Preparing to Breastfeed

My tips and top links for breastfeeding parents to be!

Having a baby comes with a lot of questions for parents to be. Which pushchair is best? What should my baby sleep in? What clothes do they need? How can I prepare for birth?

If you are anything like me, reading this while pregnant with your first child, the last one might feel a bit all-consuming. When I ‘prepared for my baby’ I read everything possible about birth options. I read next to nothing decent about breastfeeding.

When the midwife asked me how I planned to feed my baby, there was no question in my mind I would breastfeed. It didn’t occur to me I knew nothing about breastfeeding. I thought I had boobs and I would have a baby, and I had booked antenatal classes, so surely that would be enough. I thought my determination would fill in any gaps.

Really, what would have been helpful, was to have done less research into what Moses basket we needed for our baby (spoiler alert: actually a completely useless item) and a more research into breastfeeding. To have had a breastfeeding plan to sit alongside that birth plan. Why is this? For the simple reason, that while breastfeeding is a natural skill, it is a learned skill like walking, not an innate skill like breathing. Much like walking, while you learn to breastfeed you might land on your arse. You might need a bit of support. This is entirely normal in a culture where we do not learn to breastfeed the way we are supposed to. We are meant to learn by watching other people breastfeed, but very few of us see breastfeeding in our everyday lives. Bottle feeding culture prevails in the UK. Quite often, the first breastfeeding baby we might see is our own.

With that in mind, here are a few tips from me, to you, with the benefit of hindsight and a bit of training in breastfeeding support
💚 .

Book an antenatal breastfeeding workshop

In some areas, your local breastfeeding support groups may hold specific antenatal breastfeeding workshops. While lots of us will do an antenatal class, these breastfeeding specific workshops will be far more in-depth. Your midwives or health visitors would hopefully know if these run in your area. If not, it could be worth getting in touch with local support yourself to check if they have any upcoming sessions.

Sometimes lactation consultants will run antenatal breastfeeding preparation. Depending on the consultant there may be a charge for this.

Getting in touch with support options in advance to do this nicely leads me on to the next tip…

Visit a breastfeeding cafe

breastfeedinggroup

Visiting a breastfeeding group antenatally can be well worth doing. It might only take an hour out of your day and there are several benefits; you make contact with the support before you need it, so you know exactly where to go when baby arrives, you get to observe and take in what breastfeeding looks like (so important!) and breastfeeding parents will be able to talk to you about their experiences and what to expect. Breastfeeding groups are often totally free and informal. So you’ve really got nothing to lose💚.

Find your local breastfeeding support groups here and here!

Read a good book about breastfeeding

recommendedbreastfeedingbooks
Top left: The Food of Love by Kate Evans
Top right: The Womanly Art of Breastfeeding by La Leche League International
Bottom left: The Positive Breastfeeding Book by Amy Brown
Bottom right: You’ve Got it in You by Emma Pickett IBCLC

Reading a good book about breastfeeding can be really helpful. It’s also handy to have on hand for those early days when you might feel overwhelmed. It’s easy to forget what was said in the workshop or the hospital especially when you have a small baby. Popping this book in your breastfeeding box (more on this later!) can be super useful.

Like most things in life the quality of breastfeeding advice in print can massively vary so look out for the ones in the picture there. These are my favourite breastfeeding books for parents. All of them are evidence-based and written by people who know their stuff.

Think about safe sleep

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Image Credit: https://www.basisonline.org.uk/co-sleeping-image-archive/

Pre-baby it can be really easy to think you’ve got where the baby will sleep sussed. Chances are you’ve bought a Moses basket, a crib or maybe you’ve invested one of those co-sleeper cots that attach to your bed. However, it can be worth thinking about what you will do if your baby prefers to sleep closer to you.

Almost 50% of babies will have slept in an adult bed with one or both parents by three months, whether intended or not. Breastfeeding also releases oxytocin, which is a hormone which can make you sleepy (this is one reason breastfeeding parents are thought to get better quality sleep). There is a significant association between longer duration of breastfeeding and bedsharing. It’s important to be aware of safe bedsharing guidelines. You might not need to use them but it is far better to plan and be safe than it is to not plan and end up in a riskier situation, such as exhausted on the sofa.

https://www.unicef.org.uk/babyfriendly/wp-content/uploads/sites/2/2016/07/Co-sleeping-and-SIDS-A-Guide-for-Health-Professionals.pdf

I’ve written more about sleep here, click the link to find out more.

Prepare your breastfeeding box!

In the first few weeks of breastfeeding, expect to be breastfeeding a lot. This is normal and it is a good thing because it also encourages new mothers to rest and recover. A breastfeeding box can be helpful, it should be something you can easily move about the house with you. Things you might like to pop into it are:

  • Spare breast pads.
  • A large water bottle.
  • A leak-proof, insulated mug.
  • A muslin to catch spit ups.
  • The TV remotes.
  • Phone chargers.
  • Magazine or book, ebook reader or tablet (basically- entertainment)!
  • Your breastfeeding book (see above)!
  • Details of local breastfeeding support services.
  • Tasty snacks.
  • Tissues
  • A small pot of vaseline- either for your lips, or if you are unfortunate enough to suffer a cracked nipple, to help with healing.

You might also want to throw in a stretchy wrap for those early days. Find a sling library near you for lessons in how to babywear, you will be so glad you did!

