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What Children REALLY Want: An interview with author Licia Rando

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

The Warmest Place of AllA cup of hot cocoa, a bubble bath, a cozy blanket, a cuddle with a fluffy dog, a steamy bowl of soup, a tuck into bed — all of these are warm, but none compares to a snuggle with someone we love and who loves us. And this is especially true for Sophie, the little girl whose story is told in The Warmest Place of All, a new children’s book by Licia Rando, M.Ed, illustrated by Anne Jewett. After trying comfort after comfort, Sophie climbs into bed with her mother and father and discovers a true sense of peace and wholeness.

Attached parents understand the importance of cultivating emotional attachment with their children, and use the Attachment Parenting International’s Eight Principles of Parenting as a guide to do so. But there are many parents in the world, especially in Western society, who may be confused as to what children need. They seek out early independence through sleep training, discouragement of physical affection, punitive discipline, and other practices not consistent with Attachment Parenting (AP) — when what is most important for their child’s development is that warmest place of all: wrapped in the arms of a parent attuned to the emotional needs of that individual child, apart from any cultural influences.

Let’s turn to Rando, mother of three from Boston, Massachusetts, USA, to learn more about how she is working to help parents provide children with the warmest place of all.

RITA: Hi Licia. Your book is such a great read, really taking the reader on a journey, and has a solid AP theme: that what really matters in a child’s life is time with his or her parents. What inspired you to write this book?

LICIA: I became interested in parenting styles as I was growing up and saw kids getting hit and sworn at, and I wanted to do something about that. Then, 17 years ago, while considering adopting a child, I did a lot of research into Attachment Theory, reading John Bowlby’s studies and Harry Harlow’s studies on rhesus monkeys. Through this journey in learning about abuse and trauma and the effect on children, I realized the importance of parenting.

Then, years later, neuroscience began coming out with studies that confirmed what Bowlby had suspected, and that was a very exciting time. I became interested in, and wrote about, how parents who were neglected and abused as children can go about learning to parent in a connected way. You can read about this in one of the sections in my Caring and Connected Parenting Guide for new parents on my website, LiciaRando.com.

So, I wanted to put everything I had learned in a story form that could reach more parents, a story with a warm, fuzzy moment that could help parents realize that snuggling with a parent really is the most important thing in the world to your child.

RITA: A lot of parents really struggle with learning how to raise their children differently than they were raised – where non-AP practices were the norm.

LICIA: Dan Siegel and Mary Hartzell describe this in their book, Parenting from the Inside Out, how people have emotional memories from when they were young, memories they don’t even know they have except that they have certain triggers that stir strong emotions for no apparent reason. Parents really need to evaluate what happened to them as children, first, in order to be able to connect with their own child.

RITA: Some parents don’t understand how their relationships with their children will change if they take the time to examine their parenting style and make a commitment to change. I know parents who are really struggling with connecting with their children, who have anger problems and whose children frequently act-out, yelling back at the parent the same way the parent yells at them. These parents can’t believe that there are families where conflict resolution is peaceful and children are willingly cooperative. Can you give us your top three tips for parents who are seeking this?

LICIA: First, if you have a background of trauma, abuse and neglect, or loss such as of a parent, you need to come to understand how that is affecting your life. It goes back to Parenting from the Inside Out. It’s a matter of learning why you parent the way you do, to identify your triggers, and to retrain how you interact with your child and others when your strong emotions are triggered.

I’ve heard people say, “This is just the way I am.” But it’s never too late to change, never too late to become a better parent and person.

Second is listening and speaking respectfully to your child. You need to set limits, but it should be done with respect while showing that you understand what the child wants. Say, “I understand how much you want to go see this movie, but it is a school night and you can’t be out late. The weekend would be a better choice.“ When there is an altercation, go back and talk about it after you have calmed down or burned the energy with a walk or exercise. Take responsibility for your part in the eruption. Reflect with your child about inner emotions that played a part. For example, you yelled because you were worried about where your child was, because you love him and want him safe.

