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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! 

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.

5 Facts You Need to Know About Breastfeeding

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By Trill Paullin, Ph.D.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

3) MYTH: Colic is Normal in Breastfeeding Babies

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

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

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

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

  • Lip or Tongue-tie

  • Over/underfeeding

  • Lactation issues

  • Undeveloped digestive tract

  • Infant food reactivity

  • Imbalance of healthy bacteria in the digestive tract

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

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

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

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

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

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

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

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

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

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

 

Is My Baby Getting Enough Milk?

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

Hello Breastmilk 

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

Momma the Diaper Slayer 

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

Gulp-up, Buttercup!

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

Fill up that onesie!

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

Off to Dreamland 

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

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

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

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

 

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.

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 

 

What’s Lowering Your Milk Supply?

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By Jacquelyn Ordner BSN, RN, IBCLC, RLC

A breath mint, candy cane, or peppermint patty all seem pretty harmless, right?  Did you know that peppermint is often the sneaky culprit of reduced milk supply? Most moms don’t!  So, to make it easier for nursing moms, we’ve compiled a list of some little-known milk supply suppressors. 

The following are usually harmless to milk production in typical quantities used for cooking as long as they aren’t consumed in large amounts or very frequently.

– Parsley

-Oregano

-Caffeine

-Thyme

-Vitamin B6 – Watch out for large amounts in common breakfast cereals! (stay well below the 100mg daily limit and you should be fine)

These foods/products/behaviors should be AVOIDED if you are breastfeeding  and want to keep your supply:

-Peppermint: Peppermint Essential Oil is often used when a mother wants to dry up her milk supply!  It is effective at doing so and should be avoided. Most people don’t realize that peppermint oil is in mint-flavored candies, gums, and even menthol cough drops!  A cup of peppermint tea here or there will likely be fine, but that’s the limit. 

-Sage: Sage Tea is another remedy often used when a woman wants to wean or dry up her milk supply.  Sage is powerful and even too much in a turkey and dressing recipe can have negative effects. 

-Smoking: Studies tell us that mothers who smoke produce less breastmilk and their infants typically weigh less.  Studies also reveal that breastfed infants of mothers who smoke sleep less. Coupled with the increased risk of SIDs, it’s clear that quitting is best. Still, smoking and breastfeeding has far more benefits than formula feeding and breastfeeding!

-Dehydration:  You’ve probably seen one of those posts in a social media breastfeeding group where someone swears by red Gatorade, Body Armour, or drinking 200 oz of water a day.  The truth is that you need to be adequately hydrated to make milk, but you don’t need special drinks or excessive amounts of water. In fact, excessive fluids can actually have a negative impact on your supply! So, shoot for your 8 glasses of water a day, plus drinking to thirst, and that’s all you need.

-Dieting:  Don’t get me wrong, eating a healthy and balanced diet is fantastic!  However, heavily restricting your calories can definitely reduce your milk production.  Talk with your doctor about a healthy calorie range for you. Make sure they know you’re breastfeeding, and keep in mind that some women are more sensitive to calorie restrictions than others.

-Decongestants: Think Sudafed.  If it’s meant to dry up mucus, it can also dry up breastmilk.

-Many forms of Birth Control:  The biggest culprits are birth controls that contain estrogen.  Beware, even birth controls that are supposed to be “ok for breastfeeding” can still cause major supply issues for sensitive women.  The best bet for your supply is a barrier method (like condoms). The next best choice is a non-hormonal method (like an IUD). The third choice would be something like the mini pill.  Just be aware that any birth control that contains or affects hormones CAN negatively impact your milk supply. Always talk with an IBCLC if you have questions about medications and breastfeeding.

-Stress: Yep, we know…..this one’s a doozy!  Stress is everywhere when you’re a mom!  Still, if there’s anything you can do to reduce stress, it will benefit your milk supply.  Incorporating light exercise, like walking can help reduce stress. Eating well, trying to incorporate more sleep, and even just getting 30 minutes of “alone” time can be huge for stress reduction. Are there little things you can do to help?  Maybe prepping a few meals on the weekends, or packing your pump bag and baby’s diaper bag the night before? Even seemingly small reductions in stress can have a big payoff!

BONUS:

-Alcohol:  Maybe you’ve heard you should “have a beer so you can relax and make more milk”.  Well, there’s more to it than that! While alcohol consumption isn’t prohibited for breastfeeding mothers, it can have a negative impact on their breastfeeding relationship and breastmilk production.  Alcohol can inhibit your Milk Ejection Reflex or MER. The MER is what causes your milk to let-down. If your milk won’t let down, or if it lets-down very slowly, baby won’t drink as much, or you won’t pump as much.  In the long run, this can lead to less milk being produced. 

