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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).

Navigating the Formula Crisis

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Melissa Portunato MPH, IBCLC

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

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

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

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

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

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

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

https://www.hmbana.org

https://www.eatsonfeets.org/DonatingAndRequesting

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

How can you help your partner breastfeed?

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By Melissa Portunato MPH, IBCLC, RLC

Congrats! You and your partner just welcomed a new bundle of joy earthside! But between mommy recovering and spending most of her time getting the hang of breastfeeding, where does that leave you? How can you help in all the chaos? The support you provide can determine whether or not your partner accomplishes her breastfeeding goals. That makes your job in all this, pretty important.

Here are 5 practical tips for those who want to help their partner be successful at breastfeeding.

Find her support and get educated

Research tells us mothers who have breastfeeding support from their partners are more likely to meet their breastfeeding goals. So that makes YOU pretty important! The support you give is vital in making breastfeeding work for her and your baby. Educate yourself on breastfeeding. If you were not able to attend a class prenatally, contact your local hospital. Take the time to learn about how the human body makes breast milk and what is typical newborn behavior. The more you know about breastfeeding the more you will be able to support her and encourage her when the going gets tough.

Compliment her and mean it

If seeing your partner carry your child for 9 months and spend brutal hours in labor didn’t change you, check your pulse because you might be dead. I mean seriously! This woman just created life inside of her belly and is now making food from her body to feed your growing child! She deserves the world. Buy her flowers. Kiss her gently on the forehead and tell her you are proud of her. Tell her you love her. Tell her what a great job she’s doing. Make sure you do it in front of others too, so everyone can know how amazing she is! Put your phone down, close your laptop and be present.

Give her some “me” time

Even a hot shower can feel like a vacation to the Galápagos Islands during this journey. Take the baby and give her some alone time to soak out all the stress of being a new mama. For an added bonus, prepare the shower or bath in advance and sprinkle a few drops of lavender essential oil in the corners of the tub for an even more rejuvenating experience. Take the opportunity to do skin to skin and bond with baby. Research tells us that skin to skin with dad is not only important for baby’s development but promotes the bonding process between them. Mommy gets to relax and you get to bond with your baby. Perfect combo!

Screen visitors

Listen, learning to breastfeed can be messy! Newborns are messy. Spit ups, poop explosions, and wet stains on everything from leaking and dripping breastmilk are just a few to name. Go to your partner first and ask if it’s OK to have visitors over the house. It’s OK to say no to visitors. Always ask her first. If an unexpected visitor comes by don’t expect her to have to entertain them. Right now her only worry in the world should be learning to breastfeed and bond with baby. It can all be so overwhelming dealing with cluster feeding and a fussy baby. Throw in your long-lost cousin and her runny nose toddler to the mix and you will have one grumpy postpartum mama. Have a plan in place to dodge visitors. Papa Bear to the rescue!

Keep her fed and hydrated

Provide her with cool water on all her typical nursing stations – night table, living room, coffee table, maybe even a balcony or porch. Did she have lunch? Does she need a snack? Keep the fridge stocked with healthy high protein / healthy fat options to keep mommy producing that super milk to power your little superhero! Keeping mommy fed and hydrated won’t necessarily make her produce more milk but it will help with her feeling relaxed and her milk will flow more easily. Join in and share a glass of water with your partner! Cheers to your health!

Breastfeeding is a family commitment. It takes a village to support a new mom and baby. Arm yourself with the right tools and you will be ready to walk through any breastfeeding obstacle your partner will face. She needs you and so does your baby. Breastfeeding is the best nutrition for your baby and you can help make this journey even more beautiful. Need help finding local breastfeeding support? Email us ibclc@spectrababyusa.com.

We’re here for you and we support you!

Unboxing the S1 and S2

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With so many breast pump options, it can be overwhelming to make a final choice to meet your specific breastfeeding needs. Before you decide on the perfect breast pump for you and your baby, you’ll need to consider a couple of factors like where and how often you will be pumping. No matter your breastfeeding journey, all Spectra baby USA Electric Breast Pumps offer high quality and amazing comfort. Read on to learn more about Spectra’s most popular breast pumps, the S1/S2 Plus! 

