new beginings july 2010
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Today
Choosing
Breastfeeding
Nourishmentof Love
Inant Sleep,Breasteeding andBed-Sharing
I s s u e 2 | J u L Y | 2 0 1 0
Whats New and Whats No
The NEW WomanlyArt o Breasteeding
OrderNow!
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Issue 1 2010 | llli.orgToday
llli.orgvisitto accessbreastfeeding resourcesandinformation
Online magazine
NEW
Order or printed cop of
from magcod.com
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here!
Today
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llli.org | 2010 Issue 1
Celebrating Mothers and Babies Around the World
TABLE OF CONTENTS
Today
Toda
[12]Mothers Stories
12 Worth th Strggl13 Liams Waning
14 Norishmnt o Lov
[15]Devoted Dads
Choosing Brastding
[16]Your Letters:
Lttrs Pag
[18]Kathleen Kendall-Tackett,
Ph.D., IBCLC
Shold Mothrs Avoid NighttimBrastding to Dcras Thir
Risk o Dprssion?
[20]Breastfeeding in the News
Th Crios Lactivist:
Brastding Crditd
with Prvnting War Rlatd Daths
[22]Book review
Slping with Yor Baby A Parnts
Gid to Coslping
[24]LLL News
GlobaLLL: LLLI Pr Conslor
Training in Malaysia
LLL Astria
Llli-nws
LLL Irland
[28]Whats Cooking
Khma Kot
[06][04]The Womanly Art
of Breastfeeding:
Whats New
and Whats Not
Inant Sleep,Breasteeding and
Bed-Sharing
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Celebrating Mothers and Babies Around the World
EDITORS LETTER
llli.org | 2010 Issue 1
Issue 1 | 2010 | Volume 2 | Number 2 2010,
La Leche League International, Inc.
Managing Editor | Barbara Higham
Contributing Editors | Kathy Abbott, JohannaHorton, Barbara Mullins, Lesley Robinson
Revie Board | Barbara Emanuel, Gwen Gotsch,Carol Kolar, Kathleen WhitfeldArt Director | Ronnelito Larracas
Cover Photo | Inmagine.com
Advertising Manager | ReNata Bauder
web Development | Dave Davis, Shelly Stanley
Accptanc o paid advrtismnts dos not
constitt an LLLI ndorsmnt o th prodct
advrtisd. LLLI dos not rqir advrtisrs
to carry prodct liability insranc.
Mailing Lists:
LLLI somtims maks its mailing list o mmbrs
availabl to rptabl otsid grops. I yo prr
not to rciv ths mailings, notiy LLLI.
La Lch Lag Intrnational lly spports
th WHO (World Halth Organization) Intrnational
Cod o Markting o Brastmilk Sbstitts.
LLLI Board o Dirctors, (2009, 2010)
Breastfeeding Todayis published by La Leche League
International Inc., PO Box 4079, Schaumburg, IL.
60168-4079 USA. Telephone 847-519-7730
(9 AM to 5 PM Central Time). Visit our Web site at llli.org.
Canadian subscribers should contact LLL Canada at
PO Box 700, Winchester, ON K0C 2K0, Canada, or
go to www.lalecheleaguecanada.ca with any questions about
subscriptions.
Barbara Higham
Today
L A Le CH e Le AG ue I N T e RN AT I ON AL l l l i . o rg
Toda
The Womanly Art o BreasteedingLa Leche Leage believes women know best when it comes to mothering and oers accrate, sensiblereassring inormation that leaves yo to decide how to se it. The completely revised and pdated8th edition oThe Womanly Art of Breastfeeding has been reocsed and pdated or todays mothers.
Help s reach or goal o ptting this iconic book on the New York Times bestseller list by adding yopre-orders to those stacking p on or website.
The Womanly Art of Breastfeeding is the book no breasteeding mom shold be withot!
Sharing SleepWorldwide and throghot history, mothers have ond that breasteeding has been made easier atnight i they take their baby into bed and eed lying down. It is not at all nsal or both mother and
baby to sleep better this way. While I was happy with the arrangement o sleeping with my babies, itwas clear to me that it was seen as a problem by others becase theyd ask, Is he sleeping throghthe night yet? Well, no he wasnt, bt we were getting plenty o sleep and his nighttime eeds werenot distrbing s. Reactions were mixed, bt there was a common thread o disapproval. Some othermothers shared with me that they too slept with their babies. I sally got the impression that thiswas something they elt they shold not be doing, or even that it was a ailre on their part not to getheir babies to sleep alone. Any ears I had were overridden by the convenience o the arrangement. Ineeded my rest and simply coldnt contemplate getting ot o bed in the night to eed the baby!
Theres something very special and relaxing abot watching yor child all asleep next to yoyorhormones play a part here and those instinctive eelings that this is something good. Research nowpoints to the potential benefts derived rom parents and inants sleeping in close proximity. In thisisse oBreastfeeding Today, Helen Ball examines the isses o sharing sleep with a breasted inant.We link to an article in which Kathleen Kendall-Tackett asks whether mothers shold avoid nighttimebreasteeding to decrease their risk or postpartm depression. There is also a review o James
McKennas Sleeping with Your Baby.
I hope yo enjoy these articles stories, letters and news in this second isse oBreastfeeding Today.
Please share the link to Breastfeeding Todaywith other mothers and share YOuR stories, letters andphotos with Breastfeeding Today.
Sweet dreams!
Barbara Higham | editorbt@llli.orgBarbara Higham is a La Lch Lag Ladr and LLL magazin ditor, who livs in th spa towno Ilkly, Wst Yorkshir in th north o england with Simon and thir childrn, Flix (12), edgar (8)and Amlia (4).
Coming in issue 3:
Long-Trm At-Brast Spplmnting or th Brastd Baby by Diana Wst,
BA, IBCLC and Dian Wissingr, MS, IBCLC
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Today
04
Issue 1 2010 | llli.org
Diane Wiessinger, Diana West and Teresa Pitman
Th vry rst Womanly Art of Breastfeeding was a
thin notbook o mimographd pags. Th 8th
dition is mch thickr, o cors, bt w thr
athorsDian Wissingr, Diana Wst and Tr
Pitmanwnt right back to that rst vrsion
or inspiration and gidanc. W wr srprisd
(althogh w sholdnt hav bn!) to s how
mch o th inormation that hlpd mothrs mo
than 40 yars ago still hld p today, with crrn
rsarch to spport what thir obsrvations and
harts told thm a hal cntry ago. Th Fondr
aith in mothrs and babis cam throgh on v
pag: thy knw that brastding workd and t
it wold provid a solid ondation or mothring
Accpting th challng o pdating and
modrnizing th book that was so ndamntal
to or prsonal mothring jornys was both
hmbling and intimidating. Th Womanly Art of
Breastfeeding is a blovd icon to so many popl
arond th world! Bt all thr o s ar dply
rootd in LLL philosophy, in or own livs and in
or LLL and prossional work. W drw rom this
to shap a book that w hopd wold prsnt th
LLL philosophy clarly and compllingly to a nw
gnration. This mant a mor accssibl, girlrin
to-girlrind ton, with lots o hmor and ral-li
ancdots.
Or ramwork or this dition was an LLL mtin
in a book. O cors, no two LLL mtings ar v
th sam, bt crtain thms, qstions and iss
tnd to rcr. W mad a point o addrssing tho
in th book. And todays mothrs ask mor dtail
qstions abot a widr varity o topics than v
bor. So yoll nd lots o nw inormationm
whys along with th howsas wll as xpand
sctions on many amiliar old topics. In vry
sction, w hop LLL philosophy shins throgh.
On o th biggst changs yoll notic is thatinormation has bn organizd in a nw way.
