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New AAP Guidelines on Breastfeeding

By Natalie |

Well, I assume they’re new guidelines. I’m not totally sure. (Maybe I am slow but I couldn’t seem to track down a release date anywhere!)

A few weeks ago I came across this article (shared by one of my friends on Twitter) about the new breastfeeding guidelines released by the American Academy of Pediatrics.

Now, is it just me, or does it seem like the U.S. is somewhat behind the rest of the world when it comes to attitudes toward breastfeeding? These days the World Health Organization is saying exclusive breastfeeding up to six months, and then continued breastfeeding thereafter up to two years and beyond. And beyond! Here in the states it seems if you breastfeed longer than 15 months you get the stink eye.

So this AAP article was very interesting to me since I’m hoping to breastfeed through at least 18 months.

After the jump . . .

The article outlines the benefits of breastfeeding, which by now are fairly common knowledge: good for maternal health, infant health, staving off infectious diseases and Sudden Infant Death Syndrome, assisting neurodevelopment . . . The article even go so far as to list “Community Benefits,” such as the possibility of decreased annual healthcare, decreased parental employee absenteeism, decreased costs for public health programs such as WIC, and decreased energy demands (more breastfeeding equals less bottles in the dishwashers is a dubious link if your a pump breastfeeder, but we’ll go with it anyway).

The article says that the rate of initiation and duration of breastfeeding in the U.S.  is well below the stated ideals written up in Healthy People 2010, and that furthermore, many of the mothers counted as breastfeeders in the study were supplementing with formula, thus not actually counting as exclusively breastfeeding. Since 1990, rates of initiation of breastfeeding have not significantly increased, and the article targets education and “hospital disruptive practices” as the reason. It goes on to list certain things hospitals MUST do for breastfeeding mothers, such as prolonged skin-on-skin contact immediately following birth as long as the baby is showing good vitals (thus putting off the “clean up and weigh” even longer) for as long as it takes for baby to complete its first feeding, avoiding all supplements if possible, teaching mothers to nurse on demand instead of on a strict schedule, and others.

Reading this article was fascinating, and it reminded me of my time in the hospital. Though administering sugar water during circumcision to distract the baby from the procedure is common I’m sure, the nurses explained that it likely contributed to our difficulty finding a good latch that first day, as even a few drops of any supplement are enough satiate a newborn’s tiny tummy and remove important hunger cues that help a mother and baby find a good latch. (Oh, the latch!)

And it made me curious about all your experiences in the hospital. You breastfeeding mamas: were the staff accommodating of your desires to breastfeed exclusively? Any horror stories? (A good girlfriend of mine told me that an opinionated nurse fed her new baby formula while in the nursery, because she felt his fussing meant he wasn’t getting enough from her breast.)

Link to the article found here.

And don’t forget you have a few days still to enter the BabyBjorn Original Carrier giveaway!

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About Natalie

natthefatrat

Natalie

Natalie Holbrook is a hopeless optimist living in a tiny apartment in New York City with her husband Brandon and her fat baby, Henry August. She blogs at Hey Natalie Jean, a love letter from her family to New York City, and where she capture all the lovely little things that make up a wonderful life. Read bio and latest posts → Read Natalie's latest posts →

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33 thoughts on “New AAP Guidelines on Breastfeeding

  1. Shannon says:

    I was very disappointed with the nurses at are local hospital for the breastfeeding department. They were wonderful with everything else, but breastfeeding they were of the mentality: if he didn’t latch now, he won’t ever latch. I had a lactation consultant in my room several time in those first crucial days and she was totally unhelpful. I gave up really quickly because I felt like I didn’t have a good support system. It was painful and the nurse didn’t know why, and had no advice for different positions or how to get him to latch better. I hope to try harder with the next one!

    Shannon
    11thandshannon.blogspot.com

  2. Mary says:

    I had WONDERFUL (!!) nurses. I never nursed my first, and really wanted to breastfeed my second. I had a lot of trouble with pain and discomfort. It would have been so easy to give up, but they wouldn’t let me! They were supportive, but at the same time holding me accountable to my choice to breastfeed. They brought me all the tools I needed to make sure that even if I couldn’t breastfeed, my baby got only breastmilk. I managed to sucessfully exclusively pump for 6 months (while working full time!). I know this was in part to their support. So, they’re not all bad!! :-)

  3. Reese says:

    I have mixed feelings over our hospital experience. My baby was taken to the nicu because of meconium asperation, I didn’t get to hold him again for 6 days, so I had to pump. No one instructed me on pumping, it was just like “here’s the pump” like I knew what to do.
    The nicu staff was understanding of my desire to breastfeed but once Will was able to be fed it was difficult to get the lactationist to help. I’m also still upset over him being given formula once because a student nurse thought we were out of milk, the regular nurse should have checked herself.

