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You, Your Baby, Breastfeeding, and COVID-19

June 3, 2020 by Leave a Comment
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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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 8 daughters with her husband of 23 years.
Filed Under: #Nurturethenurturer, Article, Breastfeeding, breastfeeding difficulties, breastfeeding help, breastfeeding support, Featured, motherhood, nursing, This Moment Tagged With: , , , , , , , , , , , ,

A Heartfelt Latch – What You Need To Know

September 27, 2016 by Leave a Comment
by Jessica Martin-Weber

This post is generously made possible by Bamboobies

bamboobies banner - 2016
That moment when they’re finally in your arms and you can count fingers and toes and sniff their head and stroke the softest cheek you’ve ever felt in your life, that moment is, whether you can feel it right then or not, when you heart is captured forever. Suddenly everything this little person needs from you, you are ready to do with all your heart. Comfort them, change them, bathe them, sing to them, and feed them, simple yet profound tasks of care are heartfelt acts of love.

No matter how your feeding journey unfolds, there is no doubt that every moment is fueled by love. Even if it is stressful at times. But it does help to know some of what you can expect, how things may unfold, and what you should know going into it. Love may be all you need but love with information and support is just so much more… well, lovely.

There’s a lot of information so we’re just latching onto one little tidbit for now here: the latch.

If you’re breastfeeding or planning to, you’ve probably heard a lot about the importance of a “good latch.” For some, that can create some anxiety about getting that good latch and a sense that doing so can be elusive so we wanted to help break it down a bit with 3 need-to-know tips about a breastfeeding baby’s latch.

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  1. If it ain’t broke, don’t fix it.

Many of us want manuals for everything, how-to guides so we avoid making mistakes and pursue the elusive perfection. You’ll find all kinds of diagrams, pictures, and descriptions of what constitutes a “good” latch. Step 1, step 2, step 3 and if you follow them exactly, voila! The thing is, that’s very rarely how it works with human beings, not even textbook babies.

It is really very simple: if it’s comfortable and it’s working, it’s a good latch.

If it isn’t comfortable and it isn’t working well, then it may not be a good latch.

Baby has plenty of wet diapers? Gaining weight? Good signs!

Baby has low wet diaper count? Difficulty gaining weight? Hmmm, not so good signs.

Mommy can feel her breasts soften a little with baby at the breast? Nipples doing well? Good signs!

Mommy has pain beyond initial latch through the feed? Nipple damage? Not so good signs.

There is a real possibility that your baby’s latch won’t look like the textbook “good latch”, there may even be clicking (though I’d get that checked out just in case anyway), but if it is working for you both then it’s not a good latch, it’s a great one!

A good latch is one that works for mom and baby!

  1. It’s a team effort.

Mom and baby make a dyad, a new team, and they have to work together. Which can be tricky since you barely know each other. But you also know each other better than anyone else. Working together can seem really complicated but don’t borrow trouble and remember that you’re both equipped to do this.

Given that one of the team hasn’t been around too long, that can get tricky sometimes, especially if there are other obstacles in the way such as jaundice.

What team work looks like in achieving that latch of your dreams:

Mom is in a comfortable position and has brought the baby to her level to her instead of leaning down to the baby.

Baby has wide open mouth.

Baby’s body is facing yours.

Chin will touch the breast, nose will be unobstructed, lips will be flared like a flange around the nipple taking in as much of the areola as possible.

Hold baby securely, a snug, close hold will help.

Pull baby in quickly when mouth is open wide.

If you can relax, try leaning back on some pillow, work together, and remember that first rule, it may all just surprise you.

If your baby is not able to do their part of the teamwork, it is time to seek out the support of a health care professional. Speaking with an IBCLC and your child’s pediatrician to identify the cause and options early can go a long way in getting on track to reach your breastfeeding goals.

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  1. If you’re hurting or even just worried, ask for help.

Once upon a time women feeding their babies was visible in our communities and while we’re shifting that way now thanks to the global village of the internet, we still don’t really see it regularly and not all that up close and personal. This has led to us entering our baby care days without much of an idea of what’s normal and even when to ask for help. In fact, it can be easy to start thinking we shouldn’t ever ask for help.

