Breastfeeding in Public- You’ve Got This

by Jessica Martin-Weber
This post is generously made possible by Bamboobies

bamboobies banner - 2016

Not sure about baring your breast, at least partially, and feeding your baby in public?

Mama, you’ve got this.

If you’re uncomfortable with breastfeeding your baby while out and about you’re not alone. Many women experience some nervousness over feeding their baby away from home. It’s no wonder either, spend any time on social media and it would seem that women are regularly experiencing harassment for breastfeeding in public.

Thankfully, that isn’t really the case. Out of hundreds of thousands of breastfeeding moms every single day, only a a couple of dozen or so will end up on the news talking about harassment she experienced for feeding her baby. A few more may experience negative comments or looks from strangers or more likely, friends and family. But more often than not, breastfeeding in public is either appreciated and encouraged or not even noticed. Far more women have positive breastfeeding in public stories than harassment stories.

With that in mind, there are some steps a breastfeeding mom can take to help her feel more comfortable with breastfeeding in public. Drawing from 17 years of off and on, mostly on, breastfeeding experience and from helping others in their journey, there are a few ways I have found can make it all a little easier.

*A note about covering to breastfeed in public. Covering is a matter of personal preference. Do what works for you and what will help you reach your personal breastfeeding goals. Whatever you choose to do, I encourage you to make the decision for yourself, not for others. If you choose to cover, do so because you feel more comfortable covered, not because you want other people to feel more comfortable.

 

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Get comfortable. Breastfeeding may be natural but it is a skill to develop for both you and your baby. Getting comfortable with it may take a little time for both of you and being able to develop that skill in the comfort of your own home in those early days will go a long way for when you need to breastfeed on the go. Get comfortable with breastfeeding with your baby, when you feel like you know what you’re doing it will be a lot less intimidating. This doesn’t mean you can’t leave the house until then, just that the more time you spend breastfeeding where you feel safe the more you’ll feel confident in other settings. You’ve got this.

Practice. Does practice make perfect or is it practice makes permanent? Either way, practicing can be a game changer. Practice breastfeeding in public as soon as you can with baby steps. Breastfeed in front of people you feel safe with- your partner, your best friends, family, etc. Work your way up gradually to breastfeed around people you’re not sure are supportive. Two of the most effective ways to practice breastfeeding in public are 1) breastfeed in front of a mirror and 2) practice what you would say if someone was to harass you for feeding your baby. By breastfeeding in front of a mirror or by video recording yourself feeding, you may find you don’t expose as much as you feared. By have a prepared response to possible negative reactions to you feeding your baby, you may find you feel equipped. Plus, the more prepared you are to stand up for your baby’s right to be fed, the less likely you’ll ever need to. You’ve got this.

Get the tools you need. Have boob, feed baby! But you may feel more comfortable with some additional items. A nursing bra or tank, nursing pads (or breast pads) so if you leak your shirt stays dry, breastfeeding top or dress, easy access clothing, a portable breastfeeding pillow, a nursing cover, a water bottle, etc. Figure out what is going to help you feel more comfortable and secure to confidently feed in public. Having clothing that works for you to get a breast out is crucial (avoid back zip up high neck dresses!) whether you’re lifting from the bottom, doing the two layer method so your tummy and back are covered, pulling down from the top, using clothing designed specifically for breastfeeding, or choosing a breastfeeding cover. Having the tools that work for you can be a big confidence boost. You’ve got this.

See it. One of the reasons we may be uncomfortable feeding in public is because we’re not used to seeing it. It seems weird to us and we’re the ones having to do it! Seeing it can help a lot. Look at breastfeeding photos on social media (check out the hashtags #beautifulbfing, #brelfie, #normalizebreastfeeding, and yes, #breastfeeding), attend a parenting group that supports breastfeeding, spend time with friends who are breastfeeding. And if you’re really anxious about breastfeeding in public, go out with other women who breastfeed your first few times. There’s strength in numbers. You’ve got this.

Be informed. Most areas have laws protecting breastfeeding in public. While there aren’t really any teeth to those laws, breastfeeding in public isn’t illegal and is protected in most places. We shouldn’t have to but knowing the law, even having it printed out and with you, puts you in a position of being informed of your rights. Feel confident that the law is on your side. You’ve got this.

Focus. Now that you’ve done the prep work, when it’s time to feed your baby, just focus on feeding your baby. Don’t look for the negative, look at the positive right there in front of you. Shut out the world for just a moment and draw strength and courage in this shared time together. Focus on your baby and let any negative reactions pass you right by. You’ve got this.

Let it go. You are not responsible for the thoughts and feelings of others, particularly when it comes to you caring for your children. Sure, some may disapprove, some may be offended, some may take issue with breastfeeding in public, but it isn’t your job to protect them from what offends them and it certainly isn’t your job to sacrifice your child’s needs for someone else’s comfort. Let it go, you can’t make everyone happy but you can ensure that your little one is. You’ve got this.

You matter. Your baby matters. You deserve to live life fully, feeding your little one with confidence. It isn’t asking too much to feed your baby in peace out in the world as you live your life. You’ve got this.

Breastfeeding in public, you’ve totally got this.

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Check out the Bamboobies nursing shawl, it’s practical for breastfeeding and long after as a fashion accessory!

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View More: http://yourstreetphotography.pass.us/martinwebberfamily1

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 creator and author of the children’s book and community of What Love Tastes Like, 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.
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Breastfeeding and Solid Foods

by Shari Criso MSN, RC, CMN, IBCLC

This post made possible by the support of EvenFlo Feeding

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Once a baby is taking solids, how often should you offer your baby the breast, and how do you know when to initiate the weaning process?

Once the baby is taking solids, you should still offer the breast whenever they baby wants to eat. You can still breastfeed before each feeding of solids. But as the baby gets older, into the seventh or eighth month, if you wanted to cut out those feeding and substitute a meal, like breakfast, and have a meal of food and then breastfeed between those feeding, that’s totally fine. By the time my children were about 8 months old, I was feeding them three meals a day, breakfast, lunch, and dinner, and I was breastfeeding them maybe 4-5 times in a 24 hour period.

 

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How do I introduce solids and keep my supply up?

And your body will adjust to this. Your body will naturally keep its own supply. It does not need to make the same amount of milk it did in the beginning. Remember, you’re making more milk in the first 6 months of the year than you are in the second 6 months, because your baby will eat a certain amount of milk, somewhere around 3-4, sometimes 5 ounces of breastmilk per feeding, and never increase from there. What changes is that in the second half of the year, they start to eat solid foods, so the actual amount of milk you’re actually producing and feeding decreases in that second half of the year from 6 month to 12 months and beyond. So you don’t need to keep up with your supply; your supply will be adequate for what your baby is taking in. And by nursing more, you’ll just make more. 

Shari Criso MSN, RN, CMN, IBCLC

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Find more from Shari supporting your parenting journey including infant feeding on Facebook or at My Baby Esperts©

Thanks for EvenFlo Feeding, Inc.’s generous support for families in the their feeding journey.

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Shari Criso 2016

 

For over 23 years, Shari Criso has been a Registered Nurse, Certified Nurse Midwife, International Board Certified Lactation Consultant, nationally recognized parenting educator, entrepreneur, and most importantly, loving wife and proud mother of two amazing breastfed daughters. You can find her on Facebook or her own personal site.
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Ask the IBCLC Breastfeeding Help: Low Supply and Breastfeeding in Pregnancy

The Leakies with Shari Criso, MSN, RN, CNM, IBCLC

This post made possible by the support of EvenFlo Feeding

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We’ve asked Shari Criso to share her answers to Leakies questions about feeding their babies. If you have any questions you’d like to ask Shari, leave a comment!

