Your Marvelous Changing Bust And What You Need To Know- Breast Changes In Pregnancy

by Jessica Martin-Weber with Tracey Montford
This post made possible by the generous support of Cake Lingerie.

Breasts change throughout our lives are influenced by hormones, genetics, age, and other factors. For many, after puberty, the most noticeable change comes with pregnancy and breastfeeding. It can be helpful to know what to expect and what may help with comfort through these times of transition for our breasts and what to look for bras that provide gentle transitional support. You may not recognize your breasts with all the changes you may experience in pregnancy and breastfeeding but you still can have support, comfort, and know what you need to know to enjoy your marvelous changing bust.

Breast changes in pregnancy

For some, breasts are like their own personal magic 8 ball. Give them a little shake, ask them a question, and see what the answer is. Should I wear that underwire or go with the yoga bra? Is it a good day for potato chips or should it be salad? Should I carry pads with me or is it going to be 9 months before I need those? Or boobs are like horses. Gently pat them and ask “is it looking like rain, snow, or ice today girls?” “What do you think, facing the red flood or are we pushing a new human being out in less than a year?” “Are we craving chocolate or need a puke bucket?”

Second to puberty, during pregnancy breasts tend to experience significant growth and change. Thanks to pregnancy, it’s like you get to relive the wonders and magic of puberty all over again only this time, strangers may want to rub your belly and ask you what you’re having. (A human, we can safely guess you’re having a human!)

Pregnancy triggers the breasts to prepare for lactation to feed the developing baby after birth. The grape-like clusters of milk making tissue in the breast begin to increase in volume and number causing the tissue to expand. Yes, your boobs typically are going to grow in pregnancy- likely the biggest and most noticeable change to you’re breasts you’re going to experience since you were 11 years old. So many breast changes in pregnancy, milk making tissue expands, you grow more milk making tissue, blood flow increases, the tissue becomes more dense, the nipples and areola darken and often grow, and more. This involuntary biological response is often the first noticeable symptom of pregnancy for many women and can be quite sudden. Others may not notice any change until later in their pregnancy. Those that experience discomfort during their regular cycle are more likely to experience additional discomfort during pregnancy. Be kind to your breasts, understand that every individual and every pregnancy is unique, and find what helps you feel comfortable in this time of transition.

*Note: No change at all may be an indicator, along with other markers, of a lack of glandular tissue and should be discussed with a health care provider. This alone is not a determinant factor or sign of future breastmilk supply.

Breast changes common in pregnancy- first trimester

  • Rapid growth sometimes even before positive pregnancy test.
  • Tissue may feel more dense.
  • Achy pain is common and may last for weeks.
  • Skin my itch and be sensitive.
  • Nipples may become more tender and sensitive.
  • Areola may begin to get larger.
  • Rapid growth may lead to stretch marks on the breast.
  • Veins may become more visible as the skin gets thinner.

Support for breast changes in first trimester

As your breast size and shape may begin to change rapidly with growth being common, a transitional bra that offers flexible support with a size range in cup sizes my minimize discomfort and sensitivity. Look for a bra that is very soft with minimal structuring while providing support with a wide band and fabric that gives, providing gentle support. Some breasts change 5-6 cup sizes, it may be necessary to shop for new bras that accommodate the new breast growth. Limiting refined sugars and caffeine may also reduce discomfort.

Breast changes common in pregnancy- second trimester

  • Growth may slow down or even stop.
  • Sensitivity usually lessens.
  • The nipples and areolas may begin to darken.
  • The areola may continue to get larger.
  • To accommodate the growing baby, the rib cage may begin to expand.
  • More blueish veins may be visible under the surface as blood volume increases.

Support for breast changes in the second trimester

The second trimester tends to be more stable with changes slowing down and discomfort decreasing. If breast growth has slowed or ceased altogether, wearing a more structured bra may be more comfortable. As the rib cage begins to expand adding an expander may provide more comfort or getting sized for a better fitting bra may be necessary. During pregnancy, blood volume typically doubles and due to the thinner nature of the skin of chest area, veins may become more visible under the surface.

Breast changes common in pregnancy- third trimester

  • Some discharge or dried flakes of colostrum may be noticed on the nipple.
  • Breasts may become more sensitive again.
  • Growth may increase again.
  • Rib cage expands further as the hormone relaxin loosens tissue and baby gets bigger.
  • Breasts may begin to feel more heavy.
  • Nipples may become more sensitive to touch.
  • Areola may darken.
  • Areola may grow larger.
  • Bumps on areola may be more noticeable (Montgomery Glands).

Support for breast changes in the third trimester

As the body prepares to feed the growing baby, the breasts again enter a time of transition, particularly closer to the due date. Structured bras may be uncomfortable and compress the tissue and as more milk producing tissue develops, breast size may be in flux. A soft, supportive transitional bra may be more comfortable during this time and into the immediate postpartum. Some may notice their breasts beginning to leak or to find dried bits of colostrum on their nipple or on their bra. Though it is unusual for leaking to be noticeable through clothing in the third trimester, soft nursing pads can be used to absorb any leaks and prevent soaking through and may be more comfortable. Montgomery Glands around the nipple and on the areola my increase in size. These glands secrete an oil (lipoid fluid) that helps keep the areola and the nipple lubricated and protected and the smell of this oil may serve as a signal to the newborn of where to latch and suckle.

Pregnancy and breastfeeding breast myths

  • Myth: Use a toothbrush or rough cloth to toughen up nipples for breastfeeding.There is no need to prepare nipples for breastfeeding by using anything on your nipples. Nipples naturally prepare themselves. The one exception could be with inverted nipples needing to be drawn out. To prepare for breastfeeding, take a class, read materials, and if you are concerned, meet with an IBCLC or other breastfeeding support person to have your breasts evaluated.
  • Myth: Breast size indicates how much milk you will makeWhile your breast size may indicate how much milk your breasts may store, breast size is not an indicator of breastmilk supply. Shape of breasts and the space between the breasts may indicate how much glandular tissue is present which may impact milk supply but this can impact breasts of all sizes. If you are concerned, see an IBCLC or other breastfeeding support person to have your breasts evaluated.
  • Myth: Breastfeeding causes breasts to sag. It isn’t breastfeeding that causes sag, it is thought to be a combination of factors such as genetics and pregnancy. While breast tissue changes in density sometimes through pregnancy and breastfeeding, breastfeeding doesn’t mean sag. Read more in this study here.
  • Myth: No leaking means you don’t have milk. Some breasts never leak through pregnancy or breastfeeding but this is not a sign breastmilk supply or ability to breastfeed.
  • Myth: Inverted or flat nipples mean you can’t breastfeed. Inverted or flat nipples do not automatically mean baby won’t latch. Often inverted or flat nipples are drawn out with breastfeeding and there are options to help otherwise, even before baby is born. If you are concerned, see an IBCLC or other breastfeeding support person to have your breasts evaluated.

