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When I was 18 years old, I started to have breastfeeding dreams.


I dreamt about nursing puppies and kittens and human babies. Anything that needed nourishment and love, I was nursing them and snuggling them in my dreams. (I know, totally crazy and kind of TMI!).

So after working with thousands of mothers as a registered nurse and lactation consultant, I thought breastfeeding my own child would be second nature— I knew the positioning, the anatomy of breasts and baby’s mouths, the holds, and all the latch techniques.

I had comfort with handling a newborn from the moment it came out of the womb.

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But when I became a mama, and my daughter Demi latched for the first time, I knew right away that we had a problem—suddenly I was the new mama who was having nipple pain. How could this be happening to me

Breastfeeding to me was everything: comfort, love, closeness, snuggles, the warmest bond in the world, so I knew I had to find out what was going on and I had to take away this pain.


Adjusting to breastfeeding your new baby can be a challenge, but it’s important to know that it shouldn’t hurt—if it does, something needs to be corrected. Here are some tips to help make breastfeeding pain-free and your breastfeeding journey everything you want it to be—

1. Get the position right

The easiest and most comfortable position for a new baby and mama is cross cradle (check out our article on positioning 101 to learn other position options). Make sure you have back, arms, and baby support by sitting on something firm but comfy, and using a breastfeeding pillow (The Brest Friend is my favorite). The baby should always have his/her entire body in one line facing in toward your chest, with their arms hugging your breast (one arm below and one above). Have the babes tush tight in your elbow crease and hold the baby’s shoulder/neck/base of the head to help guide them to the nipple. Place your other hand in a “U” shape under your breast, and prepare to latch.

2. Get the latch right

Tease your babe’s mouth with your nipple to get them to open their mouth as wide as they can. When they open wide, keep your nipple right by their nose, and snuggle your baby in to you—this will help the baby tilt their head back slightly, and the nipple will move deep into their mouth. The mouth should be wide open and their lips flared out. The baby’s chin should be pressed against the breast and just the very tip of the nose should be touching the breast. You should see their jaw moving back and forth, (not up and down), and their little ears wiggling. You should hear swallowing (the sound of swallow is a soft “kuh” sound). They will take breaks in suckling but will stay latched and they will not swallow with every suck. When the nipple comes out of the baby's mouth, it should look the same as when it went in; rounded and with no compression.

3. Break the suction

If the latch doesn’t feel quite right, before removing your baby from your breast, first try to make adjustments. If the adjustments do not fix the discomfort, break their suction by placing your finger in the corner of their mouth and sliding your finger into their mouth like a fish hook. Then, try again.

4. Take care of your nipples

After each feed, express enough of your breastmilk to cover the nipple, and let the breasts air dry for 5 minutes. Think about how much AMAZING-NESS is in your breastmilk protecting your baby, it only makes sense that breastmilk would be the best to help protect and heal your nipples! Afterwards, place a pea sized amount of nipple cream to cover the nipple; Lanolin, Earth Mama Angel Baby, or Motherlove are some popular choices. You can use cool gel pads for soothing, but you must wash the nipple after use before latching your LO.

5. Get help

Knowing and finding resources even before your baby arrives will really put you ahead. Seek out IBCLC’s in your area, La Leche League meetings near by, take a breastfeeding class, read a breastfeeding book with current and clinically supported information, and find some mama groups to join. As one of my favorite breastfeeding books, The Womanly Art of Breastfeeding explains; once your LO has arrived, find and keep someone close who understands breastfeeding, knows your goals, who’s approach you respect and appreciate, someone who can support you emotionally, and help you find correct information. If the support you need requires a professional, your IBCLC is your person: get your home visit asap if you are in pain.

6. Get through engorgement the RIGHT way

When your milk comes in somewhere between day 2 and day 5 of your baby’s life, your breasts become filled with milk and they can become super uncomfortable. This is a normal process that should only last 24-48 hours max. Make sure you’re feeding on demand, ensure that you are hearing swallowing, and that he/she is gaining weight appropriately. DO NOT PUMP — this will increase your supply and make engorgement worse. 5-10 minutes before your babe is ready to nurse, get some heat on your breasts (from a shower or warm pack) to help get the milk flowing. You can even keep the heat on while you nurse. After the baby has fed and you feel some relief, put some cold packs on the breast that was fed off of for about 10 minutes. The cold feels cooling and slows down the flow. You do not need to nurse on both breasts. Have the baby stick to emptying side 1 before offering side 2. Your breasts will adjust to exactly what your baby needs, I promise.

