HOME POSTPARTUM CARE: LETS TALK BREASTFEEDING

POSTPARTUM CARE AT HOME: YOUR BREASTFEEDING GUIDE

Congratulations to you and your family on the birth of your baby! You did it!! You are a rockstar, superhero, however and wherever you birthed. Now it is time for some postpartum care. But through it all, do what you can to go with the flow. Tune into your body and your baby’s natural rhythms. Embrace it all as a normal healthy phase of your life as a new mama, shared with mamas around the world since the beginning of time. Try to have fun with it and keep your sense of humor. 

Welcome to the postpartum period, the fourth trimester, a period of healing and adjustment, of getting to know and comfort your baby, and mastering breastfeeding. All your baby needs now is love and breast milk. If you are unable or choose not to breastfeed, consider feeding baby pumped breast milk, or donor breast milk from registered milk banks. Breast milk is the ideal food for your baby, although organic goat milk formula is most similar to human milk and you can discuss best alternative options with your pediatrician. 

The rest will follow naturally, as you learn on the job, take guidance from wise experienced others, and let Baby be your teacher. As in pregnancy and birth, trust your instincts and your heart. But, do not hesitate to ask for help and support as needed. Hopefully you prepared in your pregnancy so that you are well supported during this sensitive time, as it has always taken a village to raise a baby as well as new parents. A postpartum doula is a must if you do not have family and friends to help you. 

Below are some helpful hints to make the next few weeks of breastfeeding easier and more comfortable, so you are more able to heal, enjoy and reflect upon your extraordinary new miracle. The most important advice is to slow down, stay in the moment, try to resist the temptation to do, do, do...and just be, be, be. Trust that you will heal and get into your breastfeeding routine, as you are perfectly designed to do, given the proper care and support.  Do not hesitate to reach out to an IBCLC lactation consultant sooner rather than later if there are breastfeeding issues beyond what your midwife or doula can help you with.

Nutrition for Postpartum Care & Breastfeeding

Maintain at least the same healthy nutrition as you did in pregnancy, especially now for recovery after birth, and during breastfeeding. This will help you to make good quality milk, and nourish your baby as well as yourself. Make sure to eat at least three whole food varied healthy meals and snacks, and even a little bit more than you would normally consume. And keep well hydrated with at least 64 ounces of water daily. 

Traditional foods for the early postpartum weeks across cultures typically include soups and stews with a lot of vegetables, including the starchy ones like sweet potatoes and winter squash, stew meat or chicken, and whole grains like barley and oats. Also, do eat plenty of eggs, seasonal fruits and vegetables. Much nourishment can be added to fruit/veggie smoothies, soufflés, whole grain hot cereals, and breads/muffins like zucchini-apple, banana-date or carrot-raisin, enhanced with almond flour or chopped nuts and seeds, nut milk, and eggs. 

Herbs and Supplements

Make sure to supplement your diet as in pregnancy, with herbs, vitamins, minerals, omega threes and probiotics to complete nourishment not supplied by diet alone. This will aid in your recovery and help supply all of your and your baby’s nutritional needs. Do increase iron foods and take an herbal iron, especially if you were anemic in pregnancy, have low iron stores, lost a lot of blood at birth, gave birth by cesarean, and/or are still anemic. 

Do continue your nourishing pregnancy herbal infusion to your diet but add alfalfa and red clover. You can have a support person make this by:

  1. Blending a handful of dried Nettle leaf, a handful of dried Red Raspberry leaf, a pinch of Alfalfa, large pinch of Red Clover, and several Rose Hips. 

  2. Add a pinch of Comfrey to help with healing. (optional) 

  3. Brew in a mason quart glass canning jar of boiling water 1-4 hours. The longer the brew, the stronger the taste and effect.

  4. Strain, and drink plain or lightly sweetened with Rose Hip infused honey and/or a splash of fresh squeezed lemon or lime juice.

  5. Enjoy hot or cold, up to 4 cups per day.

 You can make it in larger quantities and store in the fridge.



There are some nice herbal breastfeeding teas like those made by Earth Mama Organics and Traditional Medicinals. Use two bags per cup of tea to get the benefits. You can have your special someone make your own delicious, nourishing combination of herbs that helps with breastfeeding and enhances the nutritional content of your breast milk: 

  1. Mix a handful each of dried Chamomile blossoms, Catnip and Blessed Thistle, a pinch each of Fennel seeds and Fenugreek powder or seeds, and a few dried Lavender flowers.

