Delivering caring, personalized, quality healthcare to women in an environment that is supportive, education-focused and compassionate.

Author: Rachel H Miller

What are your overeating triggers? – Mary’s Promise

Mary Kmak has turned her life around, losing over one hundred pounds, and found a path to health through the Tucson Medical Center Wellness program. In Mary’s Promise she shares tips, recipes, challenges that she has learned along the way. Today, how she makes healthy choices when on vacation. Mary’s Promise reflects her experience and does not constitute medical advice. Please consult your primary care physician before embarking on a exercise regime.

Hello Readers,

Do you find yourself eating when you’re not hungry, or even already full?

Following the advice of the registered dietitians during the Live Well program I began to track not only what I ate, but also when I ate and what the circumstances were. Was I eating because I was hungry? To be social? Because I was bored? Because I was sad? Because I was thirsty?

I found I turned to food not only when I was hungry, but also to celebrate and to commiserate. Tracking what, when and where I ate highlighted what my eating triggers were and let me address the triggers rather than ignoring it with food. I found tracking to be one of the most powerful tools to get my eating habits to a healthy place and to identify the kind of support I needed to get there. Mary Atkinson and Laurie Ledford, registered dietitians at TMC suggest the following:

“Be mindful about when you are eating, what you are eating and how much you are eating. To help with this, we recommend keeping a food journal to track food intake and to also note times of day and circumstances surrounding the meal, snack, grazing. Before you reach for that unplanned meal or snack, HALTT, ask yourself:

Am I

Hungry?
Angry?
Lonely?
Tired, or
Thirsty?
(We often confuse thirst with hunger. )”

So whether it is pencil and paper or an app on your smartphone track what, when, where you eat and the circumstances around it! Look back over the week and check when you slip of your plan (you do have a plan right?) and come up with a plan of action to address that.

What are your overeating triggers?
Do you see a pattern in your eating habits? Is it the environment? Emotions? Specific foods? Do you gorge after six hours of not eating anything or mindlessly eat in the presence of a certain friend? Do you sit in front of the screen at work or at home and eat? Do you always feel snackish at 10:45pm when really you should be crawling into bed?

If you track your eating and see a pattern in overeating what can you do about it? Are there actions you can take? I try the following, but as always talk to your doctor or a registered dietitian about healthy steps you can take.

1) Pause and just wait at least one minute.

I tell myself to wait. “Do I really want this?”

2) Distraction

When I feel the desire to binge I do several things instead: Take a nice long walk, start an exciting new project, call a family member or friend.

3) I interrupt myself.

Two bites into a cupcake and I start to feel guilty, I can switch to a healthier snack. It seems once my senses have been engaged, my body demands more food, but you can decide what to give it. A piece of fruit or greek yogurt with walnuts will help stop me thinking about foods I crave.

4) Hide food triggers.

I keep healthy foods right where I can see them and get rid of the unhealthy ones and stop bringing them home. (I personally live by this one)

I need more help:

You can get individual help from the TMC registered dietitians through the TMC Wellness program. Or join the TMC Weight Management Support Group.

Weight Management Support Group

Are you looking for a team of wellness professionals and like-minded individuals to encourage you on your weight-loss journey? Join us at The Core to learn all about TMC’s brand new Weight Management Support Group, open to anyone who wants to achieve and maintain a healthy weight!  For any questions, please feel free to call the TMC Wellness Department at 520-324-4163.

Lowering the chances of having a c-section

How do you decide where to have your baby?

The type of care you receive in hospital can vary widely based not only on location of the hospital, but within a city between different hospitals dependent on their practices. A recent Consumer Reports article suggested that the biggest c-section rate was in fact the place you choose to give birth.

So where do we stand?

