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As you may have gathered from the interwebs, it’s #WorldBreastfeedingWeek. Inspired by The Public Breastfeeding Awareness Project on Facebook, I thought it would be fun to do some mini Breastfeeding Photo sessions with mums in Mumbai. For the first shoot, I met with Aloka, who is a mum of two sweet little boys, writes an excellent blog on Healthy Eating and Parenting at Wholesome Mamma and also recently became a certified Lactation Specialist with CAPPA. We met at her home where we chatted over delicious Dahi Vada and Chai while her youngest was napping and then took a few photos before heading out to a nearby park where we were graced by the setting sun’s gorgeous evening light for a few more photos.

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Aloka’s passion for helping mums to trust in their innate ability to feed their babies is contagious and I had a lovely afternoon soaking in some of the breastfeeding wisdom that she has acquired from her own experience nursing both her boys and also from her studies in Lactation.

I asked her if she would share some of her journey and pearls of wisdom with us on my blog and she graciously agreed. But before we go into that, I just want to be clear that however you choose to feed your babies, there is no judgment here. The way I see it, the point of talking about breastfeeding is not to put down mums who (for whatever reason) don’t, but from my very limited experience as a doula-in-training, and from stories that I hear from mums and midwives, it seems that we are not doing enough to support and inform mothers about breastfeeding and unfortunately, a lot of that has to do with the corporate interests of formula companies and a broken system of maternity and health care. So please don’t feel judged or put down. However you feed your baby, no one can love and know your baby the way you do, and we love and support you.

Aloka, can you tell us what exactly is a Lactation Specialist and why do we need them? (Can’t I just go to my Paediatrician if I need help with Breastfeeding?)

Tina first let me say thanks so much for doing this, I think it’s so important to be seen breastfeeding and letting others see it too and love that you’re so passionate about birth and breastfeeding. I’m so glad that you wrote that bit about not judging other moms. Because it’s not at all about judgment nor is it about putting down anyone, it’s just about trying to make breastfeeding more normal so more and more women will start assuming it’s an easy and natural way.

Coming to your question, a lactation specialist or educator is just as the name suggests someone who specializes in breastfeeding related queries, more from the standpoint of a counselor. I cannot dispense medical advice for example and would refer someone to a breastfeeding consultant for that.

The early days spent breastfeeding are really really hard for many mothers and having someone encouraging you, pulling you through, holding your hand, listening, giving encouragement is sometimes all a new mom needs. That’s where a lactation educator can come in; someone who is informed with all the up to date science, and who has the time and patience to pull you through the first few difficult weeks.

The paediatrician unfortunately cannot fulfil this role. In most cases many paediatricians give impractical, non-evidence based advice as many still operate from the time when dispensing formula for every time a baby cried was a norm. My kids’ paediatrician is amazing, but he is also a man in his 50’s and not someone I would like to call at a drop of a hat for any doubts with regards to breastfeeding. Recently someone told me that their paediatrician told them not to lie down and feed as the baby would get a ear infection. Where’s the sense in that? Babies are anyway lying down to feed, the mum lying down only gives her more rest and is the practical solution when you need rest. It’s the same reason I recommend a midwife or doula to a woman giving birth in addition to an OB-GYN. She is on our side. The mom’s.


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What led you to become a Lactation Specialist?

Even before I had a baby I was very interested in researching and writing about all things natural and evolutionary on my blog. I had changed my lifestyle before I conceived into one that follows a evolutionary type of diet which cuts out processed foods and many modern foods and physically did workouts that were more natural and out in the open. With the result I had lost weight and solved my PCOS problems through healthy eating.

Therefore when I was pregnant I was already eating absolutely clean foods and could not imagine feeding my baby anything processed. To that effect I read and watched Youtube videos and educated myself well about breastfeeding. Since I was already reading so much and knew that breastfeeding was the most natural and wonderful thing I can do for my child I didn’t expect to ever need to supplement.

Once I had the baby I didn’t have any trouble with supply or latch since I was well read on the subject. However when my son was about two weeks old he started getting fussy in the evenings (like newborns normally do.) This was when all the well wishing relatives including my own mom started putting pressure on me saying he may be hungry give him ‘top’ feed.

