Posted on Leave a comment

Bottles for Breastfed Babies

Bottles for Breastfed Babies

No Flow Bottle Nipples

“No flow” also known as “breast flow bottles” allow babies to completely control the flow of milk, unlike a “flow” nipple that drips when the bottle is held upside-down. The concept behind the “no flow” nipple is very innovative and conducive for mimicking breastfeeding while preventing nipple preferencing.

Second to breastfeeding, “no flow” nipples increase development of baby’s speech, oral muscles, and facial muscles and prevent babies from being instantly satisfied from milk dripping down their throats, which is what happens even with “preemie”, “slow flow”, or any other flow-type of bottle nipple.

No flow nipples also prevent suckling through bottle feedings as well as sleeping through bottle feedings, so babies are more likely to get in a whole feeding session in an appropriate amount of time. This also increases their chance of having a deeper sleep during their next sleep period. Why?

1) Babies are less likely to wake due to spit up, hiccups, or tummy trouble due to the improved digestion factor with the no flow nipple.

2) Babies are less likely to be waking due to hunger from not getting that whole feed in with a regular flow nipple because they didn’t have to work at it.

Since babies need to “work at” sucking and swallowing with no flow nipples, they do not have a high probability of becoming nipple preferenced by a bottle (nipple confusion doesn’t exist, it’s nipple preferencing from the satiety of a nipple that has a flow caused by not having to “work at” the bottle).

With a no flow nipple, babies have a lower probability of refusing the breast than they would with any other type of flow, even “preemie” or “slow flow” nipples.

The “no flow” is important, because even with “preemie” or “slow flow” bottle nipples, babies get more milk faster than with the breast because it’s still dripping/flowing.

No Flow Breast Flow Bottle Options

#1 MEDELA CALMA BOTTLE

The Medela brand is pretty genius, like the Dyson of the breastfeeding world. So much research went into their “calma teat” which helps babies create a vacuum between their mouth and the teat in order to allow the milk to flow. Similar to breastfeeding, this vacuum experience with the calma tea lets baby feed, and then pause and breathe. Since babies are “working” at extracting the milk due to the similar no flow, there is low possibility of nipple preferencing or getting frustrated when returning to breastfeed. Medela’s breast milk bottles are compatible with all Medela breast pumps and Calma, making it easy to pump, store and feed using the same container. Only one size of Calma teat available though; if your baby needs a bottle with a shorter teat due to a higher gag reflex, go with the above recommendations.

#2 FIRST YEARS BREASTFLOW BOTTLE

First Years Breastflow Bottle has a “double nipple” which require babies to make more effort in sucking and compressing the teat in order to extract milk. The benefit for breastfed babies and breastfeeding parents is that it helps minimizes nipple preferencing.

Paced Bottle Feeding

If you choose to breastfeed or support a breastfeeding parent, or have a partner supporting your decision to breastfeeding, have a conversation about the method of bottle-feeding which is actually conducive to helping establish and maintain your breastfeeding relationship for whatever duration you’ve deemed your goal to be; feeding a bottle without the paced-bottle-feeding method can disrupt and harm breastfeeding quickly. Paced bottle-feeding helps avoid overeating and spit up from large feedings or feeds that are simply fed too fast. Remember to hold your baby upright 10-15 minutes after each feed as well. Share this video with friends and family:

Paced Bottle-Feeding video by The Milk Mob

Slow Flow Nipples – Bottle Options

If no flow is a no-go, the next best options other than slow-flow bottles to reduce flow preferencing are slow-flow nipples BUT if you can get a no-flow bottle like the three bottles already mentioned, that is best!

The following slow-flow bottles are NOT no-flow bottles:

#1 MUNCHKIN LATCH

The Munchkin Latch bottle, recommended by speech pathologists and doctors, is not a no-flow bottle but it is a slow flow bottle which means it’s a faster flow than any of the no-flow bottles above but it’s the next best thing because it has a slow flow. This is preferred 2:1 over Dr. Brown’s because it helps encourage a wide latch which protects the breastfeeding relationship to prevent sore nipples since wide latches help the nipple hit the soft palette and not the hard palette of the baby’s mouth. It’s silicone nipple is BPA-free and it has an anti-colic valve which is uniquely located at the bottom of the bottle to reduce gassiness and fussiness. They even have a pump adapter which works with many popular pumps (purchased separately) so you can pump directly into the Munchkin Latch bottle.

