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Jessica Valenti

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What I Finally Realized About Breastfeeding

Posted: 09/07/2012 12:30 pm

I never made a conscious decision to stop breastfeeding... it was a slow mental, well, wean.

At first I was intent on breastfeeding; the idea of formula even touching Layla's lips made me nauseated and anxious, as if formula would poison her (an idea that some breastfeeding proponents suggest quite readily). But because of Layla's prematurity -- she was born months early and spent eight weeks in the hospital -- I couldn't breastfeed at first. She was too small and her digestive system wasn't fully formed, nor did she know how to suck, swallow, and breathe all at the same time. I would have to wait until she was almost ready to leave the hospital. So instead of breastfeeding, my only "job" while Layla spent two months in the NICU was to pump.

And pump. And pump. At least eight times a day -- preferably ten times -- for fifteen minutes on each breast. That's five hours a day.

At the time, I thought of my breast pump both fondly (Wow, thanks for all the milk!) and simultaneously hated it intensely. It was a reminder of my daughter's preemie status, yet another machine that would replace the "natural" bond that we were missing out on. That, and it hurt like hell.

But for the most part, I was grateful. I was desperate to do something tangible for Layla while she was hospitalized -- sitting vigil by her incubator made me feel helpless -- and pumping five hours a day was sure-as-shit tangible. But once you face the harsh reality of the pump, no matter how much good you know it will do for your kid, well ... let's just say there's really no getting over seeing your nipples stretched out four inches longer than they're supposed to be, as they're vacuumed into the pump. (And thanks to the sadistic inventor of the breast pump, the pump part is transparent, so you get to see every inch of the taffy that your former nipple has become.)

My pump, which came in a jaunty little nylon purse that looked like a 1990s Kate Spade knockoff, made a rhythmic sound when operating that sounded a little too much like House music for my comfort. There's something about a club kid beat set to your breasts being tortured that makes the whole ridiculous scenario feel even crueler. And despite the Vaseline-like cream I put on after every pump, my nipples still bled and cracked. It got so bad after a few weeks that I just sobbed and screamed in pain throughout the sessions.

But still, I didn't stop -- and every time I looked at Layla's drawer in the NICU freezer stacked to the top with frozen breast milk, I felt like it was all worth it. Sure, I was depressed, in pain, and exhausted all the time, but I was doing right bymy kid.

Then something miraculous -- and devastating -- happened. Layla's digestive system was suddenly working full-speed. At first, Layla would take only two or three milliliters
of milk an hour through her feeding tube. An hour after feeding her, the nurse would check how much she actually digested by sucking out her stomach contents through the same tube -- the milk often sat there, undigested. After six weeks, however, she was digesting like a champ. Enough that the IV vitamins and nutrients she had been getting were removed, and she was sustained solely by breast milk. Within a week my freezer drawer started to dwindle. Despite the hundreds of hours I spent pumping, it turned out my supply wasn't as terrific as I thought. Soon I was rushing back and forth to the hospital to make sure they had enough milk.

The first day that there wasn't breast milk for Layla, and the nurses used formula, I sobbed. I was devastated, ashamed that I couldn't give my daughter the one "natural" thing I could provide while she was hooked up to so many wires and tubes. But still I kept trying. I gave her as much milk as I could and tried not to think about the formula.

When Layla was able to come home, it didn't get much better. She was able to latch on for short periods of time, but because we were desperately trying to get her to gain weight, I was still pumping to increase my supply and so we could measure out exactly how much milk she was getting. I made an appointment with a lactation consultant that a friend recommended. She was warm and understanding, if a bit hippieish for my taste -- she refused to use hand sanitizer before touching Layla, saying it wasn't environmentally friendly. I was a bit aghast -- sanitizer was like a religion in our household -- but perfect, I thought, I need someone "natural" to help me! She had plenty of suggestions: My pump wasn't powerful enough (?!), I should be taking herbal supplements, drinking oatmeal shakes several times a day, and trying "power pumping" -- going at it every hour. I felt overwhelmed, but was happy to have some pointers.

