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.

How can you help your partner breastfeed?

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Partner helping take care of baby

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!

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 

 

5 Tips For Preserving Milk Supply While Learning to Latch

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By Melissa Portunato MPH, IBCLC, RLC

You’ve done everything right the first few weeks with your new baby. You are exclusively nursing on demand, starting every feed with skin to skin, and have surrounded yourself with all the breastfeeding resources and support you can find. But you still have pain while latching and your nipples just really need a break. It’s OK! Take a break if you need to but you still need to keep up with your milk supply to ensure baby continues to receive the endless benefits of breastmilk. Keep your baby close. Keep your milk flowing. Keep your baby fed. And breathe. It will get better.

Here are 5 practical tips to help you preserve your milk supply while you are working on that perfect latch.

#1 Get Nakey

Skin to skin is an important way to sustain your breastfeeding hormones and continue bonding with your baby. Mama’s chest is a newborn baby’s natural environment. During skin to skin, oxytocin (happy good feeling hormone) will be released and make sure your milk ejection reflexes stay on point. Skin to skin helps relieve stress for mom and baby. It promotes healing and encourages an easier transition back to breastfeeding. Skin to skin should be done on your bare chest and with baby only in a diaper. Try to do skin to skin any chance you can get. You can even do it while pumping for quicker and easier letdowns. So get all cozy and enjoy those extra newborn snuggle sessions.

#2 Get on a pumping schedule

If your baby is not directly nursing from your breast, maintaining a pumping schedule will ensure your milk supply stays up to meet baby’s ever-changing nutritional needs. Ideally, you should be pumping when baby is feeding. This will keep you on the same schedule, signaling your body to make exactly enough breastmilk for your baby. Don’t ever go past 4 hours without pumping. This can start signaling your body to make less milk and your supply will start to tank. For maximum milk output when pumping, use a hands-free bra and massage your breasts while you pump. Moms who use double breast “hands-on pumping” can express double the milk compared to moms who don’t. If you don’t have a hands-free bra you can make one by cutting holes in an old sports bra. Wah-lah!

Cyclical pumping can help keep your supply soaring too! Spectrababy USA pumps start on expression mode. Switch between expression and massage mode every few minutes or after a letdown. This will allow you to pump similar to your baby’s natural rhythm at the breast, quick bursts of suction (massage mode) to stimulate letdowns and a slower deeper suction to mimic nutritive sucking (expression mode). Start with the massage mode, then alternate between the two modes throughout your pumping session for better stimulation and to see more milk.

#3 Treating nipples and breasts

If you are reading this blog post,and working on baby having a better latch, then you might be dealing with sore nipples. Sore nipples can be caused by a variety of different reasons; like when baby has a shallow latch, is tongue tied, recovering from a revision, or it can also be a sign of infection. If you have discharge coming from your nipples, deep breast pain or red streaks on your breasts, call your doctor. You might have more than just the typical sore nipples.

To care for sore nipples, hand express a few drops of breastmilk and let your nipples air dry. If you have cracking or scabbing, wearing breast pads can make them worse. Expose them to fresh air as much as you can. In your daily shower wash nipples with non-antibacterial soap, let air dry and then express a few drops of liquid gold on them immediately after. Breastmilk will help treat sore nipples and keep them healthy as well.

#4 Alternative Feeding Methods

While you and baby are working on the latch, you can try alternative feeding methods like using a small medicine cup, spoon, or a syringe to feed your baby. Alternative feeding methods such as these can help avoid adverse reactions from using a bottle. Too many bottles within the first 6 weeks can lead to breast refusal altogether. Babies can quickly get accustomed to the fast-paced flow of an artificial newborn nipple. Even those are fast compared to nursing directly from the breast. Cup feeding can be a good option. Did you know a newborn baby will lap up breast milk from a medicine cup just like a little kitten? Really! It’s pretty cute to watch. Try cup feeding if you are not directly nursing from the breast.

