Ah, Nights…

  • Post category:Sleep
  • Reading time:6 mins read

I tried to nurse my husband’s elbow once. Groggy, desperately sleep-deprived, I heard my baby cry and fumbled in the bed for him, putting the nearest warm thing to my breast. But my son was down the hall, in his own crib, where we returned him aftermost nursings. That’s why I was sleep-deprived.

Our first routine was for my husband to get up each time the baby cried, and bring him to me to nurse (sitting up) on Side One. Then my husband would get up, take the baby to the bathroom, change his diaper, and return him to me to nurse (sitting up) on Side Two. Then my husband would get up and return the baby to the crib down the hall. Three trips out of bed each time those eight pounds of energy woke up. That lasted three nights.

But it took us two babies to get it completely right. Our second baby shared our bed from the start, with a rubber-and-flannel sheet under baby and mother to catch any drips from either one. There was an extra diaper handy at bedside until he stopped pooping at night, an extra nightgown or two until I stopped leaking, and a nightlight in the early days to help me line up my inexperienced partner of unaccustomed dimensions without either of us moving from our nest.

I nursed the “bottom breast” until it was soft, and later in the night rolled over a bit farther to nurse the “top breast”, looming over him like a tent, elbow resting on the far side of him. When his doctor asked me how often he nursed at night, I answered, “I have no idea,” and thought how right and simple that answer was.

Nights weren’t perfect, of course. Parenting never is. There were gaps in the bedding that let in cold air. There were nights when I wished he would just sleep. There were semiconscious wrestling matches between a father who wanted part of the bed to himself and a little boy who liked to sleep with his leg over Dad’s. But we never knew night terrors or head banging two childhood behaviors that Americans consider normal and zoos consider signs of stress in their monkeys. I never walked cold floors. He woke happy in the morning and so did we. And no “body pillow” can match the relaxation and peace of cuddling a child in bed.

Our sleep arrangements varied over time; our policy was to do whatever gave the most people the most rest tonight. Once he graduated to his own bed, he and his brother often shared it, or he came in with us partway through the night. Or I moved in with him a luxury for me, because his was the most comfortable mattress in the house. When he stopped waking in the night and stopped climbing in with us we reminded our children that they were always welcome, but they said, “Oh, no thanks.” And that was that.

We miss the smell and feel and snuggliness of those little bodies. It’s a time that comes only once, and we’ll never get it back. Maybe if our grandchildren come for overnights…

Safe Sleeping

Is it safe to sleep with your new baby? Of course. Imagine a cave woman laying her newborn in a separate niche in the cave for the night, well away from the warmth and protection of her body. Now that’s unsafe sleeping!

It’s also unsafe to have gaps that would allow your baby to slip between bed and wall, or between mattress and frame, or to lay your baby on poofy pillows, bedding, or mattress from which he can’t free his face.

And it’s not safe to sleep with a baby if you’re severely obese, or have been drinking heavily or taking drugs that keep you from rousing normally.

There. That’s out of the way. What’s left? Adults who are never completely unconscious (or they’d fall out of bed), sleeping with a very lumpy object (with a head like a grapefruitsized rock) that yells when it’s squeezed. Works fine.

What do you gain? Normal breathing and heart rates for your baby, without the breathless periods so often observed in solitarysleeping babies. Normal baby sleep which does not mean long hours of deep, hardtorousefrom sleep, though that might seem desirable. An even body temperature, warmer and more stable than the most expensive hospital babywarming unit can provide. A mellower baby at night, with far less crying. Safety from fire, kidnapping, and goblins. Lots of languid cuddle time.

You certainly gain vastly easier babycare, especially if you learn to breastfeed lying down during the day, when your tolerance and inventiveness are intact.

Infant sleep researchers believe solitary sleep may be linked to higher rates of SIDS.
This is a very difficult relationship to prove, since sleep arrangements change and since SIDS may have multiple causes. But we do know that many of the risk factors associated with SIDS are increased when babies sleep alone, and that cultures that share sleep tend to have low rates of SIDS. Shared sleep is as old as humankind, and small children crave it.

