new - La Leche League
Transcription
new - La Leche League
new Issue 1 Beginnings 2011 lllusa.org Your Breastfed Newborn: Five Things They Will Do Navigating Through Prematurity and Teratoma Amazing Oxytocin: A Woman’s Body Is Made to Give Birth new Beginnings lllusa.org Click here d inte r p r u o y r e d r o to Text only pdf Click here! pdf version Click here! visit llli.org to access breastfeeding resources and information new Beginnings lllusa.org Your Breastfed Newborn: Five Things They Will Do [04] [10] Mothers’ Stories [12] Toddler Tips [14] Making It Work [18] Giving Birth [08] Shannon’s story: Navigating Through Prematurity and Teratoma [10] Melinda’s story: Pumping Full Time [19] New Research on Tongue Tie May Help Improve Treatment: Colorado Mother Shares Her Experience [22] Eating Wisely [24] World Breastfeeding Week Celebrations store.llli.org The Womanly Art of Breastfeeding breastfeeding information & questions Nationa l Best-selle r! The One Boo k Every Nursin g Mother Needs By He r Side helpful resources parenting forums breastfeeding g de breastfeegdu iin llli.org 800-LALECHE 2 New Beginnings | Issue 1 | 2011 Includes helpful resources and answers to frequently asked breastfeeding questions plus a section featuring books and products. N EE dWi t i o n 8th 0 for more information guide Tips & Products Tip s & Products Volume 4, 201 online store New 8th Edition Catalogs Available @ the LLLI Store! http://store.llli.org/public/profile/276 Find us on: new New Beginnings Issue1 • 2011 Beginnings lllusa.org Issue 1 | 2011 | Volume 35 Number 1 © 2011, La Leche League United States of America Managing Editor | Amy Nelson Contributing Editors | Brenda Carroll, Cathy DeRaleau, Gina Kruml, Winema Lanoue, Norma Ritter, Lesley Robinson, Karen Smith, Sara Walters Review Board | Alice Barbiere, Diane Jeffer, Judith Gibel, Fran Dereszynski, Gwen Gotsch, Carol Kolar, Judy Torgus, Kathleen Whitfield Art Director | Ronnelito Larracas Cover Photo | shutterstock.com Advertising Manager | ReNata Bauder Web Development | Ronnelito Larracas, Dave Davis, Shelly Stanley Acceptance of paid advertisements does not constitute an LLLI endorsement of the product advertised. Email Lists: LLL USA sometimes makes its mailing list of members available to reputable outside groups. Editor’s Note My two-year-old currently likes to pretend to be four things: a ballerina, a puppy, a princess, or a baby. When she pretends to be a baby (really, isn’t she still one?), her two-year-old mind imagines the baby crawling, gurgling “goo goo gaa gaa,” crying, and being sung to sleep with lullabies. As an expectant mother, how do/did you envision your newborn? Will you gently place your baby down to sleep peacefully throughout the night? Will she only want to eat every three to four hours? If she is crying or fussing, will she stop the instant you wrap your arms around her? Amy Spangler, a nurse, lactation consultant, and mother, tells us in this issue’s feature article about breastfed newborns and five things they will be sure to do. Our Mothers’ Stories include two mothers who were able to provide their children with breast milk despite many adversities. Our Toddler Tips column shares reader responses to a mother’s dilemma of how to keep up with her daughter’s energy level. Making It Work readers had many things to tell a mother who wondered how to handle the jealousy she’s experiencing toward her daughter’s caregivers. Janet Mahaffey relates a Colorado mother’s birth experience and the role a breast pump played in inducing labor, while Michelle LeJeune shares another Colorado mother’s experience with tongue-tie. Eating Wisely focus is on cooking with children and how to make it fun. Linda Parry rounds out this issue with an inspiring list of La Leche League Groups that received awards for their 2010 World Breastfeeding Week Celebrations. codes exactly as they appear on the label. Julia Pfitzer joins the New Beginnings staff as our Toddler Tips Contributing Editor. Julia is mother to two young daughters and makes her home in Colorado. Welcome, Julia! We are still looking for Contributing Editors for our Mothers’ Stories and Giving Birth columns. Please send an inquiry to nbeditor@lllusa.org. La Leche League International Inc. fully supports Happy Spring! If you prefer not to receive these mailings, notify LLL USA. Please include your mailing label or copy your name, address, email, and the WHO (World Health Organization) International Code of Marketing of Breastmilk Substitutes. LLLI Board of Directors, (1981,1988,1993, 2006) New Beginnings (ISSN-8756-9981, USPS #010-853) is published by La Leche League United States of America, 957 N. Plum Grove Rd., Schaumburg, IL 60173. Telephone 847-519-7730 (9 AM to 5 PM Central Time). Visit our Web site at lllusa.org. Amy Nelson Amy Nelson is a La Leche League Leader in the small Missouri River town of Yankton, South Dakota, where she lives with her husband, Cory, and four children: Accalia (11), Cole (8), Ella (5) and Tylan (2). 2011 | Issue 1 | New Beginnings 3 Amy Spangler Your Breastfed Newborn: Five Things They Will Do eat, sleep, poop and pee, cry, and grow, but knowing what breastfed babies do in each of these categories gives parents confidence in their ability to meet their baby’s needs. That’s five key areas of knowledge, easily discussed by starting with the questions parents most often ask. One: Babies Poop & Pee How often should my baby soil a diaper? What should it look like? If you’re like most expectant or new parents, you’ve read countless books on what to do, when to do it, how to do it, and why to do it. And you’ve likely received lots of advice (solicited and unsolicited) from wellmeaning family members and friends. Parenting two sons hardly qualifies me as an expert, but it has taught me an important lesson. While I had anticipated that my children would grow up because of me, the fact is they grew up in spite of me. While I had planned to teach them everything I knew, the fact is I learned more from them than they learned from me. Breastfeeding was among my early challenges—first as a nurse (helping others), then as a mother (helping myself), and finally as a lactation consultant and health educator. I was raised to believe that more is better than less. So every time I learned more about breastfeeding, I promptly incorporated it into my classes. When I began teaching breastfeeding classes, I offered a single two-hour class. I clearly recall the first class, which lasted 30 minutes—a reflection of how little I knew. It took only 30 minutes for me to give parents the information they needed to breastfeed effectively (or more importantly to know if breastfeeding was or wasn’t going well). As my knowledge of breastfeeding increased, that single two-hour class grew into a pair of two and one-half hour classes. That was before I realized that less is better than more. The more I learned about breastfeeding, the more I felt the need to share all that I knew with the parents I had the privilege of teaching. I didn’t know it at the time, but parents didn’t want (and didn’t need) to know everything I knew. They just wanted to know: enough to get by, enough to make breastfeeding work for them, and enough to keep their babies healthy and safe. Defining ‘Enough’ Parents don’t need to be rocket scientists or parenting gurus to breastfeed. But they do need to know how normal breastfed babies behave. If parents know what to expect the critical first days and weeks after birth, then they will know if their baby is getting enough to eat and when to seek help. It’s really quite simple. All babies 4 New Beginnings | Issue 1 | 2011 add water to create a runny consistency, you can clearly see what breastfed baby poop looks like! A breastfed baby’s stool is a yellow stain at least the size of your baby’s fist, with or without solid material. The urine or pee is the easy part. Babies that are well fed urinate a lot, but if you are using disposable diapers, it’s hard to tell if the diaper is wet and even harder to tell how much urine it contains. As long as your baby’s urine is clear or pale yellow in color, you don’t need to be concerned. When babies are underfed, they stop pooping before they stop peeing, so poopy diapers are the best sign that your baby is well-fed. Two: Babies Eat How often should my baby breastfeed? How long should a feeding last? How much breast milk does my baby take at a feeding? When should I introduce solid foods? Birth days are unpredictable, with babies born at different times of the day. In the interest of simplicity, it is best to assign Day One to the day after your baby is born. That being said, once the newborn has passed the dark, tarry stools called meconium, parents of exclusively breastfed babies should expect to see three stools a day for the next three days and four stools a day for the next four weeks. If you combine equal parts of yellow mustard and cottage cheese (one tablespoon) and a teaspoon of sesame seeds (mix well to stain the cottage cheese and sesame seeds), then Exclusively breastfed babies should eat at least eight times in a 24-hour period. Many babies will eat 10 to 12 times a day! Some babies breastfeed every 2-3 hours day and night, while others cluster–feed, breastfeeding every hour for Amy Spangler three to five feedings and sleeping 3-4 hours between clusters. Some babies breastfeed for 10-15 minutes on each breast, some breastfeed for 15-30 minutes on each breast, and others breastfeed for 15-30 minutes on one breast only. Watch your baby, not the clock. He will tell you when he is hungry and when he is full. Babies cry for different reasons. They may be hungry, tired, hot, cold, or sick. They may simply have a wet or dirty diaper, or they may be fussy for no apparent reason. With time you will learn to recognize the meaning of different cries. Until then, try different remedies until you find one that works. During the first three months of life breastfed babies need about 2½ ounces of milk per pound of body weight each day. For example, a 10-pound baby would need 2½ x 10 or 25 ounces a day. You can estimate the size of a single serving by dividing the amount needed each day (25 ounces) by the number of daily feedings (8, 9, 10 etc.). If you divide 25 by 8, the size of a single feeding would be about three ounces. Sometimes babies continue to cry despite every effort. If you feel that you are losing your ability to cope, put your baby in a safe place (crib, bassinet, or play yard) until you are calm. Being a parent 24 hours a day, seven days a week can be stressful. Taking a shower or bath, listening to music, or eating a healthy snack will help you calm yourself so that you are able to calm your baby. Your milk is all your baby needs for about the first six months of life. You will know that your baby is ready for solid foods if he can: Four: Babies Sleep Do I need to wake my baby • sit up without support. to breastfeed? When will my • support his head and neck. baby sleep through the night? • pick up finger foods and put them in his mouth. Can I sleep with my baby? • swallow food offered on a spoon without gagging or spitting. Once your baby shows these readiness signs you can begin by introducing meats (a good source of iron) and soft cooked vegetables (great finger foods). Three: Babies Cry Why is my baby crying? What can I do to make him stop? It’s important that newborn babies breastfeed at least eight times (or more) in each 24-hour period. Frequent feedings ensure that your baby gets enough to eat and that you make ample milk. It’s hard (sometimes impossible) to wake a sleeping baby. If you keep your baby nearby you can watch for early signs of hunger such as wriggling, squirming, sucking on A ll babies eat, sleep, poop and pee, cry, and grow, but knowing what breastfed babies do in each of these categories gives parents confidence in their ability to meet their baby’s needs. fingers or fists, coughing, and yawning, and offer the breast at those times. Crying is the last sign of hunger. If you wait until your baby cries to feed him, he is less likely to breastfeed well and more likely to fall asleep. Every baby is different, but the age at which your baby will sleep through the night depends in part on your definition of night. During the first three months of life, babies add one to two pounds a month. This explains why frequent feedings (day and night) are so important. Your baby will tell you when he is hungry. By six months of age, most babies will sleep six hours (or more) at night. Babies sleep in lots of different places such as car seats, strollers, and cribs. While some places are safe, others are unsafe, and even safe places can become unsafe, depending on the conditions. The American Academy of Pediatrics recommends that mothers sleep near their babies but on a separate sleep surface to prevent babies from getting trapped beneath pillows, blankets, duvets, or siblings who wander in during the night. Despite this recommendation, many mothers sleep with their babies for part of the night or the entire night as a means of making it through the night. If you decide to sleep with your baby, it’s important to know how to keep your baby safe. • Place your baby on his back. Do not put your baby on his tummy or his side. • Use only a lightweight cover or blanket or a sleep sack. • Do not use comforters, duvets, quilts, or pillows in your baby’s bed. • Do not let your baby get too hot. • Use a bed with a firm mattress that fits tight against the bed frame. Do not use bumper pads or waterbeds. • Do not sleep with your baby on sofas or overstuffed chairs. • Do not place your baby alone in an adult bed. • Do not place your baby in an adult bed with older siblings. • Parents who smoke should not sleep with their baby. Smoking increases the risk of Sudden Infant Death Syndrome (SIDS). If you must smoke, do not smoke in the house or car or near your baby. • Parents should not sleep with their baby if they have used alcohol or drugs. • Parents who are very overweight should not sleep with their baby. 2011 | Issue 1 | New Beginnings 5 Amy Spangler W atch your baby, not the clock. He will tell you when he is hungry and when he is full. Five: Babies Grow How much weight will my baby lose in the first days of life? When should my baby be back to birth weight? How much weight should my baby gain in the first weeks/ months of life? Exclusively breastfed babies lose on average five percent of their birth weight. Weight loss typically occurs in the first five days. Most babies are back to birth weight by ten days of age, and gain four to eight ounces each week for the next three months. Rate of weight gain will slow slightly after three months. Many babies double their birth weight by six months and triple it by one year. If you compare breastfed babies to their formula-fed counterparts at one year of age, they are comparable in terms of height (length) but usually weigh less. Putting it all together Now you have it—five bits of knowledge that, along with a breast, a brain, and a baby are all you truly need to breastfeed. The challenge is applying it in real time! The rules are simple; there’s only one—FEED THE BABY. Real estate agents clearly know that success hinges on one thing—location, location, location. You can position yourself for breastfeeding success if you position your baby correctly both at and on the breast. When your baby is positioned well, his head, neck, and chest should face the breast. (Think about how you face the table to eat your meals and position your baby the same way.) Your baby’s mouth should be opened wide. His tongue should be over his lower lip between his lower lip and the breast. His lips should roll out like the lips of a fish and lie flat against the breast. His chin should press firmly into the breast. Sounds easy, right? Wrong. Making milk is natural. Breastfeeding is a learned skill. And like any new skill, to become an expert requires patience and practice. So take a deep breath and try to relax. While breastfeeding lasts a short time, your 18-year (or longer) tour of duty as a parent is just beginning. 