Friday, September 26, 2008

Nursing Is Normal Media Project

This slide show of nursing mothers is beautiful - brought tears to my eyes. Babies and young children nursing in a variety of settings - some on Mama's lap, others in baby carriers; mothers of various sizes and ages, too.

The slideshow, by Kathy O'Brien, is currently being presented on the Mothering website, which introduces it this way:
"The NIN Project is a photographic display of nursing moms in public settings. We believe the more often something is seen, the more accepted it becomes. These mothers have posed in various public settings to help other mothers feel comfortable nursing in public. Nursing is normal."
NIN Slide Show

Christina @ Birthing Your Baby
Independent Childbirth Classes for Central Maine

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Monday, August 18, 2008

New Links & Resources

Before I get to the safety issues surrounding different birth choices, I want to highlight several of the interesting resources and links I've come across lately.

Some goodies from the Midwifery Today online newsletter "E-News 10:17", include a quote
"We must relearn to trust the feminine, to trust women and their bodies as authoritative regarding the children they carry and the way they must birth them. When women and their families make their own decisions during pregnancy, when they realize their own wisdom regarding birth and its place in their lives, they have a foundation of confidence and sensitivity that will not desert them as parents."

— Elizabeth Davis
Excerpted from "Autonomy at Work: Woman-Centered Birth and Midwifery," Midwifery Today, Issue 42
and a link to an excellent, excellent article, "VBAC & Choice: Many Questions and a Few Answers", by Nancy Wainer. I bet the whole article is amazing.

The Mothering email newsletter also offered a great article, "Easing Tension and Fear in Natural Childbirth by Understanding Sphinct*r Law*: A Conversation with Ina May Gaskin" as well as information about how to attend a free "webinar" (I've done two through Lamaze so far, and they've been great) on cosleeping, presented by James McKenna and Dr. Paul Fleiss. To learn more and how to sign up, visit http://www.mothering.com/interactive/webinars/cosleeping.html. I'll "be there".

In the Lamaze online newsletter for "Week 11" (no, I'm not pregnant - just checking out their resources!), there was an ask-the-expert question about pregnancy classes. The question was: "I’m in my first trimester with my first baby. I plan to take childbirth classes closer to my due date. But I feel like there is so much to learn about pregnancy—not just the birth. My doctor answers some of my questions during my prenatal appointments, but there isn’t enough time for all of them. Is there a class I can take about pregnancy?" I wonder if there is enough interest to do a pregnancy class here in Central Maine? I would love to do a class for moms/partners who are TTC or are newly pregnant - to answer questions about pregnancy, prenatal testing, exercise and nutrition, and also to talk about choices for care providers and hospitals. At the point when most of my clients' take classes, they have to be supremely unhappy with or uneasy about their care provider to change (though some still do!). I'd love to offer women/partners the information they need to think through their choices before their third trimester! Any thoughts on pregnancy classes? Oh - and if you're reading this and wondering, I would happily do a private pregnancy class - just send me an email!

Also, my local LLL leader sent out an email with information about new resources from the US Department of Health and Human Services, Health Resources and Services Administration regarding breastfeeding and employee/employer policies. They're free, too.

"The Business Case for Breastfeeding. Steps for Creating a Breastfeeding Friendly Worksite: For Business Managers"
Abstract: This manager’s booklet is part of a series of materials designed to create breastfeeding friendly worksites. It focuses on a company’s potential return on investment in the areas of employee retention, health insurance, absenteeism, productivity, and employee loyalty. The booklet includes profiles of companies with existing supportive lactation programs and references.

"The Business Case for Breastfeeding. Steps to Creating a Breastfeeding Friendly Worksite: Employees' Guide to Breastfeeding and Working"
Abstract: This employee’s booklet is part of a series of materials designed to create breastfeeding friendly worksites. It includes information on where to find breastfeeding help and support, how to begin breastfeeding at home, and how to adjust to breastfeeding at work. The booklet includes support websites, figures, and guidelines for addressing supervisors.

