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To Preemie Nipple or Not to Preemie Nipple?

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by Lindsey S. #RealMomStory

It never ceases to amaze me how much conflicting information is “out there” about how much breastmilk a baby needs when away from their mama – and the ways to provide it.

Actually, you can look at it in so many different ways:

  • How much breastmilk a baby NEEDS.
  • How much breastmilk a baby COULD HAVE.
  • How much breastmilk a baby SHOULD HAVE.
  • And let’s be honest, there’s also – How much breastmilk the mama is comfortable/able to provide for baby.

It has to be said. Every baby is different. Needs are personal and situational. This is MY experience with MY children and breastmilk. If you have any questions about your child’s needs and your specific situation, reach out to an IBCLC on staff with Spectra Baby USA.

With my first two, I always followed the “rule” that 4ish ounces of breastmilk per bottle every three hours away from me was sufficient. But my middle guy’s daycare felt he needed more milk and so that meant buying the bigger bottles and giving him 5 ounces per feeding. 5 ounces of breastmilk in a bottle that can hold 8-9 ounces of breastmilk looks fairly ridiculous. Like something is missing. But hey, you have to think of it as “half full” not “half empty,” am I right?

With my newest little guy, I bought all new bottles, tried a few and ended up back with the same ones I used for the other guys. And bought all preemie nipples for the bottles, because that’s what I always knew to be true. Give 4 ounces of breastmilk every three hours and use the slowest flow nipple. His daycare thinks that because each bottle is taking around 45 minutes for him to finish and he is “looking for more milk” once the bottle is done that he a. needs a faster flow nipple and b. needs more milk per feeding. So what’s a girl to do?

Everyone always says that people who give breastfed babies bottles should pace feed. And so I always give that direction. But the truth is, I’m no bottle expert. All I do is fill them up in my nightly chemistry-like situation of pouring and preparing. And of course, I’m pretty awesome at pumping with my S1 at work all day.

The Senior IBCLC with Spectra Baby USA, Jenn Foster, shared an interesting article with me that questions whether babies should continue use of a preemie nipple and it was pretty eye-opening. From the article, it definitely sounds to me like Charlie is ready for a faster flow nipple. Oops.

So that leads to the next question – does he need more milk per feeding? Who knows? It’s all trial and error, just like so much of motherhood.

The positive in all of this is that there are so many options. And lots of days to try. And lots of variables – like teething, illness, fussiness, daycare vs. home, bottles vs. nursing, etc. I’m willing to try it and figure it out.

In this case, the conflicting information isn’t overwhelming me. It’s an awesome reminder that there isn’t always one answer when it comes to feeding our babies.

What’s your opinion? Are you slowest flow nipple until baby is done with bottles? Faster flow? More milk? I’d love to hear what you think.

About the author

Lindsey Schedler lives in New Jersey with her frat house of three boys (4 if you count her husband). By day, she’s a social and digital media strategist. For fun, and to connect with others, she shares about life as a working mama /fitness enthusiast and yummy food via @thindsey on Instagram. Lindsey is passionate about breastfeeding and pumps with her S1 or S2 when she’s away from her baby.

 

10 Tips to Boost Milk Supply

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10 Tips to Boost Milk Supply

So you’ve decided you’re going to breastfeed your little one:  way to go mama! Breastfeeding can be tough but you can be sure you are giving your baby the best nutrition possible.  Whether you are brand new to breastfeeding, have a growing babe, or are returning to work there are plenty of reasons you may be concerned with how to increase your milk supply.  Here are 10 basic tips to follow to get you headed in the right direction:

  1.    Double check your baby’s latch

First and foremost, your breasts produce milk based on supply and demand.  This requires your baby to be able to efficiently suck milk from your breast.  If they are latched on poorly they won’t be stimulating your body to make the milk required to match your baby’s needs.   In general, baby should be able to get a large amount of breast into their mouth (including the areola) and it shouldn’t hurt. Think latching baby on “bottom to top” of the breast; just like you would fit a hamburger in your mouth. It’s not a “bulls-eye” approach. If you’re not sure, there are lots of resources out there, including Spectra Baby USA lactation specialists.  Bottle feeding your baby with pumped milk instead? Make sure all your pump parts are working right with good suction.

