By KATIE THOMAS from NYT Health http://ift.tt/2kOp0Nt
via IFTTT
While it has been a long held belief that a breastfeeding mother should, under no circumstances, consume alcohol while breastfeeding her infant as the alcohol might pass through the mothers milk into the baby, or at the very least, if she does drink she must “pump and dump,” I’m here to share the latest evidence based research that states that this might not be the case!
Old evidence suggest that not only is drinking alcohol a big no-no if you are breastfeeding, but also suggests that drinking alcohol can act as a galactagogue (a supplement that will help increase milk supply). So, which is it? Can I drink alcohol or not? The good news is YES! You can! Under certain circumstances.
Alcohol has been known to block the release of oxytocin, which in turn blocks the milk ejection reflex. It has also been studied that infants ingested less breastmilk after their mothers drank an alcoholic beverage. This was also after the smell and taste of breastmilk has been studied in these lactating mothers, suggesting that the change in said taste and smell was enough for baby to not ingest as much of the milk.
When you drink an alcoholic beverage (lets say a glass of wine) it passes into breast milk in the same concentration that is in your bloodstream. Alcohol concentrations will peak about 30-45 minutes after after that glass and will start dropping as your body starts breaking it down. Once you have sobered up, your milk will be alcohol free again with no need to “pump and dump!”
An interesting article that I have found (linked at the bottom) suggests “Even if you’ve refilled your glass a few times, there is very, very little alcohol in your milk—and very little ingested by your baby. If a 150-pound nursing mom downs four alcoholic drinks—say, four 5-ounce glasses of table wine—and then breast-feeds her 13-pound baby 4 ounces of milk when she’s at her tipsiest, her baby will end up with a blood alcohol concentration of 0.0038 percent—the same blood alcohol concentration her mom would have after consuming a mere 1.5 ounces of Bud Light (one-eighth of a 12-ounce bottle). Ultimately, there is a higher concentration of alcohol in some fruit juices—which can contain up to 0.1 percent alcohol due to fermentation of the sugars—than there is in the breast milk of a tipsy nursing mom.”
So even though it is studied that drinking while breastfeeding and waiting until the mother has sobered up to feed her baby is acceptable, that is not to say that there aren’t risks associated with drinking with a baby. It’s important to know the difference between having a few occasional drinks and binge drinking. Some risks associated with this may include, dropping your baby while intoxicated, accidental smothering of baby if bed sharing, or accidentally hurting baby (Research suggests you are three times more likely to have an accidental fall if you’ve been drinking than if not). It is also not advisable to breastfeed baby is alcoholism is a problem with the mother or her family has a history of alcoholism. This opens a whole new group of problems.
It is also a myth that alcohol can stimulate milk production. Alcohol reduces the release of milk via the let down reflex. Babies that were fed after their mother drank alcohol were shown to have eaten 20% less, although they made up for the loss by eating more frequently later on. But, what about beer? I’m sure we’ve all heard that the darker the beer, the better it is for milk production. “There is limited evidence that barley, used to make beer, can stimulate the secretion of the hormone prolactin, which is involved in milk production. The big question is how the two opposing forces—the milk-stymieing effects of alcohol and the milk-promoting effects of barley—balance out when a nursing mom imbibes a beer. No studies have tackled this one yet.”
So, with all that being said. It is not necessary to worry about having few drinks here and there. Please exercise caution while drinking and around your baby while waiting to sober up to feed, but also know that baby is not going to get drunk off of a few glasses that you have before nursing her to sleep as long as you wait to sober up.
“Breastfeeding & Human Lactation Enhanced Fifth Edition.” 2016. By Karen Wambach and Jan Riordan
Like many of the things pregnancy and baby-related, I thought breastfeeding would be simple. As simple as: you have the baby, your milk comes in, you breastfeed the baby until you see fit. That’s how it goes- as simple as that- in VERY FEW CASES! Breastfeeding is not as easy as you may think, but this post is not about breastfeeding. It’s about the stuff that happens to you actual BREASTS that no one bothers to mention or at least they don’t go into it in much detail- Have no fear, Queen Overshare is here!
Somewhere during that 2 hour period of skin to skin bonding with my baby, a midwife came in and asked me if I was going to breastfeed him and if I wanted to try. I said yes, they turned Liam’s head towards my breast and he made his way- unassisted to the nipple, latched on and fed until his little heart was content. Great right? Amazing! Loving, sweet touching and all that!
