Category Archives: family

Common Breastfeeding Myths Debunked

There has been a lot of misinformation spread around lately in the press regarding breastfeeding. Unfortunately, celebrities have a lot of influence over society and those influences can be pretty detrimental to people’s health. Don’t believe me? Just look at the role former Playboy bunny, Jenny McCarthy had in the “anti vaxx” movement. This woman, with zero qualifications in anything, managed to convince millions of people that vaccines were responsible for autism. Even though Dr Wakefield, the man who was responsible for these falsified reports had his license revoked. There are still millions of people across the world that believe vaccines give children autism. Even though scientific studies are now showing that the condition is in fact, a consequence of genetics. So when celebrities such as Amanda Brunker spread false information like “watery breast milk”, what she is doing, whether she means to or not, is solidifying the doubt in some woman’s mind that she may not actually be “good enough.” Women are generally so hard on themselves and unsurprisingly really, with magazines and products telling them they are not enough, that they need to change themselves beyond recognition. We are a culture obsessed with having it all and being it all.

Celebrities have a huge responsibility when they speak in public. They should be informed on the subject matter they are talking about. Amanda’s recent column just goes to show women are not educated about breastfeeding at all. We all hear the “breast is best” mantra but what the majority of people don’t know is that breast is just the biological norm, it doesn’t have this long list of advantages, it’s just that formula has it’s disadvantages. We are barely educated about infant feeding, never mind feeding past infancy. It’s funny, if you want to get married you have to jump through so many hoops, like doing a pre marriage course but, when it comes to children we have a very “ah sure it’ll be grand” sort of attitude. In some respects, it is best to have a laid back attitude but, all choices regarding our children, especially when it comes to their health, should be evidence based and researched. And by researched I mean using official sites such as who.int, not some “truth” website.

If people did go and actually educate themselves about breastfeeding and breastfeeding past infancy, they would learn that in the second year of life 448mls of breast milk contains:

29% of energy requirements

43% of protein requirements

36% of calcium requirements

75% of vitamin A requirements

76% of folate requirements

94% of B12 requirements

60% of vitamin C requirements

Of course the longer a mother breastfeeds, the more protection she builds against illnesses such as breast and ovarian cancer. In fact, feeding for three years or more can reduce your chances of developing breast cancer by 94% That is huge! Yet society begrudges the women who do feed beyond the year mark-some even believe a child should be weaned earlier.

It was recently reported in the Irish Times that our low breastfeeding rate is costing the state €800 million a year. Nestlé recently announced they made a profit of nearly €80 million from Ireland alone in 2014. Formula is big business. Many I’m sure would be shocked to know that just €100,000 is spent promoting breastfeeding while maternity hospitals such as CUMH and UHL spend between €30,000 to €40,000 of tax payer’s money on formula every year, and that’s excluding the teats. So why do we have such poor breastfeeding rates?

If you ask me, and yes I know, nobody has, it’s because of misinformation. Pure and simple. So, with that in mind, I spoke with two experts about some of the most common myths surrounding breastfeeding.

Jack Newman, MD is a Canadian physician specialising in breastfeeding support and advocacy. He is also the co-author of ‘Dr Jack Newman’s Guide to Breast Feeding.’

Jack and baby

Based in Cork, Midwife and Breastfeeding Consultant Clare Boyle has been working in Ireland for the past 10 years. Clare teaches antenatal classes, breastfeeding preparation classes and provides breastfeeding support. See breastfeedingconsultant.ie for more information.

clare-new

Myth: Many women cannot physically breast feed or don’t produce enough breast milk.    

Dr Newman: This is not true.   There are a very few women who truly cannot produce all the milk the baby needs, but that doesn’t mean they cannot breastfeed.  They can supplement the baby at the breast with a lactation aid. In the vast majority of cases, mothers could have produced enough milk, but poor advice and poor ‘help’ undermined their breastfeeding.

Myth: Breastfeeding is supposed to hurt.  

Clare Boyle: Breastfeeding is actually meant to be a pleasure and joy to do and pain is not normal. Think of it from a biological point of view; would our foremothers continued with breastfeeding if was painful and difficult to do continue?   No, they would have given up and we, as a species, wouldn’t be here!   When a baby is latched on correctly there should be nothing more than a gentle tugging sensation and then the hormones we produce with breastfeeding – oxytocin, prolactin and endorphins – all help the mum bond and fall in love with her baby making it a pleasure and joy to do.

Myth: You can’t take medicines and breastfeed.  

Dr Newman: There is almost no drug that requires a mother to interrupt breastfeeding.   The real question is which is safer for the baby: Breastfeeding with tiny amounts of drug in the milk (and it is almost always tiny) or formula?   Clearly, in the majority of cases it is safer for the baby to breastfeed.

Myth: You can’t work and continue to breastfeed.  

