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Breastfeeding in Public

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By Melissa Portunato MPH, IBCLC, RLC

Have you been cooped up inside, soaking up all those yummy newborn snuggles but ready to bust out of the house finally? Going out sounds nice, but you might be thinking about how you will manage it all away from your comfy nest. It’s common for breastfeeding moms to worry about how they will feed their little babe at the breast when in public or how they can find a space to pump. Life doesn’t have to stop! Go on and enjoy your family time anywhere you want!

First things first…
It’s legal in all 50 states to nurse or pump breastmilk for your baby in any public or private location with or without a cover – that’s totally up to you! Click here to read more on breastfeeding laws in your state. 

The Two Shirt Trick
The trick is simple: wear two shirts, lift the top and pull down the bottom. When planning your outfit for the day ahead, choose a loose-fitting cami as an undershirt and then wear the other shirt on top. The top shirt doesn’t necessarily have to be a “breastfeeding friendly shirt” since instead; you will lift the top shirt and pull down the cami to expose your breasts for pumping or nursing. Bring out those cute pre-preggo shirts! 

Go Hands-Free 
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. The Spectra CaraCups allow you to easily pump while comforting a clingy toddler, getting active outdoors, or hitting the mall! Have the freedom to go about your day all while expressing your liquid gold! Pump in meetings, with clients, or on breaks. Going hands-free will make all the difference in your breastfeeding journey! 

Baby Wearing for the WIN!
Structured carriers with a top hood are great to nurse in, and YES, even pump! Throw the Spectra 9Plus in your pocket, and you’ll pump your liquid gold without missing out on any fun while you’re out and about! I recommend pumping one breast at a time if you are wearing baby. If you’re nursing at the breast, make your pumping sessions even more discreet and interchange your carrier for a breastfeeding cover. And YES, mamas! Pumping is breastfeeding! 

Expert tips: 

✔ At home, practice in front of a mirror! This will help you get the hang of things before heading out, and you will be more confident! 

✔ You can turn away from the crowd to latch your baby or hook up your flanges. 

✔ Throw an infinity scarf over your neck to be even more discreet. 

Do you have breastfeeding questions? We can help! 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.

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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.

The Over Achiever: When one breast produces more than the other

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By: Jacque Ordner BSN, RN, IBCLC 

Have you noticed that one of your breasts seems to consistently produce more milk?  If you’re pumping, this may be even more noticeable.  If your baby nurses, you may have noticed that he or she prefers one side or seems to finish nursing on one side much faster than the other.  Rest assured, this is normal!  One study of exclusively pumping mothers found that in 65.7% of pumping sessions observed, the right breast produced at least slightly more milk.  In another similar study, only 2.6% of the exclusively pumping mothers displayed equal pumping output from both breasts.  

Why does this happen? So, we know it’s normal for one breast to produce more or to have a greater pumping output, but WHY? Breasts aren’t typically symmetrical.  Like many other parts of the human body (eyes, hands, feet, ears, etc.) a degree of asymmetry is normal.  This can mean a difference in the amount of milk making tissue (alveoli) or even in the amount and size of milk ducts.  Many times, mothers can readily observe a difference in the size of their breasts and also notice that one commonly feels “fuller” than the other. Other less common reasons for this discrepancy include previous breast surgery and previous injury or trauma to the breast. Rarely, asymmetry is caused by a disorder known as Poland Syndrome.  This syndrome is evidenced by missing or underdeveloped muscle tissue on only one side of the body and often results in one breast being dramatically smaller and less developed than the other. In general, breast asymmetry is completely normal as is having one breast that produces more milk.  We like to call that breast the Over Achiever. 

We’ve compiled a few tips to help “even out” milk output: 

  • If you’re pumping, consider trying different settings to see if each breast responds differently to certain cycles/vacuums.  Once you determine which settings are best for each breast, determine a plan to incorporate these settings into your typical pump session.  For example, some woman report that one breast responds best to Massage Mode (cycle 70) while the other responds well to an Expression Mode cycle.  Moms often have great success with switching between the two modes like the example below: 

            -5 minutes at cycle 70 

            -5 minutes at cycle 54 

            -5 minutes at cycle 70 

            -5 minutes at cycle 38 

*Remember that higher vacuum doesn’t necessarily mean more milk!  We never recommend increasing the vacuum to an uncomfortable level. 