Shared sleep takes many forms. At our house, a lack of creativity kept us in an antique bed narrower than today’s standard double. Many nights there were four of us in it! If I had it all to do again, I would invest in a kingsized mattress and put it on the floor for those early years of parenting. Everyone would have plenty of room, and even an acrobatic toddler couldn’t fall far. We sacrificed comfort for convention, in a part of the house that no one but the sleepers themselves ever saw or used. Silly.

For more thoughts on sharing sleep with your baby, see William Sears’s book, “Nighttime Parenting,” published by La Leche League International and available through their online catalogue and in most libraries and bookstores.

Sweet dreams! And remember that nowhere is it written that parenthood includes 8 hours of unbroken sleep. Going to bed earlier helps!

© 2001 Diane Wiessinger, MS, IBCLC
136 Ellis Hollow Creek Road Ithaca, NY 14850
Used with permission
Continue ReadingAh, Nights…

What if?

  • Post category:Mothering
  • Reading time:6 mins read

“With our first baby, I had a very difficult birth and my milk just didn’t come in.  I didn’t know what to do so we started him on formula when I got home from the hospital.  I really wanted to do it differently for our next child.  I planned more when I got pregnant again – found LLL and did a lot of reading.  It wasn’t easy this time either but with persistence and a lot of support we got our girl latched on and my milk finally came in.  We’re so glad!  But now sometimes I can’t help wondering when our son is sick, is that because of the formula?  Or when my daughter seems to developing faster in some way, maybe because she got my milk…  Do other mothers have problems with “what ifs” and “if onlys” like these?”

Responses

Karen Taylor-Lewis, Te Awamutu – Yes and yes to the many “what ifs” and “if onlys” of raising children. When I discuss my thoughts with my husband, I am regularly told I think too much about things I can’t change! So I try and make sure that I don’t blame myself and instead remind myself I did the best I could, with the knowledge I had, at the time.  If possible I learn something for the future: e.g. think proactively and take care that all the food I provide my children is the best nutrition possible, especially after giving them the best start with breast milk.


Lisa Ross, Hibiscus Coast – You did the best you could with the knowledge and support and experience you had at the time. Everyone has moments of hindsight. You can’t know for sure if your son gets sick because he had formula from a young age, just as I can’t know for sure that my daughter has allergies because I gave her something other than breast milk in the early weeks. Had we known what we know now, we may have done things differently, but we didn’t. Acknowledge it as a maybe, then move forward, knowing you are doing the best with the knowledge and support you have now.


Bea Lorimer, Waiheke Island – I only have one daughter, whom I breastfed, so I don’t have the same perspective of comparing one to another, but I do sometimes question certain behaviours and traits of hers and wonder if they would be different if I’d reacted in another way.  We want our children to become the best they can, so I think it’s perfectly normal to question some things.

We need to trust that we are making the best decision we can in any given moment- and there’s more than one “right” choice. Kids are resilient, and as long as we’re giving lots of love – and making decisions with the best intentions – they will surely bounce back from any “wrong” choice we’ve made.


Claire Hargest-Slade, Timaru – The “if onlys” really get to us as mothers –  if I had more knowledge, more support, the baby’s health status had been better or different –  these are feelings of regret and grief; perfectly natural responses to an unexpected outcome in regards to feeding your first baby . Often when mothers have subsequent babies the painful feelings of perceiving they have failed or deprived their child can be triggered and resurface.

Blaming yourself or others can be an attempt to regain control of a situation that you may have felt powerless in. Remembering that you did the very best that you were able to do in the situation can be comforting. However you fed your son, your deep and loving commitment to being his mother is evident.  Instead of comparing the health of the two children, perhaps see your second experience as a positive chance to heal the hurts of the first for you. Well done on persevering through what sounds like a tricky start!


Adith Stoneman, Kelston Group, Auckland – I believe that mothers have the word guilt written all over their foreheads.  Even fathers do.  We, with the wisdom of hindsight, know that we could have done things differently or could have responded differently.  Yet it is just that: “wisdom of hindsight”.  What is most important is that we learn from it.  We can make a difference by educating other mothers about the importance of a healthy pregnancy, of the great start in life by experiencing a vaginal birth, of the importance of skin to skin contact, the truth that breastfeeding can be hard work but it is absolutely worth it.

