Category Archives: Health

de Quervain’s tenosynovitis

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Months ago, when I was sharing with my colleagues that I was pregnant, all of my colleagues, particularly my mom colleagues, were very excited for me. The ones who knew that I had dealt with carpal and cubital tunnel warned me about mommy thumb, also known as de Quervain’s tenosynovitis. They warned me not to throw away my wrist splints (as at that point, I didn’t need to wear them regularly anymore given I had managed to get rid of the daily pain) and to save them in case I might need them after the baby came. One of them told me she even had to start seeing a physical therapist for some relief because the condition nicknamed “mommy thumb” was so painful. I knew I had given myself this when I tried to do a thumb’s up motion on my right hand and completely failed. When I tried to move my thumb in circles upwards, I was feeling an unpleasant popping sensation in the tendons in my wrist directly under my right thumb. And that was when I knew that I had pinpointed my wrist problem: this has nothing to do with carpal tunnel. This was a completely different situation. And in some way as strange as it sounds, I am happy that has it has nothing to do with carpal tunnel because carpal tunnel is a nerve issue. Mommy thumb is a tendon issue, which I am hoping is easier to heal.

New parents are most susceptible to this condition, which is a form of tendinitis in the thumb and wrist. They get it because of the repetitive motions of caring for their babies, particularly in lifting them up using their thumb and pointer fingers. Well, I rarely lifted my baby that way in the last 15 weeks because it wasn’t until relatively recently that she had a decent hold of her head and good neck strength. Instead, how did I give myself this? Well, it all goes back to the same thing that I’ve been complaining about and been frustrated with pretty much since the beginning: pumping milk. All of the hand expression that I have been doing to prime my breasts for my electric pump have ultimately been responsible for not only the numbness in my fingertips, but also this mommy thumb condition. Pumping is also responsible for aggravating my cubital tunnel, simply from the repetitive motion of placing my flanges in the right position on my breasts every day for at least 6 to 7 times a day in the last 15 weeks, as well as doing breast compression while pumping.

Well, the numbness in my fingertips is slowly going away because I have been less aggressive about doing breast compressions… Partly out of laziness, and partly just because I’ve been more gentle on myself in terms of my output. And with mommy thumb, there are very specific stretches and exercises to do to help the condition, and I even just purchased a thumb splint, which is basically a wrist splint with another splint for the thumb. I did a massage that was specific for my wrist, and while it seem to help, it likely gets worse before it gets better. The next day after I did this massage on myself a few times, I felt really sore in my wrist. The specific stretch I found online definitely helps it feel better. And I have been icing my wrist as well.

More mommy injuries. It just keeps coming.

Fatty milk

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Ever since I reduced the number of pumps down from seven pumps per day to six, my output per pump has increased dramatically, plus my overall daily output has also gone up, much to my excitement. I am basically producing 2 to 3 ounces more per day with six pumps a day as opposed to seven, which makes me super happy. What also makes me happy? Looking at my pump output at a given session and seeing such full bottles. No one could relate to the happiness at looking at these fuller breast milk bottles then a pumping mama. This is a fact.

In addition to that, when I put these bottles in the fridge to cool down before combining with other milk that I have expressed and into the bottles that the baby will eventually drink, because the bottles are so full of milk, now, I can see a clearer separation between the foremilk and hindmilk. These two types of milk are exactly what they sound like: the foremilk is milk that you expressed at the beginning of a pump or nursing session. This milk is a lot thinner and less fatty. As you continue nursing or pumping, your body starts releasing the hindmilk, which is a lot thicker, creamier, and much whiter. The hindmilk has the most fat content. The hindmilk is ultimately what gets your baby full. And so the more hindmilk you have, the richer your overall milk is. And when you really look at the milk separation, sometimes the foremilk can look like it’s a blue color. You’re supposed to shake up the milk to ensure they are combined thoroughly before feeding baby.

