Introduction and Nursing FAQ's

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Introduction and Nursing FAQ's

Each post covers a different topic. In order:

1. Intro and helpful links
2. Pregnancy.org Breastfeeding Resources
3. Caffeine Consumption
4. Dairy consumption by a nursing mother
5. Domperidone links
6. Galactosemia Information
7. Medications while Nursing
8. Nursing through Pregnancy, and Tandem Nursing
9. Pumping Resources
10. Side Lying Help
11. Thrush
12. Thyroid problems in Nursing Mother
13. "The Truth about Breastfeeding" by Jan Anderson
14. VIDEOS - Breastfeeding "How-To" from Dr. Jack Newman
15. Vitamin D Supplementation
16. "What's normal"
17. Breastfeeding Awards, Milestones, and blinkies from Kellymom.com
18. Weaning Info
19. "C-hold" or "Sandwich-hold"
20. Colic Information (In progress)
21. Member Recommendations and Favorites

Joined: 03/16/15
Posts: 53852

1. Intro and Helpful Links

Welcome to our forum! Nursing during the first 6 weeks (and in particular, the first 2-3 weeks) may be the most difficult part of your childbirth experience. I hope some of what we have to share will help new mommies.

When anyone gives you "advice" about breastfeeding, be sure to look at the sources and/or consult with a lactation consultant before taking it to heart. There is a lot of misinformation out there, and if you feel something isn't right, trust your instincts. The ONLY experts on breastfeeding your baby are you and your lactation consultant! In particular, be aware that much of the free information you will get on breastfeeding from the hospital or your doctor is subsidized by the formula industry. While they are usually technically accurate, some of the information is sometimes skewed to make breastfeeding seem less than ideal. As always, consider the source. I encourage you to use any advice given on this forum only as a jumping-off point for your own research.

Here are some good online sources for breastfeeding:
Pregnancy.org’s Everything Breastfeeding Page
Online LLL meetings (live help)
Dr Sears.com
La Leche League
World Health Organization’s Breastfeeding Page
Breastfeeding.com
Kellymom Breastfeeding and AP Website
Militant Breastfeeding Cult
Kathy Dettwyler, anthropologist
Lactivist.com
Berkeley Parents Network

Medical Association Policy Statements:
American Academy of Pediatrics 2005 Position Statement
American Academy of Family Physicians Position Paper
World Health Organization Breastfeeding Publications
American Dietetic Association

Links to sites with lists of recommended books:
International Board of Lactation Consulting Suggested Reading List
Kellymom’s list of recommended books

Other Breastfeeding forums:
Pg.org Breastfeeding Your Baby
Pg.org Breastfeeding Multiples
Pg.org Extended Breastfeeding
Pg.org Relaction/Adoptive Breastfeeding Support
Pg.org Working and Pumping
Pg.org Pumping Exclusively
Mothering.com Breastfeeding Boards

Find a IBCLC (Board Certified) Lactation Consultant near you:
Breastfeeding.com LC Directory
Kellymom.com LC Directory

Be sure to stop back in here often to offer your support and wisdom to all the new mommies

Links edited and fixed July 16, 2005

Joined: 03/16/15
Posts: 53852

2. Pregnancy.org Breastfeeding Resources

Originally posted by Celestial:

Everything about Breastfeeding
http://www.pregnancy.org/breastfeeding.php
Welcome to our Breastfeeding Area. You'll find everything you need to start breastfeeding or continue on your journey. Below choose from expert advice, articles, community and more!

Ask the Lactation Consultant http://www.pregnancy.org/asktheBFexpert.php
Now is your opportunity to ask our lactation consultant all your breastfeeding concerns and worries, questions about getting started, latch/position, pumping, nutrition or whatever is on your mind that's related. You'll get real and honest answers.

