Tuesday, March 12, 2013

No more boob.

I'm writing this blog at the suggestion of my mother. She has been my very supportive and vocal rock these past couple weeks as I have struggled with, and inevitably stopped, breastfeeding.

It was a difficult decision. One fraught with many tears and sleepless nights. Days when my baby just wouldn't sleep unless she was nursing, and she was always nursing. Her 3 day checkup when we found out she'd lost a pound. More than the 10% weight loss considered normal for a breastfed baby. And she was never satisfied, never full. Finally, we gave her a bottle. She guzzled down almost 3 ounces, and slept. Blissfully. For hours. I was able to go to the bathroom, take a shower, eat, sleep.

I started to come out of the postpartum fog, from the unbearable sense of being completely overwhelmed that I hid from those I loved. Everyone said how good I looked, but I didn't feel good.  I felt broken, frustrated and deficient. Every woman can breastfeed. I read books, took classes, practiced. I googled ways to help my sore nipples, and bought a huge bottle of fenugreek. I started prescription meds that made me start twitching. I did everything I could to make more milk. And I didn't. I figured she was getting less than an ounce per 30 minute feeding. 30 minutes for less than an ounce? What was wrong with me?

I'd heard of something called hypoplastic breasts and had suspected for a couple of years I might have it. I started researching, looking at pictures of breasts that looked just like mine. Reading stories from mothers who also failed to breastfeed, reading their symptoms and warning signs, and it was like reading my own story. I wasn't bad at nursing, my body actually had a deficiency.

Why did none of my doctors, midwives, or pediatricians ever talk to me about this? I struggled to nurse with my first daughter and gave up after just 2 weeks. She was so much happier on the bottle, her jaundice went away, she was pooping more normally. She was a happy, healthy baby. Why didn't any doctor screen me for this? Ask me a few simple questions about my breasts, changes during pregnancy, and look at their shape and structure? Nobody did. I diagnosed myself.

What was worse, was the lactation consultant completely brushed off my suggestion that I might have hypoplastic breasts. She told me the issue was probably that I wasn't letting her nurse enough. That my milk would come in soon (this was day 5, milk comes in around day 3) that I needed to keep at it, and that every bottle of formula I gave her was sabotaging my efforts. Supplementing, she told me, would end my breastfeeding chances period. Wow. I thought these women were supposed to support mothers, not berate them. After a 20 minute conversation, during which I sobbed the entire time. I felt hopeless and lost. I must be broken.

There is a myth that every woman can breastfeed. And it's almost true. Insufficient Glandular Tissue, or IGT is a truly rare condition. It is suspected that about 1 in every 1000 women has it. (This may be under reported as many women never try to breastfeed and it may not be caught) even at that number, that means about 4000 babies are born every year to mothers who will not be able to exclusively breastfeed, or breastfeed at all, yet no one is talking about it, and no one seems to be screening for it. There is so little support for women with IGT.

As of today, I am no longer just supplementing, I've stopped nursing all together. I suspect my IGT affected my milk, as I had a lot of foremilk, and very little hindmilk. This caused C to be painfully gassy and have a hard time pooping. 48 hours with no breastmilk and she has been much more comfortable, I've been able to stop the gas drops and she's pooped A LOT.

I cried over the decision. I am mourning what I thought would happen, how I thought things would work. I am finally accepting our new relationship, and trying to not feel guilty about it. It's ok that my baby has formula, and I know breastmilk is best, but I'm doing my very best too. She is a happy, beautiful, healthy baby. I get to cuddle and snuggle her all day since I'm on maternity leave, and we have a wonderful relationship. I miss the closeness that nursing brought, but I'm glad she's comfortable, and fed.


Nobody talks about WHY they stop breastfeeding, in fact a lot of moms don't say they stop at all, yet it is happening. According to the CDC, in 2012 76% of women initiated breastfeeding in the hospital, but by 6 months only 47% were still nursing. That's a huge drop! We are not alone! Breastfeeding is like any other function of our body, it doesn't always work flawlessly. And thank goodness for formula that helps babies grow big and strong, without making them sick. Thank goodness for milk donors who can donate to mothers who struggle. There are so many options out there.

I wanted to write this in case anyone out there is feeling similar feelings of guilt or sadness over a lack of breastmilk supply, not being able to exclusively breastfeed, or not breastfeed at all. If your baby is happy and healthy, you are doing the right thing.

You are not alone. We are women who wanted to nurse but for any number of reasons, couldn't. Did you give your baby any breastmilk? Great! She got benefits from that. You nursed for 3 weeks? 1 week? 3 days? Fantastic. You are giving her the greatest gift. You have done everything you could for her. Good job moms.

Here are some links I found very helpful for my situation:

http://www.mobimotherhood.org/MM/portal-lowmilksupply.aspx
http://noteveryonecanbreastfeed.com/pb/wp_dec103bd/wp_dec103bd.html (this has a great list of warning signs before/during/after pregnancy for IGT)
http://www.bestforbabes.org/risk-of-invalidating-moms-who-say-they-cant-breastfeed/ (Great article!)

3 comments:

  1. I love you Toni. You are an incredible mother.

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  2. I struggled so much with Ryan. I was never able to get him to latch on, and because of the horrible guilt I felt over not being able to breastfeed him I exclusively pumped for nine months. I hated it, it was torture, and I felt judged by both sides of the "Breast is best" divide. I felt breastfeeding moms were looking down on me for using a bottle, and formula fed moms thought I was trying to one up them by at least using breast milk despite not breastfeeding. I spent hours a day pumping, and then hours a day feeding the expressed milk, I felt like all I did was facilitate feeding. It made me so unhappy. I literally spent 12 hours a day feeding/pumping. But I felt like if I stopped I was a bad mom, that I wasn't doing what was best. I literally cried for hours on end every time I even thought about stopping. When I finally stopped pumping after nine months life became so much better, Ryan was happier and less gassy & spitty, I was getting more sleep and more time to take care of myself, and we all felt so much better.
    After that experience I was determined that if jack did not take to breastfeeding right away that was it. I was not going to torture myself that way again. So what if the breastfeeding moms looked down on me, at least I would be a more sane mom. It took a lot of courage for me to say I wouldn't put myself through it again, but I knew it would be better for me. Thankfully Jack took to breastfeeding like a champ, but even that came with a number of challenges that were not so pretty.
    I am all for doing what is best for YOU, despite what any of those Breast Nazi's might say. A saner, happier mom is better for Baby. If Mom is beating herself up about breastfeeding issues no one benefits.
    You are a great mom Toni! I 100% support your decision. You are so great and brave to put this out there. If anyone says anything otherwise you point me in their direction and I'll straighten them out.

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    Replies
    1. Holly, if anyone has the unmitigated GALL to say a word or even give a "look" to you about not breast feeding, I command you to look them squarely in the eye and say "That's ok, your opinion of my parenting choices doesn't matter to me".

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