Tag Archives: breastfeeding in public

Breastfeeding in the News Dec. 15th – 25th, 2009

Hello All,

The good people of Nashville Tenn. have decided against putting a new WIC (Women, Infants & Children) office in a downtown mall for fear that it would affect “the safety of those who work and shop in the Antioch area”, that, and they were worried it would undermine property values.  Right, I guess having all those breastfeeding peer counselors running around would be scary; after all they might throw someone up against a wall and threaten to attach them to a breast pump and turn the suction up really high.  Yes, I’m sure that’s what they were worried about, because they couldn’t possibly be worried about the impact of mothers in need getting help for their babies.

If that isn’t enough to get your blood boiling listen to what the food giant Nestle is up to these days.  Having decided that they are the best nutrition experts around, Nestle has taken it upon themselves to start educating doctors on the needs of people requiring enteral nutrition therapy (think premmies & coma patients).  No doubt their year long clinical program will focus primarily on their own products (I can’t imagine them putting in too many plugs for breast milk).   But as we can see from the author of “Parenting Perspective: Figuring out how to feed your baby!” formula is not always the easy answer that everyone thinks it is.  Individual babies react differently to each brand (her baby had constipation with one brand and diarrhea with the next). 

While here in America mothers worry about the consequences of switching brands of formula in some parts of the world, a bigger fear is switching mother’s milk.  In Dubai recently a mother was horrified to find a nurse feeding her pumped milk to someone else’s baby.  “In Quran and Hadith a child who has nursed from a woman becomes not only a blood relation to the nursing woman, but also a milk sibling to others who shared her breast, a relationship that prevents future marriage to a complicated array of “relatives”.”  Such an act is simply “unacceptable” in a Muslim country.  Muslim or not, I think such a major screw up should be unacceptable in any country.

Cultural beliefs play a big part in whether or not a society supports breastfeeding.  The myths covered in this week’s news ranges from gender specific “boys may be introduced to camel milk early as a rite of initiation so they will like the animals they will herd in future,” he said. “The belief is that if the male child is first introduced to his mother’s milk, he will become a useless boy.” (Kenya) to the more common “A mother should not breastfeed if she has cold.” to more localized beliefs, “Squeezing breastmilk in ant’s nest or fire will dry out the mother’s milk.”  to this colloquial gem “Extensive breastfeeding will give the mothers ‘slipper titties’” (Jamaica). 

But let’s keep in mind that some countries that we tend to think of as being less developed are actually far ahead of us.  In the Malaysian Parliament building there is now a room for nursing mothers and more importantly there are at least two legislators who will be using it, while in Indonesia students hit the streets for a peace rally on Mother’s Day (which is in December for them) distributing flowers to every mother and demanding that the government give more support to mothers and babies.   They also “called on the government to set up a space for breastfeeding mothers and a crèche for working mothers.”  How’s that for a mother’s day present?  Young people who care enough to demand more rights for mothers!

Here at home, another California county is attempting to support breastfeeding mothers in the workplace.  It’s good to see local governments taking the lead on this.  Meanwhile Sen. Merkley  

Is taking credit for the addition of an amendment covering lactation support in the workplace (“I led the fight”) but not everyone is happy with the good senator.  “sorry,” comments one blogger, “ the fact that male Senators are supporting the right of women to breastfeed their infants (which is already legal in Oregon) does not make up for government intrusion on women’s right to choose. In fact, that male Senators selectively support women’s rights that benefit their infants more than their rights to control their own bodies is frightening, not reassuring.”

While we are on the subject of “comments” check out some of the reaction to an article (“Breastfeeding in Public?”)about the mother who was caught breastfeeding in the electronics aisle at Target and given a police escort out of the building.  Here’s just one example:  “Couldn’t she go out in the car to do it? This is so Third World.”  Right, didn’t that mother know that real Americans breastfeed in their cars!  And while I’ve got you all riled up you may be interested to learn that one newspaper listed an article about breastfeeding as being one of the top ten articles of the year.  The article?  It was about a poster put up in doctor’s office of a toddler breastfeeding a doll, apparently the story “provoked a passionate debate among readers.”

There was some good news.  Medela gave out some cash awards to five US hospitals, and Julie Wood (one of our Facebook “Breastfeeding in the News” members) was elected to the board of directors to the US Breastfeeding Committee (congratulations Julie!).  Also one of our local Boston area hospital has initiated a return to sanity by introducing a “no visitor” period from 2 -4pm.  The folks at Newton-Wellsley hospital did their homework and when they discovered that “staff and visitors interrupt new moms more than 50 times on average in a 12-hour period.” They decided that enough was enough.  Kudos to the Lactation Consultants at Newton-Wellsley for leading the charge on this fight!

Thanks to an article by our own Kathy Kendall-Tacket in the International Journal of Breastfeeding, inflammation is now being recognized as a significant cause of depression.   And according to foodconsumer.org:  “In the case of post partum depression, breastfeeding is the most obvious remedy of choice as it naturally eases stress and modulates the inflammatory response. While we’re on the subject of PPD, a new study about the effects of Hurricane Katrina revealed that although the trauma had a negative effect on breastfeeding over all most mothers came through just fine.  In fact, “many women are capable of surviving and thriving in post disaster environments”.

I hope some one tells that to the women in Figi.  After Cyclone Mick left them with no clean water for at least three days Unicef was ready to step in to distribute “Emergency Hands” – communication materials promoting key sanitation and hygiene behaviours, posters promoting hand washing and breastfeeding, collapsible water containers and water purification tablets”.   With that in mind, even though the holidays are officialy over you might want to look into buying someone a “Mercy” breastfeeding kit ($75) the gift that “can make a difference in the lives of others in need around the world.” The money goes towards training a breastfeeding counselor in another country.

That’s it for now.  Next week I’m off to Florida where I’ll be giving a talk at the Healthy Children conference in Orlando (wish me luck!).  Hopefully I’ll be able to find a little down time while I’m there so that I can be a little more up to date with the news.  As always I love to hear from you.  If you want to leave a comment just scroll way down to the very end & you’ll find the comment box. 

Kathy Abbott, IBCLC

www.BusyMomsBreastfeed.com

On Facebook: “Breastfeeding in the News”

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

Nestle to train doctors about tube-feeding nutrition

For some hospital patients, the nutrients delivered to the body through a tube feeder can make the difference of a speedy recovery.  That is why Nestle Nutrition, part of Nestle U.S.A., which manufactures products ranging from baby formula to chocolate and is considered to be the world’s largest food company, is working to ensure doctors nationwide better understand how to prescribe the right mix of proteins, carbohydrates, fats and other essential nutrients for patients requiring extra help eating, said Sally Steele of Nestle HealthCare Nutrition. “The right food can positively influence a patient’s outcome, heal wounds, nurse a premature baby to health,” Steele said.

Nestle Nutrition, based in Florham Park, is launching an Enteral Nutrition Fellowship Program this year that will offer physicians and surgeons hands-on experience and information about enteral nutrition therapy.

Enteral nutrition is a milkshake-like mixture of necessary nutrients given through a tube in the stomach or small intestine. It differs from parenteral nutrition, another type of nutrition therapy, which is delivered to patients’ bloodstream using a needle.

People requiring enteral nutrition therapy range from premature infants to someone in a coma or those diagnosed with a chronic illness such as advanced dementia.

Research has indicated that the addition of certain nutrients and amino acids to formulas are associated with the reduced risk of infection in surgical patients and those who are immune-system compromised. These nutrients can help decrease antibiotic use, reduce ventilator use and the incidence of pneumonia, and reduce surgical complications.

Nestle’s yearlong program will offer offers fellows the chance to work one-on-one with a mentor and a month in a clinical rotation to learn tube-feeding-related procedures, shining a light on a component of patient recovery typically left for specialized dieticians or certified nutrition support clinicians.

