In this article:
Understanding Pregnancy While Nursing
When you become pregnant again, your body begins releasing new hormones, particularly oestrogen and progesterone, to support the uterine lining and foetal growth. These hormonal shifts can influence both your milk production and nipple sensitivity.You may notice:
- A drop in milk supply by the end of the first trimester.
- Changes in milk taste or texture, sometimes making your older baby feed less.
- Breast tenderness or nipple pain, especially during the first 12 weeks.
The decision of whether or not to breastfeed while pregnant is not always clear. An understanding of its benefits, its risks, and how ready you and your nursing child are to wean will help you determine what is best for everyone involved.
Many women worry about breastfeeding while pregnant as breastfeeding can cause mild uterine contractions. However, in a healthy pregnancy, these contractions are not a concern, as they generally do not cause preterm labour. This is because oxytocin, the hormone released during breastfeeding that stimulates contractions, is usually released in such a small amount during breastfeeding that it is not enough to cause preterm labour. Such contractions are also harmless to the foetus and rarely increase the chances of miscarriage. Also, although a small number of pregnancy hormones pass into your milk, these hormones pose no risk to your child.
Doctors generally advise weaning only if you’re at risk of complications such as recurrent miscarriage, preterm labour, or vaginal bleeding. While breastfeeding during pregnancy is generally considered safe, there are some cases where weaning may be advisable: if you have a high-risk pregnancy or are at risk for preterm labour, if you are carrying twins, if you have been advised to avoid sex while pregnant, or if you are having bleeding or uterine pain. If you experience these symptoms, talk with your doctor to determine whether weaning would be the best option for you, your nursling, and your unborn child.
In uncomplicated pregnancies, your uterus remains well protected, and oxytocin released during breastfeeding is rarely enough to cause contractions strong enough to trigger labour.
How Your Body Manages Dual Demands
Breastfeeding and pregnancy both rely on your body’s nutritional reserves. When combined, they can be draining, especially if you’re not eating enough or spacing meals properly.Here’s what happens physiologically:
- Your caloric needs rise by about 300–500 kcal/day during pregnancy and another 400–600 kcal/day if you’re nursing actively.
- Iron and calcium stores can deplete quickly, increasing risks of anaemia and bone fatigue.
- Hydration needs nearly double because both breast milk production and amniotic fluid depend on water intake.
Nutritional Needs When Pregnant and Breastfeeding
Your diet now supports three bodies: yours, your nursing child’s, and your unborn baby’s. Getting this right is key to maintaining stamina and preventing deficiencies.1. Iron and Protein: Guarding Against Anaemia
Pregnancy and lactation both lower iron stores. Include:- Iron-rich foods such as spinach, ragi, bajra, lentils, dates, jaggery, and red rice.
- Vitamin C sources like guava, amla, and lemon can help enhance absorption.
- Protein from paneer, legumes, tofu, eggs (if non-vegetarian), and pulses to aid tissue repair.
2. Calcium and Vitamin D: Supporting Bones and Teeth
Calcium helps your baby’s bone formation and replaces what’s lost in milk production. Combine:- Dairy, sesame seeds, ragi, and fortified plant milks.
- Morning sunlight for natural vitamin D.
- A doctor-prescribed supplement if blood tests show a deficiency.
3. Fats and Omega-3s: For Brain Development and Energy
Healthy fats are crucial during the second and third trimesters. Add:- Ghee or cold-pressed oils in small amounts.
- Flaxseeds, walnuts, and chia seeds for omega-3 fatty acids that support foetal brain growth.
4. Hydration and Electrolytes: Preventing Fatigue
Drink at least 10–12 glasses of fluids daily: plain water, coconut water, thin buttermilk, or homemade lime water with a pinch of salt. If you’re sweating heavily or nursing frequently, increase intake accordingly.Common Symptoms and How to Manage Them
1. Sore Nipples and Tender Breasts: In early pregnancy, hormonal surges can make nursing uncomfortable. Try adjusting feeding positions, using lanolin-based creams, or expressing milk occasionally to reduce direct friction.2. Fatigue and Low Energy: You’re burning more calories than ever. Prioritise rest whenever possible. Afternoon naps and shared childcare support can help offset nighttime nursing fatigue.
3. Cramping or Uterine Tightness During Feeds: Mild cramping can occur because breastfeeding releases oxytocin. If it’s painful, persistent, or accompanied by spotting, speak to your gynaecologist, especially if you have a history of preterm labour.
4. Dizziness or Weakness: These may signal anaemia or dehydration. Add iron-rich foods, stay hydrated, and check haemoglobin levels regularly.
When to Wean (or Not)
Deciding whether to continue breastfeeding during pregnancy depends on both your body’s comfort and your older child’s needs.You may consider weaning if:
- You’re severely exhausted despite good nutrition.
- You develop pregnancy complications such as placenta previa, cervical shortening, or recurrent spotting.
- Your doctor advises rest or reduced nipple stimulation.
- Shorten feeding sessions.
- Encourage your child to eat solids if they’re over one year old.
- Create “no-feed” periods during the day to allow recovery.
Remember, continuing or stopping breastfeeding is not a measure of love. What matters most is that you and your children are nourished, calm, and supported.
Whether you’re pregnant, a new mom, or navigating postpartum, you don’t have to do it alone. Join our support group to connect, share, and support one another.
FAQs on Pregnant Again While Nursing? Tips to Stay Healthy and Energised
- Is it safe to breastfeed during pregnancy?
Yes, if your pregnancy is healthy. For most women, the mild uterine contractions caused by breastfeeding are not strong enough to induce labour. However, stop if you experience bleeding, severe pain, or preterm contractions. - Does breastfeeding affect the unborn baby’s nutrition?
No, your body naturally prioritises the foetus. However, you must eat and hydrate enough to maintain your own energy and milk supply. Poor nutrition can affect both you and your nursing child. - Will my milk supply or taste change?
Yes, supply may drop during the first trimester, and hormonal shifts can alter taste. Some toddlers self-wean as a result, while others continue happily. - Can I continue breastfeeding after the new baby arrives?
Yes, tandem nursing is possible if you stay well-nourished and practice hygiene. Always feed the newborn first to ensure they receive colostrum and adequate milk.
