Teaching (and Debating) Breastfeeding

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At 9:30 a week ago tonight, my cell phone rang.  By the time I was down the stairs and into the dining room (praying the ring wouldn’t wake up Nora), it had stopped.  I didn’t recognize the number, and so I didn’t bother to listen to the message.  Ten minutes later, though, curiosity got the best of me, and I logged into Google Voice.

“Hi Amber, it’s Desiree…”

I stopped the message right there and called back.  No answer; I left a message.  Two minutes later she called me back.  We chated breifly about how hard it’s been to catch one another, then she asked me three simple questions:

“Did you find the Preview helpful?”

“How did the Preview help you to prepare for leadership?”

“Do you feel ready to assume the responsibilities for leadership?”

And then she said the words I have been waiting to hear for more than a year and a half, “I want to congratulate you on becoming a La Leche League Leader.”

After 18 months of reading, group meetings, one-on-one leader preparation meetings, essay writing, role playing, and lots and lots of discussion, I am officially a La Leche League Leader.  There were lost emails, a move, and tons of other crazy little things that held my application up, but finally I am adding another piece to the puzzle that is my vision of supporting new moms.  I’m so excited about partnering with the amazing leader we already have here on island, and all the great things we will be doing (on top for everything Sunny already does).  It seemed like perfect timing, too, because last week was a week of breastfeeding excitement, with the joint decision of the seven birthing hospitals in Rhode Island to no longer hand out free formula sample “gift” bags as mothers leave the hospital.

It was an exciting week, but it was also a week during which I felt much frustration, and internally debated my own thoughts about breastfeeding and how to talk about it with others.  I’m a research person.  I have PubMed on my short cut bar and I subscribe to RSS feeds for Pediatrics  and the Journal of Human Lactation among others.  As a parent, I’ve always done my own research on health related topics, relying largely on peer-reviewed studies.  I like to get the facts first hand rather than from someone else, and I want information that is given to me to be backed up by legitimate science.  That’s just who I am.  As a lactation counselor, I was again trained to rely only on the research.  Look at what the science says, not anecdotes.

Last week, as the news about Rhode Island came out, I couldn’t imagine how anyone would be upset about the hospital’s joint decision.  Research shows two things: (1) free formula negatively impacts breastfeeding, and (2) families are more likely to purchase the brand of formula that they received at the hospital (even when other formulas are equal nutritionally and cheaper).  Breastfeeding advocates should rejoice because one less “booby trap” is in the way of breastfeeding successfully, and formula feeders should have rejoiced because new moms will no longer be taking for a (very expensive) marketing ride.  Win, win, right?

Wrong.  Everywhere I looked, it was the breastfeeding wars.  Apparently, a lot of people believe all mothers should get the first few days of formula for free and that by not providing free food to the babies, hospitals are taking away the mother’s right to choose or judging her, or something.

As a CLC and a person who very heavily relies on research, science, and facts, I was more than a little dismayed by the lack of factually based arguments.  Of course, there were people who relied on anecdotes (“my baby had formula and is just fine”), but there were also lots and lots of people who spread some genuinely horrible and inaccurate information (“not all mothers’ milk comes in while at the hospital and so they need the formula to feed until it does”).  I loosely followed the comments on the Huffington Post article, only weighing in once or twice, but mostly reading and wondering what I could possibly do to fix this.

I wish every woman and man saw breastfeeding everywhere, from childhood on.  I wish it was so normal that we didn’t even think about formula; that formula was for extreme circumstances only, not most babies in the U.S., and that there was no need for CLCs or LLL because any new mom could ask her mother, sister, or aunts about breastfeeding.  I wish every woman could sit through the 40 hour class I took, hearing day after day, hour after hour about the facts surrounding breastfeeding.  Amazing research about benefits, truths about risks associated with formula, and some surprising recommendations.  I wish there was some way to share all that reasearch without “making” someone feel guilty or judged.  And I wish that those formula feeding moms who say we are judging them were wrong.

Yes, I’ll admit to it; I do judge formula-feeding moms a little bit.  I do not understand how, in light of piles and piles of research, an educated, smart, and intelligent woman can make the decision to not try breastfeeding, not even once.  When I hear a mother is planning on supplementing with formula or has switched completely, my first instinct is to find out why, what she did or did not do to make breastfeeding unsuccessful, and that instinct bothers me.  That should not be the first thought that comes to mind.

As a CLC, my job is to support mothers in having the best breastfeeding relationship possible with their babies, whether it’s for 3 days, 3 weeks, 3 months or 3 years.  As a LLL leader, it is exactly the same thing.  I need to be able to educate women on the science so they can make informed choices about what is best for their family, and then I need to give them the tools and support necessary to make that choice a reality, no matter what it is.  In practice, I have no problem doing that, but internally I do sometimes struggle.  I find myself wondering, if the science so clearly says breast is best, then how can I in good conscience support someone in giving their baby second best?

Even after a year of CLC work, I’m still nervous about how to do it all well: what information to share and what not to share; how to keep my own personal feelings separate; how address misconceptions and incorrect information without drowning it in science overkill; how to make sure a mother who chooses something different doesn’t feel bad about that choice even when the science says she should…   I’m still learning how much enthusiasm to share or not share, and always, always wondering how to get more people engaged.

I am so very excited to be a LLL leader and to continue to help mothers here on island (my first meeting is Saturday!), but I’m also very aware of what an awesome responsibility it is, and (I won’t lie) I’m a little nervous, too.  Wish me luck, would you?

