tag:blogger.com,1999:blog-70591847938432985532024-02-21T12:26:50.038-05:00The Boob WhispererHelp with breastfeeding from an IBCLC and pediatrician, Dr. Jennifer MooreThe Boob Whispererhttp://www.blogger.com/profile/10172480369682543901noreply@blogger.comBlogger15125tag:blogger.com,1999:blog-7059184793843298553.post-81221655368479438042013-08-04T06:35:00.000-04:002013-08-04T06:38:40.464-04:00Why does my breastfed baby have colic?<h3>
<span style="font-size: small;"><span style="font-family: Trebuchet MS, sans-serif;">Supplementation of the Breastfed Baby </span><span style="font-family: Trebuchet MS, sans-serif;">“Just One Bottle Won’t Hurt”--- or Will It?</span></span><br />
<span style="font-family: 'Trebuchet MS', sans-serif;"><span style="font-size: small;">Marsha Walker, RN, IBCLC</span></span></h3>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg4oQJguBo98-LE-Rvr5qA16oAO0VFu3lxMxf8kak-QQvFvVqLOVn6TGRLJAru5oVDXL2zPbKJfU2ro4QDw_BvkxiHkqLfbUgBnMp2kxCgwowzls90PGguqvO8qytfyc7uaQRuggkAZnQ/s1600/bigstock-milch-cows-during-milking-at-b-40796536.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="diary allergy, dairy free diet, breastfeeding and dairy allergy, milk allergy" border="0" height="133" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg4oQJguBo98-LE-Rvr5qA16oAO0VFu3lxMxf8kak-QQvFvVqLOVn6TGRLJAru5oVDXL2zPbKJfU2ro4QDw_BvkxiHkqLfbUgBnMp2kxCgwowzls90PGguqvO8qytfyc7uaQRuggkAZnQ/s200/bigstock-milch-cows-during-milking-at-b-40796536.jpg" title="colic breastfeeding baby" width="200" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Leave the Cow's Milk to Baby Cows!</td></tr>
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<span style="font-family: Trebuchet MS, sans-serif;">I post this older but important article about gut flora in the newborn infant from Marsha Walker because I am seeing SO MANY infants lately afflicted with colitis (inflammation of the intestinal tract), blood in their stools and general misery that seems to be related to the cow milk protein in their diets (from formula) or their mother's diets (if bressfeeding). I know that patients of mine have heard snippets of this argument but Marsha Walker, a well know lactation consultant and author of several books on breastfeeding summarizes it so well that I thought I would post the link here. It is a little technical but I think anyone can get the gist of what she is saying. <i>It takes only ONE NANOGRAM of cow milk protein to sensitize a susceptible infant gut.</i> (Businco et al, 1999) What is a nannogram? One-billionth of a gram. This means there are <b><span style="color: #990000;">ONE BILLION</span></b> nanograms in just one ounce of cow's milk. You get the picture right?</span></div>
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<span style="color: #cc0000; font-family: Trebuchet MS, sans-serif;"><a href="http://bit.ly/13ENrtp">"Just One Bottle Won't Hurt" by Marsha Walker</a></span></div>
The Boob Whispererhttp://www.blogger.com/profile/10172480369682543901noreply@blogger.com20tag:blogger.com,1999:blog-7059184793843298553.post-19724784912936728402013-07-20T08:16:00.004-04:002013-07-20T08:17:57.182-04:00MODEL POLICY for MANDATED COVERAGE OF BREASTFEEDING SUPPORT<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
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<span style="font-family: Trebuchet MS, sans-serif;">FINALLY - some direction for insurance companies/payors on coverage for lactations care, supplies and education. The Affordable Care Act that began back in August 1, 2012 requires a lot of this, but it is murky exactly what is covered and what is not and who should perform the services. </span><br />
<span style="font-family: Trebuchet MS, sans-serif;"><br />Please see this important <a href="http://bit.ly/13QGLOJ" target="_blank">press release</a> and refer to the <a href="http://www.usbreastfeeding.org/Portals/0/Publications/Model-Policy-Payer-Coverage-Breastfeeding-Support.pdf" target="_blank">Model Policy</a>.</span><br />
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<span style="font-family: Trebuchet MS, sans-serif;">Remember, <a href="http://www.breastfeeding-md.com/" target="_blank">Nightingales Breastfeeding Support Center </a>has been doing these things for over SIX years. We are fully equipped to comply with the these mandates and supply pre/peri/post partum breastfeeding support, supplies and counseling.</span>The Boob Whispererhttp://www.blogger.com/profile/10172480369682543901noreply@blogger.com6tag:blogger.com,1999:blog-7059184793843298553.post-19998597138020583692012-11-28T07:42:00.001-05:002012-11-28T07:42:04.872-05:00LAC-tastrophe: When Breastfeeding Just Doesn't Work.<br />
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<em style="margin: 0px; padding: 0px;">Alison Stuebe, MD, MSc, a maternal-fetal medicine physician, breastfeeding researcher, and assistant professor of Obstetrics and Gynecology at the University of North Carolina School of Medicine talks about "LAC-tastrophe".</em></div>
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<a href="http://bfmed.wordpress.com/2010/04/24/when-lactation-doesnt-work/">http://bfmed.wordpress.com/2010/04/24/when-lactation-doesnt-work/</a></div>
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The Boob Whispererhttp://www.blogger.com/profile/10172480369682543901noreply@blogger.com4tag:blogger.com,1999:blog-7059184793843298553.post-69754194240034273752012-06-24T12:00:00.001-04:002012-06-24T12:02:35.154-04:00CBC Reports on Challenges of Breastfeeding<br />
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<img border="0" height="158" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgHPzg0t4eOAHXfZ49FAq1nkIW_0fvYyamIJy_-4i3jBDQw6m0RfNdSR1TYcMV0nm3CmihZPqNSRV2X1zjrBQEpgpyAD6zPvUSRDj93pPzCyC-KyCyQlPhRIy_SMgTbWQpMU7c-EwY_0Q/s200/Screen+Shot+2012-06-24+at+12.01.31+PM.png" width="200" /></div>
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An interesting news report from CBC's OB/Gyn reporter Dr. Jennifer Ashton.<br />
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<a href="http://www.cbsnews.com/video/watch/?id=6414140n&tag=mncol%3Blst%3B4" target="_blank">Go To CBC website to view video</a>The Boob Whispererhttp://www.blogger.com/profile/10172480369682543901noreply@blogger.com3tag:blogger.com,1999:blog-7059184793843298553.post-49572464865915407522012-06-24T09:31:00.003-04:002012-06-24T11:50:03.205-04:00Where Oh Where Did My Breastmilk Go?<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjHZ1YGoUhpNEBT088f6xNlDOTM4LXJbFB3hKtoQK1U49hSXBmrubVnJwfs6cFBQRWpvYhPtPphhEthf_v0XvchtO3s6MX2pC6ECduLLJBNCX8rLT0Tn4UUsEjLDOlUFRJNcxzmv-qtcQ/s1600/Where+did+my+milk+go.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img alt="" border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjHZ1YGoUhpNEBT088f6xNlDOTM4LXJbFB3hKtoQK1U49hSXBmrubVnJwfs6cFBQRWpvYhPtPphhEthf_v0XvchtO3s6MX2pC6ECduLLJBNCX8rLT0Tn4UUsEjLDOlUFRJNcxzmv-qtcQ/s200/Where+did+my+milk+go.jpg" title="Where did my milk go?" width="200" /></a></div>
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<b id="internal-source-marker_0.4296218475792557" style="font-weight: normal;"><span style="background-color: transparent; color: black; font-family: inherit; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Millions of breastfeeding mothers ask this question to themselves (and others) at least once if not 100 times during the time they are breastfeeding. The answer depends on where you are on the journey. This blog will review the answers.</span></b><br />
<a name='more'></a><span class="Apple-style-span" style="font-size: 19px; font-weight: bold;"><b style="font-weight: normal;"><span style="background-color: transparent; color: black; font-family: inherit; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">First Week:</span></b></span><br />
<b style="font-weight: normal;"><span class="Apple-style-span" style="font-family: inherit;"><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Every woman, just by the act of being pregnant and giving birth (even if sadly they don’t give birth to a live baby or they give birth to a premature baby) produces milk for a short period of time. This is called “lactogenesis two”. It is related to hormones released after the placenta is expelled from the mother. I</span><span style="background-color: transparent; color: black; font-size: 15px; font-style: italic; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">f you birth the placenta, you should get milk about 40-72 hours later.</span><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"> But if you DO NOT breastfeed that milk production is quickly shut down. Otherwise, every pregnant woman would walk around making milk forever.</span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"></span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">What happens if you want to breastfeed but for what ever reason you haven’t been removing milk in the first couple of days, especially after lactogenesis 2 begins? Your body thinks you will not be breastfeeding and it down regulates milk production. Within a very short period of time, you stop making milk.</span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"></span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">SOLUTION: Remove milk frequently (8-10 times in 24 hrs) in anyway you can, preferably by having baby suckle, but hand expression (a great <a href="http://newborns.stanford.edu/Breastfeeding/HandExpression.html" target="_blank">video</a> on how to hand express) </span><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">and/or pumping can stand in too. The key is to REMOVE the milk!! If you do, the milk will increase and continue to flow.</span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"></span></span></b><br />
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<b style="font-weight: normal;"><span style="background-color: transparent; color: black; font-family: inherit; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">First 6 weeks:</span></b></h3>
