The Boob Group
Oversupply and Overactive Letdown

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ROBIN KAPLAN: While oversupply might seem like a dream for many mothers, it truly comes with its own set of challenges ranging from fuzzy gassy babies, green poops and lots of spitting up. How can a mother tame her oversupply beast? And what does this have to do with an overactive letdown. Today I’m thrilled to introduce our expert, Kristina Chamberlain, a Certified Nurse Midwife, an International Board Certified Lactation Consultant in the state of Washington and owner of East Side Women’s Health and Lactation. Today we are talking about Oversupply and Overactive Letdown, this is The Boob Group, episode 70.

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ROBIN KAPLAN: 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 Robin Kaplan. I’m also an International Board Certified Lactation Consultant and owner of the San Diego Breastfeeding Center.

So today we have a new program that were actually launching and that’s called our virtual panelist. So, throughout the month we will be posting on facebook and twitter information about upcoming episode topics and our featured experts for these episodes. This is a great way for you to post your questions you would like us to ask our experts and we will do everything we can to incorporate them in to the show.

And on our recording days, our producer MJ Fisher will be tweeting and facebooking about the episodes as we are actually recording so this will allow you to engage in the conversation, learn about awesome tidbits about our topic which even before the episodes been released, you can post questions for our expert and share your experience with our audience, all you have to do is follow our facebook page which is The Boob Group or you can follow our hash tag on twitter #theboobgroupvp, that’s for virtual panelist and join in the conversation. So MJ, how’s it going so far? We have a lot of conversation going on?

MJ FISHER: We do. We have a lot of moms who are interested in all of our topics today. It’s really nice to be able to incorporate you guys that can’t be in the studio into our show and cover questions that maybe we don’t have that we’re already covering or questions that you know just in general everyone will want to ask, so it’s nice to have a lot of post going on facebook and then thru twitter and everybody’s joining in. So it’s great!

ROBIN KAPLAN: Wonderful. Well thanks MJ.

MJ FISHER: Yes, thank you.

ROBIN KAPLAN: And in our studio we have three lovely panelists and so ladies, do you mind introducing yourselves?

ROSY RODRIGUEZ: Hello! I’m Rosy Rodriguez. I’m 30 years old. I’m an executive assistant and I have two girls. They are 3 years old and 10 months.

ROBIN KAPLAN: Wonderful. Thank you.

MARIE BISHOP: Hi! I’m Marie Bishop. I am 30 years old and I work as a Sales Coordinator for an Insurance company. I have two kids, I have a 4 year old little boy William and I have a 4 month old little girl Lydia.

ROBIN KAPLAN: And Lydia is in the studio with us today, so if you hear a little cooing around it could be her or one of Stacy’s little boys so, Stacy got to introduce yourself.

STACY SPENSLEY: Hi! I’m Stacy Spensley, I am also 30 years old I’m a Certified Holistic Health Coach and I have just my one little boy here Iver who will be six months on Thursday. And he’s trying to eat the microphone

ROBIN KAPLAN: And he’s trying to eat the microphone. Well welcome ladies, thanks for coming to the show today.

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AUTUMN BONNER: Hi Boob Group! My name is Autumn, co-owner and founder of Tailored Fitness. I started Tailored Fitness because I am passionate about helping women learn to live healthy lives so that they can be role models for their families. I was fortunate enough to grow up in family where I was taught the value of exercise. And now that I’m a mom I want to set the same good example for my daughter. There’s no better time to start taking care of yourself than when you’re pregnant.

Here’s a tip on exercising when you’re expecting, although it may not seem like it, you abs are still there when you’re pregnant and it’s important to keep working on strengthening your cores so you can avoid lower back pain which affects 80 to 90 percent of pregnant women. After the forth month, you should not do abs exercises on your back like a crunch. But you can still work you core in another ways. Try doing a plank on your knees and elbows, creating a straight line between your head and your knees. Hold for 45 to 60 seconds breathing steadily throughout the exercise. This is also a great exercise after your baby is born to work on regaining core strength.

The Tailored Fitness exercise program has work out videos for pregnancy and to help you lose baby weight after your baby is born. Visit www.mytailoredfitness.com and sign up for a free 30-day trial to try creating your own custom workout video. And don’t miss any of the awesome tips from the Boob Group that will help you prepare for motherhood.

