Pumping Basics Part 1- What The Experts Say To Do To Get Started Pumping Your Breastmilk

by Jessica Martin-Weber with Rene Fisher, IBCLC

This article made possible by the generous support of Ameda.

Ameda Finesse Double Electric Breast pump

When my baby was 4 weeks old, it was time for me to get started pumping not only for my baby to be able to receive my milk when I had to be away from her for work, but also for me to donate my milk to other babies.

To help me get started pumping, I spoke with Rene Fisher, IBCLC from Ameda, Inc. She helped me pick out a pump, the new Ameda Finesse Double Electric, and got me all set up. Via video chat and live stream, Rene got me all ready to go and before I knew it, I was filling milk storage containers with my milk. Thanks to Rene’s help, for the first time ever, after pumping through 6 babies, I’m finally using the right size flanges and pumping pain-free. See what I learned in the video and points below.

Setting Up Your Pump

Carefully read your instruction manual and ensure you have all the parts you need. Follow the directions for preparing your pump and setting up. Wash each part that comes in contact with your breast and milk including the flanges, milk storage containers (unless you intend to pump directly into bags such as the Store and Pour Ameda breastmilk storage bags), valves, and diaphragms. Do NOT wash the tubing. Plug in your power adaptor or install batteries. Wash your hands and assemble the kit (tubing, flanges, diaphragms, valves, milk storage containers, etc.).

Determine Your Flange Size 

Flanges are the horn shaped pieces that hold the pump and storage containers to your breasts. Correct fit of the flanges can prevent tissue damage and improve the effectiveness of your pump. All nipples are different and dynamic and the size of your flange may determine how you respond to pumping. Too small may cause pain and stress, reducing your output to the pump. Too large may cause too much areola and breast tissue to be engaged and not enough stimulation for let down or may result in reduced output. If your nipple presses against the flange or rubs, you may need a larger size. If there is a significant amount of space around your nipple and additional breast tissue is entering the flange which may rub, you may need a smaller size. Because nipples are dynamic, they may change during pregnancy, breastfeeding, and pumping. You may even need a different size flange mid-pumping session. See this video below and the information here to help you determine correct flange size.

Beginning: Set Up

If possible, set up in a quiet, relaxing space. Have a drink and a snack. Get as comfortable as possible, having read the manual prior to beginning.

Beginning: Positioing

Position the flange centered over your nipple, pressing in lightly to create a seal. Without a seal there will be no suction. If you are double pumping you can use your arms to help hold the flanges to your breasts but you may want to use a hands-free-pumping support.

Beginning: Before You Start

Relax. Close your eyes. Take a few deep breaths. Think of your baby. Focus on why you’re pumping rather than the output itself. You may want to watch a video of your baby, look at a photo, or smell their clothing.

Beginning: Turn Your Pump On

To get started with pumping, if your pump has individualized speed and suction settings, set your pump on the highest speed and, following the instruction manual for your pump, turn your pump on at the lowest suction level. Gradually increase suction strength to the highest comfortable level. Pumping should never hurt. It is not necessary to go to the highest level if it is painful for you and doing so could interfere with the milk ejection reflex and let down and result in reduced milk output to the pump, potentially causing tissue damage.

Beginning: Let Down and Expression

Stimulate let down with a high speed and the highest comfortable suction. Once let down begins (marked by spraying or flowing milk), reduce speed. You may feel ready to increase the suction level but only do so the the highest comfortable level. When the flow of milk slows to drips or a trickle, return to a higher speed and the highest comfortable suction level to stimulate another let down. It is possible to get up to 9 let downs in a 20 minute pumping session by adjusting speed and suction levels. It may be helpful to observe your baby’s pattern at the breast and mimic it as closely as possible with the pump during your pumping sessions.

When To Pump

When you pump for the first time will greatly depend on why you are pumping. If your baby is in the NICU and there is clinical separation from birth, you will need to begin as soon as possible and plan to pump 8-12 times within a 24 hour period for exclusively pumping. If you are pumping to return to work at 6 weeks postpartum, it is advisable to wait until 3-4 weeks postpartum and your milk supply and breastfeeding are established to protect your supply. If possible, introduce pumping gradually for partial separation giving at least an hour before breastfeeding again after pumping (though let your baby feed at the breast whenever they want to!). Many breastfeeding parents find they get more milk pumping first thing in the morning. Pumping one side while baby is latched and feeds from the other can also lead to more let downs while pumping.

