You, Your Baby, Breastfeeding, and COVID-19

by Jessica Martin-Weber

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Breastfeeding Coronavirus Hand Washing

 

Friends, your baby has the right to breastfeed if that is what you were planning to do, want to do, and are able to do.

Not even COVID-19 should stop that from happening.

Even if you test positive for coronavirus.

Even if a health care provider insists that you should be separated from your baby for your baby’s health.

Overwhelmingly, evidence supports that if you are well enough to hold your baby, you are well enough to breastfeed even when you test positive for COVID-19.

(If you are not well enough to hold your baby, you still deserve to be supported in breastfeeding- see here as to how that can be possible).

 

** See this collection of resources of research on breastfeeding and COVID-19, what you need to know, what health care providers need to know, how you can advocate for you and your baby and more. We will be adding to it as materials become available.**

 

We’ve heard from a number of families who are being told they have to separate from their baby at the time of birth if they test positive. Even if they are not symptomatic. Even if they are able to mask and care for their baby following the recommendations of the World Health Organization, the CDC (in the USA), and other major health organizations.

After giving birth is an incredibly vulnerable time and it can be difficult to advocate for yourself and your baby in the immediate hours and days following your baby’s birth. Having a plan and communicating that with your health care team and support person can go a long way in making that easier. Being aware of current recommendations and evidence-based practices as well as being informed on your birth facility’s protocols will allow you to better advocate for you and your baby.

The following is for those in the USA who are COVID-19 positive and physically able to provide care and breastfeed their baby. 

Communicate your wishes to breastfeed even if you are CV19+ with your health care provider BEFORE giving birth if possible and request that it be included in your chart even if you do not test positive. It may be helpful to reference the WHO and CDC recommendations (included in the document linked here) and request that they be included in your chart as well. For example ask that something like this be charted:

“Patient has communicated that breastfeeding is a priority according to the recommendations of the CDC and WHO and requests lactation support regardless of patient’s COVID-19 status at time of birth.”

Current recommendations from the World Health Organization encourage breastfeeding and skin-to-skin when the lactating parent is COVID-19 as the best available protection for the infant with the parent wearing a mask and practicing good hand hygiene (and doing so for the chest area as well).

 

Breastfeeding when COVID-19 positive

 

Current recommendations from the CDC are vague at best, conflicting and confusing at worst. Hospitals are given quite a bit of autonomy in determining their protocols and there’s a wide range of interpretations of the CDC recommendations. Key in their recommendations (updated as of May 20, 2020) is this: “…the risks and benefits of temporary separation of the mother from her baby should be discussed with the mother by the healthcare team, and decisions about temporary separation should be made in accordance with the mother’s wishes.”

So what do you do if you give birth, are COVID-19 positive, and are told that separation from your infant is mandatory?

First, remember that nobody can take your baby from you without your permission without reasonable cause. You have the right to refuse to comply with protocols and practices with which you do not agree or understand. You have the right and responsibility to understand what is being recommended for the health of your child and the evidence for those recommendations. You have the right and responsibility to ask questions until you are satisfied and have the understanding you need. You have the right and responsibility to make fully informed consent in the health care decisions of you and your child. You have the right to make decisions about your child’s health care without bullying, coercion, or threats.

If you are told that your health care facility’s protocols require separation and no direct breastfeeding (pumping only), ask to speak to your child’s doctor directly, tell them you want to work together with them for the health and well-being of your new baby, that you want to understand exactly what is being recommended and why, and inquire why the WHO recommendations are not being followed. 

Listen respectfully as they explain.

Then communicate clearly that you wish to follow current evidence-based recommendations to breastfeed directly and will practice good hand and chest hygiene and wear a mask but that it is your intent to breastfeed your baby according to the WHO recommendations on breastfeeding and COVID-19 positive status. 

If you are told that the institution does not follow the WHO recommendations, you may want to point out that the CDC clearly states “…decisions about temporary separation should be made in accordance with the mother’s wishes.”

If you are again told separation is mandatory, you may find it helpful to say that you appreciate their concern for you and your child’s well-being but that you do not consent to separation based on current evidence-based recommendations to breastfeed.

