Tuesday, June 1, 2010

Parenting, Infant Care & Breastfeeding 101

In Halifax, our health care offers a series of pre-natal classes for pregnant women and their partners.  There is an "extended" series where you go once per week for around 8 weeks and there's also a "condensed" version where you go for two afternoons.  I had heard from several people that they didn't get much out of the classes that they participated in, which I think were the "extended" 8 weeks classes. So, hubby and I decided we would opt for the two afternoon "condensed" version to get the info they felt was the most important, the ins and outs of knowing where to go etc. when the "big day" arrives.

Friday was our first of two parts which covered "Parenting, Infant Care & Breastfeeding."  I think the bottom line here is that I am a big dork. :-D  I enjoyed the first session very much!  I was interested the entire time and took advantage of having the public health nurse there to confirm everything I had already learned for myself.  I guess I needed some sort of "validation" for some reason.  I think hubby "learned more" than I did because I have been reading and learning more on my own than he has. He's more of a "listener learner" than a "reader learner."  He thought it was worth our time as well which says a lot!

Breastfeeding

We covered many topics over our 3.5 hour period and the main message taken from the class was the benefits and importance of breast milk and breastfeeding and how far research has come to confirming this fact with more and more amazing findings each and every day.  The benefits truly are astounding and can't be denied.  She stated right up front that they were "shameless breastfeeding supporters" and had available "101" reasons to breastfeed on a handout sheet.  This information simply wasn't available when I was a child.  The nurse commented herself that had she known then, what we knows now, she would have breastfed her children and she is quite certain that their challenges with asthma and allergies may have been avoidable. Interesting.

It definitely helped me feel better about my decision to breastfeed when you get a sense about how much more it is supported by our health care practitioners and community in general and how far that support has come over the years.

I believe every person is entitled to make their own educated decisions as a parent and they should be respected.  I am very happy about mine.

I think a big reason why I was pleased with this emphasis in breastfeeding in particular is because I have been concerned about determining what information I have learned during my pregnancy actually is applicable to me and the birth experiences here in Halifax, today.  Much of the information I have learned about pregnancy and birth have come from American sources.  I read Canadian and American books, but my favourite pregnancy podcast PregTastic was by far, one of the most informative and practical resources that I have come across and I have taken great pleasure in being able to just listen to them in the car to and from work every day. You name the topic, it's covered and discussed amongst the "every day" pregnant women on the podcast panel and an expert on the subject.  Not to mention, the podcasters come back to share their birth experiences after they've had their baby.  Very valuable information in my opinion.  But because it is based out of San Diego, California, and our health care systems are different, I was never sure what "birth and breastfeeding" anecdotes and information I was hearing from that actually apply to me, here, today.

Consequently, I think the main thing I had become concerned about has been my decision to breastfeed and the pressure that many new moms feel from nurses while in the hospital to supplement with formula before really given a chance to allow the mom's milk to come in.  This is a common occurrence and in some cases is indeed necessary.  But in many cases it is not medically necessary, but an attempt to calm a crying baby.  As a new mom, you want to be able to "trust" the advice from your nurses and doctors, of course, but I have learned how to be a bit more critical of these recommendations and not just accept them as "right."  One thing that has stuck with me about the formula supplementation is that it takes around THREE weeks for the baby's stomach and digestive system to "recover" back to normal after receiving just one formula supplementation and since I'm choosing to breastfeed, that doesn't sit right with me.

I felt bold enough to ask the nurse (who had worked at our woman's and children's hospital for many years and now focuses her job on these topics now as a public health care nurse), "Do I  need to worry about being pressured to supplement my baby with formula in the hospital when it's not medically necessary?" 

Her answer, quite frankly was, "Yes, but you will find that your experience will be much better than some of your friends from even recent experiences because they are now being trained in this area much more and really bringing a better awareness on that subject."  I was relieved to hear her honesty because it validated my concerns.  Up until that point, I thought I was creating anxiety possibly unnecessarily based on an entirely different health care system and experiences.  She didn't really have any advice beyond that, but assured me that things have progressed MUCH more even just recently on that topic and it can vary from nurse to nurse.  Fair enough.  You want to be able to trust your health care providers with their recommendations.  I mean, they are the professionals and experts, aren't they? You want to trust that on the face of it, but I'm gaining more confidence to question the motivation behind something like that when it is important to me.

