T oday - La Leche League
Transcription
T oday - La Leche League
NEWOnline magazine Premier Issue |05 | 2010 Mother and Child y a d o T Guatemalan-style The Breastfeeding Mother’s Nutrition Tinker to Evers to Chance NEW8th Edition Pre-Order Now! La Leche League The Beautiful! Breastfeeding Older Children Online magazine W E N Order your printed copy of Today from magcloud.com Click here! visit llli.org to access breastfeeding resources and information Today • Issue 1 • 2010 | llli.org Celebrating Mothers and Babies Around the World TABLE OF CONTENTS Today [06] Tinker [04] to Evers Mother and Child Guatemalan-style [08] The Breastfeeding Photo Rovonne courtesy of Sacha Blackburne, Bermuda Mother’s Nutrition ✪ ✪ [12] Mothers’ Stories 12 Becoming a Mother 14 The Gift 15 A Second Chance ✪ ✪ [16] La Leche League The Beautiful! ✪ ✪ [18] Book Review: Breastfeeding Older Children ✪ ✪ [20] ✪ ✪ [26] The Womanly Art of Breastfeeding: A Book that Changed My Life ✪ ✪ [28] Your Letters: Letters Page What’s Cooking: ✪ ✪ [22] Stealthy, Healthy Nutrition GlobaLLL : A look at what is Donors Making a Difference LLLI News: happening in LLL around the world ✪ ✪ [32] ✪ ✪ [24] Breastfeeding In the News: The Curious Lactivist llli.org | 2010 • Issue 1 • Today store.llli.org breastfeeding information The Womanly Art of Breastfeeding New 8th Edition Pre-order now and help make this helpful resources book a New York Times best seller! NOW – July 18, 2010! Click Here to Learn More! parenting forums online store for more information, call 800-LALECHE or go to llli.org The following products are available from La Leche League International. Shop with confidence that these items have been specially selected to help you on your parenting journey. La mère, le bambin et l’allaitement (Mothering Your Nursing Toddler) Mothering Multiples: Breastfeeding and Caring for Twins or More Breastfeeding Mother’s Guide to Making More Milk by Norma Jane Bumgarner Journaliste et monitrice de la Ligue La Leche, l’auteure remet dans un contexte d’ensemble la relation mère-enfant et l’expérience d’allaiter un bébé plus âgé ou un jeune enfant. by Karen Kerkhoff Gromada Preparing for a multiple birth, valuable information on breastfeeding and caring for multiples. by Diana West, IBCLC, and Lisa Marasco, IBCLC Latest research on the causes of low milk supply and the way the body makes milk. How to determine causes for low milk supply and effective methods for increasing supply. http://store.llli.org/public/profile/357 http://store.llli.org/public/product/217 http://store.llli.org/public/profile/362 L a L eche L eague I nte r national Celebrating Mothers and Babies Around the World EDITOR’S LETTER llli.org Today Issue 1 | 2010 | Volume 1 | Number 1 © 2010, La Leche League International, Inc. Managing Editor | Barbara Higham Contributing Editors | Kathy Abbott, Johanna Horton, Barbara Mullins, Lesley Robinson Review Board | Barbara Emanuel, Gwen Gotsch, Carol Kolar, Kathleen Whitfield Art Director | Ronnelito Larracas Cover Photo | Bill Muirhead Advertising Manager | ReNata Bauder Web Development | Dave Davis, Shelly Stanley Acceptance of paid advertisements does not constitute an LLLI endorsement of the product advertised. LLLI does not require advertisers to carry product liability insurance. Mailing Lists: LLLI sometimes makes its mailing list of members available to reputable outside groups. If you prefer Welcome to Breastfeeding Today! I’m delighted to introduce this first issue of Breastfeeding Today published by La Leche League International for breastfeeding mothers worldwide. This is an exciting time for LLLI—a new magazine and a new edition this summer of our cornerstone book, The Womanly Art of Breastfeeding. Bill Muirhead opens issue one with his reflections on the beauty and tenderness of the breastfeeding mothers he observes on his travels in highland Guatemala. He gives us a glimpse of a culture where breastfeeding is an everyday sight, and his vibrant photos celebrate the happy relationship between mother and child. When I first met La Leche League, I had already found my way as a breastfeeding mother. However, up until that point, I felt that trusting my instincts with regard to keeping my babies close, nursing on cue and cosleeping was perhaps a sign of weakness on my part. So I was encouraged to read more when at the first LLL meeting I attended, the Leader quoted a passage from The Womanly Art of Breastfeeding telling mothers not to be afraid to “give in” to their newborns because this was “good parenting.” The analogy was of fruit ripening on the tree, its source of nourishment, but spoiling if left on the shelf. When I read the book for myself, I was pleased to find throughout its pages an affirmation of a more gentle way of mothering. The new Womanly Art of Breastfeeding honors the spirit and warmth of the original while carrying it respectfully into the new century, with new information offered in a way that suits today’s mothers. In “Tinker to Evers to Chance” the co-writers who worked on the eighth edition tell us about their teamwork in conceiving and bringing it to fruition. Leader Anna Burbidge tells a story that will resonate with many mothers about how this iconic book changed her life. Professor Ted Greiner, PhD, tells us about the breastfeeding mother’s nutritional needs and provides helpful reassurance and discussion of what to consider during the time a mother is producing the “world’s only perfectly balanced food.” And on the subject of nutrition, don’t miss the tasty recipes we bring you in “What’s Cooking.” not to receive these mailings, notify LLLI. Mothers from India, Germany, and the UK share inspiring stories of their breastfeeding experiences. La Leche League International fully supports We look at what’s happening in La Leche League around the world in “GlobaLLL” and you can hear a song written by Alison Blenkinsop to celebrate LLL and the launch of Breastfeeding Today. the WHO (World Health Organization) International Code of Marketing of Breastmilk Substitutes. LLLI Board of Directors, (2009, 2010) Breastfeeding Today is published by La Leche League International Inc., PO Box 4079, Schaumburg, IL. 601684079 USA. Telephone 847-519-7730 (9 AM to 5 PM Central Time). Visit our Web site at llli.org. Canadian subscribers should contact LLL Canada at PO Box 700, Winchester, ON K0C 2K0, Canada, or go to www.lalecheleaguecanada.ca with any questions about subscriptions. Wherever you are, please share your stories, letters and photos with Breastfeeding Today. As mothers we share a universal experience and I am thrilled to hear from mothers in so many different countries and to know that La Leche League is supporting mothers and babies all around the globe. If English isn’t your mother tongue you might prefer to write in your own language and we’ll do our best to find a translator. Let us know whether you enjoyed the first issue and watch for issue two—Breastfeeding Today will appear every four to six weeks. I look forward to hearing from you! Barbara Barbara Higham | [email protected] Barbara is a La Leche League Leader and LLL magazine editor, who lives in the spa town of Ilkley, West Yorkshire in the north of England with Simon and their children, Felix (11), Edgar (8) and Amelia (4). Coming in issue 2: Infant Sleep, Breastfeeding and Bed-Sharing by Professor Helen Ball, Parent-Infant Sleep Lab, Department of Anthropology, Durham University, UK. llli.org | 2010 • Issue 1 • Today Bill Muirhead 04 Mother and Child Bonnie photos andcourtesy Ruby photo of Billcourtesy Muirhead of Lisa Trocchi A few years ago my friend Ursula asked me, “If you really want your photography to document the culture, lives, and beauty of the Maya, then why don’t you take photos of mothers breastfeeding their babies? It’s everywhere,” she said. Of course, she was right: in the back of every pick-up truck, every bus, in every field, with women washing clothing, weaving, gathering or carrying firewood, or buying or selling in the market; everywhere: breastfeeding. I responded that I thought breastfeeding was a private affair between mother and child, which I had no right to invade. I left congratulating myself that my answer was a good one. I even retold the anecdote a few times in self-satisfied manner convinced of my correctness. But, of course, I was wrong. My attitude soon changed. August 15th is the principal day of the feria of Sololá, the most colorful event of my photographic year. To the entire Catholic world it is the feast day of the Virgin of Asunción (the patroness of the city of Sololá). Day or night, rain or shine, I walk with the processions. Once at a pause Today • Issue 1 • 2010 | llli.org in the procession that day, a cofrada of the cofradía (religious brotherhood) of San Antonio asked me to take a photo of her seated in front of the Saint next to her antique incense burner. She was nursing her baby girl while her eight or nine-yearold son smiled on. Her expression was rapture. Later, when I gave her her photos, she cried. Breastfeeding and motherhood have been photographic themes of mine ever since. The tenderness between the Mayan mother and her child is compelling. The Mayan mother loves these photos dearly too, and she approaches my camera without reservation or reproach—to the contrary, with pride. There is no stigma to breastfeeding in highland Guatemala. It’s part of the culture. Bill Muirhead 05 Guatemalan-style From their mothers’ backs, babies meet the market with all of its sights and smells and vibrancy. From the vantage point and security of perraje or tzute, they see the world and participate in adult conversation. I have seen a child of one mimicking her mother picking coffee, two-year-olds washing onions, and two or three-year-old girls washing clothing in a stream or at the lakeshore. Children participate at an early age in the sustenance and economy of their families and are generally loving and well adjusted. photos courtesy of Bill Muirhead I laud the Mayan method of motherhood. What one notices first about Mayan children is that they rarely cry. When an infant does so, the reason is obvious, and his cries are quickly quelled. Beyond infancy, however, children rarely cry. Mayan babies go with their mothers everywhere, wrapped on mother`s back in long rectangular perrajes (rebozos) or square tzutes of woven cloth. They accompany their mothers to the fields to plant onions. They go with their mothers to gather firewood in the mountains, to fetch water in the lakeshore, and to wash clothing in the public pila. Bill Muirhead came from rural Illinois, USA to the Lake Atitlán region of Guatemala in 2004 with a keen interest in the daily lives, labor, farming practices and customs of the Maya who live there. His photos record the lives of Lake Atitlán residents from virtually every town in the surrounding area. This article is an extract from Madonna and Child Guatemalan-style with selected photos from his soon to be published book, The Lords of Lake Atitlán, which explores eight important themes of Mayan culture lakeside. http://lordsofatitlan.com llli.org | 2010 • Issue 1 • Today The Womanly Art of Breastfeeding 06 Tinker Diane Wiessinger, Diana West and Teresa Pitman Tinker to Evers to Chance. Ever hear that phrase? Tinker, Evers and Chance were three American baseball players in the early 1900s who worked so well together, passing the ball from one to another to another, that eventually the phrase “Tinker to Evers to Chance” came to mean the smoothest possible teamwork. That’s what we hoped for when LLLI asked the three of us to write the eighth edition of The Womanly Art of Breastfeeding. We had known of each other for years, crossing paths online and at conferences, but we first met as co-writers in September of 2008 for a long weekend at Niagara-on-the-Lake, Ontario. We stayed at a cozy bed and breakfast with a screened-in