Pain vs. Discomfort with Breastfeeding: When to Call Your Provider

/0 Comments/in /by

Breastfeeding should not hurt. Nipple soreness and tenderness during the first weeks is normal as your body begins to learn how to nourish a baby at the breast. When a baby is latched and feeding correctly, there is no reason you should be experiencing any pain, yet so many women suffer from breast and nipple pain when feeding. So when should you call your provider?

Discomfort vs Pain

Discomfort is defined as an annoying inconvenience that is still tolerable.  As you adjust to breastfeeding, your tender breast tissue is not used to being sucked on over eight times per day. Thus, things can get a little raw.  Using breast compressions for a better let down, using breast milk to heal and treat sore nipples, and alternating positioning can all help with the transition. Discomfort during feedings, might involve mildly chafed skin or a short bout of pain (under 30 seconds) at the beginning of a feed. These symptoms are usually from getting used to breastfeeding in the first 1-3 weeks but typically should not last much longer. Symptoms that cause discomfort don’t usually affect your quality of life or outlook on breastfeeding.

Pain is defined as a sensation that is affecting your normal daily routine.  If pain is making you dread breastfeeding due to sharp deep pain or cracked bleeding nipples help is definitely in order.  If you’re trying not to grind your teeth or want to scream expletives into a pillow, it probably means you should get some help as soon as possible!  Adjusting to life with a newborn can be hard, there is no reason that breastfeeding pain should be one of those reasons.

Trouble with Latch

The top reason for nipple pain with breastfeeding is due to a poor latch.  Unfortunately, a poor latch is a very common issue when first starting out.  There are a lot of causes but common ones include inverted nipples, tongue tie, and low birth weight (making baby’s mouth small for a nipple). Like any new activity, it can take some practice and guidance for both mom and baby to get the hang of latching correctly.  An International Board Certified Lactation Consultant (IBCLC) can show you signs to look for and how to optimize your positioning to make your baby’s latch the best it can be.

Engorgement Issues

Engorgement is a common issue with the start of breastfeeding as the breasts adjust and learn to keep up with your baby’s specific needs. This can make the breasts more sensitive and harder to latch on for baby.  This should adjust with time but in the meantime, some advice on effectively managing engorgement can make a big difference.

Thrush or Vasospasm

Thrush is caused by a yeast infection.  It typically starts in the baby’s mouth and can be spread to your nipples if not caught quickly.  This typically causes sharp shooting pain and intense itching of the breasts. Vasospasm is a circulatory problem that can also cause sharp nipple pain and leave the nipple looking blanched due to poor blood flow.  Poor circulation can be caused by issues like poor latch, a bra that is too tight or cold weather. Both these issues can make feeding unbearable, with some women choosing to pump until they recover or even stop feeding altogether.  The good news is treatment is available for both and you can continue feeding with the help of your provider.

Still not sure? Talk to a local Spectra Baby USA Certified IBCLC

Pain is the top reason for women to call it quits on breastfeeding.  It is crucial to get support when you are struggling, whether you think it’s normal or not. Since it’s recommended to breastfeed for at least 6 months (although 1-2 years is now considered ideal for baby’s health), continued feeding is crucial to give your baby all of those amazing benefits from your milk.  Getting help early on has been found to greatly reduce the chance of early weaning.  Your provider or breastfeeding consultant can provide insight and tips that you may not have thought of to make the breastfeeding journey as smooth as possible.  Sometimes just having that added support can make a world of difference. It’s always good to add another cheerleader to your team as you conquer motherhood!

Regardless of how you would categorize your pain, if you feel something is off or that nursing could be better, don’t hesitate to get the support you need.  You can schedule a one on one consult with a Spectra Baby USA Lactation Consultant here. Surround yourself with as much support and knowledge as possible. Check out our extensive blog of resources!  Don’t think you have to do it alone. Spectra Baby USA is here for you!

What is a “Baby Friendly” Hospital?

/0 Comments/in /by

photo credit: victoryrosephotography

By Melissa Portunato MPH, IBCLC, RLC

You’ve learned about all the benefits of breastfeeding. You bought all your neat breastfeeding accessories, and breastpump. You are so ready for this! But wait. One more thing…is your maternity birth facility “Baby Friendly?” Where you deliver your little angel can impact your breastfeeding relationship long term and can even increase your chances of being successful. Read on as we share the facts about The Baby Friendly Hospital Initiative (BFHI) and why it’s important for you to be informed.

What is the BFHI?

The Baby-Friendly Hospital Initiative (BFHI) is a global initiative that was created in 1991 in response to lactation policy makers and the urgent need for better breastfeeding practices worldwide. BFHI was launched by UNICEF and The World Health Organization to ensure maternity facilities around the world become centers for breastfeeding support. BFHI mandates the implementing of tools and materials such as Ten Steps to Successful Breastfeeding and the International Code of Marketing of Breast-milk Substitutes. Hospitals that meet the global criteria and complete an external assessment of implementation receive the designation of “Baby Friendly.”

Why “Baby Friendly?”

If you are committed to breastfeeding and don’t have a lot of support, delivering at a designated baby friendly facility will help you get breastfeeding off to a good start. Baby-Friendly designated hospitals foster a supportive breastfeeding environment with practices such as: initiating breastfeeding within one hour after delivery, keeping mommy and baby together by “rooming in”, no offering of pacifiers or bottles unless medically necessary, and sharing of support resources at discharge. All hospital staff working with mothers and babies are required to take a breastfeeding class to be able to offer support. In the event that mother and baby are separated because of an unforeseen circumstance or emergency, mothers are taught how to maintain lactation during this time. Baby-friendly practices are evidence-based and allow for the very best start to the breastfeeding journey.

