The American Academy of Pediatrics released its revised breastfeeding policy yesterday, updating the prior policy published in six years ago, and there are a number of changes which reflect recent research and policy developments.
Read article that breaks down the important points-The Motherwear Breastfeeding Blog
The guidelines state that the following must be covered by private insurance: “Comprehensive lactation support and counseling, by a trained provider during pregnancy and/or in the postpartum period, and costs for renting breastfeeding equipment.”
The Department’s press release on the new policy says that “New health plans will need to include these services without cost sharing for insurance policies with plan years beginning on or after August 1, 2012.”
Not a bad way to celebrate World Breastfeeding Week!
The first human milk bank is now a reality for Costa Ricans and it is located in the Hospital Carlos Luis Valverde Vega of San Ramón, Alajuela. It was inaugurated on the 6 of this month. This initiative aims to support the health of children whose mothers cannot breastfeed them, and thus reduce infant mortality. In addition, from there it is expected they will evaluate the creation of a network of such centers. In this bank, a professional team caters to mothers who are able and willing to donate their milk to be distributed later among children in need. In this bank, milk is analyzed and pasteurized, and this is offered to hospitalized children with special needs. The project, in which ¢ 25 million has already been invested, is made possible by cooperation between the Ministries of Health of Costa Rica and Brazil since 2010. More Info
Source: WakeMed Voices
WakeMed Discontinuing Pacifier Availability and Formula Sample Distribution on Mother’s Day
This Mother’s Day, Sunday, WakeMed Women’s Pavilion & Birthplaces – Raleigh and Cary are taking major steps to become a Baby Friendly hospital as defined by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF). WakeMed is the first hospital in the region to pursue this designation, and conform to the standards outlined in the Ten Steps to Breastfeeding.
One of the first steps in the journey to encourage breastfeeding is to discontinue the distribution of the formula samples and diaper bags provided for free by the formula companies. While WakeMed will provide formula to infants for feeding when it is requested by the parent or guardian, the hospital will no longer distribute formula samples. WakeMed will also no longer have pacifiers available on demand in the Women’s Pavilion & Birthplace. These changes will go in to effect on Mother’s Day, Sunday, May 8.
By reviewing where the hospital stands and adapting these ten steps, WakeMed is confirming its belief that breast milk is the best form of nutrition for infants. Currently, the Women’s Pavilion & Birthplace – Cary has a 98 percent breastfeeding rate, and the Women’s Pavilion & Birthplace – Raleigh has a 72 percent breastfeeding rate, both of which are well above the national average. With the ten step process, the hospital can continue to improve these rates, and give mothers the support and confidence they need to commit to breastfeeding,
“The staffs at both WakeMed Raleigh Campus and Cary Hospital are working closely with the lactation consultants so they can offer new mothers the information and support they need. Our hope is that mothers le
ave WakeMed with the confidence and knowledge they need to continue breastfeeding their babies,” commented Elizabeth Rice, director, Women’s Pavilion & Birthplace. “Of course, we will continue to provide support and education equally to those who chose to bottle feed their newborns.”
Ten Steps to Successful Breastfeeding
1. Have a written breastfeeding policy that is routinely communicated to all health care staff.
2. Train all health care staff in skills necessary to implement this policy.
3. Inform all pregnant women about the benefits and management of breastfeeding.
4. Help mothers initiate breastfeeding within one hour of birth.
5. Show mothers how to breastfeed and how to maintain lactation even if they should be separated from their infants.
6. Give newborn infants no food or drink other than breastmilk, unless medically indicated.
7. Practice rooming-in — allow mothers and infants to remain together – 24 hours a day.
8. Encourage breastfeeding on demand.
9. Give no artificial teats or pacifiers to breastfeeding infants.
10. Foster the establishment of breast-feeding support groups and refer mothers to them on discharge from the hospital or clinic.
Click here if you would like additional information on the Baby-Friendly Hospital Initiative.
Related Articles to read on this subject
http://www.wakemed.org/body.cfm?id=247&action=detail&ref=232
http://wunc.org/programs/news/archive/TER05xxA.mp3/view
http://www.facebook.com/WakeMed
http://www.wral.com/lifestyles/goaskmom/blogpost/9575844/
http://www.wakeliving.com/News.aspx?li=5230
http://www.newsobserver.com/2011/05/05/1176144/wakemed-will-join-effort-to-encourage.html
LONDON (AFP) – Breastfeeding exclusively for the first six months is not necessarily best for a baby’s health, British researchers said Friday, calling into question advice given to new mothers.