  2. Put 1 tablespoon of the mix in a cup, fill with boiling water, and steep for 10-15 minutes.

  3. Strain in the glass mason jar, and drink plain or lightly sweetened with Rose Hip infused honey, and a dash of anise. 

  4. Drink 1-3 cups daily.

Although it is a challenge postpartum, it is so important to avoid fatigue by making sure you are getting extra needed sleep by going to bed earlier, sleeping later, or taking naps when baby naps. A few hours of broken sleep each night is never enough to prevent that feeling of exhaustion and overwhelm from sleep deprivation. When sleeping, lay down on a firm supportive mattress, on top of a bed board if needed. Some women find the floor or a futon helpful. A MUST is to use an excellent full body pregnancy pillow for additional support.  

An excellent pregnancy pillow is not only most supportive, they are also ergonomic and deliciously comfortable for safe sleep. Mamas say they make them feel like they are literally sleeping in a cloud each night. And they love that pregnancy pillows still helps them postpartum to find a comfortable position to rest, sleep and even breastfeed.

My favorite pregnancy pillows are full body U shaped all in one pillow, with an attached pillow for between your legs or to wrap your legs around. They are designed to cradle your head, back, belly, hips, and legs in optimal alignment. No more tossing and turning, pulling or straining. pregnancy body pillow adapts to your body’s pressure points, promoting blood circulation, reducing back pain and hip strain while maintaining natural spinal alignment for deeper, restorative sleep. It releases your body pressure, effectively relieves back and hip pain as well as leg swelling so you can sleep more deeply all night long. Full body pregnancy pillows are designed to replace the need of multiple bed pillows. It hugs your entire body and conforms to both sides, perfectly support the head, shoulders, the entire back, belly, sides, legs - even the knees, feet, pelvis and hips.

If you can not fall asleep, practice the corpse pose or yoga’s most important savasana experience, or simply lye down in a quiet space for at least a half an hour just focusing on breathing in and breathing out, keeping your focus on your breath or between your inner eyebrows, while literally melting your muscles and releasing any tension in your body scan with each exhalation. Even 20 minutes of this is like a 2 hour power nap for the body.

This is also supportive postpartum and can be used as a nursing pillow to assist in finding comfortable alternating and varied positions for breastfeeding that also support your back, neck and shoulders.

Breastfeeding

Note ways to prepare for breastfeeding and common myths to be busted, as well as  5 essential tips to get the breastfeeding going.

Your newborn baby’s stomach is tiny, like the size of a cherry the first few days, a small apricot at one week, and a large egg at one month of age. Only tiny amounts of milk are tolerated initially. Expect your baby to drink about 1-1 ½ tsp per feed on the first day, 1½-2 ounces by one week, and 2 ½-5 ounces per feed by one month of age. This is just what you have to give. 

The liquid gold colostrum that your breast produces makes no more than a few teaspoons per feed, but when your full breast milk comes in, you will have more than enough to accommodate. Often women have a misconception that they do not have enough milk when they have exactly what baby needs, and they get into a tension and supplemental feeding cycle that actually does decrease supply. 

If you had labor or birth complications, needed epidural or spinal anesthesia, baby was birthed by cesarean or had to be in the intensive care, establishing breastfeeding can be more challenging at first but you can do it. Get help by a certified lactation consultant (IBCLC) as soon as possible if there is any difficulty. Baby-friendly hospitals should all have them on staff, or you can ask your midwife, pediatrician or local La Leche leader for recommendations. If you need additional guidance to boost low milk supply first follow these steps. All you may need to do is keep nice and calm with baby skin to skin and nurse more frequently, avoid formula and glucose water, and do not use pacifiers until your breastfeeding is well established. 

You can increase emptying if needed, which boosts your supply, by using a double electric breast portable Willow pump every 2-2½ hours for 15-20 minutes, but know that a healthy baby is the best breast pump. If you do pump, freeze the milk for later use, like when you need to go out or want a break from a nightly feed. Take herbal combinations like More Milk Special Blend, drink non alcoholic beer or Hops tea and several cups Sesame milk daily. You may need to add increased amounts of the individual herbs like Goats Rue, Blessed Thistle and Fenugreek, 2-3 capsules each up to 3 times per day, or add the tincture of More Milk Special Blend, 2 ml 4 times per day to increase your supply. 



