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Boob Scoop

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The De-Latch

Boob Scoop

Boob Scoop: As you may know, some babies don't de-latch from the breast when done with a feeding. Who can blame them, right? Staying at the breast offers babies a great opportunity to cuddle with mom and to suck. However, if you're unsure whether your baby is still actually feeding or is sucking just for comfort instead, watch for active sucking and swallowing. Once the suck/swallow pattern slows down, it's likely that your baby is reaching the end of a feed. Active suck/swallow feeding, like a baby's output and weight gain, is a good sign of effective nursing. Sharen Medrano, IBCLC (www.nycbreastfeeding.com).

Figuring Our Your Magic Number

Boob Scoop: The number of times a mom empties her breasts each day to maintain long-term milk production has been called her "Magic Number." If a mom is not nursing enough times in a 24-hour period to meet her Magic Number, her body will eventually down-regulate milk production and her supply will decrease. For working mothers, more breastfeeding at night means more nursing sessions in a 24-hour period, which in turn could mean less pumping sessions needed while mom is at work. For help on figuring out your magic number, click here http://www.nancymohrbacher.com/articles/2010/8/13/the-magic-number-and-long-term-milk-production-part-1.html?rq=magic%20number

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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Warming Breastmilk

Boob Scoop: When warming expressed breastmilk that has been refrigerated, it tends to be easiest to run the bottle under hot water for 2-3 minutes. Once warmed, you can dab the breastmilk with your clean knuckle to assure that it has reached your body temperature. Some babies prefer warm breastmilk, since it reminds them of the temperature experienced while breastfeeding. Other babies are happy to drink mom's perfect food even when it is cool. Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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Foremilk and Hindmilk for Breastfeeding: Which is Better?

Boob Scoop: Mothers will sometimes encourage their baby to feed longer at the breast to assure greater intake of hind milk, which is the fatty milk that comes at the end of a feeding. However, research indicates that there is no reason to worry about foremilk (which comes at the beginning) and hindmilk. If a baby breastfeeds effectively and feedings are not cut short, he will receive about the same amount of milk fat over the course of a day, despite the breastfeeding pattern. Therefore, there's no need to time feedings. Good milk transfer and steady growth are better indicators that a baby is getting just what he needs.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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Dental Visits While Breastfeeding

Boob Scoop: Mothers often delay a dental visit because they're concerned that if they receive local anesthesia, the medication will be passed onto their breastmilk. However, most medications used for oral and IV sedation are considered compatible with breastfeeding. Therefore, there is no need to interrupt breastfeeding after receiving novocaine or other local anesthesias, such as bupivacaine and lidocaine. In addition, Nitrous oxide (laughing gas) sedation is also compatible with breastfeeding because it is insoluble in the bloodstream. That is, once administered, it goes from your brain to your lungs, to the room air, immediately after you stop ingesting it.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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How to Boost Pumping Output with Massage & Hand Expression

Boob Scoop: Massaging the breasts and gently shaking them prior to a pumping session can help you increase pumping output since both aid in moving breastmilk towards the front of the breasts. Another effective way to increase output is to use manual expression after your pumping flow stops. Your hands tend to do a better job than the pump at extracting the breastmilk that comes at the end of a pumping session since the hand motion involved during manual expression is more similar to a baby's suck. In the end, all three methods (massaging, gently shaking and hand expressing) promote better milk removal, which in turn leads to increased milk production..

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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Breastfeeding and Your Period: Is It Time to Stop?

Boob Scoop: The return of your period does not mean the end of breastfeeding. During menstruation, breastmilk does not "go bad" or become less nutritious. Some women do notice a temporary drop in milk supply in the days prior to a period and for a few days into one, due to hormonal fluctuations. However, once menstruation begins and hormone levels return to normal, milk supply will boost back up again. Most babies can compensate well for this temporary drop in supply with more frequent nursing.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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Oral Development & Breastfeeding

Boob Scoop: Pediatricians advise parents to wean their baby off the bottle by the end of the first year, in part, because long-term bottle drinking can damage a baby's teeth. The one-year recommendation is not applicable to breastfeeding. In fact, among many other benefits, a longer duration of breastfeeding is linked to better oral development. During breastfeeding the unique motion performed by the tongue and jaw help to ensure that the palate develops in a rounded U-shape, which allows for proper teeth alignment. Having a U-shaped palette also decreases the likelihood of snoring and sleep apnea later on in life.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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Double Pumping

Boob Scoop: Although it may seem more manageable to pump one breast at a time, double pumping tends to yield more milk since a mother's Prolactin levels are highest when both breasts are stimulated. Another way to boost your Prolactic level? Nurse your baby on one side while you pump the other breast. This tip is especially helpful for moms whose babies feed from one breast per feeding. The breastmilk accumulated from the pumped side can be saved to build an emergency stash in your freezer.

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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When to Offer Solid Food to Baby

Boob Scoop: When you begin to offer your baby solids, you may want to consider breastfeeding first and then offering the solid food. Breastfeeding first helps to keep milk supply steady, follows the recommendation that breastmilk remain the primary source of nutrition during the first year and reinforces a solids rule of thumb: Solids before one, is mostly just for fun! For more great info. on starting solids, visit: https://breastfeedingusa.org/content/article/when-best-time-start-my-baby-foods-other-breastmilk/

Sharen Medrano, IBCLC (www.nycbreastfeeding.com)

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