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Top Ten Things I Learned from Breastfeed Chicago (except that there are 22 things…)

23 Mar

Thank you to the ladies on the Breastfeed Chicago Facebook group for their contributions! In no particular order:

  1. Coconut oil apparently can cure ANYTHING.
  2. Find a supportive mama tribe – toxic relationships aren’t worth your time.
  3. Breastfeeding in public is not only possible; it’s normal!
  4. Preemies CAN learn to breastfeed!
  5. Twins can too!
  6. If your boobs look like they are covered in blood, check to make sure it isn’t just ketchup from lunch.
  7. Never quit on a bad day.
  8. Trust your baby and trust yourself.
  9. You’re not alone.
  10. That there are tons of mamas just like me who want to challenge society’s norms of breastfeeding.
  11. Toddlers can breastfeed, too!
  12. Don’t put limits on your expectations for nursing…do it until it no longer works.
  13. When you think you’re the only one with an issue, one of two things will happen: you will find that you are not alone, and you may learn something new in the process.
  14. Breastmilk has amazing antibacterial properties!
  15. What you pump isn’t an indication of your supply.
  16. Read up on “normal” baby sleep – it’s probably not what your grandma or girlfriend is telling you!
  17. Your breasts are never empty – you are always making milk.
  18. Pumping straight into storage bags will save a ton of time!
  19. Keep on keepin’ on and get help if you need it. Perseverance in those early weeks is key!
  20. “Put a little breastmilk on it.” Breast milk is to me as Windex is to “My Big Fat Greek Wedding”
  21. Side-lying nursing can save your sanity.
  22. AND… the number one thing that I’ve learned from Breastfeed Chicago is to never doubt the power of well-informed and supported moms to change the world, because we’re doing it every day.

Enlightenment and Healing

12 Dec

Nine years ago my son was born. Nine weeks premature and weighing just over three pounds, I was thrown into the world of NICUs, breast pumps, and doctor visits. When my pregnancy came to an end, my grieving began. I didn’t realize it as grieving right away—I was far too numb from the whole experience to have any true concept of what I was going through—but as life began to balance out and I came up for air, I recognized a feeling of loss and began to examine it.

My first thought was that I was grieving over the loss of the last two months of my pregnancy and the “normal” birth experience I had so wanted to have—and that was perhaps part of it. But as the first year of my son’s life picked up speed and life began to fill in the gaps left by the gradual disappearance of hospital visits and baby gifts and concerned phone calls from family and friends, I began to recognize a loss that did not stem from the circumstances surrounding my son’s birth so much as the loss of the entire relationship I had hoped—expected—to have.

Because my son was born nine weeks premature, within a few hours of his birth I had started to use a breast pump to initiate and maintain my milk supply. It had never been a question of whether I wanted to breastfeed, but after the birth of my son it became a question of whether I would be able to. An endless cycle of breastfeeding, bottle feeding, and expressing quickly consumed my days, and two months into my son’s life, the stress of that exhausting routine, the experience of having a preemie, the preeclampsia that affected my own health, and a father who was dying from cancer, took their toll and I couldn’t continue on any further. Shortly after my son’s due date, recognizing I had to make a change, I committed myself to exclusively pumping for my son and tried to make peace with the fact that breastfeeding wasn’t going to be part of our lives.

The loss that I felt as a result of not breastfeeding took me by surprise. No one tells you that you will experience grief. No one tells you that it hurts. No one tells you the sense of regret you will experience when you think back to those early days of your child’s life and you question the “what ifs” that might have made things different.

But this is not a story of grief and sadness; instead it is a story about enlightenment and healing.

My experience with my son taught me the importance of relationship. He taught me that what we do matters and how we do it matters. He taught me that I have an inner maternal instinct that is to be trusted, nurtured, and valued. He taught me that life is a continuum and that mothering starts long before a baby is born and will continue long after our children leave our homes. He taught me that process matters and what happens before will affect what happens after. These lessons weren’t learned easily, and many of them weren’t learned in time to benefit my son and I. Our relationship has been built on struggle and common challenges, and we continue to conquer those challenges together, trying to repair the lost relationship we both so desperately desired when he was born.

Not being able to breastfeed my son was a loss: a loss for both of us. I have come to understand that our biology has expectations, just as we do, but those biological expectations are far more important than my own personal expectations. They are based on centuries, and maybe even millennia, of genetic heritage. To try to circumvent those biological expectations can only result in an imbalance and leave us feeling loss. I grieved the lost breastfeeding relationship with my son, just as I grieved the normal birth experience, not because it was what I had expected or wanted, but because it was what my biology expected.

