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7 Risks To Feeding Your Child- You’re Screwed No Matter What

June 13, 2014 by 2 Comments
by Jessica Martin-Weber

 

risks to feeding children

You have a kid?  Congrats!  What should you feed them?  Trying to decide?  Weighing all your options and carefully assessing the risks?  Great!  You should do that.  Also, you’re screwed no matter what you do.  In 15 years of parenting 6 kids, having both breastfed and formula fed, and gone through phases in nutrition standards (yeah, there was a period with lots of Hamburger Helper and soda pop at each dinner and then a period of only organic, homemade, but most of the time somewhere in the middle), I have found that the “right” way was not only subjective but also highly circumstantial.

That there are some actual risks associated with formula feeding and breastfeeding is undeniable, if heavily debated.  Risks such as possible lowered natural immunity and increased chance of ear infections with formula feeding or risks of mastitis and dietary sensitivities with breastfeeding.  Nothing in life comes without risks.  Yep, you’re facing being screwed or screwing up your kids no matter what you do!  As parents all we can do is try our best to mitigate the risks our children face without putting them in a bubble.  There’s risk to that too, what with BPA concerns, the possible damper on social skills development, and the need for oxygen.  May as well let them live in the big bad scary world.  Carefully weighing all the possible options, doing personal research, and making the best informed decisions we can according to our personal circumstances and resources means we have to learn to live with some risks.  Regardless of how you feed your child, there are risks you face no matter how carefully you studied, planned, and executed your decision.  Be it breastmilk straight from the tap, pumped breastmilk, donor milk, or formula and then eventually, before you know it, store bought baby food (organic or not), homemade baby food (organic or not), or baby-led solids, followed by McDonald’s Happy Meals, Whole Foods shopping carts, homemade, or homegrown; there are a few unavoidable risks to feeding your child.

  1. There will likely be times you question yourself.  Is this really necessary?  Am I doing it right?  Am I doing it wrong?  Am I stressing out about nothing?  Have I ruined my child for life?  Has my child ruined me for life?  The answer to all these and more is: probably.
  2. There is little doubt that new information will come out that you have, in fact, made the wrong choice.  Those organic apples weren’t actually organic, breastmilk can have toxins in it (have you had yours tested?!), formula used an unnecessary ingredient now deemed dangerous and cancer causing, the baby food company didn’t list all the ingredients they actually used, artificial colors not only suck the actually cause two horns and a tail to grow on some kids… whatever it is, there will be something that’s bad about the choice you made.
  3. Your child will grow to like junk food.  Like moths to the flame, little kids love toxic laden junk food, the more carcinogens the better.  Try as you might, they will discover the joys of foods you’d rather they not consume thanks to a grandparent, a little friend, a mother more lazy and uninformed than you (admit it, you have been judging her and she knew it), or more likely, daddy. And they will, at some point in time, eat something disgusting off the ground or the floor of your minivan.  They will also pick their nose and eat it.  They will lick something that will make you gag.  No matter what you do to cultivate their palate to make discriminating food choices, they will be drawn to the junk and you will wonder if it ever even mattered.
  4. The growth chart will scare you.  Too big, too little, too average, whatever it is, you’ll probably have at least one appointment with your child’s doctor that will make you concerned about your child’s growth pattern.  Because if there’s anything that can be truly charted, it’s that kids are predictably unpredictable.
  5. Statistics aren’t guarantees.  All the scary stuff that isn’t supposed to happen/is supposed to happen based on how you’re feeding your child doesn’t come true.  The proverbial “they” said if you feed your child “this” way they won’t get sick, or that’s what you understood anyway, and yet you’re wiping green snot off your child’s face every day for months.  And someone is bound to point this out to you, trumpeting how their kid is never sick.  Immune systems can be such ignorant traitors clueless on the what all those studies say.
  6. You will be judged.  Pull out a breast or bottle to feed your baby and watch the judgment fly.  Too long, too brief, too-not-what-they-did.  Bad mom, exhibitionist, endangering your child, endangering other people’s children (their poor eyes may see the choice you’ve made and confuse them!), pouring toxins into your child, doing that in public, you name it, judgment will come from all directions no matter what you do.
  7. You can make yourself crazy.  Trying to do it perfectly right could be exactly what drives you over the edge of sanity.  A very real risk.

And if you think it’s bad when they’re infants, just wait until your child is begging for cheetos and refusing the organic avocado and kale chips at playdates.  No matter how you feed your children as infants, they will someday inevitably grow into toddlers eating their own boogers (and sometimes those of others), tasting dirt on the playground, sucking a sucker they found on the floor of the public bathroom, and licking the railing at a public park.  The good news is, most of the time they really are going to be just fine even though.

Breast or bottle debate humor

Which is why it’s a good thing we don’t feed our children for others.  Good luck!  Whatever you do, there are risks.  This is just one aspect of parenting, have confidence, there are even bigger risk you face in this journey.  Go on, feed your kids, take a deep breath, and take the risks as they come.  You’ve got this.

Filed Under: baby, baby-led weaning, Bottle Feeding, Breastfeeding, Breastfeeding and society, breastfeeding humor, child led weaning, family, Featured, humor, motherhood, Parenting, toddler Tagged With: , , , , , , , , ,

9 Reasons you may be uncomfortable with seeing breastfeeding

May 29, 2014 by 11 Comments
by Jessica Martin-Weber

 

*Please note this article utilizes satire and sarcasm with humor.

Photo from Instagram user Jeniholland.

Photo from Instagram user Jeniholland.

We’re well into the 21st century yet breastfeeding appears to still make many people uncomfortable.  I keep hoping those individuals that get upset about the biologically normal way to feed a baby are really a rarity but, unfortunately, it still seems to be a hot button issue.  Regardless of how a woman is most comfortable feeding her baby, be it uncovered at the breast, covered at the breast, a bottle of expressed breastmilk, or a bottle of formula, plenty of people are uncomfortable witnessing a woman feeding her child and any form of breastfeeding seems to especially elicit vocal expressions of discomfort from others.  I identified 9 reasons people may be uncomfortable seeing breastfeeding be it on social media or in person settings and tried to offer some solutions in overcoming what is essentially a discomfort about babies being fed.  And that brings us to our first point:

  1. Agism.  Breasts aren’t the issue for you, nope.  You just don’t think babies and small children have the right to eat in public.  Or you think that every. single. time they do eat the experience should be charged with connection and intimacy between that child and their care-giver, staring deeply into each others’ eyes approximately 8-24 times a day and not witnessed by anyone else.  Those babies, they need to keep that stuff happening in private!  And yes, a baby or the needs of a small child should actually come second to your own personal comfort about what you witness.  Older people, that’s a totally different story, they can eat when they need to eat and for the most part, where they need to eat and how they need to eat it without harassment, expectation of high level bonding, or a blanket.  On the go, sitting at a table in public, while reading a book or talking with friends, it’s fine for those over the age of 2 to eat in public and even for them to post pictures of their meals on social media.  But those babies better at least keep it under wraps!  Spending some time watching just exactly how adults eat or watching this video could be key in getting you over your prejudices.  No?  You don’t discriminate against babies eating in public?  Ok, have you considered that you could have…
  2. Boob-phobia.  It’s a real thing, check it out.  Perhaps you’re uncomfortable by the sight of breastfeeding because you have Mastrophobia, a phobia of breasts (or cousins gynophobia, a fear of female parts, or papillaphobia, a fear of nipples) and seeing breastfeeding makes you want to run away.  Which maybe that’s what you should do, complete with screaming and waving your arms hysterically.  Or do what I do when watching a scary movie, hide behind a pillow only risking a peek here and there.  Actually though, if you do really have boob-phobia, you should seek professional help.  If that’s not it though, maybe it’s…
  3. Brainwashing.  Which is totally understandable and you can’t help the cultural conditioning that has brainwashed you into thinking breasts are truly only for sexual pleasure.  You’re a victim of marketing and fear.  Boobs aren’t for babies, boobs are for men/selling cars/selling beer/selling clothes/selling sex/selling music/selling movies/selling… selling, or at least that’s what the prevailing messages in much of society seems to be selling.  If this is an issue, walking around with a blanket over your head to cut out these messages could be the solution.  But maybe you are completely immune to marketing and the societal messages thrown at us from every which way, in which case it could be…
  4. Judgment.  You believe, and the reasons why are unimportant (certainly not fear or brainwashing), that breasts that aren’t properly shielded and covered belong to an immoral, immodest individual of low character.  Women that don’t keep those things contained and pull them out and stick them in the mouth of their hungry child must not have a shred of decency and you judge them for that.  Even if they define modesty or decency differently than you do.  Such as “it would be indecent of me not to feed my child when they are hungry…”  Heading to the bathroom to have your dinner may be exactly what you need to get you over this unfortunate character flaw.  Not a judgmental person?  Don’t care what other people do?  Then maybe you’re uncomfortable with seeing breastfeeding because…
  5. Insecurity.  It could be anything.  Insecurity about your own breasts (male or female), insecurity about your friend/father/husband/brother/son seeing someone’s breasts (which of course means you make sure they avoid all malls, sports shows, magazines, and movies), insecurity in seeing someone breastfeed their child when you didn’t/don’t breastfeed yours, insecurity that breastfeeding or not breastfeeding is some kind of mark of “good parenting”, insecurity that others may be uncomfortable with someone else breastfeeding and you feel the need to make sure everyone (but the breastfeeding pair) is comfortable, or maybe just insecurity that humans are all mammals.  Whatever it is, and it could be anything, you personally battle insecurity and rather than face it in yourself you project your issues on to others.  Sitting next to a breastfeeding mother while she feeds her child and having a conversation with her may do the trick.  Not insecure?  If you’re confident enough to not be threatened by a woman feeding her child, could it be…
  6. Confusion.  You get grossed out by the sight of breastfeeding because of two words: body fluids.  It freaks you out that body fluids are free-flowing from a woman right into her baby!  Who needs to see that, right?  It doesn’t matter that it’s only natural because, hello, pooping, peeing, and sex are natural too and you don’t want to see any of THAT in public either, right?  It’s certainly only a matter of time before they’re bottling those body fluids up and feeding them to children too, I’m sure.  Fake urine will be flooding the shelves in no time, specially formulated to be just like the real thing.  Aside from the obvious fact that you really can’t see it happening during the act of breastfeeding, basic biology helps clear this up a bit: breastmilk = nutrition, urine/feces = waste, genital secretions = not food.  Some time studying basic nutrition and biology and understanding the basic differences should fix that right up.  Get the difference and not confused?  Moving on then, maybe it’s…
  7. Misogyny.  This goes along with the brainwashing point but it’s a little deeper.  If you’re uncomfortable seeing breastfeeding because of misogyny, you actually hate women and consider them less than men.  As such, their bodies are purely for men and a woman that would dare exercise her autonomy in using her body as she should choose, well she’s just asking for it, isn’t she?  A breastfeeding woman is just rubbing it in your face, isn’t she?  How dare she act as though she independently has worth and power over her own body.  Besides, seeing breasts in use in such an a-sexual way is a bit unsettling.  You haven’t sanctioned this and it’s uncomfortable to think that you have something in common with human babies. The way through this could be quite painful: start listening to women and catch a production of the Vagina Monologues.  But you’re not a misogynist?  Totally down with women as equals?  Great!  So what about…
  8. Denial.  There are people that spend time researching the emotion of disgust and have a disgust scale.  What is it, why do we experience it, etc.  Some triggers of disgust are understandable, like food contamination disgust.  We don’t want to get sick.  Obviously.  So why are you disgusted by breastfeeding, AKA, feeding babies?  It’s possible, these researchers theorize, that you just don’t like to be reminded of your animality.  Humanity is good in your mind but anything that connects you to the animal side of humans grosses you out.  That humans are mammals (creatures with mammary glands that use their mammaries to feed their young) is a fact you would rather forget.  Watch some Discovery channel, you’ll have to eventually confront that breastfeeding our young isn’t the only animal-like behavior we homo sapiens have.  Not that?  Then…
  9. Unfamiliarity.  When we’re not used to seeing something it can be startling when we come across it.  This isn’t your fault, you’re just not familiar with this as normal and actually expect the alternative to the biological norm instead.  You just haven’t seen breastfeeding enough to be totally down with it.  The fix to this one is pretty easy, see more breastfeeding.  You’ll get over your discomfort the more you see it and soon it will become just as normal as it actually is.  Don’t worry, more and more women are doing their part in feeding their babies in public, with and without covers, and you’ll get more comfortable with it the more you see them out and about or posting their photos on social media so hang in there, there’s hope for you yet!

 

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 What would you add to our list?  Why do you think people may have issues with witnessing breastfeeding or encountering breastfeeding images?  If you’re uncomfortable seeing breastfeeding, why do you think that is?   Did you used to be uncomfortable seeing breastfeeding but are ok with it now?

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Filed Under: Article, Bottle Feeding, Breastfeeding, Breastfeeding and society, breastfeeding humor, Breastfeeding in public, breasts, Featured, guilt, humor, Jessica, motherhood, Parenting Tagged With: , , , , , , , ,

Guest Post from Suzanne of The Fearless Formula Feeder- Mean People Suck.

