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Exclusive Pumpers South Africa

Exclusive pumping for South African women

Exclusive Pumping As A Long Term Viable Option When Breastfeeding Isn’t Possible

The World Health Organisation lists optimal infant feeding practices in the following order.

  1. Direct breastfeeding.
  2. Expressed breastmilk from the mother.
  3. Donor milk from a registered donor organization.
  4. Artificial infant milks.

And yet in most cases when breastfeeding is not working out mothers are quickly pushed from first option, to fourth with very little consideration for long term viability of option number 2, mothers own expressed breastmilk.
Breastfeeding is the biologically normal way to feed an infant, human breastmilk is made in the mothers blood and contains important nutrients, proteins, fats and immunological properties that are perfectly designed for growing human babies. Nursing at the breast provides far more than just nutrition, it provides comfort and a sense of security and is the perfect mothering tool to fix any and all complaints our tiny humans have, but due to certain circumstances, a mother may find herself unable to get baby latching.

A few of these circumstances are:

  • Premature birth
  • Cleft lip and palate
  • Severe tongue and lip ties
  • Birth defects
  • Sensory disorders in either mother or baby
  • Poor milk transfer / immature suckling reflex
  • D-Mer (dysmorphic milk ejection reflex) or past sexual or traumatic experiences
  • Working away from baby from early on for long periods.

Although several of these circumstances can be overcome with knowledgeable support from certified lactation specialists such as an internationally board certified lactation consultants or La Leche League leaders, some mothers are unable to overcome them and often turn to alternatives to formula, such as exclusive pumping or donor milk.


So what does exclusively pumping entail?

Well for starters, it demands extreme dedication, just like direct nursing, the same principles of breastmilk production apply. The more often milk is effectively removed from the breast, the more milk your body will produce. An exclusive pumper should aim to pump between 8 to 10 times within a 24 hour period in order to maintain supply, and while this seems extreme and undo able, it is actually quite easy to accomplish with the right equipment and techniques.


Understanding the basics of how breastmilk production works and how your milk is made within your body can give you the added confidence and knowledge to succeed with exclusive pumping.

Choosing the right pump

Choosing the correct pump for your personal needs is obviously a huge factor, there are so many options out there for mothers to choose from, but there is no one single type of pump that is better for exclusively pumping than another, I personally exclusively pumped for 4,5 years using a good quality manual pump, while other mothers have been able to master the marmet technique of hand expressing and exclusively pumped for well over a year using just their hands, many mothers however prefer double electric pumps to pump breastmilk, it is important to understand that choosing a breastpumps is a unique experience, not every pump is going to work for every mother.

Using your hands to help stimulate the breasts and milk ducts while pumping is a fantastic way to not only speed up the emptying process, but also to achieve a higher yield while pumping. This technique is aptly named the “hands on technique” and as an added bonus using this technique regularly also helps to cut down on blocked ducts.

Flange Size

Flange size and spares are foreign words to most new moms, but exclusive pumpers learn the importance of these words very quickly, the standard size flange, which is measured from the diameter of the nipple, not breast cup size, is 24 mm, this size only fits 45% of all mothers, flange size can greatly impact your ability to effectively pump breastmilk, it can cause friction burn, pain, and blocked ducts. Finding a pump which offers sized flanges is extremely important if the standard size does not fit you or causes pain.


Spares and maintenance 

Spares are the removable plastic pieces such as the diaphragm and duck bill, microscopic tears can drastically impact your pumps ability to function optimally so spares should be changed every 3 to 4 months or as soon as your pump begins to start feeling sluggish.

So does exclusively pumping mean that I will have to top up?

No, not at all. If a mother sticks to her schedule and maintains her pump correctly, she can successfully feed her infant well past the WHO recommended 2 years with only her breastmilk. Unlike artificial infant milks which are static in their ingredients, breastmilk is a living substance that is continually changing to meet your baby’s individual needs, therefore, unlike formula, the amount of breastmilk needed after the age of 6 months pretty much stays around 120 to 150mls per feed.

As I just mentioned, breastmilk is a living substance full of not only essential nutrients, fats, sugars and proteins, but also antibodies, stem cells and hormones, so storing and heating breastmilk are extremely Important.


