Understanding Breastfeeding During Pregnancy
If you’re pregnant and still breastfeeding your little one, you’re not alone—and you’re doing something remarkable. Many moms continue to nurse throughout pregnancy, but it’s natural to have questions about safety, milk supply, and how to manage the changes ahead. In this Q&A, I’ll walk you through what to expect, how to care for your body, and when to reach out for help.
👉 Want to learn more about breastfeeding while pregnant? Read the full article here
Ask Dr. Stan
1. Is it safe to keep breastfeeding during pregnancy?
Yes, in most healthy pregnancies, continuing to breastfeed is completely safe. Although breastfeeding causes the release of oxytocin—which can lead to mild uterine contractions—these are generally harmless if your pregnancy is low-risk. Still, it’s always a good idea to check in with your healthcare provider, especially if you have a history of preterm labor or complications.
2. Will my milk supply change now that I’m pregnant?
It might. Many women notice a decrease in milk supply by the second trimester due to hormonal shifts, particularly rising progesterone levels. Your milk may also change in taste and composition as it transitions to colostrum, which may cause your older child to naturally reduce nursing or wean.
3. What if my nursing child isn’t getting enough milk?
If your milk supply drops, it’s important to keep an eye on your child’s weight gain and eating habits. You might need to introduce more solid foods or supplemental nutrition, depending on your child’s age. Talk with your pediatrician to make sure your child continues to grow and thrive during this transition.
4. How can I manage nipple soreness while breastfeeding and pregnant?
Hormonal changes can make your nipples more sensitive and sore—especially in the first trimester. Make sure your baby has a deep, effective latch, and try lanolin creams or cool compresses for relief. If pain persists or worsens, don’t hesitate to reach out to a lactation consultant or OB/GYN provider for support.
5. Can I breastfeed a newborn and my older child at the same time?
Yes, this is called tandem nursing, and it’s possible for many mothers. Your body will adjust its milk supply to meet the needs of both children. Just be sure your newborn nurses frequently—typically 8 to 12 times a day—to establish a solid supply. A lactation consultant can help guide you through this process.
6. Do I need to eat differently if I’m breastfeeding and pregnant at the same time?
You’ll need some extra calories and nutrients to support both your growing baby and your nursing child. Focus on getting plenty of calcium, iron, folic acid, iodine, and vitamin D. Aim for a balanced diet with fruits, vegetables, whole grains, protein, and healthy fats—and don’t forget to stay well-hydrated.
7. What’s the best way to handle weaning if I become pregnant again?
Weaning is a personal decision, and many older children gradually self-wean during pregnancy. If you choose to wean, go slowly—dropping one feeding at a time helps prevent engorgement and gives your child time to adjust. Some moms find that offering alternatives like snacks, cuddles, or a cup of milk helps with the transition.
8. How can I cope with pregnancy symptoms while still breastfeeding?
It’s not always easy. Try eating small, frequent meals to help with nausea, and get plenty of rest when you can. Sore nipples, fatigue, and emotional ups and downs are common. Stay well-nourished, drink lots of water, and talk to your healthcare provider if any symptoms become too overwhelming.
9. Are medications safe while I’m pregnant and breastfeeding?
Some are, and some are not. Always talk with your provider before taking any medications—prescription or over-the-counter—while pregnant and nursing. They’ll help you weigh the risks and benefits to protect both your unborn baby and your nursing child.
10. Is it normal to feel emotionally overwhelmed during this time?
Absolutely. Navigating pregnancy while breastfeeding can be physically and emotionally demanding. Hormonal shifts, fatigue, and concerns about weaning or sibling bonding are all very real. You’re doing something amazing—lean on your support system, and don’t hesitate to ask your provider or a support group for encouragement along the way.
