How Do I Wean from Supplementing my Breastfed Baby?

Originally published on October 1, 2019

Revised July 11, 2025

Author: Robin Kaplan, M.Ed, IBCLC, FNC

This is Part Two in our supplementation series.  Don’t miss Part One: I’m Told that my Breastfed Baby Needs to be Supplemented…. What Should I Do?

One of the most challenging aspects of supplementing your breastfed baby is knowing when and how you can reduce or completely stop that supplementation.  You will want to work with your pediatrician and an IBCLC to help fine tune this process for you and your baby, but here are some general guidelines.

The reason you were supplementing may determine when you can stop

Early supplementation in the first few days after your baby was born may have been recommended to help resolve a temporary medical situation, such as jaundice, hypoglycemia, or excessive weight loss.  Typically, once your milk supply has fully ‘come in’ and baby is gaining well, supplementation can stop. Longer-term supplementation, such as for a premature baby, baby with feeding challenges, or a nursing parent working to increase milk supply, will likely require a longer weaning process.  In both cases, though, watching the baby for signs of effective feeding will be an important part of baby's care.  

How do I know if my baby is breastfeeding well?

There are quite a few ways we can tell if a baby is breastfeeding well:

• Baby actively feeds for 20-40 minutes, seems satisfied after eating, and can go about 2-3 hours between most feedings

• Breastfeeding is comfortable and your chest feels softer after your baby has fed

• Diaper count - Babies in the first few weeks to months should pee/poop at least 5 times a day.  As babies mature, so do their digestive systems. After the first few months, babies often continue to pee at least 5 times daily, but poop frequency may drop to 1-2 times daily

• When you weigh your baby before and after a nursing session (like with a gram-sensitive scale at a lactation consultation or support group), your baby is taking in an appropriate amount for his/her age and weight.

• Weight gain - Baby is gaining the appropriate amount of weight based on his/her age  
  

What is the best way to wean from supplementing my breastfed baby?

As your baby begins to nurse more effectively and transfer more milk from you while feeding, you might also notice that your baby begins to refuse supplements (or just takes less) after breastfeeding.  If your baby is gaining weight well, then you might consider offering less of a ‘top off’ after breastfeeding and see if your baby continues to gain weight appropriately. If your baby is gaining more weight than expected for his/her age, this is also a reason to pull back on supplementation.

To wean from supplementing your baby, you will want to either reduce the amount of supplementation after each nursing session or cut back on how often you supplement during the day.  Try this reduced supplement amount for a few days and see if your baby still seems satisfied after eating throughout the day and night, as well as check your baby’s weight to make sure they gained enough over that time period.  If weight gain is still more than needed/expected and your baby seems satisfied after eating, continue to pull back on the amount of supplement per day until you reach a point where you have either cut supplementing completely or dropped down to your baby’s sweet spot.

While reducing the supplementation amount, this also means that you might be able to cut back on the number of times you pump per day, which is what every parent wants to hear, right?  A lactation consultant can definitely guide you on this process so that your milk supply isn’t lowered with this decrease in pumping frequency.

What if I am unable to wean from supplementing my baby?

There are some situations when a nursing parent may not have a full milk supply and will need to supplement long term.  Working with an IBCLC can be very valuable during this process to help maximize your milk supply potential, as well as discuss options for long-term supplementation.  

It is incredibly important for any parent needing to provide long-term supplementation to understand that EVERY drop of milk you produce for your child is valuable.  You are creating a perfect food for your child, as well as providing amazing immunity-boosting benefits that only YOU can create. Your milk was meant for your baby and breastfeeding does not have to be all or nothing.  While it can feel absolutely heartbreaking to hear that exclusive breastfeeding may not be a possibility, I’d like to share a beautifully written memoir on our website.  The author, Aran, brilliantly coins a new term, ‘Inclusive breastfeeding’, which helps put all of this breastfeeding and supplementation into perspective.

If you’re feeling unsure about how much milk your baby is getting while nursing, if your milk supply needs a boost, or how to wean from supplementing your baby —we’re here to help! Our team of experienced lactation consultants is ready to support you. Whether you need guidance on how to supplement, what to supplement with, or identifying the root causes for supplementation, we’re here to provide personalized care. Schedule a one-on-one appointment with one of our lactation consultants for expert advice tailored to you and your baby’s unique needs.

I'm Told that my Breastfed Baby Needs to be Supplemented.... What Should I Do?

Originally published on September 22, 2019

Revised July 10, 2025

Author: Robin Kaplan, M.Ed, IBCLC, FNC

Being told that your breastfed baby needs to be supplemented can feel extremely overwhelming and can often feel like quite a blow to the self-esteem.  You might be concerned about your milk supply and if your baby will prefer the bottle to your breast. You may feel confused as to why your baby isn’t gaining the appropriate amount of weight while breastfeeding.  

So, let’s talk about the reasons why a baby might need to be supplemented and how to do this without sabotaging your milk supply and your nursing relationship.

ABOUT SDBFC

The San Diego Breastfeeding Center was established in 2009 by Robin Kaplan, International Board Certified Lactation Consultant, Functional Nutritionist, and parent.  Her vision was to create a judgment-free, inclusive support system for families navigating infant feeding challenges.  SDBFC offers a wide range of one-on-one breastfeeding, infant feeding, and nutrition consultations - as well as classes, support groups, online articles, and social media - making it your one-stop-shop for all things infant feeding!

What is a supplement?

A supplement is anything in addition to what your baby receives from your breast while breastfeeding.  Babies can be supplemented with: 

• Your own pumped milk (if baby is not removing your milk effectively)

• Donor milk (from a milk bank or from another lactating parent)

• Formula

How do I know if my baby truly needs supplemental feedings?

Babies are expected to gain a certain amount of weight based on their age.  So, if a baby is NOT gaining that expected amount, additional supplementation is often recommended.  Here are the weight gain expectations for the first year of baby’s life:

Initial weight loss in the first few days of life - no more than 10% of baby’s birth weight

2 weeks - baby should be back to birth weight (or very close, if he/she lost more than 10% in the first 2 weeks)

2 weeks - 4 months - baby should gain about 6-8 ounces per week

4 months - 6 months - baby should gain about 4-5 ounces per week

6 months - 1 year - baby should gain about 2-4 ounces per week

Why might a baby need to be supplemented?

There are many common reasons why a baby might need supplemental feedings.  

• Some common medical issues that can arise shortly after birth that may lead to the need for supplementation are: prematurity, low birth weight, poor feeding, low blood sugar levels (hypoglycemia), elevated bilirubin levels (jaundice), dehydration, excessive weight loss or poor weight gain. 

• After those first few weeks, some common reasons for supplementation are: baby not removing milk well while breastfeeding (due to tongue tie, reflux, very long feeding sessions) and a low milk supply.

