New Beginings July 2010

8/6/2019 New Beginings July 2010

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Today

Choosing

Breastfeeding

Nourishmentof Love

Inant Sleep,Breasteeding andBed-Sharing

I s s u e 2 | J u L Y | 2 0 1 0

Whats New and Whats No

The NEW WomanlyArt o Breasteeding

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Issue 1 2010 | llli.orgToday

llli.orgvisitto accessbreastfeeding resourcesandinformation

Online magazine

NEW

Order or printed cop of

from magcod.com

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here!

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llli.org | 2010 Issue 1

Celebrating Mothers and Babies Around the World

TABLE OF CONTENTS

Today

Toda

[12]Mothers Stories

12 Worth th Strggl13 Liams Waning

14 Norishmnt o Lov

[15]Devoted Dads

Choosing Brastding

[16]Your Letters:

Lttrs Pag

[18]Kathleen Kendall-Tackett,

Ph.D., IBCLC

Shold Mothrs Avoid NighttimBrastding to Dcras Thir

Risk o Dprssion?

[20]Breastfeeding in the News

Th Crios Lactivist:

Brastding Crditd

with Prvnting War Rlatd Daths

[22]Book review

Slping with Yor Baby A Parnts

Gid to Coslping

[24]LLL News

GlobaLLL: LLLI Pr Conslor

Training in Malaysia

LLL Astria

Llli-nws

LLL Irland

[28]Whats Cooking

Khma Kot

[06][04]The Womanly Art

of Breastfeeding:

Whats New

and Whats Not

Inant Sleep,Breasteeding and

Bed-Sharing


4/32

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Celebrating Mothers and Babies Around the World

EDITORS LETTER


Issue 1 | 2010 | Volume 2 | Number 2 2010,

La Leche League International, Inc.

Managing Editor | Barbara Higham

Contributing Editors | Kathy Abbott, JohannaHorton, Barbara Mullins, Lesley Robinson

Revie Board | Barbara Emanuel, Gwen Gotsch,Carol Kolar, Kathleen WhitfeldArt Director | Ronnelito Larracas

Cover Photo | Inmagine.com

Advertising Manager | ReNata Bauder

web Development | Dave Davis, Shelly Stanley

Accptanc o paid advrtismnts dos not

constitt an LLLI ndorsmnt o th prodct

advrtisd. LLLI dos not rqir advrtisrs

to carry prodct liability insranc.

Mailing Lists:

LLLI somtims maks its mailing list o mmbrs

availabl to rptabl otsid grops. I yo prr

not to rciv ths mailings, notiy LLLI.

La Lch Lag Intrnational lly spports

th WHO (World Halth Organization) Intrnational

Cod o Markting o Brastmilk Sbstitts.

LLLI Board o Dirctors, (2009, 2010)

Breastfeeding Todayis published by La Leche League

International Inc., PO Box 4079, Schaumburg, IL.

60168-4079 USA. Telephone 847-519-7730

(9 AM to 5 PM Central Time). Visit our Web site at llli.org.

Canadian subscribers should contact LLL Canada at

PO Box 700, Winchester, ON K0C 2K0, Canada, or

go to www.lalecheleaguecanada.ca with any questions about

subscriptions.

Barbara Higham

Today

L A Le CH e Le AG ue I N T e RN AT I ON AL l l l i . o rg

Toda

The Womanly Art o BreasteedingLa Leche Leage believes women know best when it comes to mothering and oers accrate, sensiblereassring inormation that leaves yo to decide how to se it. The completely revised and pdated8th edition oThe Womanly Art of Breastfeeding has been reocsed and pdated or todays mothers.

Help s reach or goal o ptting this iconic book on the New York Times bestseller list by adding yopre-orders to those stacking p on or website.

The Womanly Art of Breastfeeding is the book no breasteeding mom shold be withot!

Sharing SleepWorldwide and throghot history, mothers have ond that breasteeding has been made easier atnight i they take their baby into bed and eed lying down. It is not at all nsal or both mother and

baby to sleep better this way. While I was happy with the arrangement o sleeping with my babies, itwas clear to me that it was seen as a problem by others becase theyd ask, Is he sleeping throghthe night yet? Well, no he wasnt, bt we were getting plenty o sleep and his nighttime eeds werenot distrbing s. Reactions were mixed, bt there was a common thread o disapproval. Some othermothers shared with me that they too slept with their babies. I sally got the impression that thiswas something they elt they shold not be doing, or even that it was a ailre on their part not to getheir babies to sleep alone. Any ears I had were overridden by the convenience o the arrangement. Ineeded my rest and simply coldnt contemplate getting ot o bed in the night to eed the baby!

Theres something very special and relaxing abot watching yor child all asleep next to yoyorhormones play a part here and those instinctive eelings that this is something good. Research nowpoints to the potential benefts derived rom parents and inants sleeping in close proximity. In thisisse oBreastfeeding Today, Helen Ball examines the isses o sharing sleep with a breasted inant.We link to an article in which Kathleen Kendall-Tackett asks whether mothers shold avoid nighttimebreasteeding to decrease their risk or postpartm depression. There is also a review o James

McKennas Sleeping with Your Baby.

I hope yo enjoy these articles stories, letters and news in this second isse oBreastfeeding Today.

Please share the link to Breastfeeding Todaywith other mothers and share YOuR stories, letters andphotos with Breastfeeding Today.

Sweet dreams!

Barbara Higham | [email protected] Higham is a La Lch Lag Ladr and LLL magazin ditor, who livs in th spa towno Ilkly, Wst Yorkshir in th north o england with Simon and thir childrn, Flix (12), edgar (8)and Amlia (4).

Coming in issue 3:

Long-Trm At-Brast Spplmnting or th Brastd Baby by Diana Wst,

BA, IBCLC and Dian Wissingr, MS, IBCLC


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Today

04

Issue 1 2010 | llli.org

Diane Wiessinger, Diana West and Teresa Pitman

Th vry rst Womanly Art of Breastfeeding was a

thin notbook o mimographd pags. Th 8th

dition is mch thickr, o cors, bt w thr

athorsDian Wissingr, Diana Wst and Tr

Pitmanwnt right back to that rst vrsion

or inspiration and gidanc. W wr srprisd

(althogh w sholdnt hav bn!) to s how

mch o th inormation that hlpd mothrs mo

than 40 yars ago still hld p today, with crrn

rsarch to spport what thir obsrvations and

harts told thm a hal cntry ago. Th Fondr

aith in mothrs and babis cam throgh on v

pag: thy knw that brastding workd and t

it wold provid a solid ondation or mothring

Accpting th challng o pdating and

modrnizing th book that was so ndamntal

to or prsonal mothring jornys was both

hmbling and intimidating. Th Womanly Art of

Breastfeeding is a blovd icon to so many popl

arond th world! Bt all thr o s ar dply

rootd in LLL philosophy, in or own livs and in

or LLL and prossional work. W drw rom this

to shap a book that w hopd wold prsnt th

LLL philosophy clarly and compllingly to a nw

gnration. This mant a mor accssibl, girlrin

to-girlrind ton, with lots o hmor and ral-li

ancdots.

Or ramwork or this dition was an LLL mtin

in a book. O cors, no two LLL mtings ar v

th sam, bt crtain thms, qstions and iss

tnd to rcr. W mad a point o addrssing tho

in th book. And todays mothrs ask mor dtail

qstions abot a widr varity o topics than v

bor. So yoll nd lots o nw inormationm

whys along with th howsas wll as xpand

sctions on many amiliar old topics. In vry

sction, w hop LLL philosophy shins throgh.

On o th biggst changs yoll notic is thatinormation has bn organizd in a nw way.

Jst lik th rst mting in or traditional Sris

Mtings, w bgin th book with a chaptr abo

how to prpar or brastding dring prgnanc

inclding how milk is mad and th importanc

o nstingprparing not th darling nrsry

bt th babys ral habitat o mothrs body and

a wlcoming attitd. Th nxt chaptr is abot

th importanc o bilding a spport ntwork o

rinds, amily, halth car prossionals and oth

commnity rsorcs.

TheWomanly Art of Breastfeeding

The Womanly Art of Breastfeeding

New 8th Edition


7/32

05

Sinc mdical intrvntions srronding birth

hav bcom incrasingly common and hav

casd incrasing brastding problms, th

inormation in or chaptr on how birth acts

brastding will hlp mothrs know thir

options and mak dcisions. Yoll mt em

(evryday Mothr) and hr son Ab (Avrag

Baby) and ollow thm throgh a normal birth.

