How Lubrication Can Improve Breastmilk Pumping

by Kristine Phillips Keller

This post made possible by the support of Ameda

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

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

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

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

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

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

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

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

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

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

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

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Kristine Thanks to her sister, Kristine breastfed/exclusively pumped for her two boys now 3.5 and 8 years old, she pretty much did everything wrong when it came to breastfeeding but managed to get the pumping thing right (after a while).  After experiencing discrimination she contacted WIC about becoming a breastfeeding peer counselor and begin training to become an IBCLC. She sits for the IBCLC exam this summer and looks forward to continuing to help mothers reach their breastfeeding goals.
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Aja’s Story; A #MyStoryMatters Leaky Share

by Aja Davis

Aja Davis, breastfeeding support, guest post

I didn’t always know that I wanted to breastfeed. When my closest friend gave birth at 19, I was happy when she supplemented her milk for the short time she nursed so that I could feed her baby from a bottle. When she became exclusively formula fed, I had made the decision to feed a specific formula to my baby because it didn’t stain clothing or stink as much as the first formula my little goddaughter had.

A few years later, my sister had her second child and was determined to nurse her. She fought the good fight with a nipple shield for almost six months where she was informed that my niece was suffering from “failure to thrive” on her mom’s milk alone and was told to switch to formula.

Shortly after, my friend (mentioned above) had a multiple birth and her babies were sent to the NICU. She was urged to pump for them. The weeks that she transported milk to the hospital, she was a warrior mom! Her dedication to her babies and her milk left me in awe. I visited one day with her and she took me into a very special place called The Lactation Lounge. I had never heard of such a thing. There were a few hospital grade pumps for moms to use to express milk for their babies. There were encouraging signs and posters all over the room. I left the place curious, inspired, and weirded out to have seen my friend topless.

These were my experiences with black women breastfeeding until last year. I delivered a 9lb 3oz beautiful baby boy in November. When we were left for a few minutes after delivery, I tried to latch my little boy on to my breast and he did it! He was suckling like a pro, but he had been sucking his thumb on 3rd trimester ultrasounds, so it wasn’t so much of a surprised that he loved suckling on me.

Things were going well but due to his size, he was a bit of a sleepy eater. It was explained to my husband and I that we needed to wake him on schedule. We woke him, stripped him naked, plucked the soles of his feet, bounced him, turned the tv up as loud as it would go… Nothing worked to keep him awake through feeds. Our 3 day weight check bought on a 4 and a 5 day weight check. At his lowest weight, he had gotten to 8lbs even. We were sent home on Day 5 with a case of formula and ill-sized nipples, told to supplement one ounce of formula at the end of each nursing session.

I was certain I had officially failed my son. I knew that formula could lead to supply issues for me. I nursed my little one when we got home and when he dozed off, I handed him to my husband who attempted to give him a ready to feed bottle. I cried as I pumped, trying to produce an ounce of my own milk so that at the next feed, we would supplement with MY milk.

And we did.

By the next day, he had gained 7oz. I went on to meet with a lactation consultant when he was 9 days old. He had great milk transfer. We were all set to continue on our breastfeeding journey!

At 11 weeks, I returned to work full-time. I was determined to make time to pump at work for at least the first year. Between 11 weeks and 8 months, we dealt with thrush twice, washed more bottles and pump parts than I can count and used many, MANY breast milk storage bags. I am eternally grateful to my supervisor who gave me a wide berth and unyielding support for my dedication to pumping. I am also incredibly grateful to my mother, who looked after my son while my husband and I were at work. She followed proper storage and thawing protocol, as well as stored hundreds of ounces of milk in her deep freezer. At 8 months postpartum, I realized that I was dealing with an oversupply and worked to correct that by not pumping on the weekends and by dropping from 3 pump sessions to 2. This continued until my little guy was 11 months old, when I dropped to one session per work day. At 12 months, I stopped pumping all together. I felt liberated and felt like being free of the pump left me able to nurse forever! Or so I thought.

We had a great time bonding after work and during the middle of the night feeds. At 15 months postpartum, I realized that we were expecting baby number two. While excited, I was concerned about how a pregnancy would affect my breastfeeding relationship with my first baby. A friend suggested that I join a group about nursing aversion (just in case) and one about pregnant/tandem breastfeeders. Both groups were immensely helpful in aiding my navigation of this new, strange territory. It was great for me to learn and see, once the icky feelings of nursing aversion began, that I was not alone. This is especially common in pregnant women. I was able to make my peace by laying boundaries for nursing to help get us closer to my initial goal of two years.

