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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Breastfeeding Confession: I don’t love breastfeeding

by Jessica Martin-Weber

This post made possible by the support of EvenFlo Feeding

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As I was nearing the end of my pregnancy with Sugarbaby, now 4, I had noticed a few women commenting online that they hated breastfeeding or at least didn’t love it. Not that they were stopping or refused to do it but that they didn’t have any of the warm fuzzy feelings they’d heard others talk about and they were looking forward to experiencing themselves. Often with their confession came the question: “does this make me a bad mom?”

My heart ached with them. I had felt the same.

I watched as some people responded making suggestions as to how they could maybe enjoy the experience more, or how it may take some time to get to that place, some sharing how much they love breastfeeding and are sorry the poster didn’t, and sometimes a few responding that they could relate. These women would respond that they were really struggling or felt broken, or questioned that maybe they didn’t love their child enough and that there was something wrong with them.

And again my heart ached with them.

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I was 35 weeks pregnant that week, preparing for a new nursling. Expecting baby #6, I was fairly confident that everything would be fine with breastfeeding. Not overly so, as I know each breastfeeding experience is different but there was no doubt in my mind that I’d be breastfeeding and that if there were any challenges we’d be able to work through them with our incredible support system. Still, there was this tiny part of me that wasn’t really looking forward to it. Maybe even dreading it a little. Which is almost heresy coming from the person that started The Leaky Boob.

Feeling for those women struggling I posted this status update on The Leaky B@@b Facebook page: 

“I don’t *love* breastfeeding. Nope, I don’t. It doesn’t give me warm, fuzzy feelings. I don’t look forward to sitting down with my nursling. I don’t particularly care for the sensation. But I breastfeed and I actively advocate and educate about breastfeeding. Why? Because I believe it’s the biologically normal way to feed a human infant. I don’t see myself as a martyr, just doing what I need to do to care for my children. I also don’t think this makes my a bad mom any more than the fact that sometimes I really hate making dinner. Or breakfast. Or lunch. Or changing diapers and doing laundry. What about you? Anyone else not “love” breastfeeding? What’s your breastfeeding confession?”

Responses started pouring in and in less than an hour there were close to 200 comments. The first 20 or so comments (I didn’t count, it could be a dozen or 50) are either people sharing they can relate, thanking me for such an honest confession because they felt less alone or freakish, sharing that it’s a love/hate relationship for them, the random “don’t like seeing people breastfeeding in public” (what’s that doing there?), the super excited ones that LOVE it and can’t relate, and the true confession of wanting to go out drinking (one brave soul shared that). Most of the 200 responses were from women grateful to hear my confession, thanking me for letting them know they weren’t alone and weren’t a bad mom for having these feelings. Then came the handful of comments saying that status was terrible and would discourage moms from breastfeeding. A few said that if they had seen that post when they were first breastfeeding and things were rough it would have made them want to quit. They asserted that we shouldn’t lie but we have to be selective with our words so as not to scare someone off. A few came down hard saying they were disappointed to see a post like that on TLB and called into question if I really support breastfeeding with posts like that.

I told my #4 nursling at the time that I didn’t like breastfeeding. Apologizing that I was gritting my teeth through her nursing sessions, I stroked her cheek and told her that even though I didn’t love breastfeeding I did very much love her and so she was worth it. Too young to understand, I felt my little girl sleeping in my arms and my chest tightened as the truth of my love for her surged through me making it hard to breathe. In that moment I vowed that even if I never loved breastfeeding I would focus on how much I love my daughter while she’s at my breast and I could take pleasure in how much she enjoyed breastfeeding even if I didn’t personally enjoy it.

