By Rebecca Kubenk IBCLC
Here's one I remember from breastfeeding my first born baby:
remember...... when breastfeeding.....
chest to chest
chin to breast
when in doubt..... flop it out .......
By: Rebecca Kubenk IBCLC
Babies who eat rice cereal have an increased risk of Type one Diabetes.
Rice cereal increases a baby’s insulin levels
White rice cereal contains 94% starch.
Brown rice cereal contains 75% starch.
If you take away the iron in the cereal it’s just starch.
Rice cereal contains 5 times the amount of arsenic than oatmeal.
Rice and rice products contain Arsenic, which is a known poison and Group 1 carcinogen and can set children up for health problems later in life.
Vitamins & fortified iron which have been added to processed baby cereals can be obtained from natural sources by offering fruits and vegetables.
Fruits and vegetables as a first food provides a range of nutritional benefits both in the short and longer term
Several decades ago, baby food manufacturing companies began producing rice cereal for infants, due to the initial lack of iron in artificially manufactured baby milks. There was also little known information about the effects of offering these cereals to an infant, and many parents began offering rice cereal from a very early age, which has now been found to be detrimental to their child’s health.
Offering rice cereal before 6 months of age, will be replacing the
baby’s much needed nutrient dense calories found in breastmilk.
Reference: Early Infant Feeding and Risk of Developing Type 1 Diabetes–Associated Autoantibodies, JAMA October 2003
Further information can also be found here :
What is oligohydramnios?
Oligohydramnios means low fluid inside the amniotic sac.
(oligo = little, hydr = water, amnios = membrane around the fetus, or amniotic sac).
It is standard of care in the to induce women with isolated oligohydramnios at term.
What is amniotic fluid, and what does it do?
During pregnancy, the baby is surrounded by a liquid called amniotic fluid. Amniotic fluid helps protect the baby from trauma to the mother’s abdomen. Amniotic fluid cushions the umbilical cord, protects the baby from infection, and provides fluid, space, nutrients, and hormones to help the baby grow (Brace 1997).
During the second half of pregnancy, amniotic fluid is made up of the baby’s urine and lung secretions. This liquid originally came from the mother, and then flowed through the placenta, to the baby, and out through the baby’s bladder and lungs (Brace 1997).
This same amniotic fluid is then swallowed by the baby and re-absorbed by the lining of the placenta. Because the mother’s fluid levels are the original source of amniotic fluid, changes in the mother’s fluid status can result in changes in the amount of amniotic fluid. Amniotic fluid levels increase until the mother reaches about 34-36 weeks, and then levels gradually decline until birth (Brace 1997).
What can cause low amniotic fluid at term?
Both mother and baby factors can contribute to low amniotic fluid at term.
If the mother is dehydrated, this may lower the amniotic fluid levels. (Patrelli, Gizzo et al. 2012)
Women are more likely to be diagnosed with low amniotic fluid levels during the summer, possibly because of dehydration. (Feldman, Friger et al. 2009)
If a woman with low amniotic fluid levels at term drinks at least 2.5L of fluid per day, she increases the likelihood that her amniotic fluid levels will be back up to normal by the time of the birth. (Patrelli, Gizzo et al. 2012)
If the mother rests on her left side before or during the fluid measurement, this can increase amniotic fluid levels. (Ulker, Temur et al. 2012)
If the mother’s water has broken (membranes ruptured), this will lead to a decrease in amniotic fluid. (Brace 1997)
If the mother’s placenta is not acting sufficiently anymore, this may lead to a decrease in amniotic fluid. When this happens, it may be because the mother has a serious condition such as pre-eclampsia or intrauterine growth restriction. (Beloosesky and Ross 2012)
If the baby has a problem with the urinary tract or kidneys, this may decrease the flow of urine. (Brace 1997)
In the 14 days before the start of spontaneous labour, the baby’s urine output starts to decrease. (Stigter, Mulder et al. 2011)
As the baby gets closer to term, the baby swallows more amniotic fluid, thus leading to a decline in fluid levels. (Brace 1997)
If the baby is post-term (after 42 weeks), he or she begins to swallow significantly more fluid, contributing to a decline in amniotic fluid. (Brace 1997)
If the baby has a birth defect, he or she may swallow significantly more fluid, leading to low amniotic fluid levels. (Beloosesky and Ross 2012)
Reference: Science and Sensibility - August 2012
See more from http://www.scienceandsensibility.org/?p=5294
By: Rebecca Kubenk IBCLC
The prevalence of overweight and obesity in Australia has been increasing significantly over the last two decades.
