A Mother Is Born - Pregnancy and Postpartum Services

A Mother Is Born Pregnancy and Parenting Services provides support and education to expectant and new parents in New York City. Whether you are looking for birth classes, struggling with your baby's sleep issues, looking to connect with other moms, or trying to achieve the right blend of employment and motherhood, you will find gentle support, information and encouragement. Email: meredith (at) amotherisborn.com

Copyright 2010 Meredith Fein Lichtenberg
Catching Elephant is a theme by Andy Taylor

 

New Moms’ Groups

Mothers' Group

MOMs (Meeting Other Mothers) 

This is a place where you can be real: messy, and unshowered some days, energetic and fresh-from-the-gym other times, deeply inspired one week and filled with doubt the next.  MOMs is a place to sort it out and to find like-minded women in the same life-moment. Some of the people you meet here will be friends for life.   

Scroll down for schedule and registration 

Topics include

  • dealing with crying and fussy behavior
  • establishing routines
  • getting your body back
  • co-parenting with your partner
  • “myths” of motherhood
  • sex and intimacy and parenting
  • feeding, and sleep issues
  • dealing with parents and in-laws
  • coping with normal new mom anxiety and doubt

UPCOMING DATES:  

  • CHELSEA 6/1 - 7/6, register here 
  • TRIBECA 6/27 - 8/1, link to come
NO GROUPS IN AUGUST.
  • ONGOING MOMS — if you have completed a group with me previously, contact me directly at meredith (at) amotherisborn (dot) com to join an ongoing moms’ group.

TRIBECA:  2-4 at 46 Warren St (downstairs classroom). $180

CHELSEA: 12-2  at 247 W 26 Street  $180 

<Joining a group is best, but for moms who can’t, I do private parenting consults on these issues as well>

ONGOING MOMs Series.  Moms who have completed the initial six week MOMs series are invited to join an ongoing weekly or monthly group.  This is an opportunity to gather as a group with new friends and an experienced facilitator, and explore some of the topics that come up beyond the haze of the early newborn stuff.  Topics combine concrete factual information about infant development, breastfeeding, sleep, and routines with a broader discussion of motherhood.  Our focus is on the way that being a mother — not just having a baby — shapes your day and your life.  Contact me for more information.

moms group


 Look at all these happy moms and babies!

Working Moms’ Workshop and Support Group

Breastfeed in ParkIn this 2-hour workshop, we cover all the essentials of going back to work after a first child, including:

  • Finding and maintaining excellent childcare
  • Breastfeeding and pumping issues
  • Sleep issues for working moms
  • Finding “me-time”
  • Negotiating boundaries at work
  • Getting “everything else” done
  • Co-parenting with your partner when you’re both employed
  • Your relationship with your baby

Contact me for dates and to register.

Participants are invited to join a private listserv of working mothers sharing resources and continuing to support each other.

The Working Moms’ Discussion Group helps new moms prepare for and manage work/motherhood concerns. Members are a diverse group of moms who come together to share information, problem-solve, vent and find a place for their dual identities. Please contact me to find out locations, times and availability.

Anonymous asked
Hi Meredith-

I'd like to ask you about napping. It seems that my little one, who is a little over 4 months used to nap just fine. She would get sleepy about every two hours and I would soothe her to sleep, put her down and she's sleep for about 40 min to an hour. Now whenever I try to soothe her to sleep she starts screaming! She seems to know nap time is coming and is not having it. Also how often should she be napping? I literally cant get her to nap unless she is in the stroller.

At night we let her "cry it out" and she now goes to sleep awake with out any crying. She still wakes up for feedings but soothes herself to sleep afterwards.

Any advice would be great! I cant leave the house every time she needs to nap.

- Alex

Hi Alex,

You’ve got a tough but very common situation, but there are things that help.

In the early days and weeks, babies drift from sleep to wakefulness and back without a lot of drama.  But after a few months, she’s more engaged and playful when awake, and more deeply asleep when asleep.  Just like older people, she can’t just slide from awake to asleep.  Just like older people, she can become over-stimulated, which makes falling asleep harder.   This can feel like you’re moving backwards. 

