summer 2014 - national childbirth trust · 2019-12-10 · breastpump agent dipika morgan...

The National Childbirth Trust East Cheshire Branch

Summer 2014

Inside: What sling to buy Surviving Reflux Recognising signs of Mastitis

Please don’t throw me away - Pass me on to someone else

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Macclesfield 01625 [email protected]

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Contents

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Disclaimer Any views and opinions expressed in this newsletter are those of the contributors and do not necessarily reflect those of the National Childbirth Trust (NCT) or the Editor. The information in this newsletter is intended for the use of NCT members only in connection with NCT activities and may not be used for any commercial purposes. The conditions of the Data Protection Act 1998 may apply. The appearance of an advertisement in this newsletter does not imply endorsement of the advertiser or its products and services by the NCT, nor does it constitute a recommendation. The NCT does not accept liability for any loss, injury or damage arising out of goods or services sold through any advertisement in this newsletter. Any discount offered to NCT members by any advertisement is done so entirely at the discretion of the advertiser. NCT will not compensate any member who is refused a discount from a third party. The National Childbirth Trust (HQ), Alexandra House, Oldham Terrace, Acton, London W36NH. Enquiry Line Tel: 0300 00770 Website: www.nct.org.uk Registered Charity Number 801395

Summer 2014 Regulars Welcome from the Chair & Editor ............................ 4 Branch contacts ...................................................... 5 Branch news ........................................................... 6 NCT East Cheshire diary ....................................... 21 Breastfeeding support ........................................... 25 National NCT news ............................................... 37 National NCT contacts .......................................... 41 Advertising rates ................................................... 42 Features Birth Story ............................................................... 8 What to Pack in your Hospital Bag ........................ 13 How I survived...Reflux .......................................... 16 Mastitis: What You Need to Know ......................... 26 Selecting the Right Sling for You ........................... 30 Cover photo Owen enjoying his first ice cream cone after a paddle in the river near his grandparent’s house in

Cornwall. If you would like to send a photo for the cover of our next edition (Autumn) please e-mail [email protected] © NCT Alexandra House, Oldham Terrace, London W3 6NH, Reg. Charity No. 801395

Welcome

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Letter from the Chair Hello everyone, I would like to introduce myself. I am Suzi and I am going to be interim chair, taking over from Stacey, who I would like to thank very much for keeping our branch up and running these past few months despite her very busy schedule. I am single mum to Omar, 6 and Mariama, 3 and I have been Advertising Coordinator for about a year. I have met some wonderful people through the NCT and myself and Mariama have loved attending the Wednesday group at Fun4All. We are all looking forward to various activities happening over the summer such as the Barnaby and Just So festivals and hope to see you at some of these events. Thank you for your support of the NCT. Suzi

From the Editors

This is the final time I will be writing the ‘from the Editors’ piece in the newsletter. I am enjoying sitting on the sofa with my feet up while my son is at nursery and number 2 has yet to arrive. It shouldn’t be long now though which is why I am stepping down. I have really enjoyed working on the newsletter with Maria and hope that you have found them interesting too. I have been looking back through old issues trying to remind myself what having a baby, rather than a toddler, is like. It has also been useful working on the ‘hospital bag’ article for this newsletter as, at 37-weeks pregnant, I still haven’t got around to putting anything in a bag! (That’ll be my next job when I haul myself off the sofa). We also have articles in this issue on surviving reflux and mastitis. There is a heart warming birth story and great tips on buying a sling (thanks to Sale Sling library) to lighten the mood too. Natalie

[email protected]

NCT East Cheshire Committee & Contacts

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The persons listed below are all volunteers who currently run the East Cheshire branch committee. They will do their best to help you and answer any questions you may have.

Branch chair Suzi Sanyang (interim) [email protected]

Advertising coordinator Suzi Sanyang [email protected]

Breastpump agent Dipika Morgan [email protected]

Breastfeeding Counsellors

Sarah Braide, [email protected], 01625 874796 Katharine Newman, 01625 618706

Bumps and Babies coordinator Sarah Ensor [email protected]

Maternity sales [email protected]

Membership coordinator [email protected]

Nearly New Sales team [email protected]

Newsletter editor Maria Gray / Natalie Lane [email protected]

Parent support Sarah Ensor [email protected]

Postnatal leader Liz Fickling [email protected]

Publicity officer Liz Thomas [email protected]

Treasurer Amanda Watmough [email protected]

Website coordinator Melissa Penn and Emma Allinson

Valley cushion agent, homebirth support, trainee antenatal teacher

Holly Platt Wells

Antenatal and Postnatal class bookings: Amanda 0208 752 2484 / [email protected]

Web: www.nct.org.uk/branches/east-cheshire

Friends of East Cheshire NCT (Facebook)

@eastcheshirenct (Twitter)

NCT East Cheshire News

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Bumps and Babies at Fun4All – Continuing over the summer holidays It is always a shame that so many of the groups and classes for kids stop as soon as school holidays start. For this reason we have agreed with Fun4All that we can keep our weekly Bumps and Babies group running throughout the summer holiday. The session will continue to run on Wednesdays from 10am – 12noon. All adults and under 1’s are free, children aged 1 and 2 are £1 each, and children aged 3 and over

are charged the normal Fun4All admission price. Committee Roles It’s all change again in the East Cheshire branch! Firstly, a BIG THANK-YOU goes to Suzi Sanyang, who by volunteering to Chair the branch has prevented it’s immediate

cessation, along with all the groups and events that we provide. Suzi has volunteered to Chair the branch on an interim basis, so if you are interested in this role yourself, perhaps as something to boost your CV, to gain new skills or simply as a stimulating diversion from everyday life, then please do get in touch for a chat (see Suzi’s email

address, p.5). We are also welcoming several new volunteers, including Emma Allinson and Melissa Penn, who have teamed up as website co-ordinators. Melissa will also be helping out with the newsletter, along with Oriel Gordon. Abi Sherrat and Samantha Doherty have kindly offered to help with organising events. Finally, we’d love to have YOU as a member of the team. Volunteering for NCT is possibly the easiest charitable work you can do as a Mum. Your reliance on flexible hours, working from home and the possibility that you might have to drop everything to deal with family issues at any moment, are completely understood by all. There are various ways you can help out, from adhoc branch support, to helping create this newsletter. We also have a couple of vacant roles that might interest you: Membership Secretary Our membership secretary is often the first point of contact for newcomers to the branch. They should be friendly and be able to pass on information about the branch and its activities. They have access to membership data and send out emails welcoming new and updating existing members. It’s a really interesting and fun role that you can really make your own.

NCT East Cheshire News

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Remember, you

don’t need to be a

member of NCT to

join in or help out!

First Aid course co-ordinator These courses are extremely popular with parents, but we don’t currently have anyone that can co- ordinate them. The role involves booking the local venue, the training provider and dealing with bookings via email. We’d be very grateful for any help on any level.

Bump, Birth and Baby Fair (Macclesfield General Hospital) Saturday 14th June After last year’s success, the midwives at East Cheshire NHS Trust are again hosting this free event for all new and expectant parents. Midwives will be on hand to answer your questions about birth and beyond, together with a host of local businesses and suppliers who will be present offering useful products and services. Enjoy the free workshops and do drop by our stand for a chat and to find out more about what groups and events we provide in the area.

Barnaby Festival... Look out for our NCT tent at the Barnaby festival on Sunday 22nd June. In keeping with the ‘Industry’ theme, we’ll be displaying information/items appertaining to the milk

industry, whilst providing a safe area for changing and feeding the babies of Macclesfield and beyond!

