Image courtesy of Martine Lemmens

As a reminder, here are the guidelines that will increase the chances a post will be selected for inclusion in the carnival:
– A well-written, grammatically correct post
– Thoughtful commentary directly on point for the carnival subject
– Overall quality of the rest of your blog and whether the general subject matter is something of interest to our readers (breastfeeding, parenting)

If your post is selected for inclusion, you will be asked on the day of the carnival to publish or re-publish your post with links back to each of the other participants in the carnival.

Post from: Breastfeeding 1-2-3

Newborn breastfeeding in the hospital. Photo courtesy of Daquella Manera

Sutter Davis Hospital in Davis, California

Stephanie Cassidy emailed me the following:

I just wanted to say that my experience at Sutter Davis Hospital in Davis, CA was great! They are pro breast feeding and fully support it. The nurses are encouraging and lactation consultants are available to support and educate you. The thing I liked was that if you chose not to breastfeed, use a pacifier, or supplement you have to sign a waiver. So no one is going to give your baby something you do not want them to have. They encourage breastfeeding on their website: “Breastfeeding allows you and your baby to emotionally bond in a special way that cannot be matched, because breastfeeding meets both the nutritional and nurturing needs.”

I love the use of a waiver! It emphasizes the importance of the decision not to breastfeed.

A Not-So-Good Experience

Kelly wrote to share her less-than-ideal interaction with a hospital lactation consultant:

I had my third daughter one year ago yesterday and I am still breastfeeding. I have now breastfed for a total of 5 1/2 years. I LOVED the hospital she was born at. The only bad experience I had was with the lactation consultant. When I got pregnant with my newest addition I was still nursing my almost 2 1/2 year old. I was slowly weaning her off but once I found out I was pregnant I went ahead and called it quits. I never really dried up completely. When I gave birth to my newest little one I had an emergency C-section (yuck) and I wasn’t able to nurse her until about 5 hours after she was born. They had to keep her in the nursery and as soon as I could feel my legs they let me go down to feed her, she latched on perfectly. I got her in the room that night and was able to feed her with no problem. The next afternoon I was already engorged. The lactation consultant came in and I was very open to her being there. I explained to her that this was my third daughter and I breastfed my oldest for two years and my second for 29 months and that my milk never dried up while I was pregnant. My husband hadn’t brought my pump up yet and that I was so engorged that I wanted the pump for a little relief from the pain, so that I wouldn’t get mastitis and so Chloe could eat more comfortably. She basically told me there was no way that my milk was already in and that I shouldn’t pump the milk out. So I then squirted the milk out across the room. I felt like she thought that I no idea what I was talking about. She basically shrugged off everything I said. At least that’s what I felt. Then she told me how I was holding the baby wrong. I was thinking in my head, You know she is making this very stressful. If I hadn’t been so comfortable with breastfeeding she would possibly be making me not to want to do it at all. Breastfeeding is overwhelming enough to have someone like that making you feel like an idiot. Someone else finally brought the pump to me and I did what I need to with no help from her and everything is still fine today. On a positive note, I was surprised to see the diaper bag for breastfeeding mothers. With my other two daughters there where only the formula bags. It’s nice to see that hospitals are more involved in helping mothers breastfeed. That they even have lactation consultants is wonderful I just happened to get someone that thought she knew everything. All I can say to that is everything isn’t written in black and white, there are other circumstances to what she thought was correct, mine was one of those. I’m not saying that every mother will need to pump like I did. I am now going to school to become a nurse and I will then do what is needed to become a lactation consultant.

Kelly, I laughed out loud at the image of you squirting your breast milk across the room to make a point for that lactation consultant! Good for you! Best wishes for your career training — I can tell that your experience will make you a compassionate and helpful LC!

Other Carnival Participants (Stay tuned as links are posted as they come in!)

The Milk Mama: Newborns, Nursing, and Hospital(ity)
Momma’s Angel: My Hospital Experience in Norway
Hobo Mama: Breastfeeding Support: A Tale of Two Hospitals
Whozat: The Nipple Intervention
The Motherwear Breastfeeding Blog: Had a Good or Bad Experience in the Hospital? Tell Them!
BreastfeedingMums: Top Tips for Breastfeeding Success
The Beautiful Letdown: Breastfeeding in the Hospital

Post from: Breastfeeding 1-2-3

Photo by TheTruthAbout...

