Showing posts with label breastfeeding. Show all posts
Showing posts with label breastfeeding. Show all posts

Friday, 10 February 2017

Government respond to tongue-tie petiton.

So you may have read a previous post concerning tongue-tie and how it affected 'Baby' and me in the early stages. At the bottom of the post I added a link to a petition. The petition reached the 10,000 signature stage, and has consequently been responded to by the Government.

See how the Government responded here:
Government responded:
It is for the NHS locally to ensure appropriate services are available to diagnose and treat tongue-tie. If there are problems with feeding, professionals should discuss options with parents.
It is important that babies with tongue-tie receive appropriate treatment and that appropriate support is given to their parents.
It is for the NHS locally to ensure appropriate services are available for the diagnosis and treatment of tongue-tie. Some babies with tongue-tie can still feed properly and do not need any treatment. If the condition is causing problems with feeding, health professionals should discuss the options with parents and agree the most appropriate form of treatment. For some babies, extra help and support with breastfeeding is all that is needed. If this does not help, the tongue-tie needs to be divided by a registered practitioner.
The focus of the Government’s infant feeding policy is to improve health outcomes for women and their babies; our policy is in line with the World Health Organisation’s recommendations to encourage exclusive breastfeeding for the first six months of life. Access to supportive services in the crucial early weeks can help women establish and maintain breast feeding successfully. Midwives and Health Visitors have an important role to play in providing information, support and advice to mothers and parents on infant feeding.
To assist the NHS, the National Institute for Health and Care Excellence (NICE) considered the division of tongue-tie in depth in July 2004. Current NICE guidelines recommend that, when considering division of tongue-tie, healthcare professionals should be sure that the parents or carers understand what is involved and consent to the treatment, and the results of the procedure are monitored. In line with NICE guidelines, NHS England expects healthcare professionals to discuss the benefits and risks with the parents or carers of any child.
The Department of Health does not set the content and standard of training for healthcare professionals. Health Education England (HEE) has responsibility for promoting high quality education and training that is responsive to the changing needs of patients and local communities and will work with stakeholders to influence training curricula as appropriate.
The content and standard of healthcare training is the responsibility of the independent regulatory bodies, in this instance the Nursing and Midwifery Council (NMC). Through their role as the custodians of quality standards in education and practice, these organisations are committed to ensuring high quality patient care delivered by high quality healthcare professionals. Healthcare professionals will be equipped with the knowledge, skills and behaviours required to deal with the problems and conditions they will encounter in practice. However, HEE will work with the NMC to influence training curricular as appropriate.
The UK National Screening Committee (UK NSC) advises Ministers and the NHS in all four countries about all aspects of screening policy and supports implementation. Using research evidence, pilot programmes and economic evaluation, it assesses the evidence for programmes against a set of internationally recognised criteria.

The UK NSC has not reviewed the evidence for screening newborns for tongue-tie. The UK NSC’s evidence review process outlines how to submit a proposal at https://www.gov.uk/government/publications/uk-nsc-evidence-review-process/appendix-d-how-to-submit-a-proposal-to-the-uk-nsc
Information on tongue-tie (ankyloglossia) is available on the NHS Choices website at http://www.nhs.uk/Conditions/tongue-tie
Department of Health


Well it's not really the news I was hoping to hear. Sadly it appears nothing is going to be improved at this stage. The Government has passed the buck to HEE, as well as local Healthcare Professionals and the training they receive. It's ironic that just the other day I saw an article about proposals to cut Health Visitor numbers in Humberside (see here).

However, I was interested to note (in the second-to-last paragraph) that it's possible to submit a proposal to the UK NSC. The fight is not yet over!



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Sunday, 5 February 2017

The true cost of my breastfeeding journey... dairy free...

Something I read the other day really riled me. 

It was when I was reading through some of the documents by Croydon CCG - to do with my previous post.

Basically, the Governing Body had decided that in order to cut down on the cost of prescribing specialised baby milk formulas for children with CMPA, it would be a good idea to encourage them to breastfeed.

'Huh?!'

I thought.

'What's that?'

Two things occurred to me at the time:

1. Yup! Having had major struggles when I was breastfeeding and had to find my own way through, there's no doubt... breast feeders need more support - bring it on!