6 New Beginnings | Issue 1 | 2011 IL 60173 USA Road • Schaumburg HE Plum Grove 957 North 460 • 800-LALEC 847.969.0 730 • fax 847.519.7 Tip 6: Breastfed fed babies. Establishing For more information, please see the following La Leche League International (LLLI) information sheets, available through store.llli.org: Establishing Your Milk Supply ply Your Milk Sup ability his mother’s for milk and is one A baby’s need right quantity it in just the of the law of to produce perfect examples how the milk of nature’s most . Understanding supply and demand and regulated makes it easier ed tips supply is establish Here are 10 ample milk supply. to maintain an to help you. early Tip 1: Nurse often than formula getting if your baby is diapers to check Tip 7: Count “all the enough to eat. her baby is nursing milk to satisfy thinking that herself have enough mother finds and two that she doesn’t Sometimes a if this means diapers (five to six disposables) and is cloth time,” and wonders day after birth) of six to eight wet day (beginning the third is getting plenty him. If he has but can be sure he movements per to five bowel anything but your milk, you movements less frequently, not being given older baby may have bowel . An nourishment plentiful. they should be nurses, the more the baby 60173 USA IL Tip 2: The more effective be. Road will• Schaumburg HE . Frequent nursing and there Plum Grove • 800-LALEC 957 North milk 460almost continuously amount of milk her baby 847.969.0 730 • fax produces milk breast will to produce the 847.519.7 The breast more milk the mother’s body your baby for feedings. need to wake between than three hours two hours sleeps more every to your baby regularly feedings at least If you find that need to be awakened for established. If the baby begins If may production. feedings, he until your milk supply is well ng drop in milk a correspondi apart or if the baby nurses during the day there will be supply farther and farther nurse less frequently, feeding, the milkless often to be spaced time at each reverse: the nursings continue for a shorter period of also works in or less vigorously law of supply and demand The there will be. will diminish. the less milk the baby nurses, often. Tip 8: You may and often. supply and getting an a abundant milk nurse their babies within who to establishing intervals This is the key to a good start. Mothers at frequent, unrestricted a off to nurse who nurse on breastfeeding than mothers birth and continue half hour after establish a good milk supply to are more likely schedule. restricted feeding to nurse more babies spurts cause age you may 6 months of Tip 9: Growth 3 months and nurse more often your baby to 3 weeks, 6 weeks, to meet Usually around nursing more often. Allowingincrease your milk supply will notice your babydays around these times the and the baby nurses, suckling signal to establishing for two or three more often the and demand is the key needs. So the his needs. rule of supply supply. make. This simple milkbreasts nurse for many than your an abundant maintaining to eat more that newborns or at up at the moment, to two hours, Tip 10: Remember have stored than hunger. nurse every one and draining usually reasons other keep nursing Tiphe3:willNewborns because he likes a 24 hour period. provide a milkinproduction times be nursing oftenclose body contact to 12until tenbreasts helping the mother your least If Your baby may from the satisfy his needs. of not only but also to help to meet feeling of security because he needs to of upnursing is nature’s way her newborn, these special the for speeds he nursing, sound Enjoy and nutrition This frequentmaking more than comfort that comes with or because he finds the touch a great quickly established. you aresource of wonderful he leaves of your to become his suckling need, supplymilk milk leftover baby. the and the gentleness world. If you mother’s thewants, with your to make bond your heartbeat as he adjusts to his new sure to contact breast your sessions and be nursing inside signals source of comfortquestions or concerns, g specialist. until your supply look at your baby. or other breastfeedin have any further less and less comes How at the clock, League Leader look he needs. the milk that your La Leche what 4: Don’t Tipmatches is the the hindmilk, ultimately enough to get high in calories. Encourage feeds long baby to nurse each needs often by and is creamy babyyour 15 minutes on flow, as it but Your by his age a feeding not at least 10 to to the end of determined the toward down,” or start from both breasts to nursecapacity— minutes to “let usually have if willing, milk storage or three baby, your milkhave had enough hindmilk the milk twoin yourwho both takewarehouse It may side.size Babies of the your baby suckled nursed the beginning.whose mothers the breast. If the baby especially in The babies fall asleep at at with the breast factory. bodies and may next feeding infants, only take one breast the take relaxed startmay of milk ** Breastfed newborns feeding, frequently preterm at the lots late the can store nursing like are breasts while often, their birth fine if they lessinfants, (Often small last. feedings should regain and they do just from larger with less storage the first few days, days to two a feeding babies of mothers may weight by 10 enough.) get smaller meals and who baby A space weeks of age. suckling effectively. feed more often. well should your baby is of milk n baby for signs Can you see is not gaining Tip 5: Be sure removal. Watch most commo a doctor. tissue? depends on milklarge mouthful of breast be checked by One of the Are baby’s temples Milk production have aif Your s give for weaning their lower gum? your milk? Do you Know Does Youbaby Doyour removal. your breast and How reasons mother These tongue between is Low? you hear baby swallowing off the breast? baby’s they had planned Milk Supply swallows? Can after baby comes is removing milk from moving as baby sooner than been drained supply. after or your baby breast has like fussing like your improper latch about milk assessing weather feelBaby behaviors an indicator of be helpful in or feeding is concern is used often, nipples may be questions may For more information feeding or cracked culture that breast. Sore thenursing, llli.org periods of time, in any manner breast. Living in a it can thelong for shortator positioning not be reproduced International. everything, League breasts or less al sheet may to measuring such as softer This informationpermission from La Leche milk to trust or changes indicate a low International for mothers kicks without written or may not Leche League of may part production just be difficult La milk leakage, cannot often 2010, days, © January two to four behaviors are the factory when they supply. These it withinhigh gear. From that time on, much No. 10238 of breastfeeding. Whereas the breast milk to course into milk is inside the normal are full and etermine how see how much weeks the breasts When —your breasts—d milk your baby takes out. in the early the baby. related to additional much hard, this is your milk over or going into set in, mothers make by how sometimes in charge of as extra milk puts your baby to breasts as well fluids in the needs. As the d That doubts begin baby your entione what supply! well-int and beyond settle into milk often receive and your breasts needs, fluid is lost is allowed that may even your baby’s healthy baby that matches but poor advice production When a full-term, en though worse. as he needs, and as long situation will feel softer—ev the breasts and more on to to nurse as oftenof milk is usually established. make the of milk in them, baby in frequency there are ways there is plenty a good supply a day. If the an increase Fortunately, in enough Most babies eat 8-12 timesto premature the way! Sometimes of an increase are making due an indication to do the job know if you condition, of feeding is time,” and does to help increase is unable illness, or another need for “mommy your baby’s The best way milk and ways Understanding birth, separation, from your breasts supply problem. output will . must be removed not reflect a baby’s diaper it, if needed works and the milkother means or else the milk factory look at your most to tell is to your baby find by first 6-8 weeks, and gain. In the s begin to shut down. If you and how milk supply and weight wet diapers taking into problem good and 5-7 cause situation at least can USA baby babies have IL 60173 to yourselves in this than a US quarter a day your things that stools larger how may times to Road • Schaumburg the best way HE at least 3-4 they have fewer Plum Grove pumping up consideration 60 • 800-LALEC 957 North they get older, at the breast, is key to finding time to ensure (2.5 cm). As 30 • fax 847.969.04 . From the nurses effectively help milk. will 847.519.77 movements each 24 hours to six feeding increase your but larger bowel 8-12 times in until four baby is not milk comes supply. If your gain around their mothers’ a good milk goal for the the babies should breast, a good week. months of age, directly at the day is at least grams) per Works (150-210 you pump per the 5-7 ounces amount of milk gradually for How Milk Supply (750-900mls). slows down build a milk health care Weight gain 25 to 30 ounces the breasts Your baby’s year. baby. pregnancy, gain first to your During milk. rest of the for feeding is continuing is always making tell you if he concern. factory in preparation they aid this process, provider can Your milk factory is cause for the placenta drained often, extra ly or if there breasts are Hormones from appropriate multiple babies, When your builds up and carrying milk If milk faster. milk factory. and for mothers make make more a while, they an even bigger comes often or for wants hormones create the placenta isn’t removed decides he is born and and If your baby Once the baby for business milk more slowly. factory opens out, the milk For more information llli.org in any manner not be reproduced International. League al sheet may This informationpermission from La Leche al without written League Internation 2010, La Leche © February No. 10245 Increasing Your Milk Intr odu cing r y Com plem enta Food s to your breastfed baby Increasing Your Milk Supply ts. as sensory experimen these first “meals” “lessons” pleasant and the Try to keep baby. of Waiting you and your The Benefits relaxed—for the Signs from nutritious recommendations Until You See is still the most (WHO), According to calories than ■ Your milk Organization are lower in will need, so breastfeed food your baby l value, and food. He Most solid foods Pediatrics the World Health then offer solid of his Academy of of lower nutritiona to digest. him first and human milk, the American Public Health the benefit for young babies t reacthe American will have received will be ready to can be difficult (AAP), and milk is the and can cause unpleasan (APHA), human mother’s milk, Many foods babies babies may Association allergies in babies Hungry full-term trigger skill. healthy, learn a new if introduced tions and even in new venonly food that months of tion to them to cooperate the first six et al. not be eager with a predisposi milk need for about of age (Greer on of human tures. before six months life. The compositi to a variety of cues, of food. Your 2008). small amounts new changes in response provides milk that to your ■ Offer is learning to eat and enjoy full mother ntary foods a baby so that each unique needs. than having Feeding complemeready is typically messy own baby’s textures, rather factors he is meets her push the baby before provides immunity USAand meal. as he will naturally as the Human milk nurses, IL 60173 long baby is in the and inefficient the baby Schaumburg Road •as his tongue as food when the as long HE forGrove of breastduring a Plum food out with benefits By waiting for ■ Offer • 800-LALEC 957 North This could be 460 the health is functioning. many mood to learn. could be at a social • faxof847.969.0 ready, he 730 tongue-reflex well into childhood it 847.519.7 is developmentally t in eating, quiet time, or feeding continue him to be of the family rest participan the active This time when and beyond. becomes an a passive recipient. also eating. rather than merely charge of how much he a week apart. put him in cues. ■ Introduce new foods to fullness helps particular a ess important reaction to Signs of Readin he is ready to eats, teaching him This way, a signs of a tracked. Some a your baby is food can be will signal that foods before signal his reaction include As your baby at night, is Starting solid full, he will also possible allergic or sore bottom. If ntary increase his sleep and does nurse or is feeling nose, ready will not wait a ingesting compleme rash, runny for larger babies, Her readiness for of these signs, not necessary yell if she did!) s include: If you you see any calories. again. wriggle and Indication food increase synchronize foods. the tend to not initially off until week and try sleep cycles increasing sleep reaction, hold again. six months old. with his, often get the same try stress for both. ■ Baby is about ed. a year old and time and lowering Introducing your baby is some mothers, able to sit, unsupport to like a ■ Baby is Unfortunately, ary Foods rust reflex, does not seem their bed is another Complement ■ If your baby lost his tongue-thpush foods or mistakenly believing it again at a new skill for ■ Baby has move to a couch not new food, offer a few times before a SIDS risk, solid foods is eat that he does – a much 7 to baby when baby your meaning the take Learning recliner with with his tongue they left. time. It may be awhile before flavor. from than the bed out of his mouth babies. It will enjoy a new greater risk calories or nutrients he learns to they are offered. needs significant your milk, so consider between his than For more information pick things up foods other “Cuddle Curl” ■ Baby can llli.org in any mannerl. and not be reproduced finger and thumb. “all babies,” Introducing Complementary Foods to Your Breastfed Baby Safe Sleep for Breastfeeding Babies babies feed more baby, it will be suited to your like milk is perfectly ilk substitutes that since human than non-breastmwill be ready to eat Keep in mind baby and rapidly and completely Your breastfed the law of supplymilk digested more soy-based formulas.counterpart. Remember nurses, the more cow’s milk or than his bottle-fed often the baby again sooner at work here—the more is baby. demand that produce for your your body will ies astfeeding Bab Safe Sleep for Bre bed with and share a who smoke the risk, also increase the their infant where or when regardless of SIDS One in five 3 parent smokes. in daycare. deaths occurs our Sleeping with instinct babies is an hood as old as mother some itself. Yet today,it’s say authorities are the