Category Archives: 2. The Infant

From newborn to 17 months.

From Fear to Breastfeeding

By Grace Zell, staff writer for The Attached Family

To breastfeed or bottle-nurse?When I was pregnant for the first time, I wasn’t sure what I would do and I was actually a little afraid of committing to breastfeeding and being my child’s sole source of sustenance.

After my son was born, I decided to combine breastfeeding and bottle-nursing. I was ready with a breast pump, sterilized bottles, and formula. My son was a very alert and agitated infant, and he awakened every hour during the night in the beginning. Bottle-nursing gave me the ability to sleep for a four-hour shift while my husband took over. I had planned to fill the bottles with breast milk, but my son was such a high-needs infant that I fell behind with pumping and, after about three weeks, gave up completely and used formula in his bottles.

An Early End to Breastfeeding

I had been unable to get my son to latch on for nursing and did not get very nurturing support from the lactation staff at our hospital. They had led me to believe that I wouldn’t be able to pump and bottle-nurse. (I have since seen women who pumped for several months without their baby actually nursing and a woman who got her infant to latch on after about three unsuccessful weeks of trying.) Continue reading From Fear to Breastfeeding

Rescue Your Baby from Obesity

By Rita Brhel, managing editor and attachment parenting resource leader (API)

Rescue your baby from obesityAs attachment parents, we need to be sure that we love and accept our children no matter what – and this includes their weight. Some children are naturally, genetically, more overweight or underweight than other children, and this is OK. The reason for the national media attention on children and their weight management is because of the high rates of obesity not only among adults but among children, as well.

Obesity is defined as being 20% above the ideal weight for height. Excess body fat puts children at risk for a number of serious health concerns including Type 2 diabetes, high blood pressure, obstructive sleep apnea, and bone and joint disorders. Recent studies have found possible links with liver and kidney disease, and cancer. Obesity also puts kids at increased risk for low self esteem, which can later contribute to depression, anxiety, or other mental illnesses. Many experts and resources agree that childhood obesity is of epidemic proportions. Continue reading Rescue Your Baby from Obesity

Breastfeeding while Pregnant

By Debbie Page, RN, IBCLC, CEIM, director of TheNewBornBaby.com

breastfeeding while pregnantMany women find themselves pregnant while they are still enjoying a nursing relationship with their child. It doesn’t typically occur during the first six months, as long as you and your child are together most of the time and the child is exclusively nursing, but it can happen any time. Your child may be seven months or two years old when you discover you are pregnant. Should pregnancy be the reason to wean? For most mothers, the answer is a resounding no!

Babies need to breastfeed for years, not months, so continuing to breastfeed while pregnant could be the very best thing for your nursling. You will want to discuss this with your partner and your midwife/doctor. In Western cultures, the social norm is to breastfeed for a few weeks to a few months and certainly not during pregnancy. You may very likely have family members and friends pressure you to wean. Only you can make that decision. Educate yourself so you can base your decision on facts, not emotions. Embrace your freedom as a woman and mother to make the decisions you feel are best for your children and your family.

You and your family will have a lot to ponder about as you arrive at your decision. You may decide to continue nursing and set periodic goals for re-evaluating.

Is It Safe to Breastfeed While Pregnant?

There are two situations to consider:

  1. How are your pregnancies? If you carried your pregnancies to term without a threat of premature labor, then you are fine to continue breastfeeding. If not, you need to make sure your midwife/doctor is fine with your plan. If it is OK for you to have sex during pregnancy, it is safe to keep breastfeeding. Some doctors are concerned that the nipple stimulation of breastfeeding will cause premature contraction, but the medical literature does not support that theory. Nipple stimulation causes a release of oxytocin, which triggers the milk to let down. The synthetic form of oxytocin, Pitocin, is used to induce or augment labor. The amount of oxytocin released during orgasm is more than with breastfeeding, so the chances are slim to none that breastfeeding would put you into preterm labor.
  2. Are you well nourished? While you are pregnant, your body will draw from your stored nutrients to support your unborn child. You will continue to make high quality milk during pregnancy, but you will need to increase your calorie intake and your vitamins and minerals. Eat well, drink enough fluids, and make sure you gain the expected amount during your pregnancy. Women who are malnourished should not breastfeed during pregnancy. Vegan, anemic, or dairy-free moms need to pay special attention to their nutrition even if they are not pregnant, but especially if pregnant and breastfeeding.

Will My Older Child Get the Proper Nutrition?

Because your milk production may dwindle about halfway through your pregnancy, you may need to supplement a child whose sole source of nutrition is breastfeeding.

Not everyone will experience reduced milk supply, however. When Hilary Flower wrote her book, Adventures in Tandem Nursing, 30% of 200 mothers she had interviewed did not report a decrease in their production while they tandem-nursed.

What Other Ways Will Pregnancy Alter My Milk?

The taste of your milk will change, and some nurslings do not care for the new taste of Mommy’s milk.

At some point, your milk will revert to colostrum. This is still fine for your child and there is no need to worry that she will use it all up. Your breasts will keep replenishing the colostrum. Once you deliver, your production of colostrum will increase to provide plenty for the new baby.

How Does It Feel to Breastfeed While Pregnant?

Some women find it irritating or become restless when they nurse while pregnant. Hormonal changes are probably the culprit.

The hormones of pregnancy may also cause nipple tenderness. The tenderness may increase with the decrease of milk production.

For some women, morning sickness or nausea increase with nursing; for others, it decreases. If you experience more nausea, try altering your nursing schedule.

What About Weaning During Pregnancy?

You may decide that you want to wean before you deliver. This is fine. Giving some thought to this before you choose to breastfeed during pregnancy can help you emotionally if this does happen.

Some children will wean when the milk production dwindles or because the taste of the milk changes. Again, preparing for this possibility before it happens can ease the loss of your nursing relationship with this child.

Breastfeeding for Two: Tandem Nursing

By Debbie Page, RN, IBCLC, CEIM, director of TheNewBornBaby.com

tandem nursingDid you ever think you would be considering nursing two children at the same time? Probably most of us haven’t thought about that, but many women have done it. Known as tandem nursing, it happens all the time with twins and triplets but can be done also be done with children of different ages – for example, nursing your newborn while continuing to nurse your toddler.

