March 2017

Newborn Survival

Newborn Care: Fussiness

When I teach my newborn care class one of the topics we cover is fussiness. This topic gets a lot of reaction from parents. They have a lot of questions. Nobody wants a fussy baby, but the truth of the matter is that every baby is fussy at times. So what do you do when your baby is fussy?

The simplest place to start is to make sure baby has been fed, diaper has been changed, and decide if baby is tired. All three of these things can be the most common sources of fussiness, so rule those out first.

If baby has reflux, try babywearing. Keeping baby in an upright position can work wonders.

I also suggest the book Happiest Baby on the Block to my students. There are some great, simple ideas to help make baby happy including swaddling and sucking (either a pacifier or breast). The five S’s listed in the book are basically simple ways to recreate the feeling of the womb for your baby.

For an in-depth look at this topic and for more helpful tips about your newborn, register for one of my upcoming Newborn Care classes.

Alyssa Veneklase is a ProDoula Certified Postpartum Doula and Co-Owner at Gold Coast Doulas in Grand Rapids, Michigan. She also teaches Newborn Care Classes and Postpartum Planning Classes.

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Kids chores

The importance of giving children chores

Today we have a guest blog from our very own Alexandrea Rocha, previously an antepartum and postpartum doula with Gold Coast Doulas. If you have kids at home and struggle with the day-to-day list of chores, she has some helpful tips to get the whole family involved!

As parents, it’s easy to feel overwhelmed. Especially for stay-at-home Moms and Dads. One area I hear a lot of people say they struggle in is keeping up with the housework. Some families can afford a housekeeper, but many cannot. What do you do if you have kids at home and just can’t seem to find enough time in the day to get all the household chores done? I’m going to give you some helpful suggestions on how to have your children start to pitch in.

I have a list of things I want to accomplish daily, but with three kids I’m lucky if I’ve maybe done half of the items on my to-do list. For a while I just did everything myself because I am faster and more efficient (you know how it is)! But then it dawned on me that it was my job to teach my children to be responsible, and they were most certainly at an age where they could start helping out.

Starting at age one, you can find small things to have them help with. They will absolutely need your guidance, but getting them in the habit early is important. When my son was a toddler I ran a childcare for other toddlers in my home. Their job was to clean up their toys at the end of the day. A helpful tip to get everyone excited is to sing! Find a clean up song, mine happened to be from the television show Barney, and sing it during clean up time. Something about that song worked magic. They all loved helping clean up to the special song and sang it along with me. Make sure to thank them for their hard work and tell them how helpful they were. Kids love to be encouraged and hear good things about themselves, just as adults do.

Another thing toddlers can do is help feed pets if you have any, and water plants (both with supervision, of course).

When children are preschool age, they are now capable of cleaning up their toys on their own. They may not put the toys back exactly where you’d like them, but you have to let them do it. Same with making their beds. Let them try it on their own and praise them for their efforts.

I have some pretty basic chores that are routine at my house. My children put their shoes by the front door when we get home, they clear their dishes from the table after meals and snacks, and we unload the dishwasher together. I make sure my kids know that we are a family and we work together. I shouldn’t have to do it all myself when they are fully capable of helping.

Do they always want to? No. Do they complain at times? Yes. But I’m pretty strict about helping with chores, and I expect them to do it. However, I don’t force them to do it immediately or punish them if they don’t do it right away. Giving them an expectation and a time frame is a great idea. For example, “I would like the dishwasher to be unloaded before dinner” or “I would like you to have the playroom clean within an hour”. I tell my kids often how much of a help they are to me and how much it means to me when we all work together.

As kids get older they can do more and more and eventually have a regular list of daily and weekly responsibilities. Make a list of the chores that need to be done weekly and figure out which ones your kids can help with. Can they put away their own clean laundry? Maybe they can help sort the dirty laundry and put it into the washing machine with you. Can they set their own place at the table? Can they dust, make their bed, and clean up their room?

It’s important to give them choices. Sometimes they’re more excited about doing chores if you allow them to choose which ones to do that week. I’ve noticed by giving my kids freedom and choices in the matter, chores go much smoother.

If this is something you want to implement in your family’s life and have struggled with, don’t fret. It can be done. Start slow, and let them choose something that sounds appealing to them. Make it a fun thing you do together at first. Then have them do it themselves.

