Charu Dhiman, IBCLC, CLC, CBS

09/25/2024

Baby Cafés opening nationwide to support breastfeeding

09/16/2024

ABM has released a new position statement on in emergency situations to be integrated into planning and personnel training. Read and share today: https://buff.ly/3Xu9Nkx

09/05/2024

08/30/2024

Ni**le infections while breastfeeding are not always caused by yeast - learn how to identify and manage them with expert advice.

Introduction to Candida Yeast Infections:

08/26/2024

🔅🔅One size doesn't fit all-Why Proper Pump Fl**ge Fitting Matters:

As a lactation consultant, one of the most common concerns I hear from pumping moms is discomfort during pumping sessions. More often than not, the root of the problem lies in something that seems so simple yet is incredibly crucial: the pump fl**ge size.

Pump Fl**ge Fitting:
❤When you open your breast pump box, it usually comes with a standard fl**ge size—often 24mm or 27mm. Many pumps do offer smaller fl**ges or inserts with their breast pumps now!

❤But here’s the truth: Everybody is different. What works for one person might not work for you.

❤Fl**ge size isn’t about your breast or chest size; it’s all about the diameter of your ni**le.

❤Choosing the right size is essential not only for your comfort but also for effective milk expression.

Common Problems with Incorrect Fl**ge Size:
❌Too Small:

Can cause the ni**le to rub against the sides of the fl**ge, leading to pain, irritation, and potential ni**le damage.

May restrict the flow of milk, leading to incomplete drainage of the breast and possibly lowering milk supply.

❌Too Large:

May pull too much of the ar**la into the tunnel, which can cause discomfort and swelling.

Can lead to reduced milk output as the ni**le does not move freely in the tunnel.

Signs of a Poor Fl**ge Fit:
🛑 Ni**le pain or discomfort during pumping.

🛑 Milk production seems lower than expected.

🛑 Visible signs of ni**le damage such as redness, blisters, or swelling.

🛑 The ni**le looks misshapen or enlarged after pumping.

🛑 Discomfort or pain persists after the pumping session.

Optimal Fl**ge Fit Characteristics:
✅ The ni**le moves freely within the tunnel, with minimal ar**la being drawn in.

✅ Pumping should feel comfortable, with a gentle tug rather than pain.

✅ Milk sprays are visible during pumping, indicating good flow and efficient drainage.

Consequences of Prolonged Use of Incorrect Fl**ge Size:
🛑 Ni**le trauma: Prolonged use of an incorrect fl**ge size can cause significant ni**le trauma, which may include bruising, cuts, or more severe damage.

🛑 Milk supply issues: Incorrect fl**ge sizing can lead to poor milk removal, which may signal the body to produce less milk over time.

🛑 Increased risk of mastitis: Poor milk drainage due to improper fl**ge fitting can result in clogged ducts, which may lead to mastitis, a painful breast infection.

Recommendation for Lactation Support:
✅ Seek help from a lactation consultant (IBCLC) to get fitted for the correct fl**ge size.

✅ A professional fitting session typically involves measuring the ni**le diameter and trying different fl**ge sizes to ensure the best fit.

✅ Regular checks are recommended as breast/ni**le size may change over time, particularly in the postpartum period.

Additional Tips for Pumping Comfort:
❤Use lubricant: A small amount of lubricant, such as coconut oil or ni**le balm, around the fl**ge can reduce friction and increase comfort.

❤Adjust pump settings: Know that high suction speed does not equal more milk output. Cranking the suction up can cause ni**le damage, so start slow and adjust gradually.

❤Pumping duration: Sessions should generally last around 15-20 minutes; however, this can vary depending on individual needs and comfort.

❤There is no one pump that fits everyone, but there are pumps that have been proven efficient for most of the pumping population.

Conclusion:
Pumping shouldn't hurt—your comfort and protecting your milk supply are top priorities while avoiding complications. Comfort is crucial for let-down because a stressed mind inhibits oxytocin, which is directly connected to milk ejection. So, you see, it’s not just important; it’s crucial to support a mother’s/parent’s lactation journey.

With variations in anatomy and different fl**ge sizes across brands, personalized fl**ge fitting is essential. If you’re experiencing pain or discomfort while pumping, it’s time to reassess your fl**ge size. Don’t hesitate to reach out—I’m here to help you find the perfect fit so you can pump with ease and confidence.

