Dr. Phil Discusses Breastfeeding

I was driving home from Zumba — yes, I’ve crossed something off my now-I’m-33-years-old list — and listening to a radio show. The host was discussing Alanis Morisette, who has vowed to continue nursing her son (who shares a Christmas 2010 birthday with Cousin It) for as long as he wants and how weird and bizarre and gross that is.

Siiiiiiiiiiiiiiiiiiiigh. Yes, we’re STILL talking about extended nursing and how totes cray-cray it is. The radio show host’s “expert” was Dr. Phil McGraw.

Dr. Phil (Flickr: Greggoconnell)

Since Dr. Phil works in entertainment, and no longer holds a license to practice psychology, I was expecting that he’d jump on board with the whole “breastfeeding past the age of XYZ is not okay”–

– while we’re on the topic of time limits suggested by people who don’t have children or have never nursed, the most eye-rolling one I read is “you should stop breastfeeding when they kid is old enough to ask for it.”

Animal and Mineral didn’t talk much til they were two. And I don’t think they could have said, “Mommy, can we please have breastmilk now?” until at least three. And yet some kids can say it at one-and-a-half — and many children can make the sign for “milk” or “nurse” before the age of one! Suggesting that the right age for weaning has anything to do with when children start talking is ridiculous.

Another one, brought to my attention by Miss Manners is, “when the kid can reach into your shirt.” Have you ever had a baby and nursed it? They can start reaching into your shirt pretty early in the game. Or maybe they’re too polite and never do it. Yet another dumb timeframe.

I digress.

So, Dr. Phil was asked about Alanis’ proclamation and his response was fairly awesome. First he mentioned the health benefits of breastfeeding until age two. He talked about other countries and cultures where breastfeeding til much older than two is the norm, and the risks to children in third-world countries who aren’t breastfed.

Fine, Radio Host says. He reluctantly admits there are benefits to breastfeeding. “But what about sexualizing young children?” This was, of course, the crux of his argument for how gross and inappropriate it is to breastfeed past the age of one.

But Dr. Phil did not take the bait. “To kids, it’s not sexual at all! We see breasts as sexual. Kids don’t.”

GO DR. PHIL! I KIND OF LIKE YOU NOW!

When pushed, he said that his personal opinion is that children should stop breastfeeding by the age of two. However, he added that “there’s not a shred of evidence that suggests that long-term breastfeeding is harmful to a child.”

Do not put food on this plate — I WANT NURSIES FOREVER!

I am hopeful that the millions of listeners will consider Dr. Phil’s words — and maybe give him some credence since his name includes the word DOCTOR — and start subscribing to the idea that breastfeeding is normal. And also, that child-led weaning is normal, and is a natural process.

I have never done child-led weaning — my first three kids were hardly breastfed, unfortunately, due to a variety of reasons; I weaned My Masterpiece so I could have weight-loss surgery when she was 13mo — and I’ll let you all know about it when it happens. In a year or two or four.

Milk donors, wet nurses and diseases: is it safe?

I received a comment on my post about wet nurses, from someone who wanted to know if I’d asked Porcelain’s wet nurses and pumpers to abstain from intercourse with their husbands. Um, no. As awkward as it can be to ask for breast milk, asking for breastmilk AND for celibacy within their marriages — that’s too gauche even for ME. And I’m the same mom who once made a really dirty joke at the dentist’s office when the hygienist asked me to open my mouth wider! 

That comment got me to thinking that I asked nothing of Porcelain’s nursers other than their milk, and was that dangerous at all? I felt a moment of panic — and then another moment of, Psht, it’s all inside her now anyway. I asked My Chemical Romance what he thought about the idea of Porcelain possibly contracting diseases from donor breastmilk, and his response was Meh.

I decided to do some research. According to the CDC,

What can happen if someone else’s breast milk is given to another child?

HIV and other serious infectious diseases can be transmitted through breast milk. However, the risk of infection from a single bottle of breast milk, even if the mother is HIV positive, is extremely small. For women who do not have HIV or other serious infectious diseases, there is little risk to the child who receives her breast milk.

