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How can you help your partner breastfeed?

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Partner helping take care of baby

By Melissa Portunato MPH, IBCLC, RLC

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

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

Find her support and get educated

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

Compliment her and mean it

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

Give her some “me” time

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

Screen visitors

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

Keep her fed and hydrated

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

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

We’re here for you and we support you!

Pumping 101

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Melissa Portunato MPH, IBCLC, RLC

The majority of breastfeeding mothers will express breastmilk during some part of their breastfeeding journey. Sometimes it can be when returning to work, taking a break while temporarily working on baby’s latch, or choosing to pump exclusively from the start. Breast pumping can be intimidating for new parents, but it doesn’t have to be that way! Establishing simple-to-follow pumping strategies can ease worry and maximize pumping sessions. With manageable planning guidelines and evidence-based education and support, families can continue to reach their breastfeeding goals. Choosing to express breastmilk will ensure your milk supply is protected, and your baby will continue to receive the magical nutrition only you can provide. 

When to Start Pumping
If your baby is growing well and has unlimited access to the breast, there is no need to start pumping right away. Waiting 6-8 weeks is best. You could start sooner if you are returning to work around 4 weeks after birth but keep in mind the very early weeks are for establishing your milk supply at the breast and bonding with plenty of skin to skin. There will always be instances where pumping will be necessary right from the start, like preterm infants or unexpected medical emergencies. 

If nursing is going well at the breast, start with a short pumping session about 5 to 7 minutes after the morning or evening nursing session. Once a day at first and then gradually increase sessions according to your breastfeeding goals. If you are exclusively pumping aim for 6-8 / 20 min pumping sessions per day for a daily total of 120 min. In general, it’s recommended to double breast pump for a total of 15-20 min or 5-7 minutes after that last drop. 

Normal Pumping Output 
The newborn belly is super tiny. Studies show exclusively breastfed babies from 1 to 6 months old will consume an average of 25 ounces per day. Depending on if you are pumping for a missed feeding or pumping in between feedings, you can expect to pump roughly 1.5 – 4 ounces. At first, when your production is ramping up, expect to pump less milk. It takes time and practice to get your body to respond to the pump, just like learning to nurse at the breast. 

Check Flange Sizing 
The Spectra Baby USA S1/2 and SG come with two sets of flanges – 24mm and 28mm.  Spectra Baby USA flanges come in 20, 24, 28, and 32 mm. Flanges are relatively inexpensive and completely worth the purchase to ensure you have the highest comfort level when pumping. 

Finding the proper size for a breast flange is based on the diameter of the nipple, not the areola (the softer pigmented skin around the nipple).  When your nipple is centered inside the flange tunnel, it should only have a few millimeters (3-5) of wiggle room around the nipple. The entire nipple should fit comfortably without much, if any, of the areola entering the tunnel before pumping. Nipple size can fluctuate and can vary from side to side. We recommend measuring before pumping or nursing then adding 3-5mm to the diameter. Here’s our helpful fitting flange guide. 

Cycles, Settings, and More 
Spectra’s Natural Nursing Technology utilizes customized vacuum and cycle patterns that closely mimic a baby nursing at the breast. This natural pumping experience provides productive, comfortable, successful pumping sessions and ultimately more milk in less time.

Try these Cycle Pumping Settings to get started with your Spectra breast pump:

Massage 70
Expression 54
Massage 70
Expression 38
*Vacuum should always be set to comfort, 5 min on each setting.

Research shows moms can yield about 30% more milk when stimulating their breasts while pumping? Using a hands-free bra will allow for easier “hands-on pumping.” Massaging and compressing your breasts while expressing will help you get the most out of your pumping session. 

Cleaning and Milk Storage 
The CDC recommends sterilizing all your pump parts for the very first time before initial use. There is no need to sterilize the tubing since it will never contact your milk or pump. Have a designated bin to wash your pump accessories after each use in warm soapy water and then air dry on a clean dish or paper towel. Using non-antibacterial soap is ideal to ensure you aren’t leaving any film on the flanges that can inhibit the natural secretion of your Montgomery Glands on your areola.