The hormonal response of breast changes through pregnancy all lead up to breastfeeding. There are more changes through breastfeeding and then again through weaning but the majority of the breast changes take place in pregnancy. 

How the right bra can make a difference

A good bra that fits well and accommodates these important changes in pregnancy and through breastfeeding can make a difference in comfort levels in this time of flux. Some bra fitting tips for the stages of pregnancy and breastfeeding:

  • Band should be snug but not tight. The majority of the support comes from the band, not the shoulder straps. Be sure it sits straight around the body for best fit. If it feels tight but is the right size, try loosening the shoulder straps some and pull the band down in the back. A band riding up in the back compromises fit and support.
  • Center front sits plat on chest, breasts fit comfortably within the cups.
  • Straps fit comfortably, not digging into shoulders or slipping off. 
  • Flexible sizing with minimal structure. Look for a transitional bra such as Cake Lingerie’s maternity and nursing bras, Rock Candy, Cotton Candy, and Sugar Candy, that accommodate 4-5 cup sizes with supportive fabric that has give. This doesn’t mean you have to accept uniboob, a good transitional bra will provide gentle lift, separation, and support.

Get your best fit with this step-by-step fit guide and calculator.

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Use the discount code TLB15 for 15% off at cakematernity.com.

Tracey Montford created Cake Lingerie in 2008 when she wanted bras that worked for the modern mother. With a background in creative arts and teaching, she never imagined having her own business, let alone creating one out of her own personal need. She now owns and runs Cake Lingerie from Sydney, Australia with her husband, Keith and their children.
Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of BeyondMoi.com, freelance writer, and co-founder of Milk: An Infant Feeding Conference. Jessica lives with her family in the Pacific Northwest and co-parents her 7 daughters with her husband of 22 years.

 

 

 

 

 

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2018 Giving That Goes On Empowering

by Jeremy Martin-Weber

Information. Support. Community.

These are what The Leaky Boob is all about. The infant feeding journey can be an easy and beautiful experience, but it can also be overwhelming, confusing, and lonely. The Leaky Boob community is there to share all of it with you: your joys, your questions, and your frustrations.

And it’s all made possible thanks to sponsoring brands that desire to support you along with The Leaky Boob. These brands are carefully vetted and approved both for the quality of their products and their desire to help support families with the arrival of their new babies: from maternity to birth, and through postpartum.

These brands want to share their products with you because they created them for you — to make life easier and healthier for you and your baby.

Find chances to win free product from these trusted brands below. Please take a moment to like/follow them on social media. Leave them a comment for extra credit. And consider sharing information that you find interesting or helpful from The Leaky Boob too!

Good luck everyone! Please note that in participating in each of the following giveaways, you grant permission to The Leaky Boob to share your name and email address with the brand(s) sponsoring the corresponding giveaway(s). Keep it fun for everyone by being honest in your participation!

 

The Giveaways 

littlebeam, Snugabell, and Pebble – Kahiniwalla join together to sponsor the livestream series on TLB FB where we answer your breastfeeding questions, live! in “The Breast Questions. Check out the latest livestream here. 3 winners will each receive a littlebeam nursing pillow, a hands-free pumping bra from Snugabell, and some adorable hand-crocheted and fair trade plush from Pebble – Kahiniwalla: an ice cream cone rattle! Enter below.

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TLBgives 2018 brings together 25 of our most trusted brands for one major giveaway. 1 winner shares the prizes with 2 friends of their choosing, and a lucky non-profit that supports mothers and families wins alongside them. Details here.

a Rafflecopter giveaway

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Rachel’s Remedy is offering a Full Set of their products. Catch them on Facebook here.

a Rafflecopter giveaway

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Get one of the coolest carriers available, the Trek Evo hiking baby carrier, from Chimparoo. Check them out on Facebook!

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Another giveaway from Rachel’s Remedy is for 10 lucky winners! Your chance to get your hands on their Relief Packs. Follow them on Facebook!

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Our friends at Ameda sponsored this Facebook Livestream on “Overcoming Breastfeeding Difficulties,” and are offering a chance to for 10 winners to receive a Breast Care Pack that includes Comfort Gels, Lanolin, and Breast Pads. Give them some love on Facebook!

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In September, TLB hosted our first local social gathering of Leakies in the PNW. 17 brands came together in support of this fun event! 28 products are featured in this giveaway, each of them going to a separate winner, which means you have 1 in 28 chances to win! A huge thank you to Goddess Garden (3 full-size Baby Mineral Sunscreens), Pure Spoon ($100 gift card), Hotmilk Lingerie (1 Temptation Graphite nursing bra and matching brief), Milkies by Fairhaven Health (5 NEW Milk-Saver On-The-Go), Crane (1 Gray Drop Humidifier), Lillebaby (winner’s choice of baby carrier), Rachel’s Remedy (Breast Relief Packs and Antimicrobial Breast Pads), Kahiniwalla (1 Fair-Trade crocheted Large Swan), Ju-Ju-Be (1Be Pumped diaper bag), Ameda (Finesse breast pump, Lanolin, and breast pads), Charlie Banana (breast pads, feminine pads combo, new print pack of 3 Tuscany and Surf Rider), Poncho Baby (1 nursing cover), Snugabell (3 PumpEase hands-free pumping bras), My Baby’s Heartbeat Bear (1 Rainbow Keepsake Kit), Medela (1 Sonata Smart Breast Pump), Rhoost (3 baby grooming kits), and Pip and Grow (1 Smitten bassinet).

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4 Brands came together to sponsor one of TLB’s livestream series called “The Breast Questions.” A big thanks to Rachel’s Remedy, i play – Grow Healthy Baby, One Z Breastfeeding Pillow, and Snugabell (those are Facebook links, you should follow them!). One lucky winner will win a Nurse and Nourish Whole Grains for Nursing Mamas by Grow Healthy (i play), a Snugabell Support Tee and PumpEase hands-free pumping bra, Rachel’s Remedy Breast Relief Packs, and a Sleep Zzz Pillow and One Z Pillow for a total value of $200.

a Rafflecopter giveaway

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Legendairy Milk is offering you a chance to win a $100 gift card to legendairymilk.com and 10 bottles of Organic Sunflower Lecithin — 11 winners! Curious about plugged ducts, blebs, or mastitis? Legendairy Milk sponsored a livestream on all of that on TLB. Follow Legendairy Milk on Facebook!