And for the first time, this week, I saw the foremilk look a little light blue. But when you see the separation of the foremilk from the hindmilk, it was very clear that the hindmilk made the vast majority of the bottle, whereas the foremilk was a teeny tiny proportion. And this made me feel so proud and happy: I have super fatty breast milk! My milk is fatty! My baby is getting lots of good nutrition from my breastmilk that my body is producing. And that just feels like the best thing. It makes all of the pumping that I do feel worth it even though it has been extremely trying and mentally exhausting.

When beets turn your pee red

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As a lactating woman, I spend a lot of time thinking about my milk supply, both consciously as well as subconsciously. And with that, in the back of my mind, I think about when my period will return, which hopefully will not be until at least month eight or nine postpartum so that my milk supply can at least remain stable at the level that it currently is at. When you are lactating and your period returns, your hormones shift, which causes an inevitable drop in your milk supply. This tends to freak out most lactating women, particularly those who exclusively breast-feed their babies and are strongly averse to formula.

So you can imagine my horror when one day, I went to pee, and before I flushed the toilet, I noticed that the liquid in the toilet bowl was a pinkish red color. For a split second, I flipped out a little bit. What? I thought. Is my period back? I touched myself down there and did not see any blood. Then, I remembered that I’d roasted beets and eating them for dinner. And beets have the ability to change the color of your urine if you eat enough of them, similar to how asparagus can change the smell of your urine. Phew, I thought. Thank God for the beets! I was only about 14 weeks postpartum and the idea of having my period back this early in my breast-feeding journey did not sit well with me. Most of the time when you hear of women getting their period back after giving birth this soon, it’s because they are exclusively formula feeding or they are not nursing enough. In my case, I was pumping milk around the clock and nursing a few times a day consistently for the last 14 weeks, so if my period had come back that soon, I would have been completely devastated. So hopefully, I still have at least 4 to 5 months before it returns.

Pre-teething

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The other day, I noticed that my baby was drooling a lot more than normal. Unfortunately for us, whenever there is stuff coming out of our baby’s mouth, it is usually spit up from her last feed, which is not particularly fun for me to see. Why is that? Well, here I am, working my ass off to pump milk 6-7 times a day for the last 14 weeks, and to see that precious liquid gold get spit up hurts my heart… Or should I more accurately say, my breasts! So drool is just something a bit different. In addition to that, I also noticed that when I nursed her, she seemed to be latching and unlatching a bit weird. It was just different than what I was used to seeing. And like clockwork, my Cleo rep send me an article to prepare myself for what to expect for pre-teething.

Pre-teething tends to happen somewhere between 2 to 4 months. This is not necessarily the teething stage, which tends to start around month five or six of a baby’s life. Pre-teething, just as it sounds, precedes actual teething. Your baby’s mouth is starting to get ready for the teeth to grow in, and with that comes a lot of excruciating pain for your tiny little human. That excruciating pain is going to manifest itself in a lot of screaming and crying that is going to seem a little bit out of the nowhere. So I went and disinfected her silicone teething toys, froze a few, and offered them to her. As with most new things, she kind of looked at the first teething toy skeptically and was slow to accept it. But gradually, she has learned to suck on it. And I knew that pre-teething had really begun when one afternoon, out of nowhere during her nap, she started screaming and crying nonstop. Nothing would sooth her. Holding her didn’t help, singing and talking to her didn’t help, and she clearly was not hungry. She just needed to be soothed because of the pain in her gums. She accepted some of the teething toys for a little bit, and eventually I just offered her my boob… Because access to the boob is just comforting to a teething baby.

We have been extremely lucky so far in that our baby is always predictable when she cries. She has a specific cry for hunger. She has another cry for attention. She has a faux cry for hunger. But with teething, that would be a very different territory for us to understand and to help with. And so, the adventures of parenting continue.

Dropping pumps

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After your milk supply regulates after around 12 weeks postpartum, hormones play less of a part in terms of your milk supply and instead, demand dictates it a lot more. Because of that, I wanted to wait until after I reached 12 weeks to start dropping pumps. Even though I was only pumping about 2-4 times a day in the first week of my baby’s life, and then six times a day in the next three weeks, I increased to seven times per day to increase the demand that would fuel my supply based on what I had read on exclusive pumping via the exclusive pumping mamas website as well as the Facebook support group. These have been my two sources of truth on EP since starting. The exclusive pumping guidelines strongly urge that in the first 12 weeks postpartum, pumping moms pump at minimum 8 to 12 times per day around the clock, every 2 to 3 hours. I knew I would never be able to do that and retain my sanity, and so my compromise to myself was seven pumps per day. Even for those rare moms who have an over supply in their first 12 weeks, if they do not pump at this frequency around the clock, their supply will likely plummet quite drastically after 12 weeks, and so their oversupply tends to be a bit of a false security.