• In all of these cases, the first step is to ensure that baby is breastfeeding effectively.  Next we want to assess the parent’s milk supply to make sure that they are producing enough milk for the baby.

• Sometimes all it takes are a few modifications to the baby’s feeding routine to help baby start to gain weight. Other times it requires a lactation consultation (done by an IBCLC) to assess baby’s feeding and parent’s milk supply for the cause for baby’s low weight gain.

What if I can't express enough milk for my baby?

First you’ll want to make sure that you have everything you need to express your milk.  If using an electric pump, make sure the pump flanges fit correctly and that you are pumping for about 15 minutes after breastfeeding or in place of nursing sessions.  Some parents let down for the pump easily. Others find that they prefer a hand pump or hand expression. You will want to find what works best for you.

In those first few days after birth (when milk production has not quite yet surged), it can be a bit challenging to express a measurable amount of milk.  In this case, sometimes baby might need to be supplemented by donor milk or formula.

Once your fuller milk is in (after those first few days), you might want to meet with an IBCLC to put together a nursing/pumping plan to see if you are able to express enough milk for your baby, as well as increase your milk supply, if necessary.  If you are not yet able to express enough milk for your baby’s supplemental feedings, donor milk or formula would be recommended.  

Do I have to use a bottle when giving my baby supplemental feedings?

Not at all!  There are several ways to supplement a baby.  Each way has its pros/cons and will be determined by what works best for you and your baby.

• Finger feeding is great for the first few weeks of life, as the flow is slow and your finger can help organize your baby’s sucking rhythm.

• Cup feeding is great for older babies, as well as some younger babies who will not take a bottle

• A Supplemental nursing systems (SNS) allows your baby to be supplemented at the breast so that he/she still thinks everything is coming from you!  The SNS has a tube that slips into your baby’s mouth, at the breast, to provide the supplement at the same time baby is breastfeeding. This works best when baby is latching well and you’re trying to increase your milk supply.

• Bottles are definitely an option, as well.  You will want to offer a bottle in a baby-led (paced) manner so that your baby doesn’t begin to prefer the ease and flow of the bottle, compared to your breast.

Will my baby ever be able to fully breastfeed after supplementation?

Generally, the answer to this is YES!  Most reasons for supplementation are short-term challenges that are resolved relatively quickly with good treatment.  Premature babies grow and get stronger, and typically get better at breastfeeding around their due dates or shortly after.  A baby who is having difficulty with breastfeeding immediately after birth will often be ready for breastfeeding within a few days after birth.  If breastfeeding challenges linger for more than a few days, an IBCLC can help identify the reasons and set you on a path for reducing (and hopefully eliminating supplementation) as soon as possible. In the meantime, expressing your milk in addition to breastfeeding will help maintain and build your milk supply as challenges resolve.  

 When can I stop supplementing?

In Part 2 of this blog series, I will discuss how you’ll know it's time to wean from supplements and helpful tips for doing so. 

For more information about supplementation reasons, methods, and choices, check out these The Boob Group podcast episodes: 

Exclusive Breastfeeding and Early Supplementation 

Breastfeeding the Jaundiced Baby

When Breastfeeding Doesn’t Go As Planned 

Low Milk Supply: Donor Milk, Milk Banks, and Formula

Partial Breastfeeding: When Supplements are Needed

If you’re feeling unsure about how much milk your baby is getting while nursing, if your milk supply needs a boost, or how to wean from supplementing your baby —we’re here to help! Our team of experienced lactation consultants is ready to support you. Whether you need guidance on how to supplement, what to supplement with, or identifying the root causes for supplementation, we’re here to provide personalized care. Schedule a one-on-one appointment with one of our lactation consultants for expert advice tailored to you and your baby’s unique needs.

SDBFC is committed to providing high-quality lactation and functional nutrition consultations to parents in San Diego and beyond. Explore our postpartum, prenatal, and functional nutrition consultations, take a breastfeeding class or attend a workshop.

About the Author

Robin Kaplan has been an IBCLC since 2009, the same year that she opened up the San Diego Breastfeeding Center.  Robin was the founding host of the Boob Group podcast and published her first book, Latch: a Handbook for Breastfeeding with Confidence at Every Stage in 2018.  Melding her passions for supporting lactating parents and holistic health, Robin finished her Functional Nutrition Certification in 2023. In her free time, she enjoys hanging out with her two teenage boys, hiking, traveling, weaving, cooking, and searching for the best chai latte.

Meet SDBFC's Newest IBCLC - Golnar Fakhrai

We are so thrilled to introduce you to our newest lactation consultant at SDBFC! Golnar joined us on April 21, 2025 and (after a rigorous training period) will start seeing her own clients on June 2, 2025  

Here is our interview with Golnar.  We can't wait for you all to meet her!

Golnar, tell us about yourself!

Although I was born and raised in San Diego, I spent most of my adult life in Los Angeles, where I studied film, and earned my MFA from the American Film Institute. In the years that followed, I filmed narrative as well as documentary pieces, which allowed me to have life experiences I never would have imagined, like spending months immersed in the world of a southern shrimping community, and spending days out at sea documenting the fishermen at work. In Sept 2020, my husband and I moved down to San Diego to be closer to family, prior to welcoming our daughter in 2021. We have lived here since, and I love watching her grow up in this vast city, that has so much for us to explore.

Check out Golnar’s bio page

What inspired you to become a lactation consultant?

I was lucky enough to have a handful of friends who had kids around the same time I did. Distance kept us apart physically, but during those middle of the night feeds, it gave me solace that I knew I wasn’t the only one awake, trying to feed my baby. Those first few weeks were such a struggle for me, trying to learn how to latch, not knowing if I was doing it right or if my baby was getting enough, and feeling so much pain each time my daughter would nurse. Every single friend I spoke with was having difficulties of some kind when it came to breastfeeding, which was a surprise because it’s not something commonly talked about in social settings. I thought it was easy for everyone, and was blaming myself for having such a hard time with it. One of my friends went to see an LC, and I could hear in her voice how much it helped her. So, I saw one myself, and after several visits I was so grateful I did. In the months that followed, being able to provide that support for others became a passion of mine, and from the moment I decided to pursue this new career there was no looking back.

What are you most excited about working for the SDBFC?

Everyone needs a village, and every village will look different. From the moment I walked into SDBFC in the fall of 2023, I knew it was a special place. I was able to learn from women who are not only incredibly knowledgeable in this field, but who have deep compassion, and provide quality care to everyone who walks through the door. I’m excited to be a part of this incredibly supportive team, to have the opportunity to help parents navigate a vulnerable time in a welcoming space, and to be part of the village of every client I get to support during their journey.

What are your top 3 tips for a brand new chest/breastfeeding parent?

