TLB Comic: Grandpa Milk
TLB Comic: Proportionally Adjusted Snacking- Breastfeeding While Pregnant
Our Nourishment Journey
by Angela Parish
I am a proud “lactivist” and breastfeeding Mama of almost 17 month old twins. There was a time when I thought I would never get here. Not because motherhood and nourishing my babies isn’t something I desperately wanted, but because I struggled (and still struggle) with infertility. Infertility isn’t really part of my breastfeeding (and bottle feeding) journey but it is part of a more complete picture of me as a mother and as a person. My husband and I struggled the dark years of infertility from November 2009 until the conception of our first successful (In Vitro) pregnancy in August of 2011. It was a long and painful year and ten months.
Our first son, Elijah was born in April 2012. It had been my dream to nurse Elijah, exclusively. I did so for about five and a half months before introducing solids. He was developmentally advanced…sitting up unassisted at 4 1⁄2 months. We practiced babyled weaning with him and because he showed all signs of readiness, we allowed Elijah to experiment and ingest a slowly increasing variety of whole foods.
I produced A LOT of milk and so I had bloodwork done so Elijah and I could donate milk through Mothers Milk Bank. We also made several donations to private individuals struggling with supply. It was a very fulfilling time in my life as I not only fed my baby but also helped feed others in need. As we neared Elijah’s first birthday, I began to stash my milk again. We knew we wanted to pursue more children and had decided that after Elijah’s first birthday we would have another fresh in vitro cycle. This would require weaning my baby. And so by Elijah’s first birthday, he was no longer breastfeeding but did continue to get Mama’s previously pumped milk every day until he was almost 16 months old. Although I think Elijah would have been an excellent candidate for full term (extended) nursing, the choice to wean was the right one for our family and it resulted in our beautiful fraternal twin boys born in February 2014.
We had planned an HBAC (Home Birth After Cesarean) for our twin boys, Patrick and Rory. But God had other plans for our family. After about a week of prodromal labor, and what felt like an eternity of some very difficult and painful labor at home with no progress, we transferred to the hospital. I continued to make no progress for several hours until the Pitocin and epidural had been in place. When we arrived we had been turned away at Texas Children’s Hospital by the OB on call because we were a home birth transfer. However a Fellow on duty not only agreed to take me as a patient but allowed me a trial of a vaginal birth….and actually seemed excited about it. Still, I was heartbroken. I found out that I had to push in the operating room and my midwife, doula and birth photographer would not be allowed in. This was not the birth I had planned.
I was put on an operating table, forced to lay on my back on a table that was broken and push. I got my first VBAC. Rory Mark was born and immediately taken away so that I could start working on Baby B. This was not the plan. At home, I was supposed to nurse Rory to keep contractions going, and get on hands and knees if necessary because Baby B often needs encouragement. I don’t think they even showed me Rory, let alone allowed me to nurse him. One thing that I was not expecting was not being able to feel my tummy tighten from contractions once one baby was out. My stomach was so tight and stretched from pregnancy that once I gave birth to the first baby, I could no longer feel when I was supposed to push. And the nurse that was supposed to be helping me with that was not telling me when to push.
In the end, little Patrick was in distress and I ended up having an emergency cesarean. (So much that they started cutting me before the anesthesiologist was in the room and I felt EVERYTHING for the first few minutes.) Patrick was not breathing nor did he have a heartbeat when he was first born. His vitals started shortly after birth, but he was whisked away to the NICU before I could see him. He was placed on a cooling blanket treatment for four days and not allowed to nurse (or get anything other than an IV) or be picked up. I got to see the him next morning, but had to leave Rory in our hospital room because he was not allowed in the NICU. My twins, who had been together for 38 weeks 2 days, were separated for the first time.
