Tag Archive for: newborn

12 Ways to Start a Good Breastfeeding Relationship with Your New Baby

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While it is true that breastfeeding is natural, it doesn’t mean that it will come naturally to every mother. After having five children, I feel like I have experienced just about every breastfeeding obstacle imaginable, and yet somehow, each time I was able to overcome these difficulties and successfully breastfeed all of my children thanks to a wealth of support and resources.

Now, as I begin another breastfeeding relationship with our fifth baby, I feel confident knowing that I have a plethora of resources at my fingertips to help with any challenges I may have along the way.

I am hoping that I can share what I have learned and what has worked for me over the years so that other mothers can also feel like they have a bag of tricks to reach into and to know that whatever they are going through, there are resources available, and they are not alone.

1. Knowledge is Power

By educating yourself about breastfeeding before your little one is born, you will be better equipped to deal with any troubles if and when they arise.

  • It Will Hurt at First – Especially if this is your first, breastfeeding is going to hurt a bit for the first couple of weeks, and then like some sort of magic, the pain will fade, and you’ll become a seasoned pro! The pain after latching shouldn’t hurt for more than about 5-10 seconds though. If it does, you may be dealing with a bad latch, thrush, or some other issue. (More on this later.)
  • Benefits of Breastfeeding – Breastfeeding has so many amazing benefits such as the transfer of antibodies from mother to baby (so less illness), the decreased likelihood of allergies and dental caries, and the appropriate jaw, teeth, speech, and overall facial development to name a few. Mothers will benefit from reduced rates of breast and ovarian cancer in addition to saving time by always having a perfect food source warm and ready to go. (Read about more benefits at the La Leche League website.)
  • It’s Not as Common as You Would Think – I think there’s an overall misconception that breastfeeding will come naturally, easily, without complications, and that everyone is doing it. The reality is that 21% of women in the U.S. will not breastfeed at birth and that only 49% of women are still breastfeeding after 6 months (according to 2014 CDC data).

2. Nursing a Newborn

The first 24 hours after your baby is born are crazy! Here you are reveling in the miracle of the birth process…sweaty, bloody, possibly still having yet to deliver the placenta, and here is this tiny creature placed upon your chest, covered with vernix, blood, and breathing oxygen for the first time.

  • Skin to Skin – The first hour of life is a very precious time, and if a baby is put on its mother’s chest right away there are numerous observable benefits including better respiratory, temperature, and glucose stability, decreased stress and less crying, and most importantly, the ability for the baby to find the breast and self attach. With midwifery care, this is standard practice, but if you’re having a hospital birth, you may want to put this into your birth plan.
  • Rooting and Sucking Reflexes – Babies are born with the natural ability to root, which means they will open their mouths if you touch their chin or cheek as they look for the nipple. The sucking reflex is also primitive and allows babies to express milk out of whatever touches the roof of their mouths.
  • Breast Crawl – Babies are born with an instinctual reflex called the breast crawl, where if you put a newborn on his stomach, he will scoot himself up to the breast and latch on by himself. I heard about the breast crawl before my fourth birth, and I kind of tried it, but I just wanted to cuddle him close rather than make him work to find me. Needless to say, it’s pretty cool how babies are perfectly designed so that their needs met.
  • Pumping and a Dropper – Even though we were able to get Ruby to latch on at the birth center, I couldn’t get her to latch on once we got home for what seemed like an eternity. So in a moment of desperation (and brilliance), I pumped my colostrom into a bottle and fed it to her with a dropper until she was able to latch. (This is a good way to avoid the introduction of formula if you’re having a bit of a rough start.)
  • Stomach Size – Newborn babies have VERY tiny stomachs (the size of a marble for the first few days), and do not need an abundance of food. By day three or so when your milk comes in, their stomachs will be about the size of a walnut and ready for increasingly more milk.

3. Best Position to Nurse

By the time my babies are about 3 months old, I feel like an old nursing pro. I can get them to latch on without looking, even while lying down and half asleep. But when we are just beginning our breastfeeding relationship, I need to keep these things in mind.

  • Get in Position – By sitting on the edge of my bed or in a rocking chair with a nursing stool, I will lean forward slightly to get in the best position to feed my baby.
  • Cradle Hold – This is the easiest hold to master. In order to do it correctly, make sure that your baby’s chest is lined up with yours and that his or her feet are stacked up on top of each other. His or her head should be nestled in the crook of your arm, and his or her lower arm should be tucked behind your back. I LOVE using My Breast Friend to support this position. A bobby can work too.
    • Other Holds – You might also find success with the crossover hold (same as cradle but with arms reversing jobs and the hand cradling the head), the football hold (where you tuck the baby under your arm like a football with its legs sticking out towards your back), or the reclining position (where you nurse lying down).
  • Room to Breath – Make sure that your baby’s nasal passages are free from boogers (I love using a rolled up tissue to pull boogers out or a saline mist and the Nosefrida for congestion) and that your breast isn’t covering up your baby’s nostrils as you begin feeding.
  • A Comfortable Head Rest – I have found that if I just put the baby’s head in the crook of my arm it gets all sweaty and uncomfortable, but if I tuck a soft blanket under the head, they are much more comfortable. I also like to use the blanket as a way to cover myself if I’m nursing in public and to shade my little one’s eyes if they are falling asleep.

4. How to Get a Good Latch

Once you’re in a good position, the next thing to think about is establishing a good latch. A good latch will be both comfortable and effective. Sometimes when a baby first latches on there is a bit of discomfort, but the pain shouldn’t linger and it shouldn’t be excruciating. If it is, you may have a bad latch.

  • Open Wide: Make sure the baby’s mouth is wide open. You can stimulate this reflex by rubbing your nipple on his or her upper lip.
  • Nipple Flip: Flip the nipple into the baby’s mouth for a deep latch.
  • Roll the Nipple: If the nipple is flat, roll it until it becomes hard.
  • Pinkie Trick: If the baby is having difficulty latching on, put your pinkie into his or her mouth (nail side down) until he or she establishes a good sucking motion. Then, do the old bait and switch by pulling out your pinkie and quickly inserting your nipple.
  • Break the Latch: There might be a bit of pain initially as you get used to the feeling of breastfeeding, but if the pain persists, break the latch by inserting your finger in between your nipple and the baby’s mouth and start over.
  • Keep Trying: If the two of you are not getting a good latch right away, don’t stress out about it. Just keep switching sides, taking breaks, and trying again. You’ll get it eventually. If it’s really taking awhile, you can pump some colostrum and feed it to your baby with a dropper. Their stomachs are the size of marbles at this point, so they don’t need much.
  • Avoid Nipple Confusion: I would avoid using nipple shields. They might work in the short term, but it will be even hard to get your baby to latch on to your nipple after successfully latching on to the nipple shield. I would also avoid all pacifiers and bottles for the first few weeks (or until nursing is established) to avoid nipple confusion.

5. Feeding on Demand

Even though newborns need to eat every 1.5-3 hours (with never more than 4 hours in between feedings), I have never felt like I was on a feeding schedule or had to wake my babies up to feed them. Sometimes my babies cluster feed (typically in the evenings), and other times they go long periods just sleeping without eating at all.

I typically nurse on my left side first because it doesn’t produce as much milk and then switch to my right side that produces a LOT more milk. If my right side isn’t fully drained, I’ll start there at the next feeding. (Draining the breast helps to ensure that the baby gets the fatty “hind milk” and prevents you from getting plugged ducts and mastitis.)

When I feed my babies on demand, they always get really chubby. I love the rolls upon rolls and the squishy little cheeks! Some people worry that fat babies will lead to obesity down the road, but studies actually show that the fatter the baby, the skinnier the adult. So feed those babies!

Signs Your Baby is Hungry:

  • Getting a little fussy
  • Opening and closing mouth
  • Rooting around your chest
  • Sucking on objects
  • It’s been a couple of hours since the last feeding

6. Setting Up Nursing Stations

You will want to have at least one primary nursing station set up in your home stocked with everything you’ll need while nursing. As our family and our home has grown, I now actually have three separate nursing stations set up.

My main nursing station is in our mini living room and not only does it have everything I’ll need while nursing, but around it are things to keep my little ones entertained while I’m sitting down to nurse. My 2 year old, Julian, LOVES playing with cars, so I have boxes of cars and ramps for him to play with and my 3 year old, Ophelia, loves doing puzzles and reading books so I have a rack of puzzles and baskets of books for her.

The View From My Nursing Chair

The View From My Nursing Chair

Everything You Need for a Nursing Station

  • Rocking Chair – Each type of rocking chair serves a different purpose.
    • Gliding Rocker – This is the most comfortable day time chair for me. I use this type of chair in our mini living room where I spend most of my time during the day. I love the way it glides back and forth and the arm rests are great for nursing.
    • Old Fashioned Wicker Rocker – I found mine at a garage sale, otherwise these are kind of hard to come by. I LOVE the sweeping up and down motion of this rocker. It is really good for calming a fussy baby.
    • Rocking and Reclining Arm Chair – This chair is soooooooo comfortable, and I am so sad that I waited until baby #5 to get one. I love snuggling up in it at the end of the day to cluster feed before bed time.
  • Nursing Stool – This will help you to get into the best position possible for nursing in any rocking chair.
  • My Breast Friend – I have tried the Boppy, but this is way more comfortable. It’s a little tricky to put on if you’re holding your little one, so try to get it clicked before you pick him or her up.
  • Manual Breast Pump – Having a double duty battery operated breast pump like this is really great, but having a noiseless hand pump has helped me on numerous occasions as well. It’s also nice to have a dropper in case you’re having a hard time nursing at first.
  • Water Bottle – I always like to drink lots of water whenever I nurse. I usually just fill up mason jars and use lids like these.
  • Nose Frida with Saline Spray– I like to use this snot sucker with saline spray to get the boogers out.
My Living Room Nursing Station

My Living Room Nursing Station

8. Take Care of Your Nipples

The first two weeks of breastfeeding are the toughest. As a first time mom, I knew that I wanted to breastfeed as long as I could, but I was a bit discouraged during my first two weeks because of how much it hurt. After two weeks, however, my nipples weren’t as sensitive, we were figuring out the whole latch thing, and it suddenly became much much easier. After a month, I felt like an old pro, and after 3 months, I was nursing in my sleep. Here are some tips for dealing with sensitive nipples.

  • Use a Nipple Cream: If your nipples get sore or cracked, this stuff is great. Just keep in mind that whatever cream you start using, your baby will get used to and won’t like it if you switch!
  • Use Breast Milk: If your nipples are just a little dry or sensitive, give them a little milk bath. It’s very healing.
  • Let Them Air Out: Walk around the house with your shirt off or just cover up loosely with a robe. Your husband will love it and so will your nipples.
  • Cover Them Tightly: I have always been a sleep in a t-shirt kind of girl, but when I’m nursing, I hate the feeling of fabric rubbing against my nipples. I like to bind them up with a bellaband or nighttime nursing bra. The pressure feels great, and it prevents them from leaking all over the place.

9. Avoid Coffee

Even though only a small amount of caffeine is passed to the baby, the half life (meaning the time it takes for the caffeine to be at half of its potency) of coffee in newborns is 97.5 hours (versus 4.9 hours in an adult, 14 hours in a 3-6 month old, and 2.6 hours in a 6+ month old baby). With Ruby, our firstborn, I would drink coffee after nursing each morning, and then like clockwork, she would experience a “witching hour” for four hours every night where she was inconsolable. By the time we started experiencing this with our third child, Ophelia, our midwife told us about the half life of coffee and how it affects babies. I stopped drinking coffee and noticed that Ophelia no longer had any inconsolable fussy times anymore.

Read more about caffeine and breastfeeding here.

Alternatives to Coffee

  • Teeccino  – If you add cream to this it tastes very much like coffee.
  • Red Raspberry Leaf Tea – Although it is most beneficial during pregnancy, red raspberry leaf tea can help to decrease post natal bleeding and increase milk supply. (Source)
  • Mother’s Milk Tea – This contains many herbs (like fenugreek) that help to stimulate milk production.
  • Kombucha – Kombucha is a great alternative to soda and beer and is full of healthy probiotics. If you don’t want to buy it, you can make your own.
  • Glass Water Bottle – Drinking lots and lots of water is very important so that you have enough fluids to make all of that milk.

