Finding Your Flange Size

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Melissa Portunato MPH, IBCLC, RLC

Pumping should never hurt. Whether a mom is exclusively breast pumping or will be away from her baby for any reason, it will be significantly more efficient when the pump is set up correctly.  This includes proper flange sizing. If you are experiencing pain, discoloration, or rings around the areola when pumping, it is likely coming from your flange size. Having a poorly sized flange can cause breast damage, pain, and low milk supply, leading to premature weaning. 

Here are some quick tips to follow to find the perfect flange fit! 

Accurately Measure 

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. But measuring only tells us a piece of the story. Some moms feel comfortable sizing up or down and changing sizes throughout their breastfeeding journey. 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. 

How should it look when pumping?

For the most part, the nipple should stretch a little less than halfway down the flange when pumping. If it’s way past that – like hitting the backflow protector or end of the flange and you’re experiencing pain or low milk output, then it’s time to troubleshoot. The nipple should move freely with no rubbing against the sides, which could be mean it’s too tight. If the areola is being pulled inside the tunnel (more than 3-5mm), suction is breaking while pumping, or milk starts to drip from under the flange, these could be indicators the flange is too large. Typically a flange that’s too big will cause the areola to be pulled farther into the tunnel, but if a flange is restrictive, the nipple will rub inside the tunnel and stretch it farther too. It’s normal for nipple size to fluctuate or to use different sizes on each breast. Both too small or too large of a flange can be accompanied by pain, discomfort, discoloration, or low milk output.

Sizing options 

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. 

What about “elastic nipples”? You can read more about them here. 

Several factors go into finding the perfect flange fit. It’s essential to assess how the flange looks, feels and whether you are pumping an adequate amount of milk. Expected milk output is 2-4oz combined every 2-3 hr if you are exclusively pumping or about half if also nursing your baby at the breast. A higher vacuum does NOT mean more milk. Lowering the suction vacuum can help if you are having pain or your nipple is pulling significantly through the flange tunnel. 

If your nipples are sore from pumping, treat your nipples by letting your very own breastmilk air dry over the area. Applying moist wound healing with a cool hydrogel over the nipple can effectively treat pain and soreness. Even after troubleshooting flange sizing, if pain continues, contact your local International Board Certified Lactation Consultant (IBCLC) or healthcare practitioner for help. 

Have questions on flange sizing or simply want to be sized by our IBCLC Team of flange sizing experts? Schedule here. Follow us on social media at Spectra Baby USA on IG and Facebook for weekly educational videos, support, and guidance. Let us make your pumping experience more enjoyable and help you achieve your breastfeeding goals! We believe in you, and we support you! 

 

Breastfeeding and Sibling Support

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Breastfeeding and Sibling Support
Melissa Portunato MPH, IBCLC, RLC

We know moms reach their breastfeeding goals when they feel loved and supported. We know moms learn to breastfeed while watching their moms, aunts, and sisters breastfeed. Sibling support can make all the difference to a new mother’s breastfeeding journey. Studies show, when mothers are supported, they are more confident and empowered, leading to more successful breastfeeding outcomes. Breastfeeding is not always easy, and a kind word from a sibling can encourage us and breathe life into us when we need it most. 

This week we are celebrating sibling support in honor of National Sibling Day on April 10! Melissa’s Spectra Baby USA IBCLC, younger sister Natalia, was asked about her thoughts on sibling support throughout her breastfeeding journeys. “There’s an incredible feeling of comfort that comes from the support of a sibling. No matter your struggle with breastfeeding, having a sibling to lean on when you feel so overwhelmed makes you feel like you can conquer anything. The comfort comes in knowing you’re not in this alone.” said Natalia. 

Natalia is currently nursing her youngest and tandem nursed her children for one year. You might recognize her as a Spectra baby USA real mom model tandem nursing her children and pumping with the Spectra baby USA pumps! 

What is Tandem Nursing?
Tandem nursing means nursing two or more children of different ages at the same time. Twins and multiples can also tandem feed when nursing simultaneously at the breast.

Are there benefits to Tandem Nursing?
Continuing to nurse an older child after a new baby has arrived can be a way to offer emotional security and extra attention to the sibling. It can sometimes be temporary, while the older sibling adjusts to the new baby or can continue until both the child and mother desire. Tandem nursing can also help lessen engorgement and create an adequate milk supply. 

What can be expected in the early days?
During the first few days, colostrum will be produced for the newborn baby even if breastfeeding continued throughout pregnancy. Since colostrum is packed with immune properties and prepares the infant gut for mature milk, the newborn should have priority at the breast during the early days after delivery. 

Are you interested in learning more about tandem nursing or needing breastfeeding support? Catch our LIVEs every Wednesday at noon et on Facebook and IG for evidence-based breastfeeding education and support! It truly takes a village. You are not alone. Spectra Baby USA is honored to be part of this beautiful journey with you. Schedule a complimentary consultation, and we can help you reach your personal breastfeeding goals. 

Happy Breastfeeding! 