The founding mothers of La Leche League had a variety of experiences in regards to breast and bottle feeding.  They decided to set up a support network and to pass on the lessons they had learned to other mothers. And look what an effect this has had.  Be proud to be part of LLL; be proud to be part of a group of mothers and fathers who are making a difference in our world. Guilt is not a helpful emotion.   You are a loving mother who wants the best for her children.   Be proud of the efforts you make every day to ensure the best for your children.


Kathy Deacon, Invercargill – Well done that you have managed to feed your little girl; it sounds like she is thriving on your milk.  It is sad that you were not able to breastfeed your son. You sound like you have regrets and wonder if his health could have been better. We promote breastfeeding as the best food for babies and sing its praises for optimum health, so it is only natural for you to wonder if things could have been different.

We are lucky in this country that we have good quality formula and a clean water supply. Without a constant supply of donor milk being readily available in this country at present, your baby received the best that was available.  Without the formula he could have been a very sick wee boy.  It must be frustrating to wonder why it didn’t work out the first time round, but I’m sure he received all the love and care you could give him. It is wonderful that you found good support and information to breastfeed your daughter.  You will be enriched by both experiences and will no doubt be a great source of comfort and support for other mothers.

Continue ReadingWhat if?

Two Styles of Mothering

  • Post category:Mothering
  • Reading time:5 mins read

Before my son was born I attended a ‘preparing for parenthood’ course with
my husband. It strongly advocated ‘parent controlled feeding and sleeping’ or
scheduled feeding. This sat very comfortably with my preconceived ideas
about what good mothering should be and I made the decision to feed my
baby three to four hourly from birth.
I loved my routine. Samuel settled well into it and seemed to progress as the
handbook said he should. I looked with disdain on those ‘ill advised’ women
who demand fed their infants. Couldn’t they see that if they responded to
every demand of the baby that they would inevitably create a demanding
child? It seemed common sense to me. I also didn’t approve of exclusive
breastfeeding. My decision to add two formula feeds into Sam’s diet allowed
his father to take an active role in the parenting and theoretically should have
meant that Samuel would sleep through the night at eight to ten weeks old.
Surely this was all in his best interests.
Samuel didn’t sleep through the night as we were led to believe he should. So
at eleven weeks of age we left him to cry for four hours on his own in the living
room, until he got the idea that he was not the boss. It took him three nights
and we were back on schedule. I helped him sleep more deeply by giving him
a solid night feed at twelve weeks. Of course it took Samuel no time to decide
that milk was easier to get out of a bottle than the breast and he had us fully
weaned at five months.
Four and a half years later my daughter was born. I had already decided that
as the routine had worked so well last time I was going to do the same again.
I don’t recall how it happened, Rachel was just a very content baby, and I
liked being with her so much that I seemed to feed her whenever I picked her
up. It was as if I was just saying, ‘hello, hungry?’ I found that I thoroughly
enjoyed breastfeeding her, and we seemed to bond more deeply each time
we did it. Rachel refused repeated attempts to supplement her feeding with a
bottle. In time I gave up. But I certainly never considered myself to be demand
feeding. Imagine my surprise when a friend, a La Leche League member,
pointed out that this was exactly what I was doing. I honestly had no idea. It
took a while for it to sink in. I had considered demand feeders ‘the enemy’. But
as time went by I began to see how much I had missed of my relationship with
Samuel because of my strict adherence to the routine. He is my son and I
adore him but from the moment he was born we have been at odds, with me
constantly forcing my will on him (I didn’t even let him decide when he was
hungry). And I really had lost the opportunity to have those precious innocent
months with him that I was now enjoying with his sister. I did the best that I
knew how for my darling Samuel, but it’s as if I held him at arms length and
I’m feeling the effects of that even now.
I was also upset to read research that contradicted so much of what I had
been told. I learned that breast milk supply is actually built up and maintained
by suckling and not by prolonged breaks between feeds. And that it is not
necessarily in a baby’s best interest to sleep through the night at eleven
weeks. And that babies who are exclusively breastfed are at a lower risk of
SIDS.
With Rachel, I had a great deal of pressure put on us by family and friends
who would ask, ‘Haven’t you weaned that baby yet?” But by then I didn’t care.
Rachel is a wonderful human being in her own right. Breastfeeding has added
a warmth and closeness beyond measure to our relationship. As for the
father’s participation in feeding; my husband’s support of my breastfeeding
has been invaluable. He would sit in a close embrace with the baby and me
and fully share our experience. So did Samuel. It’s been great for the whole
family. Add to that the enormous health benefits for both of us. I cannot
understand those who say that a chemist can come up with any better
nutrition than that which nature has designed.
I fed Rachel for 18 months. Now I am expecting another baby, and I have
already decided to exclusively breastfeed. As for a routine, baby and I will
work that out for ourselves and the clock, I suspect will have little say in the
matter.
To those who have never tried breastfeeding, or who are thinking about
demand feeding, I would suggest you give it a try. You really don’t know what
you are missing. And I thoroughly recommend contacting a La Leche League
Group. The caring support of like minded people, who won’t ask you, ‘Haven’t
you weaned your baby yet?’ is just wonderful.