10. Best Diet for Nursing Mothers

I feel like I am at my hungriest when I’m nursing, especially when they start to get closer to that 6 month mark. The time right before they are introduced to solid foods, but still somehow gain tremendous amounts of weight…all from my milk! I love it!

When babies are in the womb, they have our bodies and the placenta to help them filter through whatever food we’re eating, but when they are nursing, they have to go through digestion alone. This is why it is even more important to eat a healthy diet and stay well hydrated. A healthy diet for pregnant and nursing moms should include plenty of raw milk, pastured eggs, butter, cheese, yogurt, grass fed beef, wild caught fish (like salmon), bone broth soup, organic soaked grains, and organic fruits and vegetables.

The important thing is to have healthy meals prepared ahead of time so that you’re not reaching for a bag of chips or tempted by fast food. I like making a making a big pot roast, rotisserie chicken, or healthy soup so that there is always something nourishing that I can grab from the fridge. Things like hard boiled eggs, chunks of cheese, cut up veggies, sourdough muffins, and fresh fruit make good snacks to keep around.

11. Things That Can Make Breastfeeding Challenging

For some women, breastfeeding is easy, for others it is more of a challenge. I highly recommend contacting your local La Leche League (an incredibly helpful breastfeeding organization) before you give birth so that you will a nursing support resource ready to go. Also, if you are a first time mom, I highly recommend taking any classes that are offered and talk to your doctor or midwife about what breastfeeding support they offer.

  • Epidural – The effects of anesthesia or an epidural make both the mother and the baby tired and sluggish which can make breastfeeding difficult at first.
  • Traumatic Birth Experience – If you had a traumatic birth experience, it can have a negative effect on both you and your baby in terms of breastfeeding. Read more about healing from a traumatic birth here.
  • Lip Tie/Tongue Tie – You can see if your baby has a lip tie by trying to flip his or her upper lip to see if it’s tethered by a flap of skin. Babies with lip ties will have difficulty forming a good latch and you may notice a lip blister from the top lip not flaying out while nursing. You can see if your baby has a tongue tie by looking under the tongue to see if it’s tethered to the bottom of the mouth by a flap of skin. Babies who are tongue tied have difficulty forming a good latch. Read more about identifying and dealing with tongue and lip tie here.
  • Thrush – If you had a yeast infection when you had a vaginal birth, the candida can transfer to the baby and cause thrush. Thrush will present itself in a baby as white patches in the mouth that will bleed if you try to scrape them away. It also makes nursing extremely painful for the mother if she gets the thrush in her nipples. Read more about thrush here.
  • Nursing Strike – Maybe you introduced a pacifier or bottle too soon and now your baby isn’t interested in your breast, or maybe there is some other external factor that is making your baby not want to nurse. In order to overcome a nursing strike, you just have to keep trying different ways to establish closeness with your baby. I have had success taking a warm bath with my little one to reestablish nursing after a nursing strike.
  • Plugged Ducts and/or Mastitis – If you don’t fully drain each breast after nursing, the ducts can become plugged and eventually lead to mastitis (which is VERY painful). When you’re nursing, make sure you are draining each breast fully and switch sides in a regular pattern so that both breasts are getting the chance to be drained. It may also be helpful to massage your breast as you are nursing to help express all of the milk.

12. What to Do if You Can’t Nurse

  • Warm Bath – When nothing else seems to work, taking a warm bath with my little one has always helped to improve things. This is a very womb like experience for your baby that is quite relaxing.
  • Get Support – Contact your local La Leche League for support, let your midwife or doctor know what is going on, talk to a friend, talk to your spouse, and get as much support as you can to continue your breastfeeding relationship. It is very helpful to have someone to talk to when things aren’t going very well.
  • CranioSacral Therapy – CranioSacral therapy (CST) is a gentle, noninvasive form of bodywork that addresses the bones of the head, spinal column, and sacrum with the goal of releasing compression in those areas to alleviate pain. It is especially helpful for babies who seem unwilling or unable to nurse properly.
  • Chiropractor – Going through the birth canal or being delivered by cesarean can misalign a baby’s delicate structure that can lead to problems nursing. A chiropractor can gently work on an infant as soon as they are born to get everything back into place.
  • Supplement – If for whatever reason, nursing is just not working out for you or you are in need of supplementation, you don’t have to go straight to formula. On the Weston Price website, Sally Fallon explains how to make raw milk baby formula. Using clean whole raw milk from cows certified free of disease and fed on green pastures with ingredients like gelatin and expeller-expressed oils (making it more digestible for the infant) added is the next best thing to breast milk. For sources of good quality milk, see www.realmilk.com or contact a local chapter of the Weston A. Price Foundation.

In Conclusion

I will always treasure the special time I’ve had with each of my children as I’ve nursed them. In the first few months when everything is new and my little one is attached to my breast 24/7, I cherish these times more than anything in the world. It is an honor to bring life into this world, and it is an honor to be able to sustain the life that I delivered with nourishment from my own body. I wouldn’t trade it for the world.

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Setting Up an Outdoor Play Tent Sanctuary 

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Setting up a tent outdoors isn’t just for camping! Every spring, we set up a tent in our backyard to use as a sanctuary and a holding tank, and it has been a very beloved location, especially when we have little babies. In Michigan, we get REALLY excited when spring arrives! The problem is that even though the snow thaws, it’s still pretty chilly (and windy) until June. Having this permanent tent set up ensures that we always have a warm place to play that will allow us to enjoy the fresh outdoor air while staying protected from the elements.

Materials Needed

  • Tent – We usually just go to the nearest box store and pick up whatever is cheapest. (We learned the hard way this year, however, that it’s very important to make sure the tent has a window so you can get a cross breeze.) We’ve been setting up outdoor tents for the past 4 years and have never had a tent that lasts more than one year. By the time snow falls, the walls of the tent are so worn, they just rip apart. Because of this, we usually go with a cheap tent like this. This tent would be a a bit more luxurious and if you’re looking for a really permanent tent, you can go with one of these canvas tents.
  • Padding – Some foam padding like this 1-inch king size mattress topper (or this 4-inch mattress topper) will turn your tent into one big comfy bed!
  • Waterproof Cover – There is always a bit of water getting into the tent for one reason or another, so it’s a good idea to cover your foam padding with something like this.
  • Sheet – I like to put a fitted king size sheet over the waterproof cover.
  • Blankets – I don’t think we can ever have enough blankets in this household, so I am always on the lookout for good blankets like this at garage sales and thrift stores. I put one blanket down under the pillows and baskets of books and another blanket loosely on top. This second blanket can easily be taken out and shaken if it gets covered in sand and debris. This is also the blanket I’ll use if I want to have a blanket on the grass.
  • Pillows – Having about 3-4 pillows makes it really nice to stretch out for a little snooze.
  • Baskets – Wicker baskets like these are really nice for holding books and a shallow basket like this is really nice for holding toys.
  • Books – I love having a wide assortment of books, but I don’t keep my best out here in case of water or other damage.
  • Coloring Supplies – This is the first time I’ve included coloring supplies like coloring books, workbooks, blank notebooks, pencil boxes with pencils and crayons, and the bigger kids really enjoy it!
  • Toys – Because I have kids ranging from newborn to elementary school age, I have a variety of different toys that everyone can enjoy.
  • Little Chair – The kids especially love this little chair when I put it out on a blanket in the grass. Reading is always more fun when you’re in a little chair!
  • Diapers and Wipes – Because our tent is a little ways from the house, it’s nice to be able to change a diaper without having to go inside.
Outdoor Tent in Use

Outdoor Tent in Use

Directions

  1. Find a good location. It’s nice to have something that can be in shade or partial shade so it doesn’t get too hot in the summer. It’s also nice to have the opening of the tent facing an area of high activity so that you can see what’s going on when you’re in the tent and vice versa.
  2. Set up the tent. We keep our tent in the same spot every year, so after the grass died and it was all dirt, we leveled it with a rake to make it flat.
  3. Put some sheets of wood in front of the tent. You could also use a big rug or Astro turf, but basically you want something to keep grass and dirt out of the tent.
  4. Fill it with fun stuff. Based on the ages of your children, location of the tent, and the purpose of the tent, you will want to fill the tent with things to suit your needs. I like filling my tent with books, coloring supplies, toys, and pillows and blankets.
  5. Play inside the tent. I like to keep the tent closed if it’s going to rain, but as soon as we head out to play I like to open it up and let the kids come and go as they please.
  6. Use the tent as a holding tank. If we want to hang out outside with babies, I like taking a blanket out of the tent and putting toys, books, and the little chair on it.
  7. Keep it clean. When our tent gets full of sand, dirt, grass, and leaves, I am so happy that I keep my extra blanket nestled lightly on top so that I can easily shake it out. If it gets really dirty, I’ll take everything out and either sweep or use the leaf blower.

In Conclusion

We enjoy setting up our tent as soon as the snow is gone and leave it up until snow threatens to fall again. We have enjoyed having a tent every year for the past four years and will probably continue to enjoy one for many years to come.

*Update: We had a big windstorm that ripped our tent to shreds, so we opted for a bigger more expensive tent, and boy am I glad we did! My husband recently spent the night out here with our two older children, and they all loved it!

Our New and Improved Tent

Our New and Improved Tent

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Why I Won’t Drink Coffee While Breastfeeding

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Why I Won't Drink Coffee While Breastfeeding

After being up in the night with my little ones, I used to feel like the only thing that could get me through the next day was coffee. I knew that I shouldn’t consume too much caffeine while breastfeeding, but every resource I read said that it was okay to drink coffee moderately while breastfeeding. So I did.

While breastfeeding my first two children (Ruby and Elliot), I drank coffee in the morning, but then after Ophelia, I quit upon the recommendation of my midwife. When Ophelia’s fussiness completely stopped and she began sleeping through the night, I learned then and there that the cause of so many sleepless nights and so many fussy evenings were the result of me drinking coffee.

Now, after the birth of my fifth baby, I did some eye opening research that has made it easy for me to completely give up coffee and to be vigilant about avoiding all products containing caffeine including black tea kombucha and chocolate. It may seem like a lot to give up, but Jack is almost two months old, and I have never once been up in the night with him. He also naps wonderfully and has the best temperament of any baby I’ve ever had.

How Coffee Works

When you understand how coffee works, it’s easy to see why new mothers would be tempted by this delicious beverage. There are three tiers to how caffeine gives you more energy.

  1. Caffeine prevents you from feeling tired. The caffeine molecule is very similar to the adenosine molecule in the brain. Adenosine plays a role in the sleep-wake cycle. When it binds to enough receptors, it signals to the brain that it is time for rest or sleep. When caffeine is present, it binds to the adenosine receptors in the brain cells and blocks them from binding to other cells. So basically, caffeine prevents you from feeling tired. Also, when the caffeine is gone, you will feel a big crash as all of the adenosine receptors bind at once signaling the need to rest or sleep.
  2. Caffeine stimulates the release of adrenaline. Elevated levels of adenosine in the blood cause the adrenal glands to release adrenaline. The release of adrenaline will further add to the feelings of alertness and energy.
  3. Caffeine makes you feel good. When adenosine is blocked by caffeine, the dopamine system works more efficiently. Dopamine is the feel good transmitter of the brain, and so it makes us very euphoric when we drink coffee. This is also what makes it addictive and so very hard to quit (Source).

Half Life of Caffeine in Adults

Half life is a term used to explain the time when half of the atoms in a certain element have been eliminated.

The half life of caffeine from drinking one 8 oz. cup of coffee for an adult is about 4-6 hours. This means that if an 8 oz. cup of coffee contained 100 mg of caffeine at 8 a.m., 50 mg would still remain by about 2:00 p.m. and the remainder should be metabolized by about 8:00 p.m.

There are many different factors that affect how people metabolize caffeine. Some people can drink coffee right before going to bed and not feel restless at all and others can feel jittery from eating a piece of chocolate. How sensitive to caffeine you are depends on several genetic factors which is different from a person’s caffeine tolerance that is built up over time.

Half Life of Caffeine in Babies

Yes, caffeine passes into breast milk, and even though the nursing baby only gets 1.5% of the caffeine the mom gets, a baby cannot metabolize it the same way as the mother. Adults metabolize caffeine primarily in the liver, but a child’s liver isn’t fully formed until they are two, so they are very inefficient at metabolizing caffeine.

