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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/ 

 

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 

 

Paced Bottle Feeding

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Jacque Ordner BSN, RN, IBCLC, RLC 

Are you worried your precious little one will grow to prefer the bottle over your breasts?  Are you concerned you might not be able to keep up once baby begins taking bottles regularly while you’re away? Are you exclusively pumping and looking for tips on bottle feeding?  We’ve got you covered with our full guide on Paced Bottle Feeding.  

Research indicates that infants will take more from a bottle than they would when nursing.  This can result in overfeeding, mom losing confidence in her milk supply, and can even contribute to later obesity.  One large study compared formula fed infants (via bottle) and breastfed infants (via direct nursing) and found that the bottle-fed infants consumed 49% more milk at 1 month, 57% more at 3 months, and 71% more at 5 months. In comparison, we know that directly breastfed infants do not increase the volume of breastmilk intake from one to six months of age.  The average daily intake for a breastfed infant from one to six months remains about 25 ounces per day.  

 Why do bottle-fed infants tend to consume more?  

  • The flow from a bottle can often be initiated by gravity alone, triggering innate sucking reflexes present in babies under 4 months old.  In other words, baby will often continue to suck and swallow milk from a bottle long after they’ve reached “fullness”.  In contrast, the flow of milk from the breast requires a coordinated suckle and does not flow consistently.  An infant can pause, breathe, relax, and reassess before initiating additional flow from the breast.  This puts the baby in greater control of the feeding.  
  • Formula fed infants regularly consume more than their breastfed counterparts because more formula is required to meet their nutritional needs.  Formula also does not contain hormones such as leptin and adiponectin which regulate hunger and metabolism.  It’s especially important to keep this in mind if your baby receives breastmilk and formula or if you are tempted to compare your breastmilk fed baby’s intake with that of a formula fed infant.  

 What are the benefits of Paced Bottle Feeding? 

  • Paced Bottle Feeding allows infants to develop and practice their innate feeding cues and skills rather than only responding to the consistent flow of the bottle over which they have no control.  This is especially important for newborns (particularly pre-term newborns) who require supplementation early.  Allowing newborns to develop natural feeding cues and skills can be instrumental in helping them return to the breast or to transition from breast to bottle and back.   
  • Babies often develop a preference for the fast and continuous flow from the bottle. In the past, this might have been labeled as “nipple confusion”, but we now call it flow preference.  We now know that when baby prefers the bottle over the breast, it’s almost always due to the preference and ease associated with the faster flow of the bottle.  Babies are smart, and once they learn that they don’t have to wait for milk from the bottle they may start to refuse or become frustrated at the breast. Paced Bottle Feeding helps to mimic the slower and non-continuous flow of milk that occurs during nursing.  
  • Paced bottle feeding allows time for baby’s satiation signals to be recognized.  Most of us know the experience of scarfing down a big holiday meal in 10 minutes or less only to realize we’re painfully full.  Similarly, a baby can often take copious amounts from the bottle, due to its rapid and persistent flow, before the brain has had a chance to realize the belly is full.  This can lead to a gassy, fussy, spitty baby. Over time, baby’s tummy can come to expect those large feeds even if the volume isn’t necessary for baby’s complete nutrition.  Additionally, the same large study mentioned above found that caregivers often encourage baby to finish a bottle even when they’re displaying signs of satiety. Caregiver pressure to empty the bottle is another contributing factor to overfeeding. This can also lead mom to believe her supply is inadequate when baby is actually being overfed. 

 What are the principles of Paced Bottle Feeding? 

  • Feed on demand following baby’s hunger cues (rooting, sucking on fists, smacking lips, restlessness, etc.) Remember crying is a LATE sign of hunger.  
  • Choose a slow flow nipple.  Not all slow flow nipples are as slow as they claim.  Click HERE for to check the flow rate of many popular brands.  
  • Feed baby in a nearly upright position. 
  • Allow baby to “latch” onto the nipple rather than inserting it into his or her mouth. 
  • Hold the bottle parallel to the ground so that milk just enters the nipple. 
  • Provide frequent breaks by tipping the bottom of bottle down or completely removing the nipple from baby’s mouth. This is especially important if baby begins to gulp. Watch baby’s cues! 
  • Switch sides halfway through the feeding to mimic a nursing session. This also provides cross-connectivity in the brain. 
  •  Feedings should take 15-30 minutes.  
  • Don’t force baby to finish the bottle.  Allow baby to determine when he or she is full rather than encouraging them to finish a specific amount.  

