Myths About Breastfeeding Part 2

myths about breastfeedingThe first part of Breastfeeding Myths focused more on mothers and their bodies. This second section looks at myths of breastfeeding related to the needs of a baby.

Newborns need to be on a feeding schedule

Newborns tend to eat every 2-3 hours, but that can vary depending on how they feel, comfort, growth spurts, etc. Sometimes your little one may cluster feed – wanting to be at the breast frequently during the day. Reading a baby’s feeding cues is important, such as getting restless, turning head side to side, smacking and licking lips, or moving hands to mouth.

Babies only need to breastfeed off of one side

In most breastfeeding relationships, babies will nurse from both sides. Babies may take similar amounts of milk from both sides or take less from the second one. Initially, try to give your baby the opportunity to take both breasts during a feeding. As your milk adjusts and baby continues to grow, watch for signs baby is not interested or seems satisfied after eating on only one side.

Babies won’t breastfeed if they have had a bottle

A lot of babies are successful switching between breast and bottle. Even giving one bottle per day helps babies adjust to going between both. This can be especially important if a mother is going back to work.

Babies won’t breastfeed if they use a pacifier

Babies use sucking to help soothe themselves for the first 7-9 months of life. Some women allow babies to be at the breast to soothe and others prefer to use a pacifier. Just because a baby is allowed a pacifier does not mean they will not breast feed. If choosing a pacifier, educate yourself on the types and shapes appropriate for good oral development.

Do not use formula if you want to breastfeed

A lot of mothers use a combination of breastmilk and formula to feed their babies for a variety of reasons. When picking a formula, it is important to educate yourself on the types and preparation of formula to choose the best one for your baby. If you choose to use formula and still want to breastfeed, continue offering the breast to your baby as often as possible. Do not go longer than 3 hours during the day either offering the breast or pumping, as going longer can start to reduce milk supply.

It can be difficult to wean a baby if they breastfeed for longer than a year

There is not solid evidence to support that it is more difficult to wean a baby after a year. There is a lot of evidence to show that breastfeeding babies longer than a year, and even two years, is beneficial. This definitely does not mean that you have to or even want to. All babies and mothers are different, and you have to do what you feel is right for your feeding relationship with your child.

Breastfed babies tend to be more clingy than non breastfed babies

Each baby has a different personality. Some babies may appear clingy and others not, though this does not necessarily depend on being breastfed. Every baby is different no matter whether they are fed via breast, bottle, or a combination. The important thing is to hold, nurture, and love your child so that they feel safe and secure as they grow.

Babies can also experience difficulties with their latch when feeding at the breast or bottle, contributing to feeding problems. If you feel your baby is having difficulties, contact a professional such as Alyssa Lundquist, a speech-language pathologist AND certified lactation counselor. Or if you are wondering about more myths related to breastfeeding, click here.

Breastfeeding Myths Part 1

breastfeeding mythsThere is a lot pressure to breast feed a baby. However, for many it is a difficult and emotionally charged journey. Just because women have breasts, doesn’t mean that a baby will naturally latch and everything goes smoothly. Often, complications can arise that lead breastfeeding to become difficult and even overwhelming. Below are some breastfeeding myths explained.

Breastfeeding comes naturally

Breastfeeding, just like anything new, requires time, patience, practice, and problem solving. Babies are reflexively born looking for a mother’s breast. However, many mothers need support with positioning of baby and making sure the baby has a good latch. Just because a body is biologically predisposed to something, does not mean it will be easy. It can be frustrating, especially during this emotional time in a new family’s life.

Nipple pain is normal

Many women say they have experienced pain while breastfeeding. However, pain is not considered normal. Initially when breastfeeding there may be slight discomfort, pulling, or tugging, but it should be painless. If you find yourself anticipating pain, not wanting to breastfeed due to pain, or tensing up when your baby begins to nurse, ask for help.

You need to toughen nipples before breastfeeding

When you are pregnant your breasts undergo normal changes that get them ready for breastfeeding. One example is that the area around your nipples will thicken and oils will be produced in your areola. This assists with lubrication and protection. Oxytocin is released at the onset of breastfeeding. This makes it easier for your baby to latch onto your nipples. Some women do have difficulty with nipple size, structure, or sensitivity, though a lactation consultant can assist you with techniques that can help baby latch.