porch and a table big enough for the three of us and our milk crates full of reference books. Our stack of Womanly Art editions included the original booklet format that the Founders collated at their kitchen tables in 1958. For three days, we talked and laughed nonstop, reading and re-reading, passing ideas back and forth, building a vision of what we hoped to create. We knew that The Womanly Art had been revised so many times that it no longer had quite the warm, motherto-mother feel that was so endearing in the earliest editions. At the same time, those early versions were written without the benefit of recent research findings. And the “voice” of today’s young mothers is, well, different from that of the twentieth century. So we and LLLI agreed that a fresh start was needed. A complete rewrite. A new, but not too new, edition—a beloved icon with a fresh face. Today • Issue 1 • 2010 | llli.org The Womanly Art of Breastfeeding 07 to Evers to Chance Sounds daunting, doesn’t it? But we trusted our deep love for the La Leche League philosophy and our many years of experience as Leaders and nursing mothers. By the end of the weekend, we had roughed out what we hoped to create in this new edition, what we wanted to add or change, and what the main messages were that we wanted to share. La Leche League International took our formal proposal to potential publishers. Back in our separate homes, writing went into full gear. We formed an email “brain trust” of longtime Leaders, new Leaders, and first-time mothers that we could tap for stories, insights, memories and practical hints. We began each chapter with a mother’s story. To highlight the timelessness of breastfeeding, the stories range from the mid-1800s to last year. But we also consulted experts on specific issues to make sure we were as current as possible. We hope we’ve honored the spirit and warmth of the original and carried it respectfully into the new century, with new information offered in a way that suits today’s mothers. And in the process, in typical League style, our work together has rewarded us with a strong and happy three-way friendship. Tinker to Evers to Chance—the smoothest possible teamwork. It really did work out that way. And we hope the final result will feel, to all our readers, like a winning combination. Diane Wiessinger MS, IBCLC, has been a La Leche League Leader since 1985 and works as a Lactation Consultant in private practice, in Ithaca, New York. She is the author of many articles about breastfeeding, as well as being a popular speaker. Diane began her studies observing animal behavior over 30 years ago. See her collection of “Common Sense Breastfeeding” handouts http://www.normalfed.com. Photo: (clockwise) Diana West, Diane Wiessinger, Teresa Pitman By June of 2009, LLLI had a contract with Ballantine Books (a division of Random House) and it was time to start writing. We realized the best way to begin was by reaching out to the people who started it all—the Founders. Happily, Marian Tompson agreed to spend a long weekend with us, this time at Diane’s parents’ log cabin in New York State’s Adirondack Mountains. Teresa couldn’t come, but she was there by phone and email. Evenings by the fire, dawns on the porch overlooking a misty lake, many long conversations about the origins of The Womanly Art, its philosophy and what has changed and remained the same with mothers and children in the past half century, all helped us find a “voice” that felt comfortable to everyone. Diane, Diana and Marian commemorated their time together by signing one of the logs in the cabin (and we’ll get Teresa’s signature there someday, too). Twenty-one chapters, three writers and seven months to deadline! We paired up differently for each chapter, writing, editing and bouncing it back and forth until the two of us were satisfied, then handing it off to the third. More bouncing back and forth, more versions, more tweaks, countless emails and Skypes and phone calls. A total of more than four hundred chapter drafts (thank goodness for the online matrix Diana created to help us keep track!), several Skypes way past midnight and an eleventh-hour fullbook “smoothing-out.” With three writers, there was always someone to break a tie, and that meant there were never any real disagreements. In the end, our words melded together so well that we really can’t tell any more where one person’s writing ends and another’s begins. Diana West BA, IBCLC, is an LLL Leader and a co-author with Dr. Elliot Hirsch of Breastfeeding After Breast and Nipple Procedures, with Lisa Marasco of The Breastfeeding Mother’s Guide to Making More Milk and author of the Clinician’s Breastfeeding Triage Tool and Defining Your Own Success: Breastfeeding After Breast Reduction Surgery. She lives with her three sons and husband, Brad, in the picturesque mountains of western New Jersey. Teresa Pitman has been a La Leche League Leader in Canada for 30 years, and is the mother of four children and the grandmother of four. She’s the author or co-author of 12 published books, including two on breastfeeding (with Dr. Jack Newman). Her new grandson, Keagan, was born in November last year (at home, like two of his three older siblings). He is the fourth child for Teresa’s daughter-in-law, Esmaralda, who is also an LLL Leader. llli.org | 2010 • Issue 1 • Today Ted Greiner 08 Today • Issue 1 • 2010 | llli.org © Veer Incorporated The Breastfeeding Ted Greiner 09 Mother’s Nutrition On the social networking Web site Twitter (my Twitter account name is “_breastfeeding”) I see mainly three types of posts relating to maternal diet during lactation: (1) women delightedly calling for more cookies, (2) bitter complaints that long periods of breastfeeding did not lead to any weight loss and (3) warnings that one has to avoid eating a wide range of foods that can cause symptoms in the nursling. and most graduate classes in nutrition when we are discussing obesity: “Super Size Me.” It is, of course, an exaggerated case study, but is full of good public health nutrition messages and warnings. One of the more shocking scenes is where the dietitian shows the filmmaker that, in spite of eating double his needs, nearly 5000 calories a day, his McDonald’s diet has failed to come even close to meeting his daily needs for most nutrients. ✪ ✪ Empty calories There can be no doubt that junk food, fast food, heavy consumption of snack foods high in refined carbohydrates, fat and salt and reduced exercise are the main cause of the shocking obesity epidemic that has gained momentum in the USA over the past 30 years. Probably, as has been true for me for much of my life, many readers are aware of and have largely ignored the concept of “empty calories.” But the bald, cold-shower truth is that every time we consume alcohol (7 cal/g), sugar and other refined carbohydrates (4 cal/g) and fat (9 cal/g), we are giving our body two choices: (1) nutrient deficiency or (2) having to eat much more to obtain necessary nutrients, risking weight gain. Refined carbohydrates have a rebound effect that makes us soon want more, depending on how much is eaten in what kind of meal, that is, how rapid the increase of the resulting insulin response is. Fat is somewhat better than it looks because some types are nutritious and even required (see below on DHA) and it does have an appetite-suppressing effect. So if you eat according to appetite (a good idea) fat in the diet may be useful, but high levels of refined carbohydrate in the diet are indeed linked to unwanted weight gain. Whole grains are unrefined carbohydrates and include brown rice and whole wheat flour. Be careful though because “wheat bread” may only contain some whole wheat. Look for 100% whole wheat; healthy bread does not feel like a sponge when you gently squeeze it. I show only one movie to all my undergraduate ✪ ✪ Making milk The lactation period, especially the first year, is a time when women not only have to recover from pregnancy and birthing, but they have to manufacture and provide the nutrients and energy contained in the world’s only perfectly balanced food. Yes, you can eat more than you otherwise do without gaining weight. But no, filling those extra needs with cookies is not a good idea. amounts of natural, healthy food, high in dietary fiber and low in refined carbs, that provides the nutrients you need and stops you feeling hungry half the time and (3) not drinking calories unless they are in low-fat milk or occasionally in fruit juice (100 percent juice, not a juice beverage). From a purely biological perspective, weight loss is a rare crisis. Losing more than 10% of one’s body weight without intending to is usually a sign that we are dying of something very serious. During lactation is not a good time to try to lose weight. Like any biological process, there is much variation from person to person, but if you exercise and eat a healthy diet nature intends for you to lose the extra weight you put on during pregnancy during the few years nature intended for your child to get breastmilk. Nature’s goal is for us to attain a healthy weight as we grow up, if possible to put on a few extra pounds (or even kilos) to protect us, in case we are subject to short periods of famine, and then to more or less maintain that weight throughout our lives. ✪ ✪ How much extra should mom eat? The US Recommended Daily Allowance for a breastfeeding mother has long hovered around 500–600 extra calories a day, but there are so many factors to take into account that this is almost useless knowledge. How much food you need depends on how much breastmilk you produce (influenced by the baby’s age, whether you are breastfeeding exclusively in the first six months, and how intensive breastfeeding is after that), your body size and percentage of body fat, how much weight you gained during pregnancy, your age, how much exercise you take and whether your goal is to gain, lose or maintain your weight and how rapidly. Given all that variation, it would take a very detailed workup by a highly qualified dietitian to estimate how many calories you ought to eat. And let’s be honest, who sticks to such a plan for any length of time, even if she does all the hard work required to count all their calories honestly every day? I recommend ignoring calories and instead concentrating on (1) getting 30–60 minutes of moderate exercise daily, (2) eating adequate ✪ ✪ Does mom have to restrict her diet to avoid allergies in her breastfeeding child? The short answer, based on the evidence available right now, is no. The causes of allergy are still poorly understood. Particularly with respect to more severe lifelong allergies like asthma, it is just not clear what role breastfeeding and the maternal diet play during lactation. The UK National Health Service used to counsel avoiding peanuts while breastfeeding, but recently rescinded that advice because there simply was too little evidence that there was any impact. See http://tinyurl.com/2553jy5 If mother, father or siblings suffer from serious allergies you may want to avoid any foods known to cause symptoms. Otherwise, just watch for early signs of allergy in the baby (unexplained skin rashes, often on the cheeks). Some babies become colicky (lots of unexplained crying, usually at night), but that can have other causes. Then gradually eliminate one likely cause at a time from your diet. The baby’s symptoms will usually llli.org | 2010 • Issue 1 • Today Ted Greiner 010 ✪ ✪ Does mom have to restrict her diet to avoid colic in her breastfeeding child? It’s common on the Internet to read advice to breastfeeding mothers to avoid (or restrict) intake of caffeine, as well as garlic, broccoli, beans and dairy foods, to avoid gas in the baby. A colicky baby is no fun, but no one knows whether avoiding a wide range of nutritious foods like this has any substantial impact on the