Tag Archive | pumping

Amanda’s Guide to Pumping (Breastmilk)

I have been reading lots of breastfeeding and pumping threads lately on some breastfeeding groups on Facebook. Lots of new mamas and new pumpers. So it has inspired me to do a post regarding everything I learned during my 16 months of exclusively pumping(EP’g) for Munchkin.

This is my post about what started my EP’g journey https://amandasworldofmotherhood.wordpress.com/2009/08/05/how-i-became-a-cow/

Now for the tips(a lot of which can apply to breastfeeding in general):

  1. Make sure you are eating at least one hot, complete meal a day.       Yes this means a protein source, some veggies, a grain, etc. There are specific foods, herbs and spices that are beneficial to your milk supply. There are also some that are harmful. I will address some of these further down the list and provide you with some other resources.
  2. Make sure you are drinking enough water. Having a glass or bottle of water with you at all times and drinking while nursing/pumping is important. Drink to thirst. I can’t give you a specific number of ounces because everyone is different in their requirements. Too much water can be just as bad for supply as too little water.
  3. Learn about hand expression and breast massage. They are very useful tools to have. Massaging the breast while pumping will help you get more milk. It can also be useful while breastfeeding to help your little one get more hindmilk. Hand expression is useful if you forget your pump or if you are just feeling extra full and need to take some pressure off.
  4. Make sure you have an adequate pump. If you are an occasional pumper a hand pump or single pump should be fine. If you are pumping while at work or are an EP’er, you really need a double electric pump and a hands-free pumping bra. You do need to spend some money on a good pump. Back when I was pumping, I was using a Medela Pump In Style. It was a good pump and back then I would have recommended it.  Medela is no longer WHO(World Health Organization) compliant though, so for my own moral standards, I won’t recommend them. Hygeia is a good company as well as Ameda. They both make very good pumps from what I have heard. As for the hands-free bra, there are a few on the market. I used the Easy Expressions hands-free bustier. You can also fashion a hands free device out of elastic bands(I never attempted this) or you can use an old sports bra(you need something snug fitting) and cut a slit where your nipples are to insert the flanges of your pump through.
  5. Flange size is very important. The flange is that cone-shaped thing that fits over your nipple/breast. There are charts that show you how to properly size your flange. I personally felt that trying the different sizes wile pumping a few times was the most helpful. I finally settled on two different sized flanges. A different size for each breast. This allowed me maximum output.
  6. Sometimes the flanges can cause irritation. There is a lot of suction in those pumps and they can cause friction. You can coat the flange with olive oil to help with this. I kept a small bottle specific for this in my pump bag.
  7. Using heat on your breasts for 5 – 10 minutes before you start pumping will help with letdown. It also helps if you get a plugged milk duct. I grabbed one of my husbands tube socks, dumped a bunch of uncooked rice in it and sewed the end closed. Stick it in the microwave for a minute or two and you are good to go. It holds the heat nicely and for quite a while as well.
  8. If you are having supply problems you can try a power pump session. Pump for 20 mins, rest for 10, pump for 10, rest for 10, pump for 10. I usually did this as part of my before bed routine. You can also take a pump day or a pump-in. If you are nursing, do a nurse-in. Either way, lie in bed with your babe all day with lots of skin-to-skin contact. Watch movies, read books, soak in the sweetness of your little one’s long gazes and smiles. If you are pumping, pump every hour for 20 minutes. If you are breastfeeding, leave your breasts exposed and just let your little one nurse whenever it suits him. Let your significant other take care of you. He/she can bring you whatever you need and even take part in the baby bonding time too. These were great days. 🙂
  9. If you are away from your babe, have a picture with you or a video of your little one to look at while you pump. You can also try visualizing trucks full of milk, waterfalls of milk, etc. Visualization is a big help.
  10. Relax! I know it just isn’t that simple, but it is so important. Once I got my hands-free bra and was able to relax while pumping, my supply went up. I was no longer watching the clock. I could play with my babe, I could give him a bottle. I could watch TV or use the computer. I could read a book. You get the picture.
  11. Having a “pump station” that is all ready set up is a plus.That way you don’t sit down, set up and then realize you forgot something. My pump bag usually held the following :  a bottle of olive oil, a bottle of water,a burp rag for clean up, chapstick/lip gloss, a book/magazine, a nail file, my hands-free bra, a hair tie, and a snack. Oh, I usually had the baby’s nail trimmers in there too.
  12. Remember that pumping is a learned behavior. You’re body has to learn to respond to the pump. In the beginning you may only get a few drops. Don’t be discouraged, keep at it. You will start to get more.
  13. A nice trick to save on washing is you can rinse out your pump bottles and flanges and then put them in a ziploc bag in the fridge in between pumpings. Just wash once at the end of the night.
  14. I personally kept a notebook to keep track of when I pumped, how long I pumped and how much I was able to pump. It was a real boost for me to see my supply going up. I could also see what happened if I cut out a pump or if I ate something different, etc.
  15. Set small goals for yourself. Wanting to make it 3, 6, 9, 12 months is great, but setting shorter goals while pumping exclusively makes it seem that much more attainable. I would keep giving myself a goal of just one more month. If I was having a particularly rough time, I would tell myself just one more week. I kept going. I cheered for myself and made a  huge deal whenever I hit one of my pumping goals. It sounds silly, but if you are exclusively pumping it is a lot of extra work. It takes determination.
  16. One of the MOST important factors for success, is to have a great support system. Having a supportive partner is so crucial. You don’t need someone over your shoulder telling you to just go ahead and give formula. I know formula does have its place, I had supplement, but it’s damaging to your psyche when you are trying so hard to obtain the goal of providing exclusive breastmilk to your little one. Tell family members if they can’t be supportive, then they need to keep their opinions to themselves. Find a breastfeeding support group or your local La Leche League to join. Even though you are not directly breastfeeding, you will still be welcome.
  17. Oh, one last thing. Never quit on a bad day. You need to make sure you are in a positive place when you finally make that decision to “hang up the horns”.
  18. Ok, I lied about the one last thing. I have a few more to add. 🙂 Remember that pumping is not an accurate portrayal of how much milk you can or are producing. A baby will almost always be more efficient at removing milk from your breasts than the pump will be.
  19. Another sure fire way to boost your supply is lots of skin-to-skin time or kangaroo care. Invest in a wrap, figure out how to wrap it (there are lots of great video tutorials, even better if you know someone to personally show you) and wear your baby (in only a diaper) snug against your bare chest. Even if you are pumping, this sends the right signals to your body. Who knows, if you are an exclusive pumper, it may lead baby down a path where she will want to try nursing. 🙂
  20. If you are an EP’er because you can’t get your little one to latch for whatever reason, please don’t give up hope. If you are persistent you can get your babe to latch and breastfeed. I wish I had tried harder with Munchkin, but I didn’t know. I was so worried about how much he was taking in, I didn’t want to go back to the hospital with him if wasn’t getting enough. So I just kept pumping. There are so many success stories out there if just look and listen. I know an SNS (supplemental nursing system) is helpful in getting your little one to latch. Something I  wish I had tried. Learn from my mistakes! 🙂

