I met a darling baby last week who was obviously tongue tied. By obvious I mean that his tongue was not only visibly anchored to the floor of his mouth, but the mobility of his tongue was severely restricted. All signs indicated tongue tie. He cried frequently through the day with severe gas pains. He could not move his tongue side to side and there was almost no elevation when he cried. When he nursed, his tongue “snapped back” repeatedly. The snap back prevented him from keeping a strong vacuum at the breast, leading to noisy breastfeeding, slipping off the breast and sore nipples for mom. He was so noisy with smacking sounds and squeaky swallowing that his mom nicknamed him “Squeaker.” Continue reading
You have just had a baby. You’ve always known you would breastfeed, but things are not going well. Perhaps your nipples are sore. Or you’re struggling with engorgement. Maybe you’re worried about milk supply. Or your baby has hard time latching. Or maybe you just have a lot of questions. In any case, you and your healthcare provider have decided you need the help of an expert. It’s time to call a lactation consultant.
You’re happy to hear that the lactation consultant (IBCLC) your doctor recommends will come to your home to help you. You make an appointment with the consultant, and then you wonder….”What should I do in preparation for her visit?” Continue reading
So you are pregnant. You are planning to breastfeed. You know that it’s normal, natural and that all other mammals breastfeed. You’ve heard about breastfeeding classes, but why should you take one? Isn’t this something that mothers and babies just do?
Mothers and babies are equipped with very helpful instincts* and, in the case of babies, strong reflexes to ensure successful feedings. A baby’s survival depends on his ability to find the breast, latch on* and suckle with just a little help from his mother. But here in the United States, and many other industrialized societies, birth practices and our very culture can mask and even undermine what come naturally.
New parents often assume that they will get breastfeeding help in the hospital. There may be excellent lactation consultants on staff, but many are only available during the week day—not at night or weekends. Even if you are one of the mothers who will see a lactation consultant, it is likely your “visit” will be 15 minutes or less. In addition, it is highly unlikely that the consultant will be able to time her visit for the moment you are actually attempting to feed your baby.
Mothers usually leave the hospital less than 2 days after giving birth. Will a lactation consultant be visiting you on day 3 or 4 when your breasts are swollen*? Will anyone be automatically checking on you and the baby to make sure that baby is hydrated*, gaining weight* and your nipples are healthy*?
“I always tell people that taking a class before the baby came was the best thing I did. I’m so glad that my husband was there, too! He remembered tips and tricks we learned and was also super supportive after learning how beneficial it is!” Cathy Y.
If you are lucky enough to be surrounded by family and friends who have nursed multiple babies, it probably doesn’t matter that you are not provided with a lactation consultant to ensure all is well. You will likely have all the help you need. But, honestly, this is a very rare occurrence in the U.S.
It’s likely that you have never seen a baby breastfeed up close and personal. If you’re like most of my clients, you have seen babies breastfeed from across the room, maybe under some kind of shawl. You probably averted your eyes. That is normal in our culture. We know it’s happening, but it is not ok to look! How can you possibly learn any new skill without seeing it happen and asking questions about it?
A prenatal breastfeeding class will provide you with information, a safe, encouraging place to ask questions and see pictures and videos of babies breastfeeding.
“It’s important to know at least the basics: latch*, hunger signs*, what’s normal in your infant and from our body. All good to know this before you are overwhelmed.” Audrey L.
Here are some topics that are typically covered in a breastfeeding class:
Basic physiology of lactation
Basic information about the content of human milk
What to expect in the first hours and days after birth
How to know if your baby is getting enough milk
Normal newborn behavior and reflexes that assist with feeding
How to help your baby with feeding
Signs that everything is going well
Common challenges and how to avoid them and/or overcome them
How to identify when things are NOT going well
Who to call for help
“What I loved about the class was seeing videos of real babies breastfeeding. They really helped me to understand breastfeeding.”
A breastfeeding class can’t prepare you for every eventuality, but it can give you confidence and information that can make all the difference after your baby is born.
*You will learn about these things and much more in your prenatal breastfeeding class!
For a private, prenatal breastfeeding class in the Seattle area, contact Renee to arrange it!
I often recommend bodywork for the babies of my clients. As a lactation consultant, it is my job to look at the entire baby–not just the mouth–to get to the underlying cause of any breastfeeding challenges. When I see structural issues that may cause a problem for breastfeeding or overall function, I refer to someone I trust. Michael Hahn is one of those very special bodyworkers who I rely on to help me help my clients. Here is what he says about working with infants. Continue reading
Eventually, your sweet little baby is going to get teeth. And when he does, you may wonder…”How is breastfeeding going to work with the addition of teeth?” Don’t worry! It’s possible to mix breastfeeding and baby teeth with no injury to mama. But it’s a good idea to be prepared for the next phase of your breastfeeding relationship. Continue reading