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