Parents of "chunky" infant weigh in on health insurance reform

http://www.denverpost.com/ci_13530098

Oh, my! Crazy, Crazy!! My babies have been over 95% in height and weight. I can only imagine what our weight conscience society might do.... I'm afraid someone just might "put their baby on the Slim Fast diet" (or just withhold food) when they start solids.

Ay, Caramba!!

GRAND JUNCTION — Alex Lange is a chubby, dimpled, healthy and happy 4-month-old.

But in the cold, calculating numbered charts of insurance companies, he is fat. That's why he is being turned down for health insurance. And that's why he is a weighty symbol of a problem in the health care reform debate.

Insurance companies can turn down people with pre-existing conditions who aren't covered in a group health care plan.

Alex's pre-existing condition — "obesity" — makes him a financial risk. Health insurance reform measures are trying to do away with such denials that come from a process called "underwriting."

"If health care reform occurs, underwriting will go away. We do it because everybody else in the industry does it," said Dr. Doug Speedie, medical director at Rocky Mountain Health Plans, the company that turned down Alex.

By the numbers, Alex is in the 99th percentile for height and weight for babies his age. Insurers don't take babies above the 95th percentile, no matter how healthy they are otherwise.

"I could understand if we could control what he's eating. But he's 4 months old. He's breast-feeding. We can't put him on the Atkins diet or on a treadmill," joked his frustrated father, Bernie Lange, a part-time news anchor at KKCO-TV in Grand Junction. "There is just something absurd about denying an infant."

Bernie and Kelli Lange tried to get insurance for their growing family with Rocky Mountain Health Plans when their current insurer raised their rates 40 percent after Alex was born. They filled out the paperwork and awaited approval, figuring their family is young and healthy. But the broker who was helping them find new insurance called Thursday with news that shocked them.

" 'Your baby is too fat,' she told me," Bernie said.

Up until then, the Langes had been happy with Alex's healthy appetite and prodigious weight gain. His pediatrician had never mentioned any weight concerns about the baby they call their "happy little chunky monkey."

His 2-year-old brother, Vincent, had been a colicky baby who had trouble putting on pounds.

At birth, Alex weighed a normal 8 1/4 pounds. On a diet of strictly breast milk, his weight has more than doubled. He weighs about 17 pounds and is about 25 inches long.

"I'm not going to withhold food to get him down below that number of 95," Kelli Lange said. "I'm not going to have him screaming because he's hungry."

Speedie said not many people seeking individual health insurance are turned down because of weight. But it does happen. Some babies less hefty than Alex have had to get health endorsements from their pediatricians. Adults who have a body-mass index of 30 and above are turned down because they are considered obese.

The Langes, both slender, don't know where Alex's propensity for pounds came from. Their other child is thin. No one in their families has a weight problem.

The Langes are counting on the fact that Alex will start shedding pounds when he starts crawling. He is already a kinetic bundle of arm- and leg-waving energy in a baby suit sized for a 9-month-old.

They joked that when he is ready for solid food, they will start him on Slim-Fast.

Meanwhile, they made Alex's plight public on KKCO this week. They plan to appeal Rocky Mountain's denial.

If that doesn't work, they plan to take their case to the Colorado Division of Insurance.

"My gripe is not with Rocky Mountain," Bernie said. "It's with the general state of the health care system."

Nancy Lofholm: 970-256-1957 or nlofholm@denverpost.com

NADA COMO MAMÁ, NADA COMO MAMAR

Click here to watch this wonderfully inspiring YouTube video made in Spain.

Literally, this translates to "Nothing like mommy, nothing like breastfeeding." What a beautiful video about breastfeeding! One doesn't necessarily need to understand Spanish to understand the message being sent. I love the nursing toddlers and insightful thoughts from fathers, too. Worth watching! Can't wait to share this with my Spanish speaking breastfeeding group.


Just in case, here's the translation:

"If I told you a new formula has been released that increases your baby's
defenses, would you give it to your baby?

If I told you we can have free nourishment for the first six months of your
baby's life, would you believe me?

If I told you a company has patented packaging that keeps food ready 24hrs a
day, keeping all its properties, would you buy it?

That formula exists. That food exists. That company exists.

