One of the biggest concerns for new moms after having a baby is whether or not the transition back to work will go smoothly. Worrying about the transition consumes an unfair amount of time that you should spend bonding and relaxing with your newborn. It is an added stress to worry about continuing to breastfeed and all that comes with arranging a pumping schedule and keeping up milk supply. The key to a successful transition is to create a plan and to find the breastfeeding cheerleaders in your life.
Create a Breastfeeding Plan
Much like a birth plan, writing down your key information and organizing the details of the transition is a big help. Here’s a template to address the major considerations you will encounter during the transition back to work. This includes a list of supplies to take with you, what to provide your baby’s caregiver, how to set up a pumping space at work, and how to talk to your employer about it. If you are aware of the potential obstacles, you will be able to navigate around them more easily when they pop up.
At Work Supplies Checklist
Pumping at work is sort of like camping. You want to make sure you have everything you need so you aren’t stuck without a tent in the rain – or without a set of nursing pads during an unexpected let down. Three weeks before you plan to return to work, make sure you have a full set up of supplies. An example of the things to gather:
- Double electric breast pump
- Extra set of pump supplies
- Nursing pads
- Pump cleaning supplies (i.e. wipes, soap, microwave steam bags)
- Milk storage containers with lids
- Milk storage bags
- Manual hand pump (just in case your electric pump isn’t working or you have no power)
- Cooler bag with ice packs
Every mom is different and some prefer to wear nursing bras and clothing designed for pumping, and some prefer to wear loose fitting or maneuverable clothes. It doesn’t matter what you decide to wear, as long as you can pump easily enough and you feel comfortable.
These people are the ones that keep your spirits up when you’re feeling overwhelmed or are doubting your ability to continue nursing. They can be family, friends, other moms at a breastfeeding support group, a lactation consultant, or your doctor. Have their contact information ready in the event that you need a pep talk. It can be incredibly helpful to hear the stories of other moms who have struggled with breastfeeding — you can learn what they did to overcome the challenges.
Practice Makes Perfect
Your new routine will become second nature once you get started, but it may feel a little bumpy in the beginning. Practice using your pump in the weeks leading up to returning to work and start stocking your freezer with breast milk. Set up your pump like you would at work, imagining how you would store your pump and the milk you expressed after a pumping session. It is good to know in advance whether you will have access to an outlet, a sink, or a refrigerator so you can plan around it.
Don’t Plan to Pump in a Bathroom
The default pumping location used to be bathrooms, however, there are laws now that require companies to provide a private nursing space for mothers that isn’t a bathroom. While there are a few exceptions to the law, it is not too much to ask for a space that is NOT the bathroom. If your employer requests that you keep your pumping in the restrooms, kindly let them know that it is not standard practice anymore.
Going back to work can be a difficult transition for new moms, especially if you’re planning to pump throughout the day, however having a plan and a supportive team will make the transition smoother. Feeling confident in your plan to return to work will give you peace of mind. It is totally possible to have a successful back-to-work breastfeeding experience and we’re here to help you.
This guest post was written by Aeroflow Breastpumps. Aeroflow helps you get a breastpump for free through your insurance. For more information about Aeroflow Breastpumps, go to www.AeroflowBreastpumps.com.
It’s World Breastfeeding Week and I’ve really been blown away by all of the amazing collaborations, articles, events and general awesomeness surrounding this week and bringing awareness to Breastfeeding. Here are some of my favorite things from the week.
Facebook LIVE party for supporting moms and a HUGE Giveaway with Sarah Wells Bags! I loved how real Sarah is when she shares her journey of exclusively pumping for her first daughter and how it inspired her breastpump bags (be sure to check out the newest gorgeous floral design she just released for WBW!) as well as my chat with Sarah Wells at the end of this week’s podcast episode!
Awesome article about why this week matters!
Around 2,000 women came together to breastfeed their babies in the Philippines to promote the health benefits of breast milk. If you want to attend a Latch On event, you can find one near you!
This free WBW nursing guide including a Survival Guide for the first two weeks of breastfeeding.
This kickstarter to bring breastfeeding awareness around the country – you have to see the RV and their clever #putaboobonit campaign!
