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10/26/2023

HOLIDAY WEANING AND THE UNEXPECTED RETURN OF FERTILITY

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When my oldest (and gently weaning) child was twenty-six months old, relatives were coming from out of state for Thanksgiving. As a young couple, this would be the first time we ever hosted the big day. I was all in for the slow-baked turkey, the mashed potatoes and gravy, the yams, the beans, the salads, the pies, the harvest decorations, the beautifully laid table, and all the rest.
Thirty-eight weeks later, our second child was born, in the shower at home, in the middle of one crazy night.
We had been hoping for and planning to try for another child -- so the news I was pregnant was welcomed by both of us -- but I share this story to let you know that holiday weaning -- and an unexpected holiday-conceived baby -- aren't just theories for me!
A mere two months prior to that positive pregnancy test, when our oldest child turned two years old, I had visited my doctor to let her know that my fertility (both menstruation and ovulation) had not yet returned. Due to my prior history of infertility, she had advised that we begin to investigate possible causes. However, I had done nothing more than talk to the doctor when we conceived our dearly loved second child. Surprise! What happened?
After giving birth, a breastfeeding mother has two different hormonal "sides" that can be imagined as the two sides of a scale. On one side, she has breastfeeding hormones that promote lactation (and tend to suppress ovulation) -- and on the other, reproductive hormones that promote ovulation, and which may lead to another pregnancy. While the timing of her return of fertility varies from woman to woman, and even from baby to baby by the same mother (due to many different factors) the general principle is that frequent and unrestricted suckling at the breast is the most important factor that keeps the breastfeeding hormones side of the scale "heavier," resulting in continued natural suppression of fertility.
However, the further out in time from the birth, the easier it is for the reproductive hormones to tip the scales, so that menstruation or ovulation may return. This is part of the reason why the holiday season is indirectly responsible for many late summer and fall babies!
What factors contribute to this unexpected holiday-related return of fertility? Here is a partial list:
  • changes in the nursing and sleep routines caused by the typical busy-ness that often accompanies the holidays, including the extra cleaning, cooking and shopping, decorating, etc.
  • extra celebrations and parties, when a mother may delay or completely skip feedings
  • well-meaning relatives who may keep the baby or young toddler busy and distract him or her from nursing or may even feed the baby (with or without the parents' knowledge)
  • feeling awkward or embarrassed to nurse the baby in new situations or around different people
  • new people, blinking lights, and experiences that distract baby or toddler from wanting to nurse, or cause shorter feedings than usual
If, like my husband and me, you are hoping for another baby, then just pay attention to your signs of fertility and enjoy making your holiday baby if the signs point to being fertile!
However, especially if your baby is under a year old, you may want to protect your breastfeeding relationship, discourage weaning, and delay making a new baby until later in the future. In that case, you definitely want to do what you can to avoid changes in your usual nursing and sleeping routines as much as possible. This may not be the year to host holidays and celebrations! Keep your meals and preparations simple, and maybe even skip some of this year's parties. Remember, you need to maintain your normal routines as much as possible, so that baby's frequent suckling at the breast remains as consistent as possible. At the same time, be vigilant to observe and record your signs of fertility, so that if you do detect any changes that indicate fertility, you and your husband can still celebrate, but in less intimate ways.
If a more detailed discussion of how to protect your breastfeeding relationship during the holidays, how to interpret your signs of fertility, or how to understand the return of fertility after birth would be helpful to you, contact me (Christelle) to book a free online, phone, or in-person consultation. As a certified breastfeeding counselor and fertility educator, I can help!
For Catholic breastfeeding mothers, "Navigating the Holidays as a Breastfeeding Family," and the unexpected return of fertility are the discussion topics of our online Catholic Nursing Mothers' Group in November. Reach out if you would like to join us for this free online breastfeeding support group!

