In this post, I’ll share all my tactics to handle engorgement and oversupply while breastfeeding.

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Difference between engorged and fullness

Sometimes with oversupply, you are also going to deal with engorgement. Engorged breasts are painful and usually occur shortly after birth and subside within 5 days postpartum. If they continue, this is probably more breast “fullness” than engorgement, which is an inflammatory response that occurs with the onset of nursing. Either way, we’ll talk about some measures to help ease the discomfort of engorged breasts and oversupply in this post.

Main issues with oversupply and engorgement

While certainly not pleasant, issues related to oversupply and engorgement can usually resolve in the first few weeks to months of having your baby. The two most problematic consequences include:

Foremilk and hindmilk imbalance

Having too much breast milk can result in baby consuming too much foremilk and not enough hindmilk. Foremilk is the thin, watery, and lactose-rich component of breast milk that is great for hydration and quick energy. Hindmilk is the creamy and fat-rich part of breast milk that provides nourishment, satiety, and contentment. It’s vital that baby gets a balance of both parts of milk to ensure optimal digestion and assimilation (not to mention a happy baby).

Breastfed babies who receive too much foremilk suffer with excess gas (thinking farting, lots of belching, hiccups, etc.), hunger and even colic. That’s because the foremilk can digest too quickly, without the fat of hindmilk to slow it down, resulting in malabsorption and intestinal distress, not to mention frequent feeding (and sore breasts!) since the milk isn’t as satiating. You can massage the breast during a feeding can also help mix up the milk so baby gets a more balanced feed.

Too fast or overactive letdown

And hand in hand with oversupply is often too fast of a letdown, which is often referred to as overactive letdown. Signs of fast letdown include baby choking, coughing, or pulling back at breast. Baby may also squeal, squeak, or gulping excessively while nursing because the breast milk is coming out too fast. For strategies for how to manage overactive letdown, see this post. Overactive letdown doesn’t always occur with too much milk (or oversupply) and vice versa. They each have their own set of issues and solutions. This post will focus on those who struggle with oversupply and engorgement.

Please note: the below suggestions would only be appropriate if your baby is gaining weight at a normal to above average rate.

Oversupply and engorgement suggestions

1. Give it time

Know that your oversupply is partly by design. In fact, most mamas have some degree of oversupply in the first 4-6 weeks postpartum to be sure baby has enough milk and there aren’t twins to feed. Coupled with this, most babies have an immature digestive system, are still learning how to extract milk effectively and usually have some sort of acid reflux.

As a result, we see babies struggling regardless of how much milk you have (or how fast your letdown is) because they are learning how to assimilate food outside of the womb. Take warm baths to soothe your engorged breasts and try to ride it out those first several weeks if you can. Many moms who struggle with engorgement and oversupply will self-regulate without any further action.  

2. Block feedings

Since milk production is generally based on a supply and demand loop, meaning the more you stimulate the breast, the more milk it will produce, you may want to offer just one breast per feeding. This tactic is called Block Feeding.

I remember thinking this would never work and I would get too engorged in the other breast, but I was wrong. While there were a few days of discomfort, my breasts quickly adjusted and this is how I ended up nursing Griffin throughout our entire breastfeeding relationship. For mom’s with severe oversupply issues, you can even offer that same breast for the next feeding and then offer the second breast five to ten minutes later. That way you can be sure baby will get all of the good hind milk, and it will probably be a more pleasant nursing experience, since the milk letdown won’t be as rapid as the breast empties.

You can also try massaging the breast during a feeding can also help mix up the milk so baby gets a more balanced feed. Block feeding will also help to regulate your overall milk production, since you’re not stimulating both breasts at each feeding. Be sure to work with a Lactation Consultant to decide if block feeding is right for you, and if you are in fact, dealing with oversupply.

3. Laid back breastfeeding

Also called biological nurturing, this often overlooked breastfeeding position is great for babies and mamas who are struggling with oversupply (and the digestive distress it can cause). When baby nurses from above the breast (lying tummy to tummy on a reclining mama) he is able to deal with overactive let down much better, since gravity is on his side.

Also, because fat floats, baby is more likely to get a balance of foremilk and hindmilk, stopping the cycle of oversupply. Here are some tips on how to do laid back breastfeeding from the La Leche League international website:

1. Dress yourself and your baby as you choose.
2. Find a bed or couch where you can lean back and be well supported— not flat, but comfortably leaning back so that when you put your baby on your chest, gravity will keep him in position with his body molded to yours.
3. Have your head and shoulders well supported. Let your baby’s whole front touch your whole front.
4. Since you’re leaning back, you don’t have a lap, so your baby can rest on you in any position you like. Just make sure her whole front is against you.
5. Let your baby’s cheek rest somewhere near your bare breast.
6. Help her as much as you like; help her do what she’s trying to do. You’re a team.
7. Hold your breast or not, as you like.
8. Relax and enjoy each other.

4. Avoid galactagogues

Say what?! A galactagogue is a food that promotes lactation in breastfeeding moms. Examples include: oats, brewer’s yeast, flaxseed, hummus, papaya, spinach, carrots, asparagus, salmon, and apricots. Lactation-promoting herbs include: roasted dandelion root, fenugreek, blessed thistle, and red raspberry leaf. Try to avoid heavy consumption of these foods and definitely avoid the herbs if you want to keep from making too much milk. And while my lactation cookies are delicious, keep them off the menu

5. Consider donating

If you have a large milk supply beyond the 6-8 week mark, consider donating your excess milk. You can pump once or multiple times a day, depending on what works for you and how much you enjoy pumping ;), and set this milk aside for a baby in need. This is such a tremendous service you’re giving another mama and baby. I’ve donated milk before and it’s such an amazing feeling! Check out Eats on Feets or Human Milk for Human Babies for donation needs and locations. Of course, for working moms, you can also pump and store your excess milk in your freezer for your own baby. Here’s a post all about pumping and storing breast milk. Both donating and storing extra is one of the blessings of oversupply.

6. Use cold compresses

Cold compresses help to reduce breast inflammation, blood flow and milk production. Start with 10 minutes on each breast and work up to 30 if needed. Always take at least an hour break between compresses. This should help ease the pain of full or engorged breasts.

7. Slight hand expression

If you don’t want to donate milk, do not pump within those first 4-6 weeks as this will only increase your supply. If your breasts are so engorged and the inflammation is painful, you can get in a warm shower and hand express a little bit of milk to offer relief. Obviously, you don’t want to expel a lot of milk as this will only set yourself up for more production. However, using hand expressing strategically can be a great aid when you’re struggling with oversupply and engorgement.

8. Gua sha

When paired with proper breastfeeding techniques, studies suggest Gua Sha reduces engorgement and discomfort in the immediate postpartum period better than massage and hot packs do.

9. Try this sage advice (with caution)

If it’s really bad… and you need to relief… you can try adding more sage to your cooked foods or even sage tea. Due to naturally occurring estrogen, sage helps to reduce milk production. Use very cautiously though, and definitely under the care of a lactation consultant or doctor. In addition, you can use cold cabbage leaf compresses, a natural remedy used to ease tender, engorged breasts for centuries. You simply take green cabbage leaves and store in refrigerator or freezer so they are nice and cool. Apply to breast for 20 minutes up to 3 times a day. Again, only do this under the supervision of a IBCLC, as this can reduce breast milk supply.

10. Get help

This goes without saying and really should be the first action step. There are so many great resources out there so no need to struggle alone! I always recommend a check up with a properly certified lactation consultant (and have done so myself with both of my kiddos.) They are worth their weight in gold and give you hands-on help with oversupply/too fast of letdown issues. You can find one in your area here. Additionally, consider attending a local La Leche or Breastfeeding USA meeting. These organizations are helping nursing mamas for decades…. and they’re FREE!

It will pass…

While oversupply is certainly uncomfortable, it definitely can be a gift. The important thing is to give your body, boobs and baby time to adjust to breastfeeding. Trust the process; get help; and use some of the above aids and you should be able to ride through the issue of engorgement, breast fullness and oversupply.

When I was feeling frustrated, it helped to remember how beneficial breastfeeding is and know that it’s hard for nearly everyone for those first 6-8 weeks. By 3 months, you’ll be getting into the swing of things and by 6 months, you and your baby will be pros. Hang in there, mama! You’re doing great and this too shall pass.

Get a printable cheat sheet on Oversupply: Tips for Engorgement and Making Too Much Milk.

Don’t forget to download my exclusive cheat sheet on Oversupply. Get tips for Engorgement and Making Too Much Milk
Oversupply Tips for Engorgement and Making Too Much Milk Cheat Sheet

The post Oversupply: 10 Tips for When You’re Engorged and Making Too Much Milk appeared first on Mama Natural.

