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Friday, 30 July 2010

Errrr.....

Don't know about you, but I found this whole news item more than a little confusing!

Nursing on-demand is one of the most important things a mother can do to ensure a good supply of milk for her baby during the early months of it's life.  It doesn't have to be a big deal, and many mothers are able to go about their business very well whilst keeping their baby close.  You might think that a body like the International Board of Lactation Consultant Examiners would understand this and go out of their way to be sympathetic to a breastfeeding mother. Apparently not.  Recently an italian pharmacist asked to be allowed to feed her three month old on demand during an IBCLC exam room and was refused permission to do so. 

This lady was told that she would be allowed leave the exam room to breastfeed, but the rules did not make provision for her to be allocated any additional time.  The upshot is that currently you can take the IBCLC exam as a nursing mother, but the time you will receive to complete the papers will be shorter than that enjoyed by a non-nursing person.  The allegation is that this amounts to discrimination against the nursing mother. 
Funnily enough, Dr Chiara Pozzi Perteghella did not think much of this, and took her to her blog to make the situation public. 
Matters seem to have been compounded somewhat when an email - which was not entirely complimentary towards Ms Pozzi Perteghella - was forwarded to her by mistake.

You couldn't make it up!

The world really is crazy mad......




Friday, 23 July 2010

Read it and weep...

For anyone who thinks that the formula industry have changed their behaviour and no longer advertise in a misleading and underhand fashion - take a look at this.

You might want to be sitting down - even I'm shocked....  :(

Who thought it was a good idea to put this in an exam paper?  Who twisted their arm?

What are we going to do about it?

Let's make sure the next generation are PROPERLY informed eh?

Breastfeeding 'Choices' Survey

Hi there - If you'd like to contribute to a survey looking into breastfeeding and the NHS (particularly the issue of support and how you think it can be improved!). 
Please click here.

Wednesday, 21 July 2010

Where did it all go wrong?

When I set up this blog and the facebook group, I invited women who did not breastfeed their babies to share their stories with me.  I received a huge number of carefully written, sometimes lengthy, and emotional stories.  Clearly the women who replied were often deeply unhappy about the way things had turned out for them and their babies.  They felt sadness, anger and regret.  Some felt a huge amount of guilt.  Motherhood these days seems to be a battleground of breast versus bottle.  Even though we all want to do the best by our children many mothers 'give up' due to exhaustion, lack of knowledge, poor support and sometimes even because of poor medical advice.  These mothers live with guilt and frequently feel 'judged' by other mums.  But what's really going on?  


Why do so many women find it so hard to breastfeed?.


A UK-wide infant feeding survey (a) undertaken in 2005 and published in 2007 found that 75% of babies had received formula milk by the time they were six weeks old. Less than half of those babies were receiving additional breastmilk. The rate of babies being exclusively breastfed at 6 months (the minimum recommended by the World Health Organisation) was something in the region of 1%. In England the ratio of mothers who initiated breastfeeding was just under 8/10. In Scotland it was 7/10, slightly less again in Wales, and in Northern Ireland only 6/10 mothers even began to breastfeed their babies.
These are shocking statistics, despite the fact that they show a very slight improvement on previous years.

How did we get into this situation?  Unsurprisingly the answer lies in our past.


Over the last two hundred years or so, our way of life in the Western World has changed beyond all recognition. Prior to the agricultural and industrial revolutions of the 18th and 19th centuries, the vast majority of people lived in small rural communities. They worked close to their homes, combining farming with other occupations. This type of existence necessitated the maintenance of extended family relationships, where the father might work very close by or be home at mealtimes, and where granny and granddad often lived nearby. People were relatively self-sufficient, farming their own foods or making their own clothes.  Most people didn’t travel very far during their lifetimes, and women had a valuable place in the social structure.


This type of lifestyle supported breastfeeding. When a new child was born a mother could expect support from her extended family and the community. If she became unwell she could rely on some assistance to look after her other children, and if she became so ill that she was unable to produce enough milk for her new child, then it would be given to another mother to feed as formula milk did not exist (*happily this option is increasingly available once again through the work of breast milk sharing organisations such as 'Human Milk for Human Babies').