If it doesn’t work out using an alternate feeding method or just the idea is daunting “paced bottle feeding” will be the way to go. Paced bottle feeding is a method of feeding your baby that mimics baby nursing at the breast. You will start with the bottle teat at baby’s nose, wait for baby to open wide and bring baby to the bottle. Let baby suck a few times, and gently pull the bottle back. You will continue this process throughout the feed. Pausing in between to burp baby. With paced bottle feeding, baby can control the flow of milk better and it can prevent overfeeding. Unlike, with traditional bottle feeding when baby will simply gulp, gulp, swallow;  pace bottle feeding allows baby to pause in between like when breastfeeding.

#5 Think Twice Before Grabbing a Nipple Shield

Hey, a nipple shield can save a breastfeeding relationship, absolutely 100%! But’s important to work directly with an International Board Certified Lactation Consultant when doing so. Nipple shields are infamous for low weight gain, clogged ducts, low milk supply and a ton of other breastfeeding issues even Mastitis. If you are using one, make sure it’s the right size and baby’s weight is being monitored closely by your pediatrician or an International Board Certified Lactation Consultant. Nipple shields are not intended for long-term use and should be approached with caution. Even with inverted nipples, most draw out with nursing or pumping so a nipple shield is still not necessary. Like with anything, there is always an extra special circumstance when mom might need a nipple shield, but for the most part – just say no to nipple shields.

We make milk by supply and demand so if you are not nursing your baby directly from the breast, pumping will be crucial to keeping up with your milk supply. Learn more about choosing the right Spectrababy USA breast pump here. Keeping up with your milk supply while working on baby’s latch is hard work. It’s important to have the support of your family, friends, and your pediatrician. Our Spectrababy USA certified IBCLCs, can help you jump over your breastfeeding hurdles, cheer you on when you need it most, and help you meet all your breastfeeding goals. Schedule your complimentary consult here. 

Preventing and Treating Clogged Ducts

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By Melissa Portunato MPH, IBCLC, RLC

Ouch! Clogged ducts can be extremely painful but completely treatable. How did you even get them in the first place? A clogged duct can be caused by a variety of different reasons from prolonged time without milk removal, shallow latch, restrictive clothing, or even stress. Read our IBCLC’s tips below on how to manage them, find relief, and when to call the doctor.

What’s a clogged duct anyway?

We all have around 15-20 milk ducts in each breast. A “plugged” or clogged duct can occur when a milk duct that leads to the nipple gets clogged. It usually onsets gradually and can be associated with a hard, often painful lump. You can experience tenderness, little or no warmth, and you might even feel the location shift as the clog makes its way out of the breast. With proper care, most clogged ducts subside in around 2-3 days. Clogged ducts are most common during the first few months of breastfeeding when your body is getting insync with the demand of your growing baby. They are also common during the weaning process. The key to remember with clogged ducts is that they need to be getting better, not worse!

I have a clogged duct! HELP!

The fastest way to treat clogged ducts is by frequently nursing or pumping. Vary your nursing positions while trying to aim the baby’s chin at the affected area. Try nursing in the “dangling feed” position. Lie baby flat on the bed and lean your breast over your baby to nurse, aiming baby’s chin towards the clogged duct. This breastfeeding position can help position your nipple farther into the baby’s mouth for more effective milk removal.

If you are exclusively pumping, pump every 2-3 hours without going any longer. Practice massaging your breasts while pumping. You want to start massaging above where you feel the clog and gently towards the nipple and stop once you reach the areola. Hand expressing before and after pumping can help drain milk more effectively allowing you to completely empty your breast.

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, avoid trying to squeeze because it can make things worse. The milk blister or bleb will naturally draw out as the clog subsides.

Mastitis or Clogged Ducts?

Not all clogged ducts lead to mastitis and even mastitis can be infectious or non-infectious. If your clogged ducts are getting worse, you develop flu-like symptoms, your breast is hot, red, and tender then it’s time to check in with your doctor. In some cases, antibiotics will be required.

Preventing Clogged Ducts from Happening

Wear loose clothing, and go braless whenever possible. Stay away from bras with underwire, a wire-free supportive bra is best. Keep your baby close to you and feed at early breastfeeding cues. Cracking or bleeding nipples are more susceptible to infectious mastitis since bacteria will be able to easily enter the breast. Routinely washing in the shower using a non-antibacterial soap can help prevent infection. Never go more than 3-4 hours max without pumping or nursing. Massage and compress while you nurse/pump and if nursing varies your positions. Eat healthy and stay hydrated. Clogged ducts are more common and more difficult to treat with a lowered immune system.

