Triangle Breastfeeding Alliance, Inc.

Prolonged and Exclusive Breastfeeding Reduces the Risk of Infectious Diseases in Infancy

http://www.reuters.com/article/idUSTRE65L5A620100622

the study:http://pediatrics.aappublications.org/cgi/content/abstract/peds.2008-3256v1

The Burden of Suboptimal Breastfeeding in the United States: A Pediatric Cost Analysis

http://pediatrics.aappublications.org/cgi/content/abstract/125/5/e1048

Probiotics in Breast Milk Ease Intestinal Pain

http://www.emaxhealth.com/1275/50/36770/probiotics-breast-milk-ease-intestinal-pain.html

http://www.fasebj.org/cgi/content/abstract/fj.09-153841v1

Protecting the Next Generation — Eliminating Perinatal HIV-1 Infection

http://content.nejm.org/cgi/content/full/362/24/2316

Breastfeeding in Australia:

http://www.virtualmedicalcentre.com/healthandlifestyle.asp?sid=319

from the journals…

Prolonged and Exclusive Breastfeeding Reduces the Risk of Infectious Diseases in Infancy
Liesbeth Duijts, Vincent W. V. Jaddoe, Albert Hofman, and Henriette A. Moll
Pediatrics. published 21 June 2010, 10.1542/peds.2008-3256
http://pediatrics.aappublications.org/cgi/content/abstract/peds.2008-3256v1?ct=ct

Factors associated with weaning practices in term infants: a prospective observational study in Ireland.

Tarrant RC, Younger KM, Sheridan-Pereira M, White MJ, Kearney JM.

Br J Nutr. 2010 Jul 5;:1-11. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20598218

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20598218

Factors affecting intention to breastfeed among Syrian and Jordanian mothers: a comparative cross-sectional study.

Al-Akour NA, Khassawneh MY, Khader YS, Ababneh AA, Haddad AM.

Int Breastfeed J. 2010 Jul 2;5(1):6. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20598137

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20598137

Breastfeeding Intentions of Female Physicians.

Sattari M, Levine D, Bertram A, Serwint JR.

Breastfeed Med. 2010 Jun 24;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20575714

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20575714

Do Breastfeeding Intentions of Pregnant Inner-City Teens and Adult Women Differ?

Alexander A, O’Riordan MA, Furman L.

Breastfeed Med. 2010 Jun 24;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20575713

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20575713

Preferences for labor and delivery practices between pregnant immigrants and U.S.-born patients: a comparative prospective antenatal survey study.

Ogunleye O, Shelton JA, Ireland A, Glick M, Yeh J.

J Natl Med Assoc. 2010 Jun;102(6):481-4.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20575212

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20575212

Paternal Smoking and Breastfeeding in Xinjiang, PR China.

Xu F, Binns C, Zhang H, Yang G, Zhao Y.

J Hum Lact. 2010 Jun 23;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20574109

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20574109

Delayed onset of lactogenesis among first-time mothers is related to maternal obesity and factors associated with ineffective breastfeeding.

Nommsen-Rivers LA, Chantry CJ, Peerson JM, Cohen RJ, Dewey KG.

Am J Clin Nutr. 2010 Jun 23;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20573792

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20573792

Many factors can determine whether a woman continues to breastfeed: knowing that breastfeeding is good for the baby is important to mothers but breastfeeding in public continues to be a negative experience for some.

McFadden A.

Evid Based Nurs. 2010 Jun 14;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20547740

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20547740

Babies bringing up feeds. What about breastfed babies?

Walshe CE.

BMJ. 2010 May 25;340:c2759.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20501564

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20501564

Effectiveness of planned teaching programme on knowledge and attitude about complementary feeding among mothers of infants.

Dsouza A, Valsaraj BP, Priyadarshini S.

Nurs J India. 2009 Nov;100(11):246-7.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20481344

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20481344

Recent Evidence of the Effectiveness of Educational Interventions for Improving Complementary Feeding Practices in Developing Countries.

Shi L, Zhang J.

J Trop Pediatr. 2010 Jun 17;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20558381

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20558381

Factors influencing the infant feeding decision for socioeconomically deprived pregnant teenagers: the moral dimension.

Dyson L, Green JM, Renfrew MJ, McMillan B, Woolridge M.

Birth. 2010 Jun;37(2):141-9.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20557537

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20557537

Managing breastfeeding and work: a Foucauldian secondary analysis.

Payne D, Nicholls DA.

J Adv Nurs. 2010 Jun 16;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20557398

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20557398

Antiretroviral regimens in pregnancy and breast-feeding in Botswana.

