Category Archives: Uncategorized

“Baby Friendly” Gets A Rap Video!

A rap song about Baby Friendly hospitals?? Leave it to Melissa Bartick and and the creative folks at both the Massachusetts Breastfeeding Coalition and the Breastfeeding Coalition of Oregon to find a way to make the Baby Friendly Hospital Initiative (BFHI) actually seem relevant and hip.  Now on YouTube, “A Tale of Two Births: The Baby Friendly Rap” is a must see for mothers every where!

The video begins with a male rapper lamenting that you mothers might be brainwashed by tv “but your baby knows the way it’s supposed to be.” and goes on to hit all the common barriers to breastfeeding, from medicated births, mother baby separation, and of course infant formula (or as its called in the rap “form-u-lay”).  Interspersed throughout the video a trio of sultry female voices consisting of a doula (complete with super hero cape!), a female doctor, and a nurse croon together on the spicy refrain,   “…skin to skin, it’s the perfect start.  Skin to skin it’s never going to stop.”   

The video begins by portraying a mother having the birth she wants, a natural, unmedicated vaginal birth (or as I call it – the ‘untethered birth’, no electronic monitors, & no IV attached to her arm!), with her doula and partner by her side.  The baby is placed skin to skin and immediately begins to breastfeed with a perfect latch.

In the second half of the video the same mother is shown experiencing the more typical American birth, no doula, the usual birth interventions (“they gotta get him out with some instruments”), mother and baby are separated (“The cold cold scale, and then the first bath. His temperature drops in the aftermath.”) and then the baby is whisked away to the nursery and given formula to bring his blood sugar up. (According to the CDC almost 25% of babies in the US are given formula before they leave the hospital!).

By the time mom gets her baby back and he is swaddled so tightly he can’t even find the breast (“Wrapped like a burrito, they hand him back. He can barely move, he just feels trapped.”).  Essentially, the breastfeeding train has been derailed before it could even leave the station.

Of course most mothers don’t know that common hospital practices interfere with breastfeeding, and because they don’t know they blame themselves. (“With all his troubles, you can’t make enough milk. You blamin’ yourself, fillin’ up with lotsa guilt.”) Unfortunately most health providers also don’t know that  ‘Baby Friendly’ hospitals exist, and why would they?  Here it is 20 years after the World Health Organization (WHO) first introduced the Baby Friendly Hospital Initiative and the US has only 140 Baby Friendly facilities.  That’s less than 5%.  By comparison, Sweden has been 100% Baby Friendly since 1997, and there are currently over 6,000 Baby Friendly facilities in China alone!

And it because mothers don’t know that Baby Friendly hospitals exists that makes the ending to the Baby Friendly Rap even more poignant. Instead of flaming the ‘mommy breastfeeding wars’ further, the song ends instead with an offer of absolution.  To any mother who found breastfeeding to be frustrating and who thinks she failed, please listen carefully as the trio of women shake their heads wisely at the end of the video as they sing “It’s not your fault, it’s not your fault.”

In case you want to sing along, here are the lyrics:

“A Tale of Two Births: The Baby-Friendly Rap”


“Gonna tell you a tale, a tale of two births,
Gonna milk this story for all that it’s worth
You might be brainwashed if you seen on TV
But your baby knows the way it’s supposed to be
A doula at your side will prove her worth,
‘Cause you might not need a c-section or medicated birth
Baby is born and is brought to your chest
Then snuggles with mom, no baths, no tests.
He hears the song of mom’s heartbeat
Stays perfectly warm with her body heat.
All he needs is to be near your heart
And skin-to-skin, it ain’t never gonna stop
All he needs is a blanket on top
And skin-to-skin, it ain’t never gonna stop
He smells the milk with a deep deep breath
Then crawls his way over to his mama’s breast
After a while, he takes his first meal
Latches on by himself, and it’s the real deal
His mouth opens wide with the perfect latch
Like a miracle, it’s easy after that.
When he’s done there’ll be plenty of time
For docs and nurses to get in line
You get to sleep with your baby at your side

No one’s gonna bother you takin’ extra vital signs
Your visitors they can wait ‘til you get home,
You even turn the ringer off your cellular phone.
Those Baby-Friendly hospitals sho’ are smart
Skin to skin, it’s the perfect start
Baby-Friendly hospital sho’ know how to rock
Skin to skin, it ain’t never gonna stop.

But this ain’t what happens in the USA
When a pregnant lady gives birth today
There’s no doula to coach you through all the labor
You got no power, like you signed some kinda waiver.
Before you know it, your baby’s in distress
So they gotta get him out with some instruments
A vacuum, a section, is that the new plan?
Mama’s soft warm chest replaced with a heat lamp
The cold cold scale, and then the first bath
His temperature drops in the aftermath
Oh no, they say, he’s in a bad way
So they whisk him off to the nurser-ay
Nurser-ay, nurser-ay, stay away from the nurser-ay
The cold, and being away from his mama
Can drop his blood sugar because othe trauma
It just gets worse, ‘cause then they say
Gotta give this baby some form-u-lay
Form-u-lay, form-u-lay, stay away from the form-u-lay
Wrapped like a burrito, they hand him back
He can barely move, he just feels trapped
Then he can’t get that perfect latch,
Breastfeeding won’t be easy after all of that.
With all his troubles, you can’t make enough milk
You blamin’ yourself, fillin’ up with lotsa guilt
But it’s not your fault, the answer is logical
Push for your birth at a Baby-Friendly hospital.
It’s not your fault, it’s not your fault
Speak up for your baby, keep him close to your heart
Skin-to-skin, it’s the perfect start
Skin to skin
Skin to skin, it’s the perfect start
Skin to skin
Skin to skin, it ain’t never gonna stop”

© 2012 Massachusetts Breastfeeding Coalition and the Breastfeeding Coalition of Oregon

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Filed under Baby Friendly Hospitals, breastfeeding, the curious lactivist, Uncategorized

Off to San Diego!

Hello All,

This Friday I’m off to California where my daughter & I will be doing a little mother daughter road trip (give me strength – she’s 14, what on earth was I thinking??). We’ll start in Santa Barbara (the same day as Prince William & Princess Kate my daughter informs me!) drive down to Los Angeles, and end in San Diego where I’ll be attending the International Consultant’s Association’s  Annual Conference.  This will be my first time attending the ILCA conference and I’m proud to say I’ll be attending as a speaker!

The idea for my talk, “From Johnny Appleseed to Woodstock: Going Baby Friendly In New England” originated from a series of road trips I made two years ago.  At the time 100% of the hospitals in Sweden were “Baby Friendly” (i.e. breastfeeding friendly) while in the US it was less than 3%. That bothered me, but what bothered me even more was the knowledge that here in Massachusetts we had only one certified “Baby Friendly” hospital while rural Maine already had five, and even tiny Rhode Island had three! Being curious (I am after all the Curious Lactivist!) I wanted to know why Massachusetts was so far behind, so in 2009 I got in my car and drove to ten “Baby Friendly” hospitals in five different states where I asked two questions; “How did you become “Baby Friendly”? & “What are the challenges you face in remaining “Baby Friendly” today?

The answers were fascinating! Their stories ranged from the small hospital in Maine where the nurses simply said to each other, “You know those things that we didn’t like about our own birth experiences; let’s just not do that here.”, to the lactation consultant in Rhode Island who inspired an enthusiastic group of young nurses to follow in her footsteps, to the hospital in New Hampshire where one key person had so completely blocked efforts to become “Baby Friendly” the hospital had to withdraw from the certification process entirely, and yet today not only are they certified, they even keep a supply of donor milk on hand for any baby who needs to be supplemented for medical reasons!

In addition to speaking at the conference I’ll also be in the exhibit hall helping out Ron Daley the owner of “Supple Cups” at his booth.  Ron and I live in the same town and when I found out he wouldn’t be able to attend I offered to help him out.  If you haven’t heard of them “Supple Cups” came out about three years ago as a tool for aiding women with inverted or flat nipples.  Unlike nipple shields that are used during feeding, “Supple Cups” are a small silicone cup (about the size of a thimble) that gently draws the nipple out.  By wearing them before or during pregnancy they can aid in elongating the truly inverted (i.e. tethered) nipple.  In the postnatal period “Supple Cups” can also be used to help draw out the nipple that has disappeared due to engorgement (especially during the colostrum period for engorgement caused by IV fluids!), in many cases making them a great alternative to the dreaded nipple shield.  (Look for Julie Bouchet-Horowitz’s soon to be published study on “Supple Cups” in the journal “Clinical Lactation”.)

So if I can survive the road trip with my 14 year old it promises to be an exciting conference.  I’m hoping to connect with as many familiar faces as possible, so if you’ll be at the conference please look for me in the exhibit hall (I’ll be in Booth 95, next to the folks at Mother Art), or come hear me speak on Sunday morning (and no I won’t be mad if you’ve already signed up to hear Miriam Labbok or Karen Gromada, who can blame you?).  I’m looking forward to saying hi to folks and if you have any stories about either “Baby Friendly” or “Supple Cups” I would love to hear them!

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Filed under breastfeeding, inverted nipples, lactivist, supple cups, the curious lactivist, Uncategorized

Breastfeeding in the News: April 21st – 30th, 2010

In a move straight out of a Hollywood movie leaflets denouncing Nestle’s flagrant disregard for the WHO Code dropped through a hole in the ceiling of the Palais recently and floated onto the table in front of the startled Nestle executives below.  Nestle indignantly responded by insisting that they abide by the law in all countries and that in fact they had received very few complaints about their marketing of infant formula.Governments are not making these calls, Nestle abides by the law in every country.” This should serve as a reminder to the rest of us that it is the law of the land that carries the greatest weight.  Unfortunately thirty plus years of boycotting hasn’t even made Nestle blink.

The incident reminded me of a meeting of Human Resource executives that I attended a few years ago.  I was there pitching a lactation support program for businesses.  After enthusiastically touting the benefits of supporting breastfeeding mothers in the workplace (“Companies save $3 for every $1 spent on breastfeeding support.”), one HR woman interrupted me and asked point blank, “Is there a law requiring this?”  There was no law, and the discussion was quickly dropped. 

Happily today there is a new federal law but as I mentioned before the details still have to be worked out.  It is interesting to note that prior to this law the issues of work breaks was covered by state laws only. “Until this amendment, rest break requirements had been the subject of state regulation.So this is new territory for federal law makers. Luckily state and local laws will still supersede the federal rules which means that Oregon’s $1,000 fine for each missed “breast milk expression session” will still stand, and employees in Monterey will still receive extra training and support. 

In science news HAMLET a component of breast milk now believed to kill 40 different types of cancer cells including bladder cancer is being touted as the next big thing in cancer research.   HAMLETs which are formed by “combining alpha-lactalbumin in the milk and oleic acid which is found in babies’ stomachs,” are remarkable not just for their ability to kill cancer but also the way they leave all healthy cells intact.  In other science news another study noted that babies who were breastfed showed better lung capabilities which were still measurable at 8 years of age.  A study showing that obese women who got extra breastfeeding counseling not only breastfed longer they their babies had fewer fevers and upper respiratory infections and were 3.5 times less likely to be hospitalized during their first 3 months of life.”  Across the pond the Brits just held their first conference exploring the benefits of breastfeeding for babies with developmental disabilities!  I would love to see more of that done here.

In Uganda they noted a suspicious rise in breast cancer in younger women. The same article noted that, “Breastfeeding also changes the make-up of a mother’s breast cells, making them more resistant to cancer.”  And that “Breastfeeding will also rid the breast toxins like carcinogens that are likely to cause cancer in the future.”  While I’m glad to see them put in a plug for breastfeeding I’m not entirely sure they got this exactly right.  Can any of my more knowledgeable readers set me straight on this?  And while we’re talking about Uganda I’m happy to report that the issue of breastfeeding mothers in prison has been looked into, and that mothers now receive their own special cells.  This is one of those times when the child’s rights supersede the mother’s.

For years we’ve been pushing for more breastfeeding using evidence based studies as our strongest ally, but we tend to ignore any evidence showing that breast milk often contains toxin.   One author insists, “Were it regulated like infant formula, the breast milk of many US mothers would not be able to be legally sold on supermarket shelves.”  We find ourselves in the delicate position of ignoring the canary in the mine (canaries would die from the poisoned air before the effects on miners could be noticed), and still trying to convince society to accept breastfeeding as normal.  As blogger Anna Fahey puts it “The choice is a personal one, but a choice there should be! And it should never be a question of choosing the lesser of two evils. We have a shared responsibility to safeguard the basic human right to grow up untainted by damaging chemicals.”

An interesting study in Australia showed that positive interest in breastfeeding did not mean that mothers would breastfeed longer.  And to answer the question, “What do women really want?” the answer was clearly that they wanted more support.  In fact, “It is not important what people close to them think about their decision to breastfeed, what is important is the support they receive.” This may sound like a conundrum but I totally get it.  My mother constantly questioned me about my decision to breastfeed but at the same time she did everything she could to help make it work.  She even vocally defended me against all nay sayers as she would not tolerate any criticisms from others.  That was her job!  (Speaking of grandmothers I totally applaud a local health department’s decision to host a “Grandmother’s Tea … to educate, influence and encourage Grandmothers’ support of breastfeeding.”)

As always the conversation about breastfeeding continues. From car seat analogies, to letters to tv news producers (by the way ABC news got slammed for using a doctor known for accepting money from formula companies as one of their “expert opinions” on a breastfeeding piece), to books for fathers (“Breastfeeding Facts For Fathers” Platypus Media), to celebrity complaints about breastfeeding police everyone has an opinion.  What is most interesting to me is the way the conversation is being portrayed in the movies and on TV.  As breastfeeding infants becomes more accepted there has been a trend towards making more jokes about breastfeeding the older child.    One piece took this to the farthest extreme with a really funny bit about a mother nursing her 30 year old son (“I Want My Bitty”).  And I have to admit I loved Pam’s return to work on the “Office” and the moment when she realized she was feeling engorged.  Not being able to find her breast pump (a non-lactating coworker had slipped off to the bathroom to give it a try -“Wow. This is like the Cadillac of breast pumps!”) her coworker Dwight who was brought up on a farm offers to assist her with hand expression, “Three squeezes and I would drain you.”  

But if you only have time to read one story today make it “A Unique Challenge to Breastfeeding” by Michael Wuebben a CBS News producer.  He tells the loving story of how his own child was born with a rare medical condition that left the baby physically unable to move his facial muscles, and how the child’s mother never gave up on breastfeeding.  It is beautifully written and adds a potent counter weight to all those stories we hear from mothers who “had to give up” for reasons x, y, and z.

As always I love hearing from you (remember links to all the stories are below).  I hope you all had a Mother’s Day that was as pleasant as mine.  My daughter made a poster filled with pictures of the two of us and across the top she wrote “Best Friends”.  I couldn’t ask for anything more than that! 

Kathy Abbott IBCLC
www.BusyMomsBreastfeed.com

www.TheCuriousLactivist.Wordpress.com

On Facebook:” Breastfeeding in the News”           

The risks of non-compliance with Oregon’s milk expression law

Penalties for noncompliance are similar to those that may be assessed for other wage and hour violations, and may be as high as $1,000 per missed breast milk expression session, possibly as much as $2,000 on an average work day. There is no statute of limitations regarding when an employee may file a complaint.

… But for some women working in places that are slow to change, they fear they would be asking their employer for too much or inconveniencing their colleagues. In addition some women just don’t feel comfortable discussing breast milk expression with their direct supervisor or human resources department. Even with all these progressive reforms the burden is on working women.

Marion Rice is workplace lactation support specialist with the Nursing Mothers Counsel of Oregon.

http://www.oregonlive.com/opinion/index.ssf/2010/04/the_risks_of_noncompliance_wit.html    

Almeda County to lower flags in remembrance of Livermore baby (San Jose Mercury News)  

Police arrested Jessica Adams last week on suspicion of murder after a yearlong investigation. Police said during that time, they learned she had been continually smoking methamphetamine for four days leading up to Gary’s death. She had not slept at all during that time, and when she finally fell asleep on March 19, Gary was with her on the couch.

Police say Adams told them she had stopped breastfeeding the baby March 12 because she planned on using the drug.

http://www.mercurynews.com/breaking-news/ci_14984679?nclick_check=1

Most Hilarious Breastfeeding video ever!

Sometimes we all need a little laugh though, right? And so, in the interest of easing a little breastfeeding debate tension, check out this clip from the UK comedy Little Britain. The episode is called “Meet the Parents.” But it should be called “I Want My Bitty!

http://thestir.cafemom.com/baby/102144/Most_Hilarious_Breastfeeding_Video_Ever

BBC News: Cultural Barrier to breastfeeding older children

“Once I gave birth to Jonathan and I started breastfeeding, I thought we’ll just get to six months and then I thought we’ll go to a year and then it never stopped.

“And here I am five years on. It became a natural thing.”

“I’m a firm believer that Jonathan should choose his own path in life,” she said.

Ms Hurst said breastfeeding Jonathan would stop when he lost the ability to suckle as his milk teeth fell out

http://news.bbc.co.uk/2/hi/uk_news/england/south_yorkshire/8652825.stm

Does breastfeeding protect against asthma? (Reuters)

The extended and exclusive diet of breast milk also resulted in better lung function at age 8, the researchers report in the Journal of Allergy and Clinical Immunology

http://www.reuters.com/article/idUSTRE63R4TL20100428

Ugandan News: Conservative Party calls for special (jail) cells for breastfeeding mothers

The President of CP says the breastfeeding mothers jailed at Luzira prison have told him that they are finding it hard to produce enough milk for their babies because of the poor meals.

Inmates at Luzira and other prisons in Uganda get one meal a day at 2:00pm and a cup of porridge at 8:00am daily. The major food they get is posho and beans.

http://www.ugpulse.com/articles/daily/news.asp?about=CP+calls+for+special+cells+for+breast+feeding+mothers+&ID=14323

First UK conference to address benefits of breastfeeding for babies with developmental disabilities

Dr Roja Sooben at the University’s School of Nursing, Midwifery and Social Work has organised the conference  called,  Breastfeeding infants with developmental disabilities – let’s talk about it!, which will take place at the University on 11th  May.

  http://www.news-medical.net/news/20100429/First-UK-conference-to-address-benefits-of-breastfeeding-for-babies-with-developmental-disabilities.aspx

The Day WHEN breast isn’t BEST

But as Sandra Steingraber (author, biologist, and breastfeeding advocate who’s written and lectured extensively on the subject) points out, breast milk commonly violates Food and Drug Administration levels for poisonous substances in food. She writes: “Were it regulated like infant formula, the breast milk of many US mothers would not be able to be legally sold on supermarket shelves.”

…The choice is a personal one, but a choice there should be! And it should never be a question of choosing the lesser of two evils. We have a shared responsibility to safeguard the basic human right to grow up untainted by damaging chemicals. Put another way, chemical risks in today’s environment aren’t a matter of choice; they’re an assault on basic rights.

http://daily.sightline.org/daily_score/archive/2010/04/28/is-breast-always-best

A Unique Challenge to Breastfeeding

Michael Wuebben is a CBSNews.com senior producer overseeing video production and original video programming.

Finally we knew something. He couldn’t suck because he couldn’t move the muscles of his face. He didn’t react because his muscles were weak and he couldn’t blink.

http://www.cbsnews.com/8301-504544_162-20003507-504544.html

Monterey County Adopts breastfeeding Policy

Existing law provides for unpaid break time and appropriate facilities for lactating employees to express milk for their infant children. The Monterey County policy includes additional provisions for training and support to maximize the benefits of breastfeeding for employees and their children.

http://www.thecalifornian.com/article/20100428/NEWS01/4280316

http://www.janeparker.org/breastfeeding     

New Book: Fathers Critical to Success of Breastfeeding

One key message in Breastfeeding Facts for Fathers (Platypus Media, 2009, 41 pages) is made quite clear upfront: You are critical to the success of breastfeeding

In fact, the book cites a study showing that when fathers are completely supportive of breastfeeding, mothers working outside the home breastfeed 98% of the time, compared to mothers whose partners were indifferent to breastfeeding, who breastfeed 26.9% of the time.  The book also notes that the father is the “first person to show his baby that feeding does not equal love.”

http://www.opposingviews.com/i/new-book-fathers-critical-to-success-of-breastfeeding

Kate Ford

But the 32-year-old is loving her new role as a mum – although she is not a fan of the breastfeeding police. She said: “I didn’t breastfeed. It wasn’t that I didn’t want to, it just didn’t work for me.“I did manage to express some milk for Otis for the first few months, though. “The thing about the breastfeeding police is that they bring so much guilt to women that don’t manage to, or aren’t able to breastfeed. “I think that’s a shame. “Breastfeeding is the most healthy thing, but it’s not the end of the world if you can’t do it. “If it doesn’t work for you, don’t cut yourself up about it.“It’s more important for your baby to be with a happy, contented mother – not one who’s distressed because she can’t breastfeed.”

http://www.mirror.co.uk/celebs/news/2010/04/27/kate-ford-won-t-let-son-otis-see-her-coronation-street-return-as-tracy-barlow-115875-22214220/

Breastfeeding: Why the Controversy?  

If I had a dime for every blog post, news article, or discussion I’ve had regarding breastfeeding over the last eight years, I’d be a rich woman.  

My personal advice to mom’s who are concerned about breastfeeding is the following:

  • Screw the store clerks. If your baby is hungry, feed him.
  • Stop breastfeeding when you want to stop breastfeeding. Guess what, I breastfed my children until they were…. oh wait IT DOESN’T MATTER. My kids are not yours so it doesn’t matter what I did. And guess what? I don’t care how long you breastfeed yours, whether it’s for one year or five.
  • If people don’t like the breastfeeding photos you post on your Facebook profile, they don’t have to look at them.
  • Call your HR person. That’s right, the laws they are a changin’. This country is attempting to make itself more family friendly and one way they’re doing that is by requiring your company to make it possible for you to breastfeed. If your boss doesn’t like it, tell him to call congress and complain, but leave you to your business. And clarify that it’s YOUR business not his.

When will we finally reach a point in society that says “breast is best, end of story”?

http://www.life360.com/blog/breastfeeding-why-the-controversy/

Are today’s young women more at risk?

Kampala Uganda— THE Ministry of Health recently announced that there is an increase in the cases of breast cancer among women less than 40 years of age. Reports show that the age trend of breast cancer has changed from 40-50 years to 30-40 years of age, compared to the Western world, where the diagnosis is still among the old – 50-plus years.

Murokora says breastfeeding helps by reducing the oestrogen levels in the body. Oestrogen increases a person’s risk of developing breast cancer. Breastfeeding also changes the make-up of a mother’s breast cells, making them more resistant to cancer. Breastfeeding will also rid the breast toxins like carcinogens that are likely to cause cancer in the future.

http://allafrica.com/stories/201004270148.html

It’s okay to stop breastfeeding.

I feel like the breastfeeding issue is almost as polarizing as the last presidential election in this country.

http://thestir.cafemom.com/baby/102066/Its_Okay_to_Stop_Breastfeeding  

Peer counseling, support can improve breastfeeding success in obese women

++++Conn. 154 puerta rican –

predominantly Puerto Rican, low-income, and had less than a high-school education For instance, women in the ‘intervention’ group were visited three times in their homes during late pregnancy and 11 more times in the first few months after birth. Whereas 16% and 46% of the women in the ‘control’ group had stopped breastfeeding by 2 and 8 weeks postpartum, respectively, only 7% and 33% of the women in the ‘intervention’ group had stopped++++++

And to add even more bang for the buck, babies of mothers who received the extra counseling were 3.5 times less likely to be hospitalized during their first 3 months of life. This was mostly due to lower rates of respiratory infections and fever.

http://www.dnaindia.com/health/report_peer-counseling-support-can-improve-breastfeeding-success-in-obese-women_1375830

Khloe Kardashian wants to start breastfeeding someone after seeing the weight drop off her sister Kourtney

“If that’s all it takes, breastfeeding? Then someone breastfeed off of me! I don’t care,” joked Khloe in an interview with Us magazine.

http://www.musicrooms.net/showbiz/5886-Khloe-Kardashian-Wants-Start-Breastfeeding.html

Nursing can be a challenge for working moms

Companies save $3 for every $1 spent on breastfeeding support.

http://www.uticaod.com/health/x57966717/Nursing-can-be-a-challenge-for-working-moms

The Back Up Plan (Movie Review) – Pregnant with Problems

The biggest laughs come from the ingloriousness of being pregnant and giving birth, but their overworked bits — like home birth and a toddler breastfeeding — are all gags we’ve seen and heard before

http://www.buzzsugar.com/Back-up-Plan-Movie-Review-Starring-Jennifer-Lopez-Alex-OLoughlin-8206763

United States: FLSA Amended to Require Breaks and Space to Express Breast Milk for Nursing Mothers

Until this amendment, rest break requirements had been the subject of state regulation. The FLSA does not require employers to provide breaks or meal periods to workers. Unless rest breaks are required by state law, when and how they are provided has traditionally been a matter of agreement between the employer and employee.

http://www.mondaq.com/unitedstates/article.asp?articleid=99004

Keeping the Breastfeeding Conversation Going

We got a lot of great response from our recent video segment “The Challenges of Breastfeeding.”

Again, we love the “100 letters” challenge. Please leave comments below on this blog post and let us know what you thought of the piece. And also share your ideas for future Health and Wellness segments.

http://www.cbsnews.com/8301-504544_162-20003186-504544.html

Mums need more support

 

Friday, 23 April 2010
Queensland University of TechnologyJoy Parkinson“Ms Parkinson said if governments wanted to increase breastfeeding rates they needed to increase loyalty to the act of breastfeeding and this would be best achieved by encouraging support from family and friends.”

“There needs to be a more mother-centred approach as opposed to a baby-centred approach,” she said.

“One of the most surprising things that came out of this study was that positive attitudes towards breastfeeding didn’t equate to larger numbers of women breastfeeding for longer.”

http://www.sciencealert.com.au/news/20102304-20885-2.html

Health Department to hold Grandmother’s Tea (IL)

Michele Beckstrom, RN of the Health Department notes, “This Grandmother’s Tea is being held to educate, influence and encourage Grandmothers’ support of breastfeeding.”

http://qconline.com/archives/qco/display.php?id=489641

The Office Review: “Secretary’s Day”

It’s the third week now. Dwight prepping to help Pa , Meredith using her apparatus in the bathroom … how long can the writers milk (har har) the breastfeeding jokes?

Dwight: Three squeezes and I would drain you.

Meredith: This is like the Cadillac of breast pumps

http://www.tvfanatic.com/2010/04/the-office-review-secretarys-day/

Breastfeed for the Health of the Nation?

Not nursing has major societal and health consequences — but even so, mothers deserve our support and understanding, not our judgment.

Ellen Painter Dollar, guest blogger

While 43 percent of American mothers do some breastfeeding, only 12 percent breastfeed exclusively for the first six months as recommended. Advocates argue that breastfeeding’s life-saving qualities should convince mothers to do it, and everyone else to support them, without all the drama about choices and guilt. The blogger Feminist Breeder, for example, had this to say: “You know what else saves lives? Car seats. So, why aren’t people spitting mad at the [National Highway Traffic Safety Administration] for saying that? Why aren’t they leaving thousands of comments on car seat articles saying, ‘But I just couldn’t afford a car seat, why are you trying to make me feel guilty?!’ Well, maybe it’s because our society will admit that car seats save lives, and we’re willing to give them out free at fire stations and hospitals if we have to because it is that important.”

…This latest study makes clear that nursing is much more than a personal lifestyle choice the rest of us have no obligation to support. New mothers need hospital policies that give priority to breastfeeding; low-cost or insurance-covered lactation assistance; paid maternity leave; flexible workplace policies; and husbands, relatives, friends and neighbors who help care for other children and manage the household during an infant’s first months.

…Because breastfeeding involves unpredictable, limited human bodies, it is not directly comparable to life-saving technologies. Using an infant car seat, for example, does not require a mother to wake up every 90 minutes throughout the night, grit her teeth as her baby latches onto sore nipples, and lock herself in a bathroom stall at work to attach a mechanical contraption to sensitive body parts (although the recent health-care overhaul, which requires large employers to provide a private, non-bathroom space for women to pump breast milk, should make this task less unpleasant for some).

http://blog.christianitytoday.com/women/2010/04/breastfeed_for_the_health_of_t.html

Why this Earth mother hates Earth Day

“I see Earth Day as the new Valentine’s Day or Mother’s Day, a Hallmark holiday for us to give lip service to the environment. There are contrary forces, good in the mix – but then there are good things in the mix of Mother’s Day or Father’s Day or Valentines as well. But the reality of Mother’s Day doesn’t seem to be that it inspires us to be more respectful of the needs of mothers – what comes out of Mother’s Day isn’t more calls for breastfeeding stations and child friendly policies, but a “we told you we loved you last Sunday…aren’t we done yet?” The same is true of Valentines Day – there’s no compelling reason to believe that once a year special chocolates and sex really do all that much to lower the national divorce rate.”

http://blog.beliefnet.com/roddreher/2010/04/why-this-earth-mother-hates-earth-day.html

Breastfeeding Advocates Red-Flag ABC News Story

(April 21) — An international breastfeeding advocacy group is accusing ABC News of failing to reveal that a pediatrician it quoted in a report critical of a breastfeeding study is a formula industry spokeswoman.

ABC News did not respond to several e-mails sent by AOL News to its media relations department for comment. Beard said she was called by an ABC News reporter for comment and was not asked about her industry ties, which she noted are “open information,” or available online.

She said she does not believe her work for Nestle “had any relevance to this comment” she made in the ABC News report.

http://www.aolnews.com/health/article/breastfeeding-advocates-red-flag-abc-news-story/19449346

Breast Milk Kills Cancer Claim Scientists

Mothers should breastfeed their babies because a substance in their milk kills cancer, researchers claim.

By Richard Alleyne, Science Correspondent
Published: 6:00PM BST 20 Apr 2010

The same compound, Human Alpha-lactalbumin Made Lethal to Tumour cells or HAMLET, could be a common cancer treatment for adults within five years.

Human trials have shown HAMLET can kill bladder cancer and laboratory tests have found it kills 40 different types of cancer. But crucially, the chemical does not kill healthy cells which means it does not cause the nasty side effects of current chemotherapy treatments.  “HAMLET is produced by combining alpha-lactalbumin in the milk and oleic acid which is found in babies’ stomachs,” he said.

http://www.telegraph.co.uk/health/healthnews/7611360/Breast-milk-kills-cancers-claim-scientists.html

Nestle Challeneged on baby milk health claims

By Lorraine Heller, 21-Apr-2010

Related topics: Health claims, Industry, Maternal & infant health

Greenpeace activists cut through the ceiling of the Palais in Lausanne, dropping flyers and absailing above the audience, while shareholders were also addressed by a baby milk activist who claimed the firm is still not abiding by marketing standards adopted by the World Health Assembly.

Patti Rundall, OBE, policy director at Baby Milk Action, said the health claims Nestle was using on its infant formula were misleading and putting the health of babies at risk. She called on Nestle shareholders to “try and find a way to bring an end to this interminable problem that is causing so much harm to children.”

Nestle this morning reiterated to NutraIngredients that it abides by the law in every country where it sells its products.

‘Protect’ is misleading

Rundall, who was able to speak at the shareholder meeting as she owns 200 Nestle shares, said she represented “thousands of citizens and IBFAN (International Baby Food Action Network) groups around the world who monitor the marketing of baby foods”.

Rundall specifically took issue with the health claims being made on the firm’s infant formula and called for the company to remove the ‘Protect’ logo from the product labels. She also said the labels should carry the correct warning language, which alerts parents to potential intrinsic bacterial contamination of the product.

Abiding by laws

Nestle said its ‘Protect’ range of products and its infant formulas are sold in over 100 countries around the world. “To date, other than via Baby Milk Action, no other complaint about the logo’s potential to mislead mothers has been received,” said the company.

It added that the action group was the only one to be calling for the firm to stop making nutrition and health claims. Governments are not making these calls, Nestle abides by the law in every country.”

Nestle told NutraIngredients that “there has been very little pressure (on its infant formula marketing practices) for a number of years” and that calls to stop making health claims on its infant formula are unique to Baby Milk Action.

Rundall responded that 23 health professionals and mother support groups in the UK alone are calling for the removal of health claims, which, she claims, is in line with Codex regulations.  

http://www.dairyreporter.com/Products/Nestle-challenged-on-baby-milk-health-claims

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“Wetness is Opportunity”

“Wetness is opportunity.  It represents the openness of nature to what falls from heaven.”

 (From the book “Dirt: The Ecstatic Skin of the Earth” by William Bryant Logan)

The wetness of a kiss brings two people closer.  The vagina moistens and lets in the penis to accept the heavy wet sperm.  The sperm enters her waiting egg which is then enveloped by a warm watery sac.   A laboring woman’s bag of waters breaks open moistening her birth canal.  Even the wetness of her blood helps her baby to slip outside of her.  Her wet baby lies on her chest and slides over towards her nipple.  The mere smell and touch of his mother excites the babe and soon he drools his wet saliva onto her skin.  He licks his lips in anticipation of what he does not know – something is coming, something wet and good that will make the move from his pickled womb to this dry, arid world easier to swallow.  The first yellowy drop of colostrum appears enticing the baby to come closer.  Come closer.  “Wetness is opportunity.”  Wetness is the beginning of life. 

