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

Saturday, February 5, 2011

The Breastfeeding Mom’s Most Important Cheerleader





When I teach my prenatal breastfeeding classes, I often rate my success as a teacher by how well I am perceived by the significant other who attends the class with the pregnant mom. If a dad comes up to me and thanks me for the great class, I know that I have done my job. You see, if the pregnant mom signed up for the prenatal breastfeeding class, she has already made up her mind that she plans to breastfeed her child(ren). The significant other usually attends the class to show his/her support for the pregnant soon-to-be mom. This support is absolutely imperative in the mom's success to reach her breastfeeding goals. A mom needs her cheerleaders….significant others, friends, family members, yahoo-group friends, etc. …. to help her feel successful as a mother. Motherhood if challenging, especially the first time around; which is why we need our cheerleaders. If breastfeeding poses some challenges, it is this cheerleader who can either provide support and build confidence or slowly begin to offer that the mom give up.



This is why my prenatal breastfeeding class focuses more on creating support systems than positioning and latch. Lactation consultants can help to fix positioning and latch, but the cheerleaders are the ones who give the mom strength to meet her personal breastfeeding goals. It is the cheerleader who brings the mom water during the night and makes sure she eats enough healthy food throughout the day. It is the cheerleader who rubs mom's back and massages her shoulders as she feeds her baby 8 or more times in a 24 hr. period for the first few months of life. Again, it is the cheerleader who makes all the difference.



Wondering how to be the best cheerleader for a new mom? Here's your list to follow:

  1. Before breastfeeding challenges arise, have a list of lactation consultants, La Leche League leaders, and breastfeeding support groups that you can contact to get help, if needed.
  2. Breastfeeding a baby can take up a large portion of the day and night. Offer to help make dinner and take care of the home so mom can focus on getting breastfeeding off to a great start.
  3. Find your own special ways to bond with the baby: snuggle after feedings to help the baby's milk digest more easily, hold the baby skin-to-skin, sing to the baby….these are just a few.
  4. Discuss with mom what her breastfeeding goals are and do everything you can to support her and these goals.
  5. Be proud to be a cheerleader! You role is irreplaceable!

Wednesday, June 23, 2010

When Should I Call a Lactation Consultant?


For many women, breastfeeding is a breeze. Your baby is born, he is placed on your chest, and soon after he self-attaches to your breast and that is all she wrote. This is how it was for my sister, the second time around. Granted, she had a completely unmedicated home birth, had breastfed her first child for over two years, and her baby was born without any health problems.

Then, there are the rest of us…. 10-hour epidurals, emergency cesarean births, tight frenulums, sleepy babies, etc. With all the right intentions, we get caught in a situation where our nipples feel like they are about to fall off and we cry every time our baby wakes up because we can't imagine having to breastfeed in pain AGAIN! However, there are women out there who can figure out what is going on with you and your baby and possibly improve your breastfeeding situation drastically….. these are the lactation consultants. Plus, the sooner you see a lactation consultant, the sooner you will begin to heal and be able to breastfeed your baby, pain free.

Here is a list of reasons why you would want to call for a lactation consultant:

  1. Sore, cracked nipples
  2. Severe engorgement
  3. Breast infection
  4. Your baby was born prematurely
  5. Your baby has lost more than 7% of his birth weight
  6. Slow weight gain – your baby has not regained her birth weight by 10-14 days
  7. Low milk supply
  8. Painful when feeding, even though your baby looks like she has a good latch
  9. Your baby has severe jaundice
  10. Breastfeeding multiples
  11. History of infertility or PCOS

I hope you are all blessed with beautiful, easy breastfeeding experiences. Both my boys took a few weeks to figure it out, but it was definitely worth the wait. And I have my lactation consultant to thank for thatJ

Sunday, May 16, 2010

Champion Mom

I have been working with a client for over 6 weeks now and it has definitely been the most challenging case I have had to date. Baby was tongue-tied, mom had severe nipple trauma, and the mom had to supplement the baby so that she could continue to gain weight. I worried about them constantly....I wanted it to work out so badly. My heart was breaking for them every time I got a phone call that things had taken a step backwards. I reached out to colleagues for advice on something I felt I may be missing. We went for a second opinion, just to make sure I had all of the facts correct. Fortunately, the mom was super dedicated to breastfeeding and wanted to succeed so badly. I just was the cheerleader and support system.

Well, after two frenotomies, countless lactation consultations, multiple appointments with a craniosacral therapist, pumping after every feeding session, and a handful of supplements to battle the nipple trauma, mom and baby are now successfully breastfeeding. I was so proud of the duo that I could have cried! I am so in awe of the mom's dedication and how she persevered to achieve what she set out to accomplish. She battled and won! It has been such an incredible learning experience, as well as an amazing confidence booster for me as a lactation consultant. I feel blessed to have met this family!

Tuesday, May 4, 2010

Obstacles to Breastfeeding

I just found the most amazing web site, called Best for Babes: Giving Breastfeeding a Makeover. What I love about this site is that the authors candidly talk about all of the ways in which women are sabotaged into failing at breastfeeding. The authors, Bettina Forbes and Danielle Rigg, don't point fingers at moms and shame them into guilt, like so many web sites and articles do. Instead, they explain the barriers and lack of support moms receive, which is so much more productive and accurate. For example, why is breastfeeding viewed to be so difficult now? Why are women constantly worried about milk supply? Why are healthy babies given bottles of formula in the hospital for no medical reason? These "booby traps", as the authors cleverly call them, are what cause moms to lose self-confidence, doubt their intuition, and eventually give up feeding their babies the best nutrient possible....breastmilk.