How Long To Pump

Many breastfeeding parents find that 15-20 minutes is adequate time to pump. Some may find it takes longer but with the right pump and proper flange fit, 15-20 minutes will be plenty for most. Utilizing hands on pumping or breast massage while you pump can help encourage your breasts to empty fully, signaling your breasts to produce more milk for your baby. When you pump will depend on your reasons for pumping, how long you are away from your baby, and the amount of milk you need. Every breastfeeding parent and baby are different, figure out what works for you. For more on when and how long to pump, see here.

 

Mother of 4, Rene Fisher has been an IBCLC since 1998. Rene has worked in private practice before going on to be a hospital Lactation consultant for 10 years where she was responsible for nurses and patient education and hands on assistance with breastfeeding mothers. Rene got started in lactation support as a La Leche League Leader 1993 and became a member of La Leche League Area Professional Liaison Department from 2000 -2010. Today, Rene supports families in reaching their baby feeding goals working with Ameda breastfeeding products.

 

 

Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of BeyondMoi.com, freelance writer, and co-founder of Milk: An Infant Feeding Conference. Jessica lives with her family in the Pacific Northwest and co-parents her 7 daughters with her husband of 21 years.
 
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How Lubrication Can Improve Breastmilk Pumping

by Kristine Phillips Keller

This post made possible by the support of Ameda

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I learned the answer to this question the hard way with my oldest son. I was not much of a reader but breastfed because both of my sisters did the breastfeeding thing. If they could do it, so could I. However, in hindsight, I pretty much did everything wrong that I could have done. I wanted a nursery (I needed sleep, right?), I wanted pacifiers (he can’t just suck on me or I won’t get any sleep) and I wanted bottles (dads need to help too, right?). I thought, surely I can make all of this work. Boy was I wrong!

Not only did I go into it uneducated, I also have flat nipples. I honestly thought they were broken as they never became fully erect prior to years of nursing/pumping. I also have really naturally dry skin. Early on, I had damage but didn’t realize how bad it was until it was visible, right at Stage III damage (which means skin is literally gone). I was in such pain that I would cry when my boys would cry because I knew what was coming. I would fear nursing them because of the toe curling pain that it took to get them latched on. For the most part, after a minute or two it became bearable. Other times, the entire feeding was excruciatingly painful for me.

At six weeks with my first, I gave into pumping full time. I asked for help from family repeatedly to try and figure out what I was doing wrong and what I could do to correct the latch. No one seemed to be able to offer me the advice that I needed to make direct breastfeeding work and I just didn’t have it in me to bear that kind of pain any more. However, I still wanted to give them my milk…so I continued on with pumping & still continued to have cracked, bloody nipples until a good 10-11 months of pumping.

Around that same time, I was talking with my sister about all of the bloody milk that I was dumping because, even though I was no longer nursing, I still had pretty bad damage on both of my nipples. I just thought that’s how it was going to be for me. She then asked me if I was lubricating before I pumped. My response to her was, “Isn’t that what you do when you have sex?” She laughed & then said yes but that the pump shields were dry. Babies have moisture in their mouth for lubrication but there is no moisture on the pump shield prior to pumping.

I mean, would you ever expect to drive a car with NO lubrication and have things go well? ABSOLUTELY NOT! There must be lubrication to prevent friction… and to prevent damage. After all, isn’t that what our healthcare is supposed to be about these days, preventative care? Well, let me tell you…the difference was night and day. I went from having constantly damaged, bloody nipples to pain free/damage free nipples overnight. It was such a relief to know that there was something I could do to prevent this pain and discomfort.

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I started working for WIC 2.5 years ago as a peer counselor and have since applied theory to moms that come to me with damaged or sore nipples. If you lubricate before you latch, you lessen the probability of damage happening from the initial suck (regardless of whether it’s baby or the pump). That lubrication gives both something to slide against instead of that reverse pressure working against dry skin.

I’ve asked numerous breastfeeding professionals and no one seemed to know of any literature that puts emphasis on “lubricating BEFORE nursing or BEFORE pumping”. The only reference that I’ve seen is to use breast milk on sore nipples AFTER nursing. If it works after, why not try it before?

Lubricant suggestions: (you may need to try a few different ones to decide which is most comfortable for you.)

