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Jennifer Margulis

Mothering Outside the Lines

He’s Not Still Nursing, Is He? The Joys of Breastfeeding Past Three

December 17th, 2010
Tough guy Etani who nursed well past three

Tough guy Etani living in West Africa, who nursed well past three

This week we’ve been talking about extended breastfeeding at Mothering Outside the Lines. (At least I hope we have. I scheduled these posts in advance and I’m actually across the country conducting interviews for the book I’m writing. I made the bold move of leaving my computer behind. So here’s to hoping the technology has been working.) On Monday we talked about nursing past one and on Wednesday I interviewed Vanessa Lowe about her radio documentary. For the third and final installment of this series, I’m posting a story I wrote, a version of which was first published in the Ashland Daily Tidings, about nursing my then three-year-old.

He’s Not Still Nursing, Is He?!

When we sat down to dinner, my girlfriend Humaiya marveled at my son Etani, who was putting rice on his fork with his hands and then wobbling it up to his mouth.

“Look at him eat!” she cried. “He’s not still nursing, is he?!”

“I’m planning to rent a house near where he goes to college,” I joked to another friend who asked me in an exasperated voice when I was going to wean my son. “That way he can keep nursing.”

Etani turned three in October. He nurses before his mid-day nap and at bedtime. I sometimes nurse him at other times too, when he feels sad or is really overtired or overwhelmed. He settles right down, his whole body relaxes, and he sighs with deep contentment.

He doesn’t have the vocabulary to tell me in words but if he did I think he’d say that nursing makes him feel safe and protected and loved.

“That is so gross,” an editor said when I mentioned a family I was writing an article about had a nursing toddler. “If they’re old enough to ask for it, they’re too old to nurse!”

That sentiment is so often repeated that it has almost become a cliché. But why are we disgusted by the idea of a toddler nursing? When I went to visit my friend Sue’s family in Mississippi when we were in college her great aunt started talking about the black people in her town. “I let one touch me once,” Sue’s great aunt said with the same mixture of revulsion, fascination, and horror in her voice that my editor used to talk about nursing. Sue’s great aunt was disgusted by the idea of a black person touching her because it went against the social norms of her generation. Though it may not be an entirely fair comparison, I think my editor (a childless woman in her 40s) was disgusted by the idea of a two or three year old nursing because it goes against the social norms of her generation, not because there is anything empirically wrong with it.

In fact, myriad scientific studies suggest that the longer human babies nurse the healthier they become. We all know about the medical benefits of nursing, which include reduced allergies, higher IQ, protection against diseases (including ear infections, respiratory and gastrointestinal problems), better speech development, possible delayed menstruation in the mother, continued weight loss in the mother, and protection against ovarian and other forms of cancer. Today the majority of American mothers decide to try breastfeeding. In 2000, about 68% of mothers initiated breastfeeding. But most of these same women return from the hospital laden with formula samples and coupons, and, despite the fact that the American Academy of Pediatrics recommends that women continue breastfeeding for at least 12 months, the vast majority of American women stop nursing before their infant is six months old.

When my mom decided to breastfeed, the nurse in the hospital disapproved, suggesting she give her newborn formula and bottles of water. “Calves drink cow milk, lambs drink sheep milk,” my mother (a biologist) told the nurse, “my infant is going to drink human milk.” It seems hard to believe that my mother would have had to defend her choice to the medical establishment since the pendulum has swung so far the other way that today women often feel social pressure to breastfeed.

But although nursing small babies has become accepted, even expected, women who nurse their babies past infancy often feel they will be stigmatized and they tend to keep it secret.

Two of my adult friends remember being nursed. Helen, who weaned when she was four, remembers the deep sense of security, warmth, and closeness to her mother that nursing gave her. Richard, who grew up in Rwanda, a country with a high child mortality rate, nursed until he was five and was one of the healthiest children in his village. Today they are both well-adjusted, happy, healthy adults with children of their own and sweet memories of childhood.

When dinner is over and our guests leave, my son climbs onto my lap and leans back into me, tilting his head upward so our eyes meet. His are hazel with specks of green.