Sources:

Kornides, M., & Kitsantas, P. (2013). Evaluation of breastfeeding promotion, support, and knowledge of benefits on breastfeeding outcomes. Journal of child health care : for professionals working with children in the hospital and community, 17(3), 264–273. https://doi.org/10.1177/1367493512461460

Mohrbacher (2010) Breastfeeding Answers Made Simple, Hale Publishing, ISBN-10: 0984503900

Flower H. (2016) Breastfeeding during pregnancy and tandem nursing: is it safe? Recent research, Breastfeeding Today, 11 April 2016

 

 

 

All About The Simple Store Milk Collection Kit

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Our new Spectra Simple Store Milk Collection Kit makes pumping, storing, and feeding as easy as 1-2-3! This innovative technology allows breastmilk to be pumped directly into BPA-free collection bags for simple storage and bottle feeding. Spectra’s easy-to-use breastmilk storage system is convenient for busy parents and prevents the exposure of germs that are often present when transferring milk from one storage solution to the next. Assembly is intuitive, clean, fast, and simple. Always keep your milk safe and ready to use with The Spectra Simple Store Milk Collection Kit.

What’s included? 

The Simple Store Milk Collection Kit includes one bottle connector and (10 ct) 200mL milk collection bags. The connector adapts to a Spectra flange when pumping, and seamlessly converts as a bottle with a wide neck cap and nipple (wide neck cap and nipple sold separately). If you are double breast pumping, you will need two Simple Store Milk Collection Kits. Replacement collection bags (30 ct) are available here.  

How does it all work? Easy as 1-2-3! 

Step 1 Pump 
First, remove and set aside the small plastic cap from the collection bag. Next, use the bottle connector included to attach your Spectra flange to the collection bag. Last, sit back, relax, and double breast pump for 15-20 minutes with a hands-free bra to save even more time! 

Step 2  Store
Seal the collection bag with the small plastic cap you set aside prior. Your milk is now ready to be frozen or refrigerated for later use. Learn more on milk storage guidelines here. Expert tip! Remove excess air by gently squeezing the collection bag and freeze flat to optimize space. Use a plastic bin or an empty soda can box to organize your frozen milk stash. 

Step 3 Feed
It’s simple! Feed your baby right from the collection bag. First, twist on the bottle connector. Then, connect the wide neck cap and nipple. All set and ready! Time for a feeding. 

All Spectra Milk Collection Bags are double lined and provide a strong seal ensuring leak-free insulation families can count on. Collection bags come with a built-in temperature sensor, displaying when breastmilk is perfect for your baby. 

Have more questions about The Simple Store Collection Kit? Email us at IBCLC@spectrababyusa.com.

Happy pumping! 

 

 

Single Pumping vs Double Pumping

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Melissa Portunato MPH, IBCLC, RLC

All Spectra baby USA electric breast pumps have the functionality to be used for single or double breast pumping. Research shows using double pumping will help drain the breasts better and make you more efficient. Yet, there could be times you might want to temporarily incorporate single pumping into your daily routine. Ultimately, the more frequently you express your milk, the more milk your body will make. The options are endless with the Spectra Baby USA pumps, and it’s nice to have a new trick in your back pocket to try. Read on to learn more about single pumping vs. double pumping. 

Why Double Pump?

✔ Exclusively Pumping
Mothers may choose to exclusively pump for various reasons such as latching difficulties or concerns about baby’s weight gain. During the first 12 weeks postpartum, your body is establishing your milk supply. Research tells us that new mothers need at least 120 minutes of quality nipple/breast stimulation per day to establish and maintain a full milk supply. Dual pumping both breasts 8-12 times per day for 15-20 minutes will encourage healthy breastmilk production. Studies reveal when double pumping, moms see about 20% more milk. Double it up when exclusively pumping! 

✔ While at Work 
At work, time is limited and pumping often requires adding in some multitasking. Double pumping with a well-fitted pumping bra will free up both hands to type, take calls, or scroll through social media. It also allows for “Hands-on Pumping.” Moms that use their hands before, during, and after pumping see more milk too! 

✔ On the Go 
Even if you are at home with your newborn and other kiddos, you’re still working! Cooking, laundry, virtual school, or running errands, you are busy and often on the go. Double pumping saves you time! Combine double breast pumping sessions with our portable Spectra 9 Plus and you will never skip a beat during your busy day. 

Why Single Pump?

✔ Slacker Boob
It’s normal for milk supply to fluctuate and to pump more milk on one side. If you are looking to increase milk from one breast, try temporarily adding a few quick single pumping sessions in addition to your regular double pumping sessions. Incorporating short single pumping sessions throughout your day can give your milk supply a boost. Even if you don’t see much milk at first, the increased stimulation will send a signal to your body to make more milk. Try it for three days and then stop to give your body a rest. It can take about a week to see an uptick. 

✔ Clogged duct 
Ouch! Clogged ducts can be painful! And though they may appear on both breasts, there’s typically one breast where they occur most often or more stubborn. Have you heard of “dangle pumping?” Just like the name indicates, dangle the breast into the flange to let gravity help drain the breast more effectively. Combine warm compresses with massage and compression while single “dangle pumping” to resolve clogged ducts fast. 

✔ Skin to Skin when Pumping 
Breastfeeding parents often get into the vicious “triple feeding” cycle – nursing, pumping, and bottle feeding. This routine can get old quickly and overwhelm the already exhausted breastfeeding dyad. If you feel exhausted from double pumping while watching your baby nearby, try single pumping while doing skin to skin! Single pumping with baby on your bare chest can help you relax and bond with your baby. It can also help increase milk-making hormones! Take a break and single pump while skin to skin with your baby. Try single pumping for 15 min on each breast while keeping your little one comfy on your bare chest. Enjoy those newborn snuggles! 

✔ Building a small freezer stash
The general rule is to hold off on pumping for the first 6-8 weeks, depending on when you will start to be away from your baby. If you are nursing your baby and want to start storing breastmilk, add single pumping in between nursing sessions a few times a day for 15-20 min. You can expect to see about .25 – 1ounce. This strategy can help build a small freezer stash to help you prepare for your return to work or school. Planning can ease worry and make the transition easier for both you and your baby. The average milk stash is about a day’s worth of breastmilk 20-25 ounces. Remember, you will always be bringing home breastmilk for the next day too! Read more tips on returning to work here. 