Two and a half years later, I stared at a positive pregnancy test and was surprised that the first thought to pop into my head was: “I wonder if I’ll be able to breastfeed this baby?” Emotions that I thought I had examined and dealt with and discarded after my experience with my son came flooding back to me. And at that moment my journey of healing began, ushered in by my new baby, my daughter.

As is often the case, my second pregnancy was entirely different than my first and I was entirely different as well. Certainly I now had experience as a mother, but I also carried with me the hurt and fear resulting from my first breastfeeding experience. While I had infinitely more knowledge about “normal” birth and lactation, I also had insecurities and mistrust relating to my body and my body’s ability to do what it was supposed to do. It didn’t work the way it was supposed to the first time, so why should I think it would all work out the second time? As those nine months progressed, I devoured everything I could about the normal birth process and breastfeeding from a biological perspective and decided to commit myself to trusting my body. Faith can be both scary and freeing, and I gave myself to it entirely.

My re-education about breastfeeding challenged social attitudes about mothering and babies. I learned to question my knowledge and strove to focus on breastfeeding practices that were biologically sound. When my daughter was born I ensured that she was placed on my chest immediately and we enjoyed more than an hour of quiet time getting to know each other before she was weighed and cleaned. She latched for the first time within the first half hour and stayed with me, often in my bed, for our entire hospital stay. She nursed frequently and eagerly. Things seemed to be going well. And then upon our arrival home, those familiar worries and fears set in.

Nothing really was going wrong; my daughter was over her birth weight by five days of age, after a bit of initial soreness we seemed to get into a routine that was working well, but yet I clung to the past, worried that things weren’t as good as they seemed and that certainly my body was going to fail me yet. For the first month of my daughter’s life, I worried every time she cried that it was something I was doing, that my milk wasn’t sufficient, or that for some reason things were not as good as they seemed. All the usual newborn issues were, in my mind, somehow connected to my ability to breastfeed and mother. Her cries or fussiness would bring back the overwhelming memories of my experience with my son and my emotions continually churned. Eventually, I decided enough was enough and I returned to that place of faith I had been in before my daughter was born.

And neither my body nor my daughter disappointed.

Once I relaxed into the relationship with my daughter and put my trust in both my body’s ability to provide for her and her ability to know when and how much she needed to nurse, I entered a period of ease. I finally recognized the power my body holds and the empowerment that can come through the process of birth and breastfeeding. I recognized that my body is capable and strong and nurturing. And I recognized that in our society we often are given information, advice, and practices that are in direct competition with our biology.

In order to allow our biology to do what it needs to do, we often need to question the influence of our society and in some cases put it aside in favour of biology. In retrospect, I can see the influences of society greatly affected my breastfeeding relationship with my son. It saddens me that I was unable to breastfeed him as I had wanted, but I also recognize that I only did what I knew to do at the time. Ultimately, my experience with my son brought about the enlightenment I needed to breastfeed my daughter and that experience has influenced my life since he was born.

Breastfeeding my daughter was a relationship—is a relationship. She weaned just a couple months after her third birthday, but the closeness that we enjoyed from our nursing relationship is still very much part of our lives today two years later. Being able to participate in that relationship helped me to heal the lingering hurts from the experience with my son. It returned to me the ability to trust my body and the process and to ultimately have faith in something outside of myself.

While at times it does sadden me that my son and I did not enjoy the same relationship as my daughter and I did, I remind myself that the relationship between a nursing mother and baby benefits everyone surrounding them. My son was very much part of the nursing relationship with my daughter, witnessing the love and closeness of our relationship but also being a part of it as we would sit and chat while his sister nursed. The healing brought about by breastfeeding was not just my own; it also helped my son witness that important relationship that he was unable to experience for himself, and I have no doubt he will carry it with him into his adulthood and into the relationship with his own children.

Stephanie Casemore has experienced breastfeeding as a challenge, a gift, and a healing experience. She exclusively pumped for a year for her first child and nursed her second child for three years. Turning the challenges into a positive as an opportunity to support other mothers, Stephanie shares her experience through her books:  Breastfeeding, Take Two: Successful Breastfeeding the Second Time Around and Exclusively Pumping Breast Milk: A Guide to Providing Expressed Breast Milk for Your Baby.

Our Favorite Breastfeeding Advice

7 Dec

This week’s post is all about our members. Members of our Facebook group were asked how long they’ve been breastfeeding and their favorite words of wisdom. We want to emphasize that there is no “right” length of time to breastfeed your baby – everyone takes their own journey, but every journey is a lot more fun when you have supportive and encouraging people around you.