Treating Breast Engorgement

Your breasts will begin filling with milk and can become engorged by the third or fourth postpartum day whether or not you are breastfeeding. Initially, you may notice that your breasts become larger, fuller, heavy, lumpy, slightly tender and warm. They may leak milk and you may notice a short-lived low grade fever. The skin of the breasts may be pulled tight and become shiny, hard, painful and throbbing, and the baby might be less able to grasp the nipple.  

Suggestions to minimize discomfort with breastfeeding include:

  • Practice early, frequent breastfeeding (on demand or every 1½-3 hours) without supplemental bottles for at least the first month. The breasts will learn to replace only what baby takes. (This is a good reason not to pump significantly in addition to nursing initially, as breasts will replace that too). Allow the milk to run freely into a bottle from one breast as the baby nurses on the other side. The bottled milk can be frozen for a later nighttime feed your partner can give Baby to give you some needed sleep once engorgement resolves.

  • If Baby is having a hard time latching, try manually hand expressing a small amount of milk before nursing. You can also do so afterwards if still uncomfortably full after each feeding.

  • Rub Arnica oil gently over breasts, except nipples, then apply a comfortably hot washcloth/compress or stand under a warm shower 5-10 minutes before nursing.

  • Gently massage breasts downward while nursing using Arnica massage oil or lotion.

  • If you are uncomfortable between feedings, you can let comfortably hot shower water run over your breasts and massage them downwards using a fine tooth comb dipped in soap, or gently hand express just a small amount, or soak your breasts into a sink full of comfortably hot water. If engorgement is severe add 1-2 ounces of Marshmallow root tincture to the water. 

  • For severe engorgement, apply cold packs just during the short term period of extreme discomfort. Ideally, make these by defrosting frozen cabbage leaves rolled over with a rolling pin.

  • Apply cold compresses of Comfrey (soak washcloths with the tincture and store in the fridge). You can try comfortably hot Comfrey compresses and add Parsley tincture.

  • If you are not nursing and need help drying up your breastmilk, drink lots of Sage tea and do not pump. 

Report any areas of increased heat, redness, swelling and severe pain; fever over 100.4 after the first few days; and chills, headache and generalized aches like you have the flu.  

Sore Nipples

Your nipples may be tender or downright sore during the first week or so of getting accustomed to breastfeeding your baby, whether you are a first time mom or have nursed successfully before. You may also feel some pain, usually lasting no longer than one minute, each time the baby latches onto the breast in these early weeks, which lessens as baby nurses. If your baby is improperly sucking, or incorrectly positioned, your nipples can become very sore and the pain is intense the entire feed.

Suggestions to minimize nipple soreness are:

  • Remember this pain is temporary as your nipples adjust to normal healthy breastfeeding, and use your tools from labor and breathwork to breathe and relax into the sensations rather than to fight them. This actually helps tremendously.

  • Have an experienced person observe for proper positioning, latch and sucking during breastfeeding from the beginning, especially if you have severe nipple pain during the entire feed and your nipples are very sore.

  • Release the baby’s suction with your finger before removing the nipple from the baby’s mouth anytime you need to stop the sucking, especially when the latch is shallow.

  • Soak nipples in a cup of 0.9% physiologic saline solution, then expose breasts to fresh air 20 minutes after each feeding, ideally in the sun, in front of a 60 watt light bulb, or a blow dryer. Yes, spend some time topless.

  • Apply some breast milk to the nipple.

  • Avoid synthetic breast creams and nipple shields.

  • If mild, massage plain organic Cocoa Butter, Almond oil or Vitamin E onto the nipples after each feeding. If without relief, apply homeopathic calendula cream or herbal salve made with Calendula, Marshmallow,  Aloe Vera, and Chamomile, or Lanolin designed for sore nipples after each feed and gently remove any residue before nursing. Apply pure Aloe Vera gel to the cracks and cuts, as well as Comfrey, but wipe off before nursing so baby does not ingest it. Try several formulas and see what feels best for you.