We tell mothers that her breast milk is important.  It contains calories and vitamins, fats and protein.  It has antibodies and immune factors; it has “pre” and “pro” biotics.  Scientists have spent millions of dollars analyzing tiny drops of milk constantly updating the ever growing list of important things they have found within.  We have come to attach a certain scientific aloofness to the value of human milk.  It can be measured and scrutinized, it can be bottled and contained, it can be put on a shelf and held till needed.  It can be produced at will.  But we forget that inherent in its wetness is opportunity, the chance to connect mother and baby together again. Like the wet kiss that spurred the conception of this little one’s life, the moment a baby suckles on its mother’s breast the two are reminded that for this moment ’you are mine and I am yours, yours alone.’

Wetness is opportunity.  It provides the chance to grow.  The mother holds her baby close and lets him suckle at will.  Immediately her other breast begins to let down and her milk leaks out attracting the baby to that breast as well.  “Come here.  It is wet here. Can you smell it? You see? There is more to come.”  And because of her wetness the mother is prompted to offer the baby more and the baby is happy to accommodate her.  Her wetness encourages him to eat, and yet without her help he knows when he has had enough.  And in this way the two begin a rhythm. They begin to get in sync.

Wetness is an opportunity to be assured that all is well.  The baby’s tiny belly fills and releases, fills and releases, again and again.  The wetness of his diaper tells his mother that everything is okay.  Her milk has reached his belly.  He has taken what he needs from it and has let go of what was left.  The pee is not too yellow; the wet poops are no longer green or black.  And with each wet diaper that she changes she is reassured.  “He is getting enough.  We’re doing okay my baby and I, we’re going to be just fine.”   

Each drop of wetness is an opportunity.  The life source that surrounds us moves from drop towards precious drop. We are all connected by the wetness within.  Our blood, our saliva, and the rest of our body’s many fluids, these are the things that make us alive, that make us human.  It is our wetness, our milk, which we pass on to our babies to keep them alive as well.  Each drop of wetness is an opportunity; an opportunity for connection, an opportunity for growth, an opportunity for reassurance.  Each drop of wetness is an opportunity for life to be sustained.   

Kathy Abbott, IBCLC

www.BusyMomsBreastfeed.com

www.TheCuriousLactivist.Wordpress.com

On Facebook: :Breastfeeding in the News”

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Breastfeeding in the News 2/20 – 2/28/2010

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Breastfeeding in the News: Feb. 13th – Feb. 19th, 2010

“Her biggest challenge was the mothers’ lack of knowledge – many pregnant and breastfeeding mothers just eat rice and do not make use of their resourceful yards where many nutritious plants grow.   “Sometimes, they just leave ripe papayas in the yard to rot on the trees and be eaten by birds or simply fall to the ground while their children do not consume any fruits,” she  (17-year-old Maria Bere) said.  “This is what I have been trying to change.”

In an unusual program sponsored by the Australian government, teenagers in Indonesia have been recruited as volunteers to assist local breastfeeding mothers.  Even though they are not yet parents themselves they regularly counsel new mothers on the benefits of both a healthy lifestyle, and the importance of feeding babies exclusively breast milk for the first six months.  18 year old Yohanes Bere is a motorcycle taxi driver who volunteers at a local health clinic where he weighs babies and toddlers while dispensing advice about breastfeeding.  His motivation?  To eliminate malnutrition in his village. “I want to see the babies and toddlers I serve one day grow up into healthy generation,” said Yohanes, who learned to do the job through teaching himself and training from health officials and a medical team.  …  “Now we no longer have malnourished babies or toddlers,” he said proudly.” 

Meanwhile here in the United States we can’t even get our high schools to talk to teenagers about the importance of breastfeeding, never mind recruit them to help new mothers.  Not too surprising really in a country whose Army deploys new mothers back into service (often thousands of miles away from their baby) just 4 months after birth.  It’s no matter that the American Academy of Pediatrics recommends that babies be exclusively breastfed for at least six months, the Army has their own rules.

Taking a quick look at what else is happening in other countries this week, we are reminded that the Cambodian government requires that every company employing over 100 women have a breastfeeding room on the premises.  The European Parliament is considering new legislation concerning maternity leave specifically because of the effect maternity leave has on breastfeeding.  In Cuba the breastfeeding rate is a low 26% but at least the Cuban article reporting on this had no qualms about including a close up photo of a breastfeeding baby latching on to its mother’s breast.  (Facebook would have deleted this pic quicker than you can say “milk please!”)  And in order to give mother a private retreat from the chaos in Haiti twelve “baby tents” have been set up around Port-Au-Prince providing mothers with a quiet place to breastfeed.     

Meanwhile there was a heartbreaking story from the northern regions of Canada.  Apparently mothers in northern Manitoba have to travel hundreds of miles just to deliver their babies.  They fly alone into Winnipeg shortly before their due date where they wait until their labor begins.  After the birth they climb aboard a bus and begin the eight hour journey home.  Imagine yourself trying to get breastfeeding off to a good start in those conditions.  A few years ago while visiting a Baby Friendly hospital in Norway I remember them telling me about women facing similar conditions.  Any woman from the northern regions of the country with a complicated pregnancy would be sent to a hospital in Oslo to deliver.  But rather than send her right home after the birth they would send her to what they called a “Mother & Baby” hotel.  In all respects it was a normal hotel, except that a nurse would check in with them once a day to check on them until they felt well enough to make the journey home.  I love the idea! Privacy, someone to change your sheets, plus room service and a nurse, I think all mothers could benefit from a little transitional time in a “Mother & Baby” hotel before going home.

The Gates Foundation is seeing some unexpected results from their experiment in providing “Essential New Born Care” training in rural third world areas (the training includes the importance of early breastfeeding).  While there was no change in the number of babies dying in the first week after birth, the number of stillborn births decreased dramatically.   Apparently babies who did not immediately breathe on their own and would have been considered dead before having received the training were now been revived.  The stillbirth rate dropped by an amazing 30%.   We’ll have to wait and see what the long term results of initiating early breastfeeding will be.

In medical news a baby in Brazil has contracted yellow fever vaccine virus after its mother was vaccinated.  This is the first report ever of something like this happening.  The antidepressant drug Paxil has been shown to potentially delay the onset of stage two lactogenesis (mature milk).   There is some good news however; a new study shows that premies who are fed at the breast on demand actually leave the hospital sooner than babies fed a schedule.

Don’t reach for that Kit Kat bar just yet.  Even though Nestle’s has given their Kit kat bar a new “fair trade” stamp of approval, Mike Brady of “Baby Milk Action” insists the candy should remain on our boycott list.   And speaking of marketing spins, Lansinoh has a new breast pump that it claims cuts the time spent pumping in half.  I just want to remind people that while I consider pumps and formula to be necessary in certain situations I find the way they market their products to be quite frightening.  Both formula and pump companies would have us believe that it would be unwise to have a baby without at least one of their products in your home, preferably before the baby even arrives.         

In the “this makes me mad” category this week is the article suggesting that the couple who are planning to sue the hospital who mistakenly gave the mother the wrong baby to breastfeed were included in a column called “Worst People in the World”.  And another article that like many started out informing the reader about the benefits of breastfeeding but then included this little tidbit; “It is highly necessary that you follow the advice and information provided by your pediatrician and that any changes in your diet is authorized by him, so as not to cause gastric disorders.”  Excuse me?  You need your pediatrician’s approval to change your own diet?? Did I read this correctly?  All too often I find articles like this, they start out on a positive note and then they say something that makes me cringe.

Okay, time for more good news.  A “Baby Friendly” hospital in Hawaii has been awarded some money as part of a wellness initiative.  Just another good reason to go “Baby Friendly” folks!  And in New Zealand a breastfeeding photo contest was held recently.   Again – Facebook management, please take note, not everyone thinks breastfeeding photos are obscene.

And finally last week we looked at the French attitudes towards breastfeeding, this week “Equality Begins in the Creche” sheds a little more insight into the reasons behind some of those attitudes.  For one thing, in an effort to boost the country’s fertility rates all French mothers are provided with affordable early childcare.  Apparently it is the desire of the French government to increase the native population while keeping women working outside the home.  So much for the idea that you can have it all, you just can’t have it all at the same time.  The French government believes women can. 

As always, I love hearing from you – so post a comment or drop me an email.   (And remember, the links to all articles are listed below.)

Kathy Abbott IBCLC
www.BusyMomsBreastfeed.com

www.TheCuriousLactivist.Wordpress.com

On Facebook:” Breastfeeding in the News”            

Stillbirths Drop Dramatically After Newborn-Care Training in Developing Countries

The rate of stillbirths in rural areas of six developing countries fell more than 30 percent following a basic training program in newborn care for birth attendants, according to a study funded by the National Institutes of Health and the Bill and Melinda Gates Foundation. The study tracked more than 120,000 births.

The study tested the efficacy of a three-day Essential Newborn Care training regimen that covers basic newborn care techniques, the importance of early breastfeeding, how to keep infants warm and dry, and signs of serious health problems.

“The study authors found that the overall rate of infant death during the first 7 days of life did not change among infants who had been administered the essential newborn care regimen. However, the rate of stillbirths dropped sharply — from 23 per 1,000 deliveries to 15.9 per 1,000. The researchers believe these improvements were seen in infants who had not drawn a breath on their own and would have been considered to have been born dead by birth attendants who had not received the early newborn care training.”

http://www.sciencedaily.com/releases/2010/02/100217171919.htm

Lansinoh promotes new breastfeeding product with Principles

“The consumer press campaign is intended to appeal to busy mums on the go as the new product claims to express milk in half the time.”

http://www.thedrum.co.uk/news/2010/02/18/12821-lansinoh-promotes-new-breastfeeding-product-with-principles

Mum Wins Breastfeeding Photo Competition (New  Zealand)

http://www.scoop.co.nz/stories/AK1002/S00282.htm

Teenagers lend a helping hand to fight malnutrition

“Yohanes Bere is an 18-year-old ojek motorcycle taxi driver. But he is often busy assisting mothers who took their babies and toddlers to an integrated health service post in Kekirence village in Belu regency, East Nusa Tenggara.

Without hesitation, he helps weigh the babies and toddlers, and provides breastfeeding mothers with knowledge about healthy lifestyles, including the importance of giving breast milk exclusively to newborn babies until they are at least six months old.”

http://www.thejakartapost.com/news/2010/02/19/teenagers-lend-a-helping-hand-fight-malnutrition.html

Breastfeeding Wars

“The thought of lifting my shirt in public was terrifying — especially after years of struggling with eating disorders. And yet I was being told that I should do it anywhere at anytime. (If not, I apparently wasn’t a “real” breastfeeder.)”

http://www.momlogic.com/2010/02/breastfeeding_in_public.php

Equality begins in the creche

The debate over motherhood is missing the point – British mums should be fighting for the French model of childcare

“For some decades now, the French government has pursued, with considerable success, a far-reaching policy aimed at boosting the nation’s fertility rate, and increasing the number of women in the workforce. It did this by ploughing millions into subsidised, readily available, and easily affordable childcare.”

http://www.guardian.co.uk/commentisfree/2010/feb/19/france-motherhood-childcare-equality 

’ Baby tents’ offer Haitian mothers a safe place to breastfeed

“PORT-AU-PRINCE, Haiti, 18 February 2010—Amidst the collapsed buildings and temporary camps of this battered city stand 12 special tents dedicated to providing mothers and their infant children a safe and calm place to breastfeed.”

http://www.unicef.org/infobycountry/haiti_52797.html

EPHA calls on the European Parliament to support breastfeeding in Maternity Leave Directive

A key piece of legislation, relating to maternity leave, has the potential to impact upoin levels of breastfeeding and therefore public health outcomes. EPHA sent a letter to the Members of the European Parliament Committee on Women’s Rights and Gender Equality, calling for measures to safeguard and encourage the uptake and continuation of breastfeeding for young infants.

The letter was sent in relation to the work currently being undertaken by the committee on the improvements to the safety and health at work of pregnant workers and workers who have recently given birth or are breastfeeding.

http://www.epha.org/a/3874

Govt. urged to increase maternity leave, Malaysia lagging in Asean

“He said in Cambodia, it was mandatory for companies with more than 100 women workers to provide breastfeeding rooms and childcare centres. Similar facilities were also provided for mothers in Indonesia.”

http://thestar.com.my/news/story.asp?file=/2010/2/17/nation/20100217142047&sec=nation

Fed When Hungry, Premature Babies Go Home Sooner

““This review very clearly highlights the paucity of truly good feeding studies in which mothers and infants were allowed or encouraged to establish breastfeeding ‘rhythm’ early in life,” said Jay Gordon, M.D., attending pediatrician at Cedars Sinai Medical Center and associate clinical professor of pediatrics at UCLA Medical School.”

http://www.cfah.org/hbns/archives/getDocument.cfm?documentID=22228

Is Fair trade Chocolate Fair Enough?

“Mike Brady, Campaigns and Networking Coordinator at Baby Milk Action, has added Nestlé’s fairtrade Kit Kats to its list of boycotted products in an effort to promote change for people in developing countries. His organization believes that all Nestle’s products should be fair trade – not just chocolate.”

http://www.treehugger.com/files/2010/02/is-fair-trade-chocolate-fair-enough.php

Sunday’s worst people in the world

“It seems that at 4 a.m. on a January morning two years ago,  an Evanston Hospital employee woke up new mom Jennifer Spiegel to breastfeed her baby. Shortly thereafter, a nurse came into the room and explained there’d been a mistake, that wasn’t her baby.

And while no one was injured or sickened, the Chicago couple says the hospital should be held responsible for the mix-up. They are seeking at least $30,000 in damages

http://blogs.chicagotribune.com/news_columnists_ezorn/2010/02/sundays-worst-people-in-the-world.html

Benefits of Breastfeeding

“After six months, infants commonly begin to prefer more solid foods than breast milk. After one year, the baby will opt more for the same solid food. Remember that the digestion of your baby is in training so no need to hurry in switching to food. Not everyone has the same metabolism and in the case of babies this applies. It is highly necessary that you follow the advice and information provided by your pediatrician and that any changes in your diet is authorized by him, so as not to cause gastric disorders.”

http://www.ozcarguide.com/health/parenting-pregnancy/newborn-baby/677-benefits-of-breastfeeding

Harper lectures the G8, but what about northern Manitoba?

Most mothers-to-be must fly hundreds of miles into Winnipeg to deliver, leaving behind their husbands and kids for weeks on end. They stay in boarding homes waiting to go into labour, often with no immediate family by their side.

Getting home can mean an eight-hour bus ride with a newborn, making breastfeeding tricky and embarrassing

http://www.winnipegfreepress.com/breakingnews/The-motherhood-issue-84268037.html

Breastfeeding Benefits Both Mothers and their Children  (Cuba)

“At present, scarcely 26% of women feed their babies exclusively with their milk during the first six months of their lives.”

http://www.cubaheadlines.com/2010/02/14/20144/breastfeeding_benefits_both_mothers_and_their_children.html

Breastfed baby picks up yellow fever virus

“A breastfed baby contracted the yellow fever vaccine virus in Brazil a week after its mother was immunised against the disease, report health officials today in the Morbidity and Mortality Weekly Report. The case is the first of its kind to be confirmed anywhere in the world.”

http://www.eht-forum.org/news.html?fileId=news100212060907&from=home&id=0

Paxil May Cause Lactation Problems

A new study indicates that new mothers who take Paxil may experience problems lactating. The study, published in the February issue of the Journal of Clinical Endocrinology & Metabolism, found that selective serotonin reuptake inhibitors (SSRIs) like Paxil could cause a delay in the start of full milk secretion.

http://www.lawyersandsettlements.com/articles/13589/interview-paxil-side-effects-lawsuit.html

Hawai‘i awarded $912,713 as part of recovery act community prevention and wellness initiative

DOH was awarded $428,713 to apply sustainable policy and systems changes in the areas of physical activity, nutrition and tobacco. Funded projects include:

Baby Friendly Hawai‘i Project, DOH will work closely with the Breastfeeding Coalition of Hawai‘i to increase support for breastfeeding by changing policies in hospital maternity programs statewide, to increase the likelihood of sustained exclusive breastfeeding after birth, a protective factor from obesity and diabetes.

http://www.hawaii247.org/2010/02/12/hawai%E2%80%98i-awarded-912713-as-part-of-recovery-act-community-prevention-and-wellness-initiative/

How Well Does the Military Treat Single Mothers?

No Wonder the U.S. Is Known for Inadequate Maternity Leave, writes The American Prospect’s Gabriel Arana, when its own military ships women to war before they’re finished breastfeeding. The Army deploys women as little as four months after they give birth, Arana writes, which “isn’t enough of a grace period for deployments–many women are still breastfeeding then. Returning to work after four months might not seem so bad, but it’s a huge burden when work is thousands of miles away.”

http://www.theatlanticwire.com/opinions/view/opinion/How-Well-Does-the-Military-Treat-Single-Mothers-2519

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The Lactivists vs. The Babies of Haiti

“…the lactivists were never thinking about what the infants of Haiti actually needed; they were thinking of themselves and their personal obsession with breastfeeding.” Dr Amy Tuteur. 

A few days ago  I wrote about the donations of American breast milk that were left sitting unused inside the freezer of the USNS Comfort and I wondered had those two Styrofoam coolers  been filled with donated blood would they have been treated so cavalierly.  Now it appears that the very existence of those two coolers is to be considered proof positive that all lactivists are indeed self absorbed “nipple Nazis”.   

 As they say “no good deed goes unpunished.”

Let’s get a few things straight: first of all, there was already a staff member on board the ship who was donating her own pumped milk.  Coast Guard Lt. Teresa Wolf, a physician assistant who was pumping milk for her ten week old baby back in North Carolina when she started donating her extra milk. Secondly yes, the there was an actual request for more donated milk. (This was not the crazy idea of some pump crazed mother a thousand miles away!)  The USNS Comfort placed a small request for 500 ounces of milk which was delivered (still frozen) two days later.  And thirdly, yes once word got out a grass roots cry for more milk spread quickly across the country.   Offers to donate milk came from every corner of the land.

So how did all these good intentioned lactivists end up becoming such villains?  As any good lactation consultant will tell you, the number one rule of thumb is “feed the baby.”  At no point should a baby be put at physical risk just because of our “personal obsession with breastfeeding”.  Donated milk may help a few lucky infants in Haiti, but it is not a panacea for a crisis this large.

Unfortunately there is no one size fits all solution for every baby in Haiti.  For some the answer will be to help the mother continue to breastfeed, or even to relactate.  This means counteracting local myths that “stress or lack of proper food will cause a mother to produce bad milk or no milk.”  Which is exactly what the Save the Children folks are doing with through their radio broadcasts.  For others the solution may be to find local women who are willing to wet nurse, but in a country with high rates of HIV this too can be risky.

The risk of using unsterilized bottles will be the same for those using donated breast milk as it will be for those using a can of liquid formula, but with donated milk the immune system will be given a substantial boost. However the risk of infection and diarrhea from powdered formula mixed with unclean water is far, far graver. 

We know all this. We know there is no easy answer. We know that there is not enough electricity to run the refrigerators needed to feed all of Haiti’s babies donated milk.  And unfortunately some babies will have to get formula, even if it is powdered.  Again, the number one rule is “feed the baby”.  But does this mean that it was wrong to send two coolers of breast milk to the USNS Comfort?  Or was the real fault in not using those few ounces of milk once they got there?  Is it wrong to even talk about providing donated milk as a way of helping some infants?  Or should we just close the door on that discussion?  Is it wrong to warn mothers who are still lactating that weaning from breast milk to formula can place their babies at risk? 

So here’s what I think really happened. When Lt. Wolf offered her extra breast milk to feed the newborn on the Comfort someone got the bright idea that a ship board milk bank might be useful and a call went out to states for safely screened banked human milk.  Arrangements were made and milk was immediately sent to the Comfort where the staff was happy to receive it. But as soon as those two coolers arrived the big brass found out and immediately went ballistic about all this icky womanly fluid in their freezer and decided to put a stop to it. After all there was no protocol for this sort of thing; the red tape would be endless.  Excuses were found – not enough electricity on shore, preserving the cold chain, screening, etc. and then to the embarrassment of all those well meaning breastfeeding groups back at home the whole idea was called off.  No more donations would be required thank you very much!

I keep wondering what my dad would have thought about all this.  He worked as a refrigeration mechanic on a hospital ship during World War Two. Everybody on board loved him.  Why? Because he had the keys to the ice cream! Now if a hospital ship in World War Two had room for ice cream then I think that the USNS Comfort definitely had room for two Styrofoam coolers full of breast milk. I really think they just didn’t want to be bothered with the procedural aspects of handling the situation.

Although I can appreciate the confusion and enormity of the chaos in Haiti at the moment, I still believe this was a knee jerk reaction. They had their hands full to be sure, better to stick with what you know (formula) than try to learn the protocols involved with human breast milk. But as I said before if breast milk was held in as high esteem as blood, then chances are those protocols would have already been in place.

By shining a spot light on this situation now I hope that next time disaster strikes instead of being shunned donations of breast milk will be welcomed.   That lactivists will not be considered evil for merely suggesting that human milk may indeed save lives.  And that breastfeeding mothers everywhere will proudly be able to answer the call to give comfort to babies when ever it is needed.

Kathy Abbott, IBCLC

www.BusyMomsBreastfeed.com

www.TheCuriousLactivst.Wordpress.com

On Facebook: “Breastfeeding in the News”

 

Lactivists solve every problem by throwing breast milk at it.

Amy Tuteur MD

 Evidently for lactivists there is no problem so great that it can’t be solved by throwing breast milk at it. Looking at the horrific recent earthquake in Haiti you and I might see death, injury, homelessness and the threat of disease. Lactivists saw a breastfeeding problem. They embarked on not one, but two separate  inane campaigns to promote their favorite cause instead of focusing on the real needs of children in Haiti. It is difficult to imagine how people can be so self absorbed.

Haiti is in desperate need of baby formula, but the lactivists actually mounted a campaign to stop shipment of formula to Haiti. Salon’s Broadsheet ran a piece entitled Formula for disaster; do donations of artificial milk help or hurt Haiti’s babies? As the piece reported “RadicalLactivist” Cassaundra Blyth embarked on a Twitter based campaign:

PLEASE! don’t send formula to Haiti! The women & children shouldn’t be victimised twice! Breastfeeding during emergencies is VITAL to health.

That’s right folks; in the midst of the greatest natural disaster in decades, lactivists are concerned that aid workers will use their precious time and even more precious formula to convince breastfeeding mothers to switch to formula. Are these people insane? Haven’t they heard that 150,000 died and hundreds of thousands more are injured. Hasn’t it occurred to them that among the dead and severely injured there are likely to be thousands if not tens of thousands of breastfeeding mothers? How are those infants to be fed?

Breastfeeding is no longer an option for these babies. The ONLY option is formula feeding. Yes, powdered formula can cause harm if mixed with contaminated water. Yes, it would be safer to give those babies pre-mixed formula. But at the moment babies are starving for lack of milk of any kind. Far more babies can be fed with shipments of powdered formula than with pre-mixed formula. Time is of the essence if starvation is to be avoided, and a group of grown women is trying to stand in the way of feeding these babies.

But the inanity does not end there. Lactivists began calling for donations of breast milk:

When lactation consultant Faith Ploude heard that babies in Haiti might need donated breast milk, she made sure to get the word out to her classes at Mercy Hospital in Miami — and her database of more than 1,000 nursing moms.

The La Leche League and the Human Milk Banking Association of North America made similar pleas.

Let’s leave aside the issue that breast milk donations would be pathetically inadequate; one thousand donations of breast milk would feed one thousand infants only once. Consider that buildings from the meanest shack to the Presidential Palace have crumbled and are uninhabitable. People are living in tents if they are lucky or in the open air if they are not. Where are the refrigerators to store the milk? Obviously there are none, and breast milk will spoil immediately if it is not refrigerated, becoming undrinkable and potential dangerous in a matter of hours.

And how is the breast milk to get to Haiti? It has been a nightmare shipping in even the most basic supplies. Breast milk that must be frozen if it is to survive until it reaches the babies.

Red Cross workers are appalled:

“Tell them not to send it,” said Eric Porterfield, a spokesman for the American Red Cross, “I’m 100 percent sure we didn’t ask for that.”

The international Emergency Nutrition Network has asked one group, the Human Milk Banking Association of North America, to retract a press release this week that issued an “urgent call” for breast milk for orphaned and premature infants in Haiti, saying the donations contradict best practices for babies in emergencies.

Such donations pose problems of transportation, screening, supply and storage and create an “unfeasible and unsafe intervention,” according to a statement from the Office of U.S. Foreign Disaster Assistance, or OFDA.

Lactivists embarked on a campaign to interfere with delivery of formula to Haiti and to send breast milk to people who couldn’t possibly use it. Was this well meaning naivite? That certainly played a role, but the lactivists were never thinking about what the infants of Haiti actually needed; they were thinking of themselves and their personal obsession with breastfeeding. They viewed this as another opportunity to self actualize by promoting their pet cause. The human tragedy of the devastation in Haiti was just another venue to showcase their belief that every child must be breastfed. The actual needs of Haitian babies were never considered.

Lactivists need to get a grip. A horrific natural disaster is not an opportunity to highlight the benefits of breastfeeding. It is a tragedy that obligates us to send the people of Haiti what they need, not simply what we’d like to give.

Comments:

“Why would anyone think it’s a good idea to send perishable, unscreened bodily fluids into a disaster zone?”

I suspect that they didn’t do much thinking about what the Haitians needed, how it would get there and how it would be stored. They were thinking about themselves and how they might self actualize by promoting their personal obsession.

AmyTuteurMD

I agree that the lactivists were using their hearts, not their heads, when they decided how to contribute to the relief effort. Expecting anything perishable to survive on that island is silly. But people think about themselves when being charitable all the time, probably without even knowing it.

Ali512

 

“Why are they so threatened by formula?”

I’m not sure if they find formula threatening. They do find that breast feeding enhances their own self esteem and they want you to know how important it is so you will think they are superior (or at least they will think they are superior). I don’t think they gave any consideration to what Haitian infants actually might need.

AmyTuteurMD

http://www.open.salon.com/blog/amytuteurmd/2010/01/31/lactivists_solve_every_problem_by_throwing_breast_milk_at_it

Local Broadcasts in Creole Urge New Mothers to Nourish Infants Through Breast Milk; Cautions Against Baby Formula Made with Dirty Water

PORT-AU-PRINCE, Haiti, Jan. 25 /PRNewswire-USNewswire/ — The global humanitarian organization Save the Children is supporting efforts to promote breastfeeding among new mothers in Haiti to ensure the protection of the youngest and most vulnerable survivors of the devastating January 12 earthquake.

The agency has translated internationally recognized public health messages into Creole, which are currently being broadcast on local radio stations.

Critical Awareness Campaign Available to Health-focused Groups in Haiti

Save the Children is making these critical communications available to other health-focused groups that are also working with local communities affected by the disaster. Its health staff in Haiti will translate other public health messages over the coming days and coordinate with partners and communities to spread the word about keeping children healthy in the wake of the quake.

Save the Children also is training midwives, health workers and nutritional educators to reach out to pregnant and new mothers at makeshift camps in Port-au-Prince, Leogane and Jacmel. 

“Newborns and infants are very vulnerable during emergencies, especially from diarrhea, pneumonia and malnutrition. But mothers can take simple steps to protect their baby’s health through exclusive and proper breastfeeding,” said Kathryn Bolles, Save the Children’s emergency health and nutrition director. “Breast milk provides essential nutrients and strengthens a baby’s immunity, protecting the baby from other illnesses.”

Health Risks from Infant Formulas and Other Supplements 

The health messages encourage mothers to exclusively breastfeed babies under 6 months of age, and to continue to breastfeed children until age 2.

Mothers are cautioned against giving babies under 6 months of age anything but breast milk — including water, infant formula, powdered milk or solid food — because of the risks from diarrhea, one of the leading killers of children globally, and because of the risk of becoming malnourished, which leaves babies more susceptible to other illnesses. 

“Mothers may not be aware of the threats that infant formula and other supplements pose to their babies. Tainted water used to mix the formula and unsanitary bottles or cups can cause a baby to get sick with diarrhea, which can kill,” said Bolles. “We hope more Haitian mothers will hear our health messages and be encouraged to breastfeed their babies.  We also are suggesting mothers seek out support and counseling from organizations like Save the Children if they are having difficulty breastfeeding their baby.”

The awareness campaign also seeks to dispel the myths that may discourage mothers from breastfeeding, among them stress or lack of proper food will cause a mother to produce bad milk or no milk. Instead, mothers are encouraged to breastfeed more often, which will allow them to produce more milk for their baby. 

Extremely Poor Survival rates for Haitian Children Prior to Earthquake

Even before the earthquake, survival rates for young Haitian children were the worst in the Western Hemisphere, with nearly 1 in 10 children dying before the age of 5 from preventable and treatable causes like diarrhea and pneumonia.  

Save the Children supports the World Health Organization (WHO) recommendations that children should be breastfed exclusively for the first six months of life to ensure their most favorable growth and health. WHO, UNAIDS and UNICEF guidelines only recommend “replacement feeding” (breastmilk substitute) when it is “acceptable, feasible, affordable, sustainable, and safe.” 

http://www.prnewswire.com/news-releases/save-the-children-launches-radio-outreach-program-in-haiti-to-promote-newborn-infant-health-82623797.html

WHO Calls Breastfeeding Best Answer for Newborns in Haiti

Tim King Salem-News.com

Risks of miscarriages and other complications are serious.

 Photo/Video courtesy: UN/MINUSTAH

(PORT-AU-PRINCE/SALEM) – The United Nations reports that about 7,000 women are due to give birth this month in Haiti, as medical teams continue to work around the clock in birthing tents to deliver newborns.

According to UNICEF, there are currently 120,000 pregnant women in Haiti, more than half are in earthquake-affected areas. It is estimated that 15 percent of the 63,000 pregnant women in affected areas are likely to have potentially life-threatening complications.

Post natal-care is also proving to be a challenge in a country where the medical infrastructure has been destroyed leaving only a few hospitals functional and many medical personnel themselves dead or injured.

The World Health Organization’s doctors like Dr. Evelyine Ancion Degraff, say that only breastfeeding can boost the baby’s immune system and improve its chances of survival in situations like Haiti.

“Breastfeeding is the most important thing for the newborn in this situation. Newborns have very weak immune systems. It hasn’t yet developed. So newborns have a difficult time defending themselves against pathogens. But breast-milk can provide all the antibodies the baby needs to protect itself from disease.”

But UNICEF has said that some new Haitian mothers who have not felt good both physically and mentally are concerned about breastfeeding their newborns out of fear of passing on their “bad health.”

WHO is also working to vaccinate mothers and newborns against prevalent diseases such as neonatal tetanus. For the 7,000 Haitian women who will give birth in the next month, the risks of miscarriages and other complications appear great. The UNFPA (United Nations Population Fund) predicts there will be at least 1,000 miscarriages this month.

The agency started distributing emergency reproductive health kits to pregnant women which contain plastic sheets, sterile blades to cut the umbilical cord and blankets for the newborn.

More advanced kits containing emergency Caesarean section equipment were distributed to birthing tents at field hospitals. Local dads like Sejouste Walkin, say it makes a big difference, at least for now. “Thank god we have this international aid to help us with this birth. For the moment at least, we are still alive, but who knows about tomorrow.”

Unsanitary conditions in these make-shift “tent cities” where the majority of displaced Haitians now live only make the situation worse, says local mom Christianne Raphael.

“It is really starting to stink around here, there are many flies and we get sick. People are going to the bathroom right on the ground. So it is hard for us to even breathe.”

Haitian women were also given “dignity kits” containing sanitary towels, hygiene materials and underwear.

According to UNICEF, Haiti had the highest rates of infant (under 5 years) and maternal mortality rate in the western hemisphere even before the earthquake. The maternal mortality rate stood at 670 deaths every 100,000 pregnant women.

http://www.salem-news.com/articles/february022010/haiti_babiestk.php

You Tube : Haiti Maternity Pkg.

A video of the report above can be seen on this You Tube link.  It includes a first hand look at birthing tents, tent cities, and victims. 

http://www.youtube.com/watch?v=BTNsjueWOWQ

‘Boro natives’ nonprofit aids Haiti

Medical teams in rural area to help quake recovery

About a week after a major earthquake hit Haiti, a group of medical professionals decided not to focus on the big cities affected by the 7.0-magnitude quake but a rural town south of Port-au-Prince

A team from Aid for Haiti has spent the past week providing medical care to the residents of Petit Goave.