Creamed Corn

3 corn cobs Bunch of spring onions Knob of unsalted butter Serves 3-4 Ground pepper (optional) adult portions 3-4 tbsp crème fraiche

*FREEZER FRIENDLY*

For Babies: Take care as sweetcorn could potentially be a choking risk for a younger baby. [Text extract from River Cottage Baby and Toddler Cookbook by Nikki Duffy. Published by Bloomsbury, ©2011, Nikki Duffy]

Slice the kernels from the corn cobs. Trim and finely slice the onions. Heat the butter in a pan over a medium heat and gently sweat the onions for 5 mins, then add the sweetcorn and 4 tbsp water. Simmer gently, stirring once or twice, for 5-10 mins until the corn is tender and the liquid has pretty much evaporated. Stir in 3-4 tbsp crème fraiche and simmer for another few minutes so it thickens and reduces a little. Season with pepper. Serve warm alongside simply cooked meat or fish and some boiled new potatoes.

Seasonal Recipe - Summer

Birth Story

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-Maria Gray I often wondered what labour would be like, but I always assumed I would know when the time came. Not so, as it turned out. Being pregnant was a very special experience and I look forward to being pregnant again (some day), but from week-38, Ben’s head was engaged and I was desperately impatient to get him out for a cuddle. I had had my first Braxton Hicks contraction at 16-weeks. I’d read about it and it didn’t worry me. I’d often get one or two on strenuous walks (when reaching the top of White Nancy, for example). They were completely painless and felt like a tightening low down in my abdomen which lasted maybe 10-seconds and then slowly relaxed. By the final weeks my whole bump would go solid as a rock. Towards the end of my pregnancy I could have up to thirteen of these fake contractions in the course of an evening and I’d get excited, but then... nothing. I imagined that ‘real’ contractions would be similar, but with a whole lot of pain associated. Anyway, three days into week-40, its midnight and I’m lying in bed trying to get comfy, when I feel a ‘pop’ -my waters have broken. Fortunately for the bedsheets there isn’t a sudden gush of water, just a tiny trickle. I hobble to the bathroom and sit on the toilet and then the gush comes. Yes, they’ve definitely broken. I sit there for a few seconds savouring the moment. My baby is on it’s way! There may be several very difficult hours ahead, but it’s on it’s way... and for these few seconds the only beings on the planet that know are Baby and me.

Very quickly my romantic musings are over taken by practicalities. I call to my husband, Rob and give him the good news. We call the hospital and they invite us in so that I can be checked over (standard procedure once your waters have broken). At this point I naively put on the outfit I had chosen to give birth in (a nice loose stripy top and black linen maternity trousers) and my black converse trainers. I’m not particularly fashion conscious, but I’d had a while to consider what to wear. When we arrive I’m a bit taken aback at how busy the admission bay is. I’m asked a lot of questions and the midwife checks my blood pressure and temperature, all of which are fine. I’m given some disposable thermometers and told to check my temperature every four hours. Then I’m given an appointment to re-attend at 3pm the next day so that they can check on my progress. (3pm? I hadn’t realised it was likely to take that long!). I start to get some faint period pains, but my bump doesn’t tighten up like with the Braxton Hicks, so I guess it must be some sort of practise cramps or something. We get home and I have to change into an old tatty pair of pyjamas as my waters (still trickling with every movement) have soaked through my trousers and all my nice maternity pyjamas are in my hospital bag. We have some toast and prepare to get some sleep. (My sporadic ‘period pains’ are now getting quite uncomfortable, but it can’t be labour if we’re expected back at hospital the next day, right?). So I hold a hotwater bottle against my back and at about 2.30am, we go to bed.

Birth Story

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Moments after getting into bed, I sit up and am violently sick all over the freshly laundered moses basket. Fortunately I had put the cellophane back over to keep the dust off or things could have gotten very messy. Then I start shaking uncontrollably. This really freaks Rob out, who wants to ring the hospital. But I feel remarkably calm and tell him that I’m just in shock and could he please get me a sugary drink. No need to worry, we just need to get some rest. 4am. The ‘period pains’ are causing me MAJOR lower back ache now and I give up trying to sleep. Perhaps a bit of pacing might be a good idea? (It still doesn’t occur to me that this could be labour). I creep out of bed with one hand holding the hotwater bottle against my back and with the other hand I fumble around looking for my cardigan. Then another cramp comes and I can’t move. “Rob”, I call softly. Nothing. “Rob”, still nothing. “ROB!”.

He leaps out of bed like a bat out of hell to find me leaning over my chair trembling with one hand clutching my back and the other half in a cardigan. He helps me into one of his large fleeces and I decide I might try out my birth ball. But when I sit on it, it’s far too uncomfortable. In fact, I really need a poo and I’m starting to get more than a little panicky that I’m never going to cope with ‘real’ labour when it finally starts and its all getting a bit much. (With hindsight, these were all classic signs of reaching full dilation. But isn’t hindsight wonderful?). When I go to the toilet, there’s a bit of fresh blood on my pad, and although I know that’s probably fine, I have a desperate urge to be in contact with the hospital. So Rob gives them a call and the kind midwife invites us back in. Phew! I’m so relieved and we take our time before leaving the house. At this point Rob suggests I might like to try on the TENS machine that I’d borrowed from a friend. Great idea. It’s a huge help, but I keep the level low so that I can crank it up when I really go into labour. I can no-longer put on my own shoes, so the converse trainers stay at home and instead I step into the night in old pyjamas, oversized fleece and my gardening clogs. Classy. In the car I feel a bit disappointed in myself as I’m still convinced that I’m only at the start of labour and at this rate I’ll have to have every possible intervention going. I tell Rob that I don’t think I can cope at home anymore and he mustn’t let them send me back. I don’t feel panicky anymore, just a bit sad.

Birth Story

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We park near A&E (there are plenty of spaces at 5.30am). It’s March and it’s freezing. I hobble through the sliding doors and am hit by a huge contraction. I remember my antenatal classes at the hospital and how they said your head gets really heavy during a contraction, so I lean my head upon Robs chest and clasp my hands at the back of his neck and pant through the peak of the contraction. Just like they do on the telly! I guess I must look quite a spectacle, as a lovely student nurse trots over with a wheel chair. I could kiss her. I feel so relieved as she wheels me into the lift, but as the contraction passes I begin to feel a bit ridiculous and ashamed. After all, my waters only broke 6-hours ago, at which point labour hadn’t started and now here I am struggling to walk! Pathetic. Another contraction comes and at the peak I do the fast breaths again to resist the urge to push. The midwife looks at me a little oddly as I enter the ward, but when the contraction is over and I explain I need to poo... it’s like I’ve said the magic words, and there’s a flurry of activity as I’m helped on to the bed in the admission bay. We’re asked how frequent the contractions are coming, but of course we hadn’t thought to time them. Rob takes control of the TENS machine at this point as I keep losing the handset in the bedsheets between contractions. As I feel the approach of each contraction I start blowing out and warn Rob to get ready to hit the ‘boost’ button. Then, “Boost!” and I do the short quick breaths while the contraction peaks. After that, the contraction quickly dies away and I feel really heavy and calm. Almost drugged. My eyes close and I’m only vaguely aware of the room around me...

and then the next contraction builds. “Get ready to boost, Rob!”. The midwife examines me and I start to worry again that they might send me home. She doesn’t say anything for a moment, then takes off her gloves. “You’re not going anywhere. You’re fully dilated and Baby is ready to come!”. I can’t really put into words how ecstatic I feel at this moment. The realisation that this is it and I’m doing just fine, is such a relief. From this point on I feel drugged and somehow distant from my own body. It occurs to me that I was supposed to ring my Mum when I went into labour. Bit late for that now. Moments later, at around 6.30am we enter the labour room. Apparently I’m very dehydrated so a doctor comes in and inserts a cannula in the back of my hand for fluids. I’m only vaguely aware of her, but she seems really nice. I hear conversations and want to join in with the chat, but the words don’t seem to come. I have to lie on my side for half an hour or so because the baby is in the wrong position, but time seems to be flying and before I know it I’m told that I can finally start pushing. The time is 7am and I remember being told that this phase of labour usually lasts about 2-hours for first-time mums. So, I look at the clock and reassure myself that by 9 o’clock Baby will surely be here. There’s a change of shift and my midwife reluctantly leaves and two new midwives, Michelle and another come in to my room. I trust them immediately and implicitly. Michelle’s voice is the only thing that I pay attention to.

