Lactation expert: The 'Breast is Best' debate, increasing milk supply & postpartum mental health

10 Aug 2025 · 1 h 1 min · 19 chapters

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In short

Lactation consultant Naomi Katrone discusses breastfeeding basics and troubleshooting: common early mistakes (not knowing if baby is getting enough), how to increase milk supply via frequent/effective milk removal, combo feeding vs “breast is best,” pacifier use, pumping/flange fit, and postpartum mental health. She also addresses when to drop nighttime feeds/pumps and how to avoid oversupply.

Guests (backgrounds)

Naomi Katrone, founder of Milk Diva Lactation Services (also includes chiropractic and infant nutrition). She is a board-certified lactation consultant and former labor-and-delivery nurse; author of Milked.

Key claims

Advice must be individualized (“not vanilla” deliveries are common). The biggest mistake is assuming you can’t tell if intake is adequate, leading to either rigid “ride or die” breastfeeding or unnecessary early bottles. Milk supply improves with effective, frequent removals; pump settings/flange size can cause oversupply and nipple trauma. “Breast is best” should be balanced with mom’s mental health; “fed is best” matters, especially in the U.S. where formula preparation is safer than in high-infant-mortality settings. Even small amounts of colostrum early are valuable.

Notable examples

Colostrum drops can be hand-expressed into a spoon; bottle nipples trigger suck reflex even if baby is “full.” Pacifier misuse is giving it when a baby is still hungry. Nighttime pumping should generally not be dropped before ~8–12 weeks; taper gradually if engorgement risk.

Written by AI. May contain mistakes. Listen to the episode to check what was said.

Chapters

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Introducing the Lactation Expert

2:29 to 3:07

Introduction of Naomi Katrone, lactation consultant and expert.

“Welcome back to another episode of Two Parents in a Podcast.”

Common Mistakes in Breastfeeding

3:11 to 6:05

Discussion of common mistakes new mothers make regarding breastfeeding.

“question to you is what is the most common mistake new moms make when it comes to breastfeeding?”

Understanding Milk Supply

7:46 to 8:53

Exploring factors that affect milk supply and tips for new moms.

“And what is the school of thought there?”

Breast Milk vs. Formula

11:12 to 14:00

Discussion on the differences and debates surrounding breast milk and formula feeding.

“Isn't, I thought they, I remember them saying like the size of her stomach is like a peanut or something.”

Navigating Breastfeeding and Formula Feeding

14:00 to 20:47

Explore the complexities of breastfeeding versus formula feeding and the psychological impact on mothers.

“I want to touch on like the difference between breast milk and formula and your thoughts on it because there's those taboo sayings, right?”

The Benefits of Breast Milk and Feeding Strategies

21:49 to 28:00

Understand the importance of breast milk in the early days and effective feeding strategies.

“And I'll maybe edit that statement to say even a little bit of breast milk in the first few days of life is very important.”

Understanding Milk Supply: True vs. Perceived

28:00 to 31:14

Learn how to differentiate between true low milk supply and perceived low supply, and the role of infant feeding behavior.

“In Canada, you can get a medication to help increase milk supply, but we do not get it.”

Pumping Techniques and Recommendations

31:14 to 34:31

Discover effective pumping strategies and recommended pumps to increase milk supply and avoid issues like clogged ducts.

“Is there a metabolism problem, which is not very likely?”

Pumping Techniques and Recommendations

34:36 to 34:48

Discover effective pumping strategies and recommended pumps to increase milk supply and avoid issues like clogged ducts.

“That's hungryroot.com slash two parents code two parents to get 40 % off your first box and a free item of your choice for life.”

Nighttime Pumping and Parental Well-Being

34:48 to 40:08

Explore the importance of managing nighttime pumping for better sleep and mental health for new parents.

“Because I was doing the nighttime pump and then I remember I dropped the nighttime pump.”
Show all 19 chapters

Direct Breastfeeding vs. Pumping: Benefits Explained

40:08 to 42:07

Understand the differences between breastfeeding and pumping, including benefits and practical considerations for parents.

“Then I would pump less because I increased it so much.”

Breastfeeding vs. Pumping: The Dilemma

42:07 to 44:44

Explore the pros and cons of breastfeeding directly versus pumping milk.

“Like I don't want there to be guesswork and I'm at work and this is, I can't bring my baby to work with me to, to nurse.”

Increasing Milk Supply: Foods and Tips

44:45 to 46:46

Learn about foods and methods that can help increase milk supply.

“Once again, even before foods, frequent and effective milk removals is the number one way to increase milk supply.”

Hydration and Nutrition in Lactation

46:48 to 50:32

Understand the role of hydration and nutrition on milk production.

“But if I've eaten, if I'm up on my hydration, if I drink my protein shake in the morning, I like try to just get so much chicken and turkey and things like that.”

Partner Support during Breastfeeding

50:33 to 55:46

Discuss the ways partners can support breastfeeding mothers effectively.

“and just making you second guess your life choices.”

Supportive Partnerships in Lactation

56:00 to 57:56

Learn how partner support can enhance lactation experiences.

“To kind of summarize what you said from like the guy's perspective, right?”

Understanding the Toll of Lactation

57:56 to 59:15

Discuss the unexpected challenges of milk production and its impact.

“And what you're doing, like doing things without complaining and doing them preemptively goes miles.”

Engaged Dads in Parenting

59:15 to 1:00:15

Explore the importance of active involvement of fathers in parenting.

“And the same way that during doctor visit one, you were locked in as the support, like going into the lactation first meeting, same mindset.”

Key Takeaway on Mental Health

1:00:15 to 1:00:29

A happy mom contributes to a happy baby, emphasizing mental health.

“Like you gave us so much good information.”
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Transcript

Automatic transcript. May contain errors.

0:00Naiomi Catron:I didn't like what you said, Odin pauses, about the future. This is the love story of real hinge couple Odin and Edward, written and read by me, Curtis Garner. Listen to the free audiobook now. Sierra has all the best active and outdoor brands for the super athletic stuff, like running gear for cruising up the trail. Woo! And the super athletic-ish stuff, like fishing gear for chilling by the creek. Nice cast. Fitness apparel to push for higher reps. You got this. And golf balls priced so you can afford to lose one. Or a few. Head to Sierra or Sierra.com for the brands you want at the prices that let you do it all.

0:44From athletic to athletic-ish, Sierra's got it. Hi, guys. I'm going to give you a little heads up on what to expect this episode. It is the lactation consultant episode. So the number one question I get is, like, how often are you pumping? How do I increase milk supply? All these things, we're going to talk about all of it when we get into this episode. There was, we just filmed it and I'm doing this afterwards. And I want to say my favorite theme throughout was your baby, your boobs, you're the boss. So the number one thing, do what works for you. I share a lot of what works for me in this episode.

1:15And Naomi, who is our beloved lactation consultant, shares a lot of what she, that's a tongue twister, what she sees work. So I hope you guys enjoy the episode. And now I want to say this episode is presented by, sponsored by Miracle Milk Cookies, which is now Miracle Mama. So it's MiracleMama.com. I got these gifted to me by my dear friend Katie when I was two months postpartum. It is the most delicious cookies that arrive to your door to help increase milk supply. And the way they do it is they've got brewer yeast, they've got oats, and they've got flax in them. All which, Naomi tells you in the episode, help increase milk supply.

