Showing posts with label breastfeeding. Show all posts
Showing posts with label breastfeeding. Show all posts

Wednesday, May 16, 2012

Week Derailed

It's been a rocky week with my son Arthur being sick.  He's had a stomach virus for the past week and a half.  I could barely get Arthur to eat... finding myself at the receiving end of the good picky toddler eating advice I try to give others, and not doing too well with it this time around.  About all I can get him to eat is Cheerios and follow on milk.  At a grazing rate at best.

Monday got very interesting because Arthur started vomiting and so he had it coming out of both ends. Concerned about his hydration, my husband and I made the call to take Arthur into A&E (Emergency Room).  He was weighed, temperature taken, blood pressure and heart rate taken, and his blood sugar was measured with a heel prick by the nurse.  His sugars looked good.  We waited to see the doctor.  She more or less gave him a full physical, checking to see how well his skin plumped back, checking his abdomen and his little boy parts.  Everything looked fine, though she wanted to consult her seniors.

About fifteen minutes later, a nurse shows up with a cup for a urine sample.  Okay... definitely different from what would have happened back in the US (they would have cath'd him immediately and then I may have had a small battle to fight to make sure they didn't retract him in the process since he's an intact little boy), but I'm willing to try less invasive ways of getting urine samples.  Let me tell you... convincing a 15 month old to pee in a cup at 1:15am in the morning is a true challenge.  I'll give you a hint: get him drinking.

We struggled with this as Arthur didn't like the nipples on the hospital bottles; they didn't have sippy cups on hand; and he was refusing anything from a syringe.  They were about to admit Arthur into the hospital for the night if we couldn't get him to drink.  I sent my husband home to get a sippy cup while I soothed our sorely over tired toddler.  Arthur gleefully started drinking chilled water from his sippy cup and then the magic happened... I got him to pee in a cup.

We got enough urine to test and they did find a little something, so he was sent home with some antibiotics.  I didn't start him on the antibiotic until today since I wasn't sure if he was over his vomiting.  Tuesday, he would have gone to nursery, but I held him back because I thought he was too sick to go.  He did vomit again last night, not nearly as bad as on Monday.  And then he vomited again today when he was at his grandparent's house for a few hours while I got a shower and caught up on sleep.

We have another doctor's appointment set up tomorrow morning to make sure she's informed of what happened on Monday and to get some further advice.  The A&E doctor wanted us to get Arthur to drink sugary drinks, but he's refused anything but follow on formula.  Eating solids hasn't improved either.  And I'm concerned because Arthur is looking skinnier.

At times, Arthur even rejects the follow on milk.  Its like he's gained a sense of how much he can drink now before getting ill.  Consequently, I've been having to talk and cuddle him to sleep rather than being able to let him fall drowsy on the bottle.  This isn't a terribly bad thing-- I've been wanting to bottle wean him at nap time and bedtime at his pace anyways and this sickness is certainly accelerating that pace.

I'll sit still, Indian style, with Arthur positioned in my lap exactly as if I were nursing him.  I cannot relate the number of times I still wished I nursed him, especially since he's so ill anyways.  Both the comfort and the nutrition would do a world of good for him.  Its even possible he wouldn't have gotten sick in the first place if he was still drinking my milk.  My husband tells me, I shouldn't blame myself-- we didn't have nearly the amount of support that we have now.

So tonight I came to a decision and its a bit unconventional, but you know what?  It certainly couldn't do any harm.  When my next baby arrives in October and once this baby and I have nursing down, I'm going to start giving Arthur my milk again.

And while that's out there, I'll say something else too.  I am doing placenta encapsulation-- by hand, out of my own kitchen even.  If it prevents the PND (PPD) that I experienced with Arthur and boosts my milk supply, more power to me.  It shouldn't harm me, nor anyone else.  So, I'm going to do it.  I made that decision several weeks ago but have been sheepish about saying much on it.

