Breast N Baby


TX# 630-292-4528
Fax# 630-232-4713

Social Media
Social media offers a wealth of support and information for breastfeeding moms.
Mothers these days rely heavily on peer support and social media such as Facebook groups. While Facebook groups offer the advantage of real-time assistance for common problems or questions in the middle of the night by a peer who is also awake with her crying baby, or whose baby won’t fall asleep, there are hazards in accepting internet diagnosis and treatment by one’s peers. Each mother’s situation can have differences and cannot be determined by a poor communication style by emailing or texting. Haven’t you been misinterpreted by someone with whom you emailed or texted? The communication style without body language or word intonation is frequently misunderstood or misinterpreted by the receiver of your message.
Here are a few common topics:
Mom says: “I’m not making enough milk for my baby, and I don’t know what to do. I asked the question on my Facebook page and another mom told me to drink lots of water and to take Fenugreek. I was so frustrated to read this suggestion because I’ve already tried all of this stuff and it isn’t helping me. I’m still not making enough milk and have had to start feeding my baby formula.”
Carol says: “While it’s important to take the time to remember to drink 6-8 glasses of water a day – and the size of 1 glass = 8 oz, drinking too much water can have the opposite affect and decrease your milk supply. Hydrating your body is indeed important. You may notice your supply dip if you have a busy day taking care of your baby and it’s now 6pm in the evening and you’ve not drank another 8 oz glass of water since you brushed your teeth this morning. But, research shows that too much water can cause your body to lose your milk-producing hormones in your urine. Plus, you are spending more time on the toilet instead of holding your baby. Don’t flush your hormones into the toilet and use caution when determining how much water you are drinking, and how much water your body needs. “
“According to the Academy of Breastfeeding Medicine Protocol on Galactogogues, fenugreek, goat’s rue, and blessed thistle are some of the suggested galactogogues which are believed to assist with making more milk. For a long time beer has been suggested for new moms to drink. Alcohol may actually reduce milk production. Another suggestion that has become popular in recent years is placentophagia, or eating your placenta, commonly in an encapsulated form. Mechanisms of action for most herbals are unknown. They have not been scientifically evaluated, and it is believed a placebo effect may be the reason why mothers assume Fenugreek increased their milk supply.”

Mom says: “I keep getting plugged ducts and I’ve tried taking a hot shower, massaging my breast, expressing my milk with a breast pump, putting my baby on my breast every hour, and applying warm compresses. I don’t know what else I can do. I’m ready to try using a nipple shield or something.”
Carol says: “All of those things that you’ve been told about or read online are not wrong (warm compress, hot shower, massaging breast), but they don’t always help! Anecdotally (in my experiences), the best treatment for the relief of plugged ducts is to take Lecithin. Lecithin is a natural fat emulsifier that loosens hindmilk cells adhering to the lining of your ducts, and then resolves your plugged duct. I am choosing not to give the dosage here because I do not feel it’s safe to manage these kinds of conditions by social media (which is why I’m here!). You can choose to learn more about Lecithin elsewhere, or make an appointment with me so that a comprehensive assessment and evaluation can be done. There are many causes for plugged ducts inclusive of: making too much milk (oversupply), improperly using your breast pump, latching problems, use of a nipple shield or breast shells, and not making enough milk for your baby. Please do not use a nipple shield.”

Mom says: “I read online that my baby can’t latch to my breast because he has a short frenulum”.

Carol says: “And who diagnosed your baby? Tongue-tie, or short frenulum is a recent hot topic for breastfeeding infants. It is felt to be that there is an increase in awareness that has resulted in more babies being diagnosed correctly. However, many times there are other causes for latching struggles. Do not listen to other moms who tell you that your baby’s latching problem is caused by a short frenulum. I have evaluated many infants for tongue-tie and referred them for frenotomies. Whether to use laser or clipping technique is another whole discussion that can’t be discussed thoroughly here. I like working with true frenulum issues because they’re easily correctable most of the time. I use a pre- and post-frenotomy protocol that seems to work well. Most babies with whom I work will need suck-training post-procedure, and will successfully breastfeed without causing mom nipple pain.”
Mothers whose difficulties lead them to partial breastfeeding or weaning may feel angry with providers or peers who offer simplistic solutions or exhort them to keep trying without acknowledging their difficulties. Personally I feel upset when a mom is told to “keep trying” when she’s struggling to breastfeed her baby. Often moms don’t stop trying to breastfeed because they know it is best for their baby. They feel ashamed because breastfeeding is supposed to be natural. Some moms tell me that they had no idea how hard breastfeeding could be and that they wished someone had told them. These moms tell me that the breastfeeding class they took while pregnant portrayed breastfeeding as seeming to be so easy. They were told to hold the baby skin-to-skin and the baby will just know what to do. These moms feel like failures and may experience postpartum depression, or posttraumatic stress disorder. This is serious business, and I would like to help anyone who has been experiencing these problems, or any others.
Mothers with ongoing breastfeeding problems that are not being resolved in an email or text should see a lactation consultant or other health care provider who specializes in breastfeeding-related care in-person. The Facebook group can act as a support group for those who like to browse in the privacy of their home and not seek a community-based live group. Facebook has benefits, but you should think about who is the sender of the message, and what are the credentials of “your friends”.
I accept BlueCross BlueShield PPO plans as an in-network provider. I’m an Advanced Practice Nurse in the state of Illinois. Because I’m an APN, I use medical codes for coverage rather than lactation codes. One reason for submitting your claim using medical codes is so that there is no limit in the number of visits. Use of lactation coding usually has a limit of 3-5 visits. Sometimes a complicated lactation problem can take more than 5 appointments. In case you’ve worked with a lactation consultant using lactation codes and she no longer can see you, please contact me.
If you do not have BCBS PPO, you may come to see me at Elmhurst Pediatrics in Elmhurst, IL. A second office location in Hinsdale, IL will be opening in March 2017. Elmhurst Pediatrics office phone number is: 630-832-3100. Your baby does not need to be a patient of theirs.
The aforementioned information is for educational purposes. It is not intended to replace medical care. Contact your doctor or your baby’s doctor if you have questions or concerns. © Copyright 2018