risky. What facts? Sudden Infant Syndrome Suffocation Death Death) Death, or Cot le (SIDS, Crib and unexplainab is the unexpectedThe highest risk death of a baby. six months. The first is during the are risk factors and greatest SIDS your pregnancy smoking during face-down for baby placing your children have 1 sleep. Formula-fedSIDS.2 Parents risk of double the involves almost always isn’t SIDS. It ) sleeping (face-down either prone wedged, for or a baby becoming4 or recliner. “All bedsharing,” are not the same, a couch instance in who with an adult “all bed partners” are not the Sharing sleep drugs impaired by just as “all drivers” interferes with smokes or is that pillows, risky. Using same. Anything a baby at higher or alcohol is “help the g puts bedding to 5 breastfeedin increased When a props, or soft is no known 8 , risk. There increases risks. non-smoking in bed baby sleep” mother sleeps risk when a sober, with her breastfeeding to curve her g mother sleeps tends she breastfeedin with her baby, surface. a “cuddle her baby in baby on a safe breast body around the infant at curl” that keeps from rolling her keeps level and he would 6 (And of course onto him. Here’s what During sleep, our babies have ”… babies “expect know where sleep, you normally and certain Even in your 9 is. Alcohol SOBER ADULTS. your bed edge ATTENTIVE, the risk of suffocation. know where and increase just as you during sleep your baby is alter awareness medications (Smoking risk of SIDS. increases the parent greatly 10 A smoking even more.) CLEAN AIR. increases risk the during pregnancy surface increases flat, horizontal eping on a parent’s chest. Stomach-sle surface is a BACK- SLEEPING. and SIDS11 unless the risk of suffocation A GAP-FREE SURFACE and reasonable airspace, to avoid suffocation increase suffocation ng behaviors ING. Bottle-feedi and healthy. BREASTFEED normal g to sleep is Breastfeedin 12 risk. 13 risk. always “expec © October 2008, No. 10156 La Leche League What you can do Don’t swaddle your baby. 15, 16 International never sleep Otherwise, only for feedings. at all, bed-share reach. partner smokes arm’s space within If you or your in a separate mothers keep your baby sleep with their g babies who of itself. Breastfeedin This takes care their stomachs. – that could don’t roll onto bed and rail and between baby bed and wall that roll your – between and couches his head from mattresses Eliminate gaps baby to lift face. Avoid “tent” soft for your blankets will trap your baby’s surface too baby. Light you, or any on the the for against the mattress or props tightly No pillows baby. Putting of air for your if he’s face-down. leaving plenty over you both, many risks. trouble. floor eliminates of stays out breast and aren’t as sensitive toward your their mothers baby heads it’s this way, and The breastfed partly breastfed, don’t orient isn’t at least Bottle-fed babies position. If your baby arm’s reach. sleep always within to their own to sleep separately, reach on a safer for him within arm’s There are sleep face-up Leche League. have your baby La call g, breastfeed, breastfeedin If you don’t big problems. For help with may feel like separate surface. simple solutions to what often surprisingly and suffocation. La Leche League al sheet may League Internationa This informationpermission from La Leche without written ted” at night: A baby should partner’s condition. d. your and your is compromise Be aware of anyone who children or with young die of as likely to than twice 14 babies are more ing as well. Formula-fed rise with formula-feed HUMAN MILK. and other risks SIDS. Suffocation airway, change protect his , baby can’t temperature . A swaddled regulate his SIDS OF MOVEMENT suck on his hands, or risk of both FREEDOM increases the reach his mother, his position, normally. Swaddling or appetite sleep state, © October 2010, No. 10343 l Internationa in any manner not be reproduced International. League al sheet may This informationpermission from La Leche without written For more information llli.org Amy Spangler When mothers become grandmothers... Grandparents around the world now have an online magazine and website just for them! Grand The ONLINE MAGAziNe foR GRANDpAReNTS GRAND is perfect for grandparents who want to... save articles, e-mail to friends or print out • Share their values and wisdom with the next generation • Make their time with the grandkids unforgettable • Learn what’s new since they last changed diapers La Leche League international is a GRANDpartner for Grandparents TM. Subscribe today with special code LLpRA1 and GRAND will donate $2 to support LLLi’s mission of building healthier families. Enjoy dazzling pages with video, podcasts and so much more one-year (12 issues) $7.99; Two-years (24 issues) only $9.99 order at www.grandmagazine.com. turn pages, just like a real magazine 2011 | Issue 1 | New Beginnings 7 Mothers’ Stories Shannon’s story: Navigating through Prematurity and Teratoma A t eight days old we had our first cuddle. I can honestly say there was nothing more rewarding then to be able to hold her, kiss her and smell her. My first daughter was born at term, weighing 10 lbs, 4 oz. I tried to nurse her but didn’t make it past nine weeks. This was because I received misinformation, along with learning about a milk protein allergy, and despite taking a medication to stimulate my milk supply, these factors led to my milk drying up. I was devastated. To this day it still hurts to think about it. When my second pregnancy was at 18 weeks gestation, my husband and I were devastated to learn that our sweet baby girl had a sacrococcygeal teratoma*. We were told she would not likely survive and were offered the option to terminate the pregnancy. Since we do not believe in the probability of odds, or termination, our decision was to continue the pregnancy, day by day. Because her heart was weak, she was expected to be born at 23 weeks. Day by day she surprised us all and made it to 30 weeks before deciding to come into this world. My pregnancy was stressful. I had daily ultrasounds, therapeutic amniocentesis, and the constant worry of “what ifs.” Evalee’s cesarean delivery required a team of about 15 doctors and nurses. She weighed 7 lbs 9 oz. However, the tumor was the same size as she was, and after it was removed, Evalee weighed four pounds. The spinal anesthetic wore off just as I was entering the recovery area. All I wanted was to see my baby, to place her on my chest and nurse her as I had my first daughter. I was on a stretcher when they wheeled me into Evalee’s room. She was on a ventilator and sedated so she wouldn’t try to remove the intubation and damage the site of the tumor removal. The tumor was extremely vascular (containing many blood vessels such as veins, capillaries, and arteries) and every minute it was attached to her, it threatened her life. 8 New Beginnings | Issue 1 | 2011 When I returned to my room, it was almost ten hours later. I was so incredibly fortunate to have an amazingly supportive breastfeedingfriendly hospital. I was allowed to stay on the high-risk pregnancy floor so I didn’t have to see other mothers holding and nursing and loving their babies. Oh, how I longed for just a cuddle! I pumped every one to three hours but never managed to produce more than three or four drops. Evalee wasn’t strong enough to take my milk yet, so I knew I had time. Editor’s note: La Leche League guidelines suggest that pumping approximately every three hours or eight to 12 times each day is adequate for your premature newborn. At one day old, the tumor was removed. We were told to say our goodbyes as it’s a very risky surgery. We held our breath and prayed. Evalee made it through her surgery that required three blood transfusions. She came through fighting. I continued to pump. My left breast produced nothing. I was devastated but not discouraged. I saw a doctor who prescribed a medication that stimulates lactation. At eight days old we had our first cuddle. I can honestly say there was nothing more rewarding then to be able to hold her, kiss her, smell her. I held her between my breasts and just dreamed of the day we could finally share that nursing bond. At nine days old, she finally received her first drop of breast milk via a nasogastric tube (a tube that is passed through the nose and down into the esophagus and stomach). She was fed one milliliter every three hours when she could tolerate it. After a few days she was moved up to two milliliters every Mothers’ Stories When Evalee was 10 weeks old, I was allowed to put her to the breast. They told me she was a sick baby and not to expect a latch for another month, possibly longer. My baby wanted to prove them all wrong again. She latched and she drank and she did reasonably well. Within four days her nasogastric tube was out and she was fully breastfeeding. She stumped everyone! I had never been so proud in my entire life. She still had many problems nursing, though. She choked, and she had three to 10 apnea episodes during a feeding where I would need to rub her chest or she would need to be resuscitated. It was then discovered that Evalee had severe reflux. She was given two medications and placed back on breathing support (high flow pressure via nasal prongs.) It was not determined why the air pressure helped her breathe; we just know that it did. Up until Evalee was feeding from the breast, my 15-month-old daughter Addisyn and I had been traveling back and forth to the neonatal intensive care unit (NICU) on the bus an hour each way. Afterwards, after Evalee was nursing at the breast, Addisyn went to stay with her grandparents, who lived almost two hours away. I was under so much stress for the rest of the NICU stay. She needed me to nurse her because she would not take a bottle. I was so terrified of her having her nasogastric tube reinserted. One day a few weeks later, Evalee went on a nursing strike. She refused to nurse or to take a bottle. The nurse was ready to reinsert the nasogastric tube. I put her to my breast and she nursed. Whether she nursed for comfort or she nursed because she was hungry, I’ll never know. I was just so thankful she did. Soon she was weaned off the breathing support and was ready to come home. As I waited for her to be fully discharged by the doctors, I sat in a rocking chair and rocked Evalee and she turned blue in my arms. I was oblivious. We still have no idea how long her breathing had stopped. I panicked when I saw her. The nurses and doctors came running, a code blue was called, and it was minutes before they could revive her. I will never forget that day. Her medications were changed and readjusted. During our stay many doctors thought Evalee had tracheomalacia.** A definite diagnosis was never made about this despite having many of the symptoms, especially the choking. After ten long weeks, Evalee was allowed to come home with ustwo days after her due date! Evalee still continues to choke every time she nurses and has only reluctantly taken a bottle three times since she’s been home from the hospital. I was told our hospital stay could have easily been twice as long had she been formula fed, as it would have made her reflux twice as bad. Evalee is still a periodic breather, but she is otherwise a happy, healthy five and a half-month-old. With all of the new research being done on tumors and breast milk, I may pump for her after she weans. Her tumor has a chance of returning, but I know she is strong from all her mommy’s milk! New 8th Edition a National Best-seller! The One Book Every Nursing Mother Needs By Her Side Free online version Chapler 20, Tear-Sheet Toolkit. Downlo ad it Now! Shannon Rogers, Halifax, Nova Scotia, Canada *A sacrococcygeal teratoma is a type of tumor that develops at the base of the coccyx (tailbone). It occurs in 1 out of 35,000-40,000 live births. ** Tracheomalacia is a weakness and floppiness of the windpipe (trachea). Photo: Claire Hoyle and baby Beth and Jamie six hours. Eventually after a few setbacks, she was on full feeds. At this point, Evalee began experiencing severe apnea. She needed to be revived up to 18 times a day. Her doctors had no idea why this was happening. The Womanly Art of Breastfeeding 2011 | Issue 1 | New Beginnings 9 Mothers’ Stories Melinda’s Story: Pumping Full Time I ’m not sure what kept me going, but by the time six months came around I was still pumping five times a day and was determined to continue to pump a full year. learned was poor advice because breaking the suction hurt even more. When most women go through pregnancy they focus on several things: the labor/delivery, being prepared for the arrival of the baby and, if they are going to breastfeed, they may talk to friends, read a book, and maybe even attend a La Leche League meeting. I did all these things, but nothing could prepare me for what was about to happen. Before I was even pregnant I knew I had a good chance of having a cesarean section due to a pre-existing medical condition. I also knew that in order for me to have a vaginal birth, I had to do it without any drugs. While I was pregnant I did everything I could to prepare myself for a natural childbirth. My husband and I hired a doula to help us. We were ready for it. Then, as my due date came and I wasn’t showing signs of going into labor, my doctors recommended that I have a cesarean section. They were concerned that the baby was too big and I was going to have a long labor, or even worse that the baby’s head might be too big for me to push out. None of these situations were good for me. So after several days of thinking, my husband and I agreed to have the cesarean section. Knowing that I was having a cesarean section made me even more determined to nurse my daughter. I had my husband put signs in her bassinet that said “breastfeed only” to remind the nursing staff not to give her a bottle. No matter what, I was going to nurse her. In the first day or two I thought nursing was going great. It was on day three that everything began to fall apart. I started to feel a lot of pain in my right nipple while feeding. The hospital started pressuring me to give her a bottle because she was losing too much weight. I refused because I knew that it was okay for her to lose some weight. Later that night, the doctor came to me and said that my baby had lost more than 11 percent of her birth weight and was starting to show signs of jaundice. They wanted me to give her a bottle after she nursed to make sure she was getting enough nourishment. They also told me that I had to switch sides during each nursing session, which I later 10 New Beginnings | Issue 1 | 2011 That night I nursed her and gave her a bottle every two hours. I cried giving her the bottle and while nursing. Her latch was so strong that taking her off was very painful. By morning my right nipple was almost bleeding and my left nipple was starting to crack. After four days of requesting assistance from the hospital lactation department, the specialist showed up to check on my baby’s latch. I was told that everything looked good and that I just needed to try other positions and to feed her on one side only. She also suggested that I try a nipple shield to protect my nipples from getting any worse, which I was happy to do. When we got home I was so tired from recovering from the cesarean section, the pain medications, and the emotional rollercoaster. I was still determined that I was going to nurse her because I wanted her to have the best. During the first week