Because babies were breastfed, the natural contraceptive effect of lactation helped families to space their children, and breastfeeding was normal.  Children grew up watching their mothers, aunts and sisters breastfeeding and learnt by example. They saw animals doing it, and the ‘facts of life’ were not things that needed to be taught in schools or antenatal classes.  Breastfeeding was so normal that it was commonplace to see women breastfeeding – even in church!  It was not something to be embarrassed about; it was just ‘what you did’.  Due to the nature of daily work, baby-wearing was not something only the ‘hippies’ did – it was commonplace and necessary!


Skip forward a few years and things look very different. Between 1800 and 1850 the population of England grew by something in the region of 9 million.
“In the late 18th and early 19th centuries, improvements in agricultural productivity, and therefore a more reliable food supply, enabled this growth in population…. An increasing birth rate may also have been an important factor contributing to population growth during this period, with increased agricultural productivity meaning that people could afford to marry earlier and begin having children at younger ages.” (b)
The seismic changes which came as a result of an agricultural and industrial revolution forced people into city-living. It also forced women to leave their homes in order to work in the new industries (in factories, mills, mines etc), and this meant that they were increasingly unable to breastfeed their children effectively.

For long years the aristocracy had employed wet-nurses to feed their babies. The primary role of these aristocratic women was to provide heirs, and although some exceptional women chose to breastfeed their babies themselves, they were discouraged from doing so.


Louise XIV and his wet-nurse (C17th)

The fashion amongst the aristocracy changed during the C18th and they elected to use more and more male-midwives and doctors when birthing their babies. It was generally assumed that their knowledge was superior to that of the wise-women and female midwives who had done the job for centuries. Those same doctors went on to advise their clients that it was:
‘no longer appropriate for women to breastfeed, especially since the first infant formula had already been invented in Europe by Baron Justus von Liebig in 1867. By 1869, Liebig’s concoction was being marketed in the US as an equal substitute to breastfeeding. Soon after, Nestle created his version of infant formula along with a creative marketing plan that said his milk was superior to breast milk.’ (c)


Nestle advertisement (1910)



Nestle advertisement (1935)
(This image brings to my mind thoughts of health and opulence which seem quite at odds with the notion of providing a milk substitute to save a child’s life…)

It wasn’t long, though, before concerns about the safety of this and the other formula milks began to surface. The method of production of early substitute milks was far from sanitary and its constitution was crude. Quickly making the link between formula feeding and an increase in rates of illness and death from diarrhoea/ gastroenteritis, doctors were quick to offer ‘personalised’ formulas for the children of the rich. Formula manufacturers soon began to seek-out the endorsements from the medical profession in order to retain credibility (*incredibly, this still happens today).


Baby feeding bottle (1911)

Quite a number of doctors were also concerned that a widely available commercial formula milk meant that women could source alternative sustenance for their child without resorting to (and paying for) medical supervision. Surely a mutually beneficial arrangement could be found?  Sadly, these days, you could be forgiven for thinking that things are no different.


Advertisement in the Journal for the American Medical Association (1912)

In 1911 Mead Johnson tested a new type of formula called ‘Dextri-Maltose’ in the baby ward at a New York hospital.  Such testing would never be allowed today, but shows just how much power the industry had within medical circles at the time.  From 1912 administration of this cutting-edge formula was restricted to doctors.


The formula was given medical endorsement and the doctors got plenty of business. In 1915 SMA (Synthetic Milk Adapted) was launched as a brand at a meeting of the American Paediatric Society. It had also been tested on babies in a different hospital in Cleveland, Ohio and advertisements instructed use under the care of a physician. Nestle followed suit with a prescription formula in 1924.

Now the ‘best’ formula was restricted to the well-heeled, just as wet nurses had been in the past. Many medics were concerned by this turn of events, but by this stage the advertising industry was in full flow and the tide of popular opinion had turned in favour of bottle over breast.


During the last century this shift from breast to bottle became ingrained in our culture. The practise of breastfeeding became more and more uncommon and breasts being used for the purpose of infant feeding became less visible. Although some publications voiced opposition to this shift
‘There is a growing disinclination among mothers to nourish their infants as nature intended’ (d)
formula milk was widely advertised in the press.

