Hi Gail

I'm not a home birth midwife, but I'm interested in what you're saying,
because I was a student once upon a time, and I remember thinking the
same.  I was fortunate to gain a lot of experience with a lactation
consultant who I came to respect as her 'skills' were incredible to me.
Often if I was having trouble getting twins to attach, or needed help
with hand expressing, I would ask her for assistance and then watch and
follow her lead with assistance.  

In my opinion, some women have difficulty with breastfeeding and some do
not.  First time Mum's need the most support, but there are always
exceptions to the rule.  Attachment principles are important and
assistance should be offered to promote successful long term
breastfeeding (which we all know to be best for baby).

Why do they have difficulty?  There can be a number of reasons.  A lack
of knowledge is often the biggest problem.  

Not wanting to over simplify the matter, breastfeeding involves the
mother and baby, specifically the nipple, breast, baby mouth, baby
tongue, colostrum/milk and time.  If any one of these factors is a cause
for concern (flat nipple, closed baby mouth - sucking on the nipple
only, letting the baby fall asleep before the feed is over, inadequate
emptying of the breast, etc, then it often leads to other situations
which may include delayed milk production (reduced stimulation), sore
nipples, sore breasts (lumps) and so on.  

If Mothers are educated on best practice principles for breastfeeding
(sources are many), it can save many a heartache and give the future
generations a better start.  Breastfeeding, like midwifery and nursing
is both a science and an art.  It is so rewarding to be able to give
assistance to a mother who wants to feed, and hear the long term success
stories.  

I wish you all the best with your studies.  You're in a noble
profession. 

Kind regards, 

Angela Rayner
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Gail McKenzie
Sent: Wednesday, 9 August 2006 12:26 PM
To: [email protected]
Subject: [ozmidwifery] Breastfeeding

To all you magnificent home birth warrior women out there, could you
please 
tell me if any of your birthing women have problems with breastfeeding.
I'm 
a middy student working on a ward at the present & I'm astounded by how
many 
women have problems with breastfeeding.

If your women do not, please enlighten me as to why you think this is.
If 
they do, again, what do you put this down to?


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