Breastmilk is the best nourishment for your baby. It adapts to suit all your
baby's needs, increasing his/her immune system. And besides, it is free.

Nothing like mom. Nothing like breastfeeding."

Tylenol Recalls

http://www.tylenol.com/page.jhtml?id=tylenol/news/subpchildinfantnews.inc

You may have heard that McNeil Consumer Healthcare (the makers of Tylenol) is voluntarily recalling certain lots of Children's and Infants' TYLENOL® liquid products that were manufactured between April, 2008 and June, 2008 in consultation with the U.S. Food and Drug Administration (FDA). The company is implementing this voluntary recall at the warehouse and retail levels, because examination of one of the inactive ingredients did not meet internal testing requirements. However, the packaged product, shipped to retailers by the company, has met all specifications.

These actions do not apply to Children's Tylenol Meltaways and Junior Strength Tylenol Meltaways. The voluntary recall applies only to select lots of Children's and Infants' TYLENOL® liquid products.

If you have any of the potentially affected products in your home and have questions you can contact the McNeil Consumer Call Care Center at 1-800-962-5357 (available Monday-Friday 8 a.m. to 8 p.m. Eastern Time.)

Parents and caregivers who have given the product to their child or infant and have concerns should contact their child's health care provider.

The full list of affected products is below. Consumers can find the lot numbers on the bottom of the box containing the product and also on the sticker that surrounds the product bottle. If you have more questions, please contact our consumer call center at 1-800-962-5357.

Cry it out (CIO): 10 reasons why it is not for us

by phdinparenting on July 5, 2008

Intuitively and instinctively, the cry it out (CIO) method (also known as sleep training or ferberizing or controlled crying) of getting a baby to sleep is not something I ever felt comfortable with. And as I did research on infant sleep, I learned about what normal infant sleep is and I also learned more about the reasons why the CIO method is harmful. There are numerous scientific and emotional reasons why we have chosen not to let our babies cry it out, which I have summarized below.
1. Cry it out can cause harmful changes to babies’ brains

Babies cry. They cry to let us know that they need something. And when we don’t respond to those cries, it causes them undue amounts of stress. Science has shown that stress in infancy can result in enduring negative impacts on the brain. Prolonged cries in infants causes increased blood pressure in the brain, elevates stress hormones, obstructs blood from draining out of the brain, and decreases oxygenation to the brain. Excessive crying results in an oversensitive stress system (likened to a faulty burglar alarm in one book) that can lead to a fear of being alone, separation anxiety, panic attacks and addictions. Harvard researchers found that it makes them more susceptible to stress as adults and changes the nervous system so that they are overly sensitive to future trauma. Chronic stress in infancy can also lead to an over-active adrenaline system, which results in the child using increased aggression, impulsivity, and violence. Another study showed that persistent crying episodes in infancy led to a 10 times greater chance of the child having ADHD, resulting in poor school performance and antisocial behaviour. However, if you consistently soothe your child’s distress and take any anguished crying seriously, highly effective stress response systems are established in the brain that allow your child to cope with stress later in life.

2. Cry it out can result in decreased intellectual, emotional and social development
At an American Academy of Pediatrics meeting, infant developmental specialist Dr. Michael Lewis presented research findings demonstrating that “the single most important influence of a child’s intellectual development is the responsiveness of the mother to the cues of her baby.” More specifically, other studies have found that babies whose cries are ignored do not develop healthy intellectual and social skills, that they have an average IQ 9 points lower at age 5, they show poor fine motor development, show more difficulty controlling their emotions, and take longer to become independent as children (stay clingy for longer).

3. Cry it out can result in a detached baby
Researchers have shown that although leaving a baby to cry it out does often lead to the cries eventually stopping, the cries do not stop because the child is content or the problem has been alleviated. Rather, they stop because the baby has given up hope that a caregiver will respond and provide comfort. This results in a detached baby. Detached children are less responsive, appear to be depressed or “not there” and often lack empathy.

