5 Quick Tips for Pumping at Work

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Melissa Portunato MPH, IBCLC, RLC

You’ve finally gotten into a sweet groove with breastfeeding and now it’s time to head back to the office. You can absolutely continue to breastfeed and maintain a healthy milk supply while away from your baby. It can seem overwhelming at first, but all you need are the right tools to help you get into a manageable routine. We know you can do it! We believe in you! 

Here are 5 quick tips to make pumping at work easier.

1) Make a Schedule 

Plan on pumping every 3-4 hours to maintain a healthy milk supply. Set those alarms and block off pumping time on your calendar to make sure you don’t go too long without pumping. Practice at home about a week before returning to work at the times you will be pumping. This will make you more comfortable and confident so you can smash your first day back! 

2) Have a backup plan 

Getting ready for work with a baby can take more time now than when you were flying solo. A checklist can help you make sure that you have everything you need when you leave the house. But even with a system, there’s a good chance that one day you’re going to be in a hurry and forget something crucial, like duckbill valves or your flanges. Keeping replacement parts at work can be a lifesaver. It’s also a good idea to have a handy manual pump in your car or office, just in case you forget your pump altogether. 

3) Go Hands-Free

If you’re pumping at work, getting a hands-free bra so that you can do other things besides holding your breast shields during the time you spend pumping can be a game-changer. It will also allow you to use Hands-on Pumping which can make pumping sessions more efficient. Skip the pumping bra and level up your pumping game with the Spectra Caracups. Pumping with the Spectra Caracups will make the whole process even easier AND discreet if you need to be on a virtual meeting or even in person with a client. 

4) Milk Storage and More 

The more you can leave at work, the lighter the load will be on your commute. If you will be traveling with your pump, choose a pumping bag that can store it all: Spectra pump, cooler case, water bottle, laptop, water bottle, snacks, and other personal items. Check out our new pump, store and feed system! The Spectra Simple Storage Kit uses innovative technology that will keep your milk clean, safe, and always ready to use. No more bottle washing either!  

It’s recommended that you wash all your pumping parts after every use. If you know you won’t have access to a sink, bring enough sets of pump parts to get you through the day. Placing pumping parts in the refrigerator in between uses is not recommended. 

5) Community and Support 

Let your managers and co-workers know in advance that you will be pumping milk for your baby. Make friends with other pumping moms in your office. If there are other women using the lactation room at your office, try to get to know them. Having pumping mommy friends can make your breastfeeding journey even more meaningful. Knowing you are not alone can get you through a rough day and help you press on. Connect with a virtual breastfeeding support group too! 

Can’t get a letdown? This is common when moms return to work. Try to relax. Throw a nursing cover over you, listen to music, or watch videos of your baby. Whatever you do, don’t watch the bottles! It can be stressful pumping on a time crunch and can take some time to get used to. With patience, practice, and support you can continue to meet your breastfeeding goals. 

Are you returning to work virtually from home? We got you covered. Check out our top tips to make the transition smooth and easy!  Need help returning to work at the office or virtual? Our IBCLCs can help with pumping schedules, flange sizing, and much more. Schedule your complimentary phone call or virtual consultation today. 

 

Spectra 9 Plus Electric Breast Pump

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mom holding 9 plus breast pump

The 9 Plus is Spectra’s smallest pump, weighing in at only ½ a pound!  This tiny, but mighty pump offers the ultimate in on-the-go single or double pumping.  The rechargeable battery allows for convenient pumping in almost any location.  Though this pump is small, it isn’t lacking in features!  It provides up to 260mmHg of suction and is still considered hospital strength. The 9 Plus also offers an adjustable Massage Mode along with 10 levels of vacuum in Expression Mode and a convenient timer. The backlit LCD screen is an added feature that moms love as well. Pair this little powerhouse with the hands-free CaraCups and you have a convenient hands-free pumping setup without sacrificing effectiveness! Like with all of Spectra Baby Electric Breast Pumps, this pocket-sized pump also comes with a 2-year warranty. 

The Spectra 9 Plus Features include: 

  • Single or Double Pump capability
  • Vacuum suction up to L10
  • 260 mmHg
  • Weighs only .5 pounds
  • LCD screen
  • ( 2 ) Years Warranty on pump | 90 days on accessories

The Spectra 9 Plus comes with everything you need to single and double pump.

  • Two (2) 24mm Spectra Breast Flanges
  • Two (2) Spectra Tubing
  • Two (2) Spectra Duckbill Valves
  • Two (2) Spectra Backflow Protectors. Includes silicone membrane, uppercase, and lowercase for each Backflow Protector
  • Two (2) Spectra Wide Neck Storage Bottles. Includes nipple, cap, disc, and lid for each bottle
  • One (1) Spectra 9-Volt AC Power Adapter. Includes detachable power cord prongs

Can’t decide on which Spectra Breast Pump is right for you? Schedule a complimentary virtual consultation with one of our International Board Certified Lactation Consultants today! 