Tucson Medical Center scored higher than most other hospitals in the nation on a number of maternal health metrics measured by the Leapfrog Group* in three key areas:

  1. More than 60 percent of hospitals report a rate of C-sections that’s higher than the target rate. In addition to the concerns about impacts on the baby, C-sections carry risk of infection and blood clots, and many women experience longer recoveries. The target rate of 23.9 percent was based on goals of Healthy People 2020, a federal program that sets evidence-based benchmarks for improving the health of Americans. TMC’s C-section rate is significantly better than the target rate, at 16.9 percent.
  2. Although nearly 80 percent of hospitals don’t have adequate experience with high-risk deliveries, TMC meets the standard set by Leapfrog. Babies weighing less than 3 pounds, 4 ounces are more likely to survive, according to Leapfrog, if a hospital has an experienced newborn intensive care unit onsite.  TMC has professionals available 24 hours a day, 365 days a year, who specialize in high-risk pregnancy and deliveries and has a nationally renowned Newborn Intensive Care Unit.
  3. TMC is among hospitals that continue to make progress on reducing the rate of early elective deliveries. Hospitals should aim for a target of 5 percent or fewer for C-section or induction prior to 39 weeks, without medical necessity. TMC fully meets the standard, with a rate of 3.1 percent.

We asked Debra Derck, Manager Labor and Delivery at TMC for Women what factors play a role in our low primary caesarean section rates.

Why our c-section rates are low

1.  24-hour Perinatology

We have 24 hour perinatology available for any concerns and therefore are able to wait and potentially resolve a situation before having to resort to a C-Section.

2.  Partnerships with Midwife Practices

We have 2 midwife practices that deliver patients at our hospital and promote position changes and laboring down during second stage of labor.

3.  Elective Inductions ONLY after 39 weeks

Elective inductions are performed only after the patient reaches 39 completed weeks of pregnancy.

4.  In-house dedicated anesthesia & neonatology

We have resources that are available 24/7 – Along with 24/7 perinatology, there is in house neonatology, and in house anesthesia dedicated to labor and delivery.  This allows us the ability to respond quickly to any adverse events.

5.  Peanut Balls

We currently use peanut balls to assist patients who have received epidurals to help with laboring down once a patient reaches second stage (complete dilation) to assist in rotation and descent of the baby instead of immediately pushing to prevent patient fatigue.  Patients are then able to wait to push until they feel the urge to push.

What can I do to help reduce the risk of c-section?

Prior to birth

While the hospital you deliver at maybe a significant factor, you can also help reduce the chances of c-section by preparing for the birth. Remember to take a child birth class. We offer many options to fit many different schedules.

But what if I’ve already had a c-section and want to try to have a vaginal birth?

C-sections can be necessary, and may prevent a future vaginal birth in the future, but for many women they can have a vaginal birth following a c-section. We recommend you talk to your obstetrician about this option and take a childbirth class specifically designed for VBAC. 

*Consumer Reports listed Tucson Medical Center as one of nineteen large hospitals in the nation who are not only meeting the target of less than 24 percent of first time low risk pregnancies resulting in c-section, but beating it.

The Leapfrog Group is a national nonprofit organization driving a movement for leaps forward in the quality and safety of American health care. They collect and transparently report hospital performance, so that we can all find the highest-value care and make informed decisions. When it comes to maternal health they review the following criteria:

Make sure sore nipples don’t put an end to breastfeeding your child

Sore, painful or even cracked nipples are a common reason why a new mother may stop nursing her child. With the right kind of help and support you can often avoid or remedy problems. Our IBCLC lactation consultants weigh in on with tips to help you.

Why and when breastfeeding results in sore nipples

When breastfeeding you may feel strong sensations as your baby begins to nurse, but pain when breastfeeding isn’t okay. Often nipples become sore within 3-7 days of the start of breastfeeding, usually because your baby isn’t positioned or latched quite right.

Arizona Department of Health Services offers a 24-hour Breastfeeding Hotline 1-800-833-4642.You may have seen a lactation consultant in the hospital or birth center and talked about latch, but a few sleep deprived days into motherhood and it’s easy to forget and important to check in and review if you are having some difficulty. If one or both nipples begin to crack or bleed seek help as soon as possible. The lactation consultant can help you correctly position baby.

