Peanut Butter Chocolate Banana Lactation Smoothie

by Carrie Saum

During my 21 months of exclusive pumping, I kind of became obsessed with milk-boosting foods. There’s a fancy name for those foods, but I just call them Milk Movers.

Breakfast was and is the hardest meal for me, and after having a newborn with special needs that I pumped milk for eight times a day, breakfast became a handful of trailmix and a cup of coffee. This was not sustainable for many reasons, but not the least of which I needed MORE food, and balanced meals. My milk supply was barely adequate to begin with, so getting plenty of Milk Movers was imperative.

While I deeply desired to eat better, I had a hard time fitting in all of my responsibilities, including responsibly feeding myself. My bandwidth for anything beyond survival was pretty minimal in those days.  Adding in Milk Movers, which I definitely needed, seemed downright impossible. So, I began experimenting with foods that would be fast, nutritious, provide solid sustenance, and would not overwhelm me with too many steps.

Smoothies seemed like the best option. You basically just take a scoop of this and handful of that and put some kind of liquid in it and call it good, right? Right. I came up with a few recipes to keep handy, and tweaked them to feel like I was having an indulgent treat.  The healthy factor could just be a bonus.

My very favorite was this little gem. Full of protein, flavor, and it felt like a complete indulgence.

ChocolatePeanutButterBananaSmoothie

Ingredients:

  • 1 ripe banana, cut into small chunks and frozen solid
  • 1 cup oat milk
  • 2 Tbsp all-natural peanut butter*
  • 1 Tbsp coconut oil (optional but so good for you both!)
  • 1 Tbsp cocoa powder
  • 1 tsp ground flax seed
  • splash of vanilla extract

Directions:

  1. Put all of the ingredients into a blender and blend until smooth.
  2. Drink immediately and feel happy you are giving yourself and your baby great and delicious nutrition.

*If you can’t do peanut butter, almond butter will work just as well, and so will sunbutter. And if you are feeling really daring, you can add a handful of baby spinach and get some greens in there, too!

Also, I peeled and chopped a whole bunch of bananas once a week, then froze them in individual servings so I could easily grab them to make a smoothie. This was a total lifesaver. I didn’t have to think, I just had to blend.

All of you mamas are doing great work for your little babes. Keep it up.

Cheers to you!

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


If you love this smoothie recipe, you might like this recipe for Paleo Salted Chocolate Chunk Cookies or these Grain-Free Crepes Florentine over on Our Stable Table.


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

 

 

 

What I Want You To Know About Why My Son Can’t Eat- FPIES

By Carrie Saum Dickson

This guest post shares the feeding journey of 16 month of Echo as told by his mother. A breastfeeding, pumping, allergy story of a little boy with a bright spirit and a mom and dad with steadfast hearts and commitment. Their story is beautiful, inspiring, challenging, humbling, educational, and so very raw. Be sure to go on to read part 1 and part 2 of their story as well.

Carrie and Echo FPIES

Shortly after birth, my sweet little boy, Echo, had a stroke. We struggled to breastfeed and I ended up exclusively pumping for him. But that was hardly the extend of his feeding difficulties. You see, my son can’t eat. For a while there he couldn’t eat anything, now he has a few safe foods. But he still really can’t eat. He’s 16 months old.

My son’s name is Echo and he has FPIES.

What is FPIES? According to The FPIES Foundation:

Food Protein-Induced Enterocolitis Syndrome (FPIES) is a type of food allergy affecting the gastrointestinal (GI) tract.  Classic symptoms of FPIES include profound vomiting, diarrhea, and dehydration. These symptoms can lead to severe lethargy, change in body temperature and blood pressure. Unlike typical food allergies, symptoms may not be immediate and do not show up on standard allergy tests.  Furthermore, the negative allergy evaluation may delay the diagnosis and take the focus off the causative food.  Nonetheless, FPIES can present with severe symptoms following ingestion of a food trigger.

I will tell you this: I’m a fierce mama bear. I will not let my son be defined by a stroke or FPIES or anything else over which he has no control.  He is a strong, charismatic, people-loving, joyful being. He walks confidently into a room full of strangers, waving and smiling as though the world has been expecting him all along, and is ready to receive him. He is so much more than a diagnosis or cluster of symptoms. Echo is pure light. We do our best to make the world safe for him. Sometimes we fail. With every trip we’ve taken and guest we’ve hosted, Echo has experienced acute reactions each time despite our vigilance. But we walk a very fine line between taking calculated chances and raising Echo in a bubble.

This. This new normal. Echo, at 16 months old, has two handfuls of safe foods and resists eating, all while laughing and giving kisses and shaking his head “no”.  Me? I’ve made peace with the pump. Peace with my life in this moment, with the ever-changing new normal. My son has one constant and safe food source that he never turns down (mommy’s milk!), and it brings me great peace of mind. We’ve learned to keep participating in life, even when my mom innocently asks if there’s a mute button for the pump motor, or when Echo enthusiastically licks the trash can and we know we will be up all night.  I’ve learned I can do anything for ONE MORE DAY, which in this case adds up to almost 500 days. Especially if it’s for my son. I’m grateful and proud that my body still impossibly provides most of what Echo needs. The dark clouds of survival lift and retreat when I remember this: I am lucky to be his.

