Weight Gain in Your Breastfed Baby

by Shari Criso, RN, CNM, IBCLC

This post made possible by the support of EvenFlo Feeding

Evenflo-Feeding-Brand-Ad_25AUG15-e1453970233307

____________________

 

 

One very common concern that comes up frequently for breastfeeding moms and dads is that their breastfed baby is not gaining weight fast enough, or as quick as other babies. This often happens when parents take the baby to the pediatrician and the pediatrician says that the baby’s just not gaining fast enough. They will use a growth chart, plot your baby’s weight on the growth chart, and then say your baby needs to be growing faster!

As you can imagine, this can be very concerning for a breastfeeding mom, because you’re thinking, ”do I need to supplement?”…”am I just not making enough?”

What I want to talk about here are normal growth patterns of breastfed babies.

Unfortunately, because we have so few exclusively breastfed babies in this country (and this really is the case, that there aren’t that many babies that are being breastfed for an entire year) their weights are being compared to formula fed infants that often grow and gain faster and weigh more, especially in the second half of the first year.

So what is a normal weight gain for a breastfed babies?

Typically breastfed babies will gain faster in the first 4 months of life. Typically somewhere around 4-8 oz or 5-7 oz a week on average, is the amount that a breastfed baby will gain.

evenflo February

When I say average, what I mean is that they won’t ALWAYS gain that amount every single week or consistently, so weighing them every week will actually be a problem. They will have growth spurts, and gain more weight some weeks and less weight other weeks. Typically this is somewhere between 5-7 oz per week, for the first 4 months, on average…and then around 4-6 months you’ll start to see this weight gain drop to about 4-6 oz per week, and then from 6-12 months, 2-4 oz per week is the average norm for breastfed babies. Remember, this is just basic standard or average, it does not mean ALL babies are going to follow the same patterns.

It’s important to watch your baby’s cues and take into account other things like your size – smaller parents, smaller baby; are they reaching all their milestones, are they hydrated, are they peeing, are they pooping, are they smiling, are they doing as expected developmentally – these are all important factors to consider in making sure your baby is healthy…not just are they gaining weight! Are they gaining length, is their head circumference growing as well?

Another very important thing to keep in mind is and to understand are the growth charts themselves.  This comes up with my clients all the time! Some pediatricians are using the incorrect growth charts to measure and plot your babies weight gain. What you should be asking is, “are you using the WHO growth charts for breastfed babies?” Many of these charts being used in these offices are charts that are based on formula fed infants. The older CDC charts actually measured breastfed babies against formula fed infants, and we know that this is not accurate. So you want to be sure that your office is using the WHO charts to make sure that they are plotting it correctly.

The other thing to do is to notice that just because a baby is at the third percentile, does not mean that your baby is not within normal parameters. Your baby does not have to be at the 50th percentile or the 90th percentile!

A baby that is at the 3rd or 5th percentile for weight is just as healthy as a baby who is at the 70, 80 or 90 growth percentile. These are the normal ranges, and what you really want to keep an eye on is that your baby is staying consistent in their growth. That is really what will tell you the difference. I’m going to post some links here so you’ll have those growth charts, and if for some reason your doctor is not using them, you’ll have access to them to bring them with you and have them use that chart to help plot your baby’s growth.

____________________

Have you been concerned about your baby’s growth? Does your child’s doctor use the correct charts?

____________________

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. See the entire library of Shari’s My Baby Experts Video Program here.
Share

Hot Mama Cocoa

by Carrie Saum

image

There is something about breastfeeding and milk-making that just kills my sex drive, friends.  It goes the way of bell-bottom jeans and jello molds.  They’re fun once in a while, and have definitely been more popular in previous times, but their heydays have already passed.  Wearing those jeans feels like a game of dress up or something you pull out for a 70’s themed special occasion.  And jello molds haven’t been pulled out AT ALL since 1987.  Suffice it to say, Taylor Swift has probably never had lime jello with canned mandarin oranges and pecans while wearing her mom’s bell-bottom jeans.

Feeding our babies is miraculous.  Breastfeeding, formula feeding, pumping, or any other combination those is special and keeping a human alive is an amazing feat.  I remember holding my son for the first time, full of wonder, joy and terror.  How in the world could I be trusted to feed him and keep him safe? I did, though, and you are keeping your little ones alive and safe, too.  But that first year of their little lives takes it out of us as parents.  It’s part of the journey, and they make up for it with sweet cuddles, funny moments, and lending us their perspective of wonder and newness.

But that first year can be hell on your sex drive.

Adding in a little warmth, nourishment, and some helpful nutrition can boost your energy. And let’s be honest here: it could lead to increased sex drive and possibly a milk supply boost and who doesn’t want to get in on that action?!  Sign me up.  Twice.

