Posts Tagged "moms"

Are you ready to sleep-train your baby?

Posted by on Apr 21, 2016

Any way you do it, sleep-training your baby is going to be a lot of work. It’s going to involve some crying, and less sleep for a while. It’s going to require that you be clear, and sure, and consistent. Here is a quiz to help you decide if you are ready. Yes No ❑ ❑ Is your baby over 6 months old? ❑ ❑ Are you (or your partner or both) suffering from depression? ❑ ❑ Are you (or your partner or both) suffering from extreme sleep deprivation? ❑ ❑ Have you (or your partner or both) become angry or frustrated when dealing with your baby at night? ❑ ❑ Does you baby wake more than 4 times between 7pm and 5am? ❑ ❑ Does your baby take more than 10-15 minutes to fall asleep after waking at night? ❑ ❑ Do you have a separate room and crib for your baby to sleep in? ❑ ❑ Do you have a partner or another adult to help and support you through sleep training? ❑ ❑ Are you prepared to get LESS sleep for a week or so while you implement a sleep plan? ❑ ❑ Are you prepared to be VERY consistent about bedtimes and routines for the next six weeks or so? If you answer yes to 6 or more of theses questions, it may be a good time for you to start sleep-training your baby. Even if you answer yes to ALL the questions, it does not mean that you SHOULD sleep-train your baby. Sleep training is only one way to help parents get more sleep (see my post on how to get more sleep this week). Sleep training is only one way to help babies develop culturally-appropriate sleep patterns. All babies do not need sleep training! Do not feel pressured to sleep train because… … Someone told you their baby slept through the night at this age. … Your friend’s baby sleeps longer than your baby does. … Your baby takes short naps … Your baby is 6 months old. … You don’t want to develop bad habits … You feel that your baby should be on a schedule … You are worried about how your baby is going to sleep when you go back to work four months from now (that’s a long time from...

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A Breast Field-Trip

Posted by on Jul 6, 2015

A Breast Field-Trip

Many changes occur in a woman’s breasts during her pregnancy and after the baby is born. When new mothers come to me with breastfeeding difficulties, and I ask them if their nipples are “cracked”, they sometimes are not sure. “I don’t know what my nipples looked like before the baby started to suck on them. Do they look normal now?” To get a sense of what equipment you are starting out with on your breastfeeding journey, it might be a good idea for you to go on a “Breast Field Trip” at the end of pregnancy. (Please note: If you have concerns about your breast health, or if you have had breast surgery, some of this may not be relevant to you. Please see your doctor or midwife and consider setting up a prenatal appointment with a Lactation Consultant (IBCLC) to prepare for any challenges you may encounter when breastfeeding your baby.) 1. Take your top and bra off and stand in front of a mirror with good lighting. 2. Look at your breasts. You may notice: • Your breasts are bigger than before you got pregnant. Most of the glandular tissue you need to make milk grows during pregnancy. And all the little ducts that are needed to transport the milk grow then too. Some breasts grow a lot, and some grow only a little, but they almost all grow some. • One breast is larger that the other. As breasts grow, the difference in size between them (and there is almost always a difference in size) becomes more apparent. • Your breasts are not symmetrical. One nipple may be lower than the other. One may point more to the left, or more to the right. Knowing that your breasts are not symmetrical may help you figure out how to position your baby at the breast. 3. Look at your nipples. You may notice: • Your areola (pink or brown part of the breast around the nipple) has become bigger and darker. • You may have more visible or darker bumps on the areola. These are sometimes called “Montgomery’s tubercles” but they are more descriptively called sebaceous glands of the areola. They secrete an oily substance that keeps the nipple and areola supple and smells attractive for the baby. The smell helps the baby find the nipple. • Your nipples may be bigger and darker than before. They may stick out more. The skin may be crinkly (the anatomical term for the crinkles is “rugae”) (These crinkles are not “cracks.” When a baby attaches to the breast too shallowly, and the nipple get pinched, a blood blister may form and then a wound may develop. That is what people mean when they talk about “cracked nipples.”) • Your nipples may only stick out if they are touched, massaged or get cold. If that is the case, you may have “flat nipples.” • If your nipples retreat when you compress the areola, you may have “inverted nipples.” This is...

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Grunting Babies

Posted by on Jun 22, 2015

Why do babies grunt at night? Well, let’s eliminate the serious reasons first. 1. Baby might not be getting enough air. This is not very common. It can happen to a very new baby or to a baby who has a cold or croup. In this case the grunting would go along with a blue colour in the skin, pauses in breathing, flaring of the nostrils, the chest muscles drawing in sharply with the breath. If your baby shows these symptoms, please call 911 or go to Emergency. 2. Reflux. Some babies have immature sphincters at the top of their stomach and acid from the stomach can pass back into the throat and cause burning pain. Try propping the head of your baby’s crib or bassinet up a little, and/or hold baby upright for awhile after feeds. Babies with reflux are pretty miserable. Please make an appointment with your doctor to diagnose the reflux and prescribe treatment. 3. Baby’s gut is moving. This is the most common cause of grunting. Almost every parent in our Baby Group reports that their baby grunts, especially in the very early morning (4-6am). Babies (and the rest of us) sleep more lightly in the early morning and as their bodies get ready for daytime activity, their gut starts to move and they notice it and start to grunt and squirm and raise and lower their legs (some babies slap their legs down on to the mattress) and fart.  This doesn’t necessarily mean that your baby has “too much gas” or is “colicky” or that you should change your diet or give pro-biotics. This is part of how some babies behave. Parents notice that these babies are not unhappy. They are not crying. They do not seem to be in pain. They are just making noises and being restless. They may be awake, or their eyes may be closed.  If the parent picks the baby up and holds the baby on the parent’s chest, the baby often falls into a deep, quiet sleep. This is because it is easier for a baby to fall into deep sleep on top of another human. If this allows you to get another hour or two of sleep, there is no harm in it. It won’t “set up bad habits.” The early-morning grunting usually stops around 3-4 months. You can change your early-morning habits then. Is it okay to ignore a baby who is grunting, but not unhappy? Yes! Parents of second or third or fourth babies learn that babies grunt and it doesn’t always mean they need us. Parent of first babies are  a little more anxious and are tuned in to every squeak and rustle. I don’t think this helps the parents or the babies. If you leave your content (not unhappy, not crying or whining) little grunting baby alone, you may be providing the baby with an opportunity to learn how to go back to sleep without help from you. Also, if you stay lying down, and train your...