So how does a mom overcome these "booby traps?"


  • Become aware of the cultural and institutional "booby traps" and learn how to avoid them.

  • Assemble, what the authors term, your A-Team - breastfeeding-supportive OBGYN/Midwife, pediatrician, Lactation Consultant (IBCLC), Hospital/Birth Center.

  • Prepare yourself - Create a birth plan that is conducive to breastfeeding, practice skin-to-skin once the baby is born, plan to feed on demand, know who to ask for help.

  • Find your local and cyberspace resources - Have a list of breastfeeding support groups, lactation consultant referrals, and non-sabotaging web sites that can offer assistance and support, without the "booby traps."

  • Check out all of the other articles and blog entries on Best for Babes.


The only way we, as women, will be able to overcome the institutional, cultural, and familial obstacles to breastfeeding is by supporting one another and educating those who sabotage our goals. Rock on, Best for Babes! I am so happy you exist!

Monday, November 23, 2009

Giving thanks to inspiring women in my life

I feel so lucky to be surrounded by so many inspiring women in my life. And while they all play different roles (mom, wife, girlfriend, daughter, caregiver, etc.) each and every one of them inspires me to be a better friend, listener, caregiver, and woman. Each month, I would like to share one of my friends' stories as a way to inspire and empower other women who are looking for a little light at the end of the tunnel.

The first inspiring woman I would like to introduce is Kim, my sister-in-law. Kim is an incredible woman....intelligent, caring, passionate, and determined. She is also an eloquent writer, which makes her a perfect choice to be highlighted on The Sanity Spot. I am so blessed to have her in my life.

Here is Kim's story....

I sit here today with a nearly 7-month old baby girl who drinks only breastmilk, and I have a freezer full of my milk stored for her for later. If you had told me two years ago, when my first child was around the same age, that this would be the case, I would have laughed… or cried… probably both.

Looking back on my first experience with nursing, I’m almost surprised at how poorly it all went. When I was pregnant, I researched everything: I was going to have an unmedicated birth, I was going to wear my baby all the time, I was going to do “Baby Signs” and read to her every night and on and on and on. Somehow I didn’t see the huge gaping hole in my mommy education where breastfeeding knowledge should have been. I was so sure that it would just happen “naturally.”

After Lily was born, I was so hopped up on hormones and sleep deprivation that I didn’t know which end was up. The nurses in the hospital told me her latch looked good and I believed them. I was completely devastated after four days when Lily was obviously dehydrated and lethargic. We took her to a lactation consultant who told me to put her on formula or she’d have to be admitted to the hospital. A few weeks later, we returned and the prognosis was bad. Any breast changes? Nope. Fullness? No idea. How much are you getting when you pump? Maybe .75 ounces per session. She told me I had “insufficient glandular tissue” and I should just stop. Didn’t even want to see Lily’s latch. I felt so defeated. I finally pulled out the breastfeeding books, but they left me angry and bitter. The only problems they described were “engorgement” – too much milk. Nothing on not having enough. I felt alone - like a total failure. I felt so guilty and ashamed that I had “let my daughter down” by failing to produce enough milk.

I refused to give up. I took supplements that made me sick. I spent hours nursing and pumping with every bottle feeding. My mood was completely based on my pump output – a lot of milk meant it was a good day and a little milk made me so depressed I would cry and cry. My husband didn’t know what to do. He wanted to support me but he could see that the longer I tried to make it work, the longer I would emotionally walk on eggshells. I was completely blindsided. No one had ever told me that it was a possibility to not produce enough milk – and not just for lack of trying.
After six months, I finally decided to throw in the towel.

I got pregnant again when Lily was 13 months old. It didn’t take long for me to start thinking about nursing. Many of my anxieties returned, but I was determined to be smarter and more deliberate this time. First of all, I had some perspective. Lily had absolutely thrived on formula – hitting milestones early, smart as a whip, just awesome. If the worst case scenario was another kid like Lily, that wasn’t so bad. Second, I was going to prepare. I educated myself about supplements, pumping, everything. And I limited my craziness. No thinking about nursing until I was 7 months pregnant.

At 7 months, I met with a lactation consultant to develop a game plan. I asked other moms what they had done and did anything that sounded reasonable. I started taking alfalfa supplements. Two weeks before my due date, I started drinking 1 tsp of roasted ground cumin in warm milk, as suggested by some Indian moms I know. As soon as Maya was born, I added taking goat’s rue to turn fatty tissue into glandular tissue and fenugreek to boost my milk production. I didn’t listen to the random nurses in the maternity ward – I saw certified lactation consultants (5 times in her first 7 days) to help fix Maya’s tight and strong suck so that we could get a proper latch. After every feeding, I would hand express into a cup and would then feed her the milk from a spoon. Once I started to get streams, I switched to pumping after every feeding, except the middle of the night feedings. For those, I continued to hand express to save my time and sanity. I used a home-made Supplemental Nursing System to help supplement her feedings with pumped milk. Finally, I kept her skin-to-skin in a wrap for as long as I could. I stayed calm and didn’t let my hormones get the best of me.

As my milk came in over the first few weeks of Maya’s life, I was just overjoyed. I would wake my husband up in the early morning and make him touch my painful, misshapen, engorged boob as I beamed with pride. I had worked hard and worked smart and it had paid off. The proof is in the chubby cheeks and butterball thighs I get to kiss each day.