Breastfeeding is a journey! Families will often face obstacles, barriers, and challenges along the way. If your wish is to continue to breastfeed, don’t ever lose hope! With the right support, you can continue to meet your breastfeeding goals. We are here for you! Schedule a consultation with the Spectra IBCLC team or email us at IBCLC@spectrababyusa.com 

Sources:

Bonyata, K. (2018, January 02). Exclusive Pumping • KellyMom.com. Retrieved July 27, 2020, from https://kellymom.com/mother2mother/exclusive-pumping/ 

Research on skin-to-skin contact. (2021, February 17). Retrieved March 10, 2021, from https://www.unicef.org.uk/babyfriendly/news-and-research/baby-friendly-research/research-supporting-breastfeeding/skin-to-skin-contact/#:~:text=Researchers%20found%20that%20holding%20babies,with%20obesity%20than%20other%20mothers.

5 Quick Tips for Pumping at Work

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Melissa Portunato MPH, IBCLC, RLC

You’ve finally gotten into a sweet groove with breastfeeding and now it’s time to head back to the office. You can absolutely continue to breastfeed and maintain a healthy milk supply while away from your baby. It can seem overwhelming at first, but all you need are the right tools to help you get into a manageable routine. We know you can do it! We believe in you! 

Here are 5 quick tips to make pumping at work easier.

1) Make a Schedule 

Plan on pumping every 3-4 hours to maintain a healthy milk supply. Set those alarms and block off pumping time on your calendar to make sure you don’t go too long without pumping. Practice at home about a week before returning to work at the times you will be pumping. This will make you more comfortable and confident so you can smash your first day back! 

2) Have a backup plan 

Getting ready for work with a baby can take more time now than when you were flying solo. A checklist can help you make sure that you have everything you need when you leave the house. But even with a system, there’s a good chance that one day you’re going to be in a hurry and forget something crucial, like duckbill valves or your flanges. Keeping replacement parts at work can be a lifesaver. It’s also a good idea to have a handy manual pump in your car or office, just in case you forget your pump altogether. 

3) Go Hands-Free

If you’re pumping at work, getting a hands-free bra so that you can do other things besides holding your breast shields during the time you spend pumping can be a game-changer. It will also allow you to use Hands-on Pumping which can make pumping sessions more efficient. Skip the pumping bra and level up your pumping game with the Spectra Caracups. Pumping with the Spectra Caracups will make the whole process even easier AND discreet if you need to be on a virtual meeting or even in person with a client. 

4) Milk Storage and More 

The more you can leave at work, the lighter the load will be on your commute. If you will be traveling with your pump, choose a pumping bag that can store it all: Spectra pump, cooler case, water bottle, laptop, water bottle, snacks, and other personal items. Check out our new pump, store and feed system! The Spectra Simple Storage Kit uses innovative technology that will keep your milk clean, safe, and always ready to use. No more bottle washing either!  

It’s recommended that you wash all your pumping parts after every use. 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. 

5) Community and Support 

Let your managers and co-workers know in advance that you will be pumping milk for your baby. Make friends with other pumping moms in your office. If there are other women using the lactation room at your office, try to get to know them. Having pumping mommy friends can make your breastfeeding journey even more meaningful. Knowing you are not alone can get you through a rough day and help you press on. Connect with a virtual breastfeeding support group too! 

Can’t get a letdown? This is common when moms return to work. Try to relax. Throw a nursing cover over you, listen to music, or watch videos of your baby. Whatever you do, don’t watch the bottles! It can be stressful pumping on a time crunch and can take some time to get used to. With patience, practice, and support you can continue to meet your breastfeeding goals. 

Are you returning to work virtually from home? We got you covered. Check out our top tips to make the transition smooth and easy!  Need help returning to work at the office or virtual? Our IBCLCs can help with pumping schedules, flange sizing, and much more. Schedule your complimentary phone call or virtual consultation today. 

 

Spectra 9 Plus Electric Breast Pump

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mom holding 9 plus breast pump

The 9 Plus is Spectra’s smallest pump, weighing in at only ½ a pound!  This tiny, but mighty pump offers the ultimate in on-the-go single or double pumping.  The rechargeable battery allows for convenient pumping in almost any location.  Though this pump is small, it isn’t lacking in features!  It provides up to 260mmHg of suction and is still considered hospital strength. The 9 Plus also offers an adjustable Massage Mode along with 10 levels of vacuum in Expression Mode and a convenient timer. The backlit LCD screen is an added feature that moms love as well. Pair this little powerhouse with the hands-free CaraCups and you have a convenient hands-free pumping setup without sacrificing effectiveness! Like with all of Spectra Baby Electric Breast Pumps, this pocket-sized pump also comes with a 2-year warranty. 

The Spectra 9 Plus Features include: 

  • Single or Double Pump capability
  • Vacuum suction up to L10
  • 260 mmHg
  • Weighs only .5 pounds
  • LCD screen
  • ( 2 ) Years Warranty on pump | 90 days on accessories

The Spectra 9 Plus comes with everything you need to single and double pump.

  • Two (2) 24mm 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 9-Volt AC Power Adapter. Includes detachable power cord prongs

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! 

