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Archive for the ‘Breastfeeding Resources/Ressources pour l'allaitement’ Category

Gimme a drink!

Wednesday, July 21st, 2010

I know, I know.

You didn’t drink for 9 months and you are still aching for a glass of wine/martini/cold beer. When pregnant, you protected your baby because you knew that alcohol would have been running in his veins with possible health consequences. Now, you’re also doing everything you possibly can to protect your baby: you’re exclusively nursing, following directions from the World Health Organization and your paediatrician. But what do they say about drinking alcohol while breastfeeding? How different is it from drinking during the pregnancy? Will drinking while breastfeeding hurt the baby?

1. Drinking while pregnant vs Drinking while breastfeeding:

Not the same thing.

When a drink contains less than 0.5% alcohol, it is considered non-alcoholic and it can be legally sold to minors in the United States. If you drank one beer (341 ml,  5%) and breastfed immediately after, your baby is drinking breastmilk that has a 0.03% alcohol content, which is considered a non-alcoholic beverage. His own level of alcohol in his blood will be around 0.0000001%. How can that possibly hurt him? It is very different from the 0.03% level that he would have in his blood if you had your drink while pregnant. For detailed numbers, see

2. Will drinking while breastfeeding hurt the baby?

Quick answer: no. Live your life and have a drink if you feel like it, it will not hurt your baby. Drink responsibly, that’s all.

Long answer: no. Live your life and have a drink if you feel like it, it will not hurt your baby. Drink responsibly, that’s all. Getting impaired is dangerous, whether you have a baby or not. Breastfeeding-wise, your breastmilk is still what is best for your baby, even if you had a drink. The alcohol level transferred to breastmilk, already low, will get even lower with time (same as your blood). Time, and nothing else, will make the alcohol completely go away from your breastmilk. The more you drink, the longer it takes for your body to eliminate the alcohol.

Remember that the taste of your milk changes according to what you eat and drink, and some babies may not like the taste of the beer.

The American Academy of Pediatrics Committee on Drugs considers alcohol compatible with breastfeeding. It lists possible side effects if consumed in large amounts, including: drowsiness, deep sleep, weakness, and abnormal weight gain in the infant, and the possiblity of decreased milk-ejection reflex in the mother. The drug transfer table is available at http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T6 and the full text of The Transfer of Drugs and Other Chemicals Into Human Milk can be found at http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776. The Lactmed website (updated in 2009) also says that “casual use of alcohol (such as 1 glass of wine or beer per day) is unlikely to cause either short- or long-term problems in the nursing infant, especially if the mother waits 2 to 2.5 hours per drink before nursing, and does not appear to affect breastfeeding duration. Daily heavy use of alcohol (more than 2 drinks daily) may affect infants negatively and appears to decrease the length of time that mothers breastfeed their infants. Nursing or pumping within 1 hour before ingesting alcohol may slightly reduce the subsequent amounts of alcohol in breastmilk”.

Advice:

Enjoy your life with your baby: have people over, go for dinners, and drink alcohol moderately.

Cold beer served on a sunny day

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Disclaimer: Information presented in this blog entry is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation. Momzelle does not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this site.

Breastfeeding in the heat

Monday, May 31st, 2010

One of the things that has always impressed me with breastfeeding is that even when it is really really hot outside, your milk is all your baby needs to stay well hydrated. Breastmilk adjusts to a baby’s needs and will become more watery when it’s hot out, so you do not have to give water to your baby. Your milk is the water.

Just as your baby may need to drink more often to stay hydrated when it’s hot, the same applies to you (or anyone else for that matter). Drink lots of water (do not forget that juices are high in calories, so if you are watching your weight, stick with water as much as possible) and try to stay cool.

Good places to stay cool during the hottest moments of the day, usually between noon and 2PM, are air-conditioned spaces. If your own home is not air-conditioned, it could be a good time to do your groceries or to read some stories to your little one at the public library. Shopping malls are air-conditioned too.

