Breastfeed frequently and on demand
If you are worried about not having enough milk, you can put your baby to the breast more frequently. This will help stimulate your supply. In the first months of life, feed your baby on demand, so that your milk production is well established. If in doubt, you can even anticipate your baby's cues. Rest assured, you cannot feed your baby too often, and offering the breast more than 12 times a day does not create bad habits.
Sometimes your baby may refuse to feed for a while, because they are unwell (ear infection...) or teething. This can be a difficult situation to cope with. If your baby repeatedly rejects the breast, make sure you maintain a milk supply that is plentiful enough to fully satisfy them and ease their effort when they feed easily again. If needed, you can take a postpartum food supplement to support your milk supply, on the advice of an IBCLC lactation consultant.
Treat your pain
Another scenario: breastfeeding is causing you so much pain that every feed becomes an ordeal. You dread them and may even find yourself — and we completely understand — trying to avoid putting your baby to the breast. Rather than giving up, use a breast pump to drain your breasts. Give your nipples a rest from your baby's suckling and treat them straight away, while keeping your supply going. This approach, known as exclusive pumping, can help you temporarily identify that the pain comes from the way your baby latches; it may even stop altogether, allowing you to continue offering your precious milk to your baby without putting them to the breast.
As for choosing between getting treatment and breastfeeding, the good news is that you can do both! Some healthcare professionals are still unaware that, within most medication families, there are options compatible with breastfeeding. To help guide your conversation with the professionals you consult, you can ask them to look at the CRAT or E Lactancia website (in English or Spanish) with you if in doubt.
Don't listen to others
Of course, you may be faced with a host of comments. "You know, breastfeeding may just not be for you." "It's time to stop now, you've given everything." "You don't have enough milk to feed him, you'll have to accept moving on to a bottle." "He's eating solid foods now, your milk is no longer suitable." Listen only to yourself and your baby, and certainly not to those around you who may sometimes encourage you to stop breastfeeding during these difficult episodes.
The good news is that it's not all or nothing. A great many mothers have felt more fulfilled by opting for a breast pump or partial breastfeeding. This has allowed them to extend that milk-fed bond with their baby.
Ask for help
Ask your partner or someone close to you (parents, grandparents, friends, etc.) to help and support you while you find the solution that works for you and protects both your baby's health and your own. This person can help you find a specialist who can assist you, book an appointment and accompany you there, and can also look after your baby or even give them a bottle of your milk.