*These techniques are appropriate for babies under 6 months of age.  

Click HERE for a video demonstration of Paced Bottle Feeding. 

Paced Bottle Feeding helps protect the nursing relationship, reduces the risk of overfeeding, and gives baby control of their feedings.  Have concerns about bottle feeding?  We can help!  Our Board Certified Lactation Consultants can develop a plan to help you introduce or manage bottle feeding.  Click HERE to schedule your free virtual consultation or email us at ibclc@spectrababyusa.com.  We’re here to support you! 

References 

 Arenz, S., Ruckerl, R., Koletzko, B., & von Kries, R. (2004). Breast-feeding and childhood obesity–a systematic review. International Journal of Obesity and Related Metabolic Disorders, 28(10), 1247-1256. 

 Dewey, K. G. (2009). Infant feeding and growth. In G. Goldberg, A. Prentice, P. A., S. Filteau & K. Simondon (Eds.), Breast-Feeding: Early influences on later health (pp. 57-66). New York, NY: Springer. 

Kramer, M. S., Guo, T., Platt, R. W., Vanilovich, I., Sevkovskaya, Z., Dzikovich, I., et al. (2004). Feeding effects on growth during infancy. Journal of Pediatrics, 145(5), 600-605. 

Kent, J. C., Mitoulas, L. R., Cregan, M. D., Ramsay, D. T., Doherty, D. A., & Hartmann, P. E. (2006). Volume and frequency of breastfeedings and fat content of breast milk throughout the day. Pediatrics, 117(3), e387-395. 

Li, R., Fein, S. B., & Grummer-Strawn, L. M. (2008). Association of breastfeeding intensity and bottle-emptying behaviors at early infancy with infants’ risk for excess weight at late infancy. Pediatrics, 122 Suppl 2, S77-84. 

Doneray, H., Orbak, Z., & Yildiz, L. (2009). The relationship between breast milk leptin and neonatal weight gain. Acta Paediatrica, 98(4), 643-647.

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! 

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. 

 

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!

 

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.

Birth Control and Breastfeeding

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Melissa Portunato MPH, IBCLC, RLC 

If you’re breastfeeding and not quite ready to start growing your family, you might be considering birth control. Most birth control methods are not harmful to your breastfed baby, but some forms of contraceptives are linked to low milk supply. Read on to learn the safest and most effective forms of birth control to prevent pregnancy and protect your milk supply. 

Natural Family Planning 
Lactational Amenorrhea Method (LAM) is exclusively breastfeeding as a temporary form of postpartum birth control. Though using LAM as birth control is often disregarded or presented with conflicting information, LAM has proven to be 98-99.5% effective at preventing pregnancy. For LAM to be the most effective, the following criteria must be met:

✔ Baby is less than six months old 

✔ Menstrual periods have not yet returned

✔ Baby is breastfeeding at the breast on cue (both day & night) and gets nothing but breastmilk or only token amounts of other foods

LAM has been studied within the nursing-at-breast population; therefore, exclusively pumping may not have the same pregnancy protection as direct breastfeeding/nursing at the breast. In addition, one study showed that working mothers, separated from their babies and exclusively pumping milk to provide 100% breastmilk, had a higher pregnancy risk (5.2%) during the first six months. In summary, mothers that are either part-time pumping when away from their baby or exclusively pumping need to use an alternative method of contraception. 

Barrier Methods 
Barrier methods, like condoms, prevent sperm from entering the vagina and are the only form of birth control that prevents STDs. They can come in different forms for both males/females, non-latex/latex, and lubricated/nonlubricated. When used “correctly” from start to finish, condoms can be 98% effective at preventing pregnancy. Spermicide does not contain hormones and can be applied in combination with condoms for added protection against pregnancy. 

Non-hormonal IUD 
The copper IUD is 99% effective at preventing pregnancy, and it’s hormone-free. It’s an excellent option for people who prefer non-hormonal birth control or can’t use hormones for medical reasons. The most common side effects with a non-hormonal IUD are reports of pain and heavier periods, with symptoms typically subsiding after 3-6 months. Talk to your doctor about any concerns you might have to make an informed decision.