Unfortunately, we made it to nearly 21 months. There is a bit of sadness about that part of our relationship, something that was so sweet, peaceful and calming for us both being gone, but we are okay. During the 21 months we spent as nurser and nursling, we went through several colds, a stomach bug, and the eruption of 16 teeth, and donated over 300oz of milk to babies in need. I am excited that we had the time together and that I will be able to start all over again with his baby brother in December.

Breastfeeding has been one of the best things I’ve even done. I had many people try to tell me I couldn’t do it, suggest formula (which wasn’t need), that I let someone else feed him give him cereal, etc. But in the end, my instincts won out and I am proud of what we have accomplished as a family. (Special and eternal thanks to my husband who washed pump parts and packed my bag many nights, who retained information in our first hours as parents when my mind was full of mush and wonder, and who acted liked nursing a baby was the most normal and natural thing in the world.) I hope to inspire and support other moms, especially black mo, who feel like nursing isn’t a feasible option for them. Moms who feel like breastfeeding is weird, embarrassing, or unnatural.

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If you’d like to share your story with a larger audience, submit your story, photos, and your bio, with #MyStoryMatters in the subject to content @ theleakyboob.com (no spaces).

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Aja D. is a wife and mother who resides in Philadelphia. She hopes to create a nonprofit organization to offer support and education to women of color and/or with low income, aiding them in becoming properly informed of their pregnancy, labor, and postpartum options.
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Sexy Oatmeal

by Carrie Saum

Sexy Oatmeal

 

When I was exclusively pumping, I lost interest in oatmeal around month four. Completely. It went the way of my sex drive. Gone. Poof. The end. Oats and penises were unwelcome guests in my body, and it took a while to come back around to both.

As it turns out, I just needed to spice things up a little. Well, okay. That’s not entirely true. I needed to spice things up more than a little. I needed a major boost to my palate, my milk supply and my sex drive.

After doing some research, I discovered a small amount of maca root might boost my sex drive, as well as my milk supply. After having a chat with my doctor and midwife about the possible side effects of maca in breast milk, I felt safe trying it in very small quantities.

I bought some organic maca powder from my favorite local health food store and tasted it. It was pretty gross. I tried mixing it in my coffee. That was worse. I added a half teaspoon to my oatmeal. It wasn’t bad. In fact, I couldn’t taste it.

I choked down quarter of a bowl of oatmeal with the maca. I was still weary of eating oats, so I needed to reinvent them. But what can you do to oats? I mean, at the end of the day, oats are oats, right?

I pumped an hour later and got two ounces more than I typically did at that time of day.

That night, my husband and I were watching TV after putting our son to bed. I had the sudden urge to jump his bones. And I did.

Obviously, the next morning I was determined to make my oatmeal taste decadently delicious. Because it was doing good things for my baby, my body, and my marriage, I needed to make it do good things for my palate. I played with some spice combinations, continuing to add (barely more than a pinch of) maca to my breakfast bowl, and tried dousing it with Indian spices, fresh fruit and nuts. I wanted my oatmeal to taste the way I felt: warm, complex, and sexy.

I know. HOW CAN OATMEAL BE SEXY? But I wanted to dress it up in its most alluring dress with a bra straps slipping, biting it’s lip with smoldering eyes. Ancient maca root and lots of spices do just that. My post-partum body NEEDED me to do that.

Ingredients:

  • 3 cups liquid (milk, water, or combination of both)
  • 1 cup steel cut oats
  • 2 Tbsp butter or coconut oil
  • 2 Tbsp ground flaxseed or flax meal (they’re the same)
  • 2 tsp raw honey or maple syrup
  • ½ tsp maca powder
  • ½ tsp of the following spices:
    • ground coriander
    • ground cardamom
    • ground cinnamon
    • ground tumeric
    • ground ginger (or sub minced candied ginger if you want a little kick and sugar is not a problem for you)
  • pinch of salt
  • dash of vanilla extract

Directions:

  1. Combine liquid, salt, oil and spices and bring to a boil in a medium sauce pan. Bring to a boil. (If you are using milk, you will need to stir constantly.)
  2. Add oats, vanilla and flax meal, and stir well.
  3. Cook over medium low heat for 20 minutes, stirring often, until thick and creamy, or it reaches your desired consistency. Add maca powder in at the end and mix well.
  4. Top with sliced almonds or pecans, sliced bananas, and a little raw honey or brown sugar.