Foods and herbs that can potentially hurt your supply:

  • Sage
  • Peppermint
  • Parsley
  • Alcohol
  • Caffeine

Foods and herbs that can help boost your supply(Galactogogues):

  • You can find teas specifically for a healthy milk supply at any health food store and sometimes even in your local grocery store.
  • Barley based drinks like Cafix are great as well. It tastes just like coffee.
  • Oats. Steel cut oats are best. They are pretty easy to make and you can add whatever you like to them. Fresh or frozen fruits are a nice addition.
  • Whole, raw nuts like almonds or cashews.
  • Green leafy veggies
  • Grains, like oats, barley, rice and quinoa.
  • Legumes like chickpeas(humus anyone?) and lentils.
  • Healthy oils and fats, like butter, olive oil and coconut oil.
  • Garlic and onions ( I add them to pretty much every dish I cook).
  • Ginger
  • Fenugreek – The most common one that you will hear about is fenugreek. It helps you to produce more milk. You start off taking one capsule, three times daily and then work your way up. The maximum dose is three capsules, three times daily. You will know you are taking enough when you smell like maple syrup. Not such a bad side effect. A not so good side effect is that it can cause gas in you and/or baby. So be on the look out for that
  • Blessed Thistle – Helps with let-down. You take it the same way as Fenugreek and is best when taken with Fenugreek.

For a more extensive list of foods and herbs check out these links:

http://www.mobimotherhood.org/MM/article-diet.aspx

http://www.kellymom.com/herbal/milksupply/herbal_galactagogue.html

http://www.motherlove.com/

http://www.mother-food.com/

ALWAYS CHECK WITH YOUR PHYSICIAN BEFORE TAKING ANY MEDICATIONS OR HERBAL SUPPLEMENTS

Stanford University has some really great videos that I found very helpful.

http://newborns.stanford.edu/Breastfeeding/MaxProduction.html

Books I recommend

Mother Food by Hilary Jacobson

The Womanly Art of Breastfeeding – LLL

The Breast Feeding Mother’s Guide to Making More Milk

The Nursing Mother’s Herbal by Sheila Humphrey

The Breastfeeding Book – Sears

I am sure I will add/edit this as I think of stuff I have forgotten(I haven’t pumped this time around).

