03 Feb 2017
in breastfeeding, doula, exclusive breastfeeding, home visit, newborn poop, normal newborn behavior, Uncategorized
Tags: bottle feeding, bottles, breastfeeding, breastfeeding challenges, breastfeeding problems, breastmilk, doula, nutrition, postpartum, postpartum care, postpartum doula, schedule, sleep, techniques, tips, tongue tie
Oasis Lactation Services is proud to announce our newest team member who is bringing a phenomenal service!
Why hire a postpartum doula? Get help establishing better sleep rhythms, better feeding rhythms, and learn ways to make the baby time enjoyable. Postpartum doulas are invaluable for adding a second or third baby to the family. They are able to support the older siblings as well as the mom and baby.
Lindsay Tucker is a certifying postpartum doula providing support and care to mothers who need a variety of postpartum services. Lindsay has a Bachelor of Science degree in Psychology. She’s been passionate about babies for as long as she can remember and has supported births as a trained Labor Doula and birth photographer. Lindsay breastfed her two sons for a total of 6.5 years and has personal experience with postpartum depression, colic, silent reflux, tongue and lip ties, and tandem nursing. She knows that unnecessary suffering can be prevented with proper support and education and her goal is to help new families get off to a great start.
Postpartum support services include: assistance with baby care, discussion of basic breastfeeding and bottle feeding strategies, assistance with mother care, household help, support to protect co-resting for mother and baby, assistance with older children, baby care information, postpartum stress management, developing exclusive breastfeeding plans, diapering, and more.
Contact Lindsay: lindsayTclc@gmail.com or 404.273.5366 call or text~ $75 for 3 hour session in your home, can book multiple visits
10 Feb 2016
in breastfeeding, breastmilk, EBF, exclusive breastfeeding, infection, lactation consultant, normal newborn behavior, Uncategorized
Tags: APNO, bad latch, bottle feeding, breast pump, breastfeeding, breastfeeding challenges, breastfeeding problems, burning, calling for help, candida, candida albicans, common questions, expressed milk, getting help, infant nursing, infection, itching, nipple cracks, nipple damage, painful latch, pumping, sore nipples, staph infection, thrush, vasospam, working with an LC, yeast
Thrush is a common diagnosis when mom is experiencing nipple pain. Thrush is an overgrowth of a yeast that lives on the skin and in the gut of healthy humans. Thrush may also be referred to as candida albicans.
How Common is Nipple Thrush?
If you ask a group of moms, they’ll tell you thrush or yeast is very common. If you look at the research, a very different picture emerges. Mothers frequently complain of burning nipple pain, nipple damage, yellow or white discoloration in damaged areas of the nipple, sensations of heat or itching, and pain that radiates into the breast. These symptoms are then lumped together as thrush and treatment is prescribed often without a culture. Frequently, mom’s symptoms improve then return. Frequently, another round of anti-microbial treatment is begun.
The latest research on candida and breast yeast informs us that thrush is often the incorrect diagnosis. More women are shown to have staphylococcus aureus than candida, and not all women with one or both positive cultures have pain. In fact, only 15% of the study group experiencing nipple pain had yeast in the culture from swabbing the nipple. Even fewer, 9% had candida in the milk sample (Amir et al). Does ductal thrush even exist? Could it be something else?
Staph aureus has a white to golden color when present on the breast nipple. The common prescribed treatment for candida is miconazole or clotrimazole. Both of these drugs are effective in treating staph aureus as well as candida.
The largest common denominator in these studies on mothers experiencing nipple pain was nipple damage. Nipple damage is caused by a sub-optimal latch.
How Sub-optimal Latch is Misdiagnosed as Thrush
When a baby latches shallow to the breast and does not draw plenty of the areola into the mouth, the nipple is often exposed to inappropriate friction. The baby then must use the jaw and a clamping motion or bite to hold the nipple in the mouth. This can cause a very common condition called a vasospasm. The pressure from the poor latch causes an interruption of blood flow around the nipple. When blood flow returns to normal, a pain called a vasospam may occur. This pain can feel like shooting or burning pain in or around the nipple or deep into the breast. This pain can happen during, after, or between feeds. The solution for this pain is to fix the latch.
