Ask the Sleep Expert- Rebecca Michi- Mothers, Restless Toddlers, and Newborn Nap Schedules – Sleep In Arm’s Reach

The Leakies with Rebecca Michi
This post made possible by the generous support of Arm’s Reach Co-Sleeper

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We asked sleep consultant Rebecca Michi to come help us all get some more sleep and we asked the Leakies to share their current sleep struggles. Here are a few of the responses, followed by Rebecca’s support.

 

Dear Rebecca,

With my first baby my mother came and helped. It was nice to have her but at night she wanted to have the baby in her room to let me get more sleep. I was uncomfortable with it for some reason I still can’t explain but it was nice to get a little more sleep. She would comfort my daughter when she would wake, bounce her, give her the pacifier, change her diaper, and try to get her back down. If that didn’t work, she would bring her to me to feed. Several times a night it did work so I did get more sleep. But it never felt quite right even though I appreciated the sleep. My daughter is a pretty good sleeper and my mom says it is because she taught her to sleep as a newborn.

This time I know she’s going to want to do that again and I’m torn about it. Is this ok to do or are is it potentially causing problems? I’m just not sure.

Thank you for your help,

Conflicted mom-to-be again.

 

Hi Conflicted Mom,

How lovely that you have family who come and stay and help you with your newborn. Don’t worry, your Mom helping at night will not cause any problems. Having said that. Don’t do anything that is making you feel uncomfortable. Maybe have your Mom do this once or twice a week, or after the first week or two. If you’re feeling uncomfortable you probably won’t be able to relax and sleep, always trust your Mommy instinct.

~Rebecca

 

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Dear Rebecca,

Every night around 3am my 2.5 year old wakes up. I try taking her back to her bed but she’ll just cry and cry and I’m so tired I lay back down with her or let her get in bed with us. Sometimes she needs to go potty but not every time and she’s always very confused. If I let her in bed with me she’ll fall asleep and everything is fine but I wake up sore. If I take her back to her room she’ll be up repeatedly for the rest of the night. I don’t want to reject her but I need her to go back to her bed and sleep. How can we gently help her get there?

Sincerely,

3am Zmombie.

 

Hey Zmombie,

I would work on eliminating this wake up, as it is happening at the same time each night it is happening out of habit. That’s a good thing as we can work on breaking habits!

If she’s waking at 3am, you’ll want to set your alarm for 2:20am (sorry), go into your daughter and rouse her from her sleep, you don’t want to wake her, just bring her into a lighter sleep. Put your hands on her and rub her tummy/back until you see her move or make a noise. When you do, stop and creep out the room. She shouldn’t wake at 3am as she is going back down into a deeper sleep. Try this for 3 nights before seeing if she has eliminated the wake up herself. If she wakes as you expected her to you will need to wake her slightly more the following night as she wasn’t quite woken enough.

~Rebecca

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Dear Rebecca,

Naps, how do I get my 10 week old to nap somewhere other than on me? I love babywearing and I love holding my baby but sometimes I just need a break and would like to set him down to rest on my own or take a shower or something. He loves to sleep but only in my arms. At night he sleeps in the cosleeper next to me and I can transfer him pretty well after feeding but nap times during the day are an entirely different matter. It seems like he always wants to sleep during the day but it’s only in little bits here and there because if I try to transfer him he wakes up. I end up feeling stuck sitting there holding him until he wakes. Is there anything we can do or have we already made a bad habit we have to live with?

Trapped under a baby in the midwest.

 

Dear Trapped Momma,

This is very normal behavior for a young infant. I can guarantee that it will certainly not last forever. Sleep will really change at around 12 weeks of age (actually 52 weeks from conception).  At this point I would try for 1 nap a day in a swing or crib, the easiest is the first of the day. Don’t worry if naps are short, that is very normal as naps don’t develop until sometime between 4 and 6 months. In the meantime I would make sure you are swaddling your little one, making sure they aren’t getting overtired, dark room and have white noise playing as you work on a nap. You never know you may be able to pop them down whilst they are sleeping.

~Rebecca

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Be sure to check out Rebecca’s book Sleep And Your Child’s Temperament and don’t miss out on the opportunity to participate in her Sleep Academy here.

If you have a question you would like Rebecca to answer next time, leave a comment.

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small Rebecca Michi121

 

Rebecca is a Children’s Sleep Consultant who has been working with families for over 20 years. She is a gentle sleep consultant who doesn’t believe in leaving your child to cry-it-out when teaching them to fall asleep more independently. She is passionate about helping children and their parents build healthy habits so they can finally get some sleep. By transforming drama into dreamland, her mission is to help your children—and you—get a good night’s sleep.

Ask the Sleep Expert- Rebecca Michi- Sleeping Through The Night, Transitioning, and Night Weaning- Sleep In Arm’s Reach

The Leakies with Rebecca Michi

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The Leaky Boob is committed to providing free information, support, and community. You can be a part of making that possible by joining our circle of support. Any and all support amount makes a difference.

_________________________

This post made possible by the generous support of Arms Reach Co-Sleeper

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We asked sleep consultant Rebecca Michi to come help us all get some more sleep and we asked the Leakies to share their current sleep struggles. Here are a few of the responses, followed by Rebecca’s support.

 

Dear Rebecca,

Is it normal for a 4-5 year old to not sleep through the night yet? At 4, my son still wakes to come co-sleep with us and my 6 year old also goes through phases where she won’t sleep through the night. Is there anything we can do to help this? I worry because night wakings sometimes affect school. I think this is normal, but my husband doesn’t sleep well when they crowd us. My daughter says she wakes and is too scared to return to sleep alone. How can we make both my son and daughter feel more safe and/or my husband feel more comfortable?

I really appreciate your advice, thank you,

Feeling Crowded

 

HI Feeling Crowded,

We all wake during the night, up to 6 times is quite normal but it is no wonder you’re feeling a little crowded! I would make up beds for them on the floor of your room, don’t make them too comfortable, just a blanket and pillow is fine. When they come in to your room they can sleep on the floor but not in your bed. They may soon realize that their bed is much more comfortable than the floor of your room and want to stay in their own bed.

