Showing posts with label breastfeeding. Show all posts
Showing posts with label breastfeeding. Show all posts

Thursday, March 3, 2011

Colic: The Bane of My Existence


My first child - Little Miss - was colicky (purple crying) from 3 weeks to 4 months old...every night from 6pm-9pm she would scream. My husband and I became a great tag-team! And we managed to make it through with our sanity in tact...most of the time.

{colic: a condition in which an otherwise healthy baby cries or screams frequently and, for extended periods, without any discernible reason. The condition typically appears within the first two weeks of life and almost invariably disappears, often very suddenly, before the baby is three to four months old, but can last up to 12 months of life. It is equally common in bottle-fed and breastfed babies. The crying often increases during a specific period of the day, particularly the early evening.}

So at Mr. Man's 2 week check up a couple of weeks ago the pediatrician mentioned that colic runs in families...if you've had a child with colic, it's more likely that your other children will have it as well...hmm...can't say I was thrilled to hear that news. And it was news - that is something I've never heard before. But, I am here to attest, it is true. Has anyone else heard that before?

Mr. Man started showing signs of mild colic about a week ago. And every night it seems to get a little worse. He is no where near the level Little Miss was at, and I'm hoping it doesn't progress to that point. Right now he is fairly content - or at least not screaming - if one of us is holding and rocking/bouncing him for the dreaded bewitching hour.

So...do I just make really fussy babies or what!? I know colic just happens and there is nothing we can do about it. Just wait it out. But I've heard 3 possible fixes I'm willing to try this time around...
  • Cut dairy out of my diet entirely (since he's nursing)
  • Cut chocolate out of my diet entirely (again with the nursing)
  • Take him to a chiropractor who specializes in babies
What have you heard? Do any of these actually work? Or are there any other things I should try? I'll deal with colic for the next 3 months if I have to - but I sure am willing to put some of these myths to the test!

Friday, July 23, 2010

Ear Infections: The 411


I have this friend, Kim - you know the kind...The women with more energy and ambition in their one pinky toe than you'll ever have in your entire body. Well, that's Kim! She's currently a PA (Physicians Assistant) student and is now going to be guest posting on The Mom Blog every now and then with amazing medical/health information. I really appreciate all of the information she crams into her posts - I hope you do too! If you have any specific questions please leave them in the comments section...she just might be able to help you out!
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EAR INFECTIONS - I.E. OTITIS MEDIA (AOM) IS THE #1 DIAGNOSIS FOR SICK CHILDREN BETWEEN AGES OF 6 MO'S - 3 YEARS OLD!!!

by the age of 1, 60-80% of kids will have had at least 1 episode of AOM; 80-90% BY AGE 2-3 YEARS!!! AND 75% of kids will have RECURRENT AOM!!! (I want to BOLD everything in this post and put tonz of !!!! everywhere)!

AOM is the #1 reason that antibiotics are prescribed to kids.
30% of ALL antibiotic prescriptions are for KIDS.
INFANTS SPEND APPROX 42 DAYS ON ANTIBIOTICS FOR AOM IN THE FIRST YEAR OF LIFE AND 49 DAYS IN THEIR 2ND YEAR OF LIFE!
The annual cost of these antibiotics total $5 billion per year, and of that $5 billion 40% OF IS SPENT ON KIDS 1-3 YEARS OLD!!! AOM has increased markedly from the 70's to the 90's there are many hypotheses as to why this is. The leading explanation is because there are more children in daycare, due to women moving into the workforce vs. staying home.

A big reason why AOM occurs mostly in children and not adults is because the anatomy of their Eustachian tubes (the tubes that connect the ear to the nose for drainage) are immature and their immune response is immature too!

Because the child's tubes are more FLAT vs. the adults which are DOWNWARD SLOPING this causes a decrease in drainage and fluid to get stuck.