Breastmilk can be stored for approximately 5 to 8 days in the back of a refrigerator, 3 months in a fridge freezer, and up to a year in a freestanding chest freezer.


Heating can also damage or denature the enzymes and nutrients found in breastmilk that can impact absorption of those nutrients. It is not recommended to heat breastmilk in a microwave or bottle warmer as the temperature rises above body temperature quickly, these methods can also cause dangerous hot spots within your milk, instead it is recommended to warm gently under warm water or in a bowl of warm water, some baby’s will happily take cooler milk while others are a bit more picky and prefer the perfect temperature of approximately 34 degrees.


Bottle Feeding your Breastfed baby

Bottle feeding is something we have all witnessed in society, but bottle feeding breastmilk is best done using paced bottle feeding or respectful bottle feeding. Feeding your baby using paced bottle feeding can reduce choking hazard, gas, over feeding and stomach complaints in breastfed infants. The basic principles of paced feeding are to:

  • Feed baby in an upright position
  • Bottle should be parallel to the floor and not tipped up.
  • Baby should be encouraged to actively suckle for milk.
  • The bottle should never be forced into baby’s mouth.
  • Baby leads the feed, baby should not be forced to finish the feed.

Often moms report baby guzzling down the milk and the crying for more, but more often than not those cries are misconstrued as hunger when they are more likely due to discomfort.
Because breastmilk is much thinner in consistency, a baby left lying down with a bottle is often overwhelmed by the flow from the teat, they are unable to regulate the flow so they gulp the milk down in an attempt to not choke and protect their airway, this gulping of milk can lead to painful tummies, gas and reflux symptoms which leads to crying after a feed, which is why it is so important to always use feeding time as bonding time and hold baby as upright as possible while bottle feeding breastmilk.

Using a number 1, slow flow teat is the only teat you will ever need as breastmilk does not change in consistency like formula.

Increasing supply

Increasing supply is a popular topic in all breastfeeding circles, there are many supplements, foods and medications that mothers swear by to increase supply, however many only offer superficial boosts to supply, the most effective and safe way to boost supply is to empty your breasts frequently, regardless of how many galactagogues or medications you take, they will never have the desired effect if milk is not being removed. Power pumping is a good example of how to increase supply using frequent stimulation and removal of milk from the breast.

Lastly, I want to touch on support systems.

Support is such an important part of mothering in general, often finding a support system that understands and respects your choices can be challenging, and sometimes you need to become your own support system. If you are looking for support with breastfeeding or exclusively pumping, I cannot recommend La Leche League South Africa enough, alternatively for more specialised support specifically for exclusive pumpers you can join the Exclusive Pumpers South Africa group on Facebook.


Featured post

Exclusively Pumping Breastmilk Book Update

The book Exclusively Pumping Breastmilk for South African Women book was due to be published at the end of November 2016.

Everything was in place and final adjustments were being done, unfortunately  my son was born 6 weeks early and with a congenital birth defect called myleomengocele spina bifida and the book was put on the back burner for a while.

Fast forward to today and things are yet to start moving again, unfortunately the funds we had allocated to the publishing of the book were spent on doctors visits and other important things in the care of our very special little boy Eli, who’s journey you can follow here on the Eli Rylee Support Page.
I am currently working with a Web designer who is helping me create an online store for the book where I will sell the pdf /kindle version to help raise the money to publish hard copies, until then, the book is available in pdf form on request for R50, if you would like to purchase the pdf version, please send an order to exclusivepumperssa@gmail.com.

Balancing Milk Supply and Rest in the NICU Environment 

Having a baby in the NICU is a stressful situation,  whether your baby is a micro preemie, late preterm or has a congenital birth defect, the NICU environment can be draining, scary and overwhelming.

Keeping up your milk supply can be difficult to manage under the stress and lack of sleep, but it is extremely important to empty the breast frequently as you would in any other situation, perhaps even MORE important because your baby’s health and well being depend on getting human breastmilk to avoid debilitating life threatening issues such as NEC. 
There are some fundamental basics that a mother needs in order to maintain supply in such a stressful situation and I will touch on each and give some helpful tips and tricks to not only maximise milk supply, but also rest.
Support


Support is huge in any breastfeeding relationship or new parent situation, without support, your chances of succeeding diminish greatly.

Not only is the support from your partner important, but family, friends and hospital staff can all have either positive or negative effects on your ability to succeed.

