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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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

 

How to Avoid Holiday Weaning 

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Jacque Ordner BSN, RN, IBCLC 

Holiday weaning can occur accidentally when we unintentionally nurse or pump less as a result of the busy-ness of the season.  Parties, family gatherings, travel, passing baby around, and more can result in changes in baby’s overall feeding behavior and can also mean fewer successful pumping and nursing sessions. Don’t worry, mamas!  We’ve got your guide for how to avoid holiday weaning! Check out our top tips below:  

#1 Wear your baby. Wearing keeps baby passing to minimum and also insures you’re able to observe and respond to baby’s early hunger cues.  Get baby comfortable in your wrap, carrier, or sling of choice BEFORE entering the holiday gathering.  Your fellow party goers will be less likely to ask to hold baby if he or she is being worn. BONUS:  This also reduces the risk of others sharing their germs with your precious little one.  

#2 Make feedings a priority.  Whether you’re travelling across the country or just across town, make a plan to allow for on demand feedings. Call ahead to your hosts and let them know you’ll be feeding on demand. If your baby is easily distracted, consider asking for a quiet place to feed so baby can focus on the task at hand. If you’re pumping, be sure to make a plan to pump on your regular schedule.  Most airlines and other transportation companies have policies in place to protect nursing and pumping mothers.  If you have questions, don’t hesitate to call them and ask! Talk with your partner about ways they can support you in this as well! 

#3 Avoid overstimulation. Some babies respond to overstimulation by “checking out” or sleeping most of the day.  This is especially common when babies are continually passed from one admirer to another during gatherings. Other babies respond to overstimulation by becoming fussy and irritated.  They know they need some snuggly, calm moments, and the only way they can communicate this is to cry. Wearing baby can limit the requests to pass the baby without forcing you to continually tell others “no”.  It’s okay to be your baby’s voice and let others know if he or she needs a break. Sneaking off to a quiet room, even for just a few minutes, can help baby relax and reconnect with you. 

#4 Be prepared for unsolicited advice. It’s not uncommon for well-meaning family and friends to offer their two cents when it comes to baby care.  Remember that YOU get to decide what is right for your baby! Mentally prepare yourself to shrug off unwanted advice. It’s a good idea to be prepared with a few responses for nay-sayers.  Here are some of our favorites: 

Aunt Hilde: “Is he a good baby?” 

You: “Of course!  ALL babies are GOOD babies!” 

Uncle Bert: “Do you have to do that in here?” 

You: “My baby is hungry.  If you’re uncomfortable with me feeding my baby, you’re welcome to step into the other room until we’re finished.” 

Neighbor: “Is she sleeping through the night yet? If not, some formula might help.” 

You: “She still wakes to eat at night and that’s okay because it is completely NORMAL for babies to wake frequently at night. Did you know it’s actually developmentally normal for babies and toddlers to wake up at night until sometime around 2 or more years old?” 

Cousin Mel: “Are you still breastfeeding? How long are you going to let him do that?” 

You: “My doctor has encouraged us to continue breastfeeding as long as we are both still interested.  Breastmilk provides amazing nutrition and immune factors so I don’t want to limit it!” 

And mamas, don’t forget that PUMPING IS BREASTFEEDING! 

It’s still very possible to enjoy the holidays while also protecting your breastfeeding relationship!  If you need help preparing to breastfeed through the holiday season, reach out for a FREE consultation with one of our specially trained International Board Certified Lactation Consultants. You can also email us at ibclc@spectrababyusa.com . From all of us here at Spectra Baby USA, “Happy Holidays! 

Exclusive Pumping: How To Get Started

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Jacque Ordner BSN, RN, IBCLC 

Exclusive pumping or EP, as it is often referred to, is a term for providing breastmilk via expression rather than direct nursing.  Many mothers choose to exclusively pump for a multitude of reasons.  Most often, moms turn to EP because of latching or nursing difficulties which could include latching pain, milk transfer struggles, and weight gain concerns.  Often, these difficulties are a result of NICU stays or medical obstacles. Other mothers choose exclusive pumping because it fits their lifestyle and goals best.  Whatever the reason……PUMPING IS BREASTFEEDING!  If you’re considering EP, this guide can help you get off to a great start! 

