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- Nurse Barb
This is a question I hear from a lot of moms who are doing everything right, following all the advice and still they’re not producing enough milk for their baby.
I met with Elisa*, a mom, who I’d cared for throughout all of her 4 pregnancies. She was the kind of mom who makes it all seem so easy. She juggled part time work as a nurse while also caring for her children. She breastfed her first three children exclusively without any issues and said to me once, “If I can do it, then there’s no reason why every mom can’t breastfeed. I think it’s just laziness.” Elisa was dismissive of the reality that many moms face. Then, without warning, the unexpected happened with her fourth child.
Elisa is shocked
Elisa’s pregnancy and delivery were uneventful, she even took more time off for this fourth baby, because she knew he would be her last. Elisa wanted to enjoy and savor the time she had with her beautiful baby boy. I called to check on her 1 week after her delivery and she was distraught. Her milk hadn’t come in. (more…)
New Moms are confronted with a gazillion new things to learn, cope with and react to. Many new moms haven’t spent a lot of time around babies and children, which makes the tsunami of feeding, diapering, sleeping and recovering from childbirth issues overwhelming.
It’s hard to know what to do when there is no magical book that tells you exactly the type of person you are, match it with your baby’s temperament and add in to it all of the unpredictable factors like labor and delivery experience, breastfeeding issues, sleep, crying, spitting up, you name it.
Feed Me – I’m Yours
Feeding babies is a highly emotionally charged experience when you break it down. Some parents worry that the baby is not getting enough to eat and could become sick. Others, worry that the baby is eating too much and will be overweight. All of this is dependent on parent’s own relationships with food, how much their baby weighed at birth, whether they’re growing appropriately on the weight chart. It’s difficult to not obsess about these things. (more…)
A: Women who are breastfeeding CAN and DO get pregnant all the time, so unless you want to add to your family again, by all means use birth control. Breastfeeding is NOT good birth control. (more…)
If you forgot 1 pill:
Take it as soon as you remember, and use a back up method of birth control for 3 days to be safe. You may notice some breakthrough bleeding or spotting for a few days.
If you forgot 2 pills in a row:
Take 2 pills as soon as you can, and 2 more the next day to catch up. Use a back up method of birth control for 3 days to be safe. You may notice some breakthrough bleeding or spotting for a few days. (more…)
I received a question the other day on this website about what feeding options moms have when they are HIV positive. It’s an amazing question for a few reasons. The answer really depends upon where in the world the mother lives.
Because breastmilk is a bodily fluid, it can transmit the virus. There’s evidence that the longer a mom with HIV breastfeeds, the more likely her baby is to get the virus. Transmission can occur from labor and delivery and it also occur from breastfeeding.
At a recent conference, researchers presented findings that will provide hope to many women who’ve been treated for breast cancer. Now, with lumpectomies and other surgeries that conserve more breast tissue, women are able to nurse their babies.
As you would expect, the researchers found that milk production was lower in the affected breast, but that even with surgery and radiation, there were women who were still able to produce some milk if the ducts were intact.
The good news is that the vast majority are using contraception. In fact over 90% do use some form of protection or birth control. And yet, it’s estimated that over 25,000 couples have condom mishaps and an additional 700,000 are not protected AT ALL.
Each year there are about 3 million accidental (more…)
After you give birth, it’s recommended that you wait at least 3 weeks before re-starting the birth control pill, according to the Centers for Disease Control.
This advice is to help decrease the risk of serious complications such as blood clots. I agree, and want to add a bit more information for new moms. I encourage all of my patients to breastfeed their babies for 6-12 months if possible. This is the recommendation of the American Academy of Pediatrics. (more…)
When I watched this video, I gasped. For me, this is so true and something I experience everyday with my patients. No matter how beautiful my patients are, most are quick to point out their perceived flaws. (more…)
Great Birth Control from Zero interest in Sex
I saw a patient this week who loves her birth control method. Hardly any cramping, light periods, reassurance that she’s protected, which are all beneficial. There was one thing that wasn’t working and that was her libido. She was wondering if her method of preventing pregnancy was preventing her from having any interest in sex. Could it be? she wondered.
Though this is a normal side effect for some women, thankfully it’s less than 10% of those who use the pill or the NuvaRing. Often switching pills will help. (more…)