If your baby doesn’t seem settled after a feed, or your nipples are flattened or white these maybe signs that baby isn’t latching effectively.

SoreNipplesTMC

What can you do at home to prevent and treat sore nipples?

  • Check Latch on and positioning with an IBCLC.
  • Nurse on the side that is least sore side first, if possible.
  • Apply warm, moist compresses to your nipples after feedings, this is comforting and removes residue of milk and bacteria before applying ointments.
  • Try hand expressing a little breastmilk and applying to your nipples to soothe the nipples and reduce the chances of infection (human milk has antibacterial properties.)
  • Try keeping nipples covered with a medical grade (100% pure) modified lanolin ointment or hydrogel dressing to encourage cracks to heal without scabbing or crusting. Gently blot off nipple with warm compress before applying any ointments.
  • If your breasts are overfull, hand express to soften areola prior to feeding baby.
  • Call Breastfeeding Support Program ( 324-5730) for other tips on nipple healing.
  • If pumping make sure you are using the right size flange and pressure. Pumping should not be painful.
  • Don’t do the following

  • Don’t apply moist tea bags to the nipples. This folk remedy has shown to have an astringent effect that may promote drying and cracking.
  • Don’t use a hair dryer on sore nipples. This promotes drying and further cracking.
  • Don’t stop breastfeeding
  • Resources at TMC for Women

    TMC offers outpatient breastfeeding support services, whether you deliver at TMC or not. 1. Free weekly breastfeeding support group for new moms. Hosted weekly by a certified lactation consultant. Classes are held every Monday from 10-11:30 a.m. in the Canyon Room.
    2. Outpatient consultations with an IBCLC-certified nurse (by appointment only)
    For more information on any of these services, please call 324-5730

    Tucson Medical Center has the unique status of being the only hospital in Southern Arizona to receive the International Board Certified Lactation Consultant Care Recognition Award for its stellar support programs for nursing moms. Tucson Medical Center strives to promote healthy families in all ways possible. With what we know about breast milk and immunity, we encourage mothers to breast feed. The lactation consultants of TMC for Women provide exceptional support in establishing a satisfying, sustainable nursing relationship whenever possible.

    Advice to a birth partner

    Whether you’re the birth partner of the pregnant mom, a friend or a family member, being asked to be present at the birth is an incredible honor and for many one of the most memorable experiences of their life. If you’ve been asked to be the birth partner we have some tips:
    Advice to a birth partner

    1. Take a childbirth class

      Take a class with your partner beforehand. We offer many options to fit different schedules.

    2. Talk before

      Talk with the mom-to-be about her hopes, expectations and fears. If she has made a birth plan ask if you can read over it.

    3. Create a calm and comfortable environment in the delivery room.

      Take a tour of Maternity Services beforehand. Will you need alternative lighting? Perhaps something to play music on?

    4. Know what to expect

      Don’t wait until the night before the due date to read up on all things pregnancy including the different stages of labor! And don’t not read sections of the book because you think they aren’t part of the birth plan. Birth plans are merely plans, be ready for everything.

    5. Respect her.

      Let her know what is going on, especially if something is not going to plan and make sure she knows what the staff recommends.

    6. Do not minimize her pain

      Watching someone you care for in pain is difficult, and it is a natural response to want to stop that. Do not minimize her pain, but also accept that pain is a natural part of birth and focus on supporting her with coping techniques.

    7. Don’t take it personally

      Birth is an incredible positive experience, but it is not without pain and discomfort. Be understanding and recognize that this can result in atypical behavior for the woman in labor.

    8. Think upright!

      Provide her with support to be upright during labor.

    9. Fetch and Carry

      Make sure she can access water, that she has a pillow for her head or underneath her knees, be the fetch and carry person.

