Cathy, like so many other non-birthing parents wanting to induce lactation or relactate, is trying to unravel all of the varying information she has received.  So she emailed us for help.  When I suggested we might share her email on the podcast so that we could help others in her shoes, Cathy agreed.  This podcast episode is devoted to addressing Cathy's questions, concerns, and confusion around the basics of how to induce lactation/relactate -- and you might find it addresses some of yours as well!  Below is the email that is the inspiration for today's episode:

For as long as I've known my podcast co-host Hope Lien, she has been my go-to person for questions about at-breast/chest supplementation.  When nursing her daughter by adoption (pictured here), at-breast supplementation was a key to her success - as it is for most parents who need to provide long-term supplementation.  She understands first-hand how frustrating at-breast/chest supplementation can be at the beginning and how invaluable it can be in the long run.  Getting from frustration to long-term success is the key and Hope tells us how!

View full show notes Here: http://sweetpeabreastfeeding.com/podcast/52-at-breastchest-supplementation-tips-and-more

It's a case study!  Something a little bit different in our discussion with Dr. Nice, our pharmacist expert.  Alyssa had connected with a mom-to-be Courtni who was inducing lactation with very quick and abundant milk production.  She wanted to figure out what Courtni was doing so that she could learn from Courtni's experience to help other parents.  (We at Sweet Pea are always trying to learn more about how to support the nursing success of non-birthing parents!)  ... but Alyssa could not find anything in Courtni's approach that was different than other parents she had worked with.  She did observe, however, that Courtni was taking several medications for her own health issues.  Alyssa wondered if these medications or the health conditions underlying them could be the secret to Courtni's outcomes.  She went to her friend, Dr. Nice for the answers...

View full show notes here:

http://sweetpeabreastfeeding.com/podcast/51-ask-dr-nice-a-case-study-on-the-impact-of-parents-medications-on-milk-production-when-inducing-lactation

Check out the full show notes here:

http://sweetpeabreastfeeding.com/podcast/50-stephanie-wagner-ibclc-on-chestfeeding-and-supporting-the-lgbtqia-community

• ​How to understand safety of medications when a parent is taking several of them.  Can we simply look at each one individually or is there a combined impact?
• ​What if both parent and baby are taking medications - do we need to consider the safety of how those medications interact in combination?
• ​When a parent is making less than a full milk supply, will the amount of the parent's medication in the milk be more concentrated or will the baby get less medication because there is less milk?​

In the US, it is natural that we have a lot of concerns about the safety and side effects of domperidone.  Our Food & Drug Administration has not yet approved this medication (see episode #4 for more on that) so parents are generally obtaining it without a doctor's or certified nurse midwife's prescription*.  That also means that the pharmacist is not able to oversee use of domperidone and how it plays out with other medications that the nursing parent is taking.  That is our unfortunate reality today.  With this in mind, it is essential that parents and lactation professionals understand and take responsibility for possible contraindications and side effects associated with domperidone.  We are extremely fortunate once again to bend the hear of one of the most expert resources on safety and use of pharmaceuticals while breastfeeding, Dr. Frank Nice.

about their co-nursing experience, and with Katie about inducing lactation!  It has been a joy-filled road for them with a few bumps along the way ... including concerns with safety of medications, not always supportive healthcare providers, ​sore nipples, middle of the night challenges, and a bout of baby preferring one mom for bedtime nursing.  With creativity, communication and resourcefulness these two moms have navigated these challenges and now that baby is 10 months old they look back (and forward) to their nursing experiences with much gratitude.  

Dysphoric Milk Ejection Reflex, more commonly known as D-MER, is one of the most severe breastfeeding challenges yet also one of the least known or understood.  D-MER is a feeling of dysphoria caused by the hormonal shift that occurs when the milk releases during nursing, pumping, or any other time a let-down is triggered.  So if you or anyone you know experiences significant negative feelings when milk lets-down, you may want to hear what Alia Macrina Heise has to share.  Propelled by her personal experience with D-MER, Alia has become a clinical expert in the area of dysphoric milk ejection reflex.

Alyssa and Hope get real!  Being a new parent isn't always the blissful joy we might see on holiday cards.  It can be really tough times, as well as wonderful times.  We suggest that the balance lies in self-care.  It can be so difficult to care for ourselves as new parents, and we haven't always done the best job of it ourselves. We hope our stories and discussion will support you and propel you into a holiday season and new year of simple joys and caring for yourself just as well as you already do for your precious little ones.