Third is modeling. Your kids are constantly learning how to act from you. Modeling is the best teaching tool. If you express anger in a certain way, that’s how your child will learn to express anger. So, if you yell and scream and throw things, so will your child. And if you talk respectfully with your child during a conflict, that’s how your child will learn to deal with his anger.

What you’re doing affects more than yourself. It affects your children, too, and it’s passed through the generations and interactions with others. So, your behavior affects your grandchildren, and their children and grandchildren, and all the way down the life — and other children outside your family.

RITA: Which is why AP is so important…

LICIA: It’d be a more peaceful world if we could all interact like that. I really believe that family peace is the way to world peace.

RITA: I love that quote: Family peace is the way to world peace! We should put it on a T-shirt. So, since your book came out in September 2009, what kind of response have you received?

LICIA: I’ve read the book around a lot, in libraries and bookstores. Little kids just love it. From their reactions, I feel like I just hit the nail on the head. They know! They really relate to that feeling of snuggling with Mom and Dad.

RITA: What kind of response have you received from adults?

LICIA: A lot of people are buying the book for holiday gifts. Parents like to use the word, “sweet,” when they refer to it.

I wrote the book in simile, so it can be a good teaching tool, and sent it the reviewers who recommend books for classroom use. They wouldn’t review it! They didn’t like the idea of a seven-year-old child crawling into bed with her parents. I was surprised that it was being censored, especially with the disrespectful and violent books and movies out there. They’re so worried about this one illustration — a very loving and beautiful illustration of what children long for.

But there are teachers who’ve read it and love it and are using it in their classrooms. It just won’t be formally reviewed for teachers for classroom use.

RITA: That just goes to show, unfortunately, how much more work there is to educate our culture about the importance of AP. How do you see your book furthering AP?

LICIA: From all that I’ve learned from abuse statistics and brain trauma research, the really vulnerable age for children is from infancy through four years old. The Warmest Place of All is meant to emphasize the importance of early connection for parents. Research shows that if children get that connection early in life, parents have less difficulty with that child later on. And that the earlier a child receives harsh discipline, the more likely the child will act out later on.

My book also emphasizes the importance of touch. Why touch is so important is that it releases the hormone, oxytocin, which makes us feel good. The Warmest Place of All helps parents to actually feel the experience.

RITA: You have such a vast knowledge base of how parenting affects child development, as well as how to help parents learn the importance of connection. Are there more books promoting AP in the works?

LICIA: This is my life mission. I am always writing books that link or connect people and form community. I want to help people to connect with one another, especially between generations, like older people with the young child, parents with their children.

How to Downsize the Holidays

By Judy Arnall, author of Discipline without Distress, ProfessionalParenting.ca

Judy Arnall, BA, is a discipline expert, parent educator, and speaker as well as the mother of five children. Learn more at  www.professionalparenting.ca or www.attachmentparenting.ca.
Judy Arnall, BA, is a discipline expert, parent educator, and speaker as well as the mother of five children. Learn more at www.professionalparenting.ca or www.attachmentparenting.ca.

Even though the economy is recovering, many families will still have to put the brakes on Christmas spending. How does one cut down? How do we break it to the kids? What will the relatives think if we don’t participate in the gift frenzy?

Families can do all three if they communicate the changes early, with loving intent and with assurances that the holidays will be about presence and not presents.

To limit children’s demands at Christmas:

  • Remember that children remember good times and not toys. Create rituals around the tree decorating, baking, other activities, and family and friend visits. Children will remember a special time with Grandma baking cookies much more then the hottest gift that is tossed aside in favor of more gifts.
  • Try to get the most wanted gift on their list, if possible. It only has to be one special, coveted gift.
  • If you can’t get or can’t afford the “hot” gift, use your judgment to decide what toys and games have the best play value. Keep in mind that children are often disappointed with the advertising hype when they eventually get the “it” gift. Don’t dismiss the second-hand stores for huge bargains on consignment and gently used toys. Children do not care if the toy doesn’t come in mounds of wire and clear plastic and cardboard packaging; the toys don’t have to be new, just new to them. Make sure the toys are clean and working, though. Keep in mind that as a parent, you know which toys offer more play value than others. Many children like simple, unstructured toys that can be played with in many different ways. Continue reading How to Downsize the Holidays

The Bedtime Challenge

By Sonya Fehér, Mamatrue.com

Sonya Fehér is a co-leader for the API of South Austin, Texas, USA. She is also a contributing editor for API Speaks.
Sonya Fehér is a co-leader for the API of South Austin, Texas, USA. She is also a contributing editor for API Speaks.

