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Scheduled Vs. Ad Libitum Breastfeeding

5/1/2018

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So you have made the decision to forego formula and breastfeed your baby. Congratulations to you and your soon-to-be newborn!

​Breastfeeding is the most natural way to bond with your new baby and allow them the benefit of receiving nature’s gift for them through your body. This is the best way to bond with your new baby. Studies show that breastfed babies tend to have higher IQ scores, naturally form a strong bond with their mothers, and they also receive a potent dose of antibodies through the breastmilk that helps them to bulk up their immune systems, making them less prone to allergens, ear infections, and respiratory illnesses.

Now that you have surveyed your options, there’s one more choice to consider: scheduled or ad libitum breastfeeding? Both of these have their own benefits and shortcomings. The ultimate question is up to your personal preference, as it relates to your lifestyle, work schedule, and how organized you would like to be regarding the time your baby nurses. This can be the source of frustration for the new mother, if not considered carefully what the implications are to each choice, so we are here to help you in weighing the pros and cons of each, and hopefully, by the end of this article, you’ll be able to have a clear mind and direction in which you will move, as it pertains to what is realistic for your life and your baby’s health. Remember this: You are the mother, and everything relies on you and how you feel. Your baby will pick up on your stresses, so it’s much better to have a plan that needs to be revised than to have no plan at all to start with.

SCHEDULED BREASTFEEDING
Scheduled breastfeeding could lend itself more to a mom that has a busy day and needs to adhere to specific blocks of time to complete certain tasks. This option lends itself mostly to working moms, entrepreneurial moms, or moms that have multiple children for which she divides her devoted love and attention. Bearing this in mind, your day is filled with various happenings, but above all else, as the old saying goes (even with your schedule) to “watch the baby, not the clock.” Although scheduled feeding is great for record keeping, so that you can record and trend exactly how much your baby drank and when for his or her health reasons, it is equally important not to nudge your baby into a schedule and to follow baby’s lead, and you adjust your schedule as needed and as baby’s sustenance thresholds change.

Scheduling is also great for your days, as you may set a time to pump or feed, in case your little one isn’t hungry. You may also be inclined to make this a time in your day, set aside from all of your other many distractions, to spend some one-on-one time with just yourself and your newborn. Scheduled feeding is not usually recommended. However, depending on if you are planning to schedule, bearing in mind the ever-growing needs of your baby, it may prove less difficult and stressful, for the newborn at least, to try ad libitum breastfeeding before ruling it out.

AD LIBITUM BREASTFEEDING
This method of breastfeeding typically relies on the baby and is mostly recommended by the medical community, namely lactation consultants. Their concern is for the child’s well-being, in that mothers that schedule nursing times are likely not able to anticipate appetite changes and therefore make for a loss of milk supply, as continuous nursing allows for a steady milk flow and continuous production. Also, the body will naturally bulk up on the milk supply naturally, as your baby’s appetite grows over time. Although not impossible, it may prove difficult for nursing schedules.

Because you would be essentially letting your baby and your body intuitively determine what your baby needs, it will give you less to worry about and allow you to comfort your baby with nursing whenever your baby needs it. Also, it gives your child the added benefit of growing properly and getting all of the nutrients available to them, as their body requires it. This would give pro-ad libitum moms a leg up in the race of getting to those very precious breastfeeding benefits.

Although there are numerous benefits of allowing your child to feed “on-demand,” there is only one caveat to this method: Ad libitum breastfeeding should be avoided after the first teeth erupt. Dental health professionals are worried that nocturnal ad-libitum breastfeeding can significantly increase the chances of the child having enamel defects, advancing up to cavities that will need crowns. This can simply be avoided by not allowing your child to breastfeed just before bed. It is also not a bad idea to start to clean the teeth with a little water and a soft baby cloth. The idea is to keep your child’s teeth relatively free of anything that would stick onto the teeth while (s)he sleeps and resisting the urge to feed just before bed will help exponentially.

Yes, there is a bit of a downside to everything in life. Your job is to weigh the pros and the cons. The thing is this: No-one can tell you what is best for your baby. Only you know for sure. As long as the advantages outweigh the disadvantages, it seems like a great decision to start there and adjust as you go. Hope this guide made your decision a little easier!

Have more questions about what is right for your newborn? Check out the rest of the blog for more insights!


References:
WebMD
Breastfeeding Center
A+ Dentistry for Kids
Brian Palmer D.D.S
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BREASTS!!

12/1/2015

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Breast is Best. Yes yes. We have all heard the witty catch phrase. But what does it actually mean? Why is breastfeeding so important? Breast is Best for what?
In this post, we are going to discuss the benefits of breastfeeding for mom and baby, as well as discuss the advantages that the Golden Hour immediately after birth can offer. Finally, we will discuss the importance of having adequate support for the breastfeeding relationship.