Founded by two Murfreesboro natives, the medical ministry has seen about 300 patients a day, according to Elliott Tenpenny, a physician who helped start the organization.

“There are cities along the southern peninsula of Haiti that are pretty much inaccessible to the larger relief efforts,” he said.

Aid for Haiti’s initial team included two doctors and four others including a nurse and a paramedic. Tenpenny said that team will be returning this weekend, and another team is headed to Petit Goave Thursday.

“There (are) some very dedicated Haitian nurses that lost everything in the quake that are staying there and helping night and day,” Tenpenny said.

Aid for Haiti was started in 2008 by Tenpenny and Caleb Trent, who is also from Murfreesboro. They traveled to Haiti several times helping treat patients with severe iodine deficiency in remote areas.

A team from the nonprofit arrived in Haiti a week after the earthquake struck.

The massive quake shook Port-au-Prince and surrounding areas Jan. 12, killing an estimated 100,000 to 200,000 people. The aftershocks that followed contributed to thousands of injuries.

Tenpenny, who is an emergency medicine physician at the Mayo Clinic, said initial injuries of victims included broken bones, head injuries and skin abrasions. Now, the team is seeing conditions like gangrene, which is a decay of body tissue.

“They have delivered quite a few kids,” he said about the team’s work.

He said many babies “have been born in terrible conditions” and umbilical cords have been cut with unclean objects causing infections. Some mothers’ breast milk has dried up.

“The babies could be newborns and have not had anything to eat for 10 days,” Tenpenny said, thus making it hard for their young immune systems to fight diseases.

He said a Haitian government official told them they were the only medical team in Petit Goave. Operating out of an old abandoned hospital, about 300 to 400 people wait to receive assistance every day starting as early as 6 a.m.

Tenpenny said, “the biggest need is donation of supplies and cash.”

He said the group plans to continue to send mission teams through April.

http://www.tennessean.com/article/D4/20100203/NEWS01/2030332/+Boro+natives++nonprofit+aids+Haiti

COAST GUARD PHYSICIAN ASSISTANT DONATES BREAST MILK TO HELP HAITIAN NEWBORNS

Jan 31st, 2010
by cgnews.

PORT-AU-PRINCE, Haiti – Coast Guard Lt. Teresa Wolf, a physician assistant, is deployed with Port Security Unit 307 in support of relief operations in Haiti. One of the loved ones she left behind was her 10-week old girl Chloe Daniel.

After learning of the severe needs of the hospital ship USNS Comfort, the Goldsborough, NC mother began donating breast milk to the ships Pediatric Ward aboard the USNS Comfort.

“It’s the right thing to do,” said Wolf. “Babies get so much more nutrients from breast milk. It’s good for the eyes, brain … everything.”

http://coastguardnews.com/coast-guard-physician-assistant-donates-breast-milk-to-help-haitian-newborns/2010/01/31/

A week into mission, crew of Comfort sees rare cases

About 120 children are on board Navy ship

ABOARD THE USNS COMFORT — When he wants to take a break, Chief Petty Officer Mike Davenport picks up a stethoscope.

The 37-year-old respiratory therapist from Frederick, in charge of about 90 medical personnel on the USNS Comfort hospital ship off Port-au-Prince, has been on board for a week, trying to keep his staff together and make them work effectively as a team. He regularly works 14- and 16-hour days, and for down time, he still wants to help.

“I take advantage of the opportunity to practice respiratory therapy whenever I can,” said Davenport, a father of four children and the husband of another respiratory therapist at National Naval Medical Center in Bethesda.

Davenport, who is assigned to the Comfort but also works at Frederick Memorial Hospital, compared the first week of the Comfort’s medical mission to “putting a puzzle together.”

On Tuesday afternoon, that puzzle included just over 360 patients on board, down from 375 on Sunday. On Monday, the Comfort took on 62 patients and discharged about 40. Some burn victims were being evacuated to the University of Miami Hospital.

The 62nd patient to come on board late Monday was a baby boy born the day before the Jan. 12 earthquake.

A cluster of doctors bunched around the boy’s bed in the casualty receiving area, while his 22-year-old mother looked on. The baby’s yelps of pain punctuated the somber atmosphere of the pediatrics bay.

The boy’s father died in the earthquake. The baby stayed with his mother in the street. The woman could produce very little milk and her baby was severely dehydrated by the time he was aboard the Comfort.

“I would say within about a day or so, he would have died,” said Kensington’s Capt. Daniel Shmorhun, one of the doctors attending the child.

To help solve the problem, Shmorhun said, lactating members of Comfort’s crew are pumping breast milk that will be stored for the babies on board to drink. A supply of breast milk from the U.S. is also supposed to be brought in soon. “We’re creating a breast milk bank,” Shmorhun said.

About 120 children are on board the ship as of Tuesday morning, according to Shmorhun, roughly a third of the patients on board.

Some of the cases are things medical personnel rarely or never encounter. One small boy suffered a leakage of cerebrospinal fluid out of one ear during the earthquake, and through a combination of heat, time and humidity, fungus crept up to the source of the fluid before he was rescued. The child had mold in his brain.

The medication the doctors would prefer to try to help with his condition was in the United States, said Alayna Schwartz, a perioperative nurse from Germantown. The child also ripped out IV needles.

“I don’t know if we can fix this kid. We can’t fix this kid,” Schwartz said, taking a break to eat a hamburger Monday afternoon.

Medical supplies sometimes ran low to the point where sometimes the staff was “hoarding” them, she said. Supplies come in daily.

One patient was initially going into the OR for an amputation just above his left ankle. Doctors discovered that there was dead tissue and gangrene up to mid-thigh.

“That’s where the maggots come in,” Schwartz said, explaining that larvae had been found in the leg.

Most of the leg was removed.

Schwartz worked the 6:30 p.m. to midnight shift Sunday. She said she was determined not to break down.

It isn’t just patient care that increases stress for medical personnel on the Comfort. Davenport missed his youngest son Jaiden’s third birthday on Thursday. When he talked to Jaiden on the phone, his son asked him: “Daddy, are you fixing boo-boos?”

Since he can’t be at home with his wife and children, the stethoscope and his patients are his “release,” as the hospital continues to settle into its role in helping a shattered nation.

“The flow seems to be smoothing out a little bit,” Davenport said. “I think it’s getting a lot better.”

http://www.gazette.net/stories/01272010/damanew224820_32548.php

4 Comments

Filed under breast milk, breastfeeding, Breastfeeding in the News, lactivist, the curious lactivist, Uncategorized

DOES HAITI NEED OUR MILK?

Tell them not to send it,” was Eric Porterfield, a spokesman for the American Red Cross comment about the shipment of 500 ounces of donated breast milk which had just arrived in Haiti. “I’m 100 percent sure we didn’t ask for that.”  Lt. David Shark from the U.S. Office of Foreign Disaster Assistance told the press that the idea of distributing human milk was an “unfeasible and unsafe intervention”. 

From Miami, to Ohio, to San Jose breastfeeding mothers across the United States had rallied to help infants in Haiti.  The cry for help went out on Tuesday and almost immediately 1,000 ounces of screened, donated breast milk was ready to ship out.  By Thursday 500 ounces had been packed in dry ice and had already arrived at their final destination, an American Naval ship off the coast of Haiti named the “USNS Comfort”.  The 2 day trip had included a commercial airline flight, transfer to a chartered plane, and finally a helicopter.  The milk remained frozen the entire time. 

According to one report as of Wednesday a few lactating mothers on the crew of the USNS Comfort had already begun donating their breast milk to the 120 babies in need aboard the ship. The 62nd patient to come on board late Monday was a baby boy born the day before the Jan. 12 earthquake. “I would say within about a day or so, he would have died,” said Kensington’s Capt. Daniel Shmorhun, one of the doctors attending the child. To help solve the problem, Shmorhun said, lactating members of Comfort’s crew are pumping breast milk that will be stored for the babies on board to drink. A supply of breast milk from the U.S. is also supposed to be brought in soon. “We’re creating a breast milk bank,” Shmorhun said. Clearly the need was urgent, and was recognized by many on board.

The problem according to Lt. Shark was the “huge logical constraints”.  Specifically he pointed out that there was a “lack of cold chain supply, and no clear guidance on ethical issues, breast milk screening, and continuity of supply.”  Even Dr. Nune Mangasaryan senior advisor on infant nutrition for UNICEF agreed.  “At this point it’s not the recommended way of assisting Haiti. … the systems needed to transport [breast milk] and to deliver it in the country, are not ready at this point. You have to have quite a significant number of freezers, you have to have electricity, and you have to be able to transport it from one part of the country to another. [With the current level of devastation] at this point, donating breast milk isn’t preferable.”

But I have to wonder, if the same helicopter had arrived with a donation of human blood, would the response have been the same?  Blood donations also have to be screened, and protected by a “cold chain”.  Would lack of freezers, electricity, and transport issues been enough reason for them to turn away two coolers of donated blood? Of course not, there is no viable substitute for human blood.  But we live in a culture where infant formula is considered a “safe” alternative to breast milk.

How sad that even the good Dr. Mangasaryan from UNICEF considers infant formula preferable to donated milk. “ At this point what we recommend for them is ready-to-use infant formula, that’s already in a liquid form, meaning no risk of contamination by mixing powdered formula with water, for example. It’s already ready-to-use, and there are certain numbers already available in the country.”  It is safe, and it is already available.  Why use the real thing when we have a more convenient alternative?

But according to a joint statement issued by The Human Milk Banking Association of North America (HMBANA), United States Breastfeeding Committee (USBC), International Lactation Consultant Association/United States Lactation Consultant Association (ILCA/USLCA), and La Leche League International (LLLI) “Formula feeding is extremely risky in emergency conditions and artificially fed infants are vulnerable to the biggest killers of children in emergencies: diarrhea and pneumonia.”  The statement went on to say that they “…strongly affirm the importance of breastfeeding in emergency situations, and call on relief workers and health care providers serving victims of disasters to protect, promote, and support mothers to breastfeed their babies. During an emergency, breastfeeding mothers provide their infants with safe food and water and disease protection that maximize their chances of survival.”

Right now of the 3 million victims in Haiti an estimated 52,000 are under 6 months of age.  And of the 37,000 estimated pregnant women in the country approximately 10,000 will give birth in the next month.  Meanwhile as we sit back debate the ethics and logistics of human milk donations two Styrofoam coolers of milk remain in the freezers of the US Comfort, bringing comfort to no one. 

Call for breast milk donations in Haiti goes bust

Intentions may be good, but supply isn’t safe or necessary, aid groups say

By JoNel Aleccia

Health writer

msnbc.com

When lactation consultant Faith Ploude heard that babies in Haiti might need donated breast milk, she made sure to get the word out to her classes at Mercy Hospital in Miami — and her database of more than 1,000 nursing moms.

“Everybody is moved because Haiti is so devastated,” she said.

But it turns out that Ploude and a bevy of United States breast-feeding advocates may have unleashed a well-meaning but misguided flood of mothers’ milk to the earthquake-shattered nation, one that aid workers in Haiti say was not requested — and is not needed

“Tell them not to send it,” said Eric Porterfield, a spokesman for the American Red Cross. “I’m 100 percent sure we didn’t ask for that.”

The international Emergency Nutrition Network has asked one group, the Human Milk Banking Association of North America, to retract a press release this week that issued an “urgent call” for breast milk for orphaned and premature infants in Haiti, saying the donations contradict best practices for babies in emergencies.

Such donations pose problems of transportation, screening, supply and storage and create an “unfeasible and unsafe intervention,” according to a statement from the Office of U.S. Foreign Disaster Assistance, or OFDA.

Simply trying to fill a need
Pauline Sakamoto, executive director of HMBANA, said the group was simply trying to help fill a need, if not in Haiti, then elsewhere. Donated milk that doesn’t make it to Haitian babies will be diverted for use in the U.S. and Canada, she said.

“We don’t want to waste an ounce of milk. It’s very precious,” she said, adding.

The confusion started earlier this week when the milk bank group and several organizations — including heavy hitters like La Leche League International — urged nursing mothers to donate milk. While representatives for aid agencies such as the American Red Cross, Doctors Without Borders and World Vision said there never was a need for donated milk, some agencies said they heard from workers at orphanages in Haiti who indicated that babies were going hungry.

“This was very grass roots,” said Amanda Nickerson, executive director of the International Breast Milk Project.

That group arranged for donation and transport of 500 ounces of breast milk to the U.S. Navy ship Comfort, the hospital ship parked off the coast of Haiti. The ship is equipped with a neonatal intensive care unit and freezer space. That’s enough milk to feed a newborn for a couple of weeks.

Donated milk remains unused
But the staff on the U.S. Navy ship said they haven’t used the milk out of concerns raised by OFDA and other agencies. Mothers aboard the Comfort are urged to nurse their own babies and there’s infant formula available to children whose mothers cannot or will not breast-feed, said Lt. David Shark, a U.S. Navy spokesman.

But that hasn’t stopped the flood of would-be donations in the U.S. Fueled by posts on parenting blogs and e-mail chains, hundreds of women across America began calling local milk bank agencies to ask about donating milk to Haiti babies.

“It’s sort of taken on a life of its own,” said Dr. Joan Younger-Meek, chairwoman of the U.S. Breastfeeding Committee.

Now the challenge is to quell the response of well-meaning mothers while still retaining support and awareness for breast milk donations to feed premature babies in the U.S. or to help those whose mothers can’t nurse.

“Breast-feeding women want to do something to help these babies in Haiti,” Younger-Meek said. “But the relief workers don’t have the infrastructure to support that need right now.”

http://www.msnbc.msn.com/id/35134523/ns/health-kids_and_parenting/ 

Will donating breast milk help Haitian infants? (Time/blog) 

This week several organizations, including the International Breast Milk Project, issued a call for human milk donations for infants in Haiti, as the U.S. Navy ship Comfort is equipped with a neonatal intensive care unit that can transport the breast milk. Yet, while nursing mothers have heeded the call, and some 500 ounces of donated breast milk have already been sent to Haiti by joint efforts of the International Breast Milk Project and the Human Milk Banking Association of North America, a joint statement issued by the World Health Organization, UNICEF and the United Nations World Food Programme suggests that, at this point, the necessary infrastructure isn’t yet in place for those well-meaning donations to truly make a difference. To learn more about the best way to help babies struggling to survive in the wake of the Haiti disaster, TIME spoke with Dr. Nune Mangasaryan, senior adviser on infant nutrition for UNICEF.

“Human milk donations while safe when processed and pasteurized in a human milk bank also require fully functioning cold chains. Such conditions are not currently met in Haiti and human milk donations cannot be used at present.”

Dr. Mangasaryan: At this point it’s not the recommended way of assisting Haiti. The reason for saying this, is that the systems needed to transport [breast milk] and to deliver it in the country, are not ready at this point. You have to have quite a significant number of freezers, you have to have electricity, and you have to be able to transport it from one part of the country to another. [With the current level of devastation] at this point, donating breast milk isn’t preferable.

TIME: Could that policy change in the future?

Dr. Mangasaryan: This doesn’t mean that in general, donated breast milk isn’t good. In the future, maybe after a few months, we can think about whether the institutions, orphanages, etc, are ready to accept [breast milk donations], but at this point we are doubtful.

TIME: For orphans, or babies separated from their mothers, what is recommended, if not breast milk donations at this point?

Dr. Mangasaryan: At this point what we recommend for them is ready-to-use infant formula, that’s already in a liquid form, meaning no risk of contamination by mixing powdered formula with water, for example. It’s already ready-to-use, and there are certain numbers already available in the country.

TIME: The joint statement deters people from trying to send formula directly to Haiti. From the statement:

In accordance with internationally accepted guidelines, donations of infant formula, bottles and teats and other powdered or liquid milk and milk products should not be made. Experience with past emergencies has shown an excessive quantity of products, which are poorly targeted, endangering infants’ lives. Any procurement of breast milk substitutes should be based on careful needs assessment and in coordination with UNICEF.

What is the best way to contribute to the nutritional needs of children and nursing mothers in Haiti?

Dr. Mangasaryan: Try to provide financial funding and support to agencies that are working on the ground. We have at this point, not only UNICEF, but a nutrition cluster working in Haiti, proactively working on the ground to make sure that all of this support comes to mothers and babies. These agencies are skilled, they know the job, they know what to do. The best is just to help them.

TIME: How will we know when the infrastructure is in place and breast milk donations can get to the infants who need them?

Dr. Mangasaryan: I would just say that this matter has to be revisited sometime later on, and it definitely this has to come from Haiti, from the specialists on the ground. We really need to look at them and see what are the best methods at this point. I know that there are organizations that are trying to help with breast milk in Haiti, and there are mothers who are ready to donate. It’s all done out of goodwill, but we really have to take into consideration current conditions.

Read more: http://wellness.blogs.time.com/2010/01/28/will-donating-breast-milk-help-haitian-infants/#ixzz0e0vsNKkf

http://wellness.blogs.time.com/2010/01/28/will-donating-breast-milk-help-haitian-infants/

http://www.msnbc.msn.com/id/35134523/ns/health-kids_and_parenting/

Thousands of Haiti babies ‘could die from milk donations’  (London Evening Standard)

Thousands of Haitian infants are at risk of illness and death because wellwishers are supplying the wrong food, world health chiefs warned today.

The main threat to infants aged up to six months is powdered baby milk mixed in unclean water, which can cause diarrhoea, dehydration and death.

Bottles and teats which cannot be sterilised are also a risk, and a shipment of frozen milk, which could have spread infection after thawing, had to be turned away.

The volume of potentially life-threatening items being sent into Haiti is so great aid workers were having to waste large amounts of time “preventing harm”.

In a joint statement today with the World Health Organisation and World Food Program, Unicef said it “strongly urges all involved in the emergency response to avoid unnecessary illness and death by promoting breastfeeding and by preventing uncontrolled distribution and use of substitute milk.”

When breastfeeding is not possible, it recommends only tinned substitutes which do not require mixing and can be consumed instantly. Risk of death is “particularly high” to children aged under six months, Unicef added.

Miaj Ververs, nutrition co-ordinator for the United Nations relief effort in Haiti, said inappropriate foods were also being given to older children. She added: “We end up trying to prevent harm rather than providing the emergency relief that we want to.”

Officials estimate that of the three million victims, up to 52,000 aged six months or under are potentially at risk of malnourishment.

http://www.thisislondon.co.uk/standard/article-23800003-thousands-of-haiti-infants-at-risk-of-death-from-milk-donations.do

Tiny Bottles of Relief Arrive for Haiti’s Newborns (AOL News)

Jan. 28) — For newborns struggling for life in the aftermath of Haiti’s earthquake, 140 tiny but powerful bottles of relief arrived Thursday afternoon – breast milk donated by American mothers.

The bottles were no bigger than travel toiletries – 3 ounces – but chock full of the nutrients and immunities so vital to babies. Especially babies suffering from injuries and illness or born prematurely in a disaster area.

When a U.S. Navy helicopter carrying the precious cargo touched down on the USNS Comfort hospital ship, which sits off the coast of the devastated country, it was the final leg of a complicated sprint.

Talia Frenkel, American Red Cross / AP

Red Cross volunteer Jean Zacharie delivers first aid to a 1-month-old baby whose mother was killed by the earthquake in Port-au-Prince, Haiti.
But after surviving a commercial plane flight, a charter ride, a helicopter trip and two days on dry ice, the milk ran headlong into red tape.

Navy spokesman Lt. David Shark, who is aboard the Comfort, said U.S. Office of Foreign Disaster Assistance, which is part of USAID, complained about the idea of distributing donated breast milk and issued a statement calling it an “unfeasible and unsafe intervention.”

“We acknowledge the generosity of the donor of the breast milk but have concerns based on years of best practices. It is the humanitarian community’s position that supporting donations of donor breast milk is not recommended in emergencies for a number of reasons,” the OFDA statement said.

“These reasons include huge logistical constraints, lack of cold chain supply, and no clear guidance on ethical issues, breast milk screening, and continuity of supply,” it said.

But Shark said the milk may still be used. The important “cold chain” was preserved – meaning the milk stayed frozen during the trip. Doctors from the Comfort, which has more than 200 military medical personnel aboard, will make a presentation to the task force that oversees U.S. efforts in Haiti.

“There a very real possibility we will be using the product soon,” Shark said. Meanwhile, the milk sits in two Styrofoam coolers just inside a large freezer on the Comfort.

The effort to get that milk into the Comfort’s freezer began on Tuesday, as word went out to mothers’ groups around the country that the Haitian babies needed help. The nation’s 10 nonprofit milk banks – which usually get breast milk donations for medically fragile American infants whose mothers cannot provide it – were quickly flooded with hundreds of calls from mothers touched by the images of devastation in Haiti since the 7.0-magnitude earthquake hit Jan. 12.

“It shows the best of the best the U.S. can muster,” said Pauline Sakamoto, head of The Human Milk Banking Association of North America, which provided the milk. “It’s just an outpouring of support.”

All those offers of donations will help any future shipments to Haiti if there are any and replenish the already low supplies in U.S. milk banks. The first shipment was culled from supplies on hand and handed off Tuesday morning to Quick International Courier, which donated its services to get the milk to Haiti and handled all the complications involved in keeping the milk frozen.

The frozen milk arrived in the wee hours of Thursday morning in Port-au-Prince and was picked up by a Navy helicopter. By Thursday afternoon the milk was aboard and ready for premature babies and other sick infants, some of them orphaned by the disaster.

Amanda Nickerson, head of the International Breast Milk Project, which led the effort, said 1,000 ounces were ready to ship. But the Comfort didn’t have enough freezer space. Her nonprofit had made a similar shipment to the Philippines last October after a typhoon and regularly sends milk to infants in South Africa, many of them orphaned by AIDS. She hopes to send more milk to Haiti.

Haiti has 37,000 pregnant women in its capital alone, and 10,000 of them are due in the next 30 days, according to Alina Labrada of CARE, a nonprofit that fights poverty and helps women and children around the world. Conditions there are still difficult, said Labrada, whose organization has 30 workers in the country. “The water is so dirty, the sanitation is such a problem, a lot of women don’t have enough to eat and drink themselves and aren’t going to make enough milk.”

Sakamoto said she hopes Americans also will donate to organizations that help Haitian mothers breast-feed amid the chaotic aftermath of the earthquake.

The dirty water in Haiti also means that formula can be dangerous for babies in displaced families who don’t have clean water to mix with it.

The International Lactation Consultant Association on Thursday warned people not to send formula to Haiti. After the Asian tsunamis, formula donations caused a tripling of diarrheal disease, according to the association.

U.S. milk banks regularly take donations from mothers after putting the donors through a screening test similar to what’s done for blood donations. The women also must take a blood test and get approval from their doctors. The milk comes from mothers who are pumping milk for their own children and end up with extra. The milk is pasteurized and frozen.

In 2008 – the most recent year for which figures are available – Sakamoto’s organization shipped 1.4 million ounces of milk out to neonatal intensive care units and other doctors to dispense.

Dane Nutty, outreach director of the Indiana Mothers’ Milk Bank, said he hopes to find a way to help Haitian infants who aren’t on the Comfort. The logistics are daunting.

“If you have a country without power, how are you going to store the milk?” Nutty asked. “We are building up our supplies so that when we do work out the logistics on land, we will have a supply ready.”

Meanwhile, the new donors could help shore up supplies for U.S. babies.

“This is a phenomenal response,” Sakamoto said. “But there are kids in this country in the same situation that need this milk. They may not be in a major earthquake, but they can’t tolerate other food sources and they have high-risk medical [conditions].”

http://www.aolnews.com/nation/article/tiny-bottles-of-breast-milk-arrive-for-haitis-newborns/19336660

 UPDATED STATEMENT: January 28, 2010

BREASTFEEDING IS THE FIRST LINE OF DEFENSE IN A DISASTER

The Human Milk Banking Association of North America (HMBANA), United States Breastfeeding Committee (USBC), International Lactation Consultant Association/United States Lactation Consultant Association (ILCA/USLCA), and La Leche League International (LLLI) strongly affirm the importance of breastfeeding in emergency situations, and call on relief workers and health care providers serving victims of disasters to protect, promote, and support mothers to breastfeed their babies. During an emergency, breastfeeding mothers provide their infants with safe food and water and disease protection that maximize their chances of survival.

This week, the International Milk Bank Project and Quick International Courier coordinated a shipment of milk from the HMBANA member banks to supplement a mother’s own milk for the premature, medically fragile, and orphaned infants aboard the U.S. Navy ship Comfort stationed off the coast of Haiti. This milk will help this small group of infants. In this highly unusual circumstance the infrastructure associated with the Comfort’s resources allows U.S. sourced donor milk to help fragile Haitian babies.

Donor milk, however, is not a solution for the large number of infants and young children affected by the earthquake in Haiti. Members of the public who wish to promote the survival of mothers and babies in Haiti can donate money to the following organizations: UNICEF, Save the Children Alliance, World Vision, and Action Against Hunger. These organizations are using best practice to aid both breastfed and non-breastfed infants. Members of the public can be confident that donations to these organizations will support breastfeeding and help save the lives of babies.

Interventions to protect infants include supporting mothers to initiate and continue exclusive breastfeeding, relactation for mothers who have ceased breastfeeding, and finding wet nurses for motherless or separated babies. Every effort should be made to minimize the number of infants and young children who do not have access to breastfeeding. Artificially fed infants require intensive support from aid organizations including infant formula, clean water, soap, a stove, fuel, education, and medical support. This is not an easy endeavor. Formula feeding is extremely risky in emergency conditions and artificially fed infants are vulnerable to the biggest killers of children in emergencies: diarrhea and pneumonia.

As stated by UNICEF and WHO, no donations of infant formula or powdered milk should be sent to the Haiti emergency. Such donations are difficult to manage logistically, actively detract from the aid effort, and put infant’s lives at risk. Distribution of infant formula should only occur in a strictly controlled manner. Stress does not prevent women from making milk for their babies, and breastfeeding women should not be given any infant formula or powdered milk.

There are ongoing needs in the U.S. for human milk for premature and other extremely ill infants because of the protection it provides from diseases and infections. If a mother is unable to provide her own milk to her premature or sick infant, donor human milk is often requested from a human milk bank. American mothers can help their compatriots who find themselves in need of breast milk for their sick baby by donating to a milk bank that is a member of the Human Milk Banking Association of North America.

For more information about donating milk to a milk bank, contact HMBANA at http://www.hmbana.org. Additional information for relief workers and health care professionals can be provided from the United States Breastfeeding Committee at http://www.usbreastfeeding.org, ILCA/USLCA at http://www.ilca.org or http://www.uslca.org, or La Leche League International at http://www.llli.org. A list of regional milk banks is available on the HMBANA Web site at http://www.hmbana.org/index/locations.

Sincerely, Angela Smith, President

ILCA Board of Directors

http://www.ilca.org/files/in_the_news/press_room/Update_Haiti_press_release%20pdf.pdf 

Booster Shots

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To help solve the problem, Shmorhun said, lactating members of Comfort’s crew are pumping breast milk that will be stored for the babies on board to drink. A supply of breast milk from the U.S. is also supposed to be brought in soon. “We’re creating a breast milk bank,” Shmorhun said.

http://www.gazette.net/stories/01272010/damanew224820_32548.php 

 

Infant Victims of Haiti’s Earthquake Need Breast Milk

January 28, 2010 |  6:55 am

OK, you’ve opened your hearts to the hundreds of thousands of bereft and destitute victims of the Haitian earthquake. Hopefully, you’ve opened your wallets and maybe even scoured your closets for things to send.

But — and here, I address myself to lactating moms — have you opened your shirt yet?

Several groups promoting breast milk and breastfeeding are putting out an “urgent call” for human milk donations, saying the infrastructure is “now in place” for aid groups to receive and distribute breast milk to premature and orphaned infants affected by the earthquake in Haiti.

In fact, human milk donations right now can only be delivered safely aboard the U.S. Navy ship Comfort, which has a Neonatal Intensive Care Unit and is caring for some Haitian babies born prematurely. But Gina Ciagne, a certified lactation counselor* and director of breastfeeding and consumer relations at Lansinoh Labs, said it’s important for women willing to pump their milk for donation to identify themselves to the closest chapter of the Human Milk Banking Assn. of North America. They’ll need to get their blood tested and certify that they don’t take most medications or herbal supplements, don’t smoke or take illegal drugs, and are willing to donate at least 100 ounces of milk.

The Human Milk Banking Assn. of North America is one of the groups making the appeal for donations. Joining the group are: LaLeche League International, the U.S. and International Lactation Consultants Associations and the United States Breastfeeding Committee.

Milk donations must be processed and pasteurized in a human milk bank before shipping and then kept in a steady state of refrigeration until they reach recipients — a tall order in the ruined country, where electricity is virtually nonexistent and relief deliveries remain spotty in many places. Late last week, UNICEF put out a statement saying “conditions are not currently met in Haiti” for human milk donations.

At the same time, UNICEF underscored the importance of nourishing and protecting babies in disaster sitiations by encouraging the continuation — and resumption, where possible — of breastfeeding. The U.N. office called exclusive breastfeeding of babies under 6 months old “a lifeline” in this emergency situation, where water treatment infrastructure is damaged or nonexistent and communicable diseases are on the rise.

UNICEF also repeated “internationally accepted guidelines” that strongly discourage the donation of breast-milk substitutes such as infant formula or powdered milk or milk products. Because those may require the use of water that is not sufficiently clean and because milk replacements can prompt some traumatized nursing mothers to cease or reduce their breastfeeding, denying their babies some of breastmilk’s protective benefits.

That was a problem after the Asian tsunami of 2004. According to the Emergency Nutrition Network, some 72% of families with infants received donated baby formula. The result was a dramatic decline in breastfeeding and a tripling of diarrheal diseases among babies, the British group concluded. “People are really well-meaning, and it’s a very difficult concept for people to grasp,” said lactation consultant Gina Ciagne. “But breastfeeding is going to be so much better.”

— Melissa Healy

http://latimesblogs.latimes.com/booster_shots/2010/01/haitian-earthquake-victims-iso-mothers-milk.html

January 27, 2010, 8:00 pm

Sending Breast Milk to Haiti  (New York Times /blog)

By LISA BELKIN

What to do for Haiti? Many of us are sending money. And some of us are sending breast milk.

The International Breast Milk Project and the Human Milk Banking Association of North America are coordinating an effort to get donations of human breast milk packed in dry ice, onto airplanes, ships and helicopters, through bureaucratic red tape and into orphanages for infants who are premature, orphaned and ill.

These groups regularly send donor milk for use in hospitals in the United States and Canada, as well as to AIDS babies in Africa and during emergency situations like the one now in Port-au-Prince. To donate, mothers must undergo a medical screening, and in addition to being in good health, the H.M.B.A.N.A. Web site says, they must be nonsmokers and may not regularly consume any medication, including megavitamins. Around the time of donation, they may not drink alcohol nor take a specified list of “excluded medications.”

http://parenting.blogs.nytimes.com/2010/01/27/sending-breast-milk-to-haiti/

Breast Milk to Orphaned and Sick Babies in Haiti  (PR Newswire United Business Media)

Quick International Courier donates its services for fast delivery

NEW YORK, Jan. 28 /PRNewswire-USNewswire/ — Today, International Breast Milk Project (IBMP) and Quick International Courier delivered close to 500 ounces of donor breast milk for premature, sick and orphaned infants aboard the USNS Comfort’s Medical Treatment Center stationed outside Haiti.

The ship is equipped with a neonatal intensive care unit and medical staff to provide emergency care to the youngest victims of the earthquake. They are uniquely positioned to handle a donation of breast milk because they maintain cold chain requirements and ensure proper handling and security of the donation.

Emphasizing the importance of human milk, Jay N. Gordon, Assistant Professor of Pediatrics at the UCLA Medical School, said, “Nothing protects at-risk, premature or sick infants like mother’s milk does.  Breast milk’s natural antibodies prevent illnesses, treat illnesses and will save lives.”

The earthquake that devastated Haiti has left countless infants without their mothers and without breast milk. Amanda Nickerson, Executive Director, for International Breast Milk Project told MediaGlobal, “Unfortunately, without proper infrastructure in place, frozen donor milk is not going to be a viable option for so many infants in need, but we are happy to make a difference in the lives of the infants aboard the USNS Comfort.”

Quick International Courier, a global medical logistics specialist, donated their services to provide packaging, dry ice and the fastest and most secure cold chain transport services to Haiti.

“It is so rewarding to be able to help make a difference in the lives of orphaned and critically ill babies.  As a mother and a person concerned about the world and health, this project really speaks to my heart,” said Dominique Bischoff-Brown, COO of Quick International Courier.

This humanitarian project has been made possible with the active cooperation of the Human Milk Banking Association of North America, who provided the donor milk, Toby and Maggie Moffett, of the Moffett Group in Washington, D.C., and the offices of Congressman Courtney, Congresswomen Betty McCollum, and Congresswomen Rosa DeLauro and the dedicated staff of the USNS Comfort.