Depending on where you live, tandem nursing may be looked upon as strange and done only for the mother’s sake: “She is just too attached to her children.”

Here, we go again – everyone wants to tell mothers how to mother. That’s not all bad, typically, but many of the mothering or parenting styles in the last 60 years have been all about detachment – a desire to create a completely independent child from birth: “You don’t want your children to be clingy or immature. You want strong, intelligent, mature adults and that only comes if you start teaching your babies or children to separate from you from birth.” Whoa…wait a minute. According to whom? Isn’t it really the opposite? It is the children that are held, cooed to, whispered to, nurtured, and allowed to breastfeed until they are ready to wean that blossom into these incredible adults with their emotional needs having been met.

Many women become pregnant before their nursing child has weaned. They continue to nurse throughout the pregnancy, and when the baby is born, they tandem nurse. Breasts that make milk can make more milk; therefore, you can nurse several children and have plenty of milk for each. I recently read an article written by a mother tandem-nursing all four of her children.

Why Tandem Nurse?

Tandem nursing allows your older nursling to continue breastfeeding until he weans himself, which, for humans, takes place on average at two and one-half years old, although children have been known to breastfeed naturally to seven years old.

For the mother, the longer you breastfeed, the more protection you have against breast, cervical, uterine, and ovarian cancer. Sitting or lying down to nurse during your pregnancy can also help you rest and relax for a few minutes throughout your day.

Letting a child continue nursing provides all of the huge benefits nursing affords, including:

  • Continuous supply of antibodies for protection against illnesses.
  • Healthy building of all the cells in the body and therefore all systems in the body. Breast milk is only 10-percent nutrition; the other 90 percent is designed to build every system in the body. In contrast, formula is only nutrition.
  • Ability to continue to meet the emotional needs of the older child.
  • Development of the lower jaw and palate, which means more room for teeth and may mean no orthodontia needs.
  • Fewer allergies and/or delayed reactions to allergies.
  • Nutritionally superior food.

Tandem nursing will ease the arrival of the new baby into your nursling’s life. It can help with any engorgement in those first days after your milk comes in. Nursing the older sibling at the same time as the baby will occupy her when you are feeding the baby.

What Can I Expect in the First Weeks after the New Baby Arrives?

For starters, anticipate that anytime you bring a newborn baby into your home, it is going to be intense, chaotic, and labor intensive. A new baby equals a huge adjustment for all. Fatigue, fatigue, and more fatigue is the story of all new parents, especially parents of the second, third, or so on child. With nursing two or more children, you may experience more fatigue.

There will be a learning curve of figuring out how to make tandem nursing work. Also, your older child may have more frequent stools due to the laxative effect of colostrum.

How Will Tandem Nursing Change My Current Nursing Relationship?

Siblings of the new baby, depending on their age, often regress into infantile behavior. This may still happen with your older nursling. Your older child may suddenly want to nurse all the time. You either go with the flow or set limits. The older nursling may also have temper tantrums or whininess around nursing. Having to share the “num num” may not be within the older child’s comprehension. Your older child may not want to wait for the baby to finish.

You may find yourself feeling irritated with nursing your older child. If you find yourself short of temper, you will want to revisit the idea of tandem nursing. It may be that weaning the older child is in the best interest of the family.

How Do I Breastfeed Two Children?

You will probably nurse the newborn first, although some mothers find that nursing both children at the same time works great. You may want to assign each child a breast. Try lying on your side to nurse your newborn. Your older nursling can lean over your side and nurse on the upper breast.

Something that is very important is support. Make friends with other mothers that either are or support tandem nursing. It will help if you encounter any criticism.

Relax, let the housework go, let your friends and relatives help you, and enjoy these brief periods of your children’s lives. Tandem nursing may just be your answer to letting your children wean naturally as nature intended. They grow up all too quickly. Let’s not pressure our children into premature weaning.

Good Advice for Gentle Weaning: ‘Don’t Offer, Don’t Refuse’

By Grace Zell, staff writer for The Attached Family

Gentle weaning storyMy experience with weaning my daughter was very successful and non-traumatic, which was a good thing since I found it hard to imagine how I would ever refuse her.

Luckily, while reading The Complete Book of Breastfeeding, a wonderful resource as my nursing experience changed from stage to stage, I came across the slogan, “Don’t offer; don’t refuse,” which made great sense when I was ready to start the weaning process.

I let my daughter determine the pace of things. Fortunately, I am a stay-at-home mom and didn’t have any pressing need to stop nursing, so I took my cue from my precocious baby who, at a year, had already been walking for three months. She was also eating solid foods and drinking from a sippy cup and bottle.

The weaning process seemed to be harder on me emotionally, as I didn’t want to commit to ending our breastfeeding relationship. I worried about depression once my daughter was weaned, especially because I felt that the nursing hormones probably protected me against the depression that I had developed after my first child was born. Despite my sadness, I knew that I should try while it was naturally going in that direction.

One day, shortly after my daughter was about 13 or 14 months old, I took a deep breath and decided to follow the “don’t offer; don’t refuse” advice, and I went about our day without initiating a feeding. At a certain point during that day and the next few days, my daughter would come to me when I was sitting and tug at my shirt and push it up, but when I positioned her to nurse, she nipped at me. So, I gently pulled her away, closed my shirt, and put her down. To my relief, she would scamper off, laughing. It was a game to her, and she didn’t seem to need to nurse for comfort or security since I was providing those things in other ways. She still had her special blankies, and we spent time snuggling and playing and rocking in our rocking chair. I also fed her a bottle once or twice a day.

In a very short time, nursing was just a memory. It still makes me a little sad, but as I watch both of my children go through new and exciting phases, that cheers me up!

Is Organic Really Healthier?

By Rita Brhel, managing editor and attachment parenting resource leader (API)

Is organic scientifically healthier?Georgia Jones isn’t accustomed to addressing a crowd as knowledgeable about food as are many attached parents. An University of Nebraska-Lincoln nutrition professor, Jones spends much of her classroom time educating people about the very basics of what they put in their bodies.

“My students don’t come with an understanding of food,” she said. “Food for my students comes out of a box, a pan. If I told my students to go make a chocolate cake, they wouldn’t have a clue.”