The Business Case for Breastfeeding. Steps for Creating a Breastfeeding Friendly Worksite: Easy Steps to Supporting Breastfeeding Employees
Abstract: This human resource’s booklet is part of a series of materials designed to create breastfeeding friendly worksites. It details an integrated approach to implementing a cost-effective lactation support program. The booklet gives steps to support breastfeeding employees, explains how to merge work requirements with employee needs, offers program options, and outlines the program’s return on investment for the company. It includes profiles of employers with existing supportive lactation programs.
I ordered ten of each, completely for free (including S&H) just now, very easily.

And lastly, The True Face of Birth blog has had some great posts in the past few days, including one about doulas ("Doulas Make a Difference"), which sites a RCT (randomized controlled trial) study about doulas; one about "The Dance of Breech" with great drawings and links; and a reminder that "The Birth Survey is Here!" - yay! There doesn't seem to be any information for Maine mothers yet, but hopefully there will be soon.

Enjoy the links!

Christina @ Birthing Your Baby
Independent Childbirth Classes for Central Maine

*Sorry about the asterisk - that word was attracting some unwanted attention from search bots.

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Monday, August 4, 2008

Books about Breastfeeding

There are so many books about breastfeeding - here are a few that I've read, most of which are in my birth class library:

Breastfeeding: Pure and Simple (2000)
Gwen Gotsch

Book Description: Offers information and inspiration that mothers need to begin breastfeeding and to continue for many months. It gives concise answers to common questions and provides practical solutions for problems mothers encounter such as avoiding sore nipples, dealing with newborn jaundice, breastfeeding after a cesarean, deciding when and how to wean, starting solids and finding time for mothers.

My Note: An easy-to-read, brief but complete book published by La Leche League International. There are lots of helpful pictures too (in black and white, and a little dated, but still worthwhile).




Breastfeeding Your Baby (1995)
Sheila Kitzinger

From Publishers Weekly: With a simple, short explanatory text and some 200 photographs (approximately 100 in color) of nursing mothers, the author of The Complete Book of Pregnancy and Childbirth sets out to dispel fears about breastfeeding and conveys practical advice about positioning the baby, interpreting the baby's sucking rhythms, maternal nutrition and breast care. The most valuable parts of the book, however, are not on honing "technical skills" but those that treat aspects of the intimate communication between mother and baby--during breastfeeding and beyond.

My Note: This is an excellent book – providing reassurance and practical information about breastfeeding. I wish I’d had it when I started nursing Madelyn! Another good book for dads to look at.

Don’t Miss: The photographs are wonderful – if nothing else, flip through this book together. The whole book is terrific.




So That’s What They’re For: Breastfeeding Basics (2005)
Janet Tamaro

From Ingram, about an earlier edition: Filling the gap left in a market glutted with dated or dry books on breastfeeding, So That's What They're For! lends support and encouragement to those wondering whether they should try breastfeeding, for pregnant women who are sure they will breastfeed and for new moms who are having trouble and are considering stopping. With hilarious anecdotes and wonderful illustrations, this comprehensive guide offers a supportive, pragmatic view from the real world.

My Note: This book does not sacrifice realistic, helpful information about breastfeeding by also including humor. A great read – maybe a book on breastfeeding dads might enjoy skimming as well.

Don’t Miss: 29 reasons to breastfeed; Chapter 4, “Getting Ready for the Big Arrival” explains what to do to get the best start breastfeeding and what to expect those first few days at the hospital; Chapter 5, “Directions: Inserting Breast A into Mouth B” gets down to the basics of breastfeeding; you can find information about breastfeeding challenges in both Chapters 6 (“The First Few Days: Tackling Common Obstacles”) and 9 (“Problems: From Small Ones to Big Ones”).