Clare Boyle: I routinely help mums at around the six-month stage to co-ordinate breastfeeding and work requirements.   It takes a little organisation and planning but in the vast majority of cases, it can be done quite straightforwardly and it is lovely for both of you to connect through breastfeeding after being separated for the day.

Myth: You can’t drink alcohol and breastfeed.  

Dr Newman: The amount of alcohol that gets into the milk is tiny.   If you have 0.05 per cent alcohol in your blood, your milk will contain 0.05 per cent alcohol.   A baby could drink this all day and all night and not be harmed.

Myth: You can’t breastfeed a baby with disabilities such as Down Syndrome.  

Clare Boyle: Any baby with a disability can benefit hugely from breastfeeding.   The act of breastfeeding can help with neurological development and can help the baby mature and reach their full potential.

Myth: Premature babies must be ‘topped up’ with formula.  

Dr Newman: The majority of premature babies are not tiny, but born at 32 or more weeks gestation.   If the mother gets the help she needs for such a baby, there is no reason the baby cannot breastfeed exclusively.   For the very small premature babies, they can get to exclusive breastfeeding, again with good help, which unfortunately is rarely available in countries outside of Scandinavia.

Myth: It is easier to formula feed than it is to breastfeed.  

Clare Boyle: Breastfeeding is a learned skill, for most women it takes about two to four weeks to get the hang of it.   Feeling a bit overwhelmed and stressed about it in the early days is completely normal.   Once a mum has mastered breastfeeding, it just gets easier and easier.   It is important to remember that you will be feeding your child for many years to come and with breastfeeding it will never ever be so easy to feed your child the best food there is. There is no shopping, no sterilising, no mixing, and no cleaning up. Just pop baby on anywhere, anytime.

Myth: Formula is just as good as breast milk.  

Dr Newman: Not according to thousands of studies.   In fact, breast milk is so different from formula; you cannot consider them even similar, except that both are white.   Breast milk contains dozens of immune factors, not just antibodies, growth factors that help the brain, the gut, the immune system, the hematological system to develop stem cells, none of which are present in formula.   Human beings are very adaptable, that’s why many babies do OK on formula.   But they don’t, as a group, do as well as breastfed babies.

Myth: It is selfish to breastfeed because Dad can’t bond with baby.  

Dr Newman: This is the formula company line.  Every ‘information’ brochure I have seen that comes from a formula company mentions giving ‘dad a chance to feed the baby’. They know that bottles interfere with breastfeeding and that one bottle often becomes two bottles and then three and then the mother can’t keep up with pumping and so they end up giving formula and then eventually the baby stops breastfeeding.  But who said that feeding the baby is the only way a father can bond with his baby? Most mothers would be extremely grateful if the father helped out in other ways.  Walking, talking, holding the baby, changing the baby’s diaper, singing to the baby, bathing the baby.

Myth: Feeding a child past infancy is weird and unnecessary.

Dr Newman: The reason breastfeeding beyond infancy is “unsettling” is that many people, even health professionals who should know better, think it is and thus mothers are shamed because they are breastfeeding toddlers, they are told they are causing their children harm, and this without any basis in fact.  The WHO/UNICEF state, as do paediatric societies in most countries of the world, that baby should be exclusively breastfed for 6 months and then breastfeeding should continue to two years and beyond.  There is no distinction made for “advanced countries” and “less advanced countries”.Furthermore, one reason that breastfeeding a toddler is consider unnecessary is that people look only at the nutritional aspects of breast milk.  Sure, if a child is a wide variety of foods in ample amounts, does he need the protein from breast milk?  No.  But breast milk is more than just protein, fat and carbohydrate.  Breast milk is also immunity, and that continues as long as the child is breastfeeding.  We have good evidence that children in daycare, for example, who are breastfed are much less frequently affected by the epidemics of infectious diseases that sweep through daycare and if the breastfed infant or child does get sick, s/he is usually much less severely ill than their mates who are not breastfed.  In addition, breast milk contains growth factors that stimulate the development of the brain, the gut, the immune system itself.  Indeed, every system of the body.And finally, breastfeeding is much more than breast milk.  Breastfeeding is a relationship, a close, intimate relationship between two people who are usually in love with each other.  We should all have been so lucky as to have had such a relationship.

So there you have it, straight from the experts.

Till next time,

ZM

 

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Me, the Zebra

Burchell's zebra (Equus quagga burchellii) smiling, Tanzania
Burchell’s zebra (Equus quagga burchellii) smiling, Tanzania

I was asked to start a blog by a few fellow zebras to share my experiences of being a mom with a chronic illness. Well, here I am. Before I get into all that though, it is important that you know my backstory, how I got to this point. I’m sure many of you can relate to my story, my journey to diagnosis.