January 31, 2014 by 3 Comments
I’m happy to share this guest post from Suzanne Barston the a blogger and author of BOTTLED UP.  Suzanne writes over at the Fearless Formula Feeder, a blog – and community – dedicated to infant feeding choice, and committed to providing non-judgmental support for all new parents.  I asked to cross post her article because I thought it was well written and offered a perspective that should touch all of our humanity about how we treat others in the name of a cause.  My friendship with Suzanne has been growing and I deeply respect her, the work she does, and her heart because while it may seem at first glance that she and I are on opposite ends of the spectrum, we are, in fact, more similar than we are different.  I highly encourage my readers to quietly spend some time on her website and Facebook page listening and learning.  To genuinely support you have to first listen to what those needing support actually need and don’t assume you know better than they.  This article was originally published here.  ~Jessica

by Suzanne Barston

Back in the 90’s, before the age of memes, bumper stickers were the best of sending the world (or at least the person stuck behind you in traffic) a message about your political leanings, philosophy, or the status of your child’s “Good Citizenship” in school. People got seriously creative with these little strips of adhesive, but there was one that seemed to be strike a chord with the folks I typically associated with. The Birkenstocks-wearing, Ani-DiFranco-listening, liberal-arts-major types. The message that seemed to be stuck to the back of everyone’s used Volvo was this:

41NqAZthp0L

Mean People Suck.

Catchy, isn’t it?

But what I’ve realized in my late thirties is that mean people do more than just “suck”. The screw things up for the rest of us, in serious, systemic ways. They are the cops who brutalize minor offenders based on the color of their skin; the politicians who refuse to see the human side of their voting record, the instigators of road rage. And in the parenting world, they are the women who perpetuate the mommy wars (such a stupid and patronizing term, for a stupid and patronizing problem).

The thing is, mommy “wars” may be stupid, but their effect is far-reaching and profound. They make us believe we need to take sides, choose a team, thus dividing us and making it ridiculously easy to conquer us. And by conquering us, I mean keeping us from fighting collectively for better family leave, better maternal health care, better resources and options for our children and ourselves. We’re so busy trying to prove we’re an Alpha Female, conveniently forgetting that alpha males are generally assholes.

Speaking of Alpha Females, there’s a woman who has built up an impressive following on the Internet who I’ve tried to avoid giving airtime for the past year or so, after a few run-ins that made it clear her only motivation in life is to fight. I’ve tried thinking about her in a new-agey way, considering what made her the way she is, and trying to feel sympathy for her anger and vitriol rather than letting her make me act in turn. But when Jessica from the Leaky Boob – a woman I admire greatly and am proud to consider a friend – reached out to me about this Alpha person’s latest assault, I agreed to speak up.

I agreed to speak up because my friendship with Jessica is based on everything that this other person is trying her damndest to destroy. Jessica runs one of the most respected and beloved communities for breastfeeding women. I run a modest but pretty vocal community of people who take issue with the current state of breastfeeding promotion (as well as people who are totally cool with breastfeeding promotion, but ended up using formula for whatever reason and are willing to put up with the constant drama and debate because they have few other communities where they feel safe asking questions about formula feeding). We’re part of an informal community of breastfeeding advocates (and me, although I do consider myself a breastfeeding advocate, albeit a strange hybrid of one) where we discuss ways to better serve all mothers and provide REAL support and education. It’s actually really awesome to see how women can work together to find solutions even when they come from opposite ends of the parenting spectrum.

The Alpha individual operates on the premise that working relationships (and friendships) like this cannot – or should not – exist. Her page and blog are consistently dedicated to making fun of those who haven’t lived up to her own personal standards. Her work wouldn’t be worth mentioning at all, except for the fact that she has gotten the seal of approval from several notable breastfeeding researchers and advocates, including James Akre, who writes regular (and strikingly misogynist) guest posts for her blog. The woman knows how to get page views and Facebook likes. You have to admire her for that.

But in the immortal words of Stan Lee (and as I keep telling my Marvel comic-obsessed son), with great power comes great responsibility. And when someone with a fair share of public attention does something incredibly harmful, not only to a movement (those invested in creating a more supportive environment among mothers) but more importantly to an individual, that is an abuse of power, and seriously irresponsible.

Here are the facts: The blogger in question stole a photo of a woman in an emotional moment and used it to promote her recurring message that formula feeding parents are lazy and un-invested in their children. The photo was of a woman hooked up to wires, looking at least semi-unconscious, with a baby being held up to her breast. The blogger superimposed the word “obsessed” on the photo, meant in a “positive” way, as in, yes; this woman was obsessed with breastfeeding, which was a good thing because it meant she was properly dedicated. Unlike the rest of you nitwits.

The thing is, that was the antithesis of what this photo meant to the mom featured in it. This was, for her, a memory of something she went through with her child. I don’t know if that memory was positive or negative or something in between, as most postpartum memories are when something goes awry. It’s not my business to know. It’s hers. She didn’t intend for her image to be used this way. We don’t know the backstory behind the image, which I’m sure is human and flawed and beautiful and complicated.

But bloggers like the Alpha person are not complicated. They are simple. They are mean. And mean people suck.

They suck the life out of images like this; make them fodder for a contrived mommy war. They suck the life out of breastfeeding advocacy efforts, because they perpetuate the myth of the “breastapo” by becoming a caricature of that concept.  They suck the joy out of parenting, by making it a competition. They suck the intelligence and nuance out of what could be a productive debate between people who genuinely care about maternal and child health. And they suck the energy out of bloggers like Jessica and myself, who resent that we feel forced into a corner and made to confront this type of bottom-feeding behavior, when we could be focusing our collective efforts on something more productive.

Alpha types will always exist, these parasites that feed on fear, loneliness and feelings of inferiority. But parasites can be stopped if their food source is cut off. That’s why we are asking both of our communities to stop engaging. Don’t be a food source. Don’t visit her site. Don’t comment on the Facebook page, even if it’s to fight back against the hate. Just don’t engage.

If you see people you respect at risk of an infestation, let them know the true nature of the beast. Speak up when respected advocates are partnering with her or linking to her work. Let those around you know that this type of behavior does not advocate breastfeeding; it advocates bullying, shaming and hate.

And if you see one of her memes, post one of your own. One from a time before the internet allowed the best and worst of humanity to be distributed worldwide: Mean People Suck. Because they do.

Mean-People-Breed-Bumper-Sticker-(5567)

 

Filed Under: Article, Bottle Feeding, Breastfeeding, Breastfeeding and society, breastfeeding difficulties, breastfeeding support, Facebook, Featured, guest posts, motherhood, Parenting Tagged With: , , , , , , , , ,

Dear Kathleen- Leakies ask an IBCLC

December 4, 2013 by 2 Comments
Daily, we receive hundreds of emails and messages from Leakies looking for help and information in their breastfeeding journey.  As so many seek support from us, we are so honored to have the support of Kathleen Huggins, IBCLC and author of The Nursing Mothers’ Companion.  Kathleen is jumping on board with The Leaky Boob to have a regular article answering Leaky questions every month.  The questions will be selected from the huge pool we get in every day to try and help cover the wide range of topics about which Leakies are asking.  These questions are from real moms and represent hundreds of requests for more information in the past two weeks.  Please understand that this is simply the professional opinion of one International Board Certified Lactation Consultant in an informal setting and is not intended to replace the care of a health care provider.  Kathleen is offering support and information, not diagnosing or prescribing treatment.  For your health and safety, please seek the care of a qualified physician and/or IBCLC.  Kathleen does have limited availability for phone or online consultations, see her website for more information.