Hope that helps!

~Rebecca

 

Dear Rebecca,

My 17 month old co sleeps and always has. He lets me leave at night when he’s asleep for the night but I cannot sneak away from him at nap time. What can I do to start having him nap on his own?

Sneakily yours,

Ready To Have Nap Time To Myself

 

Hi Sneakily,

Nap sleep is quite different than night sleep. At the beginning of the night we all get into a deep sleep, this means that you can sneak away after getting him to sleep. He will get into a deep sleep at nap time, but it’s not as deep. Try shifting away after he’s been asleep for 10 minutes. Pop a pillow next to him so he has something to snuggle with. When you do shift away initially stay next to the bed, place your hands on him if you can see he’s coming into a light sleep (moves or makes a noise) jiggle him a little and help him back to a deeper sleep. Don’t rush off when he’s asleep, spend the time helping him remain asleep and he will have an easier time sleeping for longer.

Good luck sneaking away!

~Rebecca

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Dear Rebecca,

When is a reasonable time for a baby to stop nursing to sleep? I keep being told that if I give my 9 month old more solids he won’t want to eat at all at night. I feed him all he wants but I try not to push him after he stops showing interest. I don’t mind the night feedings since we co sleep and he takes the breast when he wants at night without waking me much. I have been told we should stop night feedings once a baby has teeth.

Do I need to start weaning him from nursing to sleep by a certain point? I really don’t want to but maybe I’m just trying to hold on to his baby stage.

Nursing to sleep and fine with it,

Holding On

 

Hello Fine With It,

If it ain’t broke, don’t fix it! He will need to fall asleep independently at some point, maybe before his first sleepover or when he goes off to college and I’m quite sure that he will have been sleeping independently before that!

You don’t need to stop nursing during the night because he has teeth, you don’t need to stop nursing through the night because he’s on solids, you don’t need to stop nursing through the night because someone told you to. You continue to feed during the night until it is no longer working for the both of you. When it’s not working, that is the perfect time to stop.

Enjoy what’s working for you!

~Rebecca

 

Be sure to check out Rebecca’s book Sleep And Your Child’s Temperament and don’t miss out on the opportunity to participate in her Sleep Academy here.

If you have a question you would like Rebecca to answer next time, leave a comment.

 

______________________________

The Leaky Boob is committed to providing free information, support, and community. You can be a part of making that possible by joining our circle of support. Any and all support amount makes a difference.

_________________________

 

small Rebecca Michi121

 

Rebecca is a Children’s Sleep Consultant who has been working with families for over 20 years. She is a gentle sleep consultant who doesn’t believe in leaving your child to cry-it-out when teaching them to fall asleep more independently. She is passionate about helping children and their parents build healthy habits so they can finally get some sleep. By transforming drama into dreamland, her mission is to help your children—and you—get a good night’s sleep.

Ask the Sleep Expert- Rebecca Michi- Night Weaning, Co-sleeping, and Crib Training- Sleep In Arm’s Reach

The Leakies with Rebecca Michi
This post made possible by the generous support of Arms Reach Co-Sleeper

Arms Reach Banner Logo

We asked sleep consultant Rebecca Michi to come help us all get some more sleep and we asked the Leakiaes to share there current sleep struggles. Here are a few of the responses followed by Rebecca’s support.

 

Dear Rebecca

How do I get my almost 2 year old to sleep through the night? She wakes 2-3 times a night to comfort nurse and I’m desperately in need of a fully night’s sleep. I don’t want her to feel rejected but I’m at the end of my rope. She naps once a day for about an hour and a half and our bed time routine is pretty simple (bath, pajamas, brush teeth, story, nurse, sing a few songs, bed). What can I do to gently encourage her to sleep more at night? I’m not ready to fully wean but I have to do something.

Thank you for any help you can give me,

Red eyed and bleary in Missouri

Hi,

Do you have someone who could help during the night? Could your partner help? If so, I suggest you sleep somewhere else for a few nights (if you’re bed sharing) or have your partner go in and help during the night. They need to help the same time you would have done, we don’t want her left upset for any duration of time, and help soothing her any way they can. When night weaning (recommended after 12 months old or older, before then babies often still need nutrition at night), expect strong emotions from your child. Your daughter will be mad, quite mad I imagine, but she is just that, mad and someone is with her the whole time helping her with these emotions. Habits are broken after just 3 nights so it shouldn’t take long for her to not expect a feed during the night.

Wishing You Rest,

Rebecca

 

Dear Rebecca,

My question is about a safe sleep space. My son is 3 months and growing out of his bassinet but I’m not at all ready to put him in his crib in the nursery, I want to keep him near me. What are my options? He’s pretty big, in the 98th percentile. I don’t have space to move the crib into my room and I’d like to cosleep but I’m not sure it is safe for us to bed share as my wife is a heavy sleeper and we have a queen bed. Should we get a king sized bed? Is there a cosleeper option for bigger babies?

Deeply grateful,

Craving Cozy

HI,

Take a look at a co-sleeper Arms Reach co-sleepers, they attach your bed, and are the same height as your bed. Your child is sleeping right next to you, but in a separate sleep space, this would be the safest option for you with a smaller bed and a heavy sleeping partner.

Happy Co-Sleeping,

Rebecca

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Dear Rebecca,

Our 1 year old sleeps for a max 15 mins in his crib. if he’s in bed with us we get an hour or 2, if we’re lucky we may get 4 hours. . Any little movement he does wakes him up and he can’t get back to sleep unless he’s nursing. I’m exhausted during the day and can barely keep up.

Something has to change.

Overly Exhausted mom of 2 + a pup.

Hi,

Make sure he has plenty of playtime in his crib each day, he needs  to be comfortable in his crib when awake to be able to sleep there comfortably.

Compare the mattresses, if they are different and I bet they are, try making the crib mattress more like yours. Some crib mattresses have a softer toddler side, you can also buy mattress toppers for crib mattresses. Some families put a quilt or blanket on top of the mattress but under the sheet to make the mattress more comfortable.

