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  • Unlocking the Benefits: How to Get Breast Milk Storage Bags Through Insurance

    Unlocking the Benefits: How to Get Breast Milk Storage Bags Through Insurance

    Breastfeeding and everything it involves can feel like you’ve hopped on a rollercoaster with endless loops and twists. Today, we’re tackling one of those twisty topics that often slips under the radar – breast milk storage bags! If you’ve ever grimaced at the price of these little essentials, here’s a little secret: your insurance may now cover breast milk storage bags due to the Affordable Care Act expanding prevention coverage for women’s health. Let’s unravel this together.

    Why Are Breast Milk Storage Bags a Must-have?

    Before we talk about insurance, let’s discuss why you might want to use breast milk storage bags. They are convenient, hygienic, and designed specifically to store and protect your milk, keeping it safe for your baby.

    Breast milk storage bags are pre-sterilized and designed for one-time use, which reduces the risk of contamination. They’re also durable, leak-proof, and built to protect the nutritional content of breast milk during storage. Plus, they’re space savers, laying flat in your freezer or fridge.

    Breaking Down Insurance Coverage

    So, you may have heard that the Affordable Care Act expanded prevention coverage for  Women’s Health and Well-Being beginning with plan years starting in 2023, and you’re wondering, “What does this mean for me?” Let’s break it down together.

    These updated recommendations were created by the Women’s Preventive Services Initiative (WPSI) and supported by the United States Health Resources & Services Administration (HRSA). These guidelines help make prevention services affordable and accessible by requiring non-grandfathered commercial insurance plans to provide coverage without a copayment, coinsurance, deductible, or other cost-sharing. They were designed to make sure women get the help and supplies they need at no extra cost, especially during important times like pregnancy, childbirth, and post-baby recovery.

    One of the best parts? These new guidelines specifically mention that breast milk storage supplies should be covered. This means there’s a good chance your insurance will pay for your breast milk storage bags!

    Ordering Breast Milk Storage Bags

    Here’s some good news – If Acelleron is in network with your insurance or Medicaid plan, you can simply add on breast milk storage bags while you are ordering your insurance-covered breast pump. If you already received your pump, you can order breast milk storage bags directly through Acelleron’s Breastmilk Storage Bag Resupply Program. We’re committed to making this process as smooth as possible for you.

    To order, you’ll need a prescription from your healthcare provider. If you don’t have one already, don’t worry – our team will reach out to your provider to get one on your behalf. We’ll also verify your insurance benefits to determine coverage for the program.

    Insurance Plan Not Listed?

    If your insurance plan is not listed on our Breastmilk Storage Bag Resupply Program form, don’t get too discouraged – there are steps you can take to encourage your insurance provider to cover these for you and future parents. For example, contact your insurance provider directly and let them know they should cover a monthly supply of breast milk storage bags under code A4287 as these supplies are critical to your pumping experience. Let them know they can better support their members and increase breastfeeding duration rates by covering breast milk storage bags.

    In Conclusion

    Navigating the ins and outs of breastfeeding and insurance can feel like a challenge. But with the right information, you can find ways to make the journey smoother. Remember, your healthcare provider and insurance company are there to support you, and so are we at Acelleron. You’ve got this!

     

    Disclaimer: This blog is for educational purposes only. It may not reflect the most current legal developments, verdicts, or settlements. It should not be taken as legal or medical advice and is not a substitute for consultation with professional advisors.

  • Blood Pressure and Pregnancy

    Blood Pressure and Pregnancy

    Instances of high blood pressure during pregnancy are on the rise. If diagnosed with high or elevated blood pressure during pregnancy, it is important to work closely with your healthcare team and self-monitor at home to minimize risk to both parent and baby. Here are some tips to help prevent and manage hypertension.

    Blood Pressure Concerns During Pregnancy

    During pregnancy, there are certain blood pressure disorders to be aware of.

    • Gestational hypertension, or high blood pressure during pregnancy, can decrease blood flow to the placenta, meaning less oxygen and nutrients get to your baby. It can result in low birth weight and develop into a more serious condition called preeclampsia.
    • Preeclampsia is a serious blood pressure condition that includes high blood pressure and protein in the urine after the 20th week of pregnancy. It can also affect other organs, which can be serious for both parent and baby.
    • Eclampsia is a rare but severe complication of preeclampsia involving seizures.
    • Low blood pressure is more common during pregnancy. While low blood pressure typically isn’t a large cause for concern, it could be the result of an underlying health condition.

    It’s important to monitor and manage these conditions to minimize risk to both mom and baby. Additional care should be taken when pregnant with multiples. As with all medical conditions, it is important to get a diagnosis from a trusted healthcare provider and follow the guidance provided.

    Managing Blood Pressure

    If blood pressure becomes a concern during pregnancy, there are steps that can be taken to manage blood pressure disorders at home alongside the care of a healthcare provider.

    Preventive measures can be taken to reduce the chance of blood pressure disorders. Even if there is already a diagnosed blood pressure disorder, the same measures can be used to help manage blood pressure levels and lower the risk of further complications from high blood pressure.

    • Reduce salt intake
    • Eat a healthy diet
    • Monitor weight gain
    • Exercise regularly
    • Manage stress and anxiety
    • Do not drink, smoke, vape, or take illicit drugs; avoid secondhand smoke
    • Follow healthcare providers’ plans (appointments, home monitoring, medications when prescribed, prenatal vitamins)

    Home Monitoring

    The American Heart Association recommends home monitoring for all people with hypertension (high blood pressure) to help determine the effectiveness of treatments. For pregnant women, it is especially important to monitor high blood pressure to catch early stages of preeclampsia.