Echo FPIES I am the voice

Here are three things I want you to know from my experience:

  1. FPIES scary and effing HARD. Have you ever tried to keep a toddler from eating food? It’s impossible. And sad. And no matter how careful we are, Echo often manages to find something and then we hold our breath until we know he’s okay. Leaving the house is stressful, play dates are almost impossible, and no space (except ours) is safe for him. Leaving him with a sitter is always a test of faith and competence. Finances are continuously tight. As it turns out, shipping donor milk, taking the max dose of Domperidone, (which insurance does not cover), and keeping up with medical bills all require quite a bit of cash. Also, it really takes a toll on a marriage, even a solid, seasoned one. Many families don’t make it through these rigorous trials with chronically ill children intact, even with proper support. Try not to judge us when we all seem a little fragile.
  2. FPIES is exhausting. When Echo experiences a reaction, he is in continuous pain, nobody sleeps for two days, and we have to take extra care with him. It requires total gut rest and a diet of only precious breast milk for days. I hate that he suffers so much, and it takes us all about a week to fully recover. We get little sleep and even less respite. We are hyper-vigilant everywhere we go because food is, well…everywhere. So, if you see Lance or me getting hyped-up when Echo gets food on his finger or there are crumbs on the floor or freak out when you pull out the goldfish crackers, please don’t think we’re crazy. And please don’t take offense when we start cleaning up after your kid or respectfully wiping their hands and faces before they play with Echo.
  3. FPIES is a real thing, and it’s rare. I’m part of online support groups where moms have been diagnosed with Munchausen Syndrome when they take their very sick children into the ER after an especially bad reaction, and some parents have had their children taken away because the doctors don’t even know what FPIES is or believe the parents when they explain it. (The parents eventually get their kids back when the doctors and social workers see that the reactions happen no matter whose care the child is under.) Although I refuse to dwell in fear of this happening, it is still something that happens. And the only way it stops happening is if you guys know about FPIES.

 

For more information about FPIES, visit these websites:
The FPIES Foundation
http://fpiesfoundation.org/fpies-medical-literature

From the American Journal of Pediatrics: The Mother of All Food Allergies
http://www.jpeds.com/article/S0022-3476%2803%2900273-7/fulltext

Feeding Echo, Part 2- Solids, Vomit, More Pumping, Donor Milk, and FPIES

By Carrie Saum Dickson

This guest post shares the feeding journey of 16 month of Echo as told by his mother. A breastfeeding, pumping, allergy story of a little boy with a bright spirit and a mom and dad with steadfast hearts and commitment. Their story is beautiful, inspiring, challenging, humbling, educational, and so very raw. Be sure to go on to read part 1 and part 3 of their story as well.

Echo eating solids

We began introducing solids when Echo turned six months old. My career focuses on healing the body and restoring vitality through nutrition, and I was excited to begin this work with my son.   I was ready to share the burden of feeding my baby with the rest of the food-eating world, namely organic fruits, veggies and properly-raised protein.

I was already planning a pump burial ceremony the day after Echo’s first birthday. My enlightened, supermom-self felt extreme gratitude to be able to exclusively give Echo breast milk for six months, and I could find the grace to pump six more. I know it is a precious gift so many moms are unable to give their babies and I felt genuinely humbled. But with my supply waning and the freezer stash quickly diminishing, I was ready to have help feeding my son. I was also ready for some sort of life again, a life that did not revolve around pumping and keeping up my supply. Plus, my nipples were starting to look kind of horrific, my areolas worn paper-thin in spite of my best efforts to keep them in good shape. My favorite mantra of “I can do this for ONE MORE DAY” felt as thin as my areolas. I was officially over it.

Happiest Echo 8 months

Echo’s first solid food was avocado and he LOVED it. He got it all over his face and hands and in his hair. Then we tried pastured egg yolk with grated grass-fed liver. I’ve never seen such a look of joy on his face. My baby was a total foodie at heart, just like his mommy. He wasn’t a huge fan of winter squash, but that was okay. He liked everything else we gave him.

We traveled to Texas for Christmas and Echo threw up a couple of times. It happened a little while after eating, which was weird, but we chalked it up to travel and maybe a stomach bug.

We came home, gave Echo avocado again, he threw up exactly two hours after eating it. Then he continued vomiting uncontrollably for the next 90 minutes and even threw up bile. We communicated with his doctor intermittently over the next 12 hours, assuming he was allergic to avocado. Echo bounced back in 48 hours, and a few days later we gave him his favorite, egg yolk. Exactly two hours after ingesting the egg yolk, the vomiting began again and this time it was much more severe. Echo became extremely lethargic. We communicated with his doctor continuously throughout the night. I gave him sips of watered-down breast milk and Lance and I took turns soothing and cuddling him.

We saw Echo’s doctor the next day and she brought up Food Protein Intolerance-Entercolits Syndrome, or FPIES for short. She tested Echo’s stool for blood, and it returned positive. We researched FPIES and his symptoms fit exactly, but nobody wanted to jump to a diagnosis. A few days later, Lance gave Echo a carrot to teethe on and precisely two hours after introducing the carrot, Echo threw up. That confirmed it. Our son was allergic to food. I wept unabashedly in front of his doctor on the day we received the FPIES diagnosis. Staring down the tunnel, that watery light of hope ending my relationship with the pump, began to flicker and fade as I realized there was no real end to pumping in sight. Not only that, but my baby was very sick and I could do very little to change that for him. I felt completely undone and powerless. The impossibility of pumping for the next 2.5 years loomed big and the dark clouds of survival rolled back to cover me once more. I would not break up with my pump any time soon. But more than that, my baby was sick. The kind of sick you can’t fix, or treat, or hope away.

We chose to stop all food trials, (with the exception of coconut oil, which has no protein in it), until Echo turned one. Resting his gut seemed like a wise move, and gave Lance and I time to come to terms with our amazing miracle boy who needs meticulous care and consideration. It also gave us time to come up with a strategy for feeding him, and space to deal with the long-term ramifications of FPIES. With each new food introduction, the rules for trialing it are stringent: one food at a time for 18 days in a row, followed by a three day break and reintroduction on the 21st day. No grains, no soy, no cow’s milk, no corn derivatives and no processed or combined foods. All of this in hopes of healing and reducing the strain on Echo’s gut. Eating out, eating in, traveling, playdates, childcare, the zoo, splash pads, children’s museums, playgrounds…they are all latent with food. Our home is safe from Echo’s trigger foods, but the rest of the world is not. Echo even reacts to grass and leaves that he sneaks in his mouth while we are outside playing, which turned us both into helicopter parents. Lance and I both mourned the loss of freedom we all would experience, but mostly the loss of freedom and exploration for Echo.

