http://www.wikio.com

Sunday, October 23, 2011

Surrounded by Total Weaners And Staying A-Breast Of Research

No, I didn't misspell anything. I am surrounded by weaners. Big, obnoxious weaners who are constantly trying to pummel me with their weaniness.

I don't go all breastfeeding-nazi on here, and that's for a reason. As strongly as I feel about the subject, and I DO feel strongly about it, there are PLENTY of websites and blogs available for for breastfeeding mothers and bottle-feeding mothers to duke it out and sound like bitches together. I'm not going to participate, thanks. This bitch has nothing to prove to the rest of you bitches, and that's half the point of this post.

There are so many blogs and websites devoted to the daily minutia of motherhood, that it leaves me certain of a future field of psychotherapy that will deal exclusively with the tortured offspring of the web's former UberMommies, who have all been busy fighting for Alpha-Bitch rank while their kids sat in playpens and watched them type... WITH INDIGNATION. If possible, I'd like to avoid doing any more emotional damage to my daughter than the standard amount that she's sure to accuse me of by the time she hits sixteen and obnoxious. She's already slated to hit me with a full onslaught of teen angst when my powers of reason and self-composure will be weakened by menopause. Why should I leave my future opponent a time-capsule cache of surplus ammunition? That's like leaving the Terminator a "hope chest" full of weapons and emergency contact numbers for Sarah Conner. It's just asking for fucking problems..

This is probably not going to be the only post that I ever make on the subject of breastfeeding. I don't think it's wise of me to say "only once, and never again", because that's a rule I'm sure to break at some point. Be assured though, this isn't going to be a major trend on this blog.

So.. why does everyone seem to think they have a right to an opinion when it comes to me breastfeeding my child?

When my daughter was born and I committed to breastfeeding her, women I knew who didn't breastfeed their own children became noticeably uncomfortable. I started getting these bits of advice and "support" from other stay-at-home mothers like ..

"Well, even if you can only do it for (two weeks/a month/three months) that's good. That's enough"

"I guess it helps. They always say breast is best. It's just impractical."

"Oh dear, that's going to be exhausting"

"Don't force yourself to do it, if you can't, it's fine"

"If you're going to breastfeed, start pumping NOW. When you get tired of it, you can put her on a bottle and she can have breast milk longer."

and my favorite..

"Why are you letting her father be so LAZY? Pump that milk and make him feed her when he's home. Feeding just from the breast is too hard on anyone, and you might be risking her dad's ability to bond with her."

So by naturally feeding my child, without artificial food or implements (like bottles), I was apparently running headlong into a situation that undoubtedly wouldn't work out on a long-term basis, and I was denying her father some important bonding experience with his child. What a silly, impractical, selfish bitch I am!

What a load of bullshit.

These were stay-at-home mothers. The title alone can only suggest that the woman's primary function is to care for her child, herself, at home. I had determined that I, too, would stay home and thus, have the time and availability to my child so that I could feed her exclusively from the breast.

So what's the problem? Why is there an assumption that it's only human to want to pack it in on the nursing and toss the kid a bottle? With breastfeeding, I don't have to clean bottles, worry about the formula being warm, or if she's allergic to it. Not to mention the fact that there isn't a credible doctor ANYWHERE that's going to tell you that bottle-feeding is best or ideal. I'm willing to do it, so where is the problem?

Once that group realized that their lukewarm support (or negative opinion) of my breastfeeding wasn't affecting me in any way, the same crowd pretty much shut the hell up. Friends of mine who had primarily or wholly breastfed their children patted me on the back with a "good for you for sticking with it". However, without fail at every three month mark in my child's first year, someone invariably asked "oh my, are you still breastfeeding her?", as though they were surprised that I hadn't given up all that idealistic nonsense by now.

So here we are and my daughter is one year old, just popped out her first tooth (working on five more), no allergies, ear infections, etc, and her doctor says she is "perfect". Suddenly, even some of those who supported my breastfeeding are starting to assume I'm weaning her off the breast, some a little taken aback when I tell them I plan to nurse her for another year unless she gives it up herself before then.

It's really simple. I don't do things for her based on what's "comfortable" for me. I make decisions on how I care for her based on my research and careful consideration of all variables involved. I do things for my child based on what's best for her. 

That's called being a parent. It's not about me. It's about her. I'm a mother, and my baby is helpless and incapable of making any decisions or interventions regarding her own care. If I'm not her advocate and I don't put her first, no one else is going to do it.