So, here’s a little bit of cure for whatever ails you: hot chocolate.  Okay, hot chocolate with a little twist. Chocolate releases endorphins.  Endorphins make you feel like you are made of actual magic.  Maca is a natural hormone booster, and for some women, can boost milk supply. Cinnamon stabilizes your blood sugar and the cayenne pepper might just make you feel like you’re 22.

Here is an easy tutorial for you cocoa, because sometimes words are hard without music and pictures. Seriously.

Ingredients:

  • 2 cups milk of your choice (I use coconut milk)
  • 1 Tbsp honey or sweetener of your choice
  • 2 Tbsp cocoa powder
  • 1 tsp maca powder
  • a splash of vanilla extract
  • a pinch of cinnamon
  • a tiny dusting of cayenne pepper (a tiny bit goes a VERY LONG WAY)

Directions:

  1. Combine all of your ingredients in a small sauce pan and heat on medium low.
  2. Whisk continuously until hot and well blended. (5 ish minutes)
  3. Pour into your favorite mug, or thermos and sip.
  4. Put on your sexiest nursing tank.
  5. Make another baby. JUST KIDDING.  Unless you want to.  Then go for it!

You’re so hot right now,
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.

____________________

If you love this recipe, you might like this recipe for Super Tasty Lasagna or Chocolate Chia Seed Pudding on Our Stable Table.

____________________

Carrie Saum, headshotCarrie 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.

 

Share

Tips From The Leakies for Breastfeeding and Babywearing

by Jessica Martin-Weber

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

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

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

_______________________

What tips would you add?

_______________________

 

Share

Breastfeeding, sexism, and public opinion polls

Oh look, another poll from a media outlet for their audience to weigh in about women breastfeeding in public or past a certain age!  Isn’t this fun?  Scary boobs, scary breastmilk, scary baby, vote now!  Breastfeeding, sexism and breastfeeding, is that even an issue?  Does everybody really get to weigh in on a woman feeding her baby?  Is it helping anyone?  Or is it just a form of sexist entertainment?

Taking a deeper look at how these types of polls are hurting mothers and why I’m over these polls and won’t be sharing them anymore:

What do you think, are polls like these helping or hurting?  Should we be voting on how women feed their children or do we have better things to do?

Share

What does it look like to breastfeed a 2 year old?

by Jessica Martin-Weber

Child with birthday balloon

What does it look like to breastfeed a 2 year old?  Is it gross?  Creepy?  Or is it just a continuation of the sweet and simple nurturing experience the mother and child already have together?  I can’t keep her safe and protected from everything but while she still wants to be in my arms and finds comfort at my breast, I’ll continue to do what I can.

What does it look like?  This:

This past weekend we celebrated Sugarbaby’s 2nd birthday.  The day was fun, special, and she understood it was all about her.  And cake.  With 6 big girls in the family, it was a loud and energetic, ushering in her next year of life with enthusiasm.

And without much notice, I now am breastfeeding a 2 year old.  This doesn’t feel significant to Sugarbaby, nor to my family.  The only reason this is noteworthy is because breastfeeding beyond the first 12 months is hardly normal in our society, let alone breastfeeding beyond the first 24.  Many myths surround breastfeeding in general and they just increase after the deadline some have assigned (see Six myths about breastfeeding toddlers and preschoolers).  For many, breastfeeding this long is strange, extreme, extended, and questionable, at best.  Abusive, pedophilia, and psychologically damaging at worst.  A view point I don’t understand and research doesn’t support and when I asked a 12 year old that breastfed until she was 4 to share, she didn’t see what the issue could be either.

Breastfeeding beyond the first year makes many, many people uncomfortable.  Breastfeeding a child that walks and talks and plays, going well beyond the 2nd year makes most people uncomfortable.  It’s understandable too.  In our culture the majority of babies aren’t breastfed past 6 weeks and of those that are they usually are weaned off the breast by 12 months.  It’s rare in the majority of western culture to see a child over the age of 1 breastfeed, let alone 2.

But imagine you were in a different culture.  A culture where the average age of weaning was between 2-5 years old.  It would be common place to see a young child breastfeeding and nobody would think it’s odd.  In fact, if those people were to come here they would probably wonder why our children don’t continue breastfeeding at that age and perhaps find it unsettling and concerning.

