Milkmakers Cookie.
If you’re concerned about milk supply, you probably already know that there are herbs, medications and even foods that can help. Herbs and medications often come with risks and side effects. But foods that help boost supply are simply foods! Foods have basically no risk and have an added benefit of increasing your nutrition and overall health!
Continue reading
I got a massage this afternoon. I told the massage therapist that my shoulder and neck felt “stuck” and there were certain every day activities that I couldn’t do comfortably because the movement in my shoulder was restricted. After an hour of skilled touch, I could move again–without pain.
Sometimes babies are “stuck.” Developing in a small space, the baby may grow with a shoulder pushed up against her jaw. Or with her head turned to one side. When that baby is born, she may continue to tilt her head to one side, or her jaw may look asymmetrical. I pay attention to this because all that muscle tension and asymmetry can interfere with normal infant feeding. Continue reading
Baby with tight frenulum. No tongue elevation present.
I met a darling baby last week who was obviously tongue tied. By obvious I mean that his tongue was not only visibly anchored to the floor of his mouth, but the mobility of his tongue was severely restricted. All signs indicated tongue tie. He cried frequently through the day with severe gas pains. He could not move his tongue side to side and there was almost no elevation when he cried. When he nursed, his tongue “snapped back” repeatedly. The snap back prevented him from keeping a strong vacuum at the breast, leading to noisy breastfeeding, slipping off the breast and sore nipples for mom. He was so noisy with smacking sounds and squeaky swallowing that his mom nicknamed him “Squeaker.” Continue reading
Getting some reassurance from an IBCLC
You have just had a baby. You’ve always known you would breastfeed, but things are not going well. Perhaps your nipples are sore. Or you’re struggling with engorgement. Maybe you’re worried about milk supply. Or your baby has hard time latching. Or maybe you just have a lot of questions. In any case, you and your healthcare provider have decided you need the help of an expert. It’s time to call a lactation consultant. Continue reading
A new mother called me last week worried about her baby. He was struggling with latching and seemed generally unhappy with breastfeeding. She was terribly engorged and in a tremendous amount of pain from childbirth as well as her breast and nipple pain. When I arrived she was teary, confused and doubting her abilities as a mother.
Engorged breasts and nipple shields
In the process of hearing her story, I learned that she had been told several times by nurses and doctors that it was important to pump after each feeding to make sure the milk would come in. She was also told to feed her baby every 1.5 to 2 hours day and night. . She wanted to do everything right. She wanted to make sure her tiny newborn got plenty to eat.
So she did as she was told. When he was too sleepy (or too full) to wake up, she called her pediatrician. How could she feed her baby when he wouldn’t wake up? As per his advice, she stripped him to his diaper, tickled his feet and used cool washcloths when necessary. She continued to pump after feedings—terrified that her baby was not getting enough to eat. She even hand-expressed milk into his mouth—so worried he wasn’t eating enough. She was also concerned about her baby’s very frequent, mucousy stools.
Unfortunately, no one had bothered to ask about her health history. If they had, they would know she had a late miscarriage a few years prior. They would have known that after the miscarriage she had a full milk supply for several weeks and had a terrible time with engorgement. They would also have know that she has PCOS—which can result in copious milk supply. (Mom’s with PCOS can also have issues with low milk supply.)
When her milk came in she was in trouble. She felt she had to keep pumping because she had so much milk. Her baby was choking and gagging. He would only nurse for 3-5 minutes–and it was a struggle. Then she would pump 6 additional ounces!
I showed her how to help her baby to the breast, letting him “take the lead” and latch in a way that worked with his reflexes. He nursed beautifully through her strong let down and handled her supply with no trouble. When the milk came too quickly, he cleverly let go and she helped him regroup and burp a little. He ended up nursing on both breasts contentedly for about 15 minutes. When he decided he was full, he was relaxed and happy. His mother was amazed at the difference!
I saw this mom a week later and she was a new woman. Now she lets her baby decide when he wants to eat. She used cabbage leaves to reduce her swelling and milk production and stopped pumping after feedings. Her baby’s stools are normal and he is happy and growing well.
If you find yourself with an oversupply brought on by pumping, gradually decrease the pumping over time. Cabbage leaves (green) rinsed and placed under your bra a few times/day will help reduce engorgement and may reduce your supply somewhat. Some foods may help you reduce supply as well. Your baby may be more comfortable nursing side by side in bed. You can also try leaning back and letting your baby nurse prone.
Many mothers worry about not having enough milk. It’s natural for a you, as a new mom, to have doubts. But try to keep in mind that the vast majority of mammals—including humans– have plenty of milk for their babies. It’s relatively rare to be unable to produce adequate milk. If you feel you have too little milk, or too much, please contact a lactation consultant and get help as soon as possible. The sooner you get help, the sooner you can relax and enjoy your baby and breastfeeding.