Posted by: Admin | January 9, 2017

New Year, new wishes


Following on the tradition created by the original author of this blog, I, Kimberley, am sharing with you my New Year’s wish for breastfeeding families in Eeyou Itschee. My wish is that more babies will be breastfed at birth and that exclusive breastfeeding will increase in the community.

What does exclusive breastfeeding mean and why is it important? Exclusive breastfeeding means only mother’s milk and no other liquids or solid foods, not even water. Vitamins, minerals, and medication may be given. The recommendation from the World Health Organization is for exclusive breastfeeding for the first six months of life.

This is important right from birth, since in the first few days after birth, giving water or glucose water increases the risk of jaundice for the baby. Also, if you give your baby water or other liquids in those first days, they may not be interested in breastfeeding when you try to feed them because the tiny stomach is filled with something else.  This means they may not get as much of the colostrum, which is so helpful for disease prevention. Nursing less often in those early days can also negatively influence your milk supply.

Another important reason to continue to exclusively breastfeed is that your baby’s immature digestive system is not ready to transform solid foods or other milks or liquids. Every time you breastfeed your baby you are giving them healthy bacteria which helps their gut to mature. Even one bottle of commercial infant formula will change the type of bacteria in your baby’s intestines and it will take a couple of weeks of exclusive breastfeeding to get back to the right balance of good bacteria in baby’s system. Studies are starting to show how important these good bacteria are, including that they play an important role in preventing auto-immune diseases such as diabetes. This is one way that breastmilk works toward disease prevention.

Breastmilk is easy to digest and contains all the nutrition your baby needs. It has the right balance of calories, proteins, vitamins, minerals, and so on. Your baby will receive more iron from your milk than from solid foods. Breastfed babies don’t need additional water. Giving anything other than mother’s milk can lead to missed feedings which can cause a reduction in milk supply and make it harder for the mother to continue breastfeeding. Missed feedings also means fewer antibodies to protect your baby as well as all the other immune factors that are involved in helping your baby reach optimal health.

For the mother, continuing exclusive breastfeeding often contributes to more weight loss, a longer time before her periods return and makes it easier to maintain a milk supply so that she can breastfeed her baby for two years or more, as recommended by the World Health Organization.

Breastfeeding is a normal and healthy practice. It is part of Miyupimaatisiiun. May there be many exclusively breastfed babies in 2017!

Kimberley M.

 

Posted by: Admin | December 20, 2016

Holiday Breastfeeding


Things can get hectic around the holidays, especially for breastfeeding mothers.  There are many additional demands on the brand new mother and sometimes breastfeeding gets forgotten in the rush of trying to get everything done. Not everyone can bring their baby with them to every outing or event. If mothers and babies are separated at this time, it can sometimes be difficult to maintain breastfeeding when they are reunited. The first few weeks are the most crucial for establishing a good milk supply, so skipping feedings at this time can have a big effect later on.  Here are a few tips that can help make these separations go more smoothly and help avoid a dip in milk supply or an unintended weaning.

Mothers should take breaks to express milk regularly when they are away from their baby. This is important so that she will avoid engorgement, and mastitis and also to keep up her milk supply.  Manual breast pumps are easy to carry, discrete and allow mothers to save the milk to feed to their babies at a later date. If that isn’t possible, the most portable of all breast pumps is the mother’s own hands! Manual expression can be easy, too and will let the mother ease off the discomfort from overly full breasts.

Once the mother and baby are back together again, the mother should plan to spend some time with her baby so she can offer the breast often, in order to rebuild the milk supply and rediscover the connection of breastfeeding.

Dany G., the previous author of this blog, wrote some other really good posts about Holiday Breastfeeding.

Christmas time is a fun but risky time for breastfeeding mothers!

Enjoy reading her words as well.

A safe and happy holiday to everyone!

Kimberley M.

Posted by: Admin | December 14, 2016

Breastfeeding my first baby


I learned more about breastfeeding my firstborn by watching him than any book could have taught me.

My son was born in November. I didn’t have a lot of friends who had babies and my own mother was working in another country far from me when he was born. There wasn’t Internet, but there were books to guide me.  Before he was born I went to my local library and took out as many books as I could about breastfeeding and birth.  I thought I was prepared, but babies are not like books!

He was born healthy and strong and cried a long time. He was not easy to settle so our first breastfeeding was a couple of hours after birth. I should have known right away that I had what I would learn was called a “high-needs” baby. I had to hold and carry him a lot in the first weeks to help him be comfortable. He slept very little for a newborn, so of course I didn’t sleep much either.  What was really helpful was having him sleep close to me, in the same room. Over those first few weeks I had some ordinary struggles with latching my baby, some sore nipples, engorgement and one mild case of mastitis. I never considered anything but breastfeeding, and followed my baby’s cues for feeding him.  It wasn’t easy and I know I cried a few times wondering how one little baby could be so much work! Once Christmas came I was very happy I had persisted, because breastfeeding was finally comfortable. I enjoyed being able to take my baby with me everywhere.

