Before you scoff at the idea. Consider this: Global studies show that the standard of postpartum care is declining, even in countries like the United States. In fact, the United States has the highest maternal morbidity rate in the developed world.

Why? Dangerous conditions, like postpartum preeclampsia, go undiagnosed and the CDC estimates that nearly 40 percent of American mothers with postpartum depression never get proper care.

Because of this, it’s so vital to have a proper postpartum care plan in place.

In this article, we’ll cover:

• What the current standard of postpartum care is and why it isn’t enough
• Common health concerns every postpartum mama should know about
• Plus, explore how the right postpartum care plan can help you stay healthy

The Problem with Postpartum Care

If you’ve ever watched Call the Midwives, you know that the majority of mid-twentieth century English mothers gave birth at home with midwives. After the delivery, midwives would continue to make house calls to check on both baby and mama.

Unfortunately, the model of care has shifted, and traditional healthcare professionals don’t make house calls. This is despite the fact that, according to the American College of Obstetricians and Gynecologists (ACOG) Committee Meeting in May 2018, postpartum women should:

• Be in touch with their OBGYN during the first three postpartum weeks
• Discuss infant care, sleep needs, and basic baby care with their OBGYN
• Schedule a comprehensive postpartum assessment between six to 12 weeks postpartum that focuses on all needs of mama: physical, social, and psychological well-being.
• Go over physical recovery needs with their OBGYN
• Review mental and emotional needs with their OBGYN
• Discuss current health needs (including nutrition and chronic condition management and sexual health needs)

But these standards aren’t often met. 

Here’s what really happens…

Many women leave the hospital quickly with limited information on how to care for their body and what warning signs require a call to the OBGYN or midwife.

Once mama returns home, she probably won’t even speak with her doctor until a six-week checkup, which may entail the following:

• Weight check
• Blood pressure screening
• Postpartum depression screening
• Pelvic exam
• Birth control discussion

But sadly, many of these appointments are rushed and focus on the latter part—birth control discussions. Too often mamas do not receive any guidance on postpartum nutrition, physical needs, or mental health needs.

Why is this a problem?

According to the World Health Organization, most maternal deaths are related to hemorrhaging and infections after childbirth.

And not just in the first 24 hours following delivery. Statistically, women are more likely to die a few days to a few weeks after birth. (source)

Women of Color and Post-Birth Complications

These stats are even more relevant for African American women, who are 243 percent (!) more likely to die from either pregnancy-related conditions or childbirth-related causes than women of other ethnicities. (source) Black women also have higher rates of morbidity associated with preeclampsia, placenta previa, placenta abruption, and postpartum hemorrhage. The worst part is that all of these conditions can be monitored and treated by an OBGYN or midwife.

This is prime evidence that most women aren’t getting the care they need during the crucial postpartum window.

Why is this? Mamas of color aren’t just at risk for complications because of potential genetic and lifestyle risk factors. Racism of hospital workers or even doctors can contribute to less-than-adequate healthcare. According to an article published by the American Heart Association, a bigger problem is this: African American women are often undervalued in medical settings.

This scary stat makes a postpartum care plan even more essential. If possible, look for fellow women of color to support you during your birth and afterward:

• National Black Doulas Association has a directory so you can find a doula near you
• Sista Midwife Productions has a directory for black midwives and doulas

Why You Need a Postpartum Care Plan

All mothers deserve so much more.

We are hyper-vigilant about checking baby’s well-being (and rightly so!), but we need to do the same for moms.

Any marathon runner knows that the race is important—but they also know just how important the recovery is, too. Childbirth is a marathon, and the postpartum period is when mamas heal. During this recovery time (ancient cultures called this a lying-in!), mamas need to know about the biggest health concerns:

• Postpartum pre-eclampsia: Pre-eclampsia and eclampsia are often thought of as prenatal conditions, but it is possible to develop postpartum pre-eclampsia. It is a rare condition characterized by high blood pressure and protein in your urine after childbirth. Headaches, severe swelling, and blurred vision can be warning signs of pre-eclampsia.
• Postpartum hemorrhaging: It’s normal to bleed after childbirth, but losing more than 1000 ml of blood during the first 24 hours can be a sign of postpartum hemorrhaging. Blood clots (larger than a golf ball) and severe bleeding (that fills a pad in an hour) can also be signs of hemorrhaging.

These two conditions are serious, but they aren’t the only healthcare concerns. Postpartum mamas should also know about other conditions, such as:

• Heart conditions and cardiovascular disease: Postpartum cardiomyopathy (which means your heart isn’t pumping strongly enough) can occur up to five months after childbirth. (source)
• Blood clots: The risk of serious blood clots (such as in the leg) extends three months after childbirth. (source)
• Pelvic pain caused by pelvic organ prolapse: A pelvic organ prolapse refers to one of your pelvic organs (e.g., the uterus, bladder, and/or bowel) slipping out of its normal positions and sliding down towards the vagina. This condition can affect your ability to use the restroom comfortably, but it can also contribute to back pain and incontinence.
• Diastasis recti: This condition refers to the separation of your abdominal muscles. This naturally happens during childbirth, but the gap doesn’t always return to normal. A gap bigger than 2.7 centimeters is considered to be diastasis recti. This can cause the “mom pooch,” but it can also contribute to incontinence.
• C-section recovery issues like infection (which can lead to sepsis), pain, and delayed healing.
• Postpartum depression: Postpartum depression is a mood disorder that develops in postpartum women due to shifting hormone levels. It’s characterized by feelings of sadness, anger, difficulty concentrating, and even a lack of interest in favorite hobbies.
• Postpartum anxiety: Like postpartum depression, postpartum anxiety affects mothers shortly after childbirth. Postpartum anxiety is characterized by intense worry that affects your daily life. Studies show more women have postpartum anxiety—a whopping 17 percent of postpartum women!

Creating Your Own Postpartum Plan

So what can you do with this knowledge? Besides use this information to empower yourself, you can create a postpartum care plan to make sure your body and mind stay as healthy as possible. Here’s how:

1. Stock up on essentials

Many hospitals and birthing centers will send you home with the basics, but this may not be enough. Before your due date, consider stocking your home with your own postpartum kit. Padsicles, Rescue Remedy, and easy-to-grab snacks are just a few things that will make your recovery easier. For a more comprehensive postpartum kit, check out this post.

2. Rest

We live in a go-go-go society, but after you have a baby, your body needs rest—and lots of it. Most mothers need 30 to 40 days of rest and TLC. Studies show that most mothers are not even prepared for this period, so it is important to plan for rest. Not only does this give your body and mind time to heal, it also allows you plenty of time to focus on  your baby and nurse in peace on demand.

To make sure that you get the rest you deserve, consider hiring a postpartum doula. Friends and family members can also be invaluable during this time, too.

3. Advocate for yourself

You don’t have to wait until the six-week postpartum check-up to see your healthcare provider. Talk to your doctor about checking in before the three-week mark as per the committee recommendations outlined above. This is especially important if you have other health conditions unrelated to pregnancy and childbirth.

If you suspect any issues during the postpartum period, don’t be afraid to mention them to your OBGYN or midwife. Speak up and demand to see your OBGYN or midwife—mention the ACOG guidelines if you need reinforcement. Don’t settle for dismissal. You know your body best and you can always seek a second opinion. Even if everything ends up okay, the peace of mind can be invaluable.

Even though you need care shortly after birth, you’ll continue to need care for a full year (yes, childbirth recovery can take a full year!), so don’t feel ashamed to check in with your doctor or midwife more frequently. This is especially good to remember if you feel like something is wrong.

4. Try Zuo Yuezi

In Asian cultures, most postpartum mothers adopt a practice called zuo yuezi, which translates to “confinement.” The zuo yuezi refers to the first 40 days after childbirth in which mama confines herself to the home.  This is a confinement period in which mama settles cozily into the home, resting and eating warming foods. The majority of the time is spent nursing, bonding, and resting. Interested? You can learn more about First 40 Days here.