Some of my favorite episodes that talk about breastfeeding struggles: one, two, three.
Travel Tips for Breastfeeding Moms Traveling without Baby
I absolutely love that the look of motherhood today is so varied and quite the mosaic. Women today have decided that they not only want a family but they also want a career, a higher level degree, time away with friends, their own business, solo trips abroad, and so much more. And I say, “Right on!”
One of the most exhilarating yet also daunting things for a new mama to do is travel without her baby while trying to also maintain a healthy milk supply. For many of us traveling for work is the first time we must leave our little one for an extended period of time. Whether you’ll be traveling abroad for work or to the next town over for a weekend getaway with girlfriends, there are a few things that you can do to prepare for your trip and feel confident to stick to your breastfeeding goals.
Before you leave
#1 Leave feeding schedule for your partner or caregiver
Detail even the tiniest of concerns you may have, as well as tips and tricks to help them sooth your baby. If you know that your little one needs to be propped up for 30 minutes after feeding, then let them know. If you want your baby to be fed in 2 oz. increments to avoid any waste of your precious milk, write it down. Be clear about your expectations so that you don’t feel a constant sense of angst while away.
Providing these details will allow you to enjoy your time away more and give you a sense of ease with the fact that the necessities have been covered. You’ve also allowed yourself time to review and think over the things you’d like done in your absence.
#2 Begin to document your baby’s normal feeding schedule
Write down the times they normally feed, whether or not they feed on one or both breasts, and if they are currently taking a bottle, how much they’re drinking at each feeding. Your baby’s caregiver can then use this as a guide for when to feed your little one and you can use it as an outline for yourself as to when to pump while away.
#3 Get the Gear
Cut down on carry-on luggage by investing in a breastpump bag that will hold your personal items (including your latptop!) as well as your pump and chilled milk.
If you’re traveling out of the country get a power adaptor! These can easily be purchased online. It’s also a great idea to have a few batteries packed with you as well. This will allow you to pump in the airport during a layover if the voltage is different than back home and not the one you’ll need for the country you’ll be visiting. It’s also a great backup in case you’re in a location with unpredictable electricity. Bringing along a car adaptor for your breastpump is a great idea as well!
# 4 Record a video of your baby nursing & bring a piece of your baby’s clothing
You can play the video during your pumping sessions and smell your baby’s clothing while trying to get your milk to let-down. These physical mementos can really spark an emotional and physiological response that may help you when trying to relax and “perform” without your baby being present.
During Your Trip
photo via @thehappypumper
#5 Stay hydrated
As you probably already know, flying can really dry you out. Carrying a foldable water bottle or grabbing a cup of water at the airport coffee shop once you’re through security is a great way to remind yourself to stay hydrated. Also, once you’re on location and having a good time, a simple rule you can follow is for every glass of wine or alcohol you drink, you have a glass of water to go with it. Remember it’s best to wait between 1-2 hours per drink before pumping breastmilk for your baby.
READ MORE ABOUT KEEPING UP MILK SUPPLY HERE
#6 Shipping Milk Home
For moms traveling across the U.S. If you’re trying to figure out how to bring your milk back home, there’s this amazing company that will allow you to simply pack and ship home up to 72oz. per box of your milk straight to your front door! Awesome right?! This is also a great option for a mama who’s going on a last minute trip and hasn’t had a chance to store up enough milk for the time she’ll be away. Simply pump, pack it up, and send it home to your babe! Be sure to check out the CDC’s guidelines for proper storage and handling of breast milk.
#7 Stick to baby’s feeding schedule
Follow your previously created feeding log to determine how often you should pump. Even if your baby only fed on one side during your feedings at home, it can be very helpful to your milk supply to pump on both sides while away. Be sure to use a double electric or hospital grade pump, which provides the proper suction strength and stimulation needed for milk expression while not also feeding at the breast.
GET A FREE BREASTPUMP THROUGH YOUR HEALTH INSURANCE
#8 Try and plan for moments of calm and still in your day
This may not be possible for all of your feedings, but allowing yourself to take time and just relax or meditate can help you mentally and physically while away from your baby. Many mamas have difficulty letting down and filling bottles when in the midst of stress and work. A way to combat this is by meditating or doing simple relaxation exercises that help you reconnect and feel grounded while away.