  4. Krista says:

    Here in Atlantic Canada the nurses are “nursing Nazis”, which worked for me because I am a nursing nut, but some poor mothers who struggle with it found them too overbearing. There has to be a happy medium somewhere.

  5. Jennifer says:

    I understand what the research says and the need for encouragement, but sometimes it has to be ok to go with a different plan. My milk didn’t come in/didn’t have enough…we are talking 2 tenths of an ounce TOTAL after pumping both sides; I was feeding baby every 2 hours or less and she was screaming all the time and not gaining weight…this was almost 6 weeks after giving birth. Similar scenario with my second, but we tried tons of other crazy things too. I was made to feel ashamed, lazy, and like a bad mom from certain nurses and even a pediatrician, who we no longer go to for this reason. (And let me tell you that I am one badass mama!) I feel like there is a line. I am all about some breastfeeding. I wish with all my heart I could have, but I couldn’t. (I even tried to breastfeed AGAIN with my third because I wanted it to work that bad…got nothing.) It just didn’t work and that’s ok too. Guess some women’s boobs are just for looks. ;) People did say some horrible things to me and I did have some blows to my self esteem, but from the opposite perspective. I appreciated all the nurses who were reassuring and comforting and offered a hug while saying formula isn’t the end of the world and you are still a good mom.

  6. Co-Sleeper says:

    You’ve hit the nail on the head about how far behind the US is. It took the AAP a recent article in Pediatrics highlighting the real cost of the lack of breastfeeding for things like this to come out. The article found that if 80% of babies were exclusively breastfed for six months in the US, healthcare costs would decrease by over $10 BILLION and over 700 lives would be saved. I realize some people have milk issues, but it’s why there needs to be a focus on building up milk banks like we do blood banks. Make breaskmilk from a milk bank the norm over formula.

    (Stats: http://www.evolutionaryparenting.com/?p=232)

  7. Kirsten says:

    A major interference with breastfeeding and bonding with the mother is circumcision. The pain and separation from the mother are known problems. Psychological withdrawal and refusal to make eye contact with the caregivers are common consequences of cutting off the most sensitive part of a baby boy’s most sensitive part. The wound hurts — a lot — for about 2 weeks, and it is impossible to provide effective pain relief to an infant. It turns out that infants feel pain more acutely than adults.
    Get your boy off to a good start and don’t chop pieces off of him! Also think very carefully about the wisdom of creating an association between pain in his penis and suckling. Circumcision truly is where sex and violence meet!

  8. Britney says:

    We, unfortunately, had a horrific time of breastfeeding. When my daughter still had not latched on nearly 72 hours after birth (this is now nearly 72 hours without eating *at all*), I finally broke down and begged my lactation consultant to “give me permission” to feed my daughter some formula. I felt terrible and helpless and all she would do was cry because she was so hungry… My lactation consultant, in not so many words, scolded me for choosing to supplement because “breastfeeding is a parenting choose, not just a nutritional one”. I felt like I’d been slapped in the face. Not even 3 days into being a mother and I was being told I was a terrible one. Luckily, my nurse was an angel sent from heaven. She firmly told me that I needed to make the choices that were best for myself and for my daughter. We supplemented until I could get enough from the breast pumps to start feeding her breast milk. She never was able to get latched, but we fed BM exclusively for 6 weeks before gradually making the switch.

  9. Natalie says:

    @Britney and Jennifer — I roomed with a woman who was struggling with breastfeeding and decided formula was the best option for her, and I was appalled to hear the lactation consultant giving her grief for it, calling her “selfish” even! It made me so angry. I think the idea of “hospital disruptive practices” obviously goes both ways. Mom makes the call, nurses support the decision. Period. Don’t you think?