Recipes were published for home-made formula and a movement advocating scheduled feeding re-enforced the shift.  Milk was bulked up with bread crumbs, rusks, sugar, egg and barley water (d).

By the 1950’s huge quantities of formula milk were being given away free to hospitals and the practice of giving free samples to new mothers was commonplace.  It is possible that our grandmothers were fed bottled formula milk in the '20’s and '30’s. Our mothers would likely have received it in '40’s and '50’s. We ourselves are more than likely to have been given it as babies in the 70's and '80's and so, quite without thought, our generation has made the same choice for our children.

It is largely due to the work of the World Health Organisation and other leading Health bodies that we now understand the huge gulf between bottle and breast in every respect.  We now know that no science can replicate the protective and psychological benefits of feeding our babies our milk ourselves.  New reports about the risks of formula feeding seem to arrive every day.  However, what we know on a cerebral level is not translating into a cultural shift.


A new mother visiting home with her growth-spurting-constantly-feeding-and-fussing 3 week old baby will still be advised to ‘give that child a bottle’ by a well meaning relative. The relative simply doesn’t understand what is normal in a breastfed baby - it’s not something we see in daily life anymore and we have grown up watching adverts for formula on TV. 


What can I say?  I was that person.  I know better now. 


Until we can breastfeed openly, without embarrassment, and until our children can grow up seeing babies being breastfed; until we have responsible advertising and the myths surrounding sleeping and feeding patterns are dispelled; until doctors and health professionals make understanding breastfeeding a real priority and consider advocating stopping only as a last resort; until we re-learn the ‘womanly art of breastfeeding’, and our workplaces, families and partners support us in doing so; until women refuse to be denied their birth right and the birth right of their children any longer, we are all fighting a losing battle.

We need to demand our rights in the workplace and in the hospital, at the doctors and in the shopping centres. If we feel we haven’t received good advice and have not been supported we need to complain loudly about it.

We need to take infant feeding out of the hands of the pharmacists and the misogynistic multinational companies and put it back into the hands of the (wise) women.


It’s time we put 'breast versus' bottle to one side and concentrated on supporting each other to achieve our mothers, and our human, rights.



References:
(a) http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/infant-feeding-survey/infant-feeding-survey-2005
(b)  http://www.statistics.gov.uk/downloads/theme_compendia/fom2005/01_FOPM_Population.pdf
(c) Toni Hall Parker – ‘A historical look at the impact of infant formula on breastfeeding’ http://www.examiner.com/x-17146-Dallas-Womens-Health-Examiner~y2009m8d3-A-historical-look-at-the-impact-of-infant-formula-on-breastfeeding
(d) 'The Woman’s Book' Published T.C. & E.C. Jack, London, 1911

Additional Reading:
'The Weaker Vessel' - Antonia Fraser,  Published Methuen, 1983
'Breastfeeding Older Children' - Ann Sinnott, Published Free Association Press 2010
'The Politics of Breastfeeding' - Gabrielle Palmer, Published Pinter & Martin Ltd, 2009
http://www.schoolshistory.org.uk/IndustrialRevolution/womenandchildren.htm
http://en.wikipedia.org/wiki/Nuclear_family
http://en.wikipedia.org/wiki/British_Agricultural_Revolution

Sunday, 18 July 2010

It's all about the right support...




Every photograph in our gallery belongs to a woman with a breastfeeding story.  Sometimes mothers and their babies take to it like ducks to water, and sometimes there are problems.   When problems come along some women fight tooth and nail to get the right support and other mothers are too tired or embarassed to ask for help.  We are told it's natural and easy - and with the right support, it can be!  In our country though (the UK) breastfeeding support is patchy at best.  Midwives are not uniformly trained and are frequently overstretched. 

Very few peer support schemes exist within the NHS, even though they have been proven to increase breastfeeding rates elsewhere.  Some schemes do exist which are operated by other agencies (La Leche League Breastfeeding Network, National Childbirth Trust, Sure Start etc), but many brand-new mummies don't ever get to hear about them and volunteers frequently have to pay for their own training.  Sometimes in order to get specialist support a mother may think they have to pay for it...  


