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

Tuesday, July 26, 2011

I Have New Credentials!!

I just got my test results back this week from my CLC training program... and I passed!
So I am officially a Certified Lactation Counselor now!



I have been meaning to write a post about many of the interesting things I learned in the training program and just haven't had the time. But it's all so fascinating and I want to share with you! So I will get around to it soon! August is National Breastfeeding Month so maybe I'll get that post written next week. :)



I've been talking with the Lactation Consultants that head up our program at work about some exciting new opportunities I might have to continue my education and training in the breastfeeding field. My boss is on board with me furthering this area of expertise for our clinic and being the unofficial representative for our breastfeeding mothers. We do have another counselor that works in our office two days a week. But the more of us that are trained, the better we will be at assisting our mamas! My main practice will still be as a dietitian and my job is not changing. (Even before taking this course, I have been counseling breastfeeding mothers in my day to day work.) But now I will be able to physically assist a mother with latching her baby when necessary and I will be the go-to person for general breastfeeding questions most days. I'm excited!

Friday, July 8, 2011

Flashback Friday: The Glider

Don't laugh.

I'm totally doing this.

A farewell post to my favorite piece of baby furniture. ;)


I don't actually have a million pictures of me sitting in it with the kids but I did take a bunch of just them throughout the past four years. Despite the lack of pictures of myself in this chair, this is where my hiney got very comfortable for many, many, many hours as I became a mother. Nursing and rocking and reading and soothing and chatting and just being with my children.


I can close my eyes and remember happily sitting in this glider with my first big, pregnant belly... hand propped on top of my unborn baby... just dreaming of what it would all be like and how we would get to know each other.


Then I can remember that first morning after our first night at home. Nursing still wasn't going well for Will & I, and I was scared. I can remember looking at the little lambie clock on the side table and it reading 6:25 in the morning as I desperately tried to latch my sleepy baby on for a feeding. I called my dad because I just needed to talk to someone and he was the only one I knew would be up at that hour. I remember a little while later trying again to get him latched and trying to maneuver this crazy position that my aunt suggested to help him learn... and Will just looking completely revolted by my efforts and me feeling so defeated and terrified.


Months later after we'd figured it all out and he was happily nursing for 30-45 minutes whenever I'd let him, I used to take him fresh from the tub, wrapped in a towel with a cloth diaper under his hiney and we'd snuggle there while he got some "naked butt time". (I always called it that because I hated the idea of having a delicate bottom constantly sitting in a diaper.)


Many a nights, I'd stumble sleepily down the stairs when I heard him wake over the monitor and we'd settle in for a middle-of-the-night feeding and I would inevitably fall asleep and wake up an hour later with a very sore neck. ;)


My mom used to stop by to see Will for no reason other than to snuggle him and they'd sit in the glider and she'd read him a book.


On the night stand beside the glider, you could always find a book that I was currently reading because Will used to nurse for so long and I had no other children to tend to but him. I miss that opportunity that I had to just sit and relax, read and nurse and rock.


As will reached his first birthday, he was already in love with books. He'd often sit in the glider by himself just browsing for impressively long periods of time.


And then when my belly got too big with my second pregnancy for him to sit facing out in my lap, we started to have him turn to face me and basically straddle my belly while we read books every evening.


When we transitioned Will to the big boy bed in a different room, we of course left the nursery set up and just changed it a bit for a newborn again. Our bedtime routine then became books and rocking in the nursery and then carried to his room across the hall for a couple songs and then tuck in.


When Sophie arrived, our time spent in the glider was considerably more brief than it was with Will. She nursed very quickly and when she finished, I had to pop up and be available to both kids. I can vividly remember Will walking in the moment I sat down to feed her and asking "hold you?" EVERY TIME. So I was often reading picture books and entertaining a toddler while my new baby nursed.


Lots and lots of rocking took place at bedtime as I struggled to get her to sleep in those early months.


No more of MY books beside the glider this time. She was too fast. Will needed me and might also run off with said book if left within his reach. And later she was too distracted by every little thing - we often sat in a dimly lit room while rocking and holding hands so that she could focus on the task at hand. :)


Quite a few more memories of rocking and reading and nursing with my girl since she stayed in that room with the chair for quite awhile longer than he did.