7. Avoid use of pacifiers and bottles before 2 weeks (unless medically necessary).

To get breastfeeding off to the very best start from the first feeds, you should try not to introduce any other shapes or flows to the baby besides your breasts until at least 2 weeks postpartum. No plastic nipple is your nipple, no flow is your breasts flow, and all baby bottle nipples are much easier to get the milk out than your breasts.

8. Avoid getting thrush/candidiasis and mastitis

Keep your nipples clean and dry, and breastfeed on demand. If you experience any pain (shooting, sharp, burning, aching), redness that is hot to the touch, fever, feel like you have the flu, or if your baby has white in their mouth that doesn’t come off when scraped, call your provider right away.

9. Tongue ties, lip ties, and gape issues

When a baby has a tongue or lip tie or a gape issue, their tongue and jaw are not able to open and move correctly, causing shallow and incorrect  latches, chomping on the nipple, and a ton of pain for mamas. A lactation consultant can help you diagnose this, and an Ear Nose Throat Doctor can perform a simple procedure that can really help/fix the issue.

10. Keep your baby close, feed on demand, do lots of skin to skin

It is always better and easier to get a deep latch with a happy baby rather than a SUPER hungry kid who is screaming and thrashing at your breast. Respond to your little one’s cues and catch the early signs of them waking (first sign is movement of the eyeballs under the eyelids). Do tons of skin to skin so you and your baby will feel more relaxed and comfortable which will lead to a better latch.

My own journey to making breastfeeding pain free was longer than I had hoped, but in the end it taught me so much more about how to help mamas. I have successfully and exclusively breastfeed my daughter for 21 months, and we are still going strong. My greatest piece of advice to achieve pain free nursing is to GET THE HELP YOU NEED EARLY by advocating for yourself, and always trust yourself and your body. Good luck mamas, you’ve got this!

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As a mid-Spring holiday, we never knew exactly what to expect from the weather on Easter when I was growing up in Michigan: Would we get to wear our new Sunday dresses without coats? Or would we be hunting for eggs while wearing snowsuits?

Although what the temperature had in store was really anyone's guess, there were a few special traditions my sister and I could always depend on—and it won't come as a surprise to anyone who knows me that my favorite memories revolved around food. After all, experts say memories are strongest when they tie senses together, which certainly seems to be true when it comes to holiday meals that involve the sounds of laughter and the taste of amazing food.

Now that I'm a parent, I'm experiencing Easter anew as my children discover the small delights of chocolate, pre-church brunch and a multi-generational dinner. While I still look forward to the treats and feasting, I'm realizing now that the sweetest thing of all is how these traditions bring our family together around one table.

For us, the build-up to Easter eats is an extended event. Last year's prep work began weeks in advance when my 3-year-old and I sat down to plan the brunch menu, which involved the interesting suggestion of "green eggs and ham." When the big morning rolled around, his eyes grew to the size of Easter eggs out of pure joy when the dish was placed on the table.

This year, rather than letting the day come and go in a flash, we are creating traditions that span weeks and allow even the littlest members of the family to feel involved.

Still, as much as I love enlisting my children's help, I also relish the opportunity to create some magic of my own with their Easter baskets—even if the Easter Bunny gets the credit. This year, I'm excited to really personalize the baskets by getting an "adoptable" plush unicorn for my daughter and the Kinder Chocolate Mini Eggs that my son hasn't stopped talking about since seeing at the store. (You can bet this mama is stocking up on some for herself, too.)

At the same time, Easter as a parent has opened my eyes to how much effort can be required...

There is the selection of the right Easter outfits for picture-perfect moments.

There is the styling of custom Easter baskets.

There is the filling of plastic eggs and strategic placement of them throughout the yard.

But when the cameras are put away and we all join together around the table for the family dinner at the end of the day, I can finally take a deep breath and really enjoy—especially with the knowledge that doing the dishes is my husband's job.

This article was sponsored by Kinder. Thank you for supporting the brands that support Motherly and mamas.


Our Partners

Recent studies found that a large portion of individuals with coronavirus are asymptomatic, meaning even those who eventually develop symptoms can transmit the virus before showing symptoms. It's hard to know how to truly protect yourself and others so the The Centers for Disease Control and Prevention (CDC) recommends individuals use cloth face coverings if you have to go out in public.

