Tag: Nursing

Who’s Feeding the Baby and Other Influences on Parental Roles

Our parental roles have shifted a few times throughout our baby’s first ten months. In the first two weeks, I was exclusively feeding the baby from my body. As this was not a role that my husband could fulfill, he made considerable effort to take on as many of the other baby care and general household tasks as he could. That included diaper changes, baby baths, making meals, shopping, and getting the baby to sleep.

After two weeks, we had to switch to bottle feeding which meant that we now had equal ability to feed the baby. I still had the extra load of pumping multiple times a day so my husband would typically feed the baby while I was pumping. We would then share the rest of the baby care and household tasks more evenly.

Then my husband went back to work and I became the primary caregiver during the majority of the day. My husband always made (and continues to make) an effort to do as much of the morning and evening baby care as he can, allowing me to have some personal time, extra sleep, or complete household tasks.

To me, this sharing of baby care is normal and expected. In talking to friends who also have new babies, this isn’t the case for every family. I’m not sure why but I have noticed some patterns.

WHO’S FEEDING THE BABY?

The primary factor seems to be who is feeding the baby or whether the feeding duties can be shared.

The baby is exclusively fed by one parent

Historically, the birth parent was the sole nursing/feeding parent and also the primary caregiver for the rest of the baby’s needs. This view seems to still influence some people to lump all the baby care together and place it in the domain of the feeding parent. As it turns out, only the feeding is exclusive to the feeding parent. All the rest of the baby care can be done (and in my opinion should be done) by either/both parents.

In some families, like mine, we view each baby care activity separately – feeding, sleeping/bedtime, changing, bathing, playing, medical appointments, etc. In this scenario, if the feeding can only be done by one parent and is often a highly demanding and time consuming task, at least one if not more of the other tasks could be taken over by the other parent/another caregiver.

The baby can by fed by either parent/any caregiver

This seems to make it more likely that baby care duties will be shared. If the feeding duties can be shared, it makes it more obvious that the rest of the baby care can also be shared. The majority of the care may still fall to one person due to work or other responsibilities but even if this is the case, there is more room for negotiation.

The baby is partly fed exclusively by one parent and can partly be fed by either parent

Whether the exclusive feeding responsibilities are from nursing, body feeding, or pumping, in this scenario one parent takes some of the feeding duties and the rest can be shared with the other parent/caregivers.

Because some of the feeding can be shared, it follows that the other baby care can be shared, as with the previous scenario. I feel like this would make it more obvious to the non-lactating parent how much of the work falls exclusively to the lactating parent. Ideally, this would lead to the non-lactating parent helping out with shareable duties as much as possible.

CONDITIONING, COMMUNITY, AND GENDER ROLES

While the question of who is feeding the baby seems to be a strong factor, there are still the influences of conditioning, community, and gender roles.

Conditioning

How someone was raised and how much they feel a need to follow what feels like a traditional model of baby care can have a strong influence on whether the above feeding scenarios have any impact on their involvement. If someone grew up in a strongly feminist household with an expectation that everyone pitches in with cooking, cleaning, and general household chores, I feel like they would be more likely to prefer/expect to share baby care duties regardless of the feeding arrangement. If someone was raised in a strongly patriarchal, traditional household, they may have the opposite expectation. How rigid this conditioning was and how strongly they still adhere to it as an adult will determine if they are influenced by a shared feeding situation to share the rest of the baby care.

Community

Another influence is how their peers are raising their own kids. This will not only model what baby care is like but also be a guiding force to follow a similar path as they ask for guidance or compare situations.

Another aspect of community is what expectations their community members have expressed when it comes to parental involvement with the baby. There can be guilt and shame placed on someone who chooses to share feeding and baby care duties when they are expected by their community to be the parent exclusively responsible for feeding and caring for the baby. It seems like this negative judgement is less likely to be placed on a non-feeding parent who is choosing to have little involvement in baby care even when their community expects them to be more involved. However, community can be a strong influence, sometimes stronger than a partner’s voice. If a valued member of a community voices a concern, disappointment, or expectation that the non-feeding partner be more involved, it can have a supportive impact.

Gender Roles

How much someone feels the need to adhere to society’s gender roles or carve out a set of gender-based expectations for themself related to baby care would also impact how they share the work. For some people, regardless of gender, the sudden addition of parenting duties could feel threatening to their sense of who they are, how they present, and where they fit in society as related to gender. They may adapt and figure out how to integrate this new aspect of their life into their self concept. Or they may rebel and hold even tighter to the aspects of their familial role and lifestyle that previously contributed to their sense of their gender.