If you have an older child, you might want to set up a breastfeeding box for them too. This can include crafts, colouring, puzzles, books, special toys or a special film to watch. Whatever you think will keep the older sibling engaged and happy. Consider things you can help with one-handed if needs be!

Finally, it won’t go in the box, but a Netflix subscription would be a much handier present than flowers… I am looking at you, visitors and wannabe baby cuddlers! #justsaying

Antenatal expression (optional extra!)

DCF 1.0

Baby being syringe fed colostrum. With thanks to https://www.flickr.com/people/crimfants/

For some parents, antenatal hand expression can be great preparation for breastfeeding. This might be for many different reasons. Perhaps you are expecting an early delivery, or you have gestational diabetes, your baby might have been diagnosed with a congenital difference or you might have had a difficult journey the first time around. You might just want an extra bit of reassurance. Antenatal expression of colostrum is just that, an insurance policy. It should never replace at breast feedings unless it is necessary. The ideal situation is that you don’t use it. However, it can come in handy if something unexpected happens which means boobing isn’t going to plan or you are separated from your baby.

One advantage to hand expressing colostrum antenatally is that it gets you familiar with your boobs and how things all work. Studies have found hand expressing in pregnancy helps parents to feel more confident about breastfeeding, and that parents who do this breastfeed for longer.

Antenatal expression of colostrum is thought to be safe from around the 37-week mark. If you want to start earlier check with your midwife or consultant first. You can find out more about the antenatal expression of colostrum here.

You’ve done the prep…so now what’s your breastfeeding plan?

So hopefully after thinking about a few bits, you will have a better idea of what to put on your breastfeeding plan and what is important in order to get breastfeeding off to a good start!

The Australian Breastfeeding Association have some brilliant example plans which you can use or adapt here to suit: https://www.breastfeeding.asn.au/bf-info/your-baby-arrives/my-breastfeeding-plan

Want to read more about early days breastfeeding?

Some brilliant extra reading to prepare you for your breastfeeding journey:

General questions about breastfeeding answered by the Association of Breastfeeding Mothers

Breastfeeding a newborn, what to expect by Kellymom

The First Time You Breastfeed, by Emma Pickett

A brilliant video about attaching your baby at the breast, by Global Health Media

Newborn nappy output- what to expect by the NCT

Identifying good transfer of milk, by Global Health Media

Normal newborn behaviour in the first months, by Sarah Ockwell-Smith

Cluster feeding and fussy evenings, by Kellymom

Emma Pickett reassures parents about normal feeding intervals

Find an International Board Certified Lactation Consultant

Prepare for the birth, but make sure you also prepare for what comes after!

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CMPA and the Question of Over Diagnosis

Let’s not argue about whether CMPA is over-diagnosed. We need to be angry about poor industry ethics instead.

CMPA overdiagnosis ethics BMJ

This week the BMJ released an article raising questions about industry involvement in CMPA diagnosis, questioning the huge rise in babies being prescribed specialist allergy formulas. As an allergy parent who fought for a diagnosis, and a breastfeeding volunteer I have followed the report in the BMJ with interest. Some people feel this article dismisses the struggles many go through to achieve an allergy diagnosis and have been very vocal about expressing this.

I can understand this. I too have mixed feelings about the report. Much of what it says is familiar to me. In the UK, our cultural attitudes toward babies often create issues. Normal behaviours such as wanting to breastfeed frequently and stay close to the mother sometimes end up being turned into some sort of pathology, be that reflux or allergies or tongue tie. In some cases, anxious parents don’t realise that WEIRD nations genuinely do have some weird ideas about how babies should behave.  I have also seen families in the UK move to formula, overwhelmed when CMPA is suggested because giving up milk seems a huge undertaking that no one is supporting them with. Worse, in some cases nobody is even questioning whether it was the right approach for that parent in the first place.

On the flipside as an allergy parent, it really does make me upset that this article release may mean it is now even harder for families to get a non-IgE diagnosis. Many non-IgE CMPA families are still struggling to have their children’s allergies identified or recognised. I experienced this first hand. I worry clinicians may read this article without understanding fully how to identify and diagnose non-IgE allergy; for example, the importance of taking an allergy-focused clinical history. My worry is we will see a swing back to other interventions for families, such as acid reflux medications, which may be more problematic. Especially if we keep failing here in the UK to support families properly.

The UK is often not good at supporting breastfeeding or indeed, parenting generally. We under-fund or cut breastfeeding support services, what’s more, we then don’t give families who are bottle feeding enough support either. We overstretch our wonderful health visitors and doctors so they can’t spend enough time with concerned parents. Our media promote ridiculous ideas about how our babies should sleep, feed and behave. Our government policies result in the shutting down of children’s centres and cuts to children’s services.

However, upset as I am about all of this (and I am) what really makes me furious with CMPA in particular is the industry meddling and sponsorship of research that has been allowed to proliferate. It is this which now threatens to undermine the diagnosis and awareness of non-IgE CMPA. I don’t know if CMPA is being overdiagnosed. I don’t think anyone can say with surety that it is. However, we can’t criticise the authors of the BMJ article for simply pointing out that bias is a problem here. The appearance of bias is a worry regardless of the extent. We can argue forever whether or not this researcher or that researcher was biased. In the end, it doesn’t matter if they can look like they are.

What makes me angry is that big formula sells both the problem and the solution and this is seen as acceptable.

What makes me mad is that big formula has been allowed anywhere near creating the guidelines for CMPA diagnosis. This opened the door to the criticism that has now emerged.

