Nursing strike: self-weaning or a sore throat?

thermometerSince starting solid food, C had had a remarkably relaxed attitude to breastfeeding: she never gave any indication she actually wanted to do it, but when offered the chance she was always happy to tuck in. This was particularly true when she was ill. Often she would go off solids, but would still be happy to breastfeed frequently, which reassured me she was receiving at least some form of nutrition.

When C was got a particularly nasty cold at around 11 months, I didn’t worry too much about her loss of appetite, assuming that I would be able to top her up with breast milk as usual.  Unfortunately, C had other ideas. After a few tentative sucks, she turned her head and pushed me away with a resounding, ‘no!’ Although part of me was delighted at how well she had articulated her refusal, the rest of me was upset, almost alarmed at the suddenness of it. C had never refused to breastfeed before. Certainly, some days she was keener than others, but this outright rejection was completely new. Although the following morning I managed to feed her again when she was half-asleep, it was the only time she nursed in a 24-hour period.

This pattern repeated itself the following day, leaving me frantic with worry. What had happened to put her off? Was it something I’d done? Was it simply her time to wean? How would I know the difference? Obviously if C genuinely did want to wean, I didn’t want to pressure her to carry on breastfeeding, but as stopping was pretty final, I didn’t want to do it unless I was absolutely sure it was what she wanted.

I was shocked at how C’s nursing strike impacted on me emotionally. I was teary, overwrought and pretty much incapable of thinking about anything else. It seemed important to get it into perspective, however, so I eventually pulled myself together enough to consider the issue rationally. One major clue to the source of refusal was staring me in the face: not only was she shunning breast milk, but she was also refusing bottles, and with the exception of yoghurt, pretty much any food or drink. Whilst this was incredibly worrying in some respects, it did point to the fact that the problem may be less to do with breast milk, and more to do with consumption generally. I then started to think about the nature of her illness, and concluded her symptoms were pretty similar to the ones that I had at the time – a runny nose, cough… and a sore throat. I didn’t know whether C’s throat was also sore of course, but if it were, then it would be a pretty convincing reason for not swallowing unless it was absolutely necessary. The cold I was suffering from had left the roof of my mouth pretty tender too, which, if you think about it, could make breastfeeding particularly unappealing.

I continued to offer C feeds, which she would sleepily accept once a day, and after a week or so she was almost back to her normal routine. I can only assume that the strike occurred because of her illness, and now she was feeling better, she was happy to breastfeed again. Although the incident was traumatic in some ways, it did at least leave me confident that if C goes off breastfeeding because she’s ill, it’s something we can get through, and if she’s stopped because she wants to stop… well, that’s something we can get through too. When the time comes for her to genuinely wean herself, I now think I’ll be able to cope with it a little bit better, and simply be happy that she’s growing up and gaining independence.

Expressing at work and leaving bodily fluids in the communal fridge

man-opening-refrigeratorWhen C was 6 months old, I had to go back to work. Although I was returning full time (a part time position in my job would mean working full time for a lower salary), I was able to spend two days a week working from home. C would go to nursery while I was in the office, and I would juggle her and my job the rest of the time. (I say ‘the rest of the time’ rather than ‘the other two days’ as this kind of arrangement inevitably spills over into evenings and weekends.)

Her tender age meant that milk was still her main source of nutrition, and I quickly realised I was faced with a dilemma: express milk at work, or switch to formula during the day. If I didn’t pump in the office, my supply could drop to the extent that I’d struggle to feed her myself on the days I was a home, and I’d also find it hard to express enough milk to give her for nursery.

I appreciated that pumping at work wasn’t necessarily an easy option, however. The most pressing concern was the location – where on earth was I going to do it? I didn’t really fancy a toilet or shower cubicle, and I couldn’t think of any obvious alternatives. I was aware that recent legislation requires employers to provide a suitable space for nursing mothers to express, but I seriously doubted that this had been tested in my (predominantly male) workplace before. Although I was right about this, it turned out that I needn’t have worried. The head of admin had breastfed herself, and was completely sympathetic to my predicament. Admittedly, she had to think for quite a while before she came up with what was basically a broom cupboard, but as it was a lockable broom cupboard, I wasn’t going to complain.

