Saturday, February 19, 2005

Breastfeeding 103 - at your request

I had a request to write more about the magical world of breast-feeding twins. Well, ever one to try and please a reader, here goes:

Breastfeeding 103: What “they” didn’t tell you.

Point One: Pain is not normal. Pain is not just a part of it. Pain doesn’t not mean you need to toughen up and get used to it. Pain means that there is a problem and you need to see some body about it. It could be an infection, it could be a bad latch, it could be a poorly fitting bra - it could be anything. Please, go to http://www.lalecheleague.org/ and find out. A lot of people won’t tell you their painful nipple/aching boob/mastitis/bad latch stories because they don’t want to scare you or put you off nursing. However, many women experience some form of pain or discomfort when first nursing because we rarely have the opportunity to see someone nursing, to discuss nursing with an experienced mother or feel that we can “stare” at a baby nursing without seeming rude. How then are we supposed to know what to do? I don’t mind if someone wants to see how my babies latch on, how they nurse or whatever, but I am rather open about these things. It seems to me that the mothers who nurse, in general, like to talk about it and the mothers for whom it has not gone well are reluctant to talk. It’s too bad – those who need information are afraid to ask and those who have the knowledge have very few people to teach. I hope I don’t make someone who chose not to nurse her baby uncomfortable and I also hope that I don’t push breastfeeding discussions on those who are not comfortable talking about it. If I do, just tell me to put a sock in it, will ya?

Point Two: Bottle-feeding is not the only way a Daddy can be involved with the baby! I know a stay at home father who was disappointed that his wife stopped nursing their baby at eleven months. He felt the baby should have been breastfed until at least 18 months, but she found the pumping, storing and bottle-feeding to be too much with her full time job. Very understandable, but shouldn’t the father, by all popular myths, be glad that he could “take part in the feedings better” now that there are no boobs involved? This father is the one who takes the child to playgroups, music classes, to the park, the playground, the museum, out to lunch, to baby kick-boxing, tae kwon do classes, to the Let’s Read Proust at the library, etc. How could he feel less involved if the baby nursed when mama got home? So if you are thinking to bottle feed just so Daddy can be more involved, don’t do it. If you want to bottle feed so Daddy has to be more involved, well, that’s your call, of course.

Point Three: All kinds of weird things happen to your breasts when you are pregnant, and a lot of it is so you are ready to breastfeed. For example, having pointed out that pain is not normal, there are some pains that can not be avoided, but that do get less acute with time. Such as my old pal, vaso-constriction. That’s what it is called when your nipples suddenly blanch and you feel a stingy, ouchy, burning sensation. It will happen less and less as you nurse more and more, don’t worry. The easiest and quickest way to soothe the pain is to press a hot washcloth against the skin. Heat took the stinging away for me almost immediately, so when the babies latched on with their warm little mouths, it did the same thing. A few other women I have mentioned this to agreed it went away by month two, so don’t fret!

Point Four: Babies wean when they are ready, all by themselves, sometime after they are a year old. So if your seven-month old baby, after an ear infection, or a bout of the flu, or mouth ulcers or something, suddenly stops nursing for a few days, it could be a nursing strike. Just pump milk to keep up your supply, or keep on nursing the other twin, and give the striking baby the breast-milk from a cup or a spoon, or, my trick – with an old medicine dropper, that the Tylenol was washed out from. If you are nursing twins, the suckling baby will make the striking baby jealous, and pretty soon they will both be at it hammer and tongs again. If you have just one baby, pump for a few days and offer the breast when the baby is sleepy, or at nap time, or just after a feeding of apple smush, or whenever the baby usually nursed happily. Another way to encourage breast feeding is to run a warm bath, get in it with the baby and snuggle skin to skin. Quite often the warmth and the water and mama all together are too much for even the most adamant striker to resist. Of course when the baby is 22 months old and now YOU want to wean, you are going to wish you hadn’t helped the striker cross the picket line, so to speak, but we are operating on the assumption you want to nurse until the baby is physically and emotionally ready, and that rarely happens at seven months.

