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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 perinatal losses, including miscarriage, ectopic pregnancy, stillbirth, and newborn death.
www.mothering.com
6/29/06

18 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

 

Webmama_Tina: today we are happy to have cynthia good mojab with us again!
Cynthia_Good_Mojab: I'm glad to be here, Tina.
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 perinatal losses, including miscarriage, ectopic pregnancy, stillbirth, and newborn death.
Webmama_Tina: anything you want to add, cynthia?
Cynthia_Good_Mojab: Yes, Tina. I've known many women who have experienced a pregnancy loss or infant death and have not found enough information and support--even basic recognition of their loss. Because of this, grieving such a loss is made that much harder.
Cynthia_Good_Mojab: That's one reason the opportunity to have a Chat like this is so important. I'm very glad that we are able to talk today.
Webmama_Tina: out of curiosity, how many of us here have suffered the loss of a child?
Webmama_Tina: *raises hand*
Cynthia_Good_Mojab: I'm ready for questions any time, Tina.
Stayseeliz: I've had an early miscarriage. It was a lot harder than I thought it would be.
DuckyTate: I have 4 children and I had 4 miscarriages I did everything I could to recover and grive on my own including memorials to our lost children, every year the anniversaries of my losses get harder not easier.  Is it true that some Mothers never truy recover?
Webmama_Tina: please post a single question mark at any time, mamas, and i will add you to the queu...i believe ducky was first
ilovezoeystar: ?
DuckyTate: I thought I was first also sorry to cause a bother
Webmama_Tina: upcoming chatters (after ducky):  ilovezoeystar
Webmama_Tina: ducky, you were first, you're fine :)
DuckyTate: ok
DuckyTate: Well apart from my spelling typos!
Webmama_Tina: :) no worries
DuckyTate: lol
Cynthia_Good_Mojab: Grief is the natural, healthy, human process that we experience after a loss. Grief can be stopped, however, when something about our circumstances doesn't give us permission" to grieve."
Cynthia_Good_Mojab: For example, when most of a woman's time and energy is being spent caring for young children, it can be hard to find time and energy to grieve well.
Cynthia_Good_Mojab: Also, sometimes grief becomes more complicated because too many losses happened in too short a time. Grieving one loss can feel overwhelming. Grieving several losses even more so.
Webmama_Tina: for those joining us late.... 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."
DuckyTate: In my recent reading I found a claim that the DNA of every child carried is imprinted on the Mothers brain and that they are always a part of you even if they are gone from you. Could this be why after all these years it still feel like raw pain?
Stayseeliz: ?
Cynthia_Good_Mojab: I am not familiar with that claim, however, I know that women do not forget the children they have lost. When grief is well supported, the intensity of the pain gradually, but in a very irregular sort of way, decreases. But this does not mean that we never miss our children, wish we could have shared more of life with them, etc. Anniversary grief is common and normal. Bereaved mothers often feel an upsurge of pain, longing, and sorrow on the anniversary of an expected due date, birth, death, ... and on special family days that mothers wish they could share with their missing children.
Cynthia_Good_Mojab: Grief counseling and grief therapy can be invaluable sources of support and healing--especially when bereaved mothers are not finding enough support in their own network of friends and family....
Cynthia_Good_Mojab: Is the raw pain that you feel constant, DuckyTate? Or is it more like it increases and decreases?
DuckyTate: I miss each of them each and every day, and I feel like I am not doing enough because I can not care for those children as well.
Cynthia_Good_Mojab: I hear how much you miss your children. Are you saying that you wish so much that you could be giving the children you have lost the same kind of daily love and care you are able to give your living children?
DuckyTate: Yes. I have 3 boys and I girl but not being able to love and raise all 4 boy and all 4 girls leave me feeling like what ever I do is simply not enough. No matter how full my life looks I still feel empty.
Cynthia_Good_Mojab: You deeply miss the children you have lost. You feel an empty place in your life that you wish they were there to fill.
Cynthia_Good_Mojab: Sometimes it can help to write to a child who was lost--annually or at different times during a year--expressing what we feel, what we wish we could be doing with them and for them at that time. Talking about the same kind of thing with friend or at a grief support group or with a counselor can be very helpful. Women need outlets for their grief.
Webmama_Tina: i made a blog
Webmama_Tina: upcoming chatters:  Stayseeliz
Cynthia_Good_Mojab: That's great, Tina. A blog is one way to honor our experience and our child's life and death. A way to create information and companionship for another mother who may be feeling alone.
Webmama_Tina: helps to keep him alive in other's minds too...