If breastfeeding is hard, it will only get harder

Some breastfeeding issues are manageable but even in a short amount of time, challenging ones may arise. These could include nipple pain, nipple breakdown, thrush, or a painful latch. Other problems, such as low milk supply or baby having difficulty latching and getting milk, may require a professional to provide assistance.

If you have small breasts you won’t produce enough milk

A woman’s ability to produce milk is not determined by breast size, which is fat and does not contribute to milk production. What does is the breast tissue, which produces milk.

You can’t get pregnant while you are breastfeeding

This is one of the most common breastfeeding myths. You can get pregnant at any time while breastfeeding if you are having sex. It is less likely during the first six months if your baby is nursing every 2-3 hours, nursing at night, or your period has not returned. However, it can happen, so do not rely on breastfeeding as a form of contraception.

If you do not breast feed, you are a bad mom

The most important of the breastfeeding MYTHS. A lot of moms choose not to breast feed or are unable to do so. What is important is that your baby is fed, whether breast, bottle, or a combination of both. Your baby will thrive on your love and affection, not the method by which they are fed.

If you have questions regarding breastfeeding or are experiencing complications, seek assistance right away. Alyssa Lundquist, a speech-language pathologist AND certified lactation counselor, can help with breastfeeding issues from both mom and baby’s perspective. Or click here for more breastfeeding information.

How To Work On K and G Sounds

Does your child say “tup” for “cup” or “doe” for “go?” When children substitute the “t” sound for “k” or the “d” sound for “g,” it’s called fronting. This is a fairly common substitution for children as they are learning their sounds and starting to talk. It is not considered normal as your child gets older. By the age of four years, children should be making their “k” and “g” sounds consistently. If you have a three-year-old who is still consistently substituting front sounds (t, d) for back sounds (k, g) speech therapy may be necessary to help your child work on “k” and “g” sounds.

Some children require more direct teaching to learn how to move their tongue in order to make “k” and “g” sounds. The American Speech-Language-Hearing Association has more information on sound pattern errors and when they should be eliminated. You can also check out our blog on speech sound development for more information.

Why Are K’s and G’s Hard To Make?

K’s and g’s are a little trickier to teach than some other sounds. This is because it’s hard to see what your tongue is doing when you make them. Unlike “b” or “t” which are very visual sounds. You can easily see what your tongue and lips are doing to make them. “K” and “g” are made with the back of your tongue elevating to the back roof of your mouth (velum). This isn’t easily visible.

Modeling Is Important

One of the most important things you can do if your child is having a hard time making k’s and g’s (or any sound for that matter) is modeling the correct way to make the sound. If you hear your child say “tar” for “car” repeat the word correctly. For example, if your child says, “I want the red tar,” you would then say, “I want the red car.” It’s also helpful to emphasize the target word. This way your child can start to become aware of the difference in their production and your production. Along with repeating the word using the correct sounds, it’s also helpful and easy to provide a visual cue. As you are saying “car” you can touch your throat to show your child that the “k” sound is made in the back of the mouth.

How To Practice “K” and “G” Sounds

Some children may only need correct models and a little visual reinforcement in order to start making their “k” and “g” sounds correctly. Others may need a little more help including hands on support. In order to make the “k” and “g” sounds the back of your tongue has to elevate and make contact with your soft palate.  Because of this, “k” and “g” sounds are great to work on before bed, while your child is laying down. This may help their tongue to naturally relax. Gravity will help to elevate the back of their tongue to the roof of their mouth. work on k and g sounds

Great Books For Practicing Sounds

There are some children’s books that have lots of “k” and “g” sounds too. These would be a great addition to your night time story routine. Your child will be able to hear the sounds being made correctly multiple times. It would also be a great time to practice some of the words you read.

Books for K sound:

The Cow That Went OINK by Bernard Most

Stuck by Oliver Jeffers

If You Give a Cat a Cupcake by Laura Numeroff

Books for G sound:

Goodnight Goodnight Construction Site by Jane Belk Moncure

We’re Going On a Bear Hunt by Michael Rosen

Gooey Gummy Geese by Angela Holzer

More Tips and Tricks to Make “K” and “G” Sounds

Lastly, sometimes a tactile reinforcement such as use of a Dum Dum lollipop, a tongue depressor, or even your finger may help them to learn how to keep the tip of their tongue down while elevating the back of their tongue. It may be beneficial to have a speech pathologist guide you initially on how to provide these tactile cues. Use a Dum Dum to gently press down on the tip of their tongue while slightly pushing back. While doing this, you can model the “k” or “g” sound for your child to imitate. Holding the tip of the tongue down with the lollipop keeps the tip of their tongue from rising to make the “t” or “d” sound.

