“Breastfeeding with Comfort and Joy” — a review


Beautiful photography!

Excellent advice!

It’s hard to top the words of praise Dr. Christiane Northrup and others — both doctors Laura Keegan has worked with and mothers she has helped — have given:

like having a wise and loving grandmother show you exactly how to nurse your baby… Laura has created a manual of wisdom and celebration… what you need to know to get started in establishing a comfortable breastfeeding relationship and to solve problems should they occur… Before this experience, I never would have believed that learning the correct latch in this book meant that I would spend less time nursing my twins than I did nursing my firstborn and without the pain of sore nipples…

Plus there are many, many more in the opening pages of the book — a variety of mothers who had difficulties nursing for many different stated reasons (one mother was told that her baby had an “abnormal suck”, one baby was slow to gain weight, several mothers had cracked nipples), who resolved all those difficulties with the techniques brought forth and beautifully illustrated in this book.

Once you go past the introductory words of praise and the table of contents (which you can see by going to BreastfeedingwithComfortandJoy.com and clicking on “click here for excerpts”), there are beautiful photographs on every two-page spread — usually one large picture on the left-hand page with explanatory text on the right-hand page, but frequently a series of smaller pictures (for instance, several photos taken just seconds apart showing a baby properly latching onto the breast). These pictures show a variety of babies, from the tiny, still-wrinkly newborns to those oh-so-chubby babies of several months old, with several “milk-drunk” babies who have fallen asleep while nursing, and smile that sweet, satisfied smile. The pictures primarily show good latches and good positioning, with only one “what not to do” picture — this is important, because it is much better to show what to do rather than what not to do. In this way, women get strong and repeated correct images of how to properly breastfeed.

One thing that struck me the strongest while reading this book is the statement she made about how that women in this country often “automatically hold their babies and their breasts in ways that work for bottle-feeding since that is what most of us have imprinted in our minds” — as opposed to women growing up in cultures where breastfeeding is the norm. And it is this “incorrect imprinting” that is the root of so many problems with breastfeeding.

I remember my Daddy kind of poking fun at organizations like La Leche League, or wondering out loud why it was that women should have such problems with nursing their babies when animals don’t have that problem. To be honest, I never had any problems with nursing either. The only times it hurt were when my children got to that stage (about 6 months old?) where they are easily distractable and frequently turn to see what made that noise without letting go of the breast first; and also a couple of times when I was pregnant and nursing, my 10-month-old son would occasionally latch on incorrectly (I don’t know why — we’d obviously been nursing for quite some time), and it would hurt, so I would take him off and start him again (and I couldn’t tell you what was the difference), and it wouldn’t hurt the second time. And sometimes when I hear stories of women who have had just dreadful pain while nursing — like my sister-in-law whose nipples cracked and bled the whole time she nursed her oldest child, and she had terrible pain with every feeding (I give her full kudos for sticking with it for 11 months — I think I’d’ve given up much sooner!) — when I’d hear stories like that, I’d sometimes wonder why it is so hard for some women, when it was so easy for me. Now, I think I know most if not all of the answer.

The next several pages go into detail (in words and in pictures) about the differences between both maternal and baby positioning with breastfeeding vs. bottle-feeding. And it is this that makes all the difference in the world. When the breast and baby are not in proper alignment, the nipple is subjected to abuse which causes pain initially, and if not changed, can lead to cracked and bleeding nipples. I’ve not had that, but I can imagine it to be not fun in the slightest. Yet, often women are told that even when they are in pain that there is nothing wrong — that happened to my sister-in-law I just mentioned. (Just for background, she didn’t tell me about her problem with breastfeeding until well after she had weaned her daughter — she first mentioned it a couple of weeks after I had my first son, when she asked if I was having any problems with pain, cracking, or bleeding. I think she was a little jealous and quite astounded when I said ‘no.’ She may have been a little perturbed at her “bad luck,” but I don’t think “luck” was the problem.) Anyway, when she was in the hospital after having had her baby, the nurse told her that she was doing everything right — despite the pain she was feeling. Because this “authority figure” (I believe she called her a “lactation consultant,” but I’ve heard that sometimes nurses are given that appellation or a similar one when they’ve had little or no training in breastfeeding, but they may be the only L&D nurse with breastfeeding experience, so they are the “go-to person” whenever a mom has a problem) told her that there wasn’t a problem, she persisted with an incorrect latch through months of pain and bleeding. It shouldn’t happen.

There are other sections (see the table of contents in the excerpts of the book) that deal with several other common problems or areas of concern — including many, many pictures of mothers breastfeeding twins, showing different positions for the babies to be in — as well as skin-to-skin contact, kangaroo care, colic, engorgement, etc.

Again, the pictures are just beautiful and both pictures and text are quite informative. It’s a must-have for any woman who has problems with nursing, or anyone who has contact with such women (midwives, doulas, nurses, childbirth educators…). I’m going to loan my copy to a woman at my church who is expecting her first baby any day now. I hope I get it back!


Breastfeeding while lying on your back

This was a search term someone used to find my website, so I decided to write about it, because, yes, I’ve done it.

While many women worry about not having a sufficient milk supply, many women have too much milk, or it lets down too fast. Both of my children were affected by this — they would choke or gag when starting nursing. By that I mean, when they would latch on and my milk would let down, they would choke or gag. This happened most feedings (especially in the morning) sometimes lasting even a couple of months.

Although if you do have an over-active supply, you may prefer to donate your milk to a milk bank. You will have to be tested to make sure you don’t have any diseases, so if you’re at all curious about this, it’s best to start the process as soon as possible. Since the amount of breastmilk you produce is based primarily on supply and demand, even if you currently just have an “adequate” supply, you can build up your supply by pumping extra and donating it. When my second son was a few weeks old, one of my friends adopted a newborn baby, and I pumped for several weeks for her.

There are some things you can do to reduce your milk supply, and La Leche League has numerous breastfeeding resources on this and other questions. For instance, some herbs can build up your supply while others can diminish it. While there are several things you can try for the long term, here are a couple of things that may offer immediate help.

One thing you can do if your baby is gagging because of milk letting down too fast, is to breastfeed while lying on your back — this way, the flow of milk has to fight against gravity, and won’t be able to flow so fast and set off your baby’s gag reflex. You can typically assume this position at the start of a feeding, and then as the flow diminishes, you can get into a more “normal” breastfeeding position.

Another thing to do is to pump or hand-express your milk at the beginning of each feeding. What is easiest and neatest (if you don’t have a breast-pump) is just to stand in the shower and express it by applying pressure on either or both breasts, letting the milk just leak down into the tub. You don’t want to express so much milk that you keep increasing your supply — just enough to get rid of that initial spurt of milk that makes your baby gag.

These are just very elementary things you can do, and I am certainly not an expert. If you have breastfeeding questions, contact your local La Leche League leader, or a certified lactation consultant for the best and most accurate information.