Cynthia_Good_Mojab: Yes.
Webmama_Tina: are we ready for the next question?
Cynthia_Good_Mojab: Yes.
Webmama_Tina: stayseeliz
Webmama_Tina: you're up mama!
Stayseeliz: How can we help others understand what we're going through in grieving for our loss. My miscarriage was just 3 weeks ago and it seems like everyone just expects life to have gotten back to normal. I feel like I'm the only one grieving for this baby.
Cynthia_Good_Mojab: That's a very good question.
Cynthia_Good_Mojab: Sometimes we are able to communicate successfully with those around us that we're grieving. Sometimes we have to look for understanding and support elsewhere.
Cynthia_Good_Mojab: Sometimes those around us are also grieving and aren't able to support us as well as they might if they weren't also grieving.
Cynthia_Good_Mojab: Straightforward statements about what we are experiencing, sharing a chapter written for family members in a book on perinatal loss and infant death, or sharing a website with the person from whom we're hoping to gain support can help.
Stayseeliz: What are good books on perinatal loss? I honestly haven't found much.
Cynthia_Good_Mojab: Sometimes we need more than those around us are capable of giving, either because they are grieving, too, or because they just don't understand what this kind of loss is like. Support is still essential and women can find it from support groups (local or online), in books, from a counselor, etc. If you can't find support in your own circle, keep looking because it is essential for grieving well.
Cynthia_Good_Mojab: The Resource section of my website has a variety of resources, including books, on pregnancy loss and infant death that women may find helpful. www.lifecirclecc.com
Webmama_Tina: there's truly nothing like sharing w/one who's been there too
Webmama_Tina: MDC's loss board is good
Cynthia_Good_Mojab: This is so true, Tina. Books can be very validating. But talking with someone who is not afraid of your grief and who can be with you and listen to you is priceless.
Cynthia_Good_Mojab: Is there another question?
Stayseeliz: Thank you!
alaskamom: could I ask one?
Webmama_Tina: i don't have anyone in queue....
Webmama_Tina: yes alaska
alaskamom: I have had 4 miscarriages. Just gave birth last week. 5th try.
alaskamom: My question...
Cynthia_Good_Mojab: You're welcome. Best wishes with your grieving, Styseelize. I'm so sorry for your loss.
alaskamom: I am having a heck of a time with breastfeeding - now have mastitis. I'm terrified that I will lose this opp
alaskamom: do my miscarriages have anything to do with my breastfeeding probs now?
alaskamom: only feeding on 1 breast - other too swollen hot and hard so pumping.
Cynthia_Good_Mojab: What kind of breastfeeding problems, besides mastitis, have you been having?
alaskamom: I'm not sure if she is getting enough on left breast only
alaskamom: she wants to be on breast 24/7 - but is that just comfort?
alaskamom: and of course there is terrible nipple pain but I hear that is normal at first.
alaskamom: her latch has been checked and is good.
alaskamom: right breast seems to have congealed milk, cannot pump out more than a few drops at a time
alaskamom: this all happened with her latching on very nicely and sucking well
alaskamom: so it seems to be me
alaskamom: this is day 9
alaskamom: problems started day 4
Cynthia_Good_Mojab: Newborns commonly nurse frequently and around the clock. This is normal--though not always culturally acceptable! That said,  non-stop nursing can also be a sign that a baby is having a hard time transferring milk. A mother's nipples may be somewhat tender early in a feeding and soon after birth, but if the pain persists throughout the feeding and goes on and on after birth, it's a signal that something needs changing. Latch can look great and still not be. Sometimes folks don't know to also check what the nipple looks like immediately after a feeding. If the nipple has a white or red compression stripe across the tip or is angled somewhat like a new tube of lipstick, then it has been compressed against the hard palate and latch was not deep enough--no matter how good it looked from the outside.
alaskamom: ok, chalk that up as another problem - lipstick shape and white ridge across it
Cynthia_Good_Mojab: Sometimes women who fertility challenges also have breastfeeding challenges because of hormonal imbalances (e.g., polycystic ovarian syndrome).
Cynthia_Good_Mojab: It sounds like you need a good long visit with an International Board Certified Lactation Consultant and/or a La Leche League Leader to help you sort this all out.
alaskamom: I've been in touch with LLL and they have helped a little. Also have seen 2 different lactation consultants at hospital - 2nd one is awesome. And reading Jack Newman breastfeeding book.
alaskamom: all 4 miscarriages happened around 6-7 weeks - I attribute it to drop in progesterone because this time, we boosted my progesterone. I will keep checking with my consultant.
