Navigating the Formula Crisis

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Melissa Portunato MPH, IBCLC

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

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

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

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

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

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

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

https://www.hmbana.org

https://www.eatsonfeets.org/DonatingAndRequesting

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

Paced Bottle Feeding

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Jacque Ordner BSN, RN, IBCLC, RLC 

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

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

 Why do bottle-fed infants tend to consume more?  

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

 What are the benefits of Paced Bottle Feeding? 

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

 What are the principles of Paced Bottle Feeding? 

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

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

Click HERE for a video demonstration of Paced Bottle Feeding. 

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

References 

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

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

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

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

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

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

Talking “Self Care” With Dr. Rachel

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By Dr. Rachel Goldman Ph.D., FTOS, Licensed Psychologist

Self-care. We have all heard about it and we know we “should” do it, but do we? Self-care is a broad term that encompasses just about anything that we do to be good to ourselves; it’s about being kind to ourselves. It doesn’t need to be going to a 5-star resort or having a spa day, although wouldn’t that be nice? I am talking about something we do more regularly, something you can do on a daily basis that is for YOU. You are probably thinking, how is that possible when I am a mom, have a baby to take care of, need to pump/breastfeed, change diapers, and keep this little human alive, but it’s not only possible, but it is actually necessary. Think about the instructions flight attendants give on an airplane- we need to put our oxygen mask on before we put anyone else’s on. Think about your cell phone- we don’t let our cell phone batteries run low, but we instead keep an eye on it and charge it when needed. Self-care is about knowing when your resources are running low and taking a step back to replenish and recharge.

You may be thinking this is a bit selfish to put yourself first, and especially with a baby at home, but I call it a “healthy selfishness”. When it comes to our health and wellbeing we have to be a little selfish. A “healthy selfishness” is knowing what you need to do (within reason) and allowing yourself to do it. If you think about everything we do for survival, such as sleeping and eating, those are examples of behaviors associated with a “healthy selfishness”. We need to participate in these behaviors in order to survive. We also need to participate in other behaviors to be healthy, both physically and emotionally, such as taking time out of our day for us, for “me time,” and to relax or de-stress. For some that may be going on a run or going to the gym, for others that may mean a quiet and relaxing bath. Whatever it is, it is needed to allow you to de-stress, refocus and be able to be productive and accomplish what you need to accomplish, which includes being a mom and being emotionally and physically available to take care of your little one. Without some of these behaviors and acts of “healthy selfishness” we will eventually burn out and not be productive in any aspect of our life. We may even start to feel regret, sadness, and anger, which is not uncommon feelings during the postpartum time, especially since your life has just drastically changed by having a new baby. These feelings are also signs that it is time to take a step back and to do something about it. We need to monitor and check-in with ourselves in order to see what we need in order to function to the best that we can at that given time. Keep in mind, what we need today may be different than what we need tomorrow. This may also look very different for different people and can change with different life circumstances.

So now what? Here are some things to think about to help YOU find the time YOU need to be the best YOU.

  • Make Yourself a Priority- think of the instructions regarding putting on an oxygen mask on an airplane. Decide that you deserve self-care.
  • What does ‘Me Time’ mean to YOU? This could be just a few minutes to yourself or can be an activity that you enjoy, so you will actually do it. We tend to make excuses for things we don’t enjoy doing, so think about activities that do not cause stress, but rather relaxes and recharges you. Besides the gym and running, I have made pumping be part of my self-care routine. I have my husband give our baby a pumped bottle while I pump, so I have some quiet time to relax and destress. This is also helpful as stress can affect our milk supply, so having this quiet time has been useful and works for me.
  • Use Relaxation Techniques – relaxation techniques, including meditation, massage, yoga, imagery, and breathing are very effective at decreasing stress levels and helping you relax. It can be useful to practice these techniques while you are pumping as well to ensure you are calm and not stressed.
  • Schedule – make sure you set aside time each day just for you (‘Me Time’). Consider this time like an appointment that you wouldn’t miss. Since I pump a minimum of 2 times per day (first thing in the morning and before I go to bed), this is already scheduled for me. I do schedule additional ‘Me Time’ though, including exercise and physical activity.
  • Create a Daily Routine – make it something you look forward to and will become part of your lifestyle. Your daily routine should also include what I call the key health behaviors (water intake, nutrition, physical activity, and sleep). AND these are also all key behaviors to helping your milk supply!
  • Be Assertive and Ask for Help – don’t say yes to everything. Learn to say no or to delegate responsibilities. For instance, my husband gives the morning bottle while I pump. I had to ask him to do this, but when I asked him and explained to him how it would help me (which would also help our baby), he was willing to do it. You don’t know until you ask ☺
  • Find Support – get support from your family, friends, and colleagues. Talk to them about your stress, your ‘Me Time,’ and your plan. Also, find people going through similar things and support each other.
  • Seek Professional Help – if stress and anxiety is impacting your daily functioning and is getting in the way of you fulfilling your responsibilities, there is help. Increased stress for prolonged periods of time can be bad for your physical and mental health, but can also impact your milk supply, and those around you, including your little one.

