Re-lactating: What am I going to do when my milk comes in?


Here are some musings about the nursing relationship: how it's been to be nursing a toddler, weaning a toddler, and what it might be like to also be nursing a newborn.


Sweet Baby James was exclusively breast-fed for the first 6 months of his life and didn't really start to consume much solid food until about a year old. He was a humungous baby, so that meant that we nursed almost constantly. It was rare to go more than an hour between feedings. It was a big part of our relationship. Since I carried him in the sling most of the time we were together, we got good at nursing in it and I was able to go about my daily life (shopping for groceries, talking with friends, hiking in the woods) while he suckled. Yes, being able to walk down the street nursing my baby made me feel like Superwoman.



I intended to nurse him until, "either he or I gets tired of or uncomfortable with it." Children's immune systems are not fully developed until about six years (not coincidentally, around the same time they lose their 'milk teeth') and I had no problem nursing him until then if it was still going well for both of us. But being pregnant, my milk has dried up completely - I'm now producing colostrum for the new baby, not milk for the toddler. My decision (which is actually our decision: mine, my husband's, and SBJ's) is whether or not to allow or encourage SBJ to nurse alongside the baby when my milk comes in. 

Part of me wants to because I think our toddler would like it, benefit from it health-wise, and perhaps bond with the baby a little better. There is no evidence to support the commonly held belief that a toddler will 'drink up all the milk - milk is produced on an as-need basis as hormones are released from the pituitary gland in response to suckling. The big birth blog that I write for (www.birthwithoutfearblog.com) also publishes a lot of beautiful photos of tandem nursing looking so maternal and sweet... I have a romantic notion about it, I guess. 

Part of me, however, does not want to. Up until a few months ago, I gave our son a LOT of boob. It's been nice to have my breasts back as my own. It's been a relief that I can change in front of him, bathe with him, sleep beside him, without hearing a fierce request (demand) for la-las. Being a toddler, he would pull my shirt down, grope me, and try to play with my nipples -- all of which I found annoying. And even some of my more natural-minded mama friends have said that once a kid is weened, it's best to just let sleeping nipples lie.

As always, my husband supports me in whatever I choose - but I know that he has appreciated being able to take SBJ for longer periods of time, bond with him in a closer way, and has enjoyed the benefits of having a wife who's not 'touched out' at the end of the day. To nurse or not to nurse, that is the question.


The DANGERS of extended breastfeeding, or Look How Bad I Turned Out

My boobalicious profile picture. Hallowe'en.
SBJ is Sir Winston Churchill.
Me? I'm Sir Winston Churchill's mother.

This week, as you may know from every nursing mother's boobalicious profile picture, is the WHO's World Breastfeeding Week. I wanted to write something about 'extended' breastfeeding. 'Extended' breastfeeding is any breastfeeding that happens after the normal time for complete weaning. Yeah, normal, our favorite word here at Mama to Mama. According to Our Babies, Ourselves, the worldwide average age for total weaning is just over four years old. So that could be considered normal.

BUT In America, only about 75% of babies are nursed at all, and most of those are weaned by six months. Normal takes a nosedive.

People have all kinds of ideas about what constitutes a good age for weaning: when the child is old enough to ask for it, he's too old to nurse (babies who master Baby Sign Language for 'milk' at the age of five months? They're SOL); when mom goes back to work (ummm… in the USA we don't have maternity leave, some moms go back before their stitches have even healed); and when the infant is ready and willing to eat other food (because breast milk is this crappy not-food, why deprive your kid of the real chicken mcnugget experience?).

From the other (crunchy, placenta-eating dark-) side, some people prefer to call it 'full term' breastfeeding, to reflect the understanding that infants and children evolved to drink it by the tonne. Babies like it. Toddlers find it comforting. It keeps mama around and can even delay the conception of a pesky younger sibling. Most importantly, kids don't have fully developed immune systems until they're about 6 years old—which is, not coincidentally, about the time their 'milk teeth' fall out. Breast milk provides all kinds of immunological benefits, which is why when the nuclear apocalypse comes, and everyone's richitic and diseased (thank you, Cormac McCarthy), y'all are going to be lining up just to get a squirt of the milky goodness. 

