Follow up to the breastfeeding post.

Written by Elena @The Art of Making a Baby on. Posted in HEALTH, New Mom Experience

Also read:

Birth Story Part I
Birth Story Part II
Reflections on Birth Experience
Breastfeeding Journey
Breastfeeding Products that Helped 

First of all, I’d like to thank you all for such awesome comments on the breastfeeding post! One day it will be an invaluable resource and support  for some new mom who’s struggling just like we all struggled in the beginning.

As expected, there were a few things I forgot to mention in the main post, so I am going to address them here, along with some of your questions. If you asked a question about products and supplements that helped me, that will be covered in the next breastfeeding post, so hang tight. If I somehow missed your question, please let me know.

Nipple Shield

 

As I was trying to recall my first few weeks of breastfeeding, I COMPLETELY forgot about the nipple shield. The hospital LC reluctantly gave me one after Alexis so quickly destroyed my nipple and warned that it has the potential to diminish my milk supply. At that point I felt I had no choice but to use it. For the next 4-5 weeks I kept trying to get off the nipple shield, but as soon as I went a few nursings without it, the cracks and bleeding  would come right back and I’d have to use it again. I have to admit using the nipple shield and knowing it can mess with the supply definitely added to the whole “supply worry”. I kept thinking that was the issue: because I used a nipple shield, she couldn’t get enough milk and had to nurse every 30-40 minutes and was fussy because my supply was dropping due to the shield in addition to her bad latch. (that was wrong btw). So after we finally called a Lactation Consultant and she visited us in our home and showed me a few tricks, I was more determined to stopped using the shield. She also confirmed that my supply was absolutely fine ( I was spraying and Alexis was one heavy baby) and that I just needed to keep trying and get off the darn shield. I used 3 different brands of shields and will talk about them in the next post, each one was good for a certain stage. Finally, I was able to nurse on one side without a shield, with pain but bearable enough not to be deathly afraid of nursing. It took me A LOT longer to wean my other boob off the shield and I kept going back and forth. I’d use the shield, then try to take it off for a few nursings, decide it just wasn’t worth it, go back on it. Until soon enough I was nursing without. All in all, I don’t think shields are all that bad, IF your baby is nursing frequently and for a decent amount of time.

Attachment

I wanted to clarify a bit what was happening with Alexis when I would leave her for longer than 2 hours. It’s not exactly a bottle issue. We introduced a bottle early on ( despite my fear that I’d mess up her latch even further), when we wanted to figure out my supply and why she was feeding so often (I’d pump, we’d feed her and see how much she’s taking and whether she’s hungry after). Whenever I left her with Andrew, she’d take the bottle just fine, maybe reluctant at first, but well enough. She is also perfectly happy hanging out with her father, who she has a really good bond with, since she spends at least 2 full days during the week with him exclusively. She’s never had any issues spending a whole day with him and my mom as long as I am home (but doing work or otherwise occupied with something important). Now, I have a few suspicions for why this was happening. I think it’s a new development and it has more to do with her getting overstimulated and overtired, because both events happened at 7:30 pm and I noticed she is now getting very upset around that time if we don’t put her to sleep promptly (a nap, she goes to sleep for the night at 10pm). And once she’s THAT upset, noone but me AND the boob can really calm her down. That’s my theory in short and we’re going to test it out and see. I’ll update in one of the future posts.

Reader Questions:

“From what I read in the internet, there is a very very long list of products that you are not allowed to eat, and very short one of what you can eat while breastfeeding. What’s your menu? I’d appreciate to read about someone’s actual experience.”

There was only 1 change to my diet that I made prior to starting breastfeeding (2 weeks before, to be exact). I eliminated all cow’s milk proteins (dairy). It takes about two weeks to clear your system. There’s a multitude of reasons for it with the simplest to explain being, that if your child is going to have allergies, reflux, colic, tummy pain, the most likely culprit is cow’s milk. So why not be proactive and not  have to test to see if your child is the one sensitive to it? My full reasoning is a lot more extensive and serious than that. Cow’s milk is just a really really bad thing (especially the way it’s currently produced) and with infants having a “leaky” intenstine in order to let mother’s immune factors through, milk proteins really mess with their system. Once the intestines close up, going back to eating dairy shouldn’t be a problem ( around 4-6 months).