Thr ar lots o tips or avoiding common

intrvntions and or daling with thir cts i

thy occr.

On o or nw bt vry old additions rlats

to th somtims-controvrsial qstion o

gtting th baby latchd on. early ditions

didnt talk mch abot this iss. Position jst

mant a comortabl position or th mothr.Latching was somthing th baby took car

o. Bt ovr th yars thr hav bn mor

and mor rls abot how to position and latch

th baby, and ovr th yars birth intrvntions

hav mad th babys rol hardr or him to

manag. This dition ocss on a babys natral

ability to nd and latch onto th brastno

rls, no on corrct way to do it, with lots o

hlp or spporting yor babys instincts whn

hs having trobl and listning to yor own

instincts.

Th nxt sction o th book is a collctiono ags and stags chaptrsa sqntial

arrangmnt that maks it asir or mothrs to

zro in on th isss thyr daling with at any

givn point. In ach chaptr, w prsnt not only

th answrs to common qstions that mothrs

might b having at a particlar tim, bt w also

dscrib th normal bhaviors and nds o a

brastd baby at that ag.

Th nxt sction addrsss th big qstions:

slp, solids, working, pmping and challnging

sitations. each o ths topics was addrssd

in th prvios ditions, bt wv xpanddth inormation gratly to incld th nwst

rsarch.

Som o th amiliar inormation coms in nw

orms. A sction at th back o th book is

mad p o taro shtsthats right, w

ncorag yo to rip pags ot i yo want to.

(Photocopying is an option too.) Ths ar

handy rrncs or tracking th babys diapr

otpt, larning to hand-xprss, or gntly

ltting grandparnts know what kind o hlp and

spport yo nd.

Mothrs looking or qick answrs or problms

wont hav to fip throgh th book. A chaptr

on tch spport provids asy-to-nd, to-

th-point, vidnc-basd inormation to solv

common brastding challngs. Th book is

thoroghly rrncd.

Throghot th book wv addd storis rom

mothrs who shar how thy incorporat LLL

philosophy into thir own amilis, in a varity o

circmstancs. Thr ar storis abot mothr-

baby slmbr partis; abot wanting, rom th

ag o two, to b abl to nrs a real baby;

abot rciving a rst fowr rom a chbby st;

abot ling linkd to all mothrs throgh all

tim; abot th dliciosnss o nrsing and a

story abot a trly modrn dilmmawhthror not to nrs an action gr namd Captain

Jack Sparrow. In act, vry tim w got anothr

whimsical or hart-toching story rom a mothr,

w wondrd again why w didnt jst trn all

th writing ovr to mothrs.

As yo may hav rad in or articl last month

(Breastfeeding Today2010 Iss 1; 6) abot th

procss o how w dvlopd this nw dition,

writing a nw Womanly Art of Breastfeeding was

an xprinc that tochd s dply and lt

s ling mor dply bondd than vr to or

brastding sistrhood. W trly hop that

yoll l th sam way whn yo rad it.

Diane wiessinger, MS, IBCLC, has been a La

Leche League Leader since 1985 and works as a

Lactation Consultant in private practice, in Ithaca,New York. She is the author o many articles about

breasteeding, as well as being a popu lar speaker.

Diane began her studies observing animal behavior

over 30 years ago. See her collection o Common

Sense Breasteeding handouts http://www.

normaled.com.

Diana west BA, IBCLC, is an LLL Leader and a

co-author with Dr. Elliot Hirsch o Breasteeding Ater

Breast and Nipple Procedures, with Lisa Marasco o

The Breasteeding Mothers Guide to Making More

Milk and au thor o the Clinicians BreasteedingTriage Tool and Dening Your Own Success:

Breasteeding Ater Breast Reduction Surgery. She

lives with her three sons and husband, B rad, in the

picturesque mountains o western New Jersey.

Teresa Pitman has been a La Leche League

Leader in Canada or 30 years, and is the mother o

our children and the grandmother o our. Shes the

author or co-author o 12 published books, including

two on breasteeding (with Dr. Jack Newman). Her

new grandson, Keagan, was born in November last

year (at home, like two o his three older siblings).He is the ourth child or Teresas daughter-in-law

Esmaralda, who is also an LLL Leader.

Whats New and Whats Not

The Womanly Art of Breastfeeding

T

hroughout the book

weve added stories

rom mothers who sharehow they incorporate La

Leche League philosophy

into their own amilies, in

a variety o circumstances.Featured#1intheJulyAugustIs

sueof

PregnancyMagazine!page

57.

TheWomanlyArt

ofBreastfeeding

Cch


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Proessor Helen Ball, Parent-Inant SleepLab, Department o Anthropology, Durham

University, UK

Good babies and sleepdevelopment

Is s/h a good baby? is a qstion

commonly posd to nw mothrs and

athrs in th arly days o parnthood.

Typically th nqirr wants to know

whthr th baby is contntd and

slps wll. Thos whos babis argood ar congratlatd. Thos whos

babis ar troblsom rciv sympathy

and tips on how to improv thir babys

slp habits. Th managmnt o inant

slp is on o th rst aras o parnting

in which nw mothrs and athrs ar

jdgd by othrs. It is not srprising thn

that inant slp isss ar a sorc o

anxity and rstration or many parnts.

Babis slp vry dirntly rom thir

parnts: thy dont slp xclsivly at

night; thy dont slp all night; thy all

aslp dirntly, hav shortr slp cycls

and xprinc mch mor ReM.

Slp is a dvlopmntal procss, and or

slp pattrns chang throghot or

litims. Babis slp pattrns matr

ovr th rst svral yars o li, and th

slp architctr o nwborns is vry

dirnt than that o adlts. Nwborns

slp or 20 or so hors a day, bt only or

23 hors at a tim. Dring th rst yar

ovrall slp dration alls to arond 15

hors, and th majority o slp bcoms

consolidatd dring night tim as circadian

rhythms dvlop.

Slp is composd o two main stats

known as ReM (Rapid ey Movmnt)

and non-ReM slp. A normal slp cycl

progrsss thogh phass o dp and lss

06

Helen Ball

Today Issue 1 2010 | llli.org

Infant Sleep, Breastfeeding

Babies sleep very dierently rom theirparents: they dont sleep exclusivelyat night; they dont sleep al l night; theyal l as leep dierently, have shorter sleepcycles and experience much more REM.

Photo:veer.com


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dp non-ReM slp to ReM slp (also calld

activ slp) and back again. In adlts thiscycl taks arond 90 mints; in nwborns

it is shortr, arond 60 mints. In non-

ReM slp highr ordr brain nctions (th

thinking parts o or brain) sht down, whil

in ReM slp th brain is activly procssing

inormation acqird dring waking hors.

Adlts typically drop qickly into non-ReM

slp whn w all aslp, or initial slp

cycls comprising mostly dp slp with littl

ReM. As th night progrsss ReM slp bgins

to tak ovr, with most ReM occrring towardsth morning. Th adlt pattrn o 1520%

o slp tim bing comprisd o ReM is not

achivd ntil pbrty.

Babis brains grow rapidly throghot th

rst yar o li. Th procss o orming nral

connctions happns dring slp, and so ReM

slp dominats nwborn inant slp cycls.

From birth to thr months 4050% o a

babys slp tim is mad p o ReM, and whn

babis all aslp thy spnd 20 or so mints

in ReM bor dropping into non-ReM. Dring

ReM slp babis wak asily whil non-ReM is

otn thoght o as th foppy baby stag o

slp whn thy can b asily movd withot

waking.

Both pdiatric and poplar knowldg abot

babis slp matration and rglation is

basd pon stdis o ormla-d inants

slping alon.

Sttling is th trm sd to dscrib th

phas whn a baby bgins to all qickly into

dp slp, and to stay aslp or prolongd

priods o tim (typically rom 12 am to 5am).

Sttling has bn considrd a dsirabl

parnting goal or th past 50 yars. In th

lat 1950s slp rsarchrs rportd that

70% o th 160 babis thy stdid bgan

sttling by thr months o ag. Th thr-

month goal bcam nshrind in pdiatric

txtbooks and has com to rprsnt th ag

at which babis should b slping throgh th

night in th minds o Anglo-Amrican parntsand halth prossionals. In th uK inant night

waking is on o th most common rasons

or parnts conslting a halth prossional.

