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Breastfeeding and COVID-19 Research and Resources

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

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

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

 

Health Organizations Recommended Practices and Protocols:

Considerations for Inpatient Obstetric Healthcare Settings

  • CDC (Centers for Disease Control and Prevention)

 

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

  • CDC (Centers for Disease Control and Prevention)

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

 

Breastfeeding advice during the COVID-19 outbreak

  • WHO (World Health Organization)

 

ABM STATEMENT ON CORONAVIRUS 2019 (COVID-19)

  • ABM (Academy of Breastfeeding Medicine)

 

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

  • Public Health Agency of Canada

 

Clinical Management of COVID-19

  • WHO (World Health Organization)

 

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

  • United States Breastfeeding Committee 

 

 

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

 

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

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

 

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

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

 

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

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

 

Antibodies in Infants Born to Mothers With COVID-19 Pneumonia

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

 

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

  • Bryna Sampey

 

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

 

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

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

 

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

  • Helpful blog post with compilation of materials explained

 

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

  • John Hopkins Nursing, Dr. Cecília Tomori

Breastfeeding, Separation, and COVID-19 Specific Resources:

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

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

 

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

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

 

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

  • MedScape – Troy Brown, RN 

 

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

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

 

 

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

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

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

 

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

  • Taylor & Francis Online
    • Ferit Durankuş – Erson Aksu

 

 

Breastfeeding and Separation Resources, General:

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

 

 

Helpful Breastfeeding Resources, General:

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

  • Wiley Online Library – Gayla Bigman

 

 

Working with Health Care Providers Resources:

Breastfeeding Empowering Language in Medical Settings

  • Mom2Mom Global- Amy Smolinski

 

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

  • AHRQ(Agency for Healthcare Research and Quality

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

 

 

Current and Ongoing Studies:

ISRHML Activities and Guidance related to COVID-19

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

 

 

Additional Resources:

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

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

 

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

  • Project Muse

 

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

 

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The Leaky Boob Community Private Facebook Group Guidelines

This post is for those requesting to join The Leaky Boob Community Private Facebook Group to read to determine if they are a good fit for our group. Please note you will have to answer questions in requesting the join the group and there is one that can only be answered if you have read the interaction guidelines agreement entirely.

By participating in this group (from your very first comment or post) you are agreeing to these guidelines. Violation of these guidelines may result in removal or banning from the community.

The Leaky Boob Facebook group is the community extension of theleakyboob.com and the Facebook page, The Leaky Boob. Please find more support in those spaces as well.

By joining and interacting in our group you agree with our community to these interaction guidelines. These are our agreements together.

The Leaky Boob Interaction Guidelines:

Absolutely do not block any moderators. Members who block moderators will be banned. Please see current list of moderators at the bottom of this post.

No buy/sell/trade activities in this space (including milk sharing/milk donation requests/offers), The Leaky Boob admin and moderators are not responsible for b/s/t instigated by members. This includes “vote for me” posts. There may, on occasion be opportunities vetted and approved by TLB leadership for special group buys, etc. Such occasions will be clearly communicated from TLB’s leadership.

There are no stupid questions. Ask what you need to ask.

Keep the focus on parenting, infant feeding, etc. Way off-topic posts (such as politics) will be deleted.

No photoshop/photo editing requests please, there are groups and sites specifically for these purposes and the requests flood our wall and make it difficult for members to find feeding and parenting support.

Check combative attitudes and language at the door and stick with respectful and encouraging exchanges. Violent language of any type is not permitted in our community even when used figuratively or in venting. This includes expressions of acts of physical violence (i.e. hit someone, smack someone, throat punch, etc.) and threats of violence (i.e. want to kills someone, run them over with a car, etc.). The exception is if you have experienced violence personally and are sharing your story and situation. (For more on this, see this thread.)

Disagreements are fine, name calling, racist statements, bullying, bashing, and offensive language is not.

