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What Is Ductal Carsinoma In Situ, DCIS
Mom Is The Most Important Job
Time To Donate Breast Milk
The Importance Of Skin To Skin
Fenugreek,Thyroid Problems And Breastfeeding


Breast Cancer
Breastfeeding Topics
Health Topics
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What Is Ductal Carsinoma In Situ, DCIS

Please like my facebook page, Breastfeeding With Love.  Thank you so much for stopping by.  I hope each woman that reads this today, will go have  a Mammogram.  If I save one life, it was worth writing this.  Blessings and love to all.

     There are many types of breast cancer.  All breast cancers start in the breast.  They can be invasive or non invasive.  The tumor cells vary in location in the breast.  Depending on what the doctor finds determine your treatment prognosis.   Ductal Carcinoma In Situ (DCIS) is earliest and most treatable diagnosis of breast cancer. According to the American Cancer Society, 60,000 cases are diagnosed in the United States each year. 
     There are two types of Ductal Carcinoma.  Ductal Carcinoma In Situ is also referred to as Intraductal Carcinoma.  Invasive Ductal Carcinoma is the second type.  It has uncontrolled growth of cells within the breast ducts in situ, which means in its original place.  Noninvasive means that it hasn’t made it to the breast tissue outside the ducts.   In the earliest stages, DCIS cancer cells appear as areas of calcifications.  It is usually staged as Stage 0 breast cancer. Additionally, women who have the presence of estrogen receptors, respond positively to hormone therapy.  When caught early, there is a high cure rate.
    Your treatment plan is based on:  your tumor location, how big your tumor is, how aggressive the cancer cells look and your family history of breast cancer. In fact, the National Comprehensive Cancer Network, NCCN, recommends women who have a lumpectomy plus radiation therapy for estrogen receptor (ER+) DCIS, consider taking Tomoxifen for five years.
     If you have a physical exam and mammogram and you have Invasive Ductal Carcinoma, more tests will be done.  It can be CT Scan, MRI, PET Scan, bone scan or chart X-Ray.  Additionally, lymph nodes sampling may take place.  Afterwards, the doctor will determine what stage you are in and find the right treatment for you.  Sometimes it can be surgery with chemotherapy and/or Tomoxifen which will be the right choice for you.  Together with your doctor, you will make the right choice.
      I know having this diagnosis is hard because I have dealt with cancer in my own family.  A wonderful nurse helped me get through this by saying one more treatment day is over for my family member.  My world was turned upside down and the diagnosis of cancer changed the way I look at life forever.  It helped make it through that very hard year.  I now cherish each and every moment I share with my loved ones.  I don’t take things for granted and yes, I do stop and smell the roses and appreciate life so much more.

In conclusion, treating cancer at an early stage can save lives.  DCIS is often detected by a mammography.  Early detection is greatly increased the chances for successful treatment and outcome.  Ask your doctor how often you should have a Mammography.  I believe every insurance plan now pays for these at 100%, so there is no excuse why you shouldn’t have one when ever it is recommended to you..

Mom Is The Most Important Job

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                              SUPER MOM
                  HAPPY MOTHER'S DAY- 2015
                You are all very much appreciated.

          Becoming a mom is the most amazing feeling a woman can ever experience.  In fact, the role of a mom is the most important job in the world.  We love our children unconditionally.  Moms have significant roles in their child's health.  Eating healthy,not drinking alcohol etc... has an impact on your child's life during pregnancy.  Additionally, breastfeeding your baby plays an important role on your child's health.  Breastfeeding has so many nutritional factors that you are giving your baby the best nutritional start into life.
     A mother's love for her child is priceless.  A mother cares for her child daily.  We need great understanding and patients to raise our children.  Furthermore, we are our child's role model.  Therefore, we help influence, mold and sculpture our children into who they are.  
     We take great pride in our child's accomplishments.  We  cheer them on when they reach a personal goals.  We prepare healthy foods for them daily.  We nurture them spiritually.  We clean their injuries and make them feel better when they are sick.  We nurse them back to help when  major illnesses arise. 
     We instill courage and confidence in our children to accomplish anything they set their hearts and mind out to do. We teach our children to be kind to one another and do good deeds for others.  We guide our kids with our words of wisdom daily.  We help our children choose right from wrong.  In other words,our children are the center of our world and universe, sheltering them from any harms way.
     In conclusion, to every mom out there, you are doing the most important job there is.  Your courage, strength and inspiration to your children, make you all heros in my eyes.  Take care of yourself and do something nice today for yourself because you deserve it.