But what exactly is a breastfeeding class—and how do you take one before your baby is even born?? We’ll break it all down, including:

• What’s covered in breastfeeding classes
• How to find breastfeeding classes near you
• Plus, my favorite breastfeeding class

What is a Breastfeeding Class?

Just as it sounds, these classes teach you everything you need to know about breastfeeding, including how to prepare for breastfeeding, how to best nurse a newborn, which positions to use, and how to tackle common problems like oversupply.

Here’s a more formal breakdown of the typical curriculum:

The basics of breastfeeding

The basics of breastfeeding is a broad topic, but it can cover many subtopics, including:

• Explaining what is colostrum, foremilk, and hindmilk
• When milk comes in and what to do if it doesn’t come in 
• How often newborns need to eat
• Fun facts or statistics about breastfeeding
• Tips for eating during breastfeeding
• What to avoid while breastfeeding e.g., consuming too much caffeine can lead to a wide-awake baby!

Many mamas find that learning the basics of breastfeeding empowers them and affirms their natural ability to nourish their baby.

How to prepare for a healthy breastfeeding relationship

Preparing for breastfeeding is equal parts mental, emotional, and physical. Before you commit to breastfeeding, you already know that you’ll spend a lot of time nursing your baby. To prepare, your breastfeeding class can teach what you need for success. This includes:

• Physical supplies such as nipple butter, breastfeeding support pillows, and a breast pump
• How to create a nursing station
• How to stay comfortable and healthy when you’re in nursing around the clock

Steps for nursing

During your breastfeeding class, you’ll learn the steps for nursing your baby. This includes:

• How to create a good latch
• How to ensure you nurse from both breasts equally
• Best positions for nursing a newborn

Troubleshooting

Perhaps one of the most valuable parts of a breastfeeding class is the troubleshooting section. Even though you may not experience any of these issues at first, it’s a good idea to take notes so you can refer to these solutions later on during your breastfeeding journey. Troubleshooting can help you find solutions for:

• Inverted nipples
• Creating better latches
• Nursing in special circumstances, such as after a C-section
• Tandem nursing
• Engorgement
• Mastitis
• Clogged ducts
• Supply and demand issues

During a breastfeeding class, you’ll also cover pumping. Many mamas use pumping when they return to work or to give dads or grandparents a chance to feed baby. The instructor can answer all of your questions regarding pumping.

Are Breastfeeding Classes Really Helpful?

These classes are often taken during the third trimester, but how helpful can it be if you don’t actually have your baby to nurse?  Hey, you don’t even know if your body is going to produce milk! But the truth is, a breastfeeding class has many benefits, including:

• Helps you learn what to expect—the good and the bad
• Prepares you mentally and emotionally
• Boosts your confidence in getting that first latch right after baby is born
• Gives you time to learn about common obstacles before you even experience them

Many mamas also find that classes help separate facts from myths when it comes to breastfeeding. There are so many myths about breastfeeding—like the dangerous myth that you need to toughen up your nipples before breastfeeding—and a class can help you avoid these myths.

Another benefit: Breastfeeding classes help your partner, too! They can prepare their own minds and hearts for your breastfeeding journey—and learn how to support you.

Where to Take Breastfeeding Classes

Both prenatal and baby care classes can include sections on breastfeeding classes. Take note, however, that most (but not all) of the prenatal or baby care classes focus on other topics, and breastfeeding tends to be a quicker section. If you are serious about breastfeeding, ensure that the course you choose covers breastfeeding in-depth.

In person

If you want in person breastfeeding help, particularly after baby is born, La Leche League is a wonderful resource. They have free meetings all over the country, and their leaders are trained to offer support and guide you through your breastfeeding journey. That said, these are not formal classes; instead, think of it more as a support group.

Another great option is to see a board-certified lactation consultant. These individuals are formally trained to help you troubleshoot anything and everything related to breastfeeding. But, again, these aren’t exactly classes. While lactation consultants do often teach classes, their individualized services are generally more for troubleshooting issues once baby is born.

To find a formal class near you that’s worth your time, check with your midwife’s office. You can also find breastfeeding classes near you by utilizing the following resources:

• Google, especially Google My Business listings
• Classes at your local hospital or birth center
• Your community center
• Local facebook support groups

Online

There are also some quality online breastfeeding classes. Why would you take an online course? They are:

• Convenient: Take the course from the comfort of your own home on your own schedule.
• Flexible: Need to stop and change your toddler’s diaper? No problem.
• Efficient: You don’t waste time on the things you don’t need to know.
• Individualized: With online classes, you don’t have to sit through other’s questions, it’s all about what you want to know. If you don’t have questions about tandem nursing, you don’t need to listen to discussions about it.
• Access to instructors and support after the course: This is a perk that is never offered with in-person classes.

Another perk to online breastfeeding classes is that you can revisit the material any time. This is so important especially if you develop questions when your baby arrives. Questions about clogged ducts? No problem! Questions about finding new positions for nursing? No problem! This benefit can be invaluable throughout your entire breastfeeding journey—and even subsequent nursing relationships with future babies you have.

So What’s the Best Breastfeeding Class?

If you’re looking for an in-depth breastfeeding class, consider the Mama Natural Baby Care Course. We’re just a little biased, but our course really does cover it all.

With the Mama Natural Baby Care Course, you don’t get a tiny blurb about breastfeeding. You get an entire, comprehensive breastfeeding class taught by an IBCLC board-certified lactation consultant. PLUS, you get an entire pediatrician-approved baby care course.

Let’s repeat that: You get a comprehensive breastfeeding class and a comprehensive parenting class… all for the price of one.

The Mama Natural Baby Care Course gives you:

• Training from a board-certified pediatrician, a board-certified lactation consultant, and a fire-fighter/CPR instructor
• Step-by-step videos so you can follow along as you learn to breastfeed, swaddle, etc.
• Access to private forums moderated by a certified postpartum doula
• A 30-day money-back guarantee
• 24/7/365 access to all the material

Mama Natural Baby Care Course parents-to-be class image with logo

When Should You Start Taking Breastfeeding Classes?

While you may need to refer to books or course material many times throughout your breastfeeding journey, it’s a good idea to start taking your breastfeeding classes while you are still pregnant. Aim to start your class during your third trimester, so the material is fresh when your bundle of joy arrives.

Have Your Tried Breastfeeding Classes?

Have you considered taking breastfeeding classes? Have you taken a class before? We’d love to hear your thoughts!

The post Breastfeeding Classes: 6 Reasons to Sign Up Before Baby’s Born appeared first on Mama Natural.

This sweat-inducing scenario is—unfortunately—all too common, because babies are creatures of habit that rely on their familiar daily routines.

So how can you prevent this from happening to you?

If you want—or need—your baby to take a bottle, it’s so important to get the timing right. Of course, you don’t want nipple confusion. But you also don’t want baby to get so comfortable with the breast that they refuse the bottle altogether.

Lactation consultants say it’s best to introduce a bottle to your breastfed baby at about 4-5 weeks old.

This is the sweet spot, because your milk supply is established and baby is a good nurser, but it is early enough that baby gets used to taking a bottle occasionally.

It’s not one and done either…

According to lactation consultants, once baby is comfortable with the bottle, it’s best to incorporate bottle feeding into your regular routine at least once per week.

What to Do When Baby Won’t Take a Bottle

If you’ve already missed this window, don’t panic! Though it can be stress-inducing when you realize your breastfed baby won’t take a bottle and you’re scheduled to return to work soon, there are some clever strategies to get any baby to take the plunge. Here are some tried-and-true methods:

Do skin-to-skin

If baby is used to having skin-to-skin contact while feeding (she likely does if she’s breastfed!), that might be enough to get her to take a bottle. Have the person offering the bottle do some skin-to skin care with baby to mimic that soothing feeling of breastfeeding.

Leave the room (or not!)

Often, baby won’t take a bottle because she can see, hear, or even smell mom. Many families have success with bottles only when mom is out of the room (or the house entirely).

However, the opposite can be true, too. I kept having dad, babysitter, grandma, etc. try to bottle feed my nursling, but she just wouldn’t take it. Finally, I tried, and she took it from me—go figure!

Try a different bottle or nipple

Sometimes baby simply doesn’t like the shape, color, or feel of the bottle/nipple. Of all the moms I’ve talked to, this is the biggest culprit and will make a world of difference if you find the “right” bottle. But how do you find the right bottle for your baby? Start by taking a look at bottles that are best for breastfed babies. Then, buy one or two and try them out. Once you know which bottle or nipple your baby prefers, you can stock up.

Make sure baby is sleepy

If baby is just waking up or just about to fall asleep, she may take the bottle more easily, since she’s not fully aware. If baby usually eats after a nap, try offering the bottle as she wakes. Or, if she typically nurses to sleep, try giving the bottle as she’s drifting off.