Looking for breastfeeding support? Schedule a complimentary consultation with a Spectra Baby USA IBCLC here. 

 

Setting Up a Mobile Pumping Station

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Melissa Portunato MPH, IBCLC, RLC

Setting up a pumping station is an inexpensive and practical way to make breastfeeding easier for all moms! This simple DIY can save you time and allow you the mobility to move around the house to find a quiet place to help you relax while you pump.

How to do it

Step 1 

An art cart or portable plastic drawers will work well – must have wheels! Most portable carts and drawers come with three levels which is plenty of space to include all your must-haves. The more levels, the better; just make sure they have enough space in between for some of the larger items. You can use some of the movable space for other baby items, too, like diapers, wipes, and extra clothes! 

Bonus Tip: Add bins to separate items and create an even more organized mobile pumping cart! 

Step 2 

Time to load up your mobile station with all your pumping cart essentials! 

Handy Checklist for the Perfect Pump Cart:

✔ Spectra baby USA pump
✔ Power cord 
✔ Pump Accessories – duckbills, backflows, flanges, bottles, caps, and disks
✔ Wet bag for used pump parts
✔ Milk Storage Bags
✔ Cooler kit with an ice pack
✔ Paper Towels or Napkins for spills
✔ Hand Sanitizer 
✔ Water bottle
✔ Cell phone and charger 
✔ Yummy snacks – nuts, dried fruit, and crackers make great snacks! 

Do I really need a pumping cart? 

If you are mostly nursing at the breast, you can definitely do without; but if you are pumping multiple times a day or exclusively pumping – highly recommended. It especially comes in handy if you are working from home, others are working from home, or in virtual school, where space is sometimes limited, and working areas can change throughout the day. Creating a mobile pumping station can help you stay organized and make pumping less stressful to squeeze into your busy day!

Want more pumping tips? Follow us on IG and Facebook!

Happy Pumping Team Spectra!

Healthy Eating and Breastfeeding

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Melissa Portunato MPH, IBCLC, RLC

Though it’s totally fine to indulge every once in a while, maintaining a balanced diet will give you energy, keep you satisfied longer, and can help your breast milk flow easier. Breastfeeding burns on average between 300-500 calories per day. It takes a ton of energy to produce your liquid gold; make sure you compensate with healthy milk-making foods. 

Read on to learn more about the best foods to eat while breastfeeding to keep you feeling happy and healthy as a new mom. 

What are the best foods to eat while breastfeeding?

The best breastfeeding foods offer a variety of macronutrients – protein, complex carbohydrates, and healthy fats. The World Health Organization recommends adding 25grams of protein for breastfeeding moms –  individual needs based on your weight and other factors. 

High-quality protein sources include eggs, red meat, and wild-caught salmon. These all have a  long list of health benefits, but the top of the list includes improving eye health, aiding in weight loss, and preventing disease. If you’re vegan or vegetarian, legumes are loaded with iron and protein too! Especially the dark ones! 

Leafy greens are nutrient-dense, low in calories and carbs, and packed with vitamins and minerals like Calcium, Vitamin K, Folic Acid, and Iron. Fresh fruit is a simple, nutritious snack! Blueberries are one of the most nutritious fruits globally, providing Vitamin C, Vitamin A, Vitamin E, and Antioxidants. Eating two servings a day of fresh fruit like berries can help amp up weight loss, decrease inflammation, and promote digestion which is beneficial to breastfeeding moms recovering from childbirth. 

Are “diets” OK when breastfeeding? 

Any diet that dramatically cuts calories can impact milk supply, especially within the first 6-8 weeks, as your body regulates how much milk is needed to keep your baby growing and thriving. However, low-carb diets like the Paleo diet are compatible with breastfeeding moms as long as they consume enough nutrients from a variety of lean proteins, fruits, and veggies. Research studies claim, aiming for at least 1800-2000 calories per day, breastfeeding moms can safely lose about 1 pound a week. 

Are protein shakes OK?

The short answer is YES! But not all protein shakes are created equal. Here are tips when choosing a protein shake. 

  • Making your own protein shake is always best! Packed with protein, calcium, magnesium, and iron, raw almond butter makes for an easy base for a clean protein shake made at home. 
  • Consider medications and supplements you are already taking to avoid exceeding recommended daily values of vitamins and minerals, which can be dangerous for you and your baby. 
  • Avoid protein shakes created for athletes which can have additives not intended for nursing mothers. 
  • Avoid shakes with added and artificial sugar, GMO’s, caffeine, and common allergens such as dairy, wheat, soy, etc. 
  • Most plant-based store-bought options are considered safe for nursing moms. Though some whey proteins may be safe, many often have additives that can be harmful. Always check with your doctor first before starting a new store-bought protein shake. 

