Showing posts with label Studies. Show all posts
Showing posts with label Studies. Show all posts

Monday, March 14, 2011

Shame on Similac

I received an email from Babycenter this morning directing me to this shameless bit of propaganda for the formula industry: a list of seventeen foods to avoid while breastfeeding, sponsored (surprise!) by a formula manufacturer and featuring not one but TWO formula ads per page.

Seventeen! My, that's a long list. I'll bet you never knew breastfeeding was so restrictive for mothers.

That's because it isn't.

And it makes me REALLY angry to see formula companies peddling bad information in an effort to convince mothers that breastfeeding is hard, or restrictive, or inconvenient.

Let's break the list down, shall we?

Coffee: I know of only one study that has reviewed the relationship between mom's caffeine intake and baby's behavior. That study suggests that mom limit her caffeine intake to 500mg per day. That translates to 5 cups of regular coffee, 2 cups of Starbucks coffee, 5 bottles of Starbucks Frappuccino, 7 Starbucks lattes or 11 cans of Diet Coke. In other words, lactating mothers shouldn't ingest more caffeine than any other sane person might.

Chocolate: There are about 30mg of caffeine in a chocolate bar. So you can have 16 1/2 before you've got to worry about your caffeine limits. Good luck getting through that many without barfing.

Citrus: The vast majority of moms find that they can drink orange juice to their heart's content without causing any tummy distress for their babies. This one falls into the category of "if it seems to affect your own personal baby, avoid it". There is, however, no scientific evidence that citrus fruits are problematic for breastfeeding babies.

Broccoli: Milk is synthesized from blood. Something must be embodied in your blood in order to express itself in your milk. The extra fiber in broccoli is what causes gas. Fiber that exists in your digestive tract, not in your blood. It is simply impossible that broccoli would be to blame for a gassy baby.

Alcohol: Big fat "duh": You shouldn't binge drink while breastfeeding. It is generally agreed, however, that one drink here or there, especially when timed to be consumed 2-3 hours before baby's next feeding, is of little consequence.

Spicy Foods: As with citrus fruits, "If spicy food bugs your own personal baby, don't eat it". There is, however, no medical reason your baby wouldn't be able to drink your milk after you've eaten spicy foods.

Garlic: This one brought on the LOLZ! The one study I know of regarding garlic and breastfeeding indicated that infants sucked longer and took more milk after mom had eaten garlic. Nice try, Similac.

Peanuts, Wheat, Corn, Shellfish, Eggs: All foods that are worth avoiding if you (duh) or your baby's father have a history of allergies to them. Otherwise? Eat up!

Dairy and Soy: If your baby is excessively gassy and seems to be experiencing tummy pain, and IF you think that gassiness is linked to your diet (rather than to the myriad of other reasons a baby might be gassy), then it is likely the culprit in your diet is either dairy or soy, and it is worth a try to eliminate those two things and see if baby doesn't improve. I find it hilarious that Similac mentioned this without bothering to mention that their (indeed, all) formulas are all either dairy or soy based, both of which are far harder on baby's tummy than breastmilk in the best of times, let alone in instances of diary or soy intolerance. If baby has a dairy or soy allergy, it is ESPECIALLY important that baby be breastfed!

Fish: While it would be prudent for nursing mothers to avoid certain types of fish which are high in mercury (a good list is here), it is important to note that in the studies that have been done, breastfed infants, even those whose mothers consumed significant quantities of mercury, scored better on developmental tests than formula fed babies. Is mercury a good thing in breastmilk? No. But is mercury tainted breastmilk still better for infants than formula? Yep.

Peppermint and Parsley: These are herbs known to reduce milk supply in therapeutic doses. It is unlikely that consuming the amounts typically used in cooking would cause a decrease in milk supply. However, if a mother was trying to maximize her supply, she might want to avoid these as well as a few others, listed here. Avoiding peppermint and parsley certainly isn't mandatory, though.

Breastfeeding isn't rocket science. Moms should use common sense with regards to alcohol, caffeine and environmental contaminants. In the event baby seems fussy after mom eats a certain food, by all means she can try avoiding that food (which may or may not help!). To imply, however, that there is a set in stone list of things (SEVENTEEN THINGS!!!) that nursing mothers mustn't eat is just complete fallacy. For shame, Similac.

