While meeting parents before their baby is born or speaking to the mother of a newborn at the hospital, I am amazed at how many mothers have a totally distorted view on breastfeeding. From “I was fed formula, so I will feed my babies the same” to “I do not want to do it because it hurts”. These mothers do not realize that they are the victims of the culture, formula-feeding culture that is. Our country is probably unique: the formula industry totally changed the approach to feeding the baby, and breastfeeding is often viewed as an anachronism or inconvenience. We have lost the community/family knowledge about this process because for many generations babies were fed formula only. Where will the help for a new mom come from if her friends, sisters, mother and grandmother did not have experience with breastfeeding?
We people tend to stick with something familiar. If as a child you have not seen your mother or your aunts nursing their children, if in your mind a baby always associates with a bottle, it will be hard for you to try to breastfeed because to you this is an uncharted territory. If you keep reading or hearing horror stories about pain, engorgement, not producing enough milk, you will very soon believe that breastfeeding is too hard to try or simply impossible. You may be worried that you need to return to work, and you may think that working mother equals formula feeding. Newman Breastfeeding Clinic and Institute compiled a comprehensive list of Myths of Breastfeeding.
As a pediatrician and a breastfeeding consultant, I am dealing with these breastfeeding myths and some real breastfeeding problems daily.
- Pain. If you experience pain while nursing, something is wrong. Poor latch is the most frequent problem there, followed by engorgement, mastitis etc. You will not have these problems, if you get a good guide from the start. Ask for a lactation consultant at the hospital, or come to my outpatient breast feeding clinic soon after discharge and get the help you need.
- Returning to work. If you think about it two weeks ahead and pump excess of your milk every day and store it in the freezer, your baby may never need to even try formula in her life. You can arrange to pump your milk at work a few times a day and bring it home in a freezer bag. Keep in mind that you only nurse frequently during the first couple weeks; after two moths of age babies eat every three to four hours, so that is how often you will need to pump at work.
- Not enough milk. 99% of mothers have potential to produce enough milk. The problems start with giving formula at the hospital. That is when the opportunity for the baby to induce the milk production is lost. If you bring the baby to your breast you will have milk, and if you don’t you won’t. It is just as simple. And of course pumping after feeding helps it too, but the main thing is nursing.
All around the globe babies are fed with mothers milk, just like it was designed by Mother Nature: when the baby appears, so does the milk. In many countries, breastfeeding is an accepted norm of life, and people view the absence of milk as an anomaly or a curse. When the baby is born, it should be only natural to nurse. Breastfeed and reap the many benefits of breastfeeding.
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I recently had a pleasure to speak at the pediatric department meeting where I announced the opening of a Breastfeeding Clinic at Providence Park Hospital. I will start seeing patients there in July 2010.
The clinic will be Michigan’s second pediatrician-led breastfeeding clinic. The big advantage of such an arrangement over the private lactation consultations is not only the evaluation will be provided by a doctor, but also the fact that the services will be covered by most insurance plans.
Each mother-baby couple will be given 45 to 60 min appointment with a team consisting of a pediatrician and a lactation consultant. Our intentions are to help mothers to achieve their goals, whether it is exclusive breastfeeding or partial breastfeeding, to increase the milk supply, to enhance transfer of the mothers milk to the baby, to assure growth in those children who are failing to gain weight. Breastfeeding is especially important for preterm or near term babies (35-37 weeks of gestation), and it also is often more challenging for these infants, so our services will be important for them.
I recently wrote about many advantages of mothers’ milk over formula. I want to add one more fact: as reported in Pediatrics June 2010 issue, breast feeding is associated with fifty percent decrease of incidence of fever after immunizations.
If you had a choice between a delicious and healthy dinner at the fancy restaurant FOR FREE or a regular fast food “meal” for the fancy restaurant’s price, which one would you choose? That is the choice between breastfeeding and formula feeding. But we still see many mothers who are not aware of the better choice they have, so they end up with “fast food”, because it is familiar. The whole culture of breastfeeding has been lost in our country: several generations have been brought up on artificial food. That is why now it takes extra effort to return to what should be (and in many other countries, is) the norm of life.
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Human milk is a miracle. Multiple studies proved already that formula doesn’t even get close to mother’s milk in the number of benefits it provides. More and more mothers realize it now and attempt to breastfeed their babies.
