Top Breastfeeding Challenges and How to Overcome Them

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By Melissa Portunato MPH, IBCLC, RLC

You had envisioned yourself latching your beautiful new baby to your breast, and it would instantly be magical. Pure bliss! But breastfeeding didn’t come as easy as you thought it would, and it feels far from magical. Instead, you feel frustrated, disappointed, and feel like giving up. The truth is, for most of us, breastfeeding is not what we thought it would be like at all. Just like with anything worthwhile in life, breastfeeding takes hard work and commitment. Let us help you get past those pesky common challenges so you can begin to truly bond with your baby.

Here are the Top 10 most common breastfeeding challenges and solutions to get you through those tough times and into a happy place with breastfeeding. 

#1 Painful Latch

Every time you know feeding time is coming around, your toes curl, and you start to get major anxiety because it hurts to latch your baby to your breast! Most likely, it’s because your nipple is rubbing on the roof of your baby’s mouth, causing discomfort. So how can you work on perfecting the latch to get rid of this dreadful feeling? Adjust your body, adjust your baby, and adjust your breast to what feels comfortable and relieves tension. Do this by practicing  “natural breastfeeding,” or also called “laid-back breastfeeding.” If you are using a traditional hold like the cradle or football hold, start the feeding with your nipple above baby’s nose, wait for baby to open wide, and then bring baby quickly (chin first) towards you. This technique can help aim your nipple deeper into your baby’s mouth. When done correctly, you should instantly feel a difference. Phew!

#2 Sleepy Baby at Breast

You changed baby’s diaper, tickled their toes, got them all undressed, and still can’t seem to wake baby from dreamland. A newborn baby should be nursing a minimum of 8 to 12 times per day. If baby is still not at their birth weight, they most definitely need to be woken up to feed throughout the night. For the first six weeks, try NOT to swaddle baby or offer a pacifier. This can interfere with nursing cues and cause baby to feel full and cozy and not want to nurse. Hand express for a few minutes before offering the breast to soften the breast, allowing for baby to latch easier. Sometimes, just a few drops of breastmilk on a sleepy baby’s lips will get them to want to nurse. Use breast compressions while you nurse. This can help keep your baby stay awake because of the steady flow of milk.

If your chubster is already back up at their birth weight, talk to your pediatrician. It’s most likely OK to hit the snooze button on that alarm. Finally rest!

#3 Cluster Feeding 

You feel your baby is practically attached to you morning, noon, and night. You can’t catch a break and you’re tapped out! Cluster feeding is when baby bunches nursing sessions close together about every 45-60 minutes. This feeding pattern is typical for young babies and coincides with growth development, but cluster feeding can be exhausting. Wearing your baby in a wrap or sling will allow you to be hands-free and get work done around the house or on the go! Check out more tips on our baby-wearing blog post here. 

We promise, there is hope! These marathon feedings will increase your milk supply and are typically followed by long sleeping stretches for baby. Sit back, relax, and scroll through your favorite newsfeed. Sleep is on the horizon. 

#4 Baby Refusing the Breast

If your baby was nursing and suddenly refuses the breast, you could be experiencing a nursing strike. Nursing strikes will typically last from just a few short days to over a week. They can be caused by various factors like an illness, teething, significant changes in routine, or long periods of separation from your baby.

Take it back to the basics! Dim the lights and do skin to skin with baby on your bare chest with only a diaper. Offer the breast frequently but, don’t ever force baby! It should be a gentle “wooing” back. You can even have baby gently wake up next to your bare breast. Often, babies will be more willing to nurse when just waking up. Limit bottles as much as possible and offer the breast first. Don’t wait until baby is too hungry. Try to have someone else give the bottle besides mommy.