Can you imagine telling your child some day that their nipples may be in agony but they shouldn’t ask for help? Of course not! That would be cruel.

Thankfully, between the internet, hopefully some in-real-life friends, and health care providers, more and more we have resources to help us find our way. Ask in forums, watch videos (this “flipple technique” is helpful for correcting some common latch problems), and read resources (like this one and this other one).

If you’re experiencing anything more than an initial twinge of pain with breastfeeding your baby it may be a sign that something is wrong. Not that you’re doing something wrong or have somehow failed, but rather pain can be a common sign of a problem that with support may be able to be corrected. (There are some conditions that will lead to regular pain in breastfeeding such as Raynaud’s phenomenon.)  It is possible that a painful latch, a baby with too few wet or soiled diapers, low weight gain for baby, stabbing or burning feeling in the breast, or a fussy baby at the breast in combination with any of these issues could be an indicator that there is some problem to address. From tongue and/or lip tie to high palate to jaundice to any number of reasons that a mom and baby dyad would be experiencing difficulty, seeing an IBCLC (International Board Certified Lactation Consultant) can help bring things together and set you and your team mate well on your way to reaching your breastfeeding goals.

And then you can get back to doing what you do best, holding them close to your heart and loving them completely.

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What helped you get a good latch?

Leave a comment below! We’d love to hear how you figured out what was best for you and your baby.

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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.
Filed Under: Article, Breastfeeding, breastfeeding difficulties, Breastfeeding the newborn, Breastfeeding the newborn, Featured, latch, Nipples, nursing, Relational Resource Tagged With: , , , , , ,

I’ve Become a Creepy Mom

April 19, 2016 by 2 Comments
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.
Filed Under: Article, baby, Boobs, Breastfeeding, Breastfeeding and society, Breastfeeding in public, breastfeeding stories, breastfeeding support, covering, Facebook, Featured, Jessica, motherhood, NIP, nursing, Parenting Tagged With: , , , ,

Infant and Child Feeding Advocacy- Why I Continue

February 29, 2016 by 5 Comments
by Jessica Martin-Weber
 

Recently in a Facebook group for people of faith who are interested in egalitarian theology, I ran across a thread that surprised me. Not because there was debate, debate is common in that group and usually inspires quality conversations promoting reflection. No, what was surprising about this to me was that in a group that at least believes in the equality of the sexes and the cultural conditioning of controlling women, breastfeeding in public and how exposed a woman’s chest should be while feeding her baby was somehow debated with the same old arguments I’ve heard against breastfeeding in public and how women should be covered when feeding their babies in other settings.

It had never occurred to me that this would be an issue in that setting.

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I’ve moved beyond the debates, the arguments are tired as far as I’m concerned. Five and a half years into running The Leaky Boob I’ve heard all the arguments and not just online. People will say they never experience any negativity except online, as though it must not exist because they haven’t encountered it personally. But I have, I’ve heard all the arguments in person, to my face. Every day I hear from women who’ve been criticized and shamed by a family member, lost friends for breastfeeding in front of their husband, and been isolated for feeding in public. I actually had a business owner of a brand that makes nursing covers tell me, to my face, that he feels breastfeeding covers are important for society and women that breastfeed in public without a cover, whipping their breast out in front of others to feed their baby (his words, not mine) are just “selfish bitches, no offense.”

Yes, he said that even as I stood there with a name tag that read “The Leaky Boob.” And yes, offense taken. I walked out and will never work with his company.

I don’t engage in the infant/toddler feeding debates often but I do continue showing up for them. Not because I enjoy it, believe me I don’t. I hate it and I feel burned out. But I will be the voice for those reading or overhearing saying what needs to be said. For that mom reading or listening and heartbroken to hear the harsh words someone she loved said to her echoed in the words of a stranger, shaming her further. It is assumed I must not understand the reasons why this is an issue but the fact is, I do understand them. I get it. I’ve processed them. At one point in time I may have agreed and argued that position myself.