Jst lik th rst mting in or traditional Sris
Mtings, w bgin th book with a chaptr abo
how to prpar or brastding dring prgnanc
inclding how milk is mad and th importanc
o nstingprparing not th darling nrsry
bt th babys ral habitat o mothrs body and
a wlcoming attitd. Th nxt chaptr is abot
th importanc o bilding a spport ntwork o
rinds, amily, halth car prossionals and oth
commnity rsorcs.
TheWomanly Art of Breastfeeding
The Womanly Art of Breastfeeding
New 8th Edition
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05
Sinc mdical intrvntions srronding birth
hav bcom incrasingly common and hav
casd incrasing brastding problms, th
inormation in or chaptr on how birth acts
brastding will hlp mothrs know thir
options and mak dcisions. Yoll mt em
(evryday Mothr) and hr son Ab (Avrag
Baby) and ollow thm throgh a normal birth.
Thr ar lots o tips or avoiding common
intrvntions and or daling with thir cts i
thy occr.
On o or nw bt vry old additions rlats
to th somtims-controvrsial qstion o
gtting th baby latchd on. early ditions
didnt talk mch abot this iss. Position jst
mant a comortabl position or th mothr.Latching was somthing th baby took car
o. Bt ovr th yars thr hav bn mor
and mor rls abot how to position and latch
th baby, and ovr th yars birth intrvntions
hav mad th babys rol hardr or him to
manag. This dition ocss on a babys natral
ability to nd and latch onto th brastno
rls, no on corrct way to do it, with lots o
hlp or spporting yor babys instincts whn
hs having trobl and listning to yor own
instincts.
Th nxt sction o th book is a collctiono ags and stags chaptrsa sqntial
arrangmnt that maks it asir or mothrs to
zro in on th isss thyr daling with at any
givn point. In ach chaptr, w prsnt not only
th answrs to common qstions that mothrs
might b having at a particlar tim, bt w also
dscrib th normal bhaviors and nds o a
brastd baby at that ag.
Th nxt sction addrsss th big qstions:
slp, solids, working, pmping and challnging
sitations. each o ths topics was addrssd
in th prvios ditions, bt wv xpanddth inormation gratly to incld th nwst
rsarch.
Som o th amiliar inormation coms in nw
orms. A sction at th back o th book is
mad p o taro shtsthats right, w
ncorag yo to rip pags ot i yo want to.
(Photocopying is an option too.) Ths ar
handy rrncs or tracking th babys diapr
otpt, larning to hand-xprss, or gntly
ltting grandparnts know what kind o hlp and
spport yo nd.
Mothrs looking or qick answrs or problms
wont hav to fip throgh th book. A chaptr
on tch spport provids asy-to-nd, to-
th-point, vidnc-basd inormation to solv
common brastding challngs. Th book is
thoroghly rrncd.
Throghot th book wv addd storis rom
mothrs who shar how thy incorporat LLL
philosophy into thir own amilis, in a varity o
circmstancs. Thr ar storis abot mothr-
baby slmbr partis; abot wanting, rom th
ag o two, to b abl to nrs a real baby;
abot rciving a rst fowr rom a chbby st;
abot ling linkd to all mothrs throgh all
tim; abot th dliciosnss o nrsing and a
story abot a trly modrn dilmmawhthror not to nrs an action gr namd Captain
Jack Sparrow. In act, vry tim w got anothr
whimsical or hart-toching story rom a mothr,
w wondrd again why w didnt jst trn all
th writing ovr to mothrs.
As yo may hav rad in or articl last month
(Breastfeeding Today2010 Iss 1; 6) abot th
procss o how w dvlopd this nw dition,
writing a nw Womanly Art of Breastfeeding was
an xprinc that tochd s dply and lt
s ling mor dply bondd than vr to or
brastding sistrhood. W trly hop that
yoll l th sam way whn yo rad it.
Diane wiessinger, MS, IBCLC, has been a La
Leche League Leader since 1985 and works as a
Lactation Consultant in private practice, in Ithaca,New York. She is the author o many articles about
breasteeding, as well as being a popu lar speaker.
Diane began her studies observing animal behavior
over 30 years ago. See her collection o Common
Sense Breasteeding handouts http://www.
normaled.com.
Diana west BA, IBCLC, is an LLL Leader and a
co-author with Dr. Elliot Hirsch o Breasteeding Ater
Breast and Nipple Procedures, with Lisa Marasco o
The Breasteeding Mothers Guide to Making More
Milk and au thor o the Clinicians BreasteedingTriage Tool and Dening Your Own Success:
Breasteeding Ater Breast Reduction Surgery. She
lives with her three sons and husband, B rad, in the
picturesque mountains o western New Jersey.
Teresa Pitman has been a La Leche League
Leader in Canada or 30 years, and is the mother o
our children and the grandmother o our. Shes the
author or co-author o 12 published books, including
two on breasteeding (with Dr. Jack Newman). Her
new grandson, Keagan, was born in November last
year (at home, like two o his three older siblings).He is the ourth child or Teresas daughter-in-law
Esmaralda, who is also an LLL Leader.
Whats New and Whats Not
The Womanly Art of Breastfeeding
T
hroughout the book
weve added stories
rom mothers who sharehow they incorporate La
Leche League philosophy
into their own amilies, in
a variety o circumstances.Featured#1intheJulyAugustIs
sueof
PregnancyMagazine!page
57.
TheWomanlyArt
ofBreastfeeding
Cch
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Proessor Helen Ball, Parent-Inant SleepLab, Department o Anthropology, Durham
University, UK
Good babies and sleepdevelopment
Is s/h a good baby? is a qstion
commonly posd to nw mothrs and
athrs in th arly days o parnthood.
Typically th nqirr wants to know
whthr th baby is contntd and
slps wll. Thos whos babis argood ar congratlatd. Thos whos
babis ar troblsom rciv sympathy
and tips on how to improv thir babys
slp habits. Th managmnt o inant
slp is on o th rst aras o parnting
in which nw mothrs and athrs ar
jdgd by othrs. It is not srprising thn
that inant slp isss ar a sorc o
anxity and rstration or many parnts.
Babis slp vry dirntly rom thir
parnts: thy dont slp xclsivly at
night; thy dont slp all night; thy all
aslp dirntly, hav shortr slp cycls
and xprinc mch mor ReM.
Slp is a dvlopmntal procss, and or
slp pattrns chang throghot or
litims. Babis slp pattrns matr
ovr th rst svral yars o li, and th
slp architctr o nwborns is vry
dirnt than that o adlts. Nwborns
slp or 20 or so hors a day, bt only or
23 hors at a tim. Dring th rst yar
ovrall slp dration alls to arond 15
hors, and th majority o slp bcoms
consolidatd dring night tim as circadian
rhythms dvlop.
Slp is composd o two main stats
known as ReM (Rapid ey Movmnt)
and non-ReM slp. A normal slp cycl
progrsss thogh phass o dp and lss
06
Helen Ball
Today Issue 1 2010 | llli.org
Infant Sleep, Breastfeeding
Babies sleep very dierently rom theirparents: they dont sleep exclusivelyat night; they dont sleep al l night; theyal l as leep dierently, have shorter sleepcycles and experience much more REM.
Photo:veer.com
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dp non-ReM slp to ReM slp (also calld
activ slp) and back again. In adlts thiscycl taks arond 90 mints; in nwborns
it is shortr, arond 60 mints. In non-
ReM slp highr ordr brain nctions (th
thinking parts o or brain) sht down, whil
in ReM slp th brain is activly procssing
inormation acqird dring waking hors.
