Tag Archives: Breastfeeding

On Motherhood and Losing Myself

7 Sep

I remember the first time it happened – it was shortly after Theo’s birth and I was still in the hospital. My mother and husband were in the room with me when the nurse came in to do something – maybe weigh him or help bathe him or check his vital signs. After she finished, she said, “all right, now I’ll give him back to mom,” and I was momentarily confused. Why was she handing my son off to my mother? Shouldn’t she give him to me or my husband?

And then I realized that she had, in fact, meant to give Theo back to me. Mom meant me. I was mom. My mother, meanwhile, had graduated to “Grandma.” The nurse left before I had the chance to tell her that my name was Anne, although if she’d really wanted to know that she could have just looked at my chart.

I got used to the name Mom, though, and faster than I’d thought I would. I started using it to refer to myself in the third person when I spoke to my son: “Mama loves you so much,” I would say to him. “Mama’s just going to change your diaper, and then you’ll be much more comfortable.” “Mama’s making your dinner, but don’t worry, she’ll be really fast!” “Ma-ma. Can you say ma-ma? Ma-ma. I’m your mama. Ma-ma.” By the time Theo was eight months old, he would howl “Maaaaaaaaa-maaaaaaaaa” every time he wanted me, and I felt a funny sense of triumph whenever I heard him call me. He knew my name. I was Mama.

I wasn’t the only one who referred to myself as “Mom” or “Mama” either. My husband did it whenever he was in front of our son, even when he was talking directly to me – after all, we wanted to keep things consistent and easy to understand for Theo, didn’t we? My mother did it, too. So did my sisters. And as my son got older and we started making the rounds of playgroups and library programs and sing-alongs, the other parents (almost exclusively women) referred to me as “Theo’s mom.” Not that I was any better – I didn’t know any of their names, either. We were all just so-and-so’s mom, as if that were our name or our job title or maybe the most fascinating fact about us. 

Admittedly, there were a lot of things in my life that made me feel as if being a mother was the most fascinating thing about me, or at least the best, most noble thing about me. Strangers smiled at me, and offered me their seat on the bus. People working in customer service were more polite and attentive, whereas before I felt as if I’d often been brushed off. Everyone took me more seriously. It was as if by giving birth I’d somehow gained some strange kind of respectability. I wasn’t just that weird girl who talked too much and cried easily; I wasn’t just another person who had never reached their full potential. I was a mother, and according to a lot of people I’d fulfilled exactly as much of my potential as I needed to. And while on some level that fact was embarrassingly gratifying, mostly because I’d never felt so much societal approval before, underneath that gratification was a restless, howling anxiety. 

I wasn’t the only one in our household to be given a new title, of course. My husband became “Daddy,” a name that also carries some baggage with it. But he didn’t seem to feel as if he was losing himself, the way that I did – and it does seem to bear pointing out that our circumstances were vastly different. Every day, while I stayed at home with our son, my husband went to work. Every day, while I sat on the couch and cried over how fucking hard breastfeeding was, while I took a deep breath and tried not to scream with frustration because my kid was inconsolably exhausted but absolutely would not nap, while I stripped off yet another urine-soaked onesie and brightly-coloured cloth diaper only to watch in horror as my son chose that exact moment to unleash a jet of poop, my husband went back to the Land of the Adults, a country that we both called home but from which I had temporarily been exiled. Every day, while I opened my laptop and tried yet again – through frighteningly hive-minded online parenting communities, frantic status updates on Facebook, and emails to my family – to find the training manual for my overwhelming new job, my husband went back to his same old job, where he could take hour-long lunches and everyone called him by his real name.

No. It wasn’t the same thing at all.

I tried not to feel like I’d somehow lost something, because how could I have lost something? I hadn’t lost anything; I was still the same person, wasn’t I? Even if I felt like I’d lost myself, I was clearly still there. I still existed. On top of that, it seemed unbelievably selfish to frame it in terms of “loss” when, in fact, I’d gained a perfect baby – especially when several of my friends were struggling in various ways to become parents. And I’d wanted this, hadn’t I? Becoming a mother had been my choice. So how could I complain?

Another layer to my unease lay in the fact that if I felt like I’d lost some part of identity, then had my mother experienced the same thing when she’d given birth to me? It seemed impossible that she had ever been anything other than what she was, namely my mother; and yet that selfish feeling of impossibility was almost certainly evidence of the part that I had played in who she had become. For a long time I’d thought that I would never grow up to be my mother, because my mother’s life had always seemed so constrained and limited. Now I saw that I was the one who had limited it. 

Maybe saying that becoming a mother was my choice wasn’t quite the right way to put it. Maybe it’s more accurate to say that I chose to become a parent, and then society gave me the label “mother” with all of its loaded associations. After all, what is there specifically about being a woman that says that you have to lose yourself completely once you have a kid? Isn’t it possible that if we lived in a world that treated motherhood and fatherhood equally – a world where we called it parental leave instead of maternity leave, a world that was just as accepting of stay-at-home fathers as it was of stay-at-home mothers, a world where women couldn’t expect their wage to decrease by 4% for every child they have – then women wouldn’t feel as if having children was a deeply personal sacrifice?

I mean, of course you have to give some stuff up once you have a child. I’m not saying that your life should stay exactly the same. But you shouldn’t have to sacrifice yourself.

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Breastfeeding Revisited: Now You Are Three

10 Jun

When my son was a few weeks old, we did he requisite Extended Family Tour. We drove to Montreal to see my grandmother and assorted aunts and uncles, and then we went to Kingston to chill out at my mom’s and see even more aunts and uncles. During these visits I felt like a queen receiving supplicants – I would sit enthroned in a big, comfortable chair, my breastfeeding pillow on my lap and my son nestled against my chest. Breastfeeding back then was a bit of an ordeal – we were still using the nipple shield, which meant that in order to get Theo to nurse I had to expose my breast, fiddle around with the little silicone shield, get it firmly in place and make sure that it was airtight, and then try to get Theo latched (not always an entirely successful endeavour).

This trip marked the first time that I’d ever breastfed in public. I hadn’t planned on it, but halfway to Montreal the baby was doing that whole enraged purple-faced screaming, and it didn’t seem like the soothing bumpiness of the drive was going to lull him back to sleep anytime soon. So we stopped at a rest station, and I proceeded to the furthest, dimmest corner table to set up my boobtacular operation.

I couldn’t do it, though. I couldn’t pull out my breast, engorged and leaking milk everywhere. I couldn’t expose my nipple, red and inflamed and a little cracked. I just couldn’t.

Meanwhile, my son screamed beside me, guaranteeing that everyone in the place was now staring at us.

My mother came up behind me and said, “Just do it, Annie. Just do it. No one is looking. Just do it.”

And, clumsily, fumbling with that goddamn nipple shield, I did.

I scrunched down in my seat, waiting for one of those rent-a-cops to come over and tell me that someone had complained, that I needed to cover up, that I needed to go somewhere else. But nothing like that happened. Instead, my son finished, I packed my gear up, and we hit the road.

I had to nurse him again at my grandmother’s house (god, what is with these babies, always wanting to eat? it’s almost like they’re growing or something), and whenever I did, all my uncles would studiously look away.

“I think breastfeeding is wonderful,” said one of my aunts, “but some women seem to do it for themselves. I saw a woman on the metro the other day just sitting there with her kid hanging off her. She couldn’t have waited until she got home? When it’s public like that I think it’s more about the mother than the baby.”

The next day, when we were back in Kingston, my uncle and his three kids came over to meet Theo. They were fascinated by breastfeeding, and would crowd around me whenever I did it, shoving their heads as close as possible to my chest to get the best possible view of the action.

The youngest cousin was three, and she seemed enormous compared to Theo. Afterwards, I said to Matt, “I’m not breastfeeding him when he’s three.”

Matt, whose mother had been a La Leche League leader and who had been breastfed until he was nearly four, said, “You don’t have to.”

“Did you see how big that three year old was? I can’t breastfeed someone that big. I just can’t.”

“Yeah,” he said in agreement. “She was pretty big. I can see why that would seem weird. You don’t have to breastfeed Theo when he’s three – just do it as long as you feel comfortable with it.”

“I’m only going to do it for a year. That’s what all the books say. A year. At twelve months they can have cow’s milk.”

Because, see, I wasn’t going to be one of those breastfeeding mothers. Oh sure, I thought breastfeeding was great, and I was proud of how hard I’d fought to be able to do it, but I wasn’t going to be some kind of breastfeeding weirdo. No way.

And yet.

Here we are.

My son turned three in January, and still nurses once or twice a day – usually first thing in the morning, and right before bedtime. I’m not even producing milk anymore, but I don’t think that matters to him. It’s a comfort thing for him, and at a time when he’s going through so many changes, it’s hard to take it away from him. On top of all that, it doesn’t feel weird like I thought it would. It just feels normal – it’s  thing we’ve been doing every day for nearly three and a half years, after all. I guess I thought that there would be some magic cut-off date, at which point I would be like, “oh, ew, this is too gross to continue,” but that never happened.