Going into breastfeeding my 6th baby, my feelings about breastfeeding had changed, the skin-crawling, teeth gritting feeling was gone and while I still couldn’t say that I personally loved it I truly and deeply loved how much my baby loves to breastfeed. As her mother, there is an expansive satisfaction in making her happy that overwhelms even my own discomfort. She went on to breastfeed for 4 years and no, I don’t regret doing so. I don’t see myself as a martyr, just as a mother who, like most parents, has to give up some of my own personal comfort for a time for the benefit of my child. Though I’m not breastfeeding now, when I was, when my baby would grin up at me briefly letting go of my nipple, a little dribble of milk coursing down her cheek, I feel privileged to share and be the source of this moment she enjoyed so much. I will continue to support and advocate for breastfeeding and I will continue being honest about my own breastfeeding journey and feelings because in the long run we all need the kind of support to be who we really are if we’re going to grow.

I followed up with this that day on Facebook: (edited here)

“So sometimes breastfeeding isn’t an amazing experience, sometimes it is. We can be honest about our feelings with ourselves and with others and need to have safe places to do so. If that’s announcing loving the experience or sharing that it’s a struggle not enjoyed, it’s important to have that place. Even for me. Being brave enough to be honest enough to admit the hard stuff is where true support is found. When I first started breastfeeding and hated it deeply it wasn’t helpful to only hear how wonderful it was for everyone else. I needed to hear a balance of the good, the bad, and the ugly. I didn’t believe anyone actually enjoyed it, they just said they did it because it was expected. Today, 6 nurslings later, I’ve learned that it’s complicated and that’s ok. Everyone’s experience is different and nobody should have to hide it because what we need is to be honest, supportive, and real. Some things are going to encourage you, some are going to discourage you, either way, own YOUR experience.”

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What about you? Have you had times where even if everything was working fine, you just didn’t enjoy breastfeeding? Why do you continue?

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Jessica Martin-Weber

Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of BeyondMoi.com, and 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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The Breastfeeding Parent’s Gratitude List

By Jessica Martin-Weber and the Leakies

There are many reasons to be grateful for breastfeeding including ease of access, financial savings (though, let’s be honest, we’re not always saving that much money with breastfeeding), and happy babies. But there are reasons far beyond that. It is always helpful and good for us to cultivate gratitude and with breastfeeding, it can be really easy to do. To help us get started, we asked the followers over on The Leaky Boob Facebook page and The Leaky Boob Facebook Group. Here’s the list we came up with:

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I’m grateful for breastfeeding because it means I have a good excuse to sit down.

I’m grateful for breastfeeding because without it I wouldn’t have an excuse to whip my breasts out around strangers.

I’m grateful for breastfeeding because now I know what it is like to have my chest head butted by a 9 month old.

I’m grateful for breastfeeding because even though I’m fine breastfeeding in front of others, I appreciate the chance to escape to a quiet room every once in awhile to have to feed the baby.

I’m grateful for breastfeeding because it means I have to shop for new clothes that will let me get a boob out.

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I’m grateful for breastfeeding because it means I get extra breaks at work to pump and relax, LOL!

I’m grateful for breastfeeding because I get the chance to cuddle my adventurous kiddo that otherwise doesn’t ever sit still.

I’m grateful for breastfeeding because it guarantees one satisfied family member at meal times!

I’m grateful for breastfeeding because it means I get a break in chasing after the toddler and my partner has to take over while I feed the baby and scroll through Facebook.

I’m grateful for breastfeeding because it is portable and always ready, it’s the perfect food-on-the-go.

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I’m grateful for breastfeeding because having a tiny human being shriek hysterically for me to get my shirt off has made me feel so needed.

I’m grateful for breastfeeding because hooking up to a machine to suck my boobs is just such an unforgettable experience.

I’m grateful for breastfeeding because it means that feeding the baby is one thing that I won’t have to plan while driving 10 hours each way to spend Thanksgiving with family!

I am grateful for breastfeeding because of the meltdowns that I avoided by whispering in my 2 year old’s ear “want some booby?”

I’m grateful for breastfeeding because taking a shower is way more enjoyable than washing extra bottles. Or it would be if I got to take one.

