinion-based/peer-informed resources that we have found useful.

Most Trusted (e.g. NHS, World Heath Organisation, Unicef, IBCLC International Board Certified Lactation Consultant, BAMBIS information.)

Opinion-based, Peer-informed, BAMBIS Facebook Peer Forum.

Ultimately you will know best what is right for your well-being, your baby and your family (whatever that may look like).

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Liverpool Bambis (babies and mums breastfeeding information and support) are a team of peer supporters who offer breastfeeding support and information to pregnant women, breastfeeding mums and their families. We are based in the hospital, community and in your local children's centre.

Our community team support Liverpool mums through phone calls, text messages, video calls and home visits. We work 7 days per week.

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Anxiety and Breastfeeding - The Breastfeeding Network

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This information is also available as a PDF by clicking here.
The information provided is taken from various reference sources. It is provided as a guideline. No responsibility can be taken by the author or the Breastfeeding Network for the way in which the information is used. Clinical decisions remain the responsibility of medical and breastfeeding practitioners. The data presented here is intended to provide some immediate information but cannot replace input from professionals.
There are many reasons that we become anxious at one point or another in our lives. Anxiety is a normal and healthy emotion which helps to tell us that something in our environment may be threatening, either physically or emotionally to either ourselves or the people we care about. Feeling anxious about these situations encourages us to act to make ourselves safe. Without it we would not be able to recognise danger or keep ourselves safe. It is only necessary to seek help if you find your feelings spiralling out of control. Tell your loved ones how you feel, a hug and an opportunity to express your frustration and worries may be all that you need.

Sometimes though we misinterpret situations and start to believe that they are threatening when they are not. This can be affected by;

the information we are given by others,

how confident we feel about coping with a situation,

our experiences from the past.

If we have been told that something will be difficult or upsetting, or have experienced struggling in a situation in the past we are more likely to be anxious about that situation again now.

It is important to know that 1 in 10 of us will experience a significant anxiety disorder at some point in our lives although this increases during pregnancy and the year after giving birth. It doesn't mean that you need medication, nor that you are a bad mother or a failure. You may benefit from access to Improved Access to Psychological Therapies (IAPT) services. You may feel better knowing that what you are feeling is perfectly normal and common in many mothers. We hope that this information gives you options to decide what is right for you.

Parenthood is a time when all experiences are new. We are given a lot of information (much of it conflicting) and advice. It feels like there is pressure to get everything 'right' every time - to keep our child healthy and to be seen as a 'good' mother. Add into the mix the fact that we are usually sleep deprived, exhausted and having difficulty concentrating, and it is very understandable that anxiety is common in mothers, especially those with young babies.

This information sheet is not designed to give a definitive answer that will immediately make the anxiety disappear - we wish it could. Anxiety is very much more complicated and the solutions will be individual to each one of us. Hopefully it will be able to provide some information on what anxiety is and how we may be able deal with this. It will also try to normalise anxiety and consider what a normal reaction to a situation is and when we may want to seek more help. It is important to recognize that anxiety may begin in pregnancy and that it can occur alongside other conditions such as depression and obsessive compulsive disorder (OCD) which can make it less readily recognized by you and your healthcare professionals.

Anxiety is a feeling of dread or fear about a real or imagined situation. It is often characterised by excessively worrying and focusing on thoughts and situations that scare or upset you and is accompanied by a range of physical sensations. We will often notice changes in three areas, our thoughts, our physical feelings and our behaviours. Below are listed some of the symptoms in these areas you may experience.

Racing heart beat

Changes in breathing (feeling breathless, holding your breath or rapid breathing)

Tightness or pain in your chest

Pins and needles or tingling in the arms and legs

Butterflies

Feeling sick (sometimes, although rarely, also being sick)

Stomach upsets and needing to go to the toilet frequently or urgently.

Wobbly legs

Feeling dizzy and light headed

Feeling as if things don't feel real/dream like (depersonalisation)

Difficulty concentrating

Head aches

Muscles tension, especially in the neck, shoulders and jaw

Irritability

Disturbed sleep, difficulty getting to sleep or waking frequently

Feeling exhausted

Worrying excessively, either about one thing or many things

Feeling that others are looking at you or judging you

Thinking that you will be unable to cope with a situation

Thinking you are not good enough in some way

Focusing on bad or upsetting experiences from your past Feeling unable to let go or stop thinking about something

Worrying that something is wrong or will go wrong in the future

Unpleasant thoughts about bad things happening that pop into our head.