Bedtime is one of the most challenging times of day for me as a parent. I am tired from having taking care of a little person all day, ready to cuddle with my husband on the couch and watch a show, or check Facebook, or have any kind of leisure or work time that’s my own.

My son was two before we had a solid bedtime routine. We would read a pile of stories, then he’d crawl out of bed for more. He would nurse, then want to play or read and then nurse again. It didn’t bother me much at first because he was napping, and I got breaks during the day. Also, I listened to mamas all around me talk about their kids waking up at 6:00 a.m. and since my son didn’t go to sleep until 10:30 p.m., he slept until 9:00 or so in the morning. Much better for me since I’m a night owl.

Then we night-weaned and he started waking earlier. The long uninterrupted blocks of sleep meant he was more rested, too. He woke anywhere from 6:00 to 8:00 a.m. When the time changed, my son rose with the sun. I’ve never been so aware of dawn. I bought new curtains at IKEA and sewed black-out material into them. Still the early mornings. I couldn’t start my day at 6:30 a.m. and still be present, attached, and nice by 10:30 p.m. I needed a break.

Even though Cavanaugh was exhausted, bedtime took a couple of hours every night. My husband and I thought we were providing a routine because we’d go upstairs an hour before we intended for Cavanaugh to be asleep so he could have quiet winding down time. We’d change him into a nighttime diaper and pajamas, read stories, and then nurse. But our routine didn’t have specific limits and Cavanaugh had no idea when it was supposed to end. It finally occurred to me that Cavanaugh loved “bed” time because he was getting undivided attention from both me and my husband. He wasn’t looking at a clock and counting the hours until morning. He was lying in between us as we cuddled him and read him story after story. So we changed our routine.

We do the playing downstairs now so that just going up to the bedroom signals that it’s time for pajamas, tooth brushing, three stories, and sleep. Before the first book, his dad or I say, “Three more books and then what?” If Cavanaugh says something other than “milk” or “sleep,” we’ll remind him where we are in the routine. And most of the time, this works amazingly well. Knowing what the parameters are means that Cavanaugh can relax and enjoy the time with us. If he wants me to read the last book, he knows when there’s only one more.

But late afternoon and evening need to occur on a timetable that allows the nighttime routine to flow smoothly. We need to eat dinner between 6:00 and 6:30 p.m. We need to be upstairs by 6:45 p.m. This kind of predictability and scheduling didn’t exist in my pre-parent life. I never wore a watch. I ate cereal for dinner and went to sleep at 2:00 a.m. Some nights, I made four-course meals and was asleep by 11:00 p.m. I could do what the day called for. Those times are no more. Sure, we can make an occasional exception to the routine, but two or three nights in a row of odd circumstances mean my boy wants a little wiggle room himself. If we’re not following the schedule, why should he?

As he’s playing around, pretending to go to sleep and trying to negotiate more time with me, I’m looking at the clock thinking that for every minute he stays up later, we are in some convoluted formula that means he wakes up that much earlier the next morning. The voices in my head say it’s my fault because we weren’t home on time or I didn’t remember to start making dinner before 5:30 p.m. or…. None of this is conducive to responding to him sensitively.

Or, say, we’ve followed the routine to the letter but he isn’t going to sleep. I think back to our day full of play dates, errands, and a lot of time together though he hasn’t had much mama focus on just him. Or his dad’s working that night. Bedtime has a way of dragging out on the days when Cavanaugh most needs me and I most need a break.