Another idea is to set a designated chore time daily for everyone. Even if it’s only a half an hour, you all get your chores done at the same time and have a little more time together as a family for the fun stuff. If it’s a bigger chore, you can tackle it with them. I help my 7 year old clean her room sometimes. It can be such a mess I think the idea of cleaning it up alone is overwhelming, so we work together and I assign her jobs that are hers to do. It gets done much quicker that way and usually I hear no complaints.

Our children won’t learn it if we don’t teach them, and it will help them in the long run to learn about responsibility, teamwork, and hard work. But don’t forget each child is unique so you have to use your judgment and do what works best for your family.

 

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infant massage

Infant Massage Questions

Frequently Asked Questions About Infant Massage 

Gold Coast Doulas is thrilled to present a Part 2 of the Infant Massage guest blog from Cristina Stauffer.  Cristina Stauffer, LMSW, CEIM has been passionate about serving women and young children throughout her career.  Pregnancy and early motherhood can be one of the most vulnerable times in a woman’s life. Cristina has been dedicated to supporting women through this delicate time by providing therapy and support, education and screening about perinatal mood and anxiety disorders such as postpartum depression and through teaching parents and caregivers the joy of infant massage. She graduated from the University of Michigan with a Bachelor of Arts degree in psychology and from Boston University with a Masters in Social Work.  Cristina became a Certified Educator of Infant Massage (CEIM) in 2005 and has incorporated this practice into many aspects of her career. She has been practicing in the field of social work with a focus on women and young children for over 20 years. 

Frequently Asked Questions about Infant Massage

Infant Massage has been practiced for centuries in India and other countries, but is still a relatively new practice here in the United States. Vimala McClure, author of Infant Massage: A Handbook for Loving Parents, brought the concept of infant to the US in the early 1970’s. Infant massage classes, books and videos have continued to pop up and are still growing in popularity.  For most parents, however, the idea of massaging their baby is a new and different concept. It is normal to feel nervous or awkward about learning a new skill and parents or caregivers often have a lot of questions. Rest assured, infant massage is a very gentle, easy practice to learn and incorporate – anyone can learn to massage their baby. I have listed some of the most common questions I hear from parents and caregivers along with their answers below:

Why should I massage my child?

Infant massage has many benefits including relaxation, bonding and attachment, improved sleep habits and reduction in gas, constipation and fussiness.  However, the most beneficial part of massage is the opportunity to just be with your child. Listen with your hands and with your heart as you massage, dropping your expectations or need for accomplishment or perfection. The quality of this interaction is very powerful and allows you to enjoy a special experience with your child, emotionally and physically.

How old should my child be?

We are never too old or too young for massage. Your child will benefit from your nurturing touch from birth through the teen years. The principles of respect and asking permission apply throughout all these years. This is a great way to keep in touch with your child and it is never too late to start! For older siblings, massage is a good way to neutralize jealousy and provide the focused attention they also require. Massage is a relaxing form of communication that can help you maintain positive communication with your child at any age.

How long should I massage my child?

Massage should last as long as it is pleasurable for both you and your child. This may be as little as a few minutes (which can be very effective) and as long as a half an hour or more.

How hard should I press?

Infant massage uses a firm, yet gentle touch.  Don’t press too hard—this isn’t “deep tissue massage”, but also don’t tickle or use touch that is too light. Watch for the baby’s reaction to determine the appropriate pressure.

How do I understand what my child needs during massage?

Observe you baby’s breathing to notice how your touch is being received.  Your baby’s breathing will probably become deeper and slower. Sighs may indicate that your baby is receiving the massage as nurturing and pleasurable. Facial expressions, body posture, movement and sharing what they like with words and pleasurable sounds also indicate if babies like the experience.

Can Dads do infant massage too?

Yes! Massage is a wonderful way for fathers to demonstrate their love. We must respect that a father’s way of relating to the child may be different from that of mothers. Sometimes Dads give the best massage because they aren’t afraid to go a little deeper.  Massage is also a great way for fathers to learn more about their baby’s body, needs, communication and cues.

Gold Coast Doulas is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.

 

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infant massage

Why is Infant Massage Good for Babies?

Why is Infant Massage Good for Babies?