When I mentioned that I was supplementing with formula, she wasn't as horrified as I imagined a lactation consultant would be, though she did gently recommend using donor milk -- another woman's breast milk. I balked.

Instead, I just tried harder. After a particularly hard night in which I screamed for almost a half hour straight while pumping, my husband suggested I quit. I was so obsessed with giving Layla breast milk that I wasn't bonding with her at all -- I was too busy at the pump, and too miserable. It took me a long time to realize that what Layla needed more than breast milk was a mother who wasn't exhausted and stewing in shame.

After I stopped breastfeeding entirely, I remembered Betty Friedan writing in "The Feminine Mystique" about a mother who suffered a nervous breakdown when she couldn't breastfeed. That seemed about right.

Our ability to nurse is presented to American women as the most basic, natural thing
a woman can do for her child. So when it doesn't work -- or, shame on us, we simply don't want to do it -- we're blamed for being selfish, or not trying hard enough. That's a message that's hard not to internalize.

I must admit that I once looked down a bit on mothers who chose not to breastfeed; I didn't understand why they wouldn't at least try. After all, everyone tells us it is the best thing we can do for our babies. But what if it's not? What if all the guilt and shame and bleeding nipples are all for something that's not as amazing for our children as we've been led to believe?

This is an adapted excerpt from Jessica Valenti's Why Have Kids?: A New Mother Explores the Truth About Parenting and Happiness

 
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I never made a conscious decision to stop breastfeeding... it was a slow mental, well, wean. At first I was intent on breastfeeding; the idea of formula even touching Layla's lips made me nauseated...
I never made a conscious decision to stop breastfeeding... it was a slow mental, well, wean. At first I was intent on breastfeeding; the idea of formula even touching Layla's lips made me nauseated...
 
 
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10:49 PM on 09/19/2012
The saddest thing about this for me is the substandard lactation advice given to this mama! WHY are we STILL telling moms in every hospital in the US that they have to use a bottle to quantify milk intake when they can use a rented scale?!? It is *amazing* to me how many mothers/baby dyads get tripped up by this & I do judge: I judge the *professionals* whose CAREER is is to support maximum nursing success & who fail because they are obsessed with outdated methods of quantifying intake & bottle culture.
03:00 PM on 09/23/2012
huh
09:28 AM on 09/18/2012
Ugh, the pump. I felt like throwing mine in the trash when I finished pumping at work at 11 months. I can only imagine what it's like in your situation. The pump is such a poor substitute for actually nursing a baby, and it's one of the many reasons we need real, paid maternity leave in the U.S. Women who want to breastfeed should be able to actually breastfeed and not have to pump their milk for their baby.
01:59 PM on 09/14/2012
I wish we could could get to place where women didn't have to "explain" why they didn't/ don't breastfeed. But, anyway, thanks for your story. I love that you wrote a book about this.
02:24 AM on 09/13/2012
Thank you for this story. I also had a pregnancy with multiple medical complications. I went through 16 hours of labor with no meds (throwing this in to prove I'm as granola as a mommy comes) and had every intention of breastfeeding for at least a year... nope. My health went downhill so rapidly after his birth I had FOUR doctors telling me to quit bf'ing before two months - one even fired me from his practice, I was such a liability - but I refused to see the facts because "breast is best." It was only after I passed out in the pediatrician's office and he told me "I would rather have you alive, well, engaged and present for your baby than giving him breastmilk" that I realized how insane the whole thing had become. And yet, the first time I gave him formula it was like I expected him to die in my arms, because formula = poison. I've gained back the 20lbs I lost those first two months, my heart is back to normal, I'm not fainting, my baby is in wonderful health, but my guilt is still extreme and judgmental comments from strangers can still cut me to the bone. We've gone too far from "supporting breastfeeding" to shaming and belittling mothers who can't breastfeed. I will never judge a formula mommy again, and I so wish I could have those first two months back to actually bond with my son.
05:57 PM on 09/12/2012
Don't forget supplimenting! Even with my first, I never produced more than 2-3 ounces total at a pumping session. We have always had to suppliment with formula. And you know what? Works great! My kids are healthy and happy. My husband has been able to bond over feeding with both. I have mostly stayed sane.My kids got whatever boosts there might be from breastfeeding: Antibodies? OMEGA3s? Magical mommy fairy dust delivered in liquid form?

