Crisis Travesty 100 Year Old Wheelchair Bound Community Activist receives Eviction Notice from her home of 67 years!
100-year-old woman evicted from home of 67 years.
Oct 2
100-year-old woman evicted from home of 67 years.
Nov 6
The truth of the matter is that doctors, physicians assistants, med students, interns, yes and many midwives plus many nurses working in the mother/baby environment SIMPLY DO NOT have enough education about Lactation and Lactation Management to adequately guide new mothers. It is sad and pathetic. The vast majority of these individuals would rather work with precise numbers and are actually happier if a mom is pumping and feeding her milk in a container to baby.
It is no wonder this has transferred to the vulnerable new mother. WE have done this to her. There is actually a new trend to pump and feed expressed breast milk instead of ever putting baby to breast. I can help you with that. Please know that a large number of these infants do get some formula until milk supply is established. Make an informed choice. These breastmilk-fed babies are not usually exclusively fed expressed milk thru out the first few months. It is a hard job to pump and feed and pump and feed. It is a damn hard job to build and keep up a full supply long term exclusively pumping!! It has been done. You can do it. Mommas are very powerful and they can do it SO if that’s the choice you make then GO FOR IT!!! Give it all you have got. But CONSIDER putting baby to breast and feeding the way nature designed your body. Work with an IBCLC. We need good lactation programs at EVERY facility that provides childbirth services. We need IBCLC’s in the hospital. We need prenatal education about the benefits of breastfeeding so mothers make a true informed choice.
The more I speak with and counsel new mothers, the more I get asked for exact numbers when it comes to feeding instruction. It is no surprise that the number one question on the mind of a brand new first time breastfeeding mom is “HOW do I know my baby is getting enough milk?”
Babies were born to breastfeed
WATCH the baby, Listen to the baby. Look for feeding cues or little things the baby does which tell you he is getting hungry.
Lets make it EASY with very little “rules”. Think of these as TOOLS– not RULES
First: Attachment to breast should be DEEP and COMFORTABLE
Second: Baby needs to do the RIGHT JOB of effective drinking
Third: Baby needs to do this OFTEN ENOUGH each 24 hours…. about 8 for most moms – more is very common- feed on cue
Fourth: By the fourth day ( give or take a day), and EACH 24 HOURS thereafter Baby should be having around 6 ”good” wet diapers and about 3 -4 poops that are starting to turn yellow.
Please KEEP your baby with you at a times!! Just.Say.NO.
Bottom line– Weight Gain. Baby should be at birth weight by Day 10 (or at least on a proven good upward trend) and be gaining about an ounce every day thereafter.
After the first 4-6 weeks. This little chart comes in handy:
If a doctor or nurses first suggestion is to give formula to your breastfed baby—for whatever reason— ask to see a Lactation Consultant, an IBCLC.
These are the only numbers to remember. TRY to stop stressing out.
This blog post is not a replacement for medical advice should you or your baby have an issue. This is applicable to healthy full term infants.
Copyright 2014 StorkStories RN IBCLC RLC
This is a form of general response to some comments/ an “addendum” of more history or “back-story” type of intermission. So I am calling it Part 1 & 1/2. Part II about the next pregnancy is in the works and coming later this week or next….
I am amazed and thrilled at the volume of interest this post has generated. I’m not a big blog by any means (usually getting on average 35 – 70) hits per day even when I don’t write anything. Now I have over 700 hits for 3 days in a row. For some of you that’s normal… not me. It makes me want to make sure I get this right. Make sure the correct points are being made. Without monkeying around…
I LOVE Sadie. I love her like my daughter. She is a very smart, strong, independent, confident and outspoken young woman. She has a large group of friends to whom she is always supportive, a good listener and would do anything to try and help with all types of situations. These types of things make me respect her tremendously! My son had met her at a party once in college then re-met her a few years later when she was near graduation and he was … well….. a college drop-out party animal at age 23 recovering from knee surgery after a car accident. (** drops head with embarrassed grimace **) Sadie.. I always say.. finished raising my son. She did NOT put up with any of his shit. She is responsible for or part of the catalyst (besides the car accident) in encouraging my son to turn his life around. He is now a 32 yr old successful business owner. They are very much in love. They still talk for hours every day and crack each other up all the time. Lots and lots of laughter and fun!