Time To Donate Breast Milk

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     Breast milk is best for your child.  However, if you cannot breastfeed a baby for many medical and nutritional reasons and conditions, consider donor milk.  You are doing an amazing thing by donating your breast milk to other babies. Donor breast milk requires a prescription, stating that for medical reasons your baby requires human milk. Furthermore, buying and selling breast milk carries undue medical and ethical issues.   In fact, there are ways to get milk from milk banks safely and not through unsafe ways.
     Breast milk contains many antibodies needed for these sick babies.  Donor milk banking is collected, screened, processed and distributed to babies who need it the most.  The Human Milk Banking Association of North America, HMBANA, has specific guidelines for donating milk.  There is a lengthy  screening process.  This was founded in 1985 for the United States as well as Canada.  Dr Lois D. W. Arnold was founding member and served as Executive Director of the Human Milk Banking Association of the North America, for many years.  She was also one of my college professors at The Union Institute and University, where I received my Bachelor Degree in Maternal and Child Health/ Lactation. 
     At the HMBANA milk bank, milk is processed carefully and in a sterile way.  This organization make it safe for recipients.  Donors get sterile containers and are told how to express their breast milk.  The milk is pasteurized to help kill bacteria and viruses.  This breast milk is tested for bacterial growth.  It is kept frozen until needed. 
     So, who can donate breast milk?  Moms who are:  healthy, don’t abuse alcohol, tobacco, illegal drugs, moms who haven’t had an organ transplant in one year, moms who haven’t had a blood transfusion in four months, moms who have not tested positive for HIV,HTLV, Hep. B and C or syphilis, moms who do not have partners who have HIV, moms who are vegetarians need to supplement their diets with Vitamin B 12 if they want to donate milk.
     You can donate breast milk to HMBANA.  Just because your state doesn’t have a place to donate milk, you can donate to the out of town facility of HMBANA.  Call the birthing place, hospital or doctor’s office and ask them where you can donate your breast milk.
     Here is a list of place of HMBANA Milk Banks:
Canada-Alberta 403-475-6455
British Columbia, Vancouver 604-875-2282
Toronto, Ontario 416-586-4800 ex 3053
San Jose, California 877-375-6645
Denver, Colorado  303-869-1888
Indianpolis, Indiana 877-829-7470
Coralville, Iowa  319-384-9929
Kalamazoo, Michagan  269-341-6146
Kansas City, Mo 816-932-4888
Missouri, Montana 406-531-6789
Newton Upper Falls, Ma  617-527-6263
Raleigh, North Carolia 919-350-8599
Columbus, Ohio  614-566-0630
Oklahoma City, Oklahoma 405-297-LOVE
Portlan, Oregon 503-469-0955
Austin, Texas  877-813-MILK, 512-494-0800
Fort Worth, Texas  866-810-0071
Norfolk, Virginia 757-668-6455
These States Are Developing Milk  Banks:
Orlando, Fl  407-248-5050
Flowood, Ms  601-613-0531
Schaumburg, Il.  847-444-9256
Salt Lake City, Ut.  801-587-7504
Pittsburgh, Pa  412-491- 9123
Charleston, South Carolina  843-792-2112
Birmingham, Al  205-942-8911
Ardlsey on Hudson, New York  914-231-5065
Rogers, MN   7   63-486-8123
Philadelphia, PA
This is a list of places to call and drop off your donor breast milk in the Houston, Texas Area, where I have a private practice in Lactation Consultation.  

The Women’s Hospital  7600 Fannin Houston, TX 77054 713-383-2895
Southwest WIC Center 6400 High Sta rHouston, TX 77074 832.393.5427
The Woman's Place of Sugar Land 16552 A Southwest Freeway  Sugar Land, TX 77479 281-242-0767
Cypress Fairbanks Medical Center 10655 Steepletop Drive Houston, TX 77065281-897-3334
Memorial Hermann The Woodlands Hospital Lactation Center and Retail Shop 9250 Pinecroft
The Woodlands, TX 77380713-897-5832
Memorial Hermann Katy23900 Katy Freeway Katy, TX 77493281-644-7345
Clear Lake Regional Medical Center 500 Medical Center Blvd Webster, TX 77598  281-338-3398
Kingwood Medical Center22999 US Hwy 59N Kingwood, Texas 77339
Texas Lactation Consultants, Inc. 1533 1/2 Heights Blvd Houston, TX 77008 713-884-6204
Memorial Hermann Memorial City Hospital 929 Gessner Rd. Houston, Texas 77024713-242-4437

     In conclusion, if you want to share your breast milk with others, donate to the HMBANA, hmbana.org.  You and your breast milk will be screened to ensure safe sharing.  This will give you a peace of mind needed to ensure the health of your baby.