Thanks, everyone!

  • AN: Just say no!!!
    Your baby won’t starve while you are getting tended to after birth…even if you had a c section. Insist on NO bottles and baby will latch! I don’t think this is scientifically proven but many many moms who’s babies were given bottles in the first 4 weeks had bfing issues (including me with my first) 1st baby 10 months…fought til the very last drop
    2nd baby…10 months and going strong!!!
  • CC: 1 child; nursed for 32 months, and counting. Best advice: You are enough for your child – there isn’t always one way to get the job done, every mom and baby are as unique as individuals and use Lansinoh before and after feedings and pumping.
  • JPY: 2 children… #1 – severe supply issues nursed 8 months (supplementing the entire time)… LC didn’t think I’d ever make it that long. boy did I prove her wrong! #2 – going on 6 months EBF on the 17th! The most helpful advice was to feed baby where ever & whenever. Don’t postpone feedings when baby just comes home from hospital b/c you have company or b/c someone wants to hold the baby and try to calm them when you know they want to nurse. :)
  • EL: I’m nursing my second now.. 22 months old. When I first started, tho, I had a nursing epiphany when I learned (at LLL meetings) that cluster feeding in the evenings didn’t mean I was out of milk, and that nursing was something I could do in my sleep… When I was taught how to nurse side-lying. Both of these things helped me to just relax and have confidence in myself.
  • BB: “Never quit on a bad day” helped me.
  • WOS: 2 children, #1 was nursed 27 months (though she would’ve liked to nurse longer!), had a lot of issues in the beginning (baby was in the NICU her first four days, so she was given formula, I was encouraged to pump but my milk did not come in until she got home, so whenever I tried to nurse in the NICU she would scream and get frustrated). We had some rocky weeks (as I refused to use formula when we got home) and I used a nipple shield for the first six months (not recommended by LC but I did what I could to make it happen). Be patient and keep on chugging away at it (and with the help of professionals and determination) you can BF, even if you do get off to a rocky start! #2 has been nursing for 10 months and counting!!!
  • TL: I am on baby #2 and have been nursing for almost 4 years straight (dec 27th is my first 4 year bday) I never thought I’d make it past 3 months and I can’t believe I am tandem nursing an almost 4 year old and a 10 month old! The most helpful advice I received was to take it one day at a time and if baby is happy and having wet diapers baby is getting enough!
  • Kristin P: My little man is 27 mo, and we are going strong with nursing!! He was EBF his first 15 mo of life, and continues to nurse every 2 hours or so – definitely never goes longer that 3 hours without his ‘yummies’! The best advice I received was to follow my babe’s cues/lead for feeds, not the clock or schedule. I read that advice in the Dr. Sears Baby Book that my doula recommended. Other invaluable advice was that bedsharing is a wonderful way to establish breastfeeding – also from Dr. Sears. I was already following Aubrey’s lead, and bedsharing, but it was really empowering and validating to read his words.
  • JSS: #1 breastfed for 15 months, #2 is still breastfeeding at 13 months. They didn’t overlap. Best advice was that babies go through growth spurts every couple of weeks where they’ll want to nurse more – just stick with it and let them nurse as much a they want to. They’re not starving, and your milk supply will catch up.
  • MS: Daughter nurses still at 3.5 years and son is 9 months old and obviously still nursing. The best advice…trust you body and its ability to nourish your child, not only physically but emotionally.
    My daughter is a testament to that. When I ask her why she still wants to nurse (once a day) she tells me that “I nurse because I love you and I like nursing.” To me, weaning just because someone says to wean at a certain time doesn’t make sense.
  • Karaleigh: 10.5 months- drink LOTS of water, be patient and enjoy every moment of it.
  • BP: Six months for my six month old daughter. For us, the best advice was skin to skin contact and laid back nursing. And I’ve so appreciated having a good breastfeeding friend to laugh with for plugged ducts, and other challenges as they come up!
  • NLR: Between the three of them 6 years. (omg lol) Best I’ve got is don’t give up. Get help if you need it. It will get easier. #2 had a really rough start. Things did not level out for about 8 weeks. (So much pain, bleeding, screaming & crying; not just him haha) Once he and I got the hang of it, it was great. Went 25mos. If you have a c-section, you CAN most definitely nurse your baby minutes after birth. I had my younger two in my arms as soon as I was stitched up and in recovery. They were never more than a few feet away from me. Don’t let them tell you otherwise.
  • Renee: 38month old still nursing and tandeming with his almost 3 month old brother. Best advice I ever got was to just relax. Stop and take it easy. Take a deep breath and watch as it all works out :)
  • Mirjam: 29 months…stick with it. Breastfeeding can be hard in the first few weeks, but when the two of you figure it out, sharing those moments of peace and silent connection are going to be worth any amount of work that you had to put into it.
  • MMV: All four of mine were EBF…#1 was 16 months and self weaned (I was not ready for her to stop!), #2 was a little over 24 months, #3 was also a little over 24 months, and #4 is 26 months and counting. Best advice was nursing on demand and also that even though nursing is the most “natural” thing to do, you and baby still need to work a little to figure it out! My mom also gave me the book “The Womanly Art of Breastfeeding” which was helpful since I never went to any classes or groups. Also, I agree with the c-section comments…my four were born by c-section and it did not prevent me in any way from nursing :-)
  • Rowkeena: ‎19 months..Don’t give up when they start teething. You and your baby will form a communication where they understand that biting hurts. If you want the good stuff, no biting!
  • Brandy: 32 months combined, and still going. See a lactation consultant for breastfeeding advice, not a pediatrician!!! :)
  • Beth: 22 months and counting. The best advice I got came before my son was born. A friend told me that it’s okay for it not to feel natural at first and that it is hard at the start. She encouraged me to take a class before my son was born. My husband and I did just that, we took a class with a lactation consultant about 3 weeks before he was born. Looking back, I really wonder if I would have made it without that advice.
  • AR: Don’t quit on your hardest day.