And it's controversial and Time magazine cover and yadda yadda yadda (more about this later). So I wanted to write something about how moms who breastfeed for years are not the devil incarnate. But our baby isn't quite an extended nurser, yet. He's just a seventeen month-old who loves his 'la-las' more than life itself. Also, I just may be the devil incarnate.

McBride Park playground, Vancouver.
See the blue elephant with a slide for its trunk?
My dad and I campaigned door-to-door for that.
It was my first, and only, triumph in community activism.
And then it dawned on me: ME! Me, I was breastfed for a long, long time. My dad says four years at least, my mom says she doesn't remember. I have a vague memory of getting hurt on the McBride park playground and running to my mom to nurse. So I'm going to put it at about 2.5-3.5 years. Following are some of the accusations leveled at parents who do full-term breastfeeding, and my analysis of whether I turned out as bad as they think. The best ones came from here (http://bethesda.patch.com/articles/poll-is-extended-breastfeeding-a-problem-or-solution).






Objection #1: It leads to spoiled kids


Becky D, RN
4:46 pm on Wednesday, May 16, 2012
...I for one am sick of hearing about extended breastfeeding. It is just what it is, extended past what is recommended. Parenting is about setting limits and boundaries. How backwards to let the child decide...Breast milk is for babies. NOT children.!

And, 
If I relied on my sons to tell me when they were finished breastfeeding, I'd be in real trouble! You can't let an addict decide when it's time to stop!  (Clorissa)

Well. Really.
Am I spoiled? Currently, yes, though I like to think it means something if I know I am. Was I a milk, or any kind of addict as a kid? In a word: no, except that I have always loved sweet milky things. Cheese, yogurt, ice-cream, mascarpone, whipped cream, milk shakes, butter, icing, whole milk… mmmm….

What's better than milk? Milk with strawberries!
In all seriousness, I was such an annoyingly well-behaved kid that it actually cost me friends. As I have told my many therapists many times, I feel like I was born to defer my own pleasure. Case in point: when I was eight years old, we went strawberry picking at one of those you-pick-and-pay-by-the-pound farms. I picked a lot of strawberries. When we all met up at the end of the afternoon, everyone else had red rings around their mouths. I was like, "Wait wait wait—you guys ate some?!" It hadn't even crossed my mind.




Objections #s 2 and 3: If it's a boy, he's going to be perverted, if it's a girl, she's going to be a lesbian.

My mother also said that my daughter might grow up to prefer women over men b/c she breast fed so long. I dont' see that and I really hope that's not true. (Kendra)

The perverted part, folks, is 100% true.

And for those who find this concerning, let it be known that I am a married SAHM, in a monogamous relationship with a man, who was born with a penis. In case you thought that was your business or something. Also, what's wrong with lesbians? Nothing, that's what.



Objection #4: It means the mom is perverted.

Karl Schuub
3:47 pm on Friday, May 11, 2012
That woman has issues that have little to do with being a mom. Sorry only a sick freak would nurse a kid that can verbalize they're hungry.

My mom is a lot of things. 'Sick freak' is not one of them. She is a very nice woman, with a lot of opinions. She's comfortable with her body and has a terribly wholesome view of sexuality (please note: if you're reading this, and you've had sex with my mom, I prefer to remain deluded).



Objections #s 5 and 6: It will cause co-dependency and it's only fulfilling the mother's needs

Ashley
8:29 pm on Friday, May 11, 2012
I have no problem with women breastfeeding babies. Babies are mean't to be breastfed, toddlers are not….I feel like if they continue to breastfeed after the kid is a toddler it's not as much for the benefit of the kid (I actually believe it will cause co-dependency) but more for some sick need the mother needs to fulfill in herself.

It's true that I do love intimate relationships, and I do love my mom. But I also happily spend time alone, like the time I spent three months traveling through Sri Lanka and stayed in noble-silence meditation in an isolated Buddhist nunnery, bitches. As a kid, I walked alone to and from school every day, babysat my sister, and had my first job at age 11. 