In the photographs which follow not all the mothers had an easy time of it. Some were able to overcome huge odds and successfully breastfeed.  Other mothers were determined to feed second or third time around, feeling that the loss to them of being able to breastfeed their earlier children was something they did not want to repeat.  

When I ask mothers who have stopped breastfeeding what they felt was missing, the answer is very often the same.  Not enough support

I will be adding stories from mothers who found themselves unable to feed their babies soon.  We can learn a lot from them! 

Giving mothers the impression that breastfeeding will be problem-free isn't helpful.  Many really want to breastfeed and are so shocked when a problem comes along that they immedately assume they 'cant do it'.  Problem-solving knowledge and expertise needs to be close at hand, and so often it's not.  A new mother's confidence is low anyway (they've just given birth!) and often they aren't as assertive as they might be in the rest of their lives.  A well-intentioned friend or family member might try to seek help for them, but all to often that 'help' comes in the form of - well - formula!   

If you have a breastfeeding story you'd like to share, please get in touch. 

Friday, 16 July 2010

Facebook Fansite!

Hi everyone.
With so many people joining the campaign I am running the risk of having the page deleted due to too many friends...!
Apparently I should have set it up as a 'non-profit business' instead - DOH!
Please could you all 'like' the new page and join me there instead?  We can disucuss ideas and thoughts o the discussion page and it will ultimately work much better.  Please share with your friends and I'm REALLY sorry about the change... :(


Tuesday, 13 July 2010

Virtual Insanity!


New mothers rarely look their best. Birth is a big deal even when it goes well and exhaustion comes as standard.  In the early days it's hard for a new mum to find the time for a shower and even harder for her to leave the house.   She often finds herself stranded on the sofa with a hungry baby and a remote control a long way from looking (or feeling) her best. 

Every woman cares about her appearance to a lesser or greater degree.  Some of us are comfortable not to wear much make-up and to do the school run in our tracksuit bottoms, whilst others spend a long time in front of the mirror before simply nipping out to the shops.  Some people feel naked without their lippy/ eyeliner/ mascara whilst others only bother with these things on special occasions.
How many new mums do you know who's first outing was to the hairdressers?
How many new mums do you hear complaining about their jelly belly or stretchmarks? 
The answer is - most of them.  How many will tell you they're desperate to start losing their baby weight and get back in their jeans even before they've had their six-week check?  Lots - it's almost like a competition.



We live in a 'virtual' world.
 
I don't just mean the internet and online 'social networking' either - it goes much deeper than that. 
Whenever we turn on the tv/ internet how often to do we stop to think about the 'reality' of what we're seeing?  The majority of presenters and actresses we see these days have had their appearances significantly altered in some way.  'Glamour' isn't just the preserve of Hollywood anymore - it's not just in the movies, it's in the ads, dramas, daily 'magazine' shows and even in the news. 
The women you see on the screen are using fake tan, teeth whitening and dental veneers, hair dye, expertly applied make-up, nail extensions, weaves and hair extensions, waxes, threading, push-up bras, 'magic' knickers, stylists, clever camera angles and expert lighting.  

Some of them have their meals cooked to a diet plan and delivered to their homes, and many more see personal trainers on a regular basis.  Then, consider that many of them will also have had cosmetic surgery - liposuction, breast implants, a nip here and a tuck there, nose jobs, brow lifts, injections to plump and fillers to smoothe, botox - the list could go on and on!
The truth is out there, but it's rarely to be found on the box, or in the airbrushed pages of a magazine.  The truth isn't found outside your front door either

Every person you see in the street has taken steps to alter their appearance.  It might be a haircut or a higher heel, or it might be considerably more than that.  Half the time you won't know whether that girl with the lovely long hair you saw in Sainsburys was wearing a clip-in weave or not.  You can't tell if another woman is wearing chicken fillets in her bra or if her lovely figure is the result of existing on nothing but cabbage soup for six weeks.  That friend who says she eats chocolate every night might be hiding an eating disorder for all you know.

No – the truth is usually only found when we're alone in front of a mirror.  That's when we see (if we can actually bring ourselves to look) a real body, and it's ours.  For new mums it's an even more daunting prospect, as for most women pregnancy and labour leave real emotional and physical scars.

