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Mothering Magazine Sponsored Chat with Cynthia Good Mojab, MS, IBCLC, RLC, CATSM is a clinical counselor, international board certified lactation consultant, author, researcher, and speaker. Through her private practice, LifeCircle Counseling and Consulting (LLC) she offers a blend of psychological and lactation services to women and health care providers, in person and by phone. In this chat, Cynthia will talk about grieving breastfeeding losses, including the loss of expected breastfeeding experiences, the loss of direct breastfeeding (exclusive pumping), and the complete loss of breastfeeding.
www.mothering.com
5/25/06

24 mamas in attendance

All Mothering Sponsored chats with Cynthia:
4/27/06  5/25/06  6/29/06  8/23/06  9/28/06  10/26/06

 

12:08:36 Webmama_Tina ok, mamas, today our chat is with cynthia good mojab ....
12:08:48 Webmama_Tina here's our info on the chat for today...
12:09:01 Webmama_Tina Cynthia Good Mojab, MS, IBCLC, RLC, CATSM is a clinical counselor, international board certified lactation consultant, author, researcher, and speaker. Through her private practice, LifeCircle Counseling and Consulting (LLC) she offers a blend of psychological and lactation services to women and health care providers, in person and by phone. In this chat, Cynthia will talk about grieving breastfeeding losses, including the loss of expected breastfeeding experiences, the loss of direct breastfeeding (exclusive pumping), and the complete loss of breastfeeding.
12:09:26 Webmama_Tina now cynthia, why don't you add anything else you'd like to add....i know that covers a lot, lol
12:09:37 ailbhe Am I here?
12:09:40 Webmama_Tina and mamas, start throwing out your question marks and i'll gather and start compiling the queue
12:09:48 Webmama_Tina yes  ailbhe , glad you made it!
12:09:51 Webmama_Tina Welcome to this week's Mothering Sponsored chat! This is a moderated chat. Please make sure you read and fully understand the Moderated Chat Instructions before participating in this chat. Instructions can be found here: http://www.mommychats.com/modrules.htm ...A Friendly Reminder: Please do not post unless it is your turn to ask a question. If you have a question, please post a single ?" and you'll be added to the queue. Have your question ready when your name is called."
12:10:41 nursiemom ?
12:10:51 Cynthia_Good_Mojab Well, in addition to the information Tina just posted, I also answer questions about breastfeeding and maternal mental health for Mothering magazine as a member of their experts panel.
12:11:40 Cynthia_Good_Mojab In my private practice and in my other roles, I have met many women who have experienced some kind of breastfeeding loss. They usually have had great difficulty finding understanding of and support for their grief.
12:12:01 Cynthia_Good_Mojab I'm ready for questions any time, Tina.
12:12:09 Webmama_Tina okey dokey!
12:12:14 Webmama_Tina nursiemom you're up first!
12:12:17 nursiemom I had to wean my youngest at 12.5 months due to severe medical issues.  That was 1.5 years ago, and it completely broke my heart.  The pain is less now, but still very real-- what is the best way to work through the pain from being forced to wean too early
12:12:30 Webmama_Tina woah, can we go a little darker green? that's hard to read
12:12:33 Webmama_Tina :)
12:13:05 nursiemom Sorry-- I'll try again
12:13:11 Webmama_Tina ah much better
12:13:12 Webmama_Tina :)
12:14:10 nursiemom I had to wean my youngest at 12.5 months due to severe medical issues.  That was 1.5 years ago, and it completely broke my heart.  The pain is a little less now, but still very real-- what is the best way to work through my grief from having to wean too so
12:14:16 nursiemom too soon?
12:15:26 NaturalChildNaturalFamily ?
12:16:04 earthgrlie ?
12:17:04 Cynthia_Good_Mojab I don't know that there is one way to work through the pain. Every woman's loss is different and every woman grieves differently. Some things that seems helpful for many mothers grieving weaning earlier than they had planned or expected to is to acknowledge the legitimacy of your loss to yourself, to find others who recognize that you have experienced a loss and who will not say things that, in effect, stop your grieving. Many people mean well, but when they say things like, At least you breastfed as long as you did" or "your child is healthy and fine, why are you so upset about this?" they are really communicating that it is not OK for you to be feeling what you are feeling. Some women find it helpful to write about their loss, in a journal, a poem, a song, etc. Some women find it helpful to create a drawing or a dance about their loss. Some women find it helpful to create a ceremony that acknowledges what
12:18:26 Cynthia_Good_Mojab One of the most difficult things about the loss of breastfeeding is that it is not socially recognized--therefore, finding support can be very hard. It can be a very lonely experience to be grieving a breastfeeding loss.
12:19:03 Webmama_Tina upcoming chatters:  NaturalChildNaturalFamily,  earthgrlie
12:19:16 Cynthia_Good_Mojab Grief is always hard, but grieving alone is always harder. So finding some companionship, while difficult, can be very, very helpful.
12:19:49 Cynthia_Good_Mojab Is there another question, Tina?