Birth Story

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Michelle Mottershead – My hero Up until this point I’ve been lying on the bed leaning against the raised bedhead. I haven’t felt like moving at any point, but Michelle suggests I might try moving on to my hands and knees to help baby progress down the birth canal. I let a few contractions come and go before I attempt moving and once baby is further down I return to my lying position. I don’t think it’s conventional but it’s where I want to be. Michelle encourages me to put my chin down and push hard. Really hard. So that’s just what I do. It feels like all my blood vessels might pop, but I don’t really care. I just keep doing it. Baby has been crowning for what feels like an age, and I’m starting to think that I can’t keep this up. I’m almost willing Michelle to tell me she’s going to pull him out, but instead she suggests an episiotomy as the skin is so stretched and his head still won’t pass. I agree in an instant and don’t feel the incision. Then, on the next push his head is out! I gather my breath and then there he is curled between my legs. My baby Boy, and it’s 8.49am.

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Interestingly, a quick birth came with its own very minor draw-backs. Ben was very muccousy in his nose and throat, so spluttered a lot in the first day. Apparently things didn’t get the chance to clear during the birth process. I was also aware that he was being monitored during the birth and towards the end he was getting a bit stressed. I, on the other hand was on a major high after the birth, but had uncontrollable tears the following day. I felt ridiculous, but apparently its not uncommon. When I look back on Ben’s birth, 2-years on I’m still giddy with satisfaction. I’m so lucky to have that. I’m pleased that I was able to labour at home rather than on the ward. And I’m pleased that I managed with just the TENS machine. It was so effective that I think I would decline a water-birth if I ever had the option, in favour of my TENS. Next time around I hope to be more sensible in early labour. I won’t, for example, let myself get dehydrated. I would probably try to be more mobile as well. I don’t think spending 2-hours in bed trying to sleep helped Ben’s position, but then at least I was relatively rested. Let’s just hope that I’m better at recognising the signs.

What to Put in Your Hospital Bag

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-Natalie Lane

As someone with not many weeks to go before needing a hospital bag again I was really pleased when one of our readers asked for an article on what it is a good idea to include (and what not to!). I haven’t got as far as packing mine yet but will do soon.

Like with everything else birth and parenting related there are no hard and fast rules. You could probably spend a lot of time worrying about it and it wouldn’t make any difference. It is worth being prepared and thinking about what you like and what makes you feel comfortable and happy. It is difficult to predict how long you will be in hospital. If you are in and out during the working day you may end up feeling a fool for having taken all your worldly belongings. However, it could be longer. It is worth remembering that, if you are in for a few days, people will be able to bring things in for you.

Below are ideas on what would be useful to pack. Very few are essential but many of them may make your more comfortable.

For the birth: Your maternity notes and birth

plan Hot water bottle – for soothing

back ache during contractions. TENS machine Snacks – such as rice cakes,

lollies, snack bars, bananas, cartons of fruit juice.

Wear something loose that you can move around in comfortably. You may shed all of it but it’sstill good to have something comfortable to start in.

Change for the parking meter. For your birth partner it may be

worth having some pain killers (as the hospital can’t give them anything), a spare t-shirt and food.

Bendy straws – it can be difficult to drink while in labour but you may be really thirsty.

Hair bobbles. CD or MP3 player with playlist. Hypnobirthing CD if using. Mints. Things to help you relax. There

can be dull moments during labour! Nothing too taxing though. An easy read, magazines, puzzles, music.

Water spray. For dampening you down during hot and sweaty moments during labour. Sponges can be good too.

"It's utterly fab. You can spray it all over your face and neck and in your

mouth, as it's just a pure mist of water. Really refreshing."


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For you: Loose clothes to go home in –

maternity ones as you aren’t likely to fit into skinny jeans again just yet.

Sanitary towels – thick, night time ones. More than you think...NHS website suggests 24.

Old or cheap knickers. Toiletries Baby wipes – for freshening up. Phone and charger. Plastic bag to put dirty clothes in. Food – in case you give birth in

the early hours, the shop is closed and the vending machine is on the blink. You might feel like something more substantial after birth.

Chocolate, chocolate, chocolate – refuelling!

Hairbrush Presents for any

older siblings. Something that ‘the baby’ can give them when they come to visit.

Lip balm – hospital wards can feel really dry and hot.

Warm socks (non-slip) or slippers.

Breast pads for when your milk comes through.

Nursing bras, bearing in mind that your breasts will be larger than usual.

Dressing gown – although it tends to be hot on the ward so nothing too snugly.

Nighties/Pyjamas Camera

For the baby: Body suits and baby gros (~5 of

each – we used all the ones we took last time round!)

Baby blanket Nappies Cotton wool Hat

What to pack it all in?

I found it frustrating having everything mixed up as I didn’t have spare energy to look for things. It seems like good advice to put things for different stages/people in different bags. If it starts to look as though you are relocating instead of making a quick hospital trip, you could make up an ‘extras’ bag that can stay in the car or at home to be brought to you later. There isn’t a lot of space on the ward around each bed, and you don’t want it to be an assault course to get to you, so keep it compact if possible.

Suitcases are good because you can see everything without rummaging.


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Top tips from our members – “Flip flops for in the shower and more baby vests than you think.” “If you have an outfit that you would like your little one to wear first (for those first few pictures), or for going home, it might be worth keeping them in a separate bag. Saves you having to rummage through everything or trying to explain to someone else what you want.’ “Chocolate, chocolate and more chocolate. Cartons of drinks with straws were handy too. I also packed 2 bags, one with the baby stuff and one with my stuff, which made it a bit easier to find things.” “Baby vests in a bigger size - was gutted mine didn't fit my long baby!” “I took a hair dryer but wasn't allowed to use it in hospital (& wasn't bothered about styling anyway!). Also didn't need a bikini for the pool- when it came to it I was happy to be naked! Most important things were phone charger, more baby clothes than you think, spare nightie (might be in longer than you expect!), tasty snacks & fruit.” “Dry shampoo was my godsend as they wouldn't let me wash my hair and I was in for 4 days!”

‘The best advice someone else gave me was to make some sandwiches beforehand, put them in the freezer and take them out as you leave for the hospital. I was only in labour for 12 hours and those cheese sandwiches were the best I ever had. My husband and I ate them after the birth was over and I was ravenous!’ “Lots of food and drink... unless you like hospital tea and toast and dried out 'food'.”

‘When you come home you won't want to do much more than rest and care for your baby, so do as much planning as you can in advance. Stock up on basics, such as toilet paper, sanitary towels and nappies. If you have a freezer, cook some meals in advance and freeze them. ‘

“A dressing gown was handy for walking to shower rooms. More maternity pads then you think you will need! Comfy clothes. More baby clothes than you plan for too!”

