This Surgeon Wants To Offer Cheap MRIs. A State Law Is Getting In His Way
Dr. Gajendra Singh is suing to overturn North Carolina's "certificate of need" law.
July 31, 2018 at 08:05PM
via Digg https://ift.tt/2NZBrk1
⅓ cup of steel cut oats
¼ cup of tahini
4 medjool dates
1 tbsp of almond meal
1 tsp of flaxseed
1 tsp of coconut oil
1 tsp of fenugreek
Have you seen the latest video of Chrissy Teigen trying to salvage as much of her spilled breast milk as possible? She’s disappointed that she doesn’t produce enough milk for her 9-week-old son and later reveals on Twitter that she supplements with formula.
I can laugh about the video now because Chrissy’s experience is so relatable — I, too, struggled to produce enough milk for my son. The entire breastfeeding process didn’t come as naturally as I would’ve liked. Even with lactation consultants, it took weeks for my son to properly latch (he was never diagnosed as being tongue-tied). When I wasn’t breastfeeding, I was expressing or pumping, which meant I wasn’t sleeping. I was consumed with guilt when I resorted to supplementing and the guilt resurfaced when I weaned him off breast milk completely before he was 12-months old.
What struck me about the video was not so much the content but the number of comments from other moms who’ve also struggled with breastfeeding and milk supply.
Why do we put so much pressure on ourselves to exclusively breastfeed? Because we know that breastmilk is liquid gold.
The American Academy of Pediatrics (AAP) regularly reviews the research available on breastfeeding and their findings continue to support their recommendation for “exclusive breastfeeding for about 6 months, with continuation of breastfeeding for 1 year or longer as mutually desired by mother and infant”. And yet, moms who start off breastfeeding often don’t end up meeting the AAP’s suggested 6-month minimum requirement to exclusively breastfed. Why?
According to the Office of the Surgeon General, the top reasons why moms stop breastfeeding include:
Photo by MIXU on Pexels.com
Do you own a nursing cover? Have you ever opted to feed your child with the bottle because you were afraid to “whip out” your boobs for all the world to see?
All 50 states in the US protect a mother’s right to breastfeed in public, with Idaho and Utah as the last states enacting law to do so this year. While the law is now in place nationally, shifting cultural norms is difficult. Breasts have historically been overly sexualized in mass media and this has had the unintended consequence of viewing breastfeeding as a lude act.
Just a couple of weeks ago, two moms, Stephanie Buchanan and Mary Davis, were asked to leave a public pool in Minnesota because other patrons were uncomfortable watching them breastfeed in public.
To avoid this type of public shaming, I remember going out of my way to find secluded areas where I could nurse, which, at times, were in cramp and questionable bathroom stalls. It was when my baby was sweltering under the nursing cover during an exceptionally hot summer day that I decided enough was enough. I needed to get over the fear of public breastfeeding and put the health and safety of my baby first. Imagine that. I had been so hardwired to think that showing my breasts even if to simply feed my child could be misconstrued as sexual. Fortunately, I was never asked to cover up or leave a public area while breastfeeding but I would hope that if I did, other moms would show their support.
Stephanie and Mary’s story spread. It prompted a sit-in outside of the pool where they had been asked to leave. Dozens of moms breastfed openly as a show of solidarity.
Photo by Christina Morillo on Pexels.com
When I moved back to the US, it took me a few months to find a job. If anyone has had to apply to jobs in the traditional way (responding to online posts), you know it’s full-time work. On top of this, I was a 24/7 mom to a toddler. I postponed putting my child in daycare for as long as I could because it just didn’t make financial sense. But being a 24/7 mom does make you go a little bonkers at times. So when my little kiddo and I would go out on the weekdays, to parks or libraries, I had hoped to find other parents to talk to. Instead, what I found was a community of lovely, friendly, and supportive nannies and caregivers. I was, however, in the minority as a parent. This was an eye-opening experience for me and a real cultural shock, especially when I learned that some of the babies being cared for by nannies or caregivers were as young as a month old.
