Extended Breastfeeding, Part II: Tips to Begin and Extend Your Breastfeeding Relationship

These people changed my life. Thanks, kids!

Click here to read Extended Breastfeeding, Part I!

If you are a new parent, or if you are expecting to become one and are setting the bar toward extended breastfeeding, do yourself and your offspring a favor: prepare for utter chaos. For life to change in unexpected ways. Maybe everything will happen just as you expected. I hear there are amazingly self-actuated folks out there who flow naturally into parenthood without hitting any bumps. And then there’s the other 98% of us, the foggy-brained insomniacs who learn that the ones running the game are the screaming newborns. Sometimes, all your best intentions go poof. It happened to me. My kids MADE me into this Mom you see and read about. How did that happen?

Twelve weeks of insomnia, of breastfeeding around the clock, of learning that the pediatricians I had so carefully chosen were spouting advice about baby-rearing that absolutely was contrary to every feeling and instinct raging through my brain. Twelve weeks of shattering every preconceived notion I had about parenting. I ended up giving up my career, and I became a co-sleeping, baby-wearing, breast-feeding, attachment parent. My kids changed me, and I am utterly transformed. For the better, I think. I hope?

So, I have TIPS. Because there are some things you should think about before you even get started. But this article is about breastfeeding, so I will limit myself to just THOSE tips.

If you’re considering nursing a baby, short or long term, prepare yourself for the battle early:

  • Know the law.
  • Have a support team of partners/parents/friends who understand what your intentions are, and will be supportive and keep you motivated.
  • Choose medical professionals who understand and will help support you.
  • Buy this book: Medications and Mothers’ Milk: A Manual of Lactational Pharmacology
  • If you’re planning a natural birth, read about the breast crawl!
  • Get it right, from the start. Hire a lactation consultant to give you the best chances of starting and maintaining good nursing habits.
  • If your lifestyle permits, breastfeed on demand. Don’t look at the clock. Your doctor/Mom/book/website does not know best about how often to nurse. Your baby does.
  • Use that new tax credit to get a good pump if you can’t be there for every feeding.
  • Understand the normal patterns of infant weight gain for breast-fed babies. Don’t be pressured into putting your baby on formula because of weight gain charts that are based on formula-fed babies.
  • Ask if your pediatrician follows the WHO charts for infant growth rates of breast-fed babies
  • Don’t miss a feeding in those first 3 months, as you are establishing your milk supply. Pumped milk is still your breast milk, and it’s best for your baby. A second option is breast milk from a human milk bank. Formula is not evil, but it should be your last option.
  • Get support in the work place for expressing your milk if you work outside the home.
  • Develop a breast milk bank in your community. It takes some simple screening,  supplies, pumps, and freezer space. Having friends who are willing and able to open up their stored milk coffers if I have a medical emergency does wonders for my confidence.
  • If it’s possible, exclusively breastfeed your baby for the first 6 months. His/her gastrointestinal tract will thank you.
  • Nurse in public, because you will further the cause!
  • Wean when it’s right for you and your baby.

Join Up!

If you see a woman nursing a child, you should take a mental picture. She’s doing something amazing. And if my words have reached women out there who are thinking of nursing their baby and have the economic and biological opportunity to do so, I hope you get what I’m saying here. We need you on the ground, as part of our new army of fabulous breast-wielding baby-feeders who daringly nurse past that 6 month mark, nay the 12 month mark! Who whip out a boob on park benches, on the subway, in the doctor’s office, in the pews, in the mall, and feed those toddling youngsters straight from the source. Those gorgeous portable containers that keep your milk at optimal temperature should be a source of pride! Keep motivated! As I said in Part I of Extended Breastfeeding, you’re more likely to see a unicorn trotting through your local park than a woman breastfeeding an older child. Don’t be a unicorn! Nurse your baby for as long as it still works for you and your child.

Talk about it. Discuss it. Argue for it. And send me your stories and snapshots of breastfeeding babies. We want to see your boobies doing what they are functionally designed to do!

Posted in breastfeeding awareness, Change, Journal, Photo of the Day | 7 Comments

Extended Breastfeeding, Part I: It STILL Does a Body Good!

Doing what I do

A hot topic out there in the blogosophere lately is one of my favorites: Breastfeeding. I’d be writing more in support of the awesome mommy bloggers out there who are beating me to it, on topics ranging from busting nursing myths,  to how to respond to critics of public breastfeeding, to kicking ABC News in the soft parts for their slant on money and breastfeeding in the US, but I’ve been too busy being constantly gnawed on by my growing enormous-er 16 month old.

