Maximizing Pumping Sessions

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Melissa Portunato MPH, IBCLC, RLC

Pumping breastmilk for your baby is a huge accomplishment, one that takes time, hard work, and patience. You are already juggling the work of caring for a newborn, maintaining a household, and possibly also working or heading back to school. Finding the time to squeeze into pumping can be a struggle and exhausting at times, but we can help lessen the load! Read on to learn practical tips to help you maximize your pumping sessions and say hello to more free time! 

Stop Watching the Bottles 
Relaxation is key when it comes to pumping. It is really hard to get milk flowing when you are staring at the bottles fill up slowly and stressing out. Find a comfortable place to pump, where you can feel most at ease. Cover up the bottles with a baby bootie or blanket. Take a deep breath in and out to relax any places of tension that you feel on your body, face, shoulders, and even your pelvic floor! Sip a cup of tea or glass of coconut water (nature’s hydration drink) and put on some soothing background music. 

Do the “Milk Shake”
To get started, stimulate your milk ducts by gently shaking and massaging your breasts. Just a minute or two of massaging your breasts before a pumping session can help to stimulate your milk-producing glands, allowing for a faster letdown.  Using hand stimulation or vibration on the breasts can help to dilate the milk ducts, increase circulation and encourage milk to flow. Applying warmth to your breasts can also help to maximize pumping sessions. Wrap up your flanges in a warmed towel or dishcloth before applying them to your breasts. 

Hands-on Pumping 
“Hands-on Pumping” is a technique that uses breast massage to drain the breast better and stimulate healthy milk production. Studies tell us combining hand expression, and breast massage while pumping can increase milk volume by 48%. Benefits of Hands-on Pumping are higher milk volumes, increased fat content, and less time pumping! Every breastfeeding mom should use Hands-on Pumping because it’s simple and maximizes pumping sessions!

Watch this video on Hands on Pumping while you pump! 

Flange Size Matters
Having the right size flange can make a huge difference in your pumping output. So how do you know if it’s a proper fit for you? During pumping, your nipples should move freely in the tunnel, there should be space around the nipple, and very little of the areola should be drawn into the tunnel. If the flanges are too small, you may experience discomfort as the nipples rub up and down along the sides of the tunnel. If it’s too big, a large portion of the areola is drawn into the tunnel. Improperly fitted flanges can reduce your milk output. Spectra baby USA flanges come in several sizes, 20mm (S), 24mm (M), 28mm (L), and 32mm (XL).

 Need breastfeeding support? Connect with us at ibclc@spectrababyusa.com. Our highly skilled Lactation Consultants will continue to troubleshoot with you and help to get you on track with your pumping goals. 

 At Spectra Baby USA, we’re here for you and support you! 

What is a Doula?

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By Danina Avery Doula, Childbirth Educator, and Breastfeeding Counselor

Doula-ing is the act of educating, loving, respecting, listening, embracing, advocating for, and assisting a person prenatally during labor, childbirth, and after.

Many care providers are running from patient to patient and don’t have the time to sit down and have a conversation and provide a thorough response to every patient’s question. A doula takes the time to open discussions with their client and answer any question they may have, with evidence-based research and without judgment, regardless of how serious or silly the question may seem. In addition, a doula can be a confidant for any doubts, fears and answer any questions. Having an informed birth leads to a more joyful and less stressful occasion.

Usually, especially for a first-time parent, birth is an unknown experience, and the unknown can sometimes be scary. However, a doula understands that although births happen every second around the globe to an individual woman who has never gone through that experience, it can be a life-altering event. Having someone there during labor, continuously providing support, makes a difference when a birthing person and their partner feel lost within the birth world. And even if they aren’t, having someone with knowledge of different positions and movements and providing a calming presence can change the whole view of the birth experience.

As a birth doula, I love holding space for birthing people during their first time through the process as a compassionate presence. Additionally, as a doula, I am prepared with tools to guide the birthing family through the most challenging times. Examples include my rebozo, essential oils, meditation sounds, hypnobirthing audios, and pain-relieving techniques.

In times of doubt of progression or when roadblocks come along, a doula with extensive knowledge of the physiology of birth can help the parents make an informed decision on the next step to take, whether it be to follow through with an intervention or refuse the treatment and try something different.

Once the baby is born, the parents’ lives are completely transformed. A baby comes along with a life-changing schedule, a need for sleep, and a necessity for an abundance of patience. Sometimes, babies are very easy to comfort and take care of during infancy. Other times, they are not easy to manage between two parents who are new to the experience and sleep-deprived. Regardless of the situation, there are many questions new parents have, whether it be about the amount baby is eating, what a diaper rash looks like, what to pack in a diaper bag, the best types of diapers, what bottles to use, how a good latch looks, what babywearing is, how a car seat needs to be installed, or if the baby’s poop is a healthy color. A doula expert in newborn care can help answer all these questions. And if they do not know the answer, they can refer to a list of trustworthy providers.