Clogged ducts are common and treatable. If you feel they are not improving after a few days, it’s time to seek medical attention. In some cases, clogged ducts can lead to an infectious case of mastitis so it’s necessary to reach out to your doctor if you are getting worse or symptoms are not improving. It’s especially important to nurse frequently during this time and get plenty of rest. Treat it like you have the flu! Rest, hydrate, and nurse/pump often!

Have a clogged duct and need advice? Send us an email at ibclc@spectrababyusa.com and one of our IBCLCs will be happy to chat with you. You’re doing the best you can! Take care of yourself and pump on.

Source: 

Blocked duct and mastitis. International BreastFeeding Centre. (n.d.). https://ibconline.ca/information-sheets/blocked-ducts-mastitis/.

 

Breastfeeding after Giving Birth

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After giving birth, I’m sure you are soaking in every minute with your beautiful new baby. But it is normal to have questions about what comes next especially when it comes to feeding your baby. Breastfeeding is a natural and beautiful way to provide your newborn with the ideal nutrients to help them get off to the best start possible! The World Health Organization is actively promoting breastfeeding as the best source of nourishment for infants and young children and is working to increase the rate of exclusive breastfeeding for the first 6 months up to at least 50% by 2025. If you are pregnant or just gave birth and plan to breastfeed this is a great read for you! Here are some top post-birth questions with evidence-based feedback:

When will my milk come in?
It may be hard to believe, but your breasts will begin producing small amounts of nutrient-rich milk called colostrum during the first trimester of your pregnancy and for 2-5 days after giving birth. Colostrum, also known as, pre-milk has many benefits, including nutrients that boost a baby’s immune system and help fight infection (Richardson & Littleton, 2019). Colostrum may not always look the same. For some, colostrum is thick and yellowish. For others, it is thin and watery. In the last 3-5 days of making colostrum, your milk supply is expected to increase. Signs that your milk supply is increasing and changing from colostrum to more mature milk include firm breasts and changes in your breast milk’s color and texture. 

When should I begin breastfeeding? 
It is best to begin breastfeeding within the first hour after birth, known as the magic hour, or as soon as you and your baby are able. According to the World Health Organization, bonding through skin-to-skin contact along with suckling at the breast stimulates the mother’s production of breastmilk, including colostrum, also called the baby’s ‘first vaccine’, which is extremely rich in nutrients and antibodies. 

Did you know term infants have natural instincts to find the nipple and latch on? Skin-to-skin contact helps to regulate the baby’s body temperature and helps to release hormones in the mother that assist with breastfeeding. 

First, it is recommended to bring your baby to your chest for skin-to-skin contact and then try to initiate breastfeeding in a quiet and calm environment.

If you and the baby are having trouble, try hand expressing or pumping as soon as possible and feed the baby with a spoon or syringe. Avoid bottles and pacifiers until breastfeeding is going well, and use your pump to help bring in a milk supply if the baby is not latching. 

How can I tell when my baby is ready to nurse?
Start breastfeeding when your newborn shows signs of hunger. An infant may not always display obvious signs of hunger; because of this, it is best to look for early hunger cues (Richardson & Littleton, 2019). 

Feed your baby at early feeding cues. Examples of early hunger cues:

-Baby moves head from side to side

-Baby opens their mouth

-Baby sticks out tongue

-Baby sucks on their hands and fists

-Baby puckers their lips as if to suck

-Baby nuzzles against mom’s breasts

-Baby displays the rooting reflex, which is when a baby moves their mouth in the direction of something that’s stroking or touching their cheek

– REM (rapid eye movement) 

How do I know if my baby is full and/or getting enough milk?
What is important to understand is that the newborn belly is super tiny. The first few days after birth, the belly will only hold droplets of colostrum. Then as time goes on, the infant’s belly will grow. Infants will also want to nurse frequently! Your baby should have 6 wet diapers and 3 stools (size of a quarter of more) per day. At a minimum, your baby should nurse 8 to 12 times per day. Maybe even more. The World Health Organization recommends feeding your infant demand, meaning as often as the child wants, day or night!  So, if someone tells you your breast milk might not be filling up your newborn’s little belly or that you are feeding too often, help them understand that frequent feeding, on the baby’s schedule, is exactly what the doctor ordered. 