    There are a couple of ways to obtain a home blood pressure monitor.

    Measuring Blood Pressure At Home

    To effectively manage your blood pressure, the first step is knowing your numbers. Following these instructions will help you get the most accurate reading:

    1. Don’t drink caffeine or alcohol, smoke, or exercise 30 minutes before your reading. If needed, empty your bladder beforehand.
    2. Rest for at least 5 minutes before taking your blood pressure. Sit still and do not talk.
    3. Relax in a chair with your back straight and supported, legs uncrossed, and feet flat on the floor.
    4. Take at least 2 readings, 1 minute apart, in the morning before medications and in the evening before dinner.
    5. Be sure to use a monitor that is validated and calibrated. A proper size cuff should feel snug with just enough room for two fingers to fit between the cuff and your arm.
    6. Rest your cuffed arm on a flat surface at heart level, with the cuff placed above the bend of the elbow and tubing aligned with the inside center of the arm.
    7. Share the results with your provider. Ask them what blood pressure levels are healthy for you and what to do if/when your measurements are not within the desired range.
    How to measure your blood pressure American Heart Association
    Adapted from “Blood Pressure Measurement Instructions” Copyright 2020 by American Heart Association

    For more information, read this article from the American Heart Association’s about Having a Healthy Pregnancy.

  • Giving Back to Move Forward – Our Milk Donation Journey

    Giving Back to Move Forward – Our Milk Donation Journey

    In 2021, I learned I was pregnant with identical twins. Cue me driving around with my jaw dropped for about two weeks! Once my husband and I finally picked ourselves up from the shock, we started getting really excited and began preparing to bring home two babies.

    Our birth was intense, to say the least. Even though I am big on preparation and questions, there is only so much you can “plan” for with a twin birth. I was amazing (definitely patting myself on the back still), my husband was incredibly supportive, and our medical and support team carried us through what ended up being both a vaginal birth for Twin A and a crash cesarean for Twin B. Our babies spent time in the Newborn Care Center, but eventually were back in our arms.

    While in the hospital, we required the use of bridge donor milk for our early term babies. Bridge donor milk is milk from a milk bank, in this case Mothers’ Milk Bank Northeast, provided in tiny bottles. This helped with my transition into feeding my babies all on my own. There are so many different reasons a baby may need donor milk. I am just completely blessed that my hospital had a program and a freezer filled with safe pasteurized donor milk from the milk bank and could support us! We were even given donor milk to bring home for both babies.

    Once home, I was working hard at triple feeding and eventually used up our donor milk, then moved on to supplementing with my own pumped milk. Eventually, we were only using bottles every now and then, which felt incredible! Yet, I still did not feel complete. While I had helped others donate milk and had received donated milk for my babies, something was missing. That’s when I knew I wanted to donate milk back to Mothers’ Milk Bank Northeast for future babies in need. For me, it was a required step in both healing from my birth and in empowering myself as a breastfeeding parent making it through feeding difficulties.

    Milk donation is something I am especially familiar with. I have worked in an office for years that houses and runs a donor milk bank depot for Mothers’ Milk Bank Northeast, a location where local moms who have already been through the screening process can drop off their milk donations. It has been so special to get to know many breast milk donors through my work running Acelleron’s milk depot. I have loved meeting and working with the amazing staff at Mothers’ Milk Bank Northeast. They are all incredible and so dedicated to what they do for families and fragile babies.

    The screening process is so easy!

    • Complete a 15-minute phone screening with an intake coordinator – mine was the incredible Melisa
    • Fill out forms on their website
    • A blood test (that the milk bank pays for)
    • Make arrangements for delivery of breastmilk (milk bank pays for shipping), or you can drop off at one of their milk bank depots

    One part of the donation process that is not required, but I loved, was decorating the breast milk storage bags. It was so fun and motivating! It made pumping a bit more exciting and something to look forward to.

    My first donation was made on October 12th. It was amazing to finally come full circle and become a milk donor myself.

    Milk donation journey collage

    Have questions about becoming a donor or receiving milk? Reach out to Mothers’ Milk Bank Northeast any time to get the process started.

     

    Written by Brittany Regan Fisher, mama of 5, breastmilk donor, CLC, breastfeeding advocate

  • Creating a Lactation-Friendly Work Culture

    Creating a Lactation-Friendly Work Culture

    Whether you are an employer looking to boost work culture, or a lactating parent hoping for more employer support, this is your go-to resource for ways to encourage and implement a lactation-friendly work environment.

    The Numbers

    Breastfeeding has lifelong benefits for mom and baby. It also has tremendous benefits for employers and the economy. Here are a few numbers that help put this into perspective.

    • 94.2% employee retention rate for employers with lactation support programs (compared to the national average of 59%)1
    • 77% reduction in workplace absenteeism when lactation support programs are in place2
    • $13 billion annual savings for the healthcare system and taxpayers when 90% of families exclusively breastfeed for six months3

    Despite these numbers:

    • 66% lactating parents have experienced issues while pumping at work4
    • 53% have had hours or workload reduced without being asked4
    • 43% of women leave the workforce within three months of childbirth4

    All is not hopeless. More employers are looking for ways to support breastfeeding and pumping employees. More parents are asking for the right to feed their babies. More organizations are advocating for work cultures that support lactating employees, parents, and babies.

    For Employers

    Acelleron's lactation room
    Acelleron’s employee lactation room

     

    If you are an employer looking to create a lactation-friendly workplace, here are some steps you can take.

