Tracey Carolan IBCLC

Tracey Carolan IBCLC International Board Certified Lactation Consultant at By Your Side Lactation,providing in home feeding expertise and support.
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05/01/2024

Lecithin is used in food to provide a smooth, moist texture and to keep ingredients from separating. Lecithins can naturally be found in green vegetables, red meat, and eggs. Commercial preparations are often made from soybeans, egg yolks, or animal products. It is also commonly used in eye drops, skin moisturizers, and food emulsifiers (agents that keep ingredients from separating).

Sunflower lethicin, a specific kind of lethicin, is often taken during breastfeeding to reduce plugged ducts or to help increase milk flow. Sunflower lethicin is thought to reduce the “stickiness” of breast milk by thinning out the fats in the milk and keeping them from clumping together. There are no known contraindications for breast-feeding, and lecithin is “generally recognized as safe” by the FDA. However, people with a preexisting tendency to depression may become depressed if taking high doses of lecithin. While very rare, if you begin to have a fish-like odor while taking high doses of lethicin, stop taking it immediately and notify your physician, as this is a serious sign of liver damage. As there is no recommended daily allowance for lecithin, there is no established dosing for lecithin supplements. Different brands might have different amounts of lecithin in each pill or capsule, so be sure to read labels very carefully before taking lecithin or any other dietary supplement. Per Kellymom.com, the maximum dosage recommended for recurrent plugged ducts is 4,800mg/day. As always, consult with your doctor before trying any dietary supplements while pregnant or breast-feeding.

“My baby is a lazy eater” This is one of the phrases I absolutely hate and have heard clients tell me it too many times ...
04/29/2024

“My baby is a lazy eater”

This is one of the phrases I absolutely hate and have heard clients tell me it too many times to count.

What’s even sadder is that most of the time it was a health care provider who told the parent this, either to explain why baby wasn’t latching properly or nursing effectively.

“they're just lazy, they will learn, give them time” but time passes with no change and the parents get further and further away from their feeding goals

Babies are NOT lazy. Their first need is to breathe and their second is to eat. If they are not latching properly or not staying actively nursing on the breast or bottle for long enough to get sufficient milk it’s because they literally can’t.

Sometimes it’s tension in the neck or body, sometimes it’s the position you have them in and others it’s due to an oral restriction.

Please don’t call your baby lazy and correct others if they do.
They literally don’t know how to be lazy and are simply doing their best.

Did you know that most of what we know about lactation comes from COWS! Feeding human milk to our babies literally saves...
04/25/2024

Did you know that most of what we know about lactation comes from COWS!

Feeding human milk to our babies literally saves the health care system millions and millions of dollars and yet the research is slow due to funding.

It was only in the last year that we actually understood what plugged ducts and mastitis are and developed a protocol for them that actually works and doesn't sound ridiculous to implement.

As an IBCLC I am expected to keep up with the latest research at all times and need to attend conferences and workshops throughout the year in order to recertify every 5 years.

Unfortunately what gets put on the internet stays there and doesn't always get updated. So please don't google at 2 am. Email your IBCLC your questions its their job to stay up to date.

So exciting to see my buisness location come up by accident on my way to a client this morning
04/24/2024

So exciting to see my buisness location come up by accident on my way to a client this morning

Do you wear a tank top under your shirt? A sweater or button down over top? Do you pull up or pull down? Have you found ...
04/24/2024

Do you wear a tank top under your shirt? A sweater or button down over top? Do you pull up or pull down? Have you found special nursing clothing that works for you? What do you love and what do you hate?

04/21/2024

Babies have their own feeding patterns. Some feed at regular intervals. Others feed very irregularly. Some babies cluster feed. This means they nurse very often for a few hours and then sleep for several hours. A good milk supply is established by following your baby’s feeding cues, not scheduling feedings. Cues may include licking lips, restlessness, rooting (turning head towards breast) or mouthing hands. Crying is a late hunger cue. Typically 8 to 12 feeds or more within 24 hour is expected.

*Also big thank you to LLLC Group Mom Heather for breastfeeding a clock and her baby for this post!*

When ever a baby isnt gaining as well as they should the first assumption is that there isnt enough milk.Parents are ins...
04/19/2024

When ever a baby isnt gaining as well as they should the first assumption is that there isnt enough milk.
Parents are instructed to supplement and instructed on ways to increase their supply.

