Tuesday, September 8, 2015

Experience is a Confidence Booster – Amy’s Journey





I am currently nursing my fourth child who is seven months old. I have exclusively breastfeed all of my children. I have been fortunate enough to not have to give any of my children a single drop of formula.
 I treasure the time I have spent nursing my babies. My oldest is six years old and I have been pregnant and/or nursing since he was born. When my oldest was born I knew I wanted to breastfeed despite not being around anyone other than my sister in law who has breastfed. It wasn’t something that was commonplace in my family. My grandmother didn’t nurse and my mother didn’t nurse me either. I was told it would be difficult, but I was up for the challenge.

 My oldest struggled with his latch at first and there were a lot of tears from both him and me in the first month of nursing. I had to use a nipple shield at first and he screamed every time it was time to feed. We fought each other for what seemed like hours for him to latch. I was determined to stick with it and my perseverance paid off. We were able to ditch the nipple shield and I nursed him for sixteen months until I became pregnant with my second. Looking back I realize now after having nursed four babies that I had an oversupply and overactive letdown so he was overeating and didn’t fit into the fifteen minutes on each side every three hours nursing expectation. 


The next go around with my second I knew that five minutes on one side was all she needed to get enough milk because of my overactive let down. She was a much happier nursling. Everything went much smoother the second go around because I was more confident in knowing exactly what my baby needed even if it wasn’t what the books said.

 Since then I’ve nursed all my babies on demand. Another thing that has changed from nursing my first baby to now the fourth, is how much more comfortable I am nursing in public. There really is something to the whole #normalize breastfeeding campaign. I wasn’t exposed to anyone nursing in public therefore I thought with my first that I had to nurse before we left the house, in the car, or if we were out and about I would find a fitting room to nurse him. Fast-forward to two kids and that was less feasible. I now nurse whenever baby is hungry and wherever that happens to be. I wish I could go back in time and tell my one child self that it was ok to nurse in public because it is a natural, beautiful thing that might even empower someone else to do the same when they see other moms nursing in public.




 In total I have nursed 54 months and counting. Nursing is hard work, but as with most things if you put in the hard work you reap the benefits. The benefits of nursing are numerous for both mom and baby. I can’t remember what life was like before nursing and I won’t know what to do with myself when I’m not nursing anymore. I get sad thinking about when my nursing journey will end and how much I’m going to miss those extra calories I get to use each day.

A Big Difference the Second Time Around – Sage’s Story





I didn't get much of a chance to breastfeed my first child as she was born in a Naval Hospital on base and there was a lack of information from doctors and nurses.  I didn't get any skin to skin contact with her and she was given formula the day she was born. Also I was given the depo shot which dried up my supply.  I wasn't aware that this would happen because it wasn’t explained to me.  I pumped and bottle fed as much as I could.

After that awful experience I was determined to breastfeed my second child! I did lots of research and gathered support in friends and family. This second time was a very pleasant birth experience.   I immediately got skin to skin contact with my son and I was just all around in a better place.   My son latched right on and I couldn't have been happier! We did have some complications the first few weeks with latching on correctly, but once we figured it out it has been nothing but amazing.  I chose to nurse because of all the benefits of nursing for the baby and me too.  I like the feeling knowing that no one else can do this for my baby and I also love the bonding experience between us. I plan to nurse for at least the first year and then we will go from there! 


Defying the Odds – Shannon and Kylie






My daughter, Kylie, is 17 months old, and as we slowly near the end of our breastfeeding journey, it amazes me to look back and reflect on how we got here.

To begin with, Kylie is the daughter I was told I would probably never have. Being obese, I was told by an OB/GYN that the chances of me ever conceiving were in the single digits, so I should not get my hopes up unless I was willing to lose a significant amount of weight.  Not once, did he mention a condition called PCOS, much less the fact that everything pointed to me having it.

So, when my husband and I decided to try to have a baby, I went to get tested to see if it would ever be possible.  It was then, with my current OB/GYN, I learned of the PCOS diagnosis.  With several rounds of fertility medications, a lot of prayer, and close monitoring, I gave birth to our daughter via Cesarean section on Saturday, March 22, 2014. 