Starting Solids with Your Breastfed Baby

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Jacque Ordner BSN, RN, IBCLC, RLC 

You finally feel like you’ve gotten this breastfeeding thing figured out and your baby’s pediatrician mentions starting solids.  Like most parents, your mind is instantly filled with tons of questions.  When do I start?  How do I know she’s ready?  Do I need to offer foods in a certain order?  Do I start with baby cereal or baby-led weaning?  Will my baby still want my milk once he starts solids?  What about allergies?  HELP!!!  

We’ve got you covered with our quick guide to starting solids with your breastfed baby! 

How do I know my baby is ready? 

Current research and recommendations tell us that human milk is the only nutrition needed for healthy, full-term babies up to six months of age.  Breast milk is amazing because it changes in composition to meet baby’s unique needs as they grow. It’s not surprising that many babies begin to show signs of readiness for solids at around six months as well.  

Signs of readiness include: 

o   Can sit unsupported 

o   Has good head control 

o   Has lost the tongue thrust reflex and can move food from the front of the mouth to the throat 

o   Opens mouth when offered foods 

o   Can use pincer grasp to bring food to the mouth (essential for self-feeding) 

o   Has doubled birthweight 

 Which method is best? 

The goal of introducing solids is to help baby explore new skills, flavors, and textures while also introducing new sources of nutrition.  While trends may try to dictate a singular approach, it can be beneficial and even easier to use a combined approach.  For example, if you’re not keen on rice cereal because of the potential for arsenic, cadmium, and lead, opt for another fortified grain cereal like barley, oat, or amaranth.  Looking to keep things as whole as possible?  Consider cooking and mashing foods and mixing with breastmilk rather than purchasing pre-packaged options. Soft foods make good options for encouraging self-feeding.  Soft or cooked fruits and vegetables, shredded meats, flaky fish, and beans make great finger foods for little eaters.  Avocado packs a big nutritional punch and is often fun for baby to self-feed. When surveying pureed and prepackaged options, look for simple ingredient lists that don’t include sweeteners, thickeners, artificial preservatives or artificial colors and flavors. It’s ok to incorporate both purees and finger food options as baby needs practice with using a spoon and building dexterity in their hands! 

What about allergies? 

The most up to date recommendation is to introduce common allergen containing foods after 6 months and before 12 months for healthy, term infants.  The most common allergen foods are eggs, dairy, peanuts, tree nuts, wheat, seafood, soy, and sesame.  Another safety measure is to introduce only one new food at a time so that if an allergy occurs, it can be easily associated with its cause. Experts recommend peanut allergy testing (prior to introducing peanut containing foods) for babies who have severe eczema and/or have an allergy to eggs.  Allergy experts often recommend keeping common allergen foods as a regular part of baby’s diet provided there was no allergic reaction after introduction. 

How do we get started? 

Offer breastmilk first!  Breastmilk is still baby’s primary source of nutrition until 12 months.  Nurse or offer a bottle of breastmilk before moving to solids.  If baby is interested, it’s ok to give solids immediately after.  However, some babies prefer to wait a bit before taking in solid food after a nursing session or a bottle.  Solids should not replace breastmilk intake, but rather compliment it. Start small!  Occasionally parents will feel overwhelmed at the thought of getting an entire serving of baby-friendly food into their just-turned-six-month-old.  Keep in mind that introducing solids is meant to be a gradual process, so it’s ok if baby is only interested in a bite or two at first. As baby gets the hang of their new skills, they’ll naturally increase their solids intake.  Children learn through modeling, so consider feeding baby solids during your normal mealtimes.  There is no evidence that starting with fruits will make baby less likely to take vegetables or vice versa.  There is no specific order in which foods must be introduced.  If baby is completely resistant to starting solids, despite displaying signs of readiness, table the idea (no pun intended) for a week or two.  As with other developmental skills, not all babies are ready at the same time. 

Expect changes. 

It’s not uncommon for babies to experience a change in diaper habits. Introducing solids means more formed stools that often have a stronger odor as well.  Some babies may stool less often as well.  Introducing solids slowly can help reduce the risk of irritating baby’s digestive system.  Don’t forget that foods can influence the color of baby’s stool as well.  For example, beets turn stools an obvious red while peas often add a tinge of green.  Some parents report that stains from baby’s stool after starting solids are harder to remove than stains during exclusive breastfeeding.  

Does my baby need extra liquids? 

The short answer is NO.  As long as your little one is getting an adequate intake of breastmilk, no additional fluids are needed.  Breastmilk changes in composition to become more watery in hotter environments…..how amazing! It is still OK to offer a small amount (no more than 8oz. per day) of water once your baby reaches six months old. Many parents use a small amount of water to introduce a sippy or straw cup at this age.  Skip juice as it is high is sugar content and low in other nutritional value. Experts advise no juice for babies under 12 months, and only up to 4oz. of 100% fruit juice thereafter. 

