Pumping Support, Tips & Tricks

Exclusive pumping: How do you know when it’s time to quit?

[Exclusive pumpers, this is for you.] You’ve heard the phrase “Never quit on a bad day” but how do you know when it’s a “good” day to quit? It can be a really hard decision, and sometimes you’re not even in control of the decision in the first place! (Totally unfair, I know!)

I asked the mommas over on Instagram and compiled a list of reasons mommas end their pumping journey. If you are trying to decide when to call it quits, hopefully this list helps! (And if you’re not the one in control of your journey ending, hopefully this list helps you feel a little less alone.)

Your priorities change

It’s okay if your priorities change. If sleep deprivation is making you crazy, maybe it’s time to prioritize sleep (and that’s okay!) If you are missing out on time with your baby or older children, maybe it’s time to prioritize time with them instead of time spend pumping (and that’s okay!) It’s a good idea to honestly review your priorities every now and then and see if exclusively pumping can still top the list. Need permission? Here’s permission. It’s okay if pumping cannot be a priority in your life right now.

Your mental health is suffering

Something I repeat often is: “Any amount of breastmilk you can give your baby is beneficial UNLESS your mental health is at stake.” I am a huge proponent of supporting maternal mental health through therapy and medication. I love how both are being normalized in social media and daily conversations I’ve heard between new moms. Your mental health is incredibly important. If exclusively pumping is damaging to your wellbeing, please prioritize your mental health. Your baby needs a happy, healthy momma.

Your body tells you it’s time

Hormones are powerful. They are the reason you lactate in the first place. They can giveth and they can taketh away! Some mommas reported a drastic reduction in supply that came with the return of their period or a new pregnancy that made them quit pumping altogether. Other mommas reported bad cases of mastitis or recurrent clogged ducts that greatly reduced their milk supply and caused them to end their pumping journey prematurely.

You can’t make it work with work

Keep in mind that here in the U.S. employers need to give you time and space to pump for up to one year. (Read more about your legal rights to pump here) However, some jobs are harder to work a pumping schedule into, right? It sucks, but it’s true. You might have “space” to pump, but are disgusted by the supply closet they make you pump in. You might have “time” to pump, but the pumping room is in a different floor of the hospital you work in, and you can’t make it work with your schedule. You might be facing pressure from your boss (They should really go read this book by Sarah Wells, by the way.) or pressure from your coworkers. For that, I am sorry. Sometimes people can really lack empathy for new mommas, and that sucks. It’s definitely a reason mommas quit pumping, and I wish it weren’t.

You met your breastfeeding goal

[Reminder: Pumping IS breastfeeding] Setting a breastfeeding goal can help you know when to end your journey. I always suggest setting a manageable goal (which looks different for everyone) and reassessing when you hit that goal. You might hit your goal of pumping for 3 months, celebrate, and box up that breast pump. You might hit your goal of 6 months and feel that you’ve found ways to make pumping more sustainable, so you set a new goal of 9 months! Either way, setting and reaching a benchmark goal can help you feel like you’ve accomplished something- because you have! Celebrate yourself and your achievements, momma!

You have enough milk in your freezer

Some mommas have enough of an oversupply to create a freezer stash of milk. Mommas use an app like PumpLog to calculate how long their freezer stash will last, and quit when they have enough milk. Read this before starting a freezer stash!

Maybe you just… know.

For some mommas, it’s not about a schedule, goal, or external factors. Maybe you just feel, in your gut/soul that it’s time. Some people meditate about it, some pray about it… either way, some mommas simply feel like a peace has fallen upon them, letting them know it’s okay to quit.

From TheBump, Mia Gorell photography credit

*Important note*

Ending your pumping journey is YOUR decision, NOT someone else’s. Be clear and honest about your goals with your family, friends, and doctor. If your spouse gets whiney and tells you it’s time to quit, it is NOT their decision. If your mother-in-law doesn’t understand your determination to exclusively pump, it is NOT her decision. If your pediatrician tells you that your baby is 1 year old and can switch to a different kind of milk, but you still want to pump past age 1, it is NOT their decision. If your employer won’t give you time to pump past age 1, then yes, they can legally stop you from taking as many pumping breaks, BUT you can still pump at lunch, on any other shorter breaks, if possible, and before/after work. I’ve seen it work. Your milk supply may decrease at that point, but it’s still YOUR decision.

