This follows on from this post. It was meant to be my next post but Easter got in the way!
When I fell pregnant with my first son, I planned to breastfeed. I looked forward to it. My mother had breastfed all three of her daughters without any fuss, and I expected to just take to it. It was natural, after all, and none of the pregnancy books/magazines/websites suggested that it would be anything other than a natural and easy experience.
My son’s birth was designed to shake me from my determination to control and be the best at everything. I developed pre-eclampsia and he had to be born ten weeks early by emergency caesarean (instead of full-term in water, as I’d planned).
All my expectations were shattered, including the joy of breastfeeding. I didn’t even get to see him for twenty-four hours, and after that my physical contact with him was severely limited. My milk supply dwindled, despite hours spent with my ‘mean green milking machine’ (as my sisters dubbed the hospital’s breast pump), and after three months I gave up in tears.
I quickly realised that formula was the best option for me and my son, and managed to let go of the guilt.
Then two years later I was pregnant again. After we clocked up more than thirty weeks of pregnancy and began to grasp with relief that this baby would not arrive prematurely, I was ready to breastfeed again. This time, I assumed, all would be straightforward.
However, this was no picnic either. My milk came in late, and we spent one night trying to console a screaming baby who could only get dribbles of colostrum from me. We gave him formula in the end, using a sterilised spoon to avoid the horrors of ‘nipple confusion’.
Eventually my milk came in, but our son was still struggling to latch properly. We spent the first three or four weeks of his life visiting different breastfeeding support groups, when really I needed to be resting. Eventually one lactation consultant realised that our son had a tongue-tie (when the connection between the tongue and the floor of the mouth is too tight). Another trip out to the hospital to get his tongue clipped, and finally we made some improvement.
It was still another few weeks before we really got the hang of it. Those were long, exhausting months. Feeds could last as long as an hour.
So to spare other mothers the agony of struggling to feed for weeks, and finally giving up (I was literally hours away from throwing in the towel) here are my tips for breastfeeding:
Recognise early on that this may not be easy. Some mums and babies take to it like ducks to water, but for many it is a painful learning experience!
Get skin-to-skin contact and establish breastfeeding as early as possible, ideally in the moments after birth. Make sure your partner and midwife know that you want this, or your baby will be plonked on top of your nightie, and everyone will forget about trying him on the nipple once the post-labour nausea and exhaustion kick in. It was several hours before I tried my son on the nipple, and I’m sure that affected how he took to it.
Get support. Ask other women who have breastfed for their tips and support. Have your partner, your mother or a good friend with you when you are shown how your baby should latch on – it is very difficult to see yourself whether your baby has a good latch. It was my husband who would tell me the latch was not correct, and insist I disengage our son and try again. Without his support, I would not have been able to feed correctly, I would probably have developed mastitis, and been forced to give up.
Mastitis is an infection of the milk ducts. Basically, if your breast is not properly drained during feeds then your milk ducts can become blocked and infected. The way to prevent this is firstly to ensure your baby is latching correctly. Secondly, if you notice hard, sore lumps developing in your breast apply a warm flannel to the area and gently massage them to loosen them and push the milk down to the nipple. Express (by hand or machine) to ensure the milk flows again.
If your breasts are cracked, bleeding and sore you can buy nipple shields for a few pounds to give your nipples a break for a few days. This can also help with a poor latch. If you are in serious pain, I honestly do not think it will hurt to give your baby expressed milk or formula for a day or two, from a bottle, in order to give your body a chance to heal. Don’t give up expressing though (you may find hand expressing less painful) or you risk developing mastitis.
If your baby is frantic and cannot latch on because he or she is too hungry, don’t be afraid to give them a small drink of expressed breastmilk or formula from a bottle that they can calm down enough to take the nipple. I know all the midwives are screaming out ‘nipple confusion’ but in my opinion the risk of this is overstated. If you gave your baby a bottle every feed for a couple of days you might find a problem, but the odd bottle here or there isn’t going to make much difference.
Babies are forgetful. You will have one amazing feed when they latch on perfectly and take a full feed without a fuss. Then the next time you feed they will gape and suck half-heartedly, fall of the breast, and generally go back to being newborn and having no idea how to latch on. Until they are at least six weeks old they aren’t aware of patterns, and so expect them to be erratic in just about everything.
