Damn! Take a look at those breasts!

As you may have come to realise, I'm still trying to decide whether to go for breastfeeding or not.  My hopes that the Prenatal class would cover the topic  before I pop were met yesterday.  Instead of getting more answers that would encourage me to give it a shot though, I came across more potential issues.  Issues I won't know whether I'll encounter until they actually happen.

This is where you should close the tab/window if you don't want to hear about my boobs.  Just sayin'.

Size does matter
It turns out that small breasted women have an easier time when it comes to the whole deal.  Not only does their upper back not suffer as much due to increased breast weight throughout the pregnancy and breastfeeding process - but they don't face as many issues with latching as we uber-boobed women.

There is also the matter of your standard cradling position not being the most adequate position when your boobs are almost your belly button's neighbours.  This means that it will take more experimentation with different positions until you figure out what works for you.  Laying down on your side is recommended - however my question remains "What about public places?!"

When I asked the question I was assured that by the time I'm out and about with Creature, s/he will have learnt to latch on properly and I will have found a position that works for me.  To be perfectly honest, this did fuckall to put my mind at rest - if anything I found it more depressing to think that it may be a few months until I'm out in public with him/her.  The truth is, I probably will not venture out for a few months anyway - however I like having an answer as to how to deal with it if I want to face the outside world.

Not to mention that a good nursing bra is important more than ever when your bosoms are ample.  It means facing the nightmare of trying to shop around for a bra that fits.  You have no idea how difficult that can be - unless you're One Of Us.

Flat and/or Inverted Nipples
OK, this might confuse you.  I know it confused me at first until I figured out what on earth they were going on about.  The best way to explain it to you is by being graphical.

Yes - not everyone has the 'classical' nipple that we are all familiar with thanks to movies.  Just like boobs themselves come in all shapes and sizes, so do nipples and areolas.

When it comes to flat and/or inverted nipples it can be harder for a baby to latch on.  Larger areolas can also make it more daunting.

Oh, if you're not sure what an areola is, it'd be the dark circle around the nipple itself.  They can be as big as saucers at times! During pregnancy they have a habit of trying to 'swallow' your boob and expand in size - or darken in colour which makes them more pronounced.  Unsurprisingly, a lot of women don't like it.

The most common advice would be to use a breast pump before feeding to 'draw' out the nipple.  Ouch.

Now, when you have bigger breasts, most breast pumps won't be appropriate for you as the funnel bit of them would be too small.  As with the vast majority of items aimed at covering and/or providing some sort of 'service' for breasts, the smaller sizes are more commonly catered for.You're lucky if you manage to find a place willing to order something especially for you - and although the internet can be very helpful, it basically means that to buy - for example - a simple bra, you have to plan ahead and be denied the opportunity to try it on before purchase.  It is a pain in the arse, i tell ye!

Insomnia
"What has insomnia got to do with it?!" you're probably asking me right now.  Alas, it has a lot to do with it - potentially.

One of the things that is emphasised is that you must be well-rested and well-fed to be able to breastfeed successfully.

As people tend to realise after knowing me for a short while is that I'm a chronic insomniac who tends to forget to eat due to exhaustion.  I frequently have to decide whether I should cook and eat, or try for the millionth time to sleep.  This is partially to blame/thank for my yo-yoing weight.

When you're breastfeeding a baby, s/he relies entirely on you to get the nutrients they need.  Unlike the placenta, breastmilk will be much more limiting to what nutrients are passed on to Baby.  So if you're not eating right, your breastmilk will betray that factor as it will be lacking in nutrients.

On the other hand, if you're not getting enough rest, this may very well decrease milk production.  When I voiced my concern about this, I was greeted with a "For all you know your sleeping patterns might improve once Baby is born."

Heh. Wishful thinking. Highly unlikely though.  If anything, I probably will be even more stressed, thus getting even less sleep if that is even possible.  Being a Single Parent doesn't help reducing the stress as I have to be alert pretty much all the time.  I will pretty much have to sleep with one eye open as there will be no one else I can rely on waking up should something arise.


Whilst trying to find some information online, I stumbled upon this website
, and the following jumped out of the screen at me:

"Dangerously sleep deprived? Consider occasional bottle-feeding.

Great advice for people who are simply sleep deprived - not so much for Insomniacs, I'm afraid.

The one thing all three issues have in common is the following advice: Speak to a Lactation Consultant.