Data from the 2004–2005 National Health Survey indicate that nearly half of all Australian adults (based on self-reported height and weight) were overweight or obese in 2004– 2005: around 7.4 million adults were overweight or obese (over 1/3 of these were obese)
3 in 10 Australian children and adolescents were overweight or Obese
BMI > 18-25 is classified as normal body weight
BMI > 25-30 is classified as overweight
BMI > 30 is classified as obese
How can breastfeeding help
Studies suggest that breastfeeding helps to "programme" children not to be obese.
Obesity while in childhood is known to be a risk factor for developing cardiovascular disease in later life.
For every month of breastfeeding up to nine months will reduce the risk of obesity among children by 4%. The persistence in breastfeeding has significant health benefits for your child and is well worth the effort.
Artificial baby milk (ABM) has increased levels of protein which may stimulate the production of insulin in an unhealthy way.
ABM also increases the concentration of insulin in their blood and prolongs insulin response. Human milk also helps the baby develop the biological response to regulate metabolism, important in regulating weight gain over the years.
Breastfed infants learn to control the amount of human milk and calories they consume better than ABM fed infants, who are often forced to continue feeding and finish a bottle after they are satisfied.
Energy-dense ABM may stimulate the endocrine system to secrete more insulin and growth factor than human milk does, which leads to increased rates of body fat in ABM fed babies (Hediger et al. 2001).
What is the law?
In Australian Federal Law breastfeeding is a right, not a privilege.
Under the federal Sex Discrimination Act 1984 it is illegal in Australia to discriminate against a person either directly or indirectly on the grounds of breastfeeding. Direct discrimination happens when a person treats someone less favourably than another person. For example, it is discriminatory for a waiter to decline to serve a patron who is breastfeeding. Indirect discrimination happens when an apparently neutral condition has the effect of disadvantaging a particular group, in this case women who are breastfeeding. For example, an employer may impose a requirement on all employees that they must not make any breaks for set periods during the day under any circumstances. Such a condition would particularly disadvantage women who need to express milk.
A useful publication from the Australian Human Rights Commission is Getting to Know the Sex Discrimination Act: A Guide for Young Women.While not directly mentioning breastfeeding, this publication does explain your rights and responsibilities under the Act.
The law in Australia protects you from being discriminated against because you are a breastfeeding mother. This includes if you are expressing milk by hand or with a breast pump to give to your baby later.
A baby can be breastfed anywhere and anytime.
Australian Human Rights Commission - Indigenous Women and Pregnancy Discrimination - FACT SHEET 10: Breastfeeding and Work
The Law protects your right to breastfeed
As the former federal Sex Discrimination Commissioner, Pru Goward (2001-2006), stated: 'A mother's right to breastfeed is protected by the federal Sex Discrimination Act, which prohibits discrimination on the basis of sex, marital status, pregnancy and potential pregnancy. The Act also makes clear that discrimination because a woman is breastfeeding (or expressing) is regarded as sex discrimination because it is clearly a characteristic of women.'
Her predecessor, Susan Halliday (1998-2001) had earlier emphasised: 'Common sense dictates that hungry babies be fed and Australian parents have the right to choose the option of breastfeeding their children. For many years it has been illegal under federal, state and territory law to discriminate against breastfeeding women in the provision of goods and services, including service at restaurants, clubs, pubs and theatres and on public transport. It will be a particularly sad day when, in Australia, a woman is penalised for properly caring for her child in a public place.'
What about State and Territory laws?
In addition to the protection offered under the Federal Sex Discrimination Act 1984, individual States and Territories have enacted their own laws to protect the rights of breastfeeding women in areas such as work, education and the provision of goods and services. Details vary, so check with your State or Territory government agency. The National Anti-Discrimination Information Gateway is a useful place to start. It has links to each State and Territory's commission's websites.