Some major Risk factors for getting AOM:
  1. BOTTLE FEEDING WHILE LAYING DOWN, DO NOT PUT THE CHILD TO BED WITH A BOTTLE. The reason is because the E.Tubes function in a Pressure-equalizer-type-role, and when you lay down the pressure in your head changes and can actually suck fluid inside the tube. Also the fluid can travel in that direction more easily because gravity is no longer helping the milk to go into the stomach. Try to always feed with a bottle while at least sitting up, or laying partially (not flat) how about 30-45 degree angle!
  2. RESPIRATORY VIRUSES & BACTERIA this will often occur because of the fluid in the E.Tubes, because V&B love moist environments - the perfect home for infection.
  3. DAYCARE- increases exposure to virus's and bacteria, at a younger and more vulnerable age vs. home care. Often daycare cannot be eliminated, but try and look for smaller daycare's with less children vs. large classes.
  4. PACIFIER USE (unsure exactly why, probably has to do with the eustachian tube location)
  5. FAMILY HISTORY
  6. THE SEASON (i.e. winter...)
  7. MALES are more likely to get it than females
  8. SMOKING

BREASTFEEDING IS PROTECTIVE AGAINST AOM! This is partially because mother's milk has inherent antibodies that she provides to the child for their immunity while their immunity is still developing.

Look for my installment #2 next week on Ear Infections with some really interesting new research regarding how ear infections are linked to skin irritation and asthma! And what you can do to try and stop the Ear infection BEFORE it even begins.

Friday, May 7, 2010

Breast Is Best: How hard could it be? Hard!

I thought it would be good to have another perspective on breastfeeding. So I asked Taylor, mom of 2, to share her breastfeeding experience.
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I always planned to breastfeed. In fact, it didn’t even occur to me that breastfeeding could be a struggle or that there was a possibility it wouldn’t work out. After all, my mom breastfed all 6 of us until we were old enough say, “Breast milk, please, Mama”.

I was so confident in my inherent ability to breastfeed that when my dear husband suggested we take a breastfeeding class, I laughed at him. Child birth class, yes. Infant CPR, of course. But breastfeeding? People have breastfed since the dawn of time. How hard could it be?

As it turned out, pretty hard. M., although a practically perfect baby in every other way, did not know how to suck. Not only that, but she had zero interest in nursing. The nurses were pretty laid back about it at first. However, when hours went by and she still had no interest in food, they pulled out the pump.

Our hospital was very supportive of nursing, so no one suggested a bottle but they did have me give M. the colostrum through a syringe. The next day, the lactation specialist came to help but she couldn’t get M. to latch on either.

Finally, out of desperation, they gave me a nursing shield (a little silicone nipple that goes over your actual nipple). M. still wasn’t interested and still couldn’t latch. If we dripped some of the colostrum on the nipple shield, she would nibble a little bit but that was it.

Hearing other women's nursing stories is so interesting. I have known women who were in similar situations whose doctor recommended supplementing with formula at this point. But my doctor just sent us home, and told us to keep pumping and trying and that maybe M. would be more interested when my milk came in.

Well, my milk came in in abundance. But M. still wasn’t interested in eating. And (big surprise here) she wasn’t gaining weight. We went back to the hospital and the nurse showed us how to hold this tiny tube hooked to a syringe full of milk next to the nipple shield so that M. was getting milk while she was nibbling. The idea was that the supplemented milk would get her sucking. S. and I got pretty good at this system (although it took both of us to do it) and I was feeling more successful.

Not wanting to leave any stone unturned, we also paid nearly $200.00 out-of-pocket for a fancy lactation specialist to come to our house. She couldn’t get M. to latch on either (which was actually rather validating; it wasn’t just me).

At our next doctor’s appointment, M. was diagnosed with Failure to Thrive (heartbreaking) and still wasn’t gaining enough weight. The doctor told us that we needed to start giving M. a bottle and that we needed to feed her every 2 hours around the clock. I did ask about using a cup or a syringe but both my doctor and lactation consultants felt that M. needed the practice sucking only a bottle could provide.

My life became feeding. It consisted of an endless cycle of attempting to nurse M using the tube and syringe, bottle feeding, soothing, pumping and then waking her up to attempt to nurse again. Somewhere I had read that the first 6 weeks were the most crucial for breastfeeding (who knows if that is even true?), so I was determined to last that long. But, after that, if it wasn’t getting easier, I gave myself permission to give up.

