The latest research in nurturing touch, breastsleeping and babywearing

adele grantWhat do you get when you bring together Dr. James McKenna, Dr. Kersten Moberg, Dr. Ann Bigelow, Dr. Henrik Norholt, Dr. Charles Price and Dr. Raylene Phillips?

You get the latest research on skin-to-skin, oxytocin, “breastsleeping,” bedsharing and all things babywearing presented at the first annual Bond Conference in New York City — which I was privileged to attend.

Here is some of the research I found to be most interesting:

Nurturing Touch

  • Infants are born with immature brains and therefore need skin-to-skin and tactile stimulation for their brains to grow.
  • Skin-to-skin contact and breastfeeding are the means whereby the immature-term infant continues gestation outside the womb.
  • Skin-to-skin promotes oxytocin release in mom and is shown to improve breastfeeding rates and improve bonding with baby.
  • With elective cesareans, no oxytocin is released. Thus, it needs to be compensated for through skin-to-skin, massage, babywearing and breastfeeding. While Pitocin injections are used to bring on labor, it is very different to natural oxytocin because it only affects the uterus and does not affect the brain, which would lead to the feel good feelings and bonding.
  • Oxytocin release is especially critical in the early days and months. If it’s missing, such as in the Ukrainian orphans that were studied, it is much harder to form secure attachments later on. When mom and baby get close after birth, there is an oxytocin release — they feel good, because dopamine is being activated; they see this happening in the context of the other; and with repeated exposure, this trains the sympathetic nervous system to expect the same response, which leads to a secure attachment.
  • Prolonged exposure to oxytocin has long-term positive effects of reduced risk of stroke and many other illnesses.
  • Some women naturally have lower oxytocin levels. But the good news is that it can be compensated for with skin-to-skin, massage and breastfeeding.
  • Nerve reflexes of the skin trigger an oxytocin release. If triggered very early on, it will have lifelong effects. The front side of the body has extra sensory nerves with the chest being most sensitive.
  • Skin-to-skin could be used as a possible alternative treatment to depression. Mothers with skin-to-skin contact reported fewer depressive symptoms in the first few postpartum weeks.

Safe Sleep

  • The further babies get from mom (non-bedsharers or solitary sleepers in separate room), the fewer feeds there are. Bedsharing babies nurse or “snack” more, because breastmilk is digested faster.
  • Bedsharing and breastfeeding are positively correlated. Dr. McKenna suggests the term “breastsleeping,” as there is no such thing as an infant — only the mother-infant dyad — so there is no solitary sleeping and breastfeeding: only breastsleeping.
  • Approximately 70% of new parents were found to bedshare at least occasionally. This would equate to 2.5-2.9 million mothers if the study were representative of the larger population.
  • Bedsharing in the absence of other hazards was significantly protective for infants older than 3 months.
  • At age 6, babies who bedshared had increased cognitive capacities. Babies who cosleep and get more touch and reassurance become happier and less fearful toddlers who make friends easier and are cognitively more advanced. Then they become less fearful and more optimistic adolescents who trust their own judgment. As adults, they become parents mimicking their own experiences with their own children.

Responding with Sensitivity

  • Infants as young as 3 months are aware that their behaviors’ impact others. When mom does not respond to baby, the infant increases vocalizations to get mom’s attention.
  • Increasingly, orthopedists are seeing more hip issues. They believe this is because of widespread swaddling. The latest recommendation is to leave hips loose until baby is 3 months old. If a baby’s hip does become dislocated and is not treated by 6 months of age, the hip may need surgical intervention for proper development. Lot of skin issues can be sorted by using discoid eczema treatment but sometimes yu may need ortho help.
  • Parents should also be mindful of baby’s hip development when choosing a baby carrier. In the baby’s first 6 weeks of life, the joints are very loose and the hips should not be forced into extension. Side-carrying positions are ideal for proper hip development. After 6 months of age, the position doesn’t matter that much.

This is all such reassuring information, because it backs up what I intuitively did with my first child before I even found Attachment Parenting and what Attachment Parenting International promotes for all children and families.

With continued research from these and other medical and scientific professionals as well as parents providing support to other parents, Attachment Parenting practices like babywearing, keeping babies close by holding them, ensuring safe sleep by keeping babies and children close at night, and extended breastfeeding will become the new norm. This is at least my hope for all the children out there and what I strive to promote in my community.