 

My little 4 month old is refusing to take bottles. I’ve started taking him to daycare, and he is refusing bottles, not even taking a full ounce while he’s there for 6-7 hours. When we’re together he’s still drinking well from the breast and nursing frequently at night. His weight is good and we’ve had no issues other than this. I’m worried about him becoming dehydrated during the day. What can I do and what can I tell the daycare to do?

Mama to a hungry but stubborn baby.

 

Hi Mama,

I totally feel your pain and the anxiety that comes when your breastfed baby refuses the bottle and does not eat when you are not around. I had one myself! Reading your question, my first thought is that this transition may take a little time for not only you to get used to leaving but for your little guy to get into a new routine, new people, and a NEW way of eating! This is one of the reasons that I really recommend introducing your breastfed baby to a bottle earlier than most will (like within the first 2 weeks!) which makes this transition much easier. I actually have an entire chapter dedicated to this very thing in my online breastfeeding class “Simply Breastfeeding” because I know there are so many moms that need to return to work and this issue can be so distressing. I know that is not helping you now…so my best advice is this: First, try different types of nipples to see if there is one that he will take over another. Try offering the milk cold instead of warm. Sometimes this can also make a difference (not exactly sure why, but it worked with my own and other mamas I have worked with). Try feeding him in different positions instead of cradling him. Holding him outward and distracting him by moving around, staring at a picture on the wall, etc. Try an infant feeding cup. YES…babies can be fed through a cup and don’t need to take an artificial nipple! Lastly, if all of these things fail don’t stress. This may just take a little time and a few more feedings during the time you’re home and at night. Let him co-sleep with you and try to get as many feedings in that you can while you are together. Watch wet diapers, signs of dehydration and weight loss. If all seems normal, just let it be and allow your baby to adjust at his own pace. In the meantime, you should still continue to pump on schedule as to not decrease your supply and also not get too engorged while you are away.

I hope this helps and that things start to smooth out very soon for you!

Xoxo,
Shari

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Dear Shari,

I am 7 weeks with my 3rd and my son is 8 months old today, so I am still nursing very much so for nutritional purposes. He doesn’t like solids, of course, so I’m lucky if he eats 1 additional solid meal per day. I have noticed a drop in my supply already, just now I was up to nurse him and it took a good 10 minutes before he got a let down and they definitely aren’t as strong. Please tell me it won’t drop any further than it is now, I want to tandem, I nursed my daughter until 22 months so him and I would both be devastated if it just went away!!

You’ve been so encouraging before, thank you!

Not ready to stop!

 

Dear Not Ready To Stop,

First, congratulations on your new pregnancy! Having you children close in age has many benefits and can also present certain challenges as you are experiencing, however this does NOT need to be the end of your breastfeeding relationship with your older child. Many, many mothers are able to continue breastfeeding safely during pregnancy and way beyond, going on to tandem after birth. Most moms will have a decrease in their milk supply during pregnancy. This is especially common in the second trimester but can start as early as the first. It is thought that increased levels of Progesterone during pregnancy is what causes the milk supply to drop. This typically begins to resolve towards the 3rd trimester and especially at birth when the placenta is delivered and prolactin levels rise. AS always, it is important to continue to offer the breast to your nursling frequently and not decreasing “demand.” This will only add to your decreased production. Co-sleeping and night feedings can help here. Be careful on any herbal supplements that you are considering as they may help your supply, but they are not all safe during pregnancy. Always consult your doctor, midwife, and lactation consultant. The decreased supply may actually encourage your little one to start taking mores solids, as he will naturally be hungrier. This is fine as long as your are getting in at least 3-4 feedings per 24 hours. Take this opportunity to experiment with new and yummy foods, and keep trying even if he rejects it at first. It can take 5-7 “rejections” of a certain food before a child will accept and even learn to love it. As always, monitor wet diapers, signs of dehydration, weight loss, etc. Most of all, try not to stress. This is temporary and your milk WILL come back so that you can go on to provide for both of your babies! 

All the best to you and your family.

Good luck,
Shari

AskTheIBCLC_26JUL16

Dear Shari,

My little is almost 6 months old. My supply has taken a huge turn for the worse. I am barely producing anything. I Had a huge over-supply in the beginning. This has all started about a month ago. I know that you are supposed to adjust and pump more of what baby needs close to 3mo plus. Well I started doing that. Was pumping like 20-25 ounces a day.. Then it decreased to 10-15 and now I’m at 1-6… The past two days have been around 2 ounces the whole day. I have done pretty much everything I have read to do. I have also switched pumps. I have tried switching flanges. Replaced membranes, replaced hoses. I know stress is a horrible killer for your supply. I honestly am not stressing. I do not feel stressed, do not feel worried. I have a freezer full of milk so I know my little girl will have momma milk for a while longer even if I am done producing. I just would like to know if I am done ya know. I have tried nursing her more too. Day before yesterday I nursed her more and she didn’t seem satisfied at all. Today I nursed her more and she seemed fine. What is going on?

I appreciate any light you can shed on this!

Dwindling supply and hungry baby.

 

Hello Dwindling,

It sounds like you are trying to pump in addition to fully nursing your baby at the breast. It is completely normal for milk supply to fluctuate and for there to be times when your supply may seem lower. This will naturally happen as your child ages and also during times of growth spurts when they are eating ALL THAT YOU HAVE! That will of course leave less to be pumped. Normal growth spurts occur around 2-3 weeks, 6 weeks, 3 months, and 6 months. There is also a very common decrease that happens around 6 months postpartum for many moms. This can be due to hormonal changes, the return of you period, nursing less frequently, returning to work, introduction to solid foods, etc. I talk about this a lot in my online class “Breast Pump & Briefcases,” as it is something that so many breastfeeding and pumping mothers face. It is important to understand that while there may be times where you are able to produce way more than your baby is eating (which leads to being able to pump a lot of extra feedings for storage or donation…like your freezer full of milk), there will be other times where you may just be making exactly what your baby needs in the moment and not any more. This is not abnormal, and also not a problem as long as you feel that your baby is getting what she needs at the breast (which it sounds like she it). Your pumping and storing may have to take a back seat until the growth spurt is over. This will usually pass within a few days of concentration and baby led feedings. Small but frequent feedings whenever the baby wants to go back to the breast without supplementing, will usually have your supply back within a few days. Delaying feedings or supplementing with your freezer supply or formula during theses times will have the opposite effect, delaying the decrease or decreasing it further. This is SO important to understand. There are also foods like oatmeal and herbal supplements like Fenugreek that can help during these times, but I would always consult a Lactation Consultant before using anything. 

I hope this helps you and congrats on doing such a great job feeding your little girl!

Much love,
Shari

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Shari Criso 2016

 

For over 23 years, Shari Criso has been a Registered Nurse, Certified Nurse Midwife, International Board Certified Lactation Consultant, nationally recognized parenting educator, entrepreneur, and most importantly, loving wife and proud mother of two amazing breastfed daughters. You can find her on Facebook or her own personal site.
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#TLBmoves: Let’s Get Moving and Win!

So much of our lives revolve around feeding our families and sometimes that is fun, sometimes it’s draining.

Seriously, how can they be hungry again!

But nourishment isn’t the same thing as just feeding. Related, but not the same.

Nourishment is so much more than just nutrition for our bodies; our spirits find nourishment in connection, our relationships find nourishment in each other, our children find nourishment in our arms, our minds are nourished through learning and conversation, and our hearts are nourished by being with the people we love.

Which is why we’re hoping to nourish you with a giveaway to compliment your nourishment journey wherever it takes you. #TLBnourish giveaway is all about supporting you as your nourish those you love.