It’s just that they are wrong. Be the arguments and shaming debates about breastfeeding, breastfeeding in public, bottle feeding, pumping, formula feeding, donor breastmilk, or even introducing solids, often the arguments are short-sighted, limited, and full of vitriol. The arguments are full of fallacies and more often than not are missing the real point.

Babies are being fed.

When it comes to feeding support and advocacy (and really, anything else), you don’t get to control women. Not even if you’re another woman.

But why do I keep fighting this fight?

Because I believe that every parent should be able to parent with confidence, free of harassment and shaming from others. Because parenting is hard enough. And because women get enough shit about their bodies as it is.

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Why be a parenting and feeding advocate? The biggest reason I continue fighting this fight is because I have daughters and I want better for them.

Every day I facilitate online support for thousands and thousands of women who are breastfeeding, planning to breastfeed, or have finished breastfeeding. I travel and speak all around the country on breastfeeding and parenting and sit with women as they share, in tears, the agony they have felt in being rejected by people who have told them that they “don’t want to see that.” Every single day I hear from women who find themselves struggling with confidence in feeding their babies, something that may shake them to their core because, after all, feeding your child is one of the most basic aspects of parenting.

For a parent, struggling with feeding their baby can easily lead to self-doubt in their parenting capabilities at all.

Often, it does.

These parents, for obvious reasons, mostly female, regularly express anxiety about feeding in public. That they may attract unwanted negative attention, fear someone being upset at them for what they may be exposing or even for the act of breastfeeding itself, dread that they may be asked to cover up or leave- maybe a waiter, a relative, a pastor, another woman at church, a mall security guard, an angry bus passenger, etc.- humiliating her and anyone she is with. In the quest to feed their children the best way, as society loves to claim but fails to back up with genuine support offering instead isolating platitudes that it is best but must be “discreet” or “with tact”.

Worse, so often these mothers, in a very vulnerable place as they embark on a new life stage with a new tiny human, hear they are somehow not only responsible for feeding their child the “best way” but also to be respectful of anyone else around them, to be sure grown men aren’t caused to stumble in her attempts to care for her child and that grown women aren’t threatened by her body.

And then the baby needs all her attention and lots of room to latch properly and not cause excruciating pain and damage to her nipple, or they overheat under a cover, or their personality causes them to experience anxiety under the cover, and it is impossible to manage without “whipping” it out and “flashing” the whole world.

All she wants to do is feed her baby.

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Instead of being able to focus just on that she knows that some are demanding that she focus on their comfort about what they see of her body as well. As if the worst thing wouldn’t be a baby going hungry but that they may see the skin of her breasts, her stretch marks, the fact that a child is attached to her nipple.

Eventually they either think they can’t do it or they aren’t cut out for it or that they should just never leave the house. A few get angry that this is how our society treats them and their fellow mothers. And they muscle through and turn off a part of themselves that had hoped their would have at least been solidarity from other women. They have had enough and decide to keep feeding their child as if they were doing nothing wrong- because they are doing nothing wrong- and eventually they start to believe it. So to show other women who may be struggling too, they keep going. They know they are being judged but if it helps ONE other mother to not feel isolated, judged, and fighting off shame, it is worth it. And it is the hope that it will help lead to a gradual shift in our society,  and someday every new mom will feel confident in their parenting, their bodies, their personhood and it will no longer be considered brave to feed your baby however you feed your baby.

Because we must believe that some day our bodies won’t be scandalous and feeding our children won’t be shameful and discussed with outrage.

Until that day, this is an issue I will help wrestle with. Because I know what it like to support mom after mom who feels like maybe she’s not good enough to be a mother because she couldn’t handle the stress of feeding her baby the best way while making sure nobody ever knew that it was happening. I know what it is like to hold them as they weep over the shame they have felt when someone said to them to be more discreet as if feeding their baby was something shameful and their bodies something dirty.

For those women and the ones to come, I will continue on.

