The American Academy of Pediatrics (AAP) Issues Updated Breastfeeding Guidelines

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By Melissa Portunato MPH, IBCLC, RLC

On June 27, 2022, The American Academy of Pediatrics updated its existing policy statement on breastfeeding. The revision has come at a controversial time amidst the current formula crisis, failed legislation, and the recent Supreme Court ruling on reproductive health rights. Read on for the full breakdown and what this means for public health in the US. 

What’s NEW?
The previous AAP policy recommended breastfeeding for the infant’s first year and has now been updated to 2 years and beyond. The policy now states, 

“ The AAP supports continued breastfeeding, along with appropriate complementary foods introduced at about 6 months, as long as mutually desired by mother and child for 2 years or beyond.” 

This wasn’t the only change that came with the revised policy. Social and cultural calls for action were also at the center of the guideline revisions to support parents who want to meet the new recommendation. The official statement includes the need for paid maternity leave and more support in public, child care, and workplace facilities. In addition, maternity care practices were urged to improve breastfeeding initiation, duration, and exclusivity. The organization also acknowledges that babies born to gender-diverse families may not have equal access to human milk, and clinical support may be more challenging. Overall, the AAP calls for clinicians to equip themselves to provide evidence-based quality medical care to ensure all families best meet their personalized breastfeeding goals. 

Why Now?
As the formula crisis rages on, parents may be asking themselves, why now? The truth is this has been a long time coming, but the formula shortages did help to revive the conversation. Significant research has long backed up the nutritional and immunological benefits of human milk feeding past one year. The extensive studies are not limited to the above benefits; instead, they reveal psychological advantages when the young child continues to nurse directly at the breast and boast benefits for the mother as well. It’s important to note that the new revision is now in line with the World Health Organization’s long-standing breastfeeding recommendations for 2 years or beyond. 

Now What?
We all know exclusive breastfeeding is the goal, but that can seem far-fetched or unattainable for families struggling to make enough milk, experiencing latching difficulties, or simply lacking breastfeeding education or support. Nevertheless, many experts still agree the revision to the AAP policy is a step in the right direction. It will likely prompt the availability of more community resources for pre/post-natal education, diversity of lactation clinicians, and easier access to low-cost breastfeeding support platforms, i.e., telehealth.

Unfortunately, the Pump For Nursing Mothers Act which would extend breastfeeding mothers pumping rights to 2 years, was denied in the wake of the AAP’s updated guidelines. The failed legislation covered salaried breastfeeding individuals that were not covered under the Affordable Care Act. Another bill already introduced to the Senate, the Pregnant Workers Fairness Act, prohibits employers from discriminating based on pregnancy, childbirth, and related medical conditions. This bill appears ready to pass soon and is set to protect working breastfeeding families similarly. Good news! 

How can Spectra Help?
Breastfeeding for 2 years or beyond may not be realistic for all families, yet there are ways Spectra baby USA is making it easier for parents that decide to breastfeed past one year. All Spectra Baby USA’s high-quality electric breast pumps have a 2-year product warranty. Complimentary virtual consultations with a Certified Lactation Consultant (IBCLC) are available with the purchase of any Spectra baby USA breast pump. No matter the amount of breastmilk you can provide or the length of time, breastfeeding is an accomplishment, and human milk provides irreplaceable health benefits to your baby. If you have questions about achieving your breastfeeding goals, message us at ibclc@spectrababyusa. In addition, we always recommend connecting with your local International Board Certified Lactation Consultant for evidence-based advice and community support. 

Sources:

American Academy of Pediatrics calls for more support for breastfeeding mothers within updated policy recommendations. Home. (n.d.). Retrieved July 5, 2022, from https://www.aap.org/en/news-room/news-releases/aap/2022/american-academy-of-pediatrics-calls-for-more-support-for-breastfeeding-mothers-within-updated-policy-recommendations/ 

Text – H.R.3110 – 117th Congress (2021-2022): Pump for Nursing Mothers act. (n.d.). Retrieved July 5, 2022, from https://www.congress.gov/bill/117th-congress/house-bill/3110/text 

Bonyata, K. (2018, January 15). Breastfeeding your toddler: What to expect • kellymom.com. KellyMom.com. Retrieved July 5, 2022, from https://kellymom.com/ages/older-infant/toddlernursing/ 

 

Should I Introduce A Pacifier to My Baby?

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Melissa Portunato MPH, IBCLC, RLC

Babies are born with a strong innate sucking reflex necessary for survival. When combined with the rooting reflex, a newborn baby can find the breast, suck and swallow milk. Sucking can also bring soothing comfort to a newborn baby, and parents often run to a binkie for a quick fix. Read on to learn the pros, cons, and helpful tips about introducing a pacifier to your breastfed baby. 

When Can I Introduce a Pacifier? 
All major baby experts agree parents should wait to introduce a pacifier until breastfeeding has been well established. Baby should have gained back their birth weight and be gaining weight appropriately (around 3-4 weeks). Avoid supplementing with a pacifier if baby is hungry. Limiting the pacifier for naptime and bedtime is best. After the initial first weeks, a pacifier can be considered and has some evidence-based benefits too!

Which Type of Pacifier is Best?
Pacifiers were created to mimic a breastfeeding mother’s nipple and first debuted in the early 1900s. Originally they were mostly made from natural rubber, later latex, and most recently BPA-free silicone. 

Choosing a pacifier with a rounded tip better encourages nursing at the breast. In addition, the silicone material is soft and smooth, which resembles a mother’s nipple. If baby doesn’t seem interested in the pacifier offered, you can try a different one to discover the baby’s preference. 

Pros & Cons

✔ In the first 6 months, decreased risk of Sudden Infant Death Syndrom when given at the onset of sleep 

✔ Suck training and shorter hospital stays for premature infants. 