<b style="font-weight: normal;"><span class="Apple-style-span" style="font-family: inherit;"><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Sometimes it seems that you were making milk just fine and then it “disappears”. Commonly I will hear concerns about the baby being so hungry all the time that they are never satisfied at the breast. The very next comment is usually, “and so I gave him formula”. </span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"></span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Remember this: YOU HAVE TO REMOVE MILK TO MAKE MILK</span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"></span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Every time you supplement with a liquid that you have not made, you tell your body to make less. It is just survival. Imagine how uncomfortable you would be if you kept walking around with all that extra milk! Babies go through growth spurts around 2, 6 and 12 weeks of age. This is a time when they pick up the pace of nursing to make your body make more milk. It can be a little annoying for those days as your already established routine gets disrupted, but if you relax and let baby eat when demands, you will be ok.</span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"></span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">However, if you find that baby is ALWAYS in a growth spurt, you have an issue. This is a time to seek out a lactation consultant to review the situation.</span></span></b><br />
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<b style="font-weight: normal;"><span style="background-color: transparent; color: black; font-family: inherit; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">After 6 weeks:</span></b></h3>
<b style="font-weight: normal;"><span class="Apple-style-span" style="font-family: inherit;"><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Common causes of a decrease in milk production after it is well established are:</span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br /></span></span></b></div>
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<b style="font-weight: normal;"><span class="Apple-style-span" style="font-family: inherit;"><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">1. Resumption of menstrual cycle and ovulation</span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">This is usually temporary and if you plow through nursing frequently will resume normally. If your baby is so used to a certain amount of flow and starts rejected the breast, make sure you PUMP to maintain stimulation through the temporary dip.</span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"></span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">2. Starting Hormonal Birth Control</span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Many OB’s will suggested hormonal birth control at the 6 week postpartum visit. These include birth control pills, IUDs, patches, vaginal rings etc. JUST SAY NO THANK YOU! Although the hormones are “safe” for breastfeeding babies, many women see a drop in supply at a time when many are not quite up to full supply. Use a nonhormonal birth control if you are one of the few participating in sex...</span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"></span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">3.Going Back to Work</span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Obviously, being separated from your baby isn’t great for your milk supply. I’m sure you can imagine a myriad of reasons why you might see a drop in supply. But again, remember the cardinal rule: you have to remove milk to make milk. Working is a huge roadblock to the efficient removal of milk. Whether it is not pumping enough throughout the day, freezing up at the sight of the pump, a broken pump or the number one killer of supply, supplementing from a store of milk pumped earlier, usually the drop in supply is really a drop in removal and the reflexive drop in supply. See blog entry: <a href="http://theboobwhisperer.blogspot.com/2010/08/count-down7-ways-to-survive-going-back.html#more" target="_blank">7 Ways to Survive Going Back to Work</a> for solutions to this problem.</span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"></span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">4. Supplementing with Formula</span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">The more you give baby a liquid you do not produce, the less milk you will make. For some women, this can happen very quickly (see above). Remember, you are part of a two part equation, you can not worry just about feeding the baby, you must remove milk to make milk. EVERY time you supplement you need to remove milk by some means. If you do not, your milk supply will drop off.</span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"></span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">5. Postpartum Depression and Anxiety</span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">It is very important to recognize these disorders as they not only affect your supply but your entire life and happiness. (See: <a href="http://postpartumprogress.org/2011/02/the-symptoms-of-postpartum-depression-anxiety/" target="_blank">postpartumprogress.org</a> for list of symptoms) 1 in 5-6 mothers suffer, many without recognizing they are. Get help. There is no shame, you are not a bad mother. You are not alone. Click here.</span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"></span><br /><span style="background-color: transparent; color: black; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Remember that these are just simple explanations for a complex process, and often professional guidance is the way to go. Please visit your local IBCLC, lactation consultant for more individualized help. Or visit: <a href="http://www.Breastfeeding-MD.com/" target="_blank">www.Breastfeeding-MD.com</a></span></span></b></div>
</div>The Boob Whispererhttp://www.blogger.com/profile/10172480369682543901noreply@blogger.com2tag:blogger.com,1999:blog-7059184793843298553.post-17958471194293582552012-06-20T15:17:00.000-04:002012-06-24T11:50:19.903-04:00I Don't Want To Breastfeed?!?<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhoytm9Dpr3ZgNhqrdlQ7R2w_GpdZbCi9J6hHvj6W2CRN4xChCNpFGgG-5NpLkg1GUWxkxUq2rg4g_xsi-hvBvhf8US7hDqTlZ07XWL-izU5z85FvCEyFdGXxRkHiejEQip3OcK_zBwKA/s1600/question+bfing.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img alt="" border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhoytm9Dpr3ZgNhqrdlQ7R2w_GpdZbCi9J6hHvj6W2CRN4xChCNpFGgG-5NpLkg1GUWxkxUq2rg4g_xsi-hvBvhf8US7hDqTlZ07XWL-izU5z85FvCEyFdGXxRkHiejEQip3OcK_zBwKA/s200/question+bfing.jpg" title="Should I breast feed" width="200" /></a></div>
<span class="Apple-style-span" style="font-family: inherit;">Many mothers are quite ambilivant about the decision and feel pressure both ways. View this great article about the decision and ways to help make it. Also check the site it comes from <a href="http://www.bestforbabes.org/help-i-dont-want-to-breastfeed">www.BestforBabies.com</a></span>The Boob Whispererhttp://www.blogger.com/profile/10172480369682543901noreply@blogger.com2tag:blogger.com,1999:blog-7059184793843298553.post-38768106148943675922012-06-10T12:46:00.001-04:002012-06-24T11:50:32.815-04:00Postpartum Anxiety and Depression - 1 in 5 affected.<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgn5YaqcoE8nEt7qEW2SXdrBzsgOVwyMDRV_EX8qxvuQZm4HQvNKdjFKYqsbAQVKB_E72qJzkepN2WboWvrjBKDU3o574rrQTSTFh9kX1_edf_70-pbLa5yAc1r42MWCYv8gxoV_SX_kw/s1600/ppp+logo.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="depression postpartum" border="0" height="130" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgn5YaqcoE8nEt7qEW2SXdrBzsgOVwyMDRV_EX8qxvuQZm4HQvNKdjFKYqsbAQVKB_E72qJzkepN2WboWvrjBKDU3o574rrQTSTFh9kX1_edf_70-pbLa5yAc1r42MWCYv8gxoV_SX_kw/s400/ppp+logo.png" title="Postpartum Progress Logo" width="400" /></a></div>
<span class="Apple-style-span" style="font-family: inherit;">The symptoms of postpartum anxiety and depression often go unrecognized in the mother who is less than 12 months from having a baby. We the medical community are often reluctant to address it, mother's are reluctant to admit they are hurting and everyone suffers.</span><br />
<a name='more'></a><span class="Apple-style-span" style="font-family: inherit;"> The Boob Whisperer supports women and their quest to breastfeed but also recognizes that trying to breastfeeding can create a stress all in it self. Please check out this very important blog: <a href="http://Postpartumprogress.org/">Postpartumprogress.org</a> for more information on this VERY IMPORTANT and life affecting illness.<br />See this page to find out if the symptoms you are experiencing might be PPD: <a href="http://postpartumprogress.org/2011/02/the-symptoms-of-postpartum-depression-anxiety/">Symptoms of PPD</a></span>The Boob Whispererhttp://www.blogger.com/profile/10172480369682543901noreply@blogger.com2tag:blogger.com,1999:blog-7059184793843298553.post-18437227771162909252012-06-10T12:12:00.002-04:002012-06-24T11:11:22.256-04:00Nightingales Breastfeeding Support Center expands into Ridgefield and Danbury<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjQgvcD7ySVsihsFUTjUgOivetK5reoxeG8jFqw1RMnDYtfyjWFpHy9uzf16TlmA4-5T5gatbAnyc5p2MQaE5h8B-ZjhBs8Zz2LTGZugeo0mRiDAO2oHkJ-l3KEB5U2jTRWpOl40CpExw/s1600/NG+Logo+teal+green+lines.png" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="102" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjQgvcD7ySVsihsFUTjUgOivetK5reoxeG8jFqw1RMnDYtfyjWFpHy9uzf16TlmA4-5T5gatbAnyc5p2MQaE5h8B-ZjhBs8Zz2LTGZugeo0mRiDAO2oHkJ-l3KEB5U2jTRWpOl40CpExw/s200/NG+Logo+teal+green+lines.png" width="200" /></a></td></tr>
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<span class="Apple-style-span" style="font-family: inherit;">Nightingales, the home of The Boob Whisperer, Dr. Jennifer Moore, is thrilled to announce that there are new options for breastfeeding mothers and babies. We now have IBCLCs in our new locations. </span></div>
