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Showing posts with label breastfeed. Show all posts
Showing posts with label breastfeed. Show all posts

May 2, 2012

Whether you cloth diaper or not... find a cloth diaper retailer near you!

borrowed from Granola Babies' Facebook page - thanks!
If you are expecting or just received I highly recommend seeking out a cloth diaper retailer near you...

And I don't even want you to buy a cloth diaper there!

I was recently emailing with a friend who happens to be interested in cloth diapering her bun-in-the-oven, and mid-epistle, I thought, "She should just go to a cloth diapering store and ask them... better yet ask the moms that hang out for those mommy groups... more importantly go to a mommy group!"

Having your first baby is hard! And I don't mean the labor and delivery (that is a whole different post). I mean there is a blissful week or two where you are running on adrenaline and being super mom and dad dynamic duo. Your new baby has barely realized he is outside the womb and is so content. You go see a movie (yes, really, do that) and go to a trendy restaurant for whatever meal occurs at 3PM because you've just remembered to eat. Yay, parenting is easy! Then Hubby goes back to work and Grandma goes home and you are there with junior all. day. long. One on one.

Its awesome and its overwhelming. You had all these plans of all these things you were going to do while home with him, but somehow you can never even make it out the door! Insert mommy group here. I don't mean meeting up at the playground with a tight knit group and drink Starbucks while the kiddos dig in the sand. You are not there yet. I mean a place you can go where there are other moms at your very same overwhelmed stage, and some a few weeks or months ahead of you who can offer sage advice. And you'll feel like everybody knows your name.

This is the place where you can practice trying to be somewhere on time, with all the required supplies. Because if you are 'late' no one will mind. You will want a place to practice breastfeeding in public (even if that's not the route you're going, they probably won't mind extra's!). You will want to know its OK if your baby cries in public (hubby and I used to be mortified by M's tiny wails... ) and that tiny baby cries are nothing compared to the bigger varieties. You will want to know how exactly other moms do it... and survive in general. You will want to ask the occasional question and be comforted by others' questions and enjoy being around grown ups (that don't mind talking about poop all the time and have spit up on their clothes, too). You will want to come every week... at least...

Here is another post I wrote about the fabulousness of Mommy Groups.

And here are some resources to find one near you:
La Leche League there are meetings held all over the world, and there is bound to be one near you and at a convenient time... and probably in a cloth diaper store, but I also went to one that was in the cafe area of a grocery store, and one that was in a church meeting space.
BumGenius (they are probably the most popular cloth diaper retailer, so any brick and mortar store that carries cloth diapers, probably carries theirs... and probably also offers mommy groups. )
The hospital/birthing center where you gave birth or saw your doctor - the usually offer lots of prenatal classes, and many offer ways to connect with other new moms after giving birth, too (see... there is science behind this mommy group idea)

Google it. I bet you will find one. In fact, I have a friend in Virginia who swears there is never anything fancy going on in her town and there is a cloth diaper store that, in fact, has mommy groups. I just checked :)

Can I get an AMEN on mommy groups?

November 21, 2011

Pumping Pitfalls

Workin' it!
via babygearcenterdotcom
As you take on pumping as a second job (third! you are now a Mom, too!), there are a few incidents you may be anxious about or want to avoid... Or want to commiserate about, if you've already experienced...

Finding time to pump. Regardless of how much time you take off from work, one thing you absolutely must do before returning to work if you plan to keep nursing, is schedule in your pumping sessions (and be mindful booking adjacent meetings). If you have some kind of a desk job, make regularly occurring meetings on your calendar for at least 20 minutes, probably 3 times per day, whenever you anticipate you would be feeding your little one. These breaks will vary as your baby consolidates feedings and eventually weans, but this is a good place to start. And don't forget to discuss this pumping with your boss. He or she has to allow you time to pump, but it is courteous to discuss your needs, and offer to work out a schedule that accommodates everyone. My boss actually had a baby a year before I did and she actually had lots of tips to offer, and was very supportive.
People knocking on your office door. Ugh! Especially when they should know what you are doing in there. Even as I have become comfortable with pumping at work (and other places), and breastfeeding just about anywhere, I still cannot bring myself to yell through my closed door, "Sorry I am busy right now!" C'mon people. The door is closed... you can hear the pump "whirrrring" in here... Ask me your question via the office instant messenger... or wait 10 minutes.

