Skip to main content


Showing posts from 2010

Nursing Bras for Large Breasts: DD DDD G H I J K L & M!

It is amazing how many moms are having trouble finding nursing bras in their size in the store.  That's why online shopping was invented!  The average maternity boutique may carry up to a DDD/F cup, but after that you are out of luck.  We thought you could benefit from our over 20 years experience fitting nursing moms with larger bust sizes.  Here are a list of bras that come in your cup size:
Bravado Original Custom Nursing Bra will fit cup sizes up to J and K.
Bravado Essential Embrace Nursing Bra will fit up to L and M.
Elila 1613 Nursing Bra will fit up to I and J cup.
Bravado 131 Sublime Nursing Bra says it fits up to JK, but it runs small so really H and I.
Bravado Essential Nursing Tank 710 says it fits up to FG, but it is generous so still try it if you are an H.  Bravado now offers larger band sizes up to 44.
Bravado Bliss Nursing Bra 125 fits up to an HI and runs pretty true to size.
Most come in just white, but the Bravado Custom and the Elila come in butterscotch or nud…

Breast Milk Supply

Your body makes milk on a supply and demand basis. We don't need ounce markers on the side of our breasts, to know the baby is getting enough. When your baby is first born, his wet diapers should increase daily. On day one, he should have at least one, day two, he should have two, up until day six. After six days of age, they have six to eight pale wet diapers daily and three to four "cottage cheese and mustard" stools. Other ways we can tell the baby is getting enough milk is that he makes quiet swallowing sounds at the breast. The breast feel full before the feeding and softer afterward. The baby seems satisfied after twenty minutes of swallowing. Babies may loose 7-10% of their birth weight, but begin regaining at day 6 and gain 5-7 ounces per week on the average until 6 months of age. The stools can change at 4-6 weeks of age. Make sure you are drinking to thirst and still taking your prenatal vitamins. If you want a boost increasing milk supply, Fenugreek is safe an…

Every Ounce Counts!

Recently, I was asked to be the guest speaker for a breastfeeding reception at our local WIC clinic. August is always an exciting time to be in the business of breastfeeding because the first week is officially World Breastfeeding Week. Many cities and government agencies promote breastfeeding during this week and I am honored to be a part of the celebration in Granbury, TX.

As I was preparing, I researched the WIC theme, "Every Ounce Counts". What a great slogan! I encourage you to check out the WIC website because their campaign rivals those of major companies. Not only do they have great pictures of babies and what they might be when they grow up, but a song that can only be an encouragement to any nursing mother. The WIC ads include babies that want to grow up to be firefighters and doctors because breastmilk makes you stronger and smarter, which is very true! Breastfed babies develop better with fewer health problems and their IQ scores and performance in school is mar…

Formula Feeding: Increasing the Risk of Ear Infection

A 2009 study by the Agency for Healthcare Reasearch and Quality (AHRQ) pooled odds for infants receiving any formula use in the first 3 months suggested they were twice as likely to get an ear infection as infants who received only breast milk.   Most mothers know that breastmilk is the gold standard, but have been fooled into believing that formula is a close second.  The summary of this study found at the link above is one more proof that formula puts infants at risk.  Other studies show that premature infants who are breastfed have 8-10 point higher IQ scores than their artificially fed counterparts.  Give your baby a gift that lasts a lifetime...breastfeed!

Induced Lactation: Protocols for Adoptive Breastfeeding Mothers

Motivation as in anything is extremely important in breastfeeding and even more important is tenacity when inducing lactation.  The success rate for the following protocols according to Nemba in the 1994 Journal of Trop Pediatrics was 89%.  In this study 33 of the 37 women nursed their babies for 9 months or longer.
These mothers began with a 100 mg single priming dose of medrozyprogesterone (Depo Provera).  After 7 days, they began 25 mg of chlorpromazine 4 times daily or 10 mg of metoclopromide (Reglan) 4 times daily until adequate lactation was established.  Frequent pumping before infant's arrival and/or frequent suckling afterward is encouraged.  A supplemental feeding device is necessary until adequate lactation is established.  Inducing lactation is a gift of time and love!
Breastfeeding an adoptive baby is more than about breastmilk.  It is about bonding.  Skin to skin contact is essential.  Use a lactation aide to feed donor milk or formula at each feeding.  This is essen…

Engorgement: Bowling Ball Breasts

If you are experiencing difficulty with breast pain or latch-on 3 to 5 days postpartum, it is probably due to engorgement. Your breasts can feel as hard as bowling balls making it difficult for your baby to get a good latch.  Most of the time severe engorgement can be prevented by nursing the baby immediately upon delivery and putting the baby to breast every 2-3 hours.  If your baby is sleepy or there is a delay in breastfeeding, engorment can set in heavily.  Advil is safe for breastfeeding and contains an anti-inflammatory that may reduce some swelling and discomfort. Your best friend during this time is a hot compress. Turn the tap water and let it run until hot. Take two disposable baby diaper and swipe it under the tap three or four times. Mold the diapers around your breast. Repeat this procedure before each feeding. Commercial hot packs are also available, but the diapers work just as well so you may want to save your money for a good breast pump. If the areola is still too ha…

Milk Intake: Your Breastfed Baby at 12-36 months

As a Lactation Consultant, my main clients are mothers whose babies are under 12 months of age, so when looking for information for my daughter-in-law, I found it hard to find anything on milk intake for babies older than 12 months.  After doing some research, I have come to the following conclusion that I thought I would share with all moms.

Babies who are 12-24 months of age and weigh 20 lbs or more should take in 16-20 oz of milk; more if they are underweight. Normal weight gain during this period is 2 oz per week. A typical schedule would be nursing or feeding expressed milk 4 x daily, feeding solids 3 x daily with one or two healthy snacks in between. If you are weaning to cows milk, it should be whole milk unless advised otherwise by your pediatrician.  For toddlers 2-3 years or age, typical milk intake is 3 servings or nursings per day. After 24 months, most pediatricians recommend switching to 2% milk if you have weaned from breast milk. Toddlers 24-36 months should gain appro…

Weaning: Gradual & Partial

There are many considerations when deciding to wean your baby. The American Academy of Pediatrics recommends breastfeeding for at least one year. If you choose to wean before one year, first make sure your baby tolerates other foods well. Next absolutely, positively, do not wean cold turkey. Before you wean, consider your alternatives such as pumping at work or partial weaning. Partial weaning works well when a baby is older than 4 months. Moms can choose to use formula during the day while at work and still nurse in the morning and at night. This only works after milk supply is well established which is why you should wait until at least 4 months of age before employing this method and always follow the same schedule seven days per week. You cannot put the baby to the breast in the middle of the day, if you have weaned that feeding. Whether you choose to partially wean of fully wean, drop one feeding every three to five days. For example, if you are nursing 8 times per day, drop one …

Benefits of Breastfeeding

Recently I have had several moms who started on formula switching to breastmilk due to baby's lack of formula tollerence.  Fortunately, re-lactating is an option, but these moms may not have had to go through this struggle if they were given the information on breastfeeding in the first place.

This is a condensed version of 101 Reasons to Breastfeed, written by Leslie Burby for those of us with too little time to compile one. For the full version along with explanation and references, visit

The American Academy of Pediatrics recommends it

Breastfeeding promotes bonding between mother and baby

Breastfeeding satisfies baby's emotional needs

Breast milk provides perfect infant nutrition

Not breastfeeding increases mother's risk of breast cancer

Formula feeding increases baby girls' risk of developing breast cancer in later life

Formula Feeding is associated with lower I.Q.

Breast milk is always ready and comes in a nicer package than formula does. Need …