    (nursing #2 nearly 8 months & going strong, #1 only 10 weeks. :( )
  • EN: In our 26th month of breastfeeding, the best advice I’ve received is not to worry about the future yet. Most of our concerns about the future will be resolved or become non-issues by the time they arrive, whether it’s nursing with teeth, supply after introducing solids, nursing during pregnancy, or weaning. Don’t waste your energy worrying about possible concerns; instead, focus on the present and enjoy today.
  • CS: #1 for 11mo and #2 8.5 mo and counting – best advice I can give is make breastfeeding the only option, we couldn’t afford formula and I wanted to breastfeed with our first anyway, but even though it hurt and she was tongue-tied (fixed at her 1week weigh in) I never even thought to give her anything other than my milk. If you know it’s your only option, it’s a lot easier to stick with it! (sometimes it still hurts, but I’d rather be in a little pain and give my kids the best start I can than the alternative!)
  • JM: 15 months. Most helpful advice (from my daughter herself): “boob!” surprisingly (or not) I received a lot of unhelpful advice
  • IKK: One boy, 27 months old, still nursing. Even when the kids around him are sick for a week or two with bad colds, he always got over them in about 48 hours, with a little increased nursing. Best advice? O my! Where do I start? First of all, most (almost all) hospitals are NOT baby/breastfeeding friendly. So keep your baby near you as much as possible, maybe even the whole time and do skin-to-skin and nurse non-stop to help your milk come in. Especially if you had any interventions during the birth, it might take a little longer for the little one to latch, etc. Don’t let anybody intimidate you. One nurse kept telling me that my son was going to get cold having him skin-to-skin (because I kept taking his onesie off – even though he was UNDER the blanket with me). But he did not. And he did nurse. Another big thing is: get support. Be around other nursing mommies. Whether it’s LLL or just some friends, it’s so important to have someone to share your questions, joys, and sometimes frustrations. It’s all part of the journey and the last thing you need is somebody suggesting that “stop nursing” would end all your issues. And lastly, always remember, this is the relationship between YOU and YOUR CHILD, nobody else. This is one thing you share, unique to you two, special, magical, amazing and FOREVER – nobody can take that away. And nursing is part of that relationship, so when you are having a hard day, follow your heart, look into your babies eyes and do what you feel is best. Trust yourself.
  • SSK: #1 bf for 12 months, #2 for 18 months, #3 for 27 months, and # 4 and am still bfeeding strong at 20+ months (while going to school full time). So that is a total of 77 months, so far… I unfortunately received no advice with my first, but had read every book out there (11+ years ago) and it happened to come naturally to both of us:) Recently many friends have had first babies and have called on me to help with breastfeeding (which I love and do). The best advice I give them is to relax and not get frustrated too soon, keep at it and call if they need anything anytime! It is not “easy” or “natural” for everyone and takes a lot of dedication in the first several weeks!
  • Mirjam: Do you know what is so interesting? Reading all of these posts makes it really clear how much of a learning curve is involved in breastfeeding! Nearly everyone who has posted, myself included, breastfed their second child longer than their first, and the third longer than that. Which again kind of echoes what many mamas have said – breastfeeding is a learned behavior, both for you and your baby, and it is important to see it as that so you don’t get frustrated if you falter at first.
  • MH: 20 month First Son, 22 month Second Son -  Get through the first month of breastfeeding and it gets easier, in general. I had no guidance about breastfeeding just thought it would be easier and cheaper than formula. Advice: “try not to listen to people’s opinion about how long to breastfeed – short or long, only a mom/child knows what is appropriate.”
  • Beth M.: 49 months and counting (14m with #1, 19m with #2 and 16m with #3). Best Advice?? Just relax…your body knows what to do. :)
  • HHL: 2 kids- I breastfed the first for 11 months(and pumped and bottle fed breastmilk until 12 months) and am currently still nursing my 16 month old. I’d say the best advice I received and not until the second was to ignore the clock and feed on demand. I spent so much time recording feedings and EVERYTHING else the first time around and the second time I wrote down NOTHING and life was so much easier. I truly think a huge part of breastfeeding success is surrounding yourself with like minded mamas. It can really feel like an uphill battle when you tell someone about a nursing issue and their response is why don’t you just stop, you’ve done it long enough vs. receiving a sympathetic ear and good ideas and options to give you the support needed to continue. Sometimes all you need to keep you going is for someone to tell you, “I’ve been there” and that’s hard to receive if you don’t know other moms who have nursed and are nursing.
  • DS: One little lady still breastfeeding (she’s 46 mos.) and one on the way; best advice — I definitely 2nd Brandy  — unless you have a dream pediatrician, go with the lactation consultant’s advice (or now, the advice you get here! :) Second best — trust yourself and your mothering instincts always!
  • ERM: Wasn’t able to nurse my 12 month old twins but have been PROUDLY nursing my 6 week old since she was less than an hour old. BEST advice I received (which I didn’t get until last week) was to NOT even think about a pump or pumping for at least the 1st 6 weeks. It just adds too much pressure and stress. Just nurse, nurse, nurse and get that relationship down. If baby is thriving then you know you have an adequate supply. I highly recommend a trip to Jill Rabin in Northbrook also. =)
  • KCS: Child number one, age 5, nursed two weeks past his 4th birthday. The twins are three and still nursing. I nursed all three for 2 years.
  • ECH: 16 months or so with my first, 5 weeks so far with this new baby. The best advice I received was if you were missing nursings because you were busy, spends the weekends in bed nursing. It helped me to work full time, pump, and continue the nursing relationship.
  • NW: I’ve been breastfeeding for 3 months, and plan to keep going onto 12. Determination and the bond kept me going. The day that we had an 8am dr appt, we were outside waiting for the doors to open and he was hungry, so I fed him in my car, and he looked up at me with milk all over his face and gave me one of the first smiles I’d seen. :) Best advice was skin-to-skin contact, it helped me within hours of some nipple confusion. But I’m lucky enough to have a generally easy breastfeeding relationship with my son.

