Wednesday, August 19, 2009

Do hospital *swag bags* help mothers to breastfeed?

Do hospital swag bags help moms to breastfeed?
Not in their present form!

I really like the idea of bags for ALL mothers being free of formula samples and related gear/advertisements/coupons.

I do NOT like the idea of those bags carrying products which intimate that they are *essential equipment* for nursing mothers. According to the website,
http://ecochildsplay.com/2009/08/16/forget-formula-samples-hospitals-give-out-breastfeeding-support-bags/
they contain these items:
* The cool, handy bags
* Samples of nursing pads, breastmilk storage bags, lactation tea, and other goodies.
* Info and coupons from companies such as Lansinoh, Bravado! Designs, Ergo, BebeAuLait, and My Brest Friend.

So what is the message they are sending?
That mothers will need THINGS to stop them leaking, make enough milk, cure their sore nipples hide their breasts (and babies) while nursing and even to enable them to nurse (pillows).

While some mothers will find some of these products useful, we tend to forget that mothers already have all the breastfeeding equipment they need. These other products often hinder rather than help, especially if they are not used appropriately.

What new mothers REALLY need is access to current, research-based information. We need to make sure they know who to call for help - LLL Leaders, WIC breastfeding coordinators/ peer counselors, IBCLCs, etc. These people can tell them where to get breast pumps or other aids, as
needed. In other words, they need a resource list. I would also like to see mothers to go home with SIMPLE baby care instructions and charts they can fill out to show poops, pees and feedings.

Most of the mothers who stop breastfeeding do so in the first few days. They have no idea what to really expect and are easily overwhelmed. Even mothers who have read all the books and have seen other family members and friends nurse have a hard time coping with a new baby.
Getting them over this hump is the thing to do.

Friday, May 15, 2009

Losing weight whilst breastfeeding


My “Happy Earth Day” blog entry elicited a number of enquiries about weight loss whilst breastfeeding, so here is some information on the subject.


Women who are not breastfeeding lose weight much more slowly than nursing mothers. Breastfeeding is a natural and safe way to lose weight with very little effort.


The first naturally occurring loss of weight follows the birth of the baby. Almost all mothers continue to lose a little more weight in the next few days, mostly through the lochia fluids.


Pregnancy and childbirth takes it’s toll, so it is very important for newly-delivered mothers to eat well no matter how they are feeding their babies. Small, frequent meals are usually more acceptable and digestible at this stage.


It takes a mother about six to eight weeks to establish milk production. This is a good time to simply eat and drink when you are hungry and thirsty. Nursing mothers do not need to eat or avoid any special foods or drinks in order to produce good milk, so just choose foods that you normally enjoy. The good news is that most breastfeeding mothers continue to lose weight until their babies are four to six months old, all without dieting! Better still, a lot of the weight comes off your hips and thighs. What a great reason to breastfeed!


As the saying goes, it takes nine months to put on pregnancy weight, so you can expect it to take at least nine months after the birth to come off. Breastfeeding speeds up weight loss, because milk production uses about 500 calories a day.


If your baby is at least six months old and you feel the need to be more pro-active in losing weight, then there are safe ways to do so.


The first step is to replace high-calorie, high-fat desserts with fresh fruit and do a little more exercise.


If you like the idea of joining a diet program, Weight Watchers has one especially for nursing mothers. Eating 1,800 calories a day will enable you to both lose weight and maintain an adequate milk supply. Most importantly, avoid any diet plans which specify eating less than 1,500 calories a day.


Aim to lose about a pound a week. Low-carbohydrate diets often result in more rapid weight loss, which can be a concern for nursing mothers. Not eating enough can affect both your milk supply and your own health. There is more information on this in the references below.


Further reading:

Eat Well, Lose Weight While Breastfeeding, by Eileen Behan, RD.

I am breastfeeding my baby and I want to lose weight. Is a low carbohydrate diet safe for a breastfeeding mother?
http://www.llli.org/FAQ/lowcarb.html

Herbal weight loss products and breastfeeding http://www.kellymom.com/nutrition/mom/mom-herbalweightloss.html

Weight Loss After Pregnancy
http://www.breastfeeding.com/for_moms/weight_loss_after.html


References:

- Subcommittee on Nutrition during Lactation, Food and Nutrition Board, Institute of Medicine, National Academy of Sciences, Nutrition During Lactation Washington, DC: National Academy Press, 1991 p.15, 74, 140.