home I had a lactation specialist come to the house because things were not getting better. Because my pediatrician was worried about my baby’s weight gain, we went to the office for check ups every few days. I supplemented with formula because we thought my milk was not coming in quickly enough. Then the lactation consultant told us that my daughter had a posterior tongue-tie, which my doctors were not familiar with. I was advised to take some time off from nursing to heal my damaged nipples and instead pump. This sounded great to me because it hurt too much to continue. I pumped and did not nurse for about two weeks before I went to visit with a new lactation specialist. I sat there in the office with my daughter latched on. She would nurse but for some reason she was not transferring the milk. I remember being so happy that she was latched on but when we would weigh her after 20-30 minutes of nursing, her weight would be the same as it was before we started. At this point I was hopeful that it was just a matter of time before everything clicked, so I continued to pump and give her breast milk in a bottle. By six weeks she was very unhappy nursing and would not latch on. I became so upset every time and even cried on several occasions. I wanted so much to be able to experience breastfeeding and bond with my daughter. Her rejection of nursing made me feel like she was rejecting me. I knew in the back of my mind that she loved me and that we were going to be okay, it tore me apart inside because she was not able to latch on. I had to pump eight times a day to provide my daughter with enough breast milk - 32 ounces - for the day. This task was not an easy one. Pumping every three to four hours didn’t leave much time for sleep. My husband woke up in the night to feed her so that I could get some sleep between pumpings. There were many days when I just wanted to stop because I felt like pumping was taking time away from my time to bond with my baby. I just wanted to do what was best for her, though, so I kept pumping and telling myself that it would get easier. Every day I would tell myself that my baby would be stronger, develop faster, and be healthier in life because she received my breast milk. I knew Mothers’ Stories that one of the best ways to protect her from getting sick was to give her the breast milk antibodies. By taking care of all of her needs I was giving her the opportunity to focus on things beyond basic survival: laughing, learning how to use her hands, finding her feet, and exploring her new world. It just did not make sense to me to give her formula when I was able to pump my milk. Breast milk is easier to digest, tastes better, is not made in a factory, and provides antibodies that will last a lifetime. There are so many benefits to breast milk, and some benefits are probably still unknown to scientists. Around ten weeks she woke up one morning and started to nurse. I was so happy I called my husband in and showed him. Neither of us thought that she would nurse and we felt so relieved. We told each other pumping was soon going to stop. While she was nursing I felt the greatest joy. Having had a cesarean section, I hadn’t had the chance to experience the joys of birth I had hoped for, so this was very exciting for me. She continued to nurse a few times a day for several days. I continued to pump after she nursed and during the day to make sure my supply was still there and to get an idea as to how much she might have taken. Then one day while nursing she had problems with milk flow being too fast; she became very upset. My milk was coming out the side of her mouth and she was not happy. That was the last time she nursed. I tried many times to latch her on, but she would just scream as soon as I put her into a nursing position. After about a week of this, I went back to the lactation specialist for help. She suggested that I stop trying for a bit so that my daughter could have time to forget what she was mad about. She also gave me tips on how to slow down my milk flow in case she did latch on again. For the next two months I pumped seven times a day and gave her a bottle. I also tried to nurse her every now and then but every time I received the same response from her: loud screams. What was I to do? I was beginning to think that pumping was going to be the only way I was going to be able to give her breast milk. I spoke with a La Leche League Leader weekly for support and she helped me to keep going. Every time I wanted to stop she would email or call me. These two months were extremely hard for my husband and me. I was very lucky that my husband also wanted our daughter to have breast milk and was able to help out so that I could pump as much as I did. By the time my daughter was four months old, we had tried a supplemental nursing tube, nipple shield, nursing in the tub, keeping her skin-to-skin, and every position. It was around this time that I told myself that I couldn’t try anymore. Emotionally I could not do it again. My daughter was bonding with me and we all were happier. I accepted that we were never going to have the nursing experience that I wanted but she was still getting my milk, which was the main thing. I told myself that the number of times I pumped per day would decrease as she started to eat food and that I only had two more months to go. I’m not sure what kept me going, but by the time six months came around I was still pumping five times a day and was determined to continue to pump a full year. It is hard to watch her while pumping but seeing her grow and develop has made it worth it. I tell myself that she is not only happy but she is getting a gift that will stay with her forever-my breast milk. For the first three or four months she would just lay on the floor at my feet watching me pump. By the time she was almost five months old, she would climb on top of me and try to nurse through my clothes. She would appear to want to latch on so I would offer her my breast just to see what she would do. She would just look at it and then look at me like “what is this?” I knew that she was hungry so I offered her a bottle with breast milk and she was happy to polish it off. Sometimes I look at her and I say to myself or to my husband, “Look at how wonderful she is. She is developing fast, doing so much more than she should be doing for her age, happy, and healthy.” I then tell myself that this is because we are taking such good care of her and because of the breast milk. I feel so blessed that I was able to find the internal strength to continue to pump. I know that I not only gave her everything she needed while I was pregnant but I am still providing breast milk for her continuing growth and development many months later. It is a very powerful feeling to know that your child is growing and thriving in her new world because of you. I admit I sometimes wonder how she would be if I had stopped pumping and just given in to formula. Would she have developed as fast? Would she be as happy? I will never know the answers, but when I look at her smiling at me it is all worth it. I admit that even today when I see a mother nurse her baby I wish that I was experiencing that. I even want to cry at times because I am taken back to the rejection I felt. Then I look at my baby and I tell myself that I am experiencing it, just in a different way. The pain that I feel is within me and has nothing to do with her. She is perfect and is getting the best food, even if it comes in a bottle. I am happy to say that my daughter is 10 months old and I am still pumping. I was able to reduce the number of pumpings to three times a day. Soon it will be two pumpings a day. I know I can give her at least a full year now. As hard as this has been for me, I am happy I chose to continue pumping. This is a journey for me and it is one that I will never forget. I feel grateful to have had the option of pumping because if I was not able to get a full day’s worth of milk for her I would have turned to formula. I thank my husband for the support he gave and all my family who listened to me cry. Melinda Goldman, Port Washington, New York Upcoming LLL USA Events for 2011 Listed below are upcoming opportunities for Leaders and other mothers to gather for breastfeeding and LLL information. May 7—8: LLL of Nebraska, Omaha, Nebraska www.lllofnebraska.org May 27—29: LLL of So. California/Nevada, Newport Beach, California www.lalecheleaguescnv.org/conference/pages June 3—5: LLL of Missouri Conference, Columbia, Missouri September 16: Healthcare Provider Seminar, LLL of Washington, Kenmore, Washington www.lllwaconf.org/mambo November 4: LLL of Wisconsin Conference www.lllofwi.org/events/index.html 2011 | Issue 1 | New Beginnings 11 Toddler Tips Editor’s Note: Responses for this situation are taken from a conversation on the New Beginnings Facebook page. If you haven’t been to our Facebook page, please take a look, “like” us and join in the conversation! Mother’s Situation My toddler is into EVERYTHING! We’re still nursing, so I can meet her needs for reassurance and help her fall to sleep with nursing, but the rest of the day she’s running me ragged just keeping up with her! I’m having difficulty with the mismatch in our energy levels. Any suggestions? Help! Fresh air. Even though it takes effort to get everyone ready it really helps to get outside. It boosts my energy level and provides a good place for the kids to expend some energy. And make sure you are both eating and drinking healthfully. Julia Pfitzer, Broomfield, Colorado 12 New Beginnings | Issue 1 | 2011 A tea promoting healthy lactation in the afternoon always gives me a boost, along with a healthful snack like apples and nut butter. Katrina Venis Scott, New Smyrna Beach, Florida Try resting when your child does, even if she is no longer napping. My daughter has never been a good napper, but if I hold her/nurse her during her nap, she will sleep for hours, so I have to decide whether those dishes are really important, or if it is more important to bond, relax, and ensure she gets some good rest while I also get some relaxation/quiet time. A wise woman asked me if it bothered me that my daughter took really short naps (when I was not holding her), and I thought about it and discovered that I didn’t mind, but I always felt like I had to literally run around the house trying to get everything done in 20 minutes, then my daughter would wake up, and I would be tired from running around, and my patience level was lower. If I just allow myself the luxury of holding my daughter during her naps, not only do I get re-energized but my patience level is much better! Even with very young children, a “quiet time”, where there is peace and stillness in the home (even if it is for five minutes), could be instituted. One of my mentors started having “afternoon tea time” with her child, where she would literally make a nice, warm cup of tea, and her daughter might have hot cocoa, or another beverage of her choice. For a few minutes, there was quiet. Sometimes this might include reading or looking through books silently, either separately or together! They could “re-charge” to get through the rest of the day. Laurel Miller-Jones, Salt Lake City, Utah I can’t beat that feeling. My only solution is to have a long bath with my baby at the end of the day, and then when she smells lovely to cuddle her all night long because I still bed share with her. Dessi Mineva, Kazanlak, Bulgaria New Mother’s Situation: My toddler is a very adventurous eater as well as a great conversationalist. Lately however, she has been chatting so much at meal times that we have a hard time getting her to eat. Then a half hour to an hour after we have left the table she will be hungry again. How can we gently encourage her to eat when we are eating and not have to deal with making a snack or doing double clean up later? “Toddler Tips” is edited by Julia Pfitzer, an early childhood educator who currently stays home with her two daughters. She and her husband, Chad, enjoy raising their family in Broomfield, Colorado. E Please send responses and new situations to toddler.tips@lllusa.org. GlobaLLL New items at store.llli.org IL 60173 USA Road • Schaumburg E Plum Grove 957 North 60 • 800-LALECH 30 • fax 847.969.04 847.519.77 IL 60173 USA Road • Schaumburg HE Plum Grove 957 North 60 • 800-LALEC 30 • fax 847.969.04 847.519.77 ies astfeeding Bab Safe Sleep for Bre IL 60173 USA Road • Schaumburg E Plum Grove 957 North 60 • 800-LALECH 30 • fax 847.969.04 847.519.77 our Sleeping with instinct babies is an ood as old as motherhsome itself. Yet today,it’s say authorities are the risky. What facts? Suffocation ? x. What is Reflux with gastroesophageal reflu Her yell if she did!) wriggle and tend to synchronize sleep cycles increasing sleep with his, often stress for both. time and lowering y, some mothers, is Unfortunatel their bed or mistakenly believing move to a couch a SIDS risk, a much 7 the baby – recliner with they left. than the bed greater risk Breastfeeding involves almost always isn’t SIDS. It sleeping (face-down) “Cuddle Curl” either prone wedged, for and “all babies,” or a baby becoming4 or recliner. “All bedsharing,” are not the same, a couch instance in who with an adult “all bed partners” are not the Sharing sleep drugs impaired by just as “all drivers” interferes with smokes or is that pillows, risky. Using same. Anything a baby at higher or alcohol is “help the puts bedding to 5 breastfeeding Death) increased When a props, or soft Death, or Cot is no known 8 (SIDS, Crib risk. There increases risks. and unexplainable non-smoking, in bed baby sleep” mother sleeps is the unexpectedThe highest risk risk when a sober, with her breastfeeding curve her mother sleeps she tends to death of a baby. six months. The breastfeeding baby, her with first surface. a “cuddle is during the her baby in baby on a safe are breast risk factors body around and the infant at greatest SIDS your pregnancy curl” that keeps her from rolling smoking during face-down for level and keeps of course he would baby your 6 (And placing children have onto him. 1 sleep. Formula-fedSIDS.2 Parents risk of double the Sudden Infant Syndrome Vitamin D, Your Baby, and You bed with and share a who smoke the risk, also increase the their infant where or when regardless of SIDS One in five 3 parent smokes. in daycare. deaths occurs your baby s Symptom l reflux Reflux any of experiences Gastroesophagea If your baby please discuss term for these problems, is the medical doctor so you them with your acid and prevent milk and stomach can work together serious. out of the them from becoming backwashing the throat. large quantities stomach into •Spitting up or hours after called wet very frequently is also Reflux can usually alternatives eating up. gradually, than if a drug that or spittingexample, burps (more forceful IL 60173 USA Road • Schaumburg E Plum Grove 957 North 60 • 800-LALECH 30 • fax 847.969.04 847.519.77 Death aning: About We stfeeding •Vomiting be found. For emptying is found and usually for a mother spitting-up is prescribed that are of the few drugs the stomach) between to be one g, the valve The with breastfeedin after wet burps •Painful crying incompatible and the able to substitute gain thebestomach or spitting-up doctor may poor weight mother •She may have or arching the us istheonly drug if he knows another esophag •Crying, fussing has throat the pain is gone. feeding nursing. Sometimes When a babyaffect nursing. until open when