The team led by a paediatrician from University College London said babies fed only breast milk could suffer iron deficiency and may be more prone to allergies.
The study says babies could start to be weaned on to solids as early as four months, although other experts advised sticking to the existing guidelines.
Ten years ago, the World Health Organisation (WHO) recommended that infants should be exclusively breastfed for six months.
“Many Western countries, including 65 percent of European member states and the United States, elected not to follow this recommendation fully, or at all,” the authors said, although Britain did.
The WHO recommendation “rested largely” on a review of 16 studies, including seven from developing countries.
It concluded that babies given only breast milk for six months had fewer infections and experienced no growth problems.
But another review of 33 studies found “no compelling evidence” not to introduce solids at four to six months, the experts said.
Some studies have also shown that breastfeeding for six months fails to give babies all the nutrition they need.
One US study from 2007 found that babies exclusively breastfed for six months were more likely to develop anaemia than those introduced to solids at four to six months.
On the issue of allergies, the British study said researchers in Sweden found that the incidence of early onset coeliac disease increased after a recommendation to delay introduction of gluten until age six months, “and it fell to previous levels after the recommendation reverted to four months”.
The authors said however that exclusively breastfeeding for six months remains the best recommendation for developing countries, which have higher death rates from infection.
But in developed countries, it could lead to adverse health outcomes and may “reduce the window for introducing new tastes”.
“Bitter tastes, in particular, may be important in the later acceptance of green leafy vegetables, which may potentially affect later food preferences with influence on health outcomes such as obesity.”
The researchers said the European Food Safety Authority’s panel on dietetic products, nutrition and allergies has concluded that for infants across the EU, complementary foods may be introduced safely between four to six months.
Experts in Britain challenged the findings of the new study.
Janet Fyle, professional policy adviser at the Royal College of Midwives, said: “I really must challenge the suggestion from the review that the UK should reconsider its current advice on exclusive breastfeeding for six months.
“I believe that this is a retrograde step and plays into the hands of the baby food industry which has failed to support the six-month exclusive breastfeeding policy in the UK.”
Follow up articles on other blogs
The Motherwear Breastfeeding Blog
Prolonged and Exclusive Breastfeeding Reduces the Risk of Infectious Diseases in Infancy
http://www.reuters.com/article/idUSTRE65L5A620100622
the study:http://pediatrics.aappublications.org/cgi/content/abstract/peds.2008-3256v1
The Burden of Suboptimal Breastfeeding in the United States: A Pediatric Cost Analysis
http://pediatrics.aappublications.org/cgi/content/abstract/125/5/e1048
Probiotics in Breast Milk Ease Intestinal Pain
http://www.emaxhealth.com/1275/50/36770/probiotics-breast-milk-ease-intestinal-pain.html
http://www.fasebj.org/cgi/content/abstract/fj.09-153841v1
Protecting the Next Generation — Eliminating Perinatal HIV-1 Infection
http://content.nejm.org/cgi/content/full/362/24/2316
Breastfeeding in Australia:
http://www.virtualmedicalcentre.com/healthandlifestyle.asp?sid=319
from the journals…
Prolonged and Exclusive Breastfeeding Reduces the Risk of Infectious Diseases in Infancy
Liesbeth Duijts, Vincent W. V. Jaddoe, Albert Hofman, and Henriette A. Moll
Pediatrics. published 21 June 2010, 10.1542/peds.2008-3256
http://pediatrics.aappublications.org/cgi/content/abstract/peds.2008-3256v1?ct=ct
Factors associated with weaning practices in term infants: a prospective observational study in Ireland.
Tarrant RC, Younger KM, Sheridan-Pereira M, White MJ, Kearney JM.
Br J Nutr. 2010 Jul 5;:1-11. [Epub ahead of print]
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20598218
Factors affecting intention to breastfeed among Syrian and Jordanian mothers: a comparative cross-sectional study.
Al-Akour NA, Khassawneh MY, Khader YS, Ababneh AA, Haddad AM.
Int Breastfeed J. 2010 Jul 2;5(1):6. [Epub ahead of print]
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20598137
Breastfeeding Intentions of Female Physicians.