I had no one to call, or talk to. I didn’t have a guide during these first few difficult weeks (though in hindsight I know that it wasn’t half as hard as some mothers have it). I did call my son’s paediatrician who only said – you probably don’t need to supplement but it’s ok if you do. To top it the paediatrician gave advice like leave him to cry he will stop crying; people who came to see him said, don’t sleep with him he will get used to it, etc. This goes against the natural instincts of the mother.

Just loving guidance and handholding in the first few weeks can make all the difference. Just having someone to talk to, to speak to someone who is been there, done that and has a certification to prove that she knows what she is saying may make a big difference to the mom who is struggling with her resolve to exclusively breastfeed in the first few months.

This time around I don’t need a pump, bottle, artificial nipple, spoon, or anything at all for my 4 month old except my breasts and a sling and we’re all so happy. 


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If breastfeeding is a natural process then why is it such a challenge for some mums?

Today we have lost the village. There was a time when a young girl growing up saw her mother breastfeeding her siblings, women whipping out their breast to pacify their baby every time they uttered a sound. Today we see pacifiers and bottles all around us. Today breastfeeding is not seen as ‘normal’ as compared to bottles in popular culture.

The advice handed out frequently to new moms like the 2-hour nursing schedule, the complicated nursing positions etc. are based on bottle fed babies.

Birth interventions are at an all time high interfering with the delicate balance of hormones required for birth and breastfeeding. Normal hospital protocol of separating the mother and baby after birth, wiping baby down, giving artificial hormones like oxytocin just doesn’t help with baby’s latching on instincts.

What is one extremely prevalent myth about breastfeeding in Indian culture that you would really like to bust (no pun intended)?

Well there are plenty. One of them is that many seem to think that cow’s milk is super important for kids and are in a hurry to wean off babies from the breast and start giving cow’s milk. Cow’s milk is for baby cows and human milk is for human children. I would prefer my 3 year old drinking my milk over cow’s milk any day.

If you could go back in time and tell your new-mum self one thing when you first started breastfeeding, what would it be?

Babies come with instincts from the stone ages. They come rooting for the breast every time they feel hungry, upset, lonely, scared, or just want to be with mom. It doesn’t mean you have any issues with supply. Just lie down, put your feet up and nurse your baby. Know that taking care of a tiny baby is a huge job and everything else can wait.

The mom of today is a woman with other things to do. To just do nothing but feed a baby while life is passing by is something that a lot of moms can’t get used to. But for breastfeeding to work, the pace of life needs to be slowed down to accommodate the baby.


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One piece of advice you would give to families and friends of new mums who want to breastfeed their babies to support them?

Don’t keep saying, ‘”is the baby hungry again, didn’t you just feed her?”

Don’t keep asking, “are you sure you’re getting enough milk?” or “why don’t you give formula?”

Support her with relevant information instead. Get help from a lactation consultant early if she has pain or doubts. Encourage her to feed often and constantly and provide help by keeping healthy snacks and water at hand rather than trying to hold or dance around with the baby. The dad’s support is vital.

And lastly, what is your personal favourite part about breastfeeding?

Hmm this one is a toughie. I could write a whole post on this.

But it has to be that moment when my baby or toddler is crying or worked up or stressed and he latches on and I can see and feel every cell in his little body visibly relax and all’s well in their little world and nothing can go wrong ever again. Yes I have that super power.

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Sushmita and I were very happy to have found each other. She had been desperately looking for a birth photographer and I was desperately looking to photograph or film births. I think she was pleasantly surprised by my insistence that birth is beautiful and there is no where in the world I would rather be than with her the day her little one decided to arrive.

On the morning of 29 June 2015, after a good day or two of what seemed like Prodromal labour, she headed into the hospital where they did a few tests to make sure all was okay. Due to early signs of baby’s distress, suspected meconium, non-optimal results from monitoring and ultrasound, a caesarean was looking likely. While this wasn’t the birth that she was hoping for (waterbirth), after weighing out the risks and benefits, Sushmita and her family made an informed choice to go ahead with the surgery.

The midwives as usual were amazing and did everything they could to make sure baby still received all the essentials from mama that he would from a natural birth. You will notice them in the video at about 00:38 rolling up some gauze. This was for “seeding the baby’s microbiome” whereby, as explained by Maria Mills Shaw in this article, “a sterile gauze is folded into a ‘fan’ to maximise surface area, this is then moistened with sterile water and inserted into the vagina and left to ‘colonise’ for one hour. The gauze is then removed and put into a sealed bag until the birth of the baby. When the baby is given to mum at birth the midwife can then pass the swab over the baby’s face to mimic passage through the birth canal.”

