Feeding and nutrition of the mother during lactation

By (gynecologist) and (embryologist).
Last Update: 06/02/2025
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When a mother chooses to breastfeed, it is important to take care of her diet during this period since the baby receives all the nutrients necessary for its development through breast milk.

Therefore, it is recommended that women follow a healthy and balanced diet during the breastfeeding period. It is not necessary to follow a specific dietary pattern, but it is necessary to pay attention to some beneficial foods and others that may be harmful.

It is essential that it is a varied diet and that there is a nutritional contribution of fruits, vegetables, cereals, legumes, meats, fish, eggs and dairy products.

The different sections of this article have been assembled into the following table of contents.

Breastfeeding

One of the benefits of breastfeeding is that it helps women lose weight after giving birth. This is due to the energy consumption involved in breastfeeding. However, it is not advisable to go on any kind of diet during breastfeeding to lose weight and regain size.

In addition, according to the World Health Organization (WHO), breast milk is the best food for a nursing baby, since it contains all the nutrients it needs (proteins, fats, carbohydrates, vitamins, minerals and water) in quantity and quality. Another benefit of breast milk is that it provides antibodies to the baby to strengthen its immune system.

However, in order for the composition of the milk to be adequate and to provide the baby with all the necessary components for its development, the mother must eat a healthy diet.

It is true that breast milk is able to cover the baby's nutritional needs, even if the mother does not feed herself correctly. However, if the mother does not follow a healthy diet during breastfeeding it could be detrimental to health, as the lack of nutrients will be drawn from the mother's reserves.

Breastfeeding is, together with pregnancy, one of the stages of a woman's life with the highest nutritional requirements.

On the other hand, a low-calorie diet or a diet that includes foods from only one food group may decrease the quantity and quality of milk produced.

Nutritional recommendations

On numerous occasions, mothers who choose to breastfeed notice an increase in hunger. This is completely normal, as the body is exerting a greater effort to produce milk.

Despite this increased hunger, it is advisable to consume small amounts, but very frequently. This will help to maintain constant energy levels, as well as control hunger and avoid binge eating.

Other important considerations about feeding during breastfeeding, as well as the most appropriate foods and beverages for breastfeeding, are detailed below.

What are the right foods for breastfeeding?

In order to follow a healthy diet during lactation, it is essential to consider variety and balance.

A mixture of carbohydrates, proteins, and fats is mandatory at meals, as it provides energy to produce milk and supplies the body with all essential nutrients.

Among the most suitable foods during lactation, we find the following:

Cereals and pulses
whole wheat bread, rice and lentils are very beneficial as they provide protein, calcium and iron. It is important to include a small amount at each main meal.
Fruits and vegetables
should always be consumed fresh, not only because they have more nutrients than processed foods, but also because they are the main source of vitamins and minerals. It is also important to eat them daily.
Meat
beef has a high protein content, which covers the energy needs of the nursing mother. It also contains folic acid or vitamin B9, which is involved in the formation of various tissues, such as muscles, nerves, and blood. It is recommended to eat red meat 2 or 3 times a week, while white meat and eggs can be consumed more.
Fish
is an important source of protein when breastfeeding. Oily fish contains omega-3 acids such as decosahexanoic acid (DHA) which plays a crucial role in the development of the nervous system (mainly the brain). It has been scientifically proven that the omega-3 acid consumed by the mother reaches the child through breast milk. In addition, DHA also improves maternal health, as women with lower DHA levels are more prone to postpartum depression.
Dairy
it is important to increase dairy intake during lactation for a higher calcium intake. If the mother does not consume the calcium needed to produce milk, she will take it from her bone reserves. It is preferable to drink skimmed dairy products.
Healthy fats
it is important to consume fats of varied origin, such as olive oil, sunflower oil, butter, or margarine, as some of them provide omega-3 and omega-6, which are essential for the baby's neurological development, and also other important vitamins such as A and D.

On the other hand, if you want to learn more about food and fertility in women, we recommend you to visit this link: What are the types of foods that promote female fertility?

