Witching Hour vs Colic
One of the most confusing and exhausting parts of early parenthood is dealing with periods of intense crying, sometimes called “colic” or the “witching hours.” While both involve periods of crying and discomfort, colic tends to be more prolonged and difficult to soothe compared to the witching hours.
Originally published on May 22, 2014; Revised March 28, 2025
Author: Robin Kaplan, M.Ed, IBCLC, FNC
Welcoming a new baby into your life is an incredible experience, but it can also come with challenges—especially when it comes to fussiness and crying. One of the most confusing and exhausting parts of early parenthood is dealing with periods of intense crying, sometimes called “colic” or the “witching hours.” While both involve periods of crying and discomfort, colic tends to be more prolonged and difficult to soothe compared to the witching hours. While it can be overwhelming, understanding these behaviors can make it easier to navigate and find ways to soothe your little one.
ABOUT SDBFC
The San Diego Breastfeeding Center was established in 2009 by Robin Kaplan, International Board Certified Lactation Consultant, Functional Nutritionist, and parent. Her vision was to create a judgment-free, inclusive support system for families navigating infant feeding challenges. SDBFC offers a wide range of one-on-one breastfeeding, infant feeding, and nutrition consultations - as well as classes, support groups, online articles, and social media - making it your one-stop-shop for all things infant feeding!
What Are the Witching Hours?
The witching hours are a period of increased fussiness that almost all babies experience, usually occurring in the late afternoon and evening. It often begins around 2 to 3 weeks of age, peaks around 6 weeks, and typically fades by 3 months. During this time, your baby may want to cluster feed—feeding frequently for short periods and seeming fussier than usual. It might feel like your baby doesn’t know what they want: they may latch on to nurse for a few minutes, fall asleep, and then wake up shortly after, wanting to feed again. It’s also common for babies to give hunger cues but then pull off the breast and cry.
Why Do the Witching Hours Happen?
While we can’t know for sure why babies have these fussy periods, there are a few theories that may explain it:
Lower Milk Supply: Many parents notice that their milk supply naturally decreases a bit as the day goes on. This is completely normal and doesn’t mean you aren’t producing enough milk. However, a slower milk flow can make babies feel frustrated and want to nurse more frequently.
Overstimulation: After a long day full of new sights, sounds, and experiences, your baby may feel overwhelmed and unable to settle. This can be especially true if your household gets busier in the evening, with partners coming home, older siblings returning from school, and dinner being prepared.
Normal Developmental Phases: Babies are constantly growing and changing, and some developmental leaps may make them a bit fussier as they adjust.
What Can You Do to Help Your Baby During the Witching Hours?
While you may not be able to eliminate fussiness completely, there are plenty of strategies to make this period easier for both you and your baby:
Feed Frequently: Offer the chest/breast often, even if it feels like they just ate. Cluster feeding is normal and sucking helps to calm your baby’s nervous system.
Babywearing: Learning to nurse in a carrier can be a game changer. Wearing your baby keeps them close and soothed while giving you the freedom to move around and get things done (ie feed yourself!)
Prepare Ahead of Time: Consider making dinner earlier in the day or having easy meals ready to go, so you’re not stressed about cooking during your baby’s fussy period.
Fresh Air and Movement: Taking a walk with your baby in a carrier or stroller can help both of you reset. The fresh air and gentle motion can be incredibly calming.
Ask for Help: Don’t hesitate to let your partner or support person step in. Sometimes you need a break to recharge, and that’s okay!
What Is Colic?
Colic is different from the witching hours and is typically defined as crying that lasts off and on for more than three hours a day, at least three days a week, for three weeks or longer. Colicky crying is often more intense and harder to soothe, and babies may show signs of physical discomfort like arching their back, tensing their legs, or appearing gassy. Colic usually starts in the first few weeks and resolves once the root cause(s) has been identified.
What Causes Colic?
There’s no definitive answer to what causes colic, but some possible factors include:
Oversupply or Forceful Letdown: An abundant milk supply or fast flow can cause a baby to gulp air, leading to gas and discomfort.
Foremilk-Hindmilk Imbalance: Too much lower-calorie foremilk and not enough higher-calorie hindmilk can upset a baby’s stomach, causing gassiness.
Oral Ties: Tongue-tie or lip-tie can make it difficult for a baby to latch well, leading to swallowing air during feedings and difficulties getting enough at each feeding session.
Dietary Sensitivities: Sometimes, something in the parent’s diet (like dairy, soy, gluten, or egg) might affect the baby’s digestion.
Antibiotic Use and Gut Inflammation: If the baby or lactating parent has recently taken antibiotics, it may disrupt the baby’s gut microbiome, leading to digestive discomfort and increased fussiness.
How Can You Help a Colicky Baby?
Adjust Chest/Breastfeeding Positions: Try laid-back chest/breastfeeding to slow down your milk flow and help your baby pace themselves more effectively while feeding.
Keep a Food Journal: Track your diet and your baby’s symptoms to see if any specific foods seem to trigger fussiness. We can help identify trigger foods or root causes of gut inflammation and discomfort during a functional nutrition appointment. (Click here to find out more information about these functional nutrition appointments)
Seek Support: An International Board Certified Lactation Consultant (IBCLC) can help identify potential issues like oversupply, oral ties, or feeding challenges. (Click here for more details on the types of lactation appointments we offer!)
Most importantly, remember that this phase will pass. The witching hour typically resolves by 3 months as babies become less sensitive to their environments. Colic can often be remedied as soon as the root cause(s) is identified and addressed. It’s completely normal to feel stressed and overwhelmed, but you don’t have to go through it alone. Reach out for support from your partner, family, friends, and professionals who can help you navigate this challenging time.
If you’re feeling unsure about your baby’s feeding patterns, fussiness, or gut discomfort, know that you’re not alone—we’re here to help! Our team of experienced lactation consultants and functional nutrition experts is ready to support you. Whether you need guidance on soothing techniques, feeding adjustments, or identifying root causes of discomfort, we’re here to provide personalized care. Schedule a one-on-one appointment with one of our lactation consultants or functional nutrition counselors for expert advice tailored to your baby’s unique needs.
SDBFC is committed to providing high-quality lactation and functional nutrition consultations to parents in San Diego and beyond. Explore our postpartum, prenatal, and functional nutrition consultations, take a breastfeeding class or attend a workshop.
About the Author
Robin Kaplan has been an IBCLC since 2009, the same year that she opened up the San Diego Breastfeeding Center. Robin was the founding host of the Boob Group podcast and published her first book, Latch: a Handbook for Breastfeeding with Confidence at Every Stage in 2018. Melding her passions for supporting lactating parents and holistic health, Robin finished her Functional Nutrition Certification in 2023. In her free time, she enjoys hanging out with her two teenage boys, hiking, traveling, weaving, cooking, and searching for the best chai latte.
I’ve Had My Baby - Now What?: Breastfeeding During the First Week
Today we would like to talk about that first week after your baby has arrived. Chest/breastfeeding can often seem overwhelming and unfamiliar. Below is a quick guideline to what “normal” chest/breastfeeding looks like, as well as some examples of when things aren’t going as they should and when you might want to seek help.