No More Failure Stories: Karaleigh’s story

28 Nov

Editor’s Note: This post is the first in a series we’re calling “No More Failure Stories.” We know that mom-to-mom support is one of the most important ways we can ensure that other moms continue to breastfeed, despite setbacks and difficulties. We hope that Karaleigh’s story will help you to remember a time when someone helped you get over a hurdle. Whether or not we know it at the time, words of encouragement and support can make the difference between “breastfeeding didn’t work out for us” and “yup, we’re still breastfeeding.” Share your story with us! breastfeedchicago@yahoo.com.

I knew I wanted to breastfeed from the moment I got pregnant. After all it’s free, it’s an easy postpartum weight loss program, and the benefits for both me and baby are fantastic! But then I began to worry. Would it be easy? Would it hurt? Would I know how to do it? Could my baby really survive on “just” my milk?

These thoughts intensified when I gave birth to a premature baby who was too small and weak to latch on. So I did what I could; I tried and tried again to get her to latch and suck. In the meantime, I spent endless hours with my breast pump. I called lactation consultants, but they were all too busy to return my calls or too booked to see me. It took five weeks of trying before I was able to get my daughter to exclusively breastfeed, but I did it.

Through my experience of breastfeeding I felt that it was very important to encourage and support those who wanted to breastfeed. After my friends delivered their babies, I would always check in to see how they were doing and ask if they had any breastfeeding questions. I periodically sent encouraging emails and fun facts about breastfeeding like how breastfed babies have higher IQ’s!