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What Breastfeeding Has Taught Me About My Body

by Jessica Martin-Weber
This post made possible by the generous support of Natracare.

 

Breastfeeding and my body has been a bit of a getting to know you experience. What I thought I knew about my body changed and what I never considered emerged as all consuming. One surprise after another and even after 7 kids I’m still learning about my body thanks to breastfeeding. Turns out, breastfeeding has shown me that my body is a veritable fun-house full of tricks and surprises.

Thanks to breastfeeding, I’ve learned that:

My body is smart. It knows all kinds of things, like when I’m growing a baby in my body, when I’m growing a baby outside of my body, when my baby is getting hungry even when she’s still asleep and I LEAK. It even knows when my baby’s temperature isn’t quite right and my breasts will adjust their temp to help cool my baby or warm her up.

My odor can change– thank you hormones! Hot flashes aren’t just for menopause, nope. The first few months of breastfeeding brings all the hot flashes and I had to up my deodorant game. Even after things settle a bit my, uh, scent, is totally different and a lot stronger while I’m breastfeeding. I’ve heard rumors that’s to help baby find me and while that may be true, she’s not the only one!

That there is a wide range of normal. For me, 7 babies has been 7 different experiences, all within that wide range of normal. Nothing like thinking “I’ve got this, done it before” only to feel like it is a case of the body snatcher. Leak and feel let down every time with one baby? Doesn’t mean it will happen with the next! Hold on for the wild ride of “normal”. Some people leak and some people don’t. Breastfeeding isn’t one-size-fits-most, “normal” likes to mix things up!

My body rises to the challenge. That it will make exactly the amount of milk my baby needs and then some if I ask it too. Milk supply issues are real and frustrating to deal with but if everything is working how it is set up to work, if you ask it, milk will come.

My body is sensitive, how I treat it and what I put on/in it matters. Turns out my body doesn’t like certain things so much. It is sensitive to not drinking enough water, the kinds of foods I eat, the chemicals in my laundry detergent, what my nursing pads are made out of (these disposables are chlorine-free)… it is even picky about my deodorant! I discovered that even nursing pads could irritate my breastfeeding breasts and the food I ate could even change the color and smell of my milk!

My body is strong and can tolerate a lot. Like lack of sleep. Somehow I sleep less than a sorority girl during pledge week and my body still makes what’s basically a magic elixir that sustains an entire other human being. I’ve tolerated bloody nipples, a baby needing to feed every 2 hours, pumping around the clock, and more. All while sleep deprived. 

I can go over 2 years without a menstrual cycle… and everything is totally fine. Between pregnancy and then the delay in the return of my fertility while breastfeeding (called amenorrhea), I can go over 2 years without a period. Which is fine by me! But when it does come, it’s like my uterus goes all Carrie on me. Crime scene. CSI. One must be prepared.

My body changes and change is natural– there’s no going back, only forward. Why would I want to go back to the time before my sweet baby anyway? My body has changed with pregnancy, birth, breastfeeding, and sleep deprivation. The evidence of my children is etched into my body, I have changed and I will never go back.

My body can heal and sustain life at the same time. After a baby is born and begins to breastfeed, that very breastfeeding signals the uterus to contract and begin to heal the open wound left by the placenta. It’s about as pleasant as having your insides run through a garbage disposal but it can save your life, reduce your bleeding time, and help your uterus heal. ALL AT THE SAME TIME AS FEEDING YOUR BABY. No big.

My body needs a lot of water. So much water. I’m basically a fish living on land.

With breastfeeding, my body needs a lot of food too. Yes, I am hungry. Again.

My skin is stretchy. Very, very stretchy. When I’m not breastfeeding, socks with rocks. When I am breastfeeding, melons. I really never could have imagined how much stretch is possible. Also… niplash.

Everything is connected and what I do today matters tomorrow- for my body, my family, and the earth. Breastfeeding has made me more aware of how I treat all of them and how they all impact the other. I make choices now to care for and protect all of them. When I take care of my body, I’m better able to care for my family and the earth (such as with organic, chlorine-free, biodegradable and compostable products like these nursing pads, these wipes, these postpartum pads, and these menstrual products).

There’s a lot I don’t know. That should have been obvious but I had no idea how much I didn’t know. Breastfeeding has been my body school. So much has taken me by surprise since having children including just how much I don’t know about my own body and how it works. I’ve learned a lot over time because I was confused and then curious and had to learn.

Watch me go through my list and then some in this 10 minute video!

Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of BeyondMoi.com, freelance writer, and co-founder of Milk: An Infant Feeding Conference. Jessica lives with her family in the Pacific Northwest and co-parents her 7 daughters with her husband of 22 years.

 

 

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How Anyone Can Celebrate and Support Black Breastfeeding Week

by Jessica Martin-Weber with special guests Anayah Sangodele-Ayoka, Waetie Saana Cooper Burnette, Dominique Bellegarde,Fortune Glasse Cotten
This post made possible by the generous sponsorship of Ameda, Inc.

Ameda Finesse Double Electric Breast pump

 

What if the risk of infant mortality was twice as high for one particularly vulnerable group? What if there was a simple measure to reduce infant mortality? What if there was a significant gap for the most vulnerable group in accessing that measure? Wouldn’t it be time to raise awareness and celebrate when it does happen?

 

To learn about BreastPowered and prepare for Black Breastfeeding Week, The Leaky Boob visited via Facebook livestream with Black Breastfeeding Week co-founder Anayah Sangodele-Ayoka, CNM (read an interview with Anaya here) and part of the BreastPowered.org team, Waetie Sanaa Cooper Burnette, Dominique Bellegarda, and Fortune Glasse Cotten, winners of the MIT Hack My Pump-A-Thon 2018 Ameda Connections Award. These wise women shared practical ways anyone and everyone can prepare for, support, and honor Black Breastfeeding Week and celebrate black breastfeeding. See their suggestions below.

Photo Credit: Isreal Jean of Breastfeeding in Color.

 

How YOU can celebrate Black Breastfeeding Week

Anyone can celebrate black breastfeeding week and having the support of groups outside the black community is important too.

Inform yourself. Don’t understand why Black Breastfeeding Week is necessary?** Google and read what black women have said why this is important (start here) and then believe the experience of the black women that say this is necessary.

