Infant Feeding Support Services

Infant Feeding Support Services Support for infants/ children and their families with Lactation and other feeding issues

07/31/2026
As World Breastfeeding week is about to begin I ponder again on the fact that the  necessary service of lactation suppor...
07/31/2026

As World Breastfeeding week is about to begin I ponder again on the fact that the necessary service of lactation support is not covered by our provincial health care.
We are told again and again that breastfeeding is the gold standard in infant nutrition and that it saves a tremendous amount of money for the healthcare system due to reduced rates of infant illness and maternal mental and physical health and well being, yet support is patchy depending on where you are …if you are urban there are some resources that are offered by public health but if you live rurally you are basically on your own. IBCLC’s are not generally covered by OHIP so not accessible to many people who desperately need them, so that unfortunately, they give up and feel guilty thinking they have failed in some way, when in fact, it’s our system that has failed them….

Just all of this 🙌🏻
07/19/2026

Just all of this 🙌🏻

One of the hardest parts about infant tongue tie is that there isn’t a single symptom that proves a baby has one. In fact, almost every symptom people associate with tongue tie can also happen for completely different reasons.

That’s why tongue tie should never be diagnosed from a checklist alone. It’s diagnosed by looking at anatomy, tongue function, feeding, growth, and the whole clinical picture.

That said, there are definitely patterns we see more often in babies whose tongue mobility is restricted.

Here are some of the symptoms that can be associated with tongue tie, along with some of the other things that can cause the exact same problem.

🍼 Painful breastfeeding

Many parents first seek help because breastfeeding hurts. A restricted tongue may not lift or extend well enough to maintain a deep latch, leading to ni**le compression and pain.

But pain doesn’t automatically mean tongue tie.

Pain can also be caused by:
• Shallow positioning
• Engorgement
• Vasospasm
• Dermatitis or skin conditions
• Incorrect pump fl**ge sizing
• Oral tension
• Prematurity
• Flat or inverted ni**les
• Oversupply or forceful letdown
• Incorrect latch mechanics unrelated to tongue mobility

👶 Difficulty latching

Some babies struggle to stay attached to the breast. They may repeatedly slip off, lose suction, or have trouble maintaining a seal.

This may happen with tongue restriction, but it can also occur with:
• Prematurity
• Low muscle tone
• High muscle tone
• Birth interventions
• Torticollis
• Oral tension
• Sleepiness from jaundice or illness
• Maternal engorgement
• Large ni**les compared to a very small newborn mouth

💥 Clicking while feeding

Clicking often means the seal around the breast or bottle is repeatedly breaking.

Tongue tie is one possible reason.

So are:
• Fast milk flow
• Bottle ni**les with flow rates that are too fast
• Positioning issues
• Oral tension
• Learning to coordinate sucking in the early weeks
• Fatigue during feeding

🌬️ Lots of gas

Parents are often told that gas automatically means tongue tie because babies swallow more air than normal. While excess air intake can happen when a baby loses suction, gas is incredibly common in young babies regardless of tongue function.

Gas can also be related to:
• Normal newborn digestive development
• Crying
• Fast milk flow
• Bottle flow that’s too fast
• Feeding position
• Overfeeding
• Normal infant behavior

💩 Green, frothy stools

Some babies with inefficient feeding have green, frothy stools.

But this can also occur with:
• Oversupply
• Fast letdown
• Normal variation
• Viral illnesses
• Formula changes
• Temporary digestive changes

😢 Long or frequent feedings

If a baby can’t transfer milk efficiently, they may spend a very long time at the breast.

However, long feeds can also happen because:
• Low milk supply
• Prematurity
• Sleepiness
• Cluster feeding
• Comfort nursing
• Slow milk ejection
• Normal newborn behavior during growth spurts

⚖️ Poor weight gain

Poor milk transfer from limited tongue mobility can absolutely affect growth.

But poor weight gain deserves a broad evaluation because it can also result from:
• Low maternal milk supply
• Medical conditions
• Heart or lung disease
• Metabolic disorders
• Neurological conditions
• Incorrect formula preparation
• Feeding management challenges

🤱 Constant feeding

Some babies seem hungry all day because they aren’t transferring enough milk efficiently.

But frequent feeding can also simply mean:
• Normal newborn behavior
• Cluster feeding
• Growth spurts
• Feeding to regulate emotions
• A baby with naturally smaller, more frequent meals

💔 Damaged ni**les

Lipstick-shaped ni**les, blisters, cracks, and compression lines are often discussed with tongue tie.

