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Breastfeeding Outside the Box

Alyssa Schnell and Hope Lien

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We are proud to present a series of podcasts for parents Breastfeeding Outside the Box, where we aim to support the nourishing and nurturing of babies in exceptional families - families who historically have not received the help and support they need and deserve. Our exceptional families include adoptive, intended, and foster families; gender and sexual minorities; families with special needs babies; parents who have had breast surgery; mothers with IGT or low milk production for other reas ...
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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 Cat…
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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 …
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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. (W…
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As it turns out, breastfeeding is not just "A Womanly Art." Steph shares an incredible story about a same-sex male couple she worked with who both nursed their baby, exclusively providing human milk for baby's first 6 months. How does this work? Creativity, support, milk expressed by baby's gestational carrier, and a tiny feeding tube at the father…
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With the FDA warning against domperidone, we have noticed an increasing number of U.S. parents who choose to induce lactation or relactate without using the pharmaceutical medication domperidone. While we have spent many episodes discussing the safety and effectiveness of domperidone, our ultimate goal is to meet each parent with a plan for inducin…
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For breastfeeding parents, safely taking medications - whether they are for the parent's health or for increasing milk production - can be complex. It is a delicate balance between the parent's health, the safety of the milk for the baby, and the importance of breastfeeding. It involves communication between the parent's health care providers, the …
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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 no…
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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. Wit…
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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 kn…
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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 a…
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While using medications is a science, using herbs for increasing milk production doesn't seem quite as straightforward. There are so many nuances to consider: ?How do I know if a particular herb is helpful for me? What form of the herb should I take? ?What about using herbs in combination with domperidone? ?Can taking herbs alone boost my milk prod…
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We are thrilled to re-visit an early podcast interview with Chrissy Fleishman who induced lactation for her baby born via surrogacy. There are a couple of reasons why we are re-releasing it now. One, we thought Chrissy gave a great interview. She is well-informed and enthusiastic, and her experience has followed a fairly typical pattern - if there …
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We can't get enough of talking with Dr. Nice about medications for increasing milk production. Domperidone is at the forefront of our discussion, as usual. We delve a bit deeper into dosages and side effects of dom with Dr. Nice. But we don't leave you there: we know that domperidone is tricky business in the United States right now (since it is no…
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I first learned about Malunggay (a.k.a. Moringa) as an herb to help with milk production when I was writing Breastfeeding Without Birthing. When Diana West, IBCLC, author of Making More Milk and internationally known expert on milk production, was reviewing a draft of my book she suggested adding this really helpful herb. I'm so glad she did! Since…
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I had a blast talking with SonJoria Sydnor and Denecia Harrell about support for breastfeeding families of color in the St. Louis area and beyond. They talked about the needs around breastfeeding for families of color and how they provide the specific support that is needed. Whether it is through group meetings, home visits, texts, or social media …
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A little something new with Dr. Nice! We've talked with in the past with Dr. Nice mostly about galactogogues: medications, herbs, and foods for promoting milk production. This time we pick his brain about medications the nursing parent may take for herself rather than her milk production. This includes medications for the nursing parent's health an…
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Introducing the winners of the 2017 World Breastfeeding Triathlon! Okay, I just made that up. But if there was one, this couple would certainly have been a top contender. Together they have successfully relactated, co-nursed, and nursed triplets. Add tongue-ties for all of their children and you start to get the picture! We think you will find this…
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Dr. Nice is back, and he answers questions about the other half of the galactogogue equation: herbs and foods that may be used to support milk production. (Last time we interviewed Dr. Nice, we discussed pharmaceutical medications for increasing milk production. Check out episode #32.) We discuss whether to take herbs individually or in combination…
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We've talked with other adoptive mothers before, but this one is different! Jennifer brought her daughter home as an older baby and when she finally began nursing, her daughter was 2 years old. Bringing a toddler to the breast required determination but it was well worth it, according to both Jennifer and her daughter Helina. (Yes, you'll hear what…
