Tips to Manage Nipple Pain

/0 Comments/in , , , /by

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?

/0 Comments/in , , /by

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?

/0 Comments/in , , , /by

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’s 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

/0 Comments/in , , , , /by

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?

/0 Comments/in , , , /by

“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!

 

Birth Control and Breastfeeding

/0 Comments/in , , , , /by

Melissa Portunato MPH, IBCLC, RLC 

If you’re breastfeeding and not quite ready to start growing your family, you might be considering birth control. Most birth control methods are not harmful to your breastfed baby, but some forms of contraceptives are linked to low milk supply. Read on to learn the safest and most effective forms of birth control to prevent pregnancy and protect your milk supply. 

Natural Family Planning 
Lactational Amenorrhea Method (LAM) is exclusively breastfeeding as a temporary form of postpartum birth control. Though using LAM as birth control is often disregarded or presented with conflicting information, LAM has proven to be 98-99.5% effective at preventing pregnancy. For LAM to be the most effective, the following criteria must be met:

✔ Baby is less than six months old 

✔ Menstrual periods have not yet returned

✔ Baby is breastfeeding at the breast on cue (both day & night) and gets nothing but breastmilk or only token amounts of other foods

LAM has been studied within the nursing-at-breast population; therefore, exclusively pumping may not have the same pregnancy protection as direct breastfeeding/nursing at the breast. In addition, one study showed that working mothers, separated from their babies and exclusively pumping milk to provide 100% breastmilk, had a higher pregnancy risk (5.2%) during the first six months. In summary, mothers that are either part-time pumping when away from their baby or exclusively pumping need to use an alternative method of contraception. 

Barrier Methods 
Barrier methods, like condoms, prevent sperm from entering the vagina and are the only form of birth control that prevents STDs. They can come in different forms for both males/females, non-latex/latex, and lubricated/nonlubricated. When used “correctly” from start to finish, condoms can be 98% effective at preventing pregnancy. Spermicide does not contain hormones and can be applied in combination with condoms for added protection against pregnancy. 

Non-hormonal IUD 
The copper IUD is 99% effective at preventing pregnancy, and it’s hormone-free. It’s an excellent option for people who prefer non-hormonal birth control or can’t use hormones for medical reasons. The most common side effects with a non-hormonal IUD are reports of pain and heavier periods, with symptoms typically subsiding after 3-6 months. Talk to your doctor about any concerns you might have to make an informed decision.

Hormonal Birth Control
Progestin-only birth control can come in different forms: oral (mini pill), injection, IUD, or implant. Mothers that have started too soon postpartum have reported issues with milk supply when using progestin-only contraception. If hormonal birth control is desired or needed, introduction after 6-8 weeks postpartum can prevent problems with milk supply. Before deciding on a long-lasting progestin-only method, try an oral form to determine if it affects your milk supply. You can always stop taking the pill and continue meeting your breastfeeding goals. 

The progestin-only birth control pill is not considered safe for all mothers. In addition, estrogen-containing contraceptives have been linked to low milk supply and a shorter duration of breastfeeding regardless of the baby’s age. Always consult your healthcare provider before starting hormonal birth control.

Effectiveness of Birth Control Methods

Number of Pregnancies per 100 Women
Method Perfect Use Typical Use
LAM 0.5 2.0
Mirena® IUD /Progestin – Only  0.1 0.1
Depo-Provera®/Progestin Only Injection 0.3 3.0
The Pill / POPs/Progestin Only Oral  0.3 8.0
Male condom 2.0 15.0
Diaphragm 6.0 16.0
* Adapted from information at plannedparenthood.org.

Got questions about birth control and breastfeeding? Message us at ibclc@spectrababyusa.com. We can help you navigate the evidence to make the best decision for you and your beautiful family! 

Sources:

Valdés, V., Labbok, M. H., Pugin, E., & Perez, A. (2000). The efficacy of the lactational amenorrhea method (LAM) among working women. Contraception, 62(5), 217–219. https://doi.org/10.1016/s0010-7824(00)00170-0

Bonyata, K. (2018, March 17). Breastfeeding and fertility • kellymom.com. KellyMom.com. Retrieved February 7, 2022, from https://kellymom.com/ages/older-infant/fertility/ 

ABM Clinical Protocol #13: Contraception during … (n.d.). Retrieved February 7, 2022, from https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/13-contraception-and-breastfeeding-protocol-english.pdf 

 

Maximizing Pumping Sessions

/0 Comments/in , , , /by

Melissa Portunato MPH, IBCLC, RLC

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

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

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

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

Watch this video on Hands on Pumping while you pump! 

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

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

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

What is a Doula?

/0 Comments/in , , , /by

By Danina Avery Doula, Childbirth Educator, and Breastfeeding Counselor

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

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

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

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

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

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

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

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

 

The Magic Number

/0 Comments/in , , , /by

By Melissa Portunato MPH, IBCLC, RLC 

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

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

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

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

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

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

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

Source: 

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

 

Unboxing the Synergy Gold

/0 Comments/in , , /by

We’re unboxing The Spectra Synergy Gold Dual Electric Breast Pump just in time for Christmas! If you’re on the fence about purchasing the SG or have questions on what makes it special, read on for everything you need to know to make the best decision for your breastfeeding journey. 

Why the Synergy Gold? 

The SG dual-motor advanced technology promotes more productive pumping sessions that save time.  Double the motors mean more customizable features and pumping options. The Spectra Synergy Gold has 15 vacuum levels on expression mode and 5 on massage mode that can be independently adjusted at 0-270mmHg per breast. With so many variations to choose from, this pump has something for everyone – part-time and exclusive pumpers alike. Benefits to having a breast pump with dual motors include increasing milk supply on lower producing breast, treating and preventing clogged ducts, and creating a healthy milk supply for premature infants. The Spectra Synergy Gold Dual Breast Pump maintains the same high standards as other Spectra models with its trusted closed system and 2-year warranty. 

What’s in the Synergy Gold Box?

  • Synergy Gold Breast Dual Electric Breast Pump
  • One (1) Spectra 12-Volt AC Power Adapter
  • Two (2) 24mm Spectra Breast Flanges
  • Two (2) 28mm Spectra Breast Flanges
  • Two (2) Spectra Tubing
  • Two (2) White Tubing Connectors 
  • 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 with Gold Spectra logo. Includes nipple, cap, disc, and lid for each bottle

Unique features of the Spectra Synergy

  • First of its type in the USA
  • Newest technology, dual independent motors, hospital strength (270+) per breast 
  • All current model Spectra accessories are compatible, including CaraCups
  • 15 vacuum settings and 5 cycles for expression
  • 5 vacuum settings and 5 cycles for massage mode
  • Vacuum levels (not cycle) adjustable on each side
  • Quiet and discreet with mute button option
  • 3 level soothing nightlight feature
  • Comfortable carrying back handle 

Find out if your health insurance is covering the Synergy Gold! Learn more here. 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! We’re here for you, and we support you! 

What’s Lowering Your Milk Supply?

/0 Comments/in , , , , /by

By Jacquelyn Ordner BSN, RN, IBCLC, RLC

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

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

– Parsley

-Oregano

-Caffeine

-Thyme

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

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

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

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

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

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

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

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

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

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

BONUS:

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

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

 

Setting Up a Mobile Pumping Station

/0 Comments/in , , , /by

 

Melissa Portunato MPH, IBCLC, RLC

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

How to do it

Step 1 

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

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

Step 2 

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

Handy Checklist for the Perfect Pump Cart:

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

Do I really need a pumping cart? 

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

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

Happy Pumping Team Spectra!