  • Newborn: The half life of caffeine in a newborn is 97.5 hours. So that means if you have one cup of coffee, it will take about 8 days for the caffeine in that coffee to be out of your baby’s system.
  • 3-5 Months: When a baby is between 3-5 months of age, the half life of caffeine is 14 hours. So that means if you have one cup of coffee, it will take about 28 hours for the caffeine in that coffee to be eliminated from the baby’s system.
  • 6+ Months: Babies older than 6 months old have a half like of 2.6 hours for caffeine, so it will take 5.2 hours for one cup of coffee that you had to be out of your baby’s system (Source).

Once I learned that it would take my newborn 8 days to metabolize one cup of coffee, I knew it wouldn’t be worth it for me to even have one cup. Now, once a baby is over 6 months old, a cup of coffee in the morning shouldn’t be a problem. But seriously, what mom only has one cup of coffee in the morning???

Caffeine Accumulates

Because babies are inefficient at metabolizing caffeine, a small amount can have a huge effect. On the La Leche League website, they explain how caffeine accumulates in infants. So, if it takes an infant 8 days to metabolize one cup of coffee, imagine what kind of caffeine build up your new baby has after you’ve been drinking coffee every day for two weeks straight. No wonder why so many babies are up in the night!

Signs Your Baby is Getting Too Much Caffeiene

Just like when you drink too much coffee and get jittery, so can your baby. Babies can be fussy for a number of reasons (hungry, need a diaper change, too hot or cold, tired, etc.), and so it may be hard to say for certain that a baby is reacting to the caffeine, but these are some of the signs I have noticed with my own babies when I drank too much coffee.

  • Flailing arms
  • Scratching face
  • Won’t nap during the day
  • Awake for long periods in the night
  • Overtired but can’t fall asleep
  • Falls asleep in your arms but wakes up when laid down
  • Has a “witching hour” where he or she is inconsolable at the same time every night

Making the Decision to Quit

I think it’s best to never start drinking coffee after your little one is born, but if it’s too late for that and you’re looking to quit now, here are some things to keep in mind. If you quit cold turkey, you are going to feel the barrage of withdrawl side effects all at once. The headaches, brain fog, tiredness, and worst of all – the depression over having to give up one more thing are not easy to deal with. It may be best to quit gradually, and as you do, remember to drink plenty of water and get plenty of rest.

If your baby is less than 3 months old, keep in mind that it could take over a week for him or her to eliminate the caffeine and for you to notice a difference in behavior and sleep.

Remember that this will not only benefit your baby but you will stop a vicious cycle that is forcing you to feel awake when you’re really tired.

Do I love coffee? YES! I love, love, LOVE coffee and even drank it during my pregnancies (which in hindsight was probably not a good idea seeing as how it can lead to low birth weight babies). Giving up coffee after I had already been drinking it was REALLY hard at first, but after awhile I didn’t even miss it at all. Instead of drinking coffee, I have really enjoyed drinking teeccino as a substitute. Mixed with hazelnut cream, I can hardly tell the difference. It also gives me an energy lift and contains chicory root that is a prebiotic that feeds probiotics in the gut.

My Stories

When Ruby and Elliot were born, I was working full time and coffee was a regular part of my morning. Looking back at it now, I can see that Ruby’s witching hour (where every night for four hours she was inconsolable, wouldn’t sleep, got overtired, and was very very upset) and Elliot’s constant flailing arms and fussiness were very much the result of my coffee drinking.

When Ophelia was born, I was staying at home and not drinking as much coffee, but still some. When I learned from our midwife about the half life of coffee. I quit drinking it and noticed a dramatic difference. But still, I had a hard time giving it up for good, and a cup here and there eventually turned into regular coffee drinking. When Julian was born, I cautiously had some once he was older, but after doing this research before Jack was born, I have been convinced to completely eliminate it.

I have never ONCE been up in the night with Jack (he’s almost 2 months old), and I attribute this to my complete elimination of caffeine.

Something happened recently that even further convinced me of the negative effects of caffeine on babies. Even though Jack has consistently slept during the night (I still get up to nurse him frequently, but he always stays asleep.)

It started out gradually, the flailing arms, the lack of naps during the day, the more wakings during the night, etc., and I thought to myself, “He’s displaying all of the signs of caffeine consumption…but I’m not drinking coffee…where else could I – Oh….” Then I suddenly remembered that when making my kombucha tea, I had been brewing my red raspberry leaves with the leftover black tea from Scott’s tea. I had assumed that what little caffeine was there was being broken down by the kombucha scoby, but apparently not.

On the FIRST day that I stopped drinking kombucha, I noticed a difference. He started napping during the day for long stretches of time again, he stayed asleep longer when he fell asleep, and he stopped flailing his arms.

In Conclusion

Knowing what I know now about the half life of caffeine in babies, I have no problem completely eliminating caffeine for the first 3 months especially. I mean, if it takes a newborn 8 days to metabolize one cup of coffee, I am quite shocked that the majority of resources on the internet say that drinking coffee moderately is no problem. Drinking coffee moderately when your baby is over 6 months old seems fairly safe, but to be honest, I feel like it just creates a vicious cycle of false awakeness that would best be remedied from taking a quick nap, going to bed earlier, drinking more water, etc.

I know that there will be a time when I can drink coffee freely again, and in the meantime I have a sweet little bundle that is only going to need me like this for a very short period of time. What initially seemed like a sacrifice is now just part of what I call being a mom, and it is a greater reward than anything that could be found in a cup.

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How to Make a Silky Blanket

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How to Make a Silky Blanket

Growing up, I loved the special little blanket my mother sewed for me by hand, and I carried it everywhere until it wore away to shreds. When she made me a new one as an adult, I was thrilled beyond words and slept with it every night…until I had children of my own, one of whom laid claim over my silky blanket. I keep vowing to make myself another one, but with all of the blankets I’ve made for my children, I just haven’t had the time! Plus, I’m always cuddling one child or nursing another, so I always seem to have a silky at hand anyways.

Making a silky blanket is a simple process, and without hardly any sewing experience, I was able to throw my first one together. Now, over the years, my process has become much more refined, and even though my blankets aren’t riddled with mistakes (that children don’t notice anyways) like they used to be, I still can’t make the intricate patterns and designs that my mother does.

A Silky Blanket My Mom Made

A Silky Blanket My Mom Made

Yet, my simple blankets have pleased not only my children, but they have made great baby shower gifts for my closest friends and loved ones.

Four Finished Silkies

Four Finished Silkies

I think that having a good sewing machine like this, is a very good investment. Even though I’m not making clothes from scratch, I really appreciate being able to hem pants, sew holes, modify clothes that are too big, patch anything that needs it (including our tent once), and make blankets and any other sewing project I feel like tackling.

Kenmore Sewing Machine

Kenmore Sewing Machine

Why Should You Make a Silky Blanket?

  1. Why Silk? I personally have always LOVED silk! I remember stealing my mother’s slips just so that I could rub the silky fabric between my fingers, and to this day, I love running my hands through racks of silky clothes on hangers. I think that if you’re going to be holding a baby and nursing them all the time, you deserve to be in contact with your favorite kind of fabric. So if silk really isn’t your thing, feel free to swap it with something that is.
  2. Nursing: My favorite part of having a silky is to use it while nursing.
    • I love being able to cradle it under my baby’s head so that it doesn’t get all sweaty against my arm.
    • I love using it as a nursing shawl when I’m breastfeeding in public. (By the way, I’m all for “breastfeeding rights”, I just prefer my privacy when it comes to my boobies.)
    • I love using it to cover up his eyes to shield them from the light he drifts off to sleep.
    • I love wrapping his whole body in it to keep him warm and snug.

      Nursing Julian Wrapped in Silky Blanket

      Nursing Julian Wrapped in Silky Blanket

  3. Sense of Touch: Our sense of touch is a more important sense than we give it credit for. The emotional context of touch has a huge effect on the physical sensation, and so by linking the tactile contact we have with our children to a physical object that they can take and carry with them everywhere, it essentially magnifies our love!
  4. Sense of Smell: Smell can bring up memories almost instantaneously because the olfactory bulb is part of the brain’s limbic system, which controls memory and feeling. If you always carry your baby in his silky blanket, it will smell like you and provide an ongoing sense of security all the time.

    Julian Wrapped in His Silky Blanket and Sucking His Thumb

    Julian Soothing Himself Wrapped in His Silky

  5. For Years to Come: You’re not just making this blanket for your newborn, but for your toddler, young child, and beyond! My five year old still sleeps with her special silky every night. She also cuddles with it on the couch while reading or watching movies, takes it with her on long road trips, uses it to comfort her when she needs it, and of course brings it along on overnights at Grandma and Grandpa’s. Her Grandma Di actually made her favorite silky, and she loves knowing that.

Supplies Needed

  • Batting: You’ll want the 45″ x 60″ crib batting. I usually go with a heavier cotton batting like this for a winter baby and a lighter polyester batting like this for a summer baby. You can also find organic cotton batting like this.
  • Fabric: I usually go to the fabric store or Walmart and pick out the silkiest feeling fabrics they have. (I value the feel of the fabric over the color.) I typically get 1 ½ yards each of two main colors (for the front and back) and a ½ yard of a third color (for the edging).

    Silky Fabric Selection

    Silky Fabric Selection

  • Thread: I like to keep my eye out at thrift stores for thread to fill my sewing box, but when I’m at the fabric store getting my material, I’ll make sure I have thread to match the colors of my fabric.
  • Good Scissors: Cutting silky fabric is tough because it’s so slippery, so you’ll appreciate a good pair of sewing scissors like these.
  • Pins: Pinning the silky fabric is absolutely essential to getting straight (or somewhat straight) lines, so you’ll definitely want some pins. You’ll also appreciate a good pin holder like this.
  • Erasable Marker: This marvelous little invention allows you to draw on your sewing lines and then have them easily wash away. (Just a note: Children’s markers won’t wash away.)
  • Seam Ripper: You might not need one of these, but if you make a mistake, having one is absolutely essential!

    Elliot and Ruby Help Pick Out Fabric

    Elliot and Ruby Help Pick Out Fabric

Directions

  1. Prepare Materials: Before you begin, take stock of all your materials to make sure you have everything you need.
    Materials to Make Elliot's Bones Silky

    Materials to Make Elliot’s Bones Silky

    Materials to Make All of the Kids a Silky

    Materials to Make All of the Kids a Silky

    Make sure you have a nice, big, flat spot where you can spread out the fabric. (The floor is great, but the top of a bed works too and can be a little easier on your back.) If you have cats, get a spray bottle with water to keep them away. If you have kids, either enlist their help or get them busy doing something else.

  2. Lay Out the Fabric: Sometimes one side of the material looks better than the other. If so, make sure the best side is facing out when you spread out your first piece of fabric. Then, unfold the batting and put it on top of the first piece of fabric, and finally spread the second piece of fabric on top.

    Spreading Out the Fabric

    Spreading Out the Fabric

  3. Pin Together: After you smooth out the material as much as possible, you’ll need to pin it together.
    Pinning the Silky Fabric

    Pinning the Silky Fabric

    Start by making a horizontal line of pins spaced about 4-6 inches apart. Then, fold/roll the material to make about a 4-6 inch fold and pin another horizontal line. Continue doing this along the length of the entire blanket.

  4. Draw Lines: Fold the pinned blanket in half length-ways and draw a dashed line along the middle. Fold the edge of the blanket to the middle line and draw another dashed line. Repeat on the other side. Then, fold the blanket in half going in the other direction, and draw dashed lines in the middle and on either side of the middle. This will make sewing straight lines much easier!

