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I’m Pregnant – Toddler Refuses to Nurse!

Here’s a question from Kerri in North York, ON:

Q: I’m 7 months pregnant with my second, and my 12-month-old son has recently refused to nurse anymore. Is something wrong with my milk?

A: No, Kerri, there’s nothing wrong with your milk. The hormones of pregnancy will cause most women’s milk quantity to decrease, and then when they’re in their third trimester, as you are, the milk will begin to change back to the colostrum (first milk) that your newborn will need. Some nursing babies don’t mind these changes, but others will react with dislike to the different quality of your milk and may wean themselves.

Nancy Lahn

Owner, Cozy Cuddles Baby Products

Originally posted 2013-08-21 14:52:46.

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Is Marijuana Safe for Moms to Use When Pregnant or Breastfeeding?

Here’s a question from Danielle in Thornhill:

Q: Everyone’s talking about the Canadian government’s plan to legalize marijuana use. My friends all say it’s harmless – but can it have an effect on the baby if a woman uses it while pregnant or breastfeeding?

A: So glad you asked this question, Danielle. There’s a lot of misinformation out there about marijuana (cannabis), and many people are not aware of the long-term effects on babies, children and teens/young adults. There is no known safe amount of cannabis use in pregnancy and when breastfeeding.

Cannabis smoke contains many of the same harmful chemicals (over 700 of them) found in cigarette smoke. It can reduce the oxygen supply and nutrients to the fetus, and can affect the newborn with lower birth weight, lower alertness and slower growth rate. It can also cause a decreased ability for the baby to self-soothe and make them more irritable and have sleep disturbances. As the child grows, studies have linked maternal cannabis use to poorer memory and verbal reasoning skills, hyperactivity and attention deficit disorder (ADD), learning disorders, and also depression and anxiety.

When a breastfeeding mother uses cannabis, the chemical THC (the ingredient that makes the user feel “high”) passes into the breast milk and is taken into a baby’s fat cells and brain. It can be stored for weeks, and research has shown that it can cause slower motor development in the baby.

Research has shown that a young person’s brain is continuing to develop into their mid twenties. Cannabis use has been shown to cause reduced school performance, delinquency problems, hyperactivity, impulsivity and inattention.

Being high while parenting can affect your interaction with your child, causing you to miss your child’s cues for hunger, their need to be comforted, or to play and learn. It can also affect your ability to judge correctly and to be alert to situations that are dangerous to your child.

So as you can see, Danielle, you are right to be concerned about cannabis use during pregnancy and breastfeeding, during the parenting years and also about the effects upon our teens and young adults who use it. Contrary to what your friends have told you, it is far from “harmless”.

Nancy Lahn RN
Developer of the Cozy Cuddles Nursing Pillow

Originally posted 2017-07-11 18:00:45.

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Care of the Cozy Cuddles Nursing Pillow

Here’s a question from Kelly in Richmond Hill, ON:

Q: I have a question about cleaning the Cozy Cuddles Nursing Pillow. Unfortunately my older child spilled juice on the pillow – should I have it dry cleaned?

A: Thanks for your question, Kelly – the good news is that your Cozy Cuddles Nursing Pillow is fully washable! For most little spills and baby spit-ups, the zippered cover can be removed for laundering. For bigger spills that soak through to the pillow, check the seams to make sure they are intact and place in your full-sized washing machine with warm water and a scant amount of liquid detergent. Laundry soap like Ivory Snow is not recommended, as it tends to clump the fibrefill. Then it can be tumbled dry at warm in your full sized dryer. Dry cleaning is not recommended, because of the chemicals used which you do not want next to baby’s face.

You’ll find that most nursing pillows on the market are not washable – the ones that are made of foam are particularly problematic since they cannot be washed and soon become contaminated with milk and anything else that can soil it, including those leaky diapers!!

Nancy Lahn RN

Developer of the Cozy Cuddles Nursing Pillow

Originally posted 2016-02-24 11:48:50.

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Engorgement – hot or cold compresses?

Here’s a question from Ruth in North York, ON:

Q: I have a question – hope you can help! I just had my second baby three days ago – and I’m so uncomfortable with engorgement! It started yesterday, and my friend told me to put warm towels on my breasts and to pump to relieve the discomfort. Another friend told me today to use cold compresses. Who is right?

A: Well, Ruth, both friends ‘ advice can be helpful, when used at the right time. Engorgement is a very normal experience for new mothers – often on Day 2 or 3, or as late as Day 5, many nursing mothers feel a real difference in their breasts. Hormonal changes cause blood to rush to the area as the mature milk begins to replace the colostrum, and blood and lymph fluid causes swelling of the breast tissue. The best strategy to relieve your discomfort – your baby! Nurse frequently, every two hours or more often, so the baby can regulate the “supply and demand”. While I don’t recommend pumping in the first 6 weeks unless your baby is unable to nurse effectively (or your lactation consultant has advised this for a reason unique to your case), it can be helpful to hand- express some milk to soften the areola and make it easier for the baby to latch onto very swollen breasts. Excessive pumping or hand expression can actually make engorgement worse by encouraging increased milk production.

As for compresses, it can be helpful to apply cold compresses between feedings (try 20 minutes on, 20 minutes off and repeating this). My mother’s method was to wet a tea towel, wring it out, fold it in thirds length-wise and place it in the freezer. Applying the frozen tea towel across the breasts and under the arms felt wonderful and helped to ease the discomfort. A bag of frozen peas, wrapped in a towel, applied to each breast also works well, or the midwife’s trick of a leaf of green cabbage inside each bra cup. The tannic acid in the cabbage helps to reduce the swelling. Using the cabbage a couple of times a day is best, and it should be discontinued as soon as engorgement starts to ease, as some say that excessive use of cabbage can lower the milk supply. Warm compresses should be applied for a few minutes just before a feeding – a warm, moist washcloth works well. This will help the milk start to flow at feeding time but will not reduce swelling – in fact, if used between feedings warm compresses have the effect of increasing swelling.

Be patient, Ruth – engorgement usually lasts only about 48 hours! However, if it is not reduced using these methods, or is worse, or if you have a fever of greater than 100.5 degrees F, I recommend that you consult your Lactation Consultant or physician.

Nancy Lahn RN
Owner, Cozy Cuddles Baby Products
Developer of the Cozy Cuddles Nursing Pillow

Originally posted 2017-02-01 12:48:20.