“I was warned off disposable knickers by my midwife as she said they are often too low-slung to hold a pad comfortably. Instead she suggested getting some cheap large knickers with high waist lines (in case you need to avoid chaffing a caesarean wound!)”

How I survived... Gastric Reflux

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-Abi Sherratt From the first night that we brought Noah home, we knew he was never going to be a good sleeper. He was adorable, cute and tiny, all of the things a newborn baby should be, but he certainly didn't grasp the fact that he was supposed to sleep for most of the day! It all started after about a week. We noticed he was really "grunty" when he was asleep. And by grunty I mean literally like a tiny piglet snuffling away in his moses basket. This was accompanied by as much tossing and turning as a newborn can do. He would only sleep during the day for 7-9 minutes at a time. And I know that sounds precise but my dad used to come around during the day once my hubby had gone back to work, and we would sit and time him. He was so unsettled during those naps, and at night so noisy with his little grunts and moans, and shuffling, that I had taken to sleeping in the spare room by myself and Noah would be in the moses basket in our bedroom with my husband. It was the only way I could sleep in between breast feeds. I guess being first time parents we just thought this was normal. Then the sick started. He was about two weeks old and suddenly started being sick after every feed. At the time, and even now, people still say to me "oh, all babies are sick". I get that, I truly do. This wasn't just a little

mouthful of baby sick when we burped him though. This was brining up large quantities of breast milk that he had just finished drinking. We made an appointment at the doctors and apologised for our neurotic new parent-ness. She was lovely and talked us through a few things. She decided that I was probably letting him feed too long (some feeds took 1hr) and I should cut it down to 5-10 minutes on each breast and it might sort him out. So we cut down the feed times but weren't seeing much improvement. The Health Visitor then came on one of her regular visits about a week later and was appalled at the doctor's advice to reduce the time on the breast. So that went back up. She also suggested propping up his moses basket at the head end, to see if that made him more comfortable. I'm still not entirely sure how much we were supposed to prop it up, but we tried everything from a 15 degree angle to a 45 degree one. Poor thing was sliding down to the bottom! We were still getting lots of sick, and still getting lots of wriggling when trying to sleep. I had finally started getting myself out of the house, but had to go armed with 19 muslins, 2 changes of clothes for him and me, and 4 bibs. And that was just for 1 hour at Fun4all. I was also really nervous about letting other people hold him as I was convinced he would just be sick all over them, so he spent a lot of


17

those first few months in my arms, rather than getting cuddles from other people. Noah was starting to get fussy with breast feeds about this time. Latching on well, but then popping off, or thrashing his head about from side to side. So when we were called for our discharge appointment with the midwife, after talking everything through, reviewing his weight which wasn't great, but not exactly a cause for concern, and taking into account he was still quite jaundiced at 4 weeks, she referred us to the Children's ward at Macclesfield Hospital. We went down there that night, and they looked after us so well. We had to catch some wee in a sample bottle (always fun!) he had blood taken from his wrist, was weighed, prodded and poked and finally they decided he probably had reflux and were talking about low dose medication. During the discussions Noah had been feeding and afterwards we lay him on the bed. He promptly pulled a screwed up face as if tasting something nasty, and then threw up EVERYWHERE. At that point the doctors switched our medication to something a bit stronger, Omeprazole (a dissolvable tablet that we had to syringe into his mouth) and Domperidone (a liquid medicine). This was also the first time anyone mentioned to us that maybe I should cut out dairy from my diet. Now I don't "do" dairy as a rule, after becoming a little intolerant to it when I was in my early 20's.

I can have a bit of cheese on a pizza, one cup of proper tea in the morning, and a bit of chocolate, but anything more than that, or anything like yoghurt gave me painful cramps and bloating. At that point it sort of made sense that maybe dairy in my milk was affecting Noah. Unfortunately there is no way of knowing if that is the case in a baby that young, so it was a case of wait and see. We went home in a warm little bubble, naively thinking all would be ok and we could look forward to our wonderful little boy not being uncomfortable anymore. Not the case. Within a week there was no improvement, and after throwing up two full feeds at 5am one morning we used our free pass back to the Children's Ward to get checked out. Cue more blood tests, and more prodding and poking of a very unhappy baby. With all this sick, I had no way of knowing how much milk he was taking in, and how much he was bringing back, and his weight wasn't showing a massive leap (certainly not compared to his little baby friends) so I was feeling a bit at my wits end. I was his mum, and my breast milk was supposed to be the only thing he needed, but it was clearly (in my head anyway) making him ill. I didn't know what to do. I spent most of that morning crying my eyes out and holding him tight. We saw two different consultants that day, and it came down to the question of whether we should try Noah on a prescription only, dairy free formula. I didn't know what to do. Mother’s instinct


18

and guilt had me sobbing that I couldn't do it, but at the same time the instinct to protect my son and make him well was pushing through. In the end I forced the consultant to make the decision for me. Looking back now, in hindsight I should have kept going with the breast feeding. It had only been a week since I cut out dairy and it can take up to two weeks for the mother’s body to clear it from the system, but I just wanted my boy to feel better. So later that day we left hospital with tins of prescription milk and some tiny little bottles. I was distraught. In the car on the way home, the guilt I felt took me over. I was inconsolable. How could I do this to my boy, what sort of mother was I? The pain every time I realised I wouldn't get to hold him to my breast anymore and have that that wonderful half an hour with my contented baby, knowing that I was giving him everything he needed, was unbearable. I don't think my husband knew what to do to be honest. Poor thing! When we got home, my mum and dad were waiting for us and said "he is on bottles now, we will take him to ours and you can get some sleep". Well after an hour of crying, I did eventually wear myself out and slept for 2 hours. I couldn't wait to pick Noah up, and my husband was equally as excited, but mainly because he was going to get the chance to feed Noah and have that bond, that up until then only I had shared. That

was hard for me, and in the week that followed I still cried at each bottle feed. So now we were on bottles of non-dairy milk, plus two medications. From the minute we started the Omeprazole, which is designed to combat excess acid, we noticed a difference in Noah. We used to give it in the morning, but by bedtime he was starting to get restless and grunty again, so we switched it and gave it just before bed. The Domperidone was designed to help with the sickness, but looking back I think we could have not bothered with that one - it certainly didn't make ANY difference! One of the hardest things with the medication was getting the timing right. He was still being so sicky that we had to give him time after the meds before we fed him. Fine on a normal day, not so good in the middle of a growth spurt! We also were given baby Gaviscon by the doctors, again in an attempt to control the sick, and help settle his stomach. Along with the Omeprazole, slowly but surely, his little stomach settled down, until we could no longer hear the gurgling, and he didn't twist and turn at night. The sick on the other hand, well that didn't stop. And we didn't stop worrying. From week 2 to week 44, we had sick every day. The day he started on formula we started a little book, noting down each feed, how much, when, etc. We also weighed his sick. I know it sounds really gross BUT it helped me so much, because otherwise, as any parent will tell


19

you, what is actually only a few ml, looks like a whole bottle. We had the weight of every bib we owned written down, and we used to weigh them when he had been sick. And it was a lot - roughly 30-40mls every time. He used to wear a terry cloth bib, with a neoprene Bibetta bib over the top. And those things saved our lives. They have a great "pocket" which is supposed to catch food. We used them to catch sick! When we look at photos now, it's hard to find nice ones without bibs. Even our first snowman had one!

