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Finding a Breastfeeding Friendly Pediatrician

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Melissa Portunato MPH, IBCLC, RLC

Breastmilk is a living substance loaded with nutrients, antibodies, and vitamins, providing the perfect nutrition composition for your growing baby. Experts recommend breastfeeding exclusively for the first 6 months and continued breastfeeding for 2 years or as long as the mother and baby desire. Some mothers exclusively express breastmilk for their babies, while others prefer to nurse directly at the breast. No matter how you decide to provide breastmilk for your baby, you will give them the very best start by feeding them your precious breastmilk. 

The pediatrician you choose for your baby will significantly impact your breastfeeding journey. Some pediatricians are more knowledgeable about breastfeeding than others, and it’s recommended for expectant parents to interview candidates for their baby’s doctor during pregnancy. Read on for questions you can ask and the answers you should look to receive. 

What percentage of babies are breastfed in your office?

The national breastfeeding rates published by the CDC depict that 45% of infants are exclusively breastfed at 3 months, and about 25% are fed only breastmilk at 6 months. Your pediatrician’s practice should have a high breastfeeding rate, but don’t be discouraged if they don’t know the current national breastfeeding statistics. However, they should know the average of breastfed infants in their office and be willing to listen and support you on your breastfeeding goals. 

Do you work with an International Board Certified Lactation Consultant (IBCLC) should any problems arise?

The IBCLC credential is the gold standard in lactation care, providing skilled, evidence-based breastfeeding support. Access to an IBCLC at your pediatrician’s office will make a big difference. It tells the pediatrician understands your concerns and values specialized lactation care for their patients. 

How much breastmilk should my newborn consume daily?

Breastfed babies consume between 25-30 ounces per day. The amount your baby will consume stays consistent for the first 6 months. If you are exclusively pumping, aim for that total, and if you are nursing and pumping about half (12-15 ounces). 

What growth charts do you use in your practice? 

Breastfed babies should not be compared to formula-fed babies. Research shows breastfed babies are leaner over time and grow in different patterns than their formula counterparts. Breastfed babies should be measured on the WHO growth charts, NOT the CDC growth charts. You can download a free WHO growth chart here. Remember, percentiles are just a comparison with your baby among 100 other babies. If your baby is not growing as quickly as their peers, it doesn’t necessarily mean feeding is an issue. Genetics should be considered, and seeking advice from an IBCLC. 

When is supplementation medically necessary, and how should it be given?

On average, your baby should not lose over 10% of their birth weight and be back at their birth weight at 2 weeks. If your baby requires supplementation, your pediatrician’s first advice should be to breast pump and provide breastmilk as a supplementation in addition to nursing directly at the breast. Alternative feeding techniques like a cup, spoon, or syringe should be suggested instead of bottle feeding. If bottle feeding is preferred, the paced bottle technique is the best way to feed your newborn with a bottle. 

When do you recommend introducing solids?

AAP recommends exclusive breastfeeding for the first 6 months, introducing solids at 6 months, and continued breastfeeding for 2 years or as long as mother and baby desire. Your baby does not need any other food, water, or juice – only breastmilk for the first 6 months. 

When do you recommend weaning from breastfeeding?

The answer here should be until mother and baby desire. There is no specific timeline for weaning, and every family should make a personal decision on when to discontinue breastfeeding. Studies show there are benefits to breastfeeding at one year and beyond. Breastmilk continues to be a source of nutrients, antibodies, and vitamins through toddlerhood and early childhood. 

Be prepared and educate yourself before you begin breastfeeding. Finding a pediatrician that supports your decision to breastfeed is important and can influence the achievement of your breastfeeding goals. If your pediatrician is not supportive of breastfeeding, you can always opt for a second opinion. You are your baby’s advocate. 

Need help getting started with breastfeeding? Schedule a complimentary consultation with a Spectra Baby USA IBCLC here. 

