Tattoo risk while breastfeeding

We’re giving away some tattoo aftercare balm and a tattoo.  Seriously.  Keep reading.  But if you want to skip to the giveaway part, the short version is that if you’re using a safe, reputable shop, there is almost no risk to getting a tattoo while breastfeeding.  Which is good news if you’re breastfeeding and want to get a tattoo.  Woohoo!

open line work tree and bird arm tattoo

 

From time to time we’re asked on The Leaky Boob Facebook page about the safety of getting tattoos while breastfeeding.  While there isn’t a lot of information out there regarding studies done specifically on getting tattoos while breastfeeding, most health care professionals agree that as long as you are using a reputable shop that follows all the guidelines required for safe-handling and hygiene, there is no real risk to the breastfeeding relationship for the mother to get a tattoo.

Please note: don’t tattoo babies or small children, that would just be mean.

Just a few weeks ago, following Camp MommyCon near Denver, Colorado, I had a what has been a long planned appointment for my very first tattoo.  And yes, I’m still breastfeeding 2 year old Sugarbaby.  This appointment with Colin Kolker at Chroma Collective Tattoo Co. was in the works for a long time, generously gifted to help me realize a healing dream I’ve had for over 2 years to reclaim a spot on my arm scarred along my motherhood journey.  Colin helped me express my healing, inner strength, and the beauty that I have found along the way with a symbolic and meaningful tattoo that represented all of that to me.  You can read about the story and meaning behind my tattoo here.

 

open line work delicate tree and birds tattoo

Before I even made the appointment, I answered all the questions I could on breastfeeding and getting a tattoo.  Personally I decided that the risk, while minimal, was enough for me to want to wait at least until Sugarbaby was over 12 months old simply because should something happen she would no longer be dependent on just breastmilk.  Even though I was confident nothing would happen.  Finances and opportunity pushed it back another year.  At that point I felt I was well informed on any potential risk and what I could do to all but eliminate even that.  Confident that it was safe, the only nervousness I had going into my appointment that evening was that it would hurt.

It did hurt.  I had tattoolas to help me though.  Because support makes all the difference, don’t you know.  Also, people, stop comparing tattoos to giving birth.  It’s totally different and just because I can handle pain when necessary (and I can’t actually stop it anyway) in order to push out a baby does not mean I’m not a wuss about other pain.  To be clear, I’m a total wimp.  Tattoos hurt.  About like you think it would hurt to be repeatedly stabbed and scratched with a needle.  Because that’s exactly what’s happening.  But the pain was totally worth it and in some spots it even felt good, kind of like a tens unit.  Other spots felt like torture.  Still, not like giving birth, the sensation is much less than that of giving birth.

mom tattoo Chroma Tattoo

Shout out to the MommyCon Tattoolas Laney, Xza, and Alyssa!

Here’s what I considered in making my decision to get a tattoo as a breastfeeding mother:

  1. Ink molecules are too large to get into the blood stream and milk.  Sugarbaby wouldn’t have ink flavored milk but I did love that Chroma Collective Tattoo Co. used nontoxic vegan ink they were happy to show me and explain.  This also meant I was less likely to have an allergic reaction to the ink as an immune response and made me feel more comfortable with my decision.
  2. The shop I chose meets all safety standards, sterilizing the equipment and practicing good hygiene.  Breastfeeding or not, seriously, this is a minimum.  Avoid infection by going to a clean, licensed, reputable shop.  They should have an autoclave, single-use inks, gloves, and needles.  Look them up on review sites and check with the local department of health to see if they comply with health code standards.
  3. My health was in my hands, if I followed the protocol for aftercare I would further reduce any risk of infection or possible harm to me and Sugarbaby.  I followed Colin’s directions exactly and not only did I not have any issues, using the Motherlove Tatto Care, I healed surprisingly fast and with almost no flaking or peeling.
  4. Tattoos have been a part of various cultures for a very long time and is legally supported.  Some tattoo artists may refuse to give a breastfeeding mother a tattoo but no major recognized medical body (such as the AAP or WHO) have issued warnings against the practice.  I felt history and science indicated that it was a safe choice for me.  The considerations put forth in this article were helpful.
  5. I don’t tend to have allergies so I wasn’t personally worried that I was likely to have an allergic reaction to the ink.

delicate tree and birds tattoo and breastfeeding

Tattoos aren’t for everyone and some who may want a tattoo may still feel more comfortable waiting until their nursling has weaned.  For me going through with my ink dream is something I’m incredibly glad I did knowing the risk was almost nothing.

I promised a giveaway.

nontoxic tattoo aftercare

And now… you can get a tattoo and take care of it too!  Motherlove Herbal Company is giving away their Tattoo Care to 3 lucky Leakies.  I used Motherlove Tattoo Care from the very beginning as part of my aftercare regimen.  Colin had instructed me to keep the area moist, not letting it dry out by rubbing in Motherlove Tattoo Care several times a day.  It worked like a charm.  Motherlove Tattoo Care is made with certified organic ingredients, handcrafted in Colorado using the same tried and true organic ingredients that have been trusted in other Motherlove products for over 20 years. This thoughtful formulation of herbs provides optimal moisturizing and healing properties, yet retains a consistency that is comfortable to apply. Unlike petroleum based products, Motherlove Tattoo Care allows the skin to breathe, promotes quicker healing, and allows ink to fully penetrate the skin.

Chroma Collective Tattoo Co. Giveaway

Tattoo in progress selfie!

 

We’re also giving away a 2 hour session with Colin Kolker at Chroma Collective Tattoo Co. in Parker, Colorado (outside Denver).  One lucky Leaky will win a  2-hour custom tattoo session at Chroma Collective Tattoo Co. in Parker, Colorado with artist Colin Kolker. Value: $300 but no cash value. Gift Certificate will be mailed to winner or can be picked up at the shop.  Some restrictions apply.  If the piece is more detailed/larger, the winner will be responsible to pay any remaining difference. If the tattoo takes less than 2 hours, the remaining balance cannot be rolled over into a second tattoo/session- good for one session only. Colin is booked pretty solid but has a few availabilities in Sept/Oct and on so there could be a wait time for an appointment.  Must be 18+ and the winner is responsible for their own transportation to and from the Parker, Colorado shop location.

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A 14 year old girl’s thoughts on breasts, breastfeeding, sex appeal, and society.