But many families involved in Attachment Parenting are smart about their food. They understand the importance of knowing where their food comes from and how it was produced. These consumers choose to eat food without chemicals, because they realize that organic is superior to conventionally raised food. Or, is it?

Background on the Organic Food Industry

Organic food, a $14 billion industry, is the fastest-growing segment of the food industry, Jones said. National surveys show that two-thirds of Americans have purchased organic food at some point during the last 12 months.

“Organic food started as mostly a niche market, years ago,” Jones said. During especially the last decade, organic foods, farmers markets, and local food networks have spread rapidly into the mainstream consumer market. “Organic food is no longer a niche market,” she said.

Consumer demand for organic food is on the rise for a number of reasons, including food safety issues, such as an avoidance of pesticides and genetically modified organisms (GMOs); a concern for the environment; and because organic food is often fresher and tastier than conventionally grown food, Jones said. But the number-one reason is an increased awareness of the link between food and health.

“There was a time in this country when we forgot that food actually has a purpose in our health, that it is for nourishment,” Jones said. “Now, we’ve moved into an area that I call ‘beyond nutritional eating,’ where we are using food to try to prevent and heal disease.”

That organic food is free of pesticides and GMOs and comes from environmentally friendly farms and gardens are safe assumptions – each documented through federally regulated certification programs. Shocking as it may be, however, there is no certainty that organic food, while its safety is certainly more accountable, is actually more nutritious than conventionally grown food, Jones said.

A New Era in Food Science

Consumers often confuse food safety and nutrition. Food-borne illnesses, pesticides, and GMO allergens are food safety concerns. Nutrition refers specifically to the content of macro- and micronutrients within food. Traditional nutrition centers on macronutrients, which include protein, carbohydrates, and fats; vitamins; and minerals. Micronutrients include substances such as phytochemicals and phytonutrients that were long thought to have no effect on human health. Research now shows that these micronutrients, also known as secondary metabolites, are extremely beneficial in boosting the immune system, protecting the body from cancer-causing free radicals, killing disease-causing pathogens, and more. “This is a new area [for science],” Jones said.

One phytonutrient receiving a lot of attention from nutritionists are flavonoids, which are found in very high amounts in blueberries but also in a variety of colorful fruits and vegetables. Flavonoids are known to protect against heart disease, cancer, and age-related diseases such as dementia. “You want to eat plenty of fruits and plenty of vegetables,” Jones said. “Something else is, you want to eat plenty of color. This is a key part of nutrition and is not getting enough attention.”

Activated by environmental stress, flavonoids are produced by the plant as a defense mechanism against UV-B radiation and disease stress. “These secondary metabolites aren’t there for us. We just reap the benefits,” Jones said. “They’re actually there to protect the plant.”

Organic Plants Contain More Secondary Metabolites

To determine whether organically raised plants are more nutritious than conventionally raised plants, science is going back to how plants are raised and focusing on the formation of secondary metabolites — the phytonutrients — which are chemicals produced by a plant grown in less-than-ideal conditions. Organically raised plants are subject to more pest and weather stress than conventionally raised plants, which are protected by chemical pesticides, GMO varieties, and commercial fertilizer application. As a result of this added stress, an organically raised plant produces secondary metabolites to provide added protection, as well as to quicken maturation and seed development.

But Theories Are Not Proof

Although organic foods do tend to contain more secondary metabolites, “there are a number of reasons why scientists aren’t coming out and saying this is the better way,” Jones said. There are still too many unknowns in the formation of secondary metabolites, including specific environmental factors, soil properties, and crop management practices that affect the formation of these micronutrients. Plus, there are two crucial questions that must be answered first:

  1. Do organic plant products contain more or less of certain nutrients, minerals, vitamins, and secondary metabolites than conventional plant products?
  2. To what extent are nutrients, minerals, vitamins, and secondary metabolites beneficial or harmful to human health?

Much of the problem with being unable to give a definite answer to the question of whether organic food is more nutrition relates to the type of research that has been conducted on the relationship between secondary metabolites and organically raised food. Most of the studies seek out theories, such as epidemiological studies that link food to health through statistics, retail food analysis, and other studies that are purely observational. Observational studies look for patterns, but they can’t prove a theory. For example, an observational study may find that people who eat oranges tend not to develop cancer but there aren’t any scientific data to prove that oranges prevent cancer. “Just because something organic is statistically different doesn’t mean it’s biologically different,” Jones said.

Below are a number of observational studies related to organic nutrition, each with promising theories:

  • Organic ketchup contains more lycopene than conventional and store brands, and fast food ketchup (Ishida and Chapman, 2009).
  • Flavanoids are significantly higher in tomatoes raised with organic practices such as crop rotation for pest control and organic matter for fertilizer, than in tomatoes raised with herbicides and pesticides and commercial fertilizer (Mitchell et al, 2007).
  • Animals fed with organic feeds have fewer stillbirths than those fed with conventional feeds (Williams, 2002; Bourn and Prescott, 2003).
  • Antioxidant compounds are higher in peaches and pears raised organically than conventionally, and vitamin E is higher in organic pears than conventional pears (Carbonaro, et al, 2002).
  • Organic food products have higher levels of vitamin C and lower levels of nitrates than conventional food products (Bourn and Prescott, 2002).

A follow-up human or animal study must be used to prove any theories found. Human studies are the most influential but are particularly difficult to do. “You can control what a rat does, but you can’t control what a human does,” Jones said. “You have to consider not only diet but lifestyle. You can’t eat organic and drink or smoke all day. … You also have to consider, with human studies, that diseases progress over a lifespan, not just one or two years.”

The Most Promising Study

By and large, the observational study most supportive of the theory that organic food is nutritionally superior to conventional foods was conducted in 2001 among Okinawans, the people living on the southern-most Japanese island of Okinawa.

“They have the longest lifespan of any group alive,” Jones said. Okinawans live to be an average of 81.2 years old, followed by the Japanese at 79.9 years, Hong Kong at 79.1 years, and Sweden at 79.0 years. The United States has the 18th longest lifespan of the world’s societies, at 76.8 years.

Okinawans also experience a delayed aging process and minimized debilitating diseases in the elder years. “These people are healthier longer than (Americans) are,” Jones said, despite U.S. medical advancements superior to that of the Okinawans. The average cholesterol level in the Okinawa centenarian is 102.4 mg/dL, and high blood pressure exists in only 1.5% of the centenarian population, she said.

