Hello Heather!
I would tell the client that no one but her self can decide how 
important breastfeeding is for her.
I can give her all the information about benefits, how it works and so 
on, but SHE has to do the desicion.
She is the one who is going to breastfeed......and to deal with things 
around that. It is her life.
I would ask her about her thoughts about breastfeeding and 
sleep.......And how she thinks about breastfeeding over all ..
Breastfeeding should not be something forced upon you......
I would also tell her about this study that indicates that breastfeeding 
mothers who sleep with their babies get more sleep.......

*1: *J Obstet Gynecol Neonatal Nurs. <javascript:AL_get(this, 'jour', 'J 
Obstet Gynecol Neonatal Nurs.');> 2004 Sep-Oct;33(5):580-8. Links 
<javascript:PopUpMenu2_Set(Menu15495703);>


        Interaction between feeding method and co-sleeping on
        maternal-newborn sleep.

        * *Quillin SI*
          <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_AbstractPlus&term=%22Quillin+SI%22%5BAuthor%5D>,

        * *Glenn LL*
          <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_AbstractPlus&term=%22Glenn+LL%22%5BAuthor%5D>.

    Department of Family and Community Nursing, College of Nursing, East
    Tennesse State University, Johnson City 37614-0676, USA.
    [log in to unmask]

    BACKGROUND: Previous studies have demonstrated that breastfed
    newborns spend more time awake than bottle-fed newborns,
    breastfeeding mothers have more fragmented sleep than bottle-feeding
    mothers, and mother-newborn sleeping arrangements may affect the
    sleep/wake pattern of mother-newborn pairs. OBJECTIVE: To address
    the unsolved question of whether there is an interaction between
    type of feeding and sleeping arrangements that affects postpartum
    sleep during the 4th postpartum week. DESIGN: Correlational, two-way
    design using feeding method and location of newborn at night as
    independent variables, and sleep patterns as the dependent
    variables. SETTING: Patient's home during 4th week after giving
    birth. PATIENTS/PARTICIPANTS: First-time mothers and their newborns
    (n = 33). MAIN OUTCOME MEASURES: Amount of total sleep, amount of
    night sleep, number of night awakenings, and number of sleep periods
    in 24 hours using a modified version of the self-report sleep
    instrument by Barnard and Eyres. RESULTS: Breastfed newborns had
    less total sleep per day than bottle-fed newborns, and breastfeeding
    mothers had more sleep periods in 24 hours than bottle-feeding
    mothers. Breastfeeding mothers slept more than bottle-feeding
    mothers when co-sleeping, but bottle-feeding mothers' sleep was
    unaffected by location of newborn. Average total sleep for
    4-week-old newborns was about 14 hours daily. CONCLUSIONS: More
    sleep was obtained when breastfeeding mothers slept with the
    newborn. Methods or devices that allow breastfeeding mothers and
    newborns to sleep next to each other in complete safety need to be
    developed.


SO - if more sleep is what she wants, breastfeeding is the best way to 
get it.

Best regards
Mia Westlund
RN Midwife IBCLC in Sweden
mother of 4 ( no 3 and 4 are twins)



client

What do you say to a client who tells you that she wishes someone would just
tell her that breastfeeding isn't that big of a deal and the benefits are
not more than the sleep she would like? 

 

Heather Shelley CD, LCCE

Midwifery Student MCU


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