I don’t feel weird when I’m breastfeeding Theo, but I do feel weird when I think about how society views me. All I have to do is look up all of the articles written about Jamie Lynn Grummet, the woman who was photographed nursing her three year old for the cover of TIME Magazine. She’s sick, she’s depraved, she’s doing it to satisfy some perverted sexual desire. Her kid is going to be fucked up. Her kid already is fucked up, and that’s why he’s still breastfeeding. She purposefully fucked her kid up so that he would always be tied to her apron strings. She is everything that’s wrong with modern parenting (never mind that extended breastfeeding has a long history in many different cultures around the world).

Breastfeeding older children (and by “older” I mean more than 12 months old) is associated with spoiled, bratty little kids and sexually deviant, overindulgent mothers. If you don’t believe me, I can easily trot out a bunch of example of this in popular culture. Peyton Place‘s Norman Page and his mother certainly fit this mother. Same with Lysa Arryn and her son in Game of Thrones. Or Christos Tsiolkas’ novel The Slap, whose titular event takes place because a bratty, breastfeeding three year old is slapped by an adult after hitting someone with a cricket bat.

Or you could look at the comments on a recent Facebook post I made, jokingly saying that I’m now basically the TIME breastfeeding mom – people reacting in disgust (as I once did) that they could never, ever imagine breastfeeding a three year old. People wondering how this would affect him as an adult, since he will probably have conscious memories of nursing (to which I replied that if they’re so curious, they can ask my husband, since, you know, he was older than Theo is now when he weaned). People saying that they couldn’t do it with their three year old because he’s too smart and too aware of the world (which is hard not to take as a dig at my own kid’s intelligence).

As a society, we are still pretty uncomfortable with breastfeeding in general, and we are hella uncomfortable with breastfeeding toddlers in particular.

But anyone who thinks it’s gross should meet my kid. My hilarious, bright, amazing-as-hell kid. My kid who snuggles up beside me and says, with an impish glint in his eye, “Can I have some mama’s milks? Can I have the left side first? Which side is the left side?” My kid who pretends to breastfeed his dolls, who says that when he grows up he wants to be a mama first and have breasts and make mama’s milks, and then be a dada and just have nipples. My kid who tried to make me nurse his Spiderman action figure the other day.

Breastfeeding gives him one certain thing in this wild new world he’s exploring and learning more about every day. It’s something solid for him to hold on to, while from minute to minute he gathers in new information that slowly but surely pulls the rug of what he understands out from under him. So many things about life are confusing and contradictory and even downright scary for him right now – how could I possibly take away something that’s not?

The answer is that I can’t.

Theo at 19 months - Photo by Diana Nazareth http://www.diananazareth.com

Theo at 19 months – Photo by Diana Nazareth http://www.diananazareth.com

Sometimes I’m Tired Of Being A Mom

4 Feb

“Sleep when the baby sleeps!”

I started hearing it the day Theo was born. Actually, I probably started hearing it way before then, but it’s likely that I didn’t pay much attention. I just filed it under “obvious advice is obvious,” and thought nothing more of it. Of course I was going to sleep when the baby slept. Just like of course I was going to have a natural birth, breastfeed like a champ and have a kid who slept through the night at six weeks. Because, unlike all the other moms in the world, I’d read all the right books, bought all the right products, and participated in a million online discussions about how not to fuck up your kid. I was so set.

I was sure that motherhood was going to be so fulfilling. I mean, yeah, I knew it would be hard, but hard in a being-super-brave-through-tough-times-like-Florence-Nightingale sort of way, not hard in a grinding, miserable, I-hate-my-life way. Surely I would come out of those long, desperate, sleepless nights glowing with motherly love, just happy to have been able to offer my screaming child even a modicum of comfort. Surely I would be happy to sacrifice any and everything for my kid.

Surely I would never, ever resent him.

After Theo was born, people kept reminding me to sleep when he slept. But I didn’t want to; I wanted to stay awake and just stare and stare at this amazingly tiny new human I’d just created. I’d just made an entire new person that had never existed before – how could I be expected to sleep after doing that? Besides, I remember thinking, I’ll sleep later. Because, up until that moment in my life, there had always been a later. Whenever I’d had a long week at work, I’d been able to plan to sleep in on the weekend. I’d been able to look forward to vacations when Matt and I could grab catnaps together between fun activities. I’d always, always been been able to think ahead to a time when I would be able to catch up on my sleep, maybe even take some kind of sleeping aid to ensure maximum restfulness.

When you become a parent, there never seems to be a later when it comes to sleep. You either grab it when you can, or you go without. Not long after Theo was born, I learned the hard way that I couldn’t do the former – when Theo slept, I was too anxious to rest, and when I did finally manage to fall asleep, I was awakened by every. single. tiny. noise he made. I don’t know if it was because I was so fucked up on hormones, or if it was the postpartum depression beginning to rear its ugly head, but no matter how hard I tried, I couldn’t sleep when he slept.

And you know what’s the worst? Not being able to sleep when you are bone-fucking-tired and you know that your kid is going to wake up screaming soon and then you won’t get to sit down for the next five hours.

At some point towards the end of that hazy first week of motherhood, I remember thinking, “When is someone coming to take this baby away so that I can go back to my real life?”

And then I realized that this baby was mine, and no one was going to take him away, and this was my real life now.

With that thought came a bizarre mixture of guilt over wanting to go back to my non-baby life, and blind panic of the “holy shit I have a kid, what the fuck have I just done?” variety.

In all the months I’d spent preparing to have a kid, I’d never fully realized what it would be like to have a kid.

Sometimes having a kid sucks. A lot. I love him, and I love being his mom, but sometimes I’m so tired of being a mom, anyone’s mom. Sometimes I just want to be myself. I want to go back to my old life, the life where I slept in on weekends, watched TV whenever I wanted to, and sometimes spent all day having sex with my husband. It doesn’t help that my life now bears a striking surface resemblance to my old life; I live in the same apartment, wear many of the same clothes, eat the same foods. I even look pretty much the same, except that I’m a cup size bigger than I was (thanks, breastfeeding!). I’m surrounded by reminders of the way I used to live.

It also doesn’t help that most of my friends still, in some ways, live in my old life, staying out late, drinking too much, and going to the bathroom without having a toddler follow them to watch them pee. And I promise that I’m not trying to be all, having a kid is so hard and my non-mom friends don’t get it, but let’s be honest: most of them don’t, really, in the same way that I didn’t get it, either. And I’m jealous that they don’t get it, jealous that they don’t have to watch what they eat or drink or smoke because they’re afraid of contaminating their breast milk, jealous that they can go to bed and not have a whimpering toddler wake them up five times a night, jealous that when they go home at the end of the day, their work is done, while mine lasts forever and ever and ever.

Sometimes I’m so tired of being a mom.

Sometimes I’m so fucking tired. Period.

And you know what sucks the most? Knowing that all of this is my fault. I don’t mean so much in the sense that I chose to have a kid (although that is true), but more that I haven’t done any sleep-training, haven’t tried too hard to night-wean and, at 24 months old, still can’t really imagine being away from him overnight. Know why? Because I’m a wuss, that’s why. Every time I think about sleep-training Theo, I think of all the crying that will be involved, and I wince. I’m not the crying-it-out-will-ruin-your-kid-forever type, but you know what? I just can’t. I’m sorry, but I can’t. Hearing him cry makes me feel like every nerve in my body is on fire. And it’s one thing to hear my kid cry because I won’t let him splash his hands in the toilet; it’s another when he’s crying because he just wants to be held, or sung to, or breastfed.

And that’s why my 24-month-old still sleeps in my room and still breastfeeds pretty much whenever he wants at night. Because I am too tired and too wussy to do anything about it.

I’m tired and you guys?

Sometimes I still miss my old life. A lot.

And that makes me feel really awful.

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Now You Are Two

18 Jan

Dear Theo,

You are two.

That shit is crazy.

It’s honestly hard to imagine what life was like before you came along. I mean, sure, I remember going out on dates with Matt whenever we wanted to, and never having to worry about things like babysitters. And yeah, I remember stumbling home drunk in the wee hours of the morning, then sleeping in the next day with no consequences. Okay, and yes, I remember not getting up a bajillion times a night to nurse my still-breastfeeding toddler. And I guess I remember what it’s like to be able to have sex whenever I want, without suddenly hearing “Mama? Where are you?” while mid-coitus.

But you know what? Trading all of that stuff for you, my perfect, smart, funny kid, was worth it. Totally, totally worth it.

Two years ago today, a team of doctors pulled you feet-first out of my belly (offering Matt a peek as they did so, which nearly made him pass out), and I heard someone exclaim, “it’s a boy!”