Why however did the boob he wasn’t feeding from hurt?! And more so, why did no one tell me about this? So with that put out there, here goes my list of things that happened to my boobs that I wasn’t prepared for…
What can you do? Wearing breast pads is handy so that you don’t get your shirt wet. My favourite disposable ones are Medela and Chicco brand. They’re soft and discreet and not too expensive. I also bought some washable organic bamboo nursing pads but as fancy as that sounds, I honestly didn’t like them that much. They’re bigger than the disposable ones and absorb a bit more, you can also obviously wash them and use them time and time again, but I just prefer the disposable ones.
What can you do? There are tons of creams for this but I didn’t like any that I tried. What worked for me was olive oil- extra virgin. Right after getting out the shower I’d rub olive oil all over my boobs and let them air dry (or at least try to- let’s face it, long, luxurious showers are a thing of the past). If you don’t have time to let them air dry; you can gently pat them dry. The olive oil on your nipples is safe for the baby as well. (Says our pediatrician).
What can you do? Take a warm shower or put warm wash cloths on your boobs. This alleviates some of that pain and tenderness and it helps get rid of some of those lumps. It may cause the milk to leak out though.
What happened to you boobs after pregnancy? Anything really strange or funny? Please feel free to share in comments.
***Just as a disclaimer (after the fact): This is about my experience. While other mothers have shared that most, if not all of these things have happened to them as well. This is not a guide to what will happen to you but if any of it does- know that it’s perfectly normal or at least, that it’s happened to me! However, if anything feels uncomfortable, too painful or just off, please see your doctor, midwife or lactation specialist.
Congratulations! You are having a baby, or maybe you are just thinking about it. At some point you are going to have to make decisions and answer questions about your child before you have even met them. Are you going to breastfeed? Are you going to pump? How are you getting a pump? Will you have formula in case you need it as a back up? What if you don’t produce enough milk? These are just some of the obvious questions, although still annoying.
Let me begin with my story. My answers to these questions were simple. Yes, I am going to breastfeed. My original plan for a pump was to rent one through our insurance. Luckily, my husband’s aunt, who is a lactation nurse, gave me one at a baby shower. What a life saver, but I will get into that later. I learned a lot more about pumping later, but duh, I have a pump now so I will use it. Formula? I gave away my samples that were sent in the mail. I had already decided it was not an option. I don’t have anything against formula, I had just decided for myself that I was going to do whatever it took to make my breastfeeding journey a success. Oh boy, and was that journey a tough one.
So let me skip ahead past all those glorious months of pregnancy (insert eye roll). After 12 hours of labor, my daughter made her grand entrance to the world 8 days early. One of the nurses asked me if I want to try and feed my daughter for the first time, way to put me on the spot. Saying you are going to breastfeed is the easy part. So I, uh, just put her on my boob and uh, nature takes over? If it was that easy, wouldn’t every mother be doing it?
I had no clue what to do at this point. I had read that getting the latch right the first time was the key to successful breastfeeding. So we tried, and we failed. We tried some more, but the latch was so wrong. Then one evening, my saving grace walked through the door; my husband’s aunt, skilled in the art of breastfeeding. She worked with me for almost 2 hours showing me different positions, when and how to create the perfect latch, and explained everything I needed to know in great detail. One key fact I can share that I had never heard of was the shape of your nipple when you break the latch. If your nipple looks like a tube of lipstick, with the angled end, then the latch isn’t right. That was one of the most frustrating experiences I had because every time we unlatched, we saw the lipstick nipple.
Three and a half days in the hospital and its now time for my party of three to go home and do this all on our own. Having a baby is exhausting, but there isn’t much time for rest. After she has been fed and goes to sleep, for about an hour at at time, now I must pump. My first pumping sessions were extremely defeating. I could hardly get an ounce out. Is this a reflection of how much my baby is getting? Once again, my husband’s aunt comes to my rescue. She explained to me that it doesn’t take much to fill my baby’s tiny stomach and that pumping is not necessarily a reflection of my supply. As she requires more milk, my supply will start to accommodate to her needs. So with that in mind, we began the continuous cycle of feeding, pumping, cleaning pump parts, and maybe a little bit of rest before the cycle starts over again. I fed her every hour and a half, if we made it that long, because that is what worked for us. I never knew exhaustion like this before.