Hormonal Birth Control
Progestin-only birth control can come in different forms: oral (mini pill), injection, IUD, or implant. Mothers that have started too soon postpartum have reported issues with milk supply when using progestin-only contraception. If hormonal birth control is desired or needed, introduction after 6-8 weeks postpartum can prevent problems with milk supply. Before deciding on a long-lasting progestin-only method, try an oral form to determine if it affects your milk supply. You can always stop taking the pill and continue meeting your breastfeeding goals. 

The progestin-only birth control pill is not considered safe for all mothers. In addition, estrogen-containing contraceptives have been linked to low milk supply and a shorter duration of breastfeeding regardless of the baby’s age. Always consult your healthcare provider before starting hormonal birth control.

Effectiveness of Birth Control Methods

Number of Pregnancies per 100 Women
Method Perfect Use Typical Use
LAM 0.5 2.0
Mirena® IUD /Progestin – Only  0.1 0.1
Depo-Provera®/Progestin Only Injection 0.3 3.0
The Pill / POPs/Progestin Only Oral  0.3 8.0
Male condom 2.0 15.0
Diaphragm 6.0 16.0
* Adapted from information at plannedparenthood.org.

Got questions about birth control and breastfeeding? Message us at ibclc@spectrababyusa.com. We can help you navigate the evidence to make the best decision for you and your beautiful family! 

Sources:

Valdés, V., Labbok, M. H., Pugin, E., & Perez, A. (2000). The efficacy of the lactational amenorrhea method (LAM) among working women. Contraception, 62(5), 217–219. https://doi.org/10.1016/s0010-7824(00)00170-0

Bonyata, K. (2018, March 17). Breastfeeding and fertility • kellymom.com. KellyMom.com. Retrieved February 7, 2022, from https://kellymom.com/ages/older-infant/fertility/ 

ABM Clinical Protocol #13: Contraception during … (n.d.). Retrieved February 7, 2022, from https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/13-contraception-and-breastfeeding-protocol-english.pdf 

 

Maximizing Pumping Sessions

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Melissa Portunato MPH, IBCLC, RLC

Pumping breastmilk for your baby is a huge accomplishment, one that takes time, hard work, and patience. You are already juggling the work of caring for a newborn, maintaining a household, and possibly also working or heading back to school. Finding the time to squeeze into pumping can be a struggle and exhausting at times, but we can help lessen the load! Read on to learn practical tips to help you maximize your pumping sessions and say hello to more free time! 

Stop Watching the Bottles 
Relaxation is key when it comes to pumping. It is really hard to get milk flowing when you are staring at the bottles fill up slowly and stressing out. Find a comfortable place to pump, where you can feel most at ease. Cover up the bottles with a baby bootie or blanket. Take a deep breath in and out to relax any places of tension that you feel on your body, face, shoulders, and even your pelvic floor! Sip a cup of tea or glass of coconut water (nature’s hydration drink) and put on some soothing background music. 

Do the “Milk Shake”
To get started, stimulate your milk ducts by gently shaking and massaging your breasts. Just a minute or two of massaging your breasts before a pumping session can help to stimulate your milk-producing glands, allowing for a faster letdown.  Using hand stimulation or vibration on the breasts can help to dilate the milk ducts, increase circulation and encourage milk to flow. Applying warmth to your breasts can also help to maximize pumping sessions. Wrap up your flanges in a warmed towel or dishcloth before applying them to your breasts. 

Hands-on Pumping 
“Hands-on Pumping” is a technique that uses breast massage to drain the breast better and stimulate healthy milk production. Studies tell us combining hand expression, and breast massage while pumping can increase milk volume by 48%. Benefits of Hands-on Pumping are higher milk volumes, increased fat content, and less time pumping! Every breastfeeding mom should use Hands-on Pumping because it’s simple and maximizes pumping sessions!

Watch this video on Hands on Pumping while you pump! 

Flange Size Matters
Having the right size flange can make a huge difference in your pumping output. So how do you know if it’s a proper fit for you? During pumping, your nipples should move freely in the tunnel, there should be space around the nipple, and very little of the areola should be drawn into the tunnel. If the flanges are too small, you may experience discomfort as the nipples rub up and down along the sides of the tunnel. If it’s too big, a large portion of the areola is drawn into the tunnel. Improperly fitted flanges can reduce your milk output. Spectra baby USA flanges come in several sizes, 20mm (S), 24mm (M), 28mm (L), and 32mm (XL).