Have more questions?  Need more details?  Check out these resources for additional information: 

Healthy Children.Org 

La Leche League 

CDC 

Looking for help creating a personalized plan for starting solids?  Schedule a FREE consultation with one of our specially train International Board Certified Lactation Consultants (IBCLCs) 

Sources 

Starting Solids. (2020, August 7). La Leche League International. https://www.llli.org/breastfeeding-info/starting-solids/ 

When, What, and How to Introduce Solid Foods. (2020, December 11). Centers for Disease Control and Prevention. https://www.cdc.gov/nutrition/InfantandToddlerNutrition/foods-and-drinks/when-to-introduce-solid-foods.html 

Working Together: Breastfeeding and Solid Foods. (2012). HealthyChildren.Org. https://healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/Working-Together-Breastfeeding-and-Solid-Foods.aspx 

Child Care and the Breastfed Baby

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Melissa Portunato MPH, IBCLC, RLC

It’s likely that at some point, your breastfed baby will be cared for by someone else other than yourself. Sometimes it’s temporary while other times it can be long term like when returning to work. Child care options can vary from private stay at home nannies/family members, private home licensed child care, or commercial child care facilities. 

The process to find the perfect match for you and your baby doesn’t have to be stressful. Your breastfeeding relationship can absolutely continue and thrive with this new milestone. No matter who you choose to care for your baby, your breastfeeding goals should be supported and respected. Read on for tips on finding a caregiver for your breastfed baby including how to connect with local resources and how to share valuable education with your child care provider. 

Support and Communication 
Let’s start here. It’s OK if your child care provider isn’t a “breastfeeding expert” but they should be open and teachable when it comes to feeding mother’s milk to babies in their care. They should be willing and ready to accommodate your requests or accept breastfeeding-friendly education. An “open door” policy is one of the ways caregivers can be supportive of the breastfeeding dyad. Allowing mothers to drop in at any time without notice to pump or nurse their baby on demand protects breastfeeding. If your child care facility pushes back on your breastfeeding requests, then it’s probably not a good fit.

Knowledgeable Staff 
A child care provider whether in a private or commercial setting should have basic training on breastfed infant behavior, proper bottle-feeding techniques, and breastmilk storage handling.  All babies, breastfed or not, should be fed using The Paced Bottle Feeding Technique. This feeding method allows the baby to control the flow of milk, preventing overfeeding. Normal milk consumption for babies 1-6-month-old is 1- 1 ½ ounces per hour. Milk leftover from feedings should be discarded within 2 hours of initial use and proper breastmilk milk handling should be carefully followed. Download the handout here to share with your child care team. Breastfed babies should not be fed on strict schedules but rather monitored for hunger cues. For younger babies less than 3 months old this includes moving head from side to side (rooting), bringing fingers to mouth, and for older babies, actively moving arms and legs while gazing at the caregiver. 

Facility Accommodations 
Breastfeeding friendly accommodations on-site should include a designated area to pump or nurse your baby, other than a restroom. A fridge to store breastmilk and a sink to wash pump parts. You will need to label bottles and/or milk storage containers with the name of your baby and date with permanent, reusable, or personalized silicone labels. 

Additional tips for success:

???? Check with your local / state breastfeeding coalition to find breastfeeding-friendly centers here.

???? Take a tour with your prospective child care provider first before making a decision. 

???? Choose a child care provider nearby. You can hop into pump/nurse or simply check on baby anytime. 

???? A low child-adult ratio allows the caregiver to pay more attention to feeding cues and can prevent overfeeding. 

???? Long-standing caregivers provide added security your baby is in the care of an experienced professional. 

???? Send breastmilk in 1-2 ounce increments to prevent milk from being wasted. 

Always remember you are your baby’s advocate. No matter your breastfeeding goals, you should feel comfortable to easily keep an open conversation with your child care provider. 

Do you still have other questions about child care and breastfeeding? Email us at IBCLC@spectrababyusa.com anytime or schedule a complimentary consultation. Our International Board Certified Lactation Consultants are happy to assist you along your breastfeeding journey. 

We’re in this together and we support you! 

Sources

  1. How to choose a breastfeeding-friendly childcare provider. (2020, February 19). La Leche League USA. https://lllusa.org/choosing-a-childcare-provider/
  2. Proper Storage and Preparation of Breast Milk. (2020, January 22). Center For Disease Control. https://www.cdc.gov/breastfeeding/recommendations/handling_breastmilk.htm
  3. Anne Smith, IBCLC. (n.d.). Caregiver’s Guide to the Breastfed Baby. Breastfeeding Basics. Retrieved January 11, 2021, https://www.breastfeedingbasics.com/articles/caregivers-guide-to-the-breastfed-baby

Nipple Shields: Yay or Nay?

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Melissa Portunato MPH, IBCLC, RLC

Are your nipples sore from nursing your newborn? Are you thinking of purchasing a nipple shield to prepare for your breastfeeding journey? Wait! Don’t grab that nipple shield just yet! Temporary use of a nipple shield combined with proper guidance can salvage a breastfeeding relationship at times, but nipples shields can be widely misused too! Read on to find the answers to everything you need to know about nipple shields. 

Do I really need a nipple shield? 
Far too often, nipple shields are used to mask breastfeeding issues without getting to the root cause.Truth is, most moms do not need them at all. Nipple shields essentially create a barrier between you and your baby. They are infamous for low weight gain, clogged ducts, low milk supply and a ton of other breastfeeding issues, even Mastitis. Some newer research tells us temporary use of nipple shields could possibly salvage a breastfeeding relationship if it’s combined with skilled lactation support early on. 