Today we would like to talk about that first week after your baby has arrived. Breastfeeding can often seem overwhelming and unfamiliar. New moms often receive a *huge* amount of differing advice from many well-intentioned people, which can be incredibly confusing and discouraging. Below is a quick guideline to what “normal” breastfeeding looks like, as well as some examples of when things aren’t going as they should and when you might want to seek help.
Originally published on Jan 24, 2014; Revised Feb 22, 2025
Author: Robin Kaplan, M.Ed, IBCLC, FNC
Welcome to our new series, I’ve Had My Baby - Now What? This is a guide with basic information to help you navigate the first days, weeks, and months of chest/breastfeeding your new baby.
Today we would like to talk about that first week after your baby has arrived. Chest/breastfeeding can often seem overwhelming and unfamiliar. New parents often receive a *huge* amount of differing advice from many well-intentioned people, which can be incredibly confusing and discouraging. Below is a quick guideline to what “normal” chest/breastfeeding looks like, as well as some examples of when things aren’t going as they should and when you might want to seek help.
ABOUT SDBFC
The San Diego Breastfeeding Center was established in 2009 by Robin Kaplan, International Board Certified Lactation Consultant, Functional Nutritionist, and parent. Her vision was to create a judgment-free, inclusive support system for families navigating infant feeding challenges. SDBFC offers a wide range of one-on-one breastfeeding, infant feeding, and nutrition consultations - as well as classes, support groups, online articles, and social media - making it your one-stop-shop for all things infant feeding!
How often should my new baby be eating and how long should each feeding take?
A newborn needs to feed 8 or more times in 24 hours. It’s especially important in the early days to feed your baby “on demand”, or whenever the baby shows signs of hunger, regardless of when baby ate last. If your baby is not asking to eat every 2-3 hours, or 8 or more times in 24 hours, it is important to wake the baby to feed him/her, until they have regained their birth weight. A feeding session typically takes approximately 30-45 minutes, and both breasts should be offered during this time. It’s important to keep the baby actively feeding during those 30-45 minutes.
How do I know my baby is getting enough milk?
A great way to be sure baby is getting enough breastmilk is to keep a physical log of all feedings (start time and length), as well as all pees and poops. A baby who is taking enough milk will be feeding 8 or more times in 24 hours, for 30-45 minutes, and having 1 pee diaper and 1 poop diaper per day of life, until day 5. For example, on day 1, baby should be having 1 pee and 1 poop diaper, day 2, 2 of each, etc. After day 5, baby should be having 5 or so of each per day. A baby who is getting enough should be satisfied for approximately an hour or two after feeding. However, most babies will cluster feed for a 4-5 hour period during the day, when they may want to eat more frequently. This is normal baby behavior!
How much milk does my baby actually need?
A baby needs very little milk per feeding during their first few days of life. This is because they’re born full of meconium, which are those first few poops. This is a perfect fit for you, as your first milk, colostrum, is low in volume. The small amount you make is just the right amount for your baby. The amount your baby needs slowly increases, and as your milk makes the transition from the low volume colostrum, to the higher volume mature milk between day 3 and day 5, your baby’s needs go up as well. Nature works beautifully!
I need to supplement my baby, what are my options?
Sometimes, a baby may need to be supplemented with additional milk. There are many reasons for this - a baby has jaundice, is not latching well, there is a delay in the parent’s milk “coming in”, etc. When supplementation is necessary, it’s important to remember that you can use your own pumped milk. If you aren’t able to pump the amount you need, you can use donor milk instead. Formula is the last resort option. There are various methods to supplement your baby as well. You can supplement your baby at your chest/breast using a supplemental nursing system, you can finger feed your baby, or cup/spoon feed your baby. A slow flow bottle is always an option as well and a lactation consultant can show you how to feed your baby a bottle in a chest/breastfeeding-friendly manner.
Holy moly, my boobs are like rocks! They hurt and I can’t get baby latched on, what can I do?
As your milk transitions from the low volume first milk, to the higher volume mature milk, it is common for your chest/breasts to feel full and sometimes experience engorgement. Engorgement occurs when the chest/breasts fill up with so much milk that they become hard and uncomfortable. It can sometimes be difficult to get the milk flowing and baby sometimes has a hard time latching on.
Some tricks to latch your baby on during this time are:
Pump or hand express for a few moments before latching your baby to soften your chest/breasts and get milk moving
Use warm compresses or take a shower just before feeding
Use cold compresses in between feedings to reduce inflammation.
If you still feel incredibly uncomfortable after your baby feeds, you can pump or hand express some additional milk - but it is important to only pump to comfort as you don’t want to send the message to your body to make even more milk.
Please be aware that if you begin to run a high fever, have flu-like symptoms, and hot or red spots on your chest/breast, you may be developing a breast infection (mastitis) and it’s important to seek medical attention immediately.
Why do my nipples hurt and what can I do to heal them?
It’s normal for all parents to feel some initial nipple tenderness and discomfort in the first days and weeks of chest/breastfeeding. Anything beyond tenderness is a sign that something may not be going right, especially if there is any tissue breakdown, damage, cracks or bleeding. If you experience any of these, please seek the help of a lactation consultant. Great healing items are organic coconut oil and hydrogels, or soothing gels, sold by many different companies and available at big box stores. The best prevention for sore nipples is a good latch. If you are having trouble finding a correct latch, give us a call!
When should I seek help?
There may be times when things aren’t going the way they should. Our IBCLCs can absolutely help you with all of this! Some signs that you might need some additional help:
Damaged/cracked/bleeding nipples.
Baby isn’t gaining weight/parent’s milk hasn’t “come in” by day 5.
You suspect your baby is tongue-tied.
Baby isn’t peeing or stooling the amount that they should.
Breast infection/Breast abscess
Oversupply
Extremely fussy/gassy baby
If you’re unsure about your baby’s latch, milk intake, or feeding patterns, know that you’re not alone—we’re here to help!
The first week of breastfeeding comes with many changes, and it’s completely normal to have questions or concerns along the way. Whether you need guidance on positioning, reassurance about your baby’s feeding cues, or support with any challenges that arise, our team is here to provide the care and expertise you deserve. Schedule a one-on-one appointment (consider a virtual appointment, if you don’t live in San Diego!) with one of our lactation consultants for personalized care and expert advice tailored to your baby’s unique needs.
SDBFC is committed to providing high-quality lactation and functional nutrition consultations to parents in San Diego and beyond. Explore our postpartum, prenatal, and functional nutrition consultations, take a breastfeeding class or attend a workshop.
About the Author
Robin Kaplan has been an IBCLC since 2009, the same year that she opened up the San Diego Breastfeeding Center. Robin was the founding host of the Boob Group podcast and published her first book, Latch: a Handbook for Breastfeeding with Confidence at Every Stage in 2018. Melding her passions for supporting lactating parents and holistic health, Robin finished her Functional Nutrition Certification in 2023. In her free time, she enjoys hanging out with her two teenage boys, hiking, traveling, weaving, cooking, and searching for the best chai latte.