When I reached the 13th week, I finally decided to drop a pump. Instead of pumping approximately every three hours during the day and four hours overnight, I would pump about every four hours around the clock, with a five hour gap between pumps from 3 AM to 8 AM to allow me to sleep a little bit more (yeah, like 3.5 hours vs. 3 – very luxurious as you can tell). Also, it makes sense that I would pump six times a day if my baby eats six times a day. In an ideal world, the amount I pump per pump session would match the amount that my baby needed to eat. This has never been the case, as my supply has always fluctuated throughout the day and yielded very different numbers, so every time I started pumping, it would always feel like a crapshoot as to how much I would produce. However, I have read that this is very common with most women who are lactating, as your prolactin level is constantly fluctuating throughout the day and tends to peak in the middle of the night through the early morning. The only time I could semi-accurately predict what I would produce at a given session at a given time was during the middle of the night pump as well as my very first morning pump when I woke up.

Anyway, I was really scared to drop a pump because I wasn’t sure how my body would react. I was especially scared of losing supply, but I knew that as I approached returning back to work, my eventual goal was to get down to five pumps per day as well as to cut out my overnight pump. And so, dropping at least one pump at this point made sense for me. So I sucked it up and told myself, even if my supply drops by an ounce or so, there is really no going back once I drop pumps. Once I start dropping pumps, the number of pumps per day will only go down, never up again. I had to do this for my sanity, for my own mental health. I really need to start getting my life back again and not constantly focus on the number of milliliters of breastmilk that I was producing for my baby to eat. As my night nurse always says, this is only for a short time, and this will not last forever. And so, that short time is being defined partly by my return to work date, as well as my own sanity and desire to be unshackled from my pump.

So now, it’s been about one week since I took the plunge and did it. Well, I was pleasantly surprised after dropping a pump: all of my outputs at every session increased dramatically, with the exception of my first morning pump, which tends to be pretty similar to before I dropped pumps. Every other pump increased: it was like it was almost predictable at this point and very even. The amount that I was producing per session on average increased about 20 to 70mL and it ended up evening out to more than what I was producing when I was doing seven pumps per day. In fact, it was like my supply had increased over the course of the last week with just six pumps a day. I was almost matching how much my baby was eating in a single day! I could not believe it. I never thought that I could get to a point where I could even call myself “a just enougher,” But it looked like there were a couple of days where I could actually have given myself that label. I had a late start to priming my body for exclusive pumping because of the crappy advice I was given early on from the lactation consultants that I had met in person. I was not forward thinking enough at that point to think about a life of potentially exclusively pumping for my baby given her weak suck and poor milk transfer. I didn’t start doing my research on this until about a week before her one month check up. In retrospect, I really regretted not looking into it sooner or being more prepared. I just didn’t have the information early on enough to establish my supply early enough, as those first one to two weeks postpartum are really crucial in terms of establishing one’s milk supply. Timing REALLY matters here. And when I spoke with another lactation consultant through Cleo in March, I told her that my goal was to get to 75 to 80% breast milk for my baby. I would obviously love for it to be 100%, but I would be OK if it never got there; I had made peace with this at the end of January. Given my late start with aggressive exclusive pumping, she told me that 80% was a realistic goal given the trajectory I had shared with her, but 100% would be unlikely. It would not be impossible, she said, but it would be quite difficult and against the odds.

