Newborn essentials - feeding equipment

Hell hath no fury like that of a hungry baby. So, mama, let us make sure that you are appropriately armed for battle.

This post covers nursing pillows, nursing bras, comfy seating, bottles, bottle warmers and burp cloths.

If you are exclusively breastfeeding all you need are your boobs, nursing bras and a nursing pillow. I used the My Brest Friend. Why do you need a nursing pillow? Why can't you use the abundance of pillows and cushions that you have strewn about the house? Allow me to paint you a picture. It is feed time. Your infant is making her presence felt in no uncertain terms. Folks living in the next county are aware that the baby wants food and wants it right now. Your boobs are responding, letting down and possibly, to add to the fun, leaking. You have the little squaller in one arm, you sit down and start to build your nest. You need pillows to rest your arm on. A pillow to put your baby on (unless you have really large boobs that will reach down to your tiny baby). A pillow at your back. So, you start to pile them up. Sometimes they stay put. Sometimes they playfully fall over. Your baby turns it up a notch. You break into a cold sweat.  You finally get into position and start the feed only to discover that the pillows were squishier than you thought and you don't have the support you need and you are losing feeling in your arm and with your luck this will be one of those dreaded forty minute feeds. And just wait until your baby is done with one boob and you need to offer her the other, pausing mid feed to readjust the nest. This is the stuff of nightmares.

Get a nursing pillow. It will be money well spent. This is what the My Brest Friend looks like:

I liked this pillow because it was nice and firm. You buckle the pillow around your waist and you're off to the races, arm and baby nicely supported. It even has a nifty pocket for you to stash burp cloths and your phone. You can stand up to burp your baby and the pillow just stays around your waist for you to continue the feed on either boob.
There will be spit ups and that cover will need to be washed. It is really, really difficult to get it on and off the pillow. I'm talking twenty minutes of struggling, cursing and sweating to make two inches of progress. Then I went to a breastfeeding group meetup and discovered that you can get this slick, waterproof cover for the pillow. It prevents the foam from getting ruined and makes it a snap to slide the other soft cover on and off.

On to nursing bras. First off, what exactly is a nursing bra? It is a bra that gives you access to your breasts without requiring you to take off your bra. How does it accomplish this magical task? The front flap of the bra, the part that goes over your breasts, is attached to the shoulder strap of the bra via a little hook. Unhook said hook,  and voila! You will be spending a lot, practically all, your time in a nursing bra for as long as your breastfeed or pump. You don't want to make the girls who are keeping your baby alive slum it, so allocating a healthy part of your budget to this purchase is a good idea. I own five different brands of nursing bras. The clear winner is the Bravado Seamless nursing bra. It took me a while to get used to these bras - I was used to bras that had altogether less material (e.g. these ones have 5 hooks at the back. 5. 5!) - but over time I have come to love the support, feel and sheer hardiness of these bras. The Bella Materna is the most comfortable nursing bra of all - but it has two significant drawbacks. One, it is hard to use in conjunction with a pumping bra and two, it looks lumpy under clothes. The other bras I tried were various brands from Target - much cheaper but nowhere near as comfortable and none of them lasted anyway near as long as the Bravado bras.

Ok, lets talk bottles.
If  you are going to supplement with a bottle, or bottle feed, you'll need a bottle. If you are breastfeeding and bottle feeding you will want a bottle with a nipple that most closely approximates the breast. If you get a bottle that requires too little effort to extract the milk, your baby is going to be a smarty pants, take the easy route and reject your breast forevermore. Also, a breast fed baby is not initially a fan of a synthetic nipple, so the closer you can get to the breast the more likely your baby will switch back and forth. At the lactation class I went to they recommended a number of bottles for breast feeding babies. Sadly, I don't remember the entire list. I know that two bottles that were on the list were Tommee Tippee and Comotomo, both with the slow flow nipples. We tried both with my daughter, and, to my dismay, she much preferred the pricier Comotomo. You might be lucky enough to birth a more frugal minded infant.