New parents sometimes worry that an apparent regression or misstep will send them back to the chaos of having a one-week old – but you will never go back to square one like that, no matter what you do! Your baby has become much, much more sophisticated and is growing every day!  But an older baby comes with the difficulties of older babies.

             nap

People refer to daytime sleep as “naps,” but they’re really not proper, organized, predictable naps until some time in the middle third of the first year.  I refer to young-baby daytime sleep as “dozing.”  Dozing  is easy to get to, but is rarely predictable.  Naps are regular and predictable but it can take a while to get the hang of falling asleep for one.

Four and a half months is actually on the early side to see regular, predictable naps develop.  Organized daytime sleep usually happens only after the nighttime has become more settled.  It is pointless to try to “work on” daytime sleep with a really young baby who is still only dozing. You’re in the transition, so here are some thoughts:

 

·      Although 2 hours is a pretty typical amount of time babies this age can “handle” being awake before sleeping again, it varies.   She may be overtired by the time you’re trying for the nap.  Try after an hour and a half and see if that helps.  (especially first nap of the day).

·      If your baby takes short, closely spaced naps, you may end up with four or even five naps a day for a while.  That’s OK – it’s transitional.  It will likely settle into 2 longer naps, by her birthday. The goal here is to arrive at bedtime with a baby who is not totally overtired and overstimulated.  Being overtired at bedtime can make it more likely to have a hard time falling asleep at bedtime, wake “too early,” and be prone to getting overtired the next day and fight naps.  For now, prioritize whatever it takes to get through the day without the baby being awake for overly long stretches. If you prioritize this for a couple weeks, she will likely nap better simply from not being overtired.

·      She may also be crying because she “gets” that the nap is about to happen.  This is not a bad thing.  Instead of reading this as “She hates naps!” try “Wow! She’s beginning to recognize patterns!  But the dawning understanding overwhelms her a little.”  You can help her tolerate her increasing understanding of the world by being reassuring and regular in your responses to her, and routinized. A pre-nap routine is basically you saying, “yes, it’s nap-time but that’s OK because it’s always the same every time and I’m always here.” 

·      The nap routine doesn’t have to be elaborate, but have a few steps.  For instance, say, “It’s time for your nap!” Then: new diaper, close curtains, turn on white noise, sit in chair, nurse/rock and sing a lullaby.  If she has been using a transitional object, use it before naps.  (And only before naps and bedtime, not at other times). If (when) she starts crying, just continue with the rocking/nursing/whatever, and the lullaby, comforting her until she settles.  You’re not torturing her by rocking and singing and nursing a baby until she stops crying!  As she grasps the routine, she’ll realize it’s nap time earlier and earlier and may start crying when you say, “It’s time for your nap” and pick her up!  But there you’ll be, holding her close, and continuing in a gentle but authoritative way, with the routine.  And she’ll be calmed by it and relax into it by the time you’re bringing her into the chair for the nursing and rocking and lullaby.

It’s so important to feel entitled to persist a little bit, especially when “persisting” means you’re holding and rocking your baby so that she can get wonderful sleep and feel refreshed.  It’s not like you’re throwing her in a pit with snakes.  I think sometimes new parents “give up” on naps because the baby is protesting, and the parent is worrying, “Maybe it’s not the time for a nap?  Maybe she doesn’t need to nap now at all and it’s just me getting it wrong?”  Everyone feels self-doubt and ambivalence, but if it’s been a couple hours since your baby woke up, it really is more likely that she just needs a lot of comforting than that she really doesn’t need to go back to sleep.  Making great parenting choices does not mean that your child will never be upset, or protest or need lots of comforting.  In fact, lots of the great parenting choices involve your child voicing the doubt you both feel while you play the confident “it’s nap time just like every day!” role.