GoFundMe, or other fundraising that has not specifically been vetted and approved by TLB leadership are also not permitted here. To protect our community, we ask that fundraising or other financial support not be conducted here. Additionally, please understand that we will not be able to view or approve every request. If something emerges for someone within our community and some support seems necessary, please consult with an admin before officially launching any efforts in our community.

To keep our community supportive and safe, please bring complaints up first privately to a moderator or admin.

We do not permit posts about posts in our group be it direct or implied. If a post is removed and another post is made about the post being removed, that too is a violation of our community agreement to not promote drama. Any posts made about other posts will be automatically deleted. Continuing to make posts about other posts will result in removal from our group.

Racism has no place here. Racist images, comments, and speaking of any racial group in demeaning ways is prohibited. Aggressive racist comments and hostile demeaning racist language (such as the N-word) will result in instant banning. We agree to be open to respectful conversations on matters of race seeking to educate ourselves and grow as a community and individuals.

This is a drama-free zone, friendly, respectful interactions only please. Posts or members that violate this standard will be deleted.

There is a zero tolerance policy regarding the privacy of our group. Sharing screen shots or discussing the content of the group with those already within the group is acceptable, involving anyone NOT in our group is not. Anyone that does so will be banned upon discovery and not added back to the group. There will not be second chances.

There are two and (for the time being) only two topics that are banned in our community. Please do not post memes or thread topics about circumcision or vaccines in this community. The singular exception to this policy at this time relates to those who are genuinely seeking information for themselves/their children. This might be to help them make a decision or to help them care for their own children. If it seems that this exception is being used disingenuously the admins may need to reconsider the matter.

Absolutely NO name calling, not even of people outside of the group (i.e. don’t call someone’s doctor/husband/parent/friend/boss an idiot). Soft name calling (idiot, moron, etc.) will receive a warning and repeat offenders will be banned, harsh name (bitch, asshole, etc.) may result in banning with no warning. Strong opinions can be shared without belittling or name calling.

Please be sensitive in posting images in posts. Before posting a picture reflect on how it may impact someone else. Breastfeeding photos don’t need to be censored (they are expected though not required in this group) but each member should reflect on photos or content outside of breastfeeding such as anything gross (poop shots, festering wounds, etc.), triggering (abuse, loss, pregnancy tests, etc.), and controversial (politics, known divisive issues, and Miley Cyrus). We still want to share those conversations and believe they are important for our community. Respectful posts about them are most certainly wanted. We’re just asking to consider if the image you’re going to post with it which will inevitably pop up in the news feeds of a few thousand members, is something that is helpful for our community or if it would be better to post the image in the comments.

Here at TLB we value supportive, encouraging interactions. When disagreeing with someone it is to be done respectfully and without ridicule, name calling, or bashing. Users are welcome to agree to disagree with civility and respect. Tone can be difficult to decipher in text only forms but we aim for polite exchanges that value people over being right, relationships over opinions, and support over superiority and judgment. We ask that you aim to keep your comments in the spirit of these values. These values serve to preserve the intent of this community and reflect the website theleakyboob.com in promoting and encouraging a safe community. Interactions that do not reflect these values will be deleted and commenters that continue to interact in such a manner will be banned. If possible we will give users a chance to rectify their interactions that violate the spirit and intent of this page. However, if the abuse continues or if it is too extreme to be permitted to remain on the page for any length of time, it may be deleted without warning at the discretion of the page administrators. Please consider how you could share your opinion without being harsh and critical of those that do not agree with you and if you find that impossible then please refrain from commenting at all. Thank you.

Please note: membership in this community is open to all but persons identifying as male. In order to respect and protect the comfort and safety of all members, who share very personal information in this community, we are not able to add male identifying persons or joint accounts shared with male identifying persons to the community. If you add a friend who shares an account with her male partner the request to add will be ignored. We understand that there are many men who are very supportive of breastfeeding and some male identifying persons that chest feed or otherwise are active participants in feeding their children and we welcome them to participate on the Leaky Boob Facebook Page.