There are several aspects of the Okinawan diet that differ dramatically from the Western diet. Okinawans have never developed a taste for salt, so “they don’t eat a lot of processed foods,” Jones said. Their flavonoid consumption is six times higher than the Japanese or Canadians, who are next on the list. And the Okinawan diet contains the highest lycopene content of all of the world’s diets. The Okinawan diet has since been called the Longevity Diet, because it improves physical strength, prevents illness, and maintains overall health.

“They look at medicine as food,” Jones said. “They’re really looking at food in a different manner than we do.”

Using the Okinawan study, consumers of organic foods can safely assume that, yes, organic is nutritionally superior to conventional foods, Jones said. But, she warned, this is only a guess until the research proves it so — although it’s a guess that many consumers are confident to say is truth.

Current Trends in the Organic Sector

Consumer interest in organic foods continued to grow last year. Highlights from 2008 consumer use surveys include:

  • Research from The Natural Marketing Institute reveals that consumers are increasingly incorporating organic products into their lifestyles. Total household penetration across six product categories has risen from 57% in 2006 to 59% in 2007. The research also showed that the number of core users has increased from 16% in 2006 to 18% in 2007.
  • Consumer interest in buying environmentally friendly products and organic food remains high among Northwest natural and organic product consumers despite tough economic times and rising food and energy prices. Research by Mambo Sprouts Marketing showed that consumers in Washington and Oregon see buying “green” as a priority: 92% of consumers reported buying the same (54%) or more (38%) environmentally friendly products compared to the prior six months. Rather than cutting out such products, consumers report they are using money-saving strategies, such as coupons, stocking up on sales, and cooking meals at home to stretch their grocery dollars.
  • 69% of U.S. adult consumers buy organic products at least occasionally, according to The Hartman Group report, The Many Faces of Organic 2008. Furthermore, about 28% of organic consumers (about 19% adults) are weekly organic users. Organic categories of high interest to consumers are dairy, fruit and vegetables, prepared foods, meats, breads, and juices.
  • A Harris Interactive online survey conducted for Whole Foods Market showed that, despite rising food prices, 79% of consumers do not want to compromise on food quality and 70% continue to buy the same amount of natural and organic foods. Findings also showed two out of three adults prefer to buy natural or organic products if prices are comparable to those of non-organic products. Overall, the survey found that 74% of adults purchase natural or organic foods, with 20% saying that more than one-fourth of all the groceries they buy are natural or organic. In addition, 66% of adults would like to find ways to buy natural or organic foods within their budget.

The Best Baby Food is Homemade

By Amanda Hughes, co-leader for API of St. Louis, Missouri, USA

Make your own baby foodWhen my sister was a baby, I remember my mom had a food mill at the table and she would feed the same food to my sister that we ate for supper. It seemed easy to me, at four years old.

Years later, during my baby shower, my friends and I played a game that changed the way I would feed my children. I took ten jars of baby food, and the women had to guess what each was. They could smell, look, taste, touch – anything they wanted, to try to guess it. I look back at this and remember how we laughed when we got them wrong. I particularly remember how bad the meats smelled and how that made me nervous: What is in this stuff? Do I want to feed this to my child? Can I blame them if they don’t want to eat this? Continue reading The Best Baby Food is Homemade

API’s Role in Shaping Parenting: Highlights from the 2009 API Think Tank Event in Nashville, TN

By Rita Brhel, managing editor and attachment parenting resource leader (API)

API's 15th AnniversaryIn an unprecedented move, Attachment Parenting International gathered eight brilliant minds in Attachment Parenting for the organization’s 15th Anniversary Celebration gathering the last weekend of August in Nashville, Tennessee, USA. Never before had all these parenting experts appeared together at an event open to the public. For the hundreds of parents, students, and professionals sitting in the seats of Belmont University’s Troutt Theatre the afternoon of Saturday, August 29, 2009, the “Making an Impact Now: Creating a Sustainable Legacy for Children” Think Tank Event proved truly to be a once-in-a-lifetime opportunity.

Moderator Lu Hanessian, author of Let the Baby Drive, founder of WYSH, host of API Live! teleseminars, and member of API’s Board of Directors, introduced the panel of speakers, each walking from behind the stage curtain to sit on chairs arranged in a semi circle under a six-foot banner proclaiming API’s anniversary theme: “Growing More Attached.” Making up the panel were:

  • Martha Sears, RN – nurse and lactation consultant, La Leche League leader, mother to eight children, co-author of 25 parenting books, and member of API’s Advisory Board and Editorial Review Board.
  • William Sears, MD – pediatrician and pediatrics professor at the University of California’s Irvine School of Medicine, father to eight children, and author or co-author to more than 40 parenting books, and member of API’s Advisory Board.
  • Ina May Gaskin, MA, CPM – midwife, founder and director of the Farm Midwifery Center in Tennessee, and author of two childbirth books.
  • Mary Ann Cahill – co-founder and former director of La Leche League International, mother of nine children, and author of a parenting book.
  • Isabelle Fox, PhD – psychotherapist, author of two parenting books, mother, and member of API’s Advisory Board.
  • James McKenna, PhD – anthropologist, professor, and director at Notre Dame University’s the Mother-Baby Behavioral Sleep Lab, author of three infant sleep books, and member of API’s Advisory Board.
  • Barbara Nicholson, MEd – founder of API, mother to four children, co-author of Attached at the Heart, and member of API’s Board of Directors, Editorial Review Board, and Research Group.
  • Lysa Parker, MS, CFLE – founder and former director of API, certified family life educator, mother to two children, co-author of Attached at the Heart, co-leader of API of Huntsville/Madison, and member of API’s Board of Directors, Editorial Review Board, and Research Group.

“This is quite an illustrious panel!” Hanessian said. Special tribute was paid to Nicholson and Parker, for “without you two ladies sitting at the table 15 years ago and commiserating about the future, we would not be here,” Hanessian said before launching into a discussion that could have easily lasted longer than the two hours allotted.

Congratulations, Barbara and Lysa!
Barbara Nicholson and Lysa Parker, API’s co-founders, were surprised during the Think Tank Event with recognition for API’s first Award  for Contribution to Parenting going to an AP-minded individual(s) who truly made a difference on parenting. The award was presented by Martha Sears and Dr. William Sears.

