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Breastfeeding With A Nipple Shield
Breastfeeding And ADHD: Could Nursing Be Protective?
Breastfeeding And Sage Tea
Breastfeeding In Public
What Is Ductal Carsinoma In Situ, DCIS

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Breastfeeding With A Nipple Shield

Please like my website and facebook page.  Thank you for stopping by.  Blessings and love to everyone around the world.  Enjoy reading this blog.  It is a labor of love writing this information for everyone.

 
     A nipple shield is a device that a mother places on her nipple, areolar surface prior to nursing her baby.  It is used to help latch the baby onto her breast.  It covers all or part of her areola, the pigmented area around the nipple.  It is a tool many breastfeeding moms love.  Furthermore, over the years mothers have heard conflicting advice about nipple shields. If you need to use it, your milk flows right through the holes in its tip. You should use it.  As an International Board Certified Lactation Consultant, I recommend a nipple shield for various reasons.  Of course, I try very hard not to use it because then you need to wean your baby off.  Let’s talk about reasons why a mom may need one.
     Nipple shields are thin, silicone, nipple cover. I like the one that is only half shape, not totally circular, which many hospitals give out.  This nipple shield shape does not flap on the baby’s face while breastfeeding. The baby can breathe better.  I call them, “the half moon,” nipple shield. They are used to help a baby latch onto the breast.  Nipple shields are used for many reasons.  One is for moms who have flat or inverted nipples, in order to make it easier for a baby to latch on.   
     Nipple shields are also used for moms who have cracked nipple, sore or bleeding, to protect damaged nipples while they heal. (If your nipples are really bad and bleeding, I tell my patients to pump one or two sessions to let the nipples heal.)  This way mom will avoid interrupting breastfeeding.
      The nipple shield is also used to transition a baby back to breastfeeding after using a bottle.  Nipple shields help moms who are suffering from engorgement temporarily help latch their baby on until the engorgement goes away.  They help babies who suffer from a tongue tie latch on better.  Nipple shields also help a premature baby transfer milk better, helping the baby with a disorganized suck.
     Studies have been done on preemies who need to use a nipple shield. Rinse the nipple shield with warm water so it will be a little more flexible for you baby especially a preemie. The premature baby may have a tendency to fall asleep faster at the breast, therefore, a shield will help the baby suck more efficiently.  In fact, the baby has a short ineffective burst of sucking, and has trouble maintaining longer bursts of sucking.  With the shield, you give a preemie a firmer surface to grasp and hold in their baby’s mouth, so your baby will suck better and longer therefore, transferring more breast milk.
     Anytime a nipple shield is used, the baby’s urine and stool input should be checked.  Additionally, the baby’s weight gain should be closely monitored.
     Some mothers have heard and are concerned that nipple shields can cause a significant reduction in the amount the milk that the baby receives from the breast, resulting in a drop of milk production and lowered birth weight.  Actually, in some cases, nipple shields actually increase milk intake.  It is better to use the shield so you and your baby experience a positive feeling while breastfeeding rather than having a negative one because you are struggling so badly.
     Some moms are worried that with a shield, the baby is not getting enough to eat.  A mother does not have to pump after she feeds her baby with a shield if the baby shows signs of active sucking, satisfaction after feeding, and has a normal urine and stool output.  Some of my patients buy an inexpensive scale to weigh their baby before and after feeding, to know the baby’s intake per meal.  You can also monitor your baby’s weight.
     Wean the baby from the nipple shield by gradually starting the baby with the shield then slipping it off towards the end on the breastfeeding session, while the baby is sucking and swallowing well.  Use the shield for a couple of minutes, take it off and on and eventually wean your baby off.  Baby’s readiness to wean off the shield is just as important as the mom’s readiness.  I have helped many moms with this process.  It takes time and patience.  It may take a few days.
In conclusion, try your best not to use the nipple shield.  However, if you have to use it, do it wisely and with the guidance of a professional, such as a Lactation Consultant.  Use it to preserve breastfeeding and increase your baby’s effectiveness on your breast.  Then, slowly take it off.  Use it to protect your bleeding nipples temporarily.  Anytime the nipple shield is used, the baby’s urine and stool output should be checked as well as the baby’s weight gain.  I am so proud of every mom that attempts to breastfeed your baby.  Keep up the good world.  You are all doing an amazing job.