I’m grateful for breastfeeding because with safe cosleeping, I can feed and sleep at the same time.

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I am grateful for breastfeeding because it saves me money so I can buy more wine and brownies.

I’m grateful for breastfeeding because I really am eating for two so a second piece of pie is totally reasonable.

I’m grateful for the terror it saves me of not having to go downstairs in the dark in case there are ghosts.

I’m grateful for being able to breastfeed my children for the fact that I can hold them more them anyone else and make the ‘they are hungry’ excuse if I don’t want someone holding them.

I’m grateful for breastfeeding because it means I (personally) don’t have to drug my toddler when he’s teething. Oxytocin for the win!

I’m grateful for breastfeeding because now I know what it is like to smell like sour milk all day, every day.

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Jessica Martin-Weber

Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of BeyondMoi.com, and 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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8 Points About Breastfeeding in Pregnancy- What You Need To Know

By Jessica Martin-Weber

This post made possible by the support of EvenFlo Feeding

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Increasingly, families are finding that breastfeeding through pregnancy, an option previously considered taboo, is one they are interested in trying. While it isn’t for everyone, many may find that it is something they would like to do and it turns out there’s good reason too. Though once common in some cultures and settings, in the USA and other countries there are a lot of unknowns as the practice has not been acceptable for a few generations. Today though, more is understood and as more families have ventured into the journey, we have more experience upon which to draw and share wisdom. Below are 7 points about breastfeeding through pregnancy that members of The Leaky Boob community shared as what we need to know about breastfeeding through pregnancy.

It is possible. Though it has commonly been believed that breastfeeding during pregnancy isn’t safe, this is a fairly recent belief and throughout history, breastfeeding during pregnancy was considered normal. A reliable source of nutrition and comfort, for many families it just makes sense to continue. Breastfeeding through pregnancy is not only possible, it can provide many benefits for both the nursling, the expecting parent, and the growing baby in the womb.

It is safe- most of the time. Unless there is some underlying condition that would make it risky for you to breastfeed your child through a current pregnancy, it is usually safe to do so. While breastfeeding does cause some uterine contractions, these are brief and short-lived and in a normal, healthy pregnancy will not result in early labor. Unfortunately, not all health care providers are aware of this and may incorrectly advise pregnant parents to wean their nursling. If your health care provider has told you to stop breastfeeding, request information on why they are making this recommendation and what your risk factors are. Share with them this information here, here, and here on safe breastfeeding in a normal, health pregnancy.

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It can help ease the transition. An older baby or breastfeeding toddler may not be fully aware that they are about to have a new sibling but they can pick up on their parent’s emotions. Breastfeeding may help ease the transition through pregnancy, birth, and the newborn stage for your older nursling. Having this connection and nutrition continue may help them not to feel so displaced and gives them a way to share and connect with the new baby.

It may get uncomfortable. Some women, not all, experience discomfort with breastfeeding in pregnancy. Some will have pain. As the body changes it is possible the nipples and breasts may become more sensitive. For some women this is temporary and will end in the 2nd trimester, others experience it later in the pregnancy only, and still others may find it lasts the duration of the pregnancy. Trying different positions, setting limits with breastfeeding, and being patient with yourself and your nursling can help through this trying experience.

It may lead to low supply. Breastfeeding in pregnancy causes all kinds of hormones to rush through the system and some of them may have the unfortunate result of reduced lactation. Not all lactating parents experience this but it isn’t uncommon. As lactation is in response to the placenta detaching from the uterine wall at the end of pregnancy and birth and is maintained by regular milk removal and hormones, sometimes the body ceases milk production. Some may experience milk drying up early in the pregnancy and then early milk coming in near term, others experience milk drying up later in pregnancy with no signs of new milk until birth. It is possible to continue with suckling even if all milk production has ceased, this is often called “dry nursing” and if it is agreeable with both parties of the breastfeeding dyad it is fine to continue. Sometimes the drying up of milk leads to weaning of the nursling earlier than had been planned.