Shapiro RL, Hughes MD, Ogwu A, Kitch D, Lockman S, Moffat C, Makhema J, Moyo S, Thior I, McIntosh K, van Widenfelt E, Leidner J, Powis K, Asmelash A, Tumbare E, Zwerski S, Sharma U, Handelsman E, Mburu K, Jayeoba O, Moko E, Souda S, Lubega E, Akhtar M, Wester C, Tuomola R, Snowden W, Martinez-Tristani M, Mazhani L, Essex M.

N Engl J Med. 2010 Jun 17;362(24):2282-94.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20554983

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20554983

Evaluation of leptin in breast milk, lactating mothers and their infants.

Savino F, Liguori SA, Petrucci E, Lupica MM, Fissore MF, Oggero R, Silvestro L.

Eur J Clin Nutr. 2010 Jun 30;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20588294

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20588294

Lifetime health outcomes of breast-feeding: a comparison of the policy documents of five European countries.

Martin-Bautista E, Gage H, von Rosen-von Hoewel J, Jakobik V, Laitinen K, Schmid M, Morgan J, Williams P, Decsi T, Campoy C, Koletzko B, Raats M.

Public Health Nutr. 2010 Jun 29;:1-10. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20587117

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20587117

Infant feeding practices among HIV-positive women in Dar es Salaam, Tanzania, indicate a need for more intensive infant feeding counselling.

Young SL, Israel-Ballard KA, Dantzer EA, Ngonyani MM, Nyambo MT, Ash DM, Chantry CJ.

Public Health Nutr. 2010 Jun 29;:1-7. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20587116

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20587116

Social Networking

Factors that positively influence breastfeeding duration to 6 months: A literature review
Shahla Meedya, Kathleen Fahy, Ashley Kable
Women and Birth, 17 March 2010

http://www.elsevier.com/wps/find/journaldescription.cws_home/707424/description#description

Saudi Mothers’ Expected Intentions and Attitudes Toward Breast-Feeding
Maha Al-Madani, Vasso Vydelingum, and Judy LawrenceICAN: Infant, Child,  Adolescent Nutrition 2010;2 187-198

http://can.sagepub.com/cgi/content/abstract/2/3/187?etoc

Breastfeeding the Vulnerable Toddler
Patricia Novak
ICAN: Infant, Child,  Adolescent Nutrition 2010;2 152-157
http://can.sagepub.com/cgi/content/abstract/2/3/152?etoc

Focusing on Feeding Skills: Evaluating Inadequate Weight Gain in Late Preterm Infants
Debbie Gearner Thompson
ICAN: Infant, Child,  Adolescent Nutrition 2010;2 147-151
http://can.sagepub.com/cgi/content/abstract/2/3/147?etoc

Initiating and Maintaining the Ketogenic Diet in Breastfed Infants
Nancy W. Cole, Heidi H. Pfeifer, and Elizabeth A. Thiele
ICAN: Infant, Child,  Adolescent Nutrition 2010;2 177-180
http://can.sagepub.com/cgi/content/abstract/2/3/177?etoc

Factors Influencing the Infant Feeding Decision for Socioeconomically Deprived Pregnant Teenagers: The Moral Dimension
Lisa Dyson, Josephine M. Green, Mary J. Renfrew, Brian McMillan, Mike Woolridge
http://www3.interscience.wiley.com/journal/123444623/abstract
Published Online: 18 May 2010
DOI 10.1111/j.1523-536X.2010.00394.x

Infant and young child feeding indicators across nine East and Southeast Asian countries: an analysis of National Survey Data 2000-2005.
Dibley MJ, Senarath U, Agho KE.
Public Health Nutr. 2010 May 4;:1-8. [Epub ahead of print]
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20441662
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20441662

Interactions between breast, bone, and brain regulate mineral and skeletal metabolism during lactation.
Wysolmerski JJ.
Ann N Y Acad Sci. 2010 Mar;1192(1):161-9.
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20392232
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20392232

Donor human milk in preterm infant feeding: evidence and recommendations.
Arslanoglu S, Ziegler EE, Moro GE.
J Perinat Med. 2010 May 5;.
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20443660
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20443660

Attitudes to infant feeding decision-making–a mixed-methods study of Australian medical students and GP registrars.
Brodribb W, Fallon T, Jackson C, Hegney D.
Breastfeed Rev. 2010 Mar;18(1):5-13.
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20443434
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20443434