Can I really make enough? Yes, you can!  It’s a myth that exclusive pumpers can’t make a full milk supply like their nursing counterparts.  In fact, many exclusive pumpers make MORE than enough milk for their babies.  Check out our recommendations below on how often and for how long to pump.  We also highly recommend reading up on Paced Bottle Feeding.  This feeding technique is essential for helping baby have more control of feedings and avoiding overfeeding.  HERE is a link to our blog all about Paced Bottle Feeding. Babies take an average of 25oz of breastmilk per day from ages 1-6 months old.  Typical pumping output for EP moms is 2-4 oz every 2-3 hours.  

Get to know your pump. Having a high quality, hospital strength, double, electric breast pump is a must!  We highly recommend our S1 and S2 models as they provide loads of customization, durability, and up to 270mmhg of suction. The S9+ is a fantastic model for on the go or as a “travel pump”.  It weighs only 0.5 pounds and provides up to 260mmhg of suction. No matter which pump you choose, it’s important to know the recommended settings, how to sterilize and clean the accessories, and which parts might need to be replaced at regular intervals.  You can find all this information and more in our Spectra Baby USA Learning Library and Mama Blog. You can even get personalized assistance, when getting to know your pump, by scheduling a free consultation with a Spectra IBCLC! 

How often and how long should I pump? If you’re pumping from the start, we recommend 8-12 sessions, of 15-20 minutes each, every 24 hours.  Research tells us that new mothers need at least 120 minutes of good quality nipple/breast stimulation per day to establish and maintain a full milk supply.  Most moms pump every 2-3 hours during the day and every 3-4 hours at night. Prolactin levels peak during our deep sleep hours, so don’t miss those middle of the night pumps!  Frequently draining your breasts is key when building a supply.  Full breasts result in the buildup of a polypeptide known as Feedback Inhibitor of Lactation (FIL).  FIL does just what its name says and tells your breasts to slow down production if your breasts remain full too long.  As time goes by and your supply becomes more established, you will very likely be able to reduce pumping sessions.  

Check your flange size.  This topic gets a lot of traffic on social media, and for good reason!  Having the right flange size means more comfortable and efficient pumping.  Don’t suffer through weeks of pumping pain…..reach out!  Our International Board Certified Lactation Consultants can help with sizing for free!  Check out our printable flange sizing guide and flange sizing blog post. We recommend waiting until after about 2 weeks postpartum to get sized. 

Set small goals.  Though your overall goal may be to pump until baby is at least one, setting smaller sub-goals can be super motivating!  Your first goal might be to EP for two weeks, then 1 month, then 3 months, then 6 months, and so on.  Every time you hit a goal, CELEBRATE!!!  You’re giving your baby an amazing gift and that absolutely deserves a bit of fanfare! 

Make it easier.  Hands free bras, all in one collection and feeding systems, tracker apps, extra pump parts, the Pitcher Method, and more can make the pump life easier.  Think about the most time consuming and inconvenient parts of pumping and consider ways to streamline. Connect with other EP moms for tips and hacks that can reduce frustration and time spent. 

Make a plan for storing milk.  The CDC has a printable handout listing the general milk storage recommendations.  We highly recommend printing it out and keeping it handy!  It’s also important to store milk in useable portion sizes.  Storing milk in 2oz and 3 oz portions often works well.  Consider how you will rotate your stash.  Many moms pump and refrigerate milk for the next day’s feedings while others pump and freeze milk while pulling from their oldest freezer stash. 

Connect with other EP moms! Exclusively pumping is tough, and having the right support can greatly influence your success!  Consider finding an IBCLC to help customize a pumping plan and to provide guidance for any obstacles you make face.  It’s 100% okay to vet your support system.  Ask potential IBCLC’s if they have experience supporting exclusive pumpers.  If a lactation or healthcare professional doesn’t seem supportive of your EP journey, switch to a new provider who does.  Connecting with other EP moms is also essential.  Look for local exclusive pumper support groups and consider joining our Exclusively Pumping SpectraMoms! Facebook group for tips, hacks, and tons of support. 