“Mommy, can I have some nummies?” he asks, patting my cheek with his tiny hand.

“Pajamas first,” I tell him.

He giggles happily, wiggles off my lap, and runs to get ready for bed.

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[ 49 comments ]

More on Extended Nursing: An Interview with Vanessa Lowe

December 15th, 2010
Vanessa Lowe with her son

Vanessa Lowe with her son

Our guest today on Mothering Outside the Lines is breastfeeding advocate Vanessa Lowe, who has made a documentary about extended nursing. Vanessa Lowe’s background includes a doctorate in Clinical Psychology, as well as four years as host of a radio show on KWMR (a community radio station in Point Reyes Station, CA). She’s a musician and songwriter, and has released four records, with a fifth coming out in 2011. She lives in the San Francisco Bay Area with her husband and five-year-old son. You can learn more about her radio documentary here.

Or listen to the documentary, Breastfeeding Beyond Infancy, now:

JM: Tell us about your documentary.

VL: “Breastfeeding Beyond Infancy” is an independently produced hour-long radio documentary. It features the voices of 14 women who have breastfed their children between one and four years. Some of the major topics covered include dealing with judgment and criticism, public nursing, the benefits and challenges of breastfeeding, weaning, nursing while working, and getting support. Also featured is commentary from Dr. Nigel Rollins, of the World Health Organization, Dr. Jay Gordon, a Fellow of the American Association of Pediatrics, and Dr. Katherine Dettwyler, Associate Professor, Department of Anthropology, University of Delaware.

The piece is primarily about the stories of these 14 amazing mothers who are so considered and articulate about the parenting choices they have made. The moms I interviewed were incredibly candid and honest about the whole process of breastfeeding their kids, including the joys and difficulties they had along the way. There are some truly funny stories, too!

These are the kinds of stories that we just don’t hear about except for in a group of breastfeeding mothers. My goals were twofold: to put these voices out there to support and educate mothers; and to allow these voices to be heard by people who are not aware that breastfeeding beyond infancy is not that uncommon, is actually a positive thing, and is practiced by a wide range of perfectly normal and healthy mothers!

JM: How did you get interested in the topic of extended nursing?

VL: When my son was about two years old, I started noticing that I was sometimes not that comfortable breastfeeding him in public. I was surprised by this because I was well aware of the medical recommendations to breastfeed for at least 1-2 years, and I was also educated about my legal rights to breastfeed in public. I never encountered any negative reactions to nursing in public—I live in the San Francisco Bay Area, which is sort of a bastion of liberal ideology.

But I had heard stories in the media about mothers being kicked off of airplanes or out of stores, and I had received mildly concerned comments from a few family members.

So even though breastfeeding my two-year-old son was going well, I had absorbed some of the negative views on the practice simply by living in a culture that was not widely supportive of the practice. I found myself anticipating negative reactions.

And then there was this huge contrast between all the scientific findings and medical recommendations about breastfeeding, and the negative cultural attitudes about the practice. The discrepancy seemed to me to be largely about many people’s misperceptions and lack of information, along with some insidious cultural biases.

I started thinking about how to initiate an intelligent, informed cultural conversation about all this. I decided that an important step would simply be making the largely unheard voices of breastfeeding mothers heard.

JM: Is it really normal to breastfeed beyond six months? Beyond a year?

VL: Absolutely. As Dr. Katherine Dettwyler notes in the documentary, human children are expecting to be breastfed far beyond even one year. Her argument is based on several different areas of research including studies of non-western civilizations, as well as that of non-human primates.

The World Health Organization recommends that children be breastfed for at least two years.

JM: I’ve heard women say that your milk changes and is no longer nutritious the longer you nurse. Is that true?

VL: Breast milk continues to supply important antibodies to the child beyond infancy. Of course, as children begin to eat solid foods they are increasingly getting nutrition from other sources, and are not as dependent on breast milk. But the mother’s immune system continues to pass on immune protection to the nursing child.

There are other benefits to the child beyond nutrition. Many of the mothers in “Breastfeeding Beyond Infancy” talk about the emotional benefits of continuing to nurse their kids.