5. Focus on a nourishing diet

Although you may be anxious to shed the baby weight, this isn’t the time to focus on weight loss. Let food be your medicine. Nourishing food can help your body heal, promote breastmilk production, and provide you with energy. Food plays a big role in supporting your mental health, too! One study found that supplements (including blueberry juice) helped reduce the risk of postpartum depression.

Not sure what to eat while nursing? Check out this post.

6. Get help

You know the phrase: it takes a village to raise a child. It takes a village just to recover from childbirth, and there is no shame in asking for help. Here a few ideas you can use when creating your postpartum plan:

• Hire a postpartum doula
• Ask friends or family members to make meals for you (or sign up for a meal delivery service)
• Ask friends for help with specific tasks (like chipping in for a doula or running to the store for more pads, diapers, so you don’t have to venture out while still recovering)
• Ask for a friend or family member to come hold your baby while you take care of yourself (like taking a sitz bath, a shower, or even just a nice nap)
• Have a friend sit with you and chat while you nurse your baby (sometimes just being present with another adult is comforting)
• Arrange for someone else to drive you to any follow-up appointments
• Hire a cleaning service to take care of the household chores (at least during your initial healing period)
• Ask for help from your midwife or OBGYN if you’re struggling with mental health issues after delivery

Asking for help is one of the bravest things you can do, and sometimes it’s the only way to find the time and energy to truly take care of yourself.

What About You?

Did you make a postpartum care plan? What did you include in your care plan?

The post Your Postpartum Care Plan: How to Stay Healthy During the 4th Trimester appeared first on Mama Natural.

You’re entering your third trimester, and you’re dreaming of those hazy newborn days filled with peaceful snuggles and cozy nursing sessions.

Unfortunately, the immediate postpartum period often looks more like this:

• You’re totally drained.
• Your bottom is sore.
• You’re supposed to be prepping your sitz bath, but baby is crying.
• And now your breasts feel engorged.
• The laundry is piling up and you haven’t a clue what to make for dinner.
• Aaaand now you’re crying.

We’ve all been there, mama!

While there’s no telling what the first few weeks with baby will bring, one thing is for sure: You can prepare yourself with parents-to-be classes.

In this post, we’ll cover the five reasons every parent should take a parenting class, and answer all of your most burning questions.

First Thing’s First: What IS a Parenting Class?

Baby care classes go by many names: parenting class, parents-to-be classes, new parent classes, newborn classes… the list goes on.

Regardless of what you actually call your baby care class, the goal of the class is the same: to prepare you and your partner for taking care of a newborn.

Why Everyone (Yep, Even Second-Time Parents) Should Take a Parents-to-Be Class

You already took a birthing class… do you really need to take a baby care class?

You betcha. Here’s why.

1. Learn how to parent a newborn calmly and confidently

Perhaps one of the most advantageous benefits of a newborn care class, you’ll learn to parent a newborn with confidence. This is especially important if you’re expecting your first baby, or it’s been a few years since you last had a newborn in the house.

Knowledge is the first step to doing anything—especially parenting—with confidence.

When you’re confident in your abilities, you’re more likely to be calm, too. And guess what? Baby picks up on your energy. So a calmer, happier parent equals a calmer, happier baby.

2. Gain the knowledge you need to thrive in the fourth trimester (and beyond)

Parenting a newborn is as much about you as it is your baby. A good baby care class acknowledges the fact that, yes, you are parenting a newborn, but you’re doing so while you’re in the fourth trimester.

You need time to recover and heal during this period as well.

A baby care class can provide valuable information—like how to comfortably nurse a newborn when you have a C-section scar to deal with—so you can thrive during this transition.

3. Discover practical tips and insights from experts in baby care

A baby care class doesn’t just explain how much a baby needs to eat or sleep, it also provides useful tips. I like to call these the “how-tos”: how to bathe a slippery, tiny newborn baby, how to swaddle a newborn so the baby’s arms stay perfectly snug, or how to dress a baby for all types of weather.

You’ll learn practical tips for all facets of taking care of a baby including:

• Eating
• Sleeping
• Diapering (“Is this poop normal?” is a totally common—and completely normal—question!)
• Safety, including baby proofing, car seat safety, and feeding safety
• First aid for a baby, including an overview on CPR
• Baby ailments, including what to do if you think your baby is constipated
• How to play with a newborn
• Essential baby gear and how to use it

4. Connect with a dynamic tribe of new mothers just like you

Taking a parenting class can help you meet a dynamic tribe of new mamas. This is true for in-person and online classes.

In today’s digital world, we’re often isolated from one another. Sometimes it feels like the whole “it takes a village” concept is just non-existent. But we don’t have to feel isolated, and we don’t have to let the digital world disconnect us. We can use the online world to connect with a whole tribe of new mamas.

Is there anything as satisfying as finding a fellow mama who completely gets what you’re going through? Sometimes a “me too” moment can turn acquaintances into fast friends.

5. And—bonus—you might even get more sleep!

Studies show that learning baby care principles can promote better sleep for babies and children. And, seriously, what new parent doesn’t want a little (or a lot!) more sleep?!

Where to Take Newborn Classes

If you’re asking “Where can I find a newborn class near me,” the answer is simple: right in your own home.

Online!

Of course, you can find newborn classes in your city—many hospitals and birthing centers offer them, but who can resist the benefits of taking a newborn class right from the comfort (and convenience!) of your own home?

There are many benefits to taking online parenting classes because they’re:

• Flexible: If you’re taking in-person classes, you’ll have to attend the class on the instructor’s schedule. If you can’t attend the class at that time, you simply miss the class. Online classes are more flexible, so you can take the class when it’s most convenient for you.
• Individualized: If you’re not formula-feeding, you don’t need to waste time sitting in a class while the instructor talks about formula-feeding. Online classes are more flexible in that you can skip parts that don’t apply to you, which saves you time in the long run.
• More time-efficient: With online classes, you don’t have to sit through others’ questions. You get to focus on what you want to learn.
• Long-lasting: Imagine your baby is struggling with constipation, and you know your instructor said something about remedies, but you just can’t remember what they were. With in-person courses, it’s nearly impossible to go back and get those answers. Not the case with online classes! Online courses enable you to revisit the course at a later date so you can get the tips you need when you need them.
• Inclusive for grandparents or caregivers: Is a grandparent or other relative going to help out with baby? You can take an online course together—no extra cost associated!
• Easy to access: Most online courses allow for access to instructors and support after the course. So even though you won’t be face-to-face, you’ll still have plenty of support.

What About Parenting Classes Near Me?

While we really recommend online classes, there are some topics—like infant CPR classes—that are better suited for an in-person class. In fact, if you want to earn full certification for CPR, you have to attend an in-person course.

You can find parenting classes near you through:

• Google
• Your local hospital or birth center
• A recommendation from you midwife or doula
• Your local community center

If you’re unsure, talk to your OBGYN or midwife.

Many healthcare systems (including hospitals and birth centers) offer birthing classes and newborn basics classes. Some are free parenting classes, while others have fees.

Keep in mind that free classes are more likely to be short and extremely basic. If you’re looking for a fully comprehensive and in-depth course, expect to pay for the course. Investing in a parenting class can give you peace of mind for the next several months.

What Moms in Our Community Say About Parenting Classes

We polled the moms in our community to see what they thought about parents-to-be classes; here are some of their responses.