 

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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.
Filed Under: Article, baby, Boobs, Breastfeeding, Breastfeeding and society, Breastfeeding in public, breastfeeding stories, breastfeeding support, covering, Facebook, Featured, Jessica, motherhood, NIP, nursing, off my chest, Parenting Tagged With: , , , , , , ,

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

November 1, 2015 by 1 Comment
by Jessica Martin-Weber

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

Evenflo Feeding Every Parent

 

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

Breastfeeding moms cry over spilled milk.

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

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

Breastmilk Expression and Storage Safe Handling

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

Breastmilk Safe Temperature Storage Guidelines

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

how long can I freeze breastmilk

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

Breastmilk Defrosting and Feeding Safe Handling

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

Additional Tips For Breastmilk Storage and Handling

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

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

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

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

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

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Jessica Martin-Weber Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of BeyondMoi.com, and co-creator of OurStableTable.com, supporter of A Girl With A View, and co-founder of Milk: An Infant Feeding Conference. She co-parents her 6 daughters with her husband of 19 years and is currently writing her first creative non-fiction book and a children’s book.
Filed Under: Article, Bottle Feeding, breastmilk pumping, breastpump, Featured, nursing, Pumping, Relational Resource Tagged With: , , , , , , , , ,

My Journey As A First Time Mom; a #MyStoryMatters Leaky Share

October 6, 2015 by 1 Comment
by Kelly Warner

guest post, leaky to leaky

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

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

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

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

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

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

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

guest post, leaky to leaky, pregnant photo

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

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

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

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

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

guest post, leaky to leaky

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

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

 

Filed Under: #MyStoryMatters, Article, Breastfeeding, breastfeeding difficulties, breastfeeding during pregnancy, breastfeeding stories, breastfeeding support, Breastfeeding the newborn, breastmilk pumping, Featured, guest posts, Leakie to Leakie, motherhood, New article, nursing, Parenting, Pregnancy Tagged With: , , , , , , , , , , , , ,

Mean Green Lactation Sipping Soup

September 23, 2015 by Leave a Comment

MeanGreenSippingSoup

Hello, Autumn, you beautiful season.

Your vibrant colors and warm days and crisp evenings with a promise of cooler temperatures to come hang heavy in the air.

And so does the promise of seasonal sickness.

As soon as the first fall snap whips us in the bums, the first sickness of the season starts seeping into our schools and homes. It’s suddenly everywhere.  There are a multitude of ways we can boost our immune systems, but one time-tested method to supporting our bodies before, during, and after illness is with FOOD.  Nothing fancy, nothing expensive, nothing you have to special order or sign up for.

Just food.

My favorite way to keep my body in good health during the colder months is with warm smoothies.  Yes, you can call it “soup”.  But I like the savory warmth of this first thing in the morning, and calling it a smoothie helps me accept it as a breakfast food, even though it is not a traditional way to start the day.

When I was responsible for producing milk and feeding my son exclusively, green vegetables and healthy fat gave me a great boost, especially on days when I was away from him.  I also noticed my body was more resistant to colds and sickness when I consistently gave it good fuel.  I’m not saying this is a cure, but when I cut out sugar and start my day with a blast of healthy, real, whole foods, sickness skips me.  Or at the very least, it doesn’t stick around for long.  Considering I can make it quickly and I don’t have to use any real precision with measuring ingredients, this is ideal for my morning routine.

Adding a few leaves of fresh basil not only adds flavor, but can contribute to increased supply if that’s something you need.

Ingredients:

One small handful of the following:

  • sliced, frozen carrots
  • frozen green beans
  • frozen peas
  • chopped zucchini (I use frozen for the sake of convenience, but fresh is also okay.)
  • spinach
  • 1 cup water or broth
  • 1-2 Tbsp Extra Virgin Olive Oil or other fat
  • 1 tsp apple cider vinegar
  • 3-4 leaves of basil
  • salt and pepper to taste

Directions:

  1.  In a small sauce pan, combine water or broth, and all the veggies except the spinach and basil. Cook on high until veggies are bright green and tender (about 7 minutes).
  2. Transfer cooked veggies and broth to blender.  Remove center circular piece on the blender lid.  (*This is VERY IMPORTANT.).  Cover the blender pitcher with the lid, and cover hole with a kitchen wash cloth to prevent splattering and burns from hot liquid.
  3. Blend on high, adding basil, olive oil, and apple cider vinegar as it blends.
  4. As soon as the soup is smooth and well blended, pour into your favorite mug and sip away!