Find the perfect window of hunger

If baby is very hungry, she may not take the bottle just because she’s upset (and who likes changing routines when they’re already hangry?). But if baby isn’t hungry at all, she probably won’t want to take the bottle either.

Try to find the perfect balance—a time when she’s still a bit hungry, but not overly so. One way to do this is by feeding on one breast and then offering a bottle for the rest of the feeding. (Just don’t forget to pump the other breast!)

Limit distractions

If there is a lot of activity and noise in the house, baby may be too distracted to take a bottle (this can be true for breastfeeding as well). Have whoever is feeding baby find a quiet place and calm baby down before trying to offer the bottle.

Wait for a good mood

Likewise, if baby is upset (overtired, over-hungry, missing mama, etc), it’s not a great time to get baby to take a bottle. Try to introduce the bottle at times when baby is somewhat content and settled. If you’re in an emergency situation where you need to get baby fed immediately, consider finger feeding or using a spoon, then try the bottle once baby is settled down.

Change the temperature of the milk

Try bringing milk to another temperature. Most babies prefer very warm milk, since that’s the temperature that breastmilk is, but if baby is used to something different, she may prefer that. Experiment with temperatures that are slightly warmer and slightly cooler to see what works best for your baby.

Warm the nipple and dip it in breast milk

Breastfed babies are familiar with mom’s nipples, which are warm and often already taste like breastmilk (even before the letdown). Warming the nipple in a cup of warm water and then dipping it in breastmilk can help mimic this.

Place baby facing out

Some babies will take a bottle if they face away from the person giving the bottle. For babies who don’t sit up on their own yet, the best way to do this is to place baby on your lap and use your (non-dominant) arm to steady her. Then you can use your other hand to hold the bottle.

Place baby facing inwards

On the contrary, some babies do better when facing toward the person who is feeding them. Babies who can sit up on their own can sit on your lap looking at your face. Babies who can’t sit up yet can be assisted with a nursing pillow or something similar.

This is a great position for offering smiles and words of affirmation to baby. Many babies find this reassuring and are more likely to try the bottle.

Try the elevated side-laying position

This position helps to recreate the same position that a breastfeeding baby is normally in while nursing. The thought is to have your baby in a position that mimics his or her normal breastfeeding position with your baby’s cheek to a pillow. Watch this video to see this position in action.

Try a completely different position

Additionally, feeding baby in a different position from the one she nurses in can help, too. This may take some trial and error, but you may find that you can’t give baby a bottle when holding her close to the chest (even for Dad or Grandma!). Baby may need a whole new feeding position for taking a bottle.

Try a change of scenery

It’s possible that baby associates her surroundings with breastfeeding, so trying a different location may solve the problem. Go into a different room than you normally breastfeed in or even a different home/place altogether. Going outside can work, too.

Don’t worry: You won’t have to go outside every time baby needs a bottle. Once she’s used to taking a bottle, it won’t be difficult for her to take one in your normal feeding space.

Try a different formula

If you’re using formula, it’s a good idea to try a different brand (or try homemade) to see if that helps. Sometimes babies prefer one kind of formula over another. It’s also possible that baby has an allergy or sensitivity to something in the formula (often dairy), so trying a dairy-free formula may help.

Most of All… Don’t Give Up!

So your baby still won’t take a bottle? The good news is most babies get the hang of bottle feeding eventually.

Baby looks to you for cues about what is okay and safe and what is not. If you keep offering the bottle, she will eventually get that it’s ok. It may take you some time and experimentation, but you’ll get there!

The post 15 Things to Try When Your Breastfed Baby Won’t Take a Bottle appeared first on Mama Natural.

In this post, we’ll cover:

How Often Should a Newborn Eat?

How often your newborn should eat depends on whether you are breastfeeding or formula-feeding and how old your newborn is. And though there are general guidelines for both, it’s important to remember that these figures are just estimates—you should consult your pediatrician about what’s right for your baby, especially if baby is having trouble gaining weight.

How often should a newborn eat if you’re breastfeeding?

• First 24 hours: Feed on demand or at least every 2-3 hours. Remember: Your baby may only drink ½ ounce of colostrum in total in the first 24 hours. But even though your baby drinks only a little, it can take up to 45 minutes per nursing session, especially if your baby is sleepy.
• First month: Feed on demand or at least every 2-3 hours during the day and 3-4 hours during the night. This works out to be about 8-12 times per day. Keep in mind that babies go through cluster feeding sessions and growth spurts where they might be nursing every 10-45 minutes!

These guidelines just discuss how often a newborn should eat. To learn more about how much a newborn should eat, check out this post.

How often should a newborn eat if you’re formula-feeding?

Is your baby formula-fed? Formula is digested more slowly than breast milk, so formula-fed babies don’t have to eat as often in the beginning. (source)

• For the first month: Expect a formula-fed baby to want to eat about every 3-4 hours.
• By six months: By the time your baby is halfway through the first year, expect to feed them about four to five times per 24 hours.

Not sure how much formula your baby needs to eat at each feeding session? Head over to this post to learn more about the specifics of how much a newborn should eat.

Newborn Feeding Schedule for Breastfed Babies

If you’re expecting your first baby, it’s natural to wonder: how often should a newborn eat.? You might even seek out a newborn feeding schedule to help simplify things. But do you really need a feeding schedule? Should you use a feeding schedule?

Feeding schedules for breastfed babies are more like guidelines for mamas who like to see the specifics. The bottom line is: Each baby will be different, and some babies eat more—or less—often than the average newborn. The most important thing is to follow baby’s lead by feeding on demand. 

Feeding on demand also helps regulate your milk supply. Because your body only makes what your baby needs when your baby needs it, it’s important to let your baby tell your body what it needs.

That said, if you’re schedule-oriented and would like to see a sample of what a feeding schedule could look like, this chart can help:

Sample feeding schedule for breastfed babies

Newborn Feeding Schedule for Formula-fed Babies

It is a little easier to create a feeding schedule for formula-fed babies, because you can easily track exactly how much formula your baby drinks. That being said, follow your baby’s cues. If your baby is turning away from the bottle, he might not be hungry.

Check out this chart to see what a feeding schedule could look like for a formula-fed baby:

Sample feeding schedule for formula-fed babies

Even if you breastfeed your baby every 2-3 hours, baby may still display hunger cues, like:

Why Does My Baby Want to Eat More Often Than That?

• Fussiness
• Rooting
• Sucking on fingers
• Sticking out tongue

What gives?! 

Growth spurt

When babies nurse like this, some mamas worry that their milk supply is compromised. However, more often than not, this type of behavior is related to cluster feeding—a common sign of a growth spurt.

Comfort

The constant demand to nurse can also be your baby’s way of seeking out comfort from mama. While it seems like a pacifier could serve the same purpose, studies show that comfort nursing calms and soothes your baby by reducing cortisol (the stress hormone) in your baby’s body. (source) These sessions can also boost mama’s endorphins and help with emotional bonding.

Witching hour

Like it or not, sometimes babies are just… fussy. There’s a very real thing called the witching hour—it’s a time of day, usually towards the evening hours, when baby cries a lot and generally wants to eat a lot.

Remember…

Schedules—while helpful—are just rough guidelines. Having guidelines helps demystify baby’s feeding needs, but following baby’s cues is the best way to keep baby fed and hydrated.

If you suspect baby hasn’t had enough to eat, look out for signs of dehydration, including unusual lethargy, a lack of wet diapers (baby should have at least 5-6 wet diapers per day after the first few days), or a sunken soft spot. Contact your pediatrician or local emergency room immediately for help.

How About You?

How often did you feed your newborn? Did you follow a schedule or feed on demand? Share your comments below!

The post How Often Should a Newborn Eat? (Including Printable Schedules!) appeared first on Mama Natural.

We’ll break it all down, including:

• When breast milk comes in
• How breast milk comes in
• Signs your milk is coming in
• Plus, what to do if your milk isn’t flowing

When Does Breast Milk Come In?

The short answer: Most moms experience a surge in breast milk about 2 to 5 days after giving birth.

But… it’s a little more complicated than that. To get technical, you’ve actually been producing breast milk for your baby since the middle of your pregnancy—even if your breasts don’t feel very full or heavy and you didn’t leak any milk. Let’s unpack this fascinating process:

It All Starts With Colostrum…

According to La Leche League, your breasts start to produce colostrum—a yellow-gold colored milk full of wholesome, dense nutrition, antibodies, and other disease-fighting agents—during pregnancy. This type of breast milk starts to come in about 12-18 weeks into pregnancy. Some women even begin leaking colostrum during pregnancy. If you noticed yellow-crusty remnants on your nipples during pregnancy or some wetness on your bra, shirt, or sheets, chances are that was a bit of leaking colostrum.

