Breastfeeding Week Quotes

They convinced our mothers that if a food item came in a bottle -- or a can or a box or a cellophane bag -- then it was somehow better for you than when it came to you free of charge via Mother Nature....An entire generation of us were introduced in our very first week to the concept that phony was better than real, that something manufactured was better than something that was right there in the room. (Later in life, this explained the popularity of the fast food breakfast burrito, neocons, Kardashians, and why we think reading this book on a tiny screen with only three minutes of battery life left is enjoyable.

Although mothers are rarely told this, there is no question that some of the medication used in epidurals does get to the baby. One study measured the levels of epidural medication in newborns’ umbilical cords after birth; the longer the mother had had the epidural in place, the higher the level of medication in the cord (and therefore the baby). A study looking at the effects of epidural using Fentanyl (a narcotic) on the baby showed definite negative effects on his ability to breastfeed, especially at higher doses. Those women who had the higher doses were much more likely to have stopped breastfeeding by six weeks after birth, even though all the mothers in the study had successfully breastfed a previous baby for at least six weeks. Studies that evaluated the way the baby breastfed have found that, after being exposed to the epidural medications during the labour, the baby was less able to latch on well and suckle effectively. Some studies have seen subtle effects of epidurals that lasted up to a month.

In the USA mothers on ‘welfare’ are compelled to return to work six weeks after birth or they do not get their social security cheques.38

Studies from rich countries show that C-Section mothers are less likely to be breastfeeding at two weeks than those who delivered vaginally.25

All medications, including those in epidurals, reach your baby through the placenta, affecting his ability to find the breast, latch, and suck effectively after he’s born. Depending on how long the epidural was in place and the drugs used in it, these effects can last from a few days to a few weeks. Pain-relieving drugs reduce your own endorphins, which may increase your baby’s discomfort, both before the birth and after the birth, when more endorphins are passed on through your milk. Your baby may cry more. Or, without your natural endorphins, you and baby may feel “flatter” emotionally, making it harder for you to respond to each other. Epidurals can cause your temperature to rise, which raises your baby’s temperature. He may be sent to the nursery for observation and antibiotics in case he has an infection. And if an epidural or induction included hours of IV fluids, your normal breast and nipple shape may be distorted, making latching difficult even with skilled help. This can be hard information to read, but it’s what the research very clearly shows. As childbirth educator Linda Smith, IBCLC, comments, “If your friend tells you how she ‘loved her epidural,’ ask her how her first month of motherhood went.

Kristen had dreamed of having children since she was herself a child and had always thought that she would love motherhood as much as she would love her babies. “I know that being a mom will be demanding,” she told me once. “But I don’t think it will change me much. I’ll still have my life, and our baby will be part of it.” She envisioned long walks through the neighborhood with Emily. She envisioned herself mastering the endlessly repeating three-hour cycle of playing, feeding, sleeping, and diaper changing. Most of all, she envisioned a full parenting partnership, in which I’d help whenever I was home—morning, nighttime, and weekends. Of course, I didn’t know any of this until she told me, which she did after Emily was born. At first, the newness of parenthood made it seem as though everything was going according to our expectations. We’ll be up all day and all night for a few weeks, but then we’ll hit our stride and our lives will go back to normal, plus one baby. Kristen took a few months off from work to focus all of her attention on Emily, knowing that it would be hard to juggle the contradicting demands of an infant and a career. She was determined to own motherhood. “We’re still in that tough transition,” Kristen would tell me, trying to console Emily at four A.M. “Pretty soon, we’ll find our routine. I hope.” But things didn’t go as we had planned. There were complications with breast-feeding. Emily wasn’t gaining weight; she wouldn’t eat, wouldn’t sleep, wouldn’t play. She was born in December, when it was far too cold to go for walks outdoors. While I was at work, Kristen would sit on the floor with Emily in the dark—all the lights off, all the shades closed—and cry. She’d think about her friends, all of whom had made motherhood look so easy with their own babies. “Mary had no problem breast-feeding,” she’d tell me. “Jenny said that these first few months had been her favorite. Why can’t I get the hang of this?” I didn’t have any answers, but still I offered solutions, none of which she wanted to hear: “Talk to a lactation consultant about the feeding issues.” “Establish a routine and stick to it.” Eventually, she stopped talking altogether. While Kristen struggled, I watched from the sidelines, unaware that she needed help. I excused myself from the nighttime and morning responsibilities, as the interruptions to my daily schedule became too much for me to handle. We didn’t know this was because of a developmental disorder; I just looked incredibly selfish. I contributed, but not fully. I’d return from work, and Kristen would go upstairs to sleep for a few hours while I’d carry Emily from room to room, gently bouncing her as I walked, trying to keep her from crying. But eventually eleven o’clock would roll around and I’d go to bed, and Kristen would be awake the rest of the night with her. The next morning, I would wake up and leave for work, while Kristen stared down the barrel of another day alone. To my surprise, I grew increasingly disappointed in her: She wanted to have children. Why is she miserable all the time? What’s her problem? I also resented what I had come to recognize as our failing marriage. I’d expected our marriage to be happy, fulfilling, overflowing with constant affection. My wife was supposed to be able to handle things like motherhood with aplomb. Kristen loved me, and she loved Emily, but that wasn’t enough for me. In my version of a happy marriage, my wife would also love the difficulties of being my wife and being a mom. It hadn’t occurred to me that I’d have to earn the happiness, the fulfillment, the affection. Nor had it occurred to me that she might have her own perspective on marriage and motherhood.