Disclaimer One: Too much maca might make you a little testier than usual. It can ramp everything up, including your emotions. It stokes the fires. ALL THE FIRES. So, use restraint when adding it to your oats.

Disclaimer Two: Maca has been used for centuries to naturally support hormone balance, and but you might want to run it by your doctor to be on the safe side. If I took too much, it revved my son up for a few hours. If you or your trained medical professional person feel uncomfortable with the maca, you can omit it. It will still work great with the flax and oats.

Disclaimer Three: Be sure to stock up on condoms or your favorite birth control. Or don’t and make another baby. Either way, this could possibly boost your libido, so be prepared.

Disclaimer Four: Sex after baby can be tricky (some tips from HIM on better sex after baby here, some tips from HER on better sex after baby here.). While a little maca helped my struggling libido, it doesn’t work for everybody. Because everybody’s body is different. So, go easy on yourself, and know there is support for you wherever you’re at.

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If you love this smoothie recipe, you might like this recipe for Paleo Chocolate Chip Granola or these Gluten-Free Strawberry Shortcake on Our Stable Table.

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

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

Dear Allison,

Thank you for giving my son life.

ThrivingOnDonorMilk

My unlikely squishy baby.

I don’t want to get crazy on you here, but let me be totally transparent: I can’t imagine what my family would look like without that liquid gold.  Your gold.  Your life-force alchemy.

Thank you.

I know what it’s like to hook yourself up to a pump every day, mulitple times a day, for months on end.  Extracting that milk, creating extra steps, extra dishes, extra work while engaging in the most extra energy exerting time of your life with a newborn clutched to one breast as the pump cranks on the other.  You never even hinted at the burden I knew it was for you. You handled it with an elegant grace I unreservedly admire.

Last year, I found myself stuck in a nightmare with my eight month old son. My sweet baby had severe food allergies (here’s what I want you to know about FPIES), and needed more milk than I could produce.  My breasts, the ones that were meant to feed him, began to fail us both.  Even after all of the nutrition and support and finally pharmaceutical medication, I could not raise my milk supply to keep up with his demand.  Exclusive pumping, unimaginable stress, sick baby, hormone shifts, whatever.  You name it, it contributed to the decrease in my milk.

Formula was a risky option for my son, even the expensive elemental ones that work for 99.9% of infants with food allergies.  We had no guarantee my son’s compromised system could tolerate the pre-digested proteins, as many other babies with his syndrome are unable to. I prayed. I researched. I lit candles and called formula companies and looked into every conceivable way to feed my son that did not require actual food.

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My son’s last bottle of Allison’s donor milk from Texas.

And then my phone rang and you were on the line, understanding with your medical knowledge and feeling it all with your tender heart, and asked if you could give my son your milk.

I cried.  With my back literally against the wall, sitting on the floor of my bedroom, muffling my relieved sobs, I accepted your gift with the undeniable knowledge there was no way I could ever pay this gift forward, much less pay you back. With a newborn baby who needed your milk and a toddler who needed your attention, a full-time job and active community involvement, you offered to close the gap for us.  You added one more thing to your very full plate and you did it with grace and strength and love.

Every few weeks, a box would arrive, overnighted from Texas to Oregon, dry ice all but disintegrated in a custom styrofoam cooler. (One of many coolers you recruited your friends to save for you to ship your milk to us.)  You pumped your milk, froze it, picked up the cooler from your friend, loaded it all into your car, bought dry ice, carefully constructed the layers of dry ice and newspaper and milk inside the cooler, put that cooler in a box and took it to the shipping place with a hope and a prayer that all your hard work and irreplaceable milk would travel 2,000 miles and still be frozen when it arrived.  You, who had a million and one things to do, found time and capacity to do one more (hard) thing.  And you never complained.

I followed a strict elimination diet, and at one point I could only safely eat 11 foods without causing my son’s gut to bleed and his weight to drop.  You altered your diet, too.  You ate the same tiny list of foods because you loved my son that much.  You restricted your menu and dilligently read every label and questioned every ingredient before eating a single bite in order to keep my son safe. You were full of encouraging words and creatively figured out what to eat when you couldn’t really eat anything and shared your food hacks with me.

