21 November 2013

Relactation Journey: A new high!

I was just thinking to myself about a week ago, how awesome would it be if I never had to travel along the relactation road. How great to not have to worry about my supply, to maybe even have an oversupply, to pump what my son needed without effort, to generally not waste these months of my life for what.

Then... I have a day like this:

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And all doubt goes flying out the window!

(Okay, so I still wish I hadn't stopped, but I'm glad to have both our breastfeeding relationship AND my sanity back. ;))

People. That's 12oz right there, only 3oz short of what my son takes in on a daily basis while at daycare. That's enough for almost three whole bottles, and considering I have about 2oz left at home, I only need to make up a tiny bit with formula.

Or, since he's really digging food right about now, bring an extra snack to daycare:

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I am beyond thrilled by where this journey has taken me. It has been a long, difficult, and for the first month, seemingly unproductive test of my patience and my perseverance. And here we are today: Pumping almost everything he needs, breastfeeding full-time at home, and giving my all to this little charmer.

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My regimen is ever strict, is never bending, and is as follows:

  • 80mg Domperidone, spread 3/3/2

  • 6 Fenugreek pills, spread 2/2/2

  • 4 More Milk Special Blend, spread 1/2/1

  • lactation cookies from Miracles for Mommy, 1 during my first morning pump

  • pumping with my Spectra Dew 350 hospital-grade pump

I pump three times a day at work, then breastfeed at least three times while at home on weekdays and exclusively (so 5-7 times) over the weekend.

Guys. I seriously went from absolutely nothing -- to not even a hint of milk -- to making almost everything my son needs. Can you even imagine?!

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This is NOT a journey for the weak-willed, and I have to admit that it's not the right journey for everyone (I'm thinking mainly about those who can't breastfeed for whatever reason, be it medical or physical or mental or any combination thereof), but I'm incredibly glad I took it.

And judging by how readily he breastfeeds, I imagine he is, too. :)

Though at this point, he eats just about anything... LOL

Though at this point, he eats just about anything... LOL

And finally, I can't NOT post this picture:

photo 3

19 November 2013

Progressive waiting, comfort nursing, and the battle of theZZZZzzzz's... (Part 2)

Yesterday we discussed the Progressive Waiting technique for getting your baby down to sleep. It's a method that, for crib training, worked incredibly well for us: Within two days, Tycho had transitioned to the crib, and now he happily falls asleep and stays asleep in the crib for naps and nighttime. I think he actually enjoys being able to spread out, and now that he's rolling in his sleep, we find him comfortably snoozing on his stomach most nights.

There are several other sleep training methods out there, including some purported "no-cry" techniques (though in my experience, any kind of training involves tears at some point!), but I won't get into them as I'm not familiar with nor have we tried them. Some of those methods include:
One that I recently came across isn't really a method at all, but a way of thinking about sleep, our associations with sleep, and how we come to sleep as we do today.

I started doing some research on the "cry it out" method with respect to breastfeeding; it was interesting how I hadn't really thought about it before, but when Matt recently suggested that we return to Ferberizing during this fussy phase Tycho is going through, I couldn't help but feel a little unease about the prospect. It's nothing against Matt -- after all, I get the want for a fast fix, especially since both our sleep was suffering -- but my own preconceived notion of what "healthy" sleep is and how Tycho has been responding to nursing to sleep.


That's when I came across this KellyMom.com article about nursing to sleep and comfort nursing, both things that Tycho has been doing for the past month or so. I knew this was the right article for me when I read the very first line:
Many moms feel guilty for nursing their baby to sleep.
... then continued to read this:
Nursing your baby to sleep is not a bad thing to do! It’s very normal and developmentally appropriate for babies to nurse to sleep and to wake 1-3 times during the night for the first year or so.
Phew! Let me tell you. As much as I already knew that was the case (that night-wakings are common at this age), it was reassuring to read it in black and white. Even if it did very little for my psyche -- I do enjoy my sleep, after all. ;)

So what's the deal with nursing to sleep, anyway? Am I going to create a boob monster who can only be calmed down with "nursies" (our affectionate term for breastfeeding, often used with the sign for "milk"), or who has to night-nurse until he's six, or who won't be able to sleep if I'm not around?

In short, no. Daycare has already proven those false, as they obviously can't nurse him down for a nap or use it as a calming mechanism, but they manage to get him through the day with adequate naps and happiness abound. I've also seen him fall asleep at home without nursing, though those moments are few and far between because, let's face it, if I have that in my back pocket? I'm going to use it!

Falling asleep after a snack of apple slices. ;)

I started to think about my own bedtime rituals. They're short and sweet, but typically involve something like gathering the covers around me as I lay on my back, getting all warm, creating extra space for my feet with the covers (I hate the sensation of covers pressing down on my feet), and sometimes doing a progressive relaxation from my toes to my head, though I rarely get to my torso before I'm fast asleep. These are things that are comforting to me, and I find that doing that each night, with some exceptions, can get me down pretty easily.

KellyMom explains baby's sleep in the same fashion: Nursing to sleep is a normal thing, not a bad habit that has been fostered, as the breast is a comforting and familiar place to be. I can tell already that Tycho has associated breastfeeding or comfort nursing as a way to slow down, relax, and snuggle in -- his nursing is my progressive relaxation.

But what about those night-wakings where he will only be soothed by me and the breast? If you think about it, when you wake up and discover that you're having a hard time falling back to sleep, you revert back to those comforting habits you have to go back out, right? While Tycho does have the capability to put himself back to sleep*, there are some times when, especially during a Wonder Week, that might prove difficult and the only way to fall asleep again is to get that sleep association. There will come a time when he can do it without nursing, but in the interim, I'm okay with him needing something -- or someone! -- to fall back asleep.