Share information promoting Black Breastfeeding Week on social media channels as well as in real life too.

Like and share images of black women breastfeeding. Representation matters, you can help celebrate black breastfeeding by helping make it visible. You never know when just seeing breastfeeding is all the encouragement someone needed to feel confident in their own breastfeeding journey.

Share your own story as a black mother and why this is important to you. If you’re not a black mother, share the stories of others and why this is important to you.  The more the information is out there, the more other mothers are reached and supported.

Do something through your own channels to show you are a black mom breastfeeding or that you support black breastfeeding such as one-a-day photo social media posts featuring black women breastfeeding (yourself or others).

Amplify the voices of black women sharing their stories, efforts to promote black breastfeeding, and taking steps for equity.

Attend Black Breastfeeding Week and black breastfeeding events in support- sometimes the biggest thing you can do is help make sure it is a full house.

Visit breastpowered.org, blackbreastfeedingweek.com, breastfeedingrose.org, and other organizations to find out how you can get involved and learn more.

Support an event even if you are not going in person by sharing and spreading word, donating, and volunteering.

Donate through BBW’s fundraiser to help events all across the USA through a $250 mini grant program run by Black Breastfeeding Week.

Photo Credit: Erin White

Larger Picture- Beyond One Week

Whatever your race, be a breastfeeding ally and ecstatic about those in your life breastfeeding! Be sure that anyone in your life that is breastfeeding knows for sure that you support them and you are not neutral. Not just as a one day/one week kind of thing but an all the time kind of thing.

Find your frontline- may be your work place, your family, your church, your social media, etc. and recognize where your power is and take a stand and put in the work wherever you are to be antiracism and fight for equity for all.

 

** Black breastfeeding week is about recognizing black women as humans and supporting black women in having all the basic opportunities and support that everyone should have. For more on why Black Breastfeeding was started, see here.

 

 

Anayah Sangodele-Ayoka, CNM, MSN, MSEd is a nurse-midwife and innovative culture worker leveraging digital media to impact health and parenting. Clinically, she cares for women across the life span in Washington, D.C. Anayah also writes, speaks and consults with organizations on using social media to deepen community building and leverage social change. Anayah is a co-founder of Black Breastfeeding Week, co-editor of Free to Breastfeed: Voices from Black Mothers(Praeclarus Press), and consultant with MomsRising

 

 

Waetie Saana Cooper Burnette’s undergrad studies focused on anthropology and gender. These studies laid a unique foundation for her work with Breastpowered.org collaborating with families, recruitment, resource-building, and student support with innovative programming, grant writing, and attention to all families receiving equitable access to services. She is excited to focus on expanding the ways that the worlds of art, story-telling, and public health awareness can fuel our efforts to increase funding for lactation services for women of color. Waetie Sanaa co-facilitates the weekly breastfeeding group at Codman Square Health Center with Jenny Weaver, writes a blog for the Vital Village site Daily Milk, and is excited to work as a ROSE Community Transformer.

 

Dominique Bellegarde is a Certified Lactation Counselor (CLC) who has worked with Women, Infant & Children (WIC) for more than 10 years as a peer counselor helping mothers meet their breastfeeding goals from home and hospital visits to supportive text messaging and video chats. Dominique teaches a Breastfeeding class every other week at Codman Square Health Center for pregnant women and their partners. She also co-facilitates the well-known Baby Cafe at Codman Square Health Center. With a degree in human services, Dominique is currently pursuing becoming an IBCLC.

 

 

Fortune Glasse Cotten is a mother, attorney, and breastfeeding advocate. Her own experience birthing and exclusively breastfeeding her son has led her on this journey seeking to support other mothers of color. She holds a Bachelor’s Degree from Columbia University and a Juris Doctor from the University of Michigan Law School. Fortune lives in Las Vegas, Nevada with her husband and son.

 

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I Feel My Boobs- 8 Unglamorous Secrets About Breastfeeding

by Jessica Martin-Weber
I touch my boobs a lot. I’m not kidding, a lot a lot. I’ve known this but recently I’ve noticed it even more.
Which got me thinking…
Breastfeeding: when your breasts see more action in one day as a breastfeeding parent than they typically do in a month when you’re not lactating. And that’s with an active and fun sex life. (See 9 Tips to Having More and Better Sex After Baby)
The other morning I woke up to rock hard boobs at 6am and in spite of it being a day when I was supposed to be able to sleep in and my baby was sound asleep, I had to get up. With my breasts full of milk, I was way too uncomfortable to sleep. My boobs were demanding I empty them and so while everyone else slept I joyfully got up and pumped.

Just kidding. I was decidedly not joyful.

I had not-so-nice-words for my pump, even though I like my pump and even though it typically seems to whisper encouragement when I’m pumping, this particular morning I swear it was hissing “eff you, eff you, eff you…”

(Yes, I’m grateful I can breastfeed and that I have enough milk to pump and be a milk donor and meet my baby’s needs but no, I wasn’t joyful to be up at 6am when I otherwise did not need to be.)
There have been a number of articles claiming to expose what nobody ever tells you about breastfeeding or what breastfeeding parents wish they knew about breastfeeding before they breastfed or what surprised them about breastfeeding. So many such articles (I’ve written a few myself), you’d think there was pretty much nothing that anyone actually knew about breastfeeding going into it. As though everyone must experience breastfeeding like “WHOA! NEVER SAW THAT COMIN’!”

Which is, honestly, kind of exactly what it is like. You just can’t REALLY know until you’re in it. There’s no way I would have truly understood just how much I’d be feeling my boobs until I was actually living it.