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2/17/2023

NFP "OOPSIES"... UNEXPECTED PREGNANCIES WHEN USING NATURAL FAMILY PLANNING

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If you've used Natural Family Planning [NFP] or a fertility awareness method for any length of time, you've probably heard this joke:
Q. What do you call people who use NFP?
A. Parents!
[Yucka yucka yucka.]
You may have heard that natural methods of family planning have a very high rate of effectiveness at avoiding pregnancy, as high as 99% effective, depending on the rules followed. To achieve this high rate of effectiveness, natural methods of family planning rely on abstinence from sexual intercourse and genital contact without penetration -- yes, contact pregnancies are a thing. So if that's the case, how come "NFP families" tend to be so darn big??!! (Cue family photo here.)
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(Yes; they're all ours.)

Let's get real. How come NFP families tend to be so darn big?
1. Taking chances. NFP requires abstinence. As I said before, "To achieve this high rate of effectiveness, natural methods of family planning rely on abstinence from sexual intercourse and genital contact." How many people do you know who are super good at abstinence from say, junk food? White lies? Gossip? And those aren't even particularly good things. Sex is a good thing. Sex with one's spouse is a very good and wonderful, and yes, pleasurable thing. Let's be real...sometimes the idea of maybe-possibly-who-knows? we could have another baby -- and babies are also very good and wonderful -- doesn't seem like such a Bad Idea. So the couple takes a chance...and along comes little Jenny or Timmy. I won't embarrass my kids by naming names, but let's just say I have personal experience with reason #1. If you are serious about not getting pregnant, you cannot, I repeat, CANNOT, take chances.
2. Being inexperienced or "relaxed". If you don't really understand how NFP works... like maybe you learned from the internet for example...you might not really understand how to observe, record, and interpret your signs of fertility. The evil twin sister of this idea is when you really do know how to do all of the above, but you just get kind of in a mindset that things are usually like "x" so you don't really need to do all the things and poof! just like that, something changes and a couple weeks later you're looking down at two pink lines...ask how I know lol. Natural methods are very unforgiving of missed observations and wishful thinking. You gotta do the method consistently to expect it to work.
3. Changing your minds. One of the benefits of natural methods of family planning is even if yesterday you were darn sure you never wanted another baby, you can change your mind the very next day and there's nothing to worry about or wait for. Go ahead and try! Newsflash: families using NFP don't need to announce their pregnancy intentions to anybody, so even if you assume or they told you that they're using NFP to avoid pregnancy, maybe they changed their minds and that is why they're having another baby! Don't assume the method "failed" -- it actually may have been used to achieve a wanted pregnancy! Thank the method for indicating you were fertile so you were able to have a baby that you wanted!
4. Method failure. While rare, it is possible that the couple used the natural method correctly, didn't take chances, and still got pregnant. If you are having sex, or even just "fooling around" without penetration, pregnancy is possible. This is true of any methods (natural or not), as long as the woman's ovaries and the man's testicles are intact. Even patients who have had a tubal ligation or vasectomy become pregnant from time to time. Life sometimes finds a way, even when the "chance" of pregnancy is extremely low! As with any family planning method, natural methods used correctly may fail to prevent pregnancy. If your sexual organs are intact, complete abstinence is the only way to be 100% certain you will not become pregnant.
Share your NFP stories! I would love to hear from you!

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    Christelle J. K. Hagen, BfNAE, ICI, SBD is a certified birth doula, certified Baby Signs instructor, Certified Birth & Bereavement Doula, fertility educator, and the President and Founder of St. Croix Birth & Parenting. Christelle helps mothers develop strategies to get pregnant naturally, give birth with confidence, and succeed when they breastfeed!
    ​
    "Blessed are those who trust in the Lord, whose trust is in the Lord. They shall be like a tree planted by water, sending out its roots by the stream. It shall not fear when heat comes, and its leaves stay green; In the year of drought it is not anxious, and it does not cease to bear fruit." ~Jeremiah 17:7-8 (NRSV-CE)

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