“Birth no more constitutes the beginning of the life of the individual than it does the end of gestation. Birth represents a complex and highly important series of functional changes which serve to prepare the newborn for the passage across the bridge between gestation within the womb and gestation continued out of the womb.” (Montagu, 1986, 57)
Welcome to The Fourth Trimester
Why your baby won't let you put him down
Evolution of Man as hunter-gather meant our males needed to become swift as they hunted prey large enough to meet the needs of their tribe. Running while covered in thick hair in hot climates such as that we now call Africa was not efficient, so over time, hair became shorter and finer: it aided evaporation of sweat, keeping the runner cool as he covered long distances. But the female also became increasingly hairless, posing quite a problem for mothers.
Breastfeeding, Routines and Schedules
One of the biggest barriers to successfully establishing breastfeeding is the use of routines or schedules.
From the innocent-sounding “feed, play, sleep” to the extreme regimes favoured by some sleep training advocates, using the clock to structure babies feeding patterns is not compatible with the natural relationship between baby and breasts.
Triple Feeding: what you need to know
It's almost routinely suggested by midwives and child health nurses if a baby isn't gaining weight according to their expectations or even appears to have lost weight beyond that normally expected in the first week of life. Yet what is commonly known as Triple Feeding can lead to women completely giving up on breastfeeding, deciding to exclusively pump their milk or to mixed feed with infant formula until they cease all breastmilk feeding weeks or months later.
Expressing & Pumping Breastmilk
While some mothers might never need to express their breastmilk, these days it is something most breastfeeding women will need or choose to do. Sometimes as part of a management plan to overcome breastfeeding problems, sometimes it is part of returning to paid work, study or other regular or occasional separations of mother and baby.
The gentle art of hand expressing
It is a skill which is threatened with extinction as more and more breast pumps are sold around the world, however it is something all breastfeeding women should be taught. Relying on electric or even manual breast pumps to provide your baby’s breastmilk leaves you vulnerable to outages and unexpected damage or loss of equipment.
Helping Your Baby to Attach
Nearly all breastfeeding problems in the early days come down to one thing:
a baby who is well-attached to the breast can effectively remove milk which satisfies hunger and maintains milk supply
It sounds simple yet it is probably the biggest barrier we face in meeting our breastfeeding goals.
Getting to know how newborns communicate
It is a mistake to confuse lack of language with lack of communication skills.
Although human babies do not begin to speak recognisable words until around the second year, they very clearly communicate their needs and feelings from the moment of birth. However parents can’t download a translation app so learning what babies are telling us takes a bit of time.
Cluster Feeding
Ah, it's that time of day!
That time when your baby latches on to the boob around sunset and only come off the swap sides ... again. Quick nappy change and ... back on the boob. Into the baby carrier and ... boob. More boob while you prep Dinner, more while you eat dinner. Boob in front of the TV ... boob in bed while you scroll on your phone. Asleep! Ninja roll out from beside them to dash to the loo and ... okay, more boob!
And this is entirely normal!
Breastsleeping
Separating infant feeding and infant sleep is quite possibly the root cause of so many modern problems surrounding the two. The expectation that night feeding is an inconvenience to be tolerated in the very early days of infancy, but needs to be eliminated as soon as possible has no evidence to support it - and a great deal to debunk it.
Contact Napping
Resenting your child's contact naps because you are wasting time that could be better spent does you no good at all. You might have intentionally chosen this pathway or stumbled across it on your journey. Here you are, practicing the gentle attachment style of parenting which appealed so much ... and wishing your child would just lie down in the cot and fall asleep by themselves like all the other babies.
The 4th trimester concept
We measure pregnancy over nine months divided into thirds: the first trimester is a secret time, when an embryo develops into a foetus hidden away from the outside world; in the second trimester news of the pregnancy is shared and celebrated and preparations begin; in the third trimester the focus moves to the impending birth and plans made for labour and delivery. We celebrate the arrival of the newborn as though the journey has ended. But for the newborn, an even bigger transition must now be made.
Instinctive Mothering
Deeply buried beneath layers of social conditioning are your maternal instincts.
Like bubbles in water they rise whenever your new baby cries. But they get pushed back down under the weight of public opinion.
“Don’t pick them up when they cry”
“Don’t hold your baby all the time”
“Don’t let them sleep at the breast”
Womb service
Consider life in the weeks leading up to birth. Your baby never experiences hunger, cold, silence, stillness or isolation. They are held increasingly firmly by the strong muscles of the uterus. Their digestive system is still. They are rocked by the gentle movement of their mother, even as she sleeps. Her presence is constant, her heartbeat and other body sounds a rhythmic soundtrack. Light and sound are muted.
Skin to Skin Contact
Touch is an overlooked sense, yet one which is incredibly powerful in the bonding between parent and child. Ashley Montagu wrote about this in his acclaimed book Touching: The Human Significance of the Skin in 1971:
“Among the most important of the newborn infants needs are the signals it receives through the skin, its first medium of communication with the outside world”
Understanding Newborn Sleep
Your baby is not going to sleep through the night and that’s because they aren’t supposed to!
Its a hard fact to process in a modern society who pursues unnatural infant sleep and feel they have failed when their babies do not reach this parental goal. But you can no more train a baby to sleep all night than you can train them to walk or ride a bike. It is developmentally normal for babies to repeatedly wake at night to breastfeed and to need parental contact and support to return to sleep.