  • Your breastmilk
  • Nipple cream/ointment (suggest vegan and edible, rather than animal based)
  • Coconut oil
  • Olive oil
  • Almond oil
  • Infant massage oil
  • Avoid synthetics such as traditional baby oil

Some moms have found that regularly lubricating their breasts and pump horns before pumping greatly reduces the amount of discomfort they experience which in turn helps them let down easier and respond better to the pump.  There’s no need for pumping to be a painful or uncomfortable experience, experiment with different lubricant options to find what works best for you.  I hope this simple tip helps you in your breastfeeding and pumping journey as it has helped me.  How about we pass along this little known tip and prevent the damage in the first place?

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What pumping tips do you have to share to help other moms?

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Kristine Thanks to her sister, Kristine breastfed/exclusively pumped for her two boys now 3.5 and 8 years old, she pretty much did everything wrong when it came to breastfeeding but managed to get the pumping thing right (after a while).  After experiencing discrimination she contacted WIC about becoming a breastfeeding peer counselor and begin training to become an IBCLC. She sits for the IBCLC exam this summer and looks forward to continuing to help mothers reach their breastfeeding goals.
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2016 Infant Feeding Guide with Product Reviews + Giveaway

by The Leaky Boob Community

The CDC says that the number one reason for women who intend to breastfeed but don’t end up reaching their breastfeeding goals is lack of support. Support goes a long way in making a difference in our feeding journeys. From familial, social, medical, and employment structures, there are many ways we can find and experience support. With story sharing, information sharing, and resource sharing, The Leaky Boob is dedicated to making support for the infant feeding journey easier to find. It may be breastfeeding that brings us all together but through support and finding community we stick around for the connection and rally behind the boob, bottle, formula, and solids. Our infant feeding guide pulls together information, resources, product reviews, and tips from our community to offer that support we’re committed to.

Not much is really needed for feeding a baby in those early days, provided everything goes smoothly. But since it doesn’t always go smoothly, sometimes we need some products to support the journey. Plus, even when it does go smoothly, there are some things that help make it easier and more fun.

After flipping through our guide, be sure to enter to win every product featured in our guide this year!

And we’re giving it ALL away! Every single item included in our 31 page guide is being given away. Divided into 2 separate bundles, we’re excited to be able to give 2 different Leakies each one of these bundles from our guide. Use the widget below to enter and tell us which bundle you’d want to win in the comments.
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Good luck and a huge thanks to all the brands that wanted to make this possible!

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Bump, Baby, and Beyond Product Guide 2016 + Giveaway

by The Leaky Boob Community

We asked around from our favorite parents (you!) and put together a guide of the products we love for pregnancy, birth, postpartum, and newborn care. Introducing our Bump, Baby, and Beyond 2016 Product Guide! But that’s not all, our readers gave us their best tips and advice they wish they had received about pregnancy, birth, and having a new baby. There’s a lot of wisdom here! Take some time, browse through this issue, and comment letting us know what you love, what you’re interested in, and what you think we left out, there are so many great products and advice, we’re bound to miss some.

And we’re giving it ALL away! Every single item included in our guide (over 50!) is being given away. Divided into 3 separate bundles, we’re excited to be able to give 3 different leakies different bundles from our guide. Use the widget below to enter and tell us what 2 friends you have that you’d like to win the other two bundles in the comments.
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Good luck and a huge thanks to all the brands that wanted to make this possible!

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Call for speakers- MILK: An Infant Feeding Conference, 2016

Milk Conference banner

Calling for submissions from clinicians, scholars, researchers, students, artists, mothers, fathers, and others familiar with infant feeding from clinical and social perspectives. Submissions of a wide variety are welcome, including research presentations, theoretical papers, academic papers, creative submissions including personal essays, social commentary, literature, and performance art for the 2016 Milk Conference.

Milk: An Infant Feeding Conference 2016 will be held November 11-12 in Costa Mesa, California and is open to health care providers and consumers alike aiming to a create a bridge building experience that educates and supports infant feeding by changing the conversation both systemically and sociologically.

The theme chosen for 2016  Milk: An Infant Feeding Conference is Nourish. Exploring how infant feeding provides not only physical nourishment with a look at the nutritional composition involved, we will be unpacking just how feeding our babies nourishes our minds, our families, attachment, confidence, partnerships, public health, education, and other social factors.