Still, here I am. And you know I’ve got something to say about breastfeeding. And as that picture up there suggests, I’m not afraid to expose… my own opinions on the subject! [Also, Dear Facebook: Pics of nursing mommies are inappropriate? Bite me.]

Breast milk. It still does a body good.

I want to talk about why Americans aren’t nursing their older children. And by “older” I mean toddlers and beyond. Specifically, the age a baby is when he is old enough to make his way independently to his mother and using words, sign language, or physical prowess is able to get into her shirt to facilitate getting the breast into his starving, gaping maw.

Everyone is certainly free to express his or her opinions on how long women should breastfeed. And I think such comments, be they positive or negative about extended breastfeeding, are effectively raising the level of dialogue on a damn important topic. After all, extended breastfeeding is something that can make for healthier adults. If more women could breastfeed their babies to 12 months and beyond, there would be, overall, a lower incidence of a whole host of health concerns for mothers and their children that you can read about on Wikipedia or Kellymom, or the CDC website, or about 50 other websites out there. But I’m not going to focus on why you should breastfeed your baby for as long as possible. Yet. I want to talk about why the majority of U.S. women are, statistically speaking, NOT breastfeeding for longer than 3 months.

A Healthy Start, Followed by a Plummeting Disappointment!

According to a 2010 CDC report, significantly more women are breastfeeding their newborns. More than 75% of newborns in 2010 started out nursing, whereas in 2001 the number was closer to 65%. Yay! But after the first three months, that number drops drastically. Only 33% were exclusively breastfed at 3 months. Now, bear in mind that the World Health Organization advises ONLY breast milk for the first 6 months of life, and a weaning age no earlier than 2.   Most babies in the U.S. are weaned at or before the age of 12 months. A study by the CDC posited that those low rates can be attributed to a lack of support: “Low breastfeeding rates at 3, 6, and 12 months illustrate that mothers continue to face multiple barriers to breastfeeding.”

The CDC targets ways to support breastfeeding mothers, through birth facility support, professional support, legislation, infrastructure, and support in child care settings. And whereas I see these as positive ways to effect change, I think that this effort needs some support from the ground. American women don’t breastfeed their babies beyond 12 months for a number of reasons, which I will now enumerate using the MotherMirth Patented [un]Scientific Method™:

Why American Women Aren’t Doing the Extended Breastfeeding Thing

1. Nursing babies past the first few months is weird. That’s what your MOM said.
Why, oh why, do we listen to the naysayers? Because they are our mothers. Our aunts. Our freakin’ grandmothers. “Well, YOU were fed formula from birth, and look how well YOU turned out!” Oh. My. God. Shut UP! The previous few generations will keep saying this to validate their choices because they want forgiveness when you end up with adult onset diabetes or celiac disease or one of the other afflictions headed your way if you were given formula at the beginning of your life. The fact that more women are breaking the mold, doing something different than their own mothers did, is notable. And this trend needs to continue. You can love your moms. That doesn’t mean you need to heed her antiquated breastfeeding advice.

2. For the same reason you don’t see “Sunday” in Days of the Week Panties. Because of God.
We live in a country where there are some sanctimonious mofos. Not all of them are Republican, even, but still, for some reason, the moral compass too often in America points to the crazies, and the more conservative beliefs about women and breasts make us look positively Victorian in ideology. And not in the fun lace-and-silk way! When it comes down to it, if you are contemplating breastfeeding and your value set is Judeo-Christian in flavor, or is informed by the Old Testament of the Bible, you should picture Eve in the Garden, dressed in her fig leaves. I didn’t read anything in Genesis about a deity providing Enfamil, so it’s my assumption that Eve nursed her dozens of babies with her breasts until they were of an age where they could chew up some of that nummy forbidden fruit using their own choppers. The bottom line is that no matter your faith or lack thereof, women are biologically equipped to nurse babies for an extended period of time. And yet, peek-of-breast-aphobia is enough reason for some women and their partners to opt out.