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<span class="Apple-style-span" style="font-family: inherit;">Nightingales provides pre, peri, and post natal breastfeeding classes, consultation, and help.</span></div>
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<span class="Apple-style-span" style="font-family: inherit;">For appointments call 203-229-2088 or visit our NEW WEBSITE! <a href="http://www.Breastfeeding-MD.com/">www.Breastfeeding-MD.com</a></span></div>
</div>The Boob Whispererhttp://www.blogger.com/profile/10172480369682543901noreply@blogger.com0tag:blogger.com,1999:blog-7059184793843298553.post-42133707598690972252010-11-02T21:51:00.000-04:002012-06-24T11:12:30.354-04:00When is a “GOOD BABY” too Good?<br />
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<span class="Apple-style-span" style="font-family: inherit;">One of the scariest phone conversations I can have with a new parent in the first week after their baby is born is about “what a well behaved baby we have!” Babies that are doing well, eating, thriving are not “well-behaved”. In the first week, if your baby is sleeping and pooping like you, we have a problem!</span></div>
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<span class="Apple-style-span" style="font-family: inherit;"><o:p> </o:p>It is normal, especially in our hospitals with an almost 40% cesarean rate, for babies to be sleepy and irritable in the first 12-24 hours of life. After that they wake up and want to eat, and eat, and eat, and eat oh and sleep too. I’ve seen this over and over again. Many parents mistake this crying and fussiness for hunger that can’t be satisfied by breastfeeding. But lets take a step back and think about it. Why is baby crying and looking hungry? To make you feed it! Babies get small FREQUENT feedings until mom’s copious milk supply is in. This is never a reason to give supplementation (formula or otherwise) without a consult by a person who knows and understands breastfeeding. But what happens if baby is not crying and demanding food? The initial fussiness becomes “contentment”? The baby doesn’t wake to feed, doesn’t demand to be fed. Sleeps 5-6 hours at a clip. The ultimate (to-good-to-be-true) “good” baby.</span></div>
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<span class="Apple-style-span" style="font-family: inherit;">WARNING WARNING WARNING!! Wake that baby up, get help if breastfeeding isn’t happening, feed that baby. Babies don’t sleep like we do. They need lots and lots of calories and frequently. A “content” baby might actually be an underfed, dehydrated baby. If your baby is like this and it is the first few weeks and you haven’t had his weight/growth evaluated by a knowledgeable health care provider, do it now.<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: inherit;">But…”I just don’t understand what my baby is trying to tell me!”<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: inherit;">Check out this blog: <a href="http://www.secretsofbabybehavior.com/">The Secrets of Baby Behavior</a><o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: inherit;">Take a good look at The Secrets, there are some amazing resources here to help you learn what your newborn and infant is trying to tell you beyond just I’m hungry.</span>The Boob Whispererhttp://www.blogger.com/profile/10172480369682543901noreply@blogger.com4tag:blogger.com,1999:blog-7059184793843298553.post-13068410152399641472010-09-21T13:46:00.001-04:002012-06-24T11:13:09.912-04:00Cosleeping and Biological Imperatives: Why Human Babies Do Not and Should Not Sleep Alone<span class="Apple-style-span" style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; font-size: 13px; line-height: 18px;"><span style="font-size: 11px;"><span class="Apple-style-span" style="color: #45818e;"><span style="font-style: italic;"><span class="Apple-style-span">By James J. McKenna Ph.D.</span></span><span class="Apple-style-span"> </span><span style="font-style: italic;"><br />
Edmund P. Joyce C.S.C. Chair in Anthropology</span><span class="Apple-style-span"> </span><span style="font-style: italic;"><br />
Director, </span><a href="http://www.blogger.com/goog_674039968"><span class="Apple-style-span">Mother-Baby Behavioral Sleep Laboratory</span></a><a href="http://www.nd.edu/%7Ejmckenn1/lab/"> </a></span><span style="color: #76a5af; font-style: italic;"><br />
University of Notre Dame<br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">Where a baby sleeps is not as simple as current medical discourse and recommendations against cosleeping in some western societies want it to be. And there is good reason why. I write here to explain why the pediatric recommendations on forms of cosleeping such as bedsharing will and should remain mixed. I will also address why the majority of new parents practice intermittent bedsharing despite governmental and medical warnings against it.</span><br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">Definitions are important here. The term cosleeping refers to any situation in which a committed adult caregiver, usually the mother, sleeps within close enough proximity to her infant so that each, the mother and infant, can respond to each other’s sensory signals and cues. Room sharing is a form of cosleeping, always considered safe and always considered protective. But it is not the room itself that it is protective. It is what goes on between the mother (or father) and the infant that is. Medical authorities seem to forget this fact. This form of cosleeping is not controversial and is recommended by all.</span><br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">Unfortunately, the terms cosleeping, bedsharing and a well-known dangerous form of cosleeping, couch or sofa cosleeping, are mostly used interchangeably by medical authorities, even though these terms need to be kept separate. It is absolutely wrong to say, for example, that “cosleeping is dangerous” when roomsharing is a form of cosleeping and this form of cosleeping (as at least three epidemiological studies show) reduce an infant’s chances of dying by one half.</span><br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">Bedsharing is another form of cosleeping which can be made either safe or unsafe, but it is not intrinsically one nor the other. Couch or sofa cosleeping is, however, intrinsically dangerous as babies can and do all too easily get pushed against the back of the couch by the adult, or flipped face down in the pillows, to suffocate.</span><br />
<span class="Apple-style-span" style="color: #444444; font-family: inherit;">Often news stories talk about “another baby dying while cosleeping” but they fail to distinguish between what type of cosleeping was involved and, worse, what specific dangerous factor might have actually been responsible for the baby dying. A specific example is whether the infant was sleeping prone next to their parent, which is an independent risk factor for death regardless of where the infant was sleeping. Such reports inappropriately suggest that all types of cosleeping are the same, dangerous, and all the practices around cosleeping carry the same high risks, and that no cosleeping environment can be made safe.</span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjFGpP_5lyOrj_hHqzTFPs7UQWbdGoDOrXMztRLh0SQ1_V_fFTSGrAUuGLRqX3hyphenhyphenkaDKieKdO5a0webVj5VZQUcLUfaQ_tMt-6Hx1me-Kw6VoWCahtJYN3gm8VMzsvg9kfMtZ3Ic1tqBA/s1600/bigstock_Baby_3405358.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><span class="Apple-style-span" style="color: #444444; font-family: inherit;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjFGpP_5lyOrj_hHqzTFPs7UQWbdGoDOrXMztRLh0SQ1_V_fFTSGrAUuGLRqX3hyphenhyphenkaDKieKdO5a0webVj5VZQUcLUfaQ_tMt-6Hx1me-Kw6VoWCahtJYN3gm8VMzsvg9kfMtZ3Ic1tqBA/s320/bigstock_Baby_3405358.jpg" /></span></a></div>
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">Nothing can be further from the truth. This is akin to suggesting that because some parents drive drunk with their infants in their cars, unstrapped into car seats, and because some of these babies die in car accidents that nobody can drive with babies in their cars because obviously car transportation for infants is fatal. You see the point.</span><br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">One of the most important reasons why bedsharing occurs, and the reason why simple declarations against it will not eradicate it, is because sleeping next to one’s baby is biologically appropriate, unlike placing infants prone to sleep or putting an infant in a room to sleep by itself. This is particularly so when bedsharing is associated with breast feeding.</span><br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">When done safely, mother-infant cosleeping saves infants lives and contributes to infant and maternal health and well being. Merely having an infant sleeping in a room with a committed adult caregiver (cosleeping) reduces the chances of an infant dying from SIDS or from an accident by one half!</span><br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;"><span id="more-2115"></span><strong>Research</strong></span><br />
