Oatmeal and breast milk

OATMEAL

Oatmeal is commonly recommended to breastfeeding parents as a breast milk booster. Many report pumping more milk on the days they have oatmeal for breakfast instead of something else. 

🥣Oatmeal is a good source of iron. Anemia/low iron levels can result in a decreased milk supply as breast milk is made from your blood. 

🥣Oatmeal is a comfort food. Comfort foods tend to encourage let-down which boosts milk supply.

🥣Many of the herbs known to increase milk supply also decrease cholesterol levels. Herbs that both increase milk and decrease cholesterol include fenugreek and alfalfa, which are found in many lactation products. Oat bran, found in oatmeal, can help lower cholesterol

But you don’t HAVE to eat oatmeal to make breast milk. I’ve known more than a few moms who are choking down oats even if they hate them. There are other things you can eat that are just as supportive. 

🥬Eating foods high in iron or being supplemented with iron can help you make more milk. Especially if you had a large blood loss at birth or tend to be anemic. High iron foods include beans (they won’t make your baby gassy), dark leafy greens, red meats, dried fruits like raisins and apricots. 

🥄Flax seed and chia seeds can work just as well as oats. They can be added to cookie recipes, used as an egg substitute in homemade breads, and are tasty and filling in smoothies. 

🥕Here’s another list of seemingly random foods that are actually known to boost milk supply: Garlic, carrots, barley, asparagus, brown rice, apricots, salmon, sweet potato, almonds, moringa, chickpeas, lentils, beets, tofu, watermelon, and grapefruit.

Herbs and supplements while breastfeeding

Herbs. Supplements. Boobie boosting bars and milk making teas. There’s a lot of products on the market now to help increase your milk supply. Vitamin C is great for preventing a cold, but too much can give you diarrhea. Iron is amazing for keeping you from going anemic and feeling weak, but too much makes you constipated. Fenugreek is known to help boost milk supply, but if you’re on thyroid medication, are hypoglycemic, or have a peanut allergy you shouldn’t take it. Every person is different in how they respond to herbs and even foods. I’m not opposed to lactation supportive products. But if you’re going to buy any of those products guaranteed to help you pump gallons of milk a day, here’s my best advice:
💡Do your research. Know what’s in it and any possible side effects
💊If you’re taking any prescription medications ask a pharmacist about drug/herb interactions.
💉Start with the smallest dose possible and gradually increase the amount you’re taking
🧪Don’t add in 10 different supplements at once. If you have a bad reaction you won’t know which one is from. Start with one at a time.
🩺Try them at home and first thing in the morning, on a weekday before you go back to work if possible. You wouldn’t want to have a bad reaction at work or when the doctors office or pharmacy are likely to be closed.
🧫We all can have different reactions and side effects to herbs and supplements. Some women find that taking fenugreek has the opposite effect and drops milk supply. Some women may notice an increase in gassiness in baby with certain herbs. If you notice any weird side effects, stop taking the supplement.
🤱🏽There is no replacement for frequently removing milk from the breast. The best way to make milk is to frequently feed your or pump your milk from your breasts
🔑If you’re struggling with low supply, schedule an appointment with an IBCLC to help get to the real root of the supply issue and form a plan to get back on track.
🗓If you take something for 3 days and don’t see a milk increase, most likely the herb isn’t effective for you. If you see a decrease within 3 days, stop taking it.

Some of my favorite places for herbs while breastfeeding:

https://mountainroseherbs.com The best place for raw herbs

https://wearerasa.com Amazing adaptogenic coffee alternatives

https://milksta.com The best taste ever. I love these products

https://www.motherlove.com Great herbal supplements specifically for lactation

https://www.legendairymilk.com Quality lactation supplements.

Can I eat sushi while breastfeeding?

While there are foods you should not eat while pregnant, all bets are off while breastfeeding. When pregnant, food goes from your mouth, to your stomach, to your intestines, to your blood stream when it goes directly to your developing baby through the umbilical cord.

Undercooked/raw fish like sushi, hot dogs, lunch meats, and unpasteurized milk (certain cheeses) increases the risks of exposure to certain types of bacteria during pregnancy. Listeria, a bacteria that causes listeriosis, is a type of food poisoning that can pose a serious health risk for you and baby. You are at a higher risk of getting listeriosis when pregnant and passing that bacteria directly to baby via your blood. When breastfeeding, food goes from your mouth, to your stomach, to your intestines, to your blood stream, to your breast milk, to your baby’s stomach and finally to their blood stream. The process is much longer. Foods that may make you sick from food poisoning will make you feel sick, but won’t usually cause the same symptoms in baby because the process to their blood stream is so much longer. While your baby may have individual food sensitivities, there is no master list. You can eat the lunch meat, hot dogs, sushi, soft cheeses, cabbage, beans, and coffee to your hearts content.