Supporting Tricare Families Through Insurance Challenges: Introducing our Low-Cost Clinic
Due to ongoing delays from TriWest in countersigning our contract, we are no longer able to provide insurance-covered appointments to Tricare families. To help bridge this gap, we’ve added a low-cost clinic option for Tricare families. This affordable clinic is also available to families with insurance we do not accept, such as Kaiser, HMOs other than UCSD Managed Care, or MediCal, who may be unable to afford the cost of our one-on-one consultations.
Published on February 10, 2025
Author: Robin Kaplan, M.Ed, IBCLC, FNC
At the San Diego Breastfeeding Center, we are dedicated to providing compassionate and expert care for families during their chest/breastfeeding journeys. It is with heavy hearts and sincere regret that we share an important update about our services.
Due to ongoing delays from TriWest in countersigning our contract, we are no longer able to provide insurance-covered appointments to Tricare families. This decision was not made lightly. We held out as long as we possibly could, hoping to avoid any gap in care.
We deeply understand how difficult and frustrating this situation is for our military families, and we remain committed to supporting them through this transition.
Introducing SDBFC’s Low-Cost Clinic
To help bridge this gap, we’ve added a low-cost clinic option for Tricare families. This affordable clinic is also available to families with insurance we do not accept, such as Kaiser, HMOs other than UCSD Managed Care, or MediCal, who may be unable to afford the cost of our one-on-one consultations.
Unlike our free support group, this clinic offers guidance from an IBCLC to provide a more in-depth and skilled assessment, as well as an individualized plan of care.
These 90-minute sessions cost $49 and include:
Oral exams (when needed)
Weighted feeds
Individualized care for latch, positioning, pain, and milk supply
Group size is limited to three families to ensure personalized attention.
Free Friday Support Group
We also continue to offer our free weekly support group led by Valori Sharp, our experienced lactation educator. This group provides general advice and weight checks in a supportive community setting.
Thank You for Your Understanding and Support
We are always looking for thoughtful ways to adapt and continue providing quality lactation care at accessible prices for our local San Diego families. The introduction of our new low-cost clinic has not only provided a much-needed solution for Tricare families but has also opened the door for many other local families with insurance we do not accept.
Your family’s health and well-being remain our top priority, and we are proud to find creative solutions to support you. We remain dedicated to serving you and advocating for better healthcare access for all families.
Due to their complex nature, all bottle feeding, pumping flange fittings, and functional nutrition appointments will only be available as private one-on-one consultations.
About SDBFC
The San Diego Breastfeeding Center was established in 2009 by Robin Kaplan, International Board Certified Lactation Consultant, Functional Nutritionist, and parent. Her vision was to create a judgment-free, inclusive support system for families navigating infant feeding challenges. SDBFC is committed to providing high-quality lactation and functional nutrition consultations to parents in San Diego and beyond. Explore our postpartum, prenatal, and functional nutrition consultations, take a breastfeeding class or attend a workshop.
About the Author
Robin Kaplan has been an IBCLC since 2009, the same year that she opened up the San Diego Breastfeeding Center. Robin was the founding host of the Boob Group podcast and published her first book, Latch: a Handbook for Breastfeeding with Confidence at Every Stage in 2018. Melding her passions for supporting lactating parents and holistic health, Robin finished her Functional Nutrition Certification in 2023. In her free time, she enjoys hanging out with her two teenage boys, hiking, traveling, weaving, cooking, and searching for the best chai latte.
The Secret Link Between Liver Health and Milk Supply
Let’s explore the liver’s role in lactation, how insulin helps prepare your body during pregnancy and postpartum, and practical ways to support your liver and overall health for the most robust milk supply possible!
Published: Jan 25, 2025
Author: Robin Kaplan, M.Ed, IBCLC, FNC
When we think about lactation, we often focus on the chest/breasts themselves, but did you know that the liver plays a central role in your body’s ability to produce milk? This powerhouse organ helps regulate hormones such as estrogen, androgens, and insulin—all of which play an important role in milk production. It also manages inflammation, ensuring that your body’s systems work in harmony. But disruptions in liver function—often linked to conditions like insulin resistance, PCOS, or leaky gut—can impact milk supply and make chest/breastfeeding more challenging.
Let’s explore the liver’s role in lactation, how insulin helps prepare your body during pregnancy and postpartum, and practical ways to support your liver and overall health for the most robust milk supply possible!
ABOUT SDBFC
The San Diego Breastfeeding Center was established in 2009 by Robin Kaplan, International Board Certified Lactation Consultant, Functional Nutritionist, and parent. Her vision was to create a judgment-free, inclusive support system for families navigating infant feeding challenges. SDBFC offers a wide range of one-on-one breastfeeding, infant feeding, and nutrition consultations - as well as classes, support groups, online articles, and social media - making it your one-stop-shop for all things infant feeding!
Why Insulin is Important During Pregnancy and Postpartum
Insulin does more than regulate blood sugar; it’s also a critical hormone for lactation. During pregnancy, insulin helps build mammary gland tissue, laying the foundation for milk production. This is especially important in late pregnancy when your body prepares for making milk.
After birth, insulin sensitivity helps regulate prolactin, the hormone responsible for milk production. If your insulin sensitivity is low—a common issue with conditions like PCOS or gestational diabetes—it can delay lactogenesis (the onset of milk production) or result in a lower milk supply. Ensuring optimal insulin function during pregnancy and postpartum is essential for a robust milk supply and positive chest/breastfeeding outcomes.
How PCOS and Insulin Resistance Impact Lactation
Polycystic ovary syndrome (PCOS) and insulin resistance are common conditions that can significantly impact insulin sensitivity, liver function, and ultimately lactation. In PCOS, hormonal imbalances often lead to higher levels of androgens, which can interfere with ovulation and milk production. Additionally, insulin resistance—a hallmark of PCOS—can impair the liver’s ability to use insulin efficiently. This creates a feedback loop of heightened inflammation, poor blood sugar regulation, and disrupted hormone balance.
For chest/breastfeeding parents, these issues can delay or reduce milk supply. The liver’s role in processing insulin and hormones becomes even more critical in mitigating these effects. Supporting liver health can help break this cycle, improve hormonal regulation, and promote an easier lactation experience.
How to Support Liver and Gut Health for Lactation
The good news is that there are evidence-based strategies you can implement to support your liver’s function and improve insulin sensitivity. By making small, manageable changes to your diet and lifestyle, you can create a healthier foundation for lactation and overall well-being. If you’re unsure how to make these accommodations, working with a functional nutrition counselor, like Robin, can be a helpful step.
1. Prioritize a Low-Carb, High-Fiber Diet
Your liver and gut are closely connected through the gut-liver axis, meaning that improving one often supports the other. Here are practical ways to nurture both:
Focus on low-starch vegetables to support liver health and reduce blood sugar spikes. These tend to be the veggies that grow above ground, like leafy greens, zucchini, and asparagus.
Incorporate fiber-rich foods such as berries, flaxseeds, chia seeds, and non-starchy vegetables to promote gut health and improve insulin sensitivity.