If you have any questions or suggestions, leave a comment and I will be sure to address them. 🙂

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My Breastfeeding Journey part 1

My little Munchkin, only a few weeks old.

In honor of World Breastfeeding Week, I am going to try to post something breastfeeding related each day. Today I am going to start with mine and Munchkin’s breastfeeding experience.

Before Munchkin arrived, I tried to prepare myself as best I could. I read a bunch of pregnancy books and went to a birthing class. I read a breastfeeding book and attended a class. Hubby and I discussed our parenting philosophies and we were pretty much on the same page. We didn’t see anything wrong with “cry it out” or spanking because that’s how our parents did it.  Our children were never going to sleep in bed with us. . . Of course that all went out the window as soon as Munchkin made it earthside. There was no way in hell I was letting this precious little baby cry it out or sleep by himself.

I can’t remember exactly what made me decide to breastfeed. My sisters and I weren’t breastfed and didn’t know anyone who did. It was just something I was going to do because it was healthy for the baby and it was free. 😉

While at the hospital, Munchkin seemed to be nursing well. He was producing wet and messy diapers. They sent us home Christmas day(Thursday). The following day I woke up to incredibly swollen breasts. My milk had come in over night. Munchkin would not nurse. He’d throw himself back away from my breasts screaming. It was awful. I called the dr’s office to make an appointment for Munchkin. I told them he wasn’t nursing and he hadn’t had a poopy diaper since we got home. They said it was fine!? I had to insist on a Saturday morning appointment. When I went in, the pediatrician who saw Munchkin(not the one we were going to see on a regular basis) freaked because he had lost too much weight. He freaked us out and sent us back to the hospital. I won’t get into the details (you can read them here), but it was a very traumatic 4 days for everyone. We didn’t get much support in the breastfeeding department. We did have a very nice hospital lactation consultant, but she had other patients to see and couldn’t devote much time to us. She did get us a pump and showed me how to use it.

Once we got home, I tried and tried to get Munchkin to latch and for a while the only way he would latch is if he was half asleep. This was only on occasion and eventually he stopped doing that too. I became an exclusive pumper. I hated it. I was determined to give Munchkin breast milk though so I stuck it out. I made it to 16 months and then my supply dried up, which I later found out was due to the fact that I had become pregnant. 🙂

I wouldn’t have made it all those months without the support of my husband. He really was great through the whole ordeal. The first 6 weeks I was in agony every time I pumped. My nipples were cracked and sore. The first 12 weeks, I pumped every 2 hours around the clock. Then I went to every 3 -4 hours. I pumped and pumped and pumped. . . Some days it felt like that is all I did. I struggled to keep my supply up. I had to supplement with formula for the first 2 months. You know the expression “Don’t cry over spilled milk”? Well I definitely cried when I spilled, which did happen a few times. I worked so hard to pump what I could.

Somewhere in there I discovered hands free pumping. I was finally able to interact with Munchkin while I pumped. I could also eat, drink, use the computer, well you get the idea. This also resulted in my supply increasing. I was able to relax while I pumped and I wasn’t sitting there watching the clock.

I found a Yahoo! group called Pump Moms. They were an incredible resource for me. I learned so much from those women. One of my favorite things I learned about is a fantastic book called Mother Food by Hilary Jacobson. It is all about diet, herbs and lactation and your health. I absorbed so much information from that book and highly recommend it to any breastfeeding mama.

I finally joined La Leche League when Munchkin was 10 months old. I think that is my only regret, that I didn’t join them sooner. Like waaay sooner. I wish I had joined before Munchkin had been born. Then I would have had a support system when I ran into problems. Hindsight is 20/20 right?

The up side to all of this is that I learned an amazing amount of information about lactation, supply, breastfeeding and all the issues that can go along with it. It made me want to pursue becoming a La Leche League leader and a lactation consultant. I want to be able to help other women breastfeed whether they can afford it or not. So this is the next task on my list.

How I became a cow. . .

I had this whole plan worked out for when Munchkin was born. I was going to breastfeed. He wasn’t going to have any bottles or pacifiers until at least six weeks old. We were going to cloth diaper bc my washer and dryer was going to be hooked up.  We were going to move to another apartment when he was about 6 months old.

That was the plan.