4. Cry it out is harmful to the parent-child relationship
A child that is left to cry it out is less likely to turn to the parents in times of need. Being attended to as a baby is the most basic of needs and if a child learns at that point that she can count on her parents to respond to her needs, then she will also turn to them later in life when she needs their support. But I worry that if I leave my children to cry it out, then they will not see the point in reaching out to us if they have problems later in life and could try to deal with serious issues like bullying, drug addictions, teenage pregnancy, gambling problems, or flunking out of school on their own or turn to peers. Unfortunately, those problems are often too big for a teenager to be left to deal with alone or with peers and it can have disastrous results ranging from making poor decisions all the way to committing suicide out of a feeling of hopelessness.

5. Cry it out can make children insecure
Children whose caregivers are not consistently responsive and sensitive, often become insecure. Long-term studies have shown that secure individuals are more likely to be outgoing, popular, well-adjusted, compassionate, and altruistic. As adults, secure individuals are likely to be comfortable depending on others, can develop close attachments, and trust their partners. Insecure individuals, on the other hand, tend to be unsettled in their relationships, displaying anxiety (manifesting as possessiveness, jealousy, and clinginess) or avoidance (manifesting as mistrust and a reluctance to depend on others). Parents that use the cry it out method often do so because they are afraid that their children are becoming too dependent. However, an abundance of research shows that regular physical contact, reassurance, and prompt responses to distress in infancy and childhood results in secure and confident adults who are better able to form functional relationships.

6. Cry it out often doesn’t work at all
Some babies will not give in. They are resilient or stubborn enough that they refuse to believe that their parents could be so cruel as to leave them to cry to sleep. So instead of whimpering a bit and then drifting off to sleep as some supposed sleep experts would have you believe happens, they end up sobbing and sobbing and sobbing for hours on end. Some end up vomiting. Many end up shaking so hard and become so distraught that once their parents realize that CIO is not going to work, the baby is shaking uncontrollably and hiccuping, too distressed to sleep and too distraught to be calmed down even by a loving parent.

7. Even if cry it out does “work”, parents often have to do it over and over again
I can’t imagine putting my child through one or several nights of inconsolable crying to get her to go to sleep and I certainly can’t imagine having to do it over and over again. However, that is the reality for many parents. I hear people tell me that they always let their child cry for thirty minutes to go to sleep. Or that they have to start the CIO sleep training process all over again after each round of teething, each growth spurt, each developmental milestone.

8. Cry it out is disrespectful of my child’s needs
So-called sleep trainers will tell you that after a certain age, babies do not have any more needs at night. Some claim this is after a few short weeks, others after a few months, others after a year. Regardless of the age that is assigned to that message, to me it seems wrong. I’m an adult and yet there are days when I need someone else to comfort me. If I’ve had a really stressful week at work, if I’ve had a fight with someone that is important to me, if I’ve lost a loved one, then I need to be comforted. But how would I feel and what would it do to our relationship if my husband closed the door and walked out of the room and let me “cry it out” myself? I’m an adult and yet there are nights when I am so parched that I need a glass of water or I am so hungry that I need a snack. I’m not going to die if those needs are not met, but I am going to physically uncomfortable and unable to sleep soundly. If I were to let my child CIO, it would be like saying that his needs are not important and that to me is disrespectful. To quote Dr. William Sears on the sleep trainers, “Parents let me caution you. Difficult problems in child rearing do not have easy answers. Children are too valuable and their needs too important to be made victims of cheap, shallow advice“.

9. Deep sleep from cry it out is often a result of trauma
Babies who are left to cry it out do sometimes fall into a deep sleep after they finally drop off. And their parents and sleep trainers will hail this as a success of the CIO method. However, babies and young children often sleep deeply after experiencing trauma. Therefore, the deep sleep that follows CIO shouldn’t be seen as proof that it works. Rather, it should be seen as a disturbing shortcoming.

10. Our World Needs More Love
Rates of depression are skyrocketing. Violent and senseless crimes are on the rise. As human beings, we need to spend more time being there for each other, showing compassion, nurturing our children. Learning that you can’t count on your parents to be there when you need them is a tough lesson to learn that early in life and can be a root of many of the social problems we are facing today. I want to give my kids every chance possible of escaping depression and staying away from violence. And I’m convinced that nurturing them and responding to their needs at night, as I do during the day, is the first step in the right direction.
Those are our reasons for not using the cry it out method. What are yours?