One More Day Carries Pump Hygeia

At eight months, my supply tapered way down, and no amount of herbs, tea, extra pumping sessions or positive thoughts brought it back. Under the supervision of my doctor, I tried Domperidone as a last resort. It worked for the most part, however, I still needed to supplement with donor milk. This was another hurdle. Echo mildly reacts to specific foods in my milk and I wanted to find a donor who would be willing to follow the same specific diet I do to give my son the best chance at healing his gut. One of my oldest friends, Allison, stepped forward and offered to be a consistent, diet-compliant donor and ship the milk overnight from Texas to Oregon every month.

Allison wasn’t the only person to step forward and help us. My three closest friends have also provided safe milk for Echo’s supplementation. With their help, Echo has remained in the 70th percentile for weight. Our vibrant, close-knit community have all helped us stay afloat. They’ve prayed, rallied, provided meals for Lance and I, given us date nights, an understanding and compassionate place to vent, and most importantly, a safe haven for our son. Company picnics and nanny-shares and beach weekends with our friends are possible because our remarkable little tribe cares enough to share the burden of Echo’s well-being.

Carrie lance and echo

 

Feeding Echo, part 1- Breastfeeding Trauma, Exclusively Pumping, and FPIES

By Carrie Saum Dickson

This guest post shares the feeding journey of 16 month of Echo as told by his mother. A breastfeeding, pumping, allergy story of a little boy with a bright spirit and a mom and dad with steadfast hearts and commitment. Their story is beautiful, inspiring, challenging, humbling, educational, and so very raw. Be sure to go on to read part 2 and part 3 of their story as well.

skin to skin newborn

It’s 8:30 on a Wednesday night. My husband, Lance, is in our son Echo’s room, feeding him his bottle and reading a bedtime story. Bedtime is later than usual tonight. After working a full day building my practice as an Ayurvedic Wellness Counselor, taking Echo to an early evening doctor’s appointment and cooking dinner for the three of us, time slipped away from me. Echo ate his dinner late, too. We are all tired and cranky from a day that held too much activity and not enough down time.

I’m washing baby bottles in the kitchen when I hear Lance frantically yell through the monitor, “Carrie! Carrie! It’s happening again!”. I slip the bottle I’m washing back into the soapy water and hurry to Echo’s room. Echo, Lance, and everything within a three-foot radius is covered in vomit. I grab a towel for Lance, take our crying one-year old son, and try not to cry, too.

I draw a bath while Lance peels off his vomit-soaked clothes and climbs in the tub. I undress Echo and give him to Lance and go clean up Echo’s bedroom. I strip the double bed, break out the sanitizer and get down on my hands and knees to make sure I don’t miss anything. I study the vomit: color, consistency, quantity, and make notes to share with Echo’s doctor. The details are important.

I go back to the bathroom to get my sweet, smiley and spent little boy, put him in fresh pajamas while Lance showers. We start the bedtime routine all over again. We play peek-a-boo and pretend to eat his toes and we all feel a little better after laughing. I go back to the kitchen, finish washing Echo’s bottles, and sit down on the couch with my trusty pump as Lance kisses me goodnight and heads to bed himself. It’s 10:15. Exhausted, discouraged and hurting, I massage my right breast, which seems to constantly be clogged these days, and allow myself a good ugly cry. I leave the fresh-pumped milk out on the counter so I don’t have to waste precious minutes heating up a bottle in a couple of hours when I’m sure Echo will wake.

It’s 11:00 before I climb into bed, my right breast still hard and hurting with unexpressed milk. I know my sweet little Echo will wake up several times tonight, either from pain or hunger, and I’ll sing to him and soothe him the best I can in those long nighttime hours.

Echo has eaten green beans 10 days in a row now without any reaction, and we began to hope that maybe this would be a Pass. That his diet would expand to something other than breast milk, coconut oil and spinach.   This latest vomit episode signals the end of the green bean trial and one more food to add to the Fail column, of which there are many. And more than that, it means we have to start over from scratch with a new food, and all of the trepidation and hope that comes with it. I fall fitfully asleep worried about my baby, my boobs, and this betrayal of my son’s body called FPIES: The Mother of All Food Allergies.

Echo’s relationship with food has been fraught with difficulty from Day Two. When he was 36 hours old, he stopped breathing while nursing and continued to stop breathing every 10 minutes for the next 16 hours. In the hospital, he received his nutrition through an IV for almost three days. We didn’t know it at the time, but Echo was experiencing non-breathing seizures due to a stroke he suffered sometime shortly after birth. None of the doctors could tell us what caused it, and they chalked it up to happenstance.

Echo stroke NICU Exclusively pumping

My relationship with feeding my son has also been fraught with difficulty. Resuscitating him when he turned blue at my breast brought on PTSD and panic attacks for months. Over a year later, I still feel a faint, tiny, cold fist of fear in my chest when I remember it.

My first experience with a breast pump was sitting next to Echo’s bed in the Pediatric ER while a team of medical personnel worked furiously to keep him from crashing every 10 minutes while my eyes continuously leaked tears of terror and exhaustion. I pumped every 3 hours around the clock, even when I could not hold him for two days as my milk (miraculously) came in. I continued to pump, proud of my body for rallying to feed my baby, in spite of the circumstances and in spite of my fear. My body could do this one thing for my newborn son, and it did it well through bone-crushing exhaustion and fear.

Around four months old, Echo began making great strides in his stroke recovery. The muscle weakness on the left side of his body that affected his latch retreated. We weaned him off one of his anti-seizure meds. He woke up to the world around him, alert and happy and contagious with laughter. He also rejected the breast entirely. We had worked up to three nursing sessions a day and I was sad and frustrated when he wanted nothing to do with it. He looked terrified and scared every time I put him to breast. I told him aloud “we can do the hard things together, baby”, the phrase which I used to affirm us from pregnancy on, and resolved silently to myself as I hooked up my pump, “I can do this for ONE MORE DAY”. Grace always showed up to help me through those difficult early days of weaning and extra pumping.