Monday, May 14, 2012

Time Magazine's May 2012 Cover - The Power of Social Conditioning


First off, to those who have already commented and wouldn’t know me from Jane, I am a mother, a lactivist, and an attachment parenting evangelical.  So, you can prolly guess what lines my response will follow.  However, I also want to invite some critical thinking on a subject that underscores all of this:  social conditioning.

Humans, by nature, are social creatures.  We are wired that way.  It is at the essence of what makes humans, as competing creatures on this planet, so darn successful and it’s a very strong part of what makes us-- human.  What social mores are imprinted at infancy and through out childhood determines our morals, values, and judgements we make as adults.  ‘Evil’ things have come from social conditioning such as child soldiers, cult followings, those sort of aspects.  Many ‘good’ things have come from social conditioning as well: rights of man, the rule of law, etiquette, religion, etc.

Right.  Having said that, I think it’s already been mentioned how sexualized women’s breasts are in Western society.  Consider for how many generations this has been going on.  Consider what Eastern and African societies say to this.  Consider any personal discomfort that you have towards seeing a baby nursing and seeing a 5 year old nursing.  Don’t fear any discomfort you might feel, just be honest about it to yourself about it, even if it is outright revulsion.  Its okay to feel discomfort—that’s because women’s breasts as a sexual fetish is pretty well institutionalized in our society.  This is the result of social conditioning—much like babies aren’t born racist—it’s learned… social conditioning is VERY powerful.  And then consider that even held latent in our own language there is evidence that nursing and even extended nursing (nursing beyond the age of 6 months, or 1 year) was once a normal part of everyday life for everyone.

Women are made to bare and nurse children.  WHO’s offered some guidelines on how long to nurse… it was once 6 months, then 1 year, now 2 years ‘and beyond’.  They keep bumping out this guideline as more and more scientific evidence comes to light (preventing disease, some forms of cancer, obesity, development disorders), that negates what’s been social practice for many generations and it’ll keep getting bumped out until we get into the neighbourhood of when children are meant to wean, by nature, as more societies become more comfortable with extended breastfeeding.

Do you remember when you were a kid and the tooth fairy came to visit?  You might have been somewhere between the age of five and eight.  Do you remember what they called those teeth that the tooth fairy came to collect?  They were called, “milk teeth”.  Do you ever wonder why in the hell would anyone call them ‘milk teeth’?  Because women in Western society at one point, around the origin of our language, was nursing children until they were five to eight.  Mind you, children don’t nurse as often as babies and toddlers do since their primary source of nutrition is food like what the adults eat—not even once per day.  But nurse they shall for comfort, closeness, proximity, and for the natural relaxants found in prolactin.

Speaking of great hormones like prolactin, I want to talk about oxytocin.  A gentleman above already suggested that extended breastfeeding was akin to child molestation; based on the social perception that breastfeeding is sexual in nature.  I want to introduce a very fascinatingly true view upon that—nursing is sexual.  But not in the strict sense one may assume right off the bat.

Nursing kicks off a chain reaction of psycho-physical events that releases many hormones—prolactin, to produce more milk is one.  Oxytocin is another.  Oxytocin is responsible for the BIG O in women (for a long time, was my FAVORITE hormone, just for this reason alone!); it’s also a big part of what kicks off labor; and one of its most important roles—it is the bonding hormone.  Ever wonder why she likes a cuddle after sex?

Ever heard of some full term pregnant women initiating sex with their partner or doing nipple stimulation to kick start labor?  Post partum, nursing helps the mom’s uterus get back into shape in the same way that labor is kicked off, by causing the uterus to contract and shrink down in response to oxytocin that’s released during nursing.  But then, nursing also encourages bonding and imprinting between mother and baby as more oxytocin, the bonding hormone, is released while nursing.  I encourage independent research of studies comparing how close and confident breastfeeding mothers feel towards their children versus bottle feeding mothers—how long it took for each on average to feel bonded with their babies.  Oxytocin affects a woman’s sexual organs—same organs responsible for carrying and sustaining a child.