Do you need some gentle sleep tips? See Gentle Baby and Toddler Sleep Tips
Sources:

The following sources were used in the development of this post:
Dr. Sears – Science Says: Excessive Crying Could be Harmful to Babies
Margaret Chuong-Kim – Cry It Out: The Potential Dangers of Leaving Your Baby to Cry
Paul M. Fleiss, M.D., M.P.H, F.A.A.P – Mistaken Approaches to Night Waking
Australian Association for Infant Mental Health – Position Paper 1: Controlled Crying
Alvin Powell – Children Need Touching and Attention, Harvard Researchers Say
Pinky McKay – The Con of Controlled Crying
Linda Folden Palmer – Stress in Infancy
Gayle E. McKinnon – CIO? No! The case for not using “cry-it-out” with your children
Macall Gordon – Is “crying it out” appropriate for infants? A review of the literature on the use of extinction in the first year
Elizabeth Pantley – The No Cry Sleep Solution (book)
Katie Allison Granju – Attachment Parenting (book)
Dr. William Sears – Nighttime Parenting (book)
Margot Sunderland – The Science of Parenting (book)

Jeannie Babb Taylor: The problem with breastfeeding

Here's a great read that has a lot of info. Jeannie did a great job with it!

(To read the article in it's entirety, click on this link or the one below.)

What if doctors discovered a substance so potent, it could prevent dozens of diseases and even reduce the risk of cancer? What if these benefits extended not only to those who partake of this amazing substance, but also those who serve it? If a pharmaceutical company had developed it, it would be a billion-dollar industry. Breast milk, though, is free. Without a visible profit stream, it also lacks a marketing team.

Numerous studies show that breastfeeding reduces cancer risks for both givers and receivers — yet the American Cancer Society (ACS) has no campaign statement on the importance of breastfeeding. One huge study (147,000 participants) found that American women could cut their breast cancer risk by 33% by increasing the lifetime average of breastfeeding from three months to thirty months, which is the worldwide average. The ACS concluded that significantly increasing breastfeeding duration was “unrealistic” and instead continues to focus on mammograms, cancer prevention drugs and other methods that put money in the pockets of physician groups and pharmaceutical companies.

Although breastfeeding has been shown to reduce sudden infant death syndrome (SIDS) risk by as much as 55%, the National Institute for Child Health (NICH) invests virtually nothing in breastfeeding education. Instead, the NICH organized the “Back to Sleep” campaign encouraging parents to put babies to bed on their backs. The first corporate sponsor of the Back to Sleep campaign was Gerber, a formula and baby food manufacturer. Is it any surprise there is no financial backing to promote breastfeeding as a SIDS prevention tool?

Breastfeeding contributes significantly to child health. According to the American Academy of Pediatrics (AAP) breastfeeding is “as important to preventive pediatric health care as promoting immunizations, car seat use, and proper infant sleep position.” Yet a recent AAP survey found that 45 percent of pediatricians who responded see formula-feeding and breast-feeding as equally acceptable. Once again, we can follow the money to understand this phenomenon. Doctors receive numerous samples, perks, and gifts from formula companies — a practice condemned by the World Health Organization (WHO.)

Formula makers are forced to give lip service to the superiority of breastfeeding. Yet these companies spend millions of dollars per year tripping up new mothers. They have inroads at the obstetrician’s office, the hospitals where babies are born, and the pediatrician’s office. Formula makers ensure that every mother goes home with a couple of cans of formula, so it will be available in the middle of the night when the baby is crying, she is exhausted from lack of sleep and she is vulnerable to the insecurities American society has pressed on her day after day. The result? Even though 70% of mothers start breastfeeding, within a few months the statistics have flipped. Only 11.3% of babies are still exclusively breastfed at six months.

It is difficult to blame American mothers for the failure to breastfeed, when everything is stacked against mothers from the start. Unlike women in most other developed countries, American women receive no paid maternity leave. Only those on welfare receive a stipend to carry them through the first months of mothering. Women who support themselves are forced to return to work, where it is often impossible to bring an infant, and pumping opportunities may be few and far between, with unsanitary conditions.

Rep Carolyn Maloney (D-NY) recently introduced the Breastfeeding Promotion Act of 2007. The bill amends the Civil Rights Act of 1964 to protect breastfeeding women from workplace discrimination. It also gives employers a tax credit of up to $10,000 per year to provide employees with equipment, dedicated space and consultation for pumping breast milk. The bill establishes standards for breast pumps, and creates tax breaks for women who purchase breast pumps in order to maintain employment.