Reposting this article from last year, at a time when there is public outrage and debate about women posting photos online of themselves breastfeeding and arguments rage about how appropriate inappropriate it is to breastfeeding in public,  it seems timely to share the thoughts of a 14 year old girl on what messages she sees in the world of breasts, breastfeeding, sex appeal, and society. 
by Ophélia Martin-Weber
Photo credit Dorothea Lange, 1936 Library of Congress, American Memory

Photo credit Dorothea Lange, 1936 Library of Congress, American Memory

I wonder when people started treating boobs as objects used just for sex.  A long time ago did people respect moms and their breasts feeding hungry babies?  Even though they didn’t see women as equal did they know that breastfeeding was the healthiest, easiest, and natural source of nutrients to feed the baby and nothing to shun?  There was a time when women didn’t have the right to vote but could freely pull out their breast and feed their baby and today it seems like we have flipped those.  In some ways we have come so far in how women are treated and viewed in society but in other ways women, particularly mothers, are dismissed as their real value being only in their appeal to the opposite sex.  I wonder if we’ve lost something.  Then I wonder what that means for me and I’m only a 14 year old girl. When I was younger I didn’t know breasts had amazing powers to produce milk even though my mom breastfed my sisters and me.  All that I knew was that I had little boobies and I couldn’t wait for the day when my nipples would transform into breasts.  I don’t remember when the fact that mature breasts can give milk really stuck in my head but when it did I thought humans were related to cows.  Sure, humans and cows are both mammals but when I was a kid I thought maybe women actually were cows.  Today I know that’s not true and I also understand there is a lot of attention given to the sexiness of the female breast and that makes me uncomfortable.  Uncomfortable because now that I have breasts I find myself wanting smaller breasts in part because I’m a ballerina but also because I know that bigger breasts are supposed draw attention from guys, are seen as more sexy, and could decide how I am treated by others.  Part of me feels that if I want to be liked I have to have big breasts.  I want guys to notice me but I don’t want guys to notice me (yes, I know this is a contradiction) and I really don’t want them to think I’m just here to have sex with.  I’m just not ready for that and don’t know if I ever will be.  To me, I’m so much more than my sex appeal.  So I’m careful about what I wear, I don’t want communicate that I want attention based on sex but that frustrates me too.  The clothes I like the best and find most comfortable are more form fitting but if I wear yoga pants that fit my butt well will it be communicating that I want the wrong kind of attention?  Or in a leotard are my breasts speaking louder than my mind or my art?  I hope not.  I want to matter to others for more than just my body.  As a dancer, I work with my body a lot and I work hard to make it strong and healthy but not for attention.  That work is to help me tell stories, to use my body as an artist and an athlete.  Struggling with my body every day is part of my lot as a dancer and I have a love hate relationship with it and I’m ok with that.  What I don’t want is to question my natural biology simply because of how others say it should be.  Sometimes it feels as though society wants to punish those with female body parts yet tell us we’re equal without having to act like we really are.  I don’t get it, I understand that breasts are considered sex things but they don’t seem any more “sexy” than most of the other parts of my body such as my lips, my arms, my shoulders, my legs.  Men may find them sexy (is it that way in every culture or just ours?) but they aren’t sexy to me, they feed babies. Urban ballerina Looking back to what my childish mind was thinking and comparing it to some people’s opinions about moms openly breastfeeding in public, I wonder if they too see breastfeeding moms as cows?  Do breastfeeding mothers need to be fenced and herded together, separate from everyone else?  I know there are people that think about moms that way but not everyone does.  A lot of my adult friends have different opinions about breastfeeding but they don’t think poorly about my mom and they don’t ask her to cover when she’s feeding my little sister.  It doesn’t bother them that part of my mom’s breast is visible.  Pictures of beautiful and sexy women show off breasts at least as much as a mom’s breast is seen when she is breastfeeding.  In our culture, what is the most sexy part about women’s breasts?  The breast that is popping out of a too small shirt or the covered nipple?  Why?  If it’s the nipple, why is it such a big deal about breastfeeding in public if the baby is hiding the nipple?  Maybe it’s understandable because of the messages we get from certain parts of society, they might think it is sexual because a person’s mouth, even if it is a baby is on a woman’s breast but they need to get a grip and review their history lessons.   And also learn how breastfeeding works. Why is it ok for men to show off their mammary glands but women can’t?  Why aren’t women “allowed” to expose their chest as much as men can?  Why is it considered indecent for me to be topless by my neighbor across the street can walk around just in his shorts and nobody has a problem with it?  How is that equal?  How is that not discrimination?  Stop telling me I can be equal to my male counterparts but then tell me I have to hide my body more as if there is something wrong with me. I’m not sure I even want to have babies but if I do I will breastfeed them though I have to admit the idea of breastfeeding in public scares me because I know how people think of breasts, women, and moms.  That kind of attention isn’t what I want for myself.  I don’t know what I will do though because I know too much about breastfeeding to not breastfeed and I don’t think I’d want to just stay home all the time.  How sad is it that anyone would be afraid to feed their baby in public?  I’m a little disappointed in myself for feeling this way, I mean, my mom is The Leaky Boob, I feel like she’s the queen of breastfeeding.  But that’s where I am right now.  Fortunately, I have a long time to figure that out and I know I have a family that will support me along the way. If all this obsession with female breasts didn’t actually happen, what would life be like?  If we could change the attitudes against breastfeeding would we actually change attitudes about women?  I hope we can learn from our mistakes because I think people are being hurt by the accepted cultural attitudes of social norms.  And I’m still young, I have to have hope.

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What do you think?  

Do you feel attitudes about breastfeeding are related in any way to our attitudes about women in general?  

How did you think about breasts, breastfeeding, and your own body when you were a teen?

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Completely unrelated to this post, this video shares the author’s story of dance, her dance aspirations, and her current project.

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teen ballerina Ophélia Martin-Weber is 15 years old, the eldest of six girls.  Ophélia is in 8th grade, homeschooled, and is passionate about dance.  A few years ago Ophélia wrote for The Leaky Boob, sharing her views as an 11 year old on breastfeeding and Jessica recently shared a proud mama moment about Ophélia.  You can see some of Ophélia’s dancing and hear her share her dance story and dreams in this video.
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Breastfeeding, Autism, Sensory Processing Disorder, and Oral Phase Dysphagia

This guest post shares a look from the perspective of a mother with a 5 year old son with neurological disorders.  Jeanie decided to share her story after seeing a thread on The Leaky Boob Facebook page asking about breastfeeding issues as potential early signs of neurological issues in an infant.   Whether you recognize yourself and/or your child in

autism and breastfeeding

My name is Jeanie and I am the author/page admin for a blog and Facebook page called Reinventing Mommy, which is all about raising my 5 year old son with Autism and multiple neurological disorders. I want to share my story in hopes that others will learn that feeding difficulties can be an early red flag for developmental concerns…

My son Jack was born on March 23, 2009 after 28 hours of labor which resulted in an emergency c-section. I had preeclampsia during the last 4 weeks of my pregnancy, so Jack was born at exactly 37 weeks. Due to the nature of my delivery, I wasn’t given the opportunity to nurse my son in the recovery room. No one even suggested it. I didn’t know it was even an option. 

The first time I nursed Jack was in our postpartum room. One of the floor nurses tried to assist me in latching the baby on and – for all I knew – it was going great. The nurse mentioned that she would be sending lactation in to see me ASAP the following day (it was nearing 11:00 PM); her reasoning was that babies born prior to 38 weeks got an automatic referral to lactation. She suggested that I send the baby to the nursery that night so I could recover a bit further, and that the baby would be brought to me to nurse. I agreed. 

The next day a lactation consultant came in. I was planning to show her just how great I was doing nursing my baby – clearly I didn’t need her at all! – but instead I was told that not only was my son not latching on at all, he wasn’t sucking properly. This began a journey of using a nipple shield, suck training, and an every 3 hour schedule of nursing Jack for 15 minutes per side then feeding him a supplemental bottle then pumping for 15 minutes. All this while recovering from major abdominal surgery. Every day I was hospitalized, lactation consultants were in and out trying to assist me. 

