Category Archives: Articles

Nurturing the Nurturer

By Meri Levy, MFT

Taking Care of Yourself as a New Parent

As parents, our job is never-ending. For the next 18-21 years, you are either “on duty” or “on call” 24/7. Strangely, while this never-ending job doesn’t necessarily get easier with time, it often seems less like “work” as our children (and we) mature, and more like “life.”

But it is easy, as we grow into our role as caretakers of our children, to forget another important person who relies upon our care – ourself. We all make this mistake sometimes. If you don’t make sure that your own nutritional, health, emotional, and spiritual needs are met, who do you think will? It has been my experience that the answer is “no one.” As much as our partners may want to attend to our needs, they cannot do it for us. No one but you really knows what it is you need, and many of the things that fulfill us as human beings cannot be done for us.

No one but you can make sure that you eat a balanced diet, get regular exercise, indulge in treasured hobbies or activities, get needed downtime, or connect with beloved friends and family.

How important is it to make sure that your own needs are met? Only you can say. One mom might be able to tandem-nurse twins and a toddler while home-schooling her older two children and never see a movie or have dinner out for five years. And be perfectly content. Another might feel burdened and overwhelmed if she doesn’t have lunch with a friend or enjoy a leisurely uninterrupted bath weekly. Or maybe you need an hour every day to drink a cup of tea and read the paper or a good book. You are the only person who can say when your engine’s running low on gas, and what it takes to fill it up.

And it doesn’t help to feel guilty about what you need to do to take care of yourself. If your child needed a nap long after his peers had given it up, would you tell him to “tough it out” and be grumpy for half the day? No, you would do whatever you could to arrange things so that he could get his nap. You deserve the same recognition for your unique temperament and needs.

And you don’t do anyone any favors if you let yourself run on empty for too long. No one wins if you allow yourself to run out of gas on the side of the road. And everyone is affected when you are running low, not just you. You don’t make it to the finish line any faster if you never slow down and take it easy.

This is your life. And raising children is a path, not a destination. You cannot travel the path with joy and stamina without giving yourself the same care you give your children. So take some time this week and plan a couple of activities you can do that will help “fill up your tank.”

Bonding With Your Baby

The Importance of Attachment to Your Newborn, by Meri Levy, MFT.

Most new mothers face a number of fears as they look forward to welcoming their first child. Will they be “ready” when the baby comes? Will they have everything they need? Will the birth go smoothly, without too much pain? Will the baby be healthy? Will they know how to care for their new child?

But the process of bonding with a new baby is rarely considered. Of course you will love your new baby. Of course you will feel attached, and be able to relate to your own flesh and blood.

What is bonding?

Bonding is the process of attachment which, when everything goes smoothly, creates a symbiotic relationship between mother and baby. The mother feels a loving bond with her baby and feels capable of meeting her baby’s needs. The mother’s hormones (aided by breastfeeding in the best case), combined with the babies reflexive response to soothing by the mother, help the two form a positive attachment. Add in a good dose of mother/infant physical and eye contact and the bond between mother and baby are virtually guaranteed, in the absence of other barriers.

What can cause bonding difficulties?

Sometimes the process of bonding doesn’t go as smoothly as expected. There are many factors that can contribute to a new mom having difficulty bonding with her baby. Among others, these include:

  • A traumatic birth experience and/or a difficult recovery
  • A colicky or fussy baby who is difficult to care for or soothe
  • Feeding difficulties
  • Separation from the baby associated with medical interventions
  • A lack of support for the new mother, causing feelings of being overwhelmed or unable to cope.
  • Perinatal depression or anxiety, which can also be correlated with the other factors

Sometimes, a combination of these or other variables can cause a new mom to feel disconnected from her baby. She may feel unable to calm her baby, like the baby isn’t really “hers,” or that she is a bad mother.

Early intervention in the case of bonding difficulties can have a dramatic effect on the well-being of both the baby and the mother. Prolonged failure to bond can be associated with attachment-related mental health problems in the developing child, as well as a sense of failure by the mother. Getting help early on to recover physically and mentally from birth, addressing feeding and calming difficulties, maintaining close physical contact between the baby and mother, and addressing other barriers to bonding can have a huge impact on the lifelong relationship between mother and child.

Self-Care for New Parents

The Importance of Taking as Good Care of Yourself as You Do Your Baby

By Meri Levy, MFT

This is a topic that I cover regularly in my new parent support groups, because it is so important to remember as a new mom or dad. It is easy to feel that the needs of your new baby, and even your partner, outweigh your responsibility to take good care of yourself. But this is a dangerous trap, because you are only as good a parent as you are nurtured as a human being.

