Receiving Breastfeeding and Pumping Support Online and Over the Phone

by Linda Zager

600x200 Banner Ameda

In today’s busy world moms cannot always find time to meet with a lactation professional in-person when support is needed. These professionals can be far away, only have office hours at limited times and let’s be honest, when you have a newborn it can be near impossible to even get dressed let alone making it out of the house. But there is hope! Breastfeeding moms can receive support by reaching out by phone and speaking with a Lactation Consultant, nurse or a member of the breastfeeding community regarding breastfeeding or pumping concerns. Phone triage is a first step to resolving some breastfeeding issues. Mom’s face frustration caused by inconsistent information about breastfeeding and often, the unique personality of the baby is not taken into consideration.

Amanda, ParentCare smaller

 

Families can experience stress once they bring their baby home from the hospital. There may be questions surrounding breastfeeding and learning to “read” the newest addition to their family.  A phone conversation can dispel common myths. Offering a small amount of education and lending an empathetic ear goes a long way. By listening carefully, a lactation professional will be capable of addressing some issues by phone. Offering mom different ideas of how to resolve simple issues can also empower moms! Follow up is often necessary to assess if the advice resolved the issue.  The lactation professional may detect a more complicated issue that cannot be addressed over the phone, and in that case, the mom will be referred to a skilled Lactation Specialist for an in-person assessment.

The challenge for those who are providing support to breastfeeding women over the phone will be to distinguish between the mothers and babies whose situations are uncomplicated and those who will need the special assistance of a skilled International Board Certified Lactation Consultant(IBCLC). Proper assessment of the breastfeeding process requires an understanding of how the anatomy, physiology and psychology of how the mom and infant interact during lactation. Conducting a thorough history of the breastfeeding woman’s pregnancy, labor and delivery and postpartum period can shed light on any complications that could affect breastfeeding.

 

Pumping moms can seek advice over the phone to resolve problems they are experiencing with breast pumping. All Moms are unique and may have different experiences when using a breast pump. Not all breast pumps are made to operate in the same manner and one type of breast pump can work very well for one woman and poorly for another. Therefore the person offering advice on pumping by phone requires education on various types of breast pumps, which pump is best for the reason mom is using it, basics of pumping and suggestions to help stimulate a milk letdown. Moms need to be directed to READ the instruction manual of their breast pump and not assume it works like her friends or the one she used 3 years ago. Mom needs to be patient with her body as it adapts to a breast pump to express her milk. The first few pumping sessions should be looked at as practice. Pumping is very different than nursing a baby and a body needs to adapt to this difference. Pumping should never be a painful experience. If a mom is stating pumping is painful, factors such as flange size, suction pressure and pumping technique must be reviewed with her.

Lynn, ParentCare smaller

 

Karen, ParentCare smaller

 

At Ameda, we have ParentCare Specialists available that are knowledgeable in the basics of pumping and how the Ameda breast pump functions. The representatives are responsible for thorough troubleshooting of the Ameda breast pump if an issue occurs so the mom has a positive pumping experience. If a ParentCare Specialist cannot resolve the issue, the mom’s case file is escalated to one of our IBCLC’s for assistance. And that is where I come in, I am a RN and IBCLC. I assist moms with both breastfeeding and pumping issues using phone triage to find a resolution to an issue. A mom who finds breastfeeding support during her motherhood journey can reach her goal of feeding her baby breast milk – a truly special gift.

 

Linda, IBCLC2 smallerLinda Zager, RN, IBCLC
I’ve been an RN for 37 years, working in various hospital positions from Intensive Care to Hemodialysis/Plasmapheresis, Maternal Child Care and finally Lactation Consulting, my true calling in life. I have been an IBCLC for 23 years working with moms/babies in their homes and in the hospital. I left hospital work and now work as Ameda, Inc.’s Nurse Clinician/Lactation Consultant in the ParentCare division. I speak with mothers all over the country when they require resolution to breastfeeding/pumping issues.

Fennel and Sausage Breakfast Casserole for the Milky Mom

by Carrie Saum

Mornings are nightmares in my house.

