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The putting on and letting go of boobish airs

When I stepped off the train in Scotland — one of very few travelling adventures to date — the first thing I did was go to the lowland equivalent of what we'd call a neighbourhood dive and order the traditional breakfast of legend: piping hot black tea, blood pudding, baked beans, fried tomatoes, fried eggs and a steaming bowl of steel-cut (as if there is any other sort in Scotland) oats with cream, brown sugar and pats of butter melting on top.

I've never tasted porridge like that. It melted, it stuck to ribs, glistening, silky and substantial, a desert island meal. I dream of it. I try to replicate it. If I were food I'd marry it and have its gelatinous love-children.

But what, you may ask, do steelcut oats have to do with boobs?

EVERYTHING, says I.

+++++++

Say what you want about being an open mama, an accepting mama, universally supportive and non-judgmental. I'd say I'm all that, but I'd be lying.

I'm supposed to be too enlightened for prejudices like these.

Saying the following, as is required to be socially genteel:  Everyone has to do what feels best for them and their baby.

All the while thinking: Hmph. Bottlefeeders. Perhaps their nipples are insured like J. Lo's badonkadonk for six million dollars. Perhaps they're frigid at the true purpose of their own flesh and all the modesty blankets in Texas wouldn't be enough to contain their totally juvenile squeamishness. 'I tried but it was too hard…' Riiight. If it's not working, you're not doing it properly. Or you'd rather purchase your kid's first food at Wal-Mart.

(Ouch. I know. Breathe deeply, please, and bear with me.)

It came from passionate enjoyment, this secret righteousness. Breastfeeding was easy. So tactile, instinctual, fulfilling, on-the-fly. Why would anyone choose formula when they could do this?

Breastfeeding made me feel so proud, so self-sufficient.

And now for the humble pie.

+++++++

The boys were born and it was two months of NICU pumping, coaxing emotionally soured milk under duress, drip by institutional drip. It was effing hard work that was likely to never pay off, the nurses told me — preemies were notoriously poor breastfeeders, and many would never get the hang of it.

Since milk was the only healing and solace I could offer, I swore to prove everyone wrong.

I did, for a while. Now here's the trouble.

By reckoning of his adjusted age — which puts him at just over 4 months old — Ben has been right in the middle, the 50th percentile for both height and weight. Then a couple of weeks ago, the pediatrician charted him as falling to the 25th percentile for weight, noting concern.

Give him formula! the world shrieked, or so it felt. You're not making enough milk, and he's STARVING!

After all we've been through, that pissed me off. I needed support, not stress bombs. Seven months of pumping and domperidone and Guinness and water-chugging and tugging and yanking and barracuda-cuddles, and for what? To give up? At seven measly months? Not me. Not after all that.

Supplementing, I fear, is a one-way ticket to breastfeeding's end.

Baby drinks less milk, you make less milk, you feed more formula (repeat until dry).

And I am not a bottlefeeder. Not this soon, anyway. For the sake of vanity, pride, emotions, trauma, identity and my card-carrying membership in the Hey Facebook, Breastfeeding is Not Obscene! group and the Homegrown Dairy Auxiliary and the International Association of Modesty Blanket Burners.

It's not about you or your pride, says the world. It's about what he needs, and he's STARVING.

So offensive, after so much work and commitment to try and do the right thing, to be told you're starving your kid. Eff you, world. Take a pill, world. It's just a dip. He'll come back.

But the charts… the charts. The damn charts. Yesterday at the NICU followup clinic we were told he's slipped further, to between the 10th and the 3rd percentile, which is not good. 90-97% of all four-month-old babies are bigger than him.

He's still happy and big-brained and bright-eyed.

But teensy, and teensier still.

So… f*ck.

F*ck.

I am kneecapped.

+++++++

Grrrrrwwwaaaargh!

He's frustrated that it's not a continuous flow, that there is a delay when the spoon returns to the cup. When he finds it in his mouth again he slurps greedily, and repeats until we reach the end of the cup. Then he yangs.

Does he want more? Or is he full and uncomfortable? What do I do?

He plows through the second cup.

I hope I'm doing the right thing. I hope my milk supply doesn't suffer. I hope it's not too early for solids. I hope it doesn't turn his gut into a pretzel. I wish I knew something for sure, anything.

Once again I am a mama simultaneously with instincts and without a clue.

After a short boobie love-in he finally sleeps, bellyful of organic rice cereal cut with formula, the baby version of buttery scotch porridge with devon cream on top.

Maybe not the best thing to have for breakfast, but damn. He sure digs it.

At least it's a shade above blood pudding.

Pride shmide.


Posted on Friday, December 14, 2007 by Registered Commentersweetsalty kate in | Comments104 Comments

Reader Comments (104)

I was there. My daughter was there.

