“Breastfeed”: It’s all in a Word

It’s rainy in Seattle today. It’s rainy in Seattle a lot. All this rain and hanging around indoors can give a person a lot of time to think. Lately I’ve been thinking about the word “breastfeed.” I can’t get it off my mind. Oh yes, it is one word. You see, you can’t separate the word “breast” from the word “baby.” They just go together. Which is my point. But I’ll get to that in a minute. Continue reading

My Baby is Tongue Tied?

 

Type I tongue tie--tip of tongue "tied" to floor of mouth.

My lactation consultant told me my baby is tongue tied and she needs to get her frenulum clipped so she can breastfeed. What is a frenulum? Why does my baby need this procedure?

The frenulum is a (usually) thin, fibrous band that connects the underside of the tongue to the floor of the mouth. The mere existence of a lingual (tongue) frenulum is not an indicator of a problem. The important thing is whether the frenulum restricts the movement of the tongue in a way that interferes with its normal functions.  If it does, your baby has a condition known as tongue tie or ankyloglossia. Continue reading

Breastfeeding in Public-The First Time

This is a short story from client who learned something very important from her baby: Breastfeeding can happen anywhere and any time without any special gadgets or preparation.

The first few weeks of breastfeeding Bernie were very draining for me. I was constantly worried that he wasn’t getting enough, taking any unsatisfied looks from him personally and feeling isolated due to the long nursing sessions. I started taking Bernie for daily walks in my neighborhood within days of getting home from the hospital so at three weeks, I thought we could make it three miles around Green Lake without having to stop.   Although I was occasionally pumping, I had not prepared a bottle for this walk and instead fed him before we left and figured I’d feed him again as soon as we got home.  Bernie lasted one mile around the lake before he decided to make me and everyone around us know that he was hungry.  My mother-in-law was along for the walk. Had I been alone, I would have hid behind a tree, but she encouraged me to nurse him on a bench along the trail.

Continue reading

My Baby Won’t Latch!

I hear this phrase several times a week. It troubles me because it implies that the baby is unwilling breastfeed. Nothing could be further from the truth.

You baby was born to breastfeed! She is hard-wired to seek comfort and nutrition from you breasts. This is, after all, how babies survive! When a baby is unable to latch and breastfeed it simply means that she is unable to latch and breastfeed—not that she is unwilling! Continue reading

Insurance Reimbursement Appeal Letter Sample

This letter is my formal appeal of the rejection of Claim Number _____ for Lactation Consultation Services provided to my son, (Name) on (Date) for the amount of _____.

Summary of Events: Child was born on (Date). He was discharged from the hospital on (Date) (Detail here whatever complications you had with feeding/jaundice/dehydration/re-admittance to hospital, etc) On (Date) we met with our pediatrician, (Name) and expressed concerns about breastfeeding. Dr. _______ noted that baby was struggling to thrive and referred us to Lactation Consultant, Renee Beebe, M.Ed., IBCLC. Renee provided her services on (Date). Following the consultation, I submitted all required paperwork to (name of insurance company) for reimbursement. On (Date), I received an Explanation of Benefits (referenced above), noting the claim was denied. Continue reading

Let Your Baby Lead!

As a mother, you want to help your baby breastfeed. But often our help results in uncomfortable, ineffective breastfeeding. Many of you have already experienced the “help” of a well-intentioned nurse or lactation consultant who forces a baby to the breast against his will. Ramming a baby to the breast will only result in frustration and tears for everyone. In addition, a baby treated this way may learn to avoid the breast altogether.

Healthy newborns are equipped with instincts and reflexes that facilitate breastfeeding. Continue reading

Your Baby is a Mammal

 

Baby mammal found her way to the breast!

Infant mammals have one thing in common. They all breastfeed. In addition, they are all equipped to squirm, crawl or swim to the breast and latch and happily suckle without the help of their mothers.

But human babies are different than other mammals, right? Don’t they need someone to “latch them on”?

Yes, human babies ARE different from other mammals. They are smarter and even more capable than their furry counterparts. After some help to get to mom’s torso, a newborn will have no trouble finding the breast and suckling comfortably and effectively. Just like other mammals, your baby has an innate need and an intense drive to breastfeed. To your baby it is not a choice. It is simply survival. Continue reading

Breastfeeding Myth: Colostrum

I hear this almost every day: My baby had to have formula in the hospital because I didn’t have any milk. Or, My baby wanted to breastfeed constantly so the nurse gave him formula.

Way too many healthy newborns are given formula in the first 48 hours after birth. New moms are often told that their baby is “starving” because they “don’t have milk yet.” Unfortunately, frequent feedings are seen as a sign of inadequate milk production instead of a sign of a healthy baby who is learning to breastfeed. Continue reading

What is a Nipple Shield?

Nipples shields are molded silicone “nipples” that fit over a natural nipple. They look a bit like a sombrero, and the rim or base of the shield extends out about an inch to adhere to the breast. There are usually 4 holes in the nipple that mom’s milk can flow through. They are very thin and made in several sizes and styles. They are designed so that baby can latch on to the shield and get milk from mom.

So why on earth would anyone want to use a plastic nipple?

Nipples shields can be helpful when a baby is unable to form a strong vacuum at the natural breast. Sometimes, if baby’s tongue is not doing what it should, a nipple shield can enable a baby to breastfeed who otherwise would need to be bottle fed. Continue reading

Can I Meet with a Lactation Consultant While I’m Pregnant?

“I’m pregnant with my second child and planning to breastfeed. I had an extremely challenging experience with my daughter and ended up exclusively pumping for about 5 months. My confidence level is pretty low, so I’m planning for lactation support soon after my baby is born. I was wondering if you offer prenatal consultations or if you would recommend I sign-up for a breastfeeding class.”

Yes!  A prenatal consultation or private breastfeeding class would be perfect for you.  You can address your specific challenges and fears in a safe, private setting.

Many lactation consultants are happy to meet with you prior to your baby’s birth to help prevent problems. It can be very helpful to establish a relationship with someone before a situation is urgent and you’re feeling stressed. These prenatal meetings are particularly helpful under the following circumstances. Continue reading