When at home, try placing a comfortable chair by a window, or if you have one, in the basement.

Breastfeeding in the heat may be a little uncomfortable, as two sweaty bodies get close to each other. One way to avoid the sticky feeling is to place a light blanket between the two of you when you nurse. It will absorb the sweat.

Have you ever had to breastfeed in the heat? What did you do?

Breastfeeding in the heat

Breastfeeding in the heat

6 Breastfeeding Positions worth a try

Thursday, February 25th, 2010

I wish I had been shown some of these before the birth of my daughter. It took me months to discover some of them were even possible!

It can be useful to know various breastfeeding positions, but it is by no means necessary to try them all during the first week. Changing position can be very useful to empty some parts of your breasts that are engorged. I once heard of a woman who could only feel better when she was breastfeeding “on top” of her baby, resting on her forearms. I would have never thought of that before hearing it! It does make sense, though, that depending on your breast angle, gravity will play its part and some parts of your breasts will empty more quickly than others.

Here are 5 breastfeeding positions worth a try

1. The Football Hold: Look at the baby’s legs against the wall! This is a great position for breastfeeding twins, as the baby is not blocking the way to the other breast.

Breastfeeding position-football-hold

Football Hold Breastfeeding Position

2. The Reversed Cradle Hold: I find that this is a great starter position, as it allows you to really well position your breast.

Breastfeeding position: the reversed Madonna

Breastfeeding position: the reversed Madonna/Cradle hold

3. The Cradle Hold is a classic. You can start with the reverse cradle and switch to the cradle when you feel comfortable.

The Madonna Breastfeeding Position

The Cradle Hold Breastfeeding Position

4. Side-Lying down: THE breastfeeding position for everyone who had a c-section. The baby is not pressing on the rough spots and you can rest. It is also a nice position at night.

Lying down while breastfeeding

Lying down while breastfeeding

5. The saddle hold: I like this one, especially for older babies. At some point, they are tall enough to sit on your lap and nurse! Before they reach that height, you can put a cushion underneath their bums. This is worth a try.

Saddle Hold Breastfeeding Position

Saddle Hold Breastfeeding Position: natural with older babies, great with baby carriers.

6. Lying on your back (the Australian hold), the baby breastfeeding face down on you: no one had told me that I could breastfeed this way and I was fighting with tons of pillows to get my baby to latch on with the side lying position (she was small and my breast was too high for her to reach it when I laid on my side). After a few months, I tried this position and I really wish I had tried it earlier. Being small-breasted, it just made more sense for me to nurse this way. No more need for any pillows!

The Australian Hold breastfeeding position (lying on your back)

The Australian Hold breastfeeding position (lying on your back)

Little pieces of advice:

  • For all positions, make yourself comfortable. Try not to bend towards your baby but to rather bring him up to your breast’s height.
  • When sitting down (in the Madona position), put the baby’s arm that is on your thigh around your waist.
  • When lying down on your side, bring the baby’s bottom against your abdomen so that he has a better latch.
  • In the “Australian” position, have your baby lie diagonally on your abdomen.

I’d love it if you could let me know what positions worked best for you and why. Was this entry useful for you?

World AIDS Day: the UN urges HIV-positive nursing mothers to take ARVs

Wednesday, December 2nd, 2009
World Aids Day Red Rubban

World Aids Day Red Rubban

Today is World AIDS Day (well, it was yesterday, Dec. 1rst) ! Monday, the United Nations sent out a press release recommending, for the first time, that mothers take antiretroviral drugs while breastfeeding to prevent transmission. They recommend earlier start of the treatment, even before symptoms appear, for everyone, and also for pregnant women and nursing women. These recommendations are based on the latest scientific studies. To read more,

I am always amazed to hear the number of people who are living with AIDS. Over 30 million people are infected worldwide, and there are some 2.7 million new infections each year. I find it scary to hear that globally, HIV/AIDS is the leading cause of mortality among women of reproductive age.

