Posts tagged IBCLC Covid-19
My Breastfeeding Story
Photography credit: Littles and Lenses

Photography credit: Littles and Lenses

In 2017, I had my first baby, Lucca. He struggled to latch and I nursed hourly around the clock. By day 5, my milk still didn't seem to have come in despite nursing on demand and pumping. My midwife referred me to a lactation consultant and I was then diagnosed with Breast Hypoplasia, also known as Insufficient Glandular Tissue (IGT). This meant that I would never be able to make enough milk to feed my babies, no matter what I did. I was beyond devastated. Luckily, I had lots of support, he received a tongue tie revision and I had access to donor milk, so I was able to successfully nurse him until he was 8 months old, with supplementation, medication and an supplemental nursing system (SNS).

Photography credit: Littles and Lenses

Photography credit: Littles and Lenses

Fast forward to 2019, I had my second son, Matteo. I was much more empowered with information (as I was now a Certified Lactation Educator and Birth Doula at Beautiful Blessings) and had 500+ oz of frozen donor milk ready to go (thanks to two amazing mothers in my life), had expressed colostrum in the freezer, an SNS and a robust nursing and supplementation plan. When Matteo was born, he had a tongue tie which was corrected on day 10 and I was able to start my medications immediately. I supplemented until day 5 with my own frozen colostrum on a spoon. From there, I continued to feed on demand and offer donor milk and formula, as needed. We went on to experience challenges including issues with him having a high palate and a horrible, month long bout of mastitis, but we pulled through.

I am so proud to say that I am still nursing Matteo at almost 13 months old, with no medication and little to no supplementation. I am now working towards becoming a Le Leche Leader as I am very passionate about supporting breastfeeding/chestfeeding individuals, particularly if they are dealing with low supply or hypoplasia.

“I am happy that I reached my breastfeeding goals and I am excited to continue our journey”

- Lauren Calleja Birth Doula, CLE

Photography credit: Jillian Henry Photography

Photography credit: Jillian Henry Photography

My experience with breastfeeding

With having had 3 kids I can say that my experience breast feeding them was as different as they are. Before having kids I had a bit of an advantage, or so I thought, having had 2 older sisters with 6 kids between them and 4 years of labour and delivery experience as a nurse. I was encouraging and teaching new moms how to make this unique connection before I had gone through the steps myself.

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I knew I wanted to give breastfeeding my all because it was what I knew the most about. I knew it had many benefits for my baby and hopefully me! I wanted the connection, the weight loss, the immunity for my baby and the lack of expense (vs formula feeding).

My first baby threw all my confidence out the window by coming early. Once he was born I was given a pump and told how to use it, clean it and encouraged to pump every 2-4 hours to bring my milk in and have a supply the nurses could use to feed my son through his naso-gastric tube. His blood sugars were low at birth so they needed him to start eating. His first feeds of formula he rejected making me strangely proud! My milk came in (and didn’t stop!) with all of my pumping and my son kept it down and increased feeds just as expected. I was given a nipple shield that I had never seen before, the next addition to my challenges! I had to learn how this big chunk of plastic was supposed to fit into my premies mouth (and function without choking him when it filled up!) while learning how and when to hold him, when to pump, when to go home and when be at the hospital…

The first lesson for me in motherhood was to keep my expectations very flexible!

I had not prepared for anything I was facing and had to use all the help I could get which was difficult to accept with my independent (controlling?) personality. As for the benefits I had hoped for, the “bond” was there from birth and it would have been regardless of what I fed him. His health was good though every “cold” was a cough or wheeze and I’ll never know if that might have been different if he had been full term. I did lose the weight and saved money without needing formula that first 8 (?) months. He did start to nurse without the shield after a few months and after that all ran smoothly but during those months I did a mix of previously pumped and frozen milk and the nipple shield.  I also pumped and brought a bottle to places that I thought would just be easier to keep my shirt on!

I felt protective of my new little love. I liked that when he cried I was the one with the answer. We went to some BBQs that summer and family events I intentionally did not bring a pumped bottle just so he would have to be with me. I felt like I missed out on so many tiny moments in those first few weeks that I wanted him in my arms as much as possible (see..control..).

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Looking back on it all, and especially after having two more kids, I wish I could go back and tell myself “Just do what works for you!”. I spent so much time worrying if I was doing the right or best thing and I could have saved myself so much stress if I just relaxed and did what worked, what felt right.  Those were the most empowering actions that brought me so much pride. That and watching those babies chunk up from all that milk! 

After note- all my kids ate every 1.5-2 hrs. It was embarrassing that in one visit I had to feed…again. People would say “Didn’t you just feed him/her?” Sometimes I would leave early just to avoid the possible judgement.