The Womanly Art of Breastfeeding (2004)
La Leche League International

From Amazon.com, about an earlier edition: The Womanly Art of Breastfeeding is a comprehensive resource guide providing just about everything you need to know about how--and why--to breastfeed your baby. Latch on to this book for step-by-step guides to early months, common concerns, problems, and weaning. Additional sections on general nutrition, sleep issues, going back to work, discipline, and fathering are useful for all breastfeeding mothers.

My Note: This book is about so much more than breastfeeding, The information on breastfeeding is excellent, even though it doesn’t include a lot of illustrations/photos.

Don’t Miss: Chapters 4 (“Your Baby Arrives”) and 5 (“At Home with Your Baby”) for basic information. The section on your baby’s nursing style (pgs. 71-73) is also helpful. Many other topics about breastfeeding and baby care are also thoughtfully covered.




The Nursing Mother's Companion (2005)
Kathleen Huggins, R.N., M.S.

Product Description from Amazon.com: Breastfeeding may be natural, but it is not always instinctive. The 20th Anniversary Edition of this classic guide to breastfeeding, beloved by a generation of women, has been completely revised and updated to provide even more practical, reassuring advice and support for today's expectant and nursing mothers. Easy-reference survival guides help identify and resolve problems at each stage. An appendix on drug safety is a unique feature among breastfeeding books.

My Notes: I have an earlier edition (4th), and what stands out about this books is the practical way in which it has been organized, and the complete, reassuring information it provides. I especially like the appendix "The Safety of Drugs During Breastfeeding" and how the book is organized by time - preparing during pregnancy, the first week, the first two months etc.




Nursing Mother, Working Mother (2005)
Gale Pryor

Product Description from Amazon.com: The World Health Organization, the American Academy of Pediatrics, and other authorities on maternal-infant health all recommend breastfeeding exclusively for the first six months of a baby s life and continued breastfeeding through one to two years of age (or for as long as mother and baby desire). For working mothers of infants (more than half of all new mothers) meeting this goal can be challenging. The newly updated Nursing Mother, Working Mother offers you practical and reassuring advice on everything from choosing the right pump in every situation, to securing lactation space and respect at the workplace, to instructing childcare providers on feeding pumped breast milk, to continuing breastfeeding even when your job requires business travel. It also includes information on changes in workplace laws. As a breastfeeding mother, you need guidance and support to combine breastfeeding with your working life, and the reassuring and informative revised edition of Nursing Mother, Working Mother assists you at every step.

My Notes: Sounds like this new edition is great! The edition I have is good too, with information organized by time-frame - "life on leave: the fourth trimester", which discusses the time mom has before returning to work; lots of preparation information for returning to work; and then the final chapter on returning to work. This is a very encouraging, supportive book with specific suggestions and advice for moms who will be working outside the home after baby is born.




Adventures in Tandem Nursing (2003)
Hilary Flower

Book Description from Amazon.com: Book Description
There is no doubt about it—when breastfeeding and pregnancy overlap, the questions abound! In this, the first full-length book ever on the topic of tandem nursing, Hilary Flower gives comprehensive and in-depth answers to a wide range of questions related to breastfeeding during pregnancy and tandem nursing.
Drawn from a great reservoir of mother wisdom, this book pools the stories of over 200 mothers from around the world. Extensive reviews of medical research and discussions with experts in the fields of nutrition, obstetrics, and anthropology have provided the author with a thorough understanding of what we know and what we can surmise on this important topic. Each mother’s experience will be a one-of-a-kind adventure, full of surprises and choices. Adventures in Tandem Nursing provides an essential source of support, humor, and information for the journey.

My notes: This book was the reassurance for me while I nursed my first child during my second preganancy, and tandem nursed for almost a year. While I had the support of my midwife, and the child(ren)'s pediatrician, none of my friends had tandem nursed before... so this book filled a gap for me. There is lots of practical information, as well as stories and pictures from other tandem nursing moms. I especially loved the pictures, which I shared with my daughter, which helped her understand that she was going to be sharing her beloved "goody milk" with her new baby brother. I highly, highly recommend this resource for moms who nursing during pregnancy and/or beyond.