When you are back home
#9 Take a nursing vacation
Try and plan for a day or two of home time with your baby after your trip away. Use this as a nursing vacation where you do unlimited skin-to-skin and feeding on demand. Take long herb baths with your baby resting on you and carry your baby in a carrier, so that your hands can still be free. This will help to give your milk supply a little boost in case you’ve noticed a dip while away.
#10 Let go and practice self care
Fully embrace the time you spent away and carry no guilt for the choice you made. It’s not selfish to invest in yourself, your business, and your friendships. Every mother deserves time away and support to mother in her own unique way.
The tips I shared here are from lessons I learned personally while traveling away from my own little one while maintaining my breastfeeding goals, as well as my role as a Lactation Educator Counselor supporting other mamas who live global boundless lives. I hope they support you in your breastfeeding journey and encourage you to mother in the way that’s most natural to you.
This guest post was written by Anjelica Malone. Angelica is a Lactation Educator Counselor and Breastfeeding Coach. She’s passionate about helping women incorporate breastfeeding into their lives, instead of allowing it to take over their lives. Anjelica is the mother of two little island-born girls and now resides in Seattle, Washington. Anjelica grew up traveling the world with her family and now loves sharing the experience of travel with her husband and kiddos. You can follow her adventures via the hashtag #AGlobalTribeOfWomen and learn about how to live a more conscious and globally-minded life at AnjelicaMalone.com.
My Personal Experience with Low Milk Supply
My postpartum journey was very difficult. It was an extremely emotional time for me. My feelings of pure bliss were exaggerated by intense fatigue and all the guilt and grief from not being able to exclusively breastfeed my baby. Now having an eight month old and being able to use my experience and perspective I am happy and proud of our breastfeeding journey and all the hard work and time I put into maintaining breastfeeding. I have learned a great deal about breast milk supply.
What Causes Low Breast Milk Supply?
There are many factors that can contribute to low milk supply; a premature baby, an ineffective latch, lip or tongue tie in the baby, prior nipple piercings or trauma, and breast augmentation can all impact supply. Additionally, medical conditions like Hormonal Disorders (PCOS, Thyroid Issues, Diabetes, Hypertension, Luteal Phase Defect), Hypoplasia/Insufficient Glandular Tissue, and flat or inverted nipples can all be contributing factors to breast milk supply.
I felt so upset about not having enough breast milk and in those first days really desired an understanding of why my body wasn’t able to make enough nourishment for my baby. It felt like the lactation consultants and doctors I saw truly didn’t care about explaining or figuring out why my breasts weren’t producing enough milk. I was able to do research to develop a better understanding of possible causes for low supply but was never diagnosed with a particular condition.
Tips for Increasing Low Milk Supply
There are many lactogenic foods that can help boost supply. Fortunately, most of the foods are easily accessible and relatively easy to add to your meals. I found many helpful recipes for lactation cookies and smoothies online that included multiple ingredients known to increase supply. At the local farmer’s market I found sprouted fenugreek and alfalfa. The sprouts were easy to add in a salad or snack on by the handful and helped maintain my supply.
Many herbs are known to help increase supply. Fenugreek is a popular supplement and is readily available in capsules. Dosage recommendations vary for fenugreek and I was instructed by a lactation consultant to take four capsules three times a day (beware! This herb upset my stomach). You should also note that consuming large quantities of Fenugreek creates a maple syrup like smell on your skin.
Other galactogogues include Blessed Thistle, Goats Rue, and Moringa. These herbs are a bit harder to find but are all are available on Amazon. I followed recommended dosages included on the products. Several brands of herbs like More Milk Plus and Mommy Knows Best are widely renowned for their effectiveness. I was able to see some results using the Mommy Knows Best supplements. I found several excellent tinctures and herb blends at Local herb shops. Mrs. Patels sells fenugreek bars, teas, and other treats to support milk supply. I splurged and tried the chocolate fenugreek bars and they made a slight difference in my extremely low supply. Many of the herbs and tinctures I have taken have a pretty harsh taste and a little chocolate helped get the medicine down.
