Get Comfortable Breastfeeding- Bebe au Lait Giveaway!

A big part of reaching your breastfeeding goals may actually be about how comfortable you are breastfeeding. Physical comfort (back ache or nipple pain is going to put a big damper on things!), emotional comfort, social comfort, you name it, feeling comfortable can be key to the whole breastfeeding experience. Which is why we are talking about comfortable breastfeeding with our friends at Bebe au Lait and Katy Linda, IBCLC from The Breastfeeding Den and give away 2 breastfeeding covers and 2 breastfeeding pillows to help you get comfortable in your own breastfeeding journey, whatever that means for you.

 

Breastfeeding in public with a breastfeeding cover. When you're a model family at an adorable cafe. Thanks to Bebe au Lait for this image.

The Nursing Cover, $36-$38 value

Bebe au Lait introduced the Nursing Cover, 10 years ago as a solution for nursing in public. The stylish and comfortable covers are adjustable, and are made with a patented open neckline that holds the cover away from the baby, allowing mom and baby to make eye contact. They come in a variety of designs and colors, and are made of either 100% cotton, organic cotton or muslin.

 Bebe au Lait breastfeeding pillow

The Nursing Pillow, $55 value

Bebe au Lait launched for the first time this year, The Nursing Pillow. Created by a nursing mom, The Nursing Pillow puts baby at the optimum height to promote a better latch. The features include a reversible, dual sided surface (soft or flat), convenient two-sided pocket to keep essentials within easy reach and an adjustable, tuck-away strap. The Nursing Pillow is designed with an open shape for a better fit and is foam-free. Both pillow and removable slip cover are 100% cotton and machine washable. Please note that this item is not yet available and will be shipping mid December with the lucky winners being some of the very first to get their hands on one of these beautiful new pillows.

 To be entered for a chance to win one of these prizes, follow the directions on the widget below. Please note, this giveaway is open to those in the USA.

a Rafflecopter giveaway

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The Romanticized Myth of What Constitutes Successful Breastfeeding- An Apology

by Jessica Martin-Weber

Dear Leakies,

This is my 5th version of this letter. I’m going to finish this one.

But first I’m going to do something I’ve never done here before:

To hell with the WHO Code

That’s a picture of Sugarbaby receiving a bottle. A bottle of my milk. Taken 2 years ago by my wonderful husband, I love this photo. So much love and pride captured in this moment. A vital moment in me reaching and achieving my breastfeeding goals. And that bottle wasn’t even kind of a “booby trap” to my breastfeeding goals.

Still, I never shared it with any of you here, on Facebook, Twitter, or Instagram.

Why haven’t I shared this or images like it with The Leaky Boob community before now? Why is this my 5th attempt at this letter? It’s simple:

Shame.

Yep. I have harbored shame. Not shame that my babies have received bottles, no, I have absolutely no shame that I’ve fed my children as I needed to. No, my shame came from using a bottle made by a WHO Code violating company. (To learn about what the International Code of marketing of Breastmilk Substitutes is, go here.) Only, that’s not really the shame I’m holding either, do you know how hard it is to find a bottle that’s not made by a WHO code violator? Nearly impossible.

No, my shame goes way beyond even the WHO Code, bottle feeding, or supporting a WHO Code violator.

My shame is that I haven’t cared about the WHO Code for 3 years, but felt I had to in order to be a “good” breastfeeding supporter.

My shame is that I played along, even became a part of the self-appointed WHO Code policing brigade for a time, even though I knew all along, deep down in my heart, that the almighty WHO Code was creating barriers.

My shame is that I felt righteous supporting the WHO Code. The original purpose of the WHO Code was so pure, so right, so good, how could I not support it?

My shame is that I upheld an artificial picture of what it looked like to successfully breastfeed and called it supporting the WHO Code.

My shame is that my actions supported the WHO Code more than they supported women, babies, and families.

But my shame is not that my babies were fed, not that they were loved, not that they sucked on an artificial teat.

To hell with the WHO Code

Look at that big sister love and pride!

Screw shame. I’m done. And I’m sorry. I’m deeply sorry that it has taken 3 years for me to find my courage to take the stand I live but never shared here.  I’m sorry that I’ve not been honest.

Because this is what successful breastfeeding has looked like for me:

To hell with the WHO Code

And so is this:

to hell with the WHO Code

For every single one of my 6 beautiful children, bottles and breast have been a part of me reaching my goals. And not just because I had to go back to work. I choose to go back to work, I love working and am a better parent when I work, but even when I didn’t work outside the home, I elected to partially bottle feed my milk to my baby. This was a positive thing for me as I get physically stimulated very easily and as an introvert found the need to create some space for myself. I did better mentally and emotionally, which meant I was in a healthier place mentally and emotionally to parent my children. It was the best healthy choice for us. I have never, not once, regretted it. Today, with a breastfeeding 2.5 year old, I also don’t believe it ever interfered with our breastfeeding nor did bottles have a negative impact on me reaching my breastfeeding goals.

In fact, I firmly believe that without bottles, I would have quit breastfeeding early on.

And see the big child in this photo bottle-feeding her baby sister my milk?

to hell with the WHO code

Do you see that eye contact? *melt*

She was mostly formula fed.

