Sunday, April 20, 2014

April 20th, 2014 – Moo Cow

    We have officially been parents for 21 days now!  It has been an interesting journey.  We have had so much to learn and so has our son.  There is just so much that they don’t tell you about being a parent and even what they do say doesn’t make much sense until you live it.  So far we have had adventures with circumcision and upper respiratory junk and had several appointments to see the pediatrician. 
    Our little guy has been quite the trooper as we learn on the fly.  The moment he was born we had learning to do.  My first lessons were in feeding him.  Something that seems so natural and normal is surprisingly complicated.  The first thing I learned was OUCH!  Breastfeeding hurts.  No one talks about that.  Everything I knew about breastfeeding came from watching videos, reading, seeing friends do it, and knowing that pediatricians all recommend it.  In all my knowledge seeking no one mentioned pain!  Breastfeeding hurts, at least at first.  No one mentions that you essentially need to build up callouses on your nipples and that in order to do that they first crack, blister, and become very, very painful just like any other skin that is building a callous (only on your NIPPLES!).  So, for anyone reading this that is planning on breastfeeding I am saying it.  Breastfeeding hurts and it hurts every time you feed until your breasts are healed which is a couple of weeks.  Stick with it if you can, but if you can’t I don’t think anyone can blame you.  Work with lactation specialists and learn how to get your child to latch properly.  Our lactation specialists were amazing and totally saved my breasts!
    This skill is learned in the hospital while surrounded by people telling you what to do.  And while our hospital has an amazing lactation consultation service our nursing staff had their own opinions about how things should be done.  So at times I heard conflicting advice and felt pressure to supplement when I really didn’t need to.  I took the route of the student and asked everyone who came into my room questions.  I took advice from pediatricians (who were also moms), nurses, and lactation specialists.  I breastfed in front of a lot of people just to make sure I was doing it right.  Here is what I learned.  First off, no matter what the nurses tell you, you don’t need to supplement.  If you are waiting for your milk to come in you just need to offer the breast more frequently.  Doing this will help your milk come in.  Supplementing can actually interfere with your milk supply, so don’t do it if you can avoid it.  I started by offering each breast for 5 minutes at a time every two hours or as soon as Monkey started rooting (which was any time he was awake).  By the time I left the hospital I was up to 10 minutes a breast for every session.  The hard part with a newborn is keeping them awake for the entire feeding! 
    Second, all babies lose weight just after birth.  The nurses were freaking out because our little guy was down 5% of his birth weight.  This had them making me feel like a terrible mom for not giving up on breastfeeding and using formula instead.  However, every pediatrician who saw him noted his weight loss and said it was fine and I didn’t need to supplement.  Ask more than one person if you are getting conflicting advice.  If it hadn’t been for the doctors and lactation consultants I would have been shamed into formula feeding by the labor nurses. 
    Newborns need to eat every 2-3 hours and they need to feed off booth breasts in order to help establish a solid milk supply.  We left the hospital a day early and my milk had already come in before I left.  This is super early for a first time mom and I think it had a lot to do with the pediatricians and lactation staff supporting me in continuing to offer the breast instead of supplementing.  The nurses did convince me to supplement on a couple of occasions and what I learned was that our little guy was eating plenty from the breast and he really preferred breast milk to the formula.  The formula also seemed to make him very gassy, which made him fussy and that was no fun for anyone. 
    Finally, offering the bottle and even the pacifier was interfering with his learning to latch properly.  Even still if I offer the breast after he has had a pacifier I have to take him off the breast and work on getting him properly latched.  Improper latch is SO painful!  Toe curling pain.  I have kicked the dog off the foot rest of my chair repeatedly when he latches improperly, it is that painful.  Thankfully our little guy doesn’t seem too fond of the pacifier! 
    I also learned a couple of tips for helping keep the nipple damage and pain to a minimum.  The first was to use hard plastic shields to keep anything from touching or rubbing your nipples.  Our hospital had Medela shields that they offered me.  They look ridiculous (like old school Madonna) but they really do help.  Although once your milk comes in they just get gross, so I stopped using them.  The second is to use lanolin on your nipples to help with the chaffing.  Our little guy would refuse to latch when I used it, so it wasn’t really an option.  He would literally latch and instantly open his mouth wide and remove himself from the breast.  I had several doctors and all the nurses tell me this was nonsense (in my head).  Then I spoke with a lactation consultant and a pediatrician who both had seen it before.  Some babies don’t like lanolin, but it seems most don’t notice it.  This epiphany did lead me to a better solution though.  Instead of using the lanolin, hand express at the end of the feeding and allow the colostrum to dry on the nipple.  This actually healed my cracked nipples in no time.  Much faster than what I was seeing with the lanolin.  So, you might give it a try if you are suffering the way I was.  
    The other side of breastfeeding that I hadn’t really considered much before is that you become the sole provider for nourishment, which means you are up every time he needs to eat.  We are 3 weeks in and the longest Monkey has gone between feeds is 5 hours.  Even that is only once or twice a day.  He averages about 7 feeding sessions a day, so the average time between feedings is less than 4 hours.  Each session takes about an hour.  I get him up, change him, feed him for 10 minutes on each breast, and then we need to spend about 20 minutes up right to help him with his reflux.  That leaves 3 hours for me to get any personal chores done and sleep.  I average no more than 2 hours of sleep at a time for the past 3 weeks.  One day Doc took him and I got 4 hours.  It was glorious.  But for the average day I am seriously sleep deprived.  I have started pumping, but we haven’t really used any of that supply yet.  We are saving it up.  It was recommended to us that we save it for when he is older and gets sick.  I pumped and save colostrum for that very purpose.  We know a pediatrician who swears by it, and since she gave me the rub colostrum on my nipples tip, I believe her. 
    Overall I think breastfeeding has been worth the time and pain.  Little man picked up a little upper respiratory junk and it seems to have resolved quickly.  Doc said he thinks the breastfeeding is what helped.  I think it also helped me establish a schedule, which makes all of our lives easier.   Little man is a very happy and easy going baby and while I think a large part of that is just his personality I also think that the schedule helps with that.  I have noticed that when his schedule is disrupted by visits or appointments he is a lot less easy going and gets fussy.  At 21 days old his is starting to tolerate small disruptions and adjustments to the schedule, but he really prefers when he knows what comes next in his day.  Finally, I think the time I spend feeding him is full of quality bonding.  I was the first person he made eye contact with and it was while he was attached to the breast.  It is a very special feeling to be able to provide nourishment and comfort to your child no matter where you are or what is going on.  If that doesn’t sell you on breastfeeding, then maybe this will… you burn 500 extra calories a day breastfeeding!  That is like 2 snickers bars.  ;-) 

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