THE ART OF “SUCKING TITTY”


Suckling should be as a baby does it: Get a 2″ circle of breast with the nipple just above the center (the end of the nipple will be near the middle of the tongue) and suck and squeeze at the same time while pressing upward with the tongue. Release immediately but hold the lips against the breast. Suck-Squeeze – release – wait/suck-squeeze – release – wait/suck-squeeze… This should be done about 3 or 4 times every 5 seconds or 35-50 times a minute. Try to keep the teeth mostly off the breast, don’t slide the lips but stay ‘latched’ in place, as a baby would. This is easiest if his lips are just damp rather than wet. The ‘sucking’ part of this action should be gentle; it has less effect on milk removal and nipple stimulation than does the squeezing, and too-hard sucking will cause sore (stretched) nipples and perhaps other problems. If he is able to hold on to the breast while squeezing, he’s sucking hard enough. When he first starts to get some milk, he may be tempted to suck too hard; try to avoid this as sore nipples will be a definite setback. To give the best stimulation (and get the most milk!), suckling should squeeze the sinuses under the areola. When things are working right, this will feel like chewing soft clay. If the end of the breast is firm, let go and latch again or switch to the other breast for a while.maximoom2maximoom2If that doesn’t work (it often won’t when you’re starting) then just press gently on the firm area. Because the man, the woman, and the woman’s breasts are all learning and changing at once it takes a while to get the hang of this but in a couple of months it will be completely natural.Women who have nursed a baby will remember how that feels.Those who have not should expect contractions of the uterus similar to those of orgasm (but usually gentler; only a few women have orgasms when nursing) and should coach the partner until they get these feelings. However, don’t worry about getting the sucking exactly right. In the beginning all that matters is plenty of gentle squeezing of the end of the breasts; later, when there is milk, he will naturally adjust his technique so he gets the most milk. When her milk first starts to come in there’ll be a few drops of milk with each suck at the start of a feeding, then quickly less until there seems to be none. You can get more by massaging the breast with a cupped hand. Either partner can do this, but it is easier for the man. He should use his hand to roll or sweep milk toward the nipple just before the suck-squeeze part of the suckling pattern. Suckling one breast helps the other let down, so nurse each side at least twice at each feeding. Be sure to empty both breasts completely. Because the second breast nursed will be the most fully emptied, he should nurse one side first during one session and the other first the next time.

A good pattern for a session is: Left breast, right breast, left with massage, right with massage, left with massage again. When you next nurse, reverse left and right so the pattern is: Right, left, right with massage, left with massage, right with massage again. If you don’t switch the side you start with, one breast will have much less milk than the other and there may be other problems. Once her milk starts to come in, he will be tempted to take all the milk in a few minutes and stop. Don’t do that — the breasts need just as much time to give the brain signals as they did when there wasn’t any milk. If things are going well, this will only be a problem during the second and into the third month; after that she’ll have enough milk to last 20 minutes or more. Be gentle, especially at first. Hard sucking and massaging will not bring milk much sooner and may cause sore nipples or bruise the breast.

If you want faster results nurse more often (up to 20 minutes every hour and a half if you have time and nothing hurts), or use other methods we’ll discuss later; don’t use more force. After a couple of weeks you can gradually start sucking or massaging a little harder as long as it feels good to the woman and doesn’t leave the breast sore or bruised. Suckling much longer than about 30 minutes doesn’t give any more ‘make milk’ signals. You must stop for an hour or so before the signal can be given again. Using Your Hands When no partner is available, the woman should use her hands. For hand stimulation of the nipples you squeeze and release the nipple and areola to imitate a baby’s mouth. You can use two fingers and a thumb, the base of your thumb and first first finger, curl your ‘pinky’ around the nipple, or squeeze against your palm with any two fingers. If one motion makes your hand tired you can switch to another. You can use both hands at once and get double the effect! Start with five minutes on a side and increase gradually to at least ten minutes as long as nothing is sore. Hand expression of milk is different. To do this you work further back on the breast with both hands. Use a rolling motion rather than sliding skin on skin to avoid trouble with chafing. Breastfeeding books like the one mentioned below have more details on hand expression; you can also look up ‘Marmet technique’. When you start inducing you only need to stimulate the nipples. Once she gets sips of milk, each session should end with enough hand expression or pumping to remove all her milk. Of course if her partner is suckling he does the whole job at one time. Breast Care Because inducing lactation is at first more work for the nipples and breasts than nursing a baby, they need extra good care. You should be super careful to keep the breast area clean and dry.