Support comes in many shapes and forms, making sure you are hydrated by bringing you something to drink, making sure you have eaten, wiping your sweaty brow while pumping under the heaters of your baby’s bassinet, encouraging you through reminding you of the facts and benefits of providing breastmilk and letting you rest between feeds.

Making sure you have a supportive network is important, so remind those closest to you to not phone between feeding sessions when you should be eating and sleeping, have dad take on the role of information hub and turn off your phone between feeds.

Arrange for snacks and meals to be brought immediately after feeds, that way you are able to eat and drink quickly and lay down and rest.

Make sure that the nursing staff understands how breastmilk production works so they do not tempt you into sleeping through the most important pumping sessions, although they may mean well, this kind hearted suggestion could be potentially harmful your supply.


Frequency


Making sure you empty the breasts frequently is extremely important, although in the first few weeks of breastfeeding your supply is predominantly hormone driven, it is setting the foundation for the supply /demand stage, so it is vital that you aim to empty the breasts between 10 to 12 times in a 24 hour period, majority of women will pump every 2 hours during the day and 3 at night.

While rest is important, understanding which sessions you could potentially skip if you are becoming exhausted can help you to get the best of both worlds. Between the hours of midnight and 5am, your body naturally increases the production of prolactin, a hormone that helps in the production of breastmilk, so avoid skipping your midnight and 3 am feeds, instead, every once in a while take a longer nap around your 6am feed, avoid skipping any session on a regular basis as this leads to an increase in the whey protein FiL which can lead to your supply dropping.

Remember that 5 minutes sessions every hour are far more beneficial than an hour session every 3 hours as stimulation is key, mastering the art of hand expressing can be far more convenient and give you a lot more freedom to express wherever you are.

Sustenance 


Making sure you always have food and water available will help you maximise time between sessions, ask the catering staff to keep your food warm until after your session so you can quickly eat and climb back into bed.

If you are unfortunately not able to board at the hospital and need to travel back and forth, arrange for a family member or friend to bring you meals. 

Rest


Sleep is a hot topic, even more so in a stressful environment like a NICU with a sick or premature baby, so pacing yourself is important.

Hospital schedules generally run on a 3 hourly routine, 3, 6, 9 and 12 over a 24 hour period, so plan with family and friends to help get you the most rest.

Hospitals are very clinical and it helps greatly to put pumping into that clinical mindset, after all, it is the best medicine for your baby, so don’t be shy hand expressing next to baby’s bassinet, medical staff have been through a vast majority of training and have probably seen far worse than a lactating breast, if you do feel shy, ask for a screen to be put up or allow time before visiting the NICU to pump in your room. This will allow you to maximise your time so after your visit so you are able to just rest.
If you are unable to board at the hospital, ask the hospital if you can make use of their comfort room and take a nap between sessions.
You are not obligated to keep everyone informed, appointing a family member or friend to update everyone can be helpful and give you the time to rest, ask family and friends to check in with you first before coming to visiting hours, turn off your phone between sessions or have a designated time where family and friends can contact you.
Rest doesn’t always necessarily mean sleep, sometimes due to baby’s condition or just the stress of the situation in general can make sleep hard to achieve, so put your feet up and relax as often as you can, if you find rest in prayer, or meditation or you find rest in reading or watching TV,  then take that time to get what you need in order to provide what your baby needs.

Knowledge is power


Understanding how breastmilk production works and how to best optimise pumping sessions can be hugely advantageous.

Breastmilk production works on the basis of supply and demand,  so the more often you remove milk from the breast, the more milk your body will make. Breasts are not passive containers so they do not need time to fill up, they are more like factories, so when milk is taken out, more is produced, if milk is not removed frequently then production slows down.


Hand expressing can be very convenient and efficient, but if you choose to use a pump make sure that it’s the right pump for you. Some moms respond better to electric pumps and others to manual, some hospitals provide a hospital grade pump and others require you to bring your own, either way, make sure that your flange size is correct and that your spares are new and changed often.


Using techniques such as hands on pumping can also help get the most out of your sessions.

