Ramblings of a pseudo intellectual

Entries tagged as ‘nursing’

Is this baby going to nurse forever? Breastfeeding Narrative #3

February 27, 2008 - 1:44 pm · 1 Comment

This is one in a series of breastfeeding posts. Really, I’m no expert - I’m not a doctor, I’m not a doula, I’m not a lactation consultant. I am simply a breastfeeding mom who has nursed one child to three years old, and am currently nursing another who is nearly a year old.
If you’re looking for specific answers, I recommend giving a visit to http://www.kellymom.com, a breastfeeding site written by a lactation consultant. These will simply be me blabbering about my experiences and is not medical advice.
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There are people out there who say things like, “If they’re old enough to ask for it, they’re too old to breastfeed.”  Or, “What are you going to do, go with him to kindergarten so he’ll have something to drink?”  Or, “A woman who’d breastfeed a preschooler must be getting pleasure from it.”  Or, the slightly less tacky but still intruding, “You’re not still breastfeeding, are you?”  People who say these things are, in a word, idiots.  Anthropologists tend to concur, based on comparative studies with other primates, that humans are naturally supposed to nurse anywhere from 15 months to 5 years old.  Left to their own devices, a child will usually wean herself in that time frame.

I started writing this post around the idea of weaning, but from me that would be odd, because I have never really actively weaned a baby.  Or a toddler.  Or a preschooler.

I’m not sure when and how I decided upon it, but rather early on with Lane I decided to mostly follow the practice of child-led weaning.  Basically, letting breastfeeding happen as long as Lane wanted to, and I was still comfortable doing it.  Lane as a baby was a breastfeeding  hound; she wanted it a lot, and protested vehemently when it wasn’t provided.  I knew that any sort of active weaning was going to cause more heartache and lost sleep than it was worth.  So, I went with the flow, mostly.

Lane nursed feverishly and with wanton abandon through her first year.  I was even pumping for her until she was 16 months old.  (I was working full-time at this point - I’ll definitely talk about breastfeeding and working in another post.)  By the time she was about 20 months I’d night-weaned her, which wasn’t too difficult because she only woke up once to nurse and after a few nights of Frank attending to her instead of me, and/or a few nights of explaining that she couldn’t nurse until the sun was back up, she was good.  At about the same time or shortly thereafter, I instituted an at-home-only rule.  She could only nurse if we were at home, not out in public.  Soon after her second birthday she only nursed first thing when she woke up, and right before bed.  She held onto those twice a day sessions for a long time: I think around the time Jake was born (she was 2.5 when he was born) she only asked to nurse in the morning maybe every other day, which gradually reduced in frequency even more.  Not long before her 3rd birthday, I instituted a 10-second rule.  When she nursed, I would count to 10.  I started counting very slowly, stretching it out to nearly the length I knew she normally nursed (2-3 minutes), and slowly the counting got faster, until she was really nursing a true ten-count.  Before she turned 3 the morning nurse was gone completely, and a couple of months after she turned 3 the bedtime session became less of a staple and more of an occasional occurrence.  Even now, maybe once every other week she might ask to nurse.  And she does, for a quick ten-count.  She still mentions nursing as part of her bedtime routine (”first we’ll brush our teeth, then read three books, then nurse, then turn off the light”) but once we’re in the routine, she so rarely actually asks to nurse.

Now through all this, I pretty much followed a “Don’t offer, don’t refuse” method - let her nurse whenever she wants, don’t say no when she asks.  Well, she asked a LOT.  So there were times I’d say no, and then I started saying no (or at least saying “not now” once the at-home-only rule was in effect).  And there were also times I offered… like soon after Jake was born and I’d be all engorged because he was in the middle of a three hour nap and my boobs hurt, or back in the day when he’d sleep through the night (yeah… he used to… and doesn’t now… oh that fact drives me insane) and I’d wake up in the morning, my boobs throbbing, and Lane would be more than willing to skim off the top for me and ease the pressure.  It was awesome that she was still nursing then, let me tell you!