1. Remember to breathe. So much is happening so fast right now, and your brain probably feels like it has a million tabs open. Pause. Take a deep breath, and slowly exhale. Just one minute can help regulate your system.

2. As often as you can, have skin to skin contact with your baby. A lot of us have heard to do this right after the baby is born, but the benefits don’t end once you get home. Spend those first few weeks with your shirts off, cuddled up with your beautiful baby under a blanket.

3. Don’t forget to hydrate! Breastmilk is mostly made of water, so your body needs to be hydrated to maintain your supply. This can come from a combination of drinking fluids, and eating foods that contain a lot of water, like watermelon, strawberries, and citrus fruits.

Welcome to the team, Golnar!

May 2025 Milk Drive

The San Diego Breastfeeding Center, in collaboration with UC Health Milk Bank, is thrilled to announce their first ever Milk Drive on May 3, 2025 at the San Diego Breastfeeding Center. We hope you will join us!

What is a Milk Drive? 

When babies are born prematurely, breast milk is vital for improved growth and health  outcomes. A Milk Drive ensures donor milk is accessible to fragile infants whose mothers may not be yet producing milk or may not be able to produce enough. It is an opportunity to educate communities about milk banking, build connections with staff and other milk donors, and support the ‘Pump It Forward’ campaign. In partnership with UC Health Milk Bank, there will be a blood screening station for preapproved donors and a milk collection station for all donors who have registered on the portal. It will be a family-friendly event that will offer free goodies, fun activities for children, and giveaways for the whole family. All are welcome!

Donor FAQs 

1. Can I bring milk to donate to the Milk Drive?  

Yes, if you are an approved or pending approval donor, please bring your milk. All approved and pending donors will receive detailed information on how to bring transport their milk and will have been screened.  

2.What do I need to do prior to the event?  

Sign up on the portal at ucmilkbank.ucsd.edu and click the yellow "Donate milk" button to start the process. Donors will receive all information regarding their donation and how to prepare prior to the event. 

3. Is there a minimum or maximum amount of milk I can donate at the Milk Drive? 

Our donors will be educated via the portal beforehand, but in case you are asked, there is 100 ounce minimum for first time donors and not minimum or maximum donation amount for already approved donors with a subsequent donation. 

4.What if I want to donate milk, but I can't attend the Milk Drive?  

Donors can reach out to the donor coordinators via the portal and we will set up a day/time for a milk drop off at the milk bank (3636 Gateway Center Dr.) 

5. Do I need to RSVP?

Yes, please! RSVP: https://forms.office.com/r/CvfbTZi5uj 

Any questions, please reach out via our email address: ucmilkbank@heatlh.ucsd.edu or phone: 858-249-MILK (6455)

General Donor Questions 

1.Where does the milk go? 

Your milk will be pasteurized, tested, and sent to fragile NICU babies and other babies in need. 

2.Who does the milk help? 

The milk helps the most vulnerable babies especially very low birth weight, premature, and ill infants. 

3.What if I am taking medications? 

Most medications you take are safe with donation however please reach out to your donor coordinator with specific questions. 

4.What if I live outside of San Diego? 

No problem! We send you a lab requisition form to have your labs drawn at a location near you and then will provide you with shipping material and arrange for FedEx to pick up the milk from your home. 

5.Why do I need a blood test? 

To ensure the safety of the milk. We test for infectious diseases that can be passed to the baby through the milk. 

6.What if my milk doesn’t have enough calories? 

This is very unlikely but even if your milk is low in calories our milk techs can mix the milk with higher-calorie milk so it will be sufficient for NICU babies. Every drop counts. 

7.What milk do you accept? 

We can accept milk that has been expressed up to your baby’s 2nd birthday. 

8.How long can the milk be in my freezer? 

Your milk can be frozen for up to 8 months.

SDBFC is committed to providing high-quality lactation and functional nutrition consultations to parents in San Diego and beyond. Explore our postpartum, prenatal, and functional nutrition consultations, take a breastfeeding class or attend a workshop.

Witching Hour vs Colic

Originally published on May 22, 2014; Revised March 28, 2025

Author: Robin Kaplan, M.Ed, IBCLC, FNC

Welcoming a new baby into your life is an incredible experience, but it can also come with challenges—especially when it comes to fussiness and crying. One of the most confusing and exhausting parts of early parenthood is dealing with periods of intense crying, sometimes called “colic” or the “witching hours.” While both involve periods of crying and discomfort, colic tends to be more prolonged and difficult to soothe compared to the witching hours. While it can be overwhelming, understanding these behaviors can make it easier to navigate and find ways to soothe your little one. 

ABOUT SDBFC

The San Diego Breastfeeding Center was established in 2009 by Robin Kaplan, International Board Certified Lactation Consultant, Functional Nutritionist, and parent.  Her vision was to create a judgment-free, inclusive support system for families navigating infant feeding challenges.  SDBFC offers a wide range of one-on-one breastfeeding, infant feeding, and nutrition consultations - as well as classes, support groups, online articles, and social media - making it your one-stop-shop for all things infant feeding!

What Are the Witching Hours?

The witching hours are a period of increased fussiness that almost all babies experience, usually occurring in the late afternoon and evening. It often begins around 2 to 3 weeks of age, peaks around 6 weeks, and typically fades by 3 months. During this time, your baby may want to cluster feed—feeding frequently for short periods and seeming fussier than usual. It might feel like your baby doesn’t know what they want: they may latch on to nurse for a few minutes, fall asleep, and then wake up shortly after, wanting to feed again. It’s also common for babies to give hunger cues but then pull off the breast and cry. 

Why Do the Witching Hours Happen?

While we can’t know for sure why babies have these fussy periods, there are a few theories that may explain it:

• Lower Milk Supply: Many parents notice that their milk supply naturally decreases a bit as the day goes on. This is completely normal and doesn’t mean you aren’t producing enough milk. However, a slower milk flow can make babies feel frustrated and want to nurse more frequently.

• Overstimulation: After a long day full of new sights, sounds, and experiences, your baby may feel overwhelmed and unable to settle. This can be especially true if your household gets busier in the evening, with partners coming home, older siblings returning from school, and dinner being prepared.

• Normal Developmental Phases: Babies are constantly growing and changing, and some developmental leaps may make them a bit fussier as they adjust.

What Can You Do to Help Your Baby During the Witching Hours?

While you may not be able to eliminate fussiness completely, there are plenty of strategies to make this period easier for both you and your baby:

• Feed Frequently: Offer the chest/breast often, even if it feels like they just ate. Cluster feeding is normal and sucking helps to calm your baby’s nervous system. 

• Babywearing: Learning to nurse in a carrier can be a game changer. Wearing your baby keeps them close and soothed while giving you the freedom to move around and get things done (ie feed yourself!)