When day four arrived and Patrick was taken off his cooling treatment, the first thing I wanted to do was nurse him. He had a lot of catching up to do! And to my surprise, my tiny boy latched on right away! It was a weak latch but a latch nonetheless. It was my intention for this baby and his twin to be exclusively breastfed. But plans change. And in order for him to come home more quickly, he needed to be given bottles of Mama’s pumped (and some donated) milk. There would have been no way for me to exclusively breast feed both babies when they were not allowed to be in the same room. And even if I could have exclusively breast fed Patrick, the NICU doctors liked to keep track of intake and I knew the bottle would get my baby home faster. I went down at every feeding I could and administered his bottles myself, also offering the breast so he could practice. I called his nurse after every feeding I was unable to make it to in order to find out how many cc’s he had consumed. It was two steps forward, one step back for twelve days. During that time I consulted with the hospital lactation consultant who basically told me I was doing everything right and while that was flattering, it was not at all helpful. I knew that once I got him home, I would need to call BABES, a very reputable and supportive lactation consultant organization here in Houston.
Patrick came home on Valentine’s Day, 2014 which was my original due date. I always nursed him first. And then I would offer the bottle. He came home on a Friday. By Wednesday, my lactation consultant, Leah, came to our home and gave me some amazing advice on how to hold him so he had a better angle. By the following Friday, he was OFF THE BOTTLE! We were so blessed! I know it would not be that easy for everyone. I was and am so grateful that we had bottles when we needed them. And I am also grateful that we no longer did. Both parts of our journey are precious and special. Both provided needed nourishment to my baby. And even when I was bottle feeding him my pumped milk, I felt this incredible connection and bond as I nourished his little body.
Patrick has now been nursing for one year, four months and three weeks. Rory has been nursing for one year, four months, three weeks and four days. Neither shows any sign of stopping any time soon and while nursing toddlers (especially TWIN toddlers) presents its own challenges, I love this season of life. They both had Mama’s milk exclusively until their first birthday as planned, consisting of mainly nursing with occasional bottles so Mama could get out for a bit. Mamas needs breaks in order to be good mamas! It has been an amazing journey providing nourishment to all three of my children and I look forward to doing it again one day.
______________________________
Angela, who is a photo-junkie, lives with her husband and three beautiful boys in Houston.
TLB Comic: How to Handle Breastfeeding In Public
by Jessica Martin-Weber, illustrated by Jennie Bernstein
BOOBS IN PUBLIC! WATCH OUT!
Ok, that never happens. Breasts are never out in public, they are always put away in a containing device that doesn’t bring any attention to them whatsoever.
Except for beer ads.
And car ads.
And lingerie ads.
And gun show ads.
And vacation ads.
And watch ads.
And jewelry ads.
And mall ads.
And liquor ads
And that’s just what I saw today on my train ride. The lingerie ad was on the side of a bus and each breast was bigger than my head.
But otherwise breasts are totally hidden from view.
Which is good because can you imagine what would happen if we saw breasts? Specially breasts feeding babies.
Breasts are particularly always hidden from children because seeing breasts will leave them thinking breasts are a normal body part for women scar them for life. Even more so if the manner in which they see breasts doesn’t involve lacy bras or pasties or provocative poses.
We can’t have that now, can we? I mean, how would we explain to kids what is going on if they see a mother breastfeeding? The horrors! The mountain of therapy bills! The child that will think maybe women have bodily autonomy! (Here, if this nightmare should happen to you or someone you know, here’s what to tell a child should they see a mother breastfeeding. We can hold your hand through this, don’t worry, it will be ok.)
Thankfully, most of the time breastfeeding moms aren’t going to encounter any issue when they feed their babies in public. Given how often it is in the news and social media you would think it happens every single time a woman feeds her baby but alas, no. (Does anyone else wonder how all these shop owners and managers have missed the gigantic social media memo DON’T BOTHER BREASTFEEDING MOTHERS OR YOU WILL BE TORCHED ON THE INTERNET IN A HUGE PR NIGHTMARE!) Though the stories of women being harassed are what make the news, millions of mothers around the world feed their babies every day without interference. Shocking, I know. The most negative response the majority of women will ever receive may be a dirty look.
But what if you’re one of those unfortunate women who ends up with an ignorant and pushy individual demanding you leave an area or cover your baby and yourself while you feed your little one? How do you handle it? How do you handle it and keep your sanity intact? How do you handle it and keep your sanity intact and not end up going to jail?