 While pumping before the sun was up that morning, I stated thinking again of some of the surprising aspects of breastfeeding and put together a new list for you. No, it doesn’t encompass everything and certainly we all have different experiences, but these were some of the ones that even I forget about.
Feeling yourself up. I never knew how often I’d touch my breasts but with breastfeeding I’m regularly handling them and not just to get baby latched. From quick little taps to see which side I should start my baby on to hand expression to breast massage to holding them if I dare the stairs when I’m braless to readjusting things through out the day (hey, they change a lot from one moment to the next!), I’m handling my boobs far more than I ever expected. At this point I do it frequently enough I’m pretty sure I do it in public without even noticing which probably looks a little strange to someone that hasn’t breastfed.
Waking the baby. Who would wake a sleeping baby? A desperate breastfeeding parent, that’s who. Listen, when you wake up and your boob hurts and there’s milk leaking everywhere and you know baby is going to be hungry at some point anyway, waking them to empty a breast that feels like it’s about to explode is basic survival. Besides, it’s not like they’re going to be disappointed.
A critical eye for boob-out-fashion. That dress looked super cute but… I couldn’t get a boob out and frankly we all know what would happen if baby got hungry and boobs started leaking and I couldn’t get the boob out to feed her. Cute or not, I’d rip it to shreds to get her what she needs.
Getting excited about pretty, comfortable, and functional bras. Ridiculously excited. It doesn’t look like a piece of hardware AND you can unclasp each side or pull down easily to feed baby? It’s like Christmas and my birthday all in one! Multiple color options? A touch of lace? Works with even lower cut tops? What is this sorcery? I must have it!
Human scratching post. Babies have razor blades for nails and also have a penchant for gripping things tightly, digging those nails into whatever comes near enough to grasp. Including boobs. Maybe specially boobs. It takes a lot to help baby get latched correctly, positioned comfortably, your breast supported, and somehow defend chest and breasts from baby Wolverine. Having boundaries, keeping their nails trimmed, and doing things like holding their hand or giving them something else to grasp can help or can just turn into a wrestling match with your boobs and chest bearing the brunt featuring welts, scratches, and stab wounds.
Ode to sour milk. I need nursing pads thanks to how much I leak and it can be at any moment. The breast pads help but the truth is I regularly smell like sour milk anyway. My bras, my tops, my sheets. I try to take comfort in the fact that this helps my baby recognize my smell.
So. Much. Time. In many ways breastfeeding can save time and often it can save money too but I am still surprised at just how much time I spend breastfeeding, preparing to breastfeed, thinking about breastfeeding, talking about breastfeeding, and in general, aware of breastfeeding. It may be natural but it didn’t come naturally for me so I spent a LOT of time on it and even when it did get easier, I still spend a lot of time on it. It’s a huge part of my daily life from washing pump parts to storing milk to wondering if that whiff of sour milk came from me to drooling over pretty nursing bras to actually feeding my baby to talking with other breastfeeding parents and sharing stories and information. It takes a lot of time and energy.

Skipping sleeping in. I wanted to sleep in that morning, desperately. There was no way. My breasts were killing me and I didn’t want to risk a clogged duct or possibly hurting my supply by not emptying them when they were full because my baby slept through a feeding. I skipped sleeping in to hook up to a machine that would empty my breasts. Naturally, when I was done putting everything away and laid back down hoping to catch a little more shut-eye, my baby woke up and was ready to feed and play.

It may be unglamorous but that’s a parenting fact, very little of bringing up tiny humans results in feeling put together and ready for the red carpet. But you can’t beat the smiles and snuggles that come with it!

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

by Jessica Martin-Weber with Leah De Shay, IBCLC, and Lauren Bennet, BSN

This article made possible by the generous support of Aeroflow Breastpumps.

Get Paired with your perfect pump through Aeroflow Breastpumps

Disclaimer: This information is not to replace the advice of your health care provider. If you are experiencing breastfeeding difficulties find IBCLC. Not everyone needs to pump, successful breastfeeding is not dependent on pumping if there is no need to pump. This article is simply for information, not promoting any specific pump but rather promoting finding the right pump for your needs.

Selecting a breast pump can be an overwhelming task. It can be confusing to sort through the various pumps on the market, what you need, the terminology, and what to look for in a pump. I talked with IBCLC and mom Leah De Shay, and BSN and pump specialist, Lauren Bennet about the basics of selecting a breast pump and, if you’re in the USA, getting your pump through insurance. You can see the entire conversation here:

I’m frequently asked what is the best pump and while I know people are hoping I’ll give them a specific brand and model of pump, the truth is my answer is way more open:

The best pump for you is the pump that helps you reach your breastfeeding goals within your budget, comfort, ability to operate, and that suits your pumping lifestyle and needs.

There is no one pump I can say is the “best” and while I may have my favorites (and it hasn’t always been the same with each baby), my favorites have been based on what has worked best for me at that time recognizing that my breasts and my lifestyle and pumping needs may not be the same as the next person.

Ameda Finesse breast pump

Ameda Finesse

So how do you figure out what pump you should get?

Fortunately, there are a good number of pumps on the market and it is very likely that there are a few that would be just right for you. Though you can’t know for sure what will work best for you until you try it and sometimes one pump may not be a good choice for you while another one could be ideal, there are steps you can take to get you closer to the perfect pump. Just because one pump works great for your best friend doesn’t mean that your breasts will respond the same to that exact pump or even that one particular pump doesn’t work well for you but another may. The best you can do is see what worked for other people and gather as much information as you can on the various pumps available to you before you make your decision. If you’re feeling confused, the pump specialist at Aeroflow may be able to help you further but for now, we’ll break down the terminology, ask questions to help you determine your pumping lifestyle needs, and share how to get your pump covered through your health insurance as part of the Affordable Care Act. For more in depth information, watch the above video.

Lansinoh Smartpump

What does it all mean?

There’s a lot of terminology used in association with breast pumps and if you don’t know what these concepts mean, it can sounds like a foreign language. This is just a quick look at some of the most frequently used terms:

Manual– a hand pump, doesn’t require electricity or batteries as it is powered manually.

Double Electric– a breast pump that can pump two breasts simultaneously with an electric powered motor.

Closed System– barrier designed to protect pump motor and tubing against moisture, mold, and pathogens.

Personal Grade– not a specific designation but usually used to mean a lower suction level, open or closed system, FDA approved as a single-user, limited pumping hours (usually 300-500), and available to consumers directly through retailers and DMEs (Durable Medical Equipment suppliers) usually with a maximum suction level of 25—300mmhgs.

Hospital Grade– not a specific designation but usually used to mean higher suction levels, closed system, FDA approved as multi-user, and longer life/higher pumping hours and limited availability such as renting through a hospital.

Multi-user– FDA approved for multiple users with their own individual kits.

mmHg– suction level.

Motif Duo Breast Pump

Your Pumping Lifestyle and Needs

While it may be tempting to get the pump with the most bells and whistles, the strongest suction level, and the highest dollar amount, reality is that may not be what you need or even the best pump to help you reach your goals. Keep these factors in mind when you assess your pumping lifestyle and needs:

  • How often do you plan to pump? Is it for working 40 hours a week away from your baby (approx. 3x/day) or to exclusively pump, or once a day as a breastmilk donor, or just for the occasional date night?
  • Will your pump need to be easily portable? Will you be lugging it back and forth frequently or will it be mostly stationary?
  • What will your pumping environment be? A relaxed, private setting, or an open cubicle or your car? Will you be multitasking or able to just focus on pumping? Does it need to be quiet? Will you have limited time available or however much time you need?
  • What type of power source will you need? Will you have access to an outlet?
  • Are there flange size options or will the standard available sizes work for your breasts?
  • How long do you intend to pump? Six weeks, six months, a year, or longer?
  • Will you be dependent on your pump and need to have access to replacement parts quickly?
  • Are you going to be more comfortable with independent speed and suction control or will preset options give you more confidence?
  • Will you need more than one pump?
  • Are there other factors unique to you and your situation you need to consider?

