Is My Baby Getting Enough Milk?

Is My Baby Getting Enough Milk? When you’re breastfeeding, it can be hard to know whether your baby is getting enough milk. Especially if you don’t pump, you never see the exchange. Your baby latches on, suckles for a while and pops off, satiated and happy. That’s what happens in a perfect world. In your world, you might be dealing with an infant that turns away when your letdown comes on too strong, falls asleep at the breast or has trouble latching on altogether. There are myriad things that can make you less than confident about breastfeeding. At some point in most mothers’ lives, they feel like everything would be ok if they could at least know that their baby is getting enough milk. Her

Milk Blisters, Clogs and Mastitis, Oh My!

Milk Blisters, Clogs and Mastitis, Oh My! Before I ever breastfed, I knew that you should call a lactation consultant if your nipples were in pain or your baby didn’t latch. But I had never heard of a milk blister. Fast forward 8 years, and blebs are part of my daily vocabulary. I didn’t get them very often, but I do see them somewhat frequently. Those and other types of blockages in the milk ducts and breast aren’t emergencies, but they should be addressed. What Are Blebs? Blebs are milk blisters. They form when a pore on your nipple becomes blocked by an overgrown piece of skin. Because the milk can’t come out, it backs up behind it, forming what looks like a whitehead pimple. If you have

Hands-on-pumping

Pumping isn’t the most natural experience. Hard flanges are attached to your breasts, your nipples are tugged into shapes that you once would have thought were appalling, and tubes get tangled up as you try to hold everything in place without spilling a drop. If you only produce a few milliliters of milk after this sucking-and-juggling session that requires you to have as many hands as an octopus, pumping can be downright discouraging. Did you know that there’s an easy way for you to produce more milk while you pump, though? In addition to the basic tips for pumping more (such as pumping when you’re relaxed, listening to baby sounds while pumping or using the right flange size), you can use

What is an IBCLC, and When Would I Need to Call One?

What is an IBCLC, and When Would I Need to Call One? I recently added a bunch of new letters after my name. I didn’t get married--I became an IBCLC. Although I’ve been working as a lactation counselor and supporting mothers for more than five years and taking every opportunity to continue to learn more, I’ve also been taking courses to earn this accreditation. What is an IBCLC? According to the International Lactation Consultant Association, an IBCLC is an International Board Certified Lactation Consultant. These healthcare professionals work with mothers, children, other healthcare professionals and the community to provide expert care when it comes to lactation and breastfeeding. They also

Rachael Birkenhauer, IBCLC, RLC

is an experienced Lactation Consultant

and mother of two kids. She has additional

Certifications in Tongue and Lip Ties: Assessment and Aftercare as well as Maternal and Infant Assessment for Human Lactation. 

She has a thriving Private Practice in Wilmington, North Carolina that opened in 2015. 

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