Jake is pretty laid back about nursing during the day - when he gets hungry he’s just as easily satisfied with some food as he is with my milk.  Nighttime is a different matter, boy is he hooked on nursing.  I’m working through ways right now to try to minimize his night nursing because at this point it really is a habit and not a nutritional need, and I think it’s interfering with his ability to sleep more than 2-3 hours at a stretch.  So, yeah, working on ways to gently reduce his night nursing, with limited success.

So no, your baby will not nurse forever.

And if you do opt to maintain an extended breastfeeding relationship, it doesn’t mean that you’ll be nursing your 3 year-old with the same frequency you nurse your 3 month-old.  People share weird stories about kindergartners  lifting their mother’s shirts to nurse in front of other people… extended breastfeeding simply isn’t like that with most people.  Just because you nurse past your child’s first birthday doesn’t mean you can’t make rules and set boundaries.  Allowing the breastfeeding relationship to continue is not the same as being completely permissive about how the relationship continues.  As you probably ascertained from my above timeline, by the time Lane was about 18 months old, nursing for us was largely a private matter.  If she asked in public I said no, but that when we were home, she could.  Even being the single-minded, intense, willful child she can be, she handled the postponement well; as long as she knew it would happen soon, eventually, she was OK.  Remember, your body is still your body, and nobody can or should make you feel forced or manipulated or indebted to do anything with it with which you’re not comfortable.

And, certainly, my way is not the “right” way.  It’s not the only way.  It’s not the best way.  It’s just a way, and it worked for me and my family.  It was what was easiest.  I have a husband who is crazy supportive of breastfeeding, a family (both mine and his) that isn’t overly meddlesome or outwardly judgmental of extended breastfeeding, and I’m not the sort of person to cave to that sort of pressure anyway.   Any breastfeeding is better than no breastfeeding, and while I’ve found it to be one of the most awesome and rewarding things I’ve ever done, and I’ve cherished the breastfeeding relationship I have with my children more than any connection I’ve ever had with another human, breastfeeding is also the most draining, challenging, and selfless things I’ve ever done as well; it is a lot of work and it takes a great amount of willpower to stick with it even when things are going smoothly.  Throw in issues like recurring mastitis, a baby who won’t stop biting you, pregnancy and the ensuing breast pain, tandem nursing, etc., and it’s just that much more challenging.  So please don’t take this post as an unconditional endorsement of breastfeeding past a year and anything less is subpar.  I don’t feel like that’s true at all.  If you make it six days, or six months, or six years, you’ve done a great job.

Categories: babies & kids · breastfeeding · parenting · stuff i really care about
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So your wife wants to breastfeed? Breastfeeding Narrative #2