You can't use a microwave to heat a bottle. A microwave can create hot spots that may burn the baby and heating a bottle on the stove is a pain in the ass if you are holding a baby in one hand or if you need to do it in the middle of the night. Get yourself a bottle warmer.
If you do end up with the Comotomo (aka the chubbiest bottle known to mankind) note that it will not fit into Dr. Browns bottle warmer. It took some finding, but the Kiinde Kozii warmer is what you need for the Comotomo bottles. Sadly, it is much pricier than other bottle warmers.

You're going to be doing a lot of feeding. A lot of rocking. All through the day and through the most unholy hours of the night. Where will you sit for these events? By your bed? In the nursery? And what will you sit on? We used a Storytime chair. You could visit your local baby store and sit on a few. Or consider the (very ugly but oh so comfy) La-Z-Boy chairs. My point is this: you need a plan, so spend some time thinking about this one.

The only other thing you need are burp cloths. Lots and lots of them. You can buy them or just repurpose any old cloths you have at home. Just make sure you have them in abundance because there will be spit ups and you don't want to get spit ups on your clothes. Spit ups smell much, much worse than you would expect. Nasty stuff.

I'm afraid I can't help you with infant formula because I didn't have to use any. I can tell you this though (at the risk of sounding condescending, but I didn't know this B.E*, so I'm really just trying to be helpful), you can't feed your baby milk from any animal source and you can't feed your baby water. It has to be formula intended for an infant.

Happy Feeding! I wish you a huge, quick burps, the smallest spit ups and a satiated sleeping baby.

* before-ETSMN, pronounced ets-min, the Event-That-Stretched-My-Nethers

A list of Newborn Essentials

A pregnant friend recently asked me for a list of this-is-the-stuff-I-really-really-honest-to-god-truly-must-have-when-I-bring-my-newborn-home. I thought back to my state of Defcon level 1 preparedness before ETSMN (pronounced et-smin, Event-That-Stretched-My-Nethers). I want you to picture a dragon, a very pregnant dragon, one that has long forgotten what her toes look like, radiating self satisfaction, perched upon an enormous pile of baby stuff. That was me. I had piles of presents from excited grandparents, aunts and uncles, the loot from my baby shower, things I bought because my vast research had indicated that if I had them not my baby would grow up retarded , things I bought just because and hand me downs from friends. In the days A.E. (After-ETSMN) I grew wiser.

Here then, is the short list of things that were truly indispensable.
  1. If you are breastfeeding, a nursing pillow
  2. If you plan to supplement, or plan to have folks other than yourself feed the baby you need bottles and a bottle warmer
  3. Diapers and a bin to put the dirty ones in
  4. Something to swaddle your baby in
  5. Clothes
  6. A comfy chair
  7. A place for baby to sleep 
  8. Car Seat
  9. Infant carrier 
  10. Baby bath stuff
  11. Changing mat for travel
  12. Baby nail scissors
  13. A snot sucker. Yes. This is a thing. Get used to it.
  14. Thermometer


The Hitchhiker's Guide to Pumping: what do you need?


My daughter was born 18 months ago. She wasn't an only child though. She shared her mother's time and boobs with her brother. We call him Nelson. He is my breast bump (the Medela pump, hence Nelson. Get it? Get it?). Once you knew you had a baby on the way I bet you started to picture yourself with said baby. Cuddling your baby, cooing to your baby, nursing your baby, bonding with your baby - every picture involving a glowing mother and a baby of unsurpassed cuteness. If you plan to breastfeed you're going to have to add to that picture gallery in your head. You're going to be spending a lot of quality with your breast pump. I suggest that you start by giving it a name.