    The Sewed Lines Will Look Like This

    The Sewed Lines Will Look Like This

  5. Sew the Lines: Start by sewing the middle lines. I usually like to match my thread to the fabric color, so I’ll load the top color in the top of the sewing machine and the bottom color in the bobbin.
    Sewing the Lines

    Sewing the Lines

    If you really want to avoid getting ripples and bumps as much as possible, you could start sewing in the middle of your middle line, but I don’t usually do this. I just sew from one side to the other, removing any pins that get in my way in the process. After you sew the middle lines, you can sew the rest of the dashed lines. When you’re done, you should have taken out all of the pins, but you can save some for a child to take out too. 🙂

    Elliot Helping Me Take Out the Pins

    Elliot Helping Me Take Out the Pins

  6. Trim: Even though you may be tempted to trim your fabric beforehand, don’t do it until now. The silky fabric moves around a lot, and it will get bunched up in ways you can’t predict. By saving the trimming until now, you give yourself a bit more leeway.
  7. Prepare the Edging: Cut the fabric you’ll be using for the edging into about 4 inch strips. I usually just eyeball this because it doesn’t need to be exact. Sew the strips together, and make sure it will be long enough to fit around all of the edges.
  8. Sew On the Edging: Take one of the corners and line it up with the edging. Sew as straight of a line as you can, and make sure that all four layers are going under the thread. When you get to the corners, leave about an extra ½ inch or so (you really don’t need much), lift up the needle, and start sewing the next edge.
  9. Sew the Other Side of the Edging: This is probably the trickiest part of the whole blanket, and the part that I’m still trying to perfect to this day. Basically, you want to fold the edging around to the other side, tuck the edge underneath, and sew so that your line goes over the line you made on the other side. I’ve tried ironing the folded under edge to make it easier, but I don’t really think it’s worth the effort. When you’re done, flip the blanket over and sew any spots you’ve missed. *The corners have given me the most trouble over the years, and I still don’t think I have the perfect method for doing them. Sometimes, I just skip them, sew the other side, and come back to them at the end. Basically, you want to keep sewing into the corner as far as you can, lift your needle, arrange the fabric so it all comes together, turn, lower the needle, and sew into the next side. If all else fails, just sew over it a bunch of times until you can’t see any batting or loose edges. 🙂
  10. Final Touches: If you have the option on your sewing machine, you might want to sew a little message on one of the edges. Then, clip any loose strings and give the blanket a good once over to fix any weird spots. Finally, wash the blanket to get rid of the markings and to make it super duper soft.

    Finished Silky

    Finished Silky

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How to Identify and Treat Oral Thrush While Breastfeeding 

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How to Identify and Treat Oral Thrush While Breastfeeding 

I remember nursing my six week old baby Ophelia, when I noticed some white spots in her mouth that didn’t seem to go away. After a bit of research, I learned that the shooting pains I had while nursing and the white spots in her mouth were both signs of oral thrush.

I had been battling a yeast infection throughout the last half of my pregnancy with her, and I thought I had gotten rid of it…but apparently not. It was quite an ordeal to identify and heal from this fungus, and I just wanted to share my journey of what I did and what I learned along the way that helped us to finally get rid of Ophelia’s oral thrush and my nipple thrush, and essentially saved our breastfeeding relationship.

Oral Thrush in Babies

Oral thrush occurs when there is an overgrowth of the fungus Candida Albicans in the mouth.

Oral Thrush in a Baby (Photo Credit: Wikimedia Commons, Doc James, 2010)

Oral Thrush in a Baby (Photo Credit: Wikimedia Commons, Doc James, 2010)

Candida Albicans lives in the gastrointestinal tract of most adults and children as one of the microbes that helps to break down undigested food. It is only a problem when it grows out of control. This picture below is actually of a young child who had Candidiasis after taking a round of antibiotics, and while not an infant with oral thrush, I think it gives a really nice image of what happens when Candida grows out of control.

A Child with Oral Candidiasis (Photo Credit: Wikimedia Commons, Doc James, 2010)

A Child with Oral Candidiasis (Photo Credit: Wikimedia Commons, Doc James, 2010)

Oral thrush typically presents itself in the fourth week of a baby’s life. It is very rare in the first week of life and after 6-9 months of age. As many as 39% of infants will develop thrush in the first few months of life.

Nipple Thrush in Nursing Mothers

Because breastfeeding provides a warm, moist, sugary environment, which is precisely where Candida thrives, babies can easily pass their oral thrush to the mother’s nipples, especially if they are already cracked or sore because of a bad latch. If the thrush isn’t treated, it can pass back and forth between mother and baby.

Causes of Oral Thrush

  1. Yeast Infection During Vaginal Birth: New babies are born with a clean gastrointestinal tract void of any microbes whatsoever. Within hours of birth, however, they start to build their own gut flora through exposure to the mother’s vaginal and fecal flora during a vaginal birth, breastfeeding, and exposure to the environment. If the mother has a yeast infection during a vaginal birth, however, the yeast will be one of the first microbes entering a baby’s clean and pristine gastrointestinal tract.
  2. C-Section Birth: If a mother delivers her baby by c-section (as one-third of mothers in the U.S. do), the baby will not getting any of her vaginal or fecal flora, which helps to populate the baby’s gut with healthy microbes. This new study shows how the baby’s gut flora can be disturbed for up to 6 months after a c-section birth, and research shows how a c-section delivery leads to more pathogenic microbes (including Escherichia coli and Clostridium difficile) populating the baby’s gut. When the good microbes aren’t there first, it makes it very easy for the bad ones to take over.
  3. Antibiotics: If a mother tests positive for group B strep (which affects 25% of women), she will be given antibiotics during labor that will cross the placenta and reach the baby. Routine antibiotics are also given after a c-section (and sometimes before) to ward off infection. Antibiotics wipe out all bacteria good and bad, and when a newborn baby is having something introduced to its system that wipes out all of the bacteria before there is any, it makes it easier for something like Candida to take hold and grow out of control.
  4. Steroid Use: If a baby needed a nebulizer and inhaled corticosteroids for say, a bad case of croup, any steroids that get in the mouth can lead to oral thrush.

Signs of Oral Thrush

  1. White Patches in Baby’s Mouth: It might look like little milk spots in your baby’s mouth, but unlike milk spots, they won’t go away on their own. If you tried to scrape them off, you’ll notice that it’s actually an inflamed lesion that may bleed.
  2. Refusing to Nurse: Your baby may refuse nursing or be reluctant to nurse because its painful.
  3. Fussy Baby: Your baby may seem particularly fussy or up a lot in the night.
  4. Yeasty Diaper Rash: Sometimes a yeasty diaper rash will accompany oral thrush. Look for a diaper rash that’s red and inflamed with small blistery lesions that won’t go away with typical diaper rash treatments. I battled this with my son on and off for months. We tried the pharmacist’s recommended “magic butt paste” (which is just regular diaper rash cream mixed with Monistat) which kind of worked, but once we gave him some probiotics, the rash immediately went away and never came back again.

Signs of Thrush in Mom

  1. Painful Nursing: Nursing should not be painful. If it is, it might be a sign of thrush, especially if you’ve ruled out a bad latch. I remember Nursing Ophelia (who was two weeks old at the time) in front of my sister (who was pregnant for the first time) and she looked at me in shock and horror as I all but howled in pain as Ophelia latched on. The intense pain subsided after a bit and I just thought, well, this is part of nursing. But after I treated the thrush, the intense pain went away. (With her being my third baby, you’d think I would have known better, but I have had some sort of breastfeeding problems with all of my four children!)
  2. Shooting Pains: You may feel a deep shooting pain that occurs during or after feedings because the thrush can embed itself deep within your breast tissue.
  3. Cracked Nipples: Your nipples may also be pink or red, shiny, flaky, and/or have a rash with tiny blisters.
  4. Yeast Infection: If you have thrush, there’s a pretty good chance you’ve got a yeast infection too.

How to Cure Mom’s Thrush

  1. Limit Sugar: Thrush is caused by Candida and Candida feeds on sugar. You don’t have to give up sugar forever, but if you can get limit Candida’s food source while treating thrush (especially in the form of pure sugar and processed foods), it will be much easier to get rid of.
  2. Probiotics: Probiotics, such as lactobacillus, feed on sugar too (and prebiotics, which can be found in such foods as raw onion, garlic, and asparagus…or as a supplement), and unless they are wiped out by antibiotics or a poor diet, they will keep the Candida in check. You can get them from fermented foods such as kombucha, sauerkraut, sourdough, kimchi, keifer, and yogurt. When battling thrush, however, I suggest getting them in a stronger format as well. My favorite probiotics for treating Candida are Bio Kult Candea and Custom Probiotics.
  3. Apple Cider Vinegar: Apple cider vinegar is an anti-bacterial, anti-fungal, and anti-viral miracle worker. I tried every remedy under the sun, but when I used apple cider vinegar, I was finally able to eliminate the thrush. This is what I did.
    • First, mix a solution in a peri bottle with about 2 T. of apple cider vinegar and the rest filtered water (chlorine free).
    • Then, after every breastfeeding session, squirt some onto some cotton balls and wipe your nipples, then throw those cotton balls away!
    • *If you’re pumping and/or using bottles, you have to really sterilize these components after every use. You can use apple cider vinegar, but really hot water will do the trick too.
    • In addition, wash all of your bras and anything your nipples come in contact with hot water and with apple cider vinegar added to the rinse cycle.
    • You can also mix 6 T. per gallon of water (or about 1 t. per 8 ounces) and drink throughout the day to heal from the inside out.
  4. Coconut Oil: Coconut oil is a soothing anti-fungal topical treatment. After I cleaned my nipples with apple cider vinegar, it felt really soothing and healing to dab a little coconut oil on them. You can also heal yourself from Candida from the inside out by eating it.
  5. Fresh Air: Candida can survive in oxygen, but it really thrives in dark, oxygen free areas. Going shirtless will not only feel good, but your husband/partner might get a kick out of it too! Get some sunlight on those nipples for extra measure because that also kills the fungus.
  6. *Gentian Violet: They say you can paint your nipples with Gentian Violet to get rid of thrush, but when I tried it, it caused Ophelia to go on a complete nursing strike. It was awful. I do not recommend using this on your nipples unless perhaps you plan to pump and bottle feed.
  7. *Grapefruit Seed Extract: I’ve read that you can mix Grapefruit Seed Extract with equal parts water and clean your nipples with it, much the same way that I did with the apple cider vinegar. I did not try this method, but it seems like it might work. (Read more here.)

How to Cure Baby’s Thrush

  1. Coconut Oil: If you leave some coconut oil on your nipples, your baby can get some that way. You can also dab a little coconut oil on the thrush spots.
  2. Infant Probiotic: I really like this infant probiotic. If you had to have antibiotics for any reason or delivered by c-section so your baby didn’t get any good bacteria from your vaginal tract, I would highly recommend a good probiotic supplement regardless of whether or not your baby has thrush. But if your baby does have thrush (obviously, because that’s why you’re probably reading this) this will really help your baby to populate his or her gut with beneficial bacteria that can crowd out the yeast and help to get rid of the oral thrush. You can mix a little bit with your breast milk and feed it to your baby with a dropper, and/or you can make a little mixture and paint it on the thrush spots with your finger or a q-tip.
  3. Gentian Violet: Gentian violet is an anti-fungal that can be used topically to help get rid of thrush. When Ophelia’s thrush progressed from a few white spots to her entire tongue being coated white (after I misused Grapefruit Seed Extract), I turned to Gentian Violet as a last resort. It tastes awful, it can cause your baby to have an upset tummy, and it shouldn’t be used excessively because there are claims that it can be a carcinogen (when used regularly for two years at 600 times the recommended dose…sorry mice) and lead to mouth ulcers (when not diluted), but after three days of meticulous treatment, Ophelia’s thrush was totally and completely healed. I highly recommend this as a cure for baby’s oral thrush. Here’s are a few tips for using it so that it will be effective:
    Treating Ophelia's Thrush with Gentian Violet

    Treating Ophelia’s Thrush with Gentian Violet

    • Gentian violet will stain everything purple, so put some Vaseline or Bag Balm on your baby’s lips and around her or his mouth before applying it. This will make it easier to clean up the purple drool.
    • Dress your baby in clothes that you don’t mind ruining. (This goes for you too.) I found it helpful to put a bib on Ophelia as well.
    • Get the 1% solution, and mix with equal parts water. (It is too strong if left undiluted. Don’t be fooled into thinking that it will be more effective if you don’t dilute it.)
    • Using a q-tip, paint every part of your baby’s mouth, especially the tongue. This stuff tastes awful and your baby will hate it. I found it best to paint once in the morning, maybe once in the afternoon if it wore off, and once at night. (Don’t exceed three dosages in a day.)
    • Do your best to make sure your baby doesn’t swallow any. It can lead to an upset tummy.
    • You need to do this for three full days/nights. If you miss a dosage and don’t complete the cycle, the fungus will come back stronger and be even harder to treat.
  4. *Grapefruit Seed Extract: I read a lot of articles, reviews, and blogs about Gentian Violet and grapefruit seed extract when Ophelia had thrush, and I decided to go with the grapefruit seed extract first, but it did not go so well. First of all, I made the mistake of not diluting it, so maybe it would actually work if you didn’t do this. (It should be more effective if it’s stronger, right? Not.) I painted it on the thrush spots in her mouth, and they seemed to completely go away in a day, but then the next day, there were more and more and more spots until her entire tongue was coated white. It was like in the absence of the Grapefruit Seed Extract, the fungus grew even stronger and completely took over. It was at this point that I turned to the Gentian Violet which totally worked.
  5. **Nystatin: Nystatin is what your doctor will probably prescribe if you take your baby in to treat the oral thrush (which I don’t recommend unless this is your last resort). Nystatin is an oral medication that is meant to be used topically on the areas where thrush is appearing. There are claims that it’s 80% effective, but that seems a bit high to me. When Ophelia got thrush, I combed threads on the Internet (not always the most reliable sources, I know, but I like reading about personal accounts) and read time and time and time again about how mothers would go to the doctor, get Nystatin for their babies, deal with the side effects of: mouth irritation, diarrhea, nausea, vomiting, stomach upset, rash, skin irritation, and/or allergic reactions, have the first dose not work, try another dose, still not have it work, and eventually give up on breastfeeding. I actually knew someone who got thrush at the same time as I did with her new baby and she used Nystatin as a remedy. It did not work, and she ended up not being able to breastfeed anymore. Personally, I would try all of these other remedies before turning to Nystatin as an absolute last resort.