Locally, there is the Breastfeeding Walk-in Clinic available, which usually involves having an appointment set up with shortly after giving birth - however they also deal with walk-ins.  You're able to visit them without an appointment should you need.  Upon looking up information about the clinic, I found the following information which is correct to date]:

The breast feeding walk- in clinic is a clinic run by midwives to help new mothers with breastfeeding. This clinic is led by head midwife Ms. Helen Borg. The clinic is found on the first floor of the Outpatients Department. Mothers may drop in on Tuesdays and Thursdays between 8am and 1 pm, and between 3.30pm and 6pm, no appointments are necessary during these days. On other days, mothers are asked to call 2545 4445 or 2545 4447 to make an appointment so a midwife can assist the mother. The midwives in this clinic also visit the Obstetric Wards, to offer support to new mothers with breast feeding and also to discuss any difficulties that these mothers may have.

Mothers may attend this clinic without a referral, however there are occasions where this team of midwives may be called by staff from the Obstetric Wards or by private clinics.

- Ministry of Health, the Elderly and Community Care

Taking the above into consideration, I still have not decided whether to go for it or not.  The fact that I will return back to work about 3 and a half months after giving birth means that I will have to introduce bottle feeding.  Whether the bottle feeding will contain formula milk or breast milk is yet to be seen.

I'll keep you posted with my decision, whatever it may be.

Further reading:
Nursing Tips for Large Breasted Women
Helping Large Breasted Mothers
Breastfeeding with Flat or Inverted Nipples
Breastfeeding: Flat & Inverted Nipples Advice

'Cause if you feed me Seymour, I can grow up big and strong

I have recently been looking at various Formula Milk options to try and figure out which one to buy for Creature.  I must say, it is a perplexing process - not only do I know next to nothing about it, but I won't know if Creature will like it - or have any allergic reactions to it even.  In the meanwhile, I've gathered as much information as I possibly can about it all.  You'll find it all explained as clearly as I possibly could below.

There are three different types of formula:

• cow’s milk-based formula
• hydrolysed protein formula
• soya-based formula

Cow's Milk Based Formula
The majority of Formula Milks are based on cow's milk, which is modified to resemble breastmilk as closely as possible. The cow's milk is modified by adjusting carbohydrate, protein, and fat levels and adding vitamins and minerals.  There are specific brands that modify the milk especially for Premature babies too!

One thing that perplexed me is reading "Stage 1" and "Stage 2" on on milk's containers.  So, what do they mean?

When the milk is modified, it is broken down into curds (casein) and whey. The ratio of casein to whey can vary according to the type of baby formula milk. This is what Stage 1 and Stage 2 are referring to.
Stage 1 milks consist of mostly whey, with a casein:whey ratio of 40:60, which is more or less the same as breastmilk. They are thought to be easier to digest, and are suitable from birth up until your child's first birthday.  Stage 2 milks consist of mostly casein, with a casein:whey ratio of 80:20. They take longer to digest and are often promoted as being for hungrier babies.


 In truth, your baby will only ever need the Stage 1 milk, nutrition-wise, but you might wish to switch to Stage 2 as your baby grows - perhaps to prolong the gaps between feedings. Be careful not to switch from Stage 1 to Stage 2 too early, as it might cause your child to become constipated. "How early is too early?" you might ask.  Well, many milk manufacturers market their second-stage milk as suitable from birth, you are better off waiting until your baby is at least four weeks old. Your can decide to completely skip the second-stage milk if you want, and once your child is 1 yr old, switch directly to cow's milk.

Cow’s milk is low in iron and vitamin C, so it shouldn't become the main milk before your child is at least 1. You can, however, use small amounts in cooking for your baby once s/he has started weaning.

Hydrolysed-protein formula 
Hydrolysed-protein formula milks are based on cow's milk and have the same nutritional value as standard formula milk. The difference is that the protein in the milk is hydrolysed, which means it is broken down so your baby is less likely to have allergic reactions to it. These milks are also generally lactose-free, so babies with an intolerance to cow’s milk can digest them easily.

If you think your baby has a cow's milk allergy or intolerance, see your doctor who will be able to prescribe a hydrolysed-protein formula for your baby. You can usually buy these from your pharmacy. You can also buy special lactose-free formulas, which your doctor might suggest is your baby has a lactose intolerance. 



Soya-based formula

Soya-based formula is made from soya beans. It is modified with vitamins, minerals and nutrients to make it suitable for formula milk. If you would like to opt for Soya-based formula milk, speak to your doctor beforehand.  Soya formulas are usually marketed as suitable for babies from birth, however health professionals don't recommend them for babies under the age of six months.

It's not recommended that your baby has soya formula if she has a cow’s milk allergy. Babies who are allergic to cow's milk are often allergic to soya, too.

There isn't any particular health benefits that your baby would get from soya formula as opposed to other formula milks. Quite the contrary! Soya formula milks can actually damage your baby’s teeth over time, since they contain glucose syrup.This means that if you do choose to give your child Soya formula milk, you'll have to take mega extra super special care of their teeth.