Where can I find a Baby-Friendly Facility?

Since its inception, over 15,000 facilities have been designated “Baby Friendly” in 134 countries. Specifically, in the US, there are currently 534 baby-friendly hospitals. In the areas where BFHI has been implemented breastfeeding rates are on the rise and in turn, provide long-term benefits to child health. Updates on BFHI as well as other effective breastfeeding programs are currently published and archived by UNICEF.

Are you pregnant or thinking about getting pregnant? It’s never too early to get informed and be prepared. Locate the nearest Baby Friendly Hospital near you here. Surrounding yourself with education and support resources from the beginning will set you up for success. Our IBCLCs are always available to answer your breastfeeding questions, offer advice and provide encouragement. At Spectra Baby USA we believe in breastfeeding and we believe in you!

Bereavement Pumping: Our Senior IBCLC’s Journey

/2 Comments/in , , , /by

Bereavement Pumping: Our Senior IBCLC’s Journey
Jenn M. Foster, MA, CD, IBCLC, RLC

It’s been 4 months, nearly 5 months, since we lost our little “dove baby”, Nolan. His birth date was November 2, 2018. Yes, I say “birth date” because he was born. We held him in our arms, loved him and kissed him. My husband, Chris, even wrote him a poem which was read to him with such endearment.

Since his passing, his milk has helped so many babies. His story has touched so many lives, even reaching mothers in the UK!

I have pumped over 450 hours since November 4, 2018. Last week, I shipped 100oz to Mother’s Milk Bank of Florida and donated 400oz to local babies in need.

Yes, I do formal and informal milk donations. Formal milk donations through a milk bank and are provided to fragile babies in the NICU. Other babies in need receive human milk through milk banks that qualify.

For informal milk sharing, I seek to find local mothers in need. I find these mothers in need through Facebook groups, such as Human Milk 4 Human Babies. There is a lot of controversy over informal milk sharing. The controversy lies in the fact that such milk could be donated to milk banks across the country. However, there are babies who aren’t eligible for human milk from milk banks, such as our third (Emery) and fourth (Lincoln) babies.

I used 20% donor milk at breast with an SNS to make up for the supply that I wasn’t able to produce. They were our first little ones after having breast cancer and subsequent surgeries. Despite nursing on demand and pumping after every feeding, I was still only able to produce 80% of their daily intake.

For mothers who choose to obtain milk through informal milk sharing, there needs to be diligence on the mother’s part to ensure that the donor is free of harmful conditions, such as HIV and other illnesses. It’s important for the mothers who donate to follow the HMBANA guidelines to ensure they are healthy to donate the milk that is being shared is safe for ingestion.

Mothers can donate their milk through the Human Milk Bank of North America, by finding a milk bank in need that is within their region of the United States. There is always a need for human milk. In fact, there are measures being taken to ensure that insurance companies, including Medicaid, cover milk from a milk bank in order for NICU babies to have its’ life saving properties.

Now, back to my journey…

Every day, I pump my heart out to store Nolan’s milk. I use a hospital strength breast pump and express every 2 hours. I use a pumping app to track the time I’m pumping and quantity I pump each time. I even have alarms set on my phone to let me know when I need to pump.

I have a special pumping station set up that houses my milk storage bags, extra pump parts, breast pads and breast milk sanitary wipes. I keep my “Nolan Bear” (bear that was next to Nolan after birth at the hospital) next to me for every pumping session. Knowing that he is with me helps when it gets hard, and it is hard!

No one talks about bereavement pumping. It’s something that often isn’t even supported or offered at birth. When in the hospital, not one nurse or IBCLC talked to me about pumping his milk or even what I would do when my milk “came in”. Honestly, I hate when people say “when the milk comes in” because mothers at birth already have the perfect milk: colostrum. So, let’s say “when the milk increases in volume”.

I requested a pump to use at the hospital on November 4, 2019 (two days after his birth due to the trauma I was dealing with from his death). That started my journey of wanting to pump for one year.

Though I know that pumping is healing, it is hard to not have him at breast. Seeing all the posts on Facebook and Instagram of these amazing nursing photos and milestones that friends are experiencing with their newborns is heart wrenching. I want more than anything to have him here with us.

Every pumping allows me to still connect with Nolan. It’s so healing. I’m now looking into providing a webinar on “Bereavement Pumping”! I started a Bereavement Pumping group to find other moms that are on the same journey.

Support Resources:

https://stillbirthday.com/

 

How To Deal With Mom Shaming

/0 Comments/in /by

In a social media savvy world, it’s easy to find entire groups of people that either fiercely supports or opposes any topic you can think of (politics, diet, exercise, etc.).  Unfortunately, this is also a very harsh reality for all topics related to raising your baby and mommyhood.  This can not only make for a confusing and exhausting existence as a mom, but it can be downright depressing when “mom shaming” comes into the picture.  Whether you are being lashed out at or having trouble holding your tongue at someone’s opinion, here are some pointers to keep in mind to navigate today’s opinionated world.  

Don’t react.

As humans, we get easily defensive when our ideas and values are challenged.  These gut reactions are important when it involves our safety but it can be extremely unproductive when trying to sincerely discuss an issue.  When you see something you don’t agree with or someone tries to pick an argument with you over something you believe or do, take a second to assess your reaction.  Is your reaction based solely on defense, does the differing opinion actually cause someone harm, or is it simply different than yours? Reacting without reflecting can cause a cascade of negativity.  Something that no one needs, especially busy moms! Plus, if it leaves you in a bad mood it may be affecting your baby.

