Breastfeeding questions - page 4

Just wondering what your thoughts are on this.. I know that especially in our culture today breastfeeding is the absolute it thing to do, but sometimes it is not best for the baby, or not done... Read More

  1. by   sparkyRN
    Quote from t2000JC
    I know you can't refreeze milk, but can you put it back in the fridge(24 hrs)?
    Once breast milk is thawed it is good refrigerated for 24 hours. It should be warmed by a warm water bath only. If it is poured into a bottle for a feeding, but not all is consumed, the remainder should be discarded, not re-refrigerated.
    "If in doubt, pour it out."
  2. by   Spidey's mom
    Quote from NoCrumping
    Please dont take this the wrong way.......But, why would you want to breast feed a child up to 3 1/2 yrs old? The idea of breast or formula feeding is to nourish the infant until they can nourish themselves with solid food and alternative fluids. Was it for comforting reasons? I just cant get that picture out of my head... I have a 3 year old, and he plays soccer, on a TEAM, I cant IMAGINE actually breastfeeding him still......Please dont take offense to my dismay, I just cant figure out why.......:uhoh21:
    There are a bunch of threads about extended breastfeeding and there are alot of us out there.

    As LilPeanut said, I didn't breastfeed my kids like I breastfed them when they were infants and only relying on breastmilk. It became a first thing in the morning time for us, before naps or bedtime and yes, when they fell and got an owie or were just having a fatigue-related meltdown. It was comforting. Breastmilk also continues to have health benefits for my child and for me. As mentioned, a decrease in the risk of breast cancer.

    My son doesn't play on a soccer team at 3 - I can't imagine him even doing anything that organized. He is bright, surprises people by how advanced his vocabulary is, rides his tricycle, takes walks with me, sings the ABC song, "reads" his books from memory (Green Eggs and Ham is one he has memorized), puts together track on his Thomas the Tank Engine track, puts puzzles together, just the typical pre-school stuff. I've coached soccer before with 8-10 year olds and they were NOT organized - basically played bunch ball. :roll

    Fergus - Dr. Thomas Hale's book, Medications and Mother's Milk is very comprehensive. I had a mom who had already successfully breastfed 3 older children and then had a child 10 years later. She was on metformin and zoloft and her OB doc told her she could not breastfeed. She was at risk for depression and she called me and then her husband called me about their wish to breastfeed their child - she was very upset. I faxed Dr. Hale with the medications, her history and asked if she could breastfeed. He actually called me at work!! I was so surprised. He sent me two studies, one about metformin. He said she could successfully breastfeed without any problem. I had to go through her OB doc and let him have the info, diplomatically . . . .he agreed. I called her back and she was so happy.

    This woman was already at risk for Post Partum Depression as she had a hx of psych problems and was diabetic. Not being able to breastfeed was pushing her into a depression. The best thing for her was to get accurate information. Alot of OB docs are not up to speed with this aspect of breastfeeding.

    I use Dr. Hale's book and website often.

    http://neonatal.ttuhsc.edu/lact/index.html

    steph
    Last edit by Spidey's mom on Feb 16, '05
  3. by   LilPeanut
    I can't imagine my 4.5 year old actually playing soccer either. He can run after a ball of course, but actually understanding the game, no way! I still nurse my 2yo daughter, I nursed my son until he was 21 months, but I was forced to wean due to becoming pg with my daughter and being a very high preterm labor risk. It would seem strange if you haven't nursed your child in a long time, but she is still a baby in so many ways and it has been so gradual, I can't imagine imposing an artificial cutoff just because someone else has decided that she's too old.

    It's been especially helpful now that I've gone back to school because I'm having to be gone a lot sometimes and it provides her a reassurance and way to reconnect with me.
  4. by   NoCrumping
    Quote from stevielynn
    There are a bunch of threads about extended breastfeeding and there are alot of us out there.

    As LilPeanut said, I didn't breastfeed my kids like I breastfed them when they were infants and only relying on breastmilk. It became a first thing in the morning time for us, before naps or bedtime and yes, when they fell and got an owie or were just having a fatigue-related meltdown. It was comforting. Breastmilk also continues to have health benefits for my child and for me. As mentioned, a decrease in the risk of breast cancer.