Medela Starter Set

Picking Your Pump

After you determine your pumping lifestyle and needs, you can begin to look at the various pumps available to you taking these factors into consideration. At the end of the day, picking the pump that is best for you is just as important as knowing how to use your pump correctly (i.e. don’t just crank it to the highest setting!). Remember, higher suction isn’t always better, longer cycling isn’t necessarily better at emptying the breast, and bells and whistles may not be what you need. In fact, higher suction can mean less milk output, particularly if the suction level causes pain. Your comfort is key in how you will respond to a pump. The pump that is best for you meets the criteria that fits your pumping lifestyle and needs.

Get your pump through your insurance

The Affordable Care Act means that many insurance plans now cover breast pumps. Each insurance company and even each policy can vary in what is covered, the options available, the criteria that must be met, and timing.

It can all be a bit overwhelming. Fortunately, Aeroflow Breastpumps has streamlined the process, simplifying everything. Typically it takes between 3-5 days to hear back from a Breastpump Specialist from Aeroflow and depending on your insurance provider and policy, you can typically get your pump anywhere from 30-60 days before your due date and any time up to a year after giving birth.

 

how to pick the best breast pump

Here’s what you do:

Submit your medical insurance information with a few other demographics and a dedicated Breastpump Specialist will verify your insurance coverage.

Your Breastpump Specialist will contact you to explain your benefits and your pump options, including possible upgrades and using your FSA or HSA funds to cover an upgrade.

They’ll ship your breast pump!

Find out online if you qualify for a free breast pump through your insurance.

Things Aeroflow Breastpump Specialist does for you:

  • Contact insurance agent and verify coverage.
  • Coordinate with your doctor to get your prescription to your insurance company.
  • Help you understand the different benefits of the variety of breast pumps.
  • Make sure your pump ships at the right time. Some insurance companies limit when a breast pump can ship (for example 30 days before your due date).
  • Handle all the billings with your insurance company.

Aeroflow provides a number of services and resources as well as products that may be helpful to you in reaching your breastfeeding goals. Picking a pump and navigating insurance coverage can be overwhelming but it doesn’t have to be!

 

Leah De Shay graduated from La Sierra University with a degree in Psychology and Speech Pathology and Audiology. She completed her post-baccalaureate work in lactation at University of California, San Diego and went on to get her CLEC (Certificated Lactation Educator Counselor) certificate, and completed her IBCLC (Internationally Board-Certified Lactation Consultant). Leah has since worked in various health care systems, including as Director of the Welcome Baby Program, Providence. She currently serves patients throughout southern CA as the coordinator for infant feeding at LOOM and the Lactation Specialist at Growing Healthy Together. In addition to her clinical practice and as a busy mom herself, Leah also assistant teaches for the UC system. 
Lauren Bennet is a graduate of the Medical University of South Carolina and a Registered Nurse (BSN), and practiced as an intensive care nurse for 3 years. Currently, Lauren leads an incredible group of passionate and fun people at Aeroflow Breastpumps as the team lead managing the breast pump specialists. In her free time, she enjoys hiking, camping and being outdoors in and around Asheville, NC. 

 

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

by Jessica Martin-Weber with Rene Fisher, IBCLC

This article made possible by the generous support of Ameda.

Ameda Finesse Double Electric Breast pump

*Please note, this is not intended to be health care advice or to replace or be a substitute for being seen by a qualified health care provider. 

Is it ok to breastfeed when you’re sick? Could baby get sick from your milk? From being so close to you if you’re contagious?

We often hear how great breastfeeding is for our babies’ immune systems, a highly motivating reason to  breastfeed. There’s plenty of evidence that shows this to be true and even though it’s no guarantee that our babies will never be sick (lowering risk is not eliminating risk), it can certainly be a motivating factor to breastfeed. In fact, we know that in infants, breastfeeding significantly reduces respiratory infections, gastrointestinal infections, SIDS and infant mortality, allergic disease (asthma, atopic dermatitis, and eczema), celiac disease, inflammatory bowel disease, diabetes, and childhood leukemia and lymphoma. (For more, see here and here.) There’s no doubt that breastfeeding can help reduce how often a baby is seek, the severity of their illness, and the duration of their illness. (More on that here.) Most of the time, breastfeeding is exactly what your baby needs when they are sick.

But what about when the breastfeeding parent is the one sick? Particularly with an infectious disease that baby could easily get being in close proximity to the one sick? Is breastmilk that magical it can protect our babies even then?

Not exactly but, well… kind of.

“…the immunologic components found in breast milk appear increasingly likely to play a specific immunologic role in the protection of the nursing infant.” (Mucosal immunity: the immunology of breast milk)

While it is possible your infant nursling could catch a sickness from you even with breastfeeding and since reduced risk doesn’t mean no risk, it certainly does happen, breastfeeding can reduce the duration of infectious disease in the breastfed infant and even beyond the first year of life.

The American Acadamy of Pediatrics recommendation on breastfeeding while sick:

If a mother has a cold or the flu, it is not necessary to discontinue or interrupt breastfeeding. Through breastfeeding, the infant will receive the antibodies that the mother is producing to fight the illness. Most infectious diseases are also not a cause for weaning or interruption. Generally, by the time a disease has been diagnosed, the infant has been exposed and will probably benefit more from the protection he gets from his mother’s breast milk than from weaning. However, each case must be evaluated individually.

There are times when it would be dangerous to breastfeed during an illness such as when the treatment for the illness carries a higher risk to the baby in the mother’s milk than not breastfeeding would. While this is rarely the case for infectious diseases, it is possible. It is important to speak with your health care provider and disclose that you are breastfeeding when considering treatment options. As not all health care providers are fully informed on human lactation, you may find the following resources helpful in determining treatment options that are safe for breastfeeding and to check a medication’s potential impact on breastmilk supply.

  • LactMed app to look up the compatibility of pharmaceutical treatments with breastfeeding.
  • Infant Risk the leading research for medication safety during pregnancy and breastfeeding.