Last summer, after seven months of pumping and freezing and shipping, you called me in tears.  Your milk was almost gone, drying up to barely a trickle.  I cried, too. I offered to send back what milk I had left in my freezer for your daughter.  The milk belonged to her. YOU are HER mama.  That milk was made for her. I was adamant.

You said no.

Unbeknownst to me, you had already tried other supplemental options and she responded well. “My baby is healthy. We can still nurse. And two more weeks of freezer milk will buy you time to find another way.”  And you were right.  We found another way.  Another donor, (your sister). And another donor after that, (my best friend). And eventually, another supplementation my son’s body accepted.

You gave my son seven months of milk.  Seven months to heal and thrive without taxing his little body even more.  Seven months of weight gain. Seven months of knowing he had all the milk he needed and more.  You gave me seven months of relief knowing my son would not just live, but he would thrive. Seven months of a little more sleep, a little less stress. Seven months of hope.
Donors

Three of my closest friends, years before we had babies, on the night before my wedding. Each of them gave their milk to my son. Allison, the woman in green, was our main donor.

I know our friendship is life-long and this donor bond goes deeper than words can express.  But I also know you.  You with your elegant grace, generous heart, deep well of love, creative time and resource management, and desire to change the world in your strong, quietly fierce way.  I know you.
And I know you would have done this for anyone.
You, my alchemist soul sister, are pure gold.
With love and gratitude,
C
P.S. ~ My son received milk from a total of six different women over the course of 14 months, all of whom I want to acknowledge and thank from the depths of my mama soul:
  • Two friends in Texas (including his main donor, Allison)
  • One visiting friend from England (and sister to Allison)
  • My BFF who supplied milk for several months after our main donor could not continue.
  • My midwife who learned she was pregnant about an hour before my son was born and donated her baby’s colostrum.
  • A friend of a friend I met only once, but for whom I feel much gratitude.
 _________________________________________________________________________If you like this post, check out How Jimmy Fallon Saved My Morning Milk and I Am A Sh*tty Friend over on our sister site, Our Stable Table.


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

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For the BRAND NEW MUM, or for the NEWLY-MADE-MOTHER in your life, this newsletter edition is just for YOU. Resources curated to keep, share, and change lives plus some special discounts! We welcome you and your new bundle. If that new baby stage is over for you, scroll down to our contribution from our sister sites that have nothing to do with babies and infant feeding for recipes, relationship stories, and reviews.

 

Dear Leakies,

How will parenting change you? Let me count the ways. We’ll start with 4 for now though.

Whether everything went according to the serene picture in your head or nothing like it at all, becoming a new parent is an experience like no other. Largely because all the preparation in the world doesn’t really prepare you and before you know it, parenting is sink or swim.

So you start swimming. Just keep swimming, just keep swimming, just keep SWIIIIIIIIIIIIIMING!

The reality is no matter how much you envisioned being a perfect parent, you will fail. I know, not very encouraging. But the sooner you accept that, the better it will be, you are not going to ever be a perfect parent. Parenting will change you and though you won’t be a perfect parent, you ARE the perfect parent for your child(ren). Flaws and all. There are glorious, amazing moments in parenting that will take your breath away. There are sweet, tender moments in parenting that will make you smile and treasure the little things. And yes, there are horrible, nightmarish moments in parenting that will cause you to question what you were thinking getting into this gig in the first place. All of the moments need the other moments.

Three ways parenting will change you:

You will redefine a good night’s sleep. And you’ll be amazed at how little can feel so good. Four months into parenting our second daughter, who had a personal vendetta against sleep, we had our first night with 4 hours in a row. Plus another 2 after that. It was amazing. I celebrated. Never mind that a year before a good night was 10 uninterrupted hours of sleep.

Clean takes on a new meaning too. So just how much like sour milk does that shirt you wore yesterday smell? On a scale of 1-10 if it’s a 7 it may likely pass as wearable.

You will need more storage on your phone. Sure, it’s popular to be annoyed with your friends posting pictures and videos of their kids all the time on social media but, OMG, you should have seen the way she discovered her fingers! You’re going to need more room on your phone.

Patience for yourself. At least I hope parenting changes you this way. If you are a perfectionist, this is particularly hard. In the end though, if you wouldn’t want someone treating your child the way you treat yourself, then you’re going to need to model that with how you treat yourself. Patience is key.