And you know what? Even though I’d kind of, maybe, sort of been hoping for a girl, when they told me that you were a boy I cried because I was so happy.

Two years later, I’m still happy – not because you’re a boy, but because you’re you. Wonderful, amazing you.

You are so much fun right now. You’re like a sponge, and you just want to soak up everything. You chatter non-stop, morning til night, even when there’s no one there to listen to you. You love narwhals and totem poles. You will only sleep while cuddling a stuffed squirrel on wheels that your Auntie Erin knitted for you. You offer guided tours of the European Galleries at the Royal Ontario Museum, pointing out the two lutes, the harp, and the exposed breast of the woman in the Rococo-era painting. You love books, and will happy sit and flip through them on your own or with your dad and I, pointing out every tiny detail in the pictures. You know all of the letters of the alphabet, and all of your colours. The other day at the art gallery, you pointed to a Frida Kahlo painting and said quite clearly and loudly, “Fee-da! Kah-lo!”

In fact, Frida Kahlo is one of the three public personalities that you’re most readily able to recognize – the other two, strangely enough, are Jesus and the Virgin Mary. You like to tell me that Jesus lives in the church, and today you came home and said, “Fee-da Kah-lo doll, where are you?”

You also love bagels. That, along with your admiration of Frida, is enough to convince me that, even though you still look exactly like your father, there’s some of me in you, too.

Today at dinner you told me that your daddy’s other name is Matt.

When I asked you what my other name was, you looked confused for a moment, then happily exclaimed, “Matt!”

You are so great.

These past few months have brought a lot of changes for both of us. After spending 19 months at home with you, I went back to work full time, and you started daycare. I miss you, even now, five months later. By the time I quit my gig as a stay-at-home mom, I was so ready to be around grownups all day long and leave baby-town behind. And you know what? I love being back at work. But I miss you.

The good news is that you love daycare, and you’re flourishing there. Your language has progressed by leaps and bounds over the last little while, and I love hearing you talk about your friends at “school”. You enjoy the routine there, and I think that the structure is good for you. Your teachers tell me that your favourite toys are the trains and the trucks (no surprises there), and that you love story time and music class.

You’re pretty easy-going for a toddler. You don’t tantrum (yet), and you wake up smiling every day. Our main struggles with you are getting you to eat, and getting you to sleep (or rather, to stay asleep). In spite of these difficulties, you’re happy, healthy and meeting all of your milestones. I mostly don’t think that I could ask for a better kid than you.

I’m so excited to see what the next year will bring. Watching you grow and learn is probably the coolest thing I’ve ever done, and when I realize that you, perfect, adorable, hilarious you, actually come from me – well, that kind of breaks my brain a little. Whenever I’m having a really tough day, being around you is the only thing that can cheer me up. Whenever I’m upset about the fact that my life isn’t going the way that I expected, I think of you, and that puts things like career, writing, money, etc, into perspective. Because, yeah, while I might not be where I thought I would be at thirty in a lot of respects, I have you – scratch that, I made you – and that makes me really fucking lucky.

I love you so fucking hard. I’m so thankful to whatever god decided that I was the one who should be your mother, because seriously. Kid. You are the best.

Together, you and I are going to rock this world.

Love,

Mama

Unwilling to put down his bagel, even for a birthday picture.

Unwilling to put down his bagel, even for a birthday picture.

You’ve come a long way in two years, baby:
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On Judgment And Breastfeeding

4 Dec

If you know me at all, even a little bit, then you know that I am a person who loves breastfeeding. I think breastfeeding is great, and will talk about it until you are super bored and/or uncomfortable. Half of the population of Toronto has probably seen my breasts by now, and not just because of my preference for low-cut tops. Most of the time I’m pretty sure my kid loves me, but there are days when I wonder if he loves my boobs more. If you ask me for breastfeeding advice, I will inundate you with more facts than you could ever possibly need. In short, I breastfeed, I’m proud of it, and I am a huge advocate for breastfeeding.

I think that one of the reasons I’m so into breastfeeding is that Theo and I struggled with it at first. He had a bad latch, jaundice made him too sleepy to stay awake for an entire feeding, and I just plain had no idea what I was doing. In retrospect, I know I got off pretty easy as far as breastfeeding issues go, but at the time it seemed like the end of the world. My son was only 5 lbs 4 oz at birth, and by the time we came home from the hospital he was only 4 lbs 12 oz. Every nursing session was a fight, and I started to dread feeding time. I also dreaded weighing him, because I was terrified of seeing the needle dip even lower on the scale. Here I was, blessed with an abundant supply of milk, and I couldn’t even manage do that simplest, most basic thing: feed my child.

I worked hard to be able to breastfeed Theo. While I was still in the hospital, I attended daily breastfeeding classes and would would call the nurses to come help me get Theo latched on every time he woke up. After we went home, I schlepped Theo back and forth to our family doctor and the hospital lactation clinic on a near-daily basis.  In those cold, sterile offices I would watch as other people weighed him, then I would let strangers manhandle my boobs and stare intently at my chest as I tried again and again to feed my son.

I pumped. I did “suck training” with a tiny tube attached to my finger. I cup-fed him. I bottle-fed him. Finally, I tried a nipple shield, which (hallelujah!) worked. With the nipple shield, Theo was at last able to fill his tiny belly with my milk and start gaining the weight he needed so badly. My kid has been a boob-addict ever since.

Now, the thing is, I know that a lot of my successful breastfeeding relationship is due to good old-fashioned hard work. I wanted to breastfeed, and I fought for it and, in the end, I succeeded. It was really hard at times, like, total-meltdown-cry-until-I-made-myself-sick hard, but even though I sometimes felt like giving up, I didn’t. And I’m proud that I didn’t quit, and I also have to give myself credit for sticking with it even when things felt impossible.

But you know what? Hard work only gets you so far, and I know that I wouldn’t still be breastfeeding today if I hadn’t had an amazing support system. I was lucky that my hospital offered such great resources to breastfeeding moms, I was lucky that our family doctor had breastfed both her children and knew what she was talking about, I was lucky to have a mother-in-law who was a former La Leche League leader (and a sister-in-law who knew a whole heck of a lot about breastfeeding), and I was lucky to have a family who gave me nothing but encouragement and love. If I hadn’t had these things, there’s a good chance that Theo would have been formula-fed, and I know that. So yeah, while hard work has played a big part in our success, I also realize that I’ve been able to breastfeed because I was just plain lucky.

Knowing that I was lucky to have such great support means that I want to offer that kind of support to other people. I cheer people on when they’re struggling to breastfeed, and I offer advice (usually only when asked) to new moms. I upload a ton of pictures of me nursing Theo to my Facebook page, partly because I just think they’re really nice pictures, but also because I think posting breastfeeding pictures publicly help normalize breastfeeding. Basically, if you want to breastfeed, I want to do whatever I can to help you! If you don’t want to breastfeed, though, that’s cool too.

Sadly, a lot of the breastfeeding community doesn’t feel the same way I do. I belong to a few online groups, and while a lot of the posts are asking for advice, or sharing cute, funny stories about breastfeeding, there’s an awful lot of judgment going on against women who don’t breastfeed. Mostly I’m used to it and I just kind of shut it out, because I still see a lot of benefit and good in the lactivist movement. Today, though, really took the cake. Today I couldn’t ignore this judgmental crap anymore.

See, there’s a story that’s been in the news lately about an Alberta mother who can’t afford the prescription formula that her infant son needs to live. Her son, Isaac, was born prematurely and subsequently developed necrotizing entercolitis (NEC), an intestinal disease that means that he has an inability to digest many foods, including dairy products, and can lead to internal bleeding. At four months old Isaac has already had two week-long stretches in the hospital, and continues to be at risk for bleeding and other problems.

Isaac’s mother, Lisa Caskenette, initially tried to breastfeed her son. Unfortunately, he had severe reactions to her milk, and, given the scope of his allergies (dairy products, whey, soy and whey protein, to name a few), she wasn’t sure that she could find an elimination diet that would work for her. As well, during Isaac’s two hospital stays he was allowed nothing by mouth, and although Caskenette pumped during that time, her supply dwindled. After consulting over a dozen experts, Caskenette decided to give her son Neocate, an amino acid-based, hypoallergenic formula which costs her $1,200 a month. $1,200 a month that Caskenette’s family cannot afford.

You’d think that this would be the kind of story that breastfeeding advocates would rally around, wouldn’t you? Unfortunately, what I witnessed today on a Facebook breastfeeding group was the opposite of that. Here’s a small sample of the comments people made after the group’s moderator posted a link to a story about Caskenette and her son:

She should breastfeed. That’s free and better.

She should be breastfeeding! That won’t cost a dime,the Insurance wont need to pay a dime and the baby would be a lot healthier!!!