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How to get more sleep for mothers – Part 1

Posted by on May 19, 2014

Sleep. Once the baby has been born and feeding is going well, sleep becomes the primary issue for new parents. It’s understandable. Sleep is one of our basic needs. If we don’t sleep enough, we can’t function. New parents who are woken many time every night to feed and comfort a baby quickly become exhausted and that exhaustion contributes to post-partum depression and anxiety. And mothers, usually (but not always) the primary parent, believe that the only way they can get more sleep themselves, is to fix their baby’s sleep. They believe that if they are sleep-deprived it’s their own fault because they have given their baby “bad habits.” Perhaps they have nursed their babies to sleep, or rocked them to sleep, or held them while they slept, or, horror of horrors, taken their babies to bed with them! (I’ll talk another time about why the above “bad habits” are perfectly good strategies for caring for a small baby. But for now, let’s explore the issue of getting more sleep for mothers.) It takes a long time to “fix” baby sleep patterns. Many babies do not sleep long stretches until they are 6 months or a year. Some don’t sleep well until they are two or three years old. Some parents make the choice to sleep train, but even that does not always work and is not recommended for at least three to six months. And many parents feel that sleep training is too harsh for their children. So what is to be done? Sleep experts recommend setting up good sleep habits and bed-time rituals. Attachment parenting proponents recommend co-sleeping and bed-sharing. All of these can work. But they take time, and desperate parents wonder “When will my baby sleep?” The answer is, no one knows. Maybe the answer is, when you have babies and small children, you just can’t sleep the way you expected to until now. You are just not going to get 7-8 hours of undisturbed sleep every night. So how are you, as a family, going to manage this problem? Because this is a problem for the whole family. It’s not just the mother’s problem. Very often, the mothers who come to my baby groups tell me that they can’t ask their partner to share in the night-time parenting because “He has to work in the morning.” It makes me wonder what the mother does all day – is that not work too? Yes, she can sleep in a bit or take a nap during the day, but that doesn’t get her a long stretch of sleep. Sometimes, the lack of sleep for mom is blamed on the fact that she breastfeeds. I sometimes think, in my more grumpy moods, that breastfeeding is a great excuse for fathers or other parents to abdicate. “All the baby wants is the breast. I can’t feed the baby so I can’t comfort him. I can’t do anything for him at night, so I may as well sleep.” Really?...

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Talking to Babies – Part 2

Posted by on Mar 6, 2014

The best evidence there is that we should talk to babies, is that babies LOVE to be talked to. Tell a baby a story with an animated face and voice, and the baby will stare, in rapt attention – for as long as her little brain can handle it. Then she’ll turn her face away – to take a rest from the hard work of listening. A minute later, she’ll turn back toward you to see if you’ve got anymore to say. One mother told me how her baby hated having his diaper changed. So she decided to explain to him why she had to do it and what she was doing every step of the way. She found that the baby cried much less and seemed to listen to her explanation and accept it. Now I am not suggesting that the baby thought something like this: “Hmm. Mom makes a good case for this diaper-changing business. I guess I’ll go along with her to avoid getting diaper rash which I know can get darned unpleasant!” Of course not! But I do think the baby thought something like this: “Hmm! Mom is talking about something. I wonder what it is? She seems to feel pretty strongly about it. I wish I could understand what she was saying, but I’ve got a hunch that if I keep listening, someday I’ll figure it out.” And while baby is listening and trying to understand, Mom can quickly change that diaper. One night when my eldest son, Daniel, was seven or eight months old, he was teething and had swollen puffy gums. He was miserable – drooling and crying and rubbing his face on my shoulder. I tried to nurse him and soothe him and cuddle him and sing to him. I rubbed his gums with my finger and gave him a cold cloth to chew on. Nothing worked. Finally I got out the Tylenol and tried to give him a dose. He clenched his jaw shut and would not let me put the dropper in his mouth. He would have nothing to do with the sticky artificial-strawberry-flavoured medicine. I struggled with him briefly and then gave up. I took him out into the dark living room (leaving my husband to go back to sleep). I walked up and down and started to talk. I talked about his teeth buds growing in his gums and how extra blood was being sent there by his body to make nice strong teeth so that he could chew crunchy nuts and yummy steak. I talked about how the extra blood caused pain for him. About the Tylenol that would take away the pain. About the nice scientist in her white coat in the lab with the bunsen burner and the test tubes who invented the Tylenol so little boys could have medicine to make their gums feel better and so they could go to sleep and let their Mommies go to sleep too. I talked to...

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