Adlts typically drop qickly into non-ReM
slp whn w all aslp, or initial slp
cycls comprising mostly dp slp with littl
ReM. As th night progrsss ReM slp bgins
to tak ovr, with most ReM occrring towardsth morning. Th adlt pattrn o 1520%
o slp tim bing comprisd o ReM is not
achivd ntil pbrty.
Babis brains grow rapidly throghot th
rst yar o li. Th procss o orming nral
connctions happns dring slp, and so ReM
slp dominats nwborn inant slp cycls.
From birth to thr months 4050% o a
babys slp tim is mad p o ReM, and whn
babis all aslp thy spnd 20 or so mints
in ReM bor dropping into non-ReM. Dring
ReM slp babis wak asily whil non-ReM is
otn thoght o as th foppy baby stag o
slp whn thy can b asily movd withot
waking.
Both pdiatric and poplar knowldg abot
babis slp matration and rglation is
basd pon stdis o ormla-d inants
slping alon.
Sttling is th trm sd to dscrib th
phas whn a baby bgins to all qickly into
dp slp, and to stay aslp or prolongd
priods o tim (typically rom 12 am to 5am).
Sttling has bn considrd a dsirabl
parnting goal or th past 50 yars. In th
lat 1950s slp rsarchrs rportd that
70% o th 160 babis thy stdid bgan
sttling by thr months o ag. Th thr-
month goal bcam nshrind in pdiatric
txtbooks and has com to rprsnt th ag
at which babis should b slping throgh th
night in th minds o Anglo-Amrican parntsand halth prossionals. In th uK inant night
waking is on o th most common rasons
or parnts conslting a halth prossional.
Howvr this milston or slping throgh
th night was stablishd whn brastding
rats wr at thir lowst, and solitary inant
slp was th norm.1
Sttling cannot b isolatd rom othr aspcts
o inant dvlopmnt. It is now clar that not
only do inants bgin to sttl at dirnt ags,
thr ar big dirncs in sttling bhaviorbtwn brastd inants and thos who
ar d cows milk ormla. Svral rsarch
stdis hav now shown that brastding
is associatd with a latr onst o slping
throgh th night, and with mor rqnt
night waking, indicating that th stablishd
norms or inant slp do not apply to inants
who ar brastd. In act, in socitis whr all
babis ar brastd, sttling is an nknown
Todallli.org | 2010 Issue 1
07
Helen Ba
and Bed-Sharing
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.com
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Issue 1 2010 | llli.orgToday
08
Helen Ball
concpt and inant night-waking is
xpctd throghot th rst yar
o li and byond.
Breastfeeding and sleep
Th tnsion btwn parnts
dsirs, that thir babis slp
habits shold match thir own
as arly as possibl, and th
physiological charactristics o
brastd inants to wak and
d rqntly throghot day
and night, is known to b an
impdimnt to brastding in
Wstrn socitis. Rsarch stdis
xploring barrirs to brastding
hav rportd that on issmntiond by parnts was thir
nd or a satisd baby that
slps throgh th night and dos
not d too rqntly. Parnts
otn sm nprpard to discovr
that brastd inants nd to d
rqntly dring th night, and
somtims intrprt this as a ailr
o brastmilk to satisy th baby
lading to arly waning.
Brastd babis do wak andd mor rqntly at night than
thos d articial ormla, and
this is th physiological norm or
hman inants. Nwborns hav tiny
stomachs (th siz o a chrry),
and brastmilk is qickly digstd.
Night-ding allows th baby to
obtain scint ntrition (p to
on third o daily caloris). Babis
gnrally dobl thir birth wight
by abot six months o ag, and
thir brains grow vry rapidly, both
o which rqir a larg intak o
caloris. As brastmilk is high in
sgar, it provids asily mobilizd
caloris or brain growth, bt it
is digstd in abot 90 mints.
Babis thror l hngry again
atr two to thr hors.
Whn mothrs commit to
brastding, slping in clos
proximity to th baby is on way
o making nighttim brastding
cint and minimizing parntal
slp disrption.
exprincd brastding
mothrs ar awar that minimizing
th disrption o nighttim
brastding is important in
sstaining th brastding
rlationship ovr many months.
On way to accomplish this is or
mothr and baby to slp togthr,
allowing th inant asy accss toth mothrs brasts, and casing
minimal slp distrbanc or th
mothr whn hr baby nds to
nrs. Nmros rsarch stdis
in th past dcad hav shown a
vry strong and clar rlationship
btwn brastding and bd-
sharing.1 Th rlationship is an
obvios onand many mothrs
rport that thy gnrally do not
notic ding thir babis in th
night. Obsrvations o slp-sharing brastding inants show
that thy nrs mor rqntly,
and or longr priods than
brastding inants who do not
slp nxt to thir mothrs, bt
nonthlss rotinly bd-sharing
mothrs obtain as mch or mor
slp as thos who slp apart
rom thir brastd babis.
Mothrs who discovr th as
with which thy can nrs at night
whn bd-sharing rport that thy
contin brastding or a mch
longr dration than thy woldhav don othrwis. Whil arond
50% o uK babis hav slpt with
thir parnts at som point by th
tim thy ar thr months old,
ovr 70% o brastd babis hav
don so, compard with a third o
babis who ar not brastd.
Concerns aboutbed-sharing
Th qstion o whthr or not to
bd-shar concrns many parnts.
On th on hand it acilitats
brastding, which is good or
both mothrs and babys halth.
On th othr hand parnts ar
arl o accidntal smothring
and Sddn Inant Dath Syndrom
(SIDS) whn th baby is in thir
bd. Th advic nw parnts
rciv abot bd-sharing canappar contradictory. Advocats
on both sids o th discssion
hav th intrsts o parnts and
babis at hart, bt th apparntly
compting mssags rslt in
consion and anxity, which is
not hlpd by mdia rports that
prsnt stdy rslts incorrctly or
ot o contxt.
Thr is no singl simpl mssag
abot bd-sharing that is
appropriat or all amilis and all
sitations. Parnts shold considr
th pros and cons or thir ownsitation in ordr to mak an
inormd choic.
Concrns rgarding SIDS and/
or accidntal dath hav ld som
athoritis (or xampl, coronrs
and pathologists) to labl parnt-
baby bd-sharing as a qstionabl
practic that shold b abandond
by parnts and discoragd
by halth prossionals. Ths
rcommndations acknowldg
littl or no val in mothr
inant slp contact, and do
not tak th bnts o bd-
sharing into accont. This viw is
rinorcd by th rslts o larg
poplation-basd stdis that
calclat th liklihood o SIDS
or accidntal inant daths, basd
on th charactristics o babis
who hav did compard with
matchd controls. According to
ths typs o stdy ptting a
baby down to slp in th pron(tmmy-down) position, placing a
baby to slp in a sparat room,
parntal smoking, and inant
had covring dring slp ar all
bhaviors that incrasd th r isk
o nxpctd inant dath. As a
consqnc, advic on rdcing
th risk o SIDS in th uK and
many othr nations mphasizs
th importanc o placing babis
on thir backs to slp, kping
babis in th parnts room or thrst six months, not smoking dring
prgnancy or in th vicinity o a
baby, and avoiding loos bdding
by mploying th t-to-oot
position in a cot/crib. Ths ar all
rlativly simpl mssags with littl
conficting vidnc.
When mothers commit tobreasteeding, sleeping in
close proximity to the baby is one wayo making nighttime breasteedingefcient and minimizing parentalsleep disruption.
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llli.org | 2010 Issue 1
09
Helen Ba
Toda
Th pictr is mch mor complicatd in th
cas o bd-sharing; th stimats o th risk
o SIDS or bd-sharing babis vary widly and
dpnd on th circmstancs ndr which bd-
sharing is practicd. Thy also dpnd on how
ach rsarch stdy dnd what bd-sharingntaild. Som stdis incld soa-sharingand
at last on incldd as bd-sharing daths
thos that occrrd atr an inant had bn
rtrnd to a cot/crib. Ths dirnt dnitions
man that w cannot simply accpt at ac val
th athors (or mdias) hadlin conclsions.