Breastfeeding Articles
http://www.pregnancy.org/search.php?topic=26

Breastfeeding Boards
Extended Breastfeeding
http://www.pregnancy.org/phpBB2/viewforum.php?f=71
Working & Pumping
http://www.pregnancy.org/phpBB2/viewforum.php?f=73
Pumping Exclusively
http://www.pregnancy.org/phpBB2/viewforum.php?f=91

Joined: 03/16/15
Posts: 53852

3. Caffeine Consumption in Nursing mothers

A thoroughly researched and well cited summary:
Breastfeeding and Caffeine, from Kellymom.com

Joined: 03/16/15
Posts: 53852

4. Dairy Consumption in Nursing Mother/Allergy

Common Symptoms of a Reaction to Dairy

Green, runny stool
Blood tinged stool
Skin rashes
Chronic nasal stuffiness
Vomiting
Diarrhea
Excessive abdominal discomfort
Cramping
Coughing
Mimic of GER (gastroesophageal reflux) symptoms
Heartburn
Spitting up
Gassiness
Constipation
Gassiness

http://www.drjaygordon.com

Dairy Elimination Diet Check-list
http://www.drjaygordon.com/development/nutrition/dairy.asp

Milk Allergy Print-out
http://www.angelfire.com/mi/FAST/milkprint.html

4a. Dairy-Free Recipe Suggestions
A great recommendation by the pg.org regulars has been to check out Vegan-websites. Here are some specific ideas:

http://www.cs.cmu.edu/~sprite/Recipes/

http://www.vegweb.com

http://homepages.paradise.net.nz/safefood/Muffins.htm

Joined: 03/16/15
Posts: 53852

5. Domperidone

Originally posted by Susan/LCinTraining

http://www.fda.gov/bbs/topics/ANSWERS/2004/ANS01292.html

Here is a table of medicines approved by the AAP for use during lactation (note not FOR but during). Domperidone is on the list.
http://www.aafp.org/afp/20020301/practice.html

Last but not least, Dr. Tom Hale's (author of Medicines and Mother's Milk) response to the FDA statement...
http://neonatal.ttuhsc.edu/lact/html/fda_warning_on_domperidone.html
(link not working, Susan)

Joined: 03/16/15
Posts: 53852

6. Galactosemia

Originally posted by Jamie~n~Ashley (New Screen Name Jasmine~N~Ashley):

http://www.galactosemia.com/generalinfo.html

General Information about Galactosemia
Very briefly, galactosemia is a genetically inherited metabolic disorder that is characterized by the partial or complete lack of an enzyme (galactose-1-phosphate uridyl transferase) in the bloodstream that breaks down the carbohydrate (sugar) called galactose. This is a rare disease, occuring in 1 in 80,000 births (numbers vary depending on who you talk to). There are a number of varieties of galactosemia. "Classic" galactosemia, the most common, is treatable by removing all lactose or galactose-containing foods from the diet. This includes breast milk, dairy products, most legumes, and many other foods. Opinions differ on what other foods should be avoided. People with the "Duarte" form of galactosemia do have some enzyme activity, and often do not need to go on strict dietary restrictions. Galactosemia is normally found via a newborn screening test that is done simultaneously with the PKU test (the two tests are different, however).

I am going to just post this link because the entire page is filled with a wealth of information.
http://www.galactosemia.org/galactosemia.htm

ETA: If anyone has any questions, please feel free to PM (Jasmine~N~Ashley). I would be more than happy to answer them to the best of my knowledge.

Joined: 03/16/15
Posts: 53852

7. Medications While Nursing

Originally Posted by MamaRenee:

I'm creating this post as an announcement because I feel it is critical info. for a nursing mom to have available. It can be so traumatic to worry whether you should wean, or forego a certain medication. Hopefully these links will be helpful. And please, everyone, add any information that you may have. Smile (Click the topic of interest, they are links!)
Breastfeeding Pharmacology
Medications in the Breast-Feeding Mother
But Is It Safe for My Baby? Medications and Breastfeeding (Dr. Hale)
Kelly's AP: Antidepressants and Breastfeeding: References
Kelly's AP: Cold and Allergy Remedies Compatible with Breastfeeding
Kelly's AP: Vitamins for Nursing Moms

Edited, 3/13/05 to update the links.

Originally posted by shelbygoo:
I just wanted to add this resource as well.
www.motherisk.org
It has a section on BF and drugs. It is run by the sick kids hospital in Toronto and will take questions, I believe.