Spectra S2 Plus Electric Breast Pump

The Spectra S2 Plus is a hospital-strength, closed system pump that allows for single or double pumping. With a suction strength of 270mmHg, it has 12 adjustable expression vacuum levels and 5 cycle speed settings. Massage Mode is also customizable with up to 5 levels of vacuum suction to help effectively elicit let-down. The S2 Plus is the perfect pump for moms who regularly express their milk or exclusively pump.  The multi-phase “suckle” makes pumping with the S2 feel comfortable and stimulates a more natural milk flow. The Spectra S2 Plus is a top choice for many breastfeeding moms and is covered by most health insurance plans. 

The Spectra S2  Plus Features include: 

  • Closed Pumping System with Backflow Protection
  • Single or Double Pump capability
  • Customizable Dual-Phase Settings with Adjustable Suction 
  • Hospital Strength at 270 mmHg
  • Weighs 2.5 lbs
  • Soothing 2 level illumination light 
  • Touch screen LCD with timer control 
  • ( 2 ) Years Warranty

Spectra S1 Plus Electric Breast Pump 

A favorite among exclusive pumping moms, 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 with a reasonable upgrade charge 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 really does matter. Unplugging this pump doesn’t compromise suction like some other battery-powered pumps. You still get up to 270mmHg of suction, whether plugged or unplugged! If you want a portable and discreet pumping experience anywhere, the Spectra S1 Plus is the way to go! 

The Spectra S1 Plus Features include: 

  • Closed Pumping System with Backflow Protection
  • Single or Double Pump capability
  • Customizable Dual-Phase Settings with Adjustable Suction 
  • Hospital Strength 270 mmHg
  • Weighs 3 lbs
  • Soothing 2 level illumination light 
  • Touch screen LCD with timer control 
  • Rechargeable 3-hour battery life
  • ( 2 ) Years Warranty 

The Spectra S1 / S2 Plus Electric Breast Pump BPA Free 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 

Does your health insurance plan cover a Spectra pump? 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! 

What is Power Pumping?

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By Melissa Portunato MPH, IBCLC, RLC

Power pumping is a strategy used to increase milk supply by mimicking a baby cluster feeding at the breast. Cluster feeding is normal newborn behavior associated with short, frequent feeding patterns at the breast. Power pumping is intended to recreate this behavior, stimulating healthy milk production. 

Do I really have a low milk supply? 

Before starting power pumping, first, evaluate if you truly have a low milk supply. The average milk output for mothers exclusively pumping is 25-30 ounces per day, and if baby is brought to the breast as well, expect about half the amount. Working closely with an International Board Certified Lactation Consultant can determine the root cause and help you successfully meet your breastfeeding goals.

When’s the best time to power pump?

Most mothers find the evening is a great time! Baby is sleeping, you have extra hands on deck ready to soothe baby if needed, and you can relax. Ideally, find the time that works best for you when you can have an uninterrupted full hour of on and off pumping. 

How often should I power pump?

It’s not recommended to power pump long term but rather 1-2x a day for four consecutive days. There’re many different ways to power pump, but the main idea is on and off breast stimulation for one full hour. In most cases, it should be done in addition to your regular pumping sessions, even though sometimes it can be used to replace a pump session mostly for moms exclusively pumping. Remember, every mom is different, but power pumping every 3-4 weeks can be an easy tool to apply and kick start milk production. 

Power Pumping Quick Guide 

Power pumping can be done on one breast or both breasts with a hospital strength electric pump or a manual hand pump. See the easy-to-follow guides below to get started. 

Single breast power pumping:

  • Pump left breast for 10 minutes
  • Pump right breast for 10 minutes
  • Pump left breast for 10 minutes
  • Pump right breast for 10 minutes
  • Pump left breast for 10 minutes
  • Pump right breast for 10 minutes

Double breast power pumping:

  • Pump 20 minutes
  • Rest 10 minutes
  • Pump 10 minutes
  • Rest 10 minutes
  • Pump 10 minutes

Don’t watch the clock as much as letting your body take the lead. If you have a letdown, wait before stopping again to rest. Don’t get discouraged if you don’t see an increase right away. The extra stimulation is signaling your body to make more milk. Be patient. It can take about a week after you have stopped power pumping to see an increase. 

Do you have more questions about power pumping? 

Spectra Baby USA is happy to help! Schedule a virtual consultation with one of our IBCLCs today and get the support you need to meet your breastfeeding goals successfully! We’re here for you, and we support you! 