The aim, Steele said, is to create a network of nutrition physician leaders that will return to their hospitals, nursing homes and other facilities to spread the word. Some will go on to further research the benefits and effects of nutrition therapy, thus helping to save more lives, she said.

http://www.dailyrecord.com/article/20100103/BUSINESS/91231017/1003/Nestle-to-train-doctors-about-tube-feeding-nutrition

Women warned about morning sickness remedy

Women who are in the throes of morning sickness are often willing to try almost anything to ease the queasiness and vomiting that accompanies those first months of pregnancy.

Some herbal or traditional remedies work like a charm and are innocuous, but pregnant women in particular need to be sure of what they are ingesting.

The Texas Department of State Health Services issued a warning this week that pregnant and breastfeeding women should avoid using of a product called “Nzu,” also known as Calabash chalk. The product is a traditional remedy for morning sickness used largely by Nigerian and West African women. It can also be used as a cosmetic.

Laboratory analysis in Texas, mirroring earlier findings in the UK and Canada, show the products contain high levels of lead and arsenic. According to the state’s press release, the product was found by food inspectors at two African specialty stores — one in the Dallas area and one in Houston.

The product generally resembles balls of clay or mud and is also called Calabar stone, Mabele, Argile and La Craie.

The Nzu may be covered in a brown or white dust and is usually sold in small plastic bags with a handwritten label identifying it as “Nzu” or “salted Nzu.”

Anyone who has been ingesting the product should contact their health care provider. The source of the product in Texas is not yet known, but inspectors are continuing to investigate.

http://www.statesman.com/blogs/content/shared-gen/blogs/austin/mamadrama/entries/2009/12/24/women_warned_about_morning_sic.html?cxntfid=blogs_mama_drama

An Imperfect Stride Towards Justice – Sen. Jeff Merkley

At 7 am this morning, a short time ago, I voted for the Patient Protection and Affordable Care Act. It passed.

If you are like me, it is hard to respond with uninhibited celebration. It is hard to celebrate when you are mourning. I am mourning the loss of the national public option. I am mourning the infringement on women’s constitutional right to choose.

…One of my favorites–in part, I confess, because I led the fight for it–is the amendment that guarantees every mother returning to work the privacy and flexibility in break time needed to nurse her child or pump breast milk. Breastfeeding is great for the baby’s and the mother’s health, and is a big factor in emotional bonding as well.

Comments:

“Senatpr Merkley, Your “mourning” the restrictions on women’s choice does not make up for the fact that you nevertheless voted for them…..

And sorry, the fact that male Senators are supporting the right of women to breastfeed their infants (which is already legal in Oregon) does not make up for government intrusion on women’s right to choose. In fact, that male Senators selectively support women’s rights that benefit their infants more than their rights to control their own bodies is frightening, not reassuring.”

http://www.huffingtonpost.com/jeff-merkley/an-imperfect-stride-towar_b_402959.html

Council says no to WIC clinic in Metro Nashville

While some say opening a WIC clinic at the Hickory Hollow Mall in Metro Nashville would have meant a boost in sales for local business owners, council members voted “no” to the plan during Tuesday night’s Metro Council meeting. The plan in consideration targeted residents specifically in southeast Nashville (Antioch) to receive the assistance WIC provides. According to the official WIC website, “WIC provides federal grants to states for supplemental foods, health care referrals, and nutrition education for low-income pregnant, breastfeeding, and non-breastfeeding postpartum women, and to infants and children up to age five who are found to be at nutritional risk.” Although 43 percent of Davidson County’s WIC participants reside in Antioch justifying the location for the program, other factors swayed the vote.

Protesters concerned about the WIC clinic opening in the Hickory Hollow Mall were relieved with the council’s decision. Property values in the already unstable market remain unaffected as a result of the vote. Patrons and employees directly affected by the decision were pleased when they heard the official ruling that businesses would not be driven out of the mall, and the safety of those who work and shop in the Antioch area continues to be a top priority.

Those in the community targeted councilman, Sam Coleman, for not communicating the plan to open a WIC clinic in the Hickory Hollow Mall to the public. Officials from the health department and Coleman’s supporters insist that bill readings about the plan were advertised appropriately. Coleman stated, “I apologize, but sometimes these federal grants, they come at such a pace and then you have to act upon them. That’s what happened here.”

http://www.examiner.com/x-33945-Nashville-Headlines-Examiner~y2009m12d24-Council-says-no-to-WIC-clinic-in-Metro-Nashville

Milk of Woes for New Mother

DUBAI – A UAE national woman who gave birth to a boy in a Dubai hospital said a nurse fed her milk to another baby and another woman’s milk to her son, adding it is against Islamic beliefs.

The mother, who asked not to be named, said she had been ill after delivery and was not breast feeding. “The nurse pumped the milk from my breast to feed my baby,” she said.

“All of sudden I saw her holding a bottle with my name and the name of my baby written, and feeding another baby.” The mother said she shouted at the nurse and called the doctor, claiming the nurse had not been paying attention to her work.

“The nurse was not aware such a thing is against our religion,” she said. “It was shock for me and I couldn’t do any thing after my baby had someone else’s milk.”

… Al Marzouqi said it was believed that breastfeeding established a biological link that would not have been present otherwise.

“In Quran and Hadith a child who has nursed from a woman becomes not only a blood relation to the nursing woman, but also a milk sibling to others who shared her breast, a relationship that prevents future marriage to a complicated array of “relatives”,” Al Marzouqi said.

“There is some indication in early medical thought that a woman’s milk is a product of her blood, and so by ingesting it, a blood relationship is created.”

Al Marzouqi said the alleged act by the nurse was unacceptable in a Muslim country adding that training and religious programmes should be provided for non-Muslims who work in the health care establishments.

http://www.khaleejtimes.com/DisplayArticle.asp?xfile=data/theuae/2009/December/theuae_December674.xml&section=theuae&col=

People in the News 

AAFP member Julie Wood, M.D., of Lee’s Summit, Mo., has been elected to the board of directors of the United States Breastfeeding Committee and began serving a two-year term in August. She also serves as the nonprofit organization’s membership committee chair.

The United States Breastfeeding Committee is a coalition of more than 40 organizations — including the AAFP — working to improve the nation’s health by protecting, promoting and supporting breastfeeding.

Wood recently completed her term as chair of the AAFP Commission on Health of the Public and Science. She is a board member of the Missouri AFP.

http://www.aafp.org/online/en/home/publications/news/news-now/inside-aafp/20091222pplinnews.html

Government Urged to Assist Breastfeeding Mothers  (Jakarta Indonesia)

Mother’s Day in Makassar yesterday was commemorated by students and mothers from various organizations with a peace rally in front of the Mandala Monument
Scores of female students from the South Sulawesi and West Sulawesi Coordination Agency of the Muslim Students Association (Kohati) demonstrated by distributing flowers to mothers on the street.

 
The students, mostly wearing kebaya and South Sulawesi’s traditional bodo dress, called on the government to set up a space for breastfeeding mothers and a crèche for working mothers. There are only two rooms reserved for breastfeeding mothers in Makassar, at the Global Trade Center Mall and the Panakkukang Mall.
They also called on the government to encourage policies that support mother and child’s interest as well as to pay more attention to Mother’s Reproduction Health Program. “Mother and child mortality rates continue to rise,” said Arlina, rally coordinator.
At the same location, youths and mothers from the Indonesian Poor People Union and the National Student League for Democracy also demonstrated to demand that mothers be given bigger roles.

http://www.tempointeractive.com/hg/nasional/2009/12/23/brk,20091223-215353,uk.html

The ten most read stories of 2009

8. ‘Breastfeeding’ tot storm A story on May 20 told how a poster had been put up in Rochdale Infirmary showing a toddler breastfeeding a doll. The article provoked a passionate debate among readers.

http://www.manchestereveningnews.co.uk/news/s/1186981_the_ten_most_read_stories_of_2009

The Links Between Sugar and Mental Health

Published in the International Breastfeeding Journal, the study entitled “A new paradigm for depression in new mothers: the central role of inflammation and how breastfeeding and anti-inflammatory treatments protect maternal mental health” discovered that inflammation may be more than just another risk factor. It may in fact be THE risk factor that underlies all others.