• Prepare Ahead of Time: Consider making dinner earlier in the day or having easy meals ready to go, so you’re not stressed about cooking during your baby’s fussy period.

• Fresh Air and Movement: Taking a walk with your baby in a carrier or stroller can help both of you reset. The fresh air and gentle motion can be incredibly calming.

• Ask for Help: Don’t hesitate to let your partner or support person step in. Sometimes you need a break to recharge, and that’s okay!

What Is Colic?

Colic is different from the witching hours and is typically defined as crying that lasts off and on for more than three hours a day, at least three days a week, for three weeks or longer. Colicky crying is often more intense and harder to soothe, and babies may show signs of physical discomfort like arching their back, tensing their legs, or appearing gassy. Colic usually starts in the first few weeks and resolves once the root cause(s) has been identified.

What Causes Colic?

There’s no definitive answer to what causes colic, but some possible factors include:

• Oversupply or Forceful Letdown: An abundant milk supply or fast flow can cause a baby to gulp air, leading to gas and discomfort.

• Foremilk-Hindmilk Imbalance: Too much lower-calorie foremilk and not enough higher-calorie hindmilk can upset a baby’s stomach, causing gassiness.

• Oral Ties: Tongue-tie or lip-tie can make it difficult for a baby to latch well, leading to swallowing air during feedings and difficulties getting enough at each feeding session.

• Dietary Sensitivities: Sometimes, something in the parent’s diet (like dairy, soy, gluten, or egg) might affect the baby’s digestion.  

• Antibiotic Use and Gut Inflammation: If the baby or lactating parent has recently taken antibiotics, it may disrupt the baby’s gut microbiome, leading to digestive discomfort and increased fussiness.

How Can You Help a Colicky Baby?

• Adjust Chest/Breastfeeding Positions: Try laid-back chest/breastfeeding to slow down your milk flow and help your baby pace themselves more effectively while feeding.

• Keep a Food Journal: Track your diet and your baby’s symptoms to see if any specific foods seem to trigger fussiness. We can help identify trigger foods or root causes of gut inflammation and discomfort during a functional nutrition appointment. (Click here to find out more information about these functional nutrition appointments)

• Seek Support: An International Board Certified Lactation Consultant (IBCLC) can help identify potential issues like oversupply, oral ties, or feeding challenges. (Click here for more details on the types of lactation appointments we offer!)

Most importantly, remember that this phase will pass. The witching hour typically resolves by 3 months as babies become less sensitive to their environments. Colic can often be remedied as soon as the root cause(s) is identified and addressed. It’s completely normal to feel stressed and overwhelmed, but you don’t have to go through it alone. Reach out for support from your partner, family, friends, and professionals who can help you navigate this challenging time.

If you’re feeling unsure about your baby’s feeding patterns, fussiness, or gut discomfort, know that you’re not alone—we’re here to help! Our team of experienced lactation consultants and functional nutrition experts is ready to support you. Whether you need guidance on soothing techniques, feeding adjustments, or identifying root causes of discomfort, we’re here to provide personalized care. Schedule a one-on-one appointment with one of our lactation consultants or functional nutrition counselors for expert advice tailored to your baby’s unique needs.

SDBFC is committed to providing high-quality lactation and functional nutrition consultations to parents in San Diego and beyond. Explore our postpartum, prenatal, and functional nutrition consultations, take a breastfeeding class or attend a workshop.

About the Author

Robin Kaplan has been an IBCLC since 2009, the same year that she opened up the San Diego Breastfeeding Center.  Robin was the founding host of the Boob Group podcast and published her first book, Latch: a Handbook for Breastfeeding with Confidence at Every Stage in 2018.  Melding her passions for supporting lactating parents and holistic health, Robin finished her Functional Nutrition Certification in 2023. In her free time, she enjoys hanging out with her two teenage boys, hiking, traveling, weaving, cooking, and searching for the best chai latte.

I’ve Had My Baby - Now What?: Breastfeeding During the First Week

Originally published on Jan 24, 2014; Revised Feb 22, 2025

Author: Robin Kaplan, M.Ed, IBCLC, FNC

Welcome to our new series, I’ve Had My Baby - Now What?  This is a guide with basic information to help you navigate the first days, weeks, and months of chest/breastfeeding your new baby.  

Today we would like to talk about that first week after your baby has arrived.  Chest/breastfeeding can often seem overwhelming and  unfamiliar.  New parents often receive a *huge* amount of differing advice from many well-intentioned people, which can be incredibly confusing and discouraging.  Below is a quick guideline to what “normal” chest/breastfeeding looks like, as well as some examples of when things aren’t going as they should and when you might want to seek help.

ABOUT SDBFC

The San Diego Breastfeeding Center was established in 2009 by Robin Kaplan, International Board Certified Lactation Consultant, Functional Nutritionist, and parent.  Her vision was to create a judgment-free, inclusive support system for families navigating infant feeding challenges.  SDBFC offers a wide range of one-on-one breastfeeding, infant feeding, and nutrition consultations - as well as classes, support groups, online articles, and social media - making it your one-stop-shop for all things infant feeding!

How often should my new baby be eating and how long should each feeding take?

A newborn needs to feed 8 or more times in 24 hours.  It’s especially important in the early days to feed your baby “on demand”, or whenever the baby shows signs of hunger, regardless of when baby ate last.  If your baby is not asking to eat every 2-3 hours, or 8 or more times in 24 hours, it is important to wake the baby to feed him/her, until they have regained their birth weight.  A feeding session typically takes approximately 30-45 minutes, and both breasts should be offered during this time.  It’s important to keep the baby actively feeding during those 30-45 minutes.

How do I know my baby is getting enough milk?

A great way to be sure baby is getting enough breastmilk is to keep a physical log of all feedings (start time and length), as well as all pees and poops. A baby who is taking enough milk will be feeding 8 or more times in 24 hours, for 30-45 minutes, and having 1 pee diaper and 1 poop diaper per day of life, until day 5.  For example, on day 1, baby should be having 1 pee and 1 poop diaper, day 2, 2 of each, etc.  After day 5, baby should be having 5 or so of each per day.  A baby who is getting enough should be satisfied for approximately an hour or two after feeding.  However, most babies will cluster feed for a 4-5 hour period during the day, when they may want to eat more frequently.  This is normal baby behavior!

How much milk does my baby actually need?

A baby needs very little milk per feeding during their first few days of life.  This is because they’re born full of meconium, which are those first few poops.  This is a perfect fit for you, as your first milk, colostrum, is low in volume.  The small amount you make is just the right amount for your baby.  The amount your baby needs slowly increases, and as your milk makes the transition from the low volume colostrum, to the higher volume mature milk between day 3 and day 5, your baby’s needs go up as well.  Nature works beautifully!