En français:

C’est la journée mondiale du SIDA ! Hier, l’organisation mondiale de la santé (OMS) a publié un communiqué qui recommande, pour la première fois, la prise d’antirétroviraux aux mères VIH-positives ou à leurs enfants pendant la période d’allaitement. Ils recommandent la prise d’antirétroviraux plus tôt pour tous, femmes enceintes et mères qui allaitent incluses, avant même l’apparition de symptômes. Ces nouvelles recommandations sont fondées sur les dernières données scientifiques disponibles, a précisé l’Organisation dans un communiqué. Pour lire plus à ce sujet, >cliquez ici

Je suis effarée à chaque fois que j’entends le nombre de personnes infectées par le virus du SIDA. Plus de 33 millions ! Le nombre des nouvelles infections annuelles s’élève, quant à lui, à 2,7 millions. Le VIH/sida est la première cause de mortalité dans le monde chez les femmes en âge de procréer. C’est vraiment terrible. Comptons-nous chanceuses, celles d’entre nous qui le sommes, d’être en bonne santé.

H1N1 et allaitement

Friday, November 27th, 2009

Nous nous demandons toutes comment protéger nos enfants du virus de la grippe H1N1. Ce sera dit: l’allaitement maternel protège les nourrissons du H1N1.

Comme le rappelle le pédiatre Marc Pilliot, “le lait maternel contient une multitude d’agents anti-infectieux et de nombreuses cellules qui lui confèrent un rôle antimicrobien et antiviral très efficace; il module l’immunité de l’enfant en fonction de son environnement; il diminue très nettement la vulnérabilité des enfants aux infections et réduit d’environ 70% les hospitalisations pour troubles respiratoires (Bachrach et al. 2003)”. Pour vous aider à prendre une décision éclairée et pour vous donner des indications pour protéger vos poupons (qui en dessous de six mois sont trop jeunes pour se faire vacciner), voici les lignes directrices publiées par un organisme de santé extrêmement réputé, la CoFAM (la Coordination française pour l’allaitement maternel).

Communiqué de la CoFAM sur la grippe A(H1N1) 2009

A propos de la grippe A(H1N1), de nombreux communiqués ont déjà été publiés. Toutefois, la Coordination Française pour l’Allaitement Maternel (CoFAM) souhaite souligner plusieurs points :

1. Dans les circonstances actuelles, il persiste encore de nombreuses incertitudes sur l’évolution de la pandémie et sur l’efficacité des vaccins. Il s’agit donc de se préparer avec « modération », sans affolement, ni psychose.

2. La clinique de la grippe A(H1N1) est similaire à celle de la grippe saisonnière : début brutal avec fièvre supérieure à 38°, courbatures, fatigue associées à des signes respiratoires (toux ou gêne respiratoire). Chez le jeune enfant, on peut observer des troubles digestifs et, parfois, un mauvais état général. Un malade atteint de la grippe A(H1N1) n’est pas un « pestiféré » : pour le moment, cette grippe ne semble pas plus dangereuse que les grippes saisonnières

3. Toutefois sa très forte contagiosité peut créer des difficultés : d’une part, plus les malades sont nombreux et plus les sujets fragiles risquent d’être atteints par le virus et, d’autre part, un très grand nombre de malades dans le même temps peut désorganiser les familles et la société, pouvant créer ainsi des difficultés économiques supplémentaires. Par ailleurs, le malade étant contagieux déjà un jour ou deux avant le début des symptômes, cela complique les mesures de prévention.

4. Comme pour les grippes saisonnières, les risques de la grippe A sont la décompensation d’une maladie sévère déjà existante, la surinfection bactérienne (qui nécessitera des antibiotiques) et l’infection pulmonaire directe par le virus. Celle-ci est rare, mais serait plus grave avec le virus A(H1N1) qu’avec les virus des grippes saisonnières.

5. Enfin, parmi les sujets à risques, les femmes enceintes et les jeunes nourrissons sont plus exposés aux surinfections et aux complications graves.