Rocking is such a soothing motion and the most natural instinct for a mother to do when calming, settling or just snuggling her baby. I couldn't have done it without this chair and I love all the memories we made here. Thank you, Grandma, for making this investment for us!


{February 2007 - sitting in the chair we were about to purchase while registering at Babies R Us.}

{April 2007 - Preparing the nursery.}
{October 2007 - 4 1/2 month old Will.}

{June 2008 - 1 year old Will.}

{February 2009 - his last month in his nursery room.}

{April 2009 - 4 day old Sophia.}

{April 2009 - 6 day old Sophia nursing in the background with 22 month old Will just up from a nap. He hadn't had his first haircut yet and he always used to sweat so much when he slept!}

{May 2009 - the beginning of my progressive sibling pictures in the glider - Will at 23 months, Sophia at almost 1 month.}
{May 2009 - just a few days later.}

{June 2009 - 2 month old Sophie with Nana.}

{July 4th, 2009 - 2 1/2 months and 2 years, 1 month old. Look at how much chubbier Will was at age 2! Just like Sophie is now. Now, Will is [as my friend Kelly referred to her son of a similar age] a string bean! :)}


{August 2009 - 4 months and 2 years, 2 months.}

{August 2009 - 4 months old.}

{September 2009 - 5 months and 2 years, 3 months old.}

{Halloween night 2009 - nursing Sophie after trick-or-treating with Will.}

{December 2009 - 2 1/2 years and almost 8 months.}

{June 2010 - 13 1/2 months - very much the climber.}

{September 2010 - 16 1/2 months and 3 years, 3 months.}

{November 2010 - 18 1/2 months and 3 years, 5 months old.}

{November 2010 - nearly 19 months - bedtime with daddy.}



{January 2011 - 20 months.}

{February 2011 - more story time.}

{February 2011 - reading with "Miss Hollywood".}

{June 2011 - rocking Sophie before bed - and dozing off myself.}


{July 2011 - one last picture of both kids and I, sitting in the glider we've grown up in just before moving it out of the nursery. So bittersweet - look how they've grown!}

Ya, I know. I'm a little overly sentimental. But I didn't cry! Not even when I rocked Sophie for the last time in the chair on Saturday night...


I'm totally tough. :)


Goodbye, chair...

Wednesday, June 15, 2011

Pardon My Absence...

Please pardon my absence this week...



I'm currently in the middle of a really, REALLY fascinating 40 hour training program for breastfeeding counseling this week. I am learning so much and thoroughly enjoying every minute of my classes. I've gotten to network with some really interesting women from all over the country and world (one lady has come all the way overseas from Qatar in the middle east!!) and learned about how many of them support breastfeeding mothers in their various programs/clinics/hospitals: doulas, nurses, dietitians, peer counselors (WIC breastfeeding), Help Me Grow, social workers, etc. etc. The two women facilitating the training are so intelligent and inspiring.

I'm also having to unlearn some outdated information even from college and the early part of my career in WIC because of the astounding amount of information they're providing with new studies that have come out in the last year or so. Things have changed! For example (for those of you who've breastfed or learned anything about breastfeeding): the concept of fore and hind milk and which is higher in fat and calories? Totally out the window. Not consistent enough to be true information to stress to mothers when counseling. What??? It also turns out the number of additional calories a breastfeeding woman needs in her diet is probably much less than was previously believed... because previous testing was done on cows! (I still say just follow your own appetite. It has to depend on the woman.) Oh! And almost NO babies are "lactose intolerant" as I've long suspected despite the fact that soooooo many scripts from our patients' docs use that as a diagnosis for formula changes.



As I sit and listen to all this information, I am learning so much more about my own breastfeeding experiences - why Will probably had difficulty latching, why his nursing sessions were so long, etc. - and wishing I could do it all over again. I loved breastfeeding! And while I'm a little baby crazy this week (haha!) I'd love to just rewind time and get to do it all over with my own two babes. I watched (not kidding) THE MOST BEAUTIFUL VIDEO I've ever seen of a newborn baby moving through the nine (known) steps of natural attachment on his mother's chest in the first hour after birth. I had tears in my eyes and I was just so in awe of the miracle of women's bodies (seriously, ladies, we are awesome!) and the instincts of a newborn. These tiny babies are so smart when given the chance to show us!