1:56They taste delicious and they come right to your door. They're made for you. So you don't have to waste time making cookies because you have so much going on. And when you're pumping and you're breastfeeding, you are ravenous for a cookie. So it's the sweet treat of your day. And it is so good. I give them to all my new mama friends. So you guys go to miraclemama.com, get the milk cookies and use code two parents for 20 % off. That's miraclemama.com and use code two parents for 20 % off. They are unbelievable. Now I'm craving one. Welcome back to another episode of Two Parents in a Podcast. Today, I am so excited because we are going to do our milk episode.

2:37We are joined by Naomi Katrone. Yes. Who in my head, I've been saying Naomi Patrone, but it's Katrone. Yes. You are the founder of Milk Diva Lactation Services. Yes. Milk Diva Lactation, Chiropractic, and Infant Nutrition is the full name. Wow. Okay. And she's in her scrubs, so you know it's legit. it. I'm doing the things. You're a labor and delivery nurse. I was a labor and delivery nurse. Was a labor and delivery nurse. You are board certified lactation consultant. Correct. And the author of Milked. Yes. So you're like the milk lady. I'm the milk lady. So I think that my first question to you is what is the most common mistake new moms make when it comes to breastfeeding?

3:17Right. That's actually why I wrote that book. The book Milk because that's my whole world. what as a lactation consultant one of the hardest things for us to hear is I wish I would have known that because a lot of that are they're simple things there's not a lot of rocket science it's more just like how do I there's lots of it's like a puzzle like you just have all these puzzle pieces on the ground and not each piece is meant to fit in your you know it's not meant for necessarily your situation so we have to find the right puzzle piece to fit your situation so the most first thing I want to say is I love how you when you're talking about your choices and your feeding and your breastfeeding experience in your birth you're very clear and you're like this is my experience I'm not sure that this is what everyone would work for everyone else or would be appealing to everyone else but this is what works for me and my family and that's super important to own your journey I feel I feel as though even giving yes I because it was so individual to me and emotional and personal and just I don't want to give the only thing I'll say is like this is the pump I use and this is the amount of times I do pump but other than that I'm like I don't know that I can give advice but you can well every every family that I see I'm like I I tell them I'm like a inspector gadget that really dates me though yeah but that's like I am here on my first visit evaluating asking lots of questions making lots of observations So then in the back of my mind, I'm pulling out all the tools that I have to make a customized plan for you.

4:51And what I tell you on our first visit in this newborn stage in the first two weeks is going to be appropriate probably for the next week or two because your baby changes so much in the first eight weeks. So the advice that is appropriate at day five, six, seven of life is not going to be appropriate at two and three weeks of life. I saw an episode where you were talking about like I used to feed my baby just three ounces and she was eating all the time. And so I increased and I was like, exactly as things progress, your baby, their needs and the plan changes. So to answer your question, the number one mistake that I see or my question that I see is new parents of newborns don't know if their baby's getting enough.

5:30Yeah. And so you have two usually schools of thought is like I'm breastfeeding ride or die until the wheels fall off, period. There's no other option for me. and while I don't know if my baby's eating enough, I'm just going to keep putting them to the breast and that should be enough because that's what the textbooks say. And then I have this other train, this other school of thought of like, oh, the baby cried. Clearly, I'm not making enough. Let's give a bottle. And so I don't know that it has to be that stark. There's a nice blend in the middle, but a lot of this is very dependent on how old your baby was born.

6:07So if they're born at 37 weeks versus 40 weeks, That's a whole three weeks of totally different feeding behavior that you would get. And I think it's so nuanced that reading a black and white textbook on this is how it should go in a vanilla world, I would say more than 40 % of women do not have what we call vanilla deliveries. Vanilla is I'm, you know, less than 35 years old. I had a baby at 40 weeks old. There was, you know, I pushed for less than three hours. There was no Pitocin, no epidural, no drugs. My baby does not have jaundice. We have the same blood type and they're awake and able to feed and no tongue tie.

6:44Wow. I would think that number would be 5%, not 40%. That would be so low. Yeah, there's a lot. It depends like what part of the country you're in. And I'm talking just about America, but there's not a lot of vanilla deliveries. Like a vanilla delivery was in the 1960s. People are popping out babies at 21 years old, no medication. You know, they're term babies or not having C-sections. Like that's vanilla all day long. it's just not generally what I'm seeing most people to be we're older having babies we have complications we have hypertension we have c-sections we have epidurals we have and there's none of nothing is wrong with any of that it just means that the advice that will be given cannot be vanilla advice so that's why I wrote a book for all the things that are not vanilla I like that because I I would say most of the time what we see today is not vanilla um okay so So I think my question right when you have the baby is around milk supply.

7:46And I think a lot of people worry about, am I making enough? Will I start to make enough? Or can I even produce milk? And what is the school of thought there? There are some people who have risk factors for having low milk supply. And if you do, you know that before you have your baby. So you should have a lactation consultant get with you before you have your baby. How do you know you have low milk supply before the baby? If you have the risk factors. I'm not saying you do. I'm just saying if you have these risk factors, for example, infertility or IVF, if you have diabetes, if you know you're going to have a C-section, if you're older than 35 years old, if you had a breast augmentation, specifically a reduction, that puts you at a high risk for low milk supply.

8:26So you want to get with lactation before you have your baby. And they'll help you do some things and tips and tricks to maximize milk production when your baby's born. But if you don't have any of those things in your story, then the best way to maximize milk production is frequent and effective milk removals. And so what I tell my patients is I don't care who or what removes the milk, but it needs to get done effectively and frequently. And so if it's not your baby, then let it be your hands or let it be your pump. And so the challenge with that advice is, you know, this is Texas, so we bigger is better and more is better.

8:59We want to be careful that we don't then start causing ourselves to do oversupply and causing us to have damage to the breast. Because some people will get a pump on, and it doesn't matter if they even know the parts are the right size or not, and they'll crank that puppy up. I had a patient yesterday who had her spectra pump up to a 12, and I was like, oh, your nipples are like tires. We have mileage on them, and that is definitely going to minimize the amount of mileage you get from your breast and your nipples. And she was starting to get herself an oversupply. supplies. So generally speaking, when you first have your baby, I like to teach this prenatally, but people should learn how to hand express so they can gently learn how to massage colostrum, which is just drops out of the breast.

9:41And you can feed it in a plastic spoon to your baby. If you try to use a pump to get those little drops of colostrum out, all those little drops just stay in the pump flanges. Like really, if it's like 10 drops, by the time it gets through all the pieces into the bottom of the bottle, you're not going to have much to give to your baby. But if you can use your hand and use a little spoon and just gently massage, get it right in the spoon and then pop it right in your baby's mouth, you just keep the party moving. Finding great candidates to hire can be like trying to find a needle in a haystack.