Weaning was also a fun time for us. I soon figured out that chunks of food came back up far more easily than pureed, so Baby Led Weaning was out. We had days where food stayed down, and other days Noah's dad would come home and I could happily point out on my clothes what Noah had had to eat today for every meal! The only good thing about our reflux journey is that once the acid issue settled down, the sick didn't bother Noah. He used to be sick, smile and move on to the

next toy. Once I got used to mopping it up, both of us were happy again! But it took a long time. There were days I used to stalk his dad on the "where is my i-phone" app on the i-pad to see if he had left work yet, because spending all day with screamy, sicky baby was hard, and I was tired. Tired of feeling guilt. Guilt over the fact that I could have potentially done something to stop it, guilt because all that was wrong with my baby was a faulty valve at the top of his stomach and yet there were babies out there so desperately poorly. Tired of cleaning and washing. Tired of apologising to people for splodges on their carpet/sofa/clothes. But eventually I grew to love my sicky baby. And the first day we didn't have any sick, at around 10.5 months old is one I'll always remember. It didn't completely stop until about 12 months, we still had a few occasions, but looking back I wouldn't change any of it for the world.

Christening UK

5 Bakers Oven, The Old Bakery, High Street, Tarvin, Chester. CH3 8JA t: 01244 888454

w w w.christeninguk.com

Christening UK has been offering a beautiful range of Christening gowns, dresses, rompers, suits and accessories for over 30 years. Based near to the historic Roman city of Chester, we now operate from our specialist showroom in the pretty Cheshire village of Tarvin.

We search for the very best outfits and accessories from only the leading Christening and Baptism designers.

Little DarlingsSarah Louise

Angels and FishesEmile et Rose

Diary

21

Bumps & Babies Come and join us at one of our Bumps, Babies & Toddlers groups. No need to be a member! Fun4All Queens Avenue, Macclesfield, SK10 2DG

Wednesdays (continuing over the summer) 10am – 12 noon

All adults and under 1’s are free,

children aged 1 and 2 are £1 each, and children aged 3 and over are charged the normal Fun4All admission price. Coffee Lounge Wilmslow Methodist Church Kings Close, Water Lane, Wilmslow, SK9 5AR

Alternate Thursdays,term time only 10.30am – 12 noon There is no charge to come along and chat and there is a play area for restless toddlers too. The church serve drinks and biscuits at a small charge. Unfortunately we are still struggling to get enough volunteers for the Wilmslow group so we strongly recommend checking it is running via our Facebook page before turning up.

Coffee Mornings Coffee mornings or afternoons are organised at members’ houses most weeks (usually on a Monday). If you’d like to join us please give the

host a call to check details and to find out the address. If you’d like to host a

coffee morning please let us know.

Antenatal & Postnatal Classes NCT antenatal classes help parents-to-be prepare for birth and early parenthood. Sessions for first-time parents are held in Macclesfield, Tytherington and Wilmslow. The contact details for anybody wishing to book courses are: [email protected] 0208 752 2484 Book Club Book Club is a friendly group of mums who meet at each other’s houses every 6-weeks, usually on a Tuesday evening. If you would like to join, please email Amanda on [email protected].

Regular Events -no need to be a member

Diary

June 2014

Monday Tuesday Wednesday Thursday Friday

2nd Marie’s coffee

morning 10-12

Macclesfield 07761000675

3rd 4th Bumps, babies

and toddlers Fun4All

Macclesfield 10am – 12pm

5th

6th

9th

Maria’s coffee

morning 9:30-12

Bollington 07773443242

10th 11th Bumps, babies



12th 13th

16th Amanda’s coffee

morning 10-12


17th

Book club “City of Women”

Macclesfield from 8pm

treasurer@eastcheshire-

nct.org.uk

18th Bumps, babies



19th

20th

23rd Kim’s coffee

Morning 10-12





26th 27th

30th

Sarah’s coffee

morning 9:30am - 12pm


Information correct at the time of printing. Up to date information will be posted on the ‘Friends of East

Cheshire NCT’ facebook page

Diary

July 2014


1st 2nd Bumps, babies


Macclesfield 10am - 12pm

3rd

4th

7th Stacey’s coffee

morning 9:15-11:15





10th 11th

14th Amanda’s coffee

morning 10-12





17th

18th

21st Kim’s coffee

Morning 10-12


22nd 23rd Bumps, babies



24th 25th

28th Ellen’s coffee

morning 10-12





31st



Diary

August 2014


1st

4th

Amanda’s

coffee morning 10-12


5th

6th

Bumps, babies and toddlers

Fun4All Macclesfield

10am - 12pm

7th 8th

11th

Marie’s coffee

morning 10-12


12th

13th Bumps, babies



14th 15th

18th

Sarah’s coffee

morning 9:30am - 12pm


19th

20th



10am - 12pm

21st 22nd

25th

Bank Holiday 26th

27th



10am - 12pm

28th 29th



Breastfeeding Support

25

Wilmslow Cherubs Wednesdays 10.30 am – 12 noon Oakenclough Children‘s Centre, Colshaw Drive, Wilmslow Tel. 01625 374180 Weekly group run by peer supporters and a volunteer health visitor. Macclesfield Bosom Buddies (New) Thursdays 10.30 – 12 noon Holy Trinity Church, Hurdsfield Road, Macclesfield SK10 2PX On-site parking. Tel. Sara 01625 576517 or Rosie 07961 614882 e-mail: [email protected] Skilled breastfeeding help and mother-to-mother support, for babies of any age and at any stage - just drop in. Pregnant women welcome. Cherubs Breastfeeding Support Group Thursdays 10 – 11.30am Ash Grove Children’s Centre, Ash Grove, Macclesfield, SK11 7TD Tel. 01625 374484 Cherubs Breastfeeding Support Group Wednesdays 12 noon – 1.30pm Hurdsfield Children's Centre, Hulley Road, Macclesfield, SK10 2LW Tel. 01625 378 081 Weekly support groups run by health visitors, midwives and breastfeeding peer supporters. La Leche League Monthly, Mondays Bollington Tel. Francesca 01625 261 253 If you are aware of any changes that have been made to these groups please let us know

so we can update our information ([email protected]) Cheshire East Breastfeeding Counsellors Sarah Braide, 01625 874796, [email protected] Katharine Newman, 01625 618706 NCT Breastfeeding Helpline 0300 330 0700 8am – midnight, seven days a week Call our Breastfeeding Line to talk to a qualified breastfeeding counsellor for information and support to help you breastfeed successfully. We can also help if you are using formula or want to switch from formula to breastfeeding or breastfeeding to formula. Other support networks National Breastfeeding Helpline 0300 100 0212 La Leche League 0845 120 2918

Mastitis: What You Need to Know

26

Karen Hillmansen –Redditch NCT branch

Mastitis – many of us have heard of it, some of us unfortunate enough to have had it, but what is it and how can you recognise it?

Don’t mention the ‘M’ word!

We all know that breastfeeding is best for baby but it’s not without some potential problems.

It’s estimated that 10% of breastfeeding mums are likely to experience mastitis in the first 3 months and 0.3% develop an abscess.

Friends who have had it may shudder in horror at the recollection but have little useful to offer. They simply got through it.

There is a huge amount of intelligent information on the web but much is aimed at a woman with mastitis. So what do you need to know BEFORE you get it. In a nutshell:

1. Prioritise Breastfeeding

Most mastitis is a result of milk stasis which simply means the milk sits in your milk ducts for too long. This can be caused by your baby not attaching himself properly and not draining your breast or missing a feed (eg suddenly sleeping through the night) or leaving too long between feeds.

So never be guilted into messing up your feeding routine in the early days to fit in around other people.