If you are told that they will call CPS, you may want to state: “I would like it charted that you, Doctor/Nurse _____________ have said that CPS would be called on me if I followed the recommendations from the WHO and CDC regarding separation of the breastfeeding pair in the case of CV19+ status and that this institution would not support me in following current evidence-based recommendations regarding breastfeeding during the coronavirus pandemic.” Asking for this to be in our chart is protective for both you and the health care team. Documentation is very important. Maintaining your own documentation is also important should things escalate. Hopefully that won’t be the case but it is wise to be prepared.

If things continue to escalate, it may be time to reach out to seek legal counsel.

As much as this is a vulnerable time and there’s a lot happening in the body postpartum, as much as possible, remaining calm and non-combative is helpful. Keep in mind that information is changing rapidly and protocols are often decided by hospital administration rather than the actual care providers. The majority of healthcare professionals are just trying to help others as best they know how and may have been given no say in the hospital policies. Attacking them rarely is beneficial and could cost you an influential ally.

 

 

You and your baby should be together and evidence supports that. Should you find yourself dealing with a situation of mandatory separation at birth due to COVID-19 status, please know that all evidence supports that you and your baby should be together, have skin-to-skin, and breastfeed. You are the best person to advocate for your baby and your baby needs to be with you.

For an ever growing list of resources and information on breastfeeding and COVID-19 including studies, health organization recommendations, and more, please see this list. We will be adding resources as they become available so check back frequently.

 

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If this resource was helpful for you, consider helping The Leaky Boob by giving back. Help us keep our information, support, and resources free by becoming a patron and get access to exclusive content just for our supporters. Join here today.

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Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of wereallhumanhere.com, freelance writer, and co-founder of Milk: An Infant Feeding Conference. Jessica lives with her family in the Pacific Northwest and co-parents her 7 daughters with her husband of 23 years.

Breastfeeding and COVID-19 Research and Resources

Updated June 19, 2020
Compiled by The Leaky Boob, theleakyboob.com, Facebook.com/TheLeakyBoob

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The Leaky Boob is committed to providing free information, support, and community. You can be a part of making that possible by joining our circle of support. Any and all support amount makes a difference.

_________________________

 

This resource list is an evolving work in progress. If you are aware of some resources or materials that should be included, please comment with the link.

 

Health Organizations Recommended Practices and Protocols:

Considerations for Inpatient Obstetric Healthcare Settings

  • CDC (Centers for Disease Control and Prevention)

 

Evaluation and Management Considerations for Neonates At Risk for COVID-19 – Caring for Newborns

  • CDC (Centers for Disease Control and Prevention)

“…the risks and benefits of temporary separation of the mother from her baby should be discussed with the mother by the healthcare team, and decisions about temporary separation should be made in accordance with the mother’s wishes.”

 

Breastfeeding advice during the COVID-19 outbreak

  • WHO (World Health Organization)

 

ABM STATEMENT ON CORONAVIRUS 2019 (COVID-19)

  • ABM (Academy of Breastfeeding Medicine)

 

Pregnancy, childbirth and caring for newborns: Advice for mothers during COVID-19

  • Public Health Agency of Canada

 

Clinical Management of COVID-19

  • WHO (World Health Organization)

 

Infant and Young Child Feeding in Emergencies, including COVID-19

  • United States Breastfeeding Committee 

 

 

Pregnancy, Birth, and Breastfeeding and COVID-19 Specific Resources:

 

SARS‐CoV‐2 and human milk: What is the evidence?

  • Wiley Online Library
    • Kimberly A. Lackey, Ryan M. Pace, Janet E. Williams, Lars Bode, Sharon M. Donovan, Kirsi M Järvinen, Antti E. Seppo, Daniel J. Raiten, Courtney L. Meehan, Mark A. McGuire, Michelle K. McGuire

 

New Studies Investigate How COVID-19 May Impact Breast Milk and Pregnancy 

  • University of California San Diego School of Medicine – Michelle Brubaker

 

Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records.