IBMP is a non-profit organization dedicated to finding solutions to ensure that infants worldwide have access to donor milk when they need it. Since its inception, IBMP has provided over 65,000 bottles (262,682 ounces, 7,768 liters or 2,052 gallons) of donor breast milk to infants around the world.

For more information, please contact Amanda Nickerson, Executive Director. Cell: 786.837.3082. Email: amanda@breastmilkproject.org.

Visit www.breastmilkproject.org for additional details.

http://www.prnewswire.com/news-releases/international-breast-milk-project-delivers-donor-breast-milk-to-orphaned-and-sick-babies-in-haiti-82973372.html  

Ohio moms donate breast milk to Haiti babies

Haitian infants lack the breast milk. Mother’s Milk Bank of Ohio, which is located in Victorian Village in Columbus, donated about 500 ounces of breast milk in 140 bottles.

http://www.examiner.com/x-34433-Columbus-Headlines-Examiner~y2010m1d28-Ohio-moms-donate-breast-milk-to-Haiti-babies

San Jose Mother’s Milk Bank Helps Haiti

San Jose Mother’s Milk Bank is the only one of its kind in the Western U.S.  Now  the bank has sent about 500 ounces of donated breast milk to Haiti.   “Just this past week we got an emergency call from Navy pediatricians that they desperately need breast milk sent to Haiti,” Pauline Sakamoto said. 

The Milk Bank is also receiving about 100 calls a day from women who are offering to donate to help babies in Haiti. But those women must first be screened for certain diseases such as HIV and Hepatitis C before they can be accepted as donor

http://www.nbcbayarea.com/news/local-beat/San-Jose-Mothers-Milk-Bank-Helps-Babies-in-China-82848767.html

Miami Moms Donate Their Breast Milk to Haiti

Most babies aren’t up for sharing, but Miami moms think their infants will make an exception for this cause.

http://www.nbcmiami.com/news/local-beat/Breast-Milk-Donations-Needed-82839927.html

9 Comments

Filed under breast milk, breastfeeding, Breastfeeding in the News, Uncategorized

Breastfeeding in the News: Dec. 8th – Dec. 14, 2009

Hello All,                                                                

Good news! Reality TV star Kourtney Kardashian plans to breastfeed for five years! Well it sounds great until she explains why.  “I’m so excited,” said Kourtney to her sister, “I won’t have to cook for five years!” Sorry Kourtney, I hate to be the one to break this to you but if extended breastfeeding meant no cooking every mother in the country would still be suckling her teenagers!  In other celebrity news actress Vera Farmiga tells us what it was like to be breastfeeding while filming “Up in the Air” with George Clooney.   “She had to take nursing breaks while filming — especially during love scenes!…“I’ll tell you what it was like when we locked lips,” Vera reveals. “We’d do it and then I’d say, ‘OK, George, now I’ve got to go breastfeed.’ Then I’d come back and be trying to find sort of clever positions to hide the wet spots on my silk blouse.”  People are also asking if former Playboy model Kendra Wilkinson breasts implants will prevent her from breastfeeding.  As gossipy as it may sound, the article includes a good overview on how implants can affect the female anatomy.

 In New York the Rochester Business Alliance has expressed dismay that the new Health Care bill in Washington includes provisions to support the needs of lactating mothers in the workplace. In their esteemed opinion such an act “has nothing to do with reforming health care”.  According to an Alliance spokesperson, “What they’re doing now is just shifting costs. They’re doing nothing to change the delivery of health care… They’re doing nothing to address why health care costs are escalating.”

A “Paradigm shift”.  That’s what they are calling the latest approach to newborn care in the Philippines.  Not only will breastfeeding be initiated in the first hour, skin to skin contact will begin before the umbilical cord is cut, and the first bath will be delayed 8 hours.  Following the ENC (essential newborn care) guidelines put forth by the World Health Organization hospital staff are beginning to embrace these simple life saving measures.  Sometimes I think we here in the US would rather pay more for expensive medical treatment that makes us look “advanced” than to admit that “simplicity” saves lives.  A study in Nigeria provides another example where “simplicity” triumphs over technology.  Women who were allowed to bring a companion of their choice into the labor room were found to initiate breastfeeding sooner than those who were alone.  All the high tech resources in the world can’t compete with the loving touch of a caring companion.

‘We Go Into the Bush to Collect Herbs’  (my favorite story of the week) takes a look at pro & cons of moving birth away from the village and into the hospital.  The woman being interviewed tells how during her first three births she was surrounded by experienced women and that she never “experienced any difficulty or complication during or after labour.”  On the other hand it was her belief that “it was an abomination to give a baby the poisonous milk that comes immediately after delivery” and “in keeping with her tradition, the first thing to be given to the new born baby should be water and nothing else.”  While I applaud her government’s effort to debunk the myths surrounding colostrum (By the way, can anyone shed any light on why so many cultures shun colostrum?  To me it seems so counter intuitive to human survival.), the breastfeeding instructions that she is given in the hospital really worry me.  “…the breastfeeding mother needs to sit in an upright position while placing her child on a breast, which is expected to last for about 15 to 20 minutes, before the child could be transferred to the other breast. By so doing the child would have sufficient time to suckle the necessary ingredients contained in the breast milk. This is contrary to the traditional practice that was characterized by indiscriminate placement and transfer of a child from one breast to another, by the nursing mothers.”  Teaching her to watch the clock instead of the baby is not only counter intuitive it is also impractical in any rural village.  And why does she have to be upright?! 

 While we’re talking about Africa, there is a new HIV study that looks at HIV-exposed but uninfected children (which is about 40% of the babies born to HIV-infected mothers in Southern Africa) and concludes that exclusive breastfeeding significantly improved their long-term health.  “Being undernourished is predictive of death. Infant feeding patterns affect growth; the mean weight of children who are breastfed is greater than most children who are formula-fed during the first half of infancy. Breastfed HIV-infected infants had higher scores for weight for age than those who were not, in particular during the first six weeks of life—a difference of 130 grammes for male children and 110 grammes for female children.” It is heartening to know that not all babies born to HIV-infected mothers will be infected, and that just like normal babies, they too will benefit from exclusive breastfeeding. 

An interesting study done in Boston looked at the affect of religion on breastfeeding. Christians, Sikhs, and Muslims are more likely to stop breastfeeding before 24 months than Hindu mothers.  Researchers made a note that there is nothing in these religions that will explain early termination of breastfeeding therefore it has to be cultural factors and norms.” 

I’m not sure what to make of the new study from Finland claiming that waiting until 6 months to introduce foods actually increases the risk of food allergies.  According to these researchers “Late introduction of potatoes, rye, meat, and fish was significantly associated with sensitization to any inhaled allergen. Egg allergy was associated with late introduction of potatoes, carrots, cabbages, oats, wheat, rye, meat, fish, and eggs, while wheat allergy was related to late introduction of potatoes, wheat, rye, fish, and eggs.” 

But I think it’s important to note that “In the study, mothers breastfed for a median of 1.8 months, and the median age at the introduction of the first solid food was 3.5 months”.  I’m not the only one who has doubts, according to Dr. Zuo in Cincinnati the study was also” limited by using food sensitivity but not food allergy as an outcome for the study.”I am not supporting the conclusion of this article,” Zuo said in an e-mail. “But I support the concept that late introduction of solid foods may not protect children from allergic diseases and I also support early solid food introduction for many children not at high risk for allergic reaction.” Zuo added that the topic is hotly debated by allergists, and believes the “answer to increased allergic diseases is not [based] on the timing of solid food introduction, but something that happens earlier.”

According to the European Food Safety Authority (EFSA) the introduction of processed cereal based foods between 4 and 6 months does not impose a health risk.  This of course conflicts with the World Health Organization’s recommendations of delaying food for six months and opens the gates for formula companies marketing their infant cereals, which right now is a booming market place. 

A recent March of Dimes poll found that more moms worry that the stress they are under will affect their baby’s health than worried about the actual pain of childbirth. Only 60 percent worried that they wouldn’t be able to breastfeed successfully. 71% worried that their baby would be born prematurely.

According to Kathi Barber founder of the African-American Breastfeeding Alliance the disparity in breastfeeding rates for African-Americans “is so great it transcends socio-economics”  And in fact it can be traced back to the days of slavery when wet nursing for whites was part of the enforced social contract between slave and master.  (Thanks to Lisa Purro for sending me this article!)

A new study found that the number of babies being put to bed on their backs seemed has leveled off since 2001.  A doctor’s recommendation, fear that the baby might choke, and concern for the baby’s comfort were the top three deciding factors.  But “…between 2003-2007, only 53.6 percent reported that their doctors had advised them to put their babies on their backs only.” They also point out that “ A greater proportion of African-American infants than white or Hispanic infants die from SIDS each year”  The article went to recommend that one should “Think about using a clean, dry pacifier when placing your infant down to sleep, but don’t force the baby to take it. (If you’re breastfeeding, wait until your child is 1 month old, or is used to breastfeeding before using a pacifier.”) 

While we’re on the subject of sleep in Shunning the Family Bed. Who Benefits Most?” Dr. Jay Gordan says “The medical profession, as it often does, is approaching the entire idea of the family bed backward. A baby in the same bed with his or her parents is surrounded by the best possible surveillance and safety system. It must be the responsibility of the manufacturers and proponents of cribs and separated sleep to prove that such disruption is safe, not the other way around.”   

In Ask Mr. Dad: The joys of sleep deprivation” the author warns I’m sure you tried to prepare yourself for all the changes. But there’s a difference between watching a tornado on TV and having one blow the roof off your house. Now that your baby is actually here, it’s pretty obvious that nothing could have fully prepped you for the daily (and nightly) challenges of living with a newborn.”  He goes on to add that the man’s wife might be experiencing a case of “baby blues” “And the fact that she’s breastfeeding on demand – and is experiencing the exhaustion that goes along with it – just makes things worse.” 

Also the UK mania for lists has been noted for its downside. In addition to “hospitals good at caring for the dying get marked down because people die there,…a small maternity hospital is closed because the acute hospital is more “productive”, but ask the actual mothers cared for at the little hospital, and you find that their rates of breastfeeding and health are higher, of depression lower.

Remember when everyone was up in arms because Facebook was removing photos of breastfeeding mothers?  According to  Barry Schnitt (FB’s director of policy communications) ‘The majority of the photos removed were of completely nude women (posing in mirrors or bathtubs) who happened to involve a baby eating lunch.  Another misnomer is that the company was employing people to blindly click through pictures in search of breasts to flag for removal. “We only act on things that are reported to us,” Schnitt said “So, if your au naturel pose gets zapped, blame a friend.” 

That’s it for now. I hope your holiday was as good as mine! It was just a year ago today that I first joined Facebook.  To my great surprise I now have over 650 friends!  Thank you all for keeping me connected to the world of women, birth, and babies.  As always I love hearing from you.

Kathy Abbott, IBCLC 

www.BusyMomsBreastfeed.com

On Facebook: “Breastfeeding in the News” 

My Blog:  http://TheCuriousLactivist.wordpress.com/

 

 

List mania is the besetting folly of our age.

Oh dear. A golden rule for life is that that there are some things you don’t put down on paper. Ever. The nation’s weary couch-potatoes woke yesterday to a gust of shocked hilarity, as somebody leaked a BBC document fussily labelled “Knowledge Commissioning Graded Talent List”. It puts TV presenters under “Top Tier Highly Valued”, “Mid-range average appeal”, “On the way up” and — at this point the reader falls off the chair, helpless with glee — “Occasional sparkle but limited appeal”.

The mad list is interesting, though, as a symptom of a wider phenomenon: list-mania and tabulation fever has been the besetting folly of the Noughties. Government adores its faulty league tables of schools, universities, hospitals and local authority services. Instead of intelligent inspection and help, billions of pounds and years of effort are poured into lists and tables that serve little purpose. They demoralise some, make others smug, and condition thousands of managers to work to targets that skew and corrupt their core mission. Gradual growth, local adaptation and interesting initiatives are stifled: hospitals good at caring for the dying get marked down because people die there, schools that deal valiantly with problem estates get slammed as “failing”.

Meanwhile subtler indicators are ignored. A small maternity hospital is closed because the acute hospital is more “productive”, but ask the actual mothers cared for at the little hospital, and you find that their rates of breastfeeding and health are higher, of depression lower. The same principle applies to the elderly who lose rural cottage hospitals and become more, not less, dependent. In every area, formulaic paperwork outranks sense.

You can see why. Lists and tables make managers feel safe, as if life and a happy society were a science, not an art. Given enough lists, they hope for a formula. But in reality, league tables mainly appeal to a judgmental, talent-show mentality. They work fine in sport — a goal is a goal — and book sales or cinema tickets are countable. In subtler fields of effort they are often worse than worthless.  At least daffy media lists have no power (with luck, neither does the BBC bêtise). But they should be mocked, because they only encourage government itself in its damaging love of fruitless, phantom tidiness in an imaginary paper world.

http://www.timesonline.co.uk/tol/comment/article6955233.ece

Teaching Black Women To Embrace Breast-Feeding

African-American moms have the lowest rates of all — by some measures, they are half as likely to nurse as whites and Hispanics

When Kathi Barber gave birth a decade ago, she was the first in her family in generations to nurse, and was dumbfounded to realize she had no role models. Barber became obsessed with encouraging nursing among black moms, as numerous studies show that exclusive breast-feeding can reduce a baby’s chances of developing diabetes, obesity, ear infections and respiratory illness. Yet Barber was frustrated that for many new mothers, their only image of this age-old act may come from a museum or a National Geographic documentary. “Tribal women, with elongated breasts, earrings and tribal jewelry. And let’s say we’re trying to promote that to a 25-year-old, mmm …” she laughs. “I don’t think that’s going to do the trick.”

So Barber founded the African-American Breastfeeding Alliance and wrote The Black Woman’s Guide to Breastfeeding. As a lactation consultant, she travels the country putting on workshops and training sessions, and encouraging hospitals and family clinics to reach out to this community.

In fact, the older, more educated and higher-income a mother is, the more likely she is to breast-feed. But experts say the disparity for African-Americans is so great it transcends socio-economics.

Barber says work is clearly a huge barrier, and black moms may be more likely to hold lower-wage jobs with no breaks allowed for nursing. African-Americans have also had to earn money since long before the women’s liberation movement.

In fact, Barber thinks you can trace part of the problem all the way back to the breakup of families under slavery, and the enduring, negative image of so-called mammies — slaves made to serve as wet nurses for their master’s white children.

http://www.npr.org/templates/story/story.php?storyId=121755349

Coordinator promotes breast feeding

Kelly Sibley is in charge of promoting one of the best ways to keep newborn babies healthy, a practice in which Oregon leads the nation Sibley, 52, is the breast feeding program coordinator for Oregon Division of Public Health. She lives in Portland.

Q: Has Oregon implemented any public policies that have helped successfully promote breast feeding?

A: We have a law that protects a mother’s right to breast feed in public. We also have a law to protect breast feeding in the workplace, so mom who are returning to work are provided a clean and private place to express her milk.

Q: Is there anything else that has helped make Oregon get so far ahead of the curve when it comes to breast feeding?

A: I don’t think we’re totally clear about why we are so far ahead. I think for Oregon, breast feeding is seen as normal, more normal than it’s seen in other places. You are walking in a park and you look over and you see a mom on a bench and she’s breast feeding, it’s more likely to be accepted as normal here. She’s more likely to get a smile or just be left alone. In other places, she might be asked to leave or asked to go into the bathroom. I say, how would you feel if someone asked you to eat your lunch in the bathroom?

http://www.statesmanjournal.com/article/20091214/NEWS/912140315/1001/news

Samantha Harris On Managing Motherhood, Career

After welcoming her daughter in 2007, Samantha Harris learned all too quickly that it often takes a village to raise a child….The juggling of her career — including her cohosting responsibilities on Dancing With the Stars, a correspondent for The Insider, and cohosting Entertainment Tonight Weekend — began only three weeks after delivering her daughter Josselyn Sydney when Samantha returned to the DWtS set….With baby girl at home with the nanny, the new mama arrived to work with her pump in hand!..“I was breastfeeding so I was pumping again and again throughout the production day and right before I went on stage because we didn’t want to have any mishaps in a gown — on live television!” she tells Working Mother.

http://celebrity-babies.com/2009/12/12/samantha-harris-on-managing-motherhood-career/

Vera Farmiga Says Family of Three Is ‘Inseparable’

In her new film Up in the Air, Vera Farmiga portrays corporate executive and frequent-flyer obsessed Alex, a love interest for George Clooney. Although in real life she’s married to musician Renn Hawkey of Deadsy and mom to 11-month-old Fynn,…With Vera’s busy career, Renn and Fynn are often along for the ride as she films on location. “My husband and I have made a pact,” she explains. “We are inseparable. He and my son just come along. I can’t handle it alone. I don’t like it when they’re not with me. I need them.”…Calling childbirth “just an incredible gift,” Vera, 36, says that motherhood both helped and hindered her approach to the role. “I never felt so empowered, so powerful, so womanly as I did after I gave birth,” she shares. “I felt more feminine than I ever had in my life. So I just rode that wave.”…At the same time — as a breastfeeding mom — Vera says that she had to take nursing breaks while filming — especially during love scenes!…“I’ll tell you what it was like when we locked lips,” Vera reveals. “We’d do it and then I’d say, ‘OK, George, now I’ve got to go breastfeed.’ Then I’d come back and be trying to find sort of clever positions to hide the wet spots on my silk blouse.”…There were also hormones to contend with, and Vera admits “I got very tired at times and, God knows, there were a lot of tears.”…Regardless, she says she had no reservations about accepting the role — or stepping into motherhood….“The birth was going to be close to the start of filming and it was my first child–but, I come from a family of seven children. I was always very comfortable changing diapers. I felt confident that I’d be fine as a first time mother. I said to [director] Jason [Reitman], ‘This is a great creative opportunity and I could use a paycheck.’”

http://celebrity-babies.com/2009/12/11/vera-farmiga-says-family-of-three-is-inseparable/

Study Links Factors to Choice of Infant Sleep Position

Researchers funded by the National Institutes of Health have identified three principal factors linked to whether caregivers place infants to sleep on their backs. Those three factors are: whether they received a physician’s recommendation to place infants only on their backs for sleep, fear that the infant might choke while sleeping on the back, and concerns for an infant’s comfort while sleeping on the back.

The survey also found that after increasing steadily, the proportion of infants placed to sleep on their backs leveled off in the years since 2001.

A greater proportion of African-American infants than white or Hispanic infants die from SIDS each year

In the study, the researchers reported that between 2003-2007, only 53.6 percent reported that their doctors had advised them to put their babies on their backs only.

Always place babies on their backs to sleep — Infants who sleep on their backs are less likely to die of SIDS than babies who sleep on their stomachs or sides. Placing your baby on his or her back to sleep is the number one way to reduce the risk of SIDS.
Use the back sleep position every time — Infants who usually sleep on their backs but who are then placed on their stomachs, like for a nap, are at very high risk for SIDS. So it is important for babies to sleep on their backs every time, for naps and at night.
Place your baby on a firm sleep surface, such as a safety-approved crib mattress covered with a fitted sheet — Never place an infant to sleep on a pillow, quilt, sheepskin, or other soft surface. Information on crib safety and regulatory requirements for infant cribs is available from the Consumer Product Safety Commission at http://www.cpsc.gov/info/cribs/index.html.
Keep soft objects, toys, and loose bedding out of an infant’s sleep area – Don’t use pillows, blankets, quilts, sheepskins, or pillow-like bumpers in your baby’s sleep area. Keep all items away from the infant’s face.
Avoid letting your baby overheat during sleep – Dress your infant in light sleep clothing and keep the room at a temperature that is comfortable for an adult.

Think about using a clean, dry pacifier when placing your infant down to sleep, but don’t force the baby to take it. ( If you’re breastfeeding, wait until your child is 1 month old, or is used to breastfeeding before using a pacifier. )
In addition to Dr. Colson, other authors of the study were Denis Rybin, Theodore Colton and Michael J. Corwin of Boston University; Lauren Smith, of the Massachusetts Department of Public Health; and George Lister, of University of Texas Southwestern Medical Center at Dallas.

http://media-newswire.com/release_1107902.html

Cut the crude commentary about breastfeeding moms

By Ruth Butler | The Grand Rapids Press

Seriously?

A proposed bill to help mothers feed their babies is giving people fits? I guess folks would prefer mothers with babies stay home – drapes closed, if possible – until the child is old enough to scarf burgers at Mickey Ds the way God intended. Isn’t that, after all, why he created formula via his humble servant Justus von Liebig in 1867? (Thanks, Wiki.)

Whether the bill protecting a mother’s right to breastfeed in public passes through the state House has become secondary. What’s appalling is the reaction of those who are a) offended and/or b) driven to crude commentaries at the prospect of moms offering nutrition to children – the ones who are America’s future and the crux of every really important protest. Cue the “What About the Children?” chorus.

Everyone needs to calm down and accept breasts make people crazy. They are sexual, they are signs of womanhood (ask any 12-year-old girl – or boy.)

They are – insert giggle here – titillating.

Yet, I’ve never met a nursing mother who viewed feeding time with her child as an equivalent to foreplay or exhibitionism.

Sure, those who think mothers caught with a hungry child in public should do it in private – ever eaten your lunch in a bathroom stall? – also claim to have seen examples of flashing during the meal. But having been one, and seen many more nursing mothers, I testify most women are discreet. They cover themselves and focus on the wonderful task at hand, rather than take feeding time as a chance to put it out there for evaluation.

Where are the howls of protest for women who do just that? Why do you think they call it Hooters? Because only wise old owls eat there? Isn’t more being offered than what’s on the menu, in a look-don’t-touch sort of way?

Seriously. Strut your stuff at the beach, on the dance floor, in situations where cleavage is expected. But feeding time? It’s among the least sexual moments of a human’s life.

The only sexual thing going on at nursing time is in the minds of others. Making it their, not the mother’s, problem. Unless, of course, she’s kicked out of a building or the police are called (Google Target, breastfeeding.)

Of course, we could follow the example of other countries that see this and other ways women weave their seductive webs as way too provocative.

Burkas all around! Cover the hair, the lips, the body. Save the weak from themselves.

Seriously.

http://www.mlive.com/living/grand-rapids/index.ssf/2009/12/column_cut_the_crude_commentar.html

Recently, police were called on a complaint about a breastfeeding mother in a Harper Woods store. Here’s what local moms had to say.

“The people at Target were being stupid and by calling the police they made this into a bigger issue than it needed to be. I feel bad for the woman and her husband at being called out and embarassed for doing something completely normal! It was uncalled for and ridiculous!”— CinderMomma

“There is always more to the story I think but unlike the last incident which took place in a restaurant (a completely different scenario) I can’t imagine what the issue would be. I have seen women breastfeeding in the mall (at least I assume they were since they were discreet) and really who would care? Unless…..things got loud?”— Coco958

“If you are breast feeding a four week old infant in an aisle at Target you are a poor parent…period.”— paf

“if you’re bf’ing IN THE AISLE, (a) you’re probably blocking aisle traffic, (b) it ain’t the best positioning for the kid, (c) it ain’t the safest way to assure yourself and those around you that your boob won’t accidentally “unfurl” so to speak. Not saying kids shouldn’t be fed, but it ain’t all about you and your boob and your baby. There ARE other people who are actually shopping too ya know.”— shaari

http://www.freep.com/article/20091213/FEATURES01/912130336/1026/Features01/Recently-police-were-called-on-a-complaint-about-a-breastfeeding-mother-in-a-Harper-Woods-store.-Heres-what-local-moms-had-to-say.-Todays-topic

Someone Needs To Explain Babies To Kourtney! 

Before one crawls out of her vagina and is thrusted into a world where his mother thinks she should be breastfeeding until the kid is five.  FIVE?! Gross!

http://perezhilton.com/2009-12-11-someone-needs-to-explain-babies-to-kourtney

Can Kendra Wilkinson breast-feed her baby even though she has implants?

Former Playboy model and reality TV star Kendra Wilkinson, wife of Indianapolis Colts wide receiver Hank Baskett, gave birth to a boy Friday morning. During her pregnancy, Wilkinson announced her intention to nurse her child despite having breast implants. Do implants affect a mother’s ability to breast-feed?

Generally, no. Most women who get breast implants, whether made of saline or silicone, can go on to breast-feed. But some types of breast augmentation surgery are more likely than others to result in complications when it comes to nursing. The two most common methods of implantation are peri-areolar incision (slicing just below the nipple) and inframammary incision (slicing along the crease below the breast). Cutting around the areola, the dark circle of skin surrounding the nipple, is much more likely to interfere with the network of nerves, glands, and milk ducts located toward the front of the breast that produce and carry milk to the nipple. Cutting underneath the breast allows the surgeon to circumvent that whole system rather than going straight through it. If a woman wants to breastfeed after getting implants, doctors usually recommend inframammary procedure, or an alternative route of insertion like the underarm or the belly button. Some doctors, however, still favor the peri-areolar technique because it allows for more precision when placing the implant and can produce less noticeable scarring. (Other considerations for which procedure to get include breast size, pain, and risk of the implants hardening.)

… The likelihood of nursing problems also depends on where, exactly, the surgeon places the implant. Subglandular placement—behind the mammary glands but in front of the chest muscles—has a higher risk of breastfeeding complications. That’s because the tissue surrounding the implant is more likely to harden when it’s in that position, which can make nursing difficult or painful. (The advantage is that the operation itself is quick and relatively painless.) The alternative is to slip the implant behind the chest muscle, separating the balloon from the lactation system entirely. This procedure is more common and generally better for breastfeeding. The downside of submuscular placement is that it’s more painful—the doctor has to fidget with the muscle itself—and it takes longer after surgery for the implant to “drop” into a more natural-looking position.

Implants could also interfere with nursing if they’re too big compared with the amount of skin and tissue surrounding them. Lactation proceeds most smoothly when the mother’s milk-producing lobes—arranged around the center of the breast—have room to expand and contract. If an implant puts too much pressure on the lobes, that can reduce the amount of milk generated

http://www.slate.com/id/2238096/

Social support during childbirth as a catalyst for early breastfeeding initiation for first-time Nigerian Mothers

Initiation of breastfeeding can be difficult in a busy maternity centre with inadequate manpower and social support. This study aims to explore the role of psychosocial support offered by companions on breastfeeding initiation among first-time mothers.  Methods: This is a secondary data analysis of a randomised controlled trial conducted among women attending the antenatal clinic of the University College Hospital, Ibadan, Nigeria in 2007.  Those in the experimental group were asked to bring someone of their choice to the labour room to act as a companion; the comparison group received standard care. The results of 209 HIV negative women who had vaginal births were analysed.

The main outcome measure was time to initiation of breastfeeding after childbirth.

Results: Of the total, 94 had companions during labour while 115 did not have a companion. The median time to breastfeeding initiation was significantly shorter in those with companions compared to controls (16 vs.54 minutes; p <0.01). The cumulative survival analysis indicated that all in the treatmentgroup had initiated breastfeeding by 26 minutes, while among the control group none had commenced at 30 minutes post-delivery with some as late as 12 hours.

Conclusion: Use of companions during labour is associated with earlier time to breastfeeding initiation among first-time mothers in Nigeria

http://7thspace.com/headlines/328403/social_support_during_childbirth_as_a_catalyst_for_early_breastfeeding_initiation_for_first_time_nigerian_mothers.html

Breastfeeding Provision in Senate Bill Causes Controversy 

The Senate health care reform bill is more than 2,000 pages long. One of the provisions, a provision on page 1,239, is being applauded by new mothers. But business owners are asking what it has to do with any real reform.

The Rochester Business Alliance says its members are not against providing this kind of benefit to new mothers, but they say adding it to the Senate bill is wrong because it has nothing to do reforming health care.  MY fear is that throwing in things is just going to add costs,” says Sandy Parker of the Rochester Business Alliance. “What they’re doing now is just shifting costs. They’re doing nothing to change the delivery of health care… They’re doing nothing to address why health care costs are escalating.”

Those who support this bill say employers do benefit. Mothers with healthy infants take less time off of work and have less stress. The cost of these rooms is paid for in the first year alone.

In a survey, Rochester business owners say the want to continue to provide insurance benefits but only if they can get relief from escalating premiums.

The bottom line is that the bill keeps adding requirements for employers without  providing that relief.

http://www.13wham.com/news/local/story/Breastfeeding-Provision-in-Senate-Bill-Causes/lqyWY3b7MUintrfUeNQyUw.cspx

Infants without HIV suffer no growth check, despite maternal infection

Exclusive breastfeeding, however, significantly improved the long-term health of children born to HIV-infected mothers, lending further support to the recently revised World Health Organization (WHO) guidelines on infant feeding.

Being undernourished is predictive of death as well as poor early development in low- and middle- income countries where HIV is prevalent.

Infant feeding patterns affect growth; the mean weight of children who are breastfed is greater than most children who are formula-fed during the first half of infancy.

Of importance in these findings is the fact that HIV-exposed but uninfected children had a growth rate as good as that of the reference group. The authors note this is significant for two reasons:

  • Of the approximately 40% of infants born to HIV-infected mothers in Southern Africa most will be exposed but uninfected. While important, the growth and development of these children is often ignored.

 

Breastfed HIV-infected infants had higher scores for weight for age than those who were not, in particular during the first six weeks of life—a difference of 130 grammes for male children and 110 grammes for female children.

And, in line with recent WHO recommendations, they conclude: “These finding strengthen the recommendations of exclusive breastfeeding for HIV-infected women in resource-poor settings, for long-term child health.”

http://www.aidsmap.com/en/news/85CD7329-BD69-49E6-BEEE-9BA792BA6BBF.asp

A paradigm shift in newborn care
(The Philippine Star)

We’ve seen it portrayed in movies. A baby is delivered. It is held upside down and spanked. The umbilical cord is clamped and cut, and the baby is whisked away to be washed and cleaned immediately. Wrong!

Washing should be postponed until eight hours after birth,” said Dr. Aleli Sudiacal of the Department of Health (DOH) at a forum held recently at the Quirino Memorial Medical Center in Quezon City.

Aware of the need to raise the quality of post-natal care in health facilities, the World Health Organization (WHO), in partnership with the DOH, is promoting a new approach where evidence-based components are integrated in post-natal care. Called the Essential Newborn Care (ENC), this simple set of proven intervention can save the lives of newborns.

The new protocol is to postpone washing and instead, dry the baby immediately, within the first 30 seconds, and initiate skin-to-skin contact with the mother before clamping the umbilical cord. Breastfeeding should also be initiated within the first hour of birth.

“It’s a major paradigm shift,” said Dr. Honorata Catibog, head of the DOH Task Force on the Rapid Reduction of Maternal and Neonatal Mortality.

“Studies showed delayed breastfeeding by one day increases by 2.6-fold the risk of death due to infection,” said Dr. Asuncion Silvestre, head of the PGH Lactation Unit and Milk Bank. 

“Before, the focus was on pre-natal care, with the practice of at least four pre-natal visits. But essential newborn care actually starts even before the mother gets pregnant

. It starts with the status of the health of the woman,” Silvestre said. “All pregnancies are considered at high risk. We advocate facility-based delivery attended by skilled health professionals.”

“We practice the team approach involving doctor, nurse, and midwife,” said Dr. Bella Vitangcol who led the familiarization tour of the essential newborn care facilities at the Quirino Memorial Medical Center, a pioneer in newborn care

http://www.philstar.com/Article.aspx?articleId=530921&publicationSubCategoryId=75

Baby Dies Aboard United Airways Flight: A Response

Pardon me for quarreling with the experts, but this mother is being blamed for falling asleep? On a transatlantic flight? With a 4-week-old?

What nursing mother hasn’t fallen asleep while nursing her child? Back before the days of studies and guidelines and research and panels, back when the experts were primarily mothers, most women probably fell asleep every night while nursing their children. Many still do. But we’re not supposed to, because sleeping while holding a baby is taboo right now, along with letting babies sleep on their stomachs, or using forward-facing car seats, or feeding babies honey before age one.

We have expert-approved guidelines for every possible aspect of child-rearing, and I appreciate the insight afforded by such guidelines. But I wonder if they make it easier to blame parents when the unthinkable happens. The recommendations are ever-increasing and ever-changing, and that’s not even getting into the fact that on most issues, experts disagree. Parents are stumbling under the weight of all these “shoulds,” and when tragedy strikes, these recommendations morph into pointing fingers of accusation.

http://blog.christianitytoday.com/women/2009/12/baby_dies_aboard_united_airway.html

Breastfeeding for 5 years?

Kourtney Kardashian plans to breastfeed for five years.

The US reality star is expecting her first child, a boy, with partner Scott Disick later this month. Her sister Khloe has revealed Kourtney was initially clueless about what motherhood would entail, and expected to have to breastfeed until her son started school.

“Kourtney was like ‘I’m so excited, I don’t have to cook for five years,’ ” Khloe said. “And I go, ‘What do you mean?’ She’s like, ‘I’m gonna breastfeed.’ I go, ‘For five years?’ She has, like, no idea!”