It may become an aversion. As much as some experience breastfeeding as a deeply beautiful, calming, bonding moment with their nursling, some find that pregnancy drastically alters their feelings about breastfeeding. In the moment, as their child latches and continues to suckle, they may feel a rush of intense dislike, anger, sadness, frustration, and a sense of being trapped. This can come as quite a shock and may lead to questioning her feelings and concern about her parenting. However, this is a hormonal response and not a reflection of her feelings for her child. There is a chance these feelings will ease through the pregnancy but some do experience it intensifying. On a case by case basis, pregnant breastfeeding parents may find that their mental health or their relationship with their child may benefit from weaning if feelings of resentment are making it difficult to connect. Many that experience breastfeeding aversion in pregnancy find that having an understanding safe person with whom to share their experience can help them cope should they chose to continue breastfeeding through their aversion.

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It may help your supply. Breastfeeding through pregnancy and then tandem breastfeeding following birth can provide a number of positives including more demand which may lead to mature milk coming in quickly. Lactation is a hormonal response first, a supply response second. The more milk is emptied from the breast, the more milk the breast will make. Having an older nursling alongside a newborn can provide relief from engorgement while at the same time ensuring a solid supply.

It’s ok. Yep, it’s ok. It’s ok, it’s not weird. It’s ok to breastfeed through pregnancy as long as there is no underlying condition that could make it dangerous. It’s ok to not breastfeed through pregnancy. It’s ok to start breastfeeding through pregnancy and then decide it isn’t for you. It’s ok to try it and decide you want to continue all the way through. It’s ok that not everyone will choose this and it’s ok that some people don’t understand. It’s ok.

As always, breastfeeding is a unique adventure and not everyone will experience the journey the same. From breastfeeder to breastfeeder, our stories may differ and that’s ok. Regardless, everyone deserves support and information in reaching their goals, trusted to make the best decision for themselves and their family. Should you choose to breastfeed through pregnancy, you’re not alone and you have our support either way and no matter what your journey brings.

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Jessica Martin-Weber

Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of BeyondMoi.com, and 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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Pumping Breastmilk and What You Need To Know

By Amy Peterson, IBCLC

This article made possible by the generous support of Earth Mama Angel Baby.

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Not every mom needs to pump. When baby is with mom for feedings and transferring milk effectively, there is no need to pump. But there are times when pumping breastmilk is important:

  •      Baby needs more milk (a supplement for one or more feeds)
  •      Mom wants to increase her supply
  •      Mom and baby are apart for feedings, such as when mom is at work or school
  •      Mom wants to have someone else participate in feedings
  •      Anytime mom will miss a feeding

In these circumstances, using a breast pump helps maintain or increase the milk supply for future feedings, and the pumped milk offers the perfect food for baby. This article touches on choosing between the different types of breast pumps, general pumping guidelines, and tips for increasing milk supply if necessary.

When possible, choose a pump that meets your unique situation. If you’ll only miss a feed or two each week, a manual pump or single electric is plenty. If you need to pump for several feedings a day, a high quality, double electric pump is a better choice.  If your baby is hospitalized or you need to dedicate time to increasing your supply, a hospital grade/rental pump is the best choice.

You can get a breast pump from many different places: box stores (Babies ‘R Us, Target, WalMart, etc.), online, a friend, thrift store, or possibly through your insurance company. Buying a used breast pump or borrowing a pump is usually not recommended. Most brands are considered single user items. These pumps do not control for the transfer of bacteria or germs between the pump motor and the milk, putting the baby’s health at risk. If you know the pump brand has a closed system, you could consider purchasing a new collection kit with tubing. Even so, you may not know if the pump is working less effectively than when purchased new, potentially putting your supply at risk.