February 11, 2008 - 9:13 pm · 2 Comments

This is one in a series of breastfeeding posts. Really, I’m no expert - I’m not a doctor, I’m not a doula, I’m not a lactation consultant. I am simply a breastfeeding mom who has nursed one child to three years old, and am currently nursing another who is nearly a year old.
If you’re looking for specific answers, I recommend giving a visit to http://www.kellymom.com, a breastfeeding site written by a lactation consultant. These will simply be me blabbering about my experiences and is not medical advice.
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Maybe she isn’t your wife… maybe she’s your fiance or girlfriend or partner, and she’s pregnant with your child. Or maybe it’s not even “your” child. But her belly’s getting bigger, she’s having difficulty tying her shoes, and the baby’s arrival is imminent. Or, maybe the little dude or dudette arrived not so long ago. But regardless, maybe you’re looking at your wife’s boobs and are feeling a little territorial. You’ve had unfettered access for awhile. What’s this going to be like?
Some men have a hard time getting over the sexualness of a woman’s breasts. Breasts are for fun! Breasts are for you to play with and touch and lube up and do unholy things with! Breasts are fun to look at! Well, all this is true. And it will continue to be true. But breasts, primarily, are for the nourishment of a baby. I took an evolutionary psychology class in college, and the basis of evolutionary psychology is that most normal behaviors, emotions, desires, etc. are tied to some sort of furtherance of the human species — what you think, how you feel, what you do, all serve in some way to ensure you’ll spread your proverbial seed. From this standpoint, it would be the argument that the sexualization of a woman’s breasts has occurred because round, voluptuous breasts indicate that this woman would be a good mating partner; were she to birth your offspring, she could adequately feed that baby and help ensure its survival, to further spread your seed.
(Let me just note here that it really isn’t necessary for a woman’s breasts to be round or voluptuous to successfully breastfeed. If your partner’s sporting a perky set of A’s they should not be a hindrance to her breastfeeding success.)
First understand, breastfeeding is the best way to feed a baby. (Even formula companies will tell you this.) It’s also way cheaper than formula. Breastmilk is nutritionally optimal, and contains chemicals and enzymes and immunity boosting stuff that formula cannot and will never be able to duplicate. Your child is very lucky to be breastfed. That isn’t to say that formula is “bad”. Formula is great. Formula has been lifesaving for so many babies who couldn’t be breastfed, for the zillion reasons there are for not breastfeeding. Formula is wonderful. Breastmilk is even better.
It’s sort of like the difference between a Mercedes and a Bentley. A Mercedes is a great car. It’s safe and beautiful and really has just about everything could ever need from a car. The Bentley, however, is a Bentley.
My big piece of advice is, get over it. Having a kid changes everything; this is no different. Some women are cool about their breasts’ continued involvement in your lovemaking or general day-to-day getting-felt-upedness, but some aren’t. For me personally, I’m OK with my breasts being touched, but not within like 15 minutes of a feeding. And DEFINITELY not WHILE I’m nursing. (My husband made that mistake once. Once.) So please respect your partner’s wishes here. She’s not asking you to leave the girls out to punish you. The boundaries of comfort just have shifted. There may need to be other adjustments, too. The hormone that surges through her body when she nurses her baby happens to be the same one that surges through her body when she has an orgasm. So for a while, you may need to deal with getting wet, or she may need to wear a bra with nursing pads during lovemaking. Or maybe you’re a big pervert and you’ll like it; I don’t know you. (Just kidding about that pervert thing. Well, sort of.)
For most women, the breastfeeding relationship they have with their kids is extremely cherished and valuable to them. As a breastfeeding mom, it’s not something I would trade for the world. Expect that this bond between your partner and the baby will be strong and special, and for a long time only Mommy will do. And yes, you will not be able to help much with the feeding itself, but there are many other things you can do to share in the parenting workload, and bond and hang out and get to know the baby. Change diapers. Give baths. Wear the baby to sleep in a sling. Cuddle with her on your bare chest (babies often love this). Watch hockey games with him.
Now, amuse me for a moment while I go through some other thoughts I wish someone would have told my husband!
- Remember to “mother the mother”. Especially during those first few weeks, when the breastfeeding relationship is being established and your partner is still recovering from childbirth, you have to take care of her. Make sure she always has a drink within reach. (Not a DRINK drink… if she always has a martini in reach, perhaps she shouldn’t be breastfeeding!) Offer to rub her feet while she’s breastfeeding. Take over some of the chores she usually does for a few weeks, and don’t slack on the stuff you’re supposed to do, either. E.g., don’t make her nag you to take out the trash like she has every week for the last three years. And if you want to be your partner’s hero, a couple times a week take the baby somewhere and leave mom at home. Take him for a drive, or a walk, or on an errand with you, and give your partner 30 minutes of alone time where she’s guaranteed to not have to respond to or hear a baby cry. If you make sure you go right after a feeding, you don’t have to worry about having milk with you. Moms have very little opportunity to be truly alone, especially in the early baby weeks, and especially in their own home. This is different than letting her get out of the house without the baby, which will also be appreciated.
- Consider co-sleeping. I’m not sure I could have had a successful breastfeeding relationship with my babies if I didn’t bring them to bed with me. Be open to this idea, and even suggest it if your wife’s up a dozen times a night feeding a baby. With a bit of practice, it’s so easy to nurse lying down, and it is really nice to cuddle with your baby at night. Some of my favorite pictures of my husband with our kids are ones where I’ve caught them cuddling in the morning when I woke up and they were still snoozing away, nuzzling. If you do co-sleep, be sure to do it safely.
- Nursing in public: Your wife wants to breastfeed in public and it makes you feel a little weird? See above: Get over it. Remember, they aren’t your breasts. If she feels comfortable, that’s what matters. No one’s paying attention anyway. And chances are, 75% of anyone who pays enough attention to your partner won’t even realize she’s breastfeeding. I’ve had minutes-long conversation with my brother’s early-20s friends (who I know are all sorts of perverted), baby on boob, and they never even realized we were breastfeeding; they thought the baby was sleeping. Most of the people who will realize there’s nursing going on are other women who have breastfed babies. In other words, you don’t really have to worry about the pervs flocking around your partner, because they simply won’t know better. And in any event, breastfeeding doesn’t generally show any more boobage than your everyday bikini, and most guys that I know really enjoy their partners to wear bikinis.
- Remember, it will get better. Eventually, your partner won’t be as tired. She’ll get more sleep. The baby will start to sleep better, too. (Maybe not “great”, but definitely better.)
- I won’t even talk about extended breastfeeding. I think that’s probably a post in itself. Just remember like all good things, breastfeeding will come to an end, sooner or later. Your child will not celebrate getting his driver’s license by taking a guzzle off mom’s boobs.