Howvr this milston or slping throgh

th night was stablishd whn brastding

rats wr at thir lowst, and solitary inant

slp was th norm.1

Sttling cannot b isolatd rom othr aspcts

o inant dvlopmnt. It is now clar that not

only do inants bgin to sttl at dirnt ags,

thr ar big dirncs in sttling bhaviorbtwn brastd inants and thos who

ar d cows milk ormla. Svral rsarch

stdis hav now shown that brastding

is associatd with a latr onst o slping

throgh th night, and with mor rqnt

night waking, indicating that th stablishd

norms or inant slp do not apply to inants

who ar brastd. In act, in socitis whr all

babis ar brastd, sttling is an nknown

Todallli.org | 2010 Issue 1

07

Helen Ba

and Bed-Sharing

Photo:shutterstock

.com


10/32


08

Helen Ball

concpt and inant night-waking is

xpctd throghot th rst yar

o li and byond.

Breastfeeding and sleep

Th tnsion btwn parnts

dsirs, that thir babis slp

habits shold match thir own

as arly as possibl, and th

physiological charactristics o

brastd inants to wak and

d rqntly throghot day

and night, is known to b an

impdimnt to brastding in

Wstrn socitis. Rsarch stdis

xploring barrirs to brastding

hav rportd that on issmntiond by parnts was thir

nd or a satisd baby that

slps throgh th night and dos

not d too rqntly. Parnts

otn sm nprpard to discovr

that brastd inants nd to d

rqntly dring th night, and

somtims intrprt this as a ailr

o brastmilk to satisy th baby

lading to arly waning.

Brastd babis do wak andd mor rqntly at night than

thos d articial ormla, and

this is th physiological norm or

hman inants. Nwborns hav tiny

stomachs (th siz o a chrry),

and brastmilk is qickly digstd.

Night-ding allows th baby to

obtain scint ntrition (p to

on third o daily caloris). Babis

gnrally dobl thir birth wight

by abot six months o ag, and

thir brains grow vry rapidly, both

o which rqir a larg intak o

caloris. As brastmilk is high in

sgar, it provids asily mobilizd

caloris or brain growth, bt it

is digstd in abot 90 mints.

Babis thror l hngry again

atr two to thr hors.

Whn mothrs commit to

brastding, slping in clos

proximity to th baby is on way

o making nighttim brastding

cint and minimizing parntal

slp disrption.

exprincd brastding

mothrs ar awar that minimizing

th disrption o nighttim

brastding is important in

sstaining th brastding

rlationship ovr many months.

On way to accomplish this is or

mothr and baby to slp togthr,

allowing th inant asy accss toth mothrs brasts, and casing

minimal slp distrbanc or th

mothr whn hr baby nds to

nrs. Nmros rsarch stdis

in th past dcad hav shown a

vry strong and clar rlationship

btwn brastding and bd-

sharing.1 Th rlationship is an

obvios onand many mothrs

rport that thy gnrally do not

notic ding thir babis in th

night. Obsrvations o slp-sharing brastding inants show

that thy nrs mor rqntly,

and or longr priods than

brastding inants who do not

slp nxt to thir mothrs, bt

nonthlss rotinly bd-sharing

mothrs obtain as mch or mor

slp as thos who slp apart

rom thir brastd babis.

Mothrs who discovr th as

with which thy can nrs at night

whn bd-sharing rport that thy

contin brastding or a mch

longr dration than thy woldhav don othrwis. Whil arond

50% o uK babis hav slpt with

thir parnts at som point by th

tim thy ar thr months old,

ovr 70% o brastd babis hav

don so, compard with a third o

babis who ar not brastd.

Concerns aboutbed-sharing

Th qstion o whthr or not to

bd-shar concrns many parnts.

On th on hand it acilitats

brastding, which is good or

both mothrs and babys halth.

On th othr hand parnts ar

arl o accidntal smothring

and Sddn Inant Dath Syndrom

(SIDS) whn th baby is in thir

bd. Th advic nw parnts

rciv abot bd-sharing canappar contradictory. Advocats

on both sids o th discssion

hav th intrsts o parnts and

babis at hart, bt th apparntly

compting mssags rslt in

consion and anxity, which is

not hlpd by mdia rports that

prsnt stdy rslts incorrctly or

ot o contxt.

Thr is no singl simpl mssag

abot bd-sharing that is

appropriat or all amilis and all

sitations. Parnts shold considr

th pros and cons or thir ownsitation in ordr to mak an

inormd choic.

Concrns rgarding SIDS and/

or accidntal dath hav ld som

athoritis (or xampl, coronrs

and pathologists) to labl parnt-

baby bd-sharing as a qstionabl

practic that shold b abandond

by parnts and discoragd

by halth prossionals. Ths

rcommndations acknowldg

littl or no val in mothr

inant slp contact, and do

not tak th bnts o bd-

sharing into accont. This viw is

rinorcd by th rslts o larg

poplation-basd stdis that

calclat th liklihood o SIDS

or accidntal inant daths, basd

on th charactristics o babis

who hav did compard with

matchd controls. According to

ths typs o stdy ptting a

baby down to slp in th pron(tmmy-down) position, placing a

baby to slp in a sparat room,

parntal smoking, and inant

had covring dring slp ar all

bhaviors that incrasd th r isk

o nxpctd inant dath. As a

consqnc, advic on rdcing

th risk o SIDS in th uK and

many othr nations mphasizs

th importanc o placing babis

on thir backs to slp, kping

babis in th parnts room or thrst six months, not smoking dring

prgnancy or in th vicinity o a

baby, and avoiding loos bdding

by mploying th t-to-oot

position in a cot/crib. Ths ar all

rlativly simpl mssags with littl

conficting vidnc.

When mothers commit tobreasteeding, sleeping in

close proximity to the baby is one wayo making nighttime breasteedingefcient and minimizing parentalsleep disruption.


11/32


09

Helen Ba

Toda

Th pictr is mch mor complicatd in th

cas o bd-sharing; th stimats o th risk

o SIDS or bd-sharing babis vary widly and

dpnd on th circmstancs ndr which bd-

sharing is practicd. Thy also dpnd on how

ach rsarch stdy dnd what bd-sharingntaild. Som stdis incld soa-sharingand

at last on incldd as bd-sharing daths

thos that occrrd atr an inant had bn

rtrnd to a cot/crib. Ths dirnt dnitions

man that w cannot simply accpt at ac val

th athors (or mdias) hadlin conclsions.

Data on SIDS-risk or bd-sharing babis in

england rang rom no incrasd risk or babis

who slp with non-smoking parnts to a 12-old

incras or inants sharing a soa or slp with

a parnt who smoks.2 Th most rcnt stdy

on bd-sharing and SIDS in th uK ond that

babis who did whil slping with a parnt wr

doing so in a hazardos nvironmnt, particlarly

on a soa, or with a parnt who had consmdalcohol or drgs.3 Th athors o this papr

not that simplistic advic to avoid bd-sharing

may actally cas harm, commnting Parnts

o yong inants nd to d thm dring

th night, somtims svral tims, and i w

dmonis th parnts bd w may b in dangr

o th soa bing chosn. A bttr approach may

b to warn parnts o th spcic circmstancs

that pt inants at risk.3

Non o th SIDS stdis pblishd so ar

provids data on th risk o SIDS or bd-sharingbabis by ding typ. until mor appropriat

data ar collctd it is impossibl to know

whthr brastdingrlatd bd-sharing

constitts a risk to babis. Howvr, it is

nlikly that any potntial risk wold b o grat

magnitd givn that brastding gnrally

rdcs th risk o SIDS compard to ormla-

ding according to svral stdis. On rcnt

systmatic rviw o all th pblishd stdis

considring th vidnc rlating to harms and

bnts o bd-sharing concldd that vidnc

on th bnts o bd-sharing to brastding

ar clar, whil th vidnc rgarding th risks is

ambigos.4

Avoiding dangerous situations

Th slp bhavior o brastding bd-

sharing mothrs and babis shows crtain ky

charactristics. Dyads who rglarly slp

togthr in ordr to brastd at night slp

in clos proximity, ac on anothr or most o

th night, and hav synchronizd slp cycls

(with som vidnc that mothrs slp cycls

rdc rom 90 to 60 mints to match thos othir inants). Brastding mothrs and babis

hav bn stdid slping in narrow hospital

bds, ll-siz bds in slp labs, and at hom

in bds ranging rom singl to king-siz. undr

all circmstancs mothrs slp on thir sid,

acing, and crld p arond thir baby. Babis,

positiond lvl with thir mothrs brasts,

slp in th spac cratd btwn hr arm

(positiond abov hr babys had, on or ndr

T

here is no single simple

message about bed-

sharing that is appropriate oral l amilies and al l situations.