You’ve got this. You will keep swimming.

And for some of the more fun parts of parenting a newborn, see these 12 signs that you’re breastfeeding a newborn here.

Scroll down for more support for new parents, a great coupon code (20% off!) for a top that will convert all your shirts into breastfeeding tops, and for topics well beyond those baby days, see the sections from our sister sites OurStableTable.com andBeyondMoi.com.

GO HERE for an exclusive coupon code and MORE!

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Discounts, Giveaway, Milk, and Moving!

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Dear Leakies,

I’m going to keep this short and sweet:

LET’S GET MOVING!

It’s time for #TLBmoves and we’re working up a sweat and to an awesome giveaway with our friends from Tula, ThinkBaby ThinkSport, Belabumbum Active Wear, and Eyla’s Imports. Find out more information here.

Whatever it looks like for you, we’re supporting each other on getting moving towards health and wholeness. For many of us, learning about and then actually feeding our babies was the gateway to more conscientious living, a sort of snowball effect. Establishing health habits as a way of life is, of course, a good thing. And the family that moves together is healthy together. (For some inspiration, here’s 100 years of fitness fads in 100 seconds video fun.) Share your journey with us using the hashtag #TLBmoves on Instagram, Facebook, and Twitter, and if you’d like to go deeper, submit your story like Kelsey by emailing [email protected].

I’m enjoying moving with my family and I’m moving closer and closer to Milk! Bringing together many of the people who inspire me, I’ve created Milk: An Infant Feeding Conference with Xza Higgins, founder of MommyCon. Taking place in L.A. July 31st and August 1st, this conference is for health care providers (offering continuing education credits and contact hours) and families. Founded on the belief that infant feeding support makes a difference and can directly influence confidence levels in parents, MiLK focuses on information sharing and mindful support that builds parents up without tearing down, respecting the unique journey of each of us. MiLK aims to actively educate and support infant feeding by connecting health care providers and the families they care for discussing breastfeeding, formula feeding, breastmilk pumping, at the breast supplementing, bottle feeding, cup feeding, spoon feeding… FEEDING. This is not, to be clear, a breastfeeding conference. It is an infant feeding conference with a goal of bringing together health care providers and parents where we can learn from each other. Most importantly, I hope we learn how to really listen and what support can really looks like.

To help you move that direction with me, we have a huge giveaway that includes enough tickets for your local breastfeeding group! For that extra newsletter entry option, GET YOUR INFORMATION HERE!

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Carrot Fennel (Lactation) Slaw – Feed Your Whole Family

by Carrie Saum

What do you do when you have multiple food needs in your family?

For example: Dad wants protein.  Kids want carbs. Mom could use some milk boosting foods. And EVERYONE needs veggies. You can’t spend a fortune or the energy accommodating everyone all the time, right?  Because you are a mom and you have to feed yourself and your family and maybe the neighborhood, too.

We joined a co-op a few years ago to purchase high-quality animal protein that was raised properly, humanely, and that was affordable.  That might not be possible for you, and that’s okay.  But it felt very important to us and we made the switch, even though it meant eating slightly less meat.

As a new mom, I fell in love with my crockpot.  I love the idea of putting a few ingredients into a pot, walking away for the day, and then eating a fantastic home cooked meal that night.  It seemed to meet all of the criteria for feeding my family: inexpensive, tasty, satisfying, balanced, and full of nutrition.

My favorite crockpot recipe by far is this Pulled Pork.  It’s incredibly versatile and easy to serve, reheat, remake, and freeze.  I make this fennel slaw recipe for the family and use it in pulled pork tacos.  The sweetness of the slaw pairs perfectly with the saltiness of the pork. It has a fighting chance of pleasing the whole family, and boosting your milk production, too!

pulled pork

Ingredients:

  • 2 bulbs of fennel, thinly sliced (I recommend using a mandolin.)
  • 2-3 carrots, shaved (I use a veggie peeler.)
  • Cilantro
  • 2 Tbsp Apple cider vinegar
  • 1 tsp raw honey
  • Sea Salt and Pepper

Directions:

  1. Combine fennel, carrots and as much cilantro as you’d like in a bowl.  I like LOTS of cilantro.
  2. Add vinegar, honey, S&P and mix thoroughly.
  3. Allow to sit for 10 minutes before serving to set.