Have empathy.

As you now know, being a mom requires all the support you can get.  This is true for all mothers no matter what walk of life they choose.  As you come across discussions online, keep this in mind. Try to put yourself in the other mother’s shoes to see if there is any validity in their differing viewpoint (and hope that they will do the same with you). Even if you still disagree (which is totally ok) and feel the need to comment, try to be constructive.  There is no point in tearing someone down for what they believe.  Try to get your point across in a way that is supportive and helpful without coming across as superior. On the other hand, if someone is trying to tear you down try to respond in a way that promotes discussion rather than argument, even if this requires you to be the “bigger person.”

Social Media Detox

If you take the two ideas above into consideration and continue to find being online overwhelming, it may be time for a detox.  This might mean limiting your exposure to social media each day. It could also mean getting rid of certain social media platforms temporarily (or, even for good) or unfollowing certain people and groups that aren’t benefiting you.  What and how you choose to read, follow and share your ideas is totally up to you.  Social media should be supporting you somehow in your daily life. Otherwise, you’re just letting the negativity of others drag you down for no reason.  

Discussion is important.

‘Agree to disagree’ is a popular statement for a reason.  If we all agreed on every issue out there, life would be pretty boring.  Keep this in mind as you take on each day and remember that most of us are trying to do the best we can.  Particularly as moms, we should be supporting each other and picking each other up when in need. So don’t be afraid to discuss! This is how we learn! This will not only make you a great role model for your kids but will build a world that is more positive for them to grow up and live in.

Want to be part of a supportive mom group? Check out the Spectra Baby USA blog and social media platforms.

how to deal with mom shaming

10 Breastfeeding Friendly Foods

/0 Comments/in , , , , /by

By Melissa Portunato, MPH IBCLC

Alright, let’s be real. As a new mom, the only thing that gets you excited for dinner is pizza with a side of ice cream. And besides, with all the nursing and pumping you have been doing, who has time for self care anyway?? Though it’s totally fine to indulge every once in a while, maintaining a balanced diet will give you energy, keep you satisfied longer, and can help your breast milk flow easier. Try working the following 10 items into your diet rather than going for a full blow diet change off the bat.

Making milk for a tiny human is no joke so we created this list for you to take it along the next time you make a grocery run! Let’s go!

High quality protein

Scrambled, sunny side up, or a’la flambe! Pasture-raised eggs are a high quality source of protein and aren’t very expensive which makes them an easy go-to meal. Eggs have a long list of health benefits but the top of the list includes improving eye health, aiding in weight loss, and preventing disease.

A lack of iron can suck the energy out of you, consuming iron packed grass-fed beef can help increase your iron and Vitamin B-12 levels. Both are helpful in sustaining your energy and will aid in keeping up with your busy schedule.

Wild caught salmon

Salmon is a powerhouse loaded with DHA which is exactly what newborns need for healthy, neurological growth. All breast milk contains DHA, but pretty cool evidence tells us, moms, who intake DHA regularly have higher levels! Ah-ma-zing!

If you’re vegan or vegetarian, Legumes are loaded with iron and protein too! Especially the dark ones!

Leafy greens

Leafy greens are nutrient dense, low in calories and carbs, and packed with vitamins and minerals like Calcium, Vitamin K, Folic Acid, and Iron. Spinach is a heavy hitter when it comes to leafy greens! It can be cooked with pretty much any meal, raw in salads, and blended in smoothies. It can be pureed and added to sauces too!

Fresh fruit

Fresh fruit can be added to yogurt, oatmeal and is a simple, nutritious snack!

Blueberries are one of the most nutritious fruits in the world providing Vitamin C, Vitamin A, Vitamin E, and Antioxidants. Eating 2 servings a day of fresh fruit like berries can help amp up weight loss, decrease inflammation, and promote digestion which is beneficial to breastfeeding moms recovering from childbirth.

Nuts and seeds

Flaxseed is one of the world’s first superfoods. Its benefits include improving skin and hair, balancing hormones, and even helps to bust sugar cravings. Adding flaxseed to your diet is a quick and easy way to consume fiber and essential fatty acids. Flaxseed will ensure your body performs at optimal health to make your breastmilk and give you more energy to care for your newborn baby. Make sure you are grounding your flaxseed for best results. Ground flaxseed can be sprinkled on toast, yogurts, blended in smoothies, and even sprinkled on salads.

Packed with protein, calcium, magnesium, and iron, raw almond butter makes for a simple snack for busy breastfeeding moms. Spread almond butter on bananas, apples, or eat it straight from the jar! I mean why not, right? Read labels, sugar can be sneaky! Raw almond butter is best.

Healthy fats

Avocadoes make a great food for breastfeeding moms because of the variety of minerals, especially the high levels of Vitamin K. This vitamin can help with blood clotting and help postpartum moms recover faster from labor and delivery. The healthy fat found in avocados helps to keep you fuller longer. Load up avocados in salads, add to smoothies, or pour olive oil over it and eat it straight from the skin!

Complex carbs

Complex carbohydrates include many plant-based foods that are nutrient dense and rich in fiber, vitamins, and minerals needed for overall health and to support breastfeeding. Complex carbs like sweet potatoes are excellent in providing energy for busy moms on the go and they can help fulfill those carb cravings! Complex carbs from starchy veggies can help satisfy a sweet tooth without adding sugar or inflammatory grains.