The first friend I told that I would be her breastfeeding cheerleader was overjoyed. She was very much wanting to breastfeed for at least the first year. Within the first week her pediatrician was encouraging her to supplement with formula. She resisted. I got a frantic email a few days later. She emailed with a screaming baby in her lap saying, “I think I need to use formula, he is hungry and there is nothing left!” Together we problem-solved. First step, deep breath. A screaming baby can rock even the strongest woman’s confidence in her ability to be a mommy.

With formula advertising everywhere, and coupons, samples, doctors, nurses and friends suggesting formula. How do we gain confidence that we CAN feed our babies with breastmilk? We need to team together! We need to call our fellow sisters, aunts, cousins, sorority sisters and friends and make sure they have the support and encouragement that they need to breastfeed. We need to talk openly about our journeys with breastfeeding, our trials, our errors, our successes, and our sleepless nights so that other women know that they are not alone. No women should have to struggle in private to feed their child. No woman should have a breastfeeding question go unanswered. It is our duty as successful breastfeeding mommies to be cheerleaders for our tribe.

Karaleigh Salmi is mother to Ellie (10 months old) and 3 dogs. She has a wonderful, supportive husband who encouraged her through all the challenges of breastfeeding. Ellie and Karaleigh overcame the challenge of Ellie’s premature birth and stay in the NICU, and have been successful at breastfeeding. Karaleigh is a Ph.D. candidate in the field of clinical psychology and a stay at home mom.

Adventures in NICU Nursing

13 Sep

Being pregnant is an interesting experience.  There is so much planning and research and care that goes into it, but so little of it is actually in your control.

When I had my first, nothing was planned- I was on birth control, in fact! Obviously, it did not work.   When I started bleeding at 30 weeks, I did not have a car seat, a name, diapers… anything. In fact I had not even planned on breastfeeding (I had planned to be a mainstream parent- look at me now as I nurse my 3.5 year old and my 20 month old at the same time!).

Princess in the NICU

My 40-week pregnancy was cut short. Three days after the bleeding started, my daughter was born… all 3 pounds of her. She was born on her terms. She was obviously a preemie, but did not act as preemie as she was. The day after she was born, I went to see her in the NICU. The nurse asked me if I wanted to try nursing her. She gently told me how important it was to my little lady to have my colostrum. I talked about feeling helpless. She pointed out that there was little I could do about Princess’ birth, but I could nurse her and “kangaroo” her; which would do so much good for the both of us. So I gently lifted my peanut out of the isolette and put her to my breast. She had a hard time latching at first, but she did it. For the rest of my life I will remember the feeling of her first nursing.

Princess today

Somehow, I changed then. I began pumping like a crazy lady, bringing in hundreds of ounces of expressed milk for her – more than she could ever drink. By the time she came home from the NICU, we had established a good nursing relationship. Everything was going great until I met with an unprecedented amount of stress and my milk dried up. Despite non-FDA approved drugs, new expensive pumps, and several different herbs, my stellar supply was gone.*  Princess was transitioned to formula which she hated, and I hated.

Stinky as a newborn

My son, while also a preemie, was not in the NICU because he was only five weeks early. He had some difficulties eating – mostly latch problems, mastitis, and being tired all the time. I had to remind him to eat even if he did not think he was hungry. Despite those challenges, he continued to nurse through my third pregnancy and after her arrival, until he was three and half years old. I ended up dumping eleven

Stinky today

gallons of milk down the drain as he never learned how to take a bottle. At the time, I did not know about milk donation- but several of my nursing friends were recipients of gallon jugs of milk as “party favors.”

Enter my third child – Peas – was also a preemie. All three pounds of her arrived six weeks before she was expected. At first they told me she was too young to eat orally. I was told that she could not eat on demand because the nurses had obligations (even though she was the only baby in the unit). I was told that I could not feed two babies at once. I was told that my milk did not have the nutrients for her. After some discussion (aka argument) and after presenting several evidence-based articles that indicated the importance of breastmilk for preemies, she was ‘allowed’ to try and nurse. I essentially moved into the NICU. I was there around the clock to feed her to prove that she would flourish.

Peas in the NICU (Lion's Roar Media)

Peas is now three and a half and still nursing, with no signs of stopping any time soon.  I do get a lot of looks when she latches on and even more comments: “When is she going to stop

Peas today

nursing?” “Isn’t it time to stop?” I have gotten better at shrugging it off or turning it into a joke. She’ll probably wean when she goes to college.

So, what have I learned while nursing four preemies?