One contributing factor to shallow or clamp-down latch is a high arched palate in the nursing baby. These babies often have milk stains on the tongue because the tongue doesn’t rest against the hard palate and clear itself of milk. The milky tongue may look like thrush. Tongue-tie or ankyloglossia is another risk factor.
Amir LH, Garland SM, Dennerstein L, Farish SJ: Candida albicans: is it associated
with nipple pain in lactating women? Gynecol ObstetInvest 41:30-34, 1995
Hale TW, Bateman TL, Finkelman MA, Berens PD. The absence of Candida albicans in milk samples of women with clinical symptoms of ductal candidiasis. Breastfeed Med 2009;4:57-61.
What to Do if Your Culture Came Back Positive for Yeast
Your health care provider can prescribe medications for both you and your baby that are compatible with breastfeeding. Many mothers feel anxiety about medications and breastfeeding. Remember, your doctor prescribes medications because they have more benefits than risks. If you are interested in reading study data on breastfeeding and taking your prescriptions, contact the Infant Risk Center
Pumping Guidelines: If your baby depends on pumped milk, keep feeding the pumped milk. If you engage in informal milk sharing, it is wise to take a break from donating until the yeast is cured. If you donate to a milk bank, contact the bank about the medications you are using to clear the infection. If you have an open system pump, be careful. Change the tubing completely. The tubing can’t be sterilized well and should be changed if there is thrush. If you have a closed system pump that is functioning properly, just sterilize the pump parts correctly after each time you pump.
Nursing Guidelines: It’s perfectly safe and beneficial to nurse through thrush. The direct mouth-to-breast nursing is a closed system and transfers antibodies and biochemicals back and forth. Infant saliva on the nipple actually helps change the make up of the milk to meet a babies unique immune needs. The living cells in the milk help fight the infection during the nursing process. The sucking also can help relieve some of the discomfort babies experience when baby also has thrush.
Nipple Care: Your health care provider will probably provide a nipple ointment that is anti-fungal. There are many on the market that are perfectly safe for your baby’s mouth. You may want to consider saline nipple soaks to ease the discomfort and facilitate healing any damage. Using disposable breast pads can reduce staining in your nursing bras and clothing from the ointment.
Laundry and Dishes: Many moms are worried their bras, cloth breast pads, and cloth diapers are harboring yeast. Contact your cloth diaper manufacturer for instructions on how to strip your diapers. Other fabrics can be soaked in vinegar for 24 hours then laundered normally. Pacifiers and bottle nipples can be sterilized daily.
This blog post is informational only and does not serve to diagnose or treat any condition. See your healthcare provider if you suspect a nipple infection.
04 Nov 2015
Tags: air travel, baby gear, baby registry, baby shower gifts, bottle feeding, breast pump, bringing baby home, car seats, car travel, preparing for a newborn, safety
1) What is a CPST? Doesn’t the fire department check car seats?
CPST stands for Child Passenger Safety Technician. We educate parents and caregivers on the proper installation and use of car seats, boosters. and seat belts. SOME fire fighters are CPSTs as are some law enforcement officers, but not all. It is important to check for current certifications before letting anyone check your seats.
2) Does the hospital check my car seat at discharge? What are they looking for?
Not usually. They need to know that you HAVE a seat, but most nurses are not allowed to touch it. Some hospitals do have a CPST on staff that can help prior to discharge.
3) How do I know my seat is a good one? Is price an indicator?
Every seat currently on the market is safe if used properly. They all pass extremely stringent testing before being sold to the public. Price is not an indicator of safety. A properly used $40 seat is safer than an improperly used $300 seat. The more expensive seats have more bells and whistles and comfort and ease of use features, but as far as safety is concerned – using ANY current, in date, seat properly is the best way to ensure your child is safe.
4) Can I sit in the back with my baby and nurse him/her if I keep us both buckled?