Rather than spending your precious time preparing complicated meals, make it easy by preparing smoothies, soups and crockpot meals! Planning ahead will definitely make it easier to eat healthy. Overall, you will be burning 300-500 extra calories by breastfeeding. You want these extra calories to be full of nutrition to boost your energy. Though there is no particular breastfeeding diet, it’s important to eat balanced to maintain a healthy body for yourself and to care for your baby. Avoid empty calories and choose real fresh foods instead. Keep taking your prenatals or choose a non – gmo multivitamin.

And don’t forget to hydrate! An easy tip to remember – drink ½ your weight in ounces every day to stay hydrated! Carrying around a refillable water will help get those ounces in. Add some fresh lemon, berries, or cucumber for a hint of flavor.

Has breastfeeding made you feel hungry? Any cravings? Share with us! We would love to hear more!

https://youtu.be/YaJAQKnWvNo

When is your baby ready for solids?

/0 Comments/in /by

There is a lot of conflicting advice out there regarding when your little one should start eating solids and it can be overwhelming. Traditional advice is still circulating that is outdated when compared to more recent research.  Here is what the experts say nowadays:

General Rules.

The consensus for introducing solids nowadays is 6-8 months over the outdated recommendation of 4-6 months. This is recommended by several organizations such as WHO, UNICEF, and AAP.  This correlates with the recommendation that baby be exclusively breastfed for a minimum of 6 months to optimize baby’s health.

Developmentally Readiness.

There will be signs that baby starts to show when they are ready for food.  These will be easy to pick up as a parent. They will start showing an interest in what’s going on at the dinner table and maybe even try to grab for your plate or utensils.  Additionally, they will have developed better hand control that allows them to pinch, a very useful maneuver when they start eating. Lastly, it’s also important for them to be able to sit up to be able to safely eat food.

Digestive Maturity.

A new baby’s gut is much different than one that is ready for food.  Baby will go through a transition where the cells of their gut go from loosely knit to tightly packed together (read more about this here).  The immature cells help baby easily digest breast milk while allowing large antibodies to pass into their system for immune support.  This is one of biggest benefits to continued breastfeeding to minimize illness and allergies. It is estimated that this maturity is established around the 6-8 month mark.  This is what’s also called “gut closure” and one reason for the recommendation of the exclusive breastfeeding for six months.

Baby is demanding more.

In general, baby does not need food to replace breastmilk in the first 6 months.  However, as they get older food can become an additional supplement as they require more calories to grow. If they’re acting hungrier than usual this can be a sign they’re ready.  Although with so many things going on around the 6-month mark (teething, growth spurts, changes in milk supply, separation anxiety, etc) it can be hard to differentiate. It is important to find a balance for your growing baby, if food starts replacing breast milk too early it can result in early weaning. A good rule of thumb is to always offer the breast first (or, expressed breast milk) before solids.  The primary nutrition during the first year of life should always be mother’s milk.

Do what feels right.

Whatever you decide, it should feel right for you and your baby.  Keep in mind also to consult with your Healthcare Provider or Pediatrician before you make your final decision.  It’s always a good idea to get their input based on your particular baby’s growth and development.

Don’t ever feel pressured or forced. If you need support and advice for continued breastfeeding talk to an expert at Spectra Baby USA here.  Take cues from your baby and you’ll know what to do.  If they are fighting starting solids by turning away or spitting out their foot you may need to approach it differently or take a break and try again some other day.  As long as baby is happy and healthy don’t get too concerned and remember, your Pediatrician is only one call away!

I Think I Want to Use a Breast Pump. Now What?

/0 Comments/in , , /by

by Bonne Dunham. IBCLC

Ok, you are making milk and you want to pump…now what?  What kind of pump do I use? How often should I be pumping and when? How much milk should I expect to see come out? These are just a few of the many questions that new mothers often ask when taking their first journey down Pumping Lane. You are not alone!  Here are some tidbits that should help with this journey.

What kind of pump should I use?  Not all pumps are created equally.  When selecting a pump, you need to ask yourself what kind of use you will want from it; will you be an occasional user or a daily user?  For the occasional-use-mother, who plans on pumping once or twice a week, a manual pump, also called a hand pump, might be a reasonable and affordable choice.  For the regular-use-mother who is planning to use the pump daily while away at work or school, an efficient, electric double pump will likely be the best pump choice.

A hospital strength pump is a more powerful machine; it’s the Cadillac of pumps! It is oftentimes issued by a Lactation Consultant as a multi-user pump or obtained through insurance as a personal use pump.  This pump is used to help mothers build a milk supply when separated from their babies, as in, preterm deliveries or when baby needs to spend some time in the Neonatal Intensive Care Unit (NICU).  There are a handful of other maternal health conditions that make it more difficult for a woman to make milk. A hospital grade pump might be a good option if you fall into this category. Speaking with an IBCLC for specific guidance in these scenarios would be the best option.

How often should I be pumping and when?  If you are planning on exclusively pumping, then you will want to pump at least 8-12 times a day to keep your milk supply up, especially until your baby starts on solids.  If you are breastfeeding and hoping to create a milk stash, here are some tips for you:

The bottom line is, you can pump whenever you have a free, and often hard to come by, moment. If you want to maximize your pumping output, pumping in the morning hours when  milk supply is at its highest is the best time. Waiting about 30-60 minutes after a breastfeeding session is ideal. Pumping once or twice a day is often enough if you are looking to make your storage stash, but if you are separated from your baby for whatever reason, you will want to try to pump as often as your baby may have fed during that time. This often looks like every 3 hours or so.

