Body Changes in the Second Trimester

Colic is a relatively common, though challenging, experience for many parents. While it typically peaks between 6–8 weeks and resolves by 3–4 months1, it can be frustrating to manage. Here are some strategies and tips you can use to ease the journey. What Causes Colic? The exact cause of colic remains unclear to scientists and doctors. A doctor may diagnose a baby with colic if they cry for more than 3 hours a day, at least 3 times per week, and it occurs for more than 3 weeks.2 However, a colicky baby does not mean an unhealthy baby. There are plenty of ways you can help manage symptoms.1,3 If you are worried about your baby's crying, talk to your doctor. Tips for Managing Colic Navigating colic requires patience, self-care, and some proven approaches: Feeding PositionFeeding your baby in a vertical position can help minimize their discomfort.4 ProbioticsL. reuteri is a probiotic naturally found in breast milk and has been clinically shown to reduce crying time in colicky breastfed babies^5,6 and support a healthy and balanced gut flora6 in baby’s digestive system. Consult your doctor about using probiotic L. reuteri supplementation to help reduce symptoms.8 Movement & Quiet TimeTry swaddling your baby and rocking them side to side. Alternatively, you can try taking them for a walk on a quiet street. If you’re trying to get your baby to nap, consider adding white noise in the background to minimize sound disruption. Naps are a great opportunity for you to get some rest, too.  Self-CareSelf-care is important. Sleep when possible, snack on nutritious foods, and take deep breaths during stressful moments. Place your baby in a safe space, like a crib, to give yourself a break, and lean on trusted adults to support you during challenging moments.2 Remember, colic is not caused by poor parenting. It is temporary and does not affect a baby’s general health or future development. By implementing these strategies and seeking support, you can help ease your baby’s colic and navigate this phase with confidence. ^In breastfed babies References 1. Alberta Health, 2023. Colic. Consulté le 2024 décembre. URL: https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=hw315042. HealthLinkBC, 2023. What is colic?. Consulté le 2024 décembre. URL: https://www.healthlinkbc.ca/pregnancy-parenting/parenting-babies-0-12-months/baby-health/colic3. Société canadienne de pédiatrie, 2021. Les coliques et les pleurs. Consulté le 2024 décembre. URL: https://caringforkids.cps.ca/handouts/pregnancy-and-babies/colic_and_crying4. John Hopkins Medicine, 2024. Colic. Consulté le 2024 décembre. URL: https://www.hopkinsmedicine.org/health/conditions-and-diseases/colic5. Chau K et al. J Pediatr. 2015;166(1):74-78.6. Savino F et al. Pediatrics. 2010;128: e528-e533.7. Concorrullo P et al. J Pediatr. 2010;157(4):598-602.8. Scheider R and Sant’Anna M. Paediatr Child Health. 2022; 27(8):482-491.

At around 14 weeks, your pregnancy is entering an exciting new phase—the second trimester! Many women find this to be the most comfortable trimester, as some early symptoms like nausea and fatigue may begin to ease. However, a whole bunch of new physical and emotional changes are on the way. Here are some of the common symptoms you might experience as you move through your second trimester. Always consult your doctor about the unique needs of your pregnancy. What you can expect and what you can do The first signs of a baby bumpBy about 16 weeks, something exciting starts to happen: your baby bump becomes visible!1 You may also notice a dark line running from your belly button to your pubic area, called the linea nigra. This is completely normal and should fade after birth.1 Breast changesDuring the second trimester, your breasts may become fuller, heavier, and more tender as they prepare for breastfeeding. Your areolas may darken and expand, and some women even begin to leak small amounts of colostrum—the first milk your body will produce. If you experience leaking, consider wearing breast pads to stay comfortable and avoid any spots on your clothes. SwellingCarrying a baby is certainly not an easy task, and in your second trimester, you may experience mild swelling in your feet and ankles. As your body produces more blood and your baby grows, fluid can build up in your lower limbs, causing mild puffiness.3 To manage this, try resting with your feet elevated when you can and avoid wearing tight shoes or socks with elastic bands. Talk to your doctor if the swelling is sudden or if you have swelling in your face or hands. Digestive issuesYour uterus is growing something wonderful which can