Sattari M, Levine D, Bertram A, Serwint JR.
Breastfeed Med. 2010 Jun 24;. [Epub ahead of print]
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20575714
Do Breastfeeding Intentions of Pregnant Inner-City Teens and Adult Women Differ?
Alexander A, O’Riordan MA, Furman L.
Breastfeed Med. 2010 Jun 24;. [Epub ahead of print]
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20575713
Preferences for labor and delivery practices between pregnant immigrants and U.S.-born patients: a comparative prospective antenatal survey study.
Ogunleye O, Shelton JA, Ireland A, Glick M, Yeh J.
J Natl Med Assoc. 2010 Jun;102(6):481-4.
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20575212
Paternal Smoking and Breastfeeding in Xinjiang, PR China.
Xu F, Binns C, Zhang H, Yang G, Zhao Y.
J Hum Lact. 2010 Jun 23;. [Epub ahead of print]
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20574109
Delayed onset of lactogenesis among first-time mothers is related to maternal obesity and factors associated with ineffective breastfeeding.
Nommsen-Rivers LA, Chantry CJ, Peerson JM, Cohen RJ, Dewey KG.
Am J Clin Nutr. 2010 Jun 23;. [Epub ahead of print]
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20573792
Many factors can determine whether a woman continues to breastfeed: knowing that breastfeeding is good for the baby is important to mothers but breastfeeding in public continues to be a negative experience for some.
McFadden A.
Evid Based Nurs. 2010 Jun 14;. [Epub ahead of print]
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Babies bringing up feeds. What about breastfed babies?
Walshe CE.
BMJ. 2010 May 25;340:c2759.
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Effectiveness of planned teaching programme on knowledge and attitude about complementary feeding among mothers of infants.
Dsouza A, Valsaraj BP, Priyadarshini S.
Nurs J India. 2009 Nov;100(11):246-7.
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Recent Evidence of the Effectiveness of Educational Interventions for Improving Complementary Feeding Practices in Developing Countries.
Shi L, Zhang J.
J Trop Pediatr. 2010 Jun 17;. [Epub ahead of print]
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Factors influencing the infant feeding decision for socioeconomically deprived pregnant teenagers: the moral dimension.
Dyson L, Green JM, Renfrew MJ, McMillan B, Woolridge M.
Birth. 2010 Jun;37(2):141-9.
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Managing breastfeeding and work: a Foucauldian secondary analysis.
Payne D, Nicholls DA.
J Adv Nurs. 2010 Jun 16;. [Epub ahead of print]
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Antiretroviral regimens in pregnancy and breast-feeding in Botswana.
Shapiro RL, Hughes MD, Ogwu A, Kitch D, Lockman S, Moffat C, Makhema J, Moyo S, Thior I, McIntosh K, van Widenfelt E, Leidner J, Powis K, Asmelash A, Tumbare E, Zwerski S, Sharma U, Handelsman E, Mburu K, Jayeoba O, Moko E, Souda S, Lubega E, Akhtar M, Wester C, Tuomola R, Snowden W, Martinez-Tristani M, Mazhani L, Essex M.
N Engl J Med. 2010 Jun 17;362(24):2282-94.
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Evaluation of leptin in breast milk, lactating mothers and their infants.
Savino F, Liguori SA, Petrucci E, Lupica MM, Fissore MF, Oggero R, Silvestro L.
Eur J Clin Nutr. 2010 Jun 30;. [Epub ahead of print]
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Lifetime health outcomes of breast-feeding: a comparison of the policy documents of five European countries.
Martin-Bautista E, Gage H, von Rosen-von Hoewel J, Jakobik V, Laitinen K, Schmid M, Morgan J, Williams P, Decsi T, Campoy C, Koletzko B, Raats M.
Public Health Nutr. 2010 Jun 29;:1-10. [Epub ahead of print]
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Infant feeding practices among HIV-positive women in Dar es Salaam, Tanzania, indicate a need for more intensive infant feeding counselling.
Young SL, Israel-Ballard KA, Dantzer EA, Ngonyani MM, Nyambo MT, Ash DM, Chantry CJ.