What are some instances a nursing mom might benefit from the temporary use of a nipple shield?
It’s surprising for most to learn flat or inverted nipples begin to naturally draw out with breastfeeding. Even with inverted nipples that don’t protrude with stimulation, nursing or pumping will draw them out and a nipple shield is not even needed. There may be instances, where the nipple does not protrude and a nipple shield can be beneficial. 

Other special circumstances include premature babies (born earlier than 36 weeks) and transitioning from bottle to breast. The supervised use of a nipple shield has been linked to temporarily improving or prolonging the breastfeeding relationship in some studies. 

How do I use a nipple shield?
If you decide to use a nipple shield, make sure it’s the right size and made of thin silicone material. The shield should fit securely over the nipple and areola. When a baby is latched and actively nursing at the breast there should be visible movement on and around the breast. Also, there should be breastmilk on the tip of the shield. These are all indicators the nipple shield placement is correct. Working closely with a local International Board Certified Lactation Consultant, IBCLC is critical to ensure your baby is nutritively sucking at the breast and transferring adequate milk to grow and thrive. 

Weaning off the shield
Nipple shields are intended for temporary use which means the goal should always be to wean off them. Switch and bait can be an effective technique when weaning a baby off a nipple shield. Start nursing with the shield, slip it off and then quickly re- latch baby directly at the breast. This approach can take patience and practice. Start feeding sessions skin to skin and offer the breast at early feeding cues. Crying is a late sign of hunger and a “hangry” baby will be much harder to latch. 

Protect your milk supply if your baby is not latching by dual pumping using a Spectra Baby USA hospital strength pump. In addition, introducing a supplemental nursing system can aid at keeping baby nursing at the breast while trying to wean off a nipple shield. 

Getting skilled lactation support early can prevent the use of nipple shields all together! Nipple shields are not intended for long-term use and should be approached with caution. If you decide to use a nipple shield work closely with a local International Board Certified Lactation Consultant, IBCLC who has experience with using niplpe shields. 

Do you have breastfeeding questions? Schedule a free Spectra Baby USA virtual consultation with one of our experts to help you on your breastfeeding journey! 

We are here for you and we support you! 

Sources:

Chertok, I. Reexamination of ultra-thin nipple shield use, infant growth and maternal satisfaction. J Clin Nurs 2009;18(21):2949-2955.

Meier, P. et al. Nipple shields for preterm infants: effect on milk transfer and duration of breastfeeding. J Hum Lact 2000; 16(2):106-114.

Kronborg H, Foverskov E, Nilsson I, Maastrup R. Why do mothers use nipple shields and how does this influence duration of exclusive breastfeeding?. Matern Child Nutr. 2017;13(1):e12251. doi:10.1111/mcn.12251

Breastfeeding and Pregnancy

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mom on couch with breast pump

Melissa Portunato MPH, IBCLC, RLC

Did you just find out you’re expecting a new baby and you’re currently breastfeeding? So many emotions can begin to flood your mind when you start to process that a new little one will be joining your family in just a few short months…excitement, joy, anxiety and uncertainty. If you’re pregnant and breastfeeding, you could be asking yourself questions like “Will I need to stop breastfeeding since I’m pregnant? Can I harm my unborn baby by continuing to breastfeed throughout my pregnancy?” Take a deep breath! We got you covered! Read on to get evidence based answers to everything pregnancy and breastfeeding. 

First things first, is it safe?
Nipple stimulation triggers the release of the oxytocin hormone which can trigger contractions. Research tells us less oxytocin is released when a woman is pregnant making it generally safe for a healthy mom to continue nursing while pregnant but not always. If you are exclusively pumping, remember that is breastfeeding! We recommend scheduling a prenatal exam as soon as possible to thoroughly discuss your personal situation with your doctor. If you are considered a “high risk” pregnancy you may be advised to discontinue breastfeeding to ensure your pregnancy will be safe and smooth. The current data reflects breastfeeding and healthy term births are not only compatible but biologically normal.

Changes in Milk Supply and Composition
Hormonal changes in pregnancy can cause milk supply dips and fluctuations, as well as, increased nipple tenderness. Your nursling might want to breastfeed more frequently or become less interested. Supply and demand, won’t typically hold up even if breastfeeding has been increased. Some mothers do not experience a decrease in milk supply at all while others do. Everyone is different. Milk composition will begin to transition into colostrum during your third trimester. Increased sodium levels in breastmilk can change the taste of your breastmilk and this combined with less milk, could lead to natural weaning yet; some kiddos do not mind at all and continue to nurse. The AAP recommends breast milk as the primary source of food for the first year. Closely monitor your baby’s breastfeeding behavior at the breast, weight gain and diaper output to ensure they are growing and thriving. 

Tandem Nursing
Colostrum will be produced for your newborn during the first few days postpartum even if you have continued to breastfeed an older child throughout your pregnancy. Since colostrum is packed with immune properties and prepares the newborn gut for mature milk you want to make sure you are giving your newborn priority at the breast during the early days after delivery. Nursing both of your babies at the same time, called tandem nursing, can be a way to offer emotional security and extra attention to the sibling. Tandem nursing can also help lessen engorgement and create an adequate milk supply. If you decide to wean your older baby, gradual weaning is always best. Avoid being seen in your typical nursing areas, don’t offer the breast but don’t refuse either. Redirecting behavior when asked to nurse can help the weaning process too, like offering a snack or a favorite toy. 