<span class="Apple-style-span" style="color: #444444; font-family: inherit;">In Japan where co-sleeping and breastfeeding (in the absence of maternal smoking) is the cultural norm, rates of the sudden infant death syndrome are the lowest in the world. For breastfeeding mothers, bedsharing makes breastfeeding much easier to manage and practically doubles the amount of breastfeeding sessions while permitting both mothers and infants to spend more time asleep. The increased exposure to mother’s antibodies which comes with more frequent nighttime breastfeeding can potentially, per any given infant, reduce infant illness. And because co-sleeping in the form of bedsharing makes breastfeeding easier for mothers, it encourages them to breastfeed for a greater number of months, according to <a href="http://www.dur.ac.uk/sleep.lab/" style="text-decoration: none;">Dr. Helen Ball’s studies</a> at the University of Durham, therein potentially reducing the mothers chances of breast cancer. Indeed, the benefits of cosleeping helps explain why simply telling parents never to sleep with baby is like suggesting that nobody should eat fats and sugars since excessive fats and sugars lead to obesity and/or death from heart disease, diabetes or cancer. Obviously, there’s a whole lot more to the story.</span><br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">As regards bedsharing, an expanded version of its function and effects on the infant’s biology helps us to understand not only why the bedsharing debate refuses to go away, but why the overwhelming majority of parents in the United States (over 50% according to the most recent national survey) now sleep in bed for part or all of the night with their babies.</span><br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">That the highest rates of bedsharing worldwide occur alongside the lowest rates of infant mortality, including Sudden Infant Death Syndrome (SIDS) rates, is a point worth returning to. It is an important beginning point for understanding the complexities involved in explaining why outcomes related to bedsharing (recall, one of many types of cosleeping) vary between being protective for some populations and dangerous for others. It suggests that whether or not babies should bedshare and what the outcome will be may depend on who is involved, under what condition it occurs, how it is practiced, and the quality of the relationship brought to the bed to share. This is not the answer some medical authorities are looking for, but it certainly resonates with parents, and it is substantiated by scores of studies.</span><br />
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<strong><span class="Apple-style-span" style="color: #444444; font-family: inherit;">Understanding Recommendations</span></strong><br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">Recently, the American Academy of Pediatrics (AAP) SIDS Sub-Committee for whom I served (ad hoc) as an expert panel member recommended that babies should sleep close to their mothers in the same room but not in the same bed. While I celebrated this historic roomsharing recommendation, I disagreed with and worry about the ramifications of the unqualified recommendation against any and all bedsharing. Further, I worry about the message being given unfairly (if not immorally) to mothers; that is, no matter who you are, or what you do, your sleeping body is no more than an inert potential lethal weapon against which neither you nor your infant has any control. If this were true, none of us humans would be here today to have this discussion because the only reason why we survived is because our ancestral mothers slept alongside us and breastfed us through the night!</span><br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">I am not alone in thinking this way. The Academy of Breast Feeding Medicine, the USA Breast Feeding Committee, the Breast Feeding section of the American Academy of Pediatrics, La Leche League International, UNICEF and WHO are all prestigious organizations who support bedsharing and which use the best and latest scientific information on what makes mothers and babies safe and healthy. Clearly, there is no scientific consensus.</span><br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">What we do agree on, however, is what specific “factors” increase the chances of SIDS in a bedsharing environment, and what kinds of circumstances increase the chances of suffocation either from someone in the bed or from the bed furniture itself. For example, adults should not bedshare if inebriated or if desensitized by drugs, or overly exhausted, and other toddlers or children should never be in a bed with an infant. Moreover, since having smoked during a pregnancy diminishes the capacities of infants to arouse to protect their breathing, smoking mothers should have their infants sleep alongside them on a different surface but not in the same bed.</span><br />
<span class="Apple-style-span" style="color: #444444; font-family: inherit;">My own <a href="http://www.nd.edu/%7Ejmckenn1/lab/articles.html" style="text-decoration: none;">physiological studies</a> suggest that breastfeeding mother-infant pairs exhibit increased sensitivities and responses to each other while sleeping, and those sensitivities offers the infant protection from overlay. However, if bottle feeding, infants should lie alongside the mother in a crib or bassinet, but not in the same bed. Prone or stomach sleeping especially on soft mattresses is always dangerous for infants and so is covering their heads with blankets, or laying them near or on top of pillows. Light blanketing is always best as is attention to any spaces or gaps in bed furniture which needs to be fixed as babies can slip into these spaces and quickly to become wedged and asphyxiate. My recommendation is, if routinely bedsharing, to strip the bed apart from its frame, pulling the mattress and box springs to the center of the room, therein avoiding dangerous spaces or gaps into which babies can slip to be injured or die.</span><br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">But, again, disagreement remains over how best to use this information. Certain medical groups, including some members of the American Academy of Pediatrics (though not necessarily the majority), argue that bedsharing should be eliminated altogether. Others, myself included, prefer to support the practice when it can be done safely amongst breastfeeding mothers. Some professionals believe that it can never be made safe but there is no evidence that this is true.</span><br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">More importantly, parents just don’t believe it! Making sure that parents are in a position to make informed choices therein reflecting their own infant’s needs, family goals, and nurturing and infant care preferences seems to me to be fundamental.</span><br />
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<strong><span class="Apple-style-span" style="color: #444444; font-family: inherit;">Our Biological Imperatives</span></strong><br />
<span class="Apple-style-span" style="color: #444444; font-family: inherit;">My support of bedsharing when practiced safely stems from my research knowledge of how and why it occurs, what it means to mothers, and how it functions biologically. Like human taste buds which reward us for eating what’s overwhelmingly critical for survival i.e. fats and sugars, a consideration of human infant and parental biology and psychology reveal the existence of powerful physiological and social factors that promote maternal motivations to cosleep and explain parental needs to touch and sleep close to baby.</span><br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">The low calorie composition of human breast milk (exquisitely adjusted for the human infants’ undeveloped gut) requires frequent nighttime feeds, and, hence, helps explain how and why a cultural shift toward increased cosleeping behavior is underway. Approximately 73% of US mothers leave the hospital breast feeding and even amongst mothers who never intended to bedshare soon discover how much easier breast feeding is and how much more satisfied they feel with baby sleeping alongside often in their bed.</span><br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">But it’s not just breastfeeding that promotes bedsharing. Infants usually have something to say about it too! And for some reason they remain unimpressed with declarations as to how dangerous sleeping next to mother can be. Instead, irrepressible (ancient) neurologically-based infant responses to maternal smells, movements and touch altogether reduce infant crying while positively regulating infant breathing, body temperature, absorption of calories, stress hormone levels, immune status, and oxygenation. In short, and as mentioned above, cosleeping (whether on the same surface or not) facilitates positive clinical changes including more infant sleep and seems to make, well, <em>babies happy</em>. In other words, unless practiced dangerously, sleeping next to mother is good for infants. The reason why it occurs is because… <em>it is supposed</em> to.</span><br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">Recall that despite dramatic cultural and technological changes in the industrialized west, human infants are still born the most neurologically immature primate of all, with only 25% of their brain volume. This represents a uniquely human characteristic that could only develop biologically (indeed, is only possible) alongside mother’s continuous contact and proximity—as mothers body proves still to be the only environment to which the infant is truly adapted, for which even modern western technology has yet to produce a substitute.</span><br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">Even here in <em>whatever-city-USA</em>, nothing a baby can or cannot do makes sense except in light of the mother’s body, a biological reality apparently dismissed by those that argue against any and all bedsharing and what they call cosleeping, but which likely explains why most crib-using parents at some point feel the need to bring their babies to bed with them —findings that our mother-baby sleep laboratory here at Notre Dame has helped document scientifically. Given a choice, it seems human babies strongly prefer their mother’s body to solitary contact with inert cotton-lined mattresses. In turn, mothers seem to notice and succumb to their infant’s preferences.</span><br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">There is no doubt that bedsharing should be avoided in particular circumstances and can be practiced dangerously. While each single bedsharing death is tragic, such deaths are no more indictments about any and all bedsharing than are the three hundred thousand plus deaths or more of babies in cribs an indictment that crib sleeping is deadly and should be eliminated. Just as unsafe cribs and unsafe ways to use cribs can be eliminated so, too, can parents be educated to minimize bedsharing risks.</span><br />