3. Boobies are for hot sex! And our sexual partners have dibs on our nibs.
Ah, the voracious sexual appetite of our partners. We should wean early so that we can give our bodies back to our lovers. Because those boobies aren’t multi-functional. You can’t nurse a baby with those things and then offer them up to your lover for nibbling and hot booty rocking. That’s perverted. </sarcasm>

4. Extended nursing goes well with co-sleeping, and we all know that THAT is just wrong.
We’ve been told to put our babies far away from us for sleep by the very medical professionals who should know better. More and more American women are advised to sleep train their young babies earlier and earlier. The reasons given include more sleep for mom, and training a baby to self-placate. And, yes, it must be nice to have a baby sleep through the night at 3 months. If you’re a working mother, it’s a whole lot easier to get some sleep if a baby isn’t attached to your nipple. I get that. But it’s biologically ill advised to be separated from him or her for 6-8 hours per night in those early months if you want to continue with an extended breastfeeding relationship. If you are the type of mom who can get up a few times per night to pump milk for your slumbering baby, you are a saint. I wish you all the best in the world, and please remember me in your prayers. Co-sleeping parents are more likely to continue with extended breastfeeding because it’s just… easy. Extended breastfeeding and co-sleeping are childrearing practices that have been written off in our more modern culture so much so that they are both, basically, taboo behaviors. In my experience, and in a lot of families I have had the privilege of knowing, co-sleeping is a way of life that helps support the mother for extended breastfeeding.

5. Saggy baggy used-up fun bags. “I mean, c’mon. Ewwww.”
Chewed up nipples. Breasts that hang down to your waist line. Let’s face it: your breasts will not return to their perky, pre-lactation state after you breastfeed a baby for an extended period of time. The perception that I need to wear a torture device called “underwire” or else duct tape my mammary glands in an upward position for the rest of my life so that my USED breasts maintain that youthful sprite and bounce is completely driven by marketing dollars. If your lover/husband/girlfriend/boyfriend really has any sense, he/she/they would love you and your breasts because they nurtured and nourished a baby. Or three. If my husband really ever said “ewww” to me regarding my breasts, he would find the locks changed when he came home from work and all his stuff on the front lawn.

6. Money, baby.
Most of the reasons for not continuing to breastfeed have to do with money. You had to return to work after a short maternity leave. Your household requires two incomes to make ends meet. Your employer doesn’t support pumping milk. You have a health concern that makes it impossible to continue to provide breast milk for your baby. Rock on, Momma. You are da bomb. Extended breastfeeding in our culture is hard because it’s based on the assumption that you either have the economic means, basically, to stay home with your babies, or you have the money/patience/willingness/biological ability to pump enough milk for your baby to sustain him/her while you are away. Two-income families are more the norm these days as more Americans struggle to make ends meet. And in low-income households, extended breastfeeding is almost impossible. Diane Pagen writes here that assistance programs make it impossible for women of low economic means to continue their breastfeeding relationship.  Money is a huge reason why women in the United States don’t nurse long-term.

7. Illness and Bad Medicine
There are very valid medical reasons for discontinuing a nursing relationship, ones that don’t need further discussion from me. You are the expert on your health. Unfortunately, there are also those occasions when medical professionals don’t find ways to support women in continuing to nurse their babies. Mastitis is not a reason to wean. Painful nursing also is not. There are classes of drugs that are safe to take while nursing. There are lactation consultants who can help you perfect your latch in those first months. One of my physicians advised I wean because I had a lung infection, and he was afraid that the drugs he wanted to give me would pass to my baby. I assured him that I could find alternate breast milk sources, and I could pump and dump if need be during the course of any drug I needed to take.  In short, there are valid reasons. And then there are misinformed medical professionals that advise weaning when they shouldn’t. It’s up to the mothers to have the confidence and information from breastfeeding professionals to speak up and advocate for their babies’ best interests.

8. In a word: Teeth. The Horror.
Friends and family seem to think I’m a martyr because I nurse my be-toothed little guy every 3 or 4 hours, 24 hours per day. His little mouth is infested with teeth! How do I do it? I very seldom get bitten, because I don’t allow it. Just as your dog shouldn’t bite the hand that feeds him, my son shouldn’t bite the nipple that sustains him, or he doesn’t get it. Human babies are really quite smart. I hope to help debunk the myth that nursing babies with teeth is so fraught with peril and pain.

9. My dentist is a pain in my lower right quadrant
So, my baby should suffer more childhood illnesses because nursing past a certain age might make his teeth come in crooked? Let’s get our priorities straight here. Health before vanity, IMHO. I’m done with this reason.