As a reminder, here are the guidelines that will increase the chances a post will be selected for inclusion in the carnival:
– A well-written, grammatically correct post
– Thoughtful commentary directly on point for the carnival subject
– Overall quality of the rest of your blog and whether the general subject matter is something of interest to our readers (breastfeeding, parenting)

If your post is selected for inclusion, you will be asked on the day of the carnival to publish or re-publish your post with links back to each of the other participants in the carnival.

Post from: Breastfeeding 1-2-3

Post-It Image by Agata Urbaniak

Today I share a guest submission from a woman who does not have a blog but who felt strongly about sharing her breastfeeding wisdom in hindsight. At the end of her comment you can find the links to all the other carnival participants. First, Crystal offers the following insight:

What I wish I had known…to trust myself and my body to do what nature intended…which I am currently doing with breastfeeding my 7 week old twin boys!!!

I am currently a 27 year old mother of 3 beautiful boys. My first born son was breastfed for 18 months and weaned himself at that time. He breastfed with no problems and is as healthy as can be at the age of 4.5. Now I just recently had twin boys at 38 weeks gestation born on August 26th 2009 who are also breastfeeding on-demand. I had mixed feelings about my body making enough milk and having enough support for me to continue breastfeeding….etc. Many people said I wouldn’t be able to do it and even my boys’ pediatrician said I needed to supplement with formula because they were not gaining enough weight.

My twin boys are very healthy and are gaining weight through breastfeeding only. I am not and will not supplement with formula. My midwives said I am making enough milk for both my boys and that they are breastfeeding beautifully. Also they said that my body knows what it needs to do as long as I am eating and drinking enough. I am an experienced mother and I am experienced at breastfeeding. I must trust myself and my body to do what nature intended it to do:

To breastfeed my babies!!!!

I am happy to say that despite having my up and down days with breastfeeding two babies as it is difficult; I am never going to regret or give up on my decision to breastfeed my boys as they are worth it and much more.

Thank you to all the wonderful breastfeeding mothers who gave me advice, support, and encouragement in breastfeeding my singleton and then again in breastfeeding multiples. I believe in myself and in my body to continue breastfeeding my twin boys!!!

Congratulations Crystal and thanks for your submission!

Other Carnival Participants

Sarah Fancy Pancakes: Wish I’d Heard More Good Things
The Milk Mama: When breastfeeding begins badly, and what I should have done about it
Hobo Mama: What I wish I’d known when I started breastfeeding
My World Edenwild: What I Wish I’d Known Then: A Poem
Happy Bambino: I wish I had known then that it wasn’t up to me alone
Three Girl Pile-Up: 4 things I wish I’d known about breastfeeding
Birth Activist: What I Wish I Would Have Known About Breastfeeding
Breastfeeding Moms Unite!: You Don’t Have to Grin and Bear It
Momma’s Angel: What I Wish I’d Known Then: My List For Next Time
The Starr Family Blogg: I Wish I Would Have Known
Whozat: If I’d Known Then
Massachusetts Friends of Midwives: What I wish I’d known back then about breastfeeding
Fighting Frumpy: When Breastfeeding Feels Wrong
Breastfeeding Mums: 15 Breastfeeding Facts I Wish I’d Known as a First Time Breastfeeding Mum
Cave Mother: Nursing Wisdom
Blacktating: Breastfeeding Is Life-Changing
MumUnplugged: Six Things I Wish I’d Known

Post from: Breastfeeding 1-2-3

Photo by Leedman

As a reminder, here are the guidelines that will increase the chances a post will be selected for inclusion in the carnival:
– A well-written, grammatically correct post
– Thoughtful commentary directly on point for the carnival subject
– Overall quality of the rest of your blog and whether the general subject matter is something of interest to our readers (breastfeeding, parenting)

If your post is selected for inclusion, you will be asked on the day of the carnival to publish or re-publish your post with links back to each of the other participants in the carnival.

Post from: Breastfeeding 1-2-3

Photo of woman working by Ariel da Silva Parreira

As a reminder, here are the guidelines that will increase the chances a post will be selected for inclusion in the carnival:

– A well-written, grammatically correct post
– Thoughtful commentary directly on point for the carnival subject
– Overall quality of the rest of your blog and whether the general subject matter is something of interest to our readers (breastfeeding, parenting)

If your post is selected for inclusion, you will be asked on the day of the carnival to edit your post to link back to each of the other participants in the carnival.

