The Boob Group
Breastfeeding Challenges: Thrush and Other Infections

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SUNNY GAULT: This episode of The Boob Group is brought to you by Rumina Nursingwear. Hands-free pumping and nursing tanks and bras to support your breastfeeding goals. Visit www.pumpandnurse.com and save 20% with promo code BOOBGROUP20.

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ROCHELLE MCLEAN: Are you experiencing nipple pain? What is causing it? Were you told it was caused by thrush? You’ve treated it according to your doctor’s recommendation but it still hurts after a week, what else could it be? I’m Rochelle Mclean an IBCLC and owner of Babies in Bloom in Vista California. Today we are talking about the challenges of thrush or other possible infections, this is Boob Group.

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LEILANI WILDE: Welcome to The Boob Group, broadcasting from the Birth Education Center of San Diego. The Boob Group is your weekly, online, on-the-go support group for all things related to breastfeeding. I'm your host, Leilani Wilde, I'm also an IBCLC and owner of Leilani’s Lactation and Doula Services.

Did you know we’ve released more than 120 episodes to help you on your breastfeeding journey? Visit the episode guide on our website www.newmommymedia.com to see a complete list. You can click on the episodes and listen through the website or download our free apps available in iTunes, Google Play and Windows. And you can listen on the go. If you enjoy listening to our show then please the time and tell other breastfeeding mommas about it so we can then help encourage them all. Now Sunny is going to tell us more about our virtual panelists program.

SUNNY GAULT: Hi everybody, so if you are not here in San Diego where we record our shows, you can still participate in it. We love to post on Facebook and Twitter and as well we started a post to Instagram, all the photos, I always take some behind the scene photos as we are recording.

And so it’s a great way to participate in the show. Well, as well you can comment, you can ask us questions, you can follow along, we like to post some really great articles to Facebook and Twitter as well. So that’s one way, but if you want to become part of the show, there a couple of different segments that we do.

There is one called ‘Boob Oops’ where you can submit your funny breastfeeding and pumping stories. And we also have one called ‘Momma Hacks’ which is where you tell us about things that you have learned in your breastfeeding or pumping experience that has made life a little easier, so a little hack that you’ve come up with that you think other breastfeeding and pumping mommas could benefit from. And if you are interested in participating in those segments, head on over to our website www.newmommymedia.com, go to the contact link on our website and you can submit your stories there. We also have a voicemail that you can call and it will just go straight to voicemail, so you don’t actually have to talk to anyone. That number 619-866-4775.

LEILANI WILDE: Today in the studio we are going to introduce our panelists. Today we have Christine.

CHRISTINE: Hi, I’m Christine I am a birth and postpartum doula. I am the mother of three, ages five and a half, three and a half and two.

LEILANI WILDE: Right and we have Kristen.

KRISTIN: Hi I’m Kristin, I am a stay-at-home mom of three kids, an eight-year-old boy, a two and a half-year-old little girl and a two-month-old little boy.

LEILANI WILDE: Nice, great. And then of course we have our expert.

ROCHELLE MCLEAN: I’m Rochelle certified lactation consultant and I have two kids, 21 and 19.

LEILANI WILDE: Yay!

ROCHELLE MCLEAN: Yay!

LEILANI WILDE: Okay, good.

ROCHELLE MCLEAN: No longer breastfeeding. Sorry.

SUNNY GAULT: I love that, that’s funny.

KRISTIN: That’s awesome.

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SUNNY GAULT: Okay so before we kick off today’s show which is all about thrush as well as other infections, I want to tell you about an app that I discovered maybe you have used it too, it is called ‘Latch Me’. And it’s available iOS so that means iPad and iPhone. It was developed by doctors and lactation consultants which makes me think that it might be better than some other apps out there.

It’s basically a breastfeeding tracker app. And it tracks a bunch of different things. You can ask mothers and professionals questions, they have a section on here called ‘Latch Chat’ and that’s basically like a forum through the app. I think you can ask a bunch of different questions. So they actually had stuff on thrush which I thought was interesting since we’re talking about thrush today.

So moms were going back and forth on that. They do have some videos that talk about latch and kind of show you how to do things well and perhaps some of the more interesting, what I found at least more interesting about the app was it does use GPS technology to find comfortable places to breastfeed or pump when you are out and about and basically it just uses the tracker on your to say where you are at and then you can also find lactation consultant s in your area as well as pediatricians that support breastfeeding. And yeah, I thought this was kind of a nice little on-the-go app.