  • Surround yourself with supportive mamas (it’s nice if they have similar parenting beliefs).  In my circle of friends, I am not the odd one for co-sleeping or extended tandem nursing.  Over time, even my mainstream mother has adjusted to the idea.  She has commented how happy my kids are and accepts that it is probably because I am choosing to parent them in this way.
  • Breastfeeding may be normal and natural, but it does not always come naturally.  Like everything else, the best-laid plans often go awry. Keep at it.
  • Nursing in the NICU adds an extra slew of challenges, so find the support you need to be successful. Special challenges include: babies who are often too sick or to weak to effectively nurse, neonatologists who are not versed in the latest research, nurses who don’t know how to help, lactation consultants who are not prepared to help preemies or NICU parents, and lack of a continuum of care after discharge. If I had not had the experience nursing my daughter that I did, and had not been blessed with the friends and resources to support my nursing, I can easily see how I would not have even tried to nurse with subsequent babies.
  • Fight for your baby. Breastfeeding in the NICU was not the easiest thing I have ever done.  I had to fight for my babies. I had to fight for me. Breastfeeding NICU residents is so beneficial to babies and mamas. Mama’s milk even changes to suit the preterm infants needs! For me, breastfeeding helped me bond with my babies, recover physically, and reduce my anxiety about the entire ordeal. This is a fight worth fighting for. Arm yourself with good information and don’t be afraid to use it! I love www.kellymom.com and often would print things from there to show the nurses and LCs.  I also invested in a copy of Hale’s Medications and Mother’s Milk as I constantly had to defend my choice to nurse while on anti-depressants.
  • Don’t be intimidated. The NICU has its own language.  Milk is measured in milliliters, not ounces. Weight gain is measured several times a day, in grams. Diapers are weighed. Vital signs are rattled off. As and Bs do not factor into grade point averages. Words like tachypnea and tachycardia are bandied about like nothing. Calories per ounce and debating the benefits of HMF are common. For a mother who has no training or experience in any of this, it is like being tossed into a foreign scary country where all you want to do is help your baby but you don’t understand a blessed thing. Soon though, the novice mother will be discussing with ease SPO2 saturations and NG feeds with the best of them. NICU moms are a special, dedicated, strong breed of mom, but they need all the help they can get.
  • Pass it on. With each baby I became more dedicated to nursing my preemies. I also became devoted to helping other NICU mamas to feel comfortable nursing. Most NICU mamas want to do anything they can to help their babies to recover, so when they are supported and encouraged, most are very dedicated to breastfeeding. I have answered Facebook questions, email questions, Twitter questions, message board questions, and phone calls from my circle of moms friends and their friends.   Also I have been known to go to NICUs to help moms if they are having a hard time- sometimes they need help from someone who has been there and done that.
  • Once a NICU mom, not always a NICU mom. Every baby is different. Despite a unique arrival for Pixie (number four) and a brief stay in the NICU, she has also taken to nursing. In fact she has no clue how to have a bottle and is not interested in the least. Babies grow up.

Now all of my babies are healthy, wonderful children, bearing none of the ill effects of preemies, and some of that has to be due to the breastfeeding.

Breastmilk: it does a preemie good.

*Upon reflection, I realized my milk supply was probably not inadequate- I just thought it was falling into one of the traps of a not so well informed new nursing mom- I believe in retrospect my supply was fine, I was just regulating to my baby not the pump, the drop in supply scared me.


Elizabeth is a mom of 4, expecting number 5 this spring!  I have a clotting disorder that caused me to deliver my babies early- this time we know about it and are treating it, maybe I’ll have a full term baby! Our house is loud, crazy, and full- but very fun and full of love.  In addition to the 4 kids we have 2 dogs and 2 cats. When I am not running around after my kids, you can find me on twitter @almostsinglemom on my blog Http://makingitfun.net or pole dancing- yes- really (for fitness).

Different Babies, Different Styles

22 Aug

I was talking to a friend recently about her pregnancy that wasn’t going as she had hoped, and we started getting into my postpartum experiences: three babies, three different births, three totally different nursing stories. The more I learn about my kids, the more I’m convinced that every baby has their own path, and we just need to do our very best to keep up.

To begin: Imagine a fairly “green” soon-to-be mama. She had big plans for her first baby: a natural childbirth, breastfeeding and cloth diapering. Yep, she was one of those mothers. Now imagine that same mama going into labor 3 months early, totally unexpectedly.

That mom was me.  Me… the one who planned everything out, with no room for exceptions. At least that’s the way I was prior to

Beth, daddy, and baby #1, the miracle baby

November 2003 when my world was rocked upside down. My son was born 3 months early via emergency c-section, he was in the NICU, he would wear (gasp!) disposable diapers, and he would not (could not) breastfeed.