Do Infants Fed From Bottles Lack Self-regulation of Milk Intake Compared With Directly Breastfed Infants?
Li R, Fein SB, Grummer-Strawn LM.
Pediatrics. 2010 May 10;. [Epub ahead of print]
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20457676
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20457676

Breastfeeding patterns of mothers with type 1 diabetes: results from an infant feeding trial.
Sorkio S, Cuthbertson D, Bärlund S, Reunanen A, Nucci AM, Berseth CL, Koski K, Ormisson A, Savilahti E, Uusitalo U, Ludvigsson J, Becker DJ, Dupré J, Krischer JP, Knip M, Akerblom HK, Virtanen SM.
Diabetes Metab Res Rev. 2010 Mar;26(3):206-11.
PMID: 20474068 [PubMed - in process]
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20474068
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20474068

It’s all formula to me: women’s understandings of toddler milk ads.
Berry NJ, Jones S, Iverson D.
Breastfeed Rev. 2010 Mar;18(1):21-30.
PMID: 20443436 [PubMed - indexed for MEDLINE]
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20443436
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20443436

A case of dysphoric milk ejection reflex (D-MER).
Cox S.
Breastfeed Rev. 2010 Mar;18(1):16-8.
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20443435
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20443435

The relation of serum ghrelin, leptin and insulin levels to the growth patterns and feeding characteristics in breast-fed versus formula-fed infants.
Yiþ U, Oztürk Y, Siþman AR, Uysal S, Soylu OB, Büyükgebiz B.
Turk J Pediatr. 2010 Jan-Feb;52(1):35-41.
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20402065
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20402065

Factors associated with breastfeeding initiation time in a Baby-Friendly Hospital.
Orü’ E, Yalçin SS, Madendað Y, Ustünyurt-Eras Z, Kutluk S, Yurdakök K.
Turk J Pediatr. 2010 Jan-Feb;52(1):10-6.
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20402061
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20402061

Maternal Hospital Experiences Associated With Breastfeeding at 6 Months in a Northern California County.
Dabritz HA, Hinton BG, Babb J.
J Hum Lact. 2010 May 19;. [Epub ahead of print]
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20484659

Lactation-associated postpartum weight changes among HIV-infected women in Zambia.
Murnane PM, Arpadi SM, Sinkala M, Kankasa C, Mwiya M, Kasonde P, Thea DM, Aldrovandi GM, Kuhn L.
Int J Epidemiol. 2010 May 19;. [Epub ahead of print]
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20484334
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20484334

Assessment of knowledge, attitudes and practices of infant feeding in the context of HIV: A case study from western Kenya.
Wachira J, Otieno-Nyunya B, Ballidawa J, Braitstein P.
SAHARA J. 2009 Nov;6(3):120-133.
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20485852
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20485852

Breastfeeding and prolactin levels in lactating women with a family history of alcoholism.
Mennella JA, Pepino MY.
Pediatrics. 2010 May;125(5):e1162-70.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20403941

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20403941

Social Networking

” It’s official: with the passing of the health care reform reconciliation bill, the provision of reasonable break time and a place to express breast milk in the workplace is now federal law!

See Amelia Psmythe’s note below with helpful information about the next steps in implementing the law. USBC will be keeping close tabs on this process, and we are collaborating with MomsRising and others to spread the word to moms across the country. We will be issuing a press release shortly, and encourage all state coalitions to either 1) forward our press release to your local media, or 2) use it as a template to write your own release.

I’m attaching the actual language of the provision as a PDF file. It has already received some favorable media attention on NPR.org:

http://www.npr.org/blogs/thetwo-way/2010/03/new_health_laws_workplace_brea.html

Thanks again to everyone for their support and patience while we had to “lay low” to allow this to pass. And please do call or write to Senator Merkley to thank him!”

Best regards,

Megan E. Renner

Executive Director

United States Breastfeeding Committee (USBC)

2025 M Street, NW, Suite 800

Washington, DC  20036

www.usbreastfeeding.org

The mission of the United States Breastfeeding Committee is to improve the Nation’s health by working collaboratively to protect, promote and support breastfeeding. Donate today!

“Good Day, friends!

As I’m sure many of you are aware, US Senator Jeff Merkley’s Reasonable Break Time for Nursing Mothers amendment passed as part of health care reform!  Employer accommodation is now the law of the land.