Pumping To Induce Labor and Colostrum Harvesting 
If you haven’t been breastfeeding since the beginning of your pregnancy it’s not recommended to start now unless you are full term (over 38 weeks) and under the care of your medical practitioner. Pumping or hand expressing can be an effective way to kick start labor! If your doctor approves you can start with hand expression or pumping with your Spectra Baby USA breast pump for 10-15 minutes on a low 38 cycle and low suction strength, just a few times a day. Some mothers will even start to see some drops of precious colostrum. You can use sterile syringes to collect, store and freeze colostrum. This can be even extra important if you already know you will be separated from your baby after delivery. Always check with your doctor first when using pumping to induce labor. 

If you desire to continue to breastfeed while pregnant, you are not alone. Breastmilk continues to have benefits for your older child and many mothers safely breastfeed their older babies while pregnant. Work closely with your health care practitioner and surround yourself with support to ensure breastfeeding can continue safely. Spectra baby USA is here for you and we support your decision to breastfeed while pregnant. Schedule a prenatal consult with us and we can help you reach your personal breastfeeding goals. 

Sources:

Amico, J., and Finley, B., Breast stimulation in cycling women, pregnant women and a woman with induced lactation: pattern of release of oxytocin, prolactin and luteinizing hormone. Clinical Endocrinology, 1986 25:97-106.

Journal of Nursing Research, 20 (1) p 74-80. doi: 10.1097/JNR.0b013e31824777c1

Mohrbacher (2010) Breastfeeding Answers Made Simple, Hale Publishing, ISBN-10: 0984503900

Flower H. (2016) Breastfeeding during pregnancy and tandem nursing: is it safe? Recent research, Breastfeeding Today, 11 April 2016

Philippa Pearson-Glaze, Expressing Colostrum Antenatally, Breastfeeding Support, 24 August 2019, https://breastfeeding.support/expressing-colostrum-antenatally/ (accessed 9 September 2020).

 

What Do I Really Need to Buy for Breastfeeding?

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By Jacque Ordner BSN, RN, IBCLC, RLC 

It’s no secret that having a baby is expensive!  With all the buzz around certain products, we thought it would be helpful to break down what is a must-have and what might not be necessary (at least at first). 

 Must Haves: 

  1. A good quality, hospital strength, double electric breast pump- It’s true not every breastfeeding mom needs a pump, but it is estimated that 85% of breastfeeding mothers use a pump at some point in their breastfeeding journey. Even if you don’t plan to be separated from your baby for work, you may desire a night out or have to be separated due to other circumstances.  If your baby has trouble latching or you need to boost your supply, already having your pump will help prevent added stress. 
  2. An extra set of pump accessories- Duckbill valves, backflow protectors, flanges, tubes, and collection bottles are essential to your pump’s function. Having an extra set can save you or your partner from a midnight run to Target if one of your pieces gets lost or broken.
  3. Hands-free pumping bra – If you plan to pump, even just occasionally, a hands-free bra can be a game-changer!  Going hands-free gives you more freedom and allows for hands-on pumping to help increase pumping output.  
  4. Nursing bras – Many moms find the support of a nursing bra to be comfortable once their milk production ramps up.  The convenience of fold-down flaps can lead to reduced frustration when trying to get little one to latch.
  5. Hydrogel Pads – Your own breastmilk can be helpful for soothing and healing sore nipples, but hydrogel pads offer an added soothing coolness that many moms love.  Even if you don’t experience cracked nipples, hydrogel pads can be great to keep on hand for any nipple soreness that might occur. 
  6. A FEW milk storage containers/bags– While it’s tempting to stock up when those nesting urges hit, we recommend only purchasing a few milk storage containers or bags.  This gives you the opportunity to try different brands to find what you like before purchasing in bulk.  
  7. Bottles – Breastfed babies can be finicky when it comes to bottles.  For this reason, we recommend purchasing only a few to have on hand until you know what works best for your little one.  Registering for one of each of a few different brands is a great way to have a few to try when the time comes. 
  8. Water bottle – Staying hydrated is key when making milk!  Having a cute water bottle that you enjoy drinking from can be extra helpful when you’re stuck on the couch nursing or pumping. Have a water bottle that you like also encourages you to take it with you to get your water in on the go! 

While there are hundreds of products marketed to breastfeeding moms, the above list focuses on the basics to help get you started.  With this list, you can avoid expensive purchases that end up going unused.  If you find you desire extras like nursing tops, a pumping cart, breast massager, etc, there will be plenty of time to shop online while you’re nursing or pumping for your sweet bundle of joy!  
 
Have pumping or breastfeeding questions?  Schedule a free consultation with one of our 
Spectra Baby USA IBCLCs HERE.  

Summertime With Your New Baby

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Summertime With Your New Baby
Melissa Portunato MPH, IBCLC, RLC

Summer is finally here! Time to hit the road, spark up the grill or hit the beach with the family for some fun in the sun. Check out our best advice on keeping baby happy and healthy while enjoying the outdoors this summer. 