Mothering Your Nursing Toddler (2000)
Norma Jane Bumgarner

Book Description from Amazon.com: The classic handbook for mothers who breastfeed their children past infancy in an updated expanded edition. Norma Jane Bumgarner puts the experience of nursing an older baby or child in perspective, within the context of the entire mother-child relationship. She cites biological, cultural, and historical evidence in support of extended breastfeeding and shares stories gleaned from thousands of families for whom breastfeeding and natural weaning have been the norm.

My notes: I don't own this book, but borrowed it several times from various sources. I remember finding it very reassuring and useful.




There is also excellent breastfeeding information in several of the Sears' books: The Baby Book (2003) and The Breastfeeding Book (2000).

I highly recommend reading through one or two books about breastfeeding during the end of pregnancy. Even if you're not sure you want to try breastfeeding, you have some information if you need it. Most of these books are available in excellent condition for less than $5 on amazon.com through their used book sellers - some sell for less than $1, so are less than $5 including s&h. Most are also available through the Maine library system, though you may need to request what you're looking for if it isn't at your particular library. Either way, the book(s) that can help you during the breastfeeding process are available for minimal investment.

If I've left off your favorite breastfeeding book, go ahead and add it in the comments - I'm always looking for new ideas for my library!

Happy reading!

Christina @ Birthing Your Baby
Independent Childbirth Classes in Central Maine

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Sunday, August 3, 2008

Breastfeeding Basics - My Handout

This is the first handout I provide to the families who take childbirth education classes with me. It is a summary of what I feel is the most important, basic information.

TYPICAL FEEDING SESSION: NURSE AS LONG AS BABY WANTS ON SIDE #1. WHEN BABY COMES OFF OR FALLS ASLEEP, BURP, CHANGE (MANY BABIES POOP ABOUT NOW), AND OFFER SIDE #2 FOR AS LONG AS BABY WANTS. THIS COULD TAKE 15MIN OR – MUCH MORE LIKELY! 45 MIN OR MORE. START WITH SIDE #2 FOR NEXT FEEDING & REPEAT.

Many newborns need to nurse every two or three hours, including the nursing session. So, a mom may breastfeed at 12pm for 45min, and then need to nurse again at 2pm or 2:30. The best way to make a good milk supply is to nurse a lot – whenever the baby displays any hunger cues or is fussy. It’s a lot easier to get a newborn to latch properly when (s)he starts to seem hungry instead of waiting for desperate “rooting” and crying. Offering the breast frequently, even if you’re not sure whether milk is what’s being requested, will not hurt. The “worst” that will happen is baby will fuss and turn away. Milk is made by supply/demand, so the more the baby empties the breast, the more milk is made.

You may read or be told (by the peanut gallery, almost certainly not by a lactation consultant) that you should only nurse for five or ten minutes per side. There are many “reasons” a person/book might suggest this, mostly about decreasing the likelihood of nipple soreness or that ten minutes is all a baby needs, getting the baby on a schedule etc. In almost all cases, this is incorrect. Nipple soreness is primarily caused by a poor latch, not length of time at breast. Breasts are never empty – baby can always get a little more.

In fact, it’s very important to let baby nurse as long as (s)he wants to: it increases milk supply and helps insure that baby is getting both foremilk (the milk that comes first has more sugar and protein; it is thinner and more “thirst-quenching”) and hindmilk (the fattier milk that helps make the baby full and gain weight). If a baby is moved from one side to the other on a schedule, (s)he may not have had time to get to the hindmilk on the first side, which can cause growth and digestive problems. Babies who get a good balance of fore/hindmilk typically have the typical “mustardy” color poops, with a seedy or curdy consistency (lovely, I know – but it smells much less than formula-fed baby poop).

As babies get older, they typically become more efficient and are able to get more milk in a much shorter period of time, so these marathon nursing sessions decrease and/or disappear for the most part (common exceptions: during a growth spurt at three weeks, six weeks, three months and six months and sometimes as a baby gets better from being sick or stressed).

