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

Wednesday, June 15, 2011

We are all Habiba

Imagine that you are the mother of a 15 month old.

Not a stretch for many of the people I know.

Now imagine that you have fallen on awfully hard times.

Again, not a stretch for some of you.

Imagine that you have lost your home. You and your child are without shelter, without work, scared, alone. You have left an abusive partner.

So you suck up your pride. After all, you have a child to think of. A child that you love, a child that deserves the best. And even though things are pretty grim, you have to take care of your baby. That's the important thing. It would be for me, at least, and I imagine for every parent out there. Your kid comes first. So you go to a shelter. You go there because it is your last hope. Because you dream of a better life, but you seriously need help now.

And so you go there. And you try to comply with what they say to do. But they tell you you have to wean your baby. And your baby is probably a little freaked out by the change - toddlers don't handle them well, after all - and weaning is stressful. Stressful to the baby. Stressful to you. So you refuse. Because, really, it's BREASTMILK. Nursing is recommended by the World Health Organization until at least age two - the average world weaning age is three to four. Even your country's top physicians recommend it. And, being in a group home situation, what is better for your baby than immune protection tailored to her environment? After all, it's not like you have tons of money to go ahead and get medical care.

It is with this reasoning that you politely refuse to wean.

And with that, you are plunged into a nightmare.

Your daughter, your sweet, 15 month old child who knows no other care provider and has not been separated from you, is ripped away. You are kicked out of the home while your child is kept from you. Your breasts swell, used to being relieved by nursing. Your child is presumably a wreck - kiddos don't do well removed from a loving caregiver. You are a wreck. SOMEONE HAS TAKEN YOUR CHILD. You were not given the chance to say goodbye or to plead your case.

Now imagine that in the past 14 days, you have seen your precious child for 2 hours total. Imagine how you explain to your baby why she is with someone else. Imagine how you feel when she is taken away again after a short visit. Imagine being a fit parent, whose only crime was being poor. Now tell me how you feel. Tell me if this is ok.

Yet this is the exact scenario faced by a young mother in Spain. I am ashamed, today, to admit my Spanish decent. I am ashamed that the country of my ancestors is allowing something so cruel and tragic and anti-family. Anti-child. Anti-mother.

If you are human, you cannot help but think that this is horrible. If you are a parent, you cannot help but feel for this mother. If you have ever been economically disadvantaged, you know how powerless you already feel and how terrible this is.

If you have a heart, it is breaking for Habiba.

Please, please, please my friends. Please sign this petition to help this mom get her child back. Please help reunite this family. Please take a stand for basic human rights.

(If you are having a hard time on the site, since the actual signing part is in Spanish: nombre=first name. Apellido = last name. Tu correo-e = e-mail address. Cód. Postal = zip code. Click the little box to accept the terms and then click Firma la peticion.)

Friday, May 20, 2011

Conversations with a Formula Company

So today I was at a conference. Our booth was to promote breastfeeding, of course. We were right next to someone representing Abbott Labs. Abbott, as you may know, makes Similac.

At first, I was actually very impressed. The newest "breastfeeding bag" was displayed. For those of you who don't know, when you have a baby, and you are discharged from the hospital, you get a lovely bag from a formula company. If you are formula feeding, you get one bag; if you're breastfeeding, you get another.

The breastfeeding bag promotes breastfeeding and is full of helpful, beneficial breastfeeding stuff, right? Um, no. Traditionally, they have a supply of formula, coupons for formula, a breastfeeding guide and some breastmilk storage bags that you can use for formula when the formula you're given totally sabotages your supply.

So I was THRILLED to see that the new bag on display had NO FORMULA in it.

"Is that what you guys are giving out?" I asked the guy behind the table.

"Um, yeah. I think. I don't really handle the hospital part."

"But...it doesn't have formula! That's like ethical."

He looked at me in utter confusion at that. Poor man. Anyways, he said, "Well, I think we're moving away from promoting in the hospitals so much." (italics mine. He didn't say that all weirdly.)

I. Was. So. Excited. As some of you know, "breastmilk bags" are the bane of the lactation consultant's existence. They contain just enough formula, as I said, to sabotage a new mom's supply. And they sit there in your cupboards, seductively calling you in the early days when you're tired and confused and unsure of yourself. And maybe it's overnight and you're scared, and not sure who to call of even if you can call anyone. So you use it. And since formula is a heavier meal (like Thanksgiving vs. a normal meal) it sits on your baby's tummy longer. So you go longer between feedings. That must mean that you didn't have enough milk, right? So you replace a couple more feedings. Before you know it, KABLAM! You have a crappy supply and you totally doubt your body. Then you're a Similac Strong Mom and they can get literally hundreds to thousands of dollars from you.

Anyways.

So the guy tells me, "Hey, hang on - I'll get the guy who handles the hospital stuff to answer your question."

He walks away, and I look at the bag. It has Kleenex, wipes, 10 newborn diapers, and a toy. Awesome!

