Building Blocks of Self-Efficacy

Self-efficacy, or self-belief, isn’t something that we hear about often as a parenting topic but we need to start talking about it. So, what is self-efficacy?

“It is the belief we have in our abilities, specifically our ability to meet the challenges ahead of us and complete a task successfully.” (Akhtar, 2008)

As parents (heck, as human beings!), we will make mistakes. What’s important for us to grasp is the knowledge that we will learn from these mistakes and do better next time.

Note: This blog post isn’t about a certain style of parenting. It’s about the importance of self-belief and knowing that your choices are the best for your family. I could have used any topic as an example: sleep, sun protection, etc. I am using my breastfeeding story because this was my experience towards uncovering my self-efficacy.

My self-belief began alongside my breastfeeding journey. I discovered the power of my body while I birthed and breastfed my children. I had grown these children throughout my pregnancies. And I provided them with all of the food and nutrition they needed after they were born. After successfully nursing my children into toddlerhood, I realized that I had been right all those months ago. The decision that we made as parents was the right one for our family!

My parenting journey is not perfect; far from it actually. But the lessons that I learned from exclusively breastfeeding my children gave me the power to trust my instincts. They have also taught me how to be humble when it comes to bad decisions. To be honest, I struggle with eating my piece of humble pie. That might be due to my Italian roots…

But how can you obtain self-efficacy – this belief in yourself? How is it developed?

SUPPORT:
I had the full support from my family with my choice to breastfeed. Support doesn’t necessarily mean that they followed the same path that you are traveling. It means that they respect your decisions and are interested in hearing your story. Support can come from anyone who is part of your every day life: immediate family, extended family, friends, neighbours or members of your church.

COMMUNITY:
Being with like-minded parents gives you the opportunity to witness their stories, to share the struggles and celebrate the joys. Look at where your interests and values are. For attachment parenting, many communities have branches of La Leche League and babywearing groups.

A word of advice about the social media community. Use it wisely. There are a lot of pros and cons to joining the “mommy Facebook” groups, but a definite plus is the get-togethers. They are usually informal and hosted at parks, private residences, indoor playgrounds or family-friendly cafĂ©s.

LOVE:
If you have a partner, they are a part of the family and an integral part of the decision making. Talk to them, share good information (my next point) and discuss it together. Try to discuss the topic calmly. If emotions run too high, take a break and revisit the discussion another day. You are not going to agree on everything and that is healthy and normal. Remember that relationships are give and take. Oftentimes, compromise is the answer.

SCIENCE:
The best decision is an informed decision. Do your research! When you find “advice” online, dig a bit deeper. Where did they get their information? Are there studies to back the information up? Does the author seem biased? Just because something is online doesn’t make it a fact. Please don’t base your findings on a blog (and yes, I like the irony here too), speak with the professionals and ask them where they get their information.

How are you building your self-efficacy? Share your stories in the comments!

“If I have the belief that I can do it, I shall surely acquire the capacity to do it even if I may not have it at the beginning.” Mahatma Gandhi

Resources: https://positivepsychology.com/self-efficacy

Gender Reveals and a Funny Video!

Gender reveals have become very popular in recent years. Videos abound online – some are sweet and some are downright hilarious! I have never had a gender reveal party for either of my pregnancies; it wasn’t very common at the time. And yes, I know I’m dating myself here!

Gender reveal parties go hand in hand with the advent of social media and the improved technology of prenatal gender discernment. There is even a blood work test (done on the mother) that can confirm, with 95% accuracy, the baby’s gender as early as 7 weeks!

What do you think about gender reveal parties? Are you planning on hosting one? Do you prefer to keep the gender a surprise? Or do you just binge-watch the videos on YouTube? Come on, be honest… We’ve all done it!

Here is one of my favourite cake reveals:

 

Image by Marc Leos from Pixabay

Ma lutte avec ma dĂ©pression prĂ©natale

J’ai vraiment peur d’Ă©crire ce blog. Non seulement est-ce un sujet dĂ©licat, mais ceci est mon premier blogue en français. N’hĂ©sitez pas Ă  corriger mes fautes d’orthographes; je suis certaine qu’il y en aura plusieurs! Mai, c’est le mois de la santĂ© mentale et le 1er mai Ă©tait la journĂ©e mondiale de la santĂ© mentale des mĂšres. Comment peut-on sensibiliser le public Ă  ce sujet? Une façon est de raconter notre propre vĂ©cu. Et c’est ce que je fais aujourd’hui. MĂȘme si cela me donne la trouille.

