A.,
I can hear your desperation to want to nurse. I applaud you for wanting to keep it up. It really is the best thing for you and your baby. Please know that there is alot of help out there for you if you are determined enough to find it and continue to nurse as much as you can. That said, sometimes we have to do the next best thing and really listen to your inner wisdom and leading with your belly heart, you will do the best thing for your daughter.
I'm not sure about the belief that "some women are just not built to do this." I believe that so many factors come into play when a mom is finding it difficult to nurse. I pasted 2 articles on nursing. One reaches the emotional part of breastfeeding. The other is an article on SOME "nursing Pitfalls".
I also want you to take some time to think of a few things.
*What is your support system like? Is your breastfeeding effort really supported?
*Does your work support your need to pump? Do you have a relaxing place to pump at work? If not, talk to your employer about your needs and wants, and supply her/him with research on why you choosing to nurse your baby is beneficial not just for your baby, but for you, and how it effects your work. There is tons of research to back this up.
*How many people have you talked to (besides the lactation consultant and mamasource), to help you? Some suggestions:
La Leche League. Mothers, Babies and More in Chandler (or GIlbert?) A man, owns this store and from what I understand, he knows TONS about breastfeeding and has helped lots and lots of women with nursing issues. I highly suggest checking him out. There is a lactation consultant who works at Phx Babtist Hospital. I'm sorry I forgot her name, but she's one of the best. In her 50's or so, from New York:) Very nice and knowledgable. Look up Susan Weed on the internet...she's this old hippie lady who is very knowledgable on herbs and nursing issues.
Finally, before reading these articles....try not to think of this as a battle. It's a challenge, but one that you can overcome. I have heard of moms who can start lactating after they adopt a newborn, or of small villages where other women who take over nursing a baby if the mom becomes ill or something, or of the mom who was able to nurse her baby AFTER the baby was in the NICU for MONTHS. Do NOT underestimate the power your body has. Even if you have to do the next best thing (forumla feed), It takes great love, faith and determination to parent and nurture your baby in the way that is right for both of you.
I wish you all the best as you continue your parenting journey.
A.
mom of 4. Birth and Parenting Mentor
www.birthingfromwithin.com
Breastfeeding From Within
By Virginia Bobro
Birthing From Within encourages and teaches "doing the next best thing" when it comes to making decisions within the flow of labor and birth. The same mind-set is important during postpartum and breastfeeding. In the days, weeks, months, and even years that a woman is breastfeeding, she will face numerous obstacles, detours, and unexpected events. How she prepares prenatally and how she views these challenges can make a difference in her ability to cope.
As a breastfeeding counselor, I support many breastfeeding mothers who have to change their perception of what a "successful" breastfeeding relationship is. Some mothers need to wean much earlier than they hoped. Others need to supplement with bottles or formula. These are opportunities to re-envision what it means to nurture and nourish their babies. Many mothers are humbled when the "breastfeeding fairy" presents them with difficult circumstances and spoils their fantasy that nursing is easy and blissful.
When breastfeeding does not go as expected or hoped for, a mother can feel regret, anger, blame, grief, and guilt. Inevitably, this negative self-talk begins to affect her self-esteem and attitude, her ability to receive support, and her relationships with her baby, partner, and others in her community.
So, what can be done?
In addition to learning practical things that make breastfeeding easier, do this:
♥ Learn and practice mindfulness.
The same pain-coping practices you learn to help you cope with labor can help you postpartum when you need to still your mind, quiet negative self-talk and deal with physical discomfort and stress. (See Birthing From Within, pp. 213-238).
♥ Get a breastfeeding "reality check."
Breastfeeding is natural, but not always straightforward and easy. Very few women sail through breastfeeding on calm seas from beginning to end. Even for the most vigilant captain, storms arise outside of her control, and still, she can do the next best thing. When women know that they can influence but not control what happens, they can see the wisdom of preparing for all possibilities.
♥ Set up your breastfeeding support system.