Often these thoughts feel very out of control and we may find it difficult to concentrate on normal daily life because our head is so full of these thoughts. We may also find that no matter how much we think about the problems they don't get better, and often get worse. When someone asks what you are worrying about you may respond "everything and nothing". That's okay, it's how you feel that you are dealing with your thoughts that is important.

Reducing normal activities

Feeling unable to face talking to people

Avoiding crowded places

Repeatedly checking things, our children, information, locks, switches etc.

Avoiding thinking or doing things that make us anxious

Becoming withdrawn

Initially taking some time out may be helpful to give us time to rest and spend time with our baby. However in the long run by reducing enjoyable activities we have little else to distract us or balance the negative thoughts.

Anxiety is normal and a natural part of our biology which we share with all animals. It comes from our fight or flight response that is designed to keep us safe. When we were cavewomen, if we came across a sabre toothed tiger, to keep ourselves safe we would either need to fight it, or run away. In order to do this our brain reacts very quickly to give us the best chance of escaping or winning by making our bodies ready for action by releasing adrenaline. This causes several immediate changes:

Our hearts beat faster to help pump blood around the body

Our breathing rate increases to give our muscles oxygen

We get tingling in our arms, legs and stomach (butterflies) as our blood diverts away from our stomach where it's not needed and into our arms and legs instead

Our stomachs are not essential for fighting so we may feel sick or need to go to the toilet

Our muscles tense ready for actions

We feel on edge as our senses are on high alert for danger

We feel the urge to escape or leave a situation

In our modern life we rarely encounter sabre toothed tigers, but the same reaction can still be triggered if a situation or thought feels threatening to us. Our bodies are unable to differentiate whether something we just think is real or not. Even if you are just thinking about an anxiety provoking situation, what may or may not happen, or worrying that something might be wrong, this will still cause all the same physical reactions that a physical threat would.

Parents are anxious about doing their best for their child and as a result some level of anxiety is to be expected. Not only do we worry about our children, but we may also be facing massive changes to our lives; changes in our role within a family, greater responsibility, less time to ourselves, less money, less time with our partners and friends. The list is endless but below are some common worries you may experience:

Is my child eating enough?

Is my child gaining weight?

Am I feeding too frequently/frequently enough?

Is the baby's poo the right colour?

Are they safe where they are sleeping?

Will my baby nap today?

Everyone loves to give advice about how best we should care for our children, this is especially true when it comes to feeding. Over the past 100 years breastfeeding has become less common than it was and information about what is normal has been lost over time. Instead we are inundated with advice which is often unrealistic and related to old childrearing practices that we no longer regard as helpful or evidence based.

Advice may include ideas that every baby should sleep through the night from x weeks, that they should only be fed every y hours, if they cry or are fussy they are hungry, mums can't produce enough milk to feed a large baby and a million more opinions that you will be exposed to every day.

With breastfeeding it isn't as easy to see exactly how much milk a baby has consumed. We may question our ability to sufficiently feed the baby - especially if a healthcare professional questions baby's weight gain or feeding schedule. Concerns about breastfeeding or perceived lack of support may add to anxiety.

Breastmilk is completely absorbed so breastfed babies will be more likely to wake frequently throughout the night and for longer. This is not a bad thing for the babies, who are feeding effectively and naturally, however this may lead to more disrupted sleep for the parents. Feeling more tired may result in higher levels of anxiety as we struggle to think clearly when tired. Few babies sleep through the night for the first year, but the pressure that is given by society for them to do this may again lead to anxiety and self-doubt.

We may get very conflicting or incorrect advice about what is normal from a variety of sources. Our society also has limited knowledge about healthy breastfeeding practices so we may be more likely to encounter misinformed opinions from others which may make us feel uncertain about what we are doing. You may feel your wishes to breastfeed or indeed to give up, may not be listened to or respected. This may add to your feelings of loss of control.

There are several simple things we can do to balance our life and manage anxiety. The focus should be on reducing focus on the worrying thoughts and trying to refocus attention on life activities which are happening at the moment, rather than what may happen in the future.

Deal with or approach a problem if you can - if you can't do anything or it hasn't happened yet - let it go. The Exeter Worry Guide in the link below may give you some ways in which to do this. Mindfulness techniques may also be helpful with this and there are links to some helpful websites in the next section.