Data on SIDS-risk or bd-sharing babis in
england rang rom no incrasd risk or babis
who slp with non-smoking parnts to a 12-old
incras or inants sharing a soa or slp with
a parnt who smoks.2 Th most rcnt stdy
on bd-sharing and SIDS in th uK ond that
babis who did whil slping with a parnt wr
doing so in a hazardos nvironmnt, particlarly
on a soa, or with a parnt who had consmdalcohol or drgs.3 Th athors o this papr
not that simplistic advic to avoid bd-sharing
may actally cas harm, commnting Parnts
o yong inants nd to d thm dring
th night, somtims svral tims, and i w
dmonis th parnts bd w may b in dangr
o th soa bing chosn. A bttr approach may
b to warn parnts o th spcic circmstancs
that pt inants at risk.3
Non o th SIDS stdis pblishd so ar
provids data on th risk o SIDS or bd-sharingbabis by ding typ. until mor appropriat
data ar collctd it is impossibl to know
whthr brastdingrlatd bd-sharing
constitts a risk to babis. Howvr, it is
nlikly that any potntial risk wold b o grat
magnitd givn that brastding gnrally
rdcs th risk o SIDS compard to ormla-
ding according to svral stdis. On rcnt
systmatic rviw o all th pblishd stdis
considring th vidnc rlating to harms and
bnts o bd-sharing concldd that vidnc
on th bnts o bd-sharing to brastding
ar clar, whil th vidnc rgarding th risks is
ambigos.4
Avoiding dangerous situations
Th slp bhavior o brastding bd-
sharing mothrs and babis shows crtain ky
charactristics. Dyads who rglarly slp
togthr in ordr to brastd at night slp
in clos proximity, ac on anothr or most o
th night, and hav synchronizd slp cycls
(with som vidnc that mothrs slp cycls
rdc rom 90 to 60 mints to match thos othir inants). Brastding mothrs and babis
hav bn stdid slping in narrow hospital
bds, ll-siz bds in slp labs, and at hom
in bds ranging rom singl to king-siz. undr
all circmstancs mothrs slp on thir sid,
acing, and crld p arond thir baby. Babis,
positiond lvl with thir mothrs brasts,
slp in th spac cratd btwn hr arm
(positiond abov hr babys had, on or ndr
T
here is no single simple
message about bed-
sharing that is appropriate oral l amilies and al l situations.
Parents should consider the
pros and cons or their own
situation in order to make an
inormed choice.
Photo:shutterstock
.com
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Helen Ball
th mothrs pillow) and hr kns
(drawn p ndr hr babys t).
Th consistncy across svral
stdis sggsts that this vry
distinctiv way o bd-sharingis an instinctiv bhavior on th
part o a brastding mothr
to protct hr baby dring slp.
Whn brastding mothrs slp
with thir babis in this way thy
constrct a spac in which th
baby can slp constraind by
thir mothrs body and protctd
rom potntially dangros
nvironmntal actors sch asdvts and pillows, or othr bd-
partnrs.4
Th crcial thing that parnts who
ar thinking o slping with thir
inant nd to rmmbr is that
risks vary according to WHO is
bd-sharing, WHeRe and HOW
thy ar doing it, and WHAT thy
hav bn doing bor slping
with thir baby.
Bd-sharing babis o brastding
mothrs appar, thn, to avoid th
prsmd hazards o slping in
adlt bds (or xampl socation,
ovrlaying, and ntrapmnt) d
to th prsnc and bhavior o
thir mothrs. Bt this may not b
th cas or babis who ar not
brastd. Whn w hav compard
amilis vidod slping at hom,
ormla-d inants wr gnrally
placd high in th bd, lvl with
thir parnts acs, and positiond
btwn or on top o thir parntspillows. In contrast, brastd
babis wr always positiond
fat on th mattrss, blow pillow
hight. Mothrs who did not
brastd spnt signicantly lss
tim acing thir baby than did
brastding mothr-baby pairs,
thy did not adopt th protctiv
slp position with th sam
consistncy, and thy xprincdlss slp synchrony. Fathrs slp
bhavior whil bd-sharing was
hgly variabl. Som athrs wr
vry in-tn with thir inants and
adoptd similar bd-sharing styls
to mothrs whil othrs trnd
away rom th mothr-baby dyad
and slpt oblivios to all noctrnal
intractions.
Th hormonal dback cycl
xprincd by brastdingmothrs promots clos contact
with, hightnd rsponsivnss
toward and bonding with inants in
a way that is absnt or diminishd
among mothrs who do not
brastd. Th implication or
bd-sharingthat brastding
mothrs and babis slp togthr
in signicantly dirnt ways than
do non-brastding mothrs and
babissggsts that tr cas-
control stdis o bd-sharing mst
tak ding typ into accont. It
is also important or brastdingmothrs to b awar that th
consmption o alcohol or drgs
(inclding crtain prscription and
ovr-th-contr mdications)
can svrly inhibit thir normal
rsponss and bhavior whn
slping with thir inants, and
shold always b avoidd.
The most important issues
to remember when sleeping
with your breasted baby
are:
Never sleep with your baby on
a soa or armchair/recliner.
Never sleep with your baby
ater drinking alcohol.
Never sleep with your baby
ater consuming (legal or illegal)
drugs or any medication (such
as nighttime cold remedies) that
aect your awareness during
sleep.
Be aware that bed-sharing
with a parent who smokes (or
a mother who smoked during
pregnancy) increases the risk o
SIDS.
Think about your bed and
bedding with inant saety in
mind (avoid gaps, sot suraces,
keep babies away rom pillows,
do not swaddle or over-wrap a
bed-sharing baby).
Make sure bed-partners are
aware the baby is in the bed,
and do not allow small children
to sleep next to a baby.
Where to find helpfulinformation
Parents need inormation
with which to make
inormed decisions, and
should weigh any potential
risks and benefts o bed-
sharing in light o their own
individual circumstances
(WHO, WHERE, HOW &
WHAT). Useul sources o
inormation include:
La Leche League GB
Inormation Sheet Safe Sleep
and the Breastfed Babywww.
lllgbbooks.co.uk/shopping/go_shopping/booklets_
and_inormation_sheets/
single_inormation_sheets/
sae_sleep_and_the_breasted_
baby_inormation_sheet/
UNICEF Baby Friendly Initiative
leafet Sharing a Bed With Your
Babywww.babyriendly.org.uk/
pds/sharingbedleafet.pd
National Childbirth Trust.
Position Statement: Co-sleeping and bed-sharing.
www.nct.org.uk/press-
oce/position-statements/
transitionparenthood
Royal College o Midwives.
Bed-sharing and Co-sleeping:
Position Statement No. 8. www.
rcm.org.uk/proessional/docs/
PS%208%20Bed%20sharing.doc
American Academy o
Breasteeding MedicineGuideline on Co-sleeping and
Breasteeding www.bmed.
org/Resources/Download.
aspx?lename=Protocol_6.pd
La Leche League International
http://www.llli.org/NB/NBsleep.
html
The crucial thing that parents whoare thinking o sleeping with their
inant need to remember is that risks varyaccording to WHO is bed-sharing, WHEREand HOW they are doing it, and WHATthey have been doing beore sleeping withtheir baby.
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Helen Ba
Toda
Reerences
1. Ball, H. & Klingaman, K. Breasteeding and
Mother-inant sleep proximity: implications or
inant care. Evolutionary Medicine and Health:
New Perspectives Eds. Trevathan, W., Smith, E.,
McKenna, J. New York: OUP, 2008.
