Mama Knows Breast
An interview with Andi Silverman, Author
By Jennifer Nevadomski
I recently had the pleasure of meeting Andi Silverman, Mama Knows Breast: The Beginner’s Guide to Breastfeeding author, at a Mamapalooza event in New York City. She agreed to this interview and I am thrilled that I got the chance to read the book and honored to have interviewed her. More about Andi and her book can be found at MamaKnowsBreast.com I truly agree that the work stands to its description as the “essential new-mom’s guide to nursing–full of friendly, frank, and reassuring advice”!
1. How do you feel about the recent news article which talked about the mom who was told to stop breastfeeding in an IKEA store?
It’s unfortunate that we hear stories like this all the time. Moms have run into trouble breastfeeding in stores, restaurants and on airplanes. Until we reach the point that more people are educated about the benefits of breastfeeding, and the legal rights of moms to breastfeed in public, this will keep happening.
Moms should know that most states have laws protecting their right to breastfeed in public. If they want information about the situation in their home state, the National Conference of State Legislatures has a comprehensive list.
2. What would you say to a mom who, for medical reasons or other serious issue, cannot nurse and feels like a failure for not being able to breastfeed her child?
Breastfeeding doesn’t work for all moms. There are definitely instances where certain medical conditions can complicate nursing. But in general, with the help of a lactation consultant, most moms can overcome breastfeeding challenges.
I always tell moms-to-be to get the number of a lactation consultant, even before they give birth. That way, if a problem does arise, they can get help as soon as possible. Often, the longer you wait to get help, the worse a problem gets. There’s no need to be a hero and tough things out on your own.
If breastfeeding doesn’t work, we’re fortunate that formula is an option. In this country, we have access to clean water to make formula, and we have electricity to so that we can sterilize bottles. That certainly isn’t the case in developing countries.
So, moms should know that they aren’t failures if they can’t breastfeed. The most important thing, after all, is to care for your baby and love him with all of your heart.
3. I love your brutal honesty throughout the book and your relaxed and very “realistic” attitude. I love when you discussed how the hubby will need to share your boobs with someone else. Do you take that relaxed approach and nonchalant attitude in other aspects of motherhood? Any general pointers for our moms?
Relaxed? Not exactly! I definitely do my share of worrying, and it takes a lot of mental work to keep things in perspective. But there are certainly some things that don’t bother me any more. For instance, I don’t worry if I can’t brush my kids’ teeth every night. I try to pin them down, and if they are just too recalcitrant, I give up. Overall, my attitude is, just do the best you can do.
4. You mentioned some breastfeeding paraphernalia such as breast shells and SNS devices. Do you truly feel that they work and will eventually help the baby latch better?
There are many products on the market that can make breastfeeding easier if you are having a problem. But they are all for specific instances, and I wouldn’t jump to using something unless a lactation consultant or doctor explicitly recommends that you do so.
A SNS, or Supplemental Nursing System, for example, is only for particular problems; baby’s with latch problems, adopted babies, or moms who are trying to increase milk supply. It allows a baby to get formula or expressed milk from a sac that is attached to the mom’s breast. The baby sucks from the breast and a tube at the same time. But again, this isn’t for most babies.
5. I have three children, a seven year old and twin one year olds. I nursed each of them for three months. With my first I never developed a strong supply, and with the twins it was extremely taxing to nurse two babies at once, so it was the best decision for our family to wean at that time. Now that I am expecting my fourth (and the twins will be only 14 months old when he is born) and get closer to the big day, I am thinking as long as I nurse for a week or two it will be enough. I am trying to consider the needs and demands of my older children. Naturally I feel guilty for thinking maybe I shouldn’t nurse him at all… Any suggestions?
Every mom has to make the decision that works best for her, her baby and her family. There’s no one size fits all answer. Some moms exclusively breastfeed. Some exclusively formula feed. And some do a combination of the two. It’s a matter of personal choice.
But it is important that people know that breastfeeding has clear and well-documented health benefits for both mom and baby. This includes protection against a variety of infectious diseases and illnesses. For example, a new study just came out that shows that breastfeeding can decrease the risk of breast cancer for women who have a family history of breast cancer. Also, the American Academy of Pediatrics recommends exclusive breastfeeding for the first 6 months; that means no milk, formula, water, juice or solids. After that, the AAP says moms should breastfeed until the baby is at least one year old. The World Health Organization recommends breastfeeding for two years.
As for any guilt you may feel… well, I think we as moms have to learn to live with guilt. It’s easy to feel that as some point you’ve let your child down in one way or another. For example, one of my kids had a very hard time this year at pre-school drop-off; he cried and cried. The teachers reassured me he had a great time as soon as I was gone. But it still broke my heart to walk out the door, leaving him in tears. Often I was crying, too.
6. What did you think about Salma Hayek breastfeeding another woman’s baby?
Hayek was on a humanitarian mission in Africa when she nursed a baby that was sick. It was wonderful to see her bring attention to the critical importance of breastfeeding. And what Hayek did was not all that unsual; women have always nursed other people’s babies. Centuries ago it was very common for wealthy women to hire wet nurses. That has definitely fallen out of vogue. Today, there are situations where some people cross-nurse, or casually nurse another person’s baby. But there are risks with cross-nursing; specifically the transmission of infectious diseases. If a mom does need to get additional breast milk for her child, she can always contact one of the human milk banks across the country through the Human Milk Banking Association of North America.
7. You first published your book in 2007, and noted you were not sure how you would be with your second child. Do you have any more advice or comments now that you have nursed your second child? Has he been weaned yet?
Sadly, my nursing days are over. I definitely miss it. We just moved, and while we were packing I found an old nursing pad in my night stand. It made me really nostalgic, believe it or not, for those 3 a.m. feedings.
I was very fortunate that nursing went well for me with both kids. I was committed to making it work, and if I ever ran into a problem, I got help from a lactation consultant right away. I had some issues with engorgement, and also with weaning. But overall, the kids were excellent nursers and gained weight really well. And one thing that made a huge difference was that my husband was very supportive the whole time.
Thank you so much, Andi! I hope you consider writing more parenting books! I love your style! And I hope the rest of you moms, whether first timers or fourth (or more) timers pick up Mama Knows Breast! It was a great read and very helpful!