Talk to people - other mums in similar situations to get an idea of what is normal. This may be via baby groups, helplines, Facebook groups or online forums. However, you may find that the mood of a forum may be negative and make you feel worse. If that happens find somewhere that helps you feel positive. Keep talking to those who love you and let them know how you are feeling.

Keep doing enjoyable activities. These may need to be adapted to life with a baby but try to do something enjoyable every day e.g. baby groups, walks, playing with your baby or swimming. If you can get someone to babysit you may enjoy getting time out for half an hour to go for a run, have a bath, painting your nails, reading a book or even going to the toilet by yourself.

Get out of the house - get to the shops for some milk, walk around the block, go for a drive.

Staring at the same four walls will not help to distract you and your thoughts will go round in circles. Getting out even just for 15 minutes a day can be helpful to clear your head and may help your baby sleep too.

Focus on positives each day - try and write one positive thing in a daily diary or try 100 days of happiness on Facebook. Maybe if someone asks how things are going, try to think of the positives first before the problems. Also make a list of all the things you are doing well rather than where you might be struggling.

Take a breath and ignore those giving advice which doesn't feel comfortable - they are giving their opinion not facts. Their baby might be very different from yours, whatever they did was their choice but you do not have to conform to everyone else's ideas.

Stop googling! There is a place for internet searches, but you can also drive yourself mad looking at conflicting, inaccurate and catastrophic advice. Go to reliable sources and once you have found an answer, stop checking further - you will just start to doubt yourself and you keep yourself focused on the worrying thoughts rather than the solutions.

As we have said, some level of anxiety is normal in parenthood, however if you find that you are anxious most of the day, several days a week for more than 2-3 weeks then this can be signs that anxiety is becoming more of a problem for you. If it is impacting on your ability to continue your normal life then you may wish to seek further help from your GP or other voluntary services. Your health visitor and GP should both be checking on your mental health at each appointment and even if you do not feel you need help yet, if you are starting to feel anxious or low you can still discuss it with them so that they know to check up on you in the future.

Your GP may suggest a period of two weeks of watchful waiting to see whether your mood improves by itself. This is normally the first plan of action if anxiety or low mood is mild. They will normally suggest some self-help guides similar to the ones at the bottom of this page and then book a review appointment in two weeks.

If you and your GP decide you need some support, they may offer you a referral to a talking therapy service or discuss whether medication would be helpful.

Talking therapy services based within mental health teams are very different to how they were 20 years ago. They are designed to support people within the community with common mental health issues such as anxiety, depression and panic attacks. You will be offered an assessment during which you can discuss what difficulties you have been facing and what your goals are. After this you may be offered some treatment, the most common of which is counselling or Cognitive Behavioural Therapy (CBT). Counselling allows you to look at issues more commonly from your past which may be affecting you now, or issues around relationships with other people. Cognitive Behavioural Therapy comes in many forms, most of which is face to face, but it can be offered over the telephone or in group settings. CBT looks at cycles of thoughts, feelings and behaviours which may be keeping you stuck. It aims to help you understand what is happening and may offer practical steps to reassessing whether these thoughts are realistic and changing unhelpful behaviours.

CBT currently has the greatest evidence base for treating anxiety and is widely available within the NHS however there are other therapy options available in some teams such as Cognitive Analytical Therapy (CAT), Interpersonal Therapy and Mindfulness.

If you and your doctor decide that prescribed medication is the best route for you, there are several options which you can take and continue breastfeeding. They include, in no particular order:

1. SSRI antidepressants e.g. sertraline, citalopram, fluoxetine, paroxetine all have anti- anxiety activity. They take 4 to 6 weeks to exert full benefit.

2. Tri-cyclic antidepressants e.g. amitriptyline, imipramine.

3. Beta blockers e.g. propranolol act to reduce heart rate and slow the body and act very quickly. They can be taken regularly or when required. They cannot be taken if you have asthma.

4. Benzodiazepines e.g. diazepam, lorazepam, alprazolam act very quickly to reduce anxiety but cannot be taken long-term because they are addictive and can also accumulate in the breastfed baby leading to drowsiness and poor feeding.