Once Alexis arrived and we discovered that she has a bit of reflux, I went ahead and eliminated foods that tend to make reflux worse, like tomatoes, fried foods, onions, citrus and garlic. I noticed that her reflux acts up if I eat fried foods, not sure about the rest, but I am not willing to test it out yet.

So basically, since I don’t eat any meat, but  eat salmon and sardines for their DHA content, my meals are pretty much vegan with the exception of above mentioned fish. Lots of vegetables, whole grains, legumes, salads and vegan soups.

“This is question coming from someone who currently has no children but I am just really curious about the whole breastfeeding issue as having children is something in my near future. How does it hurt? That is to say, what is the baby doing that is causing the pain? Or is it your body just recovering from having a baby and your body just getting use to producing breastmilk so in turn your body just hurts and no matter what baby does it’s going to be painful? I have heard it can be painful so I am not doubting anything you (and the other commenters) are saying. I am just curious as to why. One would think with a newborn having no teeth they can’t bite you, but clearly that is not the issue. I know I’ll never truely understand until I am doing it myself but I’m just kind of curious anyway.”

I didn’t have any contractions or body pains (except for the first day in the hospital but those were very mild), however I have heard of women who have them REALLY BAD. The pain that most women are referring to is a searing type of pain on the surface of your nipple. Basically, imagine skinning your knee and then applying salt to it and pressing down and rubbing it in, then transfer that feeling onto something a lot more sensitive like your neither regions or your nipple. The baby’s tongue and lips rub your already sensitive nipple raw and then the continued suction and rubbing make it even worse. And it goes on for about 6 weeks. If you have a baby who tucks their top lip in, they give you a hickey on the nipple or areola which is really painful. And then add to that the fact that the pain doesn’t go away when you’re not nursing because you have to wear bras that rub on your nipples. If the latch is correct, after the initial pain, it should be fine, because the nipple would be positioned where it doesn’t rub on anything. But rarely can a newborn baby latch on perfectly, so the nipple ends up being rubbed by her/his tongue, the roof of his/her mouth, gums, etc. Many times the nipple is rubbed so bad, it gets cracked, you can see little “holes” and open cracks in it ( it was that way in my case). I don’t want to scare you though, it’s not that bad for everyone. Some women are lucky and end up with a baby who can latch well and a big well defined nipple.

There’s also pain during let down ( when your milk starts to come out/spray) in some women ( me including). It can be mild and prickling or strong and ache and feel like little tiny needles are poking through your nipple! Fun, huh? :)

Sarah: “Also, and forgive me if you have already answered this and I missed it, are you using nursing pads? If so, what kind? I’m small breasted/small frames and everything I try is too bulky and annoying, But I need something to stop the leaks!”

I tried a few nursing pads, including reusable washable ones and the only ones I liked were Simplisse ones. They’re thin enough and don’t tend to stick to your nipples like others. I was leaking in the beginning, then the leaking stopped, and now I’m back to leaking. In general, I find breastpad too much of a pain to worry about and since I’ve been staying home most of the time, I just change my clothes often :) lol

Lara: “Just have a question about pumping, cause it sounds like you did some of it quite early on. When did you pump? How many times a day? Did you pump on the side that Alexis didn’t feed from, or on the same side? (I’m hoping to introduce a bottle for occasions when I have to go out so I’m just seeing what others have done/do)”