Gold Coast Doulas is thrilled to present a guest blog from Cristina Stauffer.  Cristina Stauffer, LMSW, CEIM has been passionate about serving women and young children throughout her career.  Pregnancy and early motherhood can be one of the most vulnerable times in a woman’s life. Cristina has been dedicated to supporting women through this delicate time by providing therapy and support, education and screening about perinatal mood and anxiety disorders such as postpartum depression and through teaching parents and caregivers the joy of infant massage. She graduated from the University of Michigan with a Bachelor of Arts degree in psychology and from Boston University with a Masters in Social Work.  Cristina became a Certified Educator of Infant Massage (CEIM) in 2005 and has incorporated this practice into many aspects of her career. She has been practicing in the field of social work with a focus on women and young children for over 20 years.

Why is infant massage good for babies?

Most of us recognize that we are never too young or too old to enjoy nurturing touch or the practice of massage; however, many people still wonder why they should learn to massage their baby.  Research over the years has shown that infant massage has many benefits for both parents and child, but the most important aspect of infant massage is simply the opportunity to just be with your child. The quality of the infant massage interaction is very powerful and allows you to enjoy a special experience with your baby, both physically and emotionally.  Other benefits of infant massage include relaxation for both caregiver and child, improved sleep habits for babies, promotion of healthy digestive function in babies, better body awareness, and encourages positive parenting skills.  Let’s explore the benefits of infant massage in each of these areas further:

Relaxation

  • Massage reduces fussiness.
  • Massage helps a baby learn to relax and reduce stress.
  • Massage helps a baby handle sensory input and respond to it with relaxation.
  • Daily massage time offers parents a time to relax and unwind from the busy pace of life and to connect with their child.
  • Massage increases a parent’s ability to help their child relax in times of stress.

 Improved Sleep

  • Research has shown that massage helps improve the quality of baby’s sleep and encourages the baby to fall asleep faster after massage.
  • Massage increases oxygen and nutrient flow to cells and helps to deepen respiration.
  • Many parents report noticing improved sleep habits such as longer naps or more restful sleep after incorporating infant massage.
  • It is not unusual for babies to fall asleep and stay asleep during infant massage classes or private instruction.

Healthy Digestion

  • Research has shown that massage strengthens and regulates the digestive, respiratory and circulatory systems.
  • Massage stimulates baby’s ability to gain weight, especially for premature babies.
  • Massage helps to relieve the discomfort of gas and colic, teething, and congestion.
  • Infant massage instruction helps parents to better understand how the digestive system works and how to help relieve gas and constipation.
  • Infant massage class materials include a massage routine specifically targeted to relieve tummy problems such as pain, gas, constipation and colic.
  • Parents become more aware of how the baby’s belly looks and feels and are better able to identify possible tummy trouble.

Better Body Awareness

  • Massage enhances children’s body awareness and encourages positive feelings about their bodies.
  • Massage encourages children to feel “in charge” of their health as they grow and provides a healthy alternative to deal with stress.
  • Massage helps babies learn to accept and tolerate positive touch which is especially beneficial for babies who have been hospitalized.
  • Massage builds parent’s respect and understanding for their baby’s unique body, cues, and nonverbal communication.

Benefits for Parents and Caregivers

  • Massage provides intimacy and special time for caregivers and child, including fathers.
  • Massage helps parents to feel more competent and confident in their parenting role.
  • Parents learn how to touch and respond to their baby in nurturing ways.
  • Massaging their baby increases prolactin production (the “nurturing” hormone) in the parent allowing them to feel more relaxed and loving toward their child.
  • Group massage classes provide an opportunity for mutual support from other parents.
  • Massage provides an opportunity to connect, interact and share quality time with babies and children at any age.

 

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Healthy Fats

Healthy Fats for a Nourished Body & Baby

We are happy to have Sam Kalawart, Certified Health Coach, as a guest blogger today! Check out what she has to say about healthy fats.

Pregnancy is a beautiful and exciting time in a woman’s life. During these 9 months, your body is working in over drive to ensure your unborn baby is developing as it should, which means a nutrient-dense and balanced diet has never been more important. Simplifying nutrition, meal planning, and reducing stress are a big part of making this incredible journey a little easier on mommy and baby. Getting these skills down pat can help you naturally balance your hormones, stabilize cravings, glow from the inside out, and most importantly grow a healthy baby.

