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Flavia & Patrick's Story
Overcoming nipple confusion/breast
refusal at 2 months
by Flavia
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I knew
my first child would have a lot of her dad's
personality when, 6 days after my due date, she
still hadn't arrived.
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When
she finally decided to come, I naively allowed the
medical professionals around me to medicate me
very early in the process, slowing labor to a
crawl. Everything worked out well, however; my 8
lb, 13 oz daughter latched like a pro almost from
the beginning, and my milk came in with a
vengeance before we were discharged 48 hours
later.
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I knew,
however, from this experience that I would not
allow an epidural with the next child -- at least,
not until 6 cm dilation, when I was sure I would
chicken out and beg for drugs.
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Five-and-a-half years later, my second child
looked to be following in his big sister's
footsteps -- at least in regards to tardiness.
This time, though, my OB wasn't willing to let us
wait it out. I did not have gestational diabetes,
but I was, to quote my OB, "very sweet." I am
small in stature but I had a history of delivering
a large baby. Given this information, my doctor
feared I might have trouble delivering vaginally
if we let my baby stay put (and grow) as long as
he might want to. It was decided that we would
induce at 4 days past my due date.
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I
wasn't thrilled, but I wanted an emergency
C-section even less, and at least this way I was
almost guaranteed that my favorite OB in the
practice would be the one delivering the baby.
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I was
hooked up to the pitocin drip on March 14, 2001,
at about 8 am. A few hours later, the contractions
were extremely powerful, and I was certain labor
had progressed quite a bit. We paged the nurse for
a check and discovered that I was only at 3 cm! I
burst into tears. I had been in what seemed like
strong, active labor for hours, and had run
through most of the techniques for getting through
labor without meds, and here the nurse was telling
me I wasn't even technically in active labor!
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I knew
it would take a while to get hooked up to the
epidural pump, and I knew with the pain I was
already in there was no way I would make it to 6
cm without it. I told the nurse to get the
anesthesiologist, and while I was waiting, how
about a shot of Stadol?
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The
anesthesiologist was very busy. Almost an hour
later, I still didn't have my epidural, but I did
need to make yet another trip to the bathroom.
With my wonderful husband's help, I made it
without falling over in pain. But when I sat down,
I realized I felt the need not to urinate, but to
defecate. Remembering from childbirth class that
this feeling might actually mean I was ready to
deliver the baby, I began panting like a puppy dog
and told my husband to get the nurse.
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The baby was crowning!
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But wait! I still want my epidural!
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Did I mention that, since I'd been at 3 cm only an
hour before, my OB had left the birthing center
and returned to her office across the parking lot?
She answered her page and raced back.
Did I mention she has exercise-induced asthma?
She arrived just in time (panting furiously) to
catch my 9 lb, 11 oz baby boy. |
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He was
perfect... but by the time we got home, 48 hours
later, on a Friday afternoon, I was starting to
suspect things were not going well.
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I
didn't think his diapers were very wet, but I was
being assured by all (over the phone) that diapers
had improved amazingly in the 5 years between my
children. Then, just before the pediatrician's
office was to close for the weekend, I found what
looked slightly like blood, and slightly like
ground up red bricks in his diaper. (He is not
circumcised.)
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The
doctor's office assured me (by phone) that he was
fine -- that these were crystals often passed in
the first few days after birth.
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He was
fussy all weekend long. He did not nurse well. He
barely slept. He cried constantly. I wasn't
engorged or leaking. Over the weekend, I called
the advice nurse for my insurance company, the
on-call pediatrician, and a good friend who is an
OB nurse. No one actually saw my son. They all
just told me, over the phone, that I was just
having new mommy jitters and he was fine. |
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On
Monday, I took him to the doctor's. They told me
he was dehydrated and that I needed to start
formula. I wanted to see an LC first, so they gave
me the number of a lactation consultant to
contact.