• “My husband learned a lot—and didn’t feel like I was ‘telling’ him. It was great for first time parents.”
• “The course I took had lots of good info, but it was too short!”
• “I liked it for the knowledge and bonding with partner, especially for a first time mom.”
• “I liked that it gave some ‘what to expect’ and ‘what to watch out for,’ so that I had an idea of what is normal and what isn’t.”
• “I liked learning newborn patterns and what it was like to care for a newborn. What’s normal, what’s not, etc. It was very helpful, though I did forget a lot before the baby was born. I think I would have liked to have digital resources to refer back to once the baby was born.”
• “As a FTM it made me feel more confident.”
• “I liked the breastfeeding and basic baby care info you’re too embarrassed to ask people about.”
• “I was 1,400 miles from my family so I appreciated having support and getting some questions answered.”

So What’s the Best Baby Care Class?

Ready to try an online parenting class? We may be a little biased, but we believe the best baby class is our Mama Natural Baby Care Course.

The Mama Natural Baby Care Course is a 9-year-in-the-making, pediatrician-approved baby care course.

The comprehensive baby care class consists of 13 sections that cover everything you’ll need to know to take care of your baby, from diapering, to feeding, to spotting common newborn ailments. You’ll learn from top professionals experienced with natural baby care, including:

• A holistic, board-certified, Stanford-educated pediatrician to give you tips on what to feed your baby.
• A board-certified lactation consultant to help you master breastfeeding.
• And a firefighter/CPR instructor to make you feel confident and prepared for worst-case scenarios.

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

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

I’m Ready: When Should I Start Taking Baby Care Classes?

There’s no time like the present! Ideally, enroll in your class while you’re still pregnant. If you take your parenting class during your third trimester, the information will be fresh in your mind.

How About You?

Have you taken parent-to-be classes? We’d love to hear your experience!

The post Parents-to-Be Classes: 5 Reasons Every Parent Should Take One appeared first on Mama Natural.

Kimberly Johnson is a Mama Natural reader who experienced a common postpartum condition that’s rarely talked about: pelvic organ prolapse. Here, she shares a personal story about how she coped with the diagnosis to help other mamas who might be struggling.

Just over nine months ago, my daughter was born. From the outside, it appeared to be the kind of labor and delivery experience that crunchy mamas dream of. She was born in water at a birth center, without any medication or intervention of any kind, after just five hours from start to finish… a far cry from the 20-plus hour endurance event I was told to expect. She was healthy and perfect, and I was so proud of the journey we’d taken together.

After giving birth to my daughter, I felt so fiercely strong and empowered.

I attributed at least a portion of this to the meticulous planning and research I did in preparation for my daughter’s birth.

• I read all the books.
• I took a comprehensive natural childbirth class.
• I downed all the dates.
• I recited birth affirmations.
• I did pelvic rocks and deep breathing every night before bed.
• You name it, I did it.

At the end of my pregnancy journey, I had such confidence in my body’s ability to bring this baby into the world. But as it turns out, I did not emerge from the Herculean feat of childbirth unscathed.

It turns out, no matter how well you prepare, pregnancy and childbirth can bring not only the prospect of aesthetic changes, like stretch marks and extra weight, but previously taken-for-granted functional ones as well, like the ability to carry the child I grew inside me.

Though things felt off right away, I accepted my symptoms as part of the normal post-baby healing process. My midwife reassured me as well, encouraging me to get as much rest as possible. And I did. I loved the idea of a slow postpartum transition. I embraced the slowness of this time, and let my body gently heal.

Though I’d never had a baby before, as a former professional athlete, I know my body well. And so when, by the end of the first month, I still didn’t feel even remotely back to “normal,” I knew something wasn’t quite right. I set up an appointment with both a pelvic floor PT and a urogynecologist, and was officially diagnosed with pelvic organ prolapse, a form of pelvic floor dysfunction that’s a surprisingly common postpartum condition.

Pelvic organ prolapse totally rocked my world…

In an instant, my vision of motherhood was completely upside-down.

The urogynecologist asked me, “Is there anyone who can help you lift and hold your baby?” My eyes welled up with tears. Needing help holding my tiny girl? This was not part of the plan.

There were so many things I was excited for that suddenly felt out of reach, both now and in the future. How could we backpack the Pacific Crest Trail together someday with a 15-pound lifetime lifting restriction?! I felt blindsided and broken, betrayed by a body I’d trusted, a body that had always felt capable and strong.

I wondered why nobody talks about pelvic organ prolapse

For all my careful preparation, the possibility of this type of birth injury was not on my radar at all. No provider or book ever mentioned pelvic organ prolapse.

It seems, for all the ground we’ve gained in feminism and self-love and postpartum body positivity, pelvic organ prolapse is still shrouded in shame and secrecy. Search #takebackpostpartum, and you’ll find a celebration of stretch marks on the outside, but virtually no discussion of the ones that can happen inside—despite the fact that pelvic organ prolapse and obstetric injury occurs in over 10% of first vaginal deliveries and impacts up to 50% of women by middle age.

And whether I could have done more to prevent it

I’ll never know if this could have been prevented, but what I do know is that if even one provider had discussed the potential for and prevalence of pelvic organ prolapse, along with strategies to reduce the risk, I wouldn’t have felt so blindsided and broken.

But this isn’t a story about brokenness, it’s one of hope and strength

Today, I’m active…

At nine months postpartum, I’ve reclaimed many of the pieces that felt lost. I’ve worked with PTs who take a more positive and functional approach to managing prolapse. I’ve learned how to breathe and stand and move in new ways that allow me to hold my baby, carry a backpack to and from campus, and even hike and cross-country ski.

And have a stronger appreciation for my body…

Possibly more profound than my physical progress has been the shift in my own sense of self. Appreciating your body for what it’s capable of, rather than what it looks like—a common body positive anthem—sounds enlightened until you experience loss of function.

Through the experience of pelvic organ prolapse, I’ve learned to live in my body and love myself in a way that transcends function and form. I still think the body is capable of amazing things, but no matter what happens to mine, I’m working to rebuild an identity that doesn’t depend on it.

And when I need an extra ounce of perspective, all I have to do is look at my daughter…

I adore her—my perfect little wrecking ball. When she looks at me with magic in her eyes and sunshine in her smile, I think, “I’d let my bladder hang to my knees for this girl.”

Here’s what I learned through my experience with pelvic organ prolapse

If you can relate to my story—and, unfortunately, I know many women can—I hope these 10 tips, served up straight from the trenches, will help you in your own journey.

1. You are not alone

It might feel like it—I know it certainly did for me—but the reality is, so many women are suffering in silence. I was devastated when I fractured my cervical spine bike racing, but not ashamed. Why is an injury that occurs while enduring one of life’s greatest physical feats—bringing a brand new little person into this world—any different?

2. Stay off Google

It’s a terrible doctor, and an even worse friend. I didn’t know my life was over until Google convinced me it was. And guess what? It’s not! I’m now back to cross country skiing, hiking, and flowing through vinyasa yoga. Plus, I’ve learned to cultivate an identity that does not depend on my body’s appearance or capabilities.

3. Do not be afraid to advocate for yourself, even if it means pushing back against those with more advanced medical degrees

For whatever reason, we’re still living in the dark ages when it comes to certain women’s health issues, pelvic organ prolapse being one of them. I’ve found that the responses and advice I receive tend to fall into one extreme or another—invalidation of symptoms and their functional impact on one end of the spectrum; fear-inducing catastrophizing on the other. Neither one is helpful or accurate.

4. Find and focus on stories of hope

They’re admittedly a bit harder to find (part of why prolapse feels like such a devastating diagnosis), but they exist. Remember: Someone who heals and returns to a full, active life is far less likely to be posting on message boards. What you find online is often a self-selecting sample of those struggling the most. That is not to say that those groups aren’t valuable, or that those women’s stories aren’t just as real. The community I found certainly helped me realize I wasn’t the first young woman to have her bladder make a great escape.

5. Start by shifting your timeline, not your goals.

Prolapse is unlike any injury I’ve experienced. Healing isn’t linear, progress is painfully slow. There isn’t a direct correlation between effort and results.

