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8/31/2022

HOW SCBP ACCOMPANIED FAMILIES IN AUGUST

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August was a busy month for SCBP! The month got rolling with the August 4 session of the Catholic Nursing Mothers' Group, a group co-sponsored by the Catholic Nursing Mothers' League. We discussed "Comfort Nursing." We welcomed nine mothers and their children to this online session.
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The next day, August 5, I talked about "The Works of Mercy and Perinatal Loss" at Peace House right here in Stillwater, Minnesota. I was blessed to spend a lovely evening with several of the members of the Catholic Worker movement, who help women and mothers and their children in need of transitional housing, support, and life coaching. I was able to share with the group about our affiliated ministry, Tiny Treasures Perinatal Support. Team Tiny Treasures ships clothing and care packages to families facing or experiencing perinatal loss. It was an honor to discuss how this ministry is a way to "clothe the naked," "comfort the mourning" and "bury the dead".
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The following day, August 6, my daughter, Emilie, joined me at the 12th Annual Memorial Walk for Halos of the St. Croix Valley, in New Richmond, Wisconsin. It was an honor to provide support (and demonstrate the resources our affiliated ministry, Tiny Treasures,  provides) for the individuals and families who came out to walk to support this wonderful organization that support grieving parents and families.
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In mid-August, BeeBo Bear and I had the joy of providing the August Featured Freebie Class, "A, B, C, Sign with Me," online for several mothers and their children. In this class, we had a blast learning all of the manual alphabet signs, while signing songs, and reading the classic alphabet book, Chicka Chicka Boom Boom!
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Some of these mothers and kids told their friends about the fun they had in the class and just a week later, BeeBo Bear and I repeated the August Featured Freebie Class, "Under the Sea" Baby Signs Class for a larger group of mamas and littles. In this online class, designed for toddlers and preschoolers 2-5 years old, we created an octopus, sang songs, and told a story to help little ones grow in the virtue of self-control.
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Sadly, at the end of August, Tiny Treasures was asked to ship off a care package for a New Richmond, Wisconsin family who had experienced a pregnancy loss. And thus, August 2022 was an example of SCBP's mission to "accompany families through the joys and sorrows of birth and parenting."
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4/4/2022

THE IMPACT OF PITOCIN DURING BIRTH ON NEWBORN REFLEXES

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Once a month, Gina Peterson, IBCLC, and Lexy Backstrom, BfNA (two Catholic Nursing Mothers' League leaders) work with me to support Catholic breastfeeding mothers in two online breastfeeding support groups. We launched these groups in March of 2021, and just celebrated our first anniversary of providing free online breastfeeding education and support. This month's topic is "Working with Your Baby's Natural Instincts to Breastfeed." 
In preparing for our meeting, I took some time to refresh and expand my knowledge of the many instinctual reflexes newborns have at birth that help them to locate, attach, and breastfeed successfully -- when new mothers are given the freedom to hold their healthy, full-term babies skin-to-skin  in laid-back, tummy to tummy positions.
My interest was piqued by a 2015 research study, "Intrapartum Synthetic Oxytocin Reduce (sic) the Expression of Primitive Reflexes Associated with Breastfeeding." In this study, the researchers observed that those babies exposed to synthetic oxytocin (i.e., "Pitocin") during birth exhibited fewer primitive neonatal reflexes that are favorable to getting started with breastfeeding as compared to the group of babies with no exposure to synthetic oxytocin.
The reflexes that appear to be most affected by exposure to Pitocin include all of the rhythmic reflexes that were studied (suck, jaw jerk, and swallowing). As a group, all the primitive neonatal reflexes that were studied were observed less in the group of newborns exposed to synthetic oxytocin as compared to the newborns who were not exposed.
The researchers suggested that it may be possible that synthetic oxytocin could cross through both the placenta (which protects the baby from some harmful substances) as well as the barrier that protects the fetus from substances that could damage his or her developing brain.
There were several limitations to the study. The group without synthetic oxytocin exposure included more experienced mothers, and the group with exposure had much higher epidural anesthesia rates. However the researchers did not observe any differences in the rates of newborns exhibiting primitive neonatal reflexes based on these two variables.
My intention in sharing this information is to encourage healthy mothers to make it a goal to have a natural, unmedicated birth whenever possible -- with a supportive birth team (including a birth doula if possible), in a birthplace that has a track record of good support for natural birth experiences.
For healthy moms and babies, a natural birth is the usually the best foundation for breastfeeding. Assuming mother and baby are healthy, mothers can help baby to get started breastfeeding by laying back, supporting her body in a semi-reclined ("laid-back") position and place baby skin-to-skin and tummy to tummy, allowing baby to self-attach.
Of course, even if Pitocin is necessary during a particular mother's birth, this does not mean she and her baby will be unable to breastfeed! My first birth was augmented with Pitocin and my fifth birth was induced with Pitocin, yet both of these babies successfully breastfed into early childhood. In any birth requiring the use of medications, (as well as all natural births!) make sure to get some of each of the four components that help you to succeed when you breastfeed:
  • Support from experienced mothers
  • Counseling from a peer counselor / Consulting with a lactation professional
  • Education on the normal breastfeeding process and any current issues (if applicable) / Example of other breastfeeding mothers
  • Determination
As I know from my own experiences, breastfeeding is NOT always easy. And despite doing everything "right", it can be frustrating, exhausting, and sometimes just plain hard work that seems impossible. Your breastfeeding journey is unique to you and your baby; and as always, what works for both of you is what's best for you. Contact me if you need a listening ear or another perspective!