All the nursing can be a little overwhelming for some new moms, or worrisome (why is baby nursing so much – is (s)he getting enough?) – do what you need to do to reassure yourself and know that all these feelings are normal. Do what you can to make the long nursing sessions comfortable (set up a comfy nursing station or two ahead of time; learn to nurse lying down; have good reading material/the phone/tv/music available) and remember that the long periods of time you may spend nursing in the beginning also give your body time to rest and heal, and are wonderful snuggle/bonding times with your new baby.

Finally, here is a short list of issues that some moms experience at some point during nursing: sore nipples, engorgement, plugged ducts, mastitis (breast infection), oversupply (and much less commonly, undersupply), thrush (yeast infection) on nipple or baby’s mouth, inverted nipples. A good lactation consultant can almost always help mom overcome any/all of these issues and establish a successful breastfeeding relationship with her baby. There is also lots of information on reputable websites on these issues, as well as help available through La Leche League Leaders.

Christina @ Birthing Your Baby
Independent Childbirth Classes in Central Maine

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Saturday, August 2, 2008

Breastfeeding Resources for Central Maine Mamas

LA LECHE LEAGUE MEETINGS IN CENTRAL MAINE

The Augusta/Gardiner Group meets on the third Tuesday of each month. Contact Katherine via email or at 582-8250 for more information. I think Katherine is also organizing or has organized an evening meeting time as well.

The Bangor Group meets on the first Wednesday of each month at 10am. Contact Melanie via email or at 942-2362 for more information.

The Lewiston/Auburn Group meets on the second Wednesday of each month. Contact Nancy via email or at 782-6645 for more information.

The Brunswick Group meets on the third Monday of each month at 9:30am. Contact Linda via email or at 221-

Complete list of LLLI meetings in ME, including Bridgton, Camden/Rockland, Skowhegan, Norway and others.

HOSPITAL BREASTFEEDING SUPPORT GROUPS
Many hospitals offer breastfeeding support groups, which can be a terrific breastfeeding (and parenting!) resource. Most are led by trained lactation consultants. You can also contact the lactation consultants listed for information on breastfeeding classes to take before your baby's birth. Some hospitals also sell breastfeeding supplies. I know MaineGeneral in Augusta does, and Mid Coast Hospital in Brunswick does as well.

MaineGeneral Augusta Campus, offers a general breastfeeding support group, led by Janet Sirois (626-1426). This group meets four times a month at MaineGeneral Medical Center, Augusta Campus, 6 E. Chesnut Street, Augusta. Meetings alternate between Tuesdays, 6 to 8 p.m., or Wednesdays, 12:30 to 2:30 p.m. Call Janet for a schedule.

MaineGeneral Waterville Campus, offers a general breastfeeding support group, led by Cheryl Bean-Moody (872-1625). This group meets twice a month, 12:30 to 2 p.m. or 6 to 7 p.m., in Dean 2, MaineGeneral Medical Center, Thayer Campus, 149 North Street, Waterville. Call Cheryl for a schedule.

Inland Hospital offers a breastfeeding support group ,led by Connie Finley (861-3100). This group meets most Fridays at 1pm at the hosptial's birth center. Call Connie for a schedule.

I think Central Maine Medical Center (CMMC) in Lewiston has a support group, but I can't find it on their website. For additional information, contact Gloria Oullette or Vicki Roy, their lactation consultants, at 795-2528.

St. Mary's Hospital, in Lewiston, does not offer a support group, but you can contact their lactation consultant, Gail Martell, at 783-6987 to get breastfeeding class information.

Mid Coast Hospital, in Brunswick, offers a range of breastfeeding services. These include a Nursing Mother's Tea held the 1st Wednesday of each month from 7-8:30 p.m. and the 3rd Wednesday of each month from 10-11:30 a.m. in Mid Coast Hospital’s Café Conference Room, 123 Medical Center Drive, Brunswick, breastfeeding classes, and a boutique that sells supplies. Jerri Walker is Mid Coast's lactation consultant, she can be reached on Mondays, Wednesdays, and Fridays at 373-6530.