When I was discharged, lactation continued with phone consults. Jack’s pediatrician was of little help. No one ever said that Jack wasn’t eating normally. I just thought that this was what everyone went through. I was constantly assured that all babies can breastfeed and that I just needed to work harder. The pressure on me was enormous. I felt like a failure. 

Then came the day that Jack refused to take to the breast at all. He simply would not open his mouth for the nipple shield at all. My milk was drying up from the lack of stimulation and Jack wasn’t gaining weight, so we finally gave up and moved to a bottle and formula. 

The problem was that Jack’s feeding issues didn’t resolve with the bottle. Now that he was actually taking in liquid, he began to vomit his entire meal about 5-6 times a day. When I mentioned how much he would “spit up”, I was told that the amount really was probably no more than a couple of tablespoons. What no one truly understood was that he could fill a bowl when he spit up. No one listened when I voiced my concerns that Jack’s eating behaviors didn’t seem typical. Again, I felt like a failure as a mother, because I couldn’t do something as simple as feed my own child. 

At the age of 24 months, Jack was only able to eat purées. He couldn’t self-feed. He was nonverbal. He couldn’t climb stairs or jump. The only sounds he produced where grunts. He spent his days pacing the room and flapping his hands. He was diagnosed with Autism and – finally – someone was willing to listen to our feeding concerns. 

Jack’s developmental pediatrician and his therapy team listened to us, and we got names for what we were seeing – Oral Phase Dysphagia, which is a neurologically-based lack of coordination of the chewing and swallowing mechanisms, and Sensory Processing Disorder. Jack literally didn’t have the muscle tone in his facial muscles to chew foods, he couldn’t manipulate foods in his mouth, he couldn’t coordinate his chewing with his swallowing, but this was all assuming that we could get the food in his mouth in the first place because he was so defensive. In many ways, it was vindication in that I was not a failure as a mother, but my heart sank at knowing that my little boy had such a long road ahead of him. 

Fast forward to now…I just gave birth to my second son 8 weeks ago. My one fear – even more than him having Autism as well – was that he would have similar feeding problems as his brother. That has not happened. My new baby Andrew nurses like a champ. 

As for my sweet Jack, he works harder than any person I’ve ever known. He is an inspiration to me each day. He now speaks, though he still has a significant speech delay. He can eat foods that are either very crisp, like crackers, or bready foods. He eats about 6 foods consistently and several others intermittently. He will continue to require feeding therapy for years, but he is making slow yet steady progress. 

If there is one thing I could pass on to others about feeding concerns, it would be this – go with your gut and trust your instincts. If you feel like you child is truly struggling with feeding, don’t let doctors or anyone deter you from looking into it further. Contact Early Intervention services in your county for an evaluation, or get your child evaluated by a feeding therapist. With therapy, many children with feeding issues can expand their food repertoires, learn to enjoy eating, and become more proficient eaters.

 

Editor’s note: Does your child have a sensory processing or neurological challenges? Do you feel that has that impacted your feeding experiences? Sometimes breastfeeding problems aren’t breastfeeding problems but actually indicators of something else. I’ve heard from several moms of the last 4 years that have tried everything in addressing their breastfeeding struggles only to discover years later that there was (seemingly unrelated) neurological issues. From somewhere on the autism spectrum to high sensitivity, they have wondered if there is a connection. Maybe baby refuses to latch or latches all the time and overwhelms mom with constant breastfeeding. While it may be something else entirely, some moms do see there is a connection later on when their child is older.

I would love to hear from you if this has been a part of your journey, please comment below, share your thoughts, and if you’d like your story to be included on the website, please email content@theleakyboob.com. Thank you all so much!

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Will you allow me a proud mama moment?

This post was originally published in 2013, updated for 2014 by Jessica Martin-Weber

Sometimes it seems like these days of breastfeeding, diaper changes, and needy babies are going to last forever.  We fear losing ourselves in the blur of caring for our children.  Counting diapers, checking ounces, charting milestones… every day becomes so full it doesn’t seem like this time will ever really end. I always hate it when “they” say to hold on to this time, it goes so fast and the next thing you know you’ll be sad how fast they grew up.  It never really helps me, just makes me question if I’m ungrateful and selfish to not savor the poop filled, constantly breastfeeding stage when I’m tired and worn out.  And I have had moments where I’ve been convinced that my child would be the first child to actually still be breastfeeding when they go to college. But you know what?  “They” are right.  I have 6 children, 6 beautiful girls ages 2 years to 15 years old.  I blinked, you know, blinked and I have a 15 year old.  I could swear she was just a baby.  And no, she’s not still breastfeeding.

Help Ophélia Martin-Weber go to summer dance intensives

“They” are totally right. It goes so fast.  Faster than saying can even convey.  And it is so bittersweet.  One day you feel stuck in a whirlwind of diapers and boobs and the next you’re helping them plan leaving for the summer.  Or forever. Over 15 years ago I was made a mother when The Piano Man and I had our eldest.  Some days I look at her and remember the breastfeeding challenges I encountered with her and smile to think how far we’ve come and how distant that time feels.  Yet how very close still.  She helped mold and shape me to not only be the mother she needed but also to help form me to be the mother her little sisters would need and even set me on the path that led to starting The Leaky Boob.  I have shared the breastfeeding journey she and I experienced together, why I breastfeed for her even today, shared some of her sexual abuse survivor story, and she’s even written for The Leaky Boob herself sharing her views on breastfeeding just before she turned 12.  I am one proud mama. We named her Ophélia Chantelle, which means little helper, little song but I call her Earth Baby here to give her a little bit of distance between her real life and what I share online.  She’s not completely anonymous.  With her permission I’ve shared her face, her name, and parts of her story.  She follows The Leaky B@@b and Beyond Moi and has seen conversations I’ve had and from time to time she will help make a post using my phone and taking dictation while I’m driving.  Thanks to her questions and sharing her thoughts, I’ve been inspired for articles, status updates, and tweets.  Her critical thinking has pushed me to reconsider my views on some topics and to open myself up to considering other perspectives.  Her giving, kind, and generous heart moves her to care deeply about others and inspires me to do the same.  I am one proud mama. Giving and full of love, she is a model big sister, making room in her life to play with her 5 little sisters in ways that are meaningful for them from building forts to playing peek-a-boo to going on walks to games of Battleship and climbing trees.  Creativity exudes from her, she knits, bakes, draws, writes, and above all, dances.  Her heart is big and she cares deeply not only for her family but friends and even strangers.  Sharing meals with homeless members of our community, volunteering to help others with babysitting, donating her funds when she can, volunteering for local and international efforts, and even making the choice to prioritize fair-trade chocolate so the treats she enjoys don’t oppress another child.  I am one proud mama. She loves learning and is willing to take risks to pursue what she loves.  An introvert, she is growing every day in understanding herself more and putting herself out there.  Nothing brings that quite together like dance does and in just 3 years we’ve watched as she went from the girl turning 11 and begging for ballet lessons more than anything, even saying to us “I don’t care if I ever get an iPod, a cell phone, or a car, I just want to dance!” to today blooming into a young ballerina with opportunities to pursue her dreams.  Bloodied feet and being behind most dancers her age have never deterred her, just spurred her to work harder until she caught up.  This past January she pushed herself to a new level and attended auditions for summer ballet intensives with hundreds of other students, most of whom have been dancing at least twice if not three times as long as she has.  It was scary but she did it.  I am one proud mama. It was worth it too.  She got into most of the programs for which she auditioned.  Consulting with her instructors and with The Piano Man and I, she narrowed down her choices to 2 programs.  Before she was even sure of where she wanted to go she began baking, running an ongoing bake sale to raise the funds that would be required to attend these training programs.  In a few weeks she raised enough to cover the registration to the two programs she selected.  I am one proud mama. So it is from that place that I share her efforts and invite you to hear from her as she works to reach her goal.  Putting it all out there, she’s raising the funds to get to these summer ballet intensives to train further.  Employing the help of her sisters and her father and me, she created a video and fundraising campaign to try and get the rest of the funds before the deadline.  We had hoped for scholarships but that didn’t happen this time around and the costs involved simply are not in our budget, all the scrimping and saving couldn’t make it so.  The sisters worked together to plan, film, and edit the video sharing Ophelia’s love for dance and her willingness to work hard for her dreams.  I am one proud mama. It’s not easy for her to ask for funds to reach these dreams, doing so is just one more indicator of how motivated she is to take risks and work hard towards her goals, goals that include helping others and using her talents to be a voice for the voiceless.  A tenacity that will serve her well through out her life, I believe.  Check out her fundraising campaign, it’s worth watching the video even if you’re not able to donate.  I’m sharing this and I hope you watch it then share it too because I’m one proud mama.