✔ A distraction for car rides and airplane travel, especially during take-off. 

✔ Pain management for minor procedures. 

✔ Provides comfort if the mother is not nearby to nurse. It should not replace a feeding but rather temporarily soothe a fussy baby. 

✖ Early pacifier introduction has been linked to a shorter duration of breastfeeding, sore nipples, and engorgement. 

✖ Prolonged use can increase the risk of ear infections and thrush. 

✖ Pacifier use is associated with poor dental development if continued after 2 years old.

✖ Overuse and prolonged use may interfere with language development.

✖ It can be tough to break the pacifier habit, and weaning can be difficult. It’s recommended to ditch the paci before baby’s first birthday.  

Helpful Binkie Tips

★ Clean often and sanitize pacifiers daily 

★ Replace if torn or broken 

★ Wean baby before one year

★ Limit to bedtime and naptime

★ Never use a pacifier with a clip or strap, which can pose a hazard 

★ If baby is happy and content no need to introduce a paci 

★ Don’t push pacifier back in if baby refuses

More to Consider 
Interaction with your baby is vital for language and social development. Your baby will be less likely to coo or try to communicate while sucking on a pacifier. Moderation is key. Many breastfeeding families temporarily introduce a pacifier and continue to meet their breastfeeding goals. 

For guidance and support anytime, connect with a Spectra IBCLC at ibclc@spectrababyusa.com.

Sexton, S., & Natale, R. (2009, April 15). Risks and benefits of pacifiers. American Family Physician. Retrieved June 27, 2022, from https://www.aafp.org/pubs/afp/issues/2009/0415/p681.html#:~:text=Early%20breast%20weaning-,AAP%20recommends%20pacifier%20use%20in%20infants%20up%20to%20six%20months,procedures%20in%20the%20emergency%20department.&text=AAP%20suggests%20offering%20pacifiers%20to,reduce%20the%20risk%20of%20SIDS. 

 

When and How To Drop A Pumping Session

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By Melissa Portunato MPH, IBCLC, RLC 

The first 12 weeks of your breastfeeding journey requires frequent breastmilk removal, stimulating healthy milk production. Studies show moms who exclusively pump for a minimum of 120 minutes per day can make enough to feed their babies primarily breastmilk. After 12 weeks, your body has gotten the hang of milk making, and it could be an optimal time to drop a pumping session. Every breastfeeding experience is personal and unique. 

Read on to decide if you are ready to drop a pumping session and how to do it the most effective way.

How Often Are You Pumping and How Old Is Your Baby?
Trying not to go more than 4 hours without pumping/nursing is a general breastfeeding rule while breastmilk is being established. It’s best to wait until after the first 12 weeks to start eliminating pumping sessions. Frequently draining the breast every 2-3 hours will ensure your body produces enough milk and avoids engorgement. If you reached the 12-week milestone and pumping 8x or more per day, dropping a pumping session can be safely considered. 

How Much Milk Do You Currently Make Per Day?
Babies from one to six months old will consume on average 25oz per day. Research tells us exclusively pumping will yield a range from about 19oz to 30oz per day. On average, that’s 2-4oz combined every 2-4 hours. Milk production usually peaks at around 40 days postpartum, and it’s normal for this amount to fluctuate from day to day or session to session too! If you are nursing your baby at the breast and currently adding in pumping sessions, expect to see half the amount, ½ -2oz combined. 

Are You OK with Supplementing?
This could be a deal-breaker for some parents. If your baby has only received breastmilk up until now, you may be a bit more hesitant to offer formula. Others may supplement from the beginning and are comfortable adding additional formula if it means less pumping. Having an open and honest conversation with your trusted pediatrician can help you decide what’s best for you and your baby. No matter what you choose, you love your baby and are doing the very best you can. 

How Do I Start Dropping a Pumping Session?
Gradual weaning from the pump is always best. Start with eliminating a pumping session by 3-5 minutes until eliminated. It can take about a week or more to drop the session completely, and even then, set the alarms and listen to your body. Hand express or pump for 5 min for relief if needed to avoid clogged ducts and engorgement. Pumping on a low vacuum (3-5) and slower expression cycle (38 with the S1/S2) can gently drain the breast, allowing an easier transition. Once a pumping session has been dropped, the remaining sessions can be spaced out more evenly. 

Need help dropping a pumping session? Our IBCLCs are experienced with pumping schedules, weaning from the breast pump and more. Schedule a complimentary consultation with us today. 

Sources: 

Bonyata, K. (2018, January 02). Exclusive Pumping • KellyMom.com. Retrieved September 21, 2021 , from https://kellymom.com/mother2mother/exclusive-pumping/ 

Bonyata, K. (2018, January 16). I’m not pumping enough milk. What can I do? • KellyMom.com. Retrieved September 21, 2021, from https://kellymom.com/hot-topics/pumping_decrease/ 

Lawrence, R. A., & Lawrence, R. M. (2016). Breastfeeding: A guide for the medical profession. Philadelphia, PA: Elsevier. 

Mohrbacher, N. (2012, November 27). How Much Milk Should You Expect to Pump? Retrieved September 21, 2021 from http://www.nancymohrbacher.com/articles/2012/11/27/how-much-milk-should-you-expect-to-pump.html 

 

A Guide to Pumping on Vacation

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Melissa Portunato MPH, IBCLC, RLC 

Are you ready to hit the road with your breast pump this summer? Planning ahead will eliminate unnecessary stress so you can enjoy the time away and make long-lasting memories. Read on for our practical and easy-to-follow guide to pumping while on vacation. 