Teaching parents the importance of self-care is also part of the role of a postpartum doula. Parents tend to engulf themselves by their new baby’s schedule and put their own lives and relationships on the back burner. As a doula, I talk about taking a few minutes to themselves to shower and have a good meal, and even go out to get a cup of coffee so they can feel refreshed. Having parents who have a stable relationship allows a child to grow in a happy environment. Doulas are also trained to look for signs of PPMD (Postpartum Mood Disorders) and know when to provide clients with referrals.

To learn more, follow Danina @midsummers_eve_doula on IG or on her website at: https://midsummersevedoulaservices.com

 

The Magic Number

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By Melissa Portunato MPH, IBCLC, RLC 

What is the “Magic Number”? 
The “Magic Number” refers to the number of times per day a breastfeeding mom needs to empty her breasts to maintain healthy milk production. This theory is based on individual storage breast capacity and will be different for everyone. Women with larger storage capacity will need to empty less, while those with a smaller capacity will need to empty more often to produce the same amount of milk. 

How much breastmilk is normal when pumping?
The average milk output for mothers exclusively pumping or pumping for a missed feed is 2 – 4 oz every 2-3 hours / 25-30 ounces per day. If you are nursing then pumping, expect to see about half the amount. 

How to Find Your “Magic Number”
How much milk do you pump in the first breast pump of the day? This amount will determine the number of times to remove milk for healthy production. 

Largest  Large Average Small  Smallest 
Max Yield  10 + oz 5-9 oz 3-5 2-3 oz 1-2 oz
Maintain Milk Production  3-4 pumps per day  5 pumps per day 6 pumps per day  7 pumps per day  8 pumps per day 

The “Magic Number” is based on breast storage capacity or the max amount of breastmilk your breasts can hold. Pump more than your “Magic Number” to increase milk supply or when weaning, gradually pump fewer times throughout the day. Avoid waiting to pump until you feel full or engorged because it can lead to reduced milk supply over time. On average, 6 times per day will maintain milk production. 

If you are struggling with milk supply or have seen lowered milk production since you returned to work, finding your “Magic Number” can help you readjust your pumping/nursing schedule to continue to meet your breastfeeding goals. 

Need help with pumping? Schedule a complimentary consultation with a Spectra baby USA IBCLC! We are here for you, and we support you! 

Source: 

Mohrbacher, N. (2016, August 29). The ‘magic number’ and long-term milk production (parts I and II). Nancy Mohrbacher. Retrieved January 4, 2022, from http://www.nancymohrbacher.com/articles/2010/8/13/the-magic-number-and-long-term-milk-production-part-1.html 

 

Exclusively Pumping: Why and How

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By Jennifer Gaskill

As a first-time mother, I experienced both the demanding and rewarding sides of providing breast milk for my child. My breastfeeding journey was unique and challenging. Like many moms today, my expressed breast milk saved the day. Nowadays, exclusively pumping, once the territory of mostly NICU moms, has become the chosen feeding option for more women.

Some women turn to pumping after dealing with latch and supply issues and/or lack of support at the start of their breastfeeding journey.  For these women, pumping is the one way to supply breast milk to their child. Moreover, working mothers must build up a milk bank before going back to work, helping make the transition easier for both mom and baby.  It is essential that moms considering pumping choose an efficient pump.

Choose the right tool

Most experts state that quality, closed-valve, hospital-strength pumps work best.  Exclusive pumpers must choose a pump that can endure five or more sessions per day throughout the breastfeeding experience. Here are some tips for choosing a pump:

  • Choose a pump with 250 mmHg or higher vacuum strength (also known as a hospital strength). Spectra’s single-user pumps are among the hospital-strength pumps recommended to exclusive pumpers. Moms can customize their settings to personalize vacuum pressure and cycle speed.  
  • If you cannot purchase a pump, you can rent one or buy a used one. When using these options, always choose a pump labeled as ‘multi-user’. Otherwise, the motor may not be designed to endure multiple users and an exclusive pumping regiment. Always purchase new accessories/parts; rentals and second-hand pumps include pump and motor only.  
  • Most insurance companies provide coverage for hospital-strength pumps. You can call your insurance plan or go online to determine your breast pump coverage. Breast pumps are issued by “DMEs” (durable medical equipment) and you can find one that works with your insurance plan here.

Timing is everything

Initially, exclusive pumpers should pump as often as the average newborn baby nurses (about 8-12 times per day). Experts recommend pumping every two to three hours. The timing starts from the beginning of one session to the beginning of the next.  To protect your supply, avoid going longer than three hours between pumping sessions.