If you’re a working mom in the US, you are not alone. Currently, the majority of women having children are also working moms. In 2016, the American Community Survey (ACS) estimates approximately 4 million women gave birth in the US, 62.4% of whom are in the labor force, with some moms going back to work just a fews weeks after giving birth.
Going back to work within 6 weeks after giving birth could jeopardize a mother’s ability to successfully establish breastfeeding and pose a significant barrier to exclusive breastfeeding. Fortunately, there are companies that have updated their work policy to better support new moms, giving them flexibility in their working hours to find time to express milk as well as providing a safe and hygienic room to express and store their milk. But these companies are few and far between, and often reserved for white collar jobs.
The US Family and Medical Leave Act (FMLA), which provides up to 12 weeks of unpaid time off, falls short of what other countries offer. Germany gives parents a full year of family leave with 60% pay. In the UK, my company gave me 6 months of full paid time off. But even with that length of time, I have to admit, it was still a struggle for me to establish adequate milk supply. So it’s not surprising that a recent Centers for Disease Control and Prevention (CDC) report found the rates of exclusive breastfeeding in US drops from 65% at 7 days down to only 25% at 6 months.
According to one national study, about half of mothers surveyed noted insufficient milk supply as their reason for stopping breastfeeding. Concern about insufficient milk supply could be due to improper latch, especially in the early stages. I can not stress this enough: please speak with a lactation consultant as soon as possible in order to get the technique down right.
In hindsight, I should have hired an experienced lactation consultant from the start. I was a newbie mom and thought the midwives at the hospital were experts in breastfeeding. What I faced were varied feedback and advice, which didn’t help with my confidence.
If you’re not sure where to even begin, the Office of Women’s Health’s website lists common breastfeeding challenges and provides helpful solutions.
I kept the word “poor” in the header of this paragraph because that’s how the Surgeon General’s report refers to it. I personally wouldn’t use such a negative term because let’s face it, in the past, bottle-feeding was the norm. A good majority of my friends and family who were born in the 1980s were primarily bottle fed and because they all turned out relatively okay, giving a child formula may not seem harmful at all.
It’s only recently that breastfeeding is getting all of the glorious attention that it deserves. But if not everyone in your immediate social circle is bought-in to the fact that breast is best, any sort of challenges you face in breastfeeding become heightened. In an effort to alleviate you from the pains and stress of breastfeeding, friends and family members could be quick to suggest giving your baby a bottle of formula instead. This isn’t particularly helpful though if your confidence already waning.
If you can’t find the type of support you need from your immediate circle of friends and family, there are an incredible amount of breastfeeding resources online. La Leche League USA is a good place to start if you’re looking for local breastfeeding support groups in your area.
Photo by Josh Willink on Pexels.com
Finally, although it’s not explicitly mentioned in the report, having the confidence in your ability to breastfeed starts with you and taking care of yourself.
From my experience, I didn’t do enough to take care of myself and I think this affected my milk supply. Aside from lack of sleep, I barely had time to eat a proper meal, and when I did, what I ate wasn’t the best. As someone who loves to cook and eat healthy, I was surprised to find myself munching on chocolate bars, cookies, crisps or chips, and literally any other processed snack I could get my hands on. Even when I’d go through the effort of microwaving one of those pre-made meals for myself, I’d take a couple of bites, and mommy duties would take over again. What I’d return to was a cold, or sometimes if I’m lucky, lukewarm meal, that was always undesirable.
While I put so much emphasis on eating well when I was pregnant, I didn’t have the same level of concern when I was breastfeeding.
This is why I’m on a mission to find the best recipes for new moms. Recipes that are not only healthy, but also fit within our busy schedule and lifestyle.
Please subscribe to my blog if you’d like to follow me on this journey, and if you’re hungry.
Thanks for reading,
Regina
If you are currently breastfeeding or pumping for the first time, or plan to in the future, chances are you have some concerns or doubts of how your experience will play out. How does this work? Will my baby be able to latch? Will I produce enough milk? What are the things they don’t tell you about breastfeeding? Below is a list I have compiled throughout my breastfeeding journey, which still continues at 6 months postpartum (see my first breastfeeding post here). Everyone has a different experience and these are the most important things I have learned along the way.