Even before having a baby with some extra needs, I struggled to feel like a human before 10:00am. I know now that I need thyroid support. I need extra vitamins B and D. I need sleep. I need no talking until coffee has kicked in. I need to wake up slow with a silent, sweet cuddle from my toddler.

LOL. I know. These things will never happen.

But I do know what I absolutely need to be a good person during the rest of the day: Breakfast.

I also know I need extra protein and veggies in the morning. I have a hard time taking care of myself. This is NOT NEWS. But I have a specific behavior that pops up when I start to feel overwhelmed and stop taking care of myself.

What is it, you ask? Well, I eat trail mix. For every meal. With a side of coffee. (Or maybe coffee is my main meal and trail mix is a side?)

I started the trail mix/coffee routine when I was exclusively pumping. I ate a limited diet in order to help my son thrive. Nuts, beans, and seeds, thankfully, were never an issue for either of us, so I kept a bag of homemade trail mix next to my pump and snacked while I pumped. I also ate other things, like gluten-free toast and quinoa and oats with a side of salad for breakfast. I ate bags of frozen veggies sautéed in olive oil and topped with an over-easy egg, (until my son reacted to the egg through my breastmilk).

When the challenges I faced far outweighed my capacity to cope, the first thing to go was breakfast. Those simple, warm, fueling meals turned to snack and convenience foods. Which was TOTALLY OKAY for that season in life. I was in full survival mode and I give myself a total pass.

But the reality is this: I need a hot breakfast to be at my peak, and really to even start climbing that mountain. I can handle prepping and eating a hot breakfast every morning, now. I have the capacity.

So, last week when I started eating trail mix, a tiny warning bell went off in my head. Taking care of myself often gets filed to the bottom of the pile when work, family, and community are all scrambling for my attention. Which is crazy because food is kind of My Thing.

I have compiled a list of ways I can restart and ensure my path to self-care. Yours might look different, or there might be more steps, or there might be fewer.

  1. Eat a hot breakfast.
  2. The end.

The easiest way to I’ve found to consistently care for myself is to eat a hot breakfast. I prep a breakfast cassarole on Sunday and portion it out for the rest of the week. Then I reheat it in the toaster oven and eat it while it’s piping hot not ice cold.

FrittataCloseUp

Ingredients:

  • 12 eggs
  • 1 cup cheese (I prefer parmesan or asiago, but any cheese will do)
  • 1/2 cup half and half, or milk of your choice
  • 1 lb of browned sausage or cooked bacon, crumbled (I prefer mild Italian sausage, but you can skip meat altogether to make this vegetarian.)
  • 1 medium onion, diced and sauteed
  • 1 large fennel bulb, sliced and sauteed
  • 12 oz chopped broccoli
  • 2 medium zucchini, chopped
  • 2 large tomatoes or 1 pint of cherry tomatoes, chopped
  • 1 bunch of swiss chard or spinach, roughly chopped
  • 3 Tbsp of fresh herbs of your choice, or 1 Tbsp dried herbs. (I use rosemary, basil, from my garden, and fennel fronds from the bulb if available.)
  • 1 tsp black pepper
  • 1 tsp sea salt

Directions:

  1. Whisk together eggs, milk, herbs, salt, and pepper.  Mix in shredded cheese.
  2. Add protein and veggies, and mix thoroughly.
  3. In a large, greased baking dish, bake at 350 degrees for one hour, or until the middle is cooked all the way through.
  4. Remove from oven and serve immediately.  Cut into individual portions and store in the refrigerator for up to two weeks.
  5. To reheat: Place in the oven or toaster oven for 12 minutes at 350 degrees and eat.

I am a better person with this method.  I am a nicer mom and functional human for at least three hours of the day. Until it’s lunchtime, but that’s another post for another day.

Take Good Care,
Carrie

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

______________

If you like this recipe, check out this  recipe for Garden Vegetable Frittata or Brown Butter Apple Crumble Cake  over on Our Stable Table.

