Tuesday, July 30, 2013

To know Bad Advise can help clarify what is Good Breastfeeding here from The Bump

Worst Breastfeeding Advice -- Ever!

Say what? Bumpies shared the most outlandish breastfeeding tips they’ve ever heard, and then we asked lactation consultant Deirdre McLary, IBCLC, RLC, CD, to explain why the advice is such bad news. Take note -- this is what not to do.



“My dad told me once, ‘You’ll know within two days whether or not breastfeeding is going to work for you.’ He told me this while I was still pregnant -- needless to say, my instinct told me this was bad advice.” -- danienrossWhy it’s bad advice: Breastfeeding usually starts out tough and then gets easier as time goes on. “It can take several days to weeks to feel in balance with meeting the needs of your newborn,” says McLary. “Plus, your milk doesn’t come in until two to four days after the birth, so each day brings a new and different adjustment as you transition.” If you’re struggling, she suggests getting help from a pro -- problems can be corrected with just a single visit to a lactation consultant.
“A pediatrician told me to let my husband give our LO baby formula at night so I could get extra sleep. Apparently he thought extra sleep would increase my low supply.” -- pitterpatter129Why it’s bad advice: The exact opposite is actually true. “Replacing feedings with formula will sabotage your milk supply,” says McLary. “That’s because milk supply relies on supply and demand. If you skip a feeding because some well-intentioned loved one wanted to let you sleep, you’re sending the message to your breasts: ‘Hey, we’re done here. No milk is necessary at this hour.’” And your body, as a result, will make less milk. You don’t want that!
“A friend who’s also a nurse told me to give my baby bottles of water over the summer when it’s hot. She went on and on about how I wouldn’t want to drink milk when it was hot, so obviously baby won’t want to either.” -- tokenhoserWhy it’s bad advice: It’s not a good idea to give your baby water before he’s around six months old. That’s because he could fill up on it and drink less breast milk -- which has the nutrients he really needs. “Breast milk is all that your baby needs during the first six months of life,” says McLary. And as far as quenching baby’s thirst, breast milk will do that too. “It’s actually made of over 85 percent water,” says McLary, and we highly doubt he’ll turn it down when he’s hungry.
“Someone once told me to scrub my nipples with a washcloth to ‘toughen them up’ for nursing. Um, ouch!” -- museummavenWhy it’s bad advice: You won’t do much more than make your nipples sore. “This is a ridiculous old wives’ tale that seems to persist in some cultures,” says McLary. “It’s absolutely unnecessary. The best preparation for breastfeeding is understanding that it is a natural, normal process.” Your body is naturally prepping itself for breastfeeding. All you have to do is, well, do it.
“My mother-in-law said that my breasts were too small to give my baby enough milk and that I should give him formula.” -- k-reneeWhy it’s bad advice: There’s actually no correlation between breast size and milk production. “Breasts come in all shapes and sizes, and unless you have glandular development issues (which is rare), your breast size will not compromise your ability to produce milk to meet your baby’s needs,” says McLary.
“My friend gave me this advice: ‘Don’t breastfeed. Breastfeeding makes your breasts saggy and gross.’” -- damabo80Why it’s bad advice: Research shows that saggy boobs are more likely to result from pregnancy in general than from breastfeeding. “Pregnancy and hormones make our breasts victims of gravity,” says McLary. “Breastfeeding has little to do with it.”
“This week, my mother-in-law and sister-in-law both encouraged me to not breastfeed because it would take up too much of my time and I would end up a slave to my baby and boobs.” -- lolinshagWhy it’s bad advice: Sure, you’ll find yourself spending a lot of time feeding your baby, but so do bottle-feeding moms. “Imagine the time you’ll spend buying formula and bottle gear, and cleaning, sorting, cooling and heating bottles,” says McLary. Plus, breast pumps make it possible to give baby breast milk while you’re away from her, so you don’t have to feel stuck if you want some “me time.”
“Drinking beer while breastfeeding will help baby sleep. Yeah, that’s gonna work….” --dundasgirlWhy it’s bad advice: “This is a scary and dangerous concept,” says McLary. Why? Alcohol can pass into breast milk like it passes into your bloodstream. Sure, baby will only be exposed to a small percentage of alcohol if you drink, but his body will process it at a slower rate. And rather than help him sleep, it actually could cause sleep problems for baby, not to mention impair his motor development (scary!). But McLary says that having a glass of wine on a date night with your hubby is okay: “The general rule on breastfeeding is, if she can drive a car, she’s okay to feed her baby. But don’t count on it making baby sleep any longer than usual.” So if you end up enjoying a glass of chardonnay at dinner, wait at least two to three hours before nursing baby -- just to be safe.
“My father-in-law believes that bottles are better than breastfeeding because ‘ you’ll know if the baby is getting enough.’” -- kelleylkWhy it’s bad advice: Sure, if you breastfeed, you won’t have the luxury of ounce markings letting you know how much your baby is taking in, but there are ways to know she’s getting enough milk. “Make sure she’s happy, gaining weight, looking healthy and wetting between six to eight diapers in a 24-hour period -- and feeding every two to three hours,” says McLary. “Then, you’re meeting her needs.” And feeding her the healthiest way possible.

