Support News Spring /Summer Quarters 2013

New Lactation Rooms! Featured Topic:

 Vet Med 3B: Located on ground floor The Expression of Milk: lobby adjacent to restrooms. It’s not a given that moms will need to pump to feed their newborn . The healthy, full-term  West Village—opening soon! Located in MU 2, building on east baby that latches effectively and feeds frequently side of green quad. Room is to the is stimulating their ’s milk production and right rear corner. transferring sufficient quantities of milk to provide for healthy growth and development. There are Upcoming Groups & Classes certain circumstances, however, (e.g., premature , separation of mother/infant, breast  Continuing to Breastfeed When surgery, metabolic disorders, etc.) that may you Return to Work/School require extended additional stimulation and June 6 intervention to maintain or maximize an adequate  Preparing for Breastfeeding milk supply. In these situations, should July 11 consult a certified Lactation Consultant to discuss  Support Group Meetings: and devise a pumping and supplementation plan June 21, July 19 specific to their individual needs.

For details and registration click here Some more common feeding challenges that can

be assisted with additional milk expression are: difficulty initiating breastfeeding, , UC Davis Student and the return to work/school. Aid Difficulty initiating breastfeeding: To minimize confusion and simplify Most hospitals now support early exclusive processes, administration of child care breastfeeding for healthy, full-term infants. programs providing financial assistance to Studies have demonstrated that infants held skin- student for child care expenses will be consolidated to one access point under to-skin in an unhurried environment will find their the campus WorkLife program. Look to our own way to their mother’s breast and initiate website for developing details. feeding within about one hour following birth. Breastfeeding is essential to the continuation of  Child Care Subsidy program for eligible lactation, infants should breastfeed exclusively student parents will continue with improvements: On-campus care for (unless medically necessary) and frequently. children 0-5 years enrolled one of the four Practice breastfeeding at least every 2-3 hours, campus centers will remain as is. Off- sooner if your infant initiates hunger cues. campus care will expand to cover more Ideally, breastfeeding support should be provided providers as well as children 0-12 years. within the first 6 hours following birth and should  The current childcare reimbursement continued... available to Academic Student Employees will be available to all graduate students. Summer Hiatus Endorsed by the Chancellor and Provost, There will be no support group meetings, the new Graduate Student Childcare classes, or individual lactation consultation on the Reimbursement Program will provide up to a $600 a quarter reimbursement to all main campus for August. Instead, please make graduate students to help defray the use of one of the resources on our website, childcare costs for dependents aged 0-12. “Local Lactation Services”. Email us (address below) for general program questions and issues.

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Visit this reliable website that further addresses identifying and managing low milk.

Return to work/school: Moms that have been breastfeeding exclusively may notice a slight drop in the amount of milk that they pump when they return to work/school. There may be several circumstances contributing to real or perceived lower milk supply; however, several practices will help to maintain production and maximize milk removal.

 Typically, pumping is not as stimulating to the breast as having baby breastfeed directly. If at all possible, see if your caretaker can bring your baby to you; or, go home during the day -- at least once, so that you can feed your baby directly.

 If you’re unable to feed your baby directly during days that you’re away from baby, you may find the practice of hand expression will produce sufficient quantities of milk and may never need to use a pump. Other moms find that it’s most efficient to pump, exclusively, while still others find that a combination of hand expression and pumping maximizes their removal of milk.

 Regularly check your pump and pump parts. A worn out pump motor can result in reduced milk removal. Nipple size can change over the course of lactation resulting in the wrong flange size. This will also reduce the volume of milk removed.

 When you’re away from your baby, remove milk from your breasts following a schedule that closely mimics your baby’s typical feeding schedule -- if you’re away from your baby for 8 hours and your baby typically nurses 2-3 times during those hours then you will want to express milk at least 2-3 times during those hours. If you’re facing a challenge keeping up with the needs of your baby, try to incorporate an additional session of milk expression.

 When you’re at home or with you baby, feed them directly at breast as often as possible (e.g., at night, just before you get into bed; as soon as you pick your baby up from childcare, etc).

 If you’re back at work/school, you may be relatively limited to a 15-20 minute break for pumping. Maximize your time by using a multitude of letdown cues (e.g., view a picture of your baby, smell a blanket from your baby’s bed, listen to a tape of your baby “babbling”). One study showed that moms using multiple senses pumped twice their normal milk output.

can result in a slow letdown. Aside from addressing the source of the stress, you can practice a few relaxation techniques to reduce any anxiety that you might be experiencing and to assist with maximizing your letdown. Try taking a few deep breathes, have a cup of (decaf) tea, use visualization techniques similar to those you used during labor; visualize and “feel” the letdown. Practicing several together, and keeping them consistent, is believed to strengthen the letdown response.

 Check on drugs and medications that may be interfering with your milk production: ~Reduce/eliminate the use of caffeine and alcohol; and avoid smoking altogether. These have been shown to interfere with letdown, and will also transfer into your milk. ~Consider changing your birth control method (avoid hormonal types, especially those that contain estrogen). For most mothers, progestin-only forms of contraception do not cause problems with milk supply if started after the 6th-8th week postpartum. Use as low a dose as possible and consider discontinuing using it altogether if your supply is decreasing.