Having a great support system, access to a certified lactation consultant  (always check certification), or access to La Leche League South Africa and a leader and a good understanding of breastfeeding,  you can reach your personal goals.
I have personally had both my children in NICU,  my first born at 34 weeks was in NICU for almost 2 weeks for breathing, temperature control and feeding,  she never latched and I exclusively pumped for 4,5 years giving her only my breastmilk until just after her 5th birthday and my second born, also born at 34 weeks with a congenital birth defect, was in NICU for just over a month and had 3 major surgeries, so I am familiar with the stress that comes with a NICU stay, if breastfeeding is important to you, then you will always find a way.

Product Review – Avent Microwave Steriliser Bags

I have been sitting on this post for a month now, tonight my velcro baby is happy sleeping next to me as opposed to on me, for now!

When I was in hospital with baby E, I was living in the NICU mothers lodge, which is pretty much a communal ward for the mothers of sick babies, we had a bed, small cupboard and shared bathroom and small kitchen.
There wasn’t much space to keep big bulky sterilisers, and luckily I was gifted 2 bags (thank you Carol!).
These bags were life savers; compact, convenient and easy to use!

The bags easily hold a pump, bottle, a few dummies and teats.


The bags are super easy to use, just 60 mls of water and depending on your microwave your parts can be sterilised anywhere between 2 and 5 minutes, leave the bag to cool for 2 minutes, pour out the water and you are all done.


The bags have a steam port and cool spot for safe handling, I love these safety features because I’m often in a hurry and waiting for the bag to fully cool isn’t always a choice!

They are also reusable (yay) and can be used up to 20 times per bag, and at R220 for a set of 5 bags, that’s really economical.

The bags are available at Clicks, Baby City and Dischem.

These bags are a must have for working moms, moms with babies in NICU and just for having around the house incase.

They are definitely going to be on my gift list for baby showers for the foreseeable future (heads up preggy fairies!) and we have already bought a couple of sets to keep for dummys and pumps.

The Philips Avent Steriliser Bags are a fantastic product!

Featured Breastpump: Difrax BtoB Breastpump 

A few days ago, quite by chance I found myself entering a competition on Facebook, one of the requirements was to go check out a companys web page and see which product I found interesting, although sadly I didn’t win the competition, I did find a new pump on the market, one I had not heard of yet!



Difrax is a Dutch company from the Netherlands and has recently moved its market into South Africa.
Their Breastpump, the BtoB, is not only unique, but sounds as though it is something that many pumping moms have long been dreaming of and is the winner of several prestigious awards.

The design is beautiful to look at, and the features sound as though this breastpump could be what pumping dreams are made of, take a look at it here:

Features include:

  • Easy to clean tubing.
  • 3 different sizes of flanges
  • Hands free and discreet
  • The outer shell of the flange is soft and comfortable
  • Operates on AC power and batteries
  • Has two modes (let down and expressing modes)
  • Eight adjustable suction levels

The pump can be used with the handy storage containers or their unique s-shaped bottles.

The hands free flange design comes in 3 sizes and has a soft, flexible outer for maximum comfort and perfect fit, the small size makes it easy to achieve discreet pumping.


The pump will be launched at the Mama Magic Baby Show in Decemeber 2016 and will be available online through Difrax South Africa, but they are working with a retailer who will stock their products very soon.

They are open for pre-orders for anyone wanting to purchase a pump before the official launch!

Spares and after sale services are available through Difrax South Africa and once they have finalized a retailer they too will stock spares.
New things are always exciting to find, and we can’t wait to see how this pump does in the South African market!

Keep your eyes peeled on the blog and the Exclusive Pumpers South Africa page for an exciting competition coming in October where you could be the proud owner of a brand new Difrax BtoB Breastpump!
Would you be interested in buying a Difrax BtoB breastpump?

4 Weird Breastfeeding Myths (And The Truth)

There are SO many myths still around today, you would think in this day and age that most people would have their facts straight by now, but unfortunately, and often scarily, most of the common myths are spread by unknowledgeable health care professionals, but even scarier…. The weird and down right strange myths that are still hanging around today!
Here are 4 of the weirdest myths heard this year!
1. You Need To Use Surgical Spirits / Pumice Stones / Sunshine On Your Nipples While Pregnant To Prepare Your Nipples For Breastfeeding.