And we actually talked to a pediatrician today that recommends this to some of his patients. So just knowing a little bit about it, what do you guys think, do you guys think it’s something that you would recommend, that it might help other breastfeeding mommas? What do you think? Christine.

CHRISTINE: Yeah I think it would be really great to have access to information and knowing where your lactation consultants are if you don’t know where one is, because you can’t always go to the hospital or go somewhere like that. It’d be nice to have someone on the outside.

SUNNY GAULT: Okay Kristen?

KRISTIN: Yeah, that’s probably the number one referral I make as a doula and to my friends is to see a lactation consultant. So if they are not always look over, they can go see Rochelle or one of the other lovely lactation consultants like Leilani, then that would be great to refer them to an app where they could just plug it in and find someone within a reasonable driving distance.

SUNNY GAULT: Yeah I know and when I was looking at the different locations, I was looking at places right around where we are recording and Rochelle Babies in Bloom popped up as a great place that you can breastfeed, that you can visit breastfeeding-friendly businesses. There was a section for that and so you were listed on there what do you think?

ROCHELLE MCLEAN: I also love that they do the forms. The same reason that I like a lot of lactation and facebook forms and things like that. Because a lot of times when moms have questions it’s two in the morning they want to reach out and there’s nobody that they can talk to. So being able to have a tool where you can reach other moms and just get advice is helpful and a lot of parents I know have used the app before and like it.

SUNNY GAULT: Good Leilani any thoughts?

LEILANI WILDE: I’m just excited that we have more access to this kind of knowledge and availability because you’re right. In the middle of the night when if my client isn't calling me…

SUNNY GAULT: Then you get to sleep more.

LEILANI WILDE: That’s right, they have someone else who they can openly depend on so good information there so that’s good. I dint know if I mentioned this but it is free and I love free apps so you can download it, we’ll put a link on our website and we’ll tell you little bit more about it on the website and some direct links to be able to download it so you can check it out if you want to. So again it’s called Latch me.

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LEILANI WILDE: Today on The Boob Group, we’re continuing our series on breastfeeding challenges by discussing nipple pain caused by thrush or possibly another type of infection. Rochelle Mclean and IBCLC in Vista California is an expert on this topic and she’s here with us today in our studio. Welcome to The Boob Group; Rochelle.

ROCHELLE MCLEAN: Thank you for having me.

LEILANI WILDE: Thank you. Rochelle what kind of symptoms are most common in thrush?

ROCHELLE MCLEAN: Usually with thrush a mom has had weeks or months of pain-free nursing and it’s felt really comfortable and then suddenly it becomes painful. They may have pink or red itchy nipples, you might have some scaly or peeling skin stinging burning on the breasts all sorts of things. But for many women, it’s something that suddenly appears after things have been really comfortable before that.

LEILANI WILDE: And how is it normally treated?

ROCHELLE MCLEAN: There are lots of different anti-fungal that people can use because thrush is a fungus used and anti-fungal. A lot of people think that it’s an antibiotic that they need but it’s actually an anti-fungal so people might use things like prescription medications or their over-the-counter alternatives as well that people can use.

LEILANI WILDE: Okay Christine did you experience thrush?

CHRISTINE: Yes I actually just done dealing with thrush about two weeks ago.

LEILANI WILDE: And what treatments worked for you?

CHRISTINE: I had to use a prescription for my son and for myself and for the baby I also did grapefruit seed extract and I did probiotics. Lots of probiotics that ended up finally getting rid of it.

LEILANI WILDE: Good, that’s great. And what about you Kristen?

KRISTIN: Yes I experienced the [charades] of glass coming out my nipples, that was really fun. And I actually experienced it pretty early on in to breastfeeding relationship hopefully four weeks post porter with my [therapist] when I started having extreme pain and you know itchy nipples kind of red and shiny and then also my son had the telltale white patches in his mouth so I went to the doctor, we got nice stand and then actually did not work for us, so what I ended up finally finding and thought really did like check was a combination of probiotics and Gentian Violet. .

LEILANI WILDE: Okay good. And for those people that are listening in the audience can you explain what that is?

KRISTIN: Gentian Violet is an antiseptic but also has antifungal properties like Rochelle was saying. You can buy it over the counter. I found ours at WhileGreen and it’s this lovely bright purple stuff that stains everything it comes in contact with so my baby was a purple people eater for a few days after each dose and then, of course, I had purple which my husband thought was hilarious.

