Nursing While Pregnant

Kathleen Tackett's picture

QUESTION

Dear Lactation Consultant,
I'm a month pregnant and am also nursing a 7-month-old. She's interested in starting solids, but still enjoys nursing. Do you have any special advice?

Shall I aim on weaning her over the next month or two?

Thank you in advance for answering my question.

ANSWER

Congratulations on your new baby!

You're asking good questions. The one thing you might want to keep an eye on is your 7-month-old's weight gain as your pregnancy progresses. Usually a woman's milk supply begins to seriously dip and then turn to colostrum around the fourth or fifth month. Since your current baby will be less than one year old at the time, it may be necessary to supplement. Your baby's weight gain will tell you if this is necessary.

Ideally a baby in the six months to one year age range should be gaining about 2 to 4 ounces per week. If the weight gain is in this range, no supplements are needed. If it is less than 2 to 4 ounces a week, you may need to give some formula in addition to whatever solids your baby is taking. Talk to your pediatrician about his or her recommendation about an appropriate supplement for your baby.

Regarding weaning, there is no reason to wean unless you were planning to do so anyway. There is no evidence that continuing to breastfeed through a pregnancy has any disadvantages to a well-nourished mother with a normal pregnancy or her unborn baby. In fact, after the birth some mothers nurse both the older and the new baby. It's entirely up to you. Your milk supply will adjust to nursing two.

-- Nancy, IBCLC