Bobeau Motherhood Qatar

So cool

Breastmilk constantly adjusts to meet your baby’s needs. Changing your milk temperature by up to two degrees is just one way your breastmilk can adapt to increase or decrease your baby’s body temperature.

Keeping your baby skin-to-skin at the breast will also help to regulate your baby’s body temperature and allows your baby (and you!) to practice and learn how to breastfeed.

To learn more about the benefits of skin to skin, visit: https://www.royalwolverhampton.nhs.uk/services/service-directory-a-z/infant-feeding/skin-to-skin-contact/

This.
via instagram.com/toriglass

Tongue tie release is not an immediate fix. Consistent exercises and monitoring prevails the success in my experience over many weeks to months.

I'm frequently asked "When will I notice difference after today's tongue tie release?" The answer I give is "I don't know". Why do I give that answer?

I answer like this not to be intentionally vague - the reality is that there are too many factors that play into predicting timing of success. These include (in no particular order):
1) Thoroughness of the surgical release
2) Appropriate pre- and post-procedural therapy
3) Prevention of reattachment
4) Addressing any muscular tension
5) Milk supply
6) Age of infant at the time of procedure
etc etc etc (literally an endless list of possibilities - this list isn't comprehensive)

In general, what I've experienced is what this graph shows (and this graph shows fake data just for illustration purposes). From day to day or week to week, there are ups and downs, but the overall trend is an upward one. Do some babies/moms improve immediately? Absolutely. Do some babies/moms never improve? Absolutely. But in general, most dyads gradually improve.

I say this to not let you get dejected if things aren't immediately better or if you notice temporary setbacks. Keep working with your team and things usually work out if the major factors are appropriately addressed.

It’s horrendous what pumping breastfeeding moms have to go through at airport security!

Reading the comments is so sad and no one thinks of the mental health of the mother just doing something that is a human rights.

Hope this changes world wide!

Ok, let’s try this again.

This morning I posted this and then took it down. I was embarrassed at how emotional I was. I was anxious about the confrontation. So I deleted it.

Here’s what happened. Today was my 1st trip away from my 10wk old son, who I’m currently breastfeeding. I’m going through security at LAX. I brought my pump and 2 ice packs - only 1 of which was cold (I won’t need the other until I come home, when I’ll have more milk).

I didn’t currently have any milk but I was planning to get a last second pumping sesh in before my ~5 hour flight.

Two male TSA agents told me I couldn’t bring my ice packs through bc they weren’t frozen solid. I asked to speak to someone else & they had their boss come over & he told me the same.

He said “if you had milk on you, this wouldn’t be a problem.” sir I’m ABOUT TO

He said (*multiple times*) “well WHERE is the baby.” He said if my child was with me, it wouldn’t be an issue.

I asked multiple times to speak to a female agent and they wouldn’t allow it. They escorted me out of line and forced me to check my cold packs, meaning I couldn’t pump before my flight for fear it would spoil.

I cried in the airport. I was embarrassed about having to explain breastfeeding to 3 grown men. I felt humiliated & emotional & so I deleted the post.

But guess what? They were wrong. TSA rules specifically state that you are allowed to have gel ice packs (regardless if they are fully frozen!!) for medically necessary purposes. And emptying my breasts on a regular schedule & providing food for my child IS medically necessary (& especially crucial with the current formula shortage!)

And something else happened - Moms flooded my DMs with their own horrible TSA experiences. It is infuriatingly common to encounter TSA agents who don’t know the proper protocol around pumping and feeding babies - and it shouldn’t be this way.

So - if you’re a breastfeeding/pumping parent and have had a bad experience with TSA - please share your story below if you feel comfortable. Because I’m furious and I won’t let them make me feel embarrassed for their lack of understanding and training and neither should you.

Transportation Security Administration - TSA

Progress ! We need to spread this in qatar !

We need more health professionals on board about the impact of posterior tongue ties to infant outcomes.

Well done Bobby Ghaheri MD and team! Appreciate all your hard work and efforts to improve maternal infant health outcomes !

Research Podcast is now live!

In September 2021, my group published a randomized, controlled trial demonstrating the impact of posterior tongue tie release on infant feeding. The initial publication was only online, but this month, the study was published in our ENT Academy's print journal. The article was then selected as the feature article, and I was interviewed by the editor in chief and an academic pediatric ENT.

I'm very proud to have been able to publish the study. I'm even more proud that our Academy is acknowledging that posterior tongue tie needs to be understood better. Take a listen here: https://sageotolaryngology.libsyn.com/oto-objective-improvement-after-frenotomy-for-posterior-tongue-tie-a-prospective-randomized-trial

This would be good for you all to share online. It would also be a good starting point for medical providers who want to learn more about tongue function and how this study furthers the research base.

Yes, yes yes. This.

I’ve delved into how this practice went to the wayside in the west with bad quality few studies and recommendations that we see now as not a good thing for positive development, especially success at breastfeeding.

Recommend safe sleep is a better option.

I love this written perspective when compare to car seat safety. Yes yes yes.