After a very long week of the feeding cycle, I was ready to stretch my legs and get out of the house. I decided we should all take a trip to grocery store, that is when everything started to fall apart. As we were standing at the deli counter I had a wave of weakness overcome me. I started to shake from being so cold. It couldn’t be from the weather, it was May! I turned to my husband and told him we had to leave now, something was wrong. We went straight home and I went to bed, only waking up to feed my baby. My temperature was going up and was over 103 even hitting 104. I had flu like symptoms, but my right breast wasn’t quite right either. After googling and doing some research I realized I most likely had mastitis.
Okay, I have heard of getting clogged ducts but no one tells you about mastitis. My right breast was not emptying like it should, maybe I was favoring my left side more because it was my “good” breast. I called my doctor and they saw me immediately. After a round of antibiotics, I still had a knot and large red spot on the side of my breast. I was told to keep a heat pack on the lump and gently massage it to try and release the clog. At one point, it even peeled like a sunburn. So I was put on a second round of antibiotics and sent to a breast surgeon. She was convinced I was going to have to get those ducts drained because of the size of the knot. After viewing the ultrasound, which by the way looked so cool, she was able to see that the knot was scar tissue. So I was sent home to continue my the antibiotics, heat pack and massaging. The best thing that I could do in this situation was to continue feeding and pumping until empty.
I can remember feeling so engorged one morning, so I jumped in a warm shower. I can remember crying and squeezing my sore breast with no success. My husband calmly joined me and asked if he could try. It was like he had done it before, he gently began massaging and squeezing and then a stream of milk came shooting out. It is a relief I can’t even begin to describe.
So many mornings began like this, waking up to one or the other or even both breasts so full and so painful. There was no time to set up my pump because I needed immediate relief. I would grab an empty bottle and squeeze straight into it, because I did not want to waste a drop of my liquid gold.
Looking back, there were so many times where I could have given up. When I looked at my daughter, all I could think was that I wanted her to have to best and the best I could give her at the time was milk from my body. After months it became second nature. When in doubt, give the boob. It was the answer to everything. Not only did my breasts feed her with the nutrients specialized for her needs, but it provided comfort, pain relief, healing, and an overall bonding experience that only the two of us shared. Would I do it all over again? Absolutely.
Gujarati Methi Muthias are fist sized deep fried snacks made of mixed flours and flavoured with fenugreek leaves and spices. They can be enjoyed as it as a snack or added to gravies, dals or kadhis. They are a mainstay in the Gujarati kitchen.
I have quite a few Gujarati friends, and it is from them that I got acquainted with this interesting dish. Today I have prepared a healthier version of muthia, where instead of deep frying, I have baked the muthias. The muthias have been kept gluten free and I have used only gramflour to prepare them. Fresh green fenugreek leaves add to the nutritive content of the dish. The muthias have been then added to a gravy or kadhi. This dish is best enjoyed with steamed rice, rotis or bajra khichadi.
Preparation Time: 20 mins Cooking Time: 30 mins
Serves: 6
Ingredients:
For the Muthias
For the Kadhi or Gravy
Method:
Muthias
Gravy
Assembly
Becoming a Hucow
Madeline’s ready to fulfill her biggest fantasy and get a job at the Dairy. The Dairy is full of beautiful naked hucows and handsome men, the “bulls”, all helping sustain the worlds milk habit.
Madeline quickly learns that becoming a hucow is one of the most pleasurable experiences she will ever have. Her breast grow into enormous udders sensitive and full of milk and her sex drive sky rockets. From beautiful the well endowed hucows ready to help her with her bodies changes and increased desires, to the bulls, ready to lend a hand to any distressed and horny hucow, Maddie discovers that life on at the Dairy is anything but boring.
Buy Becoming a Hucow on Amazon
from lactation « WordPress.com Tag Feed http://ift.tt/2kvXiBJ
article sponsered by Northern Michigan certified lactation consulting and Mother Hubbards Country Cupboard
Une femme assistant à un événement dans un hôtel a demandé au personnel s’il y avait un endroit privé où elle pouvait pomper, seulement pour être dirigé vers une salle de bains.