#5 Sore Nipples

Your nipple is elastic, and as it begins to stretch, you can experience soreness. Soreness in the first few weeks is normal but should subside after about two weeks. Continued soreness, pain, cracking, and bleeding are not normal. It’s best to work closely with an International Board Certified Lactation Consultant to ensure baby is latched on properly. The best way to treat sore nipples is with your very own breast milk! Yep, pretty incredible, huh? Studies show the antibacterial properties in breastmilk make it the perfect substance to heal nipples and keep them healthy. Hand express breast milk on your nipples after every feeding and apply a cool hydrogel. Make sure you are changing your breast pads frequently. This will help prevent any infection and allow your nipples to heal faster. Your nipples will be feeling better in no time! 

#6 Engorgement

It’s been a few days, and your milk has officially made its grand entrance. HELLO! Engorgement can make it difficult for baby to latch. To help, you can apply a warm cloth and softly massage your breasts a few minutes before nursing. It’s crucial during this time to nurse frequently! Offer the breast often and use Reverse Pressure Softening, a technique that moves swelling upward and into the breast, providing relief from engorgement. If after nursing or pumping you still feel engorged, fill up a large basin with warm water and lean over it to let gravity naturally drain any excess milk from your breasts. After you’re done, you can ice or use a cold compress for 10 min to help bring down any swelling.

Call your healthcare practitioner if you have redness on your breasts; they feel hot to the touch; you have a fever or chills because it could sign an infection.

#7 Clogged Ducts

Ouch! Clogged ducts can be extremely painful but completely treatable. How did you even get them in the first place? A blocked duct can be caused by various reasons, from prolonged time without milk removal, shallow latch, restrictive clothing, or even stress. The fastest way to treat clogged ducts is by frequently nursing or pumping. Try nursing in the “dangling feed” position or “dangle pumping.” Practice massaging your breasts while nursing or pumping, no matter what position you use each time. You want to start massaging above where you feel the clog and gently move towards the nipple. You can use a warm compress before you nurse or pump to help with milk removal.

Alternate heat and cold on the area affected. If you find you have a milk blister or bleb, avoid trying to squeeze because it can make things worse. The milk blister or bleb will naturally draw out as the clog subsides.

The most important thing to remember with clogged ducts is that they should progressively get better, not worse. Most clogged ducts subside within 48 hours. If pain continues or other symptoms appear, give your doctor a call.

#8 Tongue Tie

You’ve spent countless hours looking under your baby’s tongue and upper lip, comparing it to pictures you found on the internet to try and assess. A tongue-tie is when the connective tissue under your baby’s tongue is too tight, too thick, or both. A tongue-tie is commonly accompanied by a lip tie – the upper lip tissue connecting to the gum can be tight or too thick. Both tongue and lip ties can restrict mobility in oral function, causing issues with breastfeeding.

Unfortunately, ties often go undiagnosed. Signs of a tongue or lip tie can include loud clicking when baby is nursing, baby is not gaining weight, has reflux, or you continue to experience nipple soreness. A specialist such as an International Board Certified Lactation Consultant or a Pediatric Dentist can evaluate your baby and provide effective treatment to ensure the breastfeeding relationship can continue. 

#9 Thrush

Stabbing nipple pain, itchiness, and shiny or flaky skin on the nipple or areola can all be signs of thrush. Thrush is a common fungal infection caused by the overgrowth of yeast or “candida.” Candida can be found in its natural environment pretty much all over the human body, but when it starts to multiply, it can cause an infection. Thrush can be a side effect of antibiotics too!  Talk to your doctor if you are experiencing any of the above symptoms and suspect you have thrush. Both you and the baby will need to be treated. Ask about starting probiotics for the both of you, which can help replenish the healthy bacteria in the gut for a quicker recovery and, most importantly, prevent thrush from recurring. 

Rinsing your nipples with a vinegar and water solution (1 tablespoon apple cider vinegar preferred to 1 cup water) or baking soda in water (1 tablespoon per cup) can help stop the spread. Use a fresh cotton ball for each application and mix a new solution every day. Limiting sugar can also help! Make sure you wash and sanitize your pumping parts after every use. 