Point Five: When your twins are 18 months old, they are still going to want to nurse nursety nurse as much as they did when they were 18 days old. Except now, as willful, strong minded toddlers, they have the ability to tell you they want to nurse and to make you fell terrible if you say no, for whatever reason. So be prepared to have The Attack of the Toddlers happen at playgroups, in libraries, in restaurants, or wherever you might find yourself sitting down. And if there is another baby nursing in the room, your own nursling will see, think – That looks like a great idea- and run to pounce on mama. You are forewarned.

4 Comments:

Anonymous Anonymous said...

These are all good and interesting points. I had a lot of excruciating nipple pain in the first few weeks and ended up seeing a lactation consultant which helped so so much. I don't think I would have made it through without her. And then suddenly at four weeks I realized nursing was no longer feeling like a chore, and didn't hurt anymore, and just like that, I became an old pro. My daughter weaned herself at ten months.

I think you're right that it's really helpful to have other moms to talk to and demonstrate when you're new at it and you don't know what the hell's going on. I always tell people exactly what happened to me so they can learn from my experiences.

Elise
http://ladygrey.typepad.com/fish_out_of_water

11:21 PM  
Anonymous Anonymous said...

I turn out to be the house-father in question in Point Two, although I hope
it doesn't sound like I really overschedule my kids like that.

I agree with MotherOfTwins's basic point: there are lots of ways that
non-breastfeeding partners can be involved. There are certainly enough baths,
story-times, diaper-changes, peek-a-boo games, and other activities throughout
the day (or the early mornings and evenings, if the NBFP is working) to bond
with the child, to have some fun parenting, and to give the mother time to
herself.

Providing food, though, is a very basic way of connecting -- providing food is
providing love. It makes sense to involve both parents in some way at some
point. But forcing the NBFP to get more involved than he or she is really
interested in will just make for problems.

But buried in MotherOfTwins's comments above are a whole host of other issues:

- yes, I thought our kids, especially #2, should have been breast-fed longer
(my wife stopped altogether at nine months, a milestone I remember because
someone else in the playgroup later told me that the vast majority of the
benefits of breast-feeding come in the first nine months). Breast-feeding is
a jaw-droppingly amazing process that for me is part of my Womb Envy. How
could anyone stop this miracle? How could anyone turn off this fountain of
life? But the question came up of whether I had standing to object; after all,
although the child is mine, too, the body is hers, and all the same pro-choice
arguments over what women do with their bodies and their reproductive health
apply.

- I was already plenty involved and not at all jealous of the mother-child
connection. I didn't need to handle extra feedings. If anything, my wife was
feeling that she'd reached her biological destiny and was now reproductively
obsolete.

That's all for now; it's time for the kids' Youth Philosophy lessons.

6:42 PM  
Anonymous Anonymous said...

I agree that as a rule nursing shouldn't continuously hurt. But, from my experience and those of others with whom I have spoken, there is a period of adjustment for your breasts, and more specifically, your nipples. Even in the most amorous of relationships, your breasts are not called upon with such frequency. To have them sucked on every hour or two is not going to be this wonderfully pleasant experience initially. I think it is doing women a favor by admitting this...Understandably, if there is terrible pain, you should work with a specialist to ensure all is well...But, it can take a while to toughin' the gals up.

I would also like to agree to MotherofTwin's point that women who have a difficult time nursing or give it up entirely are often reluctant to talk about it. I think there is a lot of pressure on women to nurse their child and to love doing it. But, for many women, having given up their bodies for nine months, they are ready to reclaim it. I wholeheartedly believe this doesn't make them selfish...To be a good parent, one cannot by nature be selfish. It is just a decision and a personal one at that.

9:20 AM  
Blogger Meira said...

Nursing hurt me for about the first month-- let down was very intense and then there was just this general soreness during the nursing. But then it went away and the other 13 mos were pretty damn joyous.

Indigo girl sent me over-- I'm 34.5 weeks with twins and looking for all the breastfeeding advice I can find . . . and therefore very interested in posts Breastfeeding 101 and 102 . . .

Melanie

1:26 PM  

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