Dear Kathleen,

After pumping, is it ok to feed the baby that milk and then if baby doesn’t finish to save the rest by putting it in the fridge?

Thanks!

Bewildered in pumping land

 

 

Hi Bewildered!

Pretty hard to work to express milk for your baby and then have to toss it out!  Some health care providers say to dump partially drank bottles, or give it at the next feeding.  I think that placing back an unfinished bottle of breast milk back into the refrigerator is just fine. I would suggest removing the nipple and screwing on a clean lid to keep the bacteria from the baby’s mouth to a minimum.  By using a fresh nipple for the next feed you will keep more germs from mixing in with that bottle of milk. I would recommend using the milk within the next 24 hours.  One very small study of just a few moms found that milk could be placed in the refrigerator for up to 36 hours at 4-6 degree Centigrade.  Storing milk in the back of the refrigerator is recommended. If you use the milk a second time, and there is still leftover milk, it is probably best to dump it out.  When milk has gone bad, it does have a rancid smell.

When pumping or feeding your baby a bottle, be sure to always start by washing your hands well.  Also, make sure that all of the pump parts are washed thoroughly in warm soapy water or in a dishwasher and if wet, left to dry on a clean paper towel. Also, try and store just small amount of milk for your baby; maybe just 2-3 ounces per bag or bottle. In that way, there will be less leftover milk to deal with.Hi Bewildered!  Pretty hard to work to express milk for your baby and then have to toss it out!  Some health care providers say to dump partially drank bottles, or give it at the next feeding, but I think that placing back an unfinished bottle of breast milk back into the refrigerator is just fine. I would suggest removing the nipple and screwing on a clean lid to keep the bacteria from the baby’s mouth to a minimum.  By using a fresh nipple for the next feed you will keep more germs from mixing in with that bottle of milk. I would recommend using the milk within the next 24 hours.  One very small study of just a few moms found that milk could be placed in the refrigerator for up to 36 hours at 4-6 degree Centigrade.  Storing milk in the back of the refrigerator is recommended. If you use the milk a second time, and there is still leftover milk, it is probably best to dump it out.  When milk has gone bad, it does have a rancid smell.

Happy pumping,

Kathleen

 

TLB meme breastmilk storage

 

Dear Kathleen,

As a first time mommy (I have a two week old girl), I’m really struggling to seek out why things to happen and don’t happen… maybe you can help? 

To make a long story short, I wanted to nurse my little one since day one she was born. However, I have flat nipples so not only was it extremely painful when she would latch on, but it was also challenging, frustrating and depressing because I refused to even give her a bit of formula. The pain was so strong when she would latch that I would cry every single time and I knew she could feel my frustration because she would stop and look at me. I even dreaded watching the clock because I knew that in a few minutes it was going to be time to nurse again. As the days passed, my baby lost almost 3 pounds under her birth weight because I thought she was getting enough milk from me but it turns out I was barely making any. That made me so sad; I felt like a HORRIBLE mother so because I wanted her to get better, my husband and I decided we give her formula. After she gained a few pounds (almost back to her birth weight), I tried nursing her AND giving her formula but she would no longer latch on to me. She obviously likes the bottle nipple better because she can actually latch on without struggling. I tried everything I could. I’ve tried pumping and nothing comes out. Maybe one drop– if not, two. I’m honestly broken yet content she’s healthy once again. I’ve humbly given up on nursing because my husband and I feel it’s the healthiest decision for her and I. She won’t get frustrated and I won’t dread seeing her precious innocent face. We’re just bottle feeding her now but a lot of questions are going through my mind such as will be baby still be healthy with formula?

I did everything I could and I STILL am. Even though my milk is drying, I’m striving to keep it going by taking some pills that will help my milk come down. I’m doing this with the hope that once my milk comes down FULLY, I’ll be able to pump and mix it with her formula. 

I welcome your advice and encouragement. 

Love,

Disappointed but hopeful

 

 

Hello Disappointed,

I am sorry that you didn’t get the help you needed and suffered so much both physically and emotionally.  Unfortunately at this point, with your milk nearly gone, you need to make a final decision.

I do have questions for you, but in this Q&A format, I can only wonder.  Did your breasts grew during pregnancy?  Is less than an inch of space between them?  If the answers to these questions is no, then you may have insufficient glandular tissue which limits the amount of milk that can be produced.  That could explain the initial weight loss.

Yes, you can relactate but that takes a lot of time and effort and, in my opinion, you need to make a commitment to either go full steam ahead or let it go.  If you decide to relactate, you will need a rental grade pump and pump at least 8 times every 24 hours including during the night, using a double pump kit for about 15-20 minutes.   While some people may suggest teas, cookies and other herbs such as fenugreek, I think you need bigger guns!  You should consider taking the medication Motilium (Domperidone) that is available through compounding pharmacies with a prescription from your OB or midwife. If you are going to get some, I would suggest getting a month’s worth to start.  The typical starting dose is 30 mgms three times a day but can be increased to 40 mgms four times a day.  You can read more about taking Motilium on Dr. Jack Newman’s website.  Understand that pills, or herbs alone will not restart your production.  Your breasts must be stimulated and drained at least eight times each 24 hours.

If you start the Motilium and want to get more, it may be less expensive ordering it on-line through a New Zealand pharmacy.  There is a less expensive version, Domperon (a generic) that is $.12 per pill.  Under the care of your health care provider and with a prescription you can order Domperon online and delivery takes about 10-14 days to get a shipment.

Being only 2 weeks into this, unless you have insufficient glandular tissue, I think you could bring back your supply with the medication and pumping.  If you decide to move forward and your milk supply is equal to what your baby requires, about 3-4 ounces per feeding, I would urge you to consider an appointment with an experienced lactation consultant. Who knows, your baby may be able to nurse completely or with a formula supplement!

While breastmilk is the biological norm for human infants, your baby needs food and formula will provide her with the nutrition she needs.  What are missing are the live cells that protect her from illness and certain other factors in breast milk that protect against other conditions. As you are finding out, formula is also quite expensive.

While nursing is a loving and bonding experience, you can capture some of this with bottle-feeding. Please be sure to always hold your baby for feedings.  It isn’t long before babies can hold their own bottles and so many bottle-feeding parents take advantage of this.  Bottle-feeding requires both hands and I believe a majority of mothers hand over the bottle to the baby as soon as the baby can hold his own bottle. I think this allows the baby to bond with the bottle instead of their parents.  This may also be the reason that so many bottle-fed babies become overfed and overweight.  Parents simply fill the bottles to the top and the baby just sucks it down.  Consider trying baby-led bottle feeding if you need to continue with bottles and here’s some information about bottle feeding the breastfed baby.

So now the decision is up to you.  I know you will decide what is right for you and your baby, no matter which way you go.