    • Set up a lactation room. The “Break Time for Nursing Mothers” law requires employers covered by the Fair Labor Standards Act (FLSA) to provide a private space other than a bathroom to pump in. Go one step further and make this space comfortable with access to supplies needed to pump safely and efficiently such as a sink, refrigerator, and comfortable place to sit.
    • Implement a lactation support program. This could be done a few ways. Multi-user breast pumps can be provided in lactation rooms to minimize supplies pumping parents need to bring. Essential breastfeeding supplies such as breastmilk storage bags, micro steam bags, cleaning wipes, and nursing pads can be kept on hand for employees. Keep a steady supply of snacks (lactation boosting and healthy options) available for pumping parents. Acelleron’s Pump@Work program has a variety of ways to help you support lactating parents.
    • Make breastfeeding more accessible with policies. By offering paid maternity leave and having flexible work schedules or work-from-home policies, pumping can be more attainable, and parents can reach and exceed their breastfeeding goals.
    • Get everyone on board. Creating a culture means getting everyone in the same mindset. Have new parent support groups, offer a return-to-work check in system to prepare parents and managers before leave and upon returning, and ensure that all employees are supporting parents as they return to work.

    For Employees

    Women talking in an office

    A little preparation before going on maternity leave and some resource sharing can help pave the way for a successful return to work and pumping journey.

    • Prepare before you go on leave. Talk to your boss or HR department about your plans to pump at work. Get an idea of what a pumping schedule might look like, what type of flexibility or workplace policies are available to support you, and where you will be pumping at work.
    • Provide resources. Many employers want to support lactating employees but don’t know where to start. Share this resource page from the CDC and the Office on Women’s Health with your employer to help them understand how they can implement meaningful changes.
    • Refer them to a lactation support program. Make it easy for your employer to support you by referring them to a program like Pump@Work so they can help provide the essential pumping supplies you’ll need throughout your journey.

    Collectively, employers and employees can develop a plan that will prove beneficial to everyone: baby, parents, families, and employers.

    For a little more help, check out these Top Tips for Pumping at Work that can make your pumping experience as smooth as possible.

    1. United States Breastfeeding Committee Workplace Accommodations to Support and Protect Breastfeeding, Washington, DC (2010).
    2. Bartick M, Reinhold A. The burden of suboptimal breastfeeding in the United States: a pediatric cost analysis. Pediatrics. 2010; 125(5):e1048-e2015.
    3. Ortiz, J, McGilligan K. & Kelly P. (2004).
    4. Carter, Christine Michel. Breastfeeding At Work Benefits Mom, Baby And The Employer. Forbes. (2019)
  • Horizon NJ Health Breast Pump and Supplies Benefits

    Horizon NJ Health Breast Pump and Supplies Benefits

    Acelleron can help you get the most out of the New Jersey Breastfeeding Mandate through Horizon NJ Health.

    The New Jersey Breastfeeding Mandate

    In accordance with the New Jersey Breastfeeding Support Law and a State of New Jersey Department of Human Services Newsletter, Horizon NJ Health covers breastfeeding equipment and supplies.

    According to the newsletter, “these benefits are provided to NJ FamilyCare eligible individuals at any time during their pregnancy and throughout the postpartum period for the duration of breastfeeding. They are available to NJ FamilyCare members in all Medicaid and CHIP eligibility categories under plans A, B, C and D, and the Alternative Benefit Plan (ABP). Individuals covered by the NJ Supplemental Prenatal Care Program (NJSPCP) are not eligible. Benefits associated with multiple births are identical to those for singleton births.”

    Horizon NJ Health Breast Pump Coverage Details

    • Horizon NJ Health will cover either one (1) purchased manual breast pump (HCPCS: E0602) OR one (1) purchased electric breast pump (HCPCS: E0603) per birth event.

    For replacement parts, Horizon NJ Health will cover:

    • One (1) breast pump supply kit (HCPCS: A4281, A4282, A4283, A4284, A4285, A4286) per birth event. The kit includes two replacement tubes, shields, and bottles.

    For Breastmilk Storage Bags, Horizon NJ Health will cover:

    • Breastmilk storage bags (HCPCS: K1005) as long as the member is still pumping and in need of the bags.

    The breast pump, replacement parts, and breastmilk storage bags should be obtained from an in-network Durable Medical Equipment (DME) provider, such as Acelleron. No prior authorization, prescription, or documentation of medical necessity is required.

    Horizon NJ Health Prenatal Porgram

    To help members get proper prenatal care and education, Horizon NJ Health offers a “Getting Early Maternity Services”, or GEMS program. In addition to routine visits, it gives members access to specialists, care managers, nutrition advice, breastfeeding help, and even transportation to appointments.

    Acelleron Helps You Get Your Breast Pump with Horizon NJ Health Insurance

    Choosing Your Breast Pump

    With all the options out there, from brands like Medela, Cimilre, Lansinoh, and Zomee, we know it can be overwhelming to decide what pump works best for you and your baby. That’s why our Pump Exploration Webinar will help make this decision easier. During this on-demand webinar, you learn about types of breast pumps, things to consider, breast pump brands, general use, and more! For a quick look at the differences between the pumps, check out our Breast Pump Comparison Grid.

    It’s As Easy As 1, 2, 3…

    Getting your breast pump covered by Horizon NJ Health has never been so easy when you use Acelleron!

    1. Click here to start your order and select your Horizon NJ Health on our form: We will verify your coverage.
    2. Pick your pump: Use our brand and feature filters to find the pump that will be best for you and your baby. Then, fill in the rest of the form to submit your order!
    3. Free shipping to your door: Your pump will arrive approximately 60 days prior to your due date.

    Horizon NJ Health Moms, get started now!

    The Acelleron Difference

    After you get your pump, we are still here to support you! Learn the ins and outs of your pump with a FREE Unbox Your Pump virtual consult. One of our pump experts will give you a brief overview of your pump, key features and benefits, what it comes with, how to setup and clean it, and give you some great tips & tricks!