We are looking for presentations on topics related to infant feeding and maternal health including but not limited to: continuity of care and infant nutrition, the diagnoses and care of physiological barriers to breastfeeding, sociological barriers involved in infant feeding, anthropological perspectives of infant nutrition, analysis of marketing in the maternal baby industry, conscientious marketing, exploration of infant feeding and child nutrition controversies, policies in the workplace for family support and breastfeeding, politics of infant feeding and policy making, postpartum depression and mental health research related to infant feeding, infant feeding practices in subsequent children, sociological family support and infant and child nutrition, infant feeding education, infant nutrition in public health, feeding multiples, managing maternal health issues through breastfeeding, nonviolent communication strategies for supporting infant feeding, developing infant feeding support products, immediate postpartum infant feeding support, the impact of birth interventions on maternal breastfeeding goals, maternal and pediatric allergies and infant nutrition, premature infants and nutrition, feminism and infant feeding, natural duration breastfeeding, weaning, infant nutrition and sleep, partner support and education, breastfeeding after breast reduction, socioeconomic and racial disparities in infant feeding support, breastmilk pumping, inducing lactation and relactation, the role of infant nutrition in relation to dental care, and the future of infant nutrition support.

To submit to speak at Milk 2016, please use this form.

 

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Four Things I Wish I Had Known About Storing Pumped Breastmilk

Pumping isn’t a small task, it can be a huge part of our lives as mothers and take a lot of work. Any tips and tricks to make it easier and ensure that not one precious drop of our liquid gold is lost can go a long way in helping moms reach their feeding goals. The Leaky Boob got together with Evenflo Feeding and came up with four tips we wish we had known about pumping and storing breastmilk when we first got started in our infant feeding journeys. For more on safe-handling and storage guideline protocols, go here.

Here our 4 of our favorite tips:

Evenflo breastmilk storage bag adaptors

Evenflo breastmilk storage bag adaptors

Evenflo breastmilk storage bag adaptors

Evenflo breastmilk storage bag adaptors

That 4th tip inspired the new Evenflo Breastmilk Storage Bag Adaptors which fit most standard pumps. Save time and clean up by pumping directly into your breastmilk storage bag. Having a reliable way to skip a step in your pumping can be a sanity saver. Check out the Evenflo breastmilk storage bag adaptors to simplify your breastfeeding and pumping journey.

 

 

To help you reach your feeding goals, we’re giving away 50 pair of these newly released adaptors! We’re partnering with Evenflo Feeding to support you in your journey, #LetLoveFlo.

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For a chance to win your own set of Evenflo Breastmilk Storage Bag Pump Adaptors,, use the widget below:

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Safely Express and Store Your Baby’s Breastmilk- Guidelines For Parents

by Jessica Martin-Weber

This post made possible by the generous partnership with Evenflo Feeding, every baby’s advocate and every parent’s ally.

Evenflo Feeding Every Parent

 

Whatever your reasons for expressing your milk, having your milk wasted in any way is like a punch in the gut. Whether it is spilled, left out, too much served and the extra thrown out, or it has spoiled, seeing breastmilk go to waste is enough to bring even the toughest Leaky mom to tears. While accidents happen there are ways to prevent such a tragedy with safe handling and proper storage practices. We’re here to help with that.

Breastfeeding moms cry over spilled milk.

It is bound to happen, for sure. Slippery bottles, floppy bags, too full containers, whatever it may be, if you express your milk long enough your going to have your fair share of spills and mishaps. I’d love to be able to wave a magic wand so no mom has to experience the agony of seeing her milk spilled on the counter but since we can’t do that, we’ll give you some tips and guidelines for avoiding other unnecessary causes to pouring liquid gold down the drain.

Below, find protocols and guidelines for breastmilk and tips for practical application plus some lessons learned the hard way. (Information gathered from the CDC; Human Milk Bank Association of North America; Office on Women’s Health, U.S. Department of Health and Human Services; and the Academy of Breastfeeding Medicine Clinical Protocol #8 Human Milk Storage Information for Home Use for Full-Term Infants.)

Breastmilk Expression and Storage Safe Handling

  • To prevent contamination, wash hands with soap and water before expressing or handling breastmilk. Unless you are aware that your breast has come into contact with some contaminates, it is not necessary to clean your breast prior to pumping as breasts are self-cleaning.
  • Collect and store milk in clean containers such as bottles with screw caps, double zip-style bags designed specifically for breastmilk (like these), or trays with a sealing lid. Bags not designed for breastmilk storage may easily spill or potentially contaminate the breastmilk.
  • Label all stored milk with the date, if sending to child care provider, include your child’s name to prevent mix-up.
  • Cool freshly expressed milk prior to adding to previously refrigerated expressed milk to prevent rewarming and potential bacteria growth.
  • Do not add milk to already frozen milk within a storage container.
  • Store milk in small amounts to prevent waste.
  • Leave room for milk to expand when freezing.
  • Breastmilk is safe to be frozen best if frozen fresh, optimally after up to 3 days in refrigerator, 12 hours in cooler bag with freezer pack, ok after 5 days in the refrigerator or 24 hours in cooler bag with freezer pack; smell milk to ensure freshness before freezing.
  • Store milk in the back of the freezer where temperatures are more consistent.
  • Milk that is partially defrosted but still has ice crystals can be refrozen.