put pressure on your digestive organs. For some women, this can sometimes lead to heartburn and constipation and may worsen as your pregnancy progresses. If heartburn becomes bothersome, try avoiding spicy or greasy foods, and consider eating smaller, more frequent meals. For constipation, drinking plenty of water, eating fibre-rich foods, and staying active can help keep things moving.3 Back and pelvic painAs your body’s centre of gravity shifts and pregnancy hormones relax your joints and ligaments, the changes can cause lower back pain and pelvic discomfort.1 To ease back pain, sit with proper posture, avoid heavy lifting, wear comfortable shoes, and sleep on your left side with a pillow for support. A massage, warm bath, gentle stretching, or using a warm compress may help to relieve discomfort. Nasal congestion and nosebleedsThese can be surprisingly common in the second trimester due to increased blood flow and hormonal changes.2 To ease these symptoms, use a cool mist humidifier, drink plenty of water, and try saline nasal drops. Massaging your sinuses or inhaling steam from a hot shower can also help. Avoid antihistamines unless advised by your doctor. Lots of emotionsGrowing a baby can bring a rollercoaster of emotions, so be kind to yourself and know it’s normal to still experience a mix of emotions as your hormones shift. You may find that your pregnancy is starting to feel more real. You may struggle with sleep, feel excited, nervous, overwhelmed, or all of the above! This is a great time to celebrate your pregnancy, talk to your baby, gently massage your belly, or start a pregnancy journal to document your feelings and milestones. Feeling baby moveThe second trimester is when many mothers begin to feel their baby’s first movements, often referred to as "quickening".2 This may feel like gentle flutters or bubbles in your belly. These early movements can be reassuring and exciting as they serve as a reminder that your baby is growing strong and active inside you. Be sure to note the date of your first movements to share at your next appointment with your doctor. Top takeawaysThe list of possible physical changes from pregnancy is certainly a long one. Whether you're dealing with discomforts like back pain or digestive issues, or feeling emotionally overwhelmed, remember that these changes are all part of the journey! Be kind to yourself, lean on your loved ones, and reach out to your healthcare provider if you have any concerns.  Above all, enjoy the excitement of this special time. You’re doing great, and with each passing week, you’re getting closer to meeting your little one! References 1 HealthLink BC. Body changes during pregnancy. Updated December 2024. Accessed December 2024. https://www.healthlinkbc.ca/pregnancy-parenting/pregnancy/body-changes-during-pregnancy2 HealthLink BC. Mother's physical changes during the second trimester. Updated August 2013. Accessed December 2024. https://www.healthlinkbc.ca/pregnancy-parenting/pregnancy/your-second-trimester/mothers-physical-changes-during-second3 Public Health Agency of Canada. Healthy pregnancy guide. Government of Canada. Updated September 2024. Accessed December 2024. https://www.canada.ca/en/public-health/services/health-promotion/healthy-pregnancy/healthy-pregnancy-guide.html4 Society of Obstetricians and Gynaecologists of Canada. Healthy pregnancy. Pregnancy Info. Accessed December 2024. https://www.pregnancyinfo.ca/your-pregnancy/healthy-pregnancy/

Pregnancy is full of beautiful changes and moments, but morning sickness is not one of them! Mild nausea and vomiting are common and affect every mother differently. Although some women find that nausea is worse in the morning, symptoms can occur at any time of day (despite what the name suggests!). Always consult your doctor if you have any questions or concerns about nausea during your pregnancy. Morning sickness usually starts around the sixth week of pregnancy and eases up by the twelfth week,1 but for some, it can continue throughout pregnancy. While the exact cause of morning sickness isn’t known, hormonal changes or lower blood sugar may be to blame,2 and things like stress, travelling, and certain foods can make symptoms worse.  Here are a few helpful tips for managing those not-so-nice symptoms! Try to: Eat small meals or snacks throughout the day (aim for 5 or 6) Take your prenatal vitamins with or after food Eat whatever pregnancy-safe foods appeal to you when you’re hungry Sip on beverages between meals and snacks Get plenty of rest and minimize stress (try walking, yoga, or mindfulness exercises)  Avoid: Potential trigger foods or smells (e.g. spicy foods, perfumes, etc.)  