Bits for Boobies (& breastfeeding)

motherhood

On the whole breastfeeding is definitely the cheaper option when it comes to feeding and you certainly need less in terms of ‘stuff‘. But that’s not to say you need nothing. To make the whole thing easier and more comfortable here are the top bits I think you need (read essential) for your boobs and successful breastfeeding…

1.A comfortable feeding bra that also looks nice. You’ve grown, carried and birthed a small human, you’re exhausted and your body feels foreign, the very least you deserve is comfort. And if your nursing bra looks nice too then that’s a massive bonus. So many feeding bras are big, white, non-wired and fugly, which does zero favours for new mamas who are learning (or struggling) to love their postpartum bod. This one by bravado ticks all the right boxes for me. In fact after posting about my love for it on Instagram, a fellow Mum commented and said amongst her friends it is known as ‘the magic bra’. Enough said.

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2. Breast pads for those inevitable leaks. I find the washable ones from Boots to be great. They are softer against the skin than disposable ones and when damp they keep their shape. With some of the disposable ones I find when the ‘filling’ gets wet, it clumps together and sags at the bottom of the pad leaving you looking like you’ve got a bad case of lumpy boob. Also the washable ones are kinder to your conscience being more eco-friendly. Oh and they’re more wallet-friendly too in the long run. Win, win, win.

3. Nipple cream – I wasn’t expecting to have to use any time this time with baby numero 3 since I had no issues feeding baby no2. However I was wrong, which only goes to show that no matter how many babies you’ve had, you’re still learning as every baby is so different. What saved me (or rather my nipples and sanity) was lanolin cream. Luckily I knew the drill this time but I wish I’d known about this stuff from day one with my first. Aside from working real life miracles,  lanolin is totally safe for baby so you don’t need to wipe it off before feeding (although this does mean baby finishes a feed looking like they’ve wolfed down a greasy fry up rather than some wholesome mama milk!). If you’re really suffering, then use some nipple shields for a bit whilst your nipples heal. These really helped me. And if your nipples are in a really bad way and you’re in huge pain then you can always try expressing and feeding baby with a bottle until they’ve recovered.

4. Something good to watch on demand, since you’ll be feeding on demand, 24/7. Netflix, Amazon Prime, iPlayer etc. all offer good options. Last baby, I got through the night feeds with Orphan Black. This time I’m all about BBC4’s The Disappearance. It’s French and subtitled which is handy since you can watch it in bed with the volume turned down and not disturb anybody. It’s a classic whodunnit and it’s gripping, addictively so, but it’s still no Breaking Bad. I’ve found nothing on par to fill that void.

5. Breastfeeding-friendly clothes to wear like this top from Mamas Little Secret or this jumpsuit from Mothers Love Fashion. Honestly these items, designed by fellow breastfeeding mamas, are total game changers. If you’re worried about feeding in public then invest in something that will allow you quick access to your boobs so you can feed easily and discreetly. I literally love these two items. Absolute genius designs.

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6. A decent ELECTRIC pump. I had a manual one first time round and it was hugely time consuming and would give me repetitive strain injury after 5 minutes. Totally counterproductive. Nowadays I really rate the Medela Swing pump and seemingly so do the rest of the world, including Top Five Baby who consider it one of their top 5 baby essentials! It will literally LIBERATE you by enabling to go out sans baby (or even go to bed for some sacred uninterrupted sleep) safe in the knowledge you’ve left some of mama’s best in the fridge for them.

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Extra Tips!

Here are some extra tips that I’ve been given over the years which you may find useful…

For sore nipples:

Cling film – Use this to stop breast pads sticking to sore nipples. It will act as a barrier, allowing your nipples to heal.

And as mentioned above; lanolin cream, nipple shields, breast pump.

For engorged breasts:

Savoy cabbage leaves – use these to relieve the pain of engorgement, which generally happens around day 3-5 when your milk comes in. Simply place a big chilled leaf over your breast.

Breast pads soaked in camomile tea and refrigerated – yes you read that right. Soak the pads in camomile tea and then pop them in the fridge. Once cold, place them against your breast to relieve any discomfort. Camomile is well known for its healing and soothing properties.

