Archive for Breastfeeding

Medication use During Pregnancy & Breastfeeding

While avoiding medications when pregnant or breastfeeding is desirable, it is often not possible due to conditions such as asthma, epilepsy, or high blood pressure. Failure to treat such a condition may affect the health of both the mother and her infant.

Unfortunately for me, I have asthma, seasonal allergies, and severe food allergies. While I can “rough it” by eliminating my allergy medication in certain seasons (even though it is technically safe), I cannot chose to ignore anaphylactic shock after eating something cross-contaminated with peanuts. I have to take a Benadryl (or in worse cases, my Epi-Pen). Without it, I will eventually be hospitalized or dead. Now, I should say this. When pregnant especially, I am extremely careful about what I eat. Epinephrine crosses the placenta and may lead to a decrease in uterine blood flow, not to mention that congenital defects are associated with first trimester exposure. (source) Obviously, using my Epi-Pen is not desirable.

If you’re like me, you want to know what is absolutely fine, what is safe if you really need it, and what you have to stay away from no matter what. Well, here you go…The following are resources put forth by health professionals. Just be sure to access the correct list — what may be okay in nursing may not be true for pregnancy.

* The Safe Fetus website is database of worldwide medications (generic & trade) that provides information on the drugs’ indications, fetal risk, breastfeeding risk, and risk during pregnancy, according to the FDA.
SafeFetus

* The American Academy of Pediatrics maintains a list of drugs that are transferred into breastmilk.
AAP list

* FAQs on medication use during pregnancy and breastfeeding from Centers for Disease Control and Prevention
CDC FAQs

* Dr. Sears’ answers on taking medication while breastfeeding
Dr. Sears

* Drug and breastmilk interaction chart from Babycenter
Babycenter chart

* La Leche Leagure article titled “Medications and Breastfeeding”
LLLI article 1

* La Leche League article titled “Maternal Medications and Breastfeeding”
LLLI article 2

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The Best Breast Milk

I came across an interesting article in a current women’s magazine. According to a study in the British Journal of Nutrition, moms who ate more organic meat and dairy had higher levels of a fatty acid called CLA. CLA has been shown to boost immune systems in newborns and decrease the risk for eczema. You can read more about it here.

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La Leche League

In my breastfeeding “career” (those many years with a child at the breast), La Leche League has been an incredible resource for me. Now, I fully understand (and I have experienced it myself) that often when people hear La Leche League, they cringe and fear that those involved in the organization are so committed to breastfeeding that they forget the mother behind the breasts. While I have encountered one leader with that attitude, the people involved in the organization have been overwhelmingly helpful and encouraging.

The basic philosophy of La Leche League is summarized in the following statements:

  • Mothering through breastfeeding is the most natural and effective way of understanding and satisfying the needs of the baby.
  • Mother and baby need to be together early and often to establish a satisfying relationship and an adequate milk supply.
  • In the early years the baby has an intense need to be with his mother which is as basic as his need for food.
  • Breast milk is the superior infant food.
  • For the healthy, full-term baby, breast milk is the only food necessary until the baby shows signs of needing solids, about the middle of the first year after birth.
  • Ideally the breastfeeding relationship will continue until the baby outgrows the need.
  • Alert and active participation by the mother in childbirth is a help in getting breastfeeding off to a good start.
  • Breastfeeding is enhanced and the nursing couple sustained by the loving support, help, and companionship of the baby’s father. A father’s unique relationship with his baby is an important element in the child’s development from early infancy.
  • Good nutrition means eating a well-balanced and varied diet of foods in as close to their natural state as possible.
  • From infancy on, children need loving guidance which reflects acceptance of their capabilities and sensitivity to their feelings.

La Leche League leaders are mothers, just like us. They are well trained, having gone through training, required readings and mentoring by an established leader to earn their accreditation. They provide support in a number of ways. First, they run monthly meetings where nursing mothers gather, ask questions, and can see each other nurse in a safe, supportive environment. I have found wonderful camaraderie at these meetings and often, all a new mom needs is to see another mother nursing to gain the confidence she needs to continue in her journey.  Children are always welcome at meetings. Sometimes moms choose to come to only one meeting; sometimes moms choose to attend meetings throughout her entire pregnancy and nursing relationship. Either way is perfectly fine and acceptable. If you’d like to attend a meeting, know that you are welcome whether it is for one meeting or for many years. You can find your local meetings by clicking here and choosing your country from the grey bar just below the logo.

Leaders also provide breastfeeding support even if you don’t desire to ever attend a meeting. Leader’s phone numbers are listed and they welcome phone calls with breastfeeding questions and for those seeking support. Additionally, the La Leche League website offers a chat-style support and forums for asking questions. All questions will be answered by a La Leche League Leader.

I have found La Leche League to be a wonderful source of information and support in my breastfeeding season of my life.