Breastfeeding And ADHD: Could Nursing Be Protective?

Please like my facebook page.  Thank you for visiting my website.  It has been a labor of love writing this blog for everyone around the world.
 
     Breast milk is best for all children.  It has many beneficial components to it.  It has many natural protective ingredients too.  In fact, breastfed children are less likely to develop Attention Deficit Hyperactivity Disorder, ADHD, later in life.  Additionally, breastfeeding may lower the risk of ADHD.
 
     What is Attention, Deficit, Hyperactivity Disorder, ADHD?  Web MD says that ADHD is the most commonly diagnosed mental disorder of children.  Children with ADHD may be hyperactive and unable to control their impulses.  They may have trouble paying attention.  Their behavior may interfere with their school work and home life.  ADHD is usually discovered in the early school years.  Children can be greatly helped with proper treatment such as medicine, therapy and a good educational plan.  This will help manage their symptoms.
 
     Breast milk contains nutritious ingredients for your baby’s body. “As we know that breastfeeding has numerous other biological advantages, we suggest that prevention at least partial, of ADHD may be added to this list,” said Dr. Aviva Mimouni- Bloch, head of pediatric neurology and development unit at Lowenstein Hospital Rehab Center and professor of medicine at Tel Aviv University.  She continues by saying that breastfeeding has a positive impact in child development and health, including protection again illnesses.
 
    Ruth Lawrence, MD, Editor-in-Chief of Breastfeeding Medicine and Professor of Pediatrics, University of Rochester School of Medicine, said:  "Breastfeeding has been shown to have a positive impact on child development, good health, and protection against illness. Now, another possible benefit of breastfeeding for three months and especially six months or longer has been identified. This study opens another avenue of investigation in the prevention of ADHD."
 
     Dr. Andrew Gerber, an assistant professor of clinical psychiatry at Columbia University commented how breastfeeding and bonding with your baby and can have an important implication on development, both intellectually and emotionally for your child. 
 
     In conclusion, new moms are always encouraged to breastfeed.  It provides optimal nutrition for the newborns.  Breast milk is easily digested and contains hormones and antibodies that help protect against illness. Breastfeeding can protect against ADHD.  I am so proud of all new moms that attempt to breastfeed.  Keep up the good work and enjoy breastfeeding.


Breastfeeding And Sage Tea

To everyone around the world thank you for stopping by.  Please enjoy this blog.  I hope you will like my facebook page after reading it.  Blessings and love to all.
 
     Sage Tea has been associated with potent healing powers.  In fact, there are many species of sage, which is part of the mint family. It can be used for many reasons.   It is the best herb used to decrease breast milk production. However, Sage Tea has to be used cautiously.
  If you have any questions or concerns about Sage Tea, Please contact the Infant Risk Center at 1-806-352-2519.
 
     Sage Tea should not be used in large quantities because it can be toxic in large amounts. But to be safe, it is always best to ask your doctor before using Sage Tea. 
     Sage Tea can be purchased from a health food store or you can make some from powdered sage.  You can use 1/4 to 1/2 teaspoon of powdered sage in 1 cup of hot water, three times a day for 1-3 days.
     When you make a decision to stop breastfeeding, your breast will continue to produce milk for a while.  You may feel engorged.  Your level of prolactin hormones may decrease.  Prolactin is one of your milk production hormones.  You can apply ice to help with breast pain for 10 to 20 minutes when you are trying to wean your baby.  Additionally, take Tylenol (Acetaminophen) or Advil (Ibuprofen) as directed for discomfort.  Don’t wear tight clothes or bind your breasts during weaning.  It may cause plugged ducts or Mastitis.  Wear a good supportive bra and drink plenty of fluids.  By slowly expressing less often, your milk will decrease without causing much physical problems.  Weaning usually takes 2-3 weeks.
     Never stop breastfeeding quickly.  Start by cutting out a feeding session and replacing it with a bottle of expressed milk or formula or use a sippy cup.  This will help the breast tissue to gradually adjust so you won’t get engorged. I spoke the other day to a company, Earth Mama Angel Baby Organics, who puts out a fabulous product for this reason Organic No More Milk Tea.  It is ruby red, mint, refreshing and delicious, USDA Certified 100% Organic, Certtified Kosher and Non GMO.  It is a blend of herbs traditionally used to naturally reduce the production of breast milk.  They suggest drinking up to three cups a day.  They also told me that many moms buy this product, unfortunately, when they have had a miscarriage and want their milk production to decrease and stop.  Therefore, I highly recommend this product.
     In conclusion, if gradual process of weaning is right for you, do it slowly and safely.  Contact your doctor before choosing to use Sage Tea.  Best of luck to all of you on your breastfeeding and weaning journey.
 