For increasing milk supply

Placenta encapsulation – if you’re pregnant, seriously consider getting this done. I had mine encapsulated by Amanada Denton of Earth Bound Baby and I’d definitely recommend her. Studies have shown that consuming your placenta increases your milk supply as well as there being a ton of other benefits including increased energy, reduced risk of postpartum depression etc.

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Boo.B Smoothies – if the idea of eating your placenta doesn’t rock your boat or perhaps you missed the boat and already have the baby, then check out Boo.B Smoothies. You can order a box of sachets to be delivered straight to your door no matter where you are in the world. Then simply add a cup of milk and half a banana and whizz it up. The smoothies are packed full of ingredients which are known to boost your milk supply.

If you fancy winning yourself a box then take a look at my Instagram feed to find out how!!

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For the tough days:

As well as local drop in clinics or breastfeeding cafes, there are also lots of wonderful private lactation consultants out there such as Imogen Unger who can provide advice and support over the phone or in person at your home.

Finally this isn’t strictly a tip, but I recommend getting yourself something like this Boob appreciation mug from Mere Soeur to remind yourself each day what an incredible and amazing job you are doing. Especially on the days when baby won’t stop screaming.

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With it being National Breastfeeding Week, I will be posting one of my own breastfeeding photos each day over on my Instagram page. I hope this might encourage other Mums to feel confident about feeding in public and to support one another. Please go have a look and maybe even share one of your own…

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Preparing for Birth – The Birth Plan

Preparing for Birth

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Everyone needs a plan, right? For the big things, for the small things, for the day-to-day mundane things. I’m a big believer in a good plan. Usually my plans take the form of a list; stuff I need to get done. And yes, I’m one of those people who adds extra stuff to the list, purely for the satisfaction of ticking it off. Makes me feel productive.

So when it comes to GIVING BIRTH TO A FULL ON HUMAN BEING, of course I’m all about having a plan. Not only is a plan absolutely necessary in my mind when you’ve got two other kids and logistics to organise (like who will come mind them in the middle of the night?!) but I also believe writing a birth plan (or proposal or set of preferences) is an important and significant step in ensuring you are mentally prepared for birth.

This is because, by drawing up a plan, you are taking time out to really think hard about your birth in a focused way, for perhaps the first time in your pregnancy. It goes without saying that it’s really important to give some serious thought to your birth. Unlike day-to-day parenting, birth is not something you can wing; the more preparation you put in, the better the experience will be and the more you will get out of it. So by taking some time out to draw up your plan, you will be starting to visualise your birth and think about what you want in a really positive way. It’s not all airy-fairy either, you will have a number of things to consider and big decisions to make, from where you want to give birth and if you’d like to to use a birth pool to delayed cord clamping and whether you want a physiological third stage. You will need to research these things and understand the advantages and disadvantages of all your options so you can make informed choices. By drawing up your plan for birth, or at least outlining your preferences, you’re making important decisions for you and your baby, some of which will have a profound and long-lasting effect.

What I will say for those of you reading who like me love a plan, it’s important to realise that birth is unpredictable and doesn’t always go to plan. From when the baby will actually decide to make his/her appearance in that 5 week long period in which he/she is due (the concept of a single due day is such nonsense!) to how quickly you’ll dilate in labour, there are so many unknowns. That’s not to say your birth won’t be beautiful and amazing and empowering and positive, it’s just it might pan out differently to how you expected and you need to be prepared for this. This is why some people prefer to use the term ‘birth proposal‘ or ‘birth preferences‘.

I like the latter best and believe by drawing up my preferences I am making it clear what my first choice is, but also giving some thought to, and allowing there room for movement, if my birth takes a difference course. With this in mind I have a whole section in my birth preferences dedicated to having a caesarean section. Not because I’m planning for one or even thinking I will end up having one, but I’m taking into account it could happen and if it does, I have given thought to it and specified my wishes for how I would like it to be done. This feels empowering and means however my birth goes I will still have made my own choices and will be having the best birth for me on the day.

