WBW 2016: 5 tips for a strong nursing relationship while working away from home

wbw2016-logo-textEditor’s note: Among the 17 Sustainable Development Goals central to World Breastfeeding Week this year is a call for better workplace support of breastfeeding women. Certainly employers have a large part to play in meeting this goal, but women also need step up to advocate for themselves, their babies, and their right to express breastmilk while at work:

It’s that day…the dreaded day that no new mother wants to face — the last day of maternity leave.

For a mother able to take 12 weeks of unpaid leave afforded by the Family & Medical Leave Act, the last 3 months in baby bliss may instead feel like 3 short weeks, but regardless of the maternity leave length, the end of that special period arouses many emotions, especially for a nursing mother.

Naturally, a nursing mother’s mind becomes occupied with fears and questions:

  • How will I be able to provide enough milk while I am away?
  • What if my baby refuses a bottle?
  • Where will I find enough time to pump while I’m trying to work?
  • How will my boss and coworkers feel when I need time to pump?
  • What will happen to our nursing relationship?

This uncertainty creates even more stress and anxiety for the breastfeeding and working-away-from-home mother for she knows the important role breastfeeding plays in a secure attachment in addition to the numerous health benefits.

Mommy Kissing Baby LContinued nursing after the maternity leave period helps maintain a strong attachment between mother and baby. In his book, The Attachment Parenting Book, Dr. William Sears includes a chapter entitled “Working and Staying Attached,” in which he points out that giving your baby your milk is a very important way of staying attached to your baby after returning to work. Expressing milk for baby to drink during the day allows mother to, in a sense, be with baby while she is away at work. When mother and baby are reunited, their attachment through breastfeeding can resume as if she never left.

Nursing beyond maternity leave not only helps strengthen attachment but also provides numerous health benefits for the nursing mother and her nursling.  In 2012, The American Academy of Pediatrics (AAP) published their policy statement, “Breastfeeding and the Use of Human Milk,” in Pediatrics. In this document, the AAP notes the numerous benefits of nursing, including those of nursing beyond 3-4 months. Some of these benefits for baby include a lower risk for developing serious colds, asthma, and other allergies; Sudden Infant Death Syndrome; and childhood and adult obesity. For the nursing mother, benefits include a lower risk of diabetes for mothers not diagnosed with gestational diabetes, a lower chance of arthritis, and breast and ovarian cancers. Essentially, the longer a mother can provide her baby with mother’s milk, the more health benefits received by both mother and baby.

In order to continue a secure attachment and experience the health benefits of breastfeeding, nursing mothers can maintain a strong nursing relationship while working away from home by following a few simple tips:

  1. Know your breastfeeding rights — Under the Patient Protection and Affordable Care Act, many U.S. employers must provide a nursing mother with break time and a place to pump for up to 1 year after the birth of her baby. It is to be noted that companies with less than 50 employees are exempt from this law and instead offer pumping breaks at the discretion of the employer. Information, along with instructions for filing a complaint, can be found through the United States Department of Labor. Many other countries have generous allowances for nursing mothers at work, so be sure to check with your nation’s laws.
  2. Plan a pumping schedule — This schedule will differ from mother to mother. Planning to nurse right before being separated from baby and as soon as mother and baby are reunited can help reduce the amount of pumping sessions needed at work. While at work, a mother should try to pump about every 3-4 hours. For a mom working an 8-hour shift, she might pump once in the morning, once during her lunch, and once in the afternoon. The idea is that for each time baby receives expressed milk from his or her care provider, mother is pumping. In doing this, mother should be able to pump the amount of milk that baby will consume the following day. Talk with a local breastfeeding specialist for a pumping schedule tailored to your work environment and other needs.
  3. Discuss needed accommodations with employer — When a mother meets with her employer, she should be prepared by knowing her legal rights. A working-away-from- home mother should inform her employer of the needed accommodations before returning to work. The employer may need some time to make changes in order to accommodate the nursing mother. When the mother meets with her employer, she should provide her employer with a copy of her nursing schedule. This may also include pumping space accommodations. For example, the room where milk will be expressed needs to have an easy-to-access electrical outlet and should be heated and cooled.
  4. Nurse on demand — Although a working mother must have a pumping schedule while at work, at home, she can nurse her baby on demand. Nursing on demand means that a nursing mother nurses when cued by the baby. This might be every 30 minutes or every 2 hours. Since how much milk produced is based on demand, a nursling can help increase a mother’s supply by nursing frequently. Nursing on demand also allows baby to re-establish the nursing bond that was missed during the day. Nursing on demand can continue during the night. Frequent night nursing may lead to reverse cycling, meaning the baby will nurse more frequently during the night than he or she does during the day. Some mothers who encourage reverse-cycling find that they don’t need to pump as much while at work during the day. For example, a baby may only drink 4-5 ounces of milk while his or her mother is at work, but the remaining amount of milk needed will be attained during the evening and all through the night. Essentially, in 24 hours, the baby will have consumed his or her total amount of milk needed.
  5. Get support — Most nursing mothers need support throughout the breastfeeding journey, and nursing mothers that work away from home are no exception. La Leche League International and other nonprofit organizations provide local and online opportunities for mothers to connect and support each other.