You seriously need to ditch this myth, you don’t ever need to prepare physically to breastfeed, what you need is a great knowledgeable support system, a realistic understanding of normal and biological infant feeding and sleeping behavior and determination. If breastfeeding hurts – then something is wrong, usually the latch or thrush, both of which are easily remedied by visiting a lactation specialist such as a Board Certified  Lactation Consultant or La Leche League Leader.

If you have been told the latch looks good but are still experiencing pain, keep insisting that a more in depth look at the latch is done, a latch can look good, but not be good, as explained by The Milk Meg here.
2. If You Breastfeed A Male Infant Past (x) Months He Will Become A Pervert / Homosexual / Rapist.

Jeesh, you have to wonder where these myths come from?!? 

There is absolutely no evidence showing sexual preference or misconduct later in life in relation to breastfeeding, we should be more concerned with the over sexualisation of breasts and women in general causing sexual deviance in young men, not nourishment in its most biologically normal way.


3. If You Engage In Sexual Intercourse In The First Three Month Of Breastfeeding Your Baby Won’t Reach Its Milestones On Time.

Just another silly myth to discourage mothers from breastfeeding and fathers from playing the extremely important role of first hand support. I’m not sure where this myth originated from, but I’m fairly certain it came from someone who lacks basic common knowledge!


4. You Shouldn’t Breastfeed After A Scare Or Traumatic Event.

This is one of the most detrimental myths out there, after a traumatic event what mom and baby needs most is that closeness and comfort! In fact the love hormones released during breastfeeding help calm both mother and child leading to less stress.

There are countless myths out there that continually circulate putting fear and doubt in the minds of new breastfeeding mothers, far, far to many to even mention, here is another list here, and a few more here, a couple more here too and some more here!
Education and confidence is your key to success and whenever you are in doubt, speak to a lactation specialist such a certified lactation consultant or La Leche League leader.

The WHO Code

The WHO code, or better known as the International Code of Marketing of Breastmilk Substitutes, was designed by the World Health Organisation to help prevent predatory marketing tactics from artificial infant milk manufacturers that directly impact the “choices” new mothers are faced with when it comes to infant feeding.

Under the Code, the following stipulations apply:

  • No advertising of breast milk substitutes to families.
  • No free samples or supplies in the health care system.
  • No promotion of products through health care facilities, including no free or low-cost formula.
  • No contact between marketing personnel and mothers.
  • No gifts or personal samples to health workers.
  • No words or pictures idealizing artificial feeding, including pictures of infants, on the labels or the product.
  • Information to health workers should be scientific and factual only.
  • All information on artificial feeding, including labels, should explain the benefits of breastfeeding and the costs and hazards associated with artificial feeding.
  • Unsuitable products should not be promoted for babies.
  • All products should be of high quality and take account of the climate and storage conditions of the country where they are used.
  • No advertising of products under the scope of the Code to the public.

Products “under the scope of the code” include breastmilk substitutes, including infant formula; other milk products, food and beverages, including bottle-fed complimentary foods, when marketed or otherwise represented to be suitable, with or without modification, for use as a partial or total replacement of breastmilk; feeding bottles and teats. So basically, infant formula, follow-up formula, bottles and nipples.

Exclusive Pumpers South Africa strives to adhere to the WHO Code.

You can download the CODE here.

5 Questions You Should Ask When Buying A Pump

Buying a breastpump can be very daunting and confusing, there are so many types and styles of pumps out there and each mother responds differently to each pump, so here are a list of questions that might make your decision just a little bit easier.

 

  1. What is your budget

You don’t need the most expensive, top of the range pump in order to succeed, but getting the best quality pump that fits your budget is definitely the best option. Find out if your medical aid  covers a breastpump or not and then base your budget on what you can afford.

 

2. What does the manufacturer of your chosen pump offer?

Now that you have sorted out your budget, and looked at the options in your price range, it’s time to investigate what the manufacturer offers. Are spares easily available?  Do they offer after sale services in the form of repairs, telephonic troubleshooting or maintenance? Do they offer sized flanges?

Another good question to ask when looking into the manufacturer, is if the manufacturer is local, some international brands are not able to offer spares or maintenance and shipping in parts can become expensive and difficult.

 

3. Open or closed system?

Along with budget and after sale services, you also need to consider your environment and the possibility of resale. Open system pumps pose the risk of contamination from the air around you and the environment in which you will be required to pump. Open system pumps should not be sold or bought second hand due to the risk of contamination from bacteria, viruses, mould and allergens.