The Importance Of Skin To Skin

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    There have been numerous studies done to show that mom and baby should be skin to skin, the baby naked on mom's chest right after delivery.  This allows the baby to be colonized by mom's bacteria, as stated by Dr Jack Newman.  Skin to skin also helps regulate the baby's temperature, keep the baby calm and not crying, as well as regulates the baby's sugar levels.  Fathers can also do skin to skin with their baby.  You can hold your baby for as long as you want doing skin to skin,Kangaroo Care.
     Skin to skin is important immediately after birth, during the first hour after delivery.  As I have seen, the baby starts to search for the breast nipple to begin breastfeeding.  Skin to skin after Cesarean section can also be done.  When a premature baby is stabilized and doesn't have respiratory problems, skin to skin contact can actually help speed up recovery and help with oxygen flow and breathing.  It helps the baby sleep better and aid with digestion.Furthermore, the baby hears moms heartbeat and feels comforted and warm. Skin to skin helps with the baby's immune system. Skin to skin helps moms recovery faster.  She feels so good to have her baby near her therefore, she feels less depressed.
     There have been many stories around the world where parents were told their baby was not going to live.  When placed on their mom skin to skin, their baby started to revive itself and come back to life.  Skin to skin helps release mom's oxytocin hormone, which affects many areas of the baby's brain.  The baby feels and senses mom's presence.  This can make a baby's heart rate stronger.  Therefore, they breathe better.  Ruth Lawrence said that Kangaroo Care or skin to skin originally was introduced in 1979, in a hospital in Bogota, Columbia.  There was a shortage of incubators, high death rates from infection and abandonment of premature infants by the mom.  Skin to skin helped many of these babies recovery and go on to lead good lives.  My own daughter just had a baby this week and this was the first thing I recommended to her,to hold her baby skin to skin.

     In conclusion,skin to skin regulates the baby's temperature, breathing, heart rate and sugar levels.  The first hour outside the womb is such a  special time for mom and her baby.  In fact, skin to skin is important to do this first hour after delivery.  Skin to skin makes a baby feel secure while being very close to his mom.  It is the best thing physically and emotionally for your baby.  Dad can also do skin to skin.  Enjoy your new baby and don't forget to have lots of skin to skin time with your new baby.

Fenugreek,Thyroid Problems And Breastfeeding

     The Thyroid Gland plays a very important part of our body.  The Thyroid Gland secretes hormones that regulate our metabolism.  In fact,the disruption of the thyroid, throws other parts of the body off.  Hypothyroidism is an under active thyroid, while Hyperthyroidism is an overactive thyroid.  Women who are on medication for their thyroid problem, have a normal milk supply while breastfeeding.  However, some women want to increase their breast milk.  Foods or medications that help increase milk supply while breastfeeding, are called Galactagogues. Fenugreek is promoted as increasing your  milk production while breastfeeding.  Fenugreek is the number one herb recommended to help increase your milk while breastfeeding.
     There hasn't been enough studies done to support or show evidence that Fenugreek is effective for milk production.  Furthermore, just because it is a herb, doesn't mean it is safe.  If you have a thyroid problem, Fenugreek can influence the active thyroid hormone your body uses.  This will make hypothyroidism worse and reduce milk production.  Furthermore, Fenugreek reduces blood glucose levels, which can be a problem for women with diabetes or hypoglycemia,low blood sugar level.  Therefore, women who have these problems, should consult their doctor before takingFenugreek to help increase their milk supply.
     Some women have reported side effects of Fenugreek which have included:  diarrhea, gas, indigestion, heartburn and unusual smelling of the skin and urine, like maple syrup.  Some have even experienced even greater side effects such as internal bleeding, severe headaches, vomiting blood, numbness in the arms and legs and even have had a stroke.
     Your baby's digestive system can also be affected by Fenugreek. Additionally, if you have asthma, Fenugreek can make your symptoms worse.  
     Fenugreek is a legume and those who have peanut allergies may experience a cross reaction.  Therefore, stay away from Fenugreek.
     Do not take Fenugreek if you have a bleeding or blood clotting disorder.  As always, check with your doctor before you decide to take Fenugreek.  Dr. Thomas Hale, who is world renowned in the breastfeeding world, classifies Fenugreek as moderately safe, a Lactation Risk Category 3.
In conclusion,  it is not known whether Fenugreek can harm a breastfeeding baby or prove to have any positive effect on milk supply or breastfeeding.  Proceed with caution when using Fenugreek.  Check with your doctor before using Fenugreek.