Why pump?
  1. You are nursing but you're having trouble of some description. Maybe your baby is still figuring out how to latch. Or any of a dozen other things aren't exactly going according to plan. The point is that you need to tell your boobs to keep going and your pump is what is going to do it.
  2. You work and your place of work frowns on you showing up squalling infant in tow. You, however, are determined to keep your baby on a diet of breast milk. This was my reason for pumping.
Ok, so you need to pump. Pumping is hard work. You should take every advantage our modern age has to offer to make this as easy as possible. In this post I'm going to cover equipment. I pumped for a year and I'm going to tell you what worked for me.
1. A high quality double electric pump is worth it's weight in gold. In a previous post I mentioned that Nelson is a Medela Pump In Style Advanced pump. Check to see if your insurance will cover it. Some hospitals also let you rent - and that might be an option worth looking into if you need a pump temporarily. What did I love about Nelson? 
  • You pump both boobs simultaneously. This saves time. 
  • Excellent (and adjustable) suction
  • 'Stimulation' mode that gets your boobs to 'let down' i.e. get the milk flowing. This really worked for me.
So, what does Nelson look like? This picture is from Medela's website:
 2. Nelson consists of various parts. You have the pump body (the motor, the controls etc.). Two tubes connect the body to the 'flanges'. Those are the funnel shaped things you see in the picture. They are also called 'breastshields'. They come in a few sizes, because you know, breasts do. You'll need to look at the website of the specific pump provider to figure out the size that works for you. To the bottom of the flange you attach a valve (also known as the yellow bitty) and a little white membrane (also known as where-the-fuck-has-that-bit-got-to-again) needs to be attached to the valve. Then the assembled flange is screwed on to the bottle - the receptacle for the milk. Now, all the parts that come into contact with the milk must be washed and sterilized - the flange, valve, membrane and bottle. So here is the deal. You can wash and sterilize after every pump. Trust me, with a new baby and the six minutes of sleep you are likely getting every night you really, really don't want to do this. Or you can buy plenty of breast pump accessories, spare pumping bottles and a ton of spare membranes. You will not believe how often one of those little suckers will slip through your fingers and go down the drain followed by a volley of inventive curses.

3. About that sterilization I mentioned a minute ago, you have two choices. You can bring water to a boil, put all the pieces in, wait for a few minutes, use tongs to fish them out again, curse when the fiddly bits refuse to be picked up by the tongs, or get picked up only to splash back in again and sprinkle you with boiling water or fall on the floor on the way to they drying rack and force you to start again. Or you can get these nifty microwave steam cleaning bags.

4. If you do build up a surplus of milk by pumping more than your baby consumes, you'll need a way to freeze your stash for future use. I used these breast milk storage bags.
5.  Now, if you've been paying close attention (and of course you are. Why wouldn't you be? This is riveting stuff) you'll be asking yourself - do I need to hold those flanges up to my boobs? Because that would get old fast. Yes, you're right it would. And it would be leaky. This is why you need a good pumping bra. The bra holds the flanges in place. And you get to do whatever you want with your hands - use a laptop, read a book, make shadow puppets. I used this Simple Wishes pumping bra. I tried the all-in-one bra from Simple Wishes too, but it didn't grip the flanges quite as securely and I also found that the bra looked lumpy under my tops. I even tried this supposedly clever 'hack' to use hair bands to accomplish hands free pumping. I was rewarded with milk running down my torso.

6. If you're going to be pumping away from home you'll also need a bag to lug your pump around. You can get one from your manufacturer. I used this nurse purse. There are also plenty of custom made options on Etsy. Just remember that you have to fit, at the very least, your pump, power adapter, all the bits and pieces I've mentioned above and a cooler bag for the milk. You probably also want room for your purse and keys. I even carried my laptop in the bag. And a water bottle. Pumping is thirsty work.

7. I also recommend getting a vehicle adaptor for your pump. That way you can go and about and not be constrained by your pumping schedule. I have pumped at vineyards, national parks, the parking lot of movie theaters and malls and even during a 30 mile drive to a fancy restaurant for dinner (while my husband drove). 

I'll end this post with a nugget of time saving advice. When I first went back to work I was pumping three times a day. I tried to save time at work by carrying 3 'sets' of pumping equipment - flanges, valves, membranes, bottles - so that I didn't need to deal with cleanup post-pumping. That is a lot of bulky, odd shaped stuff to lug around. Then another mama at work gave me this idea (thank heavens for other mamas): carry one set of flanges, valves, membranes, 6 bottles and a zip loc bag. After you pump put the flanges, valves and membranes into the zip loc bag and shove it in the fridge. Use and repeat. Do one wash and sterilization per day. Ta-da!