And, amazingly enough, slowly but surely she got the hang of it. By 3 weeks, we didn’t need the tube/syringe system. By 5 ½ weeks, she latched on without a nipple shield and by 8 weeks, we were able to stop supplementing with a bottle.

I was so thrilled. We ended up nursing until she was 18 months (and I was 3 months pregnant) and I loved every minute of it (except when she went through that biting phase). But, here’s the interesting thing. Although I am glad I fought the battle, when I hear of other mothers in similar situations, all I want to do is give them a big hug and tell them that it is okay to give up. That, there are pros and cons to both nursing and formula and that either one is okay.

There are so many other factors to consider besides the litany of “breast is best” research. For example, if I had had any other kids; there is no way I would have had the time to dedicate to feeding. Or, if I had had any postpartum depression. Or, if my milk supply hadn’t been so abundant. Basically, I feel lucky that it worked out for me and have nothing but love and admiration for women in similar situations who weren’t so lucky.

When I was pregnant with my second baby, I didn’t plan to breastfeed. I was too aware of the possibility that it might not work out. I hoped to breastfeed.
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Thanks for your insight Taylor!! Your dedication is amazing. I probably would've been in tears the whole time. I'm glad it worked out for you.

Other posts in this series:

Tuesday, April 27, 2010

Breast Is Best: The Research


I know it's been awhile since I posted about breastfeeding. It's such a heated topic. Let me reiterate that I am more than understanding (and not judgmental) to women who don't breastfeed - it is a family choice.

But since this series is founded in research (and since I believe in breastfeeding), here comes a quick fact sheet on the benefits of breastfeeding backed by academic research...

(list compiled by Mothering from the Heart)

BENEFITS FOR BABY:
  • Children receive the most complete and optimal mix of nutrients & antibodies

  • The varying composition of breastmilk keeps pace with the infant's individual growth and changing nutritional needs

  • Have fewer incidences of vomiting and diarrhea in the US (20-35 million episodes of diarrhea occur in children under the age of 5, resulting in over 200,000 hospitalizations and 400-500 deaths in the U.S.)

  • Protection against gastroenteritis, necrotizing entercolitis

  • Reduced risk of chronic constipation, colic, and other stomach upsets

  • Reduced risk of childhood diabetes

  • Protection against ear infections, respiratory illnesses, pneumonia, bronchitis, kidney infections, septicemia (blood poisoning)

  • Protection against allergies, asthma, eczema, and severity of allergic disease

  • Reduced risk of SIDS (sudden infant death syndrome). Statistics reveal that for every 87 deaths from SIDS, only 3 are breastfed

  • Protection against meningitis, botulism, childhood lymphoma, crohn's disease and ulcerative entercolits

  • Decreased risk of tooth decay (cavities)

  • Nursing promotes facial structure development, enhanced speech, straighter teeth and enhances vision

  • Breastfed infants develop higher IQ's, and have improved brain and nervous system development; IQ advantage of 10-12 points studied at ages 8, 12, and 18. (Breastfeeding is considered the 4th trimester in brain growth and development...there are specific proteins in human milk that promote brain development)

  • Reduced risk of heart disease later in life

  • Increased bone density

  • Breastfeeding plays an important role in the emotional and spiritual development of babies

  • Breastfed babies enjoy a special warm bonding and emotional relationship with their mothers

  • Antibody response to vaccines are higher

  • Are hospitalized 10 times less than formula fed infants in the first year of life

  • The colostrum (first milk) coats the GI tract, preventing harmful bacteria and allergy -triggering protein molecules from crossing into baby's blood

  • Decreased risk for vitamin E and Iron deficiency anemia

  • Decreased risk for acute appendicitis, rheumatoid arthritis, inguinal hernia, pyloric stenosis

  • There are factors in human milk that destroy E coli, salmonella, shigella, streptococcus, pneumococcus....and many others

  • Less risk of childhood obesity

BENEFITS FOR MOM:
  • Reduced risk of breast, ovarian, cervical, and endometrial cancers

  • Reduced risk of anemia

  • Protection against osteoporosis and hip fracture later in life

  • Reduced risk of mortality for women with rheumatoid arthritis (RA) has been associated with total time of lactation

  • Helps the mother's body return to its pre-pregnancy state faster - promotes weight loss...1/2 of calories needed to manufacture milk is pulled from fat stores... can burn from 500 - 1,500 calories per day.

