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LALactation, Los Angeles, CA (2025)

12/19/2025

Pumping is breastfeeding. Full stop. Sometimes the conversation gets stuck on how the milk gets to the baby, but the real magic is the milk itself and the work it takes to make it. Breast milk doesn’t lose its value because it traveled through tubing instead of straight from a breast. For many families, pumping is how breastfeeding happens, whether that’s because of work, medical needs, latch challenges, mental health, or simply what works best for their life. The container does not define the commitment.

Here’s why pumping absolutely counts as breastfeeding 🤍
• You are still hormonally stimulating milk production. Your body is doing the same complex, exhausting, amazing work to make human milk.
• That milk still carries antibodies, enzymes, hormones, and live cells that support your baby’s immune system and development.
• Pumping requires intention and planning. You can’t just “feed and move on.” There’s timing, equipment, storage, transport, and troubleshooting.
• You are still bonding with your baby through the act of feeding.

Pumping is like having twins: one human baby and one electric baby. Both need you on a schedule. Both need feeding. Both need clean up. The pump needs parts washed, dried, reassembled, packed, remembered, and emotionally tolerated at 2 a.m. or during a rushed work break. That is labor. Invisible labor, but labor nonetheless.

So no, pumping is not “less than.” It is breastfeeding with extra steps, extra dishes, extra logistics, and often less applause. If you’re pumping, you are doing real, demanding, loving work for your baby. It counts. You count. And you don’t need to minimize it to make anyone else more comfortable.

12/19/2025

What’s your favorite holiday tune?

12/18/2025

🌞🫠 “Just put your ni***es in the sun, it’ll cure thrush!”
Ah yes. Nothing screams modern medicine like standing half-naked in a window hoping a sunbeam will defeat a yeast infection. Especially in the middle of winter when for many people the sun doesn’t shine for days

Here’s the truth. Thrush is yeast. Yeast feeds on sugar. Breast milk contains sugar. So when milk sits on the skin, yeast basically throws a little dinner party. Sunlight might help dry surfaces, but ni***es are not patio furniture and the sun alone won’t fix your problem

A much better strategy is making the breast a very boring place for yeast to live. Think dry and clean. Change nursing pads often, swap out damp bras, and avoid letting milk sit on the skin. Anything that touches the breast, bras, pads, pump parts, towels, burp cloths, should be washed in very hot, soapy water to kill the yeast. There are natural protocols that use coconut oil, vinegar rinses or grapefruit seed extract. And anti-fungal creams can also be used when thrush is confirmed via swab. When thrush is suspected, both the parent AND baby need treated. If only one of you has it, it’s most likely NOT thrush and there are many other things that mimic thrush (undiagnosed tongue tie, vasospasm, bacterial infections, allergic reactions, etc)

12/17/2025

Tummy time plays a part of your baby’s early development, and incorporating a Boppy pillow can make it more comfortable and fun for your little one! From birth, babies are still building the strength in their neck, shoulders, and upper body that will eventually help them roll over, sit up, and crawl. Using a Boppy during tummy time provides a slight incline, which can make it easier for your baby to lift their head and engage their muscles without feeling completely flat on the ground.

Here’s how to do it:

1. Place the Boppy pillow on a firm, flat surface.
2. Lay your baby across the middle of the pillow, with their chest and arms over the top and their legs supported by the curve.
3. Supervise closely and encourage your baby to lift their head by talking, singing, or using toys as motivation.

Even short sessions of 2-5 minutes a few times a day can make a big difference. The support from the Boppy helps reduce frustration while still allowing your baby to practice building those important muscles. Remember, tummy time isn’t just about strength—it’s also a great time to bond and interact with your little one!

☝🏾 This was done in my office as a demo with parents. Never leave baby unattended in tummy time on a pillow or boppy. This is always safest on the floor and not a couch. We were sitting with this baby the whole time.