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ROBIN KAPLAN: So, today on The Boob Group we’re discussing Oversupply and Overactive Letdown, our expert, Kristina Chamberlain, is a Certified Nurse Midwife, an International Board Certified Lactation Consultant in the state of Washington and owner of East Side Womens Health and Lactation. Thanks so much for joining us Kristina and welcome to the show.

KRISTINA CHAMBERLAIN: Thank you

ROBIN KAPLAN: So, Kristina, how would a mom know that she has an oversupply? Are there symptoms for both mom and baby in this?

KRISTINA CHAMBERLAIN: Thank you

ROBIN KAPLAN: There are, you know, most women probably can attest to feeling engorged or feeling like they have oversupply in the beginning when their babies are first born and that’s, that’s pretty typical to have that kind of engorgement in the beginning just because your body and your baby are still trying to figure out what exactly your baby needs. But if a mom’s feel engorged most the time, after the baby is a couple of months old rather than just feeling engorged when her baby hasn’t nursed for a while so it’s when babies starts to sleep longer at night. But if she’s feeling like she’s always full and uncomfortable it’s probably more due to oversupply rather than just kind of a normal engorgement that happens in the beginning.

So through oversupplies when a mom’s body is just producing more than what her baby needs and sometimes, I’ll just start off by saying, that sometimes it can be an issue not so much with mom’s supply but that babies not able to empty the breast very well so, it’s really important for you know if mom is having an issue to see a lactation consultant who can evaluate if it’s a baby issue or if it truly is a mom’s oversupply issues. So, I just want to put that out there at the beginning that that’s important for you to have that evaluated by a Lactation Consultant.

So, as you ask, some of the symptoms for a mom besides feeling engorged all the time because her milk is not being, her breast are not being emptied and milk was kind of just sitting there. She might have recurrent plugged ducts which can lead to mastitis so this mom might unfortunately have recurrent breast infections. She’ll probably have excessive leaking which, I mean we all leak and that’s pretty normal for most of us but if this is excessive leaking it can interfere with daily activities and just kind of make leaving the house uncomfortable. And then for a baby you know so many things that you have mentioned earlier truth for babies who were kind of battling oversupply issues too were those babies who tend to be very gassy, sometimes their colicky, they spit up a lot, they just seemed really fussy at the breast if it’s really difficult for them to nurse while some of the babies might even have a nursing strike for a period of time where they just don’t want to breastfeed because it’s not a pleasant experience for them.

Sometimes the babies like you mention could have green poop just because they’re getting so much milk at the higher lactose milk and it’s not digested as easily as the fattier milk and that can be a result, the green poop can be a result of that. So, that’s why I say you know these babies too they just have troubles negotiating that amount of flow of the milk and you want to make sure that it’s not a baby issue that they’re not able to coordinate their suck, swallow and breathing because of some other underlying problems that it truly is just because there’s so much milk they’re literally kind of being choked

ROBIN KAPLAN: What are some causes for oversupply?

KRISTINA CHAMBERLAIN: Well, it’s kind of a leave that there’s just you know some people are just really sensitive to it. It’s a feedback mechanism that’s how just milk supply in general your body gets the message from baby to make milk and so, it’s believed that this thing called the feedback inhibitor of lactation which controls milk supply has some kind of relationship tied in to emptying and filling a breast. So if you don’t completely empty your breast and you accept that feedback mechanism so it’s just, there’s a glitch in that.

But other than that we’re not a 100 percent sure, sometimes it could be a thyroid issue, sometimes it could be because in the beginning if people are told to pump a lot for whatever reason whether it’s because they’re concerned about their milk not coming in or because there’s a need to get more milk for baby who’s unable to breastfeed. If they’re pumping too much and they’re over stimulating their breast from the beginning they’ll tend to have that problem. Sometimes women are told to pump before their baby breastfeeds to stimulate the letdown and not just end up causing more milk or they’re so engorged and uncomfortable they pump to relieve their breast but their actually giving their body a bigger message saying “more milk! more milk! I need more milk?” so you know it’s just constantly it’s a vicious cycle at that point

ROBIN KAPLAN: Definitely. So, I’d love to open this up to our panelists now. So, ladies, how did you know that you had an oversupply? Stacy we’ll start with you.