Go here to the original article: 

http://pregnant.thebump.com/new-mom-new-dad/breastfeeding/articles/worst-breastfeeding-advice-ever.aspx?cm_ven=Responsys&cm_cat=Newsletter&cm_pla=Parent&cm_ite=July%2030,%202013&MsdVisit=1 


Monday, June 24, 2013

Keep breastfeeding, it is tough sometimes - but so valuable!


Here is an important scientific article from the Science Daily.com taken from Brown University research, on the value of keeping up with breastfeeding even when things get tough!

I do want to put in a support line here for - any breastfeeding is better than none at all.  

Even if you cannot produce enough, and need to supplement (use Organic!) every drop helps your baby develop!

We are here to support you!  Let us know how we can!

Thank you,
Anne 
Bella Materna

MRI images, taken while children were asleep, showed that infants who were exclusively breastfed for at least three months had enhanced development in key parts of the brain compared to children who were fed formula or a combination of formula and breastmilk. Images show development of myelization by age, left to right. (Credit: Baby Imaging Lab/Brown University)

June 6, 2013 — A study using brain images from "quiet" MRI machines adds to the growing body of evidence that breastfeeding improves brain development in infants. Breastfeeding alone produced better brain development than a combination of breastfeeding and formula, which produced better development than formula alone.