neck and back during wants to continue d to medical nurse suppose d course of pain, it can reflux reluctant to a recommende can or •Baby seems swallows Tips that minimize babyprocedure from the breast or specific your treatment or pulls away reflux La Leche episodes: Babies with or delayed. happens patterns, constant that Pattern #1 Reflux on be modified g positions burps.have •Unusual eating only when sleepy comfort: information •Use breastfeedin on the baby’s who nurse for or feeding doesn’t League Leaders drugs feeding valve that of specific don’t put pressure tummy is being when ythe with reflux find or congestion her the compatibilit a •Many babies their sore •Noisy breathing stomach. When or opens g. Even when back up soothing on milk comes skipping breastmilk is close tightly with breastfeedin that is squeezed, the helps wash the ding spells, take a drug •Breath-hol throats. Breastmilk the stomach. easily. mother must no reason. g, more into for with breastfeedin that several breaths acid back down fact that human g positions incompatible day coughing, It is a known of continuing than •Use breastfeedin constantly all the option infant food. head higher •Frequent gagging, •She may nurse she still has + Esophagus keep your baby’s prefer to (Stomach and returning milk is the superior Englishmilk choking or sneezing She may also complete and night. to express her is = Latin her stomach. to a lower every keeps the is the most + Backwash) gain, falling ear up. This g after treatment to nurse after of time outside. Human milk •Poor weight the hageal Reflux) keep her right to breastfeedin •She may want I spend a lot deficient in higher than (Gastroesop immunologically, spit-up. t? weight percentile top of the stomach wet burp or completed. Surely I’m not nutritionally, vitamin D importan designed infections, red her stomach. weight until is in of D. throat lot food milk Why a vitamin •Frequent or the let•She may gain and is the only impact ear congestion in the maintenance chokes during needs that have an 12 throat, colds, on this has special face a key nutrient •If your baby alsobaby the pain is gone. for your baby. risk. few factors that let her Any Vitamin D is The baby adults. Because baby’s There are a avoid suffocation benefit specifically a mother’s milk. infections can The to be down, try positions ceiling. These in children and airspace, to abrupt weaning. D content of spectrum calcium the reasonable problems of bone health is expected during an this about on the vitamin promoting respiratory D status of SURFACE and your body, not the ideas in consulted the Given that it Babies with essential for A GAP-FREE the vitamin •Any serious from be her to release pneumonia, vitamin D is Pattern #2 doctor should they out may be confused Most significantly, positions allow n. for mother’s vitamin D deficiency and lactation such as bronchitis, feel pain when in the body, to substitute some milk dribble publicatio “perfect,” you during pregnancy reflux who absorption what foods breast and let doctor as rickets (in the mother the baby at the flow is too asthma depending occasional your baby’s such conditions D status of may vary mouth when can babies have need This which vitamin her nurse: of and 13 the her off is marked by milk, Most sour/acidic about why 1. taking transfer smells impacts risk. a (in adults), will also behave in also try every day. ability to suffocation •Breath that of reflux your fast. You can will probably as mother’s age. The baby ing you to give children), osteomalaci left unchecked longbehaviors increase released When and pressing •This baby and burping birth, as well and doesn’t attention on the baby’s episodesfocused is encourag D s if 2003, data normal her mother. ING. Bottle-feedingand healthy. and for a few seconds the to slow the is perfectly her milk. In •Frequent hiccupping holding baby vitamin food, BREASTFEED ways that confuse lead to osteoporosi many for your palm to vitamin D via lots of extra are still working any problems tummy wants to sleep is normal Fund/US National causeAlthough breast with with painful your breastfed researchers usually hungry her members. Breastfeeding Research is suddenly she between acid family term. While •Waking themselves is sore from by the Thrasher from loving that 81% of milk flow a bit. ffect relationship poor sleeping but if her throat urge to distance die of to touch supplements. nurse thebaby. Health reported crying, unusually prove a cause-and-e and other health issues, as likely to want the milk your baby to Institutes of mothers feel for fear the than twice 14 D age have insufficient she might not •Encourage and is can while weaning spit up large babies are more ng as well. habits levels of vitamin is confused take small amounts needs some Formula-fed formula-feedi ical (tracking from their babies2. Some babies women of childbearing a baby with love. Academy low her throat. She whatevery there is still frequently and meal. You and risks rise with HUMAN MILK. epidemiolog or not. stomach While nursing, eat other and her D. to whenever in on American and after is your anecdotal weaning that he or condition watch child will insist amounts levels of vitamin not sure whether SIDS. Suffocation level of vitamin at a time. Overfilling back up easier. begins In 2008, the of a disease will want to is reassurance but Avoid abrupt airway, change has acid backwashing come your baby. weaning process that about the optimal have your doctor protect his the occurrence trouble. and act hungry When a baby s (AAP) amended makes the milk Don’t swaddle most during uncertainty baby can’t Weaning is a introduction of a for signs of temperature, agreement into the possible •She may fuss A swaddled over time) correlations of Pediatric regulate his / per feeding baby carefully she is starving. there is recent both D from the stomach cause throat SIDS a population regarding OF MOVEMENT. suck on his hands, or at one breast to eat until difficult for still loved. with the first D for adults, breast milk that vitamin FREEDOM can refuse ndation vitamin D insufficiency most the risk of both •Nursing than this mother, the overfilling is his increases between community reach minor stop esophagus, baby avoid its recomme medical be Baby been found experience Abrupt weaning level of his position, substance other very fast, but normally. Swaddling can range from among the can help your and should entation of her get a a Younger by a blood ofbabies 3. Some acid or appetite the following: •She may eat pain. The pain and the baby It also helps a few sleep state, is represented word “weaning” the stomach of 15, 16 the mother levels her stomach. few minutes. vitamin D supplem The current deficiency and may last for Planned Weaning insufficiency culture, the Serious drawbacks problems when with blood from the front after only a to severe. It we and suffocation. In American all possible. lining of the ng/mL. Those children. delicateweaning balance of foremilk discomfort deeper with something For more information avoided if at all day. a planned breast, ofthe afraid of eating. burns less than 32 deficient in details minutes or baby can’t infants and hindmilk from the llli.org include physical of the colon, or theAlways is usually associated •She may become are considered The practical airway in any mannerl.weaning is not the breast and or of the child. reads: “A s for the of abrupt weaning •Cancers; specifically she is is called However, the age below 20 ng/mL Both are important uponthroat not be reproduced D insufficiency the Internationa giving up. better when weight. Thisyour health complication are League recommendation in the breast. of will depend l sheet may g, but rather How has vitamin what to give gain enough •She may eat pain. and potential and prostate g is a source from La Leche breastfeedin vitamin D. This informationa g doctor about ? she feels less of 400 IU/day in the permission breastfeedin very l cessation of proportions consult your an Reflux Disease. sleepy because calcium’s role the to the breastfeedin supplement Internationa milk. For the without written mother. Because ion (due to as well as food, reached epidemic other foods of mother’s begin within La Leche League •Hypertens addition of and closeness baby in place weaning is a finding an traumatic © October 2010, of comfort For more information blood pressure) vitamin D should and continue than an event, weaning involves regulation of and may be emotionally the warnings child. Rather No. 10343 llli.org young baby, weeks, months of life in any manner mother’s milk II); insulin have heeded abrupt weaning weaning is can last days, g substitute for type I and type first few days our If not be reproduced International. We as a population process that A planned gradual Any breastfeedin appropriate and limited related to League al sheet may to slowly g with bottles. •Diabetes (both for the baby. we talk about community childhood. may also be breastfeedin This informationpermission from La Leche use of it allows a mother re-diabetes eating of the medical or years. When s throughout l then replacing the sun. The are talking about resistance/p old, already preferable because Internationa without written loving attention exposure to weaning, we infant, regardles close to a year kinds of extra La aLeche unprotected cup, League and natural the baby is 2010, in the protection from Natural weaning vitamin D insufficiency breastfeeding Octoberwell substitute other ©drinking for the closeness satisfaction. while important arthritis, and of the sun foods, andNo. 10342 or she is being nursing has to compensate sunscreen, fulfillment or bottle rays for he other rheumatoid the the one need affection forgo and of whether Eliminating your baby’s cancer, blocks be able to •Multiple sclerosis, to convert against skin occurs when while nursing. conditions a mother may with formula, they shared for our bodies three days allows other autoimmune supplemented been fulfilled. every two or that are necessary the skin. entirely. slowly, ented with daily feeding vitamin D through to decrease milk supply sunlight into should be supplemD.” (Pediatrics the mother’s concern during approach to and and discomfort. baby, the first The optimal no fullness the needs g is 400 IU of vitamin with little or For the younger since breastfeedin weaning matches 1142-52) of the child. weaning is nutrition, feeding that 2008; 122(5): requirements a method of weaning is of order When abrupt for medical reasons first and foremost a wide variety comfort. In takes care of closeness and a recommended Since nursing to lead babies also provides to baby, substitute effective way that she’d like wean a young needs, the most to gradually accurately what tells her doctor is to guess If a mother For more information time to wean through weaning needs are or be given llli.org in any manner most pressing continue nursing not be reproduced International. the child’s current with something League l sheet may For more information those needs from La Leche This informationa and then meet permission manner llli.org l any in written Internationa without not be reproduced International. La Leche League League l sheet may © October 2010, from La Leche This informationa permission l No. 10344 Internationa without written La Leche League 2010, © October No. 10341 Here’s what During sleep, our babies have … babies “expect” know where sleep, you normally and certain Even in your 9 is. Alcohol SOBER ADULTS. your bed edge ATTENTIVE, the risk of suffocation. know where and increase just as you during sleep your baby is alter awareness medications (Smoking risk of SIDS. increases the parent greatly 10 A smoking even more.) CLEAN AIR. increases risk increases the during pregnancy horizontal surface ping on a flat, parent’s chest. Stomach-slee surface is a BACK- SLEEPING. and SIDS11 unless the risk of suffocation always “expec ted” at night: do use Brea Beca What you can Milk Is More Than never sleep A baby should partner’s condition. . your and your is compromised Be aware of anyone who children or with young breastfeeding until the feedings. Otherwise, Ideally, the will continue ip bed-share only for relationsh smokes at all, reach. partner arm’sneed the space within If you or your outgrows separate in ababy needs mothers keep your baby sleep with their numerous babies who g addresses Breastfeeding but not Breastfeedin of itself. toddler including, This takes care the baby and skin-totheir instomachs. could don’t roll onto thirst, nutrition, and rail – that , between bedengagement limited to: hunger, baby wall and bed andtouch, that roll your eye contact, – between and couches his head from security, skin contact, mattresses Eliminate gaps comfort, baby to lift face. Avoid for your “tent” bonding, soft blankets trap your baby’s love, quiet,will on the mother-baby surface too Light any or you, connection, for the baby. attention, the mattress or props tightly against pillows warmth, No baby. Putting need for safety, of air for your if he’s face-down. and suckle The leaving plenty relaxation centering, e suckling over you both, many risks. or non-nutritiv the by trouble. floor eliminates comfort suckling stays out of as witnessed yearsand as sensitive your breast for several aren’t many lasttoward heads babymay it’s pacifiers by and mothers way, and their The breastfed orient this thumbs at least partly breastfed, don’t isn’t s. Each weaning is use of bottles, Bottle-fed babies position. If your baby reach. arm’s preschooler sleep and within your always toddlers to their own toddler and to sleep separately, your baby or reach on a reason safer for him arm’s as unique as for this the it is within are face-up es. And baby’s father, League. There your baby sleep havecircumstanc nursing. The l emphasizes family’s , call La Leche breastfeed, members other than Internationa breastfeeding If you don’t big problems. help and other family Leche League For and La with may feel like that to whatbe separate surface. simple mother’s partner, done gradually time. solutionsshould during this often surprisingly that weaning be a great help LLLI Information Sheets (Tear-Off)* provide easy-to-read, and research-based mothering topics/information for new moms. (50 sheets per pad) *Available in Spanish, and will be available in additional languages soon! Vitamin D, Your Baby, & You Establishing Your Milk Supply http://store.llli.org/public/profile/505 http://store.llli.org/public/profile/404 (English/Spanish) Safe Sleep for Breastfeeding Babies Balboa Baby Adjustable Sling Baby K’tan Carriers Carriers are used by parents to support their babies in a variety of positions. While you attend to daily tasks, your baby can enjoy the closeness of your body. For more information shop online at store.llli.org or call 800-LALECHE. A Guide to Pumping Your Milk http://store.llli.org/public/profile/381 http://store.llli.org/public/profile/504 Inceasing Your Milk Supply What is Reflux? http://store.llli.org/public/profile/418 http://store.llli.org/public/profile/503 Breastfeeding After Cesarean Birth What about Weaning http://store.llli.org/public/profile/502 Balboa Baby Nursing Pillow Developed with lactation consultants and medical professionals, the Balboa Baby® Nursing Pillow makes nursing easier and more comfortable. http://store.llli.org/public/profile/370 Breastfeeding Tips http://store.llli.org/public/profile/100 Tips for Breastfeeding Twins http://store.llli.org/public/profile/17 do you want to be a midwife? Paths to Becoming a Midwife, Getting An Education, 4th Edition Are you thinking about becoming a midwife, but you’re not sure what kind of midwife you should be, or what training options would be best for you? Paths to Becoming a Midwife: Getting an Education is designed to help you answer these questions and sift through the various options available to aspiring midwives in the United States. The fourth edition of this book includes several new articles on the various midwifery philosophies, new information on becoming an apprentice, dozens of recently updated articles, and a current directory of more than 150 schools, programs and other resources. midwiferytoday.com/products/C614PM.htm Paper, 274 pages C614PM $32.95 + S&H Tel: (541) 344-7438 (800) 743-0974 US/CAN Fax: (541) 344-1422 E-mail: orders@midwiferytoday.com www.midwiferytoday.com 2011 | Issue 1 | New Beginnings 13 Making It Work Mother’s Situation: I have been working full time since my daughter was four months old. She stays with my husband two days per week and my mother-inlaw three days per week. I am very grateful that I don’t have to pay for daycare and that she gets one-onone attention from family members who love her, but I find that I feel jealous and a little resentful that they get to spend so much time with her and that I do not. I love my job and don’t really want to quit, but I sometimes feel marginalized when I hear about all the things they do together all day. I pump at work and nurse her often at home (she nurses several times at night) and that is going well, but I would like to hear how other mothers deal with their feelings of loss and/or jealousy when away from their babies. 