breasfeeding baby

First published August 2021
Updated April 2026

Providing human milk to your baby can be one of the most rewarding aspects of early parenting, but it can also be challenging without the right knowledge and support. It is important to debunk some common myths about human milk feeding that can make things harder for new parents.

Myth #1: Nursing hurts.

Breastfeeding and chestfeeding should not be painful. A little tenderness in the beginning is normal, but this is typically gone within the first week of life. 

Contact a lactation consultant for help if:

  1. You still have discomfort after the first few days or pain at any point
  2. You have pain in between feedings
  3. You have cracked, damaged, or bleeding nipples

Myth #2: Human milk feeding is only beneficial for the first few months of a baby’s life.

The WHO (World Health Organization) and the AAP (American Academy of Pediatrics) recommend that babies receive human milk for at least two years and beyond as desired by the feeding parent and infant. Health benefits for both parent and baby increase the longer the baby is fed the parent’s milk.

There are many benefits of feeding human milk. Parents providing human milk to their infants have less risk of high blood pressure, ovarian and breast cancer, as well as type 2 diabetes, with a greater reduction in risk the longer a parent provides human milk. Infants fed human milk have lower rates of obesity as well as ear infections, respiratory infections, and GI infections. They are also less likely to develop childhood leukemia, type 1 diabetes, and asthma. Providing human milk to your infant for two months reduces their risk of sudden infant death syndrome (SIDS or SUID) by 50%

Myth #3: Parents should not breastfeed or chestfeed when they are sick.

When a parent is sick, even with COVID-19 or flu, it is still recommended that they continue to provide milk for their baby. Antibodies in the milk will help to protect the baby from illness. Formula does not have these important antibodies.

Vaccinations are an important tool to keep you and your baby safe. It is safe to continue providing milk after getting the COVID-19 vaccine. Getting the COVID-19 vaccine also makes it less likely that you will get COVID-19, and if you do, it’s less likely that you will become severely ill and unable to care for your baby. Similarly, it is safe to get the flu vaccine while breastfeeding. All vaccines are safe and recommended during breastfeeding or chestfeeding, except for the yellow fever vaccine. If you are traveling to an area requiring a yellow fever vaccine, talk with your doctor about the best plan to keep you and your baby safe.

Take these steps to protect your baby while providing milk when you are sick:

  1. Wash hands before and after holding your baby.
  2. Wear a face mask while feeding your baby.
  3. If possible, have a healthy caregiver help with other care of the baby so that you can rest.
  4. If unable to directly nurse your baby, pump to protect your milk supply and feed your pumped milk as the next best alternative.

Myth #4: Parents cannot breastfeed or chestfeed if they are smoking or taking medications.

Most medications, including medications to treat anxiety and depression, are safe with human milk feeding. The risks of formula feeding outweigh the risk of smoking while breastfeeding or chestfeeding. Breastfeeding and chestfeeding help protect babies against SIDS and lung infections, which are more common in babies who are exposed to secondhand smoke.

Here are a few important facts to know about medications and human milk feeding:

  1. Your doctor and your baby’s doctor can look up your medications to see if they are safe.
  2. If a medication is not safe, an alternative medication is usually available.

Myth #5: Formula supplementation is needed to make sure that the baby is “getting enough.”

When babies are supplemented with formula early on, they are more likely to stop breastfeeding or chestfeeding sooner than babies who don’t receive formula. Exclusive breast or chestfeeding is recommended by the WHO and AAP for the first six months of an infant’s life. In the early weeks, it is common for babies to feed very frequently. This does not mean that there is not enough milk.

Here are a few signs to watch out for to ensure that baby is getting enough milk:

  1. You can hear baby swallowing milk during feeds.
  2. Baby appears relaxed, with open hands after finishing a feed.
  3. Baby has plenty of wet and dirty diapers.
  4. Baby is gaining weight.

If you are concerned about whether your baby is getting enough milk, the best way to know is to weigh them at the doctor’s office. You can schedule a weight check with your pediatrician at any time. You can also discuss your concerns with a lactation consultant. Most of our primary care offices have a certified lactation counselor, and if you are a primary care patient you can call them at 614-355-0720 with any questions or to request an appointment.

Myth #6: I need to take special supplements, teas, or cookies to make enough milk for my baby.

There is no evidence that supplements, teas, or cookies are needed to make enough milk for your baby. The size of a parent’s breasts doesn’t determine how much milk they will make. Fatigue and exercise do not affect supply, but stress can affect how well milk comes out. 

Here are a few tips to maintain a full milk supply:

  1. Eat when hungry and do not restrict calories.
  2. Drink until no longer thirsty.
  3. Feed your baby frequently; it’s typically necessary to nurse your baby or pump 8-12 times per day to maintain a full milk supply, especially in the first 6-8 weeks.
  4. If you are feeling stressed, take a few minutes before nursing or pumping to take a few slow deep breaths or try a brief meditation exercise.
  5. If you are concerned about your milk supply, seek help by calling your OB, your baby’s pediatrician or a lactation consultant.

Primary Care Pediatrics at Nationwide Children’s Hospital provides lactation services in most clinics – click here to schedule an appointment. For central Ohio breastfeeding resources, visit the Children’s Advocacy Project of Columbus, Ohio (CAP4Kids).

Featured Expert

Nationwide Children's Hospital Medical Professional
Sara Schroder, MD
Primary Care Pediatrics

Sara Schroder, MD, is a staff physician in the Section of Primary Care Pediatrics at Nationwide Children’s Hospital and a clinical assistant professor of Pediatrics at The Ohio State University College of Medicine. She provides direct patient care at the Nationwide Children's Hospital Olentangy and Linden Primary Care Centers and covers at all of the other Primary Care Centers. Dr. Schroder’s clinical interests include preventive care, breastfeeding and teaching medial students and residents.

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