And fulfilling the mother's needs… What needs might these be? There's a hint of something sexual in this rhetoric ("little to do with being a mom"), but nobody ever really pinpoints it. If there's a "my child nursing me" fetish, I have yet to come across it. Maybe it's more about closeness: mother has a need for physical contact for which she is using her child when she could be using more appropriate sources, like her MAN (who has a penis). I can't answer for my mom, but she seemed pretty happy in the ten years she spent without a significant other. She never seemed starved for affection, and I never felt it was my responsibility to fulfill her. Sometimes men would ask her out and she'd be like, "I dunno… do you play scrabble?"

From my perspective, it's like this: I like cuddling my mom. I wish I could cuddle her more. Maternal touch helps to calm the autonomic nervous system, and decreases the risk of all kinds of chronic health conditions (e.g. those related to stress: eczema, asthma, insomnia, etc.), most of which I had anyway. Plus, I was basically the cutest kid ever. My mother's need to hold me makes perfect sense.



Objection #5: Breastfeeding isn't sexy. 

Sean Tully
8:58 pm on Friday, May 11, 2012
Breast feeding really isn't the issue. Time's cover is. As mentioned above, it is exploiting the issue and trying to sex it up. Breast feeding really isn't that sexy.

First, I disagree with this sentiment—in the sense that breastfeeding is beautiful and demonstrates the wonders of the human body, it is sexy. This is not to say that you, Sean Tully, are entitled, simply by virtue of your manhood, to a world full of women (including my mother!) whose only aim in life is to give you a popped fly. And guess what? She totally could. My mom is the hottest sixty-something I know. She could give Yoko Ono a run for her money, she looks that good in a miniskirt.

I love this woman so much, I named my son after her.

Objection #6: It's child abuse.

Get Real
12:15 am on Saturday, May 12, 2012
This is sick and disturbing on so many levels, it is borderline child abuse.

This is really just a variation of earlier accusations, but it's so egregious that it deserves its own column. Fuck off, child abuse?! Get real, Get Real. My mom could have BF'd me until I moved out at eighteen and it never would have come close to any of the crappy, crappy things that can happen to a kid.

As Svea Vikander, I feel that I am the authority on abusive experiences in Svea Vikander's life. Extended breastfeeding? Not one of them. 



Objection #7: It's impossible to wean an older child.

Another problem is that it is often very difficult to wean an older child. He understands that your breasts are available – they have been available for as long as he remembers – so why stop now? He does not understand or want to relinquish that special relationship between you and him. Unlike babies, an older child is more verbose and can whine, argue, and negotiate for days and days. Some children can be bribed. For example, he will stop nursing and in exchange you will buy him a substantial toy that he has wanted for a long time.  (http://www.breastfeeding-mom.com/extended-breastfeeding.html)

I don't remember my mom weaning me, and she doesn't either. Obviously, it wasn't too traumatic for either of us. To this day, I await my substantial toy. Whatever that is.


Objection #8: It's going to raise a child who objectifies women.

Children who experience prolonged breastfeeding also tend to view their mothers, and often women in general, as mere objects who provide, not as people. (http://www.circleofmoms.com/breastfeeding-moms/breastfeeding-at-8-139114#_)

Yes… I definitely see my mother, and women in general (including myself) as mere objects. Who provide. Milk, optimally. I believe women should just put out (milk) or get out (of the fridge). I am... at a loss here...?

Aside from the fact that my favorite joke is, "How many feminists does it take to screw in a lightbulb?" (answer: That's not funny), I am a REALLY FUCKING SERIOUS FEMINIST. I believe in the value of women's subjectivity, stories, experience and empowerment.

The author of that comment goes on to say, 
If its okay to see, touch, and suck mommy's breast, why can't i do the same to other women? And as they get older, why isn't it okay for others to do the same to me? And I know that girl said no, but If she loved me…

This has to be the craziest one yet. It's so full of baseless fears and assumptions about male sexuality, I don't even want to touch it with a ten-foot pole. Which is why I'm going to devote an entire blog post to it someday soon.


Objection #9: There is no nutritional value in breast milk past one year.

I don't really know how to assess the nutritional benefits of my full-term BFing, but I do know that I was a relatively healthy kid. I had shiny hair and strong nails. I did lots of climbing trees and wandering the woods, but I never broke a bone. 

