Monday, August 22, 2011

The Home Stretch

So we are now doing the final countdown to when our baby girl will arrive (Squee! Yay! Woot! etc). The time seems to have flown in some ways, although these last few weeks have been brutal. I've had a lot of difficulty sleeping and have felt so run down. I don't remember feeling this way at all while pregnant with Miles. It was pretty much smooth sailing except for super swollen feet for the last week weeks that puffed up so big I thought they were going to explode at times. This pregnancy has, in the grand scheme of things, been very easy too, with some notable differences. I was much more nauseous during the first trimester, but still never puked. I also just realized last night that I have a linea negra this time around, as well as some slight "pregnancy mask" darkening on my cheeks. It's amazing to me that it took me 36 weeks to notice, but when you have a job and another kid to worry about, it's funny how little time you have to pay attention to your pregnancy.

Anyway, I signed up for one of those weekly emails from BabyCenter and this week's assured me that since I've gotten the nursery ready and all of the clothes are washed and put away, I can just relax and wait for the baby to arrive. Errrmm, no. I haven't washed a damn thing and the nursery is a jumbled mess. My husband installed the fan and put together the crib and I have bought lots of cute stuff on Etsy to decorate it with, but everything is still in boxes. My diapers need to be pre-treated, we need curtains to cover the closet doors and some decorative pictures would be nice too.

With everything going on, I also forgot to really buy any clothes for the baby. Some generous friends gave me lots of their hand-me-downs which are in great condition and super cute, but I was feeling guilty that already this baby was getting the short end of the stick. Thankfully I was recently invited to do some shopping at The Children's Place to preview their Fall collection. I instinctively headed over to the boys' section before reminding myself that this trip was all about baby girl.

The amount of cute in the baby girl section was mind-blowing and I probably went a little bit nuts. Twee hot pink booties? Sure! Knit floral dress with MATCHING BLOOMERS? Yes, please!

I used to laugh inside when friends would show up to a playdate at the park and their daughters were wearing tutus with matching glittery ballerina slippers.....but then I totally picked up these:



I also completely fell in love with their fall Woodland Creatures collection. These pieces match the cute Happi Tree line I bought for the nursery. I guess this owl motif is very popular now!




I was also happy to see lots of purple in the line (it's my favorite color) so I also grabbed up this hoodie and some purple Tees with matching leggings.


I'm excited about the new stuff and can't wait to put it on the baby! Now, if you see me plastering a giant flower on my baby's hairless head, please tap me on the shoulder and suggest I seek help.


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Monday, August 8, 2011

World Breastfeeding Week 2011: What did you do?

This was quite the eventful World Breastfeeding Week! We got the CDC's 2011 breastfeeding report card, along with a scathing indictment of hospital practices that undermine breastfeeding in Vital Signs magazine. We learned that the Affordable Care Act would include coverage for IBCLCs and breast pump purchases. A study in Pediatrics confirmed what lactation consultants already knew: that clipping a tongue tie greatly improved both mothers' comfort while nursing and breastfeeding duration.

I was lucky enough to attend an event at a local hospital on Sunday that included speakers, giveaways, a fashion show and a yummy catered lunch. The invitees were mostly moms who had given birth at that hospital recently or were planning to give birth there soon. I got to meet some local IBCLCs and doulas and see lots and lots of adorable babies. I was pleased to see that nearly every mom there was wearing her baby (and not in no Baby Bjorn nonsense, I'm talking Mobys and Mayas and Ergos everywhere!) and I saw lots and lots of breastfeeding, some of it without a cover. Whoo hoo! (It's the small things that make a lactivist really happy, no?)

But I'd like to hear what you all did to celebrate World Breastfeeding Week. Did you attend a Big Latch On event? Did your local breastfeeding coalition or La Leche League group put something together? Let me know how you marked this historic week in the comments.





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Wednesday, August 3, 2011

CDC releases 2011 Breastfeeding Report Card

The CDC recently released its fifth annual Breastfeeding Report Card. Click over to see how well (or poorly) your state is doing in terms of breastfeeding initation rates, breastfeeding at 6 months and 12 months, and exclusive breastfeeding at 3 months and 6 months.