I don't know why this great feeding method is so overlooked. For example, Babycenter has example feeding schedules for breastfeed and bottlefed babies, but not supplimenting babies. The debates always take an either/or tone, like there isn't any middle ground.
06:08 AM on 09/11/2012
First, I commend you for trying. Second, I recognize the pump can be horribly painful, is a far cry from giving you the satisfaction that breastfeeding can, and makes it harder to keep a milk supply up. Third, every day that you did feed, you gave your baby a great gift. The first days and weeks are the most important, even if you don't make it through the 6 months of exclusive breastfeeding and 2 years minimum that are best. Fourth, having a baby in the NICU is an experience few people can understand, and the choices you have to make are often limited. Every mother should want to breastfeed her baby, and that choice was taken away from you. You were left with the second-best option of using your own expressed milk. You may balk, but expressed milk of another woman is the third-best option, and formula falls under that at the same level as cow's milk. While not necessarily poison, baby formula *can* be poison. It can be made with unsanitary water or milk. It can be stored improperly and breed bacteria. It can have impurities from the factory. There are so many ways that it can actually become poisonous, let alone the risks of choosing to formula feed over breastfeed.

My mother had to stop breastfeeding me at 2 months because of her abdominal surgery. She was able to feed my sister for a year. Guess which one has horrible asthma that continued into adulthood.
10:13 AM on 10/05/2012
I was never breastfed because my birth mother gave me up for adoption at birth in an act of love and selflessness. I am a healthy, educated woman who has found happiness and success in life. Must have been the formula that made me this way! (read: sarcasm)

You cannot blame your health issues, etc. on how much you were breastfed (or not breastfed) just like I cannot credit bottles and formula for how I turned out. There are lots of other factors involved! Give me a break.
10:59 PM on 10/07/2012
It's a huge factor whether your like it or not.  I'm glad you weren't affected too badly by being fed formula.  You got lucky.  Not everyone gets lucky.
01:12 PM on 09/10/2012
I exclusively pumped for 2 months for my son after complications leading to an emergency c-section on my end and trouble latching on his end. It was very stressful and made very feel very anxious. If I ever have more children, I will not do that again. I will probably give breastfeeding a try if I can, but if it doesn't work, I will go right to formula. I will not let guilt and judgement from others overcome my good sense again. A sane, happy mom is more important for a baby than any nutritional benefits that come from breastfeeding.
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08:07 AM on 09/11/2012
The point is you tried. Good for you!
02:00 PM on 09/14/2012
No, that's not the point. The point is not that you tried. The point is its ok not to breastfeed, if you don't want to. It's ok not to try.
10:48 AM on 09/11/2012
Exclusively pumping and BF aren't the same. No pun intended, pumping sucks.
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beyondliberal
Forward, never straight.
01:09 PM on 09/10/2012
When I was nursing my son, I found it was far easier to express milk myself rather than use a pump. It wasn't painful in the slightest and I could feel when my breasts were empty.
To prevent cracked nipples, glob on some lanolin after a feeding and use breast pads in your bra-- works like a charm.
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dancerctry
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08:29 AM on 09/10/2012
I went strait to formula with my now 3 year old son. I have General Anxiety Disorder and OCD. Those hormone imbalances made me high risk for PPD. I had read a lot about moms who hated breastfeeding and developed PPD that went away when they switched to formula. So I went strait to the bottle and spent most of his babyhood hugging him, kissing him, and holding him close. We are still closely bonded.

He is hardly ever sick and has always been well proportioned determined by his doctors. All those bad things they say happen to formula fed kids didn't happen. I don't know anyone who was formula fed that had those issues. Not all moms who go strait to the bottle do it to keep their breasts a certain way.

