Here is the latest Medications and More Newsletter.
Here are some of the highlights of the newsletter.
For those of you who missed the awesome presentation at our conference or those of who did not see this video enough for our lecture “Got Enough Milk? Milk Supply Issues: Pumping, Infertility, Older Mothers, and Adoptive Nursing” by Diane Asbill, RN, IBCLC, Lactation Consultant for the Intensive Care Unit, UNC Hospitals, Chapel Hill, NC.
Here is the link to seeDr. Jane Morton’s video that Diane showed
Academy of Breastfeeding Medicine responds to new CDC birth control guidelines.
New contraception guidelines could undermine breastfeeding mothers
http://bfmed.wordpress.com/2010/05/28/new-contraception-guidelines-could-undermine-breastfeeding-mothers/
New Rochelle, NY, May 28 – New CDC birth control guidelines could undermine mothers who want to breastfeed.
The new guidelines advise that the benefits of immediate progesterone contraception outweigh the risks, and that by 4 weeks, there is no risk. Previously, progesterone birth control was not recommended for nursing mothers until at least 6 weeks after birth, and combined hormonal methods were not recommended for 6 months. In the new guidelines, combined pills are rated as “generally acceptable” from 4 weeks.
“The new guidelines ignore basic facts about how breastfeeding works,” says Dr. Jerry Calnen, president of the Academy of Breastfeeding Medicine. “Mothers start making milk due to the natural fall in progesterone after birth. An injection of artificial progesterone could completely derail this process.”
Clinically, breastfeeding support providers report a negative impact on breastfeeding when these methods are introduced too early, and one preliminary study found dramatically lower breastfeeding rates at 6 months among mothers who underwent early insertion of progesterone-containing IUDs, compared with insertion at 6-8 weeks postpartum.
“The data are limited,” says Calnen, “but for now, the state of the science suggests that early progesterone exposure undermines breastfeeding.”
Family planning specialists argue that early hormonal birth control is necessary reduce unplanned pregnancies. However, the most commonly used early method, DepoProvera, prevents pregnancy for only 12 weeks. “If a doctor feels a mother is so unreliable that she needs a birth control shot in the delivery room, how likely is it that she will get her next dose 12 weeks later?” Calnen asks. “There is no evidence that immediate postpartum injections delay the next pregnancy beyond the first 3 months.”
Dr. Miriam Labbok, director of the Carolina Global Breastfeeding Institute and an expert on the interface between breastfeeding and fertility, notes, “The mother should have the final decision on her birth control method, with full information. Unfortunately, these methods are often given to women with little counseling. Women deserve to the know that there is a potential risk.”
The ABM wrote to CDC Director Thomas Frieden in January urging reconsideration of the guidelines. In his reply, Dr. Frieden described the new recommendations as “the best interpretation of the existing evidence.”
Calnen is less confident. “Physicians and mothers should proceed with caution,” he says. “There are plenty of birth control methods that are proven to be safe for breastfeeding. Early progesterone is not one of them.”
“In the postpartum period, many women experience conditions which require
treatment with medicines, such as analgesics or antibiotics. However, pharmaceutical
companies remain cautious about the use of medicines in women who are lactating. Their
advice to physicians is usually to weigh the risks against the benefits. Yet, what are these
risks and benefits?”
Click here to read more of this article.
Greetings From the North Carolina Breastfeeding Coalition
We invite you to renew your annual NCBC membership for 2010. Our membership calendar runs from January-December.
A committed membership helps to fulfill the North Carolina Breastfeeding Coalition mission to promote, protect and support breastfeeding through a cooperative network of individuals, coalitions, agencies and organizations.
Your membership renewal form and check for $20 can be mailed to:
Victoria Brown
5990 Beaman Old Creek Road
Walstonburg, NC 27888-9186
If you have already renewed your membership, please accept our sincere thanks!
Visit our website for meeting times, additional news, or to renew online today http://www.ncbfc.org/
Thank you,
Doris Robinson, Chair
NCBC Membership Committee
Due May 12, 2010
Breastfeeding–Friendly Businesses and Breastfeeding–Friendly Employers
Do you know of a company, healthcare office or church/synagogue or mosque that welcomes breastfeeding mothers and babies? If so, encourage them to apply for recognition. They will receive a window peel-off decal, a plaque and inclusion in the registry of Breastfeeding–Friendly Businesses on the NC Breastfeeding Coalition’s website www.ncbfc.org Recognition is also available for Breastfeeding–Friendly Employers. There are $500 grants available to NC companies wanting to be more Breastfeeding–Friendly Businesses! Monies may be spent on improvements such as installing a sink, a door lock or buying a comfortable chair. The deadline for grant applications is May 12th, 2010, but the recognition will be on-going. Simple applications available here (insert link).
