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Finding Your Flange Size

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Melissa Portunato MPH, IBCLC, RLC

Pumping should never hurt. Whether a mom is exclusively breast pumping or will be away from her baby for any reason, it will be significantly more efficient when the pump is set up correctly.  This includes proper flange sizing. If you are experiencing pain, discoloration, or rings around the areola when pumping, it is likely coming from your flange size. Having a poorly sized flange can cause breast damage, pain, and low milk supply, leading to premature weaning. 

Here are some quick tips to follow to find the perfect flange fit! 

Accurately Measure 

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. But measuring only tells us a piece of the story. Some moms feel comfortable sizing up or down and changing sizes throughout their breastfeeding journey. 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. 

How should it look when pumping?

For the most part, the nipple should stretch a little less than halfway down the flange when pumping. If it’s way past that – like hitting the backflow protector or end of the flange and you’re experiencing pain or low milk output, then it’s time to troubleshoot. The nipple should move freely with no rubbing against the sides, which could be mean it’s too tight. If the areola is being pulled inside the tunnel (more than 3-5mm), suction is breaking while pumping, or milk starts to drip from under the flange, these could be indicators the flange is too large. Typically a flange that’s too big will cause the areola to be pulled farther into the tunnel, but if a flange is restrictive, the nipple will rub inside the tunnel and stretch it farther too. It’s normal for nipple size to fluctuate or to use different sizes on each breast. Both too small or too large of a flange can be accompanied by pain, discomfort, discoloration, or low milk output.

Sizing options 

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. 

What about “elastic nipples”? You can read more about them here. 

Several factors go into finding the perfect flange fit. It’s essential to assess how the flange looks, feels and whether you are pumping an adequate amount of milk. Expected milk output is 2-4oz combined every 2-3 hr if you are exclusively pumping or about half if also nursing your baby at the breast. A higher vacuum does NOT mean more milk. Lowering the suction vacuum can help if you are having pain or your nipple is pulling significantly through the flange tunnel. 

If your nipples are sore from pumping, treat your nipples by letting your very own breastmilk air dry over the area. Applying moist wound healing with a cool hydrogel over the nipple can effectively treat pain and soreness. Even after troubleshooting flange sizing, if pain continues, contact your local International Board Certified Lactation Consultant (IBCLC) or healthcare practitioner for help. 

Have questions on flange sizing or simply want to be sized by our IBCLC Team of flange sizing experts? Schedule here. Follow us on social media at Spectra Baby USA on IG and Facebook for weekly educational videos, support, and guidance. Let us make your pumping experience more enjoyable and help you achieve your breastfeeding goals! We believe in you, and we support you! 

 

Breastfeeding and Sibling Support

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Breastfeeding and Sibling Support
Melissa Portunato MPH, IBCLC, RLC

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

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

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

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

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

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

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

Happy Breastfeeding! 

Sources:

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

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

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

 

 

 

All About The Simple Store Milk Collection Kit

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Our new Spectra Simple Store Milk Collection Kit makes pumping, storing, and feeding as easy as 1-2-3! This innovative technology allows breastmilk to be pumped directly into BPA-free collection bags for simple storage and bottle feeding. Spectra’s easy-to-use breastmilk storage system is convenient for busy parents and prevents the exposure of germs that are often present when transferring milk from one storage solution to the next. Assembly is intuitive, clean, fast, and simple. Always keep your milk safe and ready to use with The Spectra Simple Store Milk Collection Kit.

What’s included? 

The Simple Store Milk Collection Kit includes one bottle connector and (10 ct) 200mL milk collection bags. The connector adapts to a Spectra flange when pumping, and seamlessly converts as a bottle with a wide neck cap and nipple (wide neck cap and nipple sold separately). If you are double breast pumping, you will need two Simple Store Milk Collection Kits. Replacement collection bags (30 ct) are available here.  

How does it all work? Easy as 1-2-3! 

Step 1 Pump 
First, remove and set aside the small plastic cap from the collection bag. Next, use the bottle connector included to attach your Spectra flange to the collection bag. Last, sit back, relax, and double breast pump for 15-20 minutes with a hands-free bra to save even more time! 

Step 2  Store
Seal the collection bag with the small plastic cap you set aside prior. Your milk is now ready to be frozen or refrigerated for later use. Learn more on milk storage guidelines here. Expert tip! Remove excess air by gently squeezing the collection bag and freeze flat to optimize space. Use a plastic bin or an empty soda can box to organize your frozen milk stash. 