 Need breastfeeding support? Connect with us at ibclc@spectrababyusa.com. Our highly skilled Lactation Consultants will continue to troubleshoot with you and help to get you on track with your pumping goals. 

 At Spectra Baby USA, we’re here for you and support you! 

The Magic Number

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By Melissa Portunato MPH, IBCLC, RLC 

What is the “Magic Number”? 
The “Magic Number” refers to the number of times per day a breastfeeding mom needs to empty her breasts to maintain healthy milk production. This theory is based on individual storage breast capacity and will be different for everyone. Women with larger storage capacity will need to empty less, while those with a smaller capacity will need to empty more often to produce the same amount of milk. 

How much breastmilk is normal when pumping?
The average milk output for mothers exclusively pumping or pumping for a missed feed is 2 – 4 oz every 2-3 hours / 25-30 ounces per day. If you are nursing then pumping, expect to see about half the amount. 

How to Find Your “Magic Number”
How much milk do you pump in the first breast pump of the day? This amount will determine the number of times to remove milk for healthy production. 

Largest  Large Average Small  Smallest 
Max Yield  10 + oz 5-9 oz 3-5 2-3 oz 1-2 oz
Maintain Milk Production  3-4 pumps per day  5 pumps per day 6 pumps per day  7 pumps per day  8 pumps per day 

The “Magic Number” is based on breast storage capacity or the max amount of breastmilk your breasts can hold. Pump more than your “Magic Number” to increase milk supply or when weaning, gradually pump fewer times throughout the day. Avoid waiting to pump until you feel full or engorged because it can lead to reduced milk supply over time. On average, 6 times per day will maintain milk production. 

If you are struggling with milk supply or have seen lowered milk production since you returned to work, finding your “Magic Number” can help you readjust your pumping/nursing schedule to continue to meet your breastfeeding goals. 

Need help with pumping? Schedule a complimentary consultation with a Spectra baby USA IBCLC! We are here for you, and we support you! 

Source: 

Mohrbacher, N. (2016, August 29). The ‘magic number’ and long-term milk production (parts I and II). Nancy Mohrbacher. Retrieved January 4, 2022, from http://www.nancymohrbacher.com/articles/2010/8/13/the-magic-number-and-long-term-milk-production-part-1.html 

 

Unboxing the Synergy Gold

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We’re unboxing The Spectra Synergy Gold Dual Electric Breast Pump just in time for Christmas! If you’re on the fence about purchasing the SG or have questions on what makes it special, read on for everything you need to know to make the best decision for your breastfeeding journey. 

Why the Synergy Gold? 

The SG dual-motor advanced technology promotes more productive pumping sessions that save time.  Double the motors mean more customizable features and pumping options. The Spectra Synergy Gold has 15 vacuum levels on expression mode and 5 on massage mode that can be independently adjusted at 0-270mmHg per breast. With so many variations to choose from, this pump has something for everyone – part-time and exclusive pumpers alike. Benefits to having a breast pump with dual motors include increasing milk supply on lower producing breast, treating and preventing clogged ducts, and creating a healthy milk supply for premature infants. The Spectra Synergy Gold Dual Breast Pump maintains the same high standards as other Spectra models with its trusted closed system and 2-year warranty. 

What’s in the Synergy Gold Box?

  • Synergy Gold Breast Dual Electric Breast Pump
  • One (1) Spectra 12-Volt AC Power Adapter
  • Two (2) 24mm Spectra Breast Flanges
  • Two (2) 28mm Spectra Breast Flanges
  • Two (2) Spectra Tubing
  • Two (2) White Tubing Connectors 
  • 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 with Gold Spectra logo. Includes nipple, cap, disc, and lid for each bottle

Unique features of the Spectra Synergy

  • First of its type in the USA
  • Newest technology, dual independent motors, hospital strength (270+) per breast 
  • All current model Spectra accessories are compatible, including CaraCups
  • 15 vacuum settings and 5 cycles for expression
  • 5 vacuum settings and 5 cycles for massage mode
  • Vacuum levels (not cycle) adjustable on each side
  • Quiet and discreet with mute button option
  • 3 level soothing nightlight feature
  • Comfortable carrying back handle 

Find out if your health insurance is covering the Synergy Gold! Learn more here. 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! We’re here for you, and we support you!