Drying up your Milk Supply Quickly and Comfortably.

This is for educational purposes only. It is not designed to cure, treat or diagnose any illness or disease. See a qualified Health Practitioner or IBCLC for your specific issues. 

Drying up a milk supply is done for many reasons. Weaning should be done gradually over time, but for some who are nursing this may not be the case. For most this is a delicate time and can be frustrating, sad and even painful physically and emotionally. For those this Simply Herbal empathizes with you and your family. It is completely fine to cry, mourn and be angry. There is no shame in these feelings.

Some parents chose not to breastfeed for whatever their reasons. This Blog is not about those various reasons. Remember a child can be bottle-fed skin to skin, wear baby and do other things as if you were breastfeeding.

Things to remember: Do drink fluids. Unless there is a valid medical reason, fluid restriction is not recommended.

Do Not, Bind your breasts. It is uncomfortable, can contribute to plugged ducts, mastitis that is more painful and milk may leak anyway. Do wear a good fitting well supportive bra free of underwires, and extra tight bands. You may need a little cup room for some cabbage leaves or a breast pad.

Most folks do well drying up a milk supply. You only pump or express enough milk off for comfort to relieve pressure and minimize any tissue damage. They drink 2-4 cups of sage tea a day or using tincture 1-3 droppersful per day. Homeopathic Lac Caninum 30 c also helps.  The majority place cold/ cool cabbage leaves in their bra and change the leaves as they wilt and put fresh ones in for 24-48 hours. For most this works well.

Herbs that are known to dry up a milk supply are Parsley (cilantro), Sage, Rosemary, Thyme, Mints, Cabbage. Some commercial brands of antihistamines are also dry up milk. Hormonal birth control is also known to dry or minimize supply as well.

The parents I usually see have waited until milk has come in and they are bursting and in pain and may not have or been able to reach out for help. In these cases I have used a somewhat unconventional way of drying up the supply while being able to safely save some early colostrum or milk to feed to infant in case of illness or formula intolerance. ( We freeze it)  This is my route and always asking the patients permission to assess and touch breast area, I will take a bit of olive or jojoba oil and rub into my hands. I massage the breast using a reverse pressure softening, massage. I make sure that I show mom how to do this and to get under the breast and up into the underarm area. I try to express a little off the nipple and areola into a cup. I then use a hospital grade or other good breast pump and allow the mom to pump both sides until the breast is very soft, almost dry. I then do the cabbage leaves in the bra for about 30 minutes, until wilted. I also have mom take my dry up formula or sage tea every 4-6 hours during day.  Usually we have to pump off only 1 or two more times, replacing the cabbage leaves as they wilt. After the 3rd a partial pumping we do not pump or express any more. Basically the first pump or two is to get the breast empty and dry as possible. and allow the cabbage to do its magic with less interference.  Does this consultation take a bit longer? Yes, but many are grateful. I usually pick up the pump in 24 hours as after that it is not needed.

Interesting story. I had a mom who about accidentally dried up her supply over a day or two of eating several servings of Tabouli. A dish made with cilantro and parsley.  She did recover her supply by using the Milk In formula and her pump she had for work. She continued to nurse for several months.

These are just suggestions to aid families that choose to or cannot breastfeed. Hope this helps.

MT


Herbal Breastfeeding Supplements and Epilepsy

Again this is for educational purposes only and not a substitute for a doctor or health care providers professional advice.

A couple of months ago a fellow lactation consultant called me about a client taking two specific medications for epilepsy carbamazepine and lorazapam. The parent was having issues with a low milk supply and wondering what galactagogues and herbs she could take with these medications for her issues. She and the LC brought this information to her health care providers to make a plan. I just gave them information. I caution always go the safest route and if that includes supplementation do so. I also found an interesting information in Herb books and link to the Epilepsy Society of Southern New York Inc.  It gives a more comprehensive list of herbs, supplements and alternative medications for avoidance in other than just lactation.  I did not include CBD oil as that is another blog completely.

These were the findings for this situation.

No’s for reasons stated.