Australian Capital Territory
Breastfeeding is a protected attribute. Discrimination on the basis of breastfeeding is illegal in the areas of: provision of goods and services, accommodation, financial services, employment, sport, education, access to premises, access to membership in a trade or professional organisation, membership of or services in a licensed club, business partnerships, requests for information and unlawful advertising.
New South Wales
Discrimination and harassment on the grounds of sex is illegal in the contexts of: opportunities in employment, state education, goods and services, accommodation and registered clubs. This includes breastfeeding as a characteristic generally appertaining to women.
Breastfeeding is a protected attribute. Discrimination or harassment on the basis of breastfeeding is illegal in the areas of education, work, accommodation, goods, services and facilities, clubs, insurance and superannuation. For protected attributes it is also illegal to fail to make reasonable accommodation for a person's special needs.
Breastfeeding is a protected attribute. Discrimination on the basis of breastfeeding is explicitly illegal in all areas of public life.
It is illegal to discriminate against someone in the areas of accommodation, customer service and education because of their association with a child, which includes breastfeeding.
Breastfeeding is a protected attribute. Discrimination or 'prohibited conduct' is illegal on the basis of breastfeeding in the areas of: education, employment, provision of goods, facilities and services, clubs, state laws and programs, awards and industrial agreements. 'Prohibited conduct' is any conduct that offends, humiliates, intimidates, insults or ridicules a reasonable person on basis of a protected attribute.
Breastfeeding is a protected attribute. Discrimination on the basis of breastfeeding is illegal in the areas of: accommodation, clubs, education, employment, goods and services, selling and transferring land, and sport.
Discrimination on the ground of breastfeeding is prohibited in the contexts of: employment, education, access to places and vehicles, provision of goods, services and facilities, accommodation, disposal of land, clubs, application forms, advertisements, insurance (in some instances) and sport (in some instances).
There is further general information about the various state laws from the Australian Human Rights Commission in A guide to Australia's anti-discrimination laws. More detailed information with regard to breastfeeding and discrimination in each individual state and territory is found near the end of this article in the section Suggested Further Reading.
I have been discriminated against and want to take it further. How do I make a complaint?
Where types of discrimination are covered by both state and federal laws, complaints may be lodged with either the state or federal agency, but not both. If you feel you have grounds for complaint, you can contact the Federal Commission for free advice on 1300 656 419 or online. You can also contact your state or territory agency before deciding who you will make your complaint with. This is especially important as there are differences between the state and federal jurisdictions. An example is the SA Equal Opportunity Commission's Where do I complain - state or federal?
Valid complaints are dealt with by conciliation. This is where the people involved in a complaint talk through the issues with the help of someone impartial and settle the matter on their own terms. It also helps the parties involved to better understand the issues and come up with solutions that are appropriate to their circumstances. This could be an apology, financial compensation, access to facilities previously denied, or something else that is agreed upon.
A hungry baby shouldn't be expected to wait. No mother can be forced to ignore the needs of her baby.
By: Rebecca Kubenk IBCLC
Maternal Vitamin D insufficiency during lactation, is related to lack of sun exposure and minimal intake of vitamin D from the diet, contributes to low breast milk vitamin D content and, therefore, infant vitamin D deficiency.
There is support to conclude that when maternal vitamin D intake is sufficient, vitamin D transfer via breast milk is adequate to meet infant needs. (Journal of Human Lactation March 2013)
Why do we need Vitamin D?
The human body requires vitamin D to absorb calcium and promote bone growth. Not enough vitamin D results in soft bones in children (rickets) and fragile, misshapen bones in adults (osteomalacia). You also need vitamin D for other important body functions.
Vitamin D deficiency has now been linked to breast cancer, colon cancer, prostate cancer, heart disease, depression, weight gain, and other maladies. People with higher levels of vitamin D have a lower risk of disease, although they do not definitively prove that lack of vitamin D causes disease -- or that vitamin D supplements would lower risk.
Breastmilk and Vitamin D
Most of our Vitamin D comes from sunlight on our skin – it forms under the skin in reaction to light. While the best source is summer sunlight.
