Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
Hello, hello mamas,
and welcome back to Conquering
Chaos A Mom's Guide to Self-CareInsanity.
I'm your host, sydney Crow, andtoday we have Kelly Durbin from
Phoenix Arizona.
She is a lactation coach, aswell as working with the
Childbirth International Program, building curriculum for
(00:20):
prenatal doulas all sorts ofextra people who can help with
the birthing process and so I'mreally excited for her to dive
in here and share her expertiseat that level of stage of life.
So you are one of my firstguests to come in at the early
stages of life that prenatal,postnatal care and I'd love to
(00:43):
hear your take, because onething that you said in your
intake form was that you feelthat a lot of families are set
up for failure right now, and sothere's a level of making sure
that you have a plan in place.
Can you talk a little bit tothat, kelly?
Speaker 2 (00:58):
Yes, so first, thank
you so much for having me on
today.
This is a really importanttopic because a lot of people do
feel unprepared in the newbornphase.
So they're in the pregnancyperiod.
There's a lot of focus oneducation and prenatal care, but
much of that is geared towardschild birth and labor and
(01:20):
delivery and a healthy pregnancy, labor and delivery and a
healthy pregnancy.
There are very few points intime during the pregnancy where
people are interfaced with orasked about how do you plan to
feed your baby?
Or tell me about your knowledgeof infant feeding.
What is the plan?
How are you going to get moreinformation?
(01:41):
So sometimes people fly underthe radar and they don't plan
for it.
Maybe their care provider is anobstetrician who has no
knowledge or at least noexpertise professional expertise
in infant feeding, and theyjust don't mention it because
they figure you're going to getthat information and that kind
(02:02):
of care from some otherprofessional going to get that
information and that kind ofcare from some other
professional.
But the truth is is that this isone of those gray areas where
people may fall through thecracks and you don't meet with
anyone in the prenatal periodwho helps you to discover what
resources there are in your areafor breastfeeding.
Where can I get goodbreastfeeding information and
education, and how do I setmyself up with a plan for making
(02:26):
all this go smoothly?
So that is maybe.
Step one is just to askyourself well, how are we going
to do infant feeding, what isour plan?
And then, once you decide whichway you're going to go, what
resources you might need, youkind of have to choose an
education path, and I'll tellyou I tell people this all the
(02:48):
time when you're pregnant itdoes pay off to do childbirth
education.
It is extremely important to beinformed and to go into labor
and delivery knowing youroptions and having done some
research.
But childbirth only lasts forone day and infant feeding can
go on for weeks, months, it cango for years.
(03:09):
A lot of people are nowbreastfeeding up to two years,
because this is the currentrecommendation from the world
health organization and ofcourse, that's in conjunction
with complimentary food, but itit pays off to get that
education.
So first step is to find a goodbreastfeeding class.
That may be online, it may bein person.
(03:31):
If your local area has multipleresources for breastfeeding
education, not find either ofthose, you could, you know,
reach out to your localbookstore.
Go to the library, find somereally good book that is going
to be a trusty guide for you asyou get going.
(03:52):
So I would say, first thingsfirst, education, and then, as
you're going through and readingabout and figuring out this,
you know the mechanics of how todo breastfeeding.
You can create a good plan foryourself, and part of that
involves knowing your localresources.
So I would say this would belike big thing number two, find
(04:17):
out what, where you can go forhelp, and I'll tell you.
I'm not a hundred percent sure,but it seems like the state of
things in the U?
S is very similar to Canada.
Here in the U S, we have lotsand lots of wonderful
pediatricians who went tomedical school in traditional
routes, but med school didn'tteach them about lactation, so
(04:40):
they're not trained in lactation.
In fact, I believe in 2023, avery prominent Canadian doctor
named Jack Newman published abook called what Pediatricians
Don't Know About Lactation,which is fascinating because, of
course, he's a doctor, but he'salso a lactation consultant,
which is an unusual combo,especially for a male doctor,
(05:01):
but he's got an incrediblebreastfeeding resource center in
Canada and that has a lot ofgood information online for
people.
Anybody in English speakingworld can access this.
But creating your support teammay not involve the pediatrician
, because they are.
They can be a good resource forstarting, but it may not be
(05:23):
high level lactation carebecause they aren't trained to
be lactation consultants.
