The Ergonomics of Postpartum Recovery: Nursing Support

Whether you're breastfeeding or bottle feeding, our posture is a factor. You have spent the last nine months supporting a completely different center of gravity, so our tendency to slouch is much greater now. There is an abundance of accessories on the market that you can get to help prop baby up closer to you. More specifically for breastfeeding people a handful of ways you can hold your baby while nursing. A newborn eats a lot, so you will find yourself seated many hours a day feeding your baby. Consider the state of your posture and set up a functional space to support you and your baby. 

 

Start with a decent chair, one with motion. A rocking chair or a glider are the common buy these days. They double as support during the feed, and then can facilitate soothing motion to help calm baby. The exercise ball you may have purchased prior to having baby. This encourages great posture, and is a great tool in soothing baby. The ball does all the work for you, rather than having to bounce your tired body. 

Start with a decent chair, one with motion. A rocking chair or a glider are the common buy these days. They double as support during the feed, and then can facilitate soothing motion to help calm baby. The exercise ball you may have purchased prior to having baby. This encourages great posture, and is a great tool in soothing baby. The ball does all the work for you, rather than having to bounce your tired body. 

A nursing pillow will help prop baby closer to you. These all can be used for both breast and bottle feeding. The Brestfriend has a clasp that you can adjust at any point on your torso, it also has a little pocket you can fit a water bottle, a pacifier, a nipple shield, really anything you have found helpful in your feeds. I included the Hiccapop because it is an awesome edition to propping baby higher, I personally use it on my lap under baby for bottle feeds. It allows for me to sit up straight and props up baby on an angle for feeds. This is really for pregnancy prior to baby's arrival, but I recommend as another full circle tool for both parent and baby. 

A nursing pillow will help prop baby closer to you. These all can be used for both breast and bottle feeding. The Brestfriend has a clasp that you can adjust at any point on your torso, it also has a little pocket you can fit a water bottle, a pacifier, a nipple shield, really anything you have found helpful in your feeds. I included the Hiccapop because it is an awesome edition to propping baby higher, I personally use it on my lap under baby for bottle feeds. It allows for me to sit up straight and props up baby on an angle for feeds. This is really for pregnancy prior to baby's arrival, but I recommend as another full circle tool for both parent and baby. 

Now for nursing positions. These positions above will be the more common holds taught immediately after baby's arrival. The football hold I recommend to larger breasted individuals, or with nipples that angle outwards. Breastfeeding will bring a whole host of new things to understand, and one of those things is the shape and placement of your nipples and how to best facilitate a feed with them.

Now for nursing positions. These positions above will be the more common holds taught immediately after baby's arrival. The football hold I recommend to larger breasted individuals, or with nipples that angle outwards. Breastfeeding will bring a whole host of new things to understand, and one of those things is the shape and placement of your nipples and how to best facilitate a feed with them.

These are some of the more advanced positions for nursing. I recommend the side lying position for parents that are comfortable with co-sleeping. It's a great night time nursing position, as it requires less effort in moving around. The laid back position I recommend to individuals with fast and heavy let down. When a let down is heavy it can cause some discomfort and frustration in feeding to baby. The laid back helps lesson the force of the let down and allows for baby to work the milk out at its own pace.  That twin hold is wonderful once mastered. Twins require an extra set of hands, so a helpful partner is essential in this position. Your nursing staff should be an excellent resource for you in postpartum recovery, but if you still feel like you need help, check out my blog series on   The Importance of Breastfeeding Support.

These are some of the more advanced positions for nursing. I recommend the side lying position for parents that are comfortable with co-sleeping. It's a great night time nursing position, as it requires less effort in moving around. The laid back position I recommend to individuals with fast and heavy let down. When a let down is heavy it can cause some discomfort and frustration in feeding to baby. The laid back helps lesson the force of the let down and allows for baby to work the milk out at its own pace.  That twin hold is wonderful once mastered. Twins require an extra set of hands, so a helpful partner is essential in this position. Your nursing staff should be an excellent resource for you in postpartum recovery, but if you still feel like you need help, check out my blog series on The Importance of Breastfeeding Support.

