By Heather Murphy from NYT Health https://ift.tt/3cf6cxm
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Sunday, May 31, 2020
Friday, May 29, 2020
Saturday night feeder
MY LATE MOTHER trained at the Michaelis Art School in Cape Town. She became a commercial artist. After she married my father in London in early 1948, she became a more creative artist, a painter and then a sculptor. Her interest in art was shared by my father, who became deeply interested in the history of art. Most of our family holidays were connected with my parents’ enthusiasm for art both old and new. I used to be quite envious of my friends whose parents took them to the seaside, but now that I am older I appreciate the special nature of our family holidays.
One of the places my parents enjoyed visiting was Bruges (Brugge) in Belgium. We used to stay in the city’s Hotel Portinari. Once every visit, we did something that I found more enjoyable than visiting churches and museums. We took a boat ride along the city’s canals. These tours involved travelling in a small low boat powered by an outboard motor. The most exciting part of this voyage was when we passed beneath a particularly low road bridge. The tour guide would tell us all to duck our heads. My mother, who saw danger around every corner, always emphasised how important it was to lower our heads as much as possible to avoid them being smashed to a pulp by the metal struts under which we were passing. In retrospect, considering the potential for experiencing this awful injury (possibly leading to death), I am amazed that my mother sanctioned these boat trips every time we visited Bruges.
My mother passed away, I married and in 1995 our daughter was born. Six weeks after her birth, we crossed the English Channel and we took our daughter with us. We were driving to Rotterdam in Holland to meet my wife’s parents, who were disembarking there after a cruise on the River Rhine.
We wanted to spend a night in Bruges on our way to Holland, but were unable to find accommodation in a hotel that we could afford. Instead, we booked a hotel at nearby Damme, which was said to be picturesque.
We arrived at our hotel in Damme on a Saturday afternoon. I remember that we had trouble getting hot water to flow in our shower. However much the hot tap was turned, the water remained icy cold. The problem was solved when a member of the hotel staff explained that the taps had been labelled wrongly: hot water flowed when the cold tap was opened.
In the evening, the three of us went to a restaurant in Damme. The dining room was a long rectangle in plan. A long central ‘aisle’ ran between two lines of tables. Each table was occupied by late middle-aged couples sitting with their backs to the walls and facing the diners seated opposite them across the aisle. Not one of these people looked as if they were enjoying their night out, or even being alive. They were a miserable looking bunch.
We were shown to the one remaining empty table. Within minutes of sitting down, our daughter decided that she needed a drink, not of Belgian beer but something that only wife could supply.
My wife asked the maitre d’hôtel whether there was somewhere that she could breastfeed our daughter discreetly. He pointed at a door. My wife stood up and walked towards it. Before she reached it, the hitherto seemingly moribund diners sprang to life. They told us that they did not mind if our daughter suckled in the dining room. They did not want mother and child to be exiled, or even self-exiled.
For the rest of the evening, our fellow diners remained animated, exclaiming how sweet our daughter was and offering much advice. Our arrival and our daughter, in particular, had made that Saturday evening a huge success for these ageing members of Damme’s bourgeoisie.
Picture of the Minnewater in Bruges, taken in the early 1960s
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Thursday, May 28, 2020
How will I know if my newborn is getting enough milk?
Breastfeeding is such a beautiful process that’s shared by mom and her child. But sometimes, it’s also a source of anxiety especially for first time mothers. Most often question is how to know if they’re getting enough milk.
During the early weeks of life, your newborn needs just small amounts of milk from your breasts. And that’s also enough time for your body to start producing milk for your child’s needs. If your baby has a good latch and position, you’ll know if they’re getting enough milk by the ff:
• POOP is 3-4 or more times every 24hrs. But also note that healthy breastfed babies may also poop not as often even as long as just 1x a week.