Public Health Nutr. 2010 Jun 29;:1-7. [Epub ahead of print]
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Factors that positively influence breastfeeding duration to 6 months: A literature review
Shahla Meedya, Kathleen Fahy, Ashley Kable
Women and Birth, 17 March 2010
http://www.elsevier.com/wps/find/journaldescription.cws_home/707424/description#description
Saudi Mothers’ Expected Intentions and Attitudes Toward Breast-Feeding
Maha Al-Madani, Vasso Vydelingum, and Judy LawrenceICAN: Infant, Child, Adolescent Nutrition 2010;2 187-198
http://can.sagepub.com/cgi/content/abstract/2/3/187?etoc
Breastfeeding the Vulnerable Toddler
Patricia Novak
ICAN: Infant, Child, Adolescent Nutrition 2010;2 152-157
http://can.sagepub.com/cgi/content/abstract/2/3/152?etoc
Focusing on Feeding Skills: Evaluating Inadequate Weight Gain in Late Preterm Infants
Debbie Gearner Thompson
ICAN: Infant, Child, Adolescent Nutrition 2010;2 147-151
http://can.sagepub.com/cgi/content/abstract/2/3/147?etoc
Initiating and Maintaining the Ketogenic Diet in Breastfed Infants
Nancy W. Cole, Heidi H. Pfeifer, and Elizabeth A. Thiele
ICAN: Infant, Child, Adolescent Nutrition 2010;2 177-180
http://can.sagepub.com/cgi/content/abstract/2/3/177?etoc
Factors Influencing the Infant Feeding Decision for Socioeconomically Deprived Pregnant Teenagers: The Moral Dimension
Lisa Dyson, Josephine M. Green, Mary J. Renfrew, Brian McMillan, Mike Woolridge
http://www3.interscience.wiley.com/journal/123444623/abstract
Published Online: 18 May 2010
DOI 10.1111/j.1523-536X.2010.00394.x
Infant and young child feeding indicators across nine East and Southeast Asian countries: an analysis of National Survey Data 2000-2005.
Dibley MJ, Senarath U, Agho KE.
Public Health Nutr. 2010 May 4;:1-8. [Epub ahead of print]
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20441662
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Interactions between breast, bone, and brain regulate mineral and skeletal metabolism during lactation.
Wysolmerski JJ.
Ann N Y Acad Sci. 2010 Mar;1192(1):161-9.
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20392232
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Donor human milk in preterm infant feeding: evidence and recommendations.
Arslanoglu S, Ziegler EE, Moro GE.
J Perinat Med. 2010 May 5;.
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20443660
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20443660
Attitudes to infant feeding decision-making–a mixed-methods study of Australian medical students and GP registrars.
Brodribb W, Fallon T, Jackson C, Hegney D.
Breastfeed Rev. 2010 Mar;18(1):5-13.
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20443434
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Do Infants Fed From Bottles Lack Self-regulation of Milk Intake Compared With Directly Breastfed Infants?
Li R, Fein SB, Grummer-Strawn LM.
Pediatrics. 2010 May 10;. [Epub ahead of print]
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20457676
Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=20457676
Breastfeeding patterns of mothers with type 1 diabetes: results from an infant feeding trial.
Sorkio S, Cuthbertson D, Bärlund S, Reunanen A, Nucci AM, Berseth CL, Koski K, Ormisson A, Savilahti E, Uusitalo U, Ludvigsson J, Becker DJ, Dupré J, Krischer JP, Knip M, Akerblom HK, Virtanen SM.
Diabetes Metab Res Rev. 2010 Mar;26(3):206-11.
PMID: 20474068 [PubMed - in process]
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20474068
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It’s all formula to me: women’s understandings of toddler milk ads.
Berry NJ, Jones S, Iverson D.
Breastfeed Rev. 2010 Mar;18(1):21-30.
PMID: 20443436 [PubMed - indexed for MEDLINE]
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20443436
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A case of dysphoric milk ejection reflex (D-MER).
Cox S.
Breastfeed Rev. 2010 Mar;18(1):16-8.
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20443435
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The relation of serum ghrelin, leptin and insulin levels to the growth patterns and feeding characteristics in breast-fed versus formula-fed infants.
Yiþ U, Oztürk Y, Siþman AR, Uysal S, Soylu OB, Büyükgebiz B.
Turk J Pediatr. 2010 Jan-Feb;52(1):35-41.
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20402065
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Factors associated with breastfeeding initiation time in a Baby-Friendly Hospital.
Orü’ E, Yalçin SS, Madendað Y, Ustünyurt-Eras Z, Kutluk S, Yurdakök K.