Minimize refined sugars and highly processed carbs that can contribute to insulin resistance.
Include healthy fats like avocado, olive oil, and fatty fish to reduce inflammation and support hormone production.
2. Engage in Regular Physical Activity
Activities like walking, yoga, or strength training improve insulin sensitivity, reduce systemic inflammation, and support the liver’s ability to metabolize fat and hormones.
Aim for 20-30 minutes of moderate exercise most days, adjusting intensity based on how far along you are in your pregnancy and postpartum recovery stage.
Focus on physical activities that you enjoy and look forward to, so it doesn’t feel like a chore.
Incorporate your baby into physical activity, such as stroller walks, babywearing yoga, parent-and-me fitness classes, or hanging out on a playmat while you do a quick YouTube workout, so you don’t have to find childcare.
3. Consider Liver- and Gut-Supportive Herbs and Supplements
If you're currently using an herbal blend to support your milk supply, you may already be consuming some of these ingredients, as many herbs recommended for boosting milk supply also support liver function. (WOW, right?)
*** Before starting any new supplements, it's important to consult with someone who is knowledgeable about herbs and supplements—someone who can guide you on how they might interact with anything you're already taking, and help determine which ones are most suitable for your body.
Milk thistle: Known for enhancing liver detoxification and repair.
Turmeric: Contains curcumin, which has anti-inflammatory and liver-protective effects.
Artichoke extract: Promotes bile production and overall liver function.
Collagen or bone broth: Helps repair the gut lining and supports gut health.
L-glutamine: An amino acid that supports intestinal integrity and reduces gut inflammation.
4. Keep On Lactating
Producing milk for at least six months significantly improves blood sugar levels and reduces the risk of insulin resistance long term.
Chest/breastfeeding not only benefits your baby but also promotes lasting metabolic health and supports your body’s hormonal balance during the postpartum period.
Additionally, lactating for longer than six months may help you build a more robust milk supply with each consecutive baby, setting the stage for smoother chest/breastfeeding experiences in the future.
Supporting Your Liver, Gut, and Hormones for a Robust Milk Supply
Taking care of your liver and gut health can be a gentle way to support your body in balancing hormones and managing inflammation—both of which play important roles in lactation. Small adjustments to your diet, movement, and supplements can have a meaningful impact on your milk supply and chest/breastfeeding experience.
If you're facing challenges with low milk production, please know that you're not alone. Every chest/breastfeeding journey is unique, and it’s okay to feel uncertain or frustrated at times. If you suspect underlying health concerns like PCOS, insulin resistance, or gut issues, making a functional nutrition appointment can be a helpful step toward understanding what’s going on and finding the support you need. Your body is doing its best, and with the right care and guidance, you can make progress toward the breastfeeding experience you hope for.
Ready to Support Your Milk Supply?
Whether you're pregnant and looking to become more insulin sensitive or postpartum and facing challenges with milk production, Robin Kaplan, Functional Nutrition Counselor, is here to help. Robin can guide you through personalized nutrition plans and gentle lifestyle adjustments to support your liver, gut, and hormones, optimizing your body's ability to produce milk and manage inflammation.
Reach out today to schedule your one-on-one appointment with Robin (consider a virtual appointment, if you don’t live in San Diego!) and take the next step toward a more nourishing and confident chest/breastfeeding experience. Your body’s potential is greater than you may think, and Robin’s compassionate, individualized care can help you unlock it.
SDBFC is committed to providing high-quality lactation and functional nutrition consultations to parents in San Diego and beyond. Explore our postpartum, prenatal, and functional nutrition consultations, take a breastfeeding class or attend a workshop.
About the Author
Robin Kaplan has been an IBCLC since 2009, the same year that she opened up the San Diego Breastfeeding Center. Robin was the founding host of the Boob Group podcast and published her first book, Latch: a Handbook for Breastfeeding with Confidence at Every Stage in 2018. Melding her passions for supporting lactating parents and holistic health, Robin finished her Functional Nutrition Certification in 2023. In her free time, she enjoys hanging out with her two teenage boys, hiking, traveling, weaving, cooking, and searching for the best chai latte.
Common Concerns While Breastfeeding - What is That Knot in My Breast?
Dealing with a plugged/clogged duct? While this condition is often painful and frustrating, it’s usually manageable with some self-care and support. So, what exactly are plugged (clogged) ducts, why do they happen, and what can you do to resolve them? Let’s break it down!
Originally published on June 29, 2011; Revised Dec 30, 2024
Author: Robin Kaplan, M.Ed, IBCLC, FNC
Ever woken up from a deep sleep to find that an area of your chest/breast is tender, a little red, and pretty uncomfortable? Upon further investigation, there may be a lump where the pain is radiating from? How did this happen? Should you be concerned? In most cases, there is little need for concern. Most likely, it is a pesky plugged (clogged) duct. While this condition is often painful and frustrating, it’s usually manageable with some self-care and support.
So, what exactly are plugged (clogged) ducts, why do they happen, and what can you do to resolve them? Let’s break it down!
ABOUT SDBFC
The San Diego Breastfeeding Center was established in 2009 by Robin Kaplan, International Board Certified Lactation Consultant, Functional Nutritionist, and parent. Her vision was to create a judgment-free, inclusive support system for families navigating infant feeding challenges. SDBFC offers a wide range of one-on-one breastfeeding, infant feeding, and nutrition consultations - as well as classes, support groups, online articles, and social media - making it your one-stop-shop for all things infant feeding!
Why Do Plugged Ducts Happen?
There are several reasons why milk ducts can become plugged:
Infrequent or Skipped Feedings: Skipping feedings/pumping sessions or your baby sleeping for a longer stretch than your chest/breasts are used to can cause milk stasis. Milk stasis refers to a condition where milk is not effectively removed from the chest/breast, causing it to accumulate and remain stagnant in the milk ducts. This stagnation can lead to increased pressure, inflammation, and eventually a plugged duct if not addressed promptly.
Pump inefficiency: Using an incorrect flange size or a pump that doesn’t effectively remove your milk can increase your chances of a plugged duct
Poor Latch: If your baby is having latching difficulties, milk may not be efficiently removed.
Pressure on the Chest/Breast: Underwire bras, tight clothing, or even sleeping in certain positions can sometimes contribute to clogged ducts.
Stress, Fatigue, or Illness: Lack of sleep, emotional stress, or getting sick can all impact milk flow and immunity.
How to Resolve Plugged Ducts
The good news is that most plugged ducts can be resolved with some simple strategies:
Frequent and Effective Nursing or Pumping: Feed your baby often, starting on the affected side, or pump at regular, frequent intervals.
Ensure Proper Pump Fit and Technique: Make sure you're using the correct flange size for your pump and watch reliable YouTube tutorials on optimal pumping techniques to ensure effective milk removal.
Gentle Chest/Breast Massage: Apply gentle compressions while feeding/pumping to help move the blockage. Use your fingertips to apply light, circular motions starting from the outside of the chest/breast and moving toward the nipple. Avoid deep or aggressive massage, as this can worsen inflammation and discomfort. Therapeutic breast massage can also be very helpful.
