Jar of expressed breast milk on wooden table

How Even Two Moms Couldn’t Make Enough Milk For Their Baby And Were Forced to Sneak Pumped Breast Milk Into The Hospital

We’ve had two sad experiences with the ‘Baby-Friendly’ aspiring hospital, Massachusetts General Hospital. Both issues involved two things: the fact that I had breast reduction surgery and unknown/limited milk supply and the fact that my wife induced lactation.

With our first baby, my wife breastfed her immediately after birth while I recovered for a minute (fast, unmedicated, and awesome labor). She then refused to latch on to my breasts and the hospital encouraged (kind of forced) my wife to put the baby to her breast. She was in med school and had wanted to pump and never wanted to be the primary nurser.  She started to cry because we were offered no information or choice in the matter. I was encouraged to continue putting a crying, non-latching baby to my breast over and over. It was horrid. We left the hospital with the advice to “Keep switching her back and forth,” which resulted in her becoming malnourished.

This experience greatly impacted our experience of early parenthood. We felt that we had no choices and that the hospital was myopically focused on breastfeeding and not on baby feeding. They kept saying, “You never know! You might have a full breast milk supply!” But after surgery, my chances of full milk supply were very, very slim. I was pumping and getting a dime size (flat) drop of colostrum.

They kept saying that it’s normal to have very little colostrum.  The hospital absolutely refused to face reality. This makes me really sad to write about. But it’s important.

#2 Why Fed is Best- Underfeeding standarfOfCare

During our second baby’s birth (same moms, same roles) we brought my wife’s pumped milk and she actually left the hospital to take care of the older kiddo. The nurse really really didn’t want me to give the new baby our pumped milk. I ended up sneaking it to her from a little cup. I had to sneak around to feed my baby.

Once again the hospital nurses (all lactation consultants) kept having me nurse and kept telling me it was okay if the baby didn’t get any milk in the first 24 hours.The thing is, I didn’t want to deprive her of milk. I wanted to start her off strong, with milk from both moms and I did.  To deny a newborn baby food and fluids is cruel and is child abuse.  

 

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Infant with white leopard print heart sunglasses

I Stopped Pumping and People Were Mad, Spewed Hate, Judgement and Called Me Selfish.

By Tiffany, Fed is Best Mom and Advocate

When I was pregnant I had already decided to formula feed my baby.  My family (even some cousins) thought it was strange and tried to talk me out of it, and I had family delete me on social media because we disagreed on this topic. My midwife was amazing and encouraged me to consider breastfeeding, but if I didn’t want to, that was perfectly okay. By the time I was 30 weeks pregnant, I changed my mind and wanted to try to see if breastfeeding would work for us.

I delivered after 2 days of labor, 2 hours of pushing followed by 5 hours of waiting then some more pushes, a vacuum, and then some panicked doctors who rushed me to an emergency C-section at 41 weeks plus 2 days. My daughter was immediately sent to the NICU from the stressful delivery.   I saw my baby following the surgery about 6 hours later and she was being tube fed. The next evening, they let me begin to try to feed her which went wonderfully! She latched, it didn’t hurt, but she was still hungry. My colostrum came in quickly, followed by my milk within 3 days in full.

But something was off. I ended up getting ill every time I breastfed her. I would get a fever, chills, and extremely tired every time I nursed her. I would have to sleep about 6 hours to feel normal again. The NICU asked if during the times I was sleeping they could supplement with formula. I said of course! If she needs fed, we feed her!  Putting essential vitamins and nutrients in her tummy is what needed to happen.  Over the course of her five day NICU stay, she breastfed, got breast milk from a bottle, and was supplemented when there wasn’t enough breast milk. I believe that supplementing her was what made her healthy and strong enough to recover and come home with us.

I was “encouraged” to keep pumping, so she could have “liquid gold” and that led to having no time to do anything. I was eating once a day and drinking very little.  I became so ill, my husband spent multiple nights feeding her because I was shaking and couldn’t move due to weakness. I was not healthy at all. I couldn’t be a mother to her; I hated being a mother to her at that time; I regretted her. It was awful. Finally, at 3 weeks I decided I had enough and my health and sanity was crucial for my daughter to have the mother she deserves. I stopped pumping and switched her to formula completely and never touched that pump again.

