Tag Archives: Lactation help

Lactation Derailment Can Begin in the Hospital: 10 Tips for Avoiding a Trainwreck

29 May

I must preface this blog by explaining that

fourteen years ago I became a mother/baby nurse, and ten years ago I became the resident childbirth educator and “breastfeeding counselor” on staff at a local hospital.  We did not have an IBCLC on staff, so I was IT until we hired another educator.  My training as a nurse, some time as a member of La Leche League and my own personal breastfeeding experience was all I had in my arsenal.  Though I wasn’t “official,”  I worked the position of a lactation consultant.  And it wasn’t easy…so many moms…so little time…so many interventions.  That being said, please read the following with the understanding that I have been “on the other side,” doing my best as a nurse to help fresh babies latch…bending over beds as an educator positioning babies and sandwiching breasts for moms who were too sleepy on pain medication post-cesarean to do it themselves.

A week ago, I had the privilege of visiting a new family in the hospital to provide assistance with breastfeeding.  She has given me permission to share my observations.

When I arrived, I had dad undress baby down to diaper and in skin to skin with mom.  The baby was only 36 hours old and very sleepy after a long labor and difficult delivery.  Mom, Dad and I chatted for a moment then got to the business of latch.  The baby would not wake up.

A nurse came in to give mom pain medication.

Though I was not surprised at the baby’s behavior, he appeared jaundiced, and I knew it was important to get colostrum into him.  So, we proceeded to hand express and collect colostrum to spoon/syringe feed him.

Then the baby photographer came in to show the picture previews.

Mom asked her to come back later.  (Reminder:  Mom is sitting in hospital bed with her breasts exposed.) We continued hand expression and then fed the colostrum back to the baby.  He began to exhibit some hunger cues, so we put him back to the breast.

The OB came in to check on mom.

Once again, latch attempt without success.  More hand expression.

Knock, knock? Have you had a chance to look at your pictures? Baby photographer again. (Are you kidding me?)

More teaching, more skin to skin….fed baby more colostrum.

A different nurse came to check on mom.

Another latch attempt…

The first nurse came back to tell mom the baby’s procedure had been delayed.

We wrapped up latch attempts (and the baby) as we knew the nursery nurse would be coming to get the baby soon.  He was happily sleeping in Grandma’s arms as we discussed a care plan.

Persistent photographer, back again, insisting on showing the pictures.

I wrote out mom’s care plan.

Nursery nurse came to retrieve baby.

I ensured mom had my number for questions, planned to follow up with a home visit, and I made my exit.  Did you count the number of interruptions?  How long do you think I was there?

Eight interruptions in one hour and fifteen minutes. 

I left there concerned about derailment and feared I would encounter a trainwreck at her home visit.  Fortunately, when I arrived, breastfeeding was going well and she needed very little assistance from me at the follow up.

Now, I realize everyone that came in just saw me as a visitor.  They weren’t aware of who I was or why I was there.  However, my presence aside, feeding her newborn was mom’s priority, but what was the priority for the people that kept interrupting?  Definitely not feeding a 36 hour old, sleepy newborn who appeared jaundiced.

How can a mom even think about getting breastfeeding established when she is being bombarded by staff from all sides?  It’s sensory overload.  As a private practice lactation consultant, I see the outcome of this all the time….the trainwrecks…the result of the cascade of interventions.

What steps can you take to avoid the trainwreck?

  1. Take a prenatal breastfeeding class so that you know what’s normal for the early days of breastfeeding.
  2. Hire a Doula to minimize birth interventions which can lead to troubles breastfeeding.
  3. Find a breastfeeding friendly pediatrician who will support your breastfeeding goals.
  4. Research local resources for breastfeeding help that are available to you once you get home such as La Leche League or private practice lactation consultant that is an IBCLC (International Board Certified Lactation Consultant).
  5. Prepare your partner to be the gatekeeper after delivery to minimize interruptions in your breastfeeding. You may also want your partner to accompany your newborn to the nursery to keep watch and ensure your feeding preference is respected.
  6. Hand express your colostrum and feed back to the baby. Doing this up to 6 times a day can increase and speed copious milk production.
  7. Reinforce your desire to breastfeed without any supplementation to every nurse that you have contact with.
  8. Room-in with you baby to keep your baby close and to learn his hunger cues.
  9. Better yet, keep your baby “on” you to facilitate skin to skin contact which has been shown to stabilize temperature,
    heart rate and oxygenation. You are your baby’s best habitat!
  10. Ask to see the lactation consultant…and keep asking….getting help early is so important!
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A “Time” To Celebrate

16 May

Molly at 24 Months

I didn’t need to read the article featured on the cover of Time  magazine to predict the tone of the piece, and it was obvious that the intent of the photo accompanying the article was to ruffle feathers not encourage educated, non-judgemental discussion.  Fact is, how you feed your baby and for how long is a personal decision. As mothers, we should have the freedom to parent our children without fear of judgement.  Any woman who takes hold of the responsibility to ensure the health and well-being of her children is

mom enough.”