#TLBmoves Giveaway Bundle includes items from Thinkbaby Thinksport, Belabumbum, and Tula Baby Carriers.

 

The Giveaway!

 

Thinkbaby Thinksport

Thinkbaby_favoredby

Thinkbaby Thinksport, Title Sponsor for this #TLBmoves campaign, is featuring 2 great products.  Learn more about the Thinkbaby Sunscreen and Thinksport Insulated Sport Bottles below. Check out their website for different these great items and more.
 

Thinkbaby Sunscreen

  • First Sunscreen to pass Whole Foods Premium Care Requirements
  • Top Rated by EWG with a “1” rating since 2010
  • Free of biologically harmful chemicals. No Avobenzone, Oxybenzone, or UV Chemical absorbers.
  • Highest SPF 50+ (per FDA 2012 Rules – any sunscreens boasting higher are falsely marketing)
  • Highest level of Broad-spectrum UVA and UVB protection (per FDA 2012 Rules)
  • Highest level of water resistance (80 minutes) (per FDA 2012 Rules)
  • Non-nano formulation – Average particle size >100micron
  • Non-aerosol formulation (High concern of both ineffectiveness and particulates being inhaled)
  • Paraben, phthalates, PABA and 1,4 dioxane free
  • Applies and absorbs easily.  Non-oily feel.
  • Sunscreen produced in the USA
  • Does not have an obtrusive smell that many organic sunscreens have.
  • A member of the Safe Cosmetics Campaign Compact
  • Foundering member Sun Safety Coalition
  • Gluten free  (third-party verified)
  • No animal testing (Leaping Bunny member)
  • More awards than any other sun care line
  • Featured in: Tennis, Bicycling, Natural Child, Daily Candy (top pick), Men’s Health (top pick), Competitor, Backpacker (Top Pick), Standard, People Magazine (Must haves), Pharmacy Times, Men’s Journal (top pick), Chicago Tribune, The Bump (Top pick), Favored.by (Top Pick), Times Square, The Daily Green, YNN News, Denver News (Must haves), Triathlete, Cribsie and Red Hat Product Finalist. Eco – Excellence Finalist. Silver Award NAPPA, Baby Maternity Magazine (Top pick), Babble (Top 10 Best), Its a Belly (Seal of Excellence), Metro Moms (Hottest Product), Green Scene Mom (Winner) and a whole lot of blog reviews…

Why sunscreen?

The majority of sunscreens currently on the market are full of questionable ingredients and known carcinogens. Simply look at the ingredients and you’ll quickly realize you don’t recognize any of them. Many existing sunscreens have been brought to market with little concern for their safety. Not only do ingredients in sunscreen interact with skin, but data shows after application of lotions, some of the same chemicals can be detected in the bloodstream. Most people wear sunscreen to reduce the chance of developing cancer, so why apply something that could potentially increase this risk? This question has unfortunately left many people moving away from using sunscreen at all.

How is the Thinkbaby and Thinksport different?

At Thinkbaby and Thinksport, we are continually expanding our mission to provide safe products by identifying consumer product categories with known human health issues. Specifically, we target products that contain high levels of hormone disruptors and carcinogens. We then work with leading scientists worldwide to create safe alternatives.

  • Thinkbaby and Thinksport sunscreen is highly effective, falls into the highest category for water resistance and has a sensible SPF 50+ rating. A quick look on your local drugstore shelf will show an increasing number of chemical sunscreens boasting ultra-high SPFs of 70 and greater. An SPF higher than SPF 30 offers only minimal improvement in sun protection and does not provide insight into its ability to protect from both UVA and UVB. Instead, these ultra-high SPFs are inflated through the use of chemical UV absorbers.   The FDA has recently ruled that SPF numbers above 50 are not allowed. They have also ruled the terms “Sweatproof” and “Waterproof” as false claims.
  • You should know that the effective difference between SPF 30 and SPF 100 is approximately 2.5% difference. Don’t be misled by ultra-high SPF numbers. Additionally, Thinkbaby and Thinksport sunscreens utilize average zinc oxide particles greater than 110nm. Kevin Brodwick, founder of Thinkbaby and Thinksport explains why: “We always use the precautionary principle and as we expect the debate on the safety of nano particles to continue, we asked a simple question: Does the product have to contain nano particles to be an effective sunscreen? The answer is, quite simply, “NO”!
  • We also do not and will not use aerosol dispensers, nor should you.  Scientists have shown that parents apply 25% of the correct amount when using aerosol.  As the SPF is actually a logarithmic function,  if you are applying a SPF 100, you’re actually only putting on SPF equivalent of 3.  More importantly, there is significant concern that children and parents are inhaling the particulates.  If you look at the ingredients in aerosol sunscreens, you’ll quickly determine why you don’t want to breathe it.

Retail Value:  $12.99 for 3oz and $23.99 for 6oz  (shipping in US & Canada only)

For more information visit Thinkbaby

 

Thinksport Insulated Sports bottles –

  • Double-walled and vacuum-sealed stainless steel – keeps contents hot or cold for hours
  • Perfect for hot or cold beverages – does not sweat (for cold contents) or burn your hand (for hot contents)
  • Contoured design – makes the bottle easy to hold and visually distinctive from the many, many straight-walled bottles
  • Removable mesh filter – keeps ice from blocking the drinking spout and allows users to conveniently brew tea on the go
  • Unsurpassed testing for material safety – our products undergo rigorous chemical and biologic testing to insure they do not contain toxic chemicals
  • Available sizes: 750ml (25oz), 500ml (17oz) and 350ml (12oz)
  • Available colors: Natural silver, matte black, blue, purple, green and orange.  Light Blue, White and Light Pink available in some sizes

How long does your bottle keep drinks cold?

The short answer is results will vary….but a long time!  Because of all of the different situations out there, we do not guarantee a time period.  The 25oz bottles hold ice cold for approximately 18 hours. Some tell us about how they left their Thinksport bottle in the car in 100 degree weather only to return to clinking ice five hours later.  Others tell us how we kept their drinks cold for longer than 24 hours.  One customer even put our bottle in a thermal testing chamber and reported that it was the best bottle he had ever seen.  On average the sports bottles hold contents hot for 4 hours.  Because of the double-walled construction you also won’t feel the temperature of the products. So its important to be careful if you’ve placed hot liquids into the bottle.

Do your bottles fit in cup holders or water bottle cages?  

Our 350ml/12oz and 500ml/17oz bottles are designed to fit in car cup holders while our 750ml/25oz bottles fit some (but not all).  12oz and 500ml bottles will fit into water bottles cages.  The 750ml fits most bottle cages on spin bikes.

The perfect all around bottle!  Great for….

  •        Having cold / hot beverages at the office.
  •        Going for hikes or camping.
  •        Throwing into the backpack for school.
  •        Your yoga, cross-fit or spin class holder of lifesaving water.
  •        A companion while you work in the garden.
  •        Long road trips to your in-laws.  
  •        Bedside for late night dry mouth situations.

Retail Value: $19.99 / 17oz sports bottle – $17.99 / 12oz sports bottle $15.99    (shipping in US & Canada only)

For more information visit Thinksport.

 

Belabumbum

BelabumbumActiveLogo

Belabumbum’s Ultra Smooth Nursing Sports Bra offers medium-impact support with wireless microfiber cups lined with cotton and removable spacer pads to provide coverage and wick away moisture. The bra’s side cup is made with breathable stretch mesh and elasticized for fit. Ventilated side panels transfer moisture and heat away from mom. 