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A new study by researchers from Brown University finds more evidence that breastfeeding is good for babies' brains.
The study made use of specialized, baby-friendly magnetic resonance imaging (MRI) to look at the brain growth in a sample of children under the age of 4. The research found that by age 2, babies who had been breastfed exclusively for at least three months had enhanced development in key parts of the brain compared to children who were fed formula exclusively or who were fed a combination of formula and breastmilk. The extra growth was most pronounced in parts of the brain associated with language, emotional function, and cognition, the research showed.
This isn't the first study to suggest that breastfeeding aids babies' brain development. Behavioral studies have previously associated breastfeeding with better cognitive outcomes in older adolescents and adults. But this is the first imaging study that looked for differences associated with breastfeeding in the brains of very young and healthy children, said Sean Deoni, assistant professor of engineering at Brown and the study's lead author.
"We wanted to see how early these changes in brain development actually occur," Deoni said. "We show that they're there almost right off the bat."
The findings are in press in the journal NeuroImage and available now online.
Deoni leads Brown's Advanced Baby Imaging Lab. He and his colleagues use quiet MRI machines that image babies' brains as they sleep. The MRI technique Deoni has developed looks at the microstructure of the brain's white matter, the tissue that contains long nerve fibers and helps different parts of the brain communicate with each other. Specifically, the technique looks for amounts of myelin, the fatty material that insulates nerve fibers and speeds electrical signals as they zip around the brain.
Deoni and his team looked at 133 babies ranging in ages from 10 months to four years. All of the babies had normal gestation times, and all came from families with similar socioeconomic statuses. The researchers split the babies into three groups: those whose mothers reported they exclusively breastfed for at least three months, those fed a combination of breastmilk and formula, and those fed formula alone. The researchers compared the older kids to the younger kids to establish growth trajectories in white matter for each group.
The study showed that the exclusively breastfed group had the fastest growth in myelinated white matter of the three groups, with the increase in white matter volume becoming substantial by age 2. The group fed both breastmilk and formula had more growth than the exclusively formula-fed group, but less than the breastmilk-only group.
"We're finding the difference [in white matter growth] is on the order of 20 to 30 percent, comparing the breastfed and the non-breastfed kids," said Deoni. "I think it's astounding that you could have that much difference so early."
Deoni and his team then backed up their imaging data with a set of basic cognitive tests on the older children. Those tests found increased language performance, visual reception, and motor control performance in the breastfed group.
The study also looked at the effects of the duration of breastfeeding. The researchers compared babies who were breastfed for more than a year with those breastfed less than a year, and found significantly enhanced brain growth in the babies who were breastfed longer -- especially in areas of the brain dealing with motor function.
Deoni says the findings add to a substantial body of research that finds positive associations between breastfeeding and children's brain health.
"I think I would argue that combined with all the other evidence, it seems like breastfeeding is absolutely beneficial," he said.
Other authors on the study were Douglas Dean, Irene Piryatinsky, Jonathan O'Muircheartaigh, Lindsay Walker, Nicole Waskiewicz, Katie Lehman, Michelle Han and Holly Dirks, who all work with Deoni in the Baby Imaging Lab. The work was funded by the National Institutes of Mental Health.
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Story Source:
The above story is reprinted from materials provided byBrown University.
Note: Materials may be edited for content and length. For further information, please contact the source cited above.

Journal Reference:
  1. Sean C.L. Deoni, Douglas C. Dean, Irene Piryatinksy, Jonathan O'Muircheartaigh, Nicole Waskiewicz, Katie Lehman, Michelle Han, Holly Dirks. Breastfeeding and early white matter development: A cross-sectional studyNeuroImage, 2013; DOI:10.1016/j.neuroimage.2013.05.090

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 MLA
Brown University (2013, June 6). MRI study: Breastfeeding boosts babies' brain growth.ScienceDaily. Retrieved June 24, 2013, from http://www.sciencedaily.com­/releases/2013/06/130606141048.htm
Note: If no author is given, the source is cited instead.

Friday, May 24, 2013

How to get the best from Maternity Bra sizing vs stages!








3-6 months Pregnant? 2nd Trimester Bra:
~ Exciting new changes!  Your old bras do not fit?
~ Why not get something that will be useful for Breastfeeding later on?
The bra you buy now will be used again when your baby is about 6 months old, or when you start solids (generally).  
~ Make sure you have a little room to grow into it (mostly in the band).
Mesh Plunge and Wire free Bras are excellent to flex through next body stages.
~ Need an Underwire Bra?  Our patented Flexywire is unique, and we have sewn on extenders to help band size flexibility.  Ignore the clips until after baby comes. Email us with questions Order at BellaMaterna.com! Or give us a call Toll Free Worldwide: 1-888-700-8438.


6-10 months Pregnant?  3rd Trimester Bra/Newborn Nursing Bra:
~ You need a comfort bra that will flex with your body changes, and you also need a bra for daytime/work to transition to your first nursing bra.
   The bra you get now, will fit you through baby delivery, and new born feeding.
 ~ Wire free Bras tend to be are more comfortable, especially in the last 4-8 weeks when your baby is so big it is pushing your rib cage wider.
~ Need an Underwire Bra?  Our patented Flexywire is unique, and we have sewn on extenders to help band size flexibility.  Ignore the clips until after baby comes.
~  Anytime Collection is designed to assist you in grace and style.  These are the important tools to have at the ready.


