Wednesday, February 16, 2011

Let Down

Before I had the girls I thought there was only one definition of the phrase "let down", as in, "Don't let me down". I quickly learned there was another meaning behind the term, it's when you're milk releases as the baby is breastfeeding and they are satiated with a gush of milk. It usually takes a little bit of sucking before they get the "let down".

In the beginning - August 2010
Breastfeeding is quite the journey. There are highs and there are lows, and overall it is so much work. I never debated whether I would breastfeed or not, and when people ask how long I plan on doing it for, I don't really have an answer. When the babies were born, the doctor said that most women don't make enough milk to feed two babies and that I'd have to supplement. I told him I didn't want to discuss it, and I'd cross that bridge if I came to it. Something in me told me I wouldn't have to, and luckily, I haven't had to.

Breastfeeding means I can't leave my babies for more than 2.5hrs at a time (unless I have expressed milk in a bottle, but I don't usually rely on that). It also means that I'm the only one that can feed them, day or night. Orlando wished so bad he could help me in the beginning when it seemed like the babies were hungry 24/7 and I couldn't get any rest. I had to be the one who fed them. Breastfeeding also means, and this still amazes me, that nutrients from my body have contributed 100% to the growth of my babies. They have more than doubled in size (Lena has almost tripled) and it's a result of the calories I feed them. So this means that I have to consume enough calories to nourish two babies and myself. Most of the time I am starving and feeling weak, even though I eat more than I ever have in my life. (Yes, that's an open invitation to bring me food! haha).

I've had problems with breastfeeding and had to call the La Leche League (a group of women who offer support) multiple times, and visit a lactation consultant who was very helpful. My problem though, was that I was producing too much milk and my let down was coming to quickly and I felt like I was drowning my babies in milk. They were sputtering, choking, suffering from gas and needed to be burped all the time. I admit this problem is better than the opposite of not having enough milk, but it led to me crying over my hungry babies as they struggled to nurse. The lactation consultant advised me to feed them in the "modified cradle pose", and that I stop tandem feeding. Once I stopped tandem, the girls were able to nurse easier, and after a few months my supply regulated and now everyone nurses just fine.

Lena went on several nursing strikes where she just wouldn't nurse at all and I had to give her expressed breastmilk from a bottle. It was surprising what an emotional struggle this was. I felt it was because we weren't bonded enough and that weighed on me; it was my first does of "mommy guilt". In reality, it was probably just a growth spurt or frustration with my letdown. To this day she prefers to eat first as she gets impatient waiting for the letdown (if Carmen eats first, she gets the strongest letdown and Lena has to work harder to get the second letdown).

I guess I'm writing about this for those of you who are pregnant. I just want to say that breastfeeding is hard work, and it is a surprisingly emotional journey, and everyone's journey is unique. Some are able to breastfeed only for a short while, some not at all, and some have problems and get through it. I feel grateful I've been able to breastfeed, and for so long. As many letdowns as there have been, we've been able to work through them and now, six months later, the babies are on their way to nutritional independence! Will post on feeding them solids soon :)

6 comments:

Nicole said...

Great post Loranda!
I always feel like people don't talk enough about the tough parts of breastfeeding. Of course, I was/am extremely grateful that I was able to do it, and in the end, it was a huge source of joy for me, but there were some big challenges, particularly at the beginning. I too, had way too much milk. It was painful for me and really hard on Adele. I remember calling my midwives at 11pm balling my eyes out and trying to explain the situation over Adele screaming in the background. Then, Michael went out to rent a pump at midnight (note to moms-to-be: Shoppers Drug Mart rents pumps, and they're open 24 hrs). Then, Adele went through "right boob aversion week", which was a treat. Nothing like a starving, screaming baby and an overflowing breast to lift your mood at 3am. I ended up nursing her in "football" position on the right side (to trick her into thinking it was the left) for months after that. And, yes, it's a draining (sorry, had to do it), task. Being the sole nutrient provider for someone else for the better part of a year carries a lot of emotional and physical weight. I used to have nightmares that I'd be stuck away from Adele, with exploding boobs and knowing that she was somewhere screaming for me feeling completely abandoned. Ughh... gives me shivers just thinking about that.