Yes, she should be breastfeeding…formula use has been shown to increase the chance of NEC [this from the page’s owner/moderator]

Sometimes I wonder if people just don’t feel like sacrificing their own diet to make it acceptable for an allergic baby.

I think the cost is outrageous and I certainly would not be able to afford that, however I breastfed my kids. Or donor breast milk, we have 3 Milk Banks in Canada which you need a prescription for and she would have no problem getting a script for it. I would have pumped and pumped. However, she may not may not have tried that. I feel for the family, but she never mentioned anything about trying to nurse, pump or re-lactate. I do think the cost should be shared though. We have a public health care system and we pay for it by way of taxes etc and if her baby needs it then it shouldn’t have to cost $1200 a month, but I wish someone in her circle would mention she could try to breastfeed if she hasn’t. Her baby would be eating for free.

For the government to start subsidizing an industry that harms the health of its citizens is not the best idea. They should offer to fund the baby’s use of breastmilk from a milk bank if the mom is unable to breastfeed.

I looked up this condition and one of the reasons it occurs is improper mixing of formula, yet another reason breast would been best!

I find it hard to believe with all the support in Canada that NO-One would have given her the information she needed to do best for her baby! And yes the only thing that would stop me from giving my baby breastmilk is death!

Can’t breastfeed…not really. You could do an elimination of your diet. You could breastfeed. You opted not to. You don’t want judgment. You just want everyone to agree with you. Should the formula me covered? I actually think yes but the rest is just crap.

I wonder if she ever saw/spoke with an IBCLC to get support to breast feed? This baby needs human milk not formula to heal his gut. Perhaps she should look into eats on feets or similar organization to find mothers willing to donate their extra breastmilk. So sad that all this baby needs is breastmilk ;(

There are a few comments supporting and sympathizing with Caskenette, but most of them are just repeating over and over, ad nauseam, that she should give him breast milk. Most of the commenters agree that she should either relactate (which is a long and difficult process, and also doesn’t solve the issues she was having with the elimination diet), or else she should get donor milk (which wouldn’t work at all, because she has no way of knowing the diet of the women who donated the milk). Most of the comments were judgmental and hurtful; nearly every single one of the commenters felt that Caskenette was a selfish mother who just couldn’t be bothered to do what was best for her son.

Here is the one thing that I really want all of you to know: when you comment on something like this on a public page, you are writing actual words that will be read by actual people that can cause actual hurt. Is it really so difficult to try to be a kind, empathetic human being? Like, really? Can everyone just stop being dicks for like FIVE MINUTES?

It's kind of true, though

It’s kind of true, though

The other thing is that stuff like this does a total disservice to the breastfeeding advocacy movement. When you make comments like this, you’re making us all look like the crazy, narrow-minded, intolerant people all the stereotypes make us out to be. Comments like these are the reason people end up switching to formula, because they’re afraid of the judgment that will be thrown at them if they ask for help. You are not forwarding your cause, you’re hindering it. I don’t understand how you can’t see that.

I mean, in a perfect world, do I think that every biological mother would breastfeed? Hell yeah, I do! In a world where babies don’t get life-threatening illnesses, and women don’t go back to work after 6 weeks, and sexual assault victims don’t find nursing to be triggering, and no mothers need to take any medication that is contraindicated for breastfeeding, and there aren’t fucking booby traps everywhere you turn, and all healthcare professionals are well-educated about breastfeeding, and no mother had supply issues, and shitty formula marketing schemes don’t exist I think everyone could breastfeed. But I don’t live in that world and neither do you.

If you want to be a good breastfeeding advocate, here’s what you need to do: support and listen. Support the person wherever they are in their breastfeeding journey (even if they’re formula feeding), and listen to what they have to say. Maybe they won’t breastfeed this particular child, but maybe your love, support and advice will make them more willing to try to breastfeed the next one. Or maybe it won’t, and that’s fine too. All you can do is offer your help; you can’t make people take it. And what’s the sense in getting riled up over the fact that someone doesn’t breastfeed? Is that worth ending a friendship or hurting someone over?

If you want to help out Lisa Caskenette and her family, there are a number of ways that you can do that. First of all, you can find her on Facebook, and she does accept private donations to help her family with the cost of the formula. You can also advocate for her by writing to the Alberta Blue Cross (which should be covering the cost of the formula), or to Alison Redford, the current Alberta premier. Or you can just send Caskenette positive messages on Facebook, letting her know that you’re thinking about her and her family.

Anything, really, other than telling her that she’s a bad mother.

Baby Isaac

Baby Isaac

How To Have A Good C-Section (or, how I learned to stop worrying and love major surgery)

26 Oct

I woke up the morning of January 8th, 2011, and lay in bed, waiting for Theo to kick me good morning. I was 34 weeks pregnant, and this was our wake-up ritual: he would wriggle around like a maniac, and I would spend a few minutes lying on my side, rubbing the outline of his body and telling him what we were going to do that day. Sometimes he would stick his feet in my ribs, and I would tickle his toes. Sometimes he would take a big stretch and I would try to map out how he was sitting inside of me.

That morning, though, I didn’t feel anything.

No big deal, I figured; he was probably asleep. Surely it wouldn’t be long before he was awake and kicking up a storm.

I had a bagel and coffee for breakfast and then lay on the couch with Matt, waiting for the caffeine to pass through the placenta and jolt Theo awake. We were watching a movie, but I couldn’t concentrate on it; all I could think about was the absence of movement inside of me.

I tried everything I could think of to get Theo to move – I drank ice water and lay on my side, poked and prodded him until I worried that I might be bruising my baby in utero, had Matt put his mouth up against my belly and talk to his son. Nothing worked.

We decided that we should go to the hospital.

When we got to the labour and delivery ward, I had to sit and wait for a bed to become available. Then we discovered that I hadn’t properly registered, so Matt had to go back down and re-do the paperwork. I was becoming increasingly anxious, and I was frustrated that the nurses didn’t seem to share my sense of urgency. Finally, they got me into an examining room and asked me where my OB usually found the baby’s heartbeat. I said it was loudest on the left side of my belly, so they put the doppler there.

Silence.

I started to cry. Matt tried to say something to calm me down, but he had tears in his eyes, too. The nurse frowned and moved the doppler around while the continuing silence made me sob harder and harder. This must have only gone on for a few seconds, but it seemed like hours. I was sure that Theo was dead; I pictured having to call my mom to tell her that her grandchild wouldn’t be born alive. I pictured myself having to be induced and delivering a cold, white baby.

Finally, way over on my right side, the nurse found a faint but steady heartbeat. The nurse smiled and said that she’d known all along that he was fine. I still couldn’t stop crying.

The nurse brought in a portable ultrasound machine, since I still wasn’t feeling Theo move. As she moved the probe over my belly, she asked me if I knew that he was breech. No, he’s not, I said, he’s been head down since 26 weeks. In fact, I had seen my OB three days earlier, and he had confirmed that the baby was head down. Not anymore he’s not, said the nurse.

They brought in the on-call doctor who confirmed that no only was Theo breech, he was footling breech, one of the rarest fetal positions and the most dangerous to the baby. On top of that, his umbilical cord was hanging down by his feet, which meant that, if my water were to break, he would be at high risk for a cord prolapse.

They hooked me up to a contraction monitor and told me that I was having strong contractions (none of which I could feel, by the way). They checked my cervix and I was 2 cm dilated and 100% effaced. Not a big deal, they said – some women dilate early. Two hours later I was 5 cm dilated.

At 34 weeks pregnant, I was in labour with a baby who wanted to meet the world feet first.

They wanted to do a caesarean that night. They would have, too, except that two emergency c-sections came in, tying up all the operating rooms. While we waited for an OR to open up, I sat in my bed and tried to use Jedi mind-tricks to stop my labour. Think calm thoughts, I told myself. I stared at the printout on the contraction monitor and willed the jagged lines to smooth themselves out. I stared at my belly and willed Theo to stay put.

Whatever I did must have worked, because by the time they checked my cervix again, I was still 5 cm dilated. My contractions continued, but were definitely less frequent than before. I made a deal with the on-call OB – if they would agree to delay my c-section, I would stay on bed rest in the hospital until I was full-term and/or my cervix started dilating again. She wasn’t thrilled with the idea, but she agreed to admit me for the night and check with my doctor. Luckily, he was a super cool dude, and when he came to see me on Monday morning he said he thought I’d made a good suggestion, and was totally fine with me hanging around the hospital until whenever.

This gave me some time to figure out what I was going to do. Up until this point, I’d planned on having a natural birth; I’d read books like Ina May Gaskin’s Guide to Childbirth , Martha Sears’ Birth Book and Henci Goer’s The Thinking Woman’s Guide To A Better Birth. I’d looked forward to giving birth, imagining that I would have some kind of mystical earth goddess experience; I’d been weirdly excited to know what real contractions felt like. I’d spent months participating in online pregnancy forums, decrying the medicalization of childbirth and the deplorable c-section rate in the western world. I hadn’t even read anything about c-sections, because there was no way that I was going to have one.