Time passes, supply seems to have increased but baby continues not to gain appropriately.

So, whats up?

A babies oral function needs to be assessed.

Latch and positioning most likely are great by this time or maybe youve always struggled to get a nice deep comfortable latch.

If a baby doesnt have the oral function to be able to transfer milk they may be living off your let down and then falling asleep or getting fussy, making you think you dont have enough.

An IBCLC will use their skills to investigate. Many times Ive seen babies who dont transfer very much but then the parent pumps a good 4 oz afterwards, this is a huge red flag. The milk is there, transfer is the issue.

Just another reason to work with an IBCLC

Its very normal after a long day of nursing your baby to feel touched out. Its ok to ask for someone else to hold baby f...
04/18/2024

Its very normal after a long day of nursing your baby to feel touched out.
Its ok to ask for someone else to hold baby for a while. Partners can baby wear and comfort babies that way or put them to sleep while bouncing so that you can have some time without your little one attached to you.

Night weaning, at an appropriate age, can also help some parents to feel less touched out, as can setting boundaries for older babies.

04/16/2024

You would think that the stronger a breast pump can suction, the better. But before you crank that pump to the highest setting, make sure you know the benefits (and risks) of doing that. Breast pump suction power is measured in mmHG (millimeters of mercury), the standard unit of measuring vacuum pressure. Studies were done on babies sucking at the breast and breasts pump suction levels are based off what we know of how babies remove milk from the breast. The suction level, or vacuum, is different than the cycle speed, which is how fast it pumps. This is why breast pumps should have two settings: cycle (speed) and vacuum (strength). Every baby sucks are their own pace and with their own vacuum strength.

Every pump has its own max suction strength that it can reach. “Hospital grade” pumps generally have maximum suction levels in the 300+ mmHg range while personal grade pumps are generally in the 200+ mmHg range. This doesn’t necessarily make a pump better or worse. The highest suction level on most pumps are actually above our natural comfort zone. Most people feel comfortable expressing in the range of 150 – 200 mmHg regardless of whether the pump can reach 250 or 350 mmHg at its max. Using the suction too high, especially in combination of the wrong size fl**ges, can hinder milk flow and be the root cause of plugged ductsmastitis, dropping milk supply and breast/ni**le damage!

Think of it like drinking from a milkshake with a narrow straw. When you suck too hard, the straw starts to collapse on itself and the shake is really hard to drink. Milkshakes move better with gentle, consistent sucking that doesn’t collapse the straw. Milk ducts are like compressible straws inside the breast that move milk from milk-making glands to your ni**le then to your baby. Too much pump suction compresses the breast tissues which pinches off the ducts and actually decreases the flow of milk to the pump. With time this can also foster inflammation and damage. This also leaves milk behind which eventually can drop your overall milk supply. Having the right size fl**ge AND using enough suction to move milk but not compress the ducts is essential to a happy pumping journey.

04/14/2024
This is why hiring an IBCLC prenatally is so important, so you can learn the reasons behind secondary causes of low supp...
04/13/2024

This is why hiring an IBCLC prenatally is so important, so you can learn the reasons behind secondary causes of low supply and do your best to avoid them. Breastfeeding education is KEY

Low milk supply is common. But NOT normal.

Low supply simply means not producing enough milk to provide for all of baby’s growth needs. It doesn’t make evolutionary sense that so many women would just be not able to produce enough, right? So let’s talk about why it is so common.

Low milk supply can be either 1️⃣primary or 2️⃣secondary.

In most cases low supply is due to secondary causes which are often preventable & fixable if caught early.

⏺️Secondary causes of low supply/Breastfeeding management issues that can interfere with regular milk drainage from the breast & lead to low supply include

-poor latch
-unnecessary use of supplemental formula
-timed or scheduled feedings (vs on-demand)
-overuse of pacifiers (causing infrequent feeding)

There are also secondary causes that are due to issues with baby that result in weak or uncoordinated sucking. These can cause low milk supply by inhibiting the transfer of milk to the baby. These conditions include

-tongue-tie
-congenital heart defects
-prematurity, etc.

⏺️Primary causes of low milk supply include:

IGT-insufficient glandular tissue. Breasts with insufficient glandular tissue often have a tubular shape, with a large space between the breasts, and often do not grow during pregnancy. Not all women with IGT will suffer from low supply, but many will.