Initially, I wanted to stay away from pumping because I knew it would lead to engorgement, possibly mastitis and oversupply. I didn’t need to build a milk stash urgently since I work from home, so I took it slow. I wanted Alexis to set my supply naturally.  At first I would pump because we were trying to figure out my supply and whether Alexis was getting enough. I’d pump until nothing would come out and feed it to her. Not much would come out at first: 1-2 oz from each breast.  Later once things started settling down I was pumping to have enough for me to go to my doctor’s appointment or dentist without having to drag both my hubby and Alexis with me, because she was eating every 30-60 minutes. Also, honestly, I didn’t have time to pump between her frequent feedings. The few times I tried when my supply was still establishing, she would end up wanting to eat literally 10 minutes after and I would have no milk for her. So I stopped until she started spacing out her feedings a bit more at night. I’d wake up with my breasts full, feed her on one side and pump on the other (in the middle of the night). After a while I collected about 20 oz by just pumping once at night, but I do believe it created a bit of an oversupply that I am somewhat struggling with right now. I don’t want to keep pumping since I really don’t enjoy being engorged and it’s a slippery slope. Plus she keeps chocking from the milk coming out too strong, so it’s not exactly great. I think for moms who mainly stay home, doing occasional pumping after the supply is established is the best way to go. Though, I’m sure it’s different for everyone, so see what works for you. If you can handle not going anywhere for longer than 1-2 hours in the first 8 weeks, then don’t worry about pumping. You can do that once your supply is good and set.

Also, I never got to mention it, because I haven’t done another postpartum post, but even though I avoided stretchmarks everywhere during pregnancy, after I started pumping and obviously getting too full, I developed stretchmarks on my boobs. I completely forgot that it can be an issue and didn’t moisturize at all (I couldn’t really with Alexis). Then around 8 weeks I started noticing them. It sucks that I didn’t pay attention to it, but at least they’re only on my boobs which are always covered up in public. So keep that in mind and don’t make the same mistake as I did :)

Engorgement

-I got a question about engorgement but I couldn’t find it for some reason. I didn’t struggle with engorgement much. It became very uncomfortable when my milk first came in, almost painful, but mostly very uncomfortable. I was saved from engorgement by Alexis’ feeding habits, which were a lot more frequent than normal, so I didn’t have time to get engorged. That is until recently when she started sleeping longer stretches at night. I am not bothered too much by it, but I know some women really struggle. It can be painful, uncomfortable and it definitely prevents the baby from getting a good latch or sucking effectively. Now that I think of it, I do remember being engorged in the beginning and Alexis having trouble sucking on anything but my nipple, which hurt like hell. The problem with engorgement is that the breast is so big and full and almost misshapen that the baby has trouble getting a good latch and removing the milk effectively, which can lead to more engorgement initially and an early weaning and low milk supply later. That was a big reason for why I was very careful with pumping. A few times when I’d wake up at night feeling too full, I’d pump for just a minute or so, because that doesn’t perpetuate the problem by stimulating the breast too much, but brings some relief.

Alyssa:  I do not want to start an argument, not at all. I think it’s neat to be able to provide food for your child without cost. However, with everything you said, why oh why oh why do you breastfeed??? It sounds so incredibly painful, it sounds hard, it sounds like you are trapped in your house until you are “no longer the only source of food”.Other than $$ that it costs to purchase formula, why NOT use formula? Anyone can feed the baby then, no pain on your part, baby still gets nutrition it needs (formula is not poison!). Win. Win. Win.I honestly am not trying to post just to create an argument, I legitimately do NOT understand women who go on and on about how painful it is and how you are the only source of food, and are engorged, and can’t leave the house, etc; I do not understand why not to use formula.For the record, I have two kids (1 and 2 years old), both drank formula 100% except for baby #1?s first 3 days. I “tried” to BF but I knew right away that it wasn’t for me. And there’s no question about “is baby getting enough?”  And no reason to change your diet (ie. eliminating milk products)

