The Modern-Day Wet Nurse

In days gone by mothers who had trouble breastfeeding their babies would turn to other women to step up and lend a hand, or more to the point, a boob, to ensure the baby thrived.

It's common knowledge that many wealthy women of history did not feed their babies themselves but employed wet nurses, women who had usually recently had a baby of their own and who was judged to have ample supply. In more traditional cultures it was not out of place for women to cross-feed each other's babies and young children. After all, the old saying it takes a village to raise a child had to come from somewhere!

But in today's world of individuals, consumerism, marketing and media what options are there for women who can't breastfeed? The most obvious answer is formula (or artificial baby milk) but are there other options? Yes!!!

The World Health Organisation has developed a preferential list of different ways to feed a baby. I think many people would be surprised to see where artificial baby milk comes on the list - 4th! 4th!!!

1st - mother breastfeeding her own baby
2nd - mother expressing her own milk to feed baby
3rd - mother using donor milk from other mothers
4th - artificial baby milk
 

 Expressed and frozen breast milk waiting collection

I have been donating milk over the past few months to a family not far away and I've been getting some mixed reactions. Most people are surprised ("Isn't it illegal?"), some are impressed ("Wow, what a nice thing to do for someone") and many are curious ("But why?").

This is one organisation that facilitates peer-to-peer milk sharing however there are others.

If you are interested in reading more about the risks and dangers of artificial baby milk there are links here, here, here just to list a few.

What I'm Reading ...

The Politics of Breastfeeding by Gabrielle Palmer

A very old copy (published in 1993) but a very interesting read none-the-less. 

Who would have thought that in 1977 Papua New Guinea would have a formula by prescription only policy? More info here.

Nourishing Traditions by Sally Fallon

I've read this so many times but keep coming back to it. We are trying to incorporate more recipes from it in our daily eating - soaking grains, sourdough bread and baking products, lacto-fermented vegies etc etc

A big pile of workbooks and assessments for me to study. I'm completing a Certificate IV in Breastfeeding Education (Counselling) with the Australian Breastfeeding Association.

A New Experience

Baby Oliver is now 5 1/2 months. Oh, where does the time go? He is rolling like a fiend and doing all that pre-crawling stuff, getting up on his hands and knees, working his arms and legs but only going backwards! Adorable!

He's also started to show signs that he's ready to move from a diet of purely breastmilk to introducing solids. His head control is great, he's almost sitting independently and he's showing so much interest in our food and drink that it's hard to keep him from grabbing whatever is on my fork!

So now we're entering the world of solids! We're going to go down the road of baby-led solids, not bothering with purees and mash just giving him little tastes of the family food and some specifically steamed fingers of vegies. We'll still offer cereal (starting with iron-fortified organic rice cereal) for breakfast, just because I think cereal and a healthy breakfast is a good habit to get into early.

Baby-led solids has so many benefits but oh so much mess!

Baby-Led Attachment After A Caesar Is Possible!!!

There is a lot of negativity within the health community about breastfeeding after c-sections. While I understand the generalities of why there is this negativity (ie baby removed from mum immediately after birth, baby and mum missing out on many important hormones, scar pain, immobility from anesthesia, recovering from all the drugs for mum and baby just to name a few) I wanted to write a positive post about breastfeeding after a c-section.

Knowing that I would be having a third c-section and having done Baby-led attachment with Archie, prepared me to use the same approach after Oliver's birth. It really is the most effective way to get breastfeeding off to the right start and makes every feed after that so much more relaxed. Along with lots and lots of skin to skin time, co-sleeping and true demand feeding it helps really establish proper attachment for those important first feeds. Not to mention wonderful bonding time for mum and babe, getting all those great hormones flowing, so important after a c-section birth!

 Oliver, a few hours old, enjoying skin-to-skin time 

after another breast crawl.

Here is a video of a baby doing the "breast crawl" when only a few minutes old. It is truly amazing how a wee baby, perceived to be so helpless, can find their way to their mother's milk.

It can be hard in the hospital environment to stand up for your baby and what is best for them. For Oliver's first breast crawl we had a midwife standing over us wanting to get her hands in there and "help" him. We had to say quite a few times that "No thankyou, he's fine. He'll get there." And he did, without any interfering hands. In saying that though, the hospital were very supportive of my desire for lots of skin-to-skin time. In fact, because we both had trouble keeping our temperature stable after surgery it was actively encouraged (not that I needed encouragement!) so the first two days after his birth we spent almost every waking moment in bed, skin-to-skin!

As with a natural birth, the key to having a positive c-section is preparation and confidence. Know what you want, discuss it throughout your pregnancy with your doctor or midwife, firmly but gently stand your ground on the important issues. After all, you only get one chance at giving your wee babe the best arrival you can!

Oliver's Arrival

So our dear wee Oliver has made his grand entrance into the world. Settle in for a read, you may want to get a cuppa now. I do have a tendancy to waffle!

You may remember that I had been hoping his birth would be a Maternally Assisted Caesarean (MAC) as I'm a huge natural birth advocate, but have only had caesars! A Maternally Assisted Caesarean was going to be the closest thing I'd get to being involved in his birth but alas and alack, he had different plans!