Closed system pumps are usually more expensive, but they also have a better resale value if looked after.

 

4. How often will you pumping?

Are you going to be exclusively pumping, or pumping at work? Or will you just be pumping occasionally for donation?

These are important questions to consider because some pumps are better suited for high intensity pumping, the worst thing would be to invest in a pump meant for occasional pumping and within a couple of months of returning to work, your pump breaks. Speak to other moms and look for reviews on the pump you have chosen.

 

5. Is your pump quiet, convenient and easy to transport?

With the high demand on moms to “do it all”, having a pump that is discreet, convenient and easy to transport are musts.

Can your pump be used hands free? What is the noise level like? Does it have a battery pack option? Is it easy to carry around?

 

When choosing a pump it’s important to get the best option that suits your individual needs, budget and demands, don’t be shy to ask lots of questions to the sales person where you intend to buy your pump, make sure that you are happy with the information given to you and make sure that you have the contact details for the manufacturer and supplier of your pump should you have any issues.
You can join the Exclusive Pumpers South Africa Facebook group to discuss pumps, pumping and get personal reviews from other moms who use the pumps.

Sulpirides and Milk Production

caution-beware-sign-300x199

 

Eglynol and Esperide are from the group of drugs called sulpirides, they are predominantly used to treat schizophrenia and major depressive disorders, they are NOT merely a harmless antidepressant as so many claim, in fact, medical research shows that sulpirides are not effective as a stand alone treatment for depression or post natal depression at all and recommend several other, far more effective and safe treatments for PND.

These drugs are often prescribed off label (not for their intended use) as a lactation aide for breastfeeding mothers.

The regulated dose is anywhere from 1 to 3 tablets three times a day for schizophrenia and major depressive disorders such as bipolar and mania, lower doses taken in conjunction with antidepressants are used to enhance the effects of the antidepressants for patients with mild depression or panic and anxiety disorders, these doses coincide with the doses regularly recommended for lactating mothers.

 

Side effects of these drugs include:

Dizziness

Headache

Tremor

Dystonia

Akathisia — a sense of inner restlessness that presents itself with the inability to stay still

Parkinsonism Somnolence (not a very prominent adverse effect considering its lack of α1 adrenergic, histamine and muscarinic acetylcholine receptor affinity)

Insomnia

Weight gain or loss

Hyperprolactinemia (elevated plasma levels of the hormone, prolactin which can, in turn lead to sexual dysfunction, galactorrhea, amenorrhea, gynecomastia, etc.)

Nausea

Vomiting

Nasal congestion

Dry mouth

Constipation

Blurred vision

Impaired concentration

Tardive dyskinesia — a rare, often permanent movement disorder that, more often than not, results from prolonged treatment with antidopaminergic agents such as antipsychotics. It presents with slow (hence tardive), involuntary, repetitive and purposeless movements that most often affect the facial muscles.

Neuroleptic malignant syndrome — a rare, life-threatening complication that results from the use of antidopaminergic agents. Its incidence increases with concomitant use of lithium (medication) salts

Blood dyscrasias — rare, sometimes life-threatening complications of the use of a number of different antipsychotics (most notably clozapine) which involves abnormalities in the composition of a person’s blood (e.g. having too few white blood cells per unit volume of blood). Examples include:- Agranulocytosis — a significant drop in white blood cell count, leaving individuals wide open to life-threatening opportunistic infections

Neutropenia

Leucopenia

Leukocytosis

Seizures

Torsades de pointes

Unknown incidence adverse effects include

QTc interval prolongation which can lead to potentially fatal arrhythmias.

Cholestatic jaundice

Elevated liver enzymes

Primary biliary cirrhosis

Allergic reactions

Photosensitivity — sensitivity to light

Skin rashes

Depression

Catatonia

Palpitations

Agitation

Diaphoresis — sweating without a precipitating factor (e.g. increased ambient temperature)

Hypotension — low blood pressure

Hypertension — high blood pressure

Venous thromboembolism (probably rare)

 

Clinical research regarding the use of sulpirides in pregnancy and lactation are as follows:

 

Pregnancy: Animal studies did not reveal any embryotoxicity or fetotoxicity, nor did limited human experience. Due to insufficient human data, pregnant women should be treated with sulpiride only if strictly indicated. Additionally, the newborns of treated women should be monitored, because isolated cases of extrapyramidal side effects have been reported.