I need to supplement my baby, what are my options?

Sometimes, a baby may need to be supplemented with additional milk.  There are many reasons for this - a baby has jaundice,  is not latching well, there is a delay in the parent’s milk “coming in”, etc.  When supplementation is necessary, it’s important to remember that you can use your own pumped milk.  If you aren’t able to pump the amount you need, you can use donor milk instead.  Formula is the last resort option.  There are various methods to supplement your baby as well.  You can supplement your baby at your chest/breast using a supplemental nursing system, you can finger feed your baby, or cup/spoon feed your baby.  A slow flow bottle is always an option as well and a lactation consultant can show you how to feed your baby a bottle in a chest/breastfeeding-friendly manner.

Holy moly,  my boobs are like rocks!  They hurt and I can’t get baby latched on, what can I do?

As  your milk transitions from the low volume first milk, to the higher volume mature milk, it is common for your chest/breasts to feel full and sometimes experience engorgement.  Engorgement occurs when the chest/breasts fill up with so much milk that they become hard and  uncomfortable.  It can sometimes be difficult to get the milk flowing and baby sometimes has a hard time latching on.  

Some tricks to latch your baby on during this time are:

• Pump or hand express for a few moments before latching your baby to soften your chest/breasts and get milk moving

• Use warm compresses or take a shower just before feeding

• Use cold compresses in between feedings to reduce inflammation.  

  If you still  feel incredibly uncomfortable after your baby feeds, you can pump or hand express some additional milk - but it is important to only pump to comfort as you don’t want to send the message to your body to make even more milk.  

  Please be aware that if you begin to run a high fever, have flu-like symptoms, and hot or red spots on your chest/breast, you may be developing a breast infection (mastitis) and it’s important to seek medical attention immediately.  

Why do my nipples hurt and what can I do to heal them?

It’s normal for all parents to feel some initial nipple tenderness and discomfort in the first days and weeks of chest/breastfeeding.  Anything beyond tenderness is a sign that something may not be going right, especially if there is any tissue breakdown, damage, cracks or bleeding.  If you experience any of these, please seek the help of a lactation consultant.  Great healing items are organic coconut oil and hydrogels, or soothing gels, sold by many different companies and available at big box stores.  The best prevention for sore nipples is a good latch. If you are having trouble finding a correct latch, give us a call!

When should I seek help?

There may be times when things aren’t going the way they should.  Our IBCLCs can absolutely help you with all of this!  Some signs that you might need some additional help:

• Damaged/cracked/bleeding nipples.

• Baby isn’t gaining weight/parent’s milk hasn’t “come in” by day 5.

• You suspect your baby is tongue-tied.

• Baby isn’t peeing or stooling the amount that they should.

• Breast infection/Breast abscess

• Oversupply

• Extremely fussy/gassy baby

If you’re unsure about your baby’s latch, milk intake, or feeding patterns, know that you’re not alone—we’re here to help!

The first week of breastfeeding comes with many changes, and it’s completely normal to have questions or concerns along the way. Whether you need guidance on positioning, reassurance about your baby’s feeding cues, or support with any challenges that arise, our team is here to provide the care and expertise you deserve. Schedule a one-on-one appointment (consider a virtual appointment, if you don’t live in San Diego!) with one of our lactation consultants for personalized care and expert advice tailored to your baby’s unique needs.

SDBFC is committed to providing high-quality lactation and functional nutrition consultations to parents in San Diego and beyond. Explore our postpartum, prenatal, and functional nutrition consultations, take a breastfeeding class or attend a workshop.

About the Author

Robin Kaplan has been an IBCLC since 2009, the same year that she opened up the San Diego Breastfeeding Center.  Robin was the founding host of the Boob Group podcast and published her first book, Latch: a Handbook for Breastfeeding with Confidence at Every Stage in 2018.  Melding her passions for supporting lactating parents and holistic health, Robin finished her Functional Nutrition Certification in 2023. In her free time, she enjoys hanging out with her two teenage boys, hiking, traveling, weaving, cooking, and searching for the best chai latte.

Is My Baby Getting Enough Milk? A Guide to Breastmilk Intake For the First Year

Published on February 22, 2025

Author: Robin Kaplan, M.Ed, IBCLC, FNC

One of the most common questions we get asked by clients is, “How much breastmilk does my baby need?” Whether your baby is breastfed, bottle-fed, or combination-fed, their breastmilk (and/or formula) intake stays fairly consistent during the first six months. However, after solids are introduced, it can get a bit confusing to determine how much milk they still need. 

To help clear up the confusion, we’ve put together this month-by-month guide so you can feel confident about your baby’s nutritional needs throughout their first year.

ABOUT SDBFC

The San Diego Breastfeeding Center was established in 2009 by Robin Kaplan, International Board Certified Lactation Consultant, Functional Nutritionist, and parent.  Her vision was to create a judgment-free, inclusive support system for families navigating infant feeding challenges.  SDBFC offers a wide range of one-on-one breastfeeding, infant feeding, and nutrition consultations - as well as classes, support groups, online articles, and social media - making it your one-stop-shop for all things infant feeding!

Month-by-Month Breastmilk Intake Guide

While every baby is unique, their milk intake generally follows a predictable pattern during the first year. These patterns are based on factors like age, weight, growth spurts, and the introduction of solid foods. In the newborn stage, babies eat frequently as their tiny stomachs grow and adjust. By a few months old, their feedings become more efficient and predictable. Around six months, solids are introduced, but breastmilk or formula remains their primary source of nutrition. As babies near their first birthday, they gradually rely more on solid foods, though milk is still an essential part of their diet.

0-2 weeks (what to expect)

• Small stomach capacity and frequent feedings (8-12 times per day).

• Milk increases drastically over the first 2 weeks 

• Average intake (on average): 

• Week 1: 5ml/feeding for Day 1; 10-15ml/feeding for Day 2; 15-30ml/feeding Day 3; 30-45ml/feeding Days 4-7

• Week 2: 60ml/feeding Days 8-10; 60-90ml/feeding Days 11-14

Additional blog articles about this stage:

I’ve Had My Baby - Now What? Breastfeeding During the First Week

I’ve Had My Baby - Now What? Breastfeeding During the Second Week

2 weeks - 12 weeks (what to expect)

• Increased milk production and more predictable feeding patterns - Roughly every 3 hours during the day, cluster feeding in the evening, and then starting to get longer stretches in the middle of the night.

• Growth spurts around 2 weeks, 4 weeks, 6 weeks, and 3 months - more cluster feeding and less sleeping for a few days.

• Average intake (based on weight).  Divide the total daily amount by the number of feedings to figure out how much baby needs per feeding.

