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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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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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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Increasing Breastmilk Supply With Pumping For Milk Donation

by Jessica Martin-Weber and Dr. Pamela K. Murphy

This post made possible by the support of Ameda

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When my 4th baby was just a few months old, a friend of mine who had adopted a little girl from Vietnam asked me for breastmilk for her daughter. Her own milk supply was dwindling and after over a year of pumping after inducing lactation even before she had her daughter, her body was done producing milk and the effects of Domperidone had left her struggling with weight and energy issues. Initially they introduced formula but her daughter reacted with painful eczema head to toe. Convinced she needed breastmilk, my friend asked me to help her little girl.

Breastmilk truly is amazing and while many babies thrive on breastmilk substitutes, the healing nature of breastmilk is something that can’t be denied. We know it can help save lives, particularly the most fragile of our society. Giving breastmilk is giving the gift of life and health for another to thrive.

Milk donation gift ameda meme

I’ve always responded well to pumps, particularly if can hook up and get busy doing something else. But my supply was well established for my own baby and because I had a job that allowed me to bring my baby with me, I wasn’t pumping very much for her. I was more than willing to help my friend but I wasn’t sure how to get enough milk for two babies with my supply regulated for my one. I decided to see what I could do.

Having a tendency to easily develop over-supply and then have issues with mastitis, I knew I needed to be careful with this process. After talking with a couple IBCLC friends, I began to add pumping sessions to each of my existing feedings to slowly increase my supply and not interfere with my baby getting what she needed first. It worked so well that 2 years later with my 5th baby I intentionally increased my supply to donate to human milk banks and two other friends who had adopted little ones and with my 6th, as soon as my supply was established I began again for another friend’s baby and the Human Milk Bank Association of North America.

To get my supply up for those babies and to donate to a milk bank I started adding 10 minute pumping session to the end of my breastfeeding sessions. Then I started pumping one breast while feeding off the other. Two feedings a day I started increasing my pumping time to 20 minutes after my baby would finish which would be long enough to cycle through another let down. Sometimes this meant that I would pump with maybe just a few drips for 5 minutes or so or even without anything at all and then I would get another let down. The first feed of the day I always pumped one breast while my baby was on the other and in just a few days I had increased my supply so much I needed to pump into a large milk storage bottle. By 3 weeks I had added 2 full and one half pumping sessions in my day and by a month I was pumping one breast and feeding off the other 3 feedings a day (the first one in the morning was always my highest output) and then pumping 3 full sessions in between feeding my baby. By that point I was pumping enough milk in a day to completely supply another baby’s feeds and have some extra for back up. When I wanted to increase my supply again, I followed a similar pattern with extending my pumping times and adding a pumping session in the morning but it was adding an extra pumping session before bed that led to the morning pumping session to increase even more in just 3 days time.

Breastfeeding- Ameda

Here’s what I learned in increasing my breastmilk supply to donate:

Don’t focus on the output. The volume isn’t the point and it will take some time before you see it so focus on why you’re doing it, remember that babies don’t actually eat that much, and every single drop counts.

Baby helps. Your baby is your ally in increasing your supply. Skin-to-skin contact doesn’t just feel good and provide your baby with neurological stimulation that is beneficial for their development, it also tells your body to make milk. And if you can pump while they are feeding from the other breast, your body will be more willing to give up more milk.

Ask and it shall be given. Your body will give what it can when you ask it to. Unless you have some physiological barrier, if your body is asked for more milk, it will make more milk.

Hands-free. Pumping isn’t fun for most even it comes easily. Going hands-free can help free up your mind to focus on something else and help you feel more productive or at least entertained in the process.

Hands-on. It helps to be distracted but taking a little time with each pumping session to be hands on with some hand compressions at the breast (like a breast massage) can significantly increase your output and send the message to your breasts to make more milk. This video is an excellent demo of how to do so.

Be patient. The process takes time and responding to the pump may be an adjustment for your body. That’s ok. Don’t rush the process.

Wean off. When it’s time, whatever the reason (and please respect your boundaries and stop when you need to), wean off slowly. Supply increase is real and not draining the breast could lead to infection and mastitis is even worse than pumping so stop slowly.

Celebrate. This is hard work and it’s a sacrifice of love. Celebrate that. Celebrate babies getting human milk.