Today I’m talking about fat. Not just any fat, but fats sourced from a wide variety of plants that will make you look and feel fabulous!

We’ve all been told to fear fats because of the increased risk for raised cholesterol, heart disease, diabetes, and cancer. The truth is that without fat our hormones, and in turn our health, can fall into disarray. Understanding fats is especially vital for expecting mommas to ensure they are receiving the adequate building blocks during pregnancy. Fat becomes even more important postpartum as your body works to re-balance hormones and keep your milk supply prevalent. It’s time for some clarity so you can implement healthy fats into your diet with ease.

Limit

Trans fats have almost no nutritional quality and are generally used to increase the shelf life of products. Unfortunately, it wreaks havoc on your health and has been proven to raise your LDL also knows as “bad cholesterol” and lowers your HDL or “good cholesterol”. Though regulations to reduce or completely remove trans fats have grown in popularity globally, trans fats are still prevalent in the U.S. food supply today. Partially-Hydronated vegetable oils and saturated animal fats pose the same risks and impair circulation in the body, which is why I always emphasize that my clients read nutrition labels to understand the ingredients in their food. Watch out for the following vegetable oils such as sunflower, safflower, canola.

I get asked about nuts a lot and the only nut that I recommend my clients limit is peanuts, including peanut butter. This is because of the high cases of a mold known as Aflatoxin, which is formed during peanut production. Aflatoxin has a carcinogen and has been shown to cause liver cancer in rats. The added oils and sugars found in most peanut butters also lead to an increase of inflammation in the body. If cravings get the better of you then opt for the organic, raw peanut butter, or better yet make your own in a food processor with organic/raw peanuts.

Enjoy

Fat sources I recommend are a balance of poly-saturated and mono-saturated fats found in a variety of plants. My favorite sources are avocado, coconut butter, raw nuts and raw nut butters, seeds such as hemp/chia/flax, and olives are also an excellent choice. Increasing your omega-3’s during pregnancy is also very important, just be sure you are getting them from clean sources. Because fish can contain high mercury levels, I recommend sticking to natural sources of omega-3’s found in hemp seeds, flax seeds, walnuts and algae. I use a DHA/EPA supplement made from algae that is a potent form of omega 3’s and is readily absorbed by the body.

Portions

Each meal should contain a portion of healthy fats but it can be very easy to overdo it, even with plant sources of fat. A great example of this would be snacking on nuts. A few handfuls of raw cashews can easily exceed 600 calories, so stay mindful of your consumption and focus on balancing your meals with greens, plant protein, and starches such as sweet potato, quinoa or wild rice. As a general guideline, keep your daily portions to 1 tablespoon of coconut/olive oil for cooking, a small handful of raw nuts/seeds for snacking, and ½ avocado per day added to salads. I don’t believe in tracking macros meticulously but tracking for the first few days as you get into the swing of things can be very helpful for some. Keeping daily fat intake around 20-30% is ideal, but everyone’s needs are different so tune into your body’s own intuition.

To incorporate some plant based fat into your meals try my Classic Guacamole recipe below! I enjoy this recipe dipped with my favorite veggies, garnished on salads and of course top off my tacos with it!

Classic Guacamole

Start by picking 2-3 ripe avocados. They are ripe when slightly soft to the touch and dimple easily. When you cut into them they should be a light green. Brown spots mean it is going bad and yellow mean it’s not quite ready yet!

In a small mixing bowl, scoop out the inside of the avocados and discard the seed. I then use a potato masher to get them to the consistency I’m looking for. Some people like their guac completely smooth but I like to leave some chunkiness in there for texture.

Chop the following and stir into mashed avocados: 

-1 shallot
-2 cloves of garlic
-1/2 cup red onion
-Handful of fresh cilantro
-1 serrano pepper
-1 tomatillo
-Juice of 1 lime

Add the following spices: 

-Dash of cumin
-1 tsp of Himalayan sea salt (add more to taste)
-1 tsp of cracked black pepper

Stir and enjoy with your favorite chips/tacos/salad!

Sam Kalawart, CHC

In my health coaching practice, I guide my clients to effortless weight loss and a boost in energy without yo-yo diets or deprivation. Through my one-on-one customized sessions, we work to find what works for your body for sustainable results using whole foods, mindfulness and a whole lot of self-love!