On the nights when we’ve gone through the whole routine but Cavanaugh is still rolling around and bargaining for another story, index finger in the air, “Just one more,” I usually don’t want to read one more, or the one he will ask for after that. I manage to be sympathetic to his need for attention up to the point that my impatience wins out over my parenting philosophy and I end up snapping, “Cavanaugh, it’s sleeping time.” Then I give him the five-minute transition notice in an angry tone, “I will stay with you for five more minutes and then I need to go downstairs. What do you need from me to help you go to sleep?” Some nights it’s cuddle, a back rub, one more story, icy cold water. But some nights it is “five more minutes” until it’s an hour or more past his bedtime.

Playful Parenting bookThis week, though, I’ve been rereading Playful Parenting by Lawrence Cohen. So last night when Cavanaugh was rolling around, being silly, asking for more of me than I had, I tried something — to playfully set the boundary. I told him, in a funny tone, that it was time to go to bed and wagged my index finger at him. My anger gave in to silliness, he was laughting, and the impending power struggle dissipated. After a couple more minutes of playing, he turned over to go to sleep. I got to tell him the limit was firm without having to use firm tones. And he got exactly what he needed, a reconnection as I looked into his eyes and acted a clown.

Pumping for Stay-at-Home Moms

By Sonya Fehér, leader for South Austin API (Texas, USA) and blogger at MamaTrue.com

pumping for stay-at-home momsIf we’re staying at home to be with our babies full-time, we don’t have to pump milk or offer bottles. We can delay extended separations until our children are older, take our babies with us to run errands, go to appointments, or when we meet friends. And most of the time, we do. We spread out activities, so we can avoid taking Baby in and out of the car for multiple stops. We keep the volume low on the car stereo. We prioritize what we need to get at the grocery and find ways to entertain or distract Baby, so that we can get everything on the list. And we likely plan it all around when Baby may take a nap. That’s what stay-at-home moms do.

What differs for attached moms is that we are likely also sleeping with or near our babies during the night, wearing them during the day, and nursing them every hour or so. Being an Attachment Parenting (AP) stay-at-home mom is an intense 24-hours-a-day/365-days-a-year job.

Why Stay-at-Home Breastfeeding Mothers Pump

While all of the mothers that I interviewed agreed that breastmilk from the breast is best, AP stay-at-home moms have many reasons to pump: Continue reading Pumping for Stay-at-Home Moms

Breastfeeding and Working, an Illustration

By Amber Lewis, staff writer for The Attached Family

Pumping breastmilkThe first painful hurdle I was to face as a mother was the need to return to work. After a three-month crash course in Attachment Parenting (AP), my daughter and I were well bonded, so going back to work broke my heart. I have to admit it still does — every day that I spend more time working for a paycheck than I do building a relationship with my daughter, I cry a little privately.

I have tried to make the best of this hurdle called work, and in spite of day after day away from my daughter, we are still very much an attached family. When I am home, we use attachment skills that help us best keep and build a good relationship with our daughter, including:

  • Breastfeeding — Even though my daughter is more than two years old, I still pump twice a day at work. We will practice self-weaning, because I know she needs to nurse. It’s no longer as much of a nutritional need as a psychological need that allows us to reconnect after work and to say good bye without words in the morning.
  • Cosleeping — We have a family bed. Even though we have experimented with moving our daughter into her own room, we know she’s not ready for that yet and so we allow her to lead the way, at least for the mean time.
  • Prioritizing — Our daughter is our number-one priority. While we like to have a clean and organized house, this is not always the case. Things frequently get left out or put away in a rush to maximize our time together. I am a stay-at-home mom when I’m home. We take however long we need for library story time, trips to the park in the summer, family walks, crafts, learning, religious study, and anything else I would do if I were a stay-at-home mom.

Tips for Successful Pumping at Work:

  • Start early and pump often — My breasts are fullest in the morning, so I usually pump twice in the morning. I began pumping even before I returned to work, at night for the last six weeks I was on maternity leave, my daughter would nurse on one side while I pumped on the other, it was the best thing I did to build up my supply. By the time I returned to work, I was a pumping pro and had a freezer full of milk.
  • Put pumping on your to-do list — I was the only pumping mother in my department, so if I didn’t decide to pump, no one noticed or cared. I added it to my to-do list and set an alarm with the exact time I would pump every day. My breasts got used to the schedule, and if I missed a pumping session, I could feel it. Once I set it as a priority, people knew it was important to me and they respected that.
  • Be honest and open — If your boss wants to know why you are leaving and what you are doing, be honest. Using the word “breast” in a sentence at work makes people uncomfortable and I used that to my advantage. If my boss needed to know where I had been, I told him I was pumping breastmilk. If I was using a bathroom instead of a nursing room and a busybody needed to know what that funny noise was coming from the stall, I told them it was a breast pump. Anyone who wants to make a big deal about it will usually be too embarrassed at hearing the “b” word, they will immediately back down and none of those people ever mentioned it again to me.