For others, the new role of being a parent and caring for a baby can serve as a replacement for a lost role while on parental leave. It can be a strong gender affirming role or be a substitute for the satisfaction and pride they get from their career or other endeavors that are put on hold. Sometimes it can be challenging if the new parenting role feels satisfying in terms of purpose but at odds with their gender role. This can occur for any parent/primary caregiver.

The person experiencing this sort of internal tension may not even know that gender plays a part in why they feel reluctant to engage in baby care or reluctant to allow their partner to assist with the baby care. If this is your experience or you suspect it may be your partner’s experience, I think it’s worth a conversation.

I hope some of this resonated with you and helped you understand yourself or your partner a bit better. Evidently, I advocate for sharing parental responsibilities as much as possible. This doesn’t necessarily mean 50/50. If one parent is off on parental leave while the other is working full time, it may be more like 80/20. But I don’t believe it should be 100/0. Even if you are a sole parent, I believe you need community support to help raise a child.

Let me know what your baby care situation is and what impact the feeding role, conditioning, community, or gender roles has had on you.

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When Caring for your Child Triggers Dysphoria

When we picture having a child we think of sleepy cuddles, bonding while feeding, and being an expert at diaper changes. The reality is not always so rosy. Maybe our baby has health struggles, we struggle with mental health postpartum, or, in my case, dysphoria gets in the way.

There are multitude of ways dysphoria can be triggered when caring for your child, depending on how you experience the most dysphoria and what your child care roles are. Personally, I found nursing to cause the most dysphoria, then later, pumping was causing less but was still building up over time, as well as all the sensations in my chest associated with lactation.

I noticed it was getting in the way of being able to bond with my baby the way I wanted to and stopping me from being present in order to notice the small daily changes my baby was making. I couldn’t pay attention to my baby while nursing. I had a spike in dysphoria when holding my baby against my chest. And I was dreading the time I had to spend pumping which made me irritable and easily frustrated.

So I developed a number of strategies to use depending on the situation to decrease the interference of dysphoria. Even if the trigger for your dysphoria is different, I hope these strategies will help you navigate caring for your child in a way that minimizes your dysphoria and maximizes your ability to bond.

BE HONEST

Be honest with yourself, your social supports (partner, doulas, close family or friends), and your medical supports (midwife, doctors, mental health professionals, lactation consultants). As much as we are taught that it is, it is not shameful to feel dysphoria, even when it is triggered by something like caring for your baby or child. The only way to make the situation better for everyone is to be open and honest about it.

This will also help narrow down the trigger. Often, I would be feeling irritable, fatigued, or burnt out and not recognize it as dysphoria related. Then, once my husband and I realized it was likely dysphoria, it still took a bit of conscious awareness to figure out the trigger which for me was nursing. Upon further discussion, observation, and testing, we figured out what would need to be modified to decrease or eliminate the dysphoria. There is no way I would have been able to do all this on my own.

ASK FOR HELP

Sometimes you need someone to take over the dysphoria-triggering task, even if temporarily, to give you a break and build up some reserve. But this isn’t always an option. My husband couldn’t take over lactation for me. So instead of taking over that specific task, even having them offload other tasks can give you more energy to deal with the dysphoria and still have enough left over to bond with your child.

For example, my husband does as many feedings as he can each day as they typically coincide with pumping times. This allows me to pump without the stress of wondering when the baby will wake up and scream for food or delay pumping in order to feed the baby resulting in increased chest discomfort.

FIND OTHER BONDING TIME

If dysphoria gets in the way of bonding with your baby during typical bonding tasks, prioritize bonding at other times. Carve out some play time or snuggle time when it is less likely to trigger dysphoria. Find a snuggle strategy or style of play that is more comfortable for you. I look for the times when the baby is alert and playful and drop what I’m doing to play on the floor, read a book, sing and dance, or go for a walk. This takes time away from other things but getting extra housework or personal stuff done doesn’t make up for the lack of bonding time at the end of the day.

I also found I was missing little changes and new behaviours my baby was doing because I was too busy trying to ignore or deal with the dysphoria. So, on days when I felt particularly dysphoric and disconnected, I would use my journal to write down my own personal challenges and triumphs for that day (to disconnect it from the baby) and some of the new things the baby was doing or a fun moment we shared that day. Just taking the time to think back on the day in order to write it down helped bring those moments into focus through the haze of dysphoria.