This stays good for a day or two in the refrigerator.  You can also add other veggies like broccoli or swiss chard.  You can get creative.  But this is a great base with a ton of flavor, great vegetable based protein and fat, and gives your body the fuel you need to keep going.

Stay Healthy,
Carrie

*Blending hot liquid with a tight-fitting lid can cause heat and pressure to build up and blow the lid off the blender.  You have to leave a way for heat to escape safely, otherwise you risk burning yourself.  I fold up the kitchen cloth and hold it lightly but securely over the small opening in the lid when I start the blender.  I remove the cloth when the liquid stops splashing up the sides (usually within the first 5 seconds).  BE SAFE.

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*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.

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If you love this smoothie recipe, you might like this recipe for Feel Better Broth or these Creamy Polenta Ragu on Our Stable Table. 

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CarrieHeadshot

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

Cuddle = Nurse; A #MyStoryMatters Leaky Share

September 21, 2015 by 1 Comment
by Andrea Jacko, a leaky

When I was pregnant with my first child I knew that I wanted to breastfeed. My mom nursed my siblings and I until we were one and I wanted to do the same. Looking back I didn’t think we would be going as long as we are with no end in sight. Maggie, my very energetic, free spirited 21 month old is so amazing. I treasure our nursing sessions because it gives us a few minutes throughout the day to just sit and cuddle. Cuddle is the word she uses when she wants to nurse – how can anyone say no to that?! 

guest post, breastfeeding

I’m an RN in a very busy critical care unit, working 3-12 hour shifts a week. I went back to work when she was 10 weeks old and I was determined to continue breastfeeding. Maggie reversed cycled something crazy and only ate 4 ounces on days I would work. That meant she was up all night long making up for the fact that she didn’t eat all day. Thank goodness for cosleeping or I would be miserable! Because she reversed cycled, I built up quite the freezer stash and I have donated over 1000 ounces to other moms for their precious babies.

When Maggie was 14 months old we found out we were pregnant! My biggest fear was my milk drying up and Maggie being forced to wean and her not being able to decide when to stop. My milk did dry up around 13 weeks and that’s when I stopped pumping at work. Thankfully, Maggie never stopped nursing. My colostrum came in around 25 weeks and Maggie was so excited! Nursing a toddler has it’s challenges and being pregnant I’ve had some nursing aversions but again, I want Maggie to decide when she’s ready to be done, not me. We have set limits with her and I night-weaned her at 19 months. Now we snuggle at night instead and she is perfectly happy with that.

Her vocabulary is expanding every day and I love the things she says when the time comes to nurse. Yesterday I was getting dressed and I didn’t have a shirt on – she looks up at me and goes “boobies, yumm!” And then proceeded to smile and sign to nurse. How can you say no to that? She frequently will kiss my breast and say thank you after a nursing session. Absolutely melts my heart. Hopefully she is okay sharing because it looks like I will be tandem nursing her and her brother when he’s born in 6 weeks.

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Can you relate to this Leaky’s story? Comment telling us how and if you would like to share your story, please do so by emailing content @ theleakyboob.com (no spaces) with the subject line #MyStoryMatters submission. Join us in sharing #MyStoryMatters and normalizing breastfeeding with the wide variety of infant feeding stories we all have.

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Filed Under: #MyStoryMatters, Article, baby-led weaning, Breastfeeding, breastfeeding during pregnancy, child led weaning, Featured, guest posts, Leakie to Leakie, motherhood, nursing, Weaning Tagged With: , , , , , , ,

TLB Comic: Grandpa Milk

September 18, 2015 by Leave a Comment
 illustrated by Jennie Bernstein

Breastfeeding, man boobs, ring sling

Filed Under: Article, Babywearing, Breastfeeding, Breastfeeding and society, breastfeeding humor, breasts, Featured, humor, nursing, TLB Comics Tagged With: , , , , , ,

My Nursing Days Might Be Done

September 14, 2015 by Leave a Comment
by Karen, a Leaky

It appears as if after 10 years of breastfeeding my 4 children, my breastfeeding days are done. I had hoped that my “baby” (now 25 months old) would have chosen to continue our nursing relationship longer, but he appears ready to move on to be a “big” boy and catch up to his older siblings. 