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It is also important to note that not all women respond well to pumps and not all pumps work equally well for every lactating individual. This is why we have options. There are various contributing aspects that may impact how well a pump performs such as flange size, suction strength, type of suction, etc. If a pump is not working well for you it is possible that another would. Some breasts prefer one pump over another and some breasts prefer manual expression.

Most breast pumps have two settings. One button controls the vacuum, and the other button controls how fast the pump cycles (sucks). These settings let you fine tune the pump to mimic your baby’s suction and rhythm. For maximum milk production, use the highest comfortable suction. Use a fast cycling rate until your milk flows, then adjust to your comfort level; this mimics how your baby sucks before and after a let-down. A few brands of breast pumps have a built in feature that begins with fast cycling and adjusts slower. Some moms find they have better milk flow when they reset the button and continue with fast cycling.

Here are some general pumping guidelines to get you started:

  •      Pump for any feeding you will miss. Your milk supply is based on supply and demand, and pumping for each missed feeding tells your body to keep producing milk during that time.
  •      Pump the amount of milk your baby needs.  For example, if your baby takes 3 ounces of milk, pump 3 ounces total (1 ½ ounces from each breast).  If you pump what you need in 4 minutes—you can stop pumping.
  •      Pump between feedings to build a bottle. You can combine the milk from several pumping sessions to make a larger bottle of milk.
  •      Pump at night or in the early morning hours when your supply is highest.
  •      A gentle breast massage routine, called hands-on pumping, has been proven effective in increasing the amount of milk a mom can pump. Check it out here.

For moms who are not able to pump enough milk and who want to increase their supply, there are additional pumping tips:

  •      Pump until your milk stops flowing, and then pump two more minutes. This limited extra pumping is enough to tell your breasts to make more.
  •      Pump more often. Leave your pump set up (where your toddler can’t reach it!). Pump for 5-10 minutes once or twice an hour.
  •      Use the hands-on pumping technique listed here and above.
  •      Know that pumping alone may not increase your milk supply. Work with a breastfeeding helper who is knowledgeable about other targeted methods to boost supply.
  •      While you work on increasing your milk supply, feed your baby. You can combine your breastmilk with donor milk or formula to be sure your baby is getting enough. Some moms choose to feed breastmilk separate from formula to avoid wasting any breastmilk if baby doesn’t finish the bottle. As long as your guestimate is cautious, it is safe to mix; the milks will mix in baby’s belly anyway.

While pumping is an important aspect for many families in reaching their breastfeeding goals, how much is pumped is not a reliable sign of milk production. As with most areas of parenting, take your cues from your baby. When baby is growing well and reaching milestones within range then how much you pump doesn’t need to be a concern. If you see signs of dehydration or poor weight gain, speak with your child’s healthcare provider.

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Happy pumping mamas! You’ve totally got this and we’ve teamed up with Earth Mama Angel Baby to support you in your pumping journey with a giveaway of Earth Mama Angel Baby’s Milk-to-Go kit for Leakies in the USA. A $40 retail value, this kit includes:

One pair of Booby Tubes® (one pair) for cold or warm therapeutic use, 1 box of Organic Milkmaid Tea (16 tea bags) a fragrant comforting blend that supports healthy breast milk production, safe Natural Nipple Butter (1 fl. oz.), Happy Mama Body Wash (1.67 fl. oz.), one Eco-friendly Reusable Insulated Bag, and a tasty recipe for Organic Milkmaid French Vanilla Chai.

Use the widget below to be entered!

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a Rafflecopter giveaway

Amy Peterson is a mom of 4, IBCLC, Early Intervention coordinator, and retired LLL Leader. She works alongside a speech-language pathologist, and together they co-authored Balancing Breast and Bottle: Reaching Your Breastfeeding Goals. They have also written a series of tear-of sheets available through Noodle Soup: Introducing a bottle to your full-term breastfed baby, Pumping for your breastfed baby, Pacifiers and the breastfed baby, and Bottle pacing for the young breastfed baby. Amy’s passion is helping others find fulfillment and confidence in parenting, regardless of feeding method. Visit Amy’s website at breastandbottlefeeding.com.

