Wednesday, July 21, 2010

Breastfeeding through Pregnancy

So Peer obviously did not wean before I got pregnant, so I have now ended up nursing through this pregnancy. It's been quite the adventure. I immediately borrowed a book from my local La Leche League group, Adventures in Tandem Nursing: Nursing Through Pregnancy and Beyond to aid me on my journey. I remember not long after he was born my doctor telling me that if I got pregnant again I would have to stop breastfeeding. I thought this was absurd. How could the human race sustain itself if that was truly dangerous? Later on as I learned more, I discovered why some in the medical community hold this line: breastfeeding does release oxytocin which can cause uterine contractions. But since then, I have seen so many moms nurse through pregnancy that I maintained my original position that to insist a mom must quit breastfeeding when she gets pregnant is just lame. The book is both clinical and practical, so it spends a considerable amount of time going through the research on breastfeeding during pregnancy (and nursing two children at once), explaining each position, the research involved, and arguing why tandem nursing is usually safe. It also gives explanations of situations in which it would not be. The bottom line is essentially that if a woman isn't starving (as in third-world country type of starving), breastfeeding during pregnancy is safe for mom, fetus, and nursling. And yes, the uterus does contract. It is always contracting-- this is good, as it is practice for labor. It does not produce any more oxytocin than having sex, so if a woman is healthy enough to do that during pregnancy, then she can certainly breastfeed.

So, safety and medical issues aside, the body goes through a lot of changes during pregnancy, and those changes definitely effect breastfeeding. In the first trimester, my breasts were extremely sore. Nursing hurt a little the first month, and A LOT in the second and third month. Once the initial tenderness got better, nursing was a little easier. But it still hurts. Every time. It hurts at first, and then after a few minutes the pain subsides. Also, his nursing habits have changed. He now digs his teeth into me more than he ever did. I think as my milk is drying up, he is adjusting his suck so that he gets more, maybe. So now he employs his teeth. We are working on fixing this. It's obviously unacceptable! Also, breastfeeding him down to sleep at naptime has become sometimes ineffective. This is very sad. I've taken to walking him to sleep, but now it's getting hot outside and I am getting too big to wear him in front in the carrier. The next time I need to do that, I will either take him for a drive or try him on my back. Sucks. Nursing him down to sleep at naptime used to be about my favorite time of day. So it's sad when it doesn't work anymore.

Oh, and he also kicks me in the belly a lot. But that also happens in the shopping cart, in bed, and at other random times of day. THAT sucks.

After a lot of soul-searching and pouring over that book, I've come to the conclusion that there is nothing wrong with the parent weaning the child during pregnancy. I always wanted him to wean himself, but he's almost three now, and if it gets too painful I feel I have the right and maybe even the duty to cut him off. I don't want to have negative feelings toward him or toward breastfeeding in general. It must always be pleasurable! Peer is old enough to be weaned, so if it comes to that, I will do it with a clear conscience, knowing that I have accomplished all my breastfeeding goals with this child, and have done more for him in this area than I ever thought I could. And knowing that he is ready. And acknowledging that he may come back to the breast after the baby is born. That is okay by me. But for now, we are still going. With God's guidance and grace, we may go all the way up to the birth and beyond. Or not.

Monday, July 19, 2010

Training for Childbirth

So the last time I was pregnant, I was just coming off of being an actor "full time," so I was pretty used to prioritizing taking care of myself, since that is an essential part of an actor's job. Even though I was not as educated as I am now in the area of nutrition, I was very disciplined. I rarely ate desserts or sweets and overall ate very healthy. Even though I did consume a lot more preservatives, processed foods, pesticides, and artificial hormones, etc.

The best thing, though, that I probably did to prepare for childbirth was exercising like crazy. I always enjoyed exercising since long before I became pregnant, but once I got it in my head that I was going to have to accomplish the greatest physical task of my life, I really kicked the exercising into high gear. I continued my jogging regimen until I was 5 months pregnant and my back no longer allowed me. Then I switched to walking and ended up walking twice a day. I went to Curves twice a week at least, sometimes three. I did prenatal yoga for the last 4 weeks of my pregnancy (it would have been six if Peer hadn't come early, causing me to lose the last two weeks of my package!). On top of all this, I religiously did all the exercises in the Bradley workbook with Andy's help. I felt great. And I never loved my body more.

But this time around I am a full-time mom, which means I have become accustomed to putting my own needs on the back burner, in order to cater to the needs of others (namely, my child). One of my apprehensions toward getting pregnant was my fear that I would not be able to get into shape like I did last time. I do eat healthier, more natural foods now. And I gave up meat. But the discipline seems to be gone. After I've had a crazy day with Peer, I desperately want comfort food! I don't think I really overdo it, but when dessert is offered, I take it! I tried jogging at the beginning of my pregnancy, but I was so sick and fatigued that I just couldn't. (I was sick last time too-- how did I do it?) I obviously can't go to the gym anymore, especially not Curves because of their crazy hours.

So here's what I am doing: I exchanged the possibility of jogging with the certainty of daily walks. And they are long-- about an hour every day. And by every day, I mean about four days a week. 'Cause Friday is Funday. I started doing prenatal yoga a few weeks ago. This is much earlier in the pregnancy than last time, so I'm hoping that covers some of the other exercise I'm not getting. I've been trying to do the Bradley exercises again, but it's been sporadic. Again, a discipline issue. I've been writing down what I eat, and that helps. I count my proteins and try to get 60-80 grams per day, spreading the protein out over as many food groups as possible. Last time I did 80-100, but my midwife and others all agree that 60 is sufficient. But I don't write this stuff down every day. Maybe a few days per week. Again, a discipline problem. That's about it.

I'm trying not to freak out, and accept the fact that I will probably gain more this time than I did last time. I only gained 20 lbs last time, which is very low. I'll probably lose a lot while I'm exclusively breastfeeding, although I don't want to depend on that. And I'm also reminding myself that theoretically, this birth should be easier since it is my second. Even if I'm not in tip-top shape, the rest of my body is much more familiar with the task. And that perhaps, it is more important to train my mind and spirit than my body.

So does anyone else have tips for exercising during pregnancy? Especially any habits that can be implemented with a toddler running around? Or any other childbirth preparation in general that they'd like to pass on? It's just so different for your second-- I feel like I'm treading new water!