As tempting as that sounds, it’s a very dangerous idea. If a crash were to occur while you’re leaning over your baby, your body weight would crush him. It’s much better to stop and nurse or pump a bottle for the road.
5) How do I handle spit up on my car seat? Blow out diapers? Can I put a blanket or pad under my baby?
Always refer to the manual for cleaning instructions. Straps should never be machine washed, submerged or cleaned with anything harsher than a baby wipe or mild soap. This can compromise the strength of the straps by stretching them and/or weakening the fibers and cause them to perform poorly in a crash. Putting a bib on baby OVER the harness after buckling securely can help keep spit up off the seat. A chux pad or puppy potty training pad can be placed in the seat under baby to protect against diaper related messes. These are extremely thin, and as long as they aren’t placed in such a way that interferes with the harness, shouldn’t pose a safety risk. Some manufacturers make specific pads that can be used with their seats. When in doubt, a quick call or email to your seat’s manufacturer can be helpful in figuring out what is best to use.
6) I got a bunch of car seat covers and strap protectors as shower gifts. Can those be used with any seat or are some seats better designed for them?
I always say “if it didn’t come in the box with the seat, then don’t use it in the seat”. These items can claim to be “crash tested” but since there are no federal regulations for such aftermarket products that doesn’t mean anything, Manufacturers test their padding, harness covers, inserts, etc with their seats so they know they pass safely with them. The non-regulated products are not tested in this way. It’s always best to leave the testing to the crash dummies and not take a chance with our own children.
Those products DO often work beautifully in strollers, though!
7) Why does everyone tell me to rear-face my seat so long? I worry that I can’t see my baby.
EVERYONE would be safer rear-facing. But it’s kind of hard to drive that way. 😉 From age 12-24 months, children are 5Xs (532% to be exact) safer rear facing than forward facing. A young child’s vertebrae are in several pieces and don’t begin to fuse together until after the 2nd birthday and doesn’t finish until between 4 and 6 years of age. Rear facing provides maximum protection of this delicate spine by allowing the seat to cradle the child’s entire body keeping the head, neck, and spine aligned and fully supported and transferring the crash forces over a much larger area. In a forward facing seat, all that force is on the child’s head and neck since the only body parts supported are the hips and shoulders while the head and limbs are thrown violently toward the point of impact. The goal should be to keep a child rear facing to as close to their 4th birthday as possible with the absolute minimum being age 2 to turn forward.
8) My baby has reflux. Can I prop my seat or add a positioner?
Every seat has a recline indicator on it somewhere. If allowed (based on age and/or weight) by the car seat, the angle can be decreased as long as baby can support his head. Sometimes convertible seats can help babies with reflux because they tend to be more “L” shaped inside the seat as opposed to their “C” shaped rear-facing only (infant carrier) counterparts. As far as positioners go, as I stated above, if it didn’t come with the seat, then no, they should not be used*.
*A few manufacturers DO make accessories for use with THEIR seats that have been tested. Always check your manual.
9) We take long car trips often. Any tips for helping my baby stay relaxed in the car seat? I don’t want to have a car screamer.
Car screamers are the worst. I’m on my second one. Here is a list of some things to try to make traveling more pleasant (and quieter).
– Good air flow. No one likes to be too hot or too cold in the car.
– White noise. Sounds such as beach waves, thunderstorms, and rain forest noises can help calm baby. Even just an out of range, staticky radio station or open windows can be enough.
– Soft, lightweight toys that are special and only for the car. Steer clear of anything hard, heavy, large, or battery operated as these can be dangerous projectiles in a crash.
– A lightweight, plastic mirror can help rear facers feel closer to mama and daddy in the front seat. These do also pose a projectile risk, so be sure to find one that is soft, fits your car’s head restraints well, and attaches firmly if you choose to use one.
– A backseat buddy can help entertain baby. Having the non-driving parent in the back can make it a little more fun back there!
– A backseat buddy can help entertain baby. Having the non-driving parent in the back can make it a little more fun back there!