 

 

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A Heartfelt Latch – What You Need To Know

by Jessica Martin-Weber

This post is generously made possible by Bamboobies

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That moment when they’re finally in your arms and you can count fingers and toes and sniff their head and stroke the softest cheek you’ve ever felt in your life, that moment is, whether you can feel it right then or not, when you heart is captured forever. Suddenly everything this little person needs from you, you are ready to do with all your heart. Comfort them, change them, bathe them, sing to them, and feed them, simple yet profound tasks of care are heartfelt acts of love.

No matter how your feeding journey unfolds, there is no doubt that every moment is fueled by love. Even if it is stressful at times. But it does help to know some of what you can expect, how things may unfold, and what you should know going into it. Love may be all you need but love with information and support is just so much more… well, lovely.

There’s a lot of information so we’re just latching onto one little tidbit for now here: the latch.

If you’re breastfeeding or planning to, you’ve probably heard a lot about the importance of a “good latch.” For some, that can create some anxiety about getting that good latch and a sense that doing so can be elusive so we wanted to help break it down a bit with 3 need-to-know tips about a breastfeeding baby’s latch.

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  1. If it ain’t broke, don’t fix it.

Many of us want manuals for everything, how-to guides so we avoid making mistakes and pursue the elusive perfection. You’ll find all kinds of diagrams, pictures, and descriptions of what constitutes a “good” latch. Step 1, step 2, step 3 and if you follow them exactly, voila! The thing is, that’s very rarely how it works with human beings, not even textbook babies.

It is really very simple: if it’s comfortable and it’s working, it’s a good latch.

If it isn’t comfortable and it isn’t working well, then it may not be a good latch.

Baby has plenty of wet diapers? Gaining weight? Good signs!

Baby has low wet diaper count? Difficulty gaining weight? Hmmm, not so good signs.

Mommy can feel her breasts soften a little with baby at the breast? Nipples doing well? Good signs!

Mommy has pain beyond initial latch through the feed? Nipple damage? Not so good signs.

There is a real possibility that your baby’s latch won’t look like the textbook “good latch”, there may even be clicking (though I’d get that checked out just in case anyway), but if it is working for you both then it’s not a good latch, it’s a great one!

A good latch is one that works for mom and baby!

  1. It’s a team effort.

Mom and baby make a dyad, a new team, and they have to work together. Which can be tricky since you barely know each other. But you also know each other better than anyone else. Working together can seem really complicated but don’t borrow trouble and remember that you’re both equipped to do this.

Given that one of the team hasn’t been around too long, that can get tricky sometimes, especially if there are other obstacles in the way such as jaundice.

What team work looks like in achieving that latch of your dreams:

Mom is in a comfortable position and has brought the baby to her level to her instead of leaning down to the baby.

Baby has wide open mouth.

Baby’s body is facing yours.

Chin will touch the breast, nose will be unobstructed, lips will be flared like a flange around the nipple taking in as much of the areola as possible.

Hold baby securely, a snug, close hold will help.

Pull baby in quickly when mouth is open wide.

If you can relax, try leaning back on some pillow, work together, and remember that first rule, it may all just surprise you.

If your baby is not able to do their part of the teamwork, it is time to seek out the support of a health care professional. Speaking with an IBCLC and your child’s pediatrician to identify the cause and options early can go a long way in getting on track to reach your breastfeeding goals.

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  1. If you’re hurting or even just worried, ask for help.

Once upon a time women feeding their babies was visible in our communities and while we’re shifting that way now thanks to the global village of the internet, we still don’t really see it regularly and not all that up close and personal. This has led to us entering our baby care days without much of an idea of what’s normal and even when to ask for help. In fact, it can be easy to start thinking we shouldn’t ever ask for help.

Can you imagine telling your child some day that their nipples may be in agony but they shouldn’t ask for help? Of course not! That would be cruel.