What courage for a freshman Senator to propose a health care amendment in a contentious climate, see it through a bi-partisan committee, and now guide an implementation process on landmark legislation!  Please take a moment to thank Senator Merkley by calling his office at: 202-224-3753 or use the online form: http://merkley.senate.gov/contact/

I recognize that questions abound regarding the timing, implementation, oversight, complaint process, arbitration and resolution under this provision.  I am writing to assure you that Senator Merkley’s office is in conversation with the US Department of Labor to clarify all of this.  I am in close communication with the Senator and his Portland and DC staff, and I will post to this listserve, and continue to update the BCO website and BCO Facebook page  as new information comes in.

In our state process, where the Bureau of Labor and Industry (BOLI) is the administrator of our law, passage of the law was followed by BOLI drafting Administrative Rules.  These Rules interpreted and clarified the law, even adding a few practical provisions the law had not addressed.  This took several months.  The federal process is not the same, but I believe the US Department of Labor will need to undergo something similar.

I understand and empathize that women (and their advocates and health care providers) want to know what the new rights are.  It is going to be our challenge and opportunity to counsel patience with the next step of the process.

The main message to share with the world is that this is a time of celebration, development and learning.  Creativity and patience will be needed on all sides, but overall — the world is shifting to a paradigm that recognizes breastfeeding is the natural outcome of pregnancy, and workplace accommodation is the natural outcome of a society where the majority of mothers and babies are separated due to work.  For now, we work within the framework of delivering the product of breastmilk to babies while they’re apart from their mothers, in order to facilitate the experience of breastfeeding when they are together. (At least, this is what I told the DC reporter who called at 6am PST, and I’m sticking to it. ?)

When our President said, “this is what change looks like” this is what he is referring to – that change is incremental.  It begins with an imperfect step that through diligence, work and participation, is refined and strengthened.  So it will be with this provision.

Trust that more information will follow, and it will be good.

Best,
Amelia

--

Amelia Psmythe, Director

Breastfeeding Coalition of Oregon

Mail:   Community Health Partnership:

        Oregon's Public Health Institute

        315 SW Fifth Ave, Suite 202

        Portland, OR 97204-5502

Email:  Amelia@BreastfeedingOR.org

Web:    www.breastfeedingOR.org

Social Networking

March 15, 2010

Wisconsin breastfeeding bill signed into law.

Mothers in Wisconsin now have protection from harassment while nursing in public, under a new law signed last week.

The new law reads “A mother may breast?feed her child in any public or private location where the mother is otherwise authorized to be. No person may interfere with the right of a mother to breast?feed her child as provided in this section.”

Under the general penalty provision in Wisconsin state law, a person violating this statute would be subject to a fine of up to $200.

Want to know more about breastfeeding and the law?  Check out this podcast with national expert Jake Marcus.  Want to know what your state laws say about nursing in public or pumping at work?  See this site maintained by the National Conference of State Legislatures.

Source: http://breastfeeding.blog.motherwear.com/2010/03/wisconsin-breastfeeding-law-signed-into-law.html

Social Networking

A new statement issued jointly by UNICEF, the World Health Organization, and Pan American Health Organization, reminds relief workers, healthcare professionals, and the public that in an emergency such as the Haiti earthquake, the key to survival of all infants, including orphans, is breastfeeding. When a child is motherless or separated from his or her mother, wet nursing, that is, direct breastfeeding from another lactating mother, is the safest feeding option. Since the breastfeeding rate in Haiti is very high, there is a good likelihood of being able to find wet nurses for large numbers of motherless infants.

UNICEF, WHO and PAHO have recommended wet nursing, also called “cross nursing” or “shared breastfeeding,” for infants without mothers to “ensure their survival in an emergency situation.” http://oneresponse.info/Disasters/Haiti/Nutrition/publicdocuments/Forms/DispForm.aspx?ID=78

There are a very small number of pathogens that may be transmitted via breastfeeding, including HIV. However, the risk of transmission of HIV via breastfeeding is low. The alternative to wet nursing for motherless infants is use of infant formula. The situation is Haiti is such that formula feeding presents a greater risk than the possibility of HIV infection via wet nursing.

Formula feeding in an emergency is extremely difficult and dangerous. Even when properly prepared, infant formula actively and passively harms the immune system of young babies, placing them at risk of life-threatening diarrhea and respiratory illness.  [The Emergency Nutrition Network provides information on how formula can cause deaths due to diarrhea in an emergency at:  http://www.ennonline.net/resources/101.

Formula feeding also requires extensive investment from the supporting aid agency. This includes a constant supply of infant formula; a stable supply of clean water; a stove and fuel to boil water; a pot, kettle, and feeding cups.  Bottles and teats (artificial nipples) should never be used in emergency conditions because they are too difficult to adequately clean. Caregivers also need a clean storage environment, education on minimizing the risks of formula feeding, and medical supervision. This support should be provided not just in the immediate emergency, but until the infant is 12 months old.

