10 tips for helping babies learn to roll

Rolling is one of baby’s first significant motor milestones. Hello, mobility! Not only is rolling the first step in developing postural control (important for later development of fine motor skills such as handwriting), it is also important because it engages a part of the brain responsible for making the left and right sides of the body “talk” to and coordinate with each other (important for reading, writing, and developing higher motor skills). Cool, huh…or am I the only nerd in the room?

Some babies are ready to roll from the get-go, while others take their time. On average, babies tend to first roll from tummy to back between 2-5 months, from back to side between 4-5.5 months, and from back to tummy between 5.5-7.5 months. Regardless of whether babies take the fast or slow road to rolling, their bodies begin preparing to roll wayyyyyy before they ever flip themselves over that very first time. And, guess what? YOU get to be a part of that preparation!

Here are 10 tips for helping babies learn how to roll:

1. Set down and pick up baby while shifting his weight to the side in a rolling motion. You can start this one as soon as baby is born and — guess what? — it’s super easy to incorporate into your daily routine. You can do this with every diaper change and sleep session which means, for a newborn, it can add up to 20 or more times a day. That’s a lot of practice!

Here’s how you do it: Sit baby on his bottom and roll him over to the side while setting him down. He will automatically try to keep his head from falling out of line with his body (a reflex with which babies are born), strengthening the muscles on the sides of his neck. This move also allows him to practice pushing against the floor with the arm on the way down. Simply reverse this motion when it’s time to pick baby up. Be sure to practice rolling baby to both sides throughout the day…we don’t want a baby who only moves to one side! Check out the photos below or watch a short video demonstrating this maneuver by clicking here.

baby rollingbaby rollingbaby rolling

baby bouncer2. Minimize time spent in baby equipment. This includes baby swings, bouncer chairs, play saucers/jumpers and, yes, even car seats (though car seats should ALWAYS be used while baby is in a vehicle). The only way babies develop new motor skills is through experience, practice, and trial & error, so for every minute they are in baby equipment, that’s a minute of lost experience. Don’t get me wrong, baby equipment is super helpful for busy caregivers and fussy babies, and it makes for great photo ops for that adorable baby scrapbook you’ll never get around to completing. I’m currently writing a post on this very topic (baby equipment, not hopeless photos…we all know that scrapbook will never happen). We just don’t want babies spending the majority of their waking (and sleeping) hours confined to spaces and equipment preventing them from practicing their new and exciting motor skills.

tummy time3. Allow baby plenty of tummy time during the day. All of a baby’s major motor skills develop from the tummy time position, which is why it’s so important for babies to practice being on their tummy. Time spent on the tummy helps babies strengthen their neck and back muscles necessary for arching against gravity and, eventually, rolling. In general, babies fully lift their head off the floor during tummy time by 2 months, hold their chest off the floor between 2-4 months, and bear weight on their hands while in prone between 4-6 months. I know, the majority of young babies hate tummy time with a burning passion. You’d scream too if you were stuck with your face on the floor! If this is the case for the baby in your life, you’re in luck! Check out my earlier post to learn seven tips for making tummy time less miserable by clicking here.

baby playing on back4. Allow baby to play on her back while helping her move through “rounded” positions. Playtime on the back is just as important as tummy time, especially when baby has the opportunity to move into and out of a rounded position. We want babies to develop a good balance of extension (learned in tummy time) and flexion (learned in playtime on the back) as they grow and learn new motor skills; we don’t want one position overpowering the other. This rounded position is easy to achieve because most young babies prefer to be on their back, plus it allows caregivers to easily interact with and entertain them. Playtime on the back can take place on any flat surface — even in your lap — as you sing, read, or talk while providing flexion in baby’s knees, hips, and/or trunk.

baby laying on side5. Allow baby to play on his side. You can use toys, mirrors, books, or the most exciting toy — your face! — to engage him in the side lying position. He may need help staying on his side when he’s younger, and this can easily be done with your hand, foot, or a rolled up receiving blanket wedged behind his back. As he becomes more comfortable on his side, he will begin to cross his top leg over to the floor…this is how he will initiate the roll to his tummy!