Keep your liquid gold safe for your baby by adhering to the CDC guidelines for storing and preparing expressed breast milk. 

Have more questions on getting started with pumping? Schedule a complimentary consultation with us here. 

Happy pumping! 

 

Getting Started with my Spectra Breast Pump

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Melissa Portunato MPH, IBCLC, RLC

The first few weeks after your baby finally arrives is the time to soak in those yummy newborn snuggles. You shouldn’t have to worry about pumping just yet. But when you are ready, you might pump for reasons like going back to work, a weekend get-a-away, low milk supply, special circumstances with baby, or simply “my nipples just really need a break.”  It’s best to wait until 4 to 6 weeks postpartum to start pumping. However, pumping can be a lifesaver when you want a freezer stash of milk for returning to work or important “mommy time” away from baby!  Depending on your personal needs, you might need to pump occasionally or around the clock. Regardless of your reasons, one thing is for sure: pumping will allow your baby to continue receiving all those valuable immunological benefits that breast milk provides. 

Below are 5 facts to help you get started with your Spectra breast pump! 

1.Choosing the right breast pump and flange size

There are a few basic types of pumps: manual pumps, battery-operated pumps, and electrical pumps. Each of these pumps extracts milk by providing a seal around your nipple and areola while it applies and releases suction as baby would do at the breast. Suction strength and cycle speed will vary depending on the type of breast pump and whether you are single pumping (one breast) or double pumping (both breasts at once). If you are returning to work or exclusively pumping, a double electric breast pump will yield the best results. You can learn more about finding the perfect Spectra Baby USA hospital strength breast pump here. 

Finding the right size flange is an important part of the pumping process.  A flange that doesn’t fit properly could leave you with nipple pain, redness, and full breasts. Yikes!  No worries, it’s easy to measure your nipples using this breast shield guide that you can print out. This will save you time and stress with wondering whether or not you have the correct flange fit. 

2. When should I start pumping? 

If baby is growing well and has unlimited access to the breast, there is no need to start pumping right away. Pumping can add another layer to your busy day, and if breastfeeding is going well, no need to hook up the pump just yet. Waiting 6-8 weeks is best. You could even start sooner if you are returning to work around 4 weeks after birth, but keep in mind the very early weeks are for establishing your milk supply, bonding and nursing, not pumping. These guidelines are for healthy full-term infants. There are instances where pumping will be necessary right from the start, like with preterm infants or when medical conditions have been presented. 

Start with pumping once a day at first and then gradually increase sessions according to your breastfeeding goals. Starting with a pumping session about 30 min after an early morning nursing session is a great time! If you are returning to work, you will have plenty of time to build a nice freezer stash for when you are away. Moms are often surprised at how much milk they can store in just a few short weeks! 

3. Now, Let’s Get Pumping! 

Wash your hands with warm soapy water, gather your pump and accessories, and find a comfy place to relax. Don’t watch the collection bottles slowly fill up drop by drop! Instead, watch a video of your baby or listen to music! This can help you feel more at ease and allow your milk to start flowing freely. Research shows moms can yield about double the amount of milk when stimulating their breasts while pumping. Using a hands-free bra will allow for easier “Hands on Pumping.” Massaging and compressing your breasts while expressing will help you get the most out of your pumping session. It’s recommended to pump for a total of 15-20 min.

Try these settings:

Massage 70
Expression 54
Massage 70
Expression 38
*Vacuum should always be set to comfort, 5 min on each setting. 

4. How much milk should I be pumping?

The newborn belly is super tiny. Studies show exclusively breastfed babies from 1 to 6 months old will consume an average of 25 ounces per day. Depending on if you are pumping for a missed feeding or pumping in between feedings, you can expect to pump roughly 1.5 – 4 ounces. At first, when your production is ramping up, expect to pump less milk. It takes time and practice to get your body to respond to the pump, just like when you were learning to breastfeed. 

5. Clean. Store. Prepare.

The CDC recommends sterilizing all your pump parts for the very first time before initial use. There is no need to sterilize the tubing since it will never contact your milk or pump! Have a designated bin to wash your pump accessories after each use in warm soapy water and then air dry on a clean dish or paper towel. Using non-antibacterial soap is ideal to ensure you aren’t leaving any film on the flanges that can inhibit the natural secretion of your Montgomery glands on your areola.