Kourtney’s other sister Kim added she never thought of her 30-year-old sibling as maternal. She claims Kourtney has always been afraid of children, and done everything in her power to steer clear of them.

Kim said on The Rachel Ray Show: “Kourtney was never ever the type that I ever would think would ever want to have kids. She owns a kid’s clothing store, and if a kid would come in she would be like, ‘Where’s your mom? You need to go find your mom and come in with her.’ She didn’t understand it and she wasn’t that nurturing.”

http://entertainment.iafrica.com/news/2104660.htm

Ask Mr. Dad: The joys of sleep deprivation

Dear Mr. Dad: Our son is 3 weeks old and my wife is exhausted from breastfeeding. I have to be out of the house early in the morning to make it to work, but I do help her out between 2 a.m. and 4 a.m. But when I try to get a little sleep before or after those hours, or if I’m too slow to wake up, she’ll say to our son things like “Daddy doesn’t care.” This hurts my feelings because I’m doing as much as I can, and I do have to put in an eight-hour day in the office. How do I handle this situation?

I’m sure that everyone you knew tried to warn you that becoming a dad would turn your life upside down, right? And I’m sure you tried to prepare yourself for all the changes. But there’s a difference between watching a tornado on TV and having one blow the roof off your house. Now that your baby is actually here, it’s pretty obvious that nothing could have fully prepped you for the daily (and nightly) challenges of living with a newborn.

While trying to take care of your son around the clock and dealing with all the adjustments of being a new mom, there’s a good chance that she’s experiencing symptoms of what’s generally called “baby blues,” feelings of sadness, loneliness, vulnerability, and questioning her ability to be a good mom. And the fact that she’s breastfeeding on demand – and is experiencing the exhaustion that goes along with it – just makes things worse.

Your wife probably doesn’t mean to snap at you. In some irrational way, she may actually believe that you aren’t pulling your weight. After all, you spend most of your day in the company of adults, while she is housebound with a baby.

Ask yourself this: Are you really doing as much as you reasonably can to help your wife through this difficult time, or could you do more? Obviously, since you have a full-time job, she can’t expect you to stay up at night taking care of the baby – someone has to put food on the table. On the other hand, maybe you can take over from your wife as soon as you come home, giving her some much-needed “me” time, and you a great opportunity to spend some quality time with your baby.

http://www.sanluisobispo.com/living/family_relationships/story/948784.html 

Allergies Linked to Delaying Solid Foods.

Delaying solid foods when children are babies may be tied to food allergies later on, Finnish researchers say.

Introducing eggs, oats, and wheat into an infant’s diet late in the game — around age 6 months — was associated with food allergies by age 5, Bright I. Nwaru, MPhil, MSc, of the University of Tampere, and colleagues reported online in Pediatrics.

In a related finding, late introduction of potatoes and fish was tied to sensitivity to inhaled allergens, such as pollen, animal dander, and dust mites.

“Introducing solid foods late to the child may increase the risk of being sensitized to these allergens,” Nwaru wrote in an e-mail.

Current pediatric recommendations suggest exclusive breastfeeding for the first six months to prevent allergic diseases. These recommendations have been based mainly on the assumption that an infant’s gut mucosal barrier is immature, and that introducing solid foods early may instigate sensitization to foods and inhaled allergens.

But emerging evidence shows these recommendations lack a strong scientific basis, Nwaru wrote.

“The implication of our study on breastfeeding and introduction of solid foods — like other recent studies have shown — is that prolonging exclusive breastfeeding, thereby introducing solid foods late, may not prevent allergic diseases in the child,” he added.

But he emphasized that the finding does not diminish the benefits of breastfeeding for six months among the general population — merely that exclusive breastfeeding doesn’t have a role in allergy prevention.

The researchers looked at data on 994 children from the Finnish Type 1 Diabetes Prediction and Prevention nutrition study. This was a prospective birth cohort study, so that information was available on breastfeeding, age at introduction of solid foods, and allergen-specific immunoglobulin E levels at age 5.

Every child had HLA-conferred susceptibility to type 1 diabetes.

In the study, mothers breastfed for a median of 1.8 months, and the median age at the introduction of the first solid food was 3.5 months.

Potatoes were the earliest food introduced to the children, followed by fruits and berries, carrots, cabbages, cereals, meat, fish, and eggs.

The researchers found that late introduction of potatoes, oats, rye, wheat, meat, fish, and eggs was significantly associated with a sensitization for food allergy, albeit after different time periods: 4 months for potatoes, 5 months for oats, 7 months for rye, 6 months for wheat, 5.5 months for meat, 8.2 months for fish, and 10.5 months for eggs.

Late introduction of potatoes, rye, meat, and fish was significantly associated with sensitization to any inhaled allergen.

Egg allergy was associated with late introduction of potatoes, carrots, cabbages, oats, wheat, rye, meat, fish, and eggs, while wheat allergy was related to late introduction of potatoes, wheat, rye, fish, and eggs.

In adjusted analyses, eggs, oats, and wheat were the most important foods related to sensitization to food allergens (P=0.007, P=0.004, and P=0.002, respectively). Potatoes and fish were the most important foods associated with inhalant allergic sensitization (P=0.043, P=0.028, respectively).

There was no evidence of reverse causality, when parental allergic rhinitis and asthma were taken into account.

The study was limited because children were selected on the basis of HLA-conferred susceptibility to type 1 diabetes, which may limit its generalizability to the general population.

Li Zuo, MD, of Cincinnati Children’s Hospital Medical Center, said the study was also limited by using food sensitivity but not food allergy as an outcome for the study.

“I am not supporting the conclusion of this article,” Zuo said in an e-mail. “But I support the concept that late introduction of solid foods may not protect children from allergic diseases and I also support early solid food introduction for many children not at high risk for allergic reaction.”

Zuo added that the topic is hotly debated by allergists, and believes the “answer to increased allergic diseases is not [based] on the timing of solid food introduction, but something that happens earlier.

http://www.medpagetoday.com/AllergyImmunology/Allergy/17382

Sushi & Breastfeeding Join Birth Defects & Preterm Birth as Leading Concerns of Moms

Moms worry. Even before they become moms. From the minute they start thinking about whether they want to have a baby until long past the birth, moms worry.

Will my baby be healthy? Will I be a good mom? Can I dye my hair while pregnant? What can I eat?

The March of Dimes poll found that the number one thing moms worried about was birth defects – 78 percent said they were worried their child would be born less than perfect. Stress was moms’ second fear, with 74 percent answering that they were concerned if stress in their life would harm their baby’s health. Preterm birth was a close third with 71 percent saying they were worried their baby would be born too soon.

Surprisingly, only 70 percent thought about the fear of pain of childbirth and 55 percent were worried that they wouldn’t get to the hospital on time!

Other things moms worried about were:

  • 60 percent worried they wouldn’t be able to breastfeed successfully.
  • 59 percent worried about losing weight after pregnancy.
  • And, 59 percent worried about getting pregnant in the first place.
  • Sushi and fish was the number one food concern, with 61 percent concerned

 

http://www.prnewswire.com/news-releases/sushi–breastfeeding-join-birth-defects–preterm-birth-as-leading-concerns-of-moms-78840487.html

No risk to 4 month old babies eating cereal-based foods, says EFSA

(see link for full story)

http://www.nutraingredients.com/Health-condition-categories/Maternal-infant-health/No-risk-to-4-month-old-babies-eating-cereal-based-foods-says-EFSA/?utm_source=Newsletter_Product&utm_medium=email&utm_campaign=Newsletter%2BProduct

More Muslim, Christian, and Sikh mothers stop breastfeeding early: study

Mothers may breastfeed their children two complete years for whoever wishes to complete the nursing [period]. Surah Al-Baqarah : 233

The Holy Quran is clear that the duration of breastfeeding of infants are for a period of two years. World Health Organization (WHO) and Government of India’s guidelines also suggest breastfeeding for a period of two years. Breast milk is an excellent source of nutrition and essential for the healthy growth of the child.

A latest study finds that a greater share of Muslim, Christian, and Sikh women breastfeed their young ones for less than two years. The study is done by Harvard School of Public Health of Boston, Massachusetts, USA and published in July 2008 issue of peer-reviewed journal Maternal & Child Nutrition.

Data analysis revealed that religion was an important factor in the likelihood of stopping breastfeeding. This likelihood was significantly higher for Muslims, Sikhs and Christian. In terms of adjusted ratio Muslim mothers are 10% more than Hindu mothers in stopping breastfeeding before their children have reached the age of 24 months, while this ratio is much higher for Christians (34%) and Sikhs (33%). Researchers made a note that there is nothing in these religion that will explain early termination of breastfeeding therefore it has to be cultural factors and norms.

http://twocircles.net/2009dec08/more_muslim_christian_and_sikh_mothers_stop_breastfeeding_early_study.html

Shunning the Family Bed. Who Benefits Most?

According to Dr. Jay Gordon, babies sleeping on a safe surface with sober, nonsmoking parents respond to their parents, and the parents respond to them. The chance of SIDS occurring in this situation are close to zero. Babies in a crib or in a room away from their parents, on the other hand, will breastfeed less and are at greater risk of infections, including life-threatening ones.

The medical profession, as it often does, is approaching the entire idea of the family bed backward. A baby in the same bed with his or her parents is surrounded by the best possible surveillance and safety system. It must be the responsibility of the manufacturers and proponents of cribs and separated sleep to prove that such disruption is safe, not the other way around.

Newborn babies breathe in irregular rhythms and even stop breathing for a few seconds at a time. To put it simply, they are not designed to sleep alone.

http://www.foodconsumer.org/newsite/Non-food/Lifestyle/shunning_the_family_bed_081220090712.html

‘We Go Into the Bush to Collect Herbs’

Tumba, the mother of three, could not explain what exclusive breast feeding is all about, neither has she seen reason for imbibing the practice, despite being told of its significance.

According to her, she was in the hospital for the first time after giving birth thrice, explaining that whenever she was pregnant, there were some elderly women around her that nursed her throughout the period of her pregnancy to delivery. For the three occasions she was in labour, there was never a time when she had experienced any difficulty or complication during or after labour.

Tumba added that she was only in the hospital for the antenatal care, after she was forced to visit the hospital by her relations whom she had just visited in Nafada town. She added that as soon as her husband comes down to fetch her, that would be the end of her visitation to the hospital.

“Going to health facilities for antenatal and medical treatment is only for the elite that live in the cities. In my case we only go into bush to collect herbs for our medication ,and that of our children”, Tumba stated.

When asked whether she has any knowledge about Exclusive Breastfeeding (EBF), Tumba said it was an abomination to give a baby the poisonous milk that comes immediately after delivery. To her, the first milk must be poured away before the newly born baby would be initiated to the mother’s breast, saying in keeping with her tradition, the first thing to be given to the new born baby should be water and nothing else.

Her words ” The first thing to be administered to a newly born child is feeding him with water. That is what I did to all my children and you can see them, they are still hale and hearty. So I don’t believe in giving breast milk as the first food after birth”.

To her, breastfeeding was placing the child on his mother’s breast to suck for a while, particularly, when the child indicated a sign of being hungry by persistently crying. He/she would be introduced to the breast and after the child stopped crying ,it indicated that the baby was satisfied. The child is put on breast milk only if he/she cries again.

She further argued that after three months of mixed breastfeeding with water, the child would be introduced to food, preparatory to the introduction of weaning (uprooting from breast milk) of the child. At six months the child would be fully introduced to food which called for his/her instant removal from the mother’s breast.

The chief Nursing officer cautioned nursing mothers against failure to introduce a newly born baby to the breast, debunking the notion that the first milk of the nursing mother was contaminated, and for that reason it should be poured away. Hajia Aisha argued that the first available milk after delivery contains colostrums, which is full of water and high concentration of nutrients that could not be obtained in any infant formula food. Therefore, this indicated the necessity of introducing the newly born baby to skin to skin breastfeeding, immediately after birth.

he added that the breastfeeding mother needs to sit in an upright position while placing her child on a breast, which is expected to last for about 15 to 20 minutes, before the child could be transferred to the other breast. By so doing the child would have sufficient time to suckle the necessary ingredients contained in the breast milk.This is contrary to the traditional practice that was characterized by indiscriminate placement and transfer of a child from one breast to another ,by the nursing mothers.

The nursing mothers will be taught how to prepare a pap full of protein, by fortifying the pap with Soya beans and groundnut formula, for the growth and development of the child.

http://allafrica.com/stories/200912070653.html

A Look Into Facebook’s Judicial System

What’s nudity? The policy enforcers at Facebook, a team of more than 100 spread out in offices around the world, including Northern California, London and Dublin, struggled with that question earlier this year. A legion of angry mothers revolted in response to the company removing photos of women breastfeeding.

The nudity policy, although not explicitly outlined, is pretty simple: no exposed nipples or nether regions. In a few cases, snap judgment during the so-called breastfeeding purge caused some fairly innocent pictures to get zapped.

But Barry Schnitt, Facebook’s director of policy communications, asserts that the company’s breastfeeding policy was largely misunderstood. The majority of the photos removed were of completely nude women (posing in mirrors or bathtubs) who happened to involve a baby eating lunch, Schnitt said.

Another misnomer is that the company was employing people to blindly click through pictures in search of breasts to flag for removal. “We only act on things that are reported to us,” Schnitt said during an interview at Facebook’s campus in Palo Alto. The vast majority of those reports come in the form of buttons throughout the site that users can click to highlight offensive content. So, if your au naturel pose gets zapped, blame a friend.

Facebook actually takes action on less than half of all reports.

http://latimesblogs.latimes.com/technology/2009/12/facebook-ban.html

Oh dear. A golden rule for life is that that there are some things you don’t put down on paper. Ever. The nation’s weary couch-potatoes woke yesterday to a gust of shocked hilarity, as somebody leaked a BBC document fussily labelled “Knowledge Commissioning Graded Talent List”. It puts TV presenters under “Top Tier Highly Valued”, “Mid-range average appeal”, “On the way up” and — at this point the reader falls off the chair, helpless with glee — “Occasional sparkle but limited appeal”.

The mad list is interesting, though, as a symptom of a wider phenomenon: list-mania and tabulation fever has been the besetting folly of the Noughties. Government adores its faulty league tables of schools, universities, hospitals and local authority services. Instead of intelligent inspection and help, billions of pounds and years of effort are poured into lists and tables that serve little purpose. They demoralise some, make others smug, and condition thousands of managers to work to targets that skew and corrupt their core mission. Gradual growth, local adaptation and interesting initiatives are stifled: hospitals good at caring for the dying get marked down because people die there, schools that deal valiantly with problem estates get slammed as “failing”.

Meanwhile subtler indicators are ignored. A small maternity hospital is closed because the acute hospital is more “productive”, but ask the actual mothers cared for at the little hospital, and you find that their rates of breastfeeding and health are higher, of depression lower. The same principle applies to the elderly who lose rural cottage hospitals and become more, not less, dependent. In every area, formulaic paperwork outranks sense.

You can see why. Lists and tables make managers feel safe, as if life and a happy society were a science, not an art. Given enough lists, they hope for a formula. But in reality, league tables mainly appeal to a judgmental, talent-show mentality. They work fine in sport — a goal is a goal — and book sales or cinema tickets are countable. In subtler fields of effort they are often worse than worthless.  At least daffy media lists have no power (with luck, neither does the BBC bêtise). But they should be mocked, because they only encourage government itself in its damaging love of fruitless, phantom tidiness in an imaginary paper world.

http://www.timesonline.co.uk/tol/comment/article6955233.ece

Teaching Black Women To Embrace Breast-Feeding

African-American moms have the lowest rates of all — by some measures, they are half as likely to nurse as whites and Hispanics

When Kathi Barber gave birth a decade ago, she was the first in her family in generations to nurse, and was dumbfounded to realize she had no role models. Barber became obsessed with encouraging nursing among black moms, as numerous studies show that exclusive breast-feeding can reduce a baby’s chances of developing diabetes, obesity, ear infections and respiratory illness. Yet Barber was frustrated that for many new mothers, their only image of this age-old act may come from a museum or a National Geographic documentary. “Tribal women, with elongated breasts, earrings and tribal jewelry. And let’s say we’re trying to promote that to a 25-year-old, mmm …” she laughs. “I don’t think that’s going to do the trick.”

So Barber founded the African-American Breastfeeding Alliance and wrote The Black Woman’s Guide to Breastfeeding. As a lactation consultant, she travels the country putting on workshops and training sessions, and encouraging hospitals and family clinics to reach out to this community.

In fact, the older, more educated and higher-income a mother is, the more likely she is to breast-feed. But experts say the disparity for African-Americans is so great it transcends socio-economics.

Barber says work is clearly a huge barrier, and black moms may be more likely to hold lower-wage jobs with no breaks allowed for nursing. African-Americans have also had to earn money since long before the women’s liberation movement.

In fact, Barber thinks you can trace part of the problem all the way back to the breakup of families under slavery, and the enduring, negative image of so-called mammies — slaves made to serve as wet nurses for their master’s white children.

http://www.npr.org/templates/story/story.php?storyId=121755349

Coordinator promotes breast feeding

Kelly Sibley is in charge of promoting one of the best ways to keep newborn babies healthy, a practice in which Oregon leads the nation Sibley, 52, is the breast feeding program coordinator for Oregon Division of Public Health. She lives in Portland.

Q: Has Oregon implemented any public policies that have helped successfully promote breast feeding?

A: We have a law that protects a mother’s right to breast feed in public. We also have a law to protect breast feeding in the workplace, so mom who are returning to work are provided a clean and private place to express her milk.

Q: Is there anything else that has helped make Oregon get so far ahead of the curve when it comes to breast feeding?

A: I don’t think we’re totally clear about why we are so far ahead. I think for Oregon, breast feeding is seen as normal, more normal than it’s seen in other places. You are walking in a park and you look over and you see a mom on a bench and she’s breast feeding, it’s more likely to be accepted as normal here. She’s more likely to get a smile or just be left alone. In other places, she might be asked to leave or asked to go into the bathroom. I say, how would you feel if someone asked you to eat your lunch in the bathroom?

http://www.statesmanjournal.com/article/20091214/NEWS/912140315/1001/news

Samantha Harris On Managing Motherhood, Career

After welcoming her daughter in 2007, Samantha Harris learned all too quickly that it often takes a village to raise a child….The juggling of her career — including her cohosting responsibilities on Dancing With the Stars, a correspondent for The Insider, and cohosting Entertainment Tonight Weekend — began only three weeks after delivering her daughter Josselyn Sydney when Samantha returned to the DWtS set….With baby girl at home with the nanny, the new mama arrived to work with her pump in hand!..“I was breastfeeding so I was pumping again and again throughout the production day and right before I went on stage because we didn’t want to have any mishaps in a gown — on live television!” she tells Working Mother.

http://celebrity-babies.com/2009/12/12/samantha-harris-on-managing-motherhood-career/

Vera Farmiga Says Family of Three Is ‘Inseparable’

In her new film Up in the Air, Vera Farmiga portrays corporate executive and frequent-flyer obsessed Alex, a love interest for George Clooney. Although in real life she’s married to musician Renn Hawkey of Deadsy and mom to 11-month-old Fynn,…With Vera’s busy career, Renn and Fynn are often along for the ride as she films on location. “My husband and I have made a pact,” she explains. “We are inseparable. He and my son just come along. I can’t handle it alone. I don’t like it when they’re not with me. I need them.”…Calling childbirth “just an incredible gift,” Vera, 36, says that motherhood both helped and hindered her approach to the role. “I never felt so empowered, so powerful, so womanly as I did after I gave birth,” she shares. “I felt more feminine than I ever had in my life. So I just rode that wave.”…At the same time — as a breastfeeding mom — Vera says that she had to take nursing breaks while filming — especially during love scenes!…“I’ll tell you what it was like when we locked lips,” Vera reveals. “We’d do it and then I’d say, ‘OK, George, now I’ve got to go breastfeed.’ Then I’d come back and be trying to find sort of clever positions to hide the wet spots on my silk blouse.”…There were also hormones to contend with, and Vera admits “I got very tired at times and, God knows, there were a lot of tears.”…Regardless, she says she had no reservations about accepting the role — or stepping into motherhood….“The birth was going to be close to the start of filming and it was my first child–but, I come from a family of seven children. I was always very comfortable changing diapers. I felt confident that I’d be fine as a first time mother. I said to [director] Jason [Reitman], ‘This is a great creative opportunity and I could use a paycheck.’”

http://celebrity-babies.com/2009/12/11/vera-farmiga-says-family-of-three-is-inseparable/

Study Links Factors to Choice of Infant Sleep Position

Researchers funded by the National Institutes of Health have identified three principal factors linked to whether caregivers place infants to sleep on their backs. Those three factors are: whether they received a physician’s recommendation to place infants only on their backs for sleep, fear that the infant might choke while sleeping on the back, and concerns for an infant’s comfort while sleeping on the back.

The survey also found that after increasing steadily, the proportion of infants placed to sleep on their backs leveled off in the years since 2001.

A greater proportion of African-American infants than white or Hispanic infants die from SIDS each year

In the study, the researchers reported that between 2003-2007, only 53.6 percent reported that their doctors had advised them to put their babies on their backs only.

Always place babies on their backs to sleep — Infants who sleep on their backs are less likely to die of SIDS than babies who sleep on their stomachs or sides. Placing your baby on his or her back to sleep is the number one way to reduce the risk of SIDS.
Use the back sleep position every time — Infants who usually sleep on their backs but who are then placed on their stomachs, like for a nap, are at very high risk for SIDS. So it is important for babies to sleep on their backs every time, for naps and at night.
Place your baby on a firm sleep surface, such as a safety-approved crib mattress covered with a fitted sheet — Never place an infant to sleep on a pillow, quilt, sheepskin, or other soft surface. Information on crib safety and regulatory requirements for infant cribs is available from the Consumer Product Safety Commission at http://www.cpsc.gov/info/cribs/index.html.
Keep soft objects, toys, and loose bedding out of an infant’s sleep area – Don’t use pillows, blankets, quilts, sheepskins, or pillow-like bumpers in your baby’s sleep area. Keep all items away from the infant’s face.
Avoid letting your baby overheat during sleep – Dress your infant in light sleep clothing and keep the room at a temperature that is comfortable for an adult.

Think about using a clean, dry pacifier when placing your infant down to sleep, but don’t force the baby to take it. ( If you’re breastfeeding, wait until your child is 1 month old, or is used to breastfeeding before using a pacifier. )
In addition to Dr. Colson, other authors of the study were Denis Rybin, Theodore Colton and Michael J. Corwin of Boston University; Lauren Smith, of the Massachusetts Department of Public Health; and George Lister, of University of Texas Southwestern Medical Center at Dallas.

http://media-newswire.com/release_1107902.html

Column: Cut the crude commentary about breast feeding moms

By Ruth Butler | The Grand Rapids Press

Seriously?

A proposed bill to help mothers feed their babies is giving people fits? I guess folks would prefer mothers with babies stay home – drapes closed, if possible – until the child is old enough to scarf burgers at Mickey Ds the way God intended. Isn’t that, after all, why he created formula via his humble servant Justus von Liebig in 1867? (Thanks, Wiki.)

Whether the bill protecting a mother’s right to breastfeed in public passes through the state House has become secondary. What’s appalling is the reaction of those who are a) offended and/or b) driven to crude commentaries at the prospect of moms offering nutrition to children – the ones who are America’s future and the crux of every really important protest. Cue the “What About the Children?” chorus.

Everyone needs to calm down and accept breasts make people crazy. They are sexual, they are signs of womanhood (ask any 12-year-old girl – or boy.)

They are – insert giggle here – titillating.

Yet, I’ve never met a nursing mother who viewed feeding time with her child as an equivalent to foreplay or exhibitionism.

Sure, those who think mothers caught with a hungry child in public should do it in private – ever eaten your lunch in a bathroom stall? – also claim to have seen examples of flashing during the meal. But having been one, and seen many more nursing mothers, I testify most women are discreet. They cover themselves and focus on the wonderful task at hand, rather than take feeding time as a chance to put it out there for evaluation.

Where are the howls of protest for women who do just that? Why do you think they call it Hooters? Because only wise old owls eat there? Isn’t more being offered than what’s on the menu, in a look-don’t-touch sort of way?

Seriously. Strut your stuff at the beach, on the dance floor, in situations where cleavage is expected. But feeding time? It’s among the least sexual moments of a human’s life.

The only sexual thing going on at nursing time is in the minds of others. Making it their, not the mother’s, problem. Unless, of course, she’s kicked out of a building or the police are called (Google Target, breastfeeding.)

Of course, we could follow the example of other countries that see this and other ways women weave their seductive webs as way too provocative.

Burkas all around! Cover the hair, the lips, the body. Save the weak from themselves.

Seriously.

http://www.mlive.com/living/grand-rapids/index.ssf/2009/12/column_cut_the_crude_commentar.html

Recently, police were called on a complaint about a breastfeeding mother in a Harper Woods store. Here’s what local moms had to say.

“The people at Target were being stupid and by calling the police they made this into a bigger issue than it needed to be. I feel bad for the woman and her husband at being called out and embarassed for doing something completely normal! It was uncalled for and ridiculous!”— CinderMomma

“There is always more to the story I think but unlike the last incident which took place in a restaurant (a completely different scenario) I can’t imagine what the issue would be. I have seen women breastfeeding in the mall (at least I assume they were since they were discreet) and really who would care? Unless…..things got loud?”— Coco958

“If you are breast feeding a four week old infant in an aisle at Target you are a poor parent…period.”— paf

“if you’re bf’ing IN THE AISLE, (a) you’re probably blocking aisle traffic, (b) it ain’t the best positioning for the kid, (c) it ain’t the safest way to assure yourself and those around you that your boob won’t accidentally “unfurl” so to speak. Not saying kids shouldn’t be fed, but it ain’t all about you and your boob and your baby. There ARE other people who are actually shopping too ya know.”— shaari

http://www.freep.com/article/20091213/FEATURES01/912130336/1026/Features01/Recently-police-were-called-on-a-complaint-about-a-breastfeeding-mother-in-a-Harper-Woods-store.-Heres-what-local-moms-had-to-say.-Todays-topic

Someone Needs To Explain Babies To Kourtney!

Before one crawls out of her vagina and is thrusted into a world where his mother thinks she should be breastfeeding until the kid is five.  FIVE?! Gross!

http://perezhilton.com/2009-12-11-someone-needs-to-explain-babies-to-kourtney

Can Kendra Wilkinson breast-feed her baby even though she has implants?

Former Playboy model and reality TV star Kendra Wilkinson, wife of Indianapolis Colts wide receiver Hank Baskett, gave birth to a boy Friday morning. During her pregnancy, Wilkinson announced her intention to nurse her child despite having breast implants. Do implants affect a mother’s ability to breast-feed?

Generally, no. Most women who get breast implants, whether made of saline or silicone, can go on to breast-feed. But some types of breast augmentation surgery are more likely than others to result in complications when it comes to nursing. The two most common methods of implantation are peri-areolar incision (slicing just below the nipple) and inframammary incision (slicing along the crease below the breast). Cutting around the areola, the dark circle of skin surrounding the nipple, is much more likely to interfere with the network of nerves, glands, and milk ducts located toward the front of the breast that produce and carry milk to the nipple. Cutting underneath the breast allows the surgeon to circumvent that whole system rather than going straight through it. If a woman wants to breastfeed after getting implants, doctors usually recommend inframammary procedure, or an alternative route of insertion like the underarm or the belly button. Some doctors, however, still favor the peri-areolar technique because it allows for more precision when placing the implant and can produce less noticeable scarring. (Other considerations for which procedure to get include breast size, pain, and risk of the implants hardening.)

… The likelihood of nursing problems also depends on where, exactly, the surgeon places the implant. Subglandular placement—behind the mammary glands but in front of the chest muscles—has a higher risk of breastfeeding complications. That’s because the tissue surrounding the implant is more likely to harden when it’s in that position, which can make nursing difficult or painful. (The advantage is that the operation itself is quick and relatively painless.) The alternative is to slip the implant behind the chest muscle, separating the balloon from the lactation system entirely. This procedure is more common and generally better for breastfeeding. The downside of submuscular placement is that it’s more painful—the doctor has to fidget with the muscle itself—and it takes longer after surgery for the implant to “drop” into a more natural-looking position.

Implants could also interfere with nursing if they’re too big compared with the amount of skin and tissue surrounding them. Lactation proceeds most smoothly when the mother’s milk-producing lobes—arranged around the center of the breast—have room to expand and contract. If an implant puts too much pressure on the lobes, that can reduce the amount of milk generated

http://www.slate.com/id/2238096/

Social support during childbirth as a catalyst for early breastfeeding initiation for first-time Nigerian Mothers

Initiation of breastfeeding can be difficult in a busy maternity centre with inadequate manpower and social support. This study aims to explore the role of psychosocial support offered by companions on breastfeeding initiation among first-time mothers.  Methods: This is a secondary data analysis of a randomised controlled trial conducted among women attending the antenatal clinic of the University College Hospital, Ibadan, Nigeria in 2007.  Those in the experimental group were asked to bring someone of their choice to the labour room to act as a companion; the comparison group received standard care. The results of 209 HIV negative women who had vaginal births were analysed.

The main outcome measure was time to initiation of breastfeeding after childbirth.

Results: Of the total, 94 had companions during labour while 115 did not have a companion. The median time to breastfeeding initiation was significantly shorter in those with companions compared to controls (16 vs.54 minutes; p <0.01). The cumulative survival analysis indicated that all in the treatmentgroup had initiated breastfeeding by 26 minutes, while among the control group none had commenced at 30 minutes post-delivery with some as late as 12 hours.

Conclusion: Use of companions during labour is associated with earlier time to breastfeeding initiation among first-time mothers in Nigeria

http://7thspace.com/headlines/328403/social_support_during_childbirth_as_a_catalyst_for_early_breastfeeding_initiation_for_first_time_nigerian_mothers.html

Breastfeeding Provision in Senate Bill Causes Controversy

The Senate health care reform bill is more than 2,000 pages long. One of the provisions, a provision on page 1,239, is being applauded by new mothers. But business owners are asking what it has to do with any real reform.

The Rochester Business Alliance says its members are not against providing this kind of benefit to new mothers, but they say adding it to the Senate bill is wrong because it has nothing to do reforming health care.  MY fear is that throwing in things is just going to add costs,” says Sandy Parker of the Rochester Business Alliance. “What they’re doing now is just shifting costs. They’re doing nothing to change the delivery of health care… They’re doing nothing to address why health care costs are escalating.”

Those who support this bill say employers do benefit. Mothers with healthy infants take less time off of work and have less stress. The cost of these rooms is paid for in the first year alone.

In a survey, Rochester business owners say the want to continue to provide insurance benefits but only if they can get relief from escalating premiums.

The bottom line is that the bill keeps adding requirements for employers without  providing that relief.

http://www.13wham.com/news/local/story/Breastfeeding-Provision-in-Senate-Bill-Causes/lqyWY3b7MUintrfUeNQyUw.cspx

Infants without HIV suffer no growth check, despite maternal infection

Exclusive breastfeeding, however, significantly improved the long-term health of children born to HIV-infected mothers, lending further support to the recently revised World Health Organization (WHO) guidelines on infant feeding.

Being undernourished is predictive of death as well as poor early development in low- and middle- income countries where HIV is prevalent.

Infant feeding patterns affect growth; the mean weight of children who are breastfed is greater than most children who are formula-fed during the first half of infancy.

Of importance in these findings is the fact that HIV-exposed but uninfected children had a growth rate as good as that of the reference group. The authors note this is significant for two reasons:

  • Of the approximately 40% of infants born to HIV-infected mothers in Southern Africa most will be exposed but uninfected. While important, the growth and development of these children is often ignored.

 

Breastfed HIV-infected infants had higher scores for weight for age than those who were not, in particular during the first six weeks of life—a difference of 130 grammes for male children and 110 grammes for female children.

And, in line with recent WHO recommendations, they conclude: “These finding strengthen the recommendations of exclusive breastfeeding for HIV-infected women in resource-poor settings, for long-term child health.”

http://www.aidsmap.com/en/news/85CD7329-BD69-49E6-BEEE-9BA792BA6BBF.asp

A paradigm shift in newborn care
(The Philippine Star)

We’ve seen it portrayed in movies. A baby is delivered. It is held upside down and spanked. The umbilical cord is clamped and cut, and the baby is whisked away to be washed and cleaned immediately. Wrong!

Washing should be postponed until eight hours after birth,” said Dr. Aleli Sudiacal of the Department of Health (DOH) at a forum held recently at the Quirino Memorial Medical Center in Quezon City.

Aware of the need to raise the quality of post-natal care in health facilities, the World Health Organization (WHO), in partnership with the DOH, is promoting a new approach where evidence-based components are integrated in post-natal care. Called the Essential Newborn Care (ENC), this simple set of proven intervention can save the lives of newborns.