Crying over spilled milk. This is certainly a big risk from having to bottle the stuff and measure it out and cart it back and forth between work and home and daycare and other places out and about. I had a particularly frustrating day before returning to work, trying to build up a backup supply. My well-meaning hubby had given the baby our backup bottle, and I felt this overwhelming need to replace said bottle, even though it was bedtime. So after nursing (so I was pretty much on E, right?) I got out the pump and tried to see what I could get out. I was already stressed out about "needing" to pump, and it was late. So then to top it all off, when I finished pumping and had extracted a couple ounces (which felt sub-par, though was a decent amount, given all other circumstances), I promptly knocked over the uncapped container and spilled it all over the carpet. I definitely cried. Needless to say, the whole scenario could have been avoided, but I bring this up to say, that wastage of breast milk in any form is a feels like a personal hit. Take extra care when handling it to avoid the tears.

Not being able to pump enough. So I mentioned I am an IE, right? So I have a spreadsheet that I keep track of my pumping progress. I like to know if I have met my quota for the day; how today compares with yesterday, or last week; noticing that the left side has higher output than the right... etc. According to my sheet, I have pumped gallons of milk since returning to work. What a confidence booster!! But this also brings some stress, say, when I haven't made my daily quota, or if I notice a poor trend developing. The best advice I can give here, is know that you will have enough. And if you don't, it's OK. You can supplement with formula if you need to. Really.

the setup
via Medela
Not packing the supplies you need. You do not want to be caught without any of they key equipment needed to extract milk during the day, especially since you probably have a target (however much baby will need tomorrow with his caregiver!) and every ounce short induces panic (see above). One thing I have been short on before is enough milk receptacles. So I started packing several freezer bags just in case I forgot, or in case I had a great day, volume-wise and needed a place to put it all. This does actually happen, by the way and you definitely want to be able to capitalize on it. The apparatus - you definitely will need the pump and the "horns" and tubing, etc. I would recommend also having the AC adapter, of your pump is battery powered. At a La Leche League meeting, I learned that during the day I didn't need to do any cleaning between sessions since breast milk is basically magical enough to ward off bacteria for that short a time. They also advocated just a rinse in the evening, and a sterilization on the weekend. If you subscribe to this like I did then the only real opportunity to forget pieces if the setup is Sunday night/Monday morning, so be extra diligent that day. I kept the parts drying on a burp cloth together after cleaning preferably near the pump bag.  (see my pumping at work checklist for other items to pack).

Leaving the pump bag at work.  This is the worst feeling. If you live close and have time you can go back and get it. But it's a pain, and if you don't live close, you'll just cry. Again, try to keep it near things you won't - or better yet - can't forget, like your keys.

yummy muffin!
via dominosugardotcom
 Not eating or drinking enough. It is so easy to forget, especially as you start to get caught up in the day-to-day at work again. I recommend grabbing a big glass of water every time you go to pump. And pack snacks you'll look forward to, and that are portable. Also, our pediatrician recommended that I drink a glass or two of milk per day for the hydration and calories. I interpreted this as, 'you can drink all the chocolate milk you want'. So I packed a 9-oz baby bottle of skim milk and a couple tablespoons of Hershey's syrup, with a flat cap on top and kept it in the fridge at work to look forward to as a treat each day. I made big muffins on the weekend, and packed them as snacks (that I knew I would look forward to). I bought Luna bars by the caseload and kept them, and a water bottle, in my work bag at all times.

January 10, 2011

Learning to Breastfeed in Public - the Mommy Group

About the third week home, I decided the baby and I were ready for our first field trip. The hospital where we delivered offered a mommy group that met once a week, to let moms bond with each other and compare notes, and to ask questions to the lactation consultant and pediatrician that also attended. I was pretty stoked to get out and about. I didn't have any questions, but I was dying for (adult) human contact. It took us pretty much all morning to both get dressed, pack the diaper bag and car and to almost make it on time. We planned to blend in with the wallpaper and just listen to the others speak. But of course, the little guy was due to eat right in the middle of the meeting. This was a mom-and-baby-only (no men allowed) so that detailed questions could be asked, but also so breastfeeding could go on, uninhibited. I wouldn't fully appreciate this aspect until several weeks later.