According to the International Lactation Consultant Association (ILCA), wet nursing is not new, and has been practiced since the beginning of time not just in emergencies, but for convenience of mothers.  The practice was made more visible with reports of actress Salma Hayek, who breastfed a suffering child in Sierra Leone last year, and Chinese police officer Jiang Xiaojuan, who was reported to have breastfed five additional infants besides her own after the May 2008 earthquake in China.

ILCA provides additional recommendations on supporting breastfeeding mothers consistent with directives from international relief organizations, including:

• Feed the mother so she can, in turn, feed her infant.
• Provide a safe environment for breastfeeding if needed, including providing a private area or a way to breastfeed discreetly, if the mother desires it.
• Assist mothers who are separated from their infants with regular milk removal to avoid engorgement and maintain their milk production for when they are reunited with their baby.
• Assist mothers with re-establishing their milk production if they have already weaned their baby.

ILCA also strongly encourages the general public to avoid the temptation to donate infant formula to Haiti and, instead, to donate funds to relief organizations for use in meeting highest priority needs. Aid agencies supporting infants in Haiti that cannot be breastfed have procured the supplies that they need. Donations of infant formula only complicate the secure and sanitary provision of aid by workers on the ground.  The organizations providing aid to breastfed and formula-fed infants in Haiti include: UNICEF, Save the Children, Action Against Hunger and World Vision.

ILCA has several free downloadable resources for families, health care providers, and relief workers at:  www.ilca.org in English, Spanish, and French.   The website also has a user-friendly “Find a Lactation Consultant Directory” of available International Board Certified Lactation Consultants (IBCLCs) worldwide who can assist new mothers or relief workers with lactation.

To learn more about breastfeeding in emergency situations, visit the ILCA website at www.ilca.org, or contact the ILCA Office at info@ilca.org, or (919) 861-5577.

Social Networking

The Human Milk Banking Association of North America (HMBANA), United States Breastfeeding Committee (USBC), International Lactation Consultant Association/United States Lactation Consultant Association (ILCA/USLCA), and La Leche League International (LLLI) are jointly issuing an urgent call for human milk donations for premature infants in Haiti, as well as sick and premature infants in the United States.

This week the first shipment of human milk from mothers in the United States will be shipped to the U.S. Navy Ship “Comfort” stationed outside Haiti. “Comfort” is currently set up with a neonatal intensive care unit and medical personnel to provide urgent care to victims of the earthquake. An International Board Certified Lactation Consultant stationed at the U.S. Navy base in Bethesda, MD is assisting with providing breast pump equipment and supplies to the “Comfort.” Dr. Erika Beard-Irvine, pediatric neonatologist, is on board the “Comfort” to coordinate distribution of the milk to infants in need. HMBANA, USBC, ILCA/USLCA, and LLL are responding to requests to provide milk for both premature infants and at-risk mothers who have recently delivered babies on board the U.S.N.S. Comfort, but an urgent need exists for additional donations.

At the current time, the infrastructure to deliver human milk on land to Haiti infants has not yet been established. As soon as that infrastructure is in place, additional donations will be provided to older infants.

Mothers who are willing to donate human milk should contact their regional Mothers’ Milk Bank of HMBANA. A list of regional milk banks is available at the HMBANA website at www.hmbana.org.

Currently milk banks are already low on donor milk. New milk donations will be used for both Haiti victims as well as to replenish donor supplies to continue to serve sick and premature infants in the U.S. Donor milk provides unique protection for fragile preterm infants. Financial donations are also strongly encouraged to allow HMBANA, a nonprofit organization, to continue serving infants in need.

UNICEF, the World Health Organization, the Emergency Nutrition Network, and medical professionals all recommend that breastfeeding and human milk be used for infants in disasters or emergencies. Human milk is life-saving due to its disease prevention properties. It is safe, clean, and does not depend on water which is often unavailable or contaminated in an emergency. Relief workers, health care providers, and other volunteers are urged to provide support for breastfeeding mothers to enable them to continue breastfeeding, and to assist pregnant and postpartum women in initiating and sustaining breastfeeding.

For more information, contact HMBANA at 408-998-4550 or http://www.hmbana.org/ . Additional information can be provided from the United States Breastfeeding Committee at 202-367-1132 (http://www.usbreastfeeding.org/), ILCA/USLCA at 1-800-452-2478 (http://www.ilca.org/  or http://www.uslca.org/ ), or La Leche League at 847-519-7730 (http://www.llli.org/) .