Child Care and the Breastfed Baby

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Melissa Portunato MPH, IBCLC, RLC

It’s likely that at some point, your breastfed baby will be cared for by someone else other than yourself. Sometimes it’s temporary while other times it can be long term like when returning to work. Child care options can vary from private stay at home nannies/family members, private home licensed child care, or commercial child care facilities. 

The process to find the perfect match for you and your baby doesn’t have to be stressful. Your breastfeeding relationship can absolutely continue and thrive with this new milestone. No matter who you choose to care for your baby, your breastfeeding goals should be supported and respected. Read on for tips on finding a caregiver for your breastfed baby including how to connect with local resources and how to share valuable education with your child care provider. 

Support and Communication 
Let’s start here. It’s OK if your child care provider isn’t a “breastfeeding expert” but they should be open and teachable when it comes to feeding mother’s milk to babies in their care. They should be willing and ready to accommodate your requests or accept breastfeeding-friendly education. An “open door” policy is one of the ways caregivers can be supportive of the breastfeeding dyad. Allowing mothers to drop in at any time without notice to pump or nurse their baby on demand protects breastfeeding. If your child care facility pushes back on your breastfeeding requests, then it’s probably not a good fit.

Knowledgeable Staff 
A child care provider whether in a private or commercial setting should have basic training on breastfed infant behavior, proper bottle-feeding techniques, and breastmilk storage handling.  All babies, breastfed or not, should be fed using The Paced Bottle Feeding Technique. This feeding method allows the baby to control the flow of milk, preventing overfeeding. Normal milk consumption for babies 1-6-month-old is 1- 1 ½ ounces per hour. Milk leftover from feedings should be discarded within 2 hours of initial use and proper breastmilk milk handling should be carefully followed. Download the handout here to share with your child care team. Breastfed babies should not be fed on strict schedules but rather monitored for hunger cues. For younger babies less than 3 months old this includes moving head from side to side (rooting), bringing fingers to mouth, and for older babies, actively moving arms and legs while gazing at the caregiver. 

Facility Accommodations 
Breastfeeding friendly accommodations on-site should include a designated area to pump or nurse your baby, other than a restroom. A fridge to store breastmilk and a sink to wash pump parts. You will need to label bottles and/or milk storage containers with the name of your baby and date with permanent, reusable, or personalized silicone labels. 

Additional tips for success:

🗹 Check with your local / state breastfeeding coalition to find breastfeeding-friendly centers here.

🗹 Take a tour with your prospective child care provider first before making a decision. 

🗹 Choose a child care provider nearby. You can hop into pump/nurse or simply check on baby anytime. 

🗹 A low child-adult ratio allows the caregiver to pay more attention to feeding cues and can prevent overfeeding. 

🗹 Long-standing caregivers provide added security your baby is in the care of an experienced professional. 

🗹 Send breastmilk in 1-2 ounce increments to prevent milk from being wasted. 

Always remember you are your baby’s advocate. No matter your breastfeeding goals, you should feel comfortable to easily keep an open conversation with your child care provider. 

Do you still have other questions about child care and breastfeeding? Email us at IBCLC@spectrababyusa.com anytime or schedule a complimentary consultation. Our International Board Certified Lactation Consultants are happy to assist you along your breastfeeding journey. 

We’re in this together and we support you! 

Sources

  1. How to choose a breastfeeding-friendly childcare provider. (2020, February 19). La Leche League USA. https://lllusa.org/choosing-a-childcare-provider/
  2. Proper Storage and Preparation of Breast Milk. (2020, January 22). Center For Disease Control. https://www.cdc.gov/breastfeeding/recommendations/handling_breastmilk.htm
  3. Anne Smith, IBCLC. (n.d.). Caregiver’s Guide to the Breastfed Baby. Breastfeeding Basics. Retrieved January 11, 2021, https://www.breastfeedingbasics.com/articles/caregivers-guide-to-the-breastfed-baby

Which Spectra Pump is Right for Me?

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Jacque Ordner BSN, RN, IBCLC 

With so many breast pump options, it can be overwhelming to make a final choice.  We’re known for our innovative closed system pumps that make pumping more hygienic while also preventing milk from making its way to the pump motor. While all of our spectra pumps offer high quality and amazing comfort, we’ve put together a guide for choosing the best Spectra pump for your specific needs. 

Handy Manual Breast Pump 
This manual breast pump is a convenient, no fuss option for moms who only need to pump occasionally.  It is also a fantastic backup to carry in your diaper bag for those oh-so-inconvenient pump emergencies! No outlets, no problem!  Stuck away from your pump unexpectedly, the Handy Pump has you covered!  Many women are surprised at how much milk they can express with a manual pump.  This BPA free pump holds up to 150ml and provides up to 350mmHg of suction all controlled by the user!  This affordable and versatile pump also makes a great baby shower gift! 

Spectra S2 Plus Electric Breast Pump 
If you’re looking for a workhorse of a pump that is often covered by insurance, the Spectra S2 Plus is it!  This hospital strength, closed system pump allows for single or double pumping, along with loads of additional features, all in a pump unit that weighs in at under 3lbs.  Boasting up to 270mmHg of suction via 12 vacuum levels and 5 Expression Cycles, this pump is perfect for moms who regularly express their milk.  This pump has strength and customization suitable for Exclusive Pumping as well! The multi-phase “suckle” makes pumping with the S2 feel comfortable and natural. The Massage Mode is also customizable with up to 5 levels of suction to help effectively elicit let-down.  The BPA free accessories, LCD screen display, built-in night light, timer, and 2-year warranty make this pump a top choice for many moms! 