With my older children, they nursed before bed or when they needed comfort after a boo boo, until well after their second birthdays. With all of them, as I was starting to feel ready to wean, I would gradually not offer, but I would not refuse nursing requests. My older two were about 2.5 years old when they each weaned and my third child was 3.5 years. I was sad when #3 weaned because we did not think we would have more children, but after 3.5 years, we were ready. I was so pleasantly surprised when I became pregnant with number 4 and was thrilled to be able to have that nursing relationship once more. And what a relationship it was. My little guy was milk and soy protein intolerant and so this lacto-ovo vegetarian mom cut dairy and soy out of my diet and I fought the doctor repeatedly when they pushed me feeding formula (both when he was severely jaundiced at birth and again with the MSPI). I was confident in my nursing ability – making milk was my super power and the way that I could calm and comfort my babies in a way that no one else could. 

I go over in my mind what I have done differently with this child than the others that he would wean sooner. Finding myself overwhelmed with four kids with 11 years between the oldest and the youngest, keeping up with activities, and therapies for my child with mild asperger’s syndrome, I was fortunate to bring in childcare help. At times when I had things to do, my toddler was distracted by getting snacks or cups of rice milk, or other activities. Being busy with other activities, there were times that I wasn’t able to be there at bed time to put my little guy to bed. We were blessed that he has always been a great sleeper, but that meant that there weren’t the middle of the night feedings (since he was around 2 months old – that was a first for me) and he was even so flexible that as a toddler he would go to bed for Daddy or a babysitter with a story and a cuddle. In general, I limited that to one time a week, but still, it could be why he was ready to move on so soon.

I can’t remember the last time my little guy really nursed. For the past month or so, he would latch on for a few seconds, then tell me all done. Recently, when it is my turn in the bedtime routine (after Daddy reads a book and then gives the little one goodnight hugs, it is my turn) he refuses to come to me in the nursing chair. He goes over to the crib and says “nigh nigh” wanting to go in. He is avoiding me at bedtime, and it breaks my heart. I ask him to come give me a hug and he eventually does so begrudgingly. Then I offer nursing. Sometimes he will do the few second thing, and even when I hand express down what is left of my milk, he says “all done.” Lately he says “no” and puts his head on my shoulder for me to sing our bedtime blessing. I think even though I am not ready to be done, he is.

I know I have done my job in providing nourishment and comfort to my children over all those years. I feel blessed that I made it through the tough stage four separate times and had as long a nursing relationship as I did with all my children. Our family is complete with four children. I am just sad that nursing seems to have ended before I was ready.

Last night as I was changing my little guy’s diaper at bedtime he asked to nurse. I got a little excited, but remained calm as I sat down in our nursing chair. Then when I lifted my shirt and took out my breast he very clearly told me “no” and “all done.” Perhaps he is a little conflicted by the fact that he asked, but something shifted for him and he seems done. Over time, I will come to accept this change and realize that child number 4 is really anxious to grow up like his siblings. I think from seeing babies nursing and from reading books about potty training he has come to see nursing as something that babies do and he does not see himself as a baby (even if I do).

Thank you for being there as support over the years. Thank you also for reading this far in my story. It seems like there should be some sort of ceremony for reaching the end of breastfeeding as well as the end of my childbearing years. 

Sincerely, 

Karen

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We agree, for those that want a weaning ceremony, that can be a very meaningful experience. This post has 12 suggestions for ways to commemorate the end of your breastfeeding journey with your child.

What would be a meaningful way for you to celebrate the end of your breastfeeding journey?

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Filed Under: #MyStoryMatters, Article, Breastfeeding, breastfeeding stories, child led weaning, Featured, guest posts, motherhood, nursing Tagged With: , , , , ,
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