resources

  • Cited Research Study: "Intrapartum Synthetic Oxytocin Reduce the Expression of Primitive Reflexes Associated with Breastfeeding," Gabriel et al, Breastfeeding Medicine, 2015 May 1; 10(4): 209-213
  • Research Study on various positions for breastfeeding: "Optimal positions for the release of primitive neonatal reflexes stimulating breastfeeding," Colson, Meek, and Hawdon, Early Human Development (2008) 84, 441-449
  • Biological Nurturing: the website of laid-back breastfeeding pioneer and researcher, Dr. Suzanne Colson
  • Birth Matters birth classes: the most flexible, affordable, and encouraging online birth classes that help prepare you for your natural childbirth
  • Birth Together -- the Complete Catholic Childbirth Preparation course: an evidence-based online course for Catholic couples covering everything from tips for a healthy pregnancy, natural childbirth preparation, newborn care and characteristics, breastfeeding education, and preparing for your vocation as Catholic parents
  • Breastfeeding Matters class: a one-time online breastfeeding education class that will help you to succeed when you breastfeed
  • Catholic Nursing Mothers' Groups: free, online evidence-based support groups for Catholic breastfeeding mothers
  • Catholic Nursing Mothers League: local breastfeeding groups, Facebook groups, a blog and more for Catholic breastfeeding mothers

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8/12/2021

supporting new MOTHERs during a loCkdown: a guide for friends and extended family

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A mothers' group: the good old days?
The coronavirus pandemic has changed life as most of us once experienced it. Many areas of the world are in lockdown, and even in areas where things have opened up, as the number of COVID-19 cases spikes again, we will likely face more social distancing measures or quarantines to try to slow the spread (if we aren't already).
For some new mothers, this slower, more home-based pace of life has been a good thing. These moms report that being quarantined with their babies has helped them breastfeed, since - just to mention one thing - being separated from a nursing baby tends to make maintaining a milk supply more challenging and if nothing else, lockdown gives us lots and lots of time with our immediate family members. But in other and important ways, social isolation is not great for new mothers. Many important services that mothers need, including lactation help, have been more difficult or impossible to access during lockdown. Aside from access to healthcare, all mothers need other mothers, friends, sisters, cousins, grandmothers, aunts...we need our sisters and our sage femmes to let us know we're not alone; we're loved; we're doing a good-enough job; our kids are normal (usually); and, if they're not, to have faith that eventually, this too shall pass. Lockdowns put a lock on these face-to-face and side-by-side moments...natural social interactions which normally serve to lower our stress levels and restore us - "enhope" us. ​And all this goes quadruple for new mothers.
Dealing with lochia, sore nipples, night feeds, blow outs, the constant guessing games that a newborn brings (a/k/a no instruction manual), keeping a brand new non-verbal human thriving and growing, and caring for everything "down there" is just a lot. In some idealized past, we imagine our ancestral mothers got to lie around while their loving, supportive kin waited on them hand and foot. Sure, maybe that happened sometime, somewhere, but envying our long-departed great-great-grandmother's "lying in" is not really going to help you get through this painful feed, on this lonely day, at this ungodly hour.
So let's break this down. New mothers have physical needs. Food, water, monster sized maternity pads (in the beginning), menstrual pads later on, baths or showers, and (eventually) clean clothes. If you love her, ask about these things. If she needs something, help or ask someone else to help. Leave things on her porch, in her mailbox, send it unaccompanied up the elevator, or throw it through her window if you have to! (Or you could just give to the baby's dad, but that's not as fun.)
If she's good with her physical needs, I guarantee she has emotional needs. Call and ask about her birth. Listen. Bite your tongue if you find yourself starting any sentence with the words "at least." Listen. Celebrate the good stuff with her. Mourn with her anything she found sad. Share her anger if anything made her mad. Don't tell her what she should have done differently. Listen. Are you listening? Keep listening. No matter what, make sure to let her know how amazing she is. No one in the history of the world had her birth. It was her adventure and she is a heroine for having done it!
Call another time and ask how things are going with the baby. Celebrate the joys. Mourn the things that aren't going so well with her. Did I mention don't tell her she should have done anything differently? She is probably already beating herself up about something. If her baby is growing and developing, she's doing a great job. Tell her.
If her baby is struggling, offer to help. If she's got other kids, depending on your local situation, you might be able to have someone in mom's social bubble bring the baby's older siblings somewhere outside for a socially distanced / masked playdate so she can visit (whether in-person or virtual) with the doctor, or the chiropractor, or the lactation consultant, or whoever it is she thinks can help. Moms grow in confidence and feel capable when the people around them support their decisions about their baby's care. Be that person (even if you secretly disagree). Being a great friend / sister / mother / mother-in-law, etc., means supporting the new mom's efforts to become a mother, a big part of which is taking responsibility for her baby. And chances are very good that if the baby continues to struggle, even after that visit with [insert name here] she will try something else, and something else, and something else, and maybe, when she's tried everything else, she may even ask you for your advice! Now is your moment.
A few days or a week later, call her again. And then again. And yet again. And pretty soon she will blossom and her tiny baby will become a chunky monkey, roll over and crawl and take his first steps, and life will settle and she will never forget that you were there, on the sidelines, cheering her on the whole time. Maybe you never carried a meal to her bedside on a solid-gold tray, but you were there. And maybe she'll tell her great-great-granddaughters about you and how you were there for her when great-grandpa was born, during the time of the world coronavirus pandemic.

ways st. croix birth & Parenting can help

  • Twin Cities area Birth Place visits (where permitted)
  • ​Virtual breastfeeding counseling
  • Breastfeeding support groups (for Catholic mothers)

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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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  • Home
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    • Free Parenting Class
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