    My son doesn't play on a soccer team at 3 - I can't imagine him even doing anything that organized. He is bright, surprises people by how advanced his vocabulary is, rides his tricycle, takes walks with me, sings the ABC song, "reads" his books from memory (Green Eggs and Ham is one he has memorized), puts together track on his Thomas the Tank Engine track, puts puzzles together, just the typical pre-school stuff. I've coached soccer before with 8-10 year olds and they were NOT organized - basically played bunch ball. :roll


    steph
    Fair enough steph. I just referenced the soccer thing, because, in my view of breastfeeding, ( AND i REALIZE THIS IS MY OWN VIEW) , it isnt the "norm" to breastfeed a child that is old enough to do something like that, organized or not. I realize there are probably forums and threads I could review, but since you mentioned it here I thought i could just ask, and I realize there are lots of "you" out there, as you said. But, mostly the reason moms give for that is they are "not ready to give it up" Just curious what your reasons were.... thanks for sharing!!!! Please, no hard feelings, none intended here......
  5. by   fergus51
    Yeah Steph, I think lithium is one of the few that is still out. Most diabetic meds are ok as are most anti-anxiety meds I believe.
  6. by   Spidey's mom
    Quote from NoCrumping
    Fair enough steph. I just referenced the soccer thing, because, in my view of breastfeeding, ( AND i REALIZE THIS IS MY OWN VIEW) , it isnt the "norm" to breastfeed a child that is old enough to do something like that, organized or not. I realize there are probably forums and threads I could review, but since you mentioned it here I thought i could just ask, and I realize there are lots of "you" out there, as you said. But, mostly the reason moms give for that is they are "not ready to give it up" Just curious what your reasons were.... thanks for sharing!!!! Please, no hard feelings, none intended here......

    No hard feelings at all. I was surprised that people did this too. Until I had my own children. It just sorta develops naturally . . .

    steph
  7. by   Spidey's mom
    Quote from fergus51
    Yeah Steph, I think lithium is one of the few that is still out. Most diabetic meds are ok as are most anti-anxiety meds I believe.
    What was scary for me and what I forgot to mention is the mom was going to go off her meds if she couldn't breastfeed so she could breastfeed. And that was what would have put her at risk.

    Funny, I was paged at work and answered the phone and heard "Hi this is Dr. Hale" .. .he has a charming southern accent and I said "Hello, wow, I never expected you to call me" and he said "honey, what did you expect me to do?". He was very nice.

    Our Lactation Consultant bought Dr. Hale's book and gave it to each and every OB doc. They really needed updated information.

    Of course, they all tease us about being breastfeeding Nazi's . . .

    steph
  8. by   FutureNrse
    Quote from SmilingBluEyes
    In the case of NORMAL healthy moms, yes, breast is best. But if a mom is a drug-user or HIV positive, it becomes a question of what is truly "best" for baby. Also, very heavy smokers sometimes can't produce enough nutritious milk to feed adquately. Sometimes, supplementation is essential to infant wellbeing.

    So, no, in "every case" breastfeeding is NOT best. It depends on the situation.
    You are 100% right. Deegale, however has many of her facts wrong.
  9. by   FutureNrse
    Quote from NoCrumping
    Please dont take this the wrong way.......But, why would you want to breast feed a child up to 3 1/2 yrs old? The idea of breast or formula feeding is to nourish the infant until they can nourish themselves with solid food and alternative fluids. Was it for comforting reasons? I just cant get that picture out of my head... I have a 3 year old, and he plays soccer, on a TEAM, I cant IMAGINE actually breastfeeding him still......Please dont take offense to my dismay, I just cant figure out why.......:uhoh21:
    I agree with your feelings on this. I think that 3 and a half is far to old to be breastfeeding. We don't condone giving a child a bottle at that age, or infant formula, so I don't understand continuing to BF so long. I have a 3 year old, who also plays soccer, so I know where you are coming from. He's no longer a baby, he's a little boy now. There is a natural order to things even if there aren't hard and fast rules, and if your child potty trains while still BFing, then you're doing things out of order.
  10. by   FutureNrse
    Quote from LilPeanut
    Breastfeeding continues to provide immunological, emotional and physical benefits, well past a year. The average and normal age for human weaning is between 2 and 4 years. It also continues to provide benefits to mom, including lowering her risk of breast cancer.

    http://www.lalecheleague.org/NB/NBextended.html this has a lot of good information about extended breastfeeding and why it is beneficial to continue it beyond a year.

    Plus, keep in mind that nursing a child that age isn't at all like nursing a newborn, it's typically before/after naps/bed, depending on the child, and occasionally needed if the child is injured in some manner. But it's not their sole source of nutrition by far.