~Jessica

Admins of the group:
Jessica Martin-Weber
Kari Swanson
Serena Tremblay
Heather Mackles
Star Rodriguez-Moser
Krista Canfield
Rebecca Scollon-Butts
Adina Russ Henry
Rachel Iglesia
Rachel Feltaous
Jess White
LaTia Wilson Barrett
Rachelle Markham
DeeDee Putzel
Bryttany Hyde
Victoria Strong
Allyson Storey
Emily Swistak
Emily Alvey-Johnson
Kristine Slayton
Sue Potts
Isreal Jean
Sharona Steed

For more on what this means to us please read this post.

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.

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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.

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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.

_______________________

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.

Carrot Fennel (Lactation) Slaw – Feed Your Whole Family

by Carrie Saum

What do you do when you have multiple food needs in your family?

For example: Dad wants protein.  Kids want carbs. Mom could use some milk boosting foods. And EVERYONE needs veggies. You can’t spend a fortune or the energy accommodating everyone all the time, right?  Because you are a mom and you have to feed yourself and your family and maybe the neighborhood, too.

We joined a co-op a few years ago to purchase high-quality animal protein that was raised properly, humanely, and that was affordable.  That might not be possible for you, and that’s okay.  But it felt very important to us and we made the switch, even though it meant eating slightly less meat.

As a new mom, I fell in love with my crockpot.  I love the idea of putting a few ingredients into a pot, walking away for the day, and then eating a fantastic home cooked meal that night.  It seemed to meet all of the criteria for feeding my family: inexpensive, tasty, satisfying, balanced, and full of nutrition.

My favorite crockpot recipe by far is this Pulled Pork.  It’s incredibly versatile and easy to serve, reheat, remake, and freeze.  I make this fennel slaw recipe for the family and use it in pulled pork tacos.  The sweetness of the slaw pairs perfectly with the saltiness of the pork. It has a fighting chance of pleasing the whole family, and boosting your milk production, too!

pulled pork

Ingredients:

  • 2 bulbs of fennel, thinly sliced (I recommend using a mandolin.)
  • 2-3 carrots, shaved (I use a veggie peeler.)
  • Cilantro
  • 2 Tbsp Apple cider vinegar
  • 1 tsp raw honey
  • Sea Salt and Pepper

Directions:

  1. Combine fennel, carrots and as much cilantro as you’d like in a bowl.  I like LOTS of cilantro.
  2. Add vinegar, honey, S&P and mix thoroughly.
  3. Allow to sit for 10 minutes before serving to set.

My favorite preparation is this on top of pulled pork tacos with a little goat cheese a an ice cold limeade  to wash it down with.

Enjoy your summer, enjoy your family!
Carrie

If you like this recipe, check out this recipe for brussel sprouts or Charlie Brown Bars over on Our Stable Table.

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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.

___________________________

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.

 

 

Dark Chocolate Lactation Granola Bark

by Carrie Saum

In my house, anything I make or bake will get eaten either by family or friends.  But it is a very rare occurrence that anything I bake goes in the trash.

When my son was born, I made plenty of lactation goodies (including this lemonade and these cookies) and it was impossible to keep them to myself.  First of all, I didn’t WANT to keep them to myself because I’m a sharer by nature.  Then I couldn’t because all of the people coming in and out of our house knew about the goodies and wanted to partake.

However, that became expensive.  FAST.

I got smart about it.  I made all of the treats I could that were inexpensive.  I could buy oats in bulk for super cheap.  My mom gave me a giant jar of local honey from a farm (also very inexpensive), and the rest is history. I made little crunchy granola bars that resembled Nature’s Valley but without any added junk.

But here’s the thing. I GOT BORED. Since I needed the fuel to keep my supply up while exclusively pumping, I tried my hand at different recipes.  Because boredom is the master of invention.  I think.  No, that’s not the right quote.  But it’s the right idea.  I love trying new things, but I also have to try new things to keep the game interesting. And feeding yourself (and your baby) is always interesting.

So, when boredom struck, I struck back.  I added sunflower seed butter.  And chocolate.