I first was mortified that my baby was crying and "interrupting" this meeting. I immediately started to get hot and flustered. New mothers everywhere: do not feel embarrassed by this. Especially newborns, whose cries are nothing compared to what comes later. Especially not at a new mom's meeting offered by your hospital, where the fully expect such behavior and where you will not be the only one in this position in the room. I tried to be super-covert as I tried to position him on my lap, lift my shirt, undo my nursing bra, get him latched on (and at this point we were still using a nipple shield, so this was yet another thing to try to orchestrate), and all under the cover of a lightweight swaddling blanket so, God forbid, no one saw my breast. This was an utter disaster (no pun intended). I felt so embarrassed! One of the facilitators came over and offered me some pillows to get more comfortable. I thanked her, but really couldn't handle trying to manipulate one more object. I was literally sweating, and luckily my guy figured out how to latch on long enough to get some milk and be satiated and quiet. I really have no idea what the topic of conversation was that day.

I tell this story because 1) it really wasn't as big of a deal as I was imagining it to be at the time, so if you find yourself in a similar situation, please know that it really is OK, and absolutely nothing to be embarrassed by, and 2) these meetings are the perfect place to learn how to breastfeed in public. I assumed you already have the hang of feeding your kid in the privacy and safety of your own home. There you can walk around all day with no shirt on and feel perfectly normal. Not to mention you have a handy dandy Boppy pillow, and a comfy rocking chair. If you don't, though, these meetings are great to ask questions about how to do this better, too. Really, its why they even bother holding them in the first place.

Our second outing was a La Leche League "cafe". This was an informal meeting at a cloth diapering boutique in town. Similarly, there were several new moms and babies in attendance. There was prime emphasis on babies and chatting, and some highlighting of the official LLL stance on the answers to some of the questions going around, and no pushing of the boutique's merchandise, whatsoever. Here is where I got over the initial breakout of sweat and embarrassment and started watching what the other moms were doing. I was fortunate that my little guy slept through this whole meeting, and another mom was feeding her daughter lunch. I watched how she nestled her baby's head in the crook of the elbow of one arm, and used the other hand to aim her breast into the baby's mouth. Baby's bum rested in her lap. Aha! To cover it all she had this nursing cover, which is really just a glorified cooking apron, sans strings. If you have any sewing talent at all, make yourself one before you have the baby and save yourself $30. If you don't, just add it to the registry, because its pretty danged handy. While you're at either this meeting or the hospital-sponsored one, ask all the questions you can think of. Invaluable resource. And once you go back to work, you'll likely not be able to attend these anymore :(

So, once you have found a couple of groups to frequent, keep going! Practice your new skills. Trust me you'll learn many more tips from the other new moms and you'll give yourself plenty of opportunities for dealing with other new challenges, including 8 ways to recover from a poopy diaper explosion. Our son pretty much only has two poop speeds: not pooping, or explosion. You'll become a regular James Bond making due with pieces of outfits or swaddling blankets in the bottom of the diaper bag (because you have already used the 2 actual outfits you'd packed). Or you can practice eating your lunch while holding a baby. Or practice entertaining baby while carrying on a conversation. Or at the very least, it is practice for trying to get somewhere on time, with a baby in tow. And of course, getting comfortable with breastfeeding in front of someone other than your husband or mother. I begged for suggestions on how to get good at this, and I actually got several responses telling me to just give up on it, and give the kid a bottle (of expressed milk, but still!!), since at some point he'd have to learn to take a bottle anyway. I quickly found this to be a ridiculous suggestion. Sure, maybe in the middle of a wedding or funeral isn't the best time to whip it out, but nearly all other options are OK (in my opinion) And hiding out in the car to nurse is always an option, if you need a little privacy. Why forgo the convenience of carrying your baby's food around with you everywhere? I promise, you will soon tire of having to think ahead to pump a bottle, and then give your kid said bottle, when you can just skip the middle man and nurse him. With a little practice, soon you'll be able to do this at tailgates and restaurants, so nonchalant-ly that folks will hardly realize you are even doing it!

Let me mention two more things: 1) my husband was resistant to breastfeeding in public at first. He wasn't fond of the idea that my boobs could be in plain view to the public. However, as I practiced, he got more comfortable with my skills, and confident that said boobs would remained covered. 2) There will be times where it is worth it to pump milk instead of nurse. This includes the night shift. If you get good at squeezing in a pumping session for your freezer supply, you might keep an extra bottle in the fridge to give you baby in the middle of the night, if s/he needs it. This way you don't always have to be the one to get up. And this will then leave you with some extra milk in the morning, that you can then pump and save. Its a nice cycle.

Freezer Stock

If you are breastfeeding, it is true that it is pretty handy to have some back up milk in the freezer.

