Tag Archives: Breastfeeding

Will that be baby or a set of plastic horns?

More and more mothers these days are turning to exclusively pumping for their babies according to an article over at Time Magazine.

Why?

The article gives several reasons from not wanting a baby at your breast to “having other things to do” besides nurse to not wanting the humility of having to nurse in public.

As a mom who has fed her children via exclusive breastfeeding, exclusive pumping, and with formula, I have to say while I understand and I’m glad these moms are at least giving their children the benefit of breastmilk, I’m a little befuddled.

I exclusively pumped for our second daughter for seven months and hated it. I hated the pump. The horns were cold, hard, and didn’t offer to cuddle with me when we were through. They didn’t fall asleep on my lap, snuggled up next to my breasts. No, instead I had to sterilize them and return them to their waiting positions on the kitchen counter. Why did I pump? I pumped because my daughter was born with a cleft palate and therefore physically unable to nurse. As she was facing multiple surgeries to take care of a few issues including closing her palate, I saw my breastmilk as important medicine that would help get her through those early few months with some extra protection. It wasn’t because I wanted to save time (and by the way, nursing a baby does save time – it’s not a Hoover of time as some of these moms would have you believe), it wasn’t because I had other things I had to do, and I would have proudly nursed her in public if I could have.

What’s interesting is that this article cites a research study which showed that not breastfeeding mimics child-loss.

In an intriguing paper published in July in the journal Medical Hypotheses, Gordon Gallup, a professor of biopsychology at the University of Albany, posits another upside to sticking with the breast: a mother’s decision not to breast-feed may unwittingly mimic child loss, evolutionarily speaking. Given that bottle-feeding technology did not exist for the last 99.9% of human evolutionary history, Gallup reasons, the likeliest reason a mother of yore would not have breast-fed is the death or loss of the child. He suggests that the consequences for the bottle-feeding modern-day mother could include an increased risk of postpartum depression and difficulty producing milk. (Read More from the article by clicking here)

There are several other reasons to nurse directly:

  • Heating breastmilk may cause some nutrient loss
  • Pumping requires a high level of sterlization of pump parts and bottles. (Trust me as someone who’s been there – this is time consuming! And I even used Medela’s microwaveable steam sterilization bags!)
  • Freezing milk also causes nutrient loss
  • Some breastmilk does not store well due to an enzyme that cause it to become foul smelling and tasting
  • Time limit on how long breastmilk can be at room temperature. While it CAN be out and about longer than formula, there is a limit. Nursing directly does give you more freedom to do whatever you want to do.

I have always been very supportive of moms doing whatever they feel they need to according to their own family philosophies but this takes the cake. With our third child, I was faced with having to pump again because he wasn’t gaining enough weight with just breastmilk. (My supply had dipped due to some severe emotional trauma). After a day of consideration, I decided to move straight to formula. I could not go back to pumping because I knew where that would lead me and frankly, I just was not ready to return to that dark place.

For any mom out there who is considering to exclusively pump instead of nurse, please know that it is a LOT HARDER to EP than it is to nurse. It takes a lot of dedication, a hospital grade pump to really get a decent supply going and continued, and EP’ing is a lot more time consuming than nursing. Please educate yourself about the pro’s and the cons before jumping into the exclusively pumping pool. It’s filled with some deep water, ladies.

Given the choice, I’d choose baby over horns ANY day.

The importance of Kangaroo Mother Care

"Day 6" by samwebster @ flickr

"Day 6" by samwebster @ flickr

Kanga-what?

Kangaroo Mother Care is when a human mother and her infant snuggle skin to skin with the infant lying prone on mom’s chest. It’s a term coined after the Kangaroo’s close relationship with her little joey who doesn’t come out of mom’s pouch for four months after birth. Instead, joey relies on mom’s warmth, nutrition, and support for his “fourth” trimester. Research has concluded over and over again that this care is invaluable for both human moms and babies as well.

In 2007 a study published in the Oxford Tropical Pediatrics from researchers at the Instituto Materno Infantil in Brazil concluded that Kangaroo Mother Care may prove helpful in warding off postpartum depression. Researchers evaluated mothers at the beginning of NICU care and at the end of their Kangaroo Mother Care. NO mother developed depression during their Kangaroo stay. Let me say that again. NO MOTHER developed depression during their Kangaroo stay.