Breastfeeding is a small action with a steep learning curve and a huge weight of expectation. Your mental health is as important as your baby’s physical health. What would that look like on a growth curve??! What percentile is your mental health in?

Lindy Akins

Does my breastfeeding baby need water?

Hoping all you mamas are doing okay and making it through life during a pandemic.

Just a little of an update on how my family has been doing. My daughter just had her 8th birthday and we opened our doors to another family that is close to us and has been pretty strict with the isolation guidelines. Boy, was that ever a fun day! I missed my friends so much. I’m looking forward to and hoping for more “freedom” in the coming days.  Looking forward to drinks on the patio, playground dates and camping together! I’m also counting down the days to no “school”! 16 days to go, in case you weren’t already counting! I have to say that my kids have managed pretty well at home. My son Jack is in grade 4 and he despises doing schoolwork and it is a chore for both of us to get it done.  But he loves being home and staying in his housecoat all day. He’s done lots of cooking with me, built a treehouse with my husband and earned money helping my mom with yard work. I'd say he’s learning lots of life skills. My middle daughter, Molly, is in grade 2 and loves learning and loves doing her schoolwork on the computer. It’s so cute listening to her read stories to her teacher and the conversations she has with her friends on Kids Messenger. She also enjoys being in her pyjamas all day! My youngest, Hannah, is in kindergarten so she’s already used to being home most days. She’s enjoying having her siblings home all the time and keeps herself busy playing/crafting all day.  We’ve kinda (100%) stopped doing the assigned activities from her teacher (sshhhh) and life is way easier. This mama is not creative and does not enjoy crafts!! She went to an amazing preschool that prepared her so well. She’s ready for grade 1! (and yes, I have the teachers approval). Of course they all miss their friends but they also understand that this “new normal” isn’t forever and we need to keep ourselves and everyone else safe.   

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How are all of you? I would love to hear how you are all coping and the positives that are coming from being home. Our days are starting to warm up and often we get this question:

Does my breastfed baby need water? 

The simple answer is, a breastfed baby does not need extra water or fluids. No matter how warm it gets breast milk is food and drink. If the newborn baby is thirsty, continue to feed on demand. Research shows that even in extremely hot countries, breast milk alone is good for keeping a baby hydrated.  

  • Breast milk is over 90% water

  • Our bodies are so smart! In hot weather, our bodies make milk that has a higher water content

  • Babies might fill up on water, which has no nutrients or calories

  • Giving anything other than breastmilk can affect milk supply

  • Water may interfere with breastfeeding, and can actually contribute to weight loss and jaundice.  

  • Although very rare, if babies under the age of 1 drink too much water, it can lead to water intoxication which can lead to brain seizures.

So mama’s, drink lots of water!  It is normal for your baby to have lots of short feeds on a hot day. This is because breastmilk is higher in water at the start of a feed therefore thirst quenching. It is okay to start giving a little water around 6 months of age, when your baby starts sampling solids, but always offer breast milk first.

Enjoy June!

Melissa, RN, Lactation Consultant

My Breastfeeding Journey

When I finally became pregnant, I didn’t think that I would become what I call a “breastfeeding warrior”. I simply thought I would feed the babies and do whatever was in their best interest.

My journey started when I was 24; I was with my ex husband, who had paraplegia. Our fertility journey began with in vitro fertilization due to his disability. If I had a crystal ball, I would have realized that my own fertility journey was beginning due to the course of events that were about to unfold. It was easier to let him shoulder the reason for our infertility at that time.

With two fresh embryo transfers, and one frozen, we were still without a pregnancy. Being 26 at the time, we decided to move on. I remember the fertility doctors commenting that I had “sluggish ovaries” since I was producing a minimal amount of eggs even on the highest dose of FSH. At 28, the marriage ended and while I recovered, I looked forward to becoming a mother “naturally”.

With a new partner, we began trying to conceive when I was 30. Due to my scars from my first journey with infertility, part of choosing my new partner was his family’s fertility history. One of six children, with each sister being a mother. I was excited to finally become a mother.

So began my second infertility journey. Eventually, the twins were conceived via Clomid and IUI. I carried the twins to 37 weeks and 4 days. I was 33 and had been on an almost decade long journey with infertility. Along with this came crippling anxiety, irrational fears, and constant worry about the babies.

Being pregnant with twins, I rationally knew that I might need help with feeding them. I was very open to receiving help and supplement what I could not produce. I was eager to get the babies out since I began to worry about squished cords, etc. The moment they were born, the real anxiety set in and I realized they were much safer inside me. Hence, I was very particular who could hold them, nevermind feeding them!