    10. Stay calm

      Even if you don’t feel particularly calm, oozing a sense of calm can help.

    Who is going to be by your side when you give birth?

    Beyond the midwife or physician, and other medical staff, having someone you know really well and can feel relaxed and comfortable with during childbirth can provide immeasurable support. They can hold your hand, massage your shoulders (although you may find you don’t want to be touched at all), help move you into positions you may have practiced in childbirth classes and remind you to breathe during contractions. But who to chose?

    Once upon a time a birth companion was not allowed to be present in the delivery room. Today, medical emergencies excluded, you can choose your partner, a family member, a friend or perhaps a doula, a professional support for women in childbirth.

    birth partner, spouse, friend, family, doula

    1. Your partner

      Today most partners are present at their child’s birth and for many it is a defining moment for them and their relationship with their children and the mother of their child. However, you or your partner may feel that an additional support person might help.

    2. Family members or friends

      Whether it’s your mom, your aunt, your sister or a close friend you need to know them well enough to know that you can be completely relaxed and comfortable with them and that they will respect your wishes.

    3. A Doula

      A doula is a trained professional who provides continuous physical, emotional and informational support to the mother before, during and just after birth. Doulas are not medical professionals. Some doulas provide emotional and practical support during the postpartum period.

      Certification for doulas usually includes multiple workshops, readings and childbirth education, as well as requirements to attend a number of births and being evaluated by a midwife or doctor present.
      For more information about doula’s check out the DONA International Birth Doula FAQ.  You can find doulas offering services in town through DONA’s directory search. 

    What can your birth partner do?

    1. Advocate

      Make sure you talk before about what type of birth you would like and what you’d prefer to avoid so they can support you in those efforts. If you have made a birth plan, go over it together.

    2. Be there for you

      Whether it’s just chatting with you during the early stages or sitting quietly, this can be a long process.

    3. Make your environment comfortable.

      From massaging your back, to getting you water, plumping pillows, to providing support as you walk your birth partner can make your environment more comfortable.

    4. Breath with you

      It’s especially helpful if your birth partner attended childbirth classes with you, they can remind you about the relaxation and breathing techniques.

    5. Cut the umbilical cord

      Your birth partner may be able to cut the umbilical cord – you can talk to your doctor or midwife about this.

    Whoever you choose remember it’s ultimately your decision! #birthpartner #birth #pregnancy Click To Tweet

    How about alcohol? Is it healthy?

    health benefits risks alcohol

    We wouldn’t want to call alcohol a healthy beverage choice, but it does have some benefits (and risks).

    Observational studies, which look at what different groups of people eat and drink, have seen that people who drink a moderate amount of alcohol have a decreased risk of cardiovascular disease, including coronary heart disease and stroke. Other potential health benefits have been observed, but there is not strong enough evidence to say that alcohol deserves the credit.

    What is a moderate intake of alcohol?

    If you are a woman, that means one drink or less per day. For a man, it is two or fewer drinks per day.

    What counts as one drink?

    Of course, if you’re pouring your wine into a pint glass and calling that one drink we may have a problem! Try measuring out the volume of one drink into a glass. Perhaps start with pouring yourself a drink of water to the volume you usually pour your alcoholic drink and then measure how many fluid ounces you’re actually drinking.

    12 oz. beer (at 5% alcohol by volume)
    or  4-5 oz. wine (12-15% alcohol by volume)
    or  1.5 oz. of 80-proof spirits
    or  1 oz. of 100-proof spirits

    Remember, the limits stated above are for each day, not a weekly average. So you cannot abstain for six days, then drink an entire bottle of wine (which is more than five servings) on the seventh day, and say that you have only had one drink per day this week.

    Wahoo! There are benefits to drinking alcohol?

    Yes, in theory, the benefits from alcohol could come from its ability to (slightly) raise HDL cholesterol (the “good” cholesterol) and reduce the likelihood of clot formation. Wine and beer contain polyphenols, which are a type of antioxidant, and antioxidants help protect the human body from cardiovascular and other diseases.

