Showing posts with label breastfeeding. Show all posts
Showing posts with label breastfeeding. Show all posts

Monday, July 07, 2008

Baby at the Breast


















Sorry...shamelessly proud mum here. My daughter Sarah painted this Warhol-esque breastfeeding baby (acrylic on canvas) as part of her final Breastfeeding Counselor project. Love it!

Now that we're on the topic of breastfeeding... A lot of women mistakenly believe that they will automatically receive incredible breastfeeding support at the hospital and during the initial weeks at home with the baby. Sadly, this is just a myth. Read about the resignations of local lactation consultant extraordinaire Renee Hefti, and then sign up for the breastfeeding courses that she offers in the community (604-733-6359).

Shameless promotion here - but it's truly necessary!

- Jacquie Munro, Vancouver Doula

Friday, May 09, 2008

Okay...so here’s an excuse to buy new bedding

When a single friend calls to say that she’s had “quite the night!” it can mean many things. But, when a client calls me post-baby...well, it means something completely different.

So, a client called to tell me that they’d had “quite the night!” She said that they had kept the night-time as low-key as possible. “Just like you said, Jacquie...lights out...no eye contact with the baby (Ed. note: If she sees you looking at her, then it’s party time!)...making sleep sounds during feedings...not waking a sleeping baby, diaper changing before the feed if needed, etc. etc.”

“Things were going quite well. Then, at 4am, I felt like one breast must have leaked all over the baby during the feed. In the dark, I used my hand and a cloth to wipe it up, then curled up with her and fell asleep.”

“Just after 6am, we all woke up, the sunshine streaming through the thin curtains, illuminating the bedroom scene...of poopy chaos!!!”

“My husband said if the room had been filmed in black and white, it could have passed as a scene of carnage!” she laughed, as she was telling me the story over the phone. “There was baby poop EVERYWHERE! It was smeared all over my face, my nightie, his hair, the baby’s hair...just everywhere! In our sleep, we’d rubbed it all over the sheets. too. I’d taken off her diaper, but not put another one on!!”

“We could have cried. But, we just sat there in bed, laughing. Because we remembered that you’d told us a similar story of another couple doing this...and using it as a good excuse to buy fancy sheets. So, we threw everything into the garbage (Editors note: I know, I know... this isn’t an eco-friendly story) and got into a bath together - all three of us. It was quite wonderful.”

Love it!

Wednesday, May 07, 2008

Phone calls to a doula

To all pregnant clients...here’s a “head’s up”. Some time after the baby’s born...you will make this phone call. The wording and timing may vary, but the questions will be essentially the same.

“I’ve got this pile of books here. One says to get the baby on a schedule, another says to feed on demand. But what does “demand” mean? What if the baby comes off after 10 minutes. Is that a feed? When do I change the baby? Before, after, or in the middle of a feed? Am I wrong to want to grab my baby away from visitors? You know, they’ve come all this way, and brought presents, but I just want to hide...”

We’ll probably spend up to an hour on this particular phone call. We’ll laugh together...we might cry together...then you’ll hang up the phone floating on air. Why? Because you will have been reminded of your infinite strength, your inner wisdom, and your ability to trust your body and your baby.

My role during the postpartum period is to help you tap into the same basic instinct that took you so beautifully through labour. Let’s assume, like most of my clients, you birthed without any disturbance, and everything was straight-forward. So, there shouldn’t be any major challenges to overcome (i.e. no latch problems caused by narcotics or aggressive suctioning, etc.) So, I will just have to remind you of your power that you drew on in labour, and remind you to continue trusting your body.

And, with the baby on the outside, you will trust her to teach you wisely and gently. You will be still and calm and hold her close always, in order to hear what she needs to teach you.

Just know that you will find it pretty freaky when she give you a withering look at midnight, as you’re changing her. It’s a look that will seem to say, “Oh, no, you really don’t know what you’re doing.” But then the look will be gone, and she will roll with whatever you’re doing, or cry and tell you a few stories. But she won’t hold a grudge. She’ll be amazingly forgiving.

And you’ll soon discover that changing her before a feed will save a lot of clean up time...because if you jostle her and change her AFTER a feed, she might easily throw up all over you and her new jammies. Then, she’ll be wide awake...and need another feeding...and the doorbell will ring...(don’t answer!)

And you’ll soon discover that zips and buttons and snaps can make you feel TOTALLY incompetent, so you’ll just buy those bag nighties with the envelope neck. Pull up the nightie, change the diaper, pull the nightie down. All done!