All the best,

Kathleen

 

 

Kathleen-Higgins Kathleen Huggins RN IBCLC, has a Master’s Degree in Perinatal Nursing from U.C. San  Francisco, founded the Breastfeeding Warmline, opened one of the first breastfeeding clinics in  the United States, and has been helping breastfeeding mothers professionally for 33 years.  Kathleen  authored The Nursing Mother’s Companion in 1986 followed by The Nursing Mother’s Guide to Weaning.  Kathleen has also co-authored Nursing Mother, Working Mother with Gale Pryor, Twenty Five Things Every Breastfeeding Mother Should Know and The Nursing Mothers’ Breastfeeding Diary with best-friend, Jan Ellen Brown.  The Nursing Mothers’ Companion has also been translated into Spanish.  Mother of two now grown children, Kathleen retired from hospital work in 2004 and after beating breast cancer opened and currently runs Simply MaMa, her own maternity and breastfeeding boutique.  She continues to support breastfeeding mothers through her store’s “breastaurant,” online at The Leaky Boob, and in private consultations.  

 

 

Filed Under: Article, Articles from the professional experts, Bottle Feeding, Breastfeeding, breastfeeding difficulties, breastfeeding help, breastfeeding support, breastmilk pumping, breastpump, Featured, formula, Pumping, relactating, Relational Resource Tagged With: , , , , , , , , , , ,

No Right Way- Sonnets of the tired mom

April 1, 2013 by 2 Comments
by the admins of The Leaky B@@b.  There are 7 of us admins here and none of us have made the exact same decisions in all aspects of our parenting and that is okay. Each parent is going to make decisions with the knowledge that they has at the time that works best for their family.  This sonnet is dedicated to those who have judged, from all of us who have felt judged.
This post made possible in part by the generous sponsorship of Boba, makers of the Boba baby carrier.

judging moms

How could you judge me?  Let me count the ways.

You could judge me to the playground, the grocery store and dance studio too

You could judge me for not being as put together as you

For how I feed my children: organic or not, frozen, fresh or fried

Homemade or store-bought, you can judge how I tried

How my breasts do or don’t leak, weaning, and where my child sleeps

How I catch their poop and if my child ever weeps

The birthing room, soccer field, and selected books

For screen time you can give me funny looks

Judge me for the guilt I feel and that which I don’t

Lay it on because my heart won’t give up hope

For the times I lost my cool

And the way my child drools

Don’t forget to judge for school

I doubt you can judge me more harsh than I

Go ahead, let your criticisms fly

How I long to be parent enough

Not alone and no need to bluff

Hitting walls and ceilings and poop to fans

Getting in and missing out on all the right brands

The car seat, yoga pants, if my child wants to hold my hand

All I forgot; registration, shoes, toilet paper, and hairnets

Being late and probably too much internets

The number of kids, the mess that is my house

You can judge the spit up smeared on my blouse

From your glass house the ways to judge are many

It will not change my loving any

Working out, working at all

Or staying home, you can clap when I fall

If judging me helps you feel strong

Feel free to do it all day long.

Your words and thoughts will not damage my will

Flawed though I am, my children know I love them still.

Growing always, I will be

Along this path of parenting.

Filed Under: Article, baby, baby-led weaning, birth, Bottle Feeding, Breastfeeding, Breastfeeding and society, breastfeeding humor, child led weaning, family, Featured, guilt, humor, Jessica, motherhood, Parenting, Weaning Tagged With: , , , , , ,

Pumping 201- working, exclusively pumping, volume, and weaning

October 22, 2012 by
Breast pump, Hospital grade breastpump

Hygeia EnDeare

by Star Rodriguiz, IBCLC
Previously, in Pumping 101, we talked about some basic pumping tips.  In this article, we’ll look at pumping when you return to work or school and pumping exclusively, either by choice or for a health condition. Hopefully, these tips will help anyone facing these situations to successfully provide breastmilk for their child(ren).  Just like before, if a certain situation applies or doesn’t apply to you, feel free to skip to or past it.  

 

Working

This is probably the most common reason that I see for pumping.  Although we touched on it a little in the last article, we’ll go a bit more in-depth here.

First, know that federal law provides all overtime eligible workers (so, typically, anyone on an hourly salary) with the right to pump at work.  You are required to be given a private place that is not a bathroom to pump and reasonable amounts of time to do it until your baby is a year old.  If your state has a better law than the federal one (and you can find breastfeeding laws by state here) then employers have to go by that instead of the federal law.  Most moms should pump for 10-15 minutes every 2-3 hours.  To build up a store, I usually tell mothers that they can pump one time a day when their milk first comes in.  If moms do this fairly regularly in the beginning, even the mom returning to work at 2-4 weeks can have a decent store built up.

Most women pumping in the workforce should be utilizing at least an electric, double sided pump.  If you are pumping for twins, a hospital grade pump may be worth your while since you are pumping for two.  Pumping breaks aren’t usually very long, so you want to pump quickly and efficiently.  However, some women find that their schedule makes it difficult to take full 15-20 minute breaks at a time.  For those mothers, a swing pump or hand pump might work better, just because they can be taken out quickly without a lot of set up required.  For instance, some of my clients have been waitresses that have limited time some nights to pump, law or not.  Those clients sometimes find that using a hand pump for five minutes at a time can help.  Since this does not pump as efficiently and probably will not empty the breast, you will probably need to pump more often than every 2-3 hours, and I always advise that you do pump with a good electric pump at least once a shift.  If you are part time and working 4-5 hour shifts, you may be able to get away with just hand pumping as long as you are nursing often at home.

Many moms wonder how much milk to leave when they are away from their babies.  This can be a hard question to answer.  Some babies will eat as little as possible while separated from their mothers (and will make up for it when they are with their mommy by nursing more often), but some will want to eat more often – usually because they miss mommy and are comforted by her milk and sucking.  It’s good to remember that from 1 month to 6 months, your baby’s stomach is around the size of a strawberry and holds 2-3 ounces at a time.  Most babies will take in around 25 ounces a day until 6 months.  Therefore, store milk in 2-3 ounce increments, use slow flow nipples, and instruct your provider in baby led bottle feeding.  To get a rough estimate of the amount your baby will need, divide 25 by the number of times the baby nurses in a day, and consider about how many feedings your baby usually takes in during the time you will be apart. Most people will try to ensure that they have a couple of extra 2-3 ounces bags per day, too, just in case.

You may be thinking, “Well, MY baby eats/ate WAY more than 3 ounces at every feeding!”  And your baby may have been an exception.  However, a lot of babies are simply overfed by faster flowing bottles or are wanting more milk or to suck out of comfort.

 

Exclusively Pumping Moms/ Moms Separated from Babies

There are many reasons to exclusively pump.  Some moms have babies with issues that cannot latch. Some moms have a history of sexual abuse that makes latching difficult.  Other moms simply prefer to pump rather than latching.