6. Allow baby to spend roughly equal amounts of time on all four sides of the body: tummy, back, left side, right side. This gives baby’s body exposure to all positions involved in rolling as she strengthens her neck, trunk, and arms. It’s also good for preventing the formation of flat spots on the back of her head which, if you ask me, is incentive enough to mix things up throughout the day. Try to vary baby’s position about every 15-20 minutes.

7. Encourage baby to play at (and cross) midline. All movement is performed in relation to the center of our bodies, and the ability to roll is dependent on a baby’s ability to come to (and cross) that invisible line in the middle of his body. The great thing is, our center moves with us wherever we go, so midline play can be done lying on the back or the side. Babies generally develop the ability to play with their hands in midline between 1-3.5 months (while on their back), and are able to look with their head in midline in this position between 4-5 months.

baby playing at midlinebaby gym

8. Encourage baby to separate movements of upper and lower body. Newborn babies are wired to keep their body in one line, so they’ll do a “log roll” if you try to roll them over. The “segmental roll” typically develops between 4-5 months, as they are able to twist and dissociate the movements of the upper and lower body while initiating the roll with their hips. Once baby is comfortable playing at midline in the rounded position mentioned earlier, you can go ahead and move her back and forth through these twisting positions to the rhythm of your favorite children’s song (Row, Row, Row Your Boat has won critical acclaim in our household). Start with both legs moving together, then progress to helping baby grab one foot with the opposite hand. Pause for a second after each twist in order to give baby’s body a chance to register the movement, then proceed and let the good times roll!

baby playing on back with mom

mom holding baby facing out9. Carry baby in a “tucked”, face down, or sideways position. Who knew rolling could develop from being carried? You can carry baby around the house this way or, better yet, you can DANCE WITH YOUR BABY! Turn on some music, get in front of a mirror for baby’s viewing pleasure, and move her through space in all of these positions as you bounce and sing and smile. You’d be surprised how much babies love this one! Be sure to STOP every 30 seconds or so to take a 10-second break in order to give baby’s nervous system a chance to fully process and adjust to the movements (their system will sort of “tune out” the movements if you keep going long enough).

mom holding baby in airmom holding baby in air

baby sling10. Wear baby in a carrier that keeps her legs together or in a frog-like position, rather than separating her legs into a straddle position. These carriers encourage engagement at the midline which, as noted previously, is important in the development of rolling. Such baby carriers include various over-the-shoulder slings and commercial brands such as Moby Wrap or Baby K’tan.

So there you have it! Ten ways to help babies learn how to roll. Don’t go overboard with this stuff. We’re not training babies for the Infant Olympics! Start with the basics, have fun, and let the baby be your guide. Share this information with people you know who may find it useful…the more who know about it, the better for our babies.

Time to get rolling!

Developmental milestones referenced from HELP Strands, a curriculum-based developmental assessment used in pediatric therapy for ages 0-3.

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One tip for introducing scissors: Use playdough!

Have you ever tried to teach a little one how to use scissors? It’s really hard! Not only do they have to figure out how to divide up their fingers in order to operate the crazy things, but they also have to learn how to open and close them, as well as how to hold the material they are supposed to cut. Talk about a challenge for fine motor skills and bilateral coordination!

Beginner scissor skills typically involve learning how to perform one short snip at a time (around 2 years old) and how to make several short snips in a row along a line (around 2 1/2 to 3 years old). Then, as children enter preschool, it gets more advanced from there.

So how can you possibly teach a toddler to use something as complicated as scissors?

Use playdough!

Playdough is the perfect medium for introducing scissors because many toddlers are already familiar and comfortable with it, you can easily make it yourself, you can control the size and shape of the piece to be cut (big and flat, long snake, etc.), and you don’t have to throw away the tiny pieces that get snipped off…you can just smash them all together or make a new creation once you’re done!

Playdough is also great because it provides a good deal of “feedback” to a child’s hands, telling their little paws how much resistance there is and, subsequently, how much pressure to use as they snip away. This feedback is an important contributor to the development of fine motor strength and overall skilled use of the hands.

Additionally, snipping playdough is a nice introduction to bilateral coordination, teaching kids how to use one hand to perform a skill (snipping with scissors) while the other hand acts as a “helper” (holding the playdough). Can you think of another task like this which kids must perform as they get older? Fine, I’ll tell you: HANDWRITING.