*He actually does do this, and quite well! On Wednesday while Matt was out of town this past week, I heard Tycho stirring and babbling in his crib somewhere around 5am, and instead of getting him, I put the pillow over my head and tried to drown him out a bit. I could still hear him if he started crying, but if he was just entertaining himself, I wanted that extra hour! When my alarm went off at 6am, I noticed he had stopped talking, and he must have for a while, as I had to actually wake him up that morning at 6:30am. So he can do it!

The article goes further into depth on topics such as falling asleep without the boob (or transitioning to sleeping without the boob), naptime and the light nurser, and how baby will fall asleep without mom there, so I encourage you to check those out. I won't bother rehashing here! ;) I did just want to point out that, while Ferberizing worked for crib-training's sake, that doesn't mean that nursing to sleep is a bad thing, even if it means only I can take care of it.

So for the time being, it's going to be all about mommy, all about nursies, and all about getting him (and hopefully us) some good-quality sleep.

Wish us luck and lots of ZZZzzzz's, everyone... :)

18 November 2013

Progressive waiting, comfort nursing, and the battle of theZZZZzzzz's... (Part 1)

It's been a long couple weeks -- between Halloween (for which I'll have pictures!), getting sick, my 29th birthday (during which I was still sick), Matt traveling for work, and Tycho going through a fussy phase, I haven't really had the chance to blog lately. Which is a shame, as I have lots of things planned, including a handful of giveaways!

These past few days have really inspired me to get back to y'all, though, my faithful readers. Because of Tycho's fussiness lately, he's been sleeping rather poorly, often waking up three or four times a night screaming. Not even one of those whimper-for-a-few-moments-and-increase-to-ear-splitting, but going straight to ear-splitting. It's been a trying time, and both Matt and I have lost our shit at least once.

I started to think that this was a developmental thing, especially since it was happening during the daytime, too, where he would start to fuss when I left a room. After the first two nights of piss-poor sleep, I checked my Wonder Weeks baby app and happened to read this:


No shit, Sherlock. :P But thanks for the confirmation!

It's been really difficult on me in particular, as it doesn't seem to be daddy-centric at all: Tycho continues to scream and wail when Matt goes in to soothe him, but the moment I take Tycho (and usually upon offering the boob), he instantly starts calming down. It has meant a lot of comfort nursing, a lot of my getting up in the middle of the night, and probably most importantly, a lot of my patience. Which is hard to come by when it's 3am and you're up for the third time and you have work in the morning and the only thing that will do it is you and a boob.

When we were formula-feeding and transitioning Tycho to his crib, we were actually doing a form of Progressive Waiting, known on the street as "Cry It Out" or "Ferberizing", the method introduced by Dr. Richard Ferber in his book Solve Your Child's Sleep Problems. According to Dr. Ferber, the method involves a series of waiting-it-out and checking on your child to reassure him that you're still there, but not introducing any crutches like holding, feeding, pacifying, and so forth. The building blocks can be put into place as early as 3-4 months, but "training" really shouldn't begin until 5-6 months, when baby is theoretically able to go 10 hours without a feeding, provided baby is developmentally ready and at a healthy weight.


The chart above may be modified to fit the parent's and the child's need (for instance, starting at 1 minute 1st wait intervals). Other rules include:

  • Putting the child in the crib or bed awake, in the place where you want him to sleep. No rocking, swaying, swinging, etc. while training. He should be able to fall asleep with the same circumstances under which he would he be when waking normally through the night.
  • Checking him briefly at the intervals described above (or adjusted to your or baby's own comfort level), and staying no more than one or two minutes when checking in. No picking up, rocking, swaying, swinging, etc., and some even say no touching. The purpose is to reassure him, not help him fall back asleep. A fallen blanket or toy may be replaced once, and only once.
  • The schedule should be repeated if the baby wakes in the night, to last until 5am or 6am when the baby wakes for good. If he's still asleep at his usual waking time in the morning, baby should be woken up.

Dr. Ferber notes that, by the third or fourth day, the baby "will most likely be sleeping very well. If further work is necessary, continue following the chart down to day 7." There are alternatives in another chapter to explore, as well as throughout the internet, if things don't improve or get worse.

Naptimes are treated the same way, but if the baby hasn't fallen asleep after a half-hour or is awake again and either calling out or crying vigorously, end the nap. Falling asleep in another room is okay, so long as there are no associations that the parent is trying to break. Naps should also stop around 4pm so as not to interfere with nighttime sleep.

This actually worked really well when we transitioned Tycho to his crib. After only two days, he was sleeping pretty easily and would go until the wee hours of the morning, when he would wake up hungry (he was still young, so cutting out night feedings was out of the question). Even still, we have a very good sleeper on our hands; a good night is one where he sleeps until 2-4am, then wakes hungry, nurses, and goes back to sleep until 6am or 6:30.


But things, they have a-changed since relactating. Our routine has shifted from trading off duties every night -- mommy would bathe, daddy would feed to bed, and we'd switch off the next night -- to only daddy bathing and only mommy nursing to bed. While this works great most of the time, during this fussy period in particular, Tycho wakes one or two additional times during the night needing mommy (and only mommy) (and, probably more poignantly, nursies) to fall back to sleep.

So... do we change what we're doing? Do we go back to Ferberizing? Or do we maybe adopt something new?

(This is a two-part series -- check in tomorrow for Part 2, where I talk about nursing to sleep and other such things that would make Dr. Ferber's skin crawl!)

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