During your pregnancy, you create the environment in
which your baby lives. Stress hormones and pleasure hormones cross over
the placenta and affect the fetus. As early as 5 months into the
pregnancy, your child can begin to hear sounds and even begin to recognize
your voice. Flavors of the food you eat change the taste of the amniotic
fluid that your baby swallows. Scientists, who study the unborn child,
tell us how important it is for the mother to create a loving environment
for her unborn baby. This will help the baby develop to his greatest
potential.Similarly, during the actual birth process, too much stress
and anxiety create what is called the “fight or flight” response. When
stress levels get too high, oxygen is drawn away from the uterus and
redirected to the hands and feet. This will cause the uterus to work less
effectively and can cause less oxygen to get to the baby. Also, the level
of stress hormones to the baby will increase. Too much stress, even in an
unmedicated birth can negatively impact early lactation performance. A
mother, along with her birth companion, can develop many skills to reduce
stress. Every mother can learn deep relaxation to create and maintain a
favorable birthing environment for herself and her baby.
Doctors use medication to reduce stress and anxiety in the birthing
mother. Both narcotics and anesthetics cross the placenta. While they may
not have a permanent effect on the baby, their impact is apparent in the
early hours and days after the birth. Reducing the overall amount of
stress and medication you receive during birth may help your baby be more
responsive when it comes time to breastfeed: however, even with a lot of
preparation some mothers have a difficult delivery
and interventions are necessary.
Pitocin, forceps, or vacuum extractions may be unavoidable in these
situations and may result in breastfeeding getting off to a slow start. A
Swedish study published in Lancet not only shows that medication
can effect an infants suck but that separating the mother and baby
immediately after delivery will also have an impact on his suck. The
research of Neonatologist, Dr. Marshall Klaus, also demonstrates how we
treat the mother during and after the birth process should be examined to
find ways to enhance this early postpartum time together, not sabotage it.
He strongly supports uninterrupted contact of the mother and infant until
after the baby has latched on to the breast. Initial examination of the
infant, barring medical complications, should occur while the infant is
lying on the
mother. He suggests we look at hospital routines that do not encourage
this and begin to change those policies.
Eye drops, vitamin K
injections, weight checks and other interventions that postpone
maternal/child bonding can occur at a later time. Further studies also
tell us that infants placed skin to skin on their mother will warm to the
correct body temperature as effectively as they would separated from
the mother and placed under warming lights.
|
This article will continue in the next issue of The Prenatal
Parenting Newsletter |
|
References: |
| Chen, Dorothy, et al. Stress during labor and delivery and early lactation
performance. Am
J Clin Nurt 1998;68:335-44. |
| Klaus, Marshall. The Amazing Talents of the Newborn Video. Johnson & Johnson Pediatric Institute.
www.jjpi.com
|
| Moran, Meghan. Maternal Kangaroo Care.
MCN Vol. 24 No. 2
March/April 1999. |
| Righard, Lennart. Delivery Self Attachment Video. Geddes
Productions www.geddespro.com
|
|