There is plenty of nutritional and immunological value in breast milk, which is why those most vulnerable members of our species are hardwired to want it (newborn babies will literally crawl to find the breast. Newborn babies don't even know how to crawl! Encroyable!). People with autoimmune deficiencies can be found on milk-bank forums, willing to pay good money for this 'liquid gold' (...white gold). And come on. Do we really have to argue about this one? This is, like, the one thing everybody knows. As my friend Sasha says, "breast is best, and all that jazz."



Objection #10: It will rot your kid's teeth. And/or it will wreck your nipples, because she has teeth. And other things about teeth.

If the kid has teeth it should be eating solid food. This picture is disgusting. (Ashley, above)
...from a dentists perspective a baby should never nurse that long ever. (belltree, relating her sister's statement, http://www.mothering.com/community/t/1284792/nursing-a-toddler-bad-for-teeth)

People say that extended breastfeeding will magically rot your child's teeth (you know, the ones that are going to fall out anyway), and Whoopie Goldberg said that she wouldn't nurse her newborn because she was born with a tooth. I got my one and only semi-cavity (I kind of think the dentist was just trying to sell me some sealant) at the age of 21. I didn't go back to the dentist until my then-fiancé paid for it when I was 25 and the hygienist was all, "Your teeth are great, you make my job so easy," so we just talked about my wedding plans for the rest of the hour. 

And about the rest of it? I could be wrong, but as far as I know, my mother's nipples are just fine.


Objection #11: It's bad for the child's social standing.

Donna
10:27 pm on Friday, May 11, 2012
I feel so sorry for this boy. He'll probably run away, dye his hair, and change his name first chance he gets. Can't say I blame him if he does.

Nobody ever made fun of me for being Milktastic Svea or anything like that. They had more obvious targets, like the fact that my mother rode around town on an oversized tricycle.

This is the same argument that's been made against LGBTQ people raising children, and people with physical disabilities raising children, and basically anybody else who doesn't fit the boring norm, and it's bullshit. If you think you can magically do everything right so that your kid never gets made fun of, never gets picked on, never gets left out, you're deluding yourself. 

Instead of trying to fit in, try this: think about the society you want to live in. Then act like you're part of it. That's how change happens. 


Milktastically yours,

Svea V

All in a night's work

So I haven't written in a while. So what! I have a baby! I have school! I'm in Montreal!

Also: last weekend we had five houseguests. And we somehow finagled our way into paying for three different apartment rentals at the same time this summer.

To illustrate this strange and chaotic life we've been leading, here's a little play-by-play.



Last night:
11:30pm-1:30am: Sit on peeling deck furniture in the 'en chantier' (under construction) sunroom of the sublet we're staying in. Design sling-making and social support workshop for mothers pregnant after loss. Feel proud. Like I am really doing something with my life.


1:30-2:00am: Read BWF page, avoid checking my email, drink a bottle of water. Consider eating a bowl of cereal but decide the phrase, "I would do anything for love, but I won't do that" also applies to rancid milk. 


2-4am: Sleep/suffer the abuse of seriously restless, newly scheduled 'H is for hell' baby. 


4-4:30: Sing. 


4:30: Give in and nurse. 


4:40am: Ungrateful for the great night nursing compromise I have just made, Sweet Baby James gets out of bed. Shouts hello at our houseguest, grunts.


4:41am: Rouse myself out of bed. Change poopy diaper. "Maybe now we can get to sleep, huh?" 


4:45 am: Change another poopy diaper. "Ba ba da ba ba!!" says SBJ. I tell him to be quiet, Papa's sleeping. "Ba ba da ba ba!!" he whispers.


4:50am: Let baby play with my house keys in the courtyard/chase cat/water plants. Gaze up at the dawn. "No, we cannot go outside so you can try to open up the courtyard gate. Why? Because I'm not wearing any pants."


6:00am: Nurse and sleep.



Have I mentioned how glad I am that Sweet Baby James has started sleeping through the night?




Hope you're having a wonderful summer... xoxo

I am so sick of talking about...

This.

Oh, and hearing about it too.



Did you know that the mother on the cover has received death threats?
As someone said on fb, it's only in America that murder is more appropriate than mothering.

Also, it is my birthday. I'm 26, again.