Other causes—

-Retained placenta
-Sheehan’s syndrome
-Prior breast surgery (especially breast reduction)
-Polycystic o***y syndrome
-Insulin resistance
-Hypothyroidism
-Thea lutein cysts
-Hypertension
-Pregnancy
-Smoking more than 15 ci******es per day is associated with reduced milk production.
-Many medications are known to suppress milk production, including pseudoephedrine, diuretics, and contraceptives that contain estrogen.

Its always your personal preference, but we live in a country where breastfeeding is protected meaning you can feed your...
04/11/2024

Its always your personal preference, but we live in a country where breastfeeding is protected meaning you can feed your baby any time any where and no one is allowed to ask you to use a cover.

You see more breasts at the beach than you do when a baby is feeding.

This is a saying I use all the time. Your baby is their own being, they have their own needs and wants that you as their...
04/10/2024

This is a saying I use all the time.

Your baby is their own being, they have their own needs and wants that you as their parent can not control.

Just because we want our baby to feed directly from the breast and consume 5 oz every single time so that they dont need to feed for another few hours, does not mean its plausible in most situations.
Babies feed for many different reasons including for comfort, they dont NEED 5 oz for the majority of their feeds.

We probably also want our babies to sleep 12 hour periods over night from as soon as 6 weeks of age. Thats also not going to be possible for the most babies even those as old as 12 months.
Babies need comfort and support to be able to sleep, at any age,

In both these situations all we can do as the parent is set the stage, make sure your able to support your baby the best you can so that they can do what they need to do.

Offer to nurse whenever they signal for it, offer naps as soon as you see the signs. By keeping baby close both day and night babies will naturally feed and sleep better.
We are carry mammals our babies are meant to eat frequently day and night and they feel safest when on us.

04/09/2024

From 📸

"Je n'ai jamais utilisé de tire-lait, Je n'ai jamais eu de mastites,
Je n'ai jamais acheté de préparation commerciale pour nourrissons,
Mon conjoint n'a JAMAIS donné de biberons à ses enfants
J'ai eu des engorgements lors de mon 1er allaitement
J'ai pris soin de mes seins à base de karite pur
J'ai douté, j'ai pleuré, j'ai étonné, j'ai suscité de l'envie, du dégoût, de la curiosité...
J'ai observé, mes bébés, prendre ce que je leur offrais, s'apaiser au rythme du lait qui coule.
L'allaitement, pour nous, c'est notre meilleure version de nous même en tant que parents, la meilleure version de moi, en tant que mère, ça ne fait pas de moi une meilleure mère que les autres, mais sans aucuns doute je suis persuadée d'être une meilleure personne, juste en allaitant mes enfants.
C'est mon parcours, mon aventure lactée, ne le prenez pas personnellement, je ne jugerai jamais vos choix, je partage les miens.
Mes allaitements 🐳

I have never used a sucker, I have never had mastits, I neva bought commercial infant formula, My husband NEVER gave his children bottles I experienced cramps during my 1st breastfeeding
Been taking care of my breasts with pure shea
I doubted, I cried, I wondered, l envied, disgusted,
curious...
l've watched my babies take what I'm offering them, calm down to the rhythm of flowing milk.
Breastfeeding, for us, is the best version of ourselves as parents, the best version of me as a mother, it doesn't make me a better mother than others, but I definitely believe I'm a better person just by breastfeeding my kids
children.
This is my journey, my milky adventure, don't take it personally, | will never judge your choices, I share mine.
My breast feeding 🐳”

This is something that I recommend to every client I see. Mainly because Ive seen how it can change feeding for the bett...
04/04/2024

This is something that I recommend to every client I see. Mainly because Ive seen how it can change feeding for the better.

Being born is hard work for not only you but your baby as well, add in instruments or a baby that wasn't aligned just right, and your baby may be favoring one side as soon as they're born.

Babies with oral restrictions tend to have lots of tension in their bodies as they learn to compensate for not being able to use their tongue the way they should and body work helps so much with that as well.

There are many different types of body work to choose from, making sure who ever you choose works with babies regularly and understands how their bodies work to breastfeed is important.
Luckily most IBCLCs including myself have a list of resources on their website so you can find a professional in your area.

Happy Easter!!!
03/31/2024

Happy Easter!!!

Track all those wins!
03/30/2024

Track all those wins!

Tracking your wins.