  • The Lancet
    • Huijun Chen, PhD – Juanjuan Guo, MS – Chen Wang, PhD – Fan Luo, PhD – Xuechen Yu, MD – Prof Wei Zhang, PhD – Prof Jiafu Li, MS – Prof Dongchi Zhao, PhD – Dan Xu, MS – Qing Gong, MS – Jing Liao, PhD – Prof Huixia Yang, MD – Prof Wei Hou, PhD – Prof Yuanzhen Zhang, BS 

 

Antibodies in Infants Born to Mothers With COVID-19 Pneumonia

  • Jama Network
    • Hui Zeng, MD – Chen Xu, BS – Junli Fan, MD – Yueting Tang, PhD – Qiaoling Deng, MD – Wei Zhang, MD, PhD – Xinghua Long, MD, PhD

 

Guidelines for Healthcare Facility Management of Perinatal Care of Persons with COVID-19 of Suspected COVID-19

  • Bryna Sampey

 

Skin-to-Skin Care and COVID-19: downloadable file

 

Breastfeeding and coronavirus disease-2019: Ad interim indications of the Italian Society of Neonatology endorsed by the union of European Neonatal & Perinatal Societies

  • Wiley Online Library
    • Riccardo Davanzo – Guide Moro – Fabrizio Sandri – Massimo Agosti – Corrado Moretti – Fabio Mosca

 

COVID-19, Pregnancy and Breastfeeding: What We Know Is Reassuring

  • Helpful blog post with compilation of materials explained

 

Mother-Infant Contact and Breastfeeding Should Remain Top Priorities during COVID-19

  • John Hopkins Nursing, Dr. Cecília Tomori

Breastfeeding, Separation, and COVID-19 Specific Resources:

When Separation is not the Answer: Breastfeeding Mothers and Infants affected by COVID‐19

  • Wiley Online Library
    • Cecilia Tomori – Karleen Gribble – Aunchalee E.L. Palmquist – Mija-Tesse Ververs – Marelle S. Gross

 

COVID-19: Separating Infected Mothers from Newborns: Weighing the Risks and Benefits

  • Harvard Medical School – Melissa Bartick, MD, MS, FABM

 

Mother-Baby Separation for COVID-19 Not Evidence-Based, Experts Say

  • MedScape – Troy Brown, RN 

 

Should New Mothers With COVID-19 Be Separated From Their Newborns

  • The Hastings Center
    • Stowe Locke Teti – Christy Cummings – Louise P. King – Cynthia C. Coleman – Kayla Tabari – Christine Mitchell 

 

 

Maternal Mental Health, Separation, and COVID-19 Specific Resources:

COVID-19 and maternal mental health: Are we getting the balance right? 

  • MedRxiv (The Preprint Server for Health Sciences) – CHS (Cold Spring Harbor Laboratory – BMJ – Yale
    • Anastasia Toplidou – Gill Thomson – Soo Downe

 

Effects of COVID-19 pandemic on anxiety and depressive symptoms in pregnant women: a preliminary study

  • Taylor & Francis Online
    • Ferit Durankuş – Erson Aksu

 

 

Breastfeeding and Separation Resources, General:

Rights of Children in Relation to Breastfeeding in Child Protection Cases: downloadable file

 

 

Helpful Breastfeeding Resources, General:

Exclusive breastfeeding for the first 3 months of life may reduce the risk of respiratory allergies and some asthma in children at the age of 6 years.

  • Wiley Online Library – Gayla Bigman

 

 

Working with Health Care Providers Resources:

Breastfeeding Empowering Language in Medical Settings

  • Mom2Mom Global- Amy Smolinski

 

The SHARE Approach—Essential Steps of Shared Decisionmaking: Quick Reference Guide

  • AHRQ(Agency for Healthcare Research and Quality

The SHARE Approach is a 1-day training program developed by the Agency for Healthcare Research and Quality (AHRQ) to help health care professionals work with patients to make the best possible health care decisions. It supports shared decisionmaking through the use of patient-centered outcomes research (PCOR).

 

 

Current and Ongoing Studies:

ISRHML Activities and Guidance related to COVID-19

  • ISRHML (The International Society for Research in Human Milk and Lactation)

 

 

Additional Resources:

Safe Handling of Containers of Expressed Human Milk in All Settings During the SARS-CoV-2(COVID-19) Pandemic

  • National Library of Medicine – National Center of Biotechnology Information
    • Kathleen A Marinelli – Robert M Lawrence

 

Publishers Provide Scholarly Content Free on Project MUSE During COVID-19 Crisis

  • Project Muse

 

Is there a resource or research you’d like to see included here? Please let us know.

 

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If this resource was helpful for you, consider helping The Leaky Boob by giving back. Help us keep our information, support, and resources free by becoming a patron and get access to exclusive content just for our supporters. Join here today.

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I Feel My Boobs- 8 Unglamorous Secrets About Breastfeeding

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

Just kidding. I was decidedly not joyful.