Une Vache à Lait: Milk Banks, Co-Operatives, and Corporations

I overheard a conversation today. I was sitting in the sweet little Le Marche St. George with my sweet little friend Le Jessa when two mothers came in. One had a babe in arms and the other had two kids under five.

"She had an undersupply issue," said one.
"Yeah, so that's what I'm saying. She just went to the milk bank." Said the other.
"I heard it's so expensive."

Nobody ever seems to like it when I butt in on their conversations so I just kept my questions -- and my excitement -- to myself (and Jessa). The thing is, I'd forgotten all about this little stream of alterna-parenting: not-for-profit human breast milk cooperatives.

It's no secret that many women in the West (15% of women who breastfeed) as well as a small percentage worldwide (less than 5%, more on this later) have difficulties producing enough milk for their babies. Any breastfeeding difficulty can be physically trying; this particular one has an intense emotional impact. Sarah, my co-blogger, wrote about some of these challenges (and her success!) in this post.

So what happens if you want to have an EBF (Exclusively Breast Fed) baby but your milk supply doesn't seem to be high enough? At first, mama and baby work on the problem themselves with more frequent nursing and maybe a Lactation Consultant's suggestions. But if baby isn't gaining weight or soiling enough diapers, it's time to supplement. Most mamas supplement with formula. Some are happy with this. But many aren't. Isn't there an alternative?

There are mamas with the opposite problem: oversupply. That was me for the first six months of Sweet Baby James' life. Milk, milk everywhere, and not a drop to drink (thirsty?...). Compared to undersupply it's a blessing. But it wasn't fun. I went through four pairs of the best (and most expensive) nursing pads every day. I shoved clean cloth diapers in my bra at night and soaked through them. I actually broke into tears one morning when I realized that no matter what I did, I was going to wake up with my pajamas plastered to my skin with sticky, smelly milk -- and I'd worn my last clean pajama top three nights ago.

The worst part was the run-off. I poured dozens of bottles of expressed milk down the drain and every time I did I felt a twinge of guilt: here I have so much while some have so little. I guess you could say I was the 1% of milk producers.

Thinking there must be some better way, I looked into donating to a milk bank. There are only a handful in the world. There is one in Canada -- it's in BC and if you want to donate you have to pay $ to ship your milk there. Glad to see we have a bank but I'm not in a position to pay to be generous these days.

There's also the International Breast Milk Project which pays for all shipping and has set up a free milk bank for orphaned babies in South Africa... Only problem is, they have also "partnered" with Prolacta Bioscience, a for-profit corporation that charges American parents big bucks to provide their premie babies with breast milk -- the same breast milk that has been donated by American women. Only 25% (10% if the amount received exceeds 400,000 oz.) of the milk donated actually gets to the bank in South Africa. The rest is sold for profit within America.

Prolacta 'invests' $1 per ounce they sell within America in humanitarian aid projects in South Africa. The fact that they can donate that much just shows just how valuable breast milk really is. Feeding a baby on milk bank milk costs about $100/day (EBF babies take in an average of 25 ounces/day). Way to be generous with the proceeds from sales of a material you acquired for free with sanctimonious preachings about helping the needy, Prolacta BioSCAMience.

So I did nothing, and bags of milk I had conscientiously stored in the freezer got chucked in the garbage when we moved. I'd done my research, but not very well. Because tonight I found this site, Milk Share, which hooks up donor and recipient families. Not a milk bank, not a big corporation (you can tell from Milk Share's ugly website -- Prolacta's is way sexier), though recipient families have to pay $20 to sign up. Just a little 'missed connections' messaging board for the lactationally yearning.

In fact, I could make some pretty good cash selling milk within the US through sites like this one, Only the Breast. I'll wait for my Green Card to come through first. But since it's only the state of California (where Prolacta is based...) that consumer-to-consumer sale is outright prohibited, we'd better move to New Jersey. You know, where they're more into this kind of thing.

The ickiness factor, however, kind of ramps up when I think of being paid for my milk. It's not that I'm against being paid for a product of my body (I worked damn hard in a lot of crappy jobs in my day -- what else is elbow grease but a bodily fluid?) but I'm a bit put off by the buyers. 48 of the 204 'Milk Wanted' ads on Only the Breast were posted by people who admit to being men.

