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Breast Feeding

Wednesday by Leah: Tricia Talks Pumping

I am excited to introduce Tricia, who has written a very thoughtful and helpful guestpost for y’all today about pumping milk for her sweet son, Evan, while she’s working full-time. I know there are some mamas-to-be out there who will find this extra helpful! And we do aim to please, over here at After all, we are full-service photographers. Need a bouquet? Bam! I’ve got it arranged and wrapped for you! Need info on breastfeeding? Bam! Here ya go.  Ok, I digress… 

Tricia is awesome. I met her waaaay back in 2003 on my Tibetan Studies program. (Remember Katie? And her farm wedding in NC? Same program!) Tricia and I were roomies for a month in Nepal during the final stretch of that adventure. And now we’re both moms to awesome lil guys, figuring out the whole parenting thing on opposite sides of the country. So…without further ado… take it away, Tricia!

Thank you Leah for having me as a guest blogger, I am honored.  My name is Tricia and I am the mother of a 7-month old baby, Evan.  When my husband, Alex, and I decided to have a baby and he would stay home, we joked that the only thing he couldn’t provide was milk…so I had to get a good pump.  There were no ifs ands or buts about it.  Continuing to breastfeed and work is difficult, if not impossible, for most.  One of the first questions Alex gets when he tells people he is a stay at home dad and Evan is still breastfeeding…is “how is the pumping going?”

I read the books and talked to La Leche League, but you never know how it is going to work, I mean really work, until you start doing it.   So far I have pumped about 300 times.  It gets old and there are times I don’t want to strap on the pump, but I do it. Plus, we worked so hard to get breastfeeding established after the C-section and Evan being in NICU for two days…I don’t want to lose it.  I learned a lot of things the hard way, so I am here to share some experiences.

My Pumping Story

I have been working 8 to 9 hour days, five days a week since Evan was 11 weeks old.  My schedule is flexible, but I generally work in an office from 8 to 5.  Most of my work occurs at a desk, but I do go in the field about once every two weeks.  Luckily I have an office with a door I can lock.  I just put on a “Do not disturb” sign and get to pumping.  I didn’t even think of telling my boss that I would be unavailable, locked down in my office for 1.5 hours a day, I just assumed they knew it would happen.  I guess they did, because no one bothers me.

I have found that pumping three times a day works for my body.  I continue pumping until nothing more comes out, with each session lasting 20 to 45 minutes.  I go through two letdowns and try to get 5 to 8 ounces out of each session, but sometimes I only get 4. I average 15 to 18 oz in a 9-hour period.  Everybody is different, Leah told me she gets 4 oz in 5 minutes (I am jealous) [Disclaimer: I have super-forceful letdown, which can be nice, but not when I’m practically waterboarding my son! Great for pumping, not so great for nursing. But yes, everyone is different].  On an average day I pump within an hour of getting to work, around noon, and again an hour before I leave (every 3 to 4 hours).  It typically takes me 3 minutes to put on the pump and 3 minutes to take it off and rinse the equipment.  When I am in the field, there is usually a commute, so I pump on the way there, at lunch and the way home (yes, while driving).  The remainder of the pumping time I am able to continue working, which is great because otherwise my work day would turn into a 10+ hour day and I would never see my child (kind of defeats the purpose of this whole venture).  I have a fridge in my office which I store everything in.  In the beginning I was only pumping twice a day, but Evan appeared to need more milk during the day so I added one more session to my routine.  In addition to pumping, I feed Evan twice in the morning, twice in the evening, and typically once in the middle of the night.

A few things to think about.