https://m.youtube.com/watch?v=j9wzWcV_gSs

Last year’s video, it’s amazing to see how much one year changes things even at this age! http://www.youtube.com/watch?v=ycG-NW1UGno

From a needy little baby to an increasingly independent young woman, I am one proud mama.  Thanks for letting me have a proud mama moment! See her fundraiser here, every contribution, big or small, helps:

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TLB Reviews: A Mother’s Boutique Annee Matthew Maternity Wear

We’re talking maternity and nursing clothes today on TLB Reviews!

The Goods: Nursing tops and maternity bottoms. We reviewed the Keyhole Tunic and Maternity Leggings from the Annee Matthew line at A Mother’s Boutique.

The Reviewers: Amy and Kileah

Kileah rocking the Keyhole Tunic in Indigo!

Kileah rocking the Keyhole Tunic in Indigo!

A very-much-over-being-pregnant Amy in the Keyhole Tunic (fuschia) and leggings.

A very pregnant Amy in the Keyhole Tunic (fuchsia) and leggings.

The Good: 

Amy says… I have to talk about the leggings first. I had a HUGE pregnant belly and anything cutting into it, especially on the underside, wasn’t going to fly. I absolutely loved these leggings (they can be worn below or pulled over the belly). They’re like being able to legitimately wear PJs outside the house! They’re incredibly comfy, even over the course of a 12 hour day. Paired with the Keyhole Tunic and a light sweater, they made for a put-together outfit that wore well even through the very end of my pregnancy (when most other tops didn’t cover the length of my belly). Now that I’m breastfeeding, the Keyhole Tunic is an easy go-to, since it looks nice (and conceals my postpartum belly a bit) and I know I can nurse in it. (Note: If you’re in the Pittsburgh, PA area, I highly recommend stopping into Judy’s boutique! She has an area where little kids can play and the personalized bra fitting and shopping service is great!)

Kileah says… Have you ever gotten that twang of inner anxiety over purchasing a NICE item of clothing on the internet? Will I get the size right? What if I think the colour makes me look like a circus clown? Yeah. Online purchasing anxiety was set to rest when the keyhole tunic arrived in the mail. I had chosen the jewel-toned purple color and WOW.  The moment I slipped it on I noticed how gracefully it flattered my soft 4 months post partum midsection! It gave me the perfect fit in the shoulders, the fabric seams didn’t creep me out, the fabric itself was so soft and lightweight, and the length. OH THE LENGTH! I have paired it with printed leggings, or dark wash skinny jeans, a silk scarf, have thrown a light sweater over it, put some fantastic jewelry with it and creatively breastfed from nearly EVERY DIRECTION in this lovely top. Bonus: this top is well suited for pregnancy, post partum and breastfeeding.  I’d say that’s a win, people.

The Bad:

Amy says… Some people will balk at the price, especially for the top. I get that. I love a good deal and dropping almost $60 on one top can seem crazy to me, too. But (but!)…the quality is good and I know I’m going to breastfeed this kid for the next 2+ years. Having a few staples that I know are passable at most social events and are breastfeeding-friendly is worth a premium to me. The price tag may well be someone else’s “good” and still someone else’s “ugly.” It’s all relative.

Kileah says… Yeah. The price might create a bit of sticker shock for some, but in comparison to something you’d be getting at a premium store that would probably only get used during pregnancy, this is such a quality well-made piece and well worth the investment. A good wardrobe can go a long way for us, mamas!

The Ugly: 

Amy says… I put the leggings through regular machine washing and drying (is there any other way?!). The elastic in the waistband ended up twisting such that I couldn’t really get it to flatten out again. (I probably could have, but I didn’t care to fight with it that much.) Other than that, no complaints.

Kileah says… I am not a pearl button kind of gal. My tunic came with a pearl button at the apex of the keyhole on the front and sometimes I think it clashes with certain styles of jewelry/looks. But it IS tiny…and if I really want to be a snob over such a great piece of clothing, I can always switch it out for something else. Definitely worth it!

Editors note: anyone else kind of wish Micah was reviewing these too?  I’d love to hear what he thinks about the fit and the little pearl button.  ;)

As we get our review program kicked off, we wanted to include the chance for someone else to get to review something as well with a giveaway.  A Mother’s boutique is offering one $50 gift certificate to a lucky Leaky winner. We hope the winner will come and add their two cents in the comment section and on our Facebook page.  Good luck!  Due to shipping and customs constraints, this giveaway is open to USA residents only.
~Jessica

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The Leaky Boob Launches Product Review Program

by Jessica Martin-Weber

One of the best parts of The Leaky Boob community is the diversity of experiences.  No two stories or perspectives are exactly alike.  From breastfeeding to returning to work to our birth stories and introducing solids, our journeys are varied and complex.  When it comes to talking about products, this is even more apparent.  One person’s trash is another’s treasure.  What my family couldn’t live without, yours may find completely worthless.  It’s not unusual for me to be asked for my opinion or if I have written a review about a specific product.  The truth is I don’t really like writing reviews.  Some are a lot of fun and some, well, aren’t.  If I actually get the chance to write though, I don’t usually want to write about a product, it’s just not a creative or inspiring outlet for me.  Yet within our community be it here, on Facebook, Instagram, and Twitter, we often discuss topics that extend way beyond breastfeeding including various products and I discovered I am often giving casual, on the spot reviews anyway.  That doesn’t bother me, it’s just a conversation, but it hit me that even though I don’t care to write reviews, people are looking for them and because they already trust TLB as part of their community, it makes sense for them to seek that resource here.

