Wednesday, December 12, 2012

Breast Feeding Nazi vs. Formula Feeding Nazi


Yuck, both are disturbing to me. I hate "Nazis" from either side!

Relax, formula feeders, breast feeders, formula manufacturers, LC's, and Le Leche folks! Please, let me explain.

No mother should be made to feel guilty about her choice of breast or bottle.

Mom Enough, seriously Time! An all new low.


Disclaimer: I breastfed 2 children until they weaned themselves. 

Disclaimer #2: My mother did not breastfeed me, because at that time, formula was considered a healthier choice. I fully agree with all current studies, which disproves that.

Story #1
I once had a patient who was doing a wonderful job nursing her infant. 
The infant's grandfather was in the room, and said to me, "I just don't get what's so natural about THAT(breastfeeding)?" 
I replied, "Sir, when your daughter got pregnant, her body began to prepare for her baby. Her breasts had colostrum before her baby was even born, and as her baby sucks, her brain stimulates her body to produce milk. Would you please explain to me how that's not natural?" 
His reply, "Well, that's not what they're (her breasts) for!"
 Nurse Amber, "well sir, it looks like your grandson disagrees."

The sad ending: before that mommy went home, she gave up on breastfeeding. Hmmm, I wonder why? 

I have also cared for many mommies who didn't want to breastfeed. I have heard family members and friends make negative comments to them in order to make them feel guilty. I have even had mommies who had breastfed previous children, but decided not to breastfeed the "new infant."

I fully believe in and support education, but again, not guilt.

 Unhappy Mommy, unhappy baby...


Saying that, when I think back on my babies, some of my sweetest memories are of breastfeeding them. Oh wow, I think I just "let down." Is that possible, it's been so long. 


I also must say, I don't have any detachment issues when it comes to having not been breastfed by my own mother. I had a very healthy childhood physically and emotionally. 


One more thing, Mommies. Quit making excuses, either way, own it!

Now, here are some of my favorite pictures:









If the big people wont feed me, I'll have to take matters into my own hands... or is that hands into my mouth... or feet?



THE WINNER OF MY MOST FAVORITE OF FAVORITES IS:



I especially hope my LC co-workers enjoyed the pictures. Oh, and the post too.

To Judy, I'm sad for the many mommies and babies, that will never experience your expertise.  Love, "Amber Bamber"

Monday, December 10, 2012

How to Hire a Doula... Cheap!

How to hire a doula... cheap!

Answer: She (or he) is included in the price of your hospital stay... YOUR NURSE!





Obviously, this post is for hospital births, not home births. For the rest of you, keep on reading, think it out...



I often see first time moms bring doulas with them to the hospital. First let me say, I love doulas. Duh, I am one! 





Great, quick story: I once had a patient from a European country, who was having her first baby. She arrived at the hospital and instantly asked for an epidural. With her permission, I checked her cervix, and she was about 7-8 centimeters. She started crying! She said, "I wanted an epidural." I said, "well, you can probably still get one, but you can SO do this!" She said, "do you really think I can?" Oh man, she needed a boost of confidence and wow, she totally did it... un-medicated with no interventions! Now, WAIT FOR IT, WAIT FOR IT... She was talking on the phone to her sister who wasn't able to get to the US to attend the birth. The patient told her sister of all of the different positions I showed her to use to labor and push, and how I stayed by her side. She used the ball, bar, tub, toilet, chairs, dancing, music... I heard her sister scream on the phone! Her sister said, "YOUR NURSE IS A DOULA!" Well, come to find out her sister was a doula too. The patient had no clue as to what I/WE had to offer her. Are you following? 

Ask yourself the obvious, why would a nurse decide to work in labor and delivery? Hmm, it is a highly litigious field full of extreme highs and lows. The lows are so low, that they are often unspeakable and certainly will not be covered in this post. 

Why would we do this you may ask? Einstein, we love birth! 


So, lets put this into a formula:

x=the experience of a doula      
y=trained professional in Obstetrics and Post-Partum

xy= One heck of an experienced doula, who is also a nurse!

Fact: nurses innately and by trade are your advocates. Share your concerns, fears, and wants with your nurse. 

Get to know your OB/GYN... well! As my grandma would have said, "land sakes, child," get to know them!

Get to know your hospital. Plan a tour! Ask questions, lots of questions. I'll bet you most of the things you put in your birth plan, your doctor and hospital already do!

 Education and reality are truly a delicate mix.


Again, I am not saying, don't hire a doula! There are a few out there, that I LOVE to see coming (Jen, Cathy, I love ya!).

 I'm just saying, consider your nurse and why they do what they do!



Love this!


Definition of DOULA

: a woman experienced in childbirth who provides advice, information, emotional support, and physical comfort to a mother before, during, and just after childbirth
sited: Merriam-Webster.com



Wednesday, December 5, 2012

Sibling Survival


I am the only girl and youngest of 3 older brothers. That birth order alone set my life in a certain direction. Growing up, my name was... 
"Harvey, Kevin, Steven... AMBER!"

 It's hard to get much past a mother of Irish descent, although she definitely has  Yiddish qualities. If you're lost, please do a cultural review or just move on to the next paragraph if you don't care. She was also a sister to 12 siblings. No, that's not a typo... 12.

My daddy was a pastor with a great sense of humor and the patience of a saint. He had one sibling, his sister, Betty. He loved mom's siblings and enjoyed being part of her large and shall we say, LOUD family. 