You're nearly a mama

Congratulations person-who-in-a-short-while-will-push-out-a-creature-entirely-too-large-through-an-opening-so-terribly-small and who will then forevermore earn the right to be called a Mama.
It has been 18 months since I joined the club and since then my daughter has been working on raising a Mama worth the name. She has her job cut out for her.

I prepared for the Event (yes, any event that stretches out my nether regions wider than the continental USA deserves, at the very least, capitalization) as best I could. I shopped, I painted our nursery, assembled furniture, I attended classes, I read voraciously - blogs and books. I thought to myself "How hard can it be? Everybody does it. Everybody has been doing it since the dawn of mankind." (The answer, by the way, is Very Fucking Hard). I talked to friends and relatives who had had Events of their own. They were right about one thing. Nothing can prepare you for the Event. And nothing, nothing, can prepare you for motherhood. That is the only nugget of wisdom I'm going to impart. You will not be prepared. You are not ready. There is no getting ready for this most transformative event of your life. But you know what? That's ok. You are going to be fine. Your nethers will recover. And your child will raise an amazing mother.

While you can't really be ready for motherhood, there are some things you can do to make the transition easier. Of all the things I did and read, in retrospect what were the things I really couldn't live without? What were the things that actually made a difference? In this post I'm going to cover things you should do for yourself. I'll cover baby stuff separately. I'm going to keep this list as short as possible because the more I read the more overwhelmed I felt about all the things I needed to do.

1. Attend a class on breastfeeding. Few things about it are 'natural'. It doesn't 'just work'. Yes, women have been doing it forever, but always with a lot of support, surrounded by the proverbial village to show them how it is done. If you do just one class let this be it. If your hospital offers the services of lactation consultants after the birth, avail of this service (even if you don't feel that you need it, or you are terribly sleepy, or your unmentionables hurt like a bitch).

2. Make yourself vagina popsicles (lovingly known on the internet as padsicles). Here is a sample padsicle recipe. Use it, or unleash your inner Google ninja. I made 30. I only ended up using 12. But I was so very, very glad for those 12. Oh, and I bought a pack of comically large underwear. Trust me, you'll want these. They will
  • reduce your sexiness to a negative number. Seriously, this is the least sexy you will ever be. It can only get better
  • keep all the goopy bits contained
  • make a great home for your padscile
  • allow you to procure and wear the largest pads known to mankind because you will have the longest, messiest period of your life in the days following the Event
3. Procure a good double electric breast pump. I used the Medela Pump In Style Advanced. I pumped for a year, so when I tell you that this is a good pump, I know what I'm talking about. You will not, however, pump in style. I don't know what the fuck that means. I assume a man named this beast. You can do your face and put on your Manolo Blahniks and then turn it on. You will not pump in style. I didn't buy it off of amazon. If you are in the US, neither should you. Obamacare requires your insurance company to pay for a breast pump. I called mine and ta-da! I did have to buy a bag for it though - my insurance company did not provide one. You won't need the bag right away - I didn't get mine till I went back to work, but for what it's worth this is the nursing bag I used. I won't rave about it. It isn't the best bag since sliced bread, but it did the job.

4. If you have someone (and no, your husband does not count, this needs to be a third person) who will cook for you and help out at home after the Event occurs, you are very lucky. If you do not, cook and freeze. Freeze till your freezer only closes when you grit your teeth and heave hard against it.

5. After the Event my body was, um, how shall I put this politely? Different. In much the same way as a lobotomized patient is different from those of us that still have all our lobes intact. My stomach hurt if it so much as looked at a pant with a zipper. My boobs went rock hard with alarming regularity and I needed to be able to whip them out at a moments notice. My usual wardrobe could not support such eccentricities. You need: comfy, comfy pants. Tops that will let you play 'girls gone wild' on demand. And nursing bras. Lots of those.

I hope this helps, Mama-to-be. You are going to live that famous line. "It was the best of times, it was the worst of times".  And you are not alone.