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

Pump Like a Pro – Closed System or Bust

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

 

Breast pumping tips Snugabell PumpEase

 

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

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

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

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

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

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

PumpEase, Snuggabelle, Closed System to Bust

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

 

Breast pump

Oatmeal Stout Crockpot Coffee Cake- Lactation Booster!

by Carrie Saum

Summer is here.  And maybe your new little baby is here, too.  Snuggly and warm.

Oh, so warm.

Almost suffocatingly hot.

Dear God, is that a baby or a furnace you’re holding?  The temperature outside is a stifiling 100+ degrees and holding that little fireball while also living on the approximate surface of the sun might be a bit much for you.

But you want cake.

Except it’s summer and who has the time or energy or heat capacity to use an oven?

But you still want cake.

Enter your new BFF – The CrockPot.

Yep.  Make your cake IN THE SLOWCOOKER.

CrockPotOatmealStoutCake1

There is no need to turn your house into an incinerator while taking care of  your miniature lava ball on top of the erupting volcano we call Earth just to have a tasty and relatively healthy treat.

This recipe utilizes the amazing benefits of oats (with milk-boosting powers!), lowers the glycemic index with the use of coconut palm sugar, and gives you the fun milk-boosting benefit of stout beer without actually consuming it.  Plus, after baking it for several hours in a large pot, a majority of the alcohol dissipates so you don’t have to worry about you (or your other kiddos) getting a buzz when eating it.  All of this, just by using your crockpot.

Now, to be clear, this is a dense cake.  It’s almost more of a bread. Should we call it a cake bread?  Either way, it’s satisfying and just perfectly sweet.  You can add chopped up apples or nuts if you want to give it more texture.  I prefer to top my crockpot cake with a bit of homemade whipped cream, sweetened slightly with honey.

Ingredients:

  • 3 cups oat flour (You can make your own using old fashioned oats and your food processor or blender, which is the easiest and cheapest, IMO.)
  • 1.5 cups old fashioned oats
  • 1 cup coconut palm sugar
  • 2 Tbsp tapioca flour or arrow root powder (or wheat flour but it won’t be as milk boosting)
  • 1 tsp cinnamon
  • 1/2 tsp nutmeg
  • 1/2 tsp baking powder
  • 1/2 tsp baking soda
  • 1/2 tsp salt
  • 1.5 cups stout beer (like Guiness)
  • 1/3 cup oil or melted butter
  • 2 eggs
  • 1 tsp vanilla extract
  • 1 Tbsp honey (optional)

Instructions:

  1. In a large bowl, combine all dry ingredients.
  2. In a smaller bowl, combine all wet ingredients and blend thoroughly.
  3. Add wet ingredients to dry ingredients and mix until it begins to thicken.
  4. Pour batter into very well-greased or parchment paper lined crockpot. (I recommend parchment paper if you have a dark-colored crock.)
  5. Place kitchen towel over the top of the crockpot, and pull tight and flat.  Secure towel with the lid. (This will keep moisture from gathering and dripping onto your cake!)
  6. Cook on low for 3.5 hours.
  7. Once you can stick a knife into the cake and it comes out clean, it’s done!  Remove pot from heat source, and allow to cool for 30 minutes before eating.

CrockpotOatmealStoutCake2

The best way to store this is pre-cut in storage containers.  Once completely cool, you can slice it and use parchment or wax paper to separate the layers inside the container.  It’s easy to grab on the go, and you aren’t using up that valuable crockpot or counter space to store.  It refrigerates well, and also freezes well.  You can eat it in the morning with your yummy lactation tea, or as a late-night nursing snack while you cuddle your tiny newborn/thermal nuclear reactor.

What’s in your CrockPot?

Carrie

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

_________________________________

If you like this recipe, check out this Kale Waldorf Salad or Roasted Cauliflower Soup over on Our Stable Table.

_________________________________

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

Pump Like a Pro – The 300 Hour Rule



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

 

Breast pumping tips Snugabell PumpEase

 

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

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

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

 

300 hour breastpump rule

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

 

Breast pump

Sexy Oatmeal

by Carrie Saum

Sexy Oatmeal

 

When I was exclusively pumping, I lost interest in oatmeal around month four. Completely. It went the way of my sex drive. Gone. Poof. The end. Oats and penises were unwelcome guests in my body, and it took a while to come back around to both.