14 New Beginnings | Issue 1 | 2011 When my son was 16 weeks old, I went back to work and was fortunate enough to have my sister-in-law caring for him. Like you, it was very hard on me. I was jealous and sad. I missed my baby boy intensely. I was so jealous of my sister-in-law, who could stay home with her children. Then the arrangement fell through about five months later. I found myself having to find a new daycare provider in a matter of days and it scared me to no end! My son was eight months old and began to have separation anxiety. Not only did I have to leave my baby, but we no longer had the option of knowing his caregiver well. I cried and cried for weeks. We both did. Even though I found a center that ended up being a wonderful place, it was the scariest transition to make. I will be forever grateful for the few months I was able to leave my baby with family, especially now that it is gone. Some things that really helped? Being sure to leave all work at work. Coming home NB_issue1_09.qxd:06Nov_DecNBƒ.qxd 4/16/09 1:23 PM Page 19 Making It Work and focusing on baby only (and partner too!). Co-sleeping has been a great way for me to his first joke. I remember the lows—the We co-sleep to get all the snuggles and warm stay connected with my daughter. It has also nipple pain; feeling overwhelmed by time we can. I nursed on demand and didn’t allowed me to continue nursing my daughter Oliver’s needs. But the hundreds of go out without my son in the first year. normal days, the thousands of warm,and keep up my milk supply. I’m proud to say enjoyable but unmemorable feeds, fadeI’ve never had to supplement despite working It will getinto easier. I promise. So many of us full time. a blur. Attending LLL and hearing know EXACTLY what you aremeetings going through. Colleen,about other mothers’ breastfeeding andYou’re so lucky that you have family members parenting experiences LLLI Mother-to-Mother Forums have beento care for your daughter. Maybe there’s a brilliant. Over the past two and a half way that they could come to your office on years I have gained so much from the First of all, congratulations on making the mothers I have met through LLL.a lunch hour once a week? You could then commitment to pump at worktips while from They’ve suggested for away specific situa-see your daughter and you could also skip a your baby. I’ve been doingsome it for of about tions, changed myeight attitudespumping session by nursing her directly on completely, and what givename true empathy.that day. I always welcome the opportunity to months now, and I know commitment haveback helped me toskip a pumping session in favor of nursing! It it can be.Their Thoseexperiences first few months recognize the truth the have phrase “thiscould be something as simple as a “picnic” in were incredibly difficult for me.inI still too shall pass.” This has really helped me about it, just the basics, and thought emotional pangs about it from time to time. the car or at a nearby park if your office isn’t to enjoy the good bits and cope with the that my baby and I would figure it out rocky periods. I would like to say aaccommodating. if it were meant to be. For me what has been helpful is toyou use to my local particularly warm thank I didn’t talk to my husband about it my commitment pumpSuzanne, as a wayand to stay I had or a magic answer you. For about LeaderstoRuth, Barbara forI wishmuch have him readforanything their ears, helpful information,me itithasn’t either. I remember being connected withlistening my daughter. You really gotten easier, but him it does feel very and, of course, theirabout friendship. lateBe inproud the pregnancy I should feel proud and good this moreshocked normal towhen me now. of your announced that I providing would beyour exclusively endeavor that you have undertaken to provide commitment to continue Joanne Whistler feeding the baby; we would not be your daughter with theGreat veryBritain best-your milk. daughter with your milk while you’re away. West Yorkshire using bottles if all went well. I It’s anremember amazing thing andnot something worth he was too happy about Adapted from a story in LLLGB’s Breastfeeding I wish I could tell you there’s a magical cure beingit.very proud of. Looking back now, both of us should Matters Christine Romero, for how you’re feeling, but I haven’t been have read a lot more and given a lot more Arizona thought to the subject. Phoenix, able to discover it. It’s an ongoing process for My sister and I were not breastfed. me to accept that this is the way things are mom says When it just was not I hadOur the same problem. my husband for my family. I know how hard it is to feel something you did then. So, we had was unemployed, he cared for my daughter torn between two places–work and home. I never really been around any breastat home when I went back to work after my try to be “all in” when I’m home, meaning feeding mothers. We were never taught maternity ended. I thought loved I don’t take work home and really try hard aboutleave it in school, and Ino onemyever to preserve that family time. I see many talked to us about it. I believe that my people who leave their kids with sitters on the weekends to go out, but that hasn’t felt right My younger sister, Jaime, has always to me yetbeen sinceone we to arelearn aparta40 a week So lothours by reading. anyway.when she was pregnant, Jaime read and A Gift from My Sister fancy and important job, but after six months the glamour wore off and I realized how much it was stealing from my time with my daughter. I tried to ignore it, fake it, work in some quality time, and ultimately boss my husband around so I felt like I was still involved in the majority of her care. In the end nothing worked. My jealousy of my husband and his growing relationship with her was only resolved when I spent more time with her. I realized that I only liked my job, but I loved my baby. I hated that I was running around likeSisters a crazed chicken for six months while Diane and Jamie and their babies trying to juggle work. My marriage suffered, lackadaisical attitude toward breastmy relationship with my daughter suffered. I feeding during my pregnancy came felt like I hated everyone and was pea green from a lack of knowledge; knowledge with envy.goodness) that my sister learned (thank from a book and passed on to me. When my daughter born, I had Luckily, the exact day I waswas ready to throw complications, it took insome the towel at work, myand husband got seven a job days for mythat milk to twice comewhat in—seven long for a salary was I earned. days in which my husband and I were So I happily walked away. He had been vigorously reading about breastfeeding. unemployed for more than a year and didn’t Our LLL Leader, Jeanette, was awesome, even have aus nibble work.needed I realize now providing with ofmuch support that you put out your in to andonce encouragement. Sheintentions even came visit me at my because I was too ill the universe therehouse is a funny way of things to leave.out. And, of course, I called my sister. working At that point I was determined to breastfeed. Seeing what a positive experience it That was a month ago. I’ve been home with was for my sister made me all the more my daughter ever since. We are so much eager to nurse my own child. I am so happier. I don’t glad that I did.miss my job, not one bit. I My 11-month-old daughter, Madison, learned a lot about breastfeeding. She joined a La an Leche Group I have tried to make effortLeague to use a lunch in her area and established wonderful breasthour once a month or so to doasomething feeding relationship with herordaughter, for myself: get a pedicure, a massage, Erin. something like that. I wasn’t doing these When I became pregnant a month things forafter myself onwas the born, weekends because Erin I asked JaimeI about cherish time with my daughter and don’t breastfeeding. She told mewant several to pump positives anymore than to at work. aboutI have it and told meI to look upthe thedecision numbertoofhire myalocal LLL Group. also made housekeeper Shetwice didn’ta month push information who comes while we areon at me. In herhas quiet way, she just recommended I work. This taken a huge stressor off my read about it and decide for myself. I plate and allows me to spend quality time attended one LLL meeting late in my with my pregnancy. daughter when I’m home rather than lot I didn’t read a whole cleaning. For me, it’s worth the money for the family time trade off. “I am pleased to recommend Arm’s Reach as a wonderful nighttime attachment tool.” Dr. Wm. P. Sears, Author “The Baby Book: Nighttime Parenting” Baby sleeps snugly and safely alongside adult bed Converts to free-standing bassinet or changing table For information on the benefits of co-sleeping please go to www.armsreach.com The Mini Award-winning ARM’S REACH CONCEPTS, I NC Newborn to 23 lbs. Parenting (800) 954-9353 or (805) 278-2559 © 2004 Arm's Reach Concepts, Inc. ARM'S REACH, CO-SLEEPER, Mother & Child Logo and all other trademarks are stringently protected.All rights reserved. Patents pending. Just 20"x 34" of f loor space Fit Pregnancy and Issue 1, 2009 • NEW BEGINNINGS 19 2011 | Issue 1 | New Beginnings 15 Making It Work know I am capable and could go back to work if I needed to. I just don’t care to prove that point at the expense of my daughter. Sure, days are hard, but so far my worst day at home, including screaming, being bitten, sleep deprived, and smeared with banana is much better than my best day at that old job (where they even took me to the Super Bowl). Ultimately, don’t blame other people for your lack of time. They are doing their best to help out. But you might want to examine your relationship with your job if you have the luxury to do so. Family relationships are much more difficult to repair than just finding another job that you love. Think hard about that relationship before you try to change your relationships with your loved ones. lovepickles, LLLI Mother-to-Mother Forums This is a hard one. My husband is a photographer. I am a lawyer. When Joe was born, the natural decision was for my husband to stay home, since we depend on my job to pay the mortgage and bills. Staying at home is financially not an option. But knowing that doesn’t make it any easier to leave your baby and go back to work! I do struggle with feelings of jealousy. I would love to be able to stay home with my baby. I think my husband would love to be able to go to work sometimes, too. Staying at home with a very active toddler is no picnic. I think, no matter who stays home or who goes to work, it’s natural to feel that the other partner has it easier. I have a high-paying job that is responsible for paying for most/all of the bills in our house. My husband continues to work-a decision I left completely up to him, given that I would expect the same courtesy were our situations reversed. We made the decision to send our son to daycare, rather than hire a sitter or beg one of my relatives for help. I had many of the feelings you describe, but probably blunted somewhat, since my son was with “strangers” all day-not that they stayed strangers for long. When he was moved to the toddler room, he was as upset to leave his teachers at the end of each day as he was when we dropped him off! I went back to work when he was three months old. I remember the first few months of work when we would wake up to nurse, get packed up for school, go/get picked up from school, then I’d get home, nurse him, and he’d go almost immediately to bed. I was almost grateful when he started waking up again in the middle of the night to nurse (he had been sleeping through the night since eight weeks). It really bummed me out that I was getting so little face time and that someone else was “raising my baby,” etc. One thing that I think helped was my continuing to nurse and pump milk for my son. That was something that no one else could do for him, and it helped me reconnect with him. It helped remind me that a mother can never be replaced. Then there were the weekends when we could just nurse all day long. So, you have to do what you have to do. If you can’t change it, you just have to make the best of it, right? I feel very blessed that my husband can stay home with my lovely baby, that I have a good job, and that our family is well-taken care of. Just wait until your baby is old enough to reach out her little arms for you with a big smile on her face when you get home! JO, Memphis, Tennessee So, I don’t think there are any easy answers here, but when you are struggling with jealousy, you have to make a special effort to count your blessings, and be grateful for what you do have. joe.s.mom, LLLI Mother-to-Mother Forums I’m a stay-at-home mother. I am working on a PhD and I put my career on hold to have my daughter. My husband works hard and supports both of us, with financial sacrifices from both of us. I’ve luckily been able to avoid the normal feelings of loss and jealousy you 16 New Beginnings | Issue 1 | 2011 are describing, but my advice would be that the best way to deal with these feelings is to find a way to cut back on your hours before you start taking out the pain you are feeling on those family members, especially if these feelings might put a strain on your marriage. I can’t give you any advice as to how to get rid of these feelings because, in my opinion, any mother would feel that way when away from her little one. While it is a wonderful blessing that your family members can care for your baby, you cannot get this time back. If there is any way possible you can even get one of those days off to spend with your child, the feelings of loss and jealousy may be lessened. If there is any way possible you can work more hours on other days so that you can have one day off, it might be worth it. I am not saying