2. Blair, P., Fleming, P. et al. Babies sleeping with
parents: case-control study o actors infuencing the
risk o the sudden inant dea th syndrome. British
Medical Journal 1999; 319: 14571461.
3. Blair P., Sidebotham, P. et al. Hazardous
cosleeping environments and risk actors amenable
to change: case-control study o SIDS in south west
England. British Medical Journal 2009; 339:b3666
doi: 10.1136/bmj.b3666.
4. Horsley T, Cliord, T. et al. Benets and harms
associated with the practice o bed sharing. Archives
o Pedatric and Adolescent Medicine 2007; 161:
237245.
Helen Ball is Proessor o Anthropology at Durham
University, where she is Director o the Pa rent-Inant
Sleep Lab and a Fellow o the Wolson Research
Institute. Together with her team o ten Postdoctoral
and PhD students Helen has been conducting studies
o parent-inant sleep in the lab, the community
and in local hospitals or the past 15 years. She
is a member o LLL Panel o Proessional Advisors,
the NCT Research Advisory Board and the Advisory
Board o Attachment Parenting EU. More inormation
about Helens research projects, publications, and
upcoming presentations can be ound at www.dur.
ac.uk/sleep.lab
Helen shared a linkto this cartoon aboutnighttime breastfeeding:
http://www.thoodofov.org/brastd-in-
yor-slp.htm
Nighttime Parenting: How to Get Your Baby
and Child to Sleep
Dr. William Sars rgs
parnts to hav condnc
in thir own intition and
b rsponsiv to thir
babis and yong childrn
at night.
http://stor.llli.org/pblic/prodct/92
Photo:shutterstock
.com
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Mothers Stories
Natalie Dykstra, Ottawa, Ontario,
Canada
Whil prgnant, I compltd my
Mastrs dgr in biochmistry,
which ocsd in part on th
bnts o brastding. Nrsing
was somthing that I assmdwold com asily to m and my
thsis had st m p to bliv
it was th ky halth bnt I
cold or my daghtr in hr
inancy. Boy was I passionat! It
was so important to m that I told
vryon who wold listn; my
hsband vn told my midwi in
condnc that h hopd it wnt
wll or wd b in trobl.
I ralizd prtty qickly atr my
daghtrs birth that scinc only
gos so ar. W jst coldnt mak
it work. Lckily I had midwivs
who wr spportiv o dlaying
spplmntation and protctd my
right to wait. Thy gav m tim.
On o th many lactation
consltants w saw said that I
wold nvr b abl to nrs
withot a nippl shild bcas
o my fat nippls, and anothr
said that somthing btwn my
baby and m jst wasnt working.
Ndlss to say, I ndd p bying
and trying jst abot vrything
on th markt rom nippl shilds
to spplmntary drs. Atr
sring mastitis and brokn
skin I prchasd a high-grad
pmp with th intntion that not
brastding wold allow my body
to hal.
I pmpd xclsivly or thr
straight wks whil my body
sortd itsl ot. My hsband
wold d or daghtr th
xprssd milk in th arly hors o
th morning whil I crid, trying to
pmp mor to kp p. Ndlss to
say, it wasnt what I had xpctd.On top o this, all th consion
rom haring dirnt advic
was laving m with a ling o
hlplssnss.
Atr ight long wks o gadgts,
gizmos and brastding booksI lookd at my daghtr on day
and ralizd that all o this was
bcoming mor diclt. Sh
was lying right thr whil I was
dspratly trying to gt hr my
milk. Thats whn I ralizd that all
o th hlp had ovrcomplicatd
things and prhaps I ndd to
rtrn to basics and ocs on
th simpl things. I pickd p my
daghtr and broght hr to my
brast. At rst I broght hr in and
thn whippd hr away, scard o
th painanyon who has had
a baby damag hr nippl will
commisrat! With strngth and
lov, I smmond th corag to
bring hr to m rmly and to hold
hr with condnc. As soon as I
lt th slightst bit o pain, I took
hr o and startd again. I ndd
to ocs on th simpl stp o
gtting a good latch-on. W took
it on ding, on hor, thn on
day at a tim. My daghtr was
nrsing, and bor long I startd
to hal. Thats whn I ond my rs
La Lch Lag Grop and startd
gaining condnc in my ability to
gt throgh or problms.
Two things that random strangrs
had told m gav m th willpowr
to srviv or problms: I a
woman is dtrmind to giv hr
milk to hr baby, sh will nd a
way and Ys, yo may know what
yov rad, bt yo nd to givyor babyth tim to larn as
wll. eight wks, gls, crams,
antibiotics, pads, machins, and
contlss tary nights latr, w had
stablishd a nrsing rlationship.
Togthr my daghtr and I had
ond a way to brastd. Mayb
its bcas w had bn throgh
so mch togthr, or mayb its th
way hr ys wold roll in bliss as
sh nrsd, bt that tim w spnt
togthr was th most chrishdthat I can rmmbr.
Sh wand rcntly at 16 months
and, althogh I crid or thr
straight days abot it, ystrday
my thoghts shitd. I cam across
a sampl o ormla that Id bn
givn whil prgnant, and ralizd
that w nvr vn opnd it. From
a woman and hr baby who wr
acing big odds, w transormd
into a tam that nrsd rally wll
into toddlrhood. It is not with
sadnss bt with grat prid that
I can say my daghtr brastd
as long as sh wantd and nvr
consmd a singl drop o ormla.
It wasnt asy, bt whn I look back
and raliz that it was th singl
biggst accomplishmnt I hav
vr achivd, dosnt that mak it
worth th strggl?
Worth the Struggle
We took it oneeeding, one hour,then one day at a time.
Photo courtesy of Natalie Dykstra
Photo courtesy of Natalie Dykstra
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013
Mothers Storie
Toda
Jovina Adams, Panama City, FL, USA
Bor I vn bcam prgnant, I knw I was
going to try my bst to brastd. I did a lot o
rading and rsarch abot it bor Liam was
born. I was prpard or th possibl challngs
and knw it wold b a lot o work. Lckily, or
s, it was prtty asy. I nvr xprincd any
ral problms. My goal was to nrs Liam or 12
months.
Wll, 12 months cam and wnt and h was still
nrsing v or six tims a day. I grd, why nd a
good thing? Thn a copl o months latr, Liam
wold nrs a littl lss and wold vn skip a w
sssions. I knw or nrsing days wr coming to
an nd. Thn on day, h wnt all night withot
nrsing. Althogh I somtims lt I cold s a
rst, in my hart I jst wasnt rady or Liam to
stop nrsing.
Amazingly Liam did jst n withot nrsing. I
crid or or days. Sinc I wasnt motionally
prpard to wan him, I lt as thogh I was
somhow lss o a mom now I was no longrnrsing my baby. I lt as thogh anyon cold
do my job now and that my baby had grown and
no longr ndd m. I lt as thogh I hadnt
said my goodby. Atr work on a Fridayhd
stoppd nrsing on a Tsdayh nrsd or
on last tim. I kissd his swt littl had and
strokd his arms as w had or last nrsing
momnts togthr. It was batil. Sinc that
day, w hav both movd on.
All th spcial mmoris ar in a spcial plac
in my hartnothing will vr rplac thm. Ilook orward to watching Liam grow. And I look
orward to bilding nw mmoris with him as
wll. I know that Liam will always nd m and
that no on will vr b to him what I am. That
was somthing I wasnt so convincd o whn I
rst wand him. A million thanks to La Lch
Lag or hlping m. I cannot wait to hav my
scond baby so I can do this all ovr again.