So far, I’ve been managing to express milk virtually every day I’ve been at work, although scuttling in and out of the pump cupboard makes me somewhat self-conscious, as there is no obvious reason why I would want to spend 20 minutes in there every lunchtime. I question myself regularly about why I’m so worried about being ‘caught’ going in there, and have come to the conclusion that it’s basically because I don’t want to encourage anyone at work to think about my boobs, especially not in the inescapably undignified process of being milked. I don’t mind people knowing I breastfeed C, but I’d rather not have to explain about the pump.

Storing the milk therefore requires a certain amount of nonchalance. Whilst my colleagues are all liberal, intelligent people, I’m not really inclined to advertise the fact that I’m keeping my bodily fluids in the communal food storage area. Instead, I simply walk in each afternoon avoiding eye-contact and put an odd-looking package directly in the refrigerator. (To disguise the bottle, I’ve ended up wrapping it in several layers of plastic grocery bags, and although this does effectively obscure its appearance, it also looks rather strange.) Whether anyone has guessed what I’m doing I don’t know, but as yet, they’ve been too polite to ask.

Breastfeeding and being sick

thermometerAt 3.00 am, C started coughing. The cough turned into a whine, and as my heart sank, a full-blown wail. As I got out of bed to comfort her, I felt a bit odd, but put it down to the early hour and my chronic tiredness.

I sat down to feed C, who was still grumbling, hoping that I’d feel better shortly. I didn’t. After what seemed like an age, C finally had enough milk to send her back into a doze and I put her back into her cot. I then bolted to the bathroom. I only just got there in time.

After I had vomited every last bit of the lovely meal my husband had cooked the night before, I collapsed on to the floor filled with worry. It was one thing for me to be sick, but what if C was too? What if we all were? My thoughts then turned to breastfeeding. To avoid C catching a virus (if that’s what it was) surely the best thing to do would be to steer clear of her? But this would also mean not passing on valuable antibodies, not to mention ruining my milk supply and risking engorgement or mastitis. It was also highly likely that C had already been exposed to any infectious illness before I started exhibiting symptoms, so continuing to nurse as I usually did was really the only sensible option.

I carried on breastfeeding C as normal, washing my hands first and trying to minimize the germs she encountered. Or at least I tried to feed her as normal. After half a day of this, I realised that germs were only a small part of the problem. My energy levels were at rock bottom, I couldn’t keep anything down and I was massively dehydrated. Engorgement was the least of my worries! My let-down reflex took an age to kick in and C ended up bawling in frustration. I’m still trying to work out why exactly my ability to breastfeed was so depleted, but I can only assume it was related to my poor ability to keep food or drink down, and the resulting plunge in fluid levels and blood sugar. Assuming I had norovirus – the winter vomiting bug – this acute phase of sickness shouldn’t last more than 24 hours. I sincerely hoped this would be the case.

Thankfully, 6 hours later, I was sick for the last time. Although it took me several days to recover completely, my milk supply soon picked up and C remained impressively illness-free.  Whether she had developed sufficient immunity through exposure to antibodies in my milk, or simply didn’t come into contact with the virus I don’t know, but she didn’t show a hint of being sick. Unfortunately, the same couldn’t be said for my husband, who started racing to the bathroom the minute I stopped…

Breastfeeding in public: is nine months really the end of the road?

bibAlthough the NHS recommend breastfeeding for at least a year, and the World Health Organization for two years and beyond, I’m well aware that Western culture doesn’t really allow for this. Thanks possibly to hard-line health awareness campaigns, it now seems generally acceptable to be seen feeding very little babies in public, but it’s also still acceptable for people to vociferously object to anyone breastfeeding an older child. Gauging the point at which breastfeeding goes from ‘good’ to ‘bad’ is a tricky business, however. When does your gorgeous little infant suddenly lose their innocent penchant for breast milk, and turn into an ‘older child’, apparently in danger of being psychologically damaged by continued nursing?

Many people I know have given me their opinion on breastfeeding beyond this (as yet undefined) ‘baby’ stage.