  10. Vandy says:

    Our breastfeeding journey started out great, and I was relieved that it was going so much smoother than I had anticipated. Unfortunately, the minute we were packing up to head home, they rushed my baby to the NICU for a fever. While she was there, we lost our latch and she would just chew…causing me to bleed and crack…which led to four rounds of mastitis during our first month home (ouch). I had one nurse who was terribly rude about it all (telling me a bad mother if I couldn’t make it work…I thought my mom was going to punch her out) and an awkward male nurse who got all uncomfortable whenever we talked about breastfeeding. Then we had the biggest blessing of a nurse ever. She was only a little older than myself with 2 children of her own. She was extremely kind, helped me as much as she could, hooked me up with a supplemental tube (which almost saved the whole thing), and comforted me when we felt as though we hit a brick wall (like when we found out my little one had terrible reflux and spit up all of my extremely hard-to-get liquid gold).

  11. renee says:

    That AAP policy statement came out in 2005 (look at the footer of the PDF.) The good news is that we came pretty close to meeting the Healthy People 2010 targets, which were 75% for initiation, 50% at 6 months, 25% at 1 year. The reported rates in 2007-2009 for babies born in 2006 were 74.0% of infants were ever breastfed; 43.5% were breastfeeding at 6 months; and 22.7% were breastfeeding at 1 year. The targets for 2020 have been updated to 81.9%, 60.6%, and 34.1% (don’t ask me about the wacky numbers, it’s based on statistical models), and I think they are optimistic, but hey, maybe we can do it. Or rather you all can do it–I’m done having babies.

  12. Nichole says:

    My son could/would not breast feed, so I was an Exclusive Pumper for a full year! The nurses and LCs in the hospital were supportive of bf-ing, but my son’s blood sugar was low right after birth, so they said they had to feed him formula.
    I worked HARD to pump and get a healthy supply so that I could switch him from formula! That said, I am NOT a proponent of an all or nothing approach. I think if you’re baby is a big one like mine was and he’s hungry, feed him! And keep trying the breast feeding in the meantime – even if it comes by pump and bottles!

  13. Erin says:

    When my first son was born he needed to be assessed in the NICU after my C-section. He had a bit of breathing trouble. The whole thing was scary being my first baby and everything. Then the nurses didn’t explain to me why I couldn’t. Try to breastfeed. They gave me a pump and told me to just pump every 3 hours.this went on for 4 days. When we finally got home I felt like I lost my moment to connect with my baby. It took us almost a month to establish a good feeding routine, as well as bond.

  14. Kel says:

    The LC tried to get my baby to latch onto a nipple shield and spent a lot of time trying to get her to latch when she wasn’t interested, which wasn’t great. But the big problem was on day 3, when an idiotic pediatrician said that since my daughter had lost 9.6% of her birth weight, and 10% would be dangerous, I had to supplement with formula. I protested that since my milk had just come in there was no need, that she hadn’t yet reached the danger number, and that since I’d had IV fluids in labor her birth weight was artificially inflated (ironically that recent study had been done at the university associated with my hospital!). I had done my research and refused formula. I took home a free at-breast supplementation kit, having refused to use artificial nipples. I ignored the instruction to rent or buy a pump to get extra milk to force feed her with. And when we came back in two days later, she was almost back to her birth weight and we were congratulated on somehow managing to get there without any formula or pumping. If I hadn’t known about the traps and the lies, things would have gone differently. Most women aren’t prepared enough. And until doctors stop telling women that they “need” to supplement, breastfeeding rates and success will suffer. This us unfortunately one area where doctors just aren’t prepared to help their patients sufficiently.

  15. Sheila says:

    I have my babies at home. Problem solved. :)

  16. Erin says:

    Oh those first couple days are so magical, aren’t they? But your hormones are insane so that kind of puts a damper on things. I think I was one of the lucky few because my baby nursed perfectly right out of the womb. He was like “let’s do this!” But he was 9 1/2 pounds and born hungry. I never had a problem with a latch or anything I just remember him trying so hard to get something out then screaming in my face like a dinosaur out of frustration. But once my milk came in I was his favorite. I think it’s so hard for mamas to trust that they’re producing enough and that their bodies won’t betray them, because sometimes they do. But he’s 8 months and I’m hoping to breastfeed until he’s at least a year. We’ll see.

  17. Meagan says:

    The Lactation consultants at the hospital were awesome… they all gave different advice, which I know for some people was annoying, but for me made it easier to find the method that worked for me.