You see siblings have to survive as parents learn how to parent. If something gets broken, everyone is guilty, until the culprit folds. My brothers were excellent "non-folders."

Bullies at school, no problem! Go grab your sibs, you'll take that other kid down in a minute. No one fights with you or for you like your sibs. I remember one time at school, a teacher grabbed my hand and starting pulling on me (he would be arrested today!). My brother Steve saw him from across the hall, ran over, and jerked the teacher's hand off of me and said, "don't you ever touch my sister!" At that moment, Steve was my defender. Of course as soon we got home, he became my offender.  He would "frog" me until I cried. 

My brothers and I survived a few things:

No car seats, not even enough seats in the VW bug!
No childproof caps
A couple of house fires, with maybe one smoke detector if we were lucky
TV's on TV trays
Taking  rides in the dryer
No baby monitors
No bike helmets
Guns in the house
Only 3 channels on TV
13-19 inch TV
No VCRs, computers, Wii, PS3, but if you were lucky... ATARI PacMan!
Oh, the list goes on and on...

My brother Steve died June 15, 2006. No one can replace a sibling.

As time has passed, I don't think as much about his death, but about his life, his survival, our survival... SIBLING SURVIVAL!

 Steven Patrick Best  #3 sib
12/05/1968-06/15/2006

 Harvey Jackson Best, Jr. 
The oldest of the sibs

Kevin Wayne Best
 #2 of the sibs


Notice a theme?



  

Tuesday, December 4, 2012

Google Birth or Google Earth?

Google Birth



Such are 

the days where you no longer ask your momma, sister, or friend, "What to Expect When  Your Expecting." You just Google it.

I will use the word, "Google" instead of search engines in hopes that Google will pay me, want to advertise with me, or give me ownership in their company. So, Google, Google, Google!

I had a patient who was supposedly from out of town, about 30 weeks pregnant and complained of back pain. I gave her the likely cause of her pain and what the doctor would probably do. She said, "well, won't I get an ultrasound?" I proceeded to tell her that with her symptoms an ultrasound would be unlikely. A little later, I returned back to her room, and she had some NEW symptoms to report. She told me that she had "epigastric" pain and "visual disturbances." I said, "point to me on your body where you are feeling this pain." Well, she certainly did not point to the epigastric region, nor was she able to describe her "visual disturbances." 

Obviously, while I was out of the room, this patient and her friend had Googled reasons a doctor may order an ultrasound. 

                                   
What this patient doesn't realize is we keep up with the changing times too. We are fully aware, and a few steps ahead of the information highway, when it comes to Obstetrics. 
Try us, please. No question is stupid. Well, that's not true but I can assure you, we've heard worse.

                                           

The internet can be a great resource, but it can also be the source of much confusion, anxiety, and misinformation.
                               
                        
Mommies, be careful of what you Google.  
Be careful of the stranger at Walmart that gives you advice.
Be careful of your Mother's sister's cousin who had the worst birth ever.

Mommies, be careful of what you Google!



Saturday, December 1, 2012

Are you tired of being pregnant? Here is what you can do!





Suck it up, and be a mom! 

The things you are "tired of" is just getting started, friend.
As an L&D nurse, I think I've heard it all when it comes to T.O.B.P. (Tired of Being Pregnant) women.

Now, don't get your bloomers in a wad. I am not talking about women with medical issues.

Shall I give you some pre-delivery scenarios?

  • First time mom, 37 weeks pregnant: "Ya'll have to do SOMETHING, I couldn't even eat all of my Thanksgiving dinner."
  • Third time mom, 32 weeks pregnant, history of preterm labor with both previous pregnancies: "That doctor needs to 'take' my baby now, I'm tired of this, my other babies were premies and they're just fine now."
  • A mom who is 40 weeks pregnant and says, "I've been contracting for weeks and no one will help me."

The combination of these mothers is frightening. A mixture of selfishness, laziness, immaturity, and lack of education. Unfortunately, I never  cease to be amazed by these type of comments.  

My two-cents opinion is that some of these moms can be rehabilitated with education. Those moms are the easy ones. They are just a bit clueless. 

The worst are those who just don't care, because they are putting their needs and wants first. 

For some women, pregnancy is one of the happiest times she will ever experience. For others, they may experience medical complications that make the experience of pregnancy far more difficult and even scary. Then we have the "all about me" woman. 

Being pregnant can consist of hemorrhoids, back pain, Braxton-Hicks, ligament pain, acne, carpal tunnel, peeing on yourself, brittle hair, hair loss, rashes (sometimes severe), nausea, puking, constipation, diarrhea, swollen feet, hands and ankles (cankles), lack of appetite, increased appetite, cravings, baby daddy has cravings... I mean I could go on all night! 

Seriously, you are growing a human. I personally believe there is no greater job, except actually raising the little human(s) you will call your child(ren). Pregnancy is usually not glamorous, but it is miraculous. 

 40 Reasons to go the Full 40 weeks! Your baby needs a full 40 weeks of pregnancy to grow and develop!

Educate yourself, your friends, your daughters. Put the little one growing inside of you first. This little one needs you to be healthy physically and mentally. He or she needs time to grow and develop. You, Mommy, need to listen to your body and baby. If it's not time, it's not time. Quit pushing your baby.
It's March of Dimes time!!!

Again, SUCK IT UP... Be a mom!