    If only by looking at our teeth, it's clear we are supposed to be nursing for much longer than we do; we keep our milk teeth for quite some time. The reason we have stopped nursing so long in this country is because of our unnatural hangups about sex and breasts.
    Sorry but I cannot agree with your thoughts on this matter. I'm sure that if you looked hard enough you could find some supposed expert who says it's okay to BF until the child graduates high school, but that would hardly make it the average or the norm. If we are taught that a baby should be weaned from a bottle at about 12 months, why should we treat BF differently? A bottle could be considered a comfort measure, but we don't give them past a certain age for a variety of good reasons. A child of three needs to learn ways of coping and comforting, that do not involve a bottle, breast, or pacifier.
  11. by   FutureNrse
    Quote from Mimi2RN
    Years ago, moms who did not want to breastfeed (for all kinds of reasons) used wetnurses. Moms who had a baby close in age, maybe had lost their own child. The other feeding choices were very poor, gruel, sugar titties, cow or goat's milk if available.There was a high mortality rate.

    I lost track of this thread.

    For the most part, I don't believe in "nipple confusion". We have many moms who come in to feed their babies after discharge, the rest of the time they take a bottle. As long as they are fed, the babes don't seem to mind. We have premies who are tube, then bottle fed. They usually go to breast before they go home. Some moms just want to pump, and bottle feed, even at home. We don't cup or finger feed in our level II. The neonatologist doesn't feel it's appropriate. If a baby won't eat on pp, they have to cup feed (lactation gets upset if they don't, or document why not...."mom asked for a bottle") Why doesn't the baby want to suck? If I don't feel good, I don't want to eat, so why assume a baby will?

    I wish that meth babies didn't go home with their moms. Too many of them do, and God knows what kind of life they have. If mom is high, who will feed them?

    And then we have methadone babies. Of course they can breast feed, if mom so chooses. After all, most of the babies have to come of it cold turkey. Some of them are so bad that they have to be started on methadone, and weaned off before they can go home with mommy.

    The joys of feeding babies.

    I don't do much of that right now, I take care of ones who are too sick to eat, or have just started gavage feeds. I do like a nice chubby nine pounder, though, who's feeling good enough to eat, and then socialize and snuggle.
    When I wrked in social services, I hated when I'd have to go to the hospital to pick up babies who were born with drugs in thier little systems. It was terrible and heartbreaking to see how they suffer. I'd have to take them to a crisis nursery or a special needs foster home, and just the short amount of time I spent with those babies still haunts me. But as much as I hated that, I would gladly do it every day of my life if it meant that they would not be going home with the mom who put the drugs into them.
  12. by   FutureNrse
    ***********************************

    Also wanted to add that my NICU doesn't do cup, spoon, or finger feedings. It's breast, bottle, NG, or nothing. In six years, 100% of the hyperbili re-admit babies I've seen have been exclusively breastfed. Either they're sleeping at the breast, or sucking like crazy and mom is producing only drops. Yes, colostrum is very nutritious, but we're talking hydration here, and many of the moms just don't understand that. When they do accept the fact that the baby needs fluids, many of the moms say they'd rather have an NG placed down their baby for feeds or poked for an IV for hydration. I just don't get this!!! Is the threat of nipple confusion or the horror of man-made formula so bad that they'd rather have their baby go through NG or IV placement than get a couple of bottles? It just hurts me to do this!!!

    If the baby is on full IV fluids, then we'll allow breastfeeding if the bili is on its way down. If no IV, then only pumped milk is allowed so that we can keep track of fluids. In severe cases, we give formula instead of breastmilk because the docs say that breastmilk has bilirubin in it??? Overall, we try to keep SOME feedings going on since of course it only helps clear out that liver. Once the bili is low enough for the lights to be off, formula and IVs are DC'ed and exclusive breastfeeding can resume. Bili is checked a few more times before discharge.

    Okay, said my bit. Tried to stay quiet, but I finally blew!!! JMHO, as always.[/QUOTE]

    It shouldn't be the parents choice. A baby should never have to go through any painful procedure like that when there is a safer, easier alternative.
  13. by   FutureNrse
    Quote from L&Dsomeday
    And sadly, this is being given as a reason why a woman should not BF. Isn't this a reason why they should not be caring for an infant reguardless of the feeding method? Scary to imagine a drug addict taking a helpless infant home.

    Tracy
    Thank you! I thought that I was the only one sitting here thinking " Why is this an issue? Take that baby away from them!"

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