November 2007

A big source of stress for new moms is breastfeeding. Initially, there is the decision of whether or not to breastfeed. Many new moms who do try to breastfeed are faced with challenges and need to decide whether or not to proceed. Some new moms try breastfeeding and despite it going fine, do not want to proceed for one reason or another. Then, there is the decision of whether or not to supplement with formula. And, how about when to wean? The list of decisions goes on and on.

A major complication to all these decisions is other people. Everyone from your mother-in-law to your pediatrician to the lady in line behind you at the grocery store will ask about breast-feeding and will have a (strong) opinion to offer.

People try to tell you that your decisions about breast-feeding are directly related to your abilities as a mom. This is simply NOT TRUE.

The Calm Mom’s advice? Ignore everyone! Tune them out. Tell them it’s a personal decision, and then do exactly that – make a personal decision!

Here are some Calm Mom tips on doing so:

Gather information, but take it with a grain of salt
There is no doubt that breast-milk is best for babies. So, be open to considering breast-feeding your baby. Before you deliver, read up on breast-feeding and go to an informational class if one is available at your local hospital. Remember though, that breast-feeding advocates are often very “spirited”. Take the information they provide with a grain of salt. Breast-milk is best, but countless people were raised on formula, and turned out just fine. In fact, you might be one of them!

On a related note, don’t feel ashamed of using formula. Formula is there for a reason – to feed babies and help them to thrive. Don’t let anyone tell you that you are a failure as a mom because you supplement with formula or because you decide to use formula exclusively. Again, take research on breast-feeding with a grain of salt. Yes, breast-fed babies have higher IQs than bottle-fed babies. But, moms, listen to this – it is a difference of two IQ points. As a psychologist, The Calm Mom can tell you that two IQ points will not determine whether your child will be the next Bill Gates.

Breast-feeding DOES NOT COME NATURALLY!
When your baby is born, he will be plunked at your chest and both you and he are expected to JUST KNOW what to do. Guess what? He doesn’t have a clue and neither do you. For many new moms, the first few weeks involve a lot of tears – and we are not talking about baby tears. Breast-feeding is a skill that must be learned. Get a lactation consultant right away (see TheCalmMom.com Resources page for more information). And, give yourself some time. You and your baby both have a lot to learn about this process and for most women, it does become easier within the first few weeks.

Don’t make flash decisions
Even after that first night of your baby’s life, there will be times when you will want to quit breast-feeding – on a particularly exhausting night when no one can feed the baby but you; on your first day back to work as you lug your pump into your office and your breasts leak during a meeting with your (male) boss; when you develop a sore, blazingly red breast from a blocked duct. Ugh. Don’t decide to quit on one of these bad days. Wait two weeks. Then, re-evaluate. Things are often going much better just a few days later.

On a similar note, if you are tempted to give up breast-feeding, think of reasons that might inspire you to continue. Some moms like the cuddling and closeness (trust me, these days are numbered!). Some moms simply marvel that their babies can thrive so well by eating only milk that comes out of our own bodies! Wow! Some moms (be honest you moms out there!) are pleased to see that breast-feeding burns a lot of calories and might make it easier to lose that post-baby weight. Some moms like that they don’t have to spend their precious free time mixing up formula and washing bottles. Think about it. What are the good things for you? Even if it is a silly thing, it might keep you motivated at times when breast-feeding seems like the hardest thing you’ve ever done.

If you are unable to come up with any reason to continue, stop. Your baby will sense your tension when you are nursing and it will be unpleasant for both of you. Remember, it is your decision. Don’t let anyone (including yourself) equate breast-feeding with your abilities as a mom.

