Dear Health Visitor, I Must Confess I Lied …

Posted by Louise, a mother living the United Kingdom. She blogs at “Health Visitors” in the UK health system are community nurses who provide routine developmental checks, care and support to newborns and their parents, including advice on feeding, sleeping and all aspects of newborn care.

Dear Health Visitor,

I must confess, I lied. I didn’t set out to be untruthful, but I felt like I had no other option at the time. I should obviously take full responsibility for my untruth; after all, I had the audacity to be a first-time mum with the sheer cheek to want the very best for my baby girl. You see, I didn’t actually leave my angel to cry. I didn’t really look past her gaze at nighttime to avoid eye contact. I didn’t even offer her a sip of water instead of my breast. She didn’t, in truth, actually sleep for those 8 hours that I told you about.

In fact, she has never slept for 8 hours in a row…not when you take into account all of the snuggling, smiles, little kisses and breastfeeds that naturally occur throughout our night. Yes, Health Visitor, I did say “our night”; my little girl and I sleep side-by-side, drifting in and out of our own special sleep dance, perfectly in tune, feeling warm, safe and happy. I guess that’s something else that I wasn’t exactly truthful about at the time.

You see, Health Visitor, I led you to believe that your advice, excuse me, your instructions, were right for us. I led you to believe that your dated and unsafe methods actually “worked”… if “success” is determined by the behavior of a child instead of the feelings. If only I had been honest from the start, perhaps the footprints that you came to leave in the next unsuspecting mother’s life would have been softer. Perhaps, just perhaps, you might have questioned your own methods and goals, seeking evidence-based, research-led data that would broaden and accelerate your understanding of the subject matter you preach daily. Or perhaps not.

903529_65792420For you and your team, my innocent baby was simply a tick in a box, but I didn’t actually ask for “help” if you remember.

It was your colleague who rang me at 10 weeks postpartum, when my iron levels were still so low after I had nearly died of a postpartum hemorrhage that I could easily have been admitted to hospital. “Are you getting out much? I haven’t seen you at the drop-in weight clinic, and 10 weeks is by far enough time to be back to normal.”

It was your colleague who told me at a breastfeeding “support” group at 4 months that any more than one night feed was nothing more than “pure manipulation” on my baby’s part. Funnily enough, there was no mention of growth spurts, sleep regressions, or baby brain maturity rendering my daughter physiologically incapable of “manipulation.”

It was your colleague who told me repeatedly, again at the breastfeeding support group, that my baby fed too frequently and to offer her water instead of the breast. Funnily enough, there was no check for tongue-tie, which was totally missed until 18 months. Or allergy, which was missed until a major type 1 reaction occurred on the introduction of solids. It seems that the ‘Health’ in ‘Health Visitor’ is there for no more than decoration.

It was your colleague who told me at my daughter’s 9-month check that children who aren’t put in their cots at 7 p.m. and left there without contact for the proceeding 12 hours will turn into “teenagers who sleep with their parents.”

But it was you, dear Health Visitor, who quietly watched, gently checked-in and slowly nodded. It was you who chip, chip, chipped away at my motherly instincts and confidence. If only I hadn’t answered truthfully in the postnatal depression test; if only my results hadn’t flagged me as borderline so that I was placed on monthly drop-ins for an “innocent chat.”

I was honest here, Health Visitor. I was telling the truth when I said I was happy, that I had never felt more content and fulfilled than when my darling daughter gazed lovingly into my eyes at the breast. I was being honest when I said that the only reason I scored highly on the “anxiety” section was because I couldn’t shake the memory of crashing during childbirth–the memory of my wonderful husband holding our baby with nothing but terror in his eyes while a team of doctors worked on me, as all the while the world grew fuzzy-white and I fought to stay awake. You see, Health Visitor, my “problem” wasn’t with being a mother, it was with the memory of almost NOT being a mother…of almost missing out on every single second of pure joy that my child brings me. It was with a slow, unapologetic nod and change of subject that you met this truth.

You are the expert after all. You know sleep deprivation when you see it. In fairness, you were quite right; I was tired, but the difference between you and I is that I don’t see tiredness as a bad thing. Being tired was a crucial part of my new mum experience. It allowed me to switch off the world outside and focus on the only thing that mattered: my baby.

It was you, Health Visitor, who instructed me on every single drop-in visit to leave my daughter to cry in her cot, alone, “for as long as it takes, even if she is sick.” It was you who instructed me on every single visit, to “keep it up for as many days or weeks as is necessary, and if you need to change the sheets to remove the vomit, don’t look her in the eye.” It was you who told me that “every mum has a breaking point.” You were determined to reach mine, weren’t you, dear Health Visitor?

I simply must confess to you that I lied. I did not follow your orders. I did not leave my daughter alone in her cot to cry and puke and learn helplessness. Instead, I cuddled, cradled, snuggled and breastfed my baby girl so that she can learn what it is to be human. Because isn’t that what we are missing in all of this? Isn’t it eye contact, innate communication, respect, kindness and love that define us as human? It is with nothing but pure love that I treat my daughter.