12:20:17 Webmama_Tina NaturalChildNaturalFamily you're up
12:20:39 NaturalChildNaturalFamily Thank you for doing this- It is wonderful- Have you found a link btwn PPD and the mom who doesn't nurse at all?
12:20:50 Webmama_Tina upcoming chatters:  earthgrlie
12:20:58 NaturalChildNaturalFamily with relation to grief
12:23:24 ailbhe ?
12:24:06 arianamama ?
12:24:15 Cynthia_Good_Mojab You're very welcome. Most research studies show that the onset postpartum depression precedes weaning. Some studies show that depression follows weaning. However, postpartum depression may have begun as antenatal depression which was never diagnosed. Grief is often a contributing factor for depression, postpartum or not. In fact, it can be difficult to distinguish between grief and depression, because there is so much overlap. Certainly any mother experiencing grief or depression in the early days postpartum will have fewer emotional resources available to initiate and/or cope with breastfeeding challenges in a society in which so many barriers to breastfeeding already exist. Does this answer your question?
12:24:46 Webmama_Tina upcoming chatters:  earthgrlie,  ailbhe
12:25:27 Cynthia_Good_Mojab Mothers who are grieving the loss of an expected birth experience are certainly at an emotional disadvantage postpartum for initiating breastfeeding and/or to overcome breastfeeding challenges.
12:25:35 NaturalChildNaturalFamily yes
12:25:59 Cynthia_Good_Mojab Next question, please?
12:26:13 kjkissingford ?
12:26:30 earthgrlie My daughter is 4 months old, she has major neurological issues being diagnosed with Dandy Walker Malformation and Severe Hydrocephalus. She was in the NICU for about 2 months, Im proud to say she's been able to be on my breastmilk and not be supplemented."
12:27:06 Cynthia_Good_Mojab That is not easy to accomplish in such a challenging context.
12:27:08 Webmama_Tina upcoming chatters:  ailbhe,  arianamama,  kjkissingford
12:27:15 earthgrlie She was born via C-section and everything around her birth was completly different. I was praying that we'd be able to breastfeed, but she has a g-tube
12:28:01 Cynthia_Good_Mojab It sounds like you are grateful and proud that she has been exclusively breast milk fed and that you are grieving that you were and are not able to breastfeed her directly.
12:28:30 earthgrlie I pump ( and HATE it!) but I try to make sure to have her try to latch on to my breast afterwards, just in hopes of her being able to breastfeed down the line. Do you have any other suggestions for building that bond and encouraging future feedings at the
12:28:33 earthgrlie breast
12:29:32 Cynthia_Good_Mojab Many women in your situation absolutely hate pumping: its sight, its sound, etc. It's a tangible reminder over and over again of their loss of direct breastfeeding.
12:30:11 earthgrlie YES! My four year old still nurses, so that has helped a great deal. But I feel like my newborn is getting cheated
12:30:53 mamaste ?
12:31:21 Cynthia_Good_Mojab In one of my publications on congenital disorders in the nursling, I talk about the many aspects of the physical experience of breastfeeding: skin contact, hearing the mother's heartbeat and breathing, looking into eachother's eyes. Mothers who are not able to directly breastfeed often feel more connected to their baby when they recreate these other aspects of breastfeeding.
12:32:05 Cynthia_Good_Mojab Yes, you know what your four-year-old has experienced in your breastfeeding relationship, and you wish that your newborn could have that, too.
12:32:22 earthgrlie Where could I find more info on this? Also we don't have the option of eye contact she's blind on top of everything else
12:34:32 Cynthia_Good_Mojab When a newborn is blind, eye contact is not possible. Your baby will hear your breathing, your voice, your heartbeat and feel your touch during breastfeeding. Touch is so essential to the well-being and development of any newborn. All that cuddling, holding, rocking, patting, and carrying that mothers do may seem in our society like getting nothing done", but it has an incredibly powerful impact on our babies' development."
12:35:58 Cynthia_Good_Mojab If you look at the publications page of my website, Ammawell, you can find two publications that I wrote on breastfeeding a child with a congenital disorder. One of them can be read in full on-line. If you visit the About" page of my private practice website (www.lifecirclecc.com) you'll find a link to my website, Ammawell. Then go to the breastfeeding section of my publications page."
12:36:12 Cynthia_Good_Mojab Best wishes to you. Is there another question?
12:36:22 earthgrlie I appreciate this chat, thank you! I'd be interested in reading more about this topic. I'll be letting my husband read what you wrote about getting nothing done. :-)
12:37:37 Webmama_Tina ailbhe you're up
12:37:43 ailbhe Thank.
12:37:57 Cynthia_Good_Mojab Also, MOBI Motherhood, International is a new organization (though an email group has existed for some time) providing support and information for mothers struggling with breastfeeding or grieving its loss. They have a few email lists that can help mothers find support from mothers who really understand because they're going through some form of challenge, too. They're at: http://www.mobimotherhood.org/
12:38:01 ailbhe My toddler is just over two, and starting to self-wean.
