Tag Archives: Breastfeeding

To “Our” Mommas

16 Mar

ImageIt never ceases to amaze us how quickly trust is established as we cross the threshold of your sacred space.

Such a tiny moment in our lives, we feel privileged to join you in such a big part of your life.

You may be feeling vulnerable, unsure of yourself, desperate for help and reassurance that you are “doing things right.”

You have cried tears of joy and tears of frustration…and sometimes we have cried with you.  

A bond of friendship has formed in many cases, and you’ve paid us the highest compliment of

inviting us back with the birth of your next sweet baby.

Little do you know how much we think of you and sometimes agonize over our inability to “fix” things for you.  

But we know our most important job is to empower you, and we will walk along side of you for as long as you need us.  

We are overjoyed when you reach out to us down the road to let us how things are going

regardless of your ultimate feeding decision.

Often we live vicariously through you, remembering our own days as new mommas and the

feelings we had as we snuggled our own soft, warm little bundles, only wanting to give our very best to them.

We learn from you everyday, and you allow us to share your struggles so that others may learn, too.

When our feet cross that threshold, we have nothing but

respect for your space.

We honor your courage and commitment.

We stand in awe of your strength.

And we marvel at the bond that has so quickly formed between you and your baby…

A true picture of perfection.

We love you and your baby.  

Thank you for allowing us to play a small part in your mothering journey.

image: www.freedigitalphotos.net, moggara 12

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Take Off the Gloves: It’s Not The Boob Bashers Vs. The Lactation Snobs

13 Aug

boxing ring“In one corner, we have Fanny Formula-Feeder,

and in the other corner stands Betsy Breast-Feeder.”

Ding, ding, ding!  Who will you bet on? 

Who will get the KO and leave the other walking down the path of shame?

Sounds very corny, I know…but isn’t that what we as moms are doing? 

Duking it out over each other’s pregnancy, birth and parenting decisions?

Technology has enabled us to share our opinions with virtually the whole world.   Perhaps two of the hottest topics of discussion among women of childbearing age all over the world are how you feed your baby and breastfeeding in public.  These may be as common as such topics as your due date, your baby’s gender, and whether or not you will have an epidural.  Moms flock to Facebook pages and groups seeking advice on all their parenting decisions from pregnancy to preschool and beyond.  Unfortunately, there will always be those who seem to cast judgment on moms who choose options that are different from their own.  Often, instead of encountering support, moms come across discouraging comments leaving them confused and unsure of their choices.

Moms who made the decision to formula feed from birth feel they are being judged.

“Why didn’t you at least give breastfeeding a try?”

Moms who made the decision to exclusively breastfeed from birth feel they are being judged.

“You know you’ll get less sleep.  Your baby will just use you as a pacifier.”

Moms who tried breastfeeding and then switched to formula feel they are being judged.

“Breastfeeding was tough for me in the beginning, too.  But we hung in there and made it work.”

Moms who choose baby-led weaning feel they are being judged.

“You haven’t weaned that baby yet?  There aren’t any benefits past a year.”

Moms who decide to pump exclusively and feed breastmilk in a bottle feel like they are being judged.

“Bottle feeding breastmilk isn’t the same.  Babies don’t bond with moms the same way that babies fed at the breast do.”

Moms who decide to cover up while nursing in public are judged. 

“Covering up sends the message that it’s not appropriate to nurse uncovered.”

Moms who decide not to cover up while nursing in public are being judged.

“No one wants to see exposed breasts in public; cover up.” or “Can I show you a more private place to feed your baby?”

Regardless of whether statements made are fact or not, words, spoken and/or written, can have an enormous impact.  “Well, we have the choice whether or not to be offended and can choose to ignore,” you say; however, first-time moms early in their experience are vulnerable and may be teetering on the edge.  Confidence levels are shot, decisions are second-guessed.  They may hole up in their homes to avoid scrutiny and depend on the internet for socializing. ( I wonder if there may be a correlation here between isolation and post-partum depression?)

I don’t believe comments are made maliciously.  Often moms are simply voicing their struggles, seeking to justify their decisions, and looking for support without condition.