Congratulations!!  Milk is in and you are ready for new bra?
~We will have you feeling back to yourself with a pretty nursing bra that will last for at least the next 6 months of breast feeding.
 ~ Wire free Bras tend to be are more comfortable, but also tend to cover more breast/body area, ours are designed with flexibility in mind.
~ Need an Underwire Bra?  Our patented Flexywire is unique, and we have sewn on extenders to help band size flexibility.  Ignore the clips until after baby comes.
~  Anytime Collection offers the most flexibility in fit without clips, great for sleep.
Sexy T-Shirt Nursing Bra is your everyday uplifting basic, great for pumping @ work or out and about with you new baby!!  (I wear this style almost every day!)

* If you have had a clogged duct, consider wirefree, you may be more prone to clogging.  Be sure to massage clogged ducts, and find a Lactation Consultant if it does not resolve and becomes more painful.   In 13 years we have found it is really the FIT of the bra that impacts an increase in clogged ducts - NOT our Bella Materna Patented Flexywire.  Don't be fooled by cheap knock off un-patented products.


Next Goal:  Aim to provide breastmilk until they are One Year old!
~ We have great bras to last the whole journey, any bra on our site will work!
~The bra you bought in 2nd Trimester - get it out, as this is it's encore performance.  Get all the wear out of our good quality - long lasting items, built to last for you!
~Get something nice for yourself, you are the mom see our latest Fashion Peacock Collection!





Wednesday, March 27, 2013

2nd graders on where moms come from:


I thought this was pretty funny!

Answers given by 2nd grade school children to the following questions:

Why did God make mothers?
1. She's the only one who knows where the scotch tape is.
2. Mostly to clean the house.
3. To help us out of there when we were getting born.

How did God make mothers?
1. He used dirt, just like for the res t of us.
2. Magic plus super powers and a lot of stirring.
3. God made my mom just the same like he made me. He just used bigger parts.

What ingredients are mothers made of?
1. God makes mothers out of clouds and angel hair and everything nice in the world and one dab of mean.
2. They had to get their start from men's bones. Then they mostly use string, I think.

Why did God give you your mother and not some other mom?
1. We're related.
2. God knew she likes me a lot more than other people's mom like me.


Thursday, January 31, 2013

Maternity and Nursing Bra Guide from 12 years of experience



A Maternity and Nursing Bra Guide from 12 years of experience
Congratulations, welcome to the world of motherhood, take care of yourself -- it is as important as taking care of your baby - they need you to be well!  Whether this is your first baby or your sixth baby, it is unique each time.  Our bodies change with each stage of pregnancy, even more reason for added help when finding the right size: a maternity bra, nursing bra or maternity clothing.
Properly fitting bras are especially important for your pregnant and nursing comfort.

8 out of 10 women wear the wrong size bra because it is not easy to know and most stores do not stock a full range of sizes. This is even more true when your body is changing and growing - when you are expecting or breastfeeding your little one!!

We make the best bras, with comfort, support, flexibility and style all sculpted into a beautiful garment for you.  Your safety, health and care at the forefront of our developments. 

Bella Materna bras are built to last, even guaranteed, many moms report our bras are the most practical because they last; not only from pregnancy through nursing, but for the little sisters and brothers that follow. ( No, that cheapo bra will not last, and you will spend more on several cheap ones, than a few high quality ones -- think of bras like tires...very important to get you to your destination.)
3-4 months pregnant = pre-pregnancy band with extender + increase cup 1 size (generally)
We recommend getting a new bra when you are pregnant and cannot fit into your pre-pregnancy bras (about 3-4 months).  Your breast size will out-grow this bra by the end of pregnancy!  But do not fear, you will get back to this size again when your cute little baby starts eating solid foods (World Health Organization recommends this at 6 months).
The extender is very important and allows room for your rib cage to grow.  Ideally when new this bra will be on the 3rd hook of a 6 hook & eye closure at the back of a bra.  You will need the next 3 hook settings, as your rib cage expands.  The growing baby pushes your organs up toward your breasts, which is what makes the rib cage expand, so after delivery the ribs decrease again.
Ideally this bra has breastfeeding access, so you can wear it again when your breasts have decreased back to this size at solids. This enables you to get the most wear out of a bra, and the most for your money.  