Will I need to bring along drinking water to give my baby?
Did you know that breastmilk is 80% water? Yep! It’s not necessary to give an exclusively breastfed baby water as long as mama is hydrated and they have free access to the breast or breast milk. Your baby will get all the hydration they need just from your breast milk! Infants less than 6 months should receive their nutrition exclusively from breastmilk, which means no other fluids should be given even in hot climates. 

Can I put sunblock on my baby? 
Your best defense will be to keep your baby in the shade and covered up. The general recommendation is to wait until your baby is 6 months before lathering them up in sunscreen. There are some sunscreens that are safe for younger babies. Check with your pediatrician before you’re ready to be in the summer sun with your baby. The majority of sunscreens on the market have toxic chemicals that are harmful to your baby and the environment. Look for a baby sunscreen with the active mineral ingredients of zinc oxide and titanium dioxide, these are ingredients the FDA recognizes as safe. 

What about bug repellent? Is it safe for my baby? 
The skin of a baby is so tender. It can be scary spraying it with bug spray and wondering if the ingredients are safe or will cause an allergic reaction. Most insect repellents are safe for babies over 2 months old. The American of Pediatrics recommends not to use DEET (N, N-diethyl-3-methylbenzamide) on babies less than 2 months old and not to use more than 10% DEET on a child of any age. It’s best to spray first on your hand and then on your baby. Natural repellents that contain essential oils from plants like citronella and lemongrass can be quite effective and will be the safest route to keep your little one bite free. You might want to consider mosquito netting around your baby’s stroller or bassinet to help keep those blood suckers out too! 

Keep You and Your Breastmilk Cool
You will get extra thirsty breastfeeding, caring for your baby, and lugging around all the outdoor props. Remember to stay hydrated mama! Carry a refillable water bottle with you and drink to thirst. If you are pumping on the go, keep your milk cool up to 24 hours with our pretty pink cooler. Check out the CDC guidelines for milk storage guidelines here. 

Hitting the road this summer with your baby? Do you have questions about pumping on the road? Schedule a one on one consultation with a Spectra IBCLC today. We can help you better plan! Less stress means more summer fun with your baby. 

Sources:

Academy of Breastfeeding Medicine Clinical Protocol #3: Supplementary Feedings in the Healthy Term Breastfed Neonate, Revised 2017. Breastfeed Med. 2017;12(3). DOI: 10.1089/bfm.2017.29038.ajk

https://www.fda.gov/drugs/understanding-over-counter-medicines/sunscreen-how-help-protect-your-skin-sun?gclid=EAIaIQobChMI0JO4l7KY6gIVCbSzCh17DgLzEAAYASAAEgJJhfD_BwE

American Academy of Pediatrics: Choosing an Insect Repellent for Your Child, July 2018.

Cesarean Delivery and Breastfeeding

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blog photo 66

By Jacque Ordner BSN, RN, IBCLC, RLC

Most moms don’t anticipate having a cesarean delivery, but for some it is unavoidable. In fact, the U.S. c-section rate is a staggering 31.9%.  We know that birth interventions can also have a correlation with increased breastfeeding difficulties, and cesarean deliveries are a BIG intervention.  However, the correlation might surprise you! As many as 41% of women who experience emergency cesarean delivery have a higher proportion of breastfeeding difficulties.  Studies also tell us that women who deliver via planned c-section are less likely to continue breastfeeding beyond 12 weeks postpartum compared to those who deliver vaginally.  How can you help improve your chances of breastfeeding success despite the challenges of cesarean delivery? Read on for our best tips!

  1. Be prepared – Take a breastfeeding class, preferably taught by an IBCLC, and make sure you  learn as much as you can about breastfeeding before you ever deliver.
  1. Know your resources – Identify local breastfeeding experts in your community.  Find a breastfeeding support group locally or online. Call on friends and family who have had breastfeeding success because their support will be invaluable!
  1. Get a pump – Having a hospital strength pump and being familiar with it can be a saving grace if directly nursing is difficult.  Our S1 and 9+ models have a rechargeable battery, so we recommend having them all charged up in preparation for baby’s arrival as well!
  1. Latch baby soon after delivery if possible – The first hour after delivery is often called the “Golden Hour” because nursing within this time frame can help lead to nursing success later on.  If mom and baby are stable, nursing right in the operating room can even be a possibility!
  1. Skin to skin – This super cozy practice can have big payoffs when it comes to baby’s temperature and blood sugar stability, but it is also a great way to encourage breastfeeding and abundant breastmilk production.
  1. Wake baby if needed – Some anesthesia/pain medications related to cesarean deliveries can cause sleepiness in baby.  For this reason, it is recommended to wake baby every 2-3 hours for feeds if they’re not waking up on their own.
  1. Nursing Positions – Get familiar with c-section friendly nursing positions such as side-lying, laid back, and the football hold. The right position can help make nursing more comfortable for mom and more effective for baby!
  1. Make your wishes known – If nursing is high on your priority list, let the hospital staff and your support people know that you wish to avoid supplements unless they are truly medically necessary.  Avoiding pacifiers and bottles in the early days and weeks can help increase breastfeeding success.