likelihood of your baby getting colic. We do know that restricting the diet so radically has an impact on the mother’s nutrient intake, so I would on the whole recommend NOT trying to avoid such a wide range of foods, even in the early months when colic is more common. © shutterstock.com ✪ ✪ Babies under six months need only breastmilk subside in a few days if you found the right one. I would start with fluid cows’ milk if you drink a lot of it. Other dairy products are much less likely to cause problems. Then, reintroduce the eliminated food to your diet to see if the symptoms recur. If so, you can be pretty sure you’ve found an allergen. You should avoid introducing that food to your child early in infancy and introduce it with great care later. One of the nastier lifelong types of food intolerance is to gluten, a protein found in high quantities in wheat and in lower concentrations in some other grains. Gluten intolerance or celiac disease, once it starts, never goes away, and it’s difficult to diagnose, especially in babies. However, it appears that the best way to reduce your baby’s risk is to introduce wheat to her diet while she is still getting a large amount of breastmilk. Today • Issue 1 • 2010 | llli.org Unfortunately, the ancients did not understand or adequately respect the concept of exclusive breastfeeding. In particular, the Humoral Theory—along with the similar concepts promoted by traditional medicine in India and China, probably the most widely shared belief system in the world until about a century ago and still widely influential—considers colostrum to be harmful and recommends such hazardous prelacteal feeds as honey. Probably because of this theory, it is still common in much of the world to use herbal teas to treat or even prevent colic and other symptoms. But the infant liver simply cannot cope with many of the substances in herbs that are perfectly safe after infancy, and the resulting mild to moderate liver damage may in turn be behind many unexplained cases of illness and malnutrition in infants. The bacterial spores in honey can cause fatal disease in infants because they don’t yet have stomach acid strong enough to kill them. Thus, preventing the use of honey, herbs, gripe water, and other traditional treatments for infants, especially in younger ones, needs to be a major goal for breastfeeding counselors in many cultures. ✪ ✪ The main public health impact of maternal nutrition during lactation relates to perceptions, not reality Warning a mother not to drink much alcohol during breastfeeding may lead to women deciding to avoid breastfeeding or to breastfeed less. Yet a message is needed because alcohol is slightly harmful to breastfeeding babies and to the breastfeeding process. The younger the baby and the more the mother drinks the greater the risks. The common advice to take a beer before each breastfeed is based on a myth—unless it’s alcohol-free beer, which may perhaps have some benefit. There is good evidence that mothers easily (and incorrectly) take on exaggerated beliefs that their breastmilk will be poor in quality or low in quantity because of their inadequate or poor diet. In some studies, this appears to be a major cause of early supplementation, especially with infant formula. This is one example of how easily a mother’s confidence can dip, especially in settings (which seem to me to be pretty universal) where women are already made to feel self-conscious about their bodies. I came across a shocking example when I did my first breastfeeding research in St. Vincent, West Indies, in 1975. In interviewing all women with one-year-old babies in two towns, I found that virtually all did non-exclusive breastfeeding for an average of eight months. (There was a local belief that breastfeeding ought to stop by nine months.) The most common supplement was glucose water, given to all babies born at the local hospitals. Its label claimed it was helpful against a long list of diseases. Most mothers also added some formula early in the baby’s life. When I asked mothers what would happen if a baby got nothing but breastmilk for five months, 40% were worried the breastmilk might not be enough, but 60% said it would be good. When asked why they did not feed that way, 60% said, “I couldn’t afford that.” They then showed me the brightly colored Nestlé brochure that they received from the Ted Greiner 011 local clinics. Its centerfold consisted of a photo of the meat, fish, milk and eggs, which made up the 3000-calorie diet they would need to eat to make good breastmilk. “So I just topped up with Lactogen,” or, “I realized that if I have to drink milk to make milk, I might as well give it directly to the baby,” they told me—an effect of the brochure that Nestlé was probably the only one to understand. Studies in both traditional and modern cultures have found that the perceived insufficient milk syndrome was the greatest barrier to exclusive breastfeeding. And the greatest cause is often What about quality? That’s a more complex picture. Levels of protein, lactose, most minerals, and some vitamins are relatively fixed in breastmilk. If the mother gets too little in her diet, she will suffer, but her breastmilk will not be affected. But there are a few exceptions of potential importance: ✤✤ Mothers rarely have enough vitamin D to produce breastmilk that will provide the vitamin D babies need. Sun exposure of mother and baby can help, but is not recommended because it is too difficult to know how much is needed without risking skin cancer. Safest is to give babies vitamin D drops. Mothers who do not want to do so might try taking a supplement of 4000 IU of vitamin D3 daily, which early research suggests is safe and adequate. See the following Web page on this complex issue http://tinyurl.com/viatmind © Beatriz Arce Venegas / 6o Puesto ✤✤ DHA can be low in breastmilk and the ratio of n-6 to n-3 fatty acids will also be too low in breastmilk if mothers do not consume enough in their diet. A European food safety agency recently recommended that breastfeeding women consume at least 200mg/day but one gram a day is probably wiser. Certain fatty fish are the only good dietary sources (salmon, sardines, and tuna are the most popular). Here again, supplements might be a good idea for many mothers. thought to be the mothers’ concern that they ate poorly or even just ate too much “snack food” to be able to make enough milk. I expect the perception that one’s breastmilk will either be inadequate in quantity or quality unless one can eat as well as the high-class mothers shown on breastfeeding posters (especially the ones sponsored by formula companies) is very common everywhere. The fact is that, although it’s not going to be good for anyone’s health in the long run to eat a poor diet, it has very little if any impact on breastmilk quantity. ✤✤ Vitamin B12 can be obtained reliably only from animal foods (including dairy products) and breastfed babies can develop severe deficiency and permanent nerve damage if levels are too low in breastmilk. Vegans should thus take supplements. ✤✤ Iodine and selenium are crucial minerals but, being highly water soluble, they easily wash away in large geographical areas. If there’s too little in the soil, then there’s too little in the plants and animals that live there. If a mother is deficient, she is likely to have too little in her breastmilk but, at least regarding iodine, the main harm to the baby already occurs during pregnancy. Since almost no one gets too much and the only really good dietary source is certain types of seaweed, we should all eat iodized salt. Selenium research is at too early a stage to know how common deficiency is or to figure out how best to prevent it besides eating a wide variety of foods coming from different geographical regions. The best dietary source is Brazil nuts. It is widely found in other plant and animal foods, including nuts, cereals, meat, fish and eggs. Conclusion We all need routine exercise and to eat healthy, natural food—a diet composed largely of vegetables, fruits, whole grains, legumes, low-fat dairy products and perhaps seafood. I have mixed feelings about including seafood in the list since some, especially freshwater fish in some areas and seafood from polluted coastlines, can contain levels of heavy metals and other toxins that pose a health risk. When it comes to breastmilk, nature is robust and your diet will not affect how much milk you produce and, apart from the exceptions mentioned above, will not have much effect on its quality. If you cannot afford to eat a healthy diet, or feel stressed to think about having to eat in a more healthy way during breastfeeding, it’s best to forget that for now (and the breastmilk quality issues above can be dealt with through supplements, which some, who can afford them, may find to be a less stressful approach). Just go ahead and breastfeed as much and for as long as you and your baby want to. You’ll be giving your baby the best food she can get, irrespective of what you eat. Ted Greiner, PhD, is Professor of Nutrition in the College of Human Ecology at Hanyang University, Seoul, South Korea. He was at Uppsala University Medical School in Sweden for 19 years, where he was Associate Professor of International Child Health. His main areas of research have been linked to unraveling the reasons for suboptimal breastfeeding and finding ways to improve things. Most of his and his graduate students’ writings are available in full text on his Web site: http://global-breastfeeding.org See http://www.llli.org/NB/NBmaternalnutrition.html llli.org | 2010 • Issue 1 • Today Mothers’ Stories 012 Becoming a Mother Effath Yasmin M.A., H.D.S.E., LLLL Mumbai, India I felt confident that some day I would make a good mother and dreamed of giving birth naturally and unassisted. Reality was quite different. I was unaware of my first pregnancy and was treated for illness, which was, I now know, a miscarriage. During my second pregnancy, I was taken to a nursing home with a suspected ectopic pregnancy. Although this did not transpire, after three weeks on bed rest, I suffered another miscarriage at ten weeks. To my disbelief, the doctor showed no sign of surprise or empathy. My husband and I felt vulnerable. stitched up to stop the progressing labor. I was on complete bed rest until I had an elective cesarean section, when I delivered a beautiful baby girl, premature by four weeks. We named her Zaara meaning “princess.” She was rated low on the Apgar scale and needed help to breathe. I just caught a glimpse of Zaara before she was taken away to the Intensive Care Unit, while I lay limp on the operation table unable to move. I realized I was just a spectator and felt my courage and confidence vanishing. Breastfeeding turned out to be challenging. Other than knowing the benefits of breastfeeding, I had little information, but I was determined, having my sister, Nikhath Tahseen, as a source of inspiration. I had witnessed her difficult start to breastfeeding and I felt her perseverance running through me. I feel strongly that if Zaara had been allowed to stay close to me after her birth, breastfeeding may have been established earlier. Medical procedures should be geared more to facilitate mother and baby togetherness. Her rapid heartbeat may have been calmed by just laying her close to me but instead we were separated for 26 hours and she was given a pacifier. Effath Yasmin & Zaara photo courtesy of Effath Yasmin I believe that hope and support surmount all challenges. My belief in God, the loving support of my soul mate and husband, Dan, and my family, especially my mother and my sister, Husna Sabahath, helped me through this time. I later conceived twins. A diagnosis of a bicornuate (or heart-shaped) uterus meant a high-risk pregnancy. I lost one of the twins at ten weeks—the doctor simply called this “a