What is a DOULA?
The word "doula" comes from the ancient Greek meaning "a woman who serves" and is now used to refer to a trained and experienced professional who provides continuous physical, emotional and informational support to the mother before, during and just after birth; or who provides emotional and practical support during the postpartum period.
Studies have shown that when doulas attend birth, labors are shorter with fewer complications, babies are healthier and they breastfeed more easily.
A Birth Doula
- Recognizes birth as a key experience the mother will remember all her life
- Understands the physiology of birth and the emotional needs of a woman in labor
- Assists the woman in preparing for and carrying out her plans for birth
- Stays with the woman throughout the labor
- Provides emotional support, physical comfort measures and an objective viewpoint, as well as helping the woman get the information she needs to make informed decisions
- Facilitates communication between the laboring woman, her partner and her clinical care providers
- Perceives her role as nurturing and protecting the woman's memory of the birth experience
- Allows the woman's partner to participate at his/her comfort level
A birth doula certified by DONA International is designated by the initials CD(DONA).
Research evidence shows that the quality services of a postpartum doula can ease the transition that comes with the addition of a baby to a family, improve parental satisfaction and reduce the risk of mood disorders.
Caroline : (561) 972.1010
(palm beach county Martin county Florida)
My name is Caroline I am a Happy mom of 3 children,2 girls( Mathilde 17) (Lucie 12)and a boy( Clarence 13 1/2 ) I moved in America 5 years ago with my family, I am originally from France ( Paris).
It was very challenging for me to ''re start'' my life ,in a new country, learn a new language a new culture,and get a doula certification .
but I did it!
Becoming a doula is a choice to dedicate my time and energy to assist women and families in one of the most beautiful and important events in life: birth
In my free time I enjoy cooking, baking, hiking, skiing, gardening, assisting my family!
I am a certified doula DONA INTERNATIONAL
DONA International: We are the world’s premier doula organization
Pardon us for bragging, but we are the oldest, largest and most respected doula association in the world. Our founders are among the foremost experts on doula care, and DONA International certification is a widely respected measure of quality and professionalism. We are an international, non-profit organization of doulas that strives to have every doula trained and educated to provide the highest quality and standards for birth and/or postpartum support to birthing women and their families. To that end, we promote continuing education for doulas and provide a strong communication link among doulas and between doulas, families and the medical birthing community.
We are an amazing community with a shared passion for families that reaches around the world. DONA International doulas and the families they serve are in more than 20 countries.
The Benefits of Delayed Cord Clamping
Watch this movie
Cord Still Attached Photo Credit: Sharon Mollerus
Delayed cord clamping, also known as ‘optimal cord clamping’, is becoming more popular due to the many benefits this simple practice can do for your baby.
Published studies suggests delaying cord clamping results in healthier blood and iron levels in babies.
When your baby is born – premature or full term – only about 2/3rd of his/her blood is in its body with a 1/3rd remaining in the umbilical cord and placenta. It is during the mother’s third stage of labor (lasting from delivery of baby to delivery of placenta) that the cord actively pumps this iron-rich, oxygen-rich, and stem-cell-rich blood into baby. Just 3 minutes after birth, more than 90% of baby’s blood transfusion is complete!
Immediate cord clamping is a medical intervention with NO proven benefits.
If you live in the U.S. or Europe, your baby will often not receive this cord blood because its umbilical cord is cut before baby has received all its blood. The result is a baby is deprived of precious early-life resources that could allow him or her to flourish. Did you know that one third of your baby’s blood is outside of its body at the moment of birth?
Support your baby’s developing immune system and ability to resist infection.
If the cord is clamped too soon (before it stops pumping) your child misses out on 60% of its red blood cells, additional iron, stem cells, white blood cells, and much more. These are the same ingredients that support your baby’s developing healthy bodily functions, intelligence, resistance to infection – and much more.
Wait just 90 seconds to clamp your baby’s cord!
Delayed cord clamping means waiting at least 90 seconds after baby’s birth before clamping and cutting the umbilical cord. During this time, blood continues to pulse from placenta to baby until naturally stopping about 3 minutes after birth. This transfer of blood from placenta to baby is most effective if baby is placed on mother’s lower belly.
Benefits of Delayed Cord Clamping
- Gives baby the oxygen it needs immediately at birth
- Allows 4-8 teaspoons more blood to pulse from the placenta to baby
- Gives baby an additional 30 to 35 mg of iron to lower risk of anemia
- Promotes a healthy neonatal cardiopulmonary transition
- Prevents iron deficiency at a critical time in brain development
- Reduces birth asphyxia (inadequate oxygen to brain) and cerebral palsy.