Sometimes, illness can have an impact on breastfeeding. Some changes to breastfeeding that can happen during an illness of the breastfeeding parent:

  • Low milk supply
  • Milk color changes
  • Increased feedings
  • Decreased feedings
  • Sensitivity
  • Fussy baby at breast
  • Sore nipples

Decreased feeding or pumping, fever, and dehydration can lead to a lower supply of milk. Severe dehydration (such as can happen with gastrointestinal illness) can cause a sudden and drastic drop whereas a slow decrease in milk volume is more typical of illnesses such as the flu. Low supply as a result of dehydration will typically come back quickly with hydration, electrolytes, and rest. Low supply as a result of not fully emptying breasts due to fatigue and other symptoms will take time to rebuild. Low supply as a result of medication side effects usually will begin to recover when the medication is stopped and frequent emptying of the breast increases.

American Academy of Pediatrics breastfeeding through sickness

Recovering Milk Supply Following Illness

If you experience low supply as a result of illness, the best way to increase your supply to meet your baby’s needs is simply to let them breastfeed as often as they are interested in doing so. Complete and frequent draining of the breasts will signal the body to produce more milk. Keeping your baby close and doing skin-to-skin will also help encourage milk production. For lactating parents who pump, adding a 10-20 minute pumping session after several feedings or in between feedings can have the same effect. Don’t be surprise if you pump for 10 minutes immediately following a feeding or even an hour later and get nothing or just a few drops. The stimulation will tell your body to make more milk. It may take several days to see results.

Always be sure to be seen by a qualified health care provider for high fevers, prolonged illness, or severe symptoms.

For further discussion and Q&A on breastfeeding through illness and recovering breastmilk supply following illness, see this video chat with Rene Fisher, IBCLC and Jessica Martin-Weber, The Leaky Boob.

This is general information and does not replace the advice of your healthcare provider. If you have a problem you cannot solve quickly, seek help right away. Every baby is different. If in doubt, contact your physician or healthcare provider.

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

 

 

Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of BeyondMoi.com, freelance writer, and co-founder of Milk: An Infant Feeding Conference. Jessica lives with her family in the Pacific Northwest and co-parents her 7 daughters with her husband of 21 years.
 
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Pumping Basics Part 1- What The Experts Say To Do To Get Started Pumping Your Breastmilk

by Jessica Martin-Weber with Rene Fisher, IBCLC

This article made possible by the generous support of Ameda.

Ameda Finesse Double Electric Breast pump

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

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

Setting Up Your Pump

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

Determine Your Flange Size 

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

Beginning: Set Up

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

Beginning: Positioing

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

Beginning: Before You Start

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

Beginning: Turn Your Pump On

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

Beginning: Let Down and Expression

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

When To Pump

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

How Long To Pump

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

 

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

 

 

Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of BeyondMoi.com, freelance writer, and co-founder of Milk: An Infant Feeding Conference. Jessica lives with her family in the Pacific Northwest and co-parents her 7 daughters with her husband of 21 years.
 
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Child Passenger Safety and Feeding On The Go- Answers From a CPST

by Jessica Martin-Weber with Allana Pinkerton, CPSI
This post made possible by the generous support of Diono.

September is child safety month and we’re taking a look at safety and what we talk about most around here at TLB: feeding our kiddos. Many of us find ourselves needing to feed on the go, from a snack in the car to an entire meal between one activity and the next. 

Allana Pinkerton, a child injury prevention specialist, CPST/CPSI, and mom of two answered our questions on The Leaky Boob Facebook page Live Stream on what we can do to minimize risk when it comes to feeding our children on the go. A huge thanks to Diono in making this conversation with Allana possible.

Whether your child is 3 months old or 3 years old or 13 years old, it is very likely there will come a time when meal or snack time happens on the road. It probably goes without saying that the safest option is to not eat in a moving vehicle. But we all live in the real world and can’t just stay in a bubble so sometimes that’s just not possible so we’re looking at what we can do to make the mobile mealtime as safe as possible. Below are the questions we asked Allana and the Leakies.

When it comes to feeding our children on the go, when we’re in a moving vehicle perhaps on a road trip or having to grab something quick between scheduling commitments, what is important to keep in mind?

*Please note: for safety and to reduce distractions, the driver should never eat and drive.

  • A seat that is more inclined is not a safe option to have a child eat food. Solids shouldn’t be fed in a laying down position.
  • Nothing too hot.
  • When possible, have someone keep an eye on a very young child when they are eating in a moving vehicle. Determine if a mirror is a safe or distracting option for you.
  • Pick foods that are easy to swallow.
  • Avoid choking hazards- for babies and toddlers, nothing hard or like grapes and popcorn.
  • Foods that dissolve easily will reduce choking hazards (i.e. puffs and yogurt melts, etc.)
  • Contained foods that aren’t as likely to spill and get car seat straps wet.
  • Keep in mind, if you’re always eating in the car it may be time to reevaluate how much we’re doing.

Is there anything in particular we should avoid when it comes to feeding our children on the go?

  • Hard candies, even lollipops (a sudden stop could result in injury and/or choking).
  • Foods you know will be messy.
  • Foods that may damaging to your child’s car seat (sticky drinks, dairy, etc.).

What do we need to keep in mind when it comes to installing children’s seats? How can parents find a local CPST to help them?

  • Read the manual. If you’re unclear about something, call the manufacturer. 
  • Have your seat checked by a CPST and be sure they watch you install it and check your install as well, not just have them install it for you. Find one here.
  • Do not use after market products with your seat that are not made by or approved by your seat’s manufacturer (i.e. strap pads) as they could compromise the safety of your seat.

Breastfeeding in the car seat moving vehicle child passenger safety

Are there any safety concerns related to these breastfeeding or bottle-feeding a child in their car seat in a moving vehicle?

  • Propping a bottle for a child not yet able to hold their own is dangerous in that the child may be overwhelmed with the contents of the bottle and has a higher risk of aspirating. Have someone give the baby their bottle and be able to pay attention to them as they feed.
  • Keep in mind a bottle would become a projectile in the case of an accident. Use as small a bottle as possible.
  • Breastfeeding a child in a seat, even if the breastfeeding parent isn’t leaning over the seat, is a significant hazard in the case of a car accident as it places something in front of the child’s face. Physics tell us that in a crash objects (including a breast) will weigh their weight times the force of gravity of the crash. For example, a 30mph crash is around 20-25 G’s (force of gravity). Let’s say the breastfeeding parent weighs 140 pounds. Multiplied by 23 G’s (right in the middle) means 3,220 pounds. That’s the total weight of their body with the momentum of the crash. Their chest alone will weigh at least 1,000 pounds, if not more. Being positioned in front of or possibly over the baby to breastfeed, that’s a minimum of 1,000 pounds being dropped or slammed into the baby. Potentially crushing the child and injuring the parent. This all would be true even with a seat belt on the breastfeeding parent as the parent would not be positioned properly with a chest belt to restrain them from hitting their child in the case of a collision or sudden stop. (See more on this here.)

