WEBVTT - Why Is Breastfeeding SO Complicated ( (Pt. 2) 0:00:06.840 --> 0:00:10.480 Hello everybody. This is Katie's crib and here we are 0:00:10.600 --> 0:00:14.200 for part two of our breastfeeding episode. In part one, 0:00:14.320 --> 0:00:16.600 we got the download from two awesome women about their 0:00:16.600 --> 0:00:20.319 breastfeeding journeys, Kristen Bell and Jamie Greenberg. If you haven't 0:00:20.320 --> 0:00:23.600 listened to it yet, please make sure you do. Here 0:00:23.880 --> 0:00:27.520 we have lactation consultant Linda Hannah. She's going to break 0:00:27.600 --> 0:00:30.440 everything down for us. Linda is the founder and owner 0:00:30.480 --> 0:00:35.520 of My Nursing Coach and you guys, she was so 0:00:35.520 --> 0:00:44.080 sozzo so helpful to me when I started my breastfeeding journey. Um, 0:00:44.120 --> 0:00:47.080 you guys, I've never been more excited in my life. 0:00:47.320 --> 0:00:52.800 This is the amazing Linda Hannah of My Nursing Coach. 0:00:53.000 --> 0:00:55.520 And just to give you guys a visual, Linda Hannah 0:00:55.520 --> 0:00:58.480 shows up at people's houses in a van that says 0:00:58.560 --> 0:01:01.840 my Nursing Coach along the side. She has an amazing 0:01:01.880 --> 0:01:04.000 T shirt on right now that says my Nursing Coach 0:01:04.040 --> 0:01:06.120 on it that has been did very well. You were 0:01:06.200 --> 0:01:10.120 branded very well, and you really came to visit me 0:01:10.160 --> 0:01:13.080 for the first time. When I was a shell of 0:01:13.120 --> 0:01:16.440 a human, I just had a baby. I desperately wanted 0:01:16.440 --> 0:01:18.679 to breastfeed. It was the only like I was so 0:01:18.720 --> 0:01:21.600 scared of labor. But what I knew more than anything, 0:01:21.680 --> 0:01:23.959 I just really wanted to breastfeed. I really wanted to 0:01:24.160 --> 0:01:25.920 and I didn't know how hard it was going to 0:01:25.959 --> 0:01:29.480 be for me. And it was awful. Like it was. 0:01:30.319 --> 0:01:32.880 I called in Linda. I had an amazing night nurse 0:01:32.920 --> 0:01:36.280 at the beginning, and my nipple got what I came 0:01:36.319 --> 0:01:38.400 to learn through you was a fisher on the right 0:01:38.440 --> 0:01:41.880 side where I've had inverted nipples my whole life, which 0:01:41.880 --> 0:01:43.680 means guys, when you like wear a T shirt and 0:01:43.680 --> 0:01:45.479 it gets cold and you can see your hot, sexy 0:01:45.560 --> 0:01:48.080 nipples that never happened to me growing up, like, it's 0:01:48.120 --> 0:01:51.240 amazing and you and you still a breastfeed still with 0:01:51.480 --> 0:01:53.720 inverted nipples. Yes, so he had to pull them out, 0:01:53.760 --> 0:01:56.320 I guess is that what happens they actually even from 0:01:56.320 --> 0:01:59.640 the pressure from the baby strong jaw. So my nipples 0:01:59.680 --> 0:02:02.279 ever did And some women can have one inverted nipple 0:02:02.320 --> 0:02:05.440 and one nipple that's not inverted. I had both inverted, 0:02:05.480 --> 0:02:08.600 and he pulled one out and a wrinkle that was 0:02:08.639 --> 0:02:11.200 on the nipple actually ended up completely splitting in half 0:02:12.000 --> 0:02:19.040 and opening up, causing a Fisher, like the Grand Canyon gaping, gaping, 0:02:19.120 --> 0:02:20.880 and normally we would have asked you to stitch up. 0:02:21.200 --> 0:02:24.240 Normally it would be stitched up. Linda showed up at 0:02:24.240 --> 0:02:27.840 my house and I have this visual that I'll never forget. 0:02:28.000 --> 0:02:30.240 You came in and I was so scared. And there's 0:02:30.320 --> 0:02:34.200 nothing more vulnerable than breastfeeding because people are looking very 0:02:34.280 --> 0:02:36.880 up close and personally your boobs, and you are a 0:02:36.880 --> 0:02:39.640 new time mom and you're super emotional and hormonal and 0:02:39.919 --> 0:02:41.760 you just want to give food to your kid. And 0:02:41.800 --> 0:02:44.359 I felt like a failure. And you came right at 0:02:44.400 --> 0:02:47.640 me with your little adorable hands and pulled open that 0:02:47.840 --> 0:02:50.000 cut and I was like, oh my gosh, what's happening. 