Doing some further research on the CDC website:

Breastfeeding is NOT advisable if one or more of the following conditions is true:

The infant whose mother:

  • Has been infected with the human immunodeficiency virus (HIV)

  • Is taking antiretroviral medications

  • Has untreated, active tuberculosis

  • Is infected with human T-cell lymphotropic virus type I or type II

  • Is using or is dependent upon an illicit drug

  • Is taking prescribed cancer chemotherapy agents, such as antimetabolites that interfere with DNA replication and cell division

  • Is undergoing radiation therapies; however, such nuclear medicine therapies require only a temporary interruption in breastfeeding

I did not ask about these conditions/medications. Nobody mentioned being at risk.

Another article finds that HPV can be found in breastmilk. Also, traces of West Nile virus — although a West Nile expert said he wasn’t sure that it could be passed through breastmilk. Breastfeeding with cytomegalovirus (sp?) is safe because although it can be passed, breastmilk actually protects against it (how cool is THAT?!?!?)

So, all in all: the risks are HIV and active tuberculosis.

This is probably one of the reasons that people will buy milk from a milk bank rather than receive it from random pumpers, because there IS a risk. However, given my situation and the amount of milk Porcelain received, I think any risk is very small.

And also, who says formula is risk free? I don’t have time right now to link to sites about formula risks, but I will leave you with one word: BEETLES.

Okay, and one link to information about it.

Target Nurse-In

Of course I attended the Target Nurse-In. I love using breastmilk as a form of rebellion! In all seriousness, I am totally baffled by the reactions people have to public breastfeeding, but sadly, people DO have negative reactions to breastfeeding. It ranges from the somewhat-clueless (“Why can’t you just pump and feed the baby from a bottle?”) to the completely obnoxious and ignorant (“You say breastfeeding is normal, but so is peeing, and I’m not allowed to pee in public so why should you be allowed to breastfeed?”)

The truth is that when I’m nursing Porcelain in public, I don’t give a shit about YOU or how uncomfortable it makes YOU. I’m thinking of Porcelain and how she needs/wants nursies. However, some moms aren’t as… confrontational?… as I am. Some moms feel bad when people give them dirty looks or say nasty thing.

Indeed, I do feel bad that people want my baby to eat in the bathroom, or that I should ignore her needs until we’re in the car or at home rather than nurse her in public. 

I wish people would stop giving lip service to BREAST IS BEST and actually encourage breastfeeding. It is best for babies, it’s free, and it even helps moms — breastfeeding reduces the risk of breast cancer! However, the attitude that breastfeeding is something that should be hidden or done discreetly really discourages moms from nursing. Sometimes you just can’t nurse discreetly, like when you have a 1yo nursing. It looks like this:

So, I was at the Target Nurse-In in Cary, which happens to be the Target right by my house. I met some great moms — including a mom who works for the ACLU, she was a fantastic resource — and I happened to get on the news. Here I am, with Porcelain, at the Nurse-In.

Target Nurse In

(Trying to figure out how to embed it.)

The Hook-Ups

**No this is not a post about my experiences in college**

These women went above and beyond to help me get milk:

1. MPP

I have literally known MP since elementary school, and thanks to Facebook we’re “friends” again. MP lives in Colorado and feels very passionate about breastfeeding — she has donated to the Colorado milk bank (and donating to a milk bank is a huge pain, as you have to answer a zillion questions and get tested and stuff). She emailed me one day after seeing my status update about needing milk for Porcelain, and offered to send me 200 ounces. From Colorado. How awesome is that?!?!? I did not need it thanks to local donors, but I’m so blown away by her generosity!

I have known MPP since I looked like this. Now, The Informant looks like this!

2. TGA 

Yet another old time friend. I was her freshman mentor in college — 1998! She had a baby last year and has been nursing him, and when I planned a trip to Michigan to visit family, she offered to pump for Porcelain so I would have a local stash. She pumped and pumped — and even a power outage couldn’t stop her. She and her family stayed somewhere else (at a hotel? with a family member who had power?) but she attached her milk freezer to a generator so it would stay cold. Every day TGA sent her husband to check on Porcelain’s stash while they waited for their power to come back. Sadly, we ended up not going on the trip because we moved here instead. But I appreciate the effort SO MUCH!

TA, in 1998, in a friend's dorm room.

3. Meliea aka The Hook Up Artist

Doula, childbirth educator, mom, wife, VBAC’er and all around amazing woman. She is no longer lactating, but when I was desperate for a few days worth of milk — my Jugs have older babies and didn’t pump enough to sustain Porcelain — she got me several hundred ounces of milk within an hour. Wii and I drove from one end of Charlotte to another collecting milk from her friends and clients. If you need some drugs, I can’t tell you where to go, but if you need some breastmilk just call Meliea.