Then I got a little crazy and instead of cutting them, I broke the granola into pieces that were pretty and irregular and made me feel decadent.  And every new mama needs to be made to feel decadent, right?  And maybe even a little fancy, too.  They’re also a breeze to make, and very affordable.

DarkChocolateGranolaBark

 

Ingredients for Granola Bark:

  • 1 1/4 cup rolled oats
  • 1/4 tsp salt
  • 1/4 tsp baking soda
  • 1/2 tsp  vanilla extract
  • 2 Tbsp melted butter
  • 1 Tbsp molasses (optional, but adds depth of flavor)
  • 1/4 cup sunflower seed butter or peanut butter
  • 1/4 cup honey

Ingredients for Chocolate Layer:

  1. 6 oz 90% cacao chocolate
  2. 2 Tbsp coconut oil
  3. 1 tsp vanilla extract
  4. 1 Tbsp raw honey

Directions for Granola Bark

  1. Combine all dry ingredients, and mix throughly.
  2. Combine all wet ingredients and add to dry ingredients.
  3. Spread granola mixture in a 7×12 inch parchment-lined dish.  Pack it down hard, leaving no breathing room.
  4. Bake at 350 degrees for 18-20 minutes.  Allow to cool completely in the pan.

Directions for Chocolate Layer

  1. Melt chocolate and coconut oil in your home-made double boiler
  2. Add vanilla and stevia
  3. Once melted and stirred well, pour into the pan of chilled nut butter mixture (Optional and delicious step: Spread a thin layer of peanut butter or sunbutter over the granola first, then pour your chocolate over it.)
  4. Allow to harden in the refrigerator for an hour, then break into pieces.  Store in an airtight container in the refrigerator.

For an extra milky boost you can add 2 tablespoons brewer’s yeast and/or 2 tablespoons flaxseed meal to the granola bark. Be warned that some tummies don’t respond well to the brewer’s yeast so if you or your baby tend to have sensitive stomachs, it may be best to skip it.

*Note: These do NOT keep at room temperature because of the coconut oil the chocolate layer. If you want the chocolate to keep at room temperature, consider using (sustainably and humanely harvested) palm oil instead of coconut oil.

You will be impressed with yourself when you make these.  Better yet, make these for a friend who just had a baby and she will be forever grateful.

Barking up the Lactation Tree,
Carrie

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 at OurStableTable.com.

 

 

 

Postpartum Depression and Anxiety: When No One Knows

by Kileah McIlvain

TRIGGER WARNING: This post contains experiences of depression and anxiety and loss and may be triggering to certain individuals. Please read with care.

postpartum depression postpartum anxiety, monster within.

photo: urban bay photography

I sat there. On the park bench in the middle of Laurelhurst a year ago today. He sat on the other end. I felt like a NOTHING. A Void. A Black hole from which and out of which nothing good could come. I wanted to hurl myself into the quiet duckpond while the local shakespeare players were acting out a scene from Macbeth on the other side of the trees. The feelings of exploding, of darkness, of drowning, of feeling like nothing but a walking corpse never felt more present. What was the point? Why the hell was I put on this earth if God was going to play russian roulette with my life? What the hell was I supposed to do with this gnawing grief of  a past miscarriage and the overwhelming demands of  trying to meet my family’s needs? Why couldn’t I just be kind? Why couldn’t I be strong and be good and just BE who my kids and my husband needed me to be? The questions that had taken root in the dark and walled-up places of my heart began to erupt. The rotten rags that I’d used to stuff up all of the leaks and holes riddling my soul began to surface from these murky depths. I was thrashing around in the gaping maw of my own personal monster. I couldn’t move anymore. I was going to sink. I wanted to sink…and be nothing. It was terrifying.