12/16/2025

* Your milk contains stem cells, which can go on to become heart, kidney, or brain tissue
* One of the best ways to treat cracked ni***es is to put your own milk on them. Coconut and olive oils work better than most store bought balms/creams
* Evening breast milk contains more melatonin—a hormone to help baby sleep. Night milk is lower in water and higher in fat to help baby sleep and grow
* The taste of breast milk changes slightly based on your diet. This helps babies get used to different tastes to prepare them to eat a variety of solid foods
*The taste changes and the flow and volume of milk can drop during your period, making some babies become fussy around that time or the month
* Most babies suck stronger and longer to the taste of garlic in breast milk than to any other flavor you eat
* Continue to breastfeed even if you’re sick. When sick, your body makes antibodies that pass on to baby, reducing their risk of getting sick
* Colostrum contains 10x more beta-carotene than mature breast milk. It has increased levels of vitamin E and zinc to promote a newborn’s skin and eye development
* “Good bacteria” are constantly transferred from your body to your milk; the precise strains of bacteria fluctuate daily and from season to season
* Your milk has a unique smell that your baby can identify. The smell is similar to your amniotic fluid. This helps baby find the breast after birth
*Speaking of smells, your body odor may be more pungent after birth. This helps baby recognize you as mom and distinguish you from other adults
* Breastfeeding promotes proper mouth development. Studies have found that babies who were exclusively breastfed for the first six months were less likely to have teeth alignment issues such as open bites, crossbites, and overbites, than those exclusively breastfed for shorter lengths of time or not at all
*Pumping is breastfeeding, too

12/16/2025

Forceps or vacuum extraction can create pressure on the baby’s:
• Skull (which is still soft and moldable)
• Neck and shoulders
• Jaw and facial nerves
This tension can show up as:
• Trouble turning their head equally both ways
• Difficulty latching or staying latched
• Preference for one breast
• Clicking sounds while feeding (from a shallow latch or trouble sealing)
• Fussiness when being positioned or touched around the head/neck
👉 Think of it like a sore neck after a tough night’s sleep — only your baby can’t say, “Hey, my jaw’s tight!”

Sometimes, these babies have trouble:
• Coordinating suck-swallow-breathe rhythms
• Generating strong suction
• Elevating their tongue well enough to transfer milK

Even without a tongue tie, the muscles can be restricted or compensating, and that can look like:
• Shallow latch
• Falling asleep at the breast quickly (fatigue from working inefficiently)
• Slow weight gain
• Long or very frequent feeds

Overstimulation or Nervous System Stress
Vacuum/forceps delivery can feel intense for baby. Afterwards, they might be:
• More sensitive to touch
• Startling easily or seeming jittery
• Hard to settle or arching during feeds
This could be a sign of a stressed or disorganized nervous system, which can make feeding more difficult — even if baby has the skills.

What Can Help?

If you’re seeing any of the signs above, here are a few supportive strategies:

👶 Lactation Support

Someone skilled in assessing function (not just weight gain!) can help adjust latch, positions, or recommend exercises to support baby’s oral skills.

🤲 Bodywork

Gentle therapies like:
• Pediatric chiropractic care
• Craniosacral therapy (CST)
• Physical therapy
can release tension and improve mobility in the jaw, neck, and whole body.
(Always choose providers with specific experience in newborns!)

⏳ Time and Patience

Sometimes the best support is also just slowing down, offering skin-to-skin, and following baby’s cues without rushing or forcing.

12/15/2025

One of the coolest things about breast milk? Your milk volumes adjust to meet baby’s growth! But milk volumes don’t just keep going up forever—they follow a natural pattern of increasing, leveling off, and then gradually decreasing as solids take center stage.

Weeks 1–6: The Build-Up Phase
🥛Newborns start with tiny tummies—think 5–7 mL (a teaspoon!) per feeding in the first days.
🥛By week 1, they take in 1–2 oz per feeding (about 10–20 oz per day) to help them regain their birth weight
🥛By week 2–4, intake increases to 2–3 oz per feeding and we calculate milk needs by weight: Babies typically take 2.5 oz per pound of body weight per day, maxing out around 24–30 oz per day for most babies. A 7 # baby needs less milk than a 10 # baby. Most babies have several weeks of cluster feeding to get your body to slowly increase supply to reach your max

Weeks 6–6 Months: The Plateau
⏰Around 4–6 weeks, milk volume stabilizes! Your baby will likely continue taking 24–30 oz per day with little change until solids are well established.
⏰There is a range because everyone’s calorie count in their unique milk is different! Unlike formula which is a standard 20 calories per ounce, breast milk can range from 16-32 calories per ounce!!