These can certainly occur with restricted tongue movement.

They can also result from:
• Poor positioning
• Pump trauma
• Incorrect fl**ge sizing
• Skin conditions
• A shallow latch without tongue restriction

🍼 Bottle feeding problems

Tongue tie doesn’t only affect breastfeeding.

Some babies struggle with bottles too. They may leak milk, collapse the ni**le, click, tire quickly, or take a very long time to finish a bottle.

But bottle feeding difficulties can also be caused by:
• Bottle flow rate
• Bottle shape
• Oral motor immaturity
• Prematurity
• Sensory differences
• Reflux
• Feeding aversion
• Neurological conditions

😴 Falling asleep constantly during feeds

Sometimes babies work so hard to transfer milk that they tire out before getting a full feeding.

But sleepiness can also be related to:
• Jaundice
• Prematurity
• Illness
• Medications
• Normal newborn sleep patterns

💛 So what does all of this mean?

The biggest takeaway is this:

Symptoms are clues, not conclusions. A baby with ten symptoms may not have a tongue tie.

A baby with only 1-2 symptoms may have a significant restriction.

This is why experienced feeding assessments are so valuable. Rather than asking, “Does my baby have this symptom?” we ask, “Why is this symptom happening?”

Sometimes the answer is tongue tie.

But sometimes it’s positioning or milk supply or body tension or bottle mechanics.

And often, it’s a combination of several of these factors working together.

The goal is to understand why feeding isn’t working as well as it could, so families receive the treatment that actually matches the problem.

Tongue tie is one piece of the puzzle, but it’s never the whole puzzle.

🙌🏻
07/15/2026

🙌🏻

One of the biggest breastfeeding myths just refuses to die.

That breast milk comes out as “foremilk” first, which is watery and not very nutritious, followed by “hindmilk,” which is the rich, fatty milk babies really need.

It sounds simple. It even sounds scientific.

The problem is… that’s not actually how breast milk works.

Milk doesn’t separate into “good milk” and “better milk” in the breast. Your breast isn’t storing two different kinds of milk in layers waiting to come out one after the other. Yes, breast milk separates into layers when it sits in the fridge or on the counter for long periods of time, but it’s not sitting in the breast and separating in that same way

The fat in breast milk sticks to the walls of the milk-making cells and ducts. As milk is removed from the breast, more of that fat gets mixed into the milk flowing toward the baby. That means the fat content gradually increases during a feeding. It’s a slow transition, not a dramatic switch where one type of milk suddenly becomes another.

Think of it like orange juice with pulp. If it sits for a while, the pulp settles. As you start pouring and gently move the container, more pulp mixes throughout the juice. There isn’t a magical moment when it suddenly becomes “pulp juice.” It just gradually changes. Or when you turn on the hot water. It gradual goes from cold to hot as it flows.

The exact same thing happens in the breast.

Here’s another important piece that surprises a lot of people.

The fattier milk isn’t determined by how many minutes your baby has been nursing. It’s determined by how full or empty the breast is as well as the time of day

A fuller breast generally produces milk with a lower fat concentration and higher water content to rehydrate the baby. A less full breast has a lower water concentration and higher proportion of fat to help baby sleep and grow.

Research has found that fat content tends to be lowest in the morning and gradually increases throughout the day, often peaking in the evening. This is one of many normal circadian changes in breast milk. Hormones, immune factors, and other components also fluctuate over a 24-hour period.

Does that mean your baby gets “better” milk at night? Nope.

Morning milk is perfectly designed for your baby. Evening milk is perfectly designed for your baby. They’re simply different because your baby’s needs change throughout the day, and your milk changes with them.

This is why pumping exactly 4 ounces in the morning and 4 ounces in the evening doesn’t necessarily mean those bottles are identical. The volume may be the same (or different), but the composition naturally varies.

The amazing part isn’t foremilk versus hindmilk.

The amazing part is that breast milk is a living, dynamic fluid. It responds to breast fullness, the time of day, your baby’s age, and even illness. Rather than thinking of milk as switching from one type to another, it’s more accurate to think of it as continuously adapting from one feeding to the next.

That means a baby who nurses for five minutes on a fairly empty breast may receive milk with a higher fat concentration than a baby who nurses twenty minutes on a very full breast.

Time isn’t the magic ingredient.
Milk removal is.

This is why strict rules like “always nurse exactly 20 minutes on each side so your baby gets the hindmilk” can create unnecessary stress.