As it turns out, I just needed to spice things up a little. Well, okay. That’s not entirely true. I needed to spice things up more than a little. I needed a major boost to my palate, my milk supply and my sex drive.

After doing some research, I discovered a small amount of maca root might boost my sex drive, as well as my milk supply. After having a chat with my doctor and midwife about the possible side effects of maca in breast milk, I felt safe trying it in very small quantities.

I bought some organic maca powder from my favorite local health food store and tasted it. It was pretty gross. I tried mixing it in my coffee. That was worse. I added a half teaspoon to my oatmeal. It wasn’t bad. In fact, I couldn’t taste it.

I choked down quarter of a bowl of oatmeal with the maca. I was still weary of eating oats, so I needed to reinvent them. But what can you do to oats? I mean, at the end of the day, oats are oats, right?

I pumped an hour later and got two ounces more than I typically did at that time of day.

That night, my husband and I were watching TV after putting our son to bed. I had the sudden urge to jump his bones. And I did.

Obviously, the next morning I was determined to make my oatmeal taste decadently delicious. Because it was doing good things for my baby, my body, and my marriage, I needed to make it do good things for my palate. I played with some spice combinations, continuing to add (barely more than a pinch of) maca to my breakfast bowl, and tried dousing it with Indian spices, fresh fruit and nuts. I wanted my oatmeal to taste the way I felt: warm, complex, and sexy.

I know. HOW CAN OATMEAL BE SEXY? But I wanted to dress it up in its most alluring dress with a bra straps slipping, biting it’s lip with smoldering eyes. Ancient maca root and lots of spices do just that. My post-partum body NEEDED me to do that.

Ingredients:

  • 3 cups liquid (milk, water, or combination of both)
  • 1 cup steel cut oats
  • 2 Tbsp butter or coconut oil
  • 2 Tbsp ground flaxseed or flax meal (they’re the same)
  • 2 tsp raw honey or maple syrup
  • ½ tsp maca powder
  • ½ tsp of the following spices:
    • ground coriander
    • ground cardamom
    • ground cinnamon
    • ground tumeric
    • ground ginger (or sub minced candied ginger if you want a little kick and sugar is not a problem for you)
  • pinch of salt
  • dash of vanilla extract

Directions:

  1. Combine liquid, salt, oil and spices and bring to a boil in a medium sauce pan. Bring to a boil. (If you are using milk, you will need to stir constantly.)
  2. Add oats, vanilla and flax meal, and stir well.
  3. Cook over medium low heat for 20 minutes, stirring often, until thick and creamy, or it reaches your desired consistency. Add maca powder in at the end and mix well.
  4. Top with sliced almonds or pecans, sliced bananas, and a little raw honey or brown sugar.

Disclaimer One: Too much maca might make you a little testier than usual. It can ramp everything up, including your emotions. It stokes the fires. ALL THE FIRES. So, use restraint when adding it to your oats.

Disclaimer Two: Maca has been used for centuries to naturally support hormone balance, and but you might want to run it by your doctor to be on the safe side. If I took too much, it revved my son up for a few hours. If you or your trained medical professional person feel uncomfortable with the maca, you can omit it. It will still work great with the flax and oats.

Disclaimer Three: Be sure to stock up on condoms or your favorite birth control. Or don’t and make another baby. Either way, this could possibly boost your libido, so be prepared.

Disclaimer Four: Sex after baby can be tricky (some tips from HIM on better sex after baby here, some tips from HER on better sex after baby here.). While a little maca helped my struggling libido, it doesn’t work for everybody. Because everybody’s body is different. So, go easy on yourself, and know there is support for you wherever you’re at.

_______________________

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

_______________________

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

_______________________

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

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

Dear Allison,

Thank you for giving my son life.

ThrivingOnDonorMilk

My unlikely squishy baby.

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

Thank you.

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

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

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

LastDonorBottle

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

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

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

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

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

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

You said no.