The researchers’ stated:

“The old paradigm described inflammation as simply one of many risk factors for depression. The new paradigm is based on more recent research that has indicated that physical and psychological stressors increase inflammation. These recent studies constitute an important shift in the depression paradigm: inflammation is not simply a risk factor; it is the risk factor that underlies all the others.

Moreover, inflammation explains why psychosocial, behavioral and physical risk factors increase the risk of depression. This is true for depression in general and for postpartum depression in particular.

Puerperal women are especially vulnerable to these effects because their levels of proinflammatory cytokines significantly increase during the last trimester of pregnancy–a time when they are also at high risk for depression. 

Moreover, common experiences of new motherhood, such as sleep disturbance, postpartum pain, and past or current psychological trauma, act as stressors that cause proinflammatory cytokine levels to rise. “

In the case of post partum depression, breastfeeding is the most obvious remedy of choice as it naturally eases stress and modulates the inflammatory response.

http://www.foodconsumer.org/newsite/Non-food/Miscellaneous/sugar_and_mental_health_2212090659.html

 Hospitals change policy on maternity visiting hours. 


After customer satisfaction concerns led them to transition from specific visitation periods to open-door policies more than a decade ago, some hospitals are now drifting partway back, finding new families have become too busy to rest, bond with their babies and take in lessons on providing care.

“It’s an overwhelming experience in a very positive way,” said Virginia Prout, director of maternal and child health at Newton-Wellesley. “I think families need time to process what has just happened to them.”

Prompted by comment cards from patients and concern from hospital lactation consultants rest periods boost milk production a team of Newton-Wellesley nurses studied the issue, finding national data that staff and visitors interrupt new moms more than 50 times on average in a 12-hour period.

While noise and action on their unit hadn’t hit circus-like proportions, nurses realized there was room for improvement. Patients were seeing a constant flow of birth-certificate preparers, hearing testers, photographers-for-hire, housekeepers, dietitians and other staff, as well as a parade of well-meaning family and friends.

On top of that, hospital maternity stays have been shortened in recent years to two days for vaginal births and four for C-sections.

“That doesn’t really give new families a lot of time to absorb what we want to teach them,” Prout said, with sessions devoted to bathing, breastfeeding, holding and bonding.

So last month, Prout’s unit introduced a new daily “quiet time” from 2 to 4 p.m. While essential medical care is still provided new moms, especially those coming off C-sections, require a lot of monitoring other staff are asked to make way for family rest or lessons from nurses.

http://www.dailynewstribune.com/homepage/x1599182795/Hospitals-change-policy-on-maternity-visiting-hours

Breastfeeding in Public? 

Mother of three Mary Martinez was ousted from a Target store in Michigan earlier this month, after she began breastfeeding her hungry 4-week –old daughter in the electronics section.

Though there were few other shoppers in the area, Target security approached Martinez and her husband, Jose, and told them to leave.  “He said, ‘It’s against the law.  Tou have to go,’” Josr Martinez told Fox News.

The police were called, and even after an officer admitted that breastfeeding in public was not, in fact, against the law, the family was escorted out of the store.

Comments:

  1. 8.     I fully support the rights of nursing mothers to feed their babies in public. But this situation creates a scene in my mind of a mother walking around shopping and nursing the baby at the same time.

Even though I nursed both of my babies, and on occasion in public places when necessary, I can see myself (and DEFINITELY my husband) doing a double take at someone breastfeeding alongside me as I browse the Wii games through the glass case in the electronics section at Target. It’s unlikely that either of us would complain about it to store management or security, but we’d definitely shake our heads and laugh over dinner later at how some people just have no sense.

  1. 5.      If the bfeeding is so discreet that I don’t know about it–then I personally don’t care — feed away!
    However, there are bfeeding women who are essentially exhibitionists and they rightfully should be shown the door. I once saw a young woman walking the aisles of a supermarket with a baby attached to her completely exposed breast. Another time a mother was sitting in a waiting room of a post-secondary school with her baby attached about a foot and a half away–her breasts were that enormous– and the one in use was completely exposed. She made a roomful of people very uncomfortable. Oh I know, they were all in the wrong while she alone was in the right.
  2. 6.      Why cause drama? I used to pump, put the goods in a baby’s bottle, and pack the bottle with the rest of baby stuff.
    Fed baby where-ever and when-ever. So simple. sheesh!

Posted by Electra December 18, 09 10:15 PM

  1. 34.   Couldn’t she go out in the car to do it? This is so Third World.
  2. 35.   Could racism also be a factor here?

Posted by Liz Pakula December 19, 09 10:07 PM

  1. 21.   I breastfed my daughter but I think it’s odd to do it in the middle of the electronics aisle. Find a chair someplace! I think some mothers get righteous on this topic–sure, it’s your ‘right’ but be discreet about it.

Posted by anna74 December 19, 09 02:03 PM

30.  I breast fed in public with both of my kids. People should focus on the “feed” but not the “breast” part of breast feeding. Maybe we should call it biological feeding or natural feeding so that people won’t be get nervous with the “breast” part.

http://www.boston.com/community/moms/blogs/child_caring/2009/12/breastfeeding_in_public.html

Malaysian women lawmakers get enclosure to nurse babies

Malaysian women parliamentarians now have a special area in the VIP restroom at the Parliament building to nurse their infants. The move comes as breastfeeding by women lawmakers, and by women at workplaces in general, are issues being debated in many countries. In some places, women have been banned from nursing their infants. In 2003, the Victorian state parliament in Australia ejected a new mother, Kirstie Marshall for breastfeeding her baby in the chamber, according to The Age newspaper. The first Malaysian lawmaker to benefit from this enclosure divided by a curtain is Nurul Izzah Anwar, an opposition lawmaker who uses it to feed her five-month-old baby, The Star newspaper said Saturday.

Deputy Health Minister Rosnah Abdul Rashid Shirlin, who is seven-and-a-half-months pregnant, said she plans to use the facility after her baby is born.  The facility was made available since the opening of the current Parliament session in October. Nurul Izzah, 29, requested for a nursing room when she gave birth to her second child five months ago. Her child was only a few months old when Nurul Izzah won the Lembah Pantai parliamentary seat in the March 8 general election last year.

http://www.thaindian.com/newsportal/health/malaysian-women-lawmakers-get-enclosure-to-nurse-babies_100291713.html

What do Pokwang and Cory Aquino have in common?

MANILA, Philippines – Former president Corazon “Cory” Aquino was recently feted a posthumous Lifetime Achievement award by Lifestyle magazine “Working Mom.”

According to a press statement by the magazine, Aquino was awarded at the 2009 Working Mom Balance Awards as “one of the greatest working moms the country has ever known.”

The annual awards event, which started in 2003, recognize women who excelled in their respective careers but still “maintain a healthy balance in facing the demands in their personal lives.”

This is the first time that Working Mom gave a posthumous award.