Poor, unfortunate monkey whose mama drinks beer and coffee whilst eating peanut butter and ice cream.

Friday, February 4, 2011

Quantifiers: A Study and Some Statistics

The American Academy of Pediatrics recommends breastfeeding for a minimum of 12 months and exclusive breastfeeding, without any supplemental foods or drinks, for six months. The World Health Organization recommends breastfeeding for a minimum of two years, to continue thereafter for as long as is desireable to mother and baby.


Per the CDC's 2010 Breastfeeding Report Card, only 13.3% of babies are exclusively breastfed at 6 months, and only 22.4% of babies are breastfeeding at all on their first birthdays. There is no data on babies still breastfeeding on their second birthdays. The numbers for babies breastfeeding, although not exclusively, at six months is somewhat better: 43%


Why are American moms having trouble meeting the AAP and WHO's recommendations? Per a study published in Pediatrics in 2008, the number one reason cited for early cessation of breastfeeding was concern over the quantity and quality of milk.


We have a tendency, as breastfeeding mothers, to blame everything on our milk. Fussy baby? Must not be getting enough milk. Gassy baby? Must be something mom ate. Night waking baby? Must not have gotten enough milk in that last evening feeding.


The truth is: there are a myriad of reasons a baby might be fussy, gassy or wakeful, most of them having nothing to do with a mom's milk. (And I've yet to hear someone feeling ill after a bowl of ice cream wonder "what that cow ate?")


The mother of a formula fed baby wouldn't wonder if her baby was fussing or waking out of hunger because she'd have seen the milk disappear out of her baby's bottle. As breastfeeding mothers, what is our equivalent of "watching the bottle drain"?


* Weight gain. Baby should gain 1/2 an ounce to 1 ounce per day (4-7oz per week) for the first three months of life.


* Wet and poopy diapers. You should expect to see: 1 wet and 1 poopy diaper on the first day of life, 2 wet and 2 poopy on the second, 3 wet and 3 poopy on the third, 4 wet and 4 poopy on the fourth, 5 wet and 5 poopy on the fifth, and 6-8 wet and 3-5 poopy on day six and beyond. Good thing that trend didn't keep up, you'd have had a very busy day 15! (Keep in mind: After about 6 weeks, some babies start pooping less often. As long as baby is producing plenty of heavy wet diapers and gaining weight, this is likely fine. Of course, check with your pediatrician if you are concerned.)


* Hearing baby swallowing during a feeding. Here is a great youtube video to help you identify the sound.


* The breast feels firm and full before a feeding, soft and empty after.


* Mom can feel her let down reflex. However, do not be unduly concerned if you can't feel your let down! Many moms can't feel let down (myself included!). So long as your baby is gaining weight appropriately, you are assuredly producing and releasing milk.


* Seeing milk drip or leak from the opposite breast as you nurse. (Although, again, lack of leaking does not indicate poor supply.)


* Seeing milk in baby's mouth after a feeding, or in the corners of baby's mouth during a feeding.


And, a final note to pumping mamas, pumped milk volume is actually a POOR indicator of milk supply. Letting your milk down for the pump is largely psychological. It is very much possible for a mother with a bountiful milk supply to yield only drips when she pumps. Pumping strategy is another blog post, but for this post, let it suffice to say that one shouldn't invest too much worry over scantily filled collection bottles.

Chunky, milk-fed monkey.

Wednesday, January 5, 2011

Breastfeeding Support Groups: The Stats on Why To Go

According to a study published in the British Medical Journal in 2004, 76% of women who met with a breastfeeding counselor were still breastfeeding at 6 weeks postpartum, compared with 64% who talked to a counselor on the phone and 60% who did not contact a counselor at all. Merely offering breastfeeding counselors to women was not enough to increase breastfeeding rates. However, women who took advantage of counseling were, on average, successful at breastfeeding for a longer period of time.

There are a myriad of support options for nursing mothers, ranging from La Leche Leage meetings to groups held at baby boutiques to online message boards.

