Archive for the ‘postpartum doula’ Category

Mothering Through Breastfeeding

Tuesday, July 27th, 2010

How has breastfeeding helped me as a mother? It has helped me to never give up.

Every mom knows that there are two versions of her, who she is now and who she was before children. In my case, early breastfeeding was not easy. I had had a very difficult  last trimester and a planned cesarean birth(my son was breech). Not an easy start to motherhood. Then, after nursing for three days in the hospital, I went home with my baby. He had jaundice and a bili-blanket. We had a visiting nurse who came the first day we were home and said all was well…

The next day (our second day home) we had another visiting nurse who did not trust breastfeeding. She informed us that our son was dehydrated to the point of almost needing the hospital and that I would have to pump out 4 ounces every two hours to give him by bottle. We compromised on giving it to him by syringe. However, she gave us a very small syringe. We had to give him about 75 syringes full per feeding. It was ridiculous! Of course, my milk was in but I couldn’t pump out that amount (4 ounces every two hours). It was the weekend and my son’s doctor was on vacation (naturally)! I was frantic!

We had to supplement with formula. I simply couldn’t reach anyone who could tell me that I didn’t need to supplement with formula. (My LLL Leader couldn’t diagnose and neither could my doula — it isn’t in their scope.) So I basted my baby with my milk and formula all day and night long.

The next day, my son had passed all his meconium poop, which was good. But he would no longer latch on to my breast. The first visiting nurse (the first nice one who believed in breastfeeding) came back that day. I was so angry I refused to see her. She weighed Simon and he had gained 7 ounces in one day! We obviously over-fed him. However, he was not dehydrated in any sense. She was satisfied when she left.

But that second nurse who I have tried to forgive many times, had left me with a severe problem. Simon would not latch on to my breast to nurse. He rejected me in favor of the syringe. He had imprinted on it as an easier source of food.

Next came the 8 week-long struggle. I went to lactation consultants who helped us. I tried every piece of nursing assistance such as nipple shields, nipple shells, the breast pump, the supplementer, and so on. I had a three-step feeding system. I would try to get him onto my breast, then I would give him the supplement of formula plus my pumped breastmilk and then I would pump for next time. During this I was also recovering from my cesarean birth. Each feeding led into the next feeding. Days led into night and that led into days…

It was more difficult than it sounds. By far! I wanted to give up so many times. But I knew that as a doula, I would never be able to help mothers succeed with breastfeeding if I gave up. I also really wanted to succeed for myself and Simon too!

We got advice for me to take Simon into bed for three days and do nothing but nurse. His doctor had told me this would be OK and he had gained enough to miss a few feeds. He was just turning 8 weeks old. I knew I couldn’t pump forever. So I did it. I envisioned endless crying while he rejected by breast over and over again.

The first time I placed him on my breast, he cried and cried until he fell asleep. I fell asleep too, thinking this was the beginning of the longest three days of my life. When he woke up again, hungry, I tried to latch him on. This time he said to himself, “Breastfeeding? Of course I know how to do that!” and he latched right on and nursed. I was so overwhelmed! Even though I was hunched over and in the wrong position, I refused to move an inch. He nursed!

I thought, well that was once. But from then on, he nursed and it was his very favorite thing in the world. I spent those days in bed because he nursed almost continually (except for my bathroom breaks) the whole time.

And that was the start. He nursed for about three and a half years, give or take. By that time I was so proud of what we had accomplished. Nursing became easy, not a constant struggle with baby and equipment. Those eight weeks seemed long at the time, but were short in the context of our whole nursing relationship. And as for breastfeeding and mothering? It taught me never to give up on something that really matters. Never Give Up!

Baby Wearing

Monday, July 26th, 2010

Carried on his dad's shoulder

Today I am taking the IBCLE exam. It will take all day and all my energy. While I am contemplating breast photos and baby anatomy (among 14 other topics), I have thought ahead about baby wearing.

I had a sling for my son and I loved using it. I had decided for myself that I wanted a baby car seat which didn’t come out to form an uncomfortably heavy baby carrier. Instead, I held my son in my arms and used a sling. I enjoyed holding my baby close to me and seeing him. When we went to restaurants, I would wear the sling or sometimes my husband would wear the sling. Often people didn’t even know we had a baby with us. Our son was content and cuddled and we could keep a good eye on him.

I enjoyed the sling when he was older, too. It helped me hitch him to my hip so he could look at things while I was at the farmer’s market, for example. We never nursed with the sling because I never got the knack. I have seen many women walking around the La Leche League conferences with babies in a sling and nursing them. I wished we could have done that, too. I felt natural using a sling and having my baby in the front where I could see him. It was an enjoyable part of attachment parenting.

My favorite attachment parenting story: My husband had a favorite shoulder that my son would lay over. I had the breast and he had the shoulder. My husband carried him, head on that shoulder all around the house. He was wearing the baby.

One summer day, my son was about 14 months old. My husband was at my mom’s house and he came running out to her on the porch.

“Do you know where Simon is?” he asked worriedly. “I can’t find him anywhere!”

My mom started laughing. “Really, where is he? Have you seen him?” he asked frantically.

My mom laughed even harder. Finally she said: “He’s on your shoulder!”

My husband had lost his son on his own shoulder, the way you would lose your glasses on your head. That to me, is the ultimate in attachment parenting and baby wearing!

Newborn Sleep–Some Science

Thursday, July 15th, 2010

According to new research done by the UC  Davis Human Lactation Support center, newborns do not go to sleep using the normal circadian rhythms that adults use. This is why it takes a few weeks for babies to settle down more at night. This is because newborns need to eat and sleep more often than we do.  Newborns also have more “active sleep” and this is when they dream. Their dreams mean that they are processing what they have learned and laying down brain patterns.

All Moms Need Postpartum Support

Sunday, July 11th, 2010

This Indian Goddess shows what all new moms need, more arms!

As soon as you start putting your baby to your breast, you will realize why so many Indian goddesses have many arms. You will wish you had six or eight arms, too! A baby squiggles. You may also want to do something else other than hold your baby (occasionally). Babies don’t really like to be put down. Keep in mind your baby just recently was carried in your womb continuously. Now you want to set him down?

Being a new mom means coping with several things all at once. You are recovering from your birth. You are learning how to breastfeed. You are learning how to mother. You are tired. The normal household and work stuff you used to do still awaits. And everyone wants to meet your new, beautiful baby!

No wonder new moms need extra hands. Sometimes those extra hands are friends or family. This works if your friends and family are hoping to help you, not just visit and see the baby. Sometimes the extra hands are a postpartum doula. She can help you negotiate the transition from adult woman to established mother. It isn’t an easy transition, but it is  a wonderful one.

New moms need to concentrate on the basics. Get sleep. Eat regular meals. Nurse your baby. Recover physically. And Repeat. Anyone who helps with making those things happen is wonderful. Any friends who think just holding the baby is a big help can disrupt your new rhythm. Before your baby is born, try to find out who will help you will your postpartum recovery. This will save you worry and frustration.