STACY SPENSLEY: Actually Robin told me, so, we ended up going in to see Robin after a week, after Iver was born because he was biting me which was super awesome and it turned out that everything I was reading I thought he was sleepy and he was actually just done because he was actually getting plenty of milk because I had so much of it he could eat really quickly, and so we ended up adjusting some things and are doing much better and not having him bite me was my motivation

ROBIN KAPLAN: What was going on?

STACY SPENSLEY: Yes, so thank you Robin

ROBIN KAPLAN: My pleasure! How about you Rosey?

ROSEY RODRIGUEZ: I learned that I had an oversupply because I was always leaking and with my preschooler she would just like I already hear her gulp and gulp and gulp and also it seemed like the milk was going through her like so fast and just because you know, I was squirting all over the place, I keep squirting on her face and I always see it to have a towel with me because of the forceful attempt as well

ROBIN KAPLAN: In which you pull off it will just cover you everywhere

ROSEY RODRIGUEZ: Yes

ROBIN KAPLAN: How about you Marie?

MARIE BISHOP: Well with my 4 year old he was actually in the NICU he was a preemie , I had to pump for him for the first month and I kind of figured it out when the nurses were a are little shocked by me bringing in like 12 ounces at a time for each pumping and I just ended up encouraging my oversupplies so I could donate and then this time I ended up having it, I just started pumping it as soon as my milk came in and it squirts everywhere and it’s just a ton

ROBIN KAPLAN: Just a ton as well. And this kind of leads into this question Kristina, are there ways that moms can help their babies deal with an oversupply?

KRISTINA CHAMBERLAIN: Sure, definitely nursing positions can help if your nursing your baby in a position that allows the baby to have better control of that milk flow that baby is going to be probably be more comfortable so that would be nursing a baby while she’s more vertical so she’s kind of working against the flow of gravity as the milk is coming out so I’ve had some moms who’s really successful with having their baby kind of straddle their legs and sit ore upright they kind of like what a toddler when you kind of think of it as a toddler nursing would look like. Other moms are more comfortable during a laid back position where a mom is leaning back and baby is on top of her body kind of faced down into the breast so both of these were a baby is in more control of that flow, that heavy flow but also the forceful letdown that somebody had mentioned that helps and just a have a little bit more control of it so they can coordinate their suck, swallow and breathe pattern a little bit better too

ROBIN KAPLAN: Okay. And would there ever be a reason for a mom to temper down her supply a bit?

KRISTINA CHAMBERLAIN: Well, if I would say yes, if oversupply is making mom and baby miserable, that’s a good reason to temper it down. So, you know that everybody’s just kind of have this sort of side like one of your panelist said that she ended up donating milk. So that’s great; is she is going to continue to work with her oversupply for that kind of reason? That’s wonderful but if she did want to temper down her supply a bit, one of the ways that she could do it is kind of the idea of block feeding. Where you’re nursing the baby on the same breast for all nursing with them like a 3 hour period and some people you know they still switch breasts side to side.

So this would be eliminating that and simply only offering the same breast during that 3 hour period for any suckling that the baby wanted to do with the breast and then the next 3 hour period you would switch to the other side and that’s just helping your body get the message to less stimulation so it’s going to produce a little bit less milk. That’s one thing, if the overactive letdown is also a problem, mom could try massaging her breast before the baby latches on so that she has, you know, you probably want to have a towel near you so that way she can have her letdown before baby actually latches on.

So baby’s not so bombarded by the milk from the letdown that’s already happen and the baby can hopefully latch on and be a little bit more comfortable with nursing with that flow after the letdown. Definitely burping your baby often because a lot of these babies if they are having trouble latching on or their coming on and off or and usually like that and they’re just getting more air into their tummies which can create more burps, more spitting up, so burping often that helps and also avoiding pumping unless you really have to and if you do need to pump I would say just pump to comfort don’t pump necessarily to completely empty your breast.