Cynthia_Good_Mojab: Jack's book is excellent. If you've found a good LC, you could keep working with her to continue addressing these challenges.
Cynthia_Good_Mojab: Best wishes to you.
alaskamom: thanks. I've had enough losses. Just didn't want to lose out on this.
Cynthia_Good_Mojab: Yes, breastfeeding can become even more valued in the context of so much loss.
Cynthia_Good_Mojab: Is there another question, Tina?
Webmama_Tina: well i'd actually like to ask one
Webmama_Tina: what do you suggest for the siblings?
Webmama_Tina: as far as what is shared with them...how much and what ages?
Webmama_Tina: my feeling has always been that its a part of her reality, so i shared it with her
Webmama_Tina: i wanted her to know why mommy was so sad and angry and out of it
Webmama_Tina: we talked about it a lot and she drew lots of pictures...she was 3.5yrs when we lost her brother at birth
Cynthia_Good_Mojab: Children need to be able to make sense of the world around them and the people in it, otherwise they can feel anxious and unsettled. So when a mother is grieving, her children need her to be honest with them so that they don't end up getting mixed signals that are confusing: They see Mama crying, but she says she's fine and nothing's wrong.
Webmama_Tina: she's now 5.5yrs and i feel like she's really dealt well with her grief...has fully processed it all, and very healthy way
Cynthia_Good_Mojab: What we say to our children depends on their age and understanding....
Webmama_Tina: yes, i worry also about her blaming herself if it wasn't made clear to her
Cynthia_Good_Mojab: Some books on pregnancy loss and infant death give parents some guidance about this--Do's and Don'ts that we might not think about otherwise.
Webmama_Tina: i know children tend to blame themselves for things...think they are bad or something...so i wanted to make sure i was very clear to her that my sadness was NOT her fault
Webmama_Tina: it was very interesting to me that her grief stages were practically opposite of ours
Cynthia_Good_Mojab: Children grieve, too, because they were also expecting and imagining a sibling. Now they have to adjust their thoughts and feelings to the fact that their sibling died. And, you're right, Tina, children can sometimes believe that they did something that caused the baby to die, like plopping down too hard on Mama one day or thinking in one moment that they don't want the baby to come because they want to stay the baby.
Webmama_Tina: when my dh and i were very raw in the beginning, she almost seemed oblivious
Webmama_Tina: then after we got to the next level of dealing a little better...that's when she seemed to hit her raw point and acted out and cried alot more and talked more about baelin
Cynthia_Good_Mojab: That's right. Children's grief can be very different from adults' grief!
Webmama_Tina: yes it was really amazing to watch
Cynthia_Good_Mojab: Being responsive to wherever a child is in their grief is helpful. Making sure they know that the subject can be talked about whenever they want to is so important.
Cynthia_Good_Mojab: It sounds like you were able to give your daughter what she needed to grieve well.
Webmama_Tina: it seemed like it
Webmama_Tina: do you feel there are times when it is appropriate to shield some of it though?
Cynthia_Good_Mojab: That can be really hard to do in the midst of your own grief.
Webmama_Tina: like of course a toddler is not going to understand....
Stayseeliz: Did I perhaps make a mistake in not telling my children about my miscarriage? We decided not to because I wasn't very far along. But my 5 year old knew something was going on and seemed worried. I just told him I was very sad and that I would feel better.
Cynthia_Good_Mojab: Yes, we do need to think about what our particular child can understand and handle. Simple statements like The baby we were expecting died.""
Stayseeliz: My children and 5 and 2. And my oldest wants a baby in the house so badly I couldn't bare to tell him one was on the way but it had died.
Cynthia_Good_Mojab: Then we can see how they respond. Do they ask questions? Does the death of the baby show up in their play? And then we can respond to that.
Cynthia_Good_Mojab: It's very hard for anyone outside of a situation to know what the best approach is for those inside the situation. Certainly, handling the situation would be different if they knew a baby was expected compared to if they didn't.
Cynthia_Good_Mojab: You were honest with your five year old that you were sad and you also let him know that he didn't need to try to fix it. Those are both helpful so he didn't have to second guess his interpretation of your being sad.
Stayseeliz: My son didn't know I was pregnant yet as I felt something might be wrong with the pregnancy from the start. He was very sweet when I was going through my hardest time and would even come and give me hugs and kisses out of the blue to make me feel better.
Webmama_Tina: for my situation...i always felt i needed to be fully honest with her
Webmama_Tina: not to the point that i burdened her...