1. Do not lose hope!!!
This is probably the best advice I can give to a new mom. It is so easy to feel defeated during your breastfeeding journey. There are so many bumps in the road, whether it be your babies latch, your supply being sufficient, not having access to a pump, mastitis or clogged duct, or even pure confusion on what you are supposed to be doing. You will most likely have those bad days, but it is important to remember that nothing is permanent! All of these issues have solutions or ways you can work on them. Just because your baby didn’t latch today or you didn’t produce enough, does not mean it can’t happen tomorrow, or the next day, or even next month.
2. Pumping
Pumping is your best friend if you have access to one. Manual or electric. Get in touch with your healthcare provider and see if you qualify for a hospital grade pump to rent. These are much more powerful than some of the ones you can buy at the store.
I learned this one the hard way because I was uneducated on when and how to use a breast pump and was a intimidated by that little machine to be honest. In the days following my daughter’s birth, my breasts filled up with milk and leaked excessively, especially after the shower. I had fed the baby until she was satisfied but I had all this excess milk I didn’t know what to do with. I would stuff my bra with nursing pads and hope it would stop. BIG MISTAKE. When you are leaking breast milk, PUMP IT OUT AND SAVE IT FOR GOD’S SAKE!! It may mean stopping what you are doing but it is totally worth it . This stuff is liquid gold and you should capture as much of it as possible. Milk lasts a few days in the refrigerator, and even longer in the freezer. If I could go back in time to the day I came home from the hospital, I would have pumped as much as possible.
If your baby wont latch, PUMP! Even if your baby never latches, you can still keep your supply going with a pump and feed by bottle.
If your baby has just eaten, wait 10-15 minutes and PUMP!
If you have an extra 10 minutes in your day, PUMP!!
If you think your supply is decreasing, PUMP!
If you feel engorged, PUMP! Mastitis and clogged ducts can be caused by the breast not being fully emptied of milk, and by pumping you are giving yourself the best odds of avoiding these painful complications!
My point here is that if you pump as much as possible, you are capitalizing on your milk production and starting a stockpile for your freezer. This can come in handy if you have problems producing milk later on down the road, or if you simply just want to have some on hand and plan on introducing a bottle to your baby.
Now lets be real here, it is not always possible to sit and pump for 15 minutes several times a day uninterrupted with a newborn. Not everyone has help and I know it was really hard for me to find the time to do so and take care of my baby during the day. If you can, invest in a hands-free bra for your pump. I didn’t get one of these and wish that I did. I believe you can find them relatively cheap on Amazon. And just do your best! Take advantage of every opportunity you have to pump, but if your body or baby won’t allow you to, then wait until you can.
Now lets talk about power pumping. While this may sound like a move in a Richard Simmons exercise tape, all it means is you set a time during the day (preferably in the early morning or morning since this is the window of time that you will produce the most) you pump both breasts for 20 minutes, rest for 10 mins, pump for 10 mins, rest for 10 mins, pump for 10 mins. I know this sounds overwhelming but if you have an hour in the morning before the baby wakes up, I found watching the news was an easy way to keep track of the time since its right there on the screen or you could always set some alarms in your phone. If done consistently, this can definitely increase your milk supply. And if you can’t do it at the same time everyday, that’s OK, just do it as soon as you get a chance.
Lastly, I wanted to mention something else that greatly affected my supply. I didn’t even realize this one until my supply was almost gone completely: the flanges on the breast pump I was using were too large. There should be some size options with whatever pump you have and here is how your nipple should fit in the flange.
3. Remedies to a decreased milk supply
I have tried every one of these. Some didn’t work for me, but they may work for you. Most of these were purchased off of Amazon. I found that was where they were the least expensive, I will include links for you.
Fenugreek- Nature’s Way Fenugreek
Lactation cookies- Lactation Cookie Mix
Tea- Organic Mother’s Tea
Birth control- some birth control methods can cause a decrease in milk supply, ask your doctor about methods that don’t inhibit milk production.