Editor’s Pick: Emotional abuse, a dark form of children’s maltreatment

“Growing up in a household where your emotions are either actively discouraged or punished, or simply ignored takes a toll on you, a developing child. You internalize the message that your feelings, your needs, your views don’t matter. It’s a belief that’s rooted in childhood feelings. That belief/feeling is powerful, and it stays with you throughout your life.” ~ Jonice Webb, PhD, in “Childhood Emotional Neglect: The Enemy of Assertiveness,” Psych Central

Sad ChildIn this week’s Editor’s pick, Attachment Parenting International is shedding light on a form of maltreatment of children that is often kept in the dark: emotional abuse. Unlike physical abuse, there is little awareness concerning emotional abuse — it’s less visible and is rarely covered by the media.

Emotional abuse is often misunderstood, as it’s complex and more difficult to recognize. Although it’s pervasive, and can be as damaging and painful to children as physical and sexual trauma, it’s not considered as troublesome as physical abuse.

Emotional abuse of a child is commonly defined as a pattern of behavior by parents or caregivers that has negative mental impact on the child. It’s also referred to as psychological maltreatment. Some examples of mental abuse are:

  • name-calling
  • verbally insulting
  • shaming or humiliating
  • threatening violence (with or without carrying out threats)
  • ridiculing or criticizing the child’s appearance, abilities or fears
  • failing to express warmth and tenderness to the child
  • neglecting to show interest in the child’s thoughts, feeling or activities.

Emotional needs are intrinsic to our nature as human beings. Attachment Parenting promotes an approach that applies sensitive parental response and practicing nurturing parenting methods that foster strong emotional bonds — also known as secure attachment — between children and their parents. Secure attachment, trust and mutual respect are the building blocks of a strong, healthy emotional foundation that follows children into adulthood.

With increasing awareness and evolved societal norms, many people move away from spanking and other forms of physical abuse, check this article about how a sex crime lawyer can help if this happens at home. Consequently, however, there is more temptation to shift that punishment attitude toward verbal responses — which may seem innocuous — not realizing that some common responses are actually a form of emotional abuse. Here are a few examples of such comments:

  • “I wish you were more like your brother.”
  • “If you don’t do as I say, I will leave you!”
  • “You’re the reason Mommy is sad.”
  • “Shut up!”
  • “You are a bad boy.”
  • “You think you’re so special, don’t you?”

Verbal abuse is the most common form of emotional maltreatment and results in long-term harm. As noted in this Health Day article, “Yelling at Children (Verbal Abuse),” research shows that verbally abused children are more likely to:

  • become victims of abuse later in life
  • become abusive themselves
  • become depressed and self-destructive later in life
  • develop anxiety.

We are all familiar with adage, “Sticks and stones may break my bones, but names will never hurt me.” But children and adults who have been verbally abused will tell you otherwise: Words are powerful and they do hurt, especially when inflicted upon children by their parents — the leading authority figures in their life and the adults children look to for protection, not only from physical harm but also emotional damage.

There are some who excuse name-calling, shaming or other forms of abuse as effective means to discipline or “toughen up” kids — an outdated idea to make them more resilient and better adapt to the “real world” — when, in fact, the contrary is true: These patterns of behavior by parents produce deep emotional and mental scars that undermine self-esteem and affect the ability to have healthy, trusting relationships.

In this Psych Central article, “Childhood Emotional Neglect: The Enemy of Assertiveness,” Jonice Webb, PhD, uncovers that the reason assertiveness is so much more difficult for some people to learn and practice than others is because “assertiveness is most difficult for those who grew up in households that either actively or passively discouraged emotional expression,” both examples of childhood emotional neglect.

Emotional abuse is painful. It penetrates into the heart and the soul of a child who needs to be loved, cared for, and responded to with sensitivity and compassion by his caregivers — not ignored, not humiliated, and not insulted.