Dangle Feeding: Lean over your baby while nursing to let gravity assist in clearing the duct.
Cold Compresses: Apply cold compresses (like frozen peas) to the swollen area for 20 minutes in between feedings to help reduce swelling.
Self-Care: Rest, stay hydrated, and eat immune-supporting foods to help minimize inflammation. (Check out last month’s blog post about boosting your immune system!)
What If Plugged Ducts Keep Happening?
If plugged ducts become a recurring issue, it’s time to dig deeper:
Meet with a Lactation Consultant: SDBFC’s lactation experts can help identify and resolve the root cause. This can range from addressing tongue/lip ties, troubleshooting your pump situation, or diving into your medical history to determine what’s causing chronic chest/breast inflammation.
Choline Supplementation: Incorporating choline can help disperse milk's fat particles more evenly, preventing them from clumping together and forming clogs. Starting recommended dosage is 500mg/day and can be increased, if necessary.
Therapeutic Ultrasound: Therapeutic ultrasound helps clear plugged ducts by using high-frequency sound waves to generate gentle heat within the chest/breast tissue, which can effectively break down milk blockages, increase blood flow to the area, and promote milk flow through the ducts.
When to Seek Help
If the lump doesn’t improve within 24-48 hours, or if you develop flu-like symptoms, fever, or increased redness and swelling, contact your lactation consultant or healthcare provider. These could be signs of mastitis, which may require additional recommendations or medical treatment. Check out our article on Mastitis for additional remedies/treatments.
If you still have questions about remedying plugged (clogged) ducts, we are just a consult away!
Plugged ducts can be a painful (temporary) interruption in your chest/breastfeeding journey, but with early intervention and proper care, they’re usually resolved quickly. Don’t hesitate to reach out to our lactation consultants if you need extra support. Schedule a one-on-one appointment (consider a virtual appointment, if you don’t live in San Diego!) with one of our lactation consultants for personalized care and expert advice tailored to your chest/breastfeeding and pumping journey.
SDBFC is committed to providing high-quality lactation and functional nutrition consultations to parents in San Diego and beyond. Explore our postpartum, prenatal, and functional nutrition consultations, take a breastfeeding class or attend a workshop.
About the Author
Robin Kaplan has been an IBCLC since 2009, the same year that she opened up the San Diego Breastfeeding Center. Robin was the founding host of the Boob Group podcast and published her first book, Latch: a Handbook for Breastfeeding with Confidence at Every Stage in 2018. Melding her passions for supporting lactating parents and holistic health, Robin finished her Functional Nutrition Certification in 2023. In her free time, she enjoys hanging out with her two teenage boys, hiking, traveling, weaving, cooking, and searching for the best chai latte.
Immune Boosting Chicken Soup
As the seasons change and sniffles become more common, many of us turn to tried-and-true remedies to ward off colds and flu. One of the most beloved comfort foods, chicken soup, has been a go-to for generations. But is there more to this comforting bowl than just tradition? Science says yes!
Originally published on December 4, 2024
Author: Robin Kaplan, M.Ed, IBCLC, FNC
As the seasons change and sniffles become more common, many of us turn to tried-and-true remedies to ward off colds and flu. One of the most beloved comfort foods, chicken soup, has been a go-to for generations. But is there more to this comforting bowl than just tradition? Science says yes!
Chicken soup isn’t just a warm, nourishing meal—it’s packed with immune-boosting properties. Chicken meat is an excellent source of vitamin B-6, which supports essential chemical processes in the body. The broth, made from simmering chicken bones, provides gelatin and chondroitin, which help heal the gut and strengthen the immune system. Amino acids like L-glutamine and cysteine reduce inflammation, thins mucus, and reinforce the intestinal barrier, keeping your immune defenses strong!
Even the vegetables in chicken soup pull their weight! Carrots, celery, garlic, and onions are loaded with vitamins, minerals, and antioxidants that help fight off colds and flu. Together, these ingredients make chicken soup a powerful, science-backed remedy for staying healthy during cold and flu season. Ready to whip up a pot? Let’s get cooking!
ABOUT SDBFC
The San Diego Breastfeeding Center was established in 2009 by Robin Kaplan, International Board Certified Lactation Consultant, Functional Nutritionist, and parent. Her vision was to create a judgment-free, inclusive support system for families navigating infant feeding challenges. SDBFC offers a wide range of one-on-one breastfeeding, infant feeding, and nutrition consultations - as well as classes, support groups, online articles, and social media - making it your one-stop-shop for all things infant feeding!
Robin’s Immune Boosting Chicken Soup (Allergen-Free)
Ingredients for broth
2 tbsp olive oil
4 carrots, cut into bite size pieces
4 celery sticks, cut into bite size pieces
1 large yellow onion, chopped
6 garlic cloves, peeled and thinly sliced
2-3lbs bone-in, skin-on chicken thighs
1 cup of parsley, coarsely chopped
1 piece kombu (optional)
1 inch piece of peeled, whole ginger
Salt and pepper to taste
Ingredients for chicken soup
Shredded cooked chicken
4 carrots, cut into bite size pieces
4 parsnips, cut into bite size pieces
4 celery sticks, cut into bite size pieces
4 red potatoes, diced
Cooked noodles (optional)
Directions
Heat the olive oil in an 8 quart pot over medium heat. Add the carrots, celery, onion, and garlic to the oil and sauté for about 5 minutes, softening the vegetables and keeping the garlic from burning
Add in chicken, parsley, kombu (if using), and ginger (if using)
Cover with water so that all of the ingredients are submerged.
Bring to a boil, reduce the heat to medium/low, cover, and simmer for about 45 minutes
Once cooked, remove the chicken and let it cool.
Remove the kombu and ginger, if using, and discard
At this point, you can either strain out all of the vegetables OR blend all of the vegetables with an immersion blender into the broth (my preferred method. Makes the broth significantly more flavorful)
Season the broth with salt and pepper.
Remove the skin and bones from the cooled chicken, shred the chicken, and then place the shredded chicken back into the broth
Add in the ingredients for the chicken soup (carrots, parsnips, celery, and red potatoes) and simmer for 25 minutes, to soften the vegetables.
Before serving, add in cooked noodles (optional)
Soup will stay fresh in the refrigerator for up to 5 days and in the freezer for up to 3 months.
If meal planning feels like one more thing on your already full plate, we’re here to help!
Navigating meal planning while managing the unique nutritional needs of the perinatal period can feel overwhelming—but you don’t have to do it alone! If you’re looking for personalized guidance or need fresh, new recipe ideas that are easy to assemble and tailored to your postpartum journey, we’re just an appointment away! Schedule a functional nutrition consult today and let us help you create a meal plan that supports both you and your growing family.
SDBFC is committed to providing high-quality lactation and functional nutrition consultations to parents in San Diego and beyond. Explore our postpartum, prenatal, and functional nutrition consultations, take a breastfeeding class or attend a workshop.