With the right preparation and support, moms can reach their breastfeeding goals no matter they type of delivery they experience! We’re here to help as well…..schedule a FREE pumping consultation with one of our IBCLCs to help prepare before baby arrives or at any time during your breastfeeding journey.  www.spectrababyusa.com/lactationservices

Sources

FastStats – Births – Method of Delivery. (2017, January 20). Retrieved March 31, 2020, from https://www.cdc.gov/nchs/fastats/delivery.htm

Hobbs, A. J., Mannion, C. A., McDonald, S. W., Brockway, M., & Tough, S. C. (2016). The impact of caesarean section on breastfeeding initiation, duration, and difficulties in the first four months postpartum. BMC Pregnancy and Childbirth, 16(90). Retrieved from    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4847344 

Prior, E., Santhakumaran, S., Gale, C., Philipps, L. H., Modi, N., & Hyde, M. J. (2012). Breastfeeding after cesarean delivery: a systematic review and meta-analysis of world literature. The American Journal of Clinical Nutrition, 95(5), 1113–1135. doi: 10.3945/ajcn.111.030254

Yan, Y., Gao, X., & Xiang, S. (2020). Effects of Cesarean Delivery on Breastfeeding Practices and Duration: A Prospective Cohort Study. Journal of Human Lactation, 34(11). doi: 10.1177/0890334417741434

 

 

There Is No Such Thing as The Perfect Mom

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breast pumping at the park

By Jacque Ordner BSN, RN, IBCLC, RLC

Instagram, Facebook, Mom Groups, even TV commercials and our own circles of friends all seem to be telling us there is something we could be doing better…..especially when it comes to motherhood!  Be sure you avoid that epidural. Only use 100% organic cotton garments on your little bundle. GMO, BPA, DHA, Vit D, RDA, BMI, OPD, PPD, PPA…..aaahhhh!!!!. You sleep train? Gasp! You don’t? From swaddling to co-sleeping and purees to Baby Led Weaning, parenting is full of choices.  It’s no wonder that today’s mothers feel incredible pressure to always get it right. In the Information Age data, trends, and opinions are all at our fingertips, but so are the blindingly judgmental comments of millions of social media participants. Somehow, with the availability of so much information, has also come the unattainable expectation of perfectionism.  And, to make matters worse, no one can agree on which type of mother is actually perfect……because SHE DOESN’T EXIST!

The truth is even if you do all of the “right” things, there will still be something, or likely lots of things, you’re going to wish you had done differently.  There’s just no way around this, and that’s because life is messy. We’re not supposed to have all of the answers. We’re not supposed to be able to see, with perfect clarity, how to pick the perfect daycare provider, or when to let them have their first sleepover.  Some of that knowledge can only be gained by living those experiences. As a veteran mom of four, soon to be five, I can assure you there are so many things I thought were of the utmost importance when my older kids were babies, and now I realize they really didn’t matter much at all.  The brand of diapers, the jungle theme or sailboats, whether we introduced the orange vegetables before the green ones, do we do SPF 50 or SPF 65? As my kids have aged, I have come to realize that the #1 thing that matters is if I’m really there for them. Am I there when they fall down and get hurt?  Am I there when they’re scared? Am I there when they don’t fit in with the popular kids? Am I there when they get their first crush? Am I there when they have to own up to telling a lie? Am I there when a friend betrays them? This is what matters! These are the moments when great moms are made. 

So, when you’re in the trenches of the newborn phase, or you’re bogged down by the demands of toddlerhood, try not to overcomplicate it too much.  Be their person. Make sure they know you are the one they can count on even when they feel like there is nowhere else to turn. If you can do that, then I promise the other stuff won’t matter nearly as much, and maybe not at all. It’s ok if you’re not the perfect mom because none of the rest of us are either.  

Benefits of Baby Wearing

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newborn baby breastfeeding

Benefits of Baby Wearing

By: Melissa Portunato MPH, IBCLC, RLC

It doesn’t matter what Grandma Susie says you can’t spoil a baby. It’s biologically normal for babies to want to be held. All around the world mothers have worn their babies for centuries in specially designed fabric wraps, ring slings and carriers. In recent times, baby wearing has gained popularity in the US because it allows busy parents to cuddle their babies close while keeping them hands free!  

Read on to check out 5 pretty cool facts about baby wearing:

Great For Being On The Go

Whether it’s a short trip to the grocery store or an international travel trip, baby wearing is an excellent way to be on the move. Who loves dragging a bulky stroller around? Not me! When you are baby wearing on the go, babies are less likely to fuss or cry because they’re close to you. Less worry and more time to run around getting things done. 

Good For Baby’s Overall Health and Well Being  

Let’s start with the fact that momma’s chest is a baby’s natural environment. Did you know that on a mother’s bare chest, a baby’s temperature and heart rate regulate? Pretty neat. If you have a baby with reflux, or colic you’ve likely been told to keep baby upright as much as possible because this position can lessen symptoms. Baby wearing does that! Baby wearing can also prevent flat head syndrome and improve cognitive development. By wearing your baby, you’re allowing them to be at your level exploring the world around them. This can encourage speech, social interaction, and independence. Bonus: People are less likely to touch a baby held tightly at your chest versus when a baby is in a stroller. Less exposure to nasty germs and less sicky – poo hands all over baby! 