6. Devant cet état de faits, les réponses médicales sont nécessaires, mais il est tout aussi indispensable que chacun fasse preuve de solidarité et de « souci de l’autre » pour éviter les dérives. Cela veut dire qu’il faut commencer par se poser les questions : « Qui est vulnérable dans mon entourage ? Qui aura besoin de soutien en cas de forte épidémie ? » Cela signifie aussi qu’il faut éviter autant que possible les contacts inutiles avec les sujets fragiles : se dire bonjour sans se serrer la main et sans embrassades, limiter les visites en maternité (seulement la famille proche, non malade), rester prudent dans les contacts avec les familles où il y a une femme enceinte ou un jeune nourrisson, garder la mère et son nourrisson en grande proximité et encourager le peau contre peau fréquent, éviter de partager les jouets et autres objets ayant un contact avec le bébé, protéger son entourage quand on tousse (mouchoirs, lavage des mains, voire masques).

7. Dans ce contexte de pandémie, il y a lieu de rappeler l’effet très protecteur de l’allaitement maternel : le lait de mère est antimicrobien et antiviral ; il permet de moduler l’immunité de l’enfant ; il diminue très nettement la vulnérabilité des enfants aux infections ainsi que les hospitalisations pour troubles respiratoires. Les bénéfices sont optimaux lorsque l’allaitement est exclusif jusqu’à six mois, mais l’allaitement partiel (c’est-à-dire en association avec d’autres liquides) peut apporter un certain degré de protection. Les professionnels de santé doivent donc encourager les mères à allaiter et les aider à poursuivre sereinement leur allaitement. En cas de difficultés, puisque les professionnels ont peu ou pas de formation initiale sur la lactation, il ne faut pas hésiter à solliciter l’avis d’un(e) consultant(e) en lactation et/ou l’aide d’une association locale de soutien. Dans le même esprit, les entreprises devraient faciliter le maintien de l’allaitement maternel pour leurs employées reprenant le travail après le congé de maternité.

8. Si la mère est malade, il est fortement recommandé qu’elle continue d’allaiter son bébé en augmentant la fréquence des tétées

Breastfeeding Calendar 2010

Wednesday, November 11th, 2009

This morning I received an email from Ben, of INFACT Canada, announcing that the IBFAM Breastfeeding Calendar 2010 is now available for sale. I think it would be great for lactation consultants, midwives and doctors’ offices, much better than the next-door-drugstore free calendar :

IBFAN BREASTFEEDING CALENDAR 2010

image001

The International Baby Food Action Network’s 2010 calendar is now available. The latest edition of the annual calendar features 12 beautiful breastfeeding photographs from around the world and is a wonderful visual representation of the global breastfeeding community.

This year’s calendar features sharper photos than ever before of breastfeeding mothers and families from all over the world including Sierra Leone, Croatia, the United States, Malaysia and elsewhere. Now available on the INFACT website.

Order online in our resource centre.

Cost $15 plus shipping/handling.
(shipping/handling charges are $7.50 for Canadian orders)

To order call 416 595-9819

Visit www.infactcanada.ca/Resource_Centre.htm

Or email ben@infactcanada.ca.

Breastfeeding from 6 to 24+ months : solids how-to

Wednesday, October 28th, 2009

“Protect, promote and support exclusive breastfeeding for six months… and appropriate complementary foods, with continued breastfeeding for up to two years and beyond.”

Complementing breastmilk with high-nutrient, energy dense foods, is not only a public health challenge, it is one that breastfeeding moms face everyday when their breastfed baby reaches 6 months of age.

Why is it important to keep on breastfeeding past 6 months ? Well, on top of being good for you, the mom (reducing your breastcancer risk, for example), and good for the two of you (I do not know anything that makes you bond with your baby like breastfeeding) continued breastfeeding provides health protection and disease prevention, and optimal development for your baby. Nutritionaly, human milk remains the most important “food” during the 6 to 12 months age span, providing nearly all the child’s energy and nutrients needs in an easily accessible, absorbable, secure and efficient way.