To YOU, taking care of YOU, YOUR health, and YOUR pumping and breastfeeding journey!

Connect with Dr. Rachel at www.DrRachelNYC.com

Tips to Manage Nipple Pain

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Melissa Portunato MPH, IBCLC, RLC 

Nipple soreness in the first few weeks postpartum is normal as you navigate breastfeeding, but wanting to cry every time you turn on the pump or latch your baby is NOT normal. Painful nipples can be caused by challenges with latching baby at the breast, incorrect flange sizing, or even just pumping on too high of a vacuum setting. Read on to learn our top tips for managing nipple pain during your breastfeeding journey. 

Latch
You’ve probably heard about “THE LATCH” and its importance to your breastfeeding success. The short answer is yes, the latch is everything when nursing at the breast. A proper latch will ensure your baby is nutritively sucking at the breast, which is needed for your baby’s healthy growth and development – your nipples will thank you too! Also, a proper latch will NOT be painful. You will always feel tugging or pulling when pumping or nursing but not pain. If you are working on getting a better latch, try the “laid back breastfeeding’” position. A hangry baby will be much more difficult to latch and will likely not latch. Practice every feeding starting with skin to skin and in between feeds when your baby is calm and alert. Pump with a hospital-grade breast pump if baby is not nursing well or draining the breast to maintain an optimal milk supply. 

Lubricate 
You can treat sore nipples with your very own breast milk! Studies show the antibacterial properties of breastmilk make it the perfect substance to heal nipples and keep them healthy. Hand express breast milk on your nipples after every feeding and allow them to air dry. Combining breastmilk with a cool hydrogel will get your nipples feeling better in no time! 

Lower the Pump Vacuum
If pumping is hurting, try lowering the vacuum. A higher vacuum doesn’t mean more milk. On the contrary, it could be the leading cause of your nipple pain. Depending on your Spectra Breast Pump, you have between 10-15 vacuum levels! That’s a whole lot of suction. You don’t need to work up to high vacuum levels. Moms are surprised that using a medium/low vacuum level can better drain the breast and cause less soreness. Try pumping only on 38 expression mode and set the vacuum to comfort. This setting can help ease nipple pain! 

Check Flange Sizing
If your flange is not the correct size, it can cause soreness and issues with milk supply down the road. Measure your nipples before nursing or pumping for an accurate assessment. Keep in mind that you want your flange size to be 2-3mm larger than you measure.

You can use our easy-to-follow breast shield guide to find the perfect fit. 

Red Flags, Call the Doctor 
Nipple soreness should start to subside about 2-3 weeks postpartum. If you have cuts, cracks, or abrasions on your nipples, you are more susceptible to an infectious form of mastitis. Wash your nipples daily with non-antibacterial soap and allow them to air dry. Make sure you change your breast pads frequently; this will help prevent any infection and allow your nipples to heal faster.

Consult your health care practitioner and a local IBCLC if you have the following symptoms:

  • Prolonged nipple pain or tenderness 
  • Itchy, scaly, or shiny nipples or breasts 
  • Bright red areas of the breasts and hot to the touch 
  • Flu-like symptoms that persist for more than 24 hours 

Spectra baby USA has a team of IBCLCs ready to assist you with your breastfeeding questions and provide local resources to ensure breastfeeding success! 