I am very happy that so many of you understood that I was (and still am) LEARNING the new roles of mother-in-law and grandma. This is a story of my feelings and emotions as I attempted to do the best job I could….. respecting and honoring that my son and his wife were indeed the decision makers as they became parents, helping Sadie understand that she was most certainly going to be respected and supported in her feeding choices……. and learning to let go. I’m glad many of you realized that I knew it wasn’t always appropriate to provide information and advice … but sometimes, because of the professional I am and how important I feel it is for all mother’s & parents to make informed decisions….. I found it hard to not say something if only for their protection. I hope you all realize that I am not pushy and try to always be supportive. But I’m human and I can screw up… I should have asked first what they read or researched about it before talking. As a breastfeeding advocate and lactation professional, I know that it is in my grandchild’s best interest to be breastfed. I also know that it is NOT my decision. This is a story of my journey to deal with all that so close to home and on a personal level.
I wrote this post “Breastfeeding, Bottle Feeding and…. Somewhere In-between…. Why the Guilt?” two years ago and another.. “**ROAR** on Breastfeeding Guilt “ a little while after. I have a hard time with people having guilt- thinking proper education for informed decisions will cause guilt- others making rude comments about someones choice making them have guilt- a personal guilt anyone has because they don’t feel they did “enough”…. I just have a hard time with all that. I had guilt thinking I went too far with the kids…. (Dave and Sadie). Never did I want Sadie to have guilt because of something I said, how I said it or perhaps acted. It was important to me that the guilt factor was eliminated. There are so many opinions out there and mommy wars and stupid stuff actually (IMHO). We need to be supporting each other. ALL MOTHERS AND BABIES SHOULD BE HONORED AND RESPECTED. We don’t know their story or reasons for any choices they are making. Some of you have had painful experiences and I am sorry that happened to you. I hope you can move past the memory to be supportive to the next person you meet… even if it’s just a smile. 🙂 For “Mama of 2″…. Your MIL is sounding unbalanced and in need of a psych eval IMHO. Seriously inappropriate! I hope you can throw out her comments with the dishwater (what an old fashioned saying…) which reminds me of an old favorite cartoon: (LOL)
That being said about the feeding issues. I want to talk about parenting. All the years that I have been a nurse sending new parents home with their babies, it has been important that they are empowered to become loving parents with their own style. I have always encouraged them to discuss things among themselves and decide just what that is. I encourage them to smile and nod at “Grandma” or “Aunt Sue” and do things their own way. I had this same discussion with Dave and Sadie at the very beginning of the pregnancy. It isn’t my place to raise their child or decide what type of discipline for any situation… My role is to fill in while babysitting and try for consistency on their plans. Not to make the plan…follow it.
I first realized the initial true feelings Sadie had regarding breastfeeding before they were even married. I was staying with my son and his fiance — my future daughter-in-law– while attending the ILCA conference in 2006. We were at an ice-cream stand on a warm summer evening. There was a family with young children nearby. The toddler fell down, then while the mother comforted him, he snuggled to nurse for a while. I looked on admiringly. Sadie was disgusted. She commented on how that was totally ridiculous for a baby that size to be breastfeeding! And in public no less! “It turns me off even more about breastfeeding! I will NEVER be doing that!”
I had often cared for young girls with negative feelings about breastfeeding in my career so that didn’t surprise me. What I wasn’t prepared for was that this young woman was going to be the mother of my future grandchildren. I was a little afraid inside. I don’t know why exactly but I was. Somehow, it hadn’t entered my mind that she may not want to breastfeed. I took for granted that she’d want to breastfeed like all of my family had, and like all the next generation young females had indicated they would. That was wrong of me. I didn’t really know this young woman yet. I didn’t know her dreams, desires or plans regarding motherhood. I had to be able to support her– no matter what!
So how do I discuss this with her? How would you? Do I even go there? Does she even want to talk about it? All you breastfeeding moms with young sons out there….. have you ever thought about this?