My favorite preparation is this on top of pulled pork tacos with a little goat cheese a an ice cold limeade  to wash it down with.

Enjoy your summer, enjoy your family!
Carrie

If you like this recipe, check out this recipe for brussel sprouts or Charlie Brown Bars over on Our Stable Table.

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*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.

___________________________

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

 

 

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Dark Chocolate Lactation Granola Bark

by Carrie Saum

In my house, anything I make or bake will get eaten either by family or friends.  But it is a very rare occurrence that anything I bake goes in the trash.

When my son was born, I made plenty of lactation goodies (including this lemonade and these cookies) and it was impossible to keep them to myself.  First of all, I didn’t WANT to keep them to myself because I’m a sharer by nature.  Then I couldn’t because all of the people coming in and out of our house knew about the goodies and wanted to partake.

However, that became expensive.  FAST.

I got smart about it.  I made all of the treats I could that were inexpensive.  I could buy oats in bulk for super cheap.  My mom gave me a giant jar of local honey from a farm (also very inexpensive), and the rest is history. I made little crunchy granola bars that resembled Nature’s Valley but without any added junk.

But here’s the thing. I GOT BORED. Since I needed the fuel to keep my supply up while exclusively pumping, I tried my hand at different recipes.  Because boredom is the master of invention.  I think.  No, that’s not the right quote.  But it’s the right idea.  I love trying new things, but I also have to try new things to keep the game interesting. And feeding yourself (and your baby) is always interesting.

So, when boredom struck, I struck back.  I added sunflower seed butter.  And chocolate.

Then I got a little crazy and instead of cutting them, I broke the granola into pieces that were pretty and irregular and made me feel decadent.  And every new mama needs to be made to feel decadent, right?  And maybe even a little fancy, too.  They’re also a breeze to make, and very affordable.

DarkChocolateGranolaBark

 

Ingredients for Granola Bark:

  • 1 1/4 cup rolled oats
  • 1/4 tsp salt
  • 1/4 tsp baking soda
  • 1/2 tsp  vanilla extract
  • 2 Tbsp melted butter
  • 1 Tbsp molasses (optional, but adds depth of flavor)
  • 1/4 cup sunflower seed butter or peanut butter
  • 1/4 cup honey

Ingredients for Chocolate Layer:

  1. 6 oz 90% cacao chocolate
  2. 2 Tbsp coconut oil
  3. 1 tsp vanilla extract
  4. 1 Tbsp raw honey

Directions for Granola Bark

  1. Combine all dry ingredients, and mix throughly.
  2. Combine all wet ingredients and add to dry ingredients.
  3. Spread granola mixture in a 7×12 inch parchment-lined dish.  Pack it down hard, leaving no breathing room.
  4. Bake at 350 degrees for 18-20 minutes.  Allow to cool completely in the pan.

Directions for Chocolate Layer

  1. Melt chocolate and coconut oil in your home-made double boiler
  2. Add vanilla and stevia
  3. Once melted and stirred well, pour into the pan of chilled nut butter mixture (Optional and delicious step: Spread a thin layer of peanut butter or sunbutter over the granola first, then pour your chocolate over it.)
  4. Allow to harden in the refrigerator for an hour, then break into pieces.  Store in an airtight container in the refrigerator.

For an extra milky boost you can add 2 tablespoons brewer’s yeast and/or 2 tablespoons flaxseed meal to the granola bark. Be warned that some tummies don’t respond well to the brewer’s yeast so if you or your baby tend to have sensitive stomachs, it may be best to skip it.

*Note: These do NOT keep at room temperature because of the coconut oil the chocolate layer. If you want the chocolate to keep at room temperature, consider using (sustainably and humanely harvested) palm oil instead of coconut oil.

You will be impressed with yourself when you make these.  Better yet, make these for a friend who just had a baby and she will be forever grateful.

Barking up the Lactation Tree,
Carrie

If you love this smoothie recipe, you might like this recipe for Paleo Chocolate Chip Granola or these Gluten-Free Strawberry Shortcake on Our Stable Table. 

*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.