Which is the best breast pump?

Pumps are machines designed to help establish and maintain milk supply to feed your baby. They are not perfect and no where near as efficient as a baby If they are not used correctly they can fail you (and your supply). Make sure you’re using the correct sized flange and alternating between the settings. Pumps don’t measure milk supply. They also don’t measure your worth as a parent. If your milk supply dropped because of the pump, the pump failed you. You are not a failure.

Pumps are a modern invention and are far from perfect. They’re still seem like rotary telephone technology in an iPhone generation. The first pump was patented in 1854, and the second patent in 1864 was literally for cows. New pumps were created every few years, typically as improved medical devices used to treat inverted nipples and to help babies who were too small or too weak to nurse, but comfort was not the priority. Widely available products for personal or home use have really only been around for about 30 years. It wasn’t until 1991 (around the time most of y’all who are reading this were born) that the Swiss manufacturer Medela introduced its first electric-powered, vacuum-operated breast pump in the US for personal use. Prior to that pumps were limited to select hospitals. Pumps have become such a common tool that many of us think you have to pump if you want to be successful at breastfeeding. While pumping may be needed for some to help establish and maintain supply or for when away from baby, if all is going well and you’re with your baby there’s never a need to pump.

I have a breastfeeding question…

Asking for medical advise from social media forums, especially mommy groups, is like asking a mother who’s had a baby to deliver yours. Just because she has experience in the field does not make her qualified to give technical advice in that area. She can give you her opinions or share her experience, but she did never be relied on as a trustworthy source when providing care to YOUR child.

Breastfeeding is especially one of those areas that we need to tread wisely into when asking for help and advice. Or culture has hidden breastfeeding from the norm and made it this mysterious, murky action where myths and misunderstandings abound. So much of the information found in quick Google searches are anecdotal, antiquated, or based off formula feeding data which is completely distinct and sometimes totally opposite of true breastfeeding. We should be seeking community support for breastfeeding, but not when medical advice is being solicited.

When mothers give out advice on social media platforms, they are not taking into consideration the whole breastfeeding picture and may inadvertently give advice that could care harm or actually negatively impact breastfeeding. For instance, when a mother of a one month old asks for advice on increasing her breastmilk supply and mother start giving advice on herbs, lactation cookies, or teas, they may not be considering WHY she is needing to increase her supply. Is her baby in the NICU? Is she going back to work and stressed with the pumping? Did her pediatrician have her supplement which impacted her supply? Is she trying to sleep train and sabotaging her own supply? Is she ALLERGIC to the herbs in those teas and supplements? How often is she feeding? Does she have a thyroid disorder? Does she have enough glandular breast tissue to even produce sufficient milk supply? Does her baby have a tongue tie? Does baby simply have a poor latch? These are the questions that are crucial in giving appropriate breastfeeding advice to protect the breastfeeding relationship. The best advice a mother can give on the social media platform is to have the questioning mother contact a lactation consultant.

The gold standard for breastfeeding advice is the International Board Certified Lactation Consultant (IBCLC). There are other forms of lactation consultants that teach and serve out of a variety of backgrounds (http://www.healthychildren.cc/PDFs/positionPaper_compRoles.pdf). The IBCLC is the top most coveted professional because of the extensive education and rigorous testing they need to go through in order to be able to assist lactating mothers. In order to sit for the FOUR HOUR board exam, candidates must have extensive education in specific health science subjects, like nutrition, psychology, and childhood development; 90 college level credit hours of education in human lactation and breastfeeding, and hundreds to thousands of clinical practice in providing care to breastfeeding families (ihttps://iblce.org/certify/eligibility-criteria/). They must also maintain a high level of continuing education courses and continue to sit for the board exam every 10 years.