Even when we haven't just come through pregnancy and labour we hide our true selves from the rest of the world.  We are careful that no-one else sees our grey hairs, we cover-up our stretch marks and our spots, we hide our cellulite and pluck out any stray hairs.  We buy the push-up bras and 'Trinny' pants.  We use the spray tan and the make-up.  We wax and de-fuzz, we light candles so our partners can overlook our imperfections (imperfections that most men probably couldn't give a fig about).  We aspire to be like the women on the tv and in the magazines.


Are we even truly honest with ourselves about our bodies?


In the early days after having a baby - living as we do in this virtual world - it is easy to understand why some new mothers struggle with the idea of breastfeeding.  In an informal online survey I conducted with 65 respondents, 7 said they had chosen not to breastfeed because they were concerned it would damage their figures.  That's more than 10%.  It's easy to criticise these women and call them vain, but that's really too easy.  There's something else going on and it's just as big a deal as those misleading formula ads.


We have forgotten what it is to be human.  Somewhere along the way we have convinced ourselves that we're more than mammals, more than animals.  We don't seem to want to face the fact that however evolved we may be, we are still mammals
The preoccupation with 'keeping up appearances' has infiltrated our lives to the extent that we hide our bodies away and conceal one of it's most important functions – that of feeding our young.

For fear of revealing a stretch mark or a nipple some of us would rather hide shamefacedly away or spend hours expressing milk to give in a bottle.  No wonder people give up feeding.
Added to the initial difficulties which face many new breastfeeding mothers there is also the fact that our society still seems to consider breastfeeding unseemly.  Many people even consider it 'weird' to breastfeed a child older than 12 months.  We doubt our body's ability to feed so much that we'll give formula 'top ups'.  We'll be persuaded by the advertising industry (and even some health professionals) that formula feeding is somehow better for our babies than our own milk.  Worse still - some mothers won't even try to feed their babies their own milk for fear of damaging their figures.  Something has gone seriously wrong and we need to reclaim our humanity and be honest about who we are.

We need a reality check.

Saturday, 10 July 2010

‘Do you have any wine in the house?’


My daughter suffered from severe silent reflux for the first 10 months of her life. She would arch away from my breast, she’d scream and claw at me as I tried to feed her.


I began to question whether my child hated breastfeeding, and I could see some of those around me wondering the same thing.  However, my gut feeling was that she was struggling to feed because of pain, and I felt that until we got the right medical help any feeding method would most likely provoke the same reaction. My instinct was to keep her at the breast, so we struggled on. One desperate night my husband called (yet another) breastfeeding counsellor and passed the phone to me. After listening to me witter on incoherently for several minutes she asked very calmly: ‘do you have any wine in the house?’.

We did, and my husband poured me a glass.

Call social services.

Indirectly, the counsellor was asking me to ‘chill’.  She realised that this panicky first-timer needed to take a step back.  She knew I was struggling to cope and needed a drink!  The upshot of it all was that I did as I was told. Having a little time out (and a glass of wine) helped me recharge enough to fight on until we eventually got the right medication for my daughter. Together my daughter and I discovered the joys a 'normal' nursing relationship can bring for the first time.

How many breastfeeding mums do you know who drink alcohol?


How many breastfeeding mums do you know who drink alcohol to excess?

It is often said that common sense is not very common. The myth persists that you cannot drink and breastfeed. It’s even in the popular press.  So what is the truth?

This quote is taken from kellymom.com:
“In general, if you are sober enough to drive, you are sober enough to breastfeed. Less than 2% of the alcohol consumed by the mother reaches her blood and milk. Alcohol peaks in mom's blood and milk approximately 1/2-1 hour after drinking (but there is considerable variation from person to person, depending upon how much food was eaten in the same time period, mom's body weight and percentage of body fat, etc.). Alcohol…. leaves the milk as it leaves the blood; so when your blood alcohol levels are back down, so are your milk alcohol levels.

“Always keep in mind the baby's age when considering the effect of alcohol. A newborn has a very immature liver, so minute amounts of alcohol would be more of a burden. Up until around 3 months of age, infants detoxify alcohol at around half the rate of an adult. An older baby or toddler can metabolize the alcohol more quickly.”