2. Double standards. Breastfeeding 'aint cheap! NOT if you're gonna do it properly!! 

Yes you heard me!! I know they said that it was free, at breastfeeding school, but I beg to differ!

Actually, there's three things that occurred to me.

3. Why can't allergy mums have the same opportunities as other mums who have no allergies to deal with? 

I mean, it IS the 21st century after all - most mums can decide whether to bottle or breast feed. It's up to them. Why single out allergy mums, just 'cos it's not expedient for the CCG??

However, back to the breastfeeding. It 'AINT cheap!! 

How so??

Well, quite apart from the fact that I've spent I dunno HOW much on breastfeeding related stuff: 
  • nipple shields 
  • nipple cream
  • bras 
  • pads to go in them 
  • breastfeeding tops 
  • aprons 
  • breast shells 
  • gel pads to help me express  
  • Jelonet to plaster over the cracks that appeared
  • breastfeeding tea, when my supply ran low
  • a machine to express, when the pain got too much (plus bottles and spares)... 
(yes, yes, yes, I may not have needed all of that stuff, but I wasn't to know that then, and I did use most of it - particularly through my struggles at the beginning) there's also: 
  • the breastfeeding assistant who helped me in hospital
  • the TEN midwives who came to visit me in the early stages, but who didn't really know how to help me (I had the feeling they may never have experienced breastfeeding themselves)
  • the extra breast feeding groups I attended 
  • the emergency visit I made to a clinic on a Saturday morning 
  • the La Leche League breastfeeding counsellor who referred me to 
  • the Maxillofacial surgeon, who cut my baby's tongue-tie, so I could feed more easily 
  • the GP who discovered my nipples were infected and prescribed me antibiotics... 

I mean all of these people cost money - in wages... and still I felt I was left floundering!!

When you have cracks appearing in your nipples, that become craters, that start to disintegrate your nipple until you have nearly half missing (yes I'm not exaggerating); when you look at yourself horrified and wonder whether you will lose the rest of your nipple and be disfigured for life (thankfully it did grow back, after the drugs kicked in); when you know your baby still needs feeding because she's milk allergic and at that point you have no formula, and the advice is to continue feeding... what then?? 

There's the emotional cost, when things aren't working and you don't know which way to turn; the lack of sleep (breastfed babies seem to wake up more); the housework not done because your baby wants to feed... AGAIN??

And then there's my wages.

Yup! 

NO wages!!

And, here's the thing - if you breastfeed your baby you have to be available to your baby 24/7.

(Yes, yes, yes, I know about expressing. I tried. I failed. I tried everything - massaging, heat pads, endless pumping with the best pump on the market. My boobs just wouldn't cooperate - I used to get out about an ounce or so after about 45 minutes of pumping. Once time I hit the heady heights of three ounces, but that was a one-off, never to be repeated.) 

So I didn't go back to work.

The WHO (not the band, the World Health Organisation) recommend breastfeeding for the first two years of a baby's life. 

Two years wages (I actually fed longer, but that's beside the point)!!

How many families can afford that?? 

Especially if, like my sister, the mum is the major wage earner in the family.

Yes, yes, yes, the first months of maternity pay aren't so bad... but then it begins to drop away... and you start to feel uneasy. And if you worry about your career, or your finances... well the pressure to return to work is strong.

Now, don't get me wrong - I'm a huge, HUGE, fan of breastfeeding and I don't regret the choice to breastfeed my baby at all... well, after we got over the obstacles... but I do think women should have the choice - allergies or no.

Oh! And... did I mention cutting out dairy and the cost of all the dairy free food?? And if, like me, you find yourself intolerant to dairy afterwards??

Breastfeeding cheap??

Don't make me laugh!!


Update:

And if you're affected by the changes being proposed by Croydon and Richmond or are struggling to get hold of prescription formula, you may be interested to know that a campaign group has been set up. Called The Campaign for Milk Prescription Access, they can be found on Twitter and Face Book and have set up a website, see here.




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Saturday, 21 January 2017

Our Battle with Tongue-tie

I'm taking the rare step of  writing about something not allergy-related, but which was a big part of our story in the early days - tongue-tie. Oh the things I so wish they had told us in ante-natal class!