TEN WAYS A PARTNER CAN HELP Before the baby’s born, help stock the freezer with meals that can be eaten with one hand. Find a good phone number for help and call it as needed. (La Leche League’s website, llli.org, and U.S.-based phone line, 877–4-LA LECHE (877–452–5324), can both lead you to your closest local group, and that’s a fast route to anything else you might need.) Buy the grocery basics, and keep easy, healthy snacks on hand. Get dinner—any dinner! Nights can be tough at first. Be flexible about where and when everyone sleeps. Going to bed early helps! Do more than your share. You may be what keeps the household running for a while. Everything won’t get done. Talk about what’s most important to her—a clean kitchen? a cleared desk?—and do that first. Get home on time. You’re like a breath of fresh air for mother and baby both. Helping out means helping emotionally, too. Remind her how much you love her, how wonderful she looks, and what a great job she’s doing. There she is, holding your child. She really is beautiful, isn’t she? Remind her that this part is temporary. Most women feel it takes at least six weeks to start to have a handle on this motherhood thing. Life will settle down. But it takes a while.

have a growth spurt and require additional feedings. This may last from one to three days.   For a breastfed baby, feeding could be as often as every two hours (possibly extending through the night) for one to three days.   For a formula-fed infant, parents will notice that their baby appears hungry after consuming the normally-prepared number of ounces; or he is showing signs of hunger sooner than the next scheduled feeding. There are a couple of options to consider:   Add 1-2 ounces to his bottle at each feeding, allowing baby to take as much as he wants. If baby was taking 2½ oz. per feeding, make a full 4 oz. bottle and allow him to eat until full; or   Offer the extra feeding as Baby shows signs of hunger. When the growth spurt is over Baby will return to his normal feed-wake-sleep routine. However, on the day following a growth spurt most babies take longer than normal naps.   By week three, alertness should be increasing at feeding times. Between weeks three and four, your baby’s waketime will begin to emerge as a separate activity apart from eating. His schedule should look something like this: feeding, burping and diaper change takes about 30+ minutes. A little bit of waketime adds another 20+ minutes. Naptime is 1½ to 2 hours.   Not all feed-wake-sleep cycles during the day will be exactly the same length of time. That is why a range of times is provided and not fixed times.   If breastfeeding, do not allow your baby to go longer than 3 hours between feedings during the first three weeks. The feed-sleep cycle should not exceed 3 to 3½ hours during the first three weeks. At night, do not allow your newborn to go more than 4 hours between feedings. (Normal feeding times usually fall between 2½ to 3 hours.)

In fact, in Canada, where most mothers with full-time employment have 52 weeks of maternity leave, many never use a bottle.

