Information for Pregnant Moms
The skin on the breast becomes more elastic and the nipple and areola may become darker in color. Tiny raised bumps known as Montgomery glands on the areola secrete oil that cleanses and lubricates the nipple, keeping it soft and pliable. It also has a scent that the baby uses to locate the breast. You cannot smell it but your baby will be able to, especially right after the birth. Do NOT remove this oil with soaps or other drying agents such as alcohol or witch hazel. If your nipple tissue becomes dry or crusty from leaking colostrum, cleanse gently with clear warm water and apply a small dab of Lansinoh ointment after showering. “Toughening” of the nipples before birth is no longer recommended as it will further damage your tissue toward breakdown.
You should notice an increase in your breast size during your pregnancy. Swelling and tenderness are indications that the breast is changing appropriately. The amount of breast change will vary between women. Breast size does not indicate success or failure in breastfeeding. It is the development of the glandular tissue (shown below) throughout pregnancy that leads to milk production. If there is very little or no breast change, it is important to discuss it with your lactation consultant or a health care provider that is knowledgeable about breastfeeding.
Your breasts already are producing colostrum during the 2nd trimester of pregnancy. Some women may even experience slight leaking from the nipples toward the end of their pregnancy. Colostrum is the first type of milk that your baby will receive after birth until it changes into mature milk within the first week after birth. The illustration below shows the alveoli, the grape-like cells that make, store and secret milk. Each one connects to small ducts which branch out from the nipple. Your nipple has many openings that release milk as the baby suckles the areola (the darkened target around the nipple) after latch-on. The baby’s jaws compress the areola, the tongue moves in a wave-like motion front to back, creating a vacuum to release the milk. * Medela@ copyright illustration and research.
2. Milk Ducts and Branches
4. Nipple Openings
5. Glandular Tissue
6. Subcutaneous Fat
- Talk to women who have breastfed for 6 months or longer. Be careful about taking advice from women who tried to breastfeed but didn’t make it beyond the first few weeks.
- Sign up for a breastfeeding class before your 34th week of pregnancy.
- Ask your doctor or midwife to check your breasts around the 32nd to 34th week of pregnancy. A simple nipple pinch test will determine if your nipples are flat or inverted. This condition can be corrected with help of a lactation consultant.
- Go to a Moms Club or LaLeche League meeting where you will see other mothers nursing their infants. You will have a chance to ask questions and share the experiences of others. You will have access to books, pamphlets, and new friends who will continue to support your plans to breastfeed.
- Talk to a Breastfeeding Peer Counselor at your local WIC office. A Breastfeeding Peer Counselor is a mother who has breastfed and received special training to be able to help other mothers.
- Purchase a cotton nursing bra, with easy to detach cup fasteners. Avoid underwire if you can or look for one with a partial wire, to help prevent milk gland constriction. Other helpful items are washable nursing pads and Lansinoh nipple ointment.
- Wait till after the baby is born to purchase a breast pump. If you receive one as a shower gift, do not open it until after your milk is in and breastfeeding is well established. Breast pumps cannot be returned once opened, and can be a costly loss if it is not the right one for your needs. Your lactation consultant or peer counselor can help you choose which pump is best for your needs.
Be cautious about information shared from people without medical or professional lactation education. An internationally board certified Lactation Consultant should have the following credentials: IBCLC.
Some excellent books choose from at your local library or bookstore are:
- The Womanly Art of Breastfeeding by La Leche League International
- The Nursing Mothers Companion by Kathleen Huggins RN, MS
- The Latch and Other Keys to Breastfeeding Success by Dr. Jack Newman and Teresa Pitman
- Breastfeeding: Getting Breastfeeding Right for You by Renfrew, Arms & Fisher
- Dr. Mom’s Guide for Breastfeeding by Maryann Neifert, MD
- Breastfeeding: Keep It Simple by Amy Spangler MN, RN, IBCLC
- Nursing Mother, Working Mother by Gale Pryor