How a mom feeds her baby is a personal decision.  Isn’t that what our culture encourages?  Choice?  You don’t know the whole picture.  You can’t see the whole picture on social media sites like Facebook.

Bay Area Breastfeeding & Education wholeheartedly supports breastfeeding as nature’s way…what our bodies are made to do.  But we aren’t the momma, and the baby is not ours.  Leah and I are advocates for more moms breastfeeding and more babies getting breastmilk; however, we work for the whole family and moms and their goals.  Our practice is evidenced based, and we provide accurate information.  It is then up to the mom to make the choice.  The BABEs pride ourselves in meeting moms where they are on the breastfeeding spectrum.  It doesn’t have to be all or nothing.  There will be be no judgment cast on moms who decide to exclusively breastfeed or exclusively pump and bottle feed breastmilk or moms who breastfeed part-time and formula feed to meet baby’s need or moms who formula feed exclusively.

So, are you a boob basher or a lactation snob?  Strive to be a Mommy Advocate instead:

                       

Respect other moms’ choices.

Realize that words can make an impact.

Provide support to all fellow moms regardless of their decisions.

Be confident in your decisions.

Realize you are making the best choice for yourself and your whole family.

Remind yourself that often you don’t know the mom personally and can’t see the whole picture.

Choose to offer support without condition.

This doesn’t mean we back down from our convictions and opinions.  This doesn’t mean we ignore or water down the facts.  We can be radical in a way that is respectful.  Let’s spend our time being Mommy Advocates and finding ways to educate families prenatally instead of spending time arguing amongst ourselves.  Breastfeeding support should start before pregnancy.

 What are some other ways you can offer unconditional support to moms?

Round Two: 10 Tips for Nursing Your Newborn While Chasing a Toddler

7 Jun

Tears streamed down my face

as I sat in the recliner nursing my one week old son, holding my 18 month old daughter and watching my mom drive away.   Though breastfeeding was much easier the second time around, I was unsure how I was going to manage with a toddler and a newborn.  I had visions of my busy toddler coloring on the walls or playing in the toilet while I was sitting every 2-3 hours (or more often) nursing my son.  How I wish I knew then what I know now!

“Breastfeeding the second time around was SO much easier. Probably because I had the confidence. I breastfed my first for 2 years, so I ‘knew’ I could do it again. I just felt way more comfortable, and I knew the early pain was normal and would get better in a few days. It’s been tough because my toddler still needs attention, but the baby needs to eat! So we’re working on it and figuring it out together. But overall, it has been way easier and more comfortable the second time around.”   Beth, pictured above

  1. Prepare them.  Depending on your toddler’s age, consider taking her to a sibling preparation class.  Classes vary but usually include watching a video about becoming a big brother or big sister, diaper changing and swaddling practice on dolls, a craft project and sometimes a visit from a real newborn.  Read more about preparing your child for baby’s arrival here.  This is a great list of books geared toward sibling prep, and click here for children’s books about breastfeeding.
  2. Feed them.   Have healthy finger foods available for your toddler to snack on during some of your nursing sessions.  Put together little baggies of their favorites that are easy to grab and go.
  3. Surprise them.  How many times have you remarked your toddler has too many toys?  Pack some of them away in plastic tubs for awhile then pull them back out during the times you are caring for the baby.  Designate those as the breastfeeding toys.
  4. Contain them.  As I remarked above, I was concerned what my toddler would get into while I was nursing.  Create a nursing nest in a safe space where you can keep an eye on your toddler.  Installing a gate is an easy way to create a boundary.
  5. Include them.  Encourage visitors ahead of time to make sure and pay special attention to your toddler as the baby is a magnet!  I even suggest in my sibling class that visitors bring a treat to big brother or sister.
  6. Involve them.  Making the baby off-limits to big brother or sister will only cause them to resent the newborn.  Show them how to be gentle while staying close to prevent any accidental head bops or eye pokes.  Let them “help” with diaper changes, baths, retrieving clothes or your nursing pillow.
  7. Spend quality time with them.  Your time will be divided but your love is not.  Steal lots of moments to hug and kiss on your toddler.  When your partner gets home, hand over the baby and take big brother or sister aside to read a book with them, play a game, take a walk around the block or start their bedtime routine.   Plan toddler “dates,” such as a trips to the park or library, where the whole family can get out and brother or sister understands that the baby can be fun, too.
  8. Pack for them.  Take a trip to the dollar store, and pick up a few items like stickers, notepads, colors, pens, etc, and a little bag or basket to pack them in.  Make it the special bag that only comes out at nursing times.
  9. Expect regression from them.  For reasons they don’t even really understand, your toddler may regress to more baby-like behavior after the new baby comes.  If they are potty-trained, they may even regress in that area.  Refrain from disciplining this behavior and understand it is temporary and perhaps the toddler’s way of expressing “I need an extra, extra hug so I can feel like I am still important.”
  10. Embrace flexibility.  Learning to be flexible is a requirement for motherhood as our kids don’t always fit into the neat little boxes our culture creates for them.  Anticipate the diaper blow-outs right before you walk out the door.  Be ready for the toddler melt-down in the store.  Carry an extra shirt to change into after the unexpected spit up.  And most of all, look forward to the intangible rewards being a mom brings, whether you have one, two, or five!