Retail Value: $69.00 (shipping to US only)

For more information visit Belabumbum

 

Tula Baby

TulaLogo

Prance is a Tula Coast carrier with a whimsical, spirited print. Fields of flowers and happy, prancing unicorns fill the design that is paired with a fun purple canvas and mesh center panel. Prance is the ultimate wish come true!

Tula Coast is designed to bring a cool breeze to your day! This line of Tula Baby Carriers offers a reinterpretation of our original framed panel design using breathable mesh material which creates a ventilated carrier perfectly suited for active lifestyles and warm weather locales.

Retail Value: Prance is $149 (standard) and $169 (toddler)  (International shipping available)

For more information visit Tula.

 

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TLBmoves giveaway image

Prize Bundle Total Value : $246.98

 

Thinkbaby Thinksport – Sunscreen $12.99 value for 3oz, Sports bottle $15.99 value for 12oz

Belabumbum – Nursing pumping bra, $69.00 value

Tula – Prance Carrier$149.00 value

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Good luck to everyone!  Please use the widget below to enter. The giveaway is open from now through July 30, 2016. A big thanks to Thinkbaby Thinksport, Belabumbum, and Tula Baby Carriers for their support of TLB and all breastfeeding women. 

This giveaway is open to participants in the USA.

a Rafflecopter giveaway

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Ask the Sleep Expert- Rebecca Michi- Sleeping Transitions for your Baby – Sleep In Arm’s Reach

The Leakies with Rebecca Michi
This post made possible by the generous support of Arm’s Reach Co-Sleeper

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We asked sleep consultant Rebecca Michi to come help us all get some more sleep and we asked the Leakies to share their current sleep struggles. Here are a few of the responses, followed by Rebecca’s support.

 

My son is 13 months old and has co-sleept with us since birth. At first he was in a co-sleeper next to our bed and when he outgrew that he was in our bed with us. I’m feeling ready for him to be in his own sleep space because my back gets sore. How can we transition him to his own little bed in our room for now without traumatizing him and making him feel rejected?

Thank you so much for your support!

Ready to sleep alone.

 

If you’re beginning to think about making the transition to more independent sleep, now is the time to start preparing. Getting ready to make the move will take you much longer than actually making the move.

Make sure that your son is comfortable with the space you want him to sleep in, so set up the toddler bed and make sure he has plenty of awake/playtime there. Start small and increase the time as he gets more and more comfortable with it. You can play with him initially, but do work on moving away from the bed, you can do other things in the room as well as leaving for short periods of time. When he is comfortable with around 20 minutes you can work on making the change.

Make sure the mattress is on par with yours, if yours is super squishy and his isn’t he may have a tough time sleeping there as it is so different. You may want to buy a mattress topper or put a quilt or blanket on top of the mattress but under the sheet.

You could start with naps in his bed or just the beginning of the night. It is never an all or nothing when it comes to making changes to sleep, you can gradually make the changes. You just want to make sure you are being consistent with the changes. If naps are going to be in his bed, then naps need to be in his bed, especially when you begin to make these changes, changing venue one day to the next can be very confusing and unsettling and he could have a much harder time making the transition.

Good luck.

 

Co-branded Arms Reach- July 2016

My mother-in-law insists I’m spoiling my son by rocking him to sleep and then transitioning him to his own sleep space. Is this the case? He’s 6 weeks old and I just love this time with him snuggled up to me, I’m not ready to let it go. Am I ruining his sleep by doing this?

I appreciate all you’ve shared with us before, thank you!

Still Rocking

 

You are certainly not spoiling him, food spoils babies don’t! He’s only 6 weeks old, he’s just so new. I suggest you give him all the help he needs to get to sleep and enjoy those wonderful cuddles. When he goes through a really big sleep transition at around 12 weeks old (52 weeks from conception), he will sleep quite differently and at that point you may want to try for the elusive drowsy but awake, though I do feel that drowsy but awake may be an urban myth! Make changes when you are ready and enjoy those amazing snuggles.

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I love bed sharing, as a matter of fact I sleep better with him next to me and my partner and I love waking up with his smiling face between us but I have Problem …. Naps! I love laying with him but I cannot get anything done during the day because I’m stuck in bed with him. He will sleep without me for about 30 minutes but he needs more than that and I need to be productive! He’s 8 months and I can no longer spend a couple of hours in bed during the day. I want to do crib naps but he will NOT tolerate it as he will scream for 30 minutes with me next to him patting him etc. I don’t feel comfortable getting him to sleep and then sneaking away, in part because he won’t sleep long but also because of the safety of him alone in my bed is an issue, he wakes up silently and will crawl right off of I’m not there.

Thank you for your help!

Searching for a miracle Answer.

 

One day stay near him and watch him sleep as he naps, you need to know when he comes into a light sleep, this will be when he make a noise or moves and should be around 10 or so minutes before he actually wakes. Take a note of the time he begins to make those movements, that is when he is coming into a lighter sleep. At this point you want to be really hands on and help him back into a deeper sleep. This can take 10 minutes or more so don’t rush off. When he has got back down into a deeper sleep you can leave the room. The following day/nap you want to go back into the room a few minutes before you expect him to come into a lighter sleep, be hands on again, pat, shush until he is in a deeper sleep and then leave. As he gets really used to not waking up you can try leaving him and see if he can get through the sleep cycle without any help. It’s not a quick fix, but it is super gentle.

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Be sure to check out Rebecca’s book Sleep And Your Child’s Temperament and don’t miss out on the opportunity to participate in her Sleep Academy here.

If you have a question you would like Rebecca to answer next time, leave a comment.

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Rebecca is a Children’s Sleep Consultant who has been working with families for over 20 years. She is a gentle sleep consultant who doesn’t believe in leaving your child to cry-it-out when teaching them to fall asleep more independently. She is passionate about helping children and their parents build healthy habits so they can finally get some sleep. By transforming drama into dreamland, her mission is to help your children—and you—get a good night’s sleep.
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Pregnancy Sonograms: What You Will Learn- Part 2

by Elizabeth MacDonald
This post made possible by the generous support of My Baby’s Heartbeat Bear
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This article originally published on mybabysheartbeatbear.com on November 10, 2015.

 

In the article “Pregnancy Sonograms and What You Will Learn, Part 1” we talked about the different kinds of ultrasounds and their purpose, ending with more detail about the general anatomy scan common around 20 weeks of pregnancy. In this article, we’re taking a deeper look at the types of scans done prenatally and the reasons why your healthcare provider may recommend them as a diagnostic tool. These scans can provide valuable information on the health of your baby when necessary.

MBHBB- Preg. sonograms, June 2016

Your doctor or midwife may recommend one or more of the following sonograms throughout your pregnancy, for various reasons. You may not know when you conceived or may have suffered previous miscarriages. You may be over the age of 35 and your doctor requires extra screening. There may be genetic reasons for extra scans, or a low lying placenta that could threaten a vaginal delivery. Your little fetus may stubbornly decide to lay transverse and a late sonogram is needed to see position. There are numerous reasons to receive sonograms other than the 20 week anatomy scan.