About the Author
Robin Kaplan has been an IBCLC since 2009, the same year that she opened up the San Diego Breastfeeding Center. Robin was the founding host of the Boob Group podcast and published her first book, Latch: a Handbook for Breastfeeding with Confidence at Every Stage in 2018. Melding her passions for supporting lactating parents and holistic health, Robin finished her Functional Nutrition Certification in 2023. In her free time, she enjoys hanging out with her two teenage boys, hiking, traveling, weaving, cooking, and searching for the best chai latte.
Treating Cold and Flu Symptoms While Chest/Breastfeeding
Battling a cold or flu while chest/breastfeeding can be overwhelming, especially if symptoms or dehydration cause a dip in your milk supply. Fortunately, there are safe remedies to help you recover while maintaining your chest/breastfeeding journey and milk supply.
Originally published on February 20, 2014; revised Oct 27, 2021
Revised November 25, 2024
Author: Robin Kaplan, M.Ed, IBCLC, FNC
Caring for your little one while battling a cold or the flu can feel overwhelming. Not only are you juggling the demands of parenting while unwell, but you might also notice a slight dip in your milk supply due to your immune system working overtime or dehydration. Adding to the challenge, some over-the-counter medications can further reduce milk supply. So, what can you do to feel better while keeping chest/breastfeeding safe?
Let’s explore remedies and tips to help you recover while maintaining your milk supply. Also, for 25% off all recommended vitamins and supplements, check out our Fullscript Store!
ABOUT SDBFC
The San Diego Breastfeeding Center was established in 2009 by Robin Kaplan, International Board Certified Lactation Consultant, Functional Nutritionist, and parent. Her vision was to create a judgment-free, inclusive support system for families navigating infant feeding challenges. SDBFC offers a wide range of one-on-one breastfeeding, infant feeding, and nutrition consultations - as well as classes, support groups, online articles, and social media - making it your one-stop-shop for all things infant feeding!
Boosting Your Immune System
The best defense against colds and flu is a strong immune system. Consider these daily practices to keep your lactating body resilient:
Omega-3 Supplements: Omega-3s reduce inflammation and enhance immune function by helping white blood cells (your body's "Pac-Men") fight off invaders. Look for a high-quality supplement, such as Nordic Naturals Pro Omega, which tests for metal toxicity.
Vitamin D3: Vitamin D3 supports infection-fighting cells and overall immune health. Taking 6,400 IU daily can ensure both you and your baby benefit, as 400 IU passes through breastmilk. Pair Vitamin D3 with K2 for better calcium absorption and cardiovascular support. One of my favorite brands is Pure Encapsulations (Vitamin D3 (4000iu) + K2 (100mcg))
Probiotics: Probiotics promote healthy gut bacteria, reduce inflammation, and strengthen your body’s first line of defense against illness. Our favorite probiotic is Klaire Labs Ther-biotic.
Wholesome, Nutrient-Dense Meals: Reduce sugar intake and aim for balanced meals rich in vitamins and minerals. Batch cooking soups or stews can save time and ensure you always have something nourishing on hand.
Fighting Cold and Flu Symptoms
If you feel that dreaded tickle in your throat, acting quickly can make a big difference. Here’s what might help:
Immune-Boosting Supplements: Vitamin C, zinc, elderberry, and echinacea are powerful allies in fighting colds. Start taking them at the first sign of symptoms. A few of our favorite brands are: Quicksilver Scientific Liposomal Vitamin C (1000mg); Klaire Labs Zinc Plus; Gaia Herbs Elderberry Syrup; and Sovereign Silver Bio-Active Silver Hydrosol Immune Fine Mist Spray
Bone Broth: A warm, nutrient-rich beverage packed with vitamins, minerals, and amino acids that supports immune health and keeps you hydrated. Bone broth is easily found in most grocery stores and can also be made in a slow-cooker. Here’s an easy bone broth recipe
Fire Cider: This potent tonic made with garlic, ginger, lemon, and cayenne offers a natural immunity boost. Make a batch in advance so it’s ready when you need it.
Relieving Nasal Congestion
Congestion can be especially uncomfortable and make it more difficult to sleep. These remedies can provide some much-needed relief:
Neti Pot: Flush out your nasal passages to reduce sinus pressure. Use a non-iodized salt solution, and follow this Neti Pot tutorial.
Humidifier: A cool mist humidifier helps soothe nasal and chest congestion, especially while you rest.
Nasal Spray: Saline sprays can relieve pressure and help clear mucus. One of our favorites is Xlear Xylitol and Saline Nasal Spray
Avoid Dairy: Dairy can thicken mucus and worsen congestion, so consider limiting it until symptoms improve.
Soothing a Sore Throat and Cough
A scratchy throat and persistent cough can be miserable. Try these remedies to ease discomfort:
Honey and Lemon Tea: Mix hot water with honey, lemon juice, and a slice of ginger for a soothing, immune-boosting drink.
Saltwater Gargle: A warm mixture of 1tsp sea salt and 8oz water can help relieve throat pain and wash away irritants. Gargle for 30 seconds at a time.
Throat Coat Tea: Herbal teas containing slippery elm, marshmallow root, and licorice root can soothe and heal a sore throat.
Cough Medications: If needed, opt for medications containing only dextromethorphan or guaifenesin, which are generally safe for breastfeeding.
Medications to Use With Caution
While natural remedies are ideal, you might need an over-the-counter medication for severe symptoms. Be mindful of the following ingredients, which could reduce your milk supply:
Pseudoephedrine: Found in some decongestants, this can dry up mucus—and potentially affect your milk supply.
Menthol Cough Drops: Excess menthol may lower milk supply, so use sparingly.
For more information about safe cold and flu remedies while breastfeeding, check out this helpful resource: KellyMom’s Guide to Cold Remedies.
With the right care and precautions, you can recover from a cold or flu without compromising your breastfeeding journey. Take it one step at a time—and don’t forget to ask for help when you need it!
If you still have questions about breastfeeding/chestfeeding while fighting off an illness, we are just a consult away!
Recovering from a cold or flu while chest/breastfeeding doesn’t have to be overwhelming. By prioritizing immune-boosting habits, staying hydrated, and choosing remedies that are safe for both you and your milk supply, you can navigate this challenging time with confidence. If you have further questions about managing cold/flu symptoms while chest/breastfeeding or need guidance on maintaining/increasing your milk supply, the San Diego Breastfeeding Center is here to support you. Schedule a one-on-one appointment (consider a virtual appointment, if you are still sick!) with one of our lactation consultants for personalized care and expert advice tailored to your breastfeeding journey. Also, for 25% off all vitamins and supplements, check out our Fullscript Store!
SDBFC is committed to providing high-quality lactation and functional nutrition consultations to parents in San Diego and beyond. Explore our postpartum, prenatal, and functional nutrition consultations, take a breastfeeding class or attend a workshop.
About the Author
Robin Kaplan has been an IBCLC since 2009, the same year that she opened up the San Diego Breastfeeding Center. Robin was the founding host of the Boob Group podcast and published her first book, Latch: a Handbook for Breastfeeding with Confidence at Every Stage in 2018. Melding her passions for supporting lactating parents and holistic health, Robin finished her Functional Nutrition Certification in 2023. In her free time, she enjoys hanging out with her two teenage boys, hiking, traveling, weaving, cooking, and searching for the best chai latte.