    If you don’t already drink, please do not take up drinking for its alleged health benefits. #SavorTheFlavor… Click To TweetOf course it is possible that the healthy attributes seen in people who drink alcohol may come from other lifestyle factors, such as physical activity, diet, stress management, social connectivity or something else for which the study did not account.

    But wait…we know there are risks to drinking alcohol too

    Consuming alcohol is known to have risks. Alcohol raises triglycerides, a type of “bad” fat in the blood. It can increase your risk of conditions such as high blood pressure, obesity, stroke, several types of cancer and alcohol dependence. It can also lead to accidents, injuries and mental problems.

    Benefit – Risk Assessment

    So you might ask yourself, “Are the possible benefits of drinking alcohol worth the risks?” You can get your antioxidants from other foods, like fruits and vegetables. You can do other things to protect your heart and your overall health: be physically active, eat healthy foods, control your response to stress and build a good social network. If you don’t already drink, please do not take up drinking for its alleged health benefits. If you do drink, please remember to do so in moderation.

    P.S. The Centers for Disease Control and Prevention advise that some people should not drink any alcohol, including those who are:

    ·         younger than age 21,

    ·         pregnant or trying to become pregnant,

    ·         taking prescription or over-the-counter medications that may cause harmful reactions when mixed with alcohol,

    ·         recovering from alcoholism or are unable to control the amount they drink,

    ·         have a medical condition that may be made worse by alcohol,

    ·         driving, planning to drive, or participating in other activities requiring skill, coordination, and alertness.

    Are you struggling to make healthy? Or not seeing the desired impact? Make an appointment today to connect with our register dietitians and they will analyze and make a scientifically based plan specifically for you and your special needs. 

    Get the skinny on healthy fats and unhealthy fats – Savor the Flavor

    Low fat, non-fat, full fat – Fat is a three-letter word when it comes to health. That’s right, three letters, not four. Fat isn’t all bad, at least some dietary fats aren’t all bad. Our body actually needs some fats for basic functions, but all dietary fats aren’t created equal. Some fats are, as Laurie Ledford RD shares below, just plain dangerous for your health. Get the skinny on dietary fats and what you should be looking for when you eat.

    Unsaturated vs. Saturated

    All of the fats and oils we eat are made up of a combination of unsaturated and saturated fatty acids, but we usually talk about them in terms of the major type of fatty acid they contain. For example, olive oil is referred to as an unsaturated fat, because more than 80% of its fat is made up of unsaturated fatty acids. Butter is called a saturated fat, because more than 60% of its fat is saturated.

    Unsaturated fats are the “healthy” ones. People who eat unsaturated fats instead of saturated fats tend to have a lower risk of heart disease and stroke. Saturated fat is generally considered “unhealthy,” because studies show that it raises your LDL (“bad”) cholesterol, which contributes to hardening of the arteries and blood clots. These conditions increase your risk of heart disease, peripheral artery disease and stroke.

    But wait, there’s an even more evil fat out there – trans fat. Eating trans fat causes two unhealthy effects: it raises your LDL cholesterol and lowers your HDL (“good”) cholesterol. Certainly not good news for your heart and arteries.

    Where do you find each of these fats?

    Using common sense when deciding what to eat will usually steer you toward the healthier fats. Check the lists below to see some examples of each type. Also remember this: the healthy oils usually come from plants. One exception to this is fish oil, which is healthy. Another exception is tropical oils, such as coconut oil and palm oil. Even though they come from plants, they are very high in saturated fat, and despite what you may read on the internet, there are no good studies to prove they are healthy.