JM: I’ve had many family members tell me “Enough already! It’s time to stop nursing!!” when they saw me nursing a toddler. Do you have advice for how to handle negative comments like those?

VL: There are many ways to deal with negative comments. I think it depends on what your goal is. You can choose to educate people and let them know about the scientific information and medical guidelines—many people are actually unaware of these things, and are simply reacting to cultural biases that they have absorbed or inherited. They may have the misconception that there’s something inappropriately sexual about breastfeeding beyond infancy, or may be mistakenly worried that your child will be hindered in developing independence.

La Leche League has a great fact sheet full of helpful suggestions for how to deal with criticism.

Some mothers use gentle humor. When someone asks, “How long are planning to nurse that kid”? you can just say, “Oh, at least another ten minutes.”

It can be hurtful to receive negative comments about nursing a toddler or older child. Negative comments may even cause a mom to doubt her own parenting choices. Seeking out other breastfeeding mothers, in person or on-line (La Leche League can provide info on groups) can be really helpful. Reminding yourself about why you’ve chosen to continue breastfeeding, talking to others, and sharing your experiences are ways to nurture and fortify yourself, and maintain the emotional energy needed to do the best job of mothering that you can.

JM: How else can women who nurse toddlers get support?

VL: There are actually many places to get support for nursing toddlers. There may be a La Leche League group in your town or somewhere nearby. Even if you don’t know anyone else who’s breastfeeding, if you have access to the internet there are a lot of resources. Facebook has several groups where women share their experiences and offer support. Mothering Magazine, both on-line and the print magazine, is a wonderful resource.

There are great books: Ann Sinnott’s Breastfeeding Older Children, Norma Jane Bumgarner’s Mothering Your Nursing Toddler, and Kathleen Huggins’s The Nursing Mother’s Guide to Weaning.

[ 22 comments ]

Nursing Past One

December 13th, 2010

When I was pregnant for the first time, I read everything I could about pregnancy, childbirth, and parenting. But I consciously shied away from reading anything about breastfeeding.

I wanted to breastfeed. But I didn’t want to know about it in an intellectual way. I just wanted to do it when the time came. Perhaps I was afraid if I knew too much in advance, it would make me anxious, maybe even too anxious to nurse.

Nursing at first wasn’t easy. In the hospital my nipples developed painful blisters that filled with pus and then with blood. I fretted that the baby would be made ill by the blood she swallowed (”Extra protein, nothing to worry about,” I was told), and I winced in pain when she latched on. My breasts became hard as tennis balls when the milk came in a few days after we returned home.

I went back to work when Hesperus was just six weeks old. A few days before my classes started (I was teaching at Emory University), I tried to fit the pieces of the breast pump together and started sobbing. I felt scared about leaving the baby, I felt stupid that I couldn’t figure out how the breast pump worked, and I felt worried about trying to be a professional when I was so sleep-deprived and my clothes were so spit-up stained. I was such an inexperienced and insecure mom that for awhile it took three of us—my husband, my best friend, and me—to change the baby.

How would James cope with being alone with her?

How would I cope with being so far away?

Somehow we managed to get through those difficult first weeks. James assembled the breast pump and a friend came over to show us how to use it. James fed Hesperus bottles of pumped breast milk when I was teaching, and the skinny frog-legged creature turned into a roly-poly baby, so fat she had five chins.

Though I got the only speeding ticket of my adult life rushing home to nurse between classes, the time that James was home alone with the baby really helped him feel bonded to her. Staying home with his daughter and getting to feed her bottled breast milk gave James the chance to be the primary parent (at least temporarily), able to satisfy all of the baby’s needs. Eleven years later James and Hesperus still have a special closeness.

I hoped to nurse the baby for a year. I ended up nursing her for over four.

This week at Mothering Outside the Lines is dedicated to the topic of extended nursing. Come back Wednesday to read an interview with Vanessa Lowe, a breastfeeding advocate and the producer of a radio documentary about extended nursing.