 Well, here we are looking at the data and we have achieved that in two days in this last seven day period, when I was able to match my baby’s needs 100%. We still gave her one bottle of formula on these days as we normally do because as per usual, I was scared that my supply would not be that consistent, and I wanted to save for a “rainy day,“ which could easily be tomorrow when I may not produce as many ounces. But if we wanted to, we could’ve easily given her just breast milk that day. My fear in that, though, which has always been a fear, is that my baby will get so used to having breastmilk that she will start rejecting any and all formula. And that will be particularly difficult and scary when eventually, my period returns, which will inevitably result in my supply tanking. That happens with literally every woman who lactates, and every lactating mom dreads that time. Well, fingers crossed that my period does not return until at least 8 to 9 months postpartum.

It’s funny how things turn out. It is true what they say: once you stop worrying about your milk supply and just throw in the towel and say, it is what it is; I will produce what I produce. I will make peace with it. I will drop pumps and accept whatever supply dip comes — At that point, when you least expect it, you actually end up producing more.

Well, I hope this keeps up. I only have seven days of data right now, so I am looking at the next seven days to see how consistent this will stay, if at all. Because if the next seven days look good, then after that, I will try gradually weaning myself off of my middle of the night pump. Then, I will have five pumps from the time that I wake up to time that I go to bed and actually… Have a real, full night‘s sleep for the first time since two days before my baby was born. And I am really looking forward to that happening. I really deserve it.

Chai meditation – daily calm

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During the pandemic, I started supporting (in a greater number, anyway) smaller, minority owned food businesses. It was also an added bonus if these small food businesses were owned by women. One of the businesses that I discovered via Instagram that I absolutely loved was The Chai Box. It is a small chai company that is based in Atlanta and owned by a female Indian American who immigrated to the US from India when she was a young girl. I love the story behind how her business got started: she and her husband raised three sons in Atlanta and after school, when the kids would come home with their friends, she would make chai for all of them to enjoy with their after school snacks. Their kids’ friends enjoyed the chai so much that they would go home and tell their parents about it. Then, at school events or sports games, the kids’ moms would ask about how she makes her chai. A number of them offered to pay her for her blends. So initially she started gifting and selling them to these moms and family friends. Gradually it became an actual business — their family business. They source all of their tea from India, and all of their spices, which are crazy fresh, are sourced from small, fair trade businesses in Kerala, the state where Chris’s family originates. They also are all hand picked and do not use pesticides.

I especially love her chai meditation, which she does every single morning when she is not traveling for work in her beautiful kitchen. She records herself in her Instagram story making chai, always a slightly different version, and then she records the pour and insists that you make time for you. Her time to herself is her daily morning chai meditation. I watch it every single day, no fail. I actually find it very soothing, particularly the #ASMR from the heat aeration as well as the pouring of the chai into the pot and cup. I have learned a lot about chai just from following her Instagram handle and watching her daily chai meditation. She says that when you add spices to hot boiling water, you know how fresh they are if the water changes into a faint golden or brown color. And she always says that chai is not chai unless you do a double boil: first, you boil the water and add the tea leaves or spices and boil; and then you do a second boil once you add your milk of choice and let simmer. My favorite blends that she does so far are the Punjaban Party and Hill Station.  

Well, I thought about her rule of thumb that spices are not fresh unless they change the water color in boiling water. One morning this week, I decided to make chai the way I used to make it before I started buying her blends by using my Dilmah teabags, a slice of ginger, as well as some crushed cardamom pods, fennel seeds, and clove. My pot was too dark for me to see if there was a color change, but when I tasted the chai, it really fell flat: the richness of both the spices as well as the tea was really so inferior to her blends that there was genuinely no comparison at all. It was like I was knowingly giving myself subpar chai. Making chai in the morning a few times a week is like my little indulgence for myself in the midst of the massive fatigue and chaos in raising a baby: I love doing the double boil as well as the heat aeration, and that first sip always hits the spot. Even when I made matcha, which I love, a few times a week in the last few weeks, that has been nowhere as satisfying as my first sip of chai each morning when I make it. It is definitely a process, one that takes time and patience to do right, but one that I really love and look forward to.

“Breast milk is not free”

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A few months ago before I gave birth, I was in a session with my therapist discussing my hopes for a feeding plan for my baby. We were listing out the pros and cons of breastfeeding and formula feeding, and as a pro for breastfeeding, I said, “well, one big pro is that breast milk is free, so I don’t have to pay for it!” She gave me this look that said part shock, part horror, and part comic and responded, “Oh, breast milk is NOT free!!”