Sources: 

Mohrbacher, N. (2012, November 27). How Much Milk Should You Expect to Pump? Retrieved July 27, 2020, from http://www.nancymohrbacher.com/articles/2012/11/27/how-much-milk-should-you-expect-to-pump.html 

Bonyata, K. (2018, January 3). Cluster Feeding and Fussy Evenings • KellyMom.com. KellyMom.com. https://kellymom.com/parenting/parenting-faq/fussy-evening/. 

 

Top Breastfeeding Challenges and How to Overcome Them

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By Melissa Portunato MPH, IBCLC, RLC

You had envisioned yourself latching your beautiful new baby to your breast, and it would instantly be magical. Pure bliss! But breastfeeding didn’t come as easy as you thought it would, and it feels far from magical. Instead, you feel frustrated, disappointed, and feel like giving up. The truth is, for most of us, breastfeeding is not what we thought it would be like at all. Just like with anything worthwhile in life, breastfeeding takes hard work and commitment. Let us help you get past those pesky common challenges so you can begin to truly bond with your baby.

Here are the Top 10 most common breastfeeding challenges and solutions to get you through those tough times and into a happy place with breastfeeding. 

#1 Painful Latch

Every time you know feeding time is coming around, your toes curl, and you start to get major anxiety because it hurts to latch your baby to your breast! Most likely, it’s because your nipple is rubbing on the roof of your baby’s mouth, causing discomfort. So how can you work on perfecting the latch to get rid of this dreadful feeling? Adjust your body, adjust your baby, and adjust your breast to what feels comfortable and relieves tension. Do this by practicing  “natural breastfeeding,” or also called “laid-back breastfeeding.” If you are using a traditional hold like the cradle or football hold, start the feeding with your nipple above baby’s nose, wait for baby to open wide, and then bring baby quickly (chin first) towards you. This technique can help aim your nipple deeper into your baby’s mouth. When done correctly, you should instantly feel a difference. Phew!

#2 Sleepy Baby at Breast

You changed baby’s diaper, tickled their toes, got them all undressed, and still can’t seem to wake baby from dreamland. A newborn baby should be nursing a minimum of 8 to 12 times per day. If baby is still not at their birth weight, they most definitely need to be woken up to feed throughout the night. For the first six weeks, try NOT to swaddle baby or offer a pacifier. This can interfere with nursing cues and cause baby to feel full and cozy and not want to nurse. Hand express for a few minutes before offering the breast to soften the breast, allowing for baby to latch easier. Sometimes, just a few drops of breastmilk on a sleepy baby’s lips will get them to want to nurse. Use breast compressions while you nurse. This can help keep your baby stay awake because of the steady flow of milk.

If your chubster is already back up at their birth weight, talk to your pediatrician. It’s most likely OK to hit the snooze button on that alarm. Finally rest!

#3 Cluster Feeding 

You feel your baby is practically attached to you morning, noon, and night. You can’t catch a break and you’re tapped out! Cluster feeding is when baby bunches nursing sessions close together about every 45-60 minutes. This feeding pattern is typical for young babies and coincides with growth development, but cluster feeding can be exhausting. Wearing your baby in a wrap or sling will allow you to be hands-free and get work done around the house or on the go! Check out more tips on our baby-wearing blog post here. 

We promise, there is hope! These marathon feedings will increase your milk supply and are typically followed by long sleeping stretches for baby. Sit back, relax, and scroll through your favorite newsfeed. Sleep is on the horizon. 

#4 Baby Refusing the Breast

If your baby was nursing and suddenly refuses the breast, you could be experiencing a nursing strike. Nursing strikes will typically last from just a few short days to over a week. They can be caused by various factors like an illness, teething, significant changes in routine, or long periods of separation from your baby.

Take it back to the basics! Dim the lights and do skin to skin with baby on your bare chest with only a diaper. Offer the breast frequently but, don’t ever force baby! It should be a gentle “wooing” back. You can even have baby gently wake up next to your bare breast. Often, babies will be more willing to nurse when just waking up. Limit bottles as much as possible and offer the breast first. Don’t wait until baby is too hungry. Try to have someone else give the bottle besides mommy.