Post from: Breastfeeding 1-2-3

In 2004 alone, major emergencies affected nearly 40 million people, including 5.8 million children under the age of five, in 55 countries. The main causes of death among children during emergencies are the same as those occurring among otherwise disadvantaged populations, namely malnutrition, diarrhoeal diseases, acute respiratory infection, measles and malaria. However, emergencies distinguish themselves by their frequently soaring crude mortality rates, which can be two to 70 times higher than average. Experience shows that even in previously healthy populations, child morbidity and crude mortality rates can increase twentyfold in as short a period as two weeks. The best hope for averting the disability and death that are so common among children during emergencies is to ensure that they are adequately cared for and fed.

One might hope that such a dramatic increase in mortality would not be seen in an industrialized nation with advanced medical care like the United States. Yet in 2005, less than a year after that report came out, Hurricane Katrina struck and — not including the immediate death toll — the mortality rate soared in New Orleans! For the six month period starting in January 2006, by some measures the mortality rate increased 47% compared to the mortality rate during the same time period in previous years. Incredibly, January 2006 was a full four months after the hurricane hit and the people in that region continued to suffer such devastating health effects. (It was difficult to determine the mortality rate right after the hurricane due to the disarray of the local health systems and the displacement of the population in the hurricane’s aftermath).

In 2008 researcher Jacqueline H. Wolf reflected back on the media coverage in the immediate wake of the hurricane:

Discussing our culture’s attitude toward breastfeeding in relation to the Katrina disaster would have been a tremendous public service. Think about how much our discomfort with breastfeeding would have been mitigated if one of the Katrina reports contrasted the convenience and dependability of breastfeeding with the difficulty and unreliability of formula feeding. Imagine: images of mothers’ breasts saving babies’ lives. That would have been a national revelation. We talk about the importance of breastfeeding, yet we’re a formula feeding culture. It seemed perfectly natural to all the reporters and much of the viewing audience during Katrina that mothers were hysterical and babies were dehydrated because there was not enough infant formula available. The entire nation seemed to be saying, “Of course that’s a consequence of a hurricane.” No reporter thought to ask, “Why aren’t these women breastfeeding?” No reporter thought to ask, “What roadblocks have we constructed as a nation that would dissuade women from breastfeeding and put their babies through this completely avoidable horror?”

“Got Milk? Not in public!” International Breastfeeding Journal 2008, 3:11. This Medindia article describes one tragic Katrina story:

Some women freeze when it comes to breastfeeding during emergencies and this happens in countries all over the world. When Hurricane Katrina hit the US in 2005, a woman who was stuck on a rooftop with many other family members and with little access to clean water, bottle fed her two week old baby for two weeks and when rescued later, asked for help to dry up her breast milk because her breast felt sore with the accumulated milk. When asked why she didn’t breastfeed her baby the mother replied that she “felt quite unable to do this.” The baby later died in a hospital.

A health counselor who worked with survivors of Katrina said sadly, “What amazes me is that no one with the mother in New Orleans knew to have the mother put her baby to her breast. So many generations had not considered breastfeeding as a way to feed babies that the memory was lost. The baby was lost, also.”

Mothers need to get the message that breastfeeding is a lifesaver, whether it be in regular times or times of emergency. In an emergency mothers who are breastfeeding should continue to do so. Mothers who have recently given birth should put their babies to the breast and mothers who have given birth within six months should nurse and hand-express to build up a milk supply as best as each mother is able. In an emergency, if the mother’s own milk is not available right away or through re-lactation, then donor human milk or wet nursing should be considered. Only then should ready-made formula and canned formula be considered as last resorts.

Other Carnival Entries

Motherwear Breastfeeding Blog: Breastfeeding in Emergency Situations
Blacktating: Breastfeeding and Living through Hurricanes
Hobo Mama: Breastfeeding in Local and Global Crises
Pure Mothers: Marketing away “Real Milk”
Chronicles of a Nursing Mom: Tips for Consistent and Long-Term Breastfeeding Success
Zen Mommy: How Breastfeeding Prepares a Child for Life
Cave Mother: The Moments That Made Me Thankful That I Breastfeed
Fusion Parenting: Breastfeeding: Prepared for LIFE!