What Fathers Can Do:

  • Provide support — Remind your wife that she can do continue nursing and working at the same time, because you believe in her.
  • Help out — Your wife is helping to take care of financial obligations, so you should help take care of home obligations. A little cleaning goes a long way in the heart of a working mom.
  • Be patient — Your wife feels the stress of working and still wants to be a wonderful mother. Those two things tend to compete for her time, so she can and probably will lose it every once and a while. Be quick to forgive and forget those frazzled moments.
  • Encourage weekend relaxation — When your wife has a free moment, encourage her to rest or help her so she can catch up on her favorite hobby. A little rest and relaxation can go a long way to preventing those frazzled moments in the point above.

Breastfeeding and Extended Separations

The most challenging time of me was around the time my daughter turned 18 months. I am a Navy reservist and was required to serve my two-week training across the country. We didn’t have the money to fly my husband and daughter back with me, so we set about finding other ways to stay attached.

I began researching everything I could find about nursing while apart. The best information was from a few moms whose travel for work kept them apart from their babies two or three days. I was left with one question as my departure date loomed ever closer: Would my daughter want to continue our nursing relationship when I returned?

Everything I knew about breastfeeding led me to believe it was beneficial for as long as possible, so I made two decisions:

  1. We would nurse up until the moment before I left for the airport. During our last nursing session, I would try to explain to her about my leaving and where I was going and that we would nurse again when I got home.
  2. I would pump throughout the two weeks. So, if she did want to nurse again once I returned, she could.

These decisions I made concerning breastfeeding were just a couple of ways we stayed attached. Here is what I found key to keeping attached with my daughter over the distance:

  • Video conferencing and lots of phone calls.
  • Help from Grandma and aunts. This was especially important, not only for giving my husband breaks, but in a pinch, their extra love and attention filled in a bit for my absence. Every time my mother-in-law came over, my daughter was ecstatic. It was as if she needs a woman’s love, and Grandma filled that need for the two weeks.

The decision to pump, with the hope we could continue our breastfeeding relationship, was not one without consequence. Pumps are great and they can do a good job in a pinch, but without a baby to fully empty my breasts, I developed a short bout of mastitis halfway through the two weeks.

My supply did drop, mostly because I was sleeping through the night, so I had to adjust that schedule. Instead of ignoring when my full breasts woke me up during the night, I took the cue and got the pump out. Showers became another tool to help me keep up my supply and fight further infection; using warm water and massaging the milk ducts became a twice-daily routine.

While it was a very stressful and exhausting two weeks, it was well worth all the effort. My daughter immediately nursed after we were reunited at the airport.

It doesn’t matter if you are across town for the day or across the globe for the week, you can successfully continue breastfeeding and AP with a little extra work and dedication. The best part of my time apart was seeing my husband and daughter at the airport when I returned — my daughter squealed with such delight and held on to me so tight, and then that first nursing session after my return was like heaven.

Tips for Successful Pumping during Work-Related Travel:

  • Bring your best pump — I asked for a second breast pump for my birthday and now I have a pump used only for travel. It stays cleaner and pumps a little more efficiently than the one I use every workday.
  • Bring lots of photos — This will help you pump more milk and stay connected to your baby. If you have a video phone, take pictures with it to play back while you pump.
  • Bring lots of batteries — Don’t expect to find a nursing room everywhere you go, especially on a plane. I bring enough batteries to last to whole trip just in case.
  • Bring a nursing wrap — If you can’t find a bathroom suitable to pump, you can sit in your car or find a secluded chair, cover up, and get to pumping.
  • Keep your lactation consulant’s number handy — I actually made an appointment just to discuss my plans with my OB/GYN before I left. When I got mastitis, I called her office and got some tips to get over it without medicine and a sympathetic ear, which helps when you are on the verge of tears with two very full and painful breasts.
  • Keep at it — The first two or three days will be the most difficult. Your body is adjusting to a new type of nursing and it can be hard to get a rhythm going, but once you get a schedule of pumping that works for you, things get easier. Mental attitude will go along way here. If you believe you can keep at this, you can and you’ll overcome any obstacle that gets in your way.
  • Stay hydrated — Drink lots of water to keep your supply up. I usually don’t drink anything but soy milk as far as dairy goes, but I found that whole milk actually helped increase my supply dramatically. So, the days I was gone, I drank two glasses each morning.
  • Bring lanolin cream — Invest in a couple tubes of lanolin cream, and don’t be shy when administering it. Pumps can be hard on nipples.

Blessings on Our Meal: Parenting a Child with Severe Feeding Issues

By Jonna Higgins-Freese

Jonna and her children
Jonna and her children

I’m making breakfast for my two-year-old son who stands on a stool next to me. Oatmeal simmers on the stove. “Lid!” Reuben says, pointing to the rattling pan and signing that he hears something. I turn off the flame, then slice an avocado, which I slide into the Vitamix blender. I add half a cup of oatmeal, an ounce of last night’s Parmesan pan-fried pork, applesauce, carrots, and milk. “Mix!” Reuben says, smiling up at me happily as I start the machine.

“Okay, buddy, let’s have breakfast,” I say, strapping Reuben into his high chair. I open the tab of his Mic-Key button, which looks like a beach ball valve on his abdomen, screw in the extension tube, and insert the tip of a syringe filled with the food I’ve just made. I sit down next to Reuben and push ten milliliters, about the volume of an oral bite, directly into his stomach through the tube. Meanwhile, I offer him banana slices and cereal, but he leaves them on his tray.

Reuben’s unusual relationship to food wasn’t always such a comfortable part of our routine.

“Oh, I know,” Other parents say, “my Jimmy is a picky eater, too.” I don’t want to be obnoxious, so I don’t say what I’m thinking: Reuben isn’t picky — it’s that he’s not an eater.

In the Beginning

Reuben’s feeding issues stem from medical complications that arose during birth. He spent 11 weeks in the neonatal intensive care unit, undergoing increasingly invasive treatments to save his life. I could not feed him, talk to him, or touch him. (Unlike some critically ill infants who thrive when touched, Reuben’s blood oxygen levels dropped with any stimulation). But I could pump breastmilk for him. Even though he was so ill that he received only a few milliliters of it each day through a tube into his stomach, pumping became my way of connecting with him and embodying my faith that he would recover.

The doctors warned us that feeding difficulties were often a side-effect of the treatment, but my husband and I assumed that once Reuben was allowed to eat, he would.

He did not.

Common Feeding Difficulties

Oral Aversion
Oral aversion occurs when a child is reluctant or refuses to be breastfed, bottle-fed, or eat. The child may have negative associations with food or other objects near or in his mouth, or, in some cases, a child develops oral aversion when she strongly dislikes the texture of certain foods. This often happens when a child has been tube-fed for a long time due to illness or prematurity.

Dysphagia
Dysphagia is when the swallowing of food causes it to not pass easily from the mouth to the stomach, which may cause food to get stuck in the lungs and throat. Children with this disorder may also begin to refuse food. This disorder often occurs as the result of another condition, such as prematurity, cleft lip or palate, and large tongue or tonsils.

Comfort in Breastfeeding

We started by offering to nurse him several times each day. Although he never ate enough to allow us to decrease his tube feedings, breastfeeding did give him some practice at sucking and swallowing, and provided him with positive oral experiences. Each time, he would shake his head excitedly, say “ah-ah-ah,” and dive toward me. Then, he would close his eyes and raise his eyebrows in an expression of deep contentment as he settled in. Now, at nearly three, he still asks for nummies as a way to reconnect when I return from work, or when he is particularly tired or upset. He barely latches on, but finds comfort in snuggling.