Maintaining breast milk supply

When starting out, it’s normal to see as little as 2 oz. combined per sessions. As supply builds, average daily output peaks at 19-30 oz.  Around four to six months, supply naturally starts to self-regulate and milk composition changes often to a higher fat content. A similar shift occurs around 8-12 months. Keeping pace with baby’s feeding schedule will ensure your supply continues to meet baby’s needs.   To keep the pump performing at its optimum, you must replace the accessories/parts periodically.

Maintenance and back-ups are essential

Be sure to regularly inspect and replace parts, especially valves and membranes. Exclusively pumping mothers should look to replace these parts every 2 months and part-time pumping mothers every 3 months. Worn, damaged, or incorrect parts are often to blame for supply fluctuations.   Furthermore, have at least one backup set of replacement parts/accessories available in case of emergency.

Support for exclusive pumping moms is out there.  Whether it comes from a close-knit group of friends, a lactation consultant, or an internet community of like-minded moms. We all know providing breast milk for baby is a labor of love, and having the appropriate supplies and resources makes the journey so much easier.  You can join our support community on Facebook here.

What’s Lowering Your Milk Supply?

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By Jacquelyn Ordner BSN, RN, IBCLC, RLC

A breath mint, candy cane, or peppermint patty all seem pretty harmless, right?  Did you know that peppermint is often the sneaky culprit of reduced milk supply? Most moms don’t!  So, to make it easier for nursing moms, we’ve compiled a list of some little-known milk supply suppressors. 

The following are usually harmless to milk production in typical quantities used for cooking as long as they aren’t consumed in large amounts or very frequently.

– Parsley

-Oregano

-Caffeine

-Thyme

-Vitamin B6 – Watch out for large amounts in common breakfast cereals! (stay well below the 100mg daily limit and you should be fine)

These foods/products/behaviors should be AVOIDED if you are breastfeeding  and want to keep your supply:

-Peppermint: Peppermint Essential Oil is often used when a mother wants to dry up her milk supply!  It is effective at doing so and should be avoided. Most people don’t realize that peppermint oil is in mint-flavored candies, gums, and even menthol cough drops!  A cup of peppermint tea here or there will likely be fine, but that’s the limit. 

-Sage: Sage Tea is another remedy often used when a woman wants to wean or dry up her milk supply.  Sage is powerful and even too much in a turkey and dressing recipe can have negative effects. 

-Smoking: Studies tell us that mothers who smoke produce less breastmilk and their infants typically weigh less.  Studies also reveal that breastfed infants of mothers who smoke sleep less. Coupled with the increased risk of SIDs, it’s clear that quitting is best. Still, smoking and breastfeeding has far more benefits than formula feeding and breastfeeding!

-Dehydration:  You’ve probably seen one of those posts in a social media breastfeeding group where someone swears by red Gatorade, Body Armour, or drinking 200 oz of water a day.  The truth is that you need to be adequately hydrated to make milk, but you don’t need special drinks or excessive amounts of water. In fact, excessive fluids can actually have a negative impact on your supply! So, shoot for your 8 glasses of water a day, plus drinking to thirst, and that’s all you need.

-Dieting:  Don’t get me wrong, eating a healthy and balanced diet is fantastic!  However, heavily restricting your calories can definitely reduce your milk production.  Talk with your doctor about a healthy calorie range for you. Make sure they know you’re breastfeeding, and keep in mind that some women are more sensitive to calorie restrictions than others.

-Decongestants: Think Sudafed.  If it’s meant to dry up mucus, it can also dry up breastmilk.

-Many forms of Birth Control:  The biggest culprits are birth controls that contain estrogen.  Beware, even birth controls that are supposed to be “ok for breastfeeding” can still cause major supply issues for sensitive women.  The best bet for your supply is a barrier method (like condoms). The next best choice is a non-hormonal method (like an IUD). The third choice would be something like the mini pill.  Just be aware that any birth control that contains or affects hormones CAN negatively impact your milk supply. Always talk with an IBCLC if you have questions about medications and breastfeeding.

-Stress: Yep, we know…..this one’s a doozy!  Stress is everywhere when you’re a mom!  Still, if there’s anything you can do to reduce stress, it will benefit your milk supply.  Incorporating light exercise, like walking can help reduce stress. Eating well, trying to incorporate more sleep, and even just getting 30 minutes of “alone” time can be huge for stress reduction. Are there little things you can do to help?  Maybe prepping a few meals on the weekends, or packing your pump bag and baby’s diaper bag the night before? Even seemingly small reductions in stress can have a big payoff!

