Monday, November 23, 2015

Jennifer’s Journey – Low Milk Production







When my first child was born, I desperately wanted to breastfeed, but a different story unfolded for us. Despite several lactation consultant visits, he never successfully latched or nursed from my breast. I was heartbroken, but resolved to pump for him instead. After six weeks of getting only drops at a time, amounting to about 2 ounces a day, I threw in the towel for good. The desire to breastfeed my child(ren) was still strong, however, and I knew that one day I would have the opportunity to try again.

Three years later, during my second pregnancy with twins, I sought out resources early. A couple of friends invited me to a breastfeeding support group, which I attended faithfully to build my knowledge and confidence before my next two precious babies were born. I continued attending weekly until well beyond their first birthday! Five weeks early, they latched well, but weren’t efficient with their energy use. We got into a nurse-bottle-pump cycle, just until they were a little bigger… or so I thought. They bonded with the bottle instead of the breast. It was, after all, much easier, and what made them feel full and happy. They nursed for almost 9 months continuously followed with bottles and pumping. But it felt like the breast supplemented their bottles instead of the other way around. Although we were bonded to each other, breastfeeding did not have much of a bonding aspect except for them; one would only nurse when his brother did! Again, my supply was inadequate, but on my best day, with every supplement and medication I knew of, I was able to nurse and pump enough for about half of their needs.

Five years later, there I was again: eager to feed my baby and experience the bonding and closeness of a successful nursing relationship. Despite my previous supply issues, I had confidence in my body’s ability to produce milk for my child. After all, with my twins I had a few days of meeting half of their needs, meaning I was capable of feeding one baby, right? When my daughter was born, she latched and attempted to nurse, but not without cause for concern for my midwife, so we saw a lactation consultant as soon as we got home at 6 hours old. No major hindrances were found, just a baby who didn’t quite know what she was doing yet. Her first few days and weeks she lived attached to my breasts. She was fussy and unsettled and nursed for hours at a time around the clock. One pediatrician visit confirmed what I couldn’t accept: that she was not gaining weight properly. Once again, I was failing my child. I was devastated. That night, through tears, I poured my heart out to my dear friend. Her daughter was six months older than Abby, and had a medical issue keeping her from breastfeeding. My friend had been pumping exclusively for months to add a thickener to her milk so that her daughter could drink it without aspirating it, but she had finally outgrown the issue and was beginning to breastfeed again. She knew the heartbreak I was feeling (and had walked through my struggles with my twins, too), and it was comforting for both of us to have someone to walk our journeys with, even though I was just starting my trails with Abby and she was coming out the other side of hers. Later that night, she called me again. She had a freezer full of pumped milk that her daughter no longer needed, since she had just begun nursing exclusively. “That’s Abby’s milk!” she told me. What a gift! Although it was still disappointing that I was unable to provide my daughter with what she needed, it took away the guilt that I felt knowing I was the reason she was getting less than the best. She would still get the best; just not all of it would come from me. What an amazing blessing to both my daughter and me. This time, instead of the nurse-bottle-pump cycle, I supplemented with my friend’s milk at the breast using the Lact-Aid system. I also resumed taking every supplement and medication I could. It turns out that buying formula would have been cheaper for us than breastfeeding. Supplementing at the breast eliminated the nurse-bottle-pump cycle that I had lived for 9 months with my twins. What a difference that made! No longer hungry all of the time, my fussy child turned into a sweet, happy baby, and without the bottles and pumping taking time and effort away from her, although it was still incredibly challenging at times, we bonded fiercely over our struggles. We eventually found our groove, and settled into a comfortable, mutually satisfying routine which consisted of her nursing whenever and wherever she wanted! When she turned one year old, I found it sad that she was most likely halfway through nursing since making it to two years was my biggest goal, and I felt like we were still just getting started. It turned out that I was in for a surprise and we were still just getting started! She nursed day and night for another two years, then self-weaned at night and moved willingly out of our bed and into her own. She continued to nurse 4-6 times a day for another year, until she was four, and now, at 4 ½, she will nurse briefly at random. Sometimes she will ask up to four times in one day, and then go two weeks without asking at all. The days that I question if I should tell her no and be done, I think about how desperate I was to experience an extended nursing relationship, and how I didn’t fight this hard to come so far just to halt it before it’s time. I said I would be done when she is, and when she is done, so shall I be.

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.