Plus, there are so many great products out there from companies that truly support and value families.  Wanting to connect the parents looking and the companies with the product through honest, unbiased perspectives, we began discussing what it could look like.  With that, The Leaky Boob Review Program was born.  Believing that for a review to be unbiased, the reviewer needed to not fear that they would receive backlash from the company if they were critical.  Talking with Jeremy and then Amy West, we determined that we wanted to pay our reviewers independently so not only would they receive the product, they would be compensated for taking the time to evaluate and write a thorough review of the product, free of any pressure to make the company happy.  Continuing the approach to reviews already established on TLB, reviewers would go over the good, the bad, and the ugly of each product, to be as objective and trustworthy as possible.  Our reviewers were hand-selected by Jeremy and me and represent some of the diversity we see within The Leaky Boob community, communicate clearly in written word, and are able to give objective feedback on their experience with a product.  Being parents first, all of our reviewers are able to evaluate a product as any other parent would, not based on insider knowledge of the baby industry (both a handicap and an advantage) and would use it as any parent new to a product would.  Each new review launched in our review program is covered by at least 2 of the writers to provide 2 perspectives right off the bat and we encourage anyone to ask questions in the comments section of each review and anyone with experience with that particular product to comment on the review sharing their own personal experience review as well.  Together we will grow a resource of trusted, diverse reviews reflecting a wide variety of opinions and experiences.  Our review writers include a mom of 2 (preschooler and infant at the time of this writing), a husband and wife with 4 children (ages 6, 4, 2, and infant), a new first time mom of an infant, and occasionally parents of 6 and creators of The Leaky Boob, Jeremy or me.  Check out their bios here and get to know them through their reviews.

We’re going to continue our primary focus on supporting families in feeding their children, specifically when it comes to breastfeeding and breastmilk.  This new development won’t be taking anything away from our core purpose, merely adding to it.  In true TLB style, it’s more than just us, this new extension of our community will greatly depend on the input and connections shared in your own personal stories and support.

Help us make this a useful resource for you and others.  What products would you like to see reviewed?  How would you like our reviews to be different from others you have seen?  Please tell us what is important to you in a review.

I’m excited to see TLB grow in this way.  We’ve already been doing it, we’re just making it TLB official.

~Jessica

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7 Risks To Feeding Your Child- You’re Screwed No Matter What

by Jessica Martin-Weber

 

risks to feeding children

You have a kid?  Congrats!  What should you feed them?  Trying to decide?  Weighing all your options and carefully assessing the risks?  Great!  You should do that.  Also, you’re screwed no matter what you do.  In 15 years of parenting 6 kids, having both breastfed and formula fed, and gone through phases in nutrition standards (yeah, there was a period with lots of Hamburger Helper and soda pop at each dinner and then a period of only organic, homemade, but most of the time somewhere in the middle), I have found that the “right” way was not only subjective but also highly circumstantial.

That there are some actual risks associated with formula feeding and breastfeeding is undeniable, if heavily debated.  Risks such as possible lowered natural immunity and increased chance of ear infections with formula feeding or risks of mastitis and dietary sensitivities with breastfeeding.  Nothing in life comes without risks.  Yep, you’re facing being screwed or screwing up your kids no matter what you do!  As parents all we can do is try our best to mitigate the risks our children face without putting them in a bubble.  There’s risk to that too, what with BPA concerns, the possible damper on social skills development, and the need for oxygenMay as well let them live in the big bad scary world.  Carefully weighing all the possible options, doing personal research, and making the best informed decisions we can according to our personal circumstances and resources means we have to learn to live with some risks.  Regardless of how you feed your child, there are risks you face no matter how carefully you studied, planned, and executed your decision.  Be it breastmilk straight from the tap, pumped breastmilk, donor milk, or formula and then eventually, before you know it, store bought baby food (organic or not), homemade baby food (organic or not), or baby-led solids, followed by McDonald’s Happy Meals, Whole Foods shopping carts, homemade, or homegrown; there are a few unavoidable risks to feeding your child.

  1. There will likely be times you question yourself.  Is this really necessary?  Am I doing it right?  Am I doing it wrong?  Am I stressing out about nothing?  Have I ruined my child for life?  Has my child ruined me for life?  The answer to all these and more is: probably.
  2. There is little doubt that new information will come out that you have, in fact, made the wrong choice.  Those organic apples weren’t actually organic, breastmilk can have toxins in it (have you had yours tested?!), formula used an unnecessary ingredient now deemed dangerous and cancer causing, the baby food company didn’t list all the ingredients they actually used, artificial colors not only suck the actually cause two horns and a tail to grow on some kids… whatever it is, there will be something that’s bad about the choice you made.
  3. Your child will grow to like junk food.  Like moths to the flame, little kids love toxic laden junk food, the more carcinogens the better.  Try as you might, they will discover the joys of foods you’d rather they not consume thanks to a grandparent, a little friend, a mother more lazy and uninformed than you (admit it, you have been judging her and she knew it), or more likely, daddy. And they will, at some point in time, eat something disgusting off the ground or the floor of your minivan.  They will also pick their nose and eat it.  They will lick something that will make you gag.  No matter what you do to cultivate their palate to make discriminating food choices, they will be drawn to the junk and you will wonder if it ever even mattered.
  4. The growth chart will scare you.  Too big, too little, too average, whatever it is, you’ll probably have at least one appointment with your child’s doctor that will make you concerned about your child’s growth pattern.  Because if there’s anything that can be truly charted, it’s that kids are predictably unpredictable.
  5. Statistics aren’t guarantees.  All the scary stuff that isn’t supposed to happen/is supposed to happen based on how you’re feeding your child doesn’t come true.  The proverbial “they” said if you feed your child “this” way they won’t get sick, or that’s what you understood anyway, and yet you’re wiping green snot off your child’s face every day for months.  And someone is bound to point this out to you, trumpeting how their kid is never sick.  Immune systems can be such ignorant traitors clueless on the what all those studies say.
  6. You will be judged.  Pull out a breast or bottle to feed your baby and watch the judgment fly.  Too long, too brief, too-not-what-they-did.  Bad mom, exhibitionist, endangering your child, endangering other people’s children (their poor eyes may see the choice you’ve made and confuse them!), pouring toxins into your child, doing that in public, you name it, judgment will come from all directions no matter what you do.
  7. You can make yourself crazy.  Trying to do it perfectly right could be exactly what drives you over the edge of sanity.  A very real risk.

And if you think it’s bad when they’re infants, just wait until your child is begging for cheetos and refusing the organic avocado and kale chips at playdates.  No matter how you feed your children as infants, they will someday inevitably grow into toddlers eating their own boogers (and sometimes those of others), tasting dirt on the playground, sucking a sucker they found on the floor of the public bathroom, and licking the railing at a public park.  The good news is, most of the time they really are going to be just fine even though.

Which is why it’s a good thing we don’t feed our children for others.  Good luck!  Whatever you do, there are risks.  This is just one aspect of parenting, have confidence, there are even bigger risk you face in this journey.  Go on, feed your kids, take a deep breath, and take the risks as they come.  You’ve got this.