By Jennie South, Christchurch
Originally printed in Aroha March/April 2003, Volume 5 Issue 2

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Together Early and Often

  • Post category:Mothering
  • Reading time:4 mins read

Mother and baby need to be together early and often to establish a satisfying relationship and an adequate milk supply. Nadine has written about her mothering beliefs to give to her daughter, Elora when, in the years ahead, Elora first becomes pregnant.

Dear Elora,
I looked at you, I touched you, I smelt you. How perfect; what a miracle; you.

Babies need their mothers. Just as strongly mothers need their babies. I remember sending you off to the nursery for my well earned rest. What a complete joke! Every time a baby cried I would ask a passing nurse, ‘Is that mine?’ I lay wondering, ‘Is she alright?’ ‘Will they give me back the right baby?’ After an hour or so of lying wide awake and being totally uneasy I asked to have you back with me. Peace. I needed you – you were mine!

Bonding is a strange and amazing thing. For some women this happens instantly, for others it takes a while. But one obvious thing seems true – you can’t bond with something that isn’t there. The more time you spend with adult friends the better you know them – this is also true for mothers and babies.

We need to use all our senses to come to understand and care for each other. This relationship is like no other in its intensity, and is perhaps like no other with regard to the mental, emotional and physical health of both mother and baby.

Early contact for the baby reduces stress. The mother’s voice, skin to skin contact and warmth all calm the baby as does that first feed. And for the baby the sooner these things can happen the better – birth must be a fairly frightening experience.

Early contact for the mother reduces stress too. To be able to hold such a beautiful ‘prize’ after such a lot of work makes it all worthwhile. To see your baby studying you in that first hour as if to imprint you on their brain is like magic. That first feed releases hormones to calm you and to help deliver the placenta.

Over the next six weeks it is important to spend as much time together as possible so that your understanding of your baby’s needs are clearer to you. A young baby (presix weeks) needs at least eight feeds every 24 hours but frequently they require more. This six weeks is when your body learns to produce milk to satisfy your baby’s demands, you learn correct positioning and you establish your relationship with baby. It is at this time that a woman begins to understand that her body is truly remarkable in a new way. However hungry her baby is, if she puts it to the breast as often as requested her body just increases production of milk. And if the baby slows down its demand so the production slows. It is like a dance between a mother’s body and a baby’s.

Many women say that once they reach the six week mark both they and the baby settle down, understand each other and life seems less demanding. This six weeks is an important ‘season’. As with all things there will be good times and difficult ones during this time – but it passes, sometimes all too soon. Many countries treat this time as a special occasion and a relation or a professional moves into the house to care for the rest of the family and household so that these bonding weeks can be optimised. Mother and baby stay together 24 hours a day, sharing sleep and cuefeeding.