In the early days following my diagnosis, what kept me up at night wasn’t just the current sense of loss, but the fear that this was forever. That I would never be able to hike long distances again. Never trail run. Never hoist my future three-year-old onto my hip. Over the last few months, I’ve begun to chip away at that fear. One by one, my “off limits list” grew shorter. I’m not yet backpacking, but I no longer see it as being off the table. And when I shifted my timeline, I was able to approach my own healing journey with more gentleness, and I began to be more present in the moments of beauty that still filled my life.

6. Take care of your heart and mind, and seek out the support you need to do so.

This is possibly even more important than the effort you put into your physical healing. For many women, coping with a prolapse diagnosis is incredibly difficult. Our minds and bodies are integrally connected. No matter how many hours we dedicate to physical rehabilitation, the dark rabbit hole of rumination inhibits healing. I’ve experienced significant changes in my physical symptoms since incorporating more mind-body work as a complement to pelvic floor physical therapy.

7. Pelvic organ prolapse is not your fault

You have to let yourself off the hook. I spent far too many hours ruminating over why and how this happened. Whether it happened because I had my foot on the side of the birth pool when I was pushing; whether I should have taken stronger cough medicine instead of natural remedies to ease a harsh cough during the last few weeks of pregnancy; whether I could have truly breathed her out instead of following my body’s intense urge to push.

At the end of the day, I’ll never know what caused pelvic organ prolapse to happen to me. But here’s what I do know: I didn’t have any of the risk factors; I didn’t have an assisted delivery; I didn’t exercise or push it too hard soon after birth. I didn’t even walk around the block for three weeks. I did the best I could, and I still ended up with prolapse. Just like most things in life, you can still do all the right things and have something go wrong.

8. The words we tell ourselves matter

Sometimes subtle shifts in the way we frame things can make a world of difference. You are not broken, you are evolving. It may not feel like it. Any shift may be so slow it’s imperceptible. But through the lens of time, you will find that you are healing, you are growing.

9. Though your body may have changed, you are still YOU

And chances are, there is so much more to you than your physical abilities. During a postpartum period in which I was more physically limited than I ever imagined, I revisited old hobbies that had nothing to do with my strength or endurance. I played my violin, pulled out my watercolors, tried new restaurants with my husband and baby, went on picnics. It turns out, life can look different than you’d planned, and still be full.

10. They say comparison is the thief of joy, and it’s true

I can’t tell you the number of times I started feeling okay, only to open my phone and see photos of fellow mamas sharing trail running adventures or tandem babywearing photos. I’d feel the weight of my own loss come crashing down all over again. Take a break from social media when you need it, and surround yourself with the kind of friends who remind you exactly who you are. (Hint: You are NOT your pelvic floor!) Your version of motherhood will not look like anyone else’s, and someday, maybe you’ll believe that that’s not only ok, but brave and beautiful. Lean into vulnerability, and let this glorious mess unfold.

For more on this common postpartum condition, including signs and symptoms, plus strategies to prevent and treat the condition, check out this explainer. 

Do you have pelvic organ prolapse after pregnancy?

How are you coping with the diagnosis and what are you doing to heal? Share your story below and connect with Kimberley through Instagram.

The post Pelvic Organ Prolapse After Pregnancy: My Candid Story appeared first on Mama Natural.

If you’ve never heard of this condition, don’t worry. In this post, we’ll answer your questions, including:

• What is pelvic floor dysfunction?
• Why it’s so under-diagnosed
• Plus, what to do if you have pelvic pain after birth

What is Pelvic Floor Dysfunction?

When the muscles in your pelvic floor become weaker, it’s hard for them to support your pelvic organs. In extreme cases, these pelvic floor muscles become so weak that they can’t support your organs. When this happens your pelvic organs may prolapse—or drop down—out of their normal positions and droop into the vaginal canal.

The image below depicts the various pelvic organs.

(Image Source: Harvard Health)

Pelvic organ prolapse can affect any (or a combination) of your pelvic organs, including:

• Cervix
• Uterus
• Bladder
• Urethra
• Rectum

You might even hear your provider refer to the prolapse by the organ affected e.g., uterine prolapse.

How Common is Pelvic Organ Prolapse?

According to a 2017 study published in Obstetrics and Gynecology, American women have a 13 percent lifetime risk of developing pelvic floor prolapse—at least to some degree.

But pregnancy and giving birth vaginally greatly increase your risk of developing pelvic floor dysfunction. Pregnancy places a lot of pressure on the pelvic floor muscles. And giving birth vaginally can also weaken your pelvic floor muscles—especially if you had a bigger baby or tore during delivery.

Though there is still much research to be done, initial findings suggest the risk may be magnified if you are:

• Overweight
• Have multiples
• Have multiple pregnancies
• Are of advanced maternal age
• Are a female athlete (source)

But Here’s the Problem…

Despite these rising statistics, no one—even healthcare professionals—is talking about pelvic floor dysfunction.

Too many women assume their symptoms are “normal”

Many women don’t hear about the problems associated with pelvic floor dysfunction during the postpartum period. Because women don’t know what to look for, many write off problems—like incontinence—as normal during the postpartum period. And other women completely miss these signs during the chaos of the fourth trimester and adjusting to life with baby. As a result, many women are living with a painful condition, rather than seeking treatment.

Though the following are very common postpartum symptoms, persistent issues with the following may signal a pelvic floor issue: 

• Feeling like you’re sitting on a ball
• Constipation
• Abnormal bleeding or discharge
• Noticeable vaginal bulging
• Lower back pain
• Incontinence
• Pain or discomfort during intercourse

If  You Think You May Have Pelvic Floor Dysfunction

Think you might be dealing with pelvic floor dysfunction or prolapse? Schedule an appointment with your healthcare practitioner.

Here’s how they test for it…

A gynecologist can do a very easy test to determine whether or not you’re experiencing any degree of pelvic organ prolapse. They simply insert a gloved finger into your vagina and/or rectum and ask you to cough.

Just keep in mind…

It can take anywhere from 6 to 12 months to fully heal and recover from childbirth. And some of these symptoms—like vaginal bleeding after birth (lochia)—can take up to 12 weeks to resolve. Other symptoms of pelvic organ prolapse don’t present immediately.

As a result, the traditional six-week checkup isn’t always enough to adequately assess the degree of pelvic damage. If your six-week checkup went smoothly, but you suspect a problem down the road, don’t be shy to ask for another appointment.

How to Get Relief

If your provider formerly diagnoses you with pelvic floor dysfunction, you can see a pelvic floor therapist for help tailoring a strengthening routine, but these easy at-home exercises can help:

Kegels

You can strengthen your muscles throughout pregnancy (and afterward) with kegels, a type of exercise that strengthens your pelvic floor muscles.

1. To perform a kegel, first identify your pelvic floor muscles. These are the same muscles you would use to stop the flow of urine mid-stream.
2. Once you know which muscles to contract, contract your pelvic floor muscles for five seconds and hold. (Note: Do not clench your buttocks muscles while doing kegels.)
3. Repeat this 10-15 times during each session.
4. Practice your kegels three times per day. 

Here’s a quick video demonstration: 

Perform bridges

You can also do a series of simple bridges to strengthen pelvic muscles. Here’s how:

• Lie down on your back and bend your knees, keeping your feet flat on the floor about hip-width apart. Place your arms to the side, palms down.
• Contract your butt and pelvic floor to lift your butt off the ground to form a 45-degree angle.
• Hold for 10 seconds. Relax and lower your body back to the ground.
• Practice this 3 times per day.

Rapidly squeeze and release your muscles

Think of this as a simpler way to do kegels. You simply:

• Squeeze your pelvic muscles as quickly as possible, then release.
• Repeat up to 20 times.
• Practice this three times per day.