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Why take and share breastfeeding photos?

by Jessica Martin-Weber
why women share breastfeeding photos

Photo credit: Cleo Photography

What is the deal with all those breastfeeding photos moms are doing?  Breastfeeding selfies, professional photo sessions, family snapshots, they’re showing up on Facebook, Instagram, Twitter, even birth announcements and Christmas cards, and hanging on walls.  This hasn’t always been a thing, has it?  (Check out these and these historic photos that show it isn’t quite as new as you may think.)  When TLB was kicked off Facebook in 2011, allegedly for posting breastfeeding photos, I was asked frequently why post breastfeeding photos in the first place.  What is the point, they wondered, why do women feel the need to share such an intimate moment with the world?  I have been patiently explaining this phenomenon for years, sharing blog posts like this one from Annie at PhD in Parenting, this one from sons & daughters photography,  and personal stories as to why and content to leave it at that.

Still, comments on websites, social media threads, and some times in person continue to come in comparing these photos to sharing an image of someone taking a dump, calling the women posting them “attention whores”, and sometimes even accusing them of sexual abuse.  The reasons why these people may be uncomfortable seeing breastfeeding totally aside (and here are 9 potential reasons), it’s obvious they don’t understand why this would be important.

Over the years I’ve seen the power of breastfeeding photos being shared.  Much like images of other aspects of every day life, seeing breastfeeding photos reminds us of the importance of the mundane in our daily lives.  There are more reasons than I can list, but there are real reasons none the less.

Sharing breastfeeding images is important in offering support.  Many women haven’t seen breastfeeding or have only seen it briefly.  Seeing breastfeeding and hearing the breastfeeding stories of other women supports women where they are in their journey and gives them the space to ask questions and know they aren’t alone.

Sharing breastfeeding images is important in offering information and options.  For some women, breastfeeding is as natural as breathing, everything just works.  Others encounter difficulties.  Seeing how another woman navigates the obstacles she experiences in breastfeeding, such as when Jenna shared an image of feeding her daughter with a supplemental nursing system, mothers who had never heard of such a thing suddenly had a new option.

Sharing breastfeeding images is important in offering community.  Because breastfeeding has been replaced in some cases with alternative feeding methods, some breastfeeding mothers find themselves feeling isolated.  Thanks to the global community now accessible via the internet, mothers can connect with others that can relate to their journey.  While many are willing to walk alone, it is comforting to know you don’t have to.  Sharing the visual builds a community built on more than words.

Sharing breastfeeding images is important in offering encouragement.   When Serena Tremblay shared her photo of breastfeeding in the ICU with the help of a nurse, she never imagined how it would touch and reach so many with encouragement and inspiration.  But that’s exactly what her photo did.

Sharing breastfeeding images is important in offering recognition.  It’s not for attention, the sharing is more about connection and celebration.  But when a woman shares her breastfeeding journey through images, she is recognizing (and helping others recognize for themselves) this very important aspect of her life.  She does it day in and day out, it consumes much of her time, and sometimes it can feel quite invisible.  Or worse, shameful.  Recognizing the time and commitment breastfeeding requires can be a reminder of why it’s all worth it.

Sharing breastfeeding images is important in offering normalization.  More times than I can count people have written in to say that before they joined The Leaky Boob community they thought breastfeeding was gross and creepy.  They didn’t want to see it because they thought it was like watching sex.  But then they saw it and learned that it wasn’t that at all, in fact, it was oddly normal.  Then there are the mothers that discovered they weren’t freaks for continuing to breastfeed past the first 12 months when they discovered there are many others like them.

Sharing breastfeeding images is important in rehumanizing.  I know, I know, that’s not really a word.  But the objectification of women has reached such high levels that unless a woman is airbrushed, painted, surgically altered, pushed up/in, and posed, she isn’t seen as being a woman.  A woman’s worth is almost entirely wrapped up in her looks.  Women are barely seen as human or at least, aren’t allowed to be human.  Images of woman that aren’t airbrushed, painted, surgically altered, pushed up/in, and posed remind all of us what living, breathing, human woman really look like.  Breastfeeding women remind us that a woman’s body is for her to use as she pleases and her worth not dictated by how sexually attractive she is.

Sharing breastfeeding images is important in celebrating.  Parenting is hard work and much of it goes unnoticed and under appreciated.  Celebrating the milestones and goals reached, be they breastfeeding, potty learning, educational, or any other important aspect of parenting, is energizing.  Celebrating them with others even more so.

Leilani and her daughter Ava featured in the photo at the top of this post, understands this, which is why Leilani sent this beautiful photo in with her story:

I made the decision to try breastfeeding while I was still pregnant. I read Ina May’s guide to breastfeeding (religiously), and it gave me the confidence I needed during that very first time Ava latched on. Knowing that I was capable of producing the best nutrition for my child is what inspired me to nurse. There were a handful of bumps in the road during this past year of breastfeeding, but I’m proud to say, we surpassed them. My daughter had jaundice (pretty bad) her first week of life. Due to an incompatible blood type between her and I, the doctors encouraged me to supplement, in order for her jaundice to go away faster. I refused, and as scary as it was, the jaundice went away, and she didn’t need one drop of supplement to assist. I also thought I needed a pump and bottles to nurse more effectively. Turns out that the pump caused my supply to dwindle, and I forced to deal with a baby that wasn’t getting the correct amount of milk she needed. Rather than giving up or supplementing, I was patient and nursed her as often as she’d allow. My supply finally was back to normal. Between those hurdles and moving cross-country TWICE in two months (military family), I am proud to say that Ava at (almost) thirteen months is still nursing and the bond we share is something even more special than I imagined.

 

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9 Reasons you may be uncomfortable with seeing breastfeeding

by Jessica Martin-Weber
Photo from Instagram user Jeniholland.

Photo from Instagram user Jeniholland.

We’re well into the 21st century yet breastfeeding appears to still make many people uncomfortable.  I keep hoping those individuals that get upset about the biologically normal way to feed a baby are really a rarity but, unfortunately, it still seems to be a hot button issue.  Regardless of how a woman is most comfortable feeding her baby, be it uncovered at the breast, covered at the breast, a bottle of expressed breastmilk, or a bottle of formula, plenty of people are uncomfortable witnessing a woman feeding her child and any form of breastfeeding seems to especially elicit vocal expressions of discomfort from others.  I identified 9 reasons people may be uncomfortable seeing breastfeeding be it on social media or in person settings and tried to offer some solutions in overcoming what is essentially a discomfort about babies being fed.  And that brings us to our first point:

  1. Agism.  Breasts aren’t the issue for you, nope.  You just don’t think babies and small children have the right to eat in public.  Or you think that every. single. time they do eat the experience should be charged with connection and intimacy between that child and their care-giver, staring deeply into each others’ eyes approximately 8-24 times a day and not witnessed by anyone else.  Those babies, they need to keep that stuff happening in private!  And yes, a baby or the needs of a small child should actually come second to your own personal comfort about what you witness.  Older people, that’s a totally different story, they can eat when they need to eat and for the most part, where they need to eat and how they need to eat it without harassment, expectation of high level bonding, or a blanket.  On the go, sitting at a table in public, while reading a book or talking with friends, it’s fine for those over the age of 2 to eat in public and even for them to post pictures of their meals on social media.  But those babies better at least keep it under wraps!  Spending some time watching just exactly how adults eat or watching this video could be key in getting you over your prejudices.  No?  You don’t discriminate against babies eating in public?  Ok, have you considered that you could have…
  2. Boob-phobia.  It’s a real thing, check it out.  Perhaps you’re uncomfortable by the sight of breastfeeding because you have Mastrophobia, a phobia of breasts (or cousins gynophobia, a fear of female parts, or papillaphobia, a fear of nipples) and seeing breastfeeding makes you want to run away.  Which maybe that’s what you should do, complete with screaming and waving your arms hysterically.  Or do what I do when watching a scary movie, hide behind a pillow only risking a peek here and there.  Actually though, if you do really have boob-phobia, you should seek professional help.  If that’s not it though, maybe it’s…
  3. Brainwashing.  Which is totally understandable and you can’t help the cultural conditioning that has brainwashed you into thinking breasts are truly only for sexual pleasure.  You’re a victim of marketing and fear.  Boobs aren’t for babies, boobs are for men/selling cars/selling beer/selling clothes/selling sex/selling music/selling movies/selling… selling, or at least that’s what the prevailing messages in much of society seems to be selling.  If this is an issue, walking around with a blanket over your head to cut out these messages could be the solution.  But maybe you are completely immune to marketing and the societal messages thrown at us from every which way, in which case it could be…
  4. Judgment.  You believe, and the reasons why are unimportant (certainly not fear or brainwashing), that breasts that aren’t properly shielded and covered belong to an immoral, immodest individual of low character.  Women that don’t keep those things contained and pull them out and stick them in the mouth of their hungry child must not have a shred of decency and you judge them for that.  Even if they define modesty or decency differently than you do.  Such as “it would be indecent of me not to feed my child when they are hungry…”  Heading to the bathroom to have your dinner may be exactly what you need to get you over this unfortunate character flaw.  Not a judgmental person?  Don’t care what other people do?  Then maybe you’re uncomfortable with seeing breastfeeding because…
  5. Insecurity.  It could be anything.  Insecurity about your own breasts (male or female), insecurity about your friend/father/husband/brother/son seeing someone’s breasts (which of course means you make sure they avoid all malls, sports shows, magazines, and movies), insecurity in seeing someone breastfeed their child when you didn’t/don’t breastfeed yours, insecurity that breastfeeding or not breastfeeding is some kind of mark of “good parenting”, insecurity that others may be uncomfortable with someone else breastfeeding and you feel the need to make sure everyone (but the breastfeeding pair) is comfortable, or maybe just insecurity that humans are all mammals.  Whatever it is, and it could be anything, you personally battle insecurity and rather than face it in yourself you project your issues on to others.  Sitting next to a breastfeeding mother while she feeds her child and having a conversation with her may do the trick.  Not insecure?  If you’re confident enough to not be threatened by a woman feeding her child, could it be…
  6. Confusion.  You get grossed out by the sight of breastfeeding because of two words: body fluids.  It freaks you out that body fluids are free-flowing from a woman right into her baby!  Who needs to see that, right?  It doesn’t matter that it’s only natural because, hello, pooping, peeing, and sex are natural too and you don’t want to see any of THAT in public either, right?  It’s certainly only a matter of time before they’re bottling those body fluids up and feeding them to children too, I’m sure.  Fake urine will be flooding the shelves in no time, specially formulated to be just like the real thing.  Aside from the obvious fact that you really can’t see it happening during the act of breastfeeding, basic biology helps clear this up a bit: breastmilk = nutrition, urine/feces = waste, genital secretions = not food.  Some time studying basic nutrition and biology and understanding the basic differences should fix that right up.  Get the difference and not confused?  Moving on then, maybe it’s…
  7. Misogyny.  This goes along with the brainwashing point but it’s a little deeper.  If you’re uncomfortable seeing breastfeeding because of misogyny, you actually hate women and consider them less than men.  As such, their bodies are purely for men and a woman that would dare exercise her autonomy in using her body as she should choose, well she’s just asking for it, isn’t she?  A breastfeeding woman is just rubbing it in your face, isn’t she?  How dare she act as though she independently has worth and power over her own body.  Besides, seeing breasts in use in such an a-sexual way is a bit unsettling.  You haven’t sanctioned this and it’s uncomfortable to think that you have something in common with human babies. The way through this could be quite painful: start listening to women and catch a production of the Vagina Monologues.  But you’re not a misogynist?  Totally down with women as equals?  Great!  So what about…
  8. Denial.  There are people that spend time researching the emotion of disgust and have a disgust scale.  What is it, why do we experience it, etc.  Some triggers of disgust are understandable, like food contamination disgust.  We don’t want to get sick.  Obviously.  So why are you disgusted by breastfeeding, AKA, feeding babies?  It’s possible, these researchers theorize, that you just don’t like to be reminded of your animality.  Humanity is good in your mind but anything that connects you to the animal side of humans grosses you out.  That humans are mammals (creatures with mammary glands that use their mammaries to feed their young) is a fact you would rather forget.  Watch some Discovery channel, you’ll have to eventually confront that breastfeeding our young isn’t the only animal-like behavior we homo sapiens have.  Not that?  Then…
  9. Unfamiliarity.  When we’re not used to seeing something it can be startling when we come across it.  This isn’t your fault, you’re just not familiar with this as normal and actually expect the alternative to the biological norm instead.  You just haven’t seen breastfeeding enough to be totally down with it.  The fix to this one is pretty easy, see more breastfeeding.  You’ll get over your discomfort the more you see it and soon it will become just as normal as it actually is.  Don’t worry, more and more women are doing their part in feeding their babies in public, with and without covers, and you’ll get more comfortable with it the more you see them out and about or posting their photos on social media so hang in there, there’s hope for you yet!

 

________________________

 What would you add to our list?  Why do you think people may have issues with witnessing breastfeeding or encountering breastfeeding images?  If you’re uncomfortable seeing breastfeeding, why do you think that is?   Did you used to be uncomfortable seeing breastfeeding but are ok with it now?

________________________

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Traumatic Birth: Resources for Healing and Protecting Breastfeeding

by Tanya Lieberman
This post was made possible by the generous support of MotherLove Herbal Company.

Young Woman Biting Her Finger Nail

Having intrusive thoughts about your birth?  Flashbacks?  Feeling disconnected from your baby?  Do you steer clear of hospitals, or try to avoid talking about your birth?

Many women experience trauma related to childbirth, and estimates range from 18% to as high as 34%.  One third of women who experience traumatic births go on to develop Post Traumatic Stress Disorder (PTSD).

Yet despite its widespread nature, the experience of birth-related trauma can be an isolating one, as mothers are encouraged to focus on their babies and quickly “get over” their birth experience.  Trauma can affect a mother – and a partner’s – ability to connect with their baby, carry out normal activities, and can also impair breastfeeding.

In this post we’ll discuss traumatic birth – what it looks like, how it impacts breastfeeding, and where you can turn for help.

 

What’s a traumatic birth?