Dans certaines rĂ©gions, jusqu’Ă  une mĂšre sur cinq est atteinte par une forme de trouble dĂ©pressif ou anxieux pĂ©rinatal.

Une sur cinq! Rappelez-vous de ça la prochaine fois que vous faites la file aux Ă©piceries. Je suis une de ces mĂšres, mais je ne l’avais pas rĂ©alisĂ© jusqu’Ă  rĂ©cemment, cinq ans aprĂšs l’Ă©vĂ©nement. Pendant ma premiĂšre grossesse, certes que je piquais des crises. Mais rien ne compare Ă  ce qui m’est advenue pendant ma deuxiĂšme grossesse.

J’hĂ©site vraiment Ă  publier ce blogue. J’ai peur de mettre mon histoire en ligne, Ă  la vue des gens pour le reste des temps. Franchement, je serais plus confortable en discutant mon plancher pelvien et mes fuites de vessie. Mais ça, c’est un blogue pour une autre journĂ©e. Maintenant, je vais combattre ma dĂ©tresse et ma honte. Et c’est pour ces raisons que je vais publier cet article. Pour que tout le monde voit. Pour ce parent qui a besoin de l’aide, qui a besoin de se faire entendre, qui veut ĂȘtre rassurĂ©. Moi, je me sentais toute seule. Je n’avais jamais rĂ©alisĂ© qu’il y avait de l’aide disponible. Je croyais que je virais folle! Mais vous n’ĂȘtes pas folle! Votre conjointe n’est pas folle! Votre enfant adulte n’est pas folle! Elles ont besoin d’un environnement oĂč elles se sentent en sĂ©curitĂ©. OĂč qu’elles puissent partager leurs pensĂ©es, parler ou Ă©crites, sans ĂȘtre jugĂ©es.

Physiquement, je n’avais pas de problĂšmes pendant mes grossesses.

J’avais des sensations nausĂ©euses mais je n’avais jamais eu de vomissements. Pour moi, mes plus grosses difficultĂ©s Ă©taient Ă©motionnelles et mentales. Je ne suis pas certaine quand que ma dĂ©pression a commencĂ©. À vrai dire, j’habitais dans un brouillard. Tout ce que je me souviens c’est d’ĂȘtre couchĂ© dans mon lit pendant des heures et des heures de temps. Je ne voulais pas bouger, ni manger, ni vivre. Je priais pour le jour que ces pensĂ©es s’arrĂȘtent. Ce petit bĂ©bĂ© dans ma bedaine me rendait folle! J’ai considĂ©rĂ© mettre fin Ă  cette grossesse. J’ai considĂ©rĂ© me suicider. De sauter d’un pont. De mettre fin une fois pour toute Ă  ce dĂ©sespoir. Je n’ai aucun doute que ceci Ă©tait la pĂ©riode la plus sombre de ma vie. La seule chose qui m’a sauvĂ© c’est mon mari. L’idĂ©e de le quitter Ă©tait plus terrifiante que les souffrances dans ma tĂȘte. Les semaines ont passĂ©. Peu Ă  peu, les choses se sont amĂ©liorĂ©es. Le dernier trimestre Ă©tait moins pire. La naissance de mon fils Ă©tait fantastique et j’ai mis ces mauvaises mĂ©moires de cĂŽtĂ©.

Cela m’a pris des ANNÉES avant que je rĂ©alise que j’avais souffert d’une dĂ©pression prĂ©natale. Identique Ă  la dĂ©pression post partum, mais durant la grossesse. J’en ai appris pendant mes Ă©tudes avec Doula Canada. Pourquoi est-ce qu’on n’entend pas parler de cette dĂ©pression prĂ©natale? Il devrait y avoir des affiches dans chaque cabinet de mĂ©decins, d’obstĂ©triciens et de sages-femmes!

Alors, je n’ai rien dit. MĂȘme pas un mot Ă  mes merveilleuses sages-femmes.

J’Ă©tais humiliĂ© de mes Ă©motions. Cette dĂ©pression m’Ă©crasait. Je n’ai rien racontĂ©, mĂȘme pas Ă  mon Ă©poux. Cela a pris des annĂ©es pour que j’en lui parle. Et mĂȘme Ă  ça, je ne lui est pas donnĂ© tous les dĂ©tails. Il les lira pendant qu’il rĂ©vise mon blogue. Et vous voulez connaĂźtre un secret? AprĂšs toutes ces annĂ©es, j’ai encore HONTE de ce qui m’est arrivĂ©e, de ma dĂ©pression. MĂȘme si, intellectuellement, je sais que ce n’est pas de ma faute. Maintenant que j’ai admis que j’ai vĂ©cu une dĂ©pression, c’est le temps de m’en rĂ©tablir.