BONUS:

-Alcohol:  Maybe you’ve heard you should “have a beer so you can relax and make more milk”.  Well, there’s more to it than that! While alcohol consumption isn’t prohibited for breastfeeding mothers, it can have a negative impact on their breastfeeding relationship and breastmilk production.  Alcohol can inhibit your Milk Ejection Reflex or MER. The MER is what causes your milk to let-down. If your milk won’t let down, or if it lets-down very slowly, baby won’t drink as much, or you won’t pump as much.  In the long run, this can lead to less milk being produced. 

Looking for breastfeeding support? Schedule a complimentary consultation with a Spectra Baby USA IBCLC here. 

 

Setting Up a Mobile Pumping Station

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Melissa Portunato MPH, IBCLC, RLC

Setting up a pumping station is an inexpensive and practical way to make breastfeeding easier for all moms! This simple DIY can save you time and allow you the mobility to move around the house to find a quiet place to help you relax while you pump.

How to do it

Step 1 

An art cart or portable plastic drawers will work well – must have wheels! Most portable carts and drawers come with three levels which is plenty of space to include all your must-haves. The more levels, the better; just make sure they have enough space in between for some of the larger items. You can use some of the movable space for other baby items, too, like diapers, wipes, and extra clothes! 

Bonus Tip: Add bins to separate items and create an even more organized mobile pumping cart! 

Step 2 

Time to load up your mobile station with all your pumping cart essentials! 

Handy Checklist for the Perfect Pump Cart:

✔ Spectra baby USA pump
✔ Power cord 
✔ Pump Accessories – duckbills, backflows, flanges, bottles, caps, and disks
✔ Wet bag for used pump parts
✔ Milk Storage Bags
✔ Cooler kit with an ice pack
✔ Paper Towels or Napkins for spills
✔ Hand Sanitizer 
✔ Water bottle
✔ Cell phone and charger 
✔ Yummy snacks – nuts, dried fruit, and crackers make great snacks! 

Do I really need a pumping cart? 

If you are mostly nursing at the breast, you can definitely do without; but if you are pumping multiple times a day or exclusively pumping – highly recommended. It especially comes in handy if you are working from home, others are working from home, or in virtual school, where space is sometimes limited, and working areas can change throughout the day. Creating a mobile pumping station can help you stay organized and make pumping less stressful to squeeze into your busy day!

Want more pumping tips? Follow us on IG and Facebook!

Happy Pumping Team Spectra!

Breastfeeding in Public

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By Melissa Portunato MPH, IBCLC, RLC

Have you been cooped up inside, soaking up all those yummy newborn snuggles but ready to bust out of the house finally? Going out sounds nice, but you might be thinking about how you will manage it all away from your comfy nest. It’s common for breastfeeding moms to worry about how they will feed their little babe at the breast when in public or how they can find a space to pump. Life doesn’t have to stop! Go on and enjoy your family time anywhere you want!

First things first…
It’s legal in all 50 states to nurse or pump breastmilk for your baby in any public or private location with or without a cover – that’s totally up to you! Click here to read more on breastfeeding laws in your state. 

The Two Shirt Trick
The trick is simple: wear two shirts, lift the top and pull down the bottom. When planning your outfit for the day ahead, choose a loose-fitting cami as an undershirt and then wear the other shirt on top. The top shirt doesn’t necessarily have to be a “breastfeeding friendly shirt” since instead; you will lift the top shirt and pull down the cami to expose your breasts for pumping or nursing. Bring out those cute pre-preggo shirts! 

Go Hands-Free 
The Spectra baby USA CaraCups are discreet and simple to slip inside your regular bra. Yep, you got it! No fancy pumping bra is needed. Instead, you can easily slide them into your bra, center your nipple and start pumping right away. The Spectra CaraCups allow you to easily pump while comforting a clingy toddler, getting active outdoors, or hitting the mall! Have the freedom to go about your day all while expressing your liquid gold! Pump in meetings, with clients, or on breaks. Going hands-free will make all the difference in your breastfeeding journey! 

Baby Wearing for the WIN!
Structured carriers with a top hood are great to nurse in, and YES, even pump! Throw the Spectra 9Plus in your pocket, and you’ll pump your liquid gold without missing out on any fun while you’re out and about! I recommend pumping one breast at a time if you are wearing baby. If you’re nursing at the breast, make your pumping sessions even more discreet and interchange your carrier for a breastfeeding cover. And YES, mamas! Pumping is breastfeeding! 

Expert tips: 

✔ At home, practice in front of a mirror! This will help you get the hang of things before heading out, and you will be more confident! 

✔ You can turn away from the crowd to latch your baby or hook up your flanges. 

✔ Throw an infinity scarf over your neck to be even more discreet. 

Do you have breastfeeding questions? We can help! Our Spectra baby USA IBCLC experts are happy to help answer your questions so that you can get back to what matters most—making milk for your baby.