When it comes down to it, fed is best. There is nothing more natural than a baby communicating it's needs and receiving it. How you choose to nourish your little one is completely up to you, and you should never justify that to anyone.

Next blog I will present the different styles of baby carriers on the market, and how to choose what is best for you. I will also include some  helpful soothing techniques for baby.

Weaning Baby pt. 3

Now, for the later stages. Introducing solids is an exciting time for parents. By now baby is sitting up on their own, giggling, and even making demands. The timing of the introduction of solids varies for every baby, as well as every mother. Weaning a baby with solids is helpful, because it is an entirely different feeding process for baby, in comparison to bottle/breastfeeding. This way instead of refusing the breast and fighting baby to take a bottle, you can offer a new experience to share with mom, or whomever is feeding them at the time. This practice is often referred to as “don’t offer, don’t refuse.” Once you and your little one establish a rhythm with this, you can begin to utilize breastfeeding as a soothing technique. Maybe a tender intimate moment before naps and bed, or a nurturing moment after a bad spill at the park. This is often how mothers reestablish and/or continue the connection with their older children after bringing new babies home. Some of us can’t even fathom what it would be like still breastfeeding a five-year-old, or even a three-year-old. Oddly enough, a great deal of moms feel this way until they have found the love for these moments with their babies that is the pure joy of making the right decisions for you and your little ones. I commend mamas these days for offering encouragement and not judging other mamas for their choices. These decisions only grow into greater issues in the future, and we need to be able to feel confident that we have our children’s best interests at heart.

One aspect of weaning baby that often gets overlooked is the hormonal changes that come with reducing milk production. Prolactin,  and oxytocin  work in tandem to produce and bring milk down. Oxytocin, also known as the love hormone brings on feelings of calm and comfort, it works as a bonding agent for you and baby. It is hypothesized that any abrupt stop of breastfeeding can cause an influx in your hormones inducing feelings of sadness, depression, and even irritability. Some mother's will be more susceptible  to depression then others. This can be due to past history of mental illness, it could just be the current circumstance. Some ways to reduce the emotional drop would be to gradually decrease your feedings. Try and plan as far ahead as possible, removing one feeding a week and replacing with hand expression. Any sign of depression or change in normal behavior should be addressed. I have pasted a link below to a bonus blog of mine that will cover how to address depression and knowing your options

Weaning takes patience and persistence, similar to teaching your body to produce you are now conditioning it to stop producing. The frustration often arrives when bay becomes frustrated, and mama is exhausted from the changes in her body. Remember to give yourself and baby a break every once in a while, that comfort you exchange will help nurture your experience. Find joy in letting baby taste new flavors, and have a camera ready, those moments can be absolutely priceless. 

Next week we talk storing breast milk basics, in addition to my list of resources for this month's topic!

Here's a bonus link to my latest blog featured with Stork Maternity Consulting. Here I address the steps you can take to get help during times of emotional turmoil:  http://storkmaternityconsulting.com/blog/your-new-identity-mom

Weaning Your Baby pt. 1

Since we kicked off this month with World Breastfeeding Week, I thought we should expand on how breastfeeding looks in the later postpartum months. These next few weeks will include topics on weaning baby, working and breastfeeding, as well as storing breast milk. These are things many don’t really even consider, even after the immediate arrival of their new little one(s).

Weaning a baby from the breast is a mother’s personal decision. I know I stress this in almost every blog I have posted, but mothers often allow the pressures of other people’s opinions to shape their choices for their own baby. It is important for every mother to know that she has the right to make every decision for her baby (within reason, of course, and in times of potential health risks). I also would like to point out that this decision (while it should be discussed with your partner) is solely up to mom, as it is her body.

