Zoloft and Breastfeeding

I am still not convinced that taking Zoloft is the way to go for me since I am fairly certain this will pass eventually. I would rather ride it out by trying the diet and exercise route before committing to something more serious. Frankly, I hesitated even posting about it, but decided to go ahead in light of the long history of women struggling alone.

There is no shame in numbers.

I'd like to personally thank Andi from Mama Knows Breast for sending me some awesome linkage about taking Zoloft while breastfeeding (Note: the search cannot be directly linked to because it expires. My search string was "breastfeeding and Zoloft"). She also mentioned that Dr. Thomas Hale, a pharmacology expert, had ranked it an L2 drug (L1 being safest, L5 being the most unsafe). I found this link on Kellymom regarding Dr. Hale's view on Zoloft. Also, Jen at The Lactivist also has some great information regarding breastfeeding and Zoloft. In short, taking Zoloft while breastfeeding appears to be safe for both mother and child - obviously, you would need to discuss this with your doctor if contemplating this path.

Regardless, I am comforted knowing that if things get worse and I don't feel I can go it alone that Zoloft will be an option.

Depression: It's depressing.

When I first learned that Owen Wilson had attempted suicide, my heart went out to him. I am not a particular fan of Wilson's, but suicide attempts always, always get to me. Years ago, I went through some dark days myself. Therefore, I am well acquainted with that pressing sense of despair and loss of hope for the future. I remember lonely nights spent planning and contemplating. The Note was written, but not sent. Fortunately, I was able to work through it. And I certainly hope Wilson does.

One thing I am extremely grateful for in my life right now is my children and my husband. I don't think the days are going to darken to the extent where I will be writing The Note - I won't let it get to that extent because I DO have hope. After all, I see The Future every single day in a certain pair of brown-hazelish gemstone eyes. And now, a second set of eyes have upped the ante in this poker game of Life.

But still. The sadness lingers. I saw the doctor today for my post-partum checkup and it was a bit of a disaster coordinating the kids what with their crying and all. I ended up crying myself and I did admit that I've been struggling emotionally lately. Fortunately, my doctor knows me well enough to know when I am serious. At one point, I confessed that I feel guilty for being so damned sad when I don't have any real problems. I have several friends right now who do have real problems. Why am I being such a wimp about this? She pointed out that "depression doesn't know problems".

I left the office with a prescription for Zoloft.

I am not happy about this, but I am also not happy about being Not Happy. Still. I am hesitant to just immediately start popping pills. I looked at the side effects for Zoloft and am leery of some of them. I am going to think about it over the weekend, but at this point, I am thinking I would rather concentrate on getting my lifestyle in order with more exercise and better eating.

At a minimum, I think some chocolate covered Choxie Pistachios are in order.

Are you sleeping?

Tanya at the Motherwear Breastfeeding Blog has an excellent post about a book by Dr. James McKenna's titled, Sleeping with Your Baby. It's a book chockful of useful facts about the benefits of co-sleeping. I've written many times about my ignorance of co-sleeping and my reluctance to embrace it before I had my son. However, once I learned the benefits of co-sleeping, I never looked back.

I can't express how incredibly important co-sleeping has been for me. In short, it's saved my sanity and these past few weeks as I've dealt with some major post-partum blues have only served to verify that for me. I'm through the tunnel now, but I can't even imagine how much worse it could have been had I been sleep deprived. The first week with Anjali was the usual tough one with a newborn - every feeding required a diaper change, she was still too small for me to nurse while lying down and I was still recovering the birth. However, since the 2nd week, I haven't really lost that much sleep unless we're suffering from colds or I eat Greek food or ice cream (which disturbs her tummy just as much as it did Arun's. Sigh.)

As rabid of a co-sleeping advocate I am, it's not that I think everyone should absolutely, positively sleep with their children. No. Quite the opposite - not everyone is cut out for it, even babies. For example, my younger sister could not, would not, sleep with my dad and step-mom. She simply slept best on her own despite their efforts to get her to sleep with them. However, I wish more folks would at least consider co-sleeping and at a minimum, become more knowledgeable. I am tired of the tragic stories being trafficked that portray co-sleeping as dangerous. I am tired of folks pressing their lips firmly together when I "confess" my co-sleeping sins.

I will definitely be reading this book. It's almost as if I see at my personal mission to help end the myths and ignorance that surround co-sleeping.

Mama Knows Breast: A Book Review

Correction: Oops! There IS an index. My bad!

On Thursday, I received a copy of Mama Knows Breast: A Beginner's Guide to Breastfeeding by Andi Silverman. By Friday evening, I had finished it after just two sittings.

In short, this is a quick, easy, interesting read that will make an excellent gift for a mother - new or experienced. The author has an engaging tone and a moderate, non-judgmental voice that should make any mother feel at ease, even if she ends up supplementing or not breastfeeding at all. I would feel totally comfortable giving this as a gift, without feeling pushy towards the mother.

The book is divided into 8 chapters that cover the topics of pros/cons, basic breastfeeding instructions, pumping/supply maintenance information, breastfeeding etiquette, spousal support, sex, public nursing, and finally, weaning. This little gem is small, compact and easily held in one hand. Despite its small size, it still can get you through the entire process of breastfeeding - from the first latch to the last.