After a television programme on extended breastfeeding, a fairly inebriated friend of my husband held forth about how how unpleasant it was to see people breastfeeding children (which doesn’t entirely explain why he spent an hour watching it on television). It wasn’t clear why he held this view, but the fact he is an avid reader of such publications as The Sun, Nuts, FHM and Maxim perhaps gives some indication of his attitude towards, and personal interest in, breasts. ‘Surely it’s got to do some long term psychological damage – f*** up your attitude towards breasts,’ is an argument that is wheeled out quite frequently (as demonstrated in this discussion of Nell McAndrew’s decision to breastfeed her toddler), although interestingly, I’ve yet to hear it from a woman. It is of course possible to turn this argument on its head – in many other countries, breasts are viewed as primarily practical, rather than sexual, so if you must view these things in black and white, you could argue that this is the ‘right’ way round – but such men seem strangely unreceptive to this possibility.

The idea that a child may be negatively affected by a memory of breastfeeding is another charge that comes up quite frequently. I’ve never got to the bottom of quite why this would be the case, but it seems, again, to be to based on the premise that breasts are for grown-ups, and getting them out for children is slightly suspect.

I had a recent discussion about feeding older children with a couple of very good friends, and although a concrete age was never mentioned, the topic came up when I started to breastfeed C, who is now nine months old. Although obviously still a baby (she can’t yet walk), she is able to sit up, wave, clap and generally communicate. It’s presently quite unusual for babies in Britain to still be breastfed at this point – according to the latest Infant Feeding Survey, only 20% of mothers make it to nine months. The timing of the conversation may have been entirely coincidental, of course, and nothing to do with me giving C an afternoon snack, but I found it hard to dismiss the thought that there was a coded message in there.

I’ve since talked to my friend about this, and while she was adamant this wasn’t the case, she also admitted she has a bit of a problem with breastfeeding toddlers. When she asked me how long I was planning to feed C, I said I wasn’t sure, but I couldn’t dismiss the possibility of continuing for another few months. She understood my reasons for this, and agreed that this was, in theory, a positive thing, but it clearly wasn’t something she felt entirely comfortable with. I’m ashamed to say that it isn’t something I feel entirely comfortable with either. The idea of feeding C (behind closed doors) is lovely, but the thought of admitting to anyone that I’m ‘still’ doing it is less appealing. I am, however, convinced that this is something I have to address: it isn’t much good complaining about our society’s attitude to breastfeeding, unless I’m prepared to challenge it myself.

Let down by my let-down

pramIn theory, I am a strong supporter of nursing in public: it is the perfect way to demystify and promote breastfeeding, and the only realistic way to feed your baby when you’re on the move. In practice, I have always struggled with it. In the first few weeks, when it was excruciatingly painful, and the latching on ‘dance’ (as it is optimistically termed) C and I performed actually resembled a boxing match, my reticence was understandable. Three months later, with a finely-honed technique, I had run out of excuses.

One weekend, I decided to get some much needed public nursing practice in on a trip to a family-friendly department store. Previously, I had fed C in the car, or in the specially provided breastfeeding area. One trip to this part of the store was enough, however (it was an open-plan extension to the nappy changing facility) and I decided to feed C in the cafe, where I’d previously seen lots of other women breastfeeding.

To set the scene: this particular store is packed with the kind of educated, middle class parents who understand the importance of breastfeeding, and wouldn’t dream of raising any objection. My husband J went off to get some drinks, and I settled down to feed C. She was peckish, but not overly so, and was happy enough to spend some time performing the short suckling movements that help initiate let-down. Ten minutes later, she was starting to get frustrated. What was going on? Nothing was coming out! I hadn’t nursed for several hours, so had plenty of milk on board, but for some reason my let-down reflex was failing to function.

After another five minutes of suckling, and a bit of time reassuring a very confused C, my milk finally kicked in. I’m not quite sure why my let-down deserted me on this particular day, but I can only put it down to the noise and stress of feeding in a public place. In situations which other mothers find problematic, such as expressing milk when their baby is absent, I have no problem at all. When I think someone might be watching, however, I often end up in a vicious cycle of stress->no let-down->more stress.

As time has gone on, I find it easier to relax, and haven’t yet had a repeat of this particularly serious let-down failure. Although I can still suffer from performance anxiety from time to time, I try not to let it put me off completely, and as ever, things are improving with time.