In general, one unit (1/2 pint beer/ small glass of wine) of alcohol takes approximately one hour to be metabolised and leave the body.

You can have a glass of wine, you just can’t have the whole bottle.

How does drinking alcohol affect a breastfeeding mother and her baby?

Medications and Mothers Milk: A Manual of Lactational Pharmacology (Medications and Mother's Milk)It seems to depend on how much you drink as well as what you drink. Beer, rather than pure alcohol has been "reported in a number of studies to stimulate prolactin levels and breastmilk production"
(Thomas W. Hale, R.Ph. Ph.D., member of the LLLI Health Advisory Council, in his book Medications and Mothers' Milk)

Because this effect is not observed with other alcoholic drinks, it is presumed that "the polysaccharide from barley may be the prolactin-stimulating component of beer. Non-alcoholic beer is equally effective".  

However – we also need to consider the other effects of alcohol on breastfeeding. Breastfeeding children seem to feed more frequently after their mother has a drink, but they consume less milk. Excessive (abusive) alcohol intake can inhibit the nursing mum’s milk-ejection reflex (the ‘let-down’).

In addition, mothers who abuse alcohol may not feed their babies as often and this can result in poor weight gain or a sleepy baby.

So what does all this mean for those of us who like a drink but don’t abuse the privilege?

Dr Jack Newman is a member of the La Leche League International’s Health Advisory Council. In section 5 of this article he deals with the issue of breastfeeding and alcohol.

"Reasonable alcohol intake should not be discouraged at all. As is the case with most drugs, very little alcohol comes out in the milk. The mother can take some alcohol and continue breastfeeding as she normally does. Prohibiting alcohol is another way we make life unnecessarily restrictive for nursing mothers."
Dr Newman is a very wise man ;-)

Like everything else in life, the issue of how much alcohol you drink (whether breastfeeding or not) is about weighing the risks against the benefits.


Milkscreen Home Test to Detect Alcohol in Breast Milk, 3 PackIf you want to have more than one or two drinks in an evening, you can consider expressing your milk in advance to avoid any possibility of your baby ingesting alcohol through your milk. You can time your drinking so that any alcohol will be out of your system before you nurse again. This is harder with very young babies but a doddle when they’re older.  The truly saintly amongst us can even buy little ‘test strips’ which will tell you if there’s alcohol traces in your milk.
More information about ‘pumping and dumping’ is here.
Even the celebs are doing it these days!

I wonder how many new mothers in the first couple of months of their baby's life honestly have the inclination or energy to drink a lot anyway? I know I didn’t! Wondering about whether I should drink alcohol or not just didn’t happen. I followed my instinct, in the same way I did when my daughter was struggling with her silent reflux.

To quote another wise woman I’ve met on my mothering journey:


“I’d rather have a bottle in front of me than a frontal lobotomy.”

Friday, 9 July 2010

Facebook Page

You can now be a fan of the project on Facebook.
All new blog posts will appear automatically!
Click on the button below and let's make friends :-)

Saggy Boobs and other Breastfeeding myths


Those of you interested in what we're trying to do with this project might also be interested to read the following book (if you haven't already!).




The aim of the book is to help convince mothers-to-be of the truth about breastfeeding and to separate fact from fiction.  Sound familiar?
You can buy the book from the publisher by clicking here.
It's wonderfully illustrated and can also be borrowed free of charge from many La Leche League libraries.

I am getting new photos every day and will be uploading some more soon.  In the meantime, keep spreading the word!  The more pictures we get up, the more impact our efforts will have.  Anonymity is assurred and you can email your photos to me at bcboobies@hotmail.co.uk
You can also follow our tweets by clicking on the 'follow' button on the RHS of this blog.

Thanks for all your support sofar!

xo



Thursday, 8 July 2010

Campaign now featured at www.Lactivist.net

Hi.

I'm delighted to say that www.lactivist.net are now allowing us webspace to promote the campaign and gain further volunteers!
To take a look at the page, click here.

I'd like to say a huge thank-you to Lisa for helping me get things off the ground and especially thank-you to all the ladies who have sent pictures sofar.  Not only do you all look wonderful, but the photographs have been so tasteful and of such good quality!

xo