It's OK.

He'll be OK. And he might even be ... *grateful*.

The bottles might be OK, too ... if you want to try them ... it allows the snuggling, still.

I'm trying not to be mad at you for the judgment - that's the judgment that kept me hidden inside my house for months, so terribly afraid of what "people would think" if they saw me with a bottle. What mothers would think. So ashamed - ashamed of feeding my baby in the way that turned out to be most necessary for her.

Thank you for the letting go part.
December 14, 2007 | Unregistered CommenterAmy
It's so hard, isn't it? I too really enjoyed breastfeeding my kids and was proud of it, but being a working mom, i stopped both times at about four months. The pumping at work just wouldn't work for me. But the worries of weight gain/loss i remember well (without the added premie stress).

They really dig the cereal, don't they? We are all simultaneously mama with instincts and without a clue. How would we do it any other way? I just can't imagine.
December 14, 2007 | Unregistered CommenterStaci
The very same thing happened to us at our nine month appt for my son. I'm right there with you. I'm still feeling my way through. Trying not to judge myself. Feeling like an ass for judging others. Trying to figure my way through things...begging a nine month old to eat spoonfuls of avocado and at the same time wondering if he's just a skinny active baby and if I should have told the doctor to take her charts and cram them. Hoping that the scoop of formula in his oatmeal isn't laced with something I'm going to find out about down the road.

The things that seem to be helping: Me eating more, really fattening baby yogurt, and hearing from other moms how common this is.

Try to take it easy on yourself. I'll think of you when I'm choking down another Guinness this evening :)
December 14, 2007 | Unregistered CommenterElizabeth
Seven months is awesome. Really. If you mix it up a bit now to keep him on this excellent trajectory you created up to now, I really don't understand how anyone (you) can fault you.

At one point in our son Toby's boobing, I pumped after he ate to increase my flow. The midwives told me to do it for twenty minutes after I was dry, which lucky for me wasn't painful. I know many moms for whom that would be excruciating, so they would probably have had to do what works for them.

You are an excellent mother and breastfeeding is great as long as it works. There really doesn't need to be guilt when it doesn't, (especially after valiant efforts and lots of success) but I know that's easier to say than do.
December 14, 2007 | Unregistered Commentermiriam
Maybe they are still using charts for formula fed babies in which case he just won't compare. And if he's having plenty of wet and dirty diapers and is happy and active and sleeping for longish periods (not that mine ever did at his age!!! but that's another story) then he's probably ok.

And if he likes the cereal go for it. He probably knows better than we do what he needs. I'm sure you have oodles of milk - just don't let anyone tell you otherwise.

Trust your gut and hang in there - not everyone can be on the 50th centile or above.

Love your blog and i think you are an incredible woman. Merry Christmas to you and your family.
December 14, 2007 | Unregistered CommenterLiz
Aw, I know. Isn't it amazing how many emotions are wrapped up in feeding our children?

Lovely post.
December 14, 2007 | Unregistered Commenterstephanie
Amy - thank you for not being mad at me for the judgy bit, and for understanding my intent with this post. I think it's important for me to eat this humble pie publically. I was absolutely judgemental, not because of spite but from enthusiasm, but judgy still, and with no right to be.

I totally understand how it must have felt to not want to leave the house because of what people would think about bottlefeeding - if I have to start supplementing, which is very possible, I'll feel just the same way.

It's just too bad we don't truly learn some of these lessons until we see the world from the other side of the fence. :)

December 14, 2007 | Unregistered Commentersweetsalty kate
I had all sorts of ideas about how it should be, about who I was going to be (or even really about who I am) and what was supposed to happen. I think being a mama has helped me learn about all of the gray areas in raising children, in doing what feels right for your family and in parenthood and life in general. Nothing's as clear as it once was without the boy, which makes everything more confusing and beautiful at the same time. I'm sort-of in the black & white, good & bad personality category, and the "if you try hard enough, you should accomplish something" mentality too. Sometimes it's much more gray and I've had to find successes in reaching different goals. This is all incredibly obtuse, right? I just mean to say I totally get how it can suck (ha!) but sometimes what's right isn't our original ideal/goal; children teach this to us. You're doing good and asking all the right questions.
December 14, 2007 | Unregistered CommenterBeth
Was it a chart for formula-fed babies? That would be an important detail to know.

I have birthed nine babies. I have breastfed them all. (Bambino Nueve is seven months old and still nursing.) But for some inexplicable reason, my body rebelled against me after my fourth child. I had to give her solids much before I wanted to, and my milk dried up completely by 9 months.

I was so sad about it, and so mad at myself at the same time, and so shame-filled about my hidden prejudices against bottle-feeders. And then I gave my baby a bottle.