Exclusive pumping is an amazing gift for your little one!  We know that EP moms face unique challenges and we salute you!!!!  If you’re looking for help with pumping or just need a few words of encouragement along your journey, we’re here for you! Schedule a free pumping consultation with one of our Spectra IBCLCs HERE. 

Sources: 

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

Bonyata, K. (2018, January 16). I’m not pumping enough milk. What can I do? • KellyMom.com. Retrieved July 27, 2020, from https://kellymom.com/hot-topics/pumping_decrease/ 

Lawrence, R. A., & Lawrence, R. M. (2016). Breastfeeding: A guide for the medical profession. Philadelphia, PA: Elsevier. 

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

Sisters, Not Twins

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Melissa Portunato MPH, IBCLC, RLC

Breasts are asymmetrical which means they can come in different shapes and sizes. They can also vary from side to side too! They’re sisters not twins. In fact, it’s pretty common for breasts to be uneven by a cup size or less, and more than half of women have some variation between breast size. No matter the size and shape of your breasts and nipples, rest assured mamas they are perfect for your baby. 

Factors that contribute to shape and size
During puberty, a girl’s breasts will begin to bud right under the nipple. It’s not unusual for one breast to start to develop first. Breast unevenness during puberty is normal and usually improves over time. A person’s genetics, body fat, and age can all influence the shape of the breasts, areolae, and nipples. A few of the most common breast shapes include: bell shaped, athletic, slender or tear dropped shaped. Nipples can be elongated, short, wide, flat or inverted. Moms can even have a supernumerary or extra nipple! Breasts / nipples types can vary from side to side and can have a combination of types and features. 

Changes in Pregnancy and Breastfeeding 
The response to fluctuating hormone levels such as with pregnancy and breastfeeding can influence changes in breast characteristics. During the first trimester (1-12 weeks), as a mother’s body starts to prepare for breastfeeding, breasts can become tender and sensitive. This is usually the first indication a mom might think she’s pregnant…sore breasts. As estrogen and progesterone levels continue to rise, the size of the breasts will increase and moms can sometimes continue to feel tenderness and swelling as the months progress. Pregnant moms will notice as they get closer to delivery their nipples and areolae will begin to darken. Why does this happen? Pregnancy hormones can cause skin pigment to darken making the areola a direct bullseye to baby’s food source! Your breasts! 

The size of your nipples will also change when you begin to breastfeed. We recommend sizing your nipples about 1-2 weeks after delivery to find the right flange fit. Check out our sizing guide! It’s normal for nipple size to fluctuate throughout your breastfeeding journey especially when there are changes to your routine. Skipping the middle of the night pump, returning to work, or transitioning to exclusively pumping can be some examples that can impact the shape of your nipples. The return of menstruation can also cause tender or swollen breasts / nipples as well as temporary dips in supply. Resizing your nipple diameter and switching flanges sizes can be helpful to keep you pain free. 

But what about milk output? What’s normal? 
Babies between 1-6 month old will consume between 25-30 ounces per day of breastmilk. This is a great goal for moms exclusively pumping and wanting to keep up with baby’s intake. Moms who exclusively pump or pumping for a missed feed will see about 3-4 ounces (combined, both breasts) each pumping session. While moms who pump in addition to nursing at the breast will see about half (.5-2 oz , combined both breasts).

Pumping and Flange Sizing 
Breast and nipple size can vary on each side and it’s quite common for moms to respond differently with adjusting cycles on each side. It can be frustrating but quite common for one breast to produce more milk than the other. Do you notice one breast is producing significantly more than the other? Check out our previous blog When One Breast Produces More Than The Other. Sometimes moms will need to use different flanges on each side to accommodate and that’s OK! Maybe one side is more prone to clogged ducts or one nipple is more elastic. Troubleshooting the flanges can help! Lubricating with coconut oil can ease discomfort and create a better seal. Repositioning flanges while pumping may also be necessary to keep the nipple centered and milk flowing freely. Tip: Instead of double pumping, try single pumping for 15 minutes on each side while keeping it steady on expression 54. Try the other breast steady on expression 38. Vacuum is always to comfort. Is there a side that responded better? Single pumping allows for more concentration on one side and can help find your “magic Spectra number.” Don’t forget to use your hands before, during and after! 