The magazine also honored 5 women who each won a “Balance Award” for 5 categories: Educator, Entrepreneur, Health and Well-being, Public Service and Corporate

Public Service awardee Anna Lisa Dee, meanwhile, was honored for her breastfeeding advocacy as co-founder of the non profit group Lactation Attachment Training Counseling and Help (L.A.T.C.H.).She works as a breastfeeding counselor, resource speaker and contributing writer to various “mom and baby” publications and web sites. Dee is also a loving wife to her high school sweetheart Dudu and a doting mother to her children.

http://www.abs-cbnnews.com/lifestyle/12/17/09/pokwang-cory-aquino-cited-working-mom-awards

KENYA: The role of culture in child nutrition

MOYALE, 18 December 2009 (IRIN) – Two-year-old Safia Emoi is weak, thin and listless. She has just arrived at the Heillu Health centre with her mother Amima Mohammed, who set off early to make the 4km trek to the clinic in the outskirts of the upper Eastern Province town of Moyale. Safia is enrolled in a programme for severely malnourished children.

“Up until recently, things were a bit better for me and my family,” Amima Mohammed, 35, said. However, a prolonged drought has killed livestock, in turn affecting children’s nutrition and milk consumption.

“We are hungry most of the time. I make some strong tea in the morning and then we have one meal of maize during the day,” said the mother of six.  
 
There are dozens of children enrolled in a supplementary feeding programme run by Concern Worldwide in Moyale; in the past three months, the NGO recorded an average of 70 to 80 admissions per month. “I have seen other children getting better when given ready-to-eat therapeutic food, so I know Safia will too,” said her mother.

According to the Arid Lands Resource Management Project (ALRMP), agro-pastoral and pastoral communities are among the worst affected by food insecurity after four consecutive rainy seasons failed.

Despite ongoing mid-October to December short rains, drought-related stress, such as inadequate food and pasture, remains high in Moyale and other Eastern Province Districts such as Isiolo, Garbatulla, and Marsabit.

The proportion of children classified as “at risk” of malnutrition (mid-upper-arm circumference, MUAC, less than 135mm, in ages 6-59 months) in October remained higher than respective five-year averages in the districts, according to ALRMP surveillance data, stated a Kenya Food Security Update for November.

An MUAC of less than 110mm indicates severe acute malnutrition; between 110mm and 125mm moderate acute malnutrition, while one between 125 and 135mm shows that the child is at risk of acute malnutrition and should be followed up for growth monitoring.

The wrong kind of food

Another nutritional problem in this region is a widespread tendency not to breastfeed babies during their first six months. According to the UN Children’s Fund, exclusive breastfeeding is the perfect way to provide the best food for a baby’s first six months as breastfed infants are much less likely to die from diarrhoea, acute respiratory infections and other diseases.

But Humphrey Mosomi, a nutritionist with World Vision Kenya in Marsabit district, said some 60 percent of mothers gave their babies additional food as well as water within two weeks of birth.

Improving pastoral community awareness of better child-feeding practices was vital, Mosomi told IRIN.  

“For example, boys may be introduced to camel milk early as a rite of initiation so they will like the animals they will herd in future,” he said. “The belief is that if the male child is first introduced to his mother’s milk, he will become a useless boy.

“There is also influence from grandmothers. They say the children are dying of thirst and that they must be given water,” he said. In an effort to improve the situation, traditional birth attendants, who, as older women, enjoy respect in the community, are being educated about the importance of exclusive breastfeeding.

Challenges

Cultural beliefs also fuel poor child health, noted Mosomi. “It takes a long time to convince someone to sell a cow or a goat to buy food. [People refuse] to sell so as not to be viewed as poor or to look cowardly. If, as a leader, you sold off your cows during the drought, people may refuse to vote for you.

“Sometimes, the cows are there, the milk is there, but it is not available to the children. The herders are ‘favoured’ and allocated the bigger share of milk, for instance,” he noted, adding that there was a need for advocacy.

http://www.irinnews.org/Report.aspx?ReportId=87454 

Medela Announces Virtual Human Milk Collection Campaign

MCHENRY, Ill., Dec. 17 /PRNewswire/ — Medela announced today the award recipients from its November Virtual Human Milk (breastmilk) Collection Campaign in honor of the March of Dimes’ National Prematurity Awareness Month. More than 4,100 participated in the campaign, voting for their preferred Neonatal Intensive Care Unit. Each of the following hospitals will receive $5,000 in neonatal human milk support products from Medela:

* Memorial Hospital at Gulfport, Gulfport, MS. * St. John Medical Center, Tulsa, OK. * The Children’s Hospital of Philadelphia, Philadelphia, PA.* University of New Mexico Hospital, Albuquerque, NM.

“We are very pleased with the participation in our Virtual Human Milk Collection Campaign. The intent was to help raise awareness of the importance of human milk which works like a medicine to help protect premature babies from many serious complications during and after their hospital stay,” says Carolin Archibald, vice president, professional business at Medela Inc. “We’re thrilled to be able to donate products to our award recipients that will support feeding more human milk and improving outcomes for their vulnerable patients.”

http://www.prnewswire.com/news-releases/medela-announces-virtual-human-milk-collection-campaign-award-recipients-in-honor-of-2009-prematurity-awareness-month-79531102.html

Study data from E.W. Harville and colleagues update understanding of depression

“We reviewed the literature on the effects of Hurricane Katrina on perinatal health, and providing data from our own research on pregnant and postpartum women. After Katrina, obstetric, prenatal, and neonatal care was compromised in the short term, but increases in adverse birth outcomes such as preterm birth, low birthweight, and maternal complications were mostly limited to highly exposed women,” investigators in the United States report (see also Depression).

“Both pregnant and postpartum women had rates of post-traumatic stress disorder similar to, or lower than, others exposed  to Katrina, and rates of depression similar to other pregnant and postpartum populations. Health behaviors, such as smoking and breastfeeding, may have been somewhat negatively affected by the disaster, whereas effects on nutrition were likely associated with limited time, money, and food choices, and indicated by both weight gain and loss,” wrote E.W. Harville and colleagues.

The researchers concluded: “With a few specific exceptions, postdisaster concerns and health outcomes for pregnant and postpartum women were similar to those of other people exposed to Hurricane Katrina. In such situations, disaster planners and researchers should focus on providing care and support for the normal concerns of the peripartum period, such as breastfeeding, depression, and smoking cessation. Contraception needs to be available for those who do not want to become pregnant. Although additional physical and mental health care needs to be provided for the most severely exposed women and their babies, many women are capable of surviving and thriving in postdisaster environments.”

Harville and colleagues published their study in Birth – Issues in Perinatal Care (Hurricane Katrina and Perinatal Health. Birth – Issues in Perinatal Care, 2009;36(4):325-331).

http://behavioralhealthcentral.com/index.php/20091216156741/Clinical-News/study-data-from-ew-harville-and-colleagues-update-understanding-of-depression.html

Unicef Ready To Support Flood-Affected Fijians

Friday, 18 December, 2009 – 16:48

UNICEF estimates that at least 17,500 people in the area were affected by severe flooding causing extensive damage in housing areas and to water mains and supplies.

Three days after category 2 Cyclone Mick hit major islands of the Fiji Islands group, the affected population still does not have access to safe drinking water and proper sanitation.

UNICEF stands ready to distribute “Emergency Hands” – communication materials promoting key sanitation and hygiene behaviours, posters promoting hand washing and breastfeeding, collapsible water containers and water purification tablets at the request of the Government.

http://www.voxy.co.nz/national/unicef-ready-support-flood-affected-fijians/5/33810

Monterey County eyes breastfeeding policy for workers

Monterey County is working toward becoming just the third county in the state to have a breastfeeding policy for employees. The policy is currently being test-driven in the county’s Health Department.  “I anticipate that this policy will benefit both the Health Department and the community,” said Dr. Lisa Hernandez, the county’s deputy health officer.

The plan sets aside space other than a restroom for breastfeeding mothers to pump breast milk. It also allows for flexible schedules so women can continue both work and feeding. If it moves forward, Health Department officials will work with leaders in each county department to find appropriate spaces to designate for nursing moms.

http://www.thecalifornian.com/article/20091216/NEWS01/91216024/1002/Monterey+County+eyes+breastfeeding+policy+for+workers

Parenting Perspective: Figuring out how to feed your baby!

