Frenotomy–Parent Perseverance Pays Off

 

20140828_095301Breastfeeding always hurt for first- time breastfeeder, Tina. She was given a nipple shield to help with the pain. And it did help. Even so, she knew a nipple shield was not a long-term solution. She kept trying to get rid of the shield. She hated the thing! But every time baby latched without it it, it resulted in intense nipple pain and wounds—her nipple was painfully creased after feedings as well. So, understandably,  she continued to nurse with the shield.

Meanwhile, baby Carolyn wasn’t gaining weight well. At every appointment she was gaining about ½ of expected weight gain. Baby was breastfeeding frequently—over 10x/day and still not gaining appropriately. She was having infrequent bowel movements, was gassy, and uncomfortable. Tina felt that something was very wrong. Continue reading

Guest Post: Why Pediatricians Recommend Rice Cereal (and Why I don’t Agree)

The following is a guest post from Beth Martin. Beth is a certified Nutritional Therapy Practitioner (NTP) in Seattle, and the owner of Small Bites Wellness. She is passionate about whole food nutrition for the whole family and believes that ANY change you make in the pursuit of your health, or your child’s health, is worthy. Health is a journey, not a destination. Please contact Beth for questions about your family’s nutrition.

IMG_0117For decades, rice cereal has been the recommended first food for infants, sometimes as early as two months of age. In recent years, some doctors, nutritionists and the American Academy of Pediatrics (AAP) have begun to change their stance on rice cereal. Continue reading

Low Milk Supply: Tricky to Treat!

Supplementing at breast

Supplementing at the breast.

When a mom is experiencing difficulty making enough milk for her baby, the usual suggestion from well meaning professionals is often, “Nurse your baby more —your body will rally and you will make more milk in just a few days.” This suggestion is based on the law of supply and demand. When more milk is removed from the breast, the breast will respond by making more milk. While this advice can be legitimate in some situations, many times it can result in an exhausted baby who, despite mom’s best efforts, can’t get enough milk to gain well. Continue reading

Adrienne’s Story–Tongue Tie and Beyond

This is a story from a former client. She wants to encourage other moms to aggressively seek help for breastfeeding challenges. She wants you to know that if you’re having trouble, it’s not your fault! And, finally, she wants you to know that you and your baby don’t have to suffer and struggle in order to breastfeed

20131224_140733By the time I saw Renee, I’d already been to 4 lactation consultants and I was losing hope I’d be able to breastfeed my baby girl for even another month, let alone her first year. We were on week 9 of pain, frustration, and tears. When Renee said my girl had a tongue tie, I didn’t quite believe her for a moment. Then I wanted to cry, I was so relieved to have a concrete, fixable solution. Continue reading

Breastfeeding SOS: A Glimpse into a Monday Morning

Breastfeeding SOS

Breastfeeding SOS

I used to facilitate a breastfeeding drop in group.  I never knew what to expect or who would show up. Sometimes clients pop in for a quick follow up, but often I’ve never met the moms before. They are referred to the group by their Drs, their doulas, the acupuncturist or their friends. This is a glimpse into a recent drop in.

After moms straggle in with their babies somewhere between 10:20 and 10:45. They get settled in the comfy chairs and I ask them to introduce themselves and their babies.  They admire each other’s babies. A mother with a 3- month- old marvels at the smallness of another mom’s 8-day-old baby. She congratulates her for making it out of the house to get support with such a tiny baby.. I ask the mothers to talk about why they are here. Here is what I heard last week.

“I just want to make sure I’m doing it right.”

“I want to make sure my baby is gaining weight.”

“My nipples are really sore.”

“My baby has a hard time latching and he’s really fussy at the breast.”

“I’m using nipples shields and I want to breastfeed without them.”

Babies begin to get restless and fussy.  I assure them it’s totally fine to breastfeed in this setting!  A question is asked about latching. All eyes are on me as I  bring out my knitted breast and demonstrate for all to see. I can see mothers trying to replicate the technique I demonstrated.

There is concern expressed about using some formula. Everyone is quick to assure the mom that any amount of breast milk is great and the important thing is to feed the baby.

There is a discussion about milk supply and how to know baby is getting enough.

More questions.. I give general answers. If a mother is having a complex breastfeeding problem, I recommend a consultation with an IBCLC. She can make an appointment with me if desired.

A mom shares that she isn’t getting enough sleep and she doesn’t know what to do. Three other moms nod their heads with empathy and give her suggestions. I merely listen, because it seems the mom is getting exactly what she needs.

A conversation about pumping ensues. One mom says.. “I have a love/hate relationship with my pump!”  There is laughter and more pumping discussion.

A baby poops loudly which results in more laughter.

A mother asks me to help with latching her baby so that it’s not painful. I help her make a few adjustments and she looks up at me and says, “That feels better! Thank you!”

A mother confesses she doesn’t know how to determine if her baby is swallowing. So I sit with her and interpret what’s happening as her baby nurses. Another mom listens in, then asks me to watch her with her baby as well.

Every few minutes a baby is weighed. When it’s good news all of the mothers rejoice.One mom cries after learning her baby didn’t gain enough weight—other moms cry with her or grow silent.  One reaches out and gently pats her back. They always seem to know the right thing to do.

A mom asks me to check if her baby has thrush. I don’t do oral exams in drop in groups, but this baby took one look at me and stuck out her tongue and showed me the thick white patch!

When one baby cries loudly, the other babies look worried and begin to whimper. I hear things like, “Yes, that baby is sad, but his mother is helping him.” and “That is a loud sound and it’s scaring you.” and “I’m right here, you are ok.” I marvel at the intuition and skill of these first-time moms.

Babies fuss and cry with diaper changes. A mom goes to use the restroom and hands me her baby to tend. He smiles and coos at me.

It’s 11:30… time to end the meeting. But the moms linger… asking one more question, enjoying the company of other moms and babies. There are hugs and word of encouragement.

When they leave they look a little happier, a little lighter and more confident. They have a plan. They know who to call if they need more help. They entered the space as strangers and as they leave, I hear 2 of the moms exchange phone numbers.

I hope they are all doing well. I hope I see them next week.