In 2012, I was interning at the Cork Independent newspaper. During my time there I happened to take a liking to writing the health section of the paper. My parents were both nurses and my sister, also worked in healthcare so while I didn’t strictly follow the family tradition, I still had a keen interest in health. That year I decided I was going to enter the European Health Journalism Awards. The theme I chose was rare diseases. So, I contacted the Genetic and Rare Diseases Organisation (GRDO) and asked to be put in touch with a rare disease sufferer. Later that week I interviewed a woman about her disease, Ehlers Danlos Syndrome (EDS). Little did I know that the answers I has been searching for about my own illness had landed right on my lap.

There is an old saying within the medical profession: ‘When you hear hoofbeats, think of horses, not zebras’. Dr Woodward, an American professor at the University of Maryland would instruct his medical interns to practice as the phrase suggests. You see, horses are common in Maryland, while zebras would have been relatively rare during the 1940s. So, one would assume that, upon hearing the sound of trotting hooves, that a horse would be the most likely explanation. I however, am a zebra.

My symptoms started as a child but got really bad by the time I was 14. Gradually, my knees began to hurt, especially when it was cold. By 16, it was unbearable. A few years later, the pain spread to my hips and ankles. The joints began to make popping and clicking noises. Frustratingly, blood tests for arthritis and x-rays all came up clear. Then I began to have problems with my stomach and experiencing fatigue. In college, I was vomiting almost everyday for a year and napped frequently. The fatigue hasn’t stopped to this day. A colonoscopy and endoscopy came up clear but my GP said it was irritable bowel syndrome. Some days, my abdomen swells so much, that I look pregnant. After my son was born five years ago, I had no choice but to fight the fatigue. I am not anemic, but as the months have turned into years, the tiredness has become overwhelming. The smallest of chores around the house are exhausting for me. Some days, I don’t even have the energy to get dressed and face the world. People commented on this and called me lazy. Without a diagnosis, I couldn’t give them a credible answer as to why I was sitting in my pajamas in the middle of the afternoon.

I was living in constant pain for years, feeling exhausted every single day and life on a day to day basis was unbearable. I felt as though I was going crazy. All tests, scans and x-rays were coming back negative and my doctors came to the conclusion that I was depressed, that my physical pain was a manifestation of something that was purely emotional.

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Yes, pain and sleep disturbances can be symptoms of depression. Of course by that point, I became depressed. These doctors were the experts and who was I to argue? I was put on nearly every single anti depressant available on the Irish market at one point or another. Still, the pain and fatigue continued, so after eight years taking these pills, day after day, I was numb, floating through life. I felt useless as a mother, wife and friend.

Of course, I did have my good days, especially during the summer when the weather was warm and my joints didn’t hurt as much. For the past two years, the joint pain has spread to affect my hands and wrists, my back and neck too. If I move a certain way, a joint may slide out and back in again. But things changed for me in 2012 when I interviewed that girl. For the purpose of anonymity, we will call her Anna.

Anna has a condition called Ehlers Danlos Syndrome (EDS). EDS is a Connective Tissue Disorder. People with the condition produce faulty collagen, which is the glue that holds the body together. In EDS, this ‘glue’ is more like chewing gum and causes the joints to be loose, often resulting in dislocations. However, collagen is present throughout all areas of the body and therefore EDS is a multi-systemic condition with secondary conditions present in most cases. When Anna explained her symptoms, I wondered did I have something similar? I was so touched by her story and felt connected to this young woman that we kept in touch. In the meantime I was put on a public waiting list to see a rheumatologist. But then, in late 2013, I was speaking on the phone and then everything started to go black; I felt hot, my heart was racing, I felt weak. I ran to the bathroom to lie down on the cool floor. This gave me such a fright that I decided I wasn’t prepared to wait two years to see a public consultant. I had to know what was wrong with me. I was going to get answers.

I organised a private appointment with a physiotherapist who confirmed that I was hypermobile. The pieces of the puzzle were coming together. Then I arranged an appointment with a rheumatologist in Cork, with an interest in EDS and Hypermobility Syndrome. Two weeks later, the doctor confirmed that I had Ehlers Danlos Syndrome. I cried with relief that finally I could put a name to what I had. After a decade of tests and scans I had taken the reins myself and finally got my diagnosis with just two appointments. The majority of doctors in Ireland are unfamiliar with EDS and there are no specialists available here in Ireland. If there were more awareness and training, I may have been diagnosed much earlier in my life.

After my diagnosis, I began weaning off the anti depressants. That was two and a half years ago and I haven’t looked back since.

I was on a high the day I got my diagnosis, but the next I had to face the harsh reality that I have a rare, lifelong and progressive disease. Luckily, my EDS is quite mild compared to some of my friends and hopefully more awareness will mean better treatment for me, and my fellow zebras in years to come. The biggest help for me through all of this has been Facebook and speaking to other people with EDS. They are enormously supportive and there is a real air of solidarity. Everybody is supportive and no matter how trivial I thought my problems were in comparison, the support has been immense. Hopefully, together, we can raise awareness about this debilitating disease and bring about an improvement in the services available especially for our children.