Breastfeeding: When And How To Start Solid Foods

     The World Health Organization recommends exclusively breastfeeding for the first six months of life.   In fact, by exclusively breastfeeding your baby, you really establish a smooth transition from breastfeeding to introducing solid foods.  Breastfeeding can continue after introducing solid foods to your baby.
     In a study put out by The University of North Carolina School Of Medicine, published in Frontiers In Cellular And Infection Microbiology, researchers have looked into a baby's diet in its first few months of life.  They are now realizing that there are profound influences in the composition, diversity, stability of the gut microbiome.   (  The human gut is home to many living microorganisms and genetic material). These factors in turn influence the baby's ability to transition from breast milk to solid foods and may have long term health effects.
     There comes a time where breast milk no longer supplies all your baby's nutritional needs, therefore, solid foods are introduced.  What is a good time to make a transition from exclusive breastfeeding to introducing solid foods, for your baby?
      First of all, determine if your baby is ready for solids.  Ask your pediatrician when to begin solid foods.  The best time to start solid foods is when your baby is showing  interest.  Once solid foods are introduced, your breast milk will still provide the majority of necessary nutrients for your baby.  
      Start by introducing a few spoonfuls at a time of food.  Offer a new food approximately every few days so you can see if your baby has an allergic reaction to the food given.  Continue to add new foods gradually.  You can introduce finger foods when the baby gets older.  Be careful to give foods to your baby that may cause an allergic reaction such as :  eggs, tomatoes, dairy products, wheat products, onions, chocolate, fish, spicy foods or nuts.
     Breastfed babies digest solid foods better because breast milk contains enzymes that help digest fats, proteins and starch.  As the baby starts to tolerate solid foods, the quantity and variety of solid foods can be increased.
     Breastfed babies have all ready experienced a variety of tastes through foods in their mom's breast milk.  Now, new cereals and foods are an added bonus to a baby's world, as different foods are being introduced, one by one.  Additionally, some moms add their own breast milk to cereals that they give their baby.  
     As you increase the food intake for your baby, his need for breastfeeding diminishes, which may cause your supply to go down.   This is a normal process while breastfeeding and introducing food to your baby's diet.
     In conclusion, continue to breastfeed as you introduce solid foods to your baby.  Ask your pediatrician for a recommendation for your baby on starting solid foods.  Every baby is different and has different needs.  Babies enjoy tasting new foods however, breastfeeding your baby should continue.  Giving your baby solid foods does not mean you need to stop breastfeeding.  Enjoy this special time breastfeeding your little angel.  I hope the transition to solid foods goes smoothly for you and your babies.

It's All About Nipple Cremes And Ointments While Breastfeeding

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     Breastfeeding is best for your baby.  Getting a good latch is important however, sometimes that doesn't always go so well and your nipples crack.  That is when you need to decide whether you should call your doctor, OB/GYN and decide together which creme is right for your situation.
     Cremes that you apply to your nipple while you breastfeed, may get ingested by your baby.  Lanolin creme is safe while breastfeeding.  Lanolin can be applied before and after pumping and after every feeding session if desired.
     If you are in excruciating pain with cracked nipples, they may be infected.  Neosporin, Triple Ointment or Bactracin may help.  Apply these ointments after feeding.  If this does not work after a few days, you need to call your doctor.  
     In my private practice, I see a lot of cracked nipples.  I actually decided to write this blog because I have had a week of patients with lots of cracked nipples.  In my private practice, I see a lot of this.  If your nipples are bleeding, you need a rest from breastfeeding.  You will have to pump a few sessions until your nipples stop bleeding.  Then resume breastfeeding.
     Sometimes, yeast can infest nipple tissues.  When you nipples are cracked, yeast can enter.  You can call a Lactation Consultant to help you figure out what is going on.  As a Lactation Consultant, I do not prescribe medications, therefore, you need to call a doctor if you feel you have a infection.  Your doctor will prescribe an antibacterial creme.  
     Dr. Jack Newman has suggested an all purpose creme for nipples that are cracked and bleeding.  It is a combination of two antifungal ingredients, one antibacterial ointment and one steroid.  Please call your doctor before using this. (I personally feel it is too strong and not healthy to use).
     The simplest and healthiest way to treat cracked nipples is using your own breast milk.  Additionally, you need to let cracked, bleeding nipples air out.  Yesterday, as I was helping one of my patients who had a cracked nipple, we both started singing and made up our own song, It's all about the latch........to the tune of ,It's all about the bass song.  This is true.  If you have a good latch, your nipples will not get cracked.
     In conclusion, I am sorry you are suffering.  I know cracked nipples can be painful because I experienced this myself while breastfeeding.  Ask a Lactation Consultant or your doctor which ointment is right for you.  Good luck.  I hope you feel better real soon and enjoy breastfeeding your baby.