#10 Mastitis

Last but not least, you think you might have the most dreaded condition in the whole breastfeeding universe; Mastitis. Mastitis is an inflammation of the breast tissue. Symptoms of mastitis include redness of the breast, hard lumps, hot to the touch, and feeling like you’re catching a nasty flu bug. If symptoms persist or get worse after a few days, call your doctor to ensure infection is not brewing. 

There are many causes of mastitis, including lack of breastmilk removal, worsening clogged ducts, change in breastfeeding patterns, and even a tight bra! It’s essential to continue to breastfeed during this time and keep your milk flowing. Make sure you REST and get plenty of fluids, as this often can occur due to a suppressed immune system. You need to take care of yourself so that you can take care of your little one!

Tips for relief are the same as when treating a clogged duct. See tip #7.

If you are experiencing any one of these common breastfeeding issues and still can’t seem to find relief, trust your mommy instincts and seek professional help from an International Board Certified Lactation Consultant. Never quit on your worst day! Always remember why you wanted to breastfeed in the first place. Surrounding yourself with breastfeeding support will make a world of difference. Join our online community on Facebook and connect yourself with other moms who will meet you exactly where you are on your breastfeeding journey. You’re not alone in your struggles, and you’re doing the very best you can!

 

Sources:

Colson, S. D., Meek, J. H., & Hawdon, J. M. (2008). Optimal positions for the release of primitive neonatal reflexes stimulating breastfeeding. Early Human Development, 84(7), 441-449.

Newman, J., & Newman, J. (n.d.). Are you worried your baby’s not getting enough breastmilk? International BreastFeeding Centre. https://ibconline.ca/breastcompression/. 

Thrush. La Leche League International. (2020, August 6). https://www.llli.org/breastfeeding-info/thrush/#:~:text=Rinsing%20your%20nipples%20with%20a,Wash%20your%20hands%20thoroughly. 

 

 

Breastfeeding and Sibling Support

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Breastfeeding and Sibling Support
Melissa Portunato MPH, IBCLC, RLC

We know moms reach their breastfeeding goals when they feel loved and supported. We know moms learn to breastfeed while watching their moms, aunts, and sisters breastfeed. Sibling support can make all the difference to a new mother’s breastfeeding journey. Studies show, when mothers are supported, they are more confident and empowered, leading to more successful breastfeeding outcomes. Breastfeeding is not always easy, and a kind word from a sibling can encourage us and breathe life into us when we need it most. 

This week we are celebrating sibling support in honor of National Sibling Day on April 10! Melissa’s Spectra Baby USA IBCLC, younger sister Natalia, was asked about her thoughts on sibling support throughout her breastfeeding journeys. “There’s an incredible feeling of comfort that comes from the support of a sibling. No matter your struggle with breastfeeding, having a sibling to lean on when you feel so overwhelmed makes you feel like you can conquer anything. The comfort comes in knowing you’re not in this alone.” said Natalia. 

Natalia is currently nursing her youngest and tandem nursed her children for one year. You might recognize her as a Spectra baby USA real mom model tandem nursing her children and pumping with the Spectra baby USA pumps! 

What is Tandem Nursing?
Tandem nursing means nursing two or more children of different ages at the same time. Twins and multiples can also tandem feed when nursing simultaneously at the breast.

Are there benefits to Tandem Nursing?
Continuing to nurse an older child after a new baby has arrived can be a way to offer emotional security and extra attention to the sibling. It can sometimes be temporary, while the older sibling adjusts to the new baby or can continue until both the child and mother desire. Tandem nursing can also help lessen engorgement and create an adequate milk supply. 

What can be expected in the early days?
During the first few days, colostrum will be produced for the newborn baby even if breastfeeding continued throughout pregnancy. Since colostrum is packed with immune properties and prepares the infant gut for mature milk, the newborn should have priority at the breast during the early days after delivery. 