Listen to the documentary, Breastfeeding Beyond Infancy, now:

Related posts:
Breastfeeding mom ushered off plane by armed police
What can we do to help American women nurse?
A miracle cure for thrush infections (and it’s totally natural too)

When you have a question related to things like pregnancy, childbirth, and breastfeeding, do you find that it helps to read books or surf the Internet or talk to friends? Or do you just keep your head in the sand (like I did) until the time comes that you have to do it?

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[ 8 comments ]

The Delta Debacle: A Breastfeeding Mom Met by Armed Police Officers for Refusing to Comply with Stewardess

September 30th, 2010
Do this 29-year-old mom and her 8-month-old baby look like a security threat? A flight attendant called Memphis police officers to escort her off the airplane because she was nursing her sleeping baby in a front pack and refused to take him out

Do this mom and her baby look like a security threat? A flight attendant called Memphis police officers to escort her off the airplane because she was nursing her sleeping baby in a front pack and refused to take him out

When Delta Airlines flight #42721 landed in Memphis, Tennessee on September 17th the passengers were asked to remain seated. Two armed Memphis police officers boarded the plane.

They were coming on board to deal with a dangerous security threat.

That threat was Jen Starks, a 29-old mother of two who had been discreetly nursing a fussy baby during the flight. Baby Tyler was on her front in an Ergo Baby carrier.

Starks was seated in the last row of the airplane, next to a male passenger, separated from her husband and 2-year-old daughter Rita Clare, who were four rows ahead.

The flight attendant insisted that Starks take the baby out of her carrier and told her to hold him over her shoulder. The seatbelt sign was turned off.

Knowing that 8-month-old Tyler, who was nursing and sleeping quietly, would scream and fuss if she unstrapped him, Starks initially stalled for time.

To the best of Starks’ memory, the conversation went something like this:

Stewardess: You need to hold him over your shoulder with your hand over his head for the entire flight.

Starks: I’ve never heard that before. I know I have to do that for take-off and landing.

Stewardess: No, you need to do that and you need to do that right now.

Starks: Your cart’s in the way, it’s going to take some arm movement. I need your cart to get out of the way and then I’ll take him out.

On Monday, September 20, Starks wrote a blog post, “Rebel with a Cause,” detailing how she’d been treated on the airplane.

“Her tone of voice was rude,” Starks told me when I interviewed her yesterday by phone. “She didn’t use rude words but her attitude was like, ‘I have the power and you’re going to do what I say. I’m in charge here and you will do everything I say, and don’t even challenge me.’”

About ten minutes later, the stewardess came back. By then, Starks had decided she was not going to wake her baby and unstrap him.

“‘At that point I said, ‘You know, I’ve thought about it. And I’ve decided not to take him out.’ Her eyes got kind of big. I said, ‘He’s safe in here, he’s sleeping, he’s happy. The seatbelt sign’s turned off. I’ve never heard this rule before. I do not want to take him out. I don’t understand why I have to.’”

Was this a safety issue?
The stewardess, who returned to serve Starks a yellow violation card and then called airport security, never said to Starks that the baby would be safer if not in the carrier.

“We do whatever the FAA tells us we have to do. Safety is our number 1 priority,” said Dory Puche, the Delta Customer Service Representative handling Starks’ case.

But Starks doesn’t think this was a safety issue.

“How could it be safer for [my son] to be out of this carrier, and he’s going to be crying and I’m going to be breastfeeding him in front of everyone?” she wondered.

The Federal Aviation Administration (FAA), not the individual airline, dictates safety considerations.

So I called the FAA to ask if there were any requirements that an infant during a non-turbulent flight be taken out of a front pack.

Alison Duquette, spokesperson for the FAA, said no.

The FAA’s written policy about take-off and landing is actually not very clear. It stipulates that belly belts are banned (Duquette said they have been shown to cause abdominal trauma in turbulence) and that children may only be strapped into FAA-approved restraints, but it says nothing specific about front carriers or slings.

According to the FAA, “The Federal Aviation Administration (FAA) strongly urges you to secure your child in an appropriate restraint based on weight and size. Turbulence can happen with little or no warning. And when it does, the safest place for your child is in a CRS (child restraint system), not in an adult’s lap. Your arms just aren’t capable of holding your child securely, especially when turbulence is unexpected.”