Spectra S1 Plus Electric Breast Pump 
A favorite among Exclusive Pumpers, the Spectra S1 Plus includes all the features and functions of the S2 Plus in addition to a rechargeable battery!  The freedom of outlet-free pumping is often offered as an “upgrade” through health insurance plans.  Countless moms have reported the additional cost of the S1 as being “worth every penny”.  It’s no doubt that the 3-hour battery life delivers convenience that can make a pumping mom’s life easier, and when you’re already juggling a thousand things CONVENIENCE MATTERS!  Unplugging this pump doesn’t compromise suction like some other battery powered pumps…….say what?! You still get up to 270mmHg of suction whether plugged or unplugged! And let’s not forget that this amazing pump comes with Spectra’s generous 2-year warranty as well. If a rechargeable pump with the customization of 12 vacuum levels, 5 Expression Cycles, and an adjustable Massage Mode sounds like a dream, then the S1 is for you! 

Spectra S9 Plus Electric Breast Pump 
The S9 Plus is Spectra’s smallest pump, weighing in at only ½ a pound!  This tiny, but mighty pump offers the ultimate in on-the-go single or double pumping.  The rechargeable battery allows for convenient pumping in almost any location.  Though this pump is small, it isn’t lacking in features!  It provides up to 260mmHg of suction and is still considered hospital strength…..wow!!!  The S9 Plus also offers an adjustable Massage Mode along with 10 levels of vacuum in Expression Mode and a convenient timer. The backlit LCD screen is an added feature that moms love as well. Pair this little powerhouse with the hands-free CaraCups and you have a convenient hands-free pumping setup without sacrificing effectiveness! This pocket-sized pump also comes with a 2-year warranty. 

Spectra Synergy Gold (SG) Dual Powered Electric Breast Pump 
The Spectra Synergy Gold is a game changer in the pumping world!  Never before have we seen a pump with so many features and customizable options!  The dual controls allow for independent vacuum settings at 0-270mmHg PER BREAST!  It’s also offers a mute mode for even more discreet pumping. The convenient night light has 3 levels for easy middle of the night pumping, and the touch screen LCD makes selecting your cycle and vacuum a breeze! With 5 cycles in both Massage and Expression Modes, this pump has something for everyone.  Where the S1 and S2 have 12 vacuum levels, the SG has 15 and each breast can be independently adjusted! The possibilities really are endless with this incredible dual pump.  The SG maintains the same high standards as other Spectra models with its closed system and 2-year warranty. 

Remember that no matter which pump you choose, flange size, settings, pumping environment and several other factors can make a huge difference in your pumping experience.  Our specially trained International Board Certified Lactation Consultants (IBCLCs) can optimize pumping!  Schedule your FREE CONSULTATION today or email us at ibclc@spectrababyusa.com for more help. 

 

Nipple Shields: Yay or Nay?

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Melissa Portunato MPH, IBCLC, RLC

Are your nipples sore from nursing your newborn? Are you thinking of purchasing a nipple shield to prepare for your breastfeeding journey? Wait! Don’t grab that nipple shield just yet! Temporary use of a nipple shield combined with proper guidance can salvage a breastfeeding relationship at times, but nipples shields can be widely misused too! Read on to find the answers to everything you need to know about nipple shields. 

Do I really need a nipple shield? 
Far too often, nipple shields are used to mask breastfeeding issues without getting to the root cause.Truth is, most moms do not need them at all. Nipple shields essentially create a barrier between you and your baby. They are infamous for low weight gain, clogged ducts, low milk supply and a ton of other breastfeeding issues, even Mastitis. Some newer research tells us temporary use of nipple shields could possibly salvage a breastfeeding relationship if it’s combined with skilled lactation support early on. 

What are some instances a nursing mom might benefit from the temporary use of a nipple shield?
It’s surprising for most to learn flat or inverted nipples begin to naturally draw out with breastfeeding. Even with inverted nipples that don’t protrude with stimulation, nursing or pumping will draw them out and a nipple shield is not even needed. There may be instances, where the nipple does not protrude and a nipple shield can be beneficial. 

Other special circumstances include premature babies (born earlier than 36 weeks) and transitioning from bottle to breast. The supervised use of a nipple shield has been linked to temporarily improving or prolonging the breastfeeding relationship in some studies. 

How do I use a nipple shield?
If you decide to use a nipple shield, make sure it’s the right size and made of thin silicone material. The shield should fit securely over the nipple and areola. When a baby is latched and actively nursing at the breast there should be visible movement on and around the breast. Also, there should be breastmilk on the tip of the shield. These are all indicators the nipple shield placement is correct. Working closely with a local International Board Certified Lactation Consultant, IBCLC is critical to ensure your baby is nutritively sucking at the breast and transferring adequate milk to grow and thrive. 

Weaning off the shield
Nipple shields are intended for temporary use which means the goal should always be to wean off them. Switch and bait can be an effective technique when weaning a baby off a nipple shield. Start nursing with the shield, slip it off and then quickly re- latch baby directly at the breast. This approach can take patience and practice. Start feeding sessions skin to skin and offer the breast at early feeding cues. Crying is a late sign of hunger and a “hangry” baby will be much harder to latch. 

Protect your milk supply if your baby is not latching by dual pumping using a Spectra Baby USA hospital strength pump. In addition, introducing a supplemental nursing system can aid at keeping baby nursing at the breast while trying to wean off a nipple shield. 

Getting skilled lactation support early can prevent the use of nipple shields all together! Nipple shields are not intended for long-term use and should be approached with caution. If you decide to use a nipple shield work closely with a local International Board Certified Lactation Consultant, IBCLC who has experience with using niplpe shields. 