If you ever plan to be away from your baby for more than a few hours (let me just say that if you don't plan to get away some, you will likely go insane, so just plan on it now), someone else will have to feed your kid. And if/when you are going to back to work, get sick, going on vacation, any of these things can disrupt your schedule (and your eating/hydration schedule, too) and might cause your milk supply to dip, so its great to have some backup on hand, of for nothing else, then peace of mind. Not to mention if your baby hits a growth spurt and you haven't enough fresh milk on hand to keep up. Our little guy hit a spurt right around 3 months, which is when he started at daycare and I started back to work. Trifecta for us. I took some pressure off myself because I had a pretty good supply in the freezer for just this case.

OK, OK, you say. So I'll get to work on my freezer stock... but how? I wondered this myself. When I was about 6 or 7 months pregnant, I recall asking one of my new-momma friends how she ever "got ahead" to be able to build up a freezer stock of milk. She thought back to her first "daze" on the job and said, "you know, I don't remember". So I made a conscious effort to pay attention. At first, you do not work on this supply. Depending on how well breastfeeding is going for you, you just work on that, and bonding with your baby. Once you start to get the hang of things (maybe a couple weeks? You'll know because you'll have a split second to think: wow, a free moment - what should I do? If you even think you might be tired, though, just take a nap instead.), I suggest pumping sometime after the first feeding of the day, maybe when the little one goes down for their first nap, maybe for 15 minutes or so. There always seems to be extra milk in the morning. And I would wager that this is a good strategy to up your supply in general. Lactation is all about supply and demand, so keep demanding. The supply built up because until the baby was 3 months old, I wasn't away from him much at mealtimes, and I was getting an extra few ounces of milk nearly every day.

I read in a couple of sources that folks recommended freezing milk in one or two ounce portions, so that this was more flexible for you to use. But I just found this wasteful. Once you thaw one of those little baggies, there is all kinds of milk still clinging to the sides, so why do this 2 or 3 times just to get a full bottle? By the time I was pumping to freeze, my guy was drinking 3-4 ounces per feeding anyway, so I reasoned that there was no reason to freeze any less than that. Now that he can down an 8 or 9 oz bottle, I only freeze in 6 oz portions. In both cases would just top off whatever I'd thawed with refrigerated milk, and voila, a full bottle is good to go.

January 7, 2011

Pumping at Work

In case you didn't know this, I am an Industrial Engineer by background, which means I am always trying to streamline processes, even in my personal life. Now that I have this new baby, it is more important than ever for me to optimize my time. And this is especially true at work, since I look forward to 5:00 when I can run to daycare and snuggle the little one as soon as possible. This being said, I am also still nursing said little one, which means I am also pumping at work. For any other mama's planning to do the same, I would like to offer a few tips:

 First and foremost, make sure your employer is aware of your need to pump and what this means. You will need a clean private place to do this, and some flexibility in your day to take breaks to do so. It doesn't mean you won't be working during these time periods, but it may, even if you have the best of intentions of staying productive. Know that if you have a desk job, it is likely that you can still get some things done while utilizing a hands-free pump, but you may also need to focus on getting yourself in the "baby zone" (see below) or have some technical difficulties to contend with that might preclude work during these pump breaks.

Secondly, as you are planning to be out (and for sure before you return) go ahead and block out some planned pumping time on your calendar.  This prevents you (or others if they can see this calendar) from over-scheduling  you. Its not fool proof: of course there will be those meetings that  you really can't negotiate. So you'll have to adjust forward or back some. Don't stress about this too much. Your milk will still be there. And if you can at all have a store in the freezer before you come back, this takes the pressure off, too.

How many breaks per day should you plan on? Ideally you should pump when your little one will be eating (with the caregiver you have entrusted). Before I had the baby I envisioned that would get it all in with only two breaks per day, but by the time I was actually returning to work, I figured I'd better play it safe and go with 3 (and occasionally he was actually eating 4 times!). This proved to be successful. I did find that the first pump of the day (after having only nursed on one side in the AM) yielded the most and the other two, significantly less. Eventually, as the little guy's feeding schedule changed, I dropped down to two pumping sessions.