Mothers who don't receive much exposure to natural sunlight, due to their religious beliefs, or lack of natural sunlight in their working environments, need to source Vitamin D from food sources.
The recommended daily intake of Vitamin D from foods is 400 units.
These foods include:
A child who is breastfed from birth gets a strong vaccine that protects her from respiratory diseases like Asthma even if the mother is asthmatic, new research from American Journal of Respiratory and Critical Care Medicine has found
A study was conducted on 1,500 children from birth up to 14 years of age between the year 2007 and 2011.
Researchers found out that breastfed children without other formulas have the highest chance of not getting respiratory diseases than children who were fed formulas.
Children breastfed for 4 months or longer had larger forced midexpiratory flows at school age
Asthma Doctor Wilfried Karmaus from the University of South Carolina (USA) points out that breastfeeding a child adds volume to his or her lungs allowing them to receive enough oxygen.
An adult woman explains what a Tongue Tie Release has meant to her:
"40 years of tension has melted away"..."I can swallow for the first time in my life..."
Group B Streptococcus commonly referred to as GBS: It is one of the many bacteria that normally live within the human body, including in the vagina, and the rectum, and usually causes no harm. If GBS is passed from mother to baby during birth then this can occasionally cause serious illness in the newborn baby, such as a pneumonia or meningitis.
Approximately 15 - 20% of pregnant women are colonised with GBS.
How is GBS detected?
A swab is taken either by the woman’s health care provided or can be done by the woman between 35-37 weeks of pregnancy. If the swab is positive for GBS, the recommendation is for the mother to be given antibiotics once labour is established or the membranes have ruptured.
Penicillin is given every 4 hours intravenously, during labour using a small cannula. An alternative antibiotic is used for those allergic to penicillin. There are no benefits of taking antibiotics before labour begins.
Women found to be GBS positive at earlier gestations are treated in the same way. There is no benefit in repeating the swab later in the pregnancy.
Babies of GBS positive mothers will require observations ie. temperature, heart rate and respiratory rate before each feed for the first 24 hours. No antibiotics are usually prescribed for babies unless they are unwell.
Approximately 1 in 2000 newborn babies have Group B streptococcus bacterial infections, usually evident as respiratory disease, general sepsis, or meningitis within the first week. The baby contracts the infection from the mother during labour. There are approximately 21,000 babies are born in South Australia each year so the figure of babies affected is very low.
Australian Research – Queensland University of Technology
2006, by Karen Leigh Taylor ... A study of group B streptococcus in Brisbane : the epidemiology, detection by PCR assay and serovar prevalence. Masters by Research thesis, Queensland University of Technology.
This research found that a neonate is still at risk of acquiring Group B Streptococcus (GBS) infection upon their birth even with the implementation of early onset GBS neonatal disease preventative protocols.
Study on 374 women residing in Brisbane Australia, attending public medical providers : overall GBS prevalence was 98/374 (26.2%), a higher rate than previously reported in Australia,
This study recruited 374 women of childbearing age attending public medical providers and found an overall GBS prevalence of 98/374 (26.2%) for these Brisbane women, a rate higher than previously reported in Australia. When the GBS prevalence for pregnant women (25.6%) was compared to non pregnant women (27.2%) they were similar.
Extract from The Cochrane Report : Antibiotics given during labour for known maternal Group B streptococcal colonization
Giving a mother intravenous antibiotics during labour causes bacterial counts to fall rapidly, which suggests possible benefits but pregnant women need to be screened. Many countries have guidelines on screening for GBS in pregnancy and treatment with antibiotics.
Some of the risk factors for an affected baby are:
Very few of the women in labour who are GBS positive give birth to babies who are infected with GBS and antibiotics can have harmful effects such as:
The Cochrane review found that giving antibiotics is not supported by conclusive evidence. The review identified four trials involving 852 GBS positive women. Three trials, which were around 20 years old, compared ampicillin or penicillin to no treatment and found no clear differences in newborn deaths although the occurrence of early GBS infection in the newborn was reduced with antibiotics. The antibiotics ampicillin and penicillin were no different from each other in one trial with 352 GBS positive women. All cases of perinatal GBS infections are unlikely to be prevented even if an effective vaccine is developed.
Want more information the whole report can be found on Cochrane database