Parents should consider the

pros and cons or their own

situation in order to make an

inormed choice.

Photo:shutterstock

.com


12/32


010

Helen Ball

th mothrs pillow) and hr kns

(drawn p ndr hr babys t).

Th consistncy across svral

stdis sggsts that this vry

distinctiv way o bd-sharingis an instinctiv bhavior on th

part o a brastding mothr

to protct hr baby dring slp.

Whn brastding mothrs slp

with thir babis in this way thy

constrct a spac in which th

baby can slp constraind by

thir mothrs body and protctd

rom potntially dangros

nvironmntal actors sch asdvts and pillows, or othr bd-

partnrs.4

Th crcial thing that parnts who

ar thinking o slping with thir

inant nd to rmmbr is that

risks vary according to WHO is

bd-sharing, WHeRe and HOW

thy ar doing it, and WHAT thy

hav bn doing bor slping

with thir baby.

Bd-sharing babis o brastding

mothrs appar, thn, to avoid th

prsmd hazards o slping in

adlt bds (or xampl socation,

ovrlaying, and ntrapmnt) d

to th prsnc and bhavior o

thir mothrs. Bt this may not b

th cas or babis who ar not

brastd. Whn w hav compard

amilis vidod slping at hom,

ormla-d inants wr gnrally

placd high in th bd, lvl with

thir parnts acs, and positiond

btwn or on top o thir parntspillows. In contrast, brastd

babis wr always positiond

fat on th mattrss, blow pillow

hight. Mothrs who did not

brastd spnt signicantly lss

tim acing thir baby than did

brastding mothr-baby pairs,

thy did not adopt th protctiv

slp position with th sam

consistncy, and thy xprincdlss slp synchrony. Fathrs slp

bhavior whil bd-sharing was

hgly variabl. Som athrs wr

vry in-tn with thir inants and

adoptd similar bd-sharing styls

to mothrs whil othrs trnd

away rom th mothr-baby dyad

and slpt oblivios to all noctrnal

intractions.

Th hormonal dback cycl

xprincd by brastdingmothrs promots clos contact

with, hightnd rsponsivnss

toward and bonding with inants in

a way that is absnt or diminishd

among mothrs who do not

brastd. Th implication or

bd-sharingthat brastding

mothrs and babis slp togthr

in signicantly dirnt ways than

do non-brastding mothrs and

babissggsts that tr cas-

control stdis o bd-sharing mst

tak ding typ into accont. It

is also important or brastdingmothrs to b awar that th

consmption o alcohol or drgs

(inclding crtain prscription and

ovr-th-contr mdications)

can svrly inhibit thir normal

rsponss and bhavior whn

slping with thir inants, and

shold always b avoidd.

The most important issues

to remember when sleeping

with your breasted baby

are:

Never sleep with your baby on

a soa or armchair/recliner.

Never sleep with your baby

ater drinking alcohol.

Never sleep with your baby

ater consuming (legal or illegal)

drugs or any medication (such

as nighttime cold remedies) that

aect your awareness during

sleep.

Be aware that bed-sharing

with a parent who smokes (or

a mother who smoked during

pregnancy) increases the risk o

SIDS.

Think about your bed and

bedding with inant saety in

mind (avoid gaps, sot suraces,

keep babies away rom pillows,

do not swaddle or over-wrap a

bed-sharing baby).

Make sure bed-partners are

aware the baby is in the bed,

and do not allow small children

to sleep next to a baby.

Where to find helpfulinformation

Parents need inormation

with which to make

inormed decisions, and

should weigh any potential

risks and benefts o bed-

sharing in light o their own

individual circumstances

(WHO, WHERE, HOW &

WHAT). Useul sources o

inormation include:

La Leche League GB

Inormation Sheet Safe Sleep

and the Breastfed Babywww.

lllgbbooks.co.uk/shopping/go_shopping/booklets_

and_inormation_sheets/

single_inormation_sheets/

sae_sleep_and_the_breasted_

baby_inormation_sheet/

UNICEF Baby Friendly Initiative

leafet Sharing a Bed With Your

Babywww.babyriendly.org.uk/

pds/sharingbedleafet.pd

National Childbirth Trust.

Position Statement: Co-sleeping and bed-sharing.

www.nct.org.uk/press-

oce/position-statements/

transitionparenthood

Royal College o Midwives.

Bed-sharing and Co-sleeping:

Position Statement No. 8. www.

rcm.org.uk/proessional/docs/

PS%208%20Bed%20sharing.doc

American Academy o

Breasteeding MedicineGuideline on Co-sleeping and

Breasteeding www.bmed.

org/Resources/Download.

aspx?lename=Protocol_6.pd

La Leche League International

http://www.llli.org/NB/NBsleep.

html

The crucial thing that parents whoare thinking o sleeping with their

inant need to remember is that risks varyaccording to WHO is bed-sharing, WHEREand HOW they are doing it, and WHATthey have been doing beore sleeping withtheir baby.


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011

Helen Ba

Toda

Reerences

1. Ball, H. & Klingaman, K. Breasteeding and

Mother-inant sleep proximity: implications or

inant care. Evolutionary Medicine and Health:

New Perspectives Eds. Trevathan, W., Smith, E.,

McKenna, J. New York: OUP, 2008.

2. Blair, P., Fleming, P. et al. Babies sleeping with

parents: case-control study o actors infuencing the

risk o the sudden inant dea th syndrome. British

Medical Journal 1999; 319: 14571461.

3. Blair P., Sidebotham, P. et al. Hazardous

cosleeping environments and risk actors amenable

to change: case-control study o SIDS in south west

England. British Medical Journal 2009; 339:b3666

doi: 10.1136/bmj.b3666.

4. Horsley T, Cliord, T. et al. Benets and harms

associated with the practice o bed sharing. Archives

o Pedatric and Adolescent Medicine 2007; 161:

237245.

Helen Ball is Proessor o Anthropology at Durham

University, where she is Director o the Pa rent-Inant

Sleep Lab and a Fellow o the Wolson Research

Institute. Together with her team o ten Postdoctoral

and PhD students Helen has been conducting studies

o parent-inant sleep in the lab, the community

and in local hospitals or the past 15 years. She

is a member o LLL Panel o Proessional Advisors,

the NCT Research Advisory Board and the Advisory

Board o Attachment Parenting EU. More inormation

about Helens research projects, publications, and

upcoming presentations can be ound at www.dur.

ac.uk/sleep.lab

Helen shared a linkto this cartoon aboutnighttime breastfeeding:

http://www.thoodofov.org/brastd-in-

yor-slp.htm

Nighttime Parenting: How to Get Your Baby

and Child to Sleep

Dr. William Sars rgs

parnts to hav condnc

in thir own intition and

b rsponsiv to thir

babis and yong childrn

at night.

http://stor.llli.org/pblic/prodct/92

Photo:shutterstock

.com


14/32


012

Mothers Stories

Natalie Dykstra, Ottawa, Ontario,

Canada

Whil prgnant, I compltd my

Mastrs dgr in biochmistry,

which ocsd in part on th

bnts o brastding. Nrsing

was somthing that I assmdwold com asily to m and my

thsis had st m p to bliv

it was th ky halth bnt I

cold or my daghtr in hr

inancy. Boy was I passionat! It

was so important to m that I told

vryon who wold listn; my

hsband vn told my midwi in

condnc that h hopd it wnt

wll or wd b in trobl.

I ralizd prtty qickly atr my

daghtrs birth that scinc only

gos so ar. W jst coldnt mak

it work. Lckily I had midwivs

who wr spportiv o dlaying

spplmntation and protctd my

right to wait. Thy gav m tim.

On o th many lactation

consltants w saw said that I

wold nvr b abl to nrs

withot a nippl shild bcas

o my fat nippls, and anothr

said that somthing btwn my

baby and m jst wasnt working.

Ndlss to say, I ndd p bying

and trying jst abot vrything

on th markt rom nippl shilds

to spplmntary drs. Atr

sring mastitis and brokn

skin I prchasd a high-grad

pmp with th intntion that not

brastding wold allow my body

to hal.

I pmpd xclsivly or thr

straight wks whil my body

sortd itsl ot. My hsband

wold d or daghtr th

xprssd milk in th arly hors o

th morning whil I crid, trying to

pmp mor to kp p. Ndlss to

say, it wasnt what I had xpctd.On top o this, all th consion

rom haring dirnt advic

was laving m with a ling o

hlplssnss.

