This post deals with breastfeeding. If you do not feel comfortable with this subject or do not feel it is appropriate for a blog post please do not read. Oh, and it's really long...
Ok so I've been writing this blog in my head since Penelope's birth, but I didn't know how to do it exactly. This isn't about "breast is best" or benefits of breastfeeding. I feel it is a very personal choice for each mom to make. Formula is not the devil. I don't believe formula babies become maladjusted, stupid, fat adults. After a year of reading and connecting with other breastfeeding moms online, I realized that most people don't know the "normal" breastfeeding mom. Instead they think of the La Leche League type. I know LLL has done amazing things to bring nursing information and support to tons of women. Their mission is all about women learning from each other, but they sort of have the PETA stigma where people associate them with their fanatic supporters. I ran into a woman like this when I was voting in the November election. I was wearing Penelope in the sling and the woman at the sign-in table said "Oh, I can just tell you are nursing. Only women who nurse look that happy" What?! I know many non-breastfeeding moms that look pretty darn happy! After 9 months of breastfeeding I've learned that many women do spend months nursing and pumping at work, but they don't talk about it. I understand this is partly our culture's idea that it is a very private bonding activity, but we also don't want to make other moms feel guilty about their choices, inability to meet whatever goal they made for themselves in the beginning, or come off as a militant breastfeeding supporter. I hope no one feels this way about this post. This is just my experience...
Breastfeeding Class A year ago Chris and I went to a 3 hour breastfeeding class. Chris and I had already completed the 16 hour labor delivery course. He grumbled that a 3 hour bfing class was over the top, but we joined 50 other couples in a lecture hall to learn how to feed our young. We learned all sorts of cool history and science facts. Did you know that the first bit of colustrum smells the same as the amniotic fluid? How cool is that?! We passed around large plush anatomically correct breasts. After the break each couple had a doll. Yes, we practiced the different holds and getting the baby "up and on". Throughout the class they mentioned the hospital's lactation consultants. When we left Chris said "geez, they could have saved me 3 hours and given me a flyer with the lactation consultants phone number. How many times did they have to say that?" I knew we weren't going to need the lactation consultant. Our baby was going to be put on my stomach, look into mommy's eyes and start nursing. We had friends tell us "breastfeeding is hard!" yeah yeah, we took the class, you didn't take a 3 hour class, you don't know about colustrum smelling like amniotic fluid. We are so ahead of you.It's NOT natural Well, I'm sure you've figured it out that, yes, I did need the lactation consultant. It should be the most natural thing in the world, right? I watched my dog give birth to puppies and those little blind things found their way to food. Somehow I forgot that they figure out how to walk at the same time too. After tons of reading from different sources here's my kind of non-scientific take on the whole lactation consultants. Humans learn from each other. Its the tabula rasa/blank slate idea. Our brains need to learn how to do things right from birth. Some babies catch on right away, while others need a little more tutoring. In a breastfeeding culture, every mom has built in lactation consultants through their relatives and friends. Yet as one book put it, the US almost lost the knowledge of breastfeeding in less than a century. Thanks to LLL and the realization that human breastmilk might just be a good food for human babies, more and more women are breastfeeding...without the knowledge or support systems to help them. So if your baby doesn't catch on, it is off to a specialist!Penelope and I did okay in the hospital. She was jaundice, which I was later told is akin to being pumped with a bottle of valium. A little tired is an understatement. She did okay nursing, but just wasn't very hungry. Then we went home. The second night...just thinking about it makes me have a pit in my stomach even though the memory has faded some. It took over 20 mins to get her to latch, then the moment she got a little she'd fall right asleep, jolt awake 10 mins later and scream. It went on and on like this with both Chris and I sleeping on the floor of the nursery with her. By 4:00 I broke out the free sample of similac we received in the mail. (I had planned to donate it. The teacher at our class warned us not to keep it in the house.) At 5 am I was leaving a message at the lactation consultant's office. It kind of went like this..."(sob) My name is Laura. I have a baby. She won't eat (sniffle) I don't know what to do. Please call me. (sob)." That afternoon we met with Kris. She changed everything around in a half hour. We met with her 2 more times and talked on the phone with her whenever I hit a rough spot ("remember, it's like dancing. You start with the two step and move onto the waltz, but some times you are going to have to go back to your basic two step"). She gave me tons of up to date research. Do NOT google or go to message boards for the latest research on nipple confusion, shields, cluster feeding/supplements. Either go to the LLL website or talk to a lacatation consultant. A lot of the info being passed around the net is over 20 years old.