This is not meant to be a guilt trip about getting your nails done or taking time to work out. The whole idea of nurturing yourself is about minimizing the avoidable “shoulds.” You don’t want anything about your own self-care to feel like an obligation. Pick ways to take care of yourself that you look forward to, and that fill your cup. It could be as simple as a long, hot shower with the music turned up high (while someone you trust minds the baby). Or taking an hour at Starbucks to read the paper over coffee while your partner has some baby bonding time.

Each of us as parents needs to listen to the voice inside of ourself that tells us when we’ve reached our limit. Parenting with heart requires living with heart, which is only possible if you feed your own spirit and body, and set appropriate boundaries to prevent building up resentment.

The Importance of Attachment

Why Bonding with Your Baby Matters So Much

By Meri Levy, MFT

Attachment to one or more caring adults is the most important developmental task your baby will complete during the first three years of life. If this attachment is not achieved, a child will likely have lifelong problems in forming relationships.

Luckily, babies are very good at teaching us how to help them become attached. Their cries, their coos and smiles, and later separation anxiety help us to see how much our children want to be attached to us. Meeting a baby’s early attachment needs is what allows him to venture forth into the world and learn to be a separate human being, secure in the knowledge that he is loved and cared for.

Our attachment to our children is what causes the anxiety and worry about being a good parent and the drive to maintain our baby’s well-being. If a couple is arguing about the best way to care for their baby, it is a sure sign that they both are firmly attached to their baby, which is a good thing.

Attachment with your baby can bring up different feelings in different people. It can feel stifling or overwhelming, or is may be blissful and heart-warming, depending upon your own feelings about attachment. It’s helpful to be aware of these feelings and to recognize that by staying connected in a responsive way to your baby, you help him or her develop the ability to love others and nurture their own children when they grow up.

Our attachments to loved ones, including family, spouses and friends, are the fuel that helps us nurture our children. Make sure you don’t neglect your own attachment needs now that you’re a parent. If you are having difficulties in your adult relationships, focus more attention on those connections. Making your relationships with loved ones strong, and getting coaching or counseling if needed, can help maintain your own mental health and well-being as well as the well-being of your children as they grow.

Helping Your Baby Sleep Better

Gentle Tips for Helping Your Baby Sleep Through the Night

By Meri Levy, MFT, CLE

It’s a very rare new mom who isn’t exhausted much of the time. Newborns don’t sleep the way adults do, and it can be a very difficult transition for new parents to adapt to their newborn’s sleeping patterns, and sometimes an even harder one to eventually adapt their baby’s sleep schedule to one that allows Mom and Dad to get a good night’s sleep.

Newborns are used to being lulled to sleep by Mom’s voice and activity during the day while in utero, and can be more active at night (remember those kicks waking you up at 3am?). So at first, it isn’t uncommon for the baby to have days and nights reversed. But don’t worry too much. Humans are diurnal creatures by nature (active during daylight hours) and there’s not much you need to do except expose your baby to daylight during the day for the baby to adapt to sleeping at night. Although it may feel like a long time coming…

Another way you can help your baby to distinguish day from night is to spend plenty of time holding your baby and interacting during the day when the baby is alert, and avoiding eye contact and being more businesslike about feeding and changing during the middle of the night. Regardless of how adorable your baby is in the wee hours, if you save your quality interaction for the daytime hours, your baby will sleep more consistently at night.

Most babies are not ready to sleep more than a few hours at a stretch until they are at least three months old and weigh 12lbs or more. Some babies will start to sleep longer intervals on their own around this time. If you have questions about whether your baby can go without feedings for longer than three to four hours, discuss your concerns with your pediatrician.

After four months or so, the decision of whether to feed and change the baby during the night is a controversial one. Ask 10 parenting experts at what age your baby could be sleeping through the night, and you’re bound to get 11 answers! So, this can be one of the hardest decisions new parents must make: at what age do I want to encourage my baby to sleep through the night, and how far am I willing to go to make that happen?

Factors to consider when making this decision include your pediatrician’s advice, your parenting philosophy, how badly you need more sleep (which depends on your sensitivity to stress), and how often your baby is waking during the night. One Mom may be content to sleep with her baby and feed continuously throughout the night for a year or so. Another may not be able to sleep well at all with her baby, have a baby that wakes every two hours to feed, and desperately needs more sleep to function well. Only you can make that decision. If you’re doing well with the way your baby sleeps at night, this article isn’t for you – yet. But if your baby’s sleep pattern changes or you decide it’s time for a change, you may want to consider some tips for encouraging your baby to sleep through the night.