Of course cloth face coverings are not surgical or N-95 masks by any stretch, but in an effort to reserve them for health care workers and other first responders, it's a great idea to create your own.

According to CDC experts, "cloth face coverings fashioned from household items or made at home from common materials at low cost can be used as an additional, voluntary public health measure."

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There are so many DIY mask options, whether you have a sewing machine around or just a pillowcase—there's something for you, regardless of your skill.

Keep in mind that cloth face coverings should not be placed on children under age two, anyone who has trouble breathing, or is unconscious, incapacitated or otherwise unable to remove the mask without assistance. It's also worth noting that creating your own mask does not replace the necessity of maintaining social distancing guidelines. It's also equally important to limit trips outside your home and wash your hands often.

Here are step-by-step instructions for how to make fabric face masks with a sewing machine, a needle and thread or materials you have around your home:

How to make a face mask with a sewing machine:


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If you're a pro at adding buttons, zippers and piping then you're well-suited for this advanced sewing project. Plug in your Singer and go!

What you'll need:

Instructions:

  1. Cut material and interfacing to 12 x 9 inches
  2. Iron interfacing to material (adhesive side to back of material)
  3. Once ironed, fold fabric in half with interfacing on the outside
  4. Cut two pieces of elastic—each 7 inches long
  5. Pin and sew 1/4 inch from edge leaving a 2 inch gap in the center
  6. Put elastic band on each corner, inside the material and pin to keep in place, making sure the elastic is not twisted. Pinning in center as well
  7. Using the pattern, mark locations of pleat lines and add pins on both sides
  8. Fold three pleats. Sew around the entire perimeter of the mask, this holds the pleats in place, and closes the 2 inch gap

Mask from JOANN Fabric and Craft Stores.

How to make a face mask without a sewing machine:

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If you can't sew, don't stress, mama. Try this DIY mask from the CDC that can be created with pillowcases, scarves, hand towels, and even old t-shirts you have laying around the house.

All you need is fabric and two rubber bands.

What you'll need:

  • An old scarf or bandana
  • 2 rubber bands or hair ties

Instructions:

  1. Place the scarf or handkerchief facedown on a flat surface.
  2. Fold the top half down to the midline of the scarf, then fold the bottom half up to the midline.
  3. Flip it over so that the seam faces down.
  4. Fold the new top half down to the midline, and the bottom half up.
  5. Flip it over again so that the seam faces up.
  6. Loop a hair tie over each end of the folded rectangle.
  7. Fold the free sides of the rectangle in toward the middle, layering one side over the other.
  8. Flip it over and loop the elastics over each ear to wear, making sure the mask covers your mouth and nose.

Mask from CDC.

How to make a face mask with needle + thread:

Maybe you don't own a sewing machine, but you aren't afraid of a needle and thread. If so, this step-by-step guide from The New York Times is perfect for you.

What you'll need:

  • Basic sewing tools (needle and thread, etc.)
  • Scissors
  • Pins or clips
  • 20 x 20 inch fabric
  • 4 strips (cotton shoe laces are great!) for ties

Instructions:

  1. Create your mask by folding your fabric of choice in half. It should measure about 10 inches x 7 inches.
  2. For your ties, cut four strips 18 inches in length and ¾ inches in width.
  3. Fold your ties in half lengthwise, and sew to reinforce and neaten edges.
  4. Pin your ties down at the corners of what will be the outside of your mask.
  5. Rest the excess tie material inside of the rectangle.
  6. Place the other layer of mask material on top of the first mask layer. You will be sandwiching together all of your ties.
  7. Sew around the perimeter of the mask, leaving a small ½ inch gap at the top. Make sure you sew the ties down and reinforce with several stitches.
  8. Use the 1/2 inch gap to turn the mask inside out.
  9. To help the mask fit your face better, fold pleats in the top layer. Pin them down, and sew in place around the perimeter.

Mask from The New York Times.

Lifestyle

With schools closing, events being canceled and new information about the coronavirus circulating through news and social media, it's only natural for parents to feel anxious about protecting their children from this unfamiliar disease. But for parents of premature babies and other medically fragile children, isolation and "social distancing" is all too familiar.

When our son was born at 23-weeks gestation, my husband and I were thrust into a medical world that taught us more than we ever wanted to know about germs and the human body. But when we were discharged from the NICU four months later, we found one of the challenges of caring for our baby at home was educating the people around us about his vulnerability to illness.