Follow us for tips and tricks on Facebook and IG!

Healthy Eating and Breastfeeding

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Melissa Portunato MPH, IBCLC, RLC

Though it’s totally fine to indulge every once in a while, maintaining a balanced diet will give you energy, keep you satisfied longer, and can help your breast milk flow easier. Breastfeeding burns on average between 300-500 calories per day. It takes a ton of energy to produce your liquid gold; make sure you compensate with healthy milk-making foods. 

Read on to learn more about the best foods to eat while breastfeeding to keep you feeling happy and healthy as a new mom. 

What are the best foods to eat while breastfeeding?

The best breastfeeding foods offer a variety of macronutrients – protein, complex carbohydrates, and healthy fats. The World Health Organization recommends adding 25grams of protein for breastfeeding moms –  individual needs based on your weight and other factors. 

High-quality protein sources include eggs, red meat, and wild-caught salmon. These all have a  long list of health benefits, but the top of the list includes improving eye health, aiding in weight loss, and preventing disease. If you’re vegan or vegetarian, legumes are loaded with iron and protein too! Especially the dark ones! 

Leafy greens are nutrient-dense, low in calories and carbs, and packed with vitamins and minerals like Calcium, Vitamin K, Folic Acid, and Iron. Fresh fruit is a simple, nutritious snack! Blueberries are one of the most nutritious fruits globally, providing Vitamin C, Vitamin A, Vitamin E, and Antioxidants. Eating two servings a day of fresh fruit like berries can help amp up weight loss, decrease inflammation, and promote digestion which is beneficial to breastfeeding moms recovering from childbirth. 

Are “diets” OK when breastfeeding? 

Any diet that dramatically cuts calories can impact milk supply, especially within the first 6-8 weeks, as your body regulates how much milk is needed to keep your baby growing and thriving. However, low-carb diets like the Paleo diet are compatible with breastfeeding moms as long as they consume enough nutrients from a variety of lean proteins, fruits, and veggies. Research studies claim, aiming for at least 1800-2000 calories per day, breastfeeding moms can safely lose about 1 pound a week. 

Are protein shakes OK?

The short answer is YES! But not all protein shakes are created equal. Here are tips when choosing a protein shake. 

  • Making your own protein shake is always best! Packed with protein, calcium, magnesium, and iron, raw almond butter makes for an easy base for a clean protein shake made at home. 
  • Consider medications and supplements you are already taking to avoid exceeding recommended daily values of vitamins and minerals, which can be dangerous for you and your baby. 
  • Avoid protein shakes created for athletes which can have additives not intended for nursing mothers. 
  • Avoid shakes with added and artificial sugar, GMO’s, caffeine, and common allergens such as dairy, wheat, soy, etc. 
  • Most plant-based store-bought options are considered safe for nursing moms. Though some whey proteins may be safe, many often have additives that can be harmful. Always check with your doctor first before starting a new store-bought protein shake. 

Proper nutrition is required to feel well and care for your new baby! A healthy diet can also encourage plentiful milk production. Fuel your body right and be kind to yourself. Don’t forget to always check with your doctor before starting any weight loss or exercise plan. Have more questions? Please email us at ibclc@spectrababyusa.com. 

Sources:

Kominiarek, M. A., & Rajan, P. (2016). Nutrition Recommendations in Pregnancy and Lactation. The Medical clinics of North America, 100(6), 1199–1215. https://doi.org/10.1016/j.mcna.2016.06.004

Dewey et al. (1994). Effects of dieting and physical activity on pregnancy and lactation. Am J Clin Nutr, 59( Suppl 2), 446s-453s.

Lauwers, J. & Swisher, A. (2015). Counseling the Nursing Mother: A Lactation Consultants Guide. Burlington, MA: Jones & Bartlett Learning.

Neville et al. (2014). The relationship between breastfeeding and postpartum weight change—a systematic review and critical evaluation. International Journal of Obesity, 38, 577-590.

How can you help your partner breastfeed?

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By Melissa Portunato MPH, IBCLC, RLC

Congrats! You and your partner just welcomed a new bundle of joy earthside! But between mommy recovering and spending most of her time getting the hang of breastfeeding, where does that leave you? How can you help in all the chaos? The support you provide can determine whether or not your partner accomplishes her breastfeeding goals. That makes your job in all this, pretty important.

Here are 5 practical tips for those who want to help their partner be successful at breastfeeding.

Find her support and get educated

Research tells us mothers who have breastfeeding support from their partners are more likely to meet their breastfeeding goals. So that makes YOU pretty important! The support you give is vital in making breastfeeding work for her and your baby. Educate yourself on breastfeeding. If you were not able to attend a class prenatally, contact your local hospital. Take the time to learn about how the human body makes breast milk and what is typical newborn behavior. The more you know about breastfeeding the more you will be able to support her and encourage her when the going gets tough.