Except now I was.

I started to look for online resources for moms who were having caesareans but still wanted the whole touchy-feely earth goddess experience. I discovered, to my chagrin, that there weren’t many. Most people seem to think that a good birth and c-sections are diametrically opposed. Many people in the natural birth community are very, very anti-caesarean (one woman even went so far as to send me a video of a midwife delivering a footling breech birth, like, hey, thanks for your support), and many of those who support the medical model of childbirth tend to see birth as something that you just endure and get through, rather than a positive experience. I think that it’s totally possible to have a c-section and still have a good birth.

I’ve put together a list of things that worked well for us and resources that I found helpful:

If You Are Having A Planned Caesarean:

1. Educate yourself. This one is huge. Read as much as you can about c-sections, both about the procedure itself and what recovery will be like. Talk to other women who have had c-sections, and ask your OB for a run-down of how the procedure typically happens at your hospital. It’s also a good idea to read about the possible emotional effects of a c-section.

2. If you plan on breastfeeding, consider contacting a lactation consultant (the nice thing about being in the hospital was that the lactation consultant came to me), or else join the La Leche League and talk to women who have had similar experiences. Find out what kind of resources your hospital offers breastfeeding mothers – for example, mine held a breastfeeding class twice a day and had a lactation clinic. Make sure you get yourself a nursing pillow, because I promise you that you will be SO THANKFUL for it. Also,there are some good resources online here and here and here.

3. If you plan on breastfeeding, do so as soon as possible after surgery. I was able to breastfeed in the recovery room, less than half an hour after my son’s birth.

4. Make a birth plan of what you would ideally like to happen. You can ask for things like playing your own music during the surgery, doing skin-to-skin in the OR, and delaying (or even forgoing) the application of the eye gel. Remember that it doesn’t have to be the mother who does skin-to-skin – your partner also has some important bonding to do.

5. Eat really well at your last meal before your surgery (this will typically be 8 hours earlier). Make sure you get a lot of protein and that whatever you have is really filling, because they won’t let you eat afterwards until you fart (not kidding).

6. If you are having a c-section because your baby is breech, consider trying an external cephalic version. I wasn’t able to do this because I continued having contractions right up until my c-section (and we discovered during my surgery that I have a heart-shaped uterus, so it wouldn’t have worked anyway), but it’s definitely worth trying.

If You Are Planning On Having A Vaginal Birth

1. Educate yourself about c-sections anyway! It won’t hurt, and you’ll be prepared in case you do need one.

2. Include a “Caesarean Contingency Plan” as part of your birth plan. Sure, chances are that you won’t have a c-section, but if something goes wrong, it’ll probably go wrong pretty quickly, which means that it would be better to have what you want written out ahead of time.

3. Make sure that your partner is clear on what you want if you need a c-section – in the craziness of the OR, you’re going to need them as an advocate more than ever.

For Everyone

1. Allow yourself the time to mourn the birth you didn’t have. Some women feel that they’ve “failed” if they end up having a c-section; some feel that they haven’t really given birth. Talk about your feelings with your partner, and remind yourself that your experience was just as important and valid as anyone who had a vaginal birth.

2. Keep in mind that women who have c-sections are at a higher risk for postpartum depression. Make sure to watch yourself carefully for any of the signs and talk to a healthcare professional immediately if you think you might be showing some of the symptoms.

3. Take all of your medication on time. Trust me, you will feel way worse if you delay or skip a dose. The vast majority of medications are safe for breastfeeding; if you’re not sure, ask your doctor, nurse, pharmacist or La Leche League leader.

4. Hold a pillow against your incision whenever you cough, sneeze or laugh. I don’t know why, but this helps.

5. Take a shower as soon as you are feeling up to it. It will be the best shower of your whole life.

6. Accept help. If you have someone willing to do everything for you, let them.

Theo’s birth wasn’t what I had planned for, and it wasn’t the birth I would have chosen, but it was still good. I sometimes think that this was my first real lesson in parenting: the idea that not everything would happen on my own terms, that there would be times when I was not in control of the situation, but could still try to make the best of things.

So no, Theo’s birth wasn’t ideal, but I do think that it was the best birth that it could have been. And I’m thankful for that.

If you follow the simple steps that I have outlined above, then you, too, can look this happy while having a giant gash cut in their abdomen.

If you have any other suggestions, please feel free to add them in the comments!

An Open Letter to Nicola Kraus (or, another day, another angry-making article)

18 Sep

Dear Nicola Kraus,

So! I understand that you have discovered the one single method of parenting that works for everyone and you are proselytizing this fact via the Huffington Post. Well, that is good news! Please, tell me more!

No, but seriously: I find articles like yours incredibly difficult to read. Not only is the tone rude and condescending, but the content is full of assumptions and misinformation.

First of all, let’s talk about a few personal pet peeves that I have with regards discussions surrounding attachment parenting:

1. Dr. Sears did not come up with attachment theory. John Bowlby did. Doctor Sears may have popularized the idea and coined the phrase attachment parenting, but it’s a concept that’s been around since the 50s.

2. I bet that you actually practice attachment parenting, even if you don’t want to call it that. In fact, I guarantee it.

The basis of attachment theory is this, which comes from Bowlby’s seminal 1951 work, Maternal Care and Mental Health:

… the infant and young child should experience a warm, intimate, and continuous relationship with his mother (or permanent mother substitute) in which both find satisfaction and enjoyment.

Keep in mind that in the first half of the 20th century, women were getting a lot of not-so-great advice form doctors. They were told to put their babies on a schedule as soon as possible, feeding them only every three or four hours instead of whenever the baby was hungry. They were advised not to pick up their crying babies for fear of spoiling them, and there was also a pervasive belief that crying strengthened the lungs. I have a friend whose grandmother was instructed to wheel her infant son out into the garden every day and let him cry for half an hour. While her baby cried, she would sit at the table and weep because she hated it so much. But she still did it, because her doctor had told her to.

Attachment parenting, by contrast, suggests that you respond to your baby’s needs in an appropriate and timely fashion. Which, I am guessing, is probably something that you do.

Breastfeeding, cosleeping, babywearing, etc. are not necessary for attachment parenting. They’re tools that can help form a bond between parent and child, but they aren’t by any means required. Your friend Dr. Sears says the following:

AP is an approach, rather than a strict set of rules. It’s actually the style that many parents use instinctively. Parenting is too individual and baby too complex for there to be only one way. The important point is to get connected to your baby, and the baby B’s [his term for the set of tools mentioned above] of attachment parenting help. Once connected, stick with what is working and modify what is not. You will ultimately develop your own parenting style that helps parent and baby find a way to fit – the little word that so economically describes the relationship between parent and baby.

So even Doctor Sears says that you need to go with what’s best for you and your family.

I guess that what I really want to say with you is this: I’m happy that your kid is a great sleeper. I’m happy that you found a method that works for you. But what you should realize is: every child and every family is different.

For instance, my kid? My kid is 19 months and still sleeps in my bed, which I’m fine with. He didn’t end up there because I had romantic ideas about forming a bond with him. We have a crib for him. He hated it.

From just about day one, my son point-blank refused to sleep in his crib. He would fall asleep after nursing, I would swaddle him back up and gently (so gently) lie him down in his crib. Within ten minutes he would be screaming. I tried everything – waiting until he was deeply, deeply asleep to move him, putting him down when he was drowsy but still awake, keeping his spot in the crib warm with a heating pad – nothing worked.

On top of that, I was struggling with postpartum depression in the early months of his life, which was made much, much worse by my lack of sleep. Even if I had been comfortable with the idea of letting him cry it out (which I wasn’t), it would have meant several days of even less sleep. The idea of that would have made me cry, except that I already spent most of my time crying.

Once my son started sleeping in my bed, I found that it actually helped with my anxiety. For one thing, it was easy for me to check on him during the night to make sure that he was still breathing. It also made nighttime feeds easier – they were no longer this big production of getting him out of the crib, getting the nursing pillow in place, feeding him, then getting him back to sleep, putting him back in the crib, etc. Once he was in my bed I literally just had to roll over to nurse him and then roll back over once he was done.

The way that my husband and I parent isn’t for everyone. I get that. I try to be respectful of the way other people raise their children, and I think that by and large I’m pretty successful. As long as your kid is healthy, happy and well-fed, I think you’re doing a bang-up job. I would really appreciate it if you could extend me the same respect.

Oh, and by the way? When you let a 12-week-old cry it out, you are not teaching them to self-soothe, you’re teaching them that no one is coming to comfort them (and, by the way, there’s a world of difference between those two concepts). Science is behind me on this one. Science is awesome!