And while on my pumping journey, I have heard her voice so wisely repeat this in my head, over and over and over. The literal dozens of hours I have spent with my nipples connected to a breast pump, the time I have spent doing hand expression, breast compressions and jiggling (to get the milk ducts active), breast warming and massaging; milk duct clog expelling, breast milk measuring, spilling (yes, there were a couple small yet painful spills.. every drop counts); researching ways to increase my milk supply, trying different and useless supplements, my nipples being sore and pointy to the point I cannot even wear my regular bras or my sports bras; power pumping, all the exacerbation of pain in my fingers, hands, wrists, and elbows as a result of all the above — I have reflected on all of this almost every single time I have connected myself to my breast pump. BREAST MILK IS ABSOLUTELY NOT FREE. I was stupid and naive to have ever made such an ignorant statement. Pumping has tested my mental health in ways that is close to the roller coaster I went through with IVF — In-vitro fertilization!! Who would have ever thought this??

In those moments, I feel deeply resentful of all the women who told me that they “just got lucky” because breastfeeding just worked out for them right away — they had babies who latched right away (well, mine did: that was a very FALSE sense of security), babies who sucked hard enough to get all their milk out so there was no milk transfer problem as in my case, babies who rapidly gained weight during nursing. When they connected their pump, they always pumped enough to get a feeding or more for their baby, or all their pumps had a consistent or predictable output. I wanted to say to all of them, “I hate all of you, but that’s because I’m envious as fuck.”

I also think about the total lack of understanding that men have when it comes to the pain and toil that pumping milk around the clock takes, or the potential harm that a clogged milk duct can take on a woman’s body. Example: the other day when I was dealing with a milk clog, I spent a good three hours shuffling between two pumping sessions and a manic attempt to get the clog out. In that time, Chris went out for a haircut, but before that, he was obsessed with AirPods he lost. When he got back, the first thing he asked me was, “Any luck finding my AirPods?” I told him that I spent that entire time either pumping or trying to get my clog out. “That’s it?” he responded, in terms of what I had accomplished during that time.

Seriously? Was he more concerned about his lost AirPods than the fact that a milk clog could result in 1) less milk for the baby to eat, 2) a total reduction in my overall milk supply if the clog persisted for too long, 3) my potentially getting mastitis, resulting in extreme flu-like symptoms, needing antibiotics, and in the absolute worst cases, potentially even going to the ER? And let’s also not fail to mention that… I was in pain! And when I said this to him, he responded, “Someone’s being a snowflake today.”

I told my friend this, who has two children, breastfed both, and dealt with many painful and stubborn clogged ducts. She got exasperated listening to this and said her husband was the same. “Men just don’t understand the crap women go through to feed their kids!” she said in response. “(Husband’s name) always bugs me about the times I pump and asks why I always have to pump at those times… like it’s a HOBBY!”

This is why I have mom friends and a pumping support group. If I didn’t, I probably would have given up on pumping after the first month. Because while formula may be expensive, breast milk is the most expensive food that exists. Women sacrifice their bodies and their mental health just to nourish their children. And there’s really no greater gift or sacrifice than that.

No pressure (to pump)

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Last month, we started noticing that the baby would have a bit of mucus in her nose, and it would accumulate as the night went on. We could actually hear her breathing loudly while sleeping, and at times, it actually sounded like she was struggling to breathe. This was when I started clearing out her boogers and mucus before bed every night as well as each morning before her mid morning feed. It was actually crazy to think how much mucus this tiny little human had in both of her little nostrils. It made me so sad, and my heart hurt to think about how she could be struggling to breathe.  

We talked about it with our Night Nurse, and she suggested that her nighttime feeds only be breast milk if I could produce enough. Luckily, I had gotten my supply up to a level where I could provide all of her nighttime feeds with breast milk. So during the day, even if I was producing and pacing well with my breast milk output, I would try to save breastmilk for all of her feeds overnight. Even if I did have enough to give her 100% breast milk for an entire 24 hour period, we would still give her one bottle of formula just to make sure that we had enough and then some. It’s almost like my own way of “saving” for the next day, which may be a “rainy day“ in terms of my breastmilk production… Because I had no idea when I might get a clogged milk duct or if my supply would just randomly tank because I still had not regulated my milk supply at that point in time.