What to Avoid
There are also things that I had to be intentional to avoid while breastfeeding with a low supply. Foods that negatively affect supply include peppermint, spearmint, parsley, sage, and oregano. Other things I was mindful of included getting as much rest as possible, keeping a close eye on my health, avoiding excessive amounts of caffeine, and being under too much stress all impacted my supply. I don’t smoke cigarettes or regularly drink alcohol but both are known to interfere with the let-down reflex. I also did not start taking my regular birth control pills because they contain estrogen, which is known to decline milk production. Medications like Antihistamines, decongestants, and diuretics all decrease breast milk supply as well.
There are prescription drugs that can induce lactation. Reglan and Domperidone are known to increase supply. Reglan is documented to have adverse side effects of depression and involuntary body movements. The use of Domperidone is very controversial in the United States and is not currently approved by the FDA. The use is widespread and well documented in other areas. A great resource is the podcast Breastfeeding Outside of the Box and one of their episodes covers Domperidone.
Pumping Like a Pro
I hate pumping, and I don’t know anyone who enjoys it. In the early months I was pumping around the clock every two hours after putting baby to breast. Pumping was very grueling and uncomfortable. It was upsetting for me to pump because my baby was very fussy in those days and I often had to hold her while I pumped. A hands-free pumping bra was essential. I used the Simple Wishes Pumping Bra but wish I knew about the Dairy Fairy Pumping Bra. The Dairy Fairy bra can be used as a hands-free pumping bra and a regular bra so no need to change in and out throughout the day.
Slanted Flanges were a gift I received from a friend and did make a slight difference with my pumping output and comfort. I found out about nipple cushions a bit too late, but have heard rave reviews about how they do wonders for making pumping more tolerable and increase milk pumped. I rented a Medela Symphony hospital grade pump but would love to have tried Spectra Pumps because they are the most affordable hospital grade pumps around.
Before I pumped I always started with a warm compress. A creative Lactation Consultant recommended I use a disposable diaper and fill it with hot water to warm my breasts before I pump, this worked wonders and held more warmth than a washcloth. While pumping I always did breast compressions and saw a difference in my output. For one dreaded week I did power pumping which increased my supply significantly. I always did power pumping first thing in the morning (around 5am) when milk supply is at its height and would pump for 20 minutes, rest for 10 minutes, pump for 10 minutes, rest for 10 minutes, and finish with pumping for 10 minutes. I was instructed to do power pumping for no longer than a week; many moms are able to see a big difference in supply in a few days.
Tips for Supplementing and Maintaining Breastfeeding Relationship
After all my work, the doctors still pressured us to supplement with formula. The baby had lost 11% of her birth weight by the first week and they stressed us out until we gave in and supplemented with formula. There were techniques that helped us with this transition including using the Paced bottle-feeding method. In combination with the Como Tomo slow flow bottles our baby was able to take her time eating so when she returned to the breast she wasn’t too upset/fatigued by the slow flow at the breast.
Similarly, using the finish at the breast method helped to maintain our breastfeeding time. The method focuses on feeding the baby a supplement similar to an appetizer so that the baby isn’t overly hungry or upset when it’s time to breastfeed and there may be a slow let down or flow of milk.
I tried using the Supplemental Nursing System (SNS) to work on maintaining our latch and stimulate a let down. I was never able to master using the SNS, but know that it is a miracle worker for many moms. The Lact-Aid is a similar device that I was never able to try.
I hope this information is helpful to others as they use their resiliency and perseverance to create a breastfeeding relationship with their baby. I found that surrounding myself with supportive people, allowing myself space and time to grieve, and creating realistic short-term goals all helped me get through the process. I spent as much time as I could enjoying my baby. In retrospect I wish I would of spent less energy on feeling sad and angry about my supply and more time cuddling my tiny miracle. My thoughts and heart are with everyone dealing with this challenge.
This guest post was written by Emma Gomez, listen to her birth and breastfeeding stories.