shame85-eeuam-ddb2f9shame85-eeuam-ddb2f9
Wear a clean bra every day; going braless when at home is a good idea if you have enough privacy and it’s comfortable. Don’t wash bras with dirty items, do use a bit of ‘safe’ bleach and do be sure bras get completely dry before putting them on. Don’t cover the breast after a session or shower until it and especially the nipple area is completely dry. Don’t put anything (such as cream or lotion) on the end of the nipple; if bacteria get into the ducts you can get a nasty breast infection. Breast or other creams aren’t necessary but if dryness or chapping occurs you can use a breast cream such as Lansinoh (great but expensive), Udderly Smooth or any hand lotion that works. “Works” means it feels good, tastes okay, doesn’t sting when you put it on, and doesn’t make the nipple so slippery that the partner can’t latch. Once you have some milk, a drop or two rubbed around the nipple and areola and allowed to dry is better (it is an antibiotic!) and it’s both free and 100% natural. If soreness is a problem it’s probably due to stretching of the skin around the nipple. The nursing partner should be careful not to suck too hard. This is also the answer if he has soreness of the lips or elsewhere in his mouth. Nipple soreness can also happen when a tooth rubs the nipple or areola. As much as possible the partner should squeeze with his lips rather than his jaw muscles and keep his lips over his teeth. Nipples should be checked after every session at first for any signs of blisters or rubbed areas; if you see a problem or she starts to feel pain, figure the problem out now as it will get much worse in a hurry. Also watch out for any whitish or greenish ‘crud’ around or on the nipples as this could be a fungus. Treat fungal infections immediately by keeping the area extra dry and using both a yeast cream (as for vaginal yeast problems) and one for athlete’s foot; these should be wiped off before nursing. If it doesn’t start to get better within a few days, stop nursing and see a doctor. The only rubbing that’s normal is between the end of the nipple and the back of his tongue and roof of his mouth and even this may leave him with a sore tongue. Switching from suckling to manual stimulation can be soothing when her nipples or his mouth are sore.

maximoom2maximoom2

Nursing Schedules You’ll work out your own, but to help you think about it here is an example of what can work. This is an easy situation because the woman is home most of every day: 7 AM — Nurse partner who goes to work 10 AM — Hand stimulate 1 PM — Hand stimulate or nurse partner if he can come home for lunch. 4 PM — Hand stimulate 7 PM — Nurse partner 10 PM — Nurse partner, go to bed. 1 AM — Nurse partner 4 AM — Nurse partner This is 8 sessions a day. The exact times can of course be adjusted to fit other things the woman does but should stay in the range 2-4 hours apart most of the time. If the length of each session is a bit over 20 minutes then the total time is three hours. This couple is almost certain to succeed. Once she starts to get milk she can express it by hand or add a few minutes to the session and use a pump when he’s not available. It may seem strange right now, but once you get started, the time the woman spends actually nursing her partner can be used to read, watch videos or TV, even to snack. During the night she’ll mostly sleep through feedings. She can even nurse while taking those long boring phone calls from her aunt or college girlfriend! (We have a hand signal to say “Let’s nurse” silently.) One of the nice things about nursing is it mostly isn’t an exciting big deal — just something you love doing together. If the woman works, then her daytime sessions will have to be done at work. Use the john (disgusting maybe, but …), use your office, go out to your car at lunch, stimulate on breaks — whatever it takes. Almost every woman can, but those who aren’t mostly at home who do, will have worked very hard for their success. When we talk to people who are having trouble inducing the reason is nearly always ‘not enough time’ — usually when we count up the time it’s less than two hours a day and often only an hour.
abf logo 41126918489abf logo 0 (2)
A woman with so little time will probably never get beyond a few drops and may never see any milk at all. Are You Getting Anywhere? If there is enough stimulation (at least 8 sessions, total three hours a day or more, no big gaps in the schedule) the woman will notice within a week or so that her breasts are getting larger; very likely her nipples and areolas will darken. She can expect drops of milk in two weeks to a month, a sip or squirt in one to two months and a pint or more per day in two to four months. If a month goes by without definite progress you need to change something. If there is no progress in a month there may never be any unless you change your routine. Different women start in different ways. Some will have a few drops of milk on the first day, then nothing for a week or more while others will have nothing at the start. Next may come some clear salty tasting fluid, then drops of salty milk; this may be whitish or brownish in color. All of these are normal and show that the breasts are starting to make milk; the salt is caused by direct leakage from the blood into the alveoli and will stop within a few days of continued stimulation. The brown is a few red blood cells coming along. Once she has some milk you will probably notice that production will decrease slightly in the last five days or so before her period starts. Do not nurse less when this happens — instead you should nurse more if possible. Even though her milk supply doesn’t show it, her breasts are growing inside and by the second day of her period you will see more milk, maybe even a lot more! As you get close to what you want you can cut the number of daily feedings by one a week until you find how many it takes to keep her supply; however milk production may gradually stop if you don’t keep at least one middle-of-the-night feeding. Experts differ but various sources say “at least one (or two or three) feedings per day” and “at least 90 minutes per day” are needed to keep a supply of milk.

15274722 (2)15274722 (2)