As a breastfeeding advocate and a health care professional, I always encounter situations where a mom and/or her friends, partner, family etc., talk about breastfeeding negatively with obvious emotion and often certain misinformation. I try to carefully find an avenue to open the door to an informative discussion attempting to gently educate and dispel untruths. Sometimes that is challenging. Sometimes it is my professional responsibility. Sometimes it is just an overheard remark by family and the opportunity isn’t quite ripe for a discussion so I can only say one little line with humor to “put in a positive plug” so to speak. It takes experience to know when to talk and a greater wisdom to know when to shut-up.
That day –> I choose to stay away from her personal feelings and instead said a few positive things about how the cultures around the world regarding feeding were so different from our American culture…. I was meeting amazing people at the conference… the average world weaning age was around 4 years old…etc…etc. I talked about how her future husband was still taking a bottle at age 4 and how he needed that. Then I asked her if she had been breastfed. She was a twin and her mother had not wanted to breastfeed, so no. She then told me that her mother tried to breastfeed her younger brother (Sadie was 14 at the time) but she had cracked bleeding nipples for 2 weeks and both her mom and her brother were always crying. Can you imagine how that experience, that imagery would stay in the mind of a young 14 yr old girl and impress her own feelings about breastfeeding? I’m sure! This had probably happened to many girls in America.
Through out the wedding plans and the actual wedding, Sadie and I were just fine. I was loving getting to know my new daughter-in-law. I wanted to be a good mother-in-law and not interfere at all unless they wanted help or advice. Life was good. I let them alone and we enjoyed great visits/ great times.
Then Sadie got pregnant.
SO EXCITING!!! Now we have entered into my realm of expertise. I couldn’t help but ask some pregnancy health questions, feeding questions. I didn’t go crazy- believe me. She was open and sharing. I wanted to know a couple things every once in a while after she came from the doctor. I was wanting to have a feeding discussion with her so when the opportunity arose, I seized it. I was so thrilled that she told me she was going to breastfeed!!! I encouraged her to get some knowledge in ahead of time, like maybe a class or a book. I also said I’d be available to help or do whatever she needed. That may have been the last we spoke of it. At least while she was pregnant.
Our relationship then went straight downhill and it had nothing to do with breastfeeding! I had heard from the happy couple that they were going to have a boy according to the ultrasound. I was thrilled! So excited! I congratulated my son and later in the conversation mentioned to him that it is pretty good but not 100% accurate and that occasionally the U/S can be wrong…. I said this to protect them from possible disappointment. They both said they knew that and things were fine. We then had a case at my hospital where the baby was not the sex predicted by ultrasound! Like a stupid jerk, I immediately told both my son and Sadie. The reaction from Sadie was harsh to say the least. I got a long email from her stating that they had discussed it and they want me to be only a grandmother and not a nurse for any future communications! OK then. I had obviously overstepped! I needed to pull way way back. I was very hurt though. I had tried so hard NOT to be in her space. I deliberately tried to wait for information instead of seeking it out. But I screwed up. I did. Now I felt like I couldn’t say anything…. EVER…. about pregnancy, birth, breastfeeding….. my life, my work–stuff I knew a lot about! This sucked!
So I kept quiet. I didn’t let her know I was bothered. I tried to just talk like a grandma. What the hell do they ask anyway? Does a grandma ask how do you feel? Does a grandma ask if you are feeling the baby move? Does a grandma ask how your blood pressure is? What the doctor says? Or does she just ask about the names, colors of the baby’s room and stuff like that? How was I supposed to know? I asked “nursey” type questions to any pregnant friend of mine so I don’t really know differently!! The pregnancy continued and I got very little information. Only what they told me…I kept being happy and cheerful. I was a little sad inside but I couldn’t let her see that. It wasn’t about me. She was the pregnant mother– not me!!!! One time I asked if it would be alright to get a call that labor started so I could drive the 2 hours to the hospital. I wanted to know if it was alright to be in the waiting room. Sadie said “Of course! Why would I even ask that??? I’m the grandmother for crying out loud!” (Oh…that’s what we grandmothers do) YAY!
