June 26, 2015 at 12:14 pm #5204Vanessa PrinzIBCLC
Hi! I wanted to get some discussion going here in the forums, so I thought taking some topics from Lactnet could be a way to get people talking. What do you think?
Here’s one from the most recent Lactnet post. I’m curious which pieces, if any, you disagreed with, or were uncomfortable with. Would love to hear everyone’s thoughts!
Date: Thu, 25 Jun 2015 17:13:51 -0400
From: “Sue Jacoby, IBCLC”
Subject: First Five California Book
I have just been shown a book from First Five California titled “Advice for New Parents.”
I’m a bit surprised by some of the content about breastfeeding. I would like some opinions.
Do not worry if breastfeeding is not easy at first. Give it a chance. Both you and your baby have to learn how to do it.
It is easiest to nurse if you can do so in a comfortable position where you are as relaxed as possible. Nursing is an important time for you and your baby. The cuddling and closeness is a special experience for you both.
Your baby should want to nurse at least eight to 12 times a day for the first few weeks. This is because breast milk is digested more quickly than formula.
Make sure your newborn’s nose is not blocked while nursing.
Usually your body will make as much milk as your child needs. The more your baby wants to nurse, the more milk your body will make.
Contact your doctor or clinic if you have concerns about how much breast milk you have for your baby.
It is very normal for your breasts and nipples to be very tender and even hurt the first few days. Your doctor can give you advice on how best to lessen this discomfort.
Some women experience leaking between feedings. For this reason, they may choose to wear special nursing pads to help prevent staining of clothes.
Before you go home from the hospital, you can ask the nurse caring for you and your baby for helpful tips on making breastfeeding a success. Once you are home, you may want to consult a breastfeeding expert if you have questions or concerns. Your doctor can refer you to these resources.
Breastfeeding is usually all the nutrition your baby needs for the first six months of life. After that, you can begin adding solid foods gradually. Your baby’s doctor can give you advice on how best to do this.
Be sure to ask your doctor before taking any medication or herbal medicines while breastfeeding, to make sure they are safe for baby.
Expressing Breast Milk and Storing
Some mothers, especially working moms, pump their breast milk by hand or with a breast pump so the milk is available at all times, even when mom is not present. This is a great way to continue nursing your baby even when the demands of everyday life take you away from being there all the time.
Some Things To Remember…
Breast milk can be refrigerated up to 48 hours.
Breast milk can be frozen up to three months.
Do not keep breast milk longer than the above times.
if some milk remains in the bottle after the feeding, do not keep it.
When it is Not Safe To Breastfeed
Even though breastfeeding is highly recommended, there are some circumstances when it is not safe for your baby.
Absolutely do no breastfeed your baby if:
You are HIV-positive or have AIDS
You have a problem with alcohol. If you consume more than a single, occasional alcoholic beverage, you should not breastfeed. Drinking an occasional drink is acceptable as long as you wait at least two hours before breastfeeding your child.
You take any drugs or herbs, unless approved by your doctor.
So. I’m having a hard time accepting that my tax money went to pay for this… and I will take your comments, and then see about making contact with First Five.
Sue Jacoby, IBCLC
CaliforniaJune 26, 2015 at 1:50 pm #5205SylviaFounder
Huh, I think it’s mostly OK. The only thing I would really disagree with is that I tend to say that milk can stay at Room Temp for 6-8 hours, fridge for 3-8 days, and freezer for 6-8 months. That’s way longer than they are saying.
What other differences in your practice do you do?June 26, 2015 at 5:43 pm #5206Vanessa PrinzIBCLC
I definitely wasn’t as offended by it as the Lactnet poster was. I did pick out a few things that maybe some breastfeeding advocates might be turned off by. I agree about the milk storage being very conservative. At my practice we tell moms to remember the #6: 6 hours at room temp, 6 days in the fridge, 6 months in the freezer, and that’s being conservative! I also think the alcohol and drugs part felt a little harsh. I think a responsible mom can have more than one drink occasionally (as long as she knows the parameters). Re the drugs, as long as the drugs are legal and to treat a particular ailment/condition (ie not street drugs) and she gets confirmation from a medical professional, they are not contraindicated during breastfeeding, they shouldn’t be listed along with HIV/Aids as a “do not breastfeed ever”. Without further elaboration on these topics, it could scare off some moms already on the fence about breastfeeding.July 16, 2015 at 4:46 pm #5302Sonya MylesIBCLC
I have a few issues with it. My main one is that you can ask your dr for all your help with breastfeeding, while we know most dr’s know nothing and give faulty advice. Babies need to eat 8 to 12 times a day because breastmilk is digested faster than formula? Um, even formula fed babies will need to eat 8 to 12 times a day if we use baby cues and not clock cues. How about formula is harder to digest and may make baby more unsettled after feeds. Bottle fed babies tend to overeat… this handout implies breastfeeding is hard and inconvenient, and uses language that normalizes formula feeding (breastmilk is digested faster than formula, breastmilk is the norm, formula is slower to digest, why, because it is harder for babies to digest it). It’s the angle they take I think that I don’t like. The absolute rules, the lack of personal choice, the wrong information regarding herbs and drugs (what exactly do they mean by herbs and drugs… does that mean I can’t use oregano on my pizza if I am breastfeeding?). I also think it is a mother’s choice to breastfeed her baby, HIV or not, there are ways to reduce risk, can we discuss those rather than issue strict rules about it? What happened to informed consent, don’t I, as a parent get to make an informed decision regarding my children and what I feed them? Can we have a list of the risks of formula feeding please? When I read this I think it was very carefully written by a formula company to make it seem as if they are promoting breastfeeding, when I think it undermines it. Not in an obvious way, but it has that effect none the less. It’s not a great handout, the more I read it, the more I dislike it, and I have to admit, if I worked in the area, it wouldn’t be used by me.
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