Not that men can't be looking to buy breast milk for their babies. You just have to admit it's kind of unlikely. Take this guy whose ad claims a "low vitamin D level" for which he's willing to travel up to 75 miles to get FRESH breast milk. He says he found his vitamin D levels rose while "helping my wife with producing enough milk to feed our child" and he'd like to, you know, uh, get those levels up again.
HINT: Breast milk doesn't contain Vitamin D, that's why we Canadians have to give our babies Vitamin D drops.
HINT: People who do this don't have "a child," they have "a baby".
HINT: If you're a mom working on your milk supply, you're probably pumping a lot and letting the baby comfort nurse a lot, and not generally offering up your mammaries like an extra-handy Gatorade bottle to your thirsty, needs-to-get-out-in-the-sun-more husband.

Ladies, if you want to deal with mail-order fetishists, just sell your panties on Craigslist and be done with it. You'll benefit from a higher profit margin. And there's no need to refrigerate.

Like everything to do with bodies in our society, the issue is complicated. The ethics of buying, selling, and donating are complicated. The logistics are complicated. But it's great that breast milk is becoming more available to mamas who need it. Supplementing with formula doesn't work for everybody -- all babies have a (minor) dairy allergy, and some have a severe one; some babies are allergic to soy. They've gotta eat something. But keeping the digestive tract clear of everything but breast milk for the first six months is supposed to help the villi in the stomach lining to develop.

If you're comfortable with it, breast is best. Even if it's somebody else's.

Hot Topics

 Nov. 6 - 13 2011:

Our babies' love of inanimate objects. Sarah started the conversation with her post, For the Love of (Inanimate) Objects and followed up with a description of her baby P's desire for a vacuum; Svea wrote about her frustration with sharp edges on household products meant for babies.

Breastfeeding. Sarah wrote about her joy in the let-down action coming from her right nipple (and some great tips on increasing milk production). Svea wrote about La Leche League and being over-prepared for breastfeeding. She also came up with the genius idea of the combination vibrator breast-pump because, "...when lactating women are turned on, they spray milk everywhere." On that note, the lovely Anais discussed the challenges of maintaining sexual rapport during and after pregnancy in her Sunday Brunch interview.

And of course, there was much bemoaning the lack of changing tables in public washrooms on Mamactivism and oohing and aahing over badass babywearing on Too Hot For Stroller.

Code Milk! How I was over-prepared for breastfeeding

Last Tuesday night found Sweet Baby James and I sitting on the living room floor of a very nice apartment in the foggiest part of town. The room was crawling with babies, lactating women, and their relatives. Our first ever La Leche League meeting!

The La Leche League (LLL) is amazing. It was started in 1956 by a bunch of friends who were not convinced by their doctors' opinion that breastfeeding was bad for their babies. Only 20% of American babies were being breastfed at that time, and it was considered so uncouth to discuss nursing in public that they had to call themselves 'The Milk' League in Spanish. Code milk!

LLL was renegade, radical and revolutionary in its time; now it's a soft, welcoming place for people who want to learn more about breastfeeding. They have a book, The Womanly Art of Breastfeeding, a magazine, a website, and groups meeting weekly in 68 countries.

In the Western world's reckless rejection of lactation in the 1930s-1970s (a squeamishness that accompanied the medicalization of birth and the rise of corporate interest in infant formula), an entire generation was raised without the nipple. While a woman could once turn to her own mama for support and knowledge about breastfeeding, that's not possible if she didn't breastfeed her babies and wasn't breastfed herself. So going to a LLL meeting is a bit like reaching back through the centuries to find a bit of knowledge that you kind of knew already.

Yes, I paid $25 for a one-year membership to a club where I listen to people tell me things I already know. It's strange but wonderful, sitting in a room full of the squeals of children and squalls of babies and feeling, "Oh yeah, I knew that" about something that, frankly, I didn't.

Like biting.

I had been being bitten by Sweet Baby James on a semi-regular basis for the past few weeks. His teeth came in all of a sudden (six teeth over the course of two weeks, both top and bottom in the front. wowza!) and it's as if he didn't quite know what to do with them. And so, as always, he did whatever he liked. Unfortunately for me, whatever he liked included something very sharp and something very sensitive. Ouch.