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<strong><span class="Apple-style-span" style="color: #444444; font-family: inherit;">Moving Beyond Judgments to Understanding</span></strong><br />
<span class="Apple-style-span" style="color: #444444; font-family: inherit;">We still do not know what causes SIDS. But fortunately the primary factors that increase risk are now widely known i.e. placing an infant prone (face down) for sleep, using soft mattresses, maternal smoking, overwrapping babies or blocking air movement around their faces. In combination with bedsharing, where more vital normal defensive infant responses and may be more important to an infant (like the ability to arouse to bat a blanket which momentarily falls to cover the infants face when its parent moves or turns) these risks become exaggerated especially amongst unhealthy infants. When infants die in these obviously unsafe conditions, it is here where social biases and the sheer levels of ignorance associated with actually explaining the death become apparent. A death itself in a bedsharing environment does not automatically suggest, as many legal and medical authorities assert, that it was the bedsharing, or worse, suffocation that killed the infant. Infants in bedsharirng environments, like babies in cribs, can still die of SIDS.</span><br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">It is a shame and certainly inappropriate that, for example, the head pathologists of the state of Indiana recommends that other pathologists assume SIDS as a likely cause of death when babies die in cribs but to assume asphyxiation if a baby dies in an adult bed or has a history of “cosleeping”. By assuming <em>before any facts are known</em>from the pathologist’s death scene and toxicological report that any bedsharing baby was a victim of an accidental suffocation rather than from some congenital or natural cause, including SIDS unrelated to bedsharing, medical authorities not only commit a form of scientific fraud but they victimize the doomed infant’s parents for a third time. The first occurs when their baby dies, the second occurs when health professionals interviewed for news stories (which commonly occurs) imply that when a baby dies in a bed with an adult it must be due to suffocation (or a SIDS induced by bedsharing). The third time the parents are victimized is when still without any evidence medical or police authorities suggest that their baby’s death was “preventable,” that their baby would still be alive if only the parents had not bedshared. This conclusion is based not on the facts of the tragedy but on unfair and fallacious stereotypes about bedsharing.</span><br />
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<span class="Apple-style-span" style="color: #444444; font-family: inherit;">Indeed, no legitimate SIDS researcher nor forensic pathologist should render a judgment that a baby was suffocated without an extensive toxiological report and death scene investigation including information from the mother concerning what her thoughts are on what might or could have happened.</span><br />
<span class="Apple-style-span" style="color: #444444; font-family: inherit;">Whether involving cribs or adult beds, risky sleep practices leading to infant deaths are more likely to occur when parents lack access to safety information, or if they are judged to be irresponsible should they choose to follow their own and their infants’ biological predilections to bedshare, or if public health messages are held back on brochures and replaced by simplistic and inappropriate warnings saying “just never do it.” Such recommendations misrepresent the true function and biological significance of the behaviors, and the critical extent to which dangerous practices can be modified, and they dismiss the valid reasons why people engage in the behavior in the first place.</span><br />
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<b><span class="Apple-style-span" style="font-family: 'Trebuchet MS', sans-serif;"><span class="Apple-style-span" style="color: #073763;">More Information:</span></span></b><br />
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</span></span></b><span class="Apple-style-span" style="color: #76a5af;"><a href="http://www.amazon.com/Sleeping-Your-Baby-Parents-Cosleeping/dp/1930775342/ref=sr_1_1?ie=UTF8&s=books&qid=1229879739&sr=1-1" style="text-decoration: none;"><span class="Apple-style-span" style="font-family: 'Trebuchet MS', sans-serif;">S</span></a><a href="http://www.amazon.com/Sleeping-Your-Baby-Parents-Cosleeping/dp/1930775342/ref=sr_1_1?ie=UTF8&s=books&qid=1229879739&sr=1-1" style="text-decoration: none;"><span class="Apple-style-span" style="font-family: 'Trebuchet MS', sans-serif;">leeping With Your Baby: A Parent’s Guide To Cosleeping</span></a><span class="Apple-style-span" style="font-family: 'Trebuchet MS', sans-serif;"> </span></span><span class="Apple-style-span" style="font-family: 'Trebuchet MS', sans-serif;"><span class="Apple-style-span" style="color: #073763;">by James J.McKenna (2007). Platypus Press. *BOOK*</span></span><span class="Apple-style-span" style="font-family: 'Trebuchet MS', sans-serif;"><span class="Apple-style-span" style="color: #073763;"><br />
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</span></span><span class="Apple-style-span" style="font-family: 'Trebuchet MS', sans-serif;"><span class="Apple-style-span" style="color: #073763;">McKenna, J., Ball H., Gettler L., </span></span><span class="Apple-style-span" style="color: #76a5af;"><a href="http://www3.interscience.wiley.com/journal/117353127/abstract" style="text-decoration: none;"><span class="Apple-style-span" style="font-family: 'Trebuchet MS', sans-serif;">Mother-infant Cosleeping, Breastfeeding and SIDS: What Biological Anthropologists Have Learned About Normal Infant Sleep and Pediatric Sleep Medicine</span></a><span class="Apple-style-span" style="font-family: 'Trebuchet MS', sans-serif;">.</span><span class="Apple-style-span" style="font-family: 'Trebuchet MS', sans-serif;"> </span></span><span class="Apple-style-span" style="font-family: 'Trebuchet MS', sans-serif;"><span class="Apple-style-span" style="color: #073763;">Yearbook of Physical Anthropology 50:133-161 (2007) *FOR FULL PDF OF THIS SCHOLARLY ARTICLE LEAVE COMMENT OR SEND REQUEST TO PEACEFUL PARENTING BLOG AUTHOR*</span></span><span class="Apple-style-span" style="font-family: 'Trebuchet MS', sans-serif;"><span class="Apple-style-span" style="color: #073763;"><br />
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<span class="Apple-style-span" style="font-family: 'Trebuchet MS', sans-serif;"><span class="Apple-style-span" style="color: #073763;">McKenna, J., McDade, T.,</span></span><span class="Apple-style-span" style="font-family: 'Trebuchet MS', sans-serif;"><span class="Apple-style-span" style="color: #073763;"> </span></span><a href="http://www.notjustskin.org/downloads/McKennaCosleeping2005.pdf" style="text-decoration: none;"><span class="Apple-style-span" style="color: #76a5af; font-family: 'Trebuchet MS', sans-serif;">Why Babies Should Never Sleep Alone: A Review of the Co-Sleeping Controversy in Relation to SIDS, Bedsharing and Breastfeeding</span></a><span class="Apple-style-span" style="font-family: 'Trebuchet MS', sans-serif;"><span class="Apple-style-span" style="color: #073763;">.</span></span><span class="Apple-style-span" style="font-family: 'Trebuchet MS', sans-serif;"><span class="Apple-style-span" style="color: #073763;"> </span></span><span class="Apple-style-span" style="font-family: 'Trebuchet MS', sans-serif;"><span class="Apple-style-span" style="color: #073763;">Paediatric Respiratory Reviews 6:134-152 (2005) *DOWNLOADABLE PDF*</span></span><br />
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<br /></div>The Boob Whispererhttp://www.blogger.com/profile/10172480369682543901noreply@blogger.com4tag:blogger.com,1999:blog-7059184793843298553.post-18577468714245900412010-09-04T22:48:00.003-04:002012-06-24T11:13:22.545-04:00Breast is Best<div>
<span class="Apple-style-span"><span class="Apple-style-span" style="font-size: small;"><span class="Apple-style-span" style="font-family: inherit;">A video speaks a thousand (million?) words. If you are new to breastfeeding, contemplating breastfeeding, or just plain curious check out this very enlightening video.</span></span></span></div>
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<span class="Apple-style-span"><span class="Apple-style-span" style="font-size: small;"><span class="Apple-style-span"> </span></span></span><object height="344" style="background-image: url(http://i4.ytimg.com/vi/Cuu8UEXzVQ0/hqdefault.jpg);" width="425"><param name="movie" value="http://www.youtube.com/v/Cuu8UEXzVQ0?fs=1&hl=en_US">
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<embed src="http://www.youtube.com/v/Cuu8UEXzVQ0?fs=1&hl=en_US" allowscriptaccess="never" allowfullscreen="true" wmode="transparent" type="application/x-shockwave-flash" height="344" width="425"></embed></object>The Boob Whispererhttp://www.blogger.com/profile/10172480369682543901noreply@blogger.com0tag:blogger.com,1999:blog-7059184793843298553.post-58899439131542573802010-09-04T19:26:00.006-04:002012-06-24T11:19:59.317-04:009 Ways to Prevent and Treat Early Breastfeeding Problems<div style="font-style: normal; font-variant: normal; line-height: normal; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">
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<span style="font-family: inherit; letter-spacing: 0px;">The top breastfeeding specialist know that those early days (and nights!) are crucial to successful breastfeeding. But many mothers and babies struggle in the beginning. Read on on how to prevent and treat those annoying early problems.</span></div>
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<span class="Apple-style-span" style="font-size: small;"><b>9 Ways to prevent and treat these early breastfeeding problems</b></span><span class="Apple-style-span" style="font-size: small;">:</span></div>