  1. We started Evan on one bottle a week when he was 5 weeks old.  This worked for Evan to get used to a bottle, Alex to gain confidence in feeding him, and I got to pump and create a backstock of frozen milk (2 bottles worth comes out of me and only 1 bottle goes in the baby).
  2. Create a backstock before you go back to work. It helps for growth spurts and long work hours.  We had about 100 ozs before I went back to work.  I pumped in the morning or in the evening after Evan went to bed.  A friend of mine started pumping before each time she fed her baby, so her body generated enough milk to feed and pump.  Now that we have worked our way through the frozen milk supply I bring the pump home on the weekend to supplement the backstock.
  3. The books say fresh milk lasts 5 days, but it depends on you. Evan doesn’t seem to like my 4 day old milk and a friend’s baby won’t take milk that is more than 24 hours old or frozen milk.  It is probably best to test this before building a big backstock.
  4. In the beginning, I had one of Evan’s worn shirts to smell to get my body in the mood.  Now my boobs are trained when the cold (they are stored in the fridge) flanges go on, I let down quickly.  Sometimes the second let down doesn’t come as easy, so I look at pictures or videos of Evan.  I also massage and squeeze the sides of the breast (C-clamp) to get extra milk.  I have been meaning to get a video of him crying, but haven’t gotten there yet.
  5. I set an alarm on my outlook calendar to remind me.  My calendar is shared with everyone else in the company, so I put the appointments on private.  Either way my status comes up as busy.  Most people have figured out by now that if they call or message me, I will answer (I turn off the pump because you can hear it).
  6. Get the double pump and bra that holds the pump on your boobs. It makes it so you can do something else while you are pumping.
  7. I pump directly into bottles and then Alex uses them the next day. We have nine bottles (four with me, four with Evan and then an extra).
  8. Have a rag to blot your breasts when you take the flanges off.  There is nothing like milk stains on your work pants.
  9. We got a used Medela Instyle from my sister-in-law.  By about the 200th pump, the pump was getting weak.  I got a new plug and it started working great again.
  10. If you use glass bottles, the yellow tops that come with the Medela plastic bottles leak. We use the tops that are the nipple holders and then a little circle that goes in the middle. They come with the bottles and work well.
  11. Get backup supplies for the breakable items.  The yellow piece and little white plastic flange on the Medela pumps break. One broke on a day I had to go out of town for a meeting, and I had to pump one boob at a time.  I have only had my boobs leak once and this was it because I didn’t have time to drain them all the way.
  12. No matter where you are, have something to do while you are pumping. I get bored if I don’t and then I don’t pump as long as I should.
  13. I have pumped in the car and in the bathroom stall and while I was driving (I set up beforehand). My pump comes with a battery powered adapter. The batteries last for about 10 to 15 pumps before they get too slow and inefficient.
  14. You don’t need to wash the pump equipment every time you use it if you have a way to keep them cold. I have tupperware I put them in to store in the fridge in my office. I just rinse them with water after each pump session and then wash them with soap at the end of the day.
  15. We bought a cheap fridge and it makes this horrible high pitch whine when it is on.  If I were to do it again, I would have spent more.
  16. Every once in a while I get a clogged duct and the pump just won’t break it which causes poor pump production of milk.  When this happens Alex brings Evan in to ease the boob’s woes.
  17. I have noticed my milk supply is directly related to how much water I drink.  I typically chug a 12 oz glass of water after each pump and then drink at least one glass in between sessions.  I also drink a few mugs of the “Mothers Milk” tea per day.
  18. The key to keeping up your supply is actually doing the pumping.  In the beginning, Evan spent a lot of time on the boob when I was home.   For a while I wanted him to keep waking up in the middle of the night to give the boobs some action.  Now I seem to pump more during the week than he eats on the weekend.
  19. A friend also swears by chia seed to increase milk supply.  I haven’t tried it but she also had a 300 oz backstock when she went back to work, so maybe she is onto something.

 I hope my experiences help.  The hardest part about continuing to breastfeed and going back to work is keeping up the milk supply.  Liquids and consistency helps a lot…and it never hurts to try chia seed. 

Wednesday by Leah: Nursing In Public

– Posted by Leah

This popped up in my Facebook feed yesterday:

So, for those of you not up-to-date on your breastfeeding literature, this is a take on the common “Tips for Nursing in Public” that is found all over the place for new moms. It really got me thinking. I’m not super-modest overall, but when it comes to nursing in public, I’ve been inclined to keep myself well-covered. I’m painfully aware that nursing in public might (*gasp!*) make some people uncomfortable. In fact, I even used to be ever-so-slightly uncomfortable around breastfeeding women. I would quickly avert my eyes, even if the mother was using a nursing cover. Oh no! Don’t look! She has her breast out!

Well, now I’ve had my own breast out in more places than I can count. The BabyRoX is a hungry, growing little person. And Mark and I are active, going-out-in-public type people. So this leads to lots of nursing in lots of public places. And now that I’m the mom to an increasingly curious 4-month-old, the nursing cover that I so very much love isn’t quite as loved by my kidlet. And really, can you fault him for that? You try eating with something draped over your head and tell me how much you enjoy your meal. So lately, sometimes, I don’t even bother with the cover. And honestly, it’s often even more discreet than using a cover – Jonah is good about latching on quickly and then it just looks like he’s sleeping nuzzled up against me. But I spend the whole time worrying what other people might be thinking, and what if he unlatches and a tiny bit of my breast is exposed? Oh, the shock and horror! Just sign me up for Girls Gone Wild already! (In reality, I’m showing less skin than any billboard around me.)