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

Source:

Kellams, A., Harrel, C., Omage, S., Gregory, C., & Rosen-Carole, C. (2017). ABM Clinical Protocol #3: Supplementary Feedings in the Healthy Term Breastfed Neonate, Revised 2017. Breastfeeding Medicine, 12(4), 188–198. https://doi.org/10.1089/bfm.2017.29038.ajk

Everything You Need To Know About Biting and Breastfeeding

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Melissa Portunato MPH, IBCLC, RLC

Not all babies bite and the ones that do learn pretty quickly that mama does not like it and stop. If you’re part of the lucky few that does have a baby shark don’t worry mamas! Biting down at the breast is almost always temporary. With patience, time and support your breastfeeding journey doesn’t have to come to an end. Check out our expert tips to keep your baby from chomping down and get you back on track with breastfeeding pain free! 

Why does my baby bite down when nursing? 

Teething 
Every baby is different, but generally babies will start to cut their first tooth between 3 months and 12 months. During this time, baby’s gums can get sore and the pressure of biting down can bring them relief. Freeze a washcloth dipped in breastmilk and before nursing let baby chew on it. Breastmilk triggers the production of endorphins, a natural pain numbing effect. The anti inflammatory properties in breastmilk may also help reduce soreness and pain. Wrap your finger around the cold washcloth and softly massage the gums providing counter pressure before nursing. Massaging the cheeks and ears from the outside can also help soothe pain. These techniques can relax baby before nursing and they will be less likely to bite down. 

Sometimes teething can result in a shallow latch which overtime can make nipples tender. Try “breast shaping” and compression when nursing to better position the baby on the nipple. Using lying back breastfeeding and dangle feeding can help your nipple go deeper into the baby’s mouth. 

Baby not feeling well 
Other reasons babies might bite down when nursing could be because of a sickness like a cold, ear infection, sinus pressure, headache, or a stuffy nose. If baby has nasal congestion, use a mucous removal tool, like a nasal bulb or the NoseFrida, to clear baby’s nasal passage before nursing. Use breastmilk or saline water to moisten the inside of the nostrils before suctioning to make the process less irritating. Nursing your baby in an upright position, straddled on your lap, or using a sling or carrier can help make the airway stay clear and make breathing easier.

Oral Restriction
Sometimes newborns will clamp down when nursing at the breast. It doesn’t always mean there are oral restrictions but it could be an indicator. Oral restrictions can vary and can come in the form of a tongue tie, lip tie, and buccal tie (these ties can be found on the inside of the cheek). The shape of the palette and tongue can also influence how a baby will nurse at the breast. If your baby continues to clamp down when nursing, work closely with your pediatrician and connect with your local International Board Certified Lactation Consultant, IBCLC for a thorough breastfeeding consultation to determine the cause of the issue and develop a plan for resolution. 

Forceful Letdown 
If mom has a forceful letdown this can also cause a baby to clench down on the nipple. Using nursing positions that are counter gravity can slow the overactive letdown and baby will be able to manage milk flow easier. Nursing lying back with baby’s body flat directly over you or sitting baby upright to nurse can slow the flow, allowing baby the rhythmic suck and swallow necessary for nutritive feeding. In addition, hand expressing first or pumping for 5 min prior to nursing sessions can help baby latch on easier and slow forceful letdown too! 

What else can I do to make baby stop biting? 

No matter the reason for biting it can be painful. Try not to scream! Instead, put your baby down in a safe place and leave the room. It’s important to know a baby that is actively nursing can not physically bite down on the breast. Babies tend to bite down towards the end of a feeding, when distracted, or not interested. Watch your baby closely when nursing and end the nursing session before baby has the opportunity to bite down. Babies are pretty keen at sensing our body language and behavior. Talk to your baby often when nursing. Tell your baby things like “we don’t bite mama” or “biting hurts mama, outchy.” Babies look for facial expressions to communicate. Be expressive with your emotions when you talk to your baby. Smile and positively reassure your baby when latch on happens carefully and smoothly. 

Managing Nipple Pain and Milk Supply
If baby’s biting has your nipples sore, caused abrasions, or cuts be sure to treat them to prevent infection. Air dry as much as possible and wash with non antibacterial soap in the shower. Applying a cool hydrogel can soothe sore nipples and keep them healthy. For deeper cuts and abrasions temporarily applying a mupirocin, prescribed by your doctor, can help speed up healing and avoid infection. Small amounts on the nipples do not need to be wiped away before nursing. Always remember mamas! Your doctor is always a quick call away if something doesn’t seem right. 