Proper nutrition is required to feel well and care for your new baby! A healthy diet can also encourage plentiful milk production. Fuel your body right and be kind to yourself. Don’t forget to always check with your doctor before starting any weight loss or exercise plan. Have more questions? Please email us at ibclc@spectrababyusa.com. 

Sources:

Kominiarek, M. A., & Rajan, P. (2016). Nutrition Recommendations in Pregnancy and Lactation. The Medical clinics of North America, 100(6), 1199–1215. https://doi.org/10.1016/j.mcna.2016.06.004

Dewey et al. (1994). Effects of dieting and physical activity on pregnancy and lactation. Am J Clin Nutr, 59( Suppl 2), 446s-453s.

Lauwers, J. & Swisher, A. (2015). Counseling the Nursing Mother: A Lactation Consultants Guide. Burlington, MA: Jones & Bartlett Learning.

Neville et al. (2014). The relationship between breastfeeding and postpartum weight change—a systematic review and critical evaluation. International Journal of Obesity, 38, 577-590.

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 

 

Breastfeeding Tips for Success

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By: Rue Khosa, MSN, FNP-BC, IBCLC

We recently had a chance to chat with Rue Khosa, a Board-Certified Family Nurse Practitioner, Lactation Consultant, and new momma of baby #3. She shares her expert advice on preparing for your delivery, planning for the return to work, and why Spectra Baby USA breast pumps are her top pick.

Before Delivery
✔ Book a Prenatal Lactation Consult
I firmly believe every expectant couple should book a prenatal lactation consult. Getting a review of your medical history, a breast assessment, and help to select the right pump for you is vital. Knowing I was going back to work at just 6-weeks postpartum, I knew getting the perfect pump to establish my supply and build a frozen stash was critical to my successfully maintaining supply.
Find and book your prenatal consult with an IBCLC around 28-34 weeks.
✔ Order your Breast Pump
I was fortunate enough to receive the Spectra Synergy Gold pump to review! The Spectra Synergy Gold electric breast pump uses advanced technology with dual motors allowing you to adjust each side independently. Furthermore, it’s a hospital strength closed system making it effective and efficient to establish and maintain my supply despite my hectic schedule.

Before you deliver, you will want to order your pump, wash the pump parts, and get familiar with using it. There is nothing more stressful than trying to read a pump manual with a hangry newborn wailing next to you. Find out if your insurance covers a Spectra baby USA here.

After Delivery
✔ Establish your Supply
When it comes to breastfeeding, demand equals supply. The more you demand of your breasts by stimulating and emptying them frequently, the more milk you will make. Therefore, breastfeeding your newborn a minimum of 10-12 times a day or every 2hrs during the first couple of weeks is crucial. Equally important is making sure you are breastfeeding effectively. If your newborn is unable to latch and nurse effectively or at all, then you will need your breast pump to pick up the slack while you work with your IBCLC to assess and establish breastfeeding.
Prolactin, the hormone responsible for milk production, returns to pre-pregnancy levels in the first two weeks postpartum if there is inadequate breast stimulation. This makes it increasingly more challenging to restore and recover your milk supply the further postpartum you are.
✔ Build a Stash
The word stash can often sound intimidating, but it is essential to remember that the goal is to feed your baby, not the freezer. You want to store 2-4oz a day, helping build a 4-7 day reserve by the time you return to work at 12 weeks.
If you are not already pumping, you will want to start pumping around four weeks postpartum. This will allow you to take advantage of higher prolactin levels and corresponding higher milk supply in the immediate postpartum period. Pumping after the first and last feed of the day for 10-15mins is more than sufficient.
✔ Contact HR
Thanks to the Obama administration, not only do we have better lactation services insurance coverage, but employers have to provide pumping breaks and designated pumping rooms for new mothers. Contact your HR department 2-4 weeks before your expected return to make sure that they make appropriate accommodations for you.

On the Job
Now you are ready to go back to work. Know that most women are bound to experience a decrease in their supply as they return to the workforce. Many factors, including work stress, decreased hydration, decreased breast stimulation, as well as the natural regulation of your milk supply around the 12-week time frame, contribute to this decrease. If you have followed all of the above steps, you are less likely to experience a dramatic drop. Additionally, to maintain your supply, you will want to pump at least every 3hrs while at work. I recommend pumping right before you leave for work to give you time to settle in before you have to pump again. You also want to coordinate the last pump of the day and the baby’s first breastfeed when you get home. Ask whoever is caring for your little one to avoid bottle feeding 2hrs before you are due to return home and likewise avoid pumping during that same time frame. If schedules allow, this will save you a pump session and give you both a much-needed bonding experience after a long day apart.

To save time, Spectra has created the Simple Store Solution Kit, which allows you to pump, store and feed your baby all from the same bag.