 

exclusively pumping

I wondered if Echo remembered his first seizure and in my gut, I knew forcing the breast was re-traumatizing him. So, we stopped nursing. Many of the dark clouds our little family had been surviving under, lifted. We enjoyed lots of cuddles and closeness with bottle-feeding and we allowed this breast feeding-free world to be our new normal. I developed an even closer relationship with my pump. It went with me everywhere, even places my baby couldn’t. I tried hard not to resent the extra dishes, the double duty of pumping and bottle-feeding, my miniscule supply of free time, and the total loss of freedom to just take my baby and have a day away from home without first planning how much milk to bring and where I could pump in privacy.

Carrie and Echo skin to skin

Breastfeeding, Autism, Sensory Processing Disorder, and Oral Phase Dysphagia

This guest post shares a look from the perspective of a mother with a 5 year old son with neurological disorders.  Jeanie decided to share her story after seeing a thread on The Leaky Boob Facebook page asking about breastfeeding issues as potential early signs of neurological issues in an infant.  Whether you recognize yourself and/or your child, a friend, or family member in Jeanie’s story, we hope you will share it to encourage others. 

 

autism and breastfeeding

My name is Jeanie and I am the author/page admin for a blog and Facebook page called Reinventing Mommy, which is all about raising my 5 year old son with Autism and multiple neurological disorders. I want to share my story in hopes that others will learn that feeding difficulties can be an early red flag for developmental concerns…

My son Jack was born on March 23, 2009 after 28 hours of labor which resulted in an emergency c-section. I had preeclampsia during the last 4 weeks of my pregnancy, so Jack was born at exactly 37 weeks. Due to the nature of my delivery, I wasn’t given the opportunity to nurse my son in the recovery room. No one even suggested it. I didn’t know it was even an option. 

The first time I nursed Jack was in our postpartum room. One of the floor nurses tried to assist me in latching the baby on and – for all I knew – it was going great. The nurse mentioned that she would be sending lactation in to see me ASAP the following day (it was nearing 11:00 PM); her reasoning was that babies born prior to 38 weeks got an automatic referral to lactation. She suggested that I send the baby to the nursery that night so I could recover a bit further, and that the baby would be brought to me to nurse. I agreed. 

The next day a lactation consultant came in. I was planning to show her just how great I was doing nursing my baby – clearly I didn’t need her at all! – but instead I was told that not only was my son not latching on at all, he wasn’t sucking properly. This began a journey of using a nipple shield, suck training, and an every 3 hour schedule of nursing Jack for 15 minutes per side then feeding him a supplemental bottle then pumping for 15 minutes. All this while recovering from major abdominal surgery. Every day I was hospitalized, lactation consultants were in and out trying to assist me. 

When I was discharged, lactation continued with phone consults. Jack’s pediatrician was of little help. No one ever said that Jack wasn’t eating normally. I just thought that this was what everyone went through. I was constantly assured that all babies can breastfeed and that I just needed to work harder. The pressure on me was enormous. I felt like a failure. 

Then came the day that Jack refused to take to the breast at all. He simply would not open his mouth for the nipple shield at all. My milk was drying up from the lack of stimulation and Jack wasn’t gaining weight, so we finally gave up and moved to a bottle and formula. 

The problem was that Jack’s feeding issues didn’t resolve with the bottle. Now that he was actually taking in liquid, he began to vomit his entire meal about 5-6 times a day. When I mentioned how much he would “spit up”, I was told that the amount really was probably no more than a couple of tablespoons. What no one truly understood was that he could fill a bowl when he spit up. No one listened when I voiced my concerns that Jack’s eating behaviors didn’t seem typical. Again, I felt like a failure as a mother, because I couldn’t do something as simple as feed my own child. 

At the age of 24 months, Jack was only able to eat purées. He couldn’t self-feed. He was nonverbal. He couldn’t climb stairs or jump. The only sounds he produced where grunts. He spent his days pacing the room and flapping his hands. He was diagnosed with Autism and – finally – someone was willing to listen to our feeding concerns. 

Jack’s developmental pediatrician and his therapy team listened to us, and we got names for what we were seeing – Oral Phase Dysphagia, which is a neurologically-based lack of coordination of the chewing and swallowing mechanisms, and Sensory Processing Disorder. Jack literally didn’t have the muscle tone in his facial muscles to chew foods, he couldn’t manipulate foods in his mouth, he couldn’t coordinate his chewing with his swallowing, but this was all assuming that we could get the food in his mouth in the first place because he was so defensive. In many ways, it was vindication in that I was not a failure as a mother, but my heart sank at knowing that my little boy had such a long road ahead of him. 

Fast forward to now…I just gave birth to my second son 8 weeks ago. My one fear – even more than him having Autism as well – was that he would have similar feeding problems as his brother. That has not happened. My new baby Andrew nurses like a champ. 

As for my sweet Jack, he works harder than any person I’ve ever known. He is an inspiration to me each day. He now speaks, though he still has a significant speech delay. He can eat foods that are either very crisp, like crackers, or bready foods. He eats about 6 foods consistently and several others intermittently. He will continue to require feeding therapy for years, but he is making slow yet steady progress. 

If there is one thing I could pass on to others about feeding concerns, it would be this – go with your gut and trust your instincts. If you feel like you child is truly struggling with feeding, don’t let doctors or anyone deter you from looking into it further. Contact Early Intervention services in your county for an evaluation, or get your child evaluated by a feeding therapist. With therapy, many children with feeding issues can expand their food repertoires, learn to enjoy eating, and become more proficient eaters.