vanishing twin.” At five months, I had signs of early labor. Our doctor suggested an emergency cervical cerclage, so my cervix was Today • Issue 1 • 2010 | llli.org For three weeks I struggled through pain at each nursing session. I had no idea if this was how it was supposed to be. Then I found La Leche League International on the Internet. This was the beginning of a new chapter of my life. Leader Averil Martin was a source of great comfort and support. More than any technique or corrective measures I implemented in the following days to nurse Zaara, the fact that I had someone who would just listen to me made all the difference. A first lesson of mothering— patience, perseverance and loving guidance. With a low milk supply, feeling overwhelmed and frustrated, I needed to give Zaara formula to supplement her feeds. However, by six weeks, I was finally getting comfortable at nursing. My sense of achievement was great as Zaara was now exclusively breastfed. I pumped frequently to substitute breastmilk for formula milk in the bottle, while I struggled with improving her latch. My effort to increase my milk supply was constant. In conjunction with nursing on demand, I tried herbs and pumped after every feed. All my efforts paid off and finally I stopped pumping as Zaara got better at nursing. I continued taking fenugreek seed tablets that I made myself and asparagus granules (Dabur’s Shatavarex—Ayurvedic medicine). Zaara gained weight slowly but steadily. All along my mother was a big support. Although my mother had not nursed her babies for more than a few weeks, she believed in my determination. She stayed up several nights to take care of me and Zaara. My gratitude to her is deep and I feel blessed to have her as my mother. She has taught me perseverance, dedication and unconditional love. With time and closeness, I learned to recognize Zaara’s cues of hunger, when she needed comfort or when she was overstimulated. I better understood her needs and pre-empted them. Besides calming my baby instantly, breastmilk is her first aid kit. I have used it as a decongestant for clearing a stuffy nose and as eye medicine for a bruise. If I ever sense an onset of a rare tantrum, my best bet is nursing. Nursing has given us more opportunities to gather special moments every day between us as a family. I consider this a unique gift. Few things will match my sense of accomplishment when I see how sensitive and smart Zaara is growing up to be. Mothers’ Stories 013 Once I had a meltdown when I was overtired. Zaara nodded as if to tell me, “Don’t cry mama.” I was awestruck and enlightened by the complex interaction that goes on between a mother and her baby during nursing. An innate bond exists between the mother and baby, seeded early in the womb and it is significant enough to cause intense pain of separation due to a miscarriage. Nursing has provided that healing touch for the pain of my miscarriages. The deep intimacy feels so soulful. A beautiful smile comes on my little one’s face when she snuggles close for some quiet time with mama. It’s almost like falling in love—a heady experience. Effath Yasmin and family photo courtesy of Effath Yasmin My husband, Dan plays an important role. We were surprised by the changes to our lives when Zaara was born. I left my employment, choosing to be at home for Zaara and letting Dan care for us all. The supporting role of the father is as deserving of respect and appreciation as that of the mother is in nurturing the baby. I still remember the night after Zaara’s birth vividly. As I lay on the hospital bed feeling groggy and almost paralyzed, hearing Zaara screaming her little lungs out at the NICU, Dan stood beside her, touching her and providing all the comfort he could. Back at home, he sat up at night while I grappled with nipple shields, syringe feeding and a hand pump. He would encourage me to pump when I felt I could no longer do it. I have always appreciated his patience and understanding. He has put up with average meals, managed with undone laundry and coped with stress at work and at home. Even today Dan wakes up most nights to see if Zaara and I are comfortable. We have grown together and appreciate the benefits nursing has had on Zaara’s health and on us as a family. Our transition from a couple into becoming parents has been beautiful. As Zaara grows from infancy into childhood— at a much faster pace than we had anticipated— I have begun to understand how the love that we share will help me guide her and set limits. For the first few months Zaara needed to be held close constantly. Nursing gave me the closeness to understand Zaara better. This I see as a stepping stone to understanding her developing needs. I remember holding her all through her naps and most of the night for several hours at a stretch. Although many around me mentioned this might become a compulsion or a bad habit, I knew I was fulfilling her need. My understanding was right that when a need is met consistently it soon outgrows itself and, sure enough, Zaara did stop needing to be held while sleeping. I still carry Zaara around sometimes in a sling while I go about my work at home. I have begun to understand Zaara’s need for closeness increases at the onset of overstimulation, feeling unwell or tired, or just when she wants to be held close. My family seems surprised but also happy to see how connected Zaara is with me. They were impressed that she really listens to me. I realize my hard work toward parenting my little one with loving guidance has made such a huge difference in our lives. Zaara requires reassurance, guidance and redirection and nursing gave me a head start. I feel so humbled by this little achievement and recognize that this is just the beginning. This was a difficult story to tell. Painful memories crowded my mind in this journey of becoming a mother but one strong emotion emerges and promises to stay—my desire to help other mothers. Although my grief over my miscarriages, aspects of my pregnancy and early nursing remain unresolved I have drawn inspiration from LLL Leader Averil Martin and Ruth Malik, co-founder of Birth India. They inspired me to work hard to accredit as an LLL Leader and now it suffices my soul to hear several nursing mothers say, “Thank you for your help. You made a difference in my life.” This is just a beginning. There is still a long journey ahead in which I hope to touch many more lives and empower mothers with support and information. As Zaara looks coolly at us before she decides to dig into a socket or put something in her mouth, being right there to distract her or taking time to explain at that moment matters so much and seems better than constantly parroting, “No, No,” which might only impair her little exploring senses. llli.org | 2010 • Issue 1 • Today Mothers’ Stories 014 Not everyone has a mother who enjoyed breastfeeding her three children to encourage her, not everyone is given a copy of The Womanly Art of Breastfeeding to guide her through those tough first few weeks, so it’s understandable why some women turn to formula in difficult moments. I believe part of the problem is that for many of us “natural” has the connotation of “easy”; we are shocked to learn that there are ups and downs in the normal progress of breastfeeding. Another part of the problem is that the negatives of formula-feeding are not widely understood, no doubt because of careful marketing by formula companies. If someone is promising that an aspect of parenting will be worry-free, they’re probably trying to sell you something. Anna Earley photo courtesy of Anna Earley The Gift Rosanna Hanson, Stuttgart, Germany The moment came after the nurse shut the door. She had just spent the last five minutes struggling to explain that my new baby daughter, Emma, was jaundiced, but my understanding of German was poor and her English was limited. I looked down at my twoday-old baby and for the first time recognized how yellow she was. The powerlessness hit me like a wave: “I can’t take care of you,” I thought to myself. Minutes later, three nurses came in with a bottle of formula. “I want to breastfeed,” I told them weakly. I came to understand that they would not let me leave with my baby until the jaundice Today • Issue 1 • 2010 | llli.org had improved and she had gained weight. I watched as one nurse gave my daughter the bottle. Emma sucked the formula down eagerly as the nurses cooed at her. “She’s hungry,” one of them said. I felt my ability to mother sink silently away into the ground. A few days later, we left the hospital when Emma was a little less yellow. I had sore nipples and terribly engorged breasts, and I had packets of complementary formula tucked away in my hospital bag. Have you ever felt vulnerable as a mother? Looking back now, I am amazed that my daughter and I went on to have almost 18 months of exclusive breastfeeding together. When I talk with other women, I always recognize that moment in their stories, the moment when they lose confidence in their ability to provide milk for their baby, the moment they start to supplement. For millennia, it was normal for women to rely on each other for information and support when it came to breastfeeding, just as we often rely upon each other now when our baby is starting solids or is teething, or our toddler is potty training or throwing tantrums. Sadly, some of our breastfeeding expertise has been forgotten and, in a culture where women are encouraged to wear “hooter-hiders,” mothers can often feel awkward talking about a subject that is so normal. Luckily, La Leche League International shares information, educates about breastfeeding and offers support from mothers who have been through many of the same challenges that are part of the normal, beautiful gift we give to our children that is breastfeeding. A Second Chance Vicky Groombridge, Coventry, UK My baby, Toby, was born four months ago. Although I attended an antenatal clinic while I was pregnant I never really thought much about breastfeeding. I had heard it was common for women to find it difficult, but I assumed it would come naturally to me and never really considered alternatives. Vicky Groombridge photo courtesy of Vicky Groombridge I was induced at 37 weeks due to health concerns and, although my baby was perfectly fine and healthy when he was born, he was taken to the neonatal unit to be kept under observation for a couple of days. He breastfed immediately after delivery, but then I didn’t get to feed him for a day and he was fed through a tube. By this stage I was starting to get a little anxious about breastfeeding. He was slightly jaundiced, but I was told to feed him regularly and we went home after a few days. Mothers’ Stories 015 Within a week Toby had lost 15% of his birth weight and I was becoming increasingly concerned about the feeding. I didn’t experience the engorgement that you hear about when the milk comes in. I tried expressing and would only get a few milliliters at a time. We went back into hospital, where my baby was treated for jaundice with phototherapy and put on a drip to rehydrate him. I continued to express with a hospital-grade pump with very little success. After a couple of days we were able to go home again and my baby seemed much more alert and started to breastfeed well. However, after another few days all he was doing was sleeping and he was not waking for food. Although the midwife visited us and said everything was fine I was not convinced and went back to the Accident & Emergency department at the hospital. He had developed an infection, which we were told could be meningitis and he required a number of blood, urine and spinal fluid tests. We were terrified and, with the stress and exhaustion, I continued to try to breastfeed but my baby wasn’t interested, so again he was given formula. We spent five more days in hospital and I continued