 

Lactation: Sulpiride is found in the milk of lactating women. Since the consequences are unclear, women should not breastfeed during treatment.

 

If you are taking enough of a medication for you to have the effects of the noted side effects (ie: Hyperprolactinemia), then you are taking enough of the drug for it to affect the intended area of treatment, in this case, your brain.

 

There are several other options that are both safer and more effective as a galactagogue, none as effective however as the frequent removal of milk from the breast.

 

Additional resources : (click on the links to access the pages)

patient info

Clinical Insert

Medizzine

Medicines.org

Pharmacy Book

What World Breastfeeding Week 2016 Means To Me

What does WBW mean to me?

This was honestly such an extremely loaded question for me as I face yet another difficult start to breastfeeding with my current unborn son. Due to a birth defect he will need a prolonged hospital stay as well as spinal and brain surgery shortly after his birth which will require me to exclusively pump for at least the first few weeks. The impending loss of yet another “normal start to breastfeeding” was devastating at first, but I have built the most amazing support structure around myself with breastfeeding experts, lactavists and pro-breastfeeding fighters! 


I KNOW I WILL SUCCEED and it’s due to the lactavists and breastfeeders and the information and unconditional support, love and concern that they continually share to help mothers like myself and others get access to true factual information and support in difficult circumstances.

So, WBW means support to me, it means education and it means it’s a chance for me to give back and help others as they so often have helped me.

Iv been accused of being anti-formula feeder so many times, and the honest truth is that I don’t like formula, I don’t think formula is as healthy or natural or even necessary in most cases, I however do acknowledge, respect and support mothers who legitimately cannot breastfeed due to illness, surgery, true low supply and other complications that have no choice but to lean on artificial infant milk, most new mothers who desperately want to breastfeed are told that they “don’t make enough” or “your milk is not nutritious enough” which plainly put is a heaping, steaming pile of BS, it is important that mothers get the right information and facts to help them make such a personal and heavy decision, that does not make me anti-formula feeder, it makes me pro-informed choice and pro-fact, it makes me pro-mom &baby. 

I support all mothers, I support facts and I support our planet, I do not support greedy formula manufacturers who pray on new mothers insecurities and use predatory marketing tactics to create imaginary wars to sell product, there’s a difference! 

On this last day of WBW, I wish more mothers had access to the amazing support system I found (granted it was 5 long months into my EPing journey), I wish more mothers had access to educated health care providers who had a deep understanding of breastfeeding and how milk production works and the importance of breastmilk to the human immune system and growing brain, I wish more mothers had the knowledge of normal infant behavior and were supported by health care professionals, family, friends and their employers. I wish all mothers knew that THEY DID NOT FAIL, they were failed by predatory marketing, lack of educated support and a society that places little to no importance on mothers and babies. I wish that society would stop sexualizing and demonising a natural act of feeding, heck I wish they would stop sexualizing women in general, we aren’t a commodity just to sell products, our bodies grow humans, the next generation and our bodies can nourish them too. We are more than just play things. I wish women would stand together in the importance of what we feed our children, because it does matter and it should matter and we should all be fighting for women’s rights to access education, support and better maternity practices so more mothers have the choice to breastfeed, not only for our children’s health, but for ours too, we should be fighting for our planet so we have something to actually leave our children.
I wish more mothers were given true information on the risks of not breastfeeding, and then were given quality hands on support to get started, to stay strong during those difficult first few weeks and then celebrated when they reach their goals. I wish human lives mattered to big corporations far more than their bottom line, I wish mothers knew that they have this amazing, life saving, beautiful gift to give to their children that benefits them far into their lives, I wish women KNEW what they were capable of, instead of being made to feel like their bodies are broken or “not enough”.

WBW means I get to be part of this amazing, supportive community who fights every day for these things, it’s something so much bigger than myself, or any singular breastfeeding relationship, so much bigger than a week and so much more important than so many realise.

It’s a chance to help save infants lives, to support women with honest, true information and facts, to empower women to trust in their bodies and their babies, to save women’s lives and to save this beautiful planet we call home, because breastfeeding matters and I am proud to be a part of it!

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