Tuesday, August 11, 2009

Breastfeeding reduces cancer & other myths

It was widely reported that a study this week found that breastfeeding reduces breast cancer risk, especially in women with a family history of the disease.

Don't be fooled: this is a myth.

The truth is that women who do not breastfeed have a higher incidence of breast cancer. They also have a higher incidence of ovarian, endometrial and uterine cancer - in addition to passing on that increased risk to their daughters and grand-daughters. You'll rarely see the headline you ought to see about breastfeeding, though we have few compunctions about telling parents that they will harm their children by not putting them in carseats or failing to keep them active.

So here are a few more 'myths':
- Breastfeeding reduces your baby's risk of obesity, Type I and II diabetes and childhood cancers.
- Breastfeeding reduces Mom's risk of Type II diabetes, high blood pressure and cardio-vascular disease.
- Breastfeeding promotes optimal palate development, decreasing sleep apnea and other disorders.

Here's the truth:

- Formula-fed babies are at greater risk for obesity, Type I and II diabetes and childhood cancers. These are serious conditions that can result in disability and premature death.
- Not breastfeeding increases your risk of Type II diabetes and cardio-vascular disease. In addition to the attention required in the management of the disease, the risk of complications means you're less likely to be rocking your grandbabies and chasing them through the park.
- Bottlefeeding causes the palate to be malformed, increasing the risk of debilitating and possibly life-threatening conditions like sleep apnea. These conditions are life-long and are incurable, though treatable.

Maybe it seems like semantics to you... but it's important. Mothers who go to extraordinary lengths to breastfeed their babies often have to also contend with family and health care providers who don't "see the point". While we talk a lot about how breastfeeding is a foundation of good health, there are major systemic barriers to success for the nursing pair - birth practices, sleep practices, maternity leave... these are big, broad issues that get white-washed in the "breast is best" message. Diane Wiessinger has done some great work in talking about breastfed being 'normal fed' and is a worthy read for anyone interested in how language affects our view of breastfeeding and how to address it.

Think about it next time you see a health headline.

Saturday, August 8, 2009

New Baby Oatmeal Cookies

To close off U.S. World Breastfeeding Week, I thought I'd post this recipe - especially since I just made a batch for a friend's newest addition. Well, for mom, not the baby - just breastmilk for her!

These ones have oatmeal for more milk, whole-wheat flour to keep things moving, walnuts for healthy fat and finally blackstrap molasses and raisins for renewing iron lost at birth. For fun, you can throw in some fenugreek or flax seeds. I don't think any of the quantities here are therapeutic, but wholesome cookies are a great, eat-with-one-hand snack for a new mom. Much better than flowers - believe me.

2 cups whole-wheat flour
2 cups oatmeal (large flake is best, but any kind other than instant is ok)
1 teaspoon baking soda
1 teaspoon baking powder
1 teaspoon salt
1 cup brown sugar
1/4 cup tablespoons blackstrap molasses
3/4 cup butter
2 eggs, beaten
2 teaspoons vanilla extract
1/2 cup chopped walnuts
1/2 cup raisins
2 tbsp. fenugreek seeds and/or flax seeds (whole)

Preheat oven to 350F. Mix together flour, oatmeal, baking soda, baking powder and salt. Cream brown sugar, molasses and butter until well blended - add 1 eggs one at a time. Add vanilla and mix well. Add dry ingredients and combine. Add walnuts, raisins and seeds if using. Drop by heaping teaspoonsful on ungreased baking sheet - bake 12-14 minutes until golden. Makes about 3 dozen cookies.

Thank you Canadian Family!


Tom was very enamoured with his Staedtler prize pack - even though he fell asleep on the way home from Ontario Place, I couldn't wrench those coloured pens from his grasp. Isabelle is also enjoying her 'professiondal' pencils and has been creating lots of artwork!
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Wednesday, August 5, 2009

Wordless Wednesday - Breastfeeding Goddess




How beautiful is this? Check out the site http://www.breastfeeding-art.com/ for the whole beautiful series.



NB: All images are subject to copyright and the property of Akarot Illustrations - see site for more on uses.