Schedule your complimentary consultation with us today! 

Which Spectra Pump is Right for Me?

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Jacque Ordner BSN, RN, IBCLC 

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

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

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

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

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

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

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

 

Is My Baby Getting Enough Milk?

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

Hello Breastmilk 

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

Momma the Diaper Slayer 

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

Gulp-up, Buttercup!

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

Fill up that onesie!

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

Off to Dreamland 

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

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

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

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

 

Birth Control and Breastfeeding

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Melissa Portunato MPH, IBCLC, RLC 

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

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

✔ Baby is less than six months old 

✔ Menstrual periods have not yet returned

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

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

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

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

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

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

Effectiveness of Birth Control Methods

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

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

Sources:

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

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

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

 

Maximizing Pumping Sessions

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Melissa Portunato MPH, IBCLC, RLC

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

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

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

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

Watch this video on Hands on Pumping while you pump! 

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

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

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

What is a Doula?

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By Danina Avery Doula, Childbirth Educator, and Breastfeeding Counselor

Doula-ing is the act of educating, loving, respecting, listening, embracing, advocating for, and assisting a person prenatally during labor, childbirth, and after.

Many care providers are running from patient to patient and don’t have the time to sit down and have a conversation and provide a thorough response to every patient’s question. A doula takes the time to open discussions with their client and answer any question they may have, with evidence-based research and without judgment, regardless of how serious or silly the question may seem. In addition, a doula can be a confidant for any doubts, fears and answer any questions. Having an informed birth leads to a more joyful and less stressful occasion.

Usually, especially for a first-time parent, birth is an unknown experience, and the unknown can sometimes be scary. However, a doula understands that although births happen every second around the globe to an individual woman who has never gone through that experience, it can be a life-altering event. Having someone there during labor, continuously providing support, makes a difference when a birthing person and their partner feel lost within the birth world. And even if they aren’t, having someone with knowledge of different positions and movements and providing a calming presence can change the whole view of the birth experience.

As a birth doula, I love holding space for birthing people during their first time through the process as a compassionate presence. Additionally, as a doula, I am prepared with tools to guide the birthing family through the most challenging times. Examples include my rebozo, essential oils, meditation sounds, hypnobirthing audios, and pain-relieving techniques.

In times of doubt of progression or when roadblocks come along, a doula with extensive knowledge of the physiology of birth can help the parents make an informed decision on the next step to take, whether it be to follow through with an intervention or refuse the treatment and try something different.

Once the baby is born, the parents’ lives are completely transformed. A baby comes along with a life-changing schedule, a need for sleep, and a necessity for an abundance of patience. Sometimes, babies are very easy to comfort and take care of during infancy. Other times, they are not easy to manage between two parents who are new to the experience and sleep-deprived. Regardless of the situation, there are many questions new parents have, whether it be about the amount baby is eating, what a diaper rash looks like, what to pack in a diaper bag, the best types of diapers, what bottles to use, how a good latch looks, what babywearing is, how a car seat needs to be installed, or if the baby’s poop is a healthy color. A doula expert in newborn care can help answer all these questions. And if they do not know the answer, they can refer to a list of trustworthy providers.

Teaching parents the importance of self-care is also part of the role of a postpartum doula. Parents tend to engulf themselves by their new baby’s schedule and put their own lives and relationships on the back burner. As a doula, I talk about taking a few minutes to themselves to shower and have a good meal, and even go out to get a cup of coffee so they can feel refreshed. Having parents who have a stable relationship allows a child to grow in a happy environment. Doulas are also trained to look for signs of PPMD (Postpartum Mood Disorders) and know when to provide clients with referrals.

To learn more, follow Danina @midsummers_eve_doula on IG or on her website at: https://midsummersevedoulaservices.com

 

The Magic Number

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By Melissa Portunato MPH, IBCLC, RLC 

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

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

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

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

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

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

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

Source: 

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

 

Unboxing the Synergy Gold

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

Why the Synergy Gold? 