I don’t have any shame about that either. In fact, I’m damn proud that when the time came I could make the right decision for us to stop breastfeeding and switch to formula. The regret I have felt about that has been artificial and circumstantial, never true. It took a lot of courage for me to make that decision and it was the right one. I would make it again if I had to. I will support you if it’s the decision you need to make as well. We’ve been vocal here that breastfeeding doesn’t have to be all or nothing to be successful, I just haven’t been visible with that reality for myself.

Through The Leaky Boob I have contributed to a beautiful yet often unattainable depiction of what it looks like to breastfeed. In my attempt to normalize breastfeeding and provide support up what breastfeeding looks like, I have held up at the breast breastfeeding as being more beautiful, more important, more viable, more worthy of sharing and discussing and promoting than any other infant feeding methodology.

I support people before I support a feeding method.

to hell with the WHO Code

Sugarbaby’s big sisters loved to give her a bottle

I look at these photos of my baby receiving bottles and I see a beautiful, important, viable feeding worthy of sharing and discussing and promoting. Normalizing breastfeeding (bottle-feeders will tell me they feel that is normalized) and normalizing bottle-feeding(breastfeeders will tell me they fell that is normalized) shouldn’t be in competition with each other. What really seems to need to be normalized is caring for children. Parenting. Without it being a contest or a platform to boost how we feel about ourselves.

Feeding your child is real, no matter what they are fed or the mode of delivery. It’s real, it’s important, it’s complicated, and parents deserve support as they navigate this terrain. I am sorry that The Leaky Boob has, at times, failed to communicate that. I a sorry if instead of being a part of building your confidence, I’ve been a part of tearing it down. Deeply sorry.

I know there are those who will tell me I haven’t failed and I appreciate that.

I also know there will be those that will tell me that I haven’t failed until now. I appreciate that too.

But for the last 4 years as The Leaky Boob I have not been entirely honest with you. As a public voice in breastfeeding support, I have contributed to a mythical image of breastfeeding. I wish I could say it wasn’t intentional but it was and of the 4 years I’ve been doing The Leaky Boob, I have wrestled with this for three years. Motivated by fear, I allowed myself to present a picture of my breastfeeding journey and an idealized image of “successful” breastfeeding that simply wasn’t true. Well, not true for me anyway and likely not true for many of you. And I know holding that ideal up was damaging for some and a sort of betrayal for others. It wasn’t that I overtly lied, it was more of an omission of truth. I was wrong to do so and I am sorry.

A few weeks ago I was sitting with a friend of ours, a new dad who was bragging about how his wife and son had worked so hard at breastfeeding and just the day before, at close to 8 weeks old, had fed directly from the breast for all of the feeds. He said something that struck me: “you know, I think they’ve been breastfeeding, we’ve worked so hard but it’s not like you ever see pictures of breastfed babies getting bottles. Our lactation consultants were great but it’s a lot of work, a lot of time, a LOT of money, you know? The work you do is so important, we were on The Leaky Boob all the time and we have found a lot of help and support there but we still felt alone. I mean, it feels like it’s not as real if we’re giving a bottle, nobody ever talks about that. Does anyone else go through this?”

I was confronted with the reality of my failure on my couch.

to hell with the WHO code

Babies feeding babies here. So much big sister love!

Leakies I am sorry I never shared images of my babies and other babies receiving bottles. I was wrong to only ever present a side of my infant feeding journey that was safe for me as a public breastfeeding supporter. Anxious that I would be inviting drama and attacks from other breastfeeding supporters, educators, blogs, organizations, and my own readers, I didn’t want to risk being accused of being a WHO Code violator by posting pictures of my babies with their bottles. Specially since I do make some income from The Leaky Boob, I was concerned that if I ever even showed bottle feeding some would think it was sending the wrong message.

But message or not, this is the truth: my babies, all 6 of them, got bottles. One got mostly formula in her bottles. Back when I was attending women as they had their babies, often I was helping a new mother and baby pair with their first few feedings while my baby was at home getting a bottle of my milk. And every single bottle my babies have received was manufactured by a WHO Code violating company. I’ve never once regretted that, never once felt guilty for it, never once wished it was another way. But I did feel afraid to show it.

My incredible husband, Jeremy, The Piano Man, has never had a problem sharing these images though and not because he doesn’t understand the WHO Code or is unaware of the barriers women face when it comes to breastfeeding. When he came home one day with a new bottle and I stressed about having a WHO Code violating bottle in our house, that it couldn’t be posted anywhere online, and that I felt sick giving money to a Code violating company, he simply looked at me and calmly said “I thought this was about feeding our daughter.” I sterilized that bottle and moved on, knowing I wouldn’t post any photos of the offending bottle. But he did. And the very first comment on the photo was this:

WHO Code

E bottle feeding A copy IG bottle feeding comments redacted

I understand where the commenter was coming from and she wasn’t giving anyone a hard time but it’s true, because of the half truth I had shared, it was strange to see one of my baby’s drinking from a bottle. But it wasn’t strange that she was receiving one, it was actually a part of our normal infant feeding routine.

Bottles were an important part of me reaching my breastfeeding goals. Without bottles, I’m not sure I would have made it as far as I have and I’m pretty certain I would never have even started The Leaky Boob. I have talked about using bottles and formula feeding my second daughter, but I never shared images and I carefully couched sharing those experiences as safely as I could so as not to invite controversy.