0:02:50.280 --> 0:02:53.240 But you are someone who's so like you cut to 0:02:53.240 --> 0:02:55.520 the chase, you get in and you just start like 0:02:55.600 --> 0:02:59.040 becoming the Olivia Pope mix fix It of boobs. That 0:02:59.680 --> 0:03:03.079 that's a character on my show who's like she fixes scandals. 0:03:03.160 --> 0:03:07.320 And I feel like you fix women who are really 0:03:07.360 --> 0:03:11.040 in need. Um, and you definitely fixed me. Um. Can 0:03:11.080 --> 0:03:16.720 you explain, um how you got into what you do? Absolutely? 0:03:16.720 --> 0:03:19.200 And people asked that a lot. Um. What I do 0:03:19.320 --> 0:03:22.040 is I helped mothers and I've been doing this for many, 0:03:22.080 --> 0:03:25.200 many years, even before I even was my own mother myself, 0:03:26.040 --> 0:03:28.680 I am a nurse. I worked in abstetrics and labor 0:03:28.680 --> 0:03:32.320 and delivery first, and then Mother Baby became a lactation 0:03:32.320 --> 0:03:35.360 consultant on the way, and it just helped women in 0:03:35.360 --> 0:03:37.520 the hospital after they had their babies. I felt like, well, 0:03:37.680 --> 0:03:39.680 you want to breastrate, right, so we've better help you. 0:03:40.040 --> 0:03:42.320 And that's kind of how it took off on its own. 0:03:43.000 --> 0:03:45.440 People started saying to me, I guess you can probably 0:03:45.520 --> 0:03:47.760 develop a program around this, and I did, and I 0:03:47.800 --> 0:03:51.240 started developing lactation programs and hospitals around the city, and 0:03:51.280 --> 0:03:54.640 then spreading out further and further so that other women 0:03:54.680 --> 0:03:57.040 could get help. Not just the patients that I got 0:03:57.080 --> 0:03:59.680 to see, but all of the people got help, and 0:03:59.760 --> 0:04:03.000 it just sort of grew and grew, and lactation consultants 0:04:03.040 --> 0:04:05.360 have been around for about thirty five years now. As 0:04:05.360 --> 0:04:08.880 an actual field, women helping women have been around forever. 0:04:09.360 --> 0:04:12.320 Uh and um, it just became something that was very 0:04:12.360 --> 0:04:14.640 near and dear to me. And I didn't have any 0:04:14.640 --> 0:04:17.480 breastfeeding issues of my very own, but so many women did. 0:04:17.760 --> 0:04:19.960 I thought, well, I should really help as many women 0:04:19.960 --> 0:04:22.840 and teach other women like myself to do what I do. 0:04:22.880 --> 0:04:24.480 And that's one of the things I love to do, 0:04:24.560 --> 0:04:28.120 is is nurture and take along other women who want 0:04:28.160 --> 0:04:30.160 to do this field and bring them along with me 0:04:30.240 --> 0:04:31.920 and want to do this field. A lot of women 0:04:31.960 --> 0:04:35.599 do or not like should after scandal ends, like I might, 0:04:35.720 --> 0:04:38.640 can I train under you to be a lactation Interesting 0:04:38.640 --> 0:04:41.480 that you said that, because the field itself now has 0:04:41.520 --> 0:04:45.320 become extremely, extremely exclusive and there are very special rules 0:04:45.360 --> 0:04:47.760 for people who want to do lactation consulting. And it's 0:04:47.800 --> 0:04:50.520 good because it's become a little bit more monitored. However, 0:04:50.800 --> 0:04:53.640 that being said, there should always be a woman who 0:04:53.680 --> 0:04:56.080 knows more than someone else that can help her. And 0:04:56.120 --> 0:04:57.960 I think if you can have another mother say to 0:04:58.000 --> 0:05:00.920 another mother listen, I know that I do, that I've 0:05:00.920 --> 0:05:04.200 been there, that's the best help. Then people like myself 0:05:04.400 --> 0:05:07.800 can step out and let women to women help each other. Yes, 0:05:07.839 --> 0:05:09.200 for example, and I'll share that with you with the 0:05:09.200 --> 0:05:12.120 breast milk story. But then people like me get to 0:05:12.120 --> 0:05:14.160 step in when there's a problem like in your case, 0:05:14.440 --> 0:05:16.680 another mother might not have been able