– Frequent stops so baby can eat, get a clean diaper, and stretch his legs are very important (for mama and daddy, too!). Usually, every 2-3 hours is the longest you’ll want everyone to remain strapped down. Let them run off that extra energy that they siphon from us. 😉
– Traveling at night or leaving at nap time can sometimes make things easier, too. A sleeping baby, is a quiet baby. Unless they snore.
10) Can I pump and bottle feed my baby on car trips right in the seat? Can I prop the seat to help him/her not choke?
Keeping in mind the projectile risk the bottle poses, as long as baby remains properly strapped into a properly installed seat, feeding a bottle while driving could be a good last resort. The best idea would be to stop and feed at a rest area, though.
Bonus Question 11) Share your favorite breastfeeding memory!
When my girls first glance their eyes up at me while nursing and give me that milky smile is always my favorite. It’s kind of like a little “thank you” for the gift I’m giving them and the hard work it can sometimes be to do it. ❤
Rori Holisky is a mother of two little girls, ages 4.5 years and 5.5 months and the wife of a law enforcement officer. She became a Child Passenger Safety Technician in 2013 and started Birth to Booster about a year later. Her hobbies include playing with car seats, watching Firefly and Buffy the Vampire Slayer, and sewing. 🙂
04 Sep 2015
in breastfeeding, breastmilk, cosleeping, EBF, exclusive breastfeeding, home visit, lactation consultant, milk supply, normal newborn behavior
Tags: bottle feeding, breast pain, breastfeeding, breastfeeding after cesarean, breastfeeding challenges, breastmilk substitutes, calling for help, common questions, cosleeping, cup feeding, diapers, EBF, exclusive breastfeeding, expressed milk, formula, getting help, infant nursing, making more milk, maternal diet, medical resources, milk production, milk supply, nursing, nutrition, room sharing, sleep, supplemental nursing system, syringe feeding, working with an LC
Lactation Counselors and Consultants provide a wide range of services and support for families expecting a new baby and families whose new baby has arrived. The LCs of Oasis Lactation Services see patients in their homes or in an office setting. Here’s a list of things you may use an LC for:
- assess breast milk production and overall milk supply
- assess milk transfer (is baby drinking milk from the breast and if so, how much)
- assess latch and positioning during feeds
- provide information about supplementing breast milk
- provide information about weaning from breast
- provide information about feeding complimentary solid foods
- provide information about health care providers to diagnose and treat conditions associated with breastfeeding difficulty (tongue tie, thyroid function, diabetes, palate asymmetry, endocrine disorders, GI problems like reflux, fertility problems, obesity, torticollis)
- provide information about the safe use of medications in breastfeeding mothers
- provide information about alcohol use in breastfeeding mothers
- provide information on the safe use of donor milk
- connect women with HBANA certified milk banks to give or receive human milk
- assess maternal well being and recommend providers for additional postpartum care
- assess risk factors for future breastfeeding challenges
- assess breast pump fit and function
- develop feeding plans for breast, bottle, cup, and solid feeding
- develop breast pumping plans
- provide solutions for positioning nursing pairs with special health considerations
- develop prenatal breastfeeding plans
- provide information about common labor and delivery procedures that may impact breastfeeding
- provide information about common newborn conditions that impact feeding such as jaundice
- provide information on developing the baby’s latch on capabilities
- provide information on normal infant behavior such as sleep patterns, stooling, and feed volumes
- provide information about safe sleep, co-sleeping, and room sharing
- provide information about milk storage and handling
- provide information about choosing, mixing, and handling formula
- provide information about off-breast feeding methods including bottles, syringes, and cups
- provide information about at-breast supplementing
- provide information about first aid for breast damage
- provide information on first aid for common breast conditions (thrush, staph, nipple cracks, etc)
- listen to birth stories and help mothers sort out their feelings as they recover
- give mother’s tools to advocate for their breastfeeding goals
- give information on laws protecting nursing mothers in public and the work environment
- give information on the risks and benefits of holistic, complimentary, or non-western treatments in breastfeeding pairs
- teach infant calming techniques like massage, body mapping, and the “magic baby hold”
- give information on nutrition for families with food allergies
- provide information on dental health as it relates to breastfeeding
- educate families about the WHO Code for marketing of breastmilk substitutes
What LCs do NOT do:
- prescribe medications
- diagnose conditions in mother or baby
- facilitate informal milk sharing
- sell or provide breastmilk substitutes
- wet nurse
- force everyone to breastfeed
27 Jul 2015
in breastfeeding, breastmilk, cosleeping, EBF, exclusive breastfeeding, frequent feeds, home visit, lactation consultant, milk supply, normal newborn behavior, what to expect
Tags: benefits, bottle feeding, breastfeeding, breastfeeding challenges, breastmilk as medicine, common questions, exclusive breastfeeding, how to get more sleep, human milk, normal infant sleep, nutrition, oral development, PPD, PPMD, SIDS, skin to skin, sleep, tummy time
Breastfeeding provides perfect nutrition for infants, but it also does much more! Direct nursing at the breast has a whole host of benefits that are easily overlooked in a culture so focused on the milk. Nutrition is only one aspect of infant feeding that leads to growth and development.