Not everyone is going to want to increase their supply to that amount for donate but every little bit helps. You may not be able to add so many pumping sessions to your schedule but you still want to donate. If you choose to donate, do what you can and resist the urge to compare with others. Every single drop really does count.

Dual pumping- Ameda

So you want to get started increasing your supply to donate, Dr. Pamela Murphy, PhD, CNM, IBCLC shares with us some helpful information and tips to get you started:

Will pumping to increase supply take milk away from mom’s own baby?

Not if you pump after breastfeeding or in the middle of a long period when your baby isn’t breastfeeding (like a long nap). If you are trying to stock up some extra milk for when you are apart from your baby or to donate, pump 1-2x a day after breastfeeding or in the middle of a long sleeping stretch. Your body will start to make more milk to meet your new demands, just like when your baby goes through a growth spurt and breastfeeds more. This cluster-feeding helps increase your milk supply! Just keep in mind, be patient, it can take a few days to see your milk supply increase.

How do our bodies just start making more milk when we start pumping more?

Hormones! The more often you drain your breasts of milk, the more milk they make! Breastfeeding and pumping stimulates the release of prolactin, a hormone that increases your milk supply. Isn’t is amazing how nature works! Check out this quick video to learn more.

Should moms take medication, herbs, or eat certain foods to increase their supply for donation?

Normally you do not want to take anything to increase you milk supply unless you have to. Very few moms need to take anything to increase their milk supply if they are draining their breasts often. Medications, herbs and foods that help increase milk supply are called galactogogues and work by increasing the hormone, prolactin, which helps your body make breast milk. If you decide that you want to try to increase your milk supply to donate more milk, talk to your healthcare provider or lactation consultant to figure out what galactogogue might work best for you. Keep in mind that galactogogues can cause side effects, health complications or allergic reactions for you or your baby. And most milk banks won’t accept milk from a mother on certain medications, including herbs used to boost supply. If you are donating to a family directly, be sure to disclose if you used any herbs or medications to increase your supply so they can make an informed decision. Here are some additional tips about your diet while breastfeeding.

What kind of pump should moms use? What should they avoid? 

Once you have established your milk supply use a quality double electric pump like the Ameda Purely Yours. It really depends though, every woman is different and responds differently to different pumps. Some actually prefer hand expression and get more milk that way but most will do better with a double electric. A single pump or hand pump may make it harder for you to keep up with your pumping schedule since it will take longer to drain both breasts at the same time. Here is some more info about choosing the right breast pump for your situation.

How to store milk intended for donation?

Check with your milk bank to see if they have special guidelines. Some general guidelines are to always use clean pump parts and wash your hands. Collect your milk and store in either a bottle or milk storage bag. Do not store milk from more than one pumping session in the same bag. Here is some additional information about pumping and storing your pumped milk.

Anything else to keep in mind regarding being a milk donor? Even if you cannot produce enough to donate remember that milk banks are always looking for volunteers. You can still do you part to help babies! If you are a social media user, follow non-profit milk bank accounts and share and interact with them, believe it or not this is an excellent way to raise awareness and increase the number of women who donate when they become aware of the need. Find a milk bank near you.

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Are you a breastmilk donor? How did you get your supply up? What tips would you add to our list to encourage other donors-to-be?

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Pam headshot- Ameda

Pamela K. Murphy, PhD, MS, CNM, IBCLC has worked with birthing and breastfeeding families for more than 15 years. Her lactation practice extends from the preterm/high risk infant to the healthy newborn both in the inpatient and outpatient settings. She has published research on pregnancy, nutrition and lactation in peer-reviewed journals including Breastfeeding Medicine, JAPNA, the Journal of Midwifery and Women’s Health and Advances in Neonatal Care. She is shown here with her once breastfed & beautiful daughter Audrey.
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Four Things I Wish I Had Known About Storing Pumped Breastmilk

Pumping isn’t a small task, it can be a huge part of our lives as mothers and take a lot of work. Any tips and tricks to make it easier and ensure that not one precious drop of our liquid gold is lost can go a long way in helping moms reach their feeding goals. The Leaky Boob got together with Evenflo Feeding and came up with four tips we wish we had known about pumping and storing breastmilk when we first got started in our infant feeding journeys. For more on safe-handling and storage guideline protocols, go here.

