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Expert Q&A:
Is it safe to continue breastfeeding while I'm pregnant?

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Margaret Freda
Answered by Margaret Freda Ed.D., R.N., C.H.E.S., F.A.A.N.
"I've been a professional nurse working with pregnant women and parenting families since 1966," says Margaret Comerford Freda. "Pregnant women and parents need to know as much as possible about their own health and that of their children."

Margaret Comerford Freda, Ed.D., R.N., C.H.E.S., F.A.A.N., is a Professor in the Department of Obstetrics &; Gynecology and Women's Health, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, and also serves as Director of Patient Education Programs for that department. Since 1993, Dr. Freda has been the Consultant for Nursing at the National March of Dimes Birth Defects Foundation and the Chair of the National March of Dimes Nurse Advisory Council. In addition, Dr. Freda serves as the editor of MCN, The American Journal of Maternal Child Nursing.

Dr. Freda received her Master's Degree in Nursing from New York University and her doctorate in Health Education from Columbia University. She has worked in women's health for her entire professional career. Dr. Freda has published 50 research articles in professional journals, and is a frequently invited speaker at nursing and medical conferences. She has written two books: Perinatal Patient Education, published by Lippincott Williams &; Wilkins, and Miscarriage After Infertility, published by Fairview Press, written with her daughter Carrie Semelsberger, who is also a nurse.

Dr. Freda has received several noteworthy awards, such as the Distinguished Professional Service Award and the First National Award for Excellence in Nursing Research from the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN), the Woman of Distinction Award and the Maternal Child Nurse of the Year Award from the March of Dimes, the Patient Care Award for Excellence in Patient Education from the American Academy of Family Physicians, the Research Recognition Award from Molloy College, and several Outstanding Research Paper awards at national conferences. She serves on the Scientific Advisory Council for the March of Dimes, and was selected to serve on the Select Panel of the Centers for Disease Control to advise on prenatal health. Dr. Freda has developed patient education booklets and videotapes that are now distributed nationally.

Dr. Freda has been married for four decades. She has two daughters, two sons-in-law, three grandsons, and a granddaughter.
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Question


Is it safe to continue breastfeeding while I'm pregnant? Do the developing baby and the breastfeeding baby, who is 8 months old, both receive adequate nutrition?

Answer


The human body is an amazing thing, for it is certainly possible to nurture an 8-month-old baby with breastfeeding as well as provide adequate nutrition for the developing fetus. The only problem is maintaining the appropriate nutrition for you. You know that you need additional calories as a breastfeeding mother, and also additional calories as a pregnant woman, so it is vitally important that you be sure your nutritional needs are met. You need extra calcium, protein, fluids, and calories during this time, so be sure to treat yourself well and eat a well-balanced diet. I'm not sure what your feeding plans are for the second child, but if you plan to breastfeed your second child, you need to think about whether you plan to breastfeed both the children or wean your first child. If you plan to wean the older one, it would be helpful for you if he or she were happily weaned before you gave birth again, so there are no additional feeding issues when you begin breastfeeding your second. If you plan to breastfeed both children, be sure that the newborn second child is always breastfed first, so he or she will receive adequate nutrition in those all-important first months of life.
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