If you will not want to continue feeding your baby throughout the night for many months, it’s a good idea to get into the habit early of putting your baby to bed at least partly awake. Just as you would wake up upset if you fell asleep with a pillow and woke to find it gone, your baby can be startled if he or she falls asleep at your breast or in your arms and wakes up alone. So putting the baby to bed in the same way he or she will need to fall back to sleep in the middle of the night is a good idea to encourage the baby to sleep through the night when he or she is ready. That doesn’t mean you can never nurse your baby to sleep, but at least some of the time, put the baby to bed when he or she is sleepy but partly awake. The earlier you start this, the easier it may be for the baby to transition to falling asleep out of your arms.

If you do decide to help your baby along in the process of sleeping through the night, it may be difficult to do this with the baby in your bed or even in your room. Studies show that cosleeping mothers and babies impact each other extensively during the night. Up until three months, the baby’s stirring and waking rouse the mother. But after four months, frequently the sounds or sensations of the mother stirring rouse the baby, who then wakes up to feed. So the first step is establishing the baby in a safe crib in a room where he or she can’t hear every move that Mom makes. Sometimes this, in and of itself, can cause the baby to start sleeping through the night.

The second thing that you can do, if moving the baby to his or her own room isn’t enough, is to begin consistently putting the baby down to sleep when sleepy but still awake. That means when you’re feeding during the night and the baby starts to nod off, burp him for a minute to rouse him a bit, and try to make sure you put him back to bed before he is fully asleep. Another aspect to this is feeding the baby only enough to satisfy but not fill her up. In the early days you wanted to get as much milk as possible into the baby to encourage her to sleep longer. But when you are trying to help your baby sleep through the night, it is a good idea to have smaller feedings in the middle of the night, so he eats more during the day and gets used to meeting his caloric needs then.

Once your baby is only taking small feedings at night and can fall back to sleep in his crib on his own, he is more likely to give up the nighttime feedings entirely. And if he doesn’t, you are in a better position to encourage him to give up the night feedings than if he was feeding a lot at night (and therefore hungry) and falling asleep in your arms.

Whether you allow your baby to fuss or cry for a period of time with or without you in the room is something you need to decide in consultation with your pediatrician. It is a very difficult decision for any parent to let their baby fuss along in his crib, but some babies will not learn to sleep on their own without expressing some protest. If you do let your baby cry, it is OK to soothe him or her at regular intervals, but you should not “give in” and pick the baby up. If you do, you are teaching your baby to cry for longer periods of time in expectation that you will eventually come and pick them up. So you need to be really prepared for how you want to handle what comes up and stick to your plan.

In my own case, only one of my three kids was so challenging during the night that I eventually needed to let him cry it out — he was waking every 45 minutes at night to have his pacifier put back in his mouth and I was about to totally lose it! (An aside – he was the kid who most needed limits in all areas of life). It was a tough few nights, after weaning him off the pacifier during the day first, but he did learn to get himself back to sleep after only a few days. And I loved him so much more that first morning when I had had a full night’s sleep — 7:30pm to 7am. And interestingly, he’s been the best sleeper of the three consistently since that time. He’s only one who never complains of difficulty falling asleep, even at 21 years old!

It can be very challenging making decisions of how to work with your baby around sleep. Remember, there’s no one perfect way to parent, and every baby is different.

Increasing Your Breastmilk Supply

Making Sure Your Breastfed Infant Is Getting Enough to Eat

By Meri Hanson Levy, MFT, CLE

Ever wonder “is my breast-fed baby getting enough to eat?” Click the link for tips to tell if your breastfed baby is getting enough milk. Most nursing moms make more than enough milk for their baby, but sometimes nature needs a little boost to get things moving in the right direction.

If you’re trying to increase your milk supply, here are some ideas from my experience working with new moms and lactation consultants at the Center.

  • Try fenugreek seed capsules or More Milk Plus. We’ve seen that Fenugreek capsules and More Milk Plus are the best natural products out there to increase your milk supply safely and effectively.
  • Nurse often — at least 8-12 times a day during the first two months. Your baby is better than any breast pump at stimulating your milk supply. And emptying the breast completely tells your body to make more milk. To encourage your baby to empty your breasts more completely, use gentle breast compression to bring down additional milk when your baby begins to swallow less often during a feeding. If your baby is not nursing well or often enough, use a high-quality breast pump. You can use a breast pump after each breastfeeding to give your milk supply an additional boost.
  • Drink lots of water, get plenty of rest, and eat nutritious food. Many mothers are able to produce adequate milk on little sleep and an inadequate diet, but if your milk supply is low, your body may need to be nourished and rested in order to produce more milk for your baby.
  • Birth control pills (even the “mini-pill”), antihistamines and other medications may affect your milk supply. If you have any questions, talk to your health professional.

There are other techniques and products that can assist with increasing breastmilk supply. A good resource can be found on La Leche League’s Website