Sunday, October 11, 2015

Treasuring Every Moment - Amity’s Nursing Journey






I was fortunate enough to breastfeed my son for 15 months after overcoming latch problems in the beginning. With the support of my husband, mom and OB we figured things out and had an amazing journey.

He was always very predictable in his feeding patterns and then one night when he was 15 months old he didn’t pat the rocking chair for me to sit down where we nursed. Just like that he was done! I cried the first few nights because I couldn't believe how big my little boy was but we were both happy.

Then a few years later our daughter joined us. I was induced because my doctor was afraid if not I might not make it to the hospital in time. It was a hard decision because I’ve always believed that babies come when they are ready. They started my Pitocin around 6:30am and she was born at 8:46am, she came in 7 minutes with no other medication! They immediately laid her on my chest and we soon began nursing. She knew exactly what to do and we snuggled and nursed for the next hour or so. I was very fortunate to be in a hospital that supported me and did not rush to take her from me to weigh or bathe her.

My son nursed well after he was born too, but the following feedings were much more challenging until we found a good rhythm. That was not the case for Miss C; she was a pro from the start. Her favorite place is with mommy. She was not as predictable in her feeding patterns as my son she was more "all boob all the time!" We followed her lead and nursed when she wanted and she eventually started spacing feedings out at more regular intervals, although nighttime was a struggle.

I returned to work after 9 weeks and as a teacher, pumping was not always convenient but I was committed to providing for her just as I did for my son. I pumped while driving to and from work as well as my lunch and at night if I needed. Now she is 18 months old and we still have a very strong nursing relationship, and she does not seem interested in stopping anytime soon. We usually just nurse in the morning and night, and on occasion when she is sad or tired. For now I am her safe place and I love how she will come get in my lap and tug at my shirt and ask for “nigh nigh’s” I know it won’t last forever even though we joke that she is going to nurse until she goes to college. I treasure every moment and love being her everything! 


Wednesday, October 7, 2015

My IVF and Breastfeeding Journey






A baby did not come easy to us. Being able to have a chance to participate in the breastfeeding journey was a miracle and a godsend. We tried for 3 years before we got pregnant. It was upon urging from concerned friends that I went to see an OBGYN about my constant abdominal pain. And the good doctor delivered me the harsh news that I have very severe Stage 3 endometriosis and might never have a baby because both my fallopian tubes were blocked (one full blocked and one partially blocked), and there were lots of cysts inside my uterus. 

Consulting an IVF doctor did not give us more hope. Every weekly or biweekly checkup always brought disappointment and tears and sadness. When we started a cycle and I followed all instructions to a T, when it was time to check for eggs and to extract them, it was found that the strong IVF drugs did not have any effect on my egg production. Normal women would produce 10-20 eggs after taking IVF drugs, but the sonogram technician only found 1-2 in me. It was a devastating blow to think that even IVF couldn't help me. What were the odds of that? I have never heard that there are women who do not respond to IVF drugs.

So we took a break from IVF. I looked up endometriosis alternative healing and dived into trying out anything that seemed promising. Sometime before we were supposed to see our IVF doctor to start our second round of IVF, I had a weird hormonal rush. Lots of acne popped up on my face and I thought, what had happened? I wanted to entertain the possibility that I might be pregnant, but at the same time, I was scared to be hopeful. I took 3 pregnancy strip tests, and they all came out positive. I told my husband, but he said it must be wrong. So I called my IVF office to test me. 

It was like the end of a long and exhausting journey and certainly felt like a dream when there was applause all around us and we saw our nurses and doctor's face light up. It was a miracle, they said. The endometriosis had been so severe my doctor had said there is almost no possibility of a natural conception, but against all odds, my body which had rejected conception by IVF had conceived naturally.

Ruilin Rianne Ko was born 6lb 2oz on January 10, 2014, but she quickly lost weight till she was 5lb 9oz. Doctors were concerned, and though I started out breastfeeding, I was told to supplement with formula after a few days.

And so, I breastfed in conjunction with me pumping several times in the day and feeding her expressed breast milk or formula. It was a blur because pumping and washing/sterilizing pump equipment and bottles took up a lot of time compared to just breastfeeding. I would pump up to 5 times sometimes.