Breastmilk Safe Temperature Storage Guidelines

  • Room temperature*: 3-4 hours optimal, 6-8 hours acceptable if very clean  *(60-77° F [some say up to 85° F], 16-25° C [some say up to 29° C])
  • Cooler bag*: 8 hours optimal, 24 hours acceptable if very clean (please note, some studies show that a freezer pack keeps an insulated cooler at food safe temperatures for no more than 2 hours)  *(up to 39° F, 4° C.)
  • Refrigerator*: 72 hours optimal, 5- 8 days acceptable if very clean  *(up to 39° F, 4° C.)
  • Freezer within refrigerator*: 2 weeks maximum.  *(up to 5° F, -15° C.)
  • Freezer attached to refrigerator*: 3-6 months optimal, 12 months acceptable.  *(up to 0°F, -18°C.)
  • Deep freeze*: 12 months.  *(up to -4°F, -20°C.)

how long can I freeze breastmilk

Tip: If you’re not sure your milk is still good, you can always smell and taste your milk for freshness. Spoiled milk has a very distinct odor and taste. Most of the guidelines are to minimize the degradation of milk. It is possible your milk may vary slightly from these guidelines or that your milk will have not spoiled but the composition may have begun breaking down. The simplest way to prevent feeding your baby spoiled milk is simply to smell and/or taste it.

Breastmilk Defrosting and Feeding Safe Handling

  • Defrost only amount needed
  • Fresh is best, use oldest milk in the freezer or refrigerator first to not let milk go to waste.
  • Safely defrost frozen milk in the refrigerator, running under warm water, or setting in a bowl of warm water. Do not microwave as this damages milk and creates dangerous hot spots due to heating inconsistencies.
  • Gently swirl or shake defrosted milk with the lowest amount of force possible to mix fat that likely separated (please note, shaking milk has been discouraged to prevent breaking down the protein molecules, however, this has been debunked, here.)
  • Do not save milk from a used bottle to use at another feeding more than 1-2 hours later, doing so risks the growth of bacteria from pathogens introduced by the baby during the feeding and the milk composition may be altered.
  • Milk that has been defrosted has a lessened ability to inhibit bacteria growth, milk that has been thawed for over 24 hours should not be left out at room temperature for more than a couple of hours.
  • Optimally, defrosted milk should be used within 24 hours of thawing, this may change based on when the milk was initially frozen after expression.

Additional Tips For Breastmilk Storage and Handling

My friend Amy Peterson, IBCLC and coauthor of Balancing Breast and Bottle, shared this golden nugget of a breastmilk storage tip with me. Before you start building your freezer stash, express some and put it in the fridge. After 24 hours, smell it. Then with freezing. Storage effects the smell of the milk if there are lipase or mineral oxidation issues. Before stockpiling, perform smell tests after refrigeration, and after freezing/defrosting. There are options for milk storage if there is high lipase or mineral oxidation issues but you need to know them before freezing to avoid having to toss a freezer full of milk due to such problems. *Note: high lipase or mineral oxidation is different than spoiled. Spoiled has a very sour odor and taste, high lipase is usually described as soapy tasting, and mineral oxidation as metallic or astringent. 

How much you need in the freezer depends on your needs and why you’re freezing your milk. Your “freezer stash” doesn’t need to be huge, having just what you need at least lowers the risk of crying over milk defrosted due to the freezer becoming unplugged, power outage, or just a tragic freezer death. See this article to determine what you need in your freezer stash and why.

Get comfortable and familiar with your pump before baby comes if you can and check out these tips for maximizing breastmilk production with pumping.

Take your time when handling breastmilk. That can be challenging to do with a hungry or demanding baby but most mistakes that lead to spills are caused because we’re hurrying. Slow down, this free-flowing precious commodity takes handling with care. Don’t lose a single drop.

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What are your tips for safe handling and maximizing your breastmilk expression?