The new protocol is to postpone washing and instead, dry the baby immediately, within the first 30 seconds, and initiate skin-to-skin contact with the mother before clamping the umbilical cord. Breastfeeding should also be initiated within the first hour of birth.

“It’s a major paradigm shift,” said Dr. Honorata Catibog, head of the DOH Task Force on the Rapid Reduction of Maternal and Neonatal Mortality.

“Studies showed delayed breastfeeding by one day increases by 2.6-fold the risk of death due to infection,” said Dr. Asuncion Silvestre, head of the PGH Lactation Unit and Milk Bank. 

“Before, the focus was on pre-natal care, with the practice of at least four pre-natal visits. But essential newborn care actually starts even before the mother gets pregnant

. It starts with the status of the health of the woman,” Silvestre said. “All pregnancies are considered at high risk. We advocate facility-based delivery attended by skilled health professionals.”

“We practice the team approach involving doctor, nurse, and midwife,” said Dr. Bella Vitangcol who led the familiarization tour of the essential newborn care facilities at the Quirino Memorial Medical Center, a pioneer in newborn care

http://www.philstar.com/Article.aspx?articleId=530921&publicationSubCategoryId=75

Baby Dies Aboard United Airways Flight: A Response

Pardon me for quarreling with the experts, but this mother is being blamed for falling asleep? On a transatlantic flight? With a 4-week-old?

What nursing mother hasn’t fallen asleep while nursing her child? Back before the days of studies and guidelines and research and panels, back when the experts were primarily mothers, most women probably fell asleep every night while nursing their children. Many still do. But we’re not supposed to, because sleeping while holding a baby is taboo right now, along with letting babies sleep on their stomachs, or using forward-facing car seats, or feeding babies honey before age one.

We have expert-approved guidelines for every possible aspect of child-rearing, and I appreciate the insight afforded by such guidelines. But I wonder if they make it easier to blame parents when the unthinkable happens. The recommendations are ever-increasing and ever-changing, and that’s not even getting into the fact that on most issues, experts disagree. Parents are stumbling under the weight of all these “shoulds,” and when tragedy strikes, these recommendations morph into pointing fingers of accusation.

http://blog.christianitytoday.com/women/2009/12/baby_dies_aboard_united_airway.html

Breastfeeding for 5 years?

Kourtney Kardashian plans to breastfeed for five years.

The US reality star is expecting her first child, a boy, with partner Scott Disick later this month. Her sister Khloe has revealed Kourtney was initially clueless about what motherhood would entail, and expected to have to breastfeed until her son started school.

“Kourtney was like ‘I’m so excited, I don’t have to cook for five years,’ ” Khloe said. “And I go, ‘What do you mean?’ She’s like, ‘I’m gonna breastfeed.’ I go, ‘For five years?’ She has, like, no idea!”

Kourtney’s other sister Kim added she never thought of her 30-year-old sibling as maternal. She claims Kourtney has always been afraid of children, and done everything in her power to steer clear of them.

Kim said on The Rachel Ray Show: “Kourtney was never ever the type that I ever would think would ever want to have kids. She owns a kid’s clothing store, and if a kid would come in she would be like, ‘Where’s your mom? You need to go find your mom and come in with her.’ She didn’t understand it and she wasn’t that nurturing.”

http://entertainment.iafrica.com/news/2104660.htm

Ask Mr. Dad: The joys of sleep deprivation

Dear Mr. Dad: Our son is 3 weeks old and my wife is exhausted from breastfeeding. I have to be out of the house early in the morning to make it to work, but I do help her out between 2 a.m. and 4 a.m. But when I try to get a little sleep before or after those hours, or if I’m too slow to wake up, she’ll say to our son things like “Daddy doesn’t care.” This hurts my feelings because I’m doing as much as I can, and I do have to put in an eight-hour day in the office. How do I handle this situation?

I’m sure that everyone you knew tried to warn you that becoming a dad would turn your life upside down, right? And I’m sure you tried to prepare yourself for all the changes. But there’s a difference between watching a tornado on TV and having one blow the roof off your house. Now that your baby is actually here, it’s pretty obvious that nothing could have fully prepped you for the daily (and nightly) challenges of living with a newborn.

While trying to take care of your son around the clock and dealing with all the adjustments of being a new mom, there’s a good chance that she’s experiencing symptoms of what’s generally called “baby blues,” feelings of sadness, loneliness, vulnerability, and questioning her ability to be a good mom. And the fact that she’s breastfeeding on demand – and is experiencing the exhaustion that goes along with it – just makes things worse.

Your wife probably doesn’t mean to snap at you. In some irrational way, she may actually believe that you aren’t pulling your weight. After all, you spend most of your day in the company of adults, while she is housebound with a baby.

Ask yourself this: Are you really doing as much as you reasonably can to help your wife through this difficult time, or could you do more? Obviously, since you have a full-time job, she can’t expect you to stay up at night taking care of the baby – someone has to put food on the table. On the other hand, maybe you can take over from your wife as soon as you come home, giving her some much-needed “me” time, and you a great opportunity to spend some quality time with your baby.

http://www.sanluisobispo.com/living/family_relationships/story/948784.html

Allergies Linked To Delaying Solid Foods

 

Delaying solid foods when children are babies may be tied to food allergies later on, Finnish researchers say.

Introducing eggs, oats, and wheat into an infant’s diet late in the game — around age 6 months — was associated with food allergies by age 5, Bright I. Nwaru, MPhil, MSc, of the University of Tampere, and colleagues reported online in Pediatrics.

In a related finding, late introduction of potatoes and fish was tied to sensitivity to inhaled allergens, such as pollen, animal dander, and dust mites.

“Introducing solid foods late to the child may increase the risk of being sensitized to these allergens,” Nwaru wrote in an e-mail.

Current pediatric recommendations suggest exclusive breastfeeding for the first six months to prevent allergic diseases. These recommendations have been based mainly on the assumption that an infant’s gut mucosal barrier is immature, and that introducing solid foods early may instigate sensitization to foods and inhaled allergens.

But emerging evidence shows these recommendations lack a strong scientific basis, Nwaru wrote.

“The implication of our study on breastfeeding and introduction of solid foods — like other recent studies have shown — is that prolonging exclusive breastfeeding, thereby introducing solid foods late, may not prevent allergic diseases in the child,” he added.

But he emphasized that the finding does not diminish the benefits of breastfeeding for six months among the general population — merely that exclusive breastfeeding doesn’t have a role in allergy prevention.

The researchers looked at data on 994 children from the Finnish Type 1 Diabetes Prediction and Prevention nutrition study. This was a prospective birth cohort study, so that information was available on breastfeeding, age at introduction of solid foods, and allergen-specific immunoglobulin E levels at age 5.

Every child had HLA-conferred susceptibility to type 1 diabetes.

In the study, mothers breastfed for a median of 1.8 months, and the median age at the introduction of the first solid food was 3.5 months.

Potatoes were the earliest food introduced to the children, followed by fruits and berries, carrots, cabbages, cereals, meat, fish, and eggs.

The researchers found that late introduction of potatoes, oats, rye, wheat, meat, fish, and eggs was significantly associated with a sensitization for food allergy, albeit after different time periods: 4 months for potatoes, 5 months for oats, 7 months for rye, 6 months for wheat, 5.5 months for meat, 8.2 months for fish, and 10.5 months for eggs.

Late introduction of potatoes, rye, meat, and fish was significantly associated with sensitization to any inhaled allergen.

Egg allergy was associated with late introduction of potatoes, carrots, cabbages, oats, wheat, rye, meat, fish, and eggs, while wheat allergy was related to late introduction of potatoes, wheat, rye, fish, and eggs.

In adjusted analyses, eggs, oats, and wheat were the most important foods related to sensitization to food allergens (P=0.007, P=0.004, and P=0.002, respectively). Potatoes and fish were the most important foods associated with inhalant allergic sensitization (P=0.043, P=0.028, respectively).

There was no evidence of reverse causality, when parental allergic rhinitis and asthma were taken into account.

The study was limited because children were selected on the basis of HLA-conferred susceptibility to type 1 diabetes, which may limit its generalizability to the general population.

Li Zuo, MD, of Cincinnati Children’s Hospital Medical Center, said the study was also limited by using food sensitivity but not food allergy as an outcome for the study.

“I am not supporting the conclusion of this article,” Zuo said in an e-mail. “But I support the concept that late introduction of solid foods may not protect children from allergic diseases and I also support early solid food introduction for many children not at high risk for allergic reaction.”

Zuo added that the topic is hotly debated by allergists, and believes the “answer to increased allergic diseases is not [based] on the timing of solid food introduction, but something that happens earlier.

http://www.medpagetoday.com/AllergyImmunology/Allergy/17382

Sushi & Breastfeeding Join Birth Defects & Preterm Birth as Leading Concerns of Moms

Moms worry. Even before they become moms. From the minute they start thinking about whether they want to have a baby until long past the birth, moms worry.

Will my baby be healthy? Will I be a good mom? Can I dye my hair while pregnant? What can I eat?

The March of Dimes poll found that the number one thing moms worried about was birth defects – 78 percent said they were worried their child would be born less than perfect. Stress was moms’ second fear, with 74 percent answering that they were concerned if stress in their life would harm their baby’s health. Preterm birth was a close third with 71 percent saying they were worried their baby would be born too soon.

Surprisingly, only 70 percent thought about the fear of pain of childbirth and 55 percent were worried that they wouldn’t get to the hospital on time!

Other things moms worried about were:

  • 60 percent worried they wouldn’t be able to breastfeed successfully.
  • 59 percent worried about losing weight after pregnancy.
  • And, 59 percent worried about getting pregnant in the first place.
  • Sushi and fish was the number one food concern, with 61 percent concerned

 

http://www.prnewswire.com/news-releases/sushi–breastfeeding-join-birth-defects–preterm-birth-as-leading-concerns-of-moms-78840487.html

No risk to 4 month old babies eating cereal-based foods, says EFSA

(see link for full story)

http://www.nutraingredients.com/Health-condition-categories/Maternal-infant-health/No-risk-to-4-month-old-babies-eating-cereal-based-foods-says-EFSA/?utm_source=Newsletter_Product&utm_medium=email&utm_campaign=Newsletter%2BProduct

More Muslim, Christian, and Sikh mothers stop breastfeeding early: study

Mothers may breastfeed their children two complete years for whoever wishes to complete the nursing [period]. Surah Al-Baqarah : 233

The Holy Quran is clear that the duration of breastfeeding of infants are for a period of two years. World Health Organization (WHO) and Government of India’s guidelines also suggest breastfeeding for a period of two years. Breast milk is an excellent source of nutrition and essential for the healthy growth of the child.

A latest study finds that a greater share of Muslim, Christian, and Sikh women breastfeed their young ones for less than two years. The study is done by Harvard School of Public Health of Boston, Massachusetts, USA and published in July 2008 issue of peer-reviewed journal Maternal & Child Nutrition.

Data analysis revealed that religion was an important factor in the likelihood of stopping breastfeeding. This likelihood was significantly higher for Muslims, Sikhs and Christian. In terms of adjusted ratio Muslim mothers are 10% more than Hindu mothers in stopping breastfeeding before their children have reached the age of 24 months, while this ratio is much higher for Christians (34%) and Sikhs (33%). Researchers made a note that there is nothing in these religion that will explain early termination of breastfeeding therefore it has to be cultural factors and norms.

http://twocircles.net/2009dec08/more_muslim_christian_and_sikh_mothers_stop_breastfeeding_early_study.html

Shunning the Family Bed. Who Benefits Most?

According to Dr. Jay Gordon, babies sleeping on a safe surface with sober, nonsmoking parents respond to their parents, and the parents respond to them. The chance of SIDS occurring in this situation are close to zero. Babies in a crib or in a room away from their parents, on the other hand, will breastfeed less and are at greater risk of infections, including life-threatening ones.

The medical profession, as it often does, is approaching the entire idea of the family bed backward. A baby in the same bed with his or her parents is surrounded by the best possible surveillance and safety system. It must be the responsibility of the manufacturers and proponents of cribs and separated sleep to prove that such disruption is safe, not the other way around.

Newborn babies breathe in irregular rhythms and even stop breathing for a few seconds at a time. To put it simply, they are not designed to sleep alone.

http://www.foodconsumer.org/newsite/Non-food/Lifestyle/shunning_the_family_bed_081220090712.html

‘We Go Into the Bush to Collect Herbs’

Tumba, the mother of three, could not explain what exclusive breast feeding is all about, neither has she seen reason for imbibing the practice, despite being told of its significance.

According to her, she was in the hospital for the first time after giving birth thrice, explaining that whenever she was pregnant, there were some elderly women around her that nursed her throughout the period of her pregnancy to delivery. For the three occasions she was in labour, there was never a time when she had experienced any difficulty or complication during or after labour.

Tumba added that she was only in the hospital for the antenatal care, after she was forced to visit the hospital by her relations whom she had just visited in Nafada town. She added that as soon as her husband comes down to fetch her, that would be the end of her visitation to the hospital.

“Going to health facilities for antenatal and medical treatment is only for the elite that live in the cities. In my case we only go into bush to collect herbs for our medication ,and that of our children”, Tumba stated.

When asked whether she has any knowledge about Exclusive Breastfeeding (EBF), Tumba said it was an abomination to give a baby the poisonous milk that comes immediately after delivery. To her, the first milk must be poured away before the newly born baby would be initiated to the mother’s breast, saying in keeping with her tradition, the first thing to be given to the new born baby should be water and nothing else.

Her words ” The first thing to be administered to a newly born child is feeding him with water. That is what I did to all my children and you can see them, they are still hale and hearty. So I don’t believe in giving breast milk as the first food after birth”.

To her, breastfeeding was placing the child on his mother’s breast to suck for a while, particularly, when the child indicated a sign of being hungry by persistently crying. He/she would be introduced to the breast and after the child stopped crying ,it indicated that the baby was satisfied. The child is put on breast milk only if he/she cries again.

She further argued that after three months of mixed breastfeeding with water, the child would be introduced to food, preparatory to the introduction of weaning (uprooting from breast milk) of the child. At six months the child would be fully introduced to food which called for his/her instant removal from the mother’s breast.

The chief Nursing officer cautioned nursing mothers against failure to introduce a newly born baby to the breast, debunking the notion that the first milk of the nursing mother was contaminated, and for that reason it should be poured away. Hajia Aisha argued that the first available milk after delivery contains colostrums, which is full of water and high concentration of nutrients that could not be obtained in any infant formula food. Therefore, this indicated the necessity of introducing the newly born baby to skin to skin breastfeeding, immediately after birth.

he added that the breastfeeding mother needs to sit in an upright position while placing her child on a breast, which is expected to last for about 15 to 20 minutes, before the child could be transferred to the other breast. By so doing the child would have sufficient time to suckle the necessary ingredients contained in the breast milk.This is contrary to the traditional practice that was characterized by indiscriminate placement and transfer of a child from one breast to another ,by the nursing mothers.

The nursing mothers will be taught how to prepare a pap full of protein, by fortifying the pap with Soya beans and groundnut formula, for the growth and development of the child.

http://allafrica.com/stories/200912070653.html

A Look Into Facebook’s Judicial System

What’s nudity? The policy enforcers at Facebook, a team of more than 100 spread out in offices around the world, including Northern California, London and Dublin, struggled with that question earlier this year. A legion of angry mothers revolted in response to the company removing photos of women breastfeeding.

The nudity policy, although not explicitly outlined, is pretty simple: no exposed nipples or nether regions. In a few cases, snap judgment during the so-called breastfeeding purge caused some fairly innocent pictures to get zapped.

But Barry Schnitt, Facebook’s director of policy communications, asserts that the company’s breastfeeding policy was largely misunderstood. The majority of the photos removed were of completely nude women (posing in mirrors or bathtubs) who happened to involve a baby eating lunch, Schnitt said.

Another misnomer is that the company was employing people to blindly click through pictures in search of breasts to flag for removal. “We only act on things that are reported to us,” Schnitt said during an interview at Facebook’s campus in Palo Alto. The vast majority of those reports come in the form of buttons throughout the site that users can click to highlight offensive content. So, if your au naturel pose gets zapped, blame a friend.

Facebook actually takes action on less than half of all reports.

http://latimesblogs.latimes.com/technology/2009/12/facebook-ban.html

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Breastfeeding in the News: Nov 21 – Dec 7, 2009

Hello All,

It was one of those terrifying moments that every mother dreads, a mother woke up to find her baby dead beside her.  Many mothers refuse to take their baby to bed out of fear this very scenario will happen to them.  But in this case the mother wasn’t safely in bed, she had fallen asleep on a plane high above the Atlantic Ocean with her breastfeeding baby in her lap.  The London papers were quick to make sure that everyone knew that this tragedy had befallen a breastfed baby as if such a calamity could never occur to a bottle fed child.  (“A BABY girl died when her mum fell asleep as she breast-fed on a jet.”)

But here in the US others were quick to point out that the issue was not breastfeeding, but the lack of a safe sleeping arrangement (“Breastfeeding Not to Blame, Experts Say”).   As Dr. Miriam Labbock pointed out in an interview with ABC “There has been so much media about the risks of co-sleeping…but no one is covering how to sleep safely when you are not in those situations,”   My worry now is that airlines will begin to frown on breastfeeding during flights for fear that both mother and baby will fall asleep and place themselves at risk.  I would hate to see one isolated incident create an unfortunate trend.

Breastfeeding also got a bad rap this week when a mother’s struggles with breastfeeding were linked to her bout of Postpartum Depression (“Trying to be supermum left me suicidal’ ).  “I felt such a failure,” she says. “All the other mums on the ward seemed to be doing OK – my baby was crying, but I couldn’t feed him. I was his mum, I was the one who was meant to be able to feed him, nurture him and I couldn’t.” Desperate to give him some breast milk, Clare agreed to be ‘milked’ – an electric pump was attached to her breasts to extract milk and encourage more to be produced. Even so, she only managed to produce the equivalent of two teaspoons. Not enough for a hungry one-day-old baby. Clare took that as another sure sign she was an all-round failure as a mother.”  The part that makes me angry about this story is the conclusion that two teaspoons of colostrum was not enough for a one day old baby.   No wonder so many mothers feel like failures!  The lack of basic breastfeeding knowledge is no doubt the reason behind so much self-doubt and feelings of imcompetence.

But maybe the reason for so much post-partum depression comes more from the lack of support women experience in the hospital.  In the UK a new study finds that 35% of mothers are left alone either during labor or shortly after birth.  The report states that the “shortage of midwives” is  “leading women to be sent home before they were ready and with no support to start breastfeeding  Happily another UK report finds that 88% of mothers who used a doula are still breastfeeding at 6 weeks, and 67% are still giving it a go at 6 months. 

But an Australian paper reports that “Nearly one in two mums reported they hated breastfeeding and said they found it tougher than the actual labour” and that “one in every three mothers go into hospital feeling normal but leave troubled and emotionally fraught” “You have to ask what is wrong when women are entering hospital normal, but walk out with emotional distress. (Great question!!) Our hospital system is so fragmented and it is not supporting mothers. It is focused on the birth.” Midwives there complain “the system is “fundamentally” failing women and blame short stays in hospital and little post-natal care for creating the culture of failure surrounding new mothers.”  But I’m not sure the answer should be a return to formula feeding as one midwife suggests.  “Hospitals have become so driven on breastfeeding, they are ignoring the needs of mothers who may not be able to cope,” she said. “Midwives should be discussing alternatives with mothers.”You used to be able to store a tin of formula under the (hospital) cupboard but not any more.  Sounds like there are a few midwives who could use a bit more support (not to mention knowledge) as well. 

Speaking of lack of knowledge in Liberia the myths surrounding breastfeeding are partly to blame for their low breastfeeding rate (only 35% of babies there are exclusively breastfed). One of those myths is the fear they must avoid sex because their partner’s semen will mix with breast milk and poison the baby. Instead of breastfeeding mothers will “feed their babies mainly rice and water.”  But the Liberians found their solution in red peppers.  By combining improved agricultural practices with messages on infant feeding the NGO group Caritas has found a way to get villagers to listen.  “Residents are now producing surplus aubergines and red hot peppers which they sell to nearby villages, giving them money to pay school fees, said Sharif. …“We don’t worry so much about [having sex while breastfeeding] now. We do it. Things are much better than they were.”

Meanwhile in Pakistan at a conference on “Islam and Child Rights” it was noted that “the West made tall claims about child rights but mothers in that part of the world had deprived their babies of breastfeeding.”  Hmm, maybe we should think twice before we pat ourselves on the back for being such wonderful champions of children.  But what can you do?  Mothers imitate other mothers.  It doesn’t matter what all the scientists in the world say, if most of the mothers in your town aren’t breastfeeding, chances are you won’t either.  Look at Alabama for example.  “The South is an area of the country where traditions are hard to break,” she said. “When you just look at the fact that more people are bottle feeding than breastfeeding it can be hard because you are in the minority.  ” I’ve known people from California or Oregon that have said they feel a little uncomfortable breastfeeding in the mall because they’re not in a culture where everybody is doing that,” she said.  In an effort to change that culture Alabama Medicaid will be offering financial incentives  “when medical record documentation shows that 25 percent of the total number of mothers who deliver in their respective districts are identified as breastfeeding mothers at the time of their follow-up checkups.”

And what are scientists saying this week by the way?  Well for starters the stem cells found in breast milk are getting more attention.  “Up to three different types of stem cells have been discovered in breast milk,” And there is speculation that their purpose is to help infants “fulfil their genetic destiny… with a mother’s mammary glands taking over from her placenta to guide infant development once her child is born.” According to researchers at Medela, “Breast milk is the only adult tissue where more than one type of stem cell has been discovered. Researchers have “isolated adult stem cells of epithelial (mammary) and immune origin, with “very preliminary evidence” that breast milk also contains stem cells that promotes the growth of muscle and bone tissue.”

Breastfeeding’s role in preventing metabolic syndrome (in mothers) is also being lauded. Metabolic syndrome which is “a cluster of risk factors such as high blood pressure and high triglycerides associated with obesity” and is often associated with diabetes and cardiovascular disease. Pregnancy may have some adverse effects on some of these cardiovascular risk factors,” lead author Erica Gunderson says, “and lactation (breast-feeding) may offset some of these effects.”  Does mother nature plan ahead or what?  What pregnancy takes away, lactation gives back, how great is that!

Over in Ireland four dairy groups and four academic institutions have joined forces in order to “Mine Milk”.  By combining forces they feel they will be better able to exploit any health promoting ingredients found in cow’s milk.  Their hope is “the industrial partners will bring a commercial focus to that research. We will provide the market insights that will direct the research.”   And which markets are they targeting?   “Infant nutrition, metabolic syndrome and immunity are initial key areas of research which has two and five year goals.”   A little ironic don’t you think?  By replacing breastfeeding with infant formula they can petty much guarantee themselves a market in metabolic syndrome & immunity. (Breastfeeding boosts immunity and reduces metabolic syndrome.)

Meanwhile Parents in the UK are being told not to “rush to mush” and that they should delay offering solids until the middle of the first year.  But even this simple instruction is being met with resistance. “In a new campaign that risks “nanny state” accusations, ministers will also give new parents detailed suggestions on how long they should go on breastfeeding and what they should feed children to avoid them becoming fussy eaters in later life.”  Wow, talk about going on the defense.  You live in a “nanny state” if your government gives you guide lines for infant nutrition?

Good news about the new Health Care bill in Washington.  If it passes as currently written it will include wording making it necessary for any business with over 50 employees to provide “an unpaid “reasonable break time for nursing mothers” in the first year after giving birth. Women would be provided a private place, other than a bathroom, to use a breast pump.”  For comparison in the United Arab Emirates legislators are proposing doubling the time allowed to pump from one hour a day to two hours for 18 months following the birth.  And oh, yes they not only have paid maternity leave, they want to extend it from 45 days to 14 weeks.

And remember that Dad in Sweden who planned to hook himself up to a breast pump every three hours to see if he could make milk?  He’s back in the news again.  He never did make any milk (after a month of trying apparently all he got was sore nipples) but he did make it onto Trya Banks talk show.  While we’re on the subject of dads, another dad blogged about his uncomfortable experience waiting with his wife at a lactation clinic. Too bad he missed the advice from another paternal blogger who insists that the key to surviving such situations is to never look below the neck. 

But not all dads are clueless.  According to the author of “Pick your poison” (if you only have time to read one story make it this one) some dads worry that by surrendering to the demands of breastfeeding and childcare that their partners are losing their sense of self.  The author argues that by not returning to work (especially after the second child) mothers are not only giving up their family’s best chance for achieving financial security, mothers risk losing any chance of ever gaining any real independence.  As my friend Robin often says, “A man is not a plan.”  And she’s right, most mothers would be in real trouble if they were to lose their partner’s financial support. As for me when ever the argument between working outside the home and being a stay at home mom comes up my answer is always the same – let’s start with universal paid maternity leave please.

Recognizing that many babies were being lost during the first two days of life in the Philippines they began a movement to change birth practices (delaying the first bath for 6 hours, waiting until pulsation stops before cutting the cord, keeping the baby and mother skin to skin to encourage breastfeeding) is being met with resistance from certain ob’s and nurses.  “Many especially old, obstetrician-gynecologists have been uncooperative because it would mean more of their time in the delivery room. This is the same concern of nurses and midwives who want mothers and babies out of the delivery room as quickly as possible. The no-bathing rule, for example, will mean that the nurse will still have to go back to the mother after six or more hours to have the baby bathed.”

There’s more of course, from cosleeping with super model Heidi Klum, and getting the okay to breastfeed at government council meetings, to campaigns for milk banks and more news about breastfeeding and HIV, just scroll down and take a look.  But if I don’t post this now I’ll never get this done.

Thanks for reading, and as usual I love hearing from you.  But before I go I want to send a heartfelt message of sympathy to Janine & Meredith, daughters of Pat Gandt (La Leche League leader & IBCLC).  Your mother was so special to me.  I still remember her telling me, “Most doctors don’t know beans about breastfeeding!”  I’m so proud of both of you for continuing Pat’s work as La Leche League Leaders yourselves.  May the “spiral” never end!   

Kathy Abbott, IBCLC

www.BusyMomsBreastfeed.com

On Facebook: “Breastfeeding in the News”

My Blog:  http://TheCuriousLactivist.wordpress.com/

Ask Dr. H: Perils to women who don’t breastfeed

Question: I know that there are a number of health benefits to babies and mothers from breastfeeding. But are there any health problems that a mother might face because she did not or could not breastfeed?

Answer: There are actually a number of diseases linked to women who never breastfed: high blood pressure; diabetes; elevated cholesterol and triglycerides; heart disease; ovarian and breast cancers; and metabolic syndrome (a group of conditions that includes obesity, high triglycerides, low HDL “good” cholesterol and a pre-diabetic state of elevated fasting blood sugar).

The reasons for these associations are not clear, but explanations include: greater weight retained after pregnancy (breastfeeding helps with weight loss); absence of oxytocin (milk-stimulating) hormone production results in higher blood pressure and pulse rate; women who are not breastfeeding have higher cortisol hormone levels in response to stress, which can cause higher blood sugar, blood pressure and weight gain; women who do not breastfeed are more likely to be smokers; and women who are obese and/or diabetic have preexisting health problems and a more difficult time producing milk.

http://www.philly.com/inquirer/magazine/78665147.html

Government urged to double work breaks for breastfeeding mothers

ABU DHABI // Health experts are urging the Government to double the amount of time that working mothers are allowed to breastfeed their babies.

Expressing concern at the number of women who relied on formula milk, the experts also gave warning that it could expose babies to health risks.

The call for longer statutory breaks – from one hour per day to two for the first 18 months after giving birth – was among 12 recommendations submitted to the Government, as well as the other governments of the GCC, following a conference in Al Ain last month on breastfeeding. The document was submitted under the patronage of Sheikha Shamsa bint Suhail, wife of Sheikh Khalifa bin Zayed, the President of the UAE.

The document recommends that women exclusively breastfeed their babies for six months and continue to use it as a complementary method for two years. It also calls for an extension of paid maternity leave, from 45 days to at least 14 weeks.

The document says makers of formula milk should stop making false claims in advertisements that enticed mothers and health professionals away from breast milk as the best and healthiest option. Health warnings should be placed on formula tins, it says.

http://www.thenational.ae/apps/pbcs.dll/article?AID=/20091206/NATIONAL/712059851/1133/OPINION

Wake up and smell the biodynamic coffee

They call this place Terramater – “Earth Mother” – and the coffee bushes on Adeodato Menezes’s small farm seem imbued with that spirit. “It’s like a woman breastfeeding,” the 63-year-old says, bending down to caress the ripe Catuai cherries low down on the bush. “These are her new babies,” he adds, straightening up to touch the tightly furled leaves, green and tender, that will fruit the following year.

It’s not the kind of language I am used to on coffee farms

http://www.guardian.co.uk/lifeandstyle/2009/dec/06/biodynamic-coffee-in-brazil

Breast-feeding could protect moms’ health

Researchers reported that breast-feeding could offer mothers long-term protection against a condition which is related to diabetes and heart disease.

Scientists found that the duration of breast-feeding by women had a direct impact on lowering the risk of developing metabolic syndrome, which is a cluster of risk factors such as high blood pressure and high triglycerides associated with obesity.

“Pregnancy may have some adverse effects on some of these cardiovascular risk factors,” lead author Erica Gunderson says, “and lactation (breast-feeding) may offset some of these effects.”

The findings of the study by Gunderson were based on 704 women in an ongoing, government-funded study of heart-disease risk factors. When the women began the study in 1985-1986 they were ages 18-30 and had never given birth and testing made it sure that they didn’t have metabolic syndrome.

All of them went ahead to deliver at least one child, and only 16% had more than two children. In women who did not have gestational diabetes breast-feeding cut the metabolic syndrome risk by 39%-59%.

Beast-feeding is related to quick loss of pregnancy weight but Gunderson says that breast-feeding might also minimize the accumulation of belly fat which is linked to type
2 diabetes risk.

http://topnews.us/content/28718-breast-feeding-could-protect-moms-health

MOMMY BLOG: A scary story about breastfeeding

You see a lot of disturbing stuff in the news, but this was one of the more terrifying stories I’ve seen lately.

A woman on a transatlantic flight reportedly fell asleep while breastfeeding her 4-week-old baby. When she awoke, her baby was unresponsive, apparently smothered to death.

This shocked me. I feel terrible for the mother, of course, but it also alarmed me because I’ve done the same thing so many times since our 8-month-old was born.

Mornings during the first few months of her life, my husband would often find Asha sound asleep across my lap and me snoozing with my breast still in her mouth, both of us passed out after a middle-of-the-night feeding.

I’m sure I’m not the only one, either. So how about you – does this story scare you as much as me? Leave a note in the comments section or send me a line at tonifitz@yahoo.com

http://www.cumberlink.com/articles/2009/12/04/blogs/because_i_said_so/doc4b192a4c5c8f6661639812.txt

Professional birthing partners ‘increasingly popular with new parents’

Results of a recent survey published in the MIDIRS Midwifery Digest revealed that almost half of doulas working in the UK last year were supporting first-time mums.

The findings also indicated that 88 per cent of women who had a postnatal doula were still breastfeeding at six weeks and 67 per cent at six months.

http://www.kiddicare.com/webapp/wcs/stores/servlet/newsarticle0_100920_10751_-1_10001

Govt urged to protect child rights (Pakistan)

MANSEHRA: The speakers at a seminar Friday asked the government to strictly implement the laws for ending child rights violations in the country.

The demand was made at the programme arranged by Saibaan Development Organization and Child Rights Advocacy Network titled ‘Islam and child rights’.

The representatives of national and international NGOs largely attended the function.

They said the West made tall claims about child rights but mothers in that part of the world had deprived their babies of breastfeeding. But Islam ordered mothers to breastfeed babies up to certain time.

“If a mother breast-feeds her child, her health becomes safe and the new-born health is also ensured,” said one of the speakers.

http://www.thenews.com.pk/daily_detail.asp?id=211698

Oprah changed TV — along with many lives

In the ensuing years, I timed my babies’ breastfeeding schedules around the show. Those babies, now 19, 17 and 15, have fond memories of coming home from school, fixing a bowl of cereal and doing homework, always with Oprah on in the kitchen.

http://www.detnews.com/article/20091204/OPINION03/912040303/1332/OPINION0317/Oprah-changed-TV—-along-with-many-lives

Breastfeeding shouldn’t be blamed for death of smothered baby on board United flight, experts say
The horrific story of a woman who reportedly smothered her infant when she fell asleep while nursing on a plane should not scare women away from feeding mother’s milk to their babies.

Several British newspapers reported that an Egyptian woman traveling from Washington to Kuwait to show off her 4-week-old daughter to relatives came awake screaming when she found her 4-week-old daughter dead. A doctor on board United Airlines flight 982 is said to have tried, and failed, to revive the child.

United Airlines refused to the confirm Nov. 24 incident to ABCNews.com. Still, the news agency addressed the question of whether breastfeeding is safe.