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

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

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

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

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

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

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

How to Select a Breast Pump and Get It Through Your Insurance

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

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The Leaky Boob is committed to providing free information, support, and community. You can be a part of making that possible by joining our circle of support. Any and all support amount makes a difference.

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

Get Paired with your perfect pump through Aeroflow Breastpumps

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

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

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

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

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

Ameda Finesse breast pump

Ameda Finesse

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

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

Lansinoh Smartpump

What does it all mean?

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

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

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

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

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

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

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

mmHg– suction level.

Motif Duo Breast Pump

Your Pumping Lifestyle and Needs

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

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

Medela Starter Set

Picking Your Pump

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

Get your pump through your insurance

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

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

 

how to pick the best breast pump

Here’s what you do:

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

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

They’ll ship your breast pump!

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

Things Aeroflow Breastpump Specialist does for you:

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

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

 

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If this resource was helpful for you, consider helping The Leaky Boob by giving back. Help us keep our information, support, and resources free by becoming a patron and get access to exclusive content just for our supporters. Join here today.

______________________________

 

Leah De Shay graduated from La Sierra University with a degree in Psychology and Speech Pathology and Audiology. She completed her post-baccalaureate work in lactation at University of California, San Diego and went on to get her CLEC (Certificated Lactation Educator Counselor) certificate, and completed her IBCLC (Internationally Board-Certified Lactation Consultant). Leah has since worked in various health care systems, including as Director of the Welcome Baby Program, Providence. She currently serves patients throughout southern CA as the coordinator for infant feeding at LOOM and the Lactation Specialist at Growing Healthy Together. In addition to her clinical practice and as a busy mom herself, Leah also assistant teaches for the UC system. 

 

Lauren Bennet is a graduate of the Medical University of South Carolina and a Registered Nurse (BSN), and practiced as an intensive care nurse for 3 years. Currently, Lauren leads an incredible group of passionate and fun people at Aeroflow Breastpumps as the team lead managing the breast pump specialists. In her free time, she enjoys hiking, camping and being outdoors in and around Asheville, NC. 

 

 

Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of wereallhumanhere.com, freelance writer, and co-founder of Milk: An Infant Feeding Conference. Jessica lives with her family in the Pacific Northwest and co-parents her 7 daughters with her husband of 23 years.
 

Breastfeeding While Sick and How To Recover Your Supply

by Jessica Martin-Weber with Rene Fisher, IBCLC

______________________________

The Leaky Boob is committed to providing free information, support, and community. You can be a part of making that possible by joining our circle of support. Any and all support amount makes a difference.

_________________________

 

This article made possible by the generous support of Ameda.

Ameda Finesse Double Electric Breast pump

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

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

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

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

Not exactly but, well… kind of.

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

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

The American Acadamy of Pediatrics recommendation on breastfeeding while sick:

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

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

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

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

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

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

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Recovering Milk Supply Following Illness

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

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

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

 

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

 

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

 

 

 

Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of wereallhumanhere.com, freelance writer, and co-founder of Milk: An Infant Feeding Conference. Jessica lives with her family in the Pacific Northwest and co-parents her 7 daughters with her husband of 23 years.
 

 

Baby Feeding and Finding Your Village- The Importance of Community In Reaching Your Breastfeeding Goals

By Jessica Martin-Weber

This post made possible by the support of The Village from Ameda, Inc.

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The US Surgeon General identified lack of support as one of the primary reasons families don’t reach their breastfeeding goals. Be that support in education about breastfeeding, support in health care, support in dealing with breastfeeding difficulties, support in social settings, and support related to employment environment, lack of support directly impacts breastfeeding goals.

For over 6 years, The Leaky Boob has been supporting families in their baby feeding journeys and we’ve seen exactly the impact support can have on breastfeeding goals. Here’s what we’ve learned:

  • Support helps the breastfeeding parent be prepared.
  • Support helps the breastfeeding parent better advocate for themselves and their child.
  • Support helps the breastfeeding parent be informed.
  • Support helps the breastfeeding parent identify problems and know when and where to go for care.
  • Support helps the breastfeeding parent not feel alone.

That last point matters more than you might think. Breastfeeding can feel like such an isolating solo act, particularly in an unsupportive environment and support can go a long way in combating loneliness that some experience as part of their baby feeding journey.