Tongue-tie - just in case you don't know - is where the tongue is anchored down in the baby's mouth by some extra skin, or just membrane really, in the early stages. In our case it was like a line of skin, under the tongue. It stretched down the middle, from the back to the front, which tightened the tongue, forcing the tip of 'Baby's' tongue into the classic heart-shape. 

Once upon a time (so I have heard), all babies were checked at birth and it was common-place for midwives to snip a tongue-tie there and then. However, these days, some professionals believe it will just grow out by itself, and should be left alone, whilst others believe that it hinders a baby from feeding (whether by breast or bottle) and should be snipped. It's so confusing when medical professionals cannot agree on a given subject, following our experience... well I'll let you decide for yourself...


How it all began...

On the first morning after our beautiful baby was born, she was checked over by a pediatrician, who soon spotted her tongue-tie. 

'But it's nothing to worry about he assured us, she's got such a strong suck.' 

This he demonstrated by sticking the tip of his finger in her mouth. Instantly her sucking reflexes kicked in. We took his word for it.

At that time, and in that area of the country, tongue-ties were just not seen as a problem... 

'Oh don't worry, she'll grow out of it.' 

...we were told by the private pediatrician we saw four weeks later. But we were worried!

By this time, my boobs were already looking battle-scarred and feeding was getting even more tricky than I had found it in the first place! I was so desperate to breastfeed, but was dreading each and every feed. The pain was so excruciating, I quite often cried aloud, as she latched on. Meanwhile, 'Baby', oblivious to my agony, was feeding quite frequently...

'Feed through the pain,'

...was the frankly quite unhelpful mantra, I came across. But, feeling unable to cope, and on the verge of giving up altogether, I soon began to express off my worst side, and deliver the expressed milk through a bottle - hoping it would enable my (by now disintegrating) nipple to heal, as I just couldn't bear it. 



It wasn't meant to be this way...

I nearly gave up...

Not being able to express more than an ounce or so at a time, I reluctantly began to top up 'Baby's' feeds with a specially prescribed dairy free formula, but this was not what I had expected and was not at all what I had wanted for my little one. All my naive little first-time dreams of motherhood lay fragmented on the ground - HELLP syndrome leading to an induced early birth, forcep delivery, jaundice that had us readmitted to hospital, milk allergy and now THIS! 

At my wits end, and aware that The Hub was beginning to wonder who on earth this deranged woman that he'd married was. I'm pretty sure he hoped I'd give up and just switch to formula, but didn't dare say, for fear of upsetting me even more. I felt there really MUST be a solution to this thing and I was Googling left, right and center!

Tongue-tie came up every time - 'Baby' ticked all the boxes - including the 'clicking' sound as she tried to feed. But how to get help, when all the experts said it wasn't a problem??


The solution...

Fortunately, the Health Visitor, came to my rescue - she told us that in the next county there was a La Leche League breastfeeding counsellor who could assess us, for potential surgery. Desperate for help, we checked her out. Her room was packed with other unhappy mothers (and fathers) with their babies, all desperate for help 
and she was amazing! It didn't take her long to decide we were suitable and we were put down for the 'snip' by a maxillofacial surgeon.

I have to admit, I had my reservations - about my little one being strapped down and... what if the surgeon got it wrong? This was a daft thought, but I was pretty sleep-deprived by this stage - pumping and sterilising was going on day and night, so it was fair to say I was missing a quite a lot of sleep! Bizarrely driven on by my teaching instincts - I didn't want my child to be potentially mocked at school for having a speech impediment - we went ahead.

As it turned out, my doubts were assuaged, the moment we fed following the op (I say 'op', but because she was so young, it was actually over, quite literally, in seconds). We were taken to a side room to try her out, and straight away I could tell her gape was wider and she fed properly latched on - for the first time ever - without being forced on (as one nursing assistant had tried to do). 


Hallelujah!

The other thing I noted, was that her cry had changed - no longer did she wail 'Laa, laa,' she seamlessly changed to the 'Waaa, waa' sound, which you normally hear from babies.