So to help those who are also nearing the end of their pregnancy (although it’s never too early to start thinking about your birth and researching!!) listed below are the things I believe you need to consider and include in your birth preferences. I have also posted my own birth preferences at the bottom to help you get started, which you’re welcome to use as a template…

THINGS TO CONSIDER/INCLUDE:

* Birth partner details – name, contact number etc.
* Environment – including where you plan to give birth and how you want the space to be
* Positions for labour and birth – as it says on the tin!
* Pain relief – what you think you might want / what you don’t want
* Birth pool – whether you plan on using one for labour and / or birth
* Monitoring – preferences for sonicaid or continuous
* Second stage – how you wish to birth your baby including thoughts on assisted delivery
* Third stage – how you wish to birth your placenta e.g. physiological third stage or active management and if you want delayed cord clamping
* Placenta – state if you plan on keeping your placenta for encapsulation or another reason
* Breastfeeding – whether you plan on breastfeeding and if you’d like support with this
* Special circumstances – your preferences if your birth goes off plan and you decide to transfer in to hospital from home
* Unexpected situations – include preferences for c-section if situation arises
* Vitamin K – confirm that you wish your baby to have this or state if you do not.
* Aftercare – your wishes for afterwards e.g. whether you’d like a private room if on a ward

It’s a really good idea to involve your birth partner in devising a birth plan. Not only so they are involved in the decision making but also because it is their job on the day to ensure your preferences are known, understood and adhered to. It’s a big (and vitally important) job but near-impossible if they are not totally sure what your preferences are! Also, please make sure you do your research before making decisions/writing out your preferences so you are making informed choices that are right for you and your baby. This is most important.

NOTE: I am planning to have a water birth at home and have been practicing hypnobirthing with my birth partner. We have a birth photographer attending and I am having my placenta encapsulated. I also have a history of postpartum haemorrhage and have anaphylaxis. Obviously this is not the case for everyone! You will need to adapt this plan to make it your own and most importantly add any medical information that is relevant for yourself.
 

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Birth Preferences

We wish to have a calm, quiet, water birth at home with no intervention. We are using Hypnobirthing for our birth and therefore the environment and language is very important to us. Please note that we would appreciate it if you could avoid using the words ‘pain’ or ‘contractions’, and instead talk about ‘comfort’ and ‘surges’. I may describe the power and intensity of a surge but I do not wish to think about or feel pain, as I do not believe birth needs to be painful.

Birth Partner

My partner (insert name and phone number) will be my birth companion and we would like to be left alone whenever possible.

Environment

I would like my own choice of music to be playing (including Hypnobirthing audio tracks), candles burning and a birthing ball and aromatherapy oils to use. We would like to take photos and videos throughout and have a birth photographer booked to attend. We will also be using a birthing pool when labour is established and I have a TENS machine to use in early labour.

It is very important to me that the lighting is dimmed throughout.

Positions for Labour and Birth

I would like an active hypnobirth and to use positions that mean I am upright, forward and open which facilitate an easier and quicker birth. I’d like to remain mobile throughout. If I need to rest, I would like to use my birthing ball and lean over the sofa/bed. In the birthing pool I wish to be upright and leaning forward over the side or on all fours.

I do not wish to be lying on my back.

Pain Relief

Please do not offer any pain relief to me.

I DO NOT WISH TO HAVE AN EPIDURAL. I do not want Pethidine/Diamorphine or any other drugs. I do not like Gas and Air because it makes me sick.

***I developed Anaphylaxis to Paracetamol after giving birth previously and carry an epi-pen***

I do not want any drugs introduced during my labour or afterwards.

I have a TENS machine I can use but please do not offer this to me.

Please remind me of the tools I do have which include: my breathing techniques, visualisations (of a balloon filling as I inhale and a golden thread as I exhale), light touch massage, heat pack, cold flannel, essential oils, relaxation scripts, relaxation audio tracks, positive affirmations, the birth pool etc. These will all increase my comfort level.

Please remind me of my desire to feel and experience this birth and of my previous positive birth experience if I have a wobble.

Birthing Pool

I would like to use the birthing pool during labour and would like to give birth in the pool.

Monitoring Baby’s Heart Rate

Sonicaid please. There is no need to ask when you want to listen in. I would prefer not to be asked questions in labour unless necessary.

