August 15, 2012

What You *Really* Need for Breastfeeding

So I had another "first" prenatal with another doctor the other day, and they sent me home with another prenatal pack with info for new moms. I was actually semi-impressed with this pack--there was only one publication that contained formula advertising in it, and I couldn't find anything that was actually published by formula companies. It appeared that the hospital self-published much of their materials, and contained some fairly good information. Unfortunately, I'm pretty sure none of their doctors have actually read said materials, because when I birthed there five-and-a-half years ago, they pretty much didn't do any of the good stuff. Which is why I now homebirth. Different topic, though. Anyway.

So they included a copy of the Babytalk pregnancy planner, which I ignored at first because a)most mainstream pregnancy publications suck, and b) this is not my first time around the block. But, yesterday, in a fit of procrastination, I picked it up. And it was every bit as appalling as I'd expected.

First thing a saw when I opened it was a full color double page spread ad for Similac. Now, I know they have to have advertising, and I know that lots of moms formula feed, and I know that since breastfeeding is free, no one can really make any money advertising breastfeeding, but, still. I'll give them a pass on that, though, for the above reason, and because it's a mainstream publication, and all mainstream publications advertise formula, and all kinds of crap that no one actually needs or use for their babies, but it makes you all warm and fuzzy feeling when you flip through it as a hormonal pregnant woman, so whatever.

What caught my eye, and, consequently, my temper, though, was the breastfeeding supply list. It just screamed "I was written by someone at the formula company!" Here is what the spring/summer 2012 edition of the Babytalk pregnancy planner says you need in order to start breastfeeding (this list can be found on page 39):
  • breast pump This purchase can make or break your nursing experience. If you're going back to work full time, you'll need to buy or rent a super-efficient (but pricey) double electric pump. But if you're staying home, a much less expensive manual pump may be fine.
  • freezer storage containers or bag 
  • 4 to 6 bottles
  • nursing pads 
  • nursing pillow
  • nipple cream
  • 2 nursing bras for now (your size may change when your milk comes in)
  • can of formula in case of emergency
  •  (it's always good to have one on hand!)
Okay, so here's the deal. Really, the only thing you need to get started breastfeeding, is a baby and a boob. That's it. It's not complicated. It's not expensive.

You don't need a breast pump. Not at first. If you're planning on going back to work at some point, then yes, you'll need a breast pump. But you don't have to go out and drop $250 on a Medela before you've left the hospital in order to succeed at breastfeeding. If you are having supply issues, your hospital can rent you a hospital grade pump to help your milk come in (and often, your insurance will pay for it). You can also hand express (the first time I tried hand expression, I was actually shocked at how effective it was. So effective that I had clean milk off the opposite wall when I was done). You can use a "much less expensive manual pump" if necessary. Really, though, if you're having supply issues, your best bet is not to go out and buy a breast pump, but to contact your local LLL representative and get help. Immediately.

Obviously, if you don't pump, you don't need freezer containers or bottles, since those would be absolutely useless to your breastfeeding baby. So I'm really not sure why these are on a list of things you need to breastfeed. Maybe they mislabeled the list for "Things You Need for Pumping."

Before my oldest was born, I bought a huge box of nursing pads, because all the lists told me that my breasts would turn into geysers after my baby was born, and I would soak through my clothes, and embarrass myself. I never used them. Not one. Granted, I know some women who do leak, so I'm not saying you absolutely, positively will. not. need. them. I'm just saying, wait. Find out what your body does with milk before you buy stuff that you won't ever use. Like I said before, the only things you need to start nursing is a baby and a boob.

Nursing pillows are--well, I hated mine. Hated it. It didn't sit right, and the baby would slip down between me and the pillow, and it never quite propped him up high enough, and it was so bulky that I could never take it anywhere, and at home I had free access to all kinds of pillows (which I could arrange to work much better than my nursing pillow did), so it was totally a waste of however much money the lady who gave it to me spent on it. Again, I know some women who love their nursing pillows. Wouldn't go anywhere without them. Can't imagine breastfeeding without it. That's fine. But wait. To get started breastfeeding, all you need is (let's hear it, ladies) a baby and a boob.

Nipple cream, of course, falls into the same category as nursing pillows and nipple pads. When I was first starting out breastfeeding, my nipples did crack and bleed and hurt like holy heck. I honestly didn't find that nipple cream helped me (it was a latch issue, and often is. Breastfeeding should. not. hurt.). Half the time I forgot I even had it, so, whatever. Some women probably find it really helpful, so I'm not saying it's not something that you may need. I'm just saying that, well, first of all, if your nipples are cracked and bleeding, or constantly sore, contact your local LLL representative and get help. And second, all you really need to breastfeed is--yeah. You get it. Right?

Nursing bras I can actually understand. I mean, I don't wear them anymore because I can't find one that's comfortable that I don't have to mortgage my house to pay for, and I've found it's quite easy to slip my boob over the top of my regular bra, and pop it back in when I'm done. I'm an experienced breastfeeder, though, and I'm not positive I could have done that with my first couple of kids. Also, I may have ill-fitting bras. But, a nursing bra is not something that you need in order to start breastfeeding. I mean, I don't know about anyone else, but the first two, three, four years weeks after my babies are born, I don't even wear a bra. At all. So I certainly don't require the services of a fancy, expensive bra in order to feed my baby with my boob.

A can of formula is something that a beginner breastfeeder (or any breastfeeder) should never, ever, EVER have on hand. Those first couple weeks of breastfeeding your first baby are, well, hard. I won't sugar-coat that. Depending on how much support you have, you may have people telling you that baby is starving every time he screams, and that you need to top him off with formula to make sure he's getting enough. You'll obsess over diapers ("Is this poop the right color? Is he pooping enough?"). You'll cry because you just fed this kid six minutes ago, and he wants to nurse again. It's a mountain, and if you're going to breastfeed, you'll have to scale it, at least once. Probably. And let me tell you, a can of formula will hold you back. It will sit on your shelf and taunt you. It will remind you of how inept you are at feeding your baby with your boob. It will ask you if you know for sure that your baby is eating enough, and laugh when you stammer back that you th-th-think so. It will glow in the dark when you get up for those great many middle of the night feeds, and remind you that statistically, formula-fed babies sleep for longer stretches of time (it will not elaborate on whether this is actually safe, however). It will sabotage you. 

Incidentally, I find it (kind of) funny that the list of breastfeeding necessities is eight items long. Eight things that you're supposed to need in order to start breastfeeding. You know how long the formula-feeding list is? Six items. Six. Because last I checked, you need a lot more than a baby and a boob to formula feed.

Breastfeeding is--amazing. I've been doing it non-stop for five-and-a-half years, and I'm currently tandem nursing (while pregnant. Do I earn points for that?). I know whereof I speak, ladies. It may take some effort to get started, it may take some fortitude, some determination, some bull-headedness, some focus. But really, it just takes a baby and a boob. That's it. Now go for it!



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