Oatmeal- not the instant kind. The steel cut variety is the good stuff, and it doesn’t taste bad! Steel Cut Oats
Drink lots and lots and lots of water. Like every time you think about water, DRINK WATER!!!
4. Take care of your ta-tas
The effects of breastfeeding and pumping so frequently can do a number on your breasts. Your nipples may crack, bleed, or even clog up. I used lanolin on my nipples frequently. It relieves any itching and is safe for the baby. Also found this on Amazon for less than in stores. Lansinoh Lanolin Nipple Cream
Empty your breasts completely and frequently! Now I never got mastitis but I got close to it. I was not emptying my breasts all the way and got a few clogged ducts over a short period of time. The symptoms came on pretty quickly, it started with a large red area on my breast, it almost looked like a sunburn. Then came the chills and fever. I got the chills so bad and I could not warm up. I had an appointment with my lactation consultant the next day and she confirmed that I did have a clogged duct. I was instructed to diligently massage the area with warm compresses, empty my breast as often as possible, and to keep an eye out for any cracks in my nipples that looked infected. Sounds gross but this is real life people and you really have to watch out for that because it can cause serious pain. Anyway, I found that using the shower head and the warm water on my skin really helped clear it up.
5. Talk with your pediatrician before deciding to supplement with formula!!
This one is huge. I decided to supplement with formula before speaking with my pediatrician and I highly regret it. My baby never had a decrease of wet diapers, but instead I got into my own head and convinced myself that she wasn’t being satisfied by my breast. This is the thinking that contributed to the decrease in my supply. Because the baby was eating formula, she wasn’t as hungry when I would breastfeed, thus telling my body not to make as much milk. My body was still establishing a supply when I started using formula and I interfered with that when I should have let a trained professional make that call. This was a hard pill to swallow, and it still is today. My baby is healthy and that is all I can focus on or I will keep punishing myself.
This whole breastfeeding thing really knocked me over the head and kicked my ass but hey, that’s life in general and we just have to do the best we can and move on.
That is all I have for now. I hope that these tips help you in your breastfeeding journey!
As I am writing this recipe to share with you I am in the process of increasing my milk supply! This oatmeal recipe helped me get my supply up to 5 ounces in 2 days after it had decreased to where I was BARELY getting an ounce!
1/2 Cup Old Fashioned Oats
1 Tbsp Brewers Yeast
1 Tbsp flaxseed Meal
1 Tbsp Peanut Butter
1 Cup Milk of your choosing
1-2 Tbsp sweetener of your choosing
Top off with any fruits nuts, berries you would like!
I personally really love to either use Nutella or this Creamed Honey my dad gave me as my sweetener in my oatmeal!
Nutrition is always important. But it is even more important when you are breastfeeding! Not only are you providing the nutrients needed for yourself but also for your little one! Here are some of the top foods to help with milk production! (These are my personal findings, I am not a Registered Dietician)
At some point during the breastfeeding journey, many women experience an undersupply. I hope that this is a phase for you if that is why you are visiting this page!
For me, this occured for the first time when Taelyn was almost 7 months old. I caught a tummy bug :( And my assumption is that it dehydrated me so much that my milk supply decreased. Taelyn was getting frustrated so she wasn’t nursing as long to help my supply and then she got the tummy bug and didn’t want to nurse much at all!
So began my research! And my calls to my lactation consultant. (P.S. if you haven’t been to or talk to a lactation consultant I highly recommend it!) Here is what I found! (these are my personal findings and experiences. Please check with your healthcare professional)
Good Luck Little Mama! You GOT THIS!
XO,
Ciera
Whether you have already had your baby or are preparing for your sweet childs arrival, you should be looking into getting a breast pump. You may see pricing on these pumps and think, NO WAY! That is so expensive. Do I really need that? But the answer is YES! You never know what you may run into once you start your breastfeeding journey. You could have an oversupply (if you’re lucky), an undersupply, or maybe you are headed back to work. In any case, having a breastpump on hand will be extremely helpful. What many people don’t realize is that they can get a FREE breastpump through their insurance. Yes, you heard that right….. FREE! Just click below to see if you qualify!