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Comments

6 responses

  1. Wow! Congrats and good luck! I’m sure you’ll be just wonderful at it, considering the time, training and passion you have invested in it. I think it’s so cool that you’re doing this, and what an awesome service to offer your community.

    I could have used someone like you when my baby was born. I ended up formula feeding, if only because 1) I was very young and completely ignorant; 2) I tried to breastfeed and nothing came out so I didn’t know what to do (re: ignorance); 3) I was in a foreign country and there wasn’t anyone to clearly explain to me what to do. Now, those may sound like excuses, but when you’re 20 years old, confused, and flying by the seat of your pants, it’s hard to know what to do. Support groups and services like yours are essential to women, especially maybe those who are younger and don’t have nearby support of family members.

    Keep up the good work!!

    1. Not excuses at all. I wish it wasn’t the case, but there is so much misinformation out there (the hardest part about reading comments on news articles/posts about breastfeeding is seeing the poor advice women often give one another), I completely understand why many women aren’t able to meet their own goals for breastfeeding. I had a lot of trouble in the beginning and if I hadn’t had a very supportive husband and a friend who was a CLC, there is no way I would have kept going.

  2. BEST of luck! Nantucket is lucky to have you!

  3. Lovelorn Poets Avatar
    Lovelorn Poets

    You’re going to be such a great resource because you want to fully understand the facts and research. People will come to trust your advice because you’ll be able to answers their questions accurately and help them. Good luck!

  4. BiblioMOMia Avatar
    BiblioMOMia

    I happily and successfully breastfed my son until 13 months, when he self-weaned. I am going to share two very different meetings with lactation consultants with you, in the hopes that you understand the power of your new position.

    In the hospital immediately following my son’s birth, I met with two lactation consultants. It’s a VERY breastfeeding-friendly hospital (probably because it’s an academic hospital in a major city–they follow the research). I was absolutely, 100%, totally committed to breastfeeding before my child was born. And I have NEVER–in my whole life, up to and following that moment–felt so despondent as when that first lactation counselor left my bedside.

    We had already successfully latched–he was placed immediately on my chest after birth, and I was feeding him within 10-15 minutes. My nurses had been ecstatic and supportive and wonderful at our success and our intuition. My husband was being useful and remembering all their hints to help me later. Then, this woman pushed into my room, manhandled my breasts and me (putting me into “better” positions that were VERY uncomfortable following delivery, and “expressing” my nipples for colostrom when it was obvious I was producing tons of it)…and then she made my son cry. My tiny son, who was such a champion that nothing yet had bothered him–she shoved her finger in his mouth to check for tongue-tie, and I’m pretty sure her nail nicked his soft-palette. I was sobbing, my child was sobbing, and my husband was closer to physical violence than I have EVER seen him. Then, she proceeded to tell me that our latch was all wrong (it wasn’t), and that it would “destroy” my nipples (it didn’t), that I was lying when I said the latch didn’t hurt (I wasn’t), and that my son was tongue-tied and would never be able to eat correctly unless he had a frenulectomy immediately, hopefully the next day. I was out of it, but my husband spoke up–he would read the literature and consult with our pediatrician that afternoon to decide if the surgery was necessary.

    I was devastated. I had been so hopeful–we were latching! He was eating! A lot! The nurses said we were doing well! He hadn’t lost any weight in his first day! And that women swept in my room and turned me into a frightened, anxious, and depressed new mom. I don’t know what I would have done without my husband–an amazing advocate for my health and that of our child–or our wonderful pediatrician, or my amazing nursing staff. I can tell you–100%–that I would have given up.

    My child did not and does not have tongue-tie. He never lost weight–not an ounce. I never had a single problem with latching. We found out later that our consultant was writing a huge paper on ankyloglossia–she probably just wanted other patients for her study. The whole situation was a nightmare. The one hour I spent with that woman in that room directly fueled my dangerous bout with postpartum depression. If she walks in the room when we have our next child, she will be forcibly evicted. Perhaps by my husband’s fist–and he’s a doctor in the same hospital.

    I tell you this story for one major reason. All of those things that she did are things we wanted, as progressive and educated parents. We WANTED that lactation consultation, even after educating ourselves beforehand. We TRUSTED her opinion. But we were also educated enough to know that she might be wrong–I hate to think what she might have said to other less-informed new moms. Everything she did was “right”–and it destroyed me.

    I saw another consultant on the morning we left the hospital. She had such gentle hands when she held my son. She talked quietly, and nudged me gently to offer a better position. She smiled a huge smile and offered words of praise at our easy latch. And then, when I told her about what had happened with her colleague, and when I started to cry–she held my hands as the tears fell. She let me cry–the tears hitting my son’s head as he suckled away–and then she told me I was doing an amazing job, not to give up, and gave me a hug.

    Be the second one, not the first. This isn’t a position of agenda-pushing. It’s a position of compassion and guidance. It’s not a strong arm to make the women do the right thing–it’s a supportive hand to lead the woman and her child on the natural path. You are the gatekeeper to a tradition that is thousands of years old. Please, please, please be careful with the trust that you are given. I am a HUGE advocate of LLL, and I wouldn’t wish my experience on anyone.

    1. Wow. Thank you so much for sharing your experiences. I’m sorry to say that it’s not just other moms who can spread misinformation or cause problems in the breastfeeding relationships, unfortunately there are a lot of breastfeeding “professionals” that do it too. My best friend is an OBGYN and some of the stories she tells me about lactation consultants are so, so sad. I’m glad that you had a second, better experience, were able to realize that the first LC was not someone to listen to, and that you had a breastfeeding experience you are happy with.

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