#5 Sore Nipples

Your nipple is elastic, and as it begins to stretch, you can experience soreness. Soreness in the first few weeks is normal but should subside after about two weeks. Continued soreness, pain, cracking, and bleeding are not normal. It’s best to work closely with an International Board Certified Lactation Consultant to ensure baby is latched on properly. The best way to treat sore nipples is with your very own breast milk! Yep, pretty incredible, huh? Studies show the antibacterial properties in breastmilk make it the perfect substance to heal nipples and keep them healthy. Hand express breast milk on your nipples after every feeding and apply a cool hydrogel. Make sure you are changing your breast pads frequently. This will help prevent any infection and allow your nipples to heal faster. Your nipples will be feeling better in no time! 

#6 Engorgement

It’s been a few days, and your milk has officially made its grand entrance. HELLO! Engorgement can make it difficult for baby to latch. To help, you can apply a warm cloth and softly massage your breasts a few minutes before nursing. It’s crucial during this time to nurse frequently! Offer the breast often and use Reverse Pressure Softening, a technique that moves swelling upward and into the breast, providing relief from engorgement. If after nursing or pumping you still feel engorged, fill up a large basin with warm water and lean over it to let gravity naturally drain any excess milk from your breasts. After you’re done, you can ice or use a cold compress for 10 min to help bring down any swelling.

Call your healthcare practitioner if you have redness on your breasts; they feel hot to the touch; you have a fever or chills because it could sign an infection.

#7 Clogged Ducts

Ouch! Clogged ducts can be extremely painful but completely treatable. How did you even get them in the first place? A blocked duct can be caused by various reasons, from prolonged time without milk removal, shallow latch, restrictive clothing, or even stress. The fastest way to treat clogged ducts is by frequently nursing or pumping. Try nursing in the “dangling feed” position or “dangle pumping.” Practice massaging your breasts while nursing or pumping, no matter what position you use each time. You want to start massaging above where you feel the clog and gently move towards the nipple. You can use a warm compress before you nurse or pump to help with milk removal.

Alternate heat and cold on the area affected. If you find you have a milk blister or bleb, avoid trying to squeeze because it can make things worse. The milk blister or bleb will naturally draw out as the clog subsides.

The most important thing to remember with clogged ducts is that they should progressively get better, not worse. Most clogged ducts subside within 48 hours. If pain continues or other symptoms appear, give your doctor a call.

#8 Tongue Tie

You’ve spent countless hours looking under your baby’s tongue and upper lip, comparing it to pictures you found on the internet to try and assess. A tongue-tie is when the connective tissue under your baby’s tongue is too tight, too thick, or both. A tongue-tie is commonly accompanied by a lip tie – the upper lip tissue connecting to the gum can be tight or too thick. Both tongue and lip ties can restrict mobility in oral function, causing issues with breastfeeding.

Unfortunately, ties often go undiagnosed. Signs of a tongue or lip tie can include loud clicking when baby is nursing, baby is not gaining weight, has reflux, or you continue to experience nipple soreness. A specialist such as an International Board Certified Lactation Consultant or a Pediatric Dentist can evaluate your baby and provide effective treatment to ensure the breastfeeding relationship can continue. 

#9 Thrush

Stabbing nipple pain, itchiness, and shiny or flaky skin on the nipple or areola can all be signs of thrush. Thrush is a common fungal infection caused by the overgrowth of yeast or “candida.” Candida can be found in its natural environment pretty much all over the human body, but when it starts to multiply, it can cause an infection. Thrush can be a side effect of antibiotics too!  Talk to your doctor if you are experiencing any of the above symptoms and suspect you have thrush. Both you and the baby will need to be treated. Ask about starting probiotics for the both of you, which can help replenish the healthy bacteria in the gut for a quicker recovery and, most importantly, prevent thrush from recurring. 

Rinsing your nipples with a vinegar and water solution (1 tablespoon apple cider vinegar preferred to 1 cup water) or baking soda in water (1 tablespoon per cup) can help stop the spread. Use a fresh cotton ball for each application and mix a new solution every day. Limiting sugar can also help! Make sure you wash and sanitize your pumping parts after every use. 

#10 Mastitis

Last but not least, you think you might have the most dreaded condition in the whole breastfeeding universe; Mastitis. Mastitis is an inflammation of the breast tissue. Symptoms of mastitis include redness of the breast, hard lumps, hot to the touch, and feeling like you’re catching a nasty flu bug. If symptoms persist or get worse after a few days, call your doctor to ensure infection is not brewing. 

There are many causes of mastitis, including lack of breastmilk removal, worsening clogged ducts, change in breastfeeding patterns, and even a tight bra! It’s essential to continue to breastfeed during this time and keep your milk flowing. Make sure you REST and get plenty of fluids, as this often can occur due to a suppressed immune system. You need to take care of yourself so that you can take care of your little one!

