"Hold your baby's hand instead of a bottle"

The WINNERS for the ItzBeen have been announced! Check back later for the next giveaway!

Monday, August 15, 2011

When nursing becomes a bad habit...

So just over a month ago my second son Jonathan turned a year old and while I celebrated that I made it to my one year mark of breastfeeding, I hoped that I'd be able to commit to nursing until he turned two (partially because of the new dairy / gluten issues we have in our household, but also because it's what the World Health Organization and the American Academy of Pediatrics recommend). Unfortunately, I'm not going to be able to reach that goal...it's complicated so let me explain why:

As my luck would have it, once my first born Ben started sleeping through the night I became pregnant and was up in the night with some nausea or frequent trips to the bathroom. As if my body was trying to prepare me by saying, "Don't get use to sleeping through the night, number two is on his way and he's going to make those 3 hour stretches of sleep look good!" Jonathan was a lot easier during the day than his big brother was (both as a newborn and as a toddler) but he never consistently slept for more than two hours at a time. The only consistency in his nightly wakings was wanting to nurse, and wanting to nurse on both sides every single two hours. During the day I didn't keep track of how often I nursed. It didn't matter. I nursed on demand. I was the best pacifier around (FYI we tried 7 or 8 different paci's every single one triggered an instant gag reflex) and since nursing only hurt the first two weeks it wasn't an issue. After 6 months though I started building some false hope that Jonathan might start sleeping longer stretches now that I was introducing solid baby jar foods into his diet. At 9 months he was eating table foods, lots of meats, vegetables, fruits, rice, etc and he was still up every 2 hours, all night long. 

Around this time I tried implementing the Cry It Out (CIO) method which we had used successfully to train Ben to sleep through the night. At first it seemed to work. I wouldn't let him fall asleep on the breast, and always made him go in his crib awake so that he had to put himself to sleep. Sometimes he'd give up, after crying and screaming and crying and screaming, and lay down and fall asleep. But most of the time he'd wake up 15-25 minutes after falling asleep and then he'd be up for good, in a horrible mood, still overtired, and EXTREMELY CLINGLY. It was as if I wasn't training him to sleep on his own. It was as if I was training him to be afraid of me leaving him, being away from me for periods of time where he'd cry and I wouldn't come. Suddenly, my little boy who would play happily with some rattles or blocks, now began sobbing the second I put him down and walked two feet away from him. I was exhausted from being up all night, running across the house, every two hours, for over a year (include the frequent trips to the potty while pregnant) and add a clingy, whiny, crybaby during the day that prevents you from getting anything done in the house, which only adds to the constant headaches, frustration, and arguments with the hubby about how is it possible to be home all day and get nothing done except add to the mess. Then, as if to really test our marriage (and sanity) our 2.5 year old was regressing, had lost what little speech / comprehension he had, was sick all the time, and was no longer sleeping through the night. Now the hubby is running into Ben's room to keep him from waking Jonathan after I just nursed him back to sleep. On top of ALL of this, we then get a pre-Autism diagnosis and turn our entire diets / lifestyles upside down. So now, on top of no sleep, clingy baby, regressing toddler, rocky marriage, messy house, etc I have to learn to shop and cook EVERYTHING from scratch. I don't know how single moms do it or how our great grandmothers did it without the convenience of a dishwasher, indoor plumbing and disposable pampers.

This was the breaking point and I finally caved, and gave into co-sleeping with Jonathan. I was so surprised at how much better I felt, even after being up every 2 hours all night, if all I had to do was roll over and nurse Jonathan while laying on my side. This allowed me to partially sleep through the nursings, as compared to running across the house and then shuffling back to bed 20 minutes later. I completely embraced this co-sleeping and even had hubby remove the four poster guest bed and sleep on a mattress on the floor with baby for extra security now that he could roll around and possibly fall off the bed. I believe this is when nursing became a bad habit. At any little peep, Jonathan figured that as soon as he began to whimper, I'd pop a boob in his mouth, and we'd all have silence. The second he began to cry, I'd hush him with momma's milk to keep Ben from waking up which kept dad from having to wake up. Right around Jonathan's first birthday I started noticing how "obsessed" Jonathan became with me. He wanted me to hold him ALL the time. He'd screech and scream and whimper if I wasn't holding him, and if I ran out to the store and returned, the second he saw me he lost it. While breastfeeding him always calmed him and gave me a few moments of silence, I'm sure it was only adding to the problem. I began nursing him every other hour, all day, and soon Jonathan was crying, and demanding both breasts, every hour at night too. Sometimes twice an hour.