4. SA, KP, LI and LT

All strangers — and now at least Facebook friends — who happily gave me milk for Porcelain. I share a special bond with LT because our babies were born on the same day. They’ll both turn 1yo on Christmas and love to nurse, get into everything and bite us. LT is a tiny thing, she kind of looks like Tinkerbell with dark hair, and her baby has more rolls on him than the Michelin Man. I love donor milk from mamas of chunky babies!

5. CJ

A fellow doula and childbirth educator, she said, “I have this milk that’s been in a deep freezer for two years but if you need milk please take it!” And I did. And I used it.

The Pumpers (Part One)

First of all I have to thank another Wet Nurse who I forgot:

Rachael from Letters to Ames: Porcelain and I escaped the insanity of my own house to bring Rachael a meal when she had just had her twin girls. I remember what it was like having newborn twins. (Actually I don’t. In fact, Rachael may not even remember that I was there; such is the first year with twins. Or three years.) She had plenty of milk to go around and she nursed Porcelain, even though her own nipples were really sore from having new babies. Thanks, Rachael! You’re handing this whole twins’ thing beautifully!

And now the pumpers:

1. AJ

One of the first things I did when Porcelain needed donor milk was ask my local La Leche League group if anyone had any extra milk in their freezer. I’d been attending LLL even before my pregnancy with Porcelain, because I was a doula and childbirth educator at the time. I attended meetings all throughout my pregnancy — even at a week past my due date. A lovely mom of an absolutely gorgeous cherubic baby offered me some milk from her freezer. She gave me about 200 ounces. A few weeks later she asked if I needed more and I said yes — at the time Porcelain was taking about 16 ounces per day. She gave me another 200 ounces. By the time I moved to Raleigh I had literally cleared out her entire second freezer of milk. I think she gave me around 800 ounces total.

(July 2010) Porcelain drinks donor milk -- I used the bag itself as a bottle liner.

2. HT

HT was a doula client of mine — my last doula birth before I “retired” from birth work. She had an amazing home waterbirth, and I’m not just saying that because she provided lots of chocolate and snacks for her doula and midwives! However, after the birth she had some serious breastfeeding challenges. I remember going to visit her and she was pumping and crying. I promised her it would get better. I promised her that breastfeeding is 98% intention and that she WOULD get through this and go on to nurse her baby. A year later I went to her for donor milk because I knew she was pumping (and nursing). When I told her how upset I was about not providing enough milk for Porcelain, she reminded me of the WISE WORDS SOMEONE HAD ONCE TOLD HER. They were my words.

**Bonus: she used really awesome milk bags that NEVER ONCE LEAKED.**

3. JH

After I contacted La Leche League and HT, I posted on my local Mommies Network, in the breastfeeding forum, to ask if anyone had any extra milk or would pump for me. Lo and behold, a total stranger offered to pump for me. She was concerned about her coffee intake affecting the milk, and I said coffee was the least of my concerns. We met a few times so I could pick up milk. One week we tried to find a time to meet, although we were both busy on Saturday morning — we were both going to the Great Strides Walk for the Cystic Fibrosis Foundation. It was then that we realized we had a mutual friend — Stitches, my Jug, who was JH’s friend from school! The world is so small. I couldn’t believe that the total stranger who was pumping breastmilk for Porcelain had gone to school with my friend. (Just goes to show, once again, how awesome my Jugs are. They make great choices in friends.)

Great Strides for the Cystic Fibrosis Foundation!

4. CA

CA was another total stranger who I actually found on craigslist. When we were getting ready to move to Raleigh I posted on craigslist looking for local milk donors. I did it very vaguely, since I didn’t want to get flagged about selling body fluids. I posted looking for “milk.” I said that my daughter takes donor milk and did anyone have any donor milk for us? CA contacted me — she loves craigslist — and we emailed a few times back and forth before she agreed to pump for me. (We were both feeling each other out to make sure the other wasn’t some weird fetishist, I think?) We met in person when her baby was about a month old — and CA makes the richest, creamiest breastmilk ever. We took our kids to the park together — she has four kids, and we both homeschool — I still appreciate that she didn’t hold it against me when Animal brought his Cub Scout knife to the park and showed it to a bunch of kids. Possibly by threatening to kill them. In other news, CA donates milk to many many mamas in the Triangle area.