However, most of those mothers fail to nurse beyond two or three months. You may ask why? Isn’t breastfeeding a natural process? Yes, it is, but a nursing mother often finds herself surprisingly in pain and in doubts about her milk supply. Did she make the right decision starting to breastfeed? A new mother needs a lot of support to continue nursing; instead, friends and family may not understand why it is so bad to give a baby a bottle of formula. After all, so many children grew up on it, several generations.
So, why do you need all this trouble?
This is why, as reported by The American Academy of Pediatrics and The Academy of Breastfeeding Medicine:
- Babies fed with breast milk have two times less chance of developing ear infections;
- They have two times less chance of diarrhea;
- These babies have four times less chance of pneumonia;
- Breastfed babies have higher IQ scores;
- They also have better vision;
- Breastfeeding cuts your child’s risk of obesity, especially so if you feed directly from the breast- not with the pumped milk;
- These children have less behavioral problems at preschool and elementary school age;
- They have less risk of developing asthma.
And this is not all. Breastfeeding mothers, rejoice! You get health benefits too. Nursing helps to shrink your uterus faster after delivery, thus preventing bleeding and infections; reduces your risk of breast cancer, ovarian cancer, and diabetes; helps to shed that “baby weight” faster.
And just imagine: you do not need to spend money on formula, or keep switching from one kind of formula to another because it does not agree with your baby, or carry the bottles and formula wherever you go, or prepare the bottle in the middle of the night, etc. All you need to do is to put your baby to your breast and let the miracle happen. And it is a very special feeling and a unique bond that you get in return. Those mothers who breastfed know what I am talking about.
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Parents play a crucial role in healing their children. As a doctor, I can make a correct diagnosis and prescribe the necessary medicine, but it is the parent who does most of the work while treating the child at home. I am very grateful to those parents of my little patients who are doing their part consistently and following the plan that we decided upon during their visits.
I know obtaining and giving the prescribed medicine can be difficult – I have kids, too – but it is an essential part of the treatment. Are you concerned about the possibility of a side effect? Or maybe a friend or family member advised you against a particular medicine? In case of doubts and concerns, speak up before the medicine is prescribed. Maybe the pharmacy does not have the prescription, or the copay is too high? Call the office or the doctor on call right from the pharmacy to find an acceptable replacement. Have second thoughts about the medicine? Have trouble convincing the child to take that medicine down? Always feel comfortable calling the doctor and discussing a solution that would work better. Finally, make a point to finish antibiotics to the end of the prescription, otherwise the child’s infection may return or the bug will develop resistance.
Also, it never hurts to read the instructions on the meds carefully. Sometimes everything seems to be perfect: parents are happy with the treatment plan, the correct medication is obtained from the pharmacy and the child is willingly using it, but… using it incorrectly. I had a teenage patient to whom I prescribed Lotrimin cream for a fungal infection on his feet and Benzoyl Peroxide cream for acne. When he returned in several weeks, he said that his acne improved, but his feet are “still bad”. I asked him to show me what he was using and how. He said he used Lotrimin on his face and acne cream on his feet! I wonder if Lotrimin actually worked for his acne, or if it was just a coincidence?..
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Recently I saw a young boy who attends the same preschool as my son. At the end of the visit his mom shared with me a concern that her son started biting. I reassured her, explaining that biting is a common behavior at this age, and recommended that she should stop him if she notices it but should not make a big deal out of it.
Young children may bite for different reasons. Infants may bite when they are teething. Toddlers usually bite out of frustration, inability to use words to express their feelings or wishes, or to exert control. Children older than 3 years of age with a history of frequent biting may need to be seen and evaluated by a psychologist.
When a biting incident occurs in your presence, calmly but firmly explain to the biter that this behavior is not acceptable. Use short sentences, for example: “We don’t bite. Biting hurts.” Encourage the biter to apologize and comfort the child that was bitten.
…Later at home, when I was giving my son a bath, I noticed a bite mark on his shoulder…
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A screenshot of my old, single-page web site
Welcome to my new web site! For historical purposes, a screenshot of my old, single-page web site is on the right.
This is my first post; I will contribute more in the future as time allows.
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