The first thing most mothers prescribed with anti-anxiety medications worry about is whether the drugs will harm the baby in the short or long term. They are also concerned that they are 'bad' mothers for needing to take medication but they don't know how to cope without. They worry about long term use, addiction, withdrawal, development of the baby, whether formula milk may be a better option than breastmilk containing even a small amount of the drug. They 'google' madly trying to find the information which supports their concerns, but often don't trust those sites which support the safety. They may ask lots of people's opinions which can be even more anxiety provoking according to that person's experience of breastfeeding and medication. Often they fear that even admitting that they are anxious may lead to their baby being taken into care and them being labelled as an unfit mother. This is not going to happen but can sadly lead to delays in seeking treatment.

Information websites:

Although rarely talked about, when people have been feeling very anxious or depressed for long periods of time, they can feel that they are unable to cope and they can experience thoughts of suicide or self- harm. The intensity of these can vary significantly, some people experience fleeting thoughts of 'I just don't want to be here', for others they can start to imagine more in depth thoughts and plans about what they could do. Most of the time having these thoughts does not mean that you intend to act on them. It can be part of our brain's way of imagining one possible escape, and often we have many protective factors that would stop us ever acting on them, such as our children, partners, family, friends, faith or hope for the future. Normally once our mood improves, thoughts of harming ourselves reduce and disappear. However they can still be very distressing to experience so it can be helpful to talk to others if you feel able to. Although they may find it upsetting to hear that you feel this low, friends and family can often support you to manage these feelings when they occur and help you not to feel so alone. You can also talk to your GP or health visitor about them and they can decide with you what support would be helpful.

If you ever feel that you may be more seriously thinking about harming yourself or unable to keep yourself safe it is important that you speak to your GP or another health professional as soon as possible. Doctors, midwives and health visitors are aware that these are symptoms of depression and anxiety. They should support you to access help and appropriate treatment.

If you need immediate help you can go to any accident and emergency department or drop in clinics to help. Suicidal or self-harm thoughts are also seen as a priority and would be counted as a reason for an emergency appointment with a GP. You can also call NHS direct on 111 or in an emergency 999.

Antenatal and postnatal mental health: clinical management and service guidance. NICE guidelines [CG192] December 2014

Bauer A, Parsonage M, Knapp M, Lemmi V,Adelaja B Costs of perinatal mental health problems. October 2014 www.centreformentalhealth.org.uk/costs-of-perinatal-mhproblems

British National Formulary

CG192 Antenatal and Postnatal mental healthcare

Hale T. W Medications in Mothers Milk

Health Outcomes Paediatrics; 131(4):2013 http://pediatrics.aappublications.org/content/early/2013/02/26/peds.20122147.full.pdf+html

Jones W Breastfeeding and Medication 2018 Routledge

Khan L Falling through the gaps. Perinatal mental health and general practice. March 2015

Lactmed website http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT

Martindale, the Extra Pharmacopia 2007

Paul IM, Downs DS, Schaefer EW, Beiler JS, Weisman CS, Postpartum Anxiety and Maternal-Infant

Royal College of General Practitioners Practical Implications for Primary Care of the NICE guidelines

www.centreformentalhealth.org.uk/falling-through-the-gaps

This information was compiled by Beth Chapman Cognitive Behavioural Psychotherapist and Wendy Jones Pharmacist.
©Dr Wendy Jones MBE, MRPharmS and the Breastfeeding Network Sept 2019

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Anxiety and Breastfeeding - The Breastfeeding Network

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This information is also available as a PDF by clicking here. The information provided is taken from various reference sources. It is provided as a guideline. No responsibility can be taken by the author or the Breastfeeding Network for the way in which the information is used.

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A Guide for Women at High Risk of Postpartum Psychosis

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A Guide for Women at High Risk of Postpartum Psychosis

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By Action on Post Partum Psychosis

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The first two years of your baby’s life are the most important for their growth and development. It’s a very special time and, while it can be hard going at times, this free app developed by Liverpool City Council will help you to make magic moments and mark every incredible milestone.

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The first two years of your baby’s life are the most important for their growth and development. Our app will help you mark every milestone.

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A group for mothers and their partners of ethnic backgrounds. This group is dedicated to all things related to pregnancy, childbirth and the post birth period- with an emphasis on maintaining and improving maternal mental well being

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Log into Facebook to start sharing and connecting with your friends, family, and people you know.

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Black Mums Matter Too (@blackmumsmattertoo) • Instagram photos and videos

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2,329 Followers, 46 Following, 36 Posts - See Instagram photos and videos from Black Mums Matter Too (@blackmumsmattertoo)

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Birth Trauma Support For Parents - Make Birth Better

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Birth Trauma Support For Parents - Make Birth Better

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National Organisation

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"I was so afraid and helpless. At points in the birth, it was like I lost all control."