I remember going to see my midwife when he was about 6 weeks old, so just before Christmas, and being thrilled that he had gained really well and that he weighed 13 pounds already! I didn’t know then that exclusively breastfed babies gain more quickly than artificially fed babies in the first months. All I knew, as a young mother, was how proud I was that he had grown so well on only my milk. Another thing I really enjoyed about having a small baby at Christmas time was that even though family and friends could hold and play with my baby, he had to come back to me for feeding, so we got some good connecting and bonding time.  Even though now I am an IBLCE certified lactation consultant, I know that a lot of what I learned about breastfeeding came from that first connection with my first baby.  It’s worth persisting through the first weeks. And though I didn’t know it with my first, there are ways to get good information and help to avoid some of the more common problems.

I would love to hear from some of you, sharing your experience with breastfeeding.

Kimberley M.

Posted by: Admin | December 7, 2016

New author for Creebreastfeeding.com


Some of you may have noticed that the Creebreastfeeding.com blog has a few changes. We are coming to the end of a calendar year, and with that we are also celebrating new beginnings for the blog.

The blog has changed hands. Dany Gauthier was responsible for starting the blog and keeping it active from 2008 to 2015. She has moved to a new position with the Department of Program Development and Support of the CHB.

I am the new Planning, Programming and Research Officer responsible for breastfeeding. I would like to tell you a little bit about myself and how I came to hold this position. My name is Kimberley MacKenzie and I am the mother of 3 adult children, all of whom I breastfed. When they were small, I was a volunteer support mother with La Leche League Canada and also worked in the Accreditation Department to train other volunteers. As my children grew, I wanted to learn more about the scientific and technical side of breastfeeding in order to better help mothers and babies. I joined a Lactation Consultant course and studied with my mentors in the field of lactation. I became certified as an International Board Certified Lactation Consultant (IBCLC) in 2008 and have been working clinically ever since. Because breastfeeding is part of a continuum of conception, pregnancy, birth and child rearing, I decided to work supporting women in pregnancy and labor in different hospitals in the Montreal area.  I also worked as an aide to midwives at the Pointe-Claire Lac St. Louis birthing centre. This gave me a unique opportunity to perfect my skills with newborns, to teach prenatal classes to expecting parents and to provide continuing education in terms of training to the midwives. My aim for this blog is to protect, promote and support breastfeeding in Eeyou Itschee, by sharing evidence-based, culturally appropriate, information as well as stories shared by the community. I plan to include topics that will interest mothers, family members and health care providers. Since it takes a village to raise a child, I welcome photos, links, article submissions from individuals or groups who share similar goals. Please contact me if you would like to submit something or have a topic you would like to see covered.

Meegwetch, Thank You, Merci

 

Posted by: Admin | October 4, 2015

Breastfeeding Week 2015 – October 5 to 9, 2015


Breastfeeding and Work – Let’s make it work!

 Most mothers think that they need to stop breastfeeding when they return to work. Actually, the older your baby is, the easier it is to continue breastfeeding while working. If you need to return to work before your baby is 5 to 6 months, you will need to express your breastmilk to keep up your milk supply. If you go back to work later, your breasts will adapt to the situation and, after an initial period of slight engorgement, your breasts will follow the new routine and will produce milk only when your baby breastfeeds. In Canada, there is a parental leave of 1 year which facilitates a longer breastfeeding period.

It is quite easy to breastfeed while working as your body and your child adapt to changes. The difficulties usually reside in the environment. For example, is it possible for your employer to give you an extended break to go breastfeed your baby or to pump your milk? Is there a private area that you can use or is the daycare close enough to your workplace to go there and come back during break time?

In Eeyou Itschee, there is rarely more than 2 km distance from one end of the community to the other. Daycares are close to the center of town and if you have a job in the community, it is quite feasible to go breastfeed during breaks and at lunchtime. It is actually relaxing to spend quiet time with your child.

My experience when I moved in Mistissini was quite positive and a little different. I came to Mistissini to work for the Public Health Department of the CHB and as my husband needed to finish a contract in Montreal, I came alone with my 2 years old daughter. The daycare was full so I had to take her to work with me and I breastfed her many times in my office cubicle. I used to put her to sleep for her nap on my thick woolen parka. I’d slide her under my desk near me while I was working. This went on until they had a place for her at daycare. She was drinking and eating on her own so she didn’t need to be breastfed regularly. She asked for her juju when I was with her but drank water while at daycare. I had chosen for breastmilk to be the only milk she received, but this is a personal choice. There are many other options.

