Boob Tube episode 19 – Dealing with Fertility Challenges

2018-09-18T20:51:11+00:00September 18th, 2018|Categories: Fertility Blog|Tags: , , , |

In this episode we talk about the challenges some moms have trying to get pregnant. Tobi talks about her own journey to motherhood and we hear from other moms and moms-to-be about their struggles with fertility. For more of the Boob Tube check out The Boob Tube at Fairhaven Health.

Episode 19 – Infertility and reasons you might not be getting pregnant

Posted by Belly to Breast: Fairhaven Health on Thursday, September 13, 2018

Breastfeeding as Birth Control

2018-02-21T20:28:40+00:00February 21st, 2018|Categories: Fertility Blog|Tags: , , , , , |

Throughout history, women have used breastfeeding as a natural contraceptive. Researchers have found evidence of Egyptian, Native Alaskan and early European populations recognizing the connection between breastfeeding and family planning. This method of birth control is known as the Lactational Amenorrhea Method or LAM.

The LAM method works because when you are breastfeeding, prolactin production is in high gear. The same hormone that tells our body to make milk, also keeps ovaries from releasing eggs. Without eggs available for fertilization, no pregnancy can occur. Studies show that LAM is 99% effective for short-term contraception as long as guidelines are followed.

The guidelines for the LAM method are simple to follow-

1. Watch for return of menses – For exclusively breastfeeding moms, you can expect to have a 6-12 month break from your monthly “lady’s days.” When your period returns, ovulation often comes too.

2. Exclusively breastfeed – Breastmilk provides all the food and fluid your baby needs to grow. There is no need to supplement with any additional foods until after 6 months or when your baby is ready to start eating complementary foods. Some babies aren’t ready until 7-8 months, watch your baby for signs they are interested in trying new foods.

3. Your baby is under 6 month of age – sleeping through the night 6+ hours and the introduction of complimentary foods usually happen around the 6 month milestone. Ovulation suppression is governed by how much milk you are making so the less milk your baby requires the lower prolactin level and ovulation restarts.

When all three of these conditions exist, you have has less than a two percent chance of becoming pregnant. Since no birth control method is 100% effective, LAM is as effective as condoms or oral contraceptives.

Scientific studies conducted around the world by the Institute for Reproductive Health and other organizations have proven that when guidelines are followed, LAM is an effective, safe, convenient short-term way for breastfeeding women to plan their pregnancies.


2015-05-15T23:05:22+00:00May 15th, 2015|Categories: Fertility Blog|Tags: , , , , |

By Jennifer Pitkin, IBCLC, RLC
Lactation Consultant at and (iPhone or Android)

I’m a mom to two little ones, and have one more on the way. There are a number of things during this pregnancy that I’ve been overemotional about and/or have been starving for, and I thought I’d share some Pregscuses that I created that all pregnant women can and should get away with. There’s no time in your life quite like pregnancy. Enjoy it, and laugh at all the crazy parts that you just *get* if you’ve been there.

• The Sneezepee:
If you don’t know what this is, you’ve never had a baby on your bladder

• Pregrage:
Sudden bursts of anger directed at things that becoming extremely annoying in a millisecond
o husband breathing too loud
o celebrities losing ALL baby weight immediately
o not having pie available at midnight

• It Alllllllmost Still Fits:

• Pregforts:
Impenetrable and intricately designed sleep concoctions designed for a pregnant mom’s sleep
o these may take up 90% of the bed
o forts aren’t just for kids
o here’s a compact version if you’d like your bed back
o see “Pregdibs”

• Pregnose:
The ability a pregnant woman has to know if you ate a food she has an aversion to…even 3 days later

• Lay Off Me, I’m Starving:
When you go from pregnancy stage, everything makes you want to puke, to pregnancy stage, you will knock that sandwich out of someone’s hand and eat it.

• Pregdesigner:
A complete fixation about the imminent need to:
o repair all the things
o redecorate
o paint
o and/or move large pieces of furniture

• Pregdibs:
The ability to claim ownership of all things
o Your dinner
o your pajama pants
o your pillows
o the remote
o the pickle jar

• Must. Nap. NOW:

• Preghunt:
When a pregnant mother stops whatever she’s doing to buy one insatiably craved item at the grocery store
o often this results in an extra $250 in groceries
o mom may not want the item after smelling it
o if she can eat it, there’s no way she’s sharing

• Preg…what?
I don’t remember what we were talking about

I’d like to say that all things will go back to a less crazy/hormonal/sleep deprived status after new baby arrives, but I’m not going to lie. I’ve been there before. I fully recognize that I’ll have a whole other blog to write at that point. I’m going with Boobscuses. Find more articles, support, and updates from me (and other lactation professionals) on the latchME app.

Labor, delivery and breastfeeding – know before you go

2015-03-05T21:53:28+00:00March 5th, 2015|Categories: Fertility Blog|Tags: , , , , , , |

Getting ready to welcome your new baby into the world is a time of excitement and anticipation. Unless you have been through giving birth 19 times and counting, it’s unfamiliar territory for us. If you plan to breastfeed, and almost all of us do, it is important to know how your birth plan affects you and your baby’s readiness to breastfeed.

Remember you are in the driver’s seat of your birth experience and your body is your navigator. Listen to your body and be ready to speak up if things are not going in the right direction. If you have a birth plan, share it with your partner and health care team. Watch this fun and informative video comparing 2 birth experiences –

A birth plan that supports breastfeeding will have limited interventions (an intervention is any act that attempts to modify an outcome.) Many interventions can have unintended consequences and we need additional interventions to manage the unwanted side – effects. This phenomenon is common enough to have a name, the Cascade of Interventions.

An example of a common intervention is an epidural (pain medicine injected into the tough membrane around the spine).Laboring can be painful and last for extended periods, so pain control is a common priority of mothers and their support team. However, there are a few undesirable epidural side effects on breastfeeding. Hospital protocol often requires a mother with an epidural to have IV fluids; this is because the epidural can cause a precipitous drop in mom’s blood pressure. The IV fluids moms receives during labor can stay in mom’s tissues (think of your swollen ankles except this time in your breasts) making it difficult for baby to latch on after birth. The extra fluid can transfer to her baby as well, artificially increasing the baby’s weight and causing alarm at the upcoming well-baby check-up when the scale shows a big weight loss (although it is the extra fluid baby received during birth). The pediatrician may direct mom to supplement with formula due to the weight loss, mom feels her milk supply is inadequate and formula becomes the primary food source for baby.

There are many other interventions we accept as part of our hospital birth which can affect our ability to breastfeed. This epidural example illustrates the importance of educating ourselves about birth interventions so we can make the right choice for ourselves and our babies.


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