Breastfeeding Tips, Setting up a Breastfeeding Station and How to Get Support
We hear that “breast is best” all the time—the news, the hospital, our doctors, our friends, and even that random lady in the organic foods aisle at the grocery store. Even our social media feeds are peppered with research articles telling us why breast is the right choice. That’s all well and good, of course we all want what’s best for our babies! But it’s one thing to know what is best and another thing to know how to actually accomplish it. As a lactation consultant, I’m called to give specific advice for breastfeeding issues but I also get asked all the time what my top breastfeeding tips are—so here they are!
Top Breastfeeding Tips from a Lactation Consultant
Take a breastfeeding class while you’re pregnant!
Prenatal education is a top indicator of breastfeeding success after baby arrives! When you know what to expect and what’s normal, you can prepare! If you don’t know what latching is or looks like or how often baby should breastfeed per day, it’s hard to succeed.
Women find support from all different sources—some women find the best support is their husband. He may never have breastfed before, but he can certainly help you and cheer you on no matter what! Other women find their friends or mothers who have breastfed to be their top supports. Either way, research shows that women who have support have more success in breastfeeding.
After baby arrives, make plans to make no plans!
Skin-to-skin time is so important with a newborn. In the first couple of days after birth, keep your naked-in-a-diaper baby on your chest as much as you can! This can be easy in the hospital since it’s pretty private, other than the nurses who want to look under your gown all the time, anyway. Once you get home, you may have to make more of an effort to rest and keep baby close. Make sure your partner knows ahead of time it will be his job to take over the cleaning, cooking, and bringing home the bacon (literally and figuratively!) for a few weeks after baby arrives. I love this shirt for convenient skin to skin time—or this one that comes in plus sizes too!
Feed baby very frequently.
I tell moms all the time during personalized consults that you can’t feed baby too much, only too little! Follow baby’s lead: during those first few days after birth before your milk volume increases, baby’s tiny tummy will need to be filled often. If baby’s awake, turning his head, or fussy: put him to breast!
Get help if you need it!
Breastfeeding may be the best and seem like it should be “natural,” but that doesn’t mean it always comes naturally. If you’re in pain, baby’s not feeding well, or something seems off—get help right away. There’s no shame at all asking an IBCLC for some personalized help. In fact, research shows that IBCLCs increase the rates of women who start breastfeeding as well as the rate of women who breastfeed exclusively. If those are your goals and you don’t feel confident in your ability to meet them, call an IBCLC!
Setting Up a Breastfeeding Station
Now that we’ve gone over some great tips for meeting your breastfeeding goals, let’s talk practicality. Just like “breast is best” is only helpful when we know how to actually breastfeed, those breastfeeding tips are only helpful when we can actually fit breastfeeding into our lives! One of the best ways to accomplish this is to set up a breastfeeding station in your home.
If you anticipate that you’ll breastfeed your baby in many different rooms depending on the time of day, then create your station to be a basket that’s easily transportable. If you know you’ll always be sitting down in the nursery to feed your baby, then it can be a shelf or drawer near your chair. What should you fill this station with? Anything and everything that you think you might even need! This can vary some from mom to mom (are you a reader who will need your Kindle nearby, or do you prefer to binge watch a show on your tablet?).
Lots of Water
Get a water bottle you can operate one-handed while you’re nursing, I recommend one with a straw because you will drink more. Some moms get very thirsty as soon as baby latches on. A straw type can be great so you don’t have to lean your head back and get off balance, disrupting that perfect latch. I always kept two water bottles or cups at my nursing station at all times because I would inevitably drain all of one and then baby falls asleep on you and you feel trapped and oh so thirsty!
Healthy Energy Snacks
Did you know breastfeeding moms burn an average of 500 extra calories per day? You’ll need to make that up somewhere, so portable snacks like granola bars (these are great if you are trying to limit sugar intake—turkey flavor is my fave!), a piece of fruit, or a simple sandwich can be great to keep close by in case baby is on a marathon nursing session.
Netflix and Chill
Whether it’s a book, your phone, the remote, a tablet, or a sleep mask to catch some zzz’s while baby nurses, you’ll want something. Babies eat very often, so you’ll be spending a lot of time feeding!