Keep your liquid gold safe for baby by adhering to the CDC guidelines for storing and preparing expressed breast milk. 

Between breastfeeding, changing diapers, building baby gear, and managing all the visitors wanting to get a glimpse of your fresh bundle of joy (but seriously have a plan in place on handling visitors), you will have a full plate. Pumping really doesn’t have to be an additional item on your to-do list. During those sacred early weeks, concentrate on skin-to-skin and directly feeding your baby at the breast as much as possible.

Have more questions on how to get started with your Spectra Baby USA breast pump? Schedule a complimentary consultation with us here. 

We’re here for you and we support you!

What is Power Pumping?

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By Melissa Portunato MPH, IBCLC, RLC

Power pumping is a strategy used to increase milk supply by mimicking a baby cluster feeding at the breast. Cluster feeding is normal newborn behavior associated with short, frequent feeding patterns at the breast. Power pumping is intended to recreate this behavior, stimulating healthy milk production. 

Do I really have a low milk supply? 

Before starting power pumping, first, evaluate if you truly have a low milk supply. The average milk output for mothers exclusively pumping is 25-30 ounces per day, and if baby is brought to the breast as well, expect about half the amount. Working closely with an International Board Certified Lactation Consultant can determine the root cause and help you successfully meet your breastfeeding goals.

When’s the best time to power pump?

Most mothers find the evening is a great time! Baby is sleeping, you have extra hands on deck ready to soothe baby if needed, and you can relax. Ideally, find the time that works best for you when you can have an uninterrupted full hour of on and off pumping. 

How often should I power pump?

It’s not recommended to power pump long term but rather 1-2x a day for four consecutive days. There’re many different ways to power pump, but the main idea is on and off breast stimulation for one full hour. In most cases, it should be done in addition to your regular pumping sessions, even though sometimes it can be used to replace a pump session mostly for moms exclusively pumping. Remember, every mom is different, but power pumping every 3-4 weeks can be an easy tool to apply and kick start milk production. 

Power Pumping Quick Guide 

Power pumping can be done on one breast or both breasts with a hospital strength electric pump or a manual hand pump. See the easy-to-follow guides below to get started. 

Single breast power pumping:

  • Pump left breast for 10 minutes
  • Pump right breast for 10 minutes
  • Pump left breast for 10 minutes
  • Pump right breast for 10 minutes
  • Pump left breast for 10 minutes
  • Pump right breast for 10 minutes

Double breast power pumping:

  • Pump 20 minutes
  • Rest 10 minutes
  • Pump 10 minutes
  • Rest 10 minutes
  • Pump 10 minutes

Don’t watch the clock as much as letting your body take the lead. If you have a letdown, wait before stopping again to rest. Don’t get discouraged if you don’t see an increase right away. The extra stimulation is signaling your body to make more milk. Be patient. It can take about a week after you have stopped power pumping to see an increase. 

Do you have more questions about power pumping? 

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

Sources: 

Mohrbacher, N. (2012, November 27). How Much Milk Should You Expect to Pump? Retrieved July 27, 2020, from http://www.nancymohrbacher.com/articles/2012/11/27/how-much-milk-should-you-expect-to-pump.html 

Bonyata, K. (2018, January 3). Cluster Feeding and Fussy Evenings • KellyMom.com. KellyMom.com. https://kellymom.com/parenting/parenting-faq/fussy-evening/. 

 

5 Quick Tips for Pumping at Work

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Melissa Portunato MPH, IBCLC, RLC

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

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

1) Make a Schedule 

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

2) Have a backup plan 

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

3) Go Hands-Free

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

4) Milk Storage and More 

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

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

5) Community and Support 

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

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

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

 

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

Breastfeeding and Pregnancy

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mom on couch with breast pump

Melissa Portunato MPH, IBCLC, RLC

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

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

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

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

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

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

Sources:

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

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

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

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

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

 

Summertime With Your New Baby

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

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

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

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

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

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

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

Sources:

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

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

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

I Think I Want to Use a Breast Pump. Now What?