I believe this is something our society could learn from. An important thing I learnt and it took both you and Lucas to teach me was that there is no such thing as a manipulative baby. Many people in our society
believe that during this ‘bonding season’ we need to teach the baby who is boss and fit it into a schedule so it will not end up running the household. What I learnt was that there is no such thing as a spoilt baby, only a secure baby, who knows its every need will be attended to as soon as possible. I also learnt that babies’ wants are needs – there is no differentiation. Babies are designed to demand that their needs are satisfied otherwise the human race would have died out hundreds of years ago. It is common for people to suggest a mother takes time out from her newborn baby for her sake. I believe that if they truly understood this ‘season’ then, for her sake, they would give a mother time out from societal  commitments and housework instead.

‘Tis a season to enjoy,
Mum.

By Nadine Walmisley,Christchurch South
Originally printed in Aroha March/April 2003, Volume 5 Issue 2

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Satisfying the Needs of the Baby

  • Post category:Mothering
  • Reading time:4 mins read

Mothering through breastfeeding is the most natural and effective way of understanding and satisfying the needs of the baby.

When I think of what is entailed in mothering, I think of loving the baby – of  caring for the baby physically, emotionally and spiritually. It wasn’t that I thought I couldn’t mother by
bottlefeeding; it simply seemed that breastfeeding was so clearly what Hannah needed and what I was pre-programmed to do.

‘Mothering through breastfeeding’. One of the very obvious things that strikes me about the phrase is how inextricably linked, physiologically, breastfeeding and pregnancy are, in that the body starts preparing for breastfeeding as soon as the woman becomes pregnant. Nothing could be more natural and to not breastfeed is to go against nature. Similarly, the development of the baby’s
sucking reflex in utero and its rooting instinct prepare it to be mothered through breastfeeding. It also is the only thing that only I can do, short of a wet nurse, which seems to me to point to its being at the heart of mothering the baby. It was also the only thing I knew I could (eventually) do well by virtue of
simply being Hannah’s mother and that was a huge comfort to me. I was taken aback at how strong my determination to breastfeed was – my belief that it was absolutely essential for Hannah’s wellbeing
and that I would persist no matter how painful it was. Perhaps this was hormonally influenced. That Hannah knew exactly how to extract the milk she wanted, cracked or inverted nipples or not seemed
miraculous to me.

That breastfeeding is an effective way of meeting the needs of the baby seems to be
proved by the fact that a baby survives and thrives on nothing more than breast milk for at least its first six months. Even though I had early difficulties with breastfeeding Hannah regained her birth weight quickly and has had few ailments.

As far as understanding the needs of the baby is concerned, breastfeeding Hannah reinforced and enhanced the bond between us even though in the worst moments of the early days it felt at times as though it was weakening it. When breastfeeding started to go well for us, the bond became much
stronger on my side. It was a continuation of the physical and emotional connectedness that had begun in pregnancy.

With regards to satisfying the needs of the baby, the letdown reflex when the baby cries
seems significant. The mother’s body doesn’t distinguish between physiological and emotional needs. That Hannah stopped crying when I breastfed her confirmed to me (rightly or wrongly) that her needs were being satisfied. I’m not sure that my understanding of those needs progressed much beyond that, especially around the stomach upsets, but the contentment that breastfeeding brought Hannah when she was distressed was and continues to be tangible. It wasn’t that we didn’t try other methods to comfort her when she was crying with her stomach ructions. We walked up and down for hours, sang soothingly, drove for miles. Nothing else worked for any length of time.

It would seem logical that breastfeeding on demand helps the baby to trust its own instincts and environment and that trust must help the baby to feel secure in itself and in the world. Conversely, if the baby cries to express a need in the only way it can and is ignored, then it would seem logically to lead to a distrust of the baby’s carers and environment. The psychological need for security, that knowing one is loved, seems to be met at least partly through breastfeeding.

Breastfeeding satisfies the physiological needs and seems also to meet the psychological needs of the baby. Nutritionally, it is unsurpassed; it provides immunological protection and the physical closeness of skin-to-skin contact.

Liz Lightfoot, Chartwell Group Hamilton
Originally printed in Aroha January/February 2003 Volume 5 Issue 1

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