We have a few suggestions. Take them or leave them. They’re not all going to apply to every situation and they may not be the best in the moment but hopefully they’ll provide some levity to the situation and keep you from losing your mind. What’s left of it from baby brain anyway. (You guys, that’s a thing. For real. Science says so. Maybe not quite what you think but it is a thing.)
How to handle negative reactions about feeding your baby in public.
- Smile. And think whatever you want in your head. You seem nice and approachable and it isn’t going to scare your kids but you could be thinking a string of profanity and they would never know. You could even start composing your Facebook status and tweets now to share the incident with your closest 2,000 friends.
- Practice. In the mirror or with a friend get an idea of what you would like to say should you ever experience someone offended by babies eating telling you to leave or cover. Knowing what you want to say could help. Whether you practice your “EFF YOU” to be sure it has the right amount of conviction or elect for a more diplomatic response (to tone it down you can try “go away” for starters followed by “you’re joking right?” and then if necessary “have you ever seen the news or been on social media? Don’t you know this isn’t going to end well?”), being prepared can help you resist the knee-jerk reaction of kicking them in the crotch.
- Be sympathetic. That they are a repressed and confused individual regarding women’s bodies and how babies are fed isn’t entirely all their fault. They are a product of their culture that prioritizes the over emphasis on the sexual nature of the female breast and regularly objectifies women. Being offended by seeing a baby being fed may be something they haven’t yet developed the skills to accept personal responsibility for and figure out how to handle themselves. From your deep well of sympathy for their condition, you could even offer them the name of a therapist that you would recommend to help them with their issues. That would be so nice of you.
- Find a blanket. True, they could and probably should do this for themselves but as mentioned above, their condition may impair their ability to take personal responsibility. So you could find a blanket, a jacket, sweater, towel, dish rag, even a paper napkin for them to put over their head so as to block the feeding baby from their view. Do warn them that it may get hot under there, they may miss other aspects of life going on around them, and it could be cumbersome in general which could actually be dangerous, but let them know you’ll yell loudly which direction to step if something is coming toward them. Might they be uncomfortable? Sure, but at least they won’t be offended.
- Have the law handy. Is it reasonable to expect people to know the law? Of course not! Specially if they are a business, they have so much to keep track of and can’t be expected to properly train their employees on costumer service or what the law actually says. Your local breastfeeding coalition may have nifty little cards you can print on their website with the actual legal code and everything. But there are a LOT of laws out there, too many to keep up with for even the most law abiding citizen. So help them out by knowing which laws pertain to you and having it ready. They may even thank you for helping them avoid a law suit! Wouldn’t that be nice.
We could go on, there are as many ways to handle such an experience as there are people willing to make those experiences happen. We’d love to hear your ideas, comment below with your suggestions.
Fennel and Sausage Breakfast Casserole for the Milky Mom
by Carrie Saum
Mornings are nightmares in my house.
Even before having a baby with some extra needs, I struggled to feel like a human before 10:00am. I know now that I need thyroid support. I need extra vitamins B and D. I need sleep. I need no talking until coffee has kicked in. I need to wake up slow with a silent, sweet cuddle from my toddler.
LOL. I know. These things will never happen.
But I do know what I absolutely need to be a good person during the rest of the day: Breakfast.
I also know I need extra protein and veggies in the morning. I have a hard time taking care of myself. This is NOT NEWS. But I have a specific behavior that pops up when I start to feel overwhelmed and stop taking care of myself.
What is it, you ask? Well, I eat trail mix. For every meal. With a side of coffee. (Or maybe coffee is my main meal and trail mix is a side?)
I started the trail mix/coffee routine when I was exclusively pumping. I ate a limited diet in order to help my son thrive. Nuts, beans, and seeds, thankfully, were never an issue for either of us, so I kept a bag of homemade trail mix next to my pump and snacked while I pumped. I also ate other things, like gluten-free toast and quinoa and oats with a side of salad for breakfast. I ate bags of frozen veggies sautéed in olive oil and topped with an over-easy egg, (until my son reacted to the egg through my breastmilk).