I on the other hand did not but anyone who uses it, just don’t lay on any pretty sheet that you care about or put on any of those really cute onesies that you want to keep because everything that it touches that your milk touches will turn purple.

LEILANI WILDE: Lovely. Rochelle, how long should they try the recommended treatment before looking for another cause?

ROCHELLE MCLEAN: For most people, you will start to see some sort of improvement within about four to seven days. I think it’s important to point out a thought like the girls mentioned [nice-da] used to be the drug of choice that everybody would go to and we’re seeing a lot of yeast that just doesn’t respond to [nice-da] and whether they are be overused and what have you.

So a lot of times people start it for a few days and they’re not noticing anything with the [nice-da] we’ll generally if it’s not their first line to recommend like Gentian Violet and things like that at that point because it might just be that the yeast isn’t responding to that.

Gentain Violent is a very short course treatment so again if you’re using that and you are not seeing any improvement usually by a week, it’s not going to be better, it takes a couple of weeks to get better. But most women will feel like okay it’s a little bit less painful and are not feeling like their symptoms are becoming better. If it’s been a week and it’s feeling just the same or worse, then that might be an indication that things are not… it’s a thrush.

LEILANI WILDE: So what actually causes yeast?

ROCHELLE MCLEAN: We all have yeast on our bodies at all times and your body has good bacteria that kind of keep your yeast in balance and yeast thrived in warm moisture environment so that we might end up with vaginal yeast infections, the breastfeeding nipples are a great little party environment for yeast and the inside of baby’s mouths.

It’s really important that when you are treating yeast, you’re treating both you and the baby simultaneously even if only one of you has symptoms and that’s why probiotics are oftentimes recommended because that’s one of the ways you can help keep your thrush in a good balance is by increasing your good bacteria. For a lot of women if they’ve had an antibiotic history even just stress in their life where their good bacteria can be compromised then the yeast just gets a little bit out of control.

LEILANI WILDE: And even with the history of yeast infections maybe during their pregnancy?

ROCHELLE MCLEAN: Correct yeah. If a woman has a history of yeast infections the first kind of defense is usually probiotics so make sure you’re taking them. And also babies can have probiotics a lot of moms think that if they take probiotics the baby gets the probiotics through the breast but your breasts are pretty wonderful, they screen good bacteria and bad. So they can't determine until babies oftentimes in their own probiotics given directly to them.

LEILANI WILDE: And do you have a recommendation on how it’s given to them?

ROCHELLE MCLEAN: Most probiotics are in powder form, some moms so they make a little paste with breast milk or they’ll tip their finger in the powder just let the baby suck the finger or put it on their nipple and then latch the baby on.

LEILANI WILDE: Wonderful.

ROCHELLE MCLEAN: Yeah.

LEILANI WILDE: Perfect. Christine who diagnosed your symptoms?

CHRISTINE: I actually started noticing and did a little research wondering why I was having those symptoms so once I kind of guessed it was thrush I went to Leilani and she was the one who confirmed that yes, he did have thrush and so we went and started treating it.

LEILANI WILDE: Okay good, and Kristen?

KRISTIN: I actually went to a pediatrician because I suspect that was what was going on and she actually checked my baby’s mouth and saw the one spot that I saw and she said no that’s not it. And then I went home and I was like she’s wrong. So I actually went and got a second opinion and sure enough, I was right and over the next 12 to 24 hours his mouth was covered in white spots so I do actually got it before and then was symptomatic before he was. And so we did the [nice-da] for about four weeks didn’t work, did Gentian Violet and within three days it was gone.

LEILANI WILDE: Rochelle would you advise a mom to seek lactation consulting or do you think their primary doctors are more educated in this particular area?

ROCHELLE MCLEAN: Unfortunately I think for most physicians the lactation consultant is going to be the better source which is something we see more often and that’s what I always tell people whenever they’re having any kind of breastfeeding concern is that a lot of times the people who deal solely with breastfeeding just have a lot more experience with it and they often times so find Christian story is not uncommon.

LEILANI WILDE: Exactly, yeah. Unfortunately, the doctors have a little bit of knowledge I find over and over again with you know working with the moms.

ROCHELLE MCLEAN: I always tell patients physicians have to be on top of so many things healthcare things illness things that a lot of times they know that breastfeeding can be part of a lactation consultant responsibility as part of a team of care providers. So I think in some regards they don’t have to focus on this much because they know there are people out there to do that with them.