What other tips can you share for moms going from one to two?

Lactation Derailment Can Begin in the Hospital: 10 Tips for Avoiding a Trainwreck

29 May

I must preface this blog by explaining that

fourteen years ago I became a mother/baby nurse, and ten years ago I became the resident childbirth educator and “breastfeeding counselor” on staff at a local hospital.  We did not have an IBCLC on staff, so I was IT until we hired another educator.  My training as a nurse, some time as a member of La Leche League and my own personal breastfeeding experience was all I had in my arsenal.  Though I wasn’t “official,”  I worked the position of a lactation consultant.  And it wasn’t easy…so many moms…so little time…so many interventions.  That being said, please read the following with the understanding that I have been “on the other side,” doing my best as a nurse to help fresh babies latch…bending over beds as an educator positioning babies and sandwiching breasts for moms who were too sleepy on pain medication post-cesarean to do it themselves.

A week ago, I had the privilege of visiting a new family in the hospital to provide assistance with breastfeeding.  She has given me permission to share my observations.

When I arrived, I had dad undress baby down to diaper and in skin to skin with mom.  The baby was only 36 hours old and very sleepy after a long labor and difficult delivery.  Mom, Dad and I chatted for a moment then got to the business of latch.  The baby would not wake up.

A nurse came in to give mom pain medication.

Though I was not surprised at the baby’s behavior, he appeared jaundiced, and I knew it was important to get colostrum into him.  So, we proceeded to hand express and collect colostrum to spoon/syringe feed him.

Then the baby photographer came in to show the picture previews.

Mom asked her to come back later.  (Reminder:  Mom is sitting in hospital bed with her breasts exposed.) We continued hand expression and then fed the colostrum back to the baby.  He began to exhibit some hunger cues, so we put him back to the breast.

The OB came in to check on mom.

Once again, latch attempt without success.  More hand expression.

Knock, knock? Have you had a chance to look at your pictures? Baby photographer again. (Are you kidding me?)

More teaching, more skin to skin….fed baby more colostrum.

A different nurse came to check on mom.

Another latch attempt…

The first nurse came back to tell mom the baby’s procedure had been delayed.

We wrapped up latch attempts (and the baby) as we knew the nursery nurse would be coming to get the baby soon.  He was happily sleeping in Grandma’s arms as we discussed a care plan.

Persistent photographer, back again, insisting on showing the pictures.

I wrote out mom’s care plan.

Nursery nurse came to retrieve baby.

I ensured mom had my number for questions, planned to follow up with a home visit, and I made my exit.  Did you count the number of interruptions?  How long do you think I was there?

Eight interruptions in one hour and fifteen minutes. 

I left there concerned about derailment and feared I would encounter a trainwreck at her home visit.  Fortunately, when I arrived, breastfeeding was going well and she needed very little assistance from me at the follow up.

Now, I realize everyone that came in just saw me as a visitor.  They weren’t aware of who I was or why I was there.  However, my presence aside, feeding her newborn was mom’s priority, but what was the priority for the people that kept interrupting?  Definitely not feeding a 36 hour old, sleepy newborn who appeared jaundiced.