The Similac rep comes up, introduces himself, and asks me what questions I have. I say, "These are your new bags?" I gesture to it.

"Oh yeah," says he.

"There's not formula in them?!?"

He here looks sheepish. "Well...they do. But there's only a two day supply, and we're really promoting breastfeeding. And I know that they say that the sample might mess up breastfeeding, but we're really not trying to do that here." He pulls out the actual bag from under the table and invites me to take a look.

It was labeled "breastfeeding" and contained: formula, the bag, coupons for diapers, a cooler bag, "breastmilk" storage bags, a sample of wipes, and information on breastfeeding.

I looked at the breastfeeding information, because I honestly wanted to see what it was like.

There were 2 pamphlets on infant feeding.
The good:
There was legitimately good information on bottlefeeding a baby. Since most people, even breastfeeding moms, eventually use a bottle, I find it HIGHLY important to know how to bottlefeed. We all have this idea about holding the baby prone and holding a bottle upside down in their mouth, but that's a terrible way to feed. You should hold your baby semi-upright and not just pour the milk down the baby's throat. And that was essentially what the pamphlet said.

There was some decent breastfeeding information. It correctly said that your baby should be pooping 3x a day by 3 days and had a decent diaper diary in there that accurately showed breastmilk poops. There was also a graphic showing that a newborn's tummy is the size of a marble and a ping pong ball on day 3. This is true, and important to know.

The bad:
Um, everything else? Lol.

First was the chart of how often to breastfeed. Here it is:


I tell people that they will be feeding their babies 8-12 times a day in the beginning. That is what you do. Babies have tiny tummies and breastmilk is the perfect food, so it is digested quickly. New babies nurse every 60-90 minutes on average. But make a mom think she's nursing more than the average, and, whoa. Well, you have a starving baby! You're not doing it right! Just c'mon and use formula. Clearly your anatomy can't make superior product properly.

Also, remember the tummy sizes we talked about? The marble and ping pong ball? The ones Similac even mentions?

You try to pour 2-3 ounces of liquid in a marble or ping pong ball and tell me how that works for you. Hint: not well. Yet, we're so shocked that kids overeat and are fat. Not at all something we're forcing on them or anything. Even if you are formula feeding, you should NOT be giving your new baby 2 ounces at a time.

Another fun gem was the "how to tell that your baby is getting enough" section. Did you know that your baby should sleep for 2 hours straight after every feeding? Let's not at all take into account the very high percentage of babies who sometimes like to nurse one side, take a fifteen or twenty minute nap, and nurse the next. Nope, they shouldn't be doing this common newborn behavior. There must be something wrong!

And then I came to the hotline. Similac's "feeding experts," billed as lactation consultants.

"Are these lactation consultants IBCLC?" I asked. Full disclosure: I knew they couldn't be. The Code of Ethics for IBCLCs says they cannot work for formula companies.

"Oh yeah."

I kept looking at the pamphlet, but I must have tipped him off in some way that I thought that that was utter bs, because he then said, "Well, Similac contracts with LifeCare and they provide certified lactation consultants that receive similar training to IBCLCs."

(The full story is that the IBCLCs that worked for LifeCare, who *does* provide legitimate breastfeeding support, said that they would absolutely NOT be working for Similac's line, so other people were given an 80 hour training course and set loose "helping" moms. IBCLCs, to even be allowed to test this year, must have 45 hours of lactation specific education and 1000 hours of breastfeeding contact hours. That doesn't even count the numerous hours of studying someone has to do to pass the IBLCE exam. So, yeah - not even close to comparable to 80 hour online courses. Also, lactation professionals have called that line and reported that the advice in incomplete or downright wrong.)

*Sigh*

To wrap this up, I want to say that I am not anti-formula. When I needed it, I was thrilled it existed, and I've even used Similac in the past. I don't think Similac is the most unethical formula company (Nestle takes the cake there.) But I am very disappointed at the bait and switch on their table. While I don't love formula companies giving out bags, if they didn't have samples in them, I would see that as a step in the right direction. And, let's face it, Similac - you've had some godawful press recently (bug recall, the aforementioned hotline issues and the disastrous phone app.) Might be nice to do something that didn't suck, huh?

Thursday, August 5, 2010

Perspectives: When "Natural" =/= "Easy"

I'm honored to be a part of the Breastfeeding Blog Carnival hosted by The Leaky B@@b. It's World Breastfeeding Week and the carnival theme is "Perspectives: Breastfeeding from Every Angle." Visit The Leaky B@@b for more perspectives on breastfeeding.

Hi, my name is Star, and I used to think breastfeeding was disgusting.

I like to think of myself as a breastfeeding success story.

My mom nursed me, but, obviously, I don't remember that far back. Growing up, no one ever nursed around me. The few babies I saw were fed by bottle. I thought that that was just, you know, how it was done.