Atr ight long wks o gadgts,

gizmos and brastding booksI lookd at my daghtr on day

and ralizd that all o this was

bcoming mor diclt. Sh

was lying right thr whil I was

dspratly trying to gt hr my

milk. Thats whn I ralizd that all

o th hlp had ovrcomplicatd

things and prhaps I ndd to

rtrn to basics and ocs on

th simpl things. I pickd p my

daghtr and broght hr to my

brast. At rst I broght hr in and

thn whippd hr away, scard o

th painanyon who has had

a baby damag hr nippl will

commisrat! With strngth and

lov, I smmond th corag to

bring hr to m rmly and to hold

hr with condnc. As soon as I

lt th slightst bit o pain, I took

hr o and startd again. I ndd

to ocs on th simpl stp o

gtting a good latch-on. W took

it on ding, on hor, thn on

day at a tim. My daghtr was

nrsing, and bor long I startd

to hal. Thats whn I ond my rs

La Lch Lag Grop and startd

gaining condnc in my ability to

gt throgh or problms.

Two things that random strangrs

had told m gav m th willpowr

to srviv or problms: I a

woman is dtrmind to giv hr

milk to hr baby, sh will nd a

way and Ys, yo may know what

yov rad, bt yo nd to givyor babyth tim to larn as

wll. eight wks, gls, crams,

antibiotics, pads, machins, and

contlss tary nights latr, w had

stablishd a nrsing rlationship.

Togthr my daghtr and I had

ond a way to brastd. Mayb

its bcas w had bn throgh

so mch togthr, or mayb its th

way hr ys wold roll in bliss as

sh nrsd, bt that tim w spnt

togthr was th most chrishdthat I can rmmbr.

Sh wand rcntly at 16 months

and, althogh I crid or thr

straight days abot it, ystrday

my thoghts shitd. I cam across

a sampl o ormla that Id bn

givn whil prgnant, and ralizd

that w nvr vn opnd it. From

a woman and hr baby who wr

acing big odds, w transormd

into a tam that nrsd rally wll

into toddlrhood. It is not with

sadnss bt with grat prid that

I can say my daghtr brastd

as long as sh wantd and nvr

consmd a singl drop o ormla.

It wasnt asy, bt whn I look back

and raliz that it was th singl

biggst accomplishmnt I hav

vr achivd, dosnt that mak it

worth th strggl?

Worth the Struggle

We took it oneeeding, one hour,then one day at a time.

Photo courtesy of Natalie Dykstra

Photo courtesy of Natalie Dykstra


15/32


013

Mothers Storie

Toda

Jovina Adams, Panama City, FL, USA

Bor I vn bcam prgnant, I knw I was

going to try my bst to brastd. I did a lot o

rading and rsarch abot it bor Liam was

born. I was prpard or th possibl challngs

and knw it wold b a lot o work. Lckily, or

s, it was prtty asy. I nvr xprincd any

ral problms. My goal was to nrs Liam or 12

months.

Wll, 12 months cam and wnt and h was still

nrsing v or six tims a day. I grd, why nd a

good thing? Thn a copl o months latr, Liam

wold nrs a littl lss and wold vn skip a w

sssions. I knw or nrsing days wr coming to

an nd. Thn on day, h wnt all night withot

nrsing. Althogh I somtims lt I cold s a

rst, in my hart I jst wasnt rady or Liam to

stop nrsing.

Amazingly Liam did jst n withot nrsing. I

crid or or days. Sinc I wasnt motionally

prpard to wan him, I lt as thogh I was

somhow lss o a mom now I was no longrnrsing my baby. I lt as thogh anyon cold

do my job now and that my baby had grown and

no longr ndd m. I lt as thogh I hadnt

said my goodby. Atr work on a Fridayhd

stoppd nrsing on a Tsdayh nrsd or

on last tim. I kissd his swt littl had and

strokd his arms as w had or last nrsing

momnts togthr. It was batil. Sinc that

day, w hav both movd on.

All th spcial mmoris ar in a spcial plac

in my hartnothing will vr rplac thm. Ilook orward to watching Liam grow. And I look

orward to bilding nw mmoris with him as

wll. I know that Liam will always nd m and

that no on will vr b to him what I am. That

was somthing I wasnt so convincd o whn I

rst wand him. A million thanks to La Lch

Lag or hlping m. I cannot wait to hav my

scond baby so I can do this all ovr again.

Liams Weaning

Photo: Jovina & Liam


16/32


014

Mothers Stories

Mara Jos Pinzn Guqueta, the Dominican

Republic

I was so agr or th arrival o my baby,

whos birth I can now say was a blssing.

This nw li xprinc has nabld m

to discovr acts o my own prsonality

that I cold nvr hav imagind. Th daily

norishmnt o this tiny prson who wold

transorm my li was now in my hands,

or rathr my breasts, which had ntil thn

bn ll o nothing bt potntial.

Today my Pablo Agsto has bn on

hndrd prcnt brastd or six months

and I nvr ail to b amazd: I mak

mor milk vry day. I nvr or a mint

considrd giving him ormla. I am crtain

that my condnc is what nabld m

to contin brastding himth

mind is powrl. W liv and njoy th

momnt withot worrying too mch abot

tomorrows dicltis. Tim passs too

qickly or that.

I look back and rmmbrbrastding

has takn commitmnt, ddication and

sacric. Now I ndrstand th divin

prction o it: a mothr maks th

qantity o milk that is rqird at ach

particlar stag by hr baby. Th innit

and indscribabl lov or my baby gav

m patinc. I hld him in my arms and to

my brast as mch as possibl so I cold

prodc th milk h ndd.

Pablo Agsto and I ar dvloping a

mtal ndrstanding, and Natr, on

th prtxt o kping him d, kps s

togthr, gtting to know ach othr,

obsrving ach othr, loving ach othr.

Dedicated to my son, Pablo Augusto Yermenos

Pinzn, my source of inspiration and

satisfaction.

Nourishment of Love

Photo courtesy of Mara Jos


17/32


015

Devoted Dad

Toda

George Hay, East Lothian, UKWhn my wi was prgnant with or rst

child and annoncd that sh was intnding

to brastd or baby I wasnt particlarly

srprisd. In act, I hadnt rally givn mch

thoght to how th baby shold b d, bt it

smd snsibl. Atr all, thats what brasts

ar or, and yo dont hav to b a gnis to

work ot that ormla is a vry poor sbstitt

or mothrs milk. How many adlts wold drink

powdrd milk i thr wr rsh milk in th

ridg? Rconstittd milk on yor cornfaks?

No, I dont ancy it ithr. So why shold babishav to? In th words o Johnny Gitar Watsons

70s nk classic, A Ral Mothr or Ya:

Theyre making milk out of powder

Theyve got the babies cryin

Poor babies, they dont know what that stuff is!

Th songs not rally abot brastding, or

mothrs. Its a gnral lamnt abot th way

socity is hading, and th radinss to giv

babis scond bst is jst on part o that.

Howvr, I liv in a contry whr its now

rgardd as normal and dsirabl or mothrs to

go back to work as soon as possiblas i raising

a child wr not important and valabl work.

Its mch mor diclt to sstain brastding

i yor wi/partnr is ot at work, bt it can b

don.

Whn or rst son was born, I stayd at hom

with him and my wi workd ll tim. Sh

xprssd milk so that I woldnt hav to giv him

ormla, and otn I wold tak him to mt hr

at lnchtim or a propr d. Howvr, it was

hard work or both o s, and or or sbsqnt

childrn w rvrtd to th mor

traditional arrangmnt: I wnt ot towork whil sh stayd at hom, vn

thogh that mant a signicant loss

o incom.

W now hav v childrn and

thy hav all bn lly brastd,

and by that I man xclsivly on

brastmilk ntil thy showd an

intrst in solids (sally by grabbing

ood o or plats). W lt thm

wan thmslvssally a short

comort d at bdtim was last togo at abot or yars old. Som o

yo might think that is a long tim to

brastd a child, bt thats how it

sd to b don, and still is in th so

calld Third World.