I am not mad at the scientific and medical community for raising a valid concern about bias.

Professionals and anyone speaking publicly about allergy, be that scientists, doctors, charities,  lactation workers or allergy bloggers need to be thinking hard about conflict of interest in their work and the impact this might have down the line on their credibility. It is this we should all be getting angry about. Parents and babies deserve better. After all, ultimately they are the ones who suffer and deal with the consequences.

Update 9-12-18: The BMJ are currently reviewing their policies around accepting advertising from infant formula companies. If it is important to you that parents are given high quality and independent evidence based information please sign this petition.

Parenting with Social Anxiety

social anxiety and parenting 2

Confession time. This is a scary blog to put out there. I’ve dithered posting it and re-drafted it a million times because it is so personal. But here goes. I struggle with social anxiety. Some close friends and family already know this about me. Some people might be surprised I guess. It is something I have lived with to varying degrees since I was a child. Over the years I have developed coping strategies, and mostly, I get by. I can usually play the part of a functional adult. However, still, on very bad days the idea of the smallest interaction with someone else can make me feel pretty stressed.

My anxiety was probably worst during my pre-teen years and adolescence. At its peak, during my first year at secondary school, I barely talked to another person, aside from my teachers, or family. Not an exaggeration. It was a really unhappy time for me. I am amazed now, that not a single teacher spoke to my parents about it. This was during the ’90s. I hope social anxiety is more recognised now, that young people get more support than I did.

What is social anxiety?

Social anxiety isn’t simply shyness. It’s intense fear that can affect everyday life. Lots of people feel uneasy in social situations. However, for someone with social anxiety, those feelings can be very difficult to manage.

According to the NHS, you may have social anxiety if you:

  • dread everyday activities, such as meeting strangers, starting conversations, speaking on the phone, working or shopping
  • avoid or worry a lot about social activities, such as group conversations, eating with company, and parties
  • always worry about doing something you think is embarrassing
  • find it difficult to do things when others are watching – you may feel like you’re being watched and judged all the time
  • fear criticism, avoid eye contact or have low self-esteem
  • often have symptoms such as feeling sick, sweating, trembling or a pounding heartbeat (palpitations)
social-anxiety-and-parenting-e1544006712838.jpg

Personally, my anxiety manifests in a few ways. Much of the above is very familiar to me. For example, in a conversation with another person, I am often half listening, wondering how I am coming across to the other person. What are they thinking? Do they like me? What should I say next? Did they just give me a funny look? Am I boring them!? This distraction isn’t a lot of fun for the other person either to be fair. On bad days this internal narrative is so overwhelming my mind goes blank, and I cannot think of a thing to say. Sometimes, I respond almost defensively to the most innocuous of questions. A simple, “How are things with you guys?” can send me into a panic. I desperately try to think of something interesting to say, and fail, awkwardly shrugging “Oh well, you know, nothing really”. Then I spend the rest of the day (even days) berating myself.

I apologise to all my friends who have endured these painful interactions with me. Thank you for seeing past it all and being kind. In truth, I am luckier than some. I have a loving husband and family, I have had help, my anxiety is always there, but mostly under control. I can go to a party where I don’t know people well. I have some good friends. Held down a career in freelance design. I do volunteer work that I love. You see, I do actually want to be around people. People think socially anxious people don’t want to socialise, and that’s just not true, at least not for me. It is just we also find it incredibly difficult.

Parties or gatherings of large people can be most difficult for me to navigate. I  make sure these days, that I don’t allow my anxiety to control whether or not I go. I used to just turn down invitations to parties. I still get that white-hot fear though, when I walk into a room full of people even if I know most of them. How I feel the event went can have a profound impact on my mood. If I think I managed to navigate it with more ease than usual, I am happy. If I have an awkward moment, not only am I anxious about how that must have looked, but it descends into this horrible feeling of shame and embarrassment about who I am as a person later. The self-loathing sometimes lasts for days. Regardless of how the event went, I am often exhausted afterwards.

At 35, when I had my baby, I was thrown into a new world. I suddenly had to have adult conversations in a room full of parents I didn’t know, a situation which scares the pants off me. I didn’t do many classes and groups. I often found myself making an excuse to avoid them. “Those classes more stress than they are worth” (true, but not entirely the truth). I went to one baby group where not one person spoke to or made eye contact with me. It was such a triggering experience, I didn’t ever try another local village group. Despite tons of breastfeeding issues, I think my daughter was months old before I managed to get to a breastfeeding support group without a friend. The kindness of peer supporters and mothers there made that group my lifeline really. Thank goodness for boob group, NCT friends and Facebook because I think these things actually saved me from acute loneliness in the early days of motherhood.

People sometimes don’t believe me when I say I now do volunteer work yet am socially anxious. Especially when I say I also do telephone support and they are familiar with me dithering around, taking a week to call a plumber! However, my support work is so much easier to navigate than a baby group. It is like putting on a costume. I have conversational tools from my training to support women. There are some questions you always have to ask, some issues which are so very common, these things form a kind of familiar script, so I always have something to say. Silences are encouraged so it gives me time to think. I am often asked about specific issues and have a bank of knowledge I can draw from to move the conversation forward. Crucially, I am not focusing on myself, but on someone else. I can largely forget about what people are thinking about me. I don’t have to worry about making the mums I support my friends. In fact, it is actively discouraged. The tools I have gained in training have been immensely helpful to me in ‘real life’ social situations, however, and it has really built my confidence.