Therefore, nursing is sexual—but part of a larger cycle wherein it’s viewed that conception, pregnancy, delivery, and child rearing is included along with the sexual encounter itself.  Not in a way where the mother is sexually attracted to her child or vice versa (many women who have experienced nursing can vouch for how false that notion is), but rather in the way that this larger lifecycle is completed and brought full circle.

To bring social conditioning back into this monologue, we are socially conditioned to view the breast as strictly for sexual encounters—to the point where a knee jerk reaction above assumes that breastfeeding beyond a certain age is child molestation.  I understand where that perception comes from and I’d probably share in that myself to this day, had I not become a breastfeeding mother.  Extended breastfeeding is a subject that not many research until they’re faced with that question, much like many finer points in parenting in general.  However, I do want to assure readers that it’s natural for children to self wean between the ages of five and seven when the children are left to their own devices (and if the mother is willing!).  Nursing as children is far less frequent than nursing as babies or toddlers—they may nurse once a fortnight, if that.


Imagine a workplace where a woman is fired because she needed bathroom breaks to change her tampon.  That wouldn’t fly as a part of sexual discrimination and equality protections.  However, it is reasonably the state for working mothers who want to provide breast milk for their children.  A little known blessing from the Affordable Healthcare Act is that employers must provide breastfeeding mothers with a private space that is not the bathroom to pump and store her breastmilk (Would you eat in a public john?  Please don’t ask a woman to nurse or pump there.).  This is groundbreaking in the American workplace.  It demonstrates an investment—not just in working moms—but in their kids too.  And that’s where I believe feminism needs to head.

Okay, let me back track to more science lessons.  Among mammals, there is roughly two types of mammalian lactation strategies… you’ve got your ‘clutch feeders’ and you’ve got your ‘frequent feeders’.  By design, ‘clutch feeders’ have more fats and proteins in their milk to keep their young well fed and sated while the mother goes out and forages for food for herself while her litter stays all together in their clutch.  She might return 2-3 times per day to nurse her young.

In comparison, ‘frequent feeders’ have much lower fat and protein content in their milk, but higher carbohydrates and even higher levels of cholesterol.  This different strategy requires the mother to keep her young with her as they need to feed much more frequently to stay sated and well fed.  This is the strategy that most very socially evolved mammals follow—all of the primates, for example.  It is the milk content that builds more evolved brains.  It’s the strategy that humans were designed to follow, as inconvenient as it can be.  Human mothers must nurse every 2-3 hours, at times even more frequently than that, until her baby begins taking nutrition from other sources.

So, (human) women are frequent nursers—it is a part our biological strategy for success, and encouraging brain development, defending against disease, building and teaching about human relationships, developing empathy, demonstrating and teaching social rules besides mere nutrition is only the beginning of what nursing does for us as a species.

Okay—this is where I need to be careful in framing what I’m about to say next because I’m disinterested in expressing a view that disparages mothers who have chosen bottle feeding.  When speaking in terms of feminism, I don’t believe there needs to be a distinction between bottle feeding moms and breastfeeding moms (or the old working moms versus stay at home moms arguments).  I do believe feminism as it stands today is a very narrow view because it doesn’t fully incorporate the complete totality of motherhood.  There are far many feminists who view nursing as the chain and children as their masters.  In my view, that’s simply not true.  Feminism (and women’s rights… and by extension children’s rights) are not slices that come out of a finite pie.  It’s only as finite as one is willing to advocate for it.

With that said… the fight for inexpensive and easily available contraception is only the first step.  The fight for when a woman gets to choose whether or not she becomes a mother is the next step.  A step that got overlooked or lost along the way is the mother choosing strictly how she will treat her pregnancy and delivery, should she choose that path for herself.  And finally the fight for a woman to complete her natural lifecycle.

Here we bring in, once again, social conditioning.  In Western society, we are by the large part socially conditioned to believe that breastfeeding is a choice because bottle feeding is a readily available alternative.  Formula hasn’t always been around however.  What do you think happened in those times before we had formula manufacturers such as Abbott Labs, Nestle, and Mead Johnson, just to name a few?

