aku dalam dilema.. breastfeeding during pregnancy

Post sebelum ni.. aku ceritakan tentang pregnancyku yg ke-5..
selepas 2x kelahiran iaitu Arifah dan Aqil serta 2x keguguran iaitu sebelum dan selepas kelahiran Aqil..
aku dalam dilema.. sebab sehingga kini aku still breastfeed Aqil..
walaupun doktor telah sarankanku untuk berhenti bagi mengelak aku keguguran lagi.. tp tak berjaya sepenuhnya..

aku cuba sogok aqil ngn variety of foods/ drinks.. tp time nursing still tak leh nak elak..
dia akan merengek2, tunjuk perasaan dan siap parking atas riba untuk menyusu..
kekadang sampai kesian dibuatnya..bila dia nangis tersedu-sedan nak nyusu..

Malam tadi aku ngn hubby decide tuk try bg Aqil minum Isomil..
memula Aqil refuse.. diluahkan semula susu tu.. siap nangis lagi.. pastu bila abah dia buat trick baru la berjaya tp just minum 2oz dari 4oz yg aku bancuh..
then, bila nak tido.. aku bg lagi isomil.. menangis la Aqil.. At last, aku kesian.. aku breastfed dia.. smpai tertido..

ade beberapa artikel yg aku baca tentang breastfeeding during pregnancy yg related ngn misscariage... yang mana aku pun tak pasti keputusanku..

1st article : The only time when breastfeeding is contraindicated during pregnancy is when the mother has a history of miscarriages or has previously had a premature baby. For these women, the uterus may be especially sensitive to uterine contractionsuterine contractions and to the hormones produced during breastfeeding. There is, however, no medical evidence that indicates that other women are more predisposed to miscarriage or preterm deliverypreterm delivery if they continue to breastfeed while pregnant. In fact, the uterine contractions experienced during breastfeeding are similar to the uterine contractions experienced during sexual intercourse and orgasm.

2nd article: Breastfeeding will not necessarily increase your risk of miscarriage, unless you are already at risk for miscarriage during pregnancy.

3rd article: Miscarriage/Preterm Labor Risks

This is a common worry, but it does not appear to have a strong foundation. A recent review of research on the pregnant uterus reveals that there is actually no theoretical basis for the common concern that breastfeeding can lead to miscarriage or preterm labor in healthy pregnancies. Instead the uterus has many safeguards preventing a strong reaction to the oxytocin that breastfeeding releases.

Interestingly, experts on miscarriage and preterm labor are not among those who see a potential link between breastfeeding and these pregnancy complications. Miscarriage expert Lesley Regan, PhD, MD, quoted in Adventures in Tandem Nursing, saw no reason that breastfeeding should impact pregnancy, even if the mother has a history of miscarriage or is experiencing a threatened miscarriage.

4th article: Although there are numerous conflicting opinions on the issue of breastfeeding during pregnancy, no research has ever found any increased risk of miscarriage in women who continue breastfeeding an older child during pregnancy.

In the past, doctors used to advise women to stop nursing when they became pregnant again. The concerns were that breastfeeding could deprive the developing baby of nutrients or stimulate uterine contractions (because breastfeeding causes increased oxytocin levels, which also can cause uterine contractions). But there is no conclusive evidence that this occurs and babies born to mothers who breastfed during pregnancy appear to be perfectly healthy.

The consensus is that it's up to the moms to decide whether to keep nursing during a new pregnancy. In a few high risk conditions, such as placenta previa, doctors may advise increased caution but for most, nursing during pregnancy is probably safe.

5th article: Should a woman be more cautious about breastfeeding while pregnant if she has a history of miscarriage? Yes, in the opinion of the LLLI Health Advisory Council. However, if a woman is showing signs of threatening miscarriage (bleeding, contractions) there is no guarantee that ceasing breastfeeding will save the pregnancy or that continuing to breastfeed will result in the loss of the fetus. The parent's feelings and thoughts should be the only determinant in deciding whether or not to continue breastfeeding a toddler when the pregnancy is threatened. In some situations the mother may feel that her nursling's needs are so intense that she will continue to meet them by breastfeeding and leave the resolution of the pregnancy to nature. In others she may wish to do everything possible to try and save the pregnancy, including stopping breastfeeding. The mother may feel that she is forced to choose between the needs of her older baby and the life of the fetus. The Leader can provide her with information and sympathetic support, respecting the mother's right to choose the course of action that seems most compelling to her.

6th article: Ask Dr. Sears: Nursing During Pregnancy

Q I'm newly pregnant and still nursing our 18-month-old. Is it okay to continue breastfeeding through my pregnancy?
A Mothers were once cautioned against breastfeeding during pregnancy because it stimulates the secretion of oxytocin, the hormone that can also cause contractions of the uterus. It was feared that these contractions could cause a miscarriage. Yet new insights show that the uterus is not sensitive to the hormone until around the 24th week of pregnancy. So, unless you have an obstetrical condition that might place you at risk for miscarriage - your obstetrician will tell you if you do - you can safely breastfeed during the first half of your pregnancy. If you have a history of miscarriage or you're noticing strong contractions while you nurse, it's wise to stop.

7th article: This was a topic of debate many years ago. It used to be felt that breastfeeding while pregnant can steal important nutrients from the fetus and can increase the risk of miscarriage. Now we know that this is not true. Many research studies have demonstrated no nutritional risk to the fetus, and no increased risk of miscarriage. I encourage pregnant moms to continue to breastfeed as long as they want to.

There is, however, one situation where breastfeeding during pregnancy is NOT considered safe. For moms who have a history of miscarriages or preterm labor (labor beginning before 37 weeks gestation) with previous pregnancies, breastfeeding may increase the risk of these events occurring again. Why? Because breastfeeding releases a hormone into mom's bloodstream that can cause the uterus to contract. If a mom's uterus is especially sensitive to this hormone (i.e., if a mom has had preterm labor or miscarriages before) then breastfeeding MAY trigger the uterus to contract.

However, most women's uteruses are NOT sensitive to this breastfeeding hormone. It is therefore safe to breastfeed during pregnancy.

You should discuss this issue with your own midwife or obstetrician.

mamamiya's post: She said for normal and healthy pregnancy (with no previous history of miscarriage in the first 20 weeks or preterm labour after 20 weeks) there is no evidence to suggest breastfeeding is threatening to a pregnancy. If you do miscarry, it is unlikely to be because you are breastfeeding. There is no such thing that breastfeeding is taking 'the goodness away from the unborn baby'.

Dah memang Allah tu Maha Kuasa kan? In reality it is your unborn baby has the first call on all the nutrients it needs, the second is your breastfeeding child and lastly whatever nutrient left is for the mother. Memang Allah dah jadikan badan mothers like that. Kasih sayang ibu tu not limited to perasaan aje tau.

As a conclusion, i'm in dilemma whether to wean or continue nursing my Aqil during my 5th pregnancy.. i'll try my best for my lil' hero and my fetus as well..

"Ya Allah, Engkau permudahkanlah urusan ku.. Engkau peliharalah anak di dalam kandunganku. Engkau tunjukkanlah jalan yang benar.. KepadaMu aku bermohon, dan kepadaMu aku meminta pertolongan.. AMIN"