Si vous soupçonnez qu’un de vos proches souffre d’un trouble dĂ©pressif ou anxieux pĂ©rinatal, ne dĂ©sespĂ©rez pas!

Il y a des soins disponibles! Certains auront besoin de la thĂ©rapie ou de mĂ©dicaments. Et d’autres auront besoin du soutien des pairs. L’Ă©lĂ©ment fondamental est d’offrir un environnement sĂ©cure oĂč la mĂšre puisse s’exprimer sans connaĂźtre de jugement. Une bonne resource française est eSantĂ© Mentale.

Si vous voulez, je vous invite Ă  partager vos histoires dans les commentaires ci-dessous. Une femme sur cinq souffre des ces maladies. Aidons-les et aidons-nous nous-mĂȘmes en partageant nos histoires.

My Struggle with Prenatal Depression

What inspired me for this month’s topic? Well, May is Mental Health Month and May 1st was World Mental Health awareness day. How can awareness be spread if we don’t share our stories? So, this is what I’m doing today, sharing my story with you. And let me tell you, sharing this petrifies me.

Certain areas of the world have as many as 1 in 5 new mothers experience a perinatal mood and anxiety disorder. 

One in five! Think about that next time you’re in line at the grocery store, or in a room with friends. One in five! I am 1 in 5 except I didn’t realize it until 5 years after the fact. I had some mood swings when I was pregnant with my first child. But nothing compared to what I experienced when I was pregnant with my second.

I hesitate to write this blog. I hesitate to put myself out there, online for all to see forever.

I think I’d rather talk about my pelvic health and pee-zing issues. But that will be for another post. So now I wrestle with this fear, this embarrassment. But that’s also why I will hit the publish button. For everyone to see. For that parent who is looking for help, for connection, for someone to say “Yes I’ve been there, it’s terrifying but there is help”. I didn’t know I needed help. I just thought I was going crazy. But you are not going crazy! Your partner is not going crazy! Your adult child is not going crazy! They need to hear that this is common. They need to have a safe environment to unload their thoughts. They need to talk about it, to write it down, without fear of being judged.

Physically, my pregnancies were fine. I was a bit nauseous, but I never had morning sickness. It was the emotional  and mental struggles that got to me. I’m not sure when the depression started.  It’s all a blur now. All I remember is laying for hours and hours in my bed, hoping that it would stop. Not wanting to move. Not wanting to eat. Not wanting to live. Praying that it would stop. This little creature inside of me was driving me mad! I even considered ending the pregnancy at one point. I contemplated suicide. Jumping off an overpass. Just ending the torment in my head. That was, without a doubt, the darkest moment I have ever experienced. The only thing that held me back was my husband. I just couldn’t leave him. Days and weeks passed like this. It finally got a bit better. The last trimester was easier. The birth went great and I pushed those dark memories aside.

I didn’t realize until YEARS later that I had suffered from prenatal depression.

Just like postpartum depression, except during pregnancy. I learned about it while studying for my postpartum doula certification with Doula Canada. Why don’t we hear about this? Why aren’t there posters plastered in the office of every OB, doctor and midwife?

I didn’t mention it to anyone. Not one soul. Not even to my midwives. I was mortified about my feelings. Ashamed. I didn’t tell anyone about my experience. It was only years later that I told my husband. Even then, I didn’t give him all of these details. He’ll read about them when he edits my blog. And you know what? After all these years I am still ASHAMED about my feelings, my depression. Even though on an intellectual level, I know that it wasn’t my fault. Now that I’ve acknowledged my prenatal depression, it’s time for me to heal from it.

If you suspect that you or a loved one is suffering from a perinatal mood disorder, don’t despair! There is help! Some may need professional therapy and medication. Some may just need support. The key is to have a safe environment where women are encouraged to talk about it. To seek help. A great resource is the Pacific Post Partum Support Society.

If you’d like, I ask that you share your story below. One in five women suffer from these disorders. Let’s support them. Let’s support ourselves. Let’s open up the dialogue.

Top 10 Teething Tips

Aaah, the dreaded “t” word: teething…

Teething is a long process and can be painful for some babies (and their parents!). I barely noticed when my daughter would get a new tooth. My son on the other hand, he was a different story. He started showing signs of teething when he was around 4 months. And it didn’t let up until past his first birthday. This opened my eyes to the differences between babies. We are all individuals after all, no matter our age.