Ashwanganda,  not drug compatible

Black Cohosh, 1 seizure reported use with caution. Homoepathic use is probably ok. Blue Cohosh no as well. Both have been used in herbal anti-seizure protocols, but does by dose interfere with and counteract medications and can increase seizure activity as well.

Borage, Evening Primrose oil, Black (cumin) Seed oil,  It is the GLA (gamma lenoleic acid) interferes with the receptors and reactions with medications. No essential oils for these either.

The following herbs lower the threshold for convulsant activity and you must avoid the essential oils of these as well.

Hops, Valerian, Skullcap, Passionflower, also increases sleepiness.

Dong Qui, Sassafras,, St. Johns Wort, Kava, Mate’, Kola nut, Gingko, Grapefruit juice, Ephedra, Ginseng, Hawthorn,. Kava, Mate, Kola are high in caffeine and increases the chance for seizure activity, these also interfere with medications and medication responses.

Star Anise, Especially the Essential oil. It is a known abortificient. We also never know if it is Japanese or Chinese origin and can be contaminated. The Essential oil is known to cause seizures.

Saw Palmetto is a caution as there is a report of convulsant activity noted.

Avoid Dill and Fennel Essential oils. As a food in small doses it is usually fine.

Lemon Balm interferes with the medications and is in the mint family and may dry or lower supply as well. Avoid overuse of the tea.

Wild Lettuce or Lactuca Virosa interferes with the medication. Homeopathic form should be fine for lactation.

Cautionary use: Goat’s Rue (galega officinalis) is known at high doses to cause seizure activity especially in animals. Overgrazed sheep, goats, Interrupted small dose or homeopathic use should be fine.  This is different from Rue (ruta graveolens) or herb of grace. It should not be used in pregnancy, but is used and known to have anti-convulsant activity and is used for such. Homeopathic use is fine.

Now for better news. These are herbs a breastfeeding parent can use with these medications and others for this specific disorder.

Moringa in food amounts is safe and medical research is showing anticonvulsant activity and may be considered useful in epilepsy. no more than 2-3 grams a day.

Oat Straw lifts depression, great for nerves hot flashes and is used in epilepsy treatments.

Shatavari (asparagus root) is fine.

Vitex also called Chaste Tree berry is known to increase the seizure threshold.

Sesame Seeds are known to increase milk supply and is used in Tradition Chinese Medicine.

Cumin (regular) and black cumin seeds in moderation. See the note above on GLA.

Alfalfa is fine and is safe during pregnancy and nursing. Caution too much alfalfa can cause gas and diarrhea. Cut back on dose if you find this to be of concern.

Red Raspberry leaf safe during pregnancy and is known to build supply. These are also part of the rose family and includes blackberry leaf as well. So these teas are safe as well.

Milk Thistle is a great liver cleanser, hormone modulator and safe with these medications.

Dandelion is safe, it helps the liver, moderates thyroid levels, and is a great potassium sparing diuretic.

Fenugreek in moderation is fine as well. Some folks just don’t like to smell of syrup.

Tinctures in vinegar base are fine. If alcohol based place tincture dose in hot water to steam off the alcohol.

I strive to help parents nurse their children successfully and happily as long as they wish.  M. T.

Some resources i used.  PDR for herbal medicines, Commission e monographs, Green Pharmacy by Dr. James Duke, Herbs for women Dr. Aviva Romm, Mosby;s Handbook of Herbs and Natural supplements, Epilepsy society of Southern New York Inc, Chinese Materia Medica, www.nccam.nih.gov/health/alerts/silver, www.epilepsy.com/ professionals, The Clinician’s handbook of Natural Medicine, Mosby’s drug guide. Many other resource guides as well.

 

 


Adoptive and Induced Lactation Pumping and Supplementation Schedule

Congratulations on your choice to induce lactation for your soon coming child. It may take some time to build a partial or full supply of mother’s milk for your little one. Please be sure to work with a local IBCLC or professional lactation expert. Let the pediatrician and personal health care provider also know you are inducing lactation.

This endeavor will take time, and patience. It would be wise to also have made some decisions on how to supplement babe’s diet, either by formula, donor milk or a combination of the two. Have supplement on hand as you come home with the child. It is best if you supplement at breast when baby comes. Do what is right for you and your family, make sure you have an SNS® or Lact-Aid® available or you can make your own, See Dr. Jack Newman’s website for those instructions.

