Dysphoric Milk Ejection Reflex, more commonly known as D-MER, is one of the most severe breastfeeding challenges yet also one of the least known or understood. D-MER is a feeling of dysphoria caused by the hormonal shift that occurs when the milk releases during nursing, pumping, or any other time a let-down is triggered. So if you or anyone you know experiences significant negative feelings when milk lets-down, you may want to hear what Alia Macrina Heise has to share. Propelled by her personal experience with D-MER, Alia has become a clinical expert in the area of dysphoric milk ejection reflex.
Alyssa and Hope get real! Being a new parent isn't always the blissful joy we might see on holiday cards. It can be really tough times, as well as wonderful times. We suggest that the balance lies in self-care. It can be so difficult to care for ourselves as new parents, and we haven't always done the best job of it ourselves. We hope our stories and discussion will support you and propel you into a holiday season and new year of simple joys and caring for yourself just as well as you already do for your precious little ones.
While using medications is a science, using herbs for increasing milk production doesn't seem quite as straightforward. There are so many nuances to consider:
Alyssa discusses these tricky herb questions and more in this Ask Dr. Nice episode.
Cathy, like so many other non-birthing parents wanting to induce lactation or relactate, is trying to unravel all of the varying information she has received. So she emailed us for help. When I suggested we might share her email on the podcast so that we could help others in her shoes, Cathy agreed. This podcast episode is devoted to addressing Cathy's questions, concerns, and confusion around the basics of how to induce lactation/relactate -- and you might find it addresses some of yours as well! Below is the email that is the inspiration for today's episode:
We are thrilled to re-visit an early podcast interview with Chrissy Fleishman who induced lactation for her baby born via surrogacy. There are a couple of reasons why we are re-releasing it now. One, we thought Chrissy gave a great interview. She is well-informed and enthusiastic, and her experience has followed a fairly typical pattern - if there is such a thing in inducing lactation! Second, we want to address a particular experience Chrissy shares. Chrissy had Depo-Provera injections as a young adult in order to help with menstrual difficulties. She experienced lactation as a side effect. Recently, there has been some information floating around online suggesting the use of Depo-Provera for inducing lactation. This source cites a 1994 study done in Papua, New Guinea which 11 out of 12 mothers who had induced lactation with the help of a single Depo-Provera injection were able to fully lactate within a few weeks of starting the protocol. (Nemba, 1994) We agreed that this study seemed promising, not only because of the high rate of full lactation but also because the protocol described in the study takes much, much less time than other approaches typically used. Although Alyssa had looked into this study when writing Breastfeeding Without Birthing, she decided it made sense to take another closer look and to contact some other professionals for their advice. This podcast episode is about what she discovered (and in some cases re-discovered).
We can't get enough of talking with Dr. Nice about medications for increasing milk production. Domperidone is at the forefront of our discussion, as usual. We delve a bit deeper into dosages and side effects of dom with Dr. Nice. But we don't leave you there: we know that domperidone is tricky business in the United States right now (since it is not yet FDA approved) and wondered if there may be other medications for increasing milk production that are both safe and more available in the US. Dr. Nice has the answers!
I first learned about Malunggay (a.k.a. Moringa) as an herb to help with milk production when I was writing Breastfeeding Without Birthing. When Diana West, IBCLC, author of Making More Milk and internationally known expert on milk production, was reviewing a draft of my book she suggested adding this really helpful herb. I'm so glad she did! Since then, I've worked with countless nursing parents who have successfully used this herb - whether they are inducing lactation, relactating, or needing to support milk production for other reasons. During this interview, I chatted with Angela Veloso of Sugarpod Naturals, maker of Go-Lacta malunggay. She has a rich knowledge and appreciation for this helpful herb, and after listening to her we think you will too!
Read our full show notes at our website http://www.sweetpeabreastfeeding.com/podcast.html
I had a blast talking with SonJoria Sydnor and Denecia Harrell about support for breastfeeding families of color in the St. Louis area and beyond. They talked about the needs around breastfeeding for families of color and how they provide the specific support that is needed. Whether it is through group meetings, home visits, texts, or social media I AM: Breastfeeding is there for breastfeeding families of color in St. Louis. You can read the rest of our show notes here.