  • Dating Scan: A dating scan is an ultrasound examination which is performed in order to establish the gestational age of the pregnancy. If you or your doctor/midwife is unsure of the date of your last menstrual cycle, if you have had an bleeding, are unsure of when you conceived or your estimated due date, you will receive a dating sonogram. This ultrasound will show you exactly how far along you are, and can see the start of a pregnancy as early as 4 weeks and 3 days along (but some pregnancy cannot be seen until 5 weeks). You will see the beginnings of a gestational sac, but no heartbeat or further fetal development yet at this stage. An embryo and fetal heartbeat can be detected as early as 6 weeks and 3 days, but may not be picked up until further along. You will also know the location of your pregnancy. If there is a chance that it is ectopic, you will find out now. At this stage of pregnancy, the dating scan will be done transvaginally, meaning the ultrasound wand will be inserted into the vagina to see the pregnancy. A dating scan can determine the number of gestational sacs present (which may decrease by the end of the 1st trimester, if there is more than one). Your cervix, uterus position, and ovaries will also be seen, and you will learn if there is any visible clotting or fibroids. A sonogram done before 9 weeks will be the most accurate to use for dating the pregnancy.
  • Breakdown of what can be seen:
    • At 5 ½ weeks gestation tiny sac can be seen in the uterus, but the baby and its heart beat may not be detected yet. 5 ½ weeks gestation means 5 ½ weeks from the first day of the last menstrual period, which is usually about 3 ½ weeks from the date of conception (confusing, isn’t it!).
    • By 6 to 7 weeks gestation the fetus is clearly seen on trans-vaginal ultrasound and the heart beat can be seen at this early stage (90 to 110 beats per minute under 6 to 7 weeks, then 110 to 200 beats per minute as the baby matures).
    • By 8 weeks gestationthe baby and its heart beat can be detected relatively easily with trans-abdominal and trans-vaginal examination.
    • This is presuming that the pregnancy is actually at this stage of development.
    • Sometimes a trans-vaginal examination shows that your pregnancy is less advanced than expected.
  • 1st Trimester Scan (Also known as a NT Scan): Having a transabdominal sonogram between 12-13 weeks is performed to confirm your baby’s heartbeat and conclude first trimester screening for chromosomal abnormalities. The screening is optional for one or all of the following: Down’s syndrome, Edward’s syndrome, and Patau’s syndrome. Down’s syndrome is also called Trisomy 21 or T21. Edwards’ syndrome is also called Trisomy 18 or T18, and Patau’s syndrome is also called Trisomy 13 or T13. The screening test offered at 11-14 weeks is called the combined test. It involves a blood test and an ultrasound scan. If a screening test shows that you have a higher risk of having a baby with Down’s, Edwards’ or Patau’s syndromes, you will be offered diagnostic tests to find out for certain if your baby has the condition. In addition to screening for these abnormalities, a portion of the test (known as the nuchal translucency) can assist in identifying other significant fetal abnormalities, such as cardiac disorders. The screening test does not detect neural tube defects. The combined accuracy rate for the screen to detect the chromosomal abnormalities mentioned above is approximately 85% with a false positive rate of 5%. A positive test means you have a 1/100 to 1/300 chance of experiencing one of the abnormalities.
  • Level II ScanWhile technically the anatomy scan is a Level II scan, there are other reasons to come in for a Level II sonogram. During your anatomy sonogram, you will learn if another Level II scan is needed. Level II scans are reserved for higher-risk mothers, but may be used to rule you out of the high-risk category. Common indications for a Level 2 ultrasound include family history of birth defects, maternal medical problems associated with birth defects (poorly controlled diabetes, for example), exposure to medications associated with birth defects, a maternal age of 35 or older, abnormal serum screening results, and birth defects suspected on a Level 1 ultrasound. While there is no ultrasound that can detect 100 percent of serious birth defects, most birth defects that are undetected with a Level 2 ultrasound usually are clinically less significant (such as a small hole in the heart which commonly closes on its own after birth or an isolated cleft palate with intact upper lip which can be fixed surgically after birth without any long-term complications). A survey of your baby’s internal organs will be conducted, as well as:
    • The umbilical cord
    • Amniotic fluid
    • Location of the placenta
    • Fetal heart rate

The total score will help decide the overall health and well-being of your baby and help your doctor or midwife determine if your baby should be delivered sooner than planned.

  • Bpp Scan (Biophysical Profile)This sonogram combines an ultrasound evaluation with a non-stress test (NST) and is intended to determine fetal health during the third trimester. This test is performed if there is a question about fetal health and well-being resulting from either an earlier examination, maternal/fetal symptoms, or if the pregnancy is considered high risk. There are two parts to the BPP, a Non-stress Test (NST) and an ultrasound evaluation. The NST involves attaching one belt to the mother’s abdomen to measure fetal heart rate, and another belt to measure contractions. Movement, heart rate and “reactivity” of heart rate to movement are measured for 20-30 minutes. The ultrasound portion may take up to an hour, and the technician will watch for a variety of signs that are important in measuring the health of your baby. Usually, five specific fetal attributes are studied and “scored” during the BPP:

Biophysical Attribute- MBHBB 06.16

  • NST Scan: The Fetal Non-Stress Test is a simple, non-invasive test performed in pregnancies over 28 weeks gestation. As mentioned above, The NST involves attaching a belt to the mother’s abdomen to measure fetal heart rate, and another belt to measure contractions. Movement, heart rate and “reactivity” of heart rate to movement are measured for 20-30 minutes. A NST may be performed if:
    • You sense the baby is not moving as frequently as usual
    • You are overdue
    • There is any reason to suspect the placenta is not functioning adequately
    • You are high risk for any other reason

The test can indicate if the baby is not receiving enough oxygen because of placental or umbilical cord problems; it can also indicate other types of fetal distressThe primary goal of the test is to measure the heart rate of the fetus in response to its own movements. Healthy babies will respond with an increased heart rate during times of movement, and the heart rate will decrease at rest. The concept behind a non-stress test is that adequate oxygen is required for fetal activity and heart rate to be within normal ranges. When oxygen levels are low, the fetus may not respond normally. Low oxygen levels can often be caused by problems with the placenta or umbilical cord.

Many pregnancies progress just fine without ever having an ultrasound and health care providers use a wide array of skills and tests to ensure the safety and health of both the mother and the baby through pregnancy and birth. Having any of these scans done isn’t immediately an indication of a problem, it is just an opportunity to check. It is a gift to hear your baby’s heartbeat and see them developing, one to treasure. While it can be exciting to hear your baby’s heartbeat and to see them on the screen, the purpose of ultrasounds is to be an important tool in your prenatal care, not an entertainment experience. They may provide some answers to questions and concerns, reveal a potential problem or that everything is developing normally, and provide reassurance. Be sure you are using a reputable ultrasound technician to perform your scans, your healthcare provider should refer you to one they trust and use regularly if it is out of office. If you feel that a scan is unnecessary and are unsure you want to go through with it, be sure to speak with your healthcare provider about your concerns to better understand the purpose of the scan. If at any point there is something you don’t understand, speak up and let your healthcare provider know you have questions.

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me
Elizabeth is mom to four breathtakingly-beautiful children, and wife to one lucky man. She is a research writer, blogger, and a ghost writer of books.  As a natural-minded woman, Elizabeth takes pride in spreading factual information that may benefit other mothers and future generations.  She has spent the last seven years (and counting) growing babies in the womb and/or with breastmilk.  When she is not writing, she enjoys drinking wine, running, cooking, reading, homeschooling, and loving her family and friends.
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When Food Makes Your Child Sick- Allergies and Parenting

By Heather Mackles, RN, BSN

When the food you’re feeding your child is making them sick, what do you do? One mother, a member of The Leaky Boob Community group admin team, shares her family’s journey with food allergies and how it has changed them. A registered nurse, the author shares some points for families on potential signs for allergies and how to proceed.

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It started with a crying baby, a “sensitivity” to my breastmilk, and a transition to soy formula under the direction of our pediatrician. Then it became vomiting, weight loss, and a hospitalization. Eight years later, we’re dealing with food anxiety, rebelling, and a struggle with autonomy. Somewhere in there was a major food overhaul.

Food allergies.

I am a parent of a child with multiple food allergies. We wield EpiPens, Benadryl and a rescue inhaler. We see a pediatrician, dermatologist and allergist every few months. We are one piece of candy away from a trip to the ER.