Skipping meals  Consuming too much caffeine (try to keep your caffeine intake below 300 mg a day, and know that certain teas, soft drinks, and chocolates contain caffeine)3 Eating fried or fatty foods Strenuous exercise and overheating—adjust your physical activity levels to support your body and take it easy)  Bonus tips: Eat a small snack first thing in the morning (try dry toast, crackers, or granola) Take your time getting up and avoid lying down too soon after eating Ginger can help with nausea: try a ginger ale made with real ginger, ginger tea, or pharmaceutical grade ginger supplements1 Drink cold beverages with ice, taking small sips Top takeaways During these early weeks of pregnancy, your body is going through so many changes, and it’s important to pay attention to what you are feeling. Talk to your doctor if you are experiencing severe nausea and vomiting—there are other treatments they may offer.  Getting rest is more important than ever. You need time to adjust and recharge, especially when you're dealing with morning sickness. Take naps when you can, and don’t feel guilty about needing more sleep. Listen to your energy levels and pace yourself. Staying hydrated is also key. Nausea can make it tough to keep fluids down, but taking small sips of water or drinks throughout the day can help to prevent dehydration. Pregnancy is overwhelming, so leaning on loved ones when you need help is essential. Whether it’s helping with meals, household chores, or just offering words of encouragement, a loved one’s support can make a world of difference. Finally, listening to your body’s needs means tuning into what feels right for you—whether it's eating small meals more often, avoiding certain smells or foods, or taking breaks when needed. Be gentle with yourself; you're doing an amazing job!   References1 Society of Obstetricians and Gynaecologists of Canada. Nausea and vomiting. Pregnancy Info. Accessed December 2024. https://www.pregnancyinfo.ca/your-pregnancy/nausea-and-vomiting/2 HealthLink BC. Pregnancy: Dealing with morning sickness. Updated November 2022. Accessed December 2024. https://www.healthlinkbc.ca/pregnancy-parenting/pregnancy/your-health-during-pregnancy/pregnancy-dealing-morning-sickness3 Public Health Agency of Canada. Your guide to a healthy pregnancy. Updated September 2024. Accessed December 2024. https://www.canada.ca/en/public-health/services/health-promotion/healthy-pregnancy/healthy-pregnancy-guide.html4 Society of Obstetricians and Gynaecologists of Canada. Symptoms of pregnancy. Pregnancy Info. Accessed December 2024. https://www.pregnancyinfo.ca/your-pregnancy/healthy-pregnancy/symptoms-of-pregnancy/

As you embark on this exciting journey, being active will benefit both you and your baby. Experts recommend that, unless there is a complication that prevents exercise, pregnant women  should aim for at least 150 minutes of moderate-intensity exercise per week.1 Don’t worry, it’s not as overwhelming as it may sound. We’ve made a guide to help you every step of the way. Consult your healthcare provider before starting any new exercise or if you have any questions.  Being active is important for you and baby Exercise offers numerous benefits, from boosting your mood to improving your physical health. It can also be a prescription for reducing the risk of complications like gestational diabetes, preeclampsia, and excessive weight gain.1  In addition, exercise can help prevent back pain, relieve constipation, improve sleep, and boost your energy levels, making those first few months of pregnancy more comfortable.2 And it’s not just beneficial to you! Regular exercise can also be beneficial for your baby.1 Research shows that exercise can lower the chance of birth complications, such as a larger-than-average baby (macrosomia) or the need for a Caesarean section.1 Choose exercises with low risk of falling and talk to your doctor if you think you have any condition that may prevent you from exercising. How much exercise do you need? The goal is at least 150 minutes of moderate-intensity physical activity per week, ideally spread across at least three days.1 You can start with short sessions, especially if you're new to exercise, and work your way up. For example, begin with 15-minute sessions three times a week and gradually increase as your energy and stamina build. If you're already active, aim for 30-minute sessions five times a week, mixing in both aerobic and resistance exercises.  