Women don’t choose to lactate after pregnancy.  It just happens as a natural consequence of pregnancy, just like she doesn’t choose to menstruate as a natural consequence of puberty.  Lactation is not a choice.

Certainly, you’ll hear stories of women who’s milk ‘never came in’ and in about 95% of those stories, the root cause is poor breastfeeding support at birth and in the first few critical weeks post partum.  The number one contributor to poor breastfeeding support is sabotage done by formula manufacturers.  Go ahead and do some independent research on it—it won’t take too long to find evidence of marketing fraud.  Bonus points to those who find references of these practices in business ethnics textbooks widely used today at colleges and universities.

We’ve endured generations of this sabotage that has promoted breastfeeding in public as disgusting, shameful and extended breastfeeding as taboo; it has promoted that breastfeeding is more difficult than bottle feeding; it has promoted that breastfeeding is a choice; and the worst thing its promoted—the false notion that formula is just as reasonably good for children as breastmilk.

Nursing is what women are designed for and should not be left in the dust as far as feminism is concerned.  Nursing moms, extended maternity, child care vouchers, indeed should all be advocated and supported.

We’re not just investing in women when we do this—we’re also investing in children.  We are investing in our future.  This is a long term investment of at least eighteen years for each child.  Some countries, however, who are investing in nursing moms, extended maternity, and child care vouchers are enjoying some shorter returns on their investments.  Norway does this best, imho.  For 1 krone invested in programs that support breastfeeding moms, maternity leave, and child care vouchers, Norway gets back in tax revenue from working moms 1.45 krones.  What a GREAT investment for keeping those moms productive and their children healthy.

Anyone want to talk about Attachment Parenting?  In spite of Time Magazine’s cover, the bulk of the issue is about AP (and that’s far from ‘Auto Pilot’ parenting Ken rants about frequently ;-)).  But I think I said everything I wanted to say about the breastfeeding portion.

Oh yah, one more thing.  The mom in that picture?  She wasn’t happy that Time chose that particular photo of her from the 4 mothers they did photograph and the many sessions that she herself did.  But she is glad the subject is getting some much needed attention, as provocative as it is.  I hope that other advocates of nursing, nursing in public, extended breastfeeding, and attachment parenting like myself do speak up; do feel brave enough educate; to not fall back defensively in advocating women’s and children’s rights; and do challenge the effects of social conditioning.

Medications and Breastfeeding


A very quick post, mostly because this was posted on my Facebook wall and I didn’t want to lose track of these resources.

Via Peaceful Parenting, the following are some resources on breastfeeding and medications for those interested. Dr. Hale and Dr. Newman both have extensive expertise and study in these areas.



Increasing Milk Supply From an Exclusive Pumping Point of View


Several of the same ‘tricks’ used for increasing your supply while breastfeeding will apply to exclusive pumping.  Below are the tricks that have worked to me, arranged in order by what was most effective, at top.  It usually takes at least 24-72 hours to notice the effects of some of these, so be patient with yourself and trust your body.  Always give it at least three days to judge whether or not something works for you.  Increased supply is usually re-established through maintenance after using these boosting methods for at least three weeks.