- Amy, mum to Elina

Can you relate to Amy? 1 in 4 mums can. Research tells us less about how those who do not identify as 'mums' are impacted by birth trauma, but of course they are. And partners are affected by these experiences too. Perhaps it's not the birth itself which felt deeply distressing. It might have been when you were trying to conceive, because you faced pregnancy loss, pregnancy sickness, had difficulty breastfeeding, birth complications, injuries, bonding challenges or something else unique to you. No two experiences are the same and your story matters. We're here to help you find the right support.

We're here to help you understand what birth trauma actually is and how it might be affecting you now. Or how it has in the past.

Read about different treatment options and other sources of support, such as our free 'I need help' download to help you through your recovery.

Birth trauma can have a ripple effect on birthing partners leaving them traumatised too. We are here to support you.

If you had a distressing experience (before, during or after giving birth), planning for a family can feel challenging. Find out how we can help.

If you'd like to view all of the free PDF downloads available in this support for parents section, please click here.

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Birth Trauma Support For Parents - Make Birth Better

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Did you feel intensely afraid, out of control or helpless during birth? Know that you're not alone. Find the information and support you need for birth trauma.

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National Organisation

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How to not need a holiday after the holidays

The holidays can be a stressful time for single parents, Natalie is a volunteer in our Wellbeing Digital Group and recently held an online workshop where she shared her 'go to' tools for managing the...

Read more

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We are Gingerbread, the charity for single parent families. We provide expert advice and practical support for single mums and dads in England and Wales.

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Young Parents Support Network by Young Mums and Dads 

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Young Parents Support Network by Young Mums and Dads 

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National Organisation

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By young parents, for young parents

Little Lullaby is an online support community for young parents and parents-to-be. Chat, tell your story and share advice with other young mums and dads through pregnancy, birth and beyond.
Learn More

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Young parents support network by young mums and dads | Little Lullaby

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By young parents, for young parents Little Lullaby is an online support community for young parents and parents-to-be. Chat, tell your story and share advice with other young mums and dads through pregnancy, birth and beyond. Learn More

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National Organisation

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Who we are

In 1981 a small group of parents, who were experiencing problems with their crying and sleepless babies, set up a support group. They discovered how important support is and how reassuring it can be to talk to someone. Today that support group has become Cry-sis, the only UK charity offering help and support to parents with babies who cry excessively or have sleeping problems. From modest beginnings Cry-sis has become a well-respected national charity which:

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Support For Crying And Sleepless Babies | Cry-sis

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Cry-sis, the only UK charity offering help and support to parents with babies who cry excessively or have sleeping problems. Call the helpline now...

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ICON: Babies Cry You Can Cope- Advice and Support

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ICON: Babies Cry You Can Cope- Advice and Support

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National Organisation

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Babies cry, you can cope When babies cry it can be stressful and overwhelming. Help is out there and all you need to do is ask. Latest news Testimonials

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Support through provision of baby essentials. Please note referral via health practitioner e.g. Health Visitor/Midwife

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Baby Basics is a volunteer-led project aiming to support new mothers and families who are struggling to meet the financial and practical burden of looking after a new baby. Baby Basics started in Sheffield in the spring of 2009, this centre continues to support families across Sheffield working with a wide range of frontline health and social care professionals. There is an ever increasing network of Baby Basics centres across the country each staffed by a committed team of volunteers. For your nearest Baby Basics please click here.

Baby Basics provides much needed essentials and equipment to mothers and families who are unable to provide these items for themselves; including but not limited to teenage mums, people seeking asylum and women fleeing domestic abuse and trafficking.

Working with midwives, health visitors and other professional groups to provide support directly where it is most needed, Baby Basics volunteers lovingly collect, sort and package a 'Moses Basket' of clothing, toiletries and essential baby equipment as an attractive gift to new mothers.

The aim is to help these new mothers practically and generously, demonstrating the love of God through our care. God is at the centre of Baby Basics as we are inspired and motivated by His heart for everyone. Every day we continue - and every item we send out, is thanks to His kindness, grace and provision.