#2 PHILIPS AVENT

Philips AVENT Natural Glass Bottle with the “newborn flow” nipple. This bottle has a leak-free vent which allows babies to control the flow very similar to a “no flow” nipple. Plus they make them in glass bottles, if you’re into being green and reducing plastic and like to wash bottles in the dishwasher without any extra parts. You can still pour pumped breastmilk inside and then place the bottle in a bowl of hot water to heat it until lukewarm, or pop it in your bottle warmer as usual.

#3 DR. BROWN’S WIDE NECK

Lastly, because the bottles aren’t mimicking the shape of the breast, a “preemie” nipple on Dr. Brown’s Bottles – with the wide neck. If you get the regular Dr. Brown’s Bottles, babies often start refusing the breast because they can help encourage a super shallow latch, so get the wide neck bottles if you’re going with these. The bottles only come with level 1 size nipple, so you should remove those, store them in a labeled baggie i.e. “size 1” and put them away until your baby is an older infant. You’ll need to buy the preemie level nipples to use with them for your newborn and younger infant:

It’s common for partners, grandparents, and other friends and family members to ask or even expect to bottle-feed your baby from the first week.

Yes, it is a way they can bond with your baby however most lactating parents do not want this after learning that the first 6-8 weeks are detrimental to building their supply and realizing it can interrupt the nursing relationship they are working on. The first 6-8 weeks for a new mother is imperative for building her maximum potential yield for her milk supply. It also can add the stress of figuring out how to time in a pumping session which can cause fear that they will not have enough to breastfeed if Baby wakes after pumping and it can lead to clogged ducts and mastitis.

Wonderful ways to connect beyond feeding can make for very special moments such as:

  • changing diapers
  • taking walks
  • babywearing
  • bathtime
  • cuddling skin-to-skin
  • reading books
  • singing

Check out these formula supplementing tips, and learn some secrets about breastmilk here.

Posted on Leave a comment

Travel Tips & Flying With a Baby

Nourish Birth Travel Tips & Flying With a Baby

How Do I Fly With My Baby?

Do you need travel tips? I’m often asked by new parents how to prepare for flying when they are about to travel by plane for the first time with their baby. A common question is… “How do I avoid my baby from crying on a plane?”

Babies tend to feel the most pain from the pressure of takeoff and landing. This is because the Eustachian tubes in their ears are much smaller. The act of swallowing helps to clear them, but they don’t know how to “pop” their ears like older children or adults. Nursing or sucking on a bottle can help as swallowing relieves the pressure in their ears, relieving pain caused by the inflammation from the pressure, thus relieving tears.

Nursing will give them the most relief as they’ll be held even closer to you, feeling your warmth, and receiving all the oxytocin or “love” hormones from your breast which then helps relax them further. Receiving a bottle can help as well. However, typically mothers find it more effective to calm their baby during takeoff and landing by nursing. A pacifier isn’t as effective, but it can also help.

Babies may still cry loudly because of the pressure. Another travel tactic takes a bit of teamwork, but it can help. You can ask a flight attendant for two cups and napkins prior to takeoff. Crumple napkins inside each cup and place each cup over both of baby’s ears (this works well for both younger and older children’s ears, too) when taking off/landing. This creates a “vacuum” and helps relieve pressure. This cupping helps that, and it may be a team effort of one parent holding the cups on the ears during take off and landing, while the other parent breastfeeds/pacifies.

To create a calm environment for your baby, you can wearing a nursing cover or blanket as well. In addition to providing privacy, it will create a dark atmosphere so that your baby isn’t as overstimulated by the movement of the cart going down the aisle on top of the already loud engine, service bell alerts, or a conversation someone is having the next row or even the next seat over.

Methods to keep your baby’s stimulation down are ideal. Think sensory. Everything that triggers your own ears triggers hers much more loudly. The bright florescent lights are brighter to your baby than they are to you. If you’re cold, your baby is colder. Bring a blanket, booties, hat, and swaddle your baby so they feel a boundary and feel safe.