Said Dr. Sears of the award recipients: “There are few people – and we really know a lot of people – who I look back on and say, they really made a difference.”

Hanessian opened the Think Tank Event through a series of questions exploring the theme, “Making an Impact Now: Creating a Sustainable Legacy for Children.” To sum it up, she wondered on behalf of parents worldwide what parenting for the future means for the choices parents are making everyday in their homes?

But first, how did API come to be?

API in the Beginning

API, like any effective organization, was borne out a need: “I realized when I had my first child, how few supports there were,” Parker said.

She found new mother support in her local La Leche League, which described a different way of parenting than much of mainstream promoted – one that resonated with her sense of self and where she gravitated toward in her parenting approach. “I think that was a miracle moment for me,” Parker said.

Through the years, Parker and Nicholson saw a need for this parenting approach to get into the reach of more parents. As special education teachers, they encountered children labeled with emotional and behavioral issues and learning disabilities who were, rather, in need of connection with an adult attachment figure. “A lot of problems weren’t really a learning problem but an attachment problem,” Nicholson said.

Read the entire history of API’s founding in the special Attached at the Heart issue of The Attached Family magazine, available at www.attachmentparenting.org/attachedattheheart/journal_aath.pdf.

Ultimately, API came to be as a way to better educate and support attached families, but Attachment Parenting was around long before 15 years ago. Martha Sears and Dr. William Sears, called the Father of Attachment Parenting (AP), coined the term years before API was founded. But the parenting principles that make up AP didn’t start with the Sears.

“In my first year of practice, a wise professor said to me: Surround yourself with very wise mothers,” said Dr. Sears, who is celebrating his 40th year of pediatrics practice this year. “That was my first introduction to Attachment Parenting.”

Empowering Parents

“I worry most about the disempowerment of parents,”  said Dr. McKenna.

“We live in a culture of fear,” Hanessian agreed.

API strives to give the power of parenting back to the mother and father, so that they know how to make the best decisions for their children and family despite the sometimes ill-informed and biased advice offered not only by friends and family members but also by medical and other childcare professionals.

“Take back the power,” Parker said. “For far too long, people in the culture have dictated how we should raise our baby, how we should have our baby.”

Gaskin explained how this empowering of parents best happens when advocated for early – at birth. By choosing a midwife, new parents can ensure that the mother and baby can likely be together from labor and delivery forward. By starting as early as possible in keeping parents with their child, their parenting journey pushes forward with connection being considered “normal.”

Parents’ naturally gravitate toward connection, when not influenced by outside forces. What API advocates is for parents to follow that intuition.

“Our fourth child is the one who taught me about intuition,” three decades ago, Martha Sears said, adding that the first three babies were so-called easy babies – or, in other words as McKenna explained, this fourth child would be one of the babies who aren’t as convenient for parents as they wish they would be. This fourth baby required Martha Sears to cosleep in order for her to get some sleep. Although she was following her intuition, it was a scary time for her because the mainstream culture did not support this sleeping arrangement at all. Sears had to learn how to listen to her baby and trust her intuition despite what was popular in parenting advice at the time.

“Thirty years ago! Isn’t that unbelievable that we’re still plagued by that doubt?” Hanessian exclaimed.

What API does is to help parents realize that they are the experts in their child’s care and that, as humans, we are driven toward connection with one another, especially between parent and child. In Western culture, especially, this often means that how they feel toward childrearing doesn’t quite jive with the mainstream advice. API first empowers parents by allowing them the freedom to look beyond mainstream parenting advice to that connection-building that just feels good and right within themselves.

But the key to helping parents pursue this intuitive parenting style is showing the overwhelming research that support AP and API’s Eight Principles of Parenting. Martha Sears agreed, giving an example of the need to show parents the research discrediting cry-it-out sleep training.

Armed with research, API has helped to turn the tide. Parents are now able to find AP resources to support them in their parenting journey. Even in the mainstream culture, more and more experts are saying for parents to listen to their babies.

There are still challenges, though. Western culture is driven by a working population and both parents in most families work outside the home. Dr. Fox recalled a point in her practice when the family dynamic had noticeably changed – when parents were unable to describe the history of their child’s behavioral problems for which Fox had been called to assess and repair, even unable to provide basic childcare facts such as the child’s fears or the potty training technique used. What she found was that the children she most often saw with behavioral issues were those who did not have a consistent caregiver in the early years of life.

That’s why API is so important, Nicholson said – to get these observations, and complementary research, out to parents to show them the long-term effects of nurturing parenting.

This change in parenting practice among the mainstream culture takes time. As Dr. Sears pointed out, parents have been practicing AP for more than 40 years, and while Western culture is incorporating more AP principles into mainstream parenting advice than ever before, AP is still a long ways from widespread acceptance.

Cahill, one of seven women who co-founded La Leche League International 53 years ago, agreed that cultural change does take time. The reason is, parents want to be “good” parents and it can be difficult for a mother or father to sort through the advice they receive from literally every person they encounter, whether the pediatrician, a teacher, a clergyman, a family member or friend, or even by observing what other parents model at the park or grocery store.

“When I had my first baby, I wanted to be the best mother. I wanted to breastfeed,” Cahill said. “And I utterly failed.”

But what she came to realize is that she didn’t fail; instead, society failed her. She didn’t receive any support for breastfeeding. That’s the value of API – a source of support .

Dr. Fox agreed, saying that it’s common for parents to attend childbirth education classes but that they don’t often attend parenting classes until they have a problem they need help with. “Mothers need help with childbirth, but they also need help with [at least] the first year,” she said.

‘Good’ Parenting vs. Good Parenting

That “good” parent myth is also fueled by the voices parents hear in their heads from how their own parents had raised them, Fox said. “We hear our own parents’ voices, and we hear that parent’s voice be critical to us.” Without being aware of the power of those voices, parents will judge how “good” they are by how well they following their own parents’ paths.

“In the beginning, I had to overcome some deficits myself,” Martha Sears explained. Her mother had spanked and practiced other non-AP approaches. She struggled, like many parents must, against that voice in her head that conflicted with her intuition in terms of discipline and communication. In the end – at the point of decision making – all parents either make the choice to do what their parents did with them, or they change through education, support, and often intense emotional work.