Our vision is based on Matthew 25:37-40:

Then the righteous will answer him, 'Lord, when did we see you hungry and feed you, or thirsty and give you something to drink? When did we see you a stranger and invite you in, or needing clothes and clothe you? When did we see you sick or in prison and go to visit you?'
The King will reply, 'I tell you the truth, whatever you did for one of the least of these brothers of mine, you did for me.'

Do You Know Someone Who Needs Our Help?

If you work with vulnerable women or families who are struggling to provide for their newborn baby please get in touch with us.

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Baby Basics is a volunteer-led project aiming to support new mothers and families who are struggling to meet the financial and practical burden of looking after a new baby. Baby Basics started in Sheffield in the spring of 2009, this centre continues to support families across Sheffield working with a wide range of frontline health and social care professionals.

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Mental Health Resources/Services for Black People and PoC UK

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Mental Health Resources/Services for Black People and PoC UK

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National Support

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Mental Health Resources for Black people and PoC

Black Minds Matter's mission is to connect Black individuals and families with free mental health services - by professional Black therapists to support their mental health. To make this happen, they want to make mental health topics more relevant and accessible for all Black people in the U.K., removing the stigma and remodelling the services to be relevant for the Black community.

We are lifting the silence on mental health issues and raising awareness in communities. By opening up the conversation and developing services, we are ensuring that people can find and receive the support they need.

Therapy for black girls is an online space dedicated to encouraging the mental wellness of Black women and girls. They offer women a chance to not only find an appropriate therapist, but also access resources and discussions around mental health without stigma.

BAATN is the U.K's largest community of mental health professionals for people of Black, African, South Asian and Caribbean heritage. They connect people to therapists around the UK and provide free resources and services as well.

Rainbow Noir is a volunteer led social, peer support and community action group, which celebrates and platforms people of colour who identify as Lesbian, Gay, Bisexual, Trans*, Queer and/or Intersex (LGBTQI). We exist to provide a voice for LGBTQI people of colour in Greater Manchester and the North West. As a community and as individuals we are too often silenced or forgotten about. We strive to influence change within and outside of the LGBTQI community on a local and a national level. As well as a commitment to represent and platform LGBTQI people of colour and our communities, one of our soul aims from our very beginning, is been to create a space of our own, places to feel safe, where LGBTQI people of colour can meet, hang out, form friendships and find community. We create monthly social spaces both online and in person.

In March 2019, Mind launched a brand new programme working with young Black men. The three year programme works with 11 to 30 year-olds by offering a range of tailored local services working specifically with young Black men. The aim of the programme is to increase understanding of mental health problems, reduce the stigma surrounding them and learn about how and where to seek help when you need it. The programme has been guided by a steering group of nine young Black men, who use their insights and experience to guide the programme. We are working with five local Minds to deliver this programme: Coventry and Warwickshire Mind, Lambeth and Southwark Mind, City, Hackney and Waltham Forest Mind, Mind in Haringey and Leeds Mind.

We improve the lives of people severely affected by mental illness through our network of local groups and services, expert information and successful campaigning. Our goal is to make sure everyone affected by severe mental illness has a good quality of life.

Black Thrive is a partnership between communities, statutory organisations, voluntary and private sector. They work together to reduce the inequality and injustices experienced by Black people in mental health services. They address the barriers which lead to poorer outcomes across a range of social factors, such as education, employment, housing, and so on, all of which may negatively impact one's health and wellbeing.

Sharing Voices Bradford (SVB) is a community development mental health organisation actively supporting and working with diverse minority communities of Bradford. Sharing Voices Bradford was established on the basis that an individual's mental health experiences often arise from issues around: poverty, racism, unemployment, loneliness, family conflicts, relationship difficulties, and other socio-economic and personal factors that cannot be merely understood through biological terms alone. Understanding where an individual is, on their journey of recovery, listening to peoples own explanation and helping find solutions based on their needs, is a key part of our work. We are committed to working with BME communities and service providers to improve services and promote mental health well being for people living with mental distress. We look forward to working with you to achieve our aims and objectives.

Podcasts

Well-being in the workplace

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Mental Health Resources for Black people and PoC - ILPA

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Mental Health Resources for Black people and PoC Black Minds Matter UK Black Minds Matter's mission is to connect Black individuals and families with free mental health services - by professional Black therapists to support their mental health. To make this happen, they want to make mental health topics more relevant and accessible for all [...]