Your baby’s teeth work their way slowly (very, very slowly sometimes) down and eventually break through the gums. All that movement in the head and jaws can make your baby irritable. Other signs of teething include: drooling, disrupted sleep and biting/gumming everything in sight from their own fingers, to toys, and even the hand (or breast) that feeds him. Ouch! Here are some tips for you flustered parents. Remember to always supervise your child when giving him something to chew on.

 

Resources
Amber necklaces study: https://www.ncbi.nlm.nih.gov/m/pubmed/22925538/
Health Canada warning: http://healthycanadians.gc.ca/recall-alert-rappel-avis/hc-sc/2012/13671a-eng.php
FDA warning: https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm385817.htm

Burping a Baby 101

Exclusively breastfed babies may not need to burp as much as babies that are bottle-fed. That being said, it is important to keep in mind that all babies are different and some may need to burp more than others no matter which way you are feeding them.

In the first few months, your baby is learning how to digest milk (breastmilk or formula). They never had to digest anything in utero. And with eating comes gassiness. Gassiness is caused by your baby taking in air while feeding.

Some things that may cause gassiness in your baby include:

  • A fast letdown
  • Baby was very hungry and drank milk more quickly
  • Incorrect latch
  • Lip or tongue tie

When should you burp your baby?

  • Before switching breasts
  • If bottle-feeding, every 2-3 oz
  • If baby pulls away from the breast or bottle

There are three ways that you can burp your baby. Remember that a burping position should apply gentle but firm pressure on the baby’s stomach. And make sure to have a receiving blanket or burping cloth handy! The first position is over the shoulder. Place her high up over your shoulder so that her tummy is gently pushing against it. Walking around while holding her in this position may help. The second position is sitting her on your lap with your fingers supporting her chin. For older babies who have head control, you may choose to place your hand gently against their tummy. The last position is to lay her down across your lap and gently rub and pat her back. Burp your baby for about a minute. If your baby didn’t burp but seems content, continue with the feeding if necessary. If she’s grimacing, squirming or refusing to take more milk, try burping her again.

Should you use the rub or the pat method? Honestly, this is a personal preference. I have yet to see a study that shows one is better than the other! It greatly depends on what your baby prefers and responds to. Don’t be afraid to be creative – feel free to use as many methods and positions as you want.

If your baby is having a difficult time burping, try burping her more often during the feeding. For babies that are very gassy, try incorporating a bit of exercise and infant massage into your play time. Place your baby on her back and gently pump her legs towards her chest and back down (bicycle legs). For massaging, try using Dr. Sears’ “I Love You” method. Massage your baby with a little bit of warm oil on your fingers. Make sure that the room is warm and draft-free. The illustration below shows you how to do the massage.

27a4a1968c4004b2eab9a97b04fe367e--natural-baby-baby-care

Burping can be quite the chore depending on your child. Rest assured that it doesn’t last forever! Once your baby is moving more freely, she will be able to pass gas and burp by herself.

 

What is a Lactation Consultant?

As I mentioned in my previous post, this month we will be discussing lactation consultants, the different types and how to choose the best fit for your family. A lactation consultant is a specialist in lactation and breastfeeding just like a dentist is a specialist in dental health and a pediatrician specializes in children’s health. Lactation professionals usually fall into three categories: lactation counselor or educator, lactation consultant (LC or CLC) and International Board Certified Lactation Consultant (IBCLC). Some will have different training, a different scope of practice and not all cities will have access to all three types.

Lactation or breastfeeding counselors/educators will go through some training, such as a weekend workshop, that covers breastfeeding basics. There may not be a required test and no hands-on training is provided. A certified lactation consultant (LC or CLC) will have approximately 45 hours of specialized instruction and an exam. Some programs may not require training in a clinical setting. An International Board Certified Lactation Consultant (IBCLC) is required to have at least 90 hours of lactation instruction with 500 to 1000+ clinic hours with a mentor IBCLC. They must also be a licensed healthcare provider or take additional college courses. The final step is a 4-hour exam. IBCLCs are also required to re-certify every five years.

Where do lactation consultants work?
If you choose to birth at a hospital, most will have a lactation consultant on staff and you may have access to them for a specific number of days after giving birth. Some regions offer complimentary lactation support in a group setting, such as the Ontario Early Years Centres. Most cities and towns also have private practices.