The experience of a co-worker of mine was also very similar. She had a 9 months old baby and was able to adjust her working schedule around her baby’s needs; bringing him to the daycare early, coming to work and going back to breastfeed him in the morning, at lunchtime and in the afternoon. He breastfeed as he had before in the evening and whenever they were together.

With support from family, friends, the employers and the community, it is possible to breastfeed and work! Try it and you will see!


 

The Sleep Cycle

Breastfeeding is a “gut feeling” thing…It’s something you know by instinct and not something you can calculate, or think through. Some say, you need to use your right brain that regulates emotions and not your left one, the one that analyses. Breastfeeding is something you feel, it is not a logical thing. You cannot control when your baby will wake up, how hungry he will be and how long he will breastfeed. In fact, once you have a baby, there is no way you can ever control anything again… No, this is only a joke…Well there is a little truth to it.

In the beginning, babies’ respond to stimuli with reflexes. They cannot control their movements and their bodily functions. They react to things with their primitive brain, the first brain fully developed at the birth of a human being. The other parts of our brain, the emotional and the logical ones, develop progressively as the child grows.

One thing present at birth is the sleep cycle. Babies stay awake and sleep in answer to their own cycle. For example, a baby can only be awake very short periods at a time when they are a few days old. They do not have the neurological maturity to stay up for long periods. It is also mainly brain immaturity that makes some babies cry more than others. It is for the same reason that babies’ arms and legs can shake a little sometimes. Babies are not a “finished” product when they are born. They will be developing their brain functions as they grow.

The sleep cycle regulates a baby’s feeding schedule. Babies are diurnal mammals. This means that they live during the day and sleep at night. Cats and bats are nocturnal; they live at night and sleep in the day. You probably think this is wrong as babies keep us pretty active during the night, right? This is because of their immature sleep cycle. They will need a little time and help to get their nighttime sleep on track. The way we sleep is also linked to social and cultural issues.

Here is an example of the sleep cycle of a baby up to 1 month old:

 

image001

Babies can stay awake for only a few minutes and their deep sleep also lasts for a short period. The longest sleep period is in the light sleep. Light sleep is when you dream. If you look closely, you will see their eyes moving behind their eyelids. They also make small movements and sounds. Their breathing is very irregular in light sleep mode. During this phase of the sleep cycle, they wake up easily if a loud noise occurs or if there is some type of disturbance or change in their environment (like taking them from your warm arms to put them in a bed many degrees colder). In deep sleep, you can put them down and they will not wake up but the deep sleep does not last very long, at the most 15 minutes in 1 cycle. A full sleep cycle with the awake period is about 1 hour to 1 hour and a half in a very young baby.

The natural feeding behavior for babies is ‘grouped feedings’ with one period of longer sleep per 24 hours. Grouped feedings mean that a baby will feed between 5 to 10 times in a 1 to 2 hours period and then fall asleep for up to 5-6 hours. If left to follow their natural sleep pattern, there will always be a longer period of sleep. We all wish babies would do this longer stretch during the night but it does not always happen that way. Let me explain why.

The wheel above shows babies fall asleep during a transitional phase (sleepiness) and then go through periods of light sleep, deep sleep and light sleep again. When they reach the reverse transition phase, the “awakening”, this is when they transition to being completely up. This is a good time to help them awaken gently by positioning them at the breast. If a baby is not gaining much weight or if he has breastfeeding difficulties or specific health concerns such as jaundice (yellow tinted skin in the early days), it is important to observe for the awakening phase, to pick up the baby and get him ready to breastfeed. At night time and if the babies health is fine and he is growing well, you can wait and see if he wakes completely before putting him at the breast.  If he has no specific needs, he might awaken slightly and fall back in a light sleep mode. This is how babies sleep longer stretches. It is not because they are good or quiet babies. It is not because they get formula or cereals  to ‘help’ them sleep.  The waking up and sleepiness is determined by the maturity of their brain and it changes as they grow.

True or false

“We need to wake our babies up according to specific and fixed intervals like “every 2 to 3 hours”.

False. Babies need to be fed “on demand”. If your baby is left to go through his sleep cycle without being woken up at specific intervals, he will eventually do his long stretch of sleep. If you wake him up every X hours with no respect of his natural sleep cycle, he might be in a deep sleep when you wake him up and he will not breastfeed well. Once put back down, he will still wake up according to his schedule but you will think he is crying for nothing as he just fed awhile ago.