I. Wanted. To. Die. 

The strange thing is. No one tells you. Either because they don’t know what to say or they don’t even KNOW. It’s easy to smile and nod, and pretend you’ve got it together. Because that’s what you do. It’s invisible, this monster. It chews at your mind and sucks your soul until you feel hulled out…like a painted eggshell that looks great to everyone around you…but you’re hollow and fragile. And no one has a clue. They don’t know that you want to run away. They don’t know that it terrifies you to say anything because you’re sure that if you do, someone will call CPS or SPCC and take your children away. You’re convinced you’re a bad mom. That you aren’t capable of caring for these little humans you gave birth to. The yelling, the blackouts where 15 minutes later you don’t know what was done or what was said. The deeply-ridden shame and anxiety and the panic attacks triggered by the hot water in the shower. I remember the earliest days of my darkness when I laid my son down two weeks after becoming a new mother and cringing because the thought of touching him repulsed me. Because I didn’t want him to touch me. His crying and my exhaustion and me feeling like I couldn’t do anything right (including breastfeeding challenges)…it was overwhelming. And it didn’t stop. With each new life I birthed into this world, my darkness found new depths and more desolate places to dwell. This happened to me. This silent inner monster had blackened everything…and it didn’t go away.

I reached that breaking point a year ago today. I realized that I was unwell. That it wasn’t normal to want to die. That it wasn’t normal to be experiencing panic attacks and blackouts and physical pain because you didn’t want to move or deal or face anyone or anything. That running away from bonding emotionally through touch wasn’t normal.

I’ll tell you what didn’t help.

  • The very cautious ventures into the world of mental health and community before my breaking point had so far amounted to bible verses being shoved down my raw throat (If you just do ABC, God will make it all better!) and people frustrated with my questions because “How could you think this about God? It just isn’t true, and you have to figure that out!”
  • I was told “You’re breastfeeding! There should be tons of lovey warm hormones flowing through you. That isn’t possible!”
  • I was told “Well I got over it, I just had to make up my mind to pull myself up out of this funk.” To which I said “Really? Because I’ve been trying for 5 years and 3 more kids now…and it isn’t working.”
  • I was told “It’s just the baby blues. You just need  YOU-time.” And while that may be the healing ticket someone needs to start getting better…it wasn’t mine. It was only a small number in the equation that was my situation.

What did I do? Well, nothing huge to start with. But talking to someone about it helped. (for me, that was my partner.) No, he wasn’t perfect, but he sat there. And listened. I told him that I was terrified. All the time. I was angry. Angry that God allowed my life to experience what I have. That it wasn’t necessary. That everyone’s life would be better off without me in it. That I wasn’t what anyone needed and I wasn’t healthy for anyone to deal with. I was scared of repeating the harm and emotional and relational damage that was done to me in my own childhood. That started my own journey to health. Reaching out, finding resources, wanting better.

I found a few resources online to point me in the right direction. I was currently breastfeeding my 4th little one and didn’t even know if there were medication options available for me. I didn’t know WHAT I needed, exactly. I just knew that up to that point? Nothing was working. And it needed to change. This had been going on for 5 years. FIVE. YEARS. I didn’t even know what normal meant for me anymore…I only knew THIS. I found a therapist through my state’s mental health resources. I was connected with people that didn’t look down on me like I was some unfit mother…but as a valuable human being who had a condition and in need of help navigating through my depression and anxiety so that I could be healthy again.

Postpartum depression and anxiety isn’t just in your head. It isn’t imagined or something you can just will away or pretend it doesn’t exist.

Postpartum depression and anxiety IS real.

Postpartum depression and anxiety IS a monster.

But it’s a monster you DON’T have to try slaying on your own.

photo: urban bay photography

photo: urban bay photography

Am I there yet? No. But some days I am better.

Sometimes I can look up now and notice that the way the wind moves through the trees is beautiful. I can catch glimpses of hope in my eyes when I look in the mirror. Some days are dark. Really dark. But they are not ALL dark, now. I am not alone. I know now that it’s ok to reach out to the people in my life who are helping me through this. My husband. My therapist. My councilor.  My mind…is better. Medication,therapy, counseling, therapeutic touch, acupuncture, babywearing, herbal supplements, meals…those are a few things that are helping me.  The biggest catalyst for me? Speaking up. Spreading awareness of just what postpartum depression and anxiety feels like and what it can do and resources that are out there to help mothers struggling. Because I am there. WE are there. And things CAN get better. WE are not alone.