It can be embarrassing to feed in public and tempting to wait until you get home but it’s far better to be sat in a cafe with your boob out that in your GP’s waiting room with said breast burning.

Do feel empowered to take the time to get the latch right. Remember it’s perfectly reasonable to ban visitors if you want to sit half-naked in the early days while you feed. It may feel selfish or a bit diva-like but it’s important.

Even if you’re not sleep deprived it’s easy to forget which breast you were last feeding from. Mastitis can come on very quickly so it’s worth thinking about what works best for you, from writing it down to having a bracelet you swap from wrist to wrist. Babies can have a definite preference for one side so don’t trust them to remember!

Ask for help with feeding if you are in any way concerned. This could be from your midwife, health visitor or NCT’s helpline (0300 330 0700).

[Message from ed: There is also a lot of local support with breastfeeding. For information on local support groups see page 25]


27

2. Prioritise your breasts

Up until having a baby the most self-care my breasts got was being covered in factor 50 on foreign holidays and a regular prodding for lumps. I shoe-horned them into underwear I chose for style not comfort. However, once they cease to become purely decorative they need a little bit more maintenance.

Make sure you have a well fitted bra and tops. Too tight clothing and/or restrictive bras may cause your ducts to close and let milk stagnate.

Try not to sleep on your front. Again squashing the breasts may close your ducts.

But do remember that a lot of mastitis is caused by Staphylococcus, the bacteria that most people carry on their skin. It’s harmless on the outside but horrid if it gets into your milk ducts via a cut in your skin/nipples. No amount of breast care can stop something that’s basically bad luck. But it’s a good reason to persevere with getting the right latch even if your baby takes forever to get the hang of it.

3. Prioritise yourself

It’s purely anecdotal but on the internet forums that discuss this many, many mums highlight the fact that they were feeling really run down or stressed or ill when they got mastitis. Often these are not factors that you can control but it’s good to be aware that if you’re

having a tough time then mastitis might strike.

You can be so busy looking after others that you neglect the early signs of mastitis (see list below) until it’s a raging infection. So never feel guilty about pampering yourself whenever possible in the early months.


28

Sore breasts? Self help tips

Rest. Rest. Rest. Demand help and go to bed if at all possible.

Drink plenty of water. See your GP as soon as possible

if you have signs that you have mastitis.

If needed feed more frequently, express any remaining milk after a feed and express milk between feeds.

Cabbage leaves really do help though it’s not clear why – just push them down your bra. Some people find that having a hot bath or placing a hot flannel on their breasts helps.

To stop or not to stop?

You don’t have to stop feeding. Any bacteria will be destroyed in your baby’s stomach. The antibiotics won’t make them ill and nothing clears a breast of milk like a baby. But do be aware that antibiotics may give your baby incredibly runny pooh.

Stopping too fast may actually worsen the mastitis. Your Health Visitor or NCT Breastfeeding Counsellor can support you.

Further information:

www.nhs.uk/Conditions/Mastitis/

www.nct.org.uk/parenting/dealing-mastitis

Signs of mastitis

Mastitis usually only affects one breast

and symptoms often develop quickly. Be on the lookout for;

a red, swollen area on your breast that may feel hot and painful to touch,

an area of hardness on your breast,

a burning pain in your breast that may be continuous or may only occur when you are breastfeeding,

nipple discharge – which may be white or may contain streaks of blood.

Over half of women with mastitis may also have flu-like symptoms such as;

aches, high temperature / fever, shivering or chills, tiredness, feeling generally unwell.

When you first notice a sore breast, fever and flu-like symptoms, begin the self help

tips. If things don’t get better within 24 hours or worsen, or if you have obvious signs of a bacterial infection (such as

visible pus), get in touch with your GP.

Pregnancy Yoga Dru Prenatal Yoga classes are different to any other type of yoga class. By

preparing your body and mind for the changes that it will go through

during pregnancy, labour and forwards to becoming a mother.

Mondays 6-7:30pm Antenatal Clinic at the Hospital

Tuesdays 7-8:30pm Macclesfield Library

Baby Yoga

Baby Yoga helps your baby to; improve digestion, settle babies and

improve their sleep, strengthen the physical body, improve blood flow,

tone muscles, enhance flexibility, stimulate senses and is also a lot of fun!

Tuesdays 10-11am and 11:30-12:30pm Macclesfield Library

Fridays 10:30-11:30am Macclesfield Library

Contact Saffron for booking. Limited spaces

01625 432997

Choosing and Buying a Sling

30

By Sale Sling Library Choosing a sling or carrier can be confusing with the variety available, and friends & family often recommend different types leaving you no clearer on what to buy. How do you know where to start? This article aims to help you decide by giving you the information you need in order to make an informed choice. If you were to visit a sling library, you'd likely be asked the following questions to help narrow down options to show you, so it’s worth thinking about them in your own sling hunt. First of all, how old is your baby? The age of the child you are carrying makes some slings more suitable than others. Birth to toddler carriers exist, but many find that buying a sling specifically for a newborn, for instance a stretchy wrap, means having a sling that fits and suits their baby well, and is worth the payoff of needing to upgrade to another sling type later. Equally if you're looking for a sling for a walking baby/toddler, being able to pop them up and down quickly may be best. Babies from 4-18 months often have the most choices of slings available that would be suitable.

Secondly, what will you use a carrier for? A baby with reflux may need to be carried most if the time, so comfort may be most important. A sling for short shopping trips or the school run may need to be quick to use above all else. How often will you use it and does it need to be small enough for your bag or under your pram, or is that not an issue for you? Thinking about how you use it may make a big difference to what you choose, there are no right or wrong answers. Some situations, for instance premature babies or those with medical conditions, will need extra consideration, and it’s advisable to contact a Baby Wearing Consultant for help. How long will you use it for? A sling that needs to be used for several hours a day is unlikely to be the same as one that will be used in short bursts. One shoulder carriers that are quick and easy for toddlers who are up and down as lot, or supportive slings that may take longer to put on but will support you both for several hours? Who will use the sling? Are you the only person who will use it, or is your partner/child carer likely to use it too? If there's more than one of you, you may need to consider different body shapes so something


31

easy to adjust may be best. Slings with buckles are easy to learn, but require more adjustments betweens users than slings that tie. Are you happy to practice? Some slings require a little practice to get the hang of, some are quicker to master than others, some are more intuitive to one person than another. How do you feel about tying knots, or adjusting webbing and buckles? Does anyone else who will use the sling feel the same way? Using a sling is a new skill for you and your baby so most people need a little practice. There are no right or wrong answers to any of these questions, and you may have more questions or considerations to keep in mind. However, they should help you to narrow down your options from everything available, to those that may suit you from the types of sling explained below. Stretchy Wraps These are made from stretchy fabric and are one long piece of material. They can be pre-tied before

the baby is put in making them ideal for parents of newborns, as they can be left on all day as baby is popped in and out to fulfill their needs. The majority can generally only be

used for front and sometimes hip carries. Most are safety tested to around 30lbs, but most parents find by 6 months or 20lbs they start to 'sag' and it’s time to upgrade.

Stretchy Hybrids

These offer a similar carrying position to a stretchy wrap but are usually sewn into loops or crosses of fabric to avoid the need to tie completely. They can be sized or adjustable. In the same way as stretchy wraps, they have the same advantages and limitations.

Ring Slings

These are worn over one shoulder but can be adjusted by pulling the fabric through the ring, making it easy to position newborns in a tummy to tummy hold, and offer some head support. For larger babies they can be used on the hip so they can see the world, and are a great option for toddlers who swap between walking and being carried very regularly.