What if you still want to make it work, for now?

Okay, you read through this whole list and you STILL want to make it work, for now at least. I support you! Consider making an appointment with me to talk through the roadblocks you are facing. Consider downloading my Pumping Sucks guide and troubleshooting some things that make pumping suck.

When your pumping journey does draw to a close:

  • Wean safely from the pump (See: How to Wean from the Pump)
  • Process the emotional rollercoaster of weaning (This blog post may help!)
  • Have GRACE with yourself, and gratitude for your body!
  • Honor your journey.
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Tips & Tricks

Supplementing with Formula

Let’s talk about supplementing. It’s way more common than you think. Supplementing is a fact of life for many mommas, but can also be the key to prolonging your pumping journey!
How? Read on to find out:
*This post is NOT sponsored by any formula brands, nor is any specific brand mentioned/suggested/promoted within this post*

What is “supplementing?”

Let’s start with the basic idea of supplementing. When the breastfeeding community talks about “supplementing,” we are referring to something that is adding to your infant’s diet of breastmilk to fill any nutritional gaps. We also call this “combo feeding.” This is most commonly referring to supplementing a lowered supply of breastmilk with formula, but can mean supplementing with donor milk, solid foods when the baby is older, or even nutritional supplements like vitamins and minerals prescribed by your child’s pediatrician. For this blog post, we are going to focus on supplementing with formula.

Coming to terms with supplementing

The need to supplement can leave mommas feeling guilty about not being able to provide a complete diet of breastmilk for their baby. I get it, I’ve been there. Keep in mind, even if you can’t provide 100% breastmilk for your baby, they are still getting 100% of the benefits of your breastmilk. Read that again, because it’s true. That amount still matters. (For example, did you know that one teaspoon of breastmilk contains up to 3 million germ-killing cells? Wow!) Still, it can be hard to start supplementing. There can be feelings of failure. There can be feelings of guilt and grief. Let yourself feel your feelings, because they matter. Then, try reframing your mindset about supplementing. Formula was scientifically designed to help infants thrive. A mindset shift that helped me personally was this: Soon, there will be lots of things your baby will eat that you didn’t personally create with your body. Do you give yourself a hard time because you can’t create bananas, bread, or broccoli with your body? Of course not! Just group formula in with all the new foods that will nourish your baby.
I promise, there are so many silver linings to supplementing!

The benefits of supplementing

  • Supplementing can help improve baby’s bilirubin levels to combat jaundice.
  • Supplementing can help while a momma is actively working with a lactation professional to improve nursing or pumping.
  • Supplementing under a doctor’s guidance can help a baby who is struggling with weight gain.
  • Supplementing helps a momma with low supply keep offering breastmilk.
  • Supplementing can help mommas reach their breast pumping goal.
  • Supplementing can help momma ease up on her pumping schedule and potentially pump longer than anticipated because it feels more sustainable!
  • By combo-feeding, you can ensure baby is still getting the benefits of your breastmilk, no matter what amount you are able to provide. Think of it as the most personalized vitamin you can give them!

Keep in mind…

  • Replacing a feed with formula can negatively affect your supply if you aren’t pumping in place of a nursing session.
  • If you are supplementing while “waiting for your milk to come in,” you should be actively working to bring on the next stage of lactation by regularly pumping or nursing to bring on that mature milk.
  • If you are separated from baby, it is wise to pump every 3 hours to protect your supply.
  • It is always advised to work closely with a lactation professional to meet your feeding goals.
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What should I supplement with?