to say no 0:05:16.760 --> 0:05:18.479 one knew what the hell was wrong my nipple. I 0:05:18.520 --> 0:05:21.839 was texting photos of my all of Los Angeles and 0:05:21.839 --> 0:05:24.880 everyone was like, hold up, this looks really insane. You 0:05:24.960 --> 0:05:27.200 have to call. There's only one person in this town, 0:05:27.200 --> 0:05:30.120 and that's Linda Haney. I was like, holy crap. I 0:05:30.120 --> 0:05:32.680 didn't write. I know there are people, but you came 0:05:32.720 --> 0:05:35.320 so highly recommended for so many groups of Frank and 0:05:35.360 --> 0:05:37.240 you are right. I think what we have found a 0:05:37.320 --> 0:05:41.680 lot um is that in this in this podcast, we 0:05:41.680 --> 0:05:44.200 have found that there was a time when women lived 0:05:44.200 --> 0:05:47.640 in villages and there were lots of mommies around helping them, 0:05:47.680 --> 0:05:49.880 guiding them. And now we live in a time where 0:05:49.880 --> 0:05:53.479 your aunts and mothers and cousins aren't living with you 0:05:53.640 --> 0:05:57.480 or next door, and so um, it's just we really 0:05:57.480 --> 0:06:00.120 need a community. We really need specialists like you, and 0:06:00.360 --> 0:06:02.960 when we need it. Um. And I was texting all 0:06:02.960 --> 0:06:05.320 my girlfriends at the time, like I had said, and 0:06:05.560 --> 0:06:07.040 it got to a place where it was so bad 0:06:07.040 --> 0:06:09.200 that I needed an expert. We spend a lot of 0:06:09.240 --> 0:06:12.000 time and attention as a nurse myself labor and delivery. 0:06:12.040 --> 0:06:15.320 I taught Lama's classes for twenty years childbirth education. We 0:06:15.400 --> 0:06:18.160 talk a lot about what to expect in the actual 0:06:18.240 --> 0:06:20.920 labor through and then it's like the lucky and then 0:06:20.920 --> 0:06:23.200 we actually send people home from the hospital not knowing 0:06:23.200 --> 0:06:25.360 what they're doing. So we're working very hard to improve 0:06:25.720 --> 0:06:29.239 the postpartum aspect of care long term so that women 0:06:29.279 --> 0:06:33.200 get attention after they leave the hospital every day, a 0:06:33.320 --> 0:06:36.760 contact person, someone they can connect with, talk to, even 0:06:36.960 --> 0:06:39.719 another mother. Many of my patients say, can you just 0:06:39.760 --> 0:06:42.760 tell me about another mother that I could call? Like, sure, 0:06:42.800 --> 0:06:44.880 I can. Actually, your neighbor just had a baby, or 0:06:44.920 --> 0:06:46.480 somebody down the street from you, or the girl and 0:06:46.560 --> 0:06:48.800 your mommy group that went through what you went through. 0:06:49.040 --> 0:06:51.920 That's a secret because you do not reveal your deepest 0:06:51.920 --> 0:06:54.839 pain to somebody else that they might think you weren't 0:06:54.839 --> 0:06:57.200 strong enough to do with that. That's just nipple pain. 0:06:57.320 --> 0:07:00.560 My god, So nipple pain on the have something. We 0:07:00.600 --> 0:07:04.240 have a hashtag on my mommy group called hashtag nipple journey, 0:07:04.320 --> 0:07:06.920 which every single moment, I have a wonderful mommy group, 0:07:07.000 --> 0:07:09.240 Thank God. I think it's so much about community, as 0:07:09.279 --> 0:07:11.560 I was saying, but everyone has gone through their own 0:07:11.680 --> 0:07:15.040 nipple journey. Of this, some nipple journeys came to an end. 0:07:15.120 --> 0:07:18.200 Some nipple journeys were cracked and bleeding. Some nipple journeys 0:07:18.440 --> 0:07:21.200 were leaking and overproducing and filled with mastitis, you know 0:07:21.240 --> 0:07:23.400 what I mean. It's like everyone has had their nipple 0:07:23.480 --> 0:07:27.040 story and I didn't know about any of this, which 0:07:27.080 --> 0:07:29.560 is what most women feel. I should have trained. I 0:07:29.720 --> 0:07:33.040 trained for my labor, I did not train for breast fading. 