Food can kill my son.

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I was told while pregnant from a lactation consultant that babies rarely have an issue with actual breastmilk. Only babies with true milk protein allergies were unable to breastfeed due to the whey protein in breastmilk. My pediatrician agreed after we had several visits with complaints of horrible crying with no relief and constant diarrhea. He told me that my baby may have a sensitivity to my breastmilk and that it would be in my best interest to wean him immediately to soy formula. There was no mention of removing dairy from my diet first. Now knowing more than I did then, I probably could’ve tried removing all dairy from my diet and chances are strong that would have been a better option for my son. For more on breastfeeding a child with food sensitivities or food allergies, see this post here.

But I didn’t know then what I know now. I didn’t know how to fight and advocate for my son.

When we first got the diagnosis from the gastroenterologist, I made that first trip to Whole Foods. I was beside myself. I didn’t know what I was looking for. Then this saint of an employee came up to me, and asked if he could help me find something. I poured my heart out to him while he helped me navigate the store.

My child, who loved homemade fettuccine Alfredo (which starts with a stick of butter and a pint of heavy cream), now could not have anything that had the milk protein, casein, in it. It’s not a lactose-intolerance. He can’t just drink lactose-free milk and be fine. He can’t have any animal milks, butter, cheeses or whey protein. His reactions continued going up until his diagnosis had only been gut and skin related, but that doesn’t mean that the next exposure couldn’t affect his respiratory system.

The threat is very real.

My son can’t eat or have contact with:

  • Dairy
  • Gluten
  • Tree Nuts
  • Peanuts
  • Tomato anything
  • Nitrates
  • Fluoride
  • MSG
  • Artificial Colors
  • Preservatives

We now have to read every ingredient list for EVERYTHING. When he’s prescribed a medicine, or even if I go to give him over-the-counter medicine, I have to call the manufacturer and get the all clear that it does not contain dairy or gluten. Sometimes the manufacturer is closed, or won’t return my calls for days, but he needs the medication at that moment. So I have to take a deep breath, weigh the risks and benefits, pray, and give him the medicine. His allergy medicine prescribed by his allergist? I gave it to him for a month and couldn’t figure out why he was breaking out in hives and having diarrhea. It contained gluten as a main ingredient. Because his vitamins were cultured in milk, but they didn’t list it because they don’t contain milk, he had a reaction. Now he’s taking vegan vitamins to be sure they are dairy free. His allergies have evolved over the years, though he has yet to grow out of any, as many kids with one food allergy usually become allergic to other foods over time.

Every single thing that goes into my child’s mouth requires me to check the ingredient lists. Unfortunately, if something in it is milk-derived, it doesn’t have to list that according to the FDA. There’s a lot of ambiguity when it comes to artificial and natural flavors, colors and preservatives, and transparency is not required. So do I give him the food that should be okay and risk a reaction, or do I disappoint him and tell him it’s not safe? We play that game. Every. Single. Day.

Sometimes I hear him coughing in his room at night, one of his common early symptoms of a reaction, and the panic starts rising. “What did he eat today? Was it anything that we ate differently? Have I looked at our safe foods’ ingredient lists recently? Did they change their ingredients?” And then I mentally go back through everything he ate in the past 24 hours, because reactions can be delayed. His are usually around 8 hours after ingestion. Sometimes it could be anything, sometimes I may not even know for sure what he has eaten.

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I cringe when other kids offer him food because he SO BADLY wants to take it, but he does good most days on refusing. Sometimes he slips, but I have to give him some autonomy. I cannot keep him in a bubble forever. He has had to learn how to resist temptation in the most evil of ways. Food is more than eating. It’s a social and cultural enjoyment. Good food brings people together and celebrations often center around food. Many people take offense even, including family members, when we say that he can’t have whatever they’re offering, because we aren’t sure of the ingredients.

My son experiences discrimination every time he’s on some sort of a team or in a group activity. I’ve heard such things as “We don’t accommodate for people with food allergies.” and “Can’t you just bring him his own snack to every game?” told to me by other parents, teachers, and team leaders. But there’s always that one parent on the team that texts me to ask me for suggestions on my son’s safe foods because they want to make sure he feels included. One parent who shows they care. They are the shining beacon of light, and by being able to share in team snack with everyone else, just like every other kid, you made his day. It warms my heart to see him so happy. And it makes me so angry when people blow off his food allergies like they’re nothing.

My child’s food allergies aren’t a preference, they are a life and death risk. I know it is inconvenient, my family lives with and accommodates those inconvenient risks every day.

Our safe restaurants include Mellow Mushroom and Disney restaurants. That’s about it. Going out to eat is another adventure. It takes a lot of time and energy, because we have to call ahead and make sure they can make something for my son that he can actually eat. He’s not picky by any means, but he does have his preferences, and most places either have 1-2 things on the menu he can have, or none at all. Like most of us, he wants to enjoy eating beyond considering whether or not it will make him sick. Most times, the restaurant’s employee we talk to on the phone can’t guarantee that they’ll have a meal free of his allergens. By the time we call around to 3-4 places we’ve selectively picked, we usually throw in the towel and make something at home. We make 95% of our food at home from the most basic ingredients. It takes too much time, planning and effort to go to a new restaurant, where most of the time, the employees are very poorly educated on food allergies and cross contamination. Fast food is mostly out of the question. We don’t even try there. If we need fast food, we make him a safe option at home.

Do I want to be this controlling? HELL NO. I want to let him eat whatever he wants, and I would cut off my left arm if he could just have one slice of birthday cake at another kid’s birthday party. But his diagnosis requires vigilance and I must provide that.

Still, I refuse to allow food to define my child. He is a smart, funny, easy-going kid. He’s never met a stranger and will hold a conversation with anyone he meets. He is good at acrobatics, circus aerial arts, and baseball. He just signed a modeling contract through a worldwide agency. His smile is infectious and that lights up the room. Food allergies are NOT who he is. He may have them, but they are not him. He is Ian, a boy who has food allergies.

And I stand in the background, ensuring he stays safe as he blossoms into his own person.

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Right now, we take it one day at a time and we learn and grow with him. There will be more rebellion. There will most likely be more ER visits in the future. There will be times where he chooses to not bring his EpiPens with him because it’s not cool to have special needs. Hopefully that day, he won’t need it, as most days he won’t. Hopefully he won’t learn this lesson the hard way. But there will also be good friends that we meet along the way, and we will cherish them forever.

I went on to successfully breastfeed two more children. My middle child was breastfed until 18 months old, and my youngest is 19 months old and still breastfeeding with no end in sight. We introduced the top eight most allergenic foods at 6 months old under the direction of our (new) pediatrician and both of my youngest kids have no food allergies.

There’s a lot I wish I knew back in the day with my son that I know now. For new parents it can be overwhelming and scary. Most of the time I’m not scared any more, just vigilent. And I’m able to share what I’ve learned. There are boundaries to learn, together we can figure them out. In this post, another parent shares a few methods about food boundaries with her food sensitive child. 

Want to know what to look for and what could be a warning sign of an allergy in your child? Here are some of the most common things to look for when evaluating for food allergies in children:

  •      Rash around the mouth
  •      Flushed face
  •      Hives
  •      Vomiting and/or diarrhea
  •      Behavioral changes, mostly severe anxiety or restlessness after eating
  •      Fast heartbeat*
  •      Face, tongue or lip swelling*
  •      Constant coughing or wheezing*
  •      Difficulty breathing*
  •      Loss of consciousness*
*If your child exhibits any of these symptoms, call 911 immediately as these are signs of a life threatening medical emergency.