    Tropical oils, such as coconut and palm are very high in saturated fat. There are no good studies to prove… Click To Tweet

    Examples of unsaturated (healthy) fats:

    • olive, canola, safflower and sesame oil
    • most other nut and vegetable oils
    • olives and avocados
    • nuts and seeds
    • fatty fish such as salmon, mackerel, herring and trout

    Examples of saturated (unhealthy) fats:

    • fatty beef, lamb, pork
    • poultry skin
    • lard
    • butter, cheese, ice cream
    • coconut oil, palm oil, palm kernel oil and cocoa butter
    • cream and higher fat milks (you can’t see the fat, because it’s blended into the liquid)

    Examples of trans (very unhealthy) fats:

    any product containing “partially hydrogenated oil,” such as

    • shortening
    •  some microwave popcorns
    •  some peanut butters
    • some fried foods
    • some cookies and crackers

    Laurie Ledford RD

    Are you struggling to make healthy choices? Or not seeing the desired impact? Make an appointment today to connect with our register dietitians and they will analyze and make a scientifically based plan specifically for you and your special needs. 

    How healthy is that cup of coffee?

    It’s National Nutrition Month and our TMC registered dietitians love the Savor the Flavor theme! Throughout the month Laurie and Mary are sharing tips to help you make healthier, tastier choices. If coffee is an integral part of your day this post is for you! 

    coffee healthyDo you start off every morning with a cup of coffee? How do you take your coffee? Expresso? Cappuccino? A Caffè latte.

    Like many things, coffee is OK in moderation. In this case, “moderation” means three to four 8-ounce cups of home-brewed coffee. We are not talking about a couple of enormous, creamy, sugary, flavored coffee concoctions. Just the coffee. Several large studies have found that people who drink coffee daily have a lower risk of type 2 diabetes, Parkinson’s disease and liver disease. Protective effects have been seen with both caffeinated and decaffeinated coffee.

    How does coffee work this magic? It could be the antioxidant compounds in there, or it could be something else that all coffee drinkers in these studies did or had in common. Since the studies were not looking specifically at the effect of coffee, other research on this subject is needed to confirm the findings.

    Athletes who love their coffee fix will be happy to hear that a number of good studies have shown better physical endurance and delayed fatigue in exercisers who consume caffeine. However, you might want to find out how your stomach handles caffeine plus exercise before you use it on the day of a big race.

    We also urge caution with caffeine for the following people:

    •       children

    •       pregnant women

    •       people with a history of heart disease or heart attack

    •       people who have high blood pressure

    •       anyone else who is sensitive to caffeine

    These people are advised to avoid caffeine by taking the decaf route or avoiding it altogether. If in doubt, check with your medical provider to be sure.

    Are you struggling to make these changes? Or not seeing the desired impact? Make an appointment today to connect with our register dietitians and they will analyze and make a scientifically based plan specifically for you and your special needs. 

    Do I need to limit the amount of sugar I eat?

    It’s National Nutrition Month and our TMC registered dietitians love the Savor the Flavor theme! Throughout the month Laurie and Mary are sharing tips to help you make healthier, tastier choices.

    Yes, you do. And the less you eat the better. The American Heart Association recommends limiting the amount of added sugars you eat to 25 grams (or about 6 teaspoons) per day, if you are a woman. For men, the limit is 37 grams (or about 9 teaspoons).

    Realize that we are talking about added sugars – any sweeteners not naturally present in food. They go by many names, such as sucrose, corn syrup, malt syrup, maple syrup, molasses, honey, agave, brown sugar, raw sugar. These are just a few of sugar’s aliases. You may see many more names on food ingredient labels or on the package of stuff you add to coffee, tea, baked goods and anywhere else you want to add a little sweetness.

    limit sugarThe problem with added sugars is their lack of nutrition. They are just empty calories, sneaking into your food to tempt your taste buds and then damage your teeth and help you put on extra fat pounds. Over time that sugar and extra body fat can increase your risk of heart disease and diabetes. Naturally occurring sugars, on the other hand, are a normal part of fruit, dairy and other unprocessed foods. These sugars are accompanied by essential nutrients, such as vitamin C, potassium and fiber. Think of these as calories with a purpose.