Unfortunately, having got into bad habits, 'Baby's' latch slowly slipped back to her normal position and try as I might, I couldn't get her to feed the way I was 'supposed' to (I can't help feeling that if it had happened at birth, her latch would have been fine). BUT as my boobs healed (with, by now, the help of antibiotics, as I had developed an infection), the pain began to go, I was able to step up feeding, get her back off the bottle and properly breastfeed - the way it should have been all along!


Following on...

Since then, I have met soooo many other mums in the same boat, including, more recently, my younger sis', who has just been through the exactly same thing. For her, unfortunately it has taken multiple appointments to get properly diagnosed, and the operation, taking place at a later date, was far more traumatic than 'Baby's' had been.

Yesterday, I came across this petition online. If, like me, you would like to prevent others from having to go through the same problems, please sign this petition*, and then share it as widely as you can. 


Thank you!

And if you're struggling with breastfeeding too, for whatever reason, I would heartily recommend the following:

La Leche League

Kelly Mom


Further reading:

NHS Choices - Tongue-tie

La Leche League - Tongue-tie


* The petition reached the 10,000 signature stage and has been responded to by the Government. See how the Government responded:
It is for the NHS locally to ensure appropriate services are available to diagnose and treat tongue-tie. If there are problems with feeding, professionals should discuss options with parents.
It is important that babies with tongue-tie receive appropriate treatment and that appropriate support is given to their parents.
It is for the NHS locally to ensure appropriate services are available for the diagnosis and treatment of tongue-tie. Some babies with tongue-tie can still feed properly and do not need any treatment. If the condition is causing problems with feeding, health professionals should discuss the options with parents and agree the most appropriate form of treatment. For some babies, extra help and support with breastfeeding is all that is needed. If this does not help, the tongue-tie needs to be divided by a registered practitioner.
The focus of the Government’s infant feeding policy is to improve health outcomes for women and their babies; our policy is in line with the World Health Organisation’s recommendations to encourage exclusive breastfeeding for the first six months of life. Access to supportive services in the crucial early weeks can help women establish and maintain breast feeding successfully. Midwives and Health Visitors have an important role to play in providing information, support and advice to mothers and parents on infant feeding.
To assist the NHS, the National Institute for Health and Care Excellence (NICE) considered the division of tongue-tie in depth in July 2004. Current NICE guidelines recommend that, when considering division of tongue-tie, healthcare professionals should be sure that the parents or carers understand what is involved and consent to the treatment, and the results of the procedure are monitored. In line with NICE guidelines, NHS England expects healthcare professionals to discuss the benefits and risks with the parents or carers of any child.
The Department of Health does not set the content and standard of training for healthcare professionals. Health Education England (HEE) has responsibility for promoting high quality education and training that is responsive to the changing needs of patients and local communities and will work with stakeholders to influence training curricula as appropriate.
The content and standard of healthcare training is the responsibility of the independent regulatory bodies, in this instance the Nursing and Midwifery Council (NMC). Through their role as the custodians of quality standards in education and practice, these organisations are committed to ensuring high quality patient care delivered by high quality healthcare professionals. Healthcare professionals will be equipped with the knowledge, skills and behaviours required to deal with the problems and conditions they will encounter in practice. However, HEE will work with the NMC to influence training curricular as appropriate.
The UK National Screening Committee (UK NSC) advises Ministers and the NHS in all four countries about all aspects of screening policy and supports implementation. Using research evidence, pilot programmes and economic evaluation, it assesses the evidence for programmes against a set of internationally recognised criteria.

The UK NSC has not reviewed the evidence for screening newborns for tongue-tie. The UK NSC’s evidence review process outlines how to submit a proposal at https://www.gov.uk/government/publications/uk-nsc-evidence-review-process/appendix-d-how-to-submit-a-proposal-to-the-uk-nsc
Information on tongue-tie (ankyloglossia) is available on the NHS Choices website at http://www.nhs.uk/Conditions/tongue-tie
Department of Health

Well it's not really the news I was hoping to hear. Sadly it appears nothing is going to be improved at this stage. The Government has passed the buck to local Healthcare Professionals and the training they receive. It's terribly ironic that just the other day I saw an article about Health Visitor numbers potentially being cut in Humberside.

However, I think it may well be worth submitting a proposal to the UK NSC (see second-to-last paragraph). The fight is not yet over!