- Gives baby the red and white cells it needs for optimal health
- Provides newborn with a rich supply of stem cells*
- Helps a sick baby achieve better outcomes
- Little to no apparent risk to mother or baby
*Stem cells play an essential role in developing immune, respiratory, cardiovascular, and central nervous systems. The concentration of stem cells in fetal blood is higher than at any other time of life! When a baby’s cord is immediately clamped, 1/3rd of these critical cells remain in the placenta, NOT your baby.
Un-clamped Cord Over the Course of 15 Minutes. Photo Credit: nurturingheartsbirthservices.com
History of Immediate Cord Clamping
Immediately clamping the umbilical cord was popularized in 1913 as one of three pillars of active management of the third stage of labor. While this intervention began in the West, we exported this technique to developing nations around the world. Today, in some low-income countries as many as 95% of delivery clinicians surveyed practice immediate cord clamping. Immediate cord clamping results in up to 10x the risk of developing iron deficiency anemia.
The WHO no longer recommends immediate cord clamping.
Not only have people around the world traditionally waited for the cord to stop pulsing until the 20th century innovation, every other mammal studied instinctively waits for cord to stop pulsing.
One Happy Baby – Delayed Clamping Cord Calmness Photo Credit: Kelly PhD
If a newborn is sick at birth, one of the first things they often receive in NICU is fluid support (about 4-8 teaspoons of normal saline or blood. Yet that is exactly what’s left behind in the placenta when a cord is immediately clamped—about 2 tablespoons of whole blood. Therefore, it can sometimes be beneficial for your baby to let nature do its own transfusing!
If a baby is born in distress and needs resuscitation, delaying cord clamping may need to take a back seat. Babies in distress need immediate attention and it may not be practical to care for them with the cord attached. As more is learned about the benefits of delayed clamping, pediatricians may adjust protocols to do some procedures at bedside, allowing cord to remain attached. If the cord must be clamped immediately, you can make up for the lost iron by giving baby an iron supplement, or feeding her iron-rich foods, when she is ready for solids.
Unless there is a strong reason to do otherwise, it is best to
WAIT until your baby’s cord stops actively pumping fetal blood.
Most midwives/doctors will agree to delay cord clamping as long as they know ahead of time that this is what you want. It is a good idea to request delayed cord clamping in bold in your birth plan and discuss it with the attending nurses at your birth.
8 Natural & Effective Tips For a ‘Stalled’ Labour
If you’re birthing in a hospital and find that your labour reaches a plateau or stalls, unless you’re informed about what a stalled labour means and what you can do to help yourself, it can become a very anxious time.
Sooner or later, you will receive (increasing) pressure to accept a medical augmentation to hurry things along, for example, breaking your waters or using Syntocinon, which is the same drug used intravenously (in a drip) to induce labour, making it much more painful and intense. It can give you less of a rest between contractions, at a time when you’re probably already exhausted, and will greatly increase the likelihood of further medical procedures, particularly caesarean section.
Emotionally, you and/or your partner may also start to experience negative and disempowering thoughts, which can make matters even worse, for example: ‘My body doesn’t work’, ’I’m failing/a failure’, ’I’m just one of those women who can’t birth vaginally’, or ‘All this work, all for nothing.’ This in itself can set a labour back.
In the first stage of labour (contractions phase), some women will experience a plateau and some will not – there is nothing you have done wrong either way, it’s just one of those things that happens. The good news is, there is something you can do about it.
Firstly, you need to understand that there are several ways a doctor or midwife will medically evaluate and label the progress of your labour. This may include any of the following:
- Dilation (10cms being a fully dilated cervix, allowing for pushing)
- Strength of contractions (feeling your abdomen/electronic monitoring)
- Time between contractions
- Length of contractions
- Behaviour being displayed by the mother
Unfortunately for the birthing mother, none of these methods are reliable or foolproof, even for the most experienced carer – meaning she may end up with unnecessary interventions or tests based on those evaluations. This is especially the case when trying to assess how many centimetres dilated a woman is, for two main reasons:
1) They can’t see your cervix – they have to guess with two fingers inserted into your vagina. I’ve seen a midwife and a doctor give quite different measurements, hours apart, which greatly upset the mother. She felt like she had gone backwards from what the midwife had told her earlier. She was tired and now discouraged, anticipating the end and was closer than what the doctor had said based on his estimate.