The Dum Dum can also be used to touch the back of their tongue and the back section of the roof of their mouth. This will allow them to start to feel where the correct part of their tongue needs to move in their mouth. Mouths are sensitive areas though, so be mindful not to push to hard or move the Dum Dum too far back. This could make your child gag.

Seeking Additional Help

If you have tried these things with your kiddo, and they still seem to be having trouble, it might be time to reach out to a speech-language pathologist. They can provide additional help to work on their “k” and/or “g” sounds. An SLP will be able to provide direct guided instruction. They will also be able to rule out if your child is having any other challenges which may be causing their difficulty making k’s and g’s.

Pacifier Facts – A Speech Therapist’s Perspective

Pacifier FactsBinky, pacifier, paci, dummy, soother – there are so many names! At least once a week the conversation of pacifiers is brought up to me as a speech therapist. Will it ruin our breastfeeding journey? Is it going to be a sleep crutch for my baby? How much does it really impact speech development? Do we need to care about his teeth moving? “My sister had hers until 4, and she’s fine!” It can be hard to make the right call when it comes to this parenting decision. Something that appears so simple can often leave parents lacking confidence in their choice. So, let’s talk about some pacifier facts from the perspective of a speech therapist – pros and cons of pacifier use as well as when we recommend calling it quits!

Pacifier Facts – Pros of Use:

  • In newborns and infants, research shows that use of a pacifier during naps and bedtime may help reduce the risk of Sudden Infant Death Syndrome (SIDS).
  • Sucking is a natural soothing reflex. Use of a pacifier may be calming to your new addition.
  • Use of a pacifier may help baby fall asleep faster and for longer periods of time. Scattering a few around the crib so that baby can replace a lost pacifier themselves is a good strategy to avoid the “baby drops pacifier, cries, mom and dad have to go replace it” pattern some parents feel stuck in at night time.
  • There is limited evidence that pacifier use in breastfed babies leads to nipple confusion or decreased success in feeding. In fact, infants in the NICU are often presented with pacifiers to practice the patterns of sucking and swallowing as they learn to feed more effectively. Talk to your doctor or lactation counselor to make the right choice for you.

Pacifier Facts – Cons of Use:

  • It can be a hard habit to break – though ideas like a Pacifier Fairy exchanging for a special present, giving them away to a younger sibling, or going cold turkey are often effective in just a few days! You can do it!
  • Changes in dentition – prolonged pacifier use can lead to significant changes in the development patterns of a child’s palate and teeth, later impacting speech sound development, feeding, and orthodontia needs. We can usually tell if a toddler was a long time pacifier user or thumb sucker just by the shape of their smile when they enter the office!
  • Speech and language delays – evidence shows children who use a pacifier for the majority of their day past the age of one are more likely to have delayed language development. If their mouth is occupied by a pacifier all day, they are limited in the exploration of sounds and words during play!

Recommendations:

  • During the early months, use a pacifier to calm baby, but never ignore hunger cues. Baby needs to eat when they are hungry, even if the binky appears to calm them instead.
  • Early hunger cues may include: bringing hands to mouth, opening and closing mouth, fidgeting, sticking tongue out and/or fussing or crying.
  • Limit pacifier use to nap time and bedtime only by one year of age. Leave them in the crib!
  • Eliminate all pacifier use around age 2. Talk to your dentist or pediatrician if you have more specific concerns.
  • If your child has access to their binkies during play time, encourage them to remove them when playing with you. This will encourage language exploration and babbling.

Have more questions or concerns? Ask you speech therapist for more information! You can get more information related to pacifier use and reduced SIDS risks from the American Academy of Pediatrics. For families that might be struggling to ditch the pacifier, check out Binka Bear.

Toys for Pencil Grasp and Writing – MOSAIC Gift Guide Part II

MOSAIC’s toys for developing pencil grasp and writing are here with the Christmas holiday just around the corner! Along with the excitement of the season also comes the stress of finding that “perfect toy” for that special child. Toys are a BIG thing for occupational therapists. Therefore, we use toys to help guide a child’s development. We look for toys that help develop curiosity, problem solving, creativity, cause and affect, and/or motor skills, both gross and fine motor. Fine motor skills are important as they are the foundation to do everyday tasks such as buttoning, snapping, tying, grasping a pencil, and the list goes on!  A child’s ability to hold and use the pencil fluently and effectively requires a number of skills. These skills include bilateral skills, using both sides of the body in a coordinated manner, and stabilization for posture.