I hope that you're still able to breastfeed Ben. I think charts are overrated. Is he pooping and peeing as he should? Is he meeting developmentally appropriate milestones? These seem to be to be more significant markers than numbers on a chart.
December 14, 2007 | Unregistered CommenterAlison (in OH)
Making it to seven months is an awesome accomplishment. I could only nurse my daughter for about 4-5 months (she got four teeth at four months old and ingesting blood with her milk after she bit me probably wasn't a good diet) and then she had formula. I had to return to work when my son was seven weeks old, so we fed him formula during the day, 10-3, and I nursed him early morning and afternoon/night. I was not going to pump at work, so I trained my body to not produce milk during the day while I was working. I, too, was worried my supply would suffer, but it didn't and I actually nursed him well past a year. When I was off-work (summers and winter break) I would return to nursing all the time. Many of my friends were able to do this (most of them sahms) and it worked really well. So, anyways, this is my longwinded way of saying that it should work out just fine.

I actually had more to say, but I heard a crash in the other room and have to run.
December 14, 2007 | Unregistered CommenterAurelia
oh the joys and trials of breastfeeding - and oh the anxiety about supplementing or not - honestly I think I wrote a thesis on this topic and my second child. It's exhausting - for what it's worth, good job finding your way - we actually skipped the rice and went straight to infant oatmeal - I have no idea why that sounded "better" to me, purely an emotional reaction, but it helped him stay full.
December 14, 2007 | Unregistered Commenterkaren
Is the doctor using the BF chart, or the formula chart? Because they gain differently from what I understand...

and jebbus....how on EARTH did the human race survive without formula? I'm sure he's fine. If everything else is ok-why the panic?

I started Viv on cereal around 4 months-she LOVED IT, and we moved on from there. If she hadn't of been into it, we wouldn't have done it. Follow your gut Kate. You know your son better than any doctor ever will. (I formula fed mine due to circumstance, and I STILL think the stuff is the tool of the devil)
December 14, 2007 | Unregistered Commenterthordora
you are right - balance is key! your honesty and vulnerability to present even your deepest thoughts about the breastfeeding you is so good and honest. nothing to be afraid of. i have been there thinking very similar things and still never was faced with the "your child is starving..." argument from a dr. i don't know what it's like to have my milk go away AND, i know that for some - breastfeeding just doesn't come as naturally as it did for me and that's okay. what happens here kate is that you give permission for women to show up as who they really are and that is so valuable. there is a balance and seeing the other sid of the coin is what offers that balance to this crazy world and gives us hope - for what i am not certain. for one thing, mothering children is anything but easy and we will all face trials on this journey and it's good to know we can bring things to the table to sift through, wallow in and beckon for truth to emmerge.

good stuff kate - thanks for the post!
December 14, 2007 | Unregistered CommenterHeather ~ Traub Tribe
So many different ways to look at one little baby! Will it matter when he's 20? You've done a fantastic job and will continue to, no matter what nourishes him. If he were measured on a love chart, wouldn't he have blown it to smithereens?
December 14, 2007 | Unregistered CommenterMN Kathy
This is a brave post to put out there. And an important one, too, I think, given the propensity we all have to judge.

I probably would have been right there with you if my luck hadn't placed me on the other side. I was only able to breastfeed for two days before my world was turned upside down (my daughter has a rare genetic disorder, which made her unable to process protein, so no breastmilk--or regular formula for that matter). After that, our world turned to bottles filled with disgusting special formulas and toxic meds, and charts of every cc ingested. In some ways this made me even more envious of breast-feeders, in some ways it made me more understanding of formula feeders, and, overall, it just made me happy that something existed to help my sweet baby.
December 14, 2007 | Unregistered CommenterCrystal
There are times that I feel a bit guilty with regards to my mother (though, obviously, I had no idea or control over what I was doing). When I was born, I absolutely refused to breastfeed. To this day, I think it bothers her on some level that she never had that intimacy with me.

Not that this is anything like your post ...