The discovery of new tastes, textures and colours is an exciting time, and provides the cast for life-long food preferences. In most cases, fortified food is not necessary and not recommended as long term effects of fortified food have not been studied. So try to stick with simple home-made food, like you would eat yourself.

If you are like most of my friends and decide to go the unpaved way of  real-food-right-away (meaning no fortified cereals to start with), you probably worry about chocking. God, did my daughter choke on food. She was ready to eat, though. She could sit, hold her neck, she would ask and reach for the food, and put it to her mouth herself. At the very beginning, if a piece was too big for her she would spit it out (it was more like pushing it out with her tongue). She was never scared by it and I tried not to show any signs of fear as I wanted her to feel confident about food. By keeping a close eye at her when she handled food, and being always ready to do the Heimlich manoever if needed (it has never been), I felt that she was safe. We became increasingly and progressively daring.

A baby’s gums are extremely hard and able. Still, you may not want to start his first meal with a steak (ground beef is probably a much better option). At this time of year (Halloween is at the door), I find that squashes are great. Your child can hold a cube and eat it at his own rhythm, same with cooked carrots, and other vegetables. I loved bananas because they are easy to hold and not messy.

Introducing solids is a learning curve, both for you and the baby. Do what you feel is right, it most probably is !

The Breastfeeding Father : a Testimonial

Friday, October 16th, 2009

Who are the breastfeeding fathers ? What can a dad do when his wife (or as the Topp Twins from New Zealand would say, his “partner for life” is breastfeeding) ? We often hear that the bottle allows allows dads to take part and feel included in the baby feedings. As this testimonial from Jonathan Adam Roxas shows, this is also true, if not even more, with breastfeeding.

I like the part when he talks about breastfeeding in public, about how he got used to it and figured that it is only natural and nothing to be ashamed from. Also, I think that one of the most powerful parts of it is when he discovers that support changes everything. They switched from mixed feedings to exclusive breastfeeding when his wife was told that she had enough milk ! How crazy is that ? I find it simply marvellous. We have the power to breastfeed within us, ladies.

I am always on the hunt for cool stories and testimonials, this one is pretty amazing. Thanks to Jenny from the Chronicles of a nursing mom for making me aware of it !

Enjoy.

Father Holding Baby Girl --- Image by © Simon Jarratt/Corbis

Father Holding Baby Girl --- Image by © Simon Jarratt/Corbis

My Career Path as a Breastfeeding Father

(this speech was given by Jonathan Adam Roxas at a Breastfeeding Awareness Festival)

My day-to-day job entails me to spend most of my time in front of computers since I am IT by profession. However I am more proud to say that I am a parttime nanny for my two daughters. My name is Adam and I am a breastfeeding father.

Like any profession, IT profession takes on a career path. You start in a cadetship program, then as a Junior programmer, then you progress to a Senior programmer, a Manager and so on and so forth. The hardest part is when you’re a fresh graduate learning the new ropes of the corporate world. Learning a new software language each time could be quite difficult. Over time it would get easier but trickier too.

My cadetship program started when I got married. Unlike most fathers, my sense of fatherhood began not when my wife gave birth but when we discovered that there was a new life inside of her. There was an overwhelming feeling of fastpaced change from being single to being married to being a father. Pregnancy was a new software language that I needed to learn.

We’re originally from the Visayas – originally from Cebu City and Maasin City, Southern Leyte. The downside to this was we didn’t have too many friends to support us and no relatives surrounding us. The upside to this was that we were on a survival mode. We needed to be equipped to be able to overcome this pregnancy stage. We read books, browsed the internet and went to childbirthing classes. Back then, we never thought of breastfeeding. My wife was terrified of needles and I was silently terrified of the expenses incurred during childbirth. At these classes, we learned breathing techniques, pregnancy exercises, fetal growth, stages of delivery and newborn care which included breastfeeding.