 

According to PATTCh, a birth trauma organization co-founded by noted childbirth author Penny Simkin, a traumatic birth is defined as one in which a woman experiences or perceives that she and/or her baby were in danger of injury or death to during childbirth.

It’s important to note that it is the mother’s experience of the events, regardless of what happened or the perceptions of other people, that determines whether she experiences trauma.

Here are some characteristic features of births that may lead to an experience of trauma, according to the Birth Trauma Association:

  • An experience involving the threat of death or serious injury to an individual or another person close to them (e.g. their baby).  [Note that it's the mother's perception that is important, whether or not others agree.]
  • A response of intense fear, helplessness or horror to that experience.
  • The persistent re-experiencing of the event by way of recurrent intrusive memories, flashbacks and nightmares. The individual will usually feel distressed, anxious or panicky when exposed to things which remind them of the event.
  • Avoidance of anything that reminds them of the trauma. This can include talking about it, although sometimes women may go through a stage of talking of their traumatic experience a lot so that it obsesses them at times.
  • Bad memories and the need to avoid any reminders of the trauma will often result in difficulties with sleeping and concentrating. Sufferers may also feel angry, irritable and be hyper vigilant (feel jumpy or on guard all the time).

Some common triggers, according to the Birth Trauma Association, are: lengthy labor or short and very painful labor, induction, poor pain relief, feelings of loss of control, high levels of medical intervention, traumatic or emergency deliveries (e.g. emergency cesarean section), impersonal treatment or problems with staff attitudes, not being listened to, lack of information or explanation, lack of privacy and dignity, fear for baby’s safety, stillbirth, birth injuries to the baby, NICU stay, poor postpartum care, previous trauma (such as sexual abuse, domestic violence, trauma with a previous birth).

How can traumatic birth affect breastfeeding?

Breastfeeding can be healing for many mothers after a traumatic birth, and may also repair the relationship between a mother who feels estranged from her baby.  But a traumatic birth may also cause breastfeeding problems.

A traumatic birth can delay on the onset of a mother’s mature milk (“milk coming in”), known as lactogenesis II, sometimes by several days.  This effect is well documented, and often leads to a cascade of breastfeeding problems including jaundice, poor feeding due to sleepiness, poor milk removal, and low supply.

While research on the independent effect of Pitocin on breastfeeding is not sufficient to draw direct conclusions, according to Linda Smith, author of The Impact of Birthing Practices on Breastfeeding, its effects on factors related to breastfeeding are more clear.  Pitocin increases the risk of other interventions, such as IV fluids and cesarean section, which are associated with breastfeeding problems.  Linda Smith also notes that induction of labor often causes babies to be born earlier, and “early term” babies are known to be at higher risk of breastfeeding difficulty.

 

What are some steps you can take after a traumatic birth to minimize the effects on breastfeeding?

There are many steps a mother and her provider can take to minimize the effects of a traumatic birth on breastfeeding:

Skin-to-skin.  Skin-to-skin contact lowers stress hormones, promotes the release of hormones important to lactation, and helps establish a bond between mother and baby.  Some mothers are too overwhelmed by their traumatic experience to practice skin-to-skin, but for those who can it should be encouraged.

Frequent feeding and in some cases pumping.  Frequent feeding and in some cases pumping, may help to speed the onset of mature milk.  If a baby is not feeding well, pumping can protect a mother’s milk supply and prevent or lessen the downward spiral noted above.

Find support to ensure that breastfeeding is not painful.  In research on the relationship between traumatic birth and breastfeeding, authors Beck and Watson found that mothers who had traumatic births and who didn’t have the emotional reserves to work through breastfeeding pain were less likely to meet their breastfeeding goals.  So finding someone who can help you feed without pain is important.

Focus on your motivation.  Beck and Watson also found that the mothers who were very determined, and those who were motivated by a desire to “make up” for a baby’s less than optimal arrival, were more likely to meet their breastfeeding goals.  They suggest setting short term goals and finding respectful support.

Supplementation when medically necessary.  A brief period of supplementation is sometimes necessary in order to bridge the time before your mature milk arrives.  Ideally this would be donor breastmilk, but it is not often available for these situations.  See the Academy of Breastfeeding Medicine protocol for supplementation.

Know where to get good help once home.  Since mothers are generally sent home from the hospital before their milk comes in, they should plan to seek help if their milk is not in by 72 hours (the period defined as normal for the onset of lactogenesis II).  This may head off further difficulty.

If breastfeeding doesn’t work out, connect with your baby in other ways.  As noted above, breastfeeding can be healing to many mothers after a traumatic birth.  But some mothers are truly too overwhelmed to initiate or continue breastfeeding.  In these cases, consider other ways to connect with your baby, such as infant massage, skin to skin, and babywearing.

 

What are some resources for recovery for mothers and partners experiencing birth-related PTSD?

Connecting with other moms.  Connecting with other moms helps you see that you’re not alone.  There are a number of online communities for mothers experiencing birth-related trauma, including Solace for Mothers, Birth Trauma Association’s Facebook page, and Baby Center.

Self care.  A number of forms of self care can aid in healing, including: getting adequate sleep, exercise, yoga, bodywork and massage.  Getting help with cooking, cleaning, and baby care from family, friends, or a postpartum doula may also help you heal.

EMDR (Eye Movement Desensitization and Reprocessing) therapy is considered by trauma experts, including the U.S. Departments of Veterans Affairs and Defense and the American Psychological Association, to be a front line treatment for PTSD.  EMDR involves thinking about the traumatic experience while experiencing a stimulus engaging both sides of your perception.  This might mean moving your eyes back and forth, listening to a tapping sound in alternating ears, or feeling a tapping on alternating knees.  EMDR typically reduces symptoms after just a few sessions. To find a certified EMDR professional, see the EMDR Institute or the EMDR International Association.

Cognitive Behavioral Therapy (CBT) is a form of therapy which addresses beliefs caused by trauma and helps to counter conditioned-fear responses related to the traumatic experience.  To find a CBT therapist, search the websites of the National Association of Cognitive Behavioral Therapist’s or the Association for Behavioral and Cognitive Therapies.

Medications.  You may want to discuss medication options with your healthcare provider.  A summary of medication options is provided here.

Care for partners.  Partners can experience trauma related to childbirth as well.  Encourage partners to seek help if they are experiencing trauma

For more information, listen to Motherlove Herbal Company’s podcast interview.  You may also be interested in this podcast interview on traumatic birth with Dr. Kathleen Kendall-Tackett, president-elect of the Trauma Division of the American Psychological Association.

 Tanya Lieberman is a lactation consultant (IBCLC) who has helped nursing moms  in hospital and pediatric settings.  She writes and produces podcasts for several  breastfeeding websites, including  Motherwear,  Motherlove Herbal Company, and  the Best for Babes Foundation.  Tanya recently authored Spanish for Breastfeeding Support, a guide to help lactation consultants support Spanish-  speaking moms.  Prior to becoming a lactation consultant she was senior  education policy staff to the California legislature and Governor, and served as a  UN civilian peacekeeper.  Tanya is passionate about supporting nursing moms, and especially to eliminating the barriers so many moms face in meeting their breastfeeding goals. She lives in Massachusetts with her husband, her 8 year old son and her 1 year old daughter.
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