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
06 Oct 2015
in breastfeeding, breastmilk, normal newborn behavior
Tags: adequate milk, cluster feed, common questions, EBF, feeding schedule, food before one, full term nursing, infant nursing, making more milk, milk production, milk supply, newborn, night nursing, night waking, night weaning, normal behavior, normal infant sleep, on cue feeding, on demand feeding, sleep, sleep through the night, starting solids, toddler nursing
The one thing that is certain with babies is they change every day. Knowing what the range of normal is for infant feeding can help parents make better decisions about the family rhythm.
Exclusive Breastfeeding and Human Milk Feeding
0-6 weeks: This is the time when babies nurse constantly. Their tiny tummies want a constant and steady fuel supply, just like they were accustomed to in utero. The placenta nourished the baby so well, hunger is something completely new after being born. It’s easiest to feed babies before they show signs of agitation. Nursing in clusters is common. Nursing every 1-3 hours day and night is normal. Nursing sessions may last 5-35 minutes at a time. Babies frequently fall asleep at the breast and nurse in their sleep. Expect 10-15 nursing sessions per 24 hours. Babies should be fed on cue or on demand. No medical organization endorses scheduled feeds for breastfeeding infants.
6-12 weeks: This period is usually full of what most people call growth spurts. Babies this age are still nursing around the clock. Remember, human milk is digested in about 90 minutes. The tummy is still small, maybe as little as 2 or as many as 5 ounces. Some babies will have a “witching hour” in the early evening where they feed in a cluster of sessions. Babies who have been separated from mom during the day may be particularly interested in a marathon evening nursing session. Nursing and bottle feeding human milk should continue on cue or on demand.
3-6 months: The World Health Organization and the American Academy of Pediatrics recommend that babies continue to receive only human milk at this time. Babies in this age range have a variety of sleep patterns and growth patterns. Teething may begin during this stage which may disrupt feeding or increase night wakings. All of this is normal. The stomach size is 3-5 ounces. Babies in this age range may increase their nursing or cluster feed just as newborns do. On cue feeding should continue at this age.
Breastfeeding with Complimentary Solids
6-9 months: Most babies will have a first tooth appear at this point. Babies who have a tooth, can sit well unsupported, and have lost the tongue thrust reflex are ready to begin solids in compliment to human milk. Human milk is still recommended as a primary source of nutrition. Ideally, the baby is nursed first then solids are offered as “dessert.” You may have heard “food before 1 is just for fun.” Small amounts of complimentary solids are important for iron and other minerals as stores from birth are utilized by this age. Human milk should be offered on cue. Solid foods can be offered at scheduled meal times.
9-12 months: Most babies are interested in self-feeding. They have mastered the pincer grasp and can put bits of food into their own mouths. Human milk is still the bulk of their nutrition. Some babies may not have had a tooth erupt yet. Nursing through the night is very common.
Nursing a Toddler
12- 15 months: The American Academy of Pediatrics feels this is a safe time to replace human milk with other foods including the milks of other mammals. Many mothers continue to nurse their toddlers for nutrition. Toddlers at this age are busy and may have nutritional gaps because they are out exploring the world instead of eating. Their stomachs may only be a few ounces bigger than they were a year ago. Continuing to breastfeed at this age can help a growing toddler meet nutritional needs during a “picky” phase.
15-18 months: Children who are still nursing may continue to do so at night as well. Mothers commonly explore night weaning around this age. Other mothers are glad to nurse through the night to help with the pain and wakings associated with eruption of molars.
18-24 months: By this age, most children are well established on solids interested in eating with the family at more regular times. Self feeding has been mastered. Many children can drink out of a small cup unassisted. Toddlers who are nursing may nurse frequently or only once a day. The range of normal is very wide.
Full Term Nursing
2 years and beyond: The World Health Organization recommends that children breastfeed for a minimum of 2 years with nursing continuing if both mother and child so desire. Children often self-wean some time after the second birthday. Pregnancy or extended separation may motivate a child to wean faster from nursing.
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.
24 Jul 2015
in breastfeeding, breastmilk, colostrum, cosleeping, diaper count, EBF, exclusive breastfeeding, frequent feeds, home visit, infant, lactation consultant, milk supply, newborn poop, normal newborn behavior, prenatal education, rooming in, supply and demand, what to expect
Tags: newborn period, nursing, sleep
Bringing your infant home can be both exciting and scary. You may wonder what your family’s new normal will look like. Many refer to this period of time as the “fourth trimester,” or the period of time when mom and baby both adjust to their new physically separate states. This adjustment takes place over the course of several months. When your baby is first born he or she has no experience with the world beyond the womb. Certain things can facilitate the ease of this transition from the womb to your arms. Bonding is the name of the game during the first days home. “Eat, bond, sleep, repeat” becomes the new mother’s mantra.
The natural habitat of the human infant is mother’s breast. Your baby will likely spend most of his or her time there for the first few months. Since newborn nutrition is such a large part of life with a new baby, taking a prenatal breastfeeding class is essential. You may wish to speak to an LC one on one to discuss your questions or concerns specific to your family prior to your baby’s arrival. A prenatal breastfeeding consult is a helpful tool for preparing you with information about establishing the nursing relationship. Most of the time in Atlanta area hospitals, you will have the opportunity to receive a quick consult from a hospital lactation consultant prior to your discharge. This consult is generally brief. Many families still have questions and concerns regarding breastfeeding after returning home. Many new moms prefer to schedule home visits with their LC to stay in the comfort of home during the recovery period.