Martha Sears said it’s important for parents to keep the future goal in mind: “Remember that you are raising someone else’s future mother or future father. It’s important to get yourself emotionally healthy, so that you can give that gift to your children that keeps on giving.”

Among API’s Eight Principles of Parenting is Preparing for Pregnancy, Birth, and Parenting. Through this principle, API is able to empower people early in their parenting journey – which ultimately makes the challenges of raising children, discipline and communication, easier in the long-term, said Martha Sears. “When you can find a solid way to connect with your children early, you have fewer problems [later],” she said.

“This organization [API] is the only one in existence, except La Leche League, where parents can learn that and that teaches this foundation of attachment,” Martha Sears said.

It can be difficult for parents to sort out their own voice from all the other voices they hear. So, how can parents sort out which voices – whether from their own parents or another outside influence, including API – aligns best with their need for connection with their child?

Today’s Western society is the only culture in history that needs to read a book to know how to parent, said Dr. McKenna. Books are wonderful, but the best teachers are other parents – those experienced in AP. Let’s look at what the expert parents said at the Think Tank Event in response to some of the most confusing areas of parenting.

Discipline

Dr. Bill Sears offered a quick reflective question he learned from his wife, Martha, that parents can ask themselves whenever encountered with a tense situation: “If I were my child, how would I want my mother or father to react?”

“Get behind the eyes of your child. Do you yell, do you spank, do you use sarcasm, do you hug? If you ask yourself that question, and answer truthfully, you’ll always get it right.”

Sleep

Someone, at some point, decided that parenting should shut off at night, said Dr. McKenna. Instead of regarding their baby’s cries as a way of communication, they regarded it a non-communicating noise that the baby makes. What makes crying irritating is when parents fail to see the value in it. A crying baby indicates a need and opportunity for attachment-building.

“Does your baby sleep through the night yet?” is among the most frequently asked questions of the newborn period and can make parents feel guilty if their baby isn’t sleeping through the night – as if they are not “good” parents, Dr. McKenna said.

“Sleep is very relational,” Dr. McKenna said. Crying is natural; it’s a sign that attachment exists, that the baby is seeking the parent out and wants the parent close. Dr. McKenna gave this sample reply for the next time someone asks whether Baby is sleeping through the night yet: “Not only does my baby not sleep through the night, he protests and cries loudly when I’m not there – and isn’t that wonderful? He knows when he’s in danger and isn’t afraid to say so!”

If mainstream society regards a baby who wakes and cries during the night as having a sleep problem, the question is why only half the babies have “sleep problems” and not the full 100 percent, Dr. McKenna said. Why  are some of the babies not crying, when crying means there is an attachment bond?

What makes nighttime parenting so difficult is because parents want their sleep and losing sleep is hard. But, “it [parenting] isn’t always going to be easy anyway, because life is like that,” Dr. McKenna said. Even the most informative, well-practiced AP parent can have difficulties in parenting – and infant sleep – if they are caring for a high-needs baby.

Dr. Sears chimed in with a story of a couple who he first saw with their newborn baby and later saw when their baby was three months old. Shorty after birth, the baby was a healthy, happy child and the parents seemed inclined to AP. But, at the three months, the baby wasn’t gaining well and had floppy muscle tone and the parents seemed disconnected.

What had changed? The parents, overwhelmed with their baby’s erratic sleep pattern, had taken a cry-it-out sleep training class. At three months, while the baby was considered “good” in that he slept through the night, the baby’s health was failing in what Dr. Sears refers to as “shut down syndrome” – the baby’s lack of emotional connection with his parents caused him to shut down mentally and physically. It’s a rather common example of the effect that non-AP sleep practices can have on children.

“Beware of baby trainers, because I can tell you, from my practice, it’s a short-term gain by a long-term loss,” Dr. Sears said.

Balance

“This [parenting] is a tough job, and there are a lot of tired moms,” Nicholson said. “What a baby needs is a happy, rested mother.”

Fathers, she said, need to give their wives and partners support – not advice – to ensure that she doesn’t get overwhelmed and is able to find balance between taking care of the child and herself.

But balance is more than self-care; it’s also about healing the emotional wounds left from their own childhoods. “You can’t value someone unless you value yourself,” Dr. McKenna said.

In Utero Bonding

Connection begins even before the baby is born. Nicholson spoke about the importance of parents learning about conscious birth, starting their parenting journey of education and smart choices early. Mothers and babies are not supposed to be separated after birth, Gaskin agreed.

Gaskin recommended that mothers take the time to revel in the baby growing inside them. She suggested mothers focus more on the baby moving and kicking than getting caught up in the technology surrounding pregnancy, such as ultrasounds which unnecessarily distracts some parents.

Consistent and Loving Care

“Babies are ingenious in figuring out who really does what for them,” said Dr. McKenna. Whether this is the mother, father, grandparent, or childcare provider, the baby’s main attachment bond will develop with the primary caregiver. “Our species would not have been successful without significant caregivers,” he added.

That’s why, “what is so important is that mothers have to be there,” said Dr. Fox, who explained that, in all families, one parent should stay at home full-time for the first few years of the child’s life. Often, this is the mother, but more and more, the father is taking on this role in many families. “Fathers can just as well stay home, too,” Dr. McKenna said.

Lately, “fathers are taking more of a role,” Gaskin agreed. “When dads aren’t afraid of babies, I think that’s something very good because that connection is likely to continue.”

Dr. McKenna mentioned the term, “tandem parenting,” in which both the mother and the father share in the care of their child to the point where both are primary attachment figures. This is a new concept, as it has long been thought that a child can only have one primary attachment figure and that the next closest relation would be a secondary attachment figure. The primary attachment preference is based on the father’s behavior toward the baby, not a biological connection.

There is great value in tandem parenting, not only in the benefit to the child who can rely on both parents and to the mother who can take a break here and there, but also to the father himself. When fathers help with their children, their hormone levels fluctuate, Dr. McKenna said. Their oxytocin levels increase and testerone decreases. It’s an actual change in biochemistry.

