For those of you who are exclusively pumping, I absolutely applaud you. You deserve all the brownie points, and all the brownies. In my opinion, exclusive pumping (EP) is more challenging than nursing a baby at the breast. At least, emotionally, and sometimes physically too. 

It's harder to establish and maintain a milk supply when you EP, challenging to pump and care for a baby, and often comes with a slew of emotions around not nursing baby at the breast. These are just to name a few.

That being said, there are countless women who are not afraid of that challenge and take on the EP journey with stride (and a whole lot of support!) And to those of you in it, I tip my LC hat to you (and my momma hat, and my friend hat, and my stranger hat) because I see the struggle EP mommas face in my practice, and want you to know I see how hard you're working, and no matter what anyone says to you or thinks you're just as much a breastfeeding mom as any other breastfeeding mom. 

With that said, I also wanted to provide you, brave EP momma, with more than just recognition. In today's post, I have some gold for you (liquid gold if you will). We are going to cover the topic of Exclusive Pumping, as I chat with an EP expert and share all of her best tips, and a few of mine too. 

I HATE pumping. Hate it. I don't think I have ever met a soul who loves it. (If you're out there.... raise your hand!)

At 4 weeks postpartum, I started pumping once a day using my Advance Double Electric from Medela for “practice bottle” milk, bath/skincare milk, and I’d freeze anything I didn’t end up using. I only pump for 10 minutes (because I hate pumping) and always during my son’s morning nap, which was 1-2 hours after he nursed last.

When I heard about the new PersonalFit Flex Breast Shields by Medela I had to try them. According to their marketing campaigns these new shields to increase comfort and get more milk faster. (Sounds great Medeala! I would love to pump less often and more comfortably.) Their claim is you'll pump 11.8% more milk and have a faster milk ejection than the traditional shields that come with the pumps. The shields are also made to be compatible with any Medela breast pump.

But does it really work?? I am always skeptical when it comes to anything marketed to breastfeeding moms. So I got a set, and decided to try! In this post I go over differences I noticed between both models, things I liked and didn’t like, and how much milk I got using each. 

If you've ever taken my online breastfeeding class, then you've probably seen this statistic: 
The #1 reason a woman gives up breastfeeding is because she thinks she isn't making enough milk.

Why is that??? Well..... one of the top reasons a mom thinks she's not making enough milk is because she doesn't understand what her baby is trying to communicate. The great news is newborns are actually excellent communicators, if you know how to interpret their language that is.  In this blog we're going to talk about the 3 most important cues your baby uses to communicate, that could just save your breastfeeding relationship.

Are you breastfeeding and have been told to give up dairy? This advice may have come from your doctor, a good friend, or another breastfeeding momma. I hear this advice given regularly as a solution to solve certain symptoms in babies- especially in mom groups! 

As a lactation expert, this is one of the most frustrating pieces of advice people give to my clients. Gassy baby? Give up dairy! Baby spits up? Give up dairy! Fussy baby? Give up dairy!

Giving up dairy seems to be the "cure all" to everything these days- when it's actually usually NOT the answer. 

One question I am often asked is how long are you supposed to breastfeed??? Well, the answer is simple. There is no right or wrong length of time to nurse your baby. There are expert recommendations. The American Academy of Pediatrics recommends nursing to the age of 1 year and beyond. The World Health Organization recommends nursing until the age of 2 years and beyond! So, even our experts can't agree!

​I happen to have my own opinion on the subject. I even made a video about it which you can check out below. The simple answer is- IT'S COMPLETELY UP TO YOU! Breastfeeding is a relationship, and it takes two for this relationship to work. So no matter who decides it's time to stop, mom or baby, then that is the right time for that specific dyad. There are many reasons a mother may want to wean, and for some, weaning when baby is still very young is the healthiest option for both involved. No matter when, or why, when you're ready to wean you'll need to know how! So, I have put this guide together for YOU momma. So when it's time for your breastfeeding journey to come to an end, you'll know how to get through it. 

by Kelly Maher, CLC, CLE
​Successful Breastfeeding Expert

Virtually anyone can breastfeed! All you really need is the right knowledge, and support!
Here is some of that knowledge, and some of my best tips I share with my clients! 

When you are pumping, especially at work, time is everything! Nobody wants to be attached to a pump any longer than they need to be. With this hands on pumping technique, you'll be able to cut down on the amount of time you spend attached to your breast pump! 