Friday, 2 October 2015

So you're breastfeeding dairy free... some things you may be missing out on!

Hello there, fellow dairy free Mum!

*Waves*

Who even knew that cow's milk protein could pass through your boob juice and into your baby, eh?? I certainly didn't, before 'Baby' turned up allergic to the stuff! Apparently, it's not that common - that milk proteins go though the breast milk - but it doesn't really help you much, does it??

How are you feeling today? Positive, upbeat, ready for a challenge? Or hanging on in there by the skin of your teeth and not sure you even want to carry on? 

It's alright. Either way, I won't browbeat you to carry on, the choice is always YOURS, but this post has been written with YOU in mind, to help you on your way! 


1) Some Encouragement

  • Well done for giving it a go, at the very least - not everyone who is faced with this challenge will (for whatever reason, but again no judgement here).
  • Some people might think you're a bit weird. Ignore them. It's nothing to do with them. This is between you and your baby! 
  • By going dairy free yourself, you will be well equipped to know which foods will be suitable for your dairy free child - should your bubba still be dairy free when it comes to weaning.


2) Calcium 

If you eliminate dairy from your diet as an adult, you need to make sure you keep an eye on your calcium intake. If you're a breastfeeding mum, you need around 1250 mg of calcium a day. Initially, I was advised to use a calcium supplement, but as I researched products and foods containing calcium, I began to take more control of my calcium intake through my diet. 

So for example, if a glass (roughly 200ml) of your dairy free milk substitute (unless it's organic) contains around a third of a normal person's daily amount of calcium (700 mg a day, so 250mg in a glass) then you can probably pretty soon work out ways of including that in your daily diet. For more ideas on how to get calcium through your diet, follow this link. But, if you are going to do things this way, make sure you stay on top of it and don't let it slide!


This orange juice is fortified with calcium


3) Vitamin D

Vitamin D is also important, because Vitamin D helps your body absorb calcium. Calcium supplements and most dairy free milks usually contain this already, but there are plenty of ways of obtaining this through your diet as well as through sunlight. If you'd like to know more, please see this post. 



4) Milk Substitutes

If you're going dairy free, you might be wondering what on earth you're going to do without milk. Don't worry, there are plenty of other options, all of which can be used in pretty much the same way as normal milk - although some have a few oddities! So, for example, although I generally prefer almond milk (I use unsweetened almond milk in my savory dishes), Koko coconut milk generally makes a better custard - just because it thickens better!

There are a range of milk substitutes out there, see here. They can be found in the longlife milk aisle or in the chilled section, alongside the milk, in most UK supermarkets. 


A range like this, will only be found in larger supermarkets.

Some notes of caution:
  • Most mammalian milk proteins are very similar, so if your child is allergic to cow's milk protein they are highly likely to be allergic to other mammal milks too (sheep/goat etc.) 
  • Lactose free milk has had the sugar removed, not the protein, hence it will still cause a reaction in those allergic to cow's milk protein.
  • A2 milk waffles on about different proteins, but cow's milk protein of any variety is unsuitable for anyone allergic to cow's milk protein. 
  • Rice milk is not advisable as a main milk drink for children under the age of five, so should also be avoided by breastfeeding mums. This is due to the levels of arsenic that naturally occur in rice. Personally, I don't consider this a loss, as I don't enjoy it. 
  • Organic dairy free milk is not supplemented with calcium or any other vitamins, so if you're relying on dairy free milk for calcium, just bear that in mind!

For a more detailed breakdown of the nutritional values of various dairy free milks see here.



5) Butter... well, OK, marg! 

Okay, nothing tastes quite like butter - you've got me there, but there are some passable margarines out there, which you can use in much the same same way as any other margarine! My personal favourite is Pure Sunflower Margarine - found alongside all the other margarines in the supermarket. 

There are others - Vitalite, Stork Block (not the tub version), and some supermarket 'own' free from versions too. There's a new coconut based margarine by Koko, which is stocked by some branches of Waitrose. I tried it out at The Allergy Show in London, and it was certainly palatable.



Marks and Spencer's version.

Beware of brands that are also made with sunflower or olive oil, but are not dairy free - there are some out there!