In Conclusion

Dealing with oral thrush was probably one of the toughest postpartum things I’ve ever had to deal with, and through much trial and error, I’m glad we were able to finally beat it. With baby number four, I made darn sure to get rid of my yeast infection during pregnancy so that we would not have to deal with this again, and let me tell you, prevention is a much easier path! I also enjoyed researching and learning about why pregnant women are more prone to yeast infections, and I learned some fascinating information along the way. The bottom line is that thrush is nasty nasty business and it is worth all of the effort to prevent it and get rid of not just the symptoms, but the root cause as well.

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How to Identify and Deal with Lip Tie and Tongue Tie

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After having problems establishing a breastfeeding relationship with our first three children, I discovered what a lip tie was. After having our fourth child, I finally learned what a tongue tie was. Had I known about these two conditions from the very beginning, it would have made things a heck of a lot easier! This is the information I have gathered doing extensive research, talking to experts, and through my own experience. This is the information I wish I would have had with my first child from day one and what I would like to tell anyone else who is going through the same thing.

Let’s Talk About Frenula

Frenula is the plural form of frenulum. A frenulum (also called frenum when in relation to the upper lip) is a small fold of tissue that secures a mobile organ in the body. The maxillary labial frenum is the membrane that attaches the gums to the upper lip and the lingual frenulum is the membrane that attaches the base of the tongue to the floor of the mouth.

When a baby is growing in utero, the tongue starts to develop at about 4 weeks. By 6 weeks, the frenulum cells attaching the tongue to the floor of the mouth begin retracting from the tip of the tongue increasing the tongue’s mobility. Disturbances during this stage cause ankyloglossia, or tongue tie. The tip of the tongue will continue to elongate after birth which is why some people believe that the tongue will “stretch” with age and growth, although that is not the case.

Look at Your Frenula

Before going any further, I suggest that you look in a mirror and lift up your upper lip. You may notice a stretchy piece of tissue hanging out up there, and you might even be able to feel it with the tip of your tongue. You may also feel nothing. Next, lift up your tongue and look for the stretchy piece of tissue lying underneath. Move your tongue around and notice the range of motion you have. Then try sticking your tongue out. Notice how far you can stick it out. Can it go down the length of your chin or up to the tip of your nose or does it barely leave the confines of your teeth? After you explore your own frenulums, examine your spouses. The two of you will probably be much more willing participants than your children, and it will give you a good insight as to what to look for since genetics will probably play a role in the type of frenulums your children have.

Are the Frenula Causing Problems?

The mere existence of frenula does not constitute a problem, it is when they are so restrictive that they prevent breastfeeding from occurring that is a problem. When the frenum of the upper lip or the frenulum of the tongue start to cause problems, they are referred to as lip ties and tongue ties. If there is a lip tie, there is probably a tongue tie also, but a tongue tie does not necessarily indicate that there will be a lip tie.

What is a Tongue Tie?

Being tongue tied is medically defined as having ankyloglossia, which is caused by having an unusually short or thick membrane under the tongue that is attached abnormally close to the tip of the tongue and causes restricted movement of the tongue. People with more severe cases of tongue tie cannot stick their tongues out very far beyond their teeth.

Baby Julian's Tongue Tie

Baby Julian’s Tongue Tie

This can cause breastfeeding problems with babies and speech problems as they get older. As an adult, the worst of the lingering effects are typically the inability to french kiss properly and the inability to lick an ice cream cone. Here’s a great 2 minute video describing what tongue tie is, the symptoms associated with it, and what it looks like to get it removed using the scissor method.

What is a Lip Tie?

Having a lip tie occurs when the membrane under the top lip is unusually thick and attaches under the gum line. It is not as common or severe of a diagnosis as being tongue tied, although it does have its own host of problems. I’ve read that severe lip ties will usually correct themselves by the time a child reaches adulthood due to tripping and falling or any other number of accidents that can lead to the lip tie being torn, but Dr. Kotlow, a leading expert in tongue and lip ties, believes this is not the case. He explains how if a severe lip tie is not corrected, “it can lead to dental decay on the upper front teeth, gaps (diastemas) between the two front teeth, orthodontic or periodontal problems later in the child’s oral development, and poor lip mobility or function, especially during smiling and speaking.”

Baby Julian's Lip Tie

Baby Julian’s Lip Tie

Other resources that I’ve looked at say that once all of the permanent teeth come in, the gap may just fix itself. Here’s a great 2 minute video describing what a lip tie is, the symptoms associated with it, and what it looks like to get it removed using the scissor method.

Classifications of Tongue and Lip Ties

Although you cannot diagnose tongue and lip ties by looks alone, it’s a good place to start. One of the first things to look for to see if your baby is tongue tied is to see if your baby’s tongue makes a heart shape when he or she cries. This is a tell tale sign that it is being tethered too tightly to the floor of his or her mouth.

One of the best ways to look for a tongue tie is to lie the baby on his or her back on your knees with his or her head facing towards you and his or her feet facing towards your knees. Then, tilt the baby’s head back and stick your fingers underneath the tongue to elevate it. You can also get a pretty good look when he or she is crying. To look for a lip tie, look to see if the top lip flanges out while nursing. You can also simply lift up the top lip and look.

These pictures below have been compiled by Dr. Kotlow, one of the most renowned pediatric dentists, known for his skill at correcting tongue and lip ties. He comes highly recommend by Mommypotomus who also has a great blog about tongue ties. You’ll notice that there are many different classifications.

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Symptoms of Tongue and Lip Ties

Looking at the symptoms related to tongue and lip ties is actually the best way to diagnose them. So here are a list of symptoms to look for in both mom and baby that could be the result of tongue and/or lip tie.

  • Symptoms to Look for with Mom
    • Nipple pain and/or erosions
    • Nipple looks pinched, creased, bruised, or abraded after feeds
    • White stripe at the end of the nipple
    • Painful breasts/vasospasm
    • Low milk supply
    • Plugged ducts
    • Mastitis
    • Recurring thrush
    • Frustration, disappointment, and discouragement with breastfeeding
    • Weaning before mom is ready
    • Tired momma, from being up in the night every hour for feeding night after night after night
  • Symptoms to Look for with Baby
    • Poor latch and suck
    • Unusually strong suck due to baby using excess vacuum to remove milk
    • Clicking sound while nursing (poor suction)
    • Ineffective milk transfer
    • Infrequent swallowing after initial let-down
    • Inadequate weight gain or weight loss
    • Irritability or colic
    • Gas and reflux
    • Fussiness and frequent arching away from the breast
    • Fatigue within one to two minutes of beginning to nurse
    • Difficulty establishing suction to maintain a deep grasp on the breast
    • Breast tissue sliding in and out of baby’s mouth while feeding
    • Gradual sliding off the breast
    • Chewing or biting on the nipple
    • Falling asleep at the breast without taking in a full feed
    • Coughing, choking, gulping, or squeaking when feeding
    • Spilling milk during feeds
    • Jaw quivering after or between feeds
  • Symptoms I Had: With our fourth baby, Julian, I was not getting very much sleep because he was up every hour or two (or sometimes every 30-45 minutes) to nurse. And when I would nurse him, I wasn’t able to just lay down and nurse, I had to either sit up on the edge of the bed or in the rocking chair to help him latch on. My nipples weren’t really sore (after four babies, they got pretty tough), but he was rolling the nipple around in his mouth and falling off the nipple repeatedly. When he would nurse, there was a noticeable clicking sound from his inability to form a secure latch. He especially had trouble maintaining a latch during my letdown and he would sputter, choke, and pop off the breast. He would also fall asleep mid feed and as a result he didn’t fully drain the breast. This led to me getting plugged milk ducts (which I massaged away after applying a hot compress and drained completely using a breast pump), and I believe that this is what led him to have a lot of green poops (from not getting enough hindmilk). He was also taking in a lot of air during feedings which resulted in him being gassy, needing to burp and fart a lot, and getting the hiccups. When he had gas (which was often), he would get really fussy and squirm, wiggle, and grunt…even in his sleep. He would also puke a lot, but he also would nurse a lot, so weight gain was not an issue. Finally, at his six week checkup, the midwife noticed that he was tongue tied. Once I started researching the symptoms, it all made sense.

Temporary Relief

If you are waiting for a corrective procedure or trying to decide if you will get one, the following strategies may help to provide some temporary relief.

  • Stretch the Lip Tie – To help with stretching out both Ophelia and Julian’s lip ties, I would put my finger under their upper lips and roll up. I tried to remember to do this before every feeding. To help them latch on, I would have to grab my breast and angle the nipple down, wait until they opened their mouth, and then torpeedo my nipple in there! Once they latched on, I would sneak my finger under their lips to flange it out. By the time they were three months old, I didn’t have any problems with their lip ties anymore.
  • Sitting Up and Leaning Forward to Nurse – Getting a good latch is difficult enough as it is, but when you’re dealing with a lip and/or tongue tie, it’s even more challenging! This seems to help.
  • Burp Often – Because they are taking in a lot of air, it can help to burp during a feeding by either patting their backs or putting them up on your shoulder. I would also try to angle their bodies to make them more upright while nursing. Also, keep burping periodically even long after the feeding.
  • Hold to Sleep – Now, I’m a really light sleeper, so this works well for me, but it can be dangerous, so use this strategy with caution! What I do is prop a big tower of pillows in a U-Shape around me for support. Then I sleep with pillows propped under my arm and my head leaning against a pillow. When we sleep, I hold his upper body upright and about every 3o minutes or so when he gets fussy, I would pat his back, bounce, and rock him until he calmed down. We are six weeks after the procedure and Julian is 3 months old, and I still actually hold him while I sleep every night. I think I’m just used to it now!
  • Belly Band Over the Boobs – You know that thing that you put over your pants when you’re pregnant so that you can leave your pants unbuttoned as your belly grows? Well, I pull that over my breasts because my nipples are just so dang sensitive. It’s a much more comfortable alternative to wearing a bra at night and makes it easier to nurse too.
  • Air Time – Putting breast milk on my nipples and just walking around without a shirt on felt good. (I just had to remember to close my curtains!)

Options Moving Forward

You have several different options depending on your specific situation. You will want to consider the following: the problems you’re having breastfeeding (If it’s not causing any noticeable problems, I would recommend leaving it alone.) the availability of a skilled practitioner in your area or your capability of traveling, your financial situation and insurance coverage, the age of your child (over 6 months is almost too late), and so on. Here is a list of the next possible steps.