After much negotiation with my Doctor we'd agreed on what would and wouldn't happen, how things would go, who would be involved in terms of aneathestists, paediatricians, midwives etc. As his arrival was going to be a planned c-section, we knew who all these people were going to be and so my Doctor had been talking with them in advance. The delivery was booked for a Monday morning, the day after my due date.

The Wednesday before my due date was my Mum's birthday and she mentioned a few times throughout the day that if he decided to come today then she wouldn't mind sharing her birthday with him at all. My response was to roll my eyes and exclaim "He's so not coming early, I feel fine!!!" Ha! Just goes to show what I know!

That evening while making dinner I felt a tightening and made a comment to Mum that I may have just had a contraction. That was about 5:30pm and was followed by another tightening about 15 minutes later. At this time Matt was on the bus on his way home so I sent him a quick text message letting him know that something may be happening but I wasn't 100% sure. I got on with dinner but didn't have anything myself, I was feeling a bit funny in the tummy, plus if it was labour I didn't want to eat anything as you are supposed to be nil by mouth for 7 hours prior to surgery.

Matt got the boys bathed and into bed while Dad cleaned the kitchen and Mum and I started watching the tele and then bam, at 7:30pm a really strong, long contraction followed by another 10 minutes later, and then another and another! By 8pm I knew that this was the real deal so rang the hospital and the midwife said to come in. Matt was back after getting the boys settled so we finished packing the bag (I thought I had a few more days to get things ready!) and headed off leaving the boys in the safe hands of a very excited Nan and Pop! On the drive to the hospital the contractions were stronger and closer together but very typically they slowed down once we got the hospital. Luckily the midwives believed me that I was actually having strong contractions and after being hooked up to the monitor for a while she called the Doctor.

Unfortunately though, not my Doctor. It was her night off so one of her colleagues was called in. At that point I knew that my plans for an MAC were out the window as the birth would officially be classed as an "emergency" as I'd gone into spontaneous labour and MAC's are only considered for elective caesars. Plus, all the people that my Dr had been talking to were not on that night.

So Oliver's arrival was your traditional caesar. The Doctor and midwife delivered him, lowering the screen so Matt and I could get our first glimpse of our little man. Then he was taken over to the table where the paediatrician checked him over and gave him the OK, he was weighed and measured (2.9kg, 52cm). He was brought over to me all wrapped up for a quick cuddle before heading to recovery with Matt. They waited there while the Doctor delivered the placenta and finished up the procedure.

It really, aside from not being an MAC, was my ideal situation. I wanted the baby to choose his own birthday. I wanted to at least labour for a little bit (it was almost 6hrs from the first funny feeling to when he was born) so that the baby and I would both benefit from some of those wonderful labour hormones. I wanted him to be ready to come into the world instead of being told "you're coming now!"

Our wee babe entered the world pink and screaming and ready to feed! Just perfect!

Planning a 'Different' Kind of Birth

Settle in for a long read, I apologise in advance!

I am a massive natural birth advocate who has, due to circumstances beyond my control, never experienced a natural birth! I had a Caesarian for each of the boys for different reasons and it is something that while not technically 'regretting' it, I'll always wish things had turned out differently. But, I'm coming to peace with the fact that it is just part of my motherhood journey.

Due to having two previous Caesarians I wasn't really interested in attempting a natural birth again (for the record, I know VBA2C's have been done and I applaud those amazing women that have done it, but for me and my circumstances, not worth the risk), one of the main reasons being that we're now living in a regional area and the facilites at our local hospital would not have been favourable if something untoward had happened. Sure enough, during my first appointment with my Obstetrician he said that he wouldn't be comfortable supporting me through a VBA2C (Vaginal Birth After 2 Caesarians) so we'd book in for an 'elective' C-section. I was expecting this so negotiated with him to have the booking made as close to, if not after my due date to give the baby as much precious 'womb time' as possible (Most 'elective' C-sections are done at 38 weeks). He was fine with this and I was so impressed with his confidence in my opinions and thoughts. He listened and took copious notes!

A few weeks ago a friend gave me some information about Maternally Assisted Caesarians, in which the mother plays a key role in delivering her baby during a Caesarian section. She scrubs in and is kept sterile and after the Obstetrician delivers the head and shoulders, she reaches down with her sterile, gloved hands and delivers her baby the rest of the way and straight onto her chest for immediate skin-to-skin! How amazing! I knew as soon as I read the article that that would be my ideal birth situation, as the immediacy of skin-to-skin contact after birth is so important for mothers and babies and something I had missed out on with both of the boys.

After talking it through with my Doctor at my last appointment I was so encouraged (yet again) by his willingness to listen to my opinions and viewpoints. He seemed very keen to talk and read more about the procedure, which he'd not heard of. He was very supportive of immediate skin-to-skin and when I said that I was unsure of the hospital policy because our eldest children were born at a different hospital his response was 'stuff the policy, let's see what we can do!' I mean really, he could have knocked me over with a feather after that!

The appointment ended with him asking me to email him all my info, plus a birth/breastfeeding plan that we can go through at the next appointment. I'm beyond excited to even be discussing this with him, the possibilities are just too much to contemplate sometimes!