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<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 7px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"></span><span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"><b>HOLD YOUR BABY A LOT.</b></span><span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span><span style="letter-spacing: 0px;">Think about where your baby was just a few short days ago...tightly bound up inside your uterus, likely head down. It was dark - and LOUD, and warm and your movements constantly rocked him gently in the amniotic fluid. This was her home. Try to replicate this as best as you can and you will find your baby magically calmed. (I don’t suggest putting him back inside you however!)</span></span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 7px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><b></b><b>SKIN-TO-SKIN.</b><span style="letter-spacing: 0px;"><b> </b>A breastfeeding mom’s best position. Take it all off, baby in diaper, you bare chested (save that nursing bra for work). Partners have a good chest for this also - even if it IS hairy! Place baby, lean back, close eyes, get rest. Heavenly.</span></span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 7px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><b></b><b>TAKE NAPS TOGETHER</b><span style="letter-spacing: 0px;"><b>.</b> Your baby CAN sleep on your chest, up between your breasts.</span></span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 7px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><b></b><b>LOOK FOR THE EARLY HUNGER CUES.</b><span style="letter-spacing: 0px;"> If your baby isn’t already skin-to-skin, place the baby there. </span></span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 7px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><b></b><b>ALLOW BABY-LED LATCHING.</b><span style="letter-spacing: 0px;"><b> </b>Place your baby skin-to-skin between your breasts. Follow the baby’s lead, bringing his rear up as he moves head down. Keep face, cheek, lips, chin toughing breast so he knows where it is. Line up nose to nipple, chin and lower lip touching the breast. Baby can now reach with his upper lip up and over the nipple to form an “off-center” comfortable latch.</span></span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 7px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><b>FORGET THE CLOCK.</b><span style="letter-spacing: 0px;"> Let your baby nurse as often and as long as she wants to, as long as it is mutually comfortable. A “full baby” will go to sleep happily between the breasts, a “hungry baby” will continue to root and self-latch.</span></span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 7px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><b>HELP A FRANTIC BABY BY CALMING BABY FIRST. </b><span style="letter-spacing: 0px;">Move baby away from the nipple if she is too frantic to latch - keep the breast a happy place to be! Place back between breasts, upright, stroke his back, make eye contact, talk to her say “shhhhhhh”. Let the baby suck on your finger with the soft side up to the palate. Hand baby off to another person. If these don’t work, feed a little expressed breastmilk or formula 1/2 -1 ounce or so, as soon as the baby has calmed down, put back skin-to-skin and let baby look for breast again as above.</span></span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 7px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><b>DO NOT PUT UP WITH PAIN!</b><span style="letter-spacing: 0px;"> If the latch hurts alot break suction by gently pulling back on baby’s cheek at the corner of her mouth. Relatch again until it doesn’t hurt. If baby is sucking well, sometimes pulling down on the chin or on the lower lip will adjust the latch enough to make a little painful latch feel better. Breastfeeding should not hurt, if it does, something is wrong - <b><a href="http://www.breastfeeding-md.com/"><span class="Apple-style-span">GET HELP!</span></a></b></span></span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 7px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span style="font-family: inherit; letter-spacing: 0px;"><b>TRUST YOUR INSTINCTS. TRUST YOUR BABY’S INSTINCTS</b></span></li>
</ol>The Boob Whispererhttp://www.blogger.com/profile/10172480369682543901noreply@blogger.com1tag:blogger.com,1999:blog-7059184793843298553.post-66860787809993054012010-09-04T19:12:00.006-04:002012-06-24T11:18:31.685-04:00Colic in the Breastfed Baby<div style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">
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<span style="font-family: inherit; letter-spacing: 0px;"><span class="Apple-style-span">I always thought that breastfed babies were the </span><i>happiest babies on the block</i><span class="Apple-style-span">. What is there to be upset about? The books say it’s the “perfect food” at the “perfect temperature”, always ready and loaded. Why then is my breastfed baby so darn miserable???</span></span><br />
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<span class="Apple-style-span" style="font-family: inherit;"><span class="Apple-style-span" style="letter-spacing: 0px;"><span style="letter-spacing: 0px;"></span></span><b>Colic in the Breastfed Baby</b></span></div>
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<span style="font-family: inherit; letter-spacing: 0px;"><span class="Apple-style-span">Ah, colic one of the great mysteries of babies. Ask 10 people and get 10 answers on what it is and how to fix it. Medically speaking it is defined by the </span><i>rule of “threes”</i><span class="Apple-style-span">, it starts about 3 weeks after birth, occurs more than 3 times a week and the baby cries for 3 or more hours a day. In order to apply the label of “colic” to a baby, he must be gaining weight well and otherwise be healthy.</span></span></div>
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<span style="font-family: inherit; letter-spacing: 0px;">There is no treatment for colic, although there are many “remedies” out there. Some work - at least for a short time - but ultimately time seems to heal most babies with colic.</span></div>
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<span style="font-family: inherit; letter-spacing: 0px;">How can colic be different in a breastfeeding baby? Well, it might actually have a cause and thus a <b>solution</b>!</span></div>
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<span style="font-family: inherit; letter-spacing: 0px;">There are three known situations that might result in an overly fussy or colicky baby:</span></div>
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<span style="font-family: inherit; letter-spacing: 0px;"><b>TOO MUCH LACTOSE (MILK SUGAR)</b></span></div>
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<span style="font-family: inherit; letter-spacing: 0px;">Human breast milk changes in many ways over the course of a full feeding. One of the ways is the amount of fat increases as the baby drinks more from the breast. IF MOM SWITCHES FREQUENTLY FROM BREAST TO BREAST, the baby might get a lot of the “foremilk” that is high in lactose or milk sugars and not a whole lot of the “hindmilk” that is more full of fat. Remember that fat has more calories and is more filling. A baby getting a lot of the high lactose milk will need to eat more volume of milk to get the same calories. This can cause a tummy ache, spitting up, being hungry faster and worst of all a large load of milk sugar arrives in the intestines all at once. The baby’s protein that digests the sugars (lactase) might not be able to handle all the sugars at once and the baby will have symptoms resembling “lactose intolerance” - crying, gas, explosive, watery, green bowel movements. BABY IS NOT LACTOSE INTOLERANT - its just there isn’t enough protein to digest all that high lactose milk. This is not a reason to switch to lactose free formula. But the solution is less lactose...</span></div>
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<span style="font-family: inherit; letter-spacing: 0px;">WHAT CAN YOU DO ABOUT IT?</span></div>
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<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><span style="letter-spacing: 0px;"></span><i>Do not time feedings.</i><span style="letter-spacing: 0px;"> Breastfeeding problems are greatest in societies where everyone has a watch and least where no one has a watch! Let baby “finish” - the clock doesn’t help you.</span></span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><span style="letter-spacing: 0px;"></span><i>Feed on one breast.</i><span style="letter-spacing: 0px;"> Baby should feed on one breast for as long as it takes to finish as long as baby is actually getting milk from the breast. Baby should come off himself or fall asleep at the breast. Sometimes babies slow down when the flow slows, use compressions to keep baby going. (see Video <a href="http://www.youtube.com/watch?v=e__lgR7mRIg">part 1</a> and <a href="http://www.youtube.com/watch?v=-4lnvL2_6V8">part 2</a>) The compressions help the baby get to the higher fat milk. If you think the baby is “finished” on one side and still hungry then offer the other side. This is not an absolute, do not prevent two sided feeding, just encourage an emptying of side one before offering side two. The next feeding should start on the other breast and continue in the same way. </span></span></li>
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<span style="font-family: inherit; letter-spacing: 0px;"><b>OVERACTIVE LETDOWN REFLEX</b></span></div>
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<span style="font-family: inherit; letter-spacing: 0px;">I<span class="Apple-style-span">f a baby gets milk too quickly she may become very fussy, very irritable at the breast and sometimes moms think they don’t “like the breast” or are colicky. These babies usually are gaining weight very quickly. These babies often start to nurse and after a few seconds to minutes start to cough, choke or struggle at the breast. The can come on and off and you might even see mom’s milk spray. The baby keeps trying to return to the breast to eat only to repeat the whole process. Even worse when the flow slows done they get inpatient with the now slow flow. This isn’t a fun time for anyone. Some babies might even start to refuse the breast after taking it this way for several weeks.</span></span></div>