5. NS

Another local mama — I think I found her on mothering.com — NS had a very premature baby, and she pumped and pumped and pumped while her baby was in the NICU. She ended up with a huge surplus of milk, which she graciously gave to me for Porcelain. When we met she told me that 95% of NICU mamas discontinue pumping early. She is still going — and nursing! — today. Go NS! **Bonus: her milk came in NICU-style bottles so they never spilled.**

Got breastmilk? NS does!

My list of donors will continue in another post…

The Wet Nurses

Porcelain is about to turn 1 year old on Christmas, and since birth she has only ever had breastmilk. At first it was mine, but as she got older and didn’t gain enough — she gained about 3oz/week and most IBCLCs want to see a baby gain 6oz/week — she got others’. This is just the first in a series of THANK YOU blogs for the women who made sure my baby only ever had breastmilk.

**Note: most women make adequate amounts of breastmilk — and just because your baby cries, it’s not a sign that you don’t have enough milk. I personally don’t make enough because I had a breast reduction and I also had weight-loss surgery. I knew that Porcelain didn’t get enough milk because she hardly had any wet or poopy diapers, and also because she wouldn’t go into a deep sleep. As soon as I started supplementing her with more milk, she started sleeping.**

The Wet Nurses

1. Mary F. Poppins, Nice-Nice, The Happy Mathlete and Lady Beaver of the Syllables

Of course, my Jugs nursed Porcelain! They were thrilled (at least, Mary F. Poppins was thrilled) and Nice-Nice even tandemed nursed — which probably prepared her for when her new baby is born and she’ll tandem. The other Jugs all would have nursed Porcelain, except they were no longer lactating.

Mary F. Poppins nurses Porcelain and tries to prevent a let-down on the other side.

Nice-Nice tandem nursed her baby and my baby into drunken stupors.

2. MPSS

My Car-Seat Obsessed Kohls-and-Costco-shopping Buddy. She came over and nursed Porcelained and watched all five of my kids while I did a research study for Britax and received a car seat for it. (She also did the research study on a different day and got a car seat.)

3. Heather from It’s Twinsanity

Was there ever any doubt that a woman who nursed two sets of twins — concurrently; she was nursing FOUR CHILDREN for two years straight — would nurse Porcelain? She also had a HBAC of twins and her husband was deployed for two years and she has six kids in eight years — she’s the awesomest. When Porcelain was born, she sent a beautiful blanket that she made. Because she has so much free time!

Heather just strapped her on and nursed while we walked through the zoo.

Nursing while pushing a stroller and handing out snacks to ELEVEN children.

4. SW

I received a really interesting email from SW: “Hi. I just had a baby and I’m engorged with milk. I hear your baby needs some extra milk. I think this could be a mutually beneficial situation.” Why, yes, SW, I think we can work that out! Interestingly, I knew SW a little bit and she didn’t strike me as THE TYPE who would offer to nurse another baby. I was very surprised — and pleased — that she so generously offered to nurse my baby. Thank you, SW!

5. CMC

It took me a while to become proficient at traveling with enough breastmilk, and occasionally I would be out somewhere and Porcelain would be hungry, and I wouldn’t have enough milk to satisfy her and we’d both cry. Such a situation happened one day when I was at a homeschool event at least 30 minutes from home, in another county. I called Little Miss Popular to ask who she knew nearby that was lactating . She gave me CMC’s phone number — we don’t call her Little Miss Popular for nothing! — and I called her like, “Hey, can you nurse my baby?” I knew CMC but hadn’t seen her in years — the last time we’d seen each other, The Informant had been a baby, and her third child had been a baby (now she had four and I had five). She tried to nurse Porcelain, but she wasn’t having much of it. Around that time Porcelain started to get picky about who she nursed from.

Part Two will continue with THE PUMPERS!

Nursing and Supplementing with donor milk: Now with even MORE distractions!

Previously on Nursing Porcelain: I had a breast reduction, I had four kids, I had weight loss surgery, I had Porcelain at home on the toilet on Christmas, I nursed her exclusively for about three months, she wasn’t gaining enough weight (and wasn’t happy), I started supplementing with donor milk, she got bigger and happier, I nursed and supplemented with donor milk.