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10:50Ditch the other hiring sites and let Zip Recruiter find what you're looking for. the needle in the haystack. Four out of five employers who post on ZipRecruiter get a quality candidate within the first day. Try it for free at this exclusive web address, ZipRecruiter.com slash Alex. Again, that's ZipRecruiter.com slash Alex. ZipRecruiter, the smartest way to hire. I remember being in the hospital and just, we were just learning about this whole adventure of breastfeeding and the nurse came in and I put her on my boob for what was, I think a minute and she was like she's probably full and I was like wow like that was all she needed and it was just at that point like little drops and I don't even remember how often I was breastfeeding her but she just said she just needs to get a little bit of drops of these colostrum and like that's that's enough right now textbook answer is five to seven milliliters eight to ten times a day so if you do five times eight that's you know 40 milliliters which is an ounce and a third for a whole 24-hour period for the first day of life.

11:55Isn't, I thought they, I remember them saying like the size of her stomach is like a peanut or something. They do like little marble and then they like go into, they have different, they have like a little tag and they have different shapes. I have a couple of videos on my website on it and it's really small. What people may give a little pushback to you on is, oh, if their stomach is only the size of a little peanut, then why is it that she can down a whole two ounce bottle? Because that's what I'll get. And so that's like one of my insider tips because I like all the insider stuff. I like all the stuff that people don't, you can't find on Google or whatever.

12:32And what you should know is your baby has a suck reflex. They're born with this suck reflex and it's right behind like if she had teeth, it would be like the palate right behind those front teeth. So when a bottle nipple touches that little suck reflex, they'll just keep on sucking. It don't matter if they're full already. And then they just like keep inflating like a little, you know, full little whatever. And then, you know, you turn them over and they might spit up half of that. So they can eat more than that five to seven milliliters that you may offer them. But it's not necessarily what they need metabolically.

13:05The other little disclaimer is if you have like a nine pound baby, all this little five milliliter business goes out the window and they do need more milk. Okay. But this is more for an average size baby seven and a half pounds or less five to seven milliliters eight to ten times a day in that first day is completely sufficient and learning how to do it with your hands removing it with your hands can be really helpful for a baby who's so sleepy and tired from a long birth a long labor i mean that makes a lot of sense that they just because i would think too oh is she hungry because every time we give her the bottle or we give her the boob like she is drinking it yeah but that's because she has that suck reflex up there makes a lot of sense.

13:42Babies who are hungry just don't settle down. Like you can't just put them down and they like chill out. They're just like just frantic and they're just just so you just look stressed and unsettled and they're always looking to latch to something. And that's a baby who's still hungry. So you always have to follow your baby's lead regardless what the textbook says. Right. So what do you think about the difference? I want to touch on like the difference between breast milk and formula and your thoughts on it because there's those taboo sayings, right? Why are you trying to get me hate mail? No, no, no.

14:11It's so we, just so you know, like we're. You do a little bit of formula, right? Yeah, yeah. I'm combo feeding. I'm combo feeding. I'm a big buy heart with the packets. When they made those travel packets, like changed my life because we travel a lot with their. So super convenient. Yeah. Super convenient. But there, I think what a lot of messages I get is people feel guilty giving their baby formula. whereas it's equally so mentally taxing and daunting like I work from home right so I'm able to breastfeed and pump and I don't think that's the reality for a lot of women right and I think that so that's that's very good point you you're saying you're setting it up properly yeah I've got like best case scenario of being able to do this and like I don't even think that that's fair so I really want to advocate for like both sides here but then you get online and you see breast is best or you see a fed baby is a happy baby or a healthy baby that is best breast is best yeah there's all these like taboo sayings and and i think it's like difficult to navigate so what do you think difference wise between formula versus breast milk so i think there should be another saying that's like i don't know how to make it rhyme or whatever but something that puts into uh you know to consider the mom's mental health totally because it's like breast is best but not if the mom wants to like if she hates her life and like misses the whole first year and all the joy of having a baby no question so i was a low you're just enough for you called yourself i was a low milk supply mom and yes while we're talking to our you know our audiences in north america's you know we're an industrialized country the advice that i would give and how i would answer that question if i was in a different country would be very different so I work with another organization in Africa, and in that case, breast is best.

16:01That is the difference between life and death because they have a very, very high infant mortality rate because water is not a safe source to mix formula with or clean bottle parts. So in that case, they have a very high, babies die all the time, and it's from dysentery, from water they use to wash bottles and nipples from. We're in America, though, and we're not in that situation. And so we need to consider what keeps the mom or the birthing parent able to be present with their baby. And if they're working, like in my family, I'm the first one to attempt breastfeeding. It was a hot mess. My son is 20 years old now, one of them.

16:39And we didn't have Google or like Instagram or any YouTube to get help. So you had to figure it out. And since I didn't have family who could help me and kind of guide me, I was just way on my own. It was very lonely and isolating. And my mental health did suffer from that. And I did use formula. And it was the only thing that helped me like being a mom again, totally. And so in that case, that's when it is appropriate. However, we need to help support moms, we can't just put them back to work at six weeks, and then say breast is best. That's super gap, like that's gaslighting you that setting up for very unrealistic expectations.

17:10That's also trying to say, Mom, you can work, you can have a baby, you can have a career and a fantastic life too. And those are just not realistic things. There's not enough hours in the day. And so I would just say both of those statements, breast is best and fed is best are just asking for problems. The original fed is best was created by a NICU nurse and an ER doctor who kept seeing babies come in from dehydration and malnutrition. And they're like, please don't let your baby get dehydrated, just feed your baby. And that's really important. And then breast is best is like, because in real life, if you were to look at breast milk under a microscope and formula do you guys i don't know if they still make this do you have that powdered juice called tang do you remember i remember okay yeah tang is like an orange drink and so it's like kool-aid but like so if that's like comparing fresh wheeze orange juice to tang like they're and that's not even a very good comparison because orange juice doesn't have a lot of living antibodies in it but but breast milk changes as your baby grows and based on what's happening with their health with their baby they have a virus or if you have a virus like your breast milk composition will change.

18:18The fat also changes from nighttime to daytime. So it's a living organism that's always changing. And the calorie count is changing. Formula is the same all day, every day, no matter what time of day, it has 19 kilocalories per ounce. And it has a lesser volume of human milk components to it. It's getting better. But nutrition content for all formulas in America, different than Europe, are all the same. And they have a couple of little fancy features that each different brand may have, like maybe one might be organic, one might be grass fed, one might have four HMOs, which stands for human milk oligosaccharides.

18:54And one might have two breast milk has hundreds of human milk oligosaccharides. So they're not exactly the same. But it's not like you're feeding your baby poison either. It's it's nutritious, your baby will grow, they will thrive. The most important thing is, how is the family unit doing and if we force someone and guilt them into doing something that steals the joy, then you just have a depressed, unhappy wife and mom for the first six months or year, and your baby grows up with that negative energy, and we have to consider that also. So that's my two cents on it. I think that it's really important that you, who people look to as a professional, what is the word?

19:37Not an advocate. Expert. Thank you. I think it's important that somebody that's a lactation expert says that, because I, that says, you know, a fed baby is a happy baby and we need mom's mental health to be in a good space because I saw how it can be so mentally taxing on you and your hormones are up and down, right? And then you read all this stuff about formula and it's so confusing to navigate the space, right? And so I'm, I'm so happy that that was your answer. Um, and we teach people how to prepare formula properly, how to find the right formula for their baby based on their age, not all lactation consultants do that and that's actually why i wanted to become a lactation consultant because i in my mind i was thinking like lactation consultants are older they don't color their hair they don't wear mascara right they are like ride or die breastfeed no pacifier no bottle no combo business and i was like i want to be like less intense like i'm like let's just do what works for you and your family i'm not here to put my ideals on you and that goes to formula too.