Making these changes to the crib can make the world of difference, if you are still struggling with wake ups during the night, you may want to take a look at some gentle sleep training techniques.

Best Wishes,

Rebecca

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Be sure to check out Rebecca’s book Sleep And Your Child’s Temperament and don’t miss out on the opportunity to participate in her Sleep Academy here.

If you have a question you would like Rebecca to answer next time, leave a comment.

____________________

small Rebecca Michi121

 

Rebecca is a Children’s Sleep Consultant who has been working with families for over 20 years. She is a gentle sleep consultant who doesn’t believe in leaving your child to cry-it-out when teaching them to fall asleep more independently. She is passionate about helping children and their parents build healthy habits so they can finally get some sleep. By transforming drama into dreamland, her mission is to help your children—and you—get a good night’s sleep.

How to Help Your Kids Love and Connect with Their Father After Divorce (Even When You HATE HIM)

by Shannon Streger

I will be the first to tell you, I HATE divorce!  I never thought I would find myself divorced, single at 35, whilst raising 3 kids under 8; but life is unpredictable.  There is a LOT of judgement out there when it comes to divorce. I know I’ve dealt with my fair share of critics, especially having walked through this as not only a Christian, but also, a pastor’s wife.

People told me I was “ruining my life”, that I was likely, now “damned to hell”, and the real zinger, “I had selfishly ruined my kids FOREVER”.  And, all this to scare me into staying in a physically and emotionally abusive relationship I had worked hard to keep together for over 17 years. I realized that with hard work and openness, my kids didn’t have to be “ruined” and infact, they could very well thrive in a two-home, co-parenting arrangement.

One of the first steps was coming to an agreement with their father about how that would look.  He was in agreeance we needed to work on having positive exchange and open dialog about our children, especially in front of them.  They needed to see we were on the “same team” when it came to parenting. I would like to share with you some steps I have learned towards having a healthy co-parent relationship that gives your children space to feel connected to their father, while still allowing you to “move on.”

*It is important to note: these steps may not be possible in every situation. If your ex is unwilling to work with you, the fact is you will only be able to do so much and if your ex is not a safe person for your children to be around at all then your path will look completely different.  

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Provide a means for them to communicate with him directly..and often.

In this day in age of smartphones and FaceTime, connecting face to face with someone is easier than ever.  While at times I find it tempting to discourage phone calls for the sake of busyness and staying on routine, this is a lifeline that could be crucial to showing your child you will not stand in the way of them building a strong relationship with their other parent.  It’s not always convenient but it’s important none the less.  We often will do facetime calls from the car on the way home from school or they take turns on the couch talking to Dad while I make dinner.  

TIP: Avoid calls when they are emotionally vulnerable such as bedtime. Sometimes you may feel that an exception is appropriate but be aware that this could potentially be upsetting.

You may opt for a regular phone call vs. facetime, particularly in the beginning.  I was given this advice early in my separation.  Seeing their other parent but not physically being with them can be confusing for young children.  At times too, when emotions are high, it can be a manipulative exchange and in turn will create an unhealthy relationship for the parent and child.

 

Share stories and point out commonalities.

As you find yourself healing from a separation and/or divorce, it is tempting to rid yourself of all things that include or remind you of your former partner.  You may even catch yourself becoming irritated at the very mention of their name.  To help my children feel connected to their Dad, I began making a point of sharing stories or pointing out common interests.  My kids favorite story about their Dad is “the roach story”.  I’m pretty sure my re-account gets longer and more dramatic with every telling.  They also love when we talk about where they got some of their distinctives such as hair and eye color.

TIP: You never want your child to feel that because they may remind you of your ex that you are rejecting them. Encourage them that the traits that they share with their other parent are ones you love, even if you don’t love it in your ex.

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Encourage them to celebrate special days and help provide a means for them to do so (birthdays, religious holidays, Father’s day, etc..).

Kids love giving gifts as much as they enjoy receiving them. Perhaps with little ones, give them each a certain amount to spend on an individual gift and give suggestions on things you know your ex-husband will enjoy. If they are older, this is a great opportunity to teach savings and budgeting, allowing them to plan their own giving.  But, better yet, a homemade gift goes just as far, if not further. Remember, this is their father, and gifts are a great way to express love and build a deeper connection.  Allow them to brainstorm what their father enjoys, his interests, hobbies, etc.

TIP: Let them own the gift as being just from them, not from you, no matter how much you did to make it happen. And then let it go, don’t expect your ex to make the same effort and don’t stew on that because this is about your child and their relationship with their other parent. You’re doing this for your child, not your ex.

 

He isn’t JUST their father; he is ALSO their parent.

Make a point to keep the other parent informed, whether that be phone, email, counselor, or direct communication from their school of successes and difficulties your children may be experiencing. You may now be leading your household alone, but it doesn’t remove their other parent from helping to guide and teach. For instance If your child is having a tough time making good choices, or is struggling with their friend connections at school, give their parent an opportunity to speak into that situation as well and address disciplinary problems. This will further cement the fact that as a two-home family, Mom and Dad are still “on the same playing field” when it comes to their parenting roles.

Tip: Do not take this as an opportunity to blame-shift or use the other parent as “the bad guy”.  This will jeopardize the co-parenting relationship and create a toxic environment for everyone! Also, do not make disciplinary decisions for the other parent. For instance, do not set restrictions that apply to their time with the other parent. Allow Dad to set his own consequences for his home.

We all worry about our kids and want them to thrive as they develop into the amazing people they have the potential to become. Even through divorce, your children can and will flourish and develop normally emotionally, and having a strong plan in place will help make that possible. This isn’t realistic in every situation, and that’s ok! Your children still have a strong future ahead of them, with your help. You’ve got this!


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Shannon Streger, a work at home mom, is the project manager for The Leaky Boob. She is a (not so proud) native Houstonian.  Truly the most un-Texan Texan you’ll meet. She has 3 amazing children who keep her days full! She has a degree in Kinesiology and Psychology from Houston Baptist University. Recently, she began the certification process to become a birth doula and IBCLC.  In her free time, Shannon enjoys road trips, anything outdoors with her kids, and 90’s movies. 