I pumped like a mad woman. Pumping was really the only thing that I felt I had control over.  Is it really control when you are hooked up to a machine? Anyway, it made sense in my head.

I pumped the entire time he was in the hospital around the clock. Do you know what kind of freezer stash you get when you pump every few hours around the clock and your baby only gets an ounce for the entire day?? We tried to nurse, but he was so little! The nurses couldn’t help me (not many moms asked to breastfeed at my hospital NICU), and really, I was just happy that he was alive.  I decided not to press the issue because I really had faith that “it would just happen.”

Well, apparently I don’t know everything (shocker!), I didn’t even know what I didn’t know, and I especially didn’t know who to ask for help. My son had a whole slew of problems relating to eating.  After he was released from the hospital at just over 3 months (and barely 5 pounds), he continued to have issues eating. He was burning more calories than he was taking in; breastfeeding would be very difficult. I was still determined to continue trying.

I remember it like it was yesterday, we were at a speech therapist’s office (did you know that babies see a speech therapist when they have issues with eating? I didn’t!), and the therapist assured us that our son would eventually be weaned off of his NG tube, but eating for him was like running a marathon. We needed to make it as simple as possible and allow him to burn as few calories as possible, and (here it comes… that punch to the gut) “he was not a candidate for breastfeeding.” Oh wow…that certainly came out of left field. I never saw it coming. I had tears in my eyes from those words. You know the tears: you’re so mad and sad at the same time, but you can’t blink for fear of everyone seeing you break down. He was not a candidate for breastfeeding. That hurt.

Well, I pumped for 14 months for that little guy and he was so chubby (as chubby as a preemie can be) and I was so proud.

Beth and baby #2, the boob man

Three years later, I had my second child. I had the birth I wanted, and that big fat (well, fat for us after having a 3-pounder) purplebaby was laid on my chest immediately after he was born (I actually caught him… pulling him right to my chest). We lay there and reveled in the fact that we did what we had planned for, and it was amazing.  And then… what’s that?? What’s he doing?? He pushed his way right to my breast. That little boy knew what to do. After being a mom for almost 3 years, I actually had a baby at my breast, sucking with gusto! He was my boob baby.  Our nursing relationship was as perfect as I could imagine, save for the fact that he refused to take a bottle, but that’s another story.

And then another 4 years later, a little girl arrived, and she too took right to the breast. My 5-minute labor in the hospital made me wish I had just stayed home to have her! While she is a mama’s girl too, she’s not quite the mama’s girl that her older brother was. Remember the show Dinosaursfrom the 80’s? The little baby dinosaur called the daddy dinosaur “not the mama”? Well in our house, with our daughter, I am “not the dada!” Daddy can do no wrong – she’s only 1… I foresee HUGE issues as we enter the teenage years with her. My husband was home during her first year much more than he was with the boys and was able to soothe her like nobody else. I wanted to be sure that we nipped the whole bottle feeding thing in the bud before any issues arose. I pumped, gave my husband the bottle and she took to it like a champ when she was just a few weeks old. And the look she gave my husband after he fed her was priceless. It was as if she was more in love with him since he too could feed her. That made pumping a little easier. She just turned 1, still loves her daddy and they still have “their time” with a bottle a couple times a week. I still get those quiet nights alone with her and actually don’t mind missing sleep for those late night or early morning feedings. I am trying to enjoy these moments, because like her brothers, I know it won’t last forever.

Beth and baby #3, daddy's girl

Three kids, three completely different experiences and three totally different personalities. Just because one thing doesn’t go your way, doesn’t mean it’s the end of the world. Go with the flow. Ask questions.  I sure wish Breastfeed, Chicago! was around 8 years ago. I might have found someone to help me nurse my preemie. It’s all good though. What I learned was that pumping didn’t make me any less of a mother (even though some people made me feel that way… but perhaps that was my filter), pumping made me an AMAZING mother. Pumping is hard work, and we do what we need to do for our kids. If your child consumes breastmilk, you are a breastfeeding mother; it doesn’t matter how you get there.

Lastly, just because you had problems nursing one baby, doesn’t mean you’re going to have trouble with the next. Hang in there, build a community of support, and know that you are doing the very best that you can.

Beth is happily married, living in the south suburbs of Chicago with her husband 3 children and dog, Luca Brazzi.  She has 43 months (and counting) of breastfeeding under her belt (rather, above her belt).  She enjoys teaching others about healthy kids and non toxic cleaning through her Shaklee business, Maximum Wellness (http://maximumwellness.myshaklee.com/us/en/). When Beth is not running her business, she can be found laughing with her family.

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