What Fine Motor Skills are Important?

  • Pincer grasp – This is the neat “pinch” achieved between the thumb and index finger.
  • Thumb opposition – The thumb rotates and reaches to touch all other fingertips of the same hand.
  • Palmar arches – Picture making a circle by touching thumbs to finger tips or making “binoculars” with your hands. This refers to the arch formed when we “cup” our hands.
  • Separation of the two sides of the hand – This is the use of the thumb, index, and third fingers of the hand while maintaining stability in the fourth and fifth fingers of the hand.
  • Wrist stability and extension – This is the position of the wrist so that it is resting on the table and slightly extended so that the fingers can be used to control the pencil.
  • Hand strength – This refers to the contraction of the hand muscles to grasp a pencil to control it without fatigue or pain.
  • In-hand manipulation – This relates to the ability to move items around in the hand using precise finger movements and includes translation, rotation, and shift.

Finding toys that will help with developing pencil grasp does not need to be a daunting job because there are many simple and inexpensive options that kids will love!

Toys for Pencil Grasp and Writing

  • Wind up toys
  • Wikki Stix – use these waxed pieces to make shapes/letters/be creative
  • Beads and lacing toys
  • Tweezers, clothes pins, or chop sticks – use to pick up and sort items like beads/cereal/pompoms
  • Play dough – roll, squeeze, stretch, or use tools such as plastic knifes/scissors/rolling pins
  • Magnetic toys – magnetic tiles or blocks
  • Tools sets – screw drivers, nuts, and bolts
  • Marble games – marble mazes, marble runs
  • Trigger toys – nerf gun, water pistols, Hungry Hippos
  • Peg boards – Lite Brite, pegged puzzles
  • Constructive toys – LEGO, Tinker Toys, K’nex
  • Stickers and sticker books
  • Dice games – Tenzi, Yahtzee, Farkle
  • Stick toys – Kerplunk, Melissa & Doug Suspend, pick up sticks
  • LEGO

In addition, there are a multitude of common items around your home that can be turned into great fine motor development activities. Look for buttons, paper clips, elastic bands, coins, toothpicks, plastic containers, and storage bags (open/close to get snacks or small toys), noodles (for stringing or sorting), bubble wrap, sponges…

Above all, let the child inside you be creative and use a few quick resources to help inspire your creativity.

MOSAIC Holiday Gift Guide Part I

Holiday gift guideA MOSAIC holiday gift guide just in time!!! We hear you!! All of us get pulled into the Amazon or Google toy search and frequently we buy on impulse or because the toy looks “good,” especially for ages 1-3. We tend to recommend that parents go back to simpler times and maximize development by setting up the following toys on the carpet/rug or bathtub and let the play take form.

Holiday Gift Guide for Ages 1-3

  • Balls
  • Musical instruments
  • Race track/cars/trains/trucks
  • Stuffed animal/baby doll
  • Wood toys – pull aparts/shape sorting/banging toys
  • Books – hard back/thick pages for turning (board books)
  • Bath toys
  • Bubble makers

At ages 3-5 years kids get more into the pretend play realm. Once again, keep it simple. Start using a toy organization system so the kiddos can pull out preferred toys and then put them away. Too many toys laying around is not particularly successful in getting kids to seek out their interests.

Gifts for Ages 3-5

  • Cooking/baking/kitchens
  • Tool shop
  • Construction sets
  • Cleaning house items
  • Familiar character toys
  • Dress up boxes

Really any grown-up or adult job or activity works for pretend play because they want to be like us!!

  • Any interest – dinosaurs, animals, mermaids, dollhouse
  • Lincoln logs/stacking games
  • Puzzles

In general, 1-3 year old children are best at exploring and learning different ways to play with both familiar and new items. As they grow into 3-5 years of age they want to be completing something and specific interests and goals emerge as stories take shape in their imaginations. Above all, remember that the purpose of toys is to support growth and development including imagination, creativity, movement, and socialization. Therefore, if a toy is too busy, too fancy, too easy, too “educational” it is likely not a great fit for development. And don’t forget that you, the parent, are the most important part of play!!!

In addition, use our MOSAIC holiday gift guide and support two LOCAL toy shops this holiday season:

Giggles Toys and More

Rocky Mountain Toy Company