- Kramer, F. et al. Breastfeeding reduces maternal lower-body fat J Am Diet Assoc 1993;93(4):429-33.

- Dusdieker, L. et al. Is milk production impaired by dieting during lactation? Am J Clin Nutr 1994; 59:833-40.

Friday, May 8, 2009

I have been busy!

See my comments at the Times Union online about a truly awful book and the new WHO-recommended baby charts:

http://tinyurl.com/pck2cp
and
http://tinyurl.com/cjztkp

I also wrote a letter to the editor about CDC recommendations for nursing mothers with regard to the swine flu epidemic. Hopefully, that will be published soon.

Wednesday, April 22, 2009

Happy Earth Day!


Breastfeed, because it is not nice to fool Mother Nature.


It's a natural, renewable resource and is all the baby needs for the first six months of life.

A woman starts to produce colostrum quite early in her pregnancy. Her baby receives this concentrated milk, which is rich in immune factors, as soon as he is born. During the next couple of weeks, the colostrum slowly changes into mature milk and productivity increases to meet the baby’s needs. Continued milk production depends on milk removal – the more her baby nurses, the more milk the mother will produce.

__________

It requires no resources for packaging, shipping or disposal.

The manufacture of artificial formulas involves the need for huge dairy farms, milking machines, cattle feed, manure disposal , formula factories, packaging and shipping, with it’s attendant costs.

“If every baby in the USA is bottle-fed, almost 86,000 tons of tin plate are used up in the required 550 million discarded babymilk tins.”

__________

No precious energy is wasted producing artificial baby milk and related products.

Mothers do not need special foods in order to produce milk for their babies. Human milk is ready to serve from the original containers. Breastfeeding does not require heating, cooling or sterilizing.

“Although energy required to boil water and sterilize bottles and nipples can readily be accessed in industrialized countries, it more often than not comes from polluting nuclear or power generating stations. In poor countries women often spend hours every day collecting scarce firewood. A bottle fed baby needs about 1 litre of boiled water to prepare feeds and 2 litres to sterilize the bottles and nipples. This requires more than half a kilo of precious firewood per day.”

__________

No land needs to be deforested for pasture or crop production.

Dairy farms require arable land to raise feed as well as space for the cows themselves.

“The production of artificial baby milks requires hundreds of millions of lactating cows. In India alone, to replace breastmilk, 135 million lactating cows would be needed. In Mexico to produce 1 kilogram of baby milk would require 12.5 square metres of cleared land.”

__________

It does not create pollution from the manufacturing of human milk substitutes, bottles, nipples and cans.

Think about the resources needed to make the glass and plastic bottles and silicone teats, very little of which is recycled, and the resulting pollution.

“Phthalates, a chemical used in the production of plastic, has been identified in all 15 brands of infant formulas, tested by the Ministry of Agriculture, Fisheries and Food in Great Britain. Nine of the brands tested had levels high enough to result in reduced sperm counts in rats.”

__________

It helps space babies by suppressing fertility in the mother.

“Breastfeeding reduces fertility rates and prevents more births than all other forms of birth control combined. In Africa breastfeeding prevents an average of 4 births per woman. In Bangladesh breastfeeding prevents about 6.5 births per woman. Chilean women, exclusively breastfeeding for six months, reported no pregnancies while of those bottle fed, 72 per cent became pregnant.”

Breastfeeding women rarely menstruate while their babies are exclusively breastfeeding. Not only is there money saved on sanitary products and their disposal, but there is a considerable impact on the environment.

“In the UK, each menstruating woman uses between 286 and 358 towels or tampons per year, 98% of which are flushed down the toilet. Fifty-two per cent of these are released untreated into the sea where tampons require 6 months to biodegrade, sanitary towels need longer. The plastic liners on sanitary towels will not biodegrade and remain as a pollutant”

__________


REFERENCES

http://www.reducepackaging.com/article.html

The Ecological Impact of Bottle Feeding, by Andrew Radford, Baby Milk Action

http://www.infactcanada.ca/ren_res.htm

Breastmilk: the perfect renewable resource

http://www.lllusa.org/green.php

Human Milk is Green, Ecologically Speaking...