As my daughter gets older I now find myself often scrutinising her interactions with other children. My biggest fear is that she ends up like me. The maddening thing is, I know the more anxious I am around people in front of her, the more likely this is. This encourages me to navigate situations I would have previously avoided. My daughter drives me on to be my best self. While she is a little shy as a child and often overwhelmed in busy situations, I have seen how well she interacts with other children at nursery or smaller groups. I try to reassure myself she’s doing fine, and no different to many of her peers. Next year she starts school. I cannot articulate how worried I feel for her. I desperately hope she does ok, that she makes friends and has a “normal” experience.

If you are a parent with social anxiety but you push yourself into situations which make you anxious try to remember this: it takes guts. Finding the courage to go to that group is amazing. Even if you don’t speak to anyone, feel proud. You were brave. Being a parent with social anxiety can be hard. You may lose the “crutches” or coping strategies you had developed pre-children. On top of this, as parents, we may be dealing with a loss of our professional identity and other parts of ourselves. You are navigating a new beginning. Like many new starts, if you lack confidence, it can be even more stressful. So give yourself credit where it is due.

I still remember the girl who finally befriended me at school during my worst period of social anxiety. I don’t think she knows what she did but she made a lifelong impression with her kindness. My appeal to everyone is, please say hello to that quiet mum in the corner of the playgroup if you can. Make eye contact, smile, reach out, be kind. Sometimes, someone is standoffish because they are anxious. Please be forgiving. Engage that scared looking person in a conversation. It might not be the start of a beautiful friendship, but you might be the person who helps them get through the day smiling or encourages them to come to the group again. They may actually make a friend or two eventually. Small gestures count. Make them a cuppa. You never know the difference your kindness might make to someone.

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Social anxiety support:

If you can relate to the issues raised in this blog, first and foremost, seeing your GP might be helpful. You may also have local counselling services you can self-refer to. CBT is considered one of the most effective interventions for social anxiety.

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Review: Why Mothers’ Medication Matters

Author: Wendy Jones

Publisher: Pinter and Martin

ISBN: 978-1-78066-585-6

Why mothers medication matters review

“There is evidence out there for the vast majority of drugs that should enable mothers to continue breastfeeding while obtaining the medical treatment they need… none of this is difficult. If we value breastmilk for its wonderful properties, practice evidence-based medicine, and respect mothers, we could transform women’s experience of seeking treatment.” Wendy Jones “Why Mothers’ Medication Matters”

A while ago, I had the privilege of reviewing this wonderful book, my review has now been published, so I am excited to be able to share it with you all here.

Wendy Jones is an inspiring figure in the field of lactation. A massively experienced Breastfeeding Supporter for the Breastfeeding Network and a qualified pharmacist; Wendy has tirelessly worked to help parents who breastfeed. Any breastfeeding supporter or counsellor should be aware of the brilliant “Drugs in Breastmilk Information Service”. This wonderful resource tirelessly gives information to lactating people about medications they may need to take during breastfeeding.

Prescribing medication for breastfeeding parents can be difficult for health professionals yet parents often need medication, whether it is short-term use of painkillers, antidepressants, or drugs to treat chronic conditions. Women are often given misinformation about what medications they can and cannot take.

In this book, Wendy Jones sets out to give mothers and health professionals information they need to make decisions about medication and to reassure fears that parents may have about adverse effects on babies of drugs passing through breastmilk.

Wendy Jones opens her book with an introduction to her subject, providing heartstring tugging examples of why better support around medications and breastfeeding really matters. Putting a human face and empathy on what could easily be quite a dry subject matter is something she continues to do throughout the book. The case studies are really moving, covering examples like postpartum women on a maternity ward being told they could only take paracetamol while recovering from c-sections or episiotomies and mothers dealing with weaning decisions after being given a cancer diagnosis, among many others.

Further chapters explore topics like why prescribing for lactating people can be so fraught with confusion, drugs during pregnancy and birth and their impact, treatment of chronic health conditions and depression as well as looking at ‘lifestyle’ drugs including alcohol and recreational drugs. The chapter on over-medicalisation of common issues like infant reflux, CMPA and colic are a must read for any peer supporter, particularly those among us who provide support on online forums where suggestions of reflux and CMPA are common. Some of the facts and studies Wendy discusses are truly eye-opening and the book is well referenced with a focus on remaining evidence-based.

why mothers medication matters book

Wendy ends her book with a discussion about where women can go on to get support around prescribing issues, and talking about milk donation. The final chapters are a heartfelt overview of the differences between breastmilk and formula milk and why we shouldn’t be assuming “formula milk is fine” if a lactating parent needs medication and her conclusions about why medication matters for breastfeeding parents.

This book is about so much more than medication; it is a wide-ranging overview of issues breastfeeding parents may face dealing with their healthcare. The ideal length and level of detail for a breastfeeding peer supporter, as well as a good introduction to the topic for training breastfeeding counsellors and health professionals I would whole-heartedly recommend “Why Mothers’ Medication Matters to anyone.

Buy “Why Mothers’ Medication Matters” by Wendy Jones and other excellent titles from the ‘Why it Matters’ range, over at Pinter & Martin

Why mothers medication matters review by Oxytocin and other stories

*I draw no income from my writing, my blog features no ads, be reassured links given to purchase this title are completely independent and not affiliate! #adfree

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The 12 Days of Boobin’! Christmas Tips for Breastfeeding Mums

Enjoying the holidays, and breastfeeding your baby are not mutually exclusive

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It’s beginning to look a lot like Christmas! Soon many of us will be spending time with friends and family, and while we may look forward to the holiday, some may find the idea of breastfeeding over the Christmas break brings up a few anxieties.