The whole training is making me all the more passionate about encouraging and supporting breastfeeding and also making me think about furthering my education and perhaps my career in the direction of lactation consulting or even, perhaps, as a doula. That would definitely be years from now IF it happened. I would want my kids to be grown before I'd consider being in an on-call position (for births). It's all just so cool and fascinating... and I love it!



Anyway, there is so much I want to post from last week and the weekend - we were busy and I hate getting behind 'cause life doesn't exactly slow down! But right now my evenings are devoted to studying the material we're learning each night after I do all of my normal family duties. Umm... anyone out there who's gone back to school with a baby or young child(ren), I commend you! This is only a week and it already feels a bit overwhelming! Wow. So glad I finished college before having babies.



So, wish me luck! I have an exam to pass on Friday!

Saturday, December 18, 2010

My Breastfeeding Journey

A rather large part of my mothering responsibility thus far has come to a bittersweet end. For the last 4+ years of my life, my body has been largely devoted to growing and sustaining babies! I have been either pregnant or breastfeeding with one of our children since the fall of 2006. And now... we're done. :( I am not at all one of those mothers that has been counting the days until she "has her body all to herself again". I honestly have never minded sharing (haha!) and I will miss it all very much. This was only a chapter in my life as a mother, but it is one that I am so grateful I was able to experience. Being a woman is awesome and I thank God for bringing me two healthy children and the opportunity to grow and support a life beyond my own.


Craig and I made the decision that our comfortable family of four was the perfect size for us and that we would be done having children after Sophia. We made this decision while Sophie was still pretty newborn though, and a part of me wondered if it was easier to make while I was still so fully in the midst of new-babyhood. But our feelings haven't changed. This size family is right for us and I am so happy where we are. However, knowing this decision was final while Sophie was still so tiny, really made me want to linger a little longer at every step of her infant life. It's so fleeting, isn't it?

A week ago, Sophie and I had our final nursing session. I never really expected to nurse as long as we did, but it's funny how something that you do so routinely just doesn't feel strange when it's been a part of your typical day for so long. As I've mentioned previously, my goal with both kids was always: "at least the first year, and then we'll just see". With Sophie, I simply continued with what felt natural. Nursing was never an inconvenience in my day. Our sessions were so brief and only ever when she woke in the morning and before bedtime at night. We were always in the same spot - the glider chair in her room - and Sophie was not at all clingy about it. She never asked for it, never pulled on my shirt, never looked for it when she was hurt or tired, and never once made me feel not in control of my own body or uncomfortable about it. It was simply a time of quiet connection for us - maybe 5-10 minutes, sometimes less - and an extra boost of healthy nutrition to support her growing immune system. Speaking of immune system (I should knock wood first), Sophie has never been "sick" in all of her 20 months of life so far. Nothing more than a runny nose that often went along with new teeth. If that's not a great reason for breastfeeding - and extended breastfeeding! - I don't know what is!

So now that this chapter of my life - pregnancy and breastfeeding - has ended, I would like to pay tribute to my breastfeeding journey. It has been so fulfilling and challenging and rewarding and empowering. Something I wish for every mother to experience at least a little. Looking into your babies eyes and holding their tiny hand in yours while nursing is one of the most indescribably perfect feelings in the world. Thank you, God, for letting me experience this.


I should mention here that some of the pictures in this post are a little graphic with breastfeeding. Tasteful, but perhaps off-putting to some... ???