WHO, the World Health Organization, also offers an article regarding Kangaroo Care in the early months of infancy. Their article focuses on the bonding and encouragement of breastfeeding that Kangaroo Care provides. Many of the after-birth procedures and examinations can take place while baby is on Mom’s stomach in the prone position thereby improving chances of maternal and infant bonding.

There’s also another personal story proving the very value of Kangaroo Mother Care. Carolyn Isbister, a mom out of Edinburgh, saved her infant’s life with a Kangaroo Cuddle. Her little one had been given up on by doctors. Carolyn cuddled with her infant to say goodbye. She and her husband watched as their daughter’s breathing and heart beats regulated. They watched as she went from grey to pink. Carolyn’s little girl is now healthy and home, thanks to Kangaroo Mother Care.

One of the calmest moments I had in the midst of my own downward spiral was as I sat with Charlotte snuggled up on my chest. We were in the middle of the NICU, beeps and boops all around us. The fragility of life hung heavy in the air. Her many wires, tubes, and other non-baby items draped across me as well. But all that mattered was her soft warm head resting peacefully under my chin, her breath caressing my chest. I wrapped my arms as tightly as I dared around her tiny body and closed my eyes. This was a moment in which I wanted to get lost. I wasn’t experiencing many of those at the time. Time stopped as we stepped out of the NICU and into our own little world for a bit. Even as I type this I can still smell her fresh baby scent and feel the weight of her little body curled up on my chest. It is a moment I will always cherish and never forget. My eye in the midst of a hurricane from hell.

If you’re a new mom struggling with bonding with your new infant, please try Kangaroo Mother Care. It’s free, it’s easy (mostly naked baby, mostly topless parent) and it does wonders.

There is a website dedicated to the promotion of Kangaroo Mother Care as the standard of care for all newborns. They do sell products there which I am not endorsing in any way shape or form. But the website is very informative and something worth checking out if you’re interested in trying Kangaroo Care, know or work with a population who may benefit from this option. You can reach Kangaroo Mother Care by clicking here.

Just Talkin’ Tuesday 08.11.09: Breastfeeding & PPD

Original Photo "the breastfeeding lady 2" by Raphael Goetter @ flickr

Original Photo "the breastfeeding lady 2" by Raphael Goetter @ flickr

When I gave birth to my second daughter I saw my dreams of a normal postpartum smashed upon the rocks just 30 minutes after delivery. A delivery after 42 hours of labor, 36 weeks of pregnancy spent un-medicated but largely depressed and unaware of any potential issue facing us. We fully expected (as any parent) a healthy child, normal delivery. A large part of my smashed dreams tied into the hard reality that I would absolutely not be able to nurse her because she was born with a cleft palate so wide and large that it would be physically impossible for us to do so.

Later that day I was faced with a crucial decision. What kind of formula would I prefer for my daughter? I cried. She wasn’t SUPPOSED to get formula! That evening found me hooked up to a hospital grade pump praying for anything to happen. I barely squeezed out a drop. But I persisted and pumped for her faithfully until she was seven months old. I even researched everything I could in order to try to get her to nurse – books, cleft organizations, the La Leche League, the local Lactation consultants and even going to a training to become a trained Certified Lactation Counselor (which I completed one month AFTER we stopped nursing!) I left no stone unturned! Charlotte and I used SNS, nursing shields, and sheer determination. She eventually nursed for almost five minutes! Those five minutes were so amazing words cannot even begin to describe. In fact, it was tears falling from my face which interrupted the glorious event.(You can read more about our journey here: Breastfeeding Charlotte)

But at seven months, I faced a decision. My desire to continue to give breastmilk to my daughter or my mental health which had deteriorated so much it was adversely affecting my relationship with my husband and other daughter. With a heavy heart, I drove to Wal-mart to purchase formula. I cried the whole way home. Eventually I made peace with the decision. “Hanging up the Horns” or HUTH as it’s called in the world of exclusive pumpers, was a difficult decision. But one I was glad to make as it allowed me to bond with my entire family. I had come to resent Charlotte for all the extra work she required. But now, all I had to do was pour, heat, and I was done. I made strides towards better mental health and so did the rest of the family.

For me, the decision centered around the stress providing breastmilk created. I was also on medication which can be another tremendous issue for new moms. Many mothers don’t want anything crossing over to their infant through their breastmilk. Dr. Thomas Hale, author of Medications & Mother’s Milk, is a wonderful authority on the topic as are the researchers at Motherisk in Canada. When nursing while on any medication, it is important for the infant’s pediatrician to be aware of the medication and dosage amount so baby can be monitored for any adverse reaction. The decision to take medication is a personal one and should be made carefully with the help of professionals. Ask questions. Make sure the prescribing physician KNOWS you are nursing. And do not let them force you into quitting nursing if it is the one thing in which you find comfort. If you are currently struggling with this decision, please read this wonderful essay by Karen Kleiman: Is Breast Really Best?