to express milk, still only getting a few milliliters. By this time my baby was three weeks old and I was convinced I had no milk and that I would not be able to feed my baby. I talked it through with a breastfeeding counselor at the hospital and we decided that the best thing for everyone would be to give up breastfeeding to ensure my baby recovered from the infection and started to put on weight. At the time I felt sad and guilty but also slightly relieved. Back home we settled into a routine of bottlefeeding, but day by day I became more and more upset by my decision. My baby would turn to me to try to breastfeed and I couldn’t believe that I couldn’t do it. After a week of not breastfeeding I deeply regretted my decision and contacted La Leche League, where I was offered the support and encouragement I needed. At the time I had no idea it was possible to restart breastfeeding once you had given up. I started by putting my baby to the breast as often as possible and before every formula feed. It was only a couple of days before I felt the milk coming in and my breasts started to feel full before feeds. I found I didn’t really have time to express as I was breastfeeding a lot of the time. Some afternoons I spent hours breastfeeding but I didn’t let this worry me and just sat down with a good book or a movie. I continued to supplement with formula, writing down the amount I was giving at each feed and gradually started to reduce it. In fact, as I was reducing the last bit Toby suddenly jumped up in weight so I realized he actually didn’t need the top-ups and that I just needed confidence that I had enough milk to feed him. Vicky Groombridge photo courtesy of Vicky Groombridge I am so pleased that I made the decision to give it another go. It has been hard work but never a chore. Every day I continue to feed Toby I feel amazed at what I’ve achieved. He’s now four months old and is a big, healthy baby. The feeds are much quicker and I can express enough for a feed in one go rather than it taking three or four sessions to get enough. I’m really grateful to La Leche League for giving me the support to enable me to persevere. The local breastfeeding clinic, my health visitor, my husband, my mother and my NCT (National Childbirth Trust) group have provided me with an incredible support network. P lease send your stories and photos for publication in Breastfeeding Today to [email protected] llli.org | 2010 • Issue 1 • Today Alison Blenkinsop 016 La Leche League The Beautiful! Alison Blenkinsop, IBCLC 1999–2009, is a musician, songwriter and associate member of Lactation Consultants of Great Britain. Alison has written the following song to celebrate the launch of Breastfeeding Today in tribute to La Leche League. Listen to LLL mothers in the UK in the Isle of Man and Folkestone singing the song here: http://tinyurl.com/LLLItheBeautiful Please send your performances of the song to the tune of your choice to Breastfeeding Today! Fit To Bust by Alison Blenkinsop, Pen Press Publishers 2008 is a comic treasure chest of songs, stories, photos and cartoons celebrating breastfeeding and motherhood. Its aim is to raise awareness of the value of mother’s milk and funds for Baby Milk Action, a nonprofit organization, which works to protect both formula-fed and breastfed babies and whose work La Leche League supports through IBFAN (the International Baby Food Action Network). The joy Alison takes in playing with words makes Fit To Bust a really entertaining read. Fit To Bust is available from www.lllgbbooks.co.uk ue g a e L e La Lech ful! i t u a e B The a gu e e L e h c s La L e r a e y 0 or 5 l a nd s , y n a m in n w o r g ba bes ha s e r u t r u y to n a w ’s e r . a nd na tu ersta nds d n u n ow ld r o w s feed t he r e h t o m e he l p s u g a e L e rea st, La L e c h b r i e h at t n e r d l i h love, t hei r c n i w o a y gr m s e i l i s o fa m s sed. e l b g n i we l l - b e e u r t wit h F Today • Issue 1 • 2010 | llli.org Book Review 018 Breastfeeding Older Children by Ann Sinnott, Free Association Books Review by Doris O’Connor, UK In this new book, Ann Sinnott explores the re-emergence in western society of the practice of breastfeeding older children and paints a unique picture of full-term breastfeeding. She draws on child development theories, research in neuroscience and anthropology, as well as survey responses she received from thousands of mothers, fathers and children from 48 countries. Parents and health professionals alike will learn from this book, which puts breastfeeding into its societal context as a global necessity. http://tinyurl.com/bfolderchildren Ann states that human infants are born with an evolved need to breastfeed for several years, something any mother who is nursing an older child will recognize. She examines full-term nursing from a historical perspective and the last chapter, which covers the origins of western culture and anthropologic findings, is fascinating, if a little challenging. The book is well referenced and researched and the voices of mothers, fathers and children resound throughout. As the breastfeeding mother of a five-year-old, I found myself laughing out loud, nodding along and, at times, getting cross with the voices I heard, when they mirrored my own feelings throughout my nursing relationship with my daughter. Ann explores why women choose to sustain breastfeeding for longer than the conventional norm, how society reacts, how fathers respond, the impact of full-term breastfeeding on couples and how nursing an older child fits in at the workplace. She explores the reactions of health professionals, including psychologists, and the relevance of John Bowlby’s attachment theory to sustained breastfeeding, together with what neuroscientists are learning about the effects on the brain of secure attachment. Photo Leanne and Grace (Credit: ©HiltonSanders Photography at Oulton, Leeds www.rugbybreastfeedingcafe.co.uk) Today • Issue 1 • 2010 | llli.org The reader becomes aware that there are, in fact, lots of mothers out there who are nursing their older children. This book will be hugely reassuring for them. It affirms what many mothers know instinctively—that their children need to nurse and to deny them this comes at a price to the individuals involved and society as a whole. In Ann’s own words in the book on page 167: Book Review 019 “I welcome Breastfeeding Older Children. I often talk to mothers who continue to breastfeed their older children but feel under pressure from other people to stop. Ann Sinnott provides valuable support by stating the benefits of sustained breastfeeding, and quoting mothers who have written to her from different parts of the world. She also shows how people who object to sustained breastfeeding have not given her rational justifications for their opposition. This is a unique book.” Naomi Stadlen, La Leche League Leader and author of What Mothers Do – Especially When It Looks Like Nothing http://tinyurl.com/2da3435 Doris O’Connor is a stay-at-home mother to eight children. They all live together with her husband, two dogs and three cats in a far too cluttered house, affectionately known as “the tardis.” She has been an LLL Leader for the last six years and a nursing mum for the last seven. Rovonne photo courtesy of Sacha Blackburne, LLL Bermuda “SOCIETY NEEDS WOMEN TO BREASTFEED Breastfeeding isn’t just a private matter—there are repercussions for the whole of society. Research has shown that breastfed children are healthier then their formula-fed peers and grow into physically healthier adults, and a growing body of research strongly suggests that sound psychosocial development is also founded on breastfeeding (see Ch 3). Physical and psychosocial good health established in infancy has a positive impact on public healthcare monetary costs throughout the life course of a breastfed individual’s life—and a benefit to every taxpayer. There are also health benefits for breastfeeding mothers, with similar societal impacts.” “At last, a writer who taps into the authentic voice of women who must fight to do what most mothers, since the dawn of time, took for granted. Ann Sinnott addresses the fact that children as well as babies need to breastfeed. She challenges the discrimination and even abuse that their mothers often endure. A stimulating, fact-filled book which will intrigue, enthrall and appall the reader.” Resources for Breastfeeding Beyond 12 Months http://www.llli.org/NB/NBextended.html http://www.llli.org/NB/NBtoddlertips.html Gabrielle Palmer, author of The Politics of Breastfeeding – When Breasts Are Bad for Business http://store.llli.org/public/profile/386 llli.org | 2010 • Issue 1 • Today Your Letters 020 Letters Page Allie Van Gundy and baby photo courtesy Allie Van Gundy Allie Van Gundy’s baby courtesy of A Van Gundy Theresa Garnett and Danny © 2009 Ben Fullerton (Credit © 2009 Ben Fullerton) ✪ ✪ The Lullaby ✪ ✪ Wearing Your Baby ✪ ✪ Baby Joins the Party I have been a La Leche League Leader since 1978 and have had the privilege of performing my family-friendly folksongs (say that 20 times fast!) for La Leche League International Conferences and LLL Area Conferences from Ohio to New Jersey. The folksongs I write emerge from repeated themes I have seen with women and their families, including breastfeeding, which often appear in my lyrics. I’d like to share these video demonstrations I made of how to put your baby in a sling. You don’t need to speak French to understand them. The music speaks to everyone. Here is a photo of me carrying my then nine-month-old baby, Danny, in a sling at my sister’s anniversary celebration. I must say, the position isn’t great, though. My shoulder should be centered between the fabric seam and the rings. I recently discovered a fascinating global community of ukulele musicians when I entered the Bushman World Ukulele Video Contest and posted “The Lullaby” on Youtube: http://tinyurl.com/LullabyKShaw I was inspired to write this song one night after sending my night-owl son, the one that used to keep me awake, off to work the night shift at the post office. The song offers a role call of night watchers across time and around the world who have kept vigil for loved ones or for duty. This lullaby, unlike some, is written for wakers, not sleepers, who may appreciate the company of music on a lonely night. Happy listening! Karen Shaw, Falls, Pennsylvania, USA Today • Issue 1 • 2010 | llli.org I hope you enjoy them. Pte Calllin: http://tinyurl.com/Pte-Calllin http://tinyurl.com/astharte2001 Allaiter en écharpe: http://tinyurl.com/Allaiteren-charpe Charlotte Yonge, Paris, France Theresa Garnett, Minnesota, USA S end your letters and photos to [email protected] A p r ize for the star letter! The star letter for Issue 2, 2010, will receive the new 8th edition of The Womanly Art of Breastfeeding! When mothers become grandmothers... LLL News 021 Grandparents around the world now have an online magazine and website just for them! Grand The ONLINE MAGAziNe foR GRANDpAReNTS GRAND is perfect for grandparents who want to... save articles, e-mail to friends or print out • Share their values and wisdom with the next generation • Make their time with the grandkids unforgettable • Learn what’s new since they last changed diapers La Leche League international is a GRANDpartner for Grandparents TM. Subscribe today with special code LLpRA1 and GRAND will donate $2 to support LLLi’s mission of building healthier families. Enjoy dazzling pages with video, podcasts and so much more one-year (12 issues) $7.99; Two-years (24 issues) only $9.99 order at www.grandmagazine.com. llli.org turn pages, just like a real magazine | 2010 • Issue 1 • Today LLL News 022 GlobaLLL: A look at what is happening in LLL around the world ✪ ✪India’s virtual LLL Group ✪ ✪La Leche Liga Österreich (LLL Austria) ✪ ✪LLL Belgique (LLL Belgium) La Leche League