Joined: 03/16/15
Posts: 53852
Joined: 03/16/15
Posts: 53852

9. PUMPING RESOURCES

Originally posted by SaraMandM's:
Hi! I'm Sara, host of Pumping Exclusively on Pregnancy.org. I?ve compiled a list of pumping links that I hope will help you out!

Breastpumps 101
Breastpumping Tips

Supply Boosters
There are so many different ways to boost your supply while pumping. Unfortunately not all things work for everyone. I found success with several "supply boosters." (please note that I was pumping exclusively)

Joined: 03/16/15
Posts: 53852

10. Side Lying PHOTOS and positions

Learning how to nurse side-lying can be key in establishing a healthy long-term nursing relationship by allowing mom to get more rest, and babe to get more milk.

http://mother-2-mother.com/tut-layingdown.htm

Joined: 03/16/15
Posts: 53852
Joined: 03/16/15
Posts: 53852

12. Thyroid problems in Nursing Mother

Originally Posted by MamaRenee:

Kellymom has a new section on her site regarding nursing with thyroid problems. It seem very comprehensive, and I wanted to share it here.

http://www.kellymom.com/health/thyroid/index.html

I'll also include a couple of LLL articles on the same subject, for those moms who are facing this challenege.

http://www.lalecheleague.org/FAQ/hypothyroidism.html

http://www.lalecheleague.org/FAQ/hyperthyroidism.html

Also, I would encourage anyone who has further information on this topic to post links here. It's always nice for us to have good information referrals. Smile

Joined: 03/16/15
Posts: 53852

13. The Truth About Breastfeeding
By Jan Anderson
http://www.freestoriescenter.com/storyview.asp?entry=304

This is a nice story discussing the real challenges and joys of breastfeeding. We've had a lot of positive feedback from this story
-Angie

Joined: 03/16/15
Posts: 53852

14. Breastfeeding Videos

Click Here - Breastfeeding Help Videos

Dr. Jack Newman has How-To videos on:

    First Latch
    Subsequent Latch
    Bad Latch
    Breast Compression
    Shifting baby to get more milk
    Waking baby to get more milk
    Use of Lactation Aid
Joined: 03/16/15
Posts: 53852

15. Vitamin D Supplementation

Originally Posted by MamaRenee:

http://www.kellymom.com/nutrition/vitamins/vitamin-d.html

http://www.mothering.com/articles/new_baby/breastfeeding/sunlight-deficiency.html

http://www.mothering.com/articles/new_baby/breastfeeding/vitamin-d.html

http://www.mothering.com/sections/action_alerts/january2004.html

Originally Posted by KariM:

Well...here's La Leche League's stance on the vitamin D issue:

http://www.lalecheleague.org/NB/NBJulAug04p124.html

I especially liked this quote, "Exclusively breastfed healthy, full-term infants from birth to six months who have adequate exposure to sunlight are not at risk for developing vitamin D deficiency or rickets. Rickets occurs because of a deficiency in sunlight exposure, not because of a deficiency in human milk."

Joined: 03/16/15
Posts: 53852

16. What's normal - Cluster feeding, growth spurts, sleepy baby

Great article to read while NAK (Nursing at keyboard!)
http://mother-2-mother.com/normal.htm#NewbornNursing

Joined: 03/16/15
Posts: 53852
Joined: 03/16/15
Posts: 53852

18. Weaning with Love

Originally posted by Angelfish
http://www.kellymom.com/bf/weaning/index.html

KellyMom.com has a fantastic weaning database. It covers topics such as:

*What is Weaning?
*Exclusive Pumping
*self-weaning
*night weaning
*weaning from a nipple shield
*partial weaning
*weaning techniques
*comfort measures for the mother while weaning.

It's an excellent site for reliable info.

Joined: 03/16/15
Posts: 53852

19. C-hold/ Sandwich Hold

Photos are found apx 2/3 of the way down this page:
http://www.leron-line.com/BasicsChI_Starting.htm

LLL Positioning Techniques:
http://www.lalecheleague.org/FAQ/positioning.html#Breast%20Support%20Techniques

This method seems to work well when the baby's mouth appears to be much smaller than the mother's nipple.