On top of this, when Chris would do her bottle feeds, he noticed that she always seemed more satisfied when she had breastmilk. She could have less breastmilk than formula and still be more satiated. This makes sense when you think about breastmilk consumption versus formula consumption in babies: every time you read guidelines on how much babies should eat a different ages by week as well as by month, you can see that many babies from month 2 onward can gain a healthy amount of weight but still consume the exact same amount of breastmilk in a day, Which is approximately 90 to 150 mL per feed. That is a big range, but that depends on the number of feeds in a day. Formula fed babies are not like this, though. As formula fed babies get older and bigger, the amount of formula they need steadily increases. They will eventually need massive bottles of formula to drink. In the one feed a day when she would have Bobbie formula, she would kind of grimace after taking a sip from the nipple of a bottle and look at Chris, like, “what the heck is this? You’re making me drink this?”

Chris told me this, and he told me that she very clearly prefers drinking breastmilk. And I looked at him and said, “great! No pressure to produce more!“ He gave me this exasperated look and retorted back, “why do you have to be so negative? I’m telling you that she prefers your milk over formula! That’s supposed to be a compliment! All of the hard work you are doing to pump milk is paying off! She clearly enjoys it!”

He’s right. I am being negative. I see this as additional pressure to find ways to increase my output to get to as close as 100% as possible even when I originally set a goal of getting to 75 to 80%. But doesn’t it make sense that once you have set a goal in terms of quantity that once you hit it, you keep on reaching higher and higher? So not only does my baby have a clear preference for breastmilk, but she also gets more mucus when she has formula, which is not good. If you knew that your baby was more susceptible to mucus because of an increase in formula consumption, wouldn’t that be pressure for yourself to try to produce more breast milk?

A continued weak suck and a second clogged duct 

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Two nights ago, it was just me and Chris with the baby at home. Usually when it’s just Chris and me, I will do the baby’s last feed of the night at around 10 PM. Afterwards, I will do my last pump for the night and go to sleep for approximately three hours. Then, I’ll wake up around 3 AM to do my middle of the night pump. However, I have noticed that the baby tends to be a little bit more feisty on the nights when I have her. That night, she had about 3/4 of her bottle when she started falling asleep. I figured that this was a sign that she was full, so I burped her, held her upright for an additional 10 minutes, and then started to swaddle her to bring her to her bassinet. She was totally fine throughout this entire process… Until I started swaddling her, and she started crying for more food. So I said OK, I can give you more food. I fed her about 20 mL more breastmilk, and then, she started falling asleep yet again. This time, I went through the exact same process as I did above, and then at the exact point when I started swaddling her, she started crying…  again. I was like, seriously?! You need to go to bed and make up your mind and stop grazing! This is your last meal of the night, and it is not a buffet spread that you can just graze at and pick at little bit of foods with on tiny toothpicks!

I gave her about 10 mL more breastmilk until she started falling asleep again. Then, for the third time, I started swaddling her, and she started crying. This is when my patience really wore thin. I continued swaddling her and then picked her up, rocked her, and sang her a song. I told her that this time, she was not getting any more food, and I did not care how much she was going to cry. I needed to pump, and then I needed to go to sleep. She needed to sleep right then and there.

She eventually complied and started falling asleep. I put her in her bassinet and immediately went to set up my pump. I did my last evening pump, and then I went to sleep. I looked at the clock, and it was just a couple minutes past midnight. That was so frustrating. I needed to wake up in three hours to do my middle of the night pump, and the thought made me miserable. I told myself OK, maybe I’ll give myself an extra hour of sleep and get up to pump at 4am. One additional hour of sleep felt very nice and luxurious, and I was going to give it to myself.