Are you interested in learning more about tandem nursing or needing breastfeeding support? Catch our LIVEs every Wednesday at noon et on Facebook and IG for evidence-based breastfeeding education and support! It truly takes a village. You are not alone. Spectra Baby USA is honored to be part of this beautiful journey with you. Schedule a complimentary consultation, and we can help you reach your personal breastfeeding goals. 

Happy Breastfeeding! 

Sources:

Kornides, M., & Kitsantas, P. (2013). Evaluation of breastfeeding promotion, support, and knowledge of benefits on breastfeeding outcomes. Journal of child health care : for professionals working with children in the hospital and community, 17(3), 264–273. https://doi.org/10.1177/1367493512461460

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

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

 

 

 

All About the Spectra S1 Electric Breast Pump

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baby on bed with s1 plus

Spectra S1 Plus Electric Breast Pump 

If you are a busy mom on the go looking for outlet-free customized pumping sessions, then the Spectra S1 is the perfect pump for you! A favorite among exclusive pumpers, the Spectra S1 Plus is hospital strength and a closed system that allows for single or double pumping. Along with loads of customizable features, the Spectra S1 pump weighs in at only under 3lbs. The multi-phase “suckle” makes pumping with the S1 feel comfortable and natural. You’ll have 3 hours of battery life with the Spectra S1, delivering convenience that can make a pumping mom’s life easier! When you’re already juggling a thousand things, CONVENIENCE MATTERS! Unplugging this pump and going cordless doesn’t compromise suction like with some other battery-powered pumps. The rechargeable S1 is typically offered as an “upgrade” through health insurance plans. Countless moms have reported the additional cost of the S1 as being “worth every penny.”  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! 

The Spectra S1 Features include: 

  • Closed Pumping System
  • Single or Double Pump capability
  • Customizable Settings 
  • Rechargeable 3-hour battery life
  • 270 mmHg
  • Weighs only 3 lbs
  • Built-in night-light
  • LCD screen
  • ( 2 ) Years Warranty on pump | 90 days on accessories.

 

The Spectra S1 Electric Breast Pump Accessories:

  • Two (2) 24mm Spectra Breast Flanges
  • Two (2) 28mm Spectra Breast Flanges
  • Two (2) Spectra Tubing
  • Two (2) Spectra Duckbill Valves
  • Two (2) Spectra Backflow Protectors. Includes silicone membrane, uppercase, and lowercase for each Backflow Protector
  • Two (2) Spectra Wide Neck Storage Bottles. Includes nipple, cap, disc, and lid for each bottle
  • One (1) Spectra 12-Volt AC Power Adapter 

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! 

Check out the digital S1 Plus Manual for more information.

Level Up with the Spectra Caracups

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Melissa Portunato MPH, IBCLC

Are you looking to take your pumping game to the next level? Introducing the new wearable Spectra CaraCups! This new easy-to-use wearable pumping technology has totally revolutionized traditional breast pumping, and here’s how.

Simple to Insert
The Spectra baby USA CaraCups are discreet and simple to slip inside your regular bra. Yep, you got it! No fancy pumping bra is needed. Instead, you can easily slide them into your bra, center your nipple and start pumping right away. Pumping moms need all the extra time they can get. The Spectra CaraCups allows you to save pumping time since you won’t need to put on a pumping bra and attach bottles. 

Switch it up
The Spectra CaraCups hold up to 8oz in each cup and come with external flanges, which can also be used with the Spectra baby USA wide-necked bottles. The versatile new flat external flanges fit comfortably around the breast and can be used with or without the wearable cups.

Sit Back and Relax
No bottles are visible while pumping. No more torturing yourself watching bottles slowly fill up. This can be frustrating and even impact your milk supply! Have better letdowns and maximize your pumping sessions. You can even lie back on a chair or sofa when pumping and rest!