Webmama_Tina: but this was her reality...she was VERY excited about the baby
Cynthia_Good_Mojab: Children do not need to hear the degree of detail we might share with an adult friend. But, they do need to not be put in the position of second guessing their recognition that their mother is grieving. How to find the path in between those two extremes is a challenge--the path will not be the same for all families.
Webmama_Tina: and to be sent to nana's and to expect to be called back to meet her baby brother and then to instead be called to the hospital to say goodbye to her brother...it just felt like she needed to know it all
Webmama_Tina: i didn't want to shield her
Cynthia_Good_Mojab: Yes, Tina, your situation called for more information than another situation might.
Webmama_Tina: i didn't burden her with all my feelings...but i felt she needed to know why mommy was so sad for weeks and months and when i was feeling really overwhelmed i made sure she knew it was because i missed baelin and not because of anything she did
Webmama_Tina: especially since i was very short with her for a long time
Webmama_Tina: and then with her grieving tantrums, ay yi yi
Webmama_Tina: we cried together sometimes
Cynthia_Good_Mojab: How is your son now? Do you feel like he is actively wondering what has happened? Or do you feel like he's comfortable with not knowing, is not really curious about it, and feels sure that you and he are basically OK and will be basically OK...
Cynthia_Good_Mojab: Mothering can be so hard in the midst of grieving and grieving can be so hard in the midst of mothering, can't it, Tina?
Webmama_Tina: i also feel like children that suffer loss in childhood may be better able to handle loss as an adult...although i certainly don't advocate causing loss just for this purpose...but if its there, it is their reality
Webmama_Tina: yes you said it!
Webmama_Tina: it also helps at the same time
Webmama_Tina: i think i would have sunk deeper into depression if i hadn't had another child to care for
Stayseeliz: I think he's fine with everything now. I think I did tell him I just didn't feel well and that I was sad. The only time I think we was really scared was the day I found out I would miscarry. I think he just thinks I was sick for that week that was so hard.
Webmama_Tina: i can see wanting to shield them if you can....i don't know what i would have done if it had been different
Stayseeliz: My children have also been my lifeline. Taking care of them has gotten me through the last 3 weeks. But rocking my daughter and seeing her silliness makes me so sad that I won't ever get to interact with the baby I lost that way.
Webmama_Tina: she knows about my miscarriage before her and she fully experienced the loss of baelin...she is wise now beyond her years...i just wish she didn't have to be
Cynthia_Good_Mojab: That's the bottom line, Styseeliz: that however we handle the situation, it looks like our children are doing all right. There's more than one right" way to do that, Stayseeliz."
Stayseeliz: I will tell the children when they're older about my miscarriage. I hate that miscarriage is such a taboo subject in society. Like if you acknowledge it that it might happen to you.
DuckyTate: (sorry to but in) In my family learning of my Mother's and my GrandMothers m/c's did not happen until after I had a m/c of my own.
Cynthia_Good_Mojab: Yes, Tina. I think we can teach our children that while we can't avoid losses in life, we can learn to grieve our losses well. If children never find out about any loss or see how grownups cope well with loss--reaching out for support, expressing how they feel, engaging in much-needed self-care, honoring their experience and the life and death of a child--how will they learn how to do this as adults? These kinds of lessons don't have to be learned all at once. Sometimes we talk about just a piece of the whole experience at one age, add some more information at another age, etc.
Cynthia_Good_Mojab: Yes, many of us grew up internalizing our society's taboos about talking about pregnancy loss and infant death. It makes it very hard for us to do what we might need to do to grieve well, like talk about our loss!
Webmama_Tina: yes ducky i noticed that w/alot of people....once i lost, all o f a sudden i learned of so many i knew had also
Cynthia_Good_Mojab: When we hear about someone else's loss, we often feel many feelings--including empathy for them as well as fear for ourselves. What if this happens to me?
Stayseeliz: The MOST helpful thing to me during those dark dark days was knowing other women had walked through the same valley I was going through and had survived. Our former pastor's wife called and she was such a blessing to me as I knew she had been where I was.
Webmama_Tina: the comment that always gets me is oh i don't know how you do it...i couldn't handle that if that happened to me""
Webmama_Tina: but you do
Webmama_Tina: you deal with what lives gives you
Cynthia_Good_Mojab: And, it can be really hard for us to talk about our loss when we feel on-guard for unhelpful responses from others. : (
Webmama_Tina: i don't feel extraordinary...i just got dealt a crappy deal and i'm dealing with it
Webmama_Tina: anyone else in my shoes would do the same....or just completely die inside, which wasn't an option for me with another child
Stayseeliz: I agree Cynthia. My husband didn't understand why I didn't want to tell everyone at church at first. And it was because I didn't want to hear You can have another" or "It was good that it happened early." I know they're trying to be helpful but that hurt."