    Horizon NJ Health expecting families can start their breastfeeding journey off on the right foot with our FREE online Breastfeeding Education Classes after you order your pump.

    Plus, have access to our Knowledge Center, Baby, Breast, and Beyond blog, and become part of our online community for support, inspiration, and exclusive access to special deals and discounts.

  • What is Triple Feeding?

    What is Triple Feeding?

    Feeding a baby, especially a newborn, is a journey. While it is a beautiful bonding experience, it can also be incredibly demanding and stressful. Some families who intend to breastfeed may encounter unexpected situations that lead to detours along the way. Triple feeding may be part of the plan to help reach breastfeeding/chestfeeding goals.

    What is Triple Feeding?

    Triple feeding is when there are three defined aspects of each individual feeding session for a baby:

    1. Direct nursing
    2. Supplementing
    3. Pumping

    There are many reasons why triple feeding may be needed, such as:

    • Refusal of the breast/chest
    • Baby weight loss
    • Painful latch
    • Low milk supply

    The child’s pediatrician and an IBCLC (International Board-Certified Lactation Consultant) should be consulted to determine if triple feeding is necessary.

    Mom nursing newborn baby

    Direct Nursing

    Frequent and regular attempts at nursing can be considered the most important part of triple feeding. Triple feeding is not a long-term solution to feeding difficulties. It is a way to move beyond difficulties with the goal of getting to, or back to, exclusive nursing. Direct nursing is the first part of each feeding session. It may require aids such as SNS (supplemental nursing system). Direct nursing is incredibly important because it is where parent and baby learn about their latch and direct feeding. It also sends signal to the body that breastmilk is needed, therefore stimulating supply for the feeding parent.

    How long to direct nurse or attempt to latch during each feeding session is different for each parent/child. Working with an IBCLC is incredibly helpful throughout this process to determine what is right for specific situations.

    Supplementing

    After an attempt at direct nursing, supplementation can be done with pumped breastmilk or formula. The wind down of supplementation should move from formula (if using), to pumped milk, to no longer needing to supplement at all. This can be done at the breast/chest directly with pumped milk during direct nursing, with a bottle, or through finger or cup feeding.

    Mom pumping on couch with Cimilre S5+ breast pump

    Pumping

    How often to pump in a day, for how many minutes, and at what settings is defined by each individual’s situation. The best way to determine these factors is by connecting with an IBCLC. It may be most beneficial to pump with a double electric breast pump. This can save time and help stimulate more milk compared to single pumping or using a manual pump. Thankfully, many double electric breast pumps are covered by insurance. In addition to double pumping, breast massage or hands-on pumping can also be helpful for stimulation.

    It is important to follow appropriate milk storage guidelines when pumping and feeding breastmilk to babies.

    When To Stop Triple Feeding

    There are several factors to consider before triple feeding ends. If baby improves at emptying the breast, milk supply is sufficient, and appropriate weight gain is continuous, then supplementation and pumping can slowly be reduced. All these factors can be confirmed by the pediatrician and IBCLC overseeing care.

    Support Matters!

    Before, during, and after everything stated above, anyone that will be triple feeding needs to ensure they have a support system in place. Having the right support system will help reduce stress. Less stress equals more chances for your body to produce oxytocin, one of the hormones responsible for milk production.

    Examples of support that may be beneficial include prepared snacks, washing pump parts and bottles, changing diapers, and general home care. Triple feeding takes time and energy! Any support can make a tremendous impact.

    For more information on how to support a lactating individual, read this article from the Le Leche League.

  • The Formula Crisis, Breastfeeding, and Pumping Supplies

    The Formula Crisis, Breastfeeding, and Pumping Supplies

    Families shouldn’t have to worry about how they feed their babies. Sadly, with this unprecedented formula crisis, parents are forced to make tough decisions with little support. The fact of the matter is that employers, insurance companies, and lawmakers need to increase access to breastfeeding supplies and lactation consultants for their breastfeeding and pumping parents. Here is how you can help make that happen.

    Get Insurance Support

    There are certain insurance plans that cover pumping supplies such as breastmilk storage bags and breast pump replacement parts. It is our belief, especially with the challenges finding formula for babies, that breast pumping supplies should be fully covered by all insurance plans. In fact, the AAHomecare Breastfeeding Coalition is calling for just that in a recent press release.

    Breastmilk Storage Bags

    If Acelleron is in network with your insurance or Medicaid plan, it is super easy to get breastmilk storage bags. Simply fill out this Breastmilk Storage Bag Resupply Program form to get started. If you don’t have a prescription, we’ll reach out to your provider to get one for you. After that, we’ll send you breastmilk storage bags based your insurance coverage. It’s that easy!

    Breast Pump Replacement Parts

    Just as with breastmilk storage bags, some insurance and Medicaid plans also cover breast pump replacement parts. Visit our Insurance Covered Breast Pump Accessories page to find out if your insurance or Medicaid plan has coverage for breast pump replacement parts.

    Insurance plan not listed?

    Don’t get too discouraged if you do not see your insurance plan listed. There are steps you can take to encourage your insurance provider to cover these for you and future parents.

    Contact your insurance provider directly and let them know they should cover a monthly supply of breastmilk storage bags under code K1005 and breast pump replacement parts under codes A4281 – A4286 as these supplies are critical to your pumping experience. Similar to breast pumps, breast pump supplies should be covered and not subject to a deductible or co-insurance to comply with the Affordable Care Act. Let them know they can better support their members and increase breastfeeding duration rates by covering breastmilk storage bags and breast pump replacement parts.