  • Nurse more frequently for shorter periods of time.

  • Alternate positions of nursing each feeding to vary pressure points on the nipple.

  • Initiate nursing on the least sore side. You can nurse only one breast a day to allow the other to heal, pumping the sore breast to relieve engorgement during each nursing session. Then nurse the alternate breast the next day (pumping the other), and continue this until nipples have recovered.

  • Take a daily bath or shower, washing nipples with water only (no soap).

  • Wear all cotton bras, avoid tight bras, and minimize the use of breast pads. If breast pads are occasionally needed, use organic bamboo or cotton washables or nontoxic disposable breast pads without plastic, changing when wet to keep nipples dry.

Report to your practitioner if your soreness lasts longer than a week or is getting worse, if your nipples are cracked and bleeding, or severe nipple pain persists during entire feed indicating a latch issue.


Need more help from me?

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  • Help yourself breastfeed healthfully and successfully

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  • Answer questions and make informed decisions

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My Natural Birth Secrets book 2nd edition has helpful tips as well, and is an excellent resource in adjunct to the Guide.

All About Placentas

The placenta is the essential organ that forms during the womb in pregnancy and attaches to the baby via the umbilical cord. It belongs to the baby. It is the only organ essential for fetal survival, but is not needed by the baby post birth, after baby receives the cord blood (1/3 of the baby’s blood supply that backed up into the placenta during birth). It is the organ that gives baby life; it provides oxygen and nutrients, and also filters waste products. It makes hormones that support the pregnancy, help baby grow and develop, and provides protection against bacteria and infection. Toward the end of pregnancy, the placenta passes antibodies from you to the baby, which can provide immunity for up to three months after birth. 

Precipitous or Rapid Birth

What is precipitous birth?

Precipitous birth is medically defined as a birth that occurs in three hours or less— from the onset of regular labor pattern to baby being born. Sometimes, though, it can happen much more quickly than that — two hours, one hour, even 30 minutes! It tends to happen more often in second and subsequent births, but it can happen to a first-time mama too! A mama can also be in earlier stages of labor but rapidly progress to later stages and pushing.

Is it dangerous?

There are some potential risks, which is why it is important to get help; but in the vast majority of cases, the outcome for mom and baby is good. Normal, natural births are not considered emergencies. Precipitous birth is a variation of normal and natural, it’s just crunched into a smaller time frame than usual!

What do I do if it happens to me?

First and foremost, stay calm! There is no need to panic. Take a deep breath and feel yourself grounded on the surface you are on. Remember your body knew how to grow your baby, it knows how to give birth, and your baby knows how to be born. Connect to the divine, to the spirit of your own understanding, and know you and your baby are guided and protected. It never hurts to say a prayer for the wellbeing of you both. You can act more effectively when calm and it is ideal to bring baby into an environment that is peaceful and gentle. If you were planning to go to a hospital or birth center, but you are feeling like you’re ready to push, don’t get in the car. It is safer to have the baby at home than on the side of the road. Instead, find a comfortable spot to labor in and have your partner call 911, and then call your care provider. Ask your provider to stay on the phone until help arrives. If you were planning a home birth but haven’t called the midwife yet, call your midwife, and keep her on the phone or Facetime until she arrives. Then find your comfortable spot, and ask your partner to put water proof padding under you, such as a flannel backed table cloth, comfortable flannel side up, or even a shower curtain, with Chux pads or cloth versions of them on top.  Remove your pants and underwear. Your care provider will hopefully stay on the phone with you and guide you as you birth your baby. Have your partner gather clean blankets and towels for the baby.

Are precipitous labor sensations much different than those of a longer labor?

This is subjective, some mamas love their fast birth and are grateful for the surprise and that they were not in labor for a long number of hours. Some mamas can find themselves overwhelmed by a labor that ramps up quickly with little warning. It might seem harder to cope when she hasn’t had time to process what’s happening. It is helpful for the partner to remind her that things are progressing quickly because everything is going right. Helping mama into a side-lying position or hands and knees can help slow things down slightly and give her a better sense of control. Help her tap into her slow deep breathing to keep her relaxed, and when pushing, pant through pursed lips to not only help slow things down, but prevent tearing as baby is emerging. Tension and fear not only don't help anyone, they make things worse. It is important to stay calm, take some deep slow releasing breaths, feel yourself on the ground or whatever is beneath you. Find your center. And remember, birth works the vast majority of times or we would not have survived as humans; it really is an instinctual process - mamas's bodies know how to give birth and babies know how to be born; we just need to get our minds out of the way. As renowned midwife Ina May Gaskin says..."Let your monkey do it."