Maloney says, “I have heard many horror stories of women who were fired for trying to figure out a way to express milk at work. My bill clarifies the Pregnancy Discrimination Act to protect breastfeeding under federal civil rights law, ensuring that women cannot be fired or discriminated against in the workplace for expressing (pumping) milk, or breastfeeding during breaks or lunch time.”

At least the welfare moms have the chance to stay home and breastfeed — after all, their babies comprise the most high-risk population of infants in terms of health problems, asthma, failure to thrive and learning disabilities. Yet the formula-makers find these mothers, too. Government programs take away one of the incentives for breastfeeding by shelling out $600 million per year to put low-income infants on the bottle. Taxpayers also foot the bill for the increased healthcare cost of these children.... Click here to read more

CDC and Swine Flu and Breastfeeding

Recomendations (from CDC)
&
from Breastfeeding Pharmacology
Thomas W. Hale, R.Ph. Ph.D.Professor of Pediatrics)

Infants who are not breastfeeding are particularly vulnerable to infection and hospitalization for severe respiratory illness. Women who deliver should be encouraged to initiate breastfeeding early and feed frequently. Ideally, babies should receive most of their nutrition from breast milk. Eliminate unnecessary formula supplementation, so the infant can receive as much maternal antibodies as possible.

If a woman is ill, she should continue breastfeeding and increase feeding frequency. If maternal illness prevents safe feeding at the breast, but she can still pump, encourage her to do so. The risk for swine influenza transmission through breast milk is unknown. However, reports of viremia with seasonal influenza infection are rare.

Expressed milk should be used for infants too ill to feed at the breast. In certain situations, infants may be able to use donor human milk from a certified milk bank.

Antiviral medication treatment or prophylaxis is not a contraindication for breastfeeding.

Breastfeeding—Starting Out Right

www.drjacknewman.com

Breastfeeding is the natural, physiologic way of feeding infants and young children, and human milk is the milk made specifically for human infants. Formulas made from cow’s milk or soybeans (most formulas, even “designer formulas”) are only superficially similar, and advertising which states otherwise is misleading. Breastfeeding should be easy and trouble free for most mothers. A good start helps to ensure breastfeeding is a happy experience for both mother and baby.

The vast majority of mothers are perfectly capable of breastfeeding their babies exclusively for about six months. In fact, most mothers produce more than enough milk. Unfortunately, outdated hospital routines based on bottle feeding still predominate in too many health care institutions and make breastfeeding difficult, even impossible, for too many mothers and babies. For breastfeeding to be well and properly established, a good start in the early few days can be crucial. Admittedly, even with a terrible start, many mothers and babies manage.

The trick to breastfeeding is getting the baby to latch on well. A baby who latches on well, gets milk well. A baby who latches on poorly has more difficulty getting milk, especially if the supply is low. A poor latch is similar to giving a baby a bottle with a nipple hole that is too small—the bottle is full of milk, but the baby will not get much. When a baby is latching on poorly, he may also cause the mother nipple pain. And if he does not get milk well, he will usually stay on the breast for long periods, thus aggravating the pain. Unfortunately anyone can say that the baby is latched on well, even if he isn’t. Too many people who should know better just don’t know what a good latch is. Here are a few ways breastfeeding can be made easy:

1. A proper latch is crucial to success. This is the key to successful breastfeeding. Unfortunately, too many mothers are being "helped" by people who don’t know what a proper latch is. If you are being told your two day old’s latch is good despite your having very sore nipples, be sceptical, and ask for help from someone else who knows. Before you leave the hospital, you should be shown that your baby is latched on properly, and that he is actually getting milk from the breast and that you know how to know he is getting milk from the breast (open mouth wide—pause—close mouth type of suck). See also the website www.thebirthden.com/Newman.html for videos on how to latch a baby on (as well as other videos). If you and the baby are leaving hospital not knowing this, get experienced help quickly (see handout When Latching). Some staff in the hospital will tell mothers that if the breastfeeding is painful, the latch is not good (usually true), so that the mother should take the baby off and latch him on again. This is not a good idea. The pain usually settles, and the latch should be fixed on the other side or at the next feeding. Taking the baby off the breast and latching him on again and again only multiplies the pain and the damage.