How long should I pump each time?  Most moms need to pump for at least 10 minutes, but no longer than 20-30 minutes is the simple answer. It’s always a good idea to pump 5-7 minutes past the last drop of milk.

How much milk will I be able to pump?  A good thing to know is that if you are pumping between breastfeeding sessions, the average mom will express between 1-3 ounces per session combined breasts  (not per breast).  If you are pumping in lieu of a missed feeding, expect to pump around 3-4 ounces. Keep in mind that this amount can vary based on your breast storage capacity.  If your pumping output is less than this and you are concerned, please reach out to a qualified lactation consultant to help you troubleshoot your concern.

Try not to compare yourself to your friends or co-workers, as some mothers may be able to express far more than the average bear. Every ounce is precious and pumping output is not a good indication of milk supply. So, always seek professional guidance from a trained specialist in the area of lactation (IBCLC).  You can find a Spectra Certified IBCLC near you here.

10 Tips to Boost Milk Supply

/0 Comments/in /by

10 Tips to Boost Milk Supply

So you’ve decided you’re going to breastfeed your little one:  way to go mama! Breastfeeding can be tough but you can be sure you are giving your baby the best nutrition possible.  Whether you are brand new to breastfeeding, have a growing babe, or are returning to work there are plenty of reasons you may be concerned with how to increase your milk supply.  Here are 10 basic tips to follow to get you headed in the right direction:

  1.    Double check your baby’s latch

First and foremost, your breasts produce milk based on supply and demand.  This requires your baby to be able to efficiently suck milk from your breast.  If they are latched on poorly they won’t be stimulating your body to make the milk required to match your baby’s needs.   In general, baby should be able to get a large amount of breast into their mouth (including the areola) and it shouldn’t hurt. Think latching baby on “bottom to top” of the breast; just like you would fit a hamburger in your mouth. It’s not a “bulls-eye” approach. If you’re not sure, there are lots of resources out there, including Spectra Baby USA lactation specialists.  Bottle feeding your baby with pumped milk instead? Make sure all your pump parts are working right with good suction.

  1.    Feed on demand and often

Again with supply and demand, feeding your little one on demand (especially in the first few months to establish a strong supply) will keep your breasts stimulated and producing to keep up with your baby’s needs.  This generally means feeding your little one every 1-3 hours in the first 3 months (except maybe at night) for a frequency of 8-12 times per day. Worried you’re teaching your baby bad eating habits? Most experts agree that in the first year of life it is impossible to spoil your baby when providing them with their basic needs. So, do lots of baby-wearing, skin to skin time and snuggling!

  1.    Empty the breast or pump after feeds

When feeding, the biggest “trigger” for producing more milk is an empty breast.  Make sure one breast is empty before switching to the other side to optimize this trigger. If baby can’t empty both adequately with each feeding, keep track of which breast you start with each session and alternate so they are both emptied throughout the day.  If this still isn’t enough, consider pumping right after a feed to finish emptying the breast before the next feeding (5-7 minutes of pumping is plenty of time). If you are exclusively pumping, your supply will reduce to a slight drip when your breast is emptied. If you want to further stimulate a boost, try pumping for another 5 minutes after this point.

  1.    Nourish your body

Breastfeeding requires approximately 500 more calories per day.  Plus, your body is taking a lot of vitamins and minerals from what you’re eating to provide your baby with the best milk possible.  Keep in mind that just like when you were pregnant and the body took all the nutrients for the baby first; this is the same concept when you are making milk.  You eat well in pregnancy to ensure a healthy baby and healthy mom (since the nutrients go to baby first). With breastfeeding, the nutrients are taken to protect the milk supply first and then, what is remaining is given to mom. If you aren’t replenishing your reserves it will be hard for your body to keep up with milk demand.  You should be eating a balanced diet to optimize your milk production. Although the research is limited, foods that are claimed to boost supply in addition to having an adequate diet include oatmeal, almonds, spinach, garlic, fenugreek, and fennel. On the other hand, there are some foods believed to decrease milk supply to avoid such as alcohol, caffeine, parsley, mint, sage, and oregano.

  1.    Stay hydrated

Breastfeeding requires an increase in water intake to not only make up for direct loss in your breast milk but also the increased demand breastfeeding places on your body.  Dehydration will most definitely affect your milk supply, so don’t wait to drink water until you’re thirsty! Try to stay ahead and drink water periodically throughout the day.  A trick a lot of moms use is to keep a glass of water with them when feeding with the goal of drinking at least one glass per feeding. The amount you need will vary but doing a quick urine check (it should be clear to light yellow) will ensure that you are hydrating adequately.

  1.    Get rest

Getting enough sleep is tough with a baby yet it can greatly impact your milk supply if you are always exhausted.   Try your best to sleep when the baby sleeps. This might mean asking for more help from a friend, family member, or significant other or letting your to-do list slide for a while longer.  Checking out resources to help your baby sleep better through the night may help you get more rest as well. Your body needs time to recover to be able to “run” optimally!

  1.    De-stress

When you are stressed, your body releases hormones that can impact the breastfeeding hormone that helps to release your milk. Everyone alleviates their stress differently.  Being tired with a new baby may make it seems hard to “relax” but start small: ask for help, meditate while feeding, focus on some deep breaths, start a light yoga or exercise routine (if your doctor gives you the go-ahead), or take some time to talk to a good friend or family member.