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

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

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

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


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

Pump Like a Pro – Add a Session

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

 

Breast pumping tips Snugabell PumpEase

 

If you’re looking to boost your supply, consider hitting the ground running (so to speak) first thing in the morning.  Lots of moms find that a little early morning pumping can have a BIG impact on supply.  It’ll take your body a bit of time to get used to the increased demand, but you’ll be seeing the benefits before you know it. 

Of course, as any sleep-deprived mama can tell you, swapping precious minutes of shut-eye to sneak in an extra pumping session doesn’t always sound like the best deal.  The good news is that you just might find that starting your day off pumping puts you in a much happier and well-balanced frame of mind than the typical morning routine. 

Want to do yourself one better?  Turn that early-a.m. pumping routine into a personal ritual that just might become one of the peaceful highlights of your day.  Take your pumping time and turn it into something more…think morning beverage and maybe a little quiet reading time or web scrolling.  We hope you enjoy your new morning routine!

(And keep in mind that PumpEase is one way to get even more out of any pumping session.  Take your bliss to another level by pumping hands free!)

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

 

Breast pump

Pump Like a Pro – Bring on the Dirty Clothes

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

 

Breast pumping tips Snugabell PumpEase

 

There’s nothing quite like that indescribable mini-rush you get from catching a deep whiff of baby smell.  Well it turns out that unlike the stuff they spray inside of new cars, new baby smell has a serious purpose — a biological one!

Picking up on your baby’s unique smell can actually help you let down and get that mama milk flowing.  It’s all part of the biological response mechanisms that have been ingrained in us to help make this whole breastfeeding thing work.  But what happens when it’s time to fire up the pump but your little one isn’t close by?

Trick yourself!  (Or at least trick your boobs.)

Take a deep whiff of some recently-worn baby clothing for a similar letdown response to the one you get from soaking in your baby directly.  You may also notice an accompanying feeling of general peace and relaxation, which isn’t too shabby in the middle of a long day either.

Toss a gently worn onsie or other article of baby’s clothing in with your pump supplies and always have it handy.  Rotate the item from time to time to keep that new baby smell nice and fresh!

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

 

Breast pump

More Than Mommy Exhaustion: How I recovered my energy and health

by Carrie Saum

Mommy exhaustion.

I know you’ve felt it. Too many nights waking up with your tiny baby, fussy toddler, or insomniac older children. Feeding on demand, pumping around the clock, midnight and 2am boob snacks that stretch to 4am. School projects, sleep regressions, a few minutes of Me Time between 11:31-11:57 pm after all the dishes are done, lunches are made, and housework is sort of caught up.

You pour another cup of coffee at noon, after reheating your first cup approximately six times in the microwave. You try an energy drink mix that your friend is selling. And still. You are so worn out, you can barely string five words together to create a coherent thought.

You resolve to take walks, get outside, or try that pilates DVD you’ve had for ages. You feel good about your choice, but you are wiped out for the rest of the afternoon, trying to recover your shaking muscles and push through the exhaustion until you can climb into bed.

You resolve to eat better, cut out the junk and convenience foods, and maybe that will help you feel more energetic, too. After a few weeks, you see a marginal improvement, but it’s not enough of a pay-off for the sacrifice you are making.

And let’s not even talk about the weight gain.

You wonder if maybe you’re missing something but chalk it up to this season in life where sleep is scarce, demands are abundant, and time for self-care is at a high premium. Of course you’re depleted. Who wouldn’t be?

A few months ago, I brought up my debilitating exhaustion to my doctor. Being a mom herself, she’s familiar with all that goes along with it. She encouraged me to see if there might be an underlying problem in addition to this season of life. She told me about a blood panel called The Boston Heart. The Boston Heart tests multiple vitamins, nutrients, and hormones using a fast blood test. Many insurance plans cover it 100%, even if you have high deductibles. I checked into my insurance coverage, and sure enough, it was covered. No money out of my pocket to get some information about unidentified issues I might have which would paint a bigger picture of my health, instead of just chalking it up to parenthood.