Ask the Sleep Expert- Rebecca Michi- 4 month olds, 3 year olds, and Partners- Sleep In Arm’s Reach

The Leakies with Rebecca Michi

This post made possible by the generous support of Arms Reach Co-Sleeper

Arms Reach Banner Logo

We asked sleep consultant Rebecca Michi to come help us all get some more sleep and we asked the Leakiaes to share there current sleep struggles. Here are a few of the responses followed by Rebecca’s support.

Dear Rebecca,

Help! I have a 10 week old and a 3 year old. The 10 week old sleeps pretty well, considering, but it is the 3 year old that is pushing me over the edge. The baby sleeps in a cosleeper next to me and my son sleeps in his own room but usually joins us in our bed in the very early morning. I’m fine with that, I like the extra snuggles then. What is getting to be too much is our bedtime routine. It is pretty straight forward; bath, pajamas, brush teeth, read a story, go potty, lights out, sing a few songs while I rub is back… and we should be done. Except we’re not. He won’t fall asleep without someone sitting there and what he really wants is me to lay there with him. It can take him an hour and a half to go to sleep! In that time I usually need to feed the baby and he’ll come out looking for me when I go get her. My partner isn’t home most bedtimes so I’m on my own. I’m getting so overwhelmed and frustrated that the other night I yelled at him to stay in bed and he ended up falling asleep crying. I feel horrible, that is not how I want to parent. How do I get him to stay in bed without needing me right by him for 90 minutes? I’m so tired by the time I leave his room, I struggle with picking up the house and getting the dishes done. Is there anything I can do to help him settle quicker?

Sleepily yours,

Grumpy and tired mommy of 2 in Idaho

Dear Grumpy,

It should take us between 10 and 20 minutes to fall asleep, if it’s taking longer than that chances are he’s not tired enough. I’m not sure how long her is napping during the day, but it does look like he is getting ready to drop his nap. I would start by reducing the nap down a little (maybe 15 or 20 minutes), that will probably mean that you need to wake him from his nap. Give it a week and then see what impact it has on the beginning of the night. You can continue to reduce down as you need to.

It’s okay for you to be in the room at the beginning of the night as he falls asleep if it’s not taking you so long, his whole world was turned upside down with the birth of his sibling less that 3 months ago, so give him the support he needs at the beginning of the night.

 

Dear Rebecca,

My husband seems to think we’ve spoiled our 4 month old by not leaving her to cry at bedtime and when she wakes. He thinks that the night wakings (usually 3 times a night) are out of hand. I’m actually ok with it, though I am tired, but I expected to be tired with a baby. The thing is his mother is telling him that our daughter should be sleeping through the night from 7 to 7. It doesn’t help that his sister has a 6 month old that has a baby that has loved sleep from the get-go and is happily sleeping 10 hours a night according to her. He thinks we need to sleep train her and that it is ok to let her cry. I don’t and feel that her sleeping patterns are normal for her age. Is there some kind of happy middle ground I can suggest?

Thank you,

Searching for middle ground in Georgia

Dear Searching,

At 12 weeks 70% of babies are sleeping for less than a 6 hour stretch. Waking 3 times at night at 4 months old is perfectly normal. I would not advise you leave your little one to cry-it-out. She is still so tiny and new and is only just beginning to understand that she is separate from you. Her tummy is also tiny, she will wake out of hunger during the night.

It’s awesome that your sister-in-law has a little one that sleeps through the night, most don’t, she is certainly one of a few.

Hang in there, sleep will change and those stretches of sleep will get longer and longer.

Rebecca Michi normal sleep 4 month old Arms Reach 01.16

Dear Rebecca,

My wife is an excellent mother but she puts a lot of pressure on herself to do everything. I work long hours and want to take on the parenting responsibilities I can when I’m home, even if they are in the middle of the night. She’s breastfeeding our 2 month old son, which I fully support, and it is going well. However, I’d like to help more at night, in part so she can get a break and have more sleep, and in part because I selfishly want to have some time caring for our son as well. Unfortunately, with breastfeeding she says there is nothing for me to do, he just wants the boob. Are there ways I can help with sleep and nighttime routines that won’t interrupt breastfeeding? I know she doesn’t want to pump but our son does wake frequently and I want to be able to help. He is sleeping in a bassinet by our bed so she can reach him easily. I know it sounds selfish but I just want to be involved and I don’t feel very needed in caring for our son at the moment. Any ideas?

I appreciate your help,

Daddy just wants to help

Dear Daddy,

There is plenty you can do to help with sleep. How about you do the getting ready for bed routine and your wife does the feeding to sleep? The night routine can be around 30 minutes long before a feed, that can include a bath, massage, diaper, pj’s, walk around and then the hand off to Mom. Chances are at this age your little one will fall asleep whilst nursing at the beginning of the night and during the night and that isn’t something you can get too involved with. You can give him a diaper change during the night, give him a quick snuggle before you pop him into the bassinet, get your wife a fresh glass of water and of course be ready to help if she does struggle to get him back to sleep.

Sleep is going to change so much over the next few months and I’m quite sure that you will be able to help more and more during the night.

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Be sure to check out Rebecca’s book Sleep And Your Child’s Temperament and don’t miss out on the opportunity to participate in her Sleep Academy here.

If you have a question you would like Rebecca to answer next time, leave a comment.

____________________

small Rebecca Michi121

 

Rebecca is a Children’s Sleep Consultant who has been working with families for over 20 years. She is a gentle sleep consultant who doesn’t believe in leaving your child to cry-it-out when teaching them to fall asleep more independently. She is passionate about helping children and their parents build healthy habits so they can finally get some sleep. By transforming drama into dreamland, her mission is to help your children—and you—get a good night’s sleep.

Normal Postpartum Bleeding and Discharge and the Return of Your Period After Giving Birth

by Dr. Kymberlee Lake

Most women know that there may be some bleeding after giving birth but often women are surprised by how much and how long and they aren’t aware of the difference between postpartum bleeding and discharge and menstruation. The first bleeding after you give birth is called lochia.