During the next few months, I would try to pump more because I wanted to increase my milk supply. Sometimes the milk supply would go up a little, but if I had to do things during the day, and I skip pumps, the supply would go down. Eventually I decided to just pump less and my milk supply went down to a low of 1-2oz total per pump.

It was during her 7th month that I decided to go 100% breastfeeding. I started to offer her a feed every hour or so, and eventually she dropped most of her formula feeds. It was liberating for me and I also felt a sense of accomplishment for reverting her back to breast milk, because I know the opposite happens for a lot of moms - when they were told to supplement, their milk supply decreased and they eventually switched to formula.

It was also around this time that I suddenly realized that maybe her tongue tie may actually be the reason why she cannot breastfeed properly. (Doctor said she had a mild case of tongue tie when she was born, but delivery doctor and pediatrician both said that it was nothing to be concerned about.) After research and asking around, I realized tongue tie not only affects breastfeeding, but also speech enunciation and development later on! If I had known all these, I would have asked the doctor or pediatrician to correct her tongue tie via a simple office procedure which would have been quick, cheap and easy.

Thus when she was 7 months old, I decided to let her undergo a frenotomy, which is the removal of the frenulum beneath her tongue. This piece of skin prevents tongue-tied babies from breastfeeding properly. In fact it causes babies who are tongue-tied to choke on the milk because they are unable to suck and swallow the milk properly.

It was during the procedure that the doctor told us that she might actually be double tied - tongue and lip. We were shocked but were relieved that Dr. Korenman from Loveable Smiles (one of the rare doctors in the DFW metroplex that does laser removal of frenulums at an affordable price) was able to remove both.
A few days after the frenotomy, we went on a trip and it was quite a pleasant surprise to me from the time the plane took off, that baby breastfed with ease. It was the first time she emptied the breast. I started to offer her a feed every hour or so, and eventually she dropped all formula feeds, and was 100% on breast milk. It was liberating for me and I also felt a sense of accomplishment for reverting her back to breast milk, because I know the opposite happens for a lot of moms - when they were told to supplement because their milk supply decreased and they eventually switched to formula.

For the next half a year until I weaned her, I only pumped once at night. In fact, I had too much breast milk because I sometimes could not use up what I pumped at night during the next day. I had to put pumped milk into her cereal and solids to use it up. When we were on trips or on airplanes, I would bring a disposable little cup and hand-squeezed (under a nursing cover) whenever she needed milk to add to her cereal. Breast milk is really very convenient. :)

It was a bitter-sweet moment when I finally weaned her in her 14th month. I wanted to be free to go out and let others babysit her, yet I know I will miss those quiet comfortable moments of breastfeeding with her. I kept thinking that I should let her continue nursing to prolong the breastfeeding period. However, compared to my bleak outlook when I started this breastfeeding journey, feeling like a slave chained to a breast pump and the baby and missing out on any sort of life forever, I had not expected such a sad parting to come. Goodbye to a very personal part of me and baby. I know she will not remember it, but hopefully she will understand how it feels like when she does it herself for her baby.

Mommy loves you, little nugget.

Despite the Tears and Frustration…I’d Do it Again – Stephanie’s Story






Aidan James is my fourth baby to nurse, but by far the longest.  Each one of my first three had their own challenges.  

With my oldest, my only daughter, nursing caused me a lot of pain.  Not just feeding her, but the uncomfortableness of it all.  My back hurt because of the amount of milk I produced; I could never find a position that worked for both of us; I was young and didn't have much support outside of my parents and my husband. When the option of formula was offered, I jumped at the chance for some ounce of normalcy in my new life.  I quit nursing her at six months.

My second child, and first boy, was induced two weeks before my official due date.  He wasn't quite ready to make his appearance, but made up for it quickly by putting on eight ounces of weight by his four day exam.  I was exhausted.  He ate every two hours for at least 45 minutes.  All day; every day.  I felt like a zombie.  I knew if I could just make it to six months, like I did with my daughter, everything would be alright.  The day my son turned six months, I stopped.

My third child was a little more unique.  He was born with a tongue and lip tie so nursing him was excruciating.  He was my first baby born naturally in a birth center, so in my experiences, I had more support this time around.  We got my son the help he needed but not without blisters, mastitis, clogged ducts, and tears. I began to pump, so I could prepare for a week-long trip out of the country, without my son.  A year before my son was born, I had committed to traveling to India on a mission trip.  I left for that trip when he was around 4 months old.  I pumped every day I was gone, and cried every time I dumped it down the drain.  When I returned, I tried to continue to nurse him but I wasn't producing enough.  My milk had dried up by in that short time I was away.  We were both devastated.