Very often mothers are being asked to supplement their babies either in the hospital after birth, or by their pediatrician in the early weeks. It is no surprise to me that doctors prefer a mother to supplement their baby with a bottle, in a fashion that will allow them to chart an exact amount of what a baby is eating. I wish there was a meter on the breast that told you exactly how much your baby was drinking, alas there is not so we work with what Mother Nature has given us. Thankfully, Mother Nature has actually given us a lot to work with, and there are quite a few ways to know that your baby is getting plenty of milk, but that is a whole other post!

There are many different reasons your doctor may suggest supplementing your baby. Did you know that supplementing with infant formula is not the only option? You can, and it is preferable to, supplement your baby with your own expressed breastmilk! Did you also know that you do not need a bottle to supplement? That is right! There are other methods other than a bottle to supplement your baby. I am not saying that you should not bottle feed your baby, and I am not concerned about nipple confusion. I am concerned however about baby preferring the ease of a bottle over the work required to nurse at the breast. When given a bottle, the bottle has control of the milk flow, whereas at the breast baby is in the lead. I always recommend waiting until baby is at least six weeks old to introduce a bottle, and when you do to use a paced method of feeding.

In the case that you and your doctor decide that supplementing is best course of action for your situation, I always advise that you get in contact with your professional breastfeeding support person. She can help you navigate the process of supplementation and maintaining your milk supply- especially if your reason for supplementation is that your baby isn’t able to nurse. When you find yourself needing to offer your baby expressed milk, there needs to be a balance between how much and often baby is given the milk and how often you are stimulating your breasts to ensure you will have an adequate milk supply for your baby when they are nursing exclusively at the breast again, if that is your goal.

There are different methods you can use to express your breastmilk for your baby. The first, obvious method is an electric breast pump. It is important if you are using a breast pump to ensure that it is fitting you properly. The flange, or breast shield, is not a one size fits all piece of equipment. You may need to change the size you are using, and sometimes even need different sizes for each breast depending on your anatomy. If you are not using the proper size breast shield pumping will not be as effective as it could be and you may damage your nipples. Ouch! The other method for milk removal is hand expression. Hand expression is highly effective, and preferred during the first 24-48 hours after giving birth. This is especially so if you had IV fluids during your birth as the fluids can cause excess swelling in your breast tissue that can interfere with using an electric breast pump. Hand expression is fast, easy, and more conducive to milk collection when you are producing colostrum.

During the first few days your body will produce colostrum, which is measured in drops. Trying to collect colostrum in a pump doesn’t work, as the colostrum drops will dry to the pump parts before it has a chance to collect into the attached bottle. This is extremely discouraging to a mom who may already be fearful that she will not produce enough milk for her baby. When using hand expression, you can collect your milk in the same vessel you plan to use to feed your baby. You can use a spoon, or a small cup with a rounded edge like the one in the picture. It is very easy to fill up a spoon with drops of milk. It would take no time at all! All you need to do then is bring the milk to your baby’s lips and allow baby to lap up the milk like a kitten- yes your baby will do this! You can also use a syringe to extract the milk from the spoon or cup and slowly drip the milk into baby’s mouth, sometimes even while they suckle on your pinky. This method is favored by doctors so they can measure the amount in milliliters (ml), though you could also test to see how many ml of liquid your spoon holds, and track that way too!

Your baby’s belly is extremely tiny in those early days. At birth your baby’s tummy is about the size of cherry and can hold about a teaspoon of milk per feeding, that’s only about 5 ml! Your baby’s stomach will slowly increase over the first weeks until eventually reaching maximum capacity which is average 3.5oz per feeding. The amount of milk your baby should be eating depends on their age and their weight until baby is over 10lbs. Once baby is 10lbs you can expect baby to drink 25-32oz in a 24 hour period, and it will not increase after that. Always check in with your breastfeeding expert and your pediatrician to know exactly how much milk your baby should be drinking.

It is important to make sure to always offer the breast to your baby first before offering a supplement. This will ensure adequate stimulation at the breast, and allow baby to have their suckling needs met. After a nursing session, offer the supplement to your baby and be sure to express breast milk every time a supplement is given. Your milk supply works on a process of supply and demand. So, if baby is drinking the supplement, it will take time away from the breast, so you need to make up that time by either hand expressing or pumping your milk. Your breastfeeding professional can assist you with this process. If your baby is not latching at the breast, or you are separated from your baby, it is imperative you seek professional breastfeeding support so that you can create a plan of action to establish your milk supply and make sure your baby’s feeding needs are being met.

My hope for all of my clients, and every mom, is that breastfeeding goes well from the start and no intervention is ever needed. When intervention is needed, I am confident however that with the right support virtually anyone can have the breastfeeding relationship they desire, however long they desire it to be. I wish you all healthy pregnancies and easy breastfeeding!