These past couple of weeks I have felt like a walking zombie, a zombie that was being sucked on for 10 minute blocks, 12-16 times a day! A few nights ago I made it a point to keep track of how many nursings Jonathan demanded at night. I counted 8 times, 2 breasts each time. How deep of a sleep could he really be getting, sucking on 16 boobs over a 10 hour period of time? I calculated that if he's getting 4 oz per breast, that's 64 ounces of milk! He eats plenty of solid foods in the day, drinks water from a sippie cup, and isn't underweight. He clearly does not need that much milk, especially at night. At one year old, he should be able to go 10-12 hours, at night, without nursing at all! I had to admit the frequency of breast, was no longer best! Nursing had become a bad habit and I had to put an end to it. I had a big decision to make. Do I stop cold turkey? Maybe that's the easiest thing...Ben quit cold turkey on me when he went on his nursing strike, but that was Ben's choice. If Jonathan had his way, my breast would be permanently attached to his face, so going cold turkey might be really difficult, maybe impossible, and perhaps even scarring. What if it made him more angry, cry baby and screamy? After much talk with the hubby, sister in law, bff I decided to wean him slowly. Try and stretch out the day nursings to 3 or 4 hour blocks of time, then maybe he'd naturally stretch himself out at night. Not a chance. I wasn't so lucky. He seemed to be nursing even more at night, to the point where now I couldn't even unlatch him...he wanted to sleep WHILE nursing and cried when I finally forced him to unlatch.

I had hoped that maybe I could stretch him out and just nurse him a couple times in the day and at night. I could do that for another year, but that didn't seem like an option. So four nights ago I told myself I would only let him nurse 3 times: once at bedtime (8:00), once in the middle of the night (preferable around 2 am) and once when he woke up (7 am?).  Well, he woke up about 10 times, crying, and I gave in 3 of those times, but we went down from 8 feedings to 5. The next night we got down to 2 (inbetween the before bed and first morning feedings). Every time he'd wake up and cry I'd pat his back, or pretend I didn't hear him and just lay still, ignoring his tantrum. Occasionally, when he got really worked up I'd tell him, "lay down, it's nite nite time." The next night I sent the hubby in and all the angels came together and gave him the strength and patience only a god could show towards a screaming, tantrumming toddler! I watched him on our video monitor as he tried to get baby to fall asleep on his chest, stroked his head and alternated between taking the blanket on and off him. By 7:03 am Jonathan had gone his longest stretch ever, by far, and went 11 hours without the boob! While Nick was ready to die from exhaustion I was filled with so much excitement at the possibility of being able to sleep through the night again that I felt as though I had slept through the night, rather than listened to my baby cry, while watching him on the monitor all night long.

Last night, I nursed Jonathan only 3 times during the day (first thing in the morning, at 7 am with breasts the size of torpedo's from engorgement from going 11 hours without nursing) and once before nap and bedtime. I asked my sweet Nickle to co-sleep with Jonathan again, but our plan went down the drain when Jonathan woke with a 103.1 fever at 2 am. I caved and felt it was best to give him the breast to make sure he stayed hydrated (and silent) but tonight, and for as long as it takes, I will continue to try and wean him, first through the night, then removing a feeding a day. As sad as I could make myself over the fact that I'm ending our nursing relationship, despite his desire to continue on, I am so ready to be done. I'm ready to have my body back, to be able to go away for more than a 3 hour stretch of time, while having my milk "come in" in the middle of a movie / dinner, and am beyond ecstatic over the idea of having an overnight date with my hunny. So I hate to go back on my word, especially since just last month I was all "here's to breastfeeding to year two" but it looks like the very breast thing for me and Jonathan is coming to an end. Wow, typing that makes me want to say, "Nevermind!" because this could very well be the last baby I'll ever nurse (damn I want to scratch that!) but I am going to focus on that fact that I was able to breastfeeding both of my boys for just under a year and just over a year and that is something to celebrate!

I will keep you posted if there's any new developments in our weening process. I'm going to be a little slack with the nursings while Jonathan is sick with the fever, but I am hopeful that we will both adjust to this next stage in no time. Here's to the very breast thing - even if it's putting an end to it!    

Tuesday, August 2, 2011

Celebrate Breastfeeding Week!

World Breast Feeding Week! I didn't even know such a thing existed, but apparently last Friday was national Lasagna Day! At any rate, here's a link to All the Breastfeeding Support you need to be successful at nursing your baby!