 

Editor’s note: Does your child have a sensory processing or neurological challenges? Do you feel that has that impacted your feeding experiences? Sometimes breastfeeding problems aren’t breastfeeding problems but actually indicators of something else. I’ve heard from several moms of the last 4 years that have tried everything in addressing their breastfeeding struggles only to discover years later that there was (seemingly unrelated) neurological issues. From somewhere on the autism spectrum to high sensitivity, they have wondered if there is a connection. Maybe baby refuses to latch or latches all the time and overwhelms mom with constant breastfeeding. While it may be something else entirely, some moms do see there is a connection later on when their child is older.

I would love to hear from you if this has been a part of your journey, please comment below, share your thoughts, and if you’d like your story to be included on the website, please email content@theleakyboob.com. Thank you all so much!

Breastfeeding, sexism, and public opinion polls

Oh look, another poll from a media outlet for their audience to weigh in about women breastfeeding in public or past a certain age!  Isn’t this fun?  Scary boobs, scary breastmilk, scary baby, vote now!  Breastfeeding, sexism and breastfeeding, is that even an issue?  Does everybody really get to weigh in on a woman feeding her baby?  Is it helping anyone?  Or is it just a form of sexist entertainment?

Taking a deeper look at how these types of polls are hurting mothers and why I’m over these polls and won’t be sharing them anymore:

What do you think, are polls like these helping or hurting?  Should we be voting on how women feed their children or do we have better things to do?

Breastfeeding and thinking of others

By Jessica Martin-Weber

human decency and breastfeeding

I try to avoid reading comments on just about any articles that have to do with infant nutrition, particularly on breastfeeding in public, except on those sites where I’ve come to trust the atmosphere is conducive to healthy dialogue and engaging conversation. Sometimes I can’t help it though and I get momentarily sucked into the train wreck of society’s most opinionated who found a platform to spew vitriol laced with unverified “facts” and self appointed expertise. I’ve read enough of these comments over the years that I have come to expect a certain set of responses, each presented as though it is the first time anyone has ever thought of it. From the comparisons of breastfeeding to human waste or sex to implying the mother must be an exhibitionist or even pedophile, the “enlightened” arguments, most often lay blame on the breastfeeding woman as to how her feeding her baby is damaging society.

I’ll let that sink in for a moment.

Hundreds of thousands feel empowered by the anonymity of the internet to say that women feeding their babies the biologically normal way are damaging society. And of course, because moms can’t win, still other mothers are blamed for damaging society for not feeding their child the biologically normal way and using bottles and/or formula.

Something is wrong with society? Blame the mothers! It simply must be because of the female portion of the parenting population!

I can think of a lot of practices that are damaging society but for the life of me I can’t see how a woman feeding her child could even be fathomed as one, let alone worth commenting on anywhere at all.

One of my cynical favorites are the comments that talk about human decency and pride. How could a woman be so selfish? Some people are uncomfortable with witnessing breastfeeding, why in the world should they have to suffer so badly when a woman uses her breast in their presence to feed her child? What about human decency? Does she have no pride and self respect? It’s not that hard to show a little courtesy to others and cover yourself while you do that. Can’t she think of others and stop being SO SELFISH and just be DISCREET? What is wrong with these women that think it’s just fine to FEED their babies right there where everyone can see it? For goodness sake, WHAT IS THIS WORLD COMING TO?

All over a woman feeding her child.

I wish I was joking. I’m not. In fact, I avoid reading these comments usually because it makes me want to say bad words. All the bad words.

Then there’s the fact that I don’t only come across this in comment sections of online news or blogs, nope, people say it to my face.

You’re worried about human decency and damaging society? What about the children going to bed hungry every night in your community? The lack of health care for many in the world today? What about the dangerous, polluted water millions of people drink daily and the children who get sick from it? How about the corporations ruining the environment often in already compromised areas and successfully lobbying so they aren’t held accountable? And the million other human rights violations destroying lives, destroying children?

Not a baby being safely fed. That is not an issue of lack of human decency. Making it one and overlooking real concerns is. News flash: a mother’s first responsibility is to think of her children, that is her thinking of others. And because thinking of her children involves thinking of the good of society and making well informed decisions in her care of her children, feeding her children and meeting their needs is part of caring for society as well. Thinking of what others in society may think of how she is feeding her child? Yeah, that doesn’t really help anyone and if you think so, your privilege has blinded you. Should she choose to cover or not, how she feeds her child is her decision and whatever makes her and her child comfortable. Not anyone else. Think of others? Ok. When I’m breastfeeding I’m thinking of my child, it’s not about anyone else. Doing it in public doesn’t make it anyone else’s business either.

I have to believe that in a generation people will be shocked that this was an issue, embarrassed that it was. Like other topics that have made society uncomfortable at times, a woman feeding her baby in public will some day no longer be a topic of scrutiny, debate, or attack. I hope. Just like civil rights issues, formerly taboo health issues, and environmental concerns that used to be dismissed, eventually infant nutrition will no longer be confused with real issues of human decency. Except for where infants and their families don’t have access to nutrition. Want to get up in arms about something? Find something worthy.

There is one point these commenters sometimes make that I do agree with, what has happened to human decency? Only I wonder if we ever had it and have instead confused human decency with privilege. Because too often we turn blind eyes to the real battles moms face and focus on demeaning and petty “mommy wars.”

Let’s fight the real battles and let’s not worry about being discreet about it. Let’s really think of others.

Blaming the milk? Is it the breastmilk or something else?

This post made possible in part by the generous support of Motherlove Herbal Company.