A 2015 study, published in the journal JAMA Psychiatry, found that regardless of the type of maltreatment endured — physical, sexual or emotional — children suffered similar consequences. As reported by Reuters, Dr. William Copeland, a psychiatry researcher at Duke University in Durham, North Carolina, USA, stated that: “This study is about righting a longstanding error and prejudice about the differences between these common childhood adversities,” adding: “It suggests that whether we are talking about prevention, screening or treatment, our notions of childhood mistreatment need to be broader and more holistic than they have been. There are no hierarchies when it comes to child maltreatment.”

Attachment through books

Editor’s note: May is Get Caught Reading Month. Reading is a shared interest among many Attachment Parenting (AP) families as we all like to be well-informed when making decisions that affect our parent-child relationships. Reading can also serve as an easy way to strengthen attachment bonds.

kelly shealer - books 2Reading has always been a central part of my life.

One of my first purchases after learning I was pregnant with my first child was a bunch of board books for my baby. When he was born and I was nursing him, I would often read aloud to him from whatever book I was reading at the time from RIC Publications . I knew that although he couldn’t understand the words, it was a wonderful way for him to hear my voice as much as possible.

Books help me connect more deeply with my children. Through reading books about superheroes, I’m able to be involved with topics that interest them. Having a child sitting in my lap for story time is also a great source of physical connection. Both my 2-year-old daughter and 4-year-old son love to sit in my lap so much that they often compete over who gets the coveted spot of the middle of Mommy’s lap.

Every now and then, when it’s been a very active day and it seems that I’m getting constant requests from each of my 3 children at the same time, pulling out some books about the american dream helps us relax and focus. It often feels like the first time I’ve sat down for the day, and it’s what they need to settle down as well.

To encourage a love of reading, we make frequent trips to the library and are always rotating our selection of books. We keep our books low on the bookcase where my kids can reach them, and we have a special table space for our piles of library books.

I also make sure that my children see me reading often. At bedtime, my 4- and 6-year-olds like me to be in their bedroom as they fall asleep. They don’t want me to sing or talk to them — they just want my presence in the room. So most nights, I’ll take a book with me to read to myself after we read their bedtime stories. It’s this way that I make time for something that’s important to me, that helps me relax and feel like I’m having a bit of time to myself, while also meeting my children’s needs.

kelly shealer - books 1My oldest son will now sometimes read to me or to his siblings. I love that everyone in the family is able to use books and reading as a way to deepen our connection with one another.

Looking for a New Book?

Attached at the Heart, 2nd editionWhile there are many wonderful books and other resources available to support AP parents, Attachment Parenting International (API) recommends that all families own a copy of Attached at the Heart by API Cofounders Lysa Parker & Barbara Nicholson.

There are also many books in the online API Store that may be great additions to your home library.

Kangaroo Care an incredible part of newborn care

Rita and RachelToday, May 15, in observance of Kangaroo Care Awareness Day, Attachment Parenting International (API) honors all mothers and fathers who have given the gift of skin-to-skin contact to a newborn.

While Kangaroo Care was first promoted for its life-saving benefits to premature and at-risk infants, it has — since its discovery in 1980 in Colombia — become a mainstay in getting breastfeeding and mother-baby bonding off to a good start.

Skin-to-skin contact, as Kangaroo Care is also called, is more than just a nicety, though. It is essential for healthy infant development, as well as maternal well-being. It’s important that we recognize and promote this.

The benefits for baby include accelerated brain development; less crying; reduced cortisol (stress hormone) levels; better regulated body temperature, heart rate and breathing; better quality sleep; enhanced immune system; stimulated digestion and therefore better weight gain; and more effective breastfeeding behavior.

Combine this with the benefits for mother — decreased risk of postpartum depression, increased milk production, increased pain tolerance, and reduced postpartum bleeding, cortisol levels and blood pressure — and skin-to-skin contact looks to be an incredibly important part of newborn care!

Kangaroo Care has a special place in my heart. It was through this simple practice — undress baby to the diaper and place on mom’s, or dad’s, bare chest — that was my introduction to Attachment Parenting. Kangaroo Care helped me to bond with my preemie and was the first domino to tip in the trajectory of my parenting journey. If the nurses hadn’t suggested Kangaroo Care, and instead left my baby in the incubator in those early days when my sense of motherhood was most fragile and yet impressionable, I don’t know what approach to parenting I might have adopted but I do know that it would have taken me much longer to get to the current place in my parenting journey.