Do you need breastfeeding help? 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! 

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! 

 

Breastfeeding Basics

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By Jacque Ordner BSN, RN, IBCLC 

Breastfeeding is natural and the biological norm for feeding babies, but that doesn’t mean it’s easy! We’ve got you covered with top tips for getting started and avoiding common pitfalls. 

The human breast continues to develop milk-making glands, ducts, and other structures involved with lactation throughout pregnancy. For this reason, it is normal to experience breast changes including an increase in size, increased sensitivity, darkening of the areola and nipple, and even leaking of colostrum in late pregnancy. These are all great signs that your body is getting ready to feed your baby! 

After baby is born (more specifically, after the placenta is delivered) mom’s body experiences a hormone shift that triggers the production of breast milk.  For the first few days, women’s bodies make a thick, sticky liquid called colostrum.  Colostrum is a POWERHOUSE of nutrients and bioactive immune factors the help seal up your baby’s gut and protect him or her from illnesses.  Colostrum is small in volume but is just what baby needs in the early days.  Due to its thick, sticky consistency, colostrum can be difficult to express with a breast pump.  Many moms have more success using hand expression.  Here’s a great video with more information on hand expression in the early days:  https://med.stanford.edu/newborns/professional-education/breastfeeding/hand-expressing-milk.html  Newborn tummies are tiny and are made to stretch as mom’s milk supply increases in the initial postpartum period. 

Placing baby skin to skin with mom and offering unlimited access to the breasts can have a huge impact on later breastfeeding success.  Latching baby within the first hour is ideal.  However, not latching in the first hour doesn’t mean breastfeeding will be unsuccessful!  Breastfeeding is a new sensation but shouldn’t be painful.  If you’re experiencing pain with latching or pumping, reach out for help from an IBCLC.  Frequent nursing helps mom’s milk supply increase faster.  Mothers make transitional milk (often somewhat yellow, very nutritious breastmilk) until about 6 weeks postpartum when transitional milk becomes mature milk (often whiter and more abundant breastmilk). If baby is unable to latch or is not nursing effectively, it is imperative that mom begin pumping with a high quality, hospital grade breast pump.  Studies show that 120 minutes/24 hours of good quality nipple/breast stimulation is needed to bring in and maintain a full milk supply. A full milk supply (after about 6 weeks postpartum) is between 750ml and 1035ml. 

Newborns nurse often!  We often hear that babies should nurse at least 8-12 times in 24 hours, but it is also normal for them to nurse even more.  If your newborn is producing 6-8 wet diapers in 24 hours and 3-4 dirty diapers in 24 hours, along with maintaining appropriate growth, then breastfeeding is likely going well! Remember, painful latching is a sign that something isn’t quite right even if baby is gaining weight well.   

If nursing is going well, there is no need to pump right away!  Many moms stress over when to add in pumping once they bring baby home.  In general, if nursing is going well, there is no need to add in pumping until around 4-6 weeks postpartum.  Pumping and nursing can lead to an oversupply of milk, and in-turn, increased risk of clogged ducts and mastitis.  However, many moms choose to introduce pumping as they anticipate returning to work soon after delivery.  If your baby requires a supplement, or if you are pumping milk for bottle feeding, Paced Bottle Feeding is key!  Check out this great demonstration for tips on avoiding overfeeding and helping baby transition from breast to bottle and back: https://www.youtube.com/watch?v=2K3O3grKusA 

Confidence is key!  Moms and babies are made to breastfeed!  If you are struggling with breastfeeding (pumping is breastfeeding too) or just need reassurance that things are going well, don’t hesitate to reach to an IBCLC for help!  Our IBCLCs are available to support you as well.  Email us at ibclc@spectrababyusa.com or set up a virtual consultation at www.spectrababyusa.com/lactationservices .   