Thankfully, between the internet, hopefully some in-real-life friends, and health care providers, more and more we have resources to help us find our way. Ask in forums, watch videos (this “flipple technique” is helpful for correcting some common latch problems), and read resources (like this one and this other one).

If you’re experiencing anything more than an initial twinge of pain with breastfeeding your baby it may be a sign that something is wrong. Not that you’re doing something wrong or have somehow failed, but rather pain can be a common sign of a problem that with support may be able to be corrected. (There are some conditions that will lead to regular pain in breastfeeding such as Raynaud’s phenomenon.)  It is possible that a painful latch, a baby with too few wet or soiled diapers, low weight gain for baby, stabbing or burning feeling in the breast, or a fussy baby at the breast in combination with any of these issues could be an indicator that there is some problem to address. From tongue and/or lip tie to high palate to jaundice to any number of reasons that a mom and baby dyad would be experiencing difficulty, seeing an IBCLC (International Board Certified Lactation Consultant) can help bring things together and set you and your team mate well on your way to reaching your breastfeeding goals.

And then you can get back to doing what you do best, holding them close to your heart and loving them completely.

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What helped you get a good latch?

Leave a comment below! We’d love to hear how you figured out what was best for you and your baby.

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Jessica Martin-Weber

Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of BeyondMoi.com, and 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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Why I’ll Stick To Saying “Fed IS Best”

By Jessica Martin-Weber

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“You may have heard the phrase ‘fed is best’ and while it may be true, feeding your child is best, it is scientifically proven that breast is better. This is not a shaming statement, it is factual.”

I came across an image boldly making this statement recently and I’ve seen others like it and in the infant feeding support group I run on Facebook I was accused of not really supporting breastfeeding because we don’t permit formula bashing or shaming and discourage the use of the phrase “breast is best” (a marketing tool developed by formula manufacturers, no less).  

Reading that phrase above it strikes me that it sounds a lot like when kids are trying to one-up each other with “well, blank is better!”

But children are cute and a little silly and often don’t grasp the concept of “context.”

“Fed is best” is a big thing here in this space. TLB is a community that holds to this view in how we support (did you know breastfeeding is not our first passion? Read here to see what is.). “Fed is best” isn’t a perfect phrase but then there is no such thing as a perfect phrase. Words are limited, expressions are clumsy, one-liners are inept. But as far as words and phrases go, this one leaves room… for the personal story. The narrative, the humanity, the journey.

And oh how those narratives, that humanity, those journeys, matter.

Science is only one piece of this particular pie. Or rather, the science that looks at the composition of breastmilk is only one piece of this particular pie. But there are other sciences that factor in as well. Sciences that aren’t proven by looking through a microscope. These are the sciences where the evidence is gathered by listening, caring, and respecting the stories of the ones living them.

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The science that gives evidence that for one particular mother- who could be any one of us- breastfeeding is a trigger for her sexual assault trauma and having a person, even one tiny being she loves so deeply, have the right to “demand” her body sets anxiety burning inside. Every time she must feed her baby. This science proves that for this mother and her baby, maybe formula is better. Maybe it is best.

The science that gives evidence that for a couple that could not biologically reproduce on their own, loving a child with abandon still requires that they have access to safe and suitable nutrition for their baby. This science proves that for these parents and their baby, maybe formula is better. Maybe it is best.

The science that gives evidence that infants removed for their own safety from the arms of their parents and placed into the arms of others, willing to love forever yet holding them temporarily hoping for reunification of this child’s family – this family dynamic and this baby still require access to safe and suitable nutrition for their baby. This science proves that for these parents and their baby, maybe formula is better. Maybe it is best.

The science that gives evidence that sometimes, for any number of reasons, there is pain and before it can be resolved there is less milk and stress and fear and even less milk and concern and doubt about milk from another. This family and this baby still require access to safe and suitable nutrition for their baby. This science proves that for these parents and their baby, maybe formula is better. Maybe it is best.