My sister in law sent me this list of 5 things I wish I knew about breastfeeding and I loved the article as much as she did. It just reassures a nursing mom of all the things she's insecure or unsure of in some of the most challenging, confusing, exhausting times during those darkest hours when you're first trying to figure things out:

"I think there are a lot of things that if I'd known before going into it the first time, I could have saved myself a world of trouble.
  1. Newborn babies will eat ALL. THE. TIME. The information I read was the typical crap based on formula-fed babies, so when I read that newborns "should nurse every 2-3 hours," but sometimes every hour and a half, of course I was concerned when my son nursed what seemed like every 45 minutes, for about 45 minutes (Psst, they can nurse over 15 times in 24 hours and it's NORMAL!)
  2. Making breastfeeding friends is insanely important. What every mom needs is someone to tell her that it's okay, it's normal, and they've been there, too. When you want to cry because you're exhausted and your boob-fiend is at it again, having a mom friend who will say, "Oh honey, I've so been there. Learn the side-lying feed and relax," means more than all the pamphlets in the world.
  3. Even when everything is right, it can still hurt. Who winced seeing me say that? But it's TRUE. Sometimes a teething baby is awkward for a day or two. When I'd vacation from my humid home to my mom's arid climate, my nipples would split and there wasn't anything I could do about it, other than apply ointments all day. Sometimes the bad latch from two hours ago, that you fixed, will still feel sore later even when everything is right. If it hurts, GET HELP and make sure everything is okay, but moms should also know that sometimes it isn't going to be great.
  4. Well-meaning supplementation makes life so much harder. When we talk about not giving bottles or formula, we're not just on the breast-brigade. Every bottle given to your baby screws up your feeding schedule from your breasts, which can make you sore, lower your supply, cause oversupply/choking at the next feed, and so on. If you HAVE to supplement or pump, then you have to, end of story. But if you don't? Then skip it because that is sooo much more work that causes even more work and struggles.
  5. Sometimes you're going to hate it. Yes, it releases chemicals to make moms happy and relaxed. I love that, I do. But frankly, there are times when I just want to say, "LEAVE ME THE HELL ALONE!" and don't want to nurse, don't want someone needing me, or want to sit down without someone in my lap. Sometimes it's not a loving act, but one I force myself to do and I spend the whole time tapping my toes, waiting to leap up and do something "more important." While I do almost always love it, there are definitely times I don't, but that's okay."
These 5 tips are so true and if every mom knew them going into a breastfeeding relationship, I think it would make the entire experience so much easier! My second son is almost 13 months old and I'm still nursing him, sometimes as often as a newborn. I still haven't slept more than 4 or 5 hours straight in over a year now (I can count on a few fingers the times he's slept more than 3 hours straight, as he still nurses every 2-3 hours at night) and every day I try and cherish that this breastfeeding relationship is such a short time in our lives, but honestly, lately I just feel done. I want my body back. I'll admit that. I want to feel free to go out with friends or have the option to go on a weekend vacation with my husband (or even out to dinner AND a movie without having to go home in between to nurse) and not feel that panic / worry that I've been away from my baby for too many hours.

My goal was to nurse for the first year, and we met that mark, but now with our new dairy / gluten issues I'm not sure how long I SHOULD continue to nurse or for how much longer I will WANT to nurse. I don't think that this feeling of wanting to be free of being sucked on every few hours is new or only develops after a year of breastfeeding. I think when my first son was just a couple days old I was filled with dread at the idea of having to keep this little baby on my breast every few hours for a WHOLE YEAR, but honestly, after a while, you just get use to it and in my experience, I fell in love with being able to nurse my babies. I think there are just going to be moments where you feel tired, when you feel like you've had it and those are the times to know that it's okay to feel that way and to reassure yourself that you are doing the best thing for your baby and it isn't going to last forever. A breastfeeding relationship, whether it lasts for a few days, weeks or even a year or more, is just a drop in the bucket when you look at the entire span of your life, but it's one of the best experiences you'll ever look back on. Promise.

PS If I could add one thing to the list above of things every mom should know about breastfeeding: Your breast becomes the ultimate pacifier. Your baby will be comforted by nursing and will use you as his/her paci. Celebrity and singer Pink recently had a baby girl she named Willow and states that her husband Carey can calm their baby like only her boob can! It's so true that sometimes these breastfeeding babies only want to nurse on their mom and it's very special when someone has that magic touch that can even come close to what a breast can do for baby. The downside of course is when baby is upset, and nobody can calm him/her down, they pass baby back to you because they know you, and your breasts alone, can end the crying. It's a double edge sword because as a breastfeeding mom, you become the human pacifier!