Here our 4 of our favorite tips:

Evenflo breastmilk storage bag adaptors

Evenflo breastmilk storage bag adaptors

Evenflo breastmilk storage bag adaptors

Evenflo breastmilk storage bag adaptors

That 4th tip inspired the new Evenflo Breastmilk Storage Bag Adaptors which fit most standard pumps. Save time and clean up by pumping directly into your breastmilk storage bag. Having a reliable way to skip a step in your pumping can be a sanity saver. Check out the Evenflo breastmilk storage bag adaptors to simplify your breastfeeding and pumping journey.

 

 

To help you reach your feeding goals, we’re giving away 50 pair of these newly released adaptors! We’re partnering with Evenflo Feeding to support you in your journey, #LetLoveFlo.

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For a chance to win your own set of Evenflo Breastmilk Storage Bag Pump Adaptors,, use the widget below:

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Safely Express and Store Your Baby’s Breastmilk- Guidelines For Parents

by Jessica Martin-Weber

This post made possible by the generous partnership with Evenflo Feeding, every baby’s advocate and every parent’s ally.

Evenflo Feeding Every Parent

 

Whatever your reasons for expressing your milk, having your milk wasted in any way is like a punch in the gut. Whether it is spilled, left out, too much served and the extra thrown out, or it has spoiled, seeing breastmilk go to waste is enough to bring even the toughest Leaky mom to tears. While accidents happen there are ways to prevent such a tragedy with safe handling and proper storage practices. We’re here to help with that.

Breastfeeding moms cry over spilled milk.

It is bound to happen, for sure. Slippery bottles, floppy bags, too full containers, whatever it may be, if you express your milk long enough your going to have your fair share of spills and mishaps. I’d love to be able to wave a magic wand so no mom has to experience the agony of seeing her milk spilled on the counter but since we can’t do that, we’ll give you some tips and guidelines for avoiding other unnecessary causes to pouring liquid gold down the drain.

Below, find protocols and guidelines for breastmilk and tips for practical application plus some lessons learned the hard way. (Information gathered from the CDC; Human Milk Bank Association of North America; Office on Women’s Health, U.S. Department of Health and Human Services; and the Academy of Breastfeeding Medicine Clinical Protocol #8 Human Milk Storage Information for Home Use for Full-Term Infants.)

Breastmilk Expression and Storage Safe Handling

  • To prevent contamination, wash hands with soap and water before expressing or handling breastmilk. Unless you are aware that your breast has come into contact with some contaminates, it is not necessary to clean your breast prior to pumping as breasts are self-cleaning.
  • Collect and store milk in clean containers such as bottles with screw caps, double zip-style bags designed specifically for breastmilk (like these), or trays with a sealing lid. Bags not designed for breastmilk storage may easily spill or potentially contaminate the breastmilk.
  • Label all stored milk with the date, if sending to child care provider, include your child’s name to prevent mix-up.
  • Cool freshly expressed milk prior to adding to previously refrigerated expressed milk to prevent rewarming and potential bacteria growth.
  • Do not add milk to already frozen milk within a storage container.
  • Store milk in small amounts to prevent waste.
  • Leave room for milk to expand when freezing.
  • Breastmilk is safe to be frozen best if frozen fresh, optimally after up to 3 days in refrigerator, 12 hours in cooler bag with freezer pack, ok after 5 days in the refrigerator or 24 hours in cooler bag with freezer pack; smell milk to ensure freshness before freezing.
  • Store milk in the back of the freezer where temperatures are more consistent.
  • Milk that is partially defrosted but still has ice crystals can be refrozen.

Breastmilk Safe Temperature Storage Guidelines

  • Room temperature*: 3-4 hours optimal, 6-8 hours acceptable if very clean  *(60-77° F [some say up to 85° F], 16-25° C [some say up to 29° C])
  • Cooler bag*: 8 hours optimal, 24 hours acceptable if very clean (please note, some studies show that a freezer pack keeps an insulated cooler at food safe temperatures for no more than 2 hours)  *(up to 39° F, 4° C.)
  • Refrigerator*: 72 hours optimal, 5- 8 days acceptable if very clean  *(up to 39° F, 4° C.)
  • Freezer within refrigerator*: 2 weeks maximum.  *(up to 5° F, -15° C.)
  • Freezer attached to refrigerator*: 3-6 months optimal, 12 months acceptable.  *(up to 0°F, -18°C.)
  • Deep freeze*: 12 months.  *(up to -4°F, -20°C.)

how long can I freeze breastmilk

Tip: If you’re not sure your milk is still good, you can always smell and taste your milk for freshness. Spoiled milk has a very distinct odor and taste. Most of the guidelines are to minimize the degradation of milk. It is possible your milk may vary slightly from these guidelines or that your milk will have not spoiled but the composition may have begun breaking down. The simplest way to prevent feeding your baby spoiled milk is simply to smell and/or taste it.