What types of exercise are best? Variety is key to getting the most out of your workouts. Incorporate different types of activities to keep things interesting and impactful. Aerobic activitiesAerobics help strengthen your heart and lungs. Aim for activities that are low-impact and avoid anything where you risk falling. Think brisk walking, swimming, or dancing.  Strength trainingStrengthening your muscles and bones can improve your posture and make daily tasks easier as your body changes. Try modified weight training or resistance band exercises. Be sure to always listen to your body and avoid overexertion. Flexibility and stretchingPregnancy puts extra strain on your muscles and joints, making gentle stretching or yoga good choices. These activities help keep your body mobile, improve balance, and relax your mind. Pelvic floor exercisesExercises like Kegels strengthen the muscles that support your bladder and uterus. These are especially important as they help reduce the risk of urinary incontinence and support recovery after birth. Making and modifying your routine  Staying consistent with exercise is all about building it into your routine. If you’re struggling to stick to your solo workout schedule, try joining a group class! It’s a great way to stay motivated and an opportunity to meet other parents. As your pregnancy progresses, your body will change, and your exercise routine may need to be adjusted. If you experience discomfort, make modifications to ensure you’re still comfortable and safe, and talk to your doctor if you have concerns. If you’re just starting, take it slow. The key is to enjoy the process and focus on how exercise makes you feel. Whether it's the energy boost or the improved mood, the benefits are worth it.  Safety tips While staying active is encouraged, there are a few precautions to keep in mind. Avoid overheating: Pregnancy makes it harder for your body to regulate temperature, so be sure to drink plenty of water and avoid exercising in hot conditions. Wear the right gear: Make sure you dress comfortably! Proper shoes and a supportive bra are essential (especially as your breasts become tender). Take breaks: If you feel faint, dizzy, or short of breath, stop and rest. Steer clear of risks: Stay away from exercises that involve a risk of falling or contact, like high-impact sports, horseback riding, or scuba diving. Top takeaways Staying active during pregnancy is an important part of keeping you and your baby healthy. Exercise doesn’t have to be complicated and overly time-consuming. Prioritize finding fun ways to stay active that make you feel good. Here’s to a happy, healthy pregnancy—one step at a time!   References 1 Mottola MF, et al. Joint SOGC/CSEP Clinical Practice Guideline No. 367. 2019 Canadian Guideline for Physical Activity throughout Pregnancy. JOGC. 2018;40(11):1528-1537. 2 Society of Obstetricians and Gynaecologists of Canada. Exercise during pregnancy. Pregnancy Info. Accessed December 2024. https://www.pregnancyinfo.ca/your-pregnancy/healthy-pregnancy/exercise-during-pregnancy/ Public Health Agency of Canada. Healthy pregnancy guide. Updated September 2024. Accessed December 2024. https://www.healthlinkbc.ca/pregnancy-parenting/pregnancy/your-health-during-pregnancy/exercise-during-pregnancy Society of Obstetricians and Gynaecologists of Canada. New Canadian guideline prescribes exercise for healthier pregnant women, healthier babies. Updated May 2019. Accessed December 2024. https://sogc.org/en/en/content/featured-news/new-canadian-guideline-prescribes-exercise-for-healthier-pregnant-women-healthier-babies.aspx

Breast milk is the ideal nutritional start for babies. In fact, experts recommend breastfeeding exclusively for the first six months of baby’s life and continuing up until two year and beyond. 1-3 Whether you choose to breastfeed, formula feed, or combine them, knowing when your baby is hungry or full can help you meet their needs – from day one! Recognizing Hunger and Fullness Cues4 0-6 months Your baby’s stomach is tiny, so they’ll need small, frequent feedings to keep them full and with a happy belly. You can count on 8-12 feedings per day to help them grow strong and healthy. When your newborn is hungry, look for these clues: Opening mouth wide when nipple brushes lips or when cheek is stroked  Rooting for nipple Bringing fingers or hands to mouth Crying as a late sign of being very hungry When your newborn is full, you may notice:  Releasing of the nipple Slowing down or stopping sucking Falling asleep (keep an eye out for a little smile!) To learn more about feeding and the tips, techniques and positions to enhance your bond with baby, check out our Guide to Feeding Your Newborn. 