THE WIC PROGRAM
WIC (Women Infants and Children Nutrition Program) also offers breastfeeding resources, including breastpumps for women who meet certain criteria.

From their site: Who can apply for the Maine WIC Nutrition Program? Women who are pregnant, breastfeeding or had a baby in the past six months. Infants and children up to the age of five including foster children. Fathers may apply for their children. You must live in Maine or be a migrant working in Maine.

Locations include:

Midcoast Maine Community Action Program
34 Wing Farm Parkway, Bath, ME 04530
Tel: 442-7963 or 1-800-221-2221

HealthReach Network
263 Water St., 4 th Floor, Augusta, ME 04330 (621-6202)
63 Eustis Parkway., Waterville, ME 04901 (872-1593)
165 North Ave., Skowhegan, ME 04976 (474-7463)

Western Maine Community Action Program
1 Auburn Center, Auburn, ME 04210
Tel: 795-4016 or 1-877-512-8856

If you know of any other breastfeeding resources for Central Maine mamas, please leave a comment!

Christina @ Birthing Your Baby
Independent Childbirth Classes in Central Maine

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Online Breastfeeding Resources

There are tons of online resources to support breastfeeding mothers. Here is a list to get you started. It is not, of course, complete - what list could be!?? Feel free to comment with your suggestions...

HOW-TO
Breastfeeding Answers from La Leche League International
Breastfeeding.com's Answer Center - pretty mainstream
How to Bring Baby to Breast - from US Dept of Health & Human Services
Correct Latch - from US Dept of Health & Human Services
Breastfeeding Holds - from US Dept of Health & Human Services
Breastfeeding Help from Dr. Jack Newman
KellyMom: Breastfeeding - an amazing resource
Breastfeeding on the Ask Dr. Sears website - you can skip thru the newsletters
Breastfeeding Articles from Mothering
Breastfeeding Lying Down


REFERENCE
American Academy of Pediatrics: Breastfeeding and the Use of Human Milk
Breastfeeding - from US Dept of Health & Human Services
Breastfeeding Know-How, from US Dept of Health & Human Services
American College of OB/GYN Breastfeeding Your Baby pamphlet
Dr. Hale's Breastfeeding and Medications Forum - Dr. Hale is the expert on breastfeeding and medication
Selected List of Medications approved by the AAP for breastfeeding mothers - on the Kellymom website
Herbals and Breastfeeding - from the US Pharmacist
Anatomy of a Nursing Breast
Choices that Affect Breastfeeding - analysis of choices made during childbirth/post-partum that potentially affect breastfeeding
Is This Safe While Breastfeeding - from KellyMom.com
Nursing During Pregnancy and Tandem Nursing - from KellyMom.com
Bra-Sizer Application - especially useful for online shopping...

VIDEOS & CLIPS
Breastfeeding.com Informational Clips - a wide variety of topics
Dr. Jack Newman's video clips
Great Latch-on video from Ameda

SUPPORT
Find a La Leche League Leader or Group near you
La Leche League Mother-to-Mother Forums
Breastfeeding.com Forums
Motherwear Blog
Breastfeeding Help Line - from US Dept of Health & Human Services
KellyMom Forums
Breastfeeding Forums at MotheringDotCommune - scroll down to find them

BENEFITS
Benefits of breastfeeding from La Leche League International
101 Reasons to Breastfeed Your Child
Benefits of Breastfeeding - from US Dept of Health & Human Services
Breastfeeding is Priceless
10 Reasons Why Breastfeeding Rocks - from girl-mom

SHOPPING
Motherwear - don't forget to check out their sale pages - I got a nursing bathing suit there for ~$15!!
Bravado Bras - I liked their sports bras
Glamourmom.com
NestMom.com - where I got my washable nursing pads
Nursing Nightgown Pattern from Elizabeth Lee Designs

I almost forgot! EDITED TO ADD MY FAVORITE NURSING BRA (for daytime)- from Walmart, of all places (I almost never go, but someone told me they have the best nursing bra... I have in turn recommended it to many, who have thanked me because they love it too!): the Bestform Sports Nursing Bra, for all of $11!! It's cotton, comfortable, has no underwire, wide straps, easy to hook/unhook etc...

