Breastfeeding Medicine

Physicians blogging about breastfeeding

Archive for the ‘The Ten Steps’ Category

“A sucker born every minute”: pacifiers and breastfeeding

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For new moms, deciding about whether to offer a pacifier to a newborn, like deciding whether to breastfeed, can be an emotionally loaded decision.  Newborns need to suck – for non-nutritive (comfort) as well as nutritive (food) reasons.  I can’t count the number of times I’ve heard “that baby is using [me/you/her mom] as a pacifier!” from parents and nursery nurses during the first hours of life.

When I hear that, I can’t help but to cringe and comment that pacifiers were invented as a substitute for moms, not vice versa.   The physiology of lactation requires frequent suckling and emptying of the breast to establish and maintain a mom’s milk supply.  So it makes sense that giving a pacifier to a newborn who wants to suckle, instead of letting him nurse, could adversely affect his mom’s milk supply as well as his own growth.  Thus physicians who want to support breastfeeding usually caution new parents about the use of pacifiers before breastfeeding is well established, usually about two weeks after birth. ( Avoidance of artificial teats or pacifiers is, in fact, one of the WHO/UNICEF Ten Steps to Successful Breastfeeding.)

However, it has been difficult to find definitive scientific evidence to support this advice.  And as a mom, I well remember the frustration of seemingly incessant newborn breastfeeding.  That’s why I was hopeful when I saw the abstract for a new Cochrane meta-analysis that suggests pacifiers need not be avoided. Read the rest of this entry »

Written by neobfmd

April 8, 2011 at 9:24 am

WABA Global Breastfeeding Partners’ Forum

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The World Alliance for Breastfeeding Action (WABA) is organizing the Global Breastfeeding Partners’ Forum (GBPF) on October 17 to 18 in Penang, Malaysia. This two-day forum will have as main theme “Enabling Mothering: Keeping mothers and babies together”, focusing on the expanded Baby Friendly Hospital Initiative (BFHI)  and maternity protection and support for working women. WABA’s Core Partners, participants and speakers from around the world will be sharing new technical knowledge and programmatic updates in the areas of the expanded BFHI maternity protection. Among the purposes of this meeting is to further collaboration with WABA’s Core Partners and other participants to plan and advance the common vision and strategic direction of the breastfeeding movement.

The Academy of Breastfeeding Medicine is a Core Partner and the physicians’ arm of WABA. ABM representatives will be actively participating in this forum looking for strategies to help promote effectively the expanded BFHI among physicians around the world. Physicians are key care providers to increase the BFHI and achieve the Innocenti Declaration goals globally. All ABM physicians should enthusiastically embrace the tenets of the Innocenti Declaration as the premium policy for infant and child health promotion and a necessary public health strategy around the world.

We invite all ABM members to sign the ABM/WABA Physician’s Pledge to Promote, Protect and Support Breastfeeding. The Physician’s Pledge is a vehicle for all physicians to declare their support for the Innocenti Declaration Goals and to “go on record” as a breastfeeding-friendly practitioner. Please fax your signed Physician’s Pledge to ABM at its USA headquarters, 914-740-2101, or mailed to: Academy of Breastfeeding Medicine, 140 Huguenot Street, 3rd floor, New Rochelle, New York 10801, USA.

Ana M. Parrilla-Rodríguez, MD, MPH, is a public health physician, breastfeeding researcher and clinician, and associate professor of the Maternal and Child Program at the University of Puerto Rico School of Public Health. She is a member and a Fellow of the Academy of Breastfeeding Medicine.
Posts on this blog reflect the opinions of individual ABM members, not the organization as a whole.

Written by Ana Parrilla-Rodríguez, MD

October 27, 2010 at 10:35 pm

Why ‘Beetlejuice’ is a losing argument to bolster breastfeeding

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I’ve been thinking a lot about Similac’s recent recall of 5 million cans of formula thought to contain beetle parts, and what it means for breastfeeding advocacy. At first blush, it looks like a slam dunk argument to encourage more moms to breastfeed. Faced with a decision between bug-part-tainted powder and mom’s milk, surely more moms will want to breastfeed. Read the rest of this entry »

Written by astuebe

October 8, 2010 at 8:31 am

The Breastfeeding Cheerleader

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Support of our peers is important in so many aspects of our life, and for women it is very true for the new mother who is breastfeeding.  As we celebrate The Ten Steps to Successful Breastfeeding this week, we can’t forget the importance of breastfeeding support after the mom leaves the hospital with baby in tow. Read the rest of this entry »

Written by NKSriraman

August 3, 2010 at 8:26 pm

Celebrating Skin to Skin

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In honor of World Breastfeeding Week, I wanted to write something about the importance of skin to skin contact for mothers and babies at delivery. As a practicing OB this is something I try to encourage.

I believe that skin to skin contact immediately following delivery should be routinely practiced for healthy mother infant dyads with term deliveries. This helps support the “10 Steps” as it encourages breastfeeding initiation within the first 30 minutes after delivery. Much of the medical technology involved in childbirth helps us recognize when problems occur. It can also help us recognize when mothers and infants are healthy at birth. This should be the expected situation for normal birth. Read the rest of this entry »

Written by vpdn

August 2, 2010 at 6:07 am

Posted in policy, The Ten Steps

Running a road race without shoes

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Imagine you are running your first marathon. You’ve been training for months, and you’re looking forward to the sweet satisfaction of crossing that finish line.  When you arrive at the start, you are dismayed to discover that you didn’t register for a “runner-friendly” race.

An official confiscates your shoes and your water bottle. “We recommend that you run 26.2 miles today,” you are told. “Good luck.”

It’s an absurd way to start a marathon. And if you’re a mom who planned to breastfeed and birthed in an American hospital, it also sounds familiar.  Breastfeeding after an American birth is disturbingly similar to running a road race without shoes. Read the rest of this entry »

Written by astuebe

August 1, 2010 at 9:44 pm

Posted in policy, The Ten Steps

How will you celebrate the Ten Steps?

with 4 comments

This summer, the World Alliance for Breastfeeding Action is celebrating the Ten Steps for World Breastfeeding Week. Less than 3% of US hospitals have implemented these maternity care guidelines, but globally, the Ten Steps have transformed care for mothers and infants, empowering mothers to achieve optimal infant feeding.

The Ten Steps comprise the criteria for the Baby Friendly Hospital Initiative, a World Health Organization program that recognizes birth facilities that provide high quality breastfeeding care. Worldwide, 20,000 maternity centers have adopted the Ten Steps since Wellstart and UNICEF executive director James Grant coined the term “Baby Friendly Hospital Award” in 1991.

Read the rest of this entry »

Written by astuebe

May 25, 2010 at 8:54 pm