What exactly is lochia? 

Lochia is the discharge consists of blood from the area on the uterine wall to which the placenta was attached during pregnancy, the sloughed off endometrium (uterine lining which makes a bed for the fetus) which gets considerably thickened during pregnancy, blood and mucus from the healing cervix,  and dead (necrotic) tissue. Your blood volume increases by approximately 50% in pregnancy, all that extra blood also has to go somewhere after birth. Most women will experience blood and lochia discharge for 3- 6 weeks though that time span can very from pregnancy to pregnancy and can be directly influenced by a healing mother’s activity level.

Why do we have lochia and where does it come from?
The blood in the lochia comes mainly from the large raw area left in the uterine wall after the placenta detaches from it. While bleeding from this area is controlled by contraction of the uterine muscles immediately after delivery, it takes on the average about two weeks for this area to heal. It is important to remember that this is a wound and it is possible to do too much before it has healed and reopen the wound, causing fresh bleeding. You will experience this bleeding for around four to six weeks postpartum.

For the first few days it will be a heavy flow (kind of like a heavy period) and will be  colored dark red, with some clotting.  About the end of the first week the flow should start to taper off, becoming lighter in saturation and color; as time passes, it will fade to a brown, yellowish or even almost-white discharge. 

One thing to remember is that the placental area as well as the sites of sloughing endometrium are raw and open during this time and bacteria can easily spread from the vagina. So, the use of tampons should be avoided – sanitary pads are the best options to be used during this time. 

What is normal and when should I be concerned?
You might notice a ‘gush’ of blood with clotting when you stand up – this is very normal. Also, if you’re breastfeeding, you might notice that you lose more blood after feeding baby; this is caused by your hormones doing their work to help shrink your uterus back to it’s pre pregnancy size. The lochia is sterile for the first 2-3 days but then becomes colonised by bacteria giving off a typical distinct lochial smell which is normal and should not be confused with the bad odor from lochia in postpartum infection. – 

If the discharge smells foul, you’re still noticing a lot of blood loss after the first four weeks, or the blood is bright red, these are signs of infection and you should speak to your health care provider as soon as you can. This is especially true if you also have a fever (no matter how slight)  or are generally feel ill. Likewise, if your blood loss is so heavy that you’re going through more than a pad an hour, you should get medical help immediately – this can be a sign of a hemorrhage. If in question and something feels “off” it is worth a call to your health care provider for advice.

Types of Lochia
Depending on the color and consistency, lochia can be of three types:

  • Lochia Rubra: Lochia rubra occurs in the first 3-4 days after delivery. It is reddish in color – hence the term ‘rubra’. It is made up of mainly blood, bits of fetal membranes, decidua, meconium, and cervical discharge.
  • Lochia Serosa: The lochia rubra gradually changes color to brown and then yellow over a period of about a week. It is called lochia serosa at this stage. The lochia serosa contains less red blood cells but more white blood cells, wound discharge from the placental and other sites, and mucus from the cervix.
  • Lochia Alba: The lochia alba is a whitish, turbid fluid which drains from the vagina for about another 1 – 2 weeks. It mainly consists of decidual cells, mucus, white blood cells, and epithelial cells.

The Stages of Lochia table image

Do women who give birth by c-section still have lochia?
Many women believe that the flow of lochia is less after a cesarean section since the uterine cavity is cleaned out after the birth of the baby. This is not true. The flow of lochia is not dependent on the type of delivery –  The amount and duration is the same in both cases.

Return of Menses
There’s no hard rule as to when your period will return post-baby – it can vary from woman to woman, and pregnancy to pregnancy. Here are some general guidelines

  • Women who bottle-feed can see their menstrual cycle return within six weeks of birth – and most will have menses back by ten to twelve weeks.
  • Women who exclusively breastfeed may not get their period back for some time. When you breastfeed, you body releases the milk-producing hormone prolactin, which, in turn, keeps our levels of progesterone and estrogen low. Progesterone and estrogen are the hormones responsible for signaling ovulation and menstruation. Night nursing directly effects these levels, a decrease in breastfeeding at night may lead to a return of menses.

Once your period returns, it can take even longer for it to get into a regular cycle. If you are bottle feeding it can take around six months, while exclusively breastfeeding your baby can take 12-18 months. But keep in mind that this does vary from mom to mom and pregnancy to pregnancy. Even with exclusive breastfeeding on demand and no artificial nipples, there are women who see a return of their menses as early as 6 weeks while others may not breastfeed and still experience a considerable delay. Each woman is different. Some women experience lighter flows and/or less cramping with their menses after having a baby, others experience the same, and still others may experience an increase. The range of normal variations is considerable but very heavy bleeding, soaking a full size pad in 1-2 hours, may indicate a problem and should be addressed with your health care provider. There are a variety of factors that contribute to possible changes with the return of your period but keep in mind that diet, physical activity, and your menstrual products can all contribute to cramps and duration.

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Please be aware that your first egg (ovulation) will be released two weeks before your period starts, so if you have unprotected sex without realizing that you are ovulating, you could get pregnant before you have even began menses again. It’s a good idea to speak to your healthcare provider about contraception even before you start thinking about sex again, so you can be confident in your choice ahead of time.

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Kymberlee Lake- headshot

Kymberlee is a Physician/midwife, Therapeutic foster/adoptive parent with 6 kids ranging in age from 31 to 3 and three grandchildren. She is living life to the full with MS in the Pacific NorthWET.  As an international travel enthusiast and fan of teleportation you can find her under the name “Dr_Kymberlee” live streaming and on social media, or on her often neglected blog, TheMamaMidwife.com

#MyStoryMatters; Breast Cancer

by Ashley Thompson

Ashley Thompson- headshot

Nursing wasn’t easy for me but I knew it was what I wanted for me and my daughter. I’m 32 years old and my daughter was born almost 2 years ago. I’m so fortunate that I have been able to stay home with her full time since she was born. When she came to this world, I went ALL IN! I nursed exclusively on demand, I gave up dairy, and I very comfortably nursed anywhere I was. I loved nursing and so did my daughter!