When I had my first baby, my breastfeeding supportive mom (community!) encouraged me to try a breastfeeding support group when I was having pain initially. As I walked in I felt uncomfortable right away but decided to give it a try anyway but by the end I knew it wasn’t for me. In fact, I was more anxious after that experience but not necessarily because of breastfeeding but rather it was a group that attracted families that felt frighteningly “crunchy” to me at the time (no lie, I’d probably fit in great there now). Personality and value differences made it not a good fit for me and that is ok. Unfortunately, at the time breastfeeding support was not so wide-spread and I ended up very alone and isolated in feeding my baby. Aside from my very supportive husband, neither my health care providers nor my friends were supportive or experienced with breastfeeding. Thankfully, my own mother was and though we were separated by more than a thousand miles, she continued to offer encouragement, information, and support. Just having that one experienced voice, even when her experiences were vastly different from mine, helped me in reaching my breastfeeding goals. Even with the support of my partner and my mother I felt alone in feeding my baby but I am so grateful for their support because I can only imagine how much more difficult it would have been without them. Not every support community is right for every individual, even when they’re shared experience and common interest based communities. Which is why there is a wide variety of options and increasingly so. Different people are going to have different needs and ways they experience community.

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To find a community that is right for you

Determine what you need. Just looking for clinical facts and information? Find encouragement being able to ask anything and everything? Inspired by hearing the stories of others? Love seeing images of baby feeding? Enjoy connecting in the day to day? Want it to be only about baby feeding? Need focused connection on a specific feeding related experience? Value feeding as what brings you together but want to share about anything and everything else? Figure out what works for you personally and look for options that fit your needs and personality.

Clarify your values. Is there certain language that you want to avoid? Is there a controversial topic that you have a strong position on that is a non-negotiable for you? Identify your personal values and have a clear understanding of them for yourself.

Recognize what you have to offer. Community isn’t just about getting the support you need, community works when everyone gives and receives. You have something to offer in supporting others, even if you don’t feel like it, your story matters and sharing it can make a difference for others.

Ask around. Breastfeeding rates continue to rise (2007 initiation rates were around 70%, in 2014 they were nearly 80%) so more and more people have at least some experience with breastfeeding. If you know someone that has had a baby, ask them where they found breastfeeding support, you’re likely to have better results than with just a google search.

Eventually I figured out what I needed in community, particularly in a baby feeding support community. A judgment-free atmosphere that supports people over methodology, embraces the wide diversity of feeding modalities and tools (exclusively from the breast, pumping, bottle-feeding, combo formula feeding, formula feeding, etc.), promotes information, and has an emphasis on the relational sharing of baby feeding experiences with the good, the bad, the ugly, and the funny was what I needed which is reflected in The Leaky Boob and the communities we partner with, such as this one.

Once we know that community makes a difference in reaching breastfeeding goals and in supporting parents in finding their confidence, it only makes sense that we would work to be community ourselves, supporting and encouraging each other along the way. It takes a village, after all, together, we are the village.

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Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of BeyondMoi.com, and creator and author of the children’s book and community of What Love Tastes Like, supporter of A Girl With A View, and co-founder of Milk: An Infant Feeding Conference. She co-parents her 6 daughters with her husband of 19 years and is currently writing her first creative non-fiction book.

Breastfeeding Confession: I don’t love breastfeeding

by Jessica Martin-Weber

This post made possible by the support of EvenFlo Feeding

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

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

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

And again my heart ached with them.

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

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

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

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

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

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

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

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

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

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Jessica Martin-Weber

Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of BeyondMoi.com, and creator and author of the children’s book and community of What Love Tastes Like, supporter of A Girl With A View, and co-founder of Milk: An Infant Feeding Conference. She co-parents her 6 daughters with her husband of 19 years and is currently writing her first creative non-fiction book.

Breastfeeding, Your Partner, And Sharing the Journey

by Sarah Saucedo

This post is generously made possible by Bamboobies

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When you are considering breastfeeding your baby, it may seem like it will be a one-woman show. The notion that you will be the sole provider for your new baby’s nutrition may seem a bit overwhelming. However, that doesn’t need to be the case! Your partner can play a key support role in your breastfeeding success.