Women begin producing colostrum during pregnancy, because this is food that it needs to be available to your baby as soon as they are born. Though colostrum is often referred to as baby’s “first milk,” you’ll only produce a few teaspoons at a time. This is sufficient for baby in those first few days, because their stomach capacity is very small in the first few days following birth.

Then Colostrum Gives Way to Mature Milk…

Over the course of the first few days after birth, your colostrum begins to change as more mature breast milk starts to come in. Colostrum gradually increases in amount, and changes from a thicker, yellow fluid to a thinner, whiter mature milk.

The process of your milk “coming in,” or turning into mature milk, is controlled by your hormones. Once you deliver the placenta and your progesterone and estrogen levels decline, your body increases production of a hormone called prolactin, which gets the milk production process started.

• Most women notice this change from colostrum to mature milk around two to three days following birth.
• But some women don’t notice this change until day four, five, or even later.

Although you technically don’t have to do anything to ensure that your milk comes in quickly and plentifully, breastfeeding frequently and practicing skin-to-skin can help stimulate prolactin production to ensure a smooth transition to mature milk.

What Does It Feel Like When Your Milk Comes In?

Every mom has a slightly different experience when their breast milk comes in. It’s totally normal if you don’t end up feeling very engorged—extra fullness doesn’t necessarily mean you are making more milk.

In general, here are some of the ways that moms describe the way it feels when your milk comes in:

• Your breasts will start to feel full and heavy
• You may feel some tingling sensations, especially during let-down
• The veins in your breasts may stand out more
• Your breasts may feel warm to the touch
• You may begin to leak more
• You may notice your baby gulping and swallowing more

How Much Bigger Will My Breasts Get When My Milk Comes In?

Every woman is different in terms of how much bigger her breasts get once her milk comes in.

• Some women—especially if they have larger breasts to begin with—don’t notice much of a change in breast size.
• Other mothers notice a significant difference once their milk comes in.

Generally, a woman’s breast size increases about two to four breast sizes once her milk comes in. But as your breast milk supply levels out, that initial dramatic increase generally becomes less pronounced. You may notice your breasts slightly decrease in size about two to three days after your milk comes in and again in about four to five weeks, when your supply stabilizes at bit more.

Still, your breasts will probably be slightly larger than usual for the first few months of breastfeeding, and will likely not decrease significantly until your baby is breastfeeding less—likely after your baby starts eating solids, sometime around six to eight months.

Why Hasn’t My Milk Come in Yet?

Although the timeline varies slightly, most women notice their breast milk starts to come in within a week of giving birth. If your milk hasn’t come in by day five or so, you’ll want to reach out to your child’s pediatrician and consult with a lactation consultant. 

And always be on the lookout for signs of dehydration and hunger in child, including:

• unusual lethargy,
• a lack of wet diapers (baby should have at least 5-6 wet diapers per day after the first few days),
• or a sunken soft spot.

Contact your pediatrician or local emergency room immediately for help.

At the end of the day, a fed baby is what’s most important and you may need to supplement with formula. Again, your child’s doctor and a lactation consultant will be able to counsel you on this issue.

Keep in mind that if you have a delay in your milk coming in, there is almost always something that can be done to increase your milk supply. (More on that below.)

Risk Factors For Delayed Milk Production

There are several reasons why your breast milk might not be coming in. Once you are able to identify the reason, you can figure out how to remedy it. Your lactation consultant can help you come up with a plan to increase your milk production (and possibly supplement your baby) while you wait for your supply to increase. Remember: A fed baby is always most important!

Here are some reasons why your milk production may be delayed:

1. First-time Moms: Studies show that first-time moms often experience a slight delay in milk production. On average, their milk comes in a day or two later than moms of more than one.
2. C-section: According to research, having a c-section can delay the onset of milk production. You can optimize breastfeeding success by practicing early skin-to-skin and breastfeeding frequently.
3. Prolonged or traumatic labor: Studies suggest stress or trauma associated with labor and very lengthy labors may slow down the onset of milk coming in.
4. Pain medication: Research suggests that mothers who received pain medications during labor were more likely to report delayed lactation, regardless of delivery method.
5. Maternal health factors: Although you can’t always pinpoint exactly what may be causing a delay in milk production, there are certain maternal health factors that can contribute to this, including maternal obesity, diabetes, thyroid imbalances, polycystic ovarian syndrome, and postpartum hemorrhaging.
6. Breast issues: A history of breast surgeries (like implants or reductions) can slow the process of when your breast milk starts to come in. Or, if you have flat or inverted nipples, your baby may have trouble latching or suckling, which can also slow down milk production in the early days.
7. Medication: Most medications are safe for breastfeeding and will not impact your milk supply. However, some medications (birth control and cold medicine, for example) tend to decrease milk supply. For information about a particular medication you are taking, check LactMed. It’s a government-run website that describes the safety and side effects of different medications on your baby and your milk supply.
8. Latch issues: If your baby is having trouble latching, you may notice low milk supply. Getting a stronger, deeper latch should help speed things along, but in some cases this may signal an anatomical issue, like tongue tie or lip tie.

What to Do if Your Milk Isn’t Coming In

If your breast milk isn’t coming in, just breathe. There are so many things you can do to remedy the situation, and even if you end up dealing with a low milk supply issue, you have options.

The first thing you should do is reach out to a lactation consultant as soon as you have any concerns about your milk coming in. Here are some strategies your lactation consultant might suggest to get that milk flowing:

1. Feed, Feed, Feed: Milk production is a “supply and demand” system, so the more milk you take out, the more milk you will make.
2. Skin-to-skin: Holding your baby skin to skin increases prolactin levels, which jumpstart the milk production process.
3. Pumping: If you can’t directly breastfeed, or if direct breastfeeding has not been effective, pumping can help jump-start your milk supply. Power pumping may be particularly helpful.
4. Don’t wait until baby is hungry: Feeding on demand means not waiting until your baby is wailing with hunger to feed them. Feed your baby as soon as they begin to show signs of hunger (licking lips, rooting, sucking on fists). This will ensure you are feeding frequently.
5. Eat nutrient dense meals and HYDRATE: You don’t have to eat a perfect diet to produce enough milk for your baby, but neglecting your need for healthy, wholesome food will deplete you, stress out your bodily systems, and can make it difficult to produce a strong milk supply. You need to increase your regular caloric intake by 500 calories a day to support early and exclusive breastfeeding.
6. Try not to stress: Easier said than done? Yes, but stress negatively impacts production. Try to think positively. And get enough sleep (sleep when baby sleeps). With a little help, most women can get their milk flowing in no time. Find out how to reduce stress.

The Bottom Line

Those early days as you wait for your milk to come in can be stressful. There is so much uncertainty, and you might be confused about what is happening with your body and your baby. Have faith in your body’s ability to make the milk your baby needs. And always reach out for help when needed.

Remember: If you do end up having an issue with your milk coming in, there are so many ways to remedy the situation. And even if there is a delay or you end up with low milk supply, you have not failed. Breastfeeding isn’t all or nothing. The most important thing is a happy, well-nourished baby and mama.

The post When Does Breast Milk Come In? Plus, What to Do If It Doesn’t appeared first on Mama Natural.

Don’t worry, I’ll explain it all, including:

What is a Haakaa?

The haakaa is a hands-free silicone breast pump that uses suction to draw milk out. Unlike other pumps, the haakaa is made from one single piece of 100 percent food-grade silicone. It doesn’t require any batteries, plugs, or tubing—it’s completely hands-free!

Another huge benefit of the haakaa is that it’s a great way to save excess milk. Many mamas find that, when their supply is still regulating, they tend to leak. Instead of use nursing pads or a cloth to sop up that milk, the haakaa catches it, so you can freeze it and give it to baby once they’re taking a bottle down the road.

The haakaa isn’t just for new mamas though. It can be used as a manual pump throughout your breastfeeding journey. Since it’s so small, it’s a great option to toss in your purse or overnight bag if you think you might need to express a bit of milk in a pinch.

How to Use a Haakaa Silicone Breast Pump

Using the haakaa couldn’t be easier. Here’s what the instructions recommend:

1. Before the first use, wash and sanitize the pump. To do so, product literature recommends boiling the pump for 2-3 minutes, then drying thoroughly with a cloth.
2. Before each use, situate yourself wherever you’ll be nursing your baby.
3. Place the flange over your breast. Your nipple should be directly in the center of the tunnel.
4. Squeeze the base and release to create suction.
5. Nurse your baby as usual on the other side to trigger letdown.
6. Allow milk to collect while you nurse. If suction begins to decrease, you may need to readjust. It is also helpful to have an additional collection vessel handy (like a breast milk storage bag or silicone freezer tray) in the initial days when milk supply is plentiful, just in case the haakaa fills up.
7. Once done, remove the pump by squeezing lightly (careful not to spill that milk!) and transfer milk to storage containers or attach the companion bottle nipple (sold with some models) and feed baby.
8. Wash the pump with warm, soapy water and store until next use.