She went into how to identify when your baby has had enough to eat, proper latching (including videos) etc. and in general, I found it all interesting to hear.

Skin to Skin Contact

Again, another topic I have learned so much about over the past few months that made me a little anxious about how it was received and supported.  The research on the benefits of skin to skin contact (often referred to as "Kangaroo Care" in pre-term infants) is also showing amazing benefits.  This also goes along with the growing popularity of "baby wearing" using infant carriers and slings to keep the baby close to the Mom or Dad's chest providing a sense of security, helps them normalize their body temperature, heart rate and respiratory rate, improved cognitive development, improved sleep patterns JUST to name a few.

During this class, this concept was emphasized as extremely important and supported out our hospital to begin as soon after birth as possible and they encourage it which was a HUGE relief to me.  This is a completely different approach than our preceding generations.  I keep getting messages not to "spoil" my baby by picking them up too much etc. or I will "regret" it later on.  It has bothered me to feel like I will be criticized.  But I guess I have to get used to being criticized as a parent and just let it roll off my  back because we all are in charge of our own decisions and I will do what I think and feel is right. I'm not going to be a people pleaser.

The nurse reiterated that it is impossible to "spoil" an infant when their needs are fundamental especially in the first 9 months.  It was interesting because there was a father of one of the mothers who attended the class with her (grandfather of baby) who brought up the point of "spoiling" the child and how it would cause them to never want to be put down or be separated from the mom or dad. I was sooo happy that he brought it up because it was the EXACT perspective that I felt I would be conflicting against and was curious how she would respond to it in the class.  The nurse quite frankly dismissed his assumptions stating that what we know now is different from what we knew "then" and she said the practice has actually shown to produce much more secure children and adults


The Baby Blues & Post Pardom Depression

She also spent some time to discuss the kinds of symptoms that a spouse should look out for to identify if the new mom could be experiencing the baby blues and post pardom depression and showed a video.  It wasn't something I never gave much thought to before then, but appreciated the value it was drawing attention to it because that is something that the partner really needs to pay attention to aside from the new mom herself.

Pregnancy Nutrition

She touched upon the standard healthy nutritional guidelines to follow during pregnancy which I felt was a bit  of a "too late" topic in a sense simply because most people in this class were quite far along in their pregnancies. It certainly didn't hurt to address the topic I suppose.

In addition to the these topics, there were many more, all of which I found helpful, lists of phone numbers, web sites and some resource materials too.  Being a first time mom, I know that I will do just fine.  I tend to lead a laid back personality and I believe in common sense, but it's nice to get as much peace of mind as possible to gain some confidence in such a huge important amazing experience ahead of me. I chose to detail this post in an effort to sort things out in my head and how I felt about it all mostly as a learning experience.  It will be interesting for me to see how my perspective changes after the baby arrives which is another fun reason to document my feelings in this way :-)

Part 2 on "Labour and Delivery" (eeeek!) which is next Friday may provide a different kind of post! lol  I doubt I'm going to leave that class feeling as good as I did from this one! lol

9 comments:

Lynn said...

I can't even begin to tell you how much I appreciate hearing about your experience throughout the pregnancy. All kinds of useful information that I'm taking in before we start our family. :)

Glad that you're feeling better about the breastfeeding/formula hospital dilemma, it really is great to know that our health care providers are being taught not to force it on new Moms.

The Incredible Shrinking Family said...

For what it's worth, I breastfed my son, used a baby sling, did the co sleeping thing for 7 years, did a lot of skin to skin cuddling, infant massage and anything my instinct told me was the right way to go.Motherhood often means standing up for what you belive in, from professionals, family members, friends and even perfect strangers at times. Just turn a deaf ear, follow your gut and all will be well. Incidentally, this style of parenting( called Attachment parenting) led to my choice of homeschooling my son. I would not have done a single thing different

RunDiRun said...

