I developed very sore nipples when my youngest daughter (now 28 years old) was about 8 months old. I was working as a midwife at the time and I was completely perplexed and dismayed to be having sore nipples for, what I thought was, no reason at all. I called the La Leche League to see if they had any ideas about cause or cure and the first response on the other end of the phone was “Have you been getting your rest?” Oh, how I hated those words. . . I wanted a much fancier diagnosis than “you’re tired, dear”. The truth was that I’d just come off a very long birth and had been up two nights in a row. I was rushing around trying to pull my own household together and do postpartum care for the new family, too. That LaLeche League Leader gave me such a gift by causing me to pause and see that I wasn’t taking care of myself and my nipples were a first alert that things were falling apart.
I notice that my clients have the same dismayed reaction when I bring up rest. Isn’t there another way? Isn’t it possible to have those 3 birthday parties I have scheduled for my 4 year old? Can’t I pick someone up at the airport, go to the library and cook dinner for six in my first week after giving birth? Whaaaaaaaaa.
We live in a culture that has no value or respect for rest. If you’re resting, you’re lazy and incorrigible. We have been raised on Tampax ads that say “Go play tennis, golf and volleyball when you’re having your moon time. An active woman is an attractive woman.” I love the Orthodox Jewish practice of giving women a bed of their own from when their period starts to 12 days later and arranging a complete day of rest from all household duties on Saturday. We would all be well advised to adopt these customs.
Some of the problems that are cured by rest in bed:
-breast problems of all kinds in nursing mothers
-heavy or prolonged vaginal bleeding in post partum or perimenopause
-general crabbiness or depression
RECIPE FOR A POSTPARTUM BABYMOON
For building up milk production, go to bed with the baby for 24 hours. Mother should wear only panties, baby only a diaper. A tray with fluids, magazines and flowers beside the bed for the mother and all diaper changing needs for the baby close at hand. Another adult woman in the house brings meals to the mother. After 24 hours of this bed rest, the milk will be abundant. (I’ve had one client who said it didn’t work. When I went through what she had done, it turned out that instead of following these instructions exactly, she went to her cousin’s place for the day and lay on her couch.) No, no, no. The naked skin and privacy are a big part of this “Babymoon” formula. Don’t modify. Probably, when you read this, you thought “This would be a luxury for a new mother.” It’s actually very basic and pays huge dividends for the family and larger community. Some cultures understand this and make sure the new mother is given a 40 day period of rest/care when she has a baby.
I hear many dramatic stories from midwives and nurses about women who had to be operated on after giving birth because they were bleeding heavily and had “retained pieces of placenta” or “retained clots”. My personal experience is that ALL post birth bleeding is remedied by resting in bed. The lochia is red for the first two days, changes to pink and serumy around the third day, and then proceeds to being brownish and quite smelly for about two weeks. If it turns red again after going through the pink and brownish stages, it means the mother is doing too much. She needs to follow the “BabyMoon” lie-in instructions above. Remember, THIS IS NOT A LUXURY, IT’S BASIC. The family needs to be told that, if they don’t help the mother to rest in bed, they will end up visiting her in hospital.
We need to give up the notion of supermom. Do whatever it takes to get your rest time after the birth and then you will be back to your busy life sooner. When women have homebirths, they usually feel so well that they want to get up and “prove” to the world that they can do anything. Be mindful of the Zen maxim “If you have something to prove, you have nothing to discover.” The really smart women don’t even get dressed for weeks after the birth. If you’re all perky in a track suit, people will expect you to run . . . therefore, find the nastiest old nightie possible and wear that to convince family and friends that you need their assistance.
If you can’t figure out how to ask for help in the early weeks with a new baby, photocopy 20 copies of this list and hand out freely.
Rest, high protein meals, and lots of skin to skin time in bed with baby . . . these are the basics of getting motherhood off to a good start.