What it boils down to in many ways is what we’re conditioned to.  The WHO and the AAP both recommend breastfeeding until it is mutually agreeable to the mother and child.  Which, for a good number of families would be well beyond that 24 month mark.  But we rarely get to see it.  For that to become an acceptable reality in the States it needs to be seen and not just as something to be laughed at in movies.  In other words, we need to start conditioning our culture to accept a new normal and we need to start doing it ourselves.  Which is totally possible.  Just look at standards of dress.  What was once considered inappropriate attire is now every day wear.  Adjusting our standards to accept a new normal is something that happens in culture on a daily basis.  Over time, we’ll get there and it may not ever be common place (though I sure do hope so) but it will seem less odd.  So while I don’t breastfeed to make any kind of point or in pursuit of any particular agenda, I do share the breastfeeding images and videos to help bring about that change.

breastfeeding 2 year old

This isn’t to say that women have to breastfeed beyond any point at all.  In fact, women don’t have to do anything and manipulating, shaming, or attempting to force someone to do something they really don’t want to do only serves to make the issue a controversial one and doesn’t help society to accept it as normal.  How could they when a portion of the population would resent it.  The messaging isn’t that it’s better to breastfeed longer or that those that don’t aren’t loving parents willing to sacrifice for their children.  The message is simply that there are reasons to and every family has to weigh those along with their personal reasons to make the right decision for their situation.

For our family it is simple.  Breastfeeding beyond societal accepted norms isn’t about anything but the simple, sweet, loving continuation of what we already have.  As I shared on Facebook, the decision to continue wasn’t about or for anyone else but us, and at 2 years old now she’s quite happy with our arrangement and blissfully unaware that others may look down on her continuing to find nourishment and comfort at my breast. A strong and confident little girl, I know that when Sugarbaby is ready to move on, she will have no problem doing so. For now though, I won’t be cutting her off even though some don’t understand. No arbitrary deadline can dictate how I care for my daughter and continue to meet her needs as she experiences them. Your breastfeeding goals, whatever they may be, are about you and your child, reach for them and don’t worry about what others think or say. Two weeks or two years (or more or less!), we support you.

For more on natural duration breastfeeding or breastfeeding beyond infancy, see what a toddler has to say here.

 

 

Share

Normalizing breastfeeding flying the friendly skies- Delta says yes

 

20140307-071439.jpg

Worried about what it would be like to sit next to a woman breastfeeding on a plane?
It would look like this.

When the internet exploded with the news that Delta airlines had informed a woman that asked on twitter if she could breastfeed on their aircraft during an upcoming 6 hour flight she was facing with her 10 week old sides were immediately drawn.  The response was incredible with some joining in supporting a woman’s right to breastfeed anywhere they have the right to be with their child, others defending the airline’s right to have poorly trained employees or to have no official policy on the matter, some ranting on how disgusting/inappropriate/unnecessary it was to breastfeed, a few wondering why the woman even asked, a startling number saying individuals advocating for breastfeeding rights were bullying the multimillion dollar company, and a handful mocking those that challenged the corporation to move beyond a basic PR apology (that sounded more like “sorry you got upset” rather than “sorry we screwed up”) to have an official breastfeeding policy expressed on their website and their employees trained accordingly.  It was both awesome and overwhelming to watch.

Isn't this tweet a gem?  Unfortunately, it wasn't the only one like this.

Isn’t this tweet a gem? Unfortunately, it wasn’t the only one like this.

So when I realized just a few days later that the flight I was taking exactly one week after I wrote this post about the situation was actually on Delta rather than the airline I usually fly (Southwest) I laughed at the irony.  And got a little nervous.  I booked my flight through Orbitz weeks before and had simply looked for the least expensive option to get The Piano Man, Sugarbaby, and me to where we needed to be by the time we needed to be there.  I honestly would probably have avoided the airline if everything had happened before I booked my ticket.

But I’m glad I ended up on that ironic flight to Chicago on Delta.  Because the time honored tradition of protesting treatment and policies that are not benefiting the people still helps influence decision makers and though the venue may have changed to online rather than physical protests, the impact has not.  The airline worked on their apology and even better, they added this to their website:

Delta Breastfeeding policy on website copy

Which meant I was totally comfortable doing this:

Share

Tips for Breastfeeding in a Soft Structured Carrier

This post made possible by the generous sponsorship of ErgoBaby Carriers.

Ergo breastfeeding image

Babywearing and breastfeeding often go hand in hand; breastfeeding encouraged and even made easier by babywearing and babywearing encouraged and even made easier by breastfeeding.  There can be a learning curve to figuring that out though but worth taking the time to see if it is something that would work for you.  Once I got the hang of breastfeeding in a carrier it made it so much easier to chase around my other children (I have 6 total, keeping up is a big job!) and meet my baby’s needs too.

Whatever carrier you have or prefer, breastfeeding is likely possible while babywearing.  Today I’m sharing some simple tips for breastfeeding in a soft structured carrier using an Ergo.  The below video was shot last fall at the ABC Kids 2012 show, a simple demonstration of breastfeeding in a carrier.