Do you have breastfeeding questions? Schedule a free Spectra Baby USA virtual consultation with one of our experts to help you on your breastfeeding journey! 

We are here for you and we support you! 

Sources:

Chertok, I. Reexamination of ultra-thin nipple shield use, infant growth and maternal satisfaction. J Clin Nurs 2009;18(21):2949-2955.

Meier, P. et al. Nipple shields for preterm infants: effect on milk transfer and duration of breastfeeding. J Hum Lact 2000; 16(2):106-114.

Kronborg H, Foverskov E, Nilsson I, Maastrup R. Why do mothers use nipple shields and how does this influence duration of exclusive breastfeeding?. Matern Child Nutr. 2017;13(1):e12251. doi:10.1111/mcn.12251

Breastfeeding and Pregnancy

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mom on couch with breast pump

Melissa Portunato MPH, IBCLC, RLC

Did you just find out you’re expecting a new baby and you’re currently breastfeeding? So many emotions can begin to flood your mind when you start to process that a new little one will be joining your family in just a few short months…excitement, joy, anxiety and uncertainty. If you’re pregnant and breastfeeding, you could be asking yourself questions like “Will I need to stop breastfeeding since I’m pregnant? Can I harm my unborn baby by continuing to breastfeed throughout my pregnancy?” Take a deep breath! We got you covered! Read on to get evidence based answers to everything pregnancy and breastfeeding. 

First things first, is it safe?
Nipple stimulation triggers the release of the oxytocin hormone which can trigger contractions. Research tells us less oxytocin is released when a woman is pregnant making it generally safe for a healthy mom to continue nursing while pregnant but not always. If you are exclusively pumping, remember that is breastfeeding! We recommend scheduling a prenatal exam as soon as possible to thoroughly discuss your personal situation with your doctor. If you are considered a “high risk” pregnancy you may be advised to discontinue breastfeeding to ensure your pregnancy will be safe and smooth. The current data reflects breastfeeding and healthy term births are not only compatible but biologically normal.

Changes in Milk Supply and Composition
Hormonal changes in pregnancy can cause milk supply dips and fluctuations, as well as, increased nipple tenderness. Your nursling might want to breastfeed more frequently or become less interested. Supply and demand, won’t typically hold up even if breastfeeding has been increased. Some mothers do not experience a decrease in milk supply at all while others do. Everyone is different. Milk composition will begin to transition into colostrum during your third trimester. Increased sodium levels in breastmilk can change the taste of your breastmilk and this combined with less milk, could lead to natural weaning yet; some kiddos do not mind at all and continue to nurse. The AAP recommends breast milk as the primary source of food for the first year. Closely monitor your baby’s breastfeeding behavior at the breast, weight gain and diaper output to ensure they are growing and thriving. 

Tandem Nursing
Colostrum will be produced for your newborn during the first few days postpartum even if you have continued to breastfeed an older child throughout your pregnancy. Since colostrum is packed with immune properties and prepares the newborn gut for mature milk you want to make sure you are giving your newborn priority at the breast during the early days after delivery. Nursing both of your babies at the same time, called tandem nursing, can be a way to offer emotional security and extra attention to the sibling. Tandem nursing can also help lessen engorgement and create an adequate milk supply. If you decide to wean your older baby, gradual weaning is always best. Avoid being seen in your typical nursing areas, don’t offer the breast but don’t refuse either. Redirecting behavior when asked to nurse can help the weaning process too, like offering a snack or a favorite toy. 

Pumping To Induce Labor and Colostrum Harvesting 
If you haven’t been breastfeeding since the beginning of your pregnancy it’s not recommended to start now unless you are full term (over 38 weeks) and under the care of your medical practitioner. Pumping or hand expressing can be an effective way to kick start labor! If your doctor approves you can start with hand expression or pumping with your Spectra Baby USA breast pump for 10-15 minutes on a low 38 cycle and low suction strength, just a few times a day. Some mothers will even start to see some drops of precious colostrum. You can use sterile syringes to collect, store and freeze colostrum. This can be even extra important if you already know you will be separated from your baby after delivery. Always check with your doctor first when using pumping to induce labor. 

If you desire to continue to breastfeed while pregnant, you are not alone. Breastmilk continues to have benefits for your older child and many mothers safely breastfeed their older babies while pregnant. Work closely with your health care practitioner and surround yourself with support to ensure breastfeeding can continue safely. Spectra baby USA is here for you and we support your decision to breastfeed while pregnant. Schedule a prenatal consult with us and we can help you reach your personal breastfeeding goals. 

Sources:

Amico, J., and Finley, B., Breast stimulation in cycling women, pregnant women and a woman with induced lactation: pattern of release of oxytocin, prolactin and luteinizing hormone. Clinical Endocrinology, 1986 25:97-106.

Journal of Nursing Research, 20 (1) p 74-80. doi: 10.1097/JNR.0b013e31824777c1

Mohrbacher (2010) Breastfeeding Answers Made Simple, Hale Publishing, ISBN-10: 0984503900

Flower H. (2016) Breastfeeding during pregnancy and tandem nursing: is it safe? Recent research, Breastfeeding Today, 11 April 2016

Philippa Pearson-Glaze, Expressing Colostrum Antenatally, Breastfeeding Support, 24 August 2019, https://breastfeeding.support/expressing-colostrum-antenatally/ (accessed 9 September 2020).

 

HELP! My period is back! WHAT NOW?