Benefits For Mama Bear

We know skin to skin has a ton of benefits. Skin to skin promotes breastfeeding, bonding and oxytocin (the feel good hormone) which can lower rates of postpartum depression. Baby wearing makes it easier for mom to go out in public and socialize. Walking the mall with a friend or going to a church service doesn’t seem to be such a grueling task anymore. Getting mom out instead of keeping her all couped up at home – isolated, can help her transition easier into motherhood! 

You Can Nurse Or Pump In It! 

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 going on. I recommend pumping one breast at a time if you are wearing baby. But hey! Why not use the carrier as a nursing cover?! Make your pumping sessions even more discreet and interchange your carrier for a breastfeeding cover. And YES mamas! Pumping is breastfeeding! 

Other People Can Bond With Baby 

Nothing warms my heart more than seeing an older sibling or daddy wearing the baby. Sometimes the rest of the family can feel a little left out since baby spends so much time with mama, especially during the first 6-8 weeks. Baby wearing can promote bonding with others and will let you get some much needed rest. 

Now, to choose which carrier type is best for you? Wrap, ring sling, structured carrier? You definitely want to consider the baby’s age/weight, your height, as well as where you will be wearing the baby. For instance: short trips, a formal event, or if you’re hitting the theme parks may call for different types of carrier styles and designs. Choosing the best type of carrier is a personal decision. Joining a local baby wearing group can help you decide. Click here to find one! Many have meetups and carriers to try on before purchasing. We love baby wearing because of the functionality and benefits for both mommy and baby. Like a mom boss, keep your baby close, get stuff done…baby wearing for the win!

What’s in Breastmilk Anyway?

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mom holding breast milk bottle

By Jacquelyn Ordner BSN, RN, IBCLC, RLC

Breastmilk contains over 200 components, and that’s just what scientists have discovered so far! It is no surprise that breastmilk is the optimal food for babies, but what exactly is in it anyway?  With macronutrients, micronutrients, trace minerals, bioactive components and more, breastmilk truly is a living food!

Macronutrients

Macronutrients are nutrients that our bodies require in large amounts, typically measured in grams. Here’s a look at the average concentrations of macronutrients in 1 ounce of mature human milk. 

Carbohydrates 2.1 grams/oz
Protein 0.39 grams/oz
Fat 1.2 grams/oz
Calories (kcal) 22/ oz

Micronutrients, Vitamins, and Minerals

Micronutrients and minerals are essential for human growth and development.  It is important to note that some of these components of breastmilk can be influenced by mom’s dietary intake. Below is a list of just some of the micronutrients and minerals present, on average, in mature human milk.

Iron 23 mcg/ oz
Sodium 4.5 mg/oz
Phosphorus 4.5 mg/oz
Vitamin C 1.2 mg/oz
Vitamin A 18.2 mcg/ oz
Calcium 10.6 mg/ oz

*Note the above table is certainly not a comprehensive list of all micronutrients and minerals contained in breastmilk.

Additional Components 

Breastmilk not only contains amazing nutritional components, but also digestive enzymes, hormones, growth and development factors, antimicrobial components, and immune modulating components.  These non-nutritional agents make breast milk ideal for babies and toddlers! Here’s a brief look into some of these breastmilk super components:

Macrophages Protect against infection by seeking and engulfing potential immune threats
Stem Cells Essential for regeneration and repair
Secretory IgA Most prevalent immunoglobulin in breastmilk. Anti-microbial and anti-inflammatory
Cytokines Help modulate immune response and play a huge role in gut health.  Help protect against NEC (necrotizing enterocolitis)
Lactoferrin 2nd most abundant protein in breast milk, anti-inflammatory and antioxidant, aids in iron homeostasis, helps reduce instance of sepsis and NEC (necrotizing enterocolitis) in pre-term infants

Wow!  It’s obvious that breastmilk is truly amazing and can’t be duplicated!  How incredible is it that women’s bodies can create this incredible living food for their babies!  So, nurse or pump on mamas……you’re providing the best food on the planet, and every drop counts!

Sources

  • American Academy of Pediatrics, Policy Statement. Breastfeeding and the use of human milk. Pediatrics 2005; 115:496-506.
  • ESPGHAN Committee on Nutrition; Agostoni C, Braegger C, Decsi T, et al. Breast-feeding: A Commentary by the ESPGHAN Committee on Nutrition. Journal of Pediatric Gastroenterology and Nutrition 2009; 49:112-125.
  •  Ochoa, T. J., & Sizonenko, S. V. Lactoferrin and prematurity: a promising milk protein?. Biochemistry and cell biology = Biochimie et biologie cellulaire 2017, 95(1), 22–30. doi:10.1139/bcb-2016-0066
  • Walker A. Breast milk as the gold standard for protective nutrients. Journal of Pediatrics 2010; 156(2):Suppl. 1.
  • World Health Organization http://www.who.int/topics/breastfeeding/en/

 

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