Category Archives: Baby care

Laid Back Breastfeeding AKA Biological Nurturing

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Recently I discussed this method of breastfeeding to a new mum who was having a few problems with obtaining a good latch resulting in sore nipples. She was pretty sceptical and because I was the only person amongst all the health care professionals she had encountered since the birth of her baby, including nurses and a lactation consultant, who had mentioned it she was mulling it over. In the meantime, I had suggested side feeding, which seemed to be the best bet for a good latch. After going to the 2nd Lactation Consultant a week later, who convinced her it was worth a go, she tried it whilst with the lactation consultant and found that it was a great way of getting the baby to latch. She came home, tried to replicate the experience and did not succeed, she went back to cross-cradle hold and side feeding. Baby was having the most success with a good latch in the lying sideways position.

When I visited the next day and we we talking about how things went with the IBCLC, she said that she wanted to give the laid back method another go, and would I help her to achieve this. I said of course I could and we set on an adventure, baby, mum, dad and I. We undressed baby, placed baby on mum and watched in amazement as baby made her way to the breast. She had some assistance from mum who placed her within the vicinity of a nipple and she appeared to do the rest. How wonderful, baby led breastfeeding and attachment. Admittedly mum had to be careful that baby did not clamp down too hard on the healing nipples, by directing the breast towards baby’s wide open mouth, but it was minimal assistance as opposed to having had to bring baby to her breast as in all the other positions and methods that had been used previously. Mum too felt more relaxed and comfortable, bringing her arm down to support baby’s head as in a modified cradle position. Mum said the laid back position she was in also reduced the back and shoulder strain she had experienced previously in the more traditional feeding positions. Success.

The first time I heard about biological nurturing was when I attended  CAPPA lactation educator’s training, being delivered by Attie Sandink IBCLC extrodinaire. I had been a midwife in the UK and practised for 6 years, till the year 2000 and a nurse after that until 2009, and never once had I heard about laid back breastfeeding.  The DVDs were amazing to watch but to see it for oneself live is the best thing ever. For this I can thank my current clients. Dr S Colson brought this method to us and we should teach all new mums about it.

Here is a link to an article by By Nancy Mohrbacher, IBCLC, FILCA about biological nurturing. 

https://breastfeedingusa.org/content/article/some-ins-and-outs-laid-back-breastfeeding

 Here’s a link to Suzanne Coulson’s video on Biological Nurturing

http://www.biologicalnurturing.com/video/bn3clip.html

Yet another link to Dr S Colson’s work and words

http://www.midwiferytoday.com/articles/biologicalnurturing.asp

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Baby Whisperer Part 2

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This name was given to me by 2 sets of parents recently. I happen to turn up for work and their babies just happen to be going through a fractious phase. I step in, say hello, and offer to have baby and, voila… baby calms down and quietens.  The parents stare at me in disbelief and awe, which I am almost unaware of. Then they say, “What did you do?” Or, “How did you do that?”  In all honesty, I don’t know myself, but I have some theories to explain what is happening.  I am penning this right of the top of my head and it’s by no means evidence based. It may be interesting to explore the evidence in support some of my techniques for settling babies… I guess that will be in Baby Whisperer Part 3.

The early days of parenthood are wonderful and amazing times. It can also be a time of stress and these precious miracles called babies are very adept at feeling the stress their parents feel.  So, my theory is that when I take over from them, being the calm, confident postpartum doula that I am, the babies sense this too, and calms down, as the stress around them has been removed.

Once the babies are clam and quiet, stop crying and fussing, the stress levels in their parents drop too, so that when I hand the babies back to them, all is calm and great.

Now, in the back of my mind, I see a potential drawback. I want to empower my clients to become confident parents. I don’t want to be the only one who can calm their fractious baby. So, I explain to them about the stresses of the early days of parenthood and discuss ways of dealing with these stresses and anxieties. It’s a huge learning curve becoming a parent for the first time and of course they are going to be anxious and have a lot of concerns and questions.

Why do babies cry?  Babies cry primarily because it’s their only means of communicating with us until they learn how to talk.  And it is our duty as ‘Sherlock Holmes’ parents to decipher what that crying means. They are trying to communicate to us that they may be hungry, they may have  wet or soiled their diaper, they may have gas or they may have been startled. It may even be too quiet for them.  They are not used to being left alone, after all, they have spent the last 40 weeks in their mother’s uterus listening to the swishing, pulsating of the placenta and their mother’s heartbeat. Not to mention all that borborygmi! They can also hear mum’s voice and that of others all through their watery world of amniotic fluid.

And so they are born. All of a sudden their noisy world becomes a relatively quiet one. It must take a bit of getting used to. Maybe this is why white noise machines seem to be a must thing to have these days, though I must admit I did not have one for my children. I co-slept with them, and I guess that having us close to them comforted them enough to negate the need for any white noise.

So, in order to calm a baby, go through the list of why she/he may be crying, one by one until you solve the mystery. Eventually, you’ll get used to baby’s cries and reactions, and discover the reason fairly easily. In the early days though, going through the list mentally in your head may help. If baby is rooting – opening her mouth as though searching for a breast – feed her. If she has been fed, and is not settling, burp her, check her diaper and maybe check if she needs topping up.  Swaddling is going out of fashion and there have been some recent recommendations by the Ontario Nurses Association advising against swaddling.  The following link is just one write-up of many written about the new guidelines.

http://www.canadapress.org/health/2014/03/05/new-guidelines-reopen-great-swaddling-debate/

Bearing this in mind, I do not advise my clients to swaddle their babies, if they decide to do so, I advise them of the risks so they can make their own informed decision.

In conclusion, I don’t think I am a baby whisperer nor do I profess to be one. I am an enabler and educator. There are many ways of settling a baby and it may seem like a mystery but if you go through the possible reasons as to why a baby may be unhappy, you’ll soon discover the cause and solve the problem. It’s all about learning,  learning to be confident parents and babies learning to communicate with their parents.

 

 

You’re the baby whisperer!

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Just a quick entry as I am due at work in 8 minutes. Just wanted to pen this down and write more about this later when I have a bit more time. I have been called this twice by clients recently… It’s a great compliment but I tell my clients that it’s not what I set out to be!  And if indeed I am a baby whisperer than I will impart these skills to my clients so they too become their baby’s baby whisperer.

Anyhow, will return to this in due course… more to follow. Got to dash now.