The muscle mechanics involved with nursing facilitate optimal cranial-facial development. You’ve probably heard about importance of “tummy time” for the development of head control. Nursing your baby in a laid back position is tummy time made easy! Breastfeeding also coordinated the right and left hemispheres of the brain because the baby is moved from left to right on the mother’s body. This brain development is critical to other developmental milestones like crawling, walking, and later reading. The developing infant palate, mouth, and skull are shaped by feeding. Feeding at the breast helps the baby achieve normal oral motor function and growth.
Skin to Skin:
Breastfeeding inherently provides the skin to skin contact newborns need for early neurological development, body temperature regulation, and blood sugar regulation. The mother-baby bonding that occurs while a baby is at the breast is unparalleled. Studies show held babies have lower stress hormones.
Increased Maternal Rest:
Exclusively breastfed infants who sleep in close proximity to their mother replicate their mother’s REM cycles. Since their sleep is in sync, the baby is more likely to wake for nursing when the mother is not in a deep sleep state. Maternal sleep is a crucial part of postpartum recovery. Studies show that breastfeeding moms actually sleep about 45 minutes more per night than formula feeding moms.
Better Maternal and Infant Mood:
Breastfeeding facilitates the release of the “feel good” hormone oxytocin in the mother during “let down” or milk ejection reflex. Mothers of breastfed babies experience less postpartum depression. Breastmilk contains multiple hormones that promote happiness and relaxation in infants. Breastfed babies also are less likely to have colic.
Infant Sleep/Wake Cycle Regulation:
When babies are first born they do not make their own sleep hormones. The newborn receives the sleep hormone melatonin directly from breastmilk. The act of suckling at the breast releases a hormone in the baby called CCK, which makes him or her feel full and sleepy. Nursing to sleep is good for babies!
Protection from Sudden Infant Death Syndrome:
Frequent night wakings to nurse are a large part of normal infant sleep, and serve as nature’s protection against SIDS. Bottle feeding human milk through the night has not shown to be as protective in preventing SIDS as direct nursing at the breast.
The American Association of Pediatrics recommends exclusive breastfeeding for the first six months of life, and continued breastfeeding with complementary solids until at least age 1. Continued support is a huge factor in long term EBF success. A prenatal visit with a lactation consultant or lactation counselor is the first step. An LC can answer your questions and assist you with formulating a breastfeeding friendly birth plan. If you have already had your baby, schedule a home visit or clinic visit with your LC for an in depth consult that can help your family realize all the benefits of breastfeeding.
07 Jan 2015
in breastfeeding, exclusive breastfeeding, milk supply, supply and demand, what to expect
Tags: adequate milk, bottle, bottle feeding, bottles, breast pump, breastfeeding, breastfeeding challenges, breastfeeding problems, closed system pump, common questions, making more milk, milk production, milk supply, pumping, pumping more milk, working mom
Many moms want a safety net of pumped milk in the freezer for their return to work away from their babies. While it’s only necessary to have enough milk saved for the first two days back at work, many moms want to save several days or even weeks worth of feedings during their maternity leave.