Through the time that I pumped breast milk for Reuben and he recreationally nursed, I sometimes felt criticized by people on both ends of the spectrum of parenting philosophy. Some people couldn’t understand why I would make the monumental effort to pump milk for 19 months. At other times, I felt pressure from exclusively breastfeeding mothers because Reuben used a nipple shield, didn’t get his nutrition “from the breast,” and received breastmilk calorie-enriched with formula. I had to learn to trust my own instincts, knowing that I was providing the best mix of experiences and nutrition for his unique needs.

Reality Sets In

The doctors reassured us that Reuben would learn to eat when we introduced a bottle or solids. But he did not. Months went by, and the tube remained in his nose; then, the day after his first birthday, it was replaced by one in his stomach. Some family and friends couldn’t understand why Reuben did not eat by mouth, suggesting that the problem would be solved if we simply held his tube feedings and offered only the bottle. They shared stories of breastfed babies who were forced into taking the bottle at day care. We knew this wouldn’t work, even if we had been willing to try it. Babies like Reuben have been traumatized by their oral experiences. They are so out of touch with their bodies’ signals of hunger and fullness, and so lacking in the basic motor skills needed to suck and swallow, that they will starve to death without tube feedings.

But I also understood their discomfort. Eating is central to daily life, social interaction, and celebration. Reuben’s refusal to eat felt deeply strange. More than once, even though we knew all of the medical reasons for Reuben’s behavior, Eric and I asked each other in frustration, “Why won’t he just eat?”

At each meal, I prepared a bottle and a bit of food, knowing in advance that the food would ultimately go in the garbage, and the contents of the bottle would be poured into his feeding tube. “Try to relax,” my husband advised. “Sometimes you focus on the negative, and I’m sure Reuben picks up on that.” He was right, but I wasn’t sure how to remain consistently cheerful when I prepared three meals a day for a child who refused to put them in his mouth.

Easy to Love, Difficult to Discipline by Becky Bailey helped me realize that we can’t ever force another person to do anything; all we can do is set up the situation so it’s easier for them to choose what is safe, healthy, or polite. Or, in the words of one specialized feeding program we researched, “We teach our families the proper division of eating responsibility; it is the child’s responsibility to eat, and it is the family’s responsibility to provide the right environment, foods, and opportunities to eat.”

Easy to Love, Difficult to Discipline
By Becky Bailey

Easy to Love, Difficult to DisciplineEasy to Love, Difficult to Discipline provides parents with seven basic skills to turn conflict into cooperation through development of self-control and self-confidence on the part of both the parent and child. The focus of the book is to teach parents to learn to understand both their and their child’s motivations for certain behaviors and then how to help their child and themselves to improve.

Seeking Treatment

As our knowledge of feeding issues and confidence as parents increased, we became evermore frustrated with the hospital feeding specialist’s behavioral approach, which didn’t seem to work for Reuben or our family. He suggested we strive to “increase Reuben’s compliance with the spoon” and instructed us to set a timer for a three-minute “meal,” then touch the spoon to Reuben’s lips and say “bite” every 30 seconds. To our surprise, this worked well — for three meals. After that, Reuben screamed and sobbed, turning his head away from the spoon. Although we didn’t know the phrase “feeding with love and respect” at that time, we instinctively felt that seeking “compliance” was not compatible with our parenting philosophy.

When we consulted a different specialist, I immediately felt more comfortable. She approached Reuben and greeted him gently, getting to know him first as a person. She watched me feed him, then sat down to offer carrot sticks and Gerber Puffs and observe his reactions. She explained that she saw eating as a complex skill with sensory, psychological, behavioral, and biological components.

With her help, we discovered that Reuben was not comfortable with the preliminary sensory processing required for eating: He hated to have food on his face. She showed us how to work with carrot sticks and dip, as well as vibrating tools, to help him learn to tolerate sensations in and around his mouth.

She also suggested that Reuben requires strong flavors in order to locate food in his mouth. Refried beans and roasted carrot puree loaded with garlic and tahini became early favorite foods. Still, he only ate a bite or two of these foods at each meal.