When the challenges I faced far outweighed my capacity to cope, the first thing to go was breakfast. Those simple, warm, fueling meals turned to snack and convenience foods. Which was TOTALLY OKAY for that season in life. I was in full survival mode and I give myself a total pass.
But the reality is this: I need a hot breakfast to be at my peak, and really to even start climbing that mountain. I can handle prepping and eating a hot breakfast every morning, now. I have the capacity.
So, last week when I started eating trail mix, a tiny warning bell went off in my head. Taking care of myself often gets filed to the bottom of the pile when work, family, and community are all scrambling for my attention. Which is crazy because food is kind of My Thing.
I have compiled a list of ways I can restart and ensure my path to self-care. Yours might look different, or there might be more steps, or there might be fewer.
- Eat a hot breakfast.
- The end.
The easiest way to I’ve found to consistently care for myself is to eat a hot breakfast. I prep a breakfast cassarole on Sunday and portion it out for the rest of the week. Then I reheat it in the toaster oven and eat it while it’s piping hot not ice cold.
Ingredients:
- 12 eggs
- 1 cup cheese (I prefer parmesan or asiago, but any cheese will do)
- 1/2 cup half and half, or milk of your choice
- 1 lb of browned sausage or cooked bacon, crumbled (I prefer mild Italian sausage, but you can skip meat altogether to make this vegetarian.)
- 1 medium onion, diced and sauteed
- 1 large fennel bulb, sliced and sauteed
- 12 oz chopped broccoli
- 2 medium zucchini, chopped
- 2 large tomatoes or 1 pint of cherry tomatoes, chopped
- 1 bunch of swiss chard or spinach, roughly chopped
- 3 Tbsp of fresh herbs of your choice, or 1 Tbsp dried herbs. (I use rosemary, basil, from my garden, and fennel fronds from the bulb if available.)
- 1 tsp black pepper
- 1 tsp sea salt
Directions:
- Whisk together eggs, milk, herbs, salt, and pepper. Mix in shredded cheese.
- Add protein and veggies, and mix thoroughly.
- In a large, greased baking dish, bake at 350 degrees for one hour, or until the middle is cooked all the way through.
- Remove from oven and serve immediately. Cut into individual portions and store in the refrigerator for up to two weeks.
- To reheat: Place in the oven or toaster oven for 12 minutes at 350 degrees and eat.
I am a better person with this method. I am a nicer mom and functional human for at least three hours of the day. Until it’s lunchtime, but that’s another post for another day.
Take Good Care,
Carrie
*Note: It’s important to point out that most women aren’t going to need to eat food with the intention of upping their milk supply, if everything is working the way it is supposed to, your baby will know how to up your supply just fine themselves. Skin-to-skin and feeding on demand are the best ways to increase breastmilk supply to meet your baby’s needs. (Concerned you have low supply? Read this to help figure out if it is something you need to be concerned about.) For those women, galactalogues just happen and they don’t need to think about it. But some women, like me, do need a boost. As a mom who ended up exclusively pumping and indeed having low supply such that I ended up on medication solely to increase my milk production, I know what it’s like to look for anything, anything at all that would help my body make even just a little more milk to help feed my baby. With the support of my health care providers, we tried everything. It becomes “I will eat all the cookies, I will drink all the shakes, I will eat all the parfaits!” if it even just makes me feel like I’m doing something to address the low supply struggle, it is worth it.
______________
If you like this recipe, check out this recipe for Garden Vegetable Frittata or Brown Butter Apple Crumble Cake over on Our Stable Table.
______________
Carrie Saum brings a passion for wellness and over a decade of experience in health care to her clients. A certified Ayurvedic Wellness Counselor (AWC) from the Kerala Ayurveda Academy, she empowers individuals and families to achieve health and balance through time-honored practices and health knowledge. Carrie has extensive first-hand experience in vast array of medical and service fields.