Breastmilk Defrosting and Feeding Safe Handling

  • Defrost only amount needed
  • Fresh is best, use oldest milk in the freezer or refrigerator first to not let milk go to waste.
  • Safely defrost frozen milk in the refrigerator, running under warm water, or setting in a bowl of warm water. Do not microwave as this damages milk and creates dangerous hot spots due to heating inconsistencies.
  • Gently swirl or shake defrosted milk with the lowest amount of force possible to mix fat that likely separated (please note, shaking milk has been discouraged to prevent breaking down the protein molecules, however, this has been debunked, here.)
  • Do not save milk from a used bottle to use at another feeding more than 1-2 hours later, doing so risks the growth of bacteria from pathogens introduced by the baby during the feeding and the milk composition may be altered.
  • Milk that has been defrosted has a lessened ability to inhibit bacteria growth, milk that has been thawed for over 24 hours should not be left out at room temperature for more than a couple of hours.
  • Optimally, defrosted milk should be used within 24 hours of thawing, this may change based on when the milk was initially frozen after expression.

Additional Tips For Breastmilk Storage and Handling

My friend Amy Peterson, IBCLC and coauthor of Balancing Breast and Bottle, shared this golden nugget of a breastmilk storage tip with me. Before you start building your freezer stash, express some and put it in the fridge. After 24 hours, smell it. Then with freezing. Storage effects the smell of the milk if there are lipase or mineral oxidation issues. Before stockpiling, perform smell tests after refrigeration, and after freezing/defrosting. There are options for milk storage if there is high lipase or mineral oxidation issues but you need to know them before freezing to avoid having to toss a freezer full of milk due to such problems. *Note: high lipase or mineral oxidation is different than spoiled. Spoiled has a very sour odor and taste, high lipase is usually described as soapy tasting, and mineral oxidation as metallic or astringent. 

How much you need in the freezer depends on your needs and why you’re freezing your milk. Your “freezer stash” doesn’t need to be huge, having just what you need at least lowers the risk of crying over milk defrosted due to the freezer becoming unplugged, power outage, or just a tragic freezer death. See this article to determine what you need in your freezer stash and why.

Get comfortable and familiar with your pump before baby comes if you can and check out these tips for maximizing breastmilk production with pumping.

Take your time when handling breastmilk. That can be challenging to do with a hungry or demanding baby but most mistakes that lead to spills are caused because we’re hurrying. Slow down, this free-flowing precious commodity takes handling with care. Don’t lose a single drop.

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What are your tips for safe handling and maximizing your breastmilk expression?

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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 co-creator of OurStableTable.com, 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 and a children’s book.
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My Journey As A First Time Mom; a #MyStoryMatters Leaky Share

by Kelly Warner

guest post, leaky to leaky

Meet Samuel. This is my rainbow baby, who we welcomed with joy in January, 2014. After struggling with infertility for 5 years, my doctor in Houston told me it was unlikely that we would ever conceive. When we moved to St. Louis we started seeing a fertility specialist, who discovered a few factors that were either keeping us from getting pregnant or not allowing us to sustain pregnancy (an underactive thyroid, being a carrier for MTHFR and either not absorbing folic acid well or clotting after conceiving, and low progesterone). Once we addressed those issues we got pregnant right away, which was so encouraging after having our arms ache to hold a child for years. Unfortunately, we miscarried at 9 weeks and would later miscarry a second time at 6 weeks.   We were in a very dark place but continued to trust God with our fertility. A few months after our second miscarriage we found out we were pregnant again. 40 weeks later, after a snowstorm and before another one shut down the city for a week, our sweet Samuel Bennett was born!

I was so focused on maintaining a healthy pregnancy and having a natural birth that, admittedly, I didn’t educate myself on breastfeeding. Our Bradley Method instructor encouraged me to attend LLL meetings while pregnant to meet other like-minded moms, but I didn’t make it a priority to go. I knew that I wanted to breastfeed for a minimum of 12 months and had hoped that I would be able to make it for 2 years, but I figured I would have the baby first and then it would just naturally come to me. You know, because so far my story has been so natural and easy that it makes sense that I would just figure it out.