10. Our role models are nursing ninjas
Women who don’t have family support–a relative or friend who nursed her baby–have no role models for breastfeeding unless they seek them out. And although she may have support in the hospital or birthing center, statistics show that she will give up on breastfeeding earlier than is best for her child. Why? Because we don’t see women nursing their babies in public very often. And we never see women doing extended breastfeeding, because they are stealthy, closet nursers. Because they are tired of trying to cover up nursing their frantic, upside-down hyper two-year-olds on the park benches at the playground. They time feedings for when they get home. So where do we turn? What media gets more of our attention in the United States than any other? Uh, that would be television. Why don’t you see women nursing on TV? Or women expressing milk using a pump? Because it’s hard to fake. Giving a baby a bottle is much easier to film and is more “realistic.” Plus, showing boobies on TV is one of those rated R things. So you won’t really get a good peek of actual breastfeeding of older babies or children on your television unless you rent a documentary.

11. Enough is enough, girlfriend!
I love my friends. And I know that they want the best for me. But sometimes, it gets a little tiring when you hear “When are you going to get that baby off your boob, woman!” You don’t want to get on your lectern. And you know they mean well. But this goes back to a lack of support. Women who lack support give up earlier on breastfeeding.

To sum up
I wish I had a quarter for every time I read or heard comments such as “I think you should stop breastfeeding when the child is old enough to ask for breastmilk in his tea/coffee/cereal/oatmeal (etc)” or “breastfeeding is OK for babies, but I don’t want to see a woman nursing a 4 or 6 year old in public.” I assure you, our culture will continue to see extended breastfeeding as abnormal and wrong, something you should turn your eyes away from, if all comments were like these. And the funny thing is that you DON’T see 4 or 6 year olds nursing. You are more apt to see a unicorn trotting through the local park. But, hey, at least someone is commenting on nursing and older children, right? So, bring on the comments. Negative or positive. At least there is the beginnings of constructive discussion regarding this taboo practice. The idea of nursing older children needs to be dragged into the cultural dialectic, to the land of being OK to discuss. To see. And, finally, to accept as normal.

Stay Tuned for Thursday’s Part II: Tips to Extend Your Breastfeeding Relationship. With a timely, seasonally appropriate Mardi Gras plea: Show Us Your Boobies!

Posted in breastfeeding awareness, Change, Journal, Photo of the Day | 8 Comments

The Trouble with January Birthdays

Laurel opens her big present

On my 8th birthday, I figured out that having an early January birthday kinda sucks. That was the year my parents couldn’t pull it off. Couldn’t make the magic happen. I had always measured my birthdays as compared to my sister’s, who always had summer birthdays filled with swimming, friends, sunshine, and happiness. I got the bleary winter sniffle-nosed birthday, with the cheap presents and snow. And on my 8th birthday, for whatever reason, I couldn’t have a party. I don’t even remember why. I just remember the heartache.

It was the date that was the problem. The date of my birthday sucked for a couple of reasons. First, my family was the Lehman Brothers of Christmas spending. My usually frugal parents turned into Mr. and Mrs. Jones on Christmas, and no one could keep up with us. So let’s just say that after Christmas my parents found innovative ways to cook with government cheese. Secondly, there is a certain ennui that hits families with school-aged children after the winter holiday break. My birthday usually fell on the day we would return to school from winter break. Oh, joy. Let me tell you– the holiday hangover does not lift by January 5. People are holiday-ed out. Happy freakin’ birthday.

My parents made up for it many times, I’m sure. Especially my mother. She always tried her best. And I’m grateful. I don’t leave bags of flaming poo on my mother’s doorstep to assuage my sense of loss. I’m a big girl now, and I have my birthday expectations set rather low now so that I don’t get disappointed. Any resentment I may feel toward my mother is so much dust, swept under the rugs, the memories of lame birthdayness buried under decades of psychosis and guilt. Well, except for that year I’m still trying to forget–1984?–when I got sweatbands for my birthday. Yes. Picture that, friends. Are you reading this, Mom? THANKS for the sweat bands. Really. Unforgettable. *grin*

Laurel and her new American Girl doll. I get the impression we have just eaten fruit of the forbidden tree....

And because I suck at planning, I became pregnant with my second child in the spring. Ensuring that I, too, would have a child with an early January birthday. My mother was delighted, as you can imagine.

So it is an understatement that I’m rather invested in making sure that my middle child has a good birthday, with cool presents and good friends. And Allen and I try very hard every year to make this happen. We’ve been quite successful thus far.