I think stroller naps are OK, really.  Your child doesn’t get the same kind of deep sleep in a stroller that she’d get lying down in a bed, but honestly, there are few parents who can arrange their lives around being close to a bed all the time, and a good life requires a balance of the parents’ and the baby’s needs.  The major drawbacks of the stroller-nap are (a) it’s freaking cold out and (b) lots of babies stop being able to fall asleep in the stroller, so you need a backup method anyway.  As you get settled into a regular nap schedule, it might be easiest to do the first nap of the day at home, because that one usually develops first.  And then, if you need to do the next nap out in the stroller, go for it and work on that one next week.

Good luck!

roblathan asked
Hi Meredith,

I have followed your advice to help our now bottle-fed 2 month old go back to sleep easily after night feedings (not talking, leaving lights off, staying in the room, etc.). Its worked beautifully and she goes back to sleep pretty easily now!

But the problem is that my husband and I still struggle to go back to sleep afterwards (we alternate feedings). I end up laying in bed tossing and turning while he gets up and goes into the living room to read. We've both tried taking Tylenol PM, Benadryl, and even an occasional sleeping pill but they don't always work and of course, we don't want to take them every night. Any advice?

Thanks so much,
Niki (and Rob)

Hi Niki,

 

It is such a drag to be lying awake when your baby is asleep.  Reducing caffeine, getting some exercise and having good stress-relieving resources  (Chocolate!  Good friends!  Laughter!  Sex!)  all help.  Here are some additional things to try.

 

  1. Get some earplugs.  Even if it is quiet already, earplugs dampen ambient noise that can keep you restless.  If you’re concerned about whether you’ll hear your baby, experiment with earplugs first when Rob is there to hear Louise if you don’t.  This one thing might be all you need. 

 

  1. Increase darkness.  Even if you have blackout curtains, it helps to have something to cover your eyes.  A soft t-shirt or one of Louise’s receiving blankets draped over your eyes makes it just a little darker and it’s soft and cuddly against your face.  Or, you can use a sleep mask, which will allow you the illusion that I haven’t just suggested that you get yourself a blankie  :-) 

 

  1. Breath and relaxation.  If you took a childbirth class, you may have learned relaxation exercises which work not only for labor pains, but also for insomnia.   If not, here are a couple to try:

 

Body Scan:  Lie quietly in bed and bring your awareness to the top of the head.  Not doing anything with the top of your head but just bringing your mind to that part of the body.  Slowly breathe out and breathe in, letting all the air flow, in your mind, to the top of the head, as you lie there, resting comfortably.  When you’re ready, move your awareness to the forehead.  Again, not doing anything with the forehead but just becoming aware of it.  Breathe out.  Breathe in.  Let your attention move, now, to the eyelids.  And then the cheeks, the jaws, the lips, the back of the neck, the shoulders, and so on down the body.  At each place you pause and breathe.  Slowly.  If you proceed through the entire body you will feel deeply rested and still.  More likely, though, you will fall asleep.  The first few times you do this it might feel tedious.  As you do it more and more you’ll move more slowly and it will have a kind of hypnotic effect where you might fall asleep before even the shoulders.

 

Counting Breath:  Exhale fully and quietly for a count of one and then inhale for a count of one.  Take it slow.  Then exhale fully and slowly for a count of two and then inhale for a count of two.  On the next breath, exhale to three and then inhale to three.  And so on.  At some point the breaths will get too long; when that happens return to the beginning, exhaling for a count of one and inhaling for a count of one.  If you lose your place, that’s OK, just return, again, to the beginning.  This exercise gives your mind just enough quiet activity to focus on; it can dim the noise in your head. 

 

It’s annoying to find yourself half-thinking about something else when you are “trying” to meditate.  This does not mean you’re a bad meditator, it means you are *normal*.  If you have a mind, it’s going to wander.  When you catch yourself thinking about other things, don’t chastise yourself, just exhale and inhale and return, now, to wherever you were in the body scan or in the counting breath. 

 

Some folks, lying in bed, resist even the thought of doing breath exercises.  This is a little bit like how we sometimes don’t want to go to the gym even knowing exercise will help.  If you can encourage yourself to just do the body scan “until the shoulders” or just do the counting breath “until four” – that’s a good gentle push that might be all you need to get started on the thing that’s going to give you some sleep.