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Mindout LGBTQ+ Online and Phone Support Service

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Mindout LGBTQ+ Online and Phone Support Service

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National Support (Brighton Based)

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Cookie preferences

Description

An online support service run by and for lesbians, gay men, bisexual, trans, and queer people.

Our online support sessions are run by:

Trained and experienced LGBTQ online support volunteers

MindOut's LGBTQ mental health practitioners, including advocacy workers and counsellors

External, specialist LGBTQ service providers

What support can the service offer?

Emotional and listening support without judgement and unwanted advice or opinions

Information and signposting in the right direction

Help you to think about ways to stay safe and develop coping strategies

General conversation about whatever is on your mind

Information and access to other MindOut services

Space to talk through choices and decisions

Space to reflect and to problem solve

Contact with LGBTQ people to help you feel less alone or isolated

An opportunity to share opinions and talk about issues and events that are important to you

We are a UK charity based in Brighton and Hove, therefore if you are calling in from further afield, we may be unfamiliar with where you are calling in from, and may not have the information, experience or the resources you need. This may limit the support we can offer but we will try our best.

Service Details

Organisation:

MindOut

Service Type:

Self / Peer support

Website:

https://www.mindout.org.uk/

What groups of people is this for?:

Lesbian, gay, bisexual and transgender people

What age groups is this for?:

What areas of the city is this for?:

People from anywhere in the city

How can I access this service?:

Telephone or email

When is this service open?:

As of 19 Jan 2022 Tuesday 15:00 - 17:00, Wednesday 16:00 - 19:30, Friday 12:00 - 14:00, Saturday 12:00 - 14:00, Sunday 14:00 - 16:00 Monday and Thursday Closed

How much will it cost me?:

Free but you need internet access.

Social media:

Council Area:

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Mindout - Lesbian, Gay, Bisexual, Trans & Queer Mental Health Service Online Chat

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Cookie preferences An online support service run by and for lesbians, gay men, bisexual, trans, and queer people. Our online support sessions are run by: Trained and experienced LGBTQ online support volunteers MindOut's LGBTQ mental health practitioners, including advocacy workers and counsellors External, specialist LGBTQ service providers What support can the service offer?

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The Queer Birth Club (@thequeerbirthclub) * Instagram photos and videos

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9,753 Followers, 1,015 Following, 949 Posts - See Instagram photos and videos from The Queer Birth Club (@thequeerbirthclub)

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A mental health crisis often means that you no longer feel able to cope or be in control of your situation. It often involves a sudden or continued worsening of your symptoms. You may feel great emotional distress or anxiety, feel you can't cope with day-to-day life, think about suicide or self-harm, or experience hallucinations and hearing voices.

Below are some suggestions for what you can do if you are experiencing a mental health crisis.

The option you choose will depend on how severe you feel your symptoms are and if you can wait a short amount of time to get help, or if you need help immediately.

Please have a read of the options below and decide which one is best for you.

Freephone telephone support

We provide telephone support for people experiencing a mental health crisis via the freephone numbers below.

Liverpool and Sefton

Anyone aged 16 and over

For urgent mental health support, please call our 24/7 freephone helpline: 0800 145 6570

Halton, Knowsley, St Helens and Warrington

For all ages - children, young people and adults

If you need urgent mental health support, please call our 24/7 freephone crisis line on: 0800 051 1508

If you live outside of the above areas, find your local mental health crisis line on the NHS website.

What will happen when you call

When you call one of the numbers above, one of our dedicated mental health professionals will be able to offer assistance. They will talk to you, listen to your worries and try to understand your current problems. Through doing this, you and the health professionals will be able to make a plan on how best to meet your current needs.

This could include:

A mental health assessment or referral for an assessment

Referral to one of our mental health care services

Contacting your local psychological therapy service

Contacting a different community service for support such as housing, financial advice or drug and alcohol issues.

Accident & Emergency (A&E) and 999

A&E should only be used when there are serious physical injuries which require treatment within the hospital environment.

If you are worried about your mental health but do not have serious physical injuries, for urgent help please call our crisis line:

0800 051 1508 if you live in Halton, Knowsley, St Helens or Warrington (available for all ages)

0800 145 6570 if you live in Liverpool and Sefton (for adults age 16 and over).

If you feel you need urgent mental health support but also have serious physical injuries, then we would advise you to attend A&E to address your physical injuries.

Please only call 999 if you feel you require immediate, life threatening assistance.