Meet other nursing moms
Many hospitals and community centers host breast-feeding support groups. Sounds silly, huh? Wrong! I went to such a group when my baby was just two weeks old. I had some questions and figured I’d go to the group once and speak to the lactation consultant. Guess what happened? I got my questions answered …and met 10 women who are still my close friends. We started out by just congregating at the class on Thursday afternoons. A few weeks later, we started arranging weekly get-togethers at one of our homes. We started exchanging information about parenting challenges and triumphs and best of all – started to go out for girls’ nights to get a break from all the responsibilities at home. Right now, we are on the second birthday party circuit and many of us are breast-feeding again as our second little ones arrive. The Calm Mom can tell you this: we all stuck with breast-feeding way longer than we thought we would because of the support of the lactation consultant who ran this group, and perhaps even more so, because of each other. By the way, some of the women came to the support group once and ended up not breast-feeding…but we included them in our group anyway. Don’t mom-bash by making other moms feel badly about their own choices.

 

One advantage of being a behavioral psychologist is that I know how to read and understand research studies. Studies about babies and parenting often make the news. Great, right? Well, maybe not. Stuff gets in the newspaper because it is exciting and bold. However, what we read on the front page might not map on to what researchers really learned in their studies. And, sadly, sensational stories can influence the way we feel about ourselves as moms. So, come back to this page every month to read the truth!

A study is about to be published in the Journal of Pediatrics entitled, “Associations between media viewing and language development in children under age 2 years”. The study was carried out by Frederick Zimmerman and his colleagues in Washington State.

Here are some of the headlines I saw in the media about this scientific study:

"Genius" videos may hinder baby development
Videos don't create baby Einsteins, study shows

For those of us who have regularly shown our babies TV or videos, headlines like these can make our hearts skip a beat. Let’s take a look at the actual study and see what we can learn:

Was this a well-done study?

Yes, for the most part. The study included over 1000 families, used a well-respected measure to assess infant language development, and carefully categorized different kinds of TV and video/DVD viewing in order to figure out whether different kinds of viewing have differential effects.

What were the major findings?

Only viewing of baby DVDs/videos was found to be detrimental (e.g., Baby Einstein, Brainy Baby). Watching baby DVDs/videos was associated with poorer scores on the measure of language development. The greater amount of time spent watching, the worse off kids were.

Whether or not parents watched baby DVDs/videos with their babies made no difference. The impairing effect held whether parents were sitting with their babies, or off in the kitchen making dinner!

Viewing other kinds of TV or DVDs/videos was found to have no effect. For example, children’s educational shows (e.g., Sesame Street) were not associated with poorer scores on the measure of language development. However, these shows were also not associated with improved scores on the measure of language development.

What are the caveats? If you have shown your children these videos, should you be concerned? Should you stop showing them?

The detrimental effect of baby DVDs/videos only showed up for children age 8-16 months. Among children age 17-24 months, the detrimental effect was no longer evident. Again, the study did not show that these videos helped kids in this age range, but they did not seem to cause harm.

Each hour of viewing of baby DVDs/videos corresponded to a child having 6-8 fewer words than his peers who did not watch baby DVDs/videos. The data collected in the study could not establish whether this difference was actually predictive of future language development or intelligence more broadly.

What Did the Media Miss?

Reading to a baby once a day, as compared to less frequently, was associated with higher scores on the language development scale. This finding held for children age 8-16 months, and for children 17-24 months.

According to the article, baby DVDs/videos are based on no formal research. In contrast, children’s educational shows are based on exhaustive research. The article notes that “several high quality educational television shows, including Blue’s Clues, Sesame Street, Barney, and others, have proven educational value when viewed appropriately by children age 2-1/2 to 5 years.”

What’s the take-home message?

Try your best to limit TV for infants two and younger (as recommended by the American Academy of Pediatrics).

If you choose to expose children under 2 to TV, educational shows (in small doses) might be a better bet than baby DVDs/videos. While there is no evidence that educational shows enrich language development for children of this age, at least there is also no evidence that they impair language development.

Remember to read to your kids at least once a day. Doing so will enrich your child’s language development.

Although not assessed by this study, talking directly to your child (even well before he or she can talk back!) is also thought to be very important to infant language development.
 

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