You can wear, try wearing a more tight fitting bra obviously you don’t want it to be so tight that it’s going to create plugged ducts or anything like that but maybe a wireless sports bra that just puts a little bit more pressure on your breast so that they aren’t so stimulated that can sometimes help for someone then. Sage tea, sage naturally reduces milk supply and so it’s a mom’s to make a nice little pot of sage tea and drink that about once a day that she might intersect on her milk supply. I have known women who had tried all of this you know but didn’t work and then they would start taking birth control pills, obviously that in my opinion would be the last resort just because you know if you don’t have to take medication while you deal. Yeah the estrogen and the birth control pills is what we decrease your supply and inhibits prolactin which is the hormone that makes milk so that it’s how that works.

ROBIN KAPLAN: And this kind of leads to the next question Jen had posted on our facebook page. Can you ever over correct an oversupply and then cause a low supply?

KRISTINA CHAMBERLAIN: Someone can a apply medication especially if that would be the last resort I mean the other thing is you have a little bit of control over with trial and error you know you try something, you see how it’s working, if it’s not doing what you wanted to do you stop or you know your body doesn’t take too much of a ding from it but if you’re doing medications then it takes longer for you to rebuild it. But most of the time if you’re just doing these things that we’re talking about and you probably wouldn’t have a drastic plummet of milk supply, you would see a decrease and you could kind of, look, in my experience most women are able to kind of play with what works for them so, they’re not necessarily having a low supply and then having a get it back up so they’re more kind of playing with what works with their baby and their body

ROBIN KAPLAN: Ladies, how did you deal with your oversupply and who is more uncomfortable, you or the baby? How about you Marie?

MARIE BISHOP: Mainly with the baby for her I keep up burp right under her chin and she starts nursing and as soon as letdown happens she pulls away and we just had used the right to letdown into the right and then for myself I pump but again I also give to donate. I would say it’s more uncomfortable for me because if it’s like on a weekend and I don’t want to pump then I’m deal, I’m super full and I’m in pain, I’m leaking through all my clothes, she really does, I mean you heard her coughing earlier and that’s when the letdown but I think I’m more uncomfortable than she is

ROBIN KAPLAN: How about you Rosey?

ROSEY RODRIGUEZ: For me, what worked with my first was the block feeding, you know it took a while to get the right combination of how many hours to move between and things like that and with my second you know it’s a combination of block feeding, nursing positions and you know now since I still have a lot I donated as well. So at the beginning it was with my first child that it was more uncomfortable for me just because you know I didn’t know what I was doing and the baby seemed like she was fine with it and she learned how to gulp it all down and she liked it. But with this last baby it was her that was really uncomfortable. So I felt really bad because I thought that I had a colicky baby and that I was kind of confused because you know I was breastfeeding and I said “hey how can she be colicky, when she’s a breastfed baby” she was just super gassy and throwing up a lot and she was just not having a good time but you know with all of that stuff we were able to get it under control and now we’re good

ROBIN KAPLAN: Nice, nice. How about you Stacy?

STACY SPENSLEY: Early on I think it was pretty unpleasant for both of us again with the biting but he was pretty gassy, he was gulping a lot, stuff like that but after a couple of months as we adjusted our position and I was pumping it got a lot better for both of us and now I think this probably works for me because I have to pump twice a day and I also donate my milk and I’ve totaled it up and as of yesterday they were like 10 ½ gallons that I donated so the you know it’s a lot of times spent pumping for a milk that I’m not going to use but I got a couple of plugged ducts and that was, that was plenty. That was good after that

ROBIN KAPLAN: And that actually leads in to our next question Kristina, so Laura had posted on our facebook page, what are the pros and cons of pumping to freeze or to donate versus leaving it just to be to control your oversupply but possibly suffering engorgement or leaking as a consequence?

KRISTINA CHAMBERLAIN: Well, you know that is a fine line just because you know if you need to pump because you’re going back to school/work and you’re trying to create a stash then you know you’re kind of going in to this period of time where you are pumping and kind of creating or adding to the problem a little bit. So you’re just trying to have some comfort measures to see that but if you do need to pump you know you would just pump as though your breastfeeding for the10 minute duration it lasted if you are able to donate that’s always a great thing, thank you to you guys who we’re donating that’s fabulous.