I had to read that twice: Your arms aren’t capable of holding your child securely, especially when turbulence is unexpected.

Yet parents with lap babies may not hold them strapped securely into an Ergo Baby carrier, where they have no chance of flying out of their arms and bumping their heads on the airplane ceiling.

This seems both confusing and counterintuitive to me. Perhaps the policy was designed based on specific safety studies? Apparently not. Duquette was not aware of any tests comparing the safety of an infant being held in a parent’s arms versus strapped securely in a front carrier.

If it’s safest for a baby to be strapped into an approved baby restraint, why are babies-in-arms allowed on airplanes?
Duquette explains that five years ago, in 2005, the FAA considered mandating that infants have their own seats.

Ultimately they decided against it.

“Because the public is accustomed to kids under two flying for free, some parents sensitive to cost would choose not to fly and instead drive. We are part of the Department of Transportation (DOT). Because highway deaths are very high, we couldn’t do a rule that would put a child in greater harm than in the air,” Duquette said.

Although it’s not mandatory, Duquette would like to see every child in his own seat.

“Everybody wants children in seats not in laps,” she said. “We’ve done outreach to let parents make an informed decision.”

Delta Apologies
Susan Elliott, Delta Airlines media spokesperson (who was also quick to identify herself as a mom), was eager to talk to me about what happened on the Delta flight.

“We’ve already reached out … to offer an apology and we are investigating the situation,” Elliott said.

Elliott clarified that though Delta feels the responsibility is theirs, the flight was operated by Pinnacle, a regional airline, and the stewardess in question works for them.

But Elliott also said that Delta relies on crew members to make decisions about how best to hold lap children.

“This would be handled on a case by case basis. It depends on how the flight is going. We empower the crews to make that decision,” Elliot said.

Delta policy mirrors the TSA’s. “Infants and children less than 2 years old may travel for free within the U.S. if an adult (12 years or older) holds the infant in arms or places the infant in an FAA-approved child restraint during take-off and landing.”

Should we keep business as usual or is it time to change FAA regulations about travel with lap children?

Should we keep business as usual or is it time to change FAA regulations about travel with lap children?

Baby-friendly Skies
Starks has been using this unfortunate incident to advocate for more family-friendly skies. She recommends that families with children:

1) Be seated together and seated next to other parents with small children.

2) Be allowed to pre-board flights (this privilege was taken away in favor of zone boarding, which is thought to be more efficacious), which would allow a family to get settled in more quickly and comfortably, especially if they are using a car seat.

3) Be allowed to use a safe carrier to wear infants during flight, one that allows for breastfeeding (like the Ergo Baby), can be used during take-off and landing, and available on board.

4) Be given “Comfort Kits,” with activities for small children and a snack.

What kind of experiences have you had traveling with your children? Do you think this was an isolated case of inappropriate bullying by a flight attendant or just one example of how un-family-friendly the skies have become? Is this incident a wake-up call that the FAA needs to clarify its lap child policy?

Watch the local TV coverage of the incident.

Photos courtesy of Jen Starks.

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[ 91 comments ]

Grapefruit Seed Extract to Treat Thrush

September 20th, 2010

Thrush.

Even writing that 6-letter word gives me shivers.

Thrush—which is a yeast infection in a baby’s mouth that can spread to a mother’s nipples—can be as painful as it is difficult to diagnose.

If you feel shooting pain when your baby latches on to nurse (and sometimes throughout the entire feeding), you may have thrush.

Your nipple, depending on your skin tone, may look a little red. Or it may not look any different.

You can sometimes tell if the baby has thrush by looking at his tongue: if it is coated in a white substance that looks like milk but doesn’t come off when he swallows, it may be thrush.

Since thrush can cause cracks in your nipples, it is often accompanied by a secondary bacterial infection.

I’m very sensitive to sugar and if I’m not careful about eating sweets, I tend to get yeast infections. So it’s not surprising that I’ve had thrush at some point with every one of my four children. I just had it with Leone. It was so painful to nurse on the left side that I was up most of the night, curling my toes to keep from crying out and waking the baby.