    • Call the Member Services phone number found on your card
    • Message Member Services either with the email address found on their contact page or through your member portal
    • Visit their Facebook page or Tweet @ them and urge them to act
    • Ask your friends, family, and coworkers to reach out too!

    Get Employer Support

    If your employer is not lactation-friendly, you are not alone. Often, employers want to support their employees but don’t know where to start. We can provide resources for your employer to help them better support you and all of their lactating employees.

    Get Lawmaker Support

    It takes everyone getting on board for there to be adequate support for breastfeeding and pumping parents, including lawmakers. Be vocal with your state senators and representative in congress. Ask your state U.S. senators to support the PUMP Act, which would legally require even more employers to support parents and give protections for pumping at work.

    We Are in This Together

    We are seeing more insurance plans, employers, and states take action to support breastfeeding and pumping families. At Acelleron, we are already asking for these changes on your behalf. When we combine forces as parents, wellness advocates, and policy makers, we will be able to see these meaningful changes sooner and on a wider scale. Together, we can make an impact for your family now and for those in the future.

  • Breastmilk Storage Basics

    Breastmilk Storage Basics

    Whether you are heading back to work, school, running errands, or just want a little bit of a break, there may be times you will be away from baby. Following proper breastmilk storage guidelines is essential to maximize nutritional composition and maintain safety of breastmilk. If you are feeding your baby freshly expressed milk, thawing frozen milk, or a combination of the two, following these steps will enable your  baby to receive the benefits of human milk.

    Safe Handling

    • Before expressing milk, wash hands thoroughly.
    • Read pump manufacturer manual to learn how to properly wash the different parts and bottles. It is typically recommended to wash using hot, soapy water and air dry.
    • If using a multi-user pump in a hospital setting or lactation room provided by your employer, clean pump dials, power switch, countertop, and any area needed with a disinfectant wipe.

    Storing and Freezing Breastmilk

    • Use breastmilk storage bags or clean, food-grade, BPA-free storage containers, such as glass, silicone, or plastic, that seal or have tight fitting lids.
    • Clearly label milk with the date before storing. Rotate milk based on date expressed and stored, using the “first in, first out” rule.
    • Do not store milk in the door of the refrigerator or freezer, to protect milk from temperature fluctuations.
    • If you do not think you will use the milk within 4 days, freeze right away to help protect the nutritional quality of the milk.
    • When freezing:
      • Leave about one inch of space in the breastmilk storage bag to allow for expansion.
      • Follow manufacturer guidelines for how to position storage bags (lay flat, stand upright, etc.) to avoid potential leaks.
      • Store milk in 2 to 4-ounce portions to help reduce waste.
    • Freshly expressed milk can be stored:
      • At room temperature (77◦F or colder) for up to 4 hours.
      • In the refrigerator for up to 4 days.
      • In the freezer for about 6 months is best; up to 12 months is acceptable.

    CDC Human Milk Storage Guidelines

     

     

     

     

     

     

     

     

     

     

    Thawing and Warming Breastmilk

    • Run breastmilk storage bag under lukewarm water, place in a bowl of lukewarm water, or leave in refrigerator overnight to thaw.
    • Do not microwave breastmilk, as this breaks down nutrients and creates hot spots, which can burn baby’s mouth.
    • Swirl gently to mix.
    • Milk can also be fed to baby directly from the refrigerator without being warmed.
    • Leftover milk from a feeding should be used within 2 hours.

    For more information, review the CDC’s guidelines for proper storage and preparation of breastmilk.

  • Top Tips for Pumping at Work

    Top Tips for Pumping at Work

    Heading back to work after baby brings a whole new set of emotions, challenges, and milestones. Knowing what to expect can give you peace of mind and set you (and your baby!) up for success during this transition. Follow these helpful tips to make pumping at work as stress-free as possible.

    Know your rights

    As a breastfeeding and pumping employee, you are given certain legal rights. The “Break Time for Nursing Mothers” law requires employers subject to the Fair Labor Standards Act (FLSA) to provide a space other than a bathroom, that is “shielded from view and free from intrusion from co-workers and the public” to pump in. While the law does require employers to provide the time and space to pump, it does not require them to pay for pump breaks. To see what this will look like for you and your employer, it’s important to talk to them before baby arrives.

    Prepare your boss

    It’s best to start having the conversation with your boss or HR department about pumping at work before you return to work. Let them know that you plan to breastfeed and will be pumping at work. This gives you a chance to discover where you will be pumping and what kind of accommodations you may need to make the space suitable. It also gives you a chance to determine what a pump schedule may look like, how breaks will be handled, and if you will be getting paid for pump breaks. The Office on Women’s Health has resources to share with your employer to help make this conversation a little easier.

    Tips to Pump at Work Like a Boss

    Woman using Cimilre breast pump while working

    Get a breast pump

    It’s important to have a high-quality breast pump if you will be relying on it to feed your little one. The Affordable Care Act requires most insurance plans to provide a breast pump at no cost to you or at a discounted rate. There are many options when it comes to breast pumps. If you are not sure which breast pump to get, register for our free On-demand Pump Exploration Webinar, or read these quick articles to learn about the different types of breast pumps as well as the best wearable and rechargeable breast pumps.

    Practice before going to work

    Get used to your pump before going back to work. Sterilize all the pump parts and practice getting everything put together. Not sure what all the parts and pieces are? Sign up for an Unbox Your Pump virtual consult to learn what everything is, how to put it together, as well as pumping tips and tricks. Play around with the settings to get a feel for what is most comfortable and what stimulates the best milk flow. Having these pump sessions before going back to work will also help you to build up a freezer stash.