0:07:33.080 --> 0:07:34.760 I was like, Oh, it's going to happen instinctually, like 0:07:34.800 --> 0:07:36.559 this is gonna be easy, and it is for some women, 0:07:36.560 --> 0:07:38.760 and God bless them yet, but there are also some 0:07:38.800 --> 0:07:40.560 women where that is not the case, and they have 0:07:40.600 --> 0:07:42.680 no one to talk to, and they have no one 0:07:42.720 --> 0:07:46.120 to talk to. So um, when would you say that 0:07:46.160 --> 0:07:48.800 you typically get called in when there's an issue or 0:07:48.960 --> 0:07:52.360 do women book you in advance? And like that's I 0:07:52.360 --> 0:07:54.120 do actually do get calls like that to We all do. 0:07:54.200 --> 0:07:55.920 But what I'd like to tell you a little bit 0:07:55.920 --> 0:07:58.200 about the role of the lactation. Think how important it is. 0:07:58.200 --> 0:08:00.480 So what we've tried to do because of what we 0:08:00.600 --> 0:08:03.640 just discussed about lack of attention and support on this issue, 0:08:04.120 --> 0:08:08.120 is bring the immediate attention right after the baby is born. 0:08:08.400 --> 0:08:10.480 Train the labor and delivery nurses so that this is 0:08:10.640 --> 0:08:13.920 very natural for them to know how a baby begins 0:08:13.960 --> 0:08:17.600 the latching process from the vaginal delivery or a cessarian. 0:08:17.920 --> 0:08:21.320 So training the staff was critical in a hospital setting, 0:08:21.320 --> 0:08:23.520 in a birth center, in a birth center, a birth setting, 0:08:23.680 --> 0:08:27.200 in a midwife's office, to have a collaboration of people 0:08:27.400 --> 0:08:31.040 and not necessarily all lactation consultants because you don't always 0:08:31.080 --> 0:08:33.640 need to have the board certified lactation and early on, 0:08:33.880 --> 0:08:36.000 as you said, many women, the baby is born that 0:08:36.040 --> 0:08:38.720 maybe creeps up on the tammi latches right on piece 0:08:38.720 --> 0:08:41.400 of cake. No problem. Maybe problems present in a week 0:08:41.520 --> 0:08:45.400 or two weeks after what happens, but it's the next step. 0:08:45.480 --> 0:08:48.319 So then having attention to a mother in the early 0:08:48.400 --> 0:08:50.880 days is something that a hospital has a responsibility to 0:08:50.880 --> 0:08:53.600 now provide as part of their support care. So many 0:08:53.600 --> 0:08:56.200 of the hospitals you're finding in this community and around 0:08:56.200 --> 0:09:01.679 this country UH provide lactation support, not always lectation consultants, 0:09:01.679 --> 0:09:04.520 but educators and hands on people who are not great 0:09:04.600 --> 0:09:07.240 because these are not It didn't exist for a long time. 0:09:07.280 --> 0:09:09.640 We've had now a lot of lactations and it's getting 0:09:09.679 --> 0:09:13.360 stronger and stronger as people are becoming more keyed into 0:09:13.440 --> 0:09:16.040 this and understanding you just can't send a mother home 0:09:16.360 --> 0:09:18.480 expecting her to feed her baby when she doesn't even 0:09:18.520 --> 0:09:23.160 know all about feeding. That's number one. And then people 0:09:23.200 --> 0:09:25.320 like me step in in a variety of settings. So 0:09:25.360 --> 0:09:27.880 a lactation consultant could be called pre nataly. How I'm 0:09:27.880 --> 0:09:29.640 going to be having a baby in two months. I 0:09:29.640 --> 0:09:32.320 want to be prepared, and an important visit could be 0:09:32.640 --> 0:09:35.720 talking about what to expect after the birth, what type 0:09:35.720 --> 0:09:37.960 of birth you have, how is the baby. There's a 0:09:37.960 --> 0:09:40.200 baby in this story, they have their own they haven't 0:09:40.200 --> 0:09:42.480 come to class either, if they have their own set 0:09:42.480 --> 0:09:44.040 of issues that they have to deal with, Like, that 0:09:44.120 --> 0:09:46.800 was really tough on me. My head hurts, I got 0:09:46.880 --> 0:09:49.760 vacuumed out. I came out the way I wasn't expecting. 