Wednesday, July 20, 2011

Breastfeeding your adopted child possible?

Is it possible to breastfeed your adopted child if you haven't been pregnant or had a baby. Apparently so. I've set up my google account to email me all news on anything related to breastfeeding. Honestly, most of the stuff I get isn't interesting enough for me to spend the time making a post about it, but this story about An Adoptive Mother's Decision to Breastfeed really touched me.

"We found out that we would need to adopt, I shortly after learned that I could still breastfeed. "

How is this possible I wondered? If the adoptive mother wasn't pregnant, could stimulating her breast alone be enough to make her produce milk? A few months prior to the baby being born, the woman in this story (along with her gynecologist) did research and in preparation for her adoptive son's birth, she began taking a lactation inducing prescription called Domperidone, along with lots of pumping and herbal supplements, and sure enough she slowly but surely started producing milk! Once baby Lucas was born, he had no issues with latching and through some simultaneous supplementation using the Medela Supplemental Nursing System the mother was able to breastfeed her adopted son!

How incredible is that!? And what an amazing way for the mother and baby to establish a really strong bond! I've always said one of the sad / hardest things I'd have to sacrifice if I adopted a child would be not being able to breastfeed that baby, but now, after reading this article, I feel that wouldn't be an issue at all. I really hope this story inspires more gynecologists to encourage women who cannot conceive, and plan to adopt, to consider breastfeeding their adopted children.

The story also makes me wonder, is it possible then for a mother who wanted to breastfeed but couldn't, to try again, say 3 months after her baby was born? I wonder if a woman who breastfed in the past, would be able to start up a milk supply years after it dried up, maybe without the lactation drugs, just with pumping because her body already had an established milk supply at one point? The concept that a woman who never even carried a child could breastfeed opens so many other possibilities. In the past you could only get breast milk from a women who was currently lactating because she had had a baby. Not any more.

In my freshman year of high school, I first learned that in the olden days, the wealthy had "wet nurses" to breastfeed their children. My English teacher explained the role of wet nurses while we read Shakespeare's Romeo and Juliet. Juliet's nurse spoke of how she raised Juliet and how as a baby she would suckle at her breast. At the time, I thought it was totally bizarre that any mother (wealthy or not) would chose to have someone else nurse their child. If a mother couldn't breastfeed back in the day, it made sense to find someone else who could feed the baby, but this wasn't the case. Women chose to have a wet nurse breastfeed their child as a status symbol to show their wealth. At any rate, I couldn't help but think of the term "wet nurse" when I read about this woman nursing her adopted child.

I wonder if in the future, the role for wet nurses will make a come back or if a high demand for breast milk will create jobs for women to simply make breast milk (without the need for these women to have been pregnant or while nursing their own baby)? How might this change the formula market? Can you imagine a factory of women whose job is to go to "work" and sit down and pump? Instead of a barn of cows, there will be a cubicle farm of women pumping every few hours, all that milk being pooled together and then bottled and sold to the public. Or what about a missionary group? I could see a group of dedicated women (years after having babies and being pregnant) re-establishing their milk supply to travel to countries where maybe a natural disaster hit and breast milk is needed for these starving babies who may have lost their parents. I'd probably sign up. Once you get that milk going, as long as there is a demand your body will keep on producing. I'd love to go from country to country, spending time as a wet nurse for starving, sick or dying babies. Ugh! The idea just kills me...in a good way! Like, I love the potential of what these could mean! Maybe those nuns who run orphanages could take this drug, pump, and feed these babies who need more holding time anyway? One of the downsides to breastfeeding, for me, was the idea that either you could do it or you couldn't, and that window of opportunity was very narrow. Now there is no time barrier and there isn't even the stipulation that you had to recently be pregnant and/ or be currently breastfeeding.

On a personal note, if I couldn't breastfeed (after pumping, supplementation and taking lactation drugs) I would prefer to use a wet nurse or surrogate mother's milk over cow or soy milk based formula. I don't think I'd be comfortable with my baby actually nursing on another woman's breast, but if it's in a bottle I'd prefer my human baby to get human milk over any alternative. Can't wait to see how this breastfeeding breakthrough will impact our and our children's future!