In the first couple days postpartum, having help to make the most of “lying in” should be a priority. “Lying in” simply means the days or week following delivery where mom and baby should be breastfeeding, bonding, doing skin to skin and little else. Your partner can help make this transition easier with a few simple acts:

  • Make sure any therapy or breastfeeding essentials are within your reach and ready to use (nursing pads, nipple balm, therapy pillows)
    • If using reusable nursing pads – make sure they are clean and ready to go
    • Heating or cooling the therapy pillows depending on your liking
  • Make sure you are hydrated and fed
    • Always have a water bottle on your nightstand
    • Place easy-to-grab snacks like protein bars or fruits that don’t need to be refrigerated, like bananas and oranges, within your reach
  • Help with any pain medications or dressings that you may have from your delivery; this can be a big help-especially if you had a cesarean or particularly hard labor.

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Once you are comfortable enough to move around the house more, there are plenty of ways that your partner can still be helpful and supportive in your breastfeeding journey. Here are a few:

  • Stock a nursing station or stations in you favorite spot(s), so you have what you need when you need it. Snacks, wipes, burp clothes, a full water battle, nursing pads and something entertaining, like a good book or magazine are essentials. Fueling you body and mind while the little one eats is multitasking at its finest.
  • Use a bottle to feed baby pumped breastmilk. This can give you some time to take that much needed shower, read a book, or even sleep if your partner is able to pick up a night feeding. It may seem trivial but these little acts of self-care go a long way in the postpartum period.
  • Clean the pump parts and bottles (they add up!)

Having your partner’s support doesn’t need to stop when you venture out of the house, either! Your partner can be just as involved in your breastfeeding journey whether out to eat, shopping, or at a sporting event.

  • Provide emotional support when you need it. It can be a huge boost to your confidence! Knowing that they support you and your breastfeeding journey can be the key to making a possibly anxious situation (like your first time out of the house) as smooth as possible.
  • Check to make sure the diaper bag is fully stocked with all your favorite breastfeeding supplies (pads, nipple balm, and nursing shawl) and whatever baby needs is also helpful. Don’t forget an extra diaper or two and a change of clothes for baby. You might want an extra shirt, too, just in case!

Bringing a new life into the world is challenging and exciting. Having a partner that supports your feeding choices makes everything a little easier. Also, don’t be afraid to ask for help. Chances are, your partner will be looking for ways to be involved with baby and you during your breastfeeding journey as well. Happy breastfeeding!

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Sarah is a mom of two wonderful boys, and is expecting her third child in March! She is bamboobie’s support maven as well as a Certified Lactation Educator and Counselor and is passionate about all things breastfeeding. 

Eight Things I Wish I’d Known About Breastfeeding the First Time Around…

by Sarah Saucedo

This post is generously made possible by Bamboobies

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Being pregnant with my third baby, I am fortunate to be able to reflect on two previous breastfeeding journeys. Two completely different journeys that both managed to encompass the good and the bad and fortunately were able to end on a high note, on my terms. Don’t get me wrong, I am not expecting that my third time around will be all rainbows and butterflies now that I have had two previous children to ‘work out the kinks. ‘ No, unfortunately, babies and breastfeeding don’t work like that. But, thankfully, I was able to take away some helpful reminders from each of my children’s breastfeeding experiences and will be able to lean on them when baby number three makes his/her arrival. 

1. Babies aren’t born hungry, they are born to suck (literally)
When baby is born, after all the excitement of their arrival, is to latch them on the ‘eat.’ But really, baby latches on to stimulate their reflexes to rid themselves of meconium (dark green poop). Sure baby will get some much needed liquid gold (colostrum) during that first feed, but baby isn’t starving. I promise. Just wait to change those first few diapers and you’ll understand what I mean by them needing to clear out their systems!

2. Baby’s newborn tummy is tiny
Seriously, it is very, very small. Baby’s tummy at birth can actually be compared to about the size of a small cherry. To breaks that down even more, this equates to 1/2 tsp needed to fill their tummy up. Really! So, rest assured, the first few milliliters or colostrum is really all they need for the first few days.

3. Breastfeeding is learned for both mom and baby
Breastfeeding your newborn may not feel awesome the first few days or even week. It’s not necessarily because of any latch issues or positioning problems. It’s the fact that your new little one is attached and suckling your very sensitive breasts a lot. This will get better as you and baby learn. But if it doesn’t or if you start noticing trauma (bleeding or cracks) reach out for help! Breastfeeding isn’t supposed to hurt.