So I asked about this at the meeting. The leader, as she is directed to do, reflected the question back to the larger group -- had anyone else experienced this? There was one Lactation Consultant-looking woman there (yes, there's an LC look. It involves being well-groomed, doing yoga and wearing handcrafted silver jewelry -- you know who you are) who suggested I de-latch the baby as soon as my milk had stopped flowing, since biting happens when the nipple is further forward in the mouth than when he's really gulping milk down.

Someone else suggested raising the angle of the baby's head, since they most comfortably latch when they're looking upward; and another lady commiserated, saying that she is doing extended breastfeeding with her daughter and not to worry, he would soon grow out of it.

That middle suggestion -- that the angle of the latch might be causing him to bite -- was actually new to me. But as they described it, I really felt like it wasn't. I felt like it was something I had known and forgotten, or maybe could have figured out on my own. A feeling not unlike the one you get from assembling a piece of IKEA furniture without the directions, only to find them hidden under your (also IKEA) couch.

There's much ado these days about how 'not instinctive' breastfeeding is -- the LLL magazine New Beginnings is full of stories from new moms who had terrible difficulties establishing the "breastfeeding relationship" after their baby was born. Thalia says,
"I wondered what could be so hard about something so natural. Hadn't we as a species done this from the beginning? I thought it was going to be easy. Not only was I wrong, but I was woefully unprepared for how wrong I was."

Diane says,
"Looking back now, both... [my husband and I] should have read a lot more and given a lot more thought on the subject."


But this non-instinctive stuff seems *ahem* counter-intuitive to me. How could we possibly survive as a species if the womanly art of breastfeeding wasn't hard-wired? And how come, given that I'm not a 100% insufferable jerk, do I feel like I 'know' this stuff already? Anthropologist Meredith Small asks the same question in her excellent book Our Babies, Ourselves: How biology and culture shape the way we parent.

She tells the story of a captive gorilla (Small doesn't say, but I'm assuming she was raised in isolation). This lady gorilla was able to carry and birth her cute little gorilla babies, but they kept getting taken away from her because she didn't know how to nurse them. She had the idea to connect her nipple with something on the baby's head -- but she didn't know that she needed to turn it around to face her. So the keepers got a bunch of human mothers to nurse their babies in front of her. She watched. She learned. She was able to feed her next baby!

So there is a strong learned aspect to breastfeeding. And perhaps this is the essence of intuition -- it's a combination of instinct and learning. It's important that we have good prenatal and prelactation classes available. But maybe, in our drive to be the master of everything in our domain, it's possible to be over-prepared, too. Might we, in our drive for self-education, run the risk of extinguishing the instinctual aspect of the nursing process?

I paid attention in the lactation section of our prenatal class at Montréal's (incredibleamazingawesome, cannotrecommenditenough) Côte de Neiges Maison de Naissance. I knew I wanted to breastfeed my baby and I knew it wasn't going to be easy. The videos showed us how we should hold (but not assault) the baby's head, how we should slightly compress our breast/nipple into the "hamburger shape" (hungry?), and how to tickle the baby's chin or cheek so that he would open up wide and I could shove that nipple in as far as it would go.

And when the baby came, I did all this. My nipples were sore, and there was a blood blister on one. I used a lot of Lanolin (a nice word for sheep grease) and cursing... I did everything they had told me to do -- but he didn't seem to be born with the open-up-wide-so-you-can-shove-your-nipple-in reflex.

I'd tickle his cheek or his chin and he'd open up a little bit, but not as much as he would at other times; or he wouldn't open up at all, preferring instead to suck heavily on his own hands, despite the fact that he was wailing with hunger only a moment before. I had a hectic, heavy letdown reflex (which is when the milk sprays out of the nipple like a sprinkler -- or Niagara Falls, as the case may be) so I'd be sitting there getting madder than a wet hen as the baby's fresh onesie got drenched, too.