-No, formula isn’t poison, but it is definitely not the OPTIMAL nutrition for a baby, just look at the ingredients: corn syrup solids as one of the top ingredients. It also doesn’t have nearly enough DHA in it which is very important for synapse myelination in early childhood. We were made to feed our babies, our milk is created in a way as to give the perfect nutrition for human babies along with perfect emotional bonding. Our brains and system is developed specifically to thrive on breast milk and with breastfeeding emotional connections and closeness. Formula is a great answer for women who for some reason cannot or chose not to breastfeed, because without formula the baby would starve or be fed solids (cow’s milk, cereals, like in the days before formula) and possibly die from that. I don’t know the reasons for why most women breastfeed, but I would guess they are somewhat the same. For me it was never an option NOT to breastfeed. We went to such an extent to ensure  that during pregnancy I got the absolutely best nutrition and care possible, that it was just a no brainer to do the same once Alexis arrived.  I don’t need to bring up studies for why breast milk is beneficial and that very benefit is why women struggle and live in pain for the first 6-8 weeks. Then, of course, there’s the bonding experience like no other, the idea of giving your baby sustenance, the convenience, the savings- but all these were trivial to me, compared to the health benefits, emotional benefits and developmental benefits breastmilk has the potential to bring. As far as diet changes, the biggest one is giving up dairy and most women don’t do that, so in most cases that’s not an issue. If I were to feed Alexis formula, I wouldn’t give her standard formula that has cow’s milk, anyways.  I would feed her elemental formula that has all the proteins broken down into amino acids so there are no issues with cow’s milk sensitivity. Hope this explains it. I’m sure there are a lot more other reasons and benefits I have no time to think of right now.

Oh and also the question of “Is the baby getting enough” is not necessary. It’s only in our heads. I think if ALL women were to share their stories and experiences with honesty and in detail, and we had more of  breastfeeding society, the issue of “Is the baby getting enough” wouldn’t even come up, because we’d be confident in knowing how breastfeeding works and what’s normal and what’s not. I bumped into an awesome article about this syndrome of “low milk supply” that I would recommend anyone read.

Lindsey: “Random question, What carrier are you nursing alexis in, in the photo?”

-It’s the LilleBaby’s Nordic carrier. I’ll be writing about it and doing a giveaway sometime in the next month or so. I LOVE IT! It has a great head support, lightweight and not too hot. And as you can see, easy to breastfeed in.

Gina: “When you say she still sometimes chokes and has milk come out of her nose, do you know what that’s from? My son does the same thing (sometimes), I’m thinking it’s an over supply issue.”

-I’ve looked into this and have come to two conclusions. It’s either from reflux and their immature esophagus or from oversupply or both. I know she often chokes when the let down happens which is from oversupply. Milk comes out of her nose mostly when I am feeding her while lying down and I think it can be due to esophagus not closing properly and due to chocking from fast let down ( kind of like “went down the wrong pipe” deal).

Allyssa: “So are you a NIP without a cover mama or was the first photo just for the blog? I think it’s awesome when women do that. I’ll have to see how I feel when I have my baby. What is the carrier in the first picture? Do you have any other carriers that you BF in?”

None of the photos in the breastfeeding post were taken for the blog, I was really breastfeeding at those moments. I definitely have NO problems with nursing in public with or without cover. As a matter of fact, there were 3 golf carts passing by at that moment with people waving at us and saying hi (LOL). Breastfeeding is natural, boobs aren’t dirty or need to be overly sexualized, a baby eating the way it was supposed to isn’t gross but should be encouraged.  That being said, I am not going to walk around pulling my boob out wherever I want, but if Alexis needs to eat, I WILL feed her immediately. I have a few nursing tops and dresses, most from Boob Design, others are just nursing friendly (low neckline and stretchy), so I will always be discreet, however I make no bones about it, if I am not wearing a nursing top and I need to pull my shirt down and feed her where we both are comfortable, I will do so without trying to hide somewhere. I don’t think I will be using a nursing cover, I actually don’t own one. The carrier I am breastfeeding in is LilleBaby’s Nordic carrier. I also use Beco carrier to BF in, and plan on BFing in Moby and Balboa sling.

Next post: Breastfeeding Products that helped me get through 8 weeks and some breastfeeding goodies for you, guys.

Also read:

Birth Story Part I
Birth Story Part II
Reflections on Birth Experience
Breastfeeding Journey
Breastfeeding Products that Helped 

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