December 16, 2009 (WPVI) — One of the surprises for many new mothers is how hard breastfeeding can be. Something that seems so natural often comes with a lot of frustration, anxiety and concern. But if you find yourself struggling with it, there are books, videos and support groups, not to mention a cadre of other women who have negotiated the difficult moments of “latching” and “supplementing.”

So, I thought I’d have it a little easier since our son is bottle fed. I have rheumatoid arthritis, and the drugs I take to combat are toxic and make it impossible for me to breastfeed. (I stopped the drugs while pregnant and resumed them about a month after delivery). Bottles also would mean that I could share feedings with my husband and not have to contemplate cover-ups whenever we wanted to take the baby out for a while.

Not so fast.

For the past three months, we have been taxed trying to find the right formula. The first one made him constipated. The second one gave him explosive gas and diarrhea, even as he spit up ounces. A third mix led to thick chunks on his bib. Another variant turned him off, pushing away from his bottle. Our solution this week is to mix two different brands together. He seems to keep them down without much wear on his system.

There are some other things I’ve been taught to do to try to keep his formula in his system, not spit up on my shoulder: I hold him at a 45-degree angled as he feeds, rather than letting him lay back. He doesn’t always burp, even though I try, but I make sure he at least sits upright for 30 minutes, which half the time means an upright snooze on my shoulder. Another thing you can try: burp after half or even thirds of the bottle.

We’re not sure whether our current solution will be the final call. We ruefully look at the barely used cans of formula – they are not cheap – sitting around our kitchen. But then we try to keep it all in perspective: Before we know it, our little guy will be on to cereal and solids.

Here’s to Mother Nature and hopes our little guy fares better with strained sweet potatoes, peas and pears!

http://abclocal.go.com/wpvi/story?section=news/parenting&id=7174378

Pregnant and breastfeeding women exposed to workplace hazards  (Spain)

A new study shows the employment and sociodemographic characteristics involved in the exposure of pregnant women to workplace hazards. Of these, 56% say they often work standing up or have to lift heavy objects, 63% are exposed to workplace stress and 62% say they are frequently exposed to some physical risk in their place of work.

“Pregnant and breastfeeding women are especially sensitive to exposure to workplace hazards”, Mª Carmen González, lead author of the study and a researcher at the Higher Centre for Public Health Research in Valencia, tells SINC. “Certain workplace pollutants and working conditions can have negative impacts on pregnancy and the development of the foetus”, she says.

… Almost one-quarter of the women (22%) said they were exposed to some chemical agent, particularly cleaning products, and 6% to biological risk factors, such as in jobs involving the care of others.

The conclusions show that it is the youngest, least-educated and non-Spanish women, who are self-employed or working on temporary contracts, who are most likely to report being frequently exposed to workplace risks.


“Although Spanish legislation regulates the protection of pregnant or breastfeeding women in their places of work (Law 31/1995 and Organic Law 3/2007), the conclusions of this study indicate that this legislation is insufficiently implemented in Spain”, concludes the Valencian researcher.

http://www.news-medical.net/news/20091217/Pregnant-and-breastfeeding-women-exposed-to-workplace-hazards.aspx

What to Give to the Person Who Has Everything

When confronted by malls full of frantic holiday shoppers and barraged with advertisements promising the perfect gifts, we’re sometimes overwhelmed. We realize we’re very fortunate to be living somewhere that has so much available, while many others have very little. That’s why Mercy Kits — symbolic humanitarian gifts that support the health and education programs of Mercy Corps — are perfect for the person who has everything.

Since 1979, Mercy Corps has been helping individuals, families and communities hurt by economic crisis, armed conflict and natural disasters around the globe, from the United States to Kyrgyzstan. The organization, based in Portland, OR, started offering the tax-deductible Mercy Kits in 2003. “With Mercy Kits, gift-givers can make a difference in the lives of others in need around the world,” says spokeswoman Joy Portella. Proceeds from most of the kits go to where Mercy Corps determines it is most needed, though the following support specific projects: Breastfeeding Kit ($75), Climate Change Kit ($150), Fuel-Efficient Stove Kit ($45), Send an Orphan to School Kit ($100), Plant a Tree Kit ($55) and Play to Heal Kit ($75).

http://mercycorps.org/inthenews/17036

Push for exclusive breastfeeding

MOST Jamaican mothers are not practising exclusive breastfeeding as it goes against their belief that babies require water or tea. So says Dr Pauline Samuda, a nutritionist, who is calling for greater education on exclusive breastfeeding and its benefits.

“[But] it’s very difficult in a hot country, when a mother is hot to tell her that her baby is not hot, although you’re trying to say to them, ‘look at what you have eaten versus what the baby has eaten, you have eaten pure solids while the baby has had only liquid, so you’re thirsty, the baby is not’,” Dr Samuda said. “It’s very difficult but it is something we have to work on.”

In addition to the mother’s misperception of what the child requires during his or her first six months, Dr Samuda said that a large number of public health care workers were also making the task difficult as they themselves were not aware of the correct definition of the term ‘exclusive breastfeeding’ and at times misinform the mothers about the baby’s diet and the appropriate time to introduce additional food.

Dr Samuda was speaking against the background of a recent study she conducted in St Catherine and Clarendon, where she found that over 90 per cent of the mothers in the survey had never heard the term ‘exclusive breastfeeding’, while 80 per cent were introducing supplemental food such as tea, formula, porridge and irish potato between one to three months after the baby’s birth.

Popular myths surrounding breastfeeding

• Infants needs bush tea to clear their stomach in the mornings.

• Babies need water to quench their thirst.

• Expressed milk is not good for the baby.

• Squeezing breastmilk in ant’s nest or fire will dry out the mother’s milk.

• Feeding young babies tomato leaves will help with gripe.

• Mothers do not produce enough milk, hence the reason for additional food.

• Extensive breastfeeding will give the mothers ‘slipper titties’.

• A mother should not breastfeed if she has cold.

http://www.jamaicaobserver.com/magazines/allwoman/push-for-exclusive-breastfeeding

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Nipple Shields: A Quick Fix?

It’s day two in the hospital, your breasts are ready to burst.  They feel filled to the brim, but you are still making colostrum.  Your nurse is trying to help you get your baby to latch on but your breasts are so full your nipples have almost disappeared.  The nurse tells you that you have flat nipples and she runs and gets a nipple shield.  The shield works great, now that the baby has something to latch on to, the crying has stopped, and the baby is able to eat.  Finally you can breathe a sigh of relief. You are now a breastfeeding momma, and best of all you can go home knowing that your baby won’t starve.

The day after you get home your milk comes in.  Your milk is flowing fast and furious; you can see it filling up the little plastic shield every time your baby pauses.  Your breasts are beginning to get smaller.  Your nipples emerge from the edema and can finally be seen again.  They don’t look flat to you, but what do you know.  You have already accepted the news that your nipples are flat, so in comparison to other mother’s nipples they must be very flat or else the nurse wouldn’t have said anything. 

A week goes by, your beautiful baby is eating so well, but this nipple shield is getting to be a bit of a pain.  You have to keep it nearby; it has to be washed constantly.  You remember thinking that one of the great things about breastfeeding is that you don’t have to wash bottles all the time.  Now you are constantly cleaning this silly nipple shield.  Bravely you decide to try and nurse your baby without the shield.  But your poor little angel looks confused.  Your soft nipple just doesn’t feel right to him.  Where is that hard feeling that he has come to associate with your milk?  Frustrated he pulls away.  You pull him closer but he won’t have anything to do with it.  Then the crying begins and you feel like you are right back where you started from. 