Packing for Your Flight

Now let’s back up and talk about packing for your flight. Prepare large-sized resealable zipper storage bags: 1 bag for 2 burp cloths, 1 bag for an extra swaddle, 1 bag for an extra onesie, 1 bag for hand sanitizer in case it leaks, 1 bag for extra diapers, 1 bag for a wipes carrier, 1 bag for extra pacifiers, and 1 bag for diaper bags (think the small disposable trash bags like doggy poo bags). Have all of these zip-top bags in your diaper bag on the plane, plus 2 extra empty zip-top bags in case any clothes are spoiled and you can use the empty bags for holding dirty laundry.

Bring your portable white noise sound machine and extra batteries, rechargeable batteries, the rechargeable battery charger, etc.

Planning Seats

If an airline requires you to purchase a ticket for your infant, make sure to reserve two seats together, ideally near the aisle so changing diapers and using the restroom are easily accessible. As a general tip, first row seats and emergency exit rows are not suitable for passengers with infants.

Trying to decide if you should buy an extra seat? Think about these travel tips: your diaper bag is considered a personal item, not a carry-on. Your baby usually flies free on your lap. However, if you paid for a ticket for your baby, meaning your baby has a seat on the plane, then they also get a carry-on and personal item bag allowed through.

Arriving To The Airport

When you arrive at the airport, you still need to go to the desk to let them know you are traveling with a child under the age of 2, present their birth certificate, and they will give you a voucher for your baby which will be used as their ticket. At this point, you can check any bags you need and then head to security. Sometimes they don’t ask for your baby’s birth certificate, and sometimes they do.

Some agents may not allow your baby entry with just a mobile boarding pass so print your hardcopy boarding pass as a backup.

Avoiding Colds and Germs

Stay hydrated and drink lots of fluids, especially if you’re breastfeeding. As you probably know, the air that is being circulated is not well-ventilated. Some methods to stay hydrated and guard yourself against colds/viruses/flu include drinking coconut water, apple cider vinegar, Fire Cider, rosehip tea, taking a Vitamin C supplement or elderberry syrup, etc. Prepare these travel tactics a few days to a week ahead of your flight so you can bulk up your immunity. Remember to hydrate on the way to the airport. Bring your hand sanitizer. You are going to sanitize, sanitize, sanitize your hands.

Flying with Breastmilk

For breastfeeding mothers, remember that the regulations on liquids, which limit you to 3.4 ounces, do not apply to breast milk. Formula, breast milk, and juice in quantities greater than 3.4 ounces or 100 milliliters are allowed in carry-on baggage and do not need to fit within a quart-sized bag. Frozen gel packs, ice packs, and other accessories required to cool formula are also allowed in your carry-on. If these accessories are partially frozen or slushy, they may be subject to additional screening. You may also bring gel or liquid-filled teethers (although I do not recommend this type of teether as they can break open and leak toxic liquid), canned, jarred and processed baby food in carry-on baggage. Remove these items from your carry-on bag to be screened separately from the rest of your belongings. Use a clear toiletry bag for packing TSA approved liquids (other than breastmilk).

Did you know? You do not need to be traveling with your newborn to bring breastmilk. This means if you and your partner need to take separate flights for any reason, both of you can travel with breastmilk even if your baby is not present.

Do NOT let them send your breastmilk through the x-ray machine. “Medically-required liquids, such as baby formula and food, breast milk and medications are allowed in excess of 3.4 ounces in reasonable quantities for the flight. It is not necessary to place medically required liquids in a zip-top bag. However, you must tell the Transportation Security Officer that you have medically necessary liquids at the beginning of the screening checkpoint process.” – TSA

Listen to the TSA agent, but you should not be separated from your baby during security at any time. You will carry your baby through the metal detector for screening and send the stroller, blankets and everything that can fit through the x-ray machine. If items such as your stroller or car seat are too big, the TSA agent will physically inspect them.

Travel Tips at the Gate

Have your baby wear mittens so no one comes up and tries to kiss or touch her hands. Your baby puts her hands in her mouth. Don’t let anyone put their finger in her hands! Mittens!

Wear your baby in a baby carrier or wrap for extra privacy and comfort after going through security.

Boarding Advice

Most airlines let families who are traveling with young children board first, but this is a courtesy, not a right. Check with the agent beforehand to let them know you are traveling with a young child and when you should board. Southwest has a designated family boarding time, but Airtran does not, even though they are owned by Southwest Airlines.

You may ask the agent if they have a Baby Bassinet, also called a Sky Cot. This is sometimes available for passengers who purchase a seat for their baby, and fit babies under 8 months of age.