Next week, we’ll explore strategies for protecting your milk supply when your baby is under the weather!
On-Demand vs. Scheduled Feeding: Which is Best for Baby?
When it comes to chest/breastfeeding, parents often wonder whether on-demand feeding or scheduled feeding is best. Explore the differences and find what works for you.
Originally published on Dec 9, 2014; Revised Nov 10, 2024
Author: Robin Kaplan, M.Ed, IBCLC, FNC
When it comes to chest/breastfeeding, parents often wonder whether on-demand feeding (also known as on-cue feeding) or scheduled feeding is best for their baby’s growth and well-being.
We get asked this question in our clinic all of the time! Parents hear a lot of differing information about when to feed their babies in the early weeks - every 2-3 hours, 8-12 times in a 24 hour period, etc. It can be confusing to know what this means exactly - is it every 2 hours or every 3 hours? What if the baby goes longer than 3 hours? What if the baby seems hungry before 2 hours? In this post, we’ll break down the differences between on-demand and scheduled feeding to help you decide what works best for you and your baby.
ABOUT SDBFC
The San Diego Breastfeeding Center was established in 2009 by Robin Kaplan, International Board Certified Lactation Consultant, Functional Nutritionist, and parent. Her vision was to create a judgment-free, inclusive support system for families navigating infant feeding challenges.
SDBFC offers a wide range of one-on-one breastfeeding, infant feeding, and nutrition consultations - as well as classes, support groups, online articles, and social media - making it your one-stop-shop for all things infant feeding!
On-Demand vs Scheduled Feedings
What’s the difference between demand feeding and scheduled feeding?
Demand feeding, or on-cue feeding, involves feeding a baby whenever they show signs of hunger, like rooting, sucking on their hands, or fussing.
Scheduled feeding means feeding a baby at set intervals, like every 3 hours, regardless of hunger cues.
What Does On-Demand Breastfeeding Look Like?
Babies regulate their own intake: Babies feed as often and as much as they need to support their growth and development. Some feedings can last 10 minutes. Others can last 45+ minutes.
Babies are fed when they show common hunger cues: For the first few months, your infant will show you they are hungry by licking their lips, sticking out their tongue, rooting around, and sucking on their hands, etc. Crying can also be a hunger cue.
Babies show signs when they’ve had enough: When a baby is done with a feeding, they may unlatch themselves and not try to relatch or fall asleep while nursing and seem content when the parent unlatches them.
Benefits of On-Demand Breastfeeding
Optimizes milk supply: In the immediate days following birth, putting a baby to chest/breast at any and all hunger cues is excellent for bringing in a robust milk supply. Mammary glands make milk in response to the frequency of suckling. The more a baby nurses, the more milk a parent produces. If a baby suckles less frequently, milk production slows. Frequent feedings during growth spurts also boosts milk production.
Ensures proper infant growth: Parents have different storage capacities in their chest/breasts and all babies take in different amounts - even the same baby will take differing amounts throughout a day. On-demand feeding optimizes the baby’s ability to take in the amount of milk they need within a 24 hour period, rather than the same amount every feeding session.
Bonding opportunities galore: Feeding on demand allows for more skin-to-skin contact and closeness between parent and baby, as infants tend to settle more easily when held. Plus, infants smell delicious, which helps parents release oxytocin (aka the love hormone!)
What Does Scheduled Breastfeeding Look Like?
Fixed feeding intervals: In scheduled breastfeeding, parents feed their baby at set intervals, such as every 3 hours, regardless of whether the baby shows hunger cues.
Limited feeding duration: Some parents may set specific feeding times, like feeding for 15 minutes on each side.
Structured daily routines: Scheduled feeding often fits into a structured daily routine, like feeding before naps or bedtime to establish predictable eating and sleeping patterns.
Benefits of Scheduled Breastfeeding
Sleepy newborns don’t always wake for feeding sessions: Some infants are very tired for the first few weeks and may not wake up on their own to feed 8+ times in 24 hours. To help babies get back to birth weight by 2 weeks old, we recommend that parents wake their infants to feed at least every 3 hours during the day and at least every 4 hours at night for the first few weeks. If your baby wants to feed more frequently, go for it!
Helps manage triple feeding: Triple feedings is when a parent is chest/breastfeeding, supplementing, and pumping. This is most common for babies born prematurely, babies with jaundice, babies with tongue ties, and babies who are having a difficult time gaining weight. Ineffective and infrequent feedings can cause slow weight gain and can possibly cause a low milk supply. Temporarily putting a baby on a feeding schedule can ensure that they are getting enough in a 24 hour period.
What If I’m Feeling Exhausted From On-Demand Breastfeeding?
Help your baby feed as effectively as possible: If your baby is feeding frequently, due to ‘snacking’, try to help your baby take in more milk at each feeding. Keep your baby alert while breastfeeding by stripping them down to just a diaper, using breast compressions to help your baby get a let down more easily, or switching back and forth between breasts (switch nursing) when your baby’s swallows start to slow down. Also, if using a nipple shield, see if removing it helps your baby take in more milk per feeding.
Prioritize rest when possible: Try to nap or rest whenever your baby sleeps, even if it’s just for short periods. Sleep is essential, especially during the early weeks when feedings are frequent.
Share the load: Ask for help from your partner, family, or friends. They can assist with diaper changes, burping, or soothing your baby after a feed, allowing you more time to rest and recover.
Remember that this feeding frequency is temporary: In the early months, babies feed frequently to build up milk supply and ensure proper growth. As your baby gets older, feedings will naturally space out, and you’ll have more flexibility and rest as a result.
So, how do I choose between on-demand feeding and scheduled feedings?
Honestly, it all comes down to what feels best for you and your family. Remember you can always do a combination of on-demand and scheduled feedings. It doesn’t have to be all or nothing.
What should I do if my baby wants to breastfeed constantly? This is a great time to meet with a lactation consultant and we are just a consult away!
If your baby wants to breastfeed constantly(i.e. snacking at feeding sessions), and it is not a temporary growth spurt, this is a great reason to meet with a lactation consultant! Let us help you figure out the root cause and an effective solution. Book a one-on-one appointment with one of our lactation consultants today for personalized support tailored to you and your baby’s needs.
SDBFC is committed to providing high-quality lactation and functional nutrition consultations to parents in San Diego and beyond. Explore our postpartum, prenatal, and functional nutrition consultations, take a breastfeeding class or attend a workshop.
About the Author
Robin Kaplan has been an IBCLC since 2009, the same year that she opened up the San Diego Breastfeeding Center. Robin was the founding host of the Boob Group podcast and published her first book, Latch: a Handbook for Breastfeeding with Confidence at Every Stage in 2018. Melding her passions for supporting lactating parents and holistic health, Robin finished her Functional Nutrition Certification in 2023. In her free time, she enjoys hanging out with her two teenage boys, hiking, traveling, weaving, cooking, and searching for the best chai latte.