Tips for relief are the same as when treating a clogged duct. See tip #7.

If you are experiencing any one of these common breastfeeding issues and still can’t seem to find relief, trust your mommy instincts and seek professional help from an International Board Certified Lactation Consultant. Never quit on your worst day! Always remember why you wanted to breastfeed in the first place. Surrounding yourself with breastfeeding support will make a world of difference. Join our online community on Facebook and connect yourself with other moms who will meet you exactly where you are on your breastfeeding journey. You’re not alone in your struggles, and you’re doing the very best you can!

 

Sources:

Colson, S. D., Meek, J. H., & Hawdon, J. M. (2008). Optimal positions for the release of primitive neonatal reflexes stimulating breastfeeding. Early Human Development, 84(7), 441-449.

Newman, J., & Newman, J. (n.d.). Are you worried your baby’s not getting enough breastmilk? International BreastFeeding Centre. https://ibconline.ca/breastcompression/. 

Thrush. La Leche League International. (2020, August 6). https://www.llli.org/breastfeeding-info/thrush/#:~:text=Rinsing%20your%20nipples%20with%20a,Wash%20your%20hands%20thoroughly. 

 

 

To Sleep Or Not To Sleep?

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by: Bonne Dunham, IBCLC, RN

That is the question that so many new breastfeeding Mothers will ask when their babies start sleeping through the night, yet their breasts are overflowing with milk.

Of course, as mothers, we spend those first few months of motherhood dreaming about the day more sleep will arrive.  Yet, when that shift comes, we often start to worry about how this chunk of hours when baby is not breastfeeding will affect our milk supply. We put so much time into building and protecting that milk supply, nursing every two to three hours around the clock, even when our heart and soul and body would love to be sleeping, in the wee hours of the night. Rest assured (no pun intended!), that with a little understanding of how milk production works and adjusts to your baby’s growth and development, you can both have a sound sleep at night and plenty of milk to meet your child’s needs.

It may take a few weeks for your body/breasts to adjust to your baby’s new sleeping pattern, but it will.  Initially, most women will wake to find themselves in a pool of breast milk, or hard, swollen breasts, only to find that their baby is sound asleep and not in need of a breastfeeding snack at this moment. Most women will find that they wake naturally in those first few weeks, either because of the sensation of very full breasts, or just because their body rhythm has been doing so for several weeks or months.  To help your body adjust, to protect your milk supply, and reduce the risk of getting a plugged duct or mastitis, it is a great idea to relieve that pressure by pumping or hand expressing. The following tips will help you through this new stage of breastfeeding your baby.

1.)   It’s ok for you to harvest a little more sleep during this transition. If you are accustomed to feeding your baby every 3-4 or so hours at night, it is fine to sleep a couple of more hours before you relieve some of that milk by pumping or hand expression.  Keep in mind that going longer than 4-5 hours does result in the milk making hormone (prolactin) to lower in your blood which can result in less milk produced. What you remove from your breasts is what you will make. So, ultimately when you stop nursing or pumping at night your body starts the weaning process.

2.)   To help your body make this adjustment to producing less at night, you need only to express milk until your breasts are soft if your baby is not nursing during this time. Often, this looks like about 2-5 minutes of expression.  Longer than this time does result in elevating your amazing milk making hormones to continue to produce. Remember, after just two to three weeks of doing this, you will likely not experience swollen or leaking breasts at night, and can, therefore, stop expressing and start sleeping!

3.)   Babies are amazing creatures, and will adjust themselves by either nursing more frequently during the day, or taking in more milk per breastfeeding session. Starting around 3-6 weeks postpartum, babies drink an average of 30 ounces of milk per day, right up until solids are introduced. This average doesn’t really change much during those months, however, babies do become more efficient feeders as they grow, taking in more ounces per feed, and may space the feedings out depending on their needs.

4.)   It is wise to keep a watchful eye on your baby and your perception of your milk supply as you make this adjustment to less breastfeeding at night. If you suspect that your milk supply has decreased, there are ways to balance it out during your waking hours. You may benefit from speaking to a lactation consultant about your concerns, or to get extra stimulation on your breasts from a daily pumping session.

5.)   You got this!!!

 

If you missed the Live Q&A, don’t worry!  We got you covered.

…Sweet Dreams