Time slipped by and I didn´t answer... Just wanted to thank you for your
beautiful, thoughtful and historical reply.
Hugs!!!
Kika
>
> Date: Sat, 10 Nov 2018 08:30:10 -0500
> From: Nikki Lee <[log in to unmask]>
> Subject: attachment - pain
>
> Dear Lactnet Friends:
>
> Thank you Kika, for clarifying the original statement.
>
> For the mothers not having pain, it doesn't matter about the attachment.
>
> For the mothers having pain, there is more going on. In those cases, a
> thorough assessment is required. Sometimes the solution to the mothers pain
> is to adjust the attachment and positioning. Sometimes there are other
> things going on; we can make a long list.
>
> For example; things can look perfectly fine and the baby transfer no milk
> at all; thank goodness for pre/post feed weights
>
> We have learned to change the attachment and positioning over decades of
> giving breastfeeding help. While there is no research to say that this is
> always the definitive cause of pain, there is enough experience for us to
> start there.
>
> Breastfeeding has never been a visual art.
>
> We have to start somewhere, when a mother is having problems. We start with
> the obvious. If changing positioning and attachment don't work, we keep
> looking for the reasons for the pain. After thorough assessment, we can
> find pain from nipple skin infections, or capillary spasms, or babies with
> TOT, or subluxation of vertebrae, a history of abuse, or a variety of
> things.
>
> For a long time, when breastfeeding was being resurrected into the
> mainstream in the 1950s, women were using their breasts like bottles....and
> new mothers were told that "it hurts for 2 or 4 or 6 weeks"....and then the
> baby would have grown big enough or mom would have figured out a way so
> that it didn't hurt anymore. (Kay Hoover shows a photograph of herself
> breastfeeding her newborn with a terrible position and laughingly admits
> that it hurt for weeks.)
>
> The thought in those days was that it was the length of time at breast that
> caused pain. It wasn't until the late 1970s/early 1980s, when Kittie
> Frantz and Carol L'Esperance published an article (1978? 1983?. . or maybe
> both) that identified pain as the result of positioning that our views
> started to shift.
>
> Nowadays, we have laid-back breastfeeding, written about by Suzanne
> Colson, and before then, the door opened with Lennart Righard's research
> (1990) that led to Kittie Frantz and Ann Marie Widstrom both releasing
> videos about delivery self-attachment. We realized that newborns do have
> abilities and skills.
>
> Before then, newborns were not considered to be able to do anything.
> (Although Ann Marie Widstrom was gathering her data about the newborn's
> abilities starting in the late 1970s in Sweden.)
>
> Before that change, breastfeeding was considered to be the mother's sole
> responsibility: she had to hold her baby and her breast a certain way, and
> sit a certain way for breastfeeding to work.
>
> Now, thank goodness, we know that babies know more about breastfeeding at
> birth than do their mothers.
>
> This is my view of breastfeeding history. .. .feel free to correct, all
> you wonderful Lactnetters.
>
> (Why was Sweden was ahead of everyone in this regard. . .because Sweden had
> a midwifery model of care, and the US model of care was physician
> dominated? Oh, Marden Wagner, what would you have said?)
>
> warmly,
>
>
>
> --
> Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC, RYT
> Reviews Editor,* Clinical Lactation*
> www.nikkileehealth.com
> *Communications are confidential and meant only for whom they are
> addressed.*
>
>
--
Dra. Carmela Baeza
Médico de Familia
Consultora Certificada en Lactancia Materna IBCLC
www.centroraices.com
http://www.facebook.com/Consulta.Lactancia.Raices
<http://www.facebook.com/pages/Centro-de-Atenci%C3%B3n-a-la-Familia-Ra%C3%ADces/274415189309122>
Autora de "Amar con los Brazos Abiertos"
http://www.ediciones-encuentro.es/libro/amar-con-los-brazos-abiertos.html
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