How can a mom even think about getting breastfeeding established when she is being bombarded by staff from all sides?  It’s sensory overload.  As a private practice lactation consultant, I see the outcome of this all the time….the trainwrecks…the result of the cascade of interventions.

What steps can you take to avoid the trainwreck?

  1. Take a prenatal breastfeeding class so that you know what’s normal for the early days of breastfeeding.
  2. Hire a Doula to minimize birth interventions which can lead to troubles breastfeeding.
  3. Find a breastfeeding friendly pediatrician who will support your breastfeeding goals.
  4. Research local resources for breastfeeding help that are available to you once you get home such as La Leche League or private practice lactation consultant that is an IBCLC (International Board Certified Lactation Consultant).
  5. Prepare your partner to be the gatekeeper after delivery to minimize interruptions in your breastfeeding. You may also want your partner to accompany your newborn to the nursery to keep watch and ensure your feeding preference is respected.
  6. Hand express your colostrum and feed back to the baby. Doing this up to 6 times a day can increase and speed copious milk production.
  7. Reinforce your desire to breastfeed without any supplementation to every nurse that you have contact with.
  8. Room-in with you baby to keep your baby close and to learn his hunger cues.
  9. Better yet, keep your baby “on” you to facilitate skin to skin contact which has been shown to stabilize temperature,
    heart rate and oxygenation. You are your baby’s best habitat!
  10. Ask to see the lactation consultant…and keep asking….getting help early is so important!

A BABE Mom’s Story: 6 Tips For 6 Months

14 May

  Three weeks into her breastfeeding journey

we had the privilege of meeting this sweet momma and her precious little boy.  Our first contact was November 15, 2011.  She was our fifth client but our first real challenging case.  Over the phone, she described that she was having some pain and nipple damage with latch and decided it was time to get help as she suspected what she was experiencing was not normal.  This was her third baby to breastfeed yet the first time to experience this situation.

Baby was ready to eat soon after we arrived, so we had her proceed with breastfeeding in her normal fashion.  As she readied herself and the baby for latch, she was relaxed and calm.  We then got our first look and could hardly believe what we saw.  To date, we have yet to encounter nipple damage as severe as hers!  There were actual craters in the center of each nipple.  Leah and I could not believe she had made it this far.

Our assessment revealed that the baby had

a very shallow latch.  His mouth would stay open no longer than a millisecond to achieve latch, and once he did latch, his lips stayed pursed on the breast.  Our impression was that his jaw and mouth were hypertonic (increased muscle tone).  At rest, he kept his lips tight, and we could not even properly assess for tongue-tie (which we suspected right away because of the nature of mom’s damage) because his mouth was so tight!

Over the course of the next five or six weeks

we worked with Linda in person, via email and over the phone to assist her in getting to a comfortable and enjoyable place with breastfeeding.  Using a combination of breast rest, APNO, pumping, finger feeding, bottle feeding, chiropractic, time, and a lot of patience and determination, we were thrilled to hear from her late December that healing was complete and breastfeeding was finally pain-free!

Sweet, little Sam is now six months old.  He never had one drop of formula…how did she do it?  Keep reading for his mom’s advice:

1.  Let it go:  I had a hard time accepting that my house wasn’t always tidy, the laundry and dishes piled up, and gathering my hair into a ponytail was as close to “styling” as I could manage.  It took me a while to figure out that it is OK to not be able to accomplish everything I could pre-baby.  None of those tasks are as important as being able to meet the basic needs of my family and myself.

2.  Don’t be afraid to ask for help:  Asking for help doesn’t come easy for me but I learned to not be shy about telling others what needed to be done.  My husband was great at taking over the jobs he could do while I concentrated on my needs and the needs of the baby – but I needed to be sure to ask!  Something as simple as asking someone to look after the baby (and my 2yo and 4yo!) so I could take a shower or just have a few minutes to myself to eat a big bowl of ice cream in peace made all the difference in my outlook on life.