Thursday, July 16, 2009

Backseat Conversations

I: “Mama, I noticed that I don’t have earrings in my jewellery box.” (Yup, she’s sly.)
Me: “Well, yes, that’s true – you don’t have your ears pierced, so you can’t wear earrings.”
I: “Hmmm… I think it would be nice to wear earrings.”
Me: “Would you like to have your ears pierced?”
I: “Pierced??” as she checks her mental thesarus for what other possible meaning ‘pierce’ might have and comes up empty. “How do they do that?”
Me: “Well, they have to push a needle through your ear to make a hole. So they take a gun and press into your earlobe and shoot it through.” (Yes, I know I could have used a word other than gun, but that's what it's called.)
Silence. Clearly, the road noise must have caused a miscommunication, she thinks.
I: “They shoot it near your ear?” Hopefully.
Me: “No, through your ear – to make the hole.”
I: “NEAR your ear?” Nothing if not persistent, she is.
Me: “No, through your ear so the earring can go through – that’s how they stay in.”
I: “Does it hurt?” Ever hopeful.
Me: “Well, yes – though not for very long. But you have to put alcohol on it and turn them often so your ears heal without sticking to the earrings.”
Silence. Dejection.
I: “I think I will not have earrings, ok?”
Me: “Ok.”

Thursday, July 9, 2009

What kind of pump should you buy?

It seems like these days the breast pump has joined the ranks of baby registry basics: every new mother assumes that she needs one. Like most spaces where breastfeeding and consumerism meet, there are good and bad aspects to this.

The fact that it's automatic is a big YAY!: it means that breast milk is what mothers assume their babies will drink. But breast milk doesn't equal breastfeeding - and there are important benefits to breastfeeding that breast milk from a bottle can't replicate. One of the main ones is the ease of preparation and clean up.

Pumping has a place for mothers who have to be separated from their nurslings for longer periods. It also has a place for mothers for whom latching has proved challenging and nursing supplementers too cumbersome. And for some families, the typical suggestions on how to cope with night-waking and high-needs babies aren't practical or sufficient. In these cases where a mother is maintaining a full supply, a heavy-duty double pump is in order - and that's not a worthy 'just in case' expense (renting a hospital grade is the better option most of the time anyway).

I remember stinging at a speech that Jack Newman gave a number of years ago where he scoffed about the "silly contraptions" manufacturers were coming out with for hands-free pumping. Clearly, I thought, he's never had to pump every three hours around the clock for a baby in the NICU - hands-free pumping meant a lot to me. Not that I had proper hands-free set-up, but I got fairly good at balancing the bottles on my knees while I read trashy magazines to distract myself from the anguish in my heart.

But like all things commercial, what would have been helpful to me when pumping was a necessity has the potential to overreach. Most women who are planning to breastfeed have no reason at all to expect that they'll need a pump in the first few months of their baby's life. Unless they are planning on returning to work within the first month or so, pumping right away has very little benefit at a time when the focus should be establishing a balanced milk supply and good breastfeeding relationship. Stashes can be built, but not at the expense of those early moments.

For mothers who are able to take humane maternity leaves, pumping is even less important. Certainly, for those mothers, an electric pump is probably overkill and even a manual pump will fail to encourage that most basic skill that every lactating woman should have - manual expression. This is so important that I am stunned how few women are taught it, much less properly.

So much as I stung at his cavalier attitude, Dr. Newman had gotten a whiff of the direction in which things were going. Medela, previously one of the very few WHO-compliant gear companies out there, last year decided to take a different step and begin actively marketing bottles and artificial nipples directly to consumers. In the grand scheme, they're certainly no Nestle and they make quality products that have saved and prolonged many breastfeeding relationships.

But so few women are getting good information about breastfeeding - I mean really good information about the practicalities of the day-to-day, not just "Breast is best" - that these kinds of products flooding the market and making it on must-have lists really does have the potential to create a whole new set of breastfeeding problems. Oversupply from over pumping, nipple confusion/flow preference, plugged ducts and mastitis from poor pumping practice (IE: balancing the bottles on your knees can create uneven pressure that leads to plugged ducts) and ultimately breastfeeding ending earlier than nature intended. Maybe it ends earlier because the problems become acute and force the hands of the nursing pair or maybe it's simply because the connection in breastfeeding that evolves between mom and baby is interrupted and there comes a day when "breast is best" just isn't enough.

So, don't be surprised next time you ask "Which pump should I buy? (or "buy for her")" that my answer is no pump at all.