  • Consider adding more stimulation for the lower producing side. If you’re pumping, this can be as simple as starting or ending the pumping session with just a few extra minutes of single pumping on the lower producing side.  If you’re nursing, consider starting sessions on the lower producing breast or adding a few minutes of single pumping on that side after nursing. 
  • Do YOU have a preference? It’s not uncommon for mom to unknowingly develop a preference for feeding from one side over the other.  We often prefer to keep our dominant hand free, and therefore may feed more often or spend more time on the opposite side.  Keeping a simple log of feeding times for each side can help highlight any preferences you might not have noticed otherwise.  
  • Encourage better nursing and greater pumping output with your hands! If baby tends to stop nursing on the less preferred side sooner, consider incorporating breast compressions while nursing. This can help keep the flow a bit faster and more interesting for baby. It can also make milk removal easier. Similarly, Hands On Pumping is a technique that can help elevate your lower producer to Over Achiever status.  Check out this video from Stanford University: https://med.stanford.edu/newborns/professional-education/breastfeeding/maximizing-milk-production.html 
  • Add in hand expression. One breast may give less output because it just doesn’t respond to pumping as well as the other.  Hand Expression is a technique that can help increase pumping output not only for the lower producing breast, but even for the Over Achiever breast as well!  A few ways to incorporate hand expression include in between pumping or nursing sessions, following pumping or nursing sessions, or when you’re running short on time and can’t fit a full pumping session in.  Here’s a link for a fantastic resource on the topic: https://med.stanford.edu/newborns/professional-education/breastfeeding/hand-expressing-milk.html 

Keep in mind that it is normal for one breast to be the over achiever and it’s absolutely ok if you choose to do nothing to even out the supply.  Having a lesser producing breast doesn’t mean there is something wrong, it just means our bodies aren’t perfectly symmetrical! However, if baby consistently fully refuses one breast, if there is a noticeable change in size or shape of only one breast, if there is a lump that doesn’t go away or grows, or if there is a lump that doesn’t move with the breast tissue, reach out to your healthcare provider as soon as possible. Additionally, if baby seems uncomfortable turning toward one breast or always seems to turn his or her head in the same direction, reach out to your pediatrician for further evaluation for conditions such as torticollis.  Should you desire to bring both breasts to Over Achiever status, incorporating the tips above is a great place to start! 

Keep on keeping on, mamas!  We know you’re doing your very best to provide your babies with the best start and we support you! If you have questions about uneven milk supply or any other breastfeeding related topics, we can help! Our International Board Certified Lactation Consultants are available for free consultations at www.spectrababyusa.com/lactationservices.  You can also email us at ibclc@spectrababy.com  Happy pumping! 

References 

Engstrom, J. L., Meier, P. P., Jegier, B., Motykowski, J. E., & Zuleger, J. L. (2007). Comparison of Milk Output from the Right and Left Breasts During Simultaneous Pumping in Mothers of Very Low Birthweight Infants. Breastfeeding Medicine, 2(2), 83-91. doi:10.1089/bfm.2006.0019 

Hill, P. D., Aldag, J. C., Zinaman, M., & Chatterton, R. T. (2007). Comparison of Milk Output Between Breasts in Pump-Dependent Mothers. Journal of Human Lactation, 23(4), 333-337. doi:10.1177/0890334407307575 

 

Postpartum While Breastfeeding

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by Jenn Foster, MA, IBCLC, RLC

You aren’t alone…don’t suffer in silence!
The prevalence of Postpartum Depression or Postnatal Depression has been documented in affecting an alarming 13-20% of women after the delivery of their baby. In fact, the U.S. Surgeon General Call to Action to Support Breastfeeding indicated that PPD affects a minimum of “13 percent of mothers” (Surgeon General, 2011, p.3).
The effects of PPD (Postpartum Depression) or PND (Postnatal Depression) are astounding and most commonly not understood or addressed by both the medical community or the expectant mother/family. Healthcare Providers (HCPs) are not well educated, equipped or informed to help women during the postpartum period outside of what the textbook and past experience has shown them. Postpartum depression, Prenatal depression, and Postpartum anxiety are closely related.

Does breastfeeding help?
Breastfeeding has historically been tied to the reduction of these symptoms (Fairlie, et. al., 2009, p.945) and even the U.S. Surgeon General indicated that due to the close bonding and psychological occurrences that happen during breastfeeding (including the release of Oxytocin) that “breastfeeding may help to lower the risk of postpartum depression, a serious condition” (Surgeon General, 2011, p.3). So, boob on Mommies!