Some babies are incredibly efficient and finish a full feeding in 8 minutes.
Some take 30 minutes.
Some prefer one breast per feeding.
Some happily take both.
They’re all normal.

Another myth is that if your baby has green stools or seems gassy, they must be getting “too much foremilk.” While we now call a foremilk/hind milk imbalance “lactose overload”, I’ve only seen it in my practice a handful of times over the years, and always when there is a massive oversupply.

While an oversupply and very rapid milk flow can sometimes contribute to symptoms like frothy stools or frequent swallowing of lactose-rich milk, green p**p by itself is incredibly common and usually isn’t always a sign that your milk is “out of balance.” Babies can have green diapers for dozens of reasons. Occasional green diapers are not a concern. Constant green p**ps along with other symptoms like mucous or blood or rashes do warrant further investigation

The answer usually isn’t trying to somehow force your baby to drink the “right” milk.

It’s figuring out why those symptoms are happening in the first place.

The words foremilk and hindmilk aren’t completely wrong. They are real scientific terms used to describe milk at the beginning and later in a feeding. The problem is how they’ve been interpreted over the years. Somewhere along the way, people started treating them like they were two completely different products instead of simply describing the gradual change in fat concentration during milk removal.

Breast milk is amazing because it is dynamic.
It changes during a feeding and throughout the day.
It changes as your baby grows. Breast milk even changes when your baby is sick.

So if you’ve ever worried that your baby didn’t stay on long enough to “get to the hindmilk,” or you’ve been timing every feeding with military precision because someone told you that’s the only way your baby gets the good stuff, you can let that worry go.

Your body isn’t making two different milks.

It’s making one incredible milk that is constantly changing along with your growing and developing baby.

🙌🏻🫶🏻
07/13/2026

🙌🏻🫶🏻

One of the biggest breastfeeding myths has survived for generations.

“Feed the baby every three hours.”

It’s advice many of us heard from our mothers, grandmothers, neighbors, and sometimes even healthcare providers.

The funny thing is that if you go back far enough in history, this wasn’t always the advice.

For thousands of years, babies lived in constant contact with their mothers. They were carried, slept nearby, and had nearly unlimited access to the breast. Feeding happened whenever a baby showed interest. There were no clocks. No timers. No apps tracking the minutes since the last feeding.

So how did we end up believing every three hours was how most babies eat?

As infant formula became more widely available in the 20th century, scheduled feeding became increasingly popular. Formula empties from the stomach more slowly than human milk, making longer intervals between feedings more practical for many babies. Around the same time, parenting advice shifted toward encouraging strict routines. Mothers were often told that feeding on demand would spoil babies or create bad habits. Scheduled feeding became associated with discipline, predictability, and “good parenting.”

Unfortunately, those ideas spilled over into breastfeeding.

The problem is that breasts aren’t bottles.

They aren’t filled with a predetermined amount of milk waiting for the next scheduled feeding. They are living organs that are constantly making milk, and milk production depends heavily on how often milk is removed.

Your breasts don’t own a watch.

A breastfed baby doesn’t either.

Now, there is an important distinction that often gets lost.

During the newborn period, we recommend feeding AT LEAST every three hours until breastfeeding is well established.

Notice I said at LEAST.

In those first days and weeks, many newborns are sleepy. They may not wake often enough to take in the milk they need or provide enough stimulation to establish a full milk supply. That’s why we often recommend waking a newborn to feed if they have gone 3 hours during the day or night, especially until they are back to birth weight, feeding effectively, and your milk supply is well established.

But “at least every three hours” does not mean you should make a hungry baby wait three hours.

If your newborn wants to nurse after two hours, that’s normal.

After an hour and a half? Also normal.

If they’re cluster feeding and asking to nurse every 30 to 60 minutes during the evening? That can be completely normal too.

The three-hour mark is the maximum amount of time many healthy newborns should go between feedings while breastfeeding is being established. It is not the goal.

Once breastfeeding is well established, your baby is transferring milk effectively, gaining weight appropriately, and your milk supply is regulated, most families can simply feed on demand. Sometimes that means your baby goes longer between feedings. Sometimes they want to nurse more often because they’re growing, teething, sick, seeking comfort, or just having a hungry day.

That’s normal too.

Another reason the three-hour rule doesn’t fit breastfed babies is that breast milk is incredibly easy to digest. Human milk is made specifically for human babies. Many breastfed babies naturally digest it more quickly than formula-fed babies digest formula, although there is variation between babies. That means hunger cues may return sooner, and that’s completely normal.