4. Remember to take care of yourself
We are often so focused on baby’s needs, the onesies, toys, car seats – you name it! It is important to remember that your body is and will be going through lots of changes and being prepared and getting support for yourself can make all the difference.

Even though breastfeeding is natural, it’s not always easy. Whether you are leaking, have sore nipples, or are working on a good latch getting the right products to support your breastfeeding journey is important. I experienced sore nipples with my second baby due to a tongue tie and by the time I knew what was happening, my case was so severe I needed ointments with antibiotics. This time around, I plan to have a preventive, healing nipple balm in my arsenal . bamboobies boob-ease® Organic Nipple Balm is amazing for sore and cracked nipples. It’s new mom nipple TLC and doesn’t have to be washed off before baby nurses.

In addition to sore nipples, with my first, I leaked a lot and was going through disposable nursing pads like there was no tomorrow. Not only was it not cost efficient but the feel of the disposable nursing pads was less than ideal. This time around I plan to use bamboobies® Washable Nursing Pads. Not only are these washable nursing pads eco-friendly but they are ultra-soft and absorbent! They are also a great registry item!

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5. Bonding Time
Until you have recovered and you and baby have learned the ropes together, breastfeeding will involve a lot of couch time or at least sitting down. I was antsy at first and felt that I should be doing more. But really, what can you do when baby wants to eat every two to three hours and each feeding takes 30-45 minutes? Rest, relax, bond with baby and get caught up on all of your favorite TV series while baby is satiated. Breastfeeding will get easier and more mobile (you’ll be eating dinner while baby eats soon enough), but again, it takes time. And that’s ok!

6. Breastfeeding can happen in any position
Piggybacking on the last point, you will eventually feel comfortable to nurse in whatever position is most comfortable, convenient, or simply-the one baby will nurse in at that moment (gymnastics anyone?!) Breastfeeding looks different from mama to mama and that’s because it needs to feel right for mom and baby! I thought the cradle hold was the only way with my first. With my second, I realized that nursing can happen laid back, laying on my side, with a cross hold, a football hold, over my should (my toddler taught me this one). Once the possibilities of positioning opened up, I had a much more enjoyable experience breastfeeding in a comfortable manner.

7. Yes, dad can be involved
Breastfeeding seems like a feeding method that leaves all the responsibility on mom. However, your partner can be involved in more ways that just bottle feeding baby. Ask them to bring you snacks or water during a cluster feed, the remote/phone/book when you are trapped under a fussy nursling. Ask for a foot rub or just plain l’adult conversation when you feel you need it. Breastfeeding takes a lot out of mom so your partner’s support is always helpful and can be a moral e booster when needed. 

8. Pumping is not indicative of supply
If there comes a time when you need/want to pump, don’t be alarmed at the little amount you may see in the bottle. With my first baby, I was going to school full time. I pumped all the time with a double electric, hospital grade pump. In return, my body thought I was producing for very hungry twins and my output during my pumping sessions reflected that. I was able to feed baby on pumped milk for about six months before my supply dropped.

With my second, however, I was a stay at home mom. I had no reason to pump. So, when the occasional date night happened, I did not respond to the pump as well. I could maybe pump and ounce or two, although my second child and I had a very healthy breastfeeding relationship that lasted for over two and a half years with no issues of low supply. Rest assured, babies are very efficient at emptying the breast, more so than the pump, thinking your supply is reflected by the amount you are able to pump is not helpful and can in fact cause unneeded stress.

Every breastfeeding journey you may embark on with each new baby will be different. This is simply because every child and situation is different. I had two completely different, yet both successful (to me) breastfeeding journeys. I was able to learn from them and can only hope to use these lessons and tips from the first two with my third baby. Breastfeeding and the relationship you create with your child(ten) will never look exactly the same to the nest baby or even compared to your friend’s journey, and that is ok! Enjoy what works best for you!

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Sarah is a mom of two wonderful boys, and is expecting her third child in March! She is bamboobie’s support maven as well as a Certified Lactation Educator and Counselor and is passionate about all things breastfeeding. 

I’ve Become a Creepy Mom

by Jessica Martin-Weber

There are so many things I never imagined I would do before becoming a mother. There was a list that I was aware of but I had no idea that there would be things I would do that I never even considered. My list had the typical items: never let child… whatever, doesn’t matter because we all know that was a joke. I thought I would never use my spit to clean my child’s face (ok, but for real, children are dirty and it is gross but my spit IS actually cleaner than some of the crust I’ve cleaned off their faces), never yell in public (but for real, they do run toward the street like it’s a bouncy house), have my kids in matching clothes (now I consider it a success if the clothes are mostly clean, bonus if they fit), not allow screen time (snort), and all the other typical I’ll-be-the-perfect-parent-don’t-have-kids-yet ideology.