How can I move forward, meet my personal breastfeeding goals, and be supported?
There needs to be more detection and awareness of depressive symptoms during pregnancy, supporting breastfeeding practices and knowledge of breastfeeding resources for those practitioners who can refer a mother/baby dyad. In the meantime, educate yourselves. This will help to better educate those around you, get the support you need and find a like-minded Healthcare Provider that can provide you guidance based on evidence-based information.
Find local support, whether online or in person through FB groups, mom to mom groups with baby and other such resources.

Can I breastfeed and get help for Postpartum Depression?
YES! Breastfeeding should be supported, whether at breast directly or expressed with a breast pump. The benefits of breastfeeding while dealing with any of these conditions indicated above is the degree of breastfeeding (exclusive, partial, token), support structure for the mother/baby dyad and education on what can be taken during the time of the mother’s symptoms being experienced.
There are many medications for depression, anxiety, and other conditions that are supported while breastfeeding. This includes whether baby is at breast or receiving your pumped mother’s milk. The find the most accurate information on how a specific medication, supplement or over the counter substance would affect you, your baby and/or milk supply you should consult a specialist. The Infant Risk Center is a great option: www.infantrisk.org

Leave us a comment letting us know your thoughts and stories.  We would love to learn how you’ve gotten through this period of life.

Did you miss the live Q&A? You can join us over on FB or IG Live every Wednesday at 12 pm EST.

Which Spectra Breast Pump is Right for Me?

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by: Brittney F.

Let’s face it, Moms, there are A LOT of choices out there when it comes to breast pumps. If you’ve chosen Spectra, congratulations!  As a breast pump company, we offer the best options for the busy nursing Mother. Our pumps are versatile, discreet, and most importantly, NATURAL feeling. A lot of Moms find themselves here, asking themselves “which pump do I choose?”  To help you decide, we’ve put a list describing each and what it includes for you.

All of Spectra’s models include the following:

  • Breast Flanges
  • Wide Neck Bottles
  • Discs
  • Locking Rings and Caps
  • Duckbill valves
  • Backflow protectors
  • Tubing
  • Power Cord & Adapter

 

The S1 Plus

The Spectra S1 Plus offers up at an amazing 3lbs. Compared to lugging around those 12-pound breast pump “purses”, this thing is a dream. This rechargeable model is perfect for Moms on-the-go and working Moms alike. It is quiet, operating at the ‘noise’ level of a library and convenient. The S1 has a massage mode, that imitates your newborn’s sucking rhythm and adjustable suction level with a timer. The S1 model also includes a night light to help you see when you wake up for that inevitable 1 AM session.

The S2 Plus

The S2 Plus is Spectra’s all-electric premier model. It is perfect for Moms who stay at home with their little ones and can have a set place to pump. This model, even lighter than the S1 Plus, comes in at 2.5lbs. While it is lighter and does have all of the same features, this pump is not rechargeable. If you take it with you, you must bring the power cord to plug it in and stay in the same place while you pump.

The 9 Plus

The 9 Plus breast pump is amazing because you can literally stick it in your purse. It comes in at a whopping half a pound. What weighs half a pound? A tomato. A tomato weighs half a pound. This beauty of a pump offers the same features as the two previous models, minus the nightlight. Even more, it does not have to stay plugged in and it offers the most convenience and portability for on-the-go Moms. If you have a place to go, you can take this pump anywhere.

The Dew 350

This pump is a bit different from the other pumps. It’s near and dear to my heart because it is for Moms whose little ones are unable to breastfeed. Whatever your reason to need this pump, you can rest easy knowing that Spectra is there for you and understands what you’re going through. This pump has backflow protection and comfortable suction levels, just like the other pumps, but was designed with Moms who are just having a bit of trouble with breastfeeding. It’s not meant for all Moms, just Moms with little ones like my boy, who have feeding difficulties.

 

No matter what type of Mom you are, Stay-at-home, Working, On-The Go or Work-From-Home, Spectra has the right pump for you. You and pick up all of these pumps, as well as some super cute accessories like a gorgeous our black tote and blinged-out baby bottles at SpectraBabyUsa.com.  Leave us your comments below.