When my results came back, I was shocked. Even though my thyroid was in surprisingly good shape, (which I thought was the culprit), my niacin levels were incredibly low. And you know what happens when your body doesn’t have enough niacin? Your muscles shake when you exert them. Daily tasks wear you out. Do you know what makes it worse? Not getting enough sleep, too much stress, and eating processed foods.

Magnesium, Omega 3, Vitamin D3, and my progesterone were also very low, all of which are easily depleted during pregnancy and breastfeeding. Hello, depression! So, no matter how much sleep, good food, or exercise I was getting, I still felt like crap because I was drawing from a dry well.

I began supplementing with food-grade vitamins immediately, on the recommendation from my doctor. My trusty pre-natal vitamins weren’t enough for my specific needs, and I sealed them up tight and put them in my refrigerator for future use. I strategized to get veggies in every meal, and keep seasonal fruit on hand for when the sugar cravings were too much. I added as many healthy, unadulterated fats as I could. I whipped up a salad dressing using hemp seed oil, which is full of Omega 3, and a little apple cider vinegar. Buttered coffee was always on hand. We stocked our refrigerator with grass-fed meats and veggies to lightly sauté or roast as the main course for all three meals.

OvereasyFriedEggSalad

My go-to meal for quick, easy nutrition: Two sunnyside up fried eggs over greens with hemp seed oil, ACV, and dried herbs. Perfection.

Oh, and I put a total moratorium on strenuous exercise, eating out, and plans with friends before noon and after 5pm on the days I wasn’t working. I also went to bed at 9:30. It meant less Me Time. It meant I often went to bed with dirty dishes in the sink, my floors unswept, and wore the same pair of jeans six times before washing. But it was only for a few weeks and it was vital for my recovery.

I found that watering and weeding my garden while my toddler played close by was enough exertion for me. I also found that I relaxed on a deeper level than I have in years because I gave myself permission to stop trying to do it all. I just did some, accepted what I was capable of in that time frame, and waited until I felt replenished to rejoin the world.

GardenPlay

We happily kept it low key in the community garden.

After the three week moratorium was over, (and believe me, it was hard saying no to things), I started slow. I worked hard to begin refilling my very limited well. Being gentle with my body and my psyche was my number one priority. This is how I came back to the world:

  • A walk in the park.
  • Running up and down the stairs to the basement doing laundry.
  • Vigorous weeding and replanting in my garden.
  • A pilates DVD, increasing by 5 minutes at time.
  • Doing something fun before doing work. On purpose.
  • Saying yes only if it felt 100% doable and okay.

These little things added up quickly. But I want to be clear: I stopped when I was tired. Not exhausted. Not beyond my limit. Not when I was shaking and close to dry heaving. Maybe that works for some people, but it doesn’t work in recovery mode.

Last week, I took a very long walk, pushing my two year old in a stroller the whole way up and down hills that would have had me shaking with exertion after 10 minutes a few months ago. I walked at a pace I felt comfortable with. I stopped and pushed my son on a swing and then stopped again a little later to get an iced decaf coffee at one of my favorite neighborhood places. As I pushed my son up the final, excruciatingly steep hill, I huffed and puffed but I did NOT slow down. My brain wanted to quit but my body was up for the challenge. I spent the rest of the afternoon working, cooking, and playing with my son. I’m not joking when I say that has never happened before on the days I worked out.

And later that week when we braved a trip to the beach, I chased my toddler all over the beach, splashed with him in the water, and played soccer on the hard packed sand without getting winded.

MommyandEHugPoint

Playing hard at the beach with my little boy, feeling super energetic, happy, and proudly rockin’ my bikini.

These bodies of ours are amazing. We are resilient. We are tough. But being exhausted all the time is not normal. Even for you, mama. Be gentle with that body. Be kind to your skin and your bones and your blood and your squishy places and your soul. And find what works for you to feel like yourself again.

 __________________________________________________________________________________

If you like this article, check out Peace In The Passing: Why My Early Miscarriage Was A Relief and her series on #TinyTriumphs over on Our Stable Table.


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