 

Sources: 

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 July 27, 2020, from http://www.nancymohrbacher.com/articles/2012/11/27/how-much-milk-should-you-expect-to-pump.html 

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! 

Milk Supply: What’s Normal?

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By Jacque Ordner BSN, RN, IBCLC, RLC 

Moms want what is best for their babies and are often concerned they won’t make adequate milk throughout the breastfeeding process.  Couple that concern with daily social media posts about huge freezer stashes and 10+ oz. pumping sessions and moms can get full on anxiety about whether their production is “normal”.  Don’t worry mamas!  We’re here to let you know what a full milk supply looks like and to hopefully calm your fears about just how much milk you’re likely going to need. 

THE AVERAGE BREASTMILK INTAKE FOR A BABY FROM 1 MONTH TO 6 MONTHS IS 25oz. PER DAY.  Research tells us that the range is from about 19oz to 30oz. per day.  Milk production usually peaks at around 40 days postpartum as well. Medically speaking, a full milk supply ranges from 750ml –1035ml per day. It’s also normal for this amount to fluctuate from day to day.  It’s normal to see pumping output fluctuate from session to session as well.  

FOR MOMS WHO ARE PRIMARILY DIRECTLY NURSING THEIR INFANTS, TYPICAL PUMPING OUTPUT CAN RANGE FROM 0.5 oz to 2 oz. PER SESSION. We talk to so many moms whose babies have been growing and thriving while nursing at the breast, but then mom becomes concerned when her first pumping session only yields about an ounce from both breasts combined.  We can literally hear the relief in their voices when we tell them that THIS IS NORMAL!  Mamas, you don’t have to be pumping 5-10 oz per session to be successful at breastfeeding!  The amount you can pump is not necessarily an indicator of the amount your body is making.  Pumping is a learned skill that takes time to develop for many moms. Take cues from your baby….if they’re growing well and making adequate wet and dirty diapers, chances are you’re making the perfect amount of milk for them.   

EXCLUSIVELY PUMPING MOMS TYPICALLY SEE A PUMPING OUTPUT OF 2oz. – 4oz. EVERY 2-3 HOURS. Pumping is a learned skill and can take some time to get used to.  The above output range is for moms whose supply is established (after 40 days postpartum).  Unfortunately, some moms have been told that exclusive pumping will not allow them to make a full milk supply.  This is just not true, mamas!  With a high-quality, hospital strength pump, a consistent pumping schedule, and well fitted flanges, moms can make a full milk supply (and more) with exclusive pumping. 

While it’s true that most women can make a full milk supply, it’s also true that a small percentage cannot.  If you suspect you have low milk supply or just need reassurance that things are going well, don’t hesitate to reach out to an IBCLC. Our Spectra Baby USA IBCLCs are here to help with free virtual consultations.  Click HERE to schedule. We can also help via email at ibclc@spectrababyusa.com  Happy pumping, mamas! 

 

Sources: 

Bonyata, K. (2018, January 02). Exclusive Pumping • KellyMom.com. Retrieved July 27, 2020, 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 July 27, 2020, 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 July 27, 2020, from http://www.nancymohrbacher.com/articles/2012/11/27/how-much-milk-should-you-expect-to-pump.html 

 

All About the Snergy Gold (SG)

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The Spectra Synergy Gold Dual Electric Breast Pump is a game-changer in the pumping world! The SG dual-motor advanced technology promotes more productive pumping sessions that can save time with comfort and ease. 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 includes 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. 

Unique features of the Spectra Synergy:

  • First of its type in the USA
  • Newest technology, dual independent motors, hospital strength (270+) per breast 
  • Spectra true closed pumping system
  • 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 adjustable on each side
  • Quiet and discreet with mute button option
  • 3 level soothing nightlight feature
  • Comfortable carrying back handle 

No matter which Spectra breast 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 can optimize pumping!  Schedule your complimentary consultation today or email us at ibclc@spectrababyusa.com for more help. 