• 6lbs - 16oz-20oz per day

• 7lbs - 18oz-22oz per day

• 8lbs - 20oz-24oz per day

• 9lbs - 22oz-26oz per day

• 10lbs - 24oz-28oz per day

• 11lbs - 26oz-30oz per day

• 12lbs - 28oz-32oz per day

• 13lbs+ - 30oz-32oz per day

Additional blog articles about this stage:

I’ve Had My Baby - Now What? Breastfeeding During the Weeks 3-6

I’ve Had My Baby - Now What? Breastfeeding During Months 2-6

3-6 Months (what to expect)

• Quicker chest/breastfeeding and bottle feeding sessions - babies are no nonsense with feeding.  They are more efficient and are very interested in everything that is going on around them.

• Potentially distracted while feeding during the day, which may cause them to wake more at night to feed.  

• Average milk (and/or formula) intake continues to be based on the baby's weight: same as above.

Additional blog articles about this stage:

I’ve Had My Baby - Now What? Breastfeeding During Months 2-6

6-9 Months (what to expect)

• Introduction of solid foods, but breast milk (and/or formula) remains primary nutrition

• Average milk (and/or formula) intake continues to be based on the baby's weight: same as above.

Additional blog articles about this stage:

Breastfeeding the Older Baby - What to Expect at 6-9 months

9-12 Months (what to expect)

• Increased independence with solids and possible decrease in nursing frequency

• As babies increase their solids frequency and intake amount, the amount of breastmilk (and/or formula) starts to decrease

• Average intake: 24 oz/day, decreasing slowly to about 12oz/day by 12 months (if the baby is eating 3 full meals with snacks by this age)

• Since breastmilk (or formula) intake varies based on solid food consumption, monitoring your baby's weight can help guide you to determine their milk needs. On average, babies gain 2-3 oz per week at this stage.

Additional blog articles about this stage:

Breastfeeding the Older Baby - What to Expect at 9-12 months

If you’re feeling unsure about how much breastmilk (and/or formula) your baby needs or how to balance breastfeeding/chestfeeding with solids, you’re not alone—we’re here to help!

As your baby grows, their milk intake and feeding patterns will continue to evolve, but you don’t have to navigate these changes alone. Whether you’re wondering if your baby is getting enough milk, adjusting to the introduction of solids, or trying to find the right balance between nursing and bottle-feeding, we’re here to support you. Schedule a one-on-one appointment (consider a virtual appointment, if you don’t live in San Diego!) with one of our lactation consultants for personalized care and expert advice tailored to your baby’s unique needs.

SDBFC is committed to providing high-quality lactation and functional nutrition consultations to parents in San Diego and beyond. Explore our postpartum, prenatal, and functional nutrition consultations, take a breastfeeding class or attend a workshop.

About the Author

Robin Kaplan has been an IBCLC since 2009, the same year that she opened up the San Diego Breastfeeding Center.  Robin was the founding host of the Boob Group podcast and published her first book, Latch: a Handbook for Breastfeeding with Confidence at Every Stage in 2018.  Melding her passions for supporting lactating parents and holistic health, Robin finished her Functional Nutrition Certification in 2023. In her free time, she enjoys hanging out with her two teenage boys, hiking, traveling, weaving, cooking, and searching for the best chai latte.

I’ve Had My Baby - Now What? Breastfeeding During months 2 through 6.

Originally published on June 24, 2014; Revised Feb 22, 2025

Author: Robin Kaplan, M.Ed, IBCLC, FNC

Welcome back to our series, I’ve Had My Baby - Now What?  

Today, let’s talk about what chest/breastfeeding looks like during months 2 through 6. By now, you and your baby have gotten to know each other, and feeding is likely feeling more familiar. This stage brings exciting changes—longer stretches between feedings, more efficient nursing, and a growing baby who is becoming more interactive. But with these changes, you might also have questions about milk supply, feeding routines, or what’s normal as your baby becomes more active. Below, we’ll explore what to expect during this stage, how to adapt to your baby’s evolving needs, and when to seek support if you need it. 

ABOUT SDBFC

The San Diego Breastfeeding Center was established in 2009 by Robin Kaplan, International Board Certified Lactation Consultant, Functional Nutritionist, and parent.  Her vision was to create a judgment-free, inclusive support system for families navigating infant feeding challenges.  SDBFC offers a wide range of one-on-one breastfeeding, infant feeding, and nutrition consultations - as well as classes, support groups, online articles, and social media - making it your one-stop-shop for all things infant feeding!

What does normal chest/breastfeeding look like in months 2-6?  How often should my baby be eating, and how long should feedings take?

This can vary from baby to baby - the most important thing is that your baby is having lots of wet and dirty diapers and gaining weight appropriately.  Some babies may have started taking in more at each feeding, and spacing them out more, while some may still be eating every 2-3 hours.  If you’re lucky, your baby may have dropped a feeding or two at night, and may make up for it during the day.  Other babies become much more distracted during daytime feedings around 4 months, so continuing those nighttime feedings are crucial for baby to get enough over a 24 hour period.

How much weight should my baby be gaining at this age? Is their weight gain expected to slow during this time?

Around 4 months, babies weight gain does start to slow down.  Up until 4 months, babies should be gaining about 6-8 ounces per week.  At 4 months, this drops to 4-5 oz per week, and then again at 6 months, when we expect baby to gain about 2-3oz per week.  This is important for parents to know so that they don’t worry if they see their baby’s weight gain slow around 4 months of age.  Make sure that your pediatrician is using the WHO charts for weight gain, which is for chest/breastfed babies.  

Suddenly my baby seems too distracted to eat!  Is this normal, and what can I do to get my baby to feed better?

At around 4 months of age, babies start to learn that there is a whole big world out there - and suddenly, *everything* is more exciting than chest/breastfeeding!  Dogs barking, a ceiling fan, someone else in the room. Some ways to help your baby focus while nursing are:

• Feed baby in a quiet and dark room

• Nurse in a carrier

• Let your baby play with something soft and crinkly while nursing.  

  Also, this is definitely NOT a time to start night weaning or sleep training, as these distracted kiddos often need those nighttime feedings to keep gaining weight appropriately.  Also, it’s important to remember that this is really normal behavior - and usually fades around 6 months of age.

I’m getting ready to go back to work - how can I make sure that I’ll be able to pump what my baby needs when I’m away from him/her?

This can be a stressful time for nursing parents - there are definitely some things you can do to help protect your chest/breastfeeding relationship when you return to work.

• Know your rights! Federal law protects your right to pump at work for a reasonable amount of time and in a private space.  

• Do some research ahead of time and talk to your human resources department - find out where the pumping area is, how close it is to your desk or workspace, what equipment you’ll need.  

