I do not think any breastfeeding couple starts out without a single challenge. Sure their challenge may be more about elimination challenges, but those are still challenges (
just look up the elimination diets to figure out food sensitivities). So here is the nitty gritty of our first week breastfeeding.
Right when Evelyn was born, we were just so ecstatic. I vaguely remember offering her the breast, but she wasn't interested right away. So we went back to doting on her. I honestly cannot remember when we first tried to feed her. I just remember the nurse helping with position and latch, then saying that she was going to refer us to the lactation consultant. She was really hopeful that the lactation consultant would be able to work us in (because we wanted to leave "early" seriously, if we had stayed 48 hours, we would have been released at 5 am on Monday morning. So that was BS).
I remember the lactation consultant showing me how to express the colostrum into a cup. She showed us other ways to feed our precious tiny girl, and encouraged us to keep trying her on the breast. Not terrible, and honestly with the relatively tiny amount of colostrum it was manageable. I thought it was odd, because all the nurses kept having her suck their fingers and commented on her strong suck (gosh, the things we do to kids!). Even then it seemed a little odd that she had a great suck, but wasn't seeming to get much to eat.
We went for a weight check with our doctor early in the week, so I believe mentioned something about tongue tie. But I couldn't quite recall. So we did what we could until our appointment at the lactation clinic on Thursday. When I described what I thought was going on (it seemed like Evelyn was just slipping off of the breast without getting much to eat) I could sweat the woman had a spark of recognition in her eyes. We got started with weighing our tiny baby to get a baseline, then I tried to feed her for a while. Trying different positions, compressing the breast, trying to soothe and calm Evelyn so she could eat more effectively before weighing her again to calculate how much food was being transferred from me to her.
After a while, the lactation consultant went into pure assessment mode. She had evaluation tools that she used to determine that our baby girl had a tongue tie. Finally, someone was telling us the whole story (I'm sure those nurses and lactation consultant in the hospital had an idea that something was going on). Not only was she telling us the whole story, but she had a solution for us (the only thing she could have done differently was tell us that tongue and lip ties are congenital, because I immediately had the irrational worry that I had done something wrong, not enough, or who knows).
During this visit, I also received a breast pump. This was amazing, because I was finally able to reduce the pressure. It also gave us an easy way for Paul to feed our daughter for a while. The best description of how I felt was "gun shy." I just needed a little bit of distance from our poor breastfeeding relationship. I was able to take a little space, know that she was being fed, and process my feelings (any woman who has breastfed with any emotions other than love for your baby knows that it is just plain weird).
In those first weeks, Paul was calling to make all our appointments. He called the ENT who specialized in tongue tie in the Portland area, only to find out that the next appointment was weeks away. I don't remember what I was feeling, but I logically was thinking "better late than never." I remember him on the phone expressing how much we need to be able to feed our daughter (and obviously getting told that there wasn't anything yet, but they would do their best). That afternoon I took a nap, when I woke up Paul gave me the best news. We had an appointment the next afternoon!
I have to say that was one of the strangest appointments.
Dr. Ghaheri was so knowledgeable that he looked at Paul and I, announced that Paul's genetic code was the culprit, then had us each lift our tongues to confirm his hypothesis. It still strikes me as odd that in a fifteen minute appointment, he evaluated our daughter, confirmed the diagnosis, taught us the aftercare, joked with us, encouraged us by his family's story, and preformed the actual procedure. The procedure only took about 2 minutes (including their walk to the procedure room), but that was the longest few minutes of our lives as parents (still is for me). When she came back to us, we first tried nursing her, but she was so upset that it didn't work. So Paul gave her a bottle.
We continued bottle-feeding her throughout Friday and Saturday. I can remember feeding her a bottle in the middle of the night, while pumping at the same time. Now I know I was feeding her all wrong, but whatever, she was eating. I honestly don't know how often I offered her the breast in those two days. I was still feeling a little raw from the experiences; I can remember telling Paul that I thought I saw her looking at the bottle longingly (totally projecting) and feeling terrible about it. Through all of this, Paul kept encouraging us to keep trying (yes, he was encouraging Evelyn too, I'm sure of it).
On Sunday morning, we went to church and brought a bottle with us (a public place really didn't seem like a good first place to try to re-establish our breastfeeding relationship). She fussed a little, and I offered her the bottle, she took a little bit. When we got home that day we stopped the bottle. I wish I could remember that first feeding where she latched on and effectively ate. I cannot. I just know that since that day she has not taken a bottle.
The next week, we went to the lactation consultant. We still weren't getting as much milk transferred as she hoped to see, and she suggested that Evelyn and I "bed-in" for a day or so to see if she would eat more. I tried that for a couple of hours and HATED it. Luckily, my in-laws were with us, and my mother-in-law gave us the advice to ignore advice that didn't work for us (between that piece of advice and all the grandmothers at church telling me all their babies were 5 lbs, I felt totally on top of the motherhood instinct thing). So that Sunday, we went to the mall with her for hours, haha.
After bucking the advice of the lactation consultant and just figuring out our own flow, I went to the lactation consultant. Since she had been up front with me, I returned the favor. Luckily, that mother gene of mine had really kicked in. Evelyn was finally where she needed to be weight-wise. The funny thing about lactation consultation is that you are supposed to bring your baby hungry; yeah right! On this particular morning, she was hungry so I tried to feed her a little bit. I don't remember the interval I limited her to, but she wasn't very hungry at all once we got to the appointment.
Regardless, she and I decided that Evelyn and I had finally established our breastfeeding relationship. After the tears, the lasers, the wet shirts, the bottles, and tossing out the extra breast milk in the fridge we had made it. It can still be a bit frustrating; she has a favorite side, my strong let down bums her out, and breastmilk makes excellent baby hair gel. In the end, if Paul hadn't supported our breastfeeding relationship I may have given up on the whole thing (which in hindsight sounds ridiculous because it was only really trouble for 3 days).
I do my best to breastfeed in public, but that's another story. I think that there are certainly reasons a woman can't breastfeed, and I can completely understand that. In those first few weeks, everything is so special that our experiences tend not to be shared beyond our closest friends. Those first early weeks are also spent at home, where we are most comfortable. I still find that I am the only first time mom with a baby as little as Evelyn in most places. I wonder if more women share about those early days that aren't all adorable smiles and working rhythms, then maybe more new mothers will be encouraged to push through the challenging times.