Cluster Feedings Everyone knows a baby eats every 2-3 hours in the beginning...but the countdown starts with the feeding so if you start at noon and baby takes an hour then you start up again at 2. Or if you have a cluster feeder like Penelope you sit on the couch for 6 hours and nurse for 20 mins, let her sleep for about 20 mins and then nurse again. When I left the hospital they told me to track her feedings. At the 2 week dr appt the pediatrician asked me how often she was eating. I said "ummm...maybe twice?" It really felt like 6 hour feedings. The one amazing thing was that after the feeding she'd sleep for 5 hours, but when she woke up, watch out! She was so hungry it was difficult to get her to latch. I cried a lot at this time. My goal of a year of breastfeeding went out the window. At each feeding my goal was to make it to the next one. The cluster feedings went on till she was about 2 months old. That was when I finally GOT the bonding part.Beautiful Experience I've mentioned many times how much I loved being pregnant. To be completely honest I was terrified of being a mom (and of course, some of that fear is still there). I loved Penelope, but I felt I was failing her. When she was 2 months old it just clicked. From the moms I've talked to it seems this was late. Most moms I know say breastfeeding gets much easier around week 3. At 2 months old the cluster feeds were somewhat under control. I could do the football hold and cradle hold pretty confidently, and Penelope started interacting with me. We became a team. I wanted my maternity leave to start then. The first month did not "fly by" like everyone said it would. Each day of frustrating feedings and sleepless nights were so long...but once she started smiling and cuddling a little I wanted time to slow down. She still wakes up once in the night to nurse. I know most people say I should let her "cry it out", yet it's our special time together. One friend told me to think of all the other mothers around the world getting out of bed and comforting their babies. Isn't that a beautiful image? From my experience I know I should stop at the very sweet paragraph above, but I wanted to also go into some of the reality of being a working mom and some "facts" about breastfeeding.
Weight Loss I saw Kelly Ripa after her maternity leave. She was as skinny as ever and pointed to breastfeeding as the reason. I only know a few women who got this great benefit. Yes, I lost all my pregnancy weight in 6 weeks, but my body is totally different. I hoped that more weight would just melt off. Well, on average a breastfeeding mom needs to be eating 500 calories above her normal intake to produce enough milk. A pregnant mom only needs 300 calories...so you need more energy to feed the baby then grow and nurture the baby in the womb! I am hungry all the time. I did try to diet at one point and my milk supply plummeted.
Convenience Sure, you've got your baby's food on you at all times. Pretty nice...but for me the convenience factor didn't kick in until she was about 2 months old. Up until that point I needed the My Brest Friend pillow to get her in the right position (highly recommended!) and there was no way I could cover her with a blanket or even the Hooter Hider (yes, these are the real names...breastfeeding marketers are obviously a fun group). I couldn't have a cover getting in my way as I fumbled to get her latched. Once she was older though I could sit in the corner of a coffee shop and discreetly feed her. If you are a stay at home mom, then the convenience is huge. For us 9-5ers though, it means hours of pumping. Yes, there's the whole "I feel like a cow" thing. Let me tell you, I have a lot of respect for cows now. I've put my small 6 oz bottles next to a gallon of milk and tear up a little "wow, bessie! You did all that and it isn't even for your own little calf." Anyways, if breastfeeding is an art then pumping is a very tricky science. The Medela Pump In Style became my best friend. Two months ago I realized I was spending close to 3 hours with this little motor every day. So much for convenience! Here's the catch 22 with pumping...a pump is never as good as a baby so if your supply is just what baby needs then you have to do more pumping time to get the same amount then as baby gets older she needs more so you need to pump even more. The only reason I was able to pump for 9 months is because I have my own office. Before I left on maternity leave I couldn't even say the word "pump"without turning red, but when I got back I had the Do Not Disturb sign on my door 4-5 x a day and was able to get work done at the same time. For the first few months when Penelope's day care was near my office I was able to feed her at lunch which definitly helped me physically and emotionally. Thanks to the Working Moms board on thebump.com I learned that I could travel for work and pump by packing coolers, this purel stuff specifically for pump parts and tips to find small private rooms. There must be many women who do this because at the airport the security person knew it was a pump just by seeing it in the x-ray machine. Nothing like having a 60 year old man run tests on your breastmilk to make sure it isn't explosive!
Supplementing Many breastfeeding women supplement because they feel they aren't making enough. This is the worst mistake you could make. The body thinks "oh, I only needed 14 ozs today. I'll cut back the amount I make" when in reality baby had 14 ozs of breast milk and 6 ozs of formula. The best thing a woman can do is nurse baby as much as possible (those horrendous cluster feedings are one of the best things for getting a good supply) and then pump if necessary. We had to supplement for a short while in January before I went on my work trip. I didn't have enough frozen to last the whole time I was gone. I was barely keeping up with Penelope's needs and hadn't been able to freeze enough for 2 1/2 days away. We figured we had enough to feed her about 3/4 breastmilk and 1/4 formula. What a disaster! The LC told me to do a mix 2 weeks before to get her used to it before I left. Well, at day care it caused projectile vomiting 4X. I was a wreck! So then we did even less formula. She got used to it, but had a few more incidents. Thankfully she did fine when I was gone, and right when I got back she was back to breastmilk only. Last month my body pretty much decided to wean Penelope. I wasn't making anything close to what she was eating We started her on some formula again and she did fine. She'll probably be completely weaned in the next week. It is amazing how the body works on supply and demand like this.
I know many of you are wondering "Was it worth all of this?!" The beginning was one of the hardest things I've ever done. Given my track record I'm surprised I didn't quit. A big thanks to my mom, mother-in-law and of course Chris for all their help (oh, and a big shout out to Chris for sterilizing and preparing my pump parts every morning while I fed Penelope). Pumping was inconvenient. But it was worth going home and nursing Penelope. On the wall of the LC's office was a poster that said "Breastfeeding: It is the one thing only a mom can do for her baby" I think this is a little exaggerated...there are a lot of things moms do for their kids that I don't think anyone else can do...but it is a very special experience that I'm so glad I did.
And if I EVER catch Penelope trying drugs or drinking in high school...you bet I'll say "Do you know how many hours I pumped so you could have the very best nutrition right from the start?! Then you do drugs?! How could you do this to me?"