Influence of maternal feeding on milk flavor

Some foods, especially vegetables, can affect the organoleptic and digestive characteristics of breast milk. Therefore, the baby may react to certain foods if he does not like the taste of the milk or it does not agree with him.

Normally, the baby will cry or feel irritated after feeding if he notices that the milk tastes too strong for him. It is important for the mother to observe these reactions and, if necessary, eliminate these foods that displease the baby until breastfeeding is terminated.

Some of these foods are the following: citrus fruits, cauliflower, asparagus, artichokes, onions, red radishes, raw peppers, garlic, leeks and spicy food.

It should be noted that if the baby does not respond badly to these products, it is not necessary to stop taking them. Some experts say that it is also beneficial for the baby to become accustomed to different flavors through breast milk.

Are vitamin supplements necessary during lactation?

Despite consuming large amounts of fruits and vegetables, most doctors recommend taking vitamin supplements during breastfeeding.

Depending on each woman and her needs, it is possible to continue with prenatal vitamins or the doctor may prescribe other multivitamin complexes.

In general, the vitamins and minerals that should not be lacking during lactation are the following:

Calcium
the mother should consume at least 3 to 4 servings per day of calcium-rich foods (milk, yogurt, sardines, almonds, spinach or tofu) to get the necessary intake, about 1,000 mg per day. To ensure that this is achieved, it is best to take a calcium supplement.
Vitamin D
is important for bone growth because it helps to better absorb calcium. It is not possible to obtain the necessary amount of vitamin D during lactation from food and, therefore, an external supply will be necessary.
DHA
as we have said, this vitamin is obtained through the intake of fish, seafood and eggs. In case of not eating enough fish portions weekly, an additional DHA supplement will be necessary to achieve the recommended daily amount (200-300 mg).

In addition, lactating women should increase their daily intake of vitamins A and B in fruits and vegetables by 30-50%, as their requirements increase considerably during this period.

Prohibited foods

Some foods should be avoided or reduced during breastfeeding because they may be detrimental to the baby's health. These are discussed below:

Large fish
tuna or swordfish may have a high mercury content. WHO does not recommend them for pregnant women, nursing mothers, or children under one year of age.
Pastries and sugars
chocolate, jam, and sweets, in general, are allowed, but should not be consumed more frequently than twice a week.
Caffeine
can reach the baby through breast milk and cause insomnia, nervousness and irritability. It is recommended to moderate their consumption and not to drink more than one glass of coffee, teas, soft drinks, etc., per day. It is best to opt for decaffeinated coffee.
Alcohol
is detrimental to the neurological development of the baby and is therefore not recommended during breastfeeding. If you have had a drink of alcohol, you should wait about 4 hours for the alcohol in your blood and milk to decrease so that you can breastfeed.

Finally, special care must also be taken with medications, especially antitussives, corticosteroids, and some antibiotics, as they can pass into the milk and have harmful effects on the newborn.

If you need to take any medication during breastfeeding, it is best to seek medical advice and avoid self-medication.

Drinks in lactation

Maintaining proper and adequate hydration during the breastfeeding period is crucial, as it ensures daily milk production.

Breast milk is composed of 85-90% water. For this reason, it is advisable to drink at least 2 liters (8 glasses) of water daily, in addition to the amount of water obtained from the consumption of fruits and vegetables.

You can vary your daily water intake with other beverages such as herbal teas, natural juices, broths and soups. In this way, the recommended fluid intake would also be guaranteed.

FAQs from users

What should the mother's diet be like during breastfeeding?

By Blanca Paraíso M.D., Ph.D., M.Sc. (gynecologist).

Breastfeeding involves a loss of nutrients through the milk that will require special nutritional needs, even greater than during pregnancy. Therefore, in general, during lactation, intake should be increased, avoiding diets of less than 1800 cal per day.

Both the maternal nutritional status and the adequate nutrition of the infant will depend on this. However, even in cases of maternal malnutrition such as famine, breast milk will have an excellent nutritional and immunological value with stable levels of iron, zinc, folate, calcium, etc., since the energy, proteins, and nutrients in the milk come both from the diet and from the mother's own reserves.