_______________________

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

 

 

 

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Postpartum Depression and Anxiety: When No One Knows

by Kileah McIlvain

TRIGGER WARNING: This post contains experiences of depression and anxiety and loss and may be triggering to certain individuals. Please read with care.

postpartum depression postpartum anxiety, monster within.

photo: urban bay photography

I sat there. On the park bench in the middle of Laurelhurst a year ago today. He sat on the other end. I felt like a NOTHING. A Void. A Black hole from which and out of which nothing good could come. I wanted to hurl myself into the quiet duckpond while the local shakespeare players were acting out a scene from Macbeth on the other side of the trees. The feelings of exploding, of darkness, of drowning, of feeling like nothing but a walking corpse never felt more present. What was the point? Why the hell was I put on this earth if God was going to play russian roulette with my life? What the hell was I supposed to do with this gnawing grief of  a past miscarriage and the overwhelming demands of  trying to meet my family’s needs? Why couldn’t I just be kind? Why couldn’t I be strong and be good and just BE who my kids and my husband needed me to be? The questions that had taken root in the dark and walled-up places of my heart began to erupt. The rotten rags that I’d used to stuff up all of the leaks and holes riddling my soul began to surface from these murky depths. I was thrashing around in the gaping maw of my own personal monster. I couldn’t move anymore. I was going to sink. I wanted to sink…and be nothing. It was terrifying.

I. Wanted. To. Die. 

The strange thing is. No one tells you. Either because they don’t know what to say or they don’t even KNOW. It’s easy to smile and nod, and pretend you’ve got it together. Because that’s what you do. It’s invisible, this monster. It chews at your mind and sucks your soul until you feel hulled out…like a painted eggshell that looks great to everyone around you…but you’re hollow and fragile. And no one has a clue. They don’t know that you want to run away. They don’t know that it terrifies you to say anything because you’re sure that if you do, someone will call CPS or SPCC and take your children away. You’re convinced you’re a bad mom. That you aren’t capable of caring for these little humans you gave birth to. The yelling, the blackouts where 15 minutes later you don’t know what was done or what was said. The deeply-ridden shame and anxiety and the panic attacks triggered by the hot water in the shower. I remember the earliest days of my darkness when I laid my son down two weeks after becoming a new mother and cringing because the thought of touching him repulsed me. Because I didn’t want him to touch me. His crying and my exhaustion and me feeling like I couldn’t do anything right (including breastfeeding challenges)…it was overwhelming. And it didn’t stop. With each new life I birthed into this world, my darkness found new depths and more desolate places to dwell. This happened to me. This silent inner monster had blackened everything…and it didn’t go away.

I reached that breaking point a year ago today. I realized that I was unwell. That it wasn’t normal to want to die. That it wasn’t normal to be experiencing panic attacks and blackouts and physical pain because you didn’t want to move or deal or face anyone or anything. That running away from bonding emotionally through touch wasn’t normal.

I’ll tell you what didn’t help.

  • The very cautious ventures into the world of mental health and community before my breaking point had so far amounted to bible verses being shoved down my raw throat (If you just do ABC, God will make it all better!) and people frustrated with my questions because “How could you think this about God? It just isn’t true, and you have to figure that out!”
  • I was told “You’re breastfeeding! There should be tons of lovey warm hormones flowing through you. That isn’t possible!”
  • I was told “Well I got over it, I just had to make up my mind to pull myself up out of this funk.” To which I said “Really? Because I’ve been trying for 5 years and 3 more kids now…and it isn’t working.”
  • I was told “It’s just the baby blues. You just need  YOU-time.” And while that may be the healing ticket someone needs to start getting better…it wasn’t mine. It was only a small number in the equation that was my situation.

What did I do? Well, nothing huge to start with. But talking to someone about it helped. (for me, that was my partner.) No, he wasn’t perfect, but he sat there. And listened. I told him that I was terrified. All the time. I was angry. Angry that God allowed my life to experience what I have. That it wasn’t necessary. That everyone’s life would be better off without me in it. That I wasn’t what anyone needed and I wasn’t healthy for anyone to deal with. I was scared of repeating the harm and emotional and relational damage that was done to me in my own childhood. That started my own journey to health. Reaching out, finding resources, wanting better.

I found a few resources online to point me in the right direction. I was currently breastfeeding my 4th little one and didn’t even know if there were medication options available for me. I didn’t know WHAT I needed, exactly. I just knew that up to that point? Nothing was working. And it needed to change. This had been going on for 5 years. FIVE. YEARS. I didn’t even know what normal meant for me anymore…I only knew THIS. I found a therapist through my state’s mental health resources. I was connected with people that didn’t look down on me like I was some unfit mother…but as a valuable human being who had a condition and in need of help navigating through my depression and anxiety so that I could be healthy again.