Categories: babies & kids · breastfeeding · marital relations · parenting
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Kind of weird but mostly sweet

February 10, 2008 - 4:21 pm · 3 Comments

I’ve talked about breastfeeding before.

Jake’s still a nursling, and probably will be for the foreseeable future, especially at bedtime. And that’s fine.

Lane, pretty much is not. Which, given she’s closer to four years old than three years old, is also quite fine. These days, she will very occasionally ask to nurse at bedtime. Frequency-wise, we’re talking maybe once every two weeks. Our rule since around the time she turned three is that she can nurse if she asks, but only until I count to ten. And it works; she nurses, I count, she pops off happily. When the rule was implemented, she nursed vigorously for those ten seconds.  Gradually that has evolved into two seconds on, two or three seconds off, three seconds on, and then she’s off at about the eight count and she’s done.  I don’t foresee her nursing much longer.

Coupled with her increasing ability to communicate, our ongoing nursing relationship has become interesting.  After she nurses she usually reports that “Mommy’s milk is yummy” or that she likes nursing.  Once she told me my milk tasted like ice cream.  :)   Last night was a first though… she asked to nurse, and after she was done and we cuddled in her bed for a minute, she looked at me and said, “Mommy, would you like to nurse from Alena?”

Umm…. well….

I responded something to the effect of, “Oh honey, that’s very nice of you, but only babies and kids can nurse from mommies.  I can’t nurse from you.”  And she was cool with it.  So we cuddled a little longer, and the whole thing just made me smile.  Nursing has become for her more a way to connect with me.  Usually the times she asks to nurse are after a busy day, or if she’s really tired and needs the little bit of extra comfort, or if she’s not feeling well.  I just thought it was so sweet that she wanted to offer that to me, too.

Categories: babies & kids · breastfeeding · parenting · stuff i really care about
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So you want to breastfeed? Breastfeeding Narrative #1