We all make our decisions based on what's best for our situations, not anyone elses. In my case, my husband and I were able to take shifts at night making me more well rested and able to be a better Mommy during the day. I did make homemade babyfood he rarely had any jar food and that was from my Mom. An advantage to being a SAHM. We all have different life experiences and education that shape our decisions. There is nothing wrong with what the parent(s) are doing as long as the child is happy, healthy, and unharmed.
04:57 PM on 09/12/2012
I so appreciated your level-headed, inclusive reply. Why do we spend so much time judging each other? Obviously, everyone is trying just as hard as they can.
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dancerctry
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11:37 AM on 09/13/2012
Thank you. We judge each other over silly things. That bothers me. Those doing the judging know nothing about your life experiences, education and circumstances. Their opinions don't matter and shouldn't be taken seriously.  I get criticized on my blog when I say Zach has OCD and GAD too. "how dare you put that on your child" well, you're not here everyday. You aren't seeing what I'm seeing and clearly you don't understand either OCD or GAD. It requires some management but it's not like I'm medicating him!  Sometimes I come across moms looking for ways in which they are "better" then me. Why are we like this? Feminism is about equalitiy. How can we expect men to treat us equally when we don't treat each other equally? The child's health and well being are most important. That means different things for different people. Why are there people who don't get that?
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11:01 PM on 09/09/2012
Whatever works for you but at the very least give it a go, have somebody to talk to about any problems, and drink lots (& lots) of water.
07:11 AM on 09/10/2012
Unless your child is allergic to the breast milk, my niece was... she's also allergic to cows milk.
10:33 AM on 09/10/2012
Most children allergic to breast milk are allergic because their mothers are eating and drinking dairy. If their mothers stop, it clears up.
06:34 PM on 09/09/2012
Thank you for this article. I am a health conscientious woman who became pregnant 10 years after having a breast reduction. I was told by my ob/gyn that nursing after a reduction would not be a problem. Well, it was. By day 4 my baby had no output and lost a pound. I was nursing every hour for an hour and pumping 10-12 times/ day. I also had to supplement after every nursing session. My nipples were completely severed by a baby sucking for the slightest amount of milk. She was also a crier (on her worst day she went 15 hours crying!). The most I ever made after 3 months of this was 2 oz total in one pumping session. My failure to produce and the failure associated with giving my baby "poisonous formula" launched me into a full fledged post partum depression. I was embarrassed by my failure and doubted my ability to ever mother as I failed in this; the most natural occurrence between mother and child. Perhaps this internalization is all my fault, but I don't think that is the case. Nursing mothers who never experienced difficulty nursing (and I am not talking the "It was really hard for the first month and then it was easy" type) have to acknowledge that they are lucky instead of being self-righteous!
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08:31 AM on 09/11/2012
This is the main reason I've decided to wait to have a breast reduction. That and my insurance decided that even though I'm an E cup, they won't pay for a reduction unless I go down to an AA cup. So, I wait (and wait and wait and curse my huge breasts). I have some friends who have had reductions (the largest going from HH to C). I wonder what their experiences will be. If mine were any bigger, I'd go for the surgery in a heartbeat. I know all the pain my breasts have caused me throughout most of my life. I can only imagine what you experienced before you decided to get a reduction back then (especially since it was significantly more expensive in the past). The decision to have a reduction is not one that's taken lightly, especially if the woman wants to breastfeed. Those who haven't had to even consider that decision don't know what it's like. Don't beat yourself up!!
05:07 PM on 09/12/2012
One of the mommies in my group also found it too difficult to breastfeed after a reduction. She also tried everything including prescriptions and crazy pumping. Please be kinder to yourself about it! I also had a hard time breastfeeding but didn't have a reduction (though I sure have big enough breasts - currently a G, normally an E). Breastfeeding is really great when it works right - but it is such hard work. I've never been able to feed in puplic (those cute little covers don't work well with larger breasts), and I got tired of being confined to my house.
I always thought I would get a reduction after having kids. After a tough c-section recovery, I'm afraid of having surgery again.
03:02 PM on 09/09/2012
I chose to use formula with my son because i did not want him getting any more antidepressants that I was on. My husband was then able to help with feedings so I could get enough sleep to ward off any post parting depression issues, which could have been pretty intense given my mental health history. Depression and anxiety can come hand in hand with me, so i probably would have fretted about hw much he was getting. Also the hormones produced when nursing were sire to make me a.wreck. thank God for formula. He has had a few colds and has never been on antibiotics.
11:26 PM on 09/09/2012
We talk about this type of thing in our moms group. Being in Cali, it is a very pro-breastfeeding group. Some people use or are supplementing with formula. And the leader says: "you have to take care of yourself FIRST". If you are cracked and bleeding, or are feeding the baby every 2 hours with zero sleep, or are going through depression, or...etc etc etc...it's not the end of the world to use formula, we are lucky to have the option.
02:30 PM on 09/20/2012
Except that many SSRIs are fully & I mean completely compatible with Breastfeeding. Transfer rate is super low. You don't have to take care of yourself OR nurse, you can take care of yourself AND nurse.
01:52 PM on 09/09/2012
We are always judging and criticizing mothers. It isn't a competition. And if a woman wants to preserve her breast or whatever her reasons, not our business. I breast fed both my children, one 13 wks early the other 11 wks early. First time for eight months and the second time only made it four months due to headaches. But might not have breastfed but for the fact that they were born early and it was the only thing I could do while they were in the NICU. But we are so judgmental and ready to tear someone down. They not doing it or they are doing it too long. Whatever. As long as they have parents who love them and provide for them we should be happy. Too many kids in the world are going hungry or have neglectful or abusive parents.
07:14 AM on 09/10/2012
Especially when you don't know the reason for why a woman is not breast feeding. For some it might just be their choice, for others it might be due to the child being allergic, not latching, not able to produce enough, medications they have to be on... I was never breast fed and neither was my sister or my niece. But my niece was allergic, that wasn't her mothers fault.
12:40 PM on 09/09/2012
Right, but you are writing from the point of view of a mother who has done her best to provide breast-milk to her child, knowing it's the 'best' option for your child, both nutritionally and emotionally. It seems that most of the comments on this post are had similar situations. Kudos to all of you.