    Build a freezer stash

    If you will rely on childcare for your baby when you are at work, it’s a good idea to have a bit of a milk stash built up. This gives you milk to send with your child and allows for a little wiggle room during those first days and weeks of pumping. There doesn’t have to be a freezer full before returning to work. In most cases, it is okay to start pumping 4-6 weeks after baby is born, as long as breastfeeding is well established.

    Prepare your childcare provider, your baby, and you

    Before leaving your baby with a childcare provider, consider a gradual approach. Perhaps you can drop your baby off for partial days or two full days instead of full-time the first week. If you work close enough, visit on your lunch break and nurse your baby in place of pumping. Even just a quick visit to the place your baby will be staying before the full-time schedule kicks in, can give you peace of mind and introduce your baby to the environment they will be staying in. This can help make the transition easier for you, your baby, and your childcare provider.

    Make a pump schedule

    If you are fortunate enough to have an employer that offers a lactation room, find out what the schedule looks like and how you can fit your pump sessions in. If not, you are not alone. If your employer does not offer a lactation room, you can make an anonymous request to your HR department for a more lactation-friendly work environment. Whether there is a designated lactation room, or a special accommodation made for you while you pump, coming up with a schedule will help both you and your employer know what to expect.

    Prep pump parts the night before

    Putting your pump parts together the night before can give you back some precious time during the day. It also helps you get organized and make sure you have everything needed for your sessions. Getting a pump bag like these Sarah Wells breast pump bags gives you enough room to carry all your assembled pump parts, spare pump parts, some snacks, and your water, all while having a little style.

    Have extra pump parts

    Avoid the stress of failing pump parts by always having extra spare parts and collection kits with you. Follow manufacturer guidelines for replacing pump parts to maintain optimum functionality. If you will be assembling your pump parts the night before, having enough sets to get you through the day will make the setup that much easier.

    Bring water and snacks

    Proper hydration and nutrition are essential to not only your health and wellbeing but maintaining a healthy milk supply too. Have a large, reusable water bottle with you to stay hydrated. Keep snacks in your pump bag or keep some stashed at work. Having the right fuel for the day will help power you through your pump sessions.

    Pump hands-free

    While you really should refrain from working while pumping if possible, it is still extremely helpful to have a hands-free pumping bra. This gives you the flexibility to use your hands while pumping. If you have a rechargeable breast pump, it also gives you more mobility to multi-task.

    Set up a lactation station

    Pumping in a comfortable “lactation station” will help get the milk flowing, create a better overall experience, and help you achieve your breastfeeding and pumping goals. Have pictures or videos of your baby to help encourage a letdown. Listen to music, read a book, play a game, or watch a show to help you remain calm during pump sessions. Know where you will store your milk after pumping, whether it’s a shared refrigerator, a refrigerator just for lactating employees, or an insulated cooler bag.

    Speed up the cleaning process

    Being able to quickly clean your pump parts can shave precious minutes off your sessions. Consider getting Medela cleaning wipes or micro-steam bags to make cleaning pump parts at work easier. Or you can opt to bring as many collection kits as are needed for each session throughout the day, then bring all the dirty parts home and wash them later that day or night.

    How often to pump

    Figuring out the right pumping schedule may take some trial and error. However, there are some general thoughts to keep in mind.

    • Pump at least as often as your baby eats
    • Pump every 2 – 3 hours
    • If your work schedule is erratic, plan to pump when there is a 10 to 15-minute window, even if you just pumped an hour ago
    • Milk supply may determine the frequency of pumping
    • Keep communication open with your boss, especially in the early days back as you and your body adjust

     

  • Power Pumping to Boost Milk Supply

    Power Pumping to Boost Milk Supply

    If you are looking for ways to increase milk supply, chances are you have heard of power pumping. What exactly is power pumping, and how does it boost milk output?

    What is power pumping?

    The concept behind power pumping is straight forward. More demand = more milk. Power pumping sessions are a way to mimic cluster feeding, where baby nurses frequently in short bursts, with a breast pump. Just as when a baby cluster feeds, more pumping sessions signals to your body that more milk is needed.

    How to power pump

    The general rule for power pumping is:

    • Pump for 20 minutes
    • Rest for 10 minutes
    • Pump for 10 minutes
    • Rest for 10 minutes
    • Pump for 10 minutes

    Infographic explaining how to power pump

    Does it work?

    The answer is a resounding, “Yes!” Dr. Fiona Jardine conducted a study of over 1,700 pumping parents, and in her research, she found that 82% saw an increase in their milk production. There are also countless articles and anecdotal evidence from lactation professionals and moms stating the same thing. In many cases, power pumping does indeed work. It’s important to keep in mind that results vary from person to person. Results can even vary from day to day and session to session.

    How often to power pump

    While there are no hard and fast rules for what power pumping should look like, there are a few methods that have worked well for pumping mamas.

    • Once a day for one week – This method works well for mamas who are both pumping and breastfeeding. One week of power pumping sessions can be enough to help boost your milk supply, allowing you to get those extra ounces. Repeat as needed.
    • Once a week – If you are exclusively pumping, power pumping once a week can be enough to stay ahead of any potential supply dips and stand in for times a baby might cluster feed.

    With both methods, keep pumping even if there is no milk coming out. This continued stimulation of the breast will signal to your body that more milk is needed.