But many mamas find there is an easier way to create better suction:

1. Flip out the flange on the pump.
2. Center the pump over the nipple.
3. Squeeze the base of the pump.
4. Release the pump and unfold the flange so that it covers your breast.

Types of Haakaa

Like most breast pumps, there is more than one model of the haakaa available. Let’s take a look:

Haakaa Manual Breast Pump

Haakaa Manual Breast Pump – Haakaa Review Find Out How This Pump Can Help You Collect More Milk post by Mama Natural

The Haakaa Manual Breast Pump (to buy) is the model that started it all. This model is budget-friendly, coming in under $13 for the 4-ounce pump. Because it is constructed of one solid piece of 100 percent food-grade silicone, it is incredibly easy to store, tote, and clean. Like all haakaa models, this one is free from BPA, PVC, lead, and phthalates.

Haakaa Orignal With Flower Stopper

Haakaa Orignal With Flower Stopper – Haakaa Review Find Out How This Pump Can Help You Collect More Milk post by Mama Natural

The Haakaa Orignal With Flower Stopper (to buy) comes with a cute flower, which acts as a cap to prevent spilled milk. This is the most popular model, because it is still affordable but comes with the flower stopper, which many mamas consider invaluable. Note: This can be a choking hazard as baby gets older and likes to put things in her/his mouth.

Haakaa Convertible

Haakaa Convertible – Haakaa Review Find Out How This Pump Can Help You Collect More Milk post by Mama Natural

For a slight upcharge, mamas can get the Haakaa Convertible (to buy), which allows you to add a nipple and turn the collected milk into a bottle for baby. This model is particularly nice when you’re using the haakaa on-the-go or traveling. If you don’t have access to a fridge to store the collected milk, turning it into a bottle means that you don’t have to waste the milk and your baby can enjoy it right away.

Haakaa With Suction Base

Haakaa With Suction Base – Haakaa Review Find Out How This Pump Can Help You Collect More Milk post by Mama Natural

The Haakaa With Suction Base (to buy) is another variation on the original model. It’s very similar, but is available in three different sizes: 3 ounce, 4 ounce, or 5.4 ounce. The bigger pump may be better for moms with overactive letdown or moms who plan on traveling a lot. This model also features a leak-proof lid and suction cup base to prevent spills.

Other options

The concept behind haakaa is starting to spread like wildfire and there are tons of copycat options, the most common of which are Bumblebee and Naturebond. Though both Bumblebee and Naturebond are less expensive than the haakaa, customers seem to have some reservations about straying from the original brand.

• Several reviewers on Amazon note that Bumblebee measurements on the pump appear to be slightly off.
• And a few reviewers say the suction on the Naturebond decreases after several washes.

Overall, though, Haakaa, Bumblee, and Naturebond all have about 75-77 percent 5-star ratings on Amazon. If you’re looking for a basic model, you can’t really go wrong. But, if you’re looking to get the most bang for your buck, the haakaa reigns supreme when you factor in options like suction bases, leak-proof lids, and the ability to convert into a bottle.

Haakaa Reviews From Other Moms

“[I] can’t imagine breastfeeding without it! After going through multiple nursing pads on the daily and trying those in-bra milk catchers, the haakaa has been the only thing that keeps me dry and saves those precious ounces! Baby on one side, haakaa on the other!!” — Randi W.

“I didn’t touch my electric pump until the final week of my 12-week maternity leave, but still had a freezer stocked. I’d just hook it up to whatever side I wasn’t nursing. A few things that were key for me: I wish I had known this earlier on, but if you have a nursing/pumping hybrid bra—use it with the haakaa! It gives you a little extra security from baby’s wandering hands, or a droopy pump when it starts filling up. Also, take a coffee mug and designate it your haakaa mug. Some haakaas have a suction base, but overall they’re pretty unstable. A coffee mug ensures you won’t be crying over split milk.” — Megan C.

“Most people use it for collecting milk to build their stash, which I did a bit, but I also found it incredibly useful and helpful when I was having oversupply issues. Despite having a lot of milk, my daughter was still eating very frequently. The issue was that she was getting a lot of foremilk, which is very watery, and getting full on that before she could get to the good fatty hindmilk. I was able to use the haakaa to “pump” off an ounce or two on each side before feeding to help her get to the good stuff faster. My daughter started gaining weight better and then I was able to resolve my oversupply issues with block feeding.” — Rachel C.

“In the first 3 weeks since my daughter was born I’ve caught 100 ounces! When she wasn’t gaining fast enough, instead of supplementing with formula, I was able to use that caught milk.” — Jennifer W.

Though praise is overwhelming, some mamas say there’s a little bit of a learning curve:

“It was a little awkward with my son at first and I did accidentally knock it off my breast a few times, but otherwise a lifesaver!!” — Amanda K.

“Unless you need a large flange size, do not get the 5 ounce one. Even when I had a new small baby that didn’t move much during nursing, it was so cumbersome and in the way!” — Rachel D.

There were also a few mamas—particularly those with limited milk supply—who said the haakaa just didn’t work out for them.

“I was very disappointed in the haakaa, since there’s so many mamas that rave about the product. My supply was never great, though; barely produced enough to keep my daughter fed.” — Brandee M.

“I don’t leak at all. Even with all the tricks and hacks, I get drops!” — Anne L.

Common Questions About the Haakaa

Does the haakaa pump increase supply?

Your body produces milk on a supply and demand basis. This means that you can train your body to expect a certain number of nursing sessions. Using the haakaa can—in this way—help your body increase supply by stimulating letdown and milk flow. If you use this pump as directed—to catch milk that would otherwise leak on your breast pad—you probably won’t overstimulate your milk production. That being said, if you use the haakaa when you aren’t nursing your baby, you could affect supply.

Does the haakaa only collect foremilk?

No. Foremilk is thinner and less fatty than hindmilk, so it flows quickly and easily during any pumping session (manual or electric). The same is true when you use this pump—the foremilk will flow easily and quickly, while the hindmilk is slower. Keep your pump attached and eventually, foremilk will give way to hindmilk.

Can you use the haakaa as your main breast pump?

Due to the gentle constant pressure created by the suction, the haakaa breast pump does stimulate milk flow. In this sense, it does more than just collect the milk that leaks. However, if you rely on pumping (e.g. pumping at work), you will need an electric pump, because they allow you to pump both breasts at the same time, thus collecting a larger amount of milk in a shorter amount of time. Check out the best breast pumps here. 

Do you have to sterilize the haakaa after every use?

It’s important to wash this pump (and any bottle or pump) after every use. The haakaa product literature strongly encourages sterilization after each use. If you need to sterilize it, boil it for 2-3 minutes or use a steam sterilization method.

Is the haakaa dishwasher safe?

Yes! Although the haakaa manufacturer encourages sterilization, it’s important to note that this pump is dishwasher safe. Simply pop the pump in the top rack with the open hole facing down. Allow the pump to dry thoroughly before storing.

How About You?

Have you ever used the haakaa or another milk saver?

The post Haakaa Review: Find Out How This Pump Can Help You Collect More Milk appeared first on Mama Natural.

Here’s what you need to know:

• What is a nursing strike?
• How long do nursing strikes last?
• What causes a nursing strike?
• How to cope during a nursing strike
• How to end a nursing strike
• Plus, how to keep your cool

What is a Nursing Strike?

A nursing strike is when a baby or toddler who has otherwise happily breastfed suddenly and abruptly stops nursing (or is very uninterested in being at the breast).

The abrupt nature of the nursing strike is important to note, because many mothers confuse nursing strikes with weaning. However, true natural weaning from breastfeeding is almost always:

• A slow, gradual process
• Takes place over a period of weeks or months, not all of a sudden
• Usually happens when babies are at least 2 years old, unless initiated by mom

How Long Do Nursing Strikes Last?

The suddenness of a nursing strike is one of the reasons it can be so disturbing and confusing for moms. But take heart: Most nursing strikes are temporary and last between 2 and 4 days. There are some more difficult cases that last longer, but even those usually only last for a week or two.

What Causes a Nursing Strike?

Although it might feel like your baby or toddler’s refusal to nurse is coming out of nowhere, there is always a cause—it just might take some digging to figure it out. Remember: Common nursing strike may be triggered by something happening with mom or baby.