  1. Increase the frequency and duration of pumps.  Recently, I did a ‘regular’ pump day where I did eight pumps and made 855ml (almost 29oz).  The following day, I did ten pumps and made 1005ml (almost 34oz).  The day after, I went back to eight pumps and made 880ml (29.76oz).  So there’s quite a difference when I manage to get some extra pumps in.  I’ve noticed that increasing pumping alone is the most significant factor in increasing my supply.  I can do all of the other items below, but if I’m not pumping more often or for longer, there’s not much difference in my supply.  All of the tricks below support having a better chance of having milk available when pumps are increased.
  2. Increase intake of water.  Its been almost six months after my son’s birth when I’m writing this, and I’m still using that great big sippy jug that the hospital gave to me.  I refill it at least three times per day, usually about five times when I’m working to boost my supply.  My water intake is usually the first factor I consider if it seems like I’m having a day where I’m not pumping as much.  Many sources say to drink 64oz of water per day.  That would be the same as the non-lactating recommendation of six to eight glasses of water per day.  So, I tend to drink at least 90oz per day.
  3. Eat more oatmeal.  I thought about adding this under ‘Increase calories’ (below) but I think that the effect that eating more oatmeal has on my supply is significant enough to deserve its own entry.  I eat oatmeal just about every morning for breakfast and make lactation cookie bars to snack on through out the day.  Many say that instant oatmeal is not as effective as steel cut or whole oats; I’ve not tried instant oatmeal to compare for myself.
  4. Supplements.  Fenugreek is the most popular choice, followed by Blessed Thistle and then Milk Thistle.  These can be taken either as a supplement in capsule form or by drinking a Mother’s Milk type tea.
  5. Increase calories.  I tend to feel hungrier when I am boosting my supply, so snacking more often isn’t hard to do... especially with lactation cookie bars available!  Some women have reported a boost in supply after eating fast food and that’s been attributed to the huge surge of calories in those meals.  I can attest to much the same, though increasing my calories through eating more oatmeal usually gets me better results than a run up to McDonald’s (and is likely much healthier for myself and my baby).  Some sources say to eat more protein and calcium.  When I’ve eaten more protein and calcium based foods, I haven’t had a noticeable increase in supply.  Nor have I found documentation to support this.  I have eaten more complex carbohydrates, however, and noticed a supply increase.  Scientific documentation also supports this as the main component in human breastmilk, after water, is complex carbs.
  6. Breast compression and massage while pumping.  I usually pump with a hands free bustier, but will spend the last five to ten minutes of my pump compressing and massaging.  I almost always yield an additional 10-20ml per pump whenever I do this.
  7. Get more rest.  I always make more milk when I’ve been sleeping, napping, or even snoozing.  Many attribute that effect to increased hormones while sleeping.  I think it may be a combination of that and being fully relaxed while resting.
  8. Relaxation.  If I’m stressing over boosting my supply, it always seems to work against me.  It seems like I get fewer let downs while pumping.  So, I try to stay relaxed and avoid stress in general on days when I’m trying to boost my supply.  At the pump, I’ll often meditate-- thinking about my son and all of the ways that I adore him.  Sometimes I’ll imagine milk bursting from me.  On days when I’m having a bad pumping day, I’ll at least distract myself by reading books and online topics that I find enjoyable.
  9. Nipple stimulation.  When my son was able to latch, on days when I was short on supply, I’d let him latch and comfort nurse and I noticed increases in my pumps.
  10. Skin to skin contact.  I nap every day with my son and in the afternoon when my pumps typically slack, I instead notice a much better pump after that nap.
  11. Dark brewed beer.  While I enjoyed having a dark brewed beer each night while I was initially trying to establish my supply, when I stopped having it, I didn’t have a noticeable decrease in my supply.

Tricks that I haven’t tried


  1. Reglan.  Reglan is prescribed in the US to mothers who have supply issues and have exhausted all other options (tricks listed above).  The prescription can usually be obtained from the mother’s OBGYN.  I’ve not tried Reglan because the tricks I’ve used have been sufficient for meeting my hungry son’s needs.  However, I likely would shy away from prescribed Reglan in the first place because one of the side effects of Reglan reported is depression which should be a consideration for mothers who suffered from post partum depression.
  2. Domperidone.  Domperidone (or more commonly called ‘Dom’) is prescribed in the UK to mothers who have supply issues.  It is not FDA approved in the US for lactation though many mothers in the US are able to obtain domperidone online.  Many mothers who have tried dom swear by it’s ability to increase milk supply by as much as 100%.
  3. Supplemental Nursing Systems (SNS).  SNS is recommended when having latching issues, nipple confusion, or supply issues when starting breastfeeding.  It uses a small tube attached at the nipple so that the baby can nurse, give the mother nipple stimulation, at the breast while obtaining needed nutrition.  Many mothers have reported mixed results with more success than not.