Anyone who has tried to fight a thrush infection already knows that traditional Western topical anti-fungal medications just don’t work.

At least, they’ve never worked for me.

In addition to prescription medication like nystatin, people will tell you to try gentian violet. You paint the purple stuff on your nipples and it gets all over the baby’s mouth when he nurses.

Gentian violet has never worked for me either.

But I do have a treatment that works.

The first thing to do if you suspect you have thrush and you’re breastfeeding is to cut all sugar and sweets out of your diet and to stop drinking alcohol. You should also start eating plain organic yogurt with every meal, and you can take acidophilus as well. The healthy bacteria cultures in the yogurt will help beat out the yeast outbreak. Then run to a natural food store and buy grapefruit seed extract. (Note that this is NOT grape seed extract, that is a different supplement.)

Grapefruit seed extract comes in capsule form and in liquid. You need the liquid form but it’s so bitter and hard to swallow that you may want to buy capsules too.

Put 1 drop of grapefruit seed extract in 5 drops of water and apply this to both nipples three times a day. At the same time, drink 15 drops of extract in an 8-oz glass of water (hold your nose and drink as fast as you can, try not to gag) three times a day. Or take 1 capsule.

Leone’s tongue went from being coated with white to looking completely normal in one day and the pain in my nipple subsided immediately. I wish more doctors knew about this cure. They could stop prescribing costly anti-fungals that don’t work anyway and start suggesting a cure that actually clears up the infection.

Have you had any difficulties breastfeeding? Do you have simple and easy cures to seemingly unsolvable health problems? Please share your experiences, thoughts, and suggestions in the comment section below.

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[ 18 comments ]

An Unexpected Connection to Another Nursing (Non-Human) Mom

June 15th, 2010

On Sunday morning I packed up the car and the kids and we drove to Gold Beach, a town on the southern Oregon Coast I’ve written about before where I’m doing research for two other articles.

James’s dad gave us his unused GPS. I followed its directions, and we ended up going over the windy twisty not-maintained-in-the-winter Bear Camp Road.

This route is famous for the wrong reasons. A few years ago a mom, her two kids, and her husband traveled on it and got stuck because the road was impassable. A snowstorm kept them inside their vehicle and they were running out of food after six days of waiting for help. The husband, James Kim, left to get help and died of hypothermia. The mom, Kati Kim, nursed her baby and 4-year-old daughter and they managed, miraculously, to survive.

I drove extra cautiously, thinking about the Kims the whole time. We found snow at a look-out point where you can see the Siskiyou Mountain range for miles. The kids slid in the snow and threw snowballs. The baby squeezed it in her hands. The snow was a cold treat on an otherwise sweaty ride, since our air conditioning is broken.

Then yesterday, on a boat tour down the Rogue River, we saw a mama bear. She had two fluffy cubs with her and they were foraging at the river bank. She and her cubs started up the hill away from the river when Leone, who’s seven months old, started to fuss. The mama bear stopped stock still and turned around. She had heard the call of a baby in distress and was turning to find her. I shushed the baby and the bear and her cubs moved on. Again Leone cried out. Again the bear stopped and turned towards us to see what was the matter.

She could have been interested because Leone is edible. I’m afraid of running into a bear or a cougar when I’m hiking with my kids because the kids look so small and juicy from a predator’s-eye-view. But this bear wasn’t thinking about eating my daughter. She was responding, as any nursing mother would, to the call of a baby who needs help.

The mama bear and her two cubs (they are about 4 months old) foraging on the hillside

The mama bear and her two cubs (they are about 4 months old) foraging on the hillside


The mama bear looking back intently after hearing Baby Leone cry

The mama bear looking back intently after hearing Baby Leone cry

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[ 16 comments ]

What Can We Do To Help American Women Nurse Their Babies?

April 14th, 2010

When I went to a friend’s birthday party a few weeks ago there was a mom there bottle feeding her 3-month-old. At my 10-year-old daughter’s gymnastics meet last Saturday I saw two tiny twins being bottle fed.

It makes me sad to see such small babies being fed formula from bottles.