There were a few things I found lacking. This book can't be used as an "end all, be all" reference - it covers the highlights, but it doesn't have an index (I am a total Index Whore - I love me a good index). To make up for the lack of an index, it does provide an ample list of extra online resources, though. I also was disappointed in the paragraph regarding co-sleeping - it was a few sentences, mostly which served to highlight the dangers, rather than the benefits. Considering that co-sleeping can go a long way in supporting a breastfeeding mother, I'd like to see more about this in a future edition.

However, overall, I just loved this book and declare it to be an Inhaler * . The illustrations are quirky and the text is light and humorous. I enjoyed that because breastfeeding can be very stressful, scary and downright painful to a new mother. Per my quick Amazon searches, there simply aren't any fun, positive books regarding breastfeeding. Who wants to read a textbook if they don't have to? I'd rather have a friend holding my hand - and this book does just that by walking you through it in a reassuring and comforting manner.

Again, I think this would be a great, unique gift for a mother planning to breastfeed, which is why I posted it here over at Rancid Raves as well as here.


*in-hal-er
noun
1. A book so compelling or suspenseful that it must be consumed immediately in only a few sittings.
2. A book so easy and enjoyable to read that it can quickly be consumed in only a few sittings.

Dear Diary: Nursing a newborn in public with a todder sorta sucks

Pun not intended.

I am totally comfortable breastfeeding in public. Do I relish it? For the most part, no. Oh sure, I have many pleasant memories of nursing my son in various parks and beaches. My favorite memories of public nursing are in San Francisco and Boston, for sure. However, nursing a newborn while keeping an eye on a 21 month toddler is vexing, to say the least. While Anjali is latched on for dear life, Arun is running around like a mad man. It becomes a very tenuous game of keeping him near me and keeping her latched on. It's not too bad for situations and places where I am familiar with the surroundings and can have a game plan. A particular childen's discovery center we go to, Wonderscope, has a toddler area that is contained. Arun can run free, but can't actually escape too far. I just plan to breastfeed while we are in that area. The malls are a bit trickier. We have one mall that has a nice nursing area in the Nordstrom's store. The problem is this - while I don't mind, I know gals who are not comfortable going into fancy-schmancy department stores and therefore, may be intimidated by using the Nordstrom's mother's room. The other mall nearby has a play area in the food court that is somewhat contained. However, it is crowded, noisy and often full of obnoxious kids not being supervised by their parents. Every single time I am there, I have to jump up at least a few times to save Arun from getting pummeled. And I do NOT feel comfortable nursing in my car in most places - even my local Target. I feel like a sitting duck for purse snatchers and carjackers. It doesn't help that 2 years ago, a guy died in our Target parking lot because a purse snatcher ran him over with a car.

Today was stressful - we went to the Children's Museum of Kansas City. Not only was there NO contained place to nurse Anjali, the museum is located in a mall as well. I was able to keep Arun contained in the stroller by chucking chunks of Larabar at him, but it was stressful once the Larabar was finished since I had forgotten to throw some Hot Wheels into the daypack.

Still, breastfeeding overall is easier to do while on the go. I can't imagine having to pack formula, bottles, etc. When we head out the door, I just pack water and a few Larabars in the daypack - then, we shoot out the door.

Two for the price of one

Caro has an excellent, entertaining post about the Unforeseen benefits of nursing a toddler through and beyond pregnancy.

Although my toddler weaned about 6 months before my newest kid was born, I was still able to relate to much of this post. She is correct in that the less amount of time there is between weaning and birth of the new child, that will translate into a smaller amount of time for your milk to come in. I nursed Arun into my 2nd trimester and my lactation consultant did tell me that my milk would come in earlier with Anjali - which it did. In Caro's case, there was NO time between weaning and birthing, so her milk came in a mere 18 hours after birth! Also, I think Caro is right in that there seems to be less nipple soreness with all the nursing so close together. That and the fact that an experienced mother has the latch and positioning down pat.

Anyway, it's very encouraging to see such a smooth transition for everyone involved!

The Milky Way.

Bryan over at Sympathy Pain has linked to a great article on how we gals go about making breastmilk. Definitely go over to Bryan's site and check it out! The only comment I have about the article is that it says the following:

During the first days of nursing, you may feel some cramps in your abdomen as your baby sucks. This usually mild discomfort signals the release of oxytocin, which helps shrink your uterus back to its pre-pregnancy size.

Mild discomfort? That's putting it mildly!! For me, the initial cramping like that was VERY painful. Not quite as bad as early labor, but far worse than menstrual cramps.

Next, I want to discuss semantics - what do you call all the different kinds of milk in your house? We have soymilk, cow's milk and mama's milk. I want my son to be clear and as such, I call them all by their "proper" names. In a related note, he calls food in general by the word "bop-poo" (we think it stems from his word for "apple" which is "bappull"). Even before Anjali was born, he would point to my breasts and say "bop-poo", so we think he may remember or have an inkling that he used to eat from them, too. However, he calls ALL nipples "bop-poo", so the poor kid has A LOT to learn.