Source: MotherWise

So I’ve been thinking about this whole nursing in public embarrassment. And I’ve decided it needs to stop. At least for me. I have every right to be out and about in my community. I’m not taking my child anywhere that is inappropriate for him to be. If I were feeding him with a bottle, no one would take any issue with it.  And while I haven’t encountered any outright discouragement or harassment while nursing in public, I’ve received a lot of discouraging commentary in general around the topic of nursing in public…

“You’re going to nurse on the airplane? What about the other passengers?”

“Breastfeeding totally skeeves me out. I don’t understand why women do that in public.”

“Oh, he needs to eat? Do you need to find a restroom?”

And I’ve been letting this commentary make ME feel ashamed. Embarrassed. In the wrong… for feeding my child. For having the audacity to go to a public place with my family and keep my baby nourished and comforted. I haven’t let it STOP me from doing this… I’m stubborn enough to power on through these uncomfortable feelings. But the more I think about it, the more I realize that those feelings are a burden I shouldn’t have to carry. So I’m not going to anymore. I know that breastfeeding just needs to become more normalized in our culture… so I’m gonna help y’all out by normalizing it some more. And if you seriously have an issue with that, maybe YOU should stay home. Or go to the restroom. Or put a blanket on your head.

This isn’t just about people feeling uncomfortable, though. I was starting to write a much longer post on this topic, when I found another blog post over on Skeptical Mothering that even more articulately expresses my line of thinking…so I’m going to send y’all over there to read it! But here’s a quick snippet for the lazy/in-a-hurry types (I’m both much of the time, so I get it…):

Nursing in public is a big debate currently, but I don’t think many in the “anti” faction appreciate how big a feminist issue this is.  Acceptance of nursing in public is about female empowerment on two levels.  First, it diminishes the objectification of women.  For so long, breasts have been all about sexuality and the male gaze.  To acknowledge that they aren’t just about arousing the prurient interest of men is to elevate women beyond being mere sex objects.  Second, nursing in public is vital to allowing mothers full access to social life.  As more women are nursing, trying to do the best thing for their babies, more women will be out and about and need to nurse.  Only someone who hasn’t nursed an infant would ever say, “Just time your excursions for when the baby doesn’t need to nurse,” or “Just pump some milk and use a bottle,” or “Just sit on a public toilet for 20 minutes and nurse.”  These are not practical solutions.  What is practical is to get over our societal perversion about breasts and allow mothers full access to life outside their homes by supporting, or at least ignoring, public nursing.

I’d love to hear what Rush Limbaugh has to say on this topic. (Not.) But I will say that if any of you local mamas-to-be reading this plan on breastfeeding and feel at all uncomfortable about it, nothing helped me more than hanging out with OTHER breastfeeding mamas. I was enjoying a lovely afternoon in a park in Arizona with my friend Lindsey and we were talking about how even having just one other nursing mama around makes it so much less awkward-feeling to nurse in public. Until we feel empowered enough in our own skin to nurse our children whenever and wherever, we can borrow some of that strength from the power of numbers. So call me! I’ll come hang out with you and nurse away. And slowly it won’t be such a weird or uncomfortable thing to do.

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Wednesday by Leah: Before and After

Before I became a mom, I promised myself I would make self-care a priority.  I can’t be a good mom if I’m exhausted/unhealthy/unhappy, right? Makes perfect sense. I did a great job of taking care of myself throughout my pregnancy. I rested when I felt tired. I ate nutritious foods. I said no to anything I didn’t feel like doing. I protected my “me” time ferociously. I meditated. I showered myself with love and kindness and dark chocolate.

I thought about what my life would be like once BabyRoX was here. In my head, it was this perfect balance of mom-time, me-time, friend-time, work-time, and Mark-time. I’m self-employed, so I can set my own schedule. I’m good at the work-life balance. I love spending time with friends, with my husband, and all by my sweet little self. I’m passionate about my work. Soooo… dividing my time between all these should be easy, right? I pictured date nights with Mark while loving family members watched our kidlet, fun nights out with friends while Mark and Jonah had some father-son bonding time, solo hikes in the woods to restore and rejuvenate my mind and body, blocks of time each day devoted to work projects – both creative and administrative. Having a child wasn’t going to strip me of all these other things I wanted to do!

And then I had a baby.

Wednesday by Leah | Atlanta Family Portrait Photographer

And it’s not that I *can’t* segment my time the way I want. It’s not that being a mom is so much more demanding than I anticipated that I just don’t have the time or energy to do anything else. It’s that… as much as I want to do all these other things, as nice as all of that sounds… I’d really rather just hang out with my child.