2) One centimetre of dilation could take 10 minutes or it could take 2 hours – yet the labour could still be progressing in a healthy way. Doing an exam is not going to speed up your labour or change your progress, but it could end up slowing labour down and make you feel miserable in the process.
So there are two perfect reasons why these sorts of exams should be avoided, unless there is a genuine medical need! It doesn’t matter what ‘number’ you are… your baby WILL come out, no matter if you’re 2 or 10!!! You wont be pregnant forever.
Labour does not follow any hard or fast rules and can respond to so many different factors and influences. However, there is evidence that a plateau in labour is very normal and healthy – instead of failure to progress, it’s very much failure to wait.
So with that in mind, let’s see what you can do.
Go for a Walk / Get Up
Getting up and moving is a great way to encourage baby’s decent, which involves lots of shifting, wriggling and turning it’s way through your pelvis and behind your pubic bone. Movement on your part, especially walking and going up and down stairs, helps that shifting and moving. It also helps to put more pressure on the cervix to assist with dilation. If you can walk through a contraction, even better, but this can be a tricky feat especially later in labour!
Change the environment
Some questions you (or your support people) might like to consider are:
- Is the room too bright?
- Do you feel closed in or claustrophobic being stuck in a small room and need some fresh air?
- Is there too much stimulation/chatter/annoying noise going on?
- Do you need some privacy?
- Do you feel uncomfortable and/or are there a lack of labour aids?
- Is anyone making you feel uncomfortable or is someone there who you don’t want to be?
Sometimes things going on in your environment can raise your stress or adrenaline levels which can slow down or halt labour. Adrenaline reduces the amount of oxytocin (the labour hormone) in the body – you can’t have both as it’s a response your body creates to shut down your labour until you are in a ‘safe’ place again. Imagine a set of scales – one side up, one side down. High oxytocin requires low adrenaline. High adrenaline means low oxytocin… and you don’t want that in labour. If you are able to, get some fresh air, think about what you might need and consider asking for a different midwife if you’re having trouble relaxing around the one you have been assigned.
Similar to the comments on walking, changing your position helps the baby to shift and move around to get into the right spot – help him wriggle on down! Being stationary in one position can slow things down and make things more uncomfortable for a birthing mother.
Nipple stimulation produces oxytocin and can produce some strong effects, so you can try stimulating your nipples (including your areola, as a baby would when sucking) with your fingers, massaging one at a time. An alternate option is if you are still feeding a toddler, let him attach and the sucking action will do the same thing.
Massage the first nipple for 5 minutes (when there are no contractions), then wait to see what happens before doing more. It’s a good idea to take your mind off things by getting on with your usual duties than sitting and waiting for something to happen – so try and keep busy!
Once labour is well established again, stop the stimulation.
Orgasm produces oxytocin… so tap your man on the shoulder or DIY – because it could well help labour along, and let’s admit it, you’re not exactly going to suffer for trying!
Acupressure can be learnt before labour, so you or your partner can work on acupressure points should you want to get labour moving. Alternately you can speak to an acupuncturist about the possibility of them supporting you at birth or attending your labour.
Debra Betts has put together a brilliant document on acupressure for pregnancy, labour and post birth, with solutions for all sorts of situations, from encouraging labour to vomiting and nausea in labour. You can download a copy here.
More information about this can be found in our Naturally Inducing Labour article.
This can be an unexpected thing to consider, but childbirth can bring about a big emotional upheaval for some people, anticipated or not. Perhaps you or your partner is really wanting a boy and you’re having a girl… perhaps you’re anxious about pushing baby out or are recalling a horror story from a friend… perhaps you have had someone close to you pass away recently… perhaps you feel scared worrying about what will happen after the birth, because the baby was unplanned and you or your partner are not sure how you feel about things.
At births I have supported, I have seen occasions where parents (or others) turn up unexpectedly and unannounced, asking to wait for the mother to birth – even where it was the mothers wishes for them not to be there. This happen and it can really set back a labour, requiring time to help the woman become focused and calm again – never anger a labouring woman!!! So perhaps you are worried this situation may occur and feel anxious for this reason. At the end of the day, there are just so many things that can mess with the process of labour when you mess with the mother’s right to privacy and safety.
Exploring any psychological reasons that may come up during your labour can be a huge help, ideally if you are aware of any before you give birth. It is common for women giving birth who have lost their own mothers tend to go through some strong emotions. In any case, it would be a good idea to seek counselling to help deal with how you feel to prevent events playing out in labour. If something does happen during labour, then hopefully you can find a midwife (or your doula or partner) you trust to let them know what’s going on.
