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Life After Weaning: Ending the breastfeeding relationship
by Kathleen Huggins and Linda Ziedrich
Confusion about weaning stems partly from the fact that our heterogeneous society has no rules about when and how to wean. Our society gives us a lot of freedom in when and how we wean, but also an inescapable responsibility to understand what we are doing and why. Yet advice on weaning is hard to come by, and often contradictory. In this excerpt from "The Nursing Mother's Guide to Weaning," learn about what to expect of yourself and your child when you wean.
A mixed bag
After nursing ends, mothers and their children experience a mix of
reactions, both physical and emotional. These reactions vary greatly
in kind and intensity, depending on the age and temperament of the
child, how fast weaning has occurred, and how the mother has felt
about breastfeeding.
Physical changes you will notice
Very little research has been done on women's physical reactions to
weaning. For now, we must base our summary mainly on the
experiences of women we know.
Unless your milk production has stopped before weaning is
complete, you will probably experience some decrease in appetite
when you stop breastfeeding. Some women report losing weight and
feeling restless for a week or so after weaning. Others, perhaps
because they eat according to habit rather than appetite, gain
weight after weaning.
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After any post-weaning engorgement and breast lumps dissipate,
you will probably find that your breasts are smaller even than they
were before pregnancy. The areola may look shriveled, from being
stretched in the baby's mouth, particularly after several years of
nursing. After six months or so, new fat stores may make your
breasts fill out a little.
Your breasts will probably continue to produce some fluid, if you try
to express it, for months after complete weaning. Some women
notice continued milk production for as long as two years after
nursing ends. And, for months after the last nursing, some mothers
occasionally notice the tingling sensation of milk letting down. One
mother, whose breasts had never leaked while she was nursing, said
milk dripped from them one night when she was very worried about
her child's cough, three months after she had stopped nursing.
If your periods didn't resume before the last nursing, they probably
will within a few weeks -- and so, probably, will your fertility. If you
began menstruating before weaning was complete, expect that your next period may be early and heavy. Heavy periods may continue for several months as your body adjusts to the
hormonal changes of weaning.
With the resumption of menstruation may come an increase in sex
drive and vaginal lubrication (Bricklin 1987). If your periods started
while you were still nursing, your sex drive may still increase at
weaning, though this may be partly due to the decrease in tactile
stimulation from your child. Some mothers find, however, that their
breasts are less sensitive to erotic stimulation after weaning than
before.
Be wary of depression
In a few women who have personal or familial histories of
depression, rapid weaning in the first year may precipitate severe
depression or even psychotic behavior. This may result from the
hormonal changes at weaning, perhaps in combination with
feelings of loss of the symbiotic mother-baby bond. Extreme
anxiety, fears, frequent tearfulness, insomnia, and loss of appetite
are signs that medical help is needed (Susman and Katz 1988).
Normally, a mother's feelings after weaning can vary from grief to
relief. Distress after weaning is more likely the earlier weaning
occurs. Some mothers, who never planned to nurse for long or who
were determined not to be "tied down" by a baby, have no regrets
about early weaning. But one study found that 63 percent of women
who weaned at two to three months wished they could have nursed
longer, and 50 percent of those who weaned at four to nine months
regretted weaning so soon (Rogers et al. 1987).
If you have weaned before you were really ready, you may feel
angry -- at yourself, for not being able to do what you feel should
come naturally, and at other people, perhaps for encouraging you to
breastfeed, for giving inconsistent advice or none at all, or for
pressuring you to wean. You may feel rejected if your baby seems to
prefer the bottle to your breasts or your mate's care to your own.
You may feel anxious about the baby, who is no longer getting "the
best," or about your own mothering abilities. You may feel guilty
about your failure to live up to your own expectations. Such feelings
will be exacerbated if you had romantic visions of nursing, if you
nursed an older child successfully and so feel acutely what the
younger one is lacking, if you just like to do things the natural way,
or if you suffered through engorgement after believing you had too
little milk. If you've learned, perhaps from reading this book, that
weaning wasn't necessarily the best way to solve your problems, you
may feel like a fool.
Next page: Time Heals
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About the authors: Kathleen Huggins, RN, MS is the author of The Nursing Mother's Companion and The Nursing Mother's Guide to Weaning, from which this is excerpted. Linda Ziedrich is an editor and frequent contributor to books about pregnancy and parenting.
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