I love bedsharing and love the closeness it has created with my little ones. 🤗

And lucky them with a mum being lacatation consultant, get to watch them and help them with proper tongue posture when their mouth falls open to help develop proper oral development 🤣

It's OK to Bedshare! — Kaitlin Klimmer - Respectful Parenting We have been conditioned to believe bedsharing is dangerous and that we need to sleep train our babies. In fact, safe co-sleeping and bedsharing REDUCE the chance of SIDS, and are the most natural ways to protect the breastfeeding relationship AND help prevent post partum depression.

When someone tells you, you are holding your baby too much, here’s another fact why it’s not reasonable and women should not be forced back to work 2 months after birth.

It’s simply irresistible and natural to hold baby all the time! Ask for help when you need it but don’t feel pressured to put baby down. ❤️

How Science Proves New Mothers Can Trust Their Instincts - Raised Good New motherhood is so challenging but its ok to trust your instincts. Here's five ways science proves it.

For my tongue tie families and those willing to learn more.

This is a normal oral wound, 5 days after undergoing a lingual frenotomy. A couple of important ideas:
1) This diamond shape is lying on the floor of mouth, flush to the tissue on either side of it. This is evidence that the tethered muscle (called the genioglossus) has been released under the tongue where it belongs. If you see a small diamond but that diamond is still sitting on a ridge of tissue that isn't flush to the floor of mouth, your release was incomplete. If you don't see a wound at all, your release was incomplete.
2) The color change is NOT because I used a laser for the procedure. It's because there's an open wound in the mouth. This wound will occur whether I use laser, scissors or cautery. Many primary care doctors think this is "damage from the laser". No - this is the normal wound healing response following a full release.
3) The wound looks deep. The incision used to create this wound is not deep. In fact, when I do a release, I just release the mucous membrane overlying the muscle. This allows the muscle to fall back under the tongue, and the resulting wound looks deep. The best analogy I can use to explain the surgical technique is like uncasing a sausage. Remove the casing (mucous membrane) and don't touch the meat (the muscle).
4) Sometimes the scab is yellow instead of white. This is most common with newborns, especially if jaundice is present. The yellow coloration is from bilirubin staining the scab. It's normal and not evidence of infection.

Until medical providers understand tongue mobility during breastfeeding, they won't understand the concept of a full release. They won't understand why the wound is there and they assume it's a negative thing. They won't understand the importance of wound aftercare. They won't understand that their information is outdated.

A gentle reminder that your baby normally cries to communicate a need they “need”

🙌

What does it mean to "self soothe"?

This is the holy grail of conventional sleep training, but I don't think many people really take the time to think about what it means, and whether babies (and toddlers) are capable of doing it.

1. If the baby needs to 'self soothe', that first means that there is a problem, ie: that they are not calm. This explains most of the babies whose parents insist that they are definitely 'self soothing' (a common criticism I receive re. my work). There are plenty of babies who can get themselves off to sleep with little to no adult intervention. It is important to understand that those babies who lay calmly in their cots/cribs and then drift off to sleep alone are soothed already, they haven't had to self soothe, they just need to go to sleep - which is a pretty easy skill for babies (they have been doing it since they were in the womb!).

2. Those babies who genuinely need to soothe/or be soothed are the ones who are not calm for some reason - whether physically or psychologically. Perhaps they are scared or lonely, perhaps they are hot or cold, perhaps they are hungry or thirsty, perhaps they are uncomfortable for some reason. Now in every single one of these scenarios it is neurologically and physically impossible for them to soothe themselves. They ALWAYS need adult input for that. At best sleep training that works on ignoring their communication of their needs in some way (e.g controlled crying, cry it out, pick up put down etc..) won't make the need go away, but it may stop them communicating the need. That may sound appealing if it makes your baby *finally* 'sleep through the night', but I don't believe any parent wants to achieve that by leaving their baby alone and scared/in discomfort.

The table below illustrates just some of the ways that babies are incapable of self soothing.

It's not possible to teach a baby to self soothe. Self soothing behaviours are reliant on physical growth, strength and dexterity and brain growth and maturity. It's a developmental stage (or rather stages, again looking at the table below you will understand that babies don't develop the ability to resolve all of these problems at the same time!).

Putting a baby down in their crib/cot awake will not encourage them to self soothe. For some babies it will 'work' (in that they will go to sleep) - but they are the babies who are calm already, all they need to do is close their eyes, suck their thumb or comfort object and off to sleep they go. If you have one of these babies putting them down drowsy and awake is probably the best thing you can do - as you are respecting your baby's cues. That's great respectful parenting (many people seem to think I tell all parents to always cuddle their babies to sleep and during sleep - I don't, I tell parents to be respectful and follow their baby's cues!). You do however need to understand that this is not 'self soothing'.

Other babies need a lot, lot more. In this case you need to respect their cues and give them what they need (i.e don't persist in trying to put them down 'drowsy but awake' or expect them to sleep through the night without you) - that's also great respectful parenting!

There's no such thing as developing bad habits by meeting your baby's needs. In fact, the more you help your baby to be calm now (whether that's by allowing them to sleep independently or by you constantly meeting their needs) the bigger their brain will grow and the more easily they will be able to (truly) 'self soothe' when they are older!