Wait it out! Yes!
"People never sing...except in the bathroom. Birthing women also make their natural sounds next to running bath water. There is something about the power of water. People are drawn to water, spas, and sacred streams. Women in labor are drawn to water, too."- Michel Odent, MD.
Birthing in water is every womens right. With the right tools, research, and prenatal care all women can accomplish this. My wish and goal is to help provide one of these tools for your family to help create your sacred space on your Birth Day.
.Benefits for mom
- Pain relief: warm water immersion decreases secretion of stress-related hormones (noradrenaline & catecholamines) associated with fear and anxiety; increases production of endorphins—the body’s natural pain killers. Mom is able to attain a deeper state of relaxation and conserve her energy. Buoyancy in water reduces effects of gravity and creates weightlessness; less abdominal pressure promotes more efficient uterine contractions.
- Decreases hypertension and reduces edema: mild vasodilation occurs thus decreasing maternal BP
- Increases oxygenation to uterus; no external compression of inferior vena cava; promotes better blood circulation and supply to the uterus/placenta improving fetal oxygenation.
- Facilitates a dysfunctional labor; stimulates effective dilation of the cervix. Provides greater mobility for maternal positioning during labor and birth.
- Reduces perineal/cervical injuries. The warm water softens the vagina, vulva and perineum making the tissues more supple and able to stretch gradually.
- Best water temperature: 86-96°F induces mild hypothermia; intensifies uterine blood flow; makes glycogen reserves available and activates insulin receptors in the mom thus is beneficial for diabetic moms.
- Shortens length of labor.
- Improves placental blood flow; increases efficiency of uterine contractions which assists in efficient placental separation; reduces postpartum hemorrhage.
- VBAC: lessens danger of rupture; safer for scar; uterus has better blood supply.
- Empowers mother: when mom is awake, aware and in “control” of her birthing experience it becomes a source of great personal strength and enriches her life forever.
.Benefits for Baby
- Gentler transition from maternal womb to external “womb” of water with less trauma at birth
- Enhances fetal oxygenation. Improved blood flow to baby due to better blood circulation in mother
- Best water temperature: 86-96°F helps regulate fetal heart rate; protects against hemorrhagic disease of the newborn by normalizing clotting response; stabilizes primitive reflex responses and activates fetal movements.
- Water mitigates the shock and sensory overload to the newborn that are so often an inextricable part of “dry-land” birth
.Benefits for family
- Greater involvement of the father—because mom’s pain and stress is greatly reduced, fathers take a more active role in the birthing process.
- Enhanced family relationships—involvement of father creates a greater family bond
- Better parent-child interactions—a mom who has an empowering birth experience will have a positive association to the baby; and a baby who experiences a non-traumatic, painless, gentle birth will have a positive association to the parent.
- The birth experience is one of several causal factors in determining the kind of personality an individual manifests later in life. (The Calif. Commission on Crime Control & Violence Prevention spent two years studying the root causes of crime. It found that gentle birth, more loving families and less violence on television are three major factors that curb violent crime. The Commission said that “a positive birth experience, one that is gentle, loving and non-traumatic, increases the likelihood of healthy child development and less violent behavior.”)
Could home birth be for me?
Home birth can be an option for you if:
- You are having a healthy, low-risk pregnancy
- You want to avoid an episiotomy, cesarean section, epidural and other similar interventions
- You want to share the experience with family and friends
- You want to be free to move around, change positions, take a shower, and eat or drink freely during labor
- You want to enjoy the comforts of your home and familiar surroundings
Home birth is not for you if:
- You are diabetic
- You have chronic high blood pressure, or toxemia (also known as preeclampsia)
- You have experienced preterm labor in the past, or are at risk for preterm labor now
- Your partner does not fully support your decision to give birth at home
Most midwives will bring the following with them the day of delivery:
- Oxygen for the baby if needed
- IV’s for mom if she becomes dehydrated or needs additional nutrients
- Sterile gloves, gauze pads, cotton hat for the baby, drop cloths, waterproof covers for the bed, a thermometer, a pan for sitz baths after birth
- Fetoscopes or ultrasonic stethoscopes
- Medications to slow or stop a hemorrhage
- Special herbal preparations, homeopathic remedies,massage supplies/techniques and perhaps even acupuncture needles
- Items for suturing tears
Nearly all nursing mothers worry at one time or another about whether their babies are getting enough milk. Since we can’t measure breastmilk intake the way we can formula intake, it is easy to be insecure about the adequacy of our milk supplies. The “perception” of insufficient breastmilk production is the most common reason mothers give for weaning or early introduction of solids or supplements. Although there is a very small percentage of women who can’t produce enough milk no matter what they do, this is extremely rare. It is even more unusual for a mother not to be able to produce any milk at all. Mothers can almost always produce some milk to give their babies, even if they have to supplement with formula. The first thing to determine is whether your supply is really low or not. Some mothers have unrealistic expectations, and feel that if their baby isn’t on a three hour schedule, or sleeping through the night by six weeks, they must not have enough milk. There is a tendency for a nursing mother to blame everything on their breastmilk – for example, if the baby spits up or is gassy, it must be something she ate...if he has a day when he feeds more often than usual, it must be because she doesn’t have enough milk… Be careful not to get into the habit of attributing everything your baby does to nursing. All babies, formula or breastfed, have some laid back, easy days, and some fussy and cranky days. Often, your baby’s behavior is not related to breastfeeding at all.