Nipple care supplies
If your latch is good, you shouldn’t have much more than transient soreness for the first week or two. If your latch is painful, talk to an IBCLC and have some of these supplies on hand. A good nipple cream can be very soothing. Some moms love lanolin and some love simple coconut or olive oils from the kitchen. If there are open wounds, something like All Purpose Nipple Ointment (a prescription) or Medihoney can help prevent infection and heal your nipples. A Milk Saver is great to catch extra milk on the other side when your milk lets down and breast pads are great to protect sore nipples.
Baby care supplies
Babies often will poop during or after a feeding—it can’t come out if it didn’t go in, after all! So have a diaper and wipes nearby. In the same vein, veteran moms know that an extra outfit can be needed in this situation, too! Also make sure you have burp cloths (I’m a a big fan of a stack of plain prefolds as they are super absorbent, cheap and have a million uses!). Burping can be messy and just in case some of that milk makes another appearance, you’ll be reaching for them. Baby nail clippers (obsessed with these!) can be a good idea, in case baby falls asleep or is just finally still enough for this surgery-like activity.
When You Need Breastfeeding Support
We’ve gone over top tips to be successful with breastfeeding, in addition to practical ways to implement those tips, but what if you do everything you can and things don’t seem to be going well? Ask for help! The tip to have a support system wasn’t just lip service—it’s really important! If things are hard now that you’ve been thrust into the trenches with a brand new, needy baby, some simple love, help, and attention from your partner, mom, or friend can be just what you need.
If breastfeeding itself is the issue, ask an IBCLC for some help!
Nipple pain isn’t normal outside of some soreness in the first few days. If you’re in pain or baby isn’t gaining well, breastfeeding support by a professional can be the ticket to breastfeeding success. Lactation Link offers in-person consults in Utah and e-consults for anywhere else, or you can find an IBCLC in your area through ILCA.
If motherhood seems lonely, know that you’re not alone.
Even though you’re constantly around this new little person, it can feel very isolating. Finding a local group like La Leche League can be the answer to getting out of the house and making some mom friends.
Breastfeeding is Possible!
Breastfeeding can seem overwhelming, but you don’t need to go into motherhood unprepared! A little education, support, and preparation can go a long way in helping you achieve your goals. Next time you see “breast is best” online or in the news, now you can add “breastfeeding is possible” to it!
This guest post was written by Kristin Gourley, IBCLC. Kristin is a mother of 5 and one of the 3 International Board Certified Lactation Consultants with Lactation Link, a private practice offering breastfeeding support through breastfeeding video classes, blog, and online support forum. She also offers in-home (or hospital) lactation support services as well online lactation support services before and after baby is born. Lactation Link’s goal is to empower women through education to reach their goals, whatever they may be.
Navigating Breastfeeding Roadblocks & Finding Solutions
If you spend any time reading about mothers’ breastfeeding experiences and it won’t be long at all before you see the phrase “breastfeeding journey”. This is a perfect metaphor for the reality of the breastfeeding relationship from start to finish. For both a road trip and a breastfeeding journey, many people research and prepare carefully before starting out. They begin with a destination and planned route in mind, but don’t really know exactly what they’ll encounter until they’re in the thick of things.
Whether on the road or the breastfeeding journey, surprises can pop up at any time. These can be as mild as some extra bumps in the road, or as extreme as route closures and long detours. Roadblocks rarely end the trip altogether, but they often require persistence, patience, and a clear head– and sometimes the help of roadside assistance, or an IBCLC, to get back on track.
Common Breastfeeding Issues
Pain and Nipple Tenderness
Pain is one of the most common reasons mothers give for early weaning. While some nipple tenderness is normal at the beginning of feeds in the early postpartum period, severe pain and skin damage is NOT normal and should be seen as a sign that help is needed.
How can you tell when you should be concerned? Use the “30 second” rule. If your pain disappears within 30 seconds after latching, you can safely ignore it. If your pain lasts longer than that, gently insert your finger into the corner of your baby’s mouth to break the suction and unlatch baby, then try again. If you’re not able to get a latch that is comfortable for the majority of feeding session, your pain is severe, and/or you notice any damage to the nipple, you should seek help right away.