But, especially with the economic pressures of today’s society, many families are unable to afford one parent to stay at home, so does this mean that they can’t AP? It’s harder for dual-income parents, but certainly possible, Parker said. What they need to do is to focus on reconnecting every day once the parent comes home from work. Hanessian recommended reconnection through cosleeping. Dr. Sears mentioned nursing mothers using breast pumps to be able to continue breastfeeding after they return to work.

“My mother was a single mother juggling two jobs, and what I remember about my mother is that she did the best she could in a less-than-ideal situation,” said Dr. Sears, explaining that while it’s best that a parent is able to stay at home with the children, if it can’t happen, the focus of the parent should be on cultivating that connection as much as possible when together with the child. Children can grow up in situations that are hard but be OK because the memories they have are of happiness and togetherness and connection.

Another way for dual-income parents and single parents is by striving for one, consistent caregiver and being careful about caregiver “roulette,” in which the child’s caregiver is frequently changing. It’s extremely important that a child is able to form a strong, long-lasting primary attachment bond with a caregiver, even if not the parent, and this can only happen with one, consistent caregiver relationship in a childcare situation. Without the formation of a primary attachment bond, as in the case of a child who has many different caregivers, that child will be unable to form healthy attachments and maintain relationships.

Although there are some families who truly cannot afford to have one parent stay at home, Dr. Fox said most families, if they made it a priority, could pull the resources together to do this. More and more jobs are allowing parents to work at home, and the Internet allows parents to more easily start an at-home business, or a family financial budget can help parents adjust to the lifestyle that goes with a lower cost of living.

“You are really needed for the first two years of a baby’s life,” Dr. Fox said. “We go out to borrow money for a house or a car; think about saving that money to stay at home with your baby. It’s not that long.”

What is Good Parenting?

The goal of what mainstream culture considers “good” parenting is how to raise children that won’t embarrass the parents. What API strives to do is to support parents in raising children who grow up connected – that is who are emotionally healthy and able to form strong relationships with others, who want to make good decisions based on their own sense of self and values, and who are empathic and compassionate.

So, how do parents go about doing this?

Dr. Fox explained that AP is based on what is known as the Three Ps:

  1. Protection – that the child feels protected and cared for.
  2. Proximity – that the child is physically and emotionally close with the parent.
  3. Predictability – that the parent is consistent in childcare.

“With protection, proximity, and predictability comes a growing sense of trust and a growing sense of the world’s a pretty good place,” said Dr. Fox.

Dr. McKenna said AP is about parents being conscious of the way they are raising their children. “We tend to think of birth as Independence Day,” he said. “Not that it’s not important, but we’ve overdone it.” Parenting cannot stop at childbirth.

The emphasis placed on childbirth in society needs to spread beyond into childhood; the reason being, babies and children are always developing, always learning. For example, the tastebuds don’t form until the last few weeks of pregnancy, which is why a child tends to like the foods his mother ate during the last part of her pregnancy. And apnea-prone babies can lose up to 70% of their apnea spells by being placed next to teddy bears with a breathing motion. “Every sensory modality that baby has is being regulated by the mother [or father],” said Dr. McKenna.

Dr. Sears said AP is about getting to the basics of relationships in a culture that where the basics can easily be lost in technology. “We’re talking about a low-tech style of parenting in a high-tech world,” Dr. Sears said. He told of a woman in saw in his practice who commented that while she couldn’t afford to buy her son everything that other children had, she could afford to give her son herself.

Dr. Sears also said AP is about parents enjoying parenthood. “Revel in it,” he said.

Highlights from Responses  to Audience Questions

Q: Does AP help autistic children?

Nicholson said that in her research, AP was definitely helpful in building connection between an autistic child and his family members .

Dr. Sears said: “If you were to ask me to write a prescription, I’d write ‘Attachment Parenting,’” because autism is a disorder of the brain and Attachment Parenting directly affects the way the brain develops.

Q: How exactly do you form an attachment bond with your child?

Cahill explained that an attachment is established and maintained by the parent meeting the emotional needs of the child. “All the things you’re doing, it creates this parental antennae,” she said and that antennae – or that sense of knowing what your child needs – develops over time.

Q: How can we change the mainstream perspective on cosleeping?

“Never be afraid to say, this is what you do and that you sleep with your baby,” said Dr. McKenna. “We really need to talk, as individuals, about our choices in positive ways.”

Q: How can we deal with the criticism of babies and toddlers not sleeping through the night?

“Here’s the deal: You’re the best sleep expert in your family,” said Dr. McKenna, adding that there are a number of reasons why young children may not be sleeping through the night but the standard that they should be sleeping through the night is unfounded. Every child is different, and comparing one child to another one isn’t effective in evaluating sleep issues.

Q: What does AP look like in an older child?

“If I had to sum up the long-term effect of Attachment Parenting in one word, it would be: empathy – kids who care,” said Dr. Sears. “If I had to sum up the long-term effect of not doing Attachment Parenting: lack of empathy – kids who don’t care.”

Q: Is there an education approach that is more AP than others?

Nicholson, whose children have homeschooled and attended public school and others, said that API does not endorse any particular education option. However, there is an AP way in selection an education option: “Look at each child and see where are their interests and where are they developmentally?” And, if there is only one option and it doesn’t seem to be a good fit for your child, communicate that you share in her frustration and work to problem-solve to make the situation more ideal.

Dr. Isabelle Fox on Overnight Visitations: As Harmful as We Suspect?

By Rita Brhel, managing editor and attachment parenting resource leader (API)

Isabelle Fox, PhD
Isabelle Fox, PhD

Attachment Parenting International regularly fields questions from members regarding different aspects of attachment, child development, and challenging family situations. Easily the largest area of concern is among divorced and separated parents who are involved in custody cases in which the other parent is demanding overnight visitation for an infant or young child.

Parents involved in this stressful situation believe that overnight visitation is harmful not only to their individual attachment with the child but also to the child’s overall development. Isabelle Fox, PhD, a psychotherapist, author of Being There, renowned expert on API’s Principle of Providing Consistent and Loving Care, and a member of API’s Advisory Board, wants to leave parents with the truth – that, yes, overnight visitations can be quite harmful to the young child…but that, unfortunately, the courts system is woefully behind on education in this arena of child development. Continue reading Dr. Isabelle Fox on Overnight Visitations: As Harmful as We Suspect?