Ring Before You Go
When booking a hotel, make sure you have a freezer you can use. Ideally, there will be one in your room. However, you may be able to use the hotel’s main freezer if there is no other option. If you’re struggling with hotels, opting for a private home or condo may be a great option.

Have a Good Flight
In case you were wondering…YES, you can absolutely pump on a plane! And your breast pump does NOT count as an additional carry-on. Find out more about the TSA guidelines on carrying a breast pump and breastmilk here. Don’t pump in the restroom! Most airports now provide private pumping pods where you can nurse or pump in a clean, quiet space. Download the app to plan ahead and find the nearest pod if you need to pump before boarding. 

Vacay Must-Haves! 

  • Rechargeable Breast Pump – A portable breast pump like the S1 or 9Plus will give you more flexibility when pumping on vacation. We recommend charging your Spectra rechargeable pump for 3-4 hours; leaving it to charge overnight can ultimately damage the battery.
  • Grab a Car Charger! Spectra has car chargers for both the Spectra 9 Plus (9 volt) and the Spectra S1/S2/SG (12 volt). In addition, if you’re traveling abroad, Spectra baby USA beast pump power cords are internationally compatible, which means all you need is the country converter, and you’re all set!
  • Cooler Kit – Keep your breast milk cool when a refrigerator is unavailable. Transport refrigerated/frozen milk by placing breastmilk in an insulated bag or cooler with a frozen cold pack. According to the CDC,  milk should be refrigerated or frozen within 24 hours. Instant ice packs are nice to have on hand!
  • Extra Parts – It’s recommended that you wash your pumping parts (except tubing) after every use in a designated basin with warm soapy water. The CDC recommends sanitizing parts once daily for extra germ removal. If you know you won’t have access to a sink, bring enough sets of pump parts to get through the day. Placing pumping parts in the refrigerator in between uses is not recommended.
  • Hand Pump – Every mom should have a hand pump as a backup. They are lightweight, convenient, and can be your lifeline in an emergency! Throw it in your pump bag and never get left without pumping if you run out of battery or can’t find an outlet.

Pump and Chill 
Go ahead and sleep in or enjoy a late-night dinner! It’s OK if you don’t pump at the same time every day! Skipping a pumping session or going over in-between times occasionally shouldn’t have a drastic effect on your supply. Pumping every 3-4 hours should be the goal, but you don’t have to be a stickler with exact times. Pump before you head out; always pump before bed and in the morning when you wake up. If you miss a pumping session, pump as soon as you can but most importantly, cherish the time away and the memories that will last a lifetime. 

Pumping Packing List 

✔ Pump Bag

✔ Power cord 

✔ Breast pump 

✔ Car adapter 

✔ Extra accessories – duckbills, backflows, flanges, bottles, caps, and disks

✔ Wet bag for used pump parts

✔ Milk Storage Bags

✔ Cooler kit with an ice pack

✔ Hand pump

✔ Nursing Cover

✔ Paper Towels or Napkins for spills

✔ Hand Sanitizer 

Have more questions before your epic vacation? Email us at IBCLC@spectrababyusa.com! 

We’re here for you, and we support you! 

 

Navigating the Formula Crisis

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Melissa Portunato MPH, IBCLC

Though most women have the initial desire to breastfeed, the CDC reports only 25% of babies meet the recommendation of exclusive breastfeeding for the first six months. As the baby formula shortages continue in the US, many parents are now faced with the unprecedented stress of keeping their babies fed. If you are concerned about your baby’s well-being, contact your pediatrician immediately for supplementation guidance and continued support. 

Read on for important information and resources every family needs to know about the current formula crisis. 

Brand Alternatives
Many families rely on specialty formulas to feed their babies and have been feeling the effects of the shortages even more. However, if you can not find the brand or specialty formula for your baby, often brand alternatives are available. For a formula compatibility chart, click here. 

DON’T
Experts warn against making formula at home or diluting formula. This can be dangerous and harmful to your baby. To find or exchange formula in your community, visit this free online tool – https://freeformula.exchange. 

Relactation 
Relactation is reestablishing your milk supply after your body has stopped lactating after several weeks or months. To start relactating, if you have a baby that will latch to the breast, take it back to the basics. Practice lots of time skin to skin and bring baby to the breast often. If your goal is to pump exclusively, start pumping every 2-3 hours for 20-30 min each pumping session. In order for relactation to be successful, experts recommend using a hospital strength pump like those available at Spectra baby USA. At first, you may only see drops of milk, but with commitment and support, milk supply will start to increase over time. Work with a skilled International Board Certified Lactation Consultant that can help you meet your breastfeeding goals. Find a local IBCLC here. 

Practice Safe Breastmilk Sharing 
For safe breastmilk sharing, ask your donor about their lifestyle, medical history, and medications. Ensure they are safely handling breastmilk and consider home pasteurization. To learn more about milk sharing, visit https://www.eatsonfeet.org/safeMilkSharing.

Become a Breastmilk Donor 
Breastmilk donors are in high demand. Consider becoming a donor if you are currently breastfeeding. For more information on how to become a breastmilk donor, visit these resources:

https://www.hmbana.org

https://www.eatsonfeets.org/DonatingAndRequesting

At Spectra baby USA, we believe breastmilk is the perfect composition for your baby and every mother should have access to support. If you are expecting a new arrival and would like more information on getting off to the best start with breastfeeding, schedule a complimentary consultation with a Spectra IBCLC today! 

Paced Bottle Feeding

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Jacque Ordner BSN, RN, IBCLC, RLC 

Are you worried your precious little one will grow to prefer the bottle over your breasts?  Are you concerned you might not be able to keep up once baby begins taking bottles regularly while you’re away? Are you exclusively pumping and looking for tips on bottle feeding?  We’ve got you covered with our full guide on Paced Bottle Feeding.  