We set our goal to have normal deliveries and not even thinking of any back up plan in case there will be complications. To support the plan, I ensure that my wife follows her schedules for exercises, to take her vitamins and to eat nutritious foods. This is the portion where I turned into a nagging husband because of the lazy and stubborn lady I’m sleeping with. Birthing plan for our second daughter was more challenging since my wife decided to have the delivery in water.

Much to my surprise I became my wife’s birthing coach. The most important of which is to be her cheerleader. The only thing missing at the delivery room was my pompoms to remind her that she can do it! She successfully did Lamaze birthing the first time and waterbirth for the second child. I would to rate myself as an excellent birthing coach but my wife insists I wasn’t so because I forgot to massage her back or that I forgot the camera.

Just as I was getting adept at my wife’s pregnancy, I had to learn another new software language: breastfeeding. I needed to learn this new rope. Her pregnancy was easy, childbirth was like a pop in the balloon, however breastfeeding was another story. The most challenging part of breastfeeding was the first three weeks of our elder daughter’s birth. We sucked big time! My wife had nipple pains. She developed low self-esteem: she has low-milk supply, her stomach was bulging, painful episiotomy, there were black patches of skin on her body or any complain she could think of. I think it was just the hormones setting in and the adjustment of the new baby. So I would buy food to cheer her up or surprise her with something just to put a smile on her face.

For three weeks, we were mixed feeding. It was a difficult time for me. I had to work during the day and wake up at dawn to prepare a bottle. Plus there was all these hassle of cleaning the bottles and the shock of seeing the prices of formula milk. Now I was experiencing Freddie Aguilar’s song of ANAK (a very famous and multi-awarded Filipino song….) “at sa gabi napupuyat ang iyong nanay sa pag timpla ng gatas mo”. (“every night your mother hardly sleep just so she can prepare milk for you”). Though we have to change the word nanay (mother) to tatay(father). It was terrible time for me – lots of work and little rest. Fortunately, we met this breastfeeding advocate who helped my wife just by telling her that “you have milk.” Those were the magic words that sparked my wife’s enthusiasm. Three days after, she was exclusively breastfeeding. This was the Lord’s first Mother’s Day gift to her and I think her most memorable one since this was the day she never gave formula to her child. She became upbeat again! I was so happy because that was also the day I didn’t have to buy expensive milk or wake-up to prepare a bottle.

At night, I became my wife’s superhero since I help her reposition the baby because she wants to sleep soundly. During weekends at daytime, I turn into a supernanny. I feed my wife while she breastfeeds or give her pillows to make her feel comfortable. I bathe the babies or change their diapers. I wear my daughters on a babysling. I love rocking them to sleep and letting them rest on my chest. This is one great joy of fatherhood.

For the first time in my life, I was looking at breasts in a different angle. The only concern I had when I was new to breastfeeding was that my wife breastfeeds anywhere even in public places without a single hint of hesitation. The first time I was profusely sweating because I wanted to cover her with a full blanket. But she didn’t seem bothered, so why should I be? Breastfeeding should be an acceptable practice not to be scorned at. Society should begin to look at the baby drawing nourishment and love from the mother rather than her partially exposed breast.

I guess I felt a little jealous of the time that my wife and my daughter spend in breastfeeding. But I refuse to believe that I was not part of it. I just worked a little harder to inject myself in the picture. Mothers and children have a natural bond of nine months in the womb. They bond again through breastfeeding. So, where is the father in the picture? Fathers should not be discounted. After all breastfeeding will never be successful without support. Remember some silly reason of women why they don’t breastfeed is to preserve original form for their husbands. Boobs are for the husbands while breast are designed not only for husband’s pleasure but also for baby’s food. What is a few years of sharing compared to a lifetime of immeasurable benefits?