Unhappily you resign yourself to having to use the shield, but it is so annoying.  Going out in public is the worst.  Not only do you have to get it out, and put it on (which takes two hands), whenever the baby finishes eating there is always a little milk left in the shield and try as you might it drips all over you as you remove the shield from your nipple.  So much for being able to discreetly breastfeed at the mall!  In fact using the nipple shield makes you feel so exposed and vulnerable that you decide you will only feed your baby bottles of pumped milk when you go out.  Of course this means you can’t go out for very long before you start to feel full and need to either pump or go home and feed the baby.  Other mothers have it so easy.  You don’t want to complain, but you wish had been blessed with normal sized nipples.  Life would be so much easier.   

This is an unfortunate scenario, but it happens a lot more often than you might think.  Mothers are often told they have flat nipples when in reality their breasts have become so swollen that their poor little nipples have almost disappeared.  Breasts swell up for two reasons.  Naturally they get swollen because of all the milk they are now making, but also they swell up because of all the excess fluid in a mother’s body.  Ankles get swollen, wrists get swollen, the face gets swollen, etc and so do the breasts.  All that fluid from the IV in your arm has to go some where!  A sunken nipple can usually be drawn out with a little teasing.  Luckily, happy babies (as opposed to babies who aren’t offered the breast until they are screaming with hunger) are even better experts at getting a nipple to emerge than their mothers are!   

Nipple shields are also used when a mother is experiencing pain in her nipples.  Nipple pain happens when a baby doesn’t latch on deeply enough.  Mothers are always amazed at how much less pain they feel when a baby is latching correctly.  It’s like the difference between getting your thumbnail caught in a door and sucking peacefully on your thumb. One makes you cry out and the other relaxes you.  And think about it, after you pinched your thumb in a door what do you do?  You put it in your mouth and suck on it!  Mothers fear that having their baby suck on a damaged nipple will hurt (which it will if the baby isn’t latching on correctly).  But a nipple shield will not change the way a baby latches on.  Only time spent improving the latch will do that.  

Nipple shields are often used with sleepy babies as well.  Sometimes a newborn is very sleepy and it is hard to get him interested in the breast.  He could be sleepy because of a very long labor (long labors are tiring for babies too!), or because some of the drugs he was exposed to during labor are still in his system, or maybe it was because he was born a little bit early and he just doesn’t have very much stamina yet.  The hardness of the shield and fact that it can hold a few drops of milk often gets the baby interested in the process of feeding.  But as we saw above, it doesn’t get the baby interested in the mother’s breast.  And once the baby has safely passed the sleepy phase the same problem remains. His brain has already become hard wired to connect the shield with a full belly.  A naked nipple just confuses him.

Worst of all, the mother using a nipple shield often thinks the problem lies with her.  She thinks her body is defective.  Women already have enough body issues to deal with, we already worry about the size of our thighs, our butts and our bellies; do we really need to make women feel insecure about the size of their nipples as well?  So now we have a mother who feels her body is inadequate, and who feels that she can never be a normal mother.  Does she feel empowered by breastfeeding?  I don’t think so.

Does this mean we should never use nipple shields?  No, although I would spend a lot more time trying old fashioned skin to skin time before I would reach for a shield.  My biggest issue with nipple shields is the lack of follow up.  Sending a mother home from the hospital with a nipple shield and no follow up is just wrong, especially if a shield is being used to correct a temporary situation like engorgement, sore nipples, or a sleepy newborn.  Unless someone is willing to track her progress in weaning from the shield it really shouldn’t be used. 

In my opinion the process of how to wean from a nipple shield should be started the very first time it is introduced.  The original goal to breastfeed as opposed to feeding through an artificial nipple should not be forgotten.  Mothers should be told to think of the shield as a tool to get them to the next level.  It can take a lot of work to reach that goal, and that is where we let mothers down.  We get so caught up in the more immediate goal (feed the baby) that we forget the long term goal (to breastfeed the baby).  If the goal is to merely feed the newborn the mother can express her milk and give it to her baby with a dropper, spoon, or cup.  If the goal is to breastfeed then the baby needs to spend more time at the mother’s breast.   Mothers should be encouraged to get their babies used to the breast without the shield from the very beginning.  Learning to enjoy holding her baby skin to skin upon her breast without the pressure of having to feed is the first step towards weaning from a shield.   But it takes time.

Time however is a luxury you don’t find in most hospitals.  There isn’t enough time to try “skin to skin” (and just so you know a mere half hour isn’t nearly long enough), there isn’t enough time to teach hand expression, there isn’t enough time to cup feed a baby, and there certainly isn’t enough time to call a mother at home and see if she is making any progress weaning from a shield.  What we are really saying is that there isn’t enough time to give mothers the support they need to learn to breastfeed (as opposed to feeding through a plastic shield).  Instead we only take them part of the way there and then leave them dangling on their own, feeling like either they or their baby is defective.  We don’t give mothers the time they need in the very beginning to get off to a good start.  Is it any wonder that three or even five months later the mother with perfectly normal nipples is thinking about weaning to formula just so she can go to the mall?

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Breastfeeding in the News: July 18 – July 24th, 2009

Hello All,

Sorry for the delay this week.  I just got back from Rhode Island where I made a tour of their three Baby Friendly Hospitals (I’m preparing to do a lecture on Baby Friendly Hospitals in New England).  It was amazing to see how the perseverance of just a handful of women made such a lasting impact not only in their own hospitals but in the state.  Rhode Island now hopes to be the first state in the country to be completely Baby Friendly!

Speaking of Baby Friendly the New York State Senate just passed a “Breastfeeding Mother’s Rights Bill along those same lines.  Washington State just beefed up their breastfeeding in public laws and are now passing out wallet sized cards telling mothers of their rights in order to diffuse any conflict between mothers and businesses.  (The Massachusetts Breastfeeding Coalition also has “License to Breastfeed” cards.) Too bad the mother in the New York IKEA store didn’t have a card like that.  Not only was she told to feed her baby in the bathroom, when she left the store the security guards insisted on checking her receipts to make sure she hadn’t stolen anything (talk about adding insult to injury).

On a happier note, Consumer Reports has just endorsed breastfeeding as a way to save $2,000 a year.  They also ripped the formula companies for charging higher prices as compared with the discount brands found at bargain outlets.  By the way, one of the Baby Friendly hospitals I visited reported that said that even though the doctors there had protested the idea of buying their own formula, because their breastfeeding rates are so high now they only spend $ 500 a year on formula (that’s $ 3 dollars a case – wholesale). 

There were a few anecdotal reports: a mother was diagnosed with Reynaud’s via photo’s she sent to her doc from her phone’s camera (why he couldn’t figure it out from her list of symptoms I’m not sure), another mother says her two year old was spared the swine flu because of the immunities in her breast milk, and a shy male came to defense of breastfeeding in public in Canada with a unique solution – temporary booths like the kind they set up during tax season.  Bravo to him for this thoughtful idea.  Isn’t this one of our main goals – to get the disinterested single male to care about this issue?  Also in England the demise of newspapers is reportedly being held at bay by (among other things) photos of babies breastfeeding on the front page!

The debate over whether or not the attention to breastfeeding is causing a lack of support for bottle feeding mothers continues to rage in England and is spilling over here (see the NY Times article).  In England breastfeeding activists are getting hit from all sides.  “Dr Michele Crossley, a psychologist at the University of Manchester, has just published a paper entitled Breastfeeding As a Moral Imperative, which concludes that “far from being an ’empowering’ act, breastfeeding may have become more of a ‘normalised’ moral imperative that many women experience as anything but liberational“.” Even worst than the barbs from psychologists is the attack from the English midwives, Sue Battersby, a researcher and lecturer in midwifery, will argue that we need to start supporting women who use formula. “Mothers who formula-feed are treated like second-class citizens,” she says.  Rather than trying to decide who needs more support bottle or breastfeeding mothers, wouldn’t it be better to acknowledge that all mothers need a hell of a lot more support than they are getting?