Fairly often on The Leaky B@@b Facebook page we see questions from moms concerned about their milk or explaining that they had to wean because they were told their milk was “bad.”  Moms ask about getting their milk tested, wonder about boosting fat content, and are concerned that their milk is making their baby sick.  Unlike issues with latch, milk supply, infection or, blaming breastmilk is often more ambiguous.  It isn’t uncommon for concerns to be rooted in outside sources; family expressing doubt that the mother’s milk is good enough, health care providers that suggest perhaps formula would be a more accurate, and formula marketing promising improved brain development and “closer to breastmilk than ever” so parents can sleep easier.  Even if their little one is growing well and meeting developmental milestones, there can be overwhelming concern that something is wrong with the milk and if their sweet offspring is anything other than the standard of a smiling, chubby, easy-going, and bright eyed Gerber baby, the milk is often the first thing blamed for a breastfed baby.

 

Why blame the milk?

Other than the reality of living in a culture where breastfeeding is not the accepted normal way to feed a baby but is just one option, why do so many people jump to the idea that there must be something wrong with the mother’s milk if the baby is “too” fussy, gassy, clingy, or any other possible problem?  Very few question if another mammal’s milk is good enough for their young, why are quick to suspect the quality of milk of human mothers?  Ignorance is a significant factor, too many people don’t understand what is normal behavior for a health, breastfed infant but I don’t think that’s the only reason.  Deep down I suspect there are other issues at play.

 

The perfect baby.

The old adage that children are to be seen and not heard is socially accepted as out of date however, our actions and reactions to children reveal otherwise.  If you don’t have a cherubic smiling baby all the time, there must be a reason, a reason that must have an easy fix.  A reason that probably starts with the parents.  And what could be an easier fix than a bottle of prepared, measured, and “scientifically formulated” breastmilk substitute?  With all that formulating, there can’t be anything wrong with it such as what you last ate… or so some are inclined to believe.

 

Out of touch.

With a good portion of a generation or two of mothers having no experience of breastfeeding, many in society are out of touch as to what’s normal in a breastfed baby.  New standards have been established based on a product derived from milk intended to grow an animal that starts out weighing anywhere between 50-100 pounds and can grow to weigh a ton (literally, not figuratively) as an adult.  An animal that has 3 stomachs.  Growth charts have been based on this product and for a long time nobody even thought there should be a different chart for breastfed babies and health care professionals and parents alike accepted the growth patterns of a formula fed infant as the standard.

Be sure your health care provider is using the correct chart with your child, ask if they are using the WHO growth chart for breastfed infants.

 

Obsessed with food.

Our culture is obsessed with food.  Eating it, not eating it, where it comes from, where it doesn’t come from, how much it costs, who is eating it, who isn’t eating it, how much we’re eating, etc.  It’s pretty dang hard to measure breastmilk coming straight from the breast.  If you can’t measure it, can’t see it, how can you obsess about it?

 

Women, your bodies are broken.

From monthly fertility cycles to sexual arousal, from birth to breastfeeding, from feminine hygiene to body shape, society consistently tells women there’s something wrong with their bodies.  A quick glimpse at vintage ads will show that this has been the case for a long time.  Douche it, pinch it, pull it, augment it, decrease it, measure it, plump it, thin it, paint it, perfume it, shave it, cut it, bind it, CHANGE IT!  Above all, hide what connects us with our animal side and don’t trust it.  Breastmilk is suspect because it comes from our body.  There must be something wrong with it.  The overwhelming message is that our bodies are broken.

 

Don’t judge me.

Whatever a mom’s reason to not breastfeed, whether there were physical issues, a lack of support, lack of information, or just not wanting to; nobody wants to be judged.  Finding camaraderie can be reassuring no matter what the reason.  Most moms don’t want other moms to fall short of their goals and they genuinely want to support but that support can also offer comfort to the one extending it if they feel even slightly judged because they didn’t breastfeed.  Blaming the milk for not being good enough or of making the infant sick can bring comfort that it wasn’t anything they did or didn’t do.  It’s not that they are looking for excuses but with the other reasons shared it can be that finding a reason as ambiguous as there being something wrong with the milk a relief that things didn’t work out.

 

Sex, sex, and more sex.

Breasts are sexual.  There’s no denying it.  But then so are other parts of the body that we use for other purposes… such as the neck holding up our heads and an erotic zone, our lips for kissing and talking, our hands for caressing and working, and so on.  Most of western society has over emphasized the sexual nature of the human female breasts but that doesn’t mean that they are a completely asexual part of the female anatomy.  That over emphasis has created problems though.  Problems that are easy to avoid thinking about if we just don’t use our breasts to feed our babies.  The balance is off between the breasts as a food source for a woman’s young and the sexuality of breasts.  Since women’s body’s are broken, babies should be perfect, we’re obsessed with food, and we don’t want to be judged, blaming breastmilk for any potential issues helps us to keep that overemphasis on the sexual nature of breasts so we don’t have to be confronted with the misogynistic objectification of women quite as overtly if we never have to see a breast being used in another capacity.

 

The reality is that most of the time it’s not going to be the milk to blame for problems with baby.  Once normal behavior, including normal emotional, psychological, attachment, and developmental behaviors are understood and eliminated as the cause of presenting symptoms, there are many other factors to be evaluated before even considering breastmilk.  When breastmilk truly is the problem these babies get sick very fast and in very distinct ways that require quick interventions.  And when there are more mild issues such as sensitivities to foods the mother has eaten, slow weight gain of the infant, or other such concerns, the answer rarely is to stop feeding breastmilk.  With the support of an informed health care provider and an IBCLC, most issues related to breastmilk can be worked through and the milk isn’t actually to blame.  Problems happen and sometimes the actual breastmilk needs to be considered before we rush to blame breastmilk for every physical discomfort or behavior we would rather not see in our babies and let’s truly help moms reach their personal breastfeeding goals, setting babies on the right track for a normal standard of health with the appropriate diet for human babies; breastmilk.

 

___________________________________

 Have you wondered if your breastmilk was ok?  Do you think we have unrealistic expectations that lead to confusion between what is normal and what are real problems?

Medications and Breastfeeding

by Star Rodriguez, IBCLC 

This post made possible in part by the generous support of Rumina Nursingwear.