First of all, in my view, there is one brilliant advantage to breastfeeding over the Christmas period, You have the perfect excuse to slip away and get some quiet time (hopefully with a box of choccies to keep you company) because “baby feeds better without distractions”. Another bonus- you also have the perfect excuse for turning down events you don’t really want to go to. Maybe that’s just me. I am happiest in PJs with a glass of wine.

Other people may prefer to drink their wine wearing their party gear, and worry that this breastfeeding malarkey means they are going to miss out on all the fun.

I know often concerns revolve around family members, particularly breastfeeding in front of them. Some people worry that Auntie Lynda will go on (and on) about how she thinks the baby should be on bottles/formula/Christmas dinner and all the trimmings by now.

christmas breastfeeding meme

So here are a few of my thoughts on how to make life easier as a breastfeeding mum over the Christmas holidays.

Baby Wearing

Worried about baby being passed around like the tin of Roses, during peak cold and flu season? Wear your baby! You will be surprised how much less well-meaning relatives will demand a cuddle when they see a baby all cosy in a sling.

Wearing Your Baby has the added advantage of keeping them close, which leads me onto my next point…

Expect Baby to Change Their Feeding Habits

Often over holiday periods, things are busier and babies are more stimulated. It is easy to miss feeding cues, or breastfeeds. During long journeys, a baby might sleep more than usual. Lights and music and new people often mean distracted babies that don’t feed as well or cue for a feed less. Quite often babies are being passed around for cuddles. Sometimes Uncle Gary might decide he can soothe the crying baby himself rather than passing them back to Mum. Sometimes mum is distracted entertaining friends and family or making food.

Building in times during the day to breastfeed might be a helpful way to combat this, or alternatively see above; Wear baby more so they stay close! If you are undertaking long journeys build in some rest breaks to allow time for boobin’.

Alternatively, baby might be out of sorts, cranky, overstimulated and want boob ALL THE TIME, also normal! In fact, in these situations, nursing can be a godsend. It is often much easier to calm a baby with a breastfeed.

Nursing also gives you an excuse to get out of peeling the sprouts or doing the cooking. I may or may not have personally used this as an excuse to sit on my bum eating Christmas cake (“It’s for the baby!”).

Make time to express if you are apart from your baby

If you are away to a party, or out for the day Christmas shopping you may want to build in some time to express. This is more important the younger your baby is. Not removing milk from your breasts may lead to engorgement and blocked ducts, and eventually lowered milk supply.

If you do find you develop some blocked ducts or engorgement, following self-care is important, this is great information from the Breastfeeding Network.

If your baby is having bottles while apart from you, making sure responsive feeding methods are used can be helpful. Click the link for a video demo.

Alcohol and breastfeeding

Most sources suggest a moderate intake of alcohol while breastfeeding is fine. You can still have a glass of wine or two and breastfeed. However -and this would be true however you feed- as a parent you need to be careful you are still fit to care for a small child. Bedsharing after drinking alcohol is also a no-no. If you fancy a blowout, expressing some milk in advance might be helpful, as well as enlisting a babysitter.

Some useful links:

Pass the stuffing, please!

Christmas is often a time when the food police come out to tell you that you can’t eat your veggies because “baby might get windy” or that you need to avoid the stuffing or after-dinner mints because the sage or peppermint might “lower your milk supply”.

The good news is, there is no evidence-based research showing foods themselves will make your baby gassy (unless they already have a known allergy or intolerance to a certain food), and you would need to be eating absolutely VAST quantities of stuffing/mint for there to be any effect on your milk supply, so tuck in, and don’t worry.

In case you overdo things, many indigestion remedies are safe to take while breastfeeding. All on the link there. You’re welcome.

Don’t feed the baby!

baby food christmas breastfeeding

I’m not talking about breastfeeding here of course! However, older babies that have solids may be filled up with Christmas ‘treats’. It can be helpful to put aside some time for boobin’ toddlers too unless you are planning on weaning.

Sometimes, you may need to watch out for relatives trying to feed younger babies solids. Remember, some relatives may be from a generation where babies were given solids much younger than they are now, and may have no idea this isn’t OK. If you suspect this might happen, it might be helpful to be upfront; for example saying something along the lines of “It is important to me that the baby is closer to six months before giving them food, the research now suggests this is best for babies, and this is also what our health visitors have recommended”.

You may even want to think about ‘recruiting’ any prime suspect onside, have them “watch out for anyone who might give baby solids accidentally”. It is amazing how well giving people some trust and responsibility can work in your favour.

If well-meaning relatives are convinced giving baby Christmas dinner is the key to a full nights sleep- show them this!

Dealing with criticism

Make sure people know that you are proud of your breastfeeding relationship and that you see it as a good thing. If your relatives don’t see this as a chore they can relieve you of, you might find their attitude changes.

If you feel your choice to breastfeed is questioned, or that those surrounding you aren’t supportive, the “pass the bean dip” approach can be useful: https://twolittlegrasshoppers.com/tag/the-bean-dip-method/

If you have an older nursling, and you are worried about people questioning why you are “still breastfeeding”, Kellymom has some useful suggestions here too: https://kellymom.com/ages/older-infant/criticism/

Family members are generally well-meaning. They may be basing their ideas on outdated things they have been told. They might be open to learning about how recommendations have changed if you approach the subject gently.