William's breastfeeding story started off a little rockier than Sophia's. Latching was not a natural skill for him and we struggled for days trying to figure this out together. Immediately after birth, Will was taken to the NICU for five hours where they wanted to monitor his "nostril-flaring" due to possible fluid in his lungs from a speedy delivery. All was, of course, fine... but that delayed start in bonding was pretty detrimental I think. That first hour after birth is when babies are most awake and alert and interested in nursing. I was left with a very sleepy baby, whom I had to try desperately to keep awake. And then once I was successful, I had to try desperately to get him onto my breast correctly. It wasn't painful, but I just knew he wasn't getting the hang of it even when we left the hospital and I was terrified of trying to do it alone. I remember feeling surprised that some mothers are afraid to leave the hospital because they don't know what to do with their baby when a nurse isn't on call. I was pretty confident in my ability to handle a baby, but here I was struggling to provide this most basic need: feeding him! To top it off, William was circumcised the same day we were discharged, so he was even more sleepy because of that.My first night home with him was so scary and defeating. We struggled to latch with every feeding. I was so, so determined to breastfeed and so, so afraid of "failing" at this. In the hospital before discharge, I had used a hospital grade pump to collect mere drops of breastmilk into a bottle (half of an ounce, maybe?) and was using that bottle to try to help him latch. I'd give him the bottle to get him sucking and then try to make a quick transition to the breast. That worked a couple of times, but I still wasn't feeling like he was making any progress. At one point, when that bottle was gone and I couldn't get him on, I cried my way down the stairs and cried through the entire process of making a bottle of powdered formula. I didn't want this for my baby, but I had to feed him. In the end, I only used it to help initiate a latch for a couple of feedings and that was it. By 6 a.m. the next morning, I was feeling completely drained of confidence and worried for my baby. I called my aunt for moral support and later my mom and sister came over to help me that day. My mom encouraged me to take a shower and try to relax. After my shower, the four of us were all sitting upstairs in my bed (mom, Casey, Will & I... Craig had to go to work) and for some reason I remember the ceiling fan was blowing and it felt so comfortable and nice just then. Mom handed Will to me to try again with breastfeeding and suddenly... I kid you not, the heavens opened and angels started to sing... and my baby latched on correctly and comfortably. He DID IT! And I was beyond elated! I cried and thanked my wonderful mom and sister for being there with me and, after that, William and I had things pretty figured out.


At his one week appointment, I was so relieved that William had reached birth weight again! He was 8#3oz at birth... somewhere in the 7's at discharge... and I was just hoping for 8# even at the one week appointment since we had such a rough start. (Breastfed babies are expected to regain their birth weight by two weeks.) But, much to my surprise, he had completely regained birth weight at one week. 8#3oz exactly. It's amazing how proud every little ounce can make you feel!


One of the wonderful things about the first born is the ability to "nap with the baby". William and I napped quite a lot together. He was a first-class snuggler and I loved having him near me. (P.S. - you can still see my "mask of pregnancy" - a.k.a. melasma - a.k.a raccoon face around my eyes in this picture.)
In the first couple months, I did have a couple bouts with plugged milk ducts and one period (which I am pretty sure was just a growth spurt) where I felt my milk supply just completely plummeted to almost nothing. Again I was scared, and every time I got so anxious about feeding my baby, I would simultaneously lose my appetite all together. I lost weight FAST after Will's birth, partly due breastfeeding itself, partly due to the stress of breastfeeding problems! But again, we managed to work through those things and I was just grateful that they happened while I was on maternity leave and had the ability to exclusively nurse as often as he wanted. My one recommendation during an early growth spurt: DO NOT PUMP! Just nurse the baby! Or, as my aunt said: "just nurse and nurse and nurse... stop worrying about anything but cuddling with your baby".This is the only day I have a picture of me nursing William. It happened to be the day that we walked down to meet the sitter that would watch Will after my return to work. Oh, another thing I'm thinking of when looking at this picture was my total and complete love of the Boppy pillow. I used that thing ALL. THE. TIME. (Except when we were laying down in bed.) I even took the Boppy with us to San Diego for a vacation when Will was 10 weeks old.