With background in paramedic medicine, Carrie spent ten years serving in the non-profit sector managing organizations, programs, and orchestrating resources to meet health needs of people across the United States and abroad in countries such as Guatemala, Mexico, Kenya, and Zambia. As an AWC, Carrie currently coaches her clients and their families about topics including nutrition, weight loss, and stress management. In addition to her work as a wellness counselor, Carrie is a passionate “foodie” and the voice behind OurStableTable.com. She lives in Portland, Oregon with her husband and young son.
Carrot Fennel (Lactation) Slaw – Feed Your Whole Family
by Carrie Saum
What do you do when you have multiple food needs in your family?
For example: Dad wants protein. Kids want carbs. Mom could use some milk boosting foods. And EVERYONE needs veggies. You can’t spend a fortune or the energy accommodating everyone all the time, right? Because you are a mom and you have to feed yourself and your family and maybe the neighborhood, too.
We joined a co-op a few years ago to purchase high-quality animal protein that was raised properly, humanely, and that was affordable. That might not be possible for you, and that’s okay. But it felt very important to us and we made the switch, even though it meant eating slightly less meat.
As a new mom, I fell in love with my crockpot. I love the idea of putting a few ingredients into a pot, walking away for the day, and then eating a fantastic home cooked meal that night. It seemed to meet all of the criteria for feeding my family: inexpensive, tasty, satisfying, balanced, and full of nutrition.
My favorite crockpot recipe by far is this Pulled Pork. It’s incredibly versatile and easy to serve, reheat, remake, and freeze. I make this fennel slaw recipe for the family and use it in pulled pork tacos. The sweetness of the slaw pairs perfectly with the saltiness of the pork. It has a fighting chance of pleasing the whole family, and boosting your milk production, too!
Ingredients:
- 2 bulbs of fennel, thinly sliced (I recommend using a mandolin.)
- 2-3 carrots, shaved (I use a veggie peeler.)
- Cilantro
- 2 Tbsp Apple cider vinegar
- 1 tsp raw honey
- Sea Salt and Pepper
Directions:
- Combine fennel, carrots and as much cilantro as you’d like in a bowl. I like LOTS of cilantro.
- Add vinegar, honey, S&P and mix thoroughly.
- Allow to sit for 10 minutes before serving to set.
My favorite preparation is this on top of pulled pork tacos with a little goat cheese a an ice cold limeade to wash it down with.
Enjoy your summer, enjoy your family!
Carrie
If you like this recipe, check out this recipe for brussel sprouts or Charlie Brown Bars over on Our Stable Table.
__________________________
*Note: It’s important to point out that most women aren’t going to need to eat food with the intention of upping their milk supply, if everything is working the way it is supposed to, your baby will know how to up your supply just fine themselves. Skin-to-skin and feeding on demand are the best ways to increase breastmilk supply to meet your baby’s needs. (Concerned you have low supply? Read this to help figure out if it is something you need to be concerned about.) For those women, galactalogues just happen and they don’t need to think about it. But some women, like me, do need a boost. As a mom who ended up exclusively pumping and indeed having low supply such that I ended up on medication solely to increase my milk production, I know what it’s like to look for anything, anything at all that would help my body make even just a little more milk to help feed my baby. With the support of my health care providers, we tried everything. It becomes “I will eat all the cookies, I will drink all the shakes, I will eat all the parfaits!” if it even just makes me feel like I’m doing something to address the low supply struggle, it is worth it.
___________________________
Carrie Saum brings a passion for wellness and over a decade of experience in health care to her clients. A certified Ayurvedic Wellness Counselor (AWC) from the Kerala Ayurveda Academy, she empowers individuals and families to achieve health and balance through time-honored practices and health knowledge.
Carrie has extensive first-hand experience in vast array of medical and service fields. With background in paramedic medicine, Carrie spent ten years serving in the non-profit sector managing organizations, programs, and orchestrating resources to meet health needs of people across the United States and abroad in countries such as Guatemala, Mexico, Kenya, and Zambia. As an AWC, Carrie currently coaches her clients and their families about topics including nutrition, weight loss, and stress management. In addition to her work as a wellness counselor, Carrie is a passionate “foodie” and author. She lives in Portland, Oregon with her husband and young son and writes atOurStableTable.com.