Thanks for sharing all of that. I'm not a mom, I'm not pregnant, but I can't seem to get enough information on the topic...subconsciously planning perhaps?? I've heard that the regular classes in HRM are a waste of time so you're probably wise to go for the condensed version.

Syl said...

such a controversial topic isn't it Angie? I felt the same way as you going into my pregnancy until I actually had my boys and was faced with not being able to breastfeed for many reasons, mainly everything I could do I did and was still not enough supply to keep my boys satisfied. Because they were both jaundice this played a huge part in it too.
I felt horrible for having to stop, but the best advice I can give you is do what you can, do the best you can and you and your baby will be happy for it.
You are going to make a wonderful mother Angie, can't wait to see a picture of your bundle of joy!

Robyn said...

I know what you mean about the importance of having Canadian sources for information when so much of what we read and hear comes from the States. I am expecting my first in November and I just started reading Ina May Gaskin's Guide to Childbirth. It is very hippy dippy, but I love it so far!

Malinda said...

Completely admire your honesty Angie. And I believe if confronted with one of these things you will handle the situation beautifully.

Although I'm not a mom yet I wonder if a simple birth plan outlining your expectations of your stay at the hospital (keep it short) would be of any benefit. Maybe so the nurses know what you want without having to ask? Not sure. Maybe that will come up at the next session :-)

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Angie All The Way said...

Lynn: I'm really glad that you're enjoying it. You will have a leg up when it's your turn ;-)

Incredible: Thank you so much for your comment, it is so reassuring!

Di: you are a mom at heart ;-) It is incredible how much information you begin to realize is out there before you even become a mom. I was oblivious to most of it before I was pregnant!

Syl: very valuable advice, thank you! I am going in with an attitude that breastfeeding will work and we'll be just fine, but in the back of my mind, I know there are struggles and I'm more confident now that I'll be able to deal with them more easily than I would have before thinking that because it's "natural" it's "automatic" which is not true! (Thank you ;-) )

Robyn: I've heard that being recommended before and I think I"m going to hit up the Library to see if I can get my hands on a copy, thanks!

Melinda: during our next L&D session I'm sure they'll discuss the birth plan subject. If it's something they encourage, it can take so much anxiety away from the entire situation. I won't have this crazy long detailed plan because I want to approach it with an open mind and to be realistic about things not going according to plan, but things like BF and skin to skin contact are things I think about the most and would put in there for sure.

Weight Watcher Wannabe said...

Hey again..
I had my baby 1 yr ago and im still breastfeeding. Im kinda shocked at
myself because when I was preggo I said im only going to breastfeed for 6 months .. Thats it.. HAHA

Well after finally figuring out all the kinks etc It wasnt as bad as I thought..

One tip Id give people is get a breast pump. When my little guy first came home we had issues with latching and after hardly any sleep I was about to give up. Hubby suggested getting a pump and it changed my whole outlook on breastfeeding ..

Id give my baby breastmilk in a bottle and then when I was calm and he was calm id practice with the actual breast. So much more relaxing to try when the wee one wasnt really hungry etc..

Everything worked out and we were able to stop pumping and everyone was happy..

Good luck to you and congrats on the baby!!!!!

Fatina George said...

Angie -this was so interesting! I hadn't thought about the Canadian vs. American approach to delivery.

I've been watching a lot of baby shows while I work out at the gym and it seems like every infant has bottle in their mouth they day they are born and I thought it seemed so crazy. Granted some of these shows were filmed a couple years ago but they are sending messages to people today.

I don't know how it is in Canada, but there is an expression about American nurses and how they "eat their young" meaning they can be cruel to young nurses. Not to generalize, but those nurses are carrying around a lot of outdated information.

It's amazing how resistant people are to change. I remember seeing a pregnant woman smoking and saying it was not big deal because her mom smoked when she was pregnant. Horrifying.