Post from: Breastfeeding 1-2-3

As a reminder, here are the guidelines that will increase the chances a post will be selected for inclusion in the carnival:

– A well-written, grammatically correct post
– Thoughtful commentary directly on point for the carnival subject
– Overall quality of the rest of your blog and whether the general subject matter is something of interest to our readers (breastfeeding, parenting)

If your post is selected for inclusion, you will be asked on the day of the carnival to edit your post to link back to each of the other participants in the carnival.

Post from: Breastfeeding 1-2-3

It’s true of nearly any profession. The keys to success are not technical knowledge or even years of experience. As I law student, I was not asked to memorize all the rules of federal, state, and local law. That would be impossible! Instead I was taught how to get at the heart of an issue and how to research and interpret the applicable laws. As a parent, I don’t need a Ph.D. in psychology or years of mothering under my belt. Mainly I need a sympathetic ear and a few resources, friends, and experts to consult. The same is true as a breastfeeding support professional. The most important skills for breastfeeding support are listening, identifying the real issue, and knowing how to find the answers. Sure it would be wonderful to have an encyclopedic knowledge of lactation, but such knowledge won’t get a lactation professional very far if she cannot discern that when a mother says:

“I don’t have enough milk” she often means “My family members want to feed the baby a bottle.” or
“I need to know how to wean my baby” she often means “I’m [going on a trip/need to take a medication/am in pain] and want to continue breastfeeding if it’s possible.” and
“Are there just some women who cannot breastfeed?” she often means “I want your permission to wean.”

Listening

Offering effective support. Photo by Shlomit Wolf.

Researching

I might not know off the top of my head whether a specific antibiotic can be taken safely while breastfeeding, but I know how to consult LactMed and Medications and Mothers Milk: A Manual of Lactational Pharmacology. I also know how to share the correct information with the mother, reassure her that the doctor who told her she needed to wean in order to take the medication was mistaken, and offer ideas on how the mother can talk to that doctor about continuing to breastfeed while taking the medication.

Offering Empathy and Guidance

Sometimes the best response is not:

“Here is my advice.” but “That must be so difficult.” and not
“The answer is….” but “I will be happy to find out for you.” and not
“You should….” but “Here are some of your options.”

Only when a mother feels heard and understood has the lactation counselor succeeded at breastfeeding support.

Your Experience

Was a lactation consultant or breastfeeding counselor particularly helpful to you, and if so, how? If you are a lactation professional, what do you consider your most valuable skill?

Other Carnival Participants

Angie Tillman, RD, LDN, CDE – You Are Beautiful Today
Anthony J. Sepe – Women’s Health and Migraines
Ashley Colpaart – Women’s health through women
Charisse McElwaine – Spending too much time on the “throne?”
Danielle Omar – Yoga, Mindful Eating and Food Confidence
Diane Preves M.S.,R.D – Balance for Health
Joan Sather – A Woman’s Healthy Choices Affect More Than Herself
Laura Wittke – Fibro Study Recruits Participants
Liz Marr, MS, RD – Reflecting on Family Food Ways and Women’s Work
Marjorie Geiser, MBA, RD, NSCA-CPT – Healthy Women, Healthy Business: How Your Health Impacts a Powerful Business
Marsha Hudnall – Breakfast Protein Helps Light Eaters Feel Full
Michelle Loy, MPH, MS, RD – A Nutritionista’s Super Foods for Super Skin
Monika Woolsey, MS, RD – To effectively work with PCOS is to understand a woman’s health issues throughout her life
Motherwear Breastfeeding Blog – How breastfeeding helps you, too
Rebecca Scritchfield, MA, RD, LD – Four Keys to Wellness, Just for Women
Renata Mangrum, MPH, RD – The busy busy woman
Robin Plotkin, RD, LD – Feeding the Appetites of the Culinary, Epicurious and Nutrition Worlds-One Bite at a Time
Sharon Solomon – Calories, longevity and do I care
Terri L Mozingo, RD, CDN & D. Milton Stokes, MPH, RD, CDN of One Source Nutrition, LLC – Crossing the Line: From Health to Hurt
Wendy Jo Peterson, RD – Watch Your Garden Grow

Post from: Breastfeeding 1-2-3

Lots of carnival participants have shared their own stories and advice about nursing in public (see links at the end of this post), but first I would like to discuss the issue of whether women should or should not cover themselves with a nursing cover while breastfeeding in public. At first it might seem like a non-issue. I think most breastfeeding advocates would agree that women should not be told that they must cover themselves while nursing, but if a mother feels more comfortable using a cover, then she should use one — whatever it takes to allow her to feed her baby. To each her own, right? Well, maybe not.