My son AJ is six years old. In 2014 he was diagnosed with Hypermobility EDS. I had him seen by the Rheumatologist that diagnosed me. AJ bruises very easily and I worried that teachers might question whether he was being abused. Sadly, this is not an uncommon fear amongst the EDS community. Children have been known to be removed from the family home as their parents are suspected of abuse. Thankfully, his school has been extremely supportive, even helping us organise an SNA for him. AJs’ EDS is extremely mild at the moment. But, he struggles in school, especially with concentration and writing. This is common with EDS kids. He has sensory issues, which makes it extra hard for him. His pelvis is also unstable so sitting for long periods is impossible for him. A care plan has been put in place for him in school next year. Alex is a happy child though and has never had a severe injury, as of yet, for this, I am thankful.

In 2015, I was diagnosed with Orthostatic Intolerance and Vasovagal Syncope. I still have a long list of referrals to attend to investigate the array of health issues. There is a question mark over MS, Chiari Malformation, Gastroparesis, to name but a few.

The latest addition to our family is our little Olliepop, our 9 month old daughter. Obviously, she hasn’t received any diagnosis yet. But, deep down, I know she has EDS. Her sclera are extremely blue, a sign of EDS. The Public Health Nurse also noticed how flexible Ollie is, so much so, that she has been referred to physiotherapy. She suffered her first dislocation at just 7 months old. I fear for my little girl and what may happen to her. But, having a parent with the same condition will work to her advantage. She will be believed. She will not go decades wondering what the matter is.

Until next time,

Z.M

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A letter to my children

 

To my little darlings,

I am here watching you both sleep. It’s 5.06am and I’m awake because I’m in pain. It’s peaceful here with only the sound of you breathing, the cat purring at your feet and the tapping of my fragile fingers on the keyboard.  As I watch over you both, I think of all the things I wish and hope for you and your futures.

I wish that medical professionals will believe you when you tell them there is something wrong. I wish that when you tell your teachers you’re not feeling well, that you will be believed. I wish that when you tell me and your Daddy that you need help, that we can do that and to the best of our ability.

I hope that as you grow up, that we can do everything in our power to prevent you from experiencing the type of pain and anguish that I go through almost every day. I hope that I can be a good enough mom for you both. Most of all, I hope that you won’t grow up to hate me because I was too sick to play or get up out of bed. I hope that you will understand that I didn’t get up out of bed because I was saving my energy to do something fun with you another day.

I pray that you will grow up and live a normal life. I pray you will get the best education, in life and in academia. I pray you will find a job you love but never feel like it is work. I pray you find love, with man or woman and they will accept you with all your flaws and imperfections. I pray that you appreciate them, as I have appreciated your father for loving me, despite the difficult days. I pray they treat you the way your father has so graciously treated me.

slleping zeebra

 

I know that should you experience any of the obstacles that I have faced, you will be far more equipped to deal with them than I ever was. I know you will be strong and determined as you have been in everything you do so far. I know that you will have days where life is just too damn hard, that there seems to be no end to the uphill battle but you will continue on. I know that when you should decide to become parents yourselves that you will know this guilt that I feel now, knowing that it was you who passed on these faulty genes. But, please remember; this is not your fault. You cannot control your genes as I could not control mine.

You begin to stir next to me now. No doubt you are looking for what you affectionately call “mama” as you nuzzle at my chest. And you, my love, at the end of the bed sighing in your sleep as if your dreams are giving you relief.

I want you to know that I love you, deeply and unconditionally. I hope that you know that I’m trying everyday to be the best mom I can and I pray that you will live a healthy, happy life.

All my love,

Mum.

 

 

 

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5 must haves for an EDS pregnancy

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This blog post is sort of the reason I started this project in the first place. I was approached by a few EDSers who are thinking of starting a family or expanding their brood. They asked me to share my experience with them. There is some research out there about EDS and pregnancy but not a whole pile.

Firstly, before you begin trying to conceive, talk to your doctor.

Contrary to what many people believe, EDSers suffering from the hypermobility can experience very normal pregnancies. There are cases of course where labour may spontaneously start before the estimated birth date. It is the vascular type of EDS that causes the real concern amongst doctors. In my case, I developed symphysis pubis dysfunction (spd) very early on in my pregnancy which up until 12 weeks ago, put me in a wheelchair and caused me to use my smart crutches. SPD is fairly common in pregnancies in the general population but because of laxity in the joints already, EDS may produce a severe case.

Anyway, my pregnancy was quite difficult purely because of the pain. The baby and myself were generally in good health up until the day I was induced, but I’ll explain that another time.