Around April of this year something changed. I was feeling like maybe it was time to wean, and ultimately made it happen. Three weeks later, during a self exam, I felt a lump. I first called my OBGYN, and then a breast surgeon (I have a strong family history, and have seen one since I was 27). Neither had any sense of urgency, and were quick to dismiss me as I had just stopped nursing. I was told that breasts of a nursing mother are too lumpy, and milk would distort imaging. But I knew something was wrong. My mother, 2x breast cancer survivor, made one phone call to her doc and I was in the next day.

Four days before Mother’s Day, I got the call. One month later I had bilateral mastectomies. Six weeks after that, CHEMO. Breast cancer does not discriminate! I can’t tell you how many incredible young survivors I have met through this journey. What you said really hit home with me. Enough soup cans with pretty pink ribbons, and No Bra Day? Women don’t need to see beautiful models showing their brastraps in support of awareness.  Real, raw stories are what they need.

Ashley Thompson, breast cancer, guest post, Leaky to Leaky

 

Anyway… I’m done with chemo and now cancer free! I’m still in the process of reconstruction and I will likely be treating/preventing this the rest of my life, but it will be a long life! I am still mourning the life, and the body I had before, but am so grateful for the future! Children are so resilient and my daughter has been so amazing through it all! I miss nursing, and I hate that I will never nurse again.  Although my breasts are gone, nothing can take those memories away. Not even cancer!

A Poem on Postpartum Depression; A #MyStoryMatters

by Melissa Hoos

depression and motherhood

I’m mama to one amazing 10 month old boy. Having been diagnosed with clinical depression and generalized anxiety disorder at age 15, I knew I was at a high risk for postpartum depression. Pregnancy gave me a wonderful break from depressive episodes (my psychiatrist would tell me, just get pregnant! It’ll solve all your mental health issues!), but after my son was born, the relief didn’t last long. The hormonal high lasted a few short, awesome days, and then the baby blues set in. My husband went back to work, and I spent that day’s midwife appointment sobbing on her couch – partly because I just couldn’t stop crying, ever, but also because she said the words I was hoping to never hear her say: I think you need to consider going back on medication.

I’d worked SO hard to get off the medication so I could get pregnant, and I wouldn’t be able to breastfeed if I took the same medication again. So I was determined to overcome PPD/PPA without it. My husband took some more time off work, we made a plan, and my mom came to help for a while. It worked, for a few weeks, until it didn’t anymore. 

I knew I loved my son. I knew I could take good care of him. But I couldn’t shake the feeling that I was just not good enough to be a mother, and he would be better off without me. He wasn’t a colicky baby, and it wasn’t very often that he just cried and cried. My inner monologue often went along the lines of “what kind of mother gets angry at her baby? He’s just tired/hungry/wet and now I’ve made him scared too!” 

No matter how calm and rational I made my thoughts, I just could not translate that into calm and rational actions. It was like being stuck inside my own head, watching someone else pick up my baby with rough hands, hearing someone else say to my baby “what the f*ck do you WANT??” And then the next instant it was me again, sobbing and hating myself because how could I have lost it again? Nursing him after those awful moments was just as much an emotional reset for me as it was for him.

One night as I laid in bed crying, watching my baby in his bed after over an hour of fighting to get him to sleep, I wrote this poem. The first sign of a depressive episode for me has always been the loss of my creative side. I normally love to write, and I decided that despite the fact that I did NOT want to, I needed to. Even if it’s only to unscramble my brain so I could sleep. I let my husband read it in the morning, and I think it was the first time he truly understood how I felt. 

I don’t know exactly what snapped me out of that awful episode. It had been months. I knew the whole time that I should probably stop trying to muscle my way through and just take the damn medication. And then one day, I realized it had been a few days since I last felt out of control. I think, for me, the worst part was the anxiety. I was suddenly able to say to myself, “Hey, if he wakes up, it’ll be okay. I’ll just nurse him back to sleep.” Or, “Hey, if I can’t get him back to sleep, hubby will take a turn and I’ll go get a glass of water.” I started being able to recognize the start of a “bad brain day” and could take self-care measures to prevent another episode from beginning, just like before I was ever pregnant. The cognitive behaviour therapy, anxiety classes, and counselling started coming back to me.

It’s not completely gone now. And since depression and anxiety has been a part of my life for well over a decade, I doubt it ever will be. I don’t know what the next postpartum experience will hold, but I’m writing down ways to cope so that next time, maybe I can bypass a little more of the darkness. Ignoring it just doesn’t work, so I hope that shining a little light on the topic can help someone recognize PPD/PPA in themselves or someone they love, and get the help they need. 

This is my poem

When he’s screaming I can’t 
think and everything starts to look 
red and I just want to
scream right along with 
him, this baby I waited so
long for and asked
God for and 
thank
God
for

Where does my heart 
go when I’m so
angry because it isn’t 
here loving my
son, it is somewhere else and I just
can’t quite reach it

My brain tricks me into
thinking how dare he cry, but he’s just a 
baby and he’s telling me momma I 
need you which these ears fail to
hear with all the 
screaming

I just want to be a good
mother but all I seem to do is 
lose my mind and this isn’t 
me, it isn’t 
me, someone please 
help
me

In the dead of night I watch my baby
sleep in his crib and 
wonder if he will remember the
angry momma or the loving one and the
thought breaks my 
heart because what if he
remembers the
angry one?

He is a piece of me and I
love him fiercely but 
he deserves 
better than
me

God help me

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For more information about postpartum depression visit Postpartum Progress.

  If you’re seeking for advice and guidance, here’s an article on postpartum depression and anxiety.

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If you’d like to share your story with a larger audience, submit your story, photos, and your bio, with #MyStoryMatters in the subject to content @ theleakyboob.com (no spaces).

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Melissa Hoos

I’m mama to one amazing 10 month old boy. Having been diagnosed with clinical depression and generalized anxiety disorder at age 15, I knew I was at a high risk for postpartum depression. 

