Breastfeeding Beyond World Breastfeeding Week

Breastfeeding's on my brain. This past week has been World Breastfeeding Week celebrated this year from August 1st to August 7th. I feel a little guilty because I feel like I should be out there in public with a sign touting breastfeeding this week, but in the mom zone sometimes I just can't add one more thing to my life to organize and get together. And I don't even have a breastfeeding baby to tote along any more for all the Latch-Ons that are being organized.

My efforts to help mothers succeed at breastfeeding come from leading monthly breastfeeding support meetings, helping and supporting moms on the phone and through my childbirth education classes. Education and correct information help pave the way to successful breastfeeding, but the most crucial element is support. Each mother that I work with I can offer support to and by doing so help to her achieve her breastfeeding goals. So, I work quietly behind the scenes helping one-on-one.

I am disheartened by the current breastfeeding rates. When I read on the World Breastfeeding Week page that according to UNICEF's State of the World's Children Report 2011 only 32.7% of 136.7 million babies are exclusively breastfed in the first six months, I felt shocked. For the United States specifically, our report card is pretty lame -- only 14.8% of our babies are breastfed exclusively for the first six months. Here in California, the rates go up to a whopping 25.7%. We're double the national rate, but still way below where we need to be for our children. Only a quarter of our CA babies still breastfeeding exclusively at six months? This actually meets the Healthy People 2020 Breastfeeding Objectives - but why is the goal so low?

I feel passionately about the importance of breastfeeding. Yes, I know that breastfeeding has incredible health benefits for both the mother and the baby. Yes, I know that breastfeeding is good for the environment. Yes, I know that breast milk is the baby's normal food and that formula is better looked upon as a medicine to be used only when its truly needed. Yes, I know that breastfed babies generally have higher IQ's. I know that breastfeeding has many benefits.

Yet, the main reason I feel passionately about breastfeeding is for a reason that can't necessarily be measured in concrete terms. For me the real power of breastfeeding lies in the strength of connection and the sense of wholeness breastfeeding gives to each new little person born into to this world. A breastfeeding baby is living his biologically correct destiny -- he is designed to breastfeed. Breastfeeding meets his needs for food, for comfort and for connection. Breastfeeding fulfills his efforts at communicating; the breastfeeding mother who responds to her baby, nurses her baby, and holds her baby in her arms enables her child to feel wholly understood. A baby (or child) who feels understood feels good about himself and at peace with the world.

This is a depth of communication between a mother and her infant that can only be found through the act of breastfeeding. Breastfeeding is an intricate dance of mutual and reciprocal communication between mother and child. I suppose that would fall under the title heading of "bonding', which I hesitate to use here because it's not specific enough; it's easy for some to minimize breastfeeding's necessity in this role; certainly there are other ways of bonding besides breastfeeding. But the breastfeeding relationship is a very specific form of communication that is different from any other.

Part of feeling deeply attached to another person lies in good communication; for babies, good communication -- which lays the foundation for the baby's sense of self -- starts with breastfeeding. Biologically and emotionally a baby needs to breastfeed. When he is in a mutually responsive breastfeeding relationship, he learns that he has the power to make things happen; his attempts at communicating with mother, the sun at the center of his universe, are fulfilled and he feels good. The world needs more children who feel understood, at peace and good.

When a mother chooses not to breastfeed or weans her baby prematurely (which I would consider six months to be) she closes a door of communication. She breaks connection. She looses a tool that cultivates sensitivity and attunement that can help her communicate best with her child. Her child's best way of communicating and getting his needs met has been unplugged. His need for her can more easily be diverted to a less satisfying object like a bottle or pacifier; a bottle or pacifier can make it easier for the mother to focus on other things rather than holding her baby in her arms and connecting to him. It can make it more likely that she will be less sensitive to his needs and helping him develop a good sense of self which is found through positive interaction with her.