Photo: Urban Bay Photography

Photo: Urban Bay Photography

Speak. Don’t stay silent.

Your voice may shake. Your knees may buckle. The monster inside may scream at you. But know you are enough. There IS help. The world IS more beautiful because you are in it. Courage, dear heart. You are enough. And this heart of yours is being forged into a masterpiece. You. Are. LOVED.

Some resources that helped me understand my postpartum depression and anxiety:

Artistic infographics on what it feels like to live with depression and anxiety. Good for people who want to help but don’t know what to do.

A helpful collection of comic strips because a different perspective and sense of humor can help.

A great checklist and resource page that helped me in recognizing PPD and PPA.

 

Strawberry Fennel Salad

by Carrie Saum

It’s springtime, which means everything is blooming, alive, and vital. My body starts craving fresh green veggies, berries, and other seasonal vegetables. One of my favorite salads for this late spring and summer?  Strawberry and fennel with baby kale and goat cheese.  Salads are fast, easy to prep and it doesn’t take much to make them a little fancy.

Getting enough green leafy veggies can also be a challenge for breastfeeding or pumping mamas, and we need those powerful plants to bring nourishment to our babes. Iron is a key component to maternal and infant health, and pregnancy and breastfeeding can take a massive toll on our iron stores. It’s important to keep that in mind as we care for our tiny people and also care for ourselves.

One key component of iron absorption that is commonly overlooked is the necessity of vitamin C. Vitamin C plays a powerful role in assimilation of iron in the body. Think about it this way: Your body produces milk, but the milk doesn’t do much without a way to move it. We use our babies mouths or breast pumps to deliver the milk to the right place so it can be utilized.   In the same way, iron needs vitamin C to deliver it to our bodies’ cells for maximum benefit.  (If you’re interested in learning more about the important role of iron and vitamin c, read this great info from the CDC.)

This salad uses plenty of fresh, iron-rich green veggies, and seasonal strawberries, which are loaded with vitamin C. The addition of fennel provides a gentle boost to your milk supply as well as slightly sweet, bright crunch with a hint of licorice flavor that makes all of the flavors pop.

FennelLactationSalad

If you’re steering clear of cheese, I suggest ripe avocado to add creaminess and healthy fat.  I also have a bottle of pomegranate balsamic vinegar that I use for things like this.  As far as berries are concerned, I tried this with blueberries because we went berry picking last summer and found ourselves with five pounds of blueberry goodness.  IT WAS AMAZING.  I regret not getting a photo of it. But strawberries are a great addition to this salad, and have enough vitamin C to help your body absorb the iron in the greens.

If you use baby kale, this salad stays fresh for 48 hours in the refrigerator, so it’s convenient to make one large salad and snack on it for a couple of days. If baby kale is too much for you or your little one, try baby spinach for a milder flavor and tender texture. It just won’t keep longer than a few hours once it’s dressed.

Ingredients:

  • 4 cups baby kale (Baby kale is more like spring greens and less like…kale.)
  • 10 fresh strawberries, sliced and halved
  • 1 small fennel bulb, sliced thin (I recommend a mandolin)
  • 3-4 oz goat cheese crumbles, or one small avocado, diced
  • small handful of microgreens (optional)
  • 1 Tbsp chia seeds (optional)
  • red wine vinegar
  • extra virgin olive oil
  • balsamic vinegar
  • Herbs d’Provenance
  • Salt and pepper

Preparation:

  1. Combine all prepped produce in a bowl.
  2. Top with goat cheese and herbs and chia seeds if you’re using them.
  3. Drizzle with olive oil and vinegars. Finish with a few shakes of salt and pepper.
  4. Let everyone know you’re a salad magician.

We don’t need to make this harder than it absolutely has to be, mamas.  Keep it simple, easy, and tasty.  The fact that it’s packed full of nutrition just makes it that much better.