Étant un client payant, elle raisonnablement demandé si elle pouvait utiliser un bureau ou une chambre, même un qui n’avait pas été nettoyée pour le moment. Le personnel a répondu qu’ils “n’étaient pas à l’aise” la mettre dans le “seul bureau” et qu’il n’y avait pas de chambres disponibles (ce qui s’est avéré être faux).
Coupé, la mère a décidé de pomper dans le hall de l’hôtel en face de la réception.
Vous pouvez consulter le post original ici.
Pouvez-vous le croire? Comment vivons-nous encore dans un monde où les mères ne sont pas accueillies pour le besoin fondamental de fournir du lait à leurs bébés? Pourquoi est-ce toujours un problème? Il semble que les lois sur l’allaitement maternel ne soient pas encore suffisantes pour certains employés.
Dans quelques années, nous aurons honte que ce soit même un problème.
Avez-vous déjà dû défendre votre droit d’allaiter ou de pomper dans un environnement sécuritaire et sanitaire?
~*~
A woman attending an event at a hotel asked staff if there was a private place where she could pump, only to be directed to a bathroom.
Being a paying customer, she reasonably asked if she could use an office or a room, even one that hadn’t been cleaned yet. Staff responded that they “weren’t comfortable” putting her in the “only office” and that no rooms were available (which was found to be untrue.)
Ticked off, the mother decided to pump in the hotel lobby in front of the reception desk.
You can check out the original post here.
Can you believe this? How do we still live in a world where mothers are not accomodated for the basic need of providing milk for their babies? Why is this still an issue? It appears that breastfeeding laws still aren’t enough education for some employees.
Years from now, we will be ashamed that this was even an issue.
Have you ever had to defend your right to breastfeed or pump in a safe, sanitary environment?
Who doesn’t love raspberries!?!? So sweet and plump with a perfect tart in some of them… One of my favorite berries, it brings me back to my childhood. Warm summer days with a slight breeze cooling us off and red stained hands spotted with a few prick marks if we weren’t careful. My dad would plop down that square plastic carton or a ice cream pail and we would pick them until they were full. When we moved to Seattle 6 years ago we lost those moments. There were wild blackberries but those weren’t the same for me :/ Now we are back but wont have raspberry plants for a while. But I digress, we are here for a different reason!
Raspberry leaves! No, they aren’t sweet like the berry and to get the benefits in a tea you DONT want raspberry flavored. Sorry, most flavorings aren’t good for you for one, but the leaves are what help you here. They still have the most wonderful smell alone though and every time I open my bag it takes me back to those lost moments of ours.
One of my best friends started taking the tea before I even was far into hippy mode. She used it to help regulate that oh so fun time we women enjoy. HA. I thought it was a good idea but taking something every day for a good 30 years wasn’t my idea of fun, or even attainable for me I thought. Heh. Every time I think of the tea I think of her. From her output and others, it has been said to help a lot.. I didn’t start taking it until I got pregnant though and wont know personally on that area for a while I hope, haha.
But I guess now I AM taking it daily, funny how things work. I can attest to it working throughout my pregnancy, labor, and I also believe nursing. All of those a product of hormone balancing like regulating your cycle.
Here is a short synopsis of Raspberry Leaves.
(While generally safe, PLEASE do read to the bottom, as there are some cases you do NOT want to take R.L. )
Contains:
It helps increase fertility, tones and strengthens the uterus( which may be beneficial for VBACS!), regulate hormones, ease labor, remedy many other ailments, and helps with breastmilk production. It can help with morning sickness and also the leg cramps and swelling. The minerals, vitamins, and plant compounds found in R.L help to give you “rich milk”.
Now the lengthy part..
Its been long said that raspberry leaf tea may make labor and childbirth easier. However it doesn’t speed it up. I know, I know.. I am sorry. For hundreds of years at least! In fact they tested Raspberry Leaf Extract on pregnant rats in a study published. They found it did help with contractions during labor. I think I would agree! I feel it even helped with after birth for me! I had two homemade gatorades made with my Pregnancy Tea but forgot to drink them until after birth. I had drank my daily tea before labor though. Its muscle relaxant properties are at work with both of these situations. It has been said it makes contractions more effective by concentrating them and can also help with bleeding during labor. Raspberry can also strengthen the membranes protecting baby in birth!