If nursing directly at the breast has become too painful, pump to maintain your milk supply. Use the slow 38 cycle steady with the Spectra breast pump S1/S2 and lubricate the tunnel well with breastmilk or olive oil to prevent friction and further discomfort. Be gentle on your breasts and nipples. Use massage and compression to stimulate more effective letdowns allowing for less time on the pump. 

Remember you and your baby are a dyad. You are one. Your baby will learn quickly biting hurts mama and they will stop. Your baby loves you and doesn’t want to knowingly hurt you! You’re an amazing mom and your baby thinks so too.

References

Nishitani S, Miyamura T, Tagawa M. et al. The calming effect of a maternal breast milk odor on the human newborn infant. Neurosci Res (2009) 63(1): 66-71

In: Drugs and Lactation Database (LactMed). Bethesda (MD): National Library of Medicine (US); 2018 Oct 31.

http://www.nancymohrbacher.com/breastfeeding-resources-1/2016/6/10/your-breastfeeding-baby-is-biting-you

Re-lactation: One Mother’s Journey

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By Jacquelyn Ordner BSN, RN, IBCLC, RLC

I had met my breastfeeding goals with three out of my four children, with the fourth still nursing once or twice a day.  Number four was about 2.5 years old and had decided he only needed “milkies” at naptime and bedtime.  I was comfortable with this, and we were moving through this transition happily.  But, when my husband and I decided we were going to adopt, my thoughts around weaning began to change. What if my next child needs my milk too?

As we completed the international adoption application process and began the home study process, we really began to think about the little person who would be joining our family.  We had told the agency that we’re open to parenting a child with significant medical needs. Our child could need a myriad of medical interventions, and I immediately began thinking that I needed to store breastmilk to help support him or her.  I’m an RN and IBCLC, so that’s just how my mind works. I KNOW that just 15 ounces of breastmilk can provide up to:

29% of a toddler’s energy requirements

43% of their protein requirements

36% of their calcium requirements

76% of their folate requirements

75% of their vitamin A requirements

94% of their vitamin B12 requirements

And 60% of their vitamin C requirements (Dewey 2001).

Breastmilk does not suddenly become non-nutritious or suddenly lose its bioactive and immune boosting components at a certain age! So, in the waiting and through the mountains and mountains of paperwork, I could be working toward making more milk to save for our fifth child! 

I began with the basics…..pumping! In an effort to store every ounce, I gently encouraged our current youngest to cut back to nursing just once a day.  This was easy at first, and he didn’t even seem to mind me pumping. I was double pumping with the Spectra S2 just 3-4 times a day to start. Let me tell you, this wasn’t very encouraging!  I was only yielding a total of 1-1.5 oz per DAY! That’s when I hit the first major setback….my toddler became jealous of my pump! He cried when he saw me pumping and asked for “milkies” multiple times per day.  I felt so conflicted at this point because my natural instinct was to scoop him up and provide that loving comfort as we had done thousands of times before. However, I also knew my goal was to collect and store as much milk as possible before we brought kiddo #5 home.  Knowing that an effectively nursing baby (or toddler in my case) was far more efficient at stimulating milk production than my pump, I allowed him to nurse up to three times per day while I continued to pump 3-4 times per day. 

We were hitting our stride, and my pumping output was SLOWLY increasing, when we had another setback.  My work schedule changed, and this put stress on the whole family. My little guy had to start a new daycare during at this time as well.  So, I took a break from pumping for a couple of weeks. I could kick myself for this now, but I can’t go back to change it. That two week break set me all the way back to the beginning. Still, once we found our new rhythm, I was determined to get my production up.  I began faithfully pumping 5-6 times per day and VERY SLOWLY started to see an increase! Over the course of 4 weeks, my pumping output went from 1-1.5 oz per day to 3 oz per day in addition to the milk I was providing to my nursing toddler. Though my output is small, I’m confident that I can continue to increase my supply with dedicated pumping. Re-lactation takes time!   If you are considering starting the re-lactation process, there are a few things to keep in mind:

  •  Milk supply is easier to influence in the first 4-6 weeks postpartum.
  • The amount of time and pumping needed to re-lactate depends on many factors such as how long you were nursing or pumping before stopping, how long it has been since you stopped nursing or pumping, and how much milk you were producing at the time you stopped.
  • Pumping alone can be an effective way to stimulate re-lactation.  The use of galactagogues should only be done so with the help of a knowledgeable practitioner.
  • An effectively nursing baby is the MOST efficient way to stimulate milk production.  If your baby will latch, this is very helpful to the re-lactation process. The use of an at-breast-supplementer can be significantly helpful as well.
  • The knowledge and expertise of an International Board Certified Lactation Consultant, who has experience with re-lactation, can be extremely beneficial for a mother who is pursuing this goal!

Dewey KG. Nutrition, Growth, and Complementary Feeding of the Breastfed Infant. Pediatric Clinics of North American. February 2001;48(1).

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

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By Melissa Portunato MPH, IBCLC, RLC

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

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

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

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

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

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

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

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

Sources:

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

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

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

 

Should I Introduce A Pacifier to My Baby?

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Melissa Portunato MPH, IBCLC, RLC

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

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

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

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

Pros & Cons

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

✔ Suck training and shorter hospital stays for premature infants. 

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

✔ Pain management for minor procedures. 

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

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

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

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

✖ Overuse and prolonged use may interfere with language development.

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

Helpful Binkie Tips

★ Clean often and sanitize pacifiers daily 

★ Replace if torn or broken 

★ Wean baby before one year

★ Limit to bedtime and naptime

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

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

★ Don’t push pacifier back in if baby refuses

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

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

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

 

When and How To Drop A Pumping Session

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By Melissa Portunato MPH, IBCLC, RLC 

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

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

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

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

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

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

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

Sources: 

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

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

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

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

 

Navigating the Formula Crisis

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Melissa Portunato MPH, IBCLC

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

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

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

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

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

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

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

https://www.hmbana.org

https://www.eatsonfeets.org/DonatingAndRequesting

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

Tips to Manage Nipple Pain

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Melissa Portunato MPH, IBCLC, RLC 

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

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

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

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

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

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

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

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

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

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

Schedule your complimentary consultation with us today! 

What is Parallel Pumping?

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By Melissa Portunato MPH, IBCLC, RLC

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

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

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

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

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

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

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

Happy Parallel Pumping!  

Source:

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

Which Spectra Pump is Right for Me?

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Jacque Ordner BSN, RN, IBCLC 

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

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

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

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

Spectra S9 Plus Electric Breast Pump 
The S9 Plus is Spectra’s smallest pump, weighing in at only ½ a pound!  This tiny, but mighty pump offers the ultimate in on-the-go single or double pumping.  The rechargeable battery allows for convenient pumping in almost any location.  Though this pump is small, it isn’t lacking in features!  It provides up to 260mmHg of suction and is still considered hospital strength…..wow!!!  The S9 Plus also offers an adjustable Massage Mode along with 10 levels of vacuum in Expression Mode and a convenient timer. The backlit LCD screen is an added feature that moms love as well. Pair this little powerhouse with the hands-free CaraCups and you have a convenient hands-free pumping setup without sacrificing effectiveness! This pocket-sized pump also comes with a 2-year warranty. 

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

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

 

5 Facts You Need to Know About Breastfeeding

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By Trill Paullin, Ph.D.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

3) MYTH: Colic is Normal in Breastfeeding Babies

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

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

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

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

  • Lip or Tongue-tie

  • Over/underfeeding

  • Lactation issues

  • Undeveloped digestive tract

  • Infant food reactivity

  • Imbalance of healthy bacteria in the digestive tract

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

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

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

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

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

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

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

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

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

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

 

Is My Baby Getting Enough Milk?

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

Hello Breastmilk 

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

Momma the Diaper Slayer 

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

Gulp-up, Buttercup!

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

Fill up that onesie!

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

Off to Dreamland 

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

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

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

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