3.  Trust your instincts:  I think everyone who knew I just had a baby had an opinion on how I should be feeding the baby.  I had to believe in myself and my ability to know what will work for me versus what doesn’t feel right for my family.  My grandmother probably meant well when she told me that babies do just fine on evaporated milk, but after thanking her for her concern, I forgot she ever mentioned it.  I also had to trust my instincts enough to know that I needed outside help.  I figured that since this was my third, I should have known what to do on my own when he had problems – I didn’t.  My only regret was not getting outside help sooner.  I could have saved myself some addition pain.

4.  Find a cheerleader:  Having immediate family members and lactation consultants to tell me that I was doing a good job was priceless.  Affirmations are important – I needed to be reminded that I am strong and I could do it and that the sacrifices I was making were for the new little person I just brought into the world.

5. Set short term goals:  Even though it was baby number three for me, I was feeling overwhelmed about surviving the whole newborn period.  So I aimed to just make it through the week, the day, the next feeding session, or past whatever other hurdles were getting me down.  Once that was behind me, I would give myself a pat on the back, consider it an accomplishment and set a new goal.

6. Believe that does get easier:  It can be so hard to see past the present, but the first few weeks really are the most difficult.  I knew that if I could just make it past the hump, things would start to get better.  I had to cling to the knowledge that one day soon I would feel human again.  Six months down the road, I am grateful I stuck it out.

What most helped you get to where you are in your breastfeeding journey?

More Than Meets the Eye: How Doulas Help Moms Breastfeed

12 May

May is International Doula Month…

Source Unknown

As lactation consultants, we are thrilled to work along side our local Houston area doulas.  It is well-supported by research that labor and birth interventions can interfere with the natural course of breastfeeding, and it is also well-supported by research that the incidence of birth complications is reduced by having a doula present at your birth.  However, a doula is more than just “present” at your birth, patting your hand through contractions.  She

  • is passionate about coming along side you during one of the most important and special times in your life,
  • meets with you throughout your pregnancy and builds a relationship with you and your partner to establish trust,
  • provides ongoing education on the labor, birth and postpartum process,
  • assists you in creating a birth plan,
  • actively networks, seeking out the best resources for you,
  • advocates for you at a time when you are most vulnerable,
  • supports you during your labor and birth,
  • acts as a gatekeeper for mom, partner and baby after the birth, and much more…

Doulas are in a unique position to recognize early on any potential breastfeeding challenges.  They understand the importance getting help early.  In our experience, moms with doula support are extremely committed to pursuing breastfeeding even through tough issues.   Cole Deelah, a South-Houston doula, childbirth educator, and midwife apprentice, describes perhaps why we have found this to be true:

“A doula can oftentimes be the mother’s first exposure to breastfeeding education. I encourage the moms that I work with to attend a La Leche League meeting, refer them to area breastfeeding workshops and classes, and offer breastfeeding books from my library, including The Womanly Art of Breastfeeding, Breastfeeding With Comfort and Joy, and others. A doula also has a lot of time during the prenatal period to educate moms on different helpful positions, what a successful latch and nursing looks like/feels like, local resources, products that might help in the journey, and what is normal/not normal when breastfeeding. And finally, in those first few moments after birth, a doula can help protect the new parenting space, help with initial latch-on, and minimize outside distractions and interference from others. In the first few days after birth, a doula is completely accessible to the new family and can oftentimes be whom the family calls when something doesn’t seem right with the breastfeeding relationship. The doula then has the opportunity to offer additional resources, like a lactation consultant, so as to ensure to the best of abilities, a successful breastfeeding relationship!” (Read more about Cole on her blog, Wonderfully Made Bellies and Babies.)

Three other doulas join Cole in the Houston Doula Cooperative, Nicole Yunker, Lourdes Resendez, and Kimberly Foster.  Read about their co-op here.

Also serving the greater Houston are are the TLC Doulas.  This group is made up of Kathleen Wilson, Dorin Jordan, Amanda Moore, Jessica Gonzales and Rowan TwoSisters.