In the colostral phase, when your body is producing small amounts, using hand expression can really help out.  Hygeia has some really awesome hand expression cups that I love (and a great article on hand expression), but you can also express into a small cup or spoon.  Babies take in a very small amount at birth (their stomach size is that of a marble) and colostrum is sticky and can cling to pump parts, making you feel like you’re not getting a lot.  Moms who are pumping should pump about 8-12 times a day (or the amount of times a baby typically nurses.)    You should pump for 15-20 minutes.  Some women can decrease their amount of pumps after awhile, but most have limited success when they pump under 7-8 times a day.

I prefer to have exclusively pumping moms use hospital grade pumps.  You can buy them, but they are quite expensive.  Renting is often a better option.  They can be found for rental in many drug stores, and many WICs also have them.  WIC can be a great pump resource, and lots of women are WIC eligible even if they aren’t aware of it.  Hospital grade pumps have the best control on suction and speed.  Do not assume that cranking up the suction and speed will get you the most milk.  You should start on a low to medium setting and play with it to see what your body responds to best.  Regardless, a double sided electric pump is pretty key to an EPing mom.

If you are pumping for a preemie or a baby with health conditions that might compromise immunity, be sure to ask your child’s provider how they prefer for you to store your breast milk.  Otherwise, many moms use reusable bottles, ice cube trays, or plain zippered storage bags to store their milk.  It can be less expensive than purchasing the breastmilk storage bags themselves.

Another good idea is to get, or make, a handsfree pumping bra.  You can buy some neat ones including PumpEase hands-free pumping bra or a Rumina Pump and Nurse tank or you can make your own by cutting slits into a sports bra.  The handsfree ones have the advantage of being able to be quickly snapped on and off.  They also tend to be prettier.  That sounds like a silly reason, but can be helpful, especially if you are pumping when you intended to actually nurse your baby.

Exclusively pumping moms can sometimes find that they have some chapping of the breasts.  Sometimes this is from the flanges sticking to the skin.  This can be alleviated by using something to lubricate the flanges.  My favorite thing to use is olive oil.  You can also apply lanolin to your nipples between pumpings to help the chapping.  The lanolin used in breastfeeding products will not need to be washed off of the breast when you pump.

 

Weaning Off Pumping

If you’ve been pumping for your baby for some time for any reason and you decide you want to stop, it can be confusing as to how.  Unless there is some medical reason, you never want to stop pumping “cold turkey.”  This can lead to engorgement and sometimes plugged ducts and/or mastitis.  There are a few ways you can stop pumping.  You can cut out a session at a time, every few days (usually, I say every 2-5 days.)  You can also decrease the time spent pumping in all of your sessions.  For instance, if you pumped for 15 minutes every session, you might decrease it to 12 minutes each time, and then, in another 2-5 days, decrease it further.

Please keep this is mind: not all of these time frames will work for all women.  Some may need to decrease more slowly; some can decrease more quickly.  Pay attention to how you feel.  You don’t want to compromise your health by trying to wean too fast.

Some women find that using cabbage leaves, peppermint, or taking over the counter cold or allergy medications can help to dry up their milk more quickly, if you are weaning altogether along with weaning from pumping.

 

 

 Star Rodriguiz, IBCLC, began her career helping women breastfeed as a breastfeeding peer counselor for a WIC in the Midwest.  Today she is a hospital based lactation consultant who also does private practice work through Lactastic Services.  She recently moved to the northern US with her two daughters and they are learning to cope with early October snowfalls (her Facebook page is here, go “like” for great support). 
Filed Under: Article, Bottle Feeding, Breastfeeding, breastmilk pumping, breastpump, Featured, Pumping, Relational Resource, tutorial, Weaning Tagged With: , , , , , , , ,

An overview to making an educated choice about formula

March 5, 2012 by

Star and I worked together on this post as a result of seeing a need to answer some questions and provide information on infant formula.  I believe that breastfeeding advocates and educators often provide only “formula is bad” kind of information that isn’t helpful for the parent that seriously needs to consider formula options for their child.  This article is intended to be a resource for those that will be using formula and would like information as they go about making their decision and for those that want to offer genuinely supportive support to all families, regardless of the feeding method employed.  There will be further information on formula available soon but for now, we hope this is helpful for those that need it.  It is my hope that breastfeeding advocates and educators will be able to provide quality information on formula when necessary and do so in a supportive manner.  Let’s truly support families and be a safe source of information on infant nutrition, free of judgment and profit-making agendas.  If you are a breastfeeding mom that needs to supplement with formula or switch entirely over to formula, be sure to consult not only with your child’s doctor but also an IBCLC in making your formula choice.  ~Jessica 

What are the questions and why do we need to look at them

Babies and breastmilk go together perfectly.  Breastmilk is the optimal, normal standard of infant nutrition, and I love the fact that I am in a profession where I can help mothers to achieve their goals where breastfeeding is concerned.  While I am a hugely passionate breastfeeding advocate I am not anti-formula.  Something that seems to confuse some people but it boils down to respecting the fact that we all make choices in feeding our babies, and sometimes formulas are a part of that choice.  Formula feeding moms love their babies just as much as breastfeeding moms do and want their babies to grow and thrive.  During some hiccups in my own breastfeeding relationships, I used commercial infant formulas as a supplement and I am thoroughly unashamed of that fact.  However, formula can be such a dirty word in infant feeding communities, and there’s a lot of confusion over it.  What kinds are there?  Which formulas are better than others?  Should I use commercially made formulas or make my own?  And how do we mix them?

 

The different types of formula

First of all, let’s address the varieties of formula.  There are three major types that are available: cow’s milk based formulas, soy formulas, and protein hydrolysate formulas.  Cow’s milk is the least expensive and most common.  They are nutritionally appropriate for most babies and engineered to be as close as possible to breastmilk recognizing they can not completely replicate all that is breastmilk.  However, some babies may not do well on these.  Some common reasons for not using cow’s milk formulas are allergies to the protein in the cow’s milk or the family’s desire to avoid animal products for their babies.

The next variety of formula is soy.  Soy formulas are not recommended for preemies.  They do not contain animal proteins, so they are useful in some medical situations or if a baby has issues with those proteins.  They can also be used by families who adhere to a lifestyle that avoids animal products.  A review by the AAP in 2008 found very few medical reasons to utilize soy formula.  There are also concerns that soy could interfere with the thyroid, immune system, or the reproductive system.  Those concerns have not yet been proven to be warranted, although the AAP did advocate for further testing.  Bottom line?  Unless your baby needs soy formula or you have some family reason that you are choosing to avoid animal products, it is probably not necessary.

The last of the three major commercial varieties is the protein hydrolysate formula.  These are also called hypoallergenic formulas.  Really, these will generally be ordered by a doctor to combat an issue like allergies to both the soy and the cow’s milk formulas.  Most people aren’t buying these over the counter because they’re just such an amazing choice.  They’re typically very expensive and needed only in specific cases.