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Jacque Ordner BSN, RN, IBCLC 

If you’re nursing or pumping for your little one, it can be months before your period returns.  Many moms consider this a bonus of breastfeeding!  However, every mother is different and that means some moms can experience the return of ovulation and their period just a few short months (or sooner) after delivery.  Maybe you’ve heard of the dreaded supply dip that commonly occurs with the return of menstruation.  Fear not! Our tips can help you adjust and adapt with hormonal changes and their effects on your supply.  

Tip #1. Don’t assume you can’t get pregnant before your period returns! Current evidence tells us that fertility returns in stages, and this means a postpartum mother can ovulate well before her period has returned.  For moms not looking to become pregnant just yet, it’s important to take necessary precautions.  Non-hormonal types of birth control are the least disruptive to milk supply, so talk with your IBCLC and your doctor to determine which option is best for you.   

Tip #2 Keep calm and nurse or pump on! A period related supply dip might be enough to keep you up at night, but the best thing you can do is keep nursing or pumping frequently! Some babies will nurse less enthusiastically during this time.  This could be due to subtle changes in milk flavor.  Breastmilk becomes a bit saltier and less sweet during mom’s period.  If your baby is nursing less, it’s important to pump in order to provide adequate stimulation and drainage of the breasts.  This helps safeguard against the dip in supply becoming permanent.  If baby seems dissatisfied with the flow, try switching back and forth between breasts multiple times during a nursing session.  This triggers multiple let-downs and can help boost supply! Pumping moms often get discouraged during this monthly dip and will shut the pump off early or skip sessions altogether.  Avoid this pitfall!  Any reduction in stimulation or milk removal can lead to milk supply decrease.  Keep pumping on your normal schedule even if the milk stops flowing earlier than usual and even if you’re getting less than your typical output.  Consider adding in a power pumping session or even mini pumping sessions to help your supply bounce back once your period is over. 

Tip #3 Address nipple tenderness. It can be shocking to experience new nipple tenderness when you were previously nursing and pumping comfortably.  This new pain can lead to reduced pumping and nursing. Nipple soreness is commonly associated with hormone changes once a mom’s cycle returns, but it doesn’t have to be a deal breaker. Consider trying new nursing positions like koala or laid back.  If nursing is too painful, consider pumping every other feeding to provide some relief.  If pumping is painful, a temporary change in flange size might help.  Some moms find pumping with a larger size to be more comfortable during this time of their cycle. Lowering the vacuum can help too!  If you haven’t tried a slower cycle like cycle 38 on your S1 or S2, we highly recommend it! Don’t forget to use hands on pumping techniques to improve the effectiveness of your pump sessions. Hydrogel pads are also super soothing and can get you through until the temporary tenderness subsides. 

Tip #4 Nourish yourself well. Eating well and staying hydrated are keys to good health in any situation, but even more so for lactating mothers during their period! Iron is an important component of red blood cells.  Choosing iron-rich foods can help replace iron lost during your period.  Pairing those iron-rich foods with foods rich in vitamin-C for will further enhance absorption. Wash down those iron and vitamin-C rich foods with at least 3.8 liters of water as recommended by The Institute of Medicine (USDA) for lactating women. Consuming adequate fluids not only supports milk making, but can also help relieve symptoms of bloating and constipation often associated with menstruation. Concerned about a dip in supply?  Talk with your doctor about adding in a calcium/magnesium supplement starting at the time of ovulation and continuing through the first few days of your period.  

Are you experiencing a dip in supply?  Nipple tenderness got you down?  We can help! Schedule your free consultation with one of our International Board Certified Lactation Consultants HERE.  You can also reach us by emailing ibclc@spectrababyusa.com  We’re here for you!!! 

References 

Bonyata, K. (2020, April 08). Natural treatments for nursing moms • KellyMom.com. Retrieved December 04, 2020, from https://kellymom.com/bf/can-i-breastfeed/herbs/natural-treatments/ 

Dullo, P., & Vedi, N. (2008). Changes in serum calcium, magnesium and inorganic phosphorus levels during different phases of the menstrual cycle. Journal of Human Reproductive Sciences, 1(2), 77. doi:10.4103/0974-1208.44115 

Hartmann, P. E., & Prosser, C. G. (1982). Acute changes in the composition of milk during the ovulatory menstrual cycle in lactating women. The Journal of Physiology, 324(1), 21-30. doi:10.1113/jphysiol.1982.sp014098 

Jackson, E., & Glasier, A. (2011). Return of Ovulation and Menses in Postpartum Nonlactating Women. Obstetrics & Gynecology, 117(3), 657-662. doi:10.1097/aog.0b013e31820ce18c 

Read “Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate” at NAP.edu. (n.d.). Retrieved December 04, 2020, from https://www.nap.edu/read/10925/chapter/1 

 

 

5 Breastfeeding Myths Exposed

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Melissa Portunato MPH, IBCLC RLC

It can be frustrating for parents when they get conflicting breastfeeding advice from nurses, doctors, family members, friends and….shriek! Yes, even lactation consultants! With so much information swarming around the internet, it can be difficult to navigate through it all and get to the hard core truth. We’re here to help! Read on as we bust through a few of the most common breastfeeding myths! 