I still can't get over his beautiful eyes. :)
December 14, 2007 | Unregistered CommenterAlieMalie
The steel-cut oatmeal is really good for milk production. (and so yummy if you add all the delicious extras!) It seem my milk production tended to slow down around the 4-month mark. That's when I had to really make sure I was eating lots (and not just healthy, lean food) to keep up milk production. I just do not understand the skinny girls who breastfeed - that was definitely not me. Just thought I'd add my 2 cents . . . I'm sure everything will work itself out. Don't let mommy guilt consume you. You're doing your best every day, that's what I remind myself.
December 14, 2007 | Unregistered CommenterMandy
Kate, you outed me from lurkdom with this post. I've been complacent being an anonymous bystander, but you touched a nerve that makes me feel protective of you. Both my girls were exclusively breastfed and followed almost the same growth curve. The notes I kept on my younger daughter say she was in the 50th percentile till 4 mos., went down to the 40th at 6 mos., down to the 20th at 9 mos. and to the <5th percentile at 1 year. She has maintained at <5th, following her own path under, but parallel to, the chart. With my 1st daughter, the docs put us through the wringer. They did every test in the book, invasive, scary, and radiation-exposing, convinced something was wrong. She was fine. Both my girls are healthy elementary age kids. They are both slim, that's all. I've never heard about a separate chart for breastfed kids. I sure wish we had one and that it would have prevented unnecessary testing. Of course I have no way of knowing if you're producing enough breastmilk or not, and I'm not advising against formula if Ben needs it. I wanted to share my experience because I think you should weigh what the docs say with your gut feeling, and get a second opinion if necessary.
December 14, 2007 | Unregistered CommenterJess
Forgive me if you have already tried this technique: It is usually used with premies, although I had to use it with my first (post-term) daughter, as my milk was slow to come in. It as a supplemental nursing system. You tape a newborn feeding tube (like the OG or NG he had in the NICU) to your breast, so that the tip lies on the side of the nipple. Apply the tape to the breast outside of the field of his latch. To the other end attach a syringe of formula. He will obtain his formula-calories while simultaneously stimulating your breasts to continue producing milk.

[With my first child, I felt very strongly about nursing, and she nursed until she was over 2 1/2 years old. When my second child was 6 months old, I started a job with very long hours (70 or more a week) and no place to pump. I also had difficulty staying hydrated. Within 6 weeks I had no milk. Luckily, she was more interested in the food than the emotional bond, and did not seem disappointed by the situation.]
December 14, 2007 | Unregistered CommenterKarenT
I would definitely agree... what in the world did we do before formula? Not that many babies actually starved!My son started eating baby cereal around 4 months and he loved it. So I don't think you're starting to early at all. All these "guidelines" are just that - guidelines. My Grandpa-in-law was a doctor and he tells me that they used to start babies with solids a few weeks after they were born. I don't think a whole generation suffered from that!Tell the doctors that unless they have more proof that he's doing poorly than simply his weight compared to the charts then there's nothing to worry about. Babies sometimes plateau. Maybe he's started moving more and he's expending more energy?Whatever you do, don't let them scare you into doing something you'll regret later!And by the way, I never mixed my baby cereal with formula, water worked just fine (or pumped milk, but I couldn't pump)
December 14, 2007 | Unregistered CommenterKrista
Breastfeeding is the most aggravatingly difficult 'natural' function. Ever.

You do your best. That's all you can do.
December 14, 2007 | Unregistered CommenterJanet
Over the past few yrs the information out there has changed a bit concerning solids and babies. My first held her head up by 2 months and was really into her solids by 4 months. She weaned herself off the breast by 9 months. The latest I've been hearing is to introduce mushy food at around 6 months and to leave the cereals for the first year. It can all bit a bit overwhelming and laced with guilt but I guess we just wade thru it and know we are doing our best. Hears a link to a great nutritionist that has some helpful tips. http://www.sproutright.com/

You've done so well to even be breastfeeding him at all. Pretty amazing!
December 14, 2007 | Unregistered CommenterD'Andrea
Ack, this is a hard one, emotionally and physically so. I can honestly say I had a love-hate relationship with BF at first, and did it with my oldest kiddo because I felt deep within me, somewhere, that all the angst we'd encountered with his colic, etc, I might as well give him the best life-source I could. I BF him for six months. With Boy #2, it all felt much more natural and easy, and I fed him for 7 months. With our Girl, I had every intention of going even longer, but she generally weaned at 5.5 months. There were a variety of factors; there always are. I was sad about that. But I knew I'd given each the very best for a good run; (while I support EBF, it wasn't for me). With my first, I so struggled with the supplementation thing. By Moira, I was much more comfortable with it and we did supplement while I BF her as well. I know so many women who BF, supplement, and do solids for a long time. The baby is often our best cuer.

