Showing posts with label lactation. Show all posts
Showing posts with label lactation. Show all posts

Monday, December 29, 2008

"Extended" Breastfeeding

Copyright 2007 by Anne Hinze, all rights reserved

It seems odd to me that people are so opinionated about a woman's decision to breastfeed her child longer than the obligatory 12 months. If you want to lecture me on something, lecture me on the fact that my almost -three-year-old is still addicted to her pacifier. That could have worse consequences for her than continuing to breastfeed through her preschool years.

The Facts:
The American Academy of Pediatrics recommends that all babies be breastfed exclusively for 6 months and that breastfeeding should be continued for a minimum of 12 months and as long after as is mutually desired by mom and baby.

The World Health Organization goes even further - saying that after 6 months of exclusive breastfeeding you should continue to breastfeed for two years or beyond.

Both of these statements are much more complicated than how I've paraphrased them, but they are both official policy for these organizations.

Worldwide the average child nurses anywhere from 2-8 years - which is why anywhere other than the United States we see greater spacing between babies because breastfeeding offers a period of lactational infertility for most women.

There are so many other facts that are important to keep in mind when you're discussing extended breastfeeding.

Human milk does not magically transform into White Water as Dr. Jack Newman so wonderfully puts it. The antibodies and nutrients so important for the first year do not simply disappear - in fact some properties of human milk increase in value the longer a child nurses.

Humans are the only species that drinks another mammals milk. Human milk for human babies, etc. Your child has no need to consume dairy products at all - in fact they are the culprits of all sorts of problems for little ones. There is a highly respected doctor (can't remember his name) who strongly believes that an overwhelming majority of "colic" cases he sees are actually cases where the baby is allergic or sensitive to dairy proteins present in the breastfeeding mom's diet or in the artificial baby milk the child is consuming.

So my son will not be introduced to cow's milk for a long time. I'm going to keep nursing him and that's the only milk he needs. He's already shown a tendency towards a diary allergy when he consumes yogurt and promptly throws it back up within an hour. I've limited the amount of dairy I consume so he is exposed to less through my breast milk.

Dr Jack Newman also says this: "Breastmilk is, after all, milk. Even after six months, it still contains protein, fat, and other nutritionally important and appropriate elements which babies and children need. Breastmilk still contains immunologic factors that help protect the baby. In fact, some immune factors in breastmilk that protect the baby against infection are present in greater amounts in the second year of life than in the first. This is, of course as it should be, since children older than a year are generally exposed to more sources of infection. Breastmilk still contains special growth factors that help the immune system to mature, and which help the brain, gut, and other organs to develop and mature."

"What about the emotional damage I'm doing to my toddler by continuing to breastfeed?"

This is one of the most frustrating questions I've come across. First of all, plenty of babies/toddlers self-wean and do so around a year or at two years - all by themselves. So if an infant/toddler is still nursing then it is because they choose to do so. You can't force a child to breast as you can with a bottle. The baby has to latch on and suck in order to get milk - all they have to do with a bottle is swallow as the milk drips into their mouth.

Dr. Newman again... "And breastfeeding makes the toddler dependent? Don’t believe it. The child who breastfeeds until he weans himself (usually from 2 to 4 years), is generally more independent, and, perhaps, more importantly, more secure in his independence. He has received comfort and security from the breast, until he is ready to make the step himself to stop. And when he makes that step himself, he knows he has achieved something, he knows he has moved ahead. It is a milestone in his life.

Often we push children to become "independent" too quickly. To sleep alone too soon, to wean from the breast too soon, to do without their parents too soon, to do everything too soon. Don’t push and the child will become independent soon enough. What’s the rush? Soon they will be leaving home. You want them to leave home at 14? If a need is met, it goes away. If a need is unmet (such as the need to breastfeed and be close to mom), it remains a need well into childhood and even the teenage years."


I've never let my babies cry it out, they've always been fed on demand - no limit on the number of times they could feed in a day. There have been days when I'm sure Wyatt has nursed 20+ times because he's needed to be close to me and I give him comfort as well as nourishment. Both slept in our bed until it either became a safety issue or they became bed hogs. Ok well, wyatt has always been a bed hog! He's in and out of our bed most nights as he's not sleeping through the night yet -(what a travesty, he didn't sleep through the night by 6 weeks...)

I refuse to be obsessed with these little things. He will sleep all night when he no longer needs milk in the middle of the night. He'll take a sippy cup when he's ready (maddie was already the master of hers at this age, but i think she was super early in that skill). I could force him out of the night feedings, but it's the one time in the day when I can just cuddle him without any distractions. I'm bleary eyed most mornings but I know this part of his life will pass by so quickly and I have no regrets for the time we spend together nursing. One day he won't want me for that and something else will take it's place for comfort.

There are more important things to worry about than how long I intend to breastfeed my child.

It's about as rude as asking another parent how long they intend to feed their child formula in a bottle. It's one thing to see a two year old nursing (although chances are you won't see it in the USA very often as it's something stigmatized and moms often choose to do it in private rather than being singled out in public. I'll nurse in public as long as I feel comfortable). It's a totally different thing to see a two-year-old walking around with a bottle hanging from its mouth.

Like I said there are far worse things we can let our children do than continue to breastfeed until they're ready to wean.

So do I have an upper limit on how long I'll let my child continue to breastfeed? I'm honestly not sure. My first goal is 2 years and to see how we're doing at that point.