Now hear from a mom about how her doula helped her breastfeed:

“Hi! I’m LaKendra a proud supporter of breastfeeding, midwives, doulas and all those great non intervention assets surrounding pregnancy and birth. I’m sharing my experience with you regarding Lourdes Resendez who is not just a doula but someone who has really become a special person to me and my 8 month old daughter! Growing up, I knew absolutely no one who breastfed and my family did not support me saying negative things like I’m starving my baby, I’m not producing enough milk, I need to let somebody else feed her, my milk doesn’t have everything she needs like formula, only”white” people do that, I could go on and on about the ignorance and negativity that surrounded me but you get my drift. Kennadi latched on great right after birth and Lourdes took us in for about 3 weeks as I established a great milk supply with her support, I had me a few cups of mothers milk tea on a daily basis which actually was sort of tasty to me, but she gave me that extra boost I needed to get going and staying confident in my decision!! And because of that great start, she’s still exclusively breastfed! Which as a working mom I take to heart because you really have to be dedicated pumping on lunches and breaks, but it’s been a great journey and I don’t plan on stopping anytime soon!”

…How are you celebrating your doula?

Confessions of Suburban IBCLCs: You Know You Are a Lactation Consultant When…

25 Apr

…You aren’t home, your husband answers a call from a breastfeeding mom and knows what breastpump to recommend to her.

…Your son’s teacher tells him she wants to talk to me about breastfeeding but HIS translation is “Miss McGillicuddy needs help with her nipples.”

…You could hand express anything that has milk in it.

…You find yourself obsessing over the creation of the perfect, crocheted demo breast.

…You perform reverse pressure softening on yourself while describing it to a desperate mom over the phone.

…Your doctor’s nurse, while there for your annual check-up, asks you to palpate a lump in her nipple and give your opinion on what it might be.

…Your jaw doesn’t drop when you see nickel-sized nipples attached to watermelon-sized breasts on a mom with a 6 pound baby because you know nipples and breasts come in all shapes and sizes.

…You can keep a professional face when a client tells you her pediatrician’s nurse, or better yet, her pediatrician tells her that her six week old baby only needs to nurse 6 times a day and should be sleeping through the night.

…You are no longer uncomfortable with your children overhearing your telephone conversations about sore nipples and engorgement. You figure someday when they are parents they will need the info too!

 …Though you’re not a man, you make “eye” contact with every woman’s breasts before her eyes as you contemplate her breastfeeding experience or her plans to breastfeed.

…You can somehow relate every life moment back to breasts and breastfeeding.

…You learn something from every mom you meet!

…You can’t sleep or “wind” down after a consult….on a lactation high for hours!!

…You are not afraid to join a mom having a good post-partum cry.

…You have been know to literally do the “happy dance” through your house when you get a message from a mom who just days before was in tears and desperate for help but today is enjoying breastfeeding and in no pain!!

...And you are not afraid to celebrate with a mom as she reaches personal milestones along her breastfeeding journey.

Who’s Feeding Momma? 10 Ways to Support a Breastfeeding Mom

16 Apr

1. Share your successful breastfeeding stories and experiences and leave the negative experience or breastfeeding “horror stories” for another person……a new mom is already emotionally full as she processes her birth experience and contemplates motherhood…she is full of desire to be successful at breastfeeding and bonding with her new baby.  Offering stories of challenges may not fill her with the inspiration she needs, especially if she is struggling…..certainly let her know she is not alone even if there are struggles but adding to the list of “what if” and “could that happen to me” worries is probably going to have a negative effect.

2. Bring her food!! And NO it does not have to be bland and boring just because she is breastfeeding. Most nursing babies have no problem with any foods a mother eats even spicy or bold flavors. You could ask a mother about her preferences but don’t hold back on foods she enjoys. Or make her easy-to-grab, healthy snacks that she can store in her nursing nest and can eat while she feeds the baby!

3. Pamper mom!! Bring her some flowers to brighten the room, offer a foot rub or shoulder massage or bring her some chamomile tea to relax. Fill Momma’s love tank so she can fill baby’s!!!

4. During a feeding help her relax.….if you are present for a feeding, and you see mom getting tense, some gentle relaxation reminders can be helpful! Sometimes her shoulders creep up to her ears. Reminding her to relax and encouraging a few deep breaths can even help with the milk letting down!