ADJUST YOUR CHILD CARE STRATEGY

Sometimes, despite all your efforts to manage it, the dysphoria is too strong or is getting progressively worse. As much as you would like to care for your baby/child in the ‘optimal’ way, that is not always what’s best for you and therefore best for your child. Sometimes we have to compromise on our preferred style of care in order to take care of ourselves and minimize dysphoria.

This could mean using disposable diapers instead of cloth to make diaper changes faster. Or switching to bottle feeding instead of nursing. Or switching to formula and stopping lactation altogether. Or having the baby in the stroller for walks instead of the carrier. Or doing ‘skin-to-skin’ time with the baby lying on your lap instead of your chest. There are always other options.

For us, this meant switching from nursing to pumping and bottle feeding after two weeks. I had the goal of feeding my baby my milk for the first six months but once my supply increased to >75% of my baby’s intake, the amount of sensation from my chest started increasing my dysphoria much faster. So we decided to decrease lactation earlier and slowly switch to formula. This may increase my baby’s gas. This may not be my preferred method of feeding my baby, or what society tells me is best. But it’s what’s best for us.

What I’ve found is that, even though it’s not my preferred method of care, the next-best option that results in less dysphoria feels significantly better and allows me to engage in the care a lot more, resulting in a much better experience for my baby as well. There is no harm in trying different things. You should never rule out options based on preconceived ideas from society. If it’s the best option for you (and still meets your baby’s basic needs), it’s the best option for your baby as well.

What baby/child care tasks trigger your dysphoria? What strategies do you use to deal with it so it doesn’t interfere with bonding with your child? Leave me a comment below or send me an email! The more strategies we share with each other the better!

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Feeding My Baby as a Nonbinary Person

PLANNING

When I was pregnant and looking ahead to having a newborn, it was very hard for me to tell how I would feel about nursing. I have dysphoria around my chest that fluctuates and when I read information on or listened to people talk about ‘breastfeeding’, my dysphoria would get worse. I didn’t always know if that was because I was feeling more masculine at the time I was absorbing the information, because the language used was dysphoria inducing, or because the act itself would cause dysphoria.

So we planned for all options. I learned what I could about nursing (which turned out to be just the basics because it would inevitably make my dysphoria worse). We purchased a set of bottles, nipples, a sterilizer, and formula. And I looked up information on pumping and bought a basic manual pump to try. No matter how I felt about nursing or how our baby did with it, we had a way to feed them.

NURSING

The first time I tried nursing was nothing special. There was no feeling of euphoria or ecstasy, no overwhelming feeling of connection with my baby. But it went well and within the first few days both of us had figured out the mechanics. During this initial phase, it was all about learning a new skill and as long as I focused on that, the dysphoria was secondary.

By the fourth day we had pretty much gotten the hang of it but my baby was still looking a bit jaundiced and was showing signs of dehydration. It turned out that although my milk was coming in, my let-down was nearly non-existent. My midwives explained that this is common after receiving an epidural. So they showed me how to hand express during nursing to increase the flow.

This worked well and my baby quickly improved. However, hand expression meant I had to be constantly engaged with my chest during nursing every few hours. My let down didn’t seem to improve a whole lot and after a week of doing this my dysphoria had increased to the point where I needed to keep myself, and therefore the baby, covered during feeding. I would express by feel and be able to watch tv as a distraction without the view of my chest in my peripheral vision.

The juxtaposition of the baby that I had a lot of love and connection to and my chest that I was increasingly uncomfortable with was very emotionally taxing. But due to the intense fatigue that comes from recovering from a four day labour and sleep deprivation from having a newborn that needs feeding every 2-3 hours, I was in survival mode and didn’t recognize how emotionally drained this experience of nursing was making me.

In addition, nursing sessions were lasting longer and longer, often an hour or more. According to everything I had read and been told, once my milk came in and the baby learned how to suck and swallow efficiently, nursing would get faster and faster, eventually down to about twenty minutes. I didn’t know why this wasn’t the case for us but I knew it likely wasn’t good. Not to mention the longer sessions were increasing my dysphoria significantly faster.

At our two week follow up with the midwife we found out that the baby wasn’t gaining weight like they should. Despite all the physical and emotional energy I had been putting into nursing, it wasn’t working. Without warning, I broke down into tears. I felt like we had been doing well. The midwife explained that between the baby’s lower body weight and the long nursing sessions, it sounded like I didn’t have enough milk supply. The baby was burning more calories than they were getting. So we decided to start supplementing with formula.