I feel for you on how hard this whole situation can be; I remember many conversations with myself over it. If the Little Guy is seeming interested in the food, then you did the very right thing. If you follow your heart and your Mama-instincts, even if they differ from what your initial hopes and expectations might have been, all will be well. (I have a good friend whose doctor recommended formula supplementation when her kiddo was about six months old, because she just wasn't growing at the rate they hoped to see. Paige was a peanut, indeed. Healthy, but quite small for her age. It DID work. And her Mama continued BF as well, for a few more months). You should see the kid now - sturdy and perfectly healthy at age 2 :). Hugs to you, Kate - I think I offered you nothing but verbage here, but this is a personal one, with 'right' or 'wrong' not fitting. There just isn't one answer. FWIW, I would do just as you are.
December 14, 2007 | Unregistered CommenterJo
He wants to eat it kate, it must be good.I know, I've been there and I hate it, but the calories are important for these kids with a rough start. One of the first things the GI told me was that without extra calories my little girl would grow fewer muscles and nerves and that changed how I looked at it.My first did fine on breastmilk for nine months but that was her, this one is different.you've given me a craving for some of those oats.
December 14, 2007 | Unregistered Commenterlisa b
Kate,I am delurking to agree with Jess above. My first daughter was breastfed, was ~50% percentile for weight at a few months old, then started falling down the percentile points, finally ending at ~5% weight when she was less than a year, and has been there ever since (she's now 3 years old). Her pediatrician has never been worried, my pediatrican husband has never been worried, I have never been worried. She's always been happy, active, alert, hitting her developmental milestones, normal in every way--she's just very petite, is all. Breastfed babies start plateauing in weight gain far sooner than formula fed babies; the growth charts currently used by doctors are based on FORMULA-FED babies, not breastfed ones. I'm not telling you to ignore your doctor's advice. I obviously know nothing about your family's situation, other than what you post here. But you might want to think about a second opinion.

And you have already done so much for your little Ben, and are doing so every day, no matter what mode of feeding you (and he!) decide on.
December 14, 2007 | Unregistered Commenterthe bean-mom
Hi Kate,I can't help but post a comment back on this one. I started reading your weblog when you went into labor (courtesy of sweet juniper). I feel so much empathy for you on this topic. Both my girls refused to latch on, coupled with my engorged anatomy, and my post-partum garbage. I was able to pump for both girls, and also bottle fed them. The nurses and lactation specialists thought I was "giving up" too soon. As one of the lactation ladies was offering encouragement, I realized that I was getting to know this little person. I wanted to truly bond with her, and realized that it could be achieved without breastfeeding. I decided that it was going to be the first of many difficult decisions to make, and I could live with that. Each mom makes those decisions in her own time. (Yours is posted for all to see, though, eh?)You are a braver mom than I, and the trials you have faced with the boys are daunting. I hope that you are able to be at peace with whichever path you choose. It's okay to let your son be your guide; but then, you already know that, don't you?
December 14, 2007 | Unregistered Commenterjk
New reader coming out of lurkdom here, too. I went through something very similar with my kids. My first I breastfed actually and had pretty *conscious* judgments about mothers who never tried breastfeeding or those who "gave up". Partly I was "judgy" about those who "gave up" b/c I had a rough start with my first and we worked through it. So I "knew" these things could be worked through....

Then I had my second and all hell broke loose... Went through 3 lactation consultants, lots of thrush, LOTS of struggling feedings and just an unpleasant feeding time for baby and me. When I finally "gave up" I BAWLED my head off in my family doctor's office. Our doctor was so kind and sat with me for probably a half an hour, assuring me I wasn't a bad mom for giving my son formula. I think my own undercurrent of judgment from before about "those moms" made me feel worse about the whole thing than anything else did.

But, he survived, I survived, and he's a healthy, mostly happy (oh, he's a handful), and even gifted 6 year old now. And what's more - I survived, too. Within days I was OK and knew me feeding him formula did not mean I was giving him the juice of the devil. And if others judged me - so be it.
December 14, 2007 | Unregistered CommenterFesti
Kate,

I have never commented but I have to put in my two cents. I have breastfed all of my children (5)I am a slim average height mama and my kids were all in the lower percentiles. I just had small slim babies. They are growing into regular kids. You know best. Ben is growing, he looks happy and healthy. You are doing the best thing for Ben by breastfeeding him. Please, please, please don't quit. Every nursing mother worries about their childs growth sometime.Ben needs YOU to feed him. (Have you tried fenugreek(herb) or domperidone (drug) they work wonders.
December 14, 2007 | Unregistered Commenterheather
Kate,Babies who feed on breastmilk grow in a very different way than formula fed babies. What type of growth chart is ben being plotted on?? It is quite common for babies who are fed breastmilk (especially arounf 6 months to be leaner)In canada we are looking into using the WHO growth charts for that reason. Do you have access to a lactation consultant?? They tend to have lots of vauable info; including info on growth. You should be so proud of yourself; don't be dicouraged!!!!
December 14, 2007 | Unregistered CommenterAlison
The kids are asleep, so here's the last .05 of my cents.