You also need a Hospital Grade breast pump. A manual or hand pump or small battery/ electric is not suitable for this situations. It takes sustained pumping and it is best to double pump for inducing lactation. Also learn how to manually express milk as it helps before pumping sessions.

These supplements are usually okay with domperidone or other pharmaceuticals, but please check with your pharmacist or physician. The instructions here are for use Simply Herbal’s lactation smoothie powder or better the capsules or tincture. If you do on have this you can order it on http://www.ncsimplyherbal.net. If not you need to get these three herbs: Alfalfa, Goats Rue, and Fenugreek. These amounts are for 500mg capsules. It will take a while to see change and feelings of your breasts.

Prior to pumping it is best to massage the breast similarly as if you were doing a self-breast exam. Be sure to massage up under the arm as well. Breast tissue is up there too. Also get the bottom of the breast and massage up toward the nipple area. You can speed the process up a bit if you feel ready but start about 6 weeks before you get the baby if you can.

Pumping:

Week 1. Pump breasts 3 times daily (after meal is easy) for about 10 minutes per session. Lubricate the breast if needed with olive oil to prevent tissue damage. Start on low suction and then after a few days you should be able to manage stronger suction.

Week 2. Pump breast 4 times daily, (meals- Bedtime) for about 15 minutes per session.

Week 3. Pump breasts 5 times daily for about 20 minutes per session.

Week 4. Pump breasts 6 times a day for 20 minutes per session. Be sure that you get a night time pumping in here say 1 am or so. This can be a shorter session, but babies wake at night to be fed.

Weeks 5 & 6. Pump 6 times daily for 20 minute session. Then get 2 more sessions of 10 -15 minutes at night. Say midnight and 4 am. Infants usually feed 8-12 times in a 24 hour period. Once you get the baby you will be feeding him or her instead of pumping, but I would pump maybe 5 minutes after that nursing. Holding baby skin to skin, aids bonding and the breastfeeding. Watch the baby’s output, stool, urination, fontanelles and satisfaction as an indication of getting enough food. As baby starts to get more milk from you, you will notice baby is taking less supplement. That is a wonderful thing. A happy, healthy baby and mom. Note, Fenugreek and goat’s rue are known to lower glucose levels and resistance; if you have a drop in blood sugars seek medical attention and discontinue use. Alfalfa is a healthy food. However, too much can cause loose stools and gas. Just cut back. Other single herbs that are known to boost milk supply, are Anise, fennel, dill, dandelion, blessed thistle, black cumin, sesame seed and borage.

Herbs and supplements:

Milk In Smoothie Powder: one scoop daily as substitute for Capsules.

Week 1: 1 Adoptive milk in capsule 4 times daily with meal. 1 dropper full of the tincture 4x daily.

OR

1 500mg caps of each Alfalfa, Fenugreek and Goat’s Rue. If using a tincture 2 droppers-full with each meal and at bedtime. You may not get milk at the first week stage. But most women do feel some breast changes by the end of the week.

Week 2: 2 Adoptive milk in Capsules at meal and bed time. If using the tincture, 4 droppers-full. If using the single herbs bump up to 2 capsules of each at meal and bed time.

Week 3: 3 capsules Adoptive Milk- In 4 times daily or 5 droppersful of the tincture. If using the single herbs, move up to 3 capsules 4 times daily at meals and bedtime.

Week 4: Keep with the week 3 schedule. Add the smoothie powder to favorite shake or fruit and a boost.

First rule is to feed the baby!!! Always! When you get the bundle of Joy, make sure that you have some formula, or donor or your own expressed breast milk available. You may feed through a supplementer or bottle. Supplementer is used at breast. Lots of skin to skin also helps. Please seek the aid of an IBCLC in your quest. It can be done.

Best Wishes on your endeavor and Thank you for choosing us as your herbal product source.


