Jul 27 2011

Breastfeeding Dad

Dear Mr. Dad: My baby's mom and I are separated and I hardly ever get to see my 9-month old son because my ex is breastfeeding. Isn’t there some way I can spend more than just a few hours at a time with him?

A: Feeding your baby is a wonderful way for the two of you to bond with each other. And yes, there are some ways for you to increase your time with him. But before we get to that, it’s important to acknowledge that your ex is doing a fantastic thing for your son.

Current recommendations are that babies should have nothing but breast milk for the first six months of life, then, over the next six months, gradually phase out the milk and phase in solid food. As you may have heard, breastfed babies have stronger immune systems, are less likely to develop ear infections or pneumonia, and may even have higher IQs. Keep in mind, though, that it’s not the act of breastfeeding that gives babies all these advantages; it’s the actual breast milk itself.

Most mothers will express, or pump, their breast milk using a breast pump. The milk can stay in the refrigerator for up to a week or be frozen for several months. Later, when your baby is with you, you’ll give him that milk in a bottle. Using pumped breast milk will allow you to take your son overnight—but you and your ex will have to cooperate. Unfortunately, using a breast pump can make women feel like a cow. And pumps aren’t cheap (they can cost as much as $350). She can rent one, but long term, that will end up costing even more. If your ex won’t provide breast milk, you could give your baby formula—if your pediatrician agrees—until he hits 12 months, which is when he can start drinking cow’s milk. But your wife would still need to pump when the baby’s with you to keep up her milk supply.

If your son has never had a bottle, introducing one might be tricky. Here are some tips:

  • Practice. Don’t wait until you have your son for a full day before trying a bottle. Drinking from a bottle is different than breastfeeding so give your baby a chance to get the hang of it.
  • Offer a bottle a little earlier than his regular feeding time so he’s not starving.
  • Ask your ex to go somewhere else while you’re introducing the bottle. Babies can smell their mothers up to 20 feet away and he may not want to try something new if he can smell her breast
  • Don’t force it. If your son resists, try again a little later. You might also try putting some breast milk on the nipple of the bottle, experimenting with a different type of nipple, or changing positions.
  • If your son flat out refuses to take a bottle, try putting the milk in a sippy cup.

Most babies your son’s age have already started eating at least some solid foods (although “solid” is hardly the right word—“soupy” or “mushy” would be closer). In fact, it’s possible that several of his daytime snacks and feedings in a row consist entirely of baby food (the kind you can buy in the grocery store). This opens up the opportunity for you to take your son for a pretty good stretch. However, to quickly identify allergies, introduce new foods slowly—one at a time every few days. And make sure you and your ex are sharing this information with each other.

posted in Infants and babies, Pregnancy and childbirth

Apr 27 2011

I Love You, Honey But Do I Really Have to Go?

Dear Mr. Dad: My wife is six months pregnant and she just signed the two of us up for a childbirth prep class at the hospital where our baby will be born. The problem is that while she’s all excited about the class, I have no interest at all. Don’t get me wrong—I’m excited about becoming a dad and I want to be there to support her and everything, but I’ve heard from a number of my friends that they didn’t feel particularly welcome in the class and that the entire focus was on the mom-to-be. Should I just suck it up and go to the class, even though I don’t want to?

A: In a sentence, yes, suck it up. Your friends are right: the focus of childbirth prep classes is definitely on the expectant mom (more on that in a minute). And there’s a good chance that you won’t feel welcome. But there’s an even better chance that your wife will never forgive you if you bail on the class. In her mind, there’s a direct connection between how much she feels you love her and how much interest you have in being a dad. And while to you, your excitement level about your impending fatherhood and taking—or not taking—a prep class are completely separate issues, to her they’re one and the same.

Now, back to the focus of the class. One of the problems I’ve had with childbirth education is that it’s entirely too mom focused. No question, delivering a baby is something we, as guys, will never quite understand—and I’m okay with that. But the reality is that psychologically, your transition to parenthood is just as profound as your wife’s. Your life is going to be turned upside down as much as hers. In fact, one could argue you’re your transition is even harder—she has so much more social support than you do. Unfortunately, that important bit of information is too often overlooked. (That’s exactly why I wrote The Expectant Father: Facts, Tips, and Advice for Dads-to Be, and did a DVD called “Toolbox for New Dads,” both of which focus on men and how they’re affected by pregnancy, birth, and beyond.)

The solution? First, slap a smile on your face and make sure you’ve cleared your schedule for the 6-8 evenings the class will last. You won’t be alone. In my research, most expectant dads who take prep classes with their partner do so for her. Interestingly, a recent study in Sweden reached the same conclusion. Second, sign up for a dad-only class. I’ve been teaching seminars for expectant dads for years and I can assure you that having a woman in the room completely changes the dynamics. Guys aren’t nearly as open about discussing the things they really want to know about, their fears, worries, concerns (which is why every time an expectant mom wants to sit in on the class, I—very gently—ask her to leave). If your hospital doesn’t offer a dad-only class, the DVD I mentioned is a good alternative. Third, read everything you can possibly get your hands on about labor and delivery. You need to know what labor looks like, how long it typically lasts, how you can best help your wife through it, what kinds of things typically go wrong (and there’s always something), medication options, who all those people are and why they’re running in and out of your room, and again, what you can do if there’s a Plan B or C or D.

posted in All Ask Mr. Dad, Pregnancy and childbirth

Nov 24 2010

Put Down That Phone and Back Away Real Slowly

Dear Mr. Dad: This may sound paranoid, but all of a sudden I’m getting worried about electricity. My wife, three kids—ages 9-16—and I have smartphones. We’ve also got laptops, a wireless router, wireless phones, Bluetooth headsets, remotes, printers, satellite TV, Wii, Kindles, and about 25 other electronic gadgets spread out all over the house. I’m can’t believe that we aren’t being damaged in some way. Am I crazy?