So dig into your community,find out who are your lactation
consultants and where you canget care and a lot of times
Sydney.
People don't need to even payfor all of this because there is
free lactation supportavailable through several.
(05:44):
There are worldwide lactationnetworks like La Leche League.
I know in the US we one calledbreastfeeding USA which is all
volunteer and it's a nationwidenetwork of volunteers that are
available to help people withlactation.
But I know in Canada, acrossthe nation, there are La Leche
League groups online and inperson.
Speaker 1 (06:05):
Yeah, and a lot of
like.
I'm in a small town and even ina small town we had a specified
lactation consultant that I justneeded a referral from my
doctor to and then it wascovered through healthcare.
But I find it interesting tothink, like you mentioned,
having a plan making thedecision, and when I was having
kids, you know, 10 years ago,the question was like, what is
(06:25):
your plan?
It was just like are you goingto formula feed or are you going
to breastfeed?
And of course I wanted to doand then they do the breast is
best type speech in the, in theclinic, and that was great.
But then I really struggledwith what to do after the fact
when it wasn't going smoothly,when it wasn't going, you know,
as easy as they thought it would, and even with a lactation
(06:46):
consultant it still wasn't.
It wasn't a very smoothexperience and I was like having
to pump and bottle feed andsupplement with formula and do
all of these things.
And I feel like there was thismindset around I was failing as
a mother, and I think that was areally key piece when you
wanted to talk about how parentsare set up to to fail in
(07:08):
today's society.
So, on top of the lactationplan in today's society.
Speaker 2 (07:15):
So on top of the
lactation plan, what else do you
recommend that they do?
Well, I do find that whenpeople are connected to a
network of support that they areat least willing to jump into.
You may not know these people,but if you've already done the
research and, let's say, youfind out that in your town or
your city there are multipleoutlets for volunteer
breastfeeding where you can goand meet with somebody for free,
(07:37):
that may be step one.
Step two might be you go toyour pediatrician's office
because sometimes, even thoughthe doctor may not be trained in
lactation, the office may hirea lactation consultant and, like
you said, if you get in theright with the right referrals,
you may be just.
It could be covered by yourinsurance, it could be part of
(07:59):
your plan, your healthcarecoverage, and a lot of times I
find that people don't even knowwhat their plans cover.
So one other way to setyourself up for success is to
find out what am I eligible for?
What does my health plan coverin terms of breastfeeding
support?
So a lot of times breastfeedingclasses can be covered.
(08:19):
You can reach into your planand say, okay, I'm going to go
take this class and they maytell you.
All right, we'll cover X numberof dollar amount of you know
the course or they may tell youyou can take these courses, but
they also sometimes will belimiting in terms of the amount
of breastfeeding care that youcan access.
So I find that peopleespecially I don't know how it
(08:41):
works in Canada, but in the U?
S there may be a limit.
Like you have six visits with alactation consultant between
birth and month number five, sothey weren't going to let you
just continue to access thiscare.
But if you knew, okay, I onlyhave five visits.
I'm really going to use thesewisely.
Or you can also accessvolunteer breastfeeding support
(09:04):
for free care in like asimultaneous pattern where
you're going to the lactationconsultant getting high level
professional advice, but thenwhen your group, your local
group, is meeting, you can gothere too and also get support.
From this avenue it doesn'thave to be one or the other,
which is great.
Sometimes people find that thehospital where they gave birth
(09:26):
has outpatient lactationservices and some of those are
offered as free classes as well,or just drop in, so you don't
have to sign up, or you can justgo when they're hosting a
meeting, so having the localresources or if you know that
you're in a rural area.
A lot of places are reallyhaving struggling to keep
(09:49):
lactation services going atrural hospitals.
If you don't have that access,online access is real, like you
can do telehealth and I knowthis is available.
It's becoming more and morefrequent here in the US you can
access telelactation serviceswhere, just like you and I are
meeting today on Zoom, you canmeet with a lactation consultant
(10:11):
, which is an incredible steptowards like getting people the
care and the access to the carethat they need right when they
need it.
And for a lot of people,especially with a newborn, you
know, it may not be feasible togo outside to leave your home.
Maybe it's a terrible snowywinter day, maybe you and the
baby are really struggling,somebody's sick, you don't want
(10:33):
to go to the doctor.