Edited 5-29-07 to fix bad link

Joined: 03/16/15
Posts: 53852

20. Colic (Work in progress)

Dr. Jack Newman has loads of superb advice for nursing moms. This link was submitted by Katie (skat130)

http://www.bflrc.com/newman/breastfeeding/brestfed%20baby%20colic.htm

If anyone has more contributions to make to this topic, PM me!

Joined: 03/16/15
Posts: 53852

21. Member Recommendations and Favorites

Pump:
Avent Isis (occasional use - manual) (kellyr2, momma2babygirl)
NEVER get an inexpensive (ie $40-ish) electric pump by evenflo, gerber )(KellyR2)
Pump In Style Advanced (PIS Advanced). Do an online search for the best prices (Crazykiddos)
PIS Advanced, backpack + extra kits if you are working(CJNME)
Medela PIS - "spend your money on a pump." (tnrunnergirl)
Ameda Purely Yours 'I loved it and it worked to re-establish my milk supply and EP for about 10 months." (Mom22Boys2005)
Hospital Rental pump "I used [one for] the first two months... I loved it!" (CJNME)
Medela PIS "Spend the money on a good one" (surfingirl)
"Get a good one. I've had manual ones from Ameda and they're okay. BUT just spend the $$$ and buy the Medela PIS(A) or the higher end Ameda ones. They will be worth it in the long run. I still use my Medela Single Electric and it's good, but it's an OCCASIONAL pump - meant for a TOTAL of 2-3 x's (that's not per breast) a day." (layman)
Medela PIS (Baby_Vol, Angie676)
NOTE: The recommendations may be misleading- many mothers (especially stay at home mothers) do not need a pump at all.

Nursing Bras :
www.breastisbest.com (kellyR2)
Padded are a PITA, don't buy too many before the baby comes (Crazykiddos)
"GET FITTED! I love the Bravado. Make sure you can undo it and redo it with one hand." (tnrunnergirl)
"I just have ones from Motherhood, some I am very happy with others not so much. I have a sports bra style one that I sleep in. It is just basic white soft cotton and it is so comfortable. I still looking for one I “love.” " (CJNME)
"I was fitted at Mimi Maternity. Yes, they are more pricey than Motherhood, but the ones at Motherhood were not as comfy IMO. A soft sports bra is great to sleep in. And for day-to-day wear I totally recommend the bras that unhook around the shoulder/collarbone area. I bought one that snapped in the middle front, and it popped open all the time!" (surfingirl)
Motherhood - "Wait a couple of weeks and let your breasts adjust and your chest cavity go back to a smaller size. Their tank tops are great for pajama tops." (layman)
Target nursing bras - get fitted (Baby_Vol)
GET FITTED! ". I was fitted at Nordstrom. Once fitted, I purchased additional bras at www.breakoutbras.com It may be hard to spend a lot of money, but not having pain in my breasts is worth it." (momma2babygirl)

Breastmilk storage containers:
Lansinoh bags - occasional use (kellyr2, erikaarcher, layman,Baby_Vol)
Glass - regular use (kellyr2)
Lansinoh double zippered, HATE the 1st-Year Self Standing (Crazykiddos)
Gerber bags (tnrunnergirl, CJNME)
Medela's bags (surfingirl)
Medela containers (layman)

Breastfeeding books:
Dr. Sears Breastfeeding Book (kellyr2, ErikaArcher,layman)
Fresh Milk by Fiona Giles (kellyr2)
The Womanly Art of Breastfeeding (Mom22Boys2005, ErikaArcher, Angie676, layman, Baby_Vol)
Working Mother, Nursing Mother -LLL (Mom22Boys2005, surfingirl)“So That’s What They’re For” by Janet Tamaro, LLL (CJNME, ErikaArcher)
The Ultimate Breastfeeding Book of Answers by Dr. Jack Newman (ErikaArcher)

Breastfeeding websites (help or support):
www.kellymom.com (kellyr2, Crazykiddos,tnrunnergirl, CJNME, ErikaArcher, Angie676, layman, Baby_Vol)
mobimotherhood (tnrunnergirl)
www.pregnancy.org (tnrunnergirl,CJNME)
www.lalecheleague.org (CJNME, layman, Angie676,Baby_Vol)
www.askdrsears.com (layman, Angie676)
www.drjacknewman.com (Excellent visuals/videos) (momma2babygirl)