6-8 months pregnant = pre-pregnancy band with extender + increase cup 2 size (generally)
Then you will need to increase your bra size again near the last few months before the baby is born.  Since the baby belly is getting big, you will really want to focus on comfort and support.  This bra should be flexible enough to fit throughout the end of maternity, and also the first several months of breastfeeding (until your baby starts solids).   When your milk comes in (a few days after delivery - give or take a few days -- everyone's body is unique), you will increase again in size, usually this is temporary until your body has settled into the rhythm of breastfeeding.  Be sure to have a flexible but supportive bra to fit this range of needs.  The Anytime Bralet is the ideal bra for its flexibility, comfort and support.
This bra should have breastfeeding access, so you can wear it when the baby is born. Then you are not buying a bra for the short term.
Finding your Maternity Bra & Nursing Bra Size – get out the tape measure and put on the best fitting bra you have! Keep in mind, a proper fitting bra will hold the fullest part of your breast mid-way between your elbow and shoulder, when looking at your profile.  The band should not ride up in the back either, as this makes the front less supportive.  A good fitting bra will lift you and reveal that high waistline, this helps reveal your feminine beautiful shape.
Band Size - the foundation: 
First, measure under your breasts; parallel to the floor from the front to back, hold it firmly not loose.  Then, review our size chart for your band size, keep in mind what your pre-pregnancy size.  The extender will add 2 1/2" (about 6cm) in extra length,  hopefully this measure matches in the range of your pre-pregnancy size.
In our 12 years of experience, it is best to purchase your pre-pregnancy band size and wear it with an extender if one is not already sewn on.  This is because after delivery, your rib cage will decrease back quickly (especially because breastfeeding helps burn calories).  The ability to have a firm fitting band will support your breasts better than a loose band that rides up.
My usual metaphor for a loose band is a dump truck, if the band rides up, it dumps the front!

Cup Size - the house: 
Most women increase 2 cup sizes by the end of pregnancy.  i.e. If you were a 34D pre-pregnancy we recommend a 34F with an extender. (yes F means Fantastic! Do not be afraid of larger cup sizes - these are not test scores!!)  Measure over the fullest part of your bust.  Keep in mind, a proper fitting bra will place the fullest part mid-way between your elbow and shoulder. If your bra does not fit well, this measurement will be smaller than it should be, and you might buy too small of a cup size.  Compare this measure according to your matching band size.  
Bella Materna Bra Guide:
Anytime Collection - this is suited to flex and be comfortable, it is designed to be worn day or night, while you are expecting or you are nursing.  Heck, my mom loves this bra and she is a grandma!

T-Shirt Bras - these bras are for looking your best out and about, while they certainly should be comfortable and supportive they are a firmer fit and will elevate you the best - always try them on with a shirt!  These are best for getting showing your under-bust and waistline, your feminine shape is beautiful show your curves. Feel free to call us to chat about what you need.

Sexy Bras - these bras are the secret beneath it all.  Especially in this time when everything is changing it is great to feel confident and know that you are doing the important work of motherhood!  Honestly, this kept my spirits up when I needed it most, and fueled me to love the body I am in.  Of course, your partner will be happy because you are happy!

Loungewear - in your new body you will need new pieces to fit your changing needs and shape.  Our collection is designed for while expecting and has functionality to meet your needs through nursing.
Feel free to contact us, we are here for you!!
Order@BellaMaterna.com or Toll Free 1-888-700-8438 M-F 9am 5pm PST

Sincerely,
Your Bella Materna Team President - Anne Dimond

Friday, January 18, 2013


{Anne chime in: I wanted to post this to help us all remember to be vigilant!}

Reposted from BigCityMom.com 

This year's flu season is the worst that our country has seen in decades. Just last week the Center for Disease Control and Prevention stated that it has officially hit epidemic levels. With the outbreak spread throughout the entire country, it is important that we protect ourselves and our family from the virus. 