Liams Weaning
Photo: Jovina & Liam
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Mothers Stories
Mara Jos Pinzn Guqueta, the Dominican
Republic
I was so agr or th arrival o my baby,
whos birth I can now say was a blssing.
This nw li xprinc has nabld m
to discovr acts o my own prsonality
that I cold nvr hav imagind. Th daily
norishmnt o this tiny prson who wold
transorm my li was now in my hands,
or rathr my breasts, which had ntil thn
bn ll o nothing bt potntial.
Today my Pablo Agsto has bn on
hndrd prcnt brastd or six months
and I nvr ail to b amazd: I mak
mor milk vry day. I nvr or a mint
considrd giving him ormla. I am crtain
that my condnc is what nabld m
to contin brastding himth
mind is powrl. W liv and njoy th
momnt withot worrying too mch abot
tomorrows dicltis. Tim passs too
qickly or that.
I look back and rmmbrbrastding
has takn commitmnt, ddication and
sacric. Now I ndrstand th divin
prction o it: a mothr maks th
qantity o milk that is rqird at ach
particlar stag by hr baby. Th innit
and indscribabl lov or my baby gav
m patinc. I hld him in my arms and to
my brast as mch as possibl so I cold
prodc th milk h ndd.
Pablo Agsto and I ar dvloping a
mtal ndrstanding, and Natr, on
th prtxt o kping him d, kps s
togthr, gtting to know ach othr,
obsrving ach othr, loving ach othr.
Dedicated to my son, Pablo Augusto Yermenos
Pinzn, my source of inspiration and
satisfaction.
Nourishment of Love
Photo courtesy of Mara Jos
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Devoted Dad
Toda
George Hay, East Lothian, UKWhn my wi was prgnant with or rst
child and annoncd that sh was intnding
to brastd or baby I wasnt particlarly
srprisd. In act, I hadnt rally givn mch
thoght to how th baby shold b d, bt it
smd snsibl. Atr all, thats what brasts
ar or, and yo dont hav to b a gnis to
work ot that ormla is a vry poor sbstitt
or mothrs milk. How many adlts wold drink
powdrd milk i thr wr rsh milk in th
ridg? Rconstittd milk on yor cornfaks?
No, I dont ancy it ithr. So why shold babishav to? In th words o Johnny Gitar Watsons
70s nk classic, A Ral Mothr or Ya:
Theyre making milk out of powder
Theyve got the babies cryin
Poor babies, they dont know what that stuff is!
Th songs not rally abot brastding, or
mothrs. Its a gnral lamnt abot th way
socity is hading, and th radinss to giv
babis scond bst is jst on part o that.
Howvr, I liv in a contry whr its now
rgardd as normal and dsirabl or mothrs to
go back to work as soon as possiblas i raising
a child wr not important and valabl work.
Its mch mor diclt to sstain brastding
i yor wi/partnr is ot at work, bt it can b
don.
Whn or rst son was born, I stayd at hom
with him and my wi workd ll tim. Sh
xprssd milk so that I woldnt hav to giv him
ormla, and otn I wold tak him to mt hr
at lnchtim or a propr d. Howvr, it was
hard work or both o s, and or or sbsqnt
childrn w rvrtd to th mor
traditional arrangmnt: I wnt ot towork whil sh stayd at hom, vn
thogh that mant a signicant loss
o incom.
W now hav v childrn and
thy hav all bn lly brastd,
and by that I man xclsivly on
brastmilk ntil thy showd an
intrst in solids (sally by grabbing
ood o or plats). W lt thm
wan thmslvssally a short
comort d at bdtim was last togo at abot or yars old. Som o
yo might think that is a long tim to
brastd a child, bt thats how it
sd to b don, and still is in th so
calld Third World.
Givn th obvios and wll-
docmntd bnts o brastding
its diclt to s why it isnt mor
poplar hr. Howvr, th dcision
on whthr to brastd or not
isnt mad in isolationdads alsohav a say, and, in my xprinc, many appar
srprisingly rady to accpt ormla. Why is
that? Wll, I sspct that a lot o mn think that
thyll gt thir sx livs back mor qickly i th
baby is bottl-d and packd o to anothr
room as soon as possibl. It maks sns or
brastd babis to slp in th sam bd as
thir mothrthat way no on nds to gt p
in th middl o th night. Thats grat i yo
want a good nights slp, bt not i yo want
hot sx (and, bliv it or not, vn brastding
mms njoy som o that). Howvr, I rckon
th answr isnt to giv or babis a scond rat
milk sbstittits to or or partnrs th
hlp and spport thy nd (bt wont ask or,
bcas thy ar womn). Slking in ront o th
TV with a bottl o br isnt going to mak s
dads attractiv to tird and harassd partnrs.
Doing mor arond th hos and hlping ot
with childcar is. And doing a ll-tim job isnt
an xcs or bing a coch potato at hom. I
spnt thr yars as a ll-tim dad, and going
ot to work is ridiclosly asy in comparison.
Here are the benefits anddisadvantages as I see them:
Formlapoor sbstitt or brastmilk, dad ha
to tak trns at gtting p in th middl o th
night to prpar it, babys poo smlls bad.
Brastmilkidal ood or babis, no gtting ot
o bd rqird, babys poo is inonsiv, yor
partnr has srprisingly larg brasts.
Srly this cant b a diclt choic or anyon
who liks babis. Or brasts.
Choosing Breastfeeding
Ispent three years as a
ull-time dad, and going
out to work is ridiculously
easy in comparison.
Photo courtesy of George Hay
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016
Your Letters
Issue 1 2010 | llli.orgToday
star letter!Biting BabiesOn o th qstions I har most otn rom
othr mothrs is Ar yo going to stop nrsing
whn yor baby gts tth? I smil, shak
my had, and rply, My son has ight tth
alrady. Otn th rspons is Wow! Wll th
rst tim my kid bits m I am dzon. I try to
inorm thm that, jst lik most things, biting
(i it happns at all) will pass. Bt many o my
rinds cannot wrap thir mind arond that ida
ntil thy rach this particlar point in thirown nrsing rlationships.
Atr my son bit m a w tims, I ralizd
vntally that I had bn mistaking his cs
and oring to nrs him whn h actally jst
wantd to do somthing ls instad. It was
a mothr on th orms at www.llli.org who
sggstd that this might b th rason h had
bittn m.
Allie van Gundy, Rathdrum, Idaho, USA
ResurcesThis inormative article rom the LLLI magazine or
parents, New Beginnings Mar/April 1999, 3639,
details reasons why a baby might bite as well as
strategies to avoid biting.
Mothers share their solutions to biting and latching
diculties in Toddler Tips New Beginnings Jul/
Aug 2001, 143145.
Happy Birthday LLL
Rcntly LLL Tyn & War, uK clbratd its
scond birthday. A big party was hld at a local
commnity cntr
that was attndd by
lots o mothrs, thir
babis, toddlrs and
partnrs. A n tim
was had by all and
thr wr lots o
toys, a boncy castl
and lots o ood, inclding som dlicios caks
and, o cors, lots o brastding!
Gillian Mabbitt, UK
Multi-taskingAs parnts w otn larn how to do svral
things at onc. Hr ar a copl o photos
to illstrat or mlti-tasking skills. How many
tasks can yo accomplish at th sam tim?
Wd lov to har rom yo! Snd yor lttrs
and photos to ditorbt@llli.org
Papa, Amandine & Gavin courtesy of Charlotte Yonge, Paris, France.
Ellyn Hutchinson nursing Sabina while redecorating her hallwaycourtesy of Newcastle calendar copies available from
www.brastdinginnwcastl.blogspot.com
LLL is SpeciaLLL
I njoy bing a La Lch Lag Ladr
bcas this rally maks a dirnc to ot
womn and thir childrn. Bing a volnt
mans I can hlp anyon who calls m. Thr
is no worry abot whthr th mothrs hav
mony or insranc. It is priclss to har t
words, Thats th rst tim shs vr latch
on! Or, thats th rst tim it hasnt hrt!
