Showing posts with label breastfeeding. Show all posts
Showing posts with label breastfeeding. Show all posts

Saturday, September 18, 2010

This I Believe

I believe in quitting. I believe in the power of throwing in the towel and saying, “enough is enough. I’m done.” I believe that walking away can pay just as high a wage as persistence.

I have always chuckled to myself at the bumper sticker that glibly states “Rehab is for quitters.” I enjoy the play on the connotations of the word “quit.” But as every addict knows, quitting ultimately requires personal conviction and courage. The same is true for the pathologically persistent.

I didn’t realize that I was pathologically persistent or that I was even a persistent person at all until my battle to breastfeed a baby who came into this world seemingly unequipped with even the most basic of human survival instincts: the child didn't know how to suck. Sometimes, I would work with her for hours at a time to achieve a good feeding. 14 months later, my daughter was a chubby, newly weaned toddler and I had bragging rights: my baby had been exclusively breastfed. Yes, persistence did pay off. I had something to show for the sleepless nights, the soreness, the sobbing baby. In the end, the battle was fought and won and all had come round right. I, the triumphant mother.

The same persistence was what got me through college with a Bachelor of Arts degree and a teaching certificate, despite my insecurities and throbbing self doubt. Persistence is the reason I currently have a career that allows me to stay at home with my family.

However, this same persistence is the reason I stayed in a six year relationship with a guy who didn’t really want me. It is the reason that I have stuck through bad jobs and have sometimes remained friends with people who were not really friends at all: as if all of my self worth relied on enduring through this one excrutiating act.

My relationship for instance: I knew it was just all me who was wrong. It couldn’t be him or even worse, us. It must be me. Well, I’m proactive and honest; I could fix me. And so I tried. He seemed to like witty women. I would crack more jokes! He liked beautiful girls. I could primp. He said he liked charismatic girls. Hmmm. Where could I get charisma? I felt like a gambler continuously feeding coins into a slot machine: one more quarter and I would hit the jackpot. One more act of forgiveness on my part and he would love me. Eventually, this thing had to pay off. The stakes were too high to let go (or so I told myself with every subsequent heartbreak.)

Flash forward 3 years: one brief conversation, a few intermittent tears, a couple of Indigo Girls songs later and I felt light. I was totally unattached and it felt great. Where was the expected dread and suffering that I had been so afraid of? I was afraid to feel good?

So, I affirm the wisdom and the dignity of Chief Joseph’s words spoken at the end of that hundred day march now known as the Trail of Tears. “I will fight no more forever.” And for me and others who are, likewise, pathologically persistent a new serenity prayer:

God grant me the serenity to persist when my efforts will be appropriately rewarded;
the courage to quit when it is time to cut my loses
And the wisdom to know the difference.
Amen

Wednesday, March 4, 2009

Oh, Spare Me! (A VBAC post)


I’ve always prided myself on being a bit of a skeptic.  It’s not that I don’t believe in the supernatural, for instance. It’s just that I don’t think ghosts or aliens have much personal interaction with the inhabitants of planet earth.  I approach social causes in a similar frame of mind.  It seems to me that the greatest interest of most charities happens to be the kind accumulating in my bank account and how to get me to proffer it up for their “good causes.”  Before I sound, completely selfish and curmudgeonly, it’s not that I don’t support social causes and charities; it’s just that I want to know that my money is actually being used for good and is not just contributing to some administrator’s BMW fund.

Of course, I’m not anti-woman or anti-minority, but I do feel as if worthy causes get exploited to pull at the heartstrings of a sympathetic, gullible public.  The inverse is also true; sometimes causes I feel most strongly about seem to slip by with very little notice. 

I also submit that nothing stirs the ethical pot like reproductive issues.  For instance, consider the years of controversy over abortion, and, more recently, the hotly-debated topics of stem-cell research and cloning.  Why else the fascination with Octomom: hubbub over a woman with a lot of kids, and the public eager to stand as ethical judge? (Not that I support or sympathize, it’s just that there are bigger fish to fry.)

What reproductive issue, you may ask, could be more  important than a mother who has voluntarily sentenced herself to raising 8+ teenagers all at the same time ? My answer: VBAC's.  Ha!  Chances are you haven’t heard of them even as they are increasingly endangered and drawing close to extinction.  VBAC is the acronym for “Vaginal Birth after Caesarean.” (I know, bleck!  That’s why we call them VBAC’s.)

Currently, nearly one third of babies are delivered in the U.S. via Caesarean even though, according to the World Health Organization no more than 15% of babies should ever have to be delivered c-section.  The results of the overuse of this operation: increase of pre-term infants, increase in infant and maternal mortality rate, much longer maternal recovery time, baby is born drugged and groggy, mom is drugged and groggy and thus unable to give baby optimal care directly after delivery, and (my personal major gripe) c-sections often screw up the first, crucial moments when breastfeeding needs to be established.