Ideally, supplementing with breastmilk would be “best.” Using your own freezer stash of milk would be great, but that’s not feasible for everyone. Supplementing with donor milk would also be great, but can be extremely pricey to purchase from milk banks. Some mommas are able to link up with family or a trusted friend who are willing and able to donate breastmilk. Others find local mommas on a HumanMilk4HumanBabies or EatsOnFeets facebook groups, both of which are considered “informal” mother-to-mother milk donation platforms that do not screen their donors like milk banks do.
If breastmilk is not available, your other choice is to supplement with formula. Despite clever marketing, there is no formula brand that matches the nutritional composition of breastmilk, it’s just not possible. Before buying a large amount of formula, I suggest seeing if your baby takes it without argument/difficulty. If you need a specialty kind, work with your pediatrician to find the ingredients best for your baby’s unique needs. My colleague Erin, the “Baby Feeding Coach” has a great page on understanding a formula label HERE. For a deeper dive, trust my friend Bridget Young, PhD, the “Baby Formula Expert” advice found HERE.

How do I supplement with formula?

There are many ways to use formula in supplementary feeding. Some mommas choose a specific time of day, such as nighttime feeding by a helpful partner, or when their baby is at daycare. Some pumpers alternate feeds between breastmilk bottles and formula bottles. Another choice is to offer a partial feed of breastmilk and supplement the rest with formula. Some mommas choose to do this with two separate bottles, or feeding the breastmilk first, then putting formula in the empty breastmilk bottle to finish the feed. Others choose to mix the formula and breastmilk together in one feeding bottle.
Try easing into formula introduction when baby is in a good mood. An overly tired or hungry baby is in no mood to try something new. Once you know that baby will accept the bottle of formula, you can gradually increase how much you offer them.

Can I mix breastmilk and formula?

The short answer is yes. Yes, you can mix breastmilk and formula as long as it is done safely. Breastmilk should never replace the water used to mix up powdered formula. If you plan to mix breastmilk and formula, prepare the formula as directed, and then add breastmilk to it. According to Dr. Bridget Young, there is evidence of proteases (enzymes that break down protein) in breastmilk helping to digest the proteins in formula, which can result in easier digestion for baby. This will happen if you feed the breastmilk and formula in the same bottle, or back-to-back in the same feeding.
Are there any reasons NOT to mix breastmilk and formula? You should be sure your baby does not reject the formula you are offering. If they reject the bottle, you may be wasting that liquid gold (a.k.a your precious breastmilk!) Another reason is that once baby has started feeding from a formula bottle, you need to use it within an hour. With breastmilk, that rule is use within 2 hours.

Storing prepared formula

Once prepared, formula should be used within 24 hours. Mommas who prepare a pitcher of formula in advance should use the formula within 24 hours. If baby begins to drink from the bottle, it is advised to use that bottle within 1 hour, without putting it back in the fridge to save for later in the day.

Sources:

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Surprising things I did while my baby was in the NICU

You don’t know what you don’t know… you know?
I’d never known anyone who had a baby in the NICU (Neonatal Intensive Care Unit) and I certainly didn’t plan on having a baby need the NICU… so it was uncharted territory for us. With September being NICU Awareness Month, I’ve been reflecting on my experience and found some of it surprising! While most of the blog posts here at Pump Momma Pump are designed as helpful guides, this post is more of a reflection of my own experience. But hey… if you’re a NICU momma or a new mom in general, some of it may resonate!

Find yourself needing advice for pumping in the NICU? This blog post may help!

Born a month early, my son aced the APGAR test right away but quickly developed jaundice and needed to spend 2 weeks in the NICU gaining the stamina and skills to nurse or bottle feed. During those two weeks, I did some pretty curious things… and didn’t do some things people would assume I should do.

Surprising things I did while he was in the NICU

Go grocery shopping

On the way home from the hospital, we went grocery shopping. I remember slowly shuffling through the store, careful not to disturb my painful stitches from my perineal tear. Why didn’t I go home to rest and send my husband? Or at least wait in the car? Silly of me. Hind site really is 20/20, isn’t it!

Bake a cake for my mother in law

Like what the actual…? I distinctly remember that my mother-in-law was coming to stay for a few days, so I thought I should bake a cake. Me. The one who just had a baby a few days ago… Like, what?! Why didn’t someone bake a cake for me? I’m still sore about that.
(My mother in law and I have a fabulous relationship, by the way…. still.)

Build a crib

I was in no condition to build a crib (okay, well, assemble a crib) Who let me do that?