I think vry woman shold hav accss to
brastding spport.
LLL vals th prsonal xprinc o
mothrs who hav brastd, and maks this
prrqisit or ladrship, which is somwh
niq. As a rgistrd nrs and lactation
consltant, I know vry wll that prsonal
xprinc is not a ncssary lmnt orproviding comptnt mdical or lactation
hlp. Bt I apprciat that LLL gos byond
th tchnical aspct, and lls a dirnt, mo
prsonal rol as wll.
Gina Kruml, RN, BSN, Sierra Vista, AZ, USA
Send your letters and photos
to editorbt@llli.org
A forthe
starletter!
Th star lttr or Iss 3, 2010,
will rciv th nw 8th dition o
The Womanly Art of Breastfeeding!
prize
Letters Page
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Issue 1 2010 | llli.orgToday
Should Mothers Avoid Nighttime
Breastfeeding to Decrease
Their Risk of Depression?Kathleen Kendall-Tackett, Ph.D., IBCLC
Brastding mothrs ar lss tird and gt mor
slp than thir ormla- or mixd-ding contrparts.
And this lowers thir risk or dprssion
018
Feature Article
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llli.org | 2010 Issue 1
019
Feature Article
Toda
using spplmntation as a coping stratgy or
minimizing slp loss can actally b dtrimntal
bcas o its impact on prolactin hormon
prodction and scrtion. Maintnanc o
brastding, as wll as dp rstorativ slp
stags, may b gratly compromisd or nw
mothrs who cop with inant dings by
spplmnting in an ort to gt mor slptim. Doan, T., Gardinr, A., Gay, C. L., & L, K.
A. Brastding incrass slp dration o nw
parnts.Journal of Perinatal & Neonatal Nursing
2007; 21(3), 200206.
Advising womn to avoid nighttim brastding
to lssn thir risk o dprssion is not mdically
sond. In act, i womn ollow this advic, it may
actally incras thir risk o dprssion.
Read the full article here:
http://www.ppityscincchick.com/nighttim_
brastding.pd
Kathleen Kendall-Tackett, Ph.D., IBCLC is
a health psychologist, board-certied lactation
consultant and La Leche League Leader. She is
clinical associate proessor o pediatrics at Texas
Tech University School o Medicine in Amarillo,
Texas. For more inormation, visit her Web
sites: www.UppityScienceChick.com and www.
BreasteedingMadeSimple.com
S a vido on Kathln Kndall-Tacktts
Depression in New MothersCauses, consequences,
and treatment alternatives 2nd dition: Rotldg,
2009 hr:
http://www.ontrmdia.com/shard?p=a45a
c867db516ca92c0d8&skin_id=601
My nthsiasm or th comprhnsiv contntand asy-to-rad styl o Dprssion in Nw
Mothrs lads m to rcommnd this book as
an important rsorc or vryon working
with prgnant and postpartm womn as wll as
th amily mmbrs actd by this condition.
Marian Tompson, Co-ondr, La Lch Lag
Intrnational.
Depression in
New Mothers is
availabl at
http://stor.llli.org/intrnal/
prodct/189
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seeking high quality digitalphotographs or use in various
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The Curious Lactivist
Today Issue 1 2010 | llli.org
020
Breastfeeding in the News
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llli.org | 2010 Issue 1
021
Breastfeeding in the New
Toda
Kathy Abbott, IBCLC, Boston, USA
Breastfeeding
Credited withPreventing WarRelated DeathsMak lov, not war was th chant shotd by
thos in th pac movmnt in th 1960s,
bt mayb th slogan shold hav bn Mak
mothrs milk, not war. Long bor any o s had
hard abot global warming, socitys biggstworry was th amont o damag bing casd
by wars. Th good nws is thos cris or pac
did not go nhdd. In a rmarkabl rport by
th School or Intrnational Stdis*, it appars
that th nmbr o daths dring tims o war
has bn rdcd signicantly in th last w
dcads. evn mor srprisingly, th worldwid
ort to ncorag womn to brastd was
sn to b on o th rasons or dclining
wartim mortality rats.
Th rst hal o th 20th cntry, marrd by twoll-scal world wars, th xplosion o two nclar
bombs, and a sris o cold wars scattrd
across th glob took a horrndos toll both
on thos contris immdiatly involvd and
on th mn and womn who participatd. Bt
dring wartim its not jst soldirs who sr.
Th collatral damag cratd by armd confict
taks a havy toll on a contrys inrastrctr.
Limitd accss to ood, clan watr and halth
car has consqncs ar byond th battlld.
Th innocnt bystandr srs as wll and, not
srprisingly, it is th yongst who sr most.
Not long ago 50% o th daths dring wartim
occrrd to thos ndr v yars old.
Todays wars ar dirnt. Battl lins ar no
longr drawn btwn nations; sprpowrs no
longr go had to had with ach othr as thy
onc did. Instad most conficts ar connd
within on nations bordrs. Today th battls ar
mor localizd. usally th strggl is btwn a
govrnmnt and poorly armd rbls who ar not
qippd with long-rang military capacity. Thr
is ar lss damag to th xisting inrastrctr
in othr mor pacl parts o th contry.
According to Th Shrinking Costs o War, a
Hman Scrity Rport, Th data indicat that
in th nw millnnim th avrag confict killd
90 prcnt wr popl ach yar than did thavrag confict in th 1950s.
Bt it is not jst th chang in th way wars ar
oght ths days that has mad th dirnc.
Today mch mor hmanitarian aid is bing
ord rom othr nations dring tims o
confict. W now spnd thr tims mor on
hlp or rgs than w did at th nd o th
cold war yars. Frthrmor dcads o orts
rom th unitd Nations and participating
organizations to improv halth conditions in
dvloping nations dring pac tims has ld to
astonding improvmnts in halth in many aras
o th world. Back in 1974 wr than 5% o
childrn worldwid had bn vaccinatd against
th six most prvntabl childhood disass,
disass that childrn ar particlarly vlnrabl
to dring tims o war: diphthria, masls,
prtssis, polio, ttans and tbrclosis. By
2006 that gr had risn to 75%. According to
th Hman Scrity Rport, By som stimats,
immnization alon has savd p to on million
livs a yar on avrag ovr th past two
dcads.
Th rport wnt on to crdit spcically orts
to incras brastding rats with th dcras
o childrn dying dring tims o confict. D to
orts by th uN and uNICeFs Rvoltion in
Child Srvival initiativ, which bgan in 1982,
brastding rats hav incrasd worldwid.
In sb-Saharan Arica xclsiv brastding
rats hav dobld. Brastmilk (th bst vaccin
o all!) provids protction against two major
killrs o inants dring wartim: diarrha and
act rspiratory inctions (ARIs) sch as
pnmonia. Babis lss than six months old who
ar not xclsivly brastd hav a svn-old
incrasd chanc o dying o diarrha. Likwis
th incrasd risk o dying o pnmonia is v
old. Th bottom lin is that childrn sr th
biggst impact dring t ims o war. And childrnwho ar halthy and wll norishd bor a war
bgins hav th gratst chanc o srvival.
Dspit all or trmndos mdical advancs
th rat o thos dying rom war-rlatd injris
has not shrnk in comparison to th nmbr
o livs savd throgh th prvntion o
common war-rlatd disass and conditions.
Bllts and minlds contin to b dadly.