I totally agree with you on one thing, though – parenting is really fucking hard. The hardest part is that you have no idea what you’re doing, and you have to make important decisions on the fly while operating on little or no sleep. But the thing is, everyone is trying to do their best working with whatever they’re given. So why are you making people feel badly about the way they parent, when you already know that they’re doing their damnedest? How is your judgment and condescension helpful in any way? Just a few things you might want to think about.

Anyway, for the record, I don’t think that attachment parenting has made my kid clingy, or, you know, overly attached. In fact, I think the opposite is true: he’s so confident in our bond, so certain that I’ll be there to help him when he needs it, that he feels totally comfortable running off and doing his own thing. He’s happy to take off without looking back, because he just assumes that my husband or I will be close behind him. Because we always have been.

Sincerely,

Annabelle

p.s. You should maybe advise all of your sex-deprived friends to try getting it on in rooms other than the bedroom. The living room couch or the shower are two good suggestions. Tell them to be creative! If they really want to fuck, I’m sure they’ll find a way.

Theo, trying to claim the whole bed for himself

How To Talk To Pregnant Women (or, everybody just relax)

10 Sep

I don’t know what’s in the water these days, but it seems like a ton of my friends are having babies this year. I’ve been to three baby showers in the past two weeks alone.

Of course, since I am a super self-involved person, all of this baby time has brought me back to those oh-so-special days when I was gestating Theo. Watching my friends get advice from other friends and acquaintances (and sometimes total strangers) has reminded me of the things that I found super unhelpful to hear while pregnant, and  also the things I actually found helpful.

So! I’ve made this useful little guide for you!

First of all, let’s start out with the basics:

1. DON’T: assume someone is pregnant, unless they actually, like, TELL YOU THEY ARE PREGNANT.

I know that this one seems obvious, but, sadly, it still needs to be said.

DO: WAIT UNTIL THEY TELL YOU THEY ARE PREGNANT. I CANNOT STRESS THIS ENOUGH.

(A brief anecdote: the first time I went out without Theo was about a week after he was born. I went to a fancy baby store to buy a fancy nursing bra. I was trying to figure out my size when the clerk helpfully told me that my chest would be bigger once I had the baby and my milk came in.

If you ever want to see a woman who is recently postpartum cry horrible hormonal tears in public, please go ahead and ask her when the baby is due. It makes her feel really great!)

2. DON’T: talk about how huge your friend’s belly is.

Some women probably (maybe?) like this, but definitely not all of them. Unfortunately, it’s really hard to be sure which category someone falls into until you actually say it, so it’s best just to keep your mouth shut.

DO: tell her how beautiful and glowing she looks. Basically every woman loves to hear this. I know, I know, a while ago I was all, try not to give people appearance-based compliments, but I think pregnancy might be the exception to that rule.

3. DON’T: tell her, Wait until the baby comes! You will feel so differently about everything! 

While this is probably true (although maybe not – everyone’s experience varies), it is super annoying to hear. Also, it’s totally unhelpful – it’s really the kind of thing every parent has to figure out for themselves.

DO: share your experiences of what your expectations were like while pregnant, and how things were different once you had the baby. It’s helpful to hear stories about specific things that people have gone through, and it’s much better to hear it phrased as here’s how I felt rather than here’s how you will feel.

4. DON’T: tell someone how bad worrying is for the baby.

I heard this a lot whenever I tried to communicate my pregnancy-related anxieties to people. I found it really unhelpful because, while I understand that what these people were trying to do was get me to relax, what they were actually doing was give me one more thing to worry about . Like, great, I’ve still got all these other things I was feeling anxious over, and now I have to worry about whether all this anxiety is hurting the baby. DOUBLE WHAMMY.

DO: ask your friend about specific anxieties they are having, and, if possible, talk them through. If you have something from your own experience that you can relate this to, that is super helpful! If their anxieties seem overwhelming or debilitating, suggest that they talk to their doctor. Above all, remind them that being anxious while pregnant is very, very common.

5. DON’T: talk about how figuratively shitty everything will be once the baby comes.

It’s true that things will be super nuts once the baby comes! But chances are your friend already knows that, and doesn’t need to be told to get in all their sleep/having fun/quiet alone time before they pop. Also they are probably happy that they’re going to have a kid, so it’s not really cool to make them feel as if they’re making a huge mistake. They’ll have plenty of time to figure that out on their own (kidding, kidding).

DO: tell them how literally shitty everything will be. I feel like the copious amounts of poop my offspring produced was a huge surprise to both of us, especially Matt. I remember him looking at the meconium and saying, it’s like a jet of concentrated evil coming out of his backside.

6. DON’T: tell pregnancy horror stories.

No pregnant woman wants to hear about all the terrible, horrible things that could possibly go wrong while the bun is still in the oven. Sure, some people enjoy hearing these kinds of gruesome tales, but there is a time and a place for everything. Talking to your knocked-up friends is neither of those.

DO: try to keep things positive.

If the desire to tell scary stories comes up as the result of a pregnant woman confiding in you about a specific issue she’s having, please, please don’t tell her that a friend of a friend experienced exactly the same thing with tragic consequences. Try to keep in mind that it’s pretty unlikely that you’re a medical doctor (and if you are, you should be dispensing medical advice, not anecdotes), and b) you’re almost definitely not this specific person’s doctor. Instead of scaring your friend, reassure her that everything is likely fine, while at the same time urging her to talk to her doctor or call the hospital.

7. DON’T: go on and on about how happy your pregnant friend must be, or else say things like, gee, you don’t seem very excited about this baby.

DO: keep in mind that pregnancy can be an emotionally conflicting time for a lot of women. Many people find pregnancy to be traumatic for all kinds of reasons, ranging from  body image issues to past complications or losses.

Just offer a warm congratulations, and then follow your friend’s lead. Making them feel like they should be happier than they are can add an extra layer of guilt onto what might already be a complicated situation.

8. DON’T: be judgmental or rude about parenting choices.

This goes for everything from formula feeding or hospital births to co-sleeping or having a round-the-clock nanny.

Here’s the thing: you don’t know what in this person’s life has lead them to this decision. Sure, maybe it’s a decision you wouldn’t have made, and maybe it’s something that you disagree with – but as long as they plan to keep their child safe, warm, happy and fed (and chances are that they do), then it’s none of your business.

DO: offer advice and resources if the person seems open to it. Tell them about your own experiences if they want to hear about it. If not, just bite your tongue, and keep in mind that things change so dramatically with the arrival of a new baby that many of your friend’s plans will probably end up flying out the window anyway.

9. DON’T: just flat-out contradict someone if they say something that you know is wrong or inaccurate.

Honestly? This will just make them feel stupid and maybe a little defensive.

DO: explain to them why it’s wrong and offer information and resources to back your claim up.

For example, I had a friend who was told that if the baby only nursed on one side per feeding, she should pump the other breast once the feeding was done so that she didn’t get mastitis. I explained to her that up until about six weeks, milk production is hormonally driven, but after that point it becomes supply and demand. If you are nursing your baby AND pumping, then you are signalling to your body to produce more milk. This is fine if you want to keep frozen milk on hand for a babysitter, or for when you return to work, but it’s not necessary if you’re feeding on demand, and definitely won’t prevent mastitis.

I also told her that she should do whatever she feels comfortable doing, and that she’ll figure out what works best for her once the time comes (this sentence in particular is key).

Also, keep in mind that there is a study to back up just about everything, so your friend might already feel like they are well-educated on whatever it is you’re talking about. If they aren’t interested in what you have to say, then maybe just let this one slide. Pick your battles.

For example, if a person has decided after a lot of research that they think it’s best for the baby to dangle out a second-storey window from a Jolly Jumper harness, that argument is definitely worth pursuing. If it’s something more minor, just let it go.

10. DON’T: stick to only pregnancy and baby-related topics.

Seriously, this gets really annoying. When I was pregnant, there were days when I felt like I was nothing more than a gestating uterus on legs. It’s not that I never wanted to talk about pregnancy and babies (because I totally did!), just that that wasn’t all I wanted to talk about. Sometimes I wanted to feel like a smart human being with a smart human brain who thought about smart human things.

DO: keep in mind that your friends are people first, and pregnant ladies second. Try talking about a range of subjects, including but not limited to: books, movies, food, deep philosophical thoughts, Shakespeare’s plays, why Richard III maybe wasn’t such a bad guy, the weather, interior decorating, Wes Anderson films, why Wes Anderson should make a film about Richard III, etc.

Now go forth and converse like a normal human being with your pregnant friends!

Also, feel free to add suggestions for additions to this list in the comments.

“Hmmmm I’m feeling a little TOO content with my pregnancy. I wish someone would say something SUPER JUDGMENTAL to me right now.”