I have now come full circle.

In my work of supporting parents, I routinely suggest skin-to-skin contact to both mothers and fathers, whether or not they plan to breastfeed. Nurturing touch is not only powerful in the beginning chemistry of attachment, including bonding and breastfeeding, but also in gently moving even the most obstinately detached parents toward an attachment-based family dynamic — courtesy of oxytocin, the hormone responsible for that intoxicating feel-good state of mind that comes with Kangaroo Care.

How parents bond with their infant can make a huge difference in that child’s life. Kangaroo Care, for both preterm and full-term babies, is a way to positively influence that initial bond.

Highlighted API Resources on Kangaroo Care

Mayim-Bialik-Photo-APIAttachment Parenting” with actress Mayim Bialik, an API Teleseminar — recordings only $9 each!

Developing Emotional Attachments in Adopted Children” by API Cofounder Lysa Parker, coauthor of Attached at the Heart

From API’s magazine, The Attached Family:

The Importance of Skin-to-Skin Contact” by Dr. Jack Newman and Teresa Pitman, coauthors of The Latch and Other Keys to Breastfeeding Success

From API’s blog, APtly Said:

Kangaroo Care for every baby

Trial by fire

There’s a pause button, just in case

5 lessons learned about Attachment Parenting after a cesarean birth

Editor’s note: April is Cesarean Awareness Month, an observance of the International Cesarean Awareness Network designed to reduce unnecessary cesareans, advocate for VBAC (vaginal birth after cesarean) and help women heal from the sometimes-difficult emotions surrounding a cesarean birth. While Attachment Parenting International (API) promotes childbirth options with the least interventions, we also recognize that there are certain situations that necessitate interventions. What is most important is that parents research all of their options to be able to make an informed decision:

kelly shealer C sectSometimes, moms who know during pregnancy that they want to practice Attachment Parenting worry that it will be more difficult or impossible after a cesarean birth. But as with any birth experience, the first few days or weeks don’t define your relationship with your child. Attachment is an ongoing process.

Practicing Attachment Parenting after a cesarean may be a slightly different experience than after a vaginal delivery, but it is still absolutely possible.

From my personal experience, I have learned the following 5 lessons of Attachment Parenting following a cesarean birth:

  1. Breastfeeding — It’s a myth that you can’t breastfeed after a cesarean or that it’s always harder for the baby to start breastfeeding. My 2 cesarean babies were champion nursers in the recovery room. But, in some cases, it may take a little more time to get started. Sometimes it takes more time for the milk to come in, and it may be more difficult to find a comfortable nursing position. The football hold is one of the best positions for a mom who has just had a cesarean, as it keeps the pressure away from the incision area. In any situation, a challenging start to nursing doesn’t mean that one can’t successfully breastfeed long-term, and with help and support, most moms certainly can breastfeed after a cesarean.
  2. Babywearing — In the first few weeks after a cesarean, babywearing is difficult, if not impossible, because many carriers will put too much pressure on the mom’s abdomen. Even having the baby positioned higher up on mom’s body for too long can lead to some internal discomfort later in the day. So, it may be best to wait on babywearing, but that doesn’t mean that it can’t happen at all! Missing out on wearing my son soon after birth didn’t affect our future babywearing, which we did comfortably until he started crawling and no longer wanted to be contained. In fact, I wore him so frequently over those months that it was difficult for me emotionally to realize that this chapter of our relationship was ending.
  3. Cosleeping — It was also possible for us to cosleep after the cesarean. It was actually easier that way than having my son in a crib, because it wasn’t possible for me to bend down and lift him out. The only concern was to be sure that the baby’s feet weren’t going to kick or bump the incision area.
  4. Preparing for a family-centered cesarean — In some situations, moms know in advance that they’re having a cesarean. In this case, moms can try to make it a more positive experience by looking into a family-centered, or gentle, cesarean. This looks different for every family, but it may include having the cesarean performed slowly with the baby walked out gently, having one arm unrestrained in order to hold the baby as early as possible, playing music in the operating room, having the screen lowered at the time of delivery, and breastfeeding in the operating or recovery room. When I learned that my third baby was breech and that I’d be having a repeat cesarean instead of the VBAC I desired, I created a gentle cesarean birth plan, which helped me take control of my birth experience.
  5. Negative birth experience — In some cases, a cesarean is not what a mom wants. She may be unhappy with the way events progressed during her labor or with interventions she didn’t want.  She may feel that she didn’t have enough control over her body. Women are sometimes even told that they shouldn’t care that the birth didn’t go as planned, because all that really matters is that the baby is healthy. It is important to acknowledge that negative feelings about any birth experience can sometimes make it more difficult for a new mom to bond with her baby, and what a new mom in this situation often needs is support. Support comes in many forms. It may be from friends and family, from your local API leader and API Support Group, from a postpartum doula or a medical professional. But even moms who are unhappy with their births or suffer from postpartum depression after the birth can successfully bond and parent in an attached, connected way throughout the child’s life.