Cheshire and Merseyside Resilience Hub

This service is for workers in the NHS or local authority commissioned social care

You can self refer 24/7 online by visiting their website: cheshiremerseyresiliencehub.nhs.uk

Triage and contact will take place Monday to Friday with the Hub aiming to respond within three working days.

Support, advice and guidance during the COVID-19 pandemic

Screening, assessment and guidance

Specialist clinical interventions where assessed as required and where people can't access it locally

Support for managers and leaders by offering advice, clinical supervision and reflection, group sessions, consultation and training

Proactive outreach to staff across organisations providing access to resources and guidance

System wide clinical leadership to enhance knowledge and skills

Promoting resilience strategies to build sustainability.

For more information, visit their website: cheshiremerseyresiliencehub.nhs.uk

For non urgent help

If you don't feel that you need urgent help but would like support to manage your mental health and wellbeing, there are a range of other options you can consider.

If you are already under the care of one of our services, you can contact them directly. Contact details can be found on our services.

If you are experiencing a common mental illness such as anxiety, depression and/or stress, then psychological therapies can support you. Find out more about your local services below:

If you live outside the above areas, you can find your local service on the NHS website.

If it's not an emergency but you are feeling unwell and want advice and support, get in touch with your GP, who will talk it through with you and may refer you to someone else who can give you specialist help.

If you use our services get in touch with your care co-ordinator, the person who looks after your care or the person from the team that you normally see. Their number will be in your recovery plan.

Text support

Free, confidential, 24/7 text message support is available for anyone who is feeling overwhelmed or is struggling to cope. The service is staffed by trained volunteers who will work with you to take your next steps towards feeling better. They can help with issues such as stress, anxiety and depression and are able to talk via text at any time of day or night. Simply text the code and number for the area you live in for immediate support.

Liverpool and Sefton
HEAL text service
Text HEAL to 85258 for immediate support, available 24/7.

Halton, Knowsley, St Helens and Warrington
REACH text service (for children, young people and adults)
Text REACH to 85258 for immediate support, available 24/7.

For more information about the text service, visit: giveusashout.org

The Life Rooms

The Life Rooms is available to anyone 18+ and you can self refer or be referred by a health professional.

They offer:

Online staying well at home learning courses

Pathway advisors who can support and advise with debt management, employment, housing issues, benefits and more...

Social inclusion advice for isolated community groups.

To find out more about The Life Rooms Service, visit their page on our website, visit liferooms.org or call them on 0151 478 6556

If you need help or if you are worried about someone else you can find immediate assistance via the following support services:

Samaritans

A national registered charity with local branches.

They are available around the clock to help anyone.

Phone: 116 123 (free)

Website: samaritans.org

Zero Suicide Alliance (ZSA)

A collaborative who are all committed to suicide prevention in the UK and beyond.

The alliance is ultimately concerned with improving support for people contemplating suicide by raising awareness of and promoting FREE suicide prevention training which is accessible to all.

CALM

Campaign Against Living Miserably

A registered charity, which exists to prevent male suicide in the UK.

Phone: 0800 58 58 58

Website: thecalmzone.net

Papyrus

As a national charity, they work towards building a society which speaks openly about suicide and has the resources to help young people who may have suicidal thoughts.

Phone: 0800 068 41 41

Text: 07786 209 697

Email: pat@papyrus-uk.org

Website: HOPElineUK

(all confidential)

If you have been bereaved by suicide contact the following support services:

Survivors of Bereavement

Survivors of Bereavement by Suicide exists to meet the needs and break the isolation experienced by those bereaved by suicide.

Phone: 0300 111 5065

Website: uksobs.org

The Hub of Hope

An online resource, provided by Chasing the Stigma, developed to support individuals with mental health issues and to signpost them to local services. Users undertake a postcode search to find out what support services are available locally.

Website: hubofhope.co.uk/

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A mental health crisis often means that you no longer feel able to cope or be in control of your situation. It often involves a sudden or continued worsening of your symptoms. You may feel great emotional distress or anxiety, feel you can't cope with day-to-day life, think about suicide or self-harm, or experience hallucinations and hearing voices.

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WHISC (Women's Health Information and Support Centre) Support Group Liverpool

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WHISC (Women's Health Information and Support Centre) Support Group Liverpool

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“Tuesday

10.00 am – 11.00 am Peri/post natal group – support for mum’s and mum’s to be. Group activities to address mild anxiety and low mood, positive mental health and wellbeing activities.”