Thanks
pinky
----- Original Message -----
Sent: Thursday, September 09, 2004 3:43 AM
Subject: Re: [ozmidwifery] was formula, now HELP for b/f

Beautifully said as usual, your son has a wonderful mother!
----- Original Message -----
Sent: Wednesday, September 08, 2004 10:13 AM
Subject: Re: [ozmidwifery] was formula, now HELP for b/f

"It is so important to acknowledge the importance of breastfeeding and breastmilk but it doesn't mean that those who cannot bf for whatever reason  love and nurture their babies any less than those who bf. Many women I know also juggle the despair of not giving their baby the 'best' the worry that causes and the shame they feel bottling in front of bf women as well as their constant sense of failure or inadequacy as mothers. This is a terrible thing and we should be supporting these women and providing them with our nurturing skills to enhance their sense of selves. bf success doesnt not mean a 'better' mother." - Belinda
 
What a beautiful letter, Belinda. This is so true -mothers definitely need support to ENJOY their babies.  These are so often the mums who call me saying "I need to learn infant massage - I dont feel as though this baby is mine" - it is beautiful to see their confidence and bonding "click" after just a few weeks or sooner - and perhaps because things (birth/ breastfeeding) havent worked out, they are nurturing very consciously and connectedly - I wholeheartedly agree that although breastfeeding is a wonderful mothering tool, it isnt a guarantee of a "better mother".
 
Interestingly, although I feel strongly about not "pussyfooting" around about breastfeeding as the "biological norm" - and I was probably the speaker judith was referring to at ACT /NSW ABA conf,  (My talk was "Not Guilty -promoting breastfeeding, promoting guilt), I have been quite pleasantly surprised that I dont FEEL any "different" ?? "judgemental "(not sure of the word here,  but somebody expressed sympathy to the bottle fed baby)  towards a bottlefeeding pair (and I have sat and bottlefed a twin at classes recently)  - hopefully, mothers do sense my empathy at their sadness, but for me, when I am with mums it simply "is" however she is feeding her baby.
 
The mothers' stories come out as part of normal discussion. A very sad one lately was a mum whose bub refused the breast - (Formula in hosp nursery/ caesar/ haemorrrhage/ infection) and after expressing/ bottling for 4 months (she was seeing an LC, but also interestingly as she practised massage her supply increased dramatically ?? bonding effects enhancing oxytocin) , she has had a return of cancer and is having chemo - she had herself been breastfed for 3 years so was under no illusions about breastfeeding both as an optimum food , or a physical _expression_ of love between mother and child - and as Belinda expressed - the despair about not giving her baby the best was enormous - it is very sad to have a mothering experience clouded with these feelings so early on.
 
I do feel tho that when we deny or are complacent about the value of breastfeeding, we actually deny women a chance to grieve because we arent fully acknowledging their losses - its like saying to a woman who has a traumatic birth - "never mind you have a healthy baby - move on".  
 
As Rita and  Abbey have described - the feelings are grief and deep sadness, not guilt -no mum is a "failure" -whether she tries to breastfeed or not -I imagine the hurt from a previous experience could deter some mums from attempting to breastfeed at all with subsequent babies - there is no worse emotion than disappointment. My own first child was a "drugged" baby , who became ill and required ICU care -he was fed formula as a newborn, no doubt sensitising him with allergens and resulting in asthma, I also wonder at the effects of formula on his tiny developing neurostransmitters - although there is a family history, he is (so far) the only child who has developed a bipolar/affective disorder - bipolar with some psychotic episodes -the others were fully breastfed and hopefully will be protected (three are now past the age he presented). While I feel sadness every day at the life my bright beautiful child must live as he struggles with drug side effects to maintain his stability and wonder "was it the early formula?", I also believe that the gentle, connected  mothering he experienced has been a great help in that I have been able to encourage him to "listen to your body" and he does always come to me when he is becoming ill, and he has never been violent or destructive (as many parents at support groups I have attended report - this isnt a judgement on their parenting, but I have heard some parents talk about their children as "objects" (and I would 'bop" them if they spoke to me like this)  ie "my son is a scizophrenic" - really,this is a person who is living with a horrendously frustrating illness, it is not "who he is")
 
As mothers, we do need to look at all the wonderful things we are doing, and we need to encourage each other to do this - I always try to acknowledge something tangible that each mother is doing so this is believable to the woman herself (Not "empty" praise like "You are a good mother" ). 
 
As I have said in Parenting By Heart - "our kids are not cakes, we can't at 18, say, 'oops I forgot the baking powder' but, like cakes, it takes a whole bowlful of ingredients for them to "turn out" - although nuturing choices like birth and breastfeeding are significant to our own sense of self as mothers and to our children, it isnt "just the birth" or "just the breast" , there are lots of influences as they grow.
 