• PEE is 5 or more wet diapers every 24 hrs (this is a better indicator than poop)
• average WEIGHT GAIN is 5-7oz/wk or 100-200g/wk (but remember that your baby can lose 10% of their birth weight during the first week of life. They’ll gain it right back on the next few weeks)
• baby is CONTENT between feedings – this one is hard to put into numbers and only the mom/dad can know for sure. Just imagine yourself in a food coma after one satisfying buffet meal. Haha.
So don’t you fret, mommies! Be patient with your bodies. If you’re having trouble breastfeeding you can consult with your pediatrician and/or lactation consultant. Joining breastfeeding support groups also help! Moms supporting other moms is helpful because you’re not alone in this journey!
Check out these FB groups for breastfeeding moms!
Breastfeeding Moms Support Group Philippines
Pinay Preggy & Breastfeeding Mommies
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Tuesday, May 26, 2020
Monday, May 25, 2020
Sunday, May 24, 2020
Saturday, May 23, 2020
Thursday, May 21, 2020
Tuesday, May 19, 2020
Monday, May 18, 2020
Sunday, May 17, 2020
Covid-19 update
UPDATE: Always wanting to protect the sweet babies, their families, and me, too. So: currently doing all initial visits virtually and follow ups virtually as well UNLESS I need to do an oral exam to assess for referral out, check wounds post frenectomy, or do a weighted feed. For in person visits at The Speech Network, I am completely sanitizing the room, clean cover on the chair and the scale, changing to new scrubs between visits, wearing masks and gloves, cleaning, cleaning, washing hands. I will check your temp and ask all the covid-19 questions, and of course you will wear a mask too (my mom made some if you forget yours!). Right now we are only having one person working at TSN at a time, and I am leaving 45 minutes between clients, so you can come in when you arrive. Please let me know if you have any questions or concerns! I am so pleased to be able to see people in person again but want to make sure it is a safe environment!
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Tips to quicken lactation after childbirth.
Breastfeeding is considered to be the best nutritional option for a newborn. When you have insuffici
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Friday, May 15, 2020
5 Things to Look For When Choosing a Lactation Consultant
You probably never imagined that you would be looking for a lactation consultant. Until the day comes when you are either expecting a baby, or you had a baby and you are looking for guidance with feeding. So, where do you start? Where’s the best place to find a lactation consultant? You can ask your doctor or midwife who they recommend, sometimes they know a good lactation consultant who has helped other patients in the practice. You can ask your pediatrician; they should have names to refer you to as well. You can ask your other mom friends, or (gasp) post something on social media and see who is voted the best LC among your friends. You can google Lactation Consultant (and the name of your town) and see what comes up. Your doula may have a lactation consultant that they trust with the families they work with. Regardless of how you find your LC, there are a few things you definitely want to know before you hire her (or him). LC’s are just like any other service – no 2 are the same. Make sure to find the one that’s right for you. Here are a few guidelines when looking for the right LC.
Credentials
If you are hiring a lactation consultant, make sure they are credentialed by IBLCE, or the International Board of Lactation Consultant Examiners. Once they pass this exam, they will use the credential IBCLC, or International Board Certified Lactation Consultant. Only someone with these credentials can call themselves a lactation consultant. Before qualifying to sit for the board exam, a candidate has to comply with certain educational guidelines, including specific college courses, 90 hours of lactation specific education and hundreds of clinical hours. Once this is completed, they will need to pass a board exam (a really hard board exam). There are also wonderful lactation support people who go by CLC or CLE. CLC is a certified lactation counselor and a CLE is a certified lactation educator. Both of these are great titles, and anyone who holds these certifications are obviously very dedicated to helping breastfeeding families. However, the education difference between these certifications and an IBCLC is unparalleled. That’s not saying someone who has a CLC or a CLE won’t be helpful, or won’t be supportive, but they do not get the same clinical experience and they have limited breastfeeding education compared to the IBCLC. Many who have a CLC or CLE go on to become an IBCLC, using their initial certifications as a steppingstone to board certification. I have found that many people do not realize that there is a difference between an IBCLC and a CLC, and they often consider them the same thing. Find out the credentials of the person you hire.