One way to make playdough snipping fun is if kids pretend they’re making food for their animals or dolls. Two to three year olds are great at pretend play and, for some reason, I find they love to feed their toy animals and dolls. This is especially true if you — the mature adult — join in by snipping along and making outrageous “eating” noises. You know what I’m talking about: num num num! mmmmm! yummm! chomp! Seriously, kids get a huge kick out of grown ups making eating sounds.

As far as scissors go, you can spend money on buying “playdough” scissors (which are fully plastic, no metal blade, and typically come as part of an expensive playdough kit), or you can head to your store of choice (I like my local dollar store) and pick up some toddler safety scissors. It really depends on the child, so it’s up to you.

Get creative with your playdough snipping and, before you know it, those little ones will be on their way to skilled scissor use.

Happy snipping!

 

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Recipe for Easy Homemade Play Dough

Who doesn’t love play dough?

Play dough

Play dough is great for so many reasons (like how it challenges fine motor, sensory processing, and pretend play skills), but it can get expensive, especially if kiddos decide to mix together several colors before putting them back into those tiny plastic pop-top containers.

So why not just make it yourself?

It’s so easy, uses regular ingredients you already have in your cupboard (with the exception of cream of tartar), and takes no more than 10 minutes. Plus, you know exactly what is in the play dough, so you don’t have to totally freak out when (not if) kids put it in their mouth. Here’s how you do it:

Ingredients for easy homemade play dough:

  • 2 cups water
  • Several drops food coloring (I used 10 drops and wish I would have used more)
  • 2 cups flour
  • 1 tablespoon oil (vegetable, olive, canola…whatever you’ve got in your cupboard)
  • 1 teaspoon cream of tartar (you can find it in the spices aisle at the store)
  • 1 cup salt (don’t be fooled, this is A LOT of salt)

Directions:

In a large pot, mix water and food coloring. Then add the rest of the ingredients.

Cook over medium-high heat and stir with a wooden spoon (not a spatula, too flimsy) for about 5 minutes until the consistency is thick like…well…play dough. The longer you cook it, the harder it becomes, so keep an eye on it and take it out as soon as you like where it’s at.

That’s it. You’re done! CAREFULLY remove hot play dough from pot and allow to cool.

Once your play dough has cooled enough to touch, it’s time to play! What are you (ahem…I mean, the kids) going to make?

A birthday cake?

A happy face?

Once you’re ready to put the delightful batch of dough away, you can store it at room temperature in a simple, airtight container such as a gallon-size ziploc bag. This way it’s always soft and easy to take it along with you. Plus, as mentioned in a previous post, the zip seal will challenge the little rascals’ fine motor skills every time they open and close the bag.

You could also provide smaller portions for little hands by dividing your batch into plastic pop-top baby food containers (like with Gerber baby food) or small plastic containers from the dollar store. Also a great challenge for kids’ fine motor and bilateral hand skills.

Good luck with your play dough adventures, and don’t forget to have fun!

 

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Official launch of Mama OT!

After several months of dreaming and brainstorming, I am excited to announce the official launch of Mama OT. My vision for this blog is that you will find practical tips and tricks to care for children, whether you are raising your own or caring for someone else’s. These tidbits of insight are inspired by my many adventurous experiences as both a new mom and pediatric occupational therapist.

You have no clue how many ideas are swirling around in this sleep-deprived brain of mine! Someday I hope to expand into a greater range and number of topics (pregnancy, product reviews, issues related to children older than 5…oh the ideas!), but for now I will keep it simple and stick to the categories you see on the right-hand side of the home page. You can read more about me and the story behind this blog by hopping over to the Who is Mama OT? page.

Go ahead and check out the few pages and posts I’ve already written in order to get things rolling. If you like what you see so far and want to be kept in the loop, consider subscribing to this blog or adding me to your Google Reader so you can be updated of new posts. And if, after you subscribe (hint, hint), you think one post in particular is totally awesome, feel free to share it on Pinterest by clicking the “Pin it” button at the bottom of each post.

Can’t wait until the next post to hear from Mama OT? Then climb aboard and follow me on Pinterest — simply click the button on the right-hand side of the home page that says “Follow me on Pinterest”. Easy peasy.

So have fun clicking around, leave a comment or two, and stay in touch as Mama OT moves forward!