Stay Engaged
The Spectra CaraCups are compatible with the complete line of Spectra baby USA breast pumps. But truly the best part is the mobility! Combine it with our sleek portable 9Plus, and you’ll be unstoppable at multitasking. At home, you can easily pump while comforting a clingy toddler, whip up dinner or get active outdoors, all while expressing your liquid gold! At the office pump in meetings, with clients, or on breaks. It really doesn’t matter if you are pumping at home or in the office; the Spectra CaraCups will make all the difference in your pumping journey by allowing you to be more present with your baby, family, and coworkers.

The Spectra CaraCups are designed with Spectra Baby USA’s trusted closed system, always keeping milk clean and safe for your baby. Spectra CaraCups come in sizes 24/28mm and are compatible with most popular massagers and inserts on the market. Not sure what size to get? Find your perfect flange size here.

Expert tips:

Parts should be thoroughly washed and air dried before assembly.

Duckbills should be at a slant; if not placed correctly, suction will be compromised. (Duckbills should be replaced every 6-8 weeks and are sold separately specific to CaraCups.)

Connect tubing first before inserting into bra, and tubing should come out from the top.

When done, turn off the pump. Remove tubing first, then carefully remove each cup.

Place cups on a flat surface to prevent milk from spilling.

Carefully disassemble and transfer your breast milk into Spectra baby USA collection containers or storage bags with the easy pour cup spout.

Check out the digital Spectra CaraCup manual for detailed instructions on cleaning and assembly here.

Need help going hands-free with the wearable Spectra CaraCups? Our Spectra baby USA IBCLC experts are happy to help answer your questions so that you can get back to what matters most—making milk for your baby.

Starting Solids with Your Breastfed Baby

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Jacque Ordner BSN, RN, IBCLC, RLC 

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

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

How do I know my baby is ready? 

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

Signs of readiness include: 

o   Can sit unsupported 

o   Has good head control 

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

o   Opens mouth when offered foods 

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

o   Has doubled birthweight 

 Which method is best? 

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

What about allergies? 

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

How do we get started? 

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

Expect changes. 

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

Does my baby need extra liquids? 

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

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

Healthy Children.Org 

La Leche League 

CDC 

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

Sources 

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

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

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

Child Care and the Breastfed Baby

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Melissa Portunato MPH, IBCLC, RLC

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

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

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

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

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

Additional tips for success:

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

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

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

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

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

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

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

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

We’re in this together and we support you! 

Sources

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

Night Weaning

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Jacque Ordner BSN, RN, IBCLC, RLC 

Sleep is a sensitive and often sensationalized topic among so-called parenting gurus, authors, and creators of online sleep courses.  However, let me reassure you that if your baby nurses or takes a bottle to drift off and wakes to feed through the night, they are not broken….THEY ARE NORMAL!  In fact, research tells us that babies who sleep through the night at less than one year of age are closer to the exception than the rule.  New parents are often asked, “Is he a good sleeper?” or “Is she sleeping through the night yet?” when babies are barely out of the newborn stage. This helps perpetuate the myth that there is something wrong if babies under one are not yet giving their parents 6-8 hours of uninterrupted sleep.  Well-meaning advice givers often tell parents that their babies will magically stop waking if night feedings are cut-off.  In reality, early night weaning can lead to decreased milk supply and put baby at risk of receiving inadequate intake. At somewhere around six months of age,  you may begin to notice that your little one naturally stretches out the time between feedings and perhaps even stretches the time spent sleeping at night. While I recommend waiting until baby is closer to age one to start actively night weaning, there are some tips that parents can employ to encourage healthy sleep for their babies.  Since sleep is developmental, I recommend following your baby’s cues while eliminating obstacles to good sleep.  Find out more in our blog post, Newborn and Infant Sleep – What is Normal? 