Remember, you are the advocate for your baby/toddler/child. They cannot stand up for what they want. Give yourself permission to be unashamed. You do not have to answer to anyone else about your feeding relationship. Your boobs, your baby, your choice.

christmas babies

Choose clothing that provides easy boob access

Worried about feeding in front of family members? Consider practicing in front of a mirror, seeing how little is exposed might reassure you a little, especially if you use the “one up, one down” technique.

If you don’t feel comfortable getting your boobs out in front of family (maybe you have an inappropriate drunken uncle or two), the muslin trick is an inexpensive tip. Using a large muslin, tie one corner to the strap of your bra, and use the loose cloth to cover up any exposed areas. Or employ your partner on distraction duty to get uncle Roy into the kitchen for another sherry if that’s what makes you feel happier. Or, if like me you like a bit of a breather, use it as an excuse to get a bit of peace and quiet. When it comes to feeding, it is about what makes you feel more comfortable first and foremost.

If you need a party outfit or even some new fashion ideas for breastfeeding friendly clothing, why not join Can I Breastfeed In It? They are a UK facebook group, which have fantastic tips and ideas for feeding fashion (and they even have a selling page so you can grab yourself a bargain too).

christmas with a baby

So there you have it, some helpful tips for enjoying Christmas while continuing to breastfeed. Is there anything you think I have missed? What are your tips for breastfeeding over the holidays?

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Does Big Business Really Want to Help you Breastfeed?

When advice and help isn’t all that it seems

Breastfeeding Support

Boots, it seems, want to help you to breastfeed. They now produce a leaflet which you can pick up in store, and have a section on their website devoted to it. I see photos of this leaflet shared on breastfeeding groups, usually with the caption “Found this in Boots, isn’t it brilliant they have this?”

As someone who volunteers in infant feeding, this sort of thing sets off my cynicism alarm. Retailers are in business to sell you things, altruism usually isn’t high on their list of priorities.

hmmm breastfeeding

Confession time: I’m going to be picking on Boots a bit here. They are one example in truth, they certainly aren’t the only brand to do this sort of thing. Other companies also like to give out information about breastfeeding. Infant formula or bottle companies, for example, often do this too.

Let’s dissect the website information on Boots.com a little and see what we find.

The first sections: “Why is Breastfeeding Good For Me?”

Boots have chosen not to linger on the well-documented child health reasons to breastfeed, with a ‘blink and you’d miss it’ section, but they do have time to mention our appearance.

“There are lots of really good reasons to breastfeed, including benefits to mum. These include: It helps you to regain your old figure“.

Here we are, in 2018, with Boots suggesting weight loss is a top three reason to breastfeed. Talking about our body image before they mention the reduced risk of ovarian and breast cancers. I’ll leave you to think about that.

breastfeeding what

“How Do I Start Breastfeeding?”

Then we come to the next section “How do I start Breastfeeding”, where Boots have some advice from Clare Byam-Cook, a controversial figure* in breastfeeding support due to her lack of any breastfeeding specific qualification.

“Hold the baby close, facing the breast, with its shoulders and body in a straight line and it’s neck supported but the head free to extend (use a feeding pillow if more comfortable), offer your breast to the baby…”

ouch breastfeeding hurts

I am wincing reading that description. “Facing the breast” implies a “mouth to nipple” position to me, something most breastfeeding professionals will tell you is a recipe for a painful latch. This is a good demonstration as to why that is (thanks to the Empowered Birth Company for the video). It also says “head free to extend”, a clearer phrase I feel would be: “head free to tilt back”. Thirdly, “Offer your breast to baby” conjures images of a mother holding her breast and smooshing it into baby’s face, this would likely encourage an uncomfortable feed for the mother in an unsustainable position. Finally, we see them suggest “use a feeding pillow if more comfortable”, with a link taking you a range of pillows. I have nothing against pillows as long as they work for the mother, but this should be your first clue this isn’t a selfless exercise on behalf of a retailer.

“Common breastfeeding niggles solved”

The second passage is “Common breastfeeding niggles solved”. If you used the first section to give you information on how to attach your baby, you may need the information here.

My first problem with this section is it is so negative, it almost seems to scream “Breastfeeding will cause you excruciating pain!”

I am not going to sit here and tell you breastfeeding shouldn’t hurt. That would dismiss the lived experience of many mothers. Breastfeeding has a learning curve, and getting to grips with attaching a baby to the breast when hardly any of us see it on a regular basis can be hard. Sometimes, while establishing breastfeeding, mothers experience pain. What I would say is, if this is you, don’t feel like you have to wait for things to “toughen up”, or that the answer is expensive nipple creams. The research just doesn’t support that. A bit of support with attachment or a tweak may make it feel better.

I do question why, in a limited space, a large portion of this leaflet is devoted to pain? Surely some diagrams of attaching a baby instead, might help their mothers prevent some of these issues in the first place?

Well, reading further it becomes clear. They can sell you stuff to help with pain. We see links to nipple cream and a range of nipple shields. I have no doubt nipple shields are useful for some mothers, I know for some mothers, they kept them breastfeeding. However, they can be an absolute faff to use all the time, especially in public. Babies can get overly reliant on them. They also don’t solve underlying issues the mother or baby may have.