While the end of maternity leave marks a transitional period for mother and baby, a strong nursing relationship can be maintained by carefully preparing for this changed and remaining dedicated to the desire to nourish baby with mother’s milk.

Thank you, La Leche League

wbw2016-logo-textMary White, Edwina Hearn Froehlich, Mary Anne Cahill, Betty Wagner Spandikow, Viola Brennan Lennon, Mary Ann Kerwin, Marian Leonard Tompson — while these 7 names may not ring a bell, what they did has influenced so many lives all around the world. These 7 ladies founded La Leche League International (LLLI).

It’s because of LLLI that we celebrate World Breastfeeding Week each year!

La Leche League International is an organization that promotes breastfeeding. Its mission is to help mothers worldwide to breastfeed through mother-to-mother support, encouragement, information, and education, and to promote a better understanding of breastfeeding as an important element in the healthy development of the baby and mother.

Elaborating on their mission, LLLI’s philosophy is comprised of 10 statements:

  1. Mother Baby Embrace ClayMothering through breastfeeding is the most natural and effective way of understanding and satisfying the needs of the baby.
  2. Mother and baby need to be together early and often to establish a satisfying relationship and an adequate milk supply.
  3. In the early years, the baby has an intense need to be with his mother, which is as basic as his need for food.
  4. Human milk is the natural food for babies, uniquely meeting their changing needs.
  5. For the healthy, full-term baby, breast milk is the only food necessary until the baby shows signs of needing solids — about the middle of the first year after birth.
  6. Ideally the breastfeeding relationship will continue until the baby outgrows the need.
  7. Alert and active participation by the mother in childbirth is a help in getting breastfeeding off to a good start.
  8. Breastfeeding is enhanced and the nursing couple sustained by the loving support, help, and companionship of the baby’s father. A father’s unique relationship with his baby is an important element in the child’s development from early infancy.
  9. Good nutrition means eating a well-balanced and varied diet of foods in as close to their natural state as possible.
  10. From infancy on, children need loving guidance which reflects acceptance of their capabilities and sensitivity to their feelings.

With a vision of what breastfeeding could and should be, a mission was created, principles stated, and an organization that would change the world of breastfeeding became: La Leche League.

With a decline in breastfeeding rates, the first La Leche League meeting took place in Franklin Park, Illinois, USA, at the home of cofounder Mary White in October 1956. As the organization began to grow, the founders set a clear purpose, and the first edition of book, The Womanly Art of Breastfeeding was published.

In 1960, the first Canadian Le Leche League was established. Two years later, “chapters” were created with 5 groups in each. By 1963, the second edition of The Womanly Art of Breastfeeding made an appearance. By 1964, the group changed its name to Le Leche League International as the organization has spread to Canada, Mexico, and New Zealand. This year also marked the first LLLI conference. From 1972-1979, more Le Leche League organizations were established throughout Europe, and breastfeeding rates were improving. In 1981, the 25th Anniversary LLLI Conference was held with a record number of attendees, and the third edition — revised and expanded — of The Womanly Art of Breastfeeding was published. Throughout the 1980s, LLLI published various books. Then, in 1985, the International Board of Lactation Consultant Examiners — created through help from LLLI — began its certification program, and the first IBCLC exam took place.