Additional API Resources on Gentle Cesarean Births

API’s First Principle of Parenting: Prepare for Pregnancy, Birth and Parenting

Personal stories on APtly Said, API’s blog:

— “A special door

— “I took back control of my cesarean

Professional insight on The Attached Family, API’s online magazine:

— “What Goes Into a Family-Centered Cesarean Birth Plan

— “What to Do When a Cesarean Becomes Necessary

Editor’s pick: 6 evolved needs for healthy human development

“…we have forgotten that we are social mammals with specific evolved needs from birth.” ~ Darcia Narvaez, PhD, Notre Dame Psychologist, member of Attachment Parenting International‘s Board of Directors

The Attachment Parenting approach can be regarded as parenting guided by nature’s lead — being attuned to our own feelings and instincts as well as our child’s needs, such as following our natural instincts to breastfeed, respond to a crying baby and provide ample physical contact to a developing human baby.

Darcia Narvaez USE5Psychologist Darcia Narvaez has been conducting research on moral cognition, moral development and moral character. On her blog, Moral Landscapes at Psychology Today, she often writes about raising healthy, happy children and parenting. In her writing, she examines the importance of parenting practices that match up with our evolved needs. Narvaez refers to the Evolved Developmental Niche (EDN) as the early “nest” that humans inherit from their ancestors, which matches up with the maturation schedule of the child, emphasizing 6 components:

  1. Naturalistic perinatal experiences
  2. Responsiveness to a baby’s needs including sensitivity to the signals of the baby before the baby cries
  3. Constant physical presence with plenty of affectionate
  4. Extensive breastfeeding
  5. Playful interactions with caregivers and friends
  6. A community of affectionate, mindful caregivers.

These evolved needs align with Attachment Parenting International’s Eight Principles of Parenting.

This week’s featured article is a recent study featured in a report by WSBT Television and soon to be published in the Journal of Applied Developmental Science. The study by Narvaes and colleagues Lijuan Wang and Ying Cheng shows that childhood experiences that match with human evolved needs lead to better outcomes in adulthood.

In the study, adults reflected on the EDN in their childhood. The findings point out that children with parents who were affectionate, sensitive and playful developed into happier and healthier adults with better mental health — feeling less depressed and anxious — and better social capacity.

pixabay - newborn and dadAccording to Narvaez, one of the reasons that the well-being of children in the United States lags behind that of children in other advanced nations is because “we have forgotten that we are social mammals with specific evolved needs from birth.”

Young children’s needs and wants often get confused or misunderstood. Perhaps, with a clear understanding of the distinction between the two — needs versus wants — it may be easier for some to realize and accept the importance of meeting early childhood needs. Babies need — not merely want:

  • Their parents to respond when they cry at night.
  • Physical contact — to be held and get a lot of affection.
  • Their parents to be mindful and responsive.
  • To interact and play with their caregivers.

It is reassuring that, increasingly, scientific research shows what our instincts already know: Children need attachment, affection and sensitivity to thrive.

Learn more about how to discern between needs and wants with our infants and children with these API audio recordings — each just $9:

billsearsNeeds vs Wants: How to fulfill a child’s needs yet discern his wants in a way that preserves healthy attachment” with William Sears, MD

Jean_Illsley_Clarke_Photo“How Much is Enough? Attachment Parenting, permissive parenting and overindulgence” with Jean Illsley Clarke, PhD, CFLE

Why does Attachment Parenting need a label?

tina mcrorieWe are working toward a day when Attachment Parenting won’t need a label — it will just be parenting.