How do I find a lactation consultant?
As with most things related to parenting and babies, word-of-mouth may be your best friend! Ask your doctor, your friends or other mothers who they recommend. Otherwise you can find most, if not all, lactation consultants online. While Google might be your first stop, you should also take the time to search accredited associations for listings near you:
https://iblce.org/public-registry
https://www.clca-accl.ca

How do I choose a lactation consultant?
While choosing any type of healthcare provider is a personal choice, here are some things to keep in mind:

  • Which organization did they certify with?
  • What kinds of resources do they use? Are these resources science-based?
  • What is their scope of practice? Are they qualified to counsel you on your particular case?
  • Are they taking the time to listen to you? As the mother, you have every right to be a part of the solution. Don’t be afraid to ask questions or voice your concerns.
  • Depending on your concerns, the lactation consultant should put you on a feeding plan. For example, if it is decided to supplement, your consultant should give you a specific timeline of how to increase your breastfeeding sessions and how to wean from the supplementation with appropriate checkups.
  • Do they promote breastfeeding? Sounds silly, but like any profession there are good and not-so-good consultants out there. If your goal is to exclusively breastfeed, then they should be supporting your choices. Same goes if you are breastfeeding and supplementing. The lactation consultant should be able to provide you with science-based answers and help you towards your goals.

Even if someone recommends a lactation consultant, they may not be the right fit for you. The bottom line is that you need to go with your gut and be able to trust the lactation consultant. If you don’t trust them, find someone else. You know your baby best. If you’re not comfortable with the answers given to you, keep asking questions, or go find another professional.

Lactation consultants are a great resource for parents. Are you interested in learning more about them? Check out Milkology’s breastfeeding myths article here!

Help! I Need Some Breastfeeding Advice!

Picture it. It’s 2am, the baby is crying, you’re a few weeks (or months) postpartum and you’re sleep deprived. You’ve tried to latch your baby on and nothing seems to be working. You search online for answers. All of a sudden, you are bombarded with pages and pages of information. And opinions. And that’s not even taking into consideration the “related searches” results. Which website do you visit first? The first one? Some of the forums? You decide on a website and start reading. You can relate to some of what’s written and you continue reading. All of a sudden you think “the first thing they mentioned seems like me, and the third, and the fourth, and the fifth… ” Before you know it, you’re worrying about tongue ties, nipple shields, low milk supply and oversupply!

Don’t get me wrong. There are some very good online resources, you just have to know where to find them. I have listed some of my favourite websites and books below. I will also tell you about some reputable professionals in your community.

So where should you turn to for help?

Dr. Jack Newman is a Canadian pediatrician and has been involved in breastfeeding research for other 30 years. His website has great videos and written resources.

The Motherisk Program is run by the Hospital for Sick Children. They are a great resource on the interactions of medications, medical therapies and substance abuse for breastfeeding and pregnant mothers. Telephone support is also available.

Best Start has many resource sheets on breastfeeding and your baby’s development.

La Leche League is a volunteer-run organization that began in 1956. Their website includes information sheets and a FAQ section. You can also find your local group online. More on that later!

Kelly Mom is an International Board Certified Lactation Consultant (IBCLC) and her website has fantastic research-based articles for breastfeeding and parenting.

The Milk Meg is an IBCLC from Australia. Her often humorous blogs cover breastfeeding, weaning and attachment parenting.

If you’re looking to add to your book collection, here are some of my favourites:

The Womanly Art of Breastfeeding by La Leche League International
Sweet Sleep by La Leche League International
The Breastfeeding Book by Martha and William Sears

No matter where you are in the world, there are numerous ways to get face-to-face help. While books and online resources can be very helpful, sometimes it’s not enough. There are times where you need a professional seeing how your baby breastfeeds, how you are holding the baby, etc.

Postpartum doulas: While they are not health-care providers, many doulas are knowledgeable about breastfeeding and can guide you through some of the challenges.

Lactation professionals usually fall into three categories: lactation counselor, lactation consultant (LC or CLC) and International Board Certified Lactation Consultant (IBCLC). Although similar, the differences lie in their training and scope of practices. Stay tuned for next month’s blog post for more information on this profession!

As I mentioned previously, La Leche League is a support group for breastfeeding mothers that is run by volunteers. Most groups will meet once or twice a month and the group leaders are also available by phone, email or social media. It can be very helpful to meet like-minded mothers in a breastfeeding friendly environment.

Finding reliable, research-based information in 2019 can be a chore. Stick with the resources that I have mentioned and if you still have questions, I am only a phone call or email away! Take a deep breath mama – you are doing great! Just be careful what you Google