I got a call from my son Dave one Friday afternoon while I was at work. He was animated and excited and proudly told me that Sadie was going to be induced on Monday! (She was 37 weeks as of today and would be 37 3/7 on Monday). I immediately thought something was wrong. I started asking if the baby was OK, her fluid levels, her BP etc… “Yes relax yes everything is just fine mom!” I said “Well- why do they want to induce her?” Dave said “Because he’s cool, he likes us, and I cut his grass.” *** ARE YOU F-&$%*& Kidding ME???? ***** is what I’m thinking. Out loud… I said: “Oh Honey, all the experts frown on inducing this early if there’s no medical need. Please talk about it some more and find out some of the risks.”…… “There are no risks Mom, I trust him. He knows what he’s doing.”. Later I get another phone call from my son where he told me he did not appreciate that I couldn’t be happy when he was telling me good news. I just said I was only wanting to make sure he made smart decisions now that he’s going to be a parent etc and just tell me when and I will be there. I had to shut up. What would you do? Would you say more????
The next day, Saturday, he called and told me the doctors moved it up a week. A week from Monday. Who knows why—I’ll never find out. At least she’ll be 38 3/7 weeks. The baby had other ideas. Sadie went into strong labor one day before her scheduled induction. Her labor was not long for a primip at all. A total of 8 hours. 45min of pushing. She had an epidural. Just Dave and Sadie in the room. The waiting room was filled with her family and myself and my daughter. I was told by the other grandma that the baby had already been to breast!! YAY! I was invited back to the room to meet the baby and it was a wonderful moment. I didn’t ask any questions just commented on how good Sadie looked and how good the baby looked. I think I was afraid to do anything except smile.. I was very happy and everything looked good.
Later in the room, there was a bottle of Similac in his bassinet. The room was filled with visitors. Sadie asked me if I could feed him. I only asked when he ate last. She said it had been hours and she couldn’t get him to eat. I sat down with my new grandson and started to work on feeding him. That’s exactly what it was. Work. He had some kind of disorganized sucking pattern. He seemed to have a weakness on one side of his mouth and didn’t form a seal well on the nipple. I have seen a lot of this before and have worked with both breastfeeding and bottle-feeding babies who present this way. I was able to get him to take 15 ml and he went to sleep. Sadie and Dave were relieved. The next morning, I came to the hospital with some outfits etc… As soon as I arrived, Dave wanted to go have brunch with me. The baby was alone with Sadie. 🙂 During the meal I asked him about being a new dad etc.. and I asked him how well the baby was feeding. He was difficult to feed most feedings and Sadie was feeling upset. I asked him if she was still interested in breastfeeding and he said “I don’t think so mom. I don’t think so.” SO at least I knew. I had been afraid to ask because of the history and I wanted to be offering the correct information if they asked me feeding questions. I wasn’t upset. I really wasn’t. I wanted Sadie to be comfortable and happy with her decisions. I didn’t want her to feel at all “pressured” by me or my line of work.
I started to think of how I could help Sadie the most. I began to show her ways to support the baby’s mouth on the nipple and techniques to improve the suck. Dave and Sadie initially began to rely on me for feeding help while I kept encouraging them each independently. They got the hang of it. The baby got the hang of it. My little grandson started growing. I drove down to their home for babysitting when Sadie had to go back to work. She used all available relatives to avoid daycare and we were all happy to help. When she came home from work, she’d always politely invite me to stay for dinner. I figured she didn’t need me around at all, she needed to reconnect with her baby. I would leave once she got home. When I’d babysit.. she’d leave me a list in the morning, I’d do as much as I could and document for her what her little baby did while she was at work. He still had feeding issues… but they weren’t difficult if you knew what to do. Most often, I never even saw my son. Just the baby. One time Sadie told me I was the only one who did things the way she wanted. Can you believe that??? I was beaming inside. Her own family wouldn’t try to get food in him, they would say “He won’t take it!” “He’s fine Sadie.. when he’s hungry he’ll eat.” They interjected their own 2 cents and felt comfortable doing and saying things to her as they had all her life. I would never be able to talk to her that way.