The North Carolina Breastfeeding Coalition has made it a priority to help promote a woman’s right to meet her lactation needs in the workplace and in the community at large. Part of the way we hope to achieve this is through our Business Case for Breastfeeding grant. We recognize that one of the best ways to promote breastfeeding in public, is to have businesses recognized for their breastfeeding friendly policies. We want women to know where they can breastfeed without worrying about being chastised. We would like for businesses who are breastfeeding friendly to be recognized as a way of thanking them for their actions, as well as publicizing their policies to others.
If you know of any businesses or employers that are breastfeeding friendly, please encourage them to apply for recognition and/or a mini-grant to establish or expand their program.
The applications for recognition are available on the North Carolina Breastfeeding Coalition Website (www.ncbfc.org ), or you can contact the coordinator of the Business Case for Breastfeeding grant, Mimi McCully, at mimimccu@gmail.com
Or Click here-NCBF Business Award or NCBF Employer Award
“The organizers feel that the applications explain the programs! Perhaps you could print the information sides and then link to the entire application so they can get the part to fill out. Whatever you feel is effective would be great – I just want to get the word out. Each company can apply for up to $500 to help make their business eligible for the recognition, but no one will apply if we who care about BF don’t spread the word!”
Dr. Thomas Hale, who writes the indispensable Medications and Mothers Milk, has teamed up with the Laura W. Bush Institute for Women’s Health to create an Infant Risk Center based at Texas Tech University.
Currently there are two references for checking the safety of medication use during breastfeeding, and neither work that well. Medications and Mothers Milk is the gold standard for information on this, but many doctors offices and pharmacists don’t have it, and it’s too expensive for most moms to purchase. It’s also updated every two years, so it can’t be thoroughly up to date. Dr. Hale also runs a discussion board for professionals, but moms can’t ask questions directly. The other resource is the website Lactmed, run by the National Institutes of Health, but I’ve found it to be less comprehensive, and it doesn’t have ranking system for ease of understanding relative risk (Hale uses a scale of L1 to L5).
That’s why I’m very excited about this new resource, which will make a lot of information available online to mothers and health professionals alike.
Most exciting is that the center “Will accept phone questions from women, physicians, and other health care providers about the use of specific drugs in pregnant or breastfeeding women.” This will be incredibly helpful.
The Center will also:
Source: Motherwear’s Breastfeeding Blog
HI All,
We are conducting a quick survey on what health care practitioners do to help get a not-yet latching baby to the breast. There are only 10 questions in the survey, it is very quick, and it is anonymous. Please click the link (below) to Survey Monkey and fill in the questionnaire. The deadline is Friday April; 23rd. We would appreciate your immediate help with this. Thank you!!!
http://www.surveymonkey.com/s/nbci
Please forward this email to any and all who you think might interested or able to help.
Thanks for your cooperation!
E
EDITH KERNERMAN, International Board Certified Lactation Consultant
Co-Director, Co-Founder, NBCI
Newman Breastfeeding Clinic & Institute
in the Canadian College of Naturopathic Medicine
1255 Sheppard Avenue East
Toronto, ON M2K 1E2
416-498-0002 phone
416-498-0012 fax
Triangle Breastfeeding Alliance would like to extend our congratulations to Mission Hospital on their accomplishments. Hooray for you!
Friends/Breastfeeding Advocates,
Our other hospitals that have filed letters of intent are not fI wanted to let you know that Baby Friendly USA has confirmed that Mission Hospital in Asheville is the first hospital in North Carolina to receive the Baby Friendly Designation from Baby Friendly USA. ar behind. I expect that we will have a few additions to the list by the fall!
Catherine S. Sullivan, MPH, RD, LDN, IBCLC, RLC
State Breastfeeding CoordinatorNutrition Services Branch
North Carolina Division of Public Health
(o) 252-321-7184
(f) 252-321-8291
catherine.sullivan@dhhs.nc.gov
Mailing Address:
P.O. Box 20756
Greenville, NC 27858
The Ten Steps To Successful Breastfeeding
The BFHI promotes, protects, and supports breastfeeding through The Ten Steps to Successful Breastfeeding for Hospitals, as outlined by UNICEF/WHO. The steps for the United States are:
| 1.Have a written breastfeeding policy that is routinely communicated to all health care staff.
2.Train all health care staff in skills necessary to implement this policy. 3.Inform all pregnant women about the benefits and management of breastfeeding. 4.Help mothers initiate breastfeeding within one hour of birth. 5.Show mothers how to breastfeed and how to maintain lactation, even if they are separated from their infants. 6.Give newborn infants no food or drink other than breastmilk, unless medically indicated. 7.Practice “rooming in”– allow mothers and infants to remain together 24 hours a day. 8.Encourage breastfeeding on demand. 9.Give no pacifiers or artificial nipples to breastfeeding infants. 10.Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic |
These are the proposed Healthy People 2020 Objectives for breastfeeding
Source: Heathly People 2010
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