08/24/2024

Black Breastfeeding Week, from August 25-31, is all about celebrating and supporting the unique experiences of Black families on their breastfeeding journeys. It’s time to honor cultural traditions, acknowledge the challenges, and come together as a community to uplift and empower each other. By raising awareness and offering support, we can help ensure that every Black mother feels confident and supported in her breastfeeding journey. Join us as the Boston Breastfeeding Coalition celebrates Black moms and the community and their incredible strength and dedication to breastfeeding. Let’s work together towards a future where we bridge the gap in breastfeeding for Black moms and ensure every family has the resources they need to thrive. Check these events!

08/15/2024

"I'm feeding the baby. See? He's drinking milk from my breast."

08/09/2024

What causes low milk supply? not producing enough milk?

Low milk supply can be really stressful, and it’s completely normal to feel overwhelmed. Understanding what might be causing the issue and how I, as an IBCLC (International Board Certified Lactation Consultant), can help can make a big difference in your breastfeeding journey

Everyday Factors:

1. Latch Issues: Problems with latch can include tongue ties, which may make it difficult for your baby to latch properly and effectively remove milk. Low birth weight babies might also struggle with latch due to their size and strength. Additionally, if your ni**les are sore or damaged, you might anticipate pain, which can make you hesitant to latch your baby and impact your milk supply.

2. Feeding Frequency: It’s best to follow your baby’s hunger cues rather than sticking to a strict feeding schedule. Babies need to feed frequently to keep your milk supply up. If they don’t feed enough, it can lead to engorgement, which can lower your milk supply.

3. Stress and Fatigue: Stress and sleepless nights are huge contributors to low milk supply. Being stressed about your milk supply can affect your milk ejection reflex (MER), making it harder for your milk to flow. Fatigue and lack of sleep can also impact how much milk you produce.

4. Medications: Some medications, like decongestants, can lower your milk supply. Birth control pills with estrogen can also affect your milk if used too soon after birth. Always check with your healthcare provider before taking any new medication.

5. Pacifiers: Not against pacifiers instead I encourage responsible use of pacifier for babies how really like it for non nutritive suckling and your breasts need a break and for preemie babes. Using pacifiers too much can reduce the time your baby spends at the breast, which might lower your milk supply. Pacifiers can also sometimes hide your baby’s hunger cues.

6. Fl**ge & Pump Issues: If you’re an exclusive pumper or pump a few times a day along with direct breastfeeding, the size of your pump fl**ge is crucial. Using the wrong size fl**ge can make pumping less effective. Additionally, worn-out pump parts, such as duck bills or suction valves, can also lower milk supply. If it’s been a while since you changed these parts, it might be worth checking them.

7. Certain Teas: Some herbal teas, even though not as potent, can lower milk supply. For example, sage tea and peppermint tea may have mild effects that can impact your milk production. but a cup or two won't hurt once in while.

8. Menstruation: If your period is starting or you’ve just gotten it, don’t worry. This can temporarily lower your milk supply, but it should pick right back up once your period is over. It’s important to know that this is a temporary change.

9. Smoking: Smoking can lower milk supply due to decreased prolactin levels, which can affect your milk production.

Biological Factors:

1. Hormonal Issues: Conditions like thyroid problems or PCOS can affect milk production.

2. Previous Breast Surgery: Past surgeries on your breasts can sometimes affect how much milk you produce.

3. Less Glandular Tissue: Some people naturally have less breast tissue, which can affect milk supply.

How can I help you!
As an IBCLC, I can provide practical advice and solutions to support you:

1. Personalized Support: I’ll assess your situation, including how your baby is latching and feeding, to find out what might be causing low milk supply.

2. Customized Plan: I’ll create a plan just for you, with tips on improving latch, managing stress, and boosting milk production.

3. Easy-to-Follow Advice: I’ll give you straightforward advice on how to increase your milk supply, such as feeding on demand and techniques for effective pumping.

4. Team Collaboration: I’ll work with your healthcare team to ensure any medical issues affecting your milk supply are addressed.

Remember, increasing your milk supply takes time, dedication, and sticking to a plan. It’s not a magic fix, but with the right support, you can work through these challenges and enjoy a successful breastfeeding experience.

08/09/2024

08/08/2024

During National Breastfeeding Month, this week we honour Indigenous Milk Medicine Week, August 8 - 14!

You can learn more about here: https://www.facebook.com/IndigenousMilkMedicineWeek