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by Bonne Dunham. IBCLC

Ok, you are making milk and you want to pump…now what?  What kind of pump do I use? How often should I be pumping and when? How much milk should I expect to see come out? These are just a few of the many questions that new mothers often ask when taking their first journey down Pumping Lane. You are not alone!  Here are some tidbits that should help with this journey.

What kind of pump should I use?  Not all pumps are created equally.  When selecting a pump, you need to ask yourself what kind of use you will want from it; will you be an occasional user or a daily user?  For the occasional-use-mother, who plans on pumping once or twice a week, a manual pump, also called a hand pump, might be a reasonable and affordable choice.  For the regular-use-mother who is planning to use the pump daily while away at work or school, an efficient, electric double pump will likely be the best pump choice.

A hospital strength pump is a more powerful machine; it’s the Cadillac of pumps! It is oftentimes issued by a Lactation Consultant as a multi-user pump or obtained through insurance as a personal use pump.  This pump is used to help mothers build a milk supply when separated from their babies, as in, preterm deliveries or when baby needs to spend some time in the Neonatal Intensive Care Unit (NICU).  There are a handful of other maternal health conditions that make it more difficult for a woman to make milk. A hospital grade pump might be a good option if you fall into this category. Speaking with an IBCLC for specific guidance in these scenarios would be the best option.

How often should I be pumping and when?  If you are planning on exclusively pumping, then you will want to pump at least 8-12 times a day to keep your milk supply up, especially until your baby starts on solids.  If you are breastfeeding and hoping to create a milk stash, here are some tips for you:

The bottom line is, you can pump whenever you have a free, and often hard to come by, moment. If you want to maximize your pumping output, pumping in the morning hours when  milk supply is at its highest is the best time. Waiting about 30-60 minutes after a breastfeeding session is ideal. Pumping once or twice a day is often enough if you are looking to make your storage stash, but if you are separated from your baby for whatever reason, you will want to try to pump as often as your baby may have fed during that time. This often looks like every 3 hours or so.

How long should I pump each time?  Most moms need to pump for at least 10 minutes, but no longer than 20-30 minutes is the simple answer. It’s always a good idea to pump 5-7 minutes past the last drop of milk.

How much milk will I be able to pump?  A good thing to know is that if you are pumping between breastfeeding sessions, the average mom will express between 1-3 ounces per session combined breasts  (not per breast).  If you are pumping in lieu of a missed feeding, expect to pump around 3-4 ounces. Keep in mind that this amount can vary based on your breast storage capacity.  If your pumping output is less than this and you are concerned, please reach out to a qualified lactation consultant to help you troubleshoot your concern.

Try not to compare yourself to your friends or co-workers, as some mothers may be able to express far more than the average bear. Every ounce is precious and pumping output is not a good indication of milk supply. So, always seek professional guidance from a trained specialist in the area of lactation (IBCLC).  You can find a Spectra Certified IBCLC near you here.

To Sleep Or Not To Sleep?

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by: Bonne Dunham, IBCLC, RN

That is the question that so many new breastfeeding Mothers will ask when their babies start sleeping through the night, yet their breasts are overflowing with milk.

Of course, as mothers, we spend those first few months of motherhood dreaming about the day more sleep will arrive.  Yet, when that shift comes, we often start to worry about how this chunk of hours when baby is not breastfeeding will affect our milk supply. We put so much time into building and protecting that milk supply, nursing every two to three hours around the clock, even when our heart and soul and body would love to be sleeping, in the wee hours of the night. Rest assured (no pun intended!), that with a little understanding of how milk production works and adjusts to your baby’s growth and development, you can both have a sound sleep at night and plenty of milk to meet your child’s needs.

It may take a few weeks for your body/breasts to adjust to your baby’s new sleeping pattern, but it will.  Initially, most women will wake to find themselves in a pool of breast milk, or hard, swollen breasts, only to find that their baby is sound asleep and not in need of a breastfeeding snack at this moment. Most women will find that they wake naturally in those first few weeks, either because of the sensation of very full breasts, or just because their body rhythm has been doing so for several weeks or months.  To help your body adjust, to protect your milk supply, and reduce the risk of getting a plugged duct or mastitis, it is a great idea to relieve that pressure by pumping or hand expressing. The following tips will help you through this new stage of breastfeeding your baby.