Experience
You definitely want a lactation consultant who is experienced. Ask where they received their training, how long they trained before sitting for the exam, who they trained with. Ask how long they have been certified. Do they have a specialty? Often, lactation consultants working in private practice got their start somewhere. Have they had experience with babies of all ages? What’s their background? Maybe it’s a lactation consultant who worked in a hospital for several years, only exposed to healthy newborn babies. Can she help you with your 8 week old baby who is suddenly having latch problems? What if it’s a lactation consultant who has only been certified for a few months. How much experience does she have working with a 10 day old baby who isn’t gaining weight? It’s ok to ask the questions to make sure the person you are working with is a good fit for what’s happening between you and your baby.
Education
As I mentioned, it takes quite a bit of education to work towards board certification. When you’re looking for an IBCLC, it’s ok to ask about education. Do they have a background in nursing or social work or nutrition? Sometimes, becoming an IBCLC was in addition to a different field of work. How do they keep up with the most current research and lactation education? Do they have a specialty within lactation that they have a specific interest in? For example, they specialize in latch problems, tongue tie, returning to work, pumping, premature babies, trauma…the person you are looking for might have more education in one area over another. Feel free to ask if they are comfortable guiding you through your specific problem area.
Word of Mouth
Word of mouth is a pretty strong approach to finding a lactation consultant. After all, maybe you also found your hairdresser, babysitter, doctor or plumber because they were recommended by a friend. There is nothing better than getting a name from someone you trust and getting all the information about them. Your friend can tell you how much they charge, how long it took to get an appointment, if they found the consultation helpful, if they had an overall positive experience, among other things. Getting a name from your doctor or midwife is also good, but it’s likely that they do not personally know them, it’s just someone their office uses. Kind of the same idea with social media; you might not know the people who are giving you their opinion on who to call, so it’s still kind of a blind referral.
Active in the Community
Of course, being active in the community isn’t necessary, but it’s likely that if the person you are hiring is also involved in other things, they may be more well-rounded and respected. For example, are they part of the local breastfeeding coalition, LaLecheLeague, facilitate a breastfeeding support group, help out with parent groups, teach classes…the possibilities are endless. You may be looking for someone who is active in many areas of the profession. It has been my experience that when someone is more active in the community, they have more connections and suggestions if you need to be referred to another professional. For example, imagine you are building a house. Don’t you want your contractor to refer you to the best plumber, electrician and landscaper? Absolutely. You want your lactation consultant to know who the best pediatricians, chiropractors, dietitians, feeding therapists and doulas are, and you want your LC to have a good relationship with all of them.
So, go out there and find yourself the BEST lactation consultant that you can call on for all your breastfeeding questions. If they are really good, you will call on them for more than just breastfeeding questions. Don’t you want someone like that in your corner? And believe me, whatever the cost – it’s an amazing deal.
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Thursday, May 14, 2020
#parentInnaebaby: the 8th Month*
*and many months prior too.
It’s been almost 6 months since I last posted, and since then, parenting has looked so, so different. Half a year is an eternity in a baby’s life, and each day feels endless as we confine ourselves to home. As the saying goes, the days are long, but the years are short, and right now, I am praying for that latter brevity as the world around us shelters away from a virus from which we don’t have protection yet.
But this is about parenting.
Or is it?
This week I took a very proactive step towards ‘claiming’ my old life back. As if something were so easy – as if I could still attend happy hours and window shop and aimlessly wander around city streets for hours on end. That’s not to come for awhile. But in pursuit of some semblance of independence, I did it.
I ate some dried sage.
It may mean nothing to you, but it means everything to me.
Disclaimer: if you would prefer not to read about one mom’s journey of breastfeeding, please skip ahead to next ‘month’ (an arbitrary time estimate given I don’t have too much free time to write nowadays). No offense will be taken. However, inevitably, as a mother, this is one of the most significant parts of the first year of this new life.
As shared by the highly revered Kelly of Kellymom.com, sage is a natural way to decrease one’s milk supply. The warning is to ONLY take this if a mother is in the process of weaning. Take 1/4 of a teaspoon 3x a day for 1-3 days (wide range, if you ask me), and milk production should lessen. And for me, this small dosage didn’t come without a lot of consideration.