0:09:49.840 --> 0:09:51.920 Babies go through a lot too. We have to respect 0:09:51.920 --> 0:09:54.680 the baby and their ability to just certainly the nurse 0:09:54.720 --> 0:09:57.280 early or to be delayed. Some babies won't nurse for 0:09:57.320 --> 0:10:00.360 six hours, sometimes ten hours. Sometimes they come out and 0:10:00.360 --> 0:10:02.400 they need a little help. Are they going to a 0:10:02.480 --> 0:10:05.840 neonatal intensive care unit where they're getting specialized attention and 0:10:05.920 --> 0:10:08.440 not on the breast. How does that hurt or help 0:10:08.480 --> 0:10:12.200 delaying breastfeeding for the mother. So there are many many keys. 0:10:12.400 --> 0:10:15.679 Think of it like an octopus with a lot of tentacles, 0:10:15.720 --> 0:10:18.360 and the different parts all have to be addressed at 0:10:18.400 --> 0:10:21.640 different times. For example, in the nicke baby, the intensive 0:10:21.640 --> 0:10:23.600 care baby who had to go to the nursery, there 0:10:23.600 --> 0:10:26.480 were no exceptions. The mother should be instructed to start 0:10:26.559 --> 0:10:29.160 pumping early. A mother whose baby is given to her 0:10:29.240 --> 0:10:31.720 right after delivery and latches right on a different story 0:10:32.000 --> 0:10:33.920 twenty four hours later, has now been admitted to the 0:10:34.000 --> 0:10:36.840 NIKE for a different problem. She needs a different set 0:10:36.840 --> 0:10:39.400 of rules and different orders to place on that mother. 0:10:40.000 --> 0:10:43.319 So expectations have to be set so that everybody knows 0:10:43.720 --> 0:10:46.280 going into the story, you are not going to all 0:10:46.360 --> 0:10:50.360 fall in the same category, and this baby, unlike your 0:10:50.400 --> 0:10:52.720 other baby or the next baby coming, will have a 0:10:52.840 --> 0:10:55.520 very very different story. So we want mothers to end, 0:10:55.559 --> 0:11:00.840 father's parents and wives to be prepared for expect unexpected, 0:11:00.960 --> 0:11:03.280 and then be ready and armed so that you know 0:11:03.400 --> 0:11:06.880 how to put information. Man, why you need You don't 0:11:06.880 --> 0:11:09.920 know any of this stuff. It's crazy and about the baby. 0:11:10.000 --> 0:11:12.120 The baby is a participant in the story who may 0:11:12.200 --> 0:11:15.760 or may not be its game. Babies are often born 0:11:15.880 --> 0:11:19.959 with a slight challenge called a fremulum, whether anterior mid 0:11:20.000 --> 0:11:22.920 posterior or posterior freenmulum, and there's a little tongue tie 0:11:22.960 --> 0:11:25.280 that often can prevent the baby from doing a perfect 0:11:25.360 --> 0:11:28.520 latch right away. They can all be helped. These babies 0:11:28.559 --> 0:11:31.920 can get the support and help and even not necessarily 0:11:31.960 --> 0:11:34.720 an intervention, but training to learn how to latch properly. 0:11:35.080 --> 0:11:38.000 So if you don't know, that could be a potential 0:11:38.120 --> 0:11:40.720 something for a baby. A parent would be very concerned, 0:11:41.120 --> 0:11:43.920 what's wrong with my baby. My breastfeeding is not working. 0:11:43.920 --> 0:11:46.880 It's not it's hurting. The baby's not latching properly. So 0:11:47.040 --> 0:11:49.840 we'd like parents to have knowledge and information. We also 0:11:49.880 --> 0:11:52.520 want women to know about milk supply. It is not 0:11:52.600 --> 0:11:54.840 a guarantee that because you had a birth, you are 0:11:54.880 --> 0:11:57.720 going to produce enough milk for your baby, or your 0:11:57.800 --> 0:12:01.880 twins or maybe multiple triple my god, could you imagine. 0:12:02.000 --> 0:12:04.040 And if you have a baby and you don't make 0:12:04.160 --> 0:12:06.800 enough milk, what are your options? There are many, many options, 0:12:06.880 --> 0:12:10.600 So we want women and their partners to be prepared 0:12:10.679 --> 0:12:13.880 for every aspect of the breastfeeding happens. Women can have 0:12:13.920 --> 0:12:16.680 babies and just no milk comes in ever, like genetically, 0:12:17.040 --> 0:12:21.000 or maybe they've had like breast augmentations, or maybe they 0:12:21.040 --> 0:12:23.640 is there some surgeries less likely to be a problem 0:12:23.800 --> 0:12:26.400 in breast milk production. There's still anatomy left in there. 