If you’re in the thick of a nursing strike, you may suspect baby:

• Is going through a new social or developmental stage that causes them to want to play and look around more than nurse
• Has an illness (especially a stuffy nose or an illness that causes mouth sores like Hand, Foot and Mouth Disease) that makes nursing uncomfortable
• Has an injury that makes nursing uncomfortable
• Is frightened, because they bit you and you reacted strongly
• Has sore or inflamed gums from teething

If you’re in the thick of a strike and have ruled out the above issues, the nursing strike may be because you:

• Are using a different deodorant, soap, perfume, etc. and your baby is thrown off by the unfamiliar scent
• Have been under more stress lately and it’s affecting your supply
• Have changed your nursing patterns because of vacation, new job, move, or a different schedule
• Are pregnant and your milk supply is reduced
• Are getting your period and milk supply is temporarily reduced
• Have been sick and are dehydrated, and your supply is affected
• Are taking a medication (like a cold medicine with pseudoephedrine or a new birth control pill) that reduced your supply

When a nursing strike isn’t actually a nursing strike…

If none of the above apply, take a moment to assess whether what you’re experiencing is actually a nursing strike. (If you need help, a lactation consultant is a great resource.) There are times when it might look like your baby is striking, but what’s really happening is that they are breastfeeding more efficiently and for less time. Many mamas make this mistake around 4 months or so, when those 20-minute breastfeeding sessions are often replaced with quicker 5 to 10 minute sessions.

What to Do if Your Baby Goes on a Nursing Strike

Besides not panicking (which can be hard, I know!), your top priorities when your baby is striking is to make sure they are well fed and that your milk supply stays intact. Here’s how to do that:

• For every nursing session your baby misses, pump or hand express your milk to ensure your supply doesn’t dip
• Feed baby the expressed milk using a method like paced bottle feeding to most closely mimic that of breastfeeding
• Count baby’s wet diapers—baby should have at least five wet diapers per day after six weeks
• Speak to your baby’s pediatrician or a lactation consultant if you have any questions about your baby’s intake or your milk supply

How to End a Nursing Strike

After you’ve covered the bases in terms of feeding and expressing, your next step is to gently and lovingly coax your baby back to the breast. Your top goal here is to remind your baby that the breast is a place of comfort, love, and food—and to help them forget about whatever triggered the nursing strike.

You need to figure out what is the magic ticket for your baby—and it might be a combination of “tricks”—but here things to try:

• Keep stress to a minimum if possible (practice deep breathing!); your baby can pick up on your stress
• Nurse in a dark, quiet room, away from any stimulation
• Nurse when baby is sleepy, right before a nap or bedtime, or just when they are waking up from sleep
• Try different nursing positions
• Nurse while babywearing, and add a little bouncing!
• Nurse skin-to-skin
• Take a “nursing vacation,” spending the weekend in bed with your baby, resting, doing skin-to-skin, and offering the breast
• Stimulate your let-down first, via pumping or hand expression, and then offer the breast
• Try co-sleeping
• Avoid pacifiers; instead, offer your breast for comfort, or let your baby suck on your finger
• Take a bath with baby and try nursing then
• Wear big, bright necklaces that baby can “play” with while nursing… sometimes you have to use the power of distraction to get baby to nurse!

How to Take Care of Yourself During a Nursing Strike

Being in the middle of a strike can cause you to stress out and even begin to question yourself as a mother. It’s so important to remember that you are not to blame. Nursing strikes are really common.

Practicing self-care during a nursing strike is so important. Here’s how:

• Make sure you are pumping or hand expressing often. Not only do you want to keep up your supply for your baby, but you want to avoid a clogged duct or mastitis, which will just make things more miserable.
• Reach out to fellow nursing moms for support. Knowing there are other moms out that who have been through a nursing strike and gotten through it can be so reassuring.
• Connect with a lactation consultant or breastfeeding peer counselor (at La Leche League, for example) who can arm you with confidence and information to get through the strike.
• Contact your pediatrician if you are concerned that your baby isn’t getting enough to eat or is on a nursing strike because of an undiagnosed medical issue.

You Will Get Through It…

Most of all, keep the faith. The first rule of nursing strikes is that they always end. So take a deep breath, muster up all the patience you can, and remember that this too shall pass.

How About You?

Did your baby ever go on a nursing strike? What words of assurance would you offer a mom experiencing this?

The post How to Get Through a Nursing Strike Without Losing Your Supply appeared first on Mama Natural.

In this post, we’ll cover:

Types of Breast Pumps

When it comes to breast pumps, you’ve got two main options: electric and manual pumps.

Electric breast pumps

These types of pumps are ideal for mothers who work out of the home and pump several times throughout the day.

Manual breast pumps

Manual pumps are ideal for mamas who only pump occasionally or who need to pump without access to electric outlets. Even if you don’t work out of the home, it’s nice to have a pump on hand to help build a freezer stash, to use milk to make baby food, to relieve clogged ducts, or to make it through a nursing strike. This light weight, minimal pump is easy to throw in your diaper bag and go. Hands-free pumps can also catch milk from your unused breast while your baby nurses on the other side.

The Best Breast Pumps

Once you’ve decided that you should add a breast pump to your registry list, your next step is to decide which one? Ask yourself:

• Will I use the pump daily?
• Do my pumping sessions as quick and efficient as possible?
• Do I need a hands-free option?

If you’ve answered yes to any of the above questions, consider an electric breast pump.

Best electric breast pumps

The winner: 

There’s a reason Medela continues to be a top pump brand: It mimics the way a baby nurses to maximize your pumping session. This means you’ll get more milk—faster! The Medela Pump-in-Style Backpack contains everything you need to pump at home or at work, including multiple nipple flanges, coolers, ice packs, and more. The best part? The entire pump is built into a backpack, so it’s extremely easy to pack up and go. This model also comes with a backup battery, so you don’t have to rely on a power source.

The runners up:

Medela Freestyle Double Electric Pump

Similar to the Pump-in-Style, the Freestyle offers the options to use battery or AC power. The Freestyle also comes with a digital device to log breastfeeding sessions, which is helpful if you plan on pumping a lot. The only downside? The storage case is a tote-style, which may not be as easy to carry as the backpack.

— Check it Out —

Medela Freestyle Double Electric Pump

Lansinoh Signature Pro Double Electric Pump

The Lansinoh double electric pump allows you to pump your breast milk directly into sterilized milk storage bags, which means you won't have to worry about pouring milk from bottles into the storage bags. Many mamas find this to be an invaluable time-saver. And, like the Medela Freestyle, this too comes with a digital tracker to help you log your pumping sessions.

— Check it Out —

Lansinoh Signature Pro Double Electric Pump

Philips Avent Electric Pump

This pump's flanges feature comfortable massaging ridges that promise to help increase output. Philips Avent also proudly boasts a "no lean forward" design, which means you can pump and recline without fear of leaking milk. Another perk? This quiet pump also features BPA-free parts.

— Check it Out —

Philips Avent Electric Pump

Spectra 2

A favorite of moms in my birth course, this electric breast pump has the strength of a hospital-grade pump in a small, but is nice and compact. It's a great choice for natural mamas, since all storage containers and parts that come into contact with breast milk are BPA- and DEHP-free.

— Check it Out —

Spectra 2

Elvie Pump

This pump is silent, tubeless, wireless and oh-so-convenient. Imagine pumping while you drive to work? With this pump, it's possible. The only downside is that each cup holds less than some of the other pumps, especially if you consider that the Lansinoh pre-sterilized milk storage bags can hold six ounces of milk. However, if you don't mind emptying your cups more often, then this might be a good option for you. A quick note: because this pump is so new, it's already sold out as of this writing. (Although, we have a feeling, they'll restock this gem in no time!)

— Check it Out —

Elvie Pump

Willow Breast Pump

Like the Elvie, the Willow is a wearable pump. The newly updated Willow models feature leak-proof bags and a one-way valve so you don't have to worry about milk leaks and stains while you pump. See-through milk storage bags let you quickly gauge how much milk you've pumped. And the pump even syncs with an app to tell you exactly how much milk you've pumped. The downside? This is a smart pump, which means you'd be wearing tech on your body, potentially exposing yourself (and your milk) to EMFs. 

— Check it Out —

Willow Breast Pump

Lansinoh Manual

Like the Medela manual pump, the Lansinoh pump also features different settings for stimulating let-down and then expressing milk. Unlike many other manual pumps, the Lansinoh has softer edges on the flange. Not only is this more comfortable for mama, but it helps create a better suction too!

— Check it Out —

Lansinoh Manual

Philips Avent Manual pump

The unique massage ridges on this pump help to massage and encourage milk flow from your breasts. Thanks to the unique design, the Philips Avent manual pump does not require you to lean forward as you pump, which means you can get cozy on the couch while you pump.

— Check it Out —

Philips Avent Manual pump

Do You Need a Breast Pump?