 

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Don’t throw out your broken crayons!

“No! Don’t break that…(crack!)…crayon.”

Sound familiar?

I know, you hate it when kids break stuff. It means toys have been ruined and money wasted.

But, thank goodness, it’s not true when it comes to crayons! They are actually better when they’re broken.

Here’s why.

Kids develop the ability to grasp and use a writing utensil in a fairly predictable progression, as demonstrated in the picture below (though there is some variation in names used for the first three grasps):

Sometimes, however, kids will get “stuck” in one grasp and have a hard time trying out more mature grasps. The solution?

Give them a crayon that’s been broken in half.

This naturally encourages them to “pinch” the crayon between their thumb and index finger, moving them into a more mature and skilled grasp pattern. The reason is simple — it’s hard to use a cylindrical or digital grasp on a short crayon.

Don’t believe me? Try it for yourself.

I actually encourage parents of young kids to break crayons in half in order to promote more mature grasp patterns as they develop their fine motor skills (be sure to remove the paper, though). And, as an added bonus, it gives you twice as many crayons so there are more to go around!

So the next time you feel the urge to go out and buy more crayons because the ones you have at home are broken, think again! Those broken, washed up crayons are just waiting to be used to help your little ones with the development of their fine motor skills.

Photo credit for image 2.

 

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10 principles for helping baby sleep through the night

Ahhh, sleep. Probably the most hotly debated topic in all of baby-rearing. It seems everybody’s got an opinion, quick fix, or one-size-fits-all solution when it comes to baby sleep. As a mom whose baby has struggled with and fought sleep for months on end, I can personally vouch for the fact that the world is full of conflicting advice and so-called “experts” who can barely agree on anything when it comes to baby sleep.

On behalf of sleep-deprived parents everywhere, I just want to walk up to this panel of experts, grab them by the shoulders, and say, “JUST GIVE ME THE FACTS!” It shouldn’t be that hard, right? There are facts about the best ways to help babies sleep, aren’t there? We don’t just have to leave it to generational fads and the unsolicited opinions of well-meaning strangers, do we?

No. We don’t.

Like many sleep deprived parents, I have desperately turned to peers, family members, and books and websites devoted to helping my sleepless baby (and his mama) sleep better. Despite conflicting information and heated debates, it seems there do exist some universal truths about baby sleep. Imagine that! They have simply become lost in the shuffle. After personally sifting through tons of murky info, it seems “experts” would likely agree upon the following 10 sleep principles no matter what their approach to helping babies sleep through the night.

Once you understand these 10 principles and are ready to further pursue specific strategies for how to actually help your baby sleep better, go ahead and check out the links at the bottom of this post. They should help you make a more informed decision about what your next step should be in this whole sleep thing.

Ready? Here we go:

1. Sleep begets sleep. Don’t buy into the lie that keeping a baby up all day will result in a longer stretch of sleep at night! It’s just not true. One of the number one reasons babies wake frequently at night is due to the fact that they are “overtired”. Seems counter-intuitive, I know. But think about it. You know how, as an adult, you can get a “second wind” after you’ve been feeling tired? The same thing happens with babies. They get really tired because they’ve missed out on some portion of sleep or have been awake for too long, so their brain sends out a signal to give them the equivalent of a second wind. So now their brain thinks things are fine, when really their body is begging for sleep, and what do you get? An overly tired baby who fusses and cries and yawns and rubs his eyes and SCREAMS, but who just can’t seem to fall asleep or stay asleep. His body just can’t relax enough. This is why daytime sleep is oh so important. The longer and more consistently a baby naps during the day, the better chance he will have at being able to sleep longer at night, and vice versa.

2. Understand what “sleeping through the night” really means. When a baby “sleeps through the night”, it means he gets about 5-6 hours of sleep (typically midnight to 5:00 or 6:00am) without waking for food or comfort. But that’s not “through the night”! you may object. Well, sorry to burst your bubble. I know it’s not for you, but it is for your little baby. As he gets older he will be able to sleep longer, maybe even up to 10-12 hours uninterrupted. But starting out, set your standard at 5-6 hours and then you can be realistic in your expectations.