 

All of these things – the breathwork, the room-darkening, the earplugs – help incrementally, but also work together to create a kind of conditioned response, a hypnotic suggestion to sleep.  In that way, like your baby’s bedtime routine, they work well over time.  Don’t give up if one or two nights don’t yield results.  Adult sleep issues can move even more slowly than baby ones.

 

 If you’ve tried it all, there’s nothing wrong with occasionally using benadryl or a sleeping pill to help push you into sleep.  But as you note, it’s not a solution.  New parent wakefulness isn’t uncommon but it should improve with time if you’re doing things that help.  If you’re finding that nothing helps and it’s been a while, it’s time to visit your doctor and see whether there’s more going on. 

 

You may have noticed that in class I became very serious when the topic of parent wakefulness was raised by one of the other new moms.  This is because it can also be a sign of anxiety/depression.  Anxious or “down” feelings are extremely normal for new parents and usually abate on their own as you adjust, especially when you surround yourself with the friendly support and company of other new parents and loved ones.  But if worried or hopeless thoughts persist, or if they are impairing your normal functioning, or if you’ve become so tired from anxious wakefulness that you can’t cope, it is essential to get help.  You are welcome to contact me for resources.

 

Good luck!

jrmermel asked
Hello Meredith,
My son is 9.5 months old and I'm planning to breastfeed him until he's one year old. He is used to being nursed to sleep, although he occasionally falls asleep on his own or without being nursed if another person puts him to sleep. I am wondering how I'll be able to wean him if he is so dependent on this method of falling asleep. I would rather not let him cry it out or use any sleep training methods as he is a good sleeper in general. Please let me know what you recommend. Thank you.

Hey Janet,

It sounds like you’re doing fine, actually!  All children eventually grow out of nursing to sleep, of course J, whether it’s that the baby stops falling asleep at the breast or the mom stops nursing him down.  It’s easiest for babies who have sometimes had the opportunity to fall asleep without the breast already, so that they don’t arrive at age 1 literally never having fallen asleep any other way.  So you’re already in good shape; he has the skill, you’ll build on it.  Keep giving him the opportunity to fall asleep with other people over the next few months.

I hear your concern, though, that when it’s just you and him, he is going to “expect” the breast.  So.  The best way to take something away is to give something in return (you’ll be teaching him this in the playground a year from now, by the way).  So here is a plan for the next two and a half months before you start weaning from the breast.  Basically you want him to come to associate something else with falling asleep along with the breast — not just to take away the breast and leave him with nothing. 

Currently, when you are putting him down, he associates sleep with nursing.  That’s fine, more than fine, totally appropriate.  What you’ll do, now, though, is layer some other things on top of the nursing so that he comes to associate them with falling asleep, too.  Then when you start weaning him off the breast, he’ll still have the rest of his “sleep” cues. 

The breast stimulates all the senses, so your other sleep cues should, too.  A transitional object (like a Blankie or stuffed animal — I like the kind with a bunny head and a flannel blankie body) is something for him to touch, smell and look at.  A story or lullaby stimulates his sense of hearing.   Use them together at naptime and bedtime *while* you’re nursing, as he is falling asleep.  What I mean is, nurse him as usual and when you see his eyes start to flutter and doze, you grab the transitional object and lie it across his cheek and begin singing your lullaby.

The key is to catch him falling asleep and immediately use the new sleep cues.  It won’t work to just hand him a Blankie and plop him in the crib and sing a song tomorrow or on his birthday if he doesn’t have any association with those things, no matter how cute the Blankie and how sweet the song.  But, over time, if you *always* give him Blankie and sing him Song just as he is falling asleep at the breast, and never at any other time, then eventually he will come to associate Blankie and Song with falling asleep.  So — keep nursing him to sleep but as you see him drift off, Blankie and Song appear.  And if he is falling asleep in the stroller, you keep your eye on that, and when you see his eyes start to close, Blankie and Song appear.  And whoever else is putting him to sleep follows suit as well.

