Month: July 2021


Breast Engorgement

What is the best way to prevent engorgement while breastfeeding?  Frequent feedings!  Feeding your baby 10-12 times per 24 hours and making sure your breasts are emptied each feed should reduce your risk of experiencing engorgement.  However, if you are experiencing that painful fullness here are a few tips

Strategies to reduce engorgement

Before Breastfeeding

  1. Hand express or pump the breast for 1-3 minutes prior to feeding
  2. If you can get milk to flow use moist warm compresses to increase milk flowing
  3. If you cannot get milk to flow use cold pack on breasts
  4. Warm shower with back to water, taking a “breast bath” in warm water, and/or applying wash cloths that are moist and warm

While Nursing

  1. If the breasts or areola are too swollen for baby to latch pump or and express for 1-3 minutes to soften breast before feeding. 
  2. Apply light to moderate pressure (REVERSE PRESSURE SOFTENING) to move fluid around nipple and to make it more latchable.

Between Feedings

  1. Use cold compresses, over a protective layer of fabric, on your breasts, chest, and under arms to help decrease swelling.
  2. Wear bras that are not too loose and not too tight.

Engorged breasts can make your breastfeeding experience tough.  The best way to treat engorgement is to prevent it!  However, if you are experiencing persistent engorgement and would like additional help, schedule a free screening with one of our lactation counselors.

Written by Jessica Keenan, MA, CCC-SLP/L, CLC

Mom's breastfeeding

Benefits of Breastfeeding

What are the benefits of breastfeeding babies?  Many moms are faced with familial and societal pressure of deciding whether they want to breastfeed or formula feed.   Before making the decision based on others experiences or the latest baby marketing trends, read on to find out how breastfeeding benefits baby, mom and your community!

Benefits of Breastfeeding


  • Decreases risk of mortality 
  • Reduces risk for asthma, upper respiratory infections, allergies, ear infections
  • Less risk for colic, reflux, gas, diarrhea, constipation, GI pain
  • Decreases risk for obesity, type 1 diabetes, Autism, ADHD
  • Increases intelligence scores
  • Reduces risk for narrow facial development


  • decreases risk of unwanted shorter pregnancy intervals
  • Satisfies baby’s emotional needs and increases bonding between mother and baby
  • reduces risk of PPD
  • Helps mom to lose ‘baby weight’
  • reduces risk for high blood pressure
  • decreases risk for ovarian and breast cancers
  • increases work attendance due to healthier baby


  • More bonding opportunities for parents/children
  • Higher IQ subgroups
  • Do not have to worry about dangers of manufacturing errors/formula recall
  • Reduced financial strain without costs of formula
  • decreased waste production to make formula
  • reduced health care costs
  • decreased work absenteeism of parents due to infant/toddler illness

When making the decision between breastfeeding and formula feeding, it’s important to consider how it will effect mom, partner, baby, and your community!  Research shows that breastfeeding comes with increased health benefits for both mom and baby, mentally and physically.  Exclusively breastfeeding reduces the workload and financial burden on your partner.  Finally, it reduces the carbon footprint in your community!  Want to learn more?  Join us at our Breastfeeding Basics class!  Already in the thick-of-it and needing some support?  Reach out and schedule a free screen with one of our certified lactation counselors and infant feeding specialists!

Written by: Jessica Keenan, MA, CCC-SLP/L, CLC

play games

Learning to Play Games

Does your child struggle to play simple games, take turns, or is a sore loser? I often work with children who hate losing games or do not have the attention to wait for their turn. This blog will highlight some strategies I use to help children learn to play a board game with the whole family. I’ll break down the steps in how to take turns, select an appropriate game, and dealing with sore losers. 

Taking Turns

The first skill that is important for any type of game is taking turns. While some kids might have the patience to wait their turn, others may think it is life-shattering to watch their sibling move a game piece. Here are some ideas you can use to help your child understand to wait their turn: 

    1. Carpet Squares: have your child sit on something like a piece of carpet, towel, or piece of paper. This is their spot to keep their body for the game. 
    2. Sit at the Table: if your child has trouble sitting still on the floor, then move to the table. Have a firm chair that allows their feet to rest on the floor or footrest.
    3. Take a Break: playing a 5-minute game may be too long for your child to handle at first. Simply take play 1 or 2 rounds of turn-taking then take a break! Then go back to the game where you left off or end the game. If your child successfully takes a couple turns without becoming upset or distracted, then you can always end the game. 
    4. Use your Words: To help a child understand turn-taking, use your voice to label “my turn” and “your turn”. At the beginning of each turn, the child can say whose turn it is. This will help them understand that there are times when they have to wait. 
    5. Change the Rules: Some games involve stealing pieces, losing a turn, or more complex rules. Make the rules easier by eliminating complex rules or make up your own rules to allow for simple turn-taking.  
  • Work in Teams: Use the buddy system to have your child play with an adult or an older sibling who can help them follow the rules.

Selecting a Game

Choose a game appropriate for your child’s physical and cognitive level. If you find that age level games are too difficult, then move to easier games! This is not a one size fits all. First, start with a simple cause and effect game that your child is motivated to play. As you read down the list the games will become harder. 

Cause and Effect Games (Pop Up Pirate)

If you are just starting out teaching your child to play a game, choose simple cause and effect games. Cause and effect games offer quick responses to the child’s action and often do not require a lot of skill. There are simple games that involve quick turn-taking and moving pieces.

Simple Games (Candy Land, Pete the Cat Groovy Button Game, Sneaky Snacky Squirrel)

Now that your child has mastered taking turns, can count 1-10, and knows their colors, you can start with simple board games. 

Medium Difficulty Games (Guess Who, Don’t Break the Ice, Spot It

Here your child is learning to use strategy skills to win a game. The games may involve more rules to follow than before.

Strategy Games (Connect 4, Uno)

Finally, you are ready to play games with complex strategies or require more time to complete. 

Card Games (Phase 10, Go Fish, Games for Standard Deck of Cards)  

There are several varieties of card games available that range in difficulty from easy to complex. Card games are a great way to work on matching, fine motor manipulation skills to move the cards, and executive functioning skills to use strategy to win.

Sore Losers

One major barrier to family game night is that no one wants to play with a sore loser. We’ve all played a game with a child, or even an adult, who is a sore loser- it’s not fun for anyone! Here are some ideas: 

  • Practice What to Say: Before the game even starts, role-play what everyone would say if they lost or won a game. “Good game!” “Better luck next time!” “Maybe next time I will win!” “That’s ok, I tried my best”. You also need to practice letting your child lose! Do not let them win every game. 
  • Be the Role Model: If you win against a sore loser, so those phrases above that you practiced during the game. Do not have the winner have a big party. The winner can be excited but does not need to be over the top to hurt other’s feelings. 
  • Team Games: Play in teams so a child that has trouble playing a game can win every once in a while. 
  • Stop: If your child is becoming out of hand- stop the game and start later when they are calm. 

If you find that your child continues to have difficulty with fine motor skills to operate pieces, understand steps and sequencing to play games, or continue to have tantrums over losing, then we invite you to request a free consultation to discuss how occupational therapy, speech therapy, or physical therapy may help your child want to play games. 

Written by: Megan Wilkison, Occupational Therapist