So let’s get to Just Talkin’ Tuesday already!

Did your Postpartum Mood & Anxiety Disorder affect your nursing decision? Did you decide to formula feed to help improve your mental health? Do you regret your decision? Made peace with it? Did stopping help? Did your desire to nurse increase your desire to seek natural treatment? Speak up! Share!

(Absolutely no bashing for deciding to formula feed will be tolerated here. We respect the decision of all mothers to choose the course of treatment/feeding they feel is right for their families. Any posts discrediting or attacking a mother for her decision to formula feed will not be approved.)

Maternal & Child Comprehensive Center: My Dream

As I have grown and continue to grow in my knowledge and support of women and families struggling with Postpartum Mood Disorders, so has a dream of mine. And right now, it is just that – a dream. One day I hope it will become reality. This dream would be realized in the founding of an all inclusive Maternal and Child Services Center.

The Center would be non-profit to allow for sliding scale fees so that no woman or family would have to be turned away. Women of childbearing age would be accepted – intake would consist of consultation with a Nutritionist, a Case Manager to aid in Mental Health, and of course, an OB or Nurse Midwife. Once pregnant, monthly visits with the OB or NM would continue until the eighth month of pregnancy with special appointments with the Nutritionist and Case Manager scheduled every three months or more often as needed. Doulas would also be available. Childcare would also be provided on site to remove the stress of finding child-care for appointments from the mother or family’s life. We would have on-site birthing and recovery as well as Postpartum Cottages for in-patient psychiatric care – homes where a Postpartum Doula and nurses would work round the clock as the family stayed together to recover – rather than being torn apart. Days for Postpartum Care would include therapy for both mom and dad as well as joint parenting classes. At night, Dinner would be a joint effort amongst all patients – creating socialization opportunities for confidence to bloom again in this area.

We would also offer on-site Pediatric Care with Pediatricians trained to recognize signs and symptoms in both mother and child of Postpartum Mood Disorders. Children would be eligible for this care until age twelve.

Regular support for breastfeeding, formula feeding, loss of breastfeeding relationship, infant loss, miscarriage, special needs infants, Postpartum Mood Disorders in both mothers and fathers as well as classes on infant massage, yoga, and other alternative treatment options for soothing stress in families with young children would also be available.

Overall, the primary staff would consist of a Center Director, Social Workers, Psychiatrist, OBs, Nurse Midwives, Lactation Consultants and Counselors, Doulas, Nurses, Nutritionists, Peer Support Specialists, Pediatricians and Childcare Specialists.

During the Childbearing years, it is of utmost importance women take care of themselves, their bodies, and their families. This Center would enable them to do so by informing and empowering them of their options as well as providing quality comprehensive care for every aspect of their lives during this time, something all women deserve to have access to, no matter what their social or financial standing.

Continuation of the Cameron Saga

I have good news and even better news but first we have to take a detour through bad news valley.

Last Thursday, the pediatrician phoned to let us know that the thyroid portion of the PKU newborn screen had come back abnormal. She wanted us in her office that afternoon to speak with us and get additional tests completed to rule out congenital hypothyroidism. The rush was because the longer Congenital hypythyroidism goes untreated, the higher the risk of mental developmental delays and other delays.

We went in and she explained to us the tests and we also checked his weight. In a little under two weeks, he went from 12lbs 7oz all the way up to 14lbs 1oz!! The lab was next door and he had his blood drawn. Then we waited.

Three of the five tests came back with normal results by the next morning. I cried.

This past Tuesday I took him for his original weight check appointment (he gained another 8oz by the way!) and the ped had the other two results. They too were normal. The endocrinologist does not need to see him and we go back in three weeks to follow up.

We are no longer breastfeeding and he is completely on formula. After everything i went through with Charlotte and my PPD, I know my limits and pumping or troubleshooting why nursing wasn’t working is beyond my scope this time around. He did nurse yesterday morning and I will continue to let him nurse as I need him to or as he wants to until my supply has ceased. Even when I’m giving him a bottle we are cuddly and have eye contact. It doesn’t matter what goes into his stomach or how it gets there. All that matters is that we’re thriving, happy, and healthy.

We are all of those and so much more!