  • Helps delay return of fertility and to space subsequent pregnancies

  • Develops a special emotional relationship and bonding with her child

  • Breastmilk is free- reducing or eliminating the cost of formula (in the thousands of dollars/per year)

  • Breastfed babies are sick less thus reducing healthcare costs to family in Doctor office visits, prescriptions, over the counter medicine purchases, and hospitalizations

  • Moms miss less time off from work due to child related illnesses

  • Helps the uterus contract after birth to control postpartum bleeding

BENEFITS TO SOCIETY & ENVIRONMENT:
  • Breastfeeding reduces the cost of healthcare by promoting healthier children and mothers..........If all WIC babies in the U.S. were breastfed, our economical savings would be $33,000,000 per month ..........In 1993, 90,000 babies were hospitalized for RSV at a cost of 450 million dollars. Currently, the U.S. spends over 1 billion dollars a year on Otitis Media (ear infections)

  • Reduced insurance premiums for both parents and employers

  • Breastfeeding reduces global pollution by decreasing the use of resources and energy required to produce, process, package, distribute, promote and dispose of materials created by the manufacture and use of artificial baby milk

  • Reduced tax burden on communities and government to ensure children are properly fed

  • Reduced absenteeism in the workplace due to children's illnesses

OTHER BENEFITS:
  • Breastfeeding makes you feel good, the hormones produced during nursing have an endorphin effect giving you a relaxed feeling.
  • You have a great excuse to sit down and relax.....
  • You can nurse while sleeping...nursing moms get more rest than formula feeding moms.
  • Breastfeeding saves moms about 7 hours a week off their feet.
  • No screaming baby in the middle of the night waiting on the formula to heat up.
  • It's the only time you can ever lose weight without dieting or exercise!
  • Breastfeeding is more convenient, when traveling, all you need is to take diapers, the milk is always available, sterile, and the right temperature.
  • During times of disaster, you don't have to worry about finding formula.
  • Breastfed babies smell great....spit ups don't stain, or smell, and poopie diapers are not offensive...(until solids are introduced)
  • Breastfed babies know their moms and will never confuse them with a sitter.
  • The strong bond developed with nursing is much more intense.
  • There is no feeling to describe the child suckling at your breast and letting go to give you a big smile; and knowing that the growth of your baby came from what your body produced! Wow! What a feeling!
  • The satisfaction of knowing you are giving your baby the best start in life!
  • Breastmilk taste great! Sweet tasting! Variations in taste according to foods moms eats. Have you ever tasted formula? Ugh!
  • Breastfeeding requires the use of only one arm....you can do other things while breastfeeding, (except cooking and driving)

Tuesday, April 6, 2010

Breast Is Best: Cup Feeding

After sharing my experience with the NICU nurses giving Little Miss a bottle when I asked them not to, I received this email from a reader...
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Barb-

Hey, just saw your blog and read your post on breast feeding. I enjoyed reading it as I am a new mom and have been breastfeeding 100%. My experience wasn't peaches and cream but my son and I have discovered ways to make it more comfortable for both of us.

I did want you (and any of your readers) to know about cup feeding. I am currently living in Singapore with my husband and heard about cup feeding through a coworker. The hospital staff here will bottle feed unless you request cup feeding. It's great because it eliminates nipple confusion.
Essentially they take a medicine cup and feed them directly from the cup. If your milk is coming in they use that or formula if your milk hasn't come in yet. It's incredible to see these tiny babies just drinking away!

You have to watch so they don't choke or let it all dribble out of their mouth but it really doesn't take any longer for the nurses then if they use the bottle. My son was born 6 weeks early and his suckling reflex wasn't strong enough to breastfeed. He spent sometime in the special care nursery and they cup fed him the entire time.
It took 2 days before my milk really started coming so before that they would just mix whatever milk I could pump out with the formula. After a few days I would come and try to breast feed him and then we would supplement with the cup.