As the breastfeeding relationship got easier it, it also got trickier. First she was a tiny little baby and then she suddenly turned into someone with a horrendous appetite for breastmilk that she refused to detach from my wife’s areola. To my knowledge, that was the growth spurt when she turned into a very fat baby. From a well-behaved breastfeeder, she turned into a gymnast. She breastfeeds at different indescribable acrobatic positions. Each stage was always a challenge but each stage has also its rewards. Because of my support and my encouragement, my wife has successfully breastfed our two daughters for five years and counting. We are truly a breastfeeding family- a triad: father-mother-children! Fathers should never underestimate themselves. Their attitudes will either make or break the breastfeeding relationship.

You always reap more than you’ve sown. My daughters are very attached to me. We love spending our Sundays playing at UP sunken garden. During playtime, they would prefer me over their mom because they like rumble and tumble. Unlike my colleagues who are always taking emergency leaves to bring their children to the doctors, my daughters’ immunity is in tiptop shape. They’re very easy to teach and quite smart as I might add. My vows of marriage were strengthened through breastfeeding. Through thick and thin, I was there to support my wife, loving her in so many different ways.

As a breastfeeding father for more than five years, I can say that I now belong to the upper managerial position.

Good Birth and Breastfeeding Reads /Bons livres sur l’accouchement et l’allaitement

Friday, September 11th, 2009

When it comes to birth and breastfeeding,  reading fiction is nice, but simple facts and up-to-date, purposeful, information is best. Here are my top picks, must-read books:

If you were 37 weeks pregnant, with almost no time left before the big day, I’d say go for these two:

  • Ina May Gaskin’s Guide to Childbirth: It is very inspirational and opens you to possibilities you would not have expected. Plus, when you know how many links there are between the birthing process and the success of breastfeeding, it just makes sense to prepare for birth just as much as for breastfeeding.

Most of us give birth in hospitals, even though we now know that home births are just as safe (I’d say they are even safer than hospital births, since there are much less interventions). But I do not want to get into this home birth vs hospital birth debate now, and simply give you a couple of book titles to read if you are planning a hospital birth. I find these books especially important since it is really hard to make decisions when you are on the spot. It is better to know what can happen so you can prepare accordingly. If, after reading these books, you still trust your health practitioner, it will at least not be blindly :

*Hospital Births*

  • Penny Simkin’s The Birth Partner, for mothers just as much as for partners/fathers/doulas.
Ces livres sur l’accouchement et l’allaitement sont en anglais, mais certains sont disponibles en traduction française. C’est le cas du livre du Dr. Jack Newman, disponible sous le titre L’allaitement, comprendre et réussir avec le Dr. Jack Newman. Pour commander une copie, écrire à jacknewmancommunications@yahoo.ca. En France, le livre est disponible par la Ligue La Leche.
Flickr/Faeryan

Flickr/Faeryan

Do I need a Pump if I stay at Home with my Baby?

Thursday, September 10th, 2009

Do you need a pump if you stay at home with your baby and breastfeeding is going well ? My quick and dirty answer: no.  Most moms will say that you need a pump if you want to go out occasionaly and have your mom, your mother-in-law or anyone else looking after your child for a few hours. Not owning a pump does NOT mean that you can not ever go out ! You can very well hand-express your milk. Hand expression is easy, efficient, and you do not risk to injure yourself with a pump that is working to hard or not well adjusted to your breasts. Moreover, just like breastfeeding, it is free.

I remember waking up during the night with very full breasts, leaking milk in bed. If for a special reason I did not want to wake up my daughter, I would go to the bathroom and hand express some milk, just to make sure I would not get engorged. I was not collecting the milk and did not need to pay a special attention to containers and ways to preserve the milk for a later use. If you plan on going out and having someone look after your baby while he is under six months and you are still exclusively breastfeeding, you’ll have to look into ways to collect and save your milk safely. But if you stay at home (I mean, not IN the home, but not working) and arrange for your activities to be baby-friendly (have you ever heard of Movies for Mommies ? Theater screenings specifically for parents, with changing tables, softer sound, etc.), the need to pump should not arise very often, if it arises at all.