Breast is best for baby

The importance of breastfeeding for the baby can not be understated. Breastfeeding is so much more than simply a method of delivery for physical sustenance. Breast milk is, quite literally, a miracle food that is impossible to be duplicated in any artificial setting. Each mother’s milk is completely unique and is specially formulated for her baby.

First, breast milk contains antibodies from the mother’s body. When a mother touches her baby, kisses her baby, or nurses her baby, her body is exposed to the same bacteria and viruses that her baby has been exposed to. Her body, in turn, produces antibodies to those potential threats to the baby and delivers them to him through her milk. Antibodies are living cells that cannot be duplicated.

Breast milk is ever changing. At the beginning of the feeding, the milk (called fore milk) is more water to quench the baby’s thirst. As the feeding progresses, the milk thickens and satisfies a baby’s hunger. By the end of the feeding, the milk (called hind milk) is thick, sweet, and creamy.

Furthermore, as a baby grows, the composition of the breast milk changes for the baby’s growing needs. Milk made for a newborn is not the same as milk made for a 6-month-old. A mother’s body knows exactly what her baby needs and responds accordingly, minute to minute and month to month.

Many mothers say that one of the greatest advantages to breastfeeding is having a convenient and built in ability to calm their baby. Breastfeeding is a great way to immediately calm a baby who is overwhelmed by the world as they transition into it.
In addition, breastfed babies have fewer ear infections, less incidence of pneumonia, less risk of asthma, lower risk of SIDS, stronger bones, and lower risk of cancer.

Breast is best for Mothers

Babies aren’t the only ones that benefit from breastfeeding. Mothers benefit tremendously as well.

Immediately postpartum, and in the days and weeks to come, breastfeeding helps reduce maternal bleeding. Oxytocin, the hormone that causes contractions in labor, is released when the baby breastfeeds. Oxytocin is what causes the uterus to involute, or shrink, back to it’s pre pregnancy size. As it involutes and contracts, the mother’s postpartum bleeding is reduced.
Oxytocin is also the love hormone and it facilitates bonding. Since it is released every time a mother nurses her baby, it is nature’s way of promoting bonding.

Breastfeeding suppresses the hormones that regulate menstruation and ovulation. In turn, fertility is temporarily suspended. This also means that the mother gets a break from having her monthly period. It is important to note that the length of time between birth and the first postpartum cycle is different for each mother and it is not a 100% effective form of birth control. It is a nice perk, however, to know that during the postpartum phase, fertility is not always 100%.

Women who breastfeed their babies lose the baby weight faster and easier. Fat stores that are gained in pregnancy are now being used for the baby. It takes 500 calories a day to breastfeed a baby! That’s a nice little bonus!

Women who breastfeed have a lower risk of breast cancer, and the exact cause for this is unknown. Furthermore, the longer a woman breastfeeds, the lower her risk of breast cancer.

Breastfeeding is inexpensive. Formula costs are astronomical. Enough said.
​
For as many benefits as breastfeeding offers, it’s a wonder why more women do not breastfeed, or why they do not continue breastfeeding after only days or weeks. There are several things a woman can do to optimize her chances of breastfeeding being successful, and ultimately it comes down to respecting the Golden Hour after birth and having support.

Breastfeeding and the Golden Hour

More professionals today are becoming educated about what is being called The Golden Hour. This is the first hour after the baby is born and it is a very sensitive time for both mother and baby. Mother just birthed her baby (a Herculean feat), and the baby is experiencing life outside the womb for the first time.

During the Golden Hour, immediately after birth, the baby is placed skin to skin on mother’s chest. Skin to skin is the foundation of the Golden Hour. During labor and immediately after birth, a mother’s nipples produce a pheromone that smells, to the baby, like the uterine fluid they just came from. This smell is familiar and it makes the baby drawn to the nipple to nurse, even without additional positioning help from the mother or support persons. Even when a baby is not being moved around by others, they can, amazingly, find the nipple all on their own to nurse.

Skin to skin facilitates bonding for both mom and baby, and evidence shows that if a baby nurses within the first hour of life, breastfeeding is more likely to be successful.
​
Meanwhile, while resting on the mother’s chest, the baby is being warmed to the perfect temperature. There is no technology in the world that can match a woman’s body as a baby warmer. A woman’s body can cool for an over warm baby and it can warm up for a baby who is cold.​

​Support

Finally, a woman who wants to breastfeed her baby needs support. Breastfeeding is natural but not initially easy. Both mother and baby need to learn how to breastfeed and the learning process can sometimes be a challenging one. Support for a breastfeeding mother can come from many places.