Well, I woke up after my alarm went off, and Chris asked if I was going to get up to pump. He was up waiting for the baby to stir so that she could have her middle of the night feed. I immediately felt a weird lumpy sensation in my right breast, in addition to the same tingly sensation on both my boobs, telling me I needed to pump ASAP or risk engorgement. I started massaging both of my breasts as I normally do before a pump, but I noticed that there were two lumps on the top of my right breast… and I was not happy. Seriously? I gave myself one extra hour of sleep, just four consecutive hours, and my punishment is milk duct clogs?? 

I went to do my pump and got a good amount of milk, more than I normally do around this time of night. I actively massaged out both lumps to see if I could loosen them. One of them seemed to have gone away, but one of them still remained. It was strange that my milk output was higher than usual despite having these lumps, because most of the time when you have clogs, they actually block the milk from flowing. That ends up reducing your output from what you normally get. When I finished my pump, I went back to sleep and woke up again in about three hours to do my first morning pump. And this was when I realized that the clog was not going away unless I manually got rid of it: my right breast produced just half of what my left breast produced this time. The unevenness in both of the bottles that I was pumping really unnerved to me. I knew I had to get this clog out, and get it out ASAP.

I went up to the hot tub on the roof and actively massaged the clog. I used the Haakaa and Epsom salt hack with warm water, and soaked my nipple in it about four times throughout the day. I also applied my Theragun on the clog and pushed it down towards towards my nipple. I made sure to be prepared, as I put a bottle under my nipple, and thankfully I did: milk sprayed everywhere when I did this, and I even got it all over my shirt. I am stingy with breastmilk as an under supplier, and there was no way that I was just going to let the milk spray everywhere and lose it if I could control it. I tried massaging the clog out in the shower, and I also noticed milk spraying. I took sunflower lecithin pills throughout the day, which are supposed to loosen fatty milk and prevent clogged ducts.

Finally that evening, I did more Theragun massage, as painful as that was, and did a last Haakaa and Epsom salt nipple soak for the night. this resulted in the clog finally loosening in a way that looked promising: in the Epsom salt soak, which was colored purple because of the lavender in the Epsom salt mixture, I saw a big, slow gush of white fluid in the Haakaa breast pump that eventually spilled out. While it made me sad to lose this milk, it made me really happy to actually see this Haakaa hack in action and actually working. I continued to massage the clog and gradually felt that it was getting smaller and flatter. Then, I thought that it would be a good measure to get into another hot shower, use a hot wet hand towel, and continue to apply pressure to ensure that the clog was gone while bending over to let gravity help me. I used the heel of my hand as my friend suggested and more milk sprayed out. Did I finally get it all?

I did my 8:30 PM pump, and my right breast produced just over 10 mL… That was miserable to see. And unfortunately, I did not see milk spraying out of the milk ducts that I know this clog is associated with on the top of my breast. I didn’t think the clog was fully out. When I massaged the top part of my breast, I still felt a lump, though it was much flatter and smaller than it was before. However, it looked like my left breast wanted to over compensate for my right breast, and it actually produced the difference of what I normally produce for both breasts during this evening pump, which made me a little happy.

This morning, I took another hot shower after the gym and used the hot towel, the power of the heel of my hand, and bent over to get the clog out further. And this time, there was no doubt about it: The milk just gushed out of my right nipple. It started as long, fast sprays, and then it progressed into huge gushes of milk. I felt one part relief and one part sadness… I felt relief knowing that I was actually making progress to get rid of the clog, but I felt really sad because I was literally seeing my precious breast milk going down the drain and ultimately getting wasted.

 The day before, I had finally, in the last 12 weeks, reached over 20 ounces of breast milk output in a single day. I was proud of myself and my progress, as I had worked so hard to get my milk supply up. But then, as though to punish me and laugh at me, my body gave me a clog the day after. What the actual fuck?! It was like mother nature playing some cruel trick on me.

My mom friend told me that my baby would be able to help me get my clog out, as her baby had always helped her get her clogs out. They always say that a breast pump is never as efficient as a baby at the breast. Well, that is having the assumption that your baby is actually an efficient eater. Well, I knew that that was not going to be the case for me because my baby was not an efficient eater at the boob. And my suspicions were correct: when I placed her on the right side at my breast, she lasted about seven minutes tops before she started wailing loudly. And then this morning, she lasted just four minutes and kept on unlatching and cried yet again. This baby was not going to help me unclog myself at all… I can only hope that this laziness and weakness is not indicative of the person she will grow up to be.