 Sincerely,

Angela Smith, President
ILCA Board of Directors

Milk Bank Locations
http://www.hmbana.org/index/locations

For those in the triangle area and surrounding areas
WakeMed Mothers Milk Bank
http://www.wakemed.org/body.cfm?id=135

Social Networking

A Great Woman

On January 20, 2010, at 3:30pm, the lactation world lost one of our leading modern pioneers.  Mary Rose was a daughter, wife of 42 years, mother, teacher, researcher, advocator, inventor, author, award winner, and most importantly a fighter in every form of the word. Mary was diagnosed with pancreatic cancer in August and had surgery and chemotherapy. Unfortunately, the chemotherapy was not effective and the cancer had spread too far for radiation to be used.  And today she lost her final battle.  Her memory will live on forever in the enormous works she has done for breastfeeding.

Link to obtituary-http://www.legacy.com/obituaries/newsobserver/obituary.aspx?n=mary-r-tully&pid=138730862

Mary Rose Tully, MPH, IBCLC, is a noted lactation consultant, Director of the Department of Lactation Services at the University of North Carolina’s Women’s Hospital, and Adjunct Clinical Instructor (Pediatrics) at the University of North Carolina’s School of Medicine. Her area of research is human breast milk. In the mid 1970s, she helped establish the non-profit Piedmont Milk Bank, now known as the WakeMed Mothers’ Milk Bank and Lactation Center in Raleigh, North Carolina. She is a founding member of the Human Milk Banking Association of North America in 1985 (source http://en.wikipedia.org/wiki/Mary_Rose_Tully)

A Note sent from one of her good friends to announce her goodbye to our world

”Sorry to use our official email listserv for a non-business purpose, but I knew you would all want to know that Mary Tully died at 3:30 this morning (on her 42^nd wedding anniversary). She asked that I pass it on to everyone that she would like us to celebrate her life with laughter and with music and not go around all sad-faced and crying. We want to carry on her work helping others in any ways that we can.

Two funds have been established for donations (in lieu of flowers). Go to her Caring Bridge website for the details and the plans for her memorial service at:  http://www.caringbridge.org/visit/maryrosetully

Mary Overfield”
A few websites that state her bio:

• http://www.nursingmothersofraleigh.org/index-1.html
• http://www.sph.unc.edu/maternal_and_child_health_news/breastfeeding_expert_mary_rose_tully_wins_volunteer_award_6125_1957.html
• http://www.nchealthywoman.org/Default.aspx?tabid=4859
• http://www.babygooroo.com/index.php/2010/01/20/a-rose-by-any-other-name/
• http://www.ncbfc.org/
• http://www.sph.unc.edu/maternal_and_child_health_news/school_mourns_passing_of_mary_rose_tully_13435_8289.html

Social Networking

"A good start can have effects years later"

Source- (Reuters Life!) January 19, 2010 —SYDNEY

Children who are breastfed for longer than six months could be at lower risk of mental health problems later in life, according to Australian research.

A study by the Telethon Institute for Child Health Research in Perth looked at 2,366 children born to women enrolled in a pregnancy study in the state of Western Australia.

Each of the children underwent a mental health assessment when they were aged 2, 5, 8, 10, and 14.

The researchers found that breast-feeding could help babies cope better with stress and may signal stronger mother-child bonding, which could provide lasting benefits.

“Breast-feeding for a longer duration appears to have significant benefits for the … mental health of the child into adolescence,” researcher Dr. Wendy Oddy, who led the study, wrote in the Journal of Pediatrics.

Of the children in the study, 11 percent were never breast-fed, 38 percent were breast-fed for less than six months, and just over half were breast-fed for six months or longer.

The mothers who breast-fed for less than six months were younger, less-educated, poorer, and more stressed, and were also more likely to be smokers than the mothers who breast-fed longer.

They were also more likely to suffer from postpartum depression and their babies more likely to have growth problems.

At each of the assessments, the researchers found children who were breast-fed for shorter periods of time had worse behavior, which could translate into aggression or depression.

But for each additional month a child was breast-fed, behavior improved.

The researchers said breast-feeding for six months or longer remained positively associated with the mental health and well-being of children and adolescents even after adjustments for social, economic, and psychological factors as well as early-life events.

“Interventions aimed at increasing breastfeeding duration could be of long-term benefit for child and adolescent mental health,” the researchers concluded.