0:12:26.760 --> 0:12:30.320 When the surgeon does their job, whatever they're doing, whether 0:12:30.320 --> 0:12:34.800 they're doing a lift or a um augmentation or a reduction. 0:12:34.840 --> 0:12:37.040 In some cases, they're not taking out all of the 0:12:37.080 --> 0:12:40.280 memory tissue. There's still milk producing cells there, but they 0:12:40.280 --> 0:12:42.760 may have been compromised or maybe they've been enhanced. In 0:12:42.800 --> 0:12:46.040 some cases, there are times when there is a physical 0:12:46.160 --> 0:12:50.240 anatomical disruption in the breast anatomy that happened very very 0:12:50.240 --> 0:12:52.880 early in that young woman's life that might change her 0:12:52.920 --> 0:12:55.920 ability to a full milk supply. May not be possible 0:12:56.040 --> 0:13:00.000 hypoplastic breast anatomy or tissue that hasn't fully developed, or 0:13:00.040 --> 0:13:02.920 women who have gone through a traumatic injury, injury of 0:13:02.920 --> 0:13:04.800 the chest to burn. I had a client once it 0:13:04.880 --> 0:13:08.320 had gotten in a burn accident when she was very young, 0:13:08.360 --> 0:13:10.680 and her anatomy was destroyed and you don't get to 0:13:10.720 --> 0:13:13.440 make up new pressed tissues. So there are women who 0:13:13.480 --> 0:13:16.480 do have milk supply issues. As a rule, we don't 0:13:16.480 --> 0:13:18.720 go to the automatic you're going to have a problem 0:13:18.720 --> 0:13:22.400 because you had breast surgery does not necessarily preclude you 0:13:22.400 --> 0:13:25.280 from being a good producer of breast milk. Some women 0:13:25.320 --> 0:13:28.520 have amazing breast anatomy, but their hormonal shifts are off 0:13:28.559 --> 0:13:32.280 and so they're not producing tremendous volume. I had a 0:13:32.320 --> 0:13:36.320 really good friend who has pretty some very hard autoimmune 0:13:36.440 --> 0:13:40.080 stuff like lupus and of stuff, and so she made milk, 0:13:40.120 --> 0:13:42.200 but very it was such an effort, in such a 0:13:42.200 --> 0:13:45.320 struggle for her to make enough, you know, and she 0:13:45.320 --> 0:13:47.400 she did, you know, six weeks or something, and then 0:13:47.400 --> 0:13:50.400 she was like, it was just depressing her how little 0:13:51.000 --> 0:13:53.400 she was making, and so she started to introduce for me, 0:13:53.480 --> 0:13:55.120 and that was a choice for her. But it was 0:13:55.160 --> 0:13:57.560 an autoimmune thing, that's right. And on the same token, 0:13:57.559 --> 0:13:59.640 there were women who are taking medications for other medical 0:13:59.640 --> 0:14:02.920 condition is that can't breastfeed are told not to breastfeed. 0:14:02.920 --> 0:14:04.920 This may not be safe for you to be off 0:14:04.960 --> 0:14:07.679 of a medication that you really need, even though yes, 0:14:07.720 --> 0:14:10.079 your baby should have breast milk maybe a week or 0:14:10.080 --> 0:14:12.160 two of nursing before you put your back on your medication. 0:14:12.480 --> 0:14:16.280 There are so many possibilities that women could face. We 0:14:16.280 --> 0:14:18.160 don't want everybody to feel like if you didn't get 0:14:18.160 --> 0:14:20.240 a chance to breastfeed. Although I know how important and 0:14:20.280 --> 0:14:22.880 special and wonderful it is that that you're a failure 0:14:22.880 --> 0:14:26.120 because you didn't provide breast for your own baby. Women 0:14:26.120 --> 0:14:29.080 are are very kind. Some women share their breast milk 0:14:29.160 --> 0:14:31.760 or offer their breast milk to a milk bank or 0:14:31.800 --> 0:14:34.480 a donor center where milk can be made available for 0:14:34.520 --> 0:14:37.280 another baby. So we want women to know you go 0:14:37.320 --> 0:14:40.320 into the story planning to latch your baby, planning to nurse, 0:14:40.680 --> 0:14:43.720 and then we'll deal with whatever issues that present, whether 0:14:43.760 --> 0:14:47.320 it's too much milk, hardly ever really anything to be 0:14:47.360 --> 0:14:49.880 too upset about, but it can be a problem, or 0:14:49.920 --> 0:14:52.400 not enough milk, or just enough