Givn th obvios and wll-

docmntd bnts o brastding

its diclt to s why it isnt mor

poplar hr. Howvr, th dcision

on whthr to brastd or not

isnt mad in isolationdads alsohav a say, and, in my xprinc, many appar

srprisingly rady to accpt ormla. Why is

that? Wll, I sspct that a lot o mn think that

thyll gt thir sx livs back mor qickly i th

baby is bottl-d and packd o to anothr

room as soon as possibl. It maks sns or

brastd babis to slp in th sam bd as

thir mothrthat way no on nds to gt p

in th middl o th night. Thats grat i yo

want a good nights slp, bt not i yo want

hot sx (and, bliv it or not, vn brastding

mms njoy som o that). Howvr, I rckon

th answr isnt to giv or babis a scond rat

milk sbstittits to or or partnrs th

hlp and spport thy nd (bt wont ask or,

bcas thy ar womn). Slking in ront o th

TV with a bottl o br isnt going to mak s

dads attractiv to tird and harassd partnrs.

Doing mor arond th hos and hlping ot

with childcar is. And doing a ll-tim job isnt

an xcs or bing a coch potato at hom. I

spnt thr yars as a ll-tim dad, and going

ot to work is ridiclosly asy in comparison.

Here are the benefits anddisadvantages as I see them:

Formlapoor sbstitt or brastmilk, dad ha

to tak trns at gtting p in th middl o th

night to prpar it, babys poo smlls bad.

Brastmilkidal ood or babis, no gtting ot

o bd rqird, babys poo is inonsiv, yor

partnr has srprisingly larg brasts.

Srly this cant b a diclt choic or anyon

who liks babis. Or brasts.

Choosing Breastfeeding

Ispent three years as a

ull-time dad, and going

out to work is ridiculously

easy in comparison.

Photo courtesy of George Hay


18/32

016

Your Letters


star letter!Biting BabiesOn o th qstions I har most otn rom

othr mothrs is Ar yo going to stop nrsing

whn yor baby gts tth? I smil, shak

my had, and rply, My son has ight tth

alrady. Otn th rspons is Wow! Wll th

rst tim my kid bits m I am dzon. I try to

inorm thm that, jst lik most things, biting

(i it happns at all) will pass. Bt many o my

rinds cannot wrap thir mind arond that ida

ntil thy rach this particlar point in thirown nrsing rlationships.

Atr my son bit m a w tims, I ralizd

vntally that I had bn mistaking his cs

and oring to nrs him whn h actally jst

wantd to do somthing ls instad. It was

a mothr on th orms at www.llli.org who

sggstd that this might b th rason h had

bittn m.

Allie van Gundy, Rathdrum, Idaho, USA

ResurcesThis inormative article rom the LLLI magazine or

parents, New Beginnings Mar/April 1999, 3639,

details reasons why a baby might bite as well as

strategies to avoid biting.

Mothers share their solutions to biting and latching

diculties in Toddler Tips New Beginnings Jul/

Aug 2001, 143145.

Happy Birthday LLL

Rcntly LLL Tyn & War, uK clbratd its

scond birthday. A big party was hld at a local

commnity cntr

that was attndd by

lots o mothrs, thir

babis, toddlrs and

partnrs. A n tim

was had by all and

thr wr lots o

toys, a boncy castl

and lots o ood, inclding som dlicios caks

and, o cors, lots o brastding!

Gillian Mabbitt, UK

Multi-taskingAs parnts w otn larn how to do svral

things at onc. Hr ar a copl o photos

to illstrat or mlti-tasking skills. How many

tasks can yo accomplish at th sam tim?

Wd lov to har rom yo! Snd yor lttrs

and photos to [email protected]

Papa, Amandine & Gavin courtesy of Charlotte Yonge, Paris, France.

Ellyn Hutchinson nursing Sabina while redecorating her hallwaycourtesy of Newcastle calendar copies available from

www.brastdinginnwcastl.blogspot.com

LLL is SpeciaLLL

I njoy bing a La Lch Lag Ladr

bcas this rally maks a dirnc to ot

womn and thir childrn. Bing a volnt

mans I can hlp anyon who calls m. Thr

is no worry abot whthr th mothrs hav

mony or insranc. It is priclss to har t

words, Thats th rst tim shs vr latch

on! Or, thats th rst tim it hasnt hrt!

I think vry woman shold hav accss to

brastding spport.

LLL vals th prsonal xprinc o

mothrs who hav brastd, and maks this

prrqisit or ladrship, which is somwh

niq. As a rgistrd nrs and lactation

consltant, I know vry wll that prsonal

xprinc is not a ncssary lmnt orproviding comptnt mdical or lactation

hlp. Bt I apprciat that LLL gos byond

th tchnical aspct, and lls a dirnt, mo

prsonal rol as wll.

Gina Kruml, RN, BSN, Sierra Vista, AZ, USA

Send your letters and photos

to [email protected]

A forthe

starletter!

Th star lttr or Iss 3, 2010,

will rciv th nw 8th dition o

The Womanly Art of Breastfeeding!

prize

Letters Page

Photo: Allie van Gundys baby


19/32


20/32


Should Mothers Avoid Nighttime

Breastfeeding to Decrease

Their Risk of Depression?Kathleen Kendall-Tackett, Ph.D., IBCLC

Brastding mothrs ar lss tird and gt mor

slp than thir ormla- or mixd-ding contrparts.

And this lowers thir risk or dprssion

018

Feature Article


21/32


019

Feature Article

Toda

using spplmntation as a coping stratgy or

minimizing slp loss can actally b dtrimntal

bcas o its impact on prolactin hormon

prodction and scrtion. Maintnanc o

brastding, as wll as dp rstorativ slp

stags, may b gratly compromisd or nw

mothrs who cop with inant dings by

spplmnting in an ort to gt mor slptim. Doan, T., Gardinr, A., Gay, C. L., & L, K.

A. Brastding incrass slp dration o nw

parnts.Journal of Perinatal & Neonatal Nursing

2007; 21(3), 200206.

Advising womn to avoid nighttim brastding

to lssn thir risk o dprssion is not mdically

sond. In act, i womn ollow this advic, it may

actally incras thir risk o dprssion.

Read the full article here:

http://www.ppityscincchick.com/nighttim_

brastding.pd

Kathleen Kendall-Tackett, Ph.D., IBCLC is

a health psychologist, board-certied lactation

consultant and La Leche League Leader. She is

clinical associate proessor o pediatrics at Texas

Tech University School o Medicine in Amarillo,

Texas. For more inormation, visit her Web

sites: www.UppityScienceChick.com and www.

BreasteedingMadeSimple.com

S a vido on Kathln Kndall-Tacktts

Depression in New MothersCauses, consequences,

and treatment alternatives 2nd dition: Rotldg,

2009 hr:

http://www.ontrmdia.com/shard?p=a45a

c867db516ca92c0d8&skin_id=601

My nthsiasm or th comprhnsiv contntand asy-to-rad styl o Dprssion in Nw

Mothrs lads m to rcommnd this book as

an important rsorc or vryon working

with prgnant and postpartm womn as wll as

th amily mmbrs actd by this condition.

Marian Tompson, Co-ondr, La Lch Lag

Intrnational.

Depression in

New Mothers is

availabl at

http://stor.llli.org/intrnal/

prodct/189

PhOtOsLa Leche League International is

seeking high quality digitalphotographs or use in various

media. I you would like to submit a

photo, please send us a digitalfle o your work.*

resOlutiOn: 300 (dp = do

p c) d size: 5w x 7

*Unless specifcally solicited by LLLI, photosare not purchased. I your photo is used,

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sd d f() o:

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One Year Includes- 10% savings on itemspurchased in the LLLIonline store

- Breastfeeding Today, ournew global online publicationwith breastfeeding research,

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The Curious Lactivist


020

Breastfeeding in the News


23/32


021

Breastfeeding in the New

Toda

Kathy Abbott, IBCLC, Boston, USA

Breastfeeding

Credited withPreventing WarRelated DeathsMak lov, not war was th chant shotd by

thos in th pac movmnt in th 1960s,

bt mayb th slogan shold hav bn Mak

mothrs milk, not war. Long bor any o s had

hard abot global warming, socitys biggstworry was th amont o damag bing casd

by wars. Th good nws is thos cris or pac

did not go nhdd. In a rmarkabl rport by

th School or Intrnational Stdis*, it appars

that th nmbr o daths dring tims o war

has bn rdcd signicantly in th last w

dcads. evn mor srprisingly, th worldwid

ort to ncorag womn to brastd was

sn to b on o th rasons or dclining

wartim mortality rats.

Th rst hal o th 20th cntry, marrd by twoll-scal world wars, th xplosion o two nclar

bombs, and a sris o cold wars scattrd

across th glob took a horrndos toll both

on thos contris immdiatly involvd and

on th mn and womn who participatd. Bt

dring wartim its not jst soldirs who sr.