Turk J Pediatr. 2010 Jan-Feb;52(1):10-6.
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20402061
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Maternal Hospital Experiences Associated With Breastfeeding at 6 Months in a Northern California County.
Dabritz HA, Hinton BG, Babb J.
J Hum Lact. 2010 May 19;. [Epub ahead of print]
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20484659
Lactation-associated postpartum weight changes among HIV-infected women in Zambia.
Murnane PM, Arpadi SM, Sinkala M, Kankasa C, Mwiya M, Kasonde P, Thea DM, Aldrovandi GM, Kuhn L.
Int J Epidemiol. 2010 May 19;. [Epub ahead of print]
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20484334
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Assessment of knowledge, attitudes and practices of infant feeding in the context of HIV: A case study from western Kenya.
Wachira J, Otieno-Nyunya B, Ballidawa J, Braitstein P.
SAHARA J. 2009 Nov;6(3):120-133.
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20485852
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Breastfeeding and prolactin levels in lactating women with a family history of alcoholism.
Mennella JA, Pepino MY.
Pediatrics. 2010 May;125(5):e1162-70.
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” It’s official: with the passing of the health care reform reconciliation bill, the provision of reasonable break time and a place to express breast milk in the workplace is now federal law!
See Amelia Psmythe’s note below with helpful information about the next steps in implementing the law. USBC will be keeping close tabs on this process, and we are collaborating with MomsRising and others to spread the word to moms across the country. We will be issuing a press release shortly, and encourage all state coalitions to either 1) forward our press release to your local media, or 2) use it as a template to write your own release.
I’m attaching the actual language of the provision as a PDF file. It has already received some favorable media attention on NPR.org:
http://www.npr.org/blogs/thetwo-way/2010/03/new_health_laws_workplace_brea.html
Thanks again to everyone for their support and patience while we had to “lay low” to allow this to pass. And please do call or write to Senator Merkley to thank him!”
Best regards,
Megan E. Renner
Executive Director
United States Breastfeeding Committee (USBC)
2025 M Street, NW, Suite 800
Washington, DC 20036
The mission of the United States Breastfeeding Committee is to improve the Nation’s health by working collaboratively to protect, promote and support breastfeeding. Donate today!
“Good Day, friends!
As I’m sure many of you are aware, US Senator Jeff Merkley’s Reasonable Break Time for Nursing Mothers amendment passed as part of health care reform! Employer accommodation is now the law of the land.
What courage for a freshman Senator to propose a health care amendment in a contentious climate, see it through a bi-partisan committee, and now guide an implementation process on landmark legislation! Please take a moment to thank Senator Merkley by calling his office at: 202-224-3753 or use the online form: http://merkley.senate.gov/contact/
I recognize that questions abound regarding the timing, implementation, oversight, complaint process, arbitration and resolution under this provision. I am writing to assure you that Senator Merkley’s office is in conversation with the US Department of Labor to clarify all of this. I am in close communication with the Senator and his Portland and DC staff, and I will post to this listserve, and continue to update the BCO website and BCO Facebook page as new information comes in.
In our state process, where the Bureau of Labor and Industry (BOLI) is the administrator of our law, passage of the law was followed by BOLI drafting Administrative Rules. These Rules interpreted and clarified the law, even adding a few practical provisions the law had not addressed. This took several months. The federal process is not the same, but I believe the US Department of Labor will need to undergo something similar.
I understand and empathize that women (and their advocates and health care providers) want to know what the new rights are. It is going to be our challenge and opportunity to counsel patience with the next step of the process.
The main message to share with the world is that this is a time of celebration, development and learning. Creativity and patience will be needed on all sides, but overall — the world is shifting to a paradigm that recognizes breastfeeding is the natural outcome of pregnancy, and workplace accommodation is the natural outcome of a society where the majority of mothers and babies are separated due to work. For now, we work within the framework of delivering the product of breastmilk to babies while they’re apart from their mothers, in order to facilitate the experience of breastfeeding when they are together. (At least, this is what I told the DC reporter who called at 6am PST, and I’m sticking to it. ?)
When our President said, “this is what change looks like” this is what he is referring to – that change is incremental. It begins with an imperfect step that through diligence, work and participation, is refined and strengthened. So it will be with this provision.
Trust that more information will follow, and it will be good.