Sure, breastfeeding can be really difficult, especially at first. Right after delivery, the entire lower half of your body (and I do mean the ENTIRE lower half) feels like someone dragged it behind a truck for about five miles. That's enough. When you breastfeed, the upper half starts to experience pain that really doesn't seem to make any sense. Before you have the baby, its easy enough to imagine that your nipples are going to be sore, but it's more than that. I remember hurting in places around the back of my rib cage, thinking, "what the FUCK? why would it hurt back THERE of all places?". Then, I did the damn research.

There's really no excuse to not know how your body works, considering that the internet makes it possible for you to learn these things without even getting out of your pajamas. Mammary glands and associated/connected glands were being used for the first time ever, at high volume and QUICKLY. You're damn right that shit is going to hurt. Why didn't the nurse tell me THAT at the hospital? Why did I hear "if it hurts, you're doing it wrong" instead of "hey, just a heads up, your armpits, breasts, rib cage, and shoulders are probably going to be pretty sore for the first month, but it goes away if you stick with it"?

It is a big commitment, as well. Solely breastfeeding means that no one can feed the baby but you, AND that the baby will eat about twice as often as a formula-fed baby, so that means you ain't goin' NOWHERE without her. It also meant that my girl never went to the pediatrician for anything but routine checkups and shots. As far as my physical discomfort was concerned, It DID get better and in the long run, breastfeeding my child cost less money, time, and effort than bottle feeding would have.

So why, when the World Health Organization recommends that babies breastfeed for two years, are my previously supportive peers getting weirded out that I choose to keep feeding my baby in the most medically-sound way possible? I'm the one with the chubby little darling using my breasts as a jungle gym, how is it anyone ELSE'S business to make my commitment to my child's health and well-being any more of a challenge than it already is?

My partner said, "Oh, don't worry about them..". I really don't WORRY about what people say and think when I make parenting decisions. I tend not to worry much about what people think or if they like me, but I do get irritated at the selfishness of insensitivity and by people's negative intentions. In short, if you see someone breaking their ass to be a good parent, what with all the people out there who pop out kids like their candy and don't even seem to LIKE their children (let alone concern themselves with their development), what in the hell would possess you to make a negative comment on someones parenting of a well-developed, healthy child who (under this same parents' care) is doing JUST GREAT?

I think the short answer is that sometimes, people need to shut the fuck up and mind their own business and their own kids. Here's a wild idea.. maybe bother to educate yourself so that you can make independent decisions for yourself and your own children, based on facts and data and not on what your mom (who you've been pissed off at since you were sixteen years old an obnoxious) said you should do. It's not that you can't take advice from people, but make sure it's good advice, especially before you go cramming it down everyone else's throat.

Yeah. This was a rant. Deal with it.

I need to go nurse my baby now, so before I go.. here are words and links from the World Health Organization that provide information about the benefits of breastfeeding. It IS the best for babies.

------------------------------------------------------------

WHO recommends

WHO strongly recommends exclusive breastfeeding for the first six months of life. At six months, other foods should complement breastfeeding for up to two years or more. In addition:
  • breastfeeding should begin within an hour of birth;
  • breastfeeding should be "on demand", as often as the child wants day and night; and
  • bottles or pacifiers should be avoided.

Health benefits for infants

Breast milk is the ideal food for newborns and infants. It gives infants all the nutrients they need for healthy development. It is safe and contains antibodies that help protect infants from common childhood illnesses - such as diarrhoea and pneumonia, the two primary causes of child mortality worldwide. Breast milk is readily available and affordable, which helps to ensure that infants get adequate sustenance.

Benefits for mothers

Breastfeeding also benefits mothers. The practice when done exclusively often induces a lack of menstruation, which is a natural (though not fail-safe) method of birth control. It reduces risks of breast and ovarian cancer later in life, helps women return to their pre-pregnancy weight faster, and lowers rates of obesity

Long-term benefits for children

Beyond the immediate benefits for children, breastfeeding contributes to a lifetime of good health. Adults who were breastfed as babies often have lower blood pressure and lower cholesterol, as well as lower rates of overweight, obesity and type-2 diabetes. There is evidence that people who were breastfed perform better in intelligence tests.

Why not infant formula?

Infant formula does not contain the antibodies found in breast milk and is linked to some risks, such as water-borne diseases that arise from mixing powdered formula with unsafe water (many families lack access to clean water). Malnutrition can result from over-diluting formula to "stretch" supplies. Further, frequent feedings maintain the breast milk supply. If formula is used but becomes unavailable, a return to breastfeeding may not be an option due to diminished breast milk production.

HIV and breastfeeding

For HIV-positive mothers, WHO recommends exclusive breastfeeding for the first six months unless replacement feeding is:
  • acceptable (socially welcome)
  • feasible (facilities and help are available to prepare formula)
  • affordable (formula can be purchased for six months)
  • sustainable (feeding can be sustained for six months)
  • safe (formula is prepared with safe water and in hygienic conditions).