5. Ask her what tasks around the house would help reduce her stress.….often times offering to hold the baby or take the baby so she can rest will only stress the mom more or make her feel inadequate as a mother. What may enable her to relax and focus on the baby is clearing the kitchen sink or doing some laundry. Straightening a room or walking the dog? Ask her!!

6. Be the gate keeper…..the early days of learning to breastfeed are usually filled with fumbling and adjusting as mom and baby learn the dance of latching. Mothers may find it hard to manage and focus if there are many visitors stopping in. Help decrease visitors, and you may also want to hold off on long visits until she requests it or feels up to them!

7. Send encouraging texts and emails….let her know how proud you are of her efforts to breastfeed, her dedication to breastfeeding, her amazing mothering abilities…….a simple text like ” You are an awesome mom and every drop of breastmilk you give your baby is a precious gift!” can carry her to through a long feeding at 2 am or a round of evening cluster feedings!

8. If she needs help…help her find good help…..IBCLC’s are the gold standard for  lactation care, bring her a list of local IBCLC’s to call on if she is having any issues!

9. Look up her local chapter of La Leche League and help her get to a meeting! Mother to mother breastfeeding support is invaluable…..she needs to feel like she is not alone…..even if everything is going well, it is good to meet other like-minded moms doing all the same things she is!

10. Help educate others around the new mother about ways to help support her! If you are reading this blog, there is a strong likelihood that you have a new mom in your life…..pass this blog on to others in her life as well.  Create a “village” around this new mom to inspire and support her on the journey of breastfeeding her baby.  Each child we see breastfed in this generation will contribute to a healthier and happier world in the next!!

No Perfect Houses Allowed: Preparing For Your Lactation Consultation

9 Apr

*Don’t clean! As lactation consultants,  our focus is on mom and baby.  We won’t be looking at the piles of laundry or dishes in the sink.  Leave the tidying up for the in-laws and even then wait at least a month…..

*Dress For Comfort Not Style.  PJs are totally ok!  Just wear a top with easy access so you won’t have to worry about it getting in the way of your breastfeeding efforts.

*Tuck Your Pets Away.  Or ask us before the visit if we mind the pets being out.  Sometimes dogs and cats are so friendly they want to be in middle of the consult.  Although Rover and Mr. Whiskers are cute, they can be a distraction for momma, and we want you to feel relaxed throughout the consult and not concerned about the pets sniffing out the new visitors and their strange bags. 🙂

*Expect to Breastfeed.  But don’t hold off a feeding if your baby is hungry before we arrive.  They are usually always willing to eat again.  It’s helpful if you can text us when you expect the baby to feed next, and we may be able to adjust our schedule around the feeding!

*Pick a location.  Decide where you will be most comfortable breastfeeding…couch, recliner, bed…and have pillows, burp cloth, receiving blanket and a bottle of water within reach.

*Write Down Your Questions.  Don’t try to remember them…your new mom brain won’t let you.  Take a couple of minutes the day of the consult to make a list of questions and concerns you may have.  We won’t leave until we know that you have had all of your questions addressed. 

*Plan payment.  Feel free to ask ahead of time the specifics about fees and payment methods so it’s not a source of worry and surprise for you at the conclusion of the visit.  You or preferably your partner may also want to contact your insurance company to see if any of our services are reimbursable to you or can be applied to a flex spending account.

*Get Your Pump Out.  If you are using a pump at the time of the consult, have it available for us to look at so we can make sure the fit is good for you and provide you tips for getting the most out of your pumping sessions.

*Talk With Your Support Person.  And ask them if they might be available to listen in on the consult and watch techniques.  Having another set of eyes and ears present ensures that when we leave you will feel confident in their ability to give you gentle reminders of the techniques and tips you learned during the consult

*Get Baby in Skin to Skin.  Plan to have your baby dressed in just a clean diaper and spend a few minutes with her on your chest, heart to heart, before our arrival. Babies who are held in skin to skin just prior to feeding go through a specific set of feeding behaviors which generally enables them to latch and breastfeed more efficiently.

*Relax.  And give yourself a pat on the back for seeking help.  While we can’t always provide an immediate fix (sometimes those magic lactation wands just don’t work), our goal is to leave you with a plan, feeling empowered and more confident to take charge of your breastfeeding journey.