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Jessica Martin-Weber Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of BeyondMoi.com, and co-creator of OurStableTable.com, supporter of A Girl With A View, and co-founder of Milk: An Infant Feeding Conference. She co-parents her 6 daughters with her husband of 19 years and is currently writing her first creative non-fiction book and a children’s book.
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Fennel and Sausage Breakfast Casserole for the Milky Mom

by Carrie Saum

Mornings are nightmares in my house.

Even before having a baby with some extra needs, I struggled to feel like a human before 10:00am. I know now that I need thyroid support. I need extra vitamins B and D. I need sleep. I need no talking until coffee has kicked in. I need to wake up slow with a silent, sweet cuddle from my toddler.

LOL. I know. These things will never happen.

But I do know what I absolutely need to be a good person during the rest of the day: Breakfast.

I also know I need extra protein and veggies in the morning. I have a hard time taking care of myself. This is NOT NEWS. But I have a specific behavior that pops up when I start to feel overwhelmed and stop taking care of myself.

What is it, you ask? Well, I eat trail mix. For every meal. With a side of coffee. (Or maybe coffee is my main meal and trail mix is a side?)

I started the trail mix/coffee routine when I was exclusively pumping. I ate a limited diet in order to help my son thrive. Nuts, beans, and seeds, thankfully, were never an issue for either of us, so I kept a bag of homemade trail mix next to my pump and snacked while I pumped. I also ate other things, like gluten-free toast and quinoa and oats with a side of salad for breakfast. I ate bags of frozen veggies sautéed in olive oil and topped with an over-easy egg, (until my son reacted to the egg through my breastmilk).

When the challenges I faced far outweighed my capacity to cope, the first thing to go was breakfast. Those simple, warm, fueling meals turned to snack and convenience foods. Which was TOTALLY OKAY for that season in life. I was in full survival mode and I give myself a total pass.

But the reality is this: I need a hot breakfast to be at my peak, and really to even start climbing that mountain. I can handle prepping and eating a hot breakfast every morning, now. I have the capacity.

So, last week when I started eating trail mix, a tiny warning bell went off in my head. Taking care of myself often gets filed to the bottom of the pile when work, family, and community are all scrambling for my attention. Which is crazy because food is kind of My Thing.

I have compiled a list of ways I can restart and ensure my path to self-care. Yours might look different, or there might be more steps, or there might be fewer.

  1. Eat a hot breakfast.
  2. The end.

The easiest way to I’ve found to consistently care for myself is to eat a hot breakfast. I prep a breakfast cassarole on Sunday and portion it out for the rest of the week. Then I reheat it in the toaster oven and eat it while it’s piping hot not ice cold.

FrittataCloseUp

Ingredients:

  • 12 eggs
  • 1 cup cheese (I prefer parmesan or asiago, but any cheese will do)
  • 1/2 cup half and half, or milk of your choice
  • 1 lb of browned sausage or cooked bacon, crumbled (I prefer mild Italian sausage, but you can skip meat altogether to make this vegetarian.)
  • 1 medium onion, diced and sauteed
  • 1 large fennel bulb, sliced and sauteed
  • 12 oz chopped broccoli
  • 2 medium zucchini, chopped
  • 2 large tomatoes or 1 pint of cherry tomatoes, chopped
  • 1 bunch of swiss chard or spinach, roughly chopped
  • 3 Tbsp of fresh herbs of your choice, or 1 Tbsp dried herbs. (I use rosemary, basil, from my garden, and fennel fronds from the bulb if available.)
  • 1 tsp black pepper
  • 1 tsp sea salt

Directions:

  1. Whisk together eggs, milk, herbs, salt, and pepper.  Mix in shredded cheese.
  2. Add protein and veggies, and mix thoroughly.
  3. In a large, greased baking dish, bake at 350 degrees for one hour, or until the middle is cooked all the way through.
  4. Remove from oven and serve immediately.  Cut into individual portions and store in the refrigerator for up to two weeks.
  5. To reheat: Place in the oven or toaster oven for 12 minutes at 350 degrees and eat.

I am a better person with this method.  I am a nicer mom and functional human for at least three hours of the day. Until it’s lunchtime, but that’s another post for another day.

Take Good Care,
Carrie

*Note: It’s important to point out that most women aren’t going to need to eat food with the intention of upping their milk supply, if everything is working the way it is supposed to, your baby will know how to up your supply just fine themselves. Skin-to-skin and feeding on demand are the best ways to increase breastmilk supply to meet your baby’s needs. (Concerned you have low supply? Read this to help figure out if it is something you need to be concerned about.) For those women, galactalogues just happen and they don’t need to think about it. But some women, like me, do need a boost. As a mom who ended up exclusively pumping and indeed having low supply such that I ended up on medication solely to increase my milk production, I know what it’s like to look for anything, anything at all that would help my body make even just a little more milk to help feed my baby. With the support of my health care providers, we tried everything. It becomes “I will eat all the cookies, I will drink all the shakes, I will eat all the parfaits!” if it even just makes me feel like I’m doing something to address the low supply struggle, it is worth it.