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The preemie journey doesn't end when the baby comes home.

It's easy to assume a preemie discharged from the NICU is now a healthy full-term baby, but that's not the case at all. In reality, NICU discharge means the baby can now be cared for at home, but this care often includes many of the trappings of hospital life.

Our son came home with oxygen tanks, a nasal cannula, and a pulse oximeter (a machine to monitor the levels of oxygen in his blood), as well as breathing treatments and five medications. We had a nurse come to our home every day to help with his care and monitor his health. It was December—right in the middle of cold and flu season—so we were also under strict orders to keep our son out of crowds, limit visitors and maintain many of the same hygiene and disinfecting practices we'd had to follow in the NICU.

After months of watching our son struggle to breathe in the NICU, we lived in constant fear that one of us would bring home an illness that would land him back in the hospital on a ventilator.

Preemie bodies don't work like the bodies of full-term babies. A very common piece of advice parents hear is, "You need to expose them to germs—that's how they build up their immune systems!" And while there is some truth in this advice, it's actually a lot more nuanced than that.

Preemies start at a disadvantage in terms of immunity because they miss out on some—or in our case, all—of the third trimester of pregnancy, which is when a mother passes her antibodies to her unborn child. There's also a misconception that premature babies are simply "finishing their gestation outside the womb," but in actuality, a baby's development proceeds very differently after they are born. So their organs are likely not functioning the same way they would be if the baby had been born on time.

Particularly, lung development is stunted by premature birth, and this can be exacerbated by ventilators which cause damage to delicate lung tissue. It can take years for children who were born prematurely to outgrow these shortcomings in immunity and lung development, depending on how early they were born.

Our doctors have told us to expect our 23-weeker to be vulnerable until he's at least 5 years old, and that's if we can protect him from dangerous respiratory illnesses. So even though he's 3 years old now, no longer our tiny baby, we've still been advised to keep him isolated while COVID-19 is spreading, because his body may not be strong enough to fight it off if he does get infected by it.

This isn't the life we imagined for our family.

When we first got pregnant, we pictured ourselves enjoying the fun parts of family life: visits from friends and family, outings with the baby strapped to our chest, family gatherings where our kiddo would join the already bustling crew of munchkins running around. But that's not exactly how it panned out for us.

We still feel the pain of that loss, even three years later. So while it may be disappointing for you when you can't meet the new baby in your family or friend's life or when they cancel plans and skip events because they're nervous about germs going around, please know—they're not overreacting and they're not excluding you because they don't love you. They're just trying to protect their child, and trust me, no one is sadder than the parents this is necessary.

And if you are the mother of a preemie or medically fragile child trying to navigate this scary new world where the coronavirus exists—you are not alone. Millions of Americans are with you, virtually, at home, too.

Life

On Friday President Trump announced that the Centers for Disease Control is now advising people to wear a cloth mask if they need to go out in public in a place where social distancing would be hard. The CDC is not asking people to wear masks all the time, just when you're going somewhere public like the grocery store, the pharmacy or using mass transit—places where it may be hard to keep your distance from others.

What the CDC says about cloth face masks:

The CDC says it's recommending cloth face masks because recent studies show that people can have COVID-19 while asymptomatic, meaning they feel fine and because they don't know they are sick they might still be going about their daily routine in their community.

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Basically, masks don't protect the wearer as much as they protect people from the wearer (who might not know they are sick) by blocking respiratory droplets "So it's not going to protect you, but it is going to protect your neighbor," Dr. Daniel Griffin at Columbia University, an expert on infectious diseases, tells NPR.

CDC experts are "advising the use of simple cloth face coverings to slow the spread of the virus and help people who may have the virus and do not know it from transmitting it to others. Cloth face coverings fashioned from household items or made at home from common materials at low cost can be used as an additional, voluntary public health measure."

They say if you're going somewhere where it's hard to maintain the proper social distance of six feet, like a grocery store or a pharmacy, then it's a good idea to wear a simple cloth mask.

"The cloth face coverings recommended are not surgical masks or N-95 respirators. Those are critical supplies that must continue to be reserved for healthcare workers and other medical first responders, as recommended by current CDC guidance," the CDC states.

"You may need to improvise a cloth face covering using a scarf or bandana," the agency notes on its website.