Take Away
Only 12% of women have access to paid maternity leave, and up to 25% of women have to return to work just two weeks after giving birth. Whether you are returning to work at two weeks or 12 weeks, the stress and anxiety around the transition can have devastating effects on your breastmilk supply. In a perfect world, we would all have the option of staying home with our little ones for as long as we desire. However, by following the above steps, you will have the next best thing, the best shot at being able to exclusively feed your baby breastmilk through the first year and beyond.

Good luck, mama, you got this!

Rue Khosa is a Board-Certified Family Nurse Practitioner and Lactation Consultant. She has dedicated her career to being a women’s health advocate supporting new and expectant parents to thrive through the parenting journey. Believing it takes a village to raise a child, she has created a global village of women centered around mutual respect, trust, and unconditional support. Follow her on Instagram @rue_theboobboss for all things Bumps, Babies, and Boobs.

Pumping 101

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Melissa Portunato MPH, IBCLC, RLC

The majority of breastfeeding mothers will express breastmilk during some part of their breastfeeding journey. Sometimes it can be when returning to work, taking a break while temporarily working on baby’s latch, or choosing to pump exclusively from the start. Breast pumping can be intimidating for new parents, but it doesn’t have to be that way! Establishing simple-to-follow pumping strategies can ease worry and maximize pumping sessions. With manageable planning guidelines and evidence-based education and support, families can continue to reach their breastfeeding goals. Choosing to express breastmilk will ensure your milk supply is protected, and your baby will continue to receive the magical nutrition only you can provide. 

When to Start Pumping
If your baby is growing well and has unlimited access to the breast, there is no need to start pumping right away. Waiting 6-8 weeks is best. You could start sooner if you are returning to work around 4 weeks after birth but keep in mind the very early weeks are for establishing your milk supply at the breast and bonding with plenty of skin to skin. There will always be instances where pumping will be necessary right from the start, like preterm infants or unexpected medical emergencies. 

If nursing is going well at the breast, start with a short pumping session about 5 to 7 minutes after the morning or evening nursing session. Once a day at first and then gradually increase sessions according to your breastfeeding goals. If you are exclusively pumping aim for 6-8 / 20 min pumping sessions per day for a daily total of 120 min. In general, it’s recommended to double breast pump for a total of 15-20 min or 5-7 minutes after that last drop. 

Normal Pumping Output 
The newborn belly is super tiny. Studies show exclusively breastfed babies from 1 to 6 months old will consume an average of 25 ounces per day. Depending on if you are pumping for a missed feeding or pumping in between feedings, you can expect to pump roughly 1.5 – 4 ounces. At first, when your production is ramping up, expect to pump less milk. It takes time and practice to get your body to respond to the pump, just like learning to nurse at the breast. 

Check Flange Sizing 
The Spectra Baby USA S1/2 and SG come with two sets of flanges – 24mm and 28mm.  Spectra Baby USA flanges come in 20, 24, 28, and 32 mm. Flanges are relatively inexpensive and completely worth the purchase to ensure you have the highest comfort level when pumping. 

Finding the proper size for a breast flange is based on the diameter of the nipple, not the areola (the softer pigmented skin around the nipple).  When your nipple is centered inside the flange tunnel, it should only have a few millimeters (3-5) of wiggle room around the nipple. The entire nipple should fit comfortably without much, if any, of the areola entering the tunnel before pumping. Nipple size can fluctuate and can vary from side to side. We recommend measuring before pumping or nursing then adding 3-5mm to the diameter. Here’s our helpful fitting flange guide. 

Cycles, Settings, and More 
Spectra’s Natural Nursing Technology utilizes customized vacuum and cycle patterns that closely mimic a baby nursing at the breast. This natural pumping experience provides productive, comfortable, successful pumping sessions and ultimately more milk in less time.

Try these Cycle Pumping Settings to get started with your Spectra breast pump:

Massage 70
Expression 54
Massage 70
Expression 38
*Vacuum should always be set to comfort, 5 min on each setting.

Research shows moms can yield about 30% more milk when stimulating their breasts while pumping? Using a hands-free bra will allow for easier “hands-on pumping.” Massaging and compressing your breasts while expressing will help you get the most out of your pumping session. 

Cleaning and Milk Storage 
The CDC recommends sterilizing all your pump parts for the very first time before initial use. There is no need to sterilize the tubing since it will never contact your milk or pump. Have a designated bin to wash your pump accessories after each use in warm soapy water and then air dry on a clean dish or paper towel. Using non-antibacterial soap is ideal to ensure you aren’t leaving any film on the flanges that can inhibit the natural secretion of your Montgomery Glands on your areola.

Keep your liquid gold safe for your baby by adhering to the CDC guidelines for storing and preparing expressed breast milk. 

Have more questions on getting started with pumping? Schedule a complimentary consultation with us here. 

Happy pumping!