Lactation Works With Pauleen

Lactation Works With Pauleen International Board Certified Lactation Consultant based in Cape Town ~ available for private Hospital and Home consults and antenatal breastfeeding class.

Helping love to flow and babies grow beautiful.

11/03/2026

Thanks for this amazing, interesting interview Abigail. This is so helpful for other adoptees to watch!

Breastmilk is the best medicine, no doubt about it!  Apply to mosquitos bites and nappy rash as an anti-inflammatory, in...
11/03/2026

Breastmilk is the best medicine, no doubt about it! Apply to mosquitos bites and nappy rash as an anti-inflammatory, instil in nose and eyes as an antibiotic. Mom's breast milk is like a white blood transfusion full of alive stem cells and white blood cells, it's sweet and delicious and soothing, as it goes down baby's nose, much nicer that salty nose sprays!

🧠✨ A drop of breast milk… in the nose?
Science says it might help protect the brain!!!

A newly published clinical study explored intranasal administration of fresh mother’s breast milk for babies with hypoxic-ischemic encephalopathy (HIE).

HIE is a serious condition caused by reduced oxygen and blood flow to the brain around the time of birth and is a major cause of neonatal mortality and long-term neurological disability. 

Researchers investigated whether giving a small amount of fresh breast milk into the nose could be safe and feasible for these infants.

Here’s what they did:

• Fresh mother’s milk expressed within 4 hours was used
• 0.4 mL was placed in each nostril
• Given twice daily starting within the first 48 hours of life
• Continued until day 28

The results from the clinical study showed:
✔ The treatment was feasible in both the NICU and at home
✔ It was well tolerated with no adverse events reported
✔ Parents were able to safely continue the therapy after discharge 

Why might this work?
Breast milk contains stem cells, neurotrophic factors, growth factors, immune cells, and anti-inflammatory compounds that may support brain repair and neurodevelopment. 

The intranasal route is particularly interesting because it may allow substances to reach the brain through pathways connected to the nasal cavity, potentially bypassing the blood-brain barrier. 

This early clinical study mainly demonstrated safety and feasibility. Larger studies are still needed to determine whether it improves long-term neurodevelopmental outcomes. Still, it highlights something remarkable!!
Human milk is not just nutrition. It’s biologically active medicine.

Science is still uncovering just how powerful it can be. 🧬

Tarjanyi E, Jermendy A, Szabo M, Brandt FA, Szasz B, Nyilas N, Meder U. F-NEO-BRIGHT: feasibility and safety of intranasal fresh breast milk in neonatal encephalopathy. Pediatr Res. 2026 Mar 3. doi: 10.1038/s41390-026-04847-2. Epub ahead of print. PMID: 41776367.

Donor milk: giving hope and life to premature babies fighting for survival.Milk Matters
09/03/2026

Donor milk: giving hope and life to premature babies fighting for survival.
Milk Matters

Sometimes though, a mother is not able to provide the breastmilk her baby needs – and what alternative is used matters.

Thanks for sharing Julie. Yes I advise mothers to limit use of their silver caps and to not especially go out and buy a ...
09/03/2026

Thanks for sharing Julie. Yes I advise mothers to limit use of their silver caps and to not especially go out and buy a pair as they are pretty pricy. Macerated ni***es are a concern with them and the pressure they cause to the delicate, and mostly superficial milk ducts, found in the 3cm from ni**le area in the ar**la, I found can cause sensitive ni***es and blocked milk ducts if overused.Some mothers love them.
It is important to find the cause of ni**le sensitivity and damaged ni***es. Get help from a Lactation Consultant if you are not able to achieve a comfortable lacth and effective sucking.
I'm here to help,
Pauleen Nelson IBCLC Lactation Consultant, Midwife

7 Ways Moms Are Using Silver Nursing Cups Wrong (and What To Do Instead)

1️⃣ Wearing them dry
Many place the cups over the ni**le with completely dry skin
Instead:
Express a few drops of breastmilk into the cup before placing it on the ni**le. Breastmilk plus the silver cup helps create the moist healing environment that supports skin recovery. Just be careful not to marinate the ni**le in too much milk

2️⃣ Using them with ni**le creams or ointments
Silver cups are often layered with lanolin, ni**le balms, or ointments. This renders them ineffective for healing. It’s the actual silver touching the skin that promotes wound healing
Instead:
Use the cups alone (other than a small amount of breast milk). The antimicrobial properties of silver and the moist environment from breastmilk do the work. Adding creams can trap residue and reduce effectiveness and can increase the likelihood of infection

3️⃣ Wearing them too tightly against the breast
If the bra presses the cups firmly into the breast tissue, it can create pressure on milk ducts.
Instead:
Make sure the cups sit lightly against the ni**le only, without compressing the surrounding breast tissue. Excess pressure on the breast can contribute to plugged ducts and mastitis in some people. I’ve also see painful red circles around the ar**la that can cause engorgement

4️⃣Using them instead of fixing the root problem
Silver cups can help protect the skin, but they don’t fix issues like shallow latch, oral restrictions, or pump fl**ge problems
Instead:
If pain or damage persists, get help from a qualified lactation professional to address the cause of the trauma