The Forest of Grief- How To Support Someone Through The Loss of Their Child- Mighty Gabriel

By Nicole Keesecker Plourde
This post made possible by the generous support of CatBird Baby Carriers.
Note from the editor: When Nicole and Beth shared the story of Mighty Gabriel with us we knew it was a story we wanted to help share. When they talked about how they walked with their friends through their grief, we knew the lessons they learned were ones we wanted to pass on. Mourning the loss of a child is difficult beyond words, being the friend of someone going through such pain often feels like a hopeless situation. These practical suggestions for how to love and support someone we care for in the midst of the greatest pain of their lives won’t eliminate their suffering but it can help them know they are not alone. If you are grieving the loss of a child, please know that we are here for you, TLB and the wonderful moms running CatBird Baby are ready to support and care for you, our hearts ache for you with the loss you have endured. You are not alone. ~Jessica 

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Being the friend of someone who is grieving the loss of a child, be it through pregnancy loss or after their child was born, can be an overwhelming position to be in. How do we care? How do we support? How in the world do we appropriately honor their grief without causing them more pain? Is that even possible? While I don’t have all the answers and I’m learning myself, I wanted to share these 5 points with you:

  1. Be there. No really, show up. With food or a mop to clean their bathroom, whatever it is, they’ve already lost so much, they shouldn’t lose friends too. 
  2. Stick around. Our lives are busy and our attention spans short. We will move on to the next thing—they will not. Continue to reach out to your friend even after the initial event has passed. Grief never really stops; it is carried. They will need you three months from now, three years from now and three decades from now.
  3. Say their child’s name. Mentioning their loved one will not make your friend more sad than they already feel. That’s not possible. It tells them that their child has not been forgotten.
  4. Follow their lead. Some days will be better than others. The grief is theirs and not yours. Let them do things their way and be there to support them.
  5. Blanket them with your love. Listen and be honest. Hug more and talk less (I need to work on this one). Then love some more.

I wish I didn’t have to write any of this, but I do. Gabriel taught me that walking through the forest of grief is never something any of us should have to do alone. Here is his story.

guest post, leaky to leaky

Mighty Gabriel’s Forest

October is National Pregnancy and Infant Loss Awareness Month, and this year tragedy hit a little too close to home. The Catbird Baby carrier I gifted to my friends and fellow parents would never be used. Their beautiful baby boy, Gabriel Anthony Allen, was born on June 24, 2015 and passed peacefully in their arms just 64 days later. No parent should have to go through what they have. And at Catbird Baby we want to honor baby Gabriel and bring awareness to the disease that took him from us. We want to share his family’s story to bring people together, to find a cure, to let everyone who has lost a child know that they are not alone.

Gabriel had Spinal Muscular Atrophy (SMA). Even his mother, a family physician, hadn’t heard of it. SMA is a disease that robs people of physical strength by affecting the motor nerve cells in the spinal cord, taking away the ability to walk, eat, or breathe. It is the number one genetic cause of death for infants. SMA is an autosomal recessive genetic disorder. This means that, generally, both parents must pass on a faulty gene for the child to have SMA. There are four different types of SMA. SMA type I—the kind Gabriel had—is the most severe and also the most common. Babies with type I usually face greater physical challenges than individuals with other types of SMA. The expected lifespan of a child with SMA type I can vary dramatically based on many factors.

There were no warning signs. An induced, unmedicated birth followed a healthy and happy pregnancy. Gabriel had good APGAR scores and passed all of the screening tests. He nursed like a pro just minutes after birth. Then the nurses noticed that he was a little “floppy.” Low muscle tone in very young infants is often the first sign of SMA type 1. He stayed in the hospital for observation and more tests. Everything came back normal. They took Gabriel home.

guest post, leaky to leaky

They enjoyed time together as a family. Big sister, Eleanor, jockeyed for space on her mama’s lap and at the breast. Although a bit tricky at times, everyone got what they needed. All was right with the world.

Then one day he had an episode of blue lips while nursing and that night he was struggling with his latch. After a visit to the doctor everything seemed okay. But, a few days later, Gabriel was working hard to breathe and his whole face turned gray. A trip to the ER, followed by helicopter ride to the Children’s Hospital ended with a stay in the PICU. After a couple days he was too tired to nurse. He wouldn’t even take a bottle nipple. He needed help breathing, so his mama started pumping day and night so that he could receive her nourishment from a feeding tube.

At four weeks old Gabriel was diagnosed with SMA. As his respiratory system as struggling, his brain was developing. He wanted to play, like any other baby. He was fussy and hated to poop, just like any other baby. He was loved and adored, just like any other baby. There were no easy choices. Life at the hospital was hard. A plan was made to care for Gabriel at home.

guest post, leaky to leaky

After 30 days in the hospital, the family reunited at home. Gabriel’s bedroom windows faced the woods. They sang, played music and read books. They spent time outside when they could. His sister enjoyed singing “Twinkle, Twinkle.”

They had been home from the hospital for two weeks. Gabriel’s breathing became more shallow. After a clear, warm and sunny spent in the woods, Gabriel died in his parents’ arms.

Gabriel’s short life has meaning. Gabriel taught everyone in his corner of the universe how to love deeply, and to live in the moment. We will hold our children closer, and speak of love and life. His mama donated a cooler full of breastmilk to a local mom, sharing the milk her body made for him with another baby in need, a healing move for more than just one.

And, it just so happened, that one of Catbird Baby’s new mei tai prints featured a forest—just like the one outside Gabriel’s window—filled with deer, rabbits and foxes. We knew. It was mighty Gabriel’s forest.

Might Gabriel CatBird print

MightyGabriel Catbird MT

He never grew up to run and explore the wonderland outside his window or learn to skip rocks alongside his sister. But we know that his spirit lives on in the whisper of the wind, the rustling of the leaves, in the playfulness and purposefulness that is nature.