Before You Breastfeed: 10 Tips for New Breastfeeding Moms

2 Apr

1. Learn about and use Laid-back breastfeeding technique. This approach taps into your baby’s feeding instincts. Your baby is capable of latching and feeding well at the breast.

2. Have a list of things others can do to help you when they come to visit. If visitors must come in the early weeks have a list posted on the refrigerator of small tasks that YOU would find helpful and reduce your stress. Usually someone else holding the baby is not as helpful as someone running a load of laundry or fixing a meal or changing the sheets on your bed. Don’t be afraid to ask for help; your job is to spend time with your baby learning about her, feeding her and resting.

3. Spend as much time as possible in skin to skin. Having skin to skin time with your baby has amazing effects on the both of you. Science has proven that skin to skin contact with mom and baby stabilizes baby’s temperature and heart rate, helps mother identify early feeding cues, and helps mother bond more deeply with her baby.  Get comfy in a recliner or bed, have baby down to diaper and lay her on your chest heart to heart. You can put a blanket over her back and just relax. Baby may rouse and search for the breast or may fall comfortably to sleep with the familiar sound of your beating heart.

4. Learn about how to know your baby is feeding well. One of the biggest concerns new mothers have is whether or not their baby is getting enough from breastfeeding. Following are some signs to look for:

  • Your baby has adequate diaper output.
  • Your baby wakes to nurse on their own.
  • Your baby is alert and active when feeding.
  • You hear or see baby swallowing as they feed.
  • Your baby is gaining weight well.
  • You may also notice your breast feel softer after a feeding and/or you may notice a let down during a feeding or milk dripping from the other breast.

5. Find or recruit a support system. One of the major reasons women quit breastfeeding before they expect to is a lack of support from family and friends, and research tells us the spouse/partner plays the biggest role. If you are struggling in the early weeks, having family members and supportive friends to lean on and who will encourage you will help you reach your breastfeeding goals.

6. Find a breastfeeding support group early on. Breastfeeding support groups, like La Leche League or hospital based groups, are a valuable resource for help and support in the early weeks of breastfeeding.

7. Don’t forget to take care of yourself. Often times moms are so exhausted they forget to eat or drink frequently. Having snacks that you can grab quickly are life savers. You will feel your best if you are also making sure you are resting often and getting plenty to eat and drink.

8. Get help early on if things are not going well. Many moms are reluctant to get help or not sure where to find help with breastfeeding issues, but getting help early is so important! Many times minor issues can turn into major problems if help is not found early on. Getting qualified help is the key when facing challenges. An International Board Certified Lactation Consultant (IBCLC) is the highest accredited breastfeeding helper and has proven skills to assist in many of the common breastfeeding challenges. But not all Lactation Consultants are IBCLC’s so be sure to ask!

9. Take a prenatal breastfeeding class. Find a class that is taught by an IBCLC, and attend early in your third trimester.  Often times, classes taught in other locations besides hospitals will focus on prevention of problems and provide more practical breastfeeding information rather than teaching “this is how we do it at XYZ Hospital.”  Consider a private class to get the most customized experience.

10. Build your portable nursing nest. Whether you decide to have a special place to nurse your baby or nurse in different locations throughout the house, having a basket of self-care items within hand’s reach is invaluable.  Here’s a list of things you may want to include in your portable nursing nest:

  • Water bottle – If you forget it, you will feel like you just trekked through the Sahara…
  • Healthy snacks – High protein, high fiber, tasty snacks to keep you satisfied…
  • Cell phone – You will get very adept at texting while nursing…
  • iPod, mp3 Player – Relaxing music…increased relaxation helps those breastfeeding hormones flow better…
  • Burp cloth – For little spits and leaking milk…
  • Breast pads – Disposable or reusable…
  • Lanolin – Your choice of nipple cream, such as Earth Mama or MotherLove, all-natural ingredients…
  • Book/Magazine – Or these days, Kindle, Nook or eReader…
This is YOUR time with YOUR baby…learning together…slow down, relax and enjoy!
*photo courtesy of www.007b.com