This was the Best. Decision. Ever. She continued to thrive, continued to eat just the same, and my body and mind healed. I loved feeding time with her and that magical bonding of looking at her, each time, was so very special to me. But people were mad! People argued that I wasn’t doing what was best for her, only for me. People continued to judge and spew hate about making a deeply personal choice that worked best for me.  This is when I found the Fed Is Best Foundation. In their support group, which is private to keep it safe, I found the Foundation encouraged breastfeeding, pumping, supplementing, tube feeding, and formula feeding! They encouraged putting baby’s and mother’s health above an obsession to breastfeed. I fell in love with the information and the people surrounding this movement. I would come to find mothers in similar predicaments were being “encouraged,” but really, they needed a solution – not encouragement to continue something that wasn’t working for them. I brought many struggling mothers to our private support group.  I continue to advocate for #fedisbest because until every mother can achieve the goal of a thriving, healthy baby in the health care system by whatever form of feeding suits their own family and babies the best, we have to work to make changes!

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Tiffany22Meet Tiffany, a new mama to her sweet baby girl and both are thriving and celebrating her first birthday!

Do you need genuine help and support for yourself and your baby?  Please send us a message on our Facebook page.

HOW YOU CAN SUPPORT FED IS BEST

There are many ways you can support the mission of the Fed is Best Foundation. Please consider contributing in the following ways:

  1. Join the Fed is Best Volunteer group to help us reach Obstetric Health Providers to advocate for counseling of new mothers on the importance of safe infant feeding.
  2. Share the stories and the message of the Fed is Best Foundation through word-of-mouth, by posting on your social media page and by sending our resources to expectant moms that you know. Share the Fed is Best campaign letter with everyone you know.
  3. Print out our letter to obstetric providers and mail them to your local obstetricians, midwives, family practitioners who provide obstetric care and hospitals
  4. Write your local elected officials about what is happening to newborn babies in hospitals and ask for legal protection of newborn babies from underfeeding and of mother’s rights to honest informed consent on the risks of insufficient feeding of breastfed babies.
  5. Make a donation to the Fed is Best Foundation. We are using funds from donations to cover the cost of our website, our social media ads, our printing and mailing costs to reach health providers and hospitals. We do not accept donations from breast- or formula-feeding companies and 100% of your donations go toward these operational costs. All the work of the Foundation is achieved via the pro bono and volunteer work of its supporters.
800,000 lives saved through breastfeeding.

The Lancet: Nonexistent Magic Breasts Could Save 800,000 Lives Per Year

Written by Brooke Orosz, PhD

In 2016, an article in The Lancet  claimed that increasing breastfeeding rates worldwide could save 800,000 children per year.  The first problem with this study is that the authors are somewhat overly optimistic in interpreting the evidence for breastfeeding.  The second is that, although the vast majority of those hypothetical lost lives are in poor countries, this study has been used as a club to shame women into breastfeeding in wealthy countries.

The biggest problem, however, is that the article assumes “near-universal” exclusive breastfeeding until 6 months, with complementary foods until at least 12 months. They provide no evidence that this goal is realistic or even possible, and all available evidence suggests it is not possible.

There are no societies, today or in the past, that have near-universal exclusive breastfeeding for six months. While it works for some individual babies, no one has ever made it work across an entire society, not without allowing a lot of babies to starve, anyway.

In fact, it’s not at all clear that six months is even the best age to introduce complementary foods.  Many babies outgrow their iron stores or their mother’s milk supply earlier, and they benefit from other foods at 4 to 5 months old. Earlier introduction of solids may even reduce the risk of food allergy.

Mothers in low and middle income countries do not fail to breastfeed because they are too stupid to know it’s important, they fail because breastfeeding doesn’t always work. Because women die in childbirth, or suffer complications so serious they are unable to care for the baby. With limited medical care, this is sadly commonplace. Because women are undernourished, which impairs their ability to produce milk. Because an unknown number of women across the population have insufficient glandular tissue and will not make enough milk under any circumstances. And because babies are born premature, sick, or otherwise unable to nurse effectively.

So, many women cannot breastfeed, even more cannot breastfeed exclusively, and even when breastfeeding is going well, there’s no reason to withhold solids until 6 months.

Sure, in a world in which mother and baby are always doing well after birth, and breastfeeding nearly always works out, then we can talk about “near-universal”. But it makes no sense to write public health goals based on completely unrealistic assumptions.

