Dr. MILK  
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Dr. MILKAS in the news

• Dr. Lindsay Snow gives breastfeeding advice www.thebluegrassmom.com/single-post/2017/03/16/Breastfeeding-Advice-from-Dr-Snow www.thebluegrassmom.com/single-post/2017/03/16/Breastfeeding-Advice-from-Dr-Snow

• Dr. Kristina Lehman talks to Our Milky Way www.ourmilkyway.org/internist-looks-to-augment-breastfeeding-education/ www.ourmilkyway.org/internist-looks-to-augment-breastfeeding-education/

• Dr. Kristina Lehman gives a talk to her department about Why Should the Internist Care about Breastfeeding? www.screencast.com/t/OIlkVnKWW www.screencast.com/t/OIlkVnKWW

• Viral Campaign to Naturalize Breastfeeding https://bfmed.wordpress.com/2016/12/20/naturalizing-breastfeeding-through-filters/ https://bfmed.wordpress.com/2016/12/20/naturalizing-breastfeeding-through-filters/

Websites focused on mothers who work outside the home and provide breast milk for their children

• Magic Number - breast storage capacity - www.nancymohrbacher.com/articles/2010/8/13/the-magic-number-and-long-term-milk-production-part-1.html?rq=magic%20number www.nancymohrbacher.com/articles/2010/8/13/the-magic-number-and-long-term-milk-production-part-1.html?rq=magic%20number Infographic from Nancy Mohrbacher on how your milk volume does not increase over time. Her book "Working and Breastfeeding Made Simple" covers Magic Number concepts in greater detail.

• Hands-on pumping - Dr. Jane Morton newborns.stanford.edu/Breastfeeding/MaxProduction.html newborns.stanford.edu/Breastfeeding/MaxProduction.html Standford University website has several videos on breastfeeding. And Dr. Morton shares her standardized scripts and order sets for late preterm infants, DOL stage II, twins, and other common post-partum breastfeeding concerns.

• Paced bottle feeding handout https://www.breastfeeding.asn.... (more) https://www.breastfeeding.asn.au/system/files/Caregivers%20guide%20to%20the%20breastfed%20baby%20%282-page%20portrait-style%2C%202015%29.pdf For caregivers describing paced bottle feeding and some storage info.

• Video paced bottle feeding - Jessica Barton https://www.youtube.com/watch?v=UH4T70OSzGs https://www.youtube.com/watch?v=UH4T70OSzGs Breastfeeding for a year while working outside the home -- caregivers/daycare/nanny/family MUST watch this video and read handout on paced bottle feeding. Otherwise baby will "want more" from the bottle than mother is pumping. You only feed what you pumped the day before. Not one drop more. Slowing down bottle and letting baby feel full is paced bottle feeding. How can a baby be happy and growing on weekends with mom but on work day the baby is "starving" when bottle fed? Don't overfeed your breastfed baby while you are at work.

• Travel guidelines breast milk TSA www.tsa.gov/travelers/airtravel/children/formula.shtm www.tsa.gov/travelers/airtravel/children/formula.shtm Rules about traveling on airplane with pumps, frozen and fresh breast milk from TSA's website.

• Fitting breast flange images www.ameda.com/breast-pumping/getting-started/flange-fit www.ameda.com/breast-pumping/getting-started/flange-fit From Ameda pump company.

• Find local help! www.latchmd.com/ www.latchmd.com/ IBCLCs, doctors, mother support groups, retail stores, pump rentals. Find near to you - also a phone app available.

• La Leche League - "Sweet Sleep" book www.llli.org/sweetsleepbook www.llli.org/sweetsleepbook Great searchable question and answer forums and tip sheets. I highly recommend subscribing to the magazine "New Beginnings".

• Iron for breastfed babies https://www.healthychildren.or... (more) https://www.healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/Working-Together-Breastfeeding-and-Solid-Foods.aspx AAP information for introducing iron-rich foods at 6 months. No need for iron supplements in healthy term infant if iron-rich foods are started at 6 months. Advocate for delayed cord clamping in your birth and less likely to have issues with anemia at 9-12 months also!