A DIY cloth mask is an extra layer of protection:

The CDC still says that staying home and practicing good hand hygiene is the best protection against COVID-19, but a cloth mask would be an extra layer of protection if you must go out to get food or unavoidable medical care.

According to Dr. Scott Segal, chair of anesthesiology at Wake Forest Baptist Health in Winston-Salem, North Carolina, certain types of fabric are better than others when it comes to making a mask. While he CDC says improvised bandanas or scarfs are better than nothing, Segal says DIY mask makers should aim a little higher for the masks to be effective.

"You have to use relatively high-quality cloth," Dr.Segal, who is researching this topic, tells NBC News.

According to Segal you don't want to use a knit fabric (like an old T-shirt) but rather a woven fabric. He suggests a double layer of heavyweight cotton with a thread count of at least 180 (like quilters cotton). If you don't have a cotton with that high of a thread count, line it with flannel.

For more tips on how to sew a fabric face mask, check out these instructions from Kaiser Permanente.

No-sew methods:

If you're not a sewer you can still fashion a mask, and there are plenty of no-sew tutorials online showing you how. Use heavyweight woven fabric like Segal suggests and make one of these without a sewing machine.

How To Make a Pleated Face Mask // Washable, Reusable, No-Sewing Required youtu.be

Should kids wear masks? Talk to your doctor.

The CDC says "Cloth face coverings should not be placed on young children under age 2, anyone who has trouble breathing, or is unconscious, incapacitated or otherwise unable to remove the mask without assistance." Babies' faces should not be covered, they should not wear masks.

For older kids, the CDC is not recommending masks if you're just going for a walk around the block or playing in the backyard (which is the extent of most kids' outings these days). The masks are more for grocery runs, which many parents are opting to do alone these days.

But solo parents and those with partners who are in the military know that leaving the kids behind isn't always an option if you're the only adult in the home. If that's your circumstance, choose delivery options when possible to avoid taking your children to public places like grocery stores and pharmacies (the kinds of places the CDC recommends masks for).

If you are concerned that you may need to take your child somewhere where a mask would be required, call your pediatrician for advice on whether a mask is appropriate for your child's age and circumstances.

If you have no one to watch your children while you get groceries and cannot get them delivered try contacting your local government, community groups and churches for leads on grocery delivery help. They may be able to put you in touch with someone who can fetch groceries for you so that you don't have to take your children to the store with you.

The President says it's not a rule but a recommendation.

"It's really going to be a voluntary thing," President Trump told reporters Friday, contradicting the CDC recommendation. "I'm not choosing to do it."

First Lady Melania Trump is urging others to do it, howeverm tweeting, "I ask that everyone take social distancing & wearing a mask/face covering seriously. #COVID19 is a virus that can spread to anyone—we can stop this together."

[This post was originally published April 3, 2020. It has been updated.]

News

Last month Katy Perry and Orlando Bloom announced some big news: The engaged pair are expecting a baby!

Perry announced her pregnancy when the music video for her single, "Never Worn White" showed her rocking a bump and this weekend she announced she's expecting a girl...by posting a photo of Bloom's face covered in pink frosting.

She geotagged the photo "Girls Run the World" and captioned it "💕 It's a girl 💕."

Clearly, this man is thrilled about becoming a #girldad.

Perry is due in the summer, as she previously noted on Instagram.

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"Let's just say it's gonna be a jam packed summer..." she captioned her original pregnancy announcement.

"OMG, so glad I don't have to suck it in anymore," Perry tweeted after the big news went public.

"I am excited. We're excited and happy and it's probably the longest secret I've ever had to keep," Perry explained in a live stream with fans.

Of course not long after Perry announced her pregnancy the world changed due to the coronavirus pandemic. Because of the pandemic, Perry and Bloom have postponed their wedding, according to People and are pretty much just laying low at home trying to enjoy Perry's pregnancy as much as possible during this difficult time.

Perry recently told Stellar Magazine that the wedding is about more than throwing a big bash, so while it would be totally normal to be disappointed by having to postpone it, the mom-to-be seems to be in a good place regarding her nuptials.

She told Stellar: "It's not about the party. It's about the coming together of people who will hold us accountable when things get really hard. Those are just the facts when you're with someone who challenges you to be your best self."

The little girl Bloom and Perry are expecting will have a lot of people to love on her. While this is the first child for Perry, Bloom is already a dad to a 9-year-old boy who will soon be a big brother.

Congratulations to Perry + Bloom!

News
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