Below is my list of support group options in the Los Angeles area:

A Mother’s Haven15928 Ventura Blvd, Ste 116
Encino, CA 91436
Phone: (818)380.3111
Fridays, 10am-11:30am
$10, drop in

The Pump ConnectionPhone (818) 225-8822
Call for support group schedule

The Pump Station Santa Monica2415 Wilshire Blvd.
Santa Monica, CA 90403
Phone: (310) 998.1981
Tues.0 - 4 months,1pm
Wed.0 - 4 months,1pm
Sat. Working Moms, 9:30am
$15, drop in


The Pump Station WestlakeVillage Glen Plaza
2879 Agoura Rd.
Westlake Village, CA 91361
Phone: (805) 777.7179
Mon.0 - 4 months, 1pm
Tues.4 - 8 months, 1:30pm
$15, drop in


The Pump Station Hollywood1248 Vine St.
Hollywood, CA 90038
Phone: (323) 469.5300
Tues.0 - 4 months, 1pm
Thurs.0 - 4 months, 1pm
Wed.4 - 8 months, 1pm
$15, drop in

La Leche League of Burbank/GlendaleMeets on the first Thursday of each month at 7:30 PM
Incarnation Church, 1001 N. Brand Blvd., Glendale

La Leche League of Hollywood/Silverlake AMMeets on the second Wednesday of every month from 10am-noon
Silverlake Recreation Center, 1850 West Silver Lake Drive

La Leche League of LLL of Hollywood Silverlake PM/CouplesMeets on the Last Wednesday of the month at 7:00 PM
Offices of Dr. Paul Fleiss, 1824 Hillhurst, Hollywood

La Leche League of San Fernando Valley, California

La Leche League of Los Angeles
West L.A. Meeting:
Meets on the second Monday of each month from 10am to 11am
St. Bede's Church, downstairs church hall
3590 Grandview Boulevard, Los Angeles, CA 90066
Santa Monica Morning Meeting:
Meets on the third Tuesday of each month from 10am to 11am
1119 Broadway, #D, Santa Monica, CA 90404
Santa Monica Evening Meeting:
Meets on the fourth Wednesday of each month from 7pm to 8pm
Gan Israel Preschool, 1341 9th Street, Santa Monica, CA 90401

La Leche League of Pasadena, California

Tuesday, January 4, 2011

New Study: Breastfeeding and IQ at 10 Years of Age

A new study published on December 20th, 2010 has found that boys who were primarily breastfed for 6 months or more showed greater achievement in math and reading at 10 years of age than their non-breastfed counterparts, even after adjusting for factors such as mom's income and education level. Breastfed girls also weighed in with higher test scores, however, that difference was not deemed statistically significant.

A number of factors may be at work here. Breastfed babies benefit not only from the smarter fats and optimal nutrition of breastmilk, but from increased skin to skin contact and bonding time with their mothers.

Monday, December 20, 2010

Breastfeeding: Good For Babies & Their Sleepy Mamas

The idea that a bottle of formula can make a baby sleep longer is bandied about pretty regularly. New parents, the notoriously sleep-deprived, might easily find themselves lured into trying formula by the promise of a few extra hours of shut-eye. More accurately: I've met new parents who'd have sold their souls for a few extra minutes of shut-eye, which is why the myth that formula feeding can provide that sleep is so damaging.

A study publishied in the November, 2010 issue of Pediatrics lays this myth to rest, once and for all. The study found no measureable difference between breastfeeding mothers, formula feeding mothers and mothers who fed by both breast and bottle in terms of actual recorded minutes of sleep or in self-reported sleep quality or fatigue.

The study cited the possibility that breastfeeding mothers may wake less fully during night feeds (no lights to turn on or bottles to prepare in the kitchen!) and that they may return to sleep more quickly after (or even during) feedings due to the relaxing hormone soup their bodies release during nursing.

So, the next time a well-meaning advisor tells you that formula will help your baby sleep longer, you can smile, nod and know better.



Cited:
Infant Feeding Methods and Maternal Sleep and Daytime Functioning
Pediatrics, Nov 2010; doi:10.1542/peds.2010-1269d