LEILANI WILDE: That specialty out there, good. When we come back, we’ll discuss what other kinds of infections or causes it could be that the mom is experiencing when she has nipple pain and or breast pain.

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LEILANI WILDE: Welcome back to the show we’re here with Rochelle Mclean and IBCLC. Rochelle, could a bacterial infection be the cause of her nipple and or breast pain?

ROCHELLE MCLEAN: It could be. A lot of times that’s the second most common reason for nipple and breast pain. It’s a bacterial infection if it’s not thrush.

LEILANI WILDE: And so when it doesn’t, when they think it’s thrush and it’s being treated for that, it’s not going away then the next thing to suggest is perhaps is bacterial?

ROCHELLE MCLEAN: It’s a bacterial infection if they are showing signs of that and that would be treated with usually oral antibiotics for most women.

LEILANI WILDE: Oral okay. Alright, what about the APNO?

ROCHELLE MCLEAN: It depends on whether your infection is. If it’s like a new infection and more towards the nipple a lot of people find or purpose an appointment to be very helpful. Sometimes if it’s moved into the breast tissue already and they are having more deep breast pain, or antibiotics are needed to remove the bacterial infection from inside.

LEILANI WILDE: Okay good. Let's see. Christine, did you discover that you had, did you have a [stack] infection at all, during what you during any time that you had thrush or was it only thrush?

CHRISTINE: It was only thrush for me and I realized it because I personally had like a systematic yeast infection and ended up taking the Diflucan prescription in order to clear it for me so I didn’t continue passing it to the baby.

LEILANI WILDE: Okay good. And what about you Kristen, did you have any issues?

KRISTIN: You know I wasn’t diagnosed with the secondary infections I'm not sure but shortly after my thrush symptoms went away I did develop my status so I don’t know what was going on but I know for sure I at least had thrush at some point.

ROCHELLE MCLEAN: And I find if you find that to be common to you so many times thrush causes like little hairline cracks and fissures on the nipple which then make a bacterial point of entry. So that’s the other reason where I’d be like a lot of people that had no cream, they are purpose nipple because it has antifungal in it and bacterial and can kind of kill both things in one false hoop.

LEILANI WILDE: And with the APNO they usually notice within 24 hours. Big change of that is going to, yeah if that’s going to be effective or not.

CHRISTINE: When we had thrush, he was so young, he was only a few weeks old so what ended up happening is because his body was trying to fight the yeast he also got a secondary infection. He got (inaudible) which is a different form of hand for the mouth and ended up with raw in his mouth and a very bad infection on top of the thrush because his body was not able to fight both of it at the same time.

LEILANI WILDE: Right and I recall that it wasn’t diagnosed at first, is that what it was, or I remember you had gone to see your doctor right, about that?

CHRISTINE: Yes and they didn’t know what it was at first they just said its nothing. That was just a thrush and I didn’t believe that the thrush would cause his whole mouth to be raw and actually bleed if I touched the roof of his mouth wrong. And so I went back and saw my regular doctor and he’s the one who diagnosed the (inaudible) secondary infection to the thrush.

LEILANI WILDE: And how did they treat that?

CHRISTINE: That is just, it’s a virus. So it’s just treated by waiting it out and nursing as much as possible. So we treated the thrush, continued that one, that one was cleared he fought off the infection on his own.

LEILANI WILDE: Good you know one thing I like about you Christine is that you have good instincts and you never stop at when you hear the first doctor telling you that you’re wrong or that you are not seeing what you’re seeing. I love that about you.

CHRISTINE: Thank you.

LEILANI WILDE: So let's see Kristen, who diagnosed and resolved the complaints of your nipple pain that you had?

KRISTIN: Let's say it was kind of self-diagnosed because my pediatrician didn’t believe that I had thrush, so I actually went on www.kellymom.com and just really researched a lot of stuff and you know I decided to ditch the [nice-da] and try the Gentian Violet and turn of that switch to this. So…

LEILANI WILDE: Sometimes self-help sometimes is better than some of our other resources by instincts. And I think that we’ve done an episode from that and just following our instincts and recognizing that if it doesn’t sound right it might not be right, so let's keep searching till we get the right answers.