Th collatral damag cratd by armd confict

taks a havy toll on a contrys inrastrctr.

Limitd accss to ood, clan watr and halth

car has consqncs ar byond th battlld.

Th innocnt bystandr srs as wll and, not

srprisingly, it is th yongst who sr most.

Not long ago 50% o th daths dring wartim

occrrd to thos ndr v yars old.

Todays wars ar dirnt. Battl lins ar no

longr drawn btwn nations; sprpowrs no

longr go had to had with ach othr as thy

onc did. Instad most conficts ar connd

within on nations bordrs. Today th battls ar

mor localizd. usally th strggl is btwn a

govrnmnt and poorly armd rbls who ar not

qippd with long-rang military capacity. Thr

is ar lss damag to th xisting inrastrctr

in othr mor pacl parts o th contry.

According to Th Shrinking Costs o War, a

Hman Scrity Rport, Th data indicat that

in th nw millnnim th avrag confict killd

90 prcnt wr popl ach yar than did thavrag confict in th 1950s.

Bt it is not jst th chang in th way wars ar

oght ths days that has mad th dirnc.

Today mch mor hmanitarian aid is bing

ord rom othr nations dring tims o

confict. W now spnd thr tims mor on

hlp or rgs than w did at th nd o th

cold war yars. Frthrmor dcads o orts

rom th unitd Nations and participating

organizations to improv halth conditions in

dvloping nations dring pac tims has ld to

astonding improvmnts in halth in many aras

o th world. Back in 1974 wr than 5% o

childrn worldwid had bn vaccinatd against

th six most prvntabl childhood disass,

disass that childrn ar particlarly vlnrabl

to dring tims o war: diphthria, masls,

prtssis, polio, ttans and tbrclosis. By

2006 that gr had risn to 75%. According to

th Hman Scrity Rport, By som stimats,

immnization alon has savd p to on million

livs a yar on avrag ovr th past two

dcads.

Th rport wnt on to crdit spcically orts

to incras brastding rats with th dcras

o childrn dying dring tims o confict. D to

orts by th uN and uNICeFs Rvoltion in

Child Srvival initiativ, which bgan in 1982,

brastding rats hav incrasd worldwid.

In sb-Saharan Arica xclsiv brastding

rats hav dobld. Brastmilk (th bst vaccin

o all!) provids protction against two major

killrs o inants dring wartim: diarrha and

act rspiratory inctions (ARIs) sch as

pnmonia. Babis lss than six months old who

ar not xclsivly brastd hav a svn-old

incrasd chanc o dying o diarrha. Likwis

th incrasd risk o dying o pnmonia is v

old. Th bottom lin is that childrn sr th

biggst impact dring t ims o war. And childrnwho ar halthy and wll norishd bor a war

bgins hav th gratst chanc o srvival.

Dspit all or trmndos mdical advancs

th rat o thos dying rom war-rlatd injris

has not shrnk in comparison to th nmbr

o livs savd throgh th prvntion o

common war-rlatd disass and conditions.

Bllts and minlds contin to b dadly.

Bt malntrition and diarrha, masls and

pnmonia nd not b th killrs thy onc

wr. On o th gratst lssons w hav

larnd in th last cntry is that it is still

asir to prvnt disas than it is to cr it. It

is ar asir (and lss costly) to avoid dath by

providing th basicsclan watr, halthy ood

and accss to minimm halth car, than it is to

sav a li throgh nw tchnology. Brastding

contins to b on o th most advancd

non-tchnological tools in or mdical srvival

kit. Brastding is still th simplst and most

ctiv way to protct or babis in tims o

pac and war, in tims o povrty and conomic

sccss, in tims o calamity and in tims o

tranqility. And, who knows, mayb on day it wilvn b rcognizd as playing a part in rdcing

global warming as wll!

* Hman Scrity Rport Projct at th School

or Intrnational Stdis. Th Shrinking Costs

o War. Hman Scrity Rport 2009, Part II,

2010: Simon Frasr univrsity.

http://www.hmanscrityrport.ino/indx.

php?option=com_contnt&task=viw&id=205

&Itmid=91

Kathy Abbott as The Curious Lactivist likes to

refect on the ways that breasteeding is presented

in the news media. As a private Lactation Consultant

and LLL Leader she is constantly learning rom

the women she works with and as the mother o

a smart, vivacious, totally awesome 13-year-old

daughter she is renewed in her aith that the next

generation will most certainly get it right!

www.TheCuriousLactivist.Wordpress.com

Children who arehealthy and wellnourished beore a war

begins have the greatest

chance o survival


24/32


022

Book Review

by James J McKenna, PhD

Review by Gwyneth Little, East

Lothian, UK

Dspit an annoyingly long and

nwildy titl and sbtitl on

th covr (s abov), Jams

McKnnas book on coslping is

a wondrlly asy, mothr-sizd

rad. Vry short, at jst ovr 100

pags, it can b pickd p at any

odd momnt as it is dividd into

sctions, ach only a w pags

long.

Th athor pracs his book with

a not on Why I Car So Mch

Abot This Sbjct, th contnts

o which rassr s, right rom th

start, that this is a book writtn no

by som rmot sl-proclaimdxprt, bt by a prson who,

whil having impccabl scintic

and rsarch crdntials, also

actally walks th walk by having

coslpt with his own childrn.

I lik th analogy h draws in his

prac btwn coslping and

ating: althogh it is known that

popl can and do di whil ating

(throgh choking), no on wold

dram o rcommnding thatw thror stop th normal,

common and instinctiv practic

o ating. Instad, w minimiz th

risks involvd. Coslping rqirs

a similar commonsns approach,

and that is what w nd in this

book.

Sleeping with Your Baby

A Parents Guide to CosleepingWhether you do it occasionally or every night, do it safely

Photo courtesy of Sacha Blackburne: Kim with her baby Kayden


25/32

023

Book Review


Th book propr starts by xplaining what

coslping isa rrnc to th many

dirnt ways babis slp in clos motional

and physical contact with thir parnts, sally

within arms rach. It is thror not ncssarily

synonymos with bd-sharing, althogh this

particlar orm o coslping is discssd atlngth in th book.

McKnna thn gos on to xplor th historical,

cltral, anthropologic and scintic aspcts o

coslping, and prsnts lists o th bnts o

this practic or both baby and mothr, as wll as

spcically or th managmnt o brastding.

H xplains th phass o slp and th rol

o slp in brain dvlopmnt, nthsing

abot how mch happns dring slp and

bdsharing, and pointing ot how mch babis

thror miss ot on i thy ar dprivd o this

xprinc.

At on point h pts orward th intriging

hypothsis that, sinc th avrag lngth o

tim btwn brastds or a bd-sharing

mothr and baby is abot an hor and a hal,

or qivalnt to th lngth o th hman slp

cycl, th ntritional nds o coslping and

brastding inants might actally b what

dictatd th avrag lngth o th adlt slp

cycl in th rst plac.

On th sbjct o SIDS, and th poplar

prcption o a link with coslping, h rondly

condmns th lazy scarmongring o th prss

and o what h rrs to as mdical parnting

scinc, and slly givs a brakdown o th

many indpndnt risk actors or SIDS that nd

to b considrd whn rading snsationalist

rports on daths casd by bdsharing.

Th prss, h points ot, maks no distinction

btwn th act o coslping and th conditions

in which it occrs. In act, as h rminds s,

ptting a baby to slp in a sparat room on itsown actally dobls th risk o SIDS. For babis

who do hav to slp or vn tak short naps

on thir own, h sggsts sing a baby monitor

in rvrs, to pip sonds and noiss rom th

activ part o th hos into th room whr

th baby is slping.

In a practical how to sction, McKnna strsss

that thr is no corrct or on-siz-ts-

all mthod o coslping. Nor will any amily

ncssarily always stick to th sam arrangmnt,

sinc coslping is a practic that volvs ovr

tim, and thr ar ndlss variations on th

thm. This mssag is slightly ndrmind by

th act that on on pag thr is an illstration

ntitld Th Propr Way to Coslp, with vry

spcic instrctions abot th bdding to bsd and a sktch o a amily o thr aslp on

a mattrss in th vry cntr o an othrwis

airly bar room. Howvr, to his crdit, McKnna

dos xplain prcisly why this is th idal

arrangmnt, bt not th only on, and givs a

vry wlcom rndown o th risks associatd

with othr arrangmnts and ways o minimizing

thm. By th way, th nmbr on risk o bd-

sharing is not socation, bt ntrapmnt o

th baby, or xampl btwn th bd and a wall,

btwn th bd and anothr objct or pic o

rnitr or in a hadboard or ootboard.