Probably around the time he turned 6 weeks, we took a vacation to Grand Haven, Michigan with my sister and brother in law. And that was when I discovered the ease and comfort of co-sleeping for the time being. That probably only lasted a couple weeks after I realized that my sleep was terribly interrupted with every little wiggle and twitch my baby made. After becoming a mom, my sleep has been forever altered. I am such a light sleeper now!
Shortly before my return to work, Will moved downstairs into his crib in his own room. He did very well with it and has been such an independent sleeper ever since. I was getting up 1-3 times per night for awhile after getting back into working full time. And then by 5 1/2 months, Will slept through the night and never once regressed. This is probably my favorite breastfeeding picture of all. Craig took it. So sweet and pure and natural. I never want to forget how my babies looked at this time.
At work, I pumped three times per day and Will took expressed milk with the sitter. I was working four 10-hour days, Tuesday through Friday. On weekends, Will and I often cuddled up to nurse and take a nap together to make up for lost time while we were away. I so appreciated that about him. He was always long and leisurely with nursing sessions - at least 30 minutes or more each time - and that gave me plenty of time to relax myself.
I got the hang of nursing in public too. In a breastfeeding post I wrote around the time that Will and I weaned, I listed a bunch of public places that I'd nursed him, including once at a Nagoya restaurant, while our meal was being prepared in front of us! :)
In general, though, our breastfeeding days just passed with ease and we were both happy and grateful for that. Like the shirt?
Around Will's first birthday, we gradually dropped feedings one at a time until we were down to just the morning. The evening feeding was the first to go. With my first baby I was afraid of having a child that refused to wean and my thought was that evening would be the hardest, and morning the least inconvenient. But we had no problems continuing the morning nursing for a couple more months.
This picture was taken the last day that William nursed on the morning of August 15, 2008 at the age of 14 months. We were mutually ready to wean and the process was easy. At this time, I still hadn't had a menstrual period since delivering Will...
And three days later, I got a positive pregnancy test for Sophia. Talk about back-to-back! I was essentially then nursing for a short time at the beginning of my pregnancy (before I knew) and perhaps that change in my body or my milk was noticeable to Will?
So a little over eight months after weaning Will, our second child was born with one heck of an appetite and a healthy set of lungs to let us know it! :) Sophie's birth was far more challenging than Will's but she rewarded me with an immediately-perfect latch right after birth. She had a textbook latch and never once a problem with the how-to of breastfeeding. She nursed frequently and eliminated any concern for newborn jaundice right away. Sophie was 8#14.5oz at birth... I don't remember her discharge weight because nobody was worried about it... and 9# even at one week. She continued to eat and gain quickly, porking out at 13# at just two months old! But after that, she dropped off of that 90-95th percentile and gained much more gradually along the average.
After the first sleepless night at home, I discovered that little miss Sophia slept like an angel right beside her mama in bed. She gave me 4 and 5 hour stretches right off the bat as long as she was snuggled near me. And I loved having her close. On the contrary, she did NOT sleep well on her own in the pack 'n play in our room. So we co-slept for about the first three weeks, when I decided it was time to move her into her own crib. This was a much earlier transition that Will's, but co-sleeping is not something I was interested in pursuing long term. I only stuck with it in the beginning because it bought me that extra sleep. But at three weeks, I decided to make the transition out of our bed and, because she was so noisy by herself in the pack 'n play, I found it easier to move her directly to her own room. I hated that we were so far apart and I hated going up and down the stairs in the middle of the night, but I was trying to look at the big picture of sleeping goals and in the end it worked. Sophie slept through the night pretty early and did so consistently after about three months old.
Sophie's only problem with nursing was also mostly an advantage: she was really FAST! That was definitely a relief with a toddler running around the house and needing my attention too. I prepared (before Sophie's birth) some activity boxes for Will that he could sit and do while I nursed the baby. He was not at all into TV at the time and I worried that I wouldn't be able to handle both of them when she needed to eat. But we managed just fine. Often, I put Will in his high chair with coloring books or puzzles or barrel of monkeys and he played just long enough for his sister to finish nursing, which was usually about 8-12 minutes. Will was very curious about nursing at first, and I prepared for that too with a cute book about how all mammals nurse their babies. He still loves that book to this day. But back to Sophie's quickness as a "problem"... she would often gulp and swallow so quickly in the beginning that she was sputtering and coughing and swallowing air. That was so frustrating. We were constantly stopping to get a burp out until she finally learned to slow down just a little, or maybe just learned to manage my excessive milk production... brought on by herself. Her big, early appetite definitely provided me with more than enough milk and sometimes I think she was unsuccessfully trying to swim against the tide of a raging river. ;) LOL Because of this, I was easily able to build up a freezer supply of extra breastmilk for my return to work.