I have let go of my shame and my fear.

By intentionally keeping that part of my breastfeeding journey quiet, by not sharing images of my baby receiving a bottle, by just sharing images of my babies feeding only at my breasts, and by neglecting the real life bottled-up aspects of the breastfeeding journeys of others, I perpetuated a romanticized myth of what constitutes successful breastfeeding.

I am sorry. Please forgive me.

With all my love, sincerely,

~Jessica

bottle feeding and breastfeeding The Leaky Boob Sugarbaby

Do you use bottles? How do you feel about using bottles? Do you share pictures on social media of your baby receiving bottles? Need help bottle-feeding your breastfed baby? Check out this articleFacebook page, and this book.

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What I Want You To Know About Why My Son Can’t Eat- FPIES

By Carrie Saum Dickson

This guest post shares the feeding journey of 16 month of Echo as told by his mother. A breastfeeding, pumping, allergy story of a little boy with a bright spirit and a mom and dad with steadfast hearts and commitment. Their story is beautiful, inspiring, challenging, humbling, educational, and so very raw. Be sure to go on to read part 1 and part 2 of their story as well.

Carrie and Echo FPIES

Shortly after birth, my sweet little boy, Echo, had a stroke. We struggled to breastfeed and I ended up exclusively pumping for him. But that was hardly the extend of his feeding difficulties. You see, my son can’t eat. For a while there he couldn’t eat anything, now he has a few safe foods. But he still really can’t eat. He’s 16 months old.

My son’s name is Echo and he has FPIES.

What is FPIES? According to The FPIES Foundation:

Food Protein-Induced Enterocolitis Syndrome (FPIES) is a type of food allergy affecting the gastrointestinal (GI) tract.  Classic symptoms of FPIES include profound vomiting, diarrhea, and dehydration. These symptoms can lead to severe lethargy, change in body temperature and blood pressure. Unlike typical food allergies, symptoms may not be immediate and do not show up on standard allergy tests.  Furthermore, the negative allergy evaluation may delay the diagnosis and take the focus off the causative food.  Nonetheless, FPIES can present with severe symptoms following ingestion of a food trigger.

I will tell you this: I’m a fierce mama bear. I will not let my son be defined by a stroke or FPIES or anything else over which he has no control.  He is a strong, charismatic, people-loving, joyful being. He walks confidently into a room full of strangers, waving and smiling as though the world has been expecting him all along, and is ready to receive him. He is so much more than a diagnosis or cluster of symptoms. Echo is pure light. We do our best to make the world safe for him. Sometimes we fail. With every trip we’ve taken and guest we’ve hosted, Echo has experienced acute reactions each time despite our vigilance. But we walk a very fine line between taking calculated chances and raising Echo in a bubble.

This. This new normal. Echo, at 16 months old, has two handfuls of safe foods and resists eating, all while laughing and giving kisses and shaking his head “no”.  Me? I’ve made peace with the pump. Peace with my life in this moment, with the ever-changing new normal. My son has one constant and safe food source that he never turns down (mommy’s milk!), and it brings me great peace of mind. We’ve learned to keep participating in life, even when my mom innocently asks if there’s a mute button for the pump motor, or when Echo enthusiastically licks the trash can and we know we will be up all night.  I’ve learned I can do anything for ONE MORE DAY, which in this case adds up to almost 500 days. Especially if it’s for my son. I’m grateful and proud that my body still impossibly provides most of what Echo needs. The dark clouds of survival lift and retreat when I remember this: I am lucky to be his.

Echo FPIES I am the voice

Here are three things I want you to know from my experience:

  1. FPIES scary and effing HARD. Have you ever tried to keep a toddler from eating food? It’s impossible. And sad. And no matter how careful we are, Echo often manages to find something and then we hold our breath until we know he’s okay. Leaving the house is stressful, play dates are almost impossible, and no space (except ours) is safe for him. Leaving him with a sitter is always a test of faith and competence. Finances are continuously tight. As it turns out, shipping donor milk, taking the max dose of Domperidone, (which insurance does not cover), and keeping up with medical bills all require quite a bit of cash. Also, it really takes a toll on a marriage, even a solid, seasoned one. Many families don’t make it through these rigorous trials with chronically ill children intact, even with proper support. Try not to judge us when we all seem a little fragile.
  2. FPIES is exhausting. When Echo experiences a reaction, he is in continuous pain, nobody sleeps for two days, and we have to take extra care with him. It requires total gut rest and a diet of only precious breast milk for days. I hate that he suffers so much, and it takes us all about a week to fully recover. We get little sleep and even less respite. We are hyper-vigilant everywhere we go because food is, well…everywhere. So, if you see Lance or me getting hyped-up when Echo gets food on his finger or there are crumbs on the floor or freak out when you pull out the goldfish crackers, please don’t think we’re crazy. And please don’t take offense when we start cleaning up after your kid or respectfully wiping their hands and faces before they play with Echo.
  3. FPIES is a real thing, and it’s rare. I’m part of online support groups where moms have been diagnosed with Munchausen Syndrome when they take their very sick children into the ER after an especially bad reaction, and some parents have had their children taken away because the doctors don’t even know what FPIES is or believe the parents when they explain it. (The parents eventually get their kids back when the doctors and social workers see that the reactions happen no matter whose care the child is under.) Although I refuse to dwell in fear of this happening, it is still something that happens. And the only way it stops happening is if you guys know about FPIES.