CHRISTINE: I initially tried the Gentian Violet that was my first line of defense against the thrush and it actually didn’t work for us, I used it for a week and it just kept getting worse and so that’s when I added the grapefruit seed extract and went on the (nice-da) and then took the Diflucan and finally it went away. It took us about two and half weeks to clear it completely.

LEILANI WILDE: And then did you stay on it longer at least a week past the symptoms to help make sure?

CHRISTINE: Yes I continued doing it even when it cleared because I was afraid of it coming back. It was a very awful experience especially since we were having nursing issues anyways on top of all that.

LEILANI WILDE: Did you alternate your diet at all like cutting your sugars out or anything like that?

CHRISTINE: I did cut sugars out and you know regularly I tried to eat cleaner foods, more fresh vegetable things like that. I did cut coffee out for a few days and that was hard. But clearing it up. So it sort of is a combination of a bunch of things that finally got rid of it. It wasn’t an easy road to travel.

LEILANI WILDE: But you didn’t want to give up?

CHRISTINE: No giving up was not an option for me, it was this is going to clear no matter what I have to do because I want to nurse my baby.

LEILANI WILDE: Rochelle I actually spoke to somebody just recently who her doctor had told her to stop breastfeeding because she had thrush and told her to pump and dump. What are your feelings about that?

ROCHELLE MCLEAN: First I'm going to hear is we’ve told moms if they have yeast infections not to save the milk, to discard it and now the general type line is you can keep it. Obviously, if babies are being treated giving baby milk that has a yeast overgrowth happening at the same time isn't harmful if the baby is being treated currently.

And usually I just have my mom say if they are working or things like that, just label those bottles of milk that are saved during pump sessions as thrush milk and just try to give it sparingly over the course of the day if you’re leaving four bottles for baby one maybe with the extra yeast and three regular to just kind of get a little better, but then they’re usually fine.

LEILANI WILDE: What about not breastfeeding, have you ever heard of that?

ROCHELLE MCLEAN: I have never heard anybody told that I’ve just heard people told that they can't give the baby the milk, they’ve never questioned it being at the breast but they’ve questioned the actual milk.

LEILANI WILDE: Yeah it was kind of, I was like, I was also surprised to hear that and of course I advised mama that she should start breastfeeding again and that was something that was not currently up to the information so it’s good to let everyone to know out there that when the doctors are telling you to stop breastfeeding, second question. You know get another advice, get some advice from your lactation consultant because they may not be current and up to date, so and doctor Google doesn’t always know everything.

ROCHELLE MCLEAN: And the bacterial infection that’s where I hear it more. Those women who have bacterial infections are being told to and having to reinforce to them that it’s okay.

LEILANI WILDE: Right. And then maybe explain a little bit to our audience about how infection is introduced to the babies and how as they go to the breasts and their bacteria transfers through. How does that work and protect them?

ROCHELLE MCLEAN: Well, I mean all of mom’s immunity that babies are getting through the breast milk too so with any illness if mom is sick battling something, her body is already building immunity through it, so by breastfeeding baby is getting all of those antibodies and immunities to help fight whatever mom has so most of the time when mom is sick or have something, babies don't even get sick because they got the immune boost.

LEILANI WILDE: Right, you know lot of times I’ll explain to the parents that if a mom has been exposed to something or the baby has been exposed to something before they even know that the baby has already getting the bacteria and when they latch on to the breast, they’re transferring that bacteria into the breast milk through the nipple and then that makes the antibodies and it gives it back to the baby. So these babies are well protected and its when you stop breastfeeding that’s when they are not protected so everyone should know that.

ROCHELLE MCLEAN: Exactly.

LEILANI WILDE: So helping other ones, everybody understands that a little bit better. What other types of infections could there be or what other symptoms or can you tell us a little bit more Rochelle.

ROCHELLE MCLEAN: Sure if mom is having nipple pain that is not resolved and they have ruled out yeast, they’ve ruled out hand bacterial infection obviously sucking issues or latch issues like tongue-tying things can cause nipple pain. Viroplasms where blood flows restricted to the nipple or nodes phenomenon which is a whole other show probably that you’ve done but there are other things that can produce the same sort of quality of nipple breast pains so it’s not always an infection, so it’s important to kind of rule those things out as well.

LEILANI WILDE: Can you quickly explain what that looks like?