Research indicates that infants will take more from a bottle than they would when nursing.  This can result in overfeeding, mom losing confidence in her milk supply, and can even contribute to later obesity.  One large study compared formula fed infants (via bottle) and breastfed infants (via direct nursing) and found that the bottle-fed infants consumed 49% more milk at 1 month, 57% more at 3 months, and 71% more at 5 months. In comparison, we know that directly breastfed infants do not increase the volume of breastmilk intake from one to six months of age.  The average daily intake for a breastfed infant from one to six months remains about 25 ounces per day.  

 Why do bottle-fed infants tend to consume more?  

  • The flow from a bottle can often be initiated by gravity alone, triggering innate sucking reflexes present in babies under 4 months old.  In other words, baby will often continue to suck and swallow milk from a bottle long after they’ve reached “fullness”.  In contrast, the flow of milk from the breast requires a coordinated suckle and does not flow consistently.  An infant can pause, breathe, relax, and reassess before initiating additional flow from the breast.  This puts the baby in greater control of the feeding.  
  • Formula fed infants regularly consume more than their breastfed counterparts because more formula is required to meet their nutritional needs.  Formula also does not contain hormones such as leptin and adiponectin which regulate hunger and metabolism.  It’s especially important to keep this in mind if your baby receives breastmilk and formula or if you are tempted to compare your breastmilk fed baby’s intake with that of a formula fed infant.  

 What are the benefits of Paced Bottle Feeding? 

  • Paced Bottle Feeding allows infants to develop and practice their innate feeding cues and skills rather than only responding to the consistent flow of the bottle over which they have no control.  This is especially important for newborns (particularly pre-term newborns) who require supplementation early.  Allowing newborns to develop natural feeding cues and skills can be instrumental in helping them return to the breast or to transition from breast to bottle and back.   
  • Babies often develop a preference for the fast and continuous flow from the bottle. In the past, this might have been labeled as “nipple confusion”, but we now call it flow preference.  We now know that when baby prefers the bottle over the breast, it’s almost always due to the preference and ease associated with the faster flow of the bottle.  Babies are smart, and once they learn that they don’t have to wait for milk from the bottle they may start to refuse or become frustrated at the breast. Paced Bottle Feeding helps to mimic the slower and non-continuous flow of milk that occurs during nursing.  
  • Paced bottle feeding allows time for baby’s satiation signals to be recognized.  Most of us know the experience of scarfing down a big holiday meal in 10 minutes or less only to realize we’re painfully full.  Similarly, a baby can often take copious amounts from the bottle, due to its rapid and persistent flow, before the brain has had a chance to realize the belly is full.  This can lead to a gassy, fussy, spitty baby. Over time, baby’s tummy can come to expect those large feeds even if the volume isn’t necessary for baby’s complete nutrition.  Additionally, the same large study mentioned above found that caregivers often encourage baby to finish a bottle even when they’re displaying signs of satiety. Caregiver pressure to empty the bottle is another contributing factor to overfeeding. This can also lead mom to believe her supply is inadequate when baby is actually being overfed. 

 What are the principles of Paced Bottle Feeding? 

  • Feed on demand following baby’s hunger cues (rooting, sucking on fists, smacking lips, restlessness, etc.) Remember crying is a LATE sign of hunger.  
  • Choose a slow flow nipple.  Not all slow flow nipples are as slow as they claim.  Click HERE for to check the flow rate of many popular brands.  
  • Feed baby in a nearly upright position. 
  • Allow baby to “latch” onto the nipple rather than inserting it into his or her mouth. 
  • Hold the bottle parallel to the ground so that milk just enters the nipple. 
  • Provide frequent breaks by tipping the bottom of bottle down or completely removing the nipple from baby’s mouth. This is especially important if baby begins to gulp. Watch baby’s cues! 
  • Switch sides halfway through the feeding to mimic a nursing session. This also provides cross-connectivity in the brain. 
  •  Feedings should take 15-30 minutes.  
  • Don’t force baby to finish the bottle.  Allow baby to determine when he or she is full rather than encouraging them to finish a specific amount.  

*These techniques are appropriate for babies under 6 months of age.  

Click HERE for a video demonstration of Paced Bottle Feeding. 

Paced Bottle Feeding helps protect the nursing relationship, reduces the risk of overfeeding, and gives baby control of their feedings.  Have concerns about bottle feeding?  We can help!  Our Board Certified Lactation Consultants can develop a plan to help you introduce or manage bottle feeding.  Click HERE to schedule your free virtual consultation or email us at ibclc@spectrababyusa.com.  We’re here to support you! 

References 

 Arenz, S., Ruckerl, R., Koletzko, B., & von Kries, R. (2004). Breast-feeding and childhood obesity–a systematic review. International Journal of Obesity and Related Metabolic Disorders, 28(10), 1247-1256. 

 Dewey, K. G. (2009). Infant feeding and growth. In G. Goldberg, A. Prentice, P. A., S. Filteau & K. Simondon (Eds.), Breast-Feeding: Early influences on later health (pp. 57-66). New York, NY: Springer. 

Kramer, M. S., Guo, T., Platt, R. W., Vanilovich, I., Sevkovskaya, Z., Dzikovich, I., et al. (2004). Feeding effects on growth during infancy. Journal of Pediatrics, 145(5), 600-605. 

Kent, J. C., Mitoulas, L. R., Cregan, M. D., Ramsay, D. T., Doherty, D. A., & Hartmann, P. E. (2006). Volume and frequency of breastfeedings and fat content of breast milk throughout the day. Pediatrics, 117(3), e387-395. 