that it is wrong to love your job or to want to work. I am not saying that it will be easy and that other people, including your husband, will necessarily be supportive. Many people have given me flak for choosing my baby over my career, even if temporarily. You have the power, though, to make that choice for you and your child without feeling bad about it. Our society has made it extremely difficult for mothers to do this. Again, I am not encouraging you to give up your job, but I think that if there was a way for you to rearrange your schedule, and/or let your husband help out by working more and thereby allowing you to work less, everyone might be happier, especially you! Christine, Killeen, Texas First, good for you for pumping, nursing, and working. It is not easy! I often feel jealous and angry over the time other people get to spend with my children. I just try to make the most of what time I do get. Cleaning the house, while important, is not more important that my “baby time” and I make sure I get my snuggles. When I first went back to work, I would not put the baby down Making It Work for 20 minutes after returning home, then it was time for my three-year-old, and then dinner could start. My baby is seven months old now, and he’s on the go too much for snuggle time. It’s not easy balancing the two boys, my husband, my home, and my job, but you do what you can. I still have a lot of days where I am jealous, but I didn’t choose working over staying at home. I chose paying the bills and good health care over struggling and being broke. Staying at home works for a lot of lucky moms, but it doesn’t work out for me, so I can be mad or I can accept my situation and take full advantage of what time I do get. Danielle, LLLI Mother-to-Mother Forums New Mother’s Situation: Editor’s Note: Many of our mother’s responses are from mothers active with the Mother-to-Mother Forums on the LLLI website. Join in the conversation here. [Brad, another request for embedding. Could you add in the link to the forums at “here”? http://forums.llli.org/index.php] My son is 14 months old (still actively nursing) and I have enjoyed being a stay-at-home mother with him, but my husband has recently been laid off from his job and it is clear that our best option is for me to return to my previous job as soon as possible. I’m so glad that I have this option of course, but I don’t know much about nursing and working, so I’d love to hear what I should be prepared for with a toddler. I’m also going to have to be away to host training weekends once per month. How do I handle being away from my son for two nights and three full days? I really want to continue nursing! “Making It Work” is edited by LLL Leader Winema Wilson Lanoue. A writer and avid knitter, she lives with her husband, Eric, and two boys, Ezra and Zeb, outside of Blacksburg, Virginia. Please send responses and new situations to making.it.work@lllusa.org. g r o . i l l l . e r o t s More PRODUCT upd ates got breastmilk? TM La Leche League International is an official licensee to use the “got breastmilk?”™ brand. Shopping @ store.llli.org will help support breastfeeding! 2011 | Issue 1 | New Beginnings 17 Giving Birth Amazing Oxytocin: A Woman’s Body Is Made to Give Birth By Janet Mahaffey When Lacey Young left New Orleans to return home to Denver, Colorado, she did not think that she would be giving birth to her baby within a few days. She was just past 34 weeks gestation. At the September 16, 2010, Southeast Denver La Leche League meeting, we were all surprised to see Lacey walk into the meeting with her baby, only several weeks old. After our meeting, Lacey’s story began to unfold and I was jumping up and down with delight as I began to listen. Lacey now has two sons. Her first son was born at their previous home in Idaho. Now living in Denver, Lacey found another midwife to assist with the homebirth of her second son. All was well until two hours after her flight arrived at the Denver International Airport. She began leaking amniotic fluid and did so continuously for 39 hours. In close consultation with her midwife, it was determined that Lacey was no longer eligible for a homebirth. Lacey and her family decided to go to a Denver hospital as their backup plan. Upon arrival, they were met with troubling information. Urgency was put upon her to have a pelvic exam and to receive labor-inducing medications. Time was of the essence; her baby could have been in danger. Lacey remembered what she learned in her childbirth preparation class and phoned her former childbirth instructor. Living in a new and big city, Lacey was happy to be able to call her old friend. Lacey said that upon arrival to the hospital, she told the medical team, “Are you crazy? No pelvic exam. I don’t want to have drugs to induce labor.” After Lacey and her family assessed the situation, reviewed the baby’s status and all of the options, Lacey and her husband made a decision. Her family and her new birth team at the hospital were in agreement. Lacey told us that the nurses at the hospital were awesome. She mentioned that one nurse went out of her way to help her. Lacey asked for a breast pump and began to pump her breasts frequently. Lacey developed a pattern for pumping. Alternating on one breast at time, Lacey pumped for 15 minutes on and 15 minutes off for six hours. Occasionally she felt contractions but they went away so she continued pumping. At the sixth hour she put the pump down and stated that she felt at peace and needed a rest. She rested and within thirty minutes the contractions began and did not stop. Lacey successfully induced her own labor, stimulating the production of oxytocin in her body by pumping her breasts. Lacey told the nurse that there was no way she could give birth in a hospital bed, and the nurse 18 New Beginnings | Issue 1 | 2011 found her several pallets for the floor. After three hours of labor, Lacey gave birth on her hands and knees, on the pallets, and her husband caught the baby. Lacey laughed and said that she did not remember any of the hospital staff being in attendance and that they were all amazed by her accomplishment. Many staff members had never heard of the breast pumping technique. The story does not end here. Because their new baby, Viktor, was born at 34 weeks and six days, the medical team wanted to take him to the Neonatal Intensive Care Unit (NICU) for observation. Lacey did not want to be separated from Viktor. She told the medical team that she wanted the family to go together. Viktor was never separated from her. Lacey continued to pump so that Viktor would get her colostrum and her milk supply would be stimulated. In order to leave the hospital as soon as possible, the requirement was for Viktor to be successfully taking a bottle. Lacey pumped her breasts, and Viktor grew in strength while drinking her expressed milk from a bottle. Lacey mentioned that it only took a few days after Viktor’s due date of September 30, 2010, when she was able to “ditch the bottle with her milk completely.” Lacey also wanted us to know that “Contrary to what many said, preterm babies can be fully breastfed after having the bottle.” Leah’s Story New Research on Tongue-Tie May Help Improve Treatment: Colorado Mother Shares Her Experience By Michelle LeJeune Denver, Colorado According to Catherine Watson Genna, BS, IBCLC, author of Supporting Sucking Skills in Breastfeeding Infants, exactly what goes wrong when a tongue-tied baby breastfeeds is the subject of new scientific studies that may help the medical community and lactation consultants properly diagnose and recommend treatment. Genna says that the number of scientific studies and controlled trials pertaining to the tongue have increased in the last five years. This is potentially good news because, since the 1950s when formula feeding was rising in popularity, information about the treatment of tongue-tie has been lost. “The more ground swell there is, the more people know, the more the research will move into the mainstream,” Genna said. Also known as a short frenulum or ankyloglossia, tongue-tie occurs when the small band of tissue that connects the underside of the tongue to the floor of the mouth is too inelastic, too short, has failed to regress and extends along the underside of the tongue, or is placed too close to the gum ridge. In no way is this a new condition. In ancient Greek folklore, babies were brought to a witch known as Jaundice Witch to treat their condition, Genna said. It wasn’t until fairly recently though, that the scientific community actually had an inside look at how tongue-tied babies nurse. Genna points to the ultrasound studies by Donna T. Geddes, a scientist in Australia who specializes in breastfeeding research. In one of her studies, published online in Pediatrics in 2008, ultrasound scans of the tongue movement of 24 babies with tongue-tie were performed before and seven days after a frenulotomy, the operation to correct tongue-tie. Milk intake was measured by weighing babies after a feeding session. All but one baby showed less compression of the nipple after the operation, which is positive news since nipple compression causes nipple pain and damage while not allowing the baby to transfer milk effectively. Genna’s new book and Geddes’ study should assist in providing more comprehensive information about tongue-tie and how to handle it, but today’s doctors have yet to develop a consistent protocol for tongue-tied babies. Genna said that information in some textbooks is outdated. For example, the entry on tongue-tie in a commonly used textbook in a pediatric office, Nelson Textbook of Pediatrics, states, “A number of normal anatomic variations may be noted in the mouth. A short lingual frenulum tongue-tie may be worrisome to parents but only rarely interferes with eating or speech, generally requiring no treatment…The normal tongue in newborns has a short, tight band that connects it to the floor of the mouth. This band normally stretches with time, movement and growth. Babies with symptoms from tongue-tie are rare.” Genna said, “Some doctors still believe that the tongue has nothing to do with sucking. There is little agreed upon nomenclature for doctors describing variations in tongue-tie,” Genna said. She’s hoping her research will help to turn that around. Leah’s Story This lack of agreement and knowledge regarding tongue-tie and its treatment caused problems for mothers like Sharon Elwood of Denver, Colorado, whose daughter, while diagnosed, was never treated. In fact, if Sharon hadn’t been determined to breastfeed, her second baby’s way of doing things probably would have had her racing toward a bottle. Leah Rachael latched but consistently popped off. The nurse said everything looked okay, but it didn’t feel right to Sharon. Leah never, even when she grew older, nursed for more than five minutes at a time. continued on page 20... 2011 | Issue 1 | New Beginnings 19 Leah’s Story “On the first day we slept. She woke up the first night and wanted to nurse. All night,” Sharon said. “When Leah was three-days-old the nurses said my nipples looked irritated. They recommended that I feed her less.” What she didn’t know, and her health care professionals only uncovered much later, was that Leah was tonguetied. Everything in Sharon’s personal experience up until then told her that breastfeeding was easy. With her son Andrew, now four, breastfeeding had been a breeze. Sharon had attended La Leche League meetings with Andrew and heard some mothers speaking about their difficulties with breastfeeding. She said she just figured this was the way it was going to be with Leah and kept up frequent feedings. Leah was four months old before the doctor said, “You know, her tongue’s a little short.” Sharon said, “I had the classic lipstick-shaped nipple, but by then she was growing. I just thought she was a frequent nurser and that it was just me; it was my problem.” A physician’s assistant said that Leah’s frenulum was short and could be clipped. When they said it was an operation, Sharon decided against it. Leah was still gaining weight. Editor’s note: When the nipple is shaped like a new tube of lipstick after the baby unlatches, this is a sign that the baby hasn’t taken in enough areola when latching on. However, when Leah was nine months old, the doctor began to be concerned about her weight. Sharon said she was again advised to nurse her less, to let her build up an appetite so she would nurse longer. 20 New Beginnings | Issue 1 | 2011 The doctor said that they should return every month for a weight check. At 10 months, Leah had gained six ounces. Still, the doctor urged Sharon to feed Leah three large-sized jars of baby food a day and told her to breastfeed less. It was the way the doctor handled the situation, insisting that Leah might really be sick, that drove Sharon to find another doctor, she said. It wasn’t until Leah was two and Sharon looked at the latest edition of The Womanly Art of Breastfeeding that she saw the pictures on page 429 of tongue-tied babies and made the link between Leah’s weight and tongue-tie. “If she hadn’t been tongue-tied, her weight probably wouldn’t have been an issue. If I had been fully informed, if I had known exactly what it was and that the operation wasn’t invasive and would have made things easier for her, I would have had it done,” Sharon said. Mothers who suspect their babies have a short tongue should see a lactation consultant. Genna also recommends contacting a doctor who is an ear, nose and throat specialist. The operation is usually covered by insurance. According to The Womanly Art of Breastfeeding, a frenotomy is usually done in the doctor’s office, using a pair of bluntend scissors or laser. Local anesthesia may be used. The baby is usually able to latch on immediately and nurse with greater ease and more effectively. Genna, C. W. Supporting Sucking Skills in Breastfed Infants. 2008; 181 Geddes, D., PhD, et al. Frenulotomy for breastfeeding infants with ankyloglossia: effect on milk removal and sucking mechanism as imaged by ultrasound. Pediatrics. 