It’s important to know the signs when something isn’t right. Perform routine self breast examinations and keep up with your yearly well checkups. Studies tell us, breast / nipple shape and size typically return back to normal after breastfeeding. Phew! That’s encouraging news! Remember mamas your breasts are sisters not twins! Your body is perfectly designed to create, birth and feed your baby. 

Got questions about flange sizing? Are you having pain when pumping? Connect with our free lactation services hosted by an International Board Certified Lactation Consultant. You’re not alone on your breastfeeding journey. We’re here for you and we support you! 

Sources:

de Holanda AA, Gonçalves AK, de Medeiros RD, de Oliveira AM, Maranhão TM. Ultrasound findings of the physiological changes and most common breast diseases during pregnancy and lactation. Radiol Bras. 2016;49(6):389-396. doi:10.1590/0100-3984.2015.0076

Butte NF, Garza C, Smith EO, Nichols BL. Human milk intake and growth in exclusively breast-fed infants. J Pediatr. 1984 Feb;104(2):187-95. doi: 10.1016/s0022-3476(84)80990-7. PMID: 6694010.

https://www.healthline.com/health/breast-shapes

 

The Over Achiever: When one breast produces more than the other

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By: Jacque Ordner BSN, RN, IBCLC 

Have you noticed that one of your breasts seems to consistently produce more milk?  If you’re pumping, this may be even more noticeable.  If your baby nurses, you may have noticed that he or she prefers one side or seems to finish nursing on one side much faster than the other.  Rest assured, this is normal!  One study of exclusively pumping mothers found that in 65.7% of pumping sessions observed, the right breast produced at least slightly more milk.  In another similar study, only 2.6% of the exclusively pumping mothers displayed equal pumping output from both breasts.  

Why does this happen? So, we know it’s normal for one breast to produce more or to have a greater pumping output, but WHY? Breasts aren’t typically symmetrical.  Like many other parts of the human body (eyes, hands, feet, ears, etc.) a degree of asymmetry is normal.  This can mean a difference in the amount of milk making tissue (alveoli) or even in the amount and size of milk ducts.  Many times, mothers can readily observe a difference in the size of their breasts and also notice that one commonly feels “fuller” than the other. Other less common reasons for this discrepancy include previous breast surgery and previous injury or trauma to the breast. Rarely, asymmetry is caused by a disorder known as Poland Syndrome.  This syndrome is evidenced by missing or underdeveloped muscle tissue on only one side of the body and often results in one breast being dramatically smaller and less developed than the other. In general, breast asymmetry is completely normal as is having one breast that produces more milk.  We like to call that breast the Over Achiever. 

We’ve compiled a few tips to help “even out” milk output: 

  • If you’re pumping, consider trying different settings to see if each breast responds differently to certain cycles/vacuums.  Once you determine which settings are best for each breast, determine a plan to incorporate these settings into your typical pump session.  For example, some woman report that one breast responds best to Massage Mode (cycle 70) while the other responds well to an Expression Mode cycle.  Moms often have great success with switching between the two modes like the example below: 

            -5 minutes at cycle 70 

            -5 minutes at cycle 54 

            -5 minutes at cycle 70 

            -5 minutes at cycle 38 

*Remember that higher vacuum doesn’t necessarily mean more milk!  We never recommend increasing the vacuum to an uncomfortable level. 

