Monday 1 August 2022

The Birthday Month!

Ok so I finish close to 4 decades of rotations around the Sun and Mom finishes close to 65 rotations around the sun! We share the same birthday and we changed from one Birthday Celebration when I was with them and then 2 birthday celebrations when I left home.

 Both us Leos have subtly been the power button of the house for a long time. Both of us have many things in common. 

We both are professionally dealing with Women and children (She a pediatrician and me a pediatric ophthalmologist), Both love Kerala Food, Both love the kajal(you will never find us without it), we both have loud laughters, we both love our sleep (we even sleep similarly with one hand under the head and one hand above the ear) and we both love wearing Sarees to work.
Pregnant Me with my mom. The Reason I could Breastfeed is her. 


1st to 7th August heralds Breastfeeding week.



 So I wanted to celebrate that along with my mom too. We have both fed our babies. 

Moms' breastfeeding was way more strenuous, unsupported than mine. She was doing Post Graduation in Pediatrics and had a very hard residency when I was around. So though they always had to advocate for Breast feeding she found very little support for her own Breastfeeding amongst the Night duties and Emergency Duties she had to do. Also add to that the bad food and horrible hostel living conditions. During her second child, there was a crisis at home with my Paternal Grandmother is her last days of life dying of Breast cancer, My Paternal Aunts first baby born a month earlier(she was in her maternal home so was with them then), she had a new private practice(opened in her pregnancy) and not enough money at home due to the financial burden of cancer and young professional careers. So she fed both as much as she could and shifted us both on Formula feeds. 

My Younger Brother ironically won "Healthy Baby Competition" in first year of life and so I thank Science that keeps babies alive and thriving on Formula Feeds.
My pregnancies came more planned. After my residencies, at a time when I could afford to eat well and stay in a good place. Also having supportive partner and tribe for the same was a blessing too.
As a mom, I have learnt a few things about Breastfeeding. 

    When I first became a mom with Ansh everything was so Overwhelming. The thought of giving milk from your own bosom was so strange to begin with. Though already a doctor and having read about things clinically, sharing a liquid coming out from your body with your child, who seems to innately know how to suck it is in itself a wonder. Always taught to be shy about breast and hide it with saree, dupatta or large dresses, you start unbuttoning and feeding your child in the most public of places, the public loos, the restaurants, cars, parking lots, hospitals, workplaces and even in the watch of your own staff and parents. 

Suddenly the shame collected over 30 years regarding your most private part has to be exposed quickly and offered to the tiny baby, howling and crying in your arms. The pain, the break in skin of the nipple, the blood coming from the nipple cracks, the painful utering contractions and resultant bleeding in the first few days of feeding the new born baby and the severely painful, hard and lumpy breasts become a blessing and a bane all at once.

     Suddenly your whole attention is on expressing, massaging, pumping and feeding a baby for almost 6 months for some or close to 3 years for others. The girl Me has to be somehow converted into MOM me and wear clothes that accesses the bra in a jiffy. all of those months that I fed my little ones I fed my attention always on my better 2 that served as the sole source of nutrition to my kiddos.

    Somehow I was advised to eat and drink things not according to my tongues taste but according to my kids tummy. Things that give gas, things considered pungent, things that are bitter or things that are high in sugar were to be avoided. Whether things were hard on my tummy or not was forgotten. Suddenly I felt so neglected by all. The inlaws, parents, friends and aquaintances were only worried about how is the baby or whether there is weight gain or whether the baby is passing motions, whether you have eaten or passed motions(iron induced constipation...yuk!) or whether you slept (atleast an hour straight) or whether you are blue. Its noone's fault, all mean well but most are not in that phase with you and so cant help it. 



    Plus no kidding a new born baby wrapped in a perfect bundle looks way more cuter than a bloated, pregnant, unkept, smelling lady with clothes that smell of blood, milk, sweat and fatigue at all times. 

    Also I ended up with Breast Abscess 3 months after my first one and had to be operated on suddenly due to a high risk of sepsis. Being sick yourself and Breastfeeding is the biggest challenge a mother faces. Breastfeeding feels like a marathon, draining you of energy completely. Add to that fever, pain in the incision site and leaking pus from the wound and you have a cocktail to feel like disaster. 

    During Second time around, I had many evenings which were "Witch Hours". For hours together my baby would not get off the breast. He would keep sucking and if detached from the breast would howl and bleat and be again attached to the breast. We had so many evenings where he was just attached to the breast and i would sit in the car with him to make him sleep. 

    So over the years of not having to be in that situation, I developed a kind of 

List for mothers who are breast feeding or are going to be breast feeding are: 

1. Invest in a good feeding bra, Nipple care cream, feeding pillow and feeding pads. These are all now your new accessories

 2. Take help. Be vocal about it. Build your team in those 9 months. The second time around I had a nanny who would help me with nursing and all the other baby care work.

 3. Get massages. With both the kids I had someone come to give me and the baby massages for almost 3 months. It relaxes the mind and body and makes you sleep better. 

4. Learn to let go of your screens. This will help you have quick feed and sleep as you wont be awake with the phones in your hand. 

5. Eat well. By well I mean good food, soups, fresh vegetables and fruits. You need the fibers for your bowels and need the healthy diet for your well being. hydrate a lot. I had developed a routine of drinking before starting feeding and drinking water again when ending feeding. Preferably have a flask of water near your bed at all times.

 6. Try to tell your Gynaecologist team and the nurses around about how you want to feed as soon as the baby is out. I wish I had a pic with my abdomen open and the nurse holding my second one at an odd angle to feed right on the OT table. You are under Anesthesia so not in pain, It is a joyous moment so the endorphins are high and the baby almost always innately knows how to suck. You avoid Neonatal Hypoglycemia, you develop a bond right away and you have the precious Colostrum flowing.

 7. Take pain control. It definitely helps to be pain free specially when you are in the first week of child birth. The breast feed will get established better when you are not troubled about pain.

 8. Try to get in a walk or exercise. That will help with body aches, digestion and also your mood. 

9. Advocate for you and your baby. Try to have healthy boundaries with people. Avoid Intrusive question, stop unnecessary calls and dont attend to unwanted visitors. This will add to make you feel Zen like and good vibrations means happy baby. Listen to meditation music or any upbeat music to feel better and avoid depressing thoughts. Journal or talk to your partner or loved one about how you feel.

 10. If you do not get breast milk, or cant cope with feeding, discuss the other options with your Doctor and if you dont have someone listening to you Dont shy from changing the provider.


 You Need to Do What's best for you finally. 

 Breast milk is Nectar but More precious is the "You" that you give to your baby. 

Don't let anyone steal away your spark! 

To help women who are breastfeeding, I always prioritized having a breastfeeding room in my Hospital.


 Also I routinely help women in the public if they need me to carry some luggage or hold the baby till they find a spot to feed. 

Also, I teach my kids to not stare at Breasts when people are feeding in the public, as these are now Food junctions and not Sexual Organs. 

Also listen to these new mommies. Let them Rant, Rave or Howl. Just be on the listening end. For this Whatsapp is superb as they can listen or read the messages when they have time. 

Dont call, dont drop in suddenly at their place.

 Best would be to leave a parcel or gift at the door and let them be. 

Offer to baby sit while she goes to a saloon or massage or for her just to sleep.




 This year's theme for the World Breastfeeding Week is 'Step Up For Breastfeeding: Educate and Support'. Lets all do our bit.