    Tips for successful power pumping sessions

    • Get your pump station ready. Make sure you have everything you need to get started. Get your snacks, water, and entertainment ready. Even though you will have a few 10-minute breaks, being prepared will make it easier to relax, get a letdown (or multiple!), and be in it for the long haul.
    • Stay hydrated. Yes, water was mentioned above too. Proper hydration is crucial for breastfeeding and pumping mamas. Even for your overall health. Keep a water bottle near you, like this one with motivational time markers, so you can keep pumping the fluids and milk at the same time.
    • Make sure your flange fits correctly. One of the most frequently asked questions is, “How do I know my flange size?” Not using the correct flange size can have a tremendous impact on milk production. Check out this flange sizing guide to make sure you are using the right size.
    • Use a hands-free bra. If you are going to be spending more quality time with your pump, you will at least want your hands free to carry on with the day. Getting a hands-free bra like this one will make a huge difference. Trust us!
    • Stay observant and remain flexible. If your body doesn’t have a letdown for 8-10 minutes, extend the power pumping sessions. If milk supply seems to be lower in the later part of the day, try power pumping in the afternoon to encourage more letdowns and get extra milk. Understand that fluctuation in production is normal, so try to look at longer trends instead of singular pump sessions and days.

    For more tips on how to increase milk supply, check out this article.

    Breastfeeding and pumping are not always easy. You don’t have to go it alone though! Feel empowered to enlist support from lactation consultants, your doctor, other nursing and pumping mamas, parenting groups, and your pediatrician. There is an entire community out there that is happy to cheer you on throughout your journey.

     

    *This post contains affiliate links, which means Acelleron may receive a commission if you make a purchase using these links.

  • Breastfeeding – The First 48 Hours

    Breastfeeding – The First 48 Hours

    The first 48 hours after birth is incredibly special. It is a chance to have the long awaited first snuggle and finally meet your newest family member (or members!). It can also be incredibly nerve wracking trying to navigate this next stage. The time immediately after birth is crucial to setting the stage for your breastfeeding journey. Here are some things you can expect during this time.

    The Golden Hour

    Newborn skin to skin with parent after birth

    The first hour after birth is often referred to as “The Golden Hour.” Skin-to-skin contact between birth parent and baby is extremely important. Having skin-to-skin within the first hour of birth decreases stress levels in mom and baby, stabilizes body temperatures, improves newborn bonding, and increases the ability to exclusively breastfeed. Initiating skin-to-skin contact gives your baby the chance to find the breast and begin to breastfeed on their own.

    Babies have the instinct to crawl to the breast, find the nipple, latch on, and start to suckle. Sometimes this is immediate. Sometimes it may take a bit more time. Either way is normal. This instinctual survival mechanism is truly incredible to watch. To encourage your baby to latch on by themselves, it’s important to have baby on your chest as soon as possible after birth. Even after a cesarean, as long as there are no major complications, this is still possible! If you are unable to have baby skin-to-skin after birth, have your partner hold baby close until you are able to.

    During the first hour after birth, baby will eat colostrum from the breast. Colostrum is extremely important for newborns. It helps give immunity by coating the intestines, which prevents germs from absorbing, and kills harmful microorganisms. It helps clear meconium, baby’s first poop, out of the system, which can reduce jaundice. It also helps prevent low blood sugar. Colostrum is even more important for early and preterm babies. While baby will only consume a small quantity of colostrum, it will go a long way towards filling their tiny bellies and setting them up for health. With each day that goes by, the amount of milk increases and amount of colostrum decreases, until baby is drinking only mature milk.

    The first 24 hours

    Newborn baby swaddled on bed sleeping

    During the first 24 hours after birth, baby may be very sleepy as they adjust to life outside of the womb. There is a chance you may need to wake baby for feedings. Nurses and midwives will often ask you to keep track of how often feedings happen, the duration of feedings, and what side baby nurses from during the first couple of days after birth. Having your baby close with skin-to-skin contact can help encourage them to feed. Keep an eye out for hunger cues, including rooting (when baby turns head searching for a nipple), moving hands and feet, flexing of the legs and arms, sucking on hands, and restlessness.

    If you give birth in a hospital, take advantage of the opportunity to work with lactation specialists. If you give birth at home, seek guidance from your midwife or consider a virtual lactation consultation. Ask as many questions as you like. Have them watch your baby while breastfeeding, especially if something feels uncomfortable. The advice you get from a lactation specialist can be incredibly empowering. Sometimes just a few small tweaks can make a huge difference.

    Often during the first 24 hours, your baby will experience their first poop, known as meconium. It is thick, tarry, and unlike what most poop will look like going forward. Expect nurses to ask you to keep track of your baby’s dirty and wet diapers during this time as well, in addition to feedings.

    The first 48 hours

    Typically, sometime between day 2 and 3, babies start to wake up and become more aware of their new reality. As they adjust to new surroundings, new feelings, and new sounds of life outside of the womb, they will likely start to become more dependent on mom, cry more frequently, and want to breastfeed more often. All this coming as soon as you are ready to leave the hospital or lose the care of your midwife or postpartum doula. As unnerving as this may be, it is completely normal. Keeping baby close and responding to cues early can help make this transition smoother for everyone involved.

    What about 48 hours and beyond?

    Newborn breastfeeding with a good latch

    Okay, so you’ve made it through the first couple of days. Now that you don’t have the support of a medical team, what is a new parent to do? Keeping these things in mind will help ease you into this new chapter in life.