Breastmilk is best in most cases, sure, but that doesn't make formula evil or bad. Feeding your child is what's important and however that happens, well, what matters after that?
December 14, 2007 | Unregistered CommenterAurelia
Kate,Such truth here. We ALL do it - judge, that is. We don't like to admit it, but we do."The bottle feeders are copping out", or "The breastfeeders have something to prove", etc.I do it.Then, you have a "smack you in the face" moment like yours and suddenly you are "them" instead of "us" (however those labels manifest themselves). Suddenly you think "Oh sh*t, here I am. What do I do now?".And this process is so good for us, this shedding of our familiar and comfortable and righteous skin."Whatever, I'll never be a homebirth transport! Much less a Ceasarean birther!"...that was me. And I became both.And I learned more than I ever imagined. And it led me to my life's work. And helped me to heal and led me to Indi's homebirth where I felt victorious and humbled. But had I not been a "them"...well, life wouldn't hold as much meaning and clarity for me. And flowing compassion.Enough of that.Just wanted to say AMEN, sister. And keep truckin', whether the love and nourishment that flows into Ben is through your breast or a spoon.xoxo
December 14, 2007 | Unregistered CommenterLeigh
Hi Kate,Delurking to say that I totally get the humble pie thing--I felt the same way about formula feeding and my firstborn never had a drop of it. Was I ever proud of myself for being such a great mother! And then I had a 9 pounder who came out starving. I had a very slow let-down response, and she was so, so hungry all the time that she would suck just a few times and then scream, and then I'd calm her and coax her to latch on again, and she'd suck a few times and then scream, and I'd get even more uptight.....and so it went. After two months of this I started giving her a bottle of formula in the evenings--I was so disappointed in my body (yes, I had tried herbs and foods and pumping, and nothing helped)--but she was so much happier! And since she wasn't starving she had the patience to suck long enough to get let-down. When she was about 5 months I started her on fruit and oatmeal, and pretty much immediately she started refusing the bottles. I think she just needed more than she was getting from me, and once it was coming in the form of food she wouldn't take formula. She breastfed happily until I got pregnant with my third and weaned her--around 16 months. So for us, it was a brief period of formula that got us over a hump, and it didn't at all adversely affect her desire to breastfeed. But it sure did affect my judgements about other moms and what they choose for their babies. I think I really needed to learn that we're all doing the best we can, and what works for one mom/baby may not work for everyone. You are a great mom, and you love your little guy to pieces--that's way more important than a little bit of formula!
December 14, 2007 | Unregistered CommenterBeth
You are so honest and so brave when you share your dilemmas. You help us all address our own reasons for being judgy. I remember wanting to cry out "It's pumped!" to (probably indifferent) passersby when I publicly gave bottles of breastmilk during a stint with a blocked duct.

With one of my boys I needed motilium too, and found it good enough to sustain him most of the time. But the stuff that worked like a charm was a tea made by Traditional Medicinals, called Organic Mother's Milk. There's magic in that brew, I tell you. (Or at least, fenugreek and blessed thistle.) Turned my little A-cups into udders. It's available at most natural food stores and even sometimes at Safeway or Superstore.

No judgement here - you'll work it all out.
December 14, 2007 | Unregistered CommenterPN
hi kate,i justed wanted to pipe in and say... you have overcome so many hurdles with nursing ben. seven months! that's fantastic. i know it's so stressful when doctors start waggling pecentages in our faces...yuck. so i'm squeezing my eyes shut and sending you some *virtual* peace because i think you're doing great, and i know whatever you decide it will be what's best for you and ben because you're an awesome mama.
December 14, 2007 | Unregistered Commentersarah
I can't tell you how relieved I am that you all understood where I was going with this. I almost didn't post it for fear of alienating some people, or inciting any sort of us/them debate, neither of which i wanted to do.

Thank you for riding through this with me, and for sharing your own truths...
December 14, 2007 | Unregistered Commentersweetsalty kate
As parents, we all have to make difficult decisions when it comes to raising our kids. It appears to me that many of us who have discovered your blog have spent time in the NICU - have delivered our kids prematurely - have had a hard time in the early days of growing our families. We have made choices never dreamed about while picturing our future lives. It's confusing, and I have had to learn there is no right way or wrong way. Just the way that is right for your family. Keep up the good work.
December 15, 2007 | Unregistered CommenterMelanie
Isn't this the most sensitive debate in parenting? Or so it seems. Since before my first child, it was one of the first questions I'd been asked. Will you BF? Good grief, I hoped to but I was also concerned with how to change a diaper and where to sleep the kid!