If your baby doesn’t seem content with the formula you first started her on, talk to your doctor before changing formulas.

"What about older babies?"

Oh,b there are a vast variety of 'specially-lalbelled' formula milks out there, so I can understand your confusion...

Here's a brief list of different older-baby-formulas and what they mean:

Follow-on milks are milks with higher protein and mineral content than ordinary infant formula. They are sold as suitable for babies from six months old.

Goodnight milks are follow-on milks with added cereal, which are marketed as milks that help your baby sleep better at night. However, there’s no evidence that they help babies to settle at night, nor that they take longer to digest. Don’t give goodnight milk to overweight babies, nor to babies less than six months old because cereal isn’t suitable for younger babies.

Growing-up milks are marketed as a better option than cow's milk since they contain added iron and other vitamins and minerals. They are promoted to be used for babies from about one year old. However, growing-up milk isn’t needed. Once your child is 1 year old, s/he can have full-fat cow's milk as her main drink. Since by that age, your child will also be eating a varied and balanced diet, any essential vitamins and minerals ill be obtained from solid foods,  thus rendering growing-up milks obsolete.  

If you decide to raise your child as a vegetarian, you might wish to switch to an iron-rich formula once you start the weaning process if you find it difficulty in finding enough vegetarian foods that are rich in iron. 

One important thing to check for is any particular brand having had negative publicity.  I came across an article today about a brand called Enfamil where there have been illnesses linked to its consumption, so there is doubt on whether it might be tainted or not. 

When purchasing formula milk, you  will find prices tend to vary a fair bit, depending on brand, type and retailer. Hydrolysed-protein formula milk tends to be the most expensive option.  If you find some time, go around different shops in your area [if you work, you might want to check the surrounding area over there as well] and just take note of Shop name, Type of Formula, Brand Name, and Price.  If you are the type to carry a note book with around at all times, jot down the above info - or alternatively, your mobile phone will do.  This will then allow you to compare prices, for you to be able to get the cheapest deal without compromising quality.

It can take on average 30 minutes to prepare a bottle.  This depends on your sterilisation method and the type of formula milk you choose.  Here is a step-by-step guide on how to prepare a bottle, and here is a guide on how to store pre-prepared formula milk safely in a fridge.

Don't give in to bullying

From the moment you tell someone that you're pregnant, you're flooded with information, advice, babysitting offers, and gifts from well-wishers and peope who mean well and care about you. Gradually, the circle expands and it begins to include Other Mothers, and people you don't know, but who feel they should give you their input.

Whilst it is nice to hear other people's experiences, and undoubtedly, learn a thing or two from them that you didn't know before.... well.... it tends to get  annoying.

Don't get me wrong - I myself am grateful for all the input and advice I've been given. But, I think the bst advice I have ever been given was by a friend of mine who recently had her first child.

"Don't let anyone bully you into doing something you don't want to."

Then above advice was handed out whilst we were discussing Breastfeeding vs Formula Milk Bottle Feeding.  Both have their merits - but somehow it seems like people tend to take a frowny attitude towards you if you dare say that you're even considering NOT to breastfeed.  This may lead to your feeling pressurised into breastfeeding, even though you didn't wish to, for whatever reason.

The same pressure can be felt in other circumstances too. For example, when good friends/family members go "You will have to let me baby sit once the child is born!" How do you deal with that? Do you say yes just to avoid hurting their feelings? Do you say "We'll see" and take things as they come? Or do you politely decline their offer?

Or how about the over-enthusiastic 'Aunt'/'Uncle' who makes all these plans for your child and tells you all about how they plan to shower the child with gifts and sweets and spoil them rotten? Or who start buying lots of random junk that you yourself were hoping to avoid ever allowing in your house? Or Gods forbid you have a girl..... all those pink, frilly clothes? Or in the case of a boy..... tons and tons of blue clothes, cars, trucks, and other stereotypical boy-things? Do you resign yourself and just quietly deal with it, maybe by telling yourself you can re-gift the unwanted gifts?

Not to mention to plethora of name suggestions that will be thrown about by every Tom, Dick and Harry who happens to realise that you're pregnant. How do you tell, say, 100 people that whilst you think their own name is fantastic, you would rather not name your child after them.

Everyone seems to become a doctor, and give you health advice, and some even go as far as diagnosing your child with whatever disease [be it an illness or just an uneasiness] they reckon s/he is suffering from.

The above are just a handful of extremely common scenarios that you get to experience - some can occur on a daily basis for quite some time!

Do not let others dictate your decisions for you.You're the parent. You know what is best in your circumstances. Make your own decisions and don't let the well-meaning bullies win.