Bay Area Breastfeeding and Education supports breastfeeding as the biological norm, and we would love to see exclusive breastfeeding rates at 6 months increase (currently only 14.8%)…

  • Katherine Dettwyler’s anthropological research shows that the minimum predicted age for natural weaning is 2.5 to 7 years.
  • The World Health Organization recommends exclusive breastfeeding for the first 6 months of life, then to 2 years or beyond.
  • Here in the United States, the American Academy of Pediatrics “reaffirms its recommendation of exclusive breastfeeding for about 6 months, followed by continued breastfeeding as complementary foods are introduced, with continuation of breastfeeding for 1 year or longer as mutually desired by mother and infant.”

…However, though our goal is more moms breastfeeding and more babies receiving breastmilk, we support moms where they are and work to help them reach their goals.  The mom is the mom…we are not; the baby is hers…not ours; the baby has to eat…it’s mom’s decision not ours.  We educate, we practice using the evidence, we encourage breastfeeding, we support with compassion, we foster empowerment.

  • The mom who breastfeeds is mom enough.
  • The mom who formula feeds is mom enough.
  • The mom who home schools is mom enough.
  • The mom who has her kids in public school is mom enough.
  • The mom with one child is mom enough.
  • The mom with five kids is mom enough.
  • The mom who wears her babies is mom enough,
  • and the mom who doesn’t is mom enough.

So, we celebrate moms of all walks of life, everyday, everywhere.  And in celebration of the 100 strong moms and 101 beautiful babies BABE has had the privilege of walking along side of, we are giving away a beautiful Moby Wrap (pictured).  Here’s how to win:

  • Click the “Follow” button and enter your information to subscribe to our blog.
  • Comment on this blog post by responding to: “We know you are mom enough….tell us how.”
  • Share our post with someone.

The winner will be selected in a random drawing out of the pool of blog followers and will be announced on June 1, 2012, in a blog post.

Who’s Feeding Momma? 10 Ways to Support a Breastfeeding Mom

16 Apr

1. Share your successful breastfeeding stories and experiences and leave the negative experience or breastfeeding “horror stories” for another person……a new mom is already emotionally full as she processes her birth experience and contemplates motherhood…she is full of desire to be successful at breastfeeding and bonding with her new baby.  Offering stories of challenges may not fill her with the inspiration she needs, especially if she is struggling…..certainly let her know she is not alone even if there are struggles but adding to the list of “what if” and “could that happen to me” worries is probably going to have a negative effect.

2. Bring her food!! And NO it does not have to be bland and boring just because she is breastfeeding. Most nursing babies have no problem with any foods a mother eats even spicy or bold flavors. You could ask a mother about her preferences but don’t hold back on foods she enjoys. Or make her easy-to-grab, healthy snacks that she can store in her nursing nest and can eat while she feeds the baby!

3. Pamper mom!! Bring her some flowers to brighten the room, offer a foot rub or shoulder massage or bring her some chamomile tea to relax. Fill Momma’s love tank so she can fill baby’s!!!

4. During a feeding help her relax.….if you are present for a feeding, and you see mom getting tense, some gentle relaxation reminders can be helpful! Sometimes her shoulders creep up to her ears. Reminding her to relax and encouraging a few deep breaths can even help with the milk letting down!

5. Ask her what tasks around the house would help reduce her stress.….often times offering to hold the baby or take the baby so she can rest will only stress the mom more or make her feel inadequate as a mother. What may enable her to relax and focus on the baby is clearing the kitchen sink or doing some laundry. Straightening a room or walking the dog? Ask her!!

6. Be the gate keeper…..the early days of learning to breastfeed are usually filled with fumbling and adjusting as mom and baby learn the dance of latching. Mothers may find it hard to manage and focus if there are many visitors stopping in. Help decrease visitors, and you may also want to hold off on long visits until she requests it or feels up to them!

7. Send encouraging texts and emails….let her know how proud you are of her efforts to breastfeed, her dedication to breastfeeding, her amazing mothering abilities…….a simple text like ” You are an awesome mom and every drop of breastmilk you give your baby is a precious gift!” can carry her to through a long feeding at 2 am or a round of evening cluster feedings!