A new study by researchers at Harvard Medical School, published April 5th in Pediatrics, “The Burden of Suboptimal Breastfeeding in the United States: A Pediatric Cost Analysis,” concluded that the United States would save over $13 billion a year and prevent more than 900 infant deaths if American women would simply comply with the medical recommendation to breastfeed for the first six months.

When my mother was having my three older brothers and me, the nurses in the hospital were surprised that she wanted to nurse us. They thought she was crazy and she should just give us formula. But my mother insisted. She’s a biologist. She knew the best thing for calves was cow milk, the best thing for sheep was ewe milk and the best thing for humans was human milk. She nursed two of my brothers and me until we were four months old and she nursed my second oldest brother until he was six months old, hand expressing milk after she was hospitalized for appendicitis when Jeremy was a newborn.

I know breastfeeding can be hard. With my oldest my unconditioned nipples cracked and bled. It was so painful at first that I cried when she latched on. Then there was the engorgement. My breasts were as hard and as big as boulders when my milk came in a few days after she was born. But little by little we both got the hang of it. I learned to put my pinkie in her mouth to pop her off so she wouldn’t chomp on my nipples with her gums. She learned to open her mouth wide to latch on. The cracks healed. I nursed through two subsequent pregnancies and when she finally weaned she was four years old and we were both ready.

I nursed my second daughter through a painful yeast infection that refused to respond to any of the recommended treatments. She and I decided she would wean when she turned three, four months after her baby brother was born. Though nursing him at first was easy, when he was about a year old I got another yeast infection. My nipple cracked so badly I could separate it from my breast. Nothing worked. Not gentian violet. Not nystatin. But finally a lactation consultant suggested grapefruit seed extract: I was to drink it three times a day and apply it in a solution of one drop of grapefruit seed extract in five drops of water after every nursing. Within two days the infection–and the shooting pains it caused–was gone. Etani nursed past his fourth birthday also.

Unlike when I was growing up, most people in the medical establishment recognize how important breastfeeding is for the health of newborns and the health of the mother.

Yet the study concluded that U.S. breastfeeding rates are “suboptimal.”

Though the American Academy of Pediatrics (AAP) recommends that women breastfeed exclusively for the first six months of life and continue to nurse for “the first year and beyond, as long as mutually desirable for the mother and child,” a little less than 75 percent of mothers in the United States breastfeed their babies at birth. What is even sadder, only 32 percent of those moms are breastfeeding exclusively by the time the baby is three months old.

That means that the majority of three month old infants in America, babies who are too young to sit up by themselves, are no longer breastfeeding.

Breastfeeding is the best choice for so many reasons. It enhances a baby’s immune system, giving the infant antibodies, enzymes, and even entire immune cells to ward off infection. Breast-fed babies don’t have nearly as many lung, ear, and urinary tract infections. They don’t have diarrhea. Their poop doesn’t smell bad. They aren’t ingesting soy proteins or cow milk proteins. They have far fewer allergies than bottle-fed babies. And they aren’t being exposed to other harmful substances in formula, like residual pesticides and chemical additives.

Breast-fed babies don’t die as often as bottle-fed babies.

The study’s authors specify that bottle-fed babies are much more likely to die from Sudden Infant Death Syndrome (SIDS), necrotizing enterocolitis (NEC, a disease seen primarily in preterm infants), and lower respiratory tract infections such as pneumonia.

And breastfeeding makes babies smarter. According to Lise Eliot, Ph.D., a neuroscientist at the Chicago Medical School, and author of What’s Going On In There: How the Brain and Mind Develop in the First Five Years of Life, the single most important thing you can do to help your baby’s brain is breastfeed. Eliot writes: “…human milk specifically benefits a baby’s brain development … breast-fed babies are actually smarter than bottle-fed children” (184 her emphasis).

If a woman doesn’t breastfeed is it her fault? I don’t think so. Not everyone can breastfeed. And few new moms have the support they need to keep nursing when breastfeeding gets difficult. Sadly, we live in a society that in so many ways does not support new moms and dads.