 

Standards and regulations

Formula is held to certain standards of nutrition by the FDA.  (Note: this is different than being approved or regulated by the FDA.  However, there are standards of nutrition that must be met or the FDA will take action.)  Therefore, there is typically not significant difference between generic and name brand formulas of the same type.  There are pretty negligible differences between organic and nonorganic formulas, too.  Basically, with organic formulas, there is a certain standard for the production of the ingredients in the formulas.  Organic formulas have not been proven to be better for babies.  They are sometimes sweetened with organic cane sugar, which can make them taste sweeter.  This might be a problem – babies could develop a taste for sweeter foods or overeat due to the taste – but these are theories that have not been proven with peer reviewed research.

Homemade formulas are touted by many people and websites, but they are not something that I would ever recommend to a client or anyone else, for that matter.  There absolutely are risks associated with feeding an infant commercial formula, but there are even more risks to non-commercial formula.  No health body that I’m aware of recommends homemade formulas.  With commercial formula, you are getting something that is built to have the most optimal nutrition possible when breastmilk is not an option.  With homemade formula, there are a plethora of risks, running from nutritional imbalances to severe infections from pathogens in the ingredients.  In the days before commercialized formula, babies had to be supplemented with other things to keep away conditions like scurvy and there were deaths due to babies ingesting contaminated products.  Do it yourself is awesome for cleaning products or baby food or many other things.  It’s not good for your baby, though.  This is particularly true in a young baby with an immature gut, or digestive tract where the risk of illness from contaminated formula is even higher.  This post takes a thorough look at goat’s milk and homemade formula as alternatives for infant nutrition if you’d like more information.

 

Preparation and safe handling

Preparation of commercialized formula can be a problem, too. We often think that women in developing countries where there is unsafe water or not enough money to purchase the correct quantity of formulas are the ones at risk of incorrect preparation.  Of course, that does happen.  But we also see preparation issues in developed countries, too.  We may not hear about them as often but they certainly occur.

The only kind of formula that is sterile and can pretty much be put in a bottle, heated, and be good to go is ready to feed liquid formula.  Some health organizations recommend that babies under 3 months be fed only ready to feed for this reason.  However, most people use powdered infant formula.  Powdered infant formula is not sterile.  If you have a baby with immune system issues, or an ill baby, it is preferable to use ready to feed.  Using powdered formula in the right way can really help to make it safer.  You want to prepare formula on a clean surface, with freshly washed hands, and put it in clean, sterile equipment.  The World Health Organization recommends that you use water that has been boiled and then allowed to cool for no more than 30 minutes.  You should mix this water with the powdered formula (the EXACT AMOUNT called for on the can.  There are generally scoops with the formulas, and you should use the correct amount of level scoops) and then cool it to a suitable temperature by running the feeding implement (bottle, cup, whatever) under cool/cold water or placing it in cool or cold water.  It should be fed to the baby right away and leftovers should be discarded.  For more information, see the WHO guidelines for the safe preparation, storage, and handling of powdered infant formula.

 

Social issues and real support

Now that we’ve talked about types and preparation – and if I didn’t cover something that you have a burning desire to know about, please, comment or message myself or Jessica and I will find it out for you – let me step on a soapbox for a minute.  We know that breastmilk is optimal nutrition and that formula is recommended by the World Health Organization as the 4th best option for infant nutrition (following milk from the mother’s breast, expressed milk from the mother, and donated milk from another lactating woman).  But we simply cannot go on acting like formula is a poisonous, horrible thing that only uneducated, mean parents feed to their poor defenseless babies.  Some of the horrible comments that I have seen about formula and formula feeding mothers lately are ridiculous.  Would it be awesome if all babies everywhere could get breastmilk, either from their mothers or from donated milk?  Sure.  Is that likely to happen in the not too distant future?  No.  (Look here and here for information on being a donor or if you need donated milk for your baby.)  If we can meet moms where they are and provide the information they are seeking without judgment, we can be a trusted source for education and support and moms won’t have to turn to the formula companies as their primary origin of information.

I am the first person to step up and say that formula should be better regulated, that marketing should be reined in, that we deserve the best possible product for the smallest and most defenseless of our citizens.  But those are issues with the formula companies or manufacturing, not issues with mothers who can’t or won’t breastfeed.  Every mother I have ever met has a wide variety of factors and reasons that came into play when she chose how to feed her baby.  Discounting those things or casting blame or shame on her for them quite frankly sucks.   A real advocate supports women in general and knows that not everyone will make the same choice as her.

 

 
 Star Rodriguiz, IBCLC, is a breastfeeding peer counselor for a WIC in the Midwest and has just started her private practice as an IBCLC (her Facebook page is here, go “like” for great support).  She also sits on the  breastfeeding task force in her town, is helping her  community’s Early Head Start redefine  their breastfeeding support, and is the  driving force behind a local breastfeeding campaign.  In  the remainder of her free  time, she chases around her nursling and preschooler.
Filed Under: Article, Bottle Feeding, Breastfeeding, breastmilk donation, Featured, formula, Relational Resource, Supplementing Tagged With: , , , , , , ,

Bottle Feeding Breastfed Babies

March 1, 2012 by

 

by Tanya Lieberman, IBCLC, with Amy Peterson, IBCLC

We’re very pleased to share an interview about bottles and breastfed babies today. We asked Amy Peterson, IBCLC, co-author of Balancing Breast and Bottle: Reaching your Breastfeeding Goals, to answer our questions.

For those of you who combine bottles with breastfeeding – whether you’re pumping at work, supplementing, or use a bottle for occasional separations – bottle and nipple selection can be confusing. For those of you whose babies refuse bottles, it can be very frustrating!

We hope that the information she shares below is helpful. Amy offers more information on bottlefeeding breastfed babies on her website.

Many bottles are advertised as “easing the transition from breast to bottle” and back again. What do you think of these claims? Are they independently verified?

These claims are very misleading. Just as every mother’s breast has a unique shape and flow, every baby has a unique suck/swallow cycle. What works well for one baby might be terrible for another. Parents need to observe their own baby sucking on a bottle nipple and analyze if the latch and swallow look similar to that on the breast. In our book, we use a tool called the SIMPLE Method that guides parents step-by-step on how to choose a bottle nipple for their own baby’s unique latch.

We are not aware if such advertising claims have been verified. However, we do know that this type of marketing is in violation of the International Code of Breastmilk Substitutes. This international health policy document, adopted by many countries excluding the U.S., is designed to protect families from underhanded marketing ploys such as words or pictures idealizing artificial feeding. Comparing a bottle to breastfeeding—even if it contains breastmilk—is idealizing that brand.

In our professional experience of helping babies combine breast and bottle-feeding, we have found that the nipples which claim to be best for breastfed babies are often the worst choice. The bottle nipples that are best for breastfed babies have a gradual transition from tip to base.

You and your co-author tested 37 bottles. What were the features you were comparing, and what did you learn about the range of bottles that you’d most want parents of breastfed babies to know?