Do squats

To strengthen your pelvic floor, try narrow, shallow squats:

• Stand with your feet hip-width apart, keep your back straight, and lean forward slightly.
• Bend your knees and bring your butt toward the floor. Be sure to keep your knees in line with your toes and tighten your butt and pelvic floor as you go.
• Repeat 10 times.
• Practice this 2-3 times per day.

Formal programs

There are also formal exercise programs that can help with postpartum issues like pelvic floor dysfunction and diastasis recti. Here are some you can trust:

• The Pelvic Floor Piston: Physical therapist Julie Wiebe leads a six-part self-paced series that uses specialized exercise and breathing to help postpartum women with prolapse and pelvic pain.
• Fit2B Studio: This online gym has nearly 100 exercise routines to help strengthen. They have specially designed workouts for postpartum women, too.
• Tupler Technique: Though this research-based exercise program specifically treats diastasis recti, it can also help with pelvic floor dysfunction.

At-home devices

There are also now a number of at-home devices, like the Elvie Trainer, you can use to treat pelvic floor dysfunction. You simply insert these devices into the vagina and turn on. They stimulate your pelvic muscles the same way kegels would with a series of 5-minute exercises.

In-office treatments

If you have moderate to severe prolapse, at-home exercises and therapies may not be enough.

The good news: There are also a number of in-office treatments your gynecologist can perform. The most common is a form of electro-therapy similar to the at-home devices.

During these sessions, your healthcare provider will insert a probe that looks like an ultrasound wand into your vagina. These are typically 15-minute sessions, and the average patient needs six to eight sessions.

The bad news: These treatments can cost as much as $600 per session. 

Other things that can help…

In addition to these exercises and therapy, you can modify your lifestyle to help alleviate symptoms and prevent further damage.

• Avoid heavy-lifting (talk to your healthcare practitioner about specific limits) and, if you have to, use your legs when lifting
• Avoid extreme exercises, like squatting with heavy weights
• Avoid constipating foods and eat plenty of fiber
• In severe cases, you may even want to avoid babywearing, which can put added pressure on the pelvic floor muscles.

The bottom line…

Incontinence, pain, and other pelvic floor issues are not normal. You don’t have to suffer with these symptoms just because you had a baby and in-office treatments aren’t covered by your insurance. There are plenty of ways to take charge and help heal yourself naturally right from the comfort of your own home.

The post Pelvic Floor Dysfunction: This Is What You Need to Know appeared first on Mama Natural.

In fact, postpartum hemorrhage occurs in up to five percent of women who give birth and is one of the biggest concerns for postpartum moms. Here’s what you need to know:

What Is Postpartum Hemorrhage?

Postpartum hemorrhage (PPH) is when excessive bleeding occurs after birth.

But let’s back up a bit first: It’s normal for women to lose about ½ quart of blood during a singleton vaginal birth (1 full quart is normal for cesarean birth). But losing more blood than this can be considered postpartum hemorrhage.

When is the most common time to hemorrhage?

PPH usually occurs after the placenta detaches from the uterus, but what’s really scary is that it can happen up to 12 weeks after giving birth. And when this happens, the resulting loss of excess blood can cause low blood pressure, anemia, shock, and even death.

Bottom line: When postpartum hemorrhage happens, it’s vital to catch it early and get treatment right away.

What Causes Postpartum Hemorrhage?

When the placenta detaches from the uterus after birth, it leaves behind an open wound. When things go as planned starts contracting down to its original size immediately after the placenta is birthed. (Breastfeeding can help with this process, since the milk letdown also stimulates uterine cramping.) The same contractions that got your baby out will help this process. As the uterus contracts, it slows the bleeding of this fresh wound. Sometimes, though, the uterus doesn’t contract strongly enough after birth, and this can cause hemorrhage.

Other postpartum hemorrhage causes include:

• Retained placenta
• Tear in the cervix or tissues of the vagina
• Tear in a blood vessel in the uterus
• Hematoma in the vulva or vagina
• Blood clotting disorders

Risk Factors for Postpartum Hemorrhage

Having postpartum hemorrhage risk factors doesn’t mean that you will definitely experience a postpartum hemorrhage, but having one or more risk factors may increase your chances. Risk factors include:

• Placental abruption: When the placenta detaches from the uterus before birth (either fully or partially).
• Placenta previa: When the placenta attaches over, partially over, or too close to the cervix.
• Overdistended uterus: The uterus is larger than normal due to excess amniotic fluid, or a large baby.
• Multiples
• High blood pressure
• Having many previous births
• Prolonged labor
• Infection
• Obesity
• Use of forceps or vacuum-assisted delivery
• Being of Asian or Hispanic ethnic background (Studies suggest there may be a genetic predisposition for defects of uterine contraction in the postpartum state in these individuals, placing them at higher risk for hemorrhage but more research is needed.)

But postpartum hemorrhage can happen to anyone—even those without known risk factors. Because of this, it’s vital that you’re equipped with the knowledge you need to recognize the signs and that you have a competent and responsive healthcare team in place.

Signs of Postpartum Hemorrhage

The signs and symptoms of postpartum hemorrhage can be tricky to notice, especially when you’re busy caring for a new baby. Here’s what to look for (and what your doctor should be looking for, too):

• Uncontrolled bleeding (bleeding that soaks more than one pad every hour and is not slowing)
• Decreased blood pressure
• Increased heart rate
• A decrease in the red blood cell count
• Swelling and pain in the vagina and nearby

If you have any concerns about your bleeding, talk to your doctor immediately or head to the emergency room.

How is Postpartum Hemorrhage Diagnosed?

As mentioned earlier, there are a few different causes of PPH, so it’s important for doctors to find the exact cause in order to treat it properly. Doctors will perform a physical exam and lab tests to check:

• Pulse and blood pressure
• Red blood cell count
• Clotting factors in the blood

They will also assess blood loss. Many doctors and nurses will assess blood loss by sight, but this is an outdated and inaccurate method. Believe it or not, the more effective and precise method of gauging blood loss is by gathering the sponges and pads collecting blood and weigh them on a scale.

Postpartum Hemorrhage Treatment

The main goal of treating PPH is to stop bleeding. Your healthcare practitioner may do this with:

• Uterine massage to stimulate uterine contractions
• Medicine, like Pitocin, to stimulate uterine contractions (some hospitals are making a Pitocin shot a new “standard” of care to prevent postpartum hemorrhaging)
• Removing pieces of the placenta that remain in the uterus
• Bakri balloon or a Foley catheter to put pressure on the bleeding inside the uterus.
• In very severe cases, surgery

The secondary goal is replacing blood and fluid that was lost. They do this with:

• IV fluids
• oxygen
• blood transfusion if necessary

Additionally, practitioners work to prevent PPH in a number of ways, according to a 2007 article published in American Family Physician. Here are some natural prevention techniques for PPH:

• Getting baby latched quickly after birth, since nipple stimulation can help release oxytocin, which contracts the uterus.
• Addressing pregnancy anemia before birth
• Eliminating routine episiotomies
• Uterine massage (mentioned above)

Does Postpartum Hemorrhage Go Away?

PPH is very serious and requires immediate medical attention. It will not go away or resolve on its own. But with proper treatment, you can recover quickly and completely.

When there is excessive blood loss, there is more of a chance of causing anemia. To prevent anemia, boost your iron stores with these suggestions such as eating the right kind of iron-rich foods and avoiding foods that inhibit iron absorption.

Bottom Line: You Can Never Be Too Prepared

Though statistics are on your side, it’s vital to be informed. This way, if the worst-case scenario occurs, you and your support team will know how to advocate for your health. Before delivery, ask your provider how they handle postpartum hemorrhage. Make sure that they are up to date on the most current practices, like weighing clothes soaked in blood.

The post Postpartum Hemorrhage: Do You Know What to Look Out For? appeared first on Mama Natural.

In this post, we’ll cover everything you need to know about postpartum anxiety, so you can spot the signs and—if necessary—get the treatment you need.