After the birth, they took the baby to Sushmita as soon as she was out of the OT and helped her to initiate breastfeeding and then plenty of skin-to-skin cuddle time with mama once she was back in her room helping the two to bond and which are also essential aspects of microbiome inoculation transfer*.

Once again, what a joy it was to witness another little human being’s entrance into the world. Welcome to motherhood, Sushmita and welcome to the world, little one…


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Thanks to Lina Duncan for coming to the rescue with my camera! The photos in the film of Sushmita heading to and in the OT just before the birth were taken by her. Thank you to the staff of Surya Childcare for allowing me to document this special day. Music by Analog Heart licensed from Musicbed.com

* If you would like to learn more about the microbiome, this is an excellent film to watch.

Born in Bombay Book Review - Your Baby Your Way-6

Title: Your Baby, Your Way Author: Jennifer Margulis, Ph.D Publisher: Scribner (A Division of Simon & Schuster, Inc.) Length: 341 pages Price: Rs. 399/- (Flipkart)

I found this book quite by accident. It was a Sunday morning and while my husband and I were enjoying our almost-ritual Sunday breakfast out, I said to him, “I want to go to a bookstore and see what kind of books they have on birth.” My husband is now used to my random outbursts of birth-talk. He obliged and we made our way to the closest Crossword. I went straight to the pregnancy and parenting section and not surprisingly, the first book that stands out is that venerable so-called ‘Bible’ of pregnancy, “What to Expect When You’re Expecting.” I picked up that one, and three others and found myself a quiet corner to sit and browse through these books.

Just as an aside, I know I shouldn’t pass judgement because I haven’t fully read “What to Expect…”, but I would encourage you not to make this book your go-to reference book on pregnancy. First of all, it’s too big and it has way too much stuff in it which I think only makes it confusing and intimidating and in turn makes birth seem a daunting experience that is way over your head and is best left to the ‘experts’. You need books that will build you up, nourish you and empower you…

Enter THIS book. Of course it helped immensely that the indomitable Ina May Gaskin’s endorsement of the book is right on the front cover but really, this book stands on its own literary prowess, Gaskin’s endorsement or not. I think the best testament to this book’s authenticity is that it has a 59-page long bibliography citing all the sources of Margulis’ 10 years’ worth of research.

Based in Oregon, USA, Margulis is an award-winning investigative journalist and also mother of four with a good fifteen years of parenting experience under her belt. The book is interspersed with anecdotes from her own mothering adventures as well as countless stories from other parents, doctors, researchers, authors, etc.

What makes this book a must-have for expecting or hopeful parents (or simply for other nutters like me who have an insatiable interest in all things related to childbirth), is that it doesn’t stop at birth. From breastfeeding to diapering, each chapter tackles a different cultural practice that one must make decisions about in the first year of a baby’s life. She presents every side of the story and, in the words of Ina Gaskin, “points the way to rational, health-based decision-making.”

While the the book is mainly written for an American audience with most of the statistics (some of which are shocking!) and research pertaining to the US, seeing as we live in an increasingly globalised and homogeneous world, the book is definitely relatable to us in India as well. While things may not be exactly the same here, we are definitely on a similar path and the book will give you plenty to think about and encourage you to do your own research so that you can make your own informed choices.

I could not recommend this book more highly. Apart from being a thoroughly researched and helpful guidebook, despite the serious subject matter, the book is in fact enjoyable to read. I described it to my husband as “Michael Pollan meets Annie Leonard meets Ina May Gaskin!” Basically some of my most respected writers on issues that are close to my heart all wrapped into one. It doesn’t read like a reference book or a thesis paper, but pulls you in with stories from real and relatable peoples’ lives and in the words of another reviewer, Dr. Kurt Perkins, “Margulis leaves you empowered, a little fired up, and ready for reality.”

To finish off, a little excerpt from the introduction of the book by Margulis:

In our for-profit medical system and culture at large, pregnant women are consumers. Yet most of us spend more time researching car seats than we do researching hospitals. Both deserve our scrutiny. Knowledge is power. As I’ve learned from my own experience and that of others, the more you inform yourself about your birth options and parenting choices, the healthier and happier you and your family will be. 

Tina Nandi Photography | ©2022 Priyanka (Tina) Nandi

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