In fact, the longest I’ve been away from BabyRoX is just over 2 hours. People tell me that this is normal, that of course I want to be with my baby, that of course leaving him is difficult. And that’s good to hear (not that I’ve ever been too concerned with being normal…I mean, I did give birth at home and eat my placenta and teach my baby to pee on the potty and all that jazz)… but I’m wondering if I should just let this progress naturally, and only leave Jonah for longer periods when I feel ready, or if it will just always be difficult until one day its not and I should just power through, and leave him from 3 hours, then 4 hours, then 6, then 8, then a day.

Wednesday by Leah | Atlanta Family Portrait Photographer

I’m supposed to shoot a wedding out of state in May… and I’m already feeling anxious about it. Do I take BabyRoX with me and bring along a trusted friend or relative to watch him? Do I leave him in Atlanta and go away for nearly 3 days without him? And if I do go away for the weekend and leave my child here, I suppose I should start building up to that separation… which means leaving him in someone else’s care for longer than 2 hours before May gets here. And it’s already March. Gah!

I’m really not sure what to do. So I’m asking the internet… what did YOU do? How did you handle this? Help!

In the meantime I’ll just be here, hanging out with my baby. Contentedly addicted.

Wednesday by Leah: Off the Charts

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The BabyRoX is now 3 months old! He’s a lovely, chunky creature full of sweetness and smiles. He is the best thing that’s ever happened to us, and of course as his parents, Mark and I want to make sure he is as healthy and happy as possible. Since I have the good fortune of working from home, and since I’ve also had the good fortune of a plentiful milk supply and a champion nurser, BabyRoX is exclusively breastfed.

And do you know what I’ve discovered since having a child?

1.) Breastfed babies have different growth patterns than formula-fed/supplemented babies – they tend to gain weight faster in the first 3 months and slower throughout the rest of infancy.

2.) Most parents and even most pediatricians are not aware that the growth patterns differ.

3.) Most parents and most pediatricians are not aware that there are growth charts available for exclusively breastfed babies (and these charts have been publicly available since 2006!).

So this week is my PSA for all the breastfeeding mamas (and papas? if there are any…) out there! Do yourself a favor and print out these charts from the World Health Organization. And do your family doctor and other parents a favor, and bring these charts to your next doctor’s visit (Most pediatricians still use the old CDC growth charts - even though the CDC itself recommends using the WHO charts for children 0-24 months of age!). Our pediatrician didn’t know about the WHO charts, but was glad I shared them with her.

Atlanta Photographer | LeahAndMark.comBabyRoX was 95th percentile on the CDC charts but 70th percentile on the WHO charts… and that’s a big difference! My sweet boy is superchunky now but is not at risk for obesity. He’s actually a very healthy breastfed baby. An educated parent is a child’s best advocate. So go forth with new knowledge, ye parents reading this blog! For more info on why these WHO charts are important, read this article and/or the summary below:

In April 2006, the World Health Organization (WHO) released new international growth charts for children aged 0–59 months. Similar to the 2000 CDC growth charts, these charts describe weight for age, length (or stature) for age, weight for length (or stature), and body mass index for age. Whereas the WHO charts are growth standards, describing the growth of healthy children in optimal conditions, the CDC charts are a growth reference, describing how certain children grew in a particular place and time. However, in practice, clinicians use growth charts as standards rather than references.

In 2006, CDC, the National Institutes of Health, and the American Academy of Pediatrics convened an expert panel to review scientific evidence and discuss the potential use of the new WHO growth charts in clinical settings in the United States. On the basis of input from this expert panel, CDC recommends that clinicians in the United States use the 2006 WHO international growth charts, rather than the CDC growth charts, for children aged <24 months. The CDC growth charts should continue to be used for the assessment of growth in persons aged 2–19 years.

The recommendation to use the 2006 WHO international growth charts for children aged <24 months is based on several considerations, including the recognition that breastfeeding is the recommended standard for infant feeding. In the WHO charts, the healthy breastfed infant is intended to be the standard against which all other infants are compared; 100% of the reference population of infants were breastfed for 12 months and were predominantly breastfed for at least 4 months. When using the WHO growth charts to screen for possible abnormal or unhealthy growth, use of the 2.3rd and 97.7th percentiles (or ±2 standard deviations) are recommended, rather than the 5th and 95th percentiles. Clinicians should be aware that fewer U.S. children will be identified as underweight using the WHO charts, slower growth among breastfed infants during ages 3–18 months is normal, and gaining weight more rapidly than is indicated on the WHO charts might signal early signs of overweight.

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