 

 

Breastfeeding In Public

Please like my facebook page.  Thank you for stopping by and reading my blog. Here are the United States Laws for Breastfeeding in Public.


     Many states have now enacted laws to protect the right of a new mom, so she can breastfeed in public.  In fact, a mother is entitled to breastfeed her baby in many places.  Here is a list below by state.  Breastfeeding your baby in public should be a time of relaxation and bonding for the two of you.  

State Breastfeeding Laws
  • Forty-nine states, the District of Columbia and the Virgin Islands have laws that specifically allow women to breastfeed in any public or private location. (Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin and Wyoming.)
  • Twenty-nine states, the District of Columbia and the Virgin Islands exempt breastfeeding from public indecency laws. (Alaska, Arizona, Arkansas, Florida, Illinois, Kentucky, Louisiana, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nevada, New Hampshire, New York, North Carolina, North Dakota, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Virginia, Washington, Wisconsin and Wyoming.)
  • Twenty-seven states, the District of Columbia and Puerto Rico have laws related to breastfeeding in the workplace. (Arkansas, California, Colorado, Connecticut, Delaware, Georgia, Hawaii, Illinois, Indiana, Louisiana, Maine, Minnesota, Mississippi, Montana, New Mexico, New York, North Dakota, Oklahoma, Oregon, Rhode Island, Tennessee, Texas, Utah, Vermont, Virginia, Washington and Wyoming.)
  • Seventeen states and Puerto Rico exempt breastfeeding mothers from jury duty or allow jury service to be postponed. (California, Connecticut, Idaho, Illinois, Iowa, Kansas, Kentucky, Michigan, Mississippi, Missouri, Montana, Nebraska, Oklahoma, Oregon, South Dakota, Utah and Virginia.)
  • Five states and Puerto Rico have implemented or encouraged the development of a breastfeeding awareness education campaign. (California, Illinois, Minnesota, Missouri and Vermont.)
             Several states have unique laws related to breastfeeding. For instance,
  • Puerto Rico requires shopping malls, airports, public service government centers and other select locations to have accessible areas designed for breastfeeding and diaper changing that are not bathrooms. Louisiana's law requires state building to provide suitable areas for breastfeeding and lactation.
  • At least three states have laws related to child care facilities and breastfeeding. Louisiana prohibits any child care facility from discriminating against breastfed babies. Mississippi requires licensed child care facilities to provide breastfeeding mothers with a sanitary place that is not a toilet stall to breastfeed their children or express milk, to provide a refrigerator to store expressed milk, to train staff in the safe and proper storage and handling of human milk, and to display breastfeeding promotion information to the clients of the facility.  Maryland requires child care centers to promote proper nutrition and developmentally appropriate practices by establishing training and policies promoting breastfeeding.
  • Maryland exempts the sale of tangible personal property that is manufactured for the purpose of initiating, supporting or sustaining breastfeeding from the sales and use tax. Louisiana prohibits state sales or use tax from being applied to any consumer purchases of breastfeeding items.
  • California, Louisiana and Texas have laws related to the procurement, processing, distribution or use of human milk.
  • New York created a Breastfeeding Mothers Bill of Rights, which is required to be posted in maternal health care facilities. New York also created a law that allows a child under one year of age to accompany the mother to a correctional facility if the mother is breastfeeding at the time she is committed.