When I was preparing for Taelyn’s arrival I researched and researched and I realized my insurance should cover the cost of a basic pump. WHAT?!?? The company I used is called Aeroflow. And I absolutely LOVE them. The whole beginning process was super simple and I NEVER had to personally contact my insurance company. They did all the work for me. Once they had the approval I received an email and I was able to go to their site and see what I qualified for. I got the Medela Double Electric Pump for FREE with bottles, flanges, tubing, and membranes. You can choose to upgrade and pay a little extra for things like a bag, which I reccommend if you are traveling or going back to work.
But ya’ll…. that seriously isn’t even my favorite part about this company. When it became about time to replace some of my parts they sent me an email! And guess what….those replacement parts are covered by my insurance also!
SO PLEASE! DO NOT BUY A PUMP! Check with Aeroflow and see what you qualify for through your insurance!
My daughter was born January 2nd, 2018. I had already decided that I was going to breastfeed her for many reasons. There are so many health benefits for both mom and baby plus the added bonus of FREE. You never know what kind of struggles you may come across until baby is here and it is time for her to latch.
My labor and delivery came pretty quick. I was extremely lucky! We left our house and got to the hospital around 10 pm and I was still only 1 cm dilated! I am SO SO SO very thankful for the nurse that was on staff at the hospital because she knew that Taelyn was coming that night even when the doctors said it was going to be a while. Taelyn made her debut into the world around 4 am the next morning at 6 lbs 11 ounces. :)
For those of you who have already delivered a baby, you know the importance of skin to skin right away. The nurses try to have the baby on you immediately and try to nurse shortly there after. This is my first baby. No experience nursing. And she WOULD. NOT. LATCH. My worst fear. The nurse gave me a Nipple Shield and Taelyn was able to latch and start the journey of breastfeeding. I was very thankful that she was able to nurse but I was concerned about ever being able to feed her WITHOUT the shield. While I was in the hospital the lactation consultant came in and we tried to get her to latch and she just wouldn’t/couldn’t. This was partly because I have a flat nipple, not inverted, but flat. This made it more difficult on my sweet newborn baby who was born about a week early.
In case you don’t know what I am talking about when I say nipple shield, this is what it looks like. I like this particular one because it has the cutout for baby’s nose. This way she/he can smell mommy while eating still.
So how did I get her off the shield?
My goal, was to feed Taelyn without using the shield. Honestly, it was such a hassle to use if I wasn’t at home. Especially for a first time mom. I already wasn’t very comfortable breastfeeding outside of my home in the first place and with the shield I just felt like there was no way to get any privacy!
So, everyday… every feeding, I would first try to have her latch without the shield. For a while, with NO LUCK. I am lucky that my pediatrician I chose has a lactation consultant at our disposal so I went to see her. And I swear lactation consultants are MAGIC. She got her to latch and eat a full meal. Of course, without her I still struggled but she gave me great advice. I kept trying to get her to latch without the shield first. But if she got frustrated I put it on and let her eat. I didn’t want her to have any negative association with being at the breast. Once she got a good suction and had eaten (about halfway through a normal feeding time) I would slip my finger and break her seal and steal the shield away. Then, have her attempt to latch since she had already been eating. Occasionally this worked but a lot of times it didn’t. But my persistence PAID OFF. I did this for about the first MONTH of Taelyn’s life. It was so frustrating. But then one day, MAGIC. She LATCHED. It was then only about a week that she was latching for EVERY. SINGLE. FEED. No more shield was needed. I still carried it with me out and about for a while just because I was so nervous she was going to regress and I wouldn’t be able to feed her. But this never happened. Once she was fully off of using the shield she was off for good.
My thoughts on the whole shield thing?
I am so thankful for it! While it made for a frustrating process trying to get her off of it, it allowed me to breastfeed her when she couldn’t latch. Without this shield, who knows if I could have been able to do this whole breastfeeding journey. If you are having issues with getting your baby to latch and haven’t tried a shield I highly suggest the attempt with it! If you are currently using it and are getting discouraged that you’ll never get your baby off of it, keep on being persistent momma! You got this! It make take time but you’ll get there!