“This has nothing to do with breastfeeding,” Heather Kay, a lactation consultant in Princeton, N.J., told ABCNews.com. “If she had been holding the child and she fell asleep, she could have smothered it as well. [And] making it sound like [breastfeeding] is the reason the baby died is really uncomfortable.”

In other words, falling asleep with an infant in arms, not nursing, puts a baby at risk.

There have been other incidents of sleepsmothering, though it is rare. In 2006,  British mother Lisa Briggs said that she had accidentally smothered her baby after falling asleep while breastfeeding. It was the second child she had lost that way, she told the press.

But Dr. Ruth Lawrence, past president and founder of the Academy of Breastfeeding Medicine, asserted to ABCNews.com that there must have other factors at play in the plane death because “under normal circumstances, babies do not get smothered [while breastfeeding].

“Breastfeeding doesn’t smother babies,” she told ABCNews.com. “I don’t know a mother who hasn’t fallen asleep while feeding her child, whether nursing or bottle-feeding.”

Co-sleeping with a baby is a practice many experts warn about.

“You can fall asleep in bed with a child after breastfeeding, bottle feeding, or just plain snuggling…[and] accidental smothering during co-bedding is a major concern of the American Academy of Pediatrics and other [organizations]nationally and internationally,”  Dr. Ronald Cohen, director of the Intermediate and Special Care Nurseries at Packard’s Children Hospital in Stanford, Calif., told ABCNews.com. “We advise against it strongly.”

Read more: http://www.nydailynews.com/lifestyle/health/2009/12/02/2009-12-02_breastfeeding_shouldnt_be_blamed_for_death_of_smothered_baby_on_board_united_fli.html#ixzz0Z19GS0yr

http://www.nydailynews.com/lifestyle/health/2009/12/02/2009-12-02_breastfeeding_shouldnt_be_blamed_for_death_of_smothered_baby_on_board_united_fli.html

Wirral Milk Bank launches breastfeeding awareness campaign

WIRRAL Mothers Milk Bank has launched a breastfeeding awareness campaign by opening a drop-in advice shop in Birkenhead Town Centre. Situated in the Milton Pavement area of Grange Precint, the shop is being run by the Milk Bank in conjunction with Birkenhead Community midwives. Mums can call in at any time for advice and guidance from infant feeding specialists, Milk Bank staff, breastfeeding support workers, children’s centre staff and mental health midwives, domestic violence coordinators.  They will also be able to come along for antenatal and postnatal care, baby massage sessions and other information.

It is open from 10am to 3pm, five days a week from Tuesday to Saturday. To coincide with its opening, the Trust has launched a campaign titled ‘Real Mums, Real Midwives, Real Milk’ to raise awareness of the importance of giving babies the best start in life.

Jemma Jones, Birkenhead Community Midwives co-ordinator, hopes the shop will help to build on this campaign and provide mums with an easily accessible place where they can call in and gain advice from midwives.

She said: “Encouraging and giving mums the confidence to breastfeed their baby is so important.

“It is so natural and we want to provide a service that offers mums the help and support that they need.”

http://www.wirralglobe.co.uk/news/4773226.Wirral_Milk_Bank_launches_breastfeeding_awareness_campaign/

Breast Milk For Sale Concerns Local Health Officials

A trend toward nursing women selling their breastmilk has some health experts concerned.

In Ohio, nursing moms can bring their extra milk to a dropoff site at Cincinnati Children’s Hospital for a special, volunteer donation program. The milk goes to sick babies around the nation and is not for sale. 

But many websites do offer to buy breast milk, for about $1.50 an ounce and then resell for twice that amount. The practice concerns local ;lactation consultants. “For one thing there’s no screening so we don’t know if indeed if what they’re selling is even milk, we don’t know if they’re on any medications or illegal drugs, we don’t know if it’s been pasteurized.”  The experts say you should avoid buying milk for your baby on the internet.

Moms who are interested in donating extra milk can call the Center for Breastfeeding Medicine at Children’s Hospital at 513-636-2326.

http://www.local12.com/news/local/story/Breast-Milk-For-Sale-Concerns-Local-Health/qeFUwKzsHEC0NW7CreLu4Q.cspx

Breastfeeding Not to Blame for Recent Infant Death, Urge Experts

Co-Sleeping — Not Breastfeeding — May Be At Fault, Experts Say

While this rare scenario, if true, could alarm many mothers, pediatric experts caution that breastfeeding is safe — and the episode should not discourage its practice.

“This has nothing to do with breastfeeding,” says Heather Kay, a lactation consultant in Princeton, N.J. She says it’s not the breastfeeding, but rather, the act of falling asleep while holding an infant that can lead to accendental death.

Breastfeeding Not to Blame, Experts Say

Though it is very rare, this would not be the first time that sleep-nursing has resulted in accidental death.

In 2006, British mother Lisa Briggs told the U.K. press that she accidentally smothered her child after falling asleep while nursing and said she had previously lost an infant under similar circumstances.

“Breastfeeding doesn’t smother babies,” says Dr. Ruth Lawrence, past president and founder of the Academy of Breastfeeding Medicine. “I don’t know a mother who hasn’t fallen asleep while feeding her child, whether nursing or bottle-feeding,” Lawrence adds.

Instead, Lawrence feels there must have other extenuating circumstances responsible for the death because “under normal circumstances, babies do not get smothered [while breastfeeding].”

Lawrence suggests that in an attempt to cover themselves in public while nursing, mothers can accidentally cover the baby’s head and suffocate it.

But other experts feel that these accidents are simply a consequence of sharing sleeping space with your infant — an act known as co-sleeping or co-bedding. It is a practice many pediatric organizations advise against.

“The issue is not breastfeeding, it is co-bedding,” says Dr. Ronald Cohen, director of the Intermediate and Special Care Nurseries at Packard’s Children’s Hospital in Stanford, Calif.

“You can fall asleep in bed with a child after breastfeeding, bottle feeding, or just plain snuggling… [and] accidental smothering during co-bedding is a major concern of the American Academy of Pediatrics and other [organizations] nationally and internationally — we advise against it strongly,” he adds.

According to Lawrence, there are no guidelines on falling asleep while breastfeeding because it is such a common practice. But a quick survey of online early infancy discussion forums reveals that many mothers worry they may harm their infant when they accidentally fall asleep while nursing.

Part of the issue, says Dr. Miriam Labbock, director of the Carolina Global Breastfeeding Institute, is that “we give only over-simplistic messages” about sleeping with your infant, advising against it altogether despite the fact that in some situations, such as onboard a flight, it can be unavoidable.

“There has been so much media about the risks of co-sleeping…but no one is covering how to sleep safely when you are not in those situations,” she says, “[so] moms have to make due when reality and personal decisions are in conflict with the single recommendation…and sometimes, the choices are not well informed.”

Breastfeeding May Not Be ‘Innocent Until Proven Guilty’

On the United Airlines case, unless autopsy reports can confirm the cause of death, Tuesday’s tragedy will be officially considered “unexplained” London police told the U.K. press.

“We don’t want to offer mothers disincentive to breastfeed or worries that are unusual [because of] this is one, unusual, tragic, case,” says Kay, because “overall the benefits of breastfeeding outweigh any of the disadvantages.”

“It’s very distressing,” Lawrence adds, “because no matter what we say, this [incident] is going to discourage [some] women from breastfeeding.”

But given that the mother was breastfeeding at the time of death, experts still worry that this tragic, isolated incident will have the added tragedy of discouraging mothers from breastfeeding.

http://abcnews.go.com/Health/WellnessNews/breastfeeding-blame-recent-infant-death-urge-experts/story?id=9220452

Bias Skews Obesity Findings, Says Head of UAB Nutrition and Obesity Research Center

A new study by researchers at the University of Alabama at Birmingham (UAB) School of Public Health shows that obesity research may be misrepresented by scientists operating with particular biases on topics related to weight, nutrition and the food industry.

The researchers refer to “white-hat bias,” a tendency to distort information about products such as sugar-sweetened beverages or practices like breastfeeding, regardless of the facts, when the distortions are perceived to serve good ends. The name for the bias is a reference to do-good characters often portrayed in early Hollywood Westerns as cowboys who wore white hats

…The UAB researchers also found several examples in the breastfeeding studies in which the authors selectively included some data and discarded other research to support the theory that breastfeeding decreases the risk of obesity.

For both the beverage and breastfeeding research, the resulting data was more likely to be published when it showed statistically significant outcomes. Studies with outcomes that did not show sugar-sweetened drinks to be bad and breastfeeding to be good were less likely to be published. Notably, this bias appeared in studies not funded by industry, Allison says.

http://main.uab.edu/Sites/MediaRelations/articles/71416/

Target Calls Cops On Breastfeeding Shoppers

The AP says that police were called when Target employees tried to throw a couple out of the store because the woman was breastfeeding in the electronics aisle. The husband, a Detroit police officer, says they were told by the security guard that the act was “against the law.”  Obviously, as police officer, he knew that wasn’t true. The National Conference of State Legislatures says that Michigan is one of the 28 states that exempt breastfeeding from public indecency laws.

Target says they regret the incident, but, “This specific situation escalated to a point where we were concerned for the safety of our guests, so law enforcement was called. We regret the incident in our store and will continue to provide a shopping environment that respects the needs of all guests, including nursing mothers.”

The mom told the local Fox affiliate, “Forcing me out of the store. Two security guards, the manager or team leader, two officers, they just made a spectacle and a scene. I feel like I can’t go to that specific Target anymore.”

The manager of the store told Fox breastfeeding is “not discouraged” in her store. Hmm.

http://consumerist.com/2009/12/target-calls-cops-on-breastfeeding-shoppers.html

Swedish ‘milkman’ loses breastfeeding battle

Ragnar Bengtsson, 26, has failed in his high profile bid to pump forth milk from his breasts. But there is some consolation for the self-styled “Milkman”, who is winging his way to the United States this week for an appearance on The Tyra Banks Show.

Bengtsson’s milk race began with a bang in early September as he set about pumping his breasts on a three-hourly basis. The unorthodox sight of a young dad with a machine pressed to his nipples became part of daily life at Stockholm University, as the economics student endeavoured to do his bit for gender equality.  If men could breastfeed their babies, the argument went, then women could rejoin the workplace more quickly, safe in the knowledge that their newborns were receiving the proper nourishment from their proud dads.

But ultimately, the experiment failed, with Bengtsson unable to live up to the name of his blog: ‘The Milkman – One Drop at a Time’. On Tuesday at 9pm, he returns to the TV8 studio and the Aschberg show where it all began for a final look back at a trial considered intriguing and brave by some, but sickening and unnatural by many others. “We never expected the enormous reaction we got; a lot of people were almost blinded with disgust,” said Magnus Talib, a member of the Aschberg editorial team that has followed the day-to-day progress of the Milkman.

News of the would-be breastfeeding dad spread quickly, with media outlets from 40-50 countries taking up the tale. Having reported on the experiment right from the outset, The Local has received countless requests from foreign media for contact details for Bengtsson, most recently from The Tyra Banks Show. As always, the inquiry was passed on to the producers of Aschberg, who in turn informed Bengtsson that he would be flown to meet talk show hostess Tyra Banks later this week. “Ragnar just said, ‘oh cool’. Personally I would have crapped myself,” said Talib of the prospect of being flown to the United States to appear on one of the world’s most popular talk shows. Bengtsson, who was unavailable for comment on Tuesday, was reportedly also pleased to finally be able to put his pump back on the shelf.

“All he got was sore breasts,” said Talib.

http://www.thelocal.se/23592/20091201/

Trajedy as breastfeeding mother smothers baby after falling asleep on jet

A mother accidentally smothered her baby daughter to death on a flight after she fell asleep while breastfeeding. The four-week-old girl was travelling with her Egyptian mother from Washington DC to Kuwait when the tragedy occurred on November 24. Crew on the United Airlines jet were alerted by the 29-year-old mother’s screams. A doctor travelling on the plane tried unsuccessfully to revive the baby. The plane, which was over the Atlantic at 33,000ft, was diverted to London‘s Heathrow airport just before 10am, where police boarded.

The baby girl was rushed to Hillingdon Hospital, a spokesman told the Daily Mail. However she was pronounced dead on arrival at 10.35am. Three days later a post-mortem was performed on her at the Great Ormond St Hospital in London. Police are still awaiting the results of that. In the meantime, the spokesman said, the death is being treated as ‘unexplained’.No arrests have been made in the tragic incident. A police source told The Sun: ‘This appears to be a tragic accident. The girl comes from a loving family. ‘Her mum was going to Kuwait to show her to relatives.’   

A mother breastfeeds her baby (posed by model). Experts have countered against breastfeeding a baby in bed, where mothers can fall asleep – as the mother aboard the United flight did. It is not known if the woman was travelling with anyone other than her child.Officers from Scotland Yard‘s Child Abuse Investigation Team are now dealing with the incident.

The dos and don’ts of breastfeeding, according to the National Childbirth Trust:Do try to support his back, shoulders and neck. He should be able to tilt his head back easily. And he shouldn’t have to reach out to feed.

Do make sure your baby gets a big mouthful of breast from underneath the nipple.

Don’t worry if your baby pauses while breast feeding. This is normal.

Do change position slightly once your baby is attached if you are uncomfortable.

Don’t be afraid to ask for help. The National Breastfeeding Helpline is 0300 100 0212.

In 2004,  Briton Lisa Briggs smothered her baby as they slept less than three years after losing another child to a similar tragedy.  Miss Briggs, 23, fell asleep while feeding five-week-old Keitha and woke in the morning to find her lifeless by her side. Miss Briggs had lost her four-week-old daughter Cerese in identical circumstances.

However the Royal College of Midwives said in 2006 there are some benefits for breastfeeding mothers to share a bed with their babies, and a blanket message advising them not to do it could be counter-productive.  Melanie Every, a regional manager for the Royal College, said: ‘We know that there are many, many cultures and many, many women who will continue to share beds with their babies, even when they are advised not to do it.  ‘Now, knowing that, it’s important to give them advice on the safest possible way of doing it, rather than just saying don’t do it.’  Babies can die of suffocation when their airways are obstructed by lying against their mother – a phenomenon known as ‘overlying’

Read more: http://www.dailymail.co.uk/news/article-1232265/Breastfeeding-mum-smothers-baby-jet-falling-asleep.html#ixzz0Z0ydbfT7

http://www.dailymail.co.uk/news/article-1232265/Breastfeeding-mum-smothers-baby-jet-falling-asleep.html

Fatherhood Gets Hip

On the long road of parenting commentary, where genial postwar humorists Erma Bombeck and Jean Kerr fall back like abandoned Essos while the flag-festooned rest stops of Parenthood and Baby Boom flap wildly in the distance, two vital topics have always predominated: How Not to Kill Baby and Things Baby Did That Are Funny. (Toddlerspeak: the lisp that launched a thousand Facebook updates.) But a generation of overachievers married to the mighty circuits of our information exchange have birthed a debate on child curation of stunning speed and scope, from teeth-gnashing over C-sections to a Craigslist black market in fresh-drawn baby milk.

The Mommy & Me Generation, who are lately asked to train their infants to themselves by sling and feed them only self-generated extrusions, can be forgiven if they occasionally treat breastfeeding as an act of religious solemnity. (One must find a way to cope with anything one is forced to do 37 times a day.) If the organic quality of what one uses to wipe a child’s ass and house its downy curve thereafter slides easily into a topic of substantive debate, so be it.

http://www.thedailybeast.com/blogs-and-stories/2009-12-01/fatherhood-gets-hip/?cid=hp:justposted1

Mom Smothers BabyBreastfeeding on a Jet

A BABY girl died when her mum fell asleep as she breast-fed on a jet.

The woman, 29, awoke after an hour to find the four-week-old had been smothered.

Cabin crew were alerted by the mum’s screams in business class, and the United Airlines jet – over the Atlantic at 33,000ft – was diverted to London’s Heathrow for an immediate landing.

A doctor on board the Washington DC to Kuwait flight tried in vain to resuscitate the girl.

Police boarded the jet on landing and Scotland Yard’s Child Abuse Investigation Team officers are investigating. The mum is Egyptian-born and her girl was American.

A police source said: “This appears to be a tragic accident. The girl comes from a loving family. Her mum was going to Kuwait to show her to relatives.”

Read more: http://www.thesun.co.uk/sol/homepage/news/2752647/Mum-smothers-baby-breastfeeding-on-jet.html#ixzz0Z0vzgSDL

http://www.thesun.co.uk/sol/homepage/news/2752647/Mum-smothers-baby-breastfeeding-on-jet.html

HEIDI KLUM FINDING FOUR KIDS ‘TOUGH’

German supermodel Heidi Klum has found being a mother of four ”tough” since she gave birth to her new daughter Lou last month.

“At the moment Lou needs me enormously. Not only because of breastfeeding but also because she needs to be close to her mother. She will sleep now for a year with us in our bedroom – just as her siblings did. It’s easier at night if she is hungry.”

http://www.contactmusic.com/news.nsf/story/heidi-klum-finding-four-kids-tough_1124082

Scientist Claim Victory for Mother’s Milk

Breastfeeding may be vital to a child’s development, claims a new study suggesting that it contains stem cells promoting the immune system and growth of both muscle and bone tissue. Take that, bottle-fed weaklings.

  • The claim comes from Dr Mark Cregan, medical director at Swiss healthcare company Medela, who admits that it’s based on “very preliminary evidence.” Not that that’s stopping him from saying that the discovery demonstrates that breast milk helps a newborn child “fulfil its genetic destiny”:

Breast milk is the only adult tissue where more than one type of stem cell has been discovered. That is very unique and implies a lot about the impressive bioactivity of breast milk and the consequential benefits to the breastfed infant… It’s quite possible that immune cells in breast milk can survive digestion and end up in the infant’s circulation. This has been shown to be occurring in animals, and so it would be unsurprising if this was also occurring in human infants.

If these benefits turn out to be true, then it might lead more mothers to breastfeed; according to the World Health Organization, only 3% of mothers worldwide exclusively breastfeed currently, leading to a generation who’ll sadly be too weak to fight off the Terminators they’ll have to deal with.

Stem cells could be the secret reason why breast is best

http://io9.com/5414452/

FACTBOX-WHO issues new recommendations for HIV patients

Here are the major recommendations by the United Nations agency which has 193 member states:

* Countries should phase out use of Stavudine, the most widespread antiretroviral, because it has “long-term, irreversible” side-effects including wasting and a nerve disorder.

U.S. drugmaker Bristol-Myers Squibb (BMY.N) Co and India’s Cipla (CIPL.BO) and Aurobindo Pharma (ARBN.BO) Ltd are among leading producers.

* Instead, countries should use two other antiretrovirals — Zidovudine (AZT) or Tenofovir (TDF) — which are less toxic and equally effective.

HIV patients, including pregnant women, should now start antiretrovirals earlier, when their CD4 count, a measure of immune system strength, falls to 350 cells/mm3, regardless of symptoms.

* WHO’s previous guidelines, issued in 2006, called for starting treatment when patients’ CD4 count falls to 200 cells/mm3 — when they typically show symptoms of HIV disease.

“The best time to start ART (antiretroviral therapy) is before patients become unwell or develop their first opportunistic infection,” the WHO said, referring to diseases such as tuberculosis which prey on weakened immune systems.

* To prevent mother-to-child transmission, HIV-positive pregnant women should start using the drugs from 14 weeks into pregnancy, rather than 28 weeks as previously recommended, and continue until the end of breastfeeding.

“For the first time, there is enough evidence for WHO to recommend antiretrovirals while breastfeeding,” it said.

* Breastfeeding should continue until the infant is a year old, providing both mother and child take the drugs. “This will reduce the risk of HIV transmission and improve the infant’s chance of survival.”

Without treatment, one third of the children living with HIV die before their first birthday and almost half by the second year, the Geneva-based agency said.

http://www.reuters.com/article/idUSGEE5AS01T20091130

Simple steps to save Filipino newborns

We are seeing of late a push to save more of our babies that are being born. This is because experts see a risk that newborn mortality, which has been on the level at 17 deaths per 1,000 since 1998, may revert upwards and ultimately affect our Millennium Development Goals for 2015.

Studies have shown that newborns are at the highest risk during the first two days of their lives. In fact, country statistics say that 50 percent of newborns die during this critical time. This adds up to about 20,000 babies a year.

The sad fact is that the death of these newborns can easily be prevented, only if simple obstetric and pediatric procedures are followed. And this is what the Department of Health has recently been busy studying and preparing for.

At the Quirino Memorial Medical Center, which many of us still refer to as the Labor Hospital, a tight watch on birthing procedures is currently being observed. This is something that our health workers feel will drastically bring down newborn mortality figures.

Changing old habits

The newly introduced newborn protocols are surprisingly simple, easy steps that deal with essential interventions during the baby’s first hours of life. Many of these are simple changes in the current procedure, and only require undoing of what had been taught to our doctors, nurses and midwives in the past.

For example, it has always been the practice to bathe a newborn right after its umbilical cord is clamped and cut. Dr. Bella Vitangcol, who currently heads the program at Quirino, had specifically instructed her staff that no newborn be given a bath until after six or more hours.

They observed that newborns that are only rubbed dried, and then given to the mother to physically hold and hug, acquire greater immunity against hypothermia, which is a major reason for a number of infections.

When the newborn is also immediately delivered to the mother’s arms and maintained in skin-to-skin contact (no clothing barriers between mother and child) for a prolonged period, chances of longer and successful breastfeeding is achieved.

Skin-to-skin contact, especially if the baby has been given to the mother immediately after birth, has been known to trigger the crawling reflex where the newborn on its own seeks out the mother’s breasts to latch on and start to suckle and feed.

Breastmilk is best

It seems that babies that are immediately “separated” from their moms after birth (to accommodate such clinic or hospital procedures as bathing, weighing, footprinting, and others) lose the crawling reflex, and display a prolonged loss of interest to breastfeed.

The breastfeeding campaign continues to be a tough cookie where our government is concerned, not just because of the many advertisements in the past that glamorized bottle-feeding and formula use, but also because generations of mothers have lost the instinct to naturally nurture their newborns.

Breast milk, especially the first expression, is known to contain irreplaceable antigens that give babies immeasurable protection against many infections for life. Newborns that immediately breastfeed have likewise been observed to survive the first critical two days of life.

Mothers that start to breastfeed at the first hour of a child’s life usually also continue to breastfeed for at least the next two or more months, depending on the support condition that is going to be present when the baby is brought home.

Delayed cord clamping

Another procedure that is being introduced is the delay in clamping and cutting of the umbilical cord. The standard practice today is to immediately clamp and cut the cord, ostensibly to facilitate the flow of child delivery especially in hospitals with busy maternal wards.

By waiting one to three minutes, or until the pulsations of the cord stop, a newborn is spared of iron-deficiency anemia, a condition that has been determined to have the cause of many sickly conditions such as anemia in infants and young children.

All these simple procedures are in line with world health standards currently being espoused by the World Health Organization. The Department of Health has been involved with this initiative since last year, and is currently training its relevant hospital personnel all over the country in the new procedures.

Barriers to implementation

The biggest stumbling block to the adopting these simple, life-saving newborn care protocols is breaking age-old habits. Many, especially old, obstetrician-gynecologists have been uncooperative because it would mean more of their time in the delivery room.

This is the same concern of nurses and midwives who want mothers and babies out of the delivery room as quickly as possible. The no-bathing rule, for example, will mean that the nurse will still have to go back to the mother after six or more hours to have the baby bathed.

Lastly, formula feed companies will not want an early initiation to breastfeeding because this will mean totally writing off their multi-billion peso business in the country.

The campaign has a better chance of success if mothers are empowered to demand that they receive this essential newborn care package. Let’s hope that the health department will mount a nationwide information campaign after hospital personnel training is completed.

Otherwise, it will just become like the breastfeeding campaign – almost forgotten and neglected.

http://www.philstar.com/Article.aspx?articleId=527974&publicationSubCategoryId=66

Seven Things You Didn’t Know Were In The Senate Health Bill

Pay attention: The “Patient Protection and Affordable Care Act” — better known as the Senate health care overhaul bill – is chock full of interesting but little publicized provisions affecting consumers. Sure, the bill is mainly a blueprint for overhauling the insurance system. But look closely and you’ll see a variety of items that would affect people from the cradle to old age – from breast pump use to retiree health benefits. It’s a congressional tradition, adding pet interests that otherwise might not pass to a big bill that at least will be put up for a vote.

Yes, there’s plenty of time to change the bill. But political analysts say a final overhaul bill would more likely look like this measure than the version already approved by the House because Senate Democrats barely could agree on sending it to the floor for debate. In short, there’s not much political room for major changes.

Here are some examples of what lies in this 2,074-page bill:

Nursing Mothers Get A Break

Employers would be required to provide an unpaid “reasonable break time for nursing mothers” in the first year after giving birth. Women would be provided a private place, other than a bathroom, to use a breast pump. The provision exempts companies with fewer than 50 workers if the requirement would impose “an undue hardship,” a determination left to the employer to make.

This provision was inserted by Sen. Jeff Merkley, D-Ore., who in June introduced the Breastfeeding Promotion Act. Merkley is promoting breast feeding partly as a way to cut health costs. He cites studies showing breast-fed children have a lower rate of disease and illness in their lifetime. 

But employers see yet another expense. “Every additional mandated rule further burdens employers who are struggling to keep jobs afloat,” says Neil Trautwein, vice president of the National Retail Federation.

Twenty-four states already have protections for nursing mothers in the workplace, according to the National Conference of State Legislatures

http://www.kaiserhealthnews.org/Stories/2009/November/30/Senate-Health-Bill-Secrets.aspx

Report: Gaps in Alabama’s maternity services

In covering services for low-income pregnant women, Alabama stacks up well against other states on the variety of services it covers, but it doesn’t match the number of women many other states serve, according to a new report from the Kaiser Family Foundation

Alabama is one of only six states that provide pregnant women who earn up to 133 percent of the federal poverty level with everything from basic prenatal care services and delivery to medical and genetic testing. Other states provide coverage to women who earn up to 300 percent of the poverty level.

But Alabama doesn’t directly cover breastfeeding support services. Alabama is one of eight mostly Southern states that do not cover such items as education services, individual lactation consultations and equipment rental, according to the report.

Twenty-five of the states that responded to the survey cover breastfeeding education services, 15 states cover individual lactation consultation and 31 states cover equipment rental, such as breast pumps. But there is evidence that the low-income women in Alabama are getting access to those services by other means.

But getting mothers, particularly those who live in the South, to consider breastfeeding is a challenge.

“It’s definitely a rising trend, but Alabama has always been way down at the bottom when it comes to breastfeeding,” she said. “We’re in the last five — we’re number 46th or 47th.”

The only states that trail Alabama are Louisiana, Mississippi and Kentucky, Sealy said.

Louisiana and Mississippi are among the eight states that do not use Medicaid to cover breastfeeding support services, according to the report.

Sealy said she believes that one of the reasons that more Southern women do not breastfeed is cultural.

“The South is an area of the country where traditions are hard to break,” she said. “When you just look at the fact that more people are bottle feeding than breastfeeding it can be hard because you are in the minority.

“I’ve known people from California or Oregon that have said they feel a little uncomfortable breastfeeding in the mall because they’re not in a culture where everybody is doing that,” she said.

But that could be changing, and Alabama Medicaid could be helping to lead the charge for change among low-income mothers next year.

Rawls said starting next year Alabama Medicaid would offer a financial incentive to its maternity care primary contractors for promoting breastfeeding among the patients they serve.

“Medicaid maternity care primary contractors will be potentially eligible in 2010 for bonus payments when medical record documentation shows that 25 percent of the total number of mothers who deliver in their respective districts are identified as breastfeeding mothers at the time of their follow-up checkups,” Rawls said.

Sealy said all it really takes to get mothers interested in breastfeeding is a suggestion from someone they trust, such as their obstetrician.

“Simply having an (obstetrician) suggest to you that breastfeeding can be a good thing makes a difference,” she said.

http://www.montgomeryadvertiser.com/article/20091129/NEWS02/911290319/Report-Gaps-in-Alabama-s-maternity-services

LIBERIA: Breaking breastfeeding myths

MONROVIA, 27 November 2009 (IRIN) – “My first kid died because I breastfed him after my husband had had an affair,” Tina Kollie, mother of a seven-month-old in the Liberian capital, Monrovia, told IRIN. She has not breastfed any children since. “[If I breastfeed], whenever my husband has an affair my child gets sick.”

Rebecca Carter in the Buzzi Quarter neighbourhood said she stopped breastfeeding after a few months because she could not have sexual intercourse while breastfeeding – the semen will mix with breast milk, she said, making it toxic for the child.

“I didn’t want my husband to go with other women so I could not breastfeed,” she told IRIN. “I had to be available for him.”

UNICEF estimates that just 35 percent of Liberian mothers practice exclusive breastfeeding; a survey by NGO Action contre la Faim (ACF) in Monrovia estimated 44 percent in 2008.

ACF staff regularly hear widespread beliefs about breastfeeding perils: It is dangerous to breastfeed while pregnant as it could weaken the unborn infant; women should not breastfeed if a previous child has died while breastfeeding; and breastfeeding over time is dangerous as breast milk can mix with blood.

Instead Kollie, Carter and dozens of other women IRIN spoke to, feed their babies mainly rice and water.

The World Health Organization and UNICEF recommend feeding newborns only breast milk for the first six months to reduce vulnerability life-threatening diseases or malnutrition. Aid agencies in Liberia are trying to re-frame breastfeeding and infant nutrition as a health issue.

“Working with communities on breastfeeding is a long, drawn-out job, because malnutrition is often not seen as a sickness, but is associated with witchcraft-like beliefs,” ACF Liberia head, Massimo Stella, told IRIN.

UNICEF nutrition specialist Kinday Samba agreed, saying aid agencies have to support the Health Ministry over the long term to bolster exclusive breastfeeding. “We won’t see huge changes immediately.”

Men, grandmothers key

The UN Children’s Fund (UNICEF), Catholic Relief Services (CRS), ACF and others are encouraging women to exclusively breastfeed their babies up to at least six months.

Dispelling breastfeeding myths is not the key to changing women’s behavior, ACF’s Stella said; all staff can do is inform communities of the benefits of breastfeeding and trigger discussion, he said.

Women who have already changed their feeding practices can show that it is not dangerous, encouraging others to attempt change, ACF’s care practices manager, Audrey Gibeaux, told IRIN.

ACF must also target men and grandmothers in the discussion, she said.

“I always try to encourage men to come, as they have so much decision-making power in Liberian households…and grandmothers must be present as the knowledge they pass down is considered very valuable.”

Liberia has one of the highest teenage pregnancy rates in West Africa and grandmothers often care for babies.

All fronts

Breastfeeding messages must be spread through every channel to be effective, UNICEF’s Samba said, citing radio, posters, community groups and clinic visits as examples.

UNICEF is developing messages to be disseminated on all of these fronts, she said.   

Stella agreed: “We found the prevention activities are more effective if they take place simultaneously at country level, community level and school level.”

Monitoring the impact of these efforts is not easy, Stella said. “Immediate evidence of the links among increased knowledge, behavior change and improved health cannot all be measured in medical or statistical terms.”

A UNICEF-supported infant feeding practices survey is due out in late 2009, while ACF will carry out a study of its activities’ impact in February 2010.

More red peppers, more breastfeeding

One village where knowledge has translated to behavior change among some families is Gbarnga-ta, 15km outside of Gbarnga in Bong County, where according to NGO Caritas a third of under-five children are undernourished.

Caritas, supported by CRS, has been working with residents to improve agricultural productivity and infant feeding practices.

Before, women and men thought having sex while still breastfeeding was dangerous, resident Helena Sharif told IRIN.

It was partly the success of the agricultural activities that made villagers more receptive to the NGO’s breastfeeding messages, giving them traction, say villagers.

Residents are now producing surplus aubergines and red hot peppers which they sell to nearby villages, giving them money to pay school fees, said Sharif.

Helena’s husband Tony Sharif is relieved. “We don’t worry so much about [having sex while breastfeeding] now. We do it. Things are much better than they were,” he said, prompting laughter and nods from fellow villagers.

While intensive efforts may work, some aid experts are skeptical that behavior change can be effective on a mass scale.

“It’s very difficult to change people’s behavior,” said European Commission humanitarian aid department (ECHO) representative in Liberia Koen Henckaerts.

“I’m skeptical that you can [do so] in the short term or on a mass scale. It takes a long time, and it is related to wider, entrenched issues such as poverty.”

http://www.irinnews.org/Report.aspx?ReportId=87226

Breastmilk push is stressing mums

FIRST-TIME mothers feel they are leaving hospitals as failures because they are being pressured to breastfeed at all costs, with many saying breastfeeding was harder than giving birth.

In an exclusive The Daily Telegraph online survey, more than 500 new mothers shared their experiences and experts said the striking findings show how a fragmented and biased system is letting down NSW families.

One in two mums said they felt pressured to breastfeed, while 42 per cent said they were given no information about alternatives and 65 per cent of women said they were given contradictory advice by midwives.