This is a social problem not an individual problem. American hospitals should not be allowed to give formula samples to new moms, for one thing. American women should get at least one year of paid maternity leave so they can continue to breastfeed, for another. We should help women who can’t nurse by giving them breast milk for their babies instead of formula. Women who can’t nurse should not be made to feel badly or feel guilty but they should be able to get human milk for their human child. Lactating moms could even help each other by nursing each other’s babies.

What do you think? How can we help more women nurse their babies? Why do you think almost 25 percent of American women don’t even try to nurse and so many more stop so soon? Do you/did you nurse your infant? Share your thoughts in the comment section below.

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[ 22 comments ]

What Every Postpartum Woman Needs

December 6th, 2009

foodchainI have a lot of trouble asking for help. I’m getting better at this but I have to work hard not to feel guilty when someone does something for me. So it’s very difficult for me to answer the question, “Do you need anything?” or “What can I bring over?” now that I’ve had a baby.

If you ask, “What can I bring you?” and your friend says, “Nothing,” don’t take her at her word.

Here are some of the most helpful things you can bring to a new mom and dad:

1. A Meal: Instead of having a baby shower or gifts, we set up a meal plan in advance with our friends who wanted to help out. A parent at my son’s school who we met recently (so she wasn’t on the meal plan) dropped off some potato leek soup and cranberry bread when Leone was just a few days old. We ate bit of it and I’m still feeling grateful for that unexpected kindness, and filled to the brim with gratitude for the meal plan. (For more about food chains, there’s a great post at “Mama is …” on this subject which you can read here.)

2. Toilet Paper: Everyone needs toilet paper. If your friend’s postpartum heinie is too sensitive and she’s using water or Tucks, her partner and other children will benefit. Bringing something practical like this will save the new family the trouble of buying it for awhile.

3. Organizational Help: A wicker basket for baby clothes and diapers; a caddy for baby care stuff; a bin for toys—or other clever organizational products—are always appreciated by overwhelmed new parents trying to keep track of baby stuff.

4. Cloth Diapers: Though using cloth diapers saves families thousands of dollars, the start-up cost of cloth can be daunting. Bring over a cloth diaper or two as a gift for the baby or buy your friend a gift certificate for cloth diapers. Even if the family doesn’t decide to use cloth exclusively, you’re helping them save money, reduce waste, and have a healthier baby.

5. A Big Bowl of Fruit: Breastfeeding uses more calories than growing a baby and nursing women tend to be ravenous. I know I am. A bowl of fruit to put on the table beside her favorite nursing chair is a perfect gift.

6. A Good Book You’ve Read Recently (or a used DVD): New moms who are up a lot at night feeding the baby and nursing a lot during the day are often grateful for the distraction of a good book (you read with one hand and hold the baby with the other) or a good movie to watch while bouncing the fussy one.

This tired mama in pajamas is incredibly grateful for the wonderful meals her friends have been bringing over (photo by 6-year-old Etani)

This tired mama in pajamas is incredibly grateful for the wonderful meals her friends have been bringing over (photo by 6-year-old Etani)

Cartoon courtesy of Heather Cushman-Dowdee

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Nursing Leone

December 2nd, 2009

LeoneNursing“I think the baby’s hungry,” James says, bringing Leone into my office. “She’s very patient but she keeps turning her head and trying to suck on my sweater.”

He hands me the baby. Just four weeks old, she’s a solid bundle now–warm, substantial, sweet-smelling.

Not as floppy as when first born, she’s still so vulnerable. Her entire life depends on us. It’s strange to think that the food that nourishes and helps her grow comes entirely from my body.

It feels like a big responsibility to take care of such a small life.

I take Leone out of my office to nurse her. My office is cold, a place of deadlines and phone interviews and invoices. I don’t want to feed her in here.

She grunts and mews as I carry her to the living room, turning her head from side to side. I feel a sharp tingle—almost a stab—go through my breasts. The baby wants to nurse and my breasts are overfull.

I sit cross-legged on the couch in a ray of sunshine. Even when she was only a few minutes old, she knew just what to do. Leone opens her mouth wide and I shove my breast into it. She sucks lustily and I’m surprised, again, by how much relief and gratitude I feel as she empties out the milk.

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