Some mums I know have found their baby loses weight on breastmilk. This may be because the mother produces poor quality milk, in which case formula is the best option. However, I suspect sometimes this is because of the general advice offered about breastfeeding which is the worst advice ever: “Ten minutes on each side”. I know of no newborn who can drain a breast in ten minutes, leaving mum at risk of mastitis; and also this completely ignores the way milk is produced. The first milk the baby takes is quite thin, almost watery. As the baby drinks the milk becomes richer and thicker, contains more calories, and is more filling for baby. It is very important to give your baby one breast and let them drink until it is empty. Then offer the second breast to top them up and let them drink until they stop. This may take as much as forty minutes with a newborn as they are weak and fall asleep often (keep waking them!) As baby gets more efficient then you may find ten minutes is enough. However, in the early weeks that is not nearly long enough. Ensure you alternate which breast you offer first between feeds so that each side is drained every other feed.
Rest. Mothers today seem to feel they must get back to normal as quickly as possible. For some women this seems to be perfectly fine – a couple of my friends seem quite capable of going grocery shopping within days of giving birth, and if this is you then enjoy it and be thankful! For most mums I know, pregnancy and birth strips them of strength, vitamins and energy. Feeding a baby requires all those things, and rest is essential. If you are using up all your energy on housework, chores and visiting friends then your body will be slower to repair and will be trying to preserve calories instead of giving them to your baby. Rest. Rest and rest. Take naps with your baby (be rude to visitors if necessary). Hang a sign on your door asking visitors to call during hours convenient to you. Eat takeaway and ready meals for as long as you need to. Take long baths. Catch up on TV shows while you breastfeed. Listen to the Bible or sermons. Sit. You and your body have earned it. For the first few weeks I noticed a huge difference in my milk supply on the days when we were busy and I was rushing around.
Eat. Now is not the time to worry about losing your baby weight. There will be plenty of time to do that later, and establishing breastfeeding will help more than counting calories now. Breastfeeding takes an enormous amount of energy – 2,500 calories is your recommended intake. I lost 1lb a week while feeding my son and I enjoyed cake, ice cream and chocolate daily. It was the best diet I have ever been on! Mothers make a mistake eating low fat food during these early weeks. Right now your body and your baby need good amounts of healthy fat (cheese, lean meat, butter, whole milk). Enjoy guilt-free eating for the first three to six months!
Drink. Have a glass of water to hand when you sit down to feed your baby. You will find thirst hits you often in the early weeks.
Take your time and relax. Breastfeeding is God’s way of giving new mothers regular forty minute rests through the day when your body needs it! Don’t feel guilty about the laundry, dishes and hoovering. Those can wait. After a few weeks your baby will be much more efficient and feeding will take less time. Right now, you and your baby are in the best place on the sofa or in bed. Enjoy the intimacy and a valid excuse to put your feet up. Within a few weeks you will be longing for that excuse!
Be determined. Breastfeeding, especially early on, can feel endless and a waste of time, but I promise you that if you persevere it is far easier and less time consuming than formula feeding. I remember feeling so disheartened after putting my first son to bed each evening, and then facing a mound of bottles to be washed and sterilised, when all I wanted to do was sit down and rest. With breastfeeding I could put my son to bed and enjoy my evening. When he woke in the night I could pick him up before he began properly crying, pop him onto the breast and fall asleep while he fed in bed next to me, then stir to put him back in his cot (once he was about three months old and we had established feeding). With my first son night feeds were desperate. I’d scramble to find my dressing gown, stagger downstairs and find a safe place to put him while I warmed the bottle and his cries escalated to hysteria. Sometimes I’d overheat the bottle and stand in a panic running it under a cold tap while he screamed. By the time he’d fed, I’d be more awake than asleep and would often lie awake until his next feed. What I’m trying to say is, if you persevere through the early weeks, breastfeeding becomes easier than formula.
I just want to end by returning to the theme of this blog – life to the full. Neither breast nor formula feeding feels like ‘life to the full’. Either way baby wakes you through the night, and sometimes wants to feed all day. Either way you are exhausted and pushed to your limits, physically and emotionally. Parenting is an exercise in self-sacrifice. But, to quote my favourite person, “Whoever would hold onto his life will lose it; whoever gives up his life for me will save it”. By raising a child in love, for Jesus, you are spending your life in a worthwhile way, and you will find it full of joy.
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My favourite feeds with my second son were the night feeds. I had terrible post-natal depression, and the first six months of his life are mostly a black hole in my memory. Apart from the night feeds when we would sit, just him and me, enclosed from the darkness in lamplight, and I would pray.