Compliment her and mean it

If seeing your partner carry your child for 9 months and spend brutal hours in labor didn’t change you, check your pulse because you might be dead. I mean seriously! This woman just created life inside of her belly and is now making food from her body to feed your growing child! She deserves the world. Buy her flowers. Kiss her gently on the forehead and tell her you are proud of her. Tell her you love her. Tell her what a great job she’s doing. Make sure you do it in front of others too, so everyone can know how amazing she is! Put your phone down, close your laptop and be present.

Give her some “me” time

Even a hot shower can feel like a vacation to the Galápagos Islands during this journey. Take the baby and give her some alone time to soak out all the stress of being a new mama. For an added bonus, prepare the shower or bath in advance and sprinkle a few drops of lavender essential oil in the corners of the tub for an even more rejuvenating experience. Take the opportunity to do skin to skin and bond with baby. Research tells us that skin to skin with dad is not only important for baby’s development but promotes the bonding process between them. Mommy gets to relax and you get to bond with your baby. Perfect combo!

Screen visitors

Listen, learning to breastfeed can be messy! Newborns are messy. Spit ups, poop explosions, and wet stains on everything from leaking and dripping breastmilk are just a few to name. Go to your partner first and ask if it’s OK to have visitors over the house. It’s OK to say no to visitors. Always ask her first. If an unexpected visitor comes by don’t expect her to have to entertain them. Right now her only worry in the world should be learning to breastfeed and bond with baby. It can all be so overwhelming dealing with cluster feeding and a fussy baby. Throw in your long-lost cousin and her runny nose toddler to the mix and you will have one grumpy postpartum mama. Have a plan in place to dodge visitors. Papa Bear to the rescue!

Keep her fed and hydrated

Provide her with cool water on all her typical nursing stations – night table, living room, coffee table, maybe even a balcony or porch. Did she have lunch? Does she need a snack? Keep the fridge stocked with healthy high protein / healthy fat options to keep mommy producing that super milk to power your little superhero! Keeping mommy fed and hydrated won’t necessarily make her produce more milk but it will help with her feeling relaxed and her milk will flow more easily. Join in and share a glass of water with your partner! Cheers to your health!

Breastfeeding is a family commitment. It takes a village to support a new mom and baby. Arm yourself with the right tools and you will be ready to walk through any breastfeeding obstacle your partner will face. She needs you and so does your baby. Breastfeeding is the best nutrition for your baby and you can help make this journey even more beautiful. Need help finding local breastfeeding support? Email us ibclc@spectrababyusa.com.

We’re here for you and we support you!

Breastfeeding Tips for Success

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By: Rue Khosa, MSN, FNP-BC, IBCLC

We recently had a chance to chat with Rue Khosa, a Board-Certified Family Nurse Practitioner, Lactation Consultant, and new momma of baby #3. She shares her expert advice on preparing for your delivery, planning for the return to work, and why Spectra Baby USA breast pumps are her top pick.

Before Delivery
✔ Book a Prenatal Lactation Consult
I firmly believe every expectant couple should book a prenatal lactation consult. Getting a review of your medical history, a breast assessment, and help to select the right pump for you is vital. Knowing I was going back to work at just 6-weeks postpartum, I knew getting the perfect pump to establish my supply and build a frozen stash was critical to my successfully maintaining supply.
Find and book your prenatal consult with an IBCLC around 28-34 weeks.
✔ Order your Breast Pump
I was fortunate enough to receive the Spectra Synergy Gold pump to review! The Spectra Synergy Gold electric breast pump uses advanced technology with dual motors allowing you to adjust each side independently. Furthermore, it’s a hospital strength closed system making it effective and efficient to establish and maintain my supply despite my hectic schedule.

Before you deliver, you will want to order your pump, wash the pump parts, and get familiar with using it. There is nothing more stressful than trying to read a pump manual with a hangry newborn wailing next to you. Find out if your insurance covers a Spectra baby USA here.

After Delivery
✔ Establish your Supply
When it comes to breastfeeding, demand equals supply. The more you demand of your breasts by stimulating and emptying them frequently, the more milk you will make. Therefore, breastfeeding your newborn a minimum of 10-12 times a day or every 2hrs during the first couple of weeks is crucial. Equally important is making sure you are breastfeeding effectively. If your newborn is unable to latch and nurse effectively or at all, then you will need your breast pump to pick up the slack while you work with your IBCLC to assess and establish breastfeeding.
Prolactin, the hormone responsible for milk production, returns to pre-pregnancy levels in the first two weeks postpartum if there is inadequate breast stimulation. This makes it increasingly more challenging to restore and recover your milk supply the further postpartum you are.
✔ Build a Stash
The word stash can often sound intimidating, but it is essential to remember that the goal is to feed your baby, not the freezer. You want to store 2-4oz a day, helping build a 4-7 day reserve by the time you return to work at 12 weeks.
If you are not already pumping, you will want to start pumping around four weeks postpartum. This will allow you to take advantage of higher prolactin levels and corresponding higher milk supply in the immediate postpartum period. Pumping after the first and last feed of the day for 10-15mins is more than sufficient.
✔ Contact HR
Thanks to the Obama administration, not only do we have better lactation services insurance coverage, but employers have to provide pumping breaks and designated pumping rooms for new mothers. Contact your HR department 2-4 weeks before your expected return to make sure that they make appropriate accommodations for you.