In the early postpartum phase, nurses and lactation counselors can help mothers get a good start with breastfeeding by making sure they respect the Golden Hour. Once the baby nurses, they can make sure that the baby has a good latch. They can encourage mothers to breastfeed as often as possible to ensure a good supply is being built and they can affirm a mother in her early breastfeeding journey. A birth doula is a tremendous help for early breastfeeding in the immediate postpartum period as well, as they can help with the initial latch as well.

A mother’s partner at home can be one of the best forms of support. The partner can make sure a breastfeeding mother has enough water, is well rested, is well nourished, and is not overwhelmed by the demands around her. They can encourage the mother to continue even if there are difficulties or challenges in breastfeeding. Emotional encouragement can go a long way for a breastfeeding mother and its importance should not be undervalued.

As breastfeeding mothers continue nursing in the weeks and months postpartum, most benefit tremendously from support groups like their local La Leche League group. Lactation consultants are usually on staff at the hospitals and they can be consulted anytime a breastfeeding mother needs professional assistance.

Many hospitals have breastfeeding support groups available. Any Attachment Parenting or Babywearing group is likely to provide breastfeeding mothers with peer support.
​
Breastfeeding is worth it. It is worth it for mothers and babies for reasons we continue to discover. Setting up a support system for breastfeeding goes a long way toward success.

Do you need some help with breastfeeding?
​Talk to us about Lactation Counseling.

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Toddler Gang-up

6/7/2014

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That moment when kids go to bed and you think, “Ah, I can finally sink into my bed,” and you fall asleep only to be woken up 5 minutes later with your name being screamed from the bedroom of your child. You help put them to ease as your heart is thrashing inside your chest and your head feels as if a bomb just went off. They fall asleep and just as you get out the door the floor creaks and, you know who wakes. “Mommy! You can’t go!”

You return to your station and sing him a lullaby. Unfortunately, we are now nearing midnight and you end up singing yourself to sleep standing up. Your knees buckle underneath your weight, but you catch yourself just before hitting the floor. You quietly tip toe out of the room, climb into your bed, lay your head down and close your eyes.

All is quiet. And as you begin to drift off to sleep, you hear a little patter of feet. You open your eyes and discover your little one beside your bed staring at you like a creepy child from a horror movie. She claws at your top and tears it down to attack your body behind it. She’s hungry/thirsty… And you’re TIRED! It’s 1:30 am now. She decides to chomp down on your nipple and use it to climb up your bed. You almost yell, but you’re too exhausted to. This is when child 1 calls out, “Mommy! Mommy!” You try to unlatch the piranha, but since she’s attached and dangling like a baby alligator on Johnny Knoxville’s nipple, you take her for the ride. You stumble into child 1 as he has now come running out of his room. He’s half asleep and slurring something about asking Indiana Jones to stay for lunch. He’s scooped up and we return to the matriarch’s field of happiness. SLEEP would be great.

It’s now 2:30… After multiple days like this, you are beginning to feel loopy. The little one finally unlatches and we are approaching 3 am. You fall off into dreamland.

At 3:20 am, you awake feeling like you can’t breathe and as if a weight was dropped on you. It’s also, very dark! Too dark. That’s because your oldest has decided your face was the best place to settle in for the night. After rolling him off you and finally catching your breath, the charlie horse in your leg takes over because your children had migrated in so closely, pushing you to the edge of the bed and leaning against you that you were forced into a very uncomfortable position that now has caused this predicament. They are sleeping… So you bare it without trying to help the cramp dissipate to keep from disturbing them. This is when the littlest barely wakes and in 3 seconds flat is latched on to your breast to feed again.

The charlie horse is gone and you begin to trail off… Only to be awoken by the alligator death roll! You are not stretch arm strong and a hearty, “YYYAOW,” is released from behind your lips. Suddenly you feel a stream of warm wetness down your cheek and think, “Am I crying??”

Your delirium is setting in. It’s 4 am. You fall asleep and suddenly, before you know it, your husband’s alarm goes off… Your right eye opens, scans the room and then closes. A moment later, you hear a faint noise and open an eye to the youngest hovering and staring at you. She smiles and then begins to pull down your shirt to access the only thing she cares about right now; Milk. All you care about is sleep. You close your eyes and next thing you know, you’re dreaming about rain. It’s pouring and it’s refreshing. So refreshing that you wake. You discover your 2 lovely children are standing over you with opened bottled water and YOU. ARE. DRENCHED. You strip off your clothes and lean over to begin stripping your bed when your littlest maneuvers underneath you and latches on to your dangling breast.

You look at the clock; 6:37 am…

Welcome to your day. 

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