Mothers often worry about their milk supply if:
- The baby nurses often, or seems hungry soon after being fed. Remember it is normal for babies to feed often. They have a strong need to suck, and love to be held close. Breastmilk is digested faster than formula, so nursing babies tend to eat more often. Nursing 10-12 times or more in 24 hours is not unusual. In fact, we lactation consultants worry a lot more about the baby who is sleeping long stretches than we do about the baby who wants to nurse “all the time”.
- Growth spurts commonly occur at around 10 days to 2 weeks, at 3 weeks, at 6 weeks, at 3 months, and again at 6 months. The baby will nurse more frequently during a time of rapid growth and not seem satisfied. After nursing frequently (okay, all the time) for a few days, your supply will increase to meet the demand, and most babies will level off and go back to a more predictable schedule. Also, many babies will ‘cluster feed’ in the evenings before going to sleep. This is a normal pattern for a breastfed baby. Formula fed babies also have fussy periods in the evening, but their mothers don’t have a built-in way to comfort them, so they cry more.
- The baby spends less time at the breast (maybe 5-10 minutes rather than 15-20), takes one breast rather than both at a feeding, or mom’s breasts feel softer and don’t leak as much as they did in the early weeks of nursing. These changes are normal and just mean that your body is adjusting your supply to meet your baby’s needs.
- They compare their baby’s nursing patterns, weight gain, or sleep habits to other people’s babies, or even their previous baby. Remember that each baby is an individual, and the same rules don’t apply to everyone, just as the same rules don’t apply to formula-fed and breastfed babies.
Most pediatricians have now switched to the new revised growth charts that replace the old ones from the 1950s, that were based on fat formula-fed babies. Based on these outdated charts, many breastfed babies were considered to be gaining weight too slowly, when they were actually gaining weight at the normal rate for breastfed babies. Make sure your pediatrician is using the updated charts: http://www.cdc.gov/growthcharts/who_charts.htm If your baby is losing weight or not gaining rapidly enough, consult your doctor and make sure your baby is healthy, and that a medical problem is not causing the low weight gain. If your healthy baby is losing weight, or not gaining enough, you need to determine why your milk supply is low, and take steps to increase it. (See article Weight Gain for more information).
The following factors can contribute to an inadequate milk supply:
- Not getting enough sucking stimulation. A sleepy or jaundiced baby may not nurse vigorously enough to empty your breasts adequately. Even a baby who nurses often may not give you the stimulation you need if he is sucking weakly or ineffectively. See Waking A Sleepy Baby for information on how to help your sleepy baby nurse more effectively.
- Being separated from your baby or scheduling feedings too rigidly can interfere with the supply and demand system of milk production. Keeping your baby close, day and night, and nursing often is the best way to increase your supply. (See Night Waking )
- Many mothers find that their milk production decreases when they return to work. Being separated from their baby for long periods of time, as well as the stress associated with re-entering the work force can make it difficult for moms to maintain their supply. The article Returning to Work has information about how to deal with these challenges.
- Limiting the amount of time your baby spends at the breast can cause your baby to get more of the lower calorie foremilk and less of the higher fat content hindmilk. Typically, babies need to spend from 20-45 minutes nursing during the newborn period in order to get enough milk. Offer both breasts at a feeding during the early weeks in order to receive adequate stimulation. While some babies can get plenty of milk from one breast, after nursing only a few minutes, usually this happens after the milk supply is well established, and not in the early stages of breastfeeding.