So here are the main things that got me through my pregnancy and what I would also suggest to anyone planning on starting a family

1.Get as fit and healthy as possible

We had been trying to conceive for about 6 months when I fell pregnant. During that time I was actively loosing weight. I had put on lots of weight in the previous 8 years, and to take some pressure off my joints, I decided enough was enough. I lost almost 2 stone and I really think that made a huge difference to my fertility. I had also been getting more active, making the effort not to throw myself into bed at the first sign of pain and fatigue. Research also shows that the fitter you are in pregnancy, the easier your labour will be, should you have a straightforward vaginal birth.

2.Support, support and support.

The first and last trimester is tough for a lot of women, never mind anyone with additional issues such as gastroparesis or dysautonomia. It is vital you have a good support system in place, especially if this is a subsequent pregnancy and you have other children to care for. Luckily, my husband is at home full time so I could rest when I needed to. I know not everyone can afford a situation like ours.
If you have family or friends who are willing to help out by cooking, cleaning or looking after other children, take their help. Grab any offers with both hands and don’t be afraid to ask for help!

Make sure you have support from your health care professionals too. Both your GP and obstetrician should be made aware of your conditions and any meds you might be on. You should also talk to your GP about Physiotherapy and Occupational Therapy to help you cope during pregnancy if you don’t already have therapists in place.

It’s funny, some women with EDS greatly improve during pregnancy while others’ symptoms get worse. Pregnancy can increase laxity and therefore the incidence of injury may increase. Investing in some supports or mobility aids can make day to day life a little easier. It can often mean the difference between getting out of the house or looking at the same four walls for days on end. My smart crutches and wheelchair were a Godsend. I also had a belt to support my pelvis, it made the area feel more stable.

3. Relaxation and rest

Pregnancy is hard on the body, fatigue has been one of the biggest complaints I’ve heard from other women with EDS. The tiniest chore may mean spending the rest of the day in bed. While it is important to stay active as much as possible, it is also important, particularly for EDSers to get plenty of rest. Listen to your body! Cleaning the kitchen cupboards might sound like a great idea to a nesting mom but will it be worth spending the next few days in bed? Save your spoons for your doctors appointment or lunch with your friends.

Your friends might want to throw you a baby shower but if you’re having a particularly bad episode of fatigue or a pain flare up, being the centre of attention may not be your thing. Suggest a chill out girly day at home, binging on Netflix and sweets or a spa day. My Dad’s girlfriend took me to a spa during my pregnancy. It was my first time having a massage (I’m 28) so you can imagine how much I looked forward to it. Although it was very relaxing, it did require spoons. I slept a lot the next day.

4. Creature comforts

Pyjamas, Netflix subscription, a good book. There will be bed days, it’s inevitable, so be prepared. I have the Netflix app on my tablet and my phone so entertainment was always at hand. Of course no bed day is complete without a pair of super comfy pyjamas. I don’t know if it is an EDS thing, but all my clothes, including my PJs always feel tight come the end of the day. No-I have not put on 3 lbs during the day, it just happens. So when I was pregnant I always bought jammies a size too big – for maximum comfort. Don’t buy anything fleecy! If your in bed all day, you’ll just end up feeling hot and bothered – and not in the good way!

5.Have faith

As I write this piece I am nursing my little girl. Every time I look at her, I think how she was worth every second of pain, every hip pop, every day stuck in bed, the scary situation were in just before and after birth was worth having her in my life. During the pregnancy, there were days I panicked and thought, this is a mistake, why did I do this? But having Ollie pop here with us has made life so much better! I feel better too, I’m out and about so much more now. I’ve kicked my physio up a notch – her birth gave me an extra push to work hard to make myself as well as possible.

I wish you health and happiness.

Z.M

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Breastfeeding for the Chronically Ill-What you need to know

Breastfeeding has become such a touchy subject for the last few years and when ever it is discussed it inevitably becomes the breast vs bottle debate. Isn’t anybody else tired of this?! I blame the media (yes, I’m a journalist) because they have instigated ‘mommy wars’ in an attempt to generate more likes and followers on social media. I’m not here to debate ‘whether public breastfeeding is acceptable’ or ‘how long is too long?’ If you must know, I believe in breastfeeding to natural term which by the way, is anything up to 7 years of age. Will I feed a 7 year old myself? Probably not. Will I judge a mother who does? No. Her child, her business.

Anyway, this week I am offering some words of advice to chronically ill moms who wish to breastfeed or are thinking about breastfeeding. This is just touching on some points, if you want me to go into detail about anything, feel free to email me hello@thezebramom.com

1. Health benefits for mom

You’re chronically ill. God forbid you end up with any other ailments other than the crappy lifelong illness you are living with. Breastfeeding reduces a mother’s risk of developing certain cancers, diabetes as well bone conditions such as osteoporosis.