What do I mean? I mean track your successes, mama! First time you nursed in public? Write it down. First time baby latched on the first try? Write it down. First time you got out of the house for a walk? You guessed it, write it down!

There are the things that build up and give us confidence and we need to train our brain to focus on these things.

Have you tried this?

03/28/2024

If you guessed C you’re correct! But what do we normally do? Come on, be honest! Probably A then B, right?

Here’s the problem… perceived low supply leads to actual low supply but it’s because of the action we take in response to the perception… So if you are concerned you need a lactation consultant ASAP to prevent the cascade of unintended consequences that will lead you down a low supply path!

Skin to skin is not just about bonding, it helps with so so much more. Your breasts can actually regulate your babies te...
03/28/2024

Skin to skin is not just about bonding, it helps with so so much more.

Your breasts can actually regulate your babies temperature.
Your body helps babies breathing and heart beat to regulate
Their smell increases your oxytocin
They tend to nurse better and more frequently when skin to skin helping your supply
They sleep sooo well, your body is what they know best.

Spacing out feeds can actually do the opposite. It can lower your supply and make for a very unhappy, hungry baby who wo...
03/27/2024

Spacing out feeds can actually do the opposite. It can lower your supply and make for a very unhappy, hungry baby who wont sleep.

You dont need to let your breasts fill up or your baby to be extremely hungry to take a full feed.
Your body constantly makes milk, so its always there and all mammals eat and drink different amounts through the day, just like your baby.

Last minute office availability. Need your baby weighed and have a couple quick questions? I will be at my office in Map...
03/23/2024

Last minute office availability.

Need your baby weighed and have a couple quick questions? I will be at my office in Maple Ridge tomorrow afternoon, message me if you need to stop by.
$20 for 15min

We know that nursing you baby is about so much more than food. Its about calming them, soothing them. It helps a fussy b...
03/21/2024

We know that nursing you baby is about so much more than food. Its about calming them, soothing them. It helps a fussy baby, a cranky baby, a sleepy baby, a teething baby.

We always say when in doubt latch baby it will probably help, and if it doesn't try a few other things then try latching again.

If your doctor tells you to start supplementing with formula the next thing you should be saying is, " Any recommendatio...
03/14/2024

If your doctor tells you to start supplementing with formula the next thing you should be saying is, " Any recommendations for a local IBCLC?"

More than likely, sadly, they wont have one. But that lets them know, breastfeeding is your priority, finding answers is your priority.

You of course want your baby to gain weight and continue on their curve but simply adding formula to the mix has risks as well as benefits and there needs to be more of a conversation.

03/12/2024

Listen up mama! If you are worried about the size of your breasts, impacting your breastfeeding, journey, fear not. Breasts of all sizes can produce full milk supplies in most cases. Unless you have a deficiency in your glandular tissue, which would mean you don’t have enough milk making glands, breast size itself is not a problem. But you know what is? Adding those 8 ounce bottles to your registry… Hear me out! If you’re going to be pumping, and doing some bottlefeeding at any point, a large volume bottle is likely to make you feel insecure about the amount of milk you are making. We have this idea that we need to be filling bottles, when in reality, anyone filling 8 ounce bottles or more during a pump session is an over supplier. In addition, if your baby is going to be breastmilk fed entirely, they most likely will never take more than four or 5 ounces in a bottle at a time, even as they get older! This is because the nutritional profile of human milk changes as your baby ages and grows. Unlike formula, which is a static nutrition, we do not need to keep increasing the amount with age.

Curious what else you should swap on that baby registry? What a good question… I would love to do a prenatal consult with you. Visit the link in my bio or my website to verify your insurance and see if a prenatal session would be covered!

What are yours?!
03/09/2024

What are yours?!

IYKYK 😝

Before the invention of formula if a parent couldn't breastfeed their baby for any reason, someone else would. The World...
03/07/2024

Before the invention of formula if a parent couldn't breastfeed their baby for any reason, someone else would.

The World Health Organization and Academy of Breastfeeding Medicine states that safe donated breast milk should be offered before formula

Donor milk is available in the NICUs and in some hospitals for newborns that need supplementation before discharge, but what about after that?

Milk sharing still does exist informally, Im always so excited when I see someone offering up a few bags in their freezer that they dont need.

Lets make milk sharing even more common, lets normalize it.

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Maple Ridge, BC

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+17783025508

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