They could encounter the allergen once and react to it, or they could’ve been exposed to the allergen 100 times before and all of a sudden start reacting to it. There is no telling when or how bad they’re going to react to the allergen, if their body chooses to react to that particular food protein.

Many life-threatening food allergy reactions (called anaphylaxis) happen to kids who did not know they had a food allergy. If you suspect that your child has a food allergy, please consult your physician for further allergy testing. 

If you’d like to learn more about food allergies, please visit: www.foodallergy.org.

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Living with the reality that the very nourishment that should sustain us, bring us joy, and lead to health could make our child sick, endangering their lives, isn’t easy. If you get to enjoy life without these scary obstacles, please be patient with those of us who must learn how to navigate them. If you are just discovering that allergies may be a part of your child’s life, you’ve got this. It may require a lifestyle change but you’ve got this. With community and information sharing you can be your child’s strongest advocate and learn how to navigate this terrain without it stealing your joy. 

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Heather Mackles is a 32-year-old retired PICU RN, who is happily married to her husband, and stays at home with her three children, two dogs and an antisocial cat. In her minuscule amounts of free time, between changing diapers and homeschooling/unschooling her kids, she enjoys traveling, taking frequent trips to Disney, sewing, and critiquing medical TV shows. She believes in advocating for all women from all walks of life, and loves helping women achieve their breastfeeding goals.
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Pregnancy Sonograms: What You Will Learn- Part 1

This post made possible by the generous support of My Baby’s Heartbeat Bear
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This article originally published on mybabysheartbeatbear.com on November 10, 2015.

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There is something so exciting about seeing your little jelly bean bouncing around on the ultrasound screen! Counting down the days until you can watch your baby swim around is something almost all couples do.You get pictures and possibly a video with the heartbeat. All of it just solidifies that you truly are carrying a little life inside.

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Healthy, low-risk pregnant women are recommended to only receive a sonogram at 20 weeks, but there are times when other scans are needed to check on the baby. There are six common sonograms performed throughout pregnancies, and one or more may be recommended to you. I’m going to break them down and explain their individual purposes and what you can expect to leave knowing after having one.

Before describing the sonograms in the next article, in this first article we’re going to talk about the difference between a sonogram and an ultrasound and explain the most common sonograms utilized in prenatal care. A sonogram is the image generated during ultrasonography, which is a diagnostic imaging technique that uses ultrasound to visualize anything inside the body. Ultrasound is a sound frequency above the range audible to humans, which is about 20 kHz. Both terms are used interchangeably by most people, but in layman’s terms an ultrasound is using sound waves to see or hear something inside the body. A sonogram is the actual visual picture of what the ultrasound is picking up. There are seven types of ultrasounds that may be performed during pregnancy:

Standard Ultrasound  Traditional ultrasound exam which uses a transducer over the abdomen to generate 2-D images of the developing fetus .

Advanced Ultrasound – This exam is similar to the standard ultrasound, but the exam targets a suspected problem and uses more sophisticated equipment.

Doppler Ultrasound   This imaging procedure measures slight changes in the frequency of the ultrasound waves as they bounce off moving objects, such as blood cells.

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3-D Ultrasound  Uses specially designed probes and software to generate 3-D images of the developing fetus.

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4-D or Dynamic 3-D Ultrasound  Uses specially designed scanners to look at the face and movements of the baby prior to delivery.

Fetal Echocardiography  Uses ultrasound waves to assess the baby’s heart anatomy and function. This is used to help assess suspected congenital heart defects.

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Your doctor or midwife will likely use the Doppler during each prenatal visit to pick up the baby’s heartbeat. Generally, they keep it short and use this as reassurance to you that your baby is doing well. This is very common, but can be denied if you feel the urge not to have it done. (As an almost fourth time mom here, I’ll tell you just how amazing it is to hear that little heartbeat every few weeks!)

While many women will receive other ultrasounds during their pregnancy, other than the Doppler to check heart tone at prenatal exams, the standard ultrasound anatomy scan around 20 weeks is the most common. See below for more information about the anatomy scan.

  • Anatomy Scan: Between 18-21 weeks, you will have a more in-depth ultrasound done to determine the baby’s size, weight, and to measure growth ensuring the fetus is developing according to plan. In addition, the anatomic ultrasound looks at and takes measurements of many different anatomic parts of the fetus. The technician or the doctor will be looking for any signs of slower than normal development. The skeleton should be hardening at this point and the sex of the baby may be visible. In many cases, the baby may have its legs crossed or be facing away from the abdomen and thus the sexual organs will not be visible during the anatomic ultrasound. But fingers crossed, you will learn the gender! On the plus side, you’ll receive many pictures of your little one during this scan. The following fetal parts are checked during the anatomy ultrasound:
    • Face: Depending on the positioning of your baby, the technician may or may not be able to detect if your baby has a cleft lip. Rarely are they able to detect if there is a cleft of the palate.
    • Brain: The technician will be assessing the fluid-filled spaces inside the brain and the shape of the cerebellum, which is in the back of the brain. He or she will also be able to identify if any cysts are in the choroid plexus, which is a tissue in the brain that produces cerebrospinal fluid. Fetal cysts may indicate an increased risk for a chromosome abnormality; however, the majority of these cysts disappear by the 28th week of pregnancy with no effect on the baby.
    • Skull (shape, integrity, BPD and HC measurements)
    • Neck (nuchal fold thickness)
    • Spine: Your baby’s spine will be evaluated in the long view and in a cross section. The technician will be looking to make sure that the vertebrae are in alignment and that the skin covers the spine at the back.
    • Heart (rate, rhythm, 4-chamber views, outflow tract): Congenital Heart Defects are one of the leading causes of birth defects and infant death. A prenatal diagnosis can prepare you and your medical team to provide your infant with the best medical care possible throughout your pregnancy and after birth.
    • Thorax (shape, lungs, diaphragm)
    • Abdomen (stomach, kidneys, liver, bladder, wall, umbilicus, cord, abdominal circumference AC)
    • Limbs (femur, tibia, fibia, humerus, radius, ulna, hands, feet, femur length FL)
    • Genitals (gender, abnormality)
    • Cervix (length and opening)

Based upon the results of the measurements, the gestational age of the baby will be predicted based upon the average size of other babies scanned during the 20th week of pregnancy. If any abnormalities are found, additional examinations are indicated.

In our next article, we’ll go more in depth into the other Sonograms some women experience in pregnancy and their purpose. No matter what kind of scan you’re given, it can be an exciting time and a bit of an emotional roller coaster. Hearing and seeing how your baby is doing can be both nerve-wrecking and encouraging. Read here for more potential emotional impact of a prenatal ultrasound experience.

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me
Elizabeth is mom to four breathtakingly-beautiful children, and wife to one lucky man. She is a research writer, blogger, and a ghost writer of books.  As a natural-minded woman, Elizabeth takes pride in spreading factual information that may benefit other mothers and future generations.  She has spent the last seven years (and counting) growing babies in the womb and/or with breastmilk.  When she is not writing, she enjoys drinking wine, running, cooking, reading, homeschooling, and loving her family and friends.
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Ask the IBCLC Breastfeeding Help: Relactating, Back to Breast After Bottle, Once Low Supply Always Low Supply, and More

The Leakies with Shari Criso, MSN,RN, CNM, IBCLC

This post made possible by the support of EvenFlo Feeding

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We’ve asked Shari Criso to share her answers to Leakies questions about feeding their babies. If you have any questions you’d like to ask Shari, leave a comment!

 

Dear Shari,

I started breastfeeding my son when he was first born but we had a lot of difficulties and ended up switching to formula. He’s 2 months old now and I don’t think I have any breastmilk left but I’m really sad about stopping. Is there any way I can get him back on the breast and get my supply up for him? Is that possible or should I just accept that I screwed up?