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

What’s in the Synergy Gold Box?

  • Synergy Gold Breast Dual Electric Breast Pump
  • One (1) Spectra 12-Volt AC Power Adapter
  • Two (2) 24mm Spectra Breast Flanges
  • Two (2) 28mm Spectra Breast Flanges
  • Two (2) Spectra Tubing
  • Two (2) White Tubing Connectors 
  • Two (2) Spectra Duckbill Valves
  • Two (2) Spectra Backflow Protectors. Includes silicone membrane, uppercase, and lowercase for each Backflow Protector
  • Two (2) Spectra Wide Neck Storage Bottles with Gold Spectra logo. Includes nipple, cap, disc, and lid for each bottle

Unique features of the Spectra Synergy

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

Find out if your health insurance is covering the Synergy Gold! Learn more here. Can’t decide on which Spectra Breast Pump is right for you? Schedule a complimentary virtual consultation with one of our International Board Certified Lactation Consultants today! We’re here for you, and we support you! 

Exclusively Pumping: Why and How

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By Jennifer Gaskill

As a first-time mother, I experienced both the demanding and rewarding sides of providing breast milk for my child. My breastfeeding journey was unique and challenging. Like many moms today, my expressed breast milk saved the day. Nowadays, exclusively pumping, once the territory of mostly NICU moms, has become the chosen feeding option for more women.

Some women turn to pumping after dealing with latch and supply issues and/or lack of support at the start of their breastfeeding journey.  For these women, pumping is the one way to supply breast milk to their child. Moreover, working mothers must build up a milk bank before going back to work, helping make the transition easier for both mom and baby.  It is essential that moms considering pumping choose an efficient pump.

Choose the right tool

Most experts state that quality, closed-valve, hospital-strength pumps work best.  Exclusive pumpers must choose a pump that can endure five or more sessions per day throughout the breastfeeding experience. Here are some tips for choosing a pump:

  • Choose a pump with 250 mmHg or higher vacuum strength (also known as a hospital strength). Spectra’s single-user pumps are among the hospital-strength pumps recommended to exclusive pumpers. Moms can customize their settings to personalize vacuum pressure and cycle speed.  
  • If you cannot purchase a pump, you can rent one or buy a used one. When using these options, always choose a pump labeled as ‘multi-user’. Otherwise, the motor may not be designed to endure multiple users and an exclusive pumping regiment. Always purchase new accessories/parts; rentals and second-hand pumps include pump and motor only.  
  • Most insurance companies provide coverage for hospital-strength pumps. You can call your insurance plan or go online to determine your breast pump coverage. Breast pumps are issued by “DMEs” (durable medical equipment) and you can find one that works with your insurance plan here.

Timing is everything

Initially, exclusive pumpers should pump as often as the average newborn baby nurses (about 8-12 times per day). Experts recommend pumping every two to three hours. The timing starts from the beginning of one session to the beginning of the next.  To protect your supply, avoid going longer than three hours between pumping sessions.

Maintaining breast milk supply

When starting out, it’s normal to see as little as 2 oz. combined per sessions. As supply builds, average daily output peaks at 19-30 oz.  Around four to six months, supply naturally starts to self-regulate and milk composition changes often to a higher fat content. A similar shift occurs around 8-12 months. Keeping pace with baby’s feeding schedule will ensure your supply continues to meet baby’s needs.   To keep the pump performing at its optimum, you must replace the accessories/parts periodically.

Maintenance and back-ups are essential

Be sure to regularly inspect and replace parts, especially valves and membranes. Exclusively pumping mothers should look to replace these parts every 2 months and part-time pumping mothers every 3 months. Worn, damaged, or incorrect parts are often to blame for supply fluctuations.   Furthermore, have at least one backup set of replacement parts/accessories available in case of emergency.

Support for exclusive pumping moms is out there.  Whether it comes from a close-knit group of friends, a lactation consultant, or an internet community of like-minded moms. We all know providing breast milk for baby is a labor of love, and having the appropriate supplies and resources makes the journey so much easier.  You can join our support community on Facebook here.