3. Understand when babies are developmentally capable of sleeping through the night. Many sources report babies are capable of sleeping through the night (remember, this means a 5-6 hour stretch) by 2-3 months. However, that doesn’t mean all babies will sleep through the night by this age. Some may not reach this coveted milestone until they are 9-12 months…maybe even older. When they can sleep through the night and when they do are two very different things, and this is often affected by factors such as temperament, sleep habits, and sleep environment. Continue down the list to see what I mean.

4. Address the underlying cause first. While it may be “easier” to pick up a book or hop on a website to find out how to make your baby sleep better (maybe that’s why you’re reading this post?), you must first identify and address the underlying cause of baby’s sleep difficulties. Is she getting enough nutrition during the day? If she’s genuinely hungry, how can she be expected to sleep through the night? This has been a big one for us, as our little one has refused the bottle from an early age even though his mama works outside the home. Hungry baby = sleep-deprived baby = overtired baby = no fun for anyone. Are there underlying health issues that must be addressed? If she is sick, teething, or dealing with something painful like gas or reflux, then those things need to be dealt with before she can really relax and begin to sleep more peacefully. Is her sleep environment comfortable and conducive to sleep? Would you be able to sleep well if the sheets were scratchy, temperature of the room (or your body) was too hot or too cold, sun shone through the curtains, and you could hear everything going on in the house? Well, neither can baby. I’m sure you could think of other examples of underlying causes that must be addressed in order to help baby sleep, so for the sake of brevity, let’s move on.

5. Consider the TOTAL number of hours your baby sleeps in a 24-hour period. This is really the most important number to keep track of when it comes to making sure your baby is getting enough sleep. Yes, it would be magical if he slept 10 straight hours at night. But check out the numbers below to see where your baby is at (thanks to BabyCenter.com) before making any drastic changes to his sleep schedule.

Age Nighttime Sleep Daytime Sleep * Total Sleep
1 month 8 8 (inconsistent) 16
3 months 10 5 (3) 15
6 months 11 3 1/4 (2) 14 1/4
9 months 11 3 (2) 14
12 months 11 1/4 2 1/2 (2) 13 3/4
18 months 11 1/4 2 1/4 (1) 13 1/2
2 years 11 2 (1) 13
3 years 10 1/2 1 1/2 (1) 12
*Note: number of naps in parentheses

6. A baby’s temperament will affect the nature of his sleep. Some babies are easy-going, some are angels, some are sensitive, some are spirited (code for “screamers”), some are strong-willed. Some are social sleepers, some need their space. The list goes on. Most will exhibit a combination of traits, but many will also find one trait to be the leader of the pack, so to speak. My baby? Strong-willed, spiritedsocial sleeper. I envy those whose sweet, easy-going angel babies peacefully drift off to sleep in their own crib as soon as they show the first sign of fatigue and seem to go with the flow no matter what. That has certainly not been the experience in our household! So, like I said, a baby’s temperament can certainly shape the way in which he interacts with and experiences sleep, thus, it will influence the approach to sleep taken in each household (and with each individual child). So the next time you’re tempted to compare your baby with little Josie down the block who slept through the night at 3 weeks, just remember this baby is different than that baby. It’s unfair to compare the two (ohhhh, but it’s so tempting!).

I would also like to include a note about the importance of developmental stages in this conversation about temperament. As babies get older (around 7-8+ months), they begin to figure out how their behavior controls their caregiver’s behavior. This may mean they begin screaming more prior to nap/bedtime in an effort to either avoid sleep or gain your attention (they know from experience if they scream long and loud enough, you will come in, pick them up, and give in to whatever they want). They also tend to develop separation anxiety around this age as well. It is important to understand where your baby is developmentally in order to accurately determine how you are to approach their sleep issues.

7. Babies benefit from consistent routines. When a baby is born, she enters a world filled with unknowns. Back in the womb, everything was pretty much the same — dark, warm, snug, and filled with whooshing noises. But things are wildly different out here in the real world and, all of a sudden, baby has no idea what to expect. This is why a baby will often respond very well to consistent, predictable routines that signal to her what’s coming next. Once learned, they can offer her a sense of security, something that was lost the second she entered the world. While this principle can really be applied to any area of a baby’s life, it can be especially true when it comes to sleep. Now, this doesn’t mean you are doomed to putting baby down at the exact same time in exactly the same way in exactly the same circumstances every single day until she reaches adolescence. That would be unrealistic and impractical. But it does mean that, when you are starting to work on her sleep, one of the first things you’ll be encouraged to do is established a flexible yet consistent pre-sleep routine if you haven’t already. Many of the resources at the bottom of this post discuss the process of establishing pre-sleep routines in greater detail, so I will leave it to them if you’d like to learn more.