When Sophie was six weeks old, my twin nieces were born and my sister did an astounding job of jumping right into motherhood and breastfeeding. I loved that Casey and I shared this experience together and could always relate to what the other one was doing. I went to visit them in the hospital and left our kids with my aunt for a few hours. It was the first time Sophie took a bottle of expressed milk and she did just fine with it. While I was away, I had to pump at the hospital. Meanwhile, Casey was struggling a bit to keep her babies awake long enough to latch and nurse. The hospital lactation consultants were actually pushing her to supplement with some formula, which Casey adamantly did not want to do. (I'm still surprised that they encouraged that!) So thankfully, because I was there with my pump and needing to express anyway, I left her all 6 or 7 ounces of the milk I'd just pumped to help latch the girls with a bottle and satisfy any staff that questioned Casey's ability. I'm sure it came as a surprise, as that is not something they likely see very often, but I was so happy I was able to help my sister at that time.
Any worries the medical staff had for Casey were completely unnecessary because, as I've mentioned before, she made mothering twins look like a piece of cake and they fell very easily into a manageable breastfeeding routine with Wes's support. I'm including this picture because it was their first day home from the hospital (the day before Will's birthday party, I think?) and you can just barely see Casey in the background with her giant, twin-nursing-pillow that she used for all of a couple days. She hated that thing and found it much easier to nurse one baby at a time using the smaller Boppy. Wes was amazing too. He'd already gotten used to my nursing routines when William was a baby, and now with Casey and I both nursing babies at the same time, there was almost always inevitably a baby at the breast when we were together. Wes had gotten to the point of being completely comfortable around it and such a doting support to both of us. He always asked if we needed anything and kept and eye on Will for me while I was sitting down. I just felt as though he was always looking out to be helpful when we needed him.
Now at 18 months old, Mya and Stella are in the process of weaning too. Casey has actually been trying to wean for weeks now and her body is struggling to let go of that astounding milk supply it had built up for her. You would never believe how much milk that girl could pump at a sitting. She began pumping and storing up a ton of milk before her return to work so that her girls would never have to rely on formula at all. She'd often call or text me her ounce total after her evening pump and it was just ridiculous: 16, 17, 18, 20 oz. I think her record that I heard about was 21 oz!! She is, quite literally, a cow! Casey once asked me if I knew if Medela made bigger bottles for pumping receptacles and I told her that I didn't know but that I was quite certain NO ONE had the problem she was having. :) But my amazing and determined sister met her goal and Mya and Stella thrived completely on breastmilk until their first birthday when they weaned down to two nursings like Sophie and I did.
So back to my story...
Upon my return to work, I was much more nervous about pumping this time around. My co-worker had just had a baby four months before me and our small staff was trying to accomodate TWO full-time nursing/pumping mothers in one office. Our time allowed for pumping was about half of what I had for Will. And we shared a hospital grade pump motor (with all our own hook-up parts, of course) that we'd pass back and forth between each of three pump sessions in our work day. This time I was working five 8-hour days and did not have that extra day at home to just nurse my baby when growth spurts hit. So I worried a little.
But that, too, was unnecessary as I think my body was just used to a faster output during pumping due to my faster nursing baby. I maintained an extra pump session in the mornings before work just in case but eventually dropped that too. Sophie did an excellent job of maintaining my milk supply without ever a concern and I loved coming home to cuddle her up and reunite after a long day away.
With that excess of breastmilk in the freezer and even an excess of freshly expressed milk each day, you may recall that I decided to offer some to Will regularly from a cup in an effort to provide him with the extra immune protection following his febrile seizure in October 2009. So between November '09 and April '10 Will was taking between 4 and 15 oz of breastmilk per day without noticing one bit. It was a great way to avoid wasting this precious liquid that I'd worked so hard to produce and it helped keep both my babies healthy throughout the winter last year.
At Sophie's first birthday, we weaned down to one morning and one evening nursing session per day and she easily transitioned to taking whole, cow's milk from a cup.
At 19 months, we dropped the evening nursing. And then, shortly before turning 20 months old, Sophie and I have weaned completely. Just like Will, it was an easy transition. She only appeared to "ask" for it once after we'd stopped and we instead sat in the chair to read a story. Just like with Will. Only this time it was my last time forever.
I am so, so thankful for my healthy children. So grateful for that special bond we established right from birth. And so fulfilled for having the opportunity to provide for my children the healthiest start possible. Our family is complete and the experience of getting them to this point has been awesome. Now, moving forward out of the baby/toddler years, I look forward to our next chapter of life. I still have the opportunity almost every day at my job to help breastfeeding mothers reach that same goal and sense of fulfillment. In fact, I have recently elected to sign up for a training course next summer that, if passed, will give me the title of Certified Lactation Counselor (CLC)! This doesn't at all change my career goals. I'm still a dietitian and still focused on family nutrition and public health as a whole. But having this extra training will help me take breastfeeding support one step further so that I can be a better help to my patients. After all, breastfeeding is the unmatched and absolute BEST start to good nutrition and health for ALL babies.
Cheers to a wonderful journey!