Except…this year. This very important year, when my little girl is turning seven so ferociously that she wanted to make herself a crown with 7 on every tip, covered in glitter and sequins, so that the whole school–nay the entire ‘verse–would know that she had gained this most noble of ages. This year when 95 percent of the pajama party invitees were already RSVP’ed in the YES column. This is the year that she will definitely remember. Because she just got the equivalent of sweat bands. But with phlegm and vomit. Yes. The flu. For her birthday. Doesn’t that suck?

Anyone who can be THIS excited by plastic shoes has her expectations set pretty low to begin with!

And my sweet mother, who is probably reading this from her laptop in her rehab room in Salem Hospital following open-heart surgery, is STILL trying to make it OK, to make it up to me, but this time to the next generation. She wants me to use her credit card to go buy Laurel her first big-girl bike. Because Mom wants to cancel out influenza with purple tassels on the handlebars. And I love her for it.

I don’t blame her. I want to buy Laurel her own rocket ship. I get it.

I guess this is my legacy. This guilt. Maybe we won’t be able to keep the bar raised every January 8th. Maybe Laurel, too, will grow up with low birthday expectations, embittered by continual disappointment, starting with this 2011 birthday of suck, when she had influenza.

Or maybe Allen and I will just step back, reschedule, and plan for an awesome party when she is done with the flu. Maybe we, as a family, will hit it out of the park, just to spit in influenza’s eye. And maybe now we will go to the store and get the bike on Mom’s credit card, and take lots of photos of Laurel exploding with glee when she sees it. Maybe that will finally let Mom off the hook. After all, she’s still trying to make up for the sweat bands.

Posted in Days to Remember, Journal, Laurel Milestones | 5 Comments

Andrew’s New Kitchen

This pizza tastes like the floor! Cool!

Me: “Look, Andrew! It’s Andrew’s kitchen! Look at all the things you can do, all the bins and drawers, and the pretend food!” *runs away quickly, hoping to get a few minutes to herself in the… ummm… bathroom.*

Andrew: *giggling* “I know what you’re thinking. You think you can give me my very own kitchen, filled with awesome pretend kitchen items, and it will save YOUR kitchen from being decimated every time I am so inclined to decimate it?”  *decimates the family kitchen*

Me: *5 minutes later, seriously, upon finding the baby inside the kitchen cabinet, the floor barely perceptible under every container we own.* “ANDREW!!!!”

Andrew: *Breaks down with the crying. It is very pitiful*

Me: “OK, let’s go play in Andrew’s kitchen!”

Andrew: “I will only play with it if you have taken the time to put everything back in its place.”

Me: “Why aren’t you playin…. Oh. I get it.” *puts everything back in its place*

Andrew: *with the glee* I DECIMATE! I DECIMATE! CHAOS! *more gleee!!!*

Posted in Andrew Milestones, Journal, Photo of the Day | 3 Comments

On Behalf of My First-Born

They make me eat these.

Dear every other parent out there.

First, you probably aren’t reading this anyway. You are taking your kids to Chuck E. Cheese right now. Or you are in Disney World. Or on African safari. Bermuda. YOU are doing all the amazing things ever with your kids. You certainly aren’t taking your kids to the grocery store to get milk. Or to the doctor to get flu shots. But on the off chance that you have the Internets, I would like to say a few things on behalf of my 8 year old.

OMG, you are SO much cooler than I am. Apparently you let your kids eat pounds of candy at EVERY meal. You don’t insist on apples and grapes for the school snack. You give your kids Snickers bars. And the drinks you provide for your children are, likewise, sugary treats. You give your kids Kool Aid, the RED kind.

Obviously you don’t make your children do homework. As soon as your children return from school, which you only send them to when they are in the mood, there are non-stop kid parties until all hours of the night with video-game playing, computers that play inappropriate YouTube videos with bad words and adult concepts, and wrestling competitions that take place in huge vats filled with every conceivable candy known to humans.

Your children never have to bathe or comb their hair or brush their teeth. All siblings share all their toys nicely, and your house is filled to the top with Legos, robots, Barbies, TVs, Nintendo DS players, Power Wheel ride-ons, full-size riding horses, real-life ninjas, and gold-plated stegasauruses.

In short, I think my 8-year-old daughter would like you to adopt her. If you are looking for a good deal on a really great but deluded kid, please reply in comments. Thank you.

Posted in Journal, Kelsey Milestones | 2 Comments