Top 6 Tips for Protecting Your Milk Supply While Traveling for Work
We had this terrific question posted on our Facebook page:
“Dear Robin,
I leave tomorrow for a four day work trip and I can't take my baby with me. She has 6 feedings a day (one of those at night) so I'll be doing a good amount of pumping while I'm gone. Do you have any tips, specifically for pumping at airports and/or on planes? I'll be on a red eye there and a direct flight on the way back.”
Absolutely! Just because you have to travel for work doesn’t mean that you can’t protect your milk supply while you are gone.
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Here are my top 6 tips for protecting your milk supply while traveling for work
We had this terrific question posted on our Facebook page:
“Dear Robin,
I leave tomorrow for a four day work trip and I can't take my baby with me. She has 6 feedings a day (one of those at night) so I'll be doing a good amount of pumping while I'm gone. Do you have any tips, specifically for pumping at airports and/or on planes? I'll be on a red eye there and a direct flight on the way back.”
Absolutely! Just because you have to travel for work doesn’t mean that you can’t protect your milk supply while you are gone.
_____
Here are my top 6 tips for protecting your milk supply while traveling for work
Freemie Collection Cups
- Pick up a few insulated cooler bags with a zipper, like this one from Trader Joe's, with several blue ice packs, from Rubbermaid, to bring with you in your check-on luggage. When traveling for more than a day or so, you may have a lot of pumped milk to bring home with you. Using insulated cooler bags with ice packs will allow you to bring all of that liquid gold home with you, without having to lug it through security.
- Call your hotel before you leave home to ask if there is a fridge in your room. If not, you can request one and that is where you will place all of your pumped milk while on the trip. Store your milk in breast milk storage bags so that you can fit a lot of them in the insulated cooler bags on the way home. Also bring a small cooler with ice packs to store pumped milk when you are away from your hotel room.
- Depending on the length of your flight, you could either skip the pumping session and just make sure to pump extra long when you arrive in at your destination. Or, you could bring a nursing cover, your pump pieces, and a battery pack and pump while on the flight. On the red eye, this should be easy, since it will be dark. On the daytime flight you might ask the flight attendants if you could sit in the back in one of their seats so that you have a bit more privacy. If you are going to pump on the flight, bring a small cooler with you with blue ice so you can save your pumped milk. You could also just pump right before you get on the plane and then completely forget about pumping while on the flight.
- Invest in some Freemie collection cups. These cups are amazing! You can pump with your shirt on and no one will know what you are doing! They are incredibly discreet and hold up to 8oz per cup. These are great for on the plane, in the cab, and in between meetings.
- Try to pump every few hours, and once at night if your baby is still breastfeeding in the middle of the night, to keep up your milk supply for when you get home. If your meetings are in a conference center or hotel, ask the concierge if there is an open room that you can use (NOT A BATHROOM) to have some privacy while pumping. Aim for pumping for about 15 minutes, which is about as long as it will take your co-workers to enjoy a coffee break.
- Do some research ahead of time to see if the airport you are spending time in has a Mother’s Room, Nursing Room, or Pumping Room. Download the Mamava app to find publicly placed Mamava Lactation Suite in United States airports.
Mamava Lactation Suite
Support Group or IBCLC: What's the Difference?
When a mom is looking for breastfeeding assistance, it can often be difficult to know where to get this help and from whom. There are so many options…. Facebook, breastfeeding support groups, lactation consultants… where to go can be confusing, especially if she feels like she needs to get help immediately!
So, what is the difference between the breastfeeding help you will get at a support group and at a private lactation consultant visit?
When a mom is looking for breastfeeding assistance, it can often be difficult to know where to get this help and from whom. There are so many options…. Facebook, breastfeeding support groups, lactation consultants… where to go can be confusing, especially if she feels like she needs to get help immediately!
So, what is the difference between the breastfeeding help you will get at a support group and at a private lactation consultant visit?
What you can expect at a breastfeeding support group:
Let me preface this by saying that not all groups are the same and it really depends on the level of expertise of the person running the group and how busy the group is. There are different levels of experience and training in the field of lactation, depending on how many hours a person has spent in class and in an internship. The level of expertise are demonstrated by the letters that follow the person’s name (IBCLC, CLC, CLE, etc), which is all explained in this fantastic article, What’s the Difference Between LC, IBCLC, CLE, etc?
At a breastfeeding support group, you will find a leader who is there to offer general breastfeeding assistance and support. This leader can assist with positioning and latch (although often times this leader will not be able to actually touch you or the baby), basic information about normal breastfeeding/pumping strategies, normal baby feeding patterns, normal baby weight gain, breast and nipple care, and ways to maintain and protect your milk supply. Often times there is a scale where you can weigh your baby before and after a feeding to see how much your baby is taking in (which is AWESOME!) Attendance at the support group can range from a few moms to over 20, depending on how big the space is and how well attended the group is. Support groups are often free, depending on where you live. Support groups are fantastic for getting basic breastfeeding support, getting help while you wait for an appointment with an IBCLC, meeting other breastfeeding moms in your community, and practicing breastfeeding outside of your home.
What you will not receive at most breastfeeding support groups is a personalized plan of care for difficult breastfeeding situations. To create a personalized plan of care, a mother and baby’s medical history need to be discussed, as well as mom and baby both need to be assessed, which requires a consent form. Therefore, most advice given at a breastfeeding support group is general, not specific for mom and baby’s personal situation.
What you can expect at a private lactation consultant visit:
If you are meeting with an International Board Certified Lactation Consultant (IBCLC), you are now moving from general advice to a personalized assessment and plan of care. The IBCLC should conduct a suck assessment on your baby, collect medical histories of both you and your baby, assess a feeding session, and offer guidance on how to improve your personal breastfeeding experience.
Reasons you would want to see an IBCLC rather than just attend a support group:
Cracked, bleeding nipples
Painful latching that isn’t improved with positional changes
Baby not gaining weight well
Mom’s milk has not come in by day 3-5
You suspect your baby has a tongue tie and/or lip tie
Baby has signs of colic or reflux
Mom has a low milk supply/supplementing baby
Mom has an oversupply
Premature baby
Challenges with breastfeeding multiples
Each of these situations requires that someone provides a medical assessment and advice beyond what’s normal or typical with breastfeeding, therefore, it goes beyond what a mom can seek help for at a support group. These private visits can take place in mom’s home, in the IBCLC’s office, at an outpatient clinic, at a medical practitioner’s office, or similar places. Most of the time these visits have a fee associated and sometimes insurance will pay for these visits.
Where you can find an IBCLC in your area:
Ask your friends
Ask your baby’s pediatrician
Search for a local breastfeeding coalition
Call the breastfeeding warm line at the hospital or ask your midwife/OBGYN
Ask your WIC Peer Counselor
Search for an IBCLC in your area on the ILCA website
Google “IBCLC” and the name of your town or city
Ask for a recommendation on Facebook
Attend a support group led by an IBCLC
Where have you found breastfeeding support in your neighborhood?
Was it easy to find this support?