I wish to be as mobile as possible / in the pool so only continuously monitored if absolutely necessary. If continuous monitoring is necessary and I am therefore in hospital, I would like to use the wireless monitoring if this is available so that I can continue to move about.

Second Stage

I would like to breathe my baby down so he is born gently and calmly. I would like to follow the lead of my body rather than be coached to push.

I would like to be able to bring my baby to my chest immediately after delivery. If it is not possible for me to hold the baby then I would like the baby to have skin to skin time with James.

It is vitally important to me that the calm and intimate environment is maintained after the baby has been born as I have a tendency to lose blood, so plan to do what I can to encourage the flow of oxytocin: baby to breast, a little placenta to place against my gum, calming touch, warmth and reassurance, low lighting, relaxation track playing.

Assisted Delivery

I would rather wait longer than try to rush the process unless the baby is in obvious distress and needs to be born. I will accept assistance if there is no other option.

Third Stage

It is my preference to have a physiological third stage. I would like to birth the placenta without any drugs being introduced to my body. I would like to wait until my baby has received all of his blood before the cord is clamped and cut.

When the cord has stopped pulsating, please assist James in cutting the cord.

I would also like to place a small bit of the placenta once it has been birthed, against my gum to aid the flow of natural oxytocin and encourage my uterus to contract, as it has a tendency to relax after birth.

I am having my placenta encapsulated so please be mindful of this. It will need to be stored in a sterile container which we will provide and placed in the fridge as soon as possible and certainly within half an hour.

In the event that I experience another PPH, I accept that I will need to have the injection. Hopefully this will be enough intervention. If I continue to lose blood then I accept that I will need to transfer to hospital in order to receive syntocinon via a drip.

It is really important that my epi-pen is with me at all time if transferring to hospital and that the hospital staff are aware I have anaphylaxis to paracetamol and am allergic to latex.

Feeding the Baby

I wish for the baby to be put to my breast immediately after delivery.

I feel confident with feeding my baby and do not need assistance with breastfeeding.

Special Circumstances

If I chose to birth my baby in hospital because of special circumstances, I would like to request a private room with a birthing pool. The environment is very important to us so we would like the room to be as similar as possible to our preferences outlined for home birth. Most importantly we would like the room to be dimly lit, quiet and with as few people as possible present. We would like people to knock before entering and to speak in hushed voices. All communication is to go through James please so that I can labour undisturbed.

I do not wish for students to be present, only those who absolutely need to be there.

I do not wish to be cannulated unless it is essential to do so.

Unexpected Situations

If absolutely necessary, I give my permission for an emergency C-section to be performed.

It would be my preference to be awake for this and to receive my baby to my chest immediately after delivery, certainly before weighing him or cleaning him.

Please ensure any electrodes are placed on my back to they are not in the way and do not inhibit skin to skin time.

I wish for only those who are absolutely necessary to be present in theatre. I would like to be able to see my baby be born so would appreciate if the curtain could be lowered at this stage. I would appreciate it if the lights could be dimmed at head end so when the baby is delivered and brought to my chest, he is not subjected to bright light. I would like my choice of music/relaxation track to be playing in theatre during the birth of my baby.

If there is time beforehand, I would like to be given a pack of sterile gauze strips so that I have the opportunity to seed my baby with bacteria and stimulate microbiome development, which would happen if he were born naturally.

I would still like my placenta to be encapsulated after birth, so please bear this in mind and ensure the theatre staff are aware of my wishes. My placenta will need to be stored in a sterile container and kept cool until collected.

If my baby has to be in the Special Care Unit, then I want to be able to care for him as much as possible and to ensure he receives my breast milk. I would like help with making sure this happens.

Vitamin K

I am happy for my baby to be given Vitamin K by injection.

Aftercare

If in hospital, I wish to request a private room if one is available.

 

Thank you for taking the time to read my birth preferences. I am looking forward to the birth of my baby and planning for a positive and empowering birth experience where my baby is born safely and calmly. I believe this is possible however my birth story pans out.

Thank you for supporting us at this very special time in our lives. We will be sure to appreciate all you do for us, now and for the rest of time.

Siobhan and James.