Nursing pads:
Medelas are okay (Crazykiddos)
Lansinoh washables (Mom22Boys2005)
Gerber Variety pack (in the beginning) (CJNME)
Lansinoh disposables (surfingirl, Angie676, layman, Baby_Vol)
Cloth (ErikaArcher, Angie676)Lily Padz (excellent for infrequent leakers) (momma2babygirl)

Essential first-week-home-with-the-new-baby items:
Lansinoh Lanolin (Crazykiddos, tnrunnergirl, surfingirl)

Nursing pads, Soothies (tnrunnergirl)

Water, clean sheets, a fan or some white noise of some sort, a comfortable chair, phone numbers of some support people you can call anytime for help/advice/support (Mom22Boys2005)

"Either frozen easy to cook meals or someone to cook for you. Breast Pump, even if you don’t think you will need one—rent one just in case. I didn’t and really wish I had. I like the Medela Pur Lan breast therapy. The top two things would be patience and support." (CJNME)

Waterbottle (surfingirl)

"Lansinoh, extra towels or cloth dipes for catcing spit up, and rolling up for under the breast or under the babies head, a tiny flashlight for nighttime nursing in the dark, the phone number to the LLL leaders in the area and a good IBCLC in case you run into problems or have questions." (ErikaArcher)

"bottled water, a basket, rolled up burp cloths (if you have big boobs), a good book, healthy snacks, a firm pillow (or Mybrestfriend pillow), burb cloths, cold compresses (found in baby section), rent a hospital grade pump for 2-3 weeks, lansinoh cream (not medela's), and a good stool to put your feet up on. Or nurse on the couch - get good and comfortable. Oatmeal cookies, granola, mother's milk tea - little bit of them to help the supply get going, but the best thing is to nurse, nurse, and nurse." (layman)

"Nursing Pillow (I used a boppy); Lansinoh Lanolin or Soothies; breastpads; if you are shy, some sort of nursing cover; a bracelet to help you keep track of which side was nursed last; snacks; a big container to put water in (you'll be thirsty); if you had latch problems, a good pump; the phone number for an IBCLC and the LLL (Baby_Vol)
"Someone to bring you water and the TV remote! I spent the first few weeks in my breastfeeding corner, in my comfortable chair, my brest friend pillow, my nursing stool and my baby latched to me. And once we got latched I would realize how hungry and thirsty I was, how my husband left the TV on ESPN and left the remote accross the room and that the phone was ringing in the other room. If you can have everything in your breastfeeding area it can help you get through the first bit of constant nursing. So, outside support is very important, but additionally try to be your own support. Try to plan ahead and have water and snacks by your chair, so it will be there when you need it. Breastfeeding is hard at the start, but remind yourself, it does get better and it is only super hard for a limited period of time!" (momma2babygirl)


Other?

"Just remember that things WILL get better, even if its hard in the beginning. It is totally worth working through it!" (Crazykiddos)

"get to a LLL meeting if you can--they are *very* supportive and they are not as pushy as people make them out to be" (tnrunnergirl)

"Just enjoy your time!! Breastfeeding is not easy but just stick with it because it is so worth it!!! I was not completely sold on the idea of breastfeeding during my entire pregnancy but I really wanted to do it for the health benefits for my baby. Now I am so glad I stuck with it because I love it!! Sorry this is so long!! I hope it helps someone out!!" (CJNME)

"The My Breast Friend Pillow (especially for Lg breasted woman! I found it MUCH better over the all popular boppy)" (ErikaArcher)

"There will be good days and there will be bad ones. Just hang in there. The little milk smiles are the best payment around. " (layman)

"Hang in there! It gets much easier after the first 6 weeks, and the bond is so worth it!" (Baby_Vol)

"If it is important to you, be stubborn and DO NOT GIVE UP. It was very important to me and it was hard for a full six weeks, but at six months it is easy, painless, and simple." (momma2babygirl)

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