6-12 months As baby grows from a newborn to an infant, feeding frequency will slow. Whew! Try working towards 3-5 breast milk and/or baby formula feedings, while offering 2-3 nutritious complementary foods and 1-3 snacks per day. Hunger cues will have also evolved since their newborn stage. Look out for your baby: Showing excitement or reaching out when food is presented Opening mouth wide and leaning toward spoon, nipple or bottle Fussing as a late sign of being very hungry Once full, your infant may show you by:  Getting easily distracted and looking elsewhere. Spoon or nipple is batted away Leaning back, clenching mouth, turning head or pushing away from nipple or food 12+ months Welcome to the toddler stage! By now, a variety of appropriate solid foods may be offered regularly alongside breast milk or formula as part of a balanced diet. Keep an eye out for these hunger cues:  Expressing desire for food with words, gestures or sounds Leading you to the fridge or cupboard, pointing to the desired food When full, your toddler may start: Shaking their head Using phrases like "all done," "no more" or "get down" Becoming easily distracted or playful with food   References : 1. Government of Canada, 2023.Nutrition for healthy term infants: recommendations from birth to six months. Accessed 2024 September. URL: https://www.canada.ca/en/health-canada/services/canada-food-guide/resources/nutrition-healthy-term-infants/nutrition-healthy-term-infants-recommendations-birth-six-months.html 2. Canadian Paediatric Society, 2020. Breastfeeding. Accessed 2024 September. https://caringforkids.cps.ca/handouts/pregnancy-and-babies/breastfeeding 3. World Health Organization, 2023. Infant and Young Child Feeding. Accessed 2024 September. https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding 4. Canadian Paediatric Society, 2020. Feeding your baby in the first year. Accessed 2024 September. https://caringforkids.cps.ca/handouts/healthy-living/feeding_your_baby_in_the_first_year

The decision to introduce or supplement with formula doesn’t mean it’s the end of your breastfeeding journey. Many parents successfully use a combination of breastfeeding and formula feeding to support their baby’s healthy growth and development. If you’re wondering about supplementing with formula, a conversation with your doctor can help you decide what’s best for your baby’s needs. They can provide guidance based on your baby’s health, feeding habits, and growth patterns. Tips for Introducing Formula Before making changes to your baby’s feeding routine, please speak with your doctor to ensure it is the best decision for your family. If you are looking to make the transition to supplementing easier, follow these tips: If you can, wait to supplement until breastfeeding is established. Try bottled breast milk to help them adjust to a bottle. Maintain the breastfeeding parent’s breast milk supply by pumping after each bottle feeding. Pick a time when your baby is calm and happy to introduce the bottle, take a gradual approach. Position your baby properly and in a semi-upright position, skin-to-skin when possible. Consider combo-feeding – alternating between breast milk and formula feedings. Formula should always be prepared separately from breast milk. For step-by-step instructions on introducing your baby to formula, read our guide. Choosing the Right Formula for Your Baby If you decide to begin supplementing with baby formula, look for a formula with: Partially broken-down proteins: These are proteins broken down into smaller pieces, making them easy to digest. Probiotics: Probiotics are part of what gives breast milk its natural protective qualities and helps support the development of a healthy tummy.2 2’-FL: 2’-FL is one of the most abundant types of human milk oligosaccharide (HMO) present in breast milk, and has been shown to support baby’s digestive health and developing immune system.3,4 DHA: DHA is an Omega-3 fatty acid naturally found in breast milk that supports baby’s brain and eye development. Good Start® Plus 1 formula, our closest formula to breast milk, contains the unique combination of our exclusive Comfort Proteins®, which are 100% whey proteins partially broken down for small tummies, Probiotic B. lactis, 2’-FLǁ, and expert recommended levels of DHA5. References : ǁ Not derived from human milk.  1. Cleveland Clinic, 2024. Feeding Your Baby: How and When to Supplement With Formula. Accessed 2024 September. https://health.clevelandclinic.org/breast-milk-formula 2. Holscher H, et al. JPEN. 2013;36(1):106S-116S. 3. Bode L, et al. Glycobiology. 2012;22(2):1147-1162. 4. Goehring K, et al. PLoS One. 2016;146(12):2559-2566. 5. ADA/DC. J Am Diet Assoc. 2007;107:1599-1611.