I knew with my fourth I wanted something different, especially since he is most likely my last (unless God has a funny plan!).  I spoke about it with my husband and let him know that I wanted to go at least a year with Aidan and I would need his encouragement if I got frustrated and wanted to quit.  My husband agreed but reminded me that even if I didn't make it a year, Aidan would be okay. All of our other children were nursed and formula fed, and they all turned out pretty great - intelligent, friendly, athletic and good eaters - there is no reason Aidan wouldn't either.


Aidan took to nursing right away.  He had a slight tongue tie, but nothing like his older brother.  We adjusted nursing positions and he adapted easily.  I wondered for a while if I was producing enough milk since he is smaller than his older brothers, but even as we have added solid foods he has stayed in that similar build...and he can eat his older brothers under the table sometimes!

Aidan will have his second birthday on October 6th, we are still "deeting" - as he likes to call it.  The time has become less frequent, typically three times a day, but it is still one of our favorite times.  Because we do side-lying feeding, he likes to curl up in the fetal position next to me to “deet”.  If I have an itch on my side and go to scratch it, he helps me out.  Sometimes, he thinks it's funny to bring his foot up to my face and ask me to kiss his foot. He likes to comb my hair with his fingers while he “deets”...it's comforting to him.  Unless he gets a hair anywhere near his face - then we have to stop everything and find the hair.  He makes sure he can see both sides while he “deets”, because if he can't, he thinks one has disappeared and he frantically asks "Two? Two?"  When he is finished, we do foot-fives before he climbs into my arms to give me a love.  Then he takes off to find his siblings or climbs on my back to have me rock him before our bedtime routine.  

Breastfeeding has not been the easiest journey with any of my kids - even with Aidan it was a fight to get to this point.  But all those little things?  They make up for the tears and frustrations; and I would do it all again. 

Trials and Tribulations – Jennifer, Stella and Jude






To say that it’s a journey would be an understatement. It’s been an adventure, an expedition, an odyssey, a pilgrimage.

It all started with my first babe, Stella Jane.  She was born and had latched on within the first 5 minutes.  She was, for all I knew, a pro from the start.  I’d worried about being able to breastfeed; my mother had been told she didn’t make enough milk, and as probably every new mother does, I worried I might not either.  But Stella seemed to have no trouble getting what she needed and had more than doubled her birth weight by 8 weeks old. 
At 10 months old, as her front teeth erupted, I discovered some weak, hypo plastic spots where the enamel hadn’t properly formed, and these spots promptly succumbed to decay.  This led me to start researching, and I soon discovered that she had a severe upper lip tie. We had it revised by cold laser, easy peasy.  After researching ties, I saw, in hindsight, that some of our “struggles,” like her extreme gassiness early on, my oversupply and forceful letdown, were probably due to her tie.  But, we’d moved beyond those and were still successfully breastfeeding and continued to do so.  She loved to nurse.

Fast forward to around her second birthday.  I found out I was pregnant with my next little love.  Stella wasn’t done nursing.  I’d decided somewhere along the way that I wanted to let her decide when she was done.  So began our tandem odyssey (Odyssey defined as “a long series of wanderings or adventures, especially when filled with notable experiences, hardships, etc.). I read Adventures in Tandem Nursing. I powered through the aversions.  We crossed the rocky path that was night weaning. We walked the road of diminishing and eventually non-existent supply.  She nursed on. We climbed the hill of colostrum returning.  Then finally, her brother was born.

He arrived calmly in the water, at home, on a Wednesday evening.  Stella had nursed for the last time as an only child just a couple hours before he emerged.  They both latched on together for the first time in the postpartum herbal bath.  It was picturesque, almost idyllic. But he didn’t seem to quite know what he was doing around the breast.  It didn’t seem as instinctual for him as it had for his sister.

During the newborn exam an hour or so later, we found out why.  I knew to look for a lip tie this time around, and sure enough, he had a severe one.  But my midwife broke the news that he also had a pretty significant posterior tongue tie.  Being a doula and having a passion for breastfeeding, I knew what that could mean.  It was not good news.  But we were discovering it early, and I was hopeful that with timely intervention, we’d be fine.