So I think that that’s definitely a personal decision kind of what can work in your life but if you’re really uncomfortable to the point where it’s affecting your breastfeeding relationship with you and your baby or your baby’s having nursing strikes or you’re have recurring infections then in my opinion definitely reducing working towards reducing your supply is a way to go. It’s just what works and you know I’m a big with what works in your life and that’s going to be different for each person

ROBIN KAPLAN: Wonderful. Well when we come back we will discuss with Kristina the symptoms causes and ways to handle an overactive letdown. We’ll be right back.

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ROBIN KAPLAN: Welcome back to the show we are here with Kristina Chamberlain, a Certified Nurse Midwife, an International Board Certified Lactation Consultant in the state of Washington and owner of East Side Women’s Health and Lactation. And we are continuing our conversation about Oversupply and Overactive Letdown. So, we just spoke a lot about oversupply, so, Kristina can you let us know, what is overactive letdown?

KRISTINA CHAMBERLAIN: It’s from the milk ejection reflex which is also commonly known as the letdown happens either very fast or very forcefully. It’s like a gush of milk all at once.

ROBIN KAPLAN: And what are some signs that a mom has an overactive letdown and can this sometimes be confused, for example, a baby with a tongue tie?

KRISTINA CHAMBERLAIN: Sure, yeah sometimes they can look very similar as far as baby’s behavior goes but a lot of times moms would feel a really forceful letdown. I mean we all describe it differently; some people say it’s like a really intense tingling sensation or a pressure like somebody’s kind of squeezing their breast. Something like that but at the same time that she’s feeling that sensation she might notice that her baby starts to choke or gag at the breast just because they are having trouble negotiating this amount of milk that comes out so quickly.

These babies can be very gassy, they’ll cry a lot at the breast, they’ll come on and off break the seal, so that can make nursing more painful for the mom, for her nipples. There might be clicking noises while the baby’s nursing and that the baby’s using his/her tongue to try and protect their airway from this flow of milk, and these are also symptoms that are very similar. You see similar behavior in babies who are tongue tied so, again if you feel like nursing is difficult because of this behavior and what you’re experiencing in your body I would say see a lactation consultant just to look at your baby’s tongue, watch how you guys are nursing so she can help you evaluate what the problem is

ROBIN KAPLAN: Okay. And are there certain causes for overactive letdown?

KRISTINA CHAMBERLAIN: Well the causes aren’t really known but it does tend to coincide most of the time with oversupply so there’s probably some kind of connection to that feedback inhibition of the letdown of lactation that I was talking about. It might be too that some moms just have a real sensitivity to oxytocin which is the hormone that releases the milk and causes the letdown, so it’s not really known. It would be interesting too to see, you know research in that area especially because we induce a lot of labor with Pitocin which is the synthetic form of oxytocin and have that effects too as well

ROBIN KAPLAN: Oh, okay, I didn’t even know about that

KRISTINA CHAMBERLAIN: So are there other researchers out there listening?

ROBIN KAPLAN: So, they don’t always go together then would you say some moms can have an oversupply and but not an overactive letdown and vice versa?

KRISTINA CHAMBERLAIN: Well in my experience I had seen most moms who have an oversupply and also have an overactive letdown that I feel like it happens more often but I have also worked with a lot of moms who have an overactive letdown but don’t necessarily have an oversupply.

ROBIN KAPLAN: Ladies, did you feel like you had an overactive letdown with your oversupply and do you feel like your baby has more of a challenge on that first kind of a letdown phase? Marie how about you? We saw it firsthand in the studio here

MARIE BISHOP: Yeah, I definitely have a really forceful overactive letdown like when a kid pulls off I can shoot several feet across the room

STACY SPENSLEY: I’m glad I’m not the only one

ROSEY RODRIGUEZ: It makes my husband scream, it’s so funny.

MARIE BISHOP: With my first he actually dealt with it really well considering that he was six weeks preemie I was kind of shocked by that whereas my full term baby she has a lot of clicking and coughing and every once in a while a little bit of choking and we mainly deal with it, just we do a lot of side lane nursing which is besides that I get to lay down but it is what it is I feel like I can’t really control it’s when the letdown comes and the other side I have to push my hand really hard on the other side or I’ll end up soaking myself because both sides are really strong

ROBIN KAPLAN: Okay, how about you Rosey?