It’s Not Easy Being Green,
Carrie

If you like this recipe, check out this Kale Waldorf Salad or Roasted Cauliflower Soup over 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 the voice behind OurStableTable.com. She lives in Portland, Oregon with her husband and young son.

 

 

Oatmeal Chocolate Chip Lactation Cookies

by Carrie Saum

This post made possible by a partnership with The Leaky Boob sister community, Our Stable Table.

Photo courtesy of Gwyneth Colleen Photography.

Photo courtesy of Gwyneth Colleen Photography.

 

Confession:

I am a cookie snob.

Lactation cookies are no different.

I found a recipe in my mom’s kitchen recipe box on a raggedy old index card. It wasn’t in her handwriting or my grandmothers’ handwriting.  I snagged the card and kept it for a few years.  But let’s face it.  I made these cookies SO OFTEN that I committed the recipe to permanent memory.

When I had my son, we were too stressed and busy to think about lactation cookies while he was in the NICU for the first week of his life.  We came home from the hospital, and I had to get serious about boosting my milk supply, especially since I was not sleeping or eating regularly, and pumping exclusively. (I know, I know.  Not a great way to start motherhood, but those days were SURVIVAL. And it got better.)

My husband, who just happens to be an amazing baker, took over making the oatmeal cookies while I was working around the clock to feed my baby.  My husband and I ate these cookies by the batch, a bright spot in a wild season, and I would wake up in the middle of the night to pump and feed my baby with a spoonful of the cookie dough in one hand and my newborn in the other.

These are ADDICTIVE.

Oh yeah.  And the cookies totally boosted my milk supply. Which, let’s face it, was a bonus.

There are three versions of this cookie.

Version 1: The Regular Version. This version is perfect for eating in any form, raw, cooked, frozen, etc.

Version 2: The Lactation Version. This version gives extra milk-boosting power with the addition of flax meal.

Version 3: The You-Will-Never-Love-Another-Cookie-As-Much-As-This-Cookie Version.  I think this one is pretty self-explanatory.  And it will still make you milky.  Is that even a phrase?  It shouldn’t be.  I immediately regret writing it.

I’ll give you the base recipe with the tweaks (which are minor) along the way.

Ingredients:

  • 2 cups unbleached flour ( 1.5 cups for V3)
  • 2.5 cups old fashioned oats, not instant (3 cups for V3)
  • 2 cups milk chocolate chips (You can use dark or semi-sweet chocolate but it’s less awesome.)
  • 2 large eggs
  • 1 cup white sugar
  • 1 cup brown sugar, packed
  • 1/2 cup butter, softened
  • 2 Tbsp whole milk (4 Tbsp for V2)
  • 1/4 cup flax seed meal (ONLY for V2)
  • 1 tsp baking soda
  • 1 tsp baking powder
  • 1 tsp sea salt

Instructions:

  1. Using an elctric mixer or a lot of elbow grease, cream butter and sugars until fluffy and light. Beat in the eggs, milk and vanilla extract.
  2. Combine flour, (flax meal if you are making V2), baking soda, baking powder and salt together in a separate bowl.
  3. Slowly add flour mixture to the sugar mixture until it’s incorporated. Be careful not to over mix. Stir in the oats and chocolate chips.
  4. On a parchment paper lined baking sheet, put dough in 1 inch rounds, making sure to leave plenty of room to expand.
  5. Bake at 325 degrees for 10-15 minutes.  I’ll let you decide what kind of doneness you like but I pull them promptly at 13 minutes.
  6. Remove from oven, and cool completely on cooling rack.  Or until you can reasonably eat them without burning the crap out of your mouth.
  7. Skip baking them altogether and just eat the dough straight.

These are also pretty awesome to make and bring to your friends who have just become parents, so just go ahead and bookmark this recipe and plan to make them.  You will be the favorite friend, possibly ever.  This is also a great way to love your newly lactating Baby Mama, too.

If you like this recipe, head over to Our Stable Table for more great recipes and some great conversation.

Happy Lactating!
Carrie

 

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.