In short, a varied diet rich in fruits, vegetables, and foods of animal origin is recommended, as well as the supplements indicated by scientific societies.
Read more

Is it possible to lose weight or gain weight during breastfeeding?

By Zaira Salvador B.Sc., M.Sc. (embryologist).

Yes, it is normal to lose weight during breastfeeding, but some women may keep the same or even gain some weight. This depends on diet, exercise and metabolism.

During breastfeeding, it is possible to go on a weight loss diet, but be careful. It is not advisable to start the diet before the baby is two months old, as it can significantly affect milk production. On the other hand, the diet should be very unrestrictive and lose weight slowly. If the weight loss is too rapid, it is possible to release toxins derived from body fat into the breast milk, which is harmful to the baby.

What are the myths about maternal nutrition during breastfeeding?

By Marta Barranquero Gómez B.Sc., M.Sc. (embryologist).

Over time, there have been some erroneous or false beliefs about breast milk and breastfeeding that have ultimately proven to be false. Listed below are some of these false beliefs:

All of these claims about breastfeeding are false and unscientific. Therefore, these beliefs do not affect the ability to breastfeed or the quality of the milk.

Can mother's feeding cause colic in the baby?

By Zaira Salvador B.Sc., M.Sc. (embryologist).

Some experts affirm that certain foods can have a negative influence on milk and, therefore, it is advisable to eliminate them so as not to cause discomfort to the baby. These foods are the following: cabbage, onions, garlic, broccoli, Brussels sprouts, cauliflower, cow's milk and its derivatives, chocolate, etc.

Is it possible to follow a vegetarian diet while breastfeeding?

By Marta Barranquero Gómez B.Sc., M.Sc. (embryologist).

Yes, vegetarian or vegan mothers can continue with their eating habits without any problem during the breastfeeding stage. However, it is recommended to take into account some medical considerations and to take certain vitamin supplements.

How should the mother's diet be during breastfeeding according to the WHO?

By Marta Barranquero Gómez B.Sc., M.Sc. (embryologist).

A nursing mother should have a balanced and varied diet in order to provide the necessary nutrients to the baby during breastfeeding. In addition, many specialists recommend the administration of vitamin supplements during breastfeeding.

For all these reasons, the World Health Organization (WHO) states that breast milk is good for babies, as it contains all the nutrients. Breast milk

Suggested reading

If you would like to know the advantages of breastfeeding, we recommend you to visit the following article: Benefits of breastfeeding for the baby and the mother.

We make a great effort to provide you with the highest quality information.

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References

Amanda Black. Breastfeeding the premature infant and nursing implications. Adv Neonatal Care. 2012 Feb;12(1):10-1. doi: 10.1097/ANC.0b013e3182425ad6 (View)

Marianne Neifert, Maya Bunik. Overcoming clinical barriers to exclusive breastfeeding. Pediatr Clin North Am. 2013 Feb;60(1):115-45. doi: 10.1016/j.pcl.2012.10.001 (View)

Rosa María Santiago-Cruz , Elina Alvarado-de Luzuriaga, Marianne Gisselle Monroy-Azuara, Graciela Sideny Arciga-Vázquez, Elba Nelly Cano-Vázquez, Ulises Cruz-Apanco, Imelda Palma-Jiménez, Socorro Méndez-Martínez. Breastfeeding and infant feeding in the first level of attention. Rev Med Inst Mex Seguro Soc. 2019 Dec 30;57(6):387-394.

Stephanie Sayres, Lisa Visentin. Breastfeeding: uncovering barriers and offering solutions. Curr Opin Pediatr. 2018 Aug;30(4):591-596. doi: 10.1097/MOP.0000000000000647 (View)

Virginia Thorley. Is breastfeeding 'normal'? Using the right language for breastfeeding. Midwifery. 2019 Feb;69:39-44. doi: 10.1016/j.midw.2018.10.015. Epub 2018 Oct 27 (View)

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