  1.    Add an extra pumping session

If your baby’s eating frequency simply isn’t enough to increase your supply as you would like, consider adding a pumping session between feeds.  Generally, with a good double pump, this means a 10-20 minute session.

  1.    Talk to your doctor about supplements

There are homeopathics and herbs that are believed to help with milk supply, just make sure to get the ok from your doctor first.  Herbs are easy to find in capsules and teas in natural food stores such as fenugreek, thistle, stinging nettle, alfalfa, and goat’s rue.  Homeopathic may require a subscription.

  1.   Stick with it!

Don’t get discouraged and start skipping feedings.  Talk to other mom’s that have been there for support and seek out a lactation specialist if you are struggling.  You are not alone in your breastfeeding journey!  

Let us know your tips below!

18 Good to Know Breastfeeding Facts

/0 Comments/in /by

Breastfeeding is pretty amazing, it gives your little one a good start to life.  Here are 18 facts to help motivate, inspire and fascinate you:

1. The first 24 hours after birth are most crucial for milk production. The signal for making breast milk starts immediately after the placenta is delivered.  Skin to skin contact and feeding your baby, ideally within 30 minutes to one hour after birth, promotes all the needed hormones.

2. Breasts operate on a supply and demand system. That means they can keep up with the demand of twins or different aged children.

3. Oxytocin, also known as the love hormone, is what is promotes let down of your milk and keeps it flowing while your baby feeds.  Another excuse to snuggle and love on that little one. Trying to minimize stress is important as well as best you can as that can inhibit your let down reflex.

4. Babies that breastfeed are sick less often than formula fed babies. Breast milk provides antibodies that help keep baby healthy and recover quicker when they do get sick.

5. Breastfeed babies have fewer allergies. Exposure to mother’s normal body flora through increased skin contact and specific proteins in breast milk are hypothesized to cause this correlation.

6. Breastfed babies are less likely to be obese as adults. Babies are more likely to overeat with formula than with breastfeeding.

7. Breast size has nothing to do with how much milk you make.  It is impossible to tell what your breast capacity is from size.  Fat content generally determines size whereas the amount of breast tissue (ducts) will determine how much milk you can store at a time to feed your baby.

8. In the 3 month range, your breasts will regulate their milk production. Some mothers panic when they notice their breasts getting softer around this time, but there is nothing to worry about.  As your breasts adjust to adequately feeding your baby they stop overproducing and make you more comfortable, hooray!

9. Breastfeeding isn’t just “food.”  It also provides hydration, comfort, mother-baby bonding and wellness!

10. Breastfeeding is recommended for at least 6 months, ideally only providing mother’s milk during this time (known as exclusive breastfeeding).  The general recommendation in 6 months to 2 years, but in some cultures they are known feed up to 5+ years!

11. You have rights to continue breastfeeding (via pumping) if you return to work.  This means a private space and adequate breaks. Check out your state laws for specifics. (backlink to your other blog articles on this). If you need a good pump for work, there are a lot of great options here.

12. Prolactin is the hormone responsible for milk production.  Levels are highest at night (and, the early morning hours), making this an ideal time to feed and pump when trying to establish and/or increase milk supply.

13. Breastfeeding is allowed in any public or private location.  As of July 2018, all 50 states allow public feeding. There is still stigma and harassment around breastfeeding in public, so support your fellow mamas!

14. For breast related issues, continuing feeding is crucial.  Issues like engorgement, plugged ducts, and mastitis require continued feeding to recover.

15. Breastmilk exposes baby to the flavors of what you eat. You may find your baby doesn’t like the taste of your breast milk after eating certain foods, such as spicy food or raw onions and garlic.  Certain foods may also make them gassier such as beans and dairy. There is some evidence to show that eating a variety of food when breastfeeding can decrease baby’s food aversions when they start eating solids.

16. Foods can affect milk production.  Foods like sage, oregano, mint, alcohol, and caffeine can decrease supply, while fennel, oatmeal, spinach, almonds, and garlic can increase supply.

17. Breastfeeding comes with a lot less hassle. Although it requires a significant time commitment, it is also convenient to always have milk “on tap” without having to deal with sterilization, bottles, formula ratios and warmth.

18. If you are struggling or are anxious, there is tons of support out there.  Support is available in the form of forums, local support groups (check if your city has a local La Leche Club), and online support.

In case you didn’t already know, it’s clear that breastfeeding is pretty cool! Do you have additional tips to share?  Leave them in the comments!

Breastfeeding changing color? What does that mean?

/0 Comments/in , , , /by

by Melissa Portunato MPH, IBCLC

You finally got the hang of breastfeeding. You perfected baby’s latch, you’ve mastered the football hold while texting, and baby has a ton of poop diapers so you know your milk supply is right on track. But since you’ve started pumping, you’ve noticed variations in the color of your breast milk. Your breast milk went from yellow in color after delivery then to white when you came home and your milk came in. Now you started to pump and noticed the color of your milk seems off. Is this normal or have you started to produce milk for a tiny Martian? Before you totally freak out, we’re here to tell you color changes in breast milk is a normal occurrence. Don’t pump and dump just yet mamas. Get the true story, bust the myths and breastfeed on.

Here are a few important facts to know about breast milk color variations and to assure you that your milk is perfectly safe for your baby.