When I was sixteen, my sister had her first baby. I went to the hospital to see my new nephew, and there he was – attached to her breast?!? Ewwwwwww, sister boob! My teenage self was so horrified. I spent the visit doing everything I could to not look at her while she nursed.

Fast forward seven years.

I'm married now, and, after trying for a veryveryveryvery long time, expecting. I'm so enamored by my tiny little ultrasound pictures, and the small bump I'm pretending I already have. I'm buying up all sorts of baby stuff and maternity clothes, and I'm loving every second of this experience so much.

I'm really concerned about her car seat. I want to get a really good one. While researching that, I find, inexplicably, a bunch of stuff about breastfeeding. The more I read, the more it intrigues me. The health benefits for my baby and me, the amazing components of breastfeeding...I decide, right away, to give this a go. The websites all seem to talk about how natural and beautiful it is, and I'm so excited.

In my mind, “natural and beautiful” becomes “easy” and I'm shocked when, in the hospital, my baby won't latch on. After three consultations with the lactation consultant and a begrudgingly given nipple shield (that “you'll want to wean her off of as soon as you can, dear”) we're on our way. Yay! It's time for the natural, beautiful, EASY part!

Except it's day 4 and I have no milk. And my beautiful baby has dropped 12% of her body weight. And now the nurses are pushing formula. A lot.

So I tearfully feed her it. And she responds happily, and gains back some weight, and we can leave. When we get home, and my milk comes in, I will get back to breastfeeding, and all will be fantastic.

Day 5. At home. No milk. I cry to my husband that I'm somehow faulty, that this isn't right, and how the hell can I ever get milk when the baby's not nursing anymore? I dissolve into a flood of tears, while he looks on helplessly.

Day 6. MILK! OMG YES!

But...I'm horribly engorged, and she can't latch on, and I don't know what to do. So I go to her pediatrician, who is (luckily) very pro-breastfeeding. And he helps me out a little, and also refers me to a lactation consultant.

Except now the baby has nipple confusion. But slowly, steadily, we work through that. And the next few months pass in a beautiful blur.

At 5 months, we go in for a pediatrician appointment. And my daughter has fallen off the growth chart. Even the one for breastfed babies. Her doctor asks me questions about her eating, orders a couple of tests, and says he wants to see us in a month.

A month later, she's even further off the chart, and none of the tests showed anything wrong. So more tests are ordered. And then a five day stay in the hospital for us two, where she will be weighed before and after every nursing to see how much she's getting.

About an ounce – maybe two - on each side, as it turns out. My pediatrician orders a daily LC consultation in the hospital, and, until we can make what he is pretty sure is my supply issue better, he wants to supplement formula. She refuses a bottle, so we try sippies. This seems acceptable to her. But I can't help feeling like a big huge failure. Why is this so hard for me? I just want to nurse my child, damn it!

On top of all this, the reason we were admitted to the hospital is classified as failure to thrive. Fun fact: in my state, this means an automatic DFS case is opened on you. So, in the hospital, we get the first visit from DFS. I am lucky; this woman is the sweetest person ever. She asks a bunch of questions, I answer truthfully, and she makes notes. I'm very upset, so I'm stuttering and sounding ridiculous. Eventually, she leaves, promising to come back later. She doesn't, though. I find out after the fact that they questioned our parents as teachers person, the people at WIC, and someone from a state program for stay at home moms that I participated in, all of whom reported that I was, in fact, a decent mother. The case was dropped. Not that I knew that while I was utterly stressed in the hospital.

A month later, after eleven hundred pounds of Mother's Milk tea and fenugreek and pumping up a storm, I'm producing milk well again. Enough milk to cut out formula entirely. I feel more accomplished than if I'd won a gold medal. My daughter nurses until she's a little over a year, at which point she self weans.

My breastfeeding experience was fraught with all sorts of issues. It was hard work, and stressful, and one of the most time consuming things I've ever done in my life.

I have no regrets about it.

I'm not going to lie – parts of my experience were dreadful. But the benefits far outweighed the stress. My daughter and I not only got the health benefits of nursing, but the time we spent, and the act of nursing, bonded us so strongly. We still have a strong, I believe unseverable, bond. And some of my favorite memories involve us nursing – the delighted smiles at my breast, the nighttime feedings where we curled up together and took comfort in each other's presence, the ability to make everything better so easily for my daughter. The beauty of that experience – likely already forgotten by her – will be something I cherish forever.

I'm now nursing, and creating those memories, with my second. Even though this nursing experience has gone much smoother, I'm not worried about issues that might pop up. I know I can fight like a tiger to have this with my child, and I know how worth it it is. So I'm just enjoying the ride.

Who'd have known that someone who once found nursing disgusting would have such a turn around?

(And, on a side note, I've nursed both of my daughters in front of my younger brother. The first time around, he was 12. This time, he's 16. And he's never had an “OMG, gross, sister boobs!” moment. This gives me incredible hope that by openly nursing around him, I've helped create someone who will be respectful of lactating mothers everywhere.)