“Mothers of breastfed babies sleep less then mothers of bottle-fed babies.”

False. What makes people say this is the fact that you can have someone else give a bottle to your baby but you cannot have someone else breastfeed your baby. In fact, when you breastfeed and follow your baby’s sleep cycle, you will be able to sleep well as a baby has a longer stretch of sleep in his sleep cycle. What is difficult on a mother’s sleep is to wake up the baby at every 2 or 3 hours interval.

“Babies are less likely to fall asleep on their own if they are breastfed.”

False. By helping a baby follow his own sleep cycle you teach him how to fall asleep and wake up naturally. Most breastfed babies fall asleep at the breast. This is much easier on the mother and on the baby.

Dany G.  🙂

Posted by: Admin | March 16, 2015

Is your newborn baby’s weight loss normal?


A baby that thrives gains weight. He will also grow in length and his head circumference will gain some centimeters. All parents know this, but what we are unsure of is the pattern of weight gain that we should expect and when we should be concerned.

First let’s look at the newborn

All newborns lose weight in the first few days following birth. Babies can lose up to 7-10% of their birth weight. An easy way to calculate this is to take the first 3 digits of the baby’s birth weight. For example, a baby weighing 3500 grams at birth can lose up to 350 grams (equal to 10%) before we start to get concerned. Breastfed babies, as they receive a small quantity of breastmilk, will lose more weight (average of 5.5%) than bottle-fed babies (average of 2.5%). This does not mean that artificial milk is better than breastmilk, but simply that bottle-fed babies are receiving an abnormally big quantity of food and they lose less weight because of that. They also stretch their stomach and overload their digestive system.

If you are concerned about your baby’s initial weight loss after birth, it is important to remember that this weight loss is normal and you should not worry. Also, your baby will not gain weight until your milk comes in which will happen between the 3rd and 5th (sometimes later) day. When your milk starts to increase, your baby will not lose anymore weight and he will remain at the same weight for a day or two (called a plateau). Once your milk comes in, your baby will start to gain weight more rapidly. Here is an example of a baby’s weight gain pattern following his birth:

Birth to 3-5 days:  weight loss up to 10%

3-5 days: remains the same,  loses or gains only a few grams

5 days and up (when your milk comes in): from .6 to 1.4 kg monthly or 130 grams to 330 grams per week for the first 3 months (a baby never gains everyday…no use for daily weight checks).

A newborn baby that loses weight is a normal occurrence. Being anxious about it will only make things worse as it will undermine your self-confidence. All mothers make milk after delivery. It is a normal physiological process called lactogenesis 2 and it is triggered by the placenta detaching itself from the wall of the uterus.

If a health care worker informs you that your baby must receive a bottle of artificial baby milk as a supplement because he lost too much weight, ask to see the weight loss pattern. If your milk has come in (breasts feeling heavy or full), your baby should be in a plateau or will start to gain weight. Even a small weight gain like 5 grams is a good sign. Continue to breastfeed often: from 8 to 12 times per 24 hours is normal. Let your baby take the breast whenever he signals he needs to breastfeed. If you feel better offering a supplement, offer breastmilk! There is no need for artificial milk when you have all the food your baby needs. Ask for a breast pump or use your hands to express some breastmilk and give it to your baby. At the beginning, expressing in a small medicine cup or a spoon is much better as you do not want to lose a drop on the sides of a container. You can use the cup or spoon to offer the breastmilk to your baby. Never assume the quantity is too little or that it is not worth keeping. Breastmilk is like liquid gold: a few milliliters will stabilize your baby’s blood sugar, give him proteins and fats and protect him against illnesses.

Next post: The baby’s weight gain pattern – 0 to 12 months

Dany G.


You are pregnant, you just had a baby? You are considering  breastfeeding but are still unsure? Or maybe you are breastfeeding, but still wondering if it is really worth it? So here are some facts and research findings that might help you start or continue breastfeeding.

First, how about doing this for YOU? You will gain from breastfeeding your baby in many different ways. You will feel great about yourself when you realize your baby is thriving on your breastmilk alone. You have an incredible power: that is to take care for every need your child has. YOU will make him grow strong and beautiful. Every centimeter, every gram he will put on, will be the result of YOUR breastmilk. This is a wonderful feeling. It gives you a whole different perspective on being a woman. You will fulfill your role and reaffirm your gender in all its glory. You will also get some practical benefits: no need to prepare anything, no worries about mixing the artificial milk in exact proportions, no need to run around to find the right artificial milk brand and, last but not least, more money in your pocket. Health wise, you will probably not see the return of your moon time for awhile (Yeah!), your uterus will get back to its previous state very quickly, you should return to pre-pregnancy weight faster and if you are diabetic (type 1) your blood glucose level should be lower and more easily managed. You also profit from long term benefits: less risk of hip fractures or osteoporosis (brittle bones) and less risk of developing breast and ovarian cancer.