8. Babies form sleep associations. We often “train” our babies to associate certain events and objects with sleep without even realizing it. Some sleep training approaches advocate against the use of sleep associations while others advocate for them. Regardless of your opinion on the value of sleep associations, the truth is they exist whether we like it or not. Some sleep associations provide sensory input that impact the baby’s physiological state and allow her to calm, such as swaddling, massage, bouncing, back patting, white noise, or sucking. Other sleep associations provide psychological comfort that allows for calming, such as a particular book, blankie, or goodnight song. Still other sleep associations provide both sensory and psychological comfort, such as a pacifier, thumb, bottle, or the act of nursing. If your baby is relying on a particular sleep association to fall asleep in the first place, then the theory is she will need that same sleep association in order to go back to sleep in the middle of the night. So before you start working on your baby’s sleep, take a moment to figure out what her sleep associations are and what purpose they are serving (physiological, psychological, or both). Then you’ll be better able to determine what kind of method you’d like to take in pursuing sleep training.

9. Babies’ sleep patterns are constantly changing. Like it or not, babies’ patterns and routines change more quickly than their diaper sizes. If you told me right now what your baby’s sleep patterns are like, chances are they will be different 10 days from now. For some parents this is reassuring and is met with a resounding, HOORAY! For others it’s not so good news because it means their 12-hours-straight-per-night sleeper may have some rough patches ahead of him. And whether your baby is a “good” sleeper or a “bad” sleeper, all will encounter things that interrupt their sleep such as teething, sickness, travel, developmental milestones, and more. This is why it’s more important to establish healthy sleep habits and address underlying causes than it is to find the perfect “quick fix” to cure your baby’s sleep problems. You want to help your baby make changes that will endure, right?

10. It’s only a problem if it’s a problem for YOU. As long as you, your family, and your baby are okay with how things are going on the sleep front, then change isn’t necessary. Who cares if so-and-so’s kid doesn’t ever wake for a feeding, snuggle, or diaper change in the middle of the night. Even if they talk your ear off about what you should do about your baby’s sleep, the way you respond to your child’s sleep is your call, not theirs. Don’t feel like you’re being forced to make any changes. The choice is yours.

. . . . .

If, after reading these 10 principles, you’d still like some more specific techniques for helping your baby sleep through the night, then go ahead and check out the following links below. I have only listed sleep resources that either I have personally used or that have been personally recommended to me by trusted friends because they worked for them. There are plenty more books and methods out there, so this short list is simply a place to start. Follow the links, read the official summaries of books that pique your interest, and do more research on your own if you must. Remember to always put baby on her back to sleep during the night, and closely supervise any daytime naps spent on her tummy. I hope this helps!

1. The No-Cry Sleep Solution: Gentle Ways to Help Your Baby Sleep Through the Night. By Elizabeth Pantley.

2. Healthy Sleep Habits, Happy Child: A Step-by-Step Program for a Good Night’s SleepBy Marc Weissbluth, M.D.

3. The Happiest Baby on the Block: The New Way to Calm Crying and Help Your Newborn Baby Sleep Longer. By Harvey Karp, M.D.

4. Secrets of the Baby Whisperer: How to Calm, Connect, and Communicate with Your Baby. By Tracy Hogg & Melinda Blau.

5. BabySleepSite.com. Helping You and Your Child Sleep. An interactive website offering sleep information, weekly emails, and personalized sleep plans for you and your family.

***6. On Becoming Baby Wise: Learn How Over One Million Babies Were Trained to Sleep Through the Night the Natural WayBy Gary Ezzo & Robert Bucknam, M.D. (See comments below regarding medical downsides to this popular approach)

. . . . . 

What principles and resources have you found to be helpful in your quest to get your baby to sleep through the night? 