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<span style="font-family: inherit; letter-spacing: 0px;">WHAT CAN YOU DO ABOUT IT?</span></div>
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<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><span style="letter-spacing: 0px;"></span><i>Feed on one breast.</i><span style="letter-spacing: 0px;"> If you have not already done so, try feeding the baby on one breast per feed. Sometimes, you even have to feed two or three feedings on one breast before changing to the other at the next feed. In order to slow down production and increase the fat in the breast milk, allow the other breast to remain as full as you can. If you feel uncomfortable or engorged, express enough to feel comfortable again. Do not drain the breast!</span></span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><span style="letter-spacing: 0px;"></span><i>Feed baby when calm, in calm atmosphere</i><span style="letter-spacing: 0px;">. Don’t wait for baby to be ravenous. A overly hungry baby will attack the breast and cause a very active letdown reflex in some moms. If baby is half asleep it might go easier. Try to feed baby in a calm and relaxed atmosphere that is conducive to a good feeding.</span></span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><span style="letter-spacing: 0px;"></span><i>Lie down to nurse.</i><span style="letter-spacing: 0px;"> Lying sideways to feed sometimes works very well to slow the flow down. If it doesn’t try lying flat, or almost flat on your back with the baby lying on top of you to nurse. Gravity helps decrease the flow rate.</span></span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><span style="letter-spacing: 0px;"></span><i>Express some milk.</i><span style="letter-spacing: 0px;"> Express about an ounce or so before you feed the baby to slow things down. Do not try this before the above suggestions as it might compound the problem by increasing your supply even more.</span></span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><span style="letter-spacing: 0px;"></span><i>Use Compressions.</i><span style="letter-spacing: 0px;"> If baby fusses again when the flow slows, use compressions to increase the flow again. See Dr. Newman’s videos: <a href="http://www.youtube.com/watch?v=e__lgR7mRIg">part 1</a> and <a href="http://www.youtube.com/watch?v=-4lnvL2_6V8">part 2</a></span></span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><span style="letter-spacing: 0px;"></span><i>Use a nipple shield</i><span style="letter-spacing: 0px;"> - but not without seeing a lactation consultant first. A nipple shield can be a godsend or can destroy a fragile milk supply.</span></span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><span style="letter-spacing: 0px;"></span><i>Get Help! </i><span style="letter-spacing: 0px;">A good latch is the key to easy breastfeeding. If your baby isn’t well latched, get help.</span></span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><span style="letter-spacing: 0px;"></span><i>Give Expressed Breast Milk in a Bottle</i><span style="letter-spacing: 0px;">. Sometimes pumping out the milk and giving in a bottle will slow your production enough to allow for better feeds after a few days. Do this as a <i>last resort</i> rather than switching to formula and only after speaking with a </span><i>lactation consultant!</i></span></li>
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<span style="font-family: inherit; letter-spacing: 0px;"><b>FOREIGN PROTEINS IN THE MOTHER’S MILK</b></span></div>
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<span style="font-family: inherit; letter-spacing: 0px;"><span class="Apple-style-span">Everything you eat appears at least in parts in your milk. This is actually a great thing. By the time your baby is ready to eat her first “table foods” she has been exposed to all kinds of flavors and tastes. Also, these small exposures might actually act as a way of desensitizing your baby to food proteins and thus decreasing the incidence of food allergies in breast fed babies. Sometimes however the proteins present in the mother’s diet may affect the baby in adverse ways. The most common culprit is the cow’s milk protein, although there are other documented intolerances. </span><i><span class="Apple-style-span">NOTE: Milk protein intolerance is not lactose intolerance (lactose is a sugar, not a protein). A mother who is lactose intolerant herself can and should still breast feed her baby.</span></i></span></div>
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<span style="font-family: inherit; letter-spacing: 0px;">WHAT CAN YOU DO ABOUT IT?</span></div>
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<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><span style="letter-spacing: 0px;"></span><i>Change you diet, one food at a time.</i><span style="letter-spacing: 0px;"> The first dietary change is to take dairy out of the mother’s diet. Dairy products include milk, cheese, yogurt, ice cream and butter and anything with whey or casein. Check <a href="http://www.jennifermendelsohn.com/dairy.htm">here for a list of foods</a> that are ok and the different foods that contain cow’s milk proteins. This is a great diet for losing those extra pounds as well as a very healthy way to eat.</span></span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><span style="letter-spacing: 0px;"></span><i>Elimination Diets</i><span style="letter-spacing: 0px;">. If dairy doesn’t do it, there are complete <a href="http://www.askdrsears.com/html/4/T041200.asp">elimination diets</a> to be found on the web that can be tried. </span></span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span class="Apple-style-span" style="font-family: inherit;"><span style="letter-spacing: 0px;"></span><i>Take Pancreatic Enzymes</i><span style="letter-spacing: 0px;">. Some have found that if mom takes a pancreatic enzyme, 1 capsule at each meal this will break down proteins in her intestines and they will not appear in the milk. You will need to see Dr. Moore or your internist/obstetrician if you want to go this route.</span></span></li>
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<span style="letter-spacing: 0px;"><span class="Apple-style-span" style="font-family: inherit;">Thanks to Dr. Jack Newman and his Handout #2: Colic in the Breastfed</span><span class="Apple-style-span" style="font-family: Verdana;"> Baby on which this entry is based on. </span></span></div>The Boob Whispererhttp://www.blogger.com/profile/10172480369682543901noreply@blogger.com16tag:blogger.com,1999:blog-7059184793843298553.post-44029298716589837822010-08-31T17:29:00.007-04:002012-06-24T11:17:14.264-04:007 Ways to Survive Going Back To Work<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjik-El9kU94-Yivv28Ap_HMjFpydHmCxykZOEqbQpHrP9N8kJovY-pWno-RaKAyqrDUwFjomqSi-396NIyBjpf8YfvtAWxGkHUnTz_6lqv8jJ7CqCvQWkBrc7vQZr2KYyhIp_-0rcYRQ/s1600/bigstock-Woman-Juggling-Fruit-6654061.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img alt="" border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjik-El9kU94-Yivv28Ap_HMjFpydHmCxykZOEqbQpHrP9N8kJovY-pWno-RaKAyqrDUwFjomqSi-396NIyBjpf8YfvtAWxGkHUnTz_6lqv8jJ7CqCvQWkBrc7vQZr2KYyhIp_-0rcYRQ/s320/bigstock-Woman-Juggling-Fruit-6654061.jpg" title="Mother juggling work and feeding and home" width="196" /></a></div>
<span class="Apple-style-span" style="font-family: inherit; font-size: small;">The day is fast approaching when you and your breastfeeding baby will have to part ways, at least for a few hours each day. Whether your baby is 6 weeks, 12 weeks or 6 months, there are some ways to make the transition be a less stressed one.</span><br />
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<li><span class="Apple-style-span" style="font-family: inherit;"><span class="Apple-style-span" style="font-size: small;"><span class="Apple-style-span" style="font-size: small;">GIVE YOURSELF A BREAK</span><span class="Apple-style-span" style="font-size: small;">. Ultimately, breastfeeding and working away from your baby was not how breastfeeding was intended to be. Lesson number uno of being a parent is knowing the fine art of compromise. (a good lesson in business too!) ANY breastmilk/breastfeeding your baby gets is better than no breastmilk/breastfeeding. REPEAT for those type A personalities out there… ANY breastmilk/breastfeeding your baby gets is better than no breastmilk/breastfeeding. There are nutrients and antibodies and all that good stuff in there whether she gets 5 ounces a day or 30 ounces a day. Think about this while you are pumping instead of OMG, what am I going to do if I only pump 5 ounces and he’s gobbling up 10 at day care.</span></span></span></li>
<li><span class="Apple-style-span" style="font-family: inherit;"><span class="Apple-style-span" style="font-size: small;">DON’T LEAVE FINDING THE RIGHT CHILD CARE TO THE LAST MINUTE.</span><span class="Apple-style-span" style="font-size: small;"> Finding the right place for your baby is really important to making the transition back to work easier. Nothing is worse than worrying about your job AND your baby on the first day. As a breastfeeding mother, it is especially important to ask the child care provider what their philosophy on breastfeeding is. You have worked hard to make breastfeeding work at home; don’t let an unsupportive caregiver sabotage your efforts once you return to work. You should ask specifically how many other babies are breastfed, what would the caregiver do if there wasn’t enough breastmilk, and how they feel in general about breastfeeding. It’s just defeating to spend all your breaks at work pumping to get 10 ounces only to have the day care say your baby took 12 ounces and what are you going to do about it tomorrow. (and the look on the face is “you bad mommy – why are you starving your baby?”)</span></span></li>