We had a beautiful natural birth and our nurses were great about immediately putting Samuel on my breast and delaying all newborn procedures until we had time to bond. He didn’t latch right away but found comfort sleeping on my chest. (In his defense, he did have a pretty long and intense birth that included 4 hours of pushing, his cord wrapped around his neck twice, and the threat of a C-section before I pushed so hard I broke my tailbone and his head came out before the doctor was even suited up to catch him). I kept trying to get him to latch and had just about every lactation consultant and nurse helping too. We were adamant about not using bottles, sugar water, or formula, so when he started showing signs of dehydration, we all panicked. The LC informed me that the combination of my flat nipples and large breasts were making it difficult for Samuel to latch and she recommended we use a breast shield. I was a nervous first time mom, who just wanted her baby to eat, so I took her at her word and began using the shield. I have since come to learn that there are absolutely medical situations that warrant the use of a shield . . . but mine was not one of them. Samuel began “latching” and getting colostrum, but it was so frustrating, painful, and messy for me. Worried that I would give up with breastfeeding, the LC convinced me to rent a breast pump to take home, pump my colostrum, and feed with bottles until my milk came in. Although she unnecessarily encouraged me to use a shield, I have to give her credit for pushing breastfeeding. She showed me how to use the pump and was shocked when I pumped 2 ounces of colostrum in a few minutes. At the time I was super confused why she was all giddy (and felt the need to show my liquid gold to everyone working in the maternity ward) but have come to learn that colostrum is not typically measured in ounces. That gave me hope that I was going to be able to feed my baby – it was just a matter of figuring out how.

My milk came in a few days after we got home from the hospital and my already large breasts became so engorged I didn’t know what to do with them! Seriously, they practically had their own zip code (38-K)! I had a serious oversupply problem and a fast letdown that Samuel did not find nearly as amusing as my husband and I. He’d pull off the breast and get super-soaked in the face or just grimace as a stream of milk shot halfway across the room. I guess when you’re an exhausted new mom you find the humor in anything, because everything else is just so, so hard!

We continued to use the nipple shield but struggled. I can’t tell you how many times I wanted to quit. Thankfully, my husband knew, deep down, I didn’t really want to quit and I just needed to be encouraged to continue. He was up at every diaper change and night feeding with me, sitting at my feet, praying for me. I remember one time in particular: It was 2am and I was exhausted from nursing Samuel around the clock during a growth spurt. My husband and I got up to feed him and I burst into tears when Samuel latched and I felt the “60-second sizzle.” I said I didn’t want to mess with the shield anymore and that I just wanted to feed my baby. He comforted me in that moment and said he had read that night feeding was a good time to try to wean off the shield. So, figuring it couldn’t get any worse, we took off the shield, and together, we re-latched Samuel. I’m talking, all 4 of our hands were trying to hamburger my nipple so Samuel could latch! There were more tears (by me) and more words of encouragement (from the hubs), and finally Samuel latched! This was such a small thing but felt like such a big breastfeeding victory!

I continued to pump out a few ounces before EVERY feeding to soften my breast tissue so he could latch better. It was really annoying to be tethered to my pump and time-consuming to have to constantly be cleaning out pump parts (and during the winter, which made my hands crack and bleed), but it was worth it to be off the shield and begin having a successful nursing relationship with my son. Plus, it allowed me to build up a good stash of breast milk that I donated to my friend to give to her adopted newborn.

By the time Samuel was 6 months old my supply had finally regulated. It was so freeing to be able to feed on demand and not have to pump first. Samuel was healthy and happy and in the 50th percentile for his weight, and an added bonus was that he was a really good sleeper! Shortly after he turned 7 months old, however, he started waking up multiple times at night to nurse. We brushed it off and assumed he was just teething or going through a growth spurt, but it continued for weeks. I called my pediatrician and asked her why she thought his sleeping pattern changed suddenly. We ruled out ear infections, viruses, the Bubonic Plague, and continued to be dumbfounded . . . until my ped asked if it was possible that I was pregnant. I probably offended her for laughing so loud on the phone, but, come on! Me? Pregnant? I mean, sure, it was a possibility I could be pregnant, but I was exclusively breastfeeding, had not introduced solids, and remember how it took the stars aligning for me to have a healthy pregnancy with Samuel? I hung up the phone, dug out an expired pregnancy test from the Dollar Store, and took the test . . . and then proceeded to take another 3 before I believed my eyes! I told my husband and he didn’t believe me, so he went to the pharmacy and bought the most expensive digital pregnancy test . . . which told us the same thing the 4 tests prior did, only in words instead of hieroglyphics. I. Was. Pregnant!