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Three tips for making pumping less painful and awkward

If you’ve ever used a breast pump, then you know how potentially painful and awkward it can be, especially if you do so on a regular basis. I mean, seriously, putting on plastic cones attached to a device that sucks milk out of you is not exactly the classiest or most comfortable thing you’ll ever do in your life. I remember the first time I used a breast pump, I literally laughed out loud. It was so weird! Our lactation consultant from the hospital was absolutely amazing and, thanks to her, I was able to successfully nurse my starving baby despite the fact that I wasn’t producing any milk the first two days of his life (not uncommon with C-section deliveries).

Not only did our lactation consultant single-handedly save my nursing relationship with my baby, she also saved me the trial and error of trying to figure out how to get comfortable while pumping. Since many nursing/pumping moms never get the chance to work with a lactation consultant (which is such a shame!), I thought I’d pass along a few tips for how to make pumping a little less painful and awkward.

Use the right size breast shields. A too-small shield will compress milk ducts, cause friction, and may actually decrease milk supply. A too-large shield will fail to create an effective seal and may pull on too much tissue (ouch!). A just-right shield will cause minimal discomfort while allowing for smooth movements and efficient emptying of milk ducts. Regardless of whether you use a manual or electric pump, the majority of women find a good fit with the 27mm shields. You can think of the 27mm as the “large” size, however, I believe most pump kits come with size “small” or “medium” shields (21 mm or 24mm).

No matter how frequently you pump, you need to use the right size shield! I’m telling you, don’t mess around with this one. You really won’t know what size you need until after you have your baby and have started nursing, so that’s a bit of a bummer. If you give birth in a hospital and are planning to nurse for any amount of time, ask to meet with their lactation consultant and have them get you the right size shield! And if they don’t have one, seek one out so you can get started on the right foot. You can also contact your local La Leche League and WIC agency for additional support. Click here to read more about how to determine whether your shields are too big, too small, or just right.

Coat your breast shields with lanolin (or some comparable product). This is one the pumping manuals never mention, but it really is the best kept secret when it comes to comfort. Not only is lanolin great for direct application to the skin to soothe irritated skin, it also allows for better suction, smooth gliding, and minimal friction while pumping. So whether you pump a few times a week or several times a day, it will save you from getting the equivalent of a rug burn on your life giving, newly sensitive, often-abused body parts. Simply apply a little bit of lanolin to the inside “neck” area of each breast shield (coating slightly above and below the neck as well) and you’re good to go. I prefer Medela Tender Care, but there are many good brands out there, and a small tube will last you several months even if you pump every day. Though I’ve heard of some people using olive oil in a similar fashion, lanolin is much less messy, easier to clean, and more transportable for those of us who have to pump on-the-go.

Use a hands-free pumping bra. I’ll be honest, this one is a little weird. Every picture advertising these products shows some half-naked woman working on a laptop or laughing and talking on the phone while wearing her hands-free pumping bra. I almost didn’t buy one just because of the outlandish photos. But don’t let the cheesiness of the ads deter you from investing in one of the most useful pumping products you will ever own! Seriously, it is that helpful. Whether you prefer double or single pumping, manual or electric, a hands-free contraption is the way to go. I mean, think about it. How are you supposed to scratch your nose, adjust the pump’s intensity, or play Angry Birds when your hands are holding on for dear life to the breast shields? Trust me, you don’t want spilled milk all over your pants because you tried to secure both shields with one arm while using the other arm to adjust the pump or wipe spit-up off your sweet baby’s face. And, honestly, your arms just get tired from holding those things up for 15-20 minutes at a time.

If you don’t want to invest the money, you could also cut holes in an old sports bra to accomplish a similar outcome. However, the fabric will get stretched out after a few uses and you’ll end up having to support the shields and bottles with your hands anyway. Pumping bras are made precisely to avoid that problem and are also adjustable so you can change how tight or loose they are with each use. I decided to go with the Simple Wishes brand. You can read more about successfully engaging in hands-free pumping by clicking here. It might seem like a silly waste of money but, SERIOUSLY!, invest in one of these. You’ll be glad you did.

What strategies have you discovered for increasing the comfort and decreasing the awkwardness of pumping?

*This post contains Amazon affiliate links, which means if you click through and end up buying something awesome, a small percentage of the purchase price will help Mama OT buy more diapers (at no extra cost to you). It’s a win-win!

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