ROUTINES FOR BREASTFED BABIES FROM ONE TO EIGHT WEEKS OLD Routine for a breastfed baby aged one to two weeks This routine is for a baby aged seven to thirteen days old (and until she regains her birth weight and is over 3 kg). Feed times 7 am 10 am 1 pm 4 pm 6 pm 9.30 pm 2.30 am (at the latest) Sleep times 8.15 am 11.30 am 2.30 pm Bedtime 7 pm 6.40 am Express as much as you can, up to 90 ml, from your right breast. 7 am Wake your baby up and feed her for up to 25 minutes from your left breast. You will wake and feed her even if she last fed at 5.30 am, so she is always starting her day at the same time and on a full tummy. Then feed her for up to fifteen minutes from your right breast. 8.15 am Swaddle your baby and put her in bed on her back awake and allow her to self-settle (see guide to self-settling starting here). 9.40 am Express as much as you can, up to 90 ml, from your left breast. 10 am Wake your baby up and feed her for up to 25 minutes from your right breast. Then feed her for up to 15 minutes from your left breast. 11.30 am Swaddle your baby and put her in bed on her back awake and allow her to self-settle. 1 pm Wake your baby up and feed her for up to 25 minutes from your left breast. Then feed her for up to 25 minutes from your right breast. 2.30 pm Swaddle your baby and put her down in bed on her back awake and allow her to self-settle. 4 pm Wake your baby up and feed her for up to 25 minutes from your right breast. Then feed her for up to 25 minutes from your left breast. After this feed, put your baby down somewhere comfortable and safe, so if she feels like having a little nap before her bath she may. But don’t put her in bed as she may choose not to sleep. 5.20 pm Bath baby, or give top-to-toe wash. 6 pm Feed your baby for up to 25 minutes from your left breast. Then feed her for up to 25 minutes from your right breast. Or you or another carer could give her a bottle of expressed milk. If you don’t breastfeed your baby at the 6 pm feed during the first week of the routine while establishing breastfeeding, you should express 30 ml from each breast at 8 pm instead of the suggested time of 9 pm. 7 pm Swaddle your baby and put her in bed on her back awake and allow her to self-settle. 9 pm Express as much as you can, up to 90 ml, from your right breast. 9.30 pm Wake your baby up and feed her for up to 25 minutes from your left breast. Then feed her for up to fifteen minutes from your right breast. Night feeds Set your alarm clock for 2.30 am every night: in case your baby has not woken for a feed it is very important you don’t go more than five hours without feeding your baby on this routine. But if your baby woke, for example, at 12.30 am, then reset your alarm clock for 5.30 am. If she woke any time after 1.35 am and fed, however, reset your alarm for just before 6.40 am, so you can get up and express. If your baby wakes at 6.30 am, or while you are expressing, and is crying you should feed her. If your baby seems content to wait then you should try to express first and feed her as near to 7 am as possible. However, if you feed her first you should express after the feed. During night feeds, try not to talk to your baby and keep the lights dim so your baby starts to understand the difference between night and day. Important note: By two weeks old your baby should be back to her original birth weight. If your baby has regained her birth weight and is over 3 kg, you may advance to the two-to four-week routine. If your baby has not regained her birth weight or is still under 3 kg, please stay on the above routine until she has reached these goals. When you do advance to the next routine, follow each routine for two weeks until you reach the ten-week routine. Then your next move of routine will be when your baby starts on solids. Tip: If you find your baby is too sleepy after a bath to take a good feed try feeding her on one breast before the bath and the other side after the bath.