I was told in the hospital it might not be possible to exclusively breastfeed because, in many cases, women with PCOS do not produce enough milk. I was told the only hope I had was diligently pumping both breasts after every feeding. Talk about an overwhelming burden while recovering from major surgery and learning to care for a newborn. Add to that the alarm from the hospital pediatrics staff that insisted I schedule our first appointment with our pediatrician the day after I left the hospital because Kylie had already lost 10% of her body weight while we were in the hospital. I was absolutely terrified the hospital staff was right, and the very thought devastated me.

Needless to say, when we went to the pediatrician, I went in defeated, so afraid she was going to tell us we had to supplement; that I had failed. Imagine my surprise when she told me to forget everything they told me at the hospital. She was having plenty of wet and dirty diapers, so she was fine. She then recommended the lactation consultant she had used with her children and told me she would come to my house and help me make sure things were going as well as they could.
The lactation consultant was amazing. After spending an hour with us, she helped me correct her latch and showed me several positions that were more comfortable for both of us and we were off and running.  My first goal was to exclusively breastfeed for 6 months.

When we hit the 6 month mark, I was so happy we made it.  Of course, along the way, I had stopped pumping after every feeding, and was in fact lucky to pump once a day.  Taking care of a newborn and nursing while trying to work from home proved to be quite the chore.  When it was time for Kylie to go into Mother’s Day Out 2 days a week so I could go in to work, I realized pretty quickly that there was no way for me to pump enough to supply breast milk exclusively for her while she was there.  The first day I had to send bottles containing both breast milk and formula, I cried.  Once again, I felt like I had failed.  It took me a little while to come to terms with the fact I was doing the best I could do for her, and that was enough.
At 17 months, we are still breastfeeding.  She is now going to a Montessori school full time during the week, and she understands completely that when she is not with me, she gets milk from her straw cup, and eats regular food.  She is growing so much.  But, every day, when we get home from school, the first thing she wants to do is have “milkies” with mommy.  The sessions are growing shorter, but the desire is still there.  Sometimes she may only nurse for 5 minutes, and then she if off to whatever it is she wants to do or play.  At night, she snuggles with me and nurses to sleep, and if she wakes up in the middle of the night, I am right there to comfort her back to sleep.

My goal now is to make it to 2 years.  As our breastfeeding journey nears its end, I am so grateful that I did not listen to those that said it might not be possible, and instead followed my heart and pushed myself to defy them.  I will cherish the memories so much.

Our entire story is one of defying the odds and not giving up.

Third time’s a charm…..sort of – Jenn’s Story





I had this great idea in my mind what my breastfeeding relationships would look like with my children.  I had these images in my head of rocking my babies as the sun shown just slightly through the cracked blinds in the window.  I would be so calm and relaxed and looking down at them so lovingly and in awe.  They would nurse in 15 minutes or so and go 2 or more hours between feedings.  We wouldn’t have to worry about bottles or even pumps except for when I was at work.   Boy was I naïve.  I have three children and nursing all three of them was hard and at times downright hellish.  I did look down at them in awe and appreciate that each one was a miracle.  (I still get a lump in my throat when I think about the first time I held each of them.)  I had a different type of awe at how a tiny baby could inflict so much pain while attempting to nurse.

My oldest, Emma, is now 17.  I was young when she was born and I knew I wanted to breastfeed because I knew it was the healthiest choice for both of us.  What I didn’t know was the excruciating pain that could come with it.  Nursing wasn’t fun or even pleasant.  I sought the help of consultants while I was in the hospital, but that was the extent of it.  Nursing was extremely painful and at times unbearable for the first two weeks.  Not all the Lansinoh in the world could fix my cracked bleeding nipples.  But I was determined and after a while we made a bit of a turning point and it started to get easier and less painful.  Somewhere around six-eight weeks post-delivery I began to enjoy our nursing sessions.  It was so much easier than having to get up and make a bottle in the night.  This wasn’t so bad after all. 

I had to return to work at six weeks.   I would pump in the night, early in the morning and a few times per day at the office.  I would put a little pillow on my desk, cross my arms to hold the pump in place and try to catch a little cat nap to make up for the lost sleep at nights and early mornings.  I could never produce enough milk to meet her needs while I was away.  We had to supplement a few bottles each day with formula.  The goal was 12 months.  I kept it up for as long as I could but by month six, she was not getting enough even at night and my supply vanished.  I was under an intense amount of stress and this could have played into my milk cessation.  I was also depressed as Emma’s father had been killed in a car accident just six weeks before she was born.  I had a wonderful support system.  Bless my mother for being so encouraging.  She would remind me to drink water and would bring me snacks while I was nursing.  Several days she would even make my lunch before we both went off to work.  I would not have made it as long as I did without the help and support I received from her and several others.