(by the way, I’m saying Blankie and Song, but it could be Teddy Bear and Book, of course.  In my house we always did _Goodnight Moon_.  But it should be calming, soothing, not-very-stimulating things, like a stuffed animal, not that squeaky giraffe toy everyone has, and soft lullaby songs or rhymey books, not, interactive books like _Pat The Bunny_ or rousing music like Old McDonald or, you know, the Sex Pistols.)

Ultimately (and you have to give it a few weeks before you even start to play with this) you’re going to pop him off the breast before he falls asleep, and hold him in your lap and *then* give him Blankie and Song while he’s nestled against you, almost ready to drift off.  And after still more time, you’ll finish nursing, and then put him in his sleep place and only *then* give him Blankie and Song.  But that’s all a ways off.  Meanwhile work on introducing him to his new sleep cues while you continue to nurse him to sleep — two and a half months is a very long time in his life!

By the way, weaning a one year old can be a slow-ish process.  It may be easiest, when the time comes, to first drop the nursing sessions that are not connected with sleep, one at a time, one per week, nice and slow and gentle.  This will give you even more time to segue your baby out of the nursing to sleep, because it may well be more like 13 months by the time you’re dropping the before-nap and before-bed nursing sessions.

 

Best,

Meredith

Sleep Counseling Program

 Sleeping BabyMaybe you’re wondering how to ensure your child becomes a “good sleeper.”

Maybe you’ve been bombarded with conflicting sleep advice.

Maybe the “expert” advice you’ve heard doesn’t work on your baby.

Or maybe you just find it hard to think clearly and be consistent in the middle of the night!

There is no one method that fits every family’s needs. There is no one way for infants to sleep.  There is no magical number of hours they, or you, must sleep at a certain age. 

Let’s get away from sleep advice that should be in the fiction section of the bookstore!  Together, we can make sense of your chaotic, tired situation.  We will develop real-life habits and solutions that work best for your family’s individual needs.  You, and your baby, will find a way to get more and better sleep.

Group or Private Classes are available, schedule below.

Group Classes $75

  • Contact me for upcoming dates

Private Sessions in Manhattan, or via Skype:

Over the course of several individualized sessions, we will:

  • Acquire a realistic picture of normal sleep development
  • Work with the situation you have – your schedule, your baby, your apartment, your needs
  • Develop a customized plan for your family around baby sleep issues
  • Help you figure out what to do with unsupportive comments; help you regain your sanity around sleep and parenting

For individual sleep consults, contact me at meredith @ amotherisborn (dot) com.  

Parenting and Breastfeeding Consults

HandsYou’re taking care of the baby; who’s taking care of you?

You’re probably an expert at lots of things, but as a brand new Mom, or Mom-To-Be, you’re a new beginner.  And unlike things  that ease in gradually, this is something you do 24/7, without a guidebook.  (Well, there are hundreds of guidebooks but they all say different things, and none of them was written just for you). 

You know there’s not one “right way” to do everything, but … you want to get it right.

And you’re tired.

It can get intense.

As you figure out breastfeeding and infant care and logistics — and later on, as you sort out nap schedules and playtime and your parenting style — you deserve pragmatic, non-generic assistance, and reassuring company. I’ll have my eye on you to make sure you’re not falling through the cracks – that you’re being taken care of as you learn to mother your baby.

Options:

  • FOR EXPECTANT PARENTS:  one pre-natal home visit followed by a series of 2- to 3-hour home visits during the first six weeks (fee depends on number of visits).
  • FOR NEW PARENTS:  series of one-hour Parenting Consults — at any time during the first year — in your home or workplace, to discuss breastfeeding, sleep, transitions, coping with colic, acclimating to motherhood, self-care, weaning, spousal issues, guilt, coping with relatives, introducing solid foods … what have you!  (fee depends on number of visits)
  • FOR NEW PARENTS OUTSIDE NYC: one-hour Skype consults are available for all parenting issues above except those that require a clinical breastfeeding assessment.  (I can help you locate an IBCLC to see locally.)

My goal is to help you find your sea legs. As you figure out who you are as a Mom, I will support your choices with tips, advice and mentoring, so that you gain confidence to move through the postpartum period.