What is a galactagogue? Do I need one?

Galactagogues are substances that can increase milk supply. They can be used to help increase low supply or build a supply for adoptive nursing or re-lactation. But these alone can't increase your supply. The first question to ask is Do you think your supply is low? and Why?

These are important signs that indicate your baby is receiving enough milk:

• The baby nurses frequently averaging at least 8-12 feedings per 24-hour period.
• The baby is allowed to determine the length of the feeding, which may be 10 to 20 minutes per breast or longer.
• Baby's swallowing sounds are audible as he is breastfeeding.
• The baby should gain at least 4-7 ounces per week after the fourth day of life.
• The baby will be alert and active, appear healthy, have good color, firm skin, and will be growing in length and head circumference.

If indeed your supply is low, try some of the following:

• Encourage your baby to breastfeed frequently and for as long as he will.
• Offer both breasts at each feeding. Allow baby to stay at the first breast as long as he is actively sucking and swallowing. Offer the second breast when baby slows down or stops. "Finish the first breast first," is a good general rule. (This technique gives baby lots of the fatty "hindmilk.")
• Baby should end the feeding. He may do this by falling asleep and detaching from the breast after about 10 to 30 minutes of active sucking and swallowing.
• Be sure baby is latched on and positioned correctly at the breast, that is, lips should be on the areola (the darker skin area), well behind the nipple. An LLL Leader can help fine-tune positioning as well as suggest ideas to ease soreness. Breastfeeding isn't supposed to hurt.
• A sleepy baby may benefit from "switch nursing" that is, switching breasts two or three times during each feeding. Switch breasts when baby's sucking slows down and he swallows less often.
• All of baby's sucking should be at the breast. Limit or stop pacifier use while encouraging baby to nurse more effectively. If you are supplementing, even temporarily, you can give the supplement by spoon, cup, or with a nursing supplementer. Contact an LLL Leader for assistance in using these.
• Contact a local LLL leader for information and support.

Here are some further resources on milk supply issues from LLLi.org.

That being said, some of the most common herbal galactagogues are fenugreek and blessed thistle. These are available in herbal teas (which are not as easy to control dosage), tinctures and capsules. There are also prescription medications that can increase supply such as domperidone which is approved for nursing mothers by the American Academy of Pediatrics. Some more readily available galactagogues may already be in your kitchen cabinet such as barley, brewer's yeast, hops, nettles and fennel. Oatmeal and beer (please read this information on alcohol and breastfeeding before deciding about the beer) are also galactagogues. Who knew?! Enjoying that bowl of oatmeal for breakfast just got even better, but remember that milk supply is based on supply and demand, so don't forget to nurse nurse nurse!

Happy Nursing!

Holiday Weaning

What is holiday weaning? Holiday weaning is when a baby weans due to the distraction and celebration of a holiday or other special event. There may be visitors from out of town or maybe you and your family are on vacation. Either way, there’s plenty of people, attention, and distraction to keep mother and baby apart. Next thing you know, baby hasn’t breastfed all day or maybe even all weekend.

Does holiday weaning have to happen during a holiday? No. Holiday weaning can happen on vacation, around birthdays or other special events, and even when you’re moving. If a mother travels for business or grandma visits, baby’s routine may get disturbed, and weaning may happen. Any time baby and mother are busy and distracted, holiday weaning may occur.

How do we avoid holiday weaning? Planned realistically, holiday weaning need not occur. Here are a few suggestions:

• Let friends and family members know that you cherish your breastfeeding relationship. Don’t present it as a problem. For example, when aunts or grandmothers want to help, give them a task—not the baby.
• When family members ask to feed the baby, tell them, “Thank you, but I’m breastfeeding,” and smile.
• Use a sling or other carrier to keep baby close to nurse.
• Work around nap times and other times when baby is sleeping.
• Avoid long car and plane trips if possible. If it’s unavoidable, make sure to take plenty of time for nursing breaks.
• Choose clothing that provides easy access to the breast for the little nursling.
• Shop for gifts online or from catalogues. Keep “real life” shopping trips short or take plenty of breaks to breastfeed.

Sometimes mothers plan to pump and give a bottle for these events. Remember to pump as often as baby feeds to maintain your milk supply. Keep in mind that the extra work of bottle feeding—pumping, processing, storing, and dish washing—may be just too much when you consider all of the other activities you're doing. Why not breastfeed instead?

Happy holidays & check out these related links...

My baby has weaned before I was ready! Help!

My baby is suddenly refusing to nurse. Does that mean it's time to wean?

Giving the breastfed baby a bottle

Ideally, babies feed from the breast. However, for mothers who must spend time away from their babies, and for mothers who must occasionally miss a feeding, it is important that the baby will take mother's milk by another method. These tips assume that the baby is being fed his mother's expressed milk. If this is not available, ask the baby's health care provider for advice.