PPhoto credit: @marivette8

PPhoto credit: @marivette8

Is there any way to predict if I will have a precipitous birth?

There is no real way to know if you will have a very fast labor, although it is more common in mamas who have given birth vaginally before. If you had a fast labor with previous babies, it is more likely you’ll have another fast labor, and you should prepare for one. If labor begins and contractions are quickly close together (i.e. every few minutes for a first time mom or approximately every 5 minutes for a subsequent vaginal birth), lasting 45 seconds or longer and feel intense enough that you can not talk through them, make sure you don’t wait to contact your care provider. Also, keep your provider updated with changes in a “normal” or fairly typically progressing labor, and definitely if your main bag of water breaks and the amniotic fluid releases.

Image by Megan Hancock Photography

Image by Megan Hancock Photography

What else can I do to prepare myself?

Don’t forget to check out my LOVE YOUR BIRTH Online Childbirth Education Course! With 10 educational and empowering videos, and many additional bonus materials, it is everything you need to prepare yourself for the birth YOU want, to feel confident and empowered for however your birth unfolds, and not only ROCK, but also LOVE your journey. I have a whole section on what to do if you have a precipitous labor and birth that occurs before your provider arrives or before you get to your birth setting. The section is devoted to you and to your partner about this topic in much more depth, so that you are both prepared for the most exciting adventure of a lifetime. Learn more here.

Comprehensive Review and Endorsement of the Momcozy Dreamlign Pregnancy Pillow

As a holistic midwife of nearly three decades, I am deeply invested in ensuring that pregnant mamas experience the most comfortable, safe, and supportive environment as they navigate the changes of pregnancy. A good night's sleep is crucial for physical well-being, particularly during pregnancy, when discomfort and pressure on various parts of the body can be overwhelming. When it comes to maternity pillows, I highly recommend the Momcozy Dreamlign Pregnancy Pillow, a modern and thoughtfully designed solution to enhance sleep quality and support the pregnant body throughout its journey. It’s literally a natural pregnancy sleep solution.

Innovative Design for Enhanced Comfort

The Momcozy Dreamlign Pregnancy Pillow is a marked upgrade from traditional U-shaped pillows. Traditional maternity pillows often come with a fixed shape that makes it difficult for individuals to move or adjust the pillow to suit their changing needs. This can make nighttime positioning a struggle, as many expectant mothers find themselves having to climb over barriers or constantly readjusting the pillow throughout the night.

However, the Momcozy Dreamlign Pregnancy Pillow introduces a groundbreaking feature: the slide leg pillow. This innovative design element allows users to customize the angle of the pillow, and more impressively, collapse the pillow when necessary. This freedom of movement eliminates the cumbersome process of trying to navigate over fixed barriers, which is especially beneficial during late pregnancy when movement can feel more restrictive. Expectant mothers can effortlessly adjust the pillow to suit their sleep posture, whether they are sleeping on their side or need extra support between their knees and hips.

Ergonomic Full-Body Support

Pregnancy comes with its own unique set of challenges, particularly as the body adjusts to accommodate a growing belly and shifting weight distribution. This is where the Momcozy Dreamlign Pregnancy Pillow truly shines. The pillow is designed with 5-point contouring to provide comprehensive support for your body, cradling your head, back, belly, hips, and legs in optimal alignment. This design ensures that all pressure points are properly supported, reducing the strain on critical areas such as the lower back and hips.

Back pain and hip strain are common complaints during pregnancy, often due to the weight of the baby and changes in posture. The Momcozy Dreamlign Pregnancy Pillow addresses these concerns by promoting blood circulation, which can also reduce the likelihood of swelling in the legs and feet—a common issue in the later stages of pregnancy. The pillow helps to maintain natural spinal alignment, which is essential for preventing discomfort that can disrupt sleep.