Having a supportive crew onboard in the first months of motherhood can make all the difference. Welcome meals, errands, and compassionate listeners. When breastfeeding gets rough, support is needed to keep going and not get mired in "what ifs" and judgment. You need to hear acknowledgment that you are doing your best, not more advice and information.
♥ Focus on connecting with your baby and yourself as a mother
Come to breastfeeding with an open heart. To the degree that you can, let go of your ideals and goals, such as breastfeeding exclusively for six months. Just hold the intention to do the best you can. When you love yourself and feed your baby in love, this is the heart of breastfeeding from within
EXERCISE: Feeding with Love
When sitting (or lying down) to feed your baby, try this:
Begin to notice all the sensations around you, beginning with your baby:
Look at her face, notice the touch of her skin, take in her smell and her sounds.
Then begin to bring your attention to your own body: Where does your body touch your baby's body? How is your breath moving in and out of your body?
Where do you feel relaxed and open?
Where does your body feel tight, tense, or closed?
Gently and mindfully breathe into those places, softening and releasing anything that is unneeded in this moment. This may take several minutes. Go slowly and do not expect perfection!
As your body lets go of anything extra, feel your heart opening.
Allow yourself to inhale the presence of your baby, loving her in this moment and loving yourself as well. With each new breath, feel into your baby's heart, visualizing a connection that endures beyond feeding time.
If feeding is difficult, your focus may return to the task of latching or monitoring the feed. Do what needs to be done, then, when you are ready, take another conscious breath and return to your opening heart.
Resources
Local La Leche League
Lactation Consultants
Other Supportive Breastfeeding Moms
How to Avoid the Top 10 Nursing Pitfalls
BY DIANA WEST, IBCLC, AND LISA MARASCO, MA, IBCLC
As a pregnant or new mother, you might be concerned about making enough milk for your babe. The following 10 nursing pitfalls are among the most common reasons for milk supply difficulties. Knowing what they are and how to avoid them will help you lay a strong foundation for a successful breastfeeding experience.
Pitfall #1: Latch Problems
One of the most common causes of low milk production in the early weeks is poor attachment to the breast. When baby latches too shallowly, he doesn't have enough breast in his mouth to effectively draw out milk. Less milk is removed, and the breast responds by cutting back on production. The good news is that correcting the problem is often relatively easy. If you aren't able to fix it on your own, the problem could be related to baby's ability to suck effectively and may require the help of a lactation consultant.
Pitfall #2: Hormonal Birth Control
"Combination" birth control pills containing forms of both estrogen and progesterone can significantly decrease milk production. Newer "minipills" are estrogen-free and better for nursing mothers, but a small number of women still experience a drop in supply. Similar problems have happened with patch and subdermal implant birth control, and a case of low supply related to a hormonal intrauterine device (IUD) has been reported. Depo-Provera, a long-acting injectable hormonal birth control, poses more serious problems because it lasts for three months and cannot be reversed; the best option is to try milk-increasing herbs to counter the effect. Waiting three months or longer after birth to use hormonal birth control will reduce the risk of problems.
Pitfall #3: Herbs
Just as there are herbs that may help increase milk production, others seem to decrease it. Parsley is considered to have lactation-suppressing properties in large amounts, such as in a dish like tabbouleh. Peppermint and sage are reputed to decrease production when consumed in large or concentrated amounts. Frequent brushing with toothpaste containing real mint oil or even eating potent mint candies has caused trouble for some mothers. Fortunately, most of these herbs don't cause problems unless they are consumed regularly or in large amounts.
Pitfall #4: Alcohol
Alcohol inhibits both the milk ejection reflex and milk production, especially when taken in large amounts. Even a single beer or glass of wine can disrupt the balance of lactation hormones. While the immediate effects of alcohol on milk production and delivery last only as long as the alcohol is in your system, chronic alcohol use has the potential to lower your milk supply overall.