Anyway, you're doing an amazing job nursing those two girls. Keep stuffing in the calories. I do miss the lack of guilt over consuming mass quantities of food. You really are eating for three!

Loranda said...

Nicole, I didn't want to make this article novel-length but I sure could have! You remind me of all the attempts I made to feed Lena while she was on her nursing strike. I'd sneak up and try to shove my boob in while she was playing, I'd hold insanely awkward positions in an attempt to get her to nurse, and usually I ended up bouncing around the room with her while she cried and nursed on and off.
Yep, the challenges of breastfeeding are just another thing no one really told me about before I had kids.

jen said...

I was just going to comment about my experience with mastitis (2x!!), but you reminded me about the period where Jackson would scream and writhe around when I tried to nurse him. I had no idea what was wrong - he was obviously hungry but as soon as the milk would start coming it would become torture for both of us and would leave us both crying. Me trying to wrestle him into a still position and him arching and twisting. It was just a phase and it passed like all the others.

I am also so grateful that breastfeeding went relatively smoothly for us, once we got the hang of it and the the first week of engorgement and blistered nipples passed. I am still nursing Jackson and I'm not sure when I'll stop. I think that now that he is older it is almost entirely a comfort thing and I'm ok with that.

Mastitis. I had it twice. Fever, chills, body aches, then realizing I had a rock hard, red, burning boob. Antibiotics for a week and then all back to normal. But nursing a baby on an infected boob? Not pleasant. You're supposed to do it to drain the milk, but geez. Makes me cringe just thinking about it.

Months ago when I thought about weaning Jackson it made me sad, but it doesn't anymore. I'll be ready for it when he is :)

Leaning over the carseat to soothe a crying baby in the car, nursing while walking with Jack in the ergo, spending whole plane rides with a baby attached to the boob... fun times :)

Loranda said...

Jen, I remember you telling me that Nicole described nursing during the first two weeks as "toe curling pain", and thinking once I started how apt that phrase was! Damn scabby nips.

Nicole said...

It was toe-curling! Scabs have no business being on nipples!

Re: nursing strikes: I would bounce Adele to droopy-eyed sleepiness (not an easy task with a hungry baby), then try to slip the nipple into her mouth, hoping that her instincts would get her to latch before she woke up and realized what was going on. This worked about 15% of the time, which resulted in a lot of bouncing and a lot of tears. Several times, I told Michael "go prepare the bottles" (which meant boil them), and always, by the time he came with a clean bottle ready for me to pump, I'd have her latched and nursing. It was a fight though, and took all of the will power I had. I clearly remember saying "you are a BABY, I have 32 years of stamina on you, I WILL outlast you". Sounds a bit harsh, but I knew we had to push through that phase.

Re. weaning: I felt the same way as Jen. I was a bit sad for awhile, but eventually, as Adele showed more and more independence from me, I was more and more ready. And now, I'm loving that Michael and I can trade off on all baby related tasks. It takes a lot of pressure off me. I do miss the excuse for the extra calories though. I developed an unfortunate taste for lots of butter on things, which is not easy to shake.

Linz said...

I had the same trouble with too much milk, and a wildly fierce let down. It was so frustrating because I found that most people didn't take it seriously as a problem and just told me I was lucky it wasn't too little milk I was struggling with. It seemed like a problem to me, when my baby was screaming in frustration, and had endless tummy aches.
The best advice I had, which I started doing at day one with Logan, was to stick with one side for at least 6-8 hours, or until babe manages to drain that side. Only then switch to the other side. Then each side gets emptied once a day, rather than staying half full all the time. (This way, I am hoping to avoid the three rounds of mastitis I had last time. They were a hours away from cutting my breast open to drain an abscess at one point). It also helps to bring down the amount of milk you have. Nothing else worked worth a damn!

Love your posts Loranda. I look forward to them everyday!

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