Cluster feeding often scares parents because it looks like this:

“I just fed the baby.”

“They can’t possibly be hungry again.”

“My milk must not be enough.”

In reality, frequent feeding is one of the ways babies help establish and maintain milk production. Every feeding sends another signal to the breast to continue making milk.

It’s a beautifully designed feedback system.

As babies grow, they become more efficient at transferring milk. Their stomach capacity increases. They become better at coordinating suck, swallow, and breathing. Many naturally begin spacing feedings farther apart, but they often arrive at those longer intervals on their own rather than because someone watched the clock.

There are also situations where scheduled feeding may be medically appropriate. Babies who are premature, have jaundice, are not gaining weight well, or have certain medical conditions may need to be woken to feed. Those recommendations are individualized and based on keeping babies healthy.

For healthy, growing babies, though, watching the baby is usually much more helpful than watching the clock.

Early hunger cues include:
• Stirring from sleep
• Bringing hands to the mouth
• Opening the mouth
• Turning the head to search (rooting)
• Increased body movement

Crying is actually one of the later hunger cues.

One of my favorite sayings is this:

Watch the baby, not the clock.

That doesn’t mean you need to offer the breast every time your baby makes a sound. Babies also cry because they’re tired, overstimulated, uncomfortable, or simply want to be close to you. But when your baby is showing hunger cues, you don’t need to wonder whether it’s been exactly three hours.

Your baby doesn’t know what time it is.

Their body simply knows when it needs nourishment, comfort, connection, or all three.

It’s amazing how many parenting “rules” have changed over the decades. Babies used to sleep on their stomachs. Parents were told to start solids much earlier than we do today. Formula companies advertised rigid feeding schedules as the gold standard.

Science evolves.

Our understanding grows.

And one of the biggest lessons we’ve learned is that breastfeeding isn’t designed to run on a schedule. It’s designed to respond to the unique needs of each baby, each mother, and each feeding.

Sometimes the best parenting advice isn’t learning a new rule.

Sometimes it’s understanding the old one correctly. Feed your newborn at least every three hours until feeding is established. But if your baby tells you they’re hungry sooner, you never have to make them wait for the clock to catch up.

It does get better, but the witching hours are so tough😳
07/10/2026

It does get better, but the witching hours are so tough😳

One of the hardest parts of the newborn stage is something almost nobody truly prepares you for: the evening “witching hour.”

You can read about it in books, hear another parent mention it in passing, and still find yourself wondering if something is terribly wrong the first time your calm, sleepy newborn suddenly spends hours crying, nursing constantly, refusing to be put down, and seeming impossible to comfort between late afternoon and bedtime.

If this is your baby, take a deep breath.

This is one of the most common experiences of early parenthood, and in most cases, it is exactly what we expect from a brand-new nervous system.

Your newborn does not have a circadian rhythm yet.

Babies aren’t born with a clock telling them that daytime is for being awake and nighttime is for sleeping. Their brain simply hasn’t developed that ability yet. Most babies don’t begin establishing a circadian rhythm until somewhere between 6 and 12 weeks of age, and even then, it continues to mature over time.

So when evenings feel completely chaotic, it isn’t because your baby is “being difficult.”

They’re being a human newborn.

By the end of the day, your baby has spent hours experiencing an entirely new world. They’ve processed lights, sounds, faces, voices, movement, diaper changes, feeding, being passed between loving family members, and countless new sensations. Even though they seem tiny, that is an incredible amount of sensory information for an immature nervous system to handle.

As the day goes on, many babies become overstimulated and simply don’t yet have the neurological skills to regulate themselves.

At the very same time, babies commonly begin cluster feeding during the evening. They may want to nurse every 20–60 minutes, sometimes for hours. This is normal newborn behavior and often coincides with periods of rapid growth. Cluster feeding helps stimulate milk production, supports healthy weight gain, and provides comfort and regulation for your baby.

When you combine:

✨ A newborn without a circadian rhythm
✨ Sensory overload from a full day of simply existing
✨ An immature nervous system still learning how to regulate
✨ Cluster feeding during growth spurts

…you have the perfect recipe for an evening that can feel completely unhinged.

And because babies often want to nurse over and over again during this time, many parents understandably worry that they don’t have enough milk. Especially if the baby will settle to a bottle after breastfeeding.

But frequent feeding alone is not a sign of low milk supply.

Read that again.

This is not automatically a milk supply problem.

This is not a parenting problem.

This is human infant biology.