Food and Safety

Using herbs in food can add many health benefits provided it is done the right way. Whether you use fresh herbs or store-bought, using herbs cans surely enhance any meal.  They not only flavor food and bring a great aroma to any home, but herbs also contains antioxidants that may help protect you against such diseases as cancer and heart disease.

Basil

It is said that Basil can be used to aid in digestion, and can also ease stomach cramps and constipation. Basil is a  member of the mint family, basil is also said to have a slightly sedative effect and has been recommended by some herbalists for use in anxiety. Others also claim that basil is a helpful in memory enhancement. Although these uses has not be proven many people swear by it.

Rosemary

How wonderful is the smell of Rosemary!  Did you know that this herb often used to flavor meat dishes? It is also used in cosmetics and soaps.

Other uses for rosemary include infusions being used to enhance memory, and as a mild analgesic to relieve headaches and other minor body aches and pains. This aromatic herb often used to flavor meat dishes, also lends its zesty aroma to cosmetics and soaps. Traditionally, rosemary infusions have been used to enhance memory, and as a mild analgesic to relieve headaches and other minor body aches and pains.

Planting Herbs

If you if want to plant an herb garden Horticulturists recommend planting herbs after the last day of frost in the spring to avoid losing plants to a late freeze.

Substituting Fresh Herbs for Dried Herbs

If you are going to use fresh herbs in a recipe use 3 times as much of the fresh herb as you’d use a dried herb. It’s better to substitute fresh herbs for dried herbs, rather than dried for fresh.

When to Pick or Purchase Herbs

Try to purchase the herbs as close as possible to the time you plan on using them. If you are growing herbs in your own garden the best time to pick the herbs is in the morning after the dew has dried but before the sun gets too hot. This helps ensure you get the best flavor and it will last a little longer when you store it.

Storing Herbs

Store fresh herbs in an open or a perforated plastic bag in your refrigerator crisper drawer for a few days. If you can’t find those commercial perforated bags, use a sharp object to make several small holes in a regular plastic bag.

If you want to extend the freshness of your herbs, be sure to snip off the ends of the stems on a diagonal. Place the herbs in a tall glass with an inch of water, like you would cut flowers. Don’t forget to cover them loosely with a plastic bag to allow for proper air circulation. Place them in the refrigerator and change the water daily. Herbs may last  you a week or more if stored in this way. Try not to store the herbs too long as they will tend to lose their taste.


Homeopathy

The word Homeopathy comes from the Greek words homeo, meaning similar, and pathos, meaning suffering or disease.  The use of Homeopathy is to stimulate the body’s ability to heal itself by giving very small doses of highly diluted substances.  Why in small doses? Larger doses of these substances would produce illness or symptoms.

Homeopathy is a form of alternative medicine, discovered by German physician named Samuel Hahnemann in 1796. The central principle of homeopathy or homeopathic medicine is “like cures like”. The principle states that a disease can be cured by a substance that produces similar symptoms in healthy people. Homeopathy is used for wellness and prevention and to treat many diseases and conditions.

Homeopathy complete system is used by many cultures around the world and apart from conventional medicine. One such medical systems includes traditional Chinese medicine. Homeopathy didn’t start in the U.S. till early 19th century.

With that being said, the practice has seen a growth in popularity throughout the last decade, with a growth of about 25 to 50 percent a year.


What Is An Herbalist?

An herbalist is a person who studies and is knowledgeable in the healing and beneficial properties of plants and other botanicals.

A major part of an herbalist’s work is to identify various herbs and know their use and purpose. Many herbalists  are also very skilled in the knowledge of how to collect and store the herbs properly to ensure that they will work as intended.

Herbalist who gather herbs in their natural wild state are called “wildcrafters”.  While many herbalists enjoy wildcrafting, many other herbalists grow their own herbs.  This helps them ensure the purity of their preparations.

In addition to knowing what a plant is used for a good herbalist always ensures that they have access to a trusted supply of herbs which are safe for their customers.

A true professional herbalist is also aware of potential drug interactions between various herbs and different pharmaceuticals, and will always vigilantly discuss and view a patient’s situation before prescribing an herbal remedy.

Please don’t hesitate to contact me if you have any questions.

Mechell Turner, Certified Clinical Herbalist