As Leigh so awesomely pointed out, we are all there at some point, or various points, in our Mama-lives. It is impossible not to 'judge' at least a bit, as we find out own ways, carve our own feelings out of all the choices parents have these days. It is heavily suggested that new mothers do it, so of course there is pressure to BF; the reasons make sense re: the health and natural aspect of it. But formula was created for a reason, and it's nourished hundreds of happy thriving children for years. What did Mothers do without breastfeeding? I believe they gave the babies milk, straight from the glass jar. At least, that's what my MIL told me about her experience back in the 50's. (When my she tried to coax me into that route during my first struggling weeks of BF Boy #1 I about fell over; formula, with vitamins and minerals and all that good stuff, sure seemed to beat straight milk for a newborn!) I will always be proud of myself for nursing all three of my kids for roughly 6 months; I will never regret how I included supplementation and solids into their feeding routine by 5 months. But I no longer judge the mama who has made her choice, whatever it may be. Leigh, you are entirely eloquent in your reply, as always. Love to you, Kate! You have awesome readers here ;).
December 15, 2007 | Unregistered CommenterJo
it must feel kind of unfair, after all your hard work to breastfeed, after all you & Ben have been through, to have to struggle with this too.

all i have to add to the wonderful chorus of support and anecdotes here is my own...when O was six weeks old, only two weeks past due date, they hospitalized him and insisted that he was probably allergic to breast milk and that we try a hypoallergenic formula. i kept pumping because i refused to stop nursing entirely, didn't quite buy the allergy deal, but was also worn out and totally unsure of myself so went along. when we were released from hospital, we started a nurse then supplement routine that stayed with us, going up and down, for entire year following. there were periods when he was four and five months, just before i started cereal with him (at about 4.5 months adjusted, because, like Ben, he was clearly hungry) when we actually made our way back to exclusive breastfeeding. and in the end we nursed until he was nearly 14 months.

so...even supplementation isn't entirely a one-way train.

thinking of you (and those oats) with fondness.
December 15, 2007 | Unregistered CommenterBon
I'm there with you Kate - my Christopher was just diagnosed as failure to thrive after dropping below the 3rd percentile. He's got major cardiac problems so this was the last thing we need. After months of fighting all suggestions of formula, I finally gave in - but he refuses the bottle! And now we're at the point of he either takes a bottle of high calorie formula or we have to give him a feeding tube.I have been so proud of our breastfeeding, after pumping in the ICU and re-teaching him to nurse after heart surgery....and now, I wonder if I've done him a disservice since he's now so small, only 12 1/2 pounds at 5.5 months.Do what you have to do, gradually, in your own way, but be proud of the fact you gave him mommy milk (and just mommy milk) for so long.Wendy
December 15, 2007 | Unregistered CommenterWendy
Wanted to add - Domperidone is a medicine you can take that will significantly increase your supply if you think that is the issue. It helped us get this far. Worth asking about before you make any switches.
December 15, 2007 | Unregistered CommenterWendy
I really feel how hard this is for you Kate. You gave Ben 7 months of breastmilk, through all that adversity, and percentiles aside, he's a thriving, smiling, healthy, glorious boy. Letting go of your own judgements and beliefs are by far the hardest things to do, but after my experience with a daughter who wasn't the best nurser, I had to as well. Problem was she wouldn't take formula from a bottle - she would only drink my pumped milk. We had to gradually mix...3/4-1/4, half-half, try a few different brands, and finally at 6 months...done. I felt the longer I kept breastfeeding, the harder it would be for ME to let go. It was hard. My plan is to keep an open mind with #2...Be proud of yourself for getting this far. Breastfeed what you can now, but enjoy watching him eat cereal - go and get yourself some bisphenol-free bottles and check out the fun world of formula. Maybe it'll be fun watching Evan feed his brother!
December 15, 2007 | Unregistered CommenterSteph
Okay - we went through this when Duncan was around 4 months. His weight dropped from the 50th percentile to the 20th - even on the breastfed charts. I wasn't ready to introduce formula in a bottle (I loved breastfeeding - we just quit a few weeks ago after 17 months!) but it was pretty obvious that I needed to do something.

So - ignoring the current advice which says no food until 6 months - I did a literature search of medical journals and found a very recent British study that said that feeding food to babies at 4 months (as long as it was non-allergenic rice cereal or vegetables and everything was sterilized) was not a risk. The paper even recommended food in the case of hungry breastfed babies. So I did exactly what you're doing - and didn't feel guilty.

(There is a reason to hold off if food can't be sterilized properly and it did recommend avoiding gluten (no oatmeal) until 6 months).

If you want a copy of the paper, email me and I'll try to dig it up for you.
December 15, 2007 | Unregistered Commentertrish
Great post! It is so hard to see the other point of view until faced with it. I had "judgy" feelings even though I had a sister's experience of having to bottle feed so she could have a much needed surgery to learn from.

The 6 month "exclusive" is meant to promote breast feeding not starve ready (able to turn head, clearly interested in food etc) babies who would benefit from standard progression of additional foods.