 

It can be really confusing taking medications or having procedures done while you are breastfeeding.  Most of the time, if you look at the package insert or online, most medications simply say that you should ask your doctor or not take them while breastfeeding.  Then you might hear something completely different from friends, or relatives, pharmacist, or from your doctor.  So what do you do?

Well, luckily, there are a bunch of fantastic resources for breastfeeding moms.

First, I want to tell you that research on breastfeeding and medications has come a long way in the past few years.  So your doctor, nurse practitioner, or pharmacist may have outdated information.  I am not trying to say that you shouldn’t respect your provider or that they don’t know what they are talking about.  That’s absolutely not true.  However, the amount of breastfeeding patients or customers that they see is probably relatively small, so their continuing education is often focused elsewhere.  If you are wondering if information that you were given is correct, you have every right to research that yourself and then bring that information back to your provider so you can make an informed decision together.

Medications moving into milk depend on several things, and, sometimes, even if they do, they do not enter the bloodstream of the baby.  Describing the hows and whys of that could literally take me twenty (probably boring to most people) pages, so I’ll cut to the more important things: how to tell what your medication is ranked, taking you baby’s age into account, resources for information, and supply issues from medications.

Drugs are typically ranked in L categories.  These categories are, as per Dr. Thomas Hale:

L1 – Safest.  These drugs either don’t reach the baby at all or have been proven to be safe in large studies.

L2 – Safer.  These drugs have either been studied to a lesser degree with little to no side effects on the baby, or, after taking the evidence into account, the likelihood of this drug being problematic to your baby is pretty remote.

L3 – Moderate.  This category is where most drugs start.  L3 drugs either have no studies done, or studies have been done showing minimal problems to the infant if the mom is taking it.  This is the category where it’s really a risk/benefit situation.  What are the risks of the drug in your breast milk versus the risks of feeding formula?

L4 – Possibly Hazardous.  We know that this drug can have adverse effects on the baby.  However, there might be some situations where use of this drug is justified.  For instance, if someone is in a life-threatening situation.  For the most part, though, we want to avoid these medications.

L5 – Contradicted.  You can’t use these while breastfeeding.  We know that they have significant, documented, negative impacts on babies.  If you have to take a L5, you cannot breastfeed while it is present in your milk.

 

Sometimes the classification of medications can vary based on where you are in your breastfeeding relationship.  In the first week of breastfeeding, due to the difference in colostrum versus mature milk, it can be a little easier for medications to pass into milk in greater quantity.  If you can avoid a drug during that time, you should.  However, maintenance medications, pain relievers used for surgical deliveries or painful vaginal deliveries don’t need to be avoided.

In the later stages of breastfeeding, after solids are introduced, most babies begin to take in a little less milk – and in the toddler stage, that often lowers again.  So if you are nursing in a later stage, some medications that were once not ok can be acceptable again.

So now that you have a basic idea about how drugs are coded, where do you find this all out? 

LactMed is a website that has a bunch of information about drugs and breastfeeding.  It doesn’t have the L classification, but it does talk about the drug’s potential effect on lactation.  For instance, if you look up Sudafed, it talks about how it might lower production of milk.  LactMed also has a free Android and iPhone app.  I haven’t tried out the app itself yet, though, so I’m not certain what, if any, differences there are.

Medications and Mother’s Milk  is a book that is updated every 2 years.  Many libraries have it, as do most pharmacies, hospitals, WIC clinics, and doctor’s offices.  It is written by Dr. Thomas Hale, and has a wealth of information on drugs and breastmilk, including the L classification.

Infant Risk Center is a website that has a bunch of information regarding pregnancy, breastfeeding, and the risks to infants of various things.  It is directly connected to Dr. Hale, who is the foremost authority on breastfeeding and medications.  The site itself can sometimes be a little difficult to find the specific information that you’d like.  However, Dr. Hale also has an app (it is a paid app, but it has a HUGE amount of information, so if you’re a provider, or you regularly work with breastfeeding moms, I can’t endorse it enough.  For the mom who is occasionally taking medication, it’s probably not necessary, though.)  The Infant Risk Center is also staffed Monday – Friday 8am – 5pm CST to answer questions about breastfeeding (and pregnancy) and medications, and the people working it are knowledgeable, helpful, and generally wonderful.

When looking at medications, it is important to consider whether they can impact supply.  For instance, as I mentioned, Sudafed can be problematic in that area.  Generally, if a medication is meant to dry something up, or impacts your hormones (like birth control), you should exercise caution in using it.  Before anyone worries, you can still take birth control.  You may want to use an IUD, the mini pill, or Depo Provera if you are not planning to use barrier methods.  With Depo or the Mirena IUD, I usually tell moms to ask to be on a month of the mini-pill first; some moms just have sensitivities to hormones, and those sensitivities can impact supply.  Depo can’t be removed once injected, and Mirena is expensive to place and uncomfortable to remove, so it is good to have an idea if you will react that way.  Also, hormonal birth control should not be started until at least 6 weeks postpartum after milk supply is established.

I hope this information helps you work with your health care provider to determine the best choice for you when you need medication.

___________________________________________

Did you have to take medications while breastfeeding?  Was it easy for you to find good information on them?

___________________________________________

 Star Rodriguiz, IBCLC, began her career helping women breastfeed as a breastfeeding peer counselor for a WIC in the Midwest.  Today she is a hospital based lactation consultant who also does private practice work through Lactastic Services.  She recently moved to the northern US with her two daughters and they are learning to cope with early October snowfalls (her Facebook page is here, go “like” for great support). 

Nursing Time Tea and Nipple Nurture Balm Giveaway from Fairhaven Health

Today we have a giveaway from Fairhaven Health.  Read on for details on this opportunity and an interview with Suzanne from Fairhaven Health who was happy to answer my questions about the company and shared some encouragement about sore nipples.  Fairhaven has chosen to sponsor TLB because of their commitment to healthy families.