Christina @ Birthing Your Baby
Independent Childbirth Classes in Central Maine

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Friday, August 1, 2008

World Breastfeeding Week

Summer is short here in Maine, and I've been busy in the garden and in the kitchen, freezing some of what I've picked (blueberries, raspberries, green beans, peas, cucumbers, lettuce and the first tomatoes!) for the winter and trying to find ways to prepare the rest. Just like in Blueberries for Sal, minus the bear and add another kid. I have so many ideas for posts! But there are only 24 hours in a day!! Next week I'm going to kick off a "Choices in Childbirth" series, discussing the many options women have for care during the childbearing year. But first, an entry to add my celebratory voice to World Breastfeeding Week...

What is World Breastfeeding Week? The World Breastfeeding Week website explains that:
"Breastfeeding results from a reproductive health continuum for the mother to the child with no beginning or end, from generation to generation. When a practice is disrupted, it must be restored. However, restoration of the breastfeeding culture demands more resources and mobilization.

In conjunction with the Olympics next August, WBW 2008 calls for greater support for mothers in achieving the gold standard of infant feeding: breastfeeding exclusively for six months, and providing appropriate complementary foods with continued breastfeeding for up to two years or beyond.

As every country sends its best athletes to compete at these global games, it is important to remind ourselves that, in a similar fashion, a healthy young athlete can only emerge from a healthy start on life. There is no question that optimal infant and young child feeding is essential for optimal growth and development.

Supporting Mother = Supporting Her to Provide the Golden Start For Every Child!"

Also, I loved viewing the beautiful results of the World Breastfeeding photo contest.

I have breastfed two children, for a total of just over six years. One has been weaned for a while; the other is weaning. During those six years of offering the incredible nutritional benefits of breastmilk, I have experienced so many moments of joy:
the contented milky smile;
eyes rolling in ecstasy;
the brief pull-off to grin that goofy "thank you grin"
sweet baby paws kneading me;
rocking my sleeping but still nursing baby (milk coma), drinking in the sight and smell of baby, baby, baby;
the joy of reconnecting with a big baby or young child after a busy day;
nursing in bed with the baby curled up against my belly;
instantly solving fear, frustration, exhaustion, a temper tantrum, overstimulation etc. with mama-milk;
listening to the contented murmurings and squeaks;
the amusing bob of a frantically rooting infant;
that intense loving gaze of a nursing child;
long long gulping swallowing, gulping gulping;
the surprise of my nursing child who is kicked by her sibling growing in my belly;
baby's wiggle of anticipation as I get ready to nurse;
the funny names my kids came up with: "the other side" "mama gah" "goody milk"
there was even a song, the "goody milk" song - "goody, goody, goody, goody milk, milk MILK"...

There were struggles, too: flat nipples; oversupply with lots (and lots and lots) of leaking; engorgement; baby with a tongue-tie but a good latch; long-lasting nipple soreness from my first baby, the one without a tongue tie (??); thrush (the baby, thankfully not me); one (just one, so thankful) bout of mastitis. The struggles, though, were all short-term, compared to the long-term gift of extended breastfeeding - my gift to my children, who gave me so many gifts back during our breastfeeding relationships...