BOTTLE FEEDING

The plan was to nurse at each feeding time for 15-20 minutes per side, then offer formula in a bottle until the baby decided they were full. We discussed other supplementing options like a supplemental nursing system or SNS but since we already had bottles and it would mean that my husband would get a chance to be involved in feeding (which he was excited to try) we decided bottles were the way to go. Besides, an SNS would likely only increase my dysphoria further.

Luckily our baby took to bottle feeding very easily. Maybe it was because it was a clear source of the nutrition they had been struggling to get from me but without all the effort. My husband did the first bottle feeding session using a paced feeding technique. At the second meal, I tried it. The emotional experience of feeding my baby from a bottle as compared to nursing was significant.

I was able to stay engaged, watching my baby figure out how to coordinate sucking, swallowing, and breathing. I could enjoy the cuddles without experiencing dysphoria at the same time. Since both my husband and I were feeding the baby this way, it was a completely gender neutral or gender irrelevant experience. It was lovely.

Once I discovered how much better feeding my baby from a bottle was, I was reluctant to keep nursing. But I wanted to feed my body as much human milk as I could because of the health benefits and the ease of digestion for their still developing gut. So in order to keep increasing my supply without nursing, I had to start pumping.

PUMPING

I started using the manual pump I had purchased while pregnant. It was fairly easy to figure out. I still didn’t have much let-down due to low supply and therefore had to continue to hand express while pumping which meant the dysphoria was just as bad with pumping as with nursing, but it wasn’t competing or overshadowing the positive emotions I had for the baby. I could experience my love and bond with my baby separately.

I also had a feeling of altruism because I was doing the hard work of extracting the milk so my baby didn’t have to. Unfortunately, pumping 4-6 times per day with a manual pump while hand expressing takes a toll on your hands pretty quickly. My hands started getting too sore to express and too sore to pump more than 3 times a day. So I had to be satisfied with whatever milk I got from those sessions (one eighth to one fifth of what my baby was eating) and say that it was better than nothing.

Luckily, my midwives were connected with a publicly funded, trans inclusive lactation clinic in my area and put in a referral.

LACTATION SUPPORT

As soon as we discovered that I had low supply, I started taking supplements to help increase my supply slowly. I was reluctant to take the stronger, recommended medication in case it increased my supply more than I could handle in terms of dysphoria. I really disliked the few times I experienced the feeling of being engorged while my milk was first coming in. The supplements or the pumping seemed to be working because my supply was increasing. By the time the initial visit with the lactation consultant came up, I was consistently producing a fifth to a quarter of what my baby was eating.

Despite knowing that the lactation clinic was trans inclusive, I had significant anxiety and dysphoria leading up to the initial appointment. But they turned out to be great. The intake form that I filled out online in advance didn’t ask explicitly about identity and pronouns but it used inclusive language for the most part and had a fill-in-the-blank box at the end where we could put anything else we thought would be relevant.

They clarified my pronouns right off the bat and asked about my goals. They made it clear that their role was to support me in achieving whatever goals I had, whether it was to increase supply, maintain current levels, or stop lactation altogether. They were understanding and respectful of my experience of dysphoria and my need to balance that with the desire to feed my baby as much using my milk as possible.

Ultimately, I started taking the standard medication to increase supply and rented a hospital grade, double electric pump. I was nervous about how this style of pump would feel and it definitely took some getting used to but it allowed me to set it and forget it while still getting as much milk as possible. I adapted a sports bra to hold the flanges in place and was able to watch tv or play on my phone while pumping. Best of all, I didn’t have to wear out my hands to get milk. Sure, the altruism factor related to the hard work was less but being able to stay covered up and ignore it was great.

WHERE WE ARE NOW

Now, at three months postpartum, I am producing three quarters to 100% of what my baby eats. We have noticed a big improvement in our baby’s amount of gas and therefore their ability to sleep through the night. Even that, without any other benefit, is enough encouragement to keep me going. I am still taking the medication and my supply is still increasing slowly but with minimal feelings of engorgement and only pumping three times per day.

My plan is to continue what I’m doing for another three months. I will stop taking the medication after about eight weeks on it or once my supply is to the level I want, whichever comes first. Once my baby is six months old and starts eating solids, the lactation clinic will help me decrease and ultimately stop lactation.

I am happy with how this journey has turned out, despite the struggle at the beginning. I have had phenomenal support from my midwives, the lactation clinic, and especially my husband. Regardless, I am definitely looking forward to the day when I can wear my binder again.

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