Social Networking

This was sent out  to California Coalitions after a set of wild fires to remind everyone of the information that has been established about breastfeeding in emergencies.

Safe Infant Feeding During Emergencies

WHO guiding principles for feeding infants and young children in emergencies.
http://whqlibdoc.who.int/hq/2004/9241546069.pdf

Emergency Nutrition Network
www.ennonline.net

UNICEF website on emergencies and nutrition
http://www.unicef.org/nutrition/index_emergencies.html

United States Breastfeeding Committee
www.usbreastfeeding.org

International Lactation Consultant Association
http://www.ilca.org/katrina/InfantFeeding-EmergPP.pdf

Center for Disease Control
www.bt.cdc.gov/disasters/foodwater.asp

La Leche League International
www.lalecheleague.org/emergency.html

Wellstart International
http://www.wellstart.org/Infant_feeding_emergency.pdf

SUPPORT FOR BREASTFEEDING IS CRUCIAL FOR INFANT HEALTH
IN THE AFTERMATH OF NATURAL DISASTERS

Under normal conditions in developed countries like the US, infants who are not breastfed are much more susceptible to infections and other illnesses. As a result, they are 3 times as likely to require hospitalization and 21% more likely to die in the first year of life. The costs of these excess illnesses are considerable for families, insurers, and taxpayers.
In the aftermath of emergencies like hurricanes Katrina and Rita, helping mothers successfully initiate and continue breastfeeding is even more crucial. Children in vulnerable situations have special needs for the infection-fighting factors, the optimal nutrition, the reliable food source, and the comfort provided by breastfeeding. In contrast to powdered formula, which needs to be mixed with water, human milk provides ample hydration and spares infants exposure to water contaminated during the destruction caused by natural disasters. Direct breastfeeding also prevents the illnesses attributable to bottles and nipples “washed” in unclean water.
Most mothers in the US want to breastfeed, but many quit sooner than recommended, citing lack of sufficient societal support as one key reason. Women warrant extra support during crises like hurricanes and floods. Every effort should be made to rapidly reunite and keep infants with their mothers, provide space where they can feel comfortable nursing, and welcome moms to breastfeed whenever and wherever their babies show signs or hunger or distress.
Relief workers and health care providers should encourage mothers delivering during the crisis to breastfeed, help moms initiate breastfeeding immediately after birth, recommend exclusive breastfeeding for approximately 6 months, and assist mothers who recently stopped to restart breastfeeding (“relactate”). Myths such as “stress makes the milk dry up” and “malnourished mothers cannot breastfeed” must be dispelled with accurate information. Feeding the mother is the safest, most effective way to ensure adequate infant nutrition during emergencies.
For more information about safe infant feeding in natural disasters follow the links at www.bfmed.org. The Academy of Breastfeeding Medicine (ABM) is a worldwide organization of physicians dedicated to the promotion, protection and support of breastfeeding and human lactation through education, research and advocacy.
——————————————————————————–

[i] American Academy of Pediatrics, Section on Breastfeeding. Breastfeeding and the Use of Human Milk
Pediatrics 115 (2) : 496-506.

Breastfeeding in Emergency Situations

Breastfeeding is particularly important in emergency situations because of the increased risk of diarrhea diseases and other infections, inadequacy and contamination of complementary foods, and the bonding, warmth and care provided by breastfeeding which is crucial to both mothers and children in emergency situations. The risks associated with bottle and formula feeding are dramatically increased due to poor hygiene, crowding and limited water and fuel. The role of breastfeeding is even more important in emergency situations where it may be the only sustainable element of food security for infants and young children. Exclusive and prolonged breastfeeding is often the only form of family planning available to women in emergency situations. Last but not least, women need validation of their own competence, BF is one of their important traditional roles that can be sustained during a stressful situation.

Misconceptions about breastfeeding in emergencies

• Women under stress cannot breastfeed
• Malnourished women don’t produce enough milk
• Weaning cannot be reversed
• General promotion of BF is enough
• Human milk substitutes (infant formula and/or milk) are a necessary response to an emergency

Women under stress CAN successfully breastfeed

Milk release (letdown) is affected by stress. Milk production is NOT. Different hormones control these two processes. The treatment for poor milk release is increased suckling which increases the release of oxytocin, the letdown hormone. Research suggests that lactating women have a lower response to stress, so helping women to initiate or continue to BF may help them relieve stress.

