Nancy's Talks
          Webinar
          September 18, 2014
          Park Ridge, IL
          September 27, 2014
          Milwaukee, WI
          October 15, 2014
          Ithaca, NY
          October 23-24, 2014
Atlantic Health System
          Summit, NJ
          October 27, 2014
          Nieuwegein, Netherlands
          November 7, 2014
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“Best speaker I’ve heard in a long time. Nancy is expert and wise & has an incredibly broad & deep fund of knowledge.”

“[Nancy] is gifted…great speaking voice and a talent for getting the information across in an understandable way—evidence-based and interesting.”

“Wonderful! Made a difficult topic very simple to understand.”

“An extremely good presentation with excellent research, thought-provoking, up-to-date, practical.”

“Just went to a three-day conference. This two-hour talk was as valuable.”

“Really good use of applied research.”

“Nancy speaks in a manner easy to understand--very down to earth & knowledgeable. Great information.”

“This is the BEST talk I’ve ever heard on the subject—very practical!!”


Thursday
Jul312014

Don’t Miss It! Breastfeeding Solutions App FREE August 1 to 7 

This year my World Breastfeeding Week (August 1-7) gift to the world is to make my newly redesigned Breastfeeding Solutions smartphone app (usually $4.99) FREE to everyone. No need for a promo code. For this limited time, my app will simply be FREE from AMAZON'S APPSTORE (for Android phones) and the APP STORE (for iPhones). Due to Google Play’s pricing rules, it will be 99 cents there.

Download it now AT NO CHARGE, and all future updates will be FREE, too.

To see how my app works, check out its 2-minute YouTube video. You are also welcome to share the above image. The badges below are direct links to download the free app.

Will you please help me spread the word? I’d love for my friends around the world and the mothers they help to take advantage of this unique opportunity to take my app for a test drive.

Happy World Breastfeeding Week!

Reviews of the Breastfeeding Solutions App

KellyMom.com: "Need a great breastfeeding app? The Breastfeeding Solutions app by Nancy Mohrbacher, IBCLC, FILCA is it! I installed it as soon as it was available, and have found it to be easy to use, and full of excellent information."

Best for Babes Foundation: "It appears that Nancy Mohrbacher, IBCLC, FILCA has created the WORLD'S BEST BREASTFEEDING APP. If you don't want to waste hours googling answers to your breastfeeding issues, or reading through thousands of threads, this app is for you." 

Elise F. (mother-to-mother breastfeeding counselor): “I find myself using the app all the time when responding to questions from new moms.  It's easy to navigate and gets me to the answers I need quickly.  I am also able to use it as a sort of 'checklist' when sharing info with moms to make sure I've not forgotten anything.”

Radiolana: “An app written with the new mother in mind—concise and respectful troubleshooting with links to information for further reading. Have seen no app better than this!”

amaag4: "Just recently I became concerned with my BFing supply. I was very worried and google was giving me mixed answers. An LC in my area posted this, so I decided to buy it. Within the first 10 seconds of looking through the app I found exactly what I was looking for. I can't wait to read through other concerns!"

Dana Thomson: "Worth every penny! Helped save my breastfeeding relationship! I recommend this to anyone who wants to breastfeed. Regardless of whether or not you have a problem."

Friday
Jul112014

Free Apple Downloads of Breastfeeding Solutions v1.3

Focus groups of new mothers tell us that the most common reason many supplement with formula and wean earlier than planned is confusion about baby and breastfeeding norms. When I learned this, I asked myself the question: “How can I get an easy-to-use, low-cost breastfeeding resource into the hands of more new mothers?” The answer was my Breastfeeding Solutions smartphone app.

As you can see from these images, my app now has a fresher, more modern look. I have also reduced its price from $6.99 USD to $4.99 USD to make it more affordable.

My hope is to provide an alternative to random googling (which can be hugely time-consuming and lead to questionable sources) and to give many more mothers easy access to fast, reliable breastfeeding answers from the moment their baby arrives. You can help me make this happen by:

  • Sharing the link to the 2-minute YOUTUBE VIDEO DEMO
  • Downloading the app’s UPDATED FLYER (click on "Share" then the light gray "Download") and spreading it far and wide

Thanks in advance!

What’s New in Version 1.3

Along with its new look and feel, my son Ben (my app builder) and I made other user-requested improvements:

  • Larger line drawings
  • More index links for faster, easier access to more information
  • Navigation bar now attached to the top of the screen for easier browsing.
  • A clearer font  and updated styling
  • Articles section renamed Browse to clarify its purpose

Lessons Learned

I appreciate that unlike a book, an app allows me to send updates automatically. Once you’ve downloaded the app, there’s no need to buy a new edition. When you're notified of an update, just touch the “Update” button, and you receive the new, improved version instantly.

But I’ve also discovered a disadvantage to an app. With every update, the app’s reviews disappear from the Current Version tab of Apple’s App Store. Yikes! This is a problem because apps without current reviews appear lower on the App Store’s listings, so fewer mothers see them. Also mothers are less likely to take a chance on an app with no reviews on the current version.