Get a pedicure

A to-do list item in that last month before baby’s arrival was to get a pedicure. Since he arrived early, this didn’t happen in time. My husband even went with me! (though he didn’t get polish, lol) It felt indulgent at the time, but I am glad we did it! It was a nice distraction from the stress of the NIC

– Went to a rummage sale

Looking back on photos for this post, I just saw a picture of my mom and me at our local rummage sale. Totally forgot about that! I remember now, that my mom and I visited my son in the NICU, then went to Panera for lunch, and shopped at the rummage sale. I even have a necklace on?! Boy I was really livin’ it up! Why didn’t someone make me stay in bed? *shakes head* tsk tsk.

– Go on a date

We figured, heck… our baby’s not home yet, let’s get one last date night in while we can! We went to a local brewery and I got the best burger and fries, before rushing home to pump! This was 2 weeks postpartum, so I was not quite as sore. 5/5 would recommend.

Had a sleepover with my husband in the NICU!

Our NICU had a “family room” right in the unit, which looked kinda like a hotel room with ensuite bathroom. You were allowed to test out your first night with baby before taking them home- it was really cool! The nurses didn’t even bother you all night unless you needed their assistance.

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Surprising things I didn’t do while he was in the NICU

I didn’t take any videos

Our NICU had a strict no-phones policy. I broke it a few times to snap a quick pic of our little one, but we definitely didn’t have time to sneak a whole video! I really wish we would have just closed the curtain and did it anyway! Ah well.

– I barely held my baby

99% of the time during our NICU visits I was pumping or cleaning pump parts. Greg did all the baby holding! For some reason we didn’t stick around… we did baby care, pumping, and feeding, and then went home. Having a baby still felt very surreal to me, especially a NICU baby. I didn’t get that initial bond that many others get. I hear about mommas staying all day to snuggle and even read to their babies, and I still give myself grief over not doing this.

Didn’t see a lactation consultant

I saw three different ones back in the maternity ward before he landed himself in the NICU, but they just tried to help nurse, and didn’t even mention pumping. It was a NICU nurse who taught me how to pump and gave me the tough love I needed to get and stay on a strict pumping schedule. Exclusive pumping worked so well for my family that even when my baby gained the stamina to nurse, we kept right on bottle feeding.

I didn’t change diapers

My husband, who had never held a baby, let alone change any diapers, got thrust into baby care right away. He’s thankful for it! We say the NICU was like, “How to parent 101 class.” They taught us how to feed, burp, change, and bathe our son… all of which I already knew how to do, but was a brand new experience for my husband!

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A message for NICU mommas

If you currently have a baby in the NICU, or may have one in the future, here’s a heartfelt message from me to you:
Your baby’s NICU stay is not your fault. I never understood why people would think it was, but this guilt can creep in anyway. You did nothing wrong. Feel your feelings, but don’t allow guilt to be one of them. Your baby is simply getting the help they need to thrive once they go home with you.
Your baby is in the best possible place for them… right now. You have knowledgeable, experienced doctors and compassionate nurses caring for your sweet little one, alongside you and any family members there with you. It’s a team effort.
You need care too. After all, you just had a baby! Make sure that you are getting enough to eat and drink, and give your body the rest it needs to heal while you wait for your baby to come home.
Build your support system. Now is the time to call upon that church meal train, hire or ask someone to help with tasks around the house, make an appointment with a therapist, or join support groups online to find mommas who have been in similar shoes. The more you feel supported, the better.
And lastly…. have grace with yourself. Let yourself feel whatever you’re feeling, whenever you feel it. There is no right or wrong way to react to having a baby in the NICU. Hang in there, momma.

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Pumping Support, Tips & Tricks

Managing Your Freezer Stash

Freezer Stash- n. Collection of surplus breastmilk frozen for later use. Whether you are considering starting up a freezer stash or looking for advice on how to use yours, this post is for you! You might be wondering why it might be beneficial to freeze milk, how best to store it, when and how to begin using it, and how to figure out how long it’ll last! All this and more is coming your way. Read on, momma!
*Trigger warning- This blog post contains images and descriptions of large breastmilk freezer stashes. If this troubles you, please close out of this blog post.*

Disclaimers: This post contains affiliate links and codes from trusted brands. All images in this post were either donated with permission or taken by me.