Utilizing the psychology of habit change I help you follow through in a way that you never have before. This is an invitation to get curious about how healthy you can be, to become a stand for transformation.

Click here to learn more about Sam’s services and schedule your FREE Self-Discovery Consultation!

Source Information:
Normal Suggested Amount of Fat and Protein for Women, SF GATE, 18 Mar. 2016. Accessed 27 Feb. 2017.
“Berkeley Wellness.” Aflatoxin in Peanuts, University of Berkeley. Accessed 1 Apr. 2016.
Mann, Dennis. Trans Fats: The Science and the Risks, WebMD. Accessed 27 Feb. 2017.

 

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Am I producing enough breastmilk

Can My Body Make Enough Milk for My Baby?

We are pleased to present a guest blog by Shira Johnson, IBCLC.

Can My Body Make Enough Milk for My Baby?

Fact: Most breastfeeding mothers, at one time or another, worry about their milk supply. They wonder whether their body will make enough milk for their baby, if their supply will last.

Not surprising, since most of us have heard stories about moms who, despite wanting to breastfeed, reported not being able to; their milk dried up, baby refused the breast, they were told their milk wasn’t good, etc. Through no fault of our own, many mothers head into breastfeeding with an expectation that milk production will be a struggle, due in part to these stories that are shared widely by well-meaning strangers, friends, family members and even healthcare providers. But the reality is that MOST moms’ bodies can make plenty of milk. The fear of low supply is much more common than the reality!

Before I go on, let me be clear that not all women who want to breastfeed can make enough milk to sustain a baby. There are many physical conditions that potentially impact milk production (including birth complications, thyroid conditions, PCOS -Polycystic Ovarian Syndrome- and other hormone conditions, anemia, retained placenta, breast or chest injuries/surgeries, various illnesses, medications or hormonal birth control, or Insufficient Glandular Tissue -IGT- the technical term describing when breasts contain less milk-making tissue).  It’s important to recognize that low milk supply is a very real scenario that many struggle with, and it’s a serious topic that deserves a lot of attention of its own. But here we will focus on milk production in mothers with no prior physiological limitations; specifically on how low milk supply is less common than people think, and that it is much less common than “perceived low milk supply”.

Perceived low milk supply, or Perceived Insufficient Milk, is when moms are making enough milk but think that they are not. This may not sound like a big deal, but it is. Why? Because, despite having no physiological basis, perceived low supply is one of the most frequently-reported reasons for early weaning! And it’s a very stressful thing to worry about.

The good news: Perceived low supply does not equal actual low supply.

The bad news: Perceived low supply is very common, and (in addition to the fact that worrying is no fun) perceived low supply can cause low supply!

How can perceived low milk supply cause actual low supply?

When moms believe their supply is low, the way they feed changes… and how we feed has a strong influence on milk production. For example, moms might introduce supplemental formula if they perceive baby to be dissatisfied or hungry after nursing, or if baby is nursing more often than they expected or is waking frequently at night. It’s easy to assume that low supply is the cause of these things if we aren’t familiar with normal breastfeeding behaviors (especially when formula-feeding culture perpetuates unrealistic expectations for breastfed babies). Feeding on a rigid schedule, sleep training a young baby, or otherwise altering baby’s feeding routine can impact milk supply very easily, so understanding the nuts and bolts of milk production, baby behavior and growth patterns is important. All of the conflicting advice we receive from family, pediatricians and friends is confusing! Knowing how to tell when things are going well gives parents confidence to keep going through the ups and downs. Since perceived low supply is not a physical issue, it is totally avoidable, as long as parents have support and access to good information.

How does milk production work?