Pre-Boarding

Travel tips about boarding… don’t pre-board. It may seem convenient to get situated early before everyone else gets on, perhaps because you don’t want to stand in line behind all the other passengers, but once you are on the plane, you won’t have the opportunity to move around. If your baby starts crying and you’ve pre-boarded, you can’t just walk the aisle and rock your baby. Other passengers are now starting to board, and it will feel like a really long time for everyone to get seated before the plane takes off. It’s best to have your partner go on early with your bags and get a seat, and then you can meet them on closer to take off.

As soon as you get on board, place your baby bag under the seat in front of you for easy access to things you might need during the flight such as diapers, extra clothes, tissues, and wet wipes.

Avoiding Flight Flops

If you are using a pacifier, make sure you keep it secure by clipping it on to something. If the pacifier falls on the floor, not only will it be covered with germs, but your stress level will jump because now you’re annoyed that you had to bend over in your airplane seat to find it. A Wubbanub pacifier is easier to hold onto as it’s weighted down by the stuffed animal. Again, remember the plastic baggies or travel bags to keep them clean.

Moms are in charge of input and partners are in charge of output. For every poo diaper, Dad/your partner needs to bring it to the airplane’s bathroom so the entire cabin doesn’t smell. This can really annoy nearby passengers which will then annoy you with their comments. Simply whip out your zip-top bags full of individual poo bags, place the diaper inside, and Dad can discretely take that individual bag to the trash in the restroom. Done.

Ignore a**holes who roll their eyes or can’t sympathize or remember being a tiny human themselves at one point in their life. Sit at the window and have your partner sit next to you to buffer you from anyone who wants to talk or make inhumane comments.

Some travel tips for tackling stress include taking some deep breaths and visualizing easing through the rest of the flight. If you can, close your eyes… focus on your “happy place”. No need for arguments with your partner. You guys got this. You’re in this together. If one of you spills something or has a blooper, laugh about it, together. Turn it into a moment you can treasure… it’s your first flight together as a family.

Landing

When you ultimately arrive at your destination, hopefully you’ll have a chance to decompress before the festivities begin. A shower for you as well as a bath for your baby can have you both feeling refreshed, calm, and clean from any airline funk.

If you feel your throat is dry or feels swollen after landing, gargle with warm salter water. Osmosis! Sometimes the dry air from flying can cause a dry, stuffy nose. Both you and your baby can use sea salt/nasal spray/saline drops for dryness and congestion. Bringing your travel diffuser can also help with this!

Traveling by plane with an infant can be stressful but you will conquer it! Have a sense of humor about it with your partner and pat each other on the back when you get through it. Flying’s not easy, but you can “wing” it.  🙂

What are your travel tips when flying with a baby? Share with new mothers in the comments below.

Wishing you safe travels. xo

Posted on Leave a comment

Breastfeeding Tips

Nourish Birth Breastfeeding Tips

Breast care and breastfeeding go hand-in-hand. A Newborn Care Specialist can help expected and new mothers with breastfeeding by discussing and demonstrating:

  • nutritional support for increasing milk supply
  • milk storage
  • nipple care and breast wellness
  • bottles for breastfed babies
  • nipple sizes
  • how often to feed
  • how much to feed
  • physical signs of your infant getting enough nutrition
  • guidelines for weight gain
  • signs of underfeeding and over feeding
  • safe breastfeeding tips
  • the most popular breastfeeding positions
  • best breastfeeding positions for c-section births
  • bottle temperature
  • converting CCs to ounces
  • choosing and using a pump
  • how to clean and sterilize bottles and equipment
  • benefits of nursing
  • the Kangaroo Care method
  • and any questions you have
Related Topics

* Read about better Breastfeeding Positions such as the Turtle Method in which newborn babies can stabilize themselves naturally. This means your baby can already instinctively control certain parts of their body, and will naturally help manipulate your breast to suit their own feeding behaviors.

* Bonding with your newborn baby can happen immediately after birthing through a method called Kangaroo Care. This promotes psychological and physical well-being for both your newborn and for you as the mother. Kangaroo Care includes skin-to-skin contact and exclusively breastfeeding.

* Learn the 15 Breast Milk Nutrition Secrets

* Compare the composition of Breast Milk vs. Formula

* Educating yourself with evidence-based information is important, and without judgment is so important for your psychological and emotional well-being.  It can be stressful if you feel alone in this, but you’re not.