Do I need a freezer stash?

There’s no cut-and-dry answer for this.

Many mommas who predominately nurse baby at the breast do not choose or need to store extra milk. It may be wise, however, to save a few day’s worth of ounces in the freezer (breastmilk fed babies can take up to 30 ounces a day) in case of emergencies. One momma I worked with was admitted into the hospital with appendicitis without warning and was glad she had a bit of milk stored up! Saving a bit of milk can also come in handy if you’re planning to be apart from baby. If you are planning to be separated from baby over the time you’d nurse, you’ll need to leave milk for the baby, and pump at the time you’d normally nurse.

For exclusive pumpers with oversupply, it’s wise to keep a day or two ahead in the refrigerator, and freeze the rest. This milk can be fed when you begin to wean and extend the time you are able to offer breastmilk. Some mommas choose to donate their extra frozen milk formally (milk bank) or informally (mother-to-mother, directly.)

Mommas who supplement with formula can offer partial breastmilk and partial formula, and freeze the rest. This can actually help exclusive pumpers reduce the number of times they pump daily and have proven to pump for longer than they originally planned because their schedule becomes more manageable. A partial diet of breastmilk is still hugely beneficial to your baby, offering white blood cells and antibodies in addition to daily nutritional benefits.

My personal stash story:

With my first baby, I set a goal to exclusively pump for six months. When I hit the six month mark, I began to reduce my pumping schedule to gain a bit more freedom, and began supplementing with formula. Since my son was starting many other foods at this age, supplementing was not a huge mental hurdle for me- I grouped formula in with all the other foods nurturing my baby that I did not personally make. (You don’t give yourself a hard time for not producing pureed yams and apples with your breasts, right? Just group formula in with other additional nutrition!) I switched to 50/50 breastmilk and formula. I stashed my extra milk in the freezer and was able to not only surpass my original pumping goal, but to offer breastmilk longer than I imagined!
With my second baby, who I also exclusively pumped for, I created an unintentional freezer stash because she was having trouble digesting my milk in addition to a milk protein allergy. I donated 1,000 ounces of frozen breastmilk that contained dairy to another baby. When we discovered that she was digesting my milk comfortably with a 50/50 breastmilk-formula ratio, I was able to stash extra breastmilk and once again feed greater freedom with my pumping schedule and offer breastmilk longer than I imagined.

Check for high lipase!

Lipase is an enzyme found in all breastmilk that helps break down fats. It’s a good thing! But some women struggle with high levels of this enzyme, causing their milk to smell or taste funny. You usually won’t notice the smell until you defrost your milk after freezing. High lipase can cause your milk to smell soapy or metallic. (Breastmilk without high levels of lipase usually has a mild smell or no smell at all, and slightly sweet taste.) High lipase milk is ok for baby to drink, but they may not want to. I strongly encourage you to TEST EARLY for high lipase before stashing away a ton of milk! Freeze and defrost milk early to test this out. How do you “test” your milk? Just thaw some breastmilk and give it to your baby! If baby takes it, no problem! If not, you’ll have to scald your milk BEFORE feeding or try one of the tricks listed in my blog post on high lipase.

How do I store all this milk?

Storing breastmilk in “bricks” can really help freezer space and organization…AND flat bags thaw quicker! I stored 5 ounces of milk per bag, removed as much of the excess air as possible, frozen flat on a tray, and then assembled into bricks of 50 ounces in gallon-size ziplock bags. When freezing super flat using a “freese-it-flat” or between boxes of fish sticks like me, you get reallllly flat bags capable of stacking together nicely in gallon ziplocks! This uniformity makes it very easy to stack and count. Check the image below and the storage page of my website for more information on the logistics of milk storage.