TLB:  I know Fairhaven Health values the earth, using safe and natural ingredients, and being in tune with our bodies.  Where did these values come from and how are they implemented in your products?

Suzanne:  Fairhaven Health was started with the mission of helping couples achieve pregnancy naturally. We strongly believe that  by increasing fertility awareness (and helping women pinpoint their most fertile days in their menstrual cycle) and by helping men and women understand the role of proper nutrition and herbal support in optimizing reproductive health that many couples who are struggling to conceive  might actually have a chance of becoming pregnant without prescription medications and other invasive medical interventions. We also believe that natural products have an important role in supporting pregnancy wellness and breastfeeding success. As a result, all of the products we provide for fertility, pregnancy and breastfeeding, are developed by a team of experts, including medical doctors, naturopaths, and nutritionists, and formulated to include the safest, most natural, and most effective ingredients available.

TLB:  Fairhaven Health clearly values family and supporting breastfeeding, aside from the products, how does the company support breastfeeding both for those within the company and publicly?
Suzanne:  At Fairhaven Health, we support breastfeeding as the optimal feeding choice for moms and babies. But, we also understand that for some women, “choosing” breastfeeding isn’t always easy. Pregnant woman are constantly bombarded with confusing messages about breastfeeding and formula feeding, and even when new moms want to breastfeed, they often lack the information and support (from peers and professionals) they need to breastfeed successfully. The American Academy of Physicians recommends exclusive breastfeeding for at least the first 6 months of a baby’s life, followed by breastfeeding in combination with the introduction of complementary foods until at least 12 months of age, and continuation of breastfeeding for as long as mutually desired by mother and baby. While we understand that these guidelines might be easily achievable for some women, for other women, achieving these goals requires a Herculean effort. We are committed to helping new moms reach their breastfeeding goals (whatever those goals might be, 1 week to 1 year or longer) and we are proud to partner with several amazing organizations that are working to normalize breastfeeding, provide moms with the evidence-based, unbiased information they need to make a truly informed choice about feeding options, and ensure that moms have the support they need from peers and lactation professionals to successfully breastfeed.We are a small, family-owned business, so putting this into practice internally is quite easy! Although we don’t currently have any breastfeeding babies in our small Fairhaven Health family, it is not uncommon to have someone’s kids (usually mine!) here in the office  after school, reading Harry Potter, making microwave popcorn (no judgement on the nutritional choices, please!), and creating extra chaos! And, externally, it is our great pleasure to support the work of the following innovative breastfeeding organizations in their efforts to make breastfeeding accessible to all moms and babies:

Cottonwood Kids: Many new mothers receive their first can of formula for free, from the hospital where they give birth. These “free” samples come at a tremendous cost in terms of breastfeeding success. Cottonwood Kids was created solely to assist in elevating breastfeeding in the eyes of families across the country and to help hospitals and birthing centers create a breastfeeding-friendly environment for their patients. Cottonwood Kids created the Healthy Baby Bag, a useful product designed to store expressed breast milk that is given to new mothers at the hospital where they deliver. Packaged inside the bag are essential breastfeeding product samples and support information for new moms. Fairhaven Health provides financial support to the Healthy Baby Bag program to help ensure that hospitals can purchase these bags at minimal cost and distribute these wonderful bags as free gifts to moms.

BestforBabes: Best for Babes was founded by Bettina Forbes and Danielle Rigs, two moms eager to change the way breastfeeding is viewed in the United States. Best for Babes is the only mainstream nonprofit dedicated to raising awareness of and removing the barriers (The Breastfeeding Booby Traps™) that keep millions of mothers in the U.S. from achieving their personal breastfeeding goals. Fairhaven Health is a proud to serve as Corporate Sponsor of Best for Babes.

And, last but definitely not least, we are thrilled to be part of The Leaky Boob community, helping to support the efforts of Jessica and Jeremy as they work to provide a safe, informative, and loving environment in which families can interact about all things related to breastfeeding.

TLB:  We’re giving away some Nipple Nurture Balm, what encouragement would you give to a mom dealing with sore nipples?
Suzanne:  Aaaahhhh . . .the only thing that we can say is . . .yes, it hurts so badly and yes, it will get better. Talk to your friends, your family and a lactation professional if necessary to make sure your little bundle is latching properly and then use as much Nipple Nurture Balm as necessary (it is completely safe) to soothe your sore nipples.

Suzanne on the left and Sarah on the right, known as Suzah! Represent 2/3 of Fairhaven Health's customer service team.

____________________________

This giveaway is for 1 bag of Nursing Time Tea and 1 Nipple Nurture Balm; 5 winners; retail value is $26.90

Nursing Time Tea is the all-natural herbal tonic designed to help nursing mothers increase their milk flow and soothe digestive unease of both mother and baby. Nursing Time Tea brings together a select array of safe and proven ingredients to aid nursing and providing a rich spectrum of nutritive vitamins and minerals for robust and healthy breastfeeding.  Each bag of Nursing Time Tea is vacuum-sealed for freshness and contains a 1 month supply. All ingredients are organic and wildcrafted, and of the freshest and highest quality with no preservatives or additives. Nursing Time Tea is caffeine-free and has a brisk lemony flavor that is comforting and refreshing.

Lanolin-free and without harsh additives or preservatives, Nipple Nurture Balm is safe for both mother and baby. Organic herbal ingredients are combined with natural moisturizers to help provide soothing relief, heal affected areas, and even prevent cracks from reappearing.

____________________________

Good luck to everyone!  Please use the widget below to be entered and enjoy browsing fairhavenhealth.com.  The giveaway is open from July 11, 2012 to July 18, 2012.  A big thanks to Fairhaven Health for their ongoing support of TLB and all breastfeeding women, don’t be forget to visit their Facebook page or follow them on twitter and thank them for their support of TLB and this giveaway opportunity.

This giveaway is open to USA entries only.

____________________________

a Rafflecopter giveaway