Telehealth might be the answerright, so you just zoom in with
your care provider.
That can be one really good wayto access lactation care.
But I will say that many ofthese online or sorry volunteer
support groups will offer onlinemeetings and if you get into a
forum, maybe through socialmedia, you'll find that you can
(10:57):
tap into these groups.
You will learn that there aremultiple meetings and, if you
don't mind, like jumping in timezones, it doesn't matter where
you are.
You know I'm in Arizona, butsomebody in Florida could be
hosting a meeting that I couldgo to.
It doesn't matter if you'reonline.
So figuring out some of that inadvance is really helpful.
Speaker 1 (11:17):
And where would you
find?
Like are people just to Googlethis information?
Do you find that that's theeasiest way for them to find out
what's available in their area?
Speaker 2 (11:27):
So, yes, start with
your local town.
So type in the name of yourcity, go to Google, type in
lactation services.
You could type it, do a searchon like volunteer breastfeeding
support.
The US has a network throughthe government called WIC.
It's Women, Infants andChildren is the short name of
the longer name, which is some Ican't remember the entire name
(11:48):
of the program run through theagricultural department, handled
by the government, and thereare WIC offices in every county
in the US.
But you would have to qualifyfor that because there is an
income threshold, so certainservices will be available.
It's just like insurance.
I may have this insurance thatdoesn't cover what your
insurance will cover, you know.
(12:09):
So I guess, yes, a Googlesearch would be a great place to
start.
Oftentimes the government, likehealth and human services or the
office of women's health,something like this, will have
free services.
I know that in the U?
S we have something called theoffice of women's health and
they do have a hotline that'savailable during the workday.
(12:32):
It's not like you could callthem on Saturday night, but you
can call anytime and get freebreastfeeding advice and support
.
They will have more resourcesand they may be able to say oh,
in your area.
There is this other localresource that you might need to
know about, but I would say yes,start with Google.
Look at the hospital where youdelivered.
(12:52):
If you had a hospital birth,See if they offer any services.
If you had a birth center birth, they might also offer services
, or your midwife may beconnected to local services
where they know hey, why don'tyou reach out to this person or
this group?
You know they have probably awhole list of local resources.
(13:13):
So I think the search is reallythe key to doing this, and
there are local and nationalresources available.
Speaker 1 (13:21):
That's amazing.
This has been so informativefor any of the new moms out
there.
If you're struggling withbreastfeeding or you're about to
have a baby and you're lookingfor resources, I really
appreciate you coming in andsharing your expertise on how
women can get the most supportavailable to them Because, like
(13:42):
you said, it does take a villageand you know building that,
that community, to foster thatdevelopment for mom and baby and
building a plan around that isdefinitely step number one.
So thank you so much for beinghere, Kelly.
Is there any last piece ofadvice you'd love to give the
listeners before we sign off?
Speaker 2 (14:00):
Yeah.
Speaker 1 (14:00):
I think.
Speaker 2 (14:01):
If you're, if you
feel like you're struggling,
reach out to someone.
There is no reason to suffer byyourself and think to yourself
oh, I've got to figure this out.
You know, breastfeeding is askill and we have to think of it
that way.
Even though it's just like, yes, it's a bodily function and we
should have some naturalinclination to do it.
(14:21):
It's a skill.
It's like driving a car.
We have to learn how to do it,and your new baby is also
learning.
So we absolutely need supportand there's no reason to
struggle alone.
There are multiple goodbreastfeeding resources out
there, so just remember ifyou're feeling overwhelmed,
reach out for help.
Speaker 1 (14:42):
Thank you so much and
I will just add on to what you
just said.
You know you are learning andfor me, my experience between
both of my kids was very, verydifferent.
So just because I had a littlebit of know-how the second time,
it didn't make it any easierbecause that baby had to learn
alongside with me.
So if that's your case andyou've had one and you're like,
oh, I've got this, and you'reall of a sudden struggling again
(15:05):
, there's no reason to sit thereand suffer in silence.
Reach out, get the support,build a plan around it, and I
just really appreciate you beinghere and spreading this
awareness around this, kelly.
So thank you so much for beinghere today, thank you so much
for having me and thank you guysfor tuning into today's episode
where we help you conquer thechaos one day at a time.