An open letter to Stephanie Fairyington (or, breastfeeding and feminism)

1 Sep

Dear Ms. Fairyington,

Before we start, can I just say that you have an awesome last name? Your last name is totally rad. It has the word fairy in it! I bet you hear that a lot. Anyway, just wanted to get that out before we move on to the more serious stuff.

So. This article that you wrote for the New York Observer, Time for Feminists to Stop Arguing About Breastfeeding and Fight for Better Formula – I just read it, and now I feel like I have a few things that I want to say to you.

First of all, I should probably give you some idea of where I’m coming from: I am a breastfeeding advocate, who is still nursing her 19 month old son, and I am a feminist. Oh, and I also run a yoga studio, which, as you pointed out in your article, would totally be a pumping-friendly environment if I was pumping. Which I’m not.

Second of all, I want to tell you how wholeheartedly I agree with the first part of your title. It is time for feminists to stop arguing about breastfeeding. Boy is it ever.

I’ll be totally honest with you – I do truly believe that breast milk is superior to formula. I would be thrilled if every woman chose to breastfeed, and was physically able to do so. I think breastfeeding is the best start in life that you can give a kid (well, that and a killer wardrobe), and I really wish that there was more in the way of education and resources dedicated to breastfeeding.

But I realize that some women are physically incapable of breastfeeding. Some women aren’t able to pump at work. Some women find the act of breastfeeding triggering due to past sexual assault. Sometimes formula is actually better for the baby’s health, in cases with severe health issues or allergies. And sometimes women just plain don’t want to.

As a feminist, I respect any choice that you make with regards to your body. If you want to terminate a pregnancy, I respect that. If you want to earn money as a sex worker, I respect that. If you don’t want to breastfeed, I respect that. Know why? Because I believe in bodily autonomy.

Which means that you should extend the same courtesy to me.

Which brings me to my second point, namely the fact that you believe that breastfeeding “stymies the progress of feminism“.

The first thing you mention in conjunction with this idea are some concerns you have with regards to the Latch On NYC initiative.

You begin by saying that,

Under the new rules, about two dozen hospitals will discourage new moms from formula-feeding by educating them on the benefits of breast milk … ”

This actually isn’t a new rule. According to this, it has been New York State law for the past three years that new mothers must be provided with accurate information regarding breastfeeding. So that actually has nothing to do with Latch On NYC, or Mayor Bloomberg.

You then go on to say,

” … [hospitals] will not provide formula unless medically indicated on the infant’s chart or requested by the mother. The rules will also prohibit formula freebies and ads in hospitals.”

I honestly fail to see how anyone could think this is a bad thing. Formula won’t be provided unless the mother asks for it – meaning that the staff can’t give the baby formula without the mother’s consent. Which does happen, believe it or not.

Furthermore, formula companies have no place advertising in hospitals or offering mothers free samples. Do you think that they do this out of the goodness of their heart, so that babies don’t starve? No, they’re looking for customers. I would think that you, as a future buyer of formula, would actually be happy that they will no longer be spending money on advertisements and freebies. Those “freebies” aren’t really free – they’re paid for by the company’s revenue, which comes from consumers like you.

Next, you say that,

The notion that “breast is best” simply because it’s natural sounds ringingly similar to the arguments made by pro-lifers and even contraception opponents, all of which begin with the same basic premise: women should be shackled to their corporeal destinies.”

There are many scientific studies proving that breast milk is nutritionally superior to and more biologically advantageous than formula. But that’s not the whole reason I decided to breastfeed.

I also decided to breastfeed because I’m cheap and lazy.

Breast milk is free and, living in Canada, I had a full year of maternity leave and thus was spared the cost of a breast pump. That being said, even a one-time investment in a breast pump is less expensive than buying can after can of formula.

And as much as I hate getting up in the middle of the night to nurse my son, I would hate even more having to get up and make him a bottle. Plus, I don’t have to do any of the sterilizing and cleaning of feeding supplies.

So please don’t think that all the pro-breastfeeding arguments boil down to “but it’s natural!”, because there’s so much more to it than that.

Next, you bring up the idea that breastfeeding is anti-feminist because,

A bottle positions men and women equally over the care of infants, while breastfeeding cements the notion that women are central to the process of nurturing children. Wasn’t feminism all about de-emphasizing our corporeality by arguing that our bodies should not define or limit our rights and responsibilities?”

No, my husband doesn’t breastfeed our son, but we do try to share our parenting duties equally. Yes, earlier on I was doing more work – all of the feedings were my responsibility of course (although we did decide that all of the diaper changes that happened when my husband was at home were his job). All of the gestating was also my job – shitty deal!

But, as my son grew older, my husband was able to take over more and more parenting duties. For example, he takes care of our entire nighttime routine – he’s usually the one to feed our son dinner, since I’m often working in the evening, and is always the one to give him his bath and put him to bed. It’s true that our roles in our son’s life remain somewhat different, but then “equal” does not mean “exactly the same”.

And, I’m sorry, but I thought that feminism was all about giving women choices – the choice to have children, or not to have children, the choice to breastfeed or formula feed, the choice to manage a yoga studio or be a children’s therapist who sees an exhausting number of clients. The point of feminism is that we work together to achieve equality, instead of tearing each other down over every little thing.

Finally, you complain that breastfeeding is holding women back because it reinforces women’s “parental centrality” and “undervalues fathers”. You say that this is holding women back in the work force. You also mention how difficult breastfeeding is because many workplaces aren’t equipped to deal with women who need to pump.

Wouldn’t a better idea be to work to change how society views motherhood, and to fight for better regulations regarding pumping at work? How is limiting women’s choices in any way, shape or form a feminist idea?

You write as if formula is somehow under attack when, in fact, it’s still the status quo. By 6 months of age, 52.8% of all infants are formula-fed. Trust me, you’re not a dying breed.

You write as if formula feeding doesn’t, in many ways, reinforce the patriarchy – for example, the idea that women shouldn’t expose themselves while feeding their child in public. Or how about the idea that a woman’s milk simply isn’t good enough or sufficient for a growing baby? In spite of the evidence to the contrary, this myth still persists. Or, my favourite, the fact that so many women and their partners want their breasts to remain exclusively sexual. If that’s not patriarchal conditioning, I don’t know what is.

And finally, I do agree with you that we should continue to work to improve formula, to try to make it more like breast milk. But I also think that we should continue to educate and encourage women when it comes to breastfeeding. Because, unlike you, many women go into parenthood wanting to breastfeed, and we should be offering them the support and resources they need to do that. I would hate to see a woman be forced to wean her child just because she lacked knowledge or support for her breastfeeding.

Anyway, I’m sure you’ll dismiss this whole letter as “nostalgia and conservative orthodoxy”, and that’s okay too. You can certainly believe whatever you want, just as you can do whatever you want with your own body. Just as I can do whatever I want with my body.

And that, Ms. Fairyington, is feminism.

Sincerely,

Annabelle

Multitasking!

Postpartum depression (or, hey, let’s do some oversharing!)

22 Aug

I wanted to start this post off with something very dramatic like, when Theo was six weeks old, I was contemplating suicide. That has a nice ring to it, doesn’t it? Edgy, yet thoughtful. The problem is, it would be a lie – by the time Theo was six weeks old, I’d gone way past contemplation and was firmly into planning territory. It’s just that “planning” doesn’t have quite the same literary panache as “contemplating”, you know?

It would be pills, I decided: the percocets I had left over after my c-section, and some sleeping pills that’d been sitting around since before my pregnancy. I would have to do it while Matt was at work, but close enough to the end of the day that Theo wouldn’t have to be alone with his dead mother for too long. I would get some formula, I decided, and sterilize some bottles – that way Matt could feed him immediately, because Theo would likely be hungry by the time I was found. I would write a note, a good one.

Planning things out step by step like this made me feel better; it made it seem as if I had some kind of control over my life.

I didn’t want to die because I hated Theo. In fact, I loved him ferociously. I wanted to die because I knew that I was totally and utterly incapable as a mother. I wanted to die because I knew that if I lived, if I had to continue to be Theo’s primary caregiver, then I would continue to fuck things up horribly. I wanted to die because if I did, someone else would have to step in as his mother, and whoever it was would surely be more competent than me.

At that moment I sincerely believed that even random people I passed on the street were more qualified to raise my son than I was.

I tried to tell people how I felt, tried to convince them that I was an unfit parent, but no one seemed to believe me. They dismissed my worries as normal, and told me that every first-time mother felt the same way. I knew that what I was feeling was far from normal, but I didn’t know what to do about it. I thought about running away, packing a suitcase full of warm weather clothes and boarding a plane, but that seemed crazy. Suicide, however, seemed totally logical.

Although I’m referring to what I went through as postpartum depression, my anxiety and fear had been around for most of my pregnancy. Here I’d gone 27 years only having to take care of myself (and often doing a pretty poor job of it), and now suddenly I was 100% responsible for this tiny life inside of me. It seemed like that should be enough to drive anyone around the bend.