I see your instructions as nothing more than neglect, and it is because of this that I am sorry. I am sorry that I led you to believe that I had taken your advice; in explanation, I simply wanted your visits to stop. I am truly sorry to all of the other mums who had to endure your mantra. I am so very sorry to all of the other babies that had to endure the consequences of your orders. I hope that now, with hindsight and with my admission, you will understand that your role is not just a day job. You are on the front line, so to speak. You have the access to truly make a difference in the lives of hundreds of families. Let’s turn away from learned helplessness and perhaps in so doing you will learn helpfulness … we can but hope.


Mama Bean

The Bili Baby

Teklo bili lights

“Pack up the bili baby. He’s going across town,” barked the charge nurse to my newborn baby’s nurse.

I raised my eyebrows at her a little.

“Oh, I’m sorry. Are you the mom? I thought you were one of the students. That top totally hides your postpartum belly…” She continued trying to flatter me. But I couldn’t hear a thing.

Pack up the bili baby. 

She said what she had to say to get a quick message to the nurse. But what I heard was, box him up and throw him in the back of the van.

She struck a nerve. He’s not The Bili Baby. He has a name. He has a family. He’s a little person who just started a brand new life, and he has a mother who is worried about him.

He is not a shipment to be boxed up.

I understand that newborn jaundice is common and treatable, and that his numbers were low enough that we were no longer throwing around scary-talk, like blood transfusions and brain damage and such. I understand that we had to move because he was the biggest and healthiest baby in the unit, and they needed the resources for a little guy who was in really bad shape.

I understand that we were the lucky ones in that situation.

But all of this – the cords, the wires, the beeps and the instruments – the NICU was a foreign land to me. And oh, did I mention I just became a mother? A mother. Which means I now have to protect someone. At minimum, I should make sure the ones I’m trusting with his life see him as, you know, a person.

The ambulance driver arrived and without saying a word, without so much as an introduction or a hello, pulled out the restraints and started strapping my sweet baby’s tiny limbs down. He wouldn’t look at me.

We walked toward the elevator. I was desperately trying to keep up, but I was recovering from birth and trailing behind. They all filed in, and the door almost closed without me. I had to wave the nurse out of a daze before she held the door. I was almost separated from my baby and I would have no idea where to stop to get to him.

We stepped out of the elevator into a cold garage, where the ambulance was waiting for us. The driver walked ahead of me, wheeling the bassinet. He seemed annoyed by the fact that I had to have my hand on the incubator. Irrational? Maybe. It was just my way of letting my baby know I was still there. He wore goggles, so he couldn’t see me, and he certainly couldn’t feel my hand on the glass. I was feeling helpless, and my hand on that incubator made me feel like I was mothering. I hadn’t had a chance to do much of that yet.

No sleep, unstable hormones, worry, and the sterile environment got to me. I broke down a bit.

“Why are you crying? They’re just going to keep him under the lights. It’s like sunbathing,” the NICU nurse said to me in the elevator.

“Oh, I haven’t slept in four days. I’m just really tired,” I lied, since she was telling me that I was wrong for being upset. After all, you sunbathe on vacation so this must feel like a vacation, right? One shouldn’t cry on vacation.

This trickle of a tear down my face, this quivering lip…that wasn’t crying. I wanted to cry. I wanted to bury my face into someone – anyone – and just sob. And be hugged. And be told that this isn’t fair – that I should be at home in my PJs with my new little man, flipping through Netflix and eating freezer casseroles and getting to know every little finger and toe and hair, every coo and whimper. That it’s not fair that I had to worry about him wiggling around with an IV needle in his head, or wonder why the beeps on his monitors were getting faster, or slowing down…

This wasn’t what we talked about at my baby shower, at the tables strewn with the pink and blue lollipops and coordinating napkins. This didn’t fit my image of the smiling, sleepy mom with her days-old baby in her arms, both drifting off into a blissful snuggle.

Instead, we were in a hospital unit that shrugged us off because my baby wasn’t all that sick.

I give the hospital staff credit for trying to reassure me that my baby would be fine. But, there came a point when I didn’t want to hear that this was no big deal. My baby may have been the least sick, but he was still sick and spending his first days in intensive care. Sick babies make mamas worry. Worried mamas get sad, and need comfort. They need empathy.

At the very least, they could do without the comments that make them feel like they’re crazy for being upset.

Should We Wait to Cut the Umbilical Cord?

Anatomy of the Umbilical Cord

I came across a very interesting article via Science Daily that delves into whether or not one should wait to cut the umbilical cord immediately after birth.

According to the article’s research “In pre-term infants, delaying clamping the cord for at least 30 seconds reduced incidences of intraventricular hemorrhage, late on-set sepsis, anemia, and decreased the need for blood transfusions.”

In another article on concerning cutting of cords, studies suggest that delaying the cutting simply by two minutes, decreases the infant’s risk for iron anemia and boosts its reserves.

For more research and references on cord cutting please see below:

Cord Issues at

“Umbilical Cords Clamped Too Soon, Researchers Say” at Yahoo News

“Natural Childbirth: Delayed Cord Clamping” at Eco Child’s Play

– Danielle Buffardi is a freelance writer and editor. Visit her on the web at