 

For more information about FPIES, visit these websites:
The FPIES Foundation
http://fpiesfoundation.org/fpies-medical-literature

From the American Journal of Pediatrics: The Mother of All Food Allergies
http://www.jpeds.com/article/S0022-3476%2803%2900273-7/fulltext

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Feeding Echo, Part 2- Solids, Vomit, More Pumping, Donor Milk, and FPIES

By Carrie Saum Dickson

This guest post shares the feeding journey of 16 month of Echo as told by his mother. A breastfeeding, pumping, allergy story of a little boy with a bright spirit and a mom and dad with steadfast hearts and commitment. Their story is beautiful, inspiring, challenging, humbling, educational, and so very raw. Be sure to go on to read part 1 and part 3 of their story as well.

Echo eating solids

We began introducing solids when Echo turned six months old. My career focuses on healing the body and restoring vitality through nutrition, and I was excited to begin this work with my son.   I was ready to share the burden of feeding my baby with the rest of the food-eating world, namely organic fruits, veggies and properly-raised protein.

I was already planning a pump burial ceremony the day after Echo’s first birthday. My enlightened, supermom-self felt extreme gratitude to be able to exclusively give Echo breast milk for six months, and I could find the grace to pump six more. I know it is a precious gift so many moms are unable to give their babies and I felt genuinely humbled. But with my supply waning and the freezer stash quickly diminishing, I was ready to have help feeding my son. I was also ready for some sort of life again, a life that did not revolve around pumping and keeping up my supply. Plus, my nipples were starting to look kind of horrific, my areolas worn paper-thin in spite of my best efforts to keep them in good shape. My favorite mantra of “I can do this for ONE MORE DAY” felt as thin as my areolas. I was officially over it.

Happiest Echo 8 months

Echo’s first solid food was avocado and he LOVED it. He got it all over his face and hands and in his hair. Then we tried pastured egg yolk with grated grass-fed liver. I’ve never seen such a look of joy on his face. My baby was a total foodie at heart, just like his mommy. He wasn’t a huge fan of winter squash, but that was okay. He liked everything else we gave him.

We traveled to Texas for Christmas and Echo threw up a couple of times. It happened a little while after eating, which was weird, but we chalked it up to travel and maybe a stomach bug.

We came home, gave Echo avocado again, he threw up exactly two hours after eating it. Then he continued vomiting uncontrollably for the next 90 minutes and even threw up bile. We communicated with his doctor intermittently over the next 12 hours, assuming he was allergic to avocado. Echo bounced back in 48 hours, and a few days later we gave him his favorite, egg yolk. Exactly two hours after ingesting the egg yolk, the vomiting began again and this time it was much more severe. Echo became extremely lethargic. We communicated with his doctor continuously throughout the night. I gave him sips of watered-down breast milk and Lance and I took turns soothing and cuddling him.

We saw Echo’s doctor the next day and she brought up Food Protein Intolerance-Entercolits Syndrome, or FPIES for short. She tested Echo’s stool for blood, and it returned positive. We researched FPIES and his symptoms fit exactly, but nobody wanted to jump to a diagnosis. A few days later, Lance gave Echo a carrot to teethe on and precisely two hours after introducing the carrot, Echo threw up. That confirmed it. Our son was allergic to food. I wept unabashedly in front of his doctor on the day we received the FPIES diagnosis. Staring down the tunnel, that watery light of hope ending my relationship with the pump, began to flicker and fade as I realized there was no real end to pumping in sight. Not only that, but my baby was very sick and I could do very little to change that for him. I felt completely undone and powerless. The impossibility of pumping for the next 2.5 years loomed big and the dark clouds of survival rolled back to cover me once more. I would not break up with my pump any time soon. But more than that, my baby was sick. The kind of sick you can’t fix, or treat, or hope away.

We chose to stop all food trials, (with the exception of coconut oil, which has no protein in it), until Echo turned one. Resting his gut seemed like a wise move, and gave Lance and I time to come to terms with our amazing miracle boy who needs meticulous care and consideration. It also gave us time to come up with a strategy for feeding him, and space to deal with the long-term ramifications of FPIES. With each new food introduction, the rules for trialing it are stringent: one food at a time for 18 days in a row, followed by a three day break and reintroduction on the 21st day. No grains, no soy, no cow’s milk, no corn derivatives and no processed or combined foods. All of this in hopes of healing and reducing the strain on Echo’s gut. Eating out, eating in, traveling, playdates, childcare, the zoo, splash pads, children’s museums, playgrounds…they are all latent with food. Our home is safe from Echo’s trigger foods, but the rest of the world is not. Echo even reacts to grass and leaves that he sneaks in his mouth while we are outside playing, which turned us both into helicopter parents. Lance and I both mourned the loss of freedom we all would experience, but mostly the loss of freedom and exploration for Echo.

One More Day Carries Pump Hygeia

At eight months, my supply tapered way down, and no amount of herbs, tea, extra pumping sessions or positive thoughts brought it back. Under the supervision of my doctor, I tried Domperidone as a last resort. It worked for the most part, however, I still needed to supplement with donor milk. This was another hurdle. Echo mildly reacts to specific foods in my milk and I wanted to find a donor who would be willing to follow the same specific diet I do to give my son the best chance at healing his gut. One of my oldest friends, Allison, stepped forward and offered to be a consistent, diet-compliant donor and ship the milk overnight from Texas to Oregon every month.