Come on, Melinda. You can’t avoid it forever. We both know you’re pregnant.” “Ugh,” she said, accepting the cool, wet cloth. She pressed it to her face, her brow, her neck. She didn’t have any more to say. But Jack knew. There had been tears, exhaustion, nausea. She turned watering eyes up to him. He shrugged and said, “You eased up on the breast-feeding, popped an egg and I nailed it.” Her eyes narrowed as if to say she did not appreciate the explanation. He held out a hand to bring her to her feet. “You have to wean David,” he said. “Your body can’t completely nourish two children. You’ll get weak. You’re already exhausted.” “I don’t want to be pregnant right now,” she said. “I’m barely over being pregnant.” “I understand.” “No, you don’t. Because you haven’t ever been pregnant.” He thought this would probably be a bad time to tell her that he did so understand, since he had lived with a pregnant person and listened very attentively to every complaint. “We should go see John right away, so you can find out how pregnant.” “How long have you suspected?” she asked him. “I don’t know. A few weeks. It was a little tougher this time….” “Oh, yeah?” “Well, yeah. Since you haven’t had a period since the first time I laid a hand on you. God, for a supposedly sterile woman, you certainly are fertile.” Then he grinned, fully aware it would have got him smacked if he hadn’t been holding the baby. She whirled away from him and went to sit on their bed. She put her face in her hands and began to cry. Well, he’d been expecting exactly this. There’d been a lot of crying lately and he knew she was going to be mighty pissed off. He sat down beside her, put an arm around her and pulled her close. David patted her head. “It’s going to be okay,” he said. “I’m not delivering this one. I want that understood.” “Try not to be cute,” she said through her tears. “I think my back already hurts.” “Can I get you something? Soda? Crackers? Arsenic?” “Very funny.” She turned her head to look at him. “Are you upset?” He shook his head. “I’m sorry it happened so soon. Sorry for you. I know there are times you get damned uncomfortable and I wanted you to get a break.” “I should never have gone away with you.” “Nah. You were already pregnant. Wanna bet?” “You knew before that?” “I wondered why you were so emotional, and that was a possible reason. I never bought your whole sterile thing. But I don’t have a problem with it. I wanted more kids. I like the idea of a larger family than the three of us. I come from a big family.” “There will not be five, I can guarantee you that,” she said. Then she bored a hole through him with her eyes. “Snip, snip.” “You’re not going to blame this on me, Mel. I suggested birth control. A couple of times, as a matter of fact. You were the one said it could never happen twice. And then explained that whole business about not ovulating while you’re nursing. How’s that working for you so far? Hmm?” “Screw you,” she said, not sweetly. “Well, obviously…” “I’d like you to understand I wasn’t relying on that breast-feeding thing. I’m a midwife—I know that’s not foolproof. I really didn’t think it possible that… Shit,” she said. She sighed deeply. “I just barely got back into my jeans….” “Yeah, those jeans. Whoa, damn. Those jeans really do it to me. No one wears a pair of jeans like you do.” “Aren’t you getting a little sick of having a fat wife?” “You’re not fat. You’re perfect. I love your body, pregnant and unpregnant. I know you’re trying to get me all worked up, but I’m not going there. You can try to pick a fight with me all day and I just won’t play. It wouldn’t be a fair fight—you’re out to get me and we both know it. Do you have appointments this morning?” “Why?” “Because I want to go to Grace Valley for an ultrasound. I want to know when I have to have the house done.” *

few additives have been investigated in relation to their effects on very young children. It is therefore prudent that foods intended for infants under 12 weeks should contain no additives at all.

Breastmilk changes over the hours, weeks and months, according to a baby’s needs; and it changes during a breastfeed.

The minute your baby makes a sound, go in quickly. You’ll find him in a sleepy, just-about-to-wake-up state. Use whatever technique helps him fall back to sleep—breastfeeding, rocking, or offering a bottle or pacifier. If you’ve caught him quickly enough, he will fall back to sleep. After a week or so of this intervention, your short napper should be taking a much longer snooze without any help from you.

Weaning Your Baby Off Breast Milk The paediatrician in Sector 62 Mohali recommends the following tips for weaning your baby off breast milk: Recognize the Signs Your baby starts giving signs showing that they are ready for weaning. The signs include: Sitting with support. Holding their head in an upright position. Expressing interest in what you are eating. Losing their active tongue-thrust reflex. Acting cranky during feeding sessions. Apart from your child showing signs, you can also be the one to stop breastfeeding. You can check with your best paediatrician in Mohali to see if you are ready to start weaning. Set a Schedule Once you prepare yourself to start weaning, give yourself at least a month to move through the process. Giving some time to yourself and the baby gives you time for obstacles. If, however, your child is going through teething, you can wait for some time before weaning. Start Slowly Easing into weaning gives you and your baby some time to adjust to the change. You may start it slowly by dropping one breastfeeding session per week. Once you notice that both you and your baby are comfortable with the change, you can start dropping more sessions until your baby is having solids. Provide Physical Comfort Breastfed babies are used to skin contact with their mothers. Hence, when you are into weaning, you must give them the physical connection in other ways. For instance, you can cuddle them while singing a song reading a book or give them a massage. Let Your Baby Decide Some babies wean on their own when they are given the control. If you are comfortable with your child taking the lead, rely on one rule “Don’t offer, don’t refuse”. You nurse them when they show interest and do not initiate it when they don’t want it. Resistance is Normal If you are the one to start weaning, it will be normal for your babies to resist weaning. Once they become normal with it, they will start showing interest in solid foods and drinking liquids from a bottle. Take Care of Yourself Your baby is not only the one who will be adjusting to weaning. As a mother, you must also deal with a whole range of emotions. Some mothers may even feel rejected when their baby does not show interest in feeding. You may also feel nostalgia about your baby getting older. Accustom yourself to the routine and know that this is necessary. At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Paediatricians in Mohali that consists of a team of paediatric specialists that cater to all the needs of children, across age groups, and provide the best care for your child’s development.