Bebe Au Lait Nursing Cover

I have posted instructions for sewing your own Hooter Hider-style nursing cover and have had several women say how much they appreciate it. However, I once had a breastfeeding advocate tell me that she was not inclined to post a pattern for a nursing cover because she believed it sent the wrong message to new mothers; that they might feel they had to cover up and had to breastfeed in as discreet a manner as possible.

So in the corner of Reasons to Cover:

~ It can make a woman comfortable nursing in public when she might not otherwise.
~ A cover can help an easily distracted baby settle to the task at hand (er, at breast).
~ The cover actually draws attention to the act of breastfeeding and might encourage other women to nurse in public if they see a way that they too would be comfortable nursing in public.

In the corner of Reasons Not to Cover:

~ Some babies refuse to be covered.
~ Without the “right” type of cover, some women have a difficult time seeing the baby and getting a proper latch.
~ A cover potentially can be hot and uncomfortable for mother and baby.
~ As I said, a nursing cover often draws attention to the act of breastfeeding — something a woman using a cover might actually have been trying to avoid!
~ Feeding without a nursing cover helps normalize breastfeeding.
~ Showing women that breastfeeding in public can be done without a cover might empower other women to do the same.
~ A cover might diminish a baby’s communication with the mother and his or her experience with the world, if only for those feedings in public.

In the end I do not think a breastfeeding mother is under any obligation to refrain from using a cover because it might send the wrong message. Just as the woman who does not use a cover is not “whipping out” her breast to make a point, the woman who does use a cover is not doing so to send a message that all breastfeeding women should cover themselves. A nursing mother’s only obligation is to her baby. Period.

What do you think? Do you use a cover and if so, why? Did you make a choice not to use a cover, and if so, why? Have your feelings changed as you have become more comfortable nursing in public? Leave a comment!

Other Carnival Participants (stay tuned for more links being added below through Monday, June 22 — this is a huge carnival!)

Lucy & Ethel Have a Baby: Nursing In Public (Boobs) Out and Proud
PhD in Parenting: Would You, Could You Nurse in Public?
Dirty Diaper Laundry: Breastfeeding in Public Talent – I Haz It
Kim through the Looking Glass: Here? At the Restaurant?
GrudgeMom: Nursing in a Room Full of People You Know
MumUnplugged: Aww, Is He Sleeping?
Massachusetts Friends of Midwives: Nursing in Public: Chinatown, the Subway, the Vatican, and More
Mother Mary’s Soapbox: Breastfeeding My Newborn in Public
Tiny Grass: Nursing in Public as an Immigrant
Mommy News and Views: Tips for Nursing in Public
Blacktating: Thank You for Nursing in Public
Motherwear Breastfeeding Blog: Get Kicked off a Bus for Nursing in Public? Here’s How to Respond
Mama Knows Breast: Products That Can Help You Breastfeed in Public
BreastfeedingMums: Nursing in Public: What’s a Breastfeeding Mother to Do
Stork Stories: Little Old Men & Nursing in Public
Chronicles of a Nursing Mom: Why Worry about NIP?
Warm Hearts Happy Family: Breastfeeding and the Summertime
Musings on Mamahood: NIP, no tuck
babyREADY: A Wee NIP in the Park
Tales of Life with a Girl on the Go: Plains, Trains and Automobiles, We’ve Breastfed in Them All
Breastfeeding Moms Unite: Nursing in Public, A Fresh Perspective on Nurse-ins
Never a Dull Moment: A NIP Product Alternative: Breastfeeding Hats versus Traditional Nursing Covers
Hobo Mama: Easy, Discreet Way to Nurse a Toddler in Public

Post from: Breastfeeding 1-2-3