A certified lactation consultant for the past 20 years, Robin Hollen started Starfish Lactation in September. It offers expert advice and holds a weekly breastfeeding support forum inside Hollen Financial Planning at 4741 Caughlin Parkway, Suite 3. (The next one will be Feb. 15 at 11 a.m.) Call her at 240-9916, visit www.wellnourished.baby.org, or become Facebook friends with โ€œNevada Breastfeeds.โ€

Tell me about Starfish Lactation.

Part of what we see in the community is thereโ€™s a small percentage of moms that get to a point where theyโ€™re not getting answers, and theyโ€™re having real problems. I sublet space to be able to see those moms. In addition to that, I hold a forumโ€”we donโ€™t want to call it a group because thereโ€™s baggage with that wordโ€”as an opportunity for moms to get together and talk and share, and I can be very direct about giving information. But itโ€™s not a consultation. We meet on Tuesdays from 11 to 12; and the first Tuesday of the month is 5:30 to 6:30 because the moms asked for that. โ€ฆ

Whatโ€™s the law on breastfeeding in public in Nevada?

I would refer to NevadaBreastfeeds.org, the state website with the specific language of the law. In general, the federal government [last March] said you have to allow women time and a place to pump. And the time didnโ€™t mean extra timeโ€”maybe the mom has to come in 15 minutes early. But one thing the law specifically stated is it would not be a bathroom. We have found most employers want to help the mom. When the law was interpreted and the regulations were set, one of the regulations was it didnโ€™t cover salaried employeesโ€”so that wiped out our teachers.

I often wonder, what do casino workers do, restaurant workers do, who want to pump breastmilk?

Moms are the most resourceful creatures because theyโ€™re moms, and they have to be. I know several storiesโ€”I always want to do a hero or awards thing, because theyโ€™ve gone above and beyond. The casino worker story that sticks out for me is of a single mom who was a casino dealer, and she had specific breaks. She would walk past the coffee place, grab a Styrofoam cup, go into the bathroom, hand express, and be back in her station in 10 minutes. She exclusively breast fed for a year. Teachers have pumped in closets, at their desks with the door locked. But mothers do what mothers have to do for this โ€ฆ

That said, wouldnโ€™t there be more breastfed babies if there were better access to places to pump?

Absolutely. Many moms donโ€™t get the information, let alone the moms who go back to work at four or six weeks at a restaurant. The other regulation is that it only applies if you have 50 employees or more. I donโ€™t find that the employers try to make light of it. I think the new mom afraid of losing her job is not going to rock the boat. A lot of moms pump in their car. Thatโ€™s their private place, where theyโ€™re freezing outside. โ€ฆ But, reallyโ€”you have to make a law to allow women to pump at work? That will change as more moms are working. The American Academy of Pediatrics โ€ฆ recommended breastfeeding for the first year of life. That single declaration [lengthened the] time of moms breastfeeding. That was a major shift.

What are some of the common, most fixable problems?

Any problem that doesnโ€™t have a true anatomical or physiological basis. Milk supplyโ€”I know moms believe it isnโ€™t fixable. What I see is moms delay, delay, delayโ€”โ€˜tomorrow will be better โ€ฆ In breastfeeding, most problems are fixable if theyโ€™re fixed early. Breastfeeding is established in the first two weeks. Thereโ€™s a story for every situation, but there are some moms whoโ€™ve declined an enormous amount, and they turn things around.

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