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Sadly,
after before-and-after weight checks, with trying
for an hour to get him to nurse well, she
confirmed that -- for whatever reason -- he wasn't
getting milk from me. If I didn't give him formula
soon, the doctor might put him in the hospital on
an IV.
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But I
was a "proven milk producer," to quote my
Lactation Consultant's notations on my chart. I
had already successfully nursed a child into
toddlerhood. What had gone wrong?
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Was it
the pitocin?
Was it the Sudafed I had been taking for my sinus
headaches?
Was it the pacifier I'd found in his bassinet when
the nursery had kept him an insanely long time and
I went to get him?
Had they given him a bottle of sugar water or
formula without my knowing it?
Or was something else going on?
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I don't
know for certain. But that evening, I cried as I
made him his first bottle of formula (the hospital
I delivered at did not believe in nipple confusion
and forced its Lactation Consultants not to
instruct parents in alternate feeding methods
other than bottles), and we began an almost
2-month journey of building my supply and teaching
him how to latch.
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I don't
know how I really found the strength to survive
those first few difficult weeks. I was told by one
friend that I just wasn't trying hard enough. That
was a devastating thing to hear -- how could she
say that? I was: |
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Taking 3 capsules of fenugreek three times
daily;
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Taking 3 capsules of blessed thistle three times
daily;
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Putting my son to the breast at least 10-12
times daily;
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Following these nursing attempts (which
typically went badly) with feeding him
supplements by bottle;
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Following these supplementary feedings with 15
minutes of double-pumping using a Medela Classic
rented pump;
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Praying the Rosary daily, wrapping my son’s tiny
fist around the Crucifix, begging Mary for her
intercession, hoping she'd help me ask her Son
for the small miracle of being able to feed my
son the way she had fed Him.
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By the time I was done with
one nurse-supplement-pump cycle, if I was lucky, I
had 15 minutes to allow my nipples to rest before
starting over again. And this friend had the nerve
to tell me I wasn't trying hard enough?
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But my
hard work was paying off. Over a period of several
weeks, we went from supplementing with 17 oz of
formula daily to supplementing exclusively with
pumped breastmilk. I was even producing a bit more
than my son needed, and freezing a few ounces
daily.
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But now
my son was almost 6 weeks old, and still wasn't
nursing well directly from me. I had heard that
this was a critical age -- a baby who wasn't
latching well by that age never would. My LC
gently tried to help me get my mind around the
idea that I might need to become an
exclusively-pumping mom.
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I hated
the idea. I tried to accept the possibility, but I
kept putting my son to the breast a few times a
day, taking him to nurse on the bed in his big
sister's warm, bright, friendly room, rather than
in the other places where I felt stressed by the
memory of past failures. Sometimes, he would nurse
well. These times kept hope alive for me.
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One
night, around the time he was two months old, I
was feeding him his bedtime bottle, snuggled in
our king-sized bed with my husband and daughter,
while my husband read the children bedtime
stories. He kept spitting the bottle nipple out. I
kept trying to get my son to take it. Finally, he
turned his head toward my chest and rooted -- so
obviously asking to nurse, rather than be bottle
fed: "Mom! Get that cold, fake silicone thing out
of my face! I want fresh-squeezed!"
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That
was the turning point. It still wasn't perfect,
and we had more issues to contend with such as a
dairy sensitivity. But from that night on, he
became a fully breastfed baby, so much so that he
chose to take only minimal breastmilk by bottle
when he started daycare, holding out instead for
me.
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He is
almost 3 years old at this writing, and still
nurses several times a day. In the grand scheme of
things, 2 months is not a long time. I am so glad
I stuck with it and have been able to give him the
gift of nursing.
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Along
the way, I have learned so much. I hope the
information I have gathered here to share will
help others who want to nurse their children. |
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Flavia Huber is training to
become a certified lactation educator. She lives in New York with her
husband and two children. Visit her website at
http://www.geocities.com/mother2motherservices/ |
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