Pan-India has set up a virtual Group for mothers all around India. Members dial a local telephone number from their city and the calls are bridged by a conference call from Mumbai. This enables many mothers who do not normally have access to an LLL meeting in real life to talk to other breastfeeding mothers from the comfort of their own homes. LLL Leader Yasmin Effath helps keep virtual Group members in touch by regular emails. Any mother can join by clicking on the following link. http://groups.to/lllpanindia Has a revamped Web site www.lalecheliga.at National Conference May 28–30 in Eben (which is close to Radstadt). Issues a monthly online newsletter in French and English that reports research, details of LLL meetings and conferences, video clips and each time includes something charming or amusing that a child has said. Check it out here: http://tinyurl.com/22n7f3k ✪ ✪La Liga de La Leche de Euskadi (LLL in the Basque Country) ✪ ✪La Leche League of Bermuda ✪ ✪New LLL Group in Dubai Dubai has a new Group in Mirdif, Dubai. “We are working on publicity and promotion now to make sure as many mothers as possible know about our meetings,” says Group member Caroline. The Group attracts expatriate mothers who can find the extra support and companionship that in many circumstances family would have provided back home. If you are interested in attending the Group please contact: [email protected] Today • Issue 1 • 2010 | llli.org Euskadiko Esnearen Liga http://preview.tinyurl.com/index-archivos IV Simposium Internacional De Lactancia Materna Lactancia Materna y circunstancias especiales Bilbao Palacio Euskalduna Nov 15–16 2010 Is sponsoring the first annual Breastfed Baby Photo exhibit along with the Department of Health and Bermuda Hospitals Board as part of World Breastfeeding Week 2010 see http://tinyurl.com/27ms292 LLL News 023 ✪ ✪LLL France ✪ ✪LLL Great Britain ✪ ✪La Leche League of Central Lake County, Illinois, USA http://tinyurl.com/lrtdelallaitement LLL France has 345 Leaders and 181 Groups and is still growing! The publication of L’Art de l’allaitement Maternel—involving the adaptation and translation of The Womanly Art of Breastfeeding into French—was a huge joint effort, with about 30 Leaders and Leader Applicants (as well as a professional translator) actively working on the project. L’Art de l’allaitement Maternel was released in September 2009. It is sold in major bookstores, in “hyper” markets and in small local bookstores, as well as on the LLL France Web site www.lllfrance.org and in local Groups. It is a best seller in France and is already on its second printing. LLLGB is delighted to have more mothers than ever before who are interested in becoming LLL Leaders. Last year it accredited a record 37 new Leaders and this year expects a similar number. The Leaflets’ Team continues to produce up-to-date and beautifully illustrated new information sheets. The recent My Baby Needs More Milk concentrates on common concerns and making breastfeeding solutions a priority. Information about managing supplements when necessary provides helpful reassurance that supplementation short term need not spell the end of breastfeeding. My Baby Won’t Breastfeed is another new information sheet, which examines some of the problems babies may have establishing breastfeeding. You can order LLLGB’s information sheets at http://www.lllgbbooks.co.uk/ Local photographer, Krista Schumow of Shoot The Moon Photography has photographed LLL mothers and their children enjoying the breastfeeding relationship to illustrate a calendar for 2010. Photos Photo: shutterstock.com La Leche League International is seeking high quality digital photographs for use in various media. If you would like to submit a photo, you may send us a digital file of your work. Resolution: 300 (dpi = dots per inch) and Size: 5”w x 7”h Proceeds from the sale of the calendar will help fund breastfeeding education and support for the mothers and children of Central Lake County, Illinois. To order your copy visit http://laleche2010calendar.blogspot.com/ P lease send notification of your country’s LLL news, events and resources to [email protected] (Payment for photos: Unless specifically solicited by LLLI, photos are not purchased. If your photo is used, photo credit will be given.) Send digital file(s) to: [email protected] llli.org | 2010 • Issue 1 • Today Breastfeeding In the News 024 The Curious Lactivist Kathy Abbott, IBCLC, Boston, USA ✪ ✪ Time to finish our medicine! We’ve all done it. The doctor gives you a prescription of antibiotics to help you feel better and tells you to keep taking it until all the medicine is gone. But after a few days you feel a lot better and you find yourself forgetting to take your pills. Six months later you find the half-empty bottle in your medicine cabinet and you wonder if you should throw them out or keep them for next time. Meanwhile the surviving bacteria that your doctor had so gallantly tried to defend you from have now mutated into a newer form forcing doctors to scramble as they try to find a more powerful antibiotic to overpower them. (When penicillin was first discovered in 1945 it took only 45,000 units to cure the average bout of pneumonia. Today it takes at least 24 million units of penicillin to do the same job.) We’ve all done it; we’ve all neglected to finish our medicine. As with antibiotics, we are finding more and more evidence that the benefits of breastfeeding are also dose related. The longer a child is breastfed the stronger the benefits. In Australia, where one in five children struggle with mental health issues, a new study was recently released showing that not only is breastfeeding for more than six months associated with significant mental health benefits for the child but also that for each additional month of breastfeeding their emotional behavior improved as well. (“Breast feeding for over six months could aid mental health”*) These benefits could still be seen at ages two, five, eight, ten and even in fourteen-year-olds! More ©Sarah Powell/MORLEY BOSOM BUDDIES Today • Issue 1 • 2010 | llli.org importantly, the benefits remained after adjusting for social, economic and psychological factors and even early life events. Conversely, children who were breastfed for less than six months showed more signs of behavior problems that could be interpreted as aggression or depression. For years now we have made the mistake of marketing breastfeeding as a medicine, specifically an evidence-based preventative medicine designed to make babies healthier. Babies, not children. Like those powerful antibiotics we have long assumed that breastfeeding is a quick fix. A few short months should do the job. But babies grow quickly and the value of breastfeeding past a few short months has not always been as apparent. Part of the problem is that researchers haven’t been able to find the numbers of long-term breastfeeding mothers needed to make their studies worthwhile. There just isn’t enough data out there on the effects of breastfeeding for years as opposed to months. So instead of hard data we get conclusions that include little caveats like “for each additional month results improved.” But it is time to start looking at breastfeeding as a lifestyle benefit instead of a short course of treatment. It’s time to start talking about breastfeeding as a longterm, dose dependent contributor to wellness. We already tell heart disease patients that for the sake of their health they need to make lifestyle changes; that they need to eat right and exercise more. We know that this is the best preventative medicine we can give them. The same is true with breastfeeding. Breastfeeding In the News 025 Rather than talking about the benefits of a few short months, we need research that shows the risks of not breastfeeding for months and even (dare I say it?) years. Instead of saying that breastfeeding lowers risks of mental health problems in later life, we can and should be saying that breastfeeding for a shorter duration may increase the risk of mental health issues in our 14-year-olds! It’s time to stop looking for the quick fix. It’s time to finish our medicine. * Oddy, PhD, W.H., Kendall, G.E. PhD, Jianghong Li, PhD et al, The long-term effects of breastfeeding on child and adolescent mental health: a pregnancy cohort study followed for 14 Years, The Journal of Pediatrics, published online Dec 14, 2009. ✪ ✪ UNICEF Baby Friendly Initiative Research News Breastfeeding could more than halve a mother’s risk of metabolic syndrome, sometimes referred to as pre-diabetes, a range of symptoms that includes high blood pressure, obesity and cholesterol. Women who developed gestational diabetes gained even greater protection, with their risk cut by between 44 and 86%. The study of 704 women, all of whom were expecting their first child, looked at the development of metabolic syndrome in the 20 years after they gave birth. Study leader Dr. Erica Gunderson said: “The findings indicate that breastfeeding a child may have lasting favorable effects on a woman’s risk factors for later developing diabetes or heart disease.” The benefits did not appear to be due to differences in weight gain, level of physical activity or other lifestyle factors affecting health. The findings appeared in the February issue of the journal Diabetes. Support LLLI on Facebook! Become a member of the La Leche League International Facebook Group and support the LLLI Cause at www.causes.com/llli ✪ ✪ UNICEF http://tinyurl.com/JournalPediatrics “Baby tents” offer Haitian mothers a safe place to breastfeed PORT-AU-PRINCE, Haiti, February 18, 2010—Amidst the collapsed buildings and temporary camps of this battered city stand 12 special tents dedicated to providing mothers and their infant children a safe and calm place to breastfeed. www.TheCuriousLactivist.Wordpress.com Kathy Abbott as “The Curious Lactivist” likes to reflect on the ways that breastfeeding is presented in the news media. As a private Lactation Consultant and LLL Leader she is constantly learning from the women she works with and as the mother of a smart, vivacious, totally awesome 13-year-old daughter she is renewed in her faith that the next generation will most certainly get it right! Since you know that breastfeeding is the best infant feeding choice, this may be why you became involved with La Leche League International in the first place! Join other breastfeeding supporters around the world to share your story, promote the benefits of breastfeeding, and make a difference in the lives of families around the world who look forward to a rewarding and positive breastfeeding experience. VIDEO: http://www.unicef.org/emerg/haiti_52797.html The “baby tents” are run by Action Against Hunger, with support from UNICEF. llli.org | 2010 • Issue 1 • Today The Womanly Art of Breastfeeding 026 A Book that Changed My Life Anna Burbidge, Chair of La Leche League Great Britain When I was 19 years old I was overjoyed to be expecting my first baby and I felt completely ready to be a mother. Even though my own mother had given up breastfeeding after being told her milk was “too thin,” I assumed that all babies were breastfed at first. However, this was 1972 and I soon heard from the other women at my antenatal class how difficult breastfeeding was and how most of them did not even intend to try. The health visitor* did not help much as her talk on breastfeeding included displaying a tray of equipment and complicated washing routines involving boiled water and sterilized cotton wool. I was slim and amazed everyone by giving birth to a 9 lb 4 oz baby, whom it was assumed I would never be able to breastfeed. In spite of four hourly feeding routines, my baby being in the nursery at night and the usual ten days in hospital, things were going well. My daughter made contented noises and test-weighing showed she sometimes took four ounces