So I'm almost at my halfway point as my other friends are contemplating how to wean. I have no desire to even contemplate weaning as Wyatt shows absolutely no interest.

I'm still in love with his little facial expressions as he latches on - the squishing of his nose and wide open mouth - the little noises he makes when he's impatient for me to feed him. The way he turns his head and opens his mouth in a dead sleep when I feed him in my bed.

So if anyone asks me how long I intend to "do that" I'm very open and honest that there's no end in sight for right now.

and really it's none of their business.

The difference between breastfeeding and nursing

Copyright 2007 Anne Hinze, all rights reserved.

I read something recently that there is a profound difference between breastfeeding and nursing.

Breastfeeding is something you do that nourishes the child while nursing is something that nurtures him.

I've pondered that a lot recently. Wyatt is 11 months old on Sunday and most women would be thinking of weaning at this point. They might be looking forward to it, or facing it with some apprehension.

We're not anywhere close to being done breastfeeding or nursing. I decided that he'd self wean when he's ready, hoping to meet and or exceed the World Health Organization's recommendation of a minimum of two years.

But that's not what is really on my mind as I'm just finished nursing him again tonight.

I'm thinking of all the bumps and bruises he's gotten lately - falling face first into the table or floor, pulling out drawers and smashing his little fingers. Those are all situations where he's definitely not hungry, but the breast brings him comfort - immediate comfort. It's not even something I think about anymore. He gets hurt and I nurse him. He's come to expect it - it's what he's looking for the minute I scoop him up to kiss his owie.

I've always enjoyed the sweetness of a newborn turning their head and rooting for a breast, but an older baby is even more of a beautiful thing. Sometimes it's subtle - a sweet patting on my chest. "Mom, do you think you could feed me?"

Other times it's a little more direct - as he tries to bury his head next to my breast. He's not trying to lift my shirt or anything (although I'm sure that's coming eventually) but he makes it clear as he nuzzles close to what he desires.

Yes, there are moments when it can be inconvenient, but honestly I don't mind. My friends and family are used to seeing me nurse my babies. They don't ask me to cover up or go in a different room. I've even gotten comfortable with my mom peeking her head closer to say, "Aww, that is just so beautiful!"

There are always curious toddlers wondering what Wyatt is doing. It's certainly not my place to explain why mommies have milk, but if they ask I'll say he's drinking mommy milk or that he's eating. I remember nursing wyatt on the hay ride and a preschooler asked me what I was doing. I explained that I was feeding my baby with mommy milk. His mother looked a little displeased with my answer, but I'm not going to lie and say he's sleeping!

I guess that's the difference with my children. To them, breastfeeding has always been and will always be the normal thing. We don't have many bottles in our house as Wyatt only gets one once a week and sometimes he won't even take it. Maddie routinely nurses her stuffed animals and if she does give them a bottle, she specifically says that it's mommy milk that she's pumped!

I love this about being a breastfeeding mommy. I love seeing pictures of my kids at the breast - and any baby at the breast actually. It's a truly beautiful thing symbolizing the perfect bond between mom and child. My little girl wants to see pictures of me breastfeeding her, and talks about pictures of her brother breastfeeding. It's not an exhibition of my breasts, but a visual memory of a sacred time between me and my child.

Wednesday, November 12, 2008

Just a few words

Obviously I haven't been writing much this week - and for that I apologize. My loyal readers check this page at least daily or more and I've been disappointing them and I am very sorry!

The good news is that I've been busy working around the house and although the light is not clear at the end of the tunnel - There's a speck of hope that one day we'll have an in order and de-cluttered house. My goal is before Christmas so we'll continue to be optimistic.

I haven't been feeling the best lately - I've had the old chronic pain all over my body coupled with headaches that are debilitating- especially when you have to keep up with two toddlers. I've been to the chiropractor several times and it helps briefly, but then the pain is back. I'm going to the massage therapist on Friday - hoping it will help release some of the tension and pain in my body. I hesitate to use the F- word - and I'm not swearing, just speaking of a condition I was diagnosed with about 8 years ago - I've essentially been in a form of remission for the past 4-5 years and it's been nice. I'm not sure what triggered it to come back, but I'm hoping to get the pain under control and hopefully it will go away again soon.

Friday evening I'm joining a few other doulas and lactation consultants/counselors for a networking dinner - and I'm excited about this opportunity. It's about time that people in this area who are affiliated with birth and breast feeding - band together and form a sisterhood of support! I'm planning to take a birth doula workshop in February through DONA - Doulas of North America. I had really wanted to take the post partum doula workshop and work on that instead of the birth doula, but I can't pass up a workshop that will be taught in Pensacola vs. one I would have to drive 6 hours away for...

Next week is Maddie's Thanksgiving dinner at school and it's hard to believe that Thanksgiving is just a short amount of time away!

It looks like we may be driving to Texas in the weeks ahead. We won't know more for at least a week or two, but I'm kind of hoping we do get to make the trip because Houston is a great place and I would get to visit my friend Heather (we went to her wedding in Portland last January). We'd also get to see Mike's mom - but the real reason for the trip would be to spend some time with Mike's grandma. She was recently diagnosed with terminal cancer and we'd like a chance to spend some time with her while she's still feeling mostly well. Please keep her in your prayers as she's opted for no treatment other than pain management.

Well I'm heading to bed now - I'm exhausted and Maddie has school in the morning!