While night weaning can help encourage an older baby or toddler to sleep longer at night, it’s not a guarantee of reduced night waking. This is because sleep is primarily developmental, and children wake for other reasons besides just hunger.  We, as parents, can help shape our children’s environment and behaviors to encourage sleep, but it is important to keep in mind that waking at night is normal even through toddlerhood.  Keep in mind that your child will eventually sleep through the night all on their own! 

Keep reading for our top tips for night weaning. 

Increase Daytime Intake 
When considering night weaning, it’s important to ensure your child is still receiving adequate calories.  Older babies and toddlers will often naturally shift to longer periods of sleep when their daytime intake increases.  Simply offering more nursing sessions or a greater volume of breastmilk via cup or bottle can be enough to encourage less need for night-time feedings.  Increasing solids is another way to get in more daytime calories.  Toddlers often do well with a bedtime “snack” that is nutritionally dense.  Foods that provide fiber, fat, and protein are often most satiating. 

Dream Feed Just Before Bed 
If your little one generally nods off before you’re ready to hit the sack, consider offering a dream feed to “top them off” just before you go to bed.  Babies will often rouse just enough to nurse or bottle feed without becoming fully awake.  This can give you a longer stretch before baby wakes for the next feed. 

Enlist Help 
If possible, ask your partner or another trusted caregiver to assist through the night during this transition.  This is especially helpful for nursing mothers.  If a non-lactating caregiver is present to comfort and soothe during night waking, baby may be less likely demand a feeding.  The old motto holds true…..Out of sight, out of mind! 

Increase Cuddles and Communication 
It’s not uncommon for toddlers to be anxious about weaning of any sort.  Reassure them with extra cuddles and clear communication about the night weaning process. Toddlers are perceptive and the often understand far more than we adults give them credit for!  Talk about night weaning during waking hours and let your child know when the process will start.  It’s ok to tell your toddler “no” when they ask for a night-time feeding, but follow it up by also letting them know when they can nurse again. For example, “We can’t nurse now, but we can nurse again when the sun is up”. Or “I’m just going to rock you for now, but we’ll get milkies when it’s time for breakfast”. Knowing when they will be allowed to nurse again, can bring an immense amount of peace to a worried toddler. 

Set Limits 
The counting method is often very effective with toddlers!  Let your little one know that they can nurse until you reach a certain number (whatever you are comfortable with).  For example, “You can nurse until Mommy gets to 20”.  Count out loud, going slowly for the first several nursing sessions.  After a few nights, begin to count a little faster.  As your toddler adjusts, you can reduce the number until there is no nursing.  If this approach is taken slowly and gently, it is not uncommon for toddlers to become uninterested in nursing at night. 

Don’t Be Afraid to Stop 
If you begin the night weaning process only to find that your baby or toddler is greatly distressed by it, don’t be afraid to stop and start again later.  If your child is hysterical each night and shows no signs of adjusting to night weaning, try again in a month or two.  There is no one-size-fits-all prescriptive timeline for any sort of weaning and it is rarely a linear process!  

Patience, reassurance, and planning are the keys to night weaning success! 

Tried all the tips and still struggling with night weaning?  You’re not alone!  Our International Board Certified Lactation Consultants (IBCLCs) have years of experience helping families navigate night weaning and many other sleep concerns.  We’re available 7 days a week for FREE CONSULTATIONS.  No matter where you are in your breastfeeding journey, we’re here to support you! 

 

Sources: 

Burnham, M., Goodlin-Jones, B., Gaylor, E., & Anders, T. (2002, September). Nighttime sleep-wake patterns and self-soothing from birth to one year of age: A longitudinal intervention study. Retrieved January 4, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1201415/  

Galbally, M., Lewis, A. J., McEgan, K., Scalzo, K., & Islam, F. A. (2013). Breastfeeding and infant sleep patterns: an Australian population study. Journal of Paediatrics and Child Health, 49(2), E147–E152. https://doi.org/10.1111/jpc.12089 