of my milk although as I had no idea how much she needed I didn’t know this was good. I was upset when an auxiliary nurse told me I should stop breastfeeding as I was putting her off her bottle but it turned out she had got me mixed up with another mother, whose husband wanted her to breastfeed while she didn’t! All of a sudden I was at home with a new baby and feeling overwhelmed with the responsibility. I had no idea how milk production worked. I had been told to top up with formula until my milk increased. My health visitor came in with the words “Goodness, I’ve got a breastfeeder,” and proceeded to tell me to give a bottle at the 10 pm feeding to save up my milk until morning. After two nights of that I realized it wasn’t a good idea and, thankfully, I also resisted the advice that as she was such a big baby I could give her solids at two weeks! I was told there was one other breastfeeding mother in the village, but when I met her I found that she was still nursing her eight-month-old and I decided to give her a wide berth— whoever heard of a baby being breastfed for more than four or five months?! If only I had realized what good sense she spoke, but, sadly, the top up formula and four hourly routines meant that by 12 weeks my baby was completely bottlefed. I realized straightaway that I had lost something special and even asked if I could put her back to the breast but was told to forget it. I was determined that any future babies I would have Anna Burbidge photo courtesy of Anna Burbidge Today • Issue 1 • 2010 | llli.org would be breastfed for longer and one day I sent off for a couple of books on breastfeeding. Dr. Spock’s was the only childcare book I had read at that point. Looking down a long list I ordered two. One was called The Simplicity of Breast-Feeding and was positive and informative but still with an eye to routines and bottles of water. The other was La Leche League International The Womanly Art of Breastfeeding. Something about this book really spoke to me. I learned later that some women disliked what they saw as its sentimental style but it filled me with a sense of what mothering could be and I just knew, without any doubt, that I would be able to breastfeed my babies. The book was so warm and comforting, although there were a couple of things in it that I was unsure about. One was that it talked about sleeping with one’s baby—I had secretly done this but knew it was not approved of. The other was a mention of one mother who had nursed her twins until 11 months and 13 months. I thought this must be a printing error and should actually read 1 month and 3 months. The Womanly Art of Breastfeeding 027 joined LLL and happily breastfed her babies. Dani, Toby, Tamsin, Anna (in front, Thomas, Justin, Joella, Rebecca, Kris) photo courtesy of Anna Burbidge I was eight months pregnant with my second child when I saw a poster for an LLL meeting. I recognized the name from the book and was surprised—this Group was one of the first in Great Britain. I phoned up for details “just in case” and fate again intervened as there was a meeting the next evening and I was persuaded to go. I wasn’t just learning about breastfeeding though. Through LLL I learned so much about mothering. I learned to listen, to understand, to accept. I learned about respectful communication and ways of disciplining without smacking, which was all I had known before. I embraced the idea of the family bed, and I found ways to work from home to be with my children. I learned more about healthy eating, and I finally managed to have a home birth. In 1976 I helped set up an LLL Group and became a Leader Applicant but shyness meant it was 1983 before I felt ready to accredit as an LLL Leader. I took on various national jobs in the organization. When I left school, aged 16, I didn’t know it then but going to my first LLL meeting was going to change my life. It may sound corny but I really felt I had “come home.” I was among women sharing ideas which felt so right to me and they were breastfeeding their babies outside of their homes! I had fed my baby in the car once and thought I was doing something unacceptable. Without LLL I might never have discovered the joy of snuggling next to my children. I would certainly have been a harsher, less understanding mother. I may have returned to work outside the home instead of finding jobs that let me work with my children around. I have a different attitude to life as a result, a better understanding of people and a much broader knowledge. It is uplifting to know that I have played a small part in helping others to enjoy their mothering more. I always wanted a big family and finding LLL helped me to find true fulfilment as a mother of six. LLL philosophy has become a part of my life. Ultimately, all of this happened because one day I looked down a list of books and put a tick in the right box. That really was a book that changed my life! *In the UK in the National Health Service the health visitor is a qualified registered nurse, midwife, sick children’s nurse or psychiatric nurse with specialist My second daughter arrived and, with my new confidence and information, I no longer doubted my ability to breastfeed. In fact, having learned about breastfeeding on cue, I was rather disappointed that my baby often went three hours between feeds. I intended to nurse for six months, but that became nine months, then 12 months, then I just decided to carry on and was quite disappointed when at 16 months she made it clear she was weaned. My first son was born seven weeks prematurely and it was the information and support I got from LLL that enabled me to breastfeed exclusively. Every baby has a unique personality and feeding habits and my fourth, fifth and sixth babies all taught me something new. I nursed through a pregnancy and by now toddler nursing and beyond felt natural. My mother became a complete convert and said she wished I could have told her all this when I was a baby! My sister I became Publications Director and now, as Chair of LLLGB’s Council of Directors, I deal with media enquiries and PR. I represent LLL at events and meetings, sometimes traveling abroad, and I even manage to stand up and address a hall full of people at our annual conference. I have LLL friends in many parts of the world. These are all things that would never have happened if I had not found LLL. qualifications in community health, which includes child health, health promotion and education. Health visitors are particularly involved with families who have children under five. Anna Burbidge is the mother of six children aged from 16 to 36. She joined La Leche League to find breastfeeding support as a young woman in 1972, and has worked as a volunteer in many roles. She is Chair of LLLGB’s Council of Directors. Anna Burbidge photo courtesy of Anna Burbidge http://tinyurl.com/LLLGB-WAB I wanted to be a journalist but I didn’t have the qualifications. For LLL I began writing articles and reviewing books. I edited the national Leaders’ newsletter for six years. As the children grew up, I found what I had learned in LLL continued to help me through school days and difficult teenage years. It has enabled me to accept and respect the choices my adult children make. llli.org | 2010 • Issue 1 • Today What’s Cooking 028 Stealthy, Healthy Nutrition G ood nutrition means ✪ ✪ Here are some tips. eating a well-balanced ✤✤ I don’t know what it is about onions that make kids hate them so much. My kids will happily eat them as long as they can’t see them. Pureeing them before adding them to sauces and soups can help hide them, while still providing their wonderful flavor. and varied diet of foods in as close to their natural state as possible. ✤✤ Pureeing in general can help hide foods—this is the trick Jessica Seinfeld uses. Most vegetables will need to be cooked first before pureeing. A friend of mine snuck spinach into her daughter’s pancakes with great success. I created a spinach bread recipe (that follows) using this method. However, my spinach bread doesn’t hide it. Rachel Leon, Rockford, IL, USA Last year Jessica Seinfeld made a splash with her book Deceptively Delicious, full of recipes that sneak vegetables into one’s family’s meals. I’ll admit I didn’t like the concept. Don’t get me wrong—I’m all for sneaking in something healthy, but I hide things like flax seed and nutritional yeast. No, what I was against was the idea of offering meals that don’t appear to contain vegetables. If we hide vegetables doesn’t that create problems in the long run? If kids don’t realize they’re eating vegetables, won’t they turn their noses up when vegetables are offered in their regular colorful fashion and won’t they think it’s normal and acceptable to have a dinner plate without a single (visible) vegetable? But then a couple of days ago I found the big bag of beets I’d bought. They needed to be used and I found myself grinding them up in the food processor. Now what was I going to do with all these? Some members of my family likes beets (when they are sliced and cooked in a certain way) but there was no way I could get everyone to eat them. I looked in a cookbook for ideas and came across a chocolate beet cake recipe that said even “beet-bashers” would love the cake. I didn’t have the ingredients to make the cake, so instead I made my own recipe for beet brownies, going from a recipe I found in a different cookbook. (The recipe follows, lovingly named after my son.) Today • Issue 1 • 2010 | llli.org Photo: shutterstock.com The brownies were a hit! Everyone in my family gobbled them up. My oldest is the most adamant about hating beets, yet was the one who said it was “the best dessert he’d ever had” and begged me to make them again. I made them again tonight and told him my secret ingredient. His eyes bulged out, but then he shrugged and said, “They’re still good.” I still think the idea of always sneaking vegetables in isn’t the way to go. However I love the idea of adding extra nutritional value to things that could use it (like brownies) and sneaking in vegetables that my kids wouldn’t otherwise eat. Nutritionists agree it is important to eat a wide variety of fruits and vegetables. I’m now a convert to the idea of sneaking what my sons consider less palatable vegetables into baked goods in the interest of adding variety to their diets. ✤✤ Shredding is my preferred method. It might not hide the vegetables as well as pureeing, but this way you aren’t cooking the vegetables twice. (You are cooking the vegetable you are hiding first to puree it and then to bake the dish.) Shredded raw vegetables contain more nutrients. What’s Cooking 029 Photo: shutterstock.com Photo: shutterstock.com Isaac’s Beet Brownies Spinach Bread adapted from Maple Walnut Brownies in How it All Vegan! This savory bread goes well with pasta dishes and makes excellent garlic bread. 1 1/3 cup whole wheat flour 1/3 cup unsweetened cocoa 10 oz frozen spinach 1 cup boiling water 1 tsp baking powder 1 tsp salt 2 cup whole wheat flour 1 tsp baking powder 1 cup honey 1 cup water or milk 1 tsp baking soda 1 tsp salt 1/3 cup oil 2 tsp vanilla extract 1 tsp garlic powder 1 tsp oregano 4 T oil 2 tsp maple syrup 1 cup shredded beets Preheat oven to 350 degrees. In a large bowl, sift together flour, cocoa, baking powder and salt. Add the remaining ingredients and mix together until just mixed. Spoon into a lightly oiled 8x8 pan and bake for 25–30 minutes. Test with a knife to check if it’s done. Rachel Leon is an LLL Leader living in Rockford, IL with her husband, Alan and their three sons, Isaac (10), Adam (4) and Noah (2). She is involved in community activism and enjoys reading, writing and cooking. 