The last few months of nursing Porcelain have been, uh, challenging. In my experience, from about six months onward is a little more difficult because of all the “oooh, a book to grab! Is that a person in the corner? Look, an overhead fan! Did one of my siblings just talk? Is that a dog barking?”– distractions. Porcelain is very easily distracted.

Problem number two is her teeth. She wants to chew on everything. If it wasn’t for the fact that my nipples are slower-flowing than the nipples on the bottles of donor milk, she might not get my breasts confused with a teething toy. Particularly righty, which currently has a scab from her chomping on me. I probably could have solved this problem long ago by using a SNS to nurse her, but say it with me, “The Pinnacle of Evil is a SNS.”

And yes, I do use a slow-flow nipple on the bottles.

But I prevail, I take my 160mg of Domperidone per day, and I nurse her. About four times a day. If she wakes up at night, there’s no way in heck I’m going downstairs and making a bottle, so she nurses then. She also nurses just after she wakes up in the morning, and when she wakes up from naps, and maybe one other time during the day. She really only gets milk when she wakes up in the morning and when she wakes up from a nap.

I vacillate between wanting to put her on my breast constantly, and thinking, Screw it, she obviously doesn’t need this. I usually think that only after putting her on my breast constantly and getting bitten constantly. But I persist. I recognize that when she’s kind of sleepy, and when I’ve slept all night, I have milk for her and she’ll drink it and not bite me. I recognize that even if she doesn’t get much from nursing, **I** get a lot from nursing. I love the closeness, especially now that she’s, ahem, distracted frequently and wants to crawl away from me and look around.

I am going to try my best to power through this and keep nursing her for as long as possible. Originally I said, “I want to nurse her til she’s 8!” (kidding! But I was hoping for a good two-to-three years) and now I’m not sure I’m going to get that long. But maybe I will. Things are changing and she is getting bigger but she is verrrrrrrrry attached to me, so I’m hoping we can find a way to continue nursing until a time when we’re both okay with stopping.

Nursing and Supplementing with Donor Milk, part seven billion

The most difficult part of nursing and supplementing with donor milk is that supplementing with donor milk cuts into actual nursing time. One of the best things about nursing is the ease of it (after the first few weeks, at least). To quote Chris Evert in the early 1990s, “I love breastfeeding. Just whip off your bra.”(Psht, I don’t even bother wearing a bra, half the time.)

Bottle-feeding, on the other hand, requires bottles, nipples, rings, drop-ins (I use that playtex drop-in system), donor milk in bags that leak more often than not which is REALLY annoying, and then warming the whole thing up. Porcelain likes her donor nursies warm, thanks. I’ve scalded my hand a few times and I’ve nearly cried over spilled milk many times. I have to put my baby down in order to get everything together in order to feed her. (I still wear her regularly, but she now officially has octopus arms, and has already knocked over donor milk.)

I have to remember to bring bags of milk in from the deep-freezer to the regular freezer, from the regular freezer to the fridge, and keep them defrosting in their own glasses or tupperware because of leaking issues.

I am not complaining. I am more grateful to Porcelain’s milk mamas than I can even say. The fact that my baby is on breastmilk only is such a gift to her, and to me. Thank you all, again.

When I nurse Porcelain, I usually know that I’m going to follow it up with a bottle. This means that rather than sit contentedly on the couch or in My Chemical Romance’s “battery charger,” I have to sit and nurse her and then get up and make a bottle. And knowing that I have to get up and make a bottle, and knowing that even if I sit there and nurse her for 25 minutes she’ll still take two or three ounces of donor milk, sometimes I’m tempted not to nurse her at a certain time, just to make a bottle. Because it’s a little frustrating to think that I’m making milk and nursing — and then watch as she drinks four ounces in two minutes and acts like she wants more. Oh, it’s frustrating.

I don’t really have a routine with nursing and supplementing. Sometimes I follow up a long nursing session with food now, or sometimes I wait a half hour before I give her the bottle. I never make bottles at night; if she wakes up in the night she gets nursies directly from me. She averages three or four four-ounce bottles per day. If Mary F. Poppins is around, one nursing session with her is the equivalent of a bottle. Sometimes it’s the usual, boob then bottle routine and I try to make it as seamless as possible. But it’s still difficult. My Chemical Romance can feed her, my mom can feed her, The Informant and My Masterpiece and even Animal and Mineral can feed her — which is what bottle-feeders always tout as the epitome of convenience! — but the hardest part is that I can’t always feed her.