Now let’s focus on this extraordinary substance: Breastmilk!

You know how Elders tell us it is important to eat food from the land? Because it is “alive” and it gives you strength as the meat is very powerful? Just as powerful as the animal killed, whether it is a bear, a moose or a goose, all game meat have the power of giving you an immense boost of energy because it is so fresh,  so “alive”. The boost is even stronger if you eat the meat right after the kill. Breastmilk is just like that. It is “alive” while your baby is drinking it. It is full of strength, warmth and power. It makes him strong. Breastfeeding is a spiritual experience you share with you baby and it will follow both of you through the years. Breastmilk feeds the body, the soul and the spririt in both of you.

On a more scientific note, it contains all the perfect ingredients in exact proportions. It has the water your baby needs. It is not too light, not too fat. It contains just the right amount of protein for your baby’s muscles to develop at the right time. Your breasts also transform your blood’s glucose into lactose, a sugar essential for your baby’s brain development.

Most ingredients in breastmilk that are “foods” meant to feed the body, also have a second role. They protect your child against illnesses. A breastfeeding baby has 2 times less risk of getting a respiratory infection (ear and throat infection, bronchitis, pneumonia). He is also three times less likely to suffer from gastroenteritis or diarrhea. If he does catch one of those illnesses, he will probably react very little or be just a little sick. Breastmilk will help him overcome many other viruses and bacteria.

Breastmilk promotes the growth of your baby’s tissue: skin, bones, muscles, organs, brain, etc. It contains growth hormones. It also has anti inflammatory properties which offer your baby protection against diabetes, bowel diseases and other inflammatory diseases.

Because of specific breastmilk proteins that help your baby absorb iron better, he is also protected against iron deficiency anemia if he is exclusively breastfed for the first 6 months.

On top of all of this, breastfeeding promotes bonding between mother and child. The contact with his mother’s skin, the constant touching and caressing develops his emotional brain which helps him develop into a more balanced individual able to be empathic towards others, with better impulse control and more self confidence. Some studies even mention better academic performances in children with longer breastfeeding duration.

So now, after reading all this, I ask you: Why wouldn’t YOU breastfeed?

Happy New Year! Wishing you health, wealth and peace.

Creebreastfeeding.com


“This is the season to be jolly, la la la, la la, la la!”. This is how the song goes!

The Holiday period is a combination of excitement, social occasions and work. The Christmas shopping and the parties can take a toll on breastfeeding mothers. Babies need to breastfeed frequently for the milk supply to be produced by the mother.

Our communities are isolated and even the ones close to small towns offer very little choice in term of Christmas gifts. Many of us travel to Quebec City, Montreal and Ottawa during the Christmas season. Families that can afford to travel together do bring their children with them but most often than not, shopping trips mean children are left at home with a caregiver. Breastfeeding moms will sometimes take breast pumps with them to relieve some of the discomfort of not breastfeeding during a period of time but their shopping schedule rarely allows for breaks. There are risks to doing this: abrupt weaning can cause mastitis and abscess and the baby might not be willing to return to the breast after a few days of bottle feeding.

Partying is also part of this season. Mothers sometimes choose to skip breastfeeds to give a bottle of artificial baby milk (formula) instead. Note that the first 6 to 8 weeks is a period during which the milk supply balances itself to the baby’s needs and is extremely fragile; missed breastfeeds can lead to a big enough decrease in breastmilk to slowly lead to  early weaning (weaning before you reached the goal set for yourself). If you are missing feeds because you want to drink alcohol, remember to make sure your baby is well taken care of before doing this. Remember that as soon as you do not feel the effects of the alcohol, you can breastfeed again. Some prefer to look at the MotherRisk table to see how many hours to wait for a “O” amount of alcohol in their breastmilk.

Creebreastfeeding.com publishes posts each year at Christmas and some other bloggers also published interesting reads. Here are some links that can help the breastfeeding mother during the Christmas season:

 

After the Holiday Recipe for the Breastfeeding mother by creebreastfeeding.com

 

2013 A Word of Advice at Christmas Time by creebreastfeeding.com

 

Avoiding Holiday Weaning y Native Mothering

 

Creebreastfeeding.com wishes you all a wonderful Holiday Season!

Posted by: Admin | November 27, 2014

The song says it all!


For all breastfeeding mothers out there. Enjoy.

 

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