Regulating breast-milk substitutes

An international code to regulate the marketing of breast-milk substitutes was adopted in 1981. It calls for:
  • all formula labels and information to state the benefits of breastfeeding and the health risks of substitutes;
  • no promotion of breast-milk substitutes;
  • no free samples of substitutes to be given to pregnant women, mothers or their families; and
  • no distribution of free or subsidized substitutes to health workers or facilities.

Support for mothers is essential

Breastfeeding has to be learned and many women encounter difficulties at the beginning. Nipple pain, and fear that there is not enough milk to sustain the baby are common. Health facilities that support breastfeeding - by making trained breastfeeding counsellors available to new mothers - encourage higher rates of the practice. To provide this support and improve care for mothers and newborns, there are now more than 20 000 "baby-friendly" facilities in 152 countries thanks to a WHO-UNICEF initiative.

Work and breastfeeding

WHO recommends that a new mother should have at least 16 weeks of absence from work after delivery, to be able to rest and breastfeed her child. Many mothers who go back to work abandon exclusive breastfeeding before the recommended six months because they do not have sufficient time, or an adequate place to breastfeed or express and store their milk at work. Mothers need access to a safe, clean and private place in or near their workplaces to continue the practice.

The next step: phasing in new foods

To meet the growing needs of babies at six months of age, complementary foods should be introduced as they continue to breastfeed. Foods for the baby can be specially prepared or modified from family meals. WHO notes that:
  • breastfeeding should not be decreased when starting complementary feeding;
  • complementary foods should be given with a spoon or cup, not in a bottle;
  • foods should be clean, safe and locally available; and
  • ample time is needed for young children to learn to eat solid foods.
--------------------------------------------------------------------

Acceptable medical reasons for use of breast-milk substitutes

Authors:
World Health Organization

Infants who should not receive breast milk or any other milk
except specialized formula

􀂄 Infants with classic galactosemia: a special galactose-free formula is needed.
􀂄 Infants with maple syrup urine disease: a special formula free of leucine,
isoleucine and valine is needed.
􀂄 Infants with phenylketonuria: a special phenylalanine-free formula is
needed (some breastfeeding is possible, under careful monitoring).

Infants for whom breast milk remains the best feeding option
but who may need other food in addition to breast milk for a limited period

􀂄 Infants born weighing less than 1500 g (very low birth weight).
􀂄 Infants born at less than 32 weeks of gestational age (very pre-term).
􀂄 Newborn infants who are at risk of hypoglycaemia by virtue of impaired metabolic adaptation or increased
glucose demand (such as those who are preterm, small for gestational age or who have experienced significant
intrapartum hypoxic/ischaemic stress, those who are ill and those whose mothers are diabetic) (5) if their
blood sugar fails to respond to optimal breastfeeding or breast-milk feeding.

Maternal conditions that may justify permanent avoidance of breastfeeding

􀂄 HIV infection1: if replacement feeding is acceptable, feasible, affordable, sustainable and safe (AFASS)
 
Maternal conditions that may justify temporary avoidance of breastfeeding

􀂄 Severe illness that prevents a mother from caring for her infant, for example sepsis.
􀂄 Herpes simplex virus type 1 (HSV-1): direct contact between lesions on the mother’s breasts and the infant’s mouth
should be avoided until all active lesions have resolved.
􀂄 Maternal medication:
- sedating psychotherapeutic drugs, anti-epileptic drugs and opioids and their combinations may cause side effects
such as drowsiness and respiratory depression and are better avoided if a safer alternative is available (7);
- radioactive iodine-131 is better avoided given that safer alternatives are available - a mother can resume
breastfeeding about two months after receiving this substance;
- excessive use of topical iodine or iodophors (e.g., povidone-iodine), especially on open wounds or mucous
membranes, can result in thyroid suppression or electrolyte abnormalities in the breastfed infant and should be
avoided;
- cytotoxic chemotherapy requires that a mother stops breastfeeding during therapy.

Maternal conditions during which breastfeeding can still continue, although health problems  may be of concern

􀂄 Breast abscess: breastfeeding should continue on the unaffected breast; feeding from the affected breast can
resume once treatment has started (8).
􀂄 Hepatitis B: infants should be given hepatitis B vaccine, within the first 48 hours or as soon as possible
thereafter (9).
􀂄 Hepatitis C.
􀂄 Mastitis: if breastfeeding is very painful, milk must be removed by expression to prevent progression of the
condition(8).
􀂄 Tuberculosis: mother and baby should be managed according to national tuberculosis guidelines

No comments:

Post a Comment

Thanks for your comment, however innocuous or smarmy. I'll probably answer!