2. Health benefits for baby

“Exclusive breastfeeding for six months has many benefits for the infant and mother. Chief among these is protection against gastrointestinal infections which is observed not only in developing but also industrialized countries. Early initiation of breastfeeding, within one hour of birth, protects the newborn from acquiring infections and reduces newborn mortality. The risk of mortality due to diarrhoea and other infections can increase in infants who are either partially breastfed or not breastfed at all” (WHO)

If your condition is genetic, like mine, you may wonder whether it is worth breastfeeding at all. Absolutely, it is. Again, breastfeeding reduces your child’s chances of developing a massive range of illness and chronic conditions such as diabetes. Breastmilk is the perfect food for your baby. Anything else compromises their gut flora and may lead to problems such as coeliac disease and other food allergies.

3. Breastfeeding is the easier, less exhausting option

The first six weeks are tough and you feel like you are just feeding all day long. This is totally normal and necessary. For the first six weeks your baby is trying to establish your milk supply. Best thing to do is just sit back, relax and enjoy the time with baby. Think about how exhausting it would be if you had to prepare formula, sterilise, wash bottles etc. And the night feeds, Jeez! Having to get up in the middle of the night to make a bottle and wait for it to cool down, that is exhausting. I formula fed Bendy Boy and honestly, I was like a zombie.

After the six week mark your supply will settle and you will have a couple of hours between feeds to go about your day. Cosleeping is also really great for sick breastfeeding moms who need the extra sleep (if you are on medications that make you sleepy you will not be able to cosleep) Baby is close by that you can just pop boob in his/her mouth and you can drift back to sleep. Studies show breastfeeding and cosleeping moms get more sleep.

 

Breastfeedingfor the chronically ill-2

4. It’s free and always ready to go.

If your condition has caused you to give up work, you might not have the funds to buy formula every week. You’re talking on average a tub of formula is €12. That’s €624 a year! Never mind the cost of bottles, sterilisers and electricity costs.

5. You can breastfeed on medications

I am a massive fan or Dr Jack Newman. He has been a Godsend for me when it comes to getting information on medications. Many misinformed health care professionals will tell you that you can’t breastfeed while on medications. This is not true at all. I am taking Tramadol and and Midodrene for pain and low BP. If you’re not sure about your own medications, check out the Lactmed app for android and iPhone, contact the Breastfeeding and Medications Facebook page or check out Wendy Jones’ factsheets on her website.

Paediatrician Dr Jack Newman, IBLC says:

“There is almost no drug that requires a mother to interrupt breastfeeding. The real question is which is safer for the baby: Breastfeeding with tiny amounts of drug in the milk (and it is almost always tiny) or formula? Clearly, in the majority of cases it is safer for the baby to breastfeed.”

Breastfeeding doesn’t have to be all or nothing. Every drop counts. If you can’t breastfeed yourself, the World Health Organisation recommends:

Milk from a wet-nurse, or
Milk from a milk bank, or
Breastmilk substitute (formula) fed by cup.

I expressed for my daughter for the first six weeks as she was severely tongue tied. I also used donor milk on a couple of occasions.

6. If you’re having trouble, go to a lactation expert

You go to see a cardiology consultant for your heart, a rheumatology consultant for your bones and joints so why would you not see a lactation consultant for breastfeeding? Breastfeeding is a learned skill and all mothers need help in the early days. Sadly, there is a huge lack of knowledge amongst health professionals when it comes to breastfeeding. Most health care professionals have little to no formal training in lactation (even a lot of midwives provide inaccurate information) so you will need to get in touch with an IBCLC or Le Leche League. Breastfeeding should not hurt and despite what some doctors (and the Fed is Best Foundation) might say just 1-2% of women will not produce enough milk. There are even some who say that some babies “just don’t the like milk” or that their baby is allergic to breastmilk (this is extremely rare and it’s far more likely your baby has a cow protein intolerance). Even if your supply is low, there are many things an IBCLC will help you to do to get your supply up such as a supplementary feeding system. If you are find breastfeeding difficult, do contact an expert as soon as possible to avoid further problems. There are so many myths out there so it’s important to talk to someone with extensive training.

If you have any questions, please feel free to comment below. I will do my best to help.

Until the next time,

Z.M

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Tongue tie DOES affect breastfeeding

 

I never thought I’d be brave enough to share this photo but after much encouragement from friends to share my story, I apprehensively upload it. If it helps one woman get through a rough patch, then it is worth any possible embarrassment. This was me when my little girl, Ollie was three weeks old. I was exhausted, actually I was beyond exhausted. I was a zombie trying to disguise myself as a functioning member of society. I was pumping every two hours to get what little breast milk I had to feed my precious little girl. She had an anterior tongue tie that meant she could not physically latch.

After she was born, I knew something wasn’t right. Her latch felt shallow. “I’m pretty sure she has a tongue tie,” I said to the midwife. The midwife glanced inside my baby’s mouth. “No, no, she doesn’t.” As if I was some silly little girl that didn’t know what she was talking about. This isn’t my first experience of tongue tie, lady.