Moving on to “engorged breasts”. Here, we see suggestions that using breast-pumps and bottle feeding until the engorgement subsides is a good course of action. This is the section I find most shocking.

Engorgement is most common in the first days after birth. So why encourage parents to pump and bottle feed instead of using simple techniques to soothe and resolve engorgement, such as hand expressing, nipple stimulation and cool packs? Pumping is known to overstimulate supply in the early days (parents are usually advised not to pump unless necessary in the first few weeks). Using a bottle instead means possibly going longer between breastfeeds with engorged breasts! This is not a good thing for breast health or milk supply. Not everyone can effectively remove milk from their breasts with a pump, at least, not as well as their baby. No mention of how early introduction of bottles may be detrimental to breastfeeding in some cases and that the Baby-Friendly Hospital Initiative advises against bottles and teats in early breastfeeding.

Then we come on to the last “common breastfeeding niggle”, mastitis. Hardly a ‘niggle’, is it? Mum is instructed to go straight to the GP, sensible. A bizarre choice though, I feel, to spend so much time encouraging pumping and bottle feeding through engorgement, but offering no well-known self-care methods for clearing a blocked duct.

“Do I have to breastfeed all through the night?” & Other Anxieties

Not content with suggesting you use a pump once, Boots move on to trying to sell you them again (with handy links to their range of pumps). This time it is to get dad involved in night feeds while mum sleeps. Now, I know this is a strategy some parents will try, and if it worked for your family, great. However, they have omitted the facts that:

  • In the early months of breastfeeding, a mother will usually need to pump around the same time in the night, in order to avoid engorged breasts, blocked ducts, and mastitis.
  • Quite often a baby will drain the bottle, but still want boob, because breastfeeding is not all about the milk.
  • Night feedings can be important in supporting milk supply.

Then there is a section talking about new mothers breastfeeding in public. It’s OK though. Boots have a cover for that they can sell you. Oh and don’t forget about all the leaking. Boots can sell you stuff for that too.

This all seems to me, rather than helpful information, to be a fabulous example of how brands who sell you formula, pumps, bottles, and teats may complicate, or even sabotage breastfeeding, knowingly or unknowingly, in their quest to sell you ‘stuff’.

“What Can I Eat and Drink While Breastfeeding?”

So we come to the final section. The way this is written reads as if a mother needs to be hyper-aware of her diet: “good nutrition is more important than ever”. I find this paragraph pretty undermining. A good diet is important for everyone, it is not a necessity for breastfeeding. If it was I would be worried about my own child, since my early breastfeeding diet was 70% cake, 30% toast. Breast-milk is robust, and will in nearly all cases, still be the healthiest option for your child, (even on a 70/30 cake/toast diet). A mother would need to be malnourished for her breast-milk to be impacted.

“The occasional sweet treat is fine too- goodness knows you deserve a slice of cake”: Wow. Breastfeeding mothers of the world, quite frankly, if you want the whole bloody cake, eat it. Nobody needs permission from a shop to eat cake!

eating cake

Finally, the article ends with some links showing us more bottles, talking about pumps and baby food (we haven’t even managed to breastfeed yet and Boots are talking to you about baby food? Seriously?) Sadly, no links to any organisation which may help you establish breastfeeding (you can find these at the end of this blog).

Companies like Boots may want you to start breastfeeding. Shops want you to buy stuff for breastfeeding from them. Let’s face it, this is how they make money. I imagine they want to sell you some expensive pumps, nipple creams, covers, bottles, and shields. Unfortunately for some, following this sort of information may mean their breastfeeding journey is over sooner than they hoped.

Luckily, if you do have to stop breastfeeding, Boots have a large selection of infant formula they can sell you, often on code-breaking special displays.

I do wonder what is in it for companies, to suggest things like mothers need to follow a healthy diet to breastfeed? Or to give out information which might make breastfeeding painful for a mother? Or lower milk supply? Why devote so much time to suggesting that breastfeeding usually comes with pain and problems?

I can’t answer these questions for Boots or any other retailer. I don’t explicitly know their intentions. I do think we need to be careful where we choose to get our help from, and that the first question we should ask ourselves when a retailer tries to give advice is- “What’s in it for them?”

why breastfeeding

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This is an opinion piece, and all opinions expressed here are my own.

*For an example of said controversy Byam-Cook’s last appearance on ITV sparked a petition for them to use qualified breastfeeding experts in future. The petition was signed by nearly 5000 people.

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What Nobody Told Me About Becoming a Parent

Are the images we see of parenthood realistic?

motherhood
Screenshot from Pexels for “Motherhood” taken Nov 18

Back in 2014, I remember it quite clearly, I was sitting in an antenatal class with other expecting parents, who later went on to become good friends. We have often talked about those classes, but one memory which stands above the rest for me is one of the exercises, where we planned “24 hours with our new baby”. I remember filling in hourly slots on the flip chart with stuff like “going to the coffee-shop with the baby” and occasionally saying things like, “Ooh, it has been four hours, so we probably should be feeding the baby now too?” or “Perhaps baby will need their nappy changed now?” It always makes me chuckle when I remember it. I honestly don’t remember if the antenatal teacher tried to question this chilled out picture of the day we painted. I do wonder now how much she was laughing internally at our naivety. The perception some of us had, after babies, was this: the realities of parenting were a well-kept secret, and not to be discussed, at least not until after you have the baby.