What I didn’t anticipate is that I would become a creeper.

I totally have. It snuck up on me. Like reaching out to touch another mom’s hair and admiring that she showered… but it was so clean and it smelled so good. Or seeing a cute baby and saying how I could just eat them up.

Admit it, that is a totally creepy thing to thing… and I’ve actually said it out loud to people.

I was a total creeper in church on Sunday.

We go to a big church downtown, regal and very traditional with a huge pipe organ, robes, and a classical choir. And the coolest red doors. It’s beautiful and reverent.

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One pew back and across the aisle there was a young mom with an adorable chubby little baby girl. She made the cutest coos and happy sounds, taking in the sights and sounds of the service.

I wanted to give her a little nibble.

(Look, before you judge me about that, there’s a scientific reason we feel compelled to bite cute things. It’s real and it is even a good thing!  I’ve never done it… hard.)

But that isn’t the creepiest part of this story.

This adorable little girl finally got tired and somewhere between reading the epistle and singing the hymn before the sermon, she began to fuss. Mom-radar up, I recognized that fuss. She was hungry. I glanced back, because even hungry babies that belong to other people make my boobs ready to leak into action.

Now, I didn’t care if she was given a bottle or given a boob, I just needed to see the adorable baby I wanted to nibble being fed when she was hungry. It was important to me, an almost physical ache. So I was relieved to see this effortlessly beautiful mother (seriously, I knew she was tired but she made tired look good and her hair was a little messy but it was like the perfect sexy messy beach updo and she rocked it) fiddling and in motion to feed the hungry baby I was ready to spring over the pew to feed.

I saw nothing but I knew. No breast came flying out, no milk spraying anywhere, no nipple pointed at anyone, just a suddenly quiet baby making nothing more than happy grunts as her mother cradled her.

She was breastfeeding.

Right there, in our regal church as the Gospel was being read.

In full on creep mode, I kept looking back at the pair. Contented baby at the breast, attentive mother gazing at her.

And as cheesy as it sounds, I felt caught up in the moment of worship. Not of this mother and child, not of breastfeeding, but of the God I believe designed us to be able to do this. As songs were sung, Scripture was read, and a homily shared, I was witnessing love in action and God’s design being celebrated as all designs should be celebrated: through the beauty of their function.

(I believe I would have felt the same if it was bottle-feeding, in fact, I know I would have, I have before.)

Before anyone goes there, though some probably already have and probably will no matter what, this isn’t a debate about modesty since we’re talking about feeding a baby. If you wouldn’t bring modesty to the discussion of giving a baby a bottle, it has no business being a part of the discussion at all. To debate that point, head over here.

To complete my creepiness, following the service I went up to the mother and thanked her. THANKED HER for bringing her baby into the service and caring for her as she worshiped. What an act of worship, to show love, to embrace the body she has been blessed with, to nurture her child. I thanked her too for feeding her baby how she feeds her baby and that my daughters saw this act as well. Thank you, I told her, for helping change the culture so maybe our daughters won’t be nervous about their bodies feeding their babies in church some day as well.

We chatted a bit, her mother was with her and they both thanked me for saying something. She had been nervous about breastfeeding in worship and it was good to hear that it was ok.

I can’t imagine a place where it should be more ok, I told her. According to our faith, God made her, and acting as she is designed isn’t a flaw, it isn’t shameful, it isn’t inappropriate. Pretty sure God can handle breasts being used to feed babies even in the place of worship.

Not everyone is going to be comfortable breastfeeding in public with or without a cover and many who are fine with it in most settings aren’t in their place of worship. That’s ok, the most reverent and sacrificial act of worship any parent can do is to care for their child(ren) no matter how it is done.

From the creepy mom in the pew over, thank you for doing so.


Jessica Martin-Weber Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of BeyondMoi.com, and creator and author of the children’s book and community of What Love Tastes Like, supporter of A Girl With A View, and co-founder of Milk: An Infant Feeding Conference. She co-parents her 6 daughters with her husband of 19 years and is currently writing her first creative non-fiction book.