The Link Between Gut Health and Immunity As a parent, you know that keeping your baby healthy is a top priority. What you may not realize is how closely gut health and immunity are connected. In fact, a large portion (70-80%) of our body’s immune cells reside in the gut.1 A healthy gut helps support your baby’s digestion and supports their developing immune system. Supporting Your Baby's Developing Gut & Immune System  Nutrition plays a key role in developing our immune system. That’s because our digestive tract and our immune system work together very closely. From birth, your baby’s gut microbiome—the community of beneficial bacteria in their digestive system—begins to form. This development is important for both the digestive tract and immune system.  Your baby’s immune system continues to develop after birth. This happens when they come into contact with all kinds of microorganisms (bacteria), from mom’s birth canal, mom’s skin, and breast milk.2-4 What are Probiotics? Probiotics are live, safe microorganisms, which, when taken in adequate amounts, can provide certain health benefits, particularly in influencing the digestive and immune systems.5 Each probiotic strain has its own unique benefits. For instance, Bifidobacterium lactis has been clinically shown to help support a healthy gut microflora and the development of a healthy immune system8,9, while Limosilactobacillus reuteri (also known as L. reuteri) has been clinically shown to help reduce crying time in colicky breastfed infants.10 Why Probiotics Matter Proper nutrition that includes probiotics – whether from breast milk or another source – can help support your baby’s gut and immune system development. For parents who cannot, or choose not to breastfeed, there are infant formulas that contain added probiotics. The probiotics added to certain Good Start® formulas are specifically chosen for their ability to help support your baby’s gut health. These probiotics help maintain a balance of good bacteria in the gut. Good Start® Plus Stage 1 powder formula is our closest formula to breast milk and has the combination of our exclusive Comfort Proteins®, Probiotic B. lactis, 2’-FL, and expert recommended levels of DHA.11 Designed for babies with tummy troubles, Good Start Soothe™ formula is the only infant formula with Probiotic L. reuteri and has been shown to help reduce fussiness with the first bottle.**,12 If you have any questions about probiotics or feeding your baby, speak with your doctor.   References:   * All breastfed, full-term infants in Canada should receive a daily vitamin D supplement of 10 μg (400 IU).** Study results among parents of fussy infants.1. Wiertsema SP, et al. 2021. Nutrients. 9;13(3):886.2. Gueimonde M, et al. Neonatology. 2007;92:64–66. 3. Cabrera-Rubio R, et al. AJCN. 2012;96:544–551. 4. Khodayar-Pardo P, et al. Journal of Perinatology. 2014;27 Mar: 1–7.5. Joint FAO/WHO Expert consultation on evaluation of health and nutritional properties of probiotics in food including powder milk with live lactic acid bacteria, October, 2001. 6. Saavedra JM. Nutr Clin Pract. 2007;22:351–65. 7. Yoshioka H, et al. Pediatrics. 1983;72:317–21.8. Langhendries JP, et al. JPGN. 1995;21:177-181. 9. Holscher HD, et al. JPEN. 2013;36(1):106S-117S.10. Chau K, et al. J Pediar. 2015; 166(1):74-78.11. ADA/DC. J Am Diet Assoc. 2007;107:1599-1611.12. Czerkies L, et al. J Pediatr Health and Nutr. 2019;1(1):19-26.  

A holistic guide to feeding: breast, bottle and combination Learn as much as you can about feeding before your baby arrives. Familiarizing yourself with tips, techniques and positions will enhance your bond with your little one while ensuring that your baby receives essential nutrients for a good start. The benefits of breastfeeding Embrace the power of Mother Nature: breast milk - the ideal nourishment, created by your body for your precious baby. Not only does it keep newborns healthy and strong, but it's also great for infants’ emotional well-being.Breastfeeding offers many benefits for both you and your baby. Health Canada and the World Health Organization (WHO) recommend exclusive breastfeeding for the first six months of life with continued breastfeeding up to two years of age and on, or for as long as you can.1-3 Here are some key benefits of breast milk to consider: Optimal nutrition: Breast milk contains the ideal combination of nutrients*, antibodies, and enzymes tailored to meet your baby's unique needs, supporting their growth and development.2 Immune protection: Breast milk contains naturally protective compounds, like antibodies, probiotics, and human milk oligosaccharides, that all help protect your baby against infections and illnesses while supporting their developing immune system. Bonding and emotional connection: The close physical contact during breastfeeding promotes a strong emotional bond between you and your baby, creating a sense of security and comfort. Ready? Set? Breastfeed! When do you start to breastfeed? Right away! Experts advise that mothers start breastfeeding within an hour of giving birth. This promotes immediate bonding and provides essential health benefits for both mother and baby. Feeding frequency: what’s the schedule? Keep it simple: Feed your baby whenever they seem hungry. Plan to feed every 2-3 hours, even during those nighttime awakenings—around 8-12 times within a 24-hour period. Having your newborn nearby while you sleep ensures that you can feed whenever your little one wakes or gets hungry. And don't forget, the more your baby nurses, the more milk your body will make.4 Feeding Positions     Finding the right position for breastfeeding is key. Experiment with the options listed below and pick the one (or more) that feels comfy for both you and your little one. Cradle hold: This classic position involves holding your