Pouches

These are tubes of fabric, usually folded in half and worn over one shoulder. They can be put on and off very quickly but need to be the correct size to avoid an uncomfortable carry for the parent and safety issues such as slumping for the baby.


32

Mei Tais These are Asian style carriers which consist of a structured body panel with tie straps. They can be used on the front, back or hip and are very easy to swap between parents or carers as no adjustments need to be made. Some have special adaptations for newborns, others fit best from around 4 months. Toddler sizes are also available. Soft Structured Carriers These also have a panel of fabric with straps but usually fasten with buckles and are quick to put on though some adjustments may be needed between users. They can be used on the front, back or hip. Some have newborn inserts but the majority are easiest to use from around 4 months. Toddler sizes are also available.

Woven Wraps These are a long piece of woven fabric. They can be used for a large range of front, hip and back carries; they are the most versatile option as they suit all body types and baby/toddler ages, though need a little more practice.

...........................................................

Once you've identified what may work for you, it's a great idea to visit a sling library or sling meet so you can try a few options on. Slings and carriers are much like jeans and shoes, though they all do the same thing, some are better suited to you than others and there's definite value in being able to try before you buy.

A note on other sling types –

Front pack or high street style carriers, that face baby forwards with a narrow base, are not dangerous, but are not considered optimal for ergonomic positioning or comfort for the baby or parent. Sling libraries do not tend to stock them as a result as they feel better, more comfortable, and longer lasting options are available. Bag slings however, which you place baby into in a horizontal position are


33

dangerous, and we would never recommend their use. It is too easy to position baby incorrectly with their chin on their chest and compromise their airway. Please think twice before buying one or using one gifted by a well meaning friend or relative. If you are in any doubt, check if you can position baby in accordance with TICKS (see box at the end of the article), and seek advice.

Next step, find a sling.

You could buy new, buy second hand, or hire.

Buying new When it comes to your baby's safety, there is no reason to scrimp or save, their well-being is paramount. A bargain on an online auction site or marketplace will likely be fake, meaning seams, hems, or dyes may put your baby at risk. A retailer with a good track record will be happy to assure you of their safety, comfort, and testing. They will be happy to comply with distance selling regulations, and help you make an informed choice on which sling is right for you. If you need help finding an authorised retailer, contact a sling library, they will be happy to help.

Buying second hand Buying slings second hand can be a very good way to start into the world of baby slings. Well-known brands hold their value and are easy to resell. Some slings, such as woven wraps, are actually easier to use when they’ve been used and the fabric has softened. Many preloved selling groups are on

Facebook, some bargains can also be found on local selling sites and auction sites, but there are risks with regards to buying this way. As with buying new its best to exercise caution, check authenticity and condition, and ask for help if needed from a sling library or meet- most will be happy to help you source what you're looking for in exchange for a small donation or word of mouth advertising. [Note from eds: check out NCT Nearly New Sales too!]

Hiring We would highly recommend renting a sling for a couple of weeks, giving you chance to road-test your choice and try before you buy. Most slings are available from most sling libraries, so it’s worth checking if a local library stocks the carrier you're considering. You may be able to hire for a week or two, or longer if you choose to. Some families find hiring long term works for them as they can swap and change depending on their needs for the next few weeks at a time, so it’s worth finding out the options in your area. Getting to know your new sling is the next step! Take your time, read the instructions, and don't rush. This is a new skill for you and your baby, so be patient and be prepared to need to practice a little. Some are naturals, some need a little guidance, as with any aspect of raising a child. With a little tweaking, you and your baby will find it’s worth it, so if at first you don't succeed, it’s well worth trying again! Read the instructions carefully, pay attention to safety notes, and inspect


34

regularly for wear and tear. If you're unsure about anything, don't use until you've clarified with the retailer or someone trained like a sling librarian or consultant. Choose a moment when you and baby are both calm and relaxed. A baby who is fed, changed, and happy is going to be happier to learn with you. Remember this is a new skill for them too so you're both learning together, and both may take a little time to get used to the feeling of using a sling. Practice over a soft surface and ideally with a mirror so you can check if your positioning matches that in the instructions. Some find it useful to learn with someone else there as a spotter, or with a teddy before trying with their child. Once baby is in the sling, check their positioning for TICKS. The sling should be Tight and secure, leaving no room to slump. Baby should be In view at all times. Baby should have their Chin off the chest to maintain their airway. Baby should be close enough to Kiss. The sling should provide a Supported back. This should be checked at regular intervals and be mindful of positioning at all times. If you cannot reach these guidelines with baby in an upright position on your chest while in the sling, either positioning needs looking at or the sling may be unsuitable, find an experience d baby wearer, sling meet, library or consultant and ask for help. If you're not sure you're

using it correctly, ask for help. Sling libraries and baby wearing consultants can help you with positioning and tweaks to get you both comfortable, so considering a visit to either is a great idea. In the mean time, take pictures, compare them to the manufacturers, and practice. If your baby won't settle in the sling, it may be as simple as taking a short walk as they may be picking up on any tension or nerves you have, and they may just need reassurance while they get used to the experience. ...........................................................

Baby wearing can be a hugely enjoyable experience, forming strong attachments between parent and child, freeing parents hands for tasks or the care of older children, making small spaces such as public transport accessible, calming colicky or reflux babies, among many other benefits. Finding your perfect sling can open up a world of opportunities, so it’s well worth doing your research to add the right one to your parenting toolkit.

Enjoy your new sling, the extra cuddles, and the freedom it can bring.

Sale Sling Library is run by Kat and Hazel, qualified Babywearing Consultants, as a community resource. A small fee is charged for rentals to allow for the upkeep and expansion of the library in order to help as many families as possible. Please see their

website www.saleslinglibrary.co.uk for more details of their weekly sessions or catalogue of slings.

TIGHT – slings and carriers should be tight enough to hug your baby close to you as this will be most comfortable for you both. Any slack/loose fabric will allow your baby to slump down in the carrier which can hinder their breathing and pull on your back.

The T.I.C.K.S. Rule for Safe BabywearingKeep your baby close and keep your baby safe. When you’re wearing a sling or carrier, don’t forget the T.I.C.K.S.

CLOSE ENOUGH TO KISS – your baby’s head should be as close to your chin as is comfortable. By tipping your head forward you should be able to kiss your baby on the head or forehead.

KEEP CHIN OFF THE CHEST – a baby should never be curled so their chin is forced onto their chest as this can restrict their breathing. Ensure there is always a space of at least a finger width under your baby’s chin.

SUPPORTED BACK – in an upright carry a baby should be held comfortably close to the wearer so their back is supported in its natural position and their tummy and chest are against you. If a sling is too loose they can slump which can partially close their airway. (This can be tested by placing a hand on your baby’s back and pressing gently - they should not uncurl or move closer to you.) A baby in a cradle carry in a pouch or ring sling should be positioned carefully with their bottom in the deepest part so the sling does not fold them in half pressing their chin to their chest.

IN VIEW AT ALL TIMES – you should always be able to see your baby’s face by simply glancing down. The fabric of a sling or carrier should not close around them so you have to open it to check on them. In a cradle position your baby should face upwards not be turned in towards your body.

TIGHT

IN VIEW AT ALL TIMES

CLOSE ENOUGH TO KISS

KEEP CHIN OFF THE CHEST

SUPPORTED BACK

NCT National News

37

Call for better diagnosis and treatment of tongue-tie In February this year the NCT wrote to Health Minister Dr Dan Poulter MP calling him to improve the diagnosis and treatment of tongue-tie in the UK, saving the NHS money and parents and babies stress and anxiety. There is great concern that a diagnosis of tongue-tie is often taking weeks or even months and the problem is not being picked up by health professionals. This can lead to babies not being able to feed properly and prevent them from gaining weight in their crucial first weeks.