Kent, J., Mitoulas, L., Cregan, M., Ramsay, D., Doherty, D., & Hartmann, P. (2006, March). Volume and           frequency of breastfeedings and fat content of breast milk throughout the day. Retrieved January 4,        2021, from https://www.ncbi.nlm.nih.gov/pubmed/16510619

Cesarean Delivery and Breastfeeding

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blog photo 66

By Jacque Ordner BSN, RN, IBCLC, RLC

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

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

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

Sources

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

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

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

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

 

 

There Is No Such Thing as The Perfect Mom

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breast pumping at the park

By Jacque Ordner BSN, RN, IBCLC, RLC

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

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

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

Benefits of Baby Wearing

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newborn baby breastfeeding

Benefits of Baby Wearing

By: Melissa Portunato MPH, IBCLC, RLC

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

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

Great For Being On The Go

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

Good For Baby’s Overall Health and Well Being  

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

Benefits For Mama Bear

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

You Can Nurse Or Pump In It! 

Structured carriers with a top hood are great to nurse in and YES, even pump! Throw the Spectra 9Plus in your pocket and you’ll pump your liquid gold without missing out on any fun going on. I recommend pumping one breast at a time if you are wearing baby. But hey! Why not use the carrier as a nursing cover?! Make your pumping sessions even more discreet and interchange your carrier for a breastfeeding cover. And YES mamas! Pumping is breastfeeding! 

Other People Can Bond With Baby 

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

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

Clever Ways To Store Your Breastmilk

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You’re on top of your breast pumping game.  You have part of the fridge and a freezer full of milk. You are rich with liquid goal for your baby, hooray!  As your freezer gets fuller, you may be starting to wonder where it all will go. Before you take up more space in your home with a new deep freezer or feel like you’re losing your mind due to disorganization, try these genius storage tricks for your breast milk.

General storage tips.

  1.       You can store milk in bottles or storage bags.  Storage bags are ideal for space saving. Some can be directly attached to your breast shields on your pump and self-stand for easy filling and storing.
  2.       Once expressed milk is in the container you plan to store it in, always label it so you can keep track of where it needs to go (see options below).
  3.       Use your breast shield as a funnel when transferring in milk to decrease risk of spillage.

Organization for the fridge. 

  1.       If milk is in the fridge and you plan to use it within the 4 day limit, you can opt for convenience and keep it in a bottle if you have the space. 
  2.       Keep your breast milk organized in one area of the fridge.  Try using a designated tub or box always keeping what will be used next at the front for convenience. First in, first out.
  3.       Use a labeling system to keep track of when bottles were put in the fridge.  This can be as simple as post it notes or can become fancy with charms labels with days of the week (or dates) on them.

Organization for the freezer.

  1.       When trying to freeze large amounts of milk, space saving techniques are key to maximize your storage capacity.  This means using storage bags and freezing them lying flat (at least until frozen) so that they aren’t bulky and can be easily stacked. Sandwiching the freezer bags between two cookie sheets can help freeze them even thinner saving more space! 
  2.       Try using boxes made into “dispensers” by cutting a storage bag sized hole in the bottom.  Google DIY breast milk dispensers and prepare to be amazed! You can easily recycle things like gift bags and shipping boxes for this purpose (boxes may be easier to stack for optimal space saving). 
  3.       Keep track of how old your milk is in batches so it’s easier to organize and find via color-coding or labeling. This is where using gift bags can be fun!
  4.       **Writer’s Favorite** To minimize time rummaging through the back of the freezer, try a left to right system.  Always put the newest milk on the left and then shifting your storage containers to the right as you add. So simple it’s genius!   

Storage while traveling or at work.

  1.       Use a cooler with ice to keep milk fresh for up to 24 hours. 
  2.       When flying, ask for ice at a coffee shop at the terminal or while on the plane.  For more travel tips check here.
  3.       At work, keep ice packs in the company freezer (don’t forget those labels to avoid confusion!) to use for the commute home.
  4.       For more guidelines on how long milk can be stored at different temperature check out this great resource here. For other general tips on milk storage look here.