Several years later I married my husband and we began the journey to expand our family.  After six years of marriage our son, Caleb, (now five years old) was born.  I knew again that I wanted to try to nurse.  After all, it couldn’t possibly be as bad as the first time.  Was I wrong!  Granted the 12 years in between the children helped me forget those original months of difficult nursing, but it was harder and more agonizing than I remembered.  I was however older and wiser and more determined.  We sought the help of the lactation consultants (LC) at the hospital while we were there and this time, weeks afterwards also.  Sometimes it was a little bit better when we were with the LC, but nursing was never okay at home.  Thrush was suspected and we both treated with gentian violet followed by prescription medications, but it didn’t make a difference.  Even though the latch appeared correct from the outside, it was still very painful and when he would release, my nipple was the shape of a lipstick and would turn white.  A few LCs suggested cooling gel pads as well as nipple shields but that only made it worse.  One LC did some research and discovered I was experiencing Raynaud’s Phenomenon.  My breasts would sometimes hurt up to two hours after nursing.   Because of the vasospasm and blood loss to my nipples, the cold made the pain worse.  Applying warm heat did provide a little temporary relief as it seemed to help return the circulation somewhat faster.  

  We purchased a pump and this time I managed to keep up with him by again getting up in the night, early in the mornings and anytime I was away from him.  Pumping was uncomfortable, but bearable.  I would apply heat before and after and that seemed to help too.  Then late one Friday night, my electric pump broke.  I panicked.  I didn’t have the funds to purchase another one.  I didn’t even know if I could afford to rent one for a little while until we could replace the part, but we had to try to make it through the night/weekend.  I tried nursing again.  He would latch on and suck a few times and then get angry and cry.  What was it? Was he just not getting it quickly enough because he was use to a bottle or was the Raynaud’s restricting the flow?  Somehow we made it through the night and I was able to rent a pump on Saturday morning from the hospital for a week.  I called the pump manufacturer and the part was not replaceable.  My husband was unemployed.  There was no way we could purchase another one or continue to rent one or pay for formula.  I sought help from WIC.  I explained our story to one of the consultants there and she asked to look inside his mouth.  She said he had a really high palate and that could be the reason why the latch looked good on the outside, but was crushing and slanting my nipple inside.  She couldn’t offer any help with that, but said he could possibly outgrow it.  They gave me a new pump.  All was well right?  Nope.  This was a different brand than the one I had used before.  The suction was not nearly as strong and after many efforts of manipulation and setting changes on the pump, it never got any better.  I reached out for help and a friend loaned me hers for the remainder of our time nursing.  It was the same brand and style as mine that had broken.  I know that is frowned upon, but desperate times call for desperate measures.  The goal was 12 months of breastfeeding/pumping.  We made it 13! 


Then came baby number three, Charlie.  I prayed and prayed that nursing would be better this time.  It had to be.  After all, wouldn’t my nipples be tough as nails by baby number 3?  Charlie was a C-Section so I was in the hospital a little longer.  I wanted to utilize the help there before going home so we even stayed an extra day.  By day three, I was in horrendous pain.   Toe curling, wanting to cut my breasts off type of agony.  It was déjà vu all over again.  When it came time to feed I didn’t want to do it.  My husband Mark was so supportive and tried to comfort me any way he could but finally he suggested we try supplementing.  It was so tough for him to watch me in so much pain.  But that just made me more determined.  I would reluctantly pick her up knowing what was coming, latch her on and cry out in pain.  I would just sit there sometimes rocking myself on the bed or rocking chair and try my very best to find my happy place and control my sobbing.  I was afraid I would scare her and keep her from nursing, but sometimes the pain took over and I couldn’t hold it in any longer. 

We started the process of exclusively pumping all over again, but with a two year old running around this time and very little help since my husband worked 70-80 hours per week, it was a vicious cycle.  I would pump for 20-30 minutes (some times more to make sure I got enough for each bottle), feed her, clean up the pump parts and bottle and sometimes get a few minutes of rest before we had to start it all over again.  Throw in a case of mastitis and I knew I couldn’t keep this up for very long. 