Of course, if your baby isn’t gaining weight well, isn’t having enough wet diapers, or you’re experiencing pain or other feeding concerns, it’s important to have feeding assessed. But for many healthy newborns, evening cluster feeding and fussiness are part of normal development and not evidence that you’re doing anything wrong.

The witching hour can make even the most confident parents question everything.

“Maybe they’re still hungry.”

“Maybe I don’t make enough milk.”

“Maybe I’m doing something wrong.”

You are not doing anything wrong.

You are caring for a baby whose brain and nervous system are developing exactly as they should.

The good news? It gets better.

As your baby’s circadian rhythm begins developing over the next several weeks and their nervous system becomes more organized, those long, unpredictable evenings usually become much easier. It doesn’t happen overnight, but families often notice a significant improvement somewhere between 6 and 12 weeks.

If you’re in the thick of it right now, know that you’re not alone.

At LA Lactation, we spend a lot of time reassuring families that what they’re experiencing is often normal newborn biology while also making sure feeding is going well and identifying concerns when they truly exist. Sometimes parents simply need someone to explain what’s happening and reassure them that they’re doing a wonderful job.

I provide personalized lactation care as an IBCLC through insurance-covered visits in your home, in our office, and via telehealth anywhere in the United States. Most of the families we work with are pleasantly surprised to learn their visits are covered through their insurance benefits.

Click the link in my bio to check your insurance coverage and book with my team.

The information shared here is for education only and is not individualized medical or lactation advice. Personalized recommendations are provided during one-on-one consultations. We’d love to support you and your family.

06/25/2026
05/18/2026

After the article in the Economist, there is a lot of talk about low supply.

Many people cite low supply as a reason why they stopped breastfeeding. And yes, there are some who can not make a full milk supply. The article suggests it's up to 20%. Other research suggests it's more like 5%. The truth is it is difficult to measure as so few new mums receive the support they need to establish a good supply at the start, and this can have a big impact on long-term milk production. You can, however, still breastfeed without a full milk supply! I will share more on that and how to tell you if you have a supply issue later.

For now, here is a post on the things that people often think might be low supply, but are actually completely normal newborn newborn behaviour.

1 - YOUR BABY IS FEEDING FREQUENTLY
3 hourly is often what we are told, but in reality that is the minimum a baby should be fed. Most babies prefer to feed more frequently. Babies love to cluster feed! At night, to start with and in the evenings and early mornings a few weeks down the line.

2 - YOUR BABY WAKES IN THE NIGHT
Night waking is normal. There are many periods during the first year and beyond where babies wake more, and others when they sleep a little better. This is not to do with milk production, but baby development.

3 - YOU HAVE SMALL BREASTS
Size doesn't matter. Its not what they look like but how much milk making tissue they contain, and you can't tell that from looking.

4 - YOU ARE NOT LEAKING
Some people leak. Others leak just in the early weeks. Others don't leak at all. It's nothing to do with milk production.

5 - YOUR BREASTS FEEL SOFT
Once your milk production has regulated after the first few weeks, it is totally normal for your breasts to no longer feel firm or full. A soft breast is a healthy breast.

6 - YOU CAN'T FEEL THE LET-DOWN
Some people feel their milk ejection reflex, others don't. But you can see it in your baby's feeding pattern from fast light sucks to slow deep sucks.

7 - YOU CANNOT PUMP MUCH MILK
The amount you can pump is no indication of what the baby can get.

8 - YOUR BABY WILL ALWAYS TAKE A BOTTLE
A bottle teat is a hard stimulus into the roof of the mouth. A baby has to suck it as it is a reflex. Bottles flow fast, so baby will take some milk. It's their reflexes feeding.

9 - YOUR BABY IS HAVING SHORT FEEDS
Some babies are efficient and some people have a fast flow.

10 - YOU CAN'T PUT YOUR BABY DOWN
Babies really do settle better in someone's arms. This is where they feel safe, warm and secure. We are carry mammal and designed to carry our babies all the time. When babies find themselves on their own, they call out so they do not get eaten by a predator. And they may as well have another feed to settle.

Do any of these surprise you?
Do you always question your supply?

I hope today is a day that we celebrate Mother’s, whether by blood or by choice🩷
05/10/2026

I hope today is a day that we celebrate Mother’s, whether by blood or by choice🩷

Address

79 Stewart Boulevard
Ottawa, ON
K0G1S0

Telephone

613-867-5175

Website

Alerts

Be the first to know and let us send you an email when Infant Feeding Support Services posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The School

Send a message to Infant Feeding Support Services:

Shortcuts

Share