Sad but hopeful

I am so sorry that you had so much difficulty.  This is unfortunately not uncommon and there are so many moms that face the same challenges having them stop breastfeeding way before they want to. You DID NOT screw up!  You did the best that you could with the information and support that you had.  This is not your fault although I know how disappointing it is. There are two questions you are asking here…One, is it possible after 2 months to get your baby back on the breast from the bottle, and two, can I increase my supply to go back to exclusive or partial breastfeeding?  The answer to both of these questions is YES…but it will take some work and the right support.  If you have been pumping and feeding your baby a combination of breast milk and formula, increasing your supply back up to exclusive breast milk is very doable.  It will require frequent pumping and/or feeding (possibly with a supplemental nursing system) and also supplements that can help to increase your supply.  If you have not been pumping at all, re-establishing your supply or “relactation” is possible but will also require work with pumping, feeding and supplements for you.  Getting your bottle fed baby back on the breast after 2 months is possible although not always.  I highly recommend that you seek out an experienced IBCLC that has worked with moms in this situation before and get the proper counseling and support.  This is not something to do on your own, as time is really of the essence if you want to have the best chance at success.  Lastly, there are lots of moms that exclusively pump and are still able to feed their babies breast milk even though they are not nursing at the breast.  Of course your baby will greatly benefit from this for as long as you are able to do it and for as much or as little as you are able to provide.  This is a third option to consider.

For those moms that are trying to make that final transition back to exclusive breastfeeding, here is a great video clip from my WebTV Show on “Weaning off formula back to exclusive breastfeeding” 

 

 

Dear Shari,

I was hoping you could tell me what could be causing me to feel nauseous when I nurse? It’s really bad at night, but always there when she nurses?! Is this normal? Will it go away? It is really putting a damper on breastfeeding because I feel sick every time.

Please help!

Feeling sick to my stomach

 

Hi…I know this feeling that you are describing since I had it myself when both of my babies nursed!  It is amazing how everyone feels different when they breastfeed.  Very often moms will have some sort of sensation or reaction to their milk letting-down.  It can feel different in different moms, and if you don’t feel anything it does not mean that you are not getting a let down…don’t go there!  This can be felt as nausea, which is usually caused by the hormones that are released when your baby begins to suckle.  Moms may feel something like nausea, slight dizziness, lightheaded, tingling,  etc… at the onset of the feeding and then it will subside as the baby continues to feed.  As I said this is not the same for everyone and it sounds like you may be feeling it the whole time. There is not much that you can really do about this since it is hormonal.  You may want to try a hard candy, closing your eyes and relaxing with the feeding, or maybe some fresh air or a fan, etc… Also, make sure that you are not hungry or that your blood sugar is not low, which will also cause you to feel nauseous, just as it can during pregnancy!  I wish that I had more to offer except that this is quite normal AND it may not last.  Your body (and your baby) is changing every day.  What you are experiencing one day may be completely different the next.  Hope it resolves and you can enjoy the experience a bit more.

Here is a video about relieving nausea (or morning sickness) in pregnancy…although the hormones that are causing it are different, the conversation about hypoglycemia may be helpful and especially for all the pregnant mamas out there. 

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Dear Shari,

I am 12 weeks pregnant with my second babe. With my son I wasn’t able to breastfeed, my supply never came in. I tried oatmeal, mother’s milk tea, and lots of water. But nothing helped. I really want to breastfeed with this one. Does anyone have any advice or suggestions that could help this time around? Anything I can do beforehand to make sure my supply comes in?

Thank you so much for your help.

Concerned but hopeful in the midwest.

 

Hi…It is great that you are asking these questions NOW in preparation for your baby’s arrival.  Way too often, moms will wait until their baby is born to educate themselves or try to find the support that they need.  This can be difficult when you have just given birth, trying to breastfeed and care for a newborn!  To answer this question it is important to identify what actually happened last time, identify any underlying medical issues, and also be cautious in comparing one experience with the next.  So yes there are real situations that can cause your milk to not either be delayed in coming in, have a decrease in supply, or not come in at all.  You need to discuss this with your doctor or midwife (and also consult with an IBCLC) to make sure that underlying causes are identified and addressed if they exist such as a hypothyroid, or IGT for example.  Sometimes the birth itself can be a cause for a delayed or insufficient supply…large blood loss, retained placental fragments, etc…can cause this among other things. Lastly, it is important to remember that while it is very possible to have a real situation with insufficient milk supply, my experience is that MOST issues are either perceived or created from the concern and then the unnecessary supplementation.  It is SO important to understand that your milk will take days to come in, that the drops of colostrum that you are producing is all your baby will need, and that babies are not really supposed to eat large volumes of milk in the first few days and are supposed to lose weight!  This misinformation and misunderstanding, mostly in the medical community, is what creates fear and doubt for moms and causes unnecessary supplementation, decreased feedings at the breast, and can cause the exact issue you are trying to cure.  Most importantly, get the information you need and really understand what is happening and what is not.  Yes the teas and the supplements can be helpful, but without the knowledge it will not make much of a difference.  One of the best ways to prepare yourself for success is to watch my online breastfeeding class “Simply Breastfeeding” where I go over this discussion on milk supply in the first week as well as so much more!

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Shari Criso 2016

 

For over 23 years, Shari Criso has been a Registered Nurse, Certified Nurse Midwife, International Board Certified Lactation Consultant, nationally recognized parenting educator, entrepreneur, and most importantly, loving wife and proud mother of two amazing breastfed daughters.
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Breastfeeding During Pregnancy

by Shari Criso, RN, CNM, IBCLC

This post made possible by the support of EvenFlo Feeding

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Can I breastfeed throughout my pregnancy?

Breastfeeding during pregnancy is very normal. Throughout history and even today in many parts of the world, children survive because they continue to breastfeed throughout pregnancy. In MOST cases, it is extremely safe, completely normal, and very healthy to continue breastfeeding while you are pregnant with your next baby.

Where this whole concept of it being an issue came from is with people who have had recurrent miscarriages, and people who are bleeding early in pregnancy. Remember, when you breastfeed, there is a hormone called oxytocin released from your brain, and oxytocin can contract your uterus. If you’re a person with a history of early miscarriage or you’re bleeding in pregnancy, this may be a consideration. But for the vast majority of people, it’s completely fine to continue to breastfeed through pregnancy, not only at the beginning but throughout.

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What I find is that for most women, their toddlers will wean themselves during pregnancy, because as you get closer to the end, the milk is changing to more of a colostrum, getting ready for delivery. The taste changes and toddlers are like, “What’s this? This is not what it was before!” And there are others that are like, “I don’t care what this is, I want it anyway!” And that’s when you have people who are nursing two children at one time. And that’s totally fine.

One thing you do want to keep in mind if you’re tandem nursing is to make sure the newborn is always going first. That the baby is getting what they need first, and the toddler is getting more of a snack. Remember that your toddler is also eating solid foods at that point, and getting other nutrition, while your newborn needs to get the full majority of it.

I hope that answers the question, but overall, it is absolutely fine to keep nursing through pregnancy and beyond!

Shari Criso MSN, RN, CNM, IBCLC

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Find more from Shari supporting your parenting journey including infant feeding at on Facebook, My Baby Experts©

Thanks for Evenflo Feeding, Inc.‘s generous support for families in their feeding journey.

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Shari Criso 2016

 

For over 23 years, Shari Criso has been a Registered Nurse, Certified Nurse Midwife, International Board Certified Lactation Consultant, nationally recognized parenting educator, entrepreneur, and most importantly, loving wife and proud mother of two amazing breastfed daughters.
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