Common Concerns While Breastfeeding - Help! I’m Engorged!

Welcome to our blog series…. Common Concerns While Breastfeeding.  These aren’t the complicated, ‘come-to-my-house-immediately’ phone calls I receive.  Rather, these are the questions that come from clients and friends in the middle of the night, by text or by email, that don’t necessarily warrant a lactation consultation.  They can often be easily resolved with a few simple tricks.  So, I would like to share those tricks with you!

Check Out My Cleavage!

I remember the first time I knew my milk had ‘come in.’ It was 4am.  My son was 4 days old.  And I woke up to my breasts looking like I had visited the local plastic surgeon a few hours prior.  I immediately woke up my husband and announced with pride, “Take a look at this cleavage!”  Even without a bra I had cleavage!  It was amazing!

Several hours later, those taut, perky breasts had become quite sore and I was searching for any remedy to help soften their powerful fullness.  I knew that they weren’t engorged, but I also didn’t want to get to that point of challenging return.

Celebrating Older Siblings Before a New Baby Arrives

This is Kim, Robin’s sister-in-law. I have three amazing daughters. In my 4.5 years of being a mom, I’ve read a fair amount about parenting and have gotten some really great (and some really terrible, uninvited, and/or borderline-criminal) advice along the way. I thought I’d share some of the highlights with you from time to time.

When I got pregnant for a second and third time, like most parents, I was concerned about how my older children would react. I didn’t want them to feel replaced and I didn’t want them to resent the new arrival. 

I’m Sick! Should I Still Breastfeed My Baby?

It’s that time of year again!  FLU SEASON!!!  In San Diego, we have been hit especially hard with the 3-5 day stomach flu these past few weeks.  I am getting phone calls, texts, and emails from worried mothers wondering if they should breastfeed their infants while they are sick.  The overwhelming answer is YES, and this is why.

When we are bombarded with germs in our environment, our bodies create immunity towards these germs so that we can stay healthy.  Sometimes they work, sometimes they don’t.  A breastfeeding mother not only creates immunity for her own body, but her breastmilk contains immunological properties (antibodies) as well, which are passed on to her nursing child.  It’s as if your baby is getting an extra dose of immunity with each breastfeeding session.  Also, by the time a mother and/or baby begin to show symptoms of a cold, flu, etc., they have already been contagious for a few days, so no need to stop now.  This is why it is absolutely imperative for a breastfeeding mother to continue to nurse her child while she sick….it will hopefully keep your baby from getting sick, or at least to a lesser degree.

Foremilk vs. Hindmilk: The Unnecessary Controversy

Foremilk vs. hindmilk seems to be quite a popular topic among breastfeeding mothers.  If I switch the baby too soon to the other breast, will he get the hindmilk?  How do I ensure that my baby is getting all of the fatty milk that he needs?  Sometimes I feel like too much breastfeeding information can add stress to a new mom.  And this is why….

All breastmilk, whether it is 1 minute into the feeding session or 25 minutes into the feeding session, has both foremilk and hindmilk.  As your baby drinks from the breast, she/he gets both the low-fat milk (foremilk) and the cream (hindmilk.)  The better your baby drains your breast per feeding, the more hindmilk she/he has access to, as this creamier milk hangs out back further in the milk ducts, so it has further to travel.

Here are some ways to know that your baby is getting enough breastmilk in the first few months:

How Can I Support My Friend Whose Baby is in the NICU?

One of my favorite blogs out there is Secrets of Baby Behavior.  This is a research/experienced-based blog written by the very talented, well-educated, all-female staff at the UC Davis Human Lactation Center.  Their latest post, Supporting Parents of Preemies: Tips for Friends and Family, really struck a chord with me and I had the immediate urge to share with you all. 

While I have never had a preemie, nor a baby in the NICU, I have had several friends who have.  This list just illuminated all of the ways I wished I could have supported them better, and the ways in which I WILL support them if the situation arises in the future.  It is unbearable to watch a friend go through the heartbreak of having a child who is not well, but at least this list shares a few tools to help in a positive way.

As a side note, one of the coolest web sites I have seen lately is Food Tidings.  This is a site we used to organize dinner drop-offs for a friend whose baby was in the NICU.  Wouldn’t it be great if we set up a schedule for food drop-offs for all of our friends who just had babies?  BEST GIFT EVER!

Please click here to read the article about Supporting Parents of Preemies: Tips for Friends and Family.

How Going Gluten-Free Saved Our Family

As parents, we believe that our children are perfect.  Yes, they can be little monsters every once in a while, but it is a tough pill to swallow when we find out that our child may have some challenges that need to be addressed. 

My sweet little Ben was born after a long, arduous labor.  We had our share of breastfeeding challenges in the beginning, but after 2 weeks we had mastered our latch and I was flowing with breastmilk.  His massive amounts of spit-up were somewhat concerning to me, but he was gaining weight, so his pediatrician was not concerned.  When Ben was 6 weeks old, I went to a local breastfeeding support group to find out why he was so fussy, gassy, and constantly puking.  The lactation consultant recommended that I remove dairy from my diet, which I did haphazardly, to no avail (obviously!) 

So, You're Going Back To Work?