6) Cheese

Cheese was probably the one thing I missed the most, when I first went dairy free! If, like me, you love your cheese, you may not find your perfect substitute, but the one that most people seem to enjoy is Violife. 

These days the 'original' version can be found in major branches of Tesco, Asda, Morrisons and Holland and Barrett, as well as many Health Food Stores, and if it's cooked or toasted, I don't mind it too much! It does come in various other varieties too,(including Parmesan), but you may have to try online for these - check out Alternative Stores, for a wider range.

This one is very popular!

In the US, Daiya is the one to watch out for - I've heard it is now available in one or two places in the UK, so keep your eyes peeled, you never know!

Just remember that Vegan cheese does not have the same amount of protein as normal cheese. Its nutritional value limited, compared to 'normal' cheese, so I tend to use it for flavoring other dishes (e.g. sprinkled on a home made dairy free lasagna). Don't expect it to contain much calcium, either!

Vegan cheese does not melt in quite the same way as 'normal' cheese. It tends to melt better in sauces, but on pizza or toast you may be disappointed. Some mozzarella-type cheeses, like Mozzarisella, melt best and the Violife pizza version is pretty good too.

One last thing, some people like to use nutritional yeast as a cheese flavouring. You can buy it in Holland and Barrett or health food shops. It smells like well-worn socks and doesn't really do it for me! You have been warned!



7) Yogurt

If you're okay with soya, you will be fine - you'll be able to find Alpro soya yogurts in most supermarkets and a child-friendly fromage frais in Tesco. A good Tesco Extra is, quite frankly, best place I go for chilled dairy free subs, unless you get Ocado in your area, or live near to a good Vegan store, or a Health Store like Whole Foods Market in London. Holland and Barrett are fast catching up though - so if yours has a chiller, check them out too!


Familiarise yourself with the Free From section in the chilled aisle at Tesco.

If you can't have soya, look out for coconut yogurts like Koko (Tesco, Asda, Morrisons ad Ocado), Co-yo (Waitrose, Tesco, online with Ocado) or Pudology (Ocado and Holland and Barrett). Holland and Barrett also sell 'Wot no dairy?' long life yogurts, which are made with pea protein instead, as well as Xotic, which is also made with coconut, is and long life too.



My personal favourite! This flavour is sadly not available at Tesco.

Be careful though, there are some apparently  'dairy free' alternatives that are produced on the same line as milk products. They are often, annoyingly, placed alongside dairy free products and marketed the same. Read labels carefully. If your little one is as sensitive as mine has been, and you eat them, you run the risk of a reaction via cross-contamination.

Alpro's soya, Koko and 'Wot no dairy?' yogurts all contain calcium, but the Co-yo and Pudology do not!



8) Ice Cream

As the temperature outside begins to hot up, you may wish to cool down! Fortunately, there is plenty of dairy free ice cream out there - just don't expect to find it sold alongside your Mr Whippy! My personal favourites are sold in Waitrose and are made by Almond Dream, but my little one loves Swedish Glace, which is soya based and found in Sainsbury's, Waitrose and Tesco.

Sadly not available, when out and about!

That said, Tesco have recently hit the dairy free jackpot, with these gluten and dairy free cornettos. They're in the Free From freezer section at Tesco. I can highly recommend these!

If you're out and about, keep your eyes peeled for sorbet or Gelato - some of these are dairy free, but not all, unless you got to Boho Gelato in Brighton (new one opening soon in Weymouth)! Alternatively, if you're near a Holland and Barrett with a freezer section, you may be lucky enough to find a small tub, containing a single serving of Booja Booja ice cream (made with cashews). I've not tried it as I can't eat cashews, but I've heard its delicious!

Booja Booja mini tub

Holland and Barrett also sell Perfect World ice cream, also pocket sized and made with cashews.



9) Cream

Wimbledon is fast approaching and what are strawberries without... cream!? If you're okay with soya, there's quite a few soya creams out there, on the supermarket shelves, including a squirty one called Schlagfix. If not there's always Oatly or Alpro rice cream (okay, I know I said no rice milk, but that's on a daily basis, a little rice cream now and then shouldn't do any real harm). In Tesco and Waitrose, you can now also get a small carton of coconut cream, by Alpro, as well as a creme fraiche by Oatly.