On the Job
Now you are ready to go back to work. Know that most women are bound to experience a decrease in their supply as they return to the workforce. Many factors, including work stress, decreased hydration, decreased breast stimulation, as well as the natural regulation of your milk supply around the 12-week time frame, contribute to this decrease. If you have followed all of the above steps, you are less likely to experience a dramatic drop. Additionally, to maintain your supply, you will want to pump at least every 3hrs while at work. I recommend pumping right before you leave for work to give you time to settle in before you have to pump again. You also want to coordinate the last pump of the day and the baby’s first breastfeed when you get home. Ask whoever is caring for your little one to avoid bottle feeding 2hrs before you are due to return home and likewise avoid pumping during that same time frame. If schedules allow, this will save you a pump session and give you both a much-needed bonding experience after a long day apart.

To save time, Spectra has created the Simple Store Solution Kit, which allows you to pump, store and feed your baby all from the same bag.

Take Away
Only 12% of women have access to paid maternity leave, and up to 25% of women have to return to work just two weeks after giving birth. Whether you are returning to work at two weeks or 12 weeks, the stress and anxiety around the transition can have devastating effects on your breastmilk supply. In a perfect world, we would all have the option of staying home with our little ones for as long as we desire. However, by following the above steps, you will have the next best thing, the best shot at being able to exclusively feed your baby breastmilk through the first year and beyond.

Good luck, mama, you got this!

Rue Khosa is a Board-Certified Family Nurse Practitioner and Lactation Consultant. She has dedicated her career to being a women’s health advocate supporting new and expectant parents to thrive through the parenting journey. Believing it takes a village to raise a child, she has created a global village of women centered around mutual respect, trust, and unconditional support. Follow her on Instagram @rue_theboobboss for all things Bumps, Babies, and Boobs.

Breastfeeding after Giving Birth

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After giving birth, I’m sure you are soaking in every minute with your beautiful new baby. But it is normal to have questions about what comes next especially when it comes to feeding your baby. Breastfeeding is a natural and beautiful way to provide your newborn with the ideal nutrients to help them get off to the best start possible! The World Health Organization is actively promoting breastfeeding as the best source of nourishment for infants and young children and is working to increase the rate of exclusive breastfeeding for the first 6 months up to at least 50% by 2025. If you are pregnant or just gave birth and plan to breastfeed this is a great read for you! Here are some top post-birth questions with evidence-based feedback:

When will my milk come in?
It may be hard to believe, but your breasts will begin producing small amounts of nutrient-rich milk called colostrum during the first trimester of your pregnancy and for 2-5 days after giving birth. Colostrum, also known as, pre-milk has many benefits, including nutrients that boost a baby’s immune system and help fight infection (Richardson & Littleton, 2019). Colostrum may not always look the same. For some, colostrum is thick and yellowish. For others, it is thin and watery. In the last 3-5 days of making colostrum, your milk supply is expected to increase. Signs that your milk supply is increasing and changing from colostrum to more mature milk include firm breasts and changes in your breast milk’s color and texture. 

When should I begin breastfeeding? 
It is best to begin breastfeeding within the first hour after birth, known as the magic hour, or as soon as you and your baby are able. According to the World Health Organization, bonding through skin-to-skin contact along with suckling at the breast stimulates the mother’s production of breastmilk, including colostrum, also called the baby’s ‘first vaccine’, which is extremely rich in nutrients and antibodies. 

Did you know term infants have natural instincts to find the nipple and latch on? Skin-to-skin contact helps to regulate the baby’s body temperature and helps to release hormones in the mother that assist with breastfeeding. 

First, it is recommended to bring your baby to your chest for skin-to-skin contact and then try to initiate breastfeeding in a quiet and calm environment.

If you and the baby are having trouble, try hand expressing or pumping as soon as possible and feed the baby with a spoon or syringe. Avoid bottles and pacifiers until breastfeeding is going well, and use your pump to help bring in a milk supply if the baby is not latching. 