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Beware of Babywise

babywise.jpg

Babywise is the popular name for the book On Becoming Babywise, which is a parenting regime authored by Gary Ezzo that teaches parents to “guide their baby’s day rather than be guided or enslaved to the infant’s unknown needs.” The book was self-published in 1993, as the secular counterpart to Ezzo’s religious materials for infants, Preparation for Parenting. Babywise was picked up by Multnomah Publishing in the mid-1990s, but then dropped in 2001, after publishers investigated medical issues related to the book and character concerns about Ezzo. Babywise is the first parenting guide that the American Academy of Pediatrics has publicly recommended against.

So yes, there is a lot to be concerned about. Let’s start with the author. Gary Ezzo has no medical background. He has no professional training in child development, medicine, or breastfeeding support. Ezzo, Growing Families International (of whom he is the executive director) and his publisher have attributed to him three different academic degrees that he does not have. Ezzo even stated in writing that he had an associate’s degree in business from Mohawk Community College in Utica, New York, even specifying a major and a grade-point average. He never graduated from that school, officials say (source).

Questions about Ezzo’s qualifications are relevant for two reasons. First, his lack of integrity should be a huge concern for the Christian community. 1 Timothy 4:16 says, “Watch your life and doctrine closely. Persevere in them, because if you do, you will save both yourself and your hearers.” Proverbs 10:9 says, “He who walks in integrity walks securely, but he who perverts his ways will be found out.” David said in 1 Chronicles 29:17, “I know, my God, that you test the heart and are pleased with integrity.” And Proverbs 11:3 says, “The integrity of the upright will guide them, but the falseness of the treacherous will destroy them.” As Christians, we must be committed to integrity!

Second, Ezzo’s infant feeding advice is inconsistent with standard medical recommendations. Both Babywise and Preparation for Parenting tell parents that not following his principles is a potential health concern and that the American Academy of Pediatrics (AAP) supports Ezzo’s recommended number of feeding times. On the contrary, the AAP does not support scheduled feedings and has issued an AAP Media Alert about the poor weight gain and dehydration that may result. The AAP stated that Ezzo’s program “outlines an infant feeding schedule inconsistent with AAP recommendations.”

What about the co-author Dr. Bucknam, you might ask. Well, Babywise is the secularized version of Ezzo’s Christian Preparation for Parenting material (now retitled Along the Infant Way). This was in its third edition before the first edition of Babywise was published and the medical content is the same. So, it seems as though Dr. Bucknam was simply added to give credibility to the program.

In addition to a lack of credentials, John MacArthur’s Grace Community Church, where the programs got their start, affirms in a public statement that the Ezzos’ teachings demonstrate “a lack of clarity on certain fundamental doctrinal issues,” “confusion between biblical standards and matters of personal preference,” and “insufficient attention to the child’s need for regeneration,” as well as a “tendency to isolationism.” Numerous Christian groups have expressed concern over Babywise and the Ezzos in particular because they consistently exhibited a pattern of cultic behavior, including Scripture twisting, authoritarianism, isolationism, and physical and emotional endangerment (source).

Aside from a lack of credentials and integrity, Ezzo’s materials are dangerous for babies. The following is from an AAP News article in 1998:

“Expectant parents often fear the changes a new baby will bring, especially sleepless nights. What new parent wouldn’t want a how-to book that promises their baby will be sleeping through the night by three to eight weeks? One such book, On Becoming Babywise, has raised concern among pediatricians because it outlines an infant feeding program that has been associated with failure to thrive (FTT), poor milk supply failure, and involuntary early weaning. A Forsyth Medical Hospital Review Committee, in Winston-Salem N.C., has listed 11 areas in which the program is inadequately supported by conventional medical practice. The Child Abuse Prevention Council of Orange County, Calif., stated its concern after physicians called them with reports of dehydration, slow growth and development, and FTT associated with the program. And on Feb. 8, AAP District IV passed a resolution asking the Academy to investigate “Babywise,” determine the extent of its effects on infant health and alert its members, other organizations and parents of its findings.”

There are so many resources out there on Babywise and the Ezzos. A few are included as links within the text and here are a few more:

Christianity Today article

Christian Research Institute article

Evaluating Ezzo Programs – extremely helpful site with tons of info including theological concerns of Babywise, statements by organizations such as AAP and Focus on the Family, as well as alternatives to Babywise; great resource!

Blog of former Ezzo Contact Mom

New Challenges Facing Gary Ezzo…

In conclusion, I found the summarizing thoughts made by the Christian Research Institute perfectly stated, “parents and church leaders…need to be aware of the risks associated with a teaching environment where Scripture is used out of context, questioning is actively discouraged, rules and schedules become part of one’s ‘testimony,’ even other Christians are considered ‘humanistic,’ division results, and the leaders do not seem to be receptive to constructive criticism.” Beware parents!

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Breastfeeding and Jury Duty

Senator Nancy Jacobs is sponsoring a bill in the state of Maryland which would allow breastfeeding mothers to be exempt from jury duty until the child turns 2. You can read more at WBAL or the Maryland State website.

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