We tested two different aspects of bottle nipples. First, we measured dripping by looking at the number of drips and the size of each drip. Then we hooked up bottles to a hospital grade breast pump to determine how fast bottles flow. After performing these tests, we compared the results to see if bottle dripping and flow rate were related.

The results were surprising. First of all, about half of the nipples, regardless of a non-“no drip” label stopped dripping within five seconds of tipping them upside-down. That was important for us because many bottle companies claim their nipples are “no drip,” implying that bottles that don’t drip are a better choice. To rule out the importance of dripping, we did further testing.

Second, we measured the size of the drip for those bottles that did drip. The most important thing we found was dripping does not equal a higher amount of liquid. Bottles that appeared to drip a lot often had less volume. Frequently it is assumed that a fast dripping bottle has a large amount in the drip. We discovered that a bottle may drip frequently, but with a low output. So, it is impossible to judge the size of the drip with the naked eye. Stated another way, the number of drips doesn’t mean more liquid is coming out.

As for flow, the term “slow” is not standard. To determine flow, we hooked up bottles to a hospital grade breast pump and measured the amount of liquid collected after 20 cycles. We found there was a wide range of “slow.” For example, the fastest nipple was eleven times faster than the slowest nipple. Following testing, we ranked nipples from slowest to fastest in Appendix C of Balancing Breast and Bottle. This is important because if a nipple flows too quickly, a baby’s suck will become disorganized. Likewise, a nipple might be too slow for some babies. A parent needs to watch their baby’s response to bottle-feeding rather than relying on package labeling. If a parent thinks the bottle is flowing too fast, try a different nipple in the package, and/or try a different brand.

The most fascinating results came from comparing the data of these two tests (drip and flow). Dripping is different than flow; they are not related. Most breastfeeding books suggest turning a bottle over to see how fast it drips in an effort to select a bottle with a slow flow. This suggestion is not accurate. We tested a nipple that dripped an average of 56 times when tipped over, but had a slow flow. Then, we looked at a no-drip nipple and much to our surprise, found it flowed 10.6 times faster. Big difference! Dripping is not related to flow.

Parents are often advised to begin breastfed babies on “slow flow nipples,” but even nipples advertised as “slow flow” can seem very fast. Are there any that are as slow as you think is appropriate?

As mentioned earlier, the term “slow” is not standardized. Nonetheless, it is important to begin with a slow nipple. If a nipple flows too quickly, a baby’s suck will become disorganized. For breastfeeding babies, it is best to choose a flow that mimics mom’s flow. For this reason, it is hard to say one or two brands are “best” since flow varies from mother to mother. Likewise, a nipple might be too slow for some babies. This is why we ranked the bottles and listed them in our book.

It is also important to remember that flow is only one aspect of choosing a bottle. If the baby’s mouth placement is wrong, regardless of the flow, baby will bring bad habits to the breast and still be in danger of early weaning.

For parents who are struggling to get their breastfed babies to take bottles, and who are exploring different bottles, what should they be looking for?

Moms need to consider the nipple shape and their baby’s mouth placement on the nipple. Ideally, the nipple chosen will gradually flare from the nipple length to the nipple base. This shape allows the tip of the nipple to reach far back into the baby’s mouth as the breast does, and then helps the baby to feed with the mouth open. Quite often a “narrow neck” nipple has a shape that reaches far into the baby’s mouth and allows for gradual widening of the baby’s lips.

A shape that often does not work well is a wide neck nipple where the nipple length meets the nipple base at a right angle. This nipple shape promotes what we call “straw” sucking, where the baby’s mouth closes around the length of the nipple and doesn’t open for the base. When babies “straw” suck on a bottle nipple, we often see gaps in the corners of the baby’s mouth which leads to leaking milk, gulping air, etc. This is quite different than breastfeeding.

One bottle feeding method is called “paced feeding.” Can you describe it and explain why it might be helpful to a breastfed baby? What are some signs that a baby is becoming overwhelmed while bottle feeding?

Paced feeding refers to helping a baby eat more slowly from the bottle. Pacing became popular in 2002, before flow had been studied. The idea behind pacing is that by helping the baby rest briefly during bottle-feeding, moms can more closely mimic how the baby naturally feeds at the breast. When a baby breastfeeds, the mother has several let-downs during the feeding. Between let-downs, the baby’s sucking slows and baby can rest briefly. If a baby is feeding from a fast flow “slow flow” nipple, the suck/swallow will be disorganized. Pacing helps the baby have rest periods while bottle feeding that naturally occur at the breast. Now that we know flow can be controlled by choosing an appropriate nipple, we have another technique in our bag of tricks to help babies be more coordinated when feeding from a bottle.

It is important to note that most babies can pace themselves once they master bottle-feeding with the right nipple. How do you pace? First, listen for swallowing while the baby is breastfeeding, noting when the baby naturally pauses and rests. Then apply the same rhythm to bottle-feeding. Also of importance is positioning. With bottle-feeding, support the baby in a more upright position because the flow of some bottles increases when the baby is laying back to feed (another element we tested).

Do all breastfed babies require pacing? No, in fact, imposing pacing can disrupt the natural feeding rhythm of a baby and cause harm when over used. Babies who are “good” feeders, meaning they have a normal, rhythmic suck/burst cycle, do not need pacing. It has been our experience that once a baby has mastered bottle feeding, it is no longer necessary for the parent to impose pacing.

Some signs of a poor bottle-feed include gulping, catch-up breaths, fast feeds, leaking milk from the sides of the mouth or down the chin, baby who has a furrowed brow looking very concerned, and a baby who pulls away from the bottle. For these babies, nipple shape and flow need to be double checked, and this becomes a good time to use pacing. Pacing also is an excellent technique for NICU and other high risk babies that are having feeding difficulties.

Lastly, we would like every caregiver who uses a bottle to know that dripping bottles given before a baby begins sucking usually cause the baby to pull back or flat out refuse the bottle. Caregivers need to be sure the nipple is not dripping when the bottle is offered to the baby. Allow the bottle to stop dripping or keep the milk tipped down in the bottom of the bottle. This topic is further explored on our website.

 

 

 Tanya Lieberman is a lactation consultant (IBCLC) who has helped nursing moms  in hospital and pediatric settings.  She writes and produces podcasts for several  breastfeeding websites, including  Motherwear,  Motherlove Herbal Company, and  the Best for Babes Foundation.  Tanya recently authored Spanish for Breastfeeding Support, a guide to help lactation consultants support Spanish-  speaking moms.  Prior to becoming a lactation consultant she was senior  education policy staff to the California legislature and Governor, and served as a  UN civilian peacekeeper.  Tanya is passionate about supporting nursing moms, and especially to eliminating the barriers so many moms face in meeting their breastfeeding goals. She lives in Massachusetts with her husband, her 8 year old son and her 1 year old daughter.

 

Filed Under: Article, Articles from the professional experts, Bottle Feeding, Featured, formula, guest posts, Relational Resource, Supplementing Tagged With: , , , , , , , , , , , , , , ,
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