On thing I ond a littl consing is that

McKnna catgorically adviss against bd-

sharing (thogh, plas not, only against

bed-sharing, not othr orms o coslping, sch

as room-sharing) i thr ar othr childrn

who can or ar likly to climb into yor bd (a

sitation that is going to apply to vry manyo s, and crtainly applid to my own amily

ovr a priod o many yars), latr spciying in

mor dtail not to bd-shar i oldr siblings

who do not ndrstand th risks o socation

ar slping in th sam bd with inants lss

than on yar old. Howvr, whn discssing

twins, althogh h gnrally rcommnds not

bd-sharing, h dos not rl it ot altogthr,

providd that thr ar two rsponsibl adlts

prsnt, who ar both activ participants with

an intrst in monitoring th saty o on or

both twins. It is not clar to m why sch an

arrangmnt (two adlts, ach willing to tak

rsponsibility or on child) cold not also work

or two siblings o dirnt ags.

Howvr, ths minor qibbls apart, thisis a vry sl book i yo ar considring

coslping and want to sparat th myths rom

th acts, or i yo ar alrady happily coslping

bt wold lik to larn how to rspond to

crios, or vn downright critical, rinds, amily

and halth prossionals.

On th whol, this book, lik LLL, concntrats

on giving inormation, not advic (thogh

McKnna dos both rcommnd and advis

on svral occasions!), and spaks to parnts as

popl who ar vry capabl o making thir own

dcisions.

McKnnas ocial wbsit (at th Mothr-Baby

Bhavioral Slp Laboratory o th univrsity o

Notr Dam, Indiana, uSA) can b chckd ot

at www.nd.d/~jmcknn1/lab/

Availabl rom th llli stor http://stor.llli.org/

pblic/prodct/246

McKenna explores thehistorical, cultural,anthropologic and scientifcaspects o cosleeping andlists the benefts or babyand mother, as well asor the management obreasteeding.

Toda


26/32


024

LLL News

GlobaLLL

A look at what is happeningin LLL around the world

LLLI Peer CounselorTraining in Malaysia

Pushpa Panadam, LLL Leader Paraguay, LLLPCPA

training specialist

Whn a grop o IBCLCs got togthr in Malaysia

thy askd thmslvs how thy cold incras

th contrys brastding rats. To do this, thy

lt that thy ndd traind pr conslors to

rn mothr-to-mothr spport grops.

Thy lookd at varios pr conslor crricla

and wr intrstd in th La Lch Lag

program. Nor Kamariah o ssib.com maild

m and I pt hr in toch with Kathy Bakr, th

Training Administrator or th LLL Pr Conslor

Program (PCP). Soon th thr o s had

discssd th bnts o ac-to-ac training.

Th proposal thy mad to uNICeF Malaysia was

accptd and ld to a six-day training cors o

th LLL Pr Conslor Program Administrator

(PCPA) and LLL PCP.

NIntn womn, many o whom wr still nrsing

thir childrn, participatd activly, discovring

intrsting ways to rach womn and amilis in

th art o brastding spport. Thir plan is to

train pr conslors in dirnt rgions o th

contry.

As a Malaysian who has mad Paragay hr

hom or th past 16 yars, this has bn a vry

hmbling xprinc or m. Bing with ths

wondrl womn, who ar ll o nrgy, agr

to larn and shar xprincs with a vision or

Malaysia, mad m think o or LLL Fondrs.

Mor than 53 yars ago, thy saw a nd andtook a simpl action to spport and shar p-to-

dat inormation to hlp mothrs brastding.

Sch action is ar-raching.

La Leche Ligasterreich (LLL Austria)

LLL Astrias conrnc this yar taks plac

in edtho in ebn (Salzbrg) rom May 21st

to 23rd 2010. Onc again on or thr will

b many intrsting talks and workshops on

brastding and th work o brastding

spportrs. Th conrnc program will b

availabl on th hom pag , whr it will also

b possibl, or th rst tim, to rgistr or th

conrnc onlin.

LLL Ireland

At th Annal Conrnc on March, 17, Mik

Brady o Baby Milk Action gav a talk on Whats

yor milk worth? For th txt and PowrPoint

prsntation visit http://ino.babymilkaction.org/

nws/campaignblog070310

LLLI

In Fbrary LLLI lanchd llli-nws bringing

Ladrs pdats and inormation via mail rom

th LLLI oc.

Send notification of your countrys

LLL news, events and resources to

[email protected]

bOOks

Current bOOk sales

WatCh Our Pre-Orders

staCk uP!

New York TimesBest Seller

3800Pre-

Orders


27/32


025

LLL New

Toda

Whenmothersbecome

grand-mothers...Grandarnts

arund t wrld

nw av an onlinemagan and

wbst just r tm!

GRAND s rct r grandarntsw want t... Sar tr valus and wsdm wt t

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La Lc Lagu intrnatnal s a GRANDpartnrr Grandarnts TM. Subscrb tday wt scal cdLLpRA1 and GRAND wll dnat $2 t surtLLLis mssn buldng altr amls.

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28/32

Books will ship after July 13, 2010

PaPerbaCk

The Womanly ArtoBreasteeding

Pre-Order...NOW throgh J 18, 2010

NEw8th

Edition

Your order makes a difference be a part of history!

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30/32

028

Whats Cooking


Kheema KofteGood nutrition means eating a well-balancedand varied diet of foods in as close to theirnatural state as possible.

Eath Yasmin, Mumbai, India

Indias rich divrsity o cltr, langags and rligions is also dpictd in thcontrys divrsity o cisin. Thr is no singl standard or homognos Indiancisin, which varis according to th local prodc, livstock, cltral infncand rligios blis. Among many dirnt cisins, sch as Bngali, Goan,Gjarati, Kashmiri, Marathi, Pnjabi, Rajasthani and Soth Indian ood is Mghlaicisin, which coms rom th kitchns o th ancint Moghl emprors. Mghlaicisin is known or its richnss and th xotic s o spics, drid rit and nts.This cisin is rom th north o India.

Khma Kot ar qick to prpar and can b stord in th rzr or ovra month bor rying. I yo intnd to stor thm, do so atr stp 3. Highlyntritios, bing rich in protin, at, calcim, iron and B vitamins, ths Kot ara hot avorit or toddlrs and yong childrn.

*garbanzo bans, chick pas

DIReCTIONS:

Step 1: Grind all ingrdints togthr coarsly in a mixr or a ood procssor.Step 2: Mak small rond balls o th grond mat with spics.Step 3: Boil 1 larg glass o watr in a wok and slip in th mincd

mat balls. Boil ntil th watr has all gon.Step 4: Dp or shallow ry th Kot ntil goldn brown.

Step 5: Srv hot with chtny as a startr or with ric.

Effath Yasmin is mother to Zaara and an LLL Leader in Mumbai, India. In the virtual

Group La Leche League Pan-India, or mothers all around India, she helps keep Group

members in touch by regular emails. Any mother can join by clicking on the ollowing

link. http://groups.to/lllpanindia

Whats Cooking is edited by LLL LeaderLesley Robinson. She lives in Ottawa, Canadawith husband, Mark. Her three grownchildren have flown the nest.

Please send stories and photos to [email protected]

GIvEtheGIFToThe Womanly Art o Breasteeding!

neW 8th editiOn

Help a new mother and

baby get the best start

together by giving the gift

of The Womanly Art o

Breasteedingtoday and

be a part of LLLI history!

CliCk here tO

learn mOre!

INGReDIeNTS:

250 g mincd bonlss lamb

100 g split roastd Bngal gram*

2 mdim sizd onions

1 grn chili

1 dry rd chili

1 grn cardamom

1 Inch cinnamon stick

2 clovs

1 mdim sizd tomato

8 garlic pods

1 Inch gingr

1 bnch o coriandr

lavs salt to tast

Photo: shutterstock.com


31/32


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For information on the benefits of co-sleepingplease go to www.armsreach.com(800) 954-9353or (805) 278-2559

ARMS REACH CONCEPTS, I NC2004 Arm's ReachConc epts,Inc. ARM'S REACH,CO-SLEEPER,Mother&Child Logo and allo thertrademarks arestringently protected.Allrightsreserved.

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Baby sleeps snugly and safelyalongside adult bed

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32/32

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New Beginings July 2010