So she thanked me. Thanked me for hanging in there. Thanked me for doing what she asked. Thanked me for respecting her requests.
Thanked me for being such a good grandma! ;-
See also: Part One and A Half Then: Part II … The next pregnancy and baby
Nov 2
Evolution
I love babies. I love being a nurse.
I love all the evolution of technology through which I have practiced. I love how I have had to continually evolve myself. I love helping mothers help themselves, advocating for them and their infants, facilitate when needed to support them making their own choices and watch as they evolve….. becoming the best mother they can be!
I know I haven’t blogged lately and it is because I have been having a bit of a rough transition… my latest evolution… in my new NICU job. Orientation is somewhat difficult for me. I had previously been arriving at work already at the top of my game (for the last 25 years or so) and I have now found myself a student…. every. single. day. It is almost like I have gone to a totally new facility! EVERYTHING seems new or different. All new equipment/monitors/procedures/policies/protocols/doctors/practitioners/and staff.
The babies are the same. Since some are much more preterm than we have cared for in the past… their issues are more complex. Some are the same as we have always cared for, but with neonatologists now on board, the approach to the care of these babies is evolving.
I am unlearning some of what I have always known and relearning things in new ways.
Evolution
I was able to prepare and submit the mission statement and policy on Breastfeeding for our NICU population. The neo’s are extremely awesome on breastfeeding or breastmilk feeding promotion and support! So we have a very good start for breastfeeding support in our new unit. Excellent actually! I am happy to report that since opening our unit, most of the babies thus far have had a total exclusive diet of breastmilk or fortified breastmilk! I think that is fabulous! There have been some moms who after discussion and encouragement to provide breastmilk, wished to formula feed and their choice was supported without further discussion or question. My new co-workers have been very professional about that. There were a few who provided colostrum initially and then decided not to continue. This was also supported.
Coming from my previously comfortable world of lactation in the full term nursery, I find myself on a journey to find a balance between technology and nature…… precision, absolutes and finite accuracy vs the inconsistency, variables, and imprecise intake of an infant at the breast. We are calculating daily the actual fluid and kcal energy intake of each baby and comparing that with the kcal/fluid requirement per kilogram of weight. Changes are then made accordingly. Most of the preterm population is unable to take in their required fluid and caloric needs solely by mouth. Most have parenteral nutrition in the form of a glucose/ Amino Acid protein and Lipid (fats) at first by a central line or an IV (TPN) and gradually switch over to taking all their requirement by their GI system (Enteral). They don’t have the stamina to take it by sucking/drinking and they require a nasogastric (NG) tube so the remainder of food can go in by gravity or feeding pump (gavage feeding).
I actually love learning all this. I thrive on having a detailed clear clinical picture of my patient. I am very detail oriented which is a good thing. Because of this precision, the measurements and the calculations—> actual breastFEEDING is not often seen until much later in the game. I understand this. I do. I want so much to be very helpful at transitioning to full feeds at the breast. I have to wrap my head around it each time (all the while being a student in all other aspects of the infant’s care) researching how to best advise each mother. We range from visits every other feeding to visits once or twice a day. Skin to skin is the most powerful tool I can use when faced with limited exposure or opportunity. Sometimes when the mom is arriving for my patient, I’m involved in other things and unavailable to do anything other than providing some private skin to skin time. Encouraging any licking, suckling or other feeding behaviors at the breast during gavage feeds is also good. When the baby gets more and more ready to take oral feeds… what I’ve seen so far is that they are already preferenced to the bottle nipple. The weight gain has been established, the precision of measurement seems to have become slightly less rigid. It seems that there is adequate physician support to encourage full feeds at the breast. There are hundreds of experts out there who have gone thru this, and reorganized policy and procedure to protect breastfeeding in the NICU.
I have to evolve myself again and re-learn more about transitioning to feeds at the breast before the bottle becomes a primary feeding implement. Once I can find my footing- I hope to be strong and confident enough to start teaching moms and my co-workers.
Breastfeeding is NOT an exact science!
I need to figure out when the exact science of Neonatology can accept that….
into the feeding plan for each individual baby!