The next three days in hospital were the worst of my life. I began expressing colostrum. One of the younger midwives was very kind and helped me. While I hand expressed milk, she knelt beside me with a syringe and sucked it all up. My baby was having on average 1ml an hour. That didn’t worry me though as I knew baby’s tummy could only hold only a few millilitres at a time anyway. There was a suggestion of giving her formula. At that time I said “If her blood sugars are low, we will talk about it.” Her blood sugars were fine so I continued pumping every hour on the hour. I was exhausted but I was determined to get through this.

 

Formula was mentioned another couple of times so I was eager to get the f**k out of that hospital. If I wanted to breastfeed no way was I going to be successful stuck in there, with half arsed support. I knew my daughter had a tongue tie and the midwives were clueless, shoving my daughter’s face into my breast in frustration.

I rang a private lactation consultant who I had a good relationship with through my work as a health reporter. She confirmed that baby had a significant tongue tie and that it would need to be clipped.

We travelled an hour away and paid €200 to have my daughter’s tongue tie clipped. It was the most expensive two seconds of my life. The GP who performed the procedure said that it was one of the worst anterior tongue ties she had ever seen and that my daughter’s tongue was pretty much non functioning.

 

 

Those words..non functioning. Meaning my daughter would have had a plethora of problems later on, including her speech. Now, imagine if I wasn’t as well informed and educated and I had been and I had taken the midwife’s word that my daughter’s latch was fine. Imagine I wasn’t determined to breastfeed. I would have given up within the first 2 days. The only reason I was so well informed this time is because I found out my son had a posterior tongue tie when he was 3. I only managed to breastfeed him for 2 weeks. Feeding with his tongue tie caused my nipples to blister, bleed and crack. I cried at the very thought of feeding him.

 

After the tongue tie was clipped, my baby’s latch was getting better and better. As Dr Jack Newman says “babies learn to breastfeed by breastfeeding.” It was just a matter of time and practice for the two of us. I was continuing to pump still as it takes up to 2 weeks for baby to learn how to latch again.

By 6 weeks she was exclusively on the boob and we were both so happy. I was so happy to sleep again! Instead of waking up every two hours to pump a couple of ounces, I kept baby close in bed with me. When she woke, it was just a case of popping boob out, latching her on and drifting back to sleep.

 

There is no doubt that tongue tie affects infant feeding. It can affect bottle fed babies too! There is a question over whether lip tie affects feeding but anecdotal and some scientific evidence suggests it might. It needs to be explored further.

Both my children have lip tie. Ollie’s lip tie is pretty significant but it doesn’t affect our feeding, thankfully. You’ll notice the people with significant lip tie immediately, they have a gap between their two front teeth.

The thing is, I’m not angry at the staff in the maternity hospital for letting me down. I’m angry at the whole system. Our health care professionals including midwives, public health nurses, dentists, consultants and GPs all need training on this subject. Too many women are being fobbed off and it is affecting the health of our children. It’s also costing the government €12 million a year! That’s how much we would save if all Irish women breastfed. But, at present we are doomed to fail. Things won’t change until support is increased and training is up to date amongst health care workers.

If my story rings any bells please do not beat yourself up for not being able to breastfeed. Don’t feel guilty, feel angry! You were let down! Once you come to this realisation you can use your own experiences to help other mothers. Breastfeeding is a learned and skill and yes its bloody hard in those first few weeks but it isn’t meant to hurt! No matter what your aunt, grandmother or friend says. If breastfeeding hurt, we would have never survived as a species. Think about it for a second.

If you are having trouble breastfeeding please contact Le Leche League or a lactation consultant.

Without my lactation consultant, I would have never made it to this milestone of six months. The help is out there, go seek it.

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You know you’re breastfeeding when..Part 2

1) The sound of any crying child makes you a) unclasp your bra and b) start leaking uncontrollably.

Yep, you’re in the changing room getting dried after a dip in the pool. As you hurriedly rub yourself dry with the towel, a nearby child begins to cry. There it is, let down..sh*t! Grab the towel and press your boobs in to stop the spray of milk!

2) You find yourself smiling at other people breastfeeding younger babies in public even though you don’t know them.

You walk by a seating area in the food court and see a mum and her bub having a mid shop feed. You smile and nod your head. A silent “kudos” to your peer. You appreciate a mother feeding in public. Later you’ll be gushing to your hubby or other BF friends about what you saw, you might even go searching for the mum on an online support group..stalker..

3) You go to sleep with a bra and pjs but wake up topless from half asleep feeding/co sleeping

Winter is coming…you know what that means! No, not white walkers..ya big nerd..

It means new jammies! Fluffy jammies! Flannel jammies! Basically, women LOVE new pjs but, unless it buttons down, you might as well go to bed topless. Cosleeping while breastfeeding is the best damn thing ever. Baby stirs for a feed, you pop her on the boob and you drift back to sleep. It’s freaking awesome. Cause I’m all about them zzzzzzzzzzzs

4) Eating twice the weight of your baby in one sitting because you ‘need’ the extra calories

I think this meme says it all:

 

DON’T JUDGE ME, K!?