    Does this mean you need to completely eliminate added sugars from your diet? No, because most of us want a touch of sweetness now and then. However, you should be aware of when, where and how much added sugar you are eating. Read those ingredient labels! Added sugar doesn’t only appear in sodas, candy and desserts. It’s also present in things we normally think of as healthy (or healthy-ish) foods – flavored yogurt, soy milk, almond milk, smoothies, cereals, peanut butter, salsa and other sauces. Once you learn to spot added sugars, avoid them whenever you can.

    Check out these blogs for practical tips on reducing your sugar intake.

    Bust that sugar habit in 4 easy steps

    Stop the sugar addiction


    Are you struggling to make these changes? Or not seeing the desired impact? Make an appointment today to connect with our register dietitians and they will analyze and make a scientifically based plan specifically for you and your special needs. 

     

    Work and Breastfeeding -Yes You Can!

    If you’re heading back to work and planning on pumping to provide breast milk for your child here are some tips to support your pumping from our lactation consultants:

    • Get help early and often until breastfeeding is going smoothly.
    • Try to delay returning to work until six weeks after delivery, and longer, if possible, since the work of breastfeeding lessens around this time.
    • A quality breast pump that fits well around the nipples and provides various adequate pressures and variable speeds can help a mother extract her milk more efficiently.
    • Learn to “let down” to the pump: warm compresses, warm flanges (the plastic funnels that come with the pump), massage and hand expression can help your milk flow out more easily. Use visualization, scents, imagery and distraction to aid relaxation.
    • A breastfeeding mother can hand express before and after pumping sessions to collect more milk.
      Click to watch Stanford School of Medicine’s 10-minute video “How to Use Your Hands When You Pump” for ways to increase milk production without medication. (http://newborns.stanford.edu/Breastfeeding/MaxProduction.html)
    • Get breastfeeding off to a good start by working on problems with an International Board Certified Lactation Consultant, or IBCLC, who can help you with difficulty latching, pain or low milk supply.

    tips for working breastfeeding moms, work and breastfeeding

    Not sure you are pumping enough milk?

    It’s a common concern for mothers who are breastfeeding. Our lactation consultants suggest that you track your numbers for a week.
    • How much milk did you pump or hand express in that week?
    • How much breast milk did your baby drink while you were at work that week?
    • How many times did you move your milk (breastfeed, pump or hand express) per day during that week?

    Add in more pump sessions if you are not meeting your goal. If you need more milk, power pump once a day — pump 15 minutes on, 15 minutes off several times in a row.

    Daycare Tips:

    • Try not to have baby fed within the hour of mom returning from work.
    • Give a small snack to hold baby off until mom gets back to baby for feeding.
    • Pace bottle feeding to increase the length of bottle feeding to about 20 minutes.

    Worried about pumping while at work? Read this post about why supporting breastfeeding mothers is good for business.

    Tucson Medical Center Breastfeeding Support Program (520) 324-5730

    At TMC for Women

    TMC Breastfeeding Support Services is dedicated to helping you meet your breastfeeding goals, whether you deliver at TMC or somewhere else. We serve clients at all stages of pregnancy and breastfeeding. Our lactation consultants are all internationally board-certified hospital-based nurses who ensure that new moms receive the most up-to-date care. We are dedicated to helping you achieve breastfeeding success, before, during and after your delivery.
    TMC for Women’s Breastfeeding Support Program – Call 324-5730
    TMC for Women’s Breastfeeding Support Group – Every Monday from 10-11:30am in the Canyon Conference Room near the SouthEast entrance.

    Online:

    La Leche League’s Work and Breastfeeding provides lots of great articles on the topic
    Womenshealth.gov provides a host of information for both employers and employees
    In the Literature:
    The Milk Memos – At times hilarious, sometimes poignant and always insightful resource that started as a plea from one new mom sitting in a lactation room at IBM to whoever might be also using the lactation room.