Following Cues: Breastfeeding Journey

Vaishali and her daughter. Following Cues: Breastfeeding Journey

After finishing her Masters in Biotechnology, Vaishali B realized that she had zero patience for research and decided to explore her first love of teaching! She got a chance to do so during her stint at the TeachIndia campaign, and she is a high school Biology teacher, now on a sabbatical. Having lived almost all her life in Mumbai and suddenly shifting to Chennai after marriage, Vaishali had a lot of time in hand to pursue reading, writing and cooking. However, she believes that motherhood has changed her. She has become more hands-on and deeply influenced by natural as well as scientific parenting. And that led to the start of her blog on early learning, the books she reads with her daughter, Montessori education and gentle parenting. You can read more about the dynamic mother-daughter duo on Amma Today on their website, Instagram and Facebook (FB). Vaishali currently freelances from home and plans to get back to teaching once the little one starts full day school. In the meanwhile, Vivikthya, her 2 year old, keeps her on her toes, mind active and teaches her new lessons in patience, thinking and love every day. 1. Vaishali, you had a great support system in the form of your doctor during your pregnancy. Could you tell us about your birthing experience? During pregnancy, I focused only on my bump, the kicks, and the delivery that I did not pay attention to breastfeeding. I have been truly blessed and lucky to have found a supportive gynaecologist who conducted monthly prenatal classes. One session had a paediatrician cover the basics of breastfeeding – the whys and hows. In fact, she also emphasized on nursing in public (NIP) being absolutely normal and how to take ‘milk supply is not enough’ comments in our stride. I had a beautiful pregnancy surrounded by family, friends and chirpy students. Everyone predicted an early delivery; so imagine my disappointment when 2 days past my expected delivery date (edd) there were no signs of labour. My gynaecologist was supportive of a natural birth process but since I had oligohydraminos (water level had reduced greatly), she induced me using a Folley balloon catheter. After 11 hours of labour, my girl made a dramatic entry, vaginally. 2. I am glad you had a delivery, free of unnecessary interventions. How was your first experience with breastfeeding? The doctors were particular that I be the first one to hold her for a second before she was sent off to get cleaned. She was then brought back to be fed within the golden hour. The nurses, doctors and residents ensured I had no issues in breastfeeding. The first latch, to be honest, was painful. And all I could see were 2 drops. I did worry if it was enough. The gynaecs and support staff helped me with the latch immediately. The first few days were awkward. Plus V was a chomper and cluster fed a lot. I think I broke down on day 2 when I was already having a hard time, and the hospital’s Lactation Consultant (LC) came for rounds and announced to my husband, “Doodh enough nahi hai (There is not enough milk). Ask her to nurse more. Or else the baby will keep crying.” Well, that was just the beginning. V had acute colic, and has been almost singularly only with me since birth. It seemed like we were nursing for major part of the day. To add to it, random people would stop me and advise me about my milk supply on hearing her cries. At about 6 weeks, there was a week when she slept through the night and I woke with heavy breasts. That was when I saw with my own eyes that there was enough milk and decided to turn a deaf ear to unwelcome suggestions. A pediatrician advised to have galactagogue; I wish I hadn’t done that, simply because there was no need. One fine day I decided to stop as I kept gaining weight steadily after having them. Guess what? My supply primarily depended on V’s suckling. Hence, not affected. 3. You did struggle a bit during the initial few weeks. How did you manage? My husband had to go back to his work city the day after we got back home from the hospital. My dad had to go back to work and mom developed a condition in her shoulder because of which she couldn’t move her hands for the next couple of weeks. Thus, although we had help for other chores, baby care primarily fell on my shoulders. My girl had severe colic. I used to dread the 4-10p.m window. She refused anybody else and had to be carried and rocked the entire time. The first few weeks were hard. Due to cluster feeding, I had sore nipples and my back hurt. But once I started nursing lying down, and babywearing her, I think I got some of my sanity back. Everybody helped in whatever little way they could, whenever they could. My mum looked up lactation friendly recipes and my dad massaged my back while I nursed V during her infant days. After I went back to my husband, he would get up at nights to help burp the baby. He even cooked the next day because I was exhausted from being awake the whole night. That’s how I managed! 4. It is amazing when you have your family as your little army of support! Absolutely! I also have to mention the Breastfeeding Support for Indian Mothers (BSIM) FB group which has time and again given me the will to continue on extremely hard days. They made me realize that full term breastfeeding should not be a taboo. And last but not the least, I have to mention my mommy tribe – my gang of girls to whom I vented out on hard days. They made it seem like it’s okay because, they are going through it too. I don’t think I can