    I think the main reason the WHO recommends two years or more is because of the lack of.availability of clean water in some places… so while there’s certainly nothing wrong with extended breast feeding in the US,means fact that it’s uncommon here doesn’t necessarily mean we’re behind… it just means that our toddlers are not at risk for dysentary.

  18. Rachel J. says:

    While I’m not in favor of any sort of supplementation unless absolutely necessary, sugar water given during circumcision is not the cause of the breastfeeding issues following the surgery. It’s the pain from the circumcision itself. Time and time I’ve had friends who chose to circumcise mention that their baby either cried frequently, refusing to nurse, or slept and wouldn’t wake to nurse. Just because it’s done often doesn’t mean that it’s a minor surgery or that babies don’t feel the most sensitive part of their bodies being cut (or ripped) off. Babies also feel it pain more intensely as they don’t have the self-awareness to localize the pain to one particular area of the body. Clearly that kind of intense pain is going to affect a baby’s interest or ability to breastfeed, and hopefully it’s only a temporary disruption.

  19. Anita says:

    I could have had my own horror story about why I couldn’t breastfeed. My baby lost 20% of his body weight, screamed at the sight of my breast for weeks, I was producing only drops of milk after pumping for 45 minutes every hour and a 1/2 and every three hours at night for the first two full weeks of my son’s life. I tried everything I could throw at the problem. Even the fanactically pro-breastfeeding midwives gave up on me and told me to turn to formula. But I stuck with it thanks to a very supportive husband and now have been breastfeeding for a year. I supplemented my son with less than 10 ounces of formula in his whole life thus far.

    Turns out, you are not SUPPOSED to produce hardly any milk in the first few days. If you don’t allow yourself to turn to formula (the easy way out) – you will find a way to make breastfeeding work.

  20. Jennifer says:

    Natalie: I totally agree. I loved a couple of nurses for being supportive and really listening to me and what I wanted. There for two who never seemed frustrated with our struggles and were always there with encouragement.
    Anita: Just want to reiterate that I am a badass m inom and in no way, shape, or form did I ever “take the easy way out.” Sheesh I feel like I am reliving it all, again. More power to you for being able to breastfeed. I would never look down or make a snide remark about you doing so.

  21. Becky says:

    The labor and delivery nurses were great but the postpartum nurses at my hospital were not supportive. I had a few cracks from a couple of bad latches but then my son caught on. However, the first night on our postpartum floor, I hadn’t slept and was in a lot of pain from cluster feeding and he kept crying so I called the night nurse for help. Instead of helping me with finding a better position or words of encouragement, she told me I wasn’t producing enough milk to satisfy him and that she was going to take him to the nursery and give him a bottle of formula – which she proceeded to do even though I was crying and said I didn’t want to do that. I realize now that what she said was not true – I have never had a problem with supply. We left the hospital a day early as a result of the lack of support of these nurses and met with an LC as soon as we got home and have been good ever since.

  22. Steffanie says:

    The hospital I was at in Seattle seems to be fairly progressive in the maternity dept. No nursery, skin on skin directly after birth, baby is always with you and a very comfortable (and private) environment. Nurses were excellent. I had to stay 36 hours and every shift made sure that I (and baby) were learning the latch properly. Formula was never even suggested.

    I moved to NYC and am hoping I can find a similar experience if I get pregnant again! Although I hear you have to pay EXTRA for a private room, unbelievable.

  23. Marsha says:

    We had very supportive nurses and I was fortunate that all of my babies took to it pretty well. The nurses checked in often and made sure that I was feeding the baby. They also made sure we had the number for the breastfeeding hotline when we left the hospital and then called to check in on how it was going within a week of being home. It makes me sad when I hear about other mothers being made to feel bad if breastfeeding does not work out for them. I think we need to support each other.