5) You’re child tries to latch on to inanimate boobs

 

So, you are in a Debenhams dressing room and your toddler goes up to a poster of a beautiful model wearing only underwear and tries to nurse from the woman in the poster. BOOOOOBBBBBSSSS…all loyalty out the window..

6) Your milk drunk baby has an awful lot in common with your drunk drunk husband. Falling asleep at the boob then waking up with an incoherent babble and trying to motorboat you.

There is nothing funnier than daddy holding baby, you then walk in topless and both of them grin like cheshire cats. It’s cute when baby gets excited at the mere sight of boob. Not so much when Daddy does it..

7) You can say “nipple twiddling” without a flinch of embarrassment or innuendo.

Before you started breastfeeding breasts and nipples were something to be hidden away. Like two great big vaginas just sitting on your chest and their only function was to please the opposite sex…or so society told you. Now? Talking about your breasts and *whispers* nipples is like talking about your left hand. As for the nipple twidling..may I suggest a breastfeeding necklace? It’ll save you a lot of pain and unsightly scratches from those blasted razor sharp baby nails.

8) You have developed the skill of pumping and typing.

Working mums are entitled to pumping breaks up until their baby is six months old and after that, you could get that booby juice out in your own time. This is something we really to change here in Ireland. The WHO and the HSE (Health Service Executive) recommends that children be breast fed until at least age two. How are working mothers supposed to achieve this? Huh, huh, huh? Tell me, Mr Vadakar, how are we to adhere to the recommendations if there are no proper policies in the workplace to facilitate pumping breaks after six months?

9) Baby wakes up with the sound of your bra clicking back on

FML.

10) Your nipples are more stretchy than you ever imagined.

 

Am I right?

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You know you’re breastfeeding when..

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You leave the house with only a spare nappy in the car and know you’re OK for a few hours!

When you breastfeed, baby’s food is ready to go. No need to faff about with bottles, powder or water. Many breastfeeding mothers tap  themselves on the chest subconsciously as if to check whether they have their boobs with them as they go out the door. Because sometimes they detach. Didn’t you know?

When you don’t care that the whole world has seen your boobs, but you’re a bit uncomfortable with anyone seeing your tummy.

So true. You see my boobs? Cool. You see my stretch mark riddled, squishy tummy? Not cool. But c’mon girls, we need to embrace our tummies and our post birth bodies. They are amazing, just look at what it made, your perfect little bundle.

When you just give yourself a little squeeze in public to check if baby must be due a feed.

Did that woman just grope her own boobs? Yes, yes she did.

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You choose clothing based on access to boobs.

Shopping will never be the same again. There are three very important questions you need to ask yourself while you’re looking for your Autumn/Winter wardrobe: Can I get my boobs out in this easily? No? Ok. Can I put a string top underneath it? No? Ok. Realistically will I actually bother having it altered to make it boob accessible? No? Put it down, and move on. Sorry.

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You can get out of cleaning up after dinner by announcing the baby needs a feed, he is only too happy to go along with the lie.

Dishes? Oh, what’s that, baby? You need a feed? Sorry hon, baby’s gotta eat! Cue the resigned eye roll from himself.

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When you are bursting for the loo but baby is falling asleep while latched on!

You sit there wondering how you are going to explain to your significant other that you have soiled yourself. He doesn’t get that one simply doesn’t unlatch baby for a lavatory visit. Are you mad?! But over time you develop great skill at holding it in. Nobody can hold it longer than a breastfeeding mum. Boo ya.

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You regularly weigh your boobs in your hands to see which one is more engorged.

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Did she just grope her own boobs, again?! Yes, yes she did and she will do it several more times throughout the day.

Your first aid space is gathering dust ‘cause breast milk fixes everything.

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Stuffy nose? Breast milk! Gunky eye? Breast milk! Nappy rash? Breast milk! They don’t call it liquid gold for nothin’!

You start quoting WHO (World Health Organisation) when you previously had no idea who the WHO was.

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Whoooo are you? Who, who, who, who? Yes, that is the CSI theme song but it works here too. A lot of breastfeeding mothers are often asked are they “STILL” feeding their children. A mother’s first response will usually be:
“WHO recommend that all babies be exclusively breastfed for the first six months and then continue to breastfeed, with solids for at least two years.” Science, b**ch!

When you’ve accidentally flashed the postman /delivery driver on more than one occasion and he starts leaving packages outside the door instead.

You have now become known as “the woman with the boobs.” We suffer from baby brain, ok?! Even spending many years breastfeeding won’t make you immune to the inevitability that one day the postman will run scared from the ‘puppies.’ Most of the time, we remember to give ourselves an ole feel to make sure the girls are back in.
Yes, she did just grope herself…again..

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