Although breastfeeding rates had increased to 61.9% in the early ’80s, by 1990, the rate had dropped to 50%, and in 1991, LLLI and other organizations and individuals came together to create the World Alliance for Breastfeeding Action. The first World Breastfeeding Week took place in 1992. In 1994, LLLI moved its central office to Schaumburg, Illinois, USA, and the following year, the LLLI website was created. Breastfeeding rates increased to nearly 60%.

During the first decade of the 21st century, LLLI continued to grow, accrediting new leaders in various countries including Bulgaria and Ukraine. In 2006, the 50th Anniversary of LLLI was celebrated, and in 2009, LLLI created a Facebook page. In 2010, the 8th edition of The Womanly Art of Breastfeeding was released not only in English but other languages. Since then, LLLI has continued to accredit leaders in countries, helping the organization grow and spread its important mission.

As we celebrate World Breastfeeding Week, we acknowledge LLLI’s notable contribution to breastfeeding and also recognize the extraordinary women, the founders of LLLI, for their initiative and hard work making LLLI what it is today.

Spring Mini Series Installment #1 – Baby Training and the Breast

Baby training stems from the idea that babies need to become independent as quickly as possible. It is beneficial to everyone involved if a baby conforms to some sort of schedule. The primary thought being that babies need to fit in to the family instead of the family flexing around the new child.

The starting point for all this is generally eating, which is what this blog post will focus on.

It is a commonly held belief among baby trainers that children should be fed on a set schedule so that they are able to sleep better and do not suffer from digestive problems. That may sound all well and good but there are some difficulties that immediately arise from this train of thought. The first question may be how often do you feed your baby? Baby training would have a “flexible” set schedule. That immediately caught my attention. How do you have a flexible set schedule? Aren’t flexible and set opposites? Parents who are baby training are to set a strict schedule that allows for flexibility (go ponder that one for a while). This “flexible” set schedule is desired so that you can have your baby sleeping through the night and eating on your schedule as soon as possible. When performed by a trusted and experienced plastic surgeon like Dr. Jim Brantner M.D., breast augmentation is a safe and relatively pain-free procedure with an abundance of benefits. Studies have shown that breast implants or breast augmentation surgery can help boost confidence, self-esteem, body image, and sexual satisfaction. Breast augmentation can also give you a more youthful appearance and open up a whole new world of style and fashion choices for you. Once you’ve discussed your options with Dr. Brantner and decided on the perfect size and shape for your new breasts, you’ll be ready to go in for your procedure. During treatment, you will undergo anesthesia from one of our board-certified anesthesiologists. We recommend general anesthesia which will allow you to sleep comfortably through the procedure, minimizing stress. For the surgery itself, two incisions will be made according to the plans you discussed with Dr. Brantner and the implants will be placed and adjusted until the shape and fit are perfect.

Continue reading “Spring Mini Series Installment #1 – Baby Training and the Breast”

AP while on vacation

We have just returned from a holiday which lasted 4 weeks. We have been to 4 countries, visited our extended families, went to the beach and stayed at 7 different places.
I was a bit anxious that it would be too much for our 20 month old daughter but she handled it very well.
We don’t need many things to keep our baby secure and content, even in unfamiliar places. Attachment parenting allows us to travel lightly. We never need to carry a travel cot or think about where our baby will sleep. We don’t need to take a stroller with us, our baby carrier does the job, all we need to worry about is having insurance, luckily, now a days you can even find travel insurance for seniors, which is great because we travel with our parents most of the time.

During the first 2 weeks, we were in Belgium visiting my sister. While we were there, we decided to go to Paris for a day trip. One morning we took the train from Brussels and within one hour we were there.

We visited all those well known places and around six o’clock we headed to the Eiffel Tower. We would just have a look and leave. We were already tired and hungry and we were reckoning that there would be a long queue of people who wanted to go up. However there wasn’t and suddenly we decided to go up and see what it is all about. So our visit took longer than we anticipated. Poor Daphne was very hungry and wanted to breastfeed. She was in the carrier, so most people didn’t notice it but a few women smiled at us. Who would have thought that I’d breastfeed her at the top of the Eiffel Tower?  Well, it was a lovely moment that I’ll never forget.

Isil writes about attachment parenting and vegan cooking at Veggie Way.

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