Understanding the stages of breast milk

During the first few weeks after delivery, your breast milk will change rapidly in amount and in color. In the first few days, your body will produce colostrum, also called “golden milk” because of its deep yellow or even orange color. Colostrum is highly concentrated and nutritious. You will only make a few teaspoons of colostrum at first because that’s all that baby really needs to fill up their tiny belly. After about a week your milk will start transitioning and start to come in. During this time, moms will sometimes experience engorgement as their bodies begin to produce mature milk. Transitional milk will get less yellow and more white in color. You will notice your milk is not as thick as before and you have much more now. You might even be able to hear baby chugging while nursing. Gulp! The last stage of breast milk is when your milk supply has been established and is now in sync with baby’s demand. You are now producing “mature milk.” At this stage, you may notice when you first turn on the pump or maybe even drip a little before nursing, that your milk is clear and thinner which is called foremilk. And behind the foremilk, your breast milk is creamier which is your hindmilk (higher in fat). Both foremilk and hindmilk are essential to baby’s development. Research tells us that if baby is breastfeeding well and nursing sessions are not getting cut short, there is no reason for concern. Overall baby will receive a balance of both foremilk and hindmilk throughout the day and get exactly what is needed for an appropriate growth trajectory.

Colors and variations of breastmilk

Most color changes are caused by diet but things like herbs, nutritional supplements or medicine can also alter the color of your breast milk. Taking a close look at what you’ve been eating can often pinpoint where the color change is coming from. A green or bluish tint can come from eating foods that contain dyes or overloading on dark leafy greens. Baby is literally tasting the rainbow when drinking breast milk. Research says breastfed babies are less picky eaters as toddlers because they try different foods through mommy’s milk. Keep with the healthy eating. You are opening baby’s palate to healthy nutritious foods and they will be more likely to eat them as they get older.

Brown or pink colored milk or even blood tinges in breast milk can be coming from a variety of different reasons like cracked nipples, damaged capillaries in the breast, or even hormonal changes. The evidence shows, if you and baby are healthy, occasional breast milk streaked with red or pinkish in color, is perfectly safe to be given to baby. It is important to note small amounts of blood ingested by baby are likely not to be of concern, but larger amounts can cause baby to have an upset stomach and have blood appear in their stool. If you have an infection such as Hep B or C, or baby is immune compromised breastfeeding may need to be interrupted. Reach out to your doctor to discuss the best plan of action.

Rusty pipe syndrome is a temporary condition that can happen during the first few weeks of breastfeeding. This condition typically only lasts a few days and is caused by colostrum mixing with transitional milk. Don’t panic if you notice your milk looks like dirty or “rusty” water. It shouldn’t bother baby or affect breastfeeding whatsoever. If it doesn’t clear up in the first few days of breastfeeding or if it starts to happen later along your breastfeeding journey something else may be going on and it’s important to talk to your doctor.

Stored breastmilk and changes in color

Pumping and storing milk can alter the color of breast milk. When storing breast milk in the fridge you will notice it will separate into those 2 layers of foremilk and hindmilk. Fat rises to the top, so that’s why you will see the separation. The foremilk on the bottom might even appear bluish or grayish and this is normal! No need for concern and safe to be given to baby. Give the bottle a gentle swirl and it will combine again. Breast milk will also change color in the freezer and can appear more yellow. This is also completely normal and your milk has not gone bad. Check out the CDC guidelines for proper milk storage to maintain the safety and quality of expressed breast milk.

When to scream and call the doctor

Pain is not subsiding and you are seeing some pretty large amounts of blood in your breast milk when you pump or in baby’s mouth after nursing. Call the doctor! Along with blood, you have hard lumps, fever, body chills and aches that are progressing. Call the doctor! Mastitis or “inflammation of the milk ducts” can be either infectious or non-infectious. Most of the time it’s non-infectious and can be treated with simply rest, frequent nursing or pumping, and lots of fluids. But when it’s infectious, you may see large amounts of pus, blood, or other wacky substances leaky from your nipples. Call the doctor!

Although changes in the color of your breast milk is usually not serious, it’s always best to talk to your healthcare practitioner if you are concerned. Keep in mind there can be contraindications with some medicines, herbs, or supplements while lactating and they can also alter the color of your breast milk. Download the free LactMed app! Review the evidence behind medications and breastfeeding with your doctor and make the best decision for you and your baby. It’s unlikely breastfeeding will need to be interrupted and in that rare occasion that it might be, it will almost always only be for a minimal amount of time. Trust your body. Trust your breast milk. And nurse on moms!  

Working and Pumping: The Struggle is Real

/0 Comments/in , , , /by

What To Know When Returning to Work

Well, it’s sadly that time, when you are headed back to work after maternity leave.  Hopefully, your employer offers that necessary benefit. The baby honeymoon is over and now you have some big decisions to make regarding childcare and feeding.  If you’ve been breastfeeding up to this point, there is a good chance you’ll want to continue providing baby with your milk. After all, it is recommended to breastfeed exclusively for 6 months if possible, to get the continued benefits such as less frequent illness.  Before your actual return, try to be as prepared as possible. Make sure you know your workplace rights; have all the gear you need and have at least a general plan for how you will feasibly pump enough to keep up your supply for baby. Here are the basics to get you started:

Protection under federal and state laws

In 2010, the Affordable Care Act was signed into law with provisions related to nursing mothers and pumping at work. The guidelines include employees that are not exempt under section 7 of the law.  This includes most hourly paid employees. The law specifically calls for providing a nursing mother unpaid (unless all employees are paid for their breaks) reasonable breaks with a private room for nursing that isn’t a bathroom.  If your employer is smaller than 50 employees, they may be exempt from this law if it causes them “undue hardship.”  For full details check out these great resources here and here.  If you aren’t covered under the ACA, make sure to check your state laws.  Twenty-eight of fifty states have some kind of provision related to breastfeeding.