And you’ll also discover that a newborn baby is kind of like a 15 year old boy. “Hey, mum, I’m just going out to grab a bite.” “But, you just ate an hour ago!” “Yeah, great dinner, mum. Thanks! But I need a pizza.” No, you didn’t do a bad job as a mum. He’s just growing like a weed! Same deal with a newborn. Cluster feeds, marathon feeds, feeding every hour....whatever happens, it’s normal. Trust the baby to know what she needs - she won’t overdo it. And miraculously, she’ll morph into a more predictable creature at some point after 6 weeks.

Thinking about dinner...I like to think of the breasts like...Side A is dinner...Side B is dessert. Sometimes you want dinner without dessert. Sometimes you want a break before you eat dessert. Sometimes you go straight from dinner to two helpings of chocolate mousse. Whatever happens, it’s normal. You know, just like those nights when you have dinner (great dinner, right?) then have dessert...then want popcorn at the movies...oh, and some nibs, and a big drink. Then the next day you might just want salad. Do you analyze it to death? Do you need to read a book to see if you’re normal? No, it is what it is.

And that’s what life is like with a new baby. If you just roll with it and trust your body and your baby to figure each other out, it will work out fine. If you need a few pep talk phone calls along the way...then you’ll be just like every other mum.

“So, oh...before you go...I have to remind you to...
...lock the door to visitors who just want to hold the baby (and not vacuum)...
...turn all the clocks around, especially at night...
...sing out loud...
...and be easy on yourself...”

- Jacquie Munro Vancouver Doula

Wednesday, March 19, 2008

The Baby is Breastfeeding - Not the Mother






Hot off the press! In the March 2008 issue of Birth, check out the article "The Baby is Breastfeeding - Not the Mother" by Dr. Lennart Righard. The ending sums it up:
"In natural birth the woman is moving around in upright positions trying to find the most comfortable position and turning to herself to find her own inner strength. Such a woman is not so easy to control! She follows her own impulses and intuitions and her own body’s signals. She relies on nature. The same is valid for breastfeeding. The mother does not know how much her baby is eating, she has to rely on nature. This is the secret of success in the triad of reproduction (coitus, giving birth, and feeding from the breast): rely on nature, relax and let go, and you will be amply rewarded."
Then, take some time to view the WHO/UNICEF Breast Crawl video. Perhaps we all need reminding that instincts work! - Jacquie Munro, Vancouver Doula

Renee takes it to the community!

Renee Hefti-Graham, lactation consultant extraordinaire, offers wonderfully information Breastfeeding Classes and Consulting in Vancouver.

I encourage all my pregnant clients to book a private or group breastfeeding class with Renee. She also offers an additional in-home breastfeeding consultation and phone follow-up service, if needed. Renee's comprehensive service provides incredible continuity of care, a vital ingredient in breastfeeding success.

Please call Renee at 604.733.6359. - Jacquie Munro, Vancouver Doula

("Maternite" by Paul Gauguin)

Saturday, December 29, 2007

Breastfeeding Tips for Dads

As part of their Breastfeeding Counsellor's course, Sarah Munro and Ann Marcoux created a podcast of breastfeeding tips and tricks for men. They interviewed three local dads and let them do the talking. So, click and listen to Breastfeeding Tips for Dads.

And...

Geared to all dads, whether they're at home or not, Man in the Moon dad and baby groups in Vancouver offer support and fun with books for dads and their babies on evenings and weekends. Offered at most Vancouver libraries, these groups start their next session mid-January 2008. Check your local library for details.

Tuesday, November 22, 2005

"Take no advice...follow your own instincts...use your own reason, to come to your own conclusions" - Virginia Woolf


This week is shaping up to be “postpartum visit week.” Lots of wee boys (and their tired mums) to visit. I’ve also heard from clients whose babies range in age from three to eight months. We’ve discussed everything from sleep deprivation to “what the poo should look like.”

The major issue this week isn’t (thankfully) breast-feeding. Pretty much everyone is doing well and producing abundant quantities of breast milk. One client is even donating her extra milk to the Children’s Hospital Milk Bank, (604) 875-2345, ext. 7607. Another just phoned to say that, with the help of Renee Hefti-Graham (604-733-6359), her little girl finally latched successfully at six weeks and is doing so well! All the other babies are latching well, gaining weight, sleeping (at times) and peaceful (at times).

What seems to be causing anxiety this week is the overwhelming contradiction between a mother’s instincts and outside influences. Books, family, friends and complete strangers are undermining the mothering instinct for so many of my clients.