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Because it is our mission at Breastfeeding Outside the Box to support non-traditional families - growing families who have historically not received the information and support they need and deserve - we are so pleased to introduce you to Queer Birth Project. This is an amazing organization that provides local and online education and resources to …
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In this episode, Dr. Frank Nice debuts his first special episode on our podcast! He gives some updates about Domperidone as well as talks about the use of Reglan for parents who want to use these medications to increase their milk production, as well as some of the risks and possible side effects. See more information on our show notes at: www.Swee…
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Ah tongue- and lip-ties! We've heard A LOT about them from our podcast interviewees. Hope and I both have children who've had them. So, while not outside-the-box per se, tongue- and lip-ties affect many babies regardless of any other circumstances and so we wanted to be sure to address them. Dr. Catherine Sledge is a family dentist who deals a lot …
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What do adoption, surrogacy, partnering with a birthing parent, breast/chest surgery, and insufficient glandular tissue (IGT) have in common? Parents who CAN and DO breastfeed. In most of these situations, parents will need to supplement their milk production with extra milk or formula in order to meet their babies needs. How that supplementation g…
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I (Alyssa) have had a guilty conscience for a long time. On this podcast, in my private practice, in my book, and when I speak at conferences, I share breastfeeding guidance that I myself did not take when nursing my babies. It's not that I am a hypocrite - it is that I just don't want other parents to go through the same struggles that I did. So w…
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What an opportunity to hear from a medical professional who has brought in milk for her adopted baby. Deziray's expertise as a physician's assistant gave her added confidence in using a medical approach to inducing lactation. For her, that worked really, really wonderfully. She actually had a surplus of milk for her baby that she was able to donate…
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This is a heartwarming interview not only about nursing and parenting under uncommon and in some ways unexpected circumstances, it is also about how parenting can challenge and grow the relationship between parents. Between Amy and Chris, they experienced infertility, inducing lactation, trans masculine nursing, pumping, bottle-feeding and co-nursi…
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What do parents most want to know about inducing lactation? One of the things they most want to know is whether they will be able produce enough milk to meet all their baby's nutritional needs - what we often refer to as "a full milk supply." Most parents who induce lactation produce anywhere from a few drops to a full milk supply. This is a huge r…
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Mari is a scientist and an innovator ... and an intended mother through surrogacy who nursed her babies. So when the Medela Supplemental Nursing System - more commonly known as the SNS - wasn't meeting her needs, Mari tweaked it. She didn't like the way it worked using gravity, got caught on her long hair and glasses when she hung it around her nec…
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We have interviewed several adoptive mothers on the podcast, but Courtney is the first to have actually produced a surplus of milk. Whereas most mothers who induce lactation need to supplement their milk production, Courtney was able to donate 3000 ounces of the milk she produced by inducing lactation to anther adoptive mom! Breastfeeding has been …
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Sally is an adoptive mom gone lactation consultant, and she uses her personal experiences to guide her professional role with abundant wisdom and compassion. In this interview, Sally does a beautiful job helping adoptive parents and the professionals who support them to navigate through the particular emotional and logistical challenges adoptive pa…
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Last time we talked with Kristin on the podcast, she briefly mentioned a condition called "insulin resistance" that could cause low milk production. This was new to us! We wanted to learn more, and thought you would, too. On this week's podcast episode we ask Kristin a ton of tough questions about IR. It is a pretty complex topic, with still so man…
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"Calm Down. It's about relationship" That is what Amber Duncan ultimately learned about breastfeeding. Breastfeeding isn't only about feeding a baby - it is also about the connection nursing facilitates between parent and baby. This glass-half-full (or breast/bottle-half-full in this case!) attitude allowed Amber to look beyond her own ability to p…
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"They say to marry your best friend, but what about your breast friend? Our story of laughter, tears, and endless pumping proves that that a couple who breeds together can feed together!" - Bethy Annsa Interested in learning more about trans feminine nursing or co-nursing? We are delighted to share Sparrow and Bethy's beautiful story with you.…
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?It was a shock for Rosalie when it was determined postpartum that she had a condition called Insufficient Glandular Tissue, more commonly referred to as IGT. IGT is a breast condition that makes it difficult - and in most cases impossible - for a nursing parent to produce enough milk to meet all her baby's feeding requirements. Rosalie understands…