But as of now, the parenting practices that are based on Attachment Theory, and the ever-growing body of research informed by it, are not well known by the general public. In addition, certain cultural forces are still pointing parents in the wrong direction about what our kids need for healthy development.

Anything that is good can be taken to an unhealthy extreme — which is why Attachment Parenting International‘s Eight Principles of Parenting includes balance — and when some parents get into a competitive or judgemental mindset, they can offend and alienate others who would benefit from the the information and support that API strives to provide. That’s why local API Leaders are trained to model and encourage respect and empathy with our children, ourselves and others.

Sadly, there are many children who are not securely attached to their parents. Their parents are doing the best they can with the information and resources they have. What they need is information and better support. And so we are here — and here is Attachment Parenting International.

graphic 2Please consider donating $5 to API’s Spread the Love campaign.

 

Reaping the fruits of Attachment Parenting

Effie2 (2)Editor’s note: Attachment Parenting International (API) is excited to announce that Effie Morchi, a blogger with APtly Said, has accepted the volunteer position of Assistant Editor of APtly Said. In addition to continuing to blog about her family life, she will be managing the development of special editorial projects for APtly Said, such as the upcoming observance of Mother’s Day. We have been impressed by her initiative as a writer, her desire to support API with her talents and time, as well as her intuitive understanding of both Attachment Parenting and API’s ethos. Welcome and congratulations, Effie!

Our kids had a week off from school recently, and as the week approached, I realized that our getaway plans would need to be cancelled since my husband and I had some pressing issues to deal with. I informed our 10-year-old Shelly and 8-year-old Ethan that we would stay home most of the week, explaining the situation and asking for their understanding.

I knew the week ahead would be very different than a typical week off school and, I suspected, not in a positive way in the eyes of the kids. We were to stay home most days with very few outings and little external socialization. With Shelly asserting her independence and privacy, and Ethan being a social butterfly, I braced myself for a difficult week.

And what a week it was…

The kids were playing at home together, coming up with new games and making each other laugh. When they took a break from playing, they negotiated peacefully to decide which movie to watch. They also played independently, respecting each other’s space. Shelly helped Ethan with his science project and other school work and Ethan showered us with warm hugs and kisses, occasionally asking how we were doing. It wasn’t perfect — there were occasions when the kids had their difficult moments and so did we, but it was perfectly reasonable.

At the end of the week, my husband and I were pleasantly surprised at how patient and supportive the kids were. Ethan has always been affectionate with us, but he was even more so during that week and it felt even more special. Shelly is a well-adjusted, cooperative child, but I sensed that she made the extra effort to coexist in harmony with her younger brother.

webdesign hot - free graphics - treeIt was an ordinary, uneventful week, yet it was profound — we were reaping the fruits of Attachment Parenting.

I appreciated that our kids have responded to us in a time of need in the same way we have been responding to them: with consideration, empathy, affection and physical contact. They put their needs and wants on hold to support us when we needed them to do so.

I mulled over on the most challenging years of my life — the years I raised my two babies. Being a stay-at-home mom on-call 24/7 with minimal help was tough. Mostly, I felt grateful that I followed my instincts and dodged the sharp criticism from all the naysayers. I was told that my kids would have speech problems, because I taught them sign language. I was told that my kids would be clingy and needy as I consistently soothed them, responded to their cries and maintained close physical contact. When I was breastfeeding my baby frequently, on-demand, I was told that something was wrong with me or my baby, because it was just not “normal!”

It wasn’t easy, but I couldn’t see any other way to care for my kids. It felt right and it made sense to me, so I persevered. As I reflect on the past week as well as the past few years, I am pleased that I trusted that little voice inside me. And by swimming against the stream of mainstream parenting advice, I developed strength and resilience.

So, the next time you feel exhausted and overwhelmed with the stresses of parenting, please remind yourself: “This too shall pass.” And remember, before long, you will be gazing at the thriving tree you have been persistently and tenderly raising through the years, and when you look up, you will be delighted to find the radiant, splendid fruits of Attachment Parenting for you to marvel at. I promise!

*Graphic source: WebDesignHot