Allison wasn’t the only person to step forward and help us. My three closest friends have also provided safe milk for Echo’s supplementation. With their help, Echo has remained in the 70th percentile for weight. Our vibrant, close-knit community have all helped us stay afloat. They’ve prayed, rallied, provided meals for Lance and I, given us date nights, an understanding and compassionate place to vent, and most importantly, a safe haven for our son. Company picnics and nanny-shares and beach weekends with our friends are possible because our remarkable little tribe cares enough to share the burden of Echo’s well-being.

Carrie lance and echo

 

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Feeding Echo, part 1- Breastfeeding Trauma, Exclusively Pumping, and FPIES

By Carrie Saum Dickson

This guest post shares the feeding journey of 16 month of Echo as told by his mother. A breastfeeding, pumping, allergy story of a little boy with a bright spirit and a mom and dad with steadfast hearts and commitment. Their story is beautiful, inspiring, challenging, humbling, educational, and so very raw. Be sure to go on to read part 2 and part 3 of their story as well.

skin to skin newborn

It’s 8:30 on a Wednesday night. My husband, Lance, is in our son Echo’s room, feeding him his bottle and reading a bedtime story. Bedtime is later than usual tonight. After working a full day building my practice as an Ayurvedic Wellness Counselor, taking Echo to an early evening doctor’s appointment and cooking dinner for the three of us, time slipped away from me. Echo ate his dinner late, too. We are all tired and cranky from a day that held too much activity and not enough down time.

I’m washing baby bottles in the kitchen when I hear Lance frantically yell through the monitor, “Carrie! Carrie! It’s happening again!”. I slip the bottle I’m washing back into the soapy water and hurry to Echo’s room. Echo, Lance, and everything within a three-foot radius is covered in vomit. I grab a towel for Lance, take our crying one-year old son, and try not to cry, too.

I draw a bath while Lance peels off his vomit-soaked clothes and climbs in the tub. I undress Echo and give him to Lance and go clean up Echo’s bedroom. I strip the double bed, break out the sanitizer and get down on my hands and knees to make sure I don’t miss anything. I study the vomit: color, consistency, quantity, and make notes to share with Echo’s doctor. The details are important.

I go back to the bathroom to get my sweet, smiley and spent little boy, put him in fresh pajamas while Lance showers. We start the bedtime routine all over again. We play peek-a-boo and pretend to eat his toes and we all feel a little better after laughing. I go back to the kitchen, finish washing Echo’s bottles, and sit down on the couch with my trusty pump as Lance kisses me goodnight and heads to bed himself. It’s 10:15. Exhausted, discouraged and hurting, I massage my right breast, which seems to constantly be clogged these days, and allow myself a good ugly cry. I leave the fresh-pumped milk out on the counter so I don’t have to waste precious minutes heating up a bottle in a couple of hours when I’m sure Echo will wake.

It’s 11:00 before I climb into bed, my right breast still hard and hurting with unexpressed milk. I know my sweet little Echo will wake up several times tonight, either from pain or hunger, and I’ll sing to him and soothe him the best I can in those long nighttime hours.

Echo has eaten green beans 10 days in a row now without any reaction, and we began to hope that maybe this would be a Pass. That his diet would expand to something other than breast milk, coconut oil and spinach.   This latest vomit episode signals the end of the green bean trial and one more food to add to the Fail column, of which there are many. And more than that, it means we have to start over from scratch with a new food, and all of the trepidation and hope that comes with it. I fall fitfully asleep worried about my baby, my boobs, and this betrayal of my son’s body called FPIES: The Mother of All Food Allergies.

Echo’s relationship with food has been fraught with difficulty from Day Two. When he was 36 hours old, he stopped breathing while nursing and continued to stop breathing every 10 minutes for the next 16 hours. In the hospital, he received his nutrition through an IV for almost three days. We didn’t know it at the time, but Echo was experiencing non-breathing seizures due to a stroke he suffered sometime shortly after birth. None of the doctors could tell us what caused it, and they chalked it up to happenstance.

Echo stroke NICU Exclusively pumping

My relationship with feeding my son has also been fraught with difficulty. Resuscitating him when he turned blue at my breast brought on PTSD and panic attacks for months. Over a year later, I still feel a faint, tiny, cold fist of fear in my chest when I remember it.

My first experience with a breast pump was sitting next to Echo’s bed in the Pediatric ER while a team of medical personnel worked furiously to keep him from crashing every 10 minutes while my eyes continuously leaked tears of terror and exhaustion. I pumped every 3 hours around the clock, even when I could not hold him for two days as my milk (miraculously) came in. I continued to pump, proud of my body for rallying to feed my baby, in spite of the circumstances and in spite of my fear. My body could do this one thing for my newborn son, and it did it well through bone-crushing exhaustion and fear.