What about after? R.L could help you with lactation and depression! It balances hormones which will help with that and cramping too!
For menstruation it helps by regulating your cycle including the frequency and length. It also reduces just about ever symptom you get. Pretty cool huh? Even though Raspberry has all these hormone related benefits, it can actually help remove extra hormones your body doesn’t need, which is one way it helps to regulate them!
Other remedies not specific to women include digestion, diarrhea, gas, helps with colds/flu, sore throats, may fight infections, helps skin rashes, diabetes, heart and respiratory problems, and purifying your skin and blood! Men can also look forward to its cleaning extra hormones effect, many men are exposed to estrogen/ estrogen mimicking chemicals daily with plastics and chemicals.
It is generally safe for all ages and some people drink one cup and some have drank up to a gallon daily. DO exercise caution and be wise. Honestly 2-3 cups would be ideal for a pregnant lady, less for children. And personally I would think unless you are very deficient that much more is probably not needed. Now read below for some important mumbo jumbo. Seriously.
Now to the don’t do this or that part.
In a report in 2007, “International Journal of Toxicology” reports that Castoreum, an extract derived from secretions of a beaver’s anal glands, is an FDA-approved natural food additive that has been used for decades to flavor foods. It is commonly added to vanilla ice cream and raspberry-flavored products, such as raspberry tea. So make sure you get the LEAVES!
While no side effects have been reported. It is still wise to use precautions, as always!!
Not enough is known about the safety of taking red raspberry during breast-feeding. It’s best to stay on the safe side and avoid use.
Hormone-sensitive conditions such as breast cancer, uterine cancer, ovarian cancer, endometriosis, or uterine fibroids: Red raspberry might act like estrogen. If you have any condition that might be made worse by exposure to estrogen, don’t use red raspberry.
Hopefully you learned a bit here! What have you used it for or what will you try it for now?
I mentioned baby boy had a tongue & lip tie in my previous post. Well, they are no more! We got them clipped today. We saw a local holisitic pediatrician and board certified LC who is known around town as the only one to do it before a baby is 6 months.
The past week since trying EBF & quitting pumping has been difficult. Baby latches on and off during feeds, latches incorrectly, gums me, feeds constantly, etc. So today brings a sense of relief and a step forward for us. Before the procedure, I breastfeed for the doc to show her what we are experiencing with our feeds. She observed for a bit and then examined him only to confirm that he did indeed have both ties. She then explained the clipping to us which took longer than the actual action itself. It literally took 30 seconds to do it. I cried more than he did I think. Immediately following the clipping he was put back on my breast to feed. I guess the breast is the medicine for all.
He latched on well and stopped crying right away & he hasnt shown any signs of pain or discomfort since thankfully. I was told that is the norm since they are so young. I am feeding him as we speak and plan to do so as much as he needs, even for comfort today. So far so good with the latch. I also purchased a recommended supplement to increase my supply and my lovely mom made me 4 dozen delicious lactation cookies. We have a follow up next week & hope to have good news to report.
In other news, Isaac gained another lb since our last appointment! I am so grateful for this since we have had some feeding challenges. He now weighs 9 and 1/2 lbs. He is getting so big so quick! Almost all his newborn clothes have been outgrown now.
I just realized this is the first post as a mom I have written in paragraph format. All of my posts since his birth have been list style, bringing me to my point…pregnancy brain is real, but mom brain is no joke. Its been hard to fathom compiling all my thoughts into something that could be easily read, so forgive me if this is jumbled.
I had my postpartum visit the other day. All looks well and I have been released back to my “normal” activities (exercising, intercourse, bathing, etc.) I am excited to start stroller walking daily, in fact we already began as a family of 3 plus the 2 dogs. It was great and baby seems to sleep much better. He is also loving bathing in his 4 Moms tub. Up until he turned a month old we had been doing just sponge baths which he hated. When we put him in the tub he looked simply amazed. Perhaps a feeling of being back in the womb? Anyways, it has become a highlight of my day to see him so relaxed in there.
We have been getting out a bit more, Isaac ate inside his first restaurant with our in laws who are visiting from Ohio. I have been avoiding a lot of indoor public places as it is flu season and I did not get a shot for it. He really loved looking all around and being so stimulated. I just love to watch him, we are so very blessed.