The science that gives evidence that the mother with a floundering endocrine system is unable to physically produce the milk her infant needs and requires reliable access to a safe and suitable nutrition option for their baby. This science proves that for this mother and their baby, maybe formula is better. Maybe it is best.

The science that gives evidence that the mother whose breasts never quite developed fully (and who knows exactly why), does not have enough glandular tissue to actually manufacture breastmilk, and needs reliable access to safe and suitable nutrition option for feeding her baby. This science proves that for this mother and their baby, maybe formula is better. Maybe it is best.

The science that gives evidence that the mother with a physical condition that requires a medication contraindicated with breastfeeding must choose between her health and her child’s access to breastmilk. This mother and her baby require reliable access to a safe and suitable nutrition option for feeding their baby. This sciences proves that for this mother and her baby, maybe formula is better. Maybe it is best.

The science that gives evidence that the mother who had no choice but to return to work a mere 5 days after the birth of her baby, was intimidated into not fighting for her right to adequate pumping breaks, found she didn’t respond well to the pump, but her baby was hungry and while she tried to find donor milk that was another full time job she didn’t have time to manage, and still she required reliable access to safe and suitable nutrition option for feeding her baby. This science proves that for this mother and her baby, maybe formula is better. Maybe it is best.

The science that gives evidence that the mother who once was a very young woman with a back that ached daily, and shoulders that bore gouge marks from her bra, and her breasts the unwanted hot caresses of men she knew and didn’t know, and so she chose in those days when she couldn’t imagine all that motherhood would entail to have her breasts cut into to make them less… less noticeable, less painful, less identifying. What she didn’t know or couldn’t imagine is they would also be less able to feed her Someday-Baby in her arms today and she too is in need of reliable access to safe and suitable nutrition option for feeding her baby. This science proves that for this mother and their baby, maybe formula is better. Maybe it is best.

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This could go on and on, the stories of real people are endless. The sciences of the heart and the mind, of society and work, of privilege and trauma have volumes upon volumes. Psychology, and social sciences – these are sciences too. And sometimes those sciences, under the individual microscope of the ones living life, show us that science isn’t all there is. Science observes and studies but it raises more questions than it answers. And it respects the chaos even as it notes patterns. We learn from science but not so science can rule us. Which is why we can look through a microscope and be in awe of the living organism that is breastmilk, and still, with all the sciences together, understand that breast may not always be best or better. With science, but even more with caring, we can see how fed is best. After all, the first rule of lactation support is “Feed the baby.”

When we say it isn’t shaming, is it because it isn’t shaming to us and we can’t, for a moment, apply some empathy and see how the intent may not be to shame but the experience from a different journey than ours could experience it as shame? When our language is woefully deficient, can we not adjust our words to hold space for the unique lens of others’ personal stories? Or is being right most important of all? Is having one particular science the only facts that matter? Is the only understanding we’re capable of the understanding that aligns with our experience and our personal passions?

Don’t get me wrong, breastfeeding is a huge priority here at The Leaky Boob. We believe that better support, access to care, and changing societal attitudes around breastfeeding is crucial for public health and truly supporting families. There is no doubt that the evidence of breastmilk as the biological norm for human infants is solid. But there is so much more than science involved in our real lives and so there needs to be more than science involved in our support. The stories, the living, breathing stories of the people living in them is what determines best outside of the laboratory, in real life. In spite of the inadequacy of our language to express these ideas and reality in full, we stumble along looking for language that leaves room for what can never be fully articulated in our stories: the heart.

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Jessica Martin-Weber

Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of BeyondMoi.com, and 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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2016 Infant Feeding Guide with Product Reviews + Giveaway

by The Leaky Boob Community

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

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

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

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

Good luck and a huge thanks to all the brands that wanted to make this possible!

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Breastfeeding in Public- You’ve Got This

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

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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

Brand-Ad_29APR16

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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 Experts©

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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