But don’t depair, I have saved the best news for last.  Here in the U.S. the Joint Commission has just ruled that it will now “requires hospitals to report the rate of exclusive breastfeeding among mothers who intend to breastfeed. The measure does not affect women who do not plan to breastfeed.”  Hospitals will now have to start documenting all supplementation of breastfed babies, which means they actually have to start paying attention to the issue!  Three cheers for the Joint Commission!!!

And one last matter – I just want to point out that the excerpts below are just that – excerpts – to read the full article click  (or paste) the link. 

Kathy Abbott, IBCLC

www.BusyMomsBreastfeed.com 

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

on Facebook: Breastfeeding in the News 

 

The new law, which takes effect S

Breast-feeding a civil right under new Wash. law

unday, builds on a 2001 law that exempted breast-feeding from public indecency laws. But until now, nothing prevented businesses from asking women to leave or to cover up while breast-feeding

Rep. Tami Green, the Tacoma Democrat who sponsored the bill, said the new law will help “jump start the culture of change.”

“Women should feel as comfortable to sit down and breast-feed their child as they would be pulling a bottle out of the diaper bag,” she said.

Laura Lindstrand, a civil rights specialist with the state’s Human Rights Commission, said the agency plans to make wallet cards with information on the new law that women can carry with them.

If a woman is asked to leave or cover up because she’s breast-feeding, Lindstrand said the expectation is that once a woman shows the card, “we’re hoping that will diffuse the situation at that point.”

http://www.seattlepi.com/local/6420ap_wa_washington_new_laws.html?source=mypi

IKEA Sends Mother and Infant to Bathroom to Breastfeed

The IKEA in Red Hook, Brooklyn is the latest retail establishment that needs reminding: Yes, women have the right to breastfeed their infants in public. No, you cannot banish them to the restroom. Yes, people will get angry when word gets out.

On Wednesday I was in IKEA Red Hook in the middle of breastfeeding, fully covered, when I was told I had to stop doing “that” and go to the nearby family bathroom. The IKEA employee and security guards were extremely rude to us. I was hustled off to the bathroom and then had to wait because someone else was using it. I was humiliated, my daughter was upset from being interrupted in the middle of her feed. When eventually I gave up and headed for the car to finish feeding, the security guards who had seen the entire event insisted on checking my receipts. I’m putting together a formal complaint to IKEA. I was wondering if this has happened to anyone else?

 

http://consumerist.com/5321585/ikea-sends-mother-and-infant-to-bathroom-to-breastfeed

Doctors Diagnose Nipple Pain with Camera Phone

Taking photographs or video of unusual symptoms on an ordinary camera phone can help doctors diagnose uncommon problems, say researchers in an article published on bmj.com today. For example, doctors in Norway describe the case of a 25 year old pregnant woman who reported frequent episodes of severe nipple pain.

The pain came whenever her fingers, toes or nipples got cold, such as when walking barefoot on a cold floor or taking a shower, and typically lasted between five and 15 minutes and was so painful as to bring her to tears.

She presented three photographs from her camera phone showing the colour changes of a typical episode.

With the help of these photographs, doctors diagnosed Raynaud’s phenomenon of the nipple. The patient was given treatment, her symptoms completely resolved within one week, and she was able to continue breastfeeding with no side effects.

http://www.emaxhealth.com/1/4/32403/doctors-diagnose-nipple-pain-camera-phone.html

In Support of Bottle Feeding :  New York Times

A review of breastfeeding data by researchers at the University of Cambridge concludes that the increased attention to Breastfeeding Moms – more support and time from midwives and pediatricians, more web advice – means a corresponding lack of information and support for Bottle Feeding Moms. And since the majority of infants (even those who are primarily breastfed) will receive some formula during their first year, it makes medical sense to pay some attention — with information on how often and how much to bottle feed, how to sanitize bottles and prepare formula — to the mechanics of bottle feeding.

http://parenting.blogs.nytimes.com/2009/07/22/in-support-of-bottle-feeding/

Breastfeeding moms need quiet space to do their job

As I am a shy guy, if the mom sees I had an unintentional “peek,”it makes me feel rather low! Usually, this is the point of no return and I sit at the very edge of the opposite side of the bench and look the other way. If I turn and leave, I feel rude. If I stay, I want to make certain that mom will feel secure that I don’t mean to intrude or invade her personal space. My only issue I have is the feeling of extreme embarrassment. I don’t know why. Invasion of her privacy? There have been a few times I would apologize to the mother, and begin to move away, but would feel slightly better after receiving a positive reply.

How difficult would it be to have some office dividers and some comfortable chairs in a few locations throughout the public area?

This would be similar to tax season where you see the temporary offices setup for filing your taxes, but much smaller and containing a minimum of two chairs. This would be very easy to implement, and give a clean and private place to feed. Place a “breastfeeding friendly” sign with a picture of a breastfeeding mom and child with a green circle around it. Just another thing for people to complain about.

Andrew Caras

http://www2.canada.com/richmondnews/news/community/story.html?id=00b824cb-8121-4e64-a974-e8cd93b60e3e

HIV Drugs Provide Breast-Fed Babies With Some Protection

Treating infected mothers, giving meds to infant both beneficial in African study

The researchers found that giving daily antiretroviral syrup to breast-feeding infants or putting their HIV-infected mothers on highly active antiretroviral drugs significantly lowered the child’s chances of contracting the virus that causes AIDS. The chance of a mother with HIV transmitting the virus through breast-feeding is about one in five.

http://health.usnews.com/articles/health/healthday/2009/07/22/hiv-drugs-provide-breast-fed-babies-with-some.html

The breastfeeding debate is not a war between women

Hyping up a “war” between women doesn’t help. The real “enemies” here are not other women (whether midwives, or mothers who do breastfeed), but a society which fails to value and support this skill and the commercial manufacturers of formula who aggressively market a product which even they admit is inferior to the real thing.

http://www.guardian.co.uk/theguardian/2009/jul/23/breastfeeding-debate

A British Lesson for American Media: Just Say No to Boring

Indeed, yesterday’s Times of London free-standing features section (Times2) grabbed me by the nipples with a full-page close-up shot of a baby breastfeeding (one can envision dyspeptic U.S. editors holding multiple meetings just on the image), then made a strong case (not entirely new) that women worldwide are conned by the purported benefits of breastfeeding. The supposed ills of formula-feeding (fatter, dumber, more diabetic kids, etc.) is folderol, this argued, with some very solid questions raised about the premises of many breastfeeding studies.

 

“The problem with the studies is that it is very hard to separate the benefits of the mother’s milk from the benefits of the kind of mother who chooses to breastfeed. In the U K, for example, the highest class of women is 60 percent more likely to breastfeed than the lowest, so it is not surprising that research shows that breastfed infants display all the health and educational benefits they were born into.

 

“In other words, breastfeeding studies could simply be showing what it’s like to grow up in a family that makes an effort to be healthy and responsible, as opposed to anything positive in breast milk.”

http://correspondents.theatlantic.com/james_warren/2009/07/a_british_lesson_for_american_media_just_say_no_to_boring.php

Consumer Reports Best Baby Products Book Recommends Parents Breastfeed and Buy Store-Brand Baby Formula

For more than a year now, Consumer Reports has been urging parents to save money on baby formula by purchasing store brands at retailers such as Walmart, Sam’s Club, Target, Kroger, CVS, Babies R’ Us, and Walgreens. In a recent blog posting, the publisher announced the availability of the new 10th edition Consumer Reports Best Baby Products, available in its online bookstore* and in bookstores nationwide. The guide offers a number of ways to “save money on baby stuff,” including recommendations to breastfeed and buy store-brand formula:

“Breast-feed if you can. It’ll save you $2,000 a year, the money you’d spend on infant formula.”