I guess that is all for now, thinking of all you no matter where you are in your TTC journey. God Bless ❤️
First and foremost, this is not just a recipe for lactating moms! JT has eaten these and hasn’t had problems with unwanted milk production. So if you are just looking for a way to make waffles a little heartier this is also a recipe for you!
As a exclusively breastfeeding mom, I’m always on the lookout for ways to increase my chronically low supply so that I don’t have to switch Gem over to formula. (Note: I’m not mom-bashing, I have no problem with formula fed babies. I’ve had to supplement with formula in the past and its possible I’ll have to do so again. Fed is best.) The internet has all sorts of ideas on how to increase supply, but the one I’ve seen all over is the lactation cookies. I have a killer sweet tooth so I could just eat cookies all day everyday, but I know that I need a bit more sustenance, and I’d like to lose a few pounds so chowing down on cookies all hours isn’t really ideal.
I began looking for recipes that I use on a regular basis that would be fine with an addition of lactation boosting ingredients. The one I stumbled across that I knew would work for me was my grandmother’s waffle recipe.
Note: This post contains affiliate links. This means that I may receive a small commission (at no additional cost to you) if you purchase items through the links provided below. (Read more here.)
Makes 8 four inch Belgian waffles.
Hi there! Welcome to Breastfeeding Matters where you’ll find all things breastfeeding (and birth and the occasional women’s rights’ post)! This is just a quick welcome post to invite you to follow us during your pregnancy and breastfeeding journeys and beyond. As the blog is under construction things may take some time to fall into place and be fully functional, but we hope that you decide to stick with us as we continue to grow. Sending love to all you beautiful mommas!
The Human Elements
Outside of Grayson getting the all clear, I believe the most relevant part of this journey so far is to make mention of the glue that held things together – the people.
Beginning first with those with whom I have a history:
First and foremost, my partner, Matthew. Without him I would have derailed long before things got really scary.
And also our closest family and friends. Thank you for the love, support and space we needed to process and persevere.
Then there are those individuals we encountered through their professional expertise and our circumstances: the incredible staff at Brampton Civic Hospital and those they referred us to.
We want to acknowledge their collective support, which was essential to us throughout Grayson’s life so far! Their person centred approaches have made all the difference in the world.
It is pretty incredible that I can say this most terrifying experience was at the same time so rewarding. The memories and meaningfulness of the time we spent at BCH is invaluable.
Without exception, from admission through discharge and now being at home – the professional support and personal approaches of our Health Care providers has been amazing. Thank you to all of you.
Key to our Care –
Additionally, there are a few people who have especially stood out and so I offer a few words to each of you.
Dr. Hall – (who delivered our baby) thank you. Your read on me and my needs from the moment we met made me feel comfortable and safe. I am someone who has struggled with balancing my desire to have physical and emotional privacy while doing what I know I need to. You understood that without me saying so and for that I could not be more grateful. It was such a privilege to have you deliver our baby and a blessing that he was born before you had your shift change. Thank you, too, for your calmness and reassurance when Grayson showed distress and for your follow up care. Your kindness, honesty and support is a real gift to our family.
Lauren – (the RN who provided tremendous care) thank you for being there with me from epidural to almost the birth of our baby boy. I appreciated your kindness and commitment to the best care throughout our labour and (almost) delivery.
Jackie – (the Lactation Consultant) you made our time at BCH more comfortable with your sincerity and support. I looked forward to your visits and appreciated how responsive you were to our baby and I. Also, a HUGE thank you for even arranging for Matthew to attend the breastfeeding class with me and the other new moms in postpartum.
NICU staff – what a team. Thank you all for the commitment you have made to providing care to beautiful babies and to families. Each one of you brought a level of care that we believe went way beyond job expectations to support us.
This is the third post in my “what worked for me” series including increasing fluids, increasing calories, and increasing pump times.
The standard advice in the lactation world is to pump for 15-20 minutes every 2-3 hours. This is the advice I was given in the NICU (both times) by IBCLCs and that every mom I’ve spoken with has been given. I don’t know where this number came from- if there have been studies or if it’s just a guess. What I do know, is that for some of us, this is not nearly enough to establish and maintain an adequate milk supply.