Breastmilk is digested in 90 minutes. Expect to nurse your baby 10-15 times per 24 hours. Many first time mothers worry that their baby nursing frequently is a sign that they do not make enough milk. This is usually not the case. Colostrum, or newborn milk, is present in your breasts starting early in the third trimester. It is nutritionally rich and very little is required to fill a new baby’s tiny stomach. If your baby experiences the common condition “jaundice” also called hyperbilirubinemia, colostrum is a powerful laxative that will help resolve it. Within the first few days your milk will transition to “mature milk.” Each time your baby nurses, it signals your body to make more milk. Frequent on-cue nursing during the newborn period generally equates to a robust milk supply in the long term. Exclusive breastfeeding or “EBF” and avoiding formula are common goals for many mothers. This goal is attainable with access to breastfeeding education and breastfeeding help if necessary.
The best indicator of adequate intake is output. Normal diaper count is 6-10 wet or dirty diapers daily. In the first week, counting diapers can give you reassurance that your baby is indeed eating enough. Your baby should have at least one stool per each day of life. Day one- 1 poop, Day two- 2 poops, Day three- three poops, and so on. “Cluster feeding” or blocks of frequent nursing are common. Although nursing is frequent, it should never feel painful. Your baby will likely love to be held on your chest close to your breasts even when he or she is not nursing.
Skin to skin contact is crucial for your newborn. Skin to skin regulates the infant’s body temperature and blood sugar. It also facilitates important early neurological development. The simple act of holding your baby skin to skin stimulates production of hormones in both the mother and baby that keep everyone feeling relaxed and calm. Your partner can help you with this important bonding process by doing things like screening phone calls, entertaining visitors, bringing you food and drinks, changing diapers, and caring for older children. Your partner should encourage you to rest as much as possible while your baby sleeps.
Newborn sleep gets a lot of publicity. When babies are born, they do not make their own sleep hormones. They receive their sleep hormones from their mother via breastmilk and suckling. This is why many babies nurse to sleep. Nursing to sleep is biologically normal and natural. Many people refer to babies “having their days and nights confused.” This is not the case. Babies are not born with a light/dark cycle. One will eventually develop with time, but during the newborn period frequent night wakings are to be expected. Frequent waking to nurse is part of nature’s protection against SIDS. The American Academy of Pediatrics recommends a form of co-sleeping that is referred to as “rooming in” for the first six months of life as a measure of SIDS risk reduction. Sleeping in close proximity to your baby also allows to have a heightened awareness of your baby’s hunger cues throughout the night.
Your new baby’s first days at home will likely seem like more of a whirlwind than pregnancy. Prenatal breastfeeding education and accurate expectations of the newborn period can make this transition much more manageable for families. However, there will be times that you don’t know what to do. When in doubt just do less, nurse more, and call your LC!
06 Mar 2014
in normal newborn behavior, Uncategorized
Tags: adequate milk, baby wearing, bathing your baby, breastmilk, common questions, constipation, food allergy, fussy baby, gassy baby, making more milk, maternal diet, milk production, milk supply, new born, nursing, skin to skin, sleep, sucking, techniques, teething, working with an LC
When you have a fussy baby, the minutes feel like hours and it’s easy to panic. Don’t panic! Take control of the situation and help your baby adjust to life outside the womb. Set aside worries about allergies, diet restriction, and milk production. Get the baby calm, help mama get calm, and then call your lactation consultant.
Hop in the Bath
Babies love baths. Mommies often need one too. Co-bathing can calm and focus your baby. Babies who are frustrated at the breast often respond well to nursing in the bath. Bath tub nursing can halt a nursing strike, help a baby with a shallow latch relax and open wide, and help a mom who is having let down trouble. Safety tip: have another adult present to pass the baby in and out of the tub to mom to avoid slip and fall risk.
Magic Baby Hold
It’s magic. Hold the baby like this. Magic Baby Hold with Bill
This is a variation of the common tummy massages like bicycling legs, rubbing the tummy clockwise, or burping. This can help pass gas or ease a baby who seems constipated. Remember: constipation is hard dry stool, not infrequent stool.
Swing and Sway
Not just the baby swing. Babies calm faster in arms. Swing with your baby on your lap on your porch swing or glider. Wrap your baby in a sling or carrier and walk through the house. Babies like to be near a heart beat. Being skin to skin while swaying through the house is extremely soothing.
Nurse in a Carrier
Nursing in a carrier allows the baby to be upright and compressed. This helps with reflux symptoms and gas. Upright feeding can also ease the stress of fast milk flow or over-active let down. Babies with tongue or lip ties can often open wider because of the firm back support carriers provide while the head can move more freely. Sucking also helps relax babies and their GI muscles. More nursing helps them poop.
Play with Temperature
Take some frozen milk out and spoon feed it to your baby or put it in a mesh feeder. The cold is exciting and different for older babies, especially teething babies. Older babies may like to hold a frozen teething toy or a warm teething toy.
Even if the weather is crummy, just standing on the porch may change things. If you’re able to carry your baby for a walk, this is usually better than a stroller. The upright position and being near an adult care giver are more relaxing than a stroller.
Play with Texture
Let your baby touch something interesting and new. A tooth brush or cotton ball or sand or salt. Watch that these things stay away from the mouth. Novel sensory experiences can change your baby’s outlook pretty rapidly.