Well, the thing about plans, in my experience anyway, is they don’t usually work the way you want.

Munchkin nursed well in the hospital. The first night we were home was ok. The next morning when I woke, my breasts were so huge. Remember that scene in Look Whos Talking where Kirsty Alley goes in the bathroom and is like holy crap? Yeah, that happened. My milk came in full force. My poor little guy couldn’t latch properly. He would throw himself back and cry when he did latch. I called the Dr’s office because I was concerned that he wasn’t eating much and he hadn’t had a bowel movement since we had left the hospital. They told me not to worry and to just come in the next day when I had an appointment scheduled.

We went in Saturday for our appointment. Munchkin got weighed and the Dr examined him. He told us he was concerned because Munchkin had lost more weight than they like to see and he was dehydrated. He sent us back to the hospital so that he could get IV fluids and be watched. I was a mess. I felt like a failure. What kind of mom was I that couldn’t even keep my baby sustained for a few days on my own?! I was so worried, so upset, I couldn’t talk to anyone. Every time I tried, I would break down and start crying. I’m sure the effect was exaggerated due to my raging hormones.  My husband had to do all the talking and he hates talking to people.

The Dr came in once we were situated in the room. She told us that we had to give him formula. I informed her that I wanted to be able to just breastfeed. She got a little hostile and said he needed food now and that was that. Obviously she is not a breastfeeding advocate. This further added to my distress. They took Munchkin out of the room so that they could draw blood and place an IV catheter. When they brought him back he had a catheter in his temple! All his other veins were collapsed from getting blood and being dehydrated. My poor little guy had bruises on his arms and hands. It was awful. I cried some more. The Dr also said she wanted to do a spinal tap to make sure it wasn’t an infection. I was hesitant, but she pushed. So he had another test and this one I should have said no to. But I was a first time mom and didn’t know what I was doing.

Begrudgingly, I gave him bottles of formula until a lactation consultant was able to come up and see me. She was also irritated with the way the Dr had pushed the formula. She brought me a pump and showed me how to use it.   The LC tried everything to help get Munchkin to latch on correctly so that we could nurse. But it wasn’t looking promising.  I pumped every 2 hours around the clock at the hospital. May I add that my husband was there with us the whole time. He was just as worried and super supportive and helpful while I sat there holding the pump parts up to my breasts as I pumped “liquid gold” for our son.  We ended up there until Tuesday. Munchkin was feeling better, I had the pumping thing down and my husband and I couldn’t wait to go home.

This began my relationship with the pump. When we got home my schedule consisted of pumping every two hours during the day and about every three hours at night. I kept up this schedule for about three months. My nipples felt like they were going to fall off. My left one was cracked and bleeding. It was awful. I tried air drying. I tried using the lanolin ointment, but that only made it worse. Turns out I am allergic to it. I tried neosporin. I even treated for Thrush with Gentian Violet. I had purple nipples for a week! Finally the Dr gave me a special cream and within a few days they were starting to feel better.

Along with my nipple issues I had supply issues. I struggled to make enough for Munchkin to eat. I had to supplement with formula for 2 months. I was so excited the day that I finally made enough for my little guy to stop drinking formula. I had tried taking Fenugreek, but that caused horrible gas in my poor baby. He would scream in pain. I tried Mother’s Milk tea, but didn’t really see much of an increase with that. I made diet changes, added oatmeal into my diet and just started eating healthier overall and drank lots of water. I started taking a whole food prenatal vitamin and a calcium supplement. These changes helped my supply.  I read a great book called Mother Food by Hilary Jacobson. It was a  really good read about being healthy and making more milk through lactogenic foods and herbs.

I bought every size flange they make to find the right fit for my nipples. I had to buy a small bottle of olive oil to keep in my pump bag. Coating the flanges reduces friction. I bought a hands free puming bra. It looks silly and my sister called me Madonna for a while every time I donned it. I am so glad I bought it though. Being able to relax while pumping helped my supply as well.  I can eat, use the computer, take care of the baby and scratch all those annoying itches that start as soon as you don’t have free hands to scratch them.

Slowly I have been able to decrease the amount of pumping I do. I am down from 10 -12 a day to 5 a day. I now produce about 30 ounces of milk. Just enough to keep Munchkin full.  It has been a long hard road. I definately don’t love pumping. I do it for the love of my baby. I want him to have the best possible nutrtion. So I am 7 months in, with at least 5 more to go.

So, that was my journey to becoming a cow. My sister lovingly calls me Bessie. My husband threatened to buy me a bell. My sister will text me to see what I am up to and all I have to type in reply is “Mooooo!”