What is Postpartum Anxiety?

Postpartum anxiety is a mood disorder that’s characterized by intense worry related to your baby.

While it’s normal to worry about your baby (there are many scary baby-related topics like SIDS), postpartum anxiety is more intense.

For example, it’s normal to worry about your baby getting sick during cold and flu season, but taking steps like boosting the immune system may ease your worries. If you have postpartum anxiety, however, the intense worry about your baby getting sick may prevent you from ever going out in public or having family members visit.

Postpartum anxiety can even cause a new mom to worry about problems that may not even exist yet—like worrying about your newborn baby getting hit by a car, falling off a railing or being bullied in Kindergarten.

How Common is Postpartum Anxiety?

Despite the lack of conversation surrounding postpartum anxiety, it is actually more common that postpartum depression. (source)

In fact, in one study, 6 percent of women were diagnosed with postpartum depression and 11 percent were diagnosed with postpartum anxiety. But researchers surmise this is a very underreported statistic, particularly because some mamas have both depression and anxiety, but get one lump diagnoses—typically postpartum depression.

What Causes Postpartum Anxiety?

Like postpartum depression, postpartum anxiety is often blamed on the shifting hormone levels that occur after a baby is born. Shifting hormones isn’t the only risk factor for anxiety though.

Risk factors for this condition include:

• Personal history of anxiety disorders
• Family history of anxiety disorders
• Previous history with postpartum anxiety
• Thyroid imbalance
• Nutritional depletion (particularly magnesium)
• Sleep deprivation (source)

Keep in mind there’s a spectrum to mood disorders and some struggle with more extreme symptoms than others.

Signs of Postpartum Anxiety

Postpartum anxiety can manifest in many ways—through your thoughts, through your physical body, and through your actions.

Common symptoms include:

• Constant worry
• Feeling of impending doom/danger or that something bad is going to happen to your baby
• Racing thoughts
• Inability to sleep, insomnia
• Inability to sit still, fidgety, pacing
• Physical symptoms like racing heart, dizziness, hot flashes, and nausea
• Lack of appetite

From changing routines to worrying thoughts, postpartum anxiety manifests in many ways. Here’s how some mamas say postpartum anxiety has affected them:

• “I never want to go anywhere. I worry about [my daughter] getting hurt, or about her getting sick, or that I might forget her in the grocery cart. It’s so bad, I just order everything online now.” — Margaret
• “I used to be adventurous. I used to love playing outside and going for walks and runs. Now since I had [my son], I just can’t do that stuff anymore.” — Jennifer
• “I worry that I’m a good enough mother. How can I be better? Will I be good enough? These are things I tell my therapist. We’re working on it.” — Patricia
• “I’m a labor and delivery nurse. I didn’t think postpartum anxiety would happen to me, but then I saw the signs. I’m so glad I knew what to look for, and I was able to talk to my OBGYN right away. I’ve had three babies, and I got postpartum depression and anxiety each time. Mamas, take care of yourself!” — Rachel

How to Take Care of Yourself if You’re Experiencing Postpartum Anxiety

If you spot the signs of postpartum anxiety, it’s vital to take care of yourself.

When you have a newborn, setting aside time for yourself may seem selfish (it’s not, we promise!), but not getting the care you need can be dangerous. It takes a lot of energy (both mental and physical) to raise a baby, and a healthy mama is the best kind of mama—even if it means putting yourself first until you get better. Here are some natural ways to do just that.

Sleep

According to the Anxiety and Depression Association of America, anxiety can create sleeping problems like insomnia. Add worry-induced insomnia with a tired newborn, and you’ll quickly run out of energy. Make sure you’re getting as much quality sleep as you can. Keep these tips in mind:

• Avoid using blue lights before bed since they can affect your circadian rhythm and make sleep problems worse
• Try natural remedies for getting better sleep
• Trying to go to bed at a reasonable time; even with a newborn, you can try to get to bed at a reasonable time to catch a few hours before your next nursing session
• Take a nap during the day–even if it means putting your to-do list on the back-burner or getting help with baby

Help

A newborn requires around the clock care, and when you’re on solo duty, it can be exhausting. Even just an uninterrupted hot shower can do wonders for your mental health. Don’t feel embarrassed about asking for help.

• Friends, grandparents, and other family members can be so valuable during this time.
• You can also consider hiring a postpartum doula to help you and baby.
• And consider getting help around the house to alleviate some of the pressure with running a house. Some mamas find that a hiring a housekeeper, at least for a few weeks, releases the burden of trying to tidy up the house.
• If leaving the house is difficult, consider having meals or groceries delivered. Some grocery delivery services like Shipt will also deliver from Target, which is great if you need baby care items like wipes delivered ASAP.

Nutrition

There’s no denying the link between what you eat and your mental health. Make sure to eat nourishing postpartum meals. In particular, omega 3 fatty acids are well known for promoting brain health, but studies show that a deficiency can increase the risk of postpartum depression and anxiety.

The same study also focused on omega 3 supplementation (including DHA and EPA supplements) as a way to improve mental health in the perinatal period. You can find omega 3s in wild caught salmon, walnuts, chia seeds, and hemp or flax seeds. You can find vitamin B in salmon, organ meat, dark leafy greens, and milk. Bee pollen is also high in all B vitamins, except B12.

There are also studies that suggest folate can help with mood disorders. Staying on your prenatal can help ensure you get this and all of the other nutrients you need.

Exercise

You might not feel like major exercise right after having a baby, but exercise is a powerful tool against postpartum anxiety. Regular exercise releases feel-good endorphins that can reduce stress, improve your mood, and help you feel like yourself. Once your midwife or OBGYN clears you for exercise, try to fit at least 30 minutes of gentle exercise each day.

• Go for a walk around the block; load up your stroller or try out your baby carrier
• Try a perinatal yoga video; there are several free videos like this one on YouTube
• It’s easy to spend the day on the couch nursing, but set a timer and stand up and stretch every few hours

Vitamin D

Perhaps you’ve heard that Seasonal Affective Disorder is most prevalent in areas that receive less sunlight? That’s because without as much sunlight, your body makes less vitamin D. Vitamin D deficiency can impact your mood, but studies show that vitamin D supplementation can help alleviate these low feelings.

Boost your vitamin D levels with:

• Forest bathing
• In the summer, getting healthy sun exposure on skin
• Eating vitamin D-rich foods like sardines, grass-fed butter, egg yolks, and cod
• Taking a vitamin D/K2 supplement (hyperlink to k2), especially in the winter or if you live north of the Mason Dixie line.

Light therapy

If you live in a climate where you don’t have a lot of sunlight in the colder months, you might not have a great chance to forest bath. Light therapy can be a good way to boost your vitamin D levels when the sun isn’t out as much. You don’t need a fancy machine to receive the benefits of light therapy. You can find the so-called “happy lights” easily on Amazon.

Acupuncture

Acupuncture has been used for millennia, and it’s often used to treat generalized anxiety disorder. As a bonus, a 2019 study reveals that acupuncture can even help you sleep better at night!

If you aren’t thrilled about the idea of tiny needles, no biggie. You can try acupressure, which is a similar concept as acupuncture, except pressure is used on your pressure points instead of needles. A 2016 study found that mamas who received auricular acupressure (i.e., on your ear) after C-sections had significantly lower stress levels, anxiety levels, and fatigue.

Herbal support

Natural herbal support, like Bach Flower Rescue Remedy, can help you feel better. The Rescue Remedy comes in a convenient dropper, and each batch continues simple, natural ingredients including Helianthemum nummularium HPUS, Clematic vitalba HPUS, and Impatients glandulifera HPUS.

Talk therapy

Talk therapy, also known as psychotherapy, is an umbrella term for therapies that help manage conditions like depression and anxiety. During a talk therapy session, you’ll sit with a licensed therapist and discuss your concerns and symptoms. Your therapist can help you develop healthy habits and tools for managing your condition.