  • Consider adding more stimulation for the lower producing side. If you’re pumping, this can be as simple as starting or ending the pumping session with just a few extra minutes of single pumping on the lower producing side.  If you’re nursing, consider starting sessions on the lower producing breast or adding a few minutes of single pumping on that side after nursing. 
  • Do YOU have a preference? It’s not uncommon for mom to unknowingly develop a preference for feeding from one side over the other.  We often prefer to keep our dominant hand free, and therefore may feed more often or spend more time on the opposite side.  Keeping a simple log of feeding times for each side can help highlight any preferences you might not have noticed otherwise.  
  • Encourage better nursing and greater pumping output with your hands! If baby tends to stop nursing on the less preferred side sooner, consider incorporating breast compressions while nursing. This can help keep the flow a bit faster and more interesting for baby. It can also make milk removal easier. Similarly, Hands On Pumping is a technique that can help elevate your lower producer to Over Achiever status.  Check out this video from Stanford University: https://med.stanford.edu/newborns/professional-education/breastfeeding/maximizing-milk-production.html 
  • Add in hand expression. One breast may give less output because it just doesn’t respond to pumping as well as the other.  Hand Expression is a technique that can help increase pumping output not only for the lower producing breast, but even for the Over Achiever breast as well!  A few ways to incorporate hand expression include in between pumping or nursing sessions, following pumping or nursing sessions, or when you’re running short on time and can’t fit a full pumping session in.  Here’s a link for a fantastic resource on the topic: https://med.stanford.edu/newborns/professional-education/breastfeeding/hand-expressing-milk.html 

Keep in mind that it is normal for one breast to be the over achiever and it’s absolutely ok if you choose to do nothing to even out the supply.  Having a lesser producing breast doesn’t mean there is something wrong, it just means our bodies aren’t perfectly symmetrical! However, if baby consistently fully refuses one breast, if there is a noticeable change in size or shape of only one breast, if there is a lump that doesn’t go away or grows, or if there is a lump that doesn’t move with the breast tissue, reach out to your healthcare provider as soon as possible. Additionally, if baby seems uncomfortable turning toward one breast or always seems to turn his or her head in the same direction, reach out to your pediatrician for further evaluation for conditions such as torticollis.  Should you desire to bring both breasts to Over Achiever status, incorporating the tips above is a great place to start! 

Keep on keeping on, mamas!  We know you’re doing your very best to provide your babies with the best start and we support you! If you have questions about uneven milk supply or any other breastfeeding related topics, we can help! Our International Board Certified Lactation Consultants are available for free consultations at www.spectrababyusa.com/lactationservices.  You can also email us at ibclc@spectrababy.com  Happy pumping! 

References 

Engstrom, J. L., Meier, P. P., Jegier, B., Motykowski, J. E., & Zuleger, J. L. (2007). Comparison of Milk Output from the Right and Left Breasts During Simultaneous Pumping in Mothers of Very Low Birthweight Infants. Breastfeeding Medicine, 2(2), 83-91. doi:10.1089/bfm.2006.0019 

Hill, P. D., Aldag, J. C., Zinaman, M., & Chatterton, R. T. (2007). Comparison of Milk Output Between Breasts in Pump-Dependent Mothers. Journal of Human Lactation, 23(4), 333-337. doi:10.1177/0890334407307575 

 

Bringing Baby Back to the Breast

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Jacque Ordner BSN, RN, IBCLC 

There are scores of reasons why nursing at the breast may have gotten off to a rocky start or, perhaps, didn’t get off to a start at all.  Many mothers desire to bring their babies back to the breast after a period of bottle feeding.  While returning baby to the breast can be emotional, having the right tools, appropriate expectations, and the right support is essential for giving you and baby the best chance of achieving a successful latch. The following tips can help get you started. 