- If you are ill or under a lot of stress, your milk supply may be low. Hormonal disorders such as thyroid or pituitary imbalances or retained placental fragments can cause problems. Many mothers find that their supply goes down when they have a cold or other illness. (See When a Nursing Mother Gets Sick). Hormonal birth control methods containing estrogen may decrease your supply as well.
- Using formula supplements or pacifiers regularly can decrease your supply. Babies who are full of formula will nurse less often, and some babies are willing to meet their sucking needs with a pacifier rather than spending time at the breast. If you need to supplement with formula, try to pump after feedings to give your breasts extra stimulation. If you use a pacifier, make sure that it isn’t used as a supplement for nutritive sucking. (See Introducing Bottles and Pacifers to the Breastfed Baby)
- If your nipples are very sore, pain may inhibit your letdown reflex, and you may also tend to delay feedings because they are so unpleasant. Often careful attention to positioning will correct the problem.
- Medical conditions like Tongue Tie , Yeast Infections, and Flat or Inverted Nipples can cause nipple soreness and make it difficult for the baby to get the milk he needs. Correcting the problem so that nursing doesn’t hurt can help you increase the let-down and frequency of putting the baby on the breast, and your supply may increase accordingly.
- Previous breast surgery can cause a low milk supply. Anytime you have breast surgery, there is a risk of breastfeeding problems, especially if milk ducts have been damaged. Generally, breast implants or breast biopsies cause fewer problems than breast reduction surgery.
- Moms who have a Cesarean may need some extra time to recover before they physically feel like holding and nursing their new baby. This may cause a slight delay in the milk coming in, but once it does, moms who deliver via C-section produce just as much milk as the mothers who deliver vaginally.
- Taking combination birth control pills – those containing both estrogen and progesterone (see article Breastfeeding and Birth Control) and getting pregnant while nursing (Nursing During Pregnancy and Tandem Nursing) can alter your hormone levels and cause a decrease in your supply. Smoking heavily, and taking certain medications can also adversely affect your supply (see article Drugs and Breastfeeding)
Be aware of the fact that it’s normal for your baby to lose some weight in the first couple of days after birth. Babies are born with extra fluid in their tissues to ‘hold them over’ until mom’s milk comes in. They typically lose 5-7 % of their weight in the first couple of days as their bodies excrete the extra fluid. For the average baby, this is close to a half a pound weight loss (often more for larger babies). You need to ask what your baby’s discharge weight is when leaving the hospital, because that is the figure you will be calculating his weight gain from, not from his birth weight.
If your milk supply is low, here are some suggestions on how to increase it:
- Monitor your baby’s weight often, especially in the early days and weeks. (See article How to Tell if Your Baby is Getting Enough Milk). In general, the longer your supply has been low, the longer it will take to build it back up. Get help early, before weight gain becomes a big concern. In almost all cases, once a healthy baby starts gaining weight, he won’t suddenly start losing it unless there is an underlying medical problem with mom or baby.
- Take care of yourself. Try to eat well and drink enough fluids. You don’t need to force fluids – if you are drinking enough to keep your urine clear, and you aren’t constipated, then you’re probably getting enough. Drink to thirst, usually 6-8 glasses a day. Your diet doesn’t have to be perfect, but you do need to eat enough to keep yourself from being tired all the time. It is easy to get so overwhelmed with baby care that you forget to eat and drink enough. Don’t try to diet while you are nursing, especially in the beginning while you are establishing your supply. You need a minimum of 1800 calories each day while you are lactating, and if you eat high quality foods and limit fats and sweets, you will usually lose weight more easily than a mother who is formula feeding, even without depriving yourself. (See Nutrition, Weight Loss & Exercise)
- Nurse frequently for as long as your baby will nurse. Try to get in a minimum of 8 feedings in 24 hours, and more if possible. If your baby is sleepy, see article Waking A Sleepy Baby.
- Offer both breasts at each feeding. Try “switch nursing”. Watch your baby as he nurses. He will nurse vigorously for a few minutes, then start slowing down and swallowing less often. He may continue this lazy sucking for a long time, then be too tired to take the other breast when you try to switch sides. Try switching him to the other breast as soon as his sucking slows down, even if it has only been a couple of minutes. Do the same thing on the other breast until you have offered each breast twice, then let him nurse as long as he wants to. This switch nursing will ensure that he receives more of the higher calorie hindmilk, while also ensuring that both breasts receive adequate stimulation.