How can I tell when my baby is ready to nurse?
Start breastfeeding when your newborn shows signs of hunger. An infant may not always display obvious signs of hunger; because of this, it is best to look for early hunger cues (Richardson & Littleton, 2019). 

Feed your baby at early feeding cues. Examples of early hunger cues:

-Baby moves head from side to side

-Baby opens their mouth

-Baby sticks out tongue

-Baby sucks on their hands and fists

-Baby puckers their lips as if to suck

-Baby nuzzles against mom’s breasts

-Baby displays the rooting reflex, which is when a baby moves their mouth in the direction of something that’s stroking or touching their cheek

– REM (rapid eye movement) 

How do I know if my baby is full and/or getting enough milk?
What is important to understand is that the newborn belly is super tiny. The first few days after birth, the belly will only hold droplets of colostrum. Then as time goes on, the infant’s belly will grow. Infants will also want to nurse frequently! Your baby should have 6 wet diapers and 3 stools (size of a quarter of more) per day. At a minimum, your baby should nurse 8 to 12 times per day. Maybe even more. The World Health Organization recommends feeding your infant demand, meaning as often as the child wants, day or night!  So, if someone tells you your breast milk might not be filling up your newborn’s little belly or that you are feeding too often, help them understand that frequent feeding, on the baby’s schedule, is exactly what the doctor ordered. 

Do you need breastfeeding help? Spectra Baby USA is happy to help! Schedule a virtual consultation with one of our IBCLCs today and get the support you need to meet your breastfeeding goals successfully! We’re here for you, and we support you! 

Nursing Positions To Try With Your Newborn

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Melissa Portunato MPH, IBCLC, RLC

Mothers and babies learn to breastfeed by breastfeeding. Exploring different nursing positions can help lessen nipple pain, improve milk transfer and allow you to get more rest. Read on to discover some of our favorite breastfeeding holds to try with your new baby. 

First things first, start every feeding with skin to skin. Remove all pillows, blankets, and comforters nearby; this can make latching more cumbersome and difficult. Baby should only have a diaper and bare chest for the parent. Skin to skin helps engage baby’s inborn feeding behaviors and reflexes while contributing to a powerful hormone feedback system between mom and baby. Skin to skin is powerful! 

Laid – back
Breastfeeding in a reclining or laid-back position relaxes and stimulates reflexes in both mother and baby. Research shows mothers and babies have innate physical responses that are triggered with laid-back breastfeeding. Interestingly, mothers were found to stroke their baby’s feet at just the right time during latching and feeding, which triggers the release of the lip and tongue for a deeper, more nutritive latch. Babies feed using their whole bodies, not just their heads and mouth. Your nurs-ling is looking for a place to anchor their chin, push with their toes, and feel the warmth of their natural environment – mommy’s chest! 

Side-lying 
Mastering the Side-Lying Breastfeeding position can help you recover from a difficult labor or cesarean delivery and can naturally improve blood circulation as you recover from childbirth. Start lying down side by side with your baby. You should be facing each other – belly to belly. Your baby’s mouth should be even with your nipple. Next, lift your arm under your head and, with your other arm, cradle your baby on the back of the neck to assist them to the breast if needed. Cradling your baby with the opposite arm can keep your newborn close, preventing turning and unlatching from the breast. Baby’s arm should always be hugging the breast. 

Football 
Cradle your baby by supporting the back of the neck with the same arm you will be latching to the breast. With the opposite hand, lift your breast to aim your nipple above the baby’s nose. Wait for your baby to “gape” or open wide and quickly bring your baby towards you. Pillows should be used only to support YOUR arms and back, not the baby. 

Koala
Feeding your newborn in an upright position can lessen reflux and manage an overactive or forceful letdown. Sometimes called the koala hold, your newborn will latch to your breast, sitting up while straddled on your thigh or knee. Baby’s spine and head should remain upright throughout the feeding. With proper support, this position can easily be done with newborns and can be a convenient way to nurse older babies too! 

Practice these four simple to-do nursing positions that will ensure your baby is growing and thriving from your super milk. Remember that breastfeeding doesn’t have to be “all or nothing.” No matter if you are nursing at the breast, exclusively pumping or supplementing with formula – it’s still breastfeeding! We’re here to support you and offer any help we can as you navigate your breastfeeding journey. 

Email us at ibclc@spectrababyusa.com or set up a free consultation with one of our IBCLCs at www.spectrababyusa.com/lactationservices. 

 

Sources

Milinco, M., Travan, L., Cattaneo, A. et al. Effectiveness of biological nurturing on early breastfeeding problems: a randomized controlled trial. Int Breastfeed J 15, 21 (2020). https://doi.org/10.1186/s13006-020-00261-4

Positioning. La Leche League International. (2020, August 6). https://www.llli.org/breastfeeding-info/positioning/.