As someone who works with expectant mothers, I know how important it is to get a deep and restorative sleep during pregnancy. Poor sleep can lead to fatigue, irritability, and even exacerbate physical ailments. The support that the Momcozy Dreamlign offers promotes not just comfort but optimal sleep posture, helping you rest in a way that alleviates strain on your joints and muscles. As the body undergoes significant physical changes, the ability to sleep deeply and comfortably can make a world of difference to your overall well-being.

Safe and Durable for Long-Lasting Comfort

Another essential aspect of the Momcozy Dreamlign Pregnancy Pillow is its commitment to safety and durability. Expectant mothers are particularly sensitive to chemicals and allergens, and as such, it is crucial to use products made from materials that are safe and gentle on the skin. The pillow is crafted with OEKO-TEX certified fabric, which ensures that it is free of harmful substances and safe for direct contact with sensitive skin. This certification is a significant benefit for pregnant mamas who may experience increased skin sensitivity during pregnancy.

The filling of the Momcozy Dreamlign Pregnancy Pillow is made from premium polyester, a material known for its durability and resilience. Unlike many pregnancy pillows that lose their shape over time, the Momcozy pillow retains its shape and firmness, even after repeated use. The polyester filling maintains its structural integrity under weight, ensuring that the pillow continues to offer the same level of support from the first night of use to the last.

This durability is particularly important for mothers-to-be who rely on their maternity pillow for consistent support. As pregnancy progresses, more support is often needed, and the Momcozy Dreamlign pregnancy pillow ensures that it will remain effective throughout the entire pregnancy. Whether you are in your first trimester or well into your third, this pillow will continue to support you in a way that enhances comfort and promotes restful sleep. It can even be used postpartum to help you find a comfortable position for resting on the sofa or sleeping in bed, and during breast-feeding. 


Versatility and Functionality

The design of the Momcozy Dreamlign Pregnancy Pillow offers unparalleled versatility. It adapts to different sleep positions, making it ideal for side sleepers, back sleepers, or even those who prefer to sleep propped up. This adaptability is a crucial consideration for pregnant individuals, as their bodies and sleep needs evolve over time. The ability to reposition and adjust the pillow means that it can be used for multiple functions, including supporting your legs, back, or belly in various ways throughout the night.

Many maternity pillows are either too bulky or difficult to adjust, but the Momcozy Dreamlign provides the flexibility to support specific areas as needed. Whether you need extra support under your belly, between your legs, or around your back, the pillow can be customized to fit your unique body shape and sleep preferences. This functionality adds significant value to the product, ensuring that it remains useful and comfortable through all stages of pregnancy. It is an all in one pillow, so no more multiple bed pillows, tossing and turning, pulling and straining.

Conclusion

As a holistic midwife, my primary concern is the health and comfort of pregnant mamas, and I can confidently endorse the Momcozy Dreamlign Pregnancy Pillow as a top-tier choice for anyone looking to improve their sleep quality during pregnancy. Its innovative design, ergonomic support, and durability make it a standout product in the realm of maternity pillows.

The slide leg pillow feature and the ability to customize the pillow's angle make it a revolutionary product in terms of functionality and ease of use. The 5-point contouring ensures optimal alignment and support for the body, while the OEKO-TEX certified fabric and premium polyester filling provide safe, lasting comfort.

If you are looking for a pregnancy pillow that offers not only physical support but also promotes a peaceful and restorative sleep experience, the Momcozy Dreamlign Pregnancy Pillow is an excellent investment. Whether you are in your early months of pregnancy or nearing the end, this pillow is designed to grow with you through to postpartum and breastfeeding, ensuring that you remain comfortable and well-supported throughout your journey.

This is a paid promotional post by Anne Margolis CNM of HomeSweetHomebirth.com

Childbirth Prep Online Course FAQs - Love Your Birth

Childbirth Prep Online Course FAQs - Love Your Birth

Why should I pay for this course instead of just doing the free one my hospital offers, or a typical childbirth education series? 

This is a common question when it comes to paying for childbirth education that falls outside of your free hospital classes. So what makes this course so much different? It has been designed by a holistic midwife, doula, childbirth educator, and yoga teacher with over 21 years of midwifery experience; someone who has never had a single transfer from home to hospital due to a woman being unable to handle the sensations of normal labor in any of the births she has attended.