Breastfeeding Laws By State: 

AlabamaAla. Code § 22-1-13 (2006): A mother may breastfeed her child in any location, public or private, where the mother is otherwise authorized to be present.

AlaskaAlaska Stat. § 29.25.080: A municipality may not enact an ordinance that prohibits or restricts a woman breast-feeding a child in a public or private location where the woman and child are otherwise authorized to be. 

ArizonaAriz. Rev. Stat. Ann § 41-1443 (2006): A mother is entitled to breast-feed in any area of a public place or a place of public accommodation where the mother is otherwise lawfully present. 

ArkansasArk. Stat. Ann. § 20-27-2001 (2007): A woman may breastfeed a child in a public place or any place where other individuals are present.

CaliforniaCal. Civil Code § 43.3 (1997): Notwithstanding any other provision of law, a mother may breastfeed her child in any location, public or private, except the private home or residence of another, where the mother and the child are otherwise authorized to be present.

ColoradoColo. Rev. Stat. § 25-6-302 (2004): A mother may breastfeed in any place she has a right to be.

ConnecticutConn. Gen. Stat. § 46a-64: It shall be a discriminatory practice in violation of this section . . . for a place of public accommodation, resort or amusement to restrict or limit the right of a mother to breast-feed her child; and § 53-34b: No person may restrict or limit the right of a mother to breast-feed her child.

DelawareDel. Code Ann. tit. 31 § 310 (1997): Notwithstanding any provisions of law to the contrary, a mother shall be entitled to breast-feed her child in any location of a place of public accommodation wherein the mother is otherwise permitted.

District of ColumbiaD.C. Code Ann. § 2-1402.82(c)(1): A woman shall have the right to breastfeed her child in any location, public or private, where she has the right to be with her child, without respect to whether the mother's breast or any part of it is uncovered during or incidental to the breastfeeding of her child. 

Federal LawPub. L. No. 106-058, § 647: Notwithstanding any other provision of law, a woman may breastfeed her child at any location in a Federal building or on Federal property, if the woman and her child are otherwise authorized to be present at the location.

FloridaFla. Stat. § 383.015(1) (1993):  A mother may breastfeed her baby in any location, public or private, where the mother is otherwise authorized to be, irrespective of whether the nipple of the mother's breast is uncovered during or incidental to the breastfeeding.

GeorgiaGa. Code § 31-1-9 (1999): [A] mother may breast-feed her baby in any location, public or private, where the mother is otherwise authorized to be irrespective of whether the nipple of the mother's breast is uncovered during or incidental to the breast-feeding.

HawaiiHawaii Rev. Stat. § 489.21: It is a discriminatory practice to deny, or attempt to deny, the full and equal enjoyment of the goods, services, facilities, privileges, advantages, and accommodations of a place of public accommodations to a woman because she is breastfeeding a child.

IdahoNo state law specifically protects breastfeeding pairs. 

IllinoisIll. Rev. Stat. ch. 740 § 137 (2004): A mother may breastfeed her baby in any location, public or private, where the mother is otherwise authorized to be, irrespective of whether the nipple of the mother's breast is uncovered during or incidental to the breastfeeding; . . . a mother . . . in a place of worship shall comport her behavior with the norms appropriate in that place of worship.

IndianaInd. Code § 16-35-6: Not with stanbding any other law, a women may breastfeed her child anywhere the woman has the right to be.

IowaIowa Code § 135.30A (2002): Notwithstanding any other provision of law to the contrary, a woman may breast-feed the woman's own child in any public place where the woman's presence is otherwise authorized.

KansasKan. Stat. Ann.  § 65-1,248(b): A mother may breastfeed in any place she has a right to be.

KentuckyKy. Rev. Stat. § 211-755(1) (2006): Notwithstanding any other provision of the law, a mother may breast-feed her baby or express breast milk in any location, public or private, where the mother is otherwise authorized to be.