Tips to Feeding with Love and Respect in Special Circumstances:

  • Let go of your sense of how things should be, and accept your child for who she is.
  • Approach your child’s doctors and other care providers as members of the team. They are experts on particular medical procedures, treatments, and diseases; you are an expert on your child. You should expect that medical professionals will listen to your experience and opinions. It is okay to ask questions like, “What other options are there for treatment?” or “What therapies are offered at other facilities?”
  • Seek out other parents and families in similar situations for support, advice, and alternative options.
  • Accept whatever is possible in your interactions with your child around food, whether it is making that food from your body or opening a can of formula with love.
  • Forgive yourself. Whatever decisions you made were based on the best available knowledge you had.
  • Trust your own intuition and your knowledge about your child. Be cautious of being influenced by those who see your decisions as either too child-focused or insufficiently pure from an ideological perspective.
  • Abandon any expectation that you will follow some perfect or pure set of principles.
  • Focus on the social, psychological, and behavioral aspects of mealtime and the possibilities for bonding they provide.

Relying on Other AP Practices, Too

Because feedings were complicated and sometimes tense, we found that other aspects of Attachment Parenting helped us maintain a secure bond with Reuben. I don’t own as many different wraps or know as many different ways to tie one as some people, but I consider myself a babywearing expert because I can get a baby into and out of a sling without dislodging a feeding tube from his nose — and have, on occasion, administered feedings while wearing the baby.

Cosleeping allowed us to ensure that Reuben didn’t become tangled in his tubes during the overnight portion of his feedings. Through soggy experiences, we learned all the ways the feeding tube could leak — once all in one night. First, I was awakened by cold wetness on my backside when the tube connected to Reuben disconnected from the bag containing his food. Two hours and a sheet change later, the medical port on the tube slipped open. This time we put a towel over the wet spot and went back to sleep, only to be awakened again when Reuben squirmed the tube extension off the button on his stomach.

People who say eating in bed is messy have no idea.

Feeding with Love and Respect in Special Circumstances

Over time, we have found ways to make Reuben’s tube feedings a nurturing and respectful experience for all of us. I choose the content of Reuben’s diet when I make his homemade blended formula (though we also use canned formula). Context is also an important part of eating, and we have learned to integrate Reuben’s tube feedings into our family meal time. We put whatever we are eating on Reuben’s plate, and he usually chews at least some of it. Eric pushes Reuben’s tube feeding while we all talk about our day. Before we start, we hold hands and say something for which we’re grateful. Then I smile at Reuben and ask, “Now what?” and he grins broadly as he says, “Blessings on our meal.”

Someday, the doctors assure us, Reuben will move to eating all of his calories by mouth and I will complain with the mothers of other teenage boys about the difficulty of keeping food in the refrigerator. Until then, we have learned that every kind of meal, whether intravenous or tube-fed, hung or pushed or pumped, eaten by mouth from the breast or the hand or the spoon – all of these are a blessing.

Family Resources

  • MealtimeConnections.com provides feeding therapy and consultation focused on developing a positive partnership between therapists and families, as well feeding in the context of a positive parent-child relationship. I especially recommend their “Mealtime Notions,” which are feeding aids based on the Mealtime Connections philosophy that “feeding is first and foremost a special relationship between the child and the feeder”; and the Homemade Blended Formula Handbook, an indispensable philosophical and practical reference for families of tube-fed children.
  • The Pediatric Encouragement Feeding Program at Kluge Children’s Rehabilitation Center is an intensive, interdisciplinary program focused on weaning children from tube feedings in a supportive environment.

The Family Table

By Judy Sanders, member of API’s Board of Directors and API’s Editorial Review Board

the family tableIt’s dinnertime somewhere. Families sit around a dining table, or gather around a short-legged table, or settle on a rug in a circle. A baby may be in a high chair or on his mother’s back, having food handed to him. He may be in a hammock, gently pushed every so often, dozing, not eating, and absorbing the sounds of his family enjoying their evening meal.

Why regularly share the evening meal as a family? How does this routine activity serve us beyond nourishment? Continue reading The Family Table

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!

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?