Children, who have weaker immune systems than adults, are especially at risk with such a widespread virus. {Anne: Pregnant moms too!}

Dr. Philip Tierno, who is also known as Dr. Germ, says that there are ways that our family can lessen the chances of getting the flu. There are many ways that we can protect ourselves and others.

{Anne chime in: always good to be reminded of these measures to inspire us before we get sick or sick again!} 


Flu Fighting Tips for Families  

Arm your family (and caregivers) against the flu by getting the flu vaccine. Even if the cold & flu season didn't affect your family last year, being proactive is still the best offense, as the flu virus will still remain a threat for several months.

Hand-washing is of the utmost importance in fighting the flu. Several studies confirm that routinely washing your hands and avoiding touching your face can greatly reduce your chances of spreading the virus. Be conscious and persistent in hand hygiene, especially if you have young children.

Disinfect all shared surfaces in your home (like the bathroom, living room) with disinfecting spray, such as Lysol, to eliminate the spread of germs that cause infection.

Combat dry winter air and elevated indoor temperatures by increasing your hydrating efforts. It’s no secret that you should keep fluids flowing through your body to remain healthy, but increasing your water intake can serve as an extra line of defense.

Getting outside to exercise may be difficult during harsh winter conditions, but make sure your family is engaged in at least one hour of exercise everyday, even if it is walking,  biking or using elliptical machines, indoors or outside, etc . Take advantage of warm fronts that are trending across the nation or encourage daily activities to ensure everyone is getting their blood pumping at least an hour a day.

Restore your energy and ability to fight the flu with at least seven to nine hours of sleep each night. A lack of sleep can be just as debilitating as stress, so urge your family to refuel their immune systems by getting enough sleep. Shorter days during the winter months are the perfect excuse to push for an earlier bedtime.

{Anne chime in: scientifically we know the virus do not attack until they have enough members to actually have an effective attack!  It is a war for your body!} 


Sunday, January 6, 2013

Breastfeeding vs Erectile Dysfunction!

This informative article highlights some steps forward for mothers! I recommend reading the whole article.

Breastfeeding dysfunction vs Erectile dysfunction! (both health issues). This comparison is actually causing the change we moms need for healthcare (ie Viagra is covered but Lactation Consulting was/is not!)

Ask your OB your healthcare provider, does s/he offer Lactation consulting as part of her services or at least refer?  Demanding this can be your early steps in parenting (as my doula/coach reminded me)! 

On a sensitive note: we are here to support each other- if you are struggling - reach out! Breastfeeding is awesome but not always easy, we try our best, these health care changes can offer more support. 

Also - if you try your best and your baby needs more-- in my personal opinion supplement with formula! THAT is what is is FOR to supplement as necessary! You are still giving your baby breast milk (of course - you need good nursing bras for that....wahlah Bella Materna...)

-Anne


Here is a link to the article - I also pasted it below.

http://healthland.time.com/2013/01/02/is-the-medical-community-failing-breastfeeding-moms/


Breast-Feeding

Is the Medical Community Failing Breastfeeding Moms?





Is the Medical Community Failing Breastfeeding Moms?
TAMAR LEVINE / GALLERY STOCK