Here are some helpful tips, adapted from an article by Janet Jendron. This article can be found here on llli.org.

1. Have someone else give the bottle. Many breastfeeding babies won't take a bottle from mother, since her smell and presence remind the baby of breastfeeding. One of the best people to give a bottle to a reluctant baby is an experienced bottle feeder. Someone with experience has confidence, and conveys that to the baby.

2. Gently stimulate the mouth with the artificial nipple, as is done for the first nursing at the breast. Let the baby "mouth" it and become familiar with it.

3. Try different kinds of nipples. Some babies like a nipple designed for premature infants, because it is so soft. Consult a health care provider for ideas about artificial nipples to try.

4. Try varying the nipple temperature. Put it in the refrigerator (teething babies like this) or run warm (not hot) water over it.

5. Use lots of cuddling by the person feeding the baby.

6. Some babies take a bottle better in their favorite breastfeeding position; others do better in a totally different position. Try propping the baby in your lap with the baby's back to your chest. The baby will see the room while drinking from the bottle (don't forget eye contact later). Or prop the baby on your slanted forelegs, like in an infant seat, and give the bottle while looking at him.

7. It may be best not to try to give a reluctant baby a bottle when he's gone a long time between feedings and very hungry. Anticipate.

8. Try to feed while moving rhythmically, calming the baby and distracting him from the different nipple.

9. If all else fails, try doing without a rubber or silicone nipple. For a tiny infant, alternative choices include an eyedropper, spoon, periodontal syringe, medicine spoon, special cup for infant feeding, tiny paper cup (the kind given out to hold condiments in fast-food restaurants), training cup or a regular cup.

To cup feed, place the rim of the cup on baby's lower lip and tilt the cup until the milk approaches the baby's lip. The baby's tongue will explore and find the liquid. On the first few attempts, this may take a few minutes. He will then lap or sip the milk. Do NOT pour the milk into the baby's mouth. Keep the level constantly by his lower lip and allow the baby to rest and pause while drinking, but do not remove the cup. When the baby has finished, he will let you know by turning his head away, or by other obvious cues.

Babies who can sit up may prefer to feed themselves (well supervised) from a regular cup or a covered "sippy cup."

When the baby is fed by one of these methods, be sure to breastfeed often when mother and baby are together, to satisfy the baby's sucking need.

Ten Tips for a Normal Birth

One of LLL's Ten Concepts is: Alert and active participation by the mother in childbirth is a help in getting breastfeeding off to a good start. Today Rocio led meeting number two, Baby Arrives: The Baby and the Breastfed Family in a discussion based on Lamaze International's Ten Tips in The Womanly Art of Breastfeeding that were printed in New Beginnings. Here are the ten tips as seen in New Beginnings 2009, Issue 2.

• Choose a place that supports normal birth, a place where you will be comfortable. This may be at home, in a birthing center or in a hospital.
• Choose a health care provider who supports the practices that promote normal birth.
  
• Don't request or agree to induction of labor unless there's a medical indication for doing so.
  
• Plan to move around freely during labor. You'll be more comfortable, your labor will progress quickly, and your baby will move through the birth canal easily if you stay upright and respond to the pain of your labor by changing positions.
• Consider hiring a doula or professional birth/labor supporter.
  
• Ask that your baby's heartbeat be monitored intermittently, rather than continuously, as this restricts your movement in labor.
  
• Eat and drink as your body tells you to give you energy and prevent dehydration.
  
• Use non-medical pain management strategies, such as focused breathing and comfort measures such as warm baths and showers, massage, and birth balls.
  
• Don't give birth on you back! Upright positions (sitting, squatting or standing) on all fours or on your side enable you to work with gravity to push when your body tells you to.
• Keep your baby with you after birth. Skin-to-skin contact keeps to regulate your baby's heartbeat and breathing and helps get breastfeeding off to a good start.
  

Father's First Steps: 25 Things Every New Father Should Know

Enrichment meeting tomorrow at 10am!
Community of Grace Presbyterian Church
2015 E. Newcastle Drive (8890 S.), Sandy, UT.
(NE corner of Highland Drive and Newcastle Drive)

Benefits of Breastfeeding

Today we talked about the benefits of breastfeeding! Here are a few things we came up with...
B- BONDING
R- REST (helps mom rest)
E- EASY
A- AFFORDABLE
S- SMELL (breastfed babies smell good!)
T- TASTES BETTER THAN FORMULA
F- FIGHTS DISEASE
E- EVERYTHING!
E- EAR INFECTIONS (fights against)
D- DELAYED FERTILITY
I- INCREASED IQ
N- NUTRITION (perfect!)
G- GREEN

Series Meeting Tomorrow

Don't miss out on the advantages of breastfeeding! Tomorrow, September, 8th at 10am!