to get by but 0:14:52.600 --> 0:14:55.760 not extra. There's no storage in this house versus we 0:14:55.800 --> 0:14:59.200 have a freezer full and endowed women who's happy to 0:14:59.200 --> 0:15:02.000 share her milk or donate her milk. So we run 0:15:02.040 --> 0:15:05.320 into generally the typical problems for mothers that call a 0:15:05.400 --> 0:15:07.560 lactation consultant to come out and see them, or the 0:15:07.560 --> 0:15:10.600 people we see in a pediatrician's office are difficult latch, 0:15:11.400 --> 0:15:14.800 painful latch. Difficult latch meaning I can't get coordinated to 0:15:14.840 --> 0:15:17.080 do it by myself. I need help to learn, or 0:15:17.200 --> 0:15:19.360 my baby doesn't seem to know what to do well. 0:15:19.400 --> 0:15:22.080 The baby can't do it. Sometimes they're compromised because their 0:15:22.160 --> 0:15:25.040 jaundice and or the bili rien levels are high, or 0:15:25.080 --> 0:15:27.920 they've had, like I said, a difficult birth and they're 0:15:28.000 --> 0:15:30.880 not able to do the mechanics of nursing, and the 0:15:30.920 --> 0:15:34.120 baby needs a little training. And sometimes it's the mother's 0:15:34.200 --> 0:15:36.000 milk supply, which is a big issue. We get called 0:15:36.000 --> 0:15:37.920 a lot for I don't have enough milk, my baby 0:15:37.960 --> 0:15:40.080 is hungry, or I need to supplement and things like 0:15:40.120 --> 0:15:44.320 that and help the mother increase her milk production. Many calls, however, 0:15:44.440 --> 0:15:46.960 are about I'm a working parent and I need to 0:15:46.960 --> 0:15:49.960 go back to work, and you help me navigate a 0:15:50.040 --> 0:15:53.520 journey with breastfeeding in it, pumping in it, or possibly 0:15:53.560 --> 0:15:56.640 supplementation in it, which is not a curse word. It's 0:15:56.640 --> 0:15:58.160 a good thing. The fact that we can feed a 0:15:58.200 --> 0:16:00.880 baby something other than their own there's milk or don't, 0:16:01.160 --> 0:16:03.360 they can survive is like a mirriad and you can 0:16:03.920 --> 0:16:06.240 and you can can continue for a very long time 0:16:06.280 --> 0:16:08.880 that way, whereas it might have been I'm done because 0:16:08.960 --> 0:16:11.320 I don't have enough breast milk. I'm gonna have to switch. 0:16:11.400 --> 0:16:14.040 Nobody has to switch completely. We can take you a 0:16:14.080 --> 0:16:16.760 long way with some nursing once or twice a day 0:16:16.880 --> 0:16:19.080 or three times a day, or some pumping and some 0:16:19.120 --> 0:16:22.280 supplementation if needed. So lactation consultants are called in for 0:16:22.280 --> 0:16:24.200 a variety of things. We're even called in to help 0:16:24.240 --> 0:16:27.560 mothers stop breastfeeding. Sometimes mothers are at the point in 0:16:27.600 --> 0:16:30.080 their story where you know what, I've got to make 0:16:30.080 --> 0:16:33.240 a transition. I've had many many women call me saying, 0:16:33.600 --> 0:16:36.320 I'm pregnant with my new baby and my physician asked 0:16:36.320 --> 0:16:38.280 me to stop nursing for my health and the new 0:16:38.280 --> 0:16:41.120 baby's health. That's a big issue for a lot of women. 0:16:41.400 --> 0:16:44.280 You'd be surprised how many people actually find out there 0:16:44.280 --> 0:16:46.720 twenty weeks pregnant and they're nursing a seventeen month old. 0:16:47.320 --> 0:16:51.560 They were pregnant and loved every second of that second baby. 0:16:51.560 --> 0:16:55.080 There's so many stories out there. Um so, just knowing 0:16:55.120 --> 0:16:57.840 that there's someone you can call, someone you can talk to, 0:16:58.120 --> 0:17:01.640 who then, if needed, can connect you. The lactation consultant 0:17:01.680 --> 0:17:06.960 is a a conduit to a massage therapist. Some women 0:17:07.000 --> 0:17:09.600 have damaged their neck and shoulders from leaning into their 0:17:09.640 --> 0:17:11.760 baby when they could have been more comfortable just not 0:17:11.800 --> 0:17:16.560 knowing how to position a massage therapist, chiropractor, a um 0:17:16.680 --> 0:17:19.120 