As always, I take some of these numbers with a grain of salt. Almost no one is using the term "exclusive breastfeeding" in the same way. Some moms will say they are "exclusive breastfeeding" their 9 month old, meaning he is not getting any formula, though he is getting solid food. Many moms don't count any supplementary bottles that were given to their babies either in the hospital or at home before breastfeeding was established. I think we also know that some women initiate breastfeeding in the hospital with little to no intention to continuing once they get home.

Not surprisingly, not much has changed with these numbers. The Southern states have the lowest rates across the board, with the Pacific Northwest and West coast having some of the best. Although there was an increase in exclusive breastfeeding rates at 3 and 6 months since the initial report card in 2007, we still have a long way to go.

The CDC acknowledges that child care providers play an important role in whether or not employed women are successful at continuing to breastfeed. While the Healthy People 2020 goals include increasing the proportion of employers that have worksite lactation programs, and the government requiring businesses to provide time and space for working moms to pump, I still don't see anyone fighting for paid parental leave, which would have a much bigger impact on breastfeeding rates, in my opinion. I'd also like to see more women allowed to bring their babies to work.

So how are things looking in your state? Are you noticing any improvement? Will this country ever get an A on this report card?



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Tuesday, August 2, 2011

Breastfeeding Support Covered Under Affordable Care Act

Good news, just in time for World Breastfeeding Week. While many have been jumping for joy over the expansion of the Affordable Care Act to include birth control for all insured women without a copay or deductible,  many articles have failed to point out that the new guidelines also cover breastfeeding support. That's right, the government has decided that breastfeeding is actually preventative health care and that lactation support, including visits to an IBCLC and renting a breast pump, should be covered by insurance at no cost. “The Affordable Care Act helps stop health problems before they start,” said Department of Health and Human Services Secretary Kathleen Sebelius. “These historic guidelines are based on science and existing literature and will help ensure women get the preventive health benefits they need.”


These new guidelines are effective as of August 1, 2011, but depending on your plan and insurance provider, you may not actually take advantage of them until the new plan year, on or before August 1, 2012. And yes, you may take advantage of this in conjunction with every birth of a child.


For a full list of preventive health care services now covered under the Act, see the HRSA guidelines available online.



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Sunday, July 31, 2011

Breastfeeding Superstars!

Happy World Breastfeeding Week! Today I am pleased to share with you a short video created by Isabelle Zaugg, an MFA candidate in the film school at American University. The video is dedicated to breastfeeding superstars, moms who have overcome challenges in order to successfully breastfeed.
(If you're an email or RSS subscriber, you may have to click over to the post to see the embedded video below).



BF Superstars from Isabelle Zaugg on Vimeo.

Who are your breastfeeding superstars, or were you a mom who had to overcome some challenges to make breastfeeding work?

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Wednesday, July 20, 2011

Miki House Clothing (and a giveaway!)

Head over to my review page to enter to win a $20 gift card to Bloomingdale's and learn more about Japanese children's clothing line Miki House.

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Monday, July 18, 2011

In A World of Uncertainty, Boobs Are Certain

Welcome to the July Carnival of Breastfeeding! This month's theme is breastfeeding a baby with special needs. You can find more wonderful posts on this topic linked at the bottom of this one.

This month I'm pleased to share a post written by Theresia, on nursing her daughter who has Cerebral Palsy.


For many women, birth is a long, slow process. It may be painful. You may move and be moved in ways you never knew possible. For most in the end you are blessed with a perfect, healthy baby.


For me, birth was a medical emergency. A blur.

“Fetal distress.”

“Decels.”

“Sign here.”

I did not give birth to my daughter, my daughter was delivered. 1:23am, 9/23/09; 36 weeks, 5 pounds 8oz, 18inches.
My husband asks me, “Why is she blue?”
The anesthesiologist asks me, “Would you like a sedative?”

“Hell yes.”

It is hours later. The transport team has come to take my daughter away to a hospital with a NICU. A nurse has come with a breastpump. This is not how it was meant to be.

Over the next few days, decisions are made. Over the phone my daughter’s doctors explain things to me that I never wanted to understand, that I can barely understand through the fog of painkillers, sedatives, and magnesium sulfate. Facing months of my baby in the hospital, I tell my nurse, the one who taught me how to use the pump, the one who talked to me about breastfeeding her own daughter, that I didn't care anymore.