2. The baby should be at the breast immediately after birth. The vast majority of newborns can be at the breast within minutes of birth. Indeed, research has shown that, given the chance, many babies only minutes old will crawl up to the breast from the mother’s abdomen, latch on and start breastfeeding all by themselves. This process may take up to an hour or longer, but the mother and baby should be given this time together to start learning about each other. Babies who "self-attach" run into far fewer breastfeeding problems. This process does not take any effort on the mother’s part, and the excuse that it cannot be done because the mother is tired after labour is nonsense, pure and simple. Incidentally, studies have also shown that skin-to-skin contact between mothers and babies keeps the baby as warm as an incubator (see section on skin to skin contact). Incidentally, many babies do not latch on and breastfeeding during this time. Generally, this is not a problem, and there is no harm in waiting for the baby to start breastfeeding. The skin to skin contact is good for the baby and the mother even if the baby does not latch on.

3. The mother and baby should room in together. There is absolutely no medical reason for healthy mothers and babies to be separated from each other, even for short periods.
Health facilities that have routine separations of mothers and babies after birth are years behind the times, and the reasons for the separation often have to do with letting parents know who is in control (the hospital) and who is not (the parents). Often, bogus reasons are given for separations. One example is that the baby passed meconium before birth. A baby who passes meconium and is fine a few minutes after birth will be fine and does not need to be in an incubator for several hours’ "observation."

There is no evidence that mothers who are separated from their babies are better rested. On the contrary, they are more rested and less stressed when they are with their babies. Mothers and babies learn how to sleep in the same rhythm. Thus, when the baby starts waking for a feed, the mother is also starting to wake up naturally. This is not as tiring for the mother as being awakened from deep sleep, as she often is if the baby is elsewhere when he wakes up. If the mother is shown how to feed the baby while both are lying down side by side, the mother is better rested.

The baby shows long before he starts crying that he is ready to feed. His breathing may change, for example. Or he may start to stretch. The mother, being in light sleep, will awaken, her milk will start to flow and the calm baby will be content to nurse. A baby who has been crying for some time before being tried on the breast may refuse to take the breast even if he is ravenous. Mothers and babies should be encouraged to sleep side by side in hospital. This is a great way for mothers to rest while the baby nurses. Breastfeeding should be relaxing, not tiring.

4. Artificial nipples should not be given to the baby. There seems to be some controversy about whether "nipple confusion" exists. Babies will take whatever gives them a rapid flow of fluid and may refuse others that do not. Thus, in the first few days, when the mother is normally producing only a little milk (as nature intended), and the baby gets a bottle (as nature intended?) from which he gets rapid flow, the baby will tend to prefer the rapid flow method. You don’t have to be a rocket scientist to figure that one out, though many health professionals, who are supposed to be helping you, don’t seem to be able to manage it. Note, it is not the baby who is confused. Nipple confusion includes a range of problems, including the baby not taking the breast as well as he could and thus not getting milk well and/or the mother getting sore nipples. Just because a baby will "take both" does not mean that the bottle is not having a negative effect. Since there are now alternatives available if the baby needs to be supplemented (see handout #5, Using a Lactation Aid, and handout #8 Finger Feeding) why use an artificial nipple?

5. No restriction on length or frequency of breastfeedings. A baby who drinks well will not be on the breast for hours at a time. Thus, if he is, it is usually because he is not latching on well and not getting the milk that is available. Get help to fix the baby’s latch, and use compression to get the baby more milk (handout #15, Breast Compression). Compression works very well in the first few days to get the colostrum flowing well. This, not a pacifier, not a bottle, not taking the baby to the nursery, will help.

6. Supplements of water, sugar water, or formula are rarely needed. Most supplements could be avoided by getting the baby to take the breast properly and thus get the milk that is available. If you are being told you need to supplement without someone having observed you breastfeeding, ask for someone to help who knows what they are doing. There are rare indications for supplementation, but often supplements are suggested for the convenience of the hospital staff. If supplements are required, they should be given by lactation aid at the breast (see handout #5), not cup, finger feeding, syringe or bottle. The best supplement is your own colostrum. It can be mixed with 5% sugar water if you are not able to express much at first. Formula is hardly ever necessary in the first few days.