The 4 Parenting Styles: What Works and What Doesn’t

By Dr. Maryann Rosenthal, co-author of Be A Parent, Not A Pushover, reprinted with permission from DrMA.com

Parenting stylesI believe it’s that overall style or pattern of action — rather than a specific decision — that will most affect a child’s behavior. Generally, psychologists have found that there are two main components of parenting styles.

One is responsiveness, or how much independence you’re willing to grant. The other, for lack of a better word, is demandingness — how much strict obedience you require. How much obedience parents demand, how much freedom they grant, and how these two behaviors mesh go a long way toward defining the parents’ style.

These parenting styles fall into a generally accepted four broad categories. Though different researchers give different names to them, the styles usually are said to be: Authoritarian, Authoritative, Permissive, and Uninvolved.

Authoritarian

Authoritarian parents are very strict and controlling. They have a strong sense of justice and of the need for obedience. They’re big believers in clearly stated rules. If their kids don’t “see the light” (behave as ordered), then those teens will “feel the heat” (be punished). Such parents take a dim view of being challenged. Give-and-take with their children is discouraged.

Thus, these parents are highly demanding but not very responsive. Researchers believe children of authoritarian parents tend to be timid, have lower self-esteem, lack spontaneity, and rely to an unusual degree on the voice of authority.

Authoritative

While retaining authority and control, these parents are warmer and more communicative than Authoritarian parents. Authoritative parents seek a balance between the teens’ desire for independence and the parents’ desire to be listened to. These parents are demanding and responsive. They’re assertive but not intrusive or restrictive. They want their children to be assertive as well as socially responsible and self-regulated as well as cooperative.

The best-adjusted children, researchers have found, often have parents with an Authoritative style. Both the Authoritarian and the Authoritative parents have high expectations for their children, but the Authoritative parent encourages more freedom of expression. So the child more likely develops a sense of independence. Such kids tend to develop into more competent adults than children brought up in the other styles.

Permissive

Permissive parents, while often warm and accepting, make few demands on their children. They’re lenient, avoid confrontation, and allow considerable self-regulation. They may worry about thwarting the child’s creativity and sense of self. They’re much more responsive than they are demanding.

Sometimes the Permissive style is based on confusion. The parents are so out of touch with the pre-adolescent and adolescent world that the best they can do is to try to be a pal to their child. So they tend to give their kids what they ask for and hope that they are loved for their accommodating style.

Other Permissive parents want to compensate for what they themselves lacked as children. Perhaps they grew up in poverty and/or had parents who were overly strict. So as a result, seeing themselves as an ally to their child, these parents bend over backwards to give the child both the freedom and the material goods they lacked. Yet other Permissive parents act conditionally. They view the maturing child as a mini-adult and give him or her what he or she wants, provided the child satisfies certain parental demands. Making good grades, for example, may be linked to freedom and material benefits.

Or, at its most lax extreme, permissiveness may take the form of indifference. The parents are just too busy, poor, troubled, or self-involved to exert much control. They may give material goods and freedom in return for the child’s implicit promise not to demand much from the parent.

Uninvolved

The uninvolved parent demands almost nothing and gives almost nothing in return, except near-absolute freedom. This style is low in both demandingness and responsiveness. At its worst, it can verge into neglect.

How would these parenting styles work in practice? For example, a teen wants to go with a bunch of friends on a weekend outing to Mexico where, the parent suspects, wild partying is on the agenda because of younger drinking-age requirements there:

  • An Authoritarian parent might say: “No way! And if I ever catch you going down there without my OK, you’ll be in big trouble.”
  • An Authoritative parent may respond: “No, I don’t want you to go down there right now with your friends. But let’s you and I go down soon, though, and check it out. If it looks OK, maybe you can go later with your buddies.”
  • A Permissive parent would say: “Sure, go and have fun, but be careful.”
  • An Uninvolved parent may reply: “Whatever.”

Parenting style has been found to predict child well-being in a number of areas, including social skills, academic performance, and the degree of problem behavior. The Authoritarian, Permissive, and Uninvolved styles can carry a high cost:

  • Children of Authoritarian parents, for example, may do well in school and not engage in problem behavior, but they tend to have poorer social skills, lower self-esteem, and higher levels of depression. They may grow up to be highly anxious people who don’t realize their full potential because, figuratively speaking, they’re always looking over their shoulder for that overly-demanding parent.
  • The children of Permissive parents may come to feel entitled to privileges and material goods. If the parents try to regain control, the older child probably will perceive that effort to be a power struggle. He or she may fight back in dangerous ways, including sexual rebellion, unsavory associates, or substance abuse. Thus, they’re more likely to be involved in problem behavior and perform less well in school, though they have higher self-esteem, better social skills, and lower levels of depression than Authoritarian children.
  • And Uninvolved parents, of course, can sow a lifetime of havoc by their indifference or inability to deal with their children.

Authoritative parenting, which balances clear, high parental demands with emotional responsiveness and recognition of the child’s need for autonomy, is one of the most consistent predictors of social competence. Thus, the child of Authoritative parents typically does well in school, develops good social skills, and avoids problem behaviors.

Studies show that the benefits of Authoritative parenting and the disadvantages of Uninvolved parenting are evident as early as the preschool years and continue throughout adolescence and into early adulthood. A recent study of 1,000 teens, for instance, by the National Center on Addiction and Substance Abuse evaluated a “hands-on” (roughly equivalent to the Authoritarian or Authoritative styles) approach versus a “hands-off ” (akin to the Permissive or Uninvolved styles) approach to parenting and found that teens living with “hands-on” parents are at only 25% of the risk for drug abuse than those living in “hands-off ” households. Similarly, 47% of teens in “hands-on” households reported having an excellent relationship with their fathers and 57% an excellent relationship with their mothers. By contrast, 13% of teens with “hands-off” parents reported an excellent relationship with their fathers and 24% with their mothers.

“Moms and dads should be parents to their children, not pals,” said Joseph Califano Jr., former Secretary of Health, Education, and Welfare, in summing up the study. “Mothers and fathers who are parents rather than pals can greatly reduce the risk of children smoking, drinking, and using drugs.”

Editor’s Note: Attachment Parenting International advocates a certain approach to parenting in order to develop close, healthy emotional bonds between the parent and child, and this looks different in different families, but it is ideal for attached families to strive toward the science-backed Authoritative parenting style.