Postpartum depression and anxiety isn’t just in your head. It isn’t imagined or something you can just will away or pretend it doesn’t exist.

Postpartum depression and anxiety IS real.

Postpartum depression and anxiety IS a monster.

But it’s a monster you DON’T have to try slaying on your own.

photo: urban bay photography

photo: urban bay photography

Am I there yet? No. But some days I am better.

Sometimes I can look up now and notice that the way the wind moves through the trees is beautiful. I can catch glimpses of hope in my eyes when I look in the mirror. Some days are dark. Really dark. But they are not ALL dark, now. I am not alone. I know now that it’s ok to reach out to the people in my life who are helping me through this. My husband. My therapist. My councilor.  My mind…is better. Medication,therapy, counseling, therapeutic touch, acupuncture, babywearing, herbal supplements, meals…those are a few things that are helping me.  The biggest catalyst for me? Speaking up. Spreading awareness of just what postpartum depression and anxiety feels like and what it can do and resources that are out there to help mothers struggling. Because I am there. WE are there. And things CAN get better. WE are not alone.

Photo: Urban Bay Photography

Photo: Urban Bay Photography

Speak. Don’t stay silent.

Your voice may shake. Your knees may buckle. The monster inside may scream at you. But know you are enough. There IS help. The world IS more beautiful because you are in it. Courage, dear heart. You are enough. And this heart of yours is being forged into a masterpiece. You. Are. LOVED.

Some resources that helped me understand my postpartum depression and anxiety:

Artistic infographics on what it feels like to live with depression and anxiety. Good for people who want to help but don’t know what to do.

A helpful collection of comic strips because a different perspective and sense of humor can help.

A great checklist and resource page that helped me in recognizing PPD and PPA.

 

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Peanut Butter Chocolate Banana Lactation Smoothie

by Carrie Saum

During my 21 months of exclusive pumping, I kind of became obsessed with milk-boosting foods. There’s a fancy name for those foods, but I just call them Milk Movers.

Breakfast was and is the hardest meal for me, and after having a newborn with special needs that I pumped milk for eight times a day, breakfast became a handful of trailmix and a cup of coffee. This was not sustainable for many reasons, but not the least of which I needed MORE food, and balanced meals. My milk supply was barely adequate to begin with, so getting plenty of Milk Movers was imperative.

While I deeply desired to eat better, I had a hard time fitting in all of my responsibilities, including responsibly feeding myself. My bandwidth for anything beyond survival was pretty minimal in those days.  Adding in Milk Movers, which I definitely needed, seemed downright impossible. So, I began experimenting with foods that would be fast, nutritious, provide solid sustenance, and would not overwhelm me with too many steps.

Smoothies seemed like the best option. You basically just take a scoop of this and handful of that and put some kind of liquid in it and call it good, right? Right. I came up with a few recipes to keep handy, and tweaked them to feel like I was having an indulgent treat.  The healthy factor could just be a bonus.

My very favorite was this little gem. Full of protein, flavor, and it felt like a complete indulgence.

ChocolatePeanutButterBananaSmoothie

Ingredients:

  • 1 ripe banana, cut into small chunks and frozen solid
  • 1 cup oat milk
  • 2 Tbsp all-natural peanut butter*
  • 1 Tbsp coconut oil (optional but so good for you both!)
  • 1 Tbsp cocoa powder
  • 1 tsp ground flax seed
  • splash of vanilla extract

Directions:

  1. Put all of the ingredients into a blender and blend until smooth.
  2. Drink immediately and feel happy you are giving yourself and your baby great and delicious nutrition.

*If you can’t do peanut butter, almond butter will work just as well, and so will sunbutter. And if you are feeling really daring, you can add a handful of baby spinach and get some greens in there, too!

Also, I peeled and chopped a whole bunch of bananas once a week, then froze them in individual servings so I could easily grab them to make a smoothie. This was a total lifesaver. I didn’t have to think, I just had to blend.

All of you mamas are doing great work for your little babes. Keep it up.

Cheers to you!

*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 smoothie recipe, you might like this recipe for Paleo Salted Chocolate Chunk Cookies or these Grain-Free Crepes Florentine over on Our Stable Table.


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

 

 

 

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