guest post, leaky to leaky, pregnant photo

Once the initial shock settled we were thrilled for our news, but clearly my milk supply had already begun to decrease. Ahhhh the irony! My ped suggested starting a supply-boosting supplement that was safe while pregnant, but cautioned that it was likely we would need to supplement with donor milk or formula. Having just donated all of my pumped milk to my friend for her adopted baby, we were forced to supplement with formula. We chose the only organic formula that we can buy locally and hoped that it would be palatable. Only, Samuel wouldn’t take it. Clueless about what to do, I emailed Jessica from The Leaky Boob for advice and was so humbled that she took the time to answer me. She encouraged me to get a Supplemental Nursing System (SNS) to keep stimulating my breasts to produce milk while getting Samuel the supplementation he needed. He had lost so much weight he dropped to the 5th percentile, so we were ready to try just about anything. All I can say is using an SNS is like trying to juggle flaming arrows while blindfolded! I feel it apropos to high five any mom that has successfully nursed with an SNS. First off, that thing is impossible to set up alone (thankfully my husband is really supportive of me breastfeeding). Secondly, the tape that is supposed to keep the tube in place is worthless! Thirdly, my son was so offended that I was trying to sneak that tiny plastic tube in with his latch. Needless to say, we gave up.

After giving up on the SNS we tried to introduce a bottle. By this time Samuel was close to 9 months and had only had a bottle when I pumped my colostrum the first few days of his life. If he was offended about the SNS tube, he was not having the bottle either. We must’ve bought one of every brand of bottle on the market only to find out he would rather starve. We tried syringes, medicine droppers, spoon-feeding, sippy cups, open cups and this kid was not impressed. The only thing that he took a liking to was a straw – and not a sippy cup with a straw because that’s far too juvenile for a 9 month old – a straw that you, a grown adult, would get at a restaurant. He’d sip on the formula throughout the day but never really had a “feeding” like he would with breastmilk. We sneaked it in smoothies, made popsicles, and just about anything to get that kid to drink milk.

Keep in mind I’m still pregnant through this . . . I’m tired, hormonal, my nipples are sore, and I’m nauseous! I lost 10 pounds from throwing up and not being able to eat food while pregnant and still nursing Samuel. Those days were ROUGH! I kept telling myself that, “This, too, shall pass.”

We found our rhythm and made the most of our cuddles and nursing sessions until Samuel started throwing fits when I offered him the breast at nap-time or bed when he was 13 months. After a few days of us both crying at every feeding, I assumed he was no longer interested in nursing and wanting to wean. I stopped offering it and we just, kinda moved on. Looking back, I honestly believe he was having a nursing strike from being frustrated from having to work so hard to get any breastmilk.

In May we welcomed our daughter, Felicity Claire, into the world. Once his sister was born he started showing interest in nursing but it was as if he had forgotten how it all worked. He constantly talked about my “ba-ba’s” and wanted to touch them for his sister’s first month of life. 4 months later, he asks for milk at bedtime and smells and touches my breasts asking for more. It breaks my heart that I likely cut our nursing relationship short, but I am glad we were able to overcome so much and still make it 13 months.

guest post, leaky to leaky

So far, Felicity nurses like a champ and I feel so much better prepared this time around. While I wouldn’t wish my struggles with breastfeeding on anyone, I am glad I had to persevere through them. Not only did it show me how much support I have, but it highlighted how important a good support system is for breastfeeding. I hope that other moms find support to help them reach their breastfeeding goals and that my story encourages them in their journey.