Webmama_Tina: oh yes! i hate those comments1
Cynthia_Good_Mojab: Yes, just knowing that someone else felt this gut-wrenching emptiness and horrible grief and lived through it can help us keep taking one moment at a time until we are finally, finally in a better place than we started in.
Webmama_Tina: i got the you're young, you can have another" comment from someone who had suffered a loss!"
Webmama_Tina: shocked me
Webmama_Tina: and i got he's in a better place" from a nurse in the hospital less than 24hours after we lost him!"
Webmama_Tina: i could have strangled her!
Stayseeliz: We're getting ready to move back to my husband's hometown next month and I'm going to start a pregnancy and infant loss support group there. I don't want anyone to have to go through what I did alone.
Cynthia_Good_Mojab: Any statement that communicates to a mother that she shouldn't be feeling what she is feeling or trivializes her loss is not only unhelpful, it may increase her risk of not being able to grieve well.
DuckyTate: Those comments left me in tears and that hurt the people I was speaking to because they were trying to help me. The worst for me was You have 3 children already what would you have done with another baby""
Cynthia_Good_Mojab: That's great, Stayseeliz. What a wonderful thing to do.
Cynthia_Good_Mojab: Sigh, DuckyTate. I'm so sorry you had to endure such hurtful comments.
DuckyTate: Stayseeliz best of luck with your new group
Stayseeliz: I think statements like that have made me feel like I'm not justified in grieving for this child. Like I should be over it. I think that's why I'm struggling so much now. I haven't let myself grieve.
Webmama_Tina: unfortunately, mamas, i need to go now
Cynthia_Good_Mojab: Tina, what a comment for the nurse to have made at such a time!
Webmama_Tina: baby's just not handling this well anymore and my friend's here to help me clean house
Webmama_Tina: i know!
Stayseeliz: I better go as well. I need to get the children down for a nap.
Webmama_Tina: horrid1
Webmama_Tina: i am thinking of sending a letter to the hospital...i just never got around to it...but i think i still may
Webmama_Tina: the what to says and the what not to says
Webmama_Tina: if i had not been in such shock i would have said there IS no better place than in his mommy's arms""
Stayseeliz: Thank you all so much for talking and for your support. I'm going to be more proactive in seeking out help.
Webmama_Tina: thank you so much mamas for this really great chat! you are welcome to stay and continue chatting
Webmama_Tina: i'll just close out the official chat
Cynthia_Good_Mojab: Thank you all for sharing your experiences or for listening in while others shared. I'm so sorry for your losses. I hope you found this Chat a supportive place.
Webmama_Tina: stay as long as you like and talk
Webmama_Tina: thank you cynthia!!!
Cynthia_Good_Mojab: I had better sign off, too, Tina. Take care everyone.
DuckyTate: When I hear of another loss I have learned to wish them strength prayers and healing on every level, because that is what I NEEDED to hear at those times
Webmama_Tina: another great chat!!
Webmama_Tina: yes i just say i'm so sorry""
Webmama_Tina: and leave it at that
Webmama_Tina: that's really all you can say
Webmama_Tina: cuz nothing makes it better
Webmama_Tina: i like the healing thing ducky
Webmama_Tina: i'm going to remember that
Cynthia_Good_Mojab: You're very welcome.  Those are beautiful and appropriate wishes, DuckyTate, to share with a grieving mother.
Stayseeliz: Yes. People just want to know others care and will help if they need help.
Webmama_Tina: take care all! hope to see you chatting again soon!
Cynthia_Good_Mojab: And grieving mothers need people who are not afraid of grief and can just be with them as they are grieving--listening, providing practical help, etc.
Stayseeliz: I agree Cynthia!
Stayseeliz: Again thank you all so much! Peace to you all! This was so wonderful!
Cynthia_Good_Mojab: Ladies, I forgot to mention earlier that I am gathering women's narratives about their experience with lactation and breastfeeding after a pregnancy loss or infant death. More information is available from the Research page of my website www.lifecirclecc.com .
Cynthia_Good_Mojab: I'm planning on writing about this issue so that mothers as well as health care providers will have more information about this topic.
DuckyTate: marked it to favorites
Cynthia_Good_Mojab: All right, back to mothering. : )  Take care.

 

 

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