The doctor blamed it on the baby. “She’s not absorbing your milk,” he told Colleen Kelly, in the days after he daughter was born, as the baby lost too much weight and cried constantly. Lactation consultants said, “She’s not latching properly.”
Kelly drove through rural Maine for hours to attend breast-feeding support groups and La Leche League meetings, yet the baby went from eight to six pounds and was diagnosed as “failure to thrive.” The baby’s kidneys were x-rayed and blood taken, but doctors found nothing wrong.
Not once in her travels did someone suggest that perhaps the problem was Kelly herself, rather than her baby or her ability to latch on. She told doctors that her mother hadn’t been able to produce enough breast milk—could that be happening to her?
No, they said. That was an old wives’ tale. But they never even looked at her breasts.
“It was clear that none of the doctors or nurses knew enough about breast-feeding to figure out what was happening,” Kelly says.
That’s because lactation is probably the only bodily function for which modern medicine has almost no training, protocol or knowledge. When women have trouble breast-feeding, they’re either prodded to try harder by well-meaning lactation consultants or told to give up by doctors. They’re almost never told, “Perhaps there’s an underlying medical problem—let’s do some tests.”
When women have trouble breast-feeding, they are often confronted with two divergent directives: well-meaning lactation consultants urge them to try harder, while some doctors might advise them to simply give up and go the bottle-and-formula route. “We just give women a pat on the head and tell them their kids will be fine,” if they don’t breastfeed, says Dr. Alison Stuebe, an OB who treats breast-feeding problems in North Carolina. “Can you imagine if we did that to men with erectile dysfunction?”
ED, she points out, is within the purview of many doctors’ services, and insurance will cover Viagra, but lactation dysfunction? It doesn’t even exist as a diagnosis, no accompanying health insurance code for which doctors can bill. Within the database of federally funded medical research, there are 70 studies on erectile dysfunction; there are 10 on lactation failure.
No one argues that breast is best, but the truth is that breast-feeding is very difficult for many women, and for some, medical problems make it almost impossible without intervention. With the recent bans on giveaways of formula samples in some hospitals, it’s all the more important that the medical community have the tools and knowledge to help mothers breastfeed—or to figure out why they can’t. Until doctors and nurses are properly trained to help, women like Kelly will experience all of the pressure to breastfeed, with none of the support to figure out how.
What do doctors learn about breast-feeding in medical school? “We learned that it’s what’s best for baby,” said my own pediatrician. “But that’s it.” They’re introduced to evidence that prolonged breast-feeding reduces the possibilities of obesity, SIDS and allergies, but the science of it, what’s happening at the anatomical level? Not so much.
“It’s an hour, or a half a day, and [students] don’t remember anything,” says Dr. Todd Wolynn, a Pittsburgh pediatrician and executive director of the Breastfeeding Center of Pittsburgh. There were years, he says, when there was literally nothing said about breast-feeding at all.
Why so little heed? “When most of the people who are currently leaders were in training, breast-feeding was really uncommon,” says Stuebe. Many teaching in medical schools today were raised in the better-living-though-chemistry age, when infant formula was thought to trump the attributes of breast milk. (Formula was certainly an improvement over the non-pasteurized cow’s milk that killed many infants at the turn of the 20th century, when breast-feeding was not in vogue). “It’s generational for doctors to think it would be necessary to know anything about breast-feeding.”
It didn’t help that formula companies famously sidled up to doctors and nurses and insinuated themselves into hospital protocol; there’s a reason that, until the bans enacted in the last few weeks in some cities, new moms left the hospital with so much Similac swag.
In addition, doctors practicing today don’t know where to place breast-feeding problems—breasts are attached to the women, so shouldn’t they be the province of OBs, say pediatricians. And OBs note that breast-feeding is for infants; shouldn’t the baby’s doctor handle it?
This leaves breast-feeding problems either to the rare family physicians, or more commonly to lactation consultants who can assist with technical issues—improving the baby’s latch and such—but can’t write prescriptions, check hormone levels or offer a diagnosis.