Similar to single cream.
Alternatively, you can put a tin of coconut milk in the fridge for two hours, whip it up, then add some vanilla and sweetener to taste. OR, I've found Co-yo Original makes a rather nice accompaniment for fruit.



10) Chocolate

As a woman you are practically duty bound to love chocolate! There's plenty out there, but it costs a bit more than the normal variety! I prefer Moo Free, which is also soya free and is sold by Waitrose and Sainsbury's (the larger stores, anyway). 

For a special treat I can definitely be persuaded to demolish a box of Booja Booja chocolates (Waitrose) or Cocoa Libre, check out their online store and stockists here! For more ideas, check out these posts.



11) Cake and biscuits

Oh yes, you can - indulge that is! There are cakes and biscuits in most Free From Supermarket aisles, although not so many in Tesco as in Sainsbury's I find! However, if you check some of the 'normal' packets, you can find some that are milk free! I used to love Respect Organics Carrot Cake (Tesco and Sainsbury's). The only reason I don't eat it anymore, is because I'm now gluten free too! 



I promise you, this tastes good!

These cup cakes, from Sainsbury's, I haven't tried, as they weren't around before I was gluten free, but they look good!


'Vanilla Fairies' by 'Emma's Country Cakes'

And if you've a little ones birthday coming up, check out the celebration cakes in the supermarkets, because quite a few are made without dairy. The Disney 'Frozen' cake available in Tesco and Sainsbury's, is just one of them!

As for biccies I used to love Hobnobs and my little one loves Waitrose Essential Chocolate Bourbons. Check out our 'Fave Products' page for more!



12) Cafes!

If, like me, you need your coffee, well this is an essential! However, you may want to go a little easy if you're breastfeeding! Just remember that the caffeine will go through you and keep your kiddo awake too! 

Most cafes stock soya milk and Starbucks now will serve coconut milk (for an extra 40p) - certainly the big chains, anyway, but be aware that if your baby is very sensitive to cow's milk protein you probably will have to give those lattes, cappuccinos and hot chocolates a miss - unless they have a machine dedicated to dairy free types, that is! Otherwise, however carefully they clean the spouts, traces of milk protein will most likely make their way into your coffee (see here for an explanation). I now stick with a black Americano (with a trace of sugar to take off the bitterness) but have seen people take in their own little bottle of milk!

In terms of snacks and nibbles in these places, Costa's mini gluten free cherry bakewells by the till and some of their wrapped gingerbread biscuits are made without dairy. Cafe Nero have coconut bars near the till, but don't expect anything like that in Starbucks - crisps, nuts and fruit bread without the butter are your lot there! We used to order out little one the sausage bap - it said it was dairy free, but some traces must have made their way through, possibly whilst being heated on the grill, so we don't take that risk anymore!


This bar is a bit crumbly but quite tasty!

If you can find a Coffee 1 near you, they sell a few dairy free cakes, although there's not much else on the menu that is dairy free, the other thing to be aware of is that they're not individually wrapped, so you run the risk of cross-contamination. I've also heard that Sainsbury's and Waitrose cafes will allow you to pick up free from products from their aisles and pay for and consume them in the cafe area, but there's none of those near me!


13) Eating out

So you're dairy free right now, but you still want to eat out, don't you? And, if you're careful, you still can! Of course you'll need to plan ahead a little bit before you go out. We usually start by checking out restaurants online - many chain restaurants can offer you something, although there's not so much choice as you may have been used to! 

In recent months, a website was launched called 'Can I eat there?' which works on the basis that members recommend places they've eaten that have been safe for them. This is a great idea, but you still need to check out a restaurant thoroughly, before you eat. I have found that restaurants can vary - even restaurants where you've previously been okay can still get things wrong. In my experience it's often down to the staff on the day. 

More information on eating out dairy free can be found on this page.


14) Baking & Cooking

A whole lot of stuff becomes daunting when you first go dairy free, one of which is cooking. Suddenly the rules appear to change. You need to check labels carefully and discover what dairy free substitutes will do for you. I well remember being gobsmacked by the fact that chicken gravy is often made with milk, that spaghetti bolognese is sometimes made with milk and that jam could be made with butter. Who knew?