“I don't want to pump. Let them give her formula. It doesn't matter.”
I cry. My nurse, a complete stranger, holds me, leans me back on the bed and reminds me: Only I can do this for my baby, who needs it more than most. She holds the flanges to my breasts for me, to pump my milk “just this one last time”. I do it myself next time.

After just five days things are starting to look up for my baby: no more cooling treatment, no more ventilation, no more sedation. By fourteen days old my daughter is home. By three weeks old I have stopped pumping, and she is breastfeeding. Everyone is surprised; everyone is impressed. She's perfect now.

Just kidding! I feel like life is laughing at me when I have to dig my pump out again, to calorie-fortify her breastmilk during the day. I relish her nighttime feedings and hate the bottles I mix and feed her. Our first diagnosis: GERD, age four months.
Two months later and I am able to put the pump away again. Thank God for the antacids that let her eat happily and gain weight, however slowly. But now we get a new “challenge”! She is not meeting her milestones, she's floppy, her eyes cross. Then come therapists, counselors, caseworkers. Doctors, doctors, doctors. Every poke, every prod, we nurse through it all. It gets mixed reviews from medical staff, but in a world of uncertainty boobs are certain.

My hardest times are those when I can't nurse her. She undergoes three procedures (one surgical, two diagnostic) when we can't nurse beforehand and my breasts ache with milk as I hold my crying, hungry baby in my arms. We endure one hospitalization when she is intubated and sedated and I can't even hold her. I can't make it better; I can only accept it or wait for it to be over.

“Nuh nuh” is always the first thing she wants in the morning; it's always the first thing she wants when she's waking up. It's always the first thing she wants in the hospital. I spend hours holding and nursing, watching endless episodes of Law & Order, and eating "complimentary" hospital meals that show up later on insurance invoices.
As we reach her first birthday she's functioning on a seven or eight month old level, I still have people who ask me, “Isn't she a little old for that?” I grin and bear it.

In twenty-one months we've nursed through therapies, illnesses, hospitalizations, surgical recovery, and more recently bumps, bruises, and tantrums. We've nursed through three blood draws, six diagnoses, and one divorce. I cried as I nursed her the first night she used her walker, and also the first night she walked on her own. Two July Fourths in a row I've watched her fall asleep at the breast as fireworks go off in the black sky above us. After much work and therapy, now she walks and jabbers and signs for “eat eat eat milk milk milk”. These days it's sometimes my greatest pleasure and sometimes (for the 1000th time today, with a wonky latch from a new tooth, and a recent penchant for twiddling) my greatest dread.

This experience with my daughter has changed me in a way I'm not sure anything else could have. Breastfeeding is an integral part of how we relate to each other. I used to joke that I breastfed “like it's my job” and now it is-- I'm a WIC breastfeeding peer counselor. I am the ear I never had, listening to moms who are going through where I've already been. I have a special place in my heart for NICU moms and moms of disabled kids. I always tell people about my daughter's disabilities, and about our struggles and successes with breastfeeding. It’s important and it’s part of me. She is part of me.
In some ways the two of us are very different from other mothers and their children. She works much harder than most other children to do the same things they do. I have a lot more doctors' numbers in my little black book, and doctors appointments in my day planner. Sometimes doctors mistake her for the sum of her diagnoses. Sometimes I feel more like her social worker than her mom. Sometimes people notice out loud how she’s “different” and other times people say I’m overstating her problems, and both make me sad. But when we are breastfeeding, none of those things matter. We are no different from anyone else. We are the same as every nursing pair, everywhere.




Theresia is the mother of Virginia ("Ginny"), a bright, outgoing toddler with cerebral palsy. They live in Maryland with Ginny's great-grandfather, three cats, and a dog. Ginny likes music, splashing in the pool, and playing “clean up”. Theresia works as a breastfeeding counselor for her local WIC clinic.


Don't miss these other wonderful posts from this month's contributors.

Jenny @ Chronicles of A Nursing Mom: Breastfeeding is the Only Way
Kelley @ Navagating: No one told me I couldn't
Kadiera @ Our Little Acorn: Eight Times A Day

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