By 4 months he has tripled his weight from 4 lbs to 13.5 lbs! Anyway. I've attached some photos as I feel that explains cup feeding better than words. I don't know if any of the hospitals in the states offer this but it's an option and even if they say your child needs milk right away it DOES NOT have to be from a bottle!
I'm grateful for all the blessings of modern day healthcare (my husband is a doctor) but I do feel the medical professionals often push their opinion/experience as what you MUST do when there are other options out there and we either don't know or are too timid to say what we want.

Hope this helps. Feel free to ask any other questions.

Cheers,
Chelsea
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Thank you so much for the info Chelsea!! I'd never heard of cup feeding before and had to pass on the info. I love the pictures too - such a cute little guy, and it really does help to convey what cup feeding is.

Other posts in this series:

Monday, March 29, 2010

Breast Is Best: My Experience with Breastfeeding

I only have one child, and have only breastfed that one child...but I nursed her for 12 1/2 months. So every 2 hours for the first 3-4 months (including nighttime, she wasn't a good sleeper), and every 3-4 hours till around 7 months I nursed.

Then we started giving her cereal once a day for about a month. Nursing started to slow down and was mixed in with solid food feedings...

The last time she latched on she was 12 1/2 months, and thankfully, toothless. So I feel like I'm somewhat of an expert, or at least quite experienced.

In the hospital, before that final push - I told the nurses and my husband, Ryan, that I DID NOT want my little one to be given a bottle in the NICU. Since she was 3 1/2 weeks early I knew she'd be headed that direction. NO BOTTLES!

The type of sucking babies use on bottles and the type they use on nipples is different and I didn't want her to start out on a bottle, since I'd heard this can sometimes make it hard for them to figure out nursing.

Before she was whisked away I was given a few precious minutes with my Little Miss. In an empty room (I can't remember where Ry was), it was me and my little princess.

Then, in walked a nurse, a manly woman who said it was time to feed her. She quickly and roughly exposed me, squeezed my nipple flat, and started shoving my daughters head into my chest.

Super awkward.

I knew Little Miss's personality before she was even born - she's stubborn, willful, and doesn't like to be forced into anything. And of course, being shoved and forced into nursing was not her thing - she resisted with her whole body, all 6 lbs of it, and started screaming. After a few minutes the nurse gave up and said she'd be back.

Alone again, I gently held Little Miss close and she found her way to food and latched on herself. No forcing necessary. It hurt like mad, but I knew I'd get over the sensitivity and I knew it'd be worth it for both of us.

Regardless of what I said about the NICU & bottles - those nurses played with her hair, cuddled her, and gave her a bottle while I waited in my room for 4 hours to hold my healthy baby. Finally I called the NICU and they brought her to me.

Nursing was hard, it was painful (at first), it was a sacrifice of time & independence. I couldn't venture too far from my little girl since I knew she'd be hungry every 2 hours. No movies, no nights away from her, and date night as a couple was limited to a one hour activity, or we'd just take her with us.

But it was worth it! Little Miss and I bonded, we still have a strong bond. I know I gave her the best start she could have. The healthiest food she could have. She was taken care of and happy. Nursing also helped her get over her jaundice faster.

Now for some selfish reasons why I breastfed...formula is expensive, formula spit-up stains, formula poo stinks (breastfed babies don't stink), I knew breastfeeding would lessen my chances of breast cancer, and...the really selfish reason - Little Miss sucked all the baby fat right out of me!

I was skinnier than I was pre-pregnancy by the end of breastfeeding. It really does help you drop the excess weight...too bad all of my weight ended up on her legs. =) Either that or she was just eating straight cream.

And even though it was hard, I will definitely do it again for the next one.

So...my feelings on breastfeeding our obvious. Of course we should breastfeed our babies! Why do you think we have breasts? They serve a purpose. It is the best food for our babies. And it's good for us too.

Having said that however - I don't want anyone to be defensive or offended. I know that breastfeeding is a family decision and you have to do what's best for your family. I also know there are some health conditions that sometimes prevent people from breastfeeding. We'll go over those in another post. So don't worry - I don't judge.

Moms - have any good or bad experiences of nursing you'd like to share? Inverted nipples? Mastitis? Please comment! Or better yet - want to be a guest blogger on the subject? Email me - barb.themomblog(at)gmail(dot)com

Other posts in this series:
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