Please read What to Expect When Pumping to trouble shoot and get the most out of your pumping experience. This article addresses how to juggle pumping during your maternity leave and during the working day.
When to start building a “stash”
Most women start with over production. The first 10 weeks of breastfeeding are the easiest for milk collection. This is also a critical time for conditioning the body to respond to a pump. Ideally, moms should nurse on cue and spend a great deal of time resting skin to skin with their babies for the first 2 weeks. Once baby has regained birth weight, around day 10-15, it’s time to try pumping.
Milk collection is easiest in the morning hours when the milk making hormones are highest. Beginning at this favorable time will help make pumping a more positive experience. After nursing the baby, pump either one or both sides for 20 minutes each. Even if the milk stops flowing, continue pumping for 20 minutes per side.
Weeks 2-4, pump one time per day in the morning after nursing. Expect to collect 1-2 ounces each day. Remember: 20 ounces is enough milk for about 16 hours of mother-baby separation.
If you wish to increase your daily milk collection, add a second daily pumping session weeks 4-6. Pumping only twice a day will help you collect several days worth of milk before returning to work.
If your baby cues to nurse after pumping, just nurse. The breasts are never truly empty until you wean. The more milk removed, the faster the glands work to produce more milk. No pump is as efficient as a baby who is properly latched. There is no need to feed the baby the pumped milk in place of nursing.
If your maternity leave is longer than 6 weeks, continuing pumping 1-2 times per day as is possible for the duration of your leave. This helps maintain a conditioned response for more efficient pumping in the future.
When to Pump at Work
No two work environments are the same. No two work days are the same. Not every work environment allows for predictable or scheduled pumping sessions. Things to consider:
– aim to pump every 1-3 hours. This is a range. Babies and breasts are flexible.
– don’t feel trapped on a schedule
– if you anticipate a long meeting or event you cannot break out of, consider pumping once an hour for 2-3 hours beforehand and/or afterward
– your body does not require you to pump on a set schedule just as your baby does not feed at set time
– a hands free pumping bra can help you pump during your drive to and from your work location
– hand expression may help moms who have a short break but can’t make it to the pumping room
– taking a lunch break to nurse your baby may be easier than pumping as frequently at work
01 Oct 2013
Tags: bottle feeding, breast pump, breastfeeding, colostrum, common questions, expressed milk, fat layer, hand expression, manual pump, milk separation, milk supply, pumped milk, pumping, watery looking milk
Human milk changes color, texture, and composition throughout the day and as the baby ages. This gallery of milk is for informational purposes so mothers can feel confident that their milk still “looks good.”
Some important points on the look of pumped milk:
– The visible fat layer is not an indication of how much fat is in the milk. Human milk doesn’t fully separate when left standing.
– Human milk varies in fat content from 3-10% throughout the day.
– The color of milk can and will change
– Human milk is about 87% water. Watery looking milk is normal.
– Milk can look blue, white, or other colors. Diet and food coloring may impact the color of pumped milk.
– Separation of milk is not an indicator that the milk is spoiled. Separation is normal.
Our gallery is growing! If you’d like to submit a photo of your pumped milk, please include the age of your baby (or babies for twin and tandem nursing moms) and time of day you pumped to milkmakingmom [at] gmail.com
We will keep your identifying information confidential.
This gallery is for informational purposes only and is not meant to treat or diagnose any condition. It is our goal to showcase the wide range of milk pumping experiences.
This is refrigerated milk that a tandem nursing mother pumped on day 3 postpartum. She has heavy oversupply.
Milk pumped after feeding 5 day old baby around midday.
This milk was pumped by a mom with oversupply at 3 days postpartum.
This milk was pumped at work around 10:30am. Baby is 12 weeks old.
This milk was pumped at 8:30AM. The baby is 4 months and 6 days old. The previous pumping session was 4:00AM. This mom pumps 6-8 times daily.
This milk was pumped while the baby was nursing on the other side. The baby is 11 weeks old. The milk was pumped at 6:30am.