My babies on tap were FAST… none of them nursed for more than 15 minutes per session. They were all fed on demand so sometimes they were constantly back on the breast, and we were okay with that. Taking this into consideration, one would think that equal pump time should be sufficient. The reality is, no pump is as effective as a human infant at extracting milk. Having an infant at breast also increases all kinds of feel good hormones that help the milk flow. The baby licking and stimulating the nipple is another wonderful stimulant. Back in my days of nursing, just being around my sweet little ones could cause a let down. This hasn’t happened to me with exclusively pumping. You can read my road to milk here.
With this baby, I’ve had to dramatically increase the time I spend attached to the pump in order to establish and maintain a decent milk supply. Sadly, I’m not a major over supplier with milk to go around- at my absolute highest, I maxed at 36-40 opd. Currently I sit around 32 opd with a drop just before my monthly arrives (but that’s another post). This is enough milk to meet a fully breastfed infants needs (24-30 oz is what a breastfed infant requires).
I have maintained that if I followed the well known advice of only pumping for 15-20 minutes per session, I would have lost my milk supply. I did a little study one day, you know, for scientific purposes. I switched bottles out every 20 minutes during my pump sessions to measure and record how much I had at each juncture and how much I ended up with at the end of the session. These sessions are representative of my average sessions- first morning (after 7-8 hours of sleep because I am much further into the pumping game) is 90-100 min with a total output of 12-16oz and later sessions are 60 min with 5-8oz output (depending on how long I go between sessions). For the first 12 weeks, I didn’t go longer than 4.5-5 hours at night EVER. This is important for establishing supply.
First morning pump- after 8 hours of sleep. 20 minutes of pumping yield is 5 oz.
At 40 minutes, I’m up to 9.5 oz.
60 minutes in, I now have 11.75 oz.
At 100 minutes, I stopped pumping at just shy of 15 oz.
This is my LARGEST pump of the day- accounting for 1/3 or more of my daily total. If I stopped at 20 minutes, I would have 5oz or only 1/6-1/7th of needed supply. Now, let’s looks at my second pump of the day- FOUR hours after my first morning pump session.
20 minutes in, I have 3.5 oz of milk.
At 40 minutes, I have 5.5 oz of milk.
At 60 minutes, I have just about 7 oz of milk.
This is my second largest pump session of the day. I pump 5-6 x daily at this stage of our journey. The next pump, I expect 6 oz at 60 minutes and then I will drop to 4.5-5 oz for the last two sessions of the day. This is assuming an optimal supply day. Some days, my total number is closer to 32 oz, which means each of my pumping sessions yields 1-2 oz less. If I pumped for 20 minutes, after my two largest pumping sessions, I would have collected a total of 8.5 oz. This would be incredibly discouraging. It also would mean that my breasts are not completely empty which is likely to lead to a multitude of issues including:
I haven’t taken the time to repeat this same experiment with an entire day of pumping, but I know what my body does and what it takes to get milk out. I have found a couple of things that now allow me to speed up my pumping time now that my milk supply is established. One is using the Symphony, Sonata, or Spectra (I have some caveats to this as it didn’t fully empty me) breast pumps. I get similar results with the Symphony and Sonata pumps. When my supply is normal and well regulated- I can usually stop pumping at 60-70 minutes in the morning now and 45 or so minutes during the day sessions. When my supply is dipping due to my menstrual cycle, I increase my pump times to encourage greater production.
There is considerable time in between let downs when I pump for this length of time, I often push the letdown button again to stimulate more flow. By pumping for extended periods of time, I have been able to maximize my output, pull all the fat out (I get nice, fatty milk- up to 30% at times!), avoid clogs and mastitis and feel confident in my ability to feed my baby 100% mamas milk. It takes serious dedication. For the first 13 weeks, I spent EIGHT hours every day dedicated to milk collection. That’s more than a full time job, since it’s a seven day per week task. Now I spend between 5-6 hours per day collecting and storing milk (still a full time job when you multiply by 7 days per week). This is not easy. It is not simple. It is time consuming, it is emotional, it is hard, household tasks don’t get done on time, I have tears sometimes, my preschooler may watch too much Amazon Prime some day (I’m anti TV, so this is a hard pill for me to swallow), I’ve gained weight… BUT it is WORTH IT.