7. Free formula samples and formula company literature are not gifts. There is only one purpose for these "gifts" and that is to get you to use formula. It is very effective, and it is unethical marketing. If you get any from any health professional, you should be wondering about his/her knowledge of breastfeeding and his/her commitment to breastfeeding. "But I need formula because the baby is not getting enough!" Maybe, but, more likely, you weren’t given good help and the baby is simply not getting the milk that is available. Even if you need formula, nobody should be suggesting a particular brand and giving you free samples. Get good help. Formula samples are not help.

Under some circumstances, it may be impossible to start breastfeeding early. However, most “medical reasons” (maternal medication, for example) are not true reasons for stopping or delaying breastfeeding, and you are getting misinformation. Get good help. Premature babies can start breastfeeding much, much earlier than they do in many health facilities. In fact, studies are now quite definite that it is less stressful for a premature baby to breastfeed than to bottle feed. Unfortunately, too many health professionals dealing with premature babies do not seem to be aware of this.

Questions? (416) 813-5757 (option 3) or drjacknewman@sympatico.ca or my book Dr. Jack Newman’s Guide to Breastfeeding (called The Ultimate Breastfeeding Book of Answers in the USA)

Handout #1. Breastfeeding—Starting Out Right. Revised January 2005
Written by Jack Newman, MD, FRCPC. © 2005

False alarms that may cause some moms to worry that their milk supply is low:

False alarms that may cause some moms to worry that their milk supply is low:

1. Baby nurses often... Many babies have a strong need to suck or be in frequent contact with their mothers. If baby is nursing effectively, frequent nursing means that the baby is getting enough--not that there's a lack of milk.

2. Baby seems hungry an hour after or so after being fed... Human milk digests more quickly than formula and places less strain on a baby's immature digestive system, so the breastfed baby needs to be fed more frequently than the formula-fed baby.

3. The baby suddenly increases the frequency and/or length of his nursings... Babies who are very sleepy newborns often "wake up" at about 2-3 weeks of age and begin nursing more frequently. Babies also go through occasional growth spurts more often than usual to bring in more milk to meet their needs.

4. Fussy Babies... Many babies have a fussy period each day, often at about the same time of the day. Some babies are fussy much of the time. Fussiness can be caused by many things other than hunger, but often there is no discernible reason. Many moms are concerned that their babies are fussy because they aren't getting enough milk, but it's the quiet, calm, easygoing baby who is more likely to go longer between feedings, take in less milk and gain weight slowly.

5. The baby was weighed before and after a feeding... Then the mom is told her baby didn't get enough to eat. As mentioned previously, studies have shown that test weighing is not a reliable indicator of whether a baby has breastfed well, because **most** baby scales are not sensitive enough to record such a small change in weight accurately.

6. Baby takes a bottle after nursing... Many babies will suck on a bottle even when they are full, because they like to suck. This is not necessarily a sign that the baby did not get enough at the breast.

7. The Mother cannot express much milk... Milk expression is a learned skill and the amount of milk expressed will increase with practice and the mother's ability to let down her milk to the pump. Pumping effectiveness may also vary depending on the type of pump used, etc. The amount of milk expressed may be totally unrelated to her milk supply.

A to Z: 26 Reasons to Nurse Your Baby

A to Z: 26 Reasons to Nurse Your Baby

from www.llli.org (La Leche League)

• Amenorrhea
• Bonding
• Colostrum... the perfect first food
• Decreased risk of breast cancer
• Easy baby care
• Few allergies
• Good for the whole family
• Human milk is specially designed for human babies
• Immunities
• Jaw development
• Kids get lots of attention when the new baby is breastfed
• Laundry is a breeze
• Mental development
• Natural
• Oxytocin and prolactin
• Protection against many diseases
• Quick weight loss for mother
• Rest
• Saves money
• Traveling is easy
• Understanding the baby's needs
• Vitamins and minerals
• Working goes smoothly when the nursing relationship is maintained
• eXactly what baby needs
• You get to take care of your baby
• Zero waste

Only the Best Is Good Enough - Breastfeed!