The last eight months have been a rollercoaster because of my journey with breastfeeding. Before #ESLee was born, I told myself I would be 100% fine with feeding her formula. I’d do my best to breastfeed, and if it didn’t happen, I would go to the pantry.
Then post-partum, somewhere between her birth and a few weeks in, formula became the enemy. It meant failure. And I refused to give in, even if it meant multi-weekly sessions to a lactation consultant (LC) and two breastfeeding support groups, ongoing pain that was never ever quite explained by any OB or LC, both my mom and sister forcefully kneading my breast to try to get the clogs out, and the tension between my husband and me when he tried to gently urge me to cut myself some slack.
The problem was not that I didn’t have enough. I had too much. This led to perpetual stress about the balance between nourishing my daughter’s body and manipulating mine so not to encourage further overproduction. The worry weighed on me for 8 months, causing almost more pain than breastfeeding itself.
And then a day after celebrating my motherhood with the rest of the country, I chose to lean away from this innate part of being a mom.
The feelings are oh-so-mixed. The WHO recommends breastfeeding for at least the first two years of a child’s life. On the flip side, research by Emily Oster placates me though I know the #momguilt is lurking in the shadows. Each time I nurse my daughter, I feel a pang of fear. Will this be the last time I get to do this? Watching the contentedness cross her face as she is nestled close to me is a pretty indescribable euphoria – and yet that moment is so frequently interrupted by mental and physical anxiety.
I know that to be a better mother, I am allowed to be selfish at times. And perhaps this is one of those times. I can’t promise I won’t regret this, but I can promise there will be moments of relief and gratitude to my own self for making this decision.
The pendulum of parenting.
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Monday, May 11, 2020
Sunday, May 10, 2020
My Favorite Lactation Recipes (And Some I Don’t Like)
As a breastfeeding mom I’m always looking for ways to maintain my milk supply. There are so many recipes provided by the internet for lactation recipes and I have given many of them a try so that I can share my favorites. As a disclaimer, these are my opinion and yours my be different. I did tweak most of these recipes and went with the quickest way I could think of because, between taking care of a wild 5 month old, cooking and cleaning, there was not a lot of time for me to make these recipes for myself. Also, I’m not a chef or a baker so this will not be a traditional recipe layout blog, I apologize.
The Bad
Let’s start with the ones I didn’t like.
Boobie bites. These were by far my least favorite. They consisted of Oatmeal, brewer’s yeast, flaxseeds, honey, and peanut butter, or almond butter but if you read my labor and delivery story you’ll know why I can’t do almond butter anymore. You mix all the ingredients together and roll them into a ball. After that you just stick them in the refrigerator until you’re ready to eat them. I only ate two to three of these a day, but that was more than enough for me. The texture of these just did not work for me and the taste of peanut butter was too strong. I like no baked cookies so I thought I would like these. I even tried to make them another time, adding in coconut flakes to change the taste and texture and I still didn’t care for them.
Another recipe that I did not enjoy was the Lactation Banana Smoothie. The recipes all called for oatmeal, brewers yeast, flaxseeds (the three main ingredients in all these recipes), banana, peanut butter, honey and your choice of milk. Some recipes called for cinnamon and vanilla but I opted out of those. Again the peanut butter over powered the taste for me as well as the taste of the brewer’s yeast. My husband didn’t taste it too much but it was all I could taste. Also, I love bananas but for some odd reason I don’t like them in my smoothies, unless it’s a green smoothie.
The Good
To start, I want to add that I like to use Traditional Medicinal’s organic mother’s milk tea. It’s not exactly a recipe but I felt like I should add it. I’ve been using this since my daughter turned two months and I enjoy the taste of it.