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If you like this recipe, check out this  recipe for Garden Vegetable Frittata or Brown Butter Apple Crumble Cake  over on Our Stable Table.

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CarrieHeadshotCarrie Saum brings a passion for wellness and over a decade of experience in health care to her clients. A certified Ayurvedic Wellness Counselor (AWC) from the Kerala Ayurveda Academy, she empowers individuals and families to achieve health and balance through time-honored practices and health knowledge. Carrie has extensive first-hand experience in vast array of medical and service fields.
With background in paramedic medicine, Carrie spent ten years serving in the non-profit sector managing organizations, programs, and orchestrating resources to meet health needs of people across the United States and abroad in countries such as Guatemala, Mexico, Kenya, and Zambia. As an AWC, Carrie currently coaches her clients and their families about topics including nutrition, weight loss, and stress management. In addition to her work as a wellness counselor, Carrie is a passionate “foodie” and the voice behind OurStableTable.com. She lives in Portland, Oregon with her husband and young son.
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Pump Like a Pro – Closed System or Bust

by Wendy Bell, CLE
Editor’s note: A big thanks to Snugabell for their support of TLB and all breastfeeding women; please be sure to take a moment to thank Snugabell on their Facebook page  for their show of support! You can also follow Snugabell on Twitter and Instagram: username @snugabell. Be sure to check out their special at the end of this article.

 

Breast pumping tips Snugabell PumpEase

 

One thing we know about pumpin’ mamas is that they love to share. They share their experiences. They share their wisdom. Heck…sometimes they even share their milk.

Pumps themselves can be safely shared, provided they’re the right kind. Be sure to know the difference before giving or receiving a previously-loved pump!

The two types of pump are open system and closed system.

Open system allows the milk to come into contact with the internal workings of the pump. This makes the pump impossible to sterilize, and thus not an option when it comes to sharing. Closed systems, on the other hand, can be shared safely, provided that each mom has their own set of tubes, flanges, and collection bottles.

As an added benefit to closed system pumps, they will also prevent expressed milk from coming into contact with impurities drawn in from the surrounding air.

So feel free to accept or pass down that closed system pumps though it is important to note that not all closed system pumps are FDA approved for multiple users. It’s a great way to save money on one of the pricier items on the average registry and each mom can make it her own with a personal set of accessories (maybe including a PumpEase and stylish wet bag or two to keep it all together!) and though most insurance companies now days are required to cover a breast pump with each pregnancy, the loopholes and red tape can make that challenging. So for those that need a pump and can use a friend’s closed system or even for those that would benefit from having two pumps (full time work out of the home moms, like having double the parts, having double the pumps can really simplify things and reduce the chance of being stuck should one break or even of causing damage by regularly transporting it) can be a huge help.

PumpEase, Snuggabelle, Closed System to Bust

To celebrate their SUPER exciting collaboration with Destination Maternity and A Pea in the Pod, Snugabell is sending PumpEase customers one of their fabulous Wet Bag absolutely FREE.  Details hereThe PumpEase design will securely hold your pump in place and is guaranteed to accommodate any breast pump on the market. The PumpEase bra like the one shown above makes multi-tasking a breeze for busy moms. Visit www.snugabell.com for more information about PumpEase.

 

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Oatmeal Stout Crockpot Coffee Cake- Lactation Booster!

by Carrie Saum

Summer is here.  And maybe your new little baby is here, too.  Snuggly and warm.

Oh, so warm.

Almost suffocatingly hot.

Dear God, is that a baby or a furnace you’re holding?  The temperature outside is a stifiling 100+ degrees and holding that little fireball while also living on the approximate surface of the sun might be a bit much for you.

But you want cake.

Except it’s summer and who has the time or energy or heat capacity to use an oven?

But you still want cake.

Enter your new BFF – The CrockPot.

Yep.  Make your cake IN THE SLOWCOOKER.

CrockPotOatmealStoutCake1

There is no need to turn your house into an incinerator while taking care of  your miniature lava ball on top of the erupting volcano we call Earth just to have a tasty and relatively healthy treat.