A client of a one month old was doing “just fine, thank you very much” until her sister gave her a book advocating strict scheduling of feeding and sleeping. After trying the suggestions for a few days, her baby was up every hour at night and no one was getting any rest. I asked her what her instincts told her to do...and she said, “To feed him when he wants, or when my breasts need relief, to pick him up when I feel like it, or when he cries, to carry him about, talk to him - whatever just feels right. But my family keep telling me that I’ll spoil him, and I find I’m second-guessing myself. It’s making me crazy!” Sounds sadly familiar...

Another client whose baby is three weeks old remembers being told to feed her baby every three hours. She found herself resisting the urge to feed her baby when he started crying every hour. Classic “three week” growth spurt symptoms! The baby was demanding more time at the breast in order to increase the mum’s milk supply. The only reason she resisted the urge was because of a comment made by the visiting health nurse weeks ago. Not trusting herself and her baby was leading to anxiety and conflict.

“But I just fed him!” is the common cry. Well, think of him like a 16 year old boy in the middle of the biggest growth spurt of his life. You’ve made dinner (which he wolfed down), and then, only an hour later, he’s hungry again! So he orders in a pizza. Then he miraculously grows 6 inches in a few months. Ahaa!

Newborn babies are just like that 16 year old boy. Their feeding patterns will vary from hour to hour and day to day. Sometimes they’ll pig out from 6-10pm (cluster feeding), and then the next afternoon they’ll sleep 3 hours. Problems only seem to arise once we start to throw our Type A controlling brain into the mix and start to analyze things. “Hmmm...let’s see, well, he slept three hours after we were out all morning, so I should try that again.” No luck next time... Just like living in the moment works well in labour, so it works in the postpartum period. The newborn baby will be a changeable being every day. Trying to discern patterns in his behaviour during the newborn period is a futile attempt at control. Oh, and you can’t spoil him at this point.

When I had a newborn, I always reminded myself “to think like a cave woman.” No clocks, no books, no scheduling, no “shoulds.” I turned the clocks around so that I wouldn’t be able to remember how many times I was up in the night. I allowed the passing of the night to become fluid, a zen time of quiet movements and silent feeds. I threw away the hospital feeding / voiding chart and tried to pretend that this was my fifth child, and that I had faith in my body and my baby’s ability to work well. I threw away the bra pin - the one that was supposed to remind me which breast was next. I would gently “weigh” a breast to determine where my baby needed to latch (have him take the heaviest!). I would read novels and poetry and children’s books aloud during each feed. And if I continued to hold the baby in my arms between feeds, just for a little more quiet, and a good read for myself, then I wouldn’t feel guilty. And if I needed to turn on the fan or the vacuum cleaner, or dance around with my baby in my arms just to soothe him (every night), I didn’t think we had a problem. I just accepted it as necessary in that moment. And if I had to head out for a drive to UBC and back (all the while listening to CBC Ideas) just to settle an especially cranky little one...and then woke the baby while tripping up the stairs...I’d just laugh and ask my husband to do the rounds again.

Sure, there are mornings when you wake up and you feel less rested than when you went to bed. There are days when you sit all day at the computer, reading the UBC calendar, just to see what you could have been doing if you hadn’t had a baby this year. And sure, there are nights when you crumple into a sobbing heap because that sweet little baby STILL hasn’t fallen asleep. And there really are nights when you wonder what you were thinking having a baby! That’s when you need to gather all the amazing people around you who REALLY support you, who won’t undermine your instincts, who will tell it like it truly is, and still be there to help - without judgement or advice.

What you need is a group of like-minded souls who honour motherhood. So, give me a call first, then start attending mum’s groups, even if you think your baby is the most colicky baby possible. We will understand. I will remind you of the strength you showed in labour, how hilariously out of control this all is, and that you are at the beginning of an incredible learning curve, so you need to be gentle on yourself. I will remind you that your baby is like no other. Your little family is like no other. You need to find your OWN way through this parenting maze without judgement or expectation - and yes, it will be a roller-coaster for a while. You will arm yourself with friendship, laughter, music, dance, walks and sleep whenever you can find it. Then you will gradually slough off your old Type A controlled existence (ah, such a challenge) with as much grace as you can muster. Together, we will help you to build up your confidence, and build strong boundaries about your new family, so that inconsiderate remarks and unwanted advice don’t undermine your fragile world.

And at six weeks, or three months, or at eighteen months...you will be at a point where you can say. “Wow, that was a ride!” But, supported by all those around you, you will have made it to a place where you might even think about doing it all over again...Then, Hey - call me!