Around four months old, Echo began making great strides in his stroke recovery. The muscle weakness on the left side of his body that affected his latch retreated. We weaned him off one of his anti-seizure meds. He woke up to the world around him, alert and happy and contagious with laughter. He also rejected the breast entirely. We had worked up to three nursing sessions a day and I was sad and frustrated when he wanted nothing to do with it. He looked terrified and scared every time I put him to breast. I told him aloud “we can do the hard things together, baby”, the phrase which I used to affirm us from pregnancy on, and resolved silently to myself as I hooked up my pump, “I can do this for ONE MORE DAY”. Grace always showed up to help me through those difficult early days of weaning and extra pumping.

 

exclusively pumping

I wondered if Echo remembered his first seizure and in my gut, I knew forcing the breast was re-traumatizing him. So, we stopped nursing. Many of the dark clouds our little family had been surviving under, lifted. We enjoyed lots of cuddles and closeness with bottle-feeding and we allowed this breast feeding-free world to be our new normal. I developed an even closer relationship with my pump. It went with me everywhere, even places my baby couldn’t. I tried hard not to resent the extra dishes, the double duty of pumping and bottle-feeding, my miniscule supply of free time, and the total loss of freedom to just take my baby and have a day away from home without first planning how much milk to bring and where I could pump in privacy.

Carrie and Echo skin to skin

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Lactation Consultant Licensure in the United States

By Stephanie Rodriguez-Moser, IBCLC, RLC

Breastfeeding newborn

On July 3rd of 2014, something very exciting happened in the lactation world. Rhode Island passed a bill that would allow International Board Certified Lactation Consultants (IBCLCs) to be licensed providers.   A surprising number of people have no idea that this occurred, or what it means for professionals, mothers, and babies.

Licensure is something that lactation consultants have been working towards for a long time. Breastfeeding support has many faces, and this can lead to a lot of confusion for those looking for lactation services. The Massachusetts Breastfeeding Coalition has a wonderful document that goes into all of the credentials out there and what they mean, what they stand for, and what kind of services they provide. If you click on that link and download the PDF, you will see that it is really, really long.   There are 14 types of lactation help listed, and several of them use a “L” and “C” in the name, even though they all have different standards of what they are, what they do, and what their scope of practice is.

Currently, anyone practicing breastfeeding care can call themselves a lactation consultant. It’s not a protected term. This can be a problem, because a mom who thinks she is getting help from a qualified, trained professional might actually be getting help from a lay person. While I firmly believe that there is a need for many types of lactation support and assistance, I just as passionately believe that mothers have the right and need to know the training of the people that are helping them. Generally speaking, IBCLCs are the most qualified to be engaging in clinical care of the mother/infant dyad as breastfeeding is concerned. Most of the other certificates or certifications are qualified to provide education and basic counseling.

Licensure of IBCLCs protects mothers. It provides a way for mothers to know that the person they are seeking out has met the standard of qualifications dictated by the International Board of Lactation Consultant Examiners (IBLCE). This includes lactation specific training, college coursework, clinical hours, passing a comprehensive exam, and regular recertification. A licensed body means that mothers would have a board to file a complaint with if the IBCLC damaged their breastfeeding relationship or acted in an unprofessional or unethical manner.

This would also help IBCLCs be placed in more areas. There are many “lactation deserts” out there, where help and support is difficult or impossible to come by. This isn’t due to lack of IBCLCs, but it is due to lack of job opportunities and reimbursement options. The Affordable Care Act was great for breastfeeding support, but failed to define who was a trained lactation care provider that was eligible for reimbursement. IBCLCs that are non-nurses, not advanced practice nurses, et cetera, are not seen as billable licensed providers for lactation care in many states – especially through Medicaid. Hospitals and clinics are therefore often skittish about hiring someone for lactation care alone, as reimbursement can be a problem. Private practice providers have a difficult time getting insurance companies to see them as reimbursable. WIC clinics often don’t have the budget to hire IBCLCs as stand alone IBCLCs, especially in smaller areas. This leads to women in minority and/or socioeconomically challenged areas not having available help, despite the fact that these are the women facing some of the biggest challenges with breastfeeding.

We all want mothers to be supported in their unique breastfeeding goals, be that a year (or more!) or a month or even a day. Access to qualified care is one of the best ways to make this happen – and licensure is a big part of that. I encourage you to find a way to get involved in licensure efforts in your state. As someone who is chairing a licensure effort, I can assure you – we need a lot of help! Please find your state’s information below and see what you can do.

(If your state is not listed or is listed incorrectly and you know the licensure contact information for it, please let us know. We would love to include them!)

Colorado

Florida

Georgia and More for Georgia

Massachusets

Minnesota

Pennsylvania

New York

North Carolina

Utah

Is your state missing? Please contact your state breastfeeding coalition to ask what they are doing for advocacy in your area!

 

Starbaby Star Rodriguez, IBCLC, RLC is a provider in the Central Lakes, MN area.  She provides services online at Lactastic Services and in person.  She also blogs for The Leaky B@@b and volunteers her services to loss mothers at Stillbirthday.

