Team Effort

At Lactation Care with Elizabeth, we partner with many other providers to help you and your baby move from struggling to surviving to thriving. Some families do great with just an IBCLC, others need to add one additional support, and sometimes we work together to create a team for success.

Your IBCLC will discuss options that will add support to your journey to meeting your breastfeeding goals.

MEET THE PLAYERS

Your baby’s pediatrician: We send them a fax summarizing our visits so they have the latest weight, weighted feed, and current feeding plan.

Your OB or midwife: We send them a fax summarizing our visits so they can support you with medical and emotional needs. We need their input on things like mastitis, low supply, and post-partum depression and anxiety.

Bodyworkers: Birth is hard on both a mama and a baby! A reset and adjustment can get all systems relaxed and functioning well. We love Katie Stewart for cranial sacral therapy, massage, and healing from birth trauma, plus the magic that can happen during combined appointments with both Elizabeth and Katie. Chiropractic is another form of bodywork that is gentle for babies and helps mamas realign after birth. See your favorite bodyworker or check on our resource page for people we have worked with and recommend.

Speech Therapy: Some babies need a little extra help learning how to use their mouths properly. The SLPs at The Speech Network specialize in infant oral-motor therapy and can move your baby to the next level of function for correct breast and bottle feeding.

Occupational Therapy: OTs help with overall regulation, tension patterns, baby massage, tummytime, and can support overcoming breast and bottle feeding challenges as well as transition to solids.

Dentists specializing in pediatric oral tie releases: If we assess your baby and find that they are struggling to feed because of restricted oral tissue, we will refer you to a dentist for diagnosis and treatment. We have providers we trust to provide excellent care and will discuss options with you. The Kentucky Tongue and Lip Tie Support Group on Facebook is a good resource as well.

Doulas: Doulas are not just for birth! Post Partum Doulas can provide in-home support as you transition into your new parenting role. Sometimes a good night of sleep helps everyone!

Pelvic Floor Therapists: Not only do these amazing therapists help with pelvic floor health, which affects your overall comfort and well-being, but some also provide breast ultrasound therapy to break up clogs and mastitis.

The old adage is true – it takes a village! It can seem overwhelming, but we can discuss goals and help create your team to support you in meeting your breastfeeding goals!

Cookies with your milk?

Ingredients are everything! Check out this recipe,
recommended by my clients:
https://www.howsweeteats.com/2015/02/lactation-cookies/

When my sister was about to deliver her first baby, I made a big batch of lactation cookies to take to her. They were yummy and my boys ate them up before I could get them to my sister. (I made another batch and kept the boys well away!) Lactation cookies are a great way to nurture your friends and family, but do they really help increase milk production?

Elizabeth’s take on lactation cookies, shared previously on another blog.

​The best way to maximize milk production is early, frequent, and effective emptying of the breasts.  All the cookies in the world won’t change getting a good start or make up for underlying physical or hormonal challenges.  Seeing an IBCLC early in the breastfeeding journey can help determine what might be causing problems, so don’t delay getting professional help! 

Cookies can be a part of supporting milk production by boosting calories, adding beneficial and nutritious ingredients, and supporting happy hormones- feeling loved and supported allows the oxytocin to flow and thus the milk can flow as well. Calories, nutrition, and love can all be provided in other ways, but sometimes there is nothing like a cookie for a post lunch treat or afternoon boost!

Besides adding some needed calories (500 kcal more than pre-pregnancy), the ingredients in lactation cookies can support overall nutritional status and thus milk production. A few of the ingredients common in lactation cookies are considered lactogenic and may help increase supply:

• Coconut oil: healthy fats can increase the fat in milk

• Seeds: contain tryptophan that helps produce serotonin that can help produce prolactin• Nuts: contain minerals, good oils, and tryptophan.

• Flaxseed: relieves constipation, is lactogenic

• Oats: contain tryptophan, saponins (hormone precursors), phytoestrogens, beta-glucan (increases prolactin)

• Nutritional yeast: contains b vitamins , protein, and phytoestrogen.

(reference: Motherfood by Hilary Jacobson)

Snuggle up skin to skin with your baby and eat some cookies! As part of a balanced (or as balanced as you can as a new parent) diet and good hydration, lactation cookies can help support milk production, make up for some calorie deficits, and make you happy!

Happy Eating!

-Elizabeth

Nourishing Nutrition for Milk Production

Nutrition holds great power and you can harness this resource to support human milk production. Below you will find a curated list of milk stimulating and sustaining foods to guide one along the journey.

Generally speaking, lactating individuals should eat regular meals and snacks. Don’t skip breakfast! Enjoy a variety of foods. Eat to satisfaction and drink as you are thirsty.

You can increase the fat content of your milk (and support baby’s growth) by eating virgin olive oil, coconut oil and/or milk, sesame seed oil, flaxseed, cream, butter and eggs. Avoid fats like margarine and shortening.

Foods that help you make milk:

Meats – chicken, turkey, venison, crab and squid

Grains – barley, oatmeal, cornmeal, buckwheat, rice, quinoa, amaranth

Breads – whole-grain bread & crackers, pumpernickel & rye, moshi, rice cakes

Legumes – chickpeas/garbanzo beans (hummus baby!), lentils, mung beans, and kidney, black and white beans, plus lima & green beans, peas

Unsalted nuts and seeds – sesame seeds, almonds, sunflower and pumpkin seeds, cashews and pecans

Fruit : dried – apricots, dates, figs; fresh – apricots, peaches, nectarines, plums, sweet cherries, figs, papaya, all berries

Vegetables – asparagus, artichokes, snow peas, sugar snap peas, dark leafy greens like lettuces, spinach, water cress, and carrots, beets, cauliflower, broccoli, Swiss chard, sweet potato and potato

Spreads, Spices & More – tahini, gomasio, almond butter; sea salt, cumin, fenugreek, fennel, dill, caraway, aniseed, turmeric, coriander, cinnamon, ginger, basil, marjoram, black peppercorn; onion, garlic, ginger root, rice-milk, almond-milk, coconut milk or flakes, seaweeds, honey, malt in any form

With so many options to support milk production, avoiding the few that could potentially diminish milk supply seems feasible. There are a few foods that may diminish milk supply:

Soft drinks, carbonated beverages; coffee, black tea, green tea; chocolate; citric acid in foods/juice, orange and other citrus juices; Vitamin C or B6 supplements; and Aspartame

Herbs – (small amounts ok, but large quantities even in gum or tea can interfere with milk supply) rosemary, thyme, peppermint, spearmint, sage, parsley

Much of this list is inspired by Hilary Jacobson, author of the book Mother Food. You can visit her site Mother Food for more information, additional reading and other means of lactation support.