  1.    Feed on demand and often

Again with supply and demand, feeding your little one on demand (especially in the first few months to establish a strong supply) will keep your breasts stimulated and producing to keep up with your baby’s needs.  This generally means feeding your little one every 1-3 hours in the first 3 months (except maybe at night) for a frequency of 8-12 times per day. Worried you’re teaching your baby bad eating habits? Most experts agree that in the first year of life it is impossible to spoil your baby when providing them with their basic needs. So, do lots of baby-wearing, skin to skin time and snuggling!

  1.    Empty the breast or pump after feeds

When feeding, the biggest “trigger” for producing more milk is an empty breast.  Make sure one breast is empty before switching to the other side to optimize this trigger. If baby can’t empty both adequately with each feeding, keep track of which breast you start with each session and alternate so they are both emptied throughout the day.  If this still isn’t enough, consider pumping right after a feed to finish emptying the breast before the next feeding (5-7 minutes of pumping is plenty of time). If you are exclusively pumping, your supply will reduce to a slight drip when your breast is emptied. If you want to further stimulate a boost, try pumping for another 5 minutes after this point.

  1.    Nourish your body

Breastfeeding requires approximately 500 more calories per day.  Plus, your body is taking a lot of vitamins and minerals from what you’re eating to provide your baby with the best milk possible.  Keep in mind that just like when you were pregnant and the body took all the nutrients for the baby first; this is the same concept when you are making milk.  You eat well in pregnancy to ensure a healthy baby and healthy mom (since the nutrients go to baby first). With breastfeeding, the nutrients are taken to protect the milk supply first and then, what is remaining is given to mom. If you aren’t replenishing your reserves it will be hard for your body to keep up with milk demand.  You should be eating a balanced diet to optimize your milk production. Although the research is limited, foods that are claimed to boost supply in addition to having an adequate diet include oatmeal, almonds, spinach, garlic, fenugreek, and fennel. On the other hand, there are some foods believed to decrease milk supply to avoid such as alcohol, caffeine, parsley, mint, sage, and oregano.

  1.    Stay hydrated

Breastfeeding requires an increase in water intake to not only make up for direct loss in your breast milk but also the increased demand breastfeeding places on your body.  Dehydration will most definitely affect your milk supply, so don’t wait to drink water until you’re thirsty! Try to stay ahead and drink water periodically throughout the day.  A trick a lot of moms use is to keep a glass of water with them when feeding with the goal of drinking at least one glass per feeding. The amount you need will vary but doing a quick urine check (it should be clear to light yellow) will ensure that you are hydrating adequately.

  1.    Get rest

Getting enough sleep is tough with a baby yet it can greatly impact your milk supply if you are always exhausted.   Try your best to sleep when the baby sleeps. This might mean asking for more help from a friend, family member, or significant other or letting your to-do list slide for a while longer.  Checking out resources to help your baby sleep better through the night may help you get more rest as well. Your body needs time to recover to be able to “run” optimally!

  1.    De-stress

When you are stressed, your body releases hormones that can impact the breastfeeding hormone that helps to release your milk. Everyone alleviates their stress differently.  Being tired with a new baby may make it seems hard to “relax” but start small: ask for help, meditate while feeding, focus on some deep breaths, start a light yoga or exercise routine (if your doctor gives you the go-ahead), or take some time to talk to a good friend or family member.

  1.    Add an extra pumping session

If your baby’s eating frequency simply isn’t enough to increase your supply as you would like, consider adding a pumping session between feeds.  Generally, with a good double pump, this means a 10-20 minute session.

  1.    Talk to your doctor about supplements

There are homeopathics and herbs that are believed to help with milk supply, just make sure to get the ok from your doctor first.  Herbs are easy to find in capsules and teas in natural food stores such as fenugreek, thistle, stinging nettle, alfalfa, and goat’s rue.  Homeopathic may require a subscription.

  1.   Stick with it!

Don’t get discouraged and start skipping feedings.  Talk to other mom’s that have been there for support and seek out a lactation specialist if you are struggling.  You are not alone in your breastfeeding journey!  

Let us know your tips below!