Nipple piercings and breastfeeding

NIPPLE PIERCINGS

Will nipple piercings impact breastfeeding? Every body is different in how it reacts to taking out the jewelry out prior to breastfeeding. Just like with pierced ears, some of us will have the hole scar closed, the scar may partially close, or it could stay open for years and never have a problem sticking jewelry in and out at whim. Often the longer the time since the piercings were initially placed the better the outcome as the nipple has had time to properly heal. Common concerns may include nerve damage that impacts milk let down or scarring that prevents the milk from leaving the nipple. On the other hand, the extra holes created by the piercings could lead to a faster milk flow! (which some infants struggle to manage while others do just fine with). If the nipple pores have scarred shut, the breast may be able to make milk but it may not be able to exit from the nipple. This can lead to plugged ducts and mastitis. If the nerves have been damaged, the breast may make milk in the early days or weeks after delivery, but without the nerve impulse the breast will make less and less milk with time, even with all the herbs and quality pumping and efficient baby. Because our bodies are not perfectly symmetrical, some may have a problem on one side and not both. Some have no problem at all. We don’t know what your body is going to do and it cannot be predicted prior to birth. If your

Breastfeeding with the nipple jewelry in place is never recommended as it can make it difficult for the infant to latch-on correctly, increases the risk of choking on loose or dislodged jewelry, and can damage the inside of the baby’s mouth. If you are going to take your jewelry in and out every feeding, make sure you are being extremely careful with hand washing and jewelry sanitizing to reduce the risk of infection. Best practice says take the piercings out for the entirety of your breastfeeding journey. Many go on to successfully with pierced nipples, but if you’re having any problems or concerns, see a lactation consultant such as myself. For more of my thoughts on nipple piercings and breastfeeding, click here to check out my YouTube video

Setting breastfeeding boundaries with a toddler

TODDLER BOUNDARIES

Breastfeeding has unique challenges at every age. You’d think after a combined total of 46 months of breastfeeding between my two girls I would have no stress, concerns or issues. Nope. Every child is an individual with their own virtues and vices. Every stage of breastfeeding has its own challenges and rewards.

In the toddler stage, I never worry about milk supply or if she’s getting enough milk. I know there’s milk. And at 19 months, Peach’s nutrition is coming from the family foods provided at meals and snacks. She’s getting a well balanced diet with multiple foods in each food group. Breast milk for her fills in nutritional gaps and provides immune boosting protection. I don’t worry about pumping. I retired my trusty pump almost 4 months ago. Shes (finally)(mostly) sleeping through the night and were both enjoying the rest. The biggest concern in the toddler phase is boundaries. How long and often can/should she have access to the breast? What to do when she asks for the breast and for whatever reason it’s not appropriate to feed at the moment?

There is no right or wrong answer to this question. It comes down to what is best and what works for your family. Some will continue to nurse on demand and others will limit to certain times of day. Both of which are good choices. Both also mean continued breastfeeding and neither option necessarily means you’re ready to wean. But it can be difficult to process through how to manage these boundaries and navigate your next stage of development. Especially as toddlers are learning to ask for things and control their environment. And then tantrum or act out of frustration when they don’t get their way. If you’re struggling with this stage, I have phone consultations available to help find what works for your family.

My baby’s weight gain is slowing

WEIGHT GAIN

While your young baby is supposed to gain on average an ounce a day (30gm), weight gain slows as baby ages. From 4-6 months babies should only gain 3-4 ounces per week (90-120gm) and from 6-12 months babies should only gain 1-2 ounces per week (30-60gm). If you have been tracking baby’s weight gain and see the scale slowing down, don’t be alarmed if your baby is older. Continue to watch for lots of wet diapers and consistent pooping. Trust your baby and trust your body.

Where has my breast milk gone?

Some times we can sabotage our own milk supply from little things that we don’t understand will make a difference. Here are the top ways to accidentally drop your milk supply:

😳Putting baby on a feeding schedule in the first 3-4 months

😳Watching the clock instead of feeding baby on demand

😳Sleep training in the first 3-4 months after birth

😳Waiting for your breasts/chest to feel full to pump or feed

😳Not pumping when baby is getting a bottle

😳Letting partner feed a bottle in the middle of the night to get more sleep (and not getting up to pump)

😳”Topping off baby” after feeding, especially during the witching hour phase. (I’m not talking about when supplementing is necessary or if you’re on a triple feeding plan because of true low supply or baby weight gain. Supplementing after breastfeeding can be needed, but you would also be pumping at that time)

😳 Not pumping enough when returning to work

😳Using the wrong size pump flanges

😳Using a poor quality pump (insurance companies have to provide you with one, but that doesn’t mean they’ll give you one of quality)

😳Going back on hormonal birth control at your 6 week postpartum checkup

😳Taking nasal decongestants or allergy medications

While these seem like normal recommendations from many parent groups or even your health care providers, these subtle things can sabotage milk supply. Your body works on a demand and supply basis. The more you empty or demand from the breast/chest, the more milk it will make. Want to increase supply? Increase the number of milk removals, give young infants free access to feed on demand, and watch out for medications, hormones, of pumping traps that can sabotage your success.