**ROAR**
The Mommy Wars over feeding babies continue..I guess it won’t ever be truly over. I’ve been following a discussion over at NursingBirth on “Why Educating Our patients is a Professional Responsibility and Not about Guilt.”
I thank her for quoting me and including thoughts I wrote on what I have learned over the years talking to, educating and helping mothers.
I have re-posted this earlier segment “Breastfeeding, Bottle-feeding and Somewhere In-between… Why the Guilt?” This post is about what I have learned speaking from a professional point of view. As a professional, it is inappropriate for any of us to imply directly or indirectly to any mother trying to make feeding choices that breastfeeding and formula feeding are equal. They are not. Human milk is the superior species-specific food for Human infants. The recommended feeding hierarchy from the experts (AAP,CDC, WHO) is Breastfeeding, expressed mother’s milk, expressed donor milk then properly prepared infant formula. That’s why NursingBirth’s post is so important to understand. Reading the comments……
All or most of this discussion is NOT directed at any mother who tried to breastfeed under any circumstance and wasn’t able to at all or wasn’t able to fulfill her individual goals. I applaud all your efforts for trying to give your baby the best food you could. I am so sorry that you experienced the difficulties you have. Your situation is not what this discussion is about. I think it’s very possible that advocates and some professionals lack sufficient skills to help you deal with the loss of a breastfeeding relationship. If breastfeeding is important to you then you would truly go through a grieving process and guilt would most likely come into play somewhere along the line. We do that to ourselves a lot as women anyway. I did personally experience that guilt. I had wanted to breastfeed my last baby for a full year and was unable to because of personal health problems. I had a lot of guilt. This discussion is NOT about these situations. Let’s stop making it about that. Please!
This mommy war guilt discussion as I see it is one where a mother who chooses to formula feed defends her choice and lays claim that those who are promoting or advocating breastfeeding make her feel guilty.
Guilt comes from within an individual if they feel they haven’t done what they “should” or wanted to. Guilt is a very strong emotion. NursingBirth has a great description of guilt as does The Feminist Breeder in “Mommy Guilt- Its all about Perspective.” It would be a good idea for guilt-ridden moms to read these articles. Those professionals or advocates who I have mentioned here or in my re-post are trying to do a good job of making sure people have the information to make educated decisions about health care issues. Any professional who intentionally tries to make a mother feel guilty isn’t being very professional. If there is an advocate out there continually finding moms feeling guilty, perhaps you should change how you deliver the message. I said in this earlier post about how one single word can make a difference:
“She needs to be comfortable and confident with her decision. Perhaps her guilt comes from how one single little word or sentence was said, even if what was said is accurate and true. Perhaps her guilt is coming from her own internal struggles. I don’t know. She needs to come to terms with that herself, and not punish herself and or publicly criticize the advocates saying they are causing the guilt. Although there are some very zealous advocates out there, I feel in my heart they are not trying to make any individual mother feel guilty. I read a comment from a mom somewhere that said something like… “perhaps if moms knew it wasn’t all or nothing, maybe more would try breastfeeding.” My first thought was..why do they even think that..are there really mom’s who feel it has to be all or nothing? Is this causing the guilt because they don’t think they can breastfeed exclusively for the first 6 months as the experts recommend??”
None of this changes the facts. Like it or not, breastfeeding is and will continue to be a major Public health Issue to the point of a public health crisis! As professionals and advocates, our work is not finished. I think sometimes that those speaking out against advocates get in the way of facts and put their personal opinions or views out in front and totally distort the issue. I read on someones blog this week (TFB) a great quote by Daniel P. Moynihan: “You are entitled to your own opinion, but not your own facts.” and I loved it!
According to this article from the American Journal of Public Health:
“Today’s medical community recognizes what their
predecessors knew a century ago—that the
American propensity to shun human milk is
a public health problem and should
be exposed as such.”
I am still going to promote breastfeeding. I am still going to provide appropriate factual information to the mothers in my care and support whatever feeding decision they make. I will never be pushy. I will gently encourage those on the fence to give breastfeeding a try. I always support the mother.
But more people need to talk about the importance of breastfeeding.
Because it is
Important.
Don’t be guilty
Stop it
*ROAR*