All over the world, moms are celebrating World Breastfeeding Week, some even honoring the event with traditions like the Global Big Latch On in some communities (come see us at the Global Big Latch on of Escambia & Santa Rosa Counties). In honor of this week, we are keeping it real. 

It seems like the minute you announce your pregnancy, the advice starts to pour in from all directions--not just for pregnancy and birth, but for breastfeeding too. From "Don't eat broccoli or asparagus, it will give the baby gas," to "Never wake a sleeping baby to eat!" we are sure you've heard all the strange (and not-so-great) suggestions there are out there. And while there are some strange pieces of advice that are also mythical, there are also some strange pieces of advice that can be very, VERY helpful and real. 

#1: Give the ladies air time. 
Yes, we are suggesting you go topless once in a while. Letting your twins free while you're breastfeeding can be a very important part of the process--not only because your nipples are not accustomed to friction for 8 hours a day at first, and fabric against them can feel like rubbing shards of glass on them as they heal from any initial damage, but also because wearing a bra or shirt 24/7 can promote bacterial and fungal growth. Yeast and other bacteria thrives in dark, moist, warm places (aka, your nursing bra), and your breastmilk contains carbohydrates/glucose, which also feeds bacteria and fungi. So by going topless, you are not only giving your nipples time to heal and be more comfortable, but you are also allowing them to stay dry so that you can help avoid a thrush outbreak or other bacterial infection in your milk ducts. Wearing a button up shirt or a robe can facilitate this--hey, you could even just cut some holes in an old t-shirt and be set! Just make sure that you don't forget about your state of dress (or lack thereof) and accidentally answer the door for the UPS man. 

#2: Strange breastfeeding positions are sometimes the best. 
One of the most common issues in the early days of breastfeeding, and then later on during changes that can impact supply, are plugged ducts. This is when fat globules in your milk collect in one part of a duct and form a clog in the flow of milk. Many moms feel this as a hard knot that could be anywhere from the size of a marble to a golf ball. When this happens, one of the best ways to work the knot out is to lay your baby flat, and "dangle" your breast over your baby to feed, with the baby's chin against the knot. This allows gravity and the baby's oral movement to work the knot out. (See this position here). 

Another fantastic breastfeeding position to help clear plugged ducts (or prevent them if you have them happen more than once) is the "over the shoulder" position. Imagine throwing your baby over your shoulder, upside-down, and you've about got the image! In this position, you are laying down on your side or back, and baby is lying with legs literally over your shoulder. (See this position here). These positions aren't just for plugged ducts, though. Switching the position baby feeds in frequently stimulates different parts of the breast, which can increase supply AND help prevent baby from developing a preferred nursing position or side. So, if you've struggled with plugged ducts more than once, or are uncomfortably engorged in the early days, this can be an especially helpful position if you have a very little one. 

#3: Other Ways to Remove Plugged Ducts. 
Plugged ducts can be nasty little boogers that are both painful and a precursor to mastitis (an even nastier booger). Thus, our desire to help you remove them as easily as possible, and avoid them in the future. And there is more than one way to fix this problem. The key with removing the clogged ducts is to dissolve the plug of milk fat--and this can require massage, heat or vibration. So, our favorite tools to suggest for plugged duct removal are:

• A wide-tooth comb in the shower. Coat the comb with coconut oil or conditioner and gently but firmly "comb" the duct toward your nipple. You may even see little pieces of fat come out of your nipple. 
• An electric toothbrush. With the motor on, use the base (not the bristles) of the toothbrush to roll and massage over the clog. You may never look at your toothbrush the same again, but hey. A girl's gotta do what a girl's gotta do. 
• A vibrator/personal massager. Yup. You read that right. Your little friend has more than one use. Simply use it in a similar manner to the toothbrush as described above. The nice thing about this method, is most "massagers" are made of a softer material than an electric toothbrush, which may make the process more, ahem, comfortable. 

#4: Put that stuff on everything. 
This hearkens memories of My Big Fat Greek Wedding where the father of the bride believed that any ailment could be cured by Windex. Well, just switch out Windex for breastmilk and we've got a similar situation going on here. From pink eye, to scratches and cuts, to ear infections, lots of moms are now treating common ailments with a drop or two of anti-body filled breastmilk. In fact, many moms are stashing extra breastmilk in tiny syringes in the freezer just for situations like this. It might sound crazy, but there's lots of evidence that it works!!

So, in celebration of World Breastfeeding Week, maybe stash away these "crazy" suggestions for later use--you might need them. And we'd love to hear about any weird or strange breastfeeding suggestions you've been given that have worked for you!

Ever since I became a lactation consultant in 2015, I have encountered misconceptions about what the role of a lactation consultant really is--the main one being that we only approve of breastfeeding, and judge families who choose any feeding method other than breastfeeding. Friends would find out that I was a lactation consultant and say immediately, as though I might automatically judge, "Well, I couldn't breastfeed because..." Patients have told me, with shame, "Last night I gave the baby formula during cluster feeding, but I only gave it one time. I know I wasn't supposed to."

My answer, always and immediately, is that there is no right or wrong way to feed your baby. You have to do what works for you, not what pleases  everyone else. As a lactation consultant, I will reassure you that no matter how you feed your baby, it is never "wrong" or "harmful." 

So let's clear up some of these misconceptions about what lactation consultants do and don't do.

Lactation Consultants DO:

• Specialize in clinical management of breastfeeding--we are THE clinical experts on breastfeeding.
• Believe that breastmilk is amazing in so many ways that the benefits can be endless.
• Help babies who are not gaining enough weight by addressing reasons for lack of weight gain and coming up with feeding plan.
•  Help moms who are having pain while nursing.
• Assist mom-baby dyads with latching difficulties.
• Address reasons and solutions for low milk supply. 
• Communicate & collaborate with other members of the clinical team (OBGYNs, midwives, pediatricians) when and if necessary.
  
• Assure families whether or not their breastfeeding relationship is on the right track!