  1. Wait and See – If your symptoms are not that bad or if you feel like they may be caused by something else (a poor latch, strong let down, flat nipples, etc.) you might want to take a wait and see approach. Dr. Kotlow however. strongly advises against this for a lip tie because he does not feel that it will get better with time. But with Ophelia and Julian’s lip ties, I saw that they did, although they were not extremely severe. It was really hard to get a good picture, but you can kind of see Julian’s below. It attaches below the gum line and was kind of tight at first, but seemed to stretch out over time. (Sorry about your nose buddy.)
  2. Best Time to Act – Keep in mind that the younger the child, the easier it is to deal with this procedure. Once you go through with the procedure, not only will your child have to physically heal, but he or she will have to learn how reuse his or her tongue based on the release and the new muscle use related to the increased mobility. The best time to get a procedure done is before the child is 3 months old, and really, the younger, the better. Usually, when the child is over 6 months old, the doctor won’t do the procedure in the office, and it will have to be done in the hospital with anesthesia.
  3. Pediatrician’s Opinion – We did not need a referral to get an appointment with a specialist, but you might, and this would be a good place to start to learn about your options. Just keep in mind that some pediatricians are not familiar with tongue or lip ties or worse yet, might not believe in them and make you feel silly for even asking. We took our fourth baby, Julian, to see his pediatrician because we had no idea where to even start. She said, “Yup, that’s a tongue tie!” and suggested that we see an ENT for a frenectomy (also known as a frenulectomy, frenulotomy or frenotomy – which is the removal of a frenulum). When he cries, you can see the heart shape of the tongue and how it is tethered to the floor of his mouth.
  4. ENT – That’s an Ear, Nose, and Throat specialist in case you didn’t know (I didn’t). Some people feel like this is the best place to go for getting a tongue or lip tie procedure. For us, we needed something close that was in our network, and this was the only option. We had to pay $45 for the office visit and we were quoted that the procedure would be $450, but six weeks later, we have yet to get a bill. (Maybe insurance is covering it after all?)
  5. Pediatric Dentist – Some people feel like this is the preferred specialist for this procedure. I think that it all depends on what is most convenient for you. If you can travel and money isn’t an option, then you might have the freedom to research all specialists nationwide and find the best of the best.
  6. Scissor Method – This is the most common way of doing the procedure, and what we did with Julian. Depending on the severity of the tongue tie, a topical and/or local anesthetic may be used, the membrane may be clamped to stomp blood flow, a nurse (and you if you can handle it) will hold the baby down, the nurse will prop up the tongue with q-tips or some other tool, then the doctor will go in with one or two snips, and then he or she will then cauterize it with silver nitrate if there is a lot of bleeding. When Julian had his cut, I was really shocked by the amount of blood, but the doctor assured me it was normal. He breastfed right after the procedure and the bleeding stopped after a few minutes. (His next poop was pretty black from all of the blood he swallowed.) There is a concern with this method that the doctor won’t cut enough (I’m sure it’s scary going into a little baby’s mouth like that with a pair of scissors, especially if they are screaming!) and there won’t be a full release, but we did not have this problem.
  7. Laser Method – Some say that the laser method is superior because it can penetrate through more of the tissue for a more complete release and immediately cauterizes the wound, but it is not easy to find someone who will do this. (It takes a steady hand and a lot of skill.) Here’s a list of nationwide providers that will do the laser method.
  8. Questions to Ask – If you have several options within your area, it might be a good idea to ask some of the following questions to narrow your search such as: 1) How often have you done this procedure? 2) How often do your patients come back for a revision? 3) What is the procedure like? 4) What are your thoughts on the scissor method versus the laser method? 5) What do you recommend for aftercare?

After Care

After the procedure, some say that doing exercises to help the muscles learn what they are supposed to do and to make sure the tongue tie doesn’t reattach and scar tissue doesn’t form is absolutely crucial. I personally felt that my son would strengthen his muscles by nursing and that the wound would be given sufficient time being stretched every time he cried. (I mean, I wish I could soothe him perfectly so that he never cried, but that has yet to happen.) To be honest, I felt like he had been through enough and I could tell he was in pain when I tried to do the exercises, and I just couldn’t bear to put him through any more. I can see how the lip tie would reattach if the lip continued to not to flange out while nursing, but I can’t imagine that the newly detached lip wouldn’t flange out. At any rate, you may want to rub a finger over the wound periodically to ensure that it doesn’t reattach.

Typically, babies feel discomfort for the first 24 hours after the procedure. Older babies and toddlers will typically feel discomfort for the first 48 hours. Breastfeeding and skin to skin are the best first lines of defense. Arnica is a good natural method for pain relief, or there’s acetaminophen (dosage should be given based on the child’s weight not age). Ibuprofen should not be given to children under the age of 2 months and topical numbing ointments containing benzocaine (Orajel/Anbesol) should not be given due to health risks.

After Julian’s procedure, he was in a considerable amount of pain for the first 48 hours. I ended up giving him some acetaminophen every couple of hours for the first two days and then periodically after that as needed. The wound was white for about the first 10 days and then it looked pink again. They say that with a successful tongue tie revision, you should be able to see a diamond shape. It was really hard to look under Julian’s tongue to see if this was the case but I could tell things were better based on our nursing relationship.

The Ideal Diamond Shape After a Tongue Tie Release

The Ideal Diamond Shape After a Tongue Tie Release (Photo credit: Ghahri, 2014)

We are now 6 weeks past our frenectomy date and I feel like I am finally noticing a difference. To be quite honest, he improved ever so gradually, that it was hard to notice on a daily basis, but when I reflect back to the way things were 6 weeks ago, it’s really a night and day difference. The clicking went on for some time until it finally faded away. He still pops off the breast during my let down from time to time, but that could just be due to my really powerful letdown. He is sleeping better and best of all, I am able to nurse laying down! He still wakes up to feed every 2-3 hours, but that is WAY better than every 45 minutes! At first, I really questioned whether or not getting the procedure was worth it (holding him down screaming, the needle under his tongue for the local, and the blood spurting as the doctor cut all we’re absolutely brutal), but now I am definitely glad we did it. I think that maybe we would’ve had a better experience had we found a pediatric dentist who could do the laser procedure, but that just was not an option for us.

Body Work

Some people recommend chiropractic or CrainoSacral Therapy both before and after the procedure to help release the muscles needed to nurse. CranioSacral Therapy (CST) is a gentle, hands-on approach that releases tensions deep in the body to relieve pain and dysfunction and improve whole-body health and performance. In her article, CranioSacral Therapy: When Can It Help, by Dee Kassing, BS, MLS, IBCLC, she states that,

“If there is misalignment and imbalance of the skull bones, this can affect the function of the palate, tongue, and other structures of the head. This can cause the palate to be too high or uneven, or the facial muscles to be too tight. Imbalance of the structures of the head, as well as trauma from the birth process itself, can cause constant irritation to the nervous system. This constant irritation may also cause hypersensitivity, which can sometimes be the underlying cause for babies who gag and cannot accept anything in the center or back of the mouth.”

We took Julian to get some CST before his tongue tie release when he was about 5 weeks old, and while it didn’t make breastfeeding better per sae, it changed him in both subtle and powerful ways. He always seemed to be just a little bit fussy, and afterwards he was SO CALM. I would definitely recommended CST for every infant after birth (But that’s another post!). I kept meaning to take him for some post CST, but the timing just never worked out. It is definitely something I would recommend to anyone getting a frenectomy. To find someone who does CST, you can call chiropractic offices that specialize in infants and see if they recommend anyone.

Happy Julian

Happy Julian

More Personal Stories

Like I said, all of our children have had either a tongue tie, lip tie, or both. Too bad I didn’t learn about what they were until recently.

  • Ruby – Looking back, we had a very rough start to our breastfeeding relationship, and now I know that it was due to her having a lip tie. She couldn’t get a good latch, she was constantly popping off the breast, she would spit up A LOT, she couldn’t drain the breast and had green poop, she took in a lot of air while nursing because of the constant on and off and as a result she was very gassy and fussy. Now she is five years old and has a noticeable gap between her front teeth. And sure enough, when we lift her upper lip, there’s a lip tie. It doesn’t seem to be too serious, however, and we are hoping that the gap will close when her permanent teeth come in. If not…braces!
  • Elliot – Looking back, I can see that I had a lot of the same problems with Elliot that I have had with Julian. I just had no idea about tongue or lip ties at the time! I nursed Elliot until he was 18 months old, but had to wean him (before either of us were ready) because it was just too painful. Now, he is four years old and has some speech problems. He cannot say the /r/ or /l/ sound and has trouble with the /c/, /g/, and /th/ sounds. We had the ENT look at him when we were there for Julian’s appointment and he said that he definitely had a tongue tie, but that it wasn’t bad enough to warrant surgery. We have decided to just work with him on correctly pronouncing his letter sounds and hope for the best.
  • Ophelia – Our midwife pointed out that she had a lip tie right away even though I had no idea what that even was at the time. Per her advice, I worked on stretching it out as she suggested and flanging her lip out when she nursed, and it never really became a problem. When her baby teeth came in, there was no gap in between her top front teeth.
  • Julian – I noticed that he had a lip tie right away, so I was able to stretch it out and it wasn’t really an issue. I asked our midwife to look at it during our 6 week visit, and she discovered that he was actually tongue tied. And that is when all of this research began. Full circle.

    Julian's Tongue at 4 Years Old

    Julian’s Tongue at 4 Years Old

For more reading on the matter, check out these resources: Breastfeeding a Baby with Tongue-Tie or Lip-Tie (Resources)

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Our Fourth Born: Julian’s Home Birth

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Julian's birth

Julian William Maaser

Born: 11-15-14 (Saturday)

Time: 12:40 a.m.

Measurements: 7 lbs 8 oz, 21 inches long, 13.5 cm head circumference

Julian William Maaser

Julian William Maaser

Pregnancy

I always love being pregnant…especially in the beginning. Just knowing that a new life is growing inside of me is so magical and wonderful, and I love thinking about the new little person who will change our lives forever. But this pregnancy seemed to bring on a few more stressful situations than the others. With this being my 4th pregnancy in 5 years and being 35 years old, I all of a sudden was in a higher risk factor bracket. Plus, welcoming a new little peanut into an already full household and busy schedule made me want to plan everything out perfectly in order to avoid feeling overwhelmed or depressed after the birth.

Family Photo at My Midwife Appointment

Family Photo at My Midwife Appointment

The beginning of the pregnancy went so smoothly that I kept forgetting that I was pregnant. Things would settle into a really nice rhythm and I kept feeling like saying, “I’m ready to get pregnant again…oh wait, I already am!” It made me so happy to know that for the first time since having children, we wouldn’t have to move again. We were so excited to welcome a new baby into our new home, and we spent my entire pregnancy doing one project after another getting everything just so.

We found a wonderful midwife near the Amish community where we get our milk and when she noticed that I was measuring 4 cm ahead of my weeks, I started to wonder if it could be twins. So we scheduled an ultrasound and it’s so funny how when you just start thinking about something that could be, it all of a sudden starts to become a reality in your mind, especially if it’s something that you’re afraid of. I cracked a double yolk that morning and then found two baby mattresses at the thrift store…of course all signs that I was certainly carrying twins.

Scott didn’t think he’d be able to make it, so Andrea rode with me to the ultrasound, and we chatted the whole way there about what it would be like to have twins. Scott met us there after all, and when we found out that it was only one baby, we were kind of sad. But then the relief sank in about only needing to nurse one baby, be up in the night with one baby, soothe one baby, and all of a sudden one baby seemed easy in comparison! With the last two pregnancies, we didn’t have any ultrasounds and never found out the gender, but with the answer being right there in front of us with this baby, we couldn’t refuse. We wanted a boy soooooooo bad that we were afraid to find out, and when she said it was a boy, we just about cried we were so happy! Elliot would have a little brother and our “girl, boy, girl, boy” pattern would be complete.

Julian's Ultrasound

Julian’s Ultrasound

Unfortunately, the ultrasound also revealed that I had a low lying placenta, so we knew that although unlikely, placenta previa which would mean an automatic c-section was a possibility. We didn’t worry about it too much though until I had some bright red bleeding at about 34 weeks. At that point, we scheduled another ultrasound and we were sadly informed that the placenta was touching the cervix. As we started discussing the ramifications of this, I realized that I wouldn’t be able to have the homebirth that I had wanted so badly and that it could very well mean that I would need a c-section and somehow have to recover from major abdominal surgery while also taking care of 4 little ones…two of which who need to be put to bed upstairs…

But then, a miracle happened and as my bladder filled, the ultrasound technician realized that the placenta was actually quite far from the cervix. Phew! There were a few other concerns with my placenta such as significant calcification, a heterogeneous presentation with many “lakes”, and the lingering concern over the blood that we couldn’t seem to explain.

So we scheduled a meeting with an obstetrician and he was able to explain in clarifying detail what he saw in another ultrasound that he performed in his office. He said that there were also “lakes” or pools of blood in my uterus (from having so many babies so quickly) and that that would explain why the technician thought that the placenta was touching the cervix. He also did a cervical exam and determined that a blood vessel in the cervix was likely ruptured, which explained the blood loss. We had been most concerned about placental abruption, which could mean hemorrhaging and death during delivery, so we were very glad to clear that up.