Sadly, I know others who have decided before it even became a struggle to turn to formula simply for the sake of vanity. Convinced that breastfeeding would cause sagging. Mothers that put their looks before their children. *sigh* They don't even know what they were missing.
photo
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11:01 AM on 09/10/2012
My mother always told me that breastfeeding prevented sagging. The important part is that weaning take place gradually (if you never nurse the weaning process is abrupt and happens at birth) I am 47, nursed three babies for a year each and they don't sag - so obviously her advice worked.
12:35 PM on 09/09/2012
I'm planning to write my dissertation on the new rhetoric of motherhood and I love reading posts like this usually I don't chime in but I feel compelled to announce that I CHOSE not to breastfeed. Yes, I said it. I didn't want to and I didn't want to succumb to the pressure of the breast is best craziness in order to prove a point. Studies have not conclusively shown that breast fed babies are healthier than their bottle fed counterparts and you know what? I wasn't willing to kill myself in order to breastfeed. My son and I were on our own from day one, my husband was deployed and I didn't have family nearby to come help me with the new baby. I made the choice NOT to add the stress of trying to breastfeed into the mix of an already stressful situation. No one at the hospital chastised me for my decision nor did any of my friends (even my breastfeeding friends). My son was bottle fed for a year and then moved on to whole COW'S (gasp!) milk, and guess what? He's HEALTHY, smart, and happy and very well bonded with BOTH of his parents despite the fact that the for the first six months of his life he only saw his dad via Skype.
09:49 PM on 09/09/2012
Kill yourself in order to breastfeed? Boy, I must be escaping death every day for the last 11 months, since breastfeeding and caring for your children on your own is so lethal.
11:29 PM on 09/09/2012
For the most part, I think breastfeeding is easier than formula, because there's no cleaning, sterilizing, etc. I mean, it would be easier to use formula if you had a husband around to help, because you could get a break.

Unless you are like many women I know, myself included, and you work. When you add pumping into the mix, it just becomes a pain in the... Reason many of my friends nursed at home and gave formula when they were at work.