baby's head in the crook of your arm, with their body turned towards you. It is a comfortable and secure position for most mothers and babies. Cross-cradle hold: Similar to the cradle hold, but with your opposite hand supporting your breast. This position offers more control and is often recommended for newborns and premature babies. Football hold: Ideal for mothers after a cesarean birth or for those with large breasts, the football hold involves tucking your baby under your arm, with their legs extended towards your back. Side-lying position: This position allows for comfortable breastfeeding in bed, particularly useful for night feedings. Lie on your side with your baby facing you, aligning your bodies for easy access. Laid-back position: Embrace the laid-back breastfeeding position, also known as biological nurturing, allowing babies to instinctively latch and feed while promoting relaxation for mothers. Remember, the key to finding the right feeding position is comfort for both you and your baby. Don't hesitate to experiment and seek guidance from healthcare professionals or lactation consultants for personalized support. Once you’ve achieved a strong latch, repeat the process Getting your baby to latch on properly can take some practice. But don’t worry! Once you’ve secured that strong latch, baby will consistently want to return for more. Remember, repetition is key. Create a calm environment. Be in a place where you can be relaxed and calm. Try different breastfeeding holds to make sure you are comfortable. Let your baby lead. If baby is not hungry, they might stay curled against your chest, and that’s okay. You can try again later. If baby is bobbing their head or rooting, or you sense baby might be hungry, try tickling the baby’s lips to encourage baby to latch. Signs of success As a new parent, it's crucial to know when breastfeeding is going smoothly - it's not just about fulfilling your little one's hunger. Breastfeeding is a time for you and your baby to bond and for them to receive essential nutrients to grow healthy and strong. Here are a few signs to watch for. The latch feels comfortable to you and does not hurt or pinch. You hear or see your baby swallow. Your baby is producing wet and dirty diapers. Formula feeding: nourishment with care While breastfeeding is the ideal food for baby during the first six months of life, some families cannot or may choose not to exclusively breastfeed. Health Canada recommends cow milk-based commercial infant formula for infants who are not exclusively fed their mother’s breast milk.1 Infant formulas are designed to provide the recommended amounts of essential nutrients – like protein, fat, carbohydrate, vitamins and minerals for baby's healthy growth and development. Choosing the right formula: All infant formulas in Canada meet strict nutritional standards and support baby’s growth and development, but not all formulas are the same. Talk with your doctor to find a formula that meets your baby's nutritional needs. Proper sterilization and preparation: Sterilize bottles, nipples, and other feeding equipment before and after each use. Also, follow the instructions on the product label to ensure you accurately prepare the formula. Establish a feeding routine: Create a feeding routine that fits your baby's needs. Keep an eye out for their hunger and fullness cues—they might change from day to day! Combining breastfeeding and formula feeding Lots of parents choose to mix breastfeeding and formula feeding, which provides flexibility to meet both baby's and family's needs. This is called supplementing, mixed or combination feeding. It may come in handy if moms encounter challenges with feeding or are anticipating schedule changes, like returning to work. Baby's weight fluctuations explained Whether you are breastfeeding, formula feeding or both, recognize that it is common for newborns to temporarily lose weight in the early days of life. This can be frightening for new moms who are afraid that their baby may not be receiving the necessary nutrients. This weight loss usually stops after the first few days.4 Baby’s growth will be closely tracked by your doctor at your well-baby visits. Weight fluctuations may be part of their natural growth and development. Reach out to your doctor if you have any concerns about how your baby is growing.Parents, it's important to remember that regardless of the feeding method you choose, the well-being of both you and your baby is what truly matters. Your baby's health and happiness, along with your own, are top priorities. Every baby is unique, so trust your instincts and seek guidance from your doctor as you navigate this feeding journey together. Your intuition combined with your doctor’s guidance will ensure a smooth and fulfilling experience for both you and your little one.*All breastfed and partially breastfed babies in Canada should receive a 400 IU (10 μg) vitamin D supplement each day. References: 1 Government of Canada. (2023.) Nutrition for healthy term infants: recommendations from birth to six months. Accessed 2024 April. URL: https://www.canada.ca/en/health-canada/services/canada-food-guide/resources/nutrition-healthy-term-infants/nutrition-healthy-term-infants-recommendations-birth-six-months.html 2 Canadian Paediatric Society. Caring for Kids. (2020.) Breastfeeding. Accessed 2024 March.URL: https://caringforkids.cps.ca/handouts/pregnancy-and-babies/breastfeeding3 World Health Organization. (2023.) Infant and Young Child Feeding. Accessed 2024 February. URL: https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding4 Government of Canada. (2023). Ten valuable tips for successful breastfeeding. Accessed 2024 April. URL: https://www.canada.ca/en/public-health/services/publications/healthy-living/valuable-tips-successful-breastfeeding.html