    • How to know baby is getting enough milk – Keeping track of baby’s diapers can help you determine if they are eating enough. During days three and four, baby should have three or more wet diapers in 24 hours. Day five and beyond, baby should have 6 or more wet diapers and three to four stools that are loose and seedy in 24 hours. During nursing sessions, look for a rapid sucking pattern to encourage letdown, then watch as your baby changes to a longer sucking pattern with audible swallows, which indicates they have a good latch and are drinking well. Proper weight gain is another indicator baby is getting enough milk. During wellness checks (there are a lot in those first months!) your pediatrician will chart baby’s growth. If you prefer to check baby’s weight more often, an infant scale can help provide piece of mind.
    • Forget schedules, feed on demand – While baby may feed the widely talked about 8-12 times within a 24 hour, they may also feed more. Instead of trying to stick to a schedule that a book recommends, listen to your baby and feed on demand.
    • Understanding baby cues – Babys give signs when they are hungry. Rooting, moving their head side to side, putting their hands to their mouth, sucking on hands and lips, becoming unsettled, and rapid eye movement are all early signs of hunger. Try to react to these before baby cries, as crying is often the later stage of hunger.
    • Night feeding – Even though sleep may be a bit illusive during these early days and months, night feedings are normal, and even an important part of maintaining a healthy milk supply. Embrace these quieter times and nighttime snuggles.
    • Ask for support – The early days and months can be blissful and challenging all at the same time. Don’t be afraid to ask for support when you need it. Enlist your partner for diaper duties. Take up offers for meals and chores. Seek advice from lactation specialists. If you feel you may be suffering from postpartum depression, get help. You are not alone. There is no shame in asking for support if you need it. Most will be delighted to be able to help in a meaningful way.

    As your family adjusts to this new life together, your body is just beginning the process of healing, your baby is in culture shock from this entirely new world, and you are trying to figure out how to keep baby happy and fed on the outside. It can feel overwhelming, as your hormones endure a major shift and sleep is harder to come by. Yet, with a little preparation, some understanding, and a whole lot of love, you can get through these early days. Soon enough, you will be wondering how they went by so quickly.

  • Tips for Traveling While Pregnant

    Tips for Traveling While Pregnant

    I recently traveled on a plane. With children. While pregnant! Even though the trip was a blast, it was also a lot to handle while pregnant. Before traveling, I made sure to prep to make it as comfortable as possible.

    For a bit of background, I wasn’t newly pregnant during the trip. Being midway through pregnancy meant there was an obvious bump, complete with the physical effects of said bump. With a handful of children in tow and an itinerary that required quite a bit of walking, I knew planning in advance was important.

    Here are 5 tips for traveling while pregnant

    1. Talk to your provider

    Discussing your travel plans with a healthcare provider is a great way to start your overall planning. Run through your ideal plans. Discuss things like timeframe, destination, and method of transportation. Confirm the safety of your plans, especially flying in late pregnancy. Be flexible where needed.

    2. Help your blood flow

    Motif medical compression socks hanging on wooden structure

    Compression socks provided amazing relief on my flights! When sitting for a long period of time while pregnant, blood flow in your legs can be restricted. This can intensify the further along you are. Compression socks improve blood flow and reduces discomfort and swelling. If you haven’t been wearing compression socks regularly during pregnancy, practice putting them on ahead of time. Believe it or not, there is a special way to do it!

    3. Support your bump

    Motif medical pregnancy support band on pregnant women

    During this pregnancy, my bump was a bit larger compared to my other pregnancies at a similar timeframe. This had me worried about how uncomfortable my back would be with the amount of walking I anticipated doing, as well as sleeping without a pregnancy pillow. To give my bump extra support, I used a pregnancy support band on days where there was more standing and walking on the schedule. Not only did the band support my belly, but it also provided my back with relief. In fact, the pregnancy support band made my back feel so much better that I even continued to wear the band after my trip!

    4. Massage it up

    This one is free and can be an independent or group project! Massage is also a great opportunity to finally make use of all the lotion that the hotel provides! Once my children and partner were settled for the night, I gave myself a really good foot and calf massage before going to sleep. This was comforting and a big help with reducing swelling in my lower legs. It also made my feet ache a little less each following day.

    Personally, I am an independent foot massager, but feel free to get a partner or kiddo in the mix! Having a helping hand takes some of the awkward bending out of the picture.

    5. Rest, snack, hydrate, repeat

    Rest seems so obvious, but it is also frequently pushed to the side. When on vacation with children, it is extremely easy to push yourself through discomfort and fatigue to give your kids the best adventure possible. Yet, taking a few minutes here and there can be great for them and gives you a much-needed break to let your body catch up to all the excitement. Make breaks fun with simple activities or games. Being seated is a priority here! Have a variety of healthy snacks for both you and the kids on hand. Bring water bottles, refilling them when needed, to stay hydrated. Repeat any combination of these as many times as needed.

    Maternity compression through insurance

    Both the compression socks and maternity support band were recommended to me by my provider. Since these items may be covered through insurance, I wanted to get them through a company that would handle the insurance for me. Thankfully, Acelleron did just that.

    If you need maternity compression items, there are a few reasons I would recommend getting them from Acelleron.

    Quality

    Acelleron offers high quality products from Motif Medical that hold up well with travel, washing, and growth through pregnancy.

    Sizing

    Did you know that compression socks and maternity support bands have specific sizing? The pregnancy support band is relatively easy to figure out with the online sizing guide, but compression socks are a bit different. Acelleron and my provider made sure I not only used the correct size for my foot and leg, but also the appropriate amount of compression. If I did this on my own, I would have stood in the drug store’s compression section for far too long looking at all the options and likely still would have purchased the wrong thing!

    Ease

    Ordering through Acelleron means they do the work! They confirm correct sizing, they help you find out if your insurance covers these products, and they ship them to you.  Keep in mind, a prescription is likely needed from your doctor if your insurance provider does cover them, and Acelleron can request this on your behalf.

    Get the process started by answering three simple questions.

    Looking to get your breast pump through insurance? Get started here.

     

    Written by Brittany Regan Fisher, Certified Lactation Counselor, Regional Account Coordinator at Acelleron, and mama.