LouisianaLa. Rev. Stat. Ann. § 51. 2247.1(B) (2001): Notwithstanding any other provision of law to the contrary, a mother may breastfeed her baby in any place of public accommodation, resort, or amusement.

MaineMe. Rev. Stat. Ann. tit. 5, § 4634 (2001): Notwithstanding any other provision of law, a mother may breast-feed her baby in any location, public or private, where the mother is otherwise authorized to be. 

MarylandMd. Health-General Code Ann. § 20-801 (2003): (a) A mother may breast-feed her child in any public or private location in which the mother and child are authorized to be. (b) A person may not restrict or limit the right of a mother to breast-feed her child.

MassachusettsMass. Gen. Laws Ann. ch. 111 § 221(a) (2008): A mother may breastfeed her child in any public place or establishment or place which is open to and accepts or solicits the patronage of the general public and where the mother and her child may otherwise lawfully be present.

MichiganMich. Comp. Laws § 41.181, § 67.1aa & § 117.4i et seq. (1994): [Michigan law exempts breastfeeding from public indecency laws.] 

MinnesotaMinn. Stat. §145.905: A mother may breast-feed in any location, public or private, where the mother and child are otherwise authorized to be, irrespective of whether the nipple of the mother's breast is uncovered during or incidental to the breast-feeding.

MississippiMiss. Code Ann. § 17-25-7 (2006): A mother may breast-feed her child in any location, public or private, where the mother is otherwise authorized to be, without respect to whether the mother's breast or any part of it is covered during or incidental to the breast-feeding.

MissouriMo. Rev. Stat. § 191.918 (1999): Notwithstanding any other provision of law to the contrary, a mother may, with as much discretion as possible, breast-feed her child in any public or private location where the mother is otherwise authorized to be.

MontanaMont. Code Ann. § 50-19-501 (1999): A mother has a right to breastfeed the mother's child in any location, public or private, where the mother and child are otherwise authorized to be present, irrespective of whether or not the mother's breast is covered during or incidental to the breastfeeding. 

Nebraska 2011 Neb. LawsLB, 197: A mother may breastfeed her child in any public or private location where the mother is otherwise authorized to be.
Nevada
Nev. Rev. Stat. § 201.232(2) (1995): Notwithstanding any other provision of law, a mother may breast feed her child in any public or private location where the mother is otherwise authorized to be, irrespective of whether the nipple of the mother’s breast is uncovered during or incidental to the breast feeding.

New HampshireN.H. Rev. Stat. Ann. § 132:10-d (1999): Breast-feeding a child does not constitute an act of indecent exposure and to restrict or limit the right of a mother to breast-feed her child is discriminatory.

New JerseyN.J. Rev. Stat. § 26:4B-4/5 (1997): Not with standing any provision of the law to the contrary, a mother shall be entitled to breastfeed her baby in any location of as place of public accomodation, resort or amusement where in the mother is other wise permitted.

New MexicoN.M. Stat. Ann. § 28-20-1 (1999): A mother may breastfeed her child in any location, public or private, where the mother is otherwise authorized to be present.   

New YorkN.Y. Civil Rights Law § 79-e (1994): Notwithstanding any other provision of law, a mother may breast feed  her  baby  in  any  location, public or  private, where the mother is otherwise authorized to be, irrespective of whether  or  not  the nipple of the mother's breast is covered during or incidental to the breast feeding.

North CarolinaN.C. Gen. Stat. § 14-190.9 (1993): Notwithstanding any other provision of law, a woman may breast feed in any public or private location where she is otherwise authorized to be, irrespective of whether the nipple of the mother's breast is uncovered during or incidental to the breast feeding.

North DakotaN.D. Cent. Code § 23-12-16: If the woman acts in a discreet and modest manner, a woman may breastfeed her child in any location, public or private, where the woman and child are otherwise authorized to be.

OhioOhio Rev. Code Ann. § 3781.55 (2005): A mother is entitled to breast-feed her baby in any location of a place of public accommodation wherein the mother otherwise is permitted.