 

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Tips From The Leakies for Breastfeeding and Babywearing

by Jessica Martin-Weber

Breastfeeding in a Beco Baby Carrier Soliel video demonstrating how to position and adjust the carrier, baby, and breast for hands-free breastfeeding:

The Leakies on the Facebook page had some tips to share for breastfeeding and babywearing, no matter your breast size:

  • Don’t wait for baby to be super hungry and upset, it’s easier when everyone is calm.
  • If your carrier has a hood, put the hood up for privacy.
  • Use a lightweight baby blanket rolled up under your breast for support and positioning help.
  • For small breasts, be sure not to drop the waist band too low and don’t be afraid to tighten the straps for better support.
  • If you need baby higher, a rolled up baby blanket under their bum can help.
  • Practice at home before trying to do it in public.
  • Talk to your baby while you position them to help you both keep calm.
  • Stretchy necklines are your friend!
  • It’s important to get comfortable, don’t end up sore or awkward, practice positioning until it works for both of you.
  • Try to have babies head tilted a bit so nose is clear to breath safely.
  • Hip carry options can be easier for large breasts.
  • Baby’s mouth height should be just at/above nipple.
  • Hold your breast for the latch.

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What tips would you add?

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Heart to Heart Breast Care Bamboobies Giveaway

Breasts are amazing. They can feed babies, they can tell a woman where she is in her fertility cycle, breasts can adjust the milk they make according to the specific needs of the baby (or babies) they are feeding. Breasts can comfort, have fun, and look stunning. Breasts can also get sick and even become deadly. Breast cancer impacts about 1 in 8 women. Taking care of our health and of our breasts is one of the ways we can do our part to be present with our children for as long as possible.

Which is why we have teamed up with Bamboobies to remind moms that even while they are breastfeeding, it is important to be educated and to take action steps in breast cancer prevention, detection, and treatment. You can read the sponsored article here. While we can’t come feel your boobs for you (do it!), we can at least send some of the soft care options Bamboobies has for moms. You matter moms, we love you, take care of your boobs!

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Bamboobies is giving away an assortment of their comfy products to one lucky Leakie.
Total prize value: $105

 

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Bamboobies Organic Nipple Balm, a gift set of 4 pair of Bamboobies nursing pads in a cute washing bag, and a pair of Boob-ease Therapy Pillows. A $72 value.

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Bamboobies Chic Nursing Shawl – Flower Accent. A $33 value

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Good luck to everyone!  Please use the widget below to be entered.  The giveaway is open from October 9, 2014 through October 16, 2014.  A big thanks to Bamboobies for their ongoing support of TLB and all breastfeeding women; please be sure to visit their Facebook page or follow them on twitter and thank them for their support of TLB and this giveaway opportunity.

This giveaway is restricted to U.S. residents only.

a Rafflecopter giveaway

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Heart to Heart Breast Talk

by Jessica Martin-Weber and Kerry Gilmartin

This post was made possible through the generous sponsorship of Bamboobies.

As breastfeeding supporters when it comes to talking about breast cancer it is easy for us to get caught up in talking about how breastfeeding can reduce a woman’s risk of breast cancer. It’s true that statistically speaking breastfeeding can lower your chance of breast cancer, but it isn’t a be all- end all type of prevention, just one piece. The reality is that breastfeeding your baby (or babies) doesn’t mean you get to dismiss the possibility of breast cancer forever, there is still a risk. The good news is that breastfeeding along with other measures can help reduce your risk and education and support can better support those that do develop breast cancer.

Related post: Reduced Risk Doesn’t Mean No Risk

My paternal grandmother is a survivor of breast cancer. A kind, giving woman with a gentle soul, early detection and aggressive treatment meant she lost her breasts but kept her life. I’m so grateful for the treatments available to fight this threatening disease, without them I wouldn’t have known my grandmother. I will never forget when I was young and she showed me her double mastectomy scars and told me her story. The impact of her experience taught me a lot but it was her gentle warning to take care of myself and to regularly check my own breasts that has continued to ring in my ears. Like my grandmother, I want to be here for my children for a long time still, I’m not about to bank on one risk reducing factor. Instead, I want to be informed and do everything I can to protect my health.

So, aside from breastfeeding, what else can you do to lower your risk of breast cancer? And how can you raise your chances of surviving should you develop breast cancer? We’ve pulled together some simple, accessible tips to get you started. Awareness alone won’t change anything, education and action steps are required to make a difference.

 breastfeeding reduces but doesn't eliminate breast cancer risk

Keep A BreastBamboobies donates a portion of all online sales to the Keep A Breast Foundation to support their efforts in promoting awareness, self-checking and prevention of breast cancer.

 

Know the facts

Breast cancer is an extremely prevalent disease and it is crucial to know the facts, learn about prevention, and perform monthly exams.

  • Besides skin cancers, breast cancer is the most common cancer diagnosed among American women. It accounts for nearly 1 in 3 cases of cancers.
  • Today, about 1 in 8 women will get breast cancer in their lifetime.
  • Only lung cancer accounts for more cancer deaths among American women.
  • The chance that a breast cancer patient will be alive five years after diagnosis is lower in women under 40. Statistics indicate that tumors diagnosed in younger women may be more aggressive and less responsive to treatment, making early detection key.

Aging, genetics, race, breast tissue, and menstrual periods are all factors that cannot be changed, however, leading a healthy lifestyle, avoiding common toxins that are linked to cancer, and making smart diet choices are all ways in which you can decrease your risk for breast cancer.