20:39So if we need to find a formula that works for your baby, I'm going to help you do that too. Yeah. Maybe it's happy mom, happy baby. Yes. Maybe that's our new saying. That's what we should do. Magic Spoon makes high protein, zero sugar cereal and treats reinvented from your childhood. Oh, the nostalgia. There is nothing better than a bowl of cereal except a bowl of cereal that fuels your body. Every serving of Magic Spoon high protein cereal has 13 grams of protein, zero grams of sugar and four grams of net carbs. They come in nostalgic flavors like fruity cocoa and frosted. And there's magic spoons, high protein treats, and they are crispy, crunchy, airy, and an easy way to get 12 grams of protein on the go.

21:23They come in mouthwatering flavors like marshmallow, chocolate, peanut butter, and dark chocolate. Both are great on the go pre or post-workout or as a midnight snack, which I think is the best time and place to eat cereal. So get$5 off your next order at magicspoon.com slash two parents or look for Magic Spoon on Amazon or in your nearest grocery store. That's magicspoon.com slash two parents for$5 off. So what is is it true, though, that even a little bit of breast milk is super beneficial for the baby? That is true. And I'll maybe edit that statement to say even a little bit of breast milk in the first few days of life is very important.

22:04There's a really nerdy, I don't want to get too nerdy, but when your baby is first born, their intestinal lining has something called gap junctions in there. If they are puzzle pieces, they're not fit real tight. They're really nice and loose. And so what we want are the components of breast milk that have the antiviral, antimicrobial properties, and all the living parts of the breast milk and antibodies to come into the intestine and get into the bloodstream. And then all of that replicates pretty quickly. And so that gap junction, I don't remember exactly, but it closes in the first few days of life.

22:38So we can get drops and drops of milk in your baby in those first few days of life. That's when you get your biggest punch, you know, your biggest bang for your buck. Now, I do like having people, if you're going to formula feed, and if the person is willing to even give a little bit of breast milk mixed with the formula, it does help with digestion, or it can help with digestion. Okay. Okay. And one other thing that you sort of touched on is, do you think a pacifier is good or bad? I have a whole two-part podcast episode on this because not all pacifiers are created equal. I think in the first few weeks of life, they're really – so what you usually hear is don't give your baby a pacifier until breastfeeding is well-established.

23:19And so, well, what does well-established look like? That's a subjective term. But what you should understand is we don't want to give a baby a pacifier at first. I usually tell my parents in the hospital, this is what I teach in my prenatal class, if your baby is going to have any painful procedure, which at 36 hours of life they have a blood test, and sometimes they need blood sugar draws, give that baby a pacifier. That hurts. And sucking soothes them. That's not going to interfere with breastfeeding. So there's that caveat. Painful procedures, either latch your baby or give them a pacifier, totally fine.

23:50But what we don't want is your brand new baby to nurse for, what, one minute, like you said, and then fall asleep, and then you put them down, and 30 minutes later, they wake up, and then you say, there's no way you're still hungry. I just fed you 30 minutes. Here's a PASI because that is the incorrect use of using a PASI because you missed a feeding cue. That baby was actually really hungry. He just didn't get a full feed 30 minutes ago, so she wants to come in for snack time, and they do that a lot in the first week of life. but if you don't know if this is your first baby, you're thinking, well, you're supposed to eat once every three hours.

24:25It's been 30 minutes. Clearly, it can't be hunger, so I'm going to give you a PASI, and so that's the incorrect way. The correct way would be, hey, it's been 30 minutes. Let's put you back to the breast. Let's see if I can latch. Let's see if I hear some swallows, and then once you look nice and comfortable and milk drunk and relax, then I'll give you a PASI, and then we use a PASI for soothing and removing, so they suck on the PASI two, three, four, five minutes, and then they fall asleep, PASI falls out, baby stays asleep happily ever after. However, if they keep sucking on the PASI like they're trying to suck the color off the pacifier and they're just going to town on it and spend more than five minutes, that baby is still hungry.

25:01Okay, so it's so you don't, because I don't think anybody ever said to us, don't use the pacifier. No, I don't think we had, we really had any, any PASI guidance. And I'm trying to think how old she was when we first gave her the PASI and I can't even recall. I don't know. And I just think she had one in the hospital though sometimes if you have a lot of prenatal input from other people and professions there can be hard and fast rules like don't do this and always do this and anytime someone gives advice that starts with always and never I'm like oh well we should maybe think about that a little more in depth because having another human you're in control of the rules can't be so rigid we so So I think that number one, we had less advice was the, was sort of the, like, I don't think we had so many specialists around us guiding us that we were having always and never thrown at us.

25:56I think it was just you and I missed like, we didn't know how to change a diaper. That's me too. Yeah. I mean, it was very, we didn't know about the no water rule. Like that one was new to us in the hospital. But what I love that you just said is when advice starts with always and never, we should think about it a little further because these babies, I don't want to call them abstract, but it is what we see is it is so not a one size fits all very nuanced it is so nuanced and there's a lot of instinct i think that comes in and it's just i think always and never starts to get so rigid you're right i tell my patients so the first two weeks is a hot mess like if it's your first baby because you don't know them that well yet and you don't really know are you eating enough why are you always asleep what does that cry mean all the things however once you find your mojo because i usually say hey work with a lactation consultant we're gonna stick together for the first eight weeks.

26:42By eight to 12 weeks, we should have figured out all the bugs, worked this puppy out, and you should be on cruise control by then. And then I say, this is your baby. These are your boobs, and you are the boss. So you tweak all the things I tell you to fit. Because you're smarter than I am. You know your baby better than I do. I'm only here for an hour. You're with your baby the other 23 hours. So I'm going to tell you why I'm recommending certain things. But you have a brain is your baby your boobs so you are the boss and that's how i think people should take advice especially advice that starts with always and never the three b's yep the three b's yeah yeah your baby your boobs and your body oh you're the boss you're the boss it's really it's really good um what about so another question that i'm thinking about that i get all the time is if somebody chooses to attempt to breastfeed or pump okay and maybe they're combo feeding whatever it is, but they have a low milk supply.

27:36Is there a way to increase milk supply? Yes. Frequent and effective milk removal is always going to be the best way to increase milk supply. There are some people who have some lab hormonal issues, like if someone has PCOS or some infertility issues, their body may not want to make a lot of prolactin, and it's really challenging for us to make that happen on its own. In Canada, you can get a medication to help increase milk supply, but we do not get it. We cannot get it here in the States. That's another story for another whole time. Does it work? And is it safe? It can really work. And it is very safe.

28:12So to answer your question, though, if a person is struggling with low milk supply, the first question we want to discern is, is it true milk, low milk supply? Or is it perceived low milk supply? And the reason I say that is because very often, babies will want to cluster feed in the afternoon. So around 4pm till about 8pm, you have a drop in prolactin. And so you don't make as much milk. If you pump during that time compared to your 8am pump, you're going to be like, 5pm pump, not that much milk, 8am pump, 7am pump, tons of milk, right? So your baby also knows that. So they might want to nurse very frequently during dinnertime.