The recipe that I use the most is also the most common, lactation cookies. I can see why it’s one of the top recipe for this category. This recipe was very extensive and I do not have time to assemble all the ingredients and make these cookies according to the recipes I have found, so instead I used Betty Crocker’s oatmeal cookie mix. I followed the directions on the package but I added a tablespoon of brewer’s yeast and a tablespoon of flaxseed meal. Also, instead of chocolate chips, I added a cup of raisins. To me, oatmeal and raisin just goes together better. These taste great, I don’t taste the brewer’s yeast at all and it just taste like a normal oatmeal raisin cookie.
The last recipe I want to add is the lactation brownie. Again I use a brownie box mix and add a few different ingredients to it. I replace the oil with coconut oil and the water out for any milk of your choice. Next I add a cup of oatmeal, a tablespoon of brewer’s yeast, and a tablespoon of flaxseed meal. I follow the directions on the box for a more fudgey brownie. It’s quick and easy and taste great. The brownie hides the taste of the yeast. Honestly, the oatmeal does give it a different texture but it doesn’t bother me.
There are many more recipes out there that you can try. I also made a banana bread recipe but it took me a long time to assemble and I just needed something quick and easy to fit my schedule. If you have more time in your schedule maybe you can try other recipes and maybe even try something healthier.
I can not guarantee that these recipes work. I haven’t had a dip in my breast milk even with exercising so perhaps they helped me, but everyone is different. It’s up to you to try it out yourself and see what works for you.
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Motherlove More Milk Plus
External link:
Motherlove.com
(Hurry! 15% sale today, May 10, 2020!)
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Saturday, May 9, 2020
Friday, May 8, 2020
Reduce Breast Tendernes
Reduce Breast Tenderness In Minutes
Do you or a loved one ever experience breast tenderness? We have a simple, in-office procedure that can dramatically reduce breast tenderness and pain in just minutes. Watch this week’s Wellness Minute to find out more.
Dr. Jason Godo, DC, RN
To get suggested supplements go to: http://www.GetBiotics.com
Patients can get 20% off when ordering online by calling our office to get a promotional code to enter at online checkout to get 20% off your online orders. Office number: 773-525-0007
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Thursday, May 7, 2020
In the Internet We Trust (Sometimes)
Choosing the best lactation literature In my last blog post, I talked about the basic facts, benefit
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Tips for Successful breastfeeding
To ensure adequate milk production and flow for 6 months of exclusive breastfeeding and thereafter continued breastfeeding, certain practices are very important.
•The infant should be fed as frequently and for as long as he or she wants to, during both day and night. The suckling should be allowed until the infant spontaneously releases the nipple. This is called demand feeding. Restricting length of the breastfeeding session may result in the baby getting less of the energy rich hindmilk. The 24-hour average intake of milk is about 800 mL per day during the first 6 months.
•At the time of delivery, before breastfeeding is initiated, no prelacteal feed should be given to the infant. Apart from having the harmful effects on the infant like risk of infection, such a practice may interfere in the establishment of breastfeeding. Later on, in the first 6 months of life, no supplementary feed, like other milks, should be given to the infant. This may lead to a decreased supply of breast milk.
Night feeding is very important as it increases the prolactin. With suckling prolactin hormones increase which in turn cause increase in breastmilk.
•Sometimes, mother may have the perception that her milk is not sufficient for her infant. Adequacy of breastmilk may be ascertained by documenting if the infant has regained the birth weight by 2 weeks of age, and the cumulative weight gain is more than 500 g in a month and the infant is passing adequate urine at least six times a day, while on the exclusive breast feeding.
Few definition to know the breastfeeding status:
- Exclusive breastfeeding: Giving a baby no other food or drink, including water, in addition to breastfeeding with the exception of syrup/drops of vitamins, minerals and medicines (expressed breast milk is also permitted)
• Predominant breastfeeding: Giving small amounts of water or water-based drinks such as tea in addition to breastfeeding
• Partial breastfeeding: Giving a baby some breastfeeds and some artificial feeds, either milk or cereal, or other food
• Bottle feeding: Feeding a baby from a bottle, whatever is in the bottle, including expressed breast milk
• Cup feeding: Feeding a baby from cup (katori, pallad, etc.) whatever is in the cup including breast milk
• Artificial feeding: Feeding a baby on any kind of artificial milk such as animal milk, tinned milk, etc. and not breastfeeding at all
• Complementary feeding: Giving other foods and liquids in addition to breast milk or nonhuman milk.