  24. Megan says:

    Yikes. There are some seriously snotty comments out there. I TRULY wish we would stop comparing notes on who’s the bestest mommy. Motherhood is the most competitive thing I’ve ever witnessed!!! I think it’s because we’re all a bit terrified of screwing up such a big responsibility, so when we find something we’re good at, it seems some of us can’t resist waving it around like a Bestest Mommy Banner. “Look at me! I’m so amazing! I’m Uber Mommy! All those not like me are lesser mommies!” Yuck. For the record, I BF both my girls (not without many problems and tears)–one for 14 months, and the other for 12 months (and she’s still going strong). But honestly? At best I feel ambivalent about nursing. I have serious PPD, and having to be there constantly for every feeding has been tough (especially when baby #2 WILL NOT take a bottle). The occasional break to escape for a few hours would have been heavenly. It was very difficult not being able to. BF is good–the best way to feed your baby if you can do it (and guess what? not everyone can–and I’m not sure why some people think otherwise). But formula has never been so advanced. And it’s a perfectly acceptable option if that’s what you need. And it’s NO ONE’S business why you choose to give your baby either the boob, or a bottle, or both. Ladies, we all need to remember that just because something comes easily for us does not mean it will come easily to everyone else. And when we find ourselves struggling in some area, we’ll be so grateful for a little compassion–the same compassion we should be showing others.

  25. Emily says:

    Thank you Megan. You ROCK! Because of your comment you have given me courage to post. I always end up feeling bad when i’m done reading Nat’s very pro breast feeding posts! There has never been any Babble posts written by her or questions asked by her about choices of formula or choices of bottles. I’m proud to say that I bottle- fed both of my sons. I chose it. I have struggled with depression in the past. I had my sons in my early and mid thirties. I gave up my career to become a stay at home mom. I knew that I would struggle with feelings of PPD. I wanted to prepare myself and give myself the best copying tools available. I wanted my boys to have their mom functioning at 100%. One way that I felt I could do this was bottle feeding. My husband was able to help me with feedings. This allowed me time to get sleep and time to do other things in the home and for myself. This helped me very much mentally. I was still able to bond with my boys. My boys are healthy. Please save the lectures. It took a lot of courage for me to write this. My boys are now 1 and 4. They could not by any happier or healthier, and neither could I!

  26. Lauren says:

    Our baby was in the NICU for 2.5 weeks (he was full-term, but had meconium aspiration, pneumonia and a few other issues) and breastfeeding was strongly encouraged. It could just be because I’m in Utah and delivered at the hospital with the #1 birthing rate in the US. I had multiple lactation consultants meet with me and was given their numbers for after I went home. They wouldn’t let him leave the NICU until I could breastfeed him for 2 days and satiate his hunger. If I couldn’t keep up, then pasteurized breast milk from other options was the alternative they suggested. They worked with me to find nipple shields and lanolin etc.
    I also went to a lactation clinic in the valley when he was about 2 months old because he was having such a hard time latching and sucking after being on feeding tubes and was losing weight.
    His pediatrician was less supportive. I breastfed at his 3 month appointment because the doctor was running late so I breastfed him in our room while we waited. The doctor walked in and kept awkwardly averting his eyes and left to go see another patient until I was done feeding him and then suggested formula for its convenience and I wouldn’t have to use a nipple shield etc. but I’m stubborn and wanted to breastfeed.
    Now, we’re at 11 months and the biting stage (he bit through and I bled a few days ago) and I’m having a hard time saying I’ll go past a year.

  27. Britney says:

    @Natalie. *Now* I totally agree that it should always be the mom’s choice. But as a first time mom you are so lost and confused. And terrified! Here’s this little person that is totally dependent on you and your choices and the last thing you want to do is make a choice about their welfare. haha! It’s taken me 6 months to finally get to a point where I am comfortable in my parenting decisions and only through constant affirmations.

  28. Leah says:

    I’m an ER nurse at a small urban hospital that does not offer OB care. Every now and then a woman will be rushed through our doors only minutes away from delivering. (NOTHING scares an ER nurse… other than delivering a baby in a hospital that is not equipped for delivering babies!) All of the deliveries I have been involved in have gone very well, and every mother has nursed her new baby just minutes after delivering. In the ER we don’t ask if you are planning to breast feed or formula feed (we usually don’t have time to! They deliver THAT quickly), I don’t think we even have formula available. I am not sure if any of these mothers go on to breastfeed after leaving the ER, but we really don’t give them a chance to say no while they are in the ER. As soon as we are sure the baby is breathing we have them on your breast, we offer no rationale other than: “Let’s feed the baby, this is the absolute best thing you can do right now for you and him/her”. It could be that the mothers are soo stunned that they just delivered thier baby in a tiny ER room without the aid of monitors or drugs in most cases, but none of them have argued.