February 1, 2008 - 1:50 pm · 2 Comments

This will be one in a series of breastfeeding posts. I’m getting a bunch of search results of people looking for breastfeeding information. Really, I’m no expert - I’m not a doctor, I’m not a doula, I’m not a lactation consultant. I am simply a breastfeeding mom who has nursed one child to three years old, and am currently nursing another who is nearly a year old.
If you’re looking for specific answers, I recommend giving a visit to http://www.kellymom.com, a breastfeeding site written by a lactation consultant. These will simply be me blabbering about my experiences and is not medical advice.
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So, you’re thinking about breastfeeding. If it’s still a big maybe right now, then chances are you’re pregnant or thinking about becoming pregnant. Good for you. Being a parent is probably the most rewarding thing I’ve ever done, but that isn’t to say it isn’t without its challenges. I can also say without a doubt, it is the hardest thing I’ve ever done. Nothing in my life has ever required more commitment, education, patience, and dedication.
Breastfeeding is definitely one of those parenting things that takes all that and rolls it into one. You need a lot of commitment, education, patience, and dedication to be successful at the breastfeeding relationship with your baby.
First, let’s talk about the commitment. There’s no hard and fast rule about how long you should breastfeed. There are lots of schools of thought here. Just about anyone will tell you that some breastfeeding is better than no breastfeeding, in terms of the benefits the baby receives. I’m not going to take it upon myself to spout on about those benefits; kellymom.com is a good place to start, but I’ll give a couple book recommendations too. (That comes in the education part of it.) The American Academy of Pediatrics recommends that it is ideal to nurse for at least a year, and then for as long as is desired by both parties. They set no upper limit on breastfeeding, much to the chagrin of all those internet tough guys who say that if the kid can ask for it, they’re too old to breastfeed. The World Health Organization says that it’s ideal for a child to breastfeed for a minimum of two years. Former Surgeon General Antonia Novello has said that “it’s the lucky baby, I feel, who continues to nurse until he’s two.” Quite an endorsement of extended breastfeeding.
Anyway, my point is, by choosing to breastfeed, you are making a commitment to your baby, and to yourself. You may choose to wean whenever you want, but I highly endorse trying to extend the relationship until at least two years old. There are a zillion reasons I can name from my personal experience, but the big one is that once you get into the second year of life, breastfeeding is a tool in your toolbox that I cannot imagine having to go without. Nothing calms an upset toddler like the breast. When a toddler’s not feeling well, he will often refuse to eat or drink, but he will very rarely refuse to nurse. (This phenomenon, according to her pediatrician, kept my daughter out of the hospital during a nasty tummy bug when she was 18 months old.) Toddlers can’t be reasoned with, and they don’t even always understand what you’re saying. They’re unsure of themselves but becoming more independent, they want to explore and be individuals, but they crave a safe, reliable home base. Nursing is a great (and granted, not the only way, but great nonetheless) way to provide that home base.
Oh I know, breastfeeding is so inconvenient. How will you ever get away? How will you ever get any sleep? How will you go back to work? The answer is, you’ll find ways. Breastfeeding parents have to be creative, and patient, and dedicated, and they have to be willing to put themselves out there a little more for their kids. I know, how inconvenient. But that’s parenting.

So, now let’s talk about the education piece of it. Breastfeeding ain’t easy, and it’s not instinctual. Well, it’s instinctual for the baby, but the way we give birth these days kind of interferes with baby’s instinct for breastfeeding. We use medication during the labor (there are studies that claim, while common pain relief methods like epidurals, narcotics, and tranquilizers will not harm the baby, they can make the baby more groggy when he’s born and interfere with initial breastfeeding). We have many more c-sections, which mean medication, and often a longer time before initial breastfeeding can take place. Too many times, we just simply can’t or aren’t allowed the opportunity to just put our baby skin-to-skin on our chest right after the baby is born, allow our own body heat to warm the baby, and allow the baby to find the breast on his own. That’s what’s instinctual and ideal.

Of course, instinctual and ideal can’t always happen. Even though I had vaginal, drug free births with both my kids, both my babies passed meconium (aka poop) in utero, and had to be treated by the neonatal team to ensure that none had been aspirated into their lungs. I didn’t even touch my daughter for nearly an hour after she was born; with my son it wasn’t nearly quite as long but it was still far from my ideal of having him placed on my chest immediately.

All of this is just a really long-winded way to say we probably all have this ideal in our heads that the baby will come out, latch on, and birds will tie ribbons in our hair and all will be well in the world. But even in an ideal birth with the ideal start, problems crop up along the way. Problems with the latch. Problems with reflux. Problems with milk imbalance. Problems with sore or cracked nipples. (And you can read about all those lovely things at kellymom.com!) This is where the education piece comes in. You need to know what you’re doing, before the baby shows up. You can’t count on instinct, and you can’t count on other people helping you (some hospitals have great lactation consultants and some… don’t), and if you wait until the baby’s born to catch up it may be too late. So I would recommend a few things. You could do some or all of these.

1. Read! There are three books I can personally recommend. I found them indispensible.

  • So That’s What They’re For! by Janet Tamaro. Certainly short of being a ‘definitive’ resource, this book is an enjoyable, easy read, and is a great starting point to lots of breastfeeding knowledge and breastfeeding with confidence. If you don’t do anything else to prepare for breastfeeding, READ THIS BOOK.
  • The Breastfeeding Book by Martha and Dr. William Sears. The Searses are by far my favorite baby/child book authors. They also have a great web site, http://www.askdrsears.com. They espouse the ‘attachment parenting’ approach, and it’s really what I do naturally with my kids. I’ve read a few of their books and have enjoyed them all.
  • The Ultimate Breastfeeding Book of Answers by Dr. Jack Newman and Teresa Pitman. This is another really excellent resource, to help you deal with nearly any breastfeeding issue that may crop up. It’s always in my nightstand for easy reference.