OklahomaOkla. Stat. tit. 63, § 1-234 (2004): The Legislature hereby declares that breast-feeding a baby constitutes a basic act of nurturing to which every baby has a right and which should be encouraged in the interests of maternal and child health. In furtherance of this right, a mother may breast-feed her baby in any location where the mother is otherwise authorized to be

OregonOr. Rev. Stat. § 109.001 (1999): A woman may breast-feed her child in a public place.

Pennsylvania P.L. 90, No. 28, Cl. 35 (enacted July 8, 2007): The Freedom to Breastfeed Act permits a mother to nurse her child in public; and provides that breastfeeding may not be considered a nuisance, indecent exposure, sexual conduct or obscenity.  

Rhode Island
R.I. Gen. Laws § 23-13.5-1 (2008): A woman may feed her child by bottle or breast in any place open to the public. 

South CarolinaS.C. Code Ann. § 63-5-40(A) (2005): A woman may breastfeed her child in any location where the mother and her child are authorized to be.

South DakotaS.D. Codified Laws Ann. § 22-22-24.1 and § 22-24A-2 (2002): [South Dakota law exempts breastfeeding from public indecency laws.]

TennesseeTenn. Code Ann. § 68-58-101 et seq. (2006): A mother has a right to breastfeed her child who is twelve (12) months of age or younger in any location, public or private, where the mother and child are otherwise authorized to be present. [Tennessee law exempts all breastfeeding, regardless of age, from public indecency laws.] 

TexasTex. Health Code Ann. § 165.002 (1995): A mother is entitled to breast-feed her baby in any location in which the mother is authorized to be.

UtahUtah Code Ann. § 17-15-25 (1995): The county legislative body may not prohibit a woman's breast feeding in any location where she otherwise may rightfully be, irrespective of whether the breast is uncovered during or incidental to the breast feeding.

VermontVt. Stat. Ann. tit. 9, § 4502 (j) (2002): Notwithstanding any other provision of law, a mother may breastfeed her child in any place of public accommodation in which the mother and child would otherwise have a legal right to be.

VirginiaVa. Code § 2.2-1147.1 (2002): Notwithstanding any other provision of law, a woman may breast-feed her child at any location where that woman would otherwise be allowed on property that is owned, leased or controlled by the Commonwealth as defined in § 2.2-1147.

WashingtonWash. Rev. Code § 49.60.30(g) (2009): [It is t]he right of a mother to breastfeed her child in any place of public resort, accommodation, assemblage, or amusement.

West VirginiaNo state law specifically protects breastfeeding pairs. 

WisconsinWis. Stat. § 253.16: A mother may breast−feed her child in any public or private location where the mother and child are otherwise authorized to be. In such a location, no person may prohibit a mother from breast−feeding her child, direct a mother to move to a different location to breast−feed her child, direct a mother to cover her child or breast while breast−feeding, or otherwise restrict a mother from breast−feeding her child as provided in this section.

WyomingWyo. Stat. § 6-4-201 (2007): [Wyoming law exempts breastfeeding from public indecency laws.] 

Puerto Rico23 P.R. Laws Ann. § 43-1 (4): [E]very breastfeeding mother has the right to nurse her children in any place of public access, whether or not in these places are areas designated for breastfeeding. 

U.S. Virgin Islands14 V.I.C. § 1022(b): [U.S. Virgin Islands law exempts breastfeeding from public indecency laws.]

       In Conclusion, be proud to breastfeed in public.  Feel confident that you are doing the right thing for you and your baby.  In you ever have a problem, contact your Labor Commissioner.  File a complaint with your Department of Labor.  There are now workplace pumping laws that give women the right to pump at work.  Employers need to give you either a reasonable unpaid break time or you take it off during your break to pump.  Your baby can be up to 3 years old.  

Source:  National Conference of State Legislatures and State Net.


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

     
Please like my facebook page.  Happy Mother's Day to all the moms around the world.

                                                                                                                                   

                              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

     Please like my page and facebook page.  Thank you for stopping by.  I hope you enjoy this.
 
     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.