    1. Find a skilled International Board Certified Lactation Consultant.  An experienced IBCLC can help guide you and let you know what interventions to incorporate when.  Don’t be afraid to ask your potential IBCLC if they have experience with exclusive pumping and getting baby back to the breast.  It’s okay to be choosy when lining up your support team! This Find a Lactation Consultant directory can help put you in touch with IBCLCs in your area. 
    2. Consider the age of your baby and the potential reasons latching was difficult. Babies under 4 months of age tend to have a much easier time learning to nurse after a period of bottle feeding.  Older babies have been known to begin latching after having only bottles, but this is less common and often requires considerably more time. In many cases, the initial cause (or causes) of latching difficulty have been eliminated or reduced.  For example, moms and babies often pursue nursing after oral ties have been revised, low milk supply has been increased, baby has been discharged from the NICU, etc.
    3. Skin to skin is powerful! One of the first ways to help ease into latching is to soak up as much skin to skin time as possible.  Skin to skin helps engage baby’s inborn feeding behaviors and reflexes while contributing to a powerful hormone feedback system between mom and baby.  Skin to skin results in the release of Oxytocin, creating a bonded feeling and encouraging mom’s milk to let down.  Many moms and babies find latching success while taking a warm bath skin to skin.  Don’t underestimate the effects of skin to skin! 
    4. Paced Bottle Feeding is key. Many nursing relationships have been halted due to baby’s preference for the faster flow and ease of the bottle.  Paced Bottle Feeding is a technique that helps mimic the slower, less consistent flow of the breast while feeding from a bottle. Check out our blog post for Paced Bottle Feeding tips. Implementing Paced Bottle Feeding can help your baby transition to nursing at the breast by setting the expectation for a realistic flow rather than fast, immediate gratification.   
    5. Keep the experience positive.  Attempting to latch an already ravenous baby is not likely to go well.  In fact, doing so can lead to a negative association with the breast.  Choose a time to offer the breast when baby is calm and not excessively hungry.  Watching for early hunger cues like sucking on hands and fists, smacking lips, sticking out the tongue, rooting, and restlessness can help.  Many moms find great success in offering the breast while baby is sleepy.  If baby becomes upset, stop and comfort baby before attempting to offer the breast again.  It may also be helpful to allow for a small feeding from the bottle before finishing at the breast. This can “take the edge off” of baby’s hunger and help ease tensions.  Skin to skin before offering the breast is another great way to put baby in a calm state. 
    6. Make sure baby is well fed.  Intake from a nursing session can’t be precisely measured as intake from the bottle can.  For this reason, it is especially important to continue supplementing until you are confident baby is nursing successfully.  A well trained IBCLC can help assess baby’s nursing abilities and weight checks and diaper counts can help put mom’s mind at ease. 
    7. Consider the use of nursing tools. Many babies transition back to the breast by use of a nipple shield.  The texture of nipple shield feels similar to that of a bottle nipple, and many reluctant babies are much more likely to take a nipple with a shield over a bare nipple to start.  Squeezing a small amount of breastmilk onto the tip of the shield can also help entice baby to latch. Another tool that can be used with or without a nipple shield is a Supplemental Nursing System (SNS).  An SNS is a tool that helps deliver a supplement of breastmilk or formula via a thin tube placed alongside the nipple and connected to a bottle.  This is especially helpful for moms with low milk supply and for babies who struggle to transfer milk at the breast.Click here for a video demonstration of feeding with an SNS.  *We highly encourage working with and IBCLC if you plan to incorporate a nipple shield or SNS. 

Remember that nursing doesn’t have to be “all or nothing”.  Many moms and babies find feedings work best when they do a combination of nursing and bottle feeding.  Many bottle fed babies still like to nurse as much for comfort and closeness as they do for nutrition.  Breastfeeding looks different for different families, and PUMPING IS BREASTFEEDING!  We’re here to support you and offer any help we can as you navigate your breastfeeding journey.  Email us at ibclc@spectrababyusa.com or set up a free consultation with one of our IBCLCs at www.spectrababyusa.com/lactationservices. 

Breastfeeding and Benefits For Mama

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By Melissa Portunato MPH, IBCLC, RLC

You’ve likely heard all the amazing benefits of breastfeeding for your baby and how it can give them the very best start at life. Less risk of allergies, asthma, ear infections, obesity, a strengthened immune system, and so much more. But did you know that the benefits of breastfeeding are not only for your nursling but for you too? Read on to learn more! 