1 egg beaten (or egg replacer) Preheat oven to 400 degrees. In a food processor, combine spinach and boiling water. Process until smooth. In a large bowl combine flour, baking powder, baking soda, salt, garlic and oregano. Add spinach and water mixture, oil, maple syrup and egg until just combined. Pour into a lightly oiled loaf pan and bake for about 25 minutes or until done. “What’s Cooking” is edited by LLL Leader Lesley Robinson. She lives in Ottawa, Canada with husband, Mark. Her three grown children have flown the nest. P lease send stories and photos to [email protected] llli.org | 2010 • Issue 1 • Today Pre-Order... New 8th Edition The Womanly Art of Breastfeeding NOW – July 18, 2010! Help Make this book a New York Times best seller Your order makes a difference – be a part of history! Paper Back Books will ship after July 13, 2010 eBooks Amazon Kindle Edition Questions? Mothering Matters New items store.llli.org Go Global with the LLLI International bag! made from 100% recycled materials. Reusable for groceries, to tote personal items, and to show your support for breastfeeding mothers and babies around the world! (Measures 13x13x5.) Medications and Mothers’ Milk by Thomas W. Hale, PhD New 14th edition, provides on-the-spot information on the impact of currently used medications on breastfeeding mothers and infants. Stillen: einfach nur stillen (Breastfeeding Pure and Simple) by Gwen Gotsch Vermittelt Ihnen genaue Informationen und vor allem die Begeisterung, die Sie brauchen, um Ihr Baby am Anfang und in den vielen kommenden Monaten zu stillen. http://store.llli.org/public/profile/350 USA g IL 60173 Road • Schaumbur HE Plum Grove 60 • 800.LALEC 957 North 30 • fax 847.969.04 847.519.77 Ca re Pla n for USA rg IL 60173 Road • Schaumbu ECHE Plum Grove 957 North .0460 • 800-LAL • fax 847.969 847.519 .7730 Mastitis It is usuallyof the breast. breast. 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If you have your La Leche to 2010, La Leche look at your baby. as he adjusts sure to contact © February comes concerns, be look at the clock, g specialist. , the milk that the questions or Tip 4: Don’t No. 10245 or other breastfeedin to get the hindmilk A Guid e to Pumping Your Milk Establishing ply Your Milk Sup LLLI Information Sheets (Tear-Off)* *Available in Spanish, and will be available in additional languages soon! provide easy-to-read, and research-based mothering topics/information for new moms. (50 sheets per pad) Encourage enough to nurse long and high in calories. on each Your baby needsof a feeding as it is creamy least 10 to 15 minutes at or start to flow, toward the end nurse from both breasts to “let down,” have to baby, if willing, the milk two or three minuteshad enough hindmilk usually suckled both side. It may take beginning. Babies who have If your baby the at the breast. the baby nursed especially in and may fall asleepnext feeding with the breast take one breast at the only relaxed bodies feeding, start like late preterm infants, are nursing frequently breasts at the small infants, just fine if they from last. (Often few days, and they do first a feeding the enough.) . suckling effectively League Leader your baby is of milk baby for signs Can you see removal. Watch tissue? depends on milklarge mouthful of breast a Are baby’s temples Milk production lower gum? you your baby have breast and their swallowing your milk? Do removal. Does These between your baby baby’s tongue swallows? Can you hear baby comes off the breast? from removing milk drained after moving as baby or your baby is breast has been of improper latch assessing weather feel like your be helpful in be an indicator questions may or cracked nipples may the breast. Sore breast. the positioning at Tip 5: Be sure © January 2010, No. 10238 Survivor Moms Mickey Sperlich, MA, CPM and Julia Seng, PhD, CNM Learn how sexual abuse affects women during pregnancy and childbirth and what you can do to help. Read excerpts from 81 women’s stories of birthing, mothering and healing after childhood sexual abuse. The book also includes some complete narratives, suggestions for working together during maternity care and beyond, resources and information from current research. Suitable for both caregivers and pregnant survivors, Survivor Moms will help anyone whose life has been touched by sexual abuse. Motherbaby Press, Paper, 246 pages $34.95 + S&H www.midwiferytoday.com/books/survivormoms.asp International in any manner not be reproduced International. League al sheet may This informationpermission from La Leche without written Brought to Earth by Birth For more information llli.org Harriette Hartigan This stunning collection of black and white photographs by one of the world’s master birth photographers celebrates giving birth and being born. Here is creation, lived by each of us. Through the poetry of photographs and the weaving of words, experience what birth means to you. Motherbaby Press, Paper, 96 pages $25.95 + S&H www.midwiferytoday.com/books/BirthPhotos.asp For more info and to order: motherbabypress.com www.midwiferytoday.com La Leche League ** Breastfed newborns their birth should regain days to two weight by 10 A baby who weeks of age. well should is not gaining a doctor. be checked by Tel: (541) 344-7438 (800) 743-0974 US/CAN Fax: (541) 344-1422 E-mail: [email protected] Donors Making a Difference 032 Give the Gi ft of Donors Making a Difference The Womanly Art of Breastfeeding! NEW 8th Edition Help a new mother and baby get the best start Every gift of time, money or talent to La Leche League International (LLLI) enhances the health and lives of mothers together by giving the and babies worldwide. We are grateful to the many donors gift of The Womanly Art who, through their generous contributions, have enabled LLLI of Breastfeeding today! to continue its mission of helping mothers to breastfeed through mother-to-mother support, encouragement, information, Click Here to learn more! and education, and to promote a better understanding of breastfeeding as an important element in the healthy development of the baby and mother. Here are some examples of how donors are supporting the work of LLLI around the world: ✤✤ A generous donation from the Isdell Family Foundation enabled LLLI to provide 10,000 New Mother Packets containing helpful breastfeeding information to over 30 hospitals and health care centers in the United States and to the Peace Corps’ breastfeeding program in Jamaica. La Leche League Leaders, such as Isadora Britton of LLL Red Mountain in Arizona, USA and her family, helped distribute packets to their local hospitals ✤✤ A grant from Great Britain’s Department of Health enabled LLL Great Britain to expand their Local Groups network in England so that more mothers have access to LLL support. ✤✤ LLL Mumbai, India received a contribution to develop a library of LLLI publications. The funding came from a private donor who heard about the expansion of LLL Groups in the city and wanted to provide a selection of breastfeeding and parenting books to support these Groups and the mothers they serve. ✤✤ An advertisement promoting LLL on a truck in Italy and one on bicycles in France were donated by individuals in appreciation for breastfeeding support, which they or a family member had received from local La Leche League Leaders. Do you have fundraising ideas to share or a story about how a La Leche League donor has made a difference for families in your community? Please contact us at [email protected] Today • Issue 1 • 2010 | llli.org NB_issue1_09.qxd:06Nov_DecNBƒ.qxd 4/16/09 his first joke. I remember the lows—the nipple pain; feeling overwhelmed by Oliver’s needs. But the hundreds of normal days, the thousands of warm, enjoyable but unmemorable feeds, fade into a blur. Attending LLL meetings and hearing about other mothers’ breastfeeding and parenting experiences have been brilliant. Over the past two and a half years I have gained so much from the mothers I have met through LLL. They’ve suggested tips for specific situations, changed some of my attitudes completely, and given me true empathy. Their experiences have helped me to recognize the truth in the phrase “this too shall pass.” This has really helped me to enjoy the good bits and cope with the rocky periods. I would like to say a particularly warm thank you to my local Leaders Ruth, Suzanne, and Barbara for their listening ears, helpful information, and, of course, their friendship. Joanne Whistler West Yorkshire Great Britain Adapted from a story in LLLGB’s Breastfeeding Matters A Gift from My Sister 1:23 PM Page 19 Sisters Diane and Jamie and their babies about it, just the basics, and thought that my baby and I would figure it out if it were meant to be. I didn’t talk to my husband about it much or have him read anything about it either. I remember him being very shocked when late in the pregnancy I announced that I would be exclusively feeding the baby; we would not be using bottles if all went well. I remember he was not too happy about it. Looking back now, both of us should have read a lot more and given a lot more thought to the subject. My sister and I were not breastfed. Our mom says it just was not something you did then. So, we had never really been around any breastfeeding mothers. We were never taught about it in school, and no one ever talked to us about it. I believe that my lackadaisical attitude toward breastfeeding during my pregnancy came from a lack of knowledge; knowledge (thank goodness) that my sister learned from a book and passed on to me. When my daughter was born, I had some complications, and it took seven days for my milk to come in—seven long days in which my husband and I were vigorously reading about breastfeeding. Our LLL Leader, Jeanette, was awesome, providing us with much needed support and encouragement. She even came to visit me at my house because I was too ill to leave. And, of course, I called my sister. At that point I was determined to breastfeed. Seeing what a positive experience it was for my sister made me all the more eager to nurse my own child. I am so glad that I did. My 11-month-old daughter, Madison, My younger sister, Jaime, has always LANACare Organic Wool been one to learn a lot by reading. So when she was pregnant, Jaime read and Nursinglearned Pads a lot about breastfeeding. She The Nursing Pads LOVE! joinedWomen a La Leche League Group in her Soothingly Soft Wool – absorbs moisture, areaMerino and established a wonderful breastkeeping skin feeding dry. Beneficial with vasospasms & relationship with her daughter, many common breastfeeding problems. Only 2 Erin. pairs needed byWhen most women. Natural lanolina month I became pregnant content provides antibacterial properties washabout after Erin was born, I asked –Jaime only occasionally with lanolin-replenishing soap. breastfeeding. She told me several positivesDelight about it and told me to look Imported by Danish Woolen up the number of my local LLL Group. Contact us for FREE brochure with wool sample! Shefax didn’t push878-6091 information on me. In Call toll-free 1-877-878-6089, (802) her quiet way, she just recommended I [email protected] • www.DanishWool.com read about it and decide for myself. I Also Importing Organic Wool attended one Clothing LLL meeting late in my pregnancy. I didn’t read a whole lot v2.1 - Aug 11 2008 APPROVED Aug 12 2008 “I am pleased to recommend Arm’s Reach as a wonderful nighttime attachment tool.” Dr. Wm. P. Sears, Author “The Baby Book: Nighttime Parenting” Baby sleeps snugly and safely alongside adult bed Converts to free-standing bassinet or changing table For information on the benefits of co-sleeping please go to www.armsreach.com The Mini Award-winning ARM’S REACH CONCEPTS, I NC Newborn to 23 lbs. Parenting (800) 954-9353 or (805) 278-2559 © 2004 Arm's Reach Concepts, Inc. ARM'S REACH, CO-SLEEPER, Mother & Child Logo and all other trademarks are stringently protected.All rights reserved. Patents pending. Just 20"x 34" of f loor space llli.org | 2010 • Fit Pregnancy and Issue 1 • Issue 1, 2009 • NEW BEGINNINGS 19