So what should you bring with you to pump?
You'll probably find your grove after a while, but initially I would plan to pack the following:
A really good, reliable, hands-free pump I am loving my Medela Freestyle. I am not sure of any other truly hands-free competitor out there. I really struggled with my decision, though. I felt guilty about spending so much $$ on a pump, when there were several options out there that were less expensive. I even had a friend that used one and said it worked "just fine." The one she had wasn't hands-free in-and-of-itself, she used one of  those hands-free bras. I just wasn't 100% convinced that would work, so I went this route, and don't have a single complaint. And I feel totally justified after I discussed the price of formula with another new mommy. This pump, as expensive as it was, paid for itself in just a couple months.  Until a friend asked me about it recently, I didn't realize how passionate I really was about my pump. But you go with what makes you feel comfortable.
...all the pieces that attach it to you, whether that means the straps and clips for the Freestyle, or a hands-free bra.
Burp cloth. I find this serves several purposes: it can be that thing that smells like your baby, if you need the reminder to put you in the lactation mood; it can be your pumping placemat, where you can lay out all your equipment, and still protect your workspace from potential drips or spills; and also it is great to wrap up the "horns," as some call them (the parts that attach to you, and might have milk still on them), and  put them back in your bag for next time.
Empty collection bottles (and lids!) If you do go with the Freestyle, know that Gerber bottles are compatible with the pump as well (which can really save some $$$ as those Medela sets are not cheap!). I also recommend looking into several sizes for milk collection. We were pumping from day one, since our little guy needed some time to learn to latch on. We started with some teeny 1 oz containers at the hospital, which really cut down on the intimidation factor of the 9oz bottles we had waiting at home. Just starting out, there was a pronounced progression from the 1oz, to the 2.5 oz to the 4 or 5 oz, and finally the 9oz-ers. each subsequent size really felt like an achievement for me, and a milestone for the little one. And if you are using the Medela cooler bag that comes with the pump, it neatly fits 4 of the 5oz bottles, but also two 5's and one 9oz (tilted sideways) and a full milk storage bag, when/if you get to needing that combination.
And while you're packing these, go ahead and slap labels on them. Our daycare requires that we use a specific color tape to label our bottles, and that we write our child's name, the date the milk was expressed, and when it will "expire". I go ahead and and label at least the first two when I pack them before pumping.
Wipes I keep these in the bag for wiping off the pump parts, but I honestly don't use them all that much. I went to a moms' group hosted by a La Leche League rep while I was on maternity leave. (I highly recommend mommy groups while on leave for a variety of reasons, by the way...). They really talked about the almost magical powers of breast milk, such that a thorough washing and sterilizing is not required between each use throughout the day. I do rinse the "horns" every evening during the week and let them air dry on my counter, and I sterilize them once over the weekend.
paper towels/napkins These are the mainstay of what I use to clean up after the pumping session. I usually grab a handful from our break room in the morning and keep them stashed in a desk drawer. As I am disconnecting myself from the horns, I have a napkin handy to catch any drips, and to wipe out the cup before I detach the collection bottle, so it doesn't drip on me. I do tilt it back some to see if I can get any of that milk to go into the bottle, but usually I can't, and be careful that you don't pour milk out of the backside of the bottle if its really full.
hand sanitizer I keep a pump of this at my desk and sanitize before opening my pump bag to pull out all my equipment. I am not a super-germaphobe, but its probably not a bad idea when handling my kid's food.
milk storage bags You will definitely need these if you are trying to rotate your freezer stock to keep the milk less than the recommended one month old. I also try to keep a few extra of these in the pocket of the pump bag. You never know when you are going to have a really good pumping day and need a little extra space for stashing milk. My favorite were the Nuk brand ones (I found the lansinoh bags to leak when I defrosted them... sad sad)
permanent marker for labeling the storage bags
nursing bra maybe this is obvious (because the hands-free attachments for your pump will clip to it, but just in case. Also make sure the ones you buy are compatible with said attachments. All of them are not. And you may not need one if you are going with the hand-free bra + not-so-hands-free pump option. One I love is the Bravado seamless silk.
cooler bag and ice pack(s) for storing pumped milk until you get home to the fridge
A/C adapter plug just in case the battery on the pump dies on you. Plus, its nice to keep all of the pump stuff together, so you don't have to hunt it down if you want to pack it for vacation, etc.
photos Or in this age of the Internet, have access to your personal web or Facebook page (via smartphone, computer, etc.) to view all those cute photos your are sharing with friends and family. Your baby's smiling mug will do a lot to get you in the mood for lactation.

Don't forget to also pack plenty of (healthy) snacks for the day, and drink lots of water (or milk, as I was advised by my child's pediatrician) to replace all those calories you are pumping out!!!