Bt malntrition and diarrha, masls and
pnmonia nd not b th killrs thy onc
wr. On o th gratst lssons w hav
larnd in th last cntry is that it is still
asir to prvnt disas than it is to cr it. It
is ar asir (and lss costly) to avoid dath by
providing th basicsclan watr, halthy ood
and accss to minimm halth car, than it is to
sav a li throgh nw tchnology. Brastding
contins to b on o th most advancd
non-tchnological tools in or mdical srvival
kit. Brastding is still th simplst and most
ctiv way to protct or babis in tims o
pac and war, in tims o povrty and conomic
sccss, in tims o calamity and in tims o
tranqility. And, who knows, mayb on day it wilvn b rcognizd as playing a part in rdcing
global warming as wll!
* Hman Scrity Rport Projct at th School
or Intrnational Stdis. Th Shrinking Costs
o War. Hman Scrity Rport 2009, Part II,
2010: Simon Frasr univrsity.
http://www.hmanscrityrport.ino/indx.
php?option=com_contnt&task=viw&id=205
&Itmid=91
Kathy Abbott as The Curious Lactivist likes to
refect on the ways that breasteeding is presented
in the news media. As a private Lactation Consultant
and LLL Leader she is constantly learning rom
the women she works with and as the mother o
a smart, vivacious, totally awesome 13-year-old
daughter she is renewed in her aith that the next
generation will most certainly get it right!
www.TheCuriousLactivist.Wordpress.com
Children who arehealthy and wellnourished beore a war
begins have the greatest
chance o survival
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Issue 1 2010 | llli.orgToday
022
Book Review
by James J McKenna, PhD
Review by Gwyneth Little, East
Lothian, UK
Dspit an annoyingly long and
nwildy titl and sbtitl on
th covr (s abov), Jams
McKnnas book on coslping is
a wondrlly asy, mothr-sizd
rad. Vry short, at jst ovr 100
pags, it can b pickd p at any
odd momnt as it is dividd into
sctions, ach only a w pags
long.
Th athor pracs his book with
a not on Why I Car So Mch
Abot This Sbjct, th contnts
o which rassr s, right rom th
start, that this is a book writtn no
by som rmot sl-proclaimdxprt, bt by a prson who,
whil having impccabl scintic
and rsarch crdntials, also
actally walks th walk by having
coslpt with his own childrn.
I lik th analogy h draws in his
prac btwn coslping and
ating: althogh it is known that
popl can and do di whil ating
(throgh choking), no on wold
dram o rcommnding thatw thror stop th normal,
common and instinctiv practic
o ating. Instad, w minimiz th
risks involvd. Coslping rqirs
a similar commonsns approach,
and that is what w nd in this
book.
Sleeping with Your Baby
A Parents Guide to CosleepingWhether you do it occasionally or every night, do it safely
Photo courtesy of Sacha Blackburne: Kim with her baby Kayden
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023
Book Review
llli.org | 2010 Issue 1
Th book propr starts by xplaining what
coslping isa rrnc to th many
dirnt ways babis slp in clos motional
and physical contact with thir parnts, sally
within arms rach. It is thror not ncssarily
synonymos with bd-sharing, althogh this
particlar orm o coslping is discssd atlngth in th book.
McKnna thn gos on to xplor th historical,
cltral, anthropologic and scintic aspcts o
coslping, and prsnts lists o th bnts o
this practic or both baby and mothr, as wll as
spcically or th managmnt o brastding.
H xplains th phass o slp and th rol
o slp in brain dvlopmnt, nthsing
abot how mch happns dring slp and
bdsharing, and pointing ot how mch babis
thror miss ot on i thy ar dprivd o this
xprinc.
At on point h pts orward th intriging
hypothsis that, sinc th avrag lngth o
tim btwn brastds or a bd-sharing
mothr and baby is abot an hor and a hal,
or qivalnt to th lngth o th hman slp
cycl, th ntritional nds o coslping and
brastding inants might actally b what
dictatd th avrag lngth o th adlt slp
cycl in th rst plac.
On th sbjct o SIDS, and th poplar
prcption o a link with coslping, h rondly
condmns th lazy scarmongring o th prss
and o what h rrs to as mdical parnting
scinc, and slly givs a brakdown o th
many indpndnt risk actors or SIDS that nd
to b considrd whn rading snsationalist
rports on daths casd by bdsharing.
Th prss, h points ot, maks no distinction
btwn th act o coslping and th conditions
in which it occrs. In act, as h rminds s,
ptting a baby to slp in a sparat room on itsown actally dobls th risk o SIDS. For babis
who do hav to slp or vn tak short naps
on thir own, h sggsts sing a baby monitor
in rvrs, to pip sonds and noiss rom th
activ part o th hos into th room whr
th baby is slping.
In a practical how to sction, McKnna strsss
that thr is no corrct or on-siz-ts-
all mthod o coslping. Nor will any amily
ncssarily always stick to th sam arrangmnt,
sinc coslping is a practic that volvs ovr
tim, and thr ar ndlss variations on th
thm. This mssag is slightly ndrmind by
th act that on on pag thr is an illstration
ntitld Th Propr Way to Coslp, with vry
spcic instrctions abot th bdding to bsd and a sktch o a amily o thr aslp on
a mattrss in th vry cntr o an othrwis
airly bar room. Howvr, to his crdit, McKnna
dos xplain prcisly why this is th idal
arrangmnt, bt not th only on, and givs a
vry wlcom rndown o th risks associatd
with othr arrangmnts and ways o minimizing
thm. By th way, th nmbr on risk o bd-
sharing is not socation, bt ntrapmnt o
th baby, or xampl btwn th bd and a wall,
btwn th bd and anothr objct or pic o
rnitr or in a hadboard or ootboard.
On thing I ond a littl consing is that
McKnna catgorically adviss against bd-
sharing (thogh, plas not, only against
bed-sharing, not othr orms o coslping, sch
as room-sharing) i thr ar othr childrn
who can or ar likly to climb into yor bd (a
sitation that is going to apply to vry manyo s, and crtainly applid to my own amily
ovr a priod o many yars), latr spciying in
mor dtail not to bd-shar i oldr siblings
who do not ndrstand th risks o socation
ar slping in th sam bd with inants lss
than on yar old. Howvr, whn discssing
twins, althogh h gnrally rcommnds not
bd-sharing, h dos not rl it ot altogthr,
providd that thr ar two rsponsibl adlts
prsnt, who ar both activ participants with
an intrst in monitoring th saty o on or
both twins. It is not clar to m why sch an
arrangmnt (two adlts, ach willing to tak
rsponsibility or on child) cold not also work
or two siblings o dirnt ags.
Howvr, ths minor qibbls apart, thisis a vry sl book i yo ar considring
coslping and want to sparat th myths rom
th acts, or i yo ar alrady happily coslping
bt wold lik to larn how to rspond to
crios, or vn downright critical, rinds, amily
and halth prossionals.
On th whol, this book, lik LLL, concntrats
on giving inormation, not advic (thogh
McKnna dos both rcommnd and advis
on svral occasions!), and spaks to parnts as
popl who ar vry capabl o making thir own
dcisions.
McKnnas ocial wbsit (at th Mothr-Baby
Bhavioral Slp Laboratory o th univrsity o
Notr Dam, Indiana, uSA) can b chckd ot
at www.nd.d/~jmcknn1/lab/
Availabl rom th llli stor http://stor.llli.org/
pblic/prodct/246
McKenna explores thehistorical, cultural,anthropologic and scientifcaspects o cosleeping andlists the benefts or babyand mother, as well asor the management obreasteeding.
Toda
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Issue 1 2010 | llli.orgToday
024
LLL News
GlobaLLL
A look at what is happeningin LLL around the world
LLLI Peer CounselorTraining in Malaysia
Pushpa