• Replacement feeding: Process of feeding a child who is receiving no breast milk with a diet that provides all nutrients the infants need until the age at which they can be fully fed on family foods
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Tuesday, May 5, 2020
Monday, May 4, 2020
Saturday, May 2, 2020
What is in my breastfeeding bag?
What’s in my breastfeeding hospital bag?
I wanted to set my self up for success this time around. Last time we did not get to breastfeed until baby was 8 days old. I was super sick and had almost no milk supply and baby was in the NICU. By day 8 I was pumping 25ml at a time (total) and felt like I was slaving away at the pump, pumping for long stretches and feeling down about not being able to get hardly any milk. My nipples were all torn up from the pump and hadn’t taken anything with me to the hospital to help with that. This time I am ready if I have to pump and ready if we get to breastfeed.
In my bag this time:
1. Haakaa pump to use on one side while I nurse on the other side.
2. Medela tender care hydrogel for after nursing or pumping. I got these about a month into breastfeeding last time and so wish I had them from the start.
3. Medela SoftShells so I can keep my bra and/or shirt from touching my tinder nips in the first few days.
4. Lansinoh TheraPearl hot/cold packs. Heat will help get the milk flowing and cold can soothe soreness.
5. Dr.Browns bottles. We used the hospital bottles last time and they were ok but we want to start baby on our preferred bottle if we have to end up using bottles.
6. Medela hands free pump bra. An absolute must! Last time I ended up cutting holes in the bra I had just because my poor elbows couldn’t take holding the pump parts 8 times a day for 30 minutes at a time. That gave me the freedom to eat while pumping and with a baby in the NICU every second spent away from baby had to be used wisely.
7. Medela milk storage bags for pumped milk. If we have to do the NICU again I will use their storage bottles because that’s what works for them but if I get extra milk from the Haakaa while breastfeeding then I’ll store it frozen and flat in these bags.
8. Medela quick clean bags just so I can sanitize the pump parts in the microwave if I feel the need to. I have never used them before but wanted to take 4 of them with me just in case.
9. Honest Company Organic Nipple Cream. I’m allergic to lanolin and this brand has none in it so that’s mainly why I chose it but I do really love all the other Honest items I’ve used.
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Friday, May 1, 2020
Yes, Breast is Best…but Fed is Better
Breaking down the facts behind the powerful slogan, and revising it for today’s moms. The facts: Bre
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Simple Papaya Smoothie
Papaya is rich in fiber, Vitamin C and antioxidants, it boosts your immunity and it also helps with lactation by boosting your production of the hormone oxytocin, and therefore encourage more milk production. As the norm now, thanks to miss covid-19 and stay at home orders, limited trip to the store , I have to work with i have and it turned out pretty darn good. The condensed milk substitute for yogurt and sugar. It gives it that much needed creaminess. The frozen fruit takes away the need to add water and ice.Try it you wont be disappointed.
To know if a papaya is rip, apart from the yellow orange color , smell its bottom and it should smell sweet and not green tree like. Wash your papaya, peeled, cut in three sections or four depends on fruit size, scrape the seeds out with a spoon, cube papaya meat and freeze to prevent bitterness. yes, this fruit get bitter so handle it fast. As for the seed, you can plant it if you have a yard, give it room as the roots can spread and can grow tall.
- 1/3 of frozen papaya chunks
- 1/2 to 2 cups of almond milk (any milk variety)
- 1/2 tsp of vanilla extract (optional)
- 1/2 cup of condense milk
- pinch of salt lime zest
Instructions
1. Place the frozen papaya chunks, Almond milk and condensed milk , salt, and vanilla extract in the blender.
2. Puree until smooth.
3. Serve cold.
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