Tuesday, January 19, 2010

Milkin' It

If you've never breastfed a baby before, be forewarned: this post may be a little more information than you care to read. But statistics show that breastfeeding mother/baby duos are on the rise again - 70% of mothers start breastfeeding immediately after birth - Hooray! And I know quite a few breastfeeding mommies that read my blog and will appreciate the boost of encouragement and pat on the back. You can also check out my post from last summer: http://arae-ashley.blogspot.com/2008/08/ode-to-breastfeeding.html

The women in our country have made great strides in breastfeeding support since the early 1980's. Before that, formula was pretty much the only "accepted" means of feeding our babies since it was first introduced. Now, it is not only legal to nurse your baby in public in the state of Ohio (as well as 42 other states), but many states also have protected rights to breastfeeding in the workforce. Additionally, extended nursing (nursing beyond infancy) is on the rise and information on it's continued benefits are more and more publically accepted. For example, immunities in breastmilk become more concentrated as the child matures and the longer a woman breastfeeds, the lower her risk of breast and ovarian cancers.

In my job, I work with breastfeeding mothers on a daily basis. One of the biggest issues our new mothers (or mothers-to-be) face is a lack of support. If no one you know has ever breastfed or it's not the "norm" in your circle of family and friends, you are much less likely to view it as something you CAN do with confidence. Rather, most women tell me they are "going to try", which demonstrates a lack of trust in their body's abillity. Almost ALL women are able to breastfeed! And with a little knowledge and support, they can continue to provide the benefits offered by that "gold standard" - breastmilk! I love that part of my job - providing breastfeeding support and seeing the babies flourish from that wonderful bond.

In my personal life, I am lucky to be surrounded by breastfeeding support from family and friends. My mom breastfed all four of her children; many of my friends, cousins, aunts and co-workers breastfed their children; my aunt was a lactation specialist; and now my sister (the amazing woman that she is) is breastfeeding her 7 1/2 month old twin daughters like it's a piece of cake. (I've been meaning to write a post about my sister and what a wonderful job she's done jumping right into parenthood with TWO children and never once seeming overwhelmed. She's pretty incredible and I'm so proud of her!)

Strong and capable women surround me! I also feel blessed that my co-workers have been so supportive of my desire to breastfeed and my need to pump routinely during the day. I have access to a hospital grade pump at work and 15 minute breaks 3 times per day to pump the milk that Sophia takes for the following day while I'm away.

I haven't been without a few bumps in the road, but overall my experiences with both children have been wonderful. They are VERY different in their nursing mannerisms! Will was long and leisurely with nursing. As a newborn he nursed 8-10 times per day for 30 minutes at a time - nursing consumed my day! And even after 6 months, he still took his sweet time with all 4 of his daily feedings, twirling my hair with his fingers (he still loves to play with my hair) and often dozing off. After his first birthday we continued with one morning nursing until about 14 months when we mutually decided to stop... and I got pregnant. Sophia, on the other hand is fast and feisty. She almost never takes more than 10 minutes and she's usually always wiggly and grabby. I have to hold her hand and look at her (no reading books or watching TV!) or she's immediately distracted. Having a quick nurser was super helpful when she was a newborn, considering she wasn't my only child. An average newborn day for her consisted of 7-9 feedings (about 8-10 minutes each). Now she's down to 4-5 feedings and we're almost always secluded in her room to keep the environment quiet so she can focus. :)

My goal with both children has always been at least the first year and "then we'll just see". The American Academy of Pediatrics recommends breastfeeding "for as long as is mutually desired". This time around, I still plan to stop pumping at work after Sophie's first birthday, but I'm open to morning and evening nursing as long as she would like.