The morale of the story is: take sunflower lecithin pills to prevent clogs. Don’t sleep too long between pumps otherwise your body will punish you. Don’t get too excited about your increased milk supply because your body may come back and bite you in the ass… or in my case, in the boob. MILK CLOGS HURT.

A weak and lazy suck

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When you are a new parent, of course, you’ll think that your baby is cute. You may even think that your baby is the cutest baby on earth, and who could blame you? Every day of my baby‘s life, she gets a little bit older, bigger, and is constantly changing. Every day, I marvel over how cute and sweet she is, and all I want to do is eat her little face. Her face is taking shape, her skin tone is morphing, and she is slowly developing little rolls in her neck. Her cheeks have filled out so that they are super pinch-able. But one thing that doesn’t seem to be changing that the pediatrician and my mom friends around me have encouraged me about is her suck. Most of them were optimistic, and they said that as the baby got older, she would also get stronger. This would mean that her sucking would likely also become stronger. And while she does have some good days on my breast, other days, it’s just as though she is just as weak and lazy on the boob as she was in the first couple of weeks of her life. Sometimes, it honestly just feels like she is licking my nipple, and I am not sure that achieves anything. Who even knows if that counts as “nipple stimulation“ to help my milk supply? I told Chris this, and he said that this was simply foreplay on my breast, and this was not a good use of time for anyone!

A friend suggested that I look into a nipple shield, as nipple shields are supposed to help babies with a weak suck, as it is evidence-based from babies in the NICU, most of whom are premature. The idea is that the babies do not have as much bucal fat in their mouths to be able to properly suck because they are so small, so they need something firmer like a nipple shield to grip their mouths on. My Cleo LC also suggested that I look into this, as well. I was even further encouraged by this when I read a promising story by someone who posted in the breastfeeding group on Reddit, who said that she had a baby who also had poor milk transfer and a weak suck. By using a nipple shield on and off while nursing up until week 13, she was able to get her baby to transfer enough milk so that baby started rejecting all of her bottles that were offered after nursing because she was full. Throughout this period, she maintained her milk supply by pumping milk around the clock, similar to what I have been doing. The crappy thing about the story though, is that she had to go back to work at that point, so she just had to continue pumping milk (this stupid fucking country). But she was still able to nurse her baby successfully in the evenings until her baby was full. 

Well, I spent the five dollars it cost to get a fitted nipple shield for my nipples, and I tried using the nipple shield on and off on one breast while nursing my baby for about two weeks. In the beginning, it actually seems like it was working. She was sucking harder, and when she switched to the other breast, she actually seemed like she was working harder to suck the milk out. But then, there were other sessions when it seemed like it just stressed her out too much, and she would start fighting with the nipple shield. It upset me to see her so stressed, and I didn’t want to make every nursing session this stressful, even if I only used a nipple shield on one breast. And on and off, to make things worse, she was just as lazy as she was before I introduced the nipple shield. So in the end, after about 2 1/2 weeks, I gave up on the nipple shield. Granted, I only spent about five dollars on the nipple shield, so I didn’t feel that bad about it.  I still just really wanted nursing to work, and after using the nipple shield as a last ditch effort, I finally accepted the fact that this is not going to be part of our path forward in nourishing my baby. Pumping was going to be how I would continue to primarily feed her. At least, as long as my sanity was intact, I would continue doing this. My goal is to get to a minimum six months of her diet mostly being breastmilk. Ideally, I would still be providing some breastmilk until she is one year old.  And honestly, I also rationalize this because of the co-pay I paid for my Spectra S1 pump, as well as the new portable pump I just bought, the Baby Buddha, along with the Legendairy milk cups that make it a wearable pump. Well, can you blame me? I’m trying to get the biggest ROI possible out of my investments. And these are all investments in my baby’s health, so I don’t think that there is anything bad about this decision or goal.