Reduces Risk of Breast and Uterine Cancer 
Breastfeeding can help shed cells with potential DNA damage which can reduce the chances of pre and post menopausal breast cancer. Estrogen can promote cancer cell growth and since breastfeeding delays ovulation this means less lifetime exposure, significantly reducing the risk of ovarian cancer. Studies tell us the longer you breastfeed for, the more protection you will have against both breast and ovarian cancer so nurse on mamas! It’s good for you! 

Less Osteoporosis With Age
Osteoporosis is a disease that weakens the bones and can make fractures sudden and easier to happen. Women are four times more likely to suffer from osteoporosis. By age 50, 1 out of 2 women will break a bone due to the disease. It’s known that while a mother is breastfeeding her bone density will be reduced by up 10% because ovulation is delayed. But when menstruation once again returns, her bones will regain strength. A review of 911 articles relating to breastfeeding and osteoporosis calculated a 0.9% reduction of any fracture from osteoporosis for each month of breastfeeding. More specifically, there is a 1.2% decreased risk of hip fracture for every month of breastfeeding! Breastfeeding can help keep mamas bones healthy and strong! 

Less Chance Type 2  Diabetes
A 30-year study published in 2018 showed the effects breastfeeding can have on diabetes incidence in women of child-bearing age. The study concluded breastfeeding for 1 year can lower your risk of type 2 diabetes from as much as 47%. But how does that all work? Lactation results in lower circulating glucose levels, which in turn lowers insulin secretion. Prolactin (milk making hormone) has also been linked to preserving the function of pancreatic cells. In conclusion, the duration of breastfeeding shows an independent relationship to lower incidence of diabetes, even when other risk factors are considered. 

Less Hypertension Decreases Blood Pressure
High blood pressure is often referred to as the silent killer because it can be present with no known symptoms. Alison Stuebe, a lead researcher at the University of North Carolina, Chapel Hill has studied the correlation between high blood pressure and breastfeeding mothers and stated, “Women who never breastfed were more likely to develop hypertension than women who exclusively breastfed their first child for six months or more.” Stuebe and her team analyzed the correlation between breastfeeding and later risk of high blood pressure among  56,000 U.S. women that had at least one baby. Though, the study does not indicate breastfeeding has a direct correlation with healthier blood pressure, it did depict the odds for developing high blood pressure were 22 percent higher for women who did not breastfeed their first child, versus women who exclusively breastfed for six months. The best way to protect yourself is to know the risks associated with high blood pressure and routine monitoring with your medical practitioner. 

In general, experts recommend that mamas and babies breastfeed exclusively for the first six months to receive the optimal benefits, but the longer a mama can breastfeed for the better. Breastfeeding is a mutually exclusive relationship and there is no need to stop if mom and baby are happy and desire to continue. Breastfeeding provides overall health benefits for mom and baby that will last a lifetime. 

Sources:

Lancet 2002 Jul 20;360(9328):187-95. doi: 10.1016/S0140-6736(02)09454-0. Breast cancer and breastfeeding: collaborative reanalysis of individual data from 47 epidemiological studies in 30 countries, including 50302 women with breast cancer and 96973 women without the disease

Collaborative Group on Hormonal Factors in Breast Cancer, PMID: 12133652 , DOI: 10.1016/S0140-6736(02)09454-0

Gunderson, Erica P., et al. “Lactation Duration and Progression to Diabetes in Women Across the Childbearing Years.” JAMA Internal Medicine, 16 Jan. 2018, pp. 1–10., doi:10.1001/jamainternmed.2017.7978.

Gunderson, Erica P., et al. “Lactation and Progression to Type 2 Diabetes Mellitus After Gestational Diabetes Mellitus.” Annals of Internal Medicine, vol. 163, no. 12, 15 Dec. 2015, pp. 889–898., doi:10.7326/m15-0807.

American Journal of Epidemiology, Volume 174, Issue 10, 15 November 2011, Pages 1147–1158, https://doi.org/10.1093/aje/kwr227 Published: 12 October 2011

https://www.cdc.gov/breastfeeding/data/healthstyles_survey/

https://my.clevelandclinic.org/health/diseases/4443-osteoporosis

https://lacted.org/blog/questions/breastfeeding-osteoporosis-fractures-females/

 

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