After my cesarean section, in the recovery room, a baby was put on each breast and my breastfeeding journey began. I was surprised at how much it hurt. I wasn’t anticipating pain. After a couple days in the hospital, my nipples were both scabbed over, I remember cringing when they latched; my sister encouraged me that it would pass. In the hospital, my son was losing weight, tremorous, and fussy. My daughter had jaundice and needed treatment. A nurse came in one night and helped me with the hospital pump, weighed the babies, and based on my son’s weight loss, suggested that we supplement. I remember, at that moment, my babies were 2 days old and I already felt like a failure. It hit me that not only did I not want them to have formula, I had a hard time with anyone giving it to them. 

After my daughter received treatment for jaundice, we were on our way home. The first 3 months is a blur. All I remember is being awake, babies on my breasts, cluster feeding, and quickly losing my mind. I was determined to exclusively nurse the twins. No one slept. No one was sane. We did use formula at times. Especially for my son who seemed to be starving. My husband was determined to make them sleep. I recall one night he fed my son so much formula in hopes of him sleeping, that my son vomited everywhere and we were back to square one. My anger in this moment was immeasurable. I couldn’t seem to nurse them or supplement them without feeling some sort of failure.

I sought help from a lactation consultant. I finally felt relief weighing the twins before and after nursing, knowing that I was producing, but they needed a little more. I kept a bracelet on my wrist to remind myself which baby was on which breast last. The problem was that my daughter was more efficient, and my son was smaller. I was bouncing them from breast to breast hoping they were getting enough. I was also pumping like a crazy person. Working on building a stash, just in case. But I didn’t want to use the stash to feed them. It was official: I had lost my mind. I saw my consultant on a fairly regular basis. I was taking motilium to increase my supply which also increased my appetite. I was doing everything I could in order to continue to nurse the babies.

At 4 months, I was at a consultation and she suggested a new plan: assign one breast to a baby for 24 hours, then switch. Within a week, the babies were gaining, and I was starting to feel an ounce of success. At this point, it was like a cloud lifted and breastfeeding became easy.

At 6 months, after an average of 4 hours of sleep (for me) in 24 hours...in increments, it was time to bring in a sleep consultant. When the twins were 7 months, my daughter was finally sleeping through the night and my son was feeding once. This was the first time that I ever felt engorged. I woke up in the middle of the night and I could feel the “flower petals” of milk in my breasts and I was shocked at the feeling. Everyone talked about the let down and I never felt it. Until 7 months postpartum. I was still pumping, but this time once a day. The collection of milk in the freezer went to two friends. One who was unable to nurse and the other was unable to pump and was back to work.

The encouragement I received from people was “stop nursing” or “use formula”. Only one person was supportive. My sister, a labor and delivery nurse. I was shocked at the overall lack of support. No one knew how to help me. I’m glad I pushed on, but I learned some valuable lessons.

Adelle's Breastfeeding Journey

Breastfeeding was the unexpected hill that I died on. I paid a very big price for it. My mental health suffered greatly; I have PTSD from the lack of sleep and the deep postpartum depression I was in. When the babies were two, I finally got help. Once I got help, I realized that I probably should have been admitted when the babies were about 3 months. The help came much too late to avoid long term consequences. I am grateful that I pressed on since it eventually became easy, but I still wonder if my mental health would have been better if I accepted the help and let it go. However, now, in a state of clarity, I look back with pride and love of breastfeeding my children. I breastfed for 19 months. I feel like when the babies turned one, I lost most support. My sister remained supportive which I will always appreciate, but it seems like society expects an end to it on a child’s first birthday. I would have kept going if I felt like I had more support. Everyone had a comment like “oh you’re still nursing?” My breastfeeding also wasn't subtle - I always tandem nursed and as the babies got older, it was a full shirt off experience. I received many comments when I nursed. Some about the size of my breasts, some about their age. I felt like it was time to end it. 

At the time, I didn’t know how anyone could support me. I encourage partners and other support people to help a nursing mother get sleep. Bring the baby to her to nurse and take away to burp and calm, so she can get some sleep. Keep comments at bay, unless they’re of support. Don’t just suggest they quit. Suggest lactation consultants; give positive encouragement. I tell struggling mothers that it does get easier, because it does. It was emotional, difficult and beautiful. I am so proud of myself that I persevered! My babies and I experienced that journey together. It didn’t have to be the hill that I died on, but I’m glad it was. For my 35th birthday, the babies were almost 18 months, I honoured our journey with a nursing photoshoot. This is my favourite picture ever taken of us. It makes me teary looking at it, 3 years later. I am so grateful I got this opportunity.

Adelle Stelmaschuk