28:48And then you're like, what's going on? I have low milk supply that is perceived low milk supply. That is not true low milk supply. Because we just want to know how much milk do you make in a 24 hour period and your audience might want to know that babies generally eat between 25 and 30 ounces of breast milk per 24 hours after two or three weeks of life that's going to stay the same it's not going to go 30 to 40 to 50 ounces of breast milk so wait at so at take at 10 months how much is that should she's combo feeding and she's getting solids so it's totally different okay okay so it's hard for me to answer because depending how many solids you're giving her and the calorie density of them she may not need a lot of milk.

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29:26But the goal is by the time you hit 12 months, for them to be getting most of their nutrition from solid food, and the milk that they're going to drink will be for hydration and thirst, not for like nutrients like it is when they're breastfeeding and they're little. So can I ask you this? We're starting to our pediatrician at the nine month checkup said to start segueing to solids. And so we've been doing that. But maybe it's something that we should really start doing is like meal like actually sitting and eating the meals with her and then giving her breast milk for hydration it depends on how much food she's eating and how willing she is to eat it but we're always going to feed the baby responsively so we don't want them to be frustrated at the dinner table so like if it's meal time and she's used to getting a big old bottle of milk and then you sit her in front of a drumstick she might be like how the hell am I supposed to get all this in my body I'm hungry right now like I need milk right now because I don't have patience for all this.

30:23And so it's fine to then give her a little milk feed first, not maybe a full feed. And then she'll have the patience and the interest and the curiosity to start playing with the food. Because at first, starting solids is like art class, they get food everywhere except inside their body. And so it takes a little like finessing for them to learn the fine motor skills to get it in their mouth. And that's why we do infant nutrition, because I have a whole course teaching parents like, do you want to do purees? Or do you want to do baby led weaning? And then what kind of foods do they need and how much?

30:51And if you do that, how much milk do they need? Because it is very nuanced once again. But originally, you know, I think your original question, I was talking about like seeing if you actually have a low milk supply. And then like, if the patient does have a low milk supply, then frequent and effective removal. So I would say, let's figure out why you have a low milk supply. Is your baby not removing the milk effectively? And why not? Are they too sleepy? Is there a metabolism problem, which is not very likely? Is there a tongue tie going on? So we'll figure out the baby part. And then the mom part, hey, while we're figuring out baby part, let's get you in a really good pump.

31:29Because I had a mom who was using a pump that is a terrible pump, I'm not going to say the name, and was wondering why she kept getting clogged ducts. We changed the pump right away, clogged duct problem, like gone and milk supply went up. So using a proper pump, using a proper flange fit. And I would say once you have those things in place, pumping for eight times a day, spread out throughout the day. So you will need to wake up at least one time and pump overnight because you have the most milk from about 2 a.m. to about 7 a.m., which is kind of lame, but I'm sorry. That's what happens. And then we'll do that eight times a day for about a week or two.

32:05We should see a milk supply increase within a week's time. And then hopefully we would have figured out what's going on with the baby and we marry you guys back together. So I know everyone's going to ask, what pump do you recommend? I use the Spectra. I love it. Love it. Is that on the approved list? I like the Spectra. There's a lot of good pumps out there. Just a couple that you like. I like Spectra. I like the Motif. I like Zomi makes a pump called Unimom. Love, love, love that pump. Okay. You just have to like sometimes work a little bit to get your insurance to cover it. But those are like my top three.

32:43And some people ask like Spectra 1, Spectra 2. I don't care. All the Spectras are great. I can't speak to any of the – they have the small Spectra. Yeah. I don't have a lot of experience with that one. So I had a friend who had it who said she didn't think it worked as well as the big – I call it the kettlebell. Yeah, that's exactly what it looks like. Yeah, I have the blue kettlebell. I just – I love it. Like that's the one I always recommend. But I did have a friend get the smaller one. She didn't think it worked as well. Take it or leave it. I don't know. Yeah. I didn't try it. And it has a weird like gnarly setting.

33:10Like it's like, like it goes super, super fast. And then the suction speed is super high. Some of those pumps are a little aggressive. Like I feel like you can get assaulted by your pump. You have to be careful. Well, we always laugh. We can hear the pump noise. Julie and I were talking, we can hear it in our sleep. Just and it's like never ending. Shopping and planning for groceries really can be simple and stress-free. Imagine having your weekly cart filled for you with personalized picks then shipped right to your door. Taking all that work off your plate is why I love, love, love Hungry Root.

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34:15Harrison and I are absolutely obsessed with Hungry Roots, especially being new parents. It makes grocery shopping so much easier and effective. Take advantage of this exclusive offer. For a limited time, get 40 % off your first box, plus get a free item in every box for life. Go to hungryroot.com slash two parents and use code two parents. That's hungryroot.com slash two parents code two parents to get 40 % off your first box and a free item of your choice for life. Hungryroot.com slash two parents code two parents. Okay, so now I got to talk to you about this nighttime pumping. Okay. Because I was doing the nighttime pump and then I remember I dropped the nighttime pump.

34:57I dropped it at the end of January. uh no in hawaii in hawaii well because you told her girl you need to get your mind right you need to sleep at night and that's important it was the best thing that happened to me yeah well it kind of goes back to your point on like what you know as as a parent or or mother as a mother is choosing the best path for her like you could see alex reaching her breaking point like or a breaking point and i think two big changes that you made that i think really helped your mental health the first was cutting the night feed and then the second was the switch to combo feeding totally totally that's why you got to own your journey yeah yes yes and that was just what worked for me and it was cutting the night feed the night pump i was pumping um do you pump every three hours?

35:55Is that what it was? At the time, I would pump, yes, every three hours. It's terrible. And then I would do once in the middle of the night. I was exhausted. It's so hard, yeah. I can't believe how telling it is. It's very hard. It's unbelievable. But let me tell you this. This is a flip side. Okay. Is that you do have these patients or moms who are like ride or die. And they're like, nope. Remember I told you I have two kinds of parents? And so you have those that, believe it or not, I have had patients fire me to be like, no, you can't be a malactation consultant because you want me to like not breastfeed as much.

36:27And I'm like, you can't pump, breastfeed, bottle feed. You cannot spend an hour feeding your baby and do that every two and a half hours for two months. Like that's not good for anyone in this. You're almost breeding OCD behaviors. Yes, yes. And so if I'm gonna get on the OCD-ish bandwagon, I'm not doing you a service for your long-term mental health or your marriage. because y 'all got to stay married after this baby, right? No question. So that's why I tell my patients, I just saw a patient today whose baby is one week and five days old. And I said, hey, let's make a plan for each of you to get four hours of uninterrupted sleep.

37:04And I explained to her what that looks like. And I'm like, you go sleep in the guest room from this time to this time. And then you guys tag out and you go sleep in the guest room. And then in the morning, we have less likelihood that we're going to make rash emotional decisions. And we have a higher likelihood that you will still like each other in a week from now. Which is so important. Because, girl, my kids are big, and you still, at the end of the day, they don't even realize the sacrifice you did for them. But your man is still there, and you still got to like him. Totally. 18, 20 years later.