There are various reasons why babies are weaned off the breast. The most common instance is the six-month mark, when it is recommended that you introduce solids. This process can take place earlier for mamas who have to take meds which are not safe for breastfeeding. Other moms may have to return to a full time job, and some mamas just don’t feel comfortable enough doing it, and have found more joy in bottle feeding.  

How does this process look in the earlier stages of infancy? Starting to wean this early can often seem very tedious. However, it is important that you remain as patient as you can with this change. Baby will often challenge anything unfamiliar to them, especially a substitute to their favorite thing ever.

We will start by discussing the process for mamas that have to go back to work and want to continue giving baby breast milk. You will want to start preparing for this juncture at least 4 weeks out, maybe more (if you can). In order to increase supply and begin storing breast milk, try pumping once each morning. The morning is a prime time to pump, as that is when you have the most milk. The following week, start by replacing baby’s least favorite feed with a bottle. If baby refuses the bottle, it’s likely they can sense “their boobs” nearby. See if dad or grandma (etc.) will take them and try feeding. You will also want to replace that feeding with a pump session, this will help maintain your milk supply for baby, and will help build up your storage supply in the freezer. Your goal is to have baby used to exclusive bottle feeds in the afternoons while you’re away. You will have to work out a pumping schedule with your workplace in order to continue offering baby breast milk exclusively. This is very common in this day and age, and shouldn’t be an issue. One thing to keep in mind while pumping is where you are doing it. Try to arrange your pump session in a place that you are most comfortable. It is important that you remain relaxed during pumps in order to be as efficient as possible with your milk production. In addition to a pump schedule, you will also want to work out a system for storing the milk until you get home. Most, if not all, offices have access to a freezer, I recommend freezing your supply and labeling it at work, then toting it home in a mini cooler so it doesn’t thaw. Remember to date and initial your breast milk supply so as to not confuse it with another mama’s in the office. Any daycare/nanny/partner should have complete access to your breast milk through the frozen supply you will have built up by pumping instead of feeding. If it’s not too confusing for baby, you could keep your nightly feeds together on the breast and continue to use these moments as incentives for baby as they mature.

Next week we will discuss weaning baby off breastfeeding as well as breast milk, how to assess the right formula for baby, and avoiding engorgement and clogged ducts in the process.

 

 

The Importance of Breastfeeding Support, and How to Decide What Works for You

Preparing for a new baby can be exciting and daunting all at once. It’s hard not to hold yourself to a certain standard before baby even arrives. Luckily, there is a slew of information out there to help you prepare for this exciting change in your life. Take breastfeeding for example: the general consensus regarding breastfeeding is that it is the best and most natural way to feed your baby. While that may be true, we have lost sight of how challenging it can be. Over time, we have developed an entire industry to supporting breastfeeding mothers. I’m going to take you through the general facts of breastfeeding, how it can benefit both you and baby, and how to master it.

Unlike our animal counterparts, human babies are born physically and neurologically underdeveloped. Breastmilk has a highly nutritional blend that benefits both baby’s mental and physical growth. You will notice a change in your nipples during pregnancy. Those little bumps on your areola will swell a bit, those are the Montgomery Glands. These glands are highly important in the process of breastfeeding. They secrete an oil to keep the surface clean, in addition to tracking your baby’s digestion needs. When your baby’s saliva comes in contact with the Montgomery Glands, they send a message to your body to produce certain nutrients for baby. They even alert your body of your baby getting sick, sending a message to your white blood cells in order to produce antibodies for whatever illness your baby contracted. According to the Center for Disease Control, breastfed babies are less likely to develop diseases early in life.

Pretty wild huh?! Our bodies have all the right mechanics to support the health of our offspring. We even gain information biologically through kissing our babies on the forehead-that is a whole other blog topic. It really does offer another perspective on a mother's intuition. 

Next week I will cover coping with the first few days after delivery. I vow to stay diligent in posting, give or take the normal bumps in life's road. Thank you for participating, and I look forward to keeping the conversation going!!