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Mary Ausman

Number of Times vs Length of Time

Boob Scoop: Although it may be tempting to extend a pumping session to produce more milk, it is more important to focus on the number of times you pump instead of the duration of the pumping session. Since milk production is primarily dependent on demand, the number of pumping sessions plays a greater role in milk production and supply than the length of each pump. (The recommended amount of time for a pumping session is 10-15 minutes, however some moms may stop before 10 minutes if they have drained their breasts before then). This tip is especially helpful for mothers who pump at work or who choose to exclusively pump, since a key to maintaining milk production is making sure the breasts are drained enough times during a 24-hour period.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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Understanding Evening Milk Supply and Cluster Feeding

Boob Scoop: Even when breastfeeding is going well, the evening hours can make a mother question her milk supply. The primary reason is that in the evening mothers produce less milk than in the earlier part of the day. Although this dip is normal, it causes babies to cluster feed or feed more often, which can then lead a mother to doubt her supply. But generally a mom need not worry - cluster feeding is attributed to milk supply patterns and normal infant behavior rather than poor supply.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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Colostrum and Baby Belly Size!

Boob Scoop: In the early days of breastfeeding, mothers often think they are not making enough breast milk due to colostrum being small in quantity and their baby's frequent feeding pattern. However, a woman's body knows to produce a small amount of colostrum to match the newborn belly, which is about the size of a marble. Colostrum is low in volume (measurable in teaspoons, rather than ounces) but packed with protein, carbohydrates and immune system factors. Frequent feeds help colostrum transition into mature milk in order to match the baby's growing belly. Therefore, if a baby is feeding well, wetting and pooping, in the early days of life, frequent feeds should be viewed more as the normal course of breastfeeding rather than a milk supply issue

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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Weight Gain in the Early Months

Boob Scoop: If your breastfed baby is not gaining as quickly as the early months, it is very likely that she is still growing beautifully. Between six and 12 months, breastfed babies tend to gain two to four ounces a week, which is a drop from the five to eight ounces gained in the first few months. Also, remember that a linear growth pattern is always more important than a baby's percentile on a growth chart. Therefore, a baby on the 10th percentile can be as healthy as one on the 90th.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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Women's Bone Strength & Duration of Breastfeeding

Boob Scoop: A 2011 Finish Study found that mothers who breastfed for 33 months or longer (cumulative lifetime total) had stronger bones than women who nursed for a shorter time. It turns out that the low levels of estrogen during lactation, which keep milk supply steady, also allow for outer bone growth. And when it comes to bone strength, having greater bone diameter is more important than density. This explains why women who have breastfed are less prone to fractures later on in life. Yet another awesome reason to breastfeed. Your bones will thank you!

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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How to Handle Your Baby Biting While Nursing

Boob Scoop: Bite problems, medically referred to as malocclusions, occur when either the top or bottom row of teeth overextend causing misalignment. In most cases, the treatment for malocclusions is braces. Babies who are breastfeed for more than a year are less likely to have malocclusions thanks to the work done by the jaw, while transferring milk from the breast. The feeding motion during breastfeeding also helps to form a U-shaped hard palate which contributes to proper teeth alignment.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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Colostrum is Milk

Boob Scoop: Oftentimes mothers say they didn't breastfeed in the hospital because they felt they weren't making any milk or because of the non-milky look of colostrum, which tends to be clear or yellowish. The good news is that mothers begin making colostrum by the end of the first trimester, so it's already there after birth. Secondly, it's never good to judge milk by its color. Although not white in appearance, colostrum is still milk and is loaded with carbohydrates, protein, antibodies, and properties that prevent jaundice and low blood sugar levels, making it a perfect first food for a newborn. Finally, the more a mother breastfeeds in the early days, the sooner her breast milk will transition into mature milk which is whiter in appearance.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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When to Change Your Baby's Diaper During Breastfeeding

Boob Scoop: Mothers often ask if it's better to change their baby's diaper before breastfeeding or after, in order to assure that their baby feels comfortable during a feeding. My best suggestion is that like nursing, it's best to follow your baby's cues since some babies may be happier nursing first, to quench their thirst or hunger, while others won't nurse well until their diaper is changed. However, if you sense your baby is hungry you may want to nurse first since by the time the diaper change is over, he may have reached the point of being too upset to latch on well.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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Breast Pump Cleaning Guidelines from the CDC

Boob Scoop: Minimize the time you allocate for pumping at work by having extra flanges and bottles so that you don't have to head to a sink after each pumping session. Check out the updated CDC guidelines for cleaning pump parts here: https://www.cdc.gov/…/pdf/hygiene/breast-pump-fact-sheet.pdf

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Introducing Solids & Maintaining Supply

Boob Scoop: When introducing solid foods close to or after the 6 month mark, as is recommended by the American Academy of Pediatrics, it's suggested to breastfeed first then offer the solid food. Approaching the introduction of solid foods in this manner will help maintain a mother's milk supply and reinforce the catchy nutritional statement that solids before age one are mainly for fun.


Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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