e anti doctor, for example, or a dentist who does 0:17:19.240 --> 0:17:21.560 for nectomes or pontoms. Is there if there's a bad 0:17:21.880 --> 0:17:23.560 when there's a tongue tie or a lipti in some 0:17:23.640 --> 0:17:26.560 cases they may want to clip that. UM will connect 0:17:26.600 --> 0:17:29.200 people to a cranial sacral therapist if that's the case, 0:17:29.520 --> 0:17:32.280 sometimes to a therapist. Some women need a little help, 0:17:32.440 --> 0:17:36.320 some dads need a little help. Sometimes sees little hearts 0:17:36.359 --> 0:17:38.639 in this. Yes, there are people in the story. Besides, 0:17:38.680 --> 0:17:41.160 there's a sibling in the story. Maybe there are two. 0:17:41.359 --> 0:17:43.640 I've been at homes where there are five other siblings 0:17:43.760 --> 0:17:46.200 and everybody wants the mommy time or the daddy time, 0:17:46.320 --> 0:17:48.679 or you know, grandma time. And the people in the 0:17:48.720 --> 0:17:51.600 story are are busy with a newborn. So there are 0:17:51.640 --> 0:17:53.960 a lot of pieces why a lactation result can be 0:17:54.400 --> 0:17:57.359 a vehicle and a conduit to other support people in 0:17:57.400 --> 0:18:01.600 finding the right nanny, helping find the right baby. But 0:18:02.200 --> 0:18:04.639 you're never leaving my house, is what you're doing? Because 0:18:04.720 --> 0:18:11.840 you are all these things and I meet you. So 0:18:11.920 --> 0:18:14.399 how are some ways that partners can really help a 0:18:14.440 --> 0:18:18.480 breastfeeding mom. It's very important to have everybody around in 0:18:18.520 --> 0:18:20.959 the beginning with the pregnancy to talk about what their 0:18:21.040 --> 0:18:22.480 roles are going to be and who's going to be 0:18:22.520 --> 0:18:25.320 helping and doing what, so we don't over tax anybody 0:18:25.359 --> 0:18:27.040 with getting up in the middle of the night when 0:18:27.040 --> 0:18:30.160 they are working parents in the family, or um expecting 0:18:30.160 --> 0:18:32.600 people to do everything around the house instead of just 0:18:32.960 --> 0:18:34.760 pick up a few things around the house that the 0:18:34.800 --> 0:18:37.840 mother may have done before, or the other mother may 0:18:37.840 --> 0:18:40.600 have done before, the dad may have done before. Especially 0:18:40.600 --> 0:18:42.359 in the case of a single mom. If there's a 0:18:42.359 --> 0:18:44.280 mom having a baby by herself, we need to make 0:18:44.320 --> 0:18:47.359 sure she's got people around her who are going to 0:18:47.440 --> 0:18:50.320 help her and support her, whether it's bringing in a 0:18:50.320 --> 0:18:52.440 two day a week person to help straighten up the house. 0:18:52.960 --> 0:18:56.920 So setting up people's expectations is very important, making sure 0:18:56.920 --> 0:19:00.159 everybody understands their role and how important they role is, 0:19:00.240 --> 0:19:02.560 and then trying not to step on each other's toes. 0:19:02.600 --> 0:19:04.240 I think one of the big things is when a 0:19:04.440 --> 0:19:07.000 when a woman is running a home, for example, UM 0:19:07.000 --> 0:19:10.080 and there are partnerships in the home, letting go of 0:19:10.119 --> 0:19:12.439 the things that they normally would do to take care 0:19:12.480 --> 0:19:14.600 of the baby can be very hard and when someone 0:19:14.600 --> 0:19:16.440 else steps in and says, well, I'll put the dishes 0:19:16.480 --> 0:19:18.560 away for you, but I like to put away a 0:19:18.560 --> 0:19:20.280 certain way, son Ames. You have to be willing to 0:19:20.359 --> 0:19:23.840 let go. A very famous story is the daddy's uh 0:19:24.240 --> 0:19:27.679 piece for a second here, mother may have asked there 0:19:28.000 --> 0:19:31.399 her husband or friend or somebody to change the baby's diaper, 0:19:31.560 --> 0:19:33.680 only to have the baby come back and be ridiculed 0:19:33.680 --> 0:19:36.320 about the diaper wasn't done correctly. You got to learn 0:19:36.400 --> 0:19:39.440 to turn your yeah, your little tuneer down one help. 0:19:39.520 --> 0:19:42.760