 

BROOKE OROSZ, PH.D., PROFESSOR OF MATHEMATICS AND STATISTICS

19396698_917437061753694_1008365497486792066_nBrooke Orosz, PhD is a professor of mathematics and the mother of a child who had to be hospitalized for dehydration due to insufficient breast milk intake. After her son’s crisis, she was stunned to learn that readmissions for nursing problems are commonplace, and that they are not tracked or penalized by health authorities. Since then, she has used her knowledge of statistics to study the problem and to advocate for evidence-based feeding protocols that put the baby’s safety and comfort first. Brooke will be delivering her second baby very soon, in a BFHI hospital again but she will be advocating and using our infant feeding plan to prevent accidental starvation–

Fed Is Best Infant Feeding Plan

Brooke’s story:

MY SON WAS EXCLUSIVELY BREASTFED AND WAS ADMITTED WITH HYPERNATREMIA AND JAUNDICE THE NEXT DAY AFTER DISCHARGE

The hospital where he was born was Clara Maas. I cannot name one single staff member who was clearly negligent, I think it was more a case of him slipping through the cracks. The on-staff LC never checked on us after the first day, and I still don’t know exactly who knew what, when or who made which decision. Nevertheless, they allowed an at-risk newborn (37 weeks and Small-for-Gestational-Age) to go home without double-checking that he was safe or providing any special instructions for his care. Personally, I would not deliver another baby there.

Details of the incident have been reported to Clara Maas hospital in a formal complaint, and to the Joint Commission.

Do you need to know how to file a formal complaint to your hospital?  We can help you: Writing Your Hospital

 

Resources:

The Religious and Cultural Bases for Breastfeeding Practices Among the Hindus

When Lactivism Kills

The influence of breast surgery, breast appearance, and pregnancy-induced breast changes on lactation sufficiency as measured by infant weight gain.

Some mothers can’t breast-feed There are physical reasons, and yet women get little help from most doctors, researchers

Markers of Lactation Insufficiency: A Study of 34 Mothers

Bust a Myth: Breastfeeding Advocates Need to Stop Using this Statistic!

Biological underpinnings of breastfeeding challenges: the role of genetics, diet, and environment on lactation physiology.

Early exposure to cow’s milk protein is protective against IgE-mediated cow’s milk protein allergy.

Introducing Highly Allergenic Solid Foods

Iron Supplementation in Pregnancy or Infancy and Motor Development: A Randomized Controlled Trial

The limits of intensive feeding: maternal foodwork at the intersections of race, class, and gender.

 

Swaddled newborn with fingers near mouth

Why I’m Angry With My Baby Friendly Hospital in Texas

As mothers, we always want the best for our babies and we worry what we do is never enough. 6 years ago, I had my first child when emergency C-section delivered her.  She was 8 pounds 12 ounces and healthy.  I was immediately told by my OB-Gyn to supplement her since she was such a large baby for 37 weeks.   The hospital had LCs and we requested to see her several times but she was a no show. We figured out fast we were on our own with breastfeeding, however we did take our OB-Gyn’s advice and started supplementing right at the start to maintain her glucose levels.  She never perfected her latch, so I exclusively pumped and she got everything she needed and we both liked our routine.

6 years later, I delivered my son early for pregnancy complications at 36 weeks but he was much smaller weighing 6 pounds 11 ounces. This time breastfeeding protocols were very different.  Formula was considered evil and no one could supplement their babies and exclusive breastfeeding was the only way to breastfeed my baby. However, after day one things gradually started going downhill.  My son latched very well and it was determined he was nursing perfectly. He nursed every one to two hours and we even had the second night “cluster” feedings we were informed about.

Little did I know, he was starving and not cluster-feeding and I had no idea!   But as you can see in this photo- he. was. starving!

 

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Brain damage from childhood starvation.

Just One Bottle Would Have Prevented My Baby’s Permanent Brain Damage From Hypoglycemia

Written by Holly Lake

I wish I had known about the Fed Is Best Foundation before my 1st son was born. I felt enormous pressure to exclusively breastfeed at my hospital. My son was born at 37 weeks, weighing 5 pounds,13 ounces and he struggled to latch-on and breastfeed at each feeding. When I told the midwife, she came back with a leaflet which described how to hand express. She told me to express 1 mL of colostrum into a syringe and feed that to my baby whenever he struggled to latch.  I asked her if 1 mL was enough and she said it was because his tummy was very small and this amount would be fine until my milk came in. Note: 1 teaspoon equals 5 ml.

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I was discharged hours later not feeling confident my baby was getting enough colostrum.  A midwife came out to see me at home on day 3 because I said I was worried about his feeding. He became extremely yellow (jaundiced), not very responsive (lethargic) and would let out random high pitch screams and would sleep all of the time and never wanted to feed by this time.  He also would have random body spasms which doctors shrugged off as normal baby reflexes (later we found out different).  The midwife said I could wait and see how he did overnight or go to hospital.  I chose to take him to the hospital. When arriving, we found that he had lost 12% of his body weight and his blood sugars levels dropped dangerously low to 0.2 mmol/L (4 mg/dL) and he was jaundiced. Continue reading →