5️⃣Not cleaning them regularly
Some assume silver never needs cleaning.
Instead:
Rinse with warm water and occasionally wash with mild soap. Dry thoroughly before reuse. If they tarnish make a paste with baking soda to scrub them clean

6️⃣Wearing them 24/7 without any air time
Some parents keep silver cups on continuously day and night.
Instead:
Give ni***es some periodic air exposure, especially if the skin becomes overly moist or macerated. Wear them 4 hours in, 4 hours off and remove them at least 30-60 minutes before feeding

7️⃣Ignoring signs of a silver sensitivity or allergy
Although uncommon, some mothers can develop metal sensitivity that causes redness, itching, rash, burning, or worsening irritation.
Instead:
If symptoms begin or worsen after starting silver cups, stop using them and see if the irritation improves. Some may do better with alternatives like breast shells or hydrogel pads.

✨ Silver nursing cups can be helpful for protecting sore ni***es, but they work best when used correctly and they don’t replace addressing the underlying cause of ni**le pain.

The days and nights are such a blur in those first 6weeks. A feed tracker is very helpful for most mothers.Time to stop ...
09/03/2026

The days and nights are such a blur in those first 6weeks. A feed tracker is very helpful for most mothers.Time to stop tracking feeds if it makes mom over anxious.

Baby apps have made it really easy to track exactly how long your baby spends eating

But the real question is… how important is all that data, actually?

Most parents track closely during the first ~6 weeks postpartum
This is when everyone is learning how to eat and many newborns are adjusting to the shocking realization they’re no longer connected to an umbilical cord

Tracking can be helpful during this time, especially for the big picture things we care about

• Making sure newborns are feeding AT LEAST every 3 hours
• Counting diapers
• Monitoring weight gain

But the exact number of minutes a baby spends feeding can vary a lot

Because feeding is a human skill
And every feeder feeds differently

• Timing can be helpful if something feels off
If your baby is actively nursing for 90 minutes but only sleeping 10 minutes before needing to eat again, that pattern is worth looking at

• The “15–20 minutes per side” rule is just a guideline
Some babies can transfer the same amount of milk in 6 minutes that another baby takes 30+ minutes
Different babies, different speeds

But feeding constantly without weight gain is just as much of a red flag as a baby who rarely feeds

It helps to watch the baby instead of the clock
A pain free latch with baby having open hands and a relaxed goes along with the bigger indicators of good eating:
• Steady weight gain
• 6+ very wet diapers in 24 hours
• Daily stools in the first 6 weeks

Over time many babies do get faster and more efficient at feeding. Don’t let growth spurts and cluster feeding or extra nursing always make you think the worst about milk supply or baby’s feeding

When parents ask me if they should track feedings, I usually ask one question: Are numbers going to ease your anxiety… or increase it?

For some families tracking is incredibly helpful when you’re exhausted and can’t remember the last feeding

For others it turns into a tiny spreadsheet that makes them second guess every feed

If you love tracking apps, totally fine! Just remember
babies are humans, not predictable gas tanks that need filled.
If something feels off, work with an IBCLC lactation consultant right away.

Did the app help or hurt you?

Thanks Julie.
08/03/2026

Thanks Julie.

'Hold the space around mom so that she can be mom.' Great advice Calie, thanks.
06/03/2026

'Hold the space around mom so that she can be mom.'
Great advice Calie, thanks.

"Here, let me hold the baby so you can do the things."

A phrase that sounds helpful. A phrase that has such good intention. A phrase that a new mom smiles at through pursed lips and a tight grip.
Here's the truth - new moms don’t want someone to hold their baby. They want someone to help hold everything else.

The laundry piling up. The dishes in the sink. The bottles that need washing. The texts that go unanswered.
The dinner that still has to be made. The quiet overwhelm they don’t know how to name yet. When you say, “Let me take the baby,” it sounds helpful. But what’s actually helpful is,
“Let me take care of the rest.”

Let her keep her baby. Let her learn that little face.
Let her memorize the weight of them in her arms. Let her take a moment to let her nervous system learn her baby is now on the outside. Let her learn how to care for it and learn it how she needs.

Hold the house. Hold the chores. Hold the space around her so she can just be a mom. That's the help she needs that she won't know how to ask for. In reality, at the end of the day, baby just wants and need to be held by mom & mom needs to be held by everyone else.

Amy McGlade reassures mothers that each baby is built different.
06/03/2026

Amy McGlade reassures mothers that each baby is built different.

This is a photo of two healthy, exclusively breastfed three month olds . One is chunky. One is lean.

Neither is “too much” or “not enough.”
They’re just… different. Normal. Perfect.

When they start crawling, things will shift.
Baby rolls melt. Muscle builds. Bodies change.

But right now?
They’re both exactly as they should be.

Stop comparing.
Your baby isn’t behind, they’re growing at their own perfect pace.

Share this to remind another mama,
every baby grows differently.

Was your baby a chunky monkey or a skinny mini?

05/03/2026

Congratulations to Jaylin and Ashlee, Ace is a beautiful boy. Thanks for giving other dads such practical advise! I agree, read the baby for hunger and satiety cue, and stop reading Dr Google.

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Cape Town

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