Step 3 Feed
It’s simple! Feed your baby right from the collection bag. First, twist on the bottle connector. Then, connect the wide neck cap and nipple. All set and ready! Time for a feeding. 

All Spectra Milk Collection Bags are double lined and provide a strong seal ensuring leak-free insulation families can count on. Collection bags come with a built-in temperature sensor, displaying when breastmilk is perfect for your baby. 

Have more questions about The Simple Store Collection Kit? Email us at IBCLC@spectrababyusa.com.

Happy pumping! 

 

 

Single Pumping vs Double Pumping

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Melissa Portunato MPH, IBCLC, RLC

All Spectra baby USA electric breast pumps have the functionality to be used for single or double breast pumping. Research shows using double pumping will help drain the breasts better and make you more efficient. Yet, there could be times you might want to temporarily incorporate single pumping into your daily routine. Ultimately, the more frequently you express your milk, the more milk your body will make. The options are endless with the Spectra Baby USA pumps, and it’s nice to have a new trick in your back pocket to try. Read on to learn more about single pumping vs. double pumping. 

Why Double Pump?

✔ Exclusively Pumping
Mothers may choose to exclusively pump for various reasons such as latching difficulties or concerns about baby’s weight gain. During the first 12 weeks postpartum, your body is establishing your milk supply. Research tells us that new mothers need at least 120 minutes of quality nipple/breast stimulation per day to establish and maintain a full milk supply. Dual pumping both breasts 8-12 times per day for 15-20 minutes will encourage healthy breastmilk production. Studies reveal when double pumping, moms see about 20% more milk. Double it up when exclusively pumping! 

✔ While at Work 
At work, time is limited and pumping often requires adding in some multitasking. Double pumping with a well-fitted pumping bra will free up both hands to type, take calls, or scroll through social media. It also allows for “Hands-on Pumping.” Moms that use their hands before, during, and after pumping see more milk too! 

✔ On the Go 
Even if you are at home with your newborn and other kiddos, you’re still working! Cooking, laundry, virtual school, or running errands, you are busy and often on the go. Double pumping saves you time! Combine double breast pumping sessions with our portable Spectra 9 Plus and you will never skip a beat during your busy day. 

Why Single Pump?

✔ Slacker Boob
It’s normal for milk supply to fluctuate and to pump more milk on one side. If you are looking to increase milk from one breast, try temporarily adding a few quick single pumping sessions in addition to your regular double pumping sessions. Incorporating short single pumping sessions throughout your day can give your milk supply a boost. Even if you don’t see much milk at first, the increased stimulation will send a signal to your body to make more milk. Try it for three days and then stop to give your body a rest. It can take about a week to see an uptick. 

✔ Clogged duct 
Ouch! Clogged ducts can be painful! And though they may appear on both breasts, there’s typically one breast where they occur most often or more stubborn. Have you heard of “dangle pumping?” Just like the name indicates, dangle the breast into the flange to let gravity help drain the breast more effectively. Combine warm compresses with massage and compression while single “dangle pumping” to resolve clogged ducts fast. 

✔ Skin to Skin when Pumping 
Breastfeeding parents often get into the vicious “triple feeding” cycle – nursing, pumping, and bottle feeding. This routine can get old quickly and overwhelm the already exhausted breastfeeding dyad. If you feel exhausted from double pumping while watching your baby nearby, try single pumping while doing skin to skin! Single pumping with baby on your bare chest can help you relax and bond with your baby. It can also help increase milk-making hormones! Take a break and single pump while skin to skin with your baby. Try single pumping for 15 min on each breast while keeping your little one comfy on your bare chest. Enjoy those newborn snuggles! 

✔ Building a small freezer stash
The general rule is to hold off on pumping for the first 6-8 weeks, depending on when you will start to be away from your baby. If you are nursing your baby and want to start storing breastmilk, add single pumping in between nursing sessions a few times a day for 15-20 min. You can expect to see about .25 – 1ounce. This strategy can help build a small freezer stash to help you prepare for your return to work or school. Planning can ease worry and make the transition easier for both you and your baby. The average milk stash is about a day’s worth of breastmilk 20-25 ounces. Remember, you will always be bringing home breastmilk for the next day too! Read more tips on returning to work here. 