#1 Breastfeeding Hurts!
Let’s be real. Your nipples are not used to being stretched, yanked and pulled 24/7, especially if this is your first rodeo. Soreness is normal in the beginning but pain, bleeding, scabbing though common is not normal. Good news is that tender skin on your nipple and areola is intended to be stretched. Soreness should subside within the early postpartum weeks. Work with a skilled IBCLC, to assess baby’s oral function and latch – which typically are the main causes of pain. Monitor baby’s soiled diapers every day. Your newborn baby should have at least 6-8 wet diapers and 3-4 stools every day (stool should be the size of a quarter or more). Check flange sizing if you’re pumping! Lubricating the inside of the flange with a drop of olive oil can help with discomfort and create a better seal. Lowering vacuum suction too! Don’t push through the pain, get support! Breastfeeding shouldn’t hurt. 

#2 I’m breastfeeding, I can’t eat dairy.
Not true! There’s no “breastfeeding diet” and no foods that are contraindicated while breastfeeding and this includes dairy. And though cow’s milk protein allergy is the most common allergy in babies it’s not as common as families have been led to believe. Most fussiness in newborns is normal behavior and not related to diet at all. Some telltale signs your baby might have an allergy to cow’s protein can be inconsolable crying for long periods of time, rashes, stuffy nose, blood, mucus, or froth in the stool, just to name a few. Connect with your pediatrician if you suspect your baby may have an allergy. If you do need to remove dairy from your diet simply avoiding the obvious culprits (milk, cheese, etc.) may be enough and your baby may still be able to tolerate small amounts. It can take up to 21 days to completely eliminate traces in your body. Allergies are almost always temporary and your baby’s gut will adapt and mature as they get older. Unless you, yourself are allergic to dairy, there’s no reason to avoid it. 

#3 Breastfeeding only has benefits for the first 6 months.
All breastfeeding experts recommend breastfeeding for the first 6 months but WAIT! It doesn’t stop there. The World Health Organization recommends breastfeeding for the first two years or longer, until mother and baby desire. The benefits of breastfeeding continue way past baby’s first birthday! Breastmilk continues to provide immunological properties and it actually increases in concentration in the second year. Breast milk provides treatment and prevention of many childhood diseases. In addition, breastfeeding provides major mental and social development for your growing child, with research linking breastfeeding past infancy to a more independent child later on. Breastfeeding past the one year mark is developmentally normal and your breastmilk continues to have benefits for your growing toddler. 

#4 Most moms don’t make enough breastmilk for their babies. 
If you are exclusively nursing at the breast you won’t ever know exactly how much milk you are making. Your baby’s diaper output and weight gain will be your gauge. If you are pumping, it’s never really an indicator of your supply; it really just tells us how much milk you can pump. So what do we know? On average a baby that is 1-6 months old will intake on average 25 oz per day which is about 2-3 ounces of breastmilk every 2-3 hours. This is how much milk should be produced to keep up with your baby’s intake. Truth is most mothers can make enough milk for their babies when off to the right start. This includes breastfeeding within the first hour, rooming in and supportive lactation assistance. There are some reasons moms won’t make enough milk. These include pre existing hormonal conditions like PCOS, thyroid dysfunction; and diabetes can be culprits. As well as breast surgeries or trauma to the breast can also affect how much milk a mother can make for her baby. But we never truly know how much milk will be made until baby is here! Every mother and baby dyad is different. 

#5 I can’t breastfeed if I’m sick.
Not only is it OK to breastfeed if you’re sick, but it’s encouraged! Whether it be a stomach bug, cough and cold, or the flu your breastmilk will contain antibodies to protect your baby from getting sick. Especially now, during the global pandemic, breastfeeding while sick is even more critical to protect babies from contracting Covid19. Mothers with Covid19 should be encouraged to nurse their babies directly at the breast with a face covering (if possible) or if too sick to nurse, pump their milk and have a well person bottle feed breast milk. Rebecca Powell, a human milk immunologist at New York’s Icahn School of Medicine at Mount Sinai has discovered 80% of Covid19 survivors tested had coronavirus antibodies in their breastmilk. These discoveries are not only proof breastmilk keeps babies healthy but in addition may provide insight to future treatments in combating the coronavirus. 

We hope this blog post helped boost your confidence, bring awareness and increase your breastfeeding knowledge. Be vigilant and watch out for booby traps! Are you wondering if the advice you heard is true or a myth? Our Spectra baby USA lactation consultants are ready to provide evidence based information so that you can make the best decision for the health of your family. Email us at IBCLC@spectrababyusa.com or schedule a Spectra baby USA complimentary consultation with us today! 

Congratulations on your breastfeeding journey! 

Sources:

Daniel Munblit, Michael R. Perkin, Debra J. Palmer, Katie J. Allen, Robert J. Boyle. Assessment of Evidence About Common Infant Symptoms and Cow’s Milk Allergy. JAMA Pediatrics, 2020; DOI: 10.1001/jamapediatrics.2020.0153

Duazo, P., Avila, J., & Kuzawa, C. W. (2010). Breastfeeding and later psychosocial development in the Philippines. American journal of human biology : the official journal of the Human Biology Council, 22(6), 725–730. https://doi.org/10.1002/ajhb.21073

Cregan MD, Mitoulas LR, Hartmann PE. Milk prolactin, feed volume and duration between feeds in women breastfeeding their full-term infants over a 24 h period. Exp Physiol. 2002 Mar;87(2):207-14.

Alisa Fox, Jessica Marino, Fatima Amanat, Florian Krammer, Jennifer Hahn-Holbrook, Susan Zolla-Pazner, Rebecca L Powell. Evidence of a significant secretory-IgA-dominant SARS-CoV-2 immune response in human milk following recovery from COVID-19; medRxiv 2020.05.04.20089995; doi: https://doi.org/10.1101/2020.05.04.20089995

 

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