A portion of all CatBird Baby Mighty Gabriel’s Forest mei tai sales will go to cureSMA, an organization that funds research for the treatment of and cure for SMA. To honor Gabriel, the little guy who never got to go in his own carrier, the CatBird family is walking through the forest of grief with our friends and hoping to inspire others to do the same. 

guest post, leaky to leaky

Help us spread the word, find a cure and stand with our friends and loved ones who grieve the loss of a child. Nobody should walk the forest of grief alone and we hope that together not only can we support each other, we can also help find effective treatment and cure for future little ones with SMA. For Gabriel.

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To learn more about SMA visit cureSMA.org.

To learn more about Mighty Gabriel and his story visit here.

To learn more about surviving child loss and infertility visit this site.

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guest post, leaky to leaky
Nicole is the Director of Marketing for Catbird Baby. When she’s not talking about baby carriers, she’s usually wearing one while playing mom to her three amazing girls with a coffee in one hand and her phone in other.

Aja’s Story; A #MyStoryMatters Leaky Share

by Aja Davis

Aja Davis, breastfeeding support, guest post

I didn’t always know that I wanted to breastfeed. When my closest friend gave birth at 19, I was happy when she supplemented her milk for the short time she nursed so that I could feed her baby from a bottle. When she became exclusively formula fed, I had made the decision to feed a specific formula to my baby because it didn’t stain clothing or stink as much as the first formula my little goddaughter had.

A few years later, my sister had her second child and was determined to nurse her. She fought the good fight with a nipple shield for almost six months where she was informed that my niece was suffering from “failure to thrive” on her mom’s milk alone and was told to switch to formula.

Shortly after, my friend (mentioned above) had a multiple birth and her babies were sent to the NICU. She was urged to pump for them. The weeks that she transported milk to the hospital, she was a warrior mom! Her dedication to her babies and her milk left me in awe. I visited one day with her and she took me into a very special place called The Lactation Lounge. I had never heard of such a thing. There were a few hospital grade pumps for moms to use to express milk for their babies. There were encouraging signs and posters all over the room. I left the place curious, inspired, and weirded out to have seen my friend topless.

These were my experiences with black women breastfeeding until last year. I delivered a 9lb 3oz beautiful baby boy in November. When we were left for a few minutes after delivery, I tried to latch my little boy on to my breast and he did it! He was suckling like a pro, but he had been sucking his thumb on 3rd trimester ultrasounds, so it wasn’t so much of a surprised that he loved suckling on me.

Things were going well but due to his size, he was a bit of a sleepy eater. It was explained to my husband and I that we needed to wake him on schedule. We woke him, stripped him naked, plucked the soles of his feet, bounced him, turned the tv up as loud as it would go… Nothing worked to keep him awake through feeds. Our 3 day weight check bought on a 4 and a 5 day weight check. At his lowest weight, he had gotten to 8lbs even. We were sent home on Day 5 with a case of formula and ill-sized nipples, told to supplement one ounce of formula at the end of each nursing session.

I was certain I had officially failed my son. I knew that formula could lead to supply issues for me. I nursed my little one when we got home and when he dozed off, I handed him to my husband who attempted to give him a ready to feed bottle. I cried as I pumped, trying to produce an ounce of my own milk so that at the next feed, we would supplement with MY milk.

And we did.

By the next day, he had gained 7oz. I went on to meet with a lactation consultant when he was 9 days old. He had great milk transfer. We were all set to continue on our breastfeeding journey!

At 11 weeks, I returned to work full-time. I was determined to make time to pump at work for at least the first year. Between 11 weeks and 8 months, we dealt with thrush twice, washed more bottles and pump parts than I can count and used many, MANY breast milk storage bags. I am eternally grateful to my supervisor who gave me a wide berth and unyielding support for my dedication to pumping. I am also incredibly grateful to my mother, who looked after my son while my husband and I were at work. She followed proper storage and thawing protocol, as well as stored hundreds of ounces of milk in her deep freezer. At 8 months postpartum, I realized that I was dealing with an oversupply and worked to correct that by not pumping on the weekends and by dropping from 3 pump sessions to 2. This continued until my little guy was 11 months old, when I dropped to one session per work day. At 12 months, I stopped pumping all together. I felt liberated and felt like being free of the pump left me able to nurse forever! Or so I thought.

We had a great time bonding after work and during the middle of the night feeds. At 15 months postpartum, I realized that we were expecting baby number two. While excited, I was concerned about how a pregnancy would affect my breastfeeding relationship with my first baby. A friend suggested that I join a group about nursing aversion (just in case) and one about pregnant/tandem breastfeeders. Both groups were immensely helpful in aiding my navigation of this new, strange territory. It was great for me to learn and see, once the icky feelings of nursing aversion began, that I was not alone. This is especially common in pregnant women. I was able to make my peace by laying boundaries for nursing to help get us closer to my initial goal of two years.

Unfortunately, we made it to nearly 21 months. There is a bit of sadness about that part of our relationship, something that was so sweet, peaceful and calming for us both being gone, but we are okay. During the 21 months we spent as nurser and nursling, we went through several colds, a stomach bug, and the eruption of 16 teeth, and donated over 300oz of milk to babies in need. I am excited that we had the time together and that I will be able to start all over again with his baby brother in December.

Breastfeeding has been one of the best things I’ve even done. I had many people try to tell me I couldn’t do it, suggest formula (which wasn’t need), that I let someone else feed him give him cereal, etc. But in the end, my instincts won out and I am proud of what we have accomplished as a family. (Special and eternal thanks to my husband who washed pump parts and packed my bag many nights, who retained information in our first hours as parents when my mind was full of mush and wonder, and who acted liked nursing a baby was the most normal and natural thing in the world.) I hope to inspire and support other moms, especially black mo, who feel like nursing isn’t a feasible option for them. Moms who feel like breastfeeding is weird, embarrassing, or unnatural.

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If you’d like to share your story with a larger audience, submit your story, photos, and your bio, with #MyStoryMatters in the subject to content @ theleakyboob.com (no spaces).

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Aja D. is a wife and mother who resides in Philadelphia. She hopes to create a nonprofit organization to offer support and education to women of color and/or with low income, aiding them in becoming properly informed of their pregnancy, labor, and postpartum options.