    When I delivered my daughter this past May, I knew I wanted to breast feed. I remember delivering her and then being left for a few minutes, just my husband, me, and our new baby. I announced that I was going to nurse her and proceeded to undo my gown to get her started. My husband was a little shocked and asked, “are you allowed??”, “Shouldn’t you ask one of the nurses about it??”. I kind of smiled, and said “ummm… this is OUR baby.. I can feed her”. Looking back it seems kind of funny that nobody encouraged me to nurse in those first minutes after delivering. I think that L&D units should offer more encouragement to breastfeed.

    Thanks for posting that article. I am definetly going to be checking it out.

  29. trista says:

    My hospital was mostly accommodating, but the nurses basically tricked me into using a nipple sheild. That was the bane of my existence for almost two months…it caused mastitis and lots of difficulty. If I hadn’t been as committed, and you have to be, I def wouldn’t have kept nursing. I’m on month 14 with my son and I’m finally thinking of weaning.

  30. lizzie says:

    I am lucky. I have 2 boys and breastfed(feed currently) them both. The first one was rough. I had no idea what I was doing, but for some reason I had mentally commited to giving it 6 weeks before giving up. My nipples looked like hamburger and I cried when I had to feed him, but he was gaining weight so I was lucky. I went to multiple lactation consultants, and used a nipple sheild for a few weeks when I really thought my nipple would fall off in one more feeding. I finally found an awesome lactation consultant who gave me the simple ‘just pull down the lower lip’ trick, and it was instantly better. Seriously? Why couldn’t i find that online or with the previous 4 consultants? Well, needless to say we made it through. #2 was and is much easier, but not without his own anxiety causing behaviors (constant pull-offs, screaming mid-feeding, etc).

    So that being said, I really do think it is a person decision. I have a lot of friends who are super judgemental about the whole thing, and would probably freak out if you mentioned formula in their presence. And honestly, it’s pushed us apart. For me, breastfeeding is one piece of mothering, it’s not all of it. But some people seem to get so obsessed with it….it’s all they want to do and talk about. And for them, I’m sorry that wetnursing is no longer a profession.
    I feel lucky to be able to breastfeed, and pump successfully while at work (pumped for 9 mos w/ #1). Before I had kids I easily passed judement on mothers for various parenting dos and don’ts. But after having kids I am of the mentality you do whatever you need to do to survive. And if that means giving your kids formula, then I am thankful it is available. My grandma tells me stories of making her own formula out of evaporated milk because they didn’t have any back then. Or what about the era of starting your babies on cereal when they’re 2 weeks old? Or the era of formula is best, better then breastmilk? I think all in all, we’re lucky to live in a society that allows for all types of mothering, and offers tools to for that, whatever you choose. :)

  31. Michele says:

    I think the decision to breastfeed, or not breastfeed, is a very personal one that each hospital needs to respect. My kid was a natural latcher and knew just what to do. He had no problems whatsoever and in my birth plan I specifically mentioned that I DID NOT WANT any assistance in the breastfeeding area unless I asked for it. I felt that the hospital was respectful of my wishes as it was VERY pro breastfeeding, but felt that other mothers were pressured and stressed by the whole process of people in and out grabbing their breasts every two seconds. Hospital staff in every case should respect a parent’s right to parent in the way they feel is best for the child.

  32. Charla says:

    The longest I beast feed was 18 months. I breast feed 5 out of 8 children. I know that in Russia they breast fed them until 6 years of age. Because of the cost of milk and so on…It kinda grosses me out but if your child had no milk what else is there to do…But also keep in mind that breast feeding decreases your risk for Breast Cancer.So Both Benefit!

  33. Karen says:

    I personally had a very good experience in the hospital where i had my son, once he was born they asked if i’d be breastfeeding exclusively or not i said yes and all i got back as a verbal answer was “ok great.” From there my son was placed in my room and did not leave at all any test or watever had to be done to him was done in my room i fed him right after he was cleaned off and on demand for 6mts+ now. I do plan to continue to breastfeed untill 1year and then maybe wean. I wish every one could have an experience like mine but sadly that was not my sister’s case who was induced for no reason had a c-section and said and made very clear that she wanted to breastfeed exclusively but her wish was ignored aperently some where between her waking up and the baby being taken to her room some one fed my nephew formula and when she was finally allowed to breastfeed he did not latch this lasted untill she went home where she finally took it apon her self to go “cold turkey” on him and let his little baby instincts kick back in and luckily it worked out for 4mts+ now :)

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