Malnourished women DO produce enough milk

It is extremely important to distinguish between true cases of insufficient milk production (very rare) and perceptions. Milk production is relatively unaffected in quantity and quality except in extremely malnourished women (only 1% of women). When women are malnourished it is the mother who suffers, not the infant. The solution to helping malnourished women and infants is to feed the mother not the infant. The mother will be less harmed by pathogens and she obviously needs more food. By feeding her, you are helping both the mother and child and harming neither. Remember that giving supplements to infants can decrease milk production by decreasing suckling. The treatment for true milk insufficiency is increased suckling frequency and duration.

A mother who has weaned CAN redevelop her milk supply

With enough nipple stimulation and milk removal, it is possible for women to re-lactate, that is to redevelop a milk supply. The stimulation can be provided by a willing baby or even older child, by hand expression and stimulation and/or pumping. The process may take several days or even a couple of weeks. Mothers need much encouragement, a reasonable supply of food and water and protection from stress to the extent possible. Babies, of course, need to be fed in the least hazardest manner until the milk supply returns.

Breastfeeding women need SPECIFIC ASSISTANCE; general promotion of breastfeeding is not enough.

Lessons learned in development programs show that most health practitioners have little knowledge of breastfeeding and lactation management; these lessons apply equally to emergency programs. Women who suffer through violent situations leading to displacement and emergency situations are at increased risk of breastfeeding problems. Mothers need help, not just motivational messages. Relief agencies and field workers need training on how to counsel mothers to help them optimally breastfeed; how to assess proper positioning and suckling and remedy when needed and breastfeeding
physiology. In some situations, breastfeeding specialists may be useful. Maternal perception of risk of breastmilk insufficiency is an important factor in a women’s decision for early termination of breastfeeding. These perceptions may be intensified by the stress of emergency situations. Our first concerns should be ensuring optimal breastfeeding behaviors, which may require the selective feeding of lactating women and trauma counseling for women who may believe they “don’t have enough milk”. Policies and services which undermine optimal feeding such as giving food supplements to infants <6 months and using bottles for ORS delivery, should be avoided. Successful breastfeeding will contribute to the restoration or enhancement of woman’s self-esteem, critical to her ability to care for herself and her family.

Human milk substitutes (infant formula and/or milk) are NOT always needed

Providing infants and young children caught in an emergency situation with substitutes for human milk is extremely risky. It should be undertaken only after careful consideration and full awareness of the problems that may result. Good guidelines exist on the use of human milk substitutes and other milk products in emergencies: the 47th World Health Assembly Resolution WHA 47.5 (May 9, 1994); UNHCR guidelines on use of milk substitutes (July 25, 1989); the International Code of Marketing of Breast-milk Substitutes, WHO (1981). Common elements of these guidelines are that human milk substitutes must be:

• • limited to special circumstances as defined in WHA 47.5;
  • guaranteed for the lifetime of emergency;
  • not used as a sales inducement (therapeutic feeding, never in general distribution);
  • accompanied by additional health care, water, fuel, and diarrhea treatment;
  • include plans for the re-establishment of optimal feeding from the outset of the emergency.

These guidelines should be disseminated and followed by all agencies working in emergency situations.

Optimal Feeding Practices in Emergencies:

• Initiation of breastfeeding within one hour of birth
• Effective infant positioning (latch-on)
• Frequent, on-demand feeding until 6 months of age
• Exclusive, breastfeeding until 6 months of age
• Continuation of breastfeeding after beginning the addition of appropriate weaning foods at 6 months of age
• Sustained breastfeeding well into the second year of life or beyond
• Increased breastfeeding frequency and continued feeding during illness.
• Increased breastfeeding frequency after illness for catch up growth.

Originally prepared by Wellstart International’s Expanded Promotion of Breastfeeding Program (1996); revised and updated, 2004. For further assistance, consultation and/or training please contact Wellstart International at info@wellstart.org

Emergency situations are usually initially confusing and chaotic. Determining who needs what is an essential early step. For protecting and supporting breastfeeding the first step is to identify infants who are or should be breastfed and further noting any infants who are temporarily or permanently without their mother. Ultimately three groups can be established: one needing only breastfeeding support, a second requiring more intensive re-lactation help and a third in which substitute feeding is deemed necessary and will need to be very carefully managed and monitored. The triage diagram below may be helpful. It is from: Infant Feeding in Emergencies: Policy, Strategy & Practice. Report of the Ad Hoc Group on Feeding in Emergencies: May 1999 and has been made available by the Emergency Nutrition Network on their website: http://www.ennoline.net/ife/index.html

Feeding Infants Under Six Months in Emergencies: a Triage Approach to Decision-Making

Social Networking