1.)   It’s ok for you to harvest a little more sleep during this transition. If you are accustomed to feeding your baby every 3-4 or so hours at night, it is fine to sleep a couple of more hours before you relieve some of that milk by pumping or hand expression.  Keep in mind that going longer than 4-5 hours does result in the milk making hormone (prolactin) to lower in your blood which can result in less milk produced. What you remove from your breasts is what you will make. So, ultimately when you stop nursing or pumping at night your body starts the weaning process.

2.)   To help your body make this adjustment to producing less at night, you need only to express milk until your breasts are soft if your baby is not nursing during this time. Often, this looks like about 2-5 minutes of expression.  Longer than this time does result in elevating your amazing milk making hormones to continue to produce. Remember, after just two to three weeks of doing this, you will likely not experience swollen or leaking breasts at night, and can, therefore, stop expressing and start sleeping!

3.)   Babies are amazing creatures, and will adjust themselves by either nursing more frequently during the day, or taking in more milk per breastfeeding session. Starting around 3-6 weeks postpartum, babies drink an average of 30 ounces of milk per day, right up until solids are introduced. This average doesn’t really change much during those months, however, babies do become more efficient feeders as they grow, taking in more ounces per feed, and may space the feedings out depending on their needs.

4.)   It is wise to keep a watchful eye on your baby and your perception of your milk supply as you make this adjustment to less breastfeeding at night. If you suspect that your milk supply has decreased, there are ways to balance it out during your waking hours. You may benefit from speaking to a lactation consultant about your concerns, or to get extra stimulation on your breasts from a daily pumping session.

5.)   You got this!!!

 

If you missed the Live Q&A, don’t worry!  We got you covered.

…Sweet Dreams

4 Tricks on How To Maximize Output While Pumping

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Breast Shield Guide

Pumping breastmilk for your baby is a huge accomplishment, one that takes time, hard work and patience. Because you are already juggling the work of caring for a child, maintaining a household and possibly also work or school, why not make the most out of your pumping session. These four simple tricks will help you to maximize your output while pumping!

1. Take a deep breath! Relaxation is key when it comes to pumping. It is really hard to have a let-down of milk when you are tense. So find a comfortable place to pump, where you can feel most at ease. Check in with your body, take a deep breath in, and on your out breath, relax any places of tension that you are feeling in your body; your face, your shoulders, and -even your pelvic floor! Consider your comfort, use a cozy chair, sip of a cup of tea and put on some soothing background music.

2. Massage your breasts. Don’t be afraid to get your hands involved with your pumping, both before and during. 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. Massage or use ‘breast compression’ during pumping also helps to stimulate let-downs and also has the added benefit of helping to fully drain all milk ducts. Consider wearing a hands-free nursing bra so that you can get both hands in on the massage. Gently, but firmly, massage and squeeze your breast starting from the armpit, working your way towards the nipples and as close to breast shields as you can get. You can even stop pumping in the middle of a session, or when you see the milk start to slow down, and massage your breasts for a minute or two and then go back to pumping. This helps to stimulate more let-downs!

3. Heat things up! Applying warmth to your breast will help to dilate the milk ducts, increase circulation and encourage milk to flow. You can run your breast shields under hot water before applying them to your breasts, or you can place a hot, moist, washcloth to your breasts for a minute or two before pumping.

4. Do your breast shields fit? Having the right size breast shield 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 up 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 breast shields can really reduce the output. Breast Shields come in several sizes, 20mm (S), 24mm (M), 28mm (L) and 32mm (XL), so don’t be afraid to try out a different size.

If you have tried these tips for maximizing your output and you just aren’t getting what you think you should, don’t hesitate to reach out to a lactation consultant. A consultant will continue to troubleshoot this topic with you and help to get you on track with your pumping goals.

Do you have additional tips and tricks?  Share them with us in the comments.

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