Breastfeeding reminds the mother to stay in communication with her baby. When the mother is exclusively breastfeeding there is no denying that she is essential to her baby -- she is the only one who can meet her baby's needs to connect and communicate in this very specific way that is so essential to his well-being. She is the only one who can empower him fully in this way, laying the groundwork for a healthy and balanced human being.

I nursed both my daughters for many years. This breastfeeding relationship was essential in helping me to understand my daughters' needs and to respond to them; I developed a more highly-tuned sensitivity to their needs and a deep level of communicating with them. In doing so, I helped them to develop a strong sense of themselves. I am not sure why I nursed so long (it certainly wasn't a goal of mine), except that it seemed to be important to them and I trusted that if they felt they needed to nurse, then it must be essential for their development. I know without a doubt that our relationship and their sense of self would have been much different without breastfeeding.

I do not blame or look down on mothers who nurse for less time. I understand that our society is very hostile to breastfeeding and makes it difficult. I understand our birth practices in the United States make it challenging for mothers and babies right from the get go. I know that formula marketing and the formula companies' priorities of putting profits before human health undermine breastfeeding. I understand that many families lack enough support after having a child to help them succeed at breastfeeding. Don't even get me started about the lack of maternity leave for our new mothers. I understand that there are many obstacles.

Yet, this understanding this does not make me feel less sad for the babies who are not being breastfed or are breastfed for only a very short time. This is doing a disservice to our children - a disservice to our future. This is doing a disservice to mothers who also can feel a great sense of empowerment at their ability to provide for their children's needs at their breast. Not breastfeeding is a loss all around on many levels.

Our babies need the sense of peace and well-being that the act of nursing at their mother's breast provides. Our babies need this essential act of communication that can help foster a heightened level of sensitivity that is found in the breastfeeding mother. Our world needs children who feel understood and who approach the world with openness and peace; in order to understand and feel empathy, our children need to experience it first -- experience it at the breast. We need to find a way to keep the doors of this vital form of communication open for our mothers and babies.

Today, World Breastfeeding Week ends, but each and every day it is our responsibility to help our sisters, our daughters, our neighbors and yes, even our enemies, to achieve breastfeeding success. This is the one of surest ways we can bring a balanced sense of self to our children -- helping them become persons with a strong and healthy sense of self balanced with empathy and understanding. Persons who can work on healing and restoring balance to our world. Persons who understand the value of life.

So today or tomorrow, whenever you next have the to blessing to witness a mother nursing her baby, give her an encouraging smile, a wink or even two thumbs up. Let's let mothers know we support and value their efforts.

Safe Sleep Campaign Butchers Breastfeeding

So, breastfeeding got stabbed in the back this week with Milwaukee's launch of the new photos for its Safe Sleep Awareness Campaign. Perhaps you've seen the controversial photographs of babies sleeping in fluffy beds with big knives right next to them?

Gee, how subtle.

What I find particularly disturbing about this campaign is that by focusing on scaring people from co-sleeping the City of Milwaukee Health Department abdicates taking on the real issues contributing to infant deaths in their area. "Co-sleeping" is a easy scapegoat. Issues such as low rates of breastfeeding, alcohol and drug abuse, smoking, economic stress, poor pre-natal care, specifics of unsafe sleeping conditions, and lack of real support for mothers (especially single mothers) are swept aside. Instead, we get a one-size fits all blanket statement "Co-sleeping in a bed with your baby is as dangerous as your baby sleeping with a butcher's knife" = only a crazy, irresponsible parent would do that!

Really? This is the best solution they can come up with? How is this scare-tactic approach going to help mothers (and fathers) confronting the constant and relentless needs of their helpless infants? And it certainly does not aid the cause of increasing breastfeeding rates (which is a major public health concern) because breastfeeding success is intimately intertwined with infant nighttime needs. Simply put, babies are designed to breastfeed and they are also designed to wake frequently at night to nurse; this provides the best insurance for their growth and survival. Our babies are designed to sleep near their mothers.

Despite public health campaigns that promote crib sleeping for infants and malign bed-sharing, many mothers and babies end of sharing sleep at some point. This study investigates where babies in the U.S. really end up sleeping. When health care and government agencies fail to consider the very real needs of mothers and infants during the night, demonize bed-sharing and fail to educate parents about safe sleep conditions for bed-sharing they inadvertently put babies in greater danger. Desperate mothers in their attempt to avoid bed-sharing may accidentally fall asleep in far more dangerous places with their infants like arm chairs, rockers or sofas (which would still labeled as "co-sleeping" by our state agencies even though it's the very thing these moms are trying to avoid.)

Talk about co-sleeping invariably triggers strong emotional responses in people. In preparing to write this blog I got swept away reading people's emotion laden responses to this issue. When a baby dies, this is a heartbreaking tragedy; people rightly want to prevent this from happening. And when it comes to where babies sleep, people have strong feelings, partially from wanting to protect babies and partly from believing they know the "right way" that infants should sleep. I noticed people can be pretty judgmental about the whole thing.

The truth is we can't prevent all infant deaths - there is no absolute guarantee in any situation be it in an adult bed, a crib, a bassinet or a playpen. A mother whose infant dies in a crib is just as devastated as the mother whose baby dies in her arms or next to her. Each mother is going to wonder if she could have done something differently so that her baby could still be here. Each mother is doing her best to do the right thing. Somehow, though, society likes to point a more judgmental finger at the "co-sleeping" mom. I am not understanding the reason for this - this attitude is distinctly biased.

What would really be helpful for parents in order to decide where is the best and safest place for their infant to sleep is a good hard look at the science behind infant sleep and nighttime needs. And to give parents more accurate statistical risks of co-sleeping. We really aren't there yet as a society; misinformation abounds from popular parenting magazines and books to advice from medical caregivers. New parents are bombarded with messages that their infants should be "sleeping through the night" and often have absolutely no awareness of how normal and beneficial it is for babies to wake frequently at night. Babies wake at night frequently to nurse and to be near their mothers. This is normal. Really. And an honest and realistic discussion about what constitutes normal infant sleep and how families can meet their infant's needs is desperately needed.

Does this mean that mothers and babies have to bed-share? No. There are lots of possible sleeping arrangements, but many families are probably going to bed-share at some point even if it's just out of desperation to finally get some sleep one night. That's why anti-bed-sharing campaigns are not helpful and can even cause the very problems they are trying to stop. According to the health campaigns, this is a health issue, not a moral one, so let's really take a good look at the facts and reality. The issue is to prevent infant death by providing a safe sleeping environment. So, let's make sure sleep conditions are safe, but we also need to acknowledge the reality of infant nighttime needs.

Photo and sculpture: JeanetteRansing (Flickr)

With statements like this, "Infants may be brought into bed for nursing or comforting, but should be returned to their own safe space to sleep when the parent is ready to return to sleep," I have to truly wonder whether any of the staff at the Milwaukee Health Department are even parents who have ever cared for an infant. That statement just seems out of touch and unrealistic. The mother is the one who actually has to interact and care for her infant night after night after night after night; this care work is exhausting. Do you really think she isn't going to pass out from exhaustion at some point? Let's get real. Guidelines have got to be realistic and they've got to work. Since mothers will probably sleep with their infants at some point, let make sure everyone knows what the parameters are for safe co-sleeping or bed-sharing. That's being realistic.

And one of the ways we can make sharing sleep more safe in addition to spelling out the specifics of safe bed-sharing is by promoting, supporting and protecting breastfeeding. We really need to do more to make sure mothers and infants are able to breastfeed successfully and support this symbiotic and essential relationship. Breastfeeding is one of the major contributing factors towards preventing infant death.

In this Fox News story, "Is Sleeping with Your Infant Right or Wrong?", we see the Milwaukee Health Department's prior approach before the baby and knife photos with the same campaign using a headstone for the headboard bearing the same message - uh, it didn't really work the first round and if they are not addressing the real concerns (like not breastfeeding and how to safely meet an infant's needs) then I really don't see how it's going to have more success this time. The idea of making bed-sharing illegal strikes me as a truly frightening prospect; and warped, too - yeah, that's right, make breastfeeding next to impossible, continue policies that perpetuate a complete lack of support for families and then prosecute them when they are just trying to meet their baby's needs. Scary.

Families need support. Mothers especially need support. They need help making breastfeeding a success with public health and social policies that truly make nursing their infants possible. Not scare tactics, but real information and support services to help them make the decisions that are in the best interest of their family.

To simply admonish parents not to sleep with their infants, ever, under any circumstances, is unrealistic, quite possibly unethical, and does not provide the optimum in nutrition and sleep physiology.                                                Morgan et al. JOGNN 2006; 35: 685-691

Amen.

The Importance of Being Vulnerable

 I've been wanting to share this video with you . I just love this talk. Plus, I had no idea someone could even do this kind of work for a living! Sounds good to me...

There are so many things I would love to write about from Brene Brown's talk, but for this post I am just going to focus on what she said was the crux of what separated wholehearted persons from regular folks (at least regular folks here in the Western world, I'm thinking) - Brene identified the variable which separates the wholehearted from the rest of the crowd as this: wholehearted persons believe that they are worthy of love and belonging.

Wow. I think we need a moment to really absorb the profundity of that statement. The wholehearted possess a deep sense of worthiness and a strong sense of love and belonging. Does that statement make you want to cry? I feel like crying. The sad fact is that so many Americans struggle with something as basic as their feelings of worthiness. This doesn't happen in all cultures. I am remembering a statement from one of Jack Kornfield's books that said when he was training with the Buddhist monks they were perplexed by this particular (and peculiar to them) state of struggle/unworthiness - it didn't exist is their communities

Whoa. Okay. Let's just sit with that for a moment. It's not just a fact of life that everyone struggles with unworthiness. This develops somehow. There is some type of cultural difference the allows for the development of this negative state among its people.

Photo by Luca.gargano

This is a complex issue with more than one source. But I want to get back to the basics - the building blocks so to speak. In Traditional cultures, mother and baby pairs have natural births, breastfeed and remain in close contact with each other day and night. Breastfeeding goes on for several years (world-wide average is 4.5 years and that includes our crummy U.S. statistics.) A baby's dependance and need for his mother is generally understood as a normal development and to be expected of babies and toddlers. Closeness and community are encouraged.

In the U.S. distance is encouraged from the beginning. Our highly medicalized births rely  on technology and many mothers feel a distrust of their bodies as if they were machines that might malfunction at any moment; mothers and babies are more likely to be separated in a hospital birthing scenario.  Immediately after the baby is born everyone's asking and joking about whether the baby is "sleeping through the night." Babies are expected to sleep away from their mothers in cribs. Bottles and pacifiers are culturally accepted and preferred over the natural state of breastfeeding, especially in public. Mothers in the workforce have virtually no support in the workplace with pathetic maternity leaves that barely give enough time for these mothers to even get their milk supplies established, much less for them to even enjoy breastfeeding and their relationships with their infants.  Parents are encouraged to leave their infants for "date night" before the baby is barely out of the newborn period in order to assure the "strength" of their marriage/relationship. I could go on and on, but I think you get my drift.

Brene states that the underpinning for this sense of worthiness of love and belonging is rooted in vulnerability. That those who are wholehearted embrace their vulnerability as beautiful and necessary. She says that the state of vulnerability is what allows us to be seen, really seen. 

Photo by tacticdesigns

Humans are at their most vulnerable state in infancy. For a more in depth explanation of this concept, I like this article which explains the biological reasons for a baby's vulnerability and what his needs are: The Science of Attachment: The Biological Roots of Love  A baby is unable to regulate his own self and relies on his mother for regulation of his body and his emotions. He relies on his mother for nourishment. He has absolutely no concept of his separateness from the mother in the beginning - at this stage he truly is one with the world. His concept of himself as a separate being develops over time and even when he develops this awareness of himself as separate from his mother, he still needs her to help him regulate himself. He cannot meet his own needs. Human babies are in fact very dependent for a long time.

Photo by Kim+5

A baby can only try to get his needs met by communicating with his facial expressions, body language and cries. Something is not right, something feels funny - baby communicates. Is mother there? Is she responding? Is he really being seen? But the mother holds the cards of power in her ability to respond or not to his needs. Responding to her infant and helping him reach a balanced state based on his needs and his cues creates in the infant this sense of worthiness - this sense of love and belonging. This is the time to do it - in the early years - to build in the child, this incredible human being, these blocks of self-worth because it really is a more difficult job later on (if even possible.) This happens by respecting and responding to the little one's needs, by embracing his dependance and by mother being there.

And I think that this togetherness is essential for the mother in fortifying her sense of self-worth, too. She is the center of her baby's universe. She is the essential one. It is through her that her baby is nourished and satisfied. Baby thrives due to this interdependence with his mother. What some women are afraid will undermine their autonomy and independence, thinking (wrongly perhaps) that yielding to an infant's unrelenting needs may weaken their own sense of self - this act of complete giving is in fact empowering. When a mother experiences her body's ability to care for and nourish her infant - well,  Breastfeeding Makes You a Mama Bear! Mama gets her grrrrrrrroove.

Mothering through breastfeeding is also an opportunity for healing and for strengthening our own sense of ourselves. I firmly believe it is a second chance for those of us who did not get the strongest building blocks in our own infancies. Sometimes it brings up painful feelings, but by working through the discomfort in the end we come out stronger. And we also get the amazing opportunity to create strong selves in our babies and children. To relish their wholeheartedness. How can we not feel gratified by that? It's a worthy goal.

Baby Steps

Photo courtesy of Lulu at Flickr

I love babies. Their little hands and feet. Their chubby folds. Their sweet smell and soft skin. Their deep, penetrating gaze. Their intricate dependancy. And as they grow, their exuberance over each new accomplishment. I look back on my daughters' infancies and I feel so damn lucky that I was there for it all. I feel grateful. I feel a sense of accomplishment. Most of all, I feel a deep sense of satisfaction and pride.

Mothering changed me. Giving birth naturally, breastfeeding my daughters and meeting my daughters' needs empowered me as a woman in ways I could never have thought possible before these experiences. This empowerment unfolded from the way I birthed (and before you get up in arms - believe me, my births weren't perfect - will post about them another time!), from breastfeeding (yes, read extended breastfeeding here) and from wholly giving myself to my daughters' needs.

I know women feel worried that they will lose themselves in motherhood. Fear that it will take over their lives. Well, it does take over your life, that's for sure. But, the amazing thing I discovered is that I really found myself during this process. That by completely and willingly giving of myself, I received this beautiful gift of self-confidence, pride and empowerment. This would have been possible no other way.

Mothering has changed me. I think about life in a different way. This blog is my exploration of delving deeper in the issues surrounding mothering, being a woman and family life.  I am amazed that such a profound role and relationship is given so very little credit or support and, yet, a lot of lip service in our society. Frankly, this fact astounds me, for mothering affects everyone. We are all born from mothers. Designed to be nourished from and connected to our mothers. Designed to be loved and cherished. I think the world would be a much better place if women were truly honored for being the life-bearers that they are. Mothers are sacred.

So begins this journey for me. A journey of investigation, discovery, sharing and creative expression. This is new for me. The computer world is not my world. But it seems like an interesting place to explore and share in. First steps. First key strokes. First words. I did it! My first determined steps into a new world. Mommy's growing up.