Baby snuggles:
PhotobucketPhotobucket

The last day + Weaning Party gift:
PhotobucketPhotobucket

Now he's a big boy, who still loves his "mama gah":
PhotobucketPhotobucket

Looking through my archives to find these pictures, I wish now I had a lot more... there are a few of my daughter as an infant that are not digital, but this is about all I have. I wish I'd taken a some every few months or so, especially as young babies. I don't have any tandem nursing pics at all (not surprising, since I only nursed them at the same time a few times, but still, now I really wish I had a few).

I've breastfed my children in a lot of places - at home, of course; in restaurants; at the movies; outside in all four seasons while hiking, camping etc.; at the beach; in the airplane squished between other travelers; in all manner of stores and shops; in the stopped car and in the moving car, with both of us still buckled in; at church; in waiting rooms; at playgroups; at the library; etc & etc. I can happily report, too, that no one has ever asked me to stop or move, or even given me a nasty look.

So that's an introduction, and a little of my personal history. The next post will be online resources and local resources for Central Maine Mamas.

Happy Breastfeeding!

Christina @ Birthing Your Baby
Independent Childbirth Classes in Central Maine

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Wednesday, July 23, 2008

Tandem Nursing and Colostrum

When people realized that I wasn't intending to wean my first child before my second child was born, I got a lot of questions. First there were the questions about the safety of breastfeeding while pregnant. Those questions were fairly simple because overwhelming evidence supports the safety of breastfeeding while pregnant (as long as there aren't complicating risk factors, like a history of pre-term labor). Second I got questions about supply - would the newborn get enough once he was born? Well, since I've always tended toward over-supply, and I didn't plan to limit nursing sessions, I wasn't worried. The answer to that question is simply logistical: let the newborn nurse first, for as long as (s)he wants, and then the older child gets the "leftovers".

The one question that stumped me was - will the new baby get colostrum? If you're asking yourself "what exactly is colostrum" or wondering about its benefits, check out the La Leche League factsheet on colostrum. I thought the new baby would get colostrum, but I wasn't sure exactly how it would work.

In case you're considering tandem nursing and are wondering the same thing, I'm posting this information from email newsletters I received this week:

First, from the Mothering weekly email, one of the questions of the week was re: colostrum and tandem nursing. The reply from Kathleen Bruce explains that "When a mother delivers a baby and the placenta separates from the uterus, the hormones of lactation take over and lactogenesis continues with the production of colostrum, and later, mature milk as your baby and toddler nurse frequently."

A very similar question was highlighted in the most recent Midwifery Today email newsletter, which offered a similar response: "Typically the pregnant and nursing mother experiences a decrease in milk production sometime during second trimester, and then begins to produce colostrum sometime during third trimester. Colostrum production continues until about the third or fourth day after birth, when frequent nursing by the newborn baby brings in mother's milk. It is important during these first few days for the mother to limit the older nursling's time at the breast, to insure that the newborn receives plenty of colostrum."

Some of my favorite tandem nursing resources include:
Adventures in Tandem Nursing, by Hilary Flower
Kellymom's pages on nursing during pregnancy & tandem nursing
La Leche League's articles on tandem nursing

Just for a data point, here is my experience: I tandem nursed for just short of a year before my older child weaned. There were lots of benefits for all of us - I never got engorged (unlike my first breastfeeding experience), my milk production stabilized quickly (instead of leaking for almost a year, I had stopped leaking after about a month), I didn't have anything like the nipple soreness I had with my first, I didn't feel that I was depriving my older child of something she needed, etc. My older child was still able to reap the many benefits of extended nursing (now, at six years old, she still has never had an infection of any kind, or any antibiotics - yay breastmilk!), and occasionally share nursing time with her brother; weaning didn't play into sibling dynamics or resentment.

This is not to say tandem nursing is easy - I think it can be emotionally challenging to nurse two children, as well as physically draining. For us, though, I think it was easier to tandem nurse than to wean my older child who was so not ready, emotionally or physically.

Anyway, since there were two articles in my email newsletters in the same week, I figured I'd share... Anyone else care to share tandem nursing experiences?

Christina @ Birthing Your Baby
Independent Childbirth Classes in Central Maine

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