At nine days old, Jude had his lip and tongue tie revised with a cold laser by a well-known provider here in the DFW metroplex.  He handled it pretty well (other than the post-op stretching exercises, which were torturous for everyone), but I really couldn’t tell too much of a difference in the way he was nursing.  He kept gaining weight thanks to my tendency towards oversupply, but I soon started struggling with clogged ducts and mastitis. I’d never once dealt with those struggles while nursing Stella, and that was a major cue to me that he was not properly draining the breast and was still indeed struggling.  He nursed very often, every hour and a half or so, around.the.clock. 

I went to see an IBCLC who confirmed that either a) his tongue tie had been incompletely revised or b) it had reattached.  We went back to the same provider who re-lasered it when he was a little over a month old.  I saw very little, if any, improvement after.  And the post-op stretching had become beyond traumatic.  It felt like Jude was dreading anything coming near his mouth, and I could understand why, poor baby.

We continued seeing an IBCLC who was very experienced in working with restricted and tied babies.  We saw a chiropractor. I did baby massage every night and tried to nurse him while he was completely relaxed.  We started OMT (Osteopathic Manipulative Therapy), driving an hour each way once a week to try and address underlying tensions and restrictions that were possibly preventing his revisions from being as productive as they should have been. I stopped doing the stretches on his tongue after significant scar tissue became apparent. The mechanics of his breastfeeding weren’t improving.  He didn’t want to nurse unless he was asleep or just waking up.  I had to go to great lengths to get him to sleep since he often was not satiated and was tense. His latch was shallow. He swallowed lots of air. His tongue clicked as he wasn’t able to maintain suction. I continued to struggle with clogged ducts and bouts of mastitis.

I sought the opinion of another dentist who thought that Jude needed yet another revision.   So between 3-4 months old, his tongue was cut again.  This time, I noticed slight improvement.  We decided not to do any stretches after this procedure.  They hadn’t helped with the previous ones, and it seemed like anything that was going to make Jude more averse to or traumatized by things in his mouth was not a good idea.  We continued seeing lactation specialists and going for bodywork.  The improvement wasn’t enough though.  I felt like our entire day, every day, revolved around creating the perfect environment to coax Jude to nurse. I was pumping multiple times a day to cue my body to keep making the milk he wasn’t strong enough to tell it to continue making himself.  He wouldn’t and couldn’t take a bottle. Formula was not an option, for many reasons; for us personal conviction, cost, food allergies. I knew this was not how it was supposed to be.  It HAD to get better.  I had come to terms with the fact that it would never be easy; heck, it might always be a struggle! But, it had to get better; it had to become functional so I could function.

I sought out one more provider in a last ditch attempt to attain some improvement.  We drove over an hour to him and spent pretty much every last dime of our savings to have a final procedure done. When he was just 5 months and one week old, his tongue was lasered for the fourth time.  I was desperately hoping for hope and praying that, if there was none, God would give me the strength to keep on keeping on as we were.


One week later, Jude nursed to sleep. I cried.  Breastfeeding had been a tense, anxious struggle for so long, and at last, he relaxed.  He fell asleep nursing.  It wasn’t instant and dramatic improvement after that, but he slowly but surely grew more efficient and more relaxed; the rest of us followed.  He started gaining weight again.  I gradually weaned him off the complicated routine of wrapping him and bouncing him on an exercise ball then rocking him while he nursed, and I was able to lay with him or just sit still and feed him.  We finished a few weeks of gentle stretches. We spaced out his OMT visits and were eventually able to stop.  We found our normal.

With Jude, it was a pilgrimage, “a journey, especially a long one, made to some sacred place as an act of devotion.”  The breastfeeding relationship between a mother and child is more than a physical one; it’s emotional and spiritual.  We found our normal, for us, our sacred place.  I had mourned the relationship I expected, the “normals” I had with his sister.  I had grieved what I hoped for and thought it “should” be.  But we found our sacred space.  And to this day, going strong at 16 months, I celebrate the quiet, still, relaxed moments where he smiles at me while he nurses just as I do the wiggly, uncomfortable moments where he paws at me for a quick drink or runs to me for comfort at the breast after falling down. I treasure his growth because it has been such a journey to sustain him.  His latch still looks less than ideal. It’s not textbook perfect, but it’s functional. And it’s sacred.