- Try massaging the breast gently as you nurse. This can help the rich, higher calorie hindmilk let down more efficiently. Using breast compression is an simple, easy, and effective way to help your baby get more milk. Newborn babies will often fall asleep at the breast when the flow of milk slows down, even if they haven’t gotten enough to eat. Breast compression helps to continue the flow of milk once the baby starts falling asleep at the breast, so the baby gets more hindmilk. This video shows Dr. Jack Newman helping a mom use breast compression to help a baby get more milk as he nurses.
- Make sure that you are using proper breastfeeding techniques. Check your positioning to make sure that he is latching on properly. If the areola is not far enough back in his mouth, he may not be able to compress the milk sinuses effectively in order to release the milk. (See Establishing Your Milk Supply).
- Avoid bottles and pacifiers if possible. You want your baby’s sucking needs to be met at the breast. If your baby needs to be supplemented, try to use a cup, syringe, or tube feeding system, especially in the very beginning (babies under 2 weeks old). This is less of a concern with older babies who are well established with breastfeeding, as they are much less likely to have trouble switching back and forth between breast and bottle.
- Consider renting a hospital-grade breast pump for a few days, unless you have a good quality double pump at home. Hospital grade pumps have stronger, more powerful motors, and are the most efficient pumps you can use. They are bigger and heavier, so they aren’t as portable as other pumps. They are made for multiple users, as long as each mom has her own collection kit. Because they are so heavy duty and expensive, most hospitals have them available for moms to use in the hospital. They are very expensive to buy – some sell for over $1,000 – so most moms will rent them instead. The hospital, a La Leche League Leader, or your childbirth educator should be able to provide you information you need to find a breast pump rental station, and also how to contact an IBCLC if you have further questions about increasing your milk production. The article Pumping and Storing Breastmilk has more information.
- The best way to increase your supply is to double pump for 5-10 minutes after you nurse your baby, or a least 8 times in 24 hours. Try to set the pump on maximum unless your nipples are very sore. Most pumps work better on the higher suction settings. Minimum is kind of like the baby sucking in his sleep toward the end of the feeding, and maximum is more like the vigorous sucking he does for the first few minutes of the feeding.
- There are certain food supplements that may increase your milk supply. Before using any of these, it is important to rule out other problems such as illness in mother or baby. Some herbal supplements have been used for many years to increase milk production, with the most popular being Fenugreek, Blessed Thistle, Red Raspberry, and Brewers Yeast (containing B vitamins). None of these herbal remedies have been proven scientifically to increase milk supply, but they’ve been used by moms for hundred of years with varying degrees of success. In over thirty years of experience, I have seldom seen any dramatic change in milk production in moms who used these herbs. However, many moms do see somewhat of an increase, and these herbs are generally considered safe, so I recommend that moms try them along with other methods if they want to, but to have realistic expectations about the results. I usually recommend that mothers try Fenugreek capsules (2-3 capsules taken 3 times daily) along with Blessed Thistle tablets (same dosage). You many want to add Brewers Yeast tablets (3 tablets taken with meals, 3 times per day) and Red Raspberry tea or capsules several times each day. I know that seems like a lot of capsules to take, so if you don’t want to take them all, the Fenugreek seems to be the most effective. Fenugreek is rated GRAS (generally regarded as safe), but when taken in large doses may cause lowered blood sugar, so should be used with caution by diabetics. It is in the same family with peanuts and chickpeas, and may cause an allergic reaction in moms who are allergic to them. It has not been known to cause any problems for the babies of the mothers who take it, but shouldn’t be used by pregnant women because it may cause uterine contractions. If the Fenugreek is going to help, moms usually notice an increase in one to three days. Fenugreek is used in artificial maple flavorings, and may cause a maple-syrup odor in a mother or baby’s sweat. That just means that enough of it is in your system to be effective. Check out this page for more information on herbal supply boosters: http://www.kellymom.com/herbal/milksupply/
One thing that I do not suggest is spending money on so- called “lactogenic” supplements that claim to increase milk supply.