Li, R., Fein, S. B., & Grummer-Strawn, L. M. (2008). Association of breastfeeding intensity and bottle-emptying behaviors at early infancy with infants’ risk for excess weight at late infancy. Pediatrics, 122 Suppl 2, S77-84. 

Doneray, H., Orbak, Z., & Yildiz, L. (2009). The relationship between breast milk leptin and neonatal weight gain. Acta Paediatrica, 98(4), 643-647.

Talking “Self Care” With Dr. Rachel

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By Dr. Rachel Goldman Ph.D., FTOS, Licensed Psychologist

Self-care. We have all heard about it and we know we “should” do it, but do we? Self-care is a broad term that encompasses just about anything that we do to be good to ourselves; it’s about being kind to ourselves. It doesn’t need to be going to a 5-star resort or having a spa day, although wouldn’t that be nice? I am talking about something we do more regularly, something you can do on a daily basis that is for YOU. You are probably thinking, how is that possible when I am a mom, have a baby to take care of, need to pump/breastfeed, change diapers, and keep this little human alive, but it’s not only possible, but it is actually necessary. Think about the instructions flight attendants give on an airplane- we need to put our oxygen mask on before we put anyone else’s on. Think about your cell phone- we don’t let our cell phone batteries run low, but we instead keep an eye on it and charge it when needed. Self-care is about knowing when your resources are running low and taking a step back to replenish and recharge.

You may be thinking this is a bit selfish to put yourself first, and especially with a baby at home, but I call it a “healthy selfishness”. When it comes to our health and wellbeing we have to be a little selfish. A “healthy selfishness” is knowing what you need to do (within reason) and allowing yourself to do it. If you think about everything we do for survival, such as sleeping and eating, those are examples of behaviors associated with a “healthy selfishness”. We need to participate in these behaviors in order to survive. We also need to participate in other behaviors to be healthy, both physically and emotionally, such as taking time out of our day for us, for “me time,” and to relax or de-stress. For some that may be going on a run or going to the gym, for others that may mean a quiet and relaxing bath. Whatever it is, it is needed to allow you to de-stress, refocus and be able to be productive and accomplish what you need to accomplish, which includes being a mom and being emotionally and physically available to take care of your little one. Without some of these behaviors and acts of “healthy selfishness” we will eventually burn out and not be productive in any aspect of our life. We may even start to feel regret, sadness, and anger, which is not uncommon feelings during the postpartum time, especially since your life has just drastically changed by having a new baby. These feelings are also signs that it is time to take a step back and to do something about it. We need to monitor and check-in with ourselves in order to see what we need in order to function to the best that we can at that given time. Keep in mind, what we need today may be different than what we need tomorrow. This may also look very different for different people and can change with different life circumstances.

So now what? Here are some things to think about to help YOU find the time YOU need to be the best YOU.

  • Make Yourself a Priority- think of the instructions regarding putting on an oxygen mask on an airplane. Decide that you deserve self-care.
  • What does ‘Me Time’ mean to YOU? This could be just a few minutes to yourself or can be an activity that you enjoy, so you will actually do it. We tend to make excuses for things we don’t enjoy doing, so think about activities that do not cause stress, but rather relaxes and recharges you. Besides the gym and running, I have made pumping be part of my self-care routine. I have my husband give our baby a pumped bottle while I pump, so I have some quiet time to relax and destress. This is also helpful as stress can affect our milk supply, so having this quiet time has been useful and works for me.
  • Use Relaxation Techniques – relaxation techniques, including meditation, massage, yoga, imagery, and breathing are very effective at decreasing stress levels and helping you relax. It can be useful to practice these techniques while you are pumping as well to ensure you are calm and not stressed.
  • Schedule – make sure you set aside time each day just for you (‘Me Time’). Consider this time like an appointment that you wouldn’t miss. Since I pump a minimum of 2 times per day (first thing in the morning and before I go to bed), this is already scheduled for me. I do schedule additional ‘Me Time’ though, including exercise and physical activity.
  • Create a Daily Routine – make it something you look forward to and will become part of your lifestyle. Your daily routine should also include what I call the key health behaviors (water intake, nutrition, physical activity, and sleep). AND these are also all key behaviors to helping your milk supply!
  • Be Assertive and Ask for Help – don’t say yes to everything. Learn to say no or to delegate responsibilities. For instance, my husband gives the morning bottle while I pump. I had to ask him to do this, but when I asked him and explained to him how it would help me (which would also help our baby), he was willing to do it. You don’t know until you ask ☺
  • Find Support – get support from your family, friends, and colleagues. Talk to them about your stress, your ‘Me Time,’ and your plan. Also, find people going through similar things and support each other.
  • Seek Professional Help – if stress and anxiety is impacting your daily functioning and is getting in the way of you fulfilling your responsibilities, there is help. Increased stress for prolonged periods of time can be bad for your physical and mental health, but can also impact your milk supply, and those around you, including your little one.

To YOU, taking care of YOU, YOUR health, and YOUR pumping and breastfeeding journey!

Connect with Dr. Rachel at www.DrRachelNYC.com

Tips to Manage Nipple Pain

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Melissa Portunato MPH, IBCLC, RLC 

Nipple soreness in the first few weeks postpartum is normal as you navigate breastfeeding, but wanting to cry every time you turn on the pump or latch your baby is NOT normal. Painful nipples can be caused by challenges with latching baby at the breast, incorrect flange sizing, or even just pumping on too high of a vacuum setting. Read on to learn our top tips for managing nipple pain during your breastfeeding journey. 