And I was in pain. That blood blister developed into two. One of the tough things about starting to nurse is that you still have to continue to nurse on both breasts, even if one of them has a damaged nipple. Sometimes I would end up making it worse, since because it hurt like hell whether I was getting a good latch or not. I had no way to tell if I was on the right track!

One day, I just gave up. Not nursing, but trying. I gave up trying.

Baby was at my nipple, we were doing our usual three-round latchfight, and I just let him win. I didn't touch him or my breast. I watched. He didn't open his mouth wide like the babies in the video, but he sucked the nipple deep into his mouth, closed his eyes and gulped away. A perfect latch.

This was just my experience. But I hope that as we start to accept breastfeeding as an important aspect of childhood and maternal health, we can relax a little and give the formulaic nursing methods a break. I'm glad that I attended prenatal classes, but a class could never really prepare me for my baby knowing more than I do.


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My Right Nipple is Finally Dripping During Let Down and Why This is Exciting News

Breastfeeding is many things. It is immunities for baby, beautiful bonding time between mother and child, and is the best choice for a growing babies nutritional needs, to name a few. Breastfeeding is also a bitch. No you did not read that wrong... Breastfeeding, although it is many fabulous things including an enriching relationship between you and your baby - does not come easy for everyone. In some cases, as in mine, it can be a downright emotional, stressful, tiresome battle between you and your body. The kicker is - your body may produce abundant milk with previous children, you may have no issues with latching or forceful let down, but for your last child you may have a whole set of issues you never considered.

In my case, with P I have a low milk supply. It gets better - this time around, I have to nurse on my left side, in order to get my right side to let down at all. If I try to nurse on my right side at the beginning of a feeding, poor P will stay there for hours with no letdown. HOW IS THIS EVEN POSSIBLE? Needless to say, this is not something birthing class could possibly have ever accounted for.

Recently, I started another masters degree because I'm batshit crazy. This has resulted in the need to pump while I'm away, in order to keep my supply as active as possible. In the process of added school stress my supply has begun to dwindle even further. How do I know this? You might ask. Well, its simple really. My right nipple stopped dripping during letdown when P was nursing from the left side. Whereas previously it was a slow leaky faucet drip it had completely halted. Zip, zero-niltch.

My own experience got me to thinking that it would've been nice to have known a few things about low milk supply when I first realized I had this issue. So I took the liberty of compiling a list of: things they bloody well should've told us during the breastfeeding section of birthing class that might be helpful in boosting a milk supply:

1) Feed as often as possible for as long as possible. This is especially helpful in the first few weeks when the milk supply is establishing. Breast milk is generally suppose to be a supply and demand operation, ergo the more you feed the more milk your body produces (or is suppose to).

2) Skin to skin contact increases milk production. Mom's body releases hormones when her skin is placed in contact with babies skin. The more time spent with baby close to you the more it helps increase your supply. The heat from your body will keep baby warm.

3) Stress is counterproductive. Literally. Stress and lack of sleep will prevent you from producing optimum milk supply. With new babies this is easier said than done. However, if Dad or friends are willing to help out - let them.

4) Fenugreek and Blessed Thistle are amazing. These herbal supplements help increase milk supply. In the U.S. there is also "mother's milk tea" which is rumoured to also be a good alternative. For those of us in Canada - fenugreek and blessed thistle will become your best friend.....

5) Oatmeal is amazing. Put it in cookies, make it as cereal, use it in muffins- oatmeal is not only nutritious for nursing mamas but is also a breast milk supply booster.

6) Don't give up if you don't want to. You may feel like you want to give up 50 million times during the process of struggling through low milk supply issues. However, if you really want to continue the breastfeeding relationship then the age old adage: all the best things are worth fighting for, applies here. Its not an easy road, but if you are able to stick it out, you can make it work. The desire to make it work is half the battle already.

Which brings me to my next revelation. P will be turning 1 year this month, and despite the countless hours of worrying about my supply, I have made it this far. And after another round of fenugreek my right nipple even started to drip again at letdown during feedings.
Further proof that the body works in mysterious ways. As ridiculous as that one physical element may seem, it has given me renewed hope and energy to continue my battle against my insolent milk supply. Because P is not yet ready to wean and I don't want to end my breastfeeding relationship yet. Which is why my right nipple finally dripping during let down is a good thing.