There are always things we don’t talk about when we talk about motherhood. For me it is the dehydration scare I went through with my son and my subsequent struggle to breast-feed. I continue to contend with feelings of guilt, shame and inadequacy for not being able to produce sufficient milk. These difficult emotions are made worse whenever I tell other mothers about my predicament. Often, I sense that they either don’t believe my response or they direct blame back at me. Once, when I was trying to explain my biological incapacity to make sufficient milk to one mother, she said that bottle-feeding my son had resulted in his having “a lazy suck.” I tried to brush her admonishment at both of us aside, explaining that I had hardly bottle-fed my son at all. Thanks to the supplemental nursing system I had set up with my IBCLC, I knew his suck was plenty strong. But the mother still looked at me as though I was missing something.
We were lucky enough to get an appointment with our pediatrician early that day. She was calm as she explained that the baby was not only starving; he was dehydrated, which explained the lethargy. It’s natural for newborns to lose some weight soon after birth, but our son had lost nearly 20 percent of his birth weight in a matter of days. And because he hadn’t peed in a while, we were told to take him straight to the emergency room if he didn’t urinate soon.
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Everyone says that the time after you have your baby is the most magical time of your life, but for most women this initial postpartum period is extremely difficult, both physically and emotionally. Breast-feeding, which is incredibly time-sensitive, must be established during this highly vulnerable stage. Though we are told that every woman can breast-feed if she just makes it a priority, in spite of this being a particularly challenging time, it’s simply not true; I am proof of this. But even women who don’t have my condition face myriad obstacles to meeting the AAP and WHO’s minimum recommendation. According to a (CDC), 77 percent of American babies breast-feed during their postpartum hospital stay. By six months post-birth, 49 percent of babies are partially breast-feeding. Only 16 percent are still breast-feeding exclusively.
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Breast-feeding is natural, we think. What could be so hard? Yes, it’s natural, but establishing and maintaining it can be complex. According to a January 2014 study in the Journal of Perinatal Medicine, . While most of these mothers go on to resolve whatever issue they face, 15 percent of women experience some sort of lactation failure, according to Dr. Elizabeth Hunt, a pediatrician and IBCLC in South Burlington, Vermont. This is no small figure.
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By the time my son was 10 weeks old and I returned to work part-time, I had a definitive answer about my milk supply: All of these efforts combined had boosted it from a meager one to two ounces a day to three to four at most — for a baby who needed approximately 24 ounces of daily nutrition. I had done my best to do everything right, but I was nowhere near being able to breast-feed my son exclusively, which is the medical definition for breast-feeding success. I was diagnosed with a rare condition caused by insufficient glandular-tissue development during adolescence. There is no cure for it.
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Over the following days, which then became months, I felt as if my son’s life were in my breasts. I saw an IBCLC the same day as the pediatrician and, soon after that, Dr. Mona Gabbay, who specializes in breast-feeding. My lactation consultant advised me to nurse my son via a supplemental nursing system, which consisted of a bottle that I filled with formula and little tubes that attached to the breast. This enabled my baby, who had an excellent latch — which is how the baby attaches to the breast to nurse — to receive sufficient nutrients at the breast while maintaining the hormone stimulus necessary to establish and maintain breast-feeding. It also helped to keep his sucking capacity strong.
Free pulmonary Essays and Papers
There are several steps to this process. Follow each one and you will come out with a handout that you can utilize in clinical and community settings. The topic is Breast feeding.
Define the population that the project addresses.
Outline the information that the client would need:
Understanding of the problem/issue, Instructions re: care, meds, and followup.
Describe the information that should be addressed during a session:
Medication instructions, follow-up plans, Anticipatory guidance. Make this brief and understandable! The language should be at a FOURTH grade reading level.
Design the format applicable to the population/patient.
Areas that will be graded will include: literacy, organization, avoiding medical jargon, creativity, and accuracy.