The Learning Curve: Breastfeeding Journey

Sinduja S with Kayalvizhi. The Learning Curve: Breastfeeding Journey

A doting mother to Kayalvizhi, her 2 years and 3 months old, Sinduja loves to bake and read; her companions to get through difficult parenting days with ease. She says, “My kindle was and is still my savior during late night feeding sessions, growth spurts and cluster feedings. Sinduja is a software professional for 7 years and is absolutely rocking the balance between work and home. Read her successful journey to the top of the learning curve. 1. Sinduja, you seemed to have prepared yourself for breastfeeding in the few months leading up to your delivery. I have always seen my cousins feeding their kids. So my initial knowledge about breastfeeding was that it is a natural process and milk secretion will begin as soon as the baby comes out. I had no idea about the complexities surrounding it. Luckily for me, my close friend Manju added me to a Facebook support group, Breastfeeding Support for Indian Mothers (BSIM), when I was 5 months pregnant. Since I have a passion for reading, I just started reading through the various documents in the group. This played a major role in my breastfeeding journey. I got to know that WHO recommends breastfeeding exclusive breastfeeding for 6 months and with solids for a minimum of 2 years. The posts from other members regarding issues they face created awareness for me. I learnt about growth spurts, cluster feedings, nipple pain, engorgement, etc and also got to know the various myths associated with feeding. This was all in total contrast to what I had originally known about breastfeeding. Based on the information provided on the group, I knew I had short and flat nipples and I learnt the deep latching techniques to prepare myself. “I concluded that breastfeeding is an art which has a learning curve associated with it; to be mastered by the mother and child.” 2. Wow, that’s just truly commendable! So did all the knowledge and preparation help when it came down to actually breastfeeding? Apart from a few hiccups, it was a pretty smooth journey from day 1. I had an induced vaginal delivery using vacuum and had an epidural as well. I started feeding my daughter within 2 hours of birth. Luckily for me, she latched like a pro from the beginning and I also had a good supply. In spite of all this, she had lost more than 12% of her birth weight. So, a ‘namesake’ Lactation Consultant (LC) from the hospital checked and advised me to use a nipple shield. Since I had already read about the cons of using a shield I refused to use it. Due to neonatal jaundice, they kept my daughter inside a phototherapy glass box . They asked me to give her top feed (formula) with my pumped milk since she was not gaining weight. They also prescribed galactogogues. Though I knew pumping wasn’t advisable in the initial days and galactogogues may mess up my supply, the mom in me refused to budge. Instead I continued to give her my pumped milk as a top feed and fortunately she started gaining weight from the next day. We had another setback when she stopped pooping from the time she was kept inside the phototherapy box. Everyone constantly kept saying that the jaundice will reduce only when she poops. They gave her anal stimulation. She pooped once bringing down the jaundice level leading to our discharge. But the struggle was after we got home. She wasn’t pooping and that is when I began to doubt my supply. Thankfully, there was no pressure to give formula. I went to a certified LC, Swati Jagdish, in Coimbatore (India). She helped me understand how breast milk works with babies easing my tensions. Coincidentally, my daughter started pooping regularly from then. 3. You went back to work when your daughter turned 6 months. How did you manage to continue breastfeeding? Nothing would have been possible without my awesome support system – my parents, sister and husband. They were all equally involved in taking care of the baby and all I had to do was nurse her. When I came to Bangalore (India) after 6 months, my mom accompanied me and continues to stay with us as I have a full time job. I had flexible working hours and I could choose between working out of home or office. Till she turned 11 months, I pumped once in the morning which was sufficient for 2 feeds. I would be home for lunch by the time the pumped milk got over and continued to work from home. Since she had taken well to solids by then, I slowly increased my hours at the office. Till she was 15 months, I pumped in the mornings and then transitioned her to cow’s milk. We breastfed directly when together. 4. A solid support system does make a whole lot of difference in a breastfeeding journey. But there came in a point in your journey when you had nursing aversions. How did you overcome it? Things were going good until we hit the 18th month growth spurt. She demanded to be fed every 5 mins when together. While some days went well, some days were really rough. At one point the nursing aversions were at its peak. I ended up staying longer hours in the office only to avoid breastfeeding. Honestly, I was on the verge of quitting but kept telling myself that this is just a phase. The online support groups were my savior. They gave me the necessary push to carry on. And just like that, we crossed the big milestone of nursing for 2 years. And I take pride in saying that we haven’t visited a hospital even once for anything other than vaccinations in these 2 years. All thanks to the immunity built through breastfeeding. Things are a lot better now and she understands when I say I can’t feed her as I’m tired. The journey has become a lot

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