Nearly one in two mums reported they hated breastfeeding and said they found it tougher than the actual labour, while a third of mothers surveyed said they moved to using formula after eight weeks.

The results came as no surprise to midwives and motherhood experts who say the system is “fundamentally” failing women and blame short stays in hospital and little post-natal care for creating the culture of failure surrounding new mothers.

University of Technology midwife lecturer Associate Professor Jennifer Fenwik said research showed one in every three mothers go into hospital feeling normal but leave troubled and emotionally fraught.

“Hospitals have become so driven on breastfeeding, they are ignoring the needs of mothers who may not be able to cope,” she said. “Midwives should be discussing alternatives with mothers.”You used to be able to store a tin of formula under the (hospital) cupboard but not any more. “You have to ask what is wrong when women are entering hospital normal, but walk out with emotional distress. Our hospital system is so fragmented and it is not supporting mothers. It is focused on the birth.”

One new mother responded to The Daily Telegraph survey saying she was not prepared for how arduous breastfeeding would be and called for better education for mums-to-be.”Breastfeeding is one of the most difficult experiences of my life, made more difficult by the fact that I was wildly ignorant as to how truly challenging it could be. “More women would stick it out through these challenges if they were made aware, prior to birth, just how hard it can be.”

What Women Want founder and mother-of-seven Justine Caines said the current model of care was not supportive of mothers. “The system is not about women but about clinicians and what they want,” she said. “If women feel like a failure, I don’t see that as a good sign. Our system is absolutely failing women.”

First-time mother Maria Younan, 27, struggled with breastfeeding and, after three days, told midwives that she wanted to stop. Her daughter Scarlett, now four months old, had to stay in the nursery while Maria struggled to feed her. “I didn’t have sufficient milk and my daughter was getting sick,” she said. “I was the one that had to initiate (bottle feeding). The nurses were great but they wanted me to keep trying with breastfeeding.”

http://www.news.com.au/national/breastmilk-push-is-stressing-mums/story-e6frfkvr-1225804798748

Pregnant Kelly Rutherford Still Breastfeeding Her 2-Year-Old Son

Will it soon be double duty time for Gossip Girl actress  Kelly Rutherford? We recently reported actress Kelly who is 40, and her entrepreneur husband, Daniel Giersch, are expecting their second child in June. Meanwhile it turns out Kelly is still doing breast feeding duty for her talking two-year-old son, Hermès.  She tells US Weekly, “”It’s an amazing bond with your child. Some cultures do it up to five years, normally. I thought, ‘Well, I’ll just do it as long as it feels right for my son.’”

Rutherford also attributes her slim figure to nursing: “I was thinner after my pregnancy than before, and I think a lot of it was the nursing. They say it helps your body get back to shape in a natural way.”

12/17/2008

http://www.celebritygossipshow.com/2008/12/17/pregnant-kelly-rutherford-still-breastfeeding-her-2-year-old-son/

Exclusive breastfeeding in Sri Lanka: problems of interpretation of reported rates

Accurate interpretation of reported breastfeeding rates is essential in understanding the true picture of a country’s breastfeeding status. In Sri Lanka, where the reported exclusive breastfeeding (EBF) rate among infants aged from 0 to 5months is 75%, accurate understanding of this rate is of the utmost importance.

The danger of misinterpreting the data and assuming that Sri Lanka has achieved a high EBF rate is that health workers begin to believe that no further effort should be made in this area. This is very dangerous as the potential to further improve rates of EBF will not be addressed.

We discuss the interpretation of survey data and various definitions used in the relevant literature. We strongly recommend that interpretation of EBF rates should be done only after careful evaluation of the definitions and survey methods used.

Author: Suneth AgampodiThilini AgampodiAvanthi de Silva
Credits/Source: International Breastfeeding Journal 2009, 4:14

http://7thspace.com/headlines/326895/exclusive_breastfeeding_in_sri_lanka_problems_of_interpretation_of_reported_rates.html

New parents will be told: keep breastfeeding, don’t ‘rush to mush’

Parents will be told not to “rush to mush” by switching their babies to solid food too early as part of a new Government drive to educate new mothers and fathers.

In a new campaign that risks “nanny state” accusations, ministers will also give new parents detailed suggestions on how long they should go on breastfeeding and what they should feed children to avoid them becoming fussy eaters in later life. Andy Burnham, the Health Secretary, will formally endorse the Start4Life campaign at the Royal College of Midwives (RCM) annual conference in Manchester on Friday. The Start4life campaign tells parents when they should switch babies from milk to solid food, what they should and should not feed them, and when children should start trying to walk.

In particular, parents will be told not to “rush to mush” and give their youngsters solids too early. Generally, babies should be given milk for at least six months, the campaign suggests. Continuing to breastfeed can avoid stomach upsets while the baby’s digestive system is still developing and cut down on the risk of allergies, the campaign says. To help parents decide when it is appropriate for their child to move on to solids, the campaign suggests a “banana challenge” . “A good test is the banana challenge – if your baby is able to sit up and hold its head steady, reach out and grab half a peeled, ripe banana and eat some of it all by themselves, they are ready.”

The World Health Organisation recommends breastfeeding babies for the first six months.  But according to the Department of Health, only 1 per cent of British mothers do so. Half give up and switch to solids after six weeks. Parents will also be told:

<> avoid adding salt to babies’ food.

<>introduce a variety of foods, textures and flavours early on, to avoid the child growing up to be a “fussy eater.”

<>when a child starts eating solids, offer “between-meal snacks” of rice cakes, vegetable sticks, breadsticks, fruit and white toast with cheese spread, avoiding sugary snacks.

As well as advice on diet, the campaign also presses parents to keep their baby active “Babies who are inactive for too often and too long do not have as much opportunity to develop as active babies,” said a campaign document. “Being active takes brain and muscle power so it plays an important role in your baby’s development. “Playing with your baby gives you a great chance to bond and, like adults, babies burn energy by moving around so (you never know) it might help them sleep too.”

Meanwhile, Andrew Lansley, the Conservative shadow health secretary, told the midwives’ conference that a Tory Government would bring about a “rebirth” of maternity care around families and communities. Mr Lansley promised above-inflation increases in spending on maternity services and said the Tories would give expectant parents more choice about care at birth. “We need to focus on making sure that mothers really understand what the options are and what choices are available to them,” he said.

http://www.telegraph.co.uk/news/newstopics/politics/6663560/New-parents-will-be-told-keep-breastfeeding-dont-rush-to-mush.html

Risk of postnatal transmission can be reduced with HAART in HIV-positive mothers

Researchers conducting clinical trials in Rwanda have concluded that the risk of postnatal transmission is minimal in HIV-positive mothers undergoing highly active antiretroviral therapy (HAART) while breastfeeding. The results of the trials have been published in the current issue of AIDS, the leading journal in the field of HIV and AIDS research. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health, a leading provider of information and business intelligence for students, professionals, and institutions in medicine, nursing, allied health, and pharmacy.

Although formula feeding has been the recommended strategy for preventing postnatal HIV transmission in developed countries for many years, researchers have recognized that this intervention is not feasible for many women in resource-limited settings. Despite this, there had until now been no single study conducted which formally compared maternal breastfeeding with HAART with formula feeding within the same cohort in resource-limited countries.

Dr. Cécile Alexandra Peltier, together with her colleagues, conducted their study with the aim of assessing the 9-month HIV-free survival of children with two strategies to prevent HIV mother-to-child transmission. Women participating in the cohort study could choose the mode of feeding for their infant: breastfeeding with maternal HAART for six months, or formula feeding. All received HAART from 28 weeks of gestation.

Of the 227 infants who were breastfed during the trial, only one became infected with HIV, corresponding to a 9-month cumulative risk of postnatal infection of 0.5% in the breastfeeding group. Moreover, the overall mortality rate of the infants involved in the study was significantly higher in the formula-fed group (5.6%) than in the breastfed group (3.3%).

The results of the study have lead researchers to conclude that maternal HAART while breastfeeding  could be a promising alternative strategy in resource-limited settings. A key implication of this study is that women can be offered a choice in infant-feeding options, both of which could be safe and effective, given regular postnatal follow-up and counseling.

http://www.news-medical.net/news/20091127/Risk-of-postnatal-transmission-can-be-reduced-with-HAART-in-HIV-positive-mothers.aspx

Breastfeeding clinic is eye-opening/eye-closing experience

It seems like there are 45,000,000 new moms at the breastfeeding clinic. The only male older than six months, I’m there to support my wife and her efforts to breastfeed our newborn son.Happy to do that, I am somewhat uncomfortable. I’m anxious a nursing mother will haul up her shirt, pull out a breast and start feeding.
I know, I know. That’s a vital part of their routine these days, and it’s something one would expect at this type of clinic. But where is the lone guy in the room supposed to look?

Sitting in a semi-circle alongside them, there are new mothers to my left and right, and in front of me.
Surrounded, I focus solely on my wife. But as we talk, I spot the other moms in the corners of my eye.
I’m going to see one feeding. It’s inevitable. Yikes! I’m mortified. I know I shouldn’t dread it, and I shouldn’t be blushing. Breastfeeding, after all, is one of the most healthy and wholesome things on Earth.
But I don’t think it’s something men know how to deal with when the nursing mom is a complete stranger.

At least I don’t, because I don’t want to invade anyone’s privacy or be pegged as a pervert. Before anyone feeds, the public health nurse calls our baby’s name and we leave the semi-circle — not that I’m disappointed about that. After the nurse weighs our son and offers some pointers, we’re done for the day. I hurry through the half-circle and exit without witnessing a single feeding. Afterwards, for being so uptight about something so natural, I feel like a real boob.

http://www.thetelegram.com/index.cfm?sid=306404&sc=88

Link Between Breast Milk, Autism?

HOUSTON – It’s certainly a sensitive subject. Even the Neuroscientist, who questions the thought that breast milk could pass on harmful toxins to a baby, realizes it’s a tough subject to bring up. However, he’s trying to figure out if those harmful toxins could disturb brain development of an infant and lead to autism.

First of all, Dr. Michael Merzenich studied rats… not humans. What he found is a high rate of chemical poisons, like PCB’s and PCBE’s… in breast milk.

PCBE’s are a flame retardant found in many products from pj’s, computers, to cars and many plastics.

He says medical research shows chemicals like this can scramble a developing brain. American women are believed to have the highest rates of PCBE’s.

They collect in fatty tissues, like breast milk. He says these toxins easily transferred to breastfeeding rat pups, and he thinks the same would be true for human breast milk.

Even though Dr. Merzenich is studying this, he definitely supports the benefits of breastfeeding He says he does not want to disrupt a maternal bonding experience, but he’s highly alarmed about chemicals in our environment. He’s urging the government to study human breast milk.

…”I agree there is much more evidence to support the benefits of breastfeeding and not really the evidence that breastfeeding would be a cause of autism.”

http://www.myfoxhouston.com/dpp/health/091125-breast-milk-ausitm

Women left alone during labour due to shortage of midwives, poll finds

A third of women are left alone and worried during labour or shortly after giving birth, exposing the scale of staff shortages in the NHS, a poll has found.

A survey carried out on the Netmums.com site found women were highly critical of maternity services in England.

The findings released on the eve of the Royal College of Midwives annual conference showed that 35 per cent of women were left alone during labour or shortly after birth.

Half did not have access to a midwife after giving birth.

From next year the Government has pledged that all women will be offered a choice of where to give birth including at home but so far only half of women are reporting that they were offered a home birth.

Women were also critical of support for breastfeeding, even though encouraging natural feeding is a key part of the Government’s maternity strategy.

The poll comes after the Healthcare Commission said NHS maternity services in many parts of England were failing with a shortage of midwives leading women to be sent home before they were ready and with no support to start breastfeeding.

…”It shows that our members want, need and deserve one-to-one care from midwives but they are not getting this and are left alone and feeling abandoned during labour, and especially in the vital postnatal period.

“Some mums have told us that the lack of postnatal care has led them to suffer with postnatal depression, which can have dramatic impacts on the whole family.”

http://www.telegraph.co.uk/health/healthnews/6644774/Women-left-alone-during-labour-due-to-shortage-of-midwives-poll-finds.html

Irish dairy and academia unite over functional ingredients

Four major Irish dairy ingredient players and four academic institutions form the nexus of a new Irish initiative to develop functional food ingredients – Food for Health Ireland.

Shane Starling discusses the government-backed venture with Jens Bleiel, its chief executive officer; John Holland, operations director – ingredients at Carbery and Dr Paul Ross, the head of the Moorepark Food Research Centre.

“We have a group of scientists which range from food scientists and people in scale-up and then the processing side right through to microbiology and through clinical research,” Dr Ross said.

“Within the centre we have the capability to mine milk for health promoting ingredients right through to clinical trials, to scale-up, to GMP manufacturing.”

Strong track record

Holland said the four dairy groups would provide a commercial focus for the research. “Ireland over the years has had a very strong track record in dairy research – many of the institutions are world-renowned,” said Holland.

“So now we as the industrial partners will bring a commercial focus to that research. We will provide the market insights that will direct the research. We will sit through the research and make sure that it is continually on track and achieving its objectives.At the end we will provide the channel to commercialise the outputs.”

Milk mining

While the group has an initial brief to “mine milk” due to the dairy focus of founding members Carbery, Glanbia, Kerry and Dairygold – it may expand into other areas in the future, Bleiel said.

“In the future we will broaden it to international cooperation because we strongly believe that functional foods is a global business,” he said.

Infant nutrition, metabolic syndrome and immunity are initial key areas of research which has two and five year goals.

http://www.nutraingredients.com/Industry/Irish-dairy-and-academia-unite-over-functional-ingredients/?c=ei8s7T8XuY6ggiQZll48UA%3D%3D&utm_source=newsletter_weekly&utm_medium=email&utm_campaign=Newsletter%2BWeekly

Women Still Have to Pick Their Poison (But Men Are Still Evolving)

For many women, going back to work a few months after having a baby is overwhelming and unmanageable. As strange as it may seem, things get even more difficult for a working mom after the second and third baby arrive. By that time, the romance of being a modern “superwoman” wears off and reality sets in.

Mom is exhausted. Dad isn’t getting a good night’s sleep. And older kids feel neglected. Dads who want to be equal partners too often fall short because there are certain things they simply cannot do for you — like breastfeeding, sleeping, or even taking a shower. The new mother starts to question herself and whether it is all worth it. And too often, the money just doesn’t add up.

Too often, childcare, taxes and commuting expenses often negate a large chunk of a young mom’s salary. At the end of each year, many stretched mommys will do what I did throughout my late 20s and ask why I worked so hard just for the glory of feeling guilty. Was the paltry profit of an entry level job drained by childcare expenses really worth missing out on so many cute moments?

And what is worth being so completely exhausted at the end of the week that you feel like you can’t give your all to your children, your husband and your boss? The weekends only add to a destructive mental spiral of “self-second-guessing,” trying to run after toddlers and please a husband who just needs a moment of quiet, but doesn’t feel like he can ask for it. Tension builds. You just can’t come up for air in a sea of worry and “to-do” lists that all revolve around fixing up a strained household in time to rush back to work on Monday morning.

It wasn’t supposed to feel like this? Was it? On so little sleep, the day-to-day race of trying to manage each hour and everyone’s needs robs you of your ability to visualize your long-term goals in life. You soon forget to ask what you want to do. You soon forget to ask who you want to be. You stop remembering all the effort your parents put into your childhood so you would grow up to realize your own great potential.

My best friend and I speak of this often. Over the past three decades, she and I have often been mistaken for sisters. We finish each other’s sentences, wear the same hairstyle and laugh at all the same stupid jokes. We look and sound alike. If I had a sister, it would be her. But we have made very different choices in our lives. She juggles a five year old and two stepchildren. She has an MBA from BU and worked for ten years at a Fortune 500 company, but quit at a time in her life when the balancing act was simply too much for her family. She could quit. His salary was sufficient. And juggling the logistics and cost of childcare just didn’t make sense. It seemed financially and logistically stupid to stay at work. And on paper, it was.

Five years later, she wishes she had pushed through. While she is blessed with an amazing husband and children and a beautiful home on the water, she feels unfulfilled and regrets that she did not stick with her career. It is a decision that impacts her relationships and her view of herself. She hates that she is completely dependent on her husband for everything. It is a concept that is not that attractive to him either. He also feels helpless that he cannot fill that void. While it was hard for them juggling the baby, the kids, and the jobs, maybe today would be better for her if she had stayed at work.

And here’s the key. She feels she was being told by society that women could have it all. She thought she could just “jump back in” later. That, like many women I know, has turned out to be completely unrealistic. More importantly, it is a bad strategic choice. We often talk about our very different paths because while she marvels at my ability to balance horrifically challenging job schedules, I marvel at her ability to remember my birthday and to write thank you notes.

After the second kid, it seems like a woman has to pick her poison. Suffer now, or take “a few years off” and pay later. Women need to know that “taking a few years off” can often lead to a permanent condition of dependence and loss of identity. I want to make a realistic, BS-free argument for suffering now and “pushing through.” There are women who have no choice but to keep on keeping on at work for financial reasons. There are also women who have the choice to “take a few years off” until the craziness dies down.

I am speaking to both of you.

For the record, I went back too early both times. The second time I paid a terrible price, a story I tell in my upcoming book, All Things at Once . I realize that of all people, I am no expert on parenting or marriage. My story can inspire just as many women to dial back for fear of making similar mistakes.  Still, I want to put it out there because the conversation for women with newborn babies and careers is for right now, not later.

I suffered from a mild case of postpartum depression after my second child and the physical challenge of maintaining an overnight shift at CBS, a marriage, and two in diapers made the symptoms worse and everyone in the house paid the price.  But I am still glad I did it.

Today, my girls are 11 and 13 and while the household is still chaotic, it is nothing compared to those years after giving birth. My body and mind were out of whack and recovering. The needs of babies and toddlers were constant and drained the life out my sense of self and my family’s relationship with each other. But it’s not forever.

Just as those adorable “mommy-moments” go away, so too does the over-exhaustion, the instinctive need to be in charge of your baby’s every move, and the guilt. What you are left with is you. And by the time they are in school and beyond, what are you? That question can damage your relationship with your life partner and your children just as much.

You also may need practical options as a family or on your own. If you are haunted by decisions made in the throws of breastfeeding, weight gain and night terrors, you may actually be left with a bigger challenge; how to jumpstart your sense of self.

I have friends who struggle with this question and because of that, also struggle to maintain their relationships. Yes, I am talking about being mentally and physically interesting to the one you love, your life partner.  This may sound harsh, but when you step out of the career track, those attributes get harder to maintain. It is a risk you take and it is worth talking about openly.

Don’t just assume that you will be the same cute, interesting girl who entered the work force and marriage ten years and three kids ago. That is the reality that many of my peers are coping with and it is not pretty. It is also impractical to assume that your husband will always take care of you. It is just as foolhardy to think he will find your total dependence on him to be an attractive characteristic.

But there is some good news to report as I open myself up to another round of beatings on Twitter. The attitudes of men seem to have really evolved on this issue. Over the past couple of years, four male friends and colleagues of mine have asked my advice regarding their wives and their apprehension toward returning to work in the months after the second or third child. Wondering how and why I did it. Looking for the right words to bring home. And they have all expressed something completely new and different about how they feel. Each of them wanted their wives to go back, worried about exactly what I have expressed in this blog. They also worried about finances because this economy poses risks that make them feel vulnerable. They need their wives to help secure the family’s future.

But they also felt a worry their partners would regret the choice personally. I know two of them were encouraging their spouses to stick it out for her sense of self, and ultimately for the sake of the relationship. These guys were not thinking of the short term. They’d rather NOT have someone there to make dinner and get the dry-cleaning and change diapers and to make their lives run smoothly. They’d rather have a partner, with her sense of self in tact in the long run. Wow.. refreshing!

But ultimately it is a woman’s dilemma. None of the options are easy. My contribution to the conversation is this. Strategically, women may want to “push through the pain.” Get the kids out of diapers and into school before pulling the trigger on any decision, IF they have the luxury of choice.

http://www.huffingtonpost.com/mika-brzezinski/work-and-babies-women-sti_b_367671.html

Dealing with the Other Woman 

How to handle your mother-in-law during the holidays

If she criticizes you, know that it is not real, and it is not you. It’s a problem SHE needs to work through, and there is nothing you can do to help her facilitate it except to continue to be your authentic self and vent to your girlfriends. Unless your mother-in-law is out to end your marriage, the person to confide in is not your husband. Doing so will make it seem as though you are the one who is on attack. To avoid this, try not to let things build up, and address any intentional unkind comments as they come. There is nothing wrong with saying, in the middle of dinner, “No, I’m not breastfeeding my baby to keep my husband from having a close relationship with his child” instead of holding your tongue, fighting back tears, and proceeding to feel uncomfortable every time you nurse your newborn around her for the next year. Deal with it the way you would handle your child screaming, “You’re so mean!” You would say, “I’m sorry to hear that. Now, let’s finish cleaning your room.”

Read more: http://www.momlogic.com/2009/11/dealing_with_the_other_woman.php#ixzz0YP4WSVKz 

http://www.momlogic.com/2009/11/dealing_with_the_other_woman.php 

MousePlanet Mailbag 

Jim P. writes: 

Personally I have no problems with moms breast feeding their children in public, it’s natural and a part of life, but I do believe there should be a level of decorum involved, especially within the park(s). I certainly feel it is ok to breast feed within general seating or dining areas, especially in a nice shady people-watching spot which are usually in populated areas and moms shouldn’t have to hide or be hidden from public view. I do appreciate when moms wear the appropriate clothing for such a “task”, let’s face it, it doesn’t always go as planned. 

That being said, I don’t agree with the practice of breast feeding whileon a ride. In open public areas where people are able to come and go as they please is one thing, but on a ride you’re pretty much stuck for that amount of time and anyone feeling uncomfortable has no choice but to endure it. I can understand people feeling strained in that situation, and if they waited their turn they should be afforded the same guarantee of comfort to enjoy the ride we all expect. No eating, drinking, smoking or flash photography is for the comfort of all guests while on a ride and should be the responsibility of us all, even the little guys. Thanks for the article, it was a thought provoking piece. 

Thanks for your comments. To clarify, when I’ve nursed on rides, the only people with me were members of my own party. For example, on Pirates of the Caribbean, you’re usually not seated in the same row with a group of strangers. On the Haunted Mansion, my family and friends would be the only other people in the doom buggy with me. Guests in other rows or vehicles would not be able to see or be exposed to the baby nursing 

http://www.mouseplanet.com/9063/MousePlanet_Mailbag 

Don’t be a boob: Breastfeeding etiquette for guys

Keep your eyes above the neck

Eye contact is your best bet. Don’t initiate a conversation with a stranger who’s breastfeeding and no matter what don’t let your eyes linger anywhere below her chin. This is not a time to comment on how cute her baby is!

Never comment on their size 

If you can master the “getting on with your business” act when there are boobs on display and the eye contact required to hold a conversation with a breastfeeding mom, offering to get her a drink can be immensely helpful. This does not mean you should fetch her a beer! 

http://www.greatdad.com/tertiary/274/4105/don-t-be-a-boob-breastfeeding-etiquette-for-guys.html 

Wollondilly Council allow breastfeeding at council meetings 

ONE small step for Wollondilly Council, one giant leap for local mums. 

That’s the consensus of the two female Wollondilly councillors on the council’s new breastfeeding policy.  Cr Judith Hannan used last Monday’s meeting to establish a rule that mums can breastfeed during council meetings if they wish.  Cr Hannan’s motion was for the benefit of Cr Cassandra Twarloh, who recently gave birth to her first baby. Cr Twarloh’s new daughter, Khaylan, was one month old on Thursday. 

Confusion over the council’s stance on breastfeeding mothers arose after Cr Twarloh was told she couldn’t bring her baby into the chamber because that rule applied in Federal Parliament.  Parliament rules prevent babies from being taken into the House of Representatives or the Senate when Parliament is sitting because only elected representatives are permitted on chamber floors. Cr Hannan said Cr Twarloh shouldn’t have been told she couldn’t bring Khaylan to meetings because councils and parliaments were worlds apart. 

“She was told you can’t bring babies into the council meetings because that’s what Federal Parliament is like,” she said. “We are nothing like Federal Parliament and it’s in the best interests of the baby and mum that they stay together during this crucial time of relationship development.” Cr Twarloh said she was thrilled about the new guidelines, which were adopted unanimously. 

“My personal thought is I wouldn’t want to breastfeed at the council meeting because it would either make some people uncomfortable or be a distraction,” she said. “Someone told me I couldn’t take Khaylan to council meetings and I just assumed you couldn’t because you can’t in parliament. “It’s just one of those things where there wasn’t a rule saying I can’t bring her to meetings but there wasn’t a rule saying I could,” she said. 

http://macarthur-chronicle-wollondilly.whereilive.com.au/news/story/wollondilly-council-allow-breastfeeding-at-council-meetings/ 

Justine Roberts: Mistress of the Mumsnet pack

Her website is home to a host of angry mothers who have savaged leaders Gordon Brown and David Cameron

In olden times, politicians used to stand on milk crates or kiss babies in their quest for the floating voter. Now, however, if they want Worcester woman to mark that box with an X they have to be far braver and venture onto the parenting website Mumsnet: the online equivalent of a gang of scary women waiting, talons bared, outside the school gate. 

David Cameron is the most recent political leader to undergo trial by Mumsnetters, the forthright users of the influential site. On Thursday he spent an hour fielding questions about the future of the BBC, the number of nappies that should be provided free to the parents of disabled children, breastfeeding, favourite biscuits and whether Jedward should win The X Factor. 

The reason the politicians are willing to put themselves in the Mumsnet stocks is that it now has 1m visitors each month who are 95% female, educated (70% have a degree or equivalent), wealthy (“if they don’t buy Boden, they buy Boden on sale”) and, crucially, don’t all know how they are going to vote — about 40% are uncommitted. 

I ask Roberts about the sheer rage that fills some of the forums. She takes a deep breath and says: “I know it feels like bullying, but actually it is just 300 people with the same opinion, who all happen to be in the same place.” 

She is adamant that Mumsnet does not have an ethos — “we support parents in all their choices” — but my experience is that to question the breastfeeding-ondemand orthodoxy is to unleash the Mumsnet dogs (or should that be bitches?) of war. 

http://women.timesonline.co.uk/tol/life_and_style/women/families/article6926734.ece 

Stem cells could be the secret reason why breast is best

Scientist says mother’s milk may play vital role in helping children ‘fulfil their genetic destiny’ 

Breast milk, long revered for the nutritional advantages it gives a newborn, could be just as vital in terms of infant development, a leading scientist will claim this week. Up to three different types of stem cells have been discovered in breast milk, according to revolutionary new research. 

Dr Mark Cregan, medical director at the Swiss healthcare and baby equipment company Medela, believes the existence of stem cells means breast milk could help a child “fulfil its genetic destiny”, with a mother’s mammary glands taking over from her placenta to guide infant development once her child is born. 

“Breast milk is the only adult tissue where more than one type of stem cell has been discovered. That is very unique and implies a lot about the impressive bioactivity of breast milk and the consequential benefits to the breastfed infant,” said Dr Cregan, who is speaking at Unicef’s Baby Friendly Initiative conference this week. His research has isolated adult stem cells of epithelial (mammary) and immune origin, with “very preliminary evidence” that breast milk also contains stem cells that promotes the growth of muscle and bone tissue. 

Scientists will use his discovery, made at the University of Western Australia, in Perth, Australia, to attempt to harvest stem cells from breast milk for research on a range of issues – from why some mothers struggle to produce milk to testing out new drugs that could aid milk production. “There is a plentiful resource of tissue-specific stem cells in breast milk, which are readily available and from a non-invasive and completely ethical source,” Dr Cregan said. 

Advocates hope the discovery will help to lift the UK’s breastfeeding rates: only one-third of babies are exclusively breastfed at one week, the number dropping to one-fifth at six weeks. At five months, only 3 per cent of mothers still exclusively nurse their babies – although the World Health Organisation recommends that babies should consume only breast milk until they are at least six months old. 

Rosie Dodd, campaigns director at the National Childbirth Trust, said: “This finding highlights the many factors that are in breast milk that we know so little about and that all have different advantages, such as helping a baby’s immune system to develop.” 

Dr Cregan said the discovery of immune stem cells was the “most exciting development”, adding, “It’s quite possible that immune cells in breast milk can survive digestion and end up in the infant’s circulation. This has been shown to be occurring in animals, and so it would be unsurprising if this was also occurring in human infants.” 

British scientists gave a cautious welcome to Dr Cregan’s discovery, warning that just because stem cells exist in breast milk did not mean that they could be used to develop a therapy – the ultimate goal of stem cell research. Chris Mason, professor of regenerative medicine at University College London, said: “It may give us some insight into specific breast diseases and is potentially valuable when it comes to drug discovery and drug development but it is fanciful to think it could provide routine therapies.” 

http://www.independent.co.uk/news/science/stem-cells-could-be-the-secret-reason-why-breast-is-best-1825558.html 

The U.S. Breastfeeding Committee reminds employers of the significance and benefits of worksite lactation in a Nov. 16 press release. According to a CDC survey, 75 percent of new mothers initiate breastfeeding, but rates of exclusive breastfeeding at six months and continued breastfeeding at 12 months are far below national standards. Currently, only 24 of the 50 U.S. states have legislation providing worksite support for breastfeeding. 

http://www.womensenews.org/story/cheers-and-jeers/091120/semenya-retains-title-somali-stoned-death 

Trying to be supermum left me suicidal’  

Today, new mums are expected to have natural births, breastfeed without a hitch, and get back into their jeans within weeks. The pressure to be perfect has never been greater…  

And after failing to breastfeed and bond with her baby, Clare, 31, from Devon, felt so inadequate as a mother that she not only gave her son away, but also tried to kill herself. 

With post-natal depression affecting one in 10 mothers, research suggests that at least 50 new mums commit suicide every year, because they feel they can’t cope with their new babies. 

In July, Catherine Bailey, a lawyer and mum of three, drowned herself in the Thames. Her youngest daughter was just seven months old. Recording a verdict of suicide, coroner Alison Thompson said that Catherine “found it hard to meet the demands of motherhood and the high standard she’d set herself”. 

Two months earlier, an inquest ruled an open verdict on the death of mum Katy Isden, 30, who plunged 300ft to her death from a 20-floor building. She’d had post-natal depression and had struggled to breastfeed her son, Benjamin. 

And Hampshire mum of twins, Heather Finkill, 30, walked in front of a truck after struggling with her newborns. After her death it was revealed she was obsessed with getting things ‘right’ and felt her husband Ryan was coping better with them than she was. 

“I felt such a failure,” she says. “All the other mums on the ward seemed to be doing OK – my baby was crying, but I couldn’t feed him. I was his mum, I was the one who was meant to be able to feed him, nurture him and I couldn’t.” 

Desperate to give him some breast milk, Clare agreed to be ‘milked’ – an electric pump was attached to her breasts to extract milk and encourage more to be produced. Even so, she only managed to produce the equivalent of two teaspoons. Not enough for a hungry one-day-old baby. 

Clare took that as another sure sign she was an all-round failure as a mother. “I did ask for help, but felt I was wasting everyone’s time. After three days I asked for formula for him, but as I said the words, I felt all eyes turn on me. It seemed I was the only one on the ward who wasn’t breastfeeding,” she says. “That in itself made me feel like my son had the worst mum.” 

Nursing staff let Clare bottle-feed Rhys, but in her head the damage was already done. 

‘HUMILIATED BECAUSE I COULDN’T BREASTFEED’ 

Full-time mum Laura Buchanan, 26, lives in Stoke-on-Trent with her partner Mark, 32, son Benjamin, four, and daughter Jasmine, two. 

“Like many new mums, I had high expectations about motherhood.  Celebrities make it look so easy – back at work within days of giving birth. How hard could it be? When I was doing my birth plan, I was prepared by midwives for it to run smoothly. The reality was so different. 

When I gave birth to my son Benjamin, he got stuck. I suffered a third-degree tear and lost two pints of blood. It was a huge shock and I felt like such a failure.  I couldn’t breastfeed due to the blood loss and was devastated. Everyone says ‘breast is best’ and no one tells you that if it doesn’t happen, you shouldn’t beat yourself up about it. Giving my son formula milk, I felt like I wasn’t a proper mum. 

I have a many friends who have babies in the past couple of years and I can literally see the pain of those who can’t breastfeed due to the babies not latching on properly in their faces when they talk about it. All this ‘breast is best’ is fine and good, but it’s hit such a point now where mums who have problem breast feeding are now feeling totally inadequate when it doesn’t happen. Yes, it’s preferable, but not, you aren’t a bad mum if it doesn’t happen. These need to be told this by healthcare professionals as they are feeling cupabilised and it’s not on. You can be a great mum even if breastfeeding doesn’t work for you. 

http://www.newsoftheworld.co.uk/fabulous/features/606407/Trying-to-be-supermum-left-me-suicidal-motherhood-suicide-new-mothers.html

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