12:38:01 Cynthia_Good_Mojab You're welcome.
12:38:17 Webmama_Tina upcoming chatters:  arianamama,  kjkissingford,  mamaste
12:38:26 ailbhe I've been using breastfeeding to help live with the post-traumatic stress resulting from her birth.
12:38:34 ailbhe I'm also 27 weeks pregnant.
12:38:43 Webmama_Tina don't mind me as i post the welcome message again for newcomers
12:38:46 Webmama_Tina Welcome to this week's Mothering Sponsored chat! This is a moderated chat. Please make sure you read and fully understand the Moderated Chat Instructions before participating in this chat. Instructions can be found here: http://www.mommychats.com/modrules.htm ...A Friendly Reminder: Please do not post unless it is your turn to ask a question. If you have a question, please post a single ?" and you'll be added to the queue. Have your question ready when your name is called."
12:39:15 ailbhe I'm terrified of losing breastfeeding coming up to another birth, but it's not fair to her to use her as a crutch.
12:39:43 ailbhe Is there a more useful way to think about the whole situation? I feel bereft - grieving for her birth and for the end of breastfeeding
12:40:05 ailbhe (I've finished now)
12:41:06 Cynthia_Good_Mojab It sounds like breastfeeding has brought you great comfort after your traumatic birth experience. Something that has gone right" after a birth which happened in an unexpected and frightening way."
12:41:31 ailbhe Yes, that's right.
12:43:11 Cynthia_Good_Mojab One of the tasks of grieving is finding new meaning in the aftermath of a loss. How do we live now that the loss has happened? What meaning does the loss have for us? This kind of grief work is so important, so hidden from others, and so challenging, it can be hard to know how to do it and what to make of our internal state. Finding ways to honor the emotions of our grief, and the importance of our grief work can help us feel that, although the situation is difficult, it is our healing in progress.
12:43:18 magdalene74 well, arent yall hard to find today LOL
12:43:28 magdalene74 woops, sorry.
12:43:49 Cynthia_Good_Mojab Is there another question?
12:44:06 arianamama How do those of us breastfeeding let those who weren't able to breastfeed like they wanted know that we are open to discuss their grief with them.
12:44:09 ailbhe Oh well. Back to my regular therapist I guess.
12:44:27 Cynthia_Good_Mojab That's a great question.
12:45:50 Cynthia_Good_Mojab It depends on the context, of course, but communicating something like, Many women have struggled with breastfeeding. It's common for mothers to feel frustration, sadness, and anger related to breastfeeding...."
12:46:20 Webmama_Tina upcoming chatters: kjkissingford, mamaste
12:46:32 arianamama thank you
12:47:12 Cynthia_Good_Mojab Mothers may be grieving the loss of breastfeeding with little support for that loss. This group/emaillist/session is a place that you can talk about any feelings you have about breastfeeding..."
12:47:28 Cynthia_Good_Mojab You're welcome. Is there another question?
12:47:35 Webmama_Tina upcoming chatters: kjkissingford, mamaste
12:47:43 Webmama_Tina kjkissingford, you're up!
12:47:45 kjkissingford Thank you for having this chat. I found deep isolation and despair when I was unable to breastfeed successfully. Part of that is due to the huge campaign that says breastfeeding is the best (makes us sad moms feel like we're not doing the best") ..."
12:47:58 Webmama_Tina upcoming chatters: mamaste
12:48:44 kjkissingford the lactation consultant we hired gave us the unwaivering perception that of course you'll be able to breastfeed, just do this, this and this" when it didn't work, she stopped calling for support eventhough she said she would. I felt like crap!"
12:48:46 Cynthia_Good_Mojab You're welcome. It sounds like you were not able to find adequate support as you grieved the loss of breastfeeding....
12:49:01 Webmama_Tina remember that if you have a question, just post a single question mark and i'll add you to the queue
12:50:16 kareen ?
12:50:32 Cynthia_Good_Mojab Part of your grief seems to have been that you knew the value of breastfeeding, and because you knew that, the pain of the loss of breastfeeding was great. You wanted to be able to give your baby the best" and were very sad that you could not give your baby breastfeeding...."
12:51:26 Cynthia_Good_Mojab The support you received from the lactation consultant you hired did not meet your needs. You needed more follow-up, more problem solving, more emotional support for your struggle.
12:51:33 magdalene74 ?
12:51:54 Cynthia_Good_Mojab Am I understanding your experience even a little?
12:52:11 kjkissingford yes. i ended up with pretty severe postpartum depression/anxiety and I know it was this experience that pushed me over the edge. I've been to ppd support group, but I was the only one that failed" to breastfeed. I'd like to see more public awareness of th"
12:52:14 Webmama_Tina upcoming chatters: mamaste,  kareen,  magdalene74
12:52:54 kjkissingford this would be helpful. the judgement is SO deep when you're a natural" minded person! Thanks for your reflection!"
12:54:1