I highly suggest freezing in breastmilk storage bags instead of bottles. More and more companies are making silicone freezer bags as a reusable option. (Save on Junobie brand with code PUMPMOMMA10) Some mommas store smaller quantities of milk in silicone trays and then once frozen, transfer to larger storage containers. (Save on SouperCubes with code PUMPMOMMAPUMP10)

Many mommas end up buying a chest freezer for their breastmilk. I recently helped a friend stock their 5 cubic foot chest freezer with approximately 2,000 ounces of breastmilk. If you are a massive overproducer, you might need a larger chest freezer. We personally purchased a 3.5cu feet smaller model chest freezer and still call it the “milk freezer” to this date (even though it’s now full of chicken nuggets instead of breastmilk!)

How long will it last in the freezer?

Breastmilk is good for up to 12 months in the freezer. The CDC used to specify different lengths of time for different types of freezers. They changed their recommendations to “best by 6 months, good up to 12 months” regardless of freezer style.

First in, First out!

When it’s time to begin using your stash, think “First in, First out!” Make sure to rotate your freezer stash by feeding the oldest milk first, and freezing new milk. When doing the “brick method” as described above, write the MONTH really large on the sides/top of the brick- this way, you can immediately know what milk to pull from the freezer! (You can write a date range if you are really organized, but I find that the month is good enough.)

How do I begin using my stash?

This part is up to you! Here are a few ideas of how I’ve seen mommas use their freezer stash.

  • BOTTLE-A-DAY – Give one bottle of frozen breastmilk per day
  • FREEZER FRIDAYS – Choose one day of the week to use frozen milk
  • DAYCARE – Use frozen breastmilk on daycare days
  • SUPPLEMENT – Go 50/50 with thawed breastmilk and formula, either half bottles of breastmilk and
  • MIX IT UP- Combine frozen and fresh breastmilk in feeding bottles *must be used within 24 hrs of final thaw
  • DONATE – Consider donating excess breastmilk formally (through a milk bank) or informally (direct mother-to-mother donation)
  • EXTEND THE END – Extend the time your baby receives breastmilk by continuing to feed frozen milk after you have weaned from fresh milk production.

For more info on introducing a bottle after exclusively nursing, visit my blog post on the topic.

This beautiful momma donated 2,000 ounces to our friend’s baby after she passed away last November

Safely combining frozen milk with fresh breastmilk or formula

It’s completely fine to combine your frozen breastmilk with freshly expressed breastmilk or formula as long as you do it safely. It’s a wise idea to make sure your baby takes frozen milk first, so you do not waste whatever you mix it with. For mommas with high lipase, mixing it with fresh milk or formula may disguise the stronger flavor of the thawed milk!

When mixing thawed breastmilk with freshly expressed milk, temperatures don’t matter as long as you are feeding it to baby right away. You can even thaw larger amounts and combine with fresh in a pitcher, as long as you use this combined milk within 24 hours of complete thaw (going by recommendations for thawed milk here instead of fresh!)

When mixing thawed breastmilk with formula, prepare formula as directed first, then add thawed breastmilk. Use within 24 hours after mixing. *DO NOT use breastmilk as a replacement for water when preparing powdered formula!* Breastmilk can actually help your baby digest the formula!

I recommend using the Dr Brown’s pitcher

Can I feed my older baby milk from when they were younger?

Absolutely! They will most likely need the same amount, or a tiny bit more, than they current drink. I suggest offering the amount you are used to offering, and heating up more if needed, so you do not waste milk. The only word of caution I have about this comes to colostrum. That thick yellow milk from the first few days after birth is still hugely beneficial to your baby, but may act as a bit of a laxitive if given in concentration, so I suggest diluting it in more mature milk. You can even give an older child your baby’s frozen milk! Some people use it in cereals, smoothies, or sippy cups!

Both my pumplings enjoying my milk!

How long will my stash last?

Here’s where you’ve got to do a bit of math. Take the amount of ounces you froze and divide it by the number of ounces your baby drinks per day. (Example- 1000 ounces divided by 30 oz/day = 33 days of milk.) Most breastmilk-fed babies continue to take the same daily total ounces until they are 12 months old, when most pediatricians suggest increasing solid meals and reducing milk to ~16oz/day.

What about a power outage?

The thought of losing an entire freezer stash is horrifying, isn’t it? I highly suggest equipping your chest freezer with a freezer alarm (they even make wifi freezer alarms now!), and taking the necessary precautions for impending outages. I have an entire blog post on what to do if your power goes out, so be sure to bookmark it incase your house experiences a power outage (especially during hurricane or winter storm seasons!)