 

Tips for breastfeeding in a soft stucture carrier:

 

1. Be confident. Fake it until you are.

2. Be patient.  It may take time and practice and being patient with the process will help in the long run.

3. Practice at home when baby isn’t hungry so you don’t feel stressed or rushed.

4. Release strap on side you’re going to feed from.

5. If necessary undo back clip.

6. Loosen and lower waist if you need to get the baby still lower to the breast.

7. Wear a low cut stretchy neckline and pull breast out the top to avoid wrestling with pulling your shirt up with baby on you.

8. Slip hand in top or side of carrier to free breast and latch baby.  Can use two hands usually if needed.

9. Large breasted women may find a rolled up receiving blanket placed under the breast helpful for support.

10. If baby has trouble latching, leaning forward may help give a little more space.

11. Once latched tighten straps for hands-free Breastfeeding.

12. If you feel you need more coverage snap one side of the hood.  Leave the other open so you can see in easily.

13. Once baby is done eating, slip hand in to put your breast away.

14. Tighten strap and waist to raise baby back to the safest position with the top of their head easily kissable.

Breastfeeding carries on!

Share

Why I breastfed my baby on TV

 

 

guest post by Jennifer Borget, news reporter for Austin, YNN and blogger at The Baby Making Machine.

 

babymaking mama austin newscast breastfeeding

It’s amazing how something as natural and innate as breastfeeding can be so misunderstood.

I didn’t see breastfeeding growing up. It wasn’t until I was an adult that I began to learn the benefits. I believe there’s a serious gap in awareness and knowledge about breastfeeding, and so many mothers—Especially in the minority community–don’t know what they’re missing.

I work as a news reporter and have a chance to help make an impact. In an effort to bring awareness to breastfeeding, and continue this important discussion, I sat down with two other mothers and conducted an interview with our babies latched-on, on-air.  (See the original segment here.)

It was bold, and something that required quite a bit of discussion and approval from people way above my pay grade, but in the end, it aired, and I was happy with the result.

Providing breast milk to my babies—What I consider to be the best nourishment for my children, hasn’t been a walk in the park.

First, I had to do my own research on the benefits and process. My mother tried to breastfeed me, but said it didn’t work out. I remember helping with my younger sisters formula bottles as I grew up.

All I knew was formula, and we were fine. I didn’t think it would be a big deal if breastfeeding “just didn’t work” for me either.

I took many of my questions to Twitter, and often found myself getting annoyed by self-proclaimed “lactavists” who told me to throw away my emergency can of formula, and seemed to have an answer for every excuse I had for why breastfeeding may not work for me.

At the time I felt like these tweeple were acting like “know it alls” who perceived formula as poison. To this day I’m still a little intimidated by overzealous lactavists, but then again, I wonder if I’ve become one myself.

I started with a goal to breastfeed through maternity leave. I pumped almost every day, multiple times a day. I stored more than 200 ounces of frozen milk to use as an emergency stash after I went back to work. I pumped every day at work, but some days I came up short, and the stash came in handy.

My husband was very supportive, making sure not to feed our daughter right before I left to come home. It was liquid gold we were rationing.

Three months went by, and I set a new goal to breastfeed until my daughter hit six months. That’s a lot of formula money saved—One of my big motivations at the time. Then I set another goal to continue nursing until her first birthday. By the time my daughter turned one, we had survived our own personal hiccups, and made it further breastfeeding than I had ever imagined. I continued to nurse my daughter until she was about 17 months. By then I had learned an immense amount of information about breastfeeding, and found myself on the giving end of breastfeeding support.

The Baby Making Machine

Jennifer and her children on set at her job.

Now, my daughter is three and I have a three-month-old nursing baby boy. I’m excited to talk about breastfeeding with anyone who will listen. I hope I don’t come across pushy. I’m really just excited to share a secret, the secret benefits, convenience, and enjoyment breastfeeding brings, that I didn’t know about when I was about to have my baby. Though they’re not really secrets, I just didn’t know about it at first.  This excitement is what drove me to do a news segment on breastfeeding, and with it being World Breastfeeding Week, there was no better time.

Here in Austin and in other locations around the world, nursing mothers are coming together for latch-on events, and nursing in unison. These events are made to start conversations about breastfeeding and nursing in public. One idea is the more we see women breastfeeding, the more normal it becomes, and the more people can learn about the benefits of breastfeeding. If I had seen women around me breastfeeding while I grew up, maybe I wouldn’t have been so hostile towards women who tried to inform me about it. Maybe then breastfeeding would have never been a question, but an automatic decision.

If I had seen women around me breastfeeding as I grew up...

 

________________________

Have you found yourself becoming more of an advocate for breastfeeding?  How so?  Where you ever hostile towards those that tried to inform and encourage you to breastfeed?  If you’ve changed, what inspired that change?

________________________

Share

Simply Wonderful Sweet Stuff

Our family has a little treat to share, hope you enjoy, we sure did!

Share