Latch
You’ve probably heard about “THE LATCH” and its importance to your breastfeeding success. The short answer is yes, the latch is everything when nursing at the breast. A proper latch will ensure your baby is nutritively sucking at the breast, which is needed for your baby’s healthy growth and development – your nipples will thank you too! Also, a proper latch will NOT be painful. You will always feel tugging or pulling when pumping or nursing but not pain. If you are working on getting a better latch, try the “laid back breastfeeding’” position. A hangry baby will be much more difficult to latch and will likely not latch. Practice every feeding starting with skin to skin and in between feeds when your baby is calm and alert. Pump with a hospital-grade breast pump if baby is not nursing well or draining the breast to maintain an optimal milk supply. 

Lubricate 
You can treat sore nipples with your very own breast milk! Studies show the antibacterial properties of breastmilk make it the perfect substance to heal nipples and keep them healthy. Hand express breast milk on your nipples after every feeding and allow them to air dry. Combining breastmilk with a cool hydrogel will get your nipples feeling better in no time! 

Lower the Pump Vacuum
If pumping is hurting, try lowering the vacuum. A higher vacuum doesn’t mean more milk. On the contrary, it could be the leading cause of your nipple pain. Depending on your Spectra Breast Pump, you have between 10-15 vacuum levels! That’s a whole lot of suction. You don’t need to work up to high vacuum levels. Moms are surprised that using a medium/low vacuum level can better drain the breast and cause less soreness. Try pumping only on 38 expression mode and set the vacuum to comfort. This setting can help ease nipple pain! 

Check Flange Sizing
If your flange is not the correct size, it can cause soreness and issues with milk supply down the road. Measure your nipples before nursing or pumping for an accurate assessment. Keep in mind that you want your flange size to be 2-3mm larger than you measure.

You can use our easy-to-follow breast shield guide to find the perfect fit. 

Red Flags, Call the Doctor 
Nipple soreness should start to subside about 2-3 weeks postpartum. If you have cuts, cracks, or abrasions on your nipples, you are more susceptible to an infectious form of mastitis. Wash your nipples daily with non-antibacterial soap and allow them to air dry. Make sure you change your breast pads frequently; this will help prevent any infection and allow your nipples to heal faster.

Consult your health care practitioner and a local IBCLC if you have the following symptoms:

  • Prolonged nipple pain or tenderness 
  • Itchy, scaly, or shiny nipples or breasts 
  • Bright red areas of the breasts and hot to the touch 
  • Flu-like symptoms that persist for more than 24 hours 

Spectra baby USA has a team of IBCLCs ready to assist you with your breastfeeding questions and provide local resources to ensure breastfeeding success! 

Schedule your complimentary consultation with us today! 

What is Parallel Pumping?

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By Melissa Portunato MPH, IBCLC, RLC

What is Parallel Pumping? 
Parallel Pumping is a feeding technique that involves nursing a baby at the breast on one side while simultaneously using a breast pump on the other breast. 

Why Parallel Pumping? 
Many mothers are prescribed Triple Feeding (nurse, pump, and feed baby) when latching is difficult or want to increase milk supply. In theory, Triple Feeding can continue to keep baby fed, encourage nursing at the breast, and keep milk flowing. Yet, the reality for many families is an overwhelming and exhausting situation that often results in early weaning. According to a 2019 study shared by Clinical Lactation, many breastfeeding mothers report Parallel Pumping makes triple feeding easier to manage and more realistic. 

Parallel Pumping is an efficient technique to get you familiar with pumping and create a small freezer stash. The average milk store is about one day’s worth of milk when returning to work. You can easily store a day’s worth of breastmilk by Parallel Pumping 1-2x a day a few weeks before your maternity leave. Plus, you can continue to soak in those baby snuggles while you express extra milk! 

When To Parallel Pump
Early mornings will always be the best time to pump. As a general rule, bring baby to the breast they did not nurse from or the breast that feels more full while expressing using the breast pump on the other side. Offer the first breast until baby falls asleep or pops off, then offer the other breast to baby and switch pumping to the other side. If you are triple feeding, you may want to use the Parallel Pumping Technique every feeding. Others may only want to do this a few times a day or only when extra milk is needed. 

How to Parallel Pump
Start with your baby and pump nearby. Using a hands-free bra, get comfortable, latch baby first, then latch your flange, and last turn on the pump. With your Spectra Baby USA Breast Pump, start on Massage Mode for 3-5 min switch modes (use the three-wave button) when milk starts to slow down. Pump for 15-20 min. After baby nurses from one side, always offer the other breast to your baby to latch, then switch pumping to the opposite breast. 

You may experience a stronger letdown reflex while nursing and pumping together rather than pumping alone. Parallel Pumping is an easy-to-do pumping technique that can save you time and help increase your milk supply! 

Need help managing your pumping schedule or want to learn more about the benefits of parallel pumping? Connect with a Spectra baby USA IBCLC at ibclc@spectrababyusa.com 

Happy Parallel Pumping!  

Source:

McCue, K. F., & Stulberger, M. L. (2019). Maternal satisfaction with parallel pumping technique. Clinical Lactation, 10(2), 68–73. https://doi.org/10.1891/2158-0782.10.2.68 

Which Spectra Pump is Right for Me?

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Jacque Ordner BSN, RN, IBCLC 

With so many breast pump options, it can be overwhelming to make a final choice.  We’re known for our innovative closed system pumps that make pumping more hygienic while also preventing milk from making its way to the pump motor. While all of our spectra pumps offer high quality and amazing comfort, we’ve put together a guide for choosing the best Spectra pump for your specific needs. 

Handy Manual Breast Pump

This manual breast pump is a convenient, no fuss option for moms who only need to pump occasionally.  It is also a fantastic backup to carry in your diaper bag for those oh-so-inconvenient pump emergencies! No outlets, no problem!  Stuck away from your pump unexpectedly, the Handy Pump has you covered!  Many women are surprised at how much milk they can express with a manual pump.  This BPA free pump holds up to 150ml and provides up to 350mmHg of suction all controlled by the user!  This affordable and versatile pump also makes a great baby shower gift! 