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Pumping Support

Your period and milk supply

Why did I get my period back if I’m exclusively nursing/pumping?

That’s difficult to answer. Many mommas can go their entire breastfeeding journey without the return of their period. This is called “Lactational amenorrhea”- a period of temporary infertility that accompanies breastfeeding and is marked by the absence of monthly periods. According to LLL, “In 1988, scientists and fertility specialists gathered in Italy at the Bellagio Consensus Conference to define the conditions for using lactation amenorrhea as birth control. They established that in order for LAM to be effective three important conditions must be met: 

  1. The infant is less than six months old,
  2. The menstrual cycle is absent, and
  3. The baby is exclusively breastfeeding.”

And since you’re going to ask, YES… exclusive pumping counts under #3.

Important note: The “Lactational Amenorrhea Method” of birth control can provide a certain level of protection, but please note that as soon as you get your period back, you are considered fertile. And even before you get your period back, there is a possibility you could become pregnant, because sometimes women ovulate before they get their first postpartum period. 

However, your period can return at any time, especially if you are nursing or pumping infrequently (like when you are not removing milk overnight or when you begin supplementing.)

Oh crap, there goes my milk supply…

Scenario- Your period DID come back, and there went your milk supply. *facepalm* So… is your milk supply going to come back? Many mommas experience a decrease in supply after their period returns. For some, this dip in supply only happens during menstruation. For others, the dip is more permanent.

Why did my period affect my milk supply? Hormones are powerful, momma…. remember, hormones are the reason you are lactating in the first place, right? They giveth and they can taketh away! When your cycle returns, the increase in estrogen causes a decrease in calcium levels in your blood, which can interfere with milk supply. (Which is a reason you might have been prescribed an estrogen-free birth control option, if that applies to you.)

So… can I bring back my milk supply after getting my period?

There are a few things you can try that have worked for many mommas… no guarantee, but why not give it a try? Deep breath… it’s gonna be ok!

  • Take a calcium-magnesium supplement (This is my go-to advice. Some mommas take it during their period week, some take it every day. Just make sure you get a vitamin with these combined- affects absorption) As always, consult your healthcare provider before starting supplements.
  • Add additional pumping sessions into your schedule.
  • Pump slightly longer, stopping then starting to initiate a second or third let-down, try power-pumping once a day for a week straight in an attempt to boost demand on supply.
  • Galactologues! Foods like oatmeal, flax, brewer’s yeast, and many herbal supplements can increase milk supply. Increase intake of Iron-rich foods, protein and healthy fats.

My period is so much different now…

Did you know that your period might change when it returns after baby? Some mothers have cramping when they didn’t before, fewer PMS symptoms than before, a lighter or heavier flow than before, or irregular periods as their body begins cycling more regularly post-baby. (For some, there is no change. Just don’t be surprised if you do experience a change.)

If you are concerned at all about your period/period symptoms, please contact your healthcare provider.

Ouch! Why does pumping suddenly hurt since my period returned?

Another unpleasant side-effect of the return of your period can be increased sensitivity of your nipples. When hormone levels (estrogen and progesterone) go up, breasts can feel tender. Nursing and pumping can become uncomfortable during mid-to-late cycle. Ease off on the suctions strength of your pump during this time and know that it’s usually temporary discomfort!

Baby seems to be fussy during feeding now.

Another side-effect from the return of your period is that the flavor of your breastmilk may temporarily change, becoming less sweet and slightly saltier. Levels of lactose (sugar) decrease in your milk composition, and levels of sodium chloriade (salt) increase. While many babies don’t notice the change, some may become fussy during feeding and even reject the milk altogether.

If your baby refuses to nurse, protect your supply by pumping in place of nursing until your period is over.
If baby rejects your pumped milk, try mixing it with frozen milk or adding a drop of nonalcoholic vanilla. If you are supplementing with formula, try preparing the formula as directed and mixing it with the breastmilk.

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When did your period come back? Did it affect your milk supply? What worked for you?