That’s what a breast-feeding doctor—an OB, pediatrician or family physician with a subspecialty in breast-feeding medicine—would have done in Kelly’s case: a complete physical and medical history (yes, in fact, it is relevant if your mother couldn’t make milk) on mom and baby to see if any physical or anatomical factors were affecting supply. In the mother, they might check the shape of her breasts, to see if they were hypoplastic—a tubular shape that can indicate underdevelopment of the glandular tissue needed to make breast milk—or evaluate her hormone levels, ask if her breast size had increased during pregnancy. Perhaps they’d prescribe a galactogogue, a drug that promotes lactation. Today there are 88 physicians in the entire world who are fellows of the Academy of Breastfeeding Medicine, and have “demonstrated evidence of advanced knowledge and skills in the fields of breast-feeding and human lactation.”
But Kelly’s doctors weren’t trained in human lactation, and they told her what many women with lactation failure have been told before: “We’ve never seen this before. You’re the only one.”
Yet Kelly is clearly not alone. Dr. Amy Evans, a pediatrician and medical director of the Center for Breastfeeding Medicine in Fresno, CA, says that as many as five percent of all women have underlying medical conditions that prevent or seriously hinder lactation: hypoplasia, thyroid problems, hormonal imbalances, insufficient glandular tissue, among others. But even Dr. Wolynn, who is also a certified lactation consultant, seemed skeptical when I related Kelly’s tale—usually women struggle because they haven’t had enough support in the first few days after giving birth, in his experience. “Very few women really can’t breastfeed,” he said. “That’s very, very, uncommon.”
It’s a “normal mammalian function,” he said. Almost everyone can do it.
Because the complexities of lactation failure are so little studied and so often misunderstood, women can often feel that they are at fault, rather feeling like they are suffering from a medical issue for which they need and deserve professional help.  Dr. Marianne Neifert writes in her article, Prevention of Breastfeeding Tragedies, “The bold claims made about the infallibility of lactation are not cited about any other physiologic processes. A health care professional would never tell a diabetic woman that ‘every pancreas can make insulin’ or insist to a devastated infertility patient that ‘every woman can get pregnant.’”
Luckily, doctors are beginning to take breast-feeding on. Wolynn, Evans and Stuebe are all  fellows of the physicians’ organization Academy of Breastfeeding Medicine (ABM). At Wolynn’s practice, all six of the pediatricians on staff are also certified lactation consultants.
ABM has developed 25 protocols to guide physicians in treating breast-feeding problems. They’ve successfully lobbied to include breast-feeding issues on the exams for the American Board of Obstetrics and Gynecology and the American Academy of Pediatrics. And the Affordable Health Care Act advises that, as of August 1, health insurance companies should provide “comprehensive lactation support and counseling, by a trained provider during pregnancy and/or in the postpartum period, and costs for renting breast-feeding equipment.”
Of course, we’re low on those trained providers, but there are more every day, as medical schools begin to adopt breast-feeding curricula. “It’s probably the most promising times we’ve seen,” says Wolynn.
“We’re in the early phases of what I’m hoping in the next five to 10 years will be more appreciated and more considered a real subspecialty,” says Evans. “It’s a whole new area of medicine.”
Still, there’s work to be done. Health insurance companies need to reimburse doctors for the time they spend attending to breast-feeding issues, to cover galactogogues, and to cover donor breast milk for women with lactation failure. And if we’re going to remove formula samples for women to promote breast-feeding, we better come up with a plan to feed the babies of that 5% of women who can’t sustain them—with 4 million births a year, that’s 200,000 moms who need extra help.
Doctors practicing today—especially those treating pregnant women and new mothers—need to know that lactation failure really does happen, and to be familiar with the potential causes of it, so that they can intervene early.
Perhaps most importantly, we need to stop demonizing mothers who can’t breastfeed, guilting them into starving their kids with insufficient milk supplies rather than supplementing with formula. Yes, breast-feeding can help prevent SIDS, obesity, childhood leukemia, asthma, and lowered IQ…but none of those matter if your baby is failing to thrive because of malnutrition.
In Kelly’s case, once the baby was admitted to the hospital, she began to use formula, fed through a syringe—she was told to avoid bottles because the baby would reject the breast. She stuck with formula, her baby gained weight, and today, “she’s happy, healthy and fine,” Kelly says. But her guilt and shame continued long after the baby recovered. It wasn’t until weeks later, in another doctor’s office, that Colleen happened upon an article that calmed her: some women, it said, can’t breastfeed, for physical reasons. If only her doctors had read that article, too.


Read more: http://healthland.time.com/2013/01/02/is-the-medical-community-failing-breastfeeding-moms/#ixzz2HBWgUA42