Breastfeeding Anxieties

There isn’t a lot many can say when it comes to having three children and drawing any sort of similarities out amongst them. I mean, leave it to being the mother of three to prove to you that each one, cut from the same cloth or not, is bound and determined to be their own being. And yet, there are just a few similarities I can say about all three of my boys: each of them came in the 41st week of gestation. In fact, I think damn near 41 weeks and 4 days if we’re being precise. All three waited until their 9th or 10th month to cut any teeth. All three were early walkers, Hooper and Van both in their 10th month, Sonny in his 9th. And breastfeeding; all three have followed the same path.

You would think that by the third time, I’d have it down. In actuality, it’s quite the opposite. For starters, time has passed. Older people joke that they can’t remember their grown children as infants. I joke back that I can’t remember my 4 and 6 year olds as infants. And it’s only a partial joke because there is truth embedded in that statement as well. I’ve forgotten.

My experience with Sonny up until a month ago was seamless. Not without effort, but certainly without bumps in the road. He’d eat when I offered and I’d offer often. If it was before a nap or before putting him down for the night, it would put him to sleep.

I’m seeing things more clearly now from hindsight and I can pin our latest struggles down to the following: he’s far more aware of his surroundings than he once was. He’s easily distracted and half of the time I feel like I’m forcing him to eat which seems silly having always prided myself on ‘on demand’ feeding. Some days I feel like I need a basket filled to the brim with various toys and knick knacks that I can dangle in front of him to keep his attention. In fact, I can’t remember the last time I fed him without holding something on my chest. I suppose I wouldn’t care so much about him refusing feedings if I weren’t so worried about maintaining my supply.

You see what’s happening here? It’s a cocktail I’m mixing.

I wouldn’t even know about my supply if it weren’t for working so much lately. I worked three days in a row in the hospital (which is the only time I pump) and became growingly concerned seeing just how little I would get from the pump. Sure, it’s argued (and presumably true) that baby’s are more efficient than a pump but instinctively I cannot help but be concerned when I used to pump a combined 4 ounces and now, only 1, maybe 2. It’s also stressful to take time out of my day when I’m working as a nurse to only bag a mere ounce (leaving my patients, walking to another unit, pumping, cleaning, storing, walking back… Point being, it’s a process that takes time and takes me away from my patients).

And now, from the position of hindsight, it’s beginning to dawn on me that the same thing happened with both Hooper and Van, around the same age. While I’m blessed with good sleepers, the 9 or 10 hours of consecutive sleep at night causes my supply to plunge.

It’s also right around this time, with all three, that my body begins regulating itself once again and my period returns. I mean all three, at or damn near the 10 month mark. And I know menstruation has ill effects on milk supply. Or can, anyways.

Combine all this – working more and therefore pumping more, the return of my period, and a baby who is distracted by everything and loves solids (and is eating those like a champ) and who is sleeping through the night and then some – and it’s clear to see why my supply is suffering.

I was beginning to talk myself into the idea that maybe he’s just weaning and while, sure, he probably is to a certain extent (definitely transitioning into the world of solid foods) he’s not done with breastfeeding. And nor am I. It’s my goal to make it to a year and now that I’ve gotten over this hump, I know we will.

So how did I get over the hump, you ask?

Well, I reached out and heard back from so many of you via instagram. Sometimes you just have to talk yourself through something to be able to understand the issues.

The consensus was this: the distraction at the breast is normal for this age. Several suggested feeding in a low lit room. While I find this to be helpful during feedings he needs/wants, the reality is that we’ve simply had to cut out some of the feedings we once had… which is fine. I try to cram in as many daytime feedings as I can because I know not feeding at all throughout the night has had an effect on my supply. I’ve also given up on multitasking, gone are the days I could send a quick email or scroll through instagram while breastfeeding. And I’m fine with that, it’s nice to give him my full attention.

My next realization is that we all have limits. At least one person that responded mentioned getting up in the middle of the night to pump which, I agree, would be helpful in breaking the 10 hour hiatus I take from feedings while he sleeps. But, with working two (sometimes three) jobs and wrangling three kids, I need a full nights rest. And I feel very fortunate that I get it. I do, however, wake Sonny a couple hours after I put him down for the night, before I go bed myself (around 10pm or 11pm) and feed him one last time. And I will continue to do so to alleviate the long lapse in not feeding him. That particular session is my favorite; it’s the only one that doesn’t require the extra effort. Very rarely does he even open his eyes. It’s sweet, the kind of feed breastfeeding cliches are made of.

I’ve also increased my water intake. Or at least most days I try to. The amount of water we should all be getting each day is kind of baffling and I firmly believe so many of us – breastfeeding or not – are walking around partially dehydrated. On the days I work in the hospital, I make it a point to down two glasses of water every time I walk into the patient nourishment room. At home, it’s a little harder to come up with something similar because I’m distracted and multitasking with no organization about 90% of my day when I’m at home. I could probably stand to eat more greens too, but hey, we all have limits. I’m trying.

I’ve also started taking calcium + magnesium as well as fenugreek. I tried putting it off for as long as I could because I don’t necessarily care for walking around and smelling like a pancake house. Please tell me there are others who agree that fenugreek makes you smell like maple syrup? I was sitting in a class and thinking that someone near by smelled weird only to get home and have Willy point out that that somebody was, indeed, me.

I’m back to my regular work schedule for the most part and in the past few days I’ve had ‘off’, I’ve found comfort in the fact that he is still taking a significant number of feedings. And while it’s hard to ignore the pump, he does seem to be more efficient and able to draw out more than the pump.

And at the end of the day, he’s healthy. And there’s loads of comfort in that. I worried so much when Hooper was little and his weight percentile dropped all the way down to the 10th percentile. But not the case with Sonny. He’s chunky enough, with thighs that demand to be pinched. All in all, if it weren’t for pumping and attaching a number to the issue at hand, I wouldn’t even second guess anything. And the realization that I’m not alone, not in my worries or in my hatred of pumping, is something too (I’ve enjoyed reading some other breastfeeding stories, here, which have made for a nice late-at-night-oh-hey-look-at-that-I’m-not-alone time suck).

The breastfeeding relationship changes so much in the course of a year and it’s as if you’re constantly having to adjust and re-assess. From the early days where it felt like I was a slave to feeding him to the current days where the anguish derives from just how little time he’s willing to sacrifice to eat. It’s enough to make my head spin. In any event, wish me luck this week as I’m scheduled for a couple 12 hour shifts and will be returning to the dreaded pump to learn my fate as if the pump is some magic 8 ball determined to tear my confidence down. Trying not to let it.

Would love to hear from others in regards to the changes in the breastfeeding relationship and how feeding your 9, 10, or 11 month old and so on is different than when they were younger.