A little something new with Dr. Nice! We've talked with in the past with Dr. Nice mostly about galactogogues: medications, herbs, and foods for promoting milk production. This time we pick his brain about medications the nursing parent may take for herself rather than her milk production. This includes medications for the nursing parent's health and for her recreation ... such as alcohol and marijuana. See more information on our show notes at: www.SweetPeaBreastfeeding.com/
Introducing the winners of the 2017 World Breastfeeding Triathlon! Okay, I just made that up. But if there was one, this couple would certainly have been a top contender. Together they have successfully relactated, co-nursed, and nursed triplets. Add tongue-ties for all of their children and you start to get the picture! We think you will find this lovely couple as delightful and their story as heart-warming as we did! See more information on our show notes at: www.SweetPeaBreastfeeding.com/
Dr. Nice is back, and he answers questions about the other half of the galactogogue equation: herbs and foods that may be used to support milk production. (Last time we interviewed Dr. Nice, we discussed pharmaceutical medications for increasing milk production. Check out episode #32.) We discuss whether to take herbs individually or in combination, whether to consume them in food or separately, and more. We even get into the relationship between digestion and milk production, and how using galactagogues that support digestion can support milk production as well. Don't miss this one! See more information on our show notes at: www.SweetPeaBreastfeeding.com/
We've talked with other adoptive mothers before, but this one is different! Jennifer brought her daughter home as an older baby and when she finally began nursing, her daughter was 2 years old. Bringing a toddler to the breast required determination but it was well worth it, according to both Jennifer and her daughter Helina. (Yes, you'll hear what 8-year-old Helina has to say about her nursing experience in this extraordinary episode!) See more information on our show notes at: www.SweetPeaBreastfeeding.com/
Because it is our mission at Breastfeeding Outside the Box to support non-traditional families - growing families who have historically not received the information and support they need and deserve - we are so pleased to introduce you to Queer Birth Project. This is an amazing organization that provides local and online education and resources to both LGBTQ parents and the family building and early parenting professionals working with them. (That includes Lactation Professionals!) And for families in the Minneapolis area, they hold a local community for new and growing LGBTQ families. Queer Birth Project is run by Janine, a midwife, and Cheyenne, a doula: two birthing professionals with a passion for backing growing LGTBQ families. If you are a prospective or current LGBTQ parent, Queer Birth Project has much to offer you. If you are a birth or lactation professional wanting to grow a LGTBQ+ practice, Janine and Cheyenne will direct you to your next steps. See more information on our show notes at: www.SweetPeaBreastfeeding.com/
In this episode, Dr. Frank Nice debuts his first special episode on our podcast! He gives some updates about Domperidone as well as talks about the use of Reglan for parents who want to use these medications to increase their milk production, as well as some of the risks and possible side effects. See more information on our show notes at: www.SweetPeaBreastfeeding.com/
Ah tongue- and lip-ties! We've heard A LOT about them from our podcast interviewees. Hope and I both have children who've had them. So, while not outside-the-box per se, tongue- and lip-ties affect many babies regardless of any other circumstances and so we wanted to be sure to address them.
Dr. Catherine Sledge is a family dentist who deals a lot with tongue- and lip-tie, and we are so thrilled that she was willing to take the time to talk with us and share her expertise on this very tricky and important issue potentially impacting breastfeeding...and so much more. See more information on our show notes at: www.SweetPeaBreastfeeding.com/
What do adoption, surrogacy, partnering with a birthing parent, breast/chest surgery, and insufficient glandular tissue (IGT) have in common? Parents who CAN and DO breastfeed. In most of these situations, parents will need to supplement their milk production with extra milk or formula in order to meet their babies needs. How that supplementation goes greatly impacts the long term success of breastfeeding. So, while we can address how to make the most milk possible, it is also at least as important to address how to work with what milk is there. In today's podcast, we discuss how to determine whether supplementation is needed, how much to supplement, and tools for delivering the supplement. See more information on our show notes at: www.SweetPeaBreastfeeding.com/
I (Alyssa) have had a guilty conscience for a long time. On this podcast, in my private practice, in my book, and when I speak at conferences, I share breastfeeding guidance that I myself did not take when nursing my babies. It's not that I am a hypocrite - it is that I just don't want other parents to go through the same struggles that I did. So why am I sharing this with you? I want you to know that, just like you, I did not do everything perfectly. I also want you to know that despite my many mistakes, breastfeeding still turned out well for me in the long run - and it can for you too. See more information on our show notes at: www.SweetPeaBreastfeeding.com/
What an opportunity to hear from a medical professional who has brought in milk for her adopted baby. Deziray's expertise as a physician's assistant gave her added confidence in using a medical approach to inducing lactation. For her, that worked really, really wonderfully. She actually had a surplus of milk for her baby that she was able to donate her extra ounces to a friend unable to nurse due to cancer and to several other adoptive families. This degree of milk production is not typical for parents inducing lactation or relactating, but it certainly is exciting to know it is possible! See more information on our show notes at: www.SweetPeaBreastfeeding.com/
This is a heartwarming interview not only about nursing and parenting under uncommon and in some ways unexpected circumstances, it is also about how parenting can challenge and grow the relationship between parents. Between Amy and Chris, they experienced infertility, inducing lactation, trans masculine nursing, pumping, bottle-feeding and co-nursing.
What do parents most want to know about inducing lactation? One of the things they most want to know is whether they will be able produce enough milk to meet all their baby's nutritional needs - what we often refer to as "a full milk supply." Most parents who induce lactation produce anywhere from a few drops to a full milk supply. This is a huge range of results! So, can we predict how much milk a parent inducing lactation may make? What factors influence eventual milk production? In today's podcast, Alyssa and Hope discuss these questions and more.
Mari is a scientist and an innovator ... and an intended mother through surrogacy who nursed her babies. So when the Medela Supplemental Nursing System - more commonly known as the SNS - wasn't meeting her needs, Mari tweaked it. She didn't like the way it worked using gravity, got caught on her long hair and glasses when she hung it around her neck, leaked, and was difficult to know whether baby was getting supplement through the feeding tube. Mari modified how she used her SNS to fix these issues - and now you can too!