A: Okay, have you been hacking my email? I’ve been spending a lot of time thinking about the same thing—and I have a feeling there are a lot more like us out there. In fact, just a few weeks ago, I received two books in the mail—both painting a very ugly picture of electronic pollution. I’ve barely been able to sleep since.
In “Disconnect,” scientist Devra Davis focuses on cell phone radiation and what she believes (and shows pretty convincingly) the industry has done bury the bad news. Health writer Ann Louise Gittleman, author of “Zapped,” also tackles cell phones, but she goes even further, pointing out that potentially dangerous electromagnetic fields (EMFs) are and lurking in places we’d never suspect: wall outlets, electric blankets, dimmer switches, hair dryers, iPod docking stations, refrigerators, electric razors, digital cameras, and even those electronic collars dogs wear that let them through their doggy doors.
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posted in All Ask Mr. Dad, Grandparents, Pregnancy and childbirth, Preschool and schoolage kids, Teens

Nov 12 2010

Cord Blood Banking

Dear Mr. Dad: My wife is due in three months and we’ve seen ads and flyers for cord blood banking. Several of our friends have signed up for it. Is it really worthwhile?

A: Not all that long ago, placentas and umbilical cords were considered medical waste. But today, the stem cells found in umbilical cords can be used to treat dozens of conditions, including leukemia and some cancers. And as technology advances, researchers are looking at cord blood stem cells as a possible cure for everything from torn ligaments and diabetes, to heart disease, Alzheimer's, and spinal cord injury.

So when it comes to your baby’s umbilical cord, you have three basic options: throw it away, donate it to a public cord blood bank, or bank it privately. Because of the tremendous potential benefits, I strongly recommend that you NOT toss it out. Let me give you some of the pros and cons of the other two options:
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posted in All Ask Mr. Dad, Infants and babies, Pregnancy and childbirth

Oct 14 2010

You're More Normal Than You Think, Part II

Dear Mr. Dad: After trying for several years to conceive the “regular” way, my wife and I decided to adopt. She’s super excited and has already started outfitting the nursery and buying baby clothes. I’d like to share her joy, but, honestly, I’m feeling a little depressed. Is there something wrong with me?

A: Nope, nothing wrong with you. Think about it this way. The time between your decision to adopt and the actual arrival of your child could be considered a “psychological pregnancy.” Of course, unlike a biological pregnancy, you won’t usually know exactly how long it’s going to take from beginning to end. But what’s interesting is that most expectant adoptive parents go through an emotional progression similar to that of expectant biological parents, says adoption educator Carol Hallenbeck. The first step is what Hallenbeck calls “adoption validation,” which basically means coming to terms with the idea that you’re going to become a parent through adoption instead of through “regular” means.
This might seem straightforward, but it’s usually not. Researcher Rachel Levy-Shiff found that for many parents, adoption is a second choice, a decision—like yours—that is reached only after years of unsuccessfully trying to conceive on their own and years of disappointments and intrusive, expensive medical procedures. Infertility can make you question your self-image, undermine your sense of masculinity (how can I be a man if I can’t get my partner pregnant?), force you to confront your shattered dreams, and can take a terrible toll on your relationship. That’s enough to depress anyone. If you’re having trouble accepting the fact that you won’t be having biologically related children, talk to some other people about what you’re feeling. Your partner certainly has a right to know. Even though she’s very excited, she’s probably feeling a lot of similar things.

posted in All Ask Mr. Dad, Pregnancy and childbirth

Oct 12 2010

Hey, Dad, You’re More Normal Than You Think

Dear Mr. Dad: My wife is expecting our first child. Initially, I was really excited, but lately I’ve been having these strange thoughts that the baby isn’t actually mine. I trust my wife completely and don’t want to mention this to her, but am I nuts?

A: In a word, No. At some point after the initial excitement passes, a surprising number of men find themselves experiencing exactly what you are: an irrational fear that the child their partner is carrying is not theirs. In his research with expectant dads, psychologist Jerrold Lee Shapiro found that 60 percent “acknowledged fleeting thoughts, fantasies, or nagging doubts that they might not really be the biological father of the child.” Like you, most of these men don’t actually believe their partners are having affairs. Instead, according to Shapiro, the feelings are symptoms of a common type of insecurity: the fear many men have that “they simply aren’t capable of doing anything as incredible as creating life, and that someone more potent must have done the job.” Fortunately, most guys get over these feelings pretty quickly.
Interestingly, irrational thoughts aren’t confined to biological dads. Men whose partners got pregnant using donor sperm—who actually didn’t do the biological creating—often have them too. A lot of guys worry that the sperm samples were switched and that they’ll end up with a child of a different race. Actually, it’s not so much race as physical similarity. Most couples who conceive artificially opt not to make the details of the pregnancy public. And, like any other dads, these guys hope their children will look like them—at least enough so that they won’t have to deal with the inevitable “Gee, the baby doesn’t look anything like you” comments.

posted in Pregnancy and childbirth