ROSEY RODRIGUEZ: Yes I did and I noticed it more with the second baby, with my first I did but I was thinking back I guess we managed it pretty well you know she managed it pretty well and we we’re fine. With the second baby, everything Kristina was saying about the overactive letdown was happening the clicking the getting fuzziness gassy you know coming off the breast everything happened to us and with this baby definitely it was still challenging because I thought, oh I you know if I have an oversupply and overactive letdown I know how to handle it but it was still a challenging because it was different still different for me but I immediately started the side lying and all the other nursing positions which helped out a lot

ROBIN KAPLAN: Side lying’s great because although they dribble so much out of their mouths, babies tend to tolerate that position very nicely they can tolerate the flow a little bit better, I’ve noticed as well, how about you Stacy?

STACY SPENSLEY: I actually don’t, so I actually, we actually do okay at the beginning he just has the keg stand and deal with afterwards so apparently I’m lucky in that regard

ROBIN KAPLAN: Alright, sounds good. Kristina, are there ways to temper down an overactive letdown?

KRISTINA CHAMBERLAIN: Well one way just to help the baby negotiate this is to massage the breast to initiate the letdown before baby even latches on so that way by the time they do latch on letdown has already happened so they’re not going to have that probably not going to have as much of that choking or gagging behavior some kids you need to have no grasp of letdown throughout and like your panelists it’s the same they just kind of learned to deal with it, their own tricks to deal with it.

I see a lot of women who continue to have overactive letdown and so babies starts nursing a little bit less like they switch either having solid or kind of more than natural weaning process but until that point as baby is nursing a lot I do tend to feel a lot moms continue to have an overactive letdown and it’s not so much that that goes away, it’s just that mom and baby are better at handling it, so it’s not a big of a problem

ROBIN KAPLAN: Yeah, have you ever tried magnesium? I had taken a holistic lactations workshop and one of the recommendations was magnesium because I guess the overactive letdown was this you know spazzing of the muscles and the nipple. The spazzing and contraction and all that kind of stuff and the magnesium helps to relax that and so that’s something that I often recommend to my moms who have overactive letdown and I haven’t really gotten of complete verdict back but I’ve heard that it actually can be really helpful for some of them

KRISTINA CHAMBERLAIN: Magnesium is one of the more holistic approaches, magnesium with calcium for Reaynaud’s syndrome, so, but I haven’t heard it for overactive so, yeah how much are they, are they taking the same dose as you would take it for the Raynaud’s?

ROBIN KAPLAN: No, it’s different. So, even with the Reynaud’s I don’t do the magnesium/calcium mix together. I just do straight magnesium so like a Natural Calm brand and I just tell them to take the minimum dosage and see how they got tolerated because we know it can also make everything really relaxed and smooth, so you want to make sure that you know their tummies can handle it but starting at the lowest dosage and then just kind of going up if necessary but that can sometimes be helpful too

KRISTINA CHAMBERLAIN: Oh interesting I’ll look in to that. Thanks!

ROBIN KAPLAN: Cool! Yeah. So does oversupply overactive letdown tend to resolve on its own I mean you mentioned once babies kind of start maybe not nursing as frequently that that can kind of help negotiate that. Do you have, do you see anything else that kind of regulates it?

KRISTINA CHAMBERLAIN: Well sometimes moms will deal with it more in the first couple of months just while their bodies and babies and still you know figuring out what’s the supply and demand is, so, a lot of times after the baby’s hit you know the 2 or 3 months mark that starts to get better just because again moms and babies bodies are you know dancing together a little bit better they’re getting more in to rhythm, so sometimes that the time and then in itself will kind of resolve it as baby gets bigger and kind of figures that out but if after the 2 months mark it’s still an issue when it’s making nursing hard for mom and baby I would say then start doing some of the things that we talked about to be a little bit more assertively treating it

ROBIN KAPLAN: Okay, and ladies when did you know that as you oversupply or overactive letdown regulate or is this something that you’re still dealing with? Marie?

MARIE BISHOP: Well with my 4 month old I’m still dealing with it, with my 4 year old he nursed until 2 and a half and I think it was until he was about 15 months or so that we still had a pretty strong overactive letdown and oversupply but by toddler age he was gulping anyway because he got things to do

ROBIN KAPLAN: Wasn’t such a big deal anymore at that point

MARIE BISHOP: No.