If you Google “increase milk supply” or “how to make more milk”, hundreds of websites will come up, with many of them selling products that make outrageous claims and seldom work. I found one website that made this statement: “Breastfeeding is supposed to be easy but for the majority of mothers…it isn’t. You aren’t alone if you don’t feel like you’re producing enough milk. An overwhelming majority of first-time mothers (74%) have issues producing milk.” This is one of the most negative, discouraging ways to present breastfeeding that I’ve ever heard. It’s a sleazy, but too often used, sales technique that uses negativity to play on mother’s fears that they won’t have enough milk for their babies. What are they thinking? Define “issues” here. Surely they don’t really believe that three out of four nursing moms aren’t able to produce enough milk for their babies. How would the human race have survived this long if this were the case? Could they be talking about other “issues” like learning to use a pump, or sore nipples, or leaking, etc? And could they be more discouraging and negative? They’re trying to sell you stuff by making claims like this: “Studies show that Fenugreek can increase milk production ”
My mission is to help mothers to breastfeed through mother-to-mother support, encouragement, information, and education, and to promote a better understanding of breastfeeding as an important element in the healthy development of the baby and mother.
As a mom I breastfed my child about 4 years, during pregnancy too
Each day, in hospitals across the country, proud family members cut the umbilical cords of their brand-new babies. It's a rite of passage marking the arrival of a fully autonomous human being. But some families choose to skip the cord cutting. In fact, they leave the umbilical cord and placenta attached to the baby until it dries out and falls off by itself — a process that can take many days.
This practice is called Lotus Birth, or umbilical non-severance. The New York Post recently interviewed Mary Ceallaigh, a midwife from Austin, Texas, about this growing trend.
Ceallaigh describes it as a way for parents to "respect all of what a woman conceives, not just part of it." Following a baby's birth, the umbilical cord is left attached and the placenta is stored in a container or wrapped in cloth until it detaches naturally. The cord usually dries up and falls off by the third day after birth, Ceallaigh says. But in especially humid areas, the process can take over ten days.
Couples may choose umbilical non-severance for many reasons. Ceallaigh claims that there's no wound created at the umbilical site, so there's less chance of infection. Plus, the baby gets the benefit of complete blood transfer from the cord and placenta, possibly aiding in immune system and blood cell development. And the mother is able to bond immediately with her baby, without the invasion of cord cutting. Other cultures around the world routinely practice umbilical non-severance.
The Lotus Birth Campaign
I am campaigning for the birth rights of newborn babies and the worldwide human rights violation of routine immediate umbilical cord clamping!
This harmful practice denies the infant of almost half their total blood volume at birth and has no benefits to mother or baby and becomes routine practice to save on bed linen!
The only time a cord should be clamped early is when the cord has torn and is bleeding, or when the placenta has been accidentally cut into during a caesarean birth for placenta previa.
We know that the umbilical cord will physiologically clamp itself ~ it will close naturally when the baby has self regulated the right amount of blood for them, so why mess with nature?
Placental mammals have been in existence for over 175 million years and homo sapiens for nearly 200,000 years. If the cord needed medically clamping we would have died out many moons ago!
Chimpanzees whom are our closet relatives practice both Placentophagia (eating the placenta for nutritional value) and Lotus Birth (leaving the placenta attached to the baby).
My mission is to raise awareness of the value of the placenta for both mother and child beyond the third stage of childbirth.
Understanding the value of this blood for Stem Cell Research and that the price of this blood is higher than gold, then we should become wise to the fact that the best bank for the blood is the baby at birth!
a cute lotus birth bag.
My favorite lotus website http://www.etsy.com/shop/LotusBorn
Would you consider a Lotus birth?
We love you Caroline,thanks for your amazing support
dede,and baby Juliana
near Paris, France ·
Theodore Born at 29 weeks and 4 days PARIS France 3pounds 15 inches
Theodore is home
Theodore 11 months with his big sister Lise 3 Year old
It takes a village to raise a child, as it does to give birth to a healthy baby. So let me express my deepest gratitude to all the wonderful practitioners who cared for me during my pregnancy and birth: the Midwives at Norwalk Hospital (Sara Church), who cared for me during my first pregnancy and well into my second; Circle for Life Midwifery, who took me in during my third trimester and helped me have the natural birth I'd been hoping for; Caroline Doula Nine Months who gave me wonderful support before and during labor, I'm not sure how I would have done it without her; and HypnoBirthing of CT for teaching me great techniques for a calmer birth.
Jakob Chaim born 10/22/2013 st Vincent Bridgeport ct
I have to thank the amazing people who made yesterday such an amazing experience. Caroline Doula Nine Months who helped so much & made my labor quicker & smoother, my midwife Sarah for bringing my baby into the world safely, my amazing birth partner & life partner Newell Wakeman & my mom for her support. The birth center at St. Vincent's for providing the perfect setting to bring all of this together. Thank you all! My final birth experience was truly memorable. —
Kenzie ,Ken Kristina with Doula