Milk production begins as a hormonally-driven process, initiated by hormone changes at birth. Over time, it becomes a supply and demand process (meaning that, ideally, the body will adjust to make exactly what baby needs – no more, no less). The baby communicates how much it needs … by eating exactly what it needs! If it needs more, it will suckle more, sending hormonal signals to mom’s brain, which in turn tell her body to make more milk. This is one reason babies might seem to nurse around the clock during growth spurts. Not only are they trying to eat more, they are also instinctively “putting in the order”, so to speak, for more milk to be made to accommodate their increased needs!)  Simply put, the more milk is removed, the more milk the body will make. Milk can be removed in a number of ways: directly feeding baby at breast, or expressing with a pump or by hand. If milk isn’t removed regularly, milk production will be altered. This is how extra pumping can increase supply, or how skipping feeds or going long stretches between pumping at work can decrease supply. This also explains why babies who struggle to transfer milk can result in decreased supply over time, even if they are at the breast a lot! (There are many reasons why a baby might struggle to transfer milk effectively. Their feedings might take a very long time, or they may fatigue easily at the breast. If you suspect this, it’s a good time to call a lactation consultant). But, compared to pumps, babies are usually more efficient at removing milk, due to the additional stimulation, warmth and eye contact inducing more milk-making hormones. Expressing milk, however, is very effective for some, and is a necessity for breastfeeding moms who work outside of the home or are separated from their babies.

For more about milk production, look for a future post all about how to maintain a good milk supply!

If you need support in the meantime, an IBCLC, Board Certified Lactation Consultant, can help answer your questions about supply and foods to support lactation, help you determine if baby is getting enough, or troubleshoot concerns even before your baby arrives!

 

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breastfeeding class

Why Take a Breastfeeding Class?

Why Take a Breastfeeding Class?

We are pleased to present a guest blog by Shira Johnson, IBCLC . 

Breastfeeding is natural, right? Well, yes… But it doesn’t always come naturally!

Just like parents educate themselves about pregnancy and birth, it’s valuable to have basic knowledge about breastfeeding before baby arrives (we don’t read up on childbirth while in labor, after all). Breastfeeding is a relationship, a complex dance between mom and baby, and many factors influence how each pair works together. Even if mom knows just what to do, it might not come as easily for baby (or vice versa!). Getting off to a good start begins at birth, and in the hours and days following. Having resources and realistic expectations can help.

Facts about Breastfeeding Education

  • Parents who receive prenatal breastfeeding education have more successful breastfeeding outcomes
  • Fears about breastfeeding? Have you heard horror stories from well-meaning friends or family members? Are you worried you’ll have to restrict your diet, worried about making enough milk, or about breastfeeding in public? You’re not alone! These unknowns and concerns are common, and they undoubtedly influence our expectations! It’s no fun to head into something feeling nervous or skeptical. Having a basic understanding and being prepared with tools and resources can set the stage for success.
  • Many parents who start off breastfeeding don’t meet their own breastfeeding goals. Many stop breastfeeding before 6 months, despite health guidelines (by the American Association of Pediatrics, as well as the World Health Institute) to breastfeed exclusively for 6 months, and provide breastmilk for a minimum of 1 to 2 years. Yet in 2016, only 22% of babies were exclusively breastfed for 6 months, and only 50% were still received any breastmilk at 6 months. Most parents start off breastfeeding, but many stop before these suggested guidelines.
  • The most commonly-reported reasons for early weaning (such as concerns about milk supply/production, pain associated with breastfeeding, and going back to work) are typically addressed in a breastfeeding class, preparing parents with information and resources to successfully troubleshoot these most common challenges and obstacles.
  • What’s so great about breastmilk, anyway? Most of us have heard “breast is best” and similar hype about the magical health benefits of breastmilk. Well, there’s a reason for this. New research continues to come out every year about amazing discoveries around the functions and content of breastmilk. While formula might be nutritionally complete (and is an invaluable tool, when needed), the nutrients in it are not as bioavailable (not as easy for the body to access or utilize). Also, formula does not have the amazing protective and immune functions that breastmilk has. Breastfed babies are less likely to be obese or have diabetes later in life, and breastfeeding reduces risk of cancer not just for baby but also for mom! Breastfed babies tend to get sick less often, and recover from illness more quickly than their formula-fed peers. The majority of parents who sign up for a breastfeeding class are often already planning to breastfeed, but if you’re on the fence about breastfeeding, or are concerned about whether it is worth the effort, these cool facts might inspire you. A breastfeeding class can help you weigh your baby-feeding options. There is certainly no shame in feeding your baby in any way you choose to. But having more information can help this choice be an easier one to make.

 

If you are a parent who plans to breastfeed or just wants more information, if you’re curious about how it all works, how to do it, whether or not it’s “for you”, how to return to work as a breastfeeding mom, or if you have any concerns, fears or simple curiosity and a desire to learn more, then a breastfeeding class is for you!

 

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