This recipe utilizes the amazing benefits of oats (with milk-boosting powers!), lowers the glycemic index with the use of coconut palm sugar, and gives you the fun milk-boosting benefit of stout beer without actually consuming it.  Plus, after baking it for several hours in a large pot, a majority of the alcohol dissipates so you don’t have to worry about you (or your other kiddos) getting a buzz when eating it.  All of this, just by using your crockpot.

Now, to be clear, this is a dense cake.  It’s almost more of a bread. Should we call it a cake bread?  Either way, it’s satisfying and just perfectly sweet.  You can add chopped up apples or nuts if you want to give it more texture.  I prefer to top my crockpot cake with a bit of homemade whipped cream, sweetened slightly with honey.

Ingredients:

  • 3 cups oat flour (You can make your own using old fashioned oats and your food processor or blender, which is the easiest and cheapest, IMO.)
  • 1.5 cups old fashioned oats
  • 1 cup coconut palm sugar
  • 2 Tbsp tapioca flour or arrow root powder (or wheat flour but it won’t be as milk boosting)
  • 1 tsp cinnamon
  • 1/2 tsp nutmeg
  • 1/2 tsp baking powder
  • 1/2 tsp baking soda
  • 1/2 tsp salt
  • 1.5 cups stout beer (like Guiness)
  • 1/3 cup oil or melted butter
  • 2 eggs
  • 1 tsp vanilla extract
  • 1 Tbsp honey (optional)

Instructions:

  1. In a large bowl, combine all dry ingredients.
  2. In a smaller bowl, combine all wet ingredients and blend thoroughly.
  3. Add wet ingredients to dry ingredients and mix until it begins to thicken.
  4. Pour batter into very well-greased or parchment paper lined crockpot. (I recommend parchment paper if you have a dark-colored crock.)
  5. Place kitchen towel over the top of the crockpot, and pull tight and flat.  Secure towel with the lid. (This will keep moisture from gathering and dripping onto your cake!)
  6. Cook on low for 3.5 hours.
  7. Once you can stick a knife into the cake and it comes out clean, it’s done!  Remove pot from heat source, and allow to cool for 30 minutes before eating.

CrockpotOatmealStoutCake2

The best way to store this is pre-cut in storage containers.  Once completely cool, you can slice it and use parchment or wax paper to separate the layers inside the container.  It’s easy to grab on the go, and you aren’t using up that valuable crockpot or counter space to store.  It refrigerates well, and also freezes well.  You can eat it in the morning with your yummy lactation tea, or as a late-night nursing snack while you cuddle your tiny newborn/thermal nuclear reactor.

What’s in your CrockPot?

Carrie

*Note: It’s important to point out that most women aren’t going to need to eat food with the intention of upping their milk supply, if everything is working the way it is supposed to, your baby will know how to up your supply just fine themselves. Skin-to-skin and feeding on demand are the best ways to increase breastmilk supply to meet your baby’s needs. (Concerned you have low supply? Read this to help figure out if it is something you need to be concerned about.) For those women, galactalogues just happen and they don’t need to think about it. But some women, like me, do need a boost. As a mom who ended up exclusively pumping and indeed having low supply such that I ended up on medication solely to increase my milk production, I know what it’s like to look for anything, anything at all that would help my body make even just a little more milk to help feed my baby. With the support of my health care providers, we tried everything. It becomes “I will eat all the cookies, I will drink all the shakes, I will eat all the parfaits!” if it even just makes me feel like I’m doing something to address the low supply struggle, it is worth it.

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If you like this recipe, check out this Kale Waldorf Salad or Roasted Cauliflower Soup over on Our Stable Table.

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IMG_2895Carrie Saum brings a passion for wellness and over a decade of experience in health care to her clients. A certified Ayurvedic Wellness Counselor (AWC) from the Kerala Ayurveda Academy, she empowers individuals and families to achieve health and balance through time-honored practices and health knowledge. Carrie has extensive first-hand experience in vast array of medical and service fields. With background in paramedic medicine, Carrie spent ten years serving in the non-profit sector managing organizations, programs, and orchestrating resources to meet health needs of people across the United States and abroad in countries such as Guatemala, Mexico, Kenya, and Zambia. As an AWC, Carrie currently coaches her clients and their families about topics including nutrition, weight loss, and stress management. In addition to her work as a wellness counselor, Carrie is a passionate “foodie” and the voice behind OurStableTable.com. She lives in Portland, Oregon with her husband and young son.
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