____________________

guest post, leaky to leakyKelly is a mother of two from St. Louis, Missouri, who lived a good chunk of her adult life in Houston, Texas.  She and her hunk of a husband struggled with infertility for 5 years and had multiple miscarriages before having their first child in 2014.  Prior to starting a family, she taught 7th grade life science at a college preparatory charter school for low-income, minority students in Houston.  When she’s not nursing her 5 month old or telling her 21 month old to stop throwing balls at his sissy’s head, Kelly enjoys hanging out with her husband, binge-watching Gilmore Girls, and writing music.  Despite many struggles with breastfeeding, Kelly nursed her son for 13 months; 6 of those while pregnant with her daughter.  In addition to being passionate about breastfeeding, Kelly loves baby wearing, cloth diapering, staying up to date on car seat safety, and having grandiose dreams of being a midwife someday. In the meantime she’ll stick to chasing her sports-nut toddler around the neighborhood and hoping that she remembers to put her boob away before answering the front door.  

 

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Lactation Snack Station Biscuits

by Carrie Saum

Shortcake

When I pumped exclusively for eternity 21 months, I felt hungry pretty much all the time.  Rarely would a two hour window window pass without food needing to make it’s way into my mouth.   I often forgot to grab a snack before I sat down to pump because pumping and babies/toddlers just don’t mix.  Add the lactation fog that overtakes the mommy brain, and you have a recipe for a one hangry lactating lady.

I tried to get in the routine of filling my water and grabbing a snack. But I was forgetful and typically remembered exactly 30 seconds after hooking myself up to a pump for the next lifetime 20 minutes.  After only 8 months, I realized I could do something about this particular problem.  All I had to do was think ahead for a few days at a time and put some snacks at my pump spot and in my pump bag.

But that also meant I had to actually prepare a snack.  Because as much as I love trailmix and coffee, I needed a little more sustenance.  And to be honest, I needed something to look forward to because pumping exclusively is EFFING HARD.  That’s another post, though.

I tried a few different options to get a decent ratio of carbs:protein.  I also needed every single milk booster I could get because my body wanted to quit making milk right around month eight, but my son’s unique health required me to keep going.

I started tinkering with foods that would fit the bill, and could also be stored at my Lactation Station. (Yep, I named the place where I stored my extra water, snacks, nipple cream, coconut oil, homeopathic stress relief remedy, and positive thoughts.) The snack also had to be allergen-friendly because TED was my constant companion for over a year.  It wasn’t ideal. It was pretty awful actually.  But it helped my baby begin his long healing process to severe food allergies, and I discovered I’m gluten-intolerant in the process. (Damnit.)

One of my favorite foods to munch while pumping were these tasty biscuits.  One was totally satisfying and helped me lose the pumping hanger I fell prey to all too often. They were easy to transport, share, and eat on the go.  Plus, they tasted phenomenal with some strawberries and whipped cream.  I’M JUST SAYING.

Ingredients:

  • 2 cups sliced strawberries
  • 2 cups blanched almond flour (I use Bob’s Red Mill)
  • 2 eggs*
  • 3/4 cup butter, cold and cubed, or melted coconut or avocado oil
  • 1 scant cup tapioca or cassava flour (wheat flour can be substituted)
  • 2 Tbsp raw honey, or other sweetener
  • 2 tsp apple cider vinegar (omit if using egg replacer)
  • 1 tsp vanilla extract
  • 1/2 tsp sea salt
  • 1/2 tsp baking powder
  • 1/2 tsp nutmeg

*If you want to make this egg-free, go for it!  This can also boost your milk supply. To replace two eggs, I used 2 Tbsp ground flax seeds, 3 Tbsp water, 1 Tbsp apple cider vinegar.

Directions:

  1. Combine the almond flour, tapioca flour, baking soda, salt, and nutmeg in a medium mixing bowl.
  2. Add butter to the flour mixture and cut into flour until the butter is in tiny pieces. Or go easy on yourself and whisk in oil.
  3. In a small bowl, combine eggs (or egg replacement), vanilla extract, apple cider vinegar, and honey.  Whisk until fully incorporated.
  4. Add egg mixture to flour mixture and stir until barely combined.
  5. Spoon mixture onto a parchment paper-lined baking sheet and smush with your hand, or bake in lined muffin tins.
  6. Bake at 350 degrees for 18-20 minutes.
  7. Remove from oven and dust with a *tiny* bit of raw cane sugar. (optional)
  8. Allow to cool for 15 minutes before eating, and cool completely before storing in an airtight container.

ShortcakeBiscuits

Pile with strawberries and whipped topping of your choice for an extra special treat.  Dip them in chocolate or your hopes and dreams.  Or you can just eat them and keep the lactation hangries at bay. Your choice.  Either way, you lactating mamas are my heroes.  Keep on pumping!