A few months ago, this spunky, firecracker mama started attending our weekly breastfeeding support group and I knew from the start that she was amazing!  Over these past months, Jessica has warmed the hearts of all of the moms in the group, as well as lifted their spirits with her quick wit and sass.  Well, Miss Jessica landed this fabulous new job a few weeks ago and ended her maternity leave a little sooner than she had planned for.  I have missed her parenting insight, so I thought I would interview her about her return to work, as a breastfeeding and pumping mama.  Well, as you can see, her insight prevails!

Thanks, Jessica for your candor and advice for those breastfeeding mamas returning to work!

 

First day back at work

What did you do to prepare for going back to work?

Finding a good childcare provider was a huge part of overcoming my fear of returning. I don't have family here and my partner works full-time as well. I probably went to a dozen home daycares and a handful of corporate ones. You have to find someone who has a philosophy similar to your own and you feel comfortable with. As I went to providers, I discovered there were alarm bells for me: if the television was on the entire time I was there, if the provider interacted with a child in a way that I didn't like, if the terms of the contract were suspicious. I went with my gut. In the end, I found a nanny I could trust.

Breastfeeding was the surprise stressor. I was depressed I wouldn't get to breastfeed Ellie during the day and I was worried about pumping. To get used to pumping, I started pumping at home. It helped me stockpile a supply. Since I was starting a brand-new job, I made sure to thoroughly read their policies on pumping. Read the laws and understand your rights. You don't have to go in waving a boob flag or anything but you can gently inform and educate employers. Be ready to offer options like suggestions for places to pump. My employer did not know I was pumping when I was made the offer and I didn't ask any questions until I had accepted. After that, when I ran into a snag, I made sure to ask the HR rep.

 

What worked? Would you do anything differently?

Ask about your work schedule! The biggest surprise to me was that my employer let me have a flexible schedule. I found that getting to work by 6:30am worked very well for my family. My daughter wakes at 5AM, I nurse her and put her back down to sleep. Then I get ready and leave. My partner then takes over the morning routine until the nanny get there. My daughter doesn't have an emotional separation from me in the morning and neither do I! Then, I come home early so we can hang out most of the afternoon.

I also can't say enough about BabyConnect. It's an app on my smart phone. It tracks feeding, sleeping, diapers, medication, etc. I used it religiously before I went back to work and my nanny has the app on his smartphone as well. There is something very comforting about glancing at my phone and seeing that she went down for her nap. It tracks how much breast milk she's taking by bottle so I know if what I am pumping at work is on par with what she's eating.

 

What advice can you offer to a breastfeeding mom going back to work?

For breastfeeding moms, whether they plan to go back to work or not, I recommend finding a way to have a relationship with your pump. In the same vein, let your child take a bottle once in a while. You may want to leave the house one day. You might not think so in the beginning, but eventually, you will. And the more practice you and your baby have, the less stressed both of you will be.

I had a very negative relationship with the pump because of some difficulties when I first started breastfeeding but I had to get over it. I started by letting myself eat chocolate while pumping, then moved to trashy magazines. At work, I run through my to-do list for the week or look at pictures of my daughter. My point is the pump is a tool to help you continue breastfeeding.

Jessica Hilt is fiction writer that works in the technology field. In the BC era (Before Child), I hosted elaborate dinner parties, drank heavily, and stayed up late. Now I love my slow cooker, drink more water than a fish, and think 9PM is late. But it's all worth it when my seven-month-old Ellie gives me that big, gummy smile.

Also, check out Jessica's video about why she loves going to a breastfeeding support group!

Breastfeeding Multiples

Every time I meet a mom with twins, I am completely in awe of how she is functioning on a day to day basis.  While my boys were practically Irish twins, I still had mastered breastfeeding and sleep by the time my second son arrived.  So when I stumbled upon this article, 10 Tips for Breastfeeding Multiples, I just had to share with my readers.

All rights reserved by viernulvier via FlickrFor those with singletons, there are a few gems for you, like ‘find your breastfeeding cheerleaders’ and ‘set up a nursing station’…which, by the way, I like to refer to as the Breastfeeding Basket.

For those with multiples, I love that this article breaks breastfeeding down into a few critical tips to get breastfeeding off to a great start.

What is Weaning and When Should I Wean my Baby?

What is Weaning and When Should I Wean my Baby?

Weaning is a very personal and emotional topic for all breastfeeding moms.  My personal experience with weaning my two boys was not what I expected nor anticipated.  As my milk started to dwindle when my boys turned three months, I didn’t have the breastfeeding support or knowledge I needed to ramp up my supply.  At that time, I was not a lactation consultant.  Instead I was a full-time working mom, breastfeeding while with my son and pumping, 2 times a day, while at work. 

I was devastated that my milk supply was ‘failing’ me, but I did the best I could to eek it out as long as I could.  I made it to 7 months with my first son and to 8 months with my second son.  I had hoped to breastfeed until my boys were at least a year, but my body had another plan in mind.  I weaned as slowly as I could, for I didn’t want to let go of breastfeeding completely.  The emotional tie was too great for me to let go of.

So, what is weaning?  What does it really mean?

My Newborn Is So Sleepy!

How am I supposed to breastfeed my newborn, 8+ times in 24 hours, if I can barely keep her awake?


Why does my newborn fall asleep as soon as he starts to breastfeed?


How can I keep my newborn awake while breastfeeding?

These are very common questions that I get asked from moms on a weekly basis.  Newborns are so sleepy.  And if they've had a long, challenging journey into the world, they are often even sleepier!

So, what is a new mom to do to keep her little one active and efficient while breastfeeding?