Speak with your practitioner

If you’ve tried the above tips for managing anxiety, but still feel overwhelmed, don’t hesitate to reach out to your primary care provider or your therapist. In extreme cases, your practitioner may suggest other medication that can help.

Take Your Feelings Seriously

Your feelings are your feelings. We can’t always control what we feel, but we can control whether or not we get the help we need. It’s important to listen to your body, and if you have any concerning feelings or signs of anxiety, take the time to address any issues so you can take care of yourself and your baby. You got this, mama!

The post Postpartum Anxiety: The Postnatal Condition Nobody’s Talking About appeared first on Mama Natural.

Think about it. If a celebrity who presumably has access to the best possible care in the world can face these issues, what does that say about the current state of prenatal and postnatal care?

In this post, we’ll break it all down, including:

• What maternal mortality rate is—and why the current statistics are so deplorable
• Risk factors for maternal morality
• Plus, what we can do to help move the needle and develop a better standard of care for moms, particularly women of color

Maternal Mortality Rate Definition

First thing’s first. What is the maternal mortality rate?

The maternal mortality rate is an umbrella terms that includes death during pregnancy, labor and delivery, and even in the six weeks (42 days) after childbirth.

To calculate the maternal mortality rate in a particular country or region, the following formula is used:

• [Total number of maternal deaths in a given time] / [Total number of live births in the same given time] = X
• X is then multiplied by 100,000

For example, in 2016, the maternal mortality rate was close to 17. The math looks like this:

• [700 estimated deaths] / [3,941,109 live births] = 0.000169
• 0.000169 multiplied by 100,000 = 16.9

This means that out of every 100,000 live births, almost 17 women died due to complications.

How Are Women Dying?

According to the CDC’s Pregnancy Mortality Surveillance System, only a small fraction of maternal deaths (6 percent) are due to unknown causes. The remaining 94 percent of maternal death causes including:

• Cardiomyopathy and other cardiovascular conditions accounts for almost 27 percent of deaths.
• All types of embolisms account for over 15 percent of deaths.
• Infection accounts for 12.5 percent of maternal deaths.
• Hemorrhage accounts for 11.0 percent of maternal deaths, according to the same CDC data.
• Hypertensive disorders like preeclampsia account for 6.9 percent of deaths.
• The remaining deaths are due to other medical conditions.

This statistics are jarring, but what’s even scarier is that the majority of these deaths occur after mom has been released from medical care. In fact, more than half of maternal deaths occur in the postpartum period—and one third of these deaths happen more than seven days after delivery. (source)

Who Is Most At Risk?

Studies show that an increasing number of pregnant women in the United States have chronic health conditions, like obesity, hypertension, diabetes, and heart disease—all things that can put a pregnant woman at higher risk for complications during the pregnancy and postpartum period. (source)

But not all groups of women share the same risk for the above conditions. Research shows that women of color, particularly Black and American Indian/Alaskan Native women, are especially at risk for postpartum death, regardless of their income. Here’s a look at the stats:

• 42.4 deaths per 100,000 live births for Black non-Hispanic women.
• 30.4 deaths per 100,000 live births for American Indian/Alaskan Native non-Hispanic women.
• 14.1 deaths per 100,000 live births for Asian/Pacific Islander non-Hispanic women.
• 13.0 deaths per 100,000 live births for white non-Hispanic women.
• 11.3 deaths per 100,000 live births for Hispanic women.

What Is Behind the Racial Disparities?

While there are many factors that affect maternal morbidity, it’s clear there is statistical difference in rates of death among different races. In the 2017 survey Discrimination in America: Experiences and Views of African Americans, many Black women said prejudices affect the level of care they receive. In the survey, nearly 33 percent of the women said that felt prejudice at some point during their prenatal or postnatal care. And a whopping 21 percent of black women said they avoided their doctor, at least once, out of fear of prejudice.

Shalon Irving‘s story highlights this fact. She was a highly educated woman of color, and she worked as an epidemiologist for the Centers for Disease Control and Prevention. Unfortunately, Irving passed away a few short weeks after giving birth due to blood pressure complications. Irving, however, knew the warning signs of high blood pressure problems and repeatedly sought medical care. Her concerns weren’t addressed, and her voice was unheard.

Kira Johnson is another Black mama — fit, educated, and wealthy — who died after childbirth. Healthcare workers failed to prioritize her care, and despite blood in her catheter, failed to get her the swift care she needed when she hemorrhaged post-birth.

Both of these women passed on because no one listened to their concerns.

In an effort to help Black mama’s voices be heard better during childbirth, the following associations have created directories for Black doulas and midwives to support mamas during and after childbirth:

• National Black Doulas Association
• Sista Midwife Productions

Mamas can also look to deliver at a hospital trained by the California Maternal Quality Care Collaborative. The CMQCC is dedicated to ending preventable maternal deaths during childbirth. As part of their mission, they are also committed to ending racial disparities when it comes to childbirth.

More women affected…

But maternal morbidity is not just a race issue. One of the women in our Mama Natural Birth Course came dangerously close to these statistics. After giving birth to her son, Courtney noticed that she was very swollen, but the Labor & Delivery nurses, her son’s pediatrician, and her own nurse practitioner all told her swelling was normal. Then, Courtney developed chest tightness and increased sweating. Still… no response from doctors. After checking herself in to the L&D triage, she was finally acknowledged when her blood pressure stats came back high. She was admitted for postpartum preeclampsia.

Courtney’s story highlights another fact: mothers aren’t being credited for knowing when something is wrong with their bodies.

Maternal mortality rates are high in America, regardless of race and class, as seen in this chart:

(Image source)

And the Maternal Mortality Rate is on the Rise in the US…

Here’s a stark look at the upward trend of the maternal mortality rate in the United States since 1987:

(image source)

Perhaps even more alarming? On a global level, American women are more at risk than women in other developed countries.

According to the World Health Organization, nearly 700 women die each year during or after childbirth in the United States. Our country has a much higher maternal morbidity rate than other Western countries.

(image source)

How’s this for some perspective: According to data by the Indiana State Department of Health and the CIA’s World Factbook, women in Iraq and the Gaza Strip are more likely to survive childbirth than many women in Indiana.

(Image source)

Why?

Put simply: Women aren’t getting the care they need. In our country, there is a serious lack of awareness and understanding when it comes to postpartum care from many in our medical system. Right now, we have a “hands-off” approach that is clearly not working. There is very little education for mom and no routine care practice for mom until six weeks postpartum. The reality is moms don’t know what to look out for and postpartum conditions can escalate quickly, putting mom in a grave situation.

We Need Systematic Reform

In other countries, moms receive much more support.

Healthcare professionals conduct home visits in all northern and western European countries (source).

• In the Netherlands, a continuous one-week home care program is covered by insurance after birth.
• In Norway, new mothers, newborns, and their families can stay together in maternity centers for postpartum care.
• In Taiwan, new mothers can stay in private maternity centers where both mom and baby received round-the-clock care by nurses.

This care extends past the immediate postpartum period too:

• In Sweden, new parents can take a one-year leave at 80 percent of their salary
• In Finland, mothers can take a one-year maternal leave supported by a state grant

This is in stark contrast to the United states, where mom’s don’t get evaluated until six weeks postpartum and maternity leave is often nonexistent, or just a few short weeks.

Thankfully we’re seeing some progress…

Various states are creating programs to help reduce material death. In California, for instance, hospitals can use The Maternal Data Center, a tool that helps hospital administrators find the weak spots in their care so they can make the necessary improvements to their policies and programs.

But we have a long way to go, and we can’t just sit back and wait for policies to change.

You can do your part by helping spread awareness of these policy changes by speaking up—talk to your friends, talk to your healthcare practitioner, and consider writing letters to or calling your congressperson. No action is too small—in fact, our health depends on it.