Rewards for Apple Reviews

That’s why I’m hoping for your help. With this update, there are now no reviews of the app’s current version in the App Store. If you’ve found any aspect of my work useful and you have an iPhone or iPad, please consider helping me by submitting a review of the current version. Clicking the link below from an Apple device will take you directly to the app’s page in the App Store.

If you submit a review of the 1.3.1 version of the Breastfeeding Solutions app, as a thank-you, I will send the first 15 people whose App Store review is published a promo code for a free download of the Breastfeeding Solutions app onto any Apple device. This promo code can only be used once, and it expires 20 days after you receive it. You may share this promo code with a deserving pregnant or breastfeeding mother, a colleague, or anyone you choose.

As an FYI, it takes a few days for a submitted review to appear in the App Store. So be patient. After your review appears, just notify me by email at nancy@nancymohrbacher.com. If you are one of the first 15, I will send you a unique promo code and instructions on how to redeem it.

Android Users Can Help, Too

If you’re an Android user and you haven’t yet submitted a review, it would also be of tremendous help for you to do so now, either in Google Play or Amazon. Clicking on the links below from your Android device will take you right to the app’s page in both stores.

Supporting the Larger Breastfeeding Cause

As with its previous version, a portion of every app sale goes to the Best for Babes Foundation® to help beat the Breastfeeding Booby Traps® – the cultural and institutional barriers that prevent mothers from achieving their personal breastfeeding goals. The Best for Babes seal of approval is still prominently featured on the app’s new home page, and links to the app are featured on the Best for Babes online shop.

When you recommend Breastfeeding Solutions, you provide reliable help to the mothers in your circle and you support the larger breastfeeding cause. I appreciate your help in spreading the word. It means a lot to me!

 

Thursday
May292014

Free Publicity?

What business wouldn’t love free publicity? Well, for one, lactation consultants, when the free publicity is coming from a company that violates their professional ethics.

Day before yesterday I received an email from Erin, who works for a public-relations firm representing infant bottle manufacturer, Munchkin. It started, “In light of your very focused blog content around breastfeeding I wanted to touch base with some news from a company that is offering a unique solution and unrivaled support for breastfeeding moms.” She went on to describe how Munchkin’s new bottle line is “like the breast” and has an “anti-colic valve.” Of course these are the same kind of baseless claims made by all of the bottle manufacturers, and I knew better to accept them at face value.

However, that wasn’t the worst of it. Erin went on to say:  

"Taking it a step beyond traditional bottle manufacturers to fully demonstrate their support of breastfeeding mothers, Munchkin is also providing moms with a Lactation Consultant Database (http://www.munchkin.com/latch-locator) because they understand just how many challenges they may face in this process and want to help them achieve their individual breastfeeding goals."

That got my attention. When I followed the link to the Munchkin site, above its Lactation Consultant Locator was copy that sounded for all the world as though lactation consultants endorsed its products. You have to read the following very carefully not to get that impression:

"We partnered with lactation consultants to develop our [xyz] bottle because we believe they offer the best expert advice for breastfeeding Moms. While we worked with a select few, there are thousands across the country that can help you reach your breastfeeding goals. If you’re a mom who needs help on how to get a good latch, how to increase milk production, or how to find the best breastfeeding position, find a Lactation Consultant in your area by simply entering your zip code or address below:"

When I entered my zip code in the locator, I noticed that all of the IBCLCs in my area came up. It appeared as though Munchkin had created this list from other sources. And I was almost positive that none of those listed knew that their names were connected online to this company and its products.

I responded in two ways. First I wrote back to Erin to say:

"As an FYI, I left a lucrative position with a company when it started to market its infant feeding bottles and nipples directly to parents, which is in violation of the World Health Organization's International Code of Marketing of Breast-Milk Substitutes and counter to my code of professional conducts. Munchkin’s marketing claims are part of the problem, not part of the solution.

"I know that many of the IBCLCs currently listed on Munchkin’s Lactation Consultant Locator have no idea that their names are connected to Munchkin in this way. It needs to ask permission before including their names and contact information on its website. Please remove me from your contact list."

Then I posted on Lactnet, my professional listserv and included Erin’s email, her links, and my reply. Just as I suspected, the emails began coming from colleagues thanking me for letting them know and copying me on their emails requesting they be removed from the locator. When checking the locator, one lactation consultant found her home address listed. Another was listed at her husband’s office. To be removed, call or email Monica Kapadia, Marketing Manager at Munchkin, at: 818-221-4241 or Monica.kapadia@munchkin.com. You can also contact Munchkin directly at this link.

As a side note, just before uploading this post, I got word that Munchkin had taken down its locator, no doubt due to the unexpected pushback. (If you need to find a lactation consultant, go instead to the website of lactation consultant professional association, which has permission to list their contact information.)

Were those at Munchkin doing a good deed for the breastfeeding community? Some of them may have thought so. But they were also using the good name of our profession to hawk its products and imply our endorsement. Is all publicity good publicity? Not in this case.

Wednesday
May212014

Green Poop: When Should You Worry?