Breastfeeding with Donor Milk and Nursing from the Heart

So, I give Porcelain about 16 ounces of donor breastmilk every day and she’s really starting to eat solids. Back when Animal and Mineral were babies, I bought jars and jars of baby food. The pureed kind, mushy and gross-smelling. I think I used them with The Informant too. By the time I had My Masterpiece, I made my own fruit or veggie puree in a food processor. Now, I just give the baby whatever I’m eating (except perhaps a little less chocolate). Tonight she had a strata with vegetables and ham. She loved it. And thus, we officially enter a new time in her life:  she’s not doing much nursing.

Since I first realized that she wasn’t gaining well, I had hoped starting solids would mean my supply would be enough nourishment and I could stop supplementing. But… no. Porcelain eats, she nurses a little bit, and then she drinks a bunch of donor milk.

This could just be a break or a strike, or the fact that she’s almost mobile and therefore too busy to nurse all the time — or she’s simply getting enough to eat, and doesn’t need to be on my breasts all the time — but overall I’m sensing a shift in my boobs’ job. We’re relegated to comfort-only.

At first I was a little sad about this, because I love nursing. I love sitting with her and watching her drink the milk I’ve made, smelling her sweet baby skin and hair, which might smell a little like my armpit. I love cuddling her. But the good news is that she hasn’t given up on nursing — she’ll still nurse whenever I offer my breast. That’s actually the great news, the best news.

Breastfeeding is feeding a baby from the breast; nursing is a relationship. Even if I’m not breastfeeding her much, we’re still nursing and we still have all the inherent closeness that comes with nursing. I still pick up on her nonverbal cues in a way that I never did with the first three kids; I know when she cries from hunger versus tiredness, I know the look she gets just before she poops or pees, I know when she’s bored. I know that when she goes down for the night she usually gives one last protest squawk before she falls asleep. I know all these things because we have a close relationship and we have a close relationship because of nursing.

So, even though I’ve become a bit passe as far as caloric nourishment goes, I’m going to continue nursing because I know I still nourish her heart. Just like she has always nourished mine.

One chubby breastmilk only baby: CHECK!

Porcelain is gaining weight and I am so relieved. Her thighs are becoming delicious plump rolls of squishy goodness. I’m happy about that.

She takes 12-16oz of donor milk per day, either by person or by bottle. (Yeah, I gave up on that SNS bullshit because it’s a crock. Either that or I’m a sucktastic mom, but if I am a sucktastic mom because I don’t use a SNS, I’m totally cool with that!) I’m taking enough domperidone to make an elephant lactate — and it helps.

At first I was reticent to take domperidone because the last time I took it, I got headaches. Now I get headaches and tingling in my fingers. But what’s a few neurological symptoms indicating that I’m having a stroke — hey, I’ve got some breastmilk!

The list of women who have nursed her stands at eight: Nice-Nice, Mary F. Poppins, Lady Beaver of the Syllables, Happy Mathlete, two friends from La Leche League, an old friend who lives one county away and was willing to let me come over when I was 40 minutes from home with a hungry baby and dry boobs, and my wonderful fellow twin mama — times two! — Heather from It’s Twinsanity. Porcelain nurses best with Nice-Nice and MFP because they do it so regularly; Heather was the most natural for a first-time cross-nurser — with Porcelain; she has cross-nursed other babies — as we were at the zoo and she just strapped Porcelain into a carrier and latched her on while I pushed Heather’s quad stroller, aka The Beast, and kept track of our combined 12 children at a crowded zoo. (Yes, it’s the Heather with two sets of twins and two older children who likes to drive cross-country by herself with all the kids. The Heather.)

I go back and forth between feeling elated that Porcelain is gaining weight to feeling kind of sucky that I don’t make all of her milk and that she loves bottles — to feeling worse because, duh, I do not ever want to strap on that stupid fucking SNS again, and she’s still breastmilk-only, so why should I feel bad about anything? Clearly I’m a complicated woman.

However, someone told me that nursing is 99% intention and I have 113% intention so I’m ahead of the game in that aspect. I asked who gave her such words of wisdom; it was me, about a year ago. She is a former doula client who had some breastfeeding challenges when her baby was first born. When I went to her house for a postpartum visit she was pumping and crying, and I told her it was 99% intention and she would get through it. A year later she is still nursing — and now she pumps for me.

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