Concerns over milk supply are right up there with nipple pain as a top cause of early weaning. Neither babies nor breasts come with full/empty gauges, so it can be hard to know how much you’re making and how much baby is getting. You can be confident that your baby is getting just the right amount of your milk if he or she is growing and gaining well, and having plenty of wet and poopy diapers each day. After the first week, and for the first month or so, expect 5-6+ light colored and mild smelling wet diapers and 3-4+ poopy diapers. If your baby is gaining poorly and/or not having enough wet and dirty diapers, help from an IBCLC is a very good idea.
The best way to ensure that you’ll have an ample supply is to start breastfeeding within the first hour after birth and then whenever your baby shows feeding cues after that—generally 8-10 or more times per day. Milk volume works on a supply and demand principle—the more you demand it (by feeding or pumping), the more you’ll supply. Your breasts are always making milk. They’re never truly empty, so you don’t need to wait for them to feel full before you feed your baby. In fact, if you do, you might be telling your body to make less milk.
Medications While Breastfeeding
Breastfeeding mothers might worry that prescribed medications will pass through their milk and possibly hurt their babies. The Infant Risk Center at Texas Tech University Health Sciences Center is an excellent resource for information on the safety of medications in breastfeeding mothers. If you’re worried about a medication, or have been told that you can’t breastfeed while taking a medication, you can call their hotline 806-352-2519 or visit www.infantrisk.com for the most up-to-date information.
Concerns with breastfeeding older babies
Sometimes, breastfeeding problems can pop up with older babies after breastfeeding has been going really well for a while. This can be especially worrying if you don’t know other moms who have breastfed past early infancy and worked through these common bumps in the breastfeeding journey. Joining a local breastfeeding support group is a great way to help you gain confidence in nursing your older baby, and maybe even make some new friends at the same time.
Teething & Breastfeeding
Yes, you can continue to breastfeed through teething and beyond! Many teething babies will nurse better if they get to chew on something cold first. You can also talk to your doctor about pain relief options for your teething baby. If you’re worried about those new little teeth being right next to your nipples, relax. Most babies’ teeth cause no problems at all for their mamas. When a baby is actively drinking, it’s actually impossible for her or him to bite. If your baby does bite, he or she is usually trying to resolve the discomfort of teething, or simply experimenting with new ways to use his or her mouth. Your baby doesn’t realize that it hurts you. You can teach your baby that biting mama isn’t ok by ending the feeding session and calmly, but firmly saying “No, no, no.”
Sometimes older babies will start to refuse to feed at the breast. It is unlikely that a baby younger than a year old is actually self-weaning from the breast. If you can protect your milk supply and be patient, you can be confident that the refusal is almost certainly temporary. Most nursing strikes only last a day or two, but some can last up to a week or more. If your baby starts to refuse the breast, keep offering gently. The trick is to act like you don’t care whether or not baby latches, even though you probably care very much! Lots of skin to skin cuddle time can be very helpful in these situations. You could try nursing baby when he or she is very sleepy, or in a new position– maybe even standing up and walking around.
If the refusal goes on more than a few hours, you’ll need to express your milk. You can give this milk to baby by cup, spoon, or bottle. Older babies who have never taken a bottle may do better with a straw sippy, or even frozen breastmilk cubes in a silicone feeder. Don’t be afraid to reach out for help from an IBCLC when having issues breastfeeding an older baby. We don’t just help newborns, we love helping moms breastfeed babies of all ages!
With any trip, it’s a good idea to expect some bumps in the road. Give yourself some extra time to arrive at your destination and know how to get good help if you need it. The journey can be hard sometimes, but it can also be beautiful. Happy travels!
Sources: Mohrbacher, N. (2010). Breastfeeding answers made simple: a guide for helping mothers. Amarillo, TX: Hale Publishing, L.P.
This guest post was written by Stephanie Hadfield. Stephanie Hadfield, IBCLC is a mother of 5 and one of the 3 International Board Certified Lactation Consultants with Lactation Link, a private practice offering breastfeeding support through breastfeeding video classes, blog, and online support forum. She also offers in-home (or hospital) lactation support services as well online lactation support services before and after baby is born. Lactation Link’s goal is to empower women through education to reach their goals, whatever they may be.