Baby poop is high on many new parents’ worry list. How often should baby poop? Does baby’s poop provide clues to how breastfeeding is going? What do color and consistency mean? When should you worry?

 

Normal Color and Consistency

Baby’s first stools are the black and tarry meconium that was in her gut at birth. When breastfeeding is going well, by about the third day, baby’s poop changes to “transitional stools,” which have a dark greenish color. By the fifth day or so, the poop’s color changes again to yellow. Its consistency now (and until baby begins  consuming anything other than your milk) may look like split pea soup, liquid with seedy bits in it. But if your baby’s poop is all liquid and no seeds, this is also normal.  

 

Baby’s yellow poop is made mostly from the fat in your milk. During the first six weeks, babies gaining weight well usually poop at least 3 to 4 times a day with stools at least the diameter of a US quarter (22 mm) or larger. There is no such thing as too many poops. (Lots of pooping just means your baby is getting lots of milk, which is great.) But too few poops mean it’s time for a weight check.

 

If your baby is younger than 6 weeks old, is pooping fewer than 3 to 4 times per day, or her stools haven’t turned yellow by the fifth day, a weight check will tell you if this is just a normal variation or a cause for concern. It’s not until after 6 weeks that some healthy breastfed babies poop much less often, sometimes even once a week. Check baby’s weight at a health-provider’s office. A bathroom scale just won’t do. A weight gain of about 1 oz. (30 g) or more per day indicates that all is well. No matter what your baby’s age, as long as she is gaining weight well, don’t worry if she has fewer stools than expected.

 

Causes of Green Poop

Despite what you may have heard (see the next section), green and brown are in the normal range of poop colors. They are not a reason to worry if baby seems well and is gaining weight. What can cause green poop?

  • Your diet. Eating lots of greens or other green foods or drinks (green gelatin, green sodas, green sports drinks) can turn poop green. Natural and artificial food colors can change the color of both your milk and baby’s poop.
  • A tummy bug. When your baby is ill, this can cause a change in poop color that may last for weeks. Keep breastfeeding! It’s the best way to help baby recover.
  • Oversupply. If you produce so much milk that your baby receives mostly high-sugar/low-fat milk, it may overwhelm baby’s gut and cause watery or green stools. (Click here for more details and tips for adjusting milk production downward when needed.)
  • Ineffective breastfeeding. If on the fifth day, baby’s stools turn green instead of yellow, as in the case of oversupply, this may be a sign that baby can't drain the breast well enough to get past the low-fat/high sugar foremilk. In this case, though, a health or anatomy issue (like tongue tie) may be the cause. Unlike oversupply, baby’s weight gain may or may not be below average. Now is the time to see an IBCLC.
  • Sensitivity to a food or drug. When a sensitive or allergic baby reacts to a drug you’re taking, something in your diet, or something baby consumes directly, this may turn her poops green or mucusy. You may even see bits of blood in it, which is not considered serious. (Click here for info you can share with your health-care provider.)

Food sensitivity occurs most often in families with a history of allergy. When this is the cause, expect to also see other physical symptoms, such as skin problems (eczema, rashes, dry patches), tummy upsets (vomiting, diarrhea), or breathing issues (congestion, runny nose, wheezing, coughing).

 

What about Foremilk-Hindmilk Imbalance?

Many new parents read online that “foremilk-hindmilk imbalance” is the most likely cause of green poop. This term was coined in a 1988 journal article that reported the experiences of a few mothers who breastfed by the clock, switching breasts after 10 minutes even though baby hadn’t finished on that side. Its results have never been duplicated, and newer findings call into question this article’s conclusions. Many now wonder if foremilk-hindmilk imbalance even exists. To learn more, click here.

 

Setting Worries to Rest

In most cases, green poop is nothing to be concerned about. But it helps to know what’s normal, possible causes, and some of the common myths about this experience. If your breastfeeding baby is healthy and thriving, that’s the most important thing you need to know.

Tuesday
Apr082014

Save 63% on BAMS

If you've been waiting for a great time to buy my book Breastfeeding Answers Made Simple: A Guide for Helping Mothers (BAMS), now’s the time. Through the end of May, Hale Publishing has slashed its price an incredible 63%. Usually, sold at $79.95 US, because Hale Publishing is moving its warehouse, it’s available now at an amazing $29.95 US.

Are you considering donating a comprehensive breastfeeding reference to the health professionals in your area? Does your public health agency need to update its breastfeeding library? Are you sitting for the IBLCE exam within the next year or two and want to make the most of your reference dollars? Is your hospital on a tight budget?

In these situations and more, the time has never been better to buy BAMS.

You can order BAMS at this low price online via the Hale Publishing website, or you can call Hale Publishing and order by phone Monday through Friday at 806-376-9900 from 8 am to 5 pm Central time.

In the US, you can minimize shipping costs (this book is heavy!) by submitting your order by FAX and ordering in bulk or by placing group orders together. When you order by FAX, shipping the first book costs $12, but each additional book adds only $3 in shipping costs.

I have not yet started working on BAMS’ next edition, so no worries about buying it now and it going quickly out of date. Please feel free to spread the word!