Thank you so much for blogging so well about this very touchy subject...
December 15, 2007 | Unregistered CommenterJoC
well, first of all, let me give that little wonderboy a standing ovation for woofing down a solid!! excellent job, ben, for being such an early-bird, so many preemies are soooooo averse to any type of solid for soooooo long, you once again prove how much of a wonder you are in this world. hmm, how much does adjusted age affect when you give a solid? i mean, i waited til the pnut was 6 months in the world, but that would have been 5 adjusted...i really went back and forth with those recommendations, based on age/adj age/size, etc. i wonder if you spent some time on a good preemie site looking at their recs' and research would it soothe you a bit.

of course i too will share that our kid plummeted down the charts (was she ever on them to begin with? not really). ben is gaining and growing. he's certainly *not* failing to thrive. most babies (bf especially) hit plateaus, no biggie, you could add a feeding or just do what you're doing with the cereal (why not? especially if he is eating it! seriously, that is such a huge deal for a preemie!) and see what happens. my kid always hit a plateau when she was teething- freaked me the fuck out, of course i imagined the child was going to starve and be malnourished and affected for life- so far, she's not, and she won't. kids eat when they're hungry- we have such unrealistic expectations for "growth" anyway- i mean, ben, my pnut, they are gaining and growing, on their own trajectory. the end.

and, i say fuck those charts because they are an average of the current contemporary child by age- just an average! *not* a recommended weight/height, and average of the other kids- who gives a shit that my kid is on the low end of average? especially when in the same breath we are complaining about an obesity epidemic? my kid eats mostly healthy food (chocolate is healthy, yes?) and if ben is bf'ed, well, then, so does he. so pbbbth.

i know you know most bfed babies are slim. their nutrition is sooooo specific to their needs, there are no extra fillers, so efficient- we could all be so lucky as to eat like champs and be so svelte. many stay that way through childhood, as well, god bless em.

you know you are doing a kick-ass job, kate. please don't stress this any more. feeding (and not feeding) is one of the worst, anxiety-ridden parts of being a mama. you are doing so well with ben, and he is doing so well, i promise. xo.
December 15, 2007 | Unregistered Commenterpnuts mama
i dont know if you can get Fenugreek tablets or tea where you are. In my little corner of East London we have in in its natural leaf state and eat it in curries. I used it when my milk was dropping off at around 8 months and i had just got pregnant. I swear my milk supply must have doubled! THe only downside is that you do smell slightly of curry after a big feed!!

All the best and good luck with the babyrice. My little ones love a bit of pureed butternut squash with their babyrice at about 6 months.

Merry christmas to you and yours.

Nicky x
December 15, 2007 | Unregistered Commenternicky
At the risk of sounding extremely shallow, I am just astonished you had porridge with cream and brown sugar in Scotland! I thought everyone here had to have it with salt!! My granny would never let us have it any other way.

(And the decision to supplement with formula is just not one to stress over, honestly)
December 15, 2007 | Unregistered CommenterLoth
I had a hard time at first with low supply and weird nipples. (we supplemented and pumped and pumped and pumped) Then there was oversupply. Then there was biting a lot (bloody nipples) and thrush (a lot).

I really enjoyed breastfeeding and did so for 21 months. But, that being said, I think that that breastfeeding is overhyped. I think it great for the mom and bonding and it is way easier than bottle feeding, but the immune issues and the "making kids smarter" ...hmmmm, I can't really see a difference.

You have worked your ass off for 7 months. Your body has been through a really rough time. I hope you can relax and feel good about your decision.
December 15, 2007 | Unregistered Commentertallgirl
I was there too... and to make matters even worse, this baby who was to be exclusively breastfeed until it felt right to quit... refused my milk at 9 months... by 11 months he refused all milk, my pumped milk, any "other" kind; formula, whole... everything. He wanted water, and that is still his preference.it effing pissed me off... I would have breastfeed a whole hell of a lot longer, but this little preemie who I though I was doing a favor, knew otherwise... at least I hope it is more knew than thought.
December 15, 2007 | Unregistered Commentermdstblz
it is true that breastfed babies are often skinnier than formula fed babies so you may want to take that into account... they also lose the weight faster once they start moving around and don't keep it as "baby fat" ... but that said, you gotta do what you gotta do. it's all about the bebe...
December 15, 2007 | Unregistered Commentermfk
Kate, delurking to let you know that over at Ask Moxie, there is a post about four-month-olds that includes a link to CJ's Light and Momentary blog post titled "Things to consider if your four-month-old baby coasts down the growth charts". (That sentence is rather convoluted. I hope it makes sense.) Apparently CJ is knowledgeable about all thing breast.You are a lovely, lovely writer, by the way.

December 16, 2007 | Unregistered Commenterandrea

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