Breastfeeding is a journey! Families will often face obstacles, barriers, and challenges along the way. If your wish is to continue to breastfeed, don’t ever lose hope! With the right support, you can continue to meet your breastfeeding goals. We are here for you! Schedule a consultation with the Spectra IBCLC team or email us at IBCLC@spectrababyusa.com 

Sources:

Bonyata, K. (2018, January 02). Exclusive Pumping • KellyMom.com. Retrieved July 27, 2020, from https://kellymom.com/mother2mother/exclusive-pumping/ 

Research on skin-to-skin contact. (2021, February 17). Retrieved March 10, 2021, from https://www.unicef.org.uk/babyfriendly/news-and-research/baby-friendly-research/research-supporting-breastfeeding/skin-to-skin-contact/#:~:text=Researchers%20found%20that%20holding%20babies,with%20obesity%20than%20other%20mothers.

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. 

 

Spectra 9 Plus Electric Breast Pump

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mom holding 9 plus breast pump

The 9 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. The 9 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! Like with all of Spectra Baby Electric Breast Pumps, this pocket-sized pump also comes with a 2-year warranty. 

The Spectra 9 Plus Features include: 

  • Single or Double Pump capability
  • Vacuum suction up to L10
  • 260 mmHg
  • Weighs only .5 pounds
  • LCD screen
  • ( 2 ) Years Warranty on pump | 90 days on accessories

The Spectra 9 Plus comes with everything you need to single and double pump.

  • Two (2) 24mm Spectra Breast Flanges
  • Two (2) Spectra Tubing
  • Two (2) Spectra Duckbill Valves
  • Two (2) Spectra Backflow Protectors. Includes silicone membrane, uppercase, and lowercase for each Backflow Protector
  • Two (2) Spectra Wide Neck Storage Bottles. Includes nipple, cap, disc, and lid for each bottle
  • One (1) Spectra 9-Volt AC Power Adapter. Includes detachable power cord prongs

Can’t decide on which Spectra Breast Pump is right for you? Schedule a complimentary virtual consultation with one of our International Board Certified Lactation Consultants today! 

All About the Spectra S1 Electric Breast Pump

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baby on bed with s1 plus

Spectra S1 Plus Electric Breast Pump 

If you are a busy mom on the go looking for outlet-free customized pumping sessions, then the Spectra S1 is the perfect pump for you! A favorite among exclusive pumpers, the Spectra S1 Plus is hospital strength and a closed system that allows for single or double pumping. Along with loads of customizable features, the Spectra S1 pump weighs in at only under 3lbs. The multi-phase “suckle” makes pumping with the S1 feel comfortable and natural. You’ll have 3 hours of battery life with the Spectra S1, delivering convenience that can make a pumping mom’s life easier! When you’re already juggling a thousand things, CONVENIENCE MATTERS! Unplugging this pump and going cordless doesn’t compromise suction like with some other battery-powered pumps. The rechargeable S1 is typically offered as an “upgrade” through health insurance plans. Countless moms have reported the additional cost of the S1 as being “worth every penny.”  If a rechargeable pump with the customization of 12 vacuum levels, 5 Expression Cycles, and an adjustable Massage Mode sounds like a dream, then the S1 is for you! 

The Spectra S1 Features include: 

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

 

The Spectra S1 Electric Breast Pump Accessories:

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

Can’t decide on which Spectra Breast Pump is right for you? Schedule a complimentary virtual consultation with one of our International Board Certified Lactation Consultants today! 

Check out the digital S1 Plus Manual for more information.

Level Up with the Spectra Caracups

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Melissa Portunato MPH, IBCLC

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

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

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

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

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

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

Expert tips:

Parts should be thoroughly washed and air dried before assembly.

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

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

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

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

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

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

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

Starting Solids with Your Breastfed Baby

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Jacque Ordner BSN, RN, IBCLC, RLC 

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

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

How do I know my baby is ready? 

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

Signs of readiness include: 

o   Can sit unsupported 

o   Has good head control 

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

o   Opens mouth when offered foods 

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

o   Has doubled birthweight 

 Which method is best? 

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

What about allergies? 

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

How do we get started? 

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

Expect changes. 

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

Does my baby need extra liquids? 

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

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

Healthy Children.Org 

La Leche League 

CDC 

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

Sources 

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

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

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

Child Care and the Breastfed Baby

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Melissa Portunato MPH, IBCLC, RLC

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

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

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

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

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

Additional tips for success:

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

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

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

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

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

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

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

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

We’re in this together and we support you! 

Sources

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

Night Weaning

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Jacque Ordner BSN, RN, IBCLC, RLC 

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

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

Keep reading for our top tips for night weaning. 

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

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

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

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

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

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

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

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

 

Sources: 

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

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

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

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. 

 

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