Being aware of what you put in as well as on your body are preventative tactics that you are in control of. Knowledge is key, read the labels of the products you buy and when possible avoid products containing, PARABENS, PHTHALATES, 1,4-DIOXANE, NITROSAMINES, HEAVY METALS. Also, make conscious decisions about cleaning supplies you use in your home. Avoid bleach and stick to these alternatives lemon, baking soda and vinegar when cleaning. Lastly, avoid plastic whenever possible as it can slowly leak chemicals into whatever it touches i.e plastic food storage containers, and plastic water bottles.

In young people, obesity and toxicity are the most prevalent reasons for excess estrogen making it crucial to maintain a healthy body weight. Make healthy choices when choosing the food you put into your body and learn about the fruits and vegetables that are part of the Dirty Dozen and the Clean 15 lists. Avoiding pesticides and choosing certified organic produce, when possible, will reduce the likelihood that you will be exposed to dangerous chemicals and hormones.

Getting Started

Early detection is KEY making it extremely important to perform monthly exams, know your body and your breast. Becoming familiar with your breast will help you determine what is “normal” for your body. You can check yourself in 5 easy steps, beginning with a visual exam. When performing your exam, ask yourself these questions …

  • Do my breasts look the same?
  • Are my nipples the same shape?
  • Are there any indentions, bruises or bulges?
  • Is there any discharge coming from my nipples? Are the veins more noticeable on one breast than the other?

It is necessary to note that if you notice any changes you should visit your doctor right away.

*Keep in mind that lactating breasts are usually more dense and prone to lumps from milk than an empty breast. Breast self-exams are still beneficial, try to do them when your breasts are empty.

Check Yourself AppFor more information on how to perform your exam visit Keep a Breast Foundation and download the check yourself app or print out the check yourself card.

5 easy steps

Visit the Keep a Breast Foundation online store  https://shop.keep-a-breast.org/

 

 

 

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16 Signs You’re a Breastfeeding Junkie

Breastfeeding figurine

There are fashion junkies, pinterest junkies, home decorating junkies, birth junkies, health food junkies, exercise junkies, you name it. Anything can become a passion and then sometimes slip over into almost addict patterns. It’s all you really think about, it’s all you want to do, it’s you can’t wait to get back to. There is a point where it crosses over from a normal interest level to practically accosting strangers with information and . Breastfeeding junkies can be particularly enthusiastic and start seeing breastfeeding and boobs everywhere thanks to breastfeeding on the brain, just itching to get back to breastfeeding information, support, and advocacy.

Wondering if you’re a breastfeeding junkie? They say it takes one to know one so here are 16 signs I’ve spotted in myself that may indicate I’m a bit of a breastfeeding junkie.

1. Every outfit you encounter is sized up for it’s Breastfeeding compatability. In stores, online, random women on the street… All clothing is assessed on how well one could get a boob out. That 50 year old stranger’s smart looking outfit you mentally dissed because “her baby would be freaking out by the time she got her boob out of that dress” even though it’s obvious she wouldn’t currently have a nursling.

2. When out by yourself you find yourself checking out where a breastfeeding mom could find a comfortable spot to sit and feed her baby even though you won’t be using it. 

3. If a store or business indicates they welcome breastfeeding moms you thank the person behind the counter for their support even though you don’t have a breastfeeding baby with you. 

4. Without being asked, you are ready to launch into a detailed explanation of the composition of breastmilk whenever someone mentions any kind of milk. 

5. You see what should be a somewhat disturbing nature video of something eating something else that has nothing to do with breastfeeding and think: “you know, what a good latch, look at those flared lips.”

6. You know HAMLET isn’t just a Shakespeare character. 

7. Without meaning to you spot tongue ties in pictures of babies and mentally cringe for that baby’s mom’s nipples wondering if there is restricted movement that led to nipple damage. 

8. Coffee cups, lights, signs, hubcaps, patterns, gourds, melons, you name it, you see breasts every where of everything. Life through boob colored glasses. 

9. Somehow, someway, you always end up talking about breastfeeding. It just works it’s way into every conversation, even conversations with young single men. It happens so often it doesn’t even surprise you any more.

10. Off the top of your head you can cite the recommendations for breastmilk storage including the temperature and duration of storage. 

11. It’s not uncommon for you to get texts, emails, or calls from people you know asking for breastfeeding help for themselves or someone they know. Some of these come from men asking for their partner and new baby and nobody feels awkward about it.

12. You look forward to a nurse-in just so you can spend the day with a bunch of Breastfeeding moms and their babies. 

13. It’s not uncommon for you to cry over and share the breastfeeding photos of others, even strangers, on your social media.

14. There is at least one breastfeeding crush in your life, an IBCLC, doctor, or advocate that you would love to meet and hang onto every word they say… about breastfeeding.

15. For baby gifts you put together a gift basket that includes breast pads, your favorite breastfeeding book, a list of online breastfeeding resources and support groups, phone numbers for local breastfeeding group leaders (you may be one) and IBCLCs, a water bottle for mom, a jar of nipple cream, a breastfeeding pillow, and a note to call any time she needs some breastfeeding help or encouragement.

16. Upon seeing artistic depictions of breastfeeding you pull out your phone to take photographic evidence and share it online because you know everyone will be happy and relieved to see breastfeeding depicted as normal.

If you are a breastfeeding junkie, there’s really not much you can do about it. Spend some time with your kiddos and get out some to distract yourself and find some balance but otherwise, just head over to The Leaky Boob Facebook page and help out all those moms needing the support of a junkie like yourself.

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