 Making your fridge or freezer pretty and organized can give you peace of mind.  Then you can focus on all the fun parts of raising your baby!

Bereavement Pumping: Our Senior IBCLC’s Journey

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Bereavement Pumping: Our Senior IBCLC’s Journey
Jenn M. Foster, MA, CD, IBCLC, RLC

It’s been 4 months, nearly 5 months, since we lost our little “dove baby”, Nolan. His birth date was November 2, 2018. Yes, I say “birth date” because he was born. We held him in our arms, loved him and kissed him. My husband, Chris, even wrote him a poem which was read to him with such endearment.

Since his passing, his milk has helped so many babies. His story has touched so many lives, even reaching mothers in the UK!

I have pumped over 450 hours since November 4, 2018. Last week, I shipped 100oz to Mother’s Milk Bank of Florida and donated 400oz to local babies in need.

Yes, I do formal and informal milk donations. Formal milk donations through a milk bank and are provided to fragile babies in the NICU. Other babies in need receive human milk through milk banks that qualify.

For informal milk sharing, I seek to find local mothers in need. I find these mothers in need through Facebook groups, such as Human Milk 4 Human Babies. There is a lot of controversy over informal milk sharing. The controversy lies in the fact that such milk could be donated to milk banks across the country. However, there are babies who aren’t eligible for human milk from milk banks, such as our third (Emery) and fourth (Lincoln) babies.

I used 20% donor milk at breast with an SNS to make up for the supply that I wasn’t able to produce. They were our first little ones after having breast cancer and subsequent surgeries. Despite nursing on demand and pumping after every feeding, I was still only able to produce 80% of their daily intake.

For mothers who choose to obtain milk through informal milk sharing, there needs to be diligence on the mother’s part to ensure that the donor is free of harmful conditions, such as HIV and other illnesses. It’s important for the mothers who donate to follow the HMBANA guidelines to ensure they are healthy to donate the milk that is being shared is safe for ingestion.

Mothers can donate their milk through the Human Milk Bank of North America, by finding a milk bank in need that is within their region of the United States. There is always a need for human milk. In fact, there are measures being taken to ensure that insurance companies, including Medicaid, cover milk from a milk bank in order for NICU babies to have its’ life saving properties.

Now, back to my journey…

Every day, I pump my heart out to store Nolan’s milk. I use a hospital strength breast pump and express every 2 hours. I use a pumping app to track the time I’m pumping and quantity I pump each time. I even have alarms set on my phone to let me know when I need to pump.

I have a special pumping station set up that houses my milk storage bags, extra pump parts, breast pads and breast milk sanitary wipes. I keep my “Nolan Bear” (bear that was next to Nolan after birth at the hospital) next to me for every pumping session. Knowing that he is with me helps when it gets hard, and it is hard!

No one talks about bereavement pumping. It’s something that often isn’t even supported or offered at birth. When in the hospital, not one nurse or IBCLC talked to me about pumping his milk or even what I would do when my milk “came in”. Honestly, I hate when people say “when the milk comes in” because mothers at birth already have the perfect milk: colostrum. So, let’s say “when the milk increases in volume”.

I requested a pump to use at the hospital on November 4, 2019 (two days after his birth due to the trauma I was dealing with from his death). That started my journey of wanting to pump for one year.

Though I know that pumping is healing, it is hard to not have him at breast. Seeing all the posts on Facebook and Instagram of these amazing nursing photos and milestones that friends are experiencing with their newborns is heart wrenching. I want more than anything to have him here with us.

Every pumping allows me to still connect with Nolan. It’s so healing. I’m now looking into providing a webinar on “Bereavement Pumping”! I started a Bereavement Pumping group to find other moms that are on the same journey.

Support Resources:

https://stillbirthday.com/

 

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