Even if you’re exclusively breastfeeding, it’s worth getting a pump, especially if you…

Need to give baby a bottle

After breastfeeding has been established, it’s a good idea to introduce a bottle at four to five weeks to give you the freedom you need to leave baby for a few hours at a time, whether for work, errands, or even a date night. Bottle feeding can also be a special way for fathers or grandparents to bond with the baby and help care for the baby.

Plan to return to work

A breast pump is essential for a mom who plans to return to work and continue to breastfeed. A pump allows you to build a freezer supply and provide the milk your baby will need throughout the day.

A quick note on breast pumps and baby bottles: If you want the efficiency of these pumps, but don’t like the fact that pumps come with plastic bottles, try LifeFactory baby bottles. They are compatible with most “major” pumps.

How Much Do Breast Pumps Cost?

Breast pumps vary dramatically from $28, to $200, to $2000+ (for the hospital grade pumps). In general, a quality manual breast pump costs about $30, while a quality electric breast pump costs about $150-200.

The good news is that many insurance companies do cover a small selection of breast pumps. Learn more about how to get a free breast pump through insurance.

Want to Learn More?

Once you’ve purchased the best breast pump for you, check out these resources:

• Breast Pumping: The Ultimate Guide to Getting It Done
• The Best Bottles for Breastfed Babies
• How to Warm Breast Milk to Preserve Nutrients
• Can Power Pumping Save Your Supply? Find Out Now

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The post The Best Breast Pumps for Breastfeeding Moms appeared first on Mama Natural.

]]> https://www.mamanatural.com/breast-pumping-tips/?utm_source=rss&utm_medium=rss&utm_campaign=breast-pumping-tips Tue, 28 May 2019 11:22:23 +0000 https://www.mamanatural.com/?p=200535 If you need to be separated from your breastfeeding baby for any reason—whether you are returning to work, or will just be away for an afternoon—you will likely need to pump. While not necessarily an enjoyable activity, we have some great tried-and-true breast pumping tips to share with you. Breast Pumping Tips: The Basics 1. […]

The post Breast Pumping Tips: How to Deal If You’re Struggling appeared first on Mama Natural.

]]> If you need to be separated from your breastfeeding baby for any reason—whether you are returning to work, or will just be away for an afternoon—you will likely need to pump. While not necessarily an enjoyable activity, we have some great tried-and-true breast pumping tips to share with you.

Breast Pumping Tips: The Basics

1. Find a quiet, comfortable place

“Letting down” and collecting milk for the pump requires you to feel at ease and comfortable. For most of us, this means finding a private, quiet space that is separated from the rest of the world. Keep in mind that federal pumping laws require your workplace to provide such a space for you as well.

2. Don’t stress

When you’re stressed, hormones like adrenalin and cortisone are released, both of which can inhibit oxytocin, the hormone responsible for releasing milk. Many moms find that practicing relaxation techniques—or even distracting themselves by watching videos or scrolling through their phones—can help immensely when it comes to pumping their milk.

3. Take care of yourself

It can be hard to balance your own needs when you are the busy mom of a baby (and maybe other children, too). But your basic needs are important, especially when it comes to successful pumping. Make sure to get as much sleep as you can (even if it’s in interrupted chunks!), and keep yourself well nourished. Breastfeeding moms burn up to 500 calories a day, the equivalent of running 1 hour!

4. Dress to make it easier

Nursing shirts aren’t just useful when you are breastfeeding your baby. When you are pumping, you’ll want to wear either a nursing top or a shirt that opens in the front for easy pumping access. At home this might not be as big of a deal, but when you’re on the go, you’ll be especially glad you don’t have to strip down to pump.

5. Get a hands-free bra for comfort

Hands-free bras—where the flanges fit into the bra cups—are so helpful when you are pumping. If you are pumping while caring for your baby, hands-free pumping bras leave your hands free to hold your baby. But it’s also helpful to have your hands free for so many other tasks, including working, eating, you name it…

6. Get a pump that can drain both breasts simultaneously

For better time management, most women prefer a double electric pump, so that both breasts can be stimulated and emptied at once. Some moms prefer a manual pump (or even a hands-free pump), which is lighter and more portable than an electric pump. It can also be used when your baby is nursing on the other side.

7. Make sure you are well hydrated

Nursing and pumping will make you extra thirsty, so keep water or another favorite beverage on hand while you are pumping. Just note: While drinking extra fluids doesn’t necessarily increase your supply, you won’t feel well if you are dehydrated and you may not have adequate energy to complete your pumping session.

8. Don’t rush the process

Pumping your breasts completely typically takes about 20 minutes, but sometimes it can take a bit longer. Try not to compare yourself to other moms, or even to your last pumping session. Rushing your pumping session will only stress you out, which can decrease your output. Set aside plenty of time to get the job done.

If You Still Need Breast Pumping Tips…

Even once you’ve got the basics covered, it’s normal to run into other problems along the way—we all do from time to time on our pumping journeys. Don’t worry: There is always a way to make things work. Here are some other breast pumping tips to help you troubleshoot:

9. If it’s early morning, pump right after a feeding

The morning is a great time to pump, because your supply tends to be somewhat higher then. In general, most moms like to wait to pump until after they breastfeed their baby, about an hour or so after your last nursing session.

10 Grab a photo of your babe

A picture is worth a thousand words! If you aren’t with your baby while you pump, looking at their sweet face can help release the oxytocin you need to let down while pumping. Other moms will listen to audio or video recordings of their babies for similar effects.

11. Try a breast massage or warm compress

Massaging your breasts while pumping and adding heat (like a warm washcloth or other compress) can really help drain the breast. Give it a try if your milk flow seems to have slowed.

12. Try hand expressing for 1-2 minutes first

Hand expression can help get your flow started before you even start pumping. You can also add hand expression in the middle of pumping if things have slowed—or at the end to get any extra milk out.

This video can help you learn how to hand express:

13. Toggle between phases for extra stimulation

There are two different pumping settings on an electric pump: stimulation and expression mode. You generally use the stimulation mode to elicit your letdown, and the expression mode once your milk is flowing. However, some moms find that switching between the two at different intervals can help, too.

14. Pump on one side while breastfeeding on the other

Many moms find great success in pumping the other side while their baby nurses. Not only does this save time, but it al helps produce a letdown, which can be helpful if you are finding it hard to let down for your pump.

When things really aren’t working…

If you are still having issues with pumping, don’t despair. There is almost always a solution out there, and sometimes it isn’t even something you are doing wrong, but an equipment issue. If this could be the case for you, here are a few key breast pumping tips to keep in mind.

15. Make sure your flanges fit properly

The flange is the part that fits over your breast during pumping. Some lactation consultants claim that most women are using flanges that are too large. Flanges can also be too tight, which causes chafing and irritation.

Flanges that fit properly should leave some space around your nipples, so your nipples can move freely during pumping. Your flange may be too small if your nipple rubs against the sides of the flange while pumping. Alternatively, your flange may be too big if a large portion of your areola is drawn into the flange while pumping.

Alternatively, you might want to try an angled flange. The Pumpin’ Pals angled flanges are ergonomically designed to fit your breast better, to allow you to sit more comfortably, and to have a more comfortable pumping session.

Properly Fitting Flange Graphic

16. Be sure you have a high enough setting to extract the milk

If your pumping speed is turned too low during the expression phase, it will not adequately stimulate your breasts. If it’s too high, however, it can cause nipple damage. Try to keep it on the highest setting possible while also allowing you maximum comfort.

17. Try galactagogues

Galactagogues are foods or supplements that work to naturally increase your milk supply. There are many that you can try, including foods like oatmeal or almonds, or herbs like fenugreek, blessed thistle, and alfalfa. For a more comprehensive list, check out this post on increasing milk supply. You can also try my lactation cookies. Legendairy Milk Products makes a supplement called “Pump Princess” which may be helpful in boosting your supply!

18. Try power pumping

Power pumping is a pumping method used to mimic “cluster feeding,” where babies nurses very frequently for a few hours in a row. The idea is to pump for 10-20 minutes a time, with short breaks in between, for a few hours in a row. This isn’t something you can do all the time, obviously, but it can really help increase your milk supply in a pinch. Keep in mind that it can take a couple of days for your breast milk supply to respond and increase in quantity.

19. Check your pump

Sometimes pump parts are not functioning correctly. Use this as a guide on when to replace various parts:

• Valve membranes: Replace every 2 weeks to 2 months
• Duck valves: Replace every 2 to 3 months
• Backflow protector diaphragms: Replace every 3 to 6 months
• Tubing: Replace if tubing begins to show signs of stretching or easily slips off the pump
• Breast shields: Replace every 6 months

Note: If you pump frequently, use you’ll need to replace your parts more frequently. If you only pump occasionally, you can stretch time between replacements a bit further. 

If you’ve tried all of the above breast pumping tips and nothing is working, contact your pump company. In many cases, they will help you fix the pump or even send you a new one.