We were so happy that we would still be able to plan a home birth and we continued preparing for our sweet little boy to enter our lives. At 35 weeks, I started to really notice my Braxton hicks contractions, and I became concerned that I wouldn’t be able to meet my due date. I started researching “babies born at 35 weeks” and we talked about how if he came early, we would just have to go to the hospital and do the best we could.

Elliot Helping the Midwife at My Checkup

Elliot Helping the Midwife at My Checkup

When I was 37 weeks, I was so glad that I had made it technically to “full term” and as I noticed the Braxton hicks increasing, I continued to try to take it easy. I knew that every day in the womb was worth three outside, and I wanted our little boy to be able to grow as much as possible before he was born. Besides, we had WAY too much to do before he came and we needed the time to finish all of our projects!

Every day I kept thinking that he would be coming any time and Scott kept reminding me that I say that with every pregnancy. 🙂 So, I reread my birth stories, and sure enough, I have said that with every pregnancy! I guess I just kind of start to panic a little bit in the end. I know that I want to be able to take the time to recover after the birth and so I want to know that everything I could possibly think of is done so I can rest assured. That in addition to the fact that it takes me awhile to mentally psyche myself up to go through the labors of labor. A part of me just wants to get it started so I can get through it and get the last uncomfortable stages of pregnancy over with, and another part of me feels like I’ll never be ready! Ophelia had been trying to cut her bottom eye teeth for months and she kept waking up in the night, so I didn’t even want to think about the baby being born before her teeth came in.

When we were at the midwife appointment two weeks before my due date and she started making plans for our next appointment ON my due date, I only half-heartedly made it thinking that there was NO WAY I would last that long. But sure enough, my due date came and went and still no baby. Every morning I excitedly thought, “This could be the day!” And then when night time came around I became worried and thought, “I’m not ready yet! We’re too sick, too tired, there’s too much to do!”

Reading to Ophelia and Elliot

Reading to Ophelia and Elliot

But then four days after my due date (and one day before my original due date – based on the date of my last period rather than the ultrasound’s diagnosis), things began to happen.

Early Labor: Out and About

It was a Thursday night in the middle of November, and winter was coming much too fast. We knew that it was our last evening of mild weather, so Scott and I moved all of our yard furniture, toys, etc. closer to the house in preparation for the early nights and blowing snow. I had really been trying to take it easy because every time I walked too much or exerted a lot of energy, I noticed that my Braxton Hicks contractions would increase. But I just really wanted to get this last project done, so we pushed through it. “I’m probably going to put myself into labor now!” I told Scott. And sure enough…

For the past few nights, I would feel contractions intensify in the evening after putting the kids to bed, but then they would die down as I slept. So after all of our moving on Thursday night, I wasn’t surprised to feel them again. I slept peacefully that night until about midnight and then they started to become too painful to sleep through. So I got up to make sure everything would be ready if I DID go into labor. Ruby still needed her lunch prepared for the next day, I needed more sourdough muffins, another batch of kombucha, the mirrors were streaked, there were dirty dishes, and of course I needed to get some coffee ready for the next day.

After awhile, Scott came into the kitchen groggy and excited, “Is it happening?” he wondered. “Maybe, maybe not” I said unsure. While he was there, I got on my hands and knees and he really rubbed on my lower back and the back pain that I had been feeling for weeks finally melted away. I think that our little boy was in a somewhat of a posterior position and we must have helped him to turn and descend into a more optimal position. I shooed Scott off to bed and stayed up for a few more hours getting everything ready. Finally, at 5 a.m., I went to bed and the contractions died down while I slept.

I was up at 7 a.m. to help Ruby off to school and once her and Scott left, I called my mom to tell her that even though I wasn’t feeling contractions at the moment, I had felt them pretty intensely in the night and that things would probably be starting again soon. She had already planned on trying to work from home that day and so she said she would be there at about noon to help out just in case.

The evening before, Scott started feeling really sick, and I knew that he would need his strength to take care of me and our family during my labor, so I strongly encouraged him to take the day off and rest. He came home from work, reluctant to take the day off when he wanted to save up as many days as he could for after the baby was born, took a bunch of herbal “get well” pills and slept all morning long.

I sent a Facebook message at 10:00 a.m. to my midwives to let them know that things were starting to happen. With Ophelia’s birth, I had started feeling contractions for her in the morning, things got intense by noon, and I told my midwives that she would probably be born at 7 p.m.…she was born at 7:20. But this time around, there wasn’t any time that I felt comfortable making a prediction about when the baby would come. About 6 weeks prior, however, I had written on the calendar that I thought he would be born at 10:59 p.m. on November 15th. With that prediction, I was less than 2 hours off.

So anyways, while Scott slept, I took Ophelia and Elliot to the thrift store to get Scott a really cool coat that I had seen earlier. I was starting to have contractions that were definitely more than Braxton’s, but not enough to stop me from moving around. It was half off toys day and Elliot loaded up on his favorite toys of all…little figurines of superheroes, fighters, and the like, and Ophelia got a cool little ferris wheel/merry-go-round toy. I got Scott a really cool winter coat and one for myself as well, plus an amazing white chair that would be great for our dining room.

I was about to drive 40 minutes to get our milk on my own, but I was relieved when I called my mom and discovered that she would be there soon. I really wanted to be able to get milk and go to Meijers before labor kicked into full gear, so I was really driving fast, passing everyone and speeding quickly to get it all done. Elliot and Ophelia enjoyed getting out of the car with us and playing in the barn as I filled up our 8 gallons of milk. My mom helped me to carry them to the car and we just laughed about doing all of this work during early labor! It was so fun to have my mom there with me and I really enjoyed chatting with her on the drive. We both agreed that staying busy during early labor was so good because it doesn’t make you feel like a watched pot and get too nervous about what’s to come.

Getting Milk at the Amish Farm During Early Labor

Getting Milk at the Amish Farm During Early Labor

When we got home, Scott was feeling well rested and much better, and we decided to pick up Ruby early from school (2:00 p.m.) and try to head to Meijers. Ruby felt so special to have us both there to pick her up and she said that if the baby was born in the car, he could have her coat to stay warm.

After we dropped Ruby off with my mom and got about one third of the way to Meijers, contractions were picking up and becoming too intense for me to feel comfortable being out and about. So we turned around and went to Vics, the local grocery store, instead. While we were picking out cheese and sour cream, my midwife Laurie called us to see how things were going. The store was really busy and it was fun trying to talk quietly about my mucus, cervical dilation, and pain level. Contractions were about 5 minutes apart, lasting for about 35 seconds, and intense enough to make me pause, but not too strong to talk through.

Pre Labor: At Home

I told my midwives that when I got home and started to relax, things would probably start to move quickly. I don’t know, I just kind of assumed that with the fourth baby in five years, things would just progress rapidly, but they never really did. The entire labor was just slow, easy, manageable, and calm…just like our little boy would be.

So Scott unloaded and put away the groceries, my mom had just pulled out a fresh batch of my sourdough muffins from the oven, and the kids were all playing quietly throughout the house. I started putzing around slowly folding laundry, checking on the kids, tidying up the house, and walking around. During contractions, I would just sway back and forth, but they still weren’t getting very intense. In the picture below, I was leaning against a chair to get through a contraction when Elliot climbed on my back to “help” me, and if you look at my face, he actually did!

Elliot Helping Me During a Contraction

Elliot Helping Me During a Contraction

After giving everyone a bath, we all got the kids dressed in their snowpants and headed outside for a fire in the early November snow. My mom kept saying that she was going to lay down for a nap, but there kept being one thing after another that kept her on her toes. I even put on some slippers, coat, hat, scarf, and mittens, and rolled my ball out by the fire.

Hanging Outside During Early Labor

Hanging Outside During Early Labor

Scott unpacked my birth kit and made our bed with the plastic and extra sheet and we got ready for things to progress. I started hanging out in our bedroom a lot. Scott drew a nice warm bath with music and soft lights, and I enjoyed relaxing in the tub for awhile. I kept trying to check myself, but for some reason, it was really hard to tell what was going on. After the bath, I told the midwives that I couldn’t be dilated more than 4 cm. There was also some more blood that came out, but I think it was from the placenta, not the mucous plug. I’m not really sure that I ever lost my mucous plug during early labor, maybe I lost it awhile ago???

The first midwife assistant, Julie, arrived and hung out with us by the fire. We turned on the back porch lights since it was completely dark, and the kids enjoyed playing on the slide and eating snow. It was such a fun distraction to keep busy during early labor. When I bounced on the ball during contractions, I could hardly feel them.

I was getting so excited about the impending action, but also a little anxious wondering when things were going to get going. Julie reminded me to keep eating and drinking water and I suddenly remembered I hadn’t eaten anything since lunch, so Scott brought me a plate of chicken and mashed potatoes. That food gave me instant energy, and I could feel my contractions intensify almost immediately!

When we came inside at 7:00 p.m., I realized that things probably wouldn’t be happening until after the kids went to bed, so we moved all of the birth supplies to the new birth location…the living room. I set up a bunch of candles over the fireplace and Scott got my Enya/Joshua Radin mix going on the tv. We got the kids in their pajamas, and I enjoyed watching them do their nightly wrestling in our bedroom.

After that, Scott brought my ball upstairs and we were able to pretty much go through with our normal bedtime routine. Scott cuddled up with Ruby and Elliot and read them three books. I read Ophelia a few of her favorite books and when I felt a contraction, I would sit and bounce on my ball. When Scott brings Elliot to his room to read him three more stories in bed, I usually read Ruby three more stories in bed while Ophelia reads to herself, but on this night, my mom read Ruby a whole bunch of poems from A Light in the Attic and I was able to take Ophelia downstairs to put her to bed.

After I kicked my big ball down the stairs, I was a little worried about managing my pain during contractions while I read Ophelia stories. But I just kicked the ball into our room and things seemed to stall out just long enough to have her sit on my lap in the rocking chair, give her some milk, and read her three stories before putting her to bed (a crib in our closet since she’s still waking up in the night and needs to be soothed back to sleep).

My Mom Reading to Ophelia Earlier in the Night

My Mom Reading to Ophelia Earlier in the Night

Active Labor

While we were putting the kids to bed, the other two midwives Laurie and Jillian arrived and got all of their things set up. After that, they checked the baby’s heart rate and took my blood pressure. I felt so bad that I had encouraged them to come out so much earlier and now here they were getting here so much later and still nothing was really happening. After I apologized, they said, “Don’t worry! We’d rather be here early than get here just as you’re pushing him out.” My mom was so sweet and showed them where the food was, the extra beds where they could rest, and chatted with them for a bit while Scott and I got things settled in the living room.

My mom soon joined us in the living room and we talked excitedly about the day so far and what was to come. I kept waiting for things to pick up, and they didn’t. My contractions were 3-5 minutes apart, lasting for less than a minute, and still not very intense. I kept trying to check myself to see how far dilated I was, but things were just too mushy and I couldn’t tell. One of the midwives said she would check for me and even though I typically don’t like being checked by anyone ever after feeling violated during Ruby’s birth, I was very curious to see just how far along I was. It wasn’t easy for her to tell either, but she guessed that I was at about 6 cm. At least there was some progress. I couldn’t imagine being at a 6 and having things fizzle out overnight.

At about 9:30 p.m., my mom finally went to lay down. “Wake me up if things start happening,” she said. I felt so bad that things weren’t progressing, and that all of the midwives had to just sit around waiting for me. But I put all of those feelings of being a watched pot out of my mind and knew that this time was all about me and whatever I needed. I let everything else melt away and focused on my body and what it was telling me.

During contractions, I would bounce on the ball and the pain would just melt away. I didn’t really even feel the need to vocalize, but I did anyways just so that the midwives would know that something was going on. They were set up in our little homeschool room staying out of sight, but within earshot. They would come in to check the baby’s heart rate periodically, but basically let us do our thing which is just what I wanted.

By 10:00 p.m., Scott wondered if I was up for some video games. That sounded perfect! So Scott and I played this silly fighting game called Altered Beast where you have to punch and kick all of these evil creatures and every time you kill the white wolf you power up to become an increasingly more muscular man or ferocious beast. The midwives later told me that it was so funny because they would hear all of these sounds and rush in to see what was going on only to see us excitedly talking about the game. Even during contractions, I would keeping pushing A and B to fight the evil creatures.