• Talk to your caregiver about paced bottle feeding and how much milk your baby actually needs per bottle

• Read up on ways to help maximize your output while you’re pumping at work.

My baby still wakes often to eat at night, even at 6 months of age - is this normal behavior?

It is absolutely normal behavior!  By this stage, babies may be sleeping for longer stretches in the first part of the night, but may still wake after that to feed.  By this age, a baby needs anywhere from 28-32 oz in 24 hours and if your baby is too distracted to feed well during the day, they may wake more at night to make up for it.  If you hear your baby gulping during feedings at night, or your baby won’t settle without nursing, it is very likely that they still need the feedings throughout the night.  If the frequent wakings are taking a toll on your mental sanity, co-sleeping and side-lying chest/breastfeeding are great ways to get some extra rest.  If you are uncomfortable with co-sleeping, you can set your alarm for 15 minutes after beginning to chest/breastfeed your baby, and then wake up and place your baby back into their own bed.  If your baby is waking up *very* frequently, every hour, and is very uncomfortable and difficult to soothe, it could be something else that’s causing the restlessness - possibly gut discomfort and/or a sensitivity to something in your diet. Definitely reach out to us for assistance!

My 4-month-old baby will not sleep!  What’s happened to my baby that used to sleep??

The 4-month-sleep regression is a real thing and can wreak havoc on a mom’s sanity.  At 4 months, babies are going through huge developmental milestones.  They have suddenly become aware of all that is going on around them and their excitement about this can interrupt their sleep.  It’s important to keep in mind that this is temporary stage, you will sleep again…. we promise!

My baby is approaching 6 months and I’m starting to think about solids.  How will I know that my baby is ready?

It is definitely recommended to wait until your baby is at least six months of age before offering solid foods – even longer if your baby doesn’t seem ready.  Some of the signs of readiness are being able to sit up on their own unassisted and losing their tongue thrust reflex, so that they don’t automatically push food out of their mouth.  Another sign is when the baby has developed their “pincer grasp”, which is when they can use their fingers to pick up objects.

When I do start solids, what is an appropriate amount to start out with?

Your baby will need a very small amount at the beginning - only about a tablespoon once per day.  The first food doesn’t have to be a grain cereal, either - as many doctors have previously recommended.  Avocados are a perfect first food for your baby.  Remember the saying “food before one is just for fun” – your baby should be getting their total nutrition from your milk (and/or formula) – so the solids you offer them now are just for practice.   As the baby gets older, you can start to add in additional meals and snacks.

How can I be sure that my milk supply won’t suffer once I start feeding my baby solids?

The rule for solids is always – milk first, then food.  You should always chest/breastfeed first and then offer your baby solids.  You want to be sure that baby is still taking a full feeding at chest/breast to both ensure he/she is getting all the calories and nutrition he/she needs, as well as maintaining your milk supply.  If you start to replace chest/breastfeeding sessions with solid meals, you most likely will notice a dip in your supply.

Struggling with your 2-6mo baby’s distracted feedings, frequent night waking, or slow weight gain? We’ve got you covered!

It can be incredibly frustrating when you're unsure if your baby is getting enough milk, especially when dealing with feeding distractions or interrupted sleep. If you're concerned about your baby’s growth, feeding patterns, or just need more confidence in your breastfeeding journey, we’re here to help. Schedule a one-on-one appointment (consider a virtual appointment, if you don’t live in San Diego!) with one of our lactation consultants for personalized care and expert advice tailored to your baby’s unique needs.

SDBFC is committed to providing high-quality lactation and functional nutrition consultations to parents in San Diego and beyond. Explore our postpartum, prenatal, and functional nutrition consultations, take a breastfeeding class or attend a workshop.

About the Author

Robin Kaplan has been an IBCLC since 2009, the same year that she opened up the San Diego Breastfeeding Center.  Robin was the founding host of the Boob Group podcast and published her first book, Latch: a Handbook for Breastfeeding with Confidence at Every Stage in 2018.  Melding her passions for supporting lactating parents and holistic health, Robin finished her Functional Nutrition Certification in 2023. In her free time, she enjoys hanging out with her two teenage boys, hiking, traveling, weaving, cooking, and searching for the best chai latte.

Breastfeeding the Older Baby: What to Expect at 9-12 Months

Originally published on May 1, 2016; Revised Feb 22, 2025

Author: Robin Kaplan, M.Ed, IBCLC, FNC

Welcome back to our blog series, Breastfeeding the Older Baby – What to Expect.

Today, let's talk about what to expect when chest/breastfeeding your older baby between 9 and 12 months. As your little one becomes more mobile and curious about the world, nursing can start to look a bit different—sometimes acrobatic, sometimes distracted, but still an important source of nourishment and comfort. Parents often wonder how breastmilk fits into their baby’s expanding diet and whether changes in feeding patterns are normal. Below, we’ll explore what to expect during this stage, what’s typical, and when you might want to reach out for support.

ABOUT SDBFC

The San Diego Breastfeeding Center was established in 2009 by Robin Kaplan, International Board Certified Lactation Consultant, Functional Nutritionist, and parent.  Her vision was to create a judgment-free, inclusive support system for families navigating infant feeding challenges.  SDBFC offers a wide range of one-on-one breastfeeding, infant feeding, and nutrition consultations - as well as classes, support groups, online articles, and social media - making it your one-stop-shop for all things infant feeding!

What does chest/breastfeeding look like in months 9-12? How often should my baby be eating and how long should feedings take?

Breastmilk (and/or formula) continues to be your baby’s primary source of nutrition until his/her first birthday. Some babies will continue to space out their nursing sessions as they approach this milestone birthday, nursing 4-5 times during the day, and once or more during the night. As your little one begins to explore the tastes and textures of more solid foods and consume more of them at each sitting,  you may notice your little one beginning to nurse less frequently in response to their increased intake of solid foods. As long as your baby is continuing to have five or more wet diapers each day, gains an average of 2-3oz per week, and seems satisfied and content after nursing sessions, then your little one is most likely getting enough nutrition while chest/breastfeeding.

 

When will my baby begin to drop his/her nighttime feeding sessions and sleep through the night?

Such a great question, and one that’s frequently on parents’ minds! When will my baby sleep longer at night? The short answer is - every baby is different. Babies wake throughout the night for varying reasons, including hunger, a need for comfort, a disruption in their sleep cycle, a need for a diaper change, sickness, teething, etc. Chest/breastfeeding often meets more than one of baby’s needs, so it’s easy to fall into the routine of nursing your little one back to sleep. There is absolutely nothing wrong with responding to your little one’s needs by nursing them! If you are happy with your nighttime routine, no need to make significant changes in order to cope with outside pressure and recommendations to “train” your baby to sleep longer at night. That being said, if you find yourself becoming frustrated with nighttime wakings and overtired during the day due to lack of sleep at night, then it might be time to take a closer look at your nighttime routine to make a plan for improving your quality of sleep.