Spectra S2 Plus Electric Breast Pump

If you’re looking for a workhorse of a pump that is often covered by insurance, the Spectra S2 Plus is it!  This hospital strength, closed system pump allows for single or double pumping, along with loads of additional features, all in a pump unit that weighs in at under 3lbs.  Boasting up to 270mmHg of suction via 12 vacuum levels and 5 Expression Cycles, this pump is perfect for moms who regularly express their milk.  This pump has strength and customization suitable for Exclusive Pumping as well! The multi-phase “suckle” makes pumping with the S2 feel comfortable and natural. The Massage Mode is also customizable with up to 5 levels of suction to help effectively elicit let-down.  The BPA free accessories, LCD screen display, built-in night light, timer, and 2-year warranty make this pump a top choice for many moms! 

Spectra S1 Plus Electric Breast Pump

A favorite among Exclusive Pumpers, the Spectra S1 Plus includes all the features and functions of the S2 Plus in addition to a rechargeable battery!  The freedom of outlet-free pumping is often offered as an “upgrade” through health insurance plans.  Countless moms have reported the additional cost of the S1 as being “worth every penny”.  It’s no doubt that the 3-hour battery life delivers convenience that can make a pumping mom’s life easier, and when you’re already juggling a thousand things CONVENIENCE MATTERS!  Unplugging this pump doesn’t compromise suction like some other battery powered pumps……. say what?! You still get up to 270mmHg of suction whether plugged or unplugged! And let’s not forget that this amazing pump comes with Spectra’s generous 2-year warranty as well. If a rechargeable pump with the customization of 12 vacuum levels, 5 Expression Cycles, and an adjustable Massage Mode sounds like a dream, then the S1 is for you! 

Spectra S9 Plus Electric Breast Pump

The S9 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…. wow!!!  The S9 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! This pocket-sized pump also comes with a 2-year warranty. 

Spectra Synergy Gold (SG) Dual Powered Electric Breast Pump

The Spectra Synergy Gold is a game changer in the pumping world!  Never before have we seen a pump with so many features and customizable options!  The dual controls allow for independent vacuum settings at 0-270mmHg PER BREAST!  It also offers a mute mode for even more discreet pumping. The convenient night light has 3 levels for easy middle of the night pumping, and the touch screen LCD makes selecting your cycle and vacuum a breeze! With 5 cycles in both Massage and Expression Modes, this pump has something for everyone.  Where the S1 and S2 have 12 vacuum levels, the SG has 15 and each breast can be independently adjusted! The possibilities really are endless with this incredible dual pump.  The SG maintains the same high standards as other Spectra models with its closed system and 2-year warranty. 

Remember that no matter which pump you choose, flange size, settings, pumping environment and several other factors can make a huge difference in your pumping experience.  Our specially trained International Board-Certified Lactation Consultants (IBCLCs) can optimize pumping!  Schedule your FREE CONSULTATION today or email us at ibclc@spectrababyusa.com for more help.

5 Facts You Need to Know About Breastfeeding

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By Trill Paullin, Ph.D.

Co-Founder, Free to Feed ∘ Military Veteran ∘ Breastfeeding Mother of 2

Many parents struggle in their breastfeeding journey. We know breast milk does an amazing option for our babies – yet the support and guidance are lacking significantly. Another huge issue is the amount of misinformation regarding breastfeeding and newborn babies.

Why does society make it even harder on families by sharing misinformation?

This is more prevalent when infant food allergies are involved. The journey of parenthood is hard enough. Throw in baby food reactivity and your world just turned upside down.

Below we’ll debunk common lies breastfeeding parents are told. We will flip the script to empower everyone through their breastfeeding journey!

1) MYTH: The Food You Eat Does Not Transfer to Your Breast Milk

FACT: Many scientific publications, dating back before the 70s, show that this is false. Maternal food proteins can and do transfer to breast milk. This myth leads to mothers assuming that it must be their breast milk eliciting a response and they unnecessarily stop nursing.

When we stop nursing it can interfere with breastmilk supply and the baby returning to the breast. Your baby is not allergic to your breast milk! Reactivity to breast milk is incredibly rare and caught at the hospital immediately after birth due to the mass amounts of complications it creates. Instead, your baby is reacting to a specific type or types of protein source that is transferring to your breast milk.

Click here for a link to view a list of publications showing that specific portions of what we eat CAN and DO transfer to our breast through the circulatory system! 

2) MYTH: Ingested Food Proteins Stay in Your Breast Milk for Weeks

FACT: Research shows that a serving of peanut, cow’s milk, wheat, egg, and more all peak around 2-4 hours post-ingestion and steadily decrease after that. This results in breast milk that is typically clear of reactivity-inducing protein concentrations after 24 hours.

This myth leads to the end of breastfeeding for many because their milk will “poison” their baby for weeks and any accidental exposures are incredibly stressful. It’s hard to know what to do because even some medical providers recommend women to stop breastfeeding to “clear” their system of food proteins.

This means, those who want to continue breastfeeding their baby with food allergies switch to formula and continue to pump to not lose their supply. Talk about adding a lot more to the parent’s plate – and for no reason!

We believe in science-based facts and this myth honestly drives us crazy because we know the truth. This leads to unnecessary stress on families who are trying to help their babies.

3) MYTH: Colic is Normal in Breastfeeding Babies

FACT: While some crying is normal for infants, continuous crying is a red flag that there is often an underlying issue.

Colic is generally defined as crying for 3 or more hours per day, at least 3 days a week, for at least 3 weeks. Many parents are told colic improves around 3-4 months of age.