Planning and educating yourself

First, figure out what laws you are specifically covered by depending on your employment from the resources above.  If you aren’t sure, talk to your boss, human resources, or a workplace lawyer so you can start making a game plan.

Next, equipping yourself with all the essentials for successful workplace pumping is key.  To maintain a good milk supply it is important to have access to the best possible pump. For time management and optimal pumping, look into getting a double, electric breast pump that is hospital strength.  Under the ACA, it is also required that your health insurance provide you with a pump (either a rental or single user depending on the model). There are several pump options available and companies that will do all the footwork for you to get you the pump you need with little hassle.  Spectra Baby USA is one of these companies with the added bonus of great customer service and lactations consultants on hand as needed.  Check out their page for a comparison chart of different pumps to find the best option for you and you can also check their insurance lookup tool that locates a DME (Durable Medical Equipment) company that will work with your insurance policy to get you a breast pump covered by your plan.

Lastly, consider any accessories to purchase to make your life easier as a pumping mom.  This includes items like a pumping bra, sterilizing tools, nipple cream, adequate collection bottles, freezer bags, and insulated tote to be able to get your milk safely to and from work.  Having the right gear will keep you organized and efficient!

When and how to pump: finding a schedule

In general, you want to pump in a way that would mimic your baby’s current feeding schedule.  This generally means that a mom will have to pump every 3-4 hours. For a full-time employee that should be 2-3 times depending on lunch breaks and commute time.  How you want to schedule these into your day is completely dependent on what works in your day. Regardless, make sure that you try to actually schedule these times into your calendar to remind yourself and your co-workers.  It’s easy to forget or skip a pumping session if you don’t make it a priority and this can negatively impact your supply. If you are short on time one day, don’t stress and just try to get in as many short sessions as you can to keep the supply signal going to your breasts.

The last big consideration is your milk supply as your switch from breastfeeding to the use of a pump.  Your baby is much better at extracting milk from your breast than a machine, so if you have trouble initially with the amount you are pumping don’t be discouraged.  Keep these basic tips in mind: keep hydrated, eat healthily and frequently, stimulate an adequate let down with massage, heat or thinking of your baby (even look at a picture!), stay relaxed and comfortable and make sure you have the right size breast shield.

With the right preparation, you will manage the transition into a work-family balance well.  You rock mama! Keep up the good work providing liquid gold for your child while crushing those career goals.

The Benefits of Breastfeeding & How to Make a Good Supply

/0 Comments/in /by

By Jenn Foster, MA, IBCLC, RLC

We’ve all heard that “breast is best”…but, why? What’s so different about breast milk anyway? Is it really that important?  The answer is, yes! And here is why:

A baby’s digestive system isn’t mature enough to prevent infections until around 6 months of age. That’s why it’s recommended to give baby only breast milk for the first 6 months of life. Breast milk has live cells and antibodies that help prevent infections and coats the intestines. These active properties cannot be reproduced and are not present in artificial baby milk.

Below are some top benefits for both mom and baby:

For mom

  1. Mom has less of a chance of hemorrhage after delivery
  2. Mom has a lower risk of breast cancer, brittle bone disease, anemia and more
  3. Moms are more likely to return to their pre-pregnancy weight
  4. Breastfeeding saves time, money and builds mom’s self-confidence

For baby

  1. Baby has a lower risk of ear infections, fewer allergies, and less time with illness
  2. Babies who are breastfed have better dental health
  3. Babies who breastfeed have statistically a higher IQ
  4. Lower cortisol levels (less stress) for baby when nursing which helps to ensure better brain development, regulated body temperature and promotes bonding

 

What happens when breast milk isn’t offered to baby?

When an infant is not breastfed, there are risks for both the mother and baby.  Mother has more of a risk of hemorrhage after birth, takes longer to return to pre-pregnancy weight, and can miss more work due to infant illness. Baby has a higher risk of numerous ailments, including higher risk of ear infections, allergies, and asthma.  

What if I’m not able to nurse at breast?

For some mothers, nursing at breast isn’t always possible and this is where an efficient breast pump is very important. Spectra offers many breast pumps models that are all well above hospital strength of 250mmHg.

It’s important to remember that breastfeeding is all about “supply and demand”, whatever is removed from the breast will be made. So, you need to be pumping or nursing every 2-3 hours. Try not to exceed four hours without removing breastmilk to ensure an adequate milk supply.

If you are exclusively pumping, it can be difficult to maintain a full milk supply. Double pumping can be helpful in keeping those important lactation hormones raised. Hands on pumping can also be helpful (breast massage before, during and after) as well as keeping something that smells like baby next to you when pumping.

What is the bottom line ?

Every ounce counts and every drop of mother’s milk you provide to baby is a lifelong gift.  Whether you can provide one ounce of your precious milk or more, keep it up! No mother should feel less than amazing for their choice of how they feed their little one.

We are here to support you! We have a robust Facebook Mom Group where you can be supported by Spectra pumping moms just like you.  In addition, we also have Spectra Certified IBCLCs that are here to help you along your breastfeeding and pumping journey!

References: Stuebe, A. (2009). The Risks of Not Breastfeeding for Mothers and Infants. Reviews in Obstetrics and Gynecology, 2(4), 222–231.

© 2025 Spectra Baby USA. All rights reserved. Not for reproduction or redistribution without permission.