Happy Milk Making,
Carrie

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

_________________________

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

_________________________

CarrieHeadshot

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

by Wendy Bell, CLE
Editor’s note: A big thanks to Snugabell for their support of TLB and all breastfeeding women; please be sure to take a moment to thank Snugabell on their Facebook page  for their show of support! You can also follow Snugabell on Twitter and Instagram: username @snugabell. Be sure to check out their special at the end of this article.

 

Breast pumping tips Snugabell PumpEase

 

One thing we know about pumpin’ mamas is that they love to share. They share their experiences. They share their wisdom. Heck…sometimes they even share their milk.

Pumps themselves can be safely shared, provided they’re the right kind. Be sure to know the difference before giving or receiving a previously-loved pump!

The two types of pump are open system and closed system.

Open system allows the milk to come into contact with the internal workings of the pump. This makes the pump impossible to sterilize, and thus not an option when it comes to sharing. Closed systems, on the other hand, can be shared safely, provided that each mom has their own set of tubes, flanges, and collection bottles.

As an added benefit to closed system pumps, they will also prevent expressed milk from coming into contact with impurities drawn in from the surrounding air.

So feel free to accept or pass down that closed system pumps though it is important to note that not all closed system pumps are FDA approved for multiple users. It’s a great way to save money on one of the pricier items on the average registry and each mom can make it her own with a personal set of accessories (maybe including a PumpEase and stylish wet bag or two to keep it all together!) and though most insurance companies now days are required to cover a breast pump with each pregnancy, the loopholes and red tape can make that challenging. So for those that need a pump and can use a friend’s closed system or even for those that would benefit from having two pumps (full time work out of the home moms, like having double the parts, having double the pumps can really simplify things and reduce the chance of being stuck should one break or even of causing damage by regularly transporting it) can be a huge help.

PumpEase, Snuggabelle, Closed System to Bust

To celebrate their SUPER exciting collaboration with Destination Maternity and A Pea in the Pod, Snugabell is sending PumpEase customers one of their fabulous Wet Bag absolutely FREE.  Details hereThe PumpEase design will securely hold your pump in place and is guaranteed to accommodate any breast pump on the market. The PumpEase bra like the one shown above makes multi-tasking a breeze for busy moms. Visit www.snugabell.com for more information about PumpEase.

 

Breast pump
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Pump Like a Pro – The 300 Hour Rule



by Wendy Bell, CLE
Editor’s note: A big thanks to Snugabell for their support of TLB and all breastfeeding women; please be sure to take a moment to thank Snugabell on their Facebook page  for their show of support! You can also follow Snugabell on Twitter and Instagram: username @snugabell. Be sure to check out their special at the end of this article.

 

Breast pumping tips Snugabell PumpEase

 

Just like any of the other mechanical doodads that we rely on day-to-day, a breast pump is not built to last forever. As a general rule, you should be able to expect about 300 hours of active use out of a good, high-quality pump. Now before you worry too much, keep in mind that if you’re pumping for around 15 minutes each sitting, your 300 hours should still get you well past the 1,000 session mark.  Think of all that milk!

If you’re an especially active pumper, are using the same pump through multiple babies, or have inherited a pump that already had some mileage on it, keep alert for warning signs like poor suction, a straining motor, or what seems like an unexpected dip in supply. These could all be indicators that your pump is reaching the end of its life and could stand to be tested by a pro (a local lactation consultant might be able to take a look for you).

Regardless, wherever your pump is in its lifespan, make sure it’s working properly and take steps to resolve any issues right away.  Your milk is too precious not to!

 

300 hour breastpump rule

To celebrate their SUPER exciting collaboration with Destination Maternity and A Pea in the Pod, Snugabell is sending PumpEase customers one of their fabulous Wet Bag absolutely FREE.  Details hereThe PumpEase design will securely hold your pump in place and is guaranteed to accommodate any breast pump on the market. The PumpEase bra like the one shown above makes multi-tasking a breeze for busy moms. Visit www.snugabell.com for more information about PumpEase.

 

Breast pump
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You Are Gold — A Letter To My Son’s Milk Donor

Dear Allison,

Thank you for giving my son life.

ThrivingOnDonorMilk

My unlikely squishy baby.

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

Thank you.

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

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

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

LastDonorBottle

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

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

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

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

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

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

You said no.

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

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

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

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


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