 

Storing Breastmilk: Tips and Guidelines

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Melissa Portunato MPH, IBCLC, RLC

Every breastfeeding journey is special and filled with love. For you, it might include occasional pumping or only pumping when at work. Others choose to exclusively express breastmilk around the clock. It’s all breastfeeding! No matter how often you express your milk, you always want to ensure your liquid gold is handled with care and stored properly. Following proper milk storage guidelines will guarantee your breastmilk continues to support your baby’s health, growth and development. 

Read below frequently asked questions, tips and guidelines on breast milk storage. 

Breastmilk Storage Guidelines
How long is breast milk really good for? Remember the RULE of 4! According to the CDC, breastmilk is optimal for 4 hours at room temp, 4 days in the fridge, and 4-6 months in the freezer. If you will be freezing your breastmilk, it’s best to freeze it right away. Refrigerated breast milk can be frozen within 4 days of expression. 

Keep your breast milk cool when a refrigerator is not available. Transport refrigerated/frozen milk by placing breastmilk in an insulated bag or cooler with a frozen cold pack. Milk should be refrigerated or frozen within 24 hours. 

Proper Storage Containers 
Breastmilk should be stored in clean food-grade containers such as BPA-free plastic, glass, or silicone as well as disposable milk storage bags. Never use regular disposable kitchen bags or plastic inserts made for bottle feeding because freezing may cause these to leak and break down. 

Looking for a quick and effective way to pump, store and feed your baby? Check out the new Spectra Simple Storage Kit! Keep your milk clean, safe, and always ready to use with this new line of Spectra Baby USA products that lets you pump, store, and feed all from the same bag. This innovative storage solution also features a temperature sensor to ensure that breastmilk is just the right temperature for feeding. 

Fresh or Frozen? What’s Best?
All breastmilk is best! Fresh breastmilk contains the highest concentration of anti-infective properties, next in line refrigerated milk and then frozen milk. Give your baby freshly pumped milk whenever available. Fresh, frozen, and refrigerated milk can be combined. It’s best to mix breast milk at the same temperature to keep the immunological properties intact. 

Breastmilk should never be microwaved because it can heat unevenly and hurt your baby. In addition, microwaving can destroy valuable bioactive components found only in human milk. Gentle thawing of breast milk is best to preserve the quality. Thawing can be done in the refrigerator overnight or placed in a bowl of warm water. 

The Pitcher Method
The Pitcher Method is a popular method of collecting pumped milk from several pumping sessions throughout the day into one container and then using that milk to prepare the next day’s bottles. So easy to do, The Pitcher Method can save space and valuable time for breastfeeding families! 

Learn more about The Pitcher Method here. 

Cleaning Pump Parts
It’s recommended that you wash all your pumping parts (except tubing) after every use in a designated basin with warm soapy water. The CDC recommends, sanitizing parts once daily for extra germ removal. If you know you won’t have access to a sink, bring enough sets of pump parts to get you through the day. Placing pumping parts in the refrigerator in between uses is not recommended. 

Expert Tips

✔ Remember to start every pumping session by washing your hands for 20 seconds. 

✔ Store breastmilk in 2-4 ounce increments to prevent milk from being wasted. 

✔ If using breastmilk storage bags, squeeze the air from the top before sealing tightly.

✔ Freeze breastmilk bags flat to save space.

✔ Once frozen breastmilk is defrosted, it’s good to use within 24 hours and shouldn’t be refrozen. 

✔ Use leftover breastmilk from a feeding within 2 hours of finishing. 

✔ Warm breastmilk first, then gently shake. This technique will mix the fat which may have separated. 

✔ Breastmilk can be given cool, warm or room temp to healthy full term babies. 

For more information on breastmilk storage and preparation, download a printable sheet here to share with your family and caregivers.

Do you have a question about breastmilk storage? Email us at IBCLC@spectrababyusa.com! Our International Board Certified Lactation Consultants are happy to assist you along your breastfeeding journey. 

Sources:

Proper Storage and Preparation of Breast Milk. (2020, January 22). Center For Disease Control. https://www.cdc.gov/breastfeeding/recommendations/handling_breastmilk.htm

Heating Human Milk. La Leche League International. (2020, August 6). https://www.llli.org/breastfeeding-info/heating-human-milk/. 

 

 

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