37:31And you want it to be an enjoyable time because it's such a sweet and precious time. But when he would sleep through the night, which we did, we would say, okay. Because at first I thought, no, I want him to get up with me in the middle. Like, if I'm up, then I want him up. Then I said, no, you got to sleep because whenever, and those first, you know, in that first month, right? I've been up so much in the middle of the night when I wake up and I'm just looking at you like this, you know, he can function, which was so important for our relationship. And, but anyways, what I want to ask you is dropping.

38:04A lot of people will ask me, how do I drop the nighttime feed or the nighttime pump? And do you think that's a good idea to drop it? And I know, I know that your answer is going to be like, what works for you, but let me ask it a different way okay what i found was in the morning i still pumped as much milk in the morning so dropping the nighttime feed and the nighttime pump was just a no-brainer for me like my boobs would fill up but i would just get up i'd empty them and i'd have eight ounces good i love that um my answer to that question is i don't think anyone should be dropping the middle of the night feed before eight weeks of life, maybe even 12 weeks of life.

38:44Okay. So a lot of our advice, you know, like the advice I give before two weeks of life is very different than what it looks like after eight weeks of life, because there's a whole slew of physiological things that are happening in your body. And between eight and 12 weeks, we stabilize a little more. So generally speaking, I advise people not to do hands-free pumps or dropping middle of the night feed. So after three months. Okay. And so depending how much milk you make in a 24 hour period, some people who are directly breastfeeding have no idea because they can't measure their baby, right? But if their baby starts sleeping longer at night, then you should sleep longer at night.

39:14You don't have to wake up and necessarily pump. However, you could wake up feeling super lumpy, hard, engorged, and then people can freak out and think they have mastitis when they don't. And that's when, you know, they really do need to have a lactation consultant because they can help them know what to do to manage those symptoms so that it doesn't turn into mastitis. So some people who are ready, let's say your baby's three and a half months old, and you're like, I want to drop this middle of the night feed. And if you are at risk for getting mastitis, like if you've already had mastitis, or you're always getting engorged, then I would say instead of dropping it completely, if you pump for 15 minutes, how about we drop it down to 10 minutes for a couple days.

39:51And then a couple days later, we'll drop it down to five minutes. And then we drop it completely. As long as your breasts are feeling fine, you're not getting mastitis. And you're not like your boobs aren't up to your chin hard you know you're really uncomfortable if all that starts happening they need professional help so we can help manage those symptoms so if someone's listening to this and they haven't had their baby yet but they're planning on trying to breastfeed or to pump in layman's terms kind of what you're saying you pump more you you breastfeed more you produce more you need to scale your boobs start to get so big because you're producing so much you scale it back you go from 15 minutes to 10 minutes and and i remember it up until the three-month mark i would pump more sometimes to increase it.

40:32Then I would pump less because I increased it so much. And then, but at three months it starts to level out. Is that true? Correct. Generally speaking, it's not so labile. Those first two or three months, it's like, sometimes you wonder, am I ever going to fit in my clothes again? Cause your boobs are hoop. Am I ever going to be able to sleep on my tummy again? Like what's all happening here. And then what happens is at eight or nine weeks, 10 weeks, then everything goes back to normal and people freak out. And they think their milk supply is gone because they're not walking around with just these jugs of milk all the time.

41:01And I try when I get my work with my patients in the beginning, I tell them that that's going to happen. And that's, and if you want to be for sure, for sure, let's do another weighted feed. Let's do a consultation, make sure your baby's gaining well. And that's how you know you're making enough milk. But yes, by eight to 12 weeks, things go back to mostly normal. As long as we haven't accidentally been giving ourself an oversupply by nursing your baby and pumping all the time, because then you start making milk for twins oh wait let me just ask you this yes yes what is the difference between breastfeeding and pumping what do you mean difference well like i know like in terms of what the baby gets milk wise like why do some people is it the bond that they exclusively breastfeed there's not a difference in the milk benefits of uh direct breastfeeding compared to pumping yeah listen at the end of the day human milk is where the money's at like human milk getting into your baby's body is where the benefit lies human milk from a mom who likes her life is also really beneficial um people generally there'll be two schools of camp well one will be like i direct fast feed my baby because it's easier for me totally like let's pretend you have two other kids running around and taking out pump and washing pieces and taking it and schlepping it with you and then like storing milk and making sure it doesn't go bad in your purse while you're out at the park or the movies with the kids that's a pain in the ass sometimes but um so that's why they want to latch their baby directly um or being able to roll over in bed and just put their baby on and not have to sit up and be fully alert to bottle and then bottle feed and then pump that's another reason um and then those other people like pumping I like to know exactly what my baby's getting.

42:46I want to be measured. Like I don't want there to be guesswork and I'm at work and this is, I can't bring my baby to work with me to, to nurse. So this is what I do. There have been some studies that say that direct breastfeeding has some, you know, microbial level benefits, but I'm going to tell you as a nurse, you know, putting, cause not all lactation consultants need to be registered nurses. However, I am, I don't know that I have seen enough high quality studies for me to even think twice about that being part of my decision-making process. Okay. So, cause a lot of people will ask me, why do you pump versus breastfeed?

43:24And, and I never, the way I always thought about it from, you know, a 10 ,000 foot view and not having any idea was just breast milk was breast milk was breast milk. Sometimes pumping was easier. Sometimes putting her on the boob was easier, but if I put her on the boob, I could never really tell if she was full and then I always felt like about an hour later she wanted more milk so I just was like oh I'll just do like either or but I never thought a thing of it it's very common okay that was a conversation that felt like we had a lot was when at the beginning when like she was on the boob it was like wait that like do you think she's full do you not think she's full she'd fall asleep like I was just like and then I would be feeding her for an hour because I would breastfeed her and then I would pump and I was like this is not like this it's too long it's taken up my whole day so I would move to pumping because I knew it was 20 minutes and I knew how much milk I made and then how much she got and that was easier for me but I if you were to have another baby though this is a lot of work right now so first thing you should know is that anyone who has a pregnancy past 20 weeks of gestation you make more milk making you know tissue and so let's pretend you're just enough right now don't expect your second baby for you to be a just enough because you're going to make more milk, period.

44:37Oh. So you should know that. And what about foods that can help with milk supply if it is a challenge, whether it be the first baby or second? Once again, even before foods, frequent and effective milk removals is the number one way to increase milk supply. And once you've done that, adding things in like people do, brewer's yeast is really helpful, oatmeal, flax, things like that. And then there are some herbs. There's a really cool company in Austin. I'm going to be on their IG live. It's a big brand, Legendary Milk. Have you used any of their products before? I don't know if you've heard of them.

45:13But, I mean, I love them. And they have these supplements that have cute names like Pumping Princess and Liquid Gold. And some of the herbs that are in their supplements can help improve milk production. Every person is different. and so I just we incorporate that if we're struggling with milk supply and I say hey take these for two weeks if you see an increase then you know it works if you don't see an increase please don't keep taking something that doesn't work but yeah foods would be oatmeal flax brewers yeast and then there would be some herbs that can be helpful but just whenever you're taking herbs I just wouldn't go to like some random place and order herbs because you don't really know what's in them so I like a trusted brand that you know is safe and that's why I'm kind in particular about where I send my patients to get herbs.