• Biologically normal sleep for human babies https://www.isisonline.org.uk/ https://www.isisonline.org.uk/ Normal infant sleep, expectations of infant sleep, sleep environment dangers

• Maternal Vitamin D for breastfed infant pediatrics.aappublications.org/content/early/2015/09/22/peds.2015-1669 pediatrics.aappublications.org/content/early/2015/09/22/peds.2015-1669 If you are breastfeeding only and making 24-30 oz per 24 hours - then you can supplement yourself rather than infant in Vitamin D. 6000 IU Vitamin D3 plus 400 IU in your prenatals. If you are mixed feeding breast + formula less than 33 oz per day: baby must be supplemented 400 IU per day. If you are formula feeding less than 33 oz/day in the first year of life - those mothers must supplement baby 400 IU per day.

• Goldfarb handouts www.jgh.ca/en/pfrcbreastfeeding www.jgh.ca/en/pfrcbreastfeeding Plugged ducts, candida nipple, domperidone Canadian consensus statement 2012, weaning from domperidone, vasospasm, poor infant weight gain, mastitis, herbs for milk supply.

• Trust your body, trust your baby www.nancymohrbacher.com/blog/2015/8/21/what-does-it-mean-to-use-your-breast-as-a-pacifier www.nancymohrbacher.com/blog/2015/8/21/what-does-it-mean-to-use-your-breast-as-a-pacifier Nancy Mohrbacher explains trusting infant cues related to breastfeeding. And feeding for reasons other than hunger. Normal anthropology of mother-baby dyad.

• James McKenna side-lying nursing safety checklist cosleeping.nd.edu/safe-co-sleeping-guidelines/ cosleeping.nd.edu/safe-co-sleeping-guidelines/

• Breast surgeries and breastfeeding www.bfar.org/index.shtml www.bfar.org/index.shtml Reduction surgery, lysis of adhesions inverted nipple, breast augmentation surgery, chest surgeries

Links to supplement the newsletter

• University of North Carolina's 4th Trimester Project 4thtrimester.web.unc.edu/ 4thtrimester.web.unc.edu/

• KellyMom www.kellymom.com www.kellymom.com Great site for evidenced based answers to your breastfeeding questions

• Stanford Newborn Nursery med.stanford.edu/newborns/professional-education/breastfeeding.html med.stanford.edu/newborns/professional-education/breastfeeding.html Excellent information and videos - especially Maximizing Milk Production for pumping moms

• Infant Risk Center www.infantrisk.com/ www.infantrisk.com/ For comprehensive information on medications for the lactating woman

• www.nancymohrbacher.com Great information about Magic Number Principle, Paced Bottle Feeding, and more!

• Perinatal Outreach and Encouragement for Mothers www.poemonline.org www.poemonline.org Resources for postpartum depression and anxiety

• Reverse Pressure Softening www.salactationconsultants.co.za/Articles/Reverse%20Pressure%20Softening.pdf www.salactationconsultants.co.za/Articles/Reverse%20Pressure%20Softening.pdf A technique to reduce problems with latching due to engorgement

• Therapeutic Breast Massage bfmedneo.com/our-services/breast-massage/ bfmedneo.com/our-services/breast-massage/

• Academy of Breastfeeding Medicine Protocols www.bfmed.org/Resources/Protocols.aspx www.bfmed.org/Resources/Protocols.aspx Physician-led organization with evidence-based protocols for managing maternal and infant conditions related to breastfeeding

• Milk Soy Protein Intolerance www.infantproctocolitis.org www.infantproctocolitis.org Dr. Anne Eglash explains MSPI in breastfed infants. Wonderful for physicians and parents.

• Tongue tie, tongue dysfunction drghaheri.squarespace.com/resources/ drghaheri.squarespace.com/resources/ ENT with good resource page (Dr. Kotlow's website, AAP 2004 article, etc.)

• CDC Breastfeeding resources www.cdc.gov/breastfeeding www.cdc.gov/breastfeeding

• Congenital Heart Disease and breastfeeding www.heart.org/HEARTORG/Conditi... (more) www.heart.org/HEARTORG/Conditions/CongenitalHeartDefects/CareTreatmentforCongenitalHeartDefects/Feeding-Tips-For-Your-Baby-with-CHD_UCM_307735_Article.jsp#.Vsm1SRi-z2A From AHA: Explaining that work of breastfeeding is LESS than bottle feeding and safer (oxygenation and apnea) with references.

• Radiology ACR guidelines CT/MRI contrast https://www.acr.org/-/media/ACR/Files/Clinical-Resources/Contrast_Media.pdf#page=106 https://www.acr.org/-/media/ACR/Files/Clinical-Resources/Contrast_Media.pdf#page=106 NO PUMP AND DUMP! Stand up for your patients and yourself!