On a more personal level, many hospitals forever sentence mothers to c-section:  my local hospital maintains the policy of once a c-section, always a c-section.  So as to avoid unnecessary abdominal surgery, I have had to resort to delivering my babies out of town in hospitals that are more willing to work with VBAC moms and now, even those hospitals are raising a wary eyebrow at my request.

So, why are healthcare professionals unwilling to let some mothers walk into their clinics and simply give birth?  They always claim the risk of placental accreta otherwise known as placental hemorrhaging.  VBAC deliveries, as all with all deliveries, present a certain risk that the placenta will rupture.  The increased risk of placental hemorrhage during a VBAC delivery: .5%.

The truth is that doctors and patients alike are attracted to the seeming ease of the c-section.  They love the idea of being able to schedule a delivery, but overlook the amount of risk involved by interfering with birth in its natural course.

Due to the increasing scarcity of VBAC friendly hospitals, with this delivery (which will be my third successful VBAC), I have been told that if I want to avoid the knife, I may have to schedule my surgery, stand-up the surgical team, allow myself to go into voluntary labor and get far enough along before I reach the hospital that the doctors will have no choice but to let me deliver the baby.

Am I intrepid enough to take on the hospital?  My pleasure!  Some causes are worth fighting for and I believe in a woman’s right to forgo unnecessary major surgery.  Of course, my definition of hell is a place where I am tied down and slashed open against my will; and where toddlers forever smear apple sauce across the kitchen floor that I am doomed to mop eternally (but that’s a different post.)


What can actually be done:

*For anyone who may read this and is interested in fighting the beast, the best approach is 

1-  Avoid ever getting a c-section.  How?  Pregnant moms should not let their obstetricians induce labor unless absolutely necessary (i.e. major risk is posed to mother or neonate.)  

2- If you are in the same boat as I am in and have already had a c-section and want to VBAC, I recommend the following:

a) Do not let your doctor discourage you or tell you that you are unable to VBAC without proving it first or presenting you with a darn good reason why you can't.

b) Link up with ICAN (International Caesarean Awareness Network).  They are a wonderful support and have a bevy of good information and studies that support VBAC's.

c) Try to find a doctor or birthing facility that will support your plan to VBAC.  This is often easier said than done.

d) Have a plan before you actually go into labor.  (Especially if you are VBACing for the first time.)

e) Talk to mothers who have VBACed.  It really does help.

  


Thursday, September 25, 2008

The Kind of Mom I'm Not or Please Pass the Milk, Please


I know that in my profile I mention that one of my three jobs is counseling breastfeeding moms. Between jobs, I have also been doing quite a bit of nonproductive blog surfing as a response to my post "Blogging about Blogging." I decided that if I ever want to gain a following as a blogger, I should probably be doing a bit more following of my own. Where to start? How about women whose interests are similar to mine? So, I searched profiles that mentioned breastfeeding. Inevitably, almost every mom who stated an interest in breastfeeding also incorporated buzzwords like "attachment parenting," "baby wearing," and "veganism." This is the part where I interrupt my current stream of thought for a disclaimer: please do not stone me for what I am about to say. I think these are great, altruistic mothers. They are clearly very involved and concerned parents. I do not relate to them.

I have heard the phrase "attachment parenting" before, but I have never really investigated what all "attachment parenting" entails. If it means having a two-year-old who has to touch you all night and drink a sippy cup while you're sleeping, count me in. If it means that you have to like it and admit that it stems from anything other than your parental apathy, count me out. My two-year-old still sleeps with me because I'm too darn lazy to get up in the night and deal with his tantrums. Period. End of story.

My kids don't eat organic foods and I have to admit there are some nights when they have had Pringles and fruit snacks for dinner. They eat a lot of candy on Halloween, too. They like McDonald's chicken nuggets. I guess I'm not in the "organic foods/ vegan" mom category, as so many breastfeeding moms seem to be.

I'm not sure about the term "baby-wearing" either. I am assuming it has something to do with slings. I used one once: when I took my 6 week old to Disneyland. (By the way, did you know, the "It's a Small World" ride is a great place to breastfeed? But I digress). I think I might be into baby wearing, but not in the sling sense. There is generally a baby attached to my arm, and often another trying to climb my leg. Once again, not my favorite situation.

I don't reuse plastic grocery bags, bake wholegrain bread, or knit. I probably won't storm a business rumored to have employed someone who gave a breastfeeding mom a dirty look. I am comfortable breastfeeding in public, but I wasn't at first. I do own a Shu Uemura eyelash curler (which I use daily); I love how I look in heels. I would carry a Coach bag. I am even guilty of reading BabyWise (don't gasp. Once again, I was much too apathetic for Ezzo-ism).

Sterotypes aside, I think sometimes women choose not to breastfeed because they feel they don't fit "the mold." In my line of work, I hear all too often, "I'm afraid to breastfeed; I'm just a teenage mom." Or, "I'm not sure I can breastfeed; no one in my family could." Breastfeeding extends beyond stereotypes and race. For me, it's not about politics. It is about uniting mother with child and mother with mother. I am a woman and a mom, so I breastfeed.