You might find this post on dairy free baking quite helpful as well as this page which lists some of our favourite dairy free products.




When it comes to finding recipes, I've found that although you can buy expensive cookbooks or free from magazines (I've bought loads over time, which I hardly use), actually you can find a recipe for most things, just by looking online. This page lists a selection of other blogs which you may find useful.

If you're looking for dairy free cooking sauces, check out Tesco Free From section - they even now have a ready-made dairy free white sauce!


15) Celebrations

Christmas, Easter, Valentine's Day etc. means chocolate and all kinds of other goodies. There are dairy free alternatives and this page can help you find what you're looking for - so you don't have to miss out.



A few other little top tips for you:

1) Shopping

When I first went dairy free, food labelling was done a little bit differently, to how it is now. You will need to check every food label for 'milk' usually written in bold. You do still need to keep your wits about you, as one food manufacturer didn't think goat's cheese need to be labelled (as it wasn't cow's milk) and another listed yogurt, but didn't highlight that it was made with milk. 

Depending on how sensitive you/your little one is to milk and milk traces, you may also need to watch out for items that say they 'may contain' milk. This post explains why.

For tips on where to find your dairy free essentials (and luxuries) see here.


2) Medications

Medication can sometimes be made with dairy. Always remind your doctor/pharmacist and ask them to check anything that is prescribed/recommended for you/your little one.


3) Soaps & Lotions & Other Stuff!

Cleopatra famously bathed in milk and in modern times milk is still considered good for the skin. It's worth knowing that a LOT of soaps, shower gels, hand creams lotions, potions and even some washing-up liquids are made with milk! You may need to be aware of other words associated with milk, such as whey and casein, when you check through ingredients labels.

Just to warn you, although you may not be abstaining whilst breastfeeding, wine might also contain milk - believe it or not, it's used for clarifying the wine (as is egg, funnily enough). However, you may be pleased to hear that it's not always the case!


4) Probiotics

There's been a huge wealth of research recently into how allergies may be due to the kinds and lack of 'good' bacteria in our gut. It seems strange but true. Very recent research has shown that formula with this good bacteria added to it, has appeared to help overcome allergies in allergic babies (see here for article). 

If you're breastfeeding, your milk is packed full of probiotics anyway (see here), but scientists are still carrying out research into whether lactating mothers might be able to take probiotics to boost the probiotics in their milk and help their allergic little ones. You can't add just any probiotics Lactobacillus rhamnosus GG seems to be the most beneficial, but they've not yet reached the stage where it is regarded as a treatment.


5) If you slip up...

It's not unknown, slip-ups can happen. Somehow you eat/drink something with milk in. If this happens, and if your baby is quite sensitive, it will go through you and affect your baby. Don't beat yourself up about it, but there are some things you can do about it. 

It goes against the grain if you want to solely breastfeed, but it could be best for baby if you express your milk for a day or so, and formula feed instead. There are some dairy free formulas out there (see here), which you have to get on prescription. If you can get your doctor to get you an advance prescription, these will speed things up in the long run, as pharmacies don't tend to keep stocks of it and it can take a few days to order the formula in.


6) The mechanics

Any purely practical help, regarding the mechanics of breastfeeding, I would suggest getting in touch with La Leche League (their counsellors are excellent), or checking out Kelly Mom, a website from across the pond, with really great advice.




Well there it is, a whole load of stuff for you to consider! It's taken me some while to put all this info together - things I wish I'd known at the outset and some of which I've had to learn the hard way. And here's me still hoping I've included everything and still wondering what else I've missed! 

Hope you're not too overwhelmed by it all. It will get easier for you I promise!!

Be kind to yourself - the chocolate is pricier than normal, but actually...
I think you NEED, nay DESERVE it!  ;)


7) Finally...

Some advice from Carina Venter specialist pediatric allergy dietitian shared via Twitter:

  • No need to change diet during breastfeeding (except where allergen affecting child passes through breastmilk)
  • Aim to breastfeed for at least 4-6 months
  • Introduce food from 4 months, but don't delay beyond six months
  • If from a high risk family and breastfeeding is not possible or insufficient, use a partially hydrolysed  formula or extensively hydrolysed formula (as prescribed by a doctor).


Happy Breastfeeding!! 





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