Controlled Crying (Graduated Extinction) Consider using this strategy at night after six weeks (from the due date) when you expect longer blocks of sleep at night and an earlier bedtime is emerging. When your twin cries, wait for five minutes before going in to soothe him. Unlike checking and consoling, where you respond promptly, the delayed response with controlled crying or “graduated extinction” means that your twin will likely become more upset. Therefore, with this method your soothing can and should take the form of whatever will calm your baby back down to a drowsy but awake state: pick him up, sing to him, breastfeed, or rock him. The goal is to eventually soothe him to a drowsy but awake state, but if your baby falls asleep while you are soothing him, that’s okay. Drowsy or asleep, you then put your baby down to sleep. At that time or later, if there is more crying, you will wait for ten minutes before you return to soothe your twin. Repeat your soothing performance. And again put the baby back down to sleep. At every subsequent time of crying, delay your response by an additional five minutes. There is nothing particularly magical about a five-minute interval, but some delay is necessary and consistency is key; you might want to try three-minute intervals. You might cap the maximum time of your delay to twenty to twenty-five minutes, or you might start out the next night with a ten-minute delay in your response time. Your expectation here is that eventually your baby will fall asleep during one of your delays. This begins the process of allowing your twins to learn how to return to sleep unassisted. It is my experience that, again, this method works faster and better when it is the father who does the soothing. Even though feeding the babies is accepted in this method, if the father is the one to do the soothing, breastfeeding—which many babies prefer—is not an option. Some babies will settle down and get to sleep faster when the breast is not available to them. The entire controlled crying or gradual extinction process may take a few nights or a few weeks. The process works faster when you start early in the evening, when drowsy signs first appear. Sometimes the repeated bouts of crying are overwhelming and you might decide that letting your twins “cry it out” (see below) is the best option for speeding up the process of getting to “no more tears.” “For the first week, they often would cry for up to thirty to forty-five minutes. This would be through one five-, ten-, and fifteen-minute cycle with consoling in between. By week two, they were usually asleep before the first ten-minute cycle had passed. By week three, they were down usually within the first five minutes. Now they go down within a minute or two. Sometimes they talk and play a bit longer, but they don’t cry.

LONG AGO, BEFORE there were baby food manufacturers or even spoons, babies ate what their parents ate. Not the nuts and tough meats, of course, but whatever family foods they could handle. Most likely no one had the time or interest to feed a baby who wasn’t already reaching for someone else’s food. Long ago, of course, all babies were breastfed. During the first half of the twentieth century, there was a dramatic shift away from breastfeeding. Mothers were given a recipe for making “formula” for their babies, but let’s face it, those formulas were pretty crude. Babies sometimes showed signs of malnutrition after just a few weeks, and doctors realized they needed to provide some supplements.

The fizzy sip tastes of roasted grain, tidy fields waving in wind. By the second or third sip, I remember the slosh of lake water against a boat Daddy had rented, how I sipped from a metal can of Lone Star while he picked through lures alongside me. Thus starts—for healing purposes, of course—my daily beer or two. Within weeks, I stop breastfeeding, partly because I know three or four or five beers could affect Dev’s milk supply. Warren’s at school, so he must miss these escalating beer guzzles. And that’s how—in some cosmic accounting of our family’s rampant dipsomania—Mother’s recovery dovetailed with the start of my own years’ long binge, for from that day forward, I drank in increasing amounts, as if our gene pool owed the universe at least one worthless drunk at a time.

TEN WAYS A PARTNER CAN HELP Before the baby’s born, help stock the freezer with meals that can be eaten with one hand. Find a good phone number for help and call it as needed. (La Leche League’s website, llli.org, and U.S.-based phone line, 877-4-LA LECHE (877-452-5324), can both lead you to your closest local group, and that’s a fast route to anything else you might need.) Buy the grocery basics, and keep easy, healthy snacks on hand. Get dinner—any dinner! Nights can be tough at first. Be flexible about where and when everyone sleeps. Going to bed early helps! Do more than your share. You may be what keeps the household running for a while. Everything won’t get done. Talk about what’s most important to her—a clean kitchen? a cleared desk?—and do that first. Get home on time. You’re like a breath of fresh air for mother and baby both. Helping out means helping emotionally, too. Remind her how much you love her, how wonderful she looks, and what a great job she’s doing. There she is, holding your child. She really is beautiful, isn’t she? Remind her that this part is temporary. Most women feel it takes at least six weeks to start to have a handle on this motherhood thing. Life will settle down. But it takes a while.