Pitfall #5: Outside Interferences
Some mothers facing a medical procedure, drugs, or hospitalization are told that they can't nurse for a period of time. To make matters worse, little or no guidance is provided on how to maintain production, and by the time breastfeeding is "allowed" again, milk supply is damaged. Educating yourself on the facts is your best defense, and regular pumping is your backup. Dr. Thomas Hale's book, Medications and Mothers' Milk (updated biannually), is an excellent safety reference.
Pitfall #6: The Sleepy Newborn
Excessive sleepiness has several possible causes. A newborn may be drowsy after delivery because of medications given to you during labor. The effects may be brief, or they can linger for several days. During this time, lots of skin-to-skin contact can help stimulate your baby and trigger his nursing instincts.
Simply not getting enough milk can also cause a baby to sleep too much. He may eventually rouse and show signs of hunger but fall asleep again within minutes at the breast. This in turn leads to needing longer periods of sleep to conserve precious energy. This can happen as a result of low milk supply, a problem with baby's suck, or baby's medical complications. Supplementation may be needed until milk production can be increased or baby is able to take more milk.
Another cause of infant drowsiness is jaundice, a temporary yellowing of the skin that often looks like a suntan and can make babies lethargic. Wake baby at least every two to three hours until he begins to rouse more on his own. Gentle methods such as holding him upright, massaging his body, talking to him, undressing him, or changing his diaper are most likely to result in willingness to feed.
Pitfall #7: Unnecessary Supplementation
There are certainly times when baby isn't getting enough milk and must be supplemented. But there are also times when unnecessary supplements sabotage milk production by reducing milk removal and stretching out feeding intervals. Problems usually start with "just one bottle a day" or "just a few bottles a week," but the more supplements given, the more are needed because milk isn't made when it isn't removed. It becomes a slippery slope where bottle-feeding eventually seems more convenient or baby appears to like it better.
Pitfall #8: Pacifiers
Pacifiers can mask the hunger cues of babies who are easily soothed by them. They are often given in the belief that baby is supposed to be full after so many minutes at breast. An assertive baby will spit it out and insist on more milk, but an easygoing baby may not be as persistent. This can disrupt the baby-driven milk-making process by forcing inappropriately long feeding intervals that ultimately reduce milk supply.
Pitfall #9: Busyness
Juggling a baby and the conflicting demands of a busy household is challenging. Feedings can be unconsciously postponed when you're preoccupied by other tasks, trying to get "just one more thing" done. It's especially difficult if you have older children and are always on the run driving them around, and the temptation to put off feedings instead of taking time to nurse right now may be strong. Though this may sound difficult, it is crucial to slow down and remember that this baby will only be young once, and his needs are immediate and important. Keeping him close in a soft baby carrier can help you respond to early feeding cues while on the go.
Pitfall #10: Clock-Driven Feeding Durations and Feeding Schedules
Mothers are often urged to get baby on a schedule as quickly as possible to instill early discipline, fit him conveniently into family life, make life more predictable, or for "sleep training." Whatever a parent's fear or motivation, schedules are often regarded as an important parenting goal.
Schedules may seem helpful to parents, but they don't always meet the needs of breastfeeding mothers and babies. Rather than allowing milk production to be driven by baby as nature designed, schedules artificially determine when feedings will take place. Mothers with abundant production and vigorously nursing babies may do well, but mothers with marginal supplies or babies with difficulties often do not. Even if all looks well in the beginning, a sudden drop-off in production can happen after a few months if an insufficient number of hormone receptors were established in the early weeks. Bottom line: advice that supersedes your instincts on when to feed your baby can undermine your milk supply.
Dish with Mindful Mama! Share your tips for breastfeeding success with other moms, and maybe even pick up a few new ones.
Diana West, IBCLC and LIsa Marasco, M.A., IBCLC are the authors of The Breastfeeding Mother’s Guide to Making More Milk (Mc-Graw Hill, 2009), and board certified lactation consultants in private practice.