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When I (Alyssa) began my nursing journey almost 20 years ago, nursing in public was a BIG DEAL. There would be criticism by others. There was the dilemma about how and whether to cover up. It made it pretty challenging to leave the house and still feel like you could meet the needs of your baby. What really surprises me is that this situation hasn'…
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This podcast episode is so absolutely rich with information and ideas, no matter what your breastfeeding outside the box situation, you won't want to pass this one up. Starting with her own "lactastrophe", Kristen shares with us how to find help, causes of low milk production such as insufficient glandular tissue (IGT) and insulin resistance, herbs…
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?It was a shock for Rosalie when it was determined postpartum that she had a condition called Insufficient Glandular Tissue, more commonly referred to as IGT. IGT is a breast condition that makes it difficult - and in most cases impossible - for a nursing parent to produce enough milk to meet all her baby's feeding requirements. Rosalie understands…
  continue reading
 
You are in for a treat with this lovely same-sex female couple who shared the role of breastfeeding their daughter. Rachel and Talana explain that co-nursing has been a delicate balance but with many advantages. It enhanced the closeness each parent experienced with their daughter. It made meeting their child's needs easier. And it strengthened the…
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What?! How can you have a "breastfeeding" podcast episode on bottle-feeding? Well pretty easily as it turns out. We at Breastfeeding Outside the Box understand that breastfeeding cannot always look like exclusive breastfeeding, and there are many situations in which nursing parents may need to use a bottle to feed their baby. Through her groundbrea…
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How wonderful when a family includes a breastfeeding mother! Well how about if a family includes two of them? For same-sex female couples, both mothers can share in the nursing of their baby. This is called co-nursing. Co-nursing can be such a gift for families, but it also has its challenges. Rachel is a lactation consultant with personal experien…
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Chrissy is an intended mother, in other words she became a mother via surrogacy. She tells us of her inspirational journey to nursing her son, from the surprising way she discovered induced lactation to her current breastfeeding relationship with her now 9-week old son.
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In this podcast, we catch up with Alyssa Schnell, co-host of the Breastfeeding Outside the Box podcast and author of Breastfeeding Without Birthing. We heard a bit about Alyssa's personal story in episode #2. Now we connect with Alyssa professionally as she shares some of her expertise on breastfeeding-without-birthing ... or breastfeeding in situa…
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Some babies seem to be born knowing exactly what to do at the breast. And for some others...well, latching comfortably and getting milk from the breast isn't so easy. Lots of times, mothers feel that they have done something wrong when this happens, when in fact their babies are born with some extra challenges. That was certainly the case with Becc…
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Becca didn't give up. When breastfeeding got off to atough start and her milk production dwindled, she knew in her heartit wasn't too late. With time, hard work, and determinationBecca brought her milk back after she had lost it -a process calledrelactation. She used a breast pump, medications, herbs, andthe help of a myriad of local professionals.…
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If there was a queen of breast pump flanges it would be Dee Kassing. I'm serious. Dee knows A LOT about breast pumps and their flanges. What is a breast pump flange? The flange is the clear plastic funnel-like piece that a mother places on her breasts to draw in the nipple and some of the areola in order to extract and collect milk. But why does us…
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Hearing from Bridget and her husband Shawn will blow you away. This incredible couple shares their touching journey through a cancer diagnosis during pregnancy, cancer treatments that did not allow mom to breastfeed, and a baby who would not accept his wet nurses or a bottle, Together this mother, father and baby discovered a solution that helped h…
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We are so thrilled to have the wonderful Diana West on Breastfeeding Outside the Box. Through her writing, speaking, and individual work with breastfeeding families, Diana has opened the doors to breastfeeding for so many parents, starting with mothers breastfeeding after breast reduction surgery. Her influence then grew to supporting mothers with …
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We are thrilled to have had the opportunity to interview Jo Lockhart, nursing mother, doula, and creator/moderator of the Supply Line Breastfeeding Awareness Project Facebook page. In this interview, Jo shares her early struggles with breastfeeding and how using a supply line (a.k.a. at-breast supplementer) has been a key element in her successful …
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Domperidone is a pharmaceutical medication that can help increase milk production. In this interview, Frank Nice gives us the scoop on "dom". He tells us who might benefit from domperidone and who shouldn't take it. He tells us about common - and some not-so-common side effects. We learn what dosage is ecommended, and how to safely and effectively …
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