6–12 Months: Gradual Decrease
🥕As solids become a bigger part of the diet, total milk intake may dip slightly (closer to 20–24 oz per day by 9–12 months)
🥝Some babies still drink more, some less—it’s all about how quickly solids become the main event

After 12 Months: Milk Becomes a Side Dish
👧🏽Around the first birthday, breast milk intake gradually decreases as table foods provide most of the nutrition
👧🏻Many toddlers still nurse several times a day (or just for comfort), but total intake is often 16–20 oz per day or even less

💡 Key Takeaways:
✔️ Watch your baby for their own optimal growth. How old they are and how much they weigh do play a role in milk needs
✔️ Everyone makes milk tailored to their own baby. It’s ok to see milk volumes fluctuate and even decrease with time
✔️ Babies don’t need more and more milk forever—your body adjusts milk composition instead!

12/14/2025

A head tilt in a baby often comes from tightness or weakness in the neck muscles. This can happen after a snug position in the womb, a quick or tricky birth, or simply from consistently resting in one direction during sleep or feeding. Sometimes a baby prefers one side because of oral tension, a tongue or lip tie, or even mild discomfort like reflux that makes turning one way feel easier. When a baby keeps their head tilted to the same side, you may also notice a flat spot developing, a strong side preference during feeding, or a tendency to look only one way when playing.

There are gentle things parents can try at home to help. Offering toys and faces on the non preferred side, switching arms during feeds, doing tummy time in creative positions, and holding baby so the weaker side gets more practice can gradually improve range of motion and comfort. Simple stretches taught by a provider can also make a difference, as long as they are done slowly and with baby’s cues in mind. If the tilt is persistent, getting worse, causing feeding issues, or not improving after a few weeks of intentional positioning, it is worth asking your pediatrician for a referral. Pediatric physical therapy, occupational therapy, bodywork, or a feeding evaluation can help uncover the root cause and guide a plan that helps baby move and feed comfortably as they grow. The sooner you spot it and address it, the shorter it usually takes to increase baby’s strength and symmetry.

12/14/2025

One of my favorite things about human milk is that it is alive. Breast milk is not the same day to day or even feed to feed. A 2024 study published in eBioMedicine adds another fascinating layer to this. Researchers found that the types and amounts of human milk oligosaccharides, also known as HMOs, shift depending on the time of year the milk is produced. In other words, your milk changes with the seasons.

HMOs are complex sugars found uniquely in human milk. Babies don’t digest them for calories. HMOs feed beneficial gut bacteria and help train the immune system.
HMOs:
•Promote growth of protective bacteria
•Block viruses and bacteria from attaching to the gut lining
•Support immune development and gut maturation

What researchers found was that season of milk production was one meaningful factor among many that influenced HMO patterns. During colder months, when respiratory and gastrointestinal infections are more common, specific HMOs appeared in different concentrations and patterns compared to warmer months.

These changes weren’t random. They were associated with measurable shifts in the infant gut microbiome. Meaning the types of bacteria living in a baby’s intestines changed alongside the milk they were receiving.

Let’s pause here, because this is where anxious thoughts can sneak in. If breast milk changes with the seasons, does that mean milk pumped in summer is “less protective” in winter Absolutely not. Breast milk given at any time is always beneficial. No need to micromanage your freezer stash, but do try to feed fresh milk when possible. This is just another cool reminder that your body is making amazing milk for your baby

Matharu D, Ponsero AJ, Lengyel M, Meszaros-Matwiejuk A, Kolho KL, de Vos WM, Molnar-Gabor D, Salonen A. Human milk oligosaccharide composition is affected by season and parity and associates with infant gut microbiota in a birth mode dependent manner in a Finnish birth cohort. EBioMedicine. 2024 Jun;104:105182. doi: 10.1016/j.ebiom.2024.105182. Epub 2024 Jun 4. PMID: 38838470; PMCID: PMC11215963.

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Monday	8am - 6pm
Tuesday	8am - 6pm
Wednesday	8am - 6pm
Thursday	8am - 6pm
Friday	8am - 6pm
Saturday	8am - 6pm