ROBIN KAPLAN: How about you Rosey?

ROSEY RODRIGUEZ: I think I have regulated about 3, 4 months but at that point you know I think I did continue to have the oversupply and the overactive letdown but as you know we we’re talking about we’d learned how to deal, how to manage and as you know our babies grow it’s kind of better for them that they can take it so much and you know 5 minutes and sleep we’re done nursing and that’s it and you got all your nutrients your ready to go

ROBIN KAPLAN: Absolutely, how about you Stacey?

STACY SPENSLEY: I would agree you know, after a couple of months he got he didn’t quite have that same sucking needs to what was quite was problematic for him I mean he wasn’t quite as gassy and burp as much but you know I still pump an extra 12 to 15 ounces a day at most day so, we’ll see. He’s 6 months and we’re still going strong so we’ll see how long, how long that lasts

ROBIN KAPLAN: Yeah, I have to mention our moms in San Diego are really really fortunate that we have these 3 moms here to help supply them when they need it so thank you so much for turning your overactive letdown and oversupply into such great wonderful things for our community. So, thank you. Well ladies that’s it for today, so thank you so much Kristina and to our panelists for sharing this incredibly valuable information about the symptoms causes and treatment for oversupply and overactive letdown and your information was fantastic Kristina, thank you so much

KRISTINA CHAMBERLAIN: Oh sure, thanks for having me and I’ll just say you know the grass is always greener I have the opposite problem I literally had just enough for my baby and could never pump out more and I was very stressful when I went back to work and I was so envious of you ladies. So grass is always greener

ROBIN KAPLAN: Totally, absolutely and for our Boob Group club members our conversation will continue after the end of the show as Kristina will discuss recommendations for treating recurrent plugged ducts for mom with an oversupply. So, for more information about our Boob Group Club, please visit our website at www.theboobgroup.com

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ROBIN KAPLAN: So here’s a question from one of our listeners, this is from Emily Gerard and she writes:

Dear New Mommy Media,
I love your shows, I started with Preggie Pals when I was pregnant with my first in 2008 and 2009 and was disappointed after having my baby that I couldn’t find a comparable education podcast for moms. I was thrilled to move with you to Preggie Pals when I was pregnant with my second and ecstatic to join you on The Boob Group and Parent Savers. Now, can we please, please keep growing? Any plans for a podcast for young preschool and school aged kids? If you plan to stick to just the first couple of years of life, can you recommend any podcast for kids a little bit older, I love your format and all the great things I learned from your programs.

Thanks, Emily

SUNNY GAULT: Hey Emily this is Sunny, I’m one of the producers for The Boob Group. Thanks so much for your e-mail; we have been talking about launching some new shows as part of the New Mommy Media brand. As you know we have The Boob Group, we have Parent Savers and we have Preggie Pals.

We are launching a new show in January but the focus is on twins and multiples. So while we are expanding, it’s not exactly in the area that you were referring to. I’m not sure if we’re going to launch a show that’s specifically about preschool aged kids, it’s certainly possible it’s definitely within our demographic but we don’t have any current plans to do so. So, what I would recommend is for you to go to iTunes to the iTunes store click on the podcast section at the top and then you’ll see on the right hand side there’s a section for categories and you can actually search for a podcast according to categories.

If you scrolled down, click on kids and family that will bring up whole podcast that are dedicated to the category of kids and family. Your other option is to use the search bar and just type in pre-school podcast and see what pops up, I actually did do that and there were specific episodes that referred to preschool aged topics, so that might interest you as well.

I hope that helps, I’m sorry, I don’t have any excellent news for you as far as us releasing a preschool show anytime soon it’s certainly within around the possibilities but for all of our listeners out there if there are specific shows that you guys are interested in that fall in the category of new and expecting parents please let us know we are here to provide content for you and we certainly want to create you know topics that are relevant to you and your lifestyle. So again Emily, thanks so much for your comment.

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ROBIN KAPLAN: 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 and our show Parents Savers, for moms and dads with newborns, infants and toddlers. Thanks for listening to The Boob Group, your judgment for your 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.

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