But we’re breaking out of that outdated theory. Because we believe you know if something is wrong with your baby!

There is no definitive answer for why colic occurs in some babies and not others but the top possible contributing factors include:

  • Lip or Tongue-tie

  • Over/underfeeding

  • Lactation issues

  • Undeveloped digestive tract

  • Infant food reactivity

  • Imbalance of healthy bacteria in the digestive tract

Baby food allergies or intolerances made the list, yet many parents struggle to get answers or solutions for their babies with food allergies. You’ll also notice the trend of digestive issues behind colic. If you aren’t sure whether your baby’s stool is normal, definitely check out Free to Feed’s popular Diaper Decipher resource!

Colic is commonly not a diagnosis, but a symptom that should be investigated. This leads to infants being in unnecessary pain, leaving families exhausted and confused.

4) MYTH: Probiotics Are the Answer to Your Baby’s Gastrointestinal Issues

FACT: While probiotics can be powerful tools, they can often cause more problems than they solve for babies with food intolerances or allergies. There are many “unknowns” when it comes to probiotics.

First, as for supplements, they’re not regulated as strictly as food or medication which can lead to an increased possibility of hidden allergens such as cow’s milk protein (dairy) and soy. Not all babies react to “hidden” allergens (those from derivatives less likely to be clearly labeled) but for the ones that do – this can make your hard work of eliminating the food out of your diet go to waste.

Second, probiotics may mask actual food reactivity symptoms. Masking symptoms can lead to continued exposure to the trigger food when the best course of action is avoidance. You don’t want to put a bandaid on your breastfeeding baby with food allergies, you want to solve the problem.

5) MYTH: Formula Is the Only Option When Your Baby Has Food Allergies​

FACT: Thousands continue to breastfeed through infant food allergies. Determining the trigger and continuing to breastfeed by eliminating that food is a viable option. It can be hard thinking your breastmilk is hurting your baby but you have to remember all – and we mean ALL the benefits of breastfeeding.

For many, formula is not an option. Babies may react to elemental formula, reject either bottles or the formula outright when trying to quickly switch from breast milk. Learn more about finding the right hypoallergenic formula in the Free to Feed blog.

Follow Dr. Trill on IG @free.to.feed or on her website at FreetoFeed.com 

 

Is My Baby Getting Enough Milk?

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“Is my baby getting enough?” This question is one of the most common among nursing moms. Whether you’re a first-time mom or this is familiar territory for you—no breastfeeding journey is identical, and questions will likely arise. Breast milk digests quickly and easily. At times you may notice your baby demanding back-to-back feedings, so much so that you’ll probably even start questioning if you’re producing enough milk to keep your baby healthy and satisfied. As stressful as this may seem, know that this is a common concern, and there are several ways to check whether your baby is getting enough liquid gold.

Hello Breastmilk 

Drops of clear or yellowish colostrum are the baby’s first milk and are the perfect nourishment for your newborn’s first few days of life. By day four, you should notice milk increasing in volume. Every mother is unique. This time frame could vary based on previous breastfeeding journeys, labor duration, and even if you had a c-section or vaginal delivery. Your breasts will likely feel engorged, and you may leak in between feedings. If you notice little to no sign of milk coming in, you should contact your doctor or lactation consultant to discuss the reasons why your milk supply might be delayed.

Momma the Diaper Slayer 

You may find yourself going through diapers more than your wallet would like to admit. Luckily, this is a strong sign of a well-fed baby! Expect to go through 6-10 diapers a day. Several of those should be yellow or mustard-colored poop. While diapers with only pee are a sure sign that your baby’s staying hydrated, make sure to be on the lookout for those poopy diapers, ensuring your baby is getting what they need. At least 3-4 stools per day, the size of a quarter or more. 

Gulp-up, Buttercup!

Try to listen to swallowing sounds. You’ll notice your baby’s jaw movements, and once milk letdown kicks in, you should hear swallowing or gulp-like sounds. If it seems as though your baby is dozing off on your breast, try to fit in some breast compressions, a gentle massage used to help express milk. 

Fill up that onesie!

It’s entirely normal for your baby to lose 5-7% of their weight within a week of birth. After the first seven days, your baby should be gaining an average of 7-10 ounces per week for the first three months. That amount will slightly decrease somewhere in between 3-6 months. If your baby is not nursing well, pump with your spectra between feedings to provide expressed breastmilk and create a healthy milk supply. Bottom line, stay on track with your wellness visits and check-ups to ensure your little one’s chart is where it’s supposed to be.

Off to Dreamland 

You may notice your baby naturally falling asleep or letting go of the breast within 10 to 30 minutes of each nursing session. This is another strong sign of a full belly. On the other hand, a baby who looks distressed during feedings and sleeps all the time may not be getting enough milk. Starting every feeding skin to skin can help wake up a sleepy baby and encourage nursing. Also, try every feeding undressed from the waist up and baby only in a diaper. 

Work on establishing your milk supply by staying close to your baby and allowing for unlimited access to the breast. The best time to introduce pumping is about 3-4 weeks after delivery. However, many mothers find that pumping is a great way to fit in breaks when needed (hello, date night)! Additionally, moms who are returning to work might want to get on a schedule and build a small milk stash for the transition.

On average, a baby from 1-6 months old will intake an average of 25-30 ounces per day. Moms pumping for a missed feed at this stage will see 2-4 ounces combined. If pumping is in addition to nursing at the breast, you’ll notice about half of that. Pumping is never a good indicator of your milk supply; it simply tells us how much milk you can pump. You are doing the best you can, mamas, and that’s enough!

Spectra makes all of this possible. Read our top tips HERE on best practices for pumping and storing!

 

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