46:00You guys, speaking of brewer's yeast, oats, and flaxseed, the best way to get it is through Miracle Mama, which is the maker of the Miracle Milk Cookies, which I have been eating since my friend Katie gifted them to me when I was two months postpartum and I was breastfeeding and I was trying to increase my milk supply. So you guys, it is the tastiest way to get all the goods that will increase your milk supply. So you guys go to MiracleMama.com, click on the Miracle Milk cookies, ship them to your house. They come in a bright yellow box. It's like a sunshine being delivered to your doorstep. And then you get to eat the most delicious treats, which when you're pumping and when you're breastfeeding, you are ravenous for.

46:38And so go get them and use the code 2PARENTS for 20 % off. That's code 2PARENTS for 20 % off at MiracleMama.com. Enjoy. Boy, I'll notice too, if I don't eat protein or if I'm not hydrated, then it's truly I will make two ounces less. But if I've eaten, if I'm up on my hydration, if I drink my protein shake in the morning, I like try to just get so much chicken and turkey and things like that. Is that mental or is that actually affecting it? Hydration and stress are really important. However, the hydration part people take to another whole level and then they start like drinking gallons and buckets of water.

47:15And so the nursing hat on me again once will say if your urine is pale yellow, you're hydrated enough. And, of course, if you took a B12 vitamin, your pee is going to look bright greenish yellow. So, I mean, like without vitamins, your urine should be pale yellow, and that's how you know you're hydrated. You should also know that people in sub-Saharan Africa are very undernourished, and they still breastfeed their babies. So your protein and nutrient content of the breast milk will not change. However, you might just feel terrible that day if you're not getting enough calories. But hydration is really, really important.

47:49And you said something interesting about not knowing if your baby was getting enough when you directly breastfed. So you got comfort in pumping. You know, I would say that's why I work with my patients for the first 8 to 12 weeks, because that's one of the number one things we overcome. Because if you get three or four weighted feeds, like you're able to like feed the baby or weigh the baby before they eat, and then our scale is accurate to two grams or two milliliters and then weigh the baby after and you're like, well, my baby just took four ounces in 15 minutes and she's done that for four visits every time you come, Naomi, then you can have more comfort in knowing that she's getting enough.

48:23Or if I can teach you when to finish nursing on one breast and go to the second, because a lot of people don't know, should I feed on one breast only or both? And is it 15 minutes in 15 minutes? And if we can teach you that, then you get a nice full milk drunk baby for a good two and a half hours. Then you don't feel like you need to have like a backup plan like a pump um but every person just can do as your baby your boobs and you're the boss so you get to make that call do you have a recommendation on one boob versus the other boob like some people have said breastfeed all one boob and drain it and then the next time do the other boob or switch them at every 10 15 minutes do you have a thought oh my gosh that's so complicated um it depends on how old your baby is it makes it depends how much milk you have and it depends what number baby it is because you have so much milk usually in your second and third baby so for people who have an oversupply and you just hear this is what an oversupply sounds like you bring your baby to the breast and they're like and they come off and they get sprayed in the face and they come back on and it's like a hot mess of a feeding right and so that's just like wow it's a lot of stress never been me but but that is just because you like the advice is like i said for each person i would give different advice if that is you then yes you're a one boober and let's feed that baby on one breast for that feeding and drain it.

49:39And then your baby should look nice and satisfied after they eat. If it's 15 minutes after they've eaten and they're fussing again, you can feel your own breasts. You can squirt milk out. You'll know if there's milk there. You're listening for swallow sounds every time you attach your baby. And that's how you know they're getting milk. Now, if this is your first baby and your baby's falling asleep at the breast after five minutes, you need to then wake, change diaper and put them on the other breast. And if She falls asleep again on five minutes, wake, change, put on a cold, hard surface, do some tummy time, and then put them back.

50:10We call that switch nursing. And we have to figure out why they keep falling asleep. Usually when babies are falling asleep at the breast, after the first two weeks of life, it is because there's not enough milk there. The baby has a tongue tie and not able to remove milk effectively. Or they are preterm, 37 weeks or something, 36 weeks, and they just don't have the stamina to do that. To stay awake. And that's after two weeks, though. Correct. Because the first two weeks, they're snacking and tired. and just making you second guess your life choices. Totally. Yeah. Yeah. And yeah, I remember she kept falling asleep and we'd have to blow like cold air on her to keep her awake.

50:42It's hard. It's yes. Little insider tip is I'm stroking them under their chin right here when they're at the breast can actually help them to start sucking again. I love it. But it's still challenging. Yeah. Yeah. I mean, totally. Okay. I'm just going to see. Well, to kind of take it back, maybe 10, 15 minutes, You kind of touched on partner dynamics and obviously the load that mothers and women carry through pregnancy and through breastfeeding if they choose is unbelievable. Like what you have experienced in the nine months prior to Tate and now the 10 months since, like you are truly a hero.

51:32And you kind of on the other end, like she's doing truly the heavy lifting. What are the things that you see fathers do well to support? And what are the things that you see fathers do poorly that create issues in relationships? When, you know, mothers are either breastfeeding or formula feeding. Yeah. um i think one thing that fathers do really well is help temper the mom emotions against reality so what i mean is i come in a mom's like the baby's not feeding the baby's up all night and the baby this and really gassy and then the dad will be like um well what i saw was the baby and they give me good data like okay baby woke up and had three feeds in the last eight hours and the baby ate this amount of ounces and then when it comes to tummy issues this is what i noticed and i feel like they can give me objective information and then can kind of be the truth holder if you will to help us as a team maybe help reassure the mom that while you feel like things are terrible this week compared to last week.

52:55Wow, we've made really great accomplishments. I had a patient yesterday who asked me, her baby's doing amazing and she's doing amazing and the baby's only two weeks old. They're just like rockstar. Everything about them is just amazing. But she's feeling really insecure and she thought her baby wasn't gaining weight because she decided that she wanted to know how much her baby weighed. So she got her husband get on the scale and clocked his weight and then put the, had him hold the baby and get on the scale and try to weigh the baby. and it looked like the baby didn't gain any weight from last week but the scale is not accurate enough right so she was tripping for like the next three days until I came and I weighed the baby and the baby gained amazing weight just perfect right and she was like oh I'm so relieved and the dad was trying to cheer her and he said to me Naomi she doesn't listen to me when I encourage her and tell her she's doing a great job it doesn't mean enough would you mind if I record you a video if I record a video of you telling her she's doing a good job so when I'm not here she might believe it and I was like that's so smart and I was like I'll do you one better I'll make you a giffy I was like I'll do all the silly stupid stuff just to keep my patient's head out of their own head you know what I'm saying and so I thought that was really kind of him and like encouraging another thing I think could be really helpful that dads do is waking up washing all the parts a lot of people do that and being a really good listener because I think sometimes we might as dads want to fix a lot of things or explain away certain things and sometimes just listening so she has a sounding board because being home with a baby is really isolating who you're going to talk to all day and so even if she could just say all the words and get them out of her mouth and know that it's going to not make you feel on edge that's really really really helpful some things that are not helpful sometimes I see this more with engineer type dads is trying to make breastfeeding into an engineering feat.

54:43So for example, this is not helpful. So Naomi, the baby had, you know, 114 milliliters today in a 19 minute feed. Does that mean if the baby feeds for 25 minutes, then the baby should then transfer 146 milliliters? That's not helpful, because that's not how the human body works. And then you're putting way too many brain cells in the wrong bucket as opposed to listening to the advice that I am going to give you so that you can feed your baby effectively because babies are not little machines. Sometimes they want to eat a ton at one feed and maybe the next feed they don't want a ton. And sometimes they'll spit up a lot during this moment and then not spit up a lot the next moment.