Human Breastmilk Fat Improves Growth in Premature Infants

     Premature babies often need special medical attention and care only found in a Newborn Intensive Care Unit, NICU.  Texas Children's Hospital in Houston, Texas cares for 1,000 of babies each year.  In fact, a study has just come out from Texas Children's Hospital doing research on premature infants and breastfeeding. 
     Researchers at the USDA/ARS Children's Nutrition Research Center at Baylor College of Medicine and Texas Children's Hospital have put out a report on Human Milk Fat, that it greatly improves growth in premature infants on August 15, 2014, in the Science Daily.
Babies who are born very small 750 to 1250 grams, need extra calories,  (1000 grams is about 2 pounds 2 ounces).  These babies lungs and other organs are still developing after they are born.  If the infant can gain weight and grow at a good rate, this increases and improves their outcome.  Babies will be fed breast milk in a tube and start breastfeeding around 33 to 34 weeks.  My son was born at 32 weeks.  He was feed with a tube for many weeks.  I remember pumping around the clock and bringing my milk to him.  Then when he actually started to breastfeed, many weeks later, it was an exciting moment for the both of us.  I breastfed him well over a year.
A diet for a premature baby may consist of mom's milk and donor milk, if a parent asks for this.  That is why it is important, if you have extra milk, call your local hospital NICU and ask where you can donate your milk.  Furthermore, your body knows that you had a preemie and your breast milk has extra minerals and proteins designed for your baby.  In the fist few weeks, your milk contains more protein fatty calories and calcium, phosphorus, magnesium, zinc, sodium and chloride.  Breast milk also has a laxative effect, which helps your baby pass its first bowel movement, meconium and throughout breastfeeding.  In fact, breast milk is easily digested.  Breast milk helps with brain growth and development.  Breast milk improves your baby's mental health too.
     Human and donor milk have good kinds of fats for these newborns.  However, these babies can only tolerate a certain amount of food in their stomach and intestines.  Please consider donating your breast milk to help save these babies.
     Preemies receive many benefits from breastfeeding including protection against infections, better developmental outcomes and stress.
Large proteins molecules called immunoglobulins cross the placenta and are stored while the fetus is growing inside a mom and during the first three months of life.  They also protect the baby up to 5 months after birth.  Therefore, it is so important to give your breast milk to your baby in the NICU.
     Don't leave milk out longer then 30 to 60 minutes, when your baby is in the NICU.  These little babies are very delicate and it is important to not allow milk to stand outside the refrigerator too long before using it.  Moms who cannot breastfeed their preemies need to pump every 3 to 4 hours.  While traveling to the hospital, put the milk in a cooler for transport.
     Make sure you wash your hands with soap before you pump. Pump 10 to 15 minutes per session.  Use a Hospital Grade Pump. 1-2 ounces is a good start per meal, 1 ounce equals 30cc and 2 ounces equals 60cc.
NICU babies do better with breastfeeding.  They can pace themselves on  how much they are swallowing and therefore they can maintain a good oxygen level.  Breastfeeding also provides these babies the warmth and physical contact they need from their mom.  Skin to skin is really important to do at this time.  Ask a nurse in the NICU or Lactation Consultant to help you with breastfeeding and pumping.  I get called many times to help these moms .
In conclusion, preemies face many challenges in the NICU.  Breastfeeding can really help your baby and it is the best nutrition for your baby.  Try to establish a good milk supply by pumping and breastfeeding.  Bring this milk to the NICU for your baby.   Everyday you give your milk or breastfeed your baby is the best possible nutrients you can give your baby to allow your baby to grow and nourish properly.  I am proud of every new mom out there that attempts breastfeeding.  I know breastfeeding can be hard and challenging however, it is very rewarding.  You are all doing an amazing job.  Enjoy your journey and time breastfeeding your baby.