Since I started pumping awhile before my return to work last July and continued pumping more than my daughter was taking, I have quite a freezer load of excess milk. At first I was reserving it for any potential need my sister might have for her babies upon return to work, as I was more than happy to share. However, Casey is a freak of nature and has a milk supply sufficient for quads - LOL. And I am still pumping plenty of fresh milk for Sophie so that I shouldn't need to use frozen for her either.

So herein lies my open (and unabashed) confession: Will has been drinking breastmilk (from a cup, of course) since the beginning of November. (Let the scorning begin!) After his bout with roseola and subsequent febrile seizure, our pediatrician told me that Sophie would not likely contract it because I was breastfeeding and supplying her with my own antibodies against roseola. I remember after she told me that, I immediately thought "Well shoot! If I'd have known that I could have prevented it with Will, I would have been giving HIM breastmilk too!" The more I thought about it, I wondered why this had never occurred to me before. I MAKE MILK! Duh. And it's loaded with immunities and designed for humans! Duh. Why in the world shouldn't BOTH my children benefit from this temporary health shield? I spoke to a lactation consultant about it and she said that any amount of breastmilk Will consumes will be beneficial to his health. I wasn't sure how he'd respond or if he would even be accepting of it, so I didn't have any expectations when I offerred him a cup of excess fresh milk (cold) that I'd pumped that day. He drank it without even a curious look. So I continued with that for awhile and then decided to try using some frozen, thawed milk. There IS a potential for flavor change with frozen milk so, again, I had no expectations of his response. And still, he drank it. So currently he drinks on average between 4-15oz of fresh or frozen milk each day. Usually just with dinner and more on weekends. Will has never been a big drinker ever since he turned one, but since starting breastmilk again, he has actually increased his fluid intake and started asking for something to drink more often. Maybe the taste is just familiar to him...

Cringe if you must, but first think about this: cows walk around in their own manure, are covered in flies, eat a diet that may or may not consist of excess hormones, and create a milk that must then be handled and treated by all sorts of machines and processes before we purchase it in the store. I, on the other hand, shower every day, eat a pretty healthy diet, and make a milk that God designed for MY babies (with no stipulations on their age) and without any special treatment. Which is more weird? (I'm certainly not trying to suggest that cow's milk is unsafe or unhealthy, and I DO still drink it. But it IS designed for animals. And we have to process it to fit the health standards that we desire. Unlike breastmilk.)

The bottom line: I NEVER want to witness my child having a seizure (EVER!) because of an invisible virus that I could potentially have helped prevent him from contracting simply by offerring him a milk of which I currently have an abundance. Roseola strikes most commonly in spring and fall, so he will continue to get breastmilk at least through the spring time. I don't like jinxing my luck, but my children have been surrounded by sick kids many times over the last few months and have yet to get anything more than a runny nose. Sophie will be nine months tomorrow and she has never had a fever, ear infection, or other illness. I certainly don't think breastmilk prevents children from ever getting sick, but it most definitely helps. And it's simply one more measure of prevention I'm stacking up in my kids' favor. If nothing else, it's FREE! It's already there and I worked hard to make it - I'm certainly not going to waste it.

So to all you breastfeeding moms out there - KUDOS! You're doing a great job and giving your baby an amazing gift. Keep up the support to other moms and let's continue to watch those statistics grow!

For more information on breastfeeding, check out: http://www.kellymom.com/

Sunday, July 26, 2009

More 3 Month Photos

For the 3 month post, I only included a few standing pictures. So here's a few more from today - right after bath and dressed up to go see Great Grandma and Grandpa King. Craig and I both love her smile and her eyes - two of her best features. Such a pretty little lady! She is really looking grown up now.

One new update since the weekend, Sophie is starting to reach the phase of being easily distracted while nursing. She often pauses to look up at me and smile her beautiful smile (the one where she looks like she's laughing at something really funny) or to look around when she hears Will or daddy. We've started sitting in her room with the door closed to minimize distractions so she can focus on the task at hand. :) Thankfully, she's still a really fast nurser. When Will was in this phase, it took FOREVER to finish a feeding.
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