Best,
Amelia
--
Amelia Psmythe, Director
Breastfeeding Coalition of Oregon
Mail: Community Health Partnership:
Oregon's Public Health Institute
315 SW Fifth Ave, Suite 202
Portland, OR 97204-5502
Email: Amelia@BreastfeedingOR.org
Web: www.breastfeedingOR.org
Mothers in Wisconsin now have protection from harassment while nursing in public, under a new law signed last week.
The new law reads “A mother may breast?feed her child in any public or private location where the mother is otherwise authorized to be. No person may interfere with the right of a mother to breast?feed her child as provided in this section.”
Under the general penalty provision in Wisconsin state law, a person violating this statute would be subject to a fine of up to $200.
Want to know more about breastfeeding and the law? Check out this podcast with national expert Jake Marcus. Want to know what your state laws say about nursing in public or pumping at work? See this site maintained by the National Conference of State Legislatures.
Source: http://breastfeeding.blog.motherwear.com/2010/03/wisconsin-breastfeeding-law-signed-into-law.html
A new statement issued jointly by UNICEF, the World Health Organization, and Pan American Health Organization, reminds relief workers, healthcare professionals, and the public that in an emergency such as the Haiti earthquake, the key to survival of all infants, including orphans, is breastfeeding. When a child is motherless or separated from his or her mother, wet nursing, that is, direct breastfeeding from another lactating mother, is the safest feeding option. Since the breastfeeding rate in Haiti is very high, there is a good likelihood of being able to find wet nurses for large numbers of motherless infants.
UNICEF, WHO and PAHO have recommended wet nursing, also called “cross nursing” or “shared breastfeeding,” for infants without mothers to “ensure their survival in an emergency situation.” http://oneresponse.info/Disasters/Haiti/Nutrition/publicdocuments/Forms/DispForm.aspx?ID=78
There are a very small number of pathogens that may be transmitted via breastfeeding, including HIV. However, the risk of transmission of HIV via breastfeeding is low. The alternative to wet nursing for motherless infants is use of infant formula. The situation is Haiti is such that formula feeding presents a greater risk than the possibility of HIV infection via wet nursing.
Formula feeding in an emergency is extremely difficult and dangerous. Even when properly prepared, infant formula actively and passively harms the immune system of young babies, placing them at risk of life-threatening diarrhea and respiratory illness. [The Emergency Nutrition Network provides information on how formula can cause deaths due to diarrhea in an emergency at: http://www.ennonline.net/resources/101.
Formula feeding also requires extensive investment from the supporting aid agency. This includes a constant supply of infant formula; a stable supply of clean water; a stove and fuel to boil water; a pot, kettle, and feeding cups. Bottles and teats (artificial nipples) should never be used in emergency conditions because they are too difficult to adequately clean. Caregivers also need a clean storage environment, education on minimizing the risks of formula feeding, and medical supervision. This support should be provided not just in the immediate emergency, but until the infant is 12 months old.
According to the International Lactation Consultant Association (ILCA), wet nursing is not new, and has been practiced since the beginning of time not just in emergencies, but for convenience of mothers. The practice was made more visible with reports of actress Salma Hayek, who breastfed a suffering child in Sierra Leone last year, and Chinese police officer Jiang Xiaojuan, who was reported to have breastfed five additional infants besides her own after the May 2008 earthquake in China.
ILCA provides additional recommendations on supporting breastfeeding mothers consistent with directives from international relief organizations, including:
ILCA also strongly encourages the general public to avoid the temptation to donate infant formula to Haiti and, instead, to donate funds to relief organizations for use in meeting highest priority needs. Aid agencies supporting infants in Haiti that cannot be breastfed have procured the supplies that they need. Donations of infant formula only complicate the secure and sanitary provision of aid by workers on the ground. The organizations providing aid to breastfed and formula-fed infants in Haiti include: UNICEF, Save the Children, Action Against Hunger and World Vision.
ILCA has several free downloadable resources for families, health care providers, and relief workers at: www.ilca.org in English, Spanish, and French. The website also has a user-friendly “Find a Lactation Consultant Directory” of available International Board Certified Lactation Consultants (IBCLCs) worldwide who can assist new mothers or relief workers with lactation.
To learn more about breastfeeding in emergency situations, visit the ILCA website at www.ilca.org, or contact the ILCA Office at info@ilca.org, or (919) 861-5577.
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