Alyssa Milano and Breastfeeding Shaming

As if moms don’t have enough to worry about – we have a continued attack on public breastfeeding. This is a first world problem – a USA problem. Like so many other “issues,” those trying to build their ratings find something to project their biases and ignorance upon and try to get some controversy going. EVERYONE knows that if we were in a developing nation where Western marketing machinery had not yet ruined the culture and economy, breastfeeding in public would not even be a topic of conversation. Babies do not have any sense of propriety (as some would define it). They just know when they are uncomfortable and want their needs met. A young baby cannot understand that someone’s guilt might be stirred up by their need to be tended to in the same general vicinity as the casual observer.
The idea expressed in this commercial needs to be distributed.

If we are to help mothers reach recommended goals of breastfeeding to at least a year and hopefully to two, we must first help them reach their OWN goals – whatever that length might be! And currently, 80% of moms do NOT meet their own goals – whether to breastfeed 6 weeks or 2 years! Baby-Friendly Breastfeeding Initiatives and other similar programs are a first step to getting moms off right. But beyond that, the community must be engaged to support these moms. Breastfeeding should be welcome wherever it is safe for a mom and baby to be. Workplace and social accommodations must be championed. Ignorance can be cured with education. Disappointment when goals are not met must be met with determination to help the next mom – not try to downplay the goal!

If you are a friend or relative of a breastfeeding mom, do what you can to encourage and support her. Educate yourself and your community. The babies of the world will appreciate your efforts!

Adoptive Breastfeeding

I have a particular heart for adoption. I came from a large family where other children were welcomed. My brothers, sisters and extended family have adopted and now I have an adopted grandchild. If adoption is part of your journey and you would like the experience of breastfeeding, I am here to help. Breastfeeding is a normal part of comforting as well as feeding a baby. There are protocols available on the internet to help with bringing in milk prior to anticipated arrival of your child. My part in helping adoptive moms is to coach, encourage, make adaptions to the plan as needed throughout the process.

When to ask for help

Need Help?  When to ask for help….

Baby is older than 3 days old and is still not latching.

Baby is older than 5 days old and mom’s nipples are painful, blistered or cracked.

Baby is 7 days old and you are having to supplement.  Or you feel like your milk has not come in yet.

Baby is not having adequate wets or dirties without having to supplement.   A simple guideline is one wet and one dirty per day of age each day until baby is 5 days old.  After that, 3-5 dirties per day with at least one of them equal to a tablespoonful, plus 6-8 wets. Use diapers with a line that turns blue to help you track wets since babies have very small bladders and it’s easy to miss a wet. 

Baby has not gained back to birth weight by 2 weeks of age.

Baby is wanting to nurse every hour or for more than an hour at a time around the clock.

Mom is tense, exhausted and feels unable to relax while breastfeeding. Persistent neck, back or breast pain.

Mom’s breasts do not soften with breastfeeding and painful lumps remain. If mom has a fever over 101, she should contact her healthcare provider for assistance.

Other situations where help might be needed:

Adoption – induced lactation.  Yes, it is possible to bring milk in and create a breastfeeding relationship between you and your adoptive baby.

 

How to get help from Jane

Contact me by email, text or phone call – give me a little history of your issue.   We will set up an appointment according to your needs and my availability. I will respond to your contact request as soon as I am available.  On the document pages you will see examples of 2 forms I will ask you to complete prior to our first visit. The first is a Consent for Care. The second is a an Initial History. All appointments are conducted during daylight hours with limited availability on weekends. Please see my other posts for more helpful information.
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What happens in a home lactation consult?

Before a consultation appointment, you will be asked to sign a consent for care, privacy and financial responsibility acknowledgement form.  The link is available under the documents tab above for you to download, complete and email back. If this does not work for you, please contact me and I will email you the form directly. I have recently switched to an encrypted, secure electronic documentation system to enable timely communication with you and your care providers. I will send you an access link to that system once our appointment is confirmed.

  1. I will obtain a history of your prenatal, birthing and breastfeeding situation up till the day of the consult. I will ask for pre and post consult pain levels. This history form is also available as a download under the documents tab. If possible, print this out and complete prior to our visit.
  2. I will do a physical assessment of your breasts and your baby.
  3. I will do before breastfeeding weights of baby or babies without and with diaper.
  4. I will do a digital suck assessment of baby sometime during the consult as needed.
  5. I will ask you to breastfeed the baby and will observe how the baby latches, your comfort level, etc. When observing the baby at breast, I will be looking for specific functional clues to any breastfeeding difficulty’s source. These clues will help us together to design a workable feeding plan. I will weigh the baby at intervals to determine accurately milk transfer with a scale sensitive to 2 grams.
  6. As the consultation proceeds, I will make suggestions as needed for increased comfort for you and baby and increasing milk transfer, as needed. This may involve special positioning, use of extra support devices, feeding aids, etc.
  7. At the close of the consult, I will provide you with a verbal and written plan of care going forward.
  8. I will provide a written report of the consult to your healthcare providers as appropriate with the information you have given me.
  9. After the consultation, I will provide continued email or text support for 2 weeks.
  10. If I think that further treatment or assessment is required by other healthcare professionals, I will tell you at the time of the consultation and also relay this to your healthcare provider.
  11. If follow-up consultation is required with me, those services will be provided at a reduced rate.

What is different about a home lactation consultation?  

  1. We will use whatever furniture and pillows you have in your home to modify the environment.   If you need something to improve your situation, I will help you figure out what that might be.
  2. You do not have to pre-register etc.  A physician’s order is not required for a home visit, although I will communicate with your healthcare provider about the visit and my findings.
  3. Visits can take the time needed to thoroughly assess your situation. Please allow at least an hour and a half for our time together. Visits CAN last up to 2.5 hours which includes history-taking, care-planning, and pumping as well as feeding the baby. There is no additional charge for this time.
  4. I do not sell or rent equipment or supplies.  If these are needed for your continued care, you will need to purchase those elsewhere. I will provide a “shopping list” for your support person, if needed.

 

If you would like a home consult findjanehelpsopcropped out more here.