8. If she needs help…help her find good help…..IBCLC’s are the gold standard for  lactation care, bring her a list of local IBCLC’s to call on if she is having any issues!

9. Look up her local chapter of La Leche League and help her get to a meeting! Mother to mother breastfeeding support is invaluable…..she needs to feel like she is not alone…..even if everything is going well, it is good to meet other like-minded moms doing all the same things she is!

10. Help educate others around the new mother about ways to help support her! If you are reading this blog, there is a strong likelihood that you have a new mom in your life…..pass this blog on to others in her life as well.  Create a “village” around this new mom to inspire and support her on the journey of breastfeeding her baby.  Each child we see breastfed in this generation will contribute to a healthier and happier world in the next!!

Meet the BABE IBCLCs…Misti Ryan

22 Nov

For as long as I can remember (early childhood), I have been fascinated with mommas and babies.  My earliest memory of this fascination is when I was about 4 years old after I must have seen a mom breastfeed…I tucked myself in a little corner of our living room with a blanket and my baby doll and proceeded to nurse my doll!

These early experiences fostered a desire to help mommas and babies in my adult years as I attended nursing school and specialized in obstetrics after I graduated.  My career was my passion.  Once I had my foot in the door, though, I plunged head long into my primary goal in life: getting married and having a family of my own!

My wonderful husband and I were married in 1999…baby number one was born the summer of 2001.  My sweet little daughter was born at home with the assistance of my now life long friend and midwife, Jackie Griggs.  She nursed right away.  I was in mommy heaven!  Then, day #3 hit…the challenges!  Nothing was going to keep me from nursing my baby, so I persisted through, and by 6 weeks we were nursing comfortably, and it was pure bliss!

As a labor and delivery nurse, I knew that after my own personal breastfeeding experience I was in a unique position to help moms avoid the problems I had in the beginning of my breastfeeding journey.  I took the childbirth educator position when it became available and added a breastfeeding class to the repertoire soon after.  My job evolved, and I gradually began counseling inpatient breastfeeding moms as an educator.  I made it my personal mission to educate myself on all things breastfeeding and the dream of becoming a lactation consultant was born.

La Leche League played a big role in my breastfeeding success as well as my dream.  I became a leader shortly after the birth of my 2nd daughter in 2004 and have been co-leading the Pasadena group since then.

My family grew rapidly, a son in 2003, another daughter in 2004, third daughter in 2006, and a surprise daughter in 2009…all natural births and all breastfed.  Needless to say, I stayed busy, and each year that passed I patiently postponed making the commitment to apply for the IBCLC exam.  Then, in the fall of 2010 I met Leah Jolly while working on our La Leche League groups’ treasuries.  The rest is history, and here I sit…my dream realized.

I believe mommas are strong.  I believe babies are smart.   I believe birth is a dance.   I believe breastfeeding is natural.  And I am so excited to be a part.  Let the adventure begin!

Meet the BABE IBCLCs…Leah Jolly

22 Nov

My journey towards Lactation consultant work started with my love for science. I grew up thrilled with anything science and nature. I explored my world with the eyes of a scientist. I was so interested in the natural course of life and as I moved through my school aged years my interest grew and I was drawn into science as a career path in college.  I began college sure I wanted to work with animals but after a year of veterinary nursing school I was not so sure, I found my self more drawn to human life and sciences. So I transferred to University of Houston Clear-Lake and acquired a degree in Biology.

In my last year of college I met and married my husband. We started our family a year later. My first breastfeeding experience came when my first son arrived and due to his oral motor hypotonia, we struggled a great deal and with a lack of support to continue through the struggles, we only had 4 weeks of breastfeeding. I was devastated and determined to have a different experience the next time. When my second arrive, in 2003, after a very traumatic birth, breastfeeding started on another difficult path. Determined to not give up, I sought the support of my local La Leche League group and this is where it all began.  Even though we still had a very difficult time breastfeeding, the support and encouragement made it all so much easier! After a year with the group, I began my work to become a leader.

We had two more children, in 2005 and 2009 and with each one my breastfeeding experiences became more and more positive and less difficult.  I continued my work with La Leche League and loved helping moms achieve their breastfeeding goals. I was so reward to give back what was given to me! In the fall of 2010 I decided I want to be able to help moms even more and made plans to sit for the 2011 IBCLC exam.  I met Misti through our La Leche League work and we decided to become study partners…..well the rest is history!! My dreams have come true beyond measure! I absolutely love working as an IBCLC. I love empowering moms to listen to their own voice and their baby. It is a joy to be part of such a special part of the mothering journey! Daily, I am amazed at the strength and perseverance of mothers. I look forward to many years of working with moms and babies!