By about 10:40 p.m., I suddenly got really tired and just wanted to lay down so I closed my eyes and rested on the couch for awhile. I almost felt myself slip into a deep sleep and contractions seemed to stop. After laying down for about 20 minutes, I felt another contraction coming, so I slipped onto the ball and rocked through a very mild one. I laid down for another 20 minutes or so and expected to get up to a very powerful contraction, but once again, it was very mild.

I went to the bathroom at 11:25 p.m. and told the midwives after I checked myself that it felt like the baby’s head was lower and that I was dilated further, but that contractions had died down, so I didn’t know what was going on. Jillian told me that my body was probably saving its strength for the final push, but I was starting to feel like maybe things wouldn’t be happening that night after all. I was starting to get really tired and feeling a little shaky. I was also getting really anxious about how long things were taking, and I didn’t know if I would be meeting my sweet little boy soon, or in hours…how many hours? How much longer???

I was determined that I didn’t want to go to sleep and wait until things picked up the next day, and even though I was tired and really just wanted to lay down, in between each contraction I would squat and sway, or pace the room, or go to the bathroom, or bounce on the ball.

When the midwives came in to check on me, I apologized once again for things taking so long and Jillian said that her and Julie didn’t get to see each other very often and were really having fun catching up. I said I wished that I had some wine for them or something! Scott remembered our kombucha and offered them a glass. He ran to the kitchen and came back with two little glasses and a bottle of our red raspberry leaf kombucha. They loved it and just before I could give them the recipe, I felt a powerful contraction coming on, so I got right to my ball.

Transition

I’m not sure if I was quite to transition at this point, but by about 11:30 p.m., contractions started getting intense to the point where I needed Scott to start rubbing my back. He reached into his old bag of tricks and pressed really hard on my hips massaging them with all of his strength. I didn’t feel like doing our “washing machine” move from Ophelia’s birth, but just steadily bouncing up and down on the ball during each contraction. A low guttural moan started to escape my lips at the height of each contraction and my entire focus was on that moment and what I needed to do to get through it.

But as each contraction ended, the pain completely melted away and Scott and I would joke and laugh and putz around getting ready for the next contraction. At one point during a particularly powerful contraction, I yelled at Scott, “What are you doing! That really hurts!” He had been rubbing my hips pretty intensely and all of a sudden it got painful! “Push in the middle of my back!” I commanded. He did, but it didn’t really do much. (Sidenote: For over a week after the birth, the only thing that really hurt were my hips from Scott pushing on them so hard!)

With just about every other labor, I had experienced back labor and these techniques really worked, but maybe this baby was in a better position because I never once felt any back labor. The peak of each contraction lasted about 20 seconds and was intense, but manageable. I never felt out of control or that the pain was too much. I just knew that I needed to get through it one contraction at a time and that every one brought me that much closer to holding my sweet baby boy in my arms.

This went on for about an hour and then at 12:30 a.m., Laurie told us that she had another mom in labor with contractions 2-4 minutes apart and lasting over a minute. “Well,” I said, feeling like a failure, “she sounds closer than I am.” Laurie explained that she would be sending her backup midwife, Dorthy, to come and assist us. “My last two births happened with the midwives getting there five minutes before I pushed, and now our midwife is going to be gone for five minutes until I push,” I joked.

I knew things were feeling close, but I guess in some ways, I was still scared and I realized that there had been a small part of me that had been holding back this whole time. The part of me that didn’t want to quite accept what was happening, the part of me that kept feeling like there was one last thing that needed to be done before he could be born, the part of me that didn’t feel like I could handle it, and the part of me that was afraid.

Scott asked Laurie if he could help her out with her second load, and in that moment, I just let it all go. The fear, the worry, the pain…I let it all go and went inside of myself and felt like something deep within was finally able to exhale. In that moment, I was rocked by a huge and powerful contraction and then I felt a pop and a warm gush. “My water just broke!” I shouted.

Pushing

The other midwives came rushing into the room and yelled to Laurie, “She’s pushing!” Laurie quickly came into the living room where I had slipped off from my ball onto my hands and knees (my favorite birthing position) and started leaning against the coffee table. Scott helped me take off my underwear, and I almost knocked everything off the coffee table in one fell swoop until I realized that it was a candle and half drunk bottle of kombucha beside me. So I gently moved them aside and grabbed onto the side and back of the table while I rested my head in the middle and let my body get to work. I could hear the midwives scurrying about getting their supplies and laying chux pads underneath me.

I felt that familiar urge to push that took over every sensation in my entire body, and I knew that I would soon be meeting my son. The thought thrilled me, and I felt the adrenaline surge through me as he traveled down the birth canal. I remembered to take it slow and gently let him enter the world so that I wouldn’t damage myself too badly.

When it felt right, I pushed. In a few minutes, I could hear Scott yell, “I see the head!” I heard other voices too saying things like, “You’re almost there!” and “You’re doing great!” I love hearing words of encouragement when I get to this pushing phase. Feeling that ring of fire is intense, and I like to hear that it will be over soon and be reassured that everything is okay. Scott just told me as I’m writing this that as the head was crowning, Laurie said, “This might sting a bit” as she poured some kind of black oily stuff all over my perineum that they had been heating up in our crock pot all evening. I will have to ask them what that was at our next appointment! I have no recollection of that by the way. Then the intense feeling of him crowning was over and I knew that I had delivered the head and that the rest of him would be slipping out soon.

As soon as his head was born, Laurie suctioned out his nose and mouth. There was a big smear of something dark on his face. They thought it was meconium at first, but realized later that it was just blood because all of the water that came out was completely clear. As I prepared for the final push, Jillian cradled his head and said, “I’m going to bring him up through your legs,” and with one final giant push, our little baby boy was born. I reached down and picked up his small slippery body and drew him close to me. Nine minutes before, Laurie had started heading out the door, and now here I was holding my sweet little boy!

Everyone helped me turn over and I brought my sweet little boy up to my chest. He looked a little pale, and I quickly wrapped him in a blanket while bringing him to my chest. As the oxytocin rushed through my body, I cooed to him and rubbed his sweet little head in complete awe of the miracle of life. He never once cried and his bright eyes looked calmly right into mine. Within a few minutes, he started to pink up, and I suddenly felt the urge to push again. Out came the placenta.

After I held him for a few minutes, the midwives noticed that his cord had stopped pulsing and so they clamped it and with a few snips, Scott cut his cord. At this point, I was kind of awkwardly propped up on the floor and Scott helped me up while the midwives ushered me to the couch where they had prepared some more chux pads and pillows.

After the Birth

Scott texted my mom to let her know that something had certainly happened. He sent her one word…it said “born”. She was so sound asleep that someone had to go wake her up, but I knew she wouldn’t want to miss this for the world. As I settled onto the couch with my sweet little boy nestled against my chest, Scott cuddled up next to me and we looked into each other’s eyes with that look that says, we just went through something amazing that has changed us once again forever. We looked at his sweet little face and couldn’t believe how alert he was and how simply peaceful he seemed. He was such a beautiful baby!

He latched on right way and ate hungrily. The midwives were busy filling out paperwork, and I asked Scott, “Should we tell them his name?” We had decided a while ago what we wanted to name him, but of course we had to meet him first and see if the name fit. When we said it out loud – Julian William Maaser – we knew that it fit him perfectly! Soon, my mom joined us and couldn’t believe that he was here. We joyfully told her the rest of the birth story and she was so happy to meet her little grandson.

After Julian ate to his heart’s content, they were ready to do the newborn screening. They gently looked at his reflexes and checked over every inch of his body while I sat right next to him talking gently and rubbing his head. He made one little cry of protest, but otherwise continued to display his calm and gentle demeanor that he had shown since the moment of birth. He was a perfectly healthy little boy and there were no concerns. I dressed him in a little onsie and footie pants that I had picked out weeks before. After that, I swaddled him tightly in really nice new swaddling cloth I splurged on from Amazon.

When they checked me over, I just had one little “scuff mark” down there, but otherwise things looked great. My blood flow was normal, my uterus was contracting as it should, and I felt great. I had sent Scott to look for the cats who went outside when we were by the fire much earlier in the evening and hadn’t come back in yet. He kept calling and calling but they didn’t come. Jillian asked me if I’d like to go pee, so I handed Julian to my mom and hobbled to the bathroom with Jillian’s help.

Later, when I asked my mom about holding him for the first time, she said, “It was a magical moment because I was all alone with him. Scott was out looking for the cats and both of the midwives were with you. The room was dim. It was just precious. I didn’t have any pretenses or felt like anyone was watching me. I just looked at him and felt so honored and in awe and sort of in shock a little to hold this precious little being that belonged to you.” When I came back to the living room, Scott was expertly rocking Julian, and just like with Elliot, he was soothed by a pinkie in his mouth.

I was determined to get those cats inside because I knew I wouldn’t be able to rest easy unless I knew they were safe and sound, so I sent my mom outside to do her loud, “Here kitty kitty kitty!” that was so loud I’m surprised all of the stray cats in the neighborhood didn’t come running! Eventually, both of our cats came running from half a block away and were eventually corralled inside. Ahhhhhh, now I could sleep!

After that, we said goodnight to my mom and the three of us headed off to bed. It was about 2:30 a.m. on Saturday morning at that point. The midwives came in to tuck us in and gave us a few postpartum care reminders. Scott drifted off to sleep immediately, but I was up checking my facebook status that I had posted of our new family, and felt like I would be too excited to sleep. But at some point I drifted off. Julian was swaddled beside me and slept soundly for five hours (the best he would sleep for the whole first week, so it’s nice he started off with some good sleep). All of the other children slept peacefully throughout the whole labor and birth. We were so excited to think about their reactions to their new baby brother the next day.

Just Born!

Just Born!

Mommy, Daddy, and Julian

Mommy, Daddy, and Julian

The Next Day

Elliot was the first one up and came into our room at 5:30 a.m. So early! He is usually pretty good about sleeping in until 7:30-8:00 a.m., but he will wake up early if he has to pee. He cuddled up in bed with us, so happy to meet his little baby brother! He giggled and laughed and loved his little brother as he snuggled under the covers with us. After that, Scott took Elliot out to the living room and I continued to sleep.

Ruby woke up at 6:30 a.m. and joined Daddy and Elliot. Then Ophelia, who usually sleeps in until 9:00 or 10:00 a.m., woke up at 7:30 a.m. and that’s when Ruby and Ophelia came in our room and met Julian for the first time. Ophelia said, “Baby, baby!” but was really pretty indifferent. Ruby was sooooooooo happy! She cuddled right up to him and started talking to him right away. I don’t remember her first words exactly, but I think she started describing the world to him right off the bat and explained how much she loved him and was so happy to meet him.

At about 9:00 a.m., my mom woke up and joined Ruby, Elliot, and Ophelia who were all dressed and fed and playing with Daddy in the living room. She took over and let Scott come back to bed. I tried sleeping some more, but I was still just too excited. Plus I felt really gross and wanted to take a bath and brush my teeth. My mom brought in the herbal bath mixture and I enjoyed a nice hot soak in our walk in tub while Scott cuddled up with Julian. It felt AMAZING!!!

I was so happy to bring Julian out to the living room and to have our whole family was together for the first time. My mom took such good care of us that day. She brought us food, played with the kids, and kept the house clean. At about 2:00 p.m., Grandma Gene and Andrea joined us. It was so nice to have a few extra hands to help keep everyone entertained. Scott and I were able to slip away for another nap and my mom brought us out an amazing platter of dinner when we awoke and came back into the living room.

Ruby and Elliot Love Their New Baby Brother

Ruby and Elliot Love Their New Baby Brother

That night, we were able to easily pick up our bedtime routine with one extra person in tote and everyone went to sleep on time, peacefully, and easily. I am sooooooo glad we had some good bedtime routines in place and were so settled in our home. Scott and I sat in the living room with Julian, who just like when he was in the womb, would wake up after the kids went to bed. He was so peaceful and calm and Scott and I chattered away excitedly about all of the events that had taken place. My heart felt so full of love that it could just about burst.

Grandma Gene Meets Julian

Grandma Gene Meets Julian

Aunt Andrea Meets Julian

Aunt Andrea Meets Julian

Elliot Holding Julian

Elliot Holding Julian

Ruby Holding Julian

Ruby Holding Julian

 

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