20. Get help

Bottom line: Pumping can be stressful! You are not alone if you feel that way. Make sure to reach out to a lactation consultant, or a breastfeeding volunteer organization like La Leche League or Breastfeeding USA for help. It’s always better to address any problems sooner rather than later.

And don’t underestimate the power of connecting with fellow moms, either online or at a breastfeeding support group. Sharing stories and concerns with other pumping mamas can make a huge difference!

Most of All, Don’t Give Up!

You’ve got this, and please know that whatever struggles come your way, you are an incredible mama. The effort you’re putting into feeding your child is amazing!

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The post Breast Pumping Tips: How to Deal If You’re Struggling appeared first on Mama Natural.

]]> https://www.mamanatural.com/exclusive-pumping/?utm_source=rss&utm_medium=rss&utm_campaign=exclusive-pumping Tue, 21 May 2019 12:03:13 +0000 https://www.mamanatural.com/?p=200360 While most would prefer to breastfeed their baby straight from the tap, that isn’t an option for every mom—and that’s where exclusive pumping comes in. Though it’s a wonderful sacrifice to make for your baby, it’s a huge undertaking. So if you’re about to embark on this journey, use this article as a guide. We’ll […]

The post Exclusive Pumping: The Ultimate Guide to Getting It Done appeared first on Mama Natural.

]]> While most would prefer to breastfeed their baby straight from the tap, that isn’t an option for every mom—and that’s where exclusive pumping comes in.

Though it’s a wonderful sacrifice to make for your baby, it’s a huge undertaking. So if you’re about to embark on this journey, use this article as a guide. We’ll cover it all, including:

On this page…

• What Is exclusive pumping

• Reasons for exclusive pumping

• Exclusive pumping schedule

• How much milk you need to pump

• Plus, tips to make exclusive pumping more comfortable and convenient

What Is Exclusive Pumping?

Exclusive pumping is when you provide breastmilk for your baby, but don’t do so through direct breastfeeding. Instead, you pump the milk your baby needs, and bottle feed at regular intervals.

Reasons for Exclusive Pumping

Most moms don’t make the decision to exclusively pump from the onset. Instead, this is a decision some moms make if breastfeeding isn’t successful.

Here are the most common reasons a mother chooses to exclusively pump:

1. Preemies: Many preemies can breastfeed, but depending on their age and any medical conditions they face, breastfeeding may not be an option at first. For this reason, many mothers of preemies find themselves exclusively pumping.
2. Latch issues: Some babies have trouble latching, and some never end up being able to (this is rare, but it does happen). Reasons for this may be anatomical differences in the baby (cleft palate, tongue tie, or lip tie) or in the mother (flat or inverted nipples). Other babies have muscle tone issues, sensory, breathing, or neurological issues that complicate latching.
3. Multiples: Breastfeeding more than one baby is really hard! Many moms of twins find their groove with breastfeeding, but other moms find it too overwhelming and choose to exclusively pump for their babies instead.
4. Mom’s health: Sometimes a mom has a health issue that makes direct breastfeeding difficult or impossible. For example, a mother may have a history of sexual abuse and find that breastfeeding triggers PTSD.
5. Lack of maternity leave: Some moms have either a very short maternity leave or no maternity leave at all, and find the idea of exclusive pumping works better with their schedule. Other moms have jobs that require extensive and frequent overnights (for example, flight attendants or moms stationed in the military) and also find exclusive pumping simpler.
6. Personal preference: A small percentage of moms know from the beginning that they want to provide breast milk for their babies, but they have no interest in nursing. Others try nursing and decide pumping is best for them.

Exclusive Pumping Schedule: How to Exclusively Pump

If you have recently made the decision to exclusively pump or are considering it, you are probably wondering what your days as an exclusive pumper will look like.

In short, you need to pump on the same schedule as your baby eats. Here are some basic guidelines:

1. Pump at least every 2 to 3 hours, or about 8 to 12 times each day for the first month. This includes at least one pumping session at night (don’t let more than 4-5 hours go by at night without pumping, as this could negatively affect your supply).
2. Pump for at least 15 minutes on each side, or 20-25 minutes if you are double pumping. A good rule is to pump until nothing else is coming out, then take a 2-3 minute break, and pump a little more to see if you get an extra letdown.

Note: Beyond the first month, once your milk supply is fully established, you may be able to decrease pumping frequency and duration. Follow the guidelines below to determine approximately how much milk your baby needs. 

How Much Milk Should I Be Producing When Exclusively Pumping?

Although most moms produce roughly the same amount of milk for their babies, all moms are different. Some moms have an oversupply, other moms have a more average yield, and some moms are never able to produce a full milk supply. Keep in mind, too, that not all moms respond favorably to a pump.

That said, there are some general guidelines about how much milk an exclusive breastfeeding baby will need to grow and stay healthy.

1. First few days after the birth: You will only be able to pump and collect a small amount of colostrum. Usually hand expression is the best way to collect this.
2. After the first few days, as your milk comes in: Expect about 2-3 ounces every 2-3 hours—the equivalent of about 24 ounces in a 24 hour period. (This doubles for twins, triples for triplets!).
3. After the first month: Shoot for 3-4 ounces every 3-4 hours—the equivalent of about 24 to 32 ounces a day. This amount will remain fairly constant for the duration that your baby is exclusively breastfed—usually from about one month of age till 6 months or whenever you introduce solids.
4. By six months: As your baby gets closer to six months, you can try to lengthen the time between pumping sessions to about every 4 to 6 hours. You still want to pump at least 24 ounces a day, if not more. (Note: This depends on how much solid food baby is on.) If your output decreases, you may have to tweak your exclusive pumping schedule.
5. By 1 year: Once baby has been comfortably eating solids for a few months, you can begin to offer the solids before offering the breast. Because of this, baby will depend on solid food for nutrients, but lean on breast milk to fill in any nutritional gaps. This will look different for everyone, but most babies drink about 16 ounces of breast milk per day. By 24 months, this decreases further, with most babies drinking about 10 to 12 ounces of breast milk per day.

Exclusive Pumping Tips

Exclusive pumping is an all-encompassing and time-consuming task. It’s a 24-hour commitment! Pump, feed, clean, repeat… it can feel like feeding your baby is all you’re doing.

That’s why you need a good plan and some “tricks of the trade” to keep you afloat when the going gets tough: 

1. Get the right type of breast pump
   • You’ll need a double-electric breast pump to make exclusive pumping work.
   • If you are pumping for a preemie or newborn, consider renting a hospital grade pump, which can increase your output.
2. Be sure your flanges fit properly.
   • There should be some space around your nipples, so your nipples can move freely during pumping. Your flange may be too small if your nipple rubs against the sides of the flange while pumping. Your flange may be too big if a large portion of your areola is drawn into the flange while pumping. You can also try angled flanges, which are ergonomically designed to fit your breast better.
3. Make sure your partner is on board to help
   • Your partner can clean your pump for you, feed the baby, change the baby, bring you drinks and snacks, etc.
4. Set up a pumping station
   • Once you’ve got your pump set up, you’re not going to want to get up and get extra supplies. Keep your pumping area fully stocked with clean pumping bra, all of your pumping equipment, snacks, drinks, and anything else you will need.
5. Invest in a hands-free bra
   • A hands-free bra allows you to secure the pumping flanges to the bra cups and have your hands free for everything else. Hands-free pumps are a game-changer for most exclusively pumping moms.
6. Keep plenty of extra bottles, flanges, and any other accessories on hand
   • You don’t want to run out of essentials in the middle of the night while you’re pumping. Keep a plentiful stock of all pump parts and milk storage items.
7. Clean and replace parts regularly
   • Valves and membranes should be replaced at least once per month if you are exclusively pumping. If you are pumping just a few times per day, consider replacing these parts every two months.
8. If needed, get help
   • • Talk to a lactation consultant to help formulate a plan and tackle any issues you’re experiencing.
     • Build a support system by joining La Leche League or finding online forums—it’s so important to have other mamas either nearby or online who understand what exclusively pumping entails, and all the struggles you face.

Most of All: Pat Yourself On the Back!

Besides the practical demands of exclusive pumping, one of the hardest parts is the guilt you might feel about not being able to breastfeed your baby. It’s natural to feel that way, but there is absolutely nothing to feel guilty about. Feeding looks different for every mama and baby. You’re working your tail off to provide breast milk for you baby. That is an amazing and noteworthy accomplishment.

But don’t forget: If you feel overwhelmed, try to give yourself some grace and consider these strategies for reducing stress. If exclusive pumping is weighing on you heavily, there are plenty of other options, including donor milk and natural formula. The single most important thing is that baby is fed, so they can continue to thrive.

How About You?

Did you exclusively pump for your baby for any amount of time? What tips would you share with your fellow moms?

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