Pinky
 
 
----- Original Message -----
Sent: Wednesday, September 08, 2004 9:22 PM
Subject: Re: [ozmidwifery] was formula, now HELP for b/f

as the placenta is throwing off hormones to stop your milk coming in in pregnancy, when third stage is complete the hormones disappear quickly, prolactin rises and your milk comes in. A bit of placenta left can certainly still inhibit your milk coming in properly and establishing. Anemia can also affect your supply - how was/is that. Domperidol is far better drug than maxalon, find a gp/lc there are some great ones around. Did your breasts grow in puberty, it is another possibility that something in puberty inhibited growth of adequate functioning  breast tissue. There are a myriad or possibilities for your supply baby growth issues. Certainly filling the baby up with abm can cause major problems but it seems in spite of this you tried many things that should have helped. Did you see a lc at the time? Also remember if it doesn't work hasn't worked mothering is a compex thing and the emotional growth of your children is paramount (as well as their nutritional wellbeing).
A friend of mine supplemented her fourth child after three screaming poor weight gaining babies who lived at the breast for a year or cried, no in-between. After much heartache she decided to comp her fourth (she would have paid dearly for bm if she could have got a hold of some) and her baby thrived and was a happy baby immensely  enjoyed by her mother. I believe she had limited functioning breast tissue and there is nothing you can do about that. I think we get lost in the af vs bf debate and forget to help mothers enjoy their babies and gain confidence in themselves as mothers women.
I have helped many women as a lc in private practice but I have also counseled women who for reasons such as the drugs they need to survive day to day (depression or migraine issues that do not respond to drugs that are okay to use with bf) poor breast tissue, significant breast refusal (as a lc If they ask to see me and the baby is over 6weeks old it can be very difficult to get tham back onto the breast so they often end up expressing and bottling)
 It is so important to acknowledge the importance of breastfeeding and breastmilk but it doesn't mean that those who cannot bf for whatever reason  love and nurture their babies any less than those who bf. Many women I know also juggle the despair of not giving their baby the 'best' the worry that causes and the shame they feel bottling in front of bf women as well as their constant sense of failure or inadequacy as mothers. This is a terrible thing and we should be supporting these women and providing them with our nurturing skills to enhance their sense of selves. bf success doesnt not mean a 'better' mother.
We should also be fighting the unethical marketing of infant baby milk, doctors who give out free samples or who minimise the benefits of breastfeeding, poor hospital practices, the lack of a breast milk banks etc etc...
Good luck Rita, find a lc to help you identify where the problems are coming from so you can work out a plan of action.
Belinda
----- Original Message -----
Sent: Tuesday, September 07, 2004 9:25 AM
Subject: Re: [ozmidwifery] was formula, now HELP for b/f

Colleen,

May I please ask how the 'Eglonyl' helped, how long you remained on this medication and what side effects if any that you experienced.

As I have previous difficulties as some have been previously described, I have been given maxalon for one of them to no avail.  It was also suggested for me to use motilium but did not get to that point.

I also have a question for you wonderful wise women. With some information and background first.

 With babe No. 4, throughout the pregnancy as with any pregnancy being different, this one was as well and more noiticable was the different way in which my breasts responded to the pregnancy.  I felt confident and secure that finally this time I would be successful in breastfeeding my babe. 

But alas, it again was not to be.  I have a theory and would love some feedback.  With this babe, I was prescribed the maxalon at a higher than normal dose for lactation assistance (4 q.i.d) - or so I was 'told'. Babe started experiencing extremely low blood sugar levels and despite my refusal, they supplemented him with would you believe 50MLS EVERY THREE HOURS, when gastric tube placed in gut for the next feed, there was formula coming back up,  HE WASN'T HUNGRY, but I know that 50mls is certainly excessive. 

The question relates to the fact that post birth I felt extremely boggy in the uterus and felt as if I had retained products......... I even passed what I still to this day KNOW was placental tissue (as a student midwife, you certainly see a lot of clots etc. on pads post-partum.......)  I kept it and a 'midwife' looked at it, flushed it and said 'no that is nothing, just a blood clot'.  The one thing I did NOT experience with this breastfeeding experience was that of my milk 'coming in'.  For 6 weeks I argued with M&CHN and doctor that I had retained products and that I still had not experienced my milk coming in and was 'ignored'.  Three months later with babe on formula, me still spotting bright PV loss, I saw my gyno whom performed a D & C and lo and behold - PATH RESULT - RETAINED PRODUCTS OF CONCEPTION......... (No way this could have been a 'miscarriage' or 'blighted ovum') as no sexual intercourse had occurred post-natally. 

What degree of impact do you wonderful women believe the retained placental bits and pieces would have actually had on my breastfeeding experience.  Just to add to this, I had reason to see my gyno for unrelated issue and asked him regarding the possiblity of retaining this time around and explained the reason behind my question and his reply was 'Totally nonsense, that would not have had any impact on your breastfeeding what-so-ever??????????????????????????????'  This comment came from a very well known AND respected Obsetrician whom many are aware......................... I must say that I am still in  shock from his comment.

Looking forward to your replies.

Thanx for putting up with my many posts regarding this issue.

Yours in Childbirth

Rita
Van Onselen Family <[EMAIL PROTECTED]> wrote:

I couldnt feed my 2nd child on day 10 and was offered formula or diluted
cows milk.I remember saying to the doctor that since I was going to damage
the child in the long run I might as well get it over and done with now and
"euthinase her" to say he was shocked and all were appalled is not an
understatement but these tactics helped and I was given Eglonyl and fed 2
babies for 2 years each with a boost on this psychiatric drug .

 



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