Culturally we are all influenced by the image of “happy motherhood”. The commonly sold narrative is that all parents will naturally transition to life with a baby with ease, and will innately understand all aspects of parenting, especially if we buy the right “stuff”. In reality, we are social creatures, and what we learn about parenting, comes from what we absorb, from our wider lives, childhood, and culture. Many of us simply are not around babies and children much, except as children ourselves. We may have had a sibling, but chances are we do not really remember them being babies. We often grow up in small nuclear families, rather than extended families or small communities. We might see a lot of babies on the screen, but many UK parents have rarely held a baby before the day comes when they hold their own.

motherhood on google
Screenshot from Google Search “Motherhood” taken Nov-18

The societal norm of not really talking about how parenting can be unless you are talking to another parent, of not admitting to our real feelings, of not discussing widely how normal it is to find it difficult, perpetuates the “big secret” about what it is really like. Search an image site, or google for the term “motherhood” and what you will find is similar to the photo above; a gallery of soft focus images of babies being cuddled, smiling mothers and heartwarming memes talking about how amazing mothers are. And we are amazing, but that doesn’t mean we feel like we are. Yet we are constantly bombarded with this stuff. “Enjoy every minute, it goes so fast!” the memes cry, or they say things like; “Motherhood is messy, and crazy, and challenging, and sleepless, and giving and still unbelievably beautiful“. And just sometimes, seeing this stuff can make you want to scream; “I don’t feel the bloody beauty! I am tired, I am fed up, I want to shower without interruption, I want to pee by myself, I want a full nights sleep and I want my old life back, just for a day”. It can be especially hard to be a new parent in a world where we can be bombarded with “insta-ready” images of parenting. We see smiling parents in adverts for “stuff”. We see lovely snippets of life with kids on our social media feeds, a place where we compare the best parts of other peoples lives, to our everyday.

Amidst the “pre-baby” expectations of what we might gain- a lovely cute ‘bundle of joy’, love, fulfillment and happiness (all of which may be true) we may feel ashamed to admit if we feel a “loss” too. A loss of our old identity, our autonomy, our old body, our professional selves, our time and our sleep! I clearly remember having the realisation myself that my life had completely changed now. It was never going to be what it was ‘before’ and that there was no break from this, no holiday, no time off- and in that moment the responsibility I felt was completely overwhelming.

When you ask new parents what they feel is the most unexpected aspect of caring for their baby, quite often the knee jerk response is: “no-one prepared me for the sleep deprivation”. Our cultural norms do not prepare us for what normal infant sleep is and fears around bed-sharing, can mean more exhaustion for western parents, who are frequently trying to get babies to “go down” in a separate sleep space or even a different room. Their small human often has an entirely different agenda. When we see babies on the television, or in movies frequently we are shown a picture of a newborn, alone, in a lovely crib, while they sleep soundly. In fact to prove this point, here are the top images from a google search for “sleeping baby”.

google images for sleeping baby
Screenshot from Google for “Sleeping Baby” Taken Nov 18

No wonder it can all come as a bit of shock when the reality for many is not a baby who is happy to sleep alone, but is in your bed, latched on. You are in a fleecy M&S onesie with one boob out because you know you shouldn’t use a duvet, and any sheets that do remain have a few dubious stains on- “Is that breastmilk or baby vomit?” you briefly wonder, before turning your attention to other more pressing matters, like getting your baby back to sleep. Again.

And while we often focus on only how the mother is doing after birth, the same difficulties are often true for the other parent too.

Before we had our baby, my husband often remarked he didn’t see how it would change things a great deal. I remember having a conversation with him about how I wanted to make sure I got my hair done before having the baby, as I might struggle afterward. He was confused by my worries, in his mind, of course I would have time. In reality my baby was 6 months old before I got to the salon. The transition to fatherhood was equally hard on him, and I remember he was also emotional and overwhelmed at times. I’m ashamed to say, I resented him for this at the time, I was dealing with my own struggles to breastfeed, and my transition to motherhood. Where previously we would have shown each other empathy, instead we were often in conflict. Having had a very happy relationship ‘before’, the strain we came under came as a shock to me, we hadn’t anticipated it at all. Our experience felt dramatic at the time, it was our first maritial “rough patch” but we weren’t unique. I only realised this a couple of years later, having a lunch date with an old friend, who confided in me (after a few drinks) she had a really similar experience. Difficulties in relationships after having children are well documented, and also backed up by research. Yet it seems like the huge upheavals to relationships and subsequent difficulties are only alluded to in passing conversations, rarely discussed openly, if at all.

Obviously I love my daughter with a passion, I would never change a single thing about her (ok that is a lie, I do kind of wish she would sleep but that is another story). I don’t want to paint a negative picture because I have gained far more than I ever lost, and being a parent really can be so very wonderful. I think parents are amazing, and that we often are far too hard on ourselves. But I think we need to be telling real stories. Parenthood isn’t trite memes. It isn’t soft focus images of cuddled up babies and tiny feet. Breastfeeding isn’t always smiling down lovingly at a suckling baby, especially at first. Sometimes there is pain involved in becoming a parent, physically and emotionally. Often it is hard work. There is a learning curve. We might not be able to fully prepare for it, but we can be prepared to be surprised. And as we shed our old skin, and our old lives, and become something forever changed, we should reflect on the stories we tell to others who might be next. Our real stories deserve to be told. The truth is rarely “insta-ready”, but sometimes it is good to get a little bit real.

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