55:23So they do not follow like a even and smooth formula. So medicalizing or like engineering infant feeding is not real helpful. Um, and I'm trying to, I just have a lot of really great dads and stuff. So I don't have a lot of negative things. Well, I think the two things that you said that, that really hit home, number one is making the emotions reality. So I've never, we've never talked about this or thought about it, but if, if it's in the early stages, mom's like, she was up all night. I don't, I don't know. But dad says, no, she was up twice. And here's exactly how much she ate or here's how much how long she was on the boob turning it into reality and him tracking that with a sound mind feels like something that would be super helpful yeah and the other thing you said and it's something that we do is he told me early on no matter how tired we are no matter what's going on you can always say will you go get my pump parts and i will always go get them so we sometimes we'll get home from the airport 1 a.m we'll get in bed and I'll be like oh my god I have to pump we go get my he always every time he goes he gets him and he washes him and it's something I know I can always ask for even in the middle of the night I can tap him and like he goes and gets my pump parts and just knowing I have that support and with a good attitude with a good attitude you're doing stuff with a stank attitude then you're like I'll just throw the pump at you next time how about that and you don't even want it and that would send me into a spiral but in most of the time like this morning he sets my pump parts on me and it's just like I have to pump no matter what so to know that i have a partner in that that's like doing the most that they can with a smile on i have found to just be like so helpful and then he initiates that's the cool part it's like the initiation part versus like because you don't want to ask you don't want to be helpless you don't want to be needy that's not what we want but someone who's just like they're ready like i'm i'm the like i'm the biggest cheerleader i'm your biggest cheerleader and You don't even have to ask.

57:19Like that's irreplaceable. Totally. I totally agree. Good job. Yeah, good job. Good job. Thank you. To kind of summarize what you said from like the guy's perspective, right? Because you gave a lot of great kind of bottoms up answers, but like thematically be engaged, be attentive, listen, and recognize the dynamic. That just because you're not the one doing the action doesn't mean there's not other ways to support. And read the room as to what those ways to support are based off what your specific partner and mother is dealing with and looking for. Desiring, yeah. Enthusiasm. Enthusiasm. And what you're doing, like doing things without complaining and doing them preemptively goes miles.

58:15Like it's just I can't tell you how much. versus the dad who's totally checked out. It's the first lactation visit. He's kind of like, that's your department. My department is over here. And then you need the dad's ears to listen because you're not going to remember everything and you need someone of sound mind and body to help out with that. The education on, I think the education on pregnancy and how tolling pregnancy is, is very well out there. And I think that that was on her radar And I think there's a lot of, okay, that mindset into, into the guy on, you know, get, be supportive, lock in.

58:54Make the meals. Like, yeah. But I think that the education around how tolling. Making the milk is. The making the milk. That has been the shocker of shocker, I think, to both of us. Yeah. Yeah. I don't think we know how tolling. I like, you know, if, like, just knowing, you know, I think, like, I didn't really know going into it. But like now it's knowing when you go into that first lactation visit, like, hey, like this is going to be a big thing. And the same way that during doctor visit one, you were locked in as the support, like going into the lactation first meeting, same mindset. Totally.

59:34There's a lot of amazing. I mean, I got to say I'm blessed with like amazing dads. Like it's not that often. I also don't have the demeanor to handle a lot of crazy dads. So they don't. Which is good. I'm not having that. because you just had a whole human and you have to feed a whole human so get it together yeah so i'm really lucky that a lot of my patients are just amazing well on a whole separate note i do think that the that what's becoming more popular is engaged dads and and i love that as i don't want to say a trend but i like that that's why when people used to tell me oh your husband's babysitting like that my kids babysitting like babysitting they're his kids what do you mean he's not babysitting he's just doing his job like i don't get i'm not babysitting my kids when i'm with that.

1:00:10No, we don't need to work babysit either. Dad's just dad's with her. I'm with her. Yeah, I totally agree. Okay, thank you. Like you gave us so much good information. I'm glad. Thank you so much. And I think that my biggest takeaway is just a happy mom is a happy baby. Mental health is the most important. And it was just a fabulous episode. So thank you so much. Thank you so much for having me and considering me to be a guest on your show. I appreciate it. That is so sweet. Thank you. Thank you. And thank you guys for listening. Thanks for listening to another episode of Two Parents in a Podcast, powered by Just Media House.

1:00:43If you enjoyed the show, don't forget to like, subscribe, comment, rate, and review. Stay connected on Instagram, TikTok, YouTube, and Facebook at Two Parents in a Pod. Welcome to our home. Sorry it's so messy. New episodes every Thursday.

1:01:08Naiomi Catron:Read by me, Curtis Garner. Listen to the free audiobook now.

From the publisher

This week, we are joined by a lactation expert to talk about all things breastfeeding. Naiomi Catron is an International Board Certified Lactation Consultant (IBCLC), former labor & delivery nurse, and author of Milk’D: Finding Your Flow In The First Weeks of Breastfeeding.

We kick things off with the most common breastfeeding mistake Naomi sees new moms make (and how to fix it), plus how to maximize your milk production in those first days after birth (spoiler alert: it involves a plastic spoon!?). 

Naiomi tells us the difference between breast milk and formula (and the point that “breast is best” totally MISSES). She also answer whether or not “just one drop” of breast milk is beneficial for a newborn. 

From pacifiers to the best ways to increase milk supply to when you can finally drop that middle-of-the-night pumping session — Naomi has the answers. Plus, a personal favorite - she shares the role dads can play in making the whole breastfeeding process easier.

Whether you’re pregnant, in the thick of it, or just curious about the science and strategy behind feeding a newborn, this episode is full of the kind of no-BS, expert-informed advice every parent needs to hear.

Timestamps:

00:00:00 Welcome back to Two Parents & A Podcast!

00:01:45 Introducing Naomi Catron, Lactation Expert (RNC-OB, IBCLC)

00:02:24 Breastfeeding mistakes: What is the most common mistake new moms make?

00:06:48 How to maximize breast milk production when your baby is born

00:10:24 Newborn milk needs: How much milk does a newborn baby really need?

00:13:13 Breast milk vs. formula: The breastfeeding vs. formula debate

00:21:02 Is one drop of breast milk really beneficial for a baby? Breast milk benefits

00:22:12 Pacifiers and breastfeeding: Should a breastfeeding baby be given a pacifier?

00:24:32 Empowering moms: Your baby, your boobs, you're the boss

00:26:38 The best way to increase milk supply

00:34:00 Pumping and supply: Dropping the middle of the night pumping session

00:40:41 Breastfeeding vs. pumping: Which is better for mom/baby?

00:47:59 Latching and switching breasts: How to know when to switch sides

00:50:10 Dad's role in breastfeeding: How can dads support their breastfeeding partner?

00:59:30 Thank you for listening!

#twoparentsandapod

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Find our Guest:

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Naiomi Catron | https://www.instagram.com/boobbossbusiness/

Get Naiomi’s Book, Milk’D | https://www.milkdiva.com/milkdbook 

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