I’ve heard people mention teaching chest/breastfeeding manners to older babies. How does that work?

It’s never too early to start teaching your little one age-appropriate manners. Just as we prompt our toddlers for “the magic word” when they ask for something, older babies can learn to be polite when chest/breastfeeding. Teaching your little one a few basic signs from American Sign Language can be very beneficial in setting the stage for chest/breastfeeding manners. The signs for milk, more, and please are fairly basic and many babies pick up on them quickly. Once your little one has mastered the sign for milk, you can calmly remind them to sign milk when hungry instead of pulling your shirt down or crying out in frustration. Positive reinforcement will go a long way to reinforce the idea that you would like baby to sign milk when hungry rather than clawing at your chest. Baby will also be calmer and happier, seeing you sign milk, showing them you hear and understand their need and are going to chest/breastfeed them soon.

 

My baby has been refusing to nurse, could he/she be self-weaning?

If your baby has been refusing to chest/breastfeed for several nursing sessions or days in a row, then it’s more likely that you and your little one are experiencing a nursing strike, rather than self-weaning. It is very uncommon for a baby to self-wean before their first birthday. As we have said before, babies need milk to be their primary source of nutrition right up until their first birthday. Also, self-weaning is usually a gradual process, where as a nursing strike is characterized by a sudden and complete disinterest and refusal to chest/breastfeed. Nursing strikes are common in older babies and can be in response to teething, distraction, illness, bottle-preference, and other developmental milestones. Tips for surviving a nursing strike and encouraging baby to nurse again are:

• Always offer breastmilk before any solids during baby’s first year of life. If baby won’t nurse, you can offer baby expressed milk in a sippy cup, to ensure baby’s nutritional needs are being met.

• Limit or eliminate bottles and pacifiers. Only use bottles when baby is separated from you and then put baby back to chest/breast when baby is with you.

• If distractibility seems to be playing a role in baby’s refusal to nurse, try wearing a nursing necklace to keep baby’s attention focused on nursing. You can also try giving baby a small toy to hold during feeding sessions, nursing in a quiet room, and nursing baby in a baby carrier.

If you feel your milk supply has decreased, and this has led to the nursing strike, then it is a good idea to make an appointment with a Lactation Consultant to come up with a chest/breastfeeding plan to help you increase your supply and meet baby’s needs moving forward.

If you’re wondering how breastfeeding will change as your baby becomes more independent, you’re in good company!

Every baby transitions through this stage a little differently, and it’s completely normal to have questions about nursing frequency, distracted feedings, or how breastmilk fits into your little one’s growing diet. Whether you need reassurance, tips for managing changes, or support in meeting your breastfeeding goals, we’re here to guide you every step of the way. Schedule a one-on-one appointment (consider a virtual appointment, if you don’t live in San Diego!) with one of our lactation consultants for personalized care and expert advice tailored to your baby’s unique needs.

SDBFC is committed to providing high-quality lactation and functional nutrition consultations to parents in San Diego and beyond. Explore our postpartum, prenatal, and functional nutrition consultations, take a breastfeeding class or attend a workshop.

 About the Author

Robin Kaplan has been an IBCLC since 2009, the same year that she opened up the San Diego Breastfeeding Center.  Robin was the founding host of the Boob Group podcast and published her first book, Latch: a Handbook for Breastfeeding with Confidence at Every Stage in 2018.  Melding her passions for supporting lactating parents and holistic health, Robin finished her Functional Nutrition Certification in 2023. In her free time, she enjoys hanging out with her two teenage boys, hiking, traveling, weaving, cooking, and searching for the best chai latte.

Supporting Tricare Families Through Insurance Challenges: Introducing our Low-Cost Clinic

Published on February 10, 2025

Author: Robin Kaplan, M.Ed, IBCLC, FNC

At the San Diego Breastfeeding Center, we are dedicated to providing compassionate and expert care for families during their chest/breastfeeding journeys. It is with heavy hearts and sincere regret that we share an important update about our services.

Due to ongoing delays from TriWest in countersigning our contract, we are no longer able to provide insurance-covered appointments to Tricare families. This decision was not made lightly. We held out as long as we possibly could, hoping to avoid any gap in care. 

We deeply understand how difficult and frustrating this situation is for our military families, and we remain committed to supporting them through this transition.

Introducing SDBFC’s Low-Cost Clinic 

To help bridge this gap, we’ve added a low-cost clinic option for Tricare families. This affordable clinic is also available to families with insurance we do not accept, such as Kaiser, HMOs other than UCSD Managed Care, or MediCal, who may be unable to afford the cost of our one-on-one consultations.

Unlike our free support group, this clinic offers guidance from an IBCLC to provide a more in-depth and skilled assessment, as well as an individualized plan of care. 

These 90-minute sessions cost $49 and include:

• Oral exams (when needed)

• Weighted feeds

• Individualized care for latch, positioning, pain, and milk supply

Group size is limited to three families to ensure personalized attention.

Free Friday Support Group

We also continue to offer our free weekly support group led by Valori Sharp, our experienced lactation educator. This group provides general advice and weight checks in a supportive community setting.

Thank You for Your Understanding and Support

We are always looking for thoughtful ways to adapt and continue providing quality lactation care at accessible prices for our local San Diego families. The introduction of our new low-cost clinic has not only provided a much-needed solution for Tricare families but has also opened the door for many other local families with insurance we do not accept. 

Your family’s health and well-being remain our top priority, and we are proud to find creative solutions to support you.  We remain dedicated to serving you and advocating for better healthcare access for all families.

Due to their complex nature, all bottle feeding, pumping flange fittings, and functional nutrition appointments will only be available as private one-on-one consultations.

About SDBFC

The San Diego Breastfeeding Center was established in 2009 by Robin Kaplan, International Board Certified Lactation Consultant, Functional Nutritionist, and parent.  Her vision was to create a judgment-free, inclusive support system for families navigating infant feeding challenges.  SDBFC is committed to providing high-quality lactation and functional nutrition consultations to parents in San Diego and beyond. Explore our postpartum, prenatal, and functional nutrition consultations, take a breastfeeding class or attend a workshop.

About the Author

Robin Kaplan has been an IBCLC since 2009, the same year that she opened up the San Diego Breastfeeding Center.  Robin was the founding host of the Boob Group podcast and published her first book, Latch: a Handbook for Breastfeeding with Confidence at Every Stage in 2018.  Melding her passions for supporting lactating parents and holistic health, Robin finished her Functional Nutrition Certification in 2023. In her free time, she enjoys hanging out with her two teenage boys, hiking, traveling, weaving, cooking, and searching for the best chai latte.