Consumer Reports recommends** buying store-brand formulas because they are nutritionally comparable to Enfamil(R) LIPIL(R) and other name-brand formulas:

“We found that the store brand of formula at a local Wal-Mart (Parent’s Choice) cost 50 percent less per ounce than a leading national brand (Enfamil). According to the FDA, all formula marketed in the United States must meet the same nutrient specifications, which are set at levels to fulfill the needs of infants.”

http://news.prnewswire.com/DisplayReleaseContent.aspx?ACCT=104&STORY=/www/story/07-21-2009/0005063730&EDATE=

Exposing the myths of breastfeeding

Mothers are constantly urged to breastfeed yet there is little evidence to suggest that it is better than formula milk

Formula-fed babies are fatter, more stupid, more diabetic, they have more asthma, eczema, and chest and ear infections, to name but a few of their misfortunes listed in the NHS leaflets I was given repeatedly when pregnant last year.

Confused, I decided I needed to talk to the person acknowledged as one of the world’s most authoritative sources of breastfeeding research: Michael Kramer, professor of paediatrics at McGill University, Montreal.

So, with my NHS leaflet in hand, I put its list of health benefits to Kramer. Does breastfeeding reduce a child’s risk of obesity? “The evidence is weak”, he says. Allergies? “Weak.” Asthma? “Weak.”

“There is very little evidence that it reduces the risk of leukaemia, lymphoma, bowel disease, type 1 diabetes, heart disease, blood pressure . . .”

That was nearly everything crossed off. What about maternal benefits? The NHS told me that it would protect me against breast and ovarian cancer, and osteoporosis. “The breast cancer data is pretty solid, but on ovarian cancer and osteoporosis it is far iffier.”

The WHO pointed me to a review of the research it conducted in 2007. When I looked at this, it concluded that the long-term gains of breastfeeding were mostly “relatively modest”, and also warned that because none of the studies it looked at dealt with the problem of confounding, the results could be explained by the “self-selection of breastfeeding mothers”.

What does it really matter, though, if “breast is best” is a catchier slogan than “breast is probably only a bit better”? If claims are exaggerated, if women aren’t trusted with the truth, what’s the harm? I put this to Wolf.

“People never say ‘don’t take your baby on a car journey’, even though the risk of a car accident is far greater than not breastfeeding. But when it comes to a mother’s time, nothing we can ask is too much.

“Let’s think about what would happen if we asked fathers to do this, if there were somehow evidence that babies who are looked after by their fathers at home for six months do better. We would see a lot more critiquing of the science, a lot more people saying the benefit is marginal, a greater reluctance to offer the advice.”

http://women.timesonline.co.uk/tol/life_and_style/women/families/article6718276.ece

Swine Flu

Breastfeeding ‘saved my daughter’

A breastfeeding mother who contracted swine flu, together with her husband and their eldest daughter, believes her youngest child was spared the virus because she was breast fed.

Rosemarie Azzopardi said that when she got sick and took antiviral drugs she decided to keep breastfeeding her two-and-a-half year old daughter and, that way, transmitted her immunity to the child.

“People sometimes pass comments because I still breastfeed but, this way, I helped my daughter who falls within the vulnerable group of potential swine flu victims,” she said, taking the opportunity to advocate the importance of breastfeeding.

She was diagnosed on July 5 after catching the flu from her husband who had just returned from Spain with his friends. When she realised her husband had it she was particularly worried about her two young daughters. And when the health authorities confirmed she too had caught it, she locked herself in a room for fear of transmitting the virus to the children.

Her health improved within three days of being administered antivirals. Her eight-year-old also got the flu and is fine today while her youngest was spared thanks to her breast milk, she believes.

http://www.timesofmalta.com/articles/view/20090718/local/breastfeeding-saved-my-daughter

Let the breastfeeding rebellion begin

Now academics both here and in the US are starting to ask whether the pressure on women to breastfeed is becoming counterproductive. At a seminar at Aston University later this year, Sue Battersby, a researcher and lecturer in midwifery, will argue that we need to start supporting women who use formula. “Mothers who formula-feed are treated like second-class citizens,” she says

Dr Michele Crossley, a psychologist at the University of Manchester, has just published a paper entitled Breastfeeding As a Moral Imperative, which concludes that “far from being an ’empowering’ act, breastfeeding may have become more of a ‘normalised’ moral imperative that many women experience as anything but liberational”.

Even breastfeeding promoters are concerned. Pam Lacey, chair of the Association of Breastfeeding Mothers, says: “We have women phoning up all the time saying, ‘I can’t do this. I’m a terrible mother.’ We don’t want mothers to feel guilty if they don’t do it. It’s the system that has failed them by failing to support them.”

A British academic who is currently researching breastfeeding and maternal identity says: “It has become a war. ‘Did you breastfeed? What kind of person are you?’ It has become an index of your capacity as a mother.” She would only speak anonymously because she is concerned about attacks from the pro-breastfeeding lobby. “Breastfeeding has become so strongly tied to what it means to be a good mother. There is no space to say, ‘It didn’t work for me’.”

Both here and in the US very few mothers are entirely comfortable about their breastfeeding decisions and many admit they wish they didn’t have to do it. Some see the promotion of breastfeeding as part of the problem.

http://www.guardian.co.uk/lifeandstyle/2009/jul/18/breastfeeding-mothers

New York Senate passes bills to expand health care, new moms’ rights

Provide women with more information and education about the health benefits of breastfeeding. The Breastfeeding Mothers’ Bill of Rights would require that new mothers be informed of breastfeeding options before they deliver, during their hospital stay and after they go home. While in the hospital, they would have 24-access to their baby to breastfeed, and the infant could not be given a bottle without the mother’s consent. The bill would ban companies that make and sell formula from pressuring new mothers in hospitals. 

http://polhudson.lohudblogs.com/2009/07/17/bills-passed-would-expand-health-care-new-moms-rights/

National Hospital Inpatient Quality Measures- Perinatal Care Core Measure Set

UPDATE JULY 2009: In late 2007, The Joint Commission’s Board of Commissioners recommended retiring and replacing the Pregnancy and Related Conditions (PR) measure set with an expanded set of evidenced-based measures. A technical advisory panel (TAP) comprising experts in the perinatal care field was convened in February 2009 to select the replacement set of measures from among those endorsed for national use by the National Quality Forum.  This expanded measure set, now referred to as Perinatal Care (PC) comprises the following measures.

This expanded measure set, now referred to as Perinatal Care (PC) comprises the following measures.

  • Elective deliveries
  • Cesarean sections
  • Antenatal steroids
  • Health care–associated bloodstream infections in newborns
  • Exclusive breast milk feeding

Refinement of measure specifications has begun and will continue through most of 2009.  It is anticipated the PC measure set will be available for implementation by Joint Commission listed vendors by October 1, 2009 to support hospitals’ data collection beginning with April 1, 2010 discharges.  If you have any questions about this measure set, please submit your question online.

http://www.jointcommission.org/PerformanceMeasurement/PerformanceMeasurement/Perinatal+Care+Core+Measure+Set.html

Joint Commission approves breastfeeding measure

The new measure, which is part of the Joint Commission’s new Perinatal Care measure set, requires hospitals to report the rate of exclusive breastfeeding among mothers who intend to breastfeed. The measure does not affect women who do not plan to breastfeed.

The exclusive breastfeeding measure was pioneered as part of a quality improvement effort in California, where public health officials found huge differences in exclusive breastfeeding rates from hospital to hospital. In some cases, nearly all breastfed infants were being supplemented with formula. In the top ranked hospitals, including San Francisco General Hospital, fewer than 10% of breastfed infants received supplements. Public reporting of differences in formula use has led hospitals to review their routines and improve quality of care.

 

http://massbfc.org/index.php/2009/joint-commission-approves-breastfeeding-measure/

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