2. Attend a breastfeeding seminar at the hospital you’ll birth at.

3. Find a La Leche League meeting to attend before you give birth and after you give birth.

4. Hire a doula. There are two types of doulas, birth doulas and postpartum doulas. A birth doula is sort of like an extra support person for you during birth. They do not offer medical advice; they will help you work through labor and birth and just be on your team and try to help you get the best birthing experience you can have, which can do a lot for getting breastfeeding started the right way. A postpartum doula is someone who comes to your house after you’ve given birth. They do stuff to give you more mom/baby time. They can also offer breastfeeding and general baby care advice, but again they are not medical professionals. A postpartum doula might watch the baby for a while so you can take a nap, they might play with your older kids to get your more uninterrupted baby time, they might cook dinner, clean for you, etc. But I would say mainly they are about education - breastfeeding and baby care, and showing the dad and the baby’s other siblings why it is so important to get you as much baby time as possible in the first few weeks. A postpartum doula is really a jack of all trades, baby-wise.

Now, let’s talk about patience; I mentioned earlier you need patience to breastfeed. It’s so true. A big difference I’ve observed between breastfeeding and bottle feeding is that breastfeeding takes more of the mom’s time. With bottle feeding, anyone can prepare and give the bottles. Also, the babies I have observed bottle feeding, they seem to be done with a bottle feeding faster and last longer between feedings. Breastfeeding can be a big hunk of time out of your day, especially in the early weeks. Babies can take 20-30 minutes or more to finish a feeding, and then they might want to nurse again an hour later. That’s OK and normal and not unexpected. What’s ‘normal’ for length of feeding and time between feedings for breastfed babies varies enormously from one baby to the next. If your baby’s hungry, then he’s hungry, so nurse him. Again, there’s that inconvenience factor popping up.  Babies are demanding and you can’t reason with them.

Then, you need patience for other things, too. You need patience to get your husband on board, maybe. You need patience when dealing with (hopefully) well-intentioned but meddling relatives and friends. You also need to teach patience to others. A big challenge for me when Jake was born was helping Lane understand that when Jake was nursing I couldn’t just get up and attend to her; she had to learn to be patient and wait until he was done nursing. Parenting in general is a giant exercise in patience. Breastfeeding just adds another facet to that.

So lastly, let me talk for a moment about dedication.

Miyagi: Now, ready?
Daniel: Yeah, I guess so.
Miyagi: Daniel-san, must talk. Walk on road, hm? Walk left side, safe. Walk right side, safe. Walk middle, sooner or later [makes squish gesture] get squish just like grape. Here, karate, same thing. Either you karate do “yes” or karate do “no.” You karate do “guess so,”[makes squish gesture] just like grape.

Breastfeeding is the same way. Either you will breastfeed, or you won’t. If you “think you’ll try”, or you’ll “give it a shot”, or you’ll “see how it goes”, you’re not going to end up breastfeeding. You might, for a few days, or maybe a couple weeks even, but if you don’t have the resolve to stick through the first six weeks, which is by and far the toughest part, then you’ll find soon you’re reaching for that free sample of formula you got in the mail.

So if you really, truly want to breastfeed, you need to dedicate yourself to it. You’re not going to “try” to breastfeed, you are GOING TO BREASTFEED.

Luke: All right, I’ll give it a try.
Yoda: No. Try not. Do… or do not. There is no try.

I say, make a promise to yourself that you’re going to breastfeed for six weeks. Six weeks is not a long time - it’s 42 days. If you can make it through those first six weeks, you can breastfeed forever. Because right after week 4 or 5, you’ll realize, hey, this isn’t bad at all. We have the hang of this! And from that point on, it will be smooth sailing.

Categories: babies & kids · breastfeeding · parenting
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