When we saw the pediatrician for our first check up, I told her what was happening and she examined the baby’s mouth.  “It appears she does have a lip and tongue tie.  That could certainly contribute to the difficulties you are experiencing.”  Huh?  What is that?  OH….It all started making sense.  All three of my children had this and even I had it.   And it was correctable.  Hallelujah!  What made the difference this time around?  Someone finally looked at their lip and tongue and knew what was happening.  This was the same pediatrician we had with baby number two.  The difference was the pediatrician had just experienced much of this with her own baby six months before.  She referred us to a dentist for laser revision of the lip and tongue ties and an LC with a lot of experience with ties.  This was a game changer! 

On the day of the procedure the dentist offered to let me hold her if I thought I was able to or I could leave the room and let them do it.  I had to stay.  I had to be there to hold her.  I signed all the papers and they gave me all the warnings about making sure, no matter what, I didn’t move her or let go.  That was one of the toughest mommy moments to date.  I held her little head as still as I possibly could for the procedure all the while tears were rolling down my face.  I had to remind myself that even if this didn’t fix our nursing troubles, it was still best for her to help prevent tooth decay, speech issues and allow for proper mastication.  Most moms are able to nurse right away, but since I was still recovering from mastitis, he recommended we give her a few days to heal and me as well.  She stopped crying pretty quickly after we were finished, but didn’t want to drink from a bottle much for the next 24 hours.  I thought holding her still for the procedure was bad, but having to pull up her lip and tongue for stretching (a little physical therapy) and applying aloe was just about as bad. 

We waited a few days and then tried nursing again.  It wasn’t easy, but it was definitely better and definitely less painful.  One thing troubled me though.  Breastfeeding was supposed to be easier on the baby too, less gas, less spiting up.  She rarely spit up when having a bottle of pumped milk, but often times after nursing she would spit up so much I didn’t see how she could possibly have anything left in her tummy.  So back to the new LC we went.  She recommended we weigh her before and after feeding to see how much she was getting.  At this point we were giving her two to sometimes three ounces per bottle.  We started nursing one side.  We stopped to burp and switched to the other side.  I picked her up to burp again and this time I didn’t even get to burp her before she spit up.  It was a lot, filling an entire burp cloth and enough I had to change her clothes.  The LC weighed her and even after all the spitting up, she still had five ounces in her little tummy.  In fact it was bulging.  I cried, but this time tears of joy.  She was able to nurse and she was able to get more than enough.  Things began to get easier from here.  We shortened her nursing time to allow her to adjust to the additional milk she was able to get.   Somewhere around two-three months we no longer had to give her bottles except when we were apart.  In the back of my mind it was still too good to be true so I still got up every morning to pump so I could stockpile some milk for fear something would happen again. 

I think it was somewhere around four to five months, I noticed some discomfort when nursing.  Not as bad as before, but something didn't seem right.  I examined her mouth and discovered that her lip tie had grown back.  It was not as tight or as low as before, but it was there.  I felt horrible for her.  We did the stretches for the amount of time recommended but we must have needed to do it longer in her case.  We pressed forward and we both seemed to adjust over time.

I always thought 12 months was the ideal time for nursing, but the more I read and the more I spoke with other moms, I realized that we didn't have to end there.  It seems the US is one of the few countries that puts some unwritten limit on it.  Now the World Health Organization (WHO) recommends it up to age two.  I thought to myself and even told a few people we will definitely stop by her second birthday.  But that day came and went and we just kept on.  Our nursing sessions weren't very long and limited it to just naptime, bedtime, and occasionally when she was hurt or upset, but it worked for us.   It was just so easy to nurse her for 5-10 minutes and she would be out like light.  At the time of our pictures, Charlie was 32 months old.  We continued into the next month and had our last session just a few days shy of 33 months.  I was returning to work full time and I felt it would be best for us to end it there.  Thirty-three months we made it through!  It so worth it and I will cherish the special time I had with all three of them, both the good and the bad.  My story doesn't start off very pleasant, but it has a really good ending.  It's one of the few goals I have found the determination and drive (through lots of prayer and help) to actually complete.  Thank you Allison and Seven Arches Photography for capturing this special bond I was able to share with Charlie. 

I know there are lots of mixed feelings and judgements about breastfeeding, but you won’t get that from me.  I share my story not to make anyone feel good or bad about their own choices because only we know what's best for our families, no one else.  But for that new mommy who is bound and determined to breastfeed, have hope.  Don't let anyone else tell you what you can and can't do.  Be encouraged that you are not alone.  No matter what you ultimately decide, you are a good mom!