Ankyloglossia, Tongue Tie While Breastfeeding

     Ankylogglosia is known as a tongue tie.  It is caused by an unusually short, thick lingual frenulum, a membrane connecting under the tongue and the floor of the mouth.  Some are mild and some are more severe.  Tongue ties affect about 4 to 5% of infants.
     Many studies have been done to see if a Lingual Frenotomy, also called Frenectomy, Frenulectomy or Frenuloplasty, a procedure performed to relieve tongue ties while breastfeeding.
     The evidence supports treating tongue ties for breastfeeding problems.  Many feel this is the right thing to do.  In my private practice, I see many babies with tongue ties.  I recommend each baby be seen by a specialist and Ear, Nose, Throat Pediatric Specialist.  Ask your pediatrician for a good referral.  Dentists also specialize in clipping tongues.
     Before the tongue tie procedure, many infants experience poor latch problems.  In many studies, it has been shown overwhelmingly that clipping the tongue and having this procedure, greatly improves the outcome of breastfeeding for the infant. 
Having your infant's tongue tie taken care of, also helps with their word articulation and helps them enunciate words and sounds better later on in life.   This is why, I greatly feel a tongue tie should not be ignored and a specialist should give you their opinion of whether your baby's tongue tie needs immediate attention or whether it can wait.
     In conclusion, there have been many studies done assessing the relationship between Frenotomy and breastfeeding symptoms.  Overall, the conclusion is that you need to have a Frenotomy to help reduce breastfeeding problems.  The baby latches on better onto the mother.  The mother feels less pain.  Breast milk is transferred better.  Make sure if your baby has a tongue tie, you address it as soon as possible.  The soon you address it, the better it is for your baby.  Speak to your pediatrician first.  Then see a specialist.  I have seen many moms breastfeed successfully after a Frenotomy.

Rheumatoid Arthritis And Breastfeeding

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     Many women suffer from Rheumatoid Arthritis, RA.  RA is a chronic inflammatory disease, thought to be called a genetically influenced autoimmune response (Riordan, 2005).  During pregnancy, many women with RA symptoms usually get better, even allowing women to go into remission, only for symptoms to return after delivery.  Prolactin, a milk production hormone, has been known to act as an immunostimulator (Brennan and Silman, 1994).
     There are many benefits to breastfeed your baby.  During breastfeeding, a woman needs to look down at her baby, causing a lot of pain in her neck.  There is a whole lot of strain on the neck, because breastfeeding is repeated every 2 to 3 hours around the clock for the first few weeks.  In fact, some women need physical therapy for their RA while they are breastfeeding.
     Moms need to find a good position to help with her baby on her breast.  Finding a comfortable position for her back, neck and hands is important while breastfeeding.  Use extra pillows and blankets if needed.  The cradle hold, cross cradle hold, football hold and side lying hold can be used while breastfeeding.  Ask a Lactation Consultant, I work hard in my private practice, to find the right position for each new mom.
     For the cradle hold, mom supports her baby’s head with the arm on the side as her nursing breast and the cross cradle uses the opposite arm.  For the football hold, the mom holds her baby at the side, with her elbows bent and supports her baby’s head in her arm.  You can use extra pillows or blankets under the baby’s head for additional support.  With lying down on her side, the mom holds the baby with one hand as the other breast helps guide the baby to her breast.
     Women need to talk to the Rheumatologist or Ob/ Gyn, to see what drugs are safe while breastfeeding.  Most medicines that are safe during pregnancy, are usually safe while breastfeeding.  Furthermore, ask your doctor if you need to continue taking your prenatal vitamins while breastfeeding, so you can receive additional vitamins while breastfeeding.
     If you are having a bad RA day, it is flaring up, and you are in constant pain, ask for help.  Have someone else take care of the baby for a while.  They can burp or change the baby’s diaper if needed.  Sometimes, switching breastfeeding positions during the day helps.
     If you cannot breastfeed due to severe pain from RA, you can pump.  Call a Lactation Consultant or your doctor to help you out.  Buy a Hands free pumping bra to help hold the pump bottles in place, so you don’t need to use your hands.
     In conclusion, have a good support system to help after delivery, while you breastfeed.  Speak to your Rheumatologist and Ob/Gyn about breastfeeding. I hope all of you enjoy breastfeeding and this special time bonding with her baby.
The following is a list of drugs you can take while breastfeeding with  RA.
Antitumor necrosis Factor drug
These drugs are NOT good to take while breastfeeding
Warfarin-this drug may be ok
With all the above list, ask your doctor which drug is right for you during breastfeeding.