Feeding on the go means seats will likely get soiled, what do we need to know about cleaning our seats?

  • Never hose a car seat down, that can compromise not just the cover and straps but also the frame and internal materials.
  • Follow your manual’s instructions. 
  • Replace straps if webbing becomes soaked.
  • See these cleaning tips.

 

Allana Pinkerton is the Global Safety Advocate for Diono. She began her career in Child Passenger Safety as a National Certified Child Passenger Safety Technician in 2001 and advanced into the position of a National Instructor in 2002. In 2004, she founded a non-profit organization, Sit Tight, which provided education and free car seats to underserve communities.
As the Global Safety Advocate, she facilitates educating the staff, consumers and the media about car seats. Allana works closely with the marketing team, educating at consumer and industry trade shows, as well as writing blogs on CPS issues. She is called upon to work with engineering and product development team on current and new products. As Diono expands across the globe, Allana continues to expand her role assisting the Diono European and China teams.
Allana has two children, Max (12) and Andrew (20) who is ironically a race car driver. She has been married to Paul for 22 years and he still cannot install a car seat.
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*My Body* On Demand

by Jessica Martin-Weber

Content Note

This piece focuses on sexual assault and includes discussion and detailed description of birth including birth trauma, anxiety, and mention of sexual assault.


The sweet smell of a new baby was more intoxicating than I had imagined. My heart swelled every time I held her, I thought I had known love, this was even more. Joy, relief, peace, total contentment.

It had been a difficult pregnancy and an even more difficult birth. So often, most of the time, I felt completely out of control as though I had no say over my body or what happened to me. Spending hours and hours reading text books, reading personal accounts, absorbing all the literature I could on pregnancy and birth, I had taken advantage of every resources I could to be prepared. Long ago I had found that learning as much as I could about an experience I was facing helped me feel less out of control and more calm. It helped me to think rationally, ask informed questions, and make decisions that didn’t seem desperate. So I managed better than I expected with the sense of lack of control and autonomy. Reading and listening to the stories of others that had traversed the path of parenthood through pregnancy and birth before me, I understood that modesty might fly out the window, that decisions may need to be made quickly, that plans may need to be altered for life saving measures.

As a sexual assault survivor who was still processing and recovering, I saw a therapist regularly, journaled, and read materials on sexual assault survivors giving birth. It was important to me that my birth partner- my husband and my birth team be aware that I was a survivor and that consent was particularly important to me for any touching. We were all prepared.

But in the end it wasn’t the pregnancy and birth that brought anxiety flooding back for me as I became a mother for the first time. It wasn’t the incessant vomiting, multiple hospitalizations for hydration, the numerous failed IV placement attempts, the premature rupture of membranes at 32 weeks and the rushed amniocentesis without anything to numb the insertion of the largest needle ever to enter my body, the diagnosis of asymmetrical IUGR, the weeks of steroids, or the diagnosis of pre-e that made me feel that I had no say over what happened to my body. Even when we had to fight in the hospital for certain accommodations to help me relax in labor I didn’t feel out of control. And when an episiotomy was performed without my consent I was angry but at the time accepted it was necessary (it wasn’t but I made peace with it). Not even when my doctor shoved her arm up inside me to her elbow to manually scrape out my uterus and perform an extraction of my partially retained placenta when I was hemorrhaging, not even then did I feel that my autonomy was threatened.

It wasn’t until a few days later, at home, as my milk flooded my breasts making them hot and swollen and my baby suddenly was desperately and constantly in demand of my breasts that I experienced my first panic attack.

Feed on demand.

sexual assault survivor breastfeeding

I wanted to run away. I wanted to say no. I felt trapped and stuck and completely at the mercy of another human being.

Every time she rooted or fussed, her little mouth searching, I felt it wash over me.

Feed on demand.

Those 3 words were the sentence that thrust me back to when someone else had the control, the say, and all the power over my body. Their hands, their mouth, their fingers, their body probing mine and demanding what they wanted from me. I had no say, I was overpowered. And later, in another context, there was a charade of my own power but if I truly loved them, truly trusted them, I would give my body over to their demands, because that was what love did, even if it hurt. Love meant obligation.

Feed on demand.

But this was my baby. The greatest love I had ever known. And this wasn’t sexual, this was nurturing and caring, this was mothering.

What was wrong with me? Why did I feel like this?

Feed on demand.

This other person outside of myself had all the say over my body. She had the right to demand my body and I had to give it to her or I was failing in loving her fully and in giving her what she deserved. Her right to my milk was so much more important than my right to my body, what kind of mother would I be to deny her demands?

Feed on demand.

I loved her. I was obligated to her. I would do anything for her.

So I would expose my breast to her demanding mouth. I would draw her close through her demanding cries. I would try to control my reaction as her suck demanded my milk. I offered myself to her demands because she mattered more than me.

Feed on demand.

Utilizing breathing exercises I had practiced for labor and staring up at the ceiling as I ran through songs in my head trying to distract myself from the anxiety that clawed at my throat as she suckled at my breast. I got through weeks and weeks of feeds. Months. I was loving her, I told myself. Love required sacrifice, motherhood is full of sacrifices. I would meet her demands for my body because I loved her.

Feed on demand.

Mommy and Arden bfing hand kiss

Eventually it got easier for me. I didn’t stay stuck there and I even found feeding my baby to be a healing experience. As she grew our relationship developed and I could look into her eyes as I fed her, her contented sighs and complete trust helping my anxiety to subside. I’m sure oxytocin helped too. But personally, it was having the option to always say no by instead offering a bottle of breastmilk that helped me find the autonomy I had in saying yes too. It took time but slowly I was able to reframe what was happening.

I wasn’t losing control of my body to a demanding, controlling, abusive person in an imbalanced relationship that was causing me pain. No, my baby was dependent on me and powerless herself as an infant. I was choosing to respond to her and care for her needs.

I no longer saw it as feeding on demand but rather responsive feeding. Responding to her cues and cries for me, the safest person she knew. She was safe for me too.

Love is responsive.

Responsive feeding. Feeding with love.

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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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