We also need to advocate for more women of color birth workers. Consider donating to the Birth Workers of Color Scholarship, which raises money for midwife students who are women of color.

What About You?

Did you have to advocate for yourself after childbirth? How did you demand the care you need?

The post Maternal Mortality Rate: Why It’s So High & What We Can Do About It appeared first on Mama Natural.

Watch the video – Preeclampsia: Symptoms, Risk Factors, and Natural Treatments

Further, because mom is consumed caring for her newborn, symptoms of one of the most common complications can go unnoticed. Here’s what you need to know about postpartum preeclampsia:

What is Postpartum Preeclampsia?

Postpartum Preeclampsia (PPE) is a rare but serious condition that occurs after childbirth. It causes high blood pressure and protein in the urine.

Postpartum preeclampsia typically occurs within 48 hours of giving birth, but can develop up to 6 weeks postpartum (called late postpartum preeclampsia).

Much like preeclampsia during pregnancy, PPE can cause complications beyond high blood pressure, including:

• Postpartum eclampsia: Preeclampsia is the condition leading up to eclampsia. Eclampsia can cause seizures, which can have severe negative effects on the vital organs, including the brain, eyes, liver, and kidneys.
• Pulmonary edema: This is a condition where excess liquid collects in the lungs. This is a serious and life-threatening condition.
• Stroke: A stroke is another serious concern and is considered a medical emergency. A stroke can deprive the brain of vital oxygen and food, potentially causing life-long issues or death.
• Thromboembolism: Another medical emergency, thromboembolism occurs when there is an obstruction of a blood vessel by a blood clot that has become dislodged from another part of the body.
• HELLP syndrome: This condition is also a serious concern and can be life-threatening. It is a disorder of the liver and blood that can cause low red blood cell count and can lead to anemia.

Postpartum preeclampsia is clearly nothing to mess around with. If you’re at a higher risk for postpartum preeclampsia, it’s important to know what to look for and to check in with your doctor regularly.

What Causes Postpartum Preeclampsia?

Like preeclampsia during pregnancy, the causes of postpartum preeclampsia are not well understood and anyone can develop it.

However, doctors believe there are some common risk factors, including:

• High blood pressure during pregnancy or chronic high blood pressure
• Obesity
• Multiples
• Diabetes
• Family history
• Being younger than 20 or older than 40
• Some research suggests impaired thyroid function is linked to preeclampsia
• And finally, African American women

Black women are particularly at risk and have nearly a 1.5X higher risk of developing postpartum preeclampsia than non-Hispanic white women.

Postpartum Preeclampsia and Race

According to this study, women of color also have lower instances of remaining normotensive during pregnancy (adjusted odds ratio (AOR)=0.85, 95% CI 0.78–0.93). Black women have higher odds of mild preeclampsia, severe preeclampsia and superimposed preeclampsia.

So what’s a mama to do?

The most important thing you can do is ensure you get the care you deserve. You might even consider hiring a black postpartum doula to support you during your fourth trimester. Other steps you can take include:

• Educating yourself and knowing the warning signs of postpartum preeclampsia
• Practicing good self-care
• Advocating for yourself and demanding care if you think something seems off

Shalon Irving, a Lieutenant Commander and CDC epidemiologist, died from complications of postpartum preeclampsia. She knew something was wrong, she knew the risk factors, and yet she still didn’t receive the care she needed. Now, her mother, advocates for all women of color to make the fourth trimester one filled with intentional care for all mamas. If you’re getting ready to enter the fourth trimester, create your own postpartum care plan.

Postpartum Preeclampsia Symptoms

The symptoms of postpartum preeclampsia are similar to symptoms of preeclampsia during pregnancy:

• Headaches
• Swelling, especially in feet and hands
• Changes in vision
• Upper abdominal pain
• Chest tightness and pain
• Excessive sweating
• Decreased urination
• Excess urine in protein
• High blood pressure*

* Do not dismiss a slightly elevated blood pressure as postpartum preeclampsia can start out with readings like this and then escalate quickly.

Also, it’s important to note that not every woman who experiences this condition will have any—or all—of these symptoms. And when you’re already distracted by caring for your new baby and healing from childbirth (no small order!), you may not recognize these symptoms or you might brush them off as a normal part of postpartum recovery.

Because of this, it’s vital to be aware of the symptoms and have a great medical team that you trust. The bottom line is knowing what to look out for can help you be a better advocate for yourself. 

How is Postpartum Preeclampsia Diagnosed?

If you’re having any of the above symptoms, or think you might be, call your doctor right away. Your doctor will check a few things, including:

• Blood pressure
• Platelet count via a simple blood test
• Urine for protein (Urinalysis)

In severe cases (like if you’ve had a seizure), your doctor may recommend a brain scan or other tests based on your individual needs.

Postpartum Preeclampsia Treatment

When postpartum preeclampsia is diagnosed it’s important to get treated right away. Left untreated, postpartum preeclampsia can cause seizures, stroke, and other serious complications.

All hospitals, birth centers, and home practitioners should have a postpartum preeclampsia toolkit that would look something like this toolkit created by California Maternal Quality Care Collaborative (CMQCC). This toolkit includes a number of medications (including intravenous magnesium) that are recommended for treating preeclampsia.

Your midwife may also pack some natural treatments like the ones listed below:

• Magnesium (oral or topical)
• Calcium
• Vitamin B
• Folic acid (methylated form)
• Vitamin C
• Lycopene
• Vitamin E
• Vitamin D
• Coenzyme Q10
• Low dose aspirin

Your practitioner may also recommend blood pressure medication, anti-seizure medication, or blood thinner, depending on the severity of your condition. Always check with your midwife or doctor before taking any supplements.

Does Postpartum Preeclampsia Go Away?

Postpartum preeclampsia is a very serious condition, but luckily, with proper (and timely!) treatment, postpartum preeclampsia recovery is likely. And just because you have preeclampsia once, doesn’t mean you will have it with subsequent pregnancies.

How to Prevent Postpartum Preeclampsia

There is some evidence that lifestyle and other self-care strategies can help prevent the onset of preeclampsia. According to the review, women who were more knowledgable about ways to care for their body through nutrition, lifestyle choices, stress reduction, exercise, etc. were less likely to have preeclampsia (or more likely to manage it well). Here are some more specific self-care strategies that may help you:

• Exercise: With doctor’s approval, aim for at least 30 minutes of exercise a day—but don’t overdo it; even a short walk counts.
• Sleep: Whether it’s during pregnancy or after birth, sleep is key for maintaining optimal health. If you’re not sleeping well, it may be a sign that something is off in the body. Interestingly, a 2016 study found that lower levels of melatonin were linked to preeclampsia. Try drinking tart cherry juice at night to support melatonin production. It contains the highest levels of naturally occurring melatonin. Getting natural morning light and avoiding too much artificial light at night can also help boost melatonin levels.
• Relax: Stress is one of the biggest factors in derailing health. Among other harmful physiological effects, stress can cause elevated blood pressure—a risk factor for preeclampsia. Meditating, getting help with baby, journaling, or anything else that reduces your stress levels can help.
• Diet: A healthy diet is important at all times, but is especially important during pregnancy and postpartum. Some research suggests that preeclampsia is a symptom of poor nutrition. Try the Brewer’s diet, which is focused on high protein and proper nutrition—it is meant to support healthy blood volume and prevent high blood pressure.

How a Postpartum Care Plan Can Help, Too

The statistics about maternal healthcare in the postpartum period are staggeringly grim—particularly n countries like the United States. Based on this information, it’s clear that most women aren’t getting the care they need during the crucial fourth trimester.

But a postpartum care plan can help you do everything possible to make sure your body and mind stay healthy following childbirth.

The post Postpartum Preeclampsia: The Facts About This Scary Condition 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.