The NCT wants to see more professionals trained to recognise and deal with the problem as current NHS treatment is often patchy and sometimes non-existent. We are also calling for the NICE guidelines, published in 2005, to be updated to ensure that tongue-tie services are commissioned across the UK.

Tongue-tie affects some babies when the frenulum – the piece of skin attaching the tongue to the floor of the mouth – is positioned too close to the tongue tip. This means the tongue can’t extend very far, and may not be able to move up and down or side-to-side as it would otherwise do. Treatment is usually quick and simple. Specially trained midwives or infant feeding specialists can snip straightforward ties with scissors. Babies often don’t even need an anaesthetic and have been known to sleep through the procedure.

In April, in a debate in the House of Commons, MP David Amess who chairs the All-Party Parliamentary Group on Maternity called on the Government to improve services around the diagnosis and treatment of tongue-tie.

He quoted the story of an NCT member:

“Both my children were tongue tied and in both cases the professionals failed to identify it. Due to unacceptable waiting times I felt that I had no option but to pay for private tongue tie division. I went to hell and back on my feeding journeys because of tongue-tie.”

Another MP Theresa Pearce has submitted written questions to the Health Secretary on behalf of NCT in order to find out what action the Government is taking to improve services

The BBC have published a number of case studies relating to tongue-tie on their website - http://www.bbc.co.uk/news/health-26241665

NCT National News

38

There is also further information about tongue-tie on the NCT website - http://www.nct.org.uk/parenting/tongue-tie

If you feel strongly about this issue and would like to raise it with your MP, there is a template letter below for you to customise. Please e-mail [email protected] if you’d like any more information and to let us know if you have received a reply.

(Name of your MP) House of Commons London

SW1A 0AA

(DATE) Dear Mr/ Mrs/ Ms (Surname of your MP), I am writing to you about the services for the treatment of babies with tongue-tie in (please add the name of your area). I personally had a problem with my baby failing to be diagnosed and /or failing to be treated for tongue-tie. This caused a great deal of stress while my baby was not able to feed properly and / or failed to gain to weight. I would like to see the government provide better training and guidelines for midwives and infant feeding specialists to enable detection and early treatment. Early treatment can be straightforward and inexpensive if midwives or infant feeding specialists have this training and can snip straightforward ties. Babies usually do not need an anaesthetic and have been known to sleep through the procedure. I would ask that you pass on my concerns to the Secretary of State for Health and, if you receive a reply, forward it on to me. I look forward to your response. Yours sincerely, (Your name)

NCT National News

39

NCT's response to NICE’s new draft proposals on choice of birth location

Women who are healthy and experiencing a ‘straight forward' (low risk) pregnancy should be encouraged to give birth in a midwife-led unit rather than a traditional labour ward, according to draft proposals from the National Institute for Health and Care Excellence (NICE).

It also provisionally says that a home birth may be just as safe as hospital for low risk pregnant women who have already had at least 1 child, and that midwives should discuss all options with the women in their care. The proposed changes to the institute's guidance could affect hundreds of thousands of births.

NICE currently recommends that women should be given the choice of where they want to give birth, but urges caution if a home birth or delivery in a midwife-led unit is planned. The Institute is now revising its recommendations in light of new evidence. The draft version of these updated guidelines has been published for consultation.

Christine Carson, clinical guideline programme director for NICE, said: “Since we published our original guidance, more evidence has come to light about the benefits and risks associated with giving birth at home, in an independent or hospital-based midwife-led unit and on a traditional labour ward.

“We now know that these units are as safe as traditional labour wards for all ‘low risk' pregnant women and are more likely to result in a better birth experience with less medical intervention. The evidence also highlights that home births are just as safe as other settings for low risk pregnant women who already have at least 1 child, but not for women expecting their first baby. However, every woman should ultimately have the freedom to choose where she wants to give birth and be supported in her choice.”

In response to NICE’s new draft proposals on choice of birth location Belinda Phipps, Chief Executive at NCT said: “We welcome NICE’s new draft proposals, which are

evidence based and confirm what we have been saying for decades – that birth in a midwife-led unit or at home is a safe choice, especially for those expecting a second or later baby. But the guidelines must be backed up by enough midwives with sufficient resources based where they are needed. Further recommendations in the new guidelines on parents being offered one-to-one care and having control over their care, including the choice of delayed clamping of the umbilical cord, are also welcomed.” Further information can be found here - http://www.nice.org.uk/newsroom/pressreleases/MidwifeLedCareDuringLabourBestForMostMothersAndBabiesSaysDraftNICEGuidance.jsp

About the NCT

41

Founded in 1956, we are a UK-wide membership charity, which means that every postcode 'belongs' to one of our 314 branches, where the volunteers who organise branch activities are the backbone of the NCT. There are about 4,000 volunteers who hold positions such as branch chair, secretary, treasurer, membership secretary, postnatal co-ordinator, newsletter editor, fundraising co-ordinator and so on. The NCT is at the forefront of influencing and devising policy relating to pregnancy, childbirth and early parenthood and undertakes campaigning and lobbying for better maternity care and other support for parents-to-be and new parents. We provide evidence-based information about pregnancy and birth, for example through the Bumps and Babies magazine which is freely available from maternity units, GPs’

surgeries, Sure Start/Children's Centres etc. Individual parents may order a copy via our website www.nct.org.uk We provide antenatal classes, Early Days postnatal courses and drop-ins and breastfeeding support through branch activities such as open houses, bumps and babies groups, branch newsletters and so on. All these things together offer opportunities for people to make friends, build confidence and enjoy their new role as parents.

National Contacts NCT Website www.nct.org.uk NCT Switchboard 0844 243 6000 (tel) 0844 243 6001 (fax) NCT Membership 0844 243 7000 NCT Enquiry Line 0300 33 00 770 NCT Breastfeeding Line 0300 33 00 771 (8am-10pm 7 days a week)

NCT Pregnancy & Birth Line 0300 33 00 772 (9am-8pm Mon-Fri) NCT Early Days Line 0300 33 00 773 (9am-1pm Mon-Fri) National Experience Register Line 0300 33 00 774 NCT E-groups www.nct.org.uk/info-centre/getting-help/egroups NCT Shop www.nctshop.co.uk

Information for Advertisers

42

NCT East Cheshire Newsletter Advertising Rates

The NCT East Cheshire branch covers the Wilmslow, Poynton and Macclesfield area. Our newsletter is published four times a year and currently has a print run of 450. The newsletter is distributed to our members, pregnant women in the area via local midwives, local health professionals, and other interested parties such as prospective members, antenatal and postnatal groups. If you are interested in advertising with us please get in touch to discuss your requirements: [email protected]

One issue Yearly (four issues) 10% discount

Full Page Back Cover (colour) £60 £216

Full Page Inside Front / Back Cover (colour) £55 £198

Full Page (B&W) £40 £144

Half Page (B&W) £25 £90

Quarter Page (B&W) £15 £54

Prices exclude VAT at 20% If you would like to include advertorial in the newsletter, please contact [email protected] for rates and guidelines.

NEXT ISSUE: Autumn 2014 (due out end of August) COPY DEADLINE: 15th August 2014

Got an opinion or experience that you’d like to share? We’d love to print it. Please e-mail copy to [email protected] as a Word file or include the text in your e-mail.

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