ROCHELLE MCLEAN: Viroplasms? So a mom who’s having Viroplasms basically is cutting off the blood supply to her nipple. It can either be from compression so like a poor latch or with Raynaud it’s something that systemically happens. So it causes the blood vessels to constrict so there’s no blood flow to the nipple often times the nipple would be bleached white and then all of a sudden the blood goes right back into the nipple and it turns like a purple kind of being (inaudible) parents say if you sit on your foot and your foot goes to sleep and then all of a sudden you get the pins and needles.

So for the women who are breastfeeding when the baby is n the breast and the warm mouth is there might be that viroplasms where there’s no blood flow then suddenly the warmth helps it. So if it gets cold when the baby comes off, everything kind of constricts and it’s painful and the warmth can help bring the blood back into the nipple but still, there’s burning and stinging. So if a mom complains of stinging burning nipples you can’t always assume it’s just yeast. It very well could be viroplasm.

LEILANI WILDE: Is that something that could come on suddenly after they’ve had a good breastfeeding experience?

ROCHELLE MCLEAN: It’s not as common but it can sometimes, usually it’s more like I said related to latch and things like that so typically you see that kind of behavior more at the beginning of breastfeeding as you rule out latch issues and things like that.

SUNNY GAULT: We did do a whole episode on that so if you guys want to go to www.newmommymedia.com and Google Viroplasms and Raynauds, it’s there.

LEILANI WILDE: Is there anything else you need to add?

ROCHELLE MCLEAN: No I just want to make sure that moms know that there other things so anyway it’s not just yeast or bacteria, there could be something else lacking.

LEILANI WILDE: Good thank you. Okay, thank you so much Rochelle and Kristen and Christine for sharing your knowledge and experience with us about breastfeeding and the cause and treatments of nipple pain. And for our boob group club members, our conversation will continue after the end of this show. As Rochelle will give us some tips on how to avoid damaging the nipples from pumping which could cause nipple and breast pain. For more information about our boob group club please visit our website www.newmommymedia.com

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SUNNY GAULT: Alright it’s time for a fun segment we have on the boob group and I love this segment. It’s probably my favorite it’s called ‘Boob Oops’ and it’s where we share our funny breastfeeding and pumping stories. And you guys have some doozies out there. Man, I thought I had some crazy stories about people you know accidentally seeing my boobs, your stories totally take the cake. And I love hearing them.

This one comes from Andria and she posted on our Facebook page and she said after a particularly bust afternoon of errands I nursed my little one in the car before driving home. I stopped at a local drive-through to avoid making dinner.

My gosh totally done this before. The window guy acted super weird, eyes gripping not speaking coherently. I thought he was on drugs or something. When I got home I realized he was not on drugs but he probably thought I was. I forgot to pull my shirt back up after nursing my baby. Man, you just gave him a free show, you probably made his day Andria.

Thanks for sharing this story. Super funny. If you guys have a fun ‘Boob Oops’ story about you breastfeeding you pumping and things didn’t quite turn out the way you thought they were going to we would love to share that with our audience. You could send us an email through our website www.newmommymedia.com but we’d love to hear you tell your own stories and the best way to do that is by leaving us a voice mail and it will go straight to voicemail you won’t have to talk to anyone I promise but the number to call is 619-866-4775. Leave us a quick message tell us your story and we’ll use it in one of our shows.

LEILANI WILDE: That wraps up our show for today we appreciate you listening to The Boob Group.

[Theme Music]

LEILANI WILDE: That wraps up our show for today. We appreciate you listening to The Boob Group.
Don’t forget to check out our sister shows:
• Preggie Pals for expecting parents
• Parent Savers for moms and dads with newborns, infants and toddlers
• Twin Talks, for our show with parents of multiples.

Thanks for listening to The Boob Group: “Your judgment-free breastfeeding resource.”

[Disclaimer]
This has been a New Mommy Media production. Information and material contained in this episode are presented for educational purposes only. Statements and opinions expressed in this episode are not necessarily those of New Mommy Media and should not be considered facts. Though information in which areas are related to be accurate, it is not intended to replace or substitute for professional, Medical or advisor care and should not be used for diagnosing or treating health care problem or disease or prescribing any medications. If you have questions or concerns regarding your physical or mental health or the health of your baby, please seek assistance from a qualified health care provider.

SUNNY GAULT: New Mommy Media is expanding our lineup of shows for new and expecting parents. If you have an idea for a new series or if you’re a business or organization interested in joining our network of shows through a co-branded podcast, visit www.NewMommyMedia.com.

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