2008 July; 122(1): 188-194. -Additional information about tongue-tie can be found on the LLLI Web site (www.llli.org), including a 2005 podcast by Catherine Watson Genna titled “Tongue-tie and breastfeeding/Sensory Integration (Processing) Disorder.” This podcast is available for listening at www.lalecheleague.org/mp3/LLL_podcast_028TongueTie-SensInt.mp3 -The Womanly Art of Breastfeeding, 8th Edition, pages 428-430 For more stories from mothers who have breastfed tongue-tied infants, please see the following links from past New Beginnings issues: “Breastfeeding After Breast Reduction and Tongue-Tie” (No. 4, 2008) www.llli.org/nb/nbjulaug08p27a.html “Breastfeeding and Tongue-Tie” (No. 5, 2008) www.llli.org/nb/nbsepoct08p11.html “Tongue-Tied in Connecticut” (No. 6, 2003) www.llli.org/nb/nbnovdec03p212.html International Breastfeeding bag It’s made from 100% recycled materials, is hand washable, and is gusseted for maxium space. Use it again and again for groceries, to tote personal items, and to show your support for breastfeeding mothers around the world! Measures 13x13x5. NEW TRIBUTE Submission GuidELines! For significant events in the life of someone you care about, have you considered a tribute gift? You can make a donation to La Leche League USA (LLL USA) in the name of a family member or friend to Honor or Remember them. Your tax-deductible donation will show that you care about them while also helping LLL USA further its mission to help mothers breastfeed. community whose main focus is helping mothers to breastfeed. While we can respect personal beliefs reflected here because of the nature of the tributes, this column is not intended for social commentaries outside the focus of La Leche League International. For a minimum gift of $50, New Beginnings will publish your special message of congratulations, encouragement, appreciation, or condolences; limit tributes to 20 words. Please keep in mind that La Leche League is a diverse To submit a tribute gift, please send a check and the tribute wording to LLL USA, 957 N. Plum Grove Rd., Schaumburg, IL 60173 LLLI Logo Pins Breastfeeding Basics 20-minute DVD that discusses getting breastfeeding off to the right start, positioning, latch-on, the suckling reflex, let-down technique, and more. Breastfeeding Comprehensive 135-minute DVD that discusses the benefits of breastfeeding, positioning, latch-on, the suckling reflex, let-down technique, how the breast makes milk, fore milk and hind milk, medications and $7.50 ea. | Green, #10296 | Blue, #10298 | Orange, #10300 LLLI (metal) logo lapel pin with military clutch backing. Size is .75” and comes in a 1 1/8” square clear acrylic gift box. Great Gift ers, for LLL Lead por ters M e m b e r s , Su p and Friends! human milk, problems and solutions, breastfeeding and special situations, maximizing supply, a father’s role, attachment parenting, weaning, politics and the law, and more. Breastfeeding Intensive 45-minute DVD– discusses the benefits of breastfeeding, positioning, latch-on, the suckling reflex, let-down technique, how the breast makes milk, fore milk and hind milk, medications and human milk, and more. Eating Wisely Cooking with Kids: Learning While Having Fun 3. Relax about precision. Although we talk about measuring a lot and usually cook from a recipe, I’ve learned that if not all of the flour (or another ingredient) makes it into the final product it isn’t the end of the world. The best coffee cake I ever made was missing an unknown quantity of the dry ingredients thanks to some enthusiastic stirring and the batter still rose and tasted delicious. Julia Pfitzer, Broomfield, Colorado I’ve always enjoyed cooking and pretty much had my oldest, Addy, cook with me since she could stand up on her own. Before that, she was often in the Ergo pouch on my back while I cooked. Now her younger sister is with me in the Ergo, but we still do plenty of cooking around here. Here are a few things I’ve learned from our kitchen time: 1. Make sure your young helpers can comfortably and safely reach. We started using a stool or a chair to be able to reach the counter. That quickly became too precarious. We love using a Learning Tower, which is a step stool with a platform designed for children to stand on. It is adjustable and sturdy. There is room for two or even three kids on it, and I can slide it around the kitchen. When Addy isn’t cooking, we keep it by the window. Then she can keep her eye on the weather or play underneath it. 22 New Beginnings | Issue 1 | 2011 2. Forget about the mess. I don’t worry if she sloshes stuff out of the bowl or drops it on the floor. I try to give her advice or demonstrate how to stir or pour more carefully, but she’s still learning. I keep kitchen towels in a drawer that she can reach so when we’re done cooking she can grab one and help clean up. I also use a vinegar and water mixture (one part vinegar to four parts water) plus a couple of drops of tea tree oil to wipe the counters. Not only is our cleaning solution better for the environment, but if one of the kids comes in contact with it, it isn’t a big deal. 4. It probably doesn’t need mentioning, but I’ll say it anyway: Go with the flow. As all parents know, just because you think it is time to do something doesn’t mean your child agrees. If Addy starts out strong but loses interest half way through a creation I just let her do her thing or help her get started on something else and finish up on my own. Usually she’ll still hang out in the kitchen with me and I’ll just continue to narrate to her what I’m doing. That way she’s still picking up on the vocabulary and doesn’t feel that I’m ignoring her. Eating Wisely Here are two of the recipes that we find quick and easy to prepare and enjoy together. Both of them use the blender so we get to do the “blender dance.” In our house the blender dance involves pumping your arms around in circles while you turn around as quickly as you can while the blender is doing its work. It makes us all giggle. “Eating Wisely” is edited by LLL Leader Lesley Robinson. She lives in Ottawa, Canada with husband, Mark. Her three grown children have flown the nest. Please send stories and photos to eating. wisely@lllusa.org. Easy Black Bean Soup Hummus 1 15 oz. can chickpeas, rinsed but with liquid reserved 1 Tablespoon tahini (sesame seed paste, available at larger grocery stores or online) juice of one lemon salt to taste olive oil to taste 1 garlic clove dash of cumin or hot pepper Dump chickpeas into blender. Add tahini, lemon juice, and garlic clove. You don’t really have to measure these, so I just let Addy scoop the tahini in and squeeze the lemon as best she can. Add enough liquid from beans and olive oil so that it will blend smoothly. The amount will depend on the strength of your blender or if you are using a food processor. Taste and add salt and other seasonings if you desire. Serve with pita, veggies, feta cheese, sliced turkey, etc. This is a quick soup to make that can be easily adjusted for your diners’ preferences. I usually keep all the ingredients on hand so that we can make it any time we need to throw a dinner together in a hurry. My dad developed this when I was growing up. I usually serve it with cornbread and a salad. Corn bread freezes well so I wrap half a batch in tinfoil and freeze it. Then I warm it slowly in the oven the next time we’re ready to eat it. LLLI Cookbook Set For a limited time, buy the most popular LLLI cookbooks at a bargain price! The pairing of Whole Foods for the Whole Family, Whole Foods from the Whole World, Whole Foods for Kids to Cook, and Whole Foods for Babies and Toddlers will satisfy every craving for delicious and nutritious meals and snacks! Addy enjoys dumping all the ingredients into the blender and sampling the beans as we add them. She would rather eat the beans whole than in a soup so I set out a portion for her before making the soup for us. 1 15 oz. can black beans 1 15 oz. can kidney beans 2 cups vegetable broth 1 cup salsa 1 cup half-and-half optional toppings: jalapeños, sour cream, limes, cilantro Drain beans and blend together with vegetable broth. I like the salsa chunks in the soup, but if you prefer a smoother soup blend the salsa as well. Pour into sauce pan and heat gently on the stove stirring occasionally. Stir in half-and-half and heat to desired serving temperature. Serve with optional toppings. Balboa Baby shopping cart cover Simple and fashionable providing a clean & secure environment for babies. For more information shop online at store.llli.org or call 800-LALECHE. 2011 | Issue 1 | New Beginnings 23 World Breastfeeding Week Celebrations Looking Back At 2010 World Breastfeeding Week Celebrations By Linda Parry Many, many thanks to all who helped raise money at World Breastfeeding Week Celebrations (WBWCs) sponsored by La Leche League Groups across the United States. This included $4,413 for other La Leche League charities and $2,214 for WBWC Grants. Over 11,300 people attended WBWC events around the United States in 2010. That doesn’t count the 27,000 people who visited the libraries in the Charleston, South Carolina, vicinity where La Leche League displays were provided. Kudos to all who raised money to help us continue the mission of La Leche League and who raised awareness of LLL and breastfeeding in their communities. In 2010, WBWC prizes were awarded in many categories. The Group winners were as follows: Most unique celebrations: • LLL of Yonkers (LLL of NY-E) had a walk in the woods at a nature center to demonstrate their theme of “Breastfeeding is (ECO) logical.” • LLL of Southern Indiana (LLL of KY/TN) had a traveling art show called “The Womanly Art: Works of Art Inspired by Breastfeeding.” The opening ceremony had local musicians, magic shows, 30 vendors, and a raffle. Most money raised: • LLL of Jefferson (LLL of AL/MS/LA) won for the second year in a row by raising over $3,000. Their annual Baby and Child Expo is held in a mall. Five hundred twentyseven people registered at the event, which included many exhibitors and activities. The Group received a $500 gift card as the Grand Prize winner. Highest number of attendees: • LLL of Sarasota (Suncoast) (LLL of FL/ESI) had 6,000 register at the entry of the Ready, Set, Grow! Infant to Kindergarten Family Fair at a mall. The Group worked with four other organizations, including the United Way. 24 New Beginnings | Issue 1 | 2011 Best interaction with other organizations: • LLL of Scottsbluff (LLL of NE) shared an event with a non-LLL breastfeeding support group from another town, meeting halfway between at a park. They held a picnic dinner and swimming pool celebration, focusing on raising awareness of LLL in a part of the state where LLL has not had a presence for a long time. The head of the non-LLL organization is a retired Leader and is now considering reactivating as a Leader. In addition, another member became a Leader Applicant. self-addressed stamped envelope. Special thanks to these eight Groups, which each received a copy of the eighth edition of The Womanly Art of Breastfeeding, the eight Groups that also won a copy of The Womanly Art of Breastfeeding for raising over $1,000; the 34 individual gift card or The Womanly Art of Breastfeeding winners and the 48 random drawing Group winners. Publicity award: • LLL of York (LLL of NE) focused on publicity with flyers, radio, cable television, and newspapers within a 50-mile radius. This resulted in attendance by a family of three from 60 miles away, and a family of four from 55 miles away. Some families that had never contacted LLL or attended an LLL event also came. There was socializing during the morning walk, a potluck lunch, and playtime at the park. To advertise their event, the Leaders wore LLL t-shirts to meetings from May through September, as well as at the county fair booth. • LLL of Greenwich–Stamford (LLL of CT) broke the state record for simultaneous breastfeeding. The event was covered by television news, reporters from two newspapers, and two lactation consultants from a hospital. Editors Note: WBWC 2011 will include a simultaneous breastfeeding event on Saturday, August 6, 2011, at 3:00 PM EST. Watch for more details. Non-event fundraiser: • LLL of Durham PM (LLL of NC) raised $800 with a non-event. Two women, including one who was accredited as a Leader the month before, sent a fundraising letter to friends and family, including an explanation of LLL, photos of their families, a tea bag, and a THANK YOU TO THE WORLD BREASTFEEDING WEEK CELEBRATIONS 2010 PRIZE SPONSORS! PLATINUM Dual Elite LEVEL ($5,000+) Mothering Magazine Motherlove Herbal Company Sleepy Wrap/Boba PLATINUM LEVEL ($4,000+) Mother’s Milk Tea by Traditional Medicinals AMYTHEST LEVEL ($2500+) ERGO Baby Carrier, Inc. SILVER LEVEL (200+) Platypus Media Science Naturally! BRONZE LEVEL (Cottage Industry) Fresh Baby Mama Knows Breast Mommy Necklaces Over the Shoulder Baby Holder The Umbilical Card Wrapsody NB_issue1_09.qxd:06Nov_DecNBƒ.qxd 4/16/09 his first joke. I remember the lows—the nipple pain; feeling overwhelmed by Oliver’s needs. But the hundreds of normal days, the thousands of warm, enjoyable but unmemorable feeds, fade into a blur. Attending LLL meetings and hearing about other mothers’ breastfeeding and parenting experiences have been brilliant. Over the past two and a half years I have gained so much from the mothers I have met through LLL. They’ve suggested tips for specific situations, changed some of my attitudes completely, and given me true empathy. Their experiences have helped me to recognize the truth in the phrase “this too shall pass.” This has really helped me to enjoy the good bits and cope with the rocky periods. I would like to say a particularly warm thank you to my local Leaders Ruth, Suzanne, and Barbara for their listening ears, helpful information, and, of course, their friendship. Joanne Whistler West Yorkshire Great Britain Adapted from a story in LLLGB’s Breastfeeding Matters A Gift from My Sister My younger sister, Jaime, has always been one to learn a lot by reading. So when she was pregnant, Jaime read and learned a lot about breastfeeding. She joined a La Leche League Group in her area and established a wonderful breastfeeding relationship with her daughter, Erin. When I became pregnant a month after Erin was born, I asked Jaime about breastfeeding. She told me several positives about it and told me to look up the number of my local LLL Group. She didn’t push information on me. In her quiet way, she just recommended I read about it and decide for myself. I attended one LLL meeting late in my pregnancy. I didn’t read a whole lot 1:23 PM Page 19 Sisters Diane and Jamie and their babies about it, just the basics, and thought that my baby and I would figure it out if it were meant to be. I didn’t talk to my husband about it much or have him read anything about it either. I remember him being very shocked when late in the pregnancy I announced that I would be exclusively feeding the baby; we would not be using bottles if all went well. I remember he was not too happy about it. Looking back now, both of us should have read a lot more and given a lot more thought to the subject. My sister and I were not breastfed. Our mom says it just was not something you did then. So, we had never really been around any breastfeeding mothers. We were never taught about it in school, and no one ever talked to us about it. I believe that my lackadaisical attitude toward breastfeeding during my pregnancy came from a lack of knowledge; knowledge (thank goodness) that my sister learned from a book and passed on to me. When my daughter was born, I had some complications, and it took seven days for my milk to come in—seven long days in which my husband and I were vigorously reading about breastfeeding. Our LLL Leader, Jeanette, was awesome, providing us with much needed support and encouragement. She even came to visit me at my house because I was too ill to leave. And, of course, I called my sister. At that point I was determined to breastfeed. Seeing what a positive experience it was for my sister made me all the more eager to nurse my own child. I am so glad that I did. My 11-month-old daughter, Madison, “I am pleased to recommend Arm’s Reach as a wonderful nighttime attachment tool.” Dr. Wm. P. Sears, Author “The Baby Book: Nighttime Parenting” Baby sleeps snugly and safely alongside adult bed Converts to free-standing bassinet or changing table For information on the benefits of co-sleeping please go to www.armsreach.com The Mini Award-winning ARM’S REACH CONCEPTS, I NC Newborn to 23 lbs. Parenting (800) 954-9353 or (805) 278-2559 © 2004 Arm's Reach Concepts, Inc. ARM'S REACH, CO-SLEEPER, Mother & Child Logo and all other trademarks are stringently protected.All rights reserved. Patents pending. Just 20"x 34" of f loor space Fit Pregnancy and Issue| Issue 1, 2009 • NEW BEGINNINGS 19 2011 1 | New Beginnings 25