<li><span class="Apple-style-span">REMEMBER THE GOLDEN RULE OF SUPPLY AND DEMAND.</span> Don’t get caught in the supply/demand downward spiral. Many moms think they need to pump and pump and pump before going back to work. This isn’t true, and unless you are going to be away from your baby for many days at a time, can actually sabotage your supply. How can that be you ask? Well this is a little tricky, but I will give it a try… Let’s assume Johnny eats about 30 ounces of breastmilk a day. (BTW, that is about the maximum all babies SHOULD take in a day by the time they are 3-4 months – breast or bottle). Now you go to work and you pump your little heart out every chance you get and you make about 13-14 ounces (about average what most moms make in a 8-10 hour period at work). Now you go pick up your baby and the caregiver says, Johnny was really hungry today, he drank all his milk you sent- can you send more tomorrow? Ugh… okay so you pack up the 13 ounces you pumped from yesterday and throw in an “emergency” 4 ounces just in case. Now you go to work and pump about 13 ounces again and you pick up Johnny and the caregiver is all smiles cause today Johnny was happy as a clam – he ate ALL the milk you sent, including the emergency supply. (oh and also took a nice 3 hour nap) Besides being a real confidence buster, this can mess you all up. Now you go home that night and Johnny who usually eats voraciously at the breast the second you see each other, isn’t quite as interested as he usually is. He eats, wakes as usual in the night to eat, eats in the morning and goes off to day care again. The tally for the 24 hours? Well, Johnny ate his usual 30 ounces, 13 pumped, 4 from the freezer and 13 directly breastfeeding (when he usually takes 17 directly). So the breasts are really smart and they say, hmmmm, I guess Johnny is growing up and getting his food from somewhere else and I don’t have to make so much any more. Tomorrow your breasts make a little less. If you keep this up and your breasts will make less and less everyday. So what should you do?</li>
<li><span class="Apple-style-span" style="font-family: inherit;"><span class="Apple-style-span" style="font-size: small;">ONLY GIVE WHAT YOU PUMPED IN THE LAST 24 HOURS.</span><span class="Apple-style-span" style="font-size: small;"> Notice I said in the last 24 hours. Many moms make pumping and working possible because they pump at home too! No one said it had to all happen at work. Actually pumping at work is usually the worst place to pump given the lack of privacy, the pressure to produce and the time constraints. I’ve heard all kinds of solutions to this problem. One mom pumps on the train on the way to and from work. She said it is so noisy that no one has any idea what is going on under all those clothes, jackets etc. Another mom pumps in the car to and from work with a cigarette adapter for the pump. (This might not be legal?) I think finding a consistent time in the early morning, usually after nursing the baby at the breast and another short pumping session before you go to sleep are great times to add a few extra ounces to the supply for the next day. The more consistent the timing of your pumping , the better the results. Over a few days/weeks, your body will adjust and you will make more. A little fenugreek might help here.</span></span></li>
<li><span class="Apple-style-span" style="font-family: inherit;"><span class="Apple-style-span" style="font-size: small;">REVERSE SCHEDULE</span><span class="Apple-style-span" style="font-size: small;">. This is only for those of us hardy soles that don’t mind waking up at night – even when we need to go to work. Since most babies can go 6-10 hours without eating once they reach 3-4 months of age (meaning they can “sleep through the night”) why not flip their schedule? They could go most of the day without much to eat and do all their eating when they are with mommy. This works well in a baby that isn’t really sleeping through the night already cause they are already used to getting up a lot to eat. Some babies will actually do this on their own – much to their family’s distress!</span></span></li>
<li><span class="Apple-style-span" style="font-family: inherit;"><span class="Apple-style-span" style="font-size: small;">ONLY BREASTFEED WHEN YOU ARE TOGETHER.</span><span class="Apple-style-span" style="font-size: small;"> This survival tip goes back to lesson number uno – compromise. Some mothers make it all work by giving formula during the days, not pumping much at work and only breastfeeding directly when together with baby. This might look like: breastfeed before work and when baby goes to sleep in evening. As long as you transition to this schedule over a few days to weeks, your breasts will adapt easily. Remember that your boobs are really smart and so is your baby!</span></span></li>
<li><span class="Apple-style-span" style="font-family: inherit;"><span class="Apple-style-span" style="font-size: small;">GIVE IT A "WET RUN"</span><span class="Apple-style-span" style="font-size: small;">. Whatever you decide, you will have enough craziness on your first day back at work without having to worry about how much you are going to pump, whether your baby will take a bottle, how much he will drink in the bottle and of yeah, figuring out how to use the darn pump. I recommend a “wet run” for a few days before going back to work. Now some mommies want to squeeze out every last minute of breastfeeding, but in reality those first few days will go much better if you “pretend” you are at work while still at home. This means waking up at the time you will be waking, pumping, feeding etc. all like it will be with you at work. You WILL THANK me for this little tip. With all this practice for both mom and baby, you can go off to work with confidence. And with all that confidence - the milk will flow!</span></span></li>
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</div>The Boob Whispererhttp://www.blogger.com/profile/10172480369682543901noreply@blogger.com4tag:blogger.com,1999:blog-7059184793843298553.post-25722399390670341072010-08-31T17:22:00.005-04:002012-06-24T11:15:56.816-04:00The First Night Home<div style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">
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<span style="letter-spacing: 0px;"><span class="Apple-style-span" style="font-family: inherit;">Everything was just great in the hospital! Your little bundle of joy was so well behaved. Sitting all comfy, swaddled expertly by the nurse peacefully in the bassinet. How on earth did that nurse do that? Well...It really isn’t fair. They have it easy, your baby was well behaved because he was “stunned” from being born. You can only imagine what that journey is like! Just about the time she is waking up - BAM - you’re all alone your first night home at 3 am with a screaming, hungry baby. We have all been there. You can survive, I promise you.</span></span><br />
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<span style="font-family: inherit; letter-spacing: 0px;"><span style="letter-spacing: 0px;"> </span>Here are a few tips to keep in mind:</span></div>
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<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span style="font-family: inherit; letter-spacing: 0px;">Think about where your baby was just a few short days ago...tightly bound up inside your uterus, likely head down. It was dark - and LOUD, and warm and your movements constantly rocked him gently in the amniotic fluid. This was her home. Try to replicate this as best as you can and you will find your baby magically calmed. (I don’t suggest putting him back inside you however!)</span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span style="font-family: inherit; letter-spacing: 0px;">Skin-to-Skin: A breastfeeding mom’s best position. Take it all off, baby in diaper, you bare chested (save that nursing bra for work). Partners have a good chest for this also - even if it IS hairy! Place baby, lean back, close eyes, get rest. Heavenly.</span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span style="font-family: inherit; letter-spacing: 0px;">Your breastfeeding baby is just getting the hang of this feeding thing. Up until now, she got fed continuously through the umbilical cord. You are learning too! If you went home while you are still producing colostrum, remember colostrum is in small, concentrated amounts - your baby needs to eat VERY frequently to “get enough”. For some Moms and Babies this might even seem to be continuously. It isn’t that you “don’t have enough” it’s that your baby needs to eat frequently to get the small amounts each time.</span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span style="font-family: inherit; letter-spacing: 0px;">Babies don’t eat and pass out for 3 hours UNTIL you have a brisk breastmilk supply established. For some moms this can happen as soon as 40-48 hours after giving birth. For others this might be a long as 5 days. These babies might be really stressed out and thus will stress any parent no matter how patient they are. <b><a href="http://www.breastfeeding-md.com/">GET HELP!!</a></b> by a Lactation Consultant to help you both through this (hopefully brief) speed bump.</span></li>
<li style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><span style="font-family: inherit; letter-spacing: 0px;">An empty breast will fill back up again. A full breast will stop making more (IT’S FULL!) So, if you do supplement - DON’T FORGET YOUR BREASTS! They need to be emptied, even the colostrum. The more stimulation, the more milk you make. Pumping isn’t usually very effective in the colostrum stage, but hand expression is VERY effective. See this <a href="http://newborns.stanford.edu/Breastfeeding/HandExpression.html"><b>amazing video</b></a> to help you learn it. Go now and look at it, what the heck your up anyway...</span></li>
</ol>The Boob Whispererhttp://www.blogger.com/profile/10172480369682543901noreply@blogger.com0