Was I eating enough, I wondered? Was I eating the right things? Did I need more iron? Was I getting enough omega 3 to ensure healthy brain development? I started carrying around a list of fish, rated from highest mercury content to lowest. I would whip this list out at restaurants and do a few quick calculations in my head – had I already ingested any potentially mercury-laced fish this week? How big of a portion could I have? It didn’t seem fair that Matt didn’t have to change his life at all while his son gestated, but I had to watch every bite that went into my mouth.

And then there was the alcohol. See, I hadn’t known I was pregnant for the first few weeks, and I’d had maybe two or three glasses of wine, total, in that time. Midway through my pregnancy I became convinced that my child was going to have fetal alcohol syndrome. I hadn’t even given birth yet, and I’d already ruined my child’s life. How could I be such a selfish, terrible person?

By the end of my pregnancy I’d become incredibly paranoid about everything, so it was almost with a sense of relief that I greeted the news that, at 34 weeks, I had to be hospitalized and put on bed rest. Here I would be in a place where I was eating a doctor-approved diet, where I would be hooked up to a big, clunky machine twice a day in order to monitor my son’s heart rate, and nurses were only the press of a button away. After months of fretting over taking care of myself and the baby, suddenly I could put myself in someone else’s hands.

And then Theo was born, at 36 weeks, via c-section. I’d thought that once he was out of me, once I could hold him in my arms and know for certain at any given moment that he was alive and well, things would be better. It wasn’t like that, though. I held him briefly in the operating room while they stitched me back up, but then they whisked him away, concerned about the grunting he was doing (a sign of laboured breathing, they said). Matt went with him, and my mother went off to call my grandmothers and aunts and uncles. I sat alone in the recovery room and waited, wanting only to hold my son.

They brought Theo back to me and let me try to nurse him, but he wouldn’t, or couldn’t. He started grunting again, so they took him away again, this time across the street to Sick Kids for an x-ray of his lungs. You need to prepare yourself for the fact that he might end up in the NICU, the nurse told me. I knew that wasn’t the end of the world, but still, it was scary. On top of that I’d read so many things about how the first few hours of a baby’s life are critical for bonding and creating a breastfeeding relationship – would missing this time with him have an effect on the bond we had?

The thing was, I was already having doubts about our mother-son bond, even that early in the game. When I’d been pregnant, I’d felt like Theo and I had intuitively understood each other. He would kick, and I would ascribe meaning to those kicks. I would rub his feet as they poked my ribs, and I felt like he just knew that my actions meant, baby, I love you. But once Theo was born, I realized that he was a total stranger. I didn’t know what he thought or wanted at all, and he didn’t give a shit about my feelings.

That first week things went from bad to worse. I couldn’t get Theo to latch, and every attempted nursing session was a nightmare. His weight dropped down to 4 lb 12 oz, which, while still within the range of normal, seemed frighteningly low. I felt like I’d failed at having the birth I wanted, had failed at properly bonding with my son, and was now failing at providing him with even the most basic necessities, like food. I couldn’t believe that they actually trusted me enough to let me take my kid home a few days after his birth.

There was something else, too. During my c-section, I heard my doctor say to his intern, look at this, here’s why he was breech. I asked him what he’d found, and he told me that I have a bicornuate uterus (like a cat! he said brightly). This means that instead of having one large chamber, my uterus has two smaller ones. Theo’s head had been stuck in one of the chambers and he’d been unable to flip into the proper position.

Of course, as soon as I could, I googled bicornuate uterus. Wikipedia had the following to say:

Pregnancies in a bicornuate uterus are usually considered high-risk and require extra monitoring because of association with poor reproduction potential.

A bicornuate uterus is associated with increased adverse reproductive outcomes like:

  • Recurrent pregnancy loss: the reproductive potential of a bicornuate uterus is usually measured by live birth rate (also called fetal survival rate).
  • Preterm birth: with a 15 to 25% rate of preterm delivery. The reason that a pregnancy may not reach full-term in a bicornuate uterus often happens when the baby begins to grow in either of the protrusions at the top. A short cervical length seems to be a good predicter of preterm delivery in women with a bicornuate uterus.
  • Malpresentation (breech birth or transverse presentation): a breech presentation occurs in 40-50% pregnancies with a partial bicornuate uterus and not at all (0%) in a complete bicornuate uterus.
  • Deformity: Offspring of mothers with a bicornuate uterus are at high risk for “deformities and disruptions” and “malformations.”

So here I’d been worrying about stupid things like omega 3 and iron while, deep in the dark recesses of my body, my own uterus was secretly working against me. This whole time I’d been afraid of the wrong thing – I was like France, setting up the Maginot Line, while all along the Germans were planning to attack from the opposite direction.

I was clearly (biologically, even) not meant to be anybody’s mother.

The first few weeks of Theo’s life were awful. I’d always been a bad sleeper, and now it was worse. Theo wriggled and grunted in his sleep, and it kept me awake. Every little sound that came out of him made all of my muscles tense up, making rest nearly impossible. Whenever I complained about how tired I was, people would say, sleep when the baby sleeps, as if that was some great revelation. As if it was something that I couldn’t come up with on my own. Breastfeeding continued to suck, and I began to dread feeding time. I would push it back by 5, 10 or 15 minutes, as if that made any difference. My days were lonely, boring and frustrating.

It was the carrier that finally pushed me over the edge. See, we live on the third floor and our building doesn’t have an elevator. I’m not strong enough to drag our stroller up and down the stairs. So, whenever we went out, I used a carrier for Theo. And whenever he fell asleep in the carrier, he grunted with every breath.

I asked everyone about the grunting – my mother, my sister-in-law, friends with kids. Everyone assured me that it seemed totally normal. Then, while obsessively googling “grunting” “breathing” and “baby carrier”, I found one lone site that said that grunting was a sign of laboured breathing (which I already knew), and prolonged grunting could mean that the baby’s blood oxygen level was low. Which could lead to many health complications, including brain damage.

The thing is, I’d known something was wrong. I’d known. I’d asked everyone and yes, they’d reassured me, but why hadn’t I trusted my own instincts? Because I stupidly and selfishly wanted to be able to leave the house, that’s why. If I was any kind of good mother, I would have stopped using the carrier as soon as he started grunting. I would have stayed home until Theo was old enough for the grunting to fix itself. But I wasn’t a good mother. I was a terrible mother. Not only that, but I was a clear danger to my child.

When I read that part about the brain damage, I handed my sleeping son to my visiting mother-in-law, went into the bedroom and cried for three hours. How could I ever undo this? How could it ever be fixed? It wasn’t as if I could just have a new kid and start fresh, having learned from my mistakes. A baby wasn’t like a paper that you could crumple up and toss in the garbage. I was stuck with my sad, damaged kid, and would be stuck with him for the rest of my life. He would be a constant reminder of what a terrible person I was.

If I’d been home alone at that moment, I likely would have killed myself then and there. But I wasn’t alone, so instead I confessed everything to my mother-in-law, hoping she would call the CAS and have Theo taken into protective custody (or, at the very least, have me arrested). Instead, she convinced me to go to the doctor.

And I did go to the doctor, and joined a program at Women’s College Hospital specifically for women with PPD, and I went on medication, and saw a therapist. All of that helped, but I think what helped the most was seeing Theo grow up and realize that no, in fact, he wassn’t brain damaged. He’s a totally normal, lovely, happy kid. And these days I’m mostly a totally normal, lovely, happy mom. And we have a pretty decent bond, I would say.

I still have my moments of fear and paranoia. I still occasionally freak out over little things (just ask Matt – I make him do all my baby-related googling now). I will probably always be a somewhat high-strung parent, but I can live with that.

What makes me sad is that I will never get those first few weeks of Theo’s life back. They will always exist for me in this cold, dark haze. I will never be able to think of Theo as a newborn without associating his early babyhood with that terrible time in my life. And that sucks. It sucks big time.

What also sucks is that I feel like I can’t talk about my experience with PPD. I often dance around the issue, saying “I had a tough time at the beginning,” or, “things were really hard for me”. I’ve never said, “being a new mother made me suicidal”. Well, not until now.

But I want to talk about it. I want to share my experience so that maybe someone else will think, hmmm, maybe I’m not bonkers and/or a terrible mother, maybe it’s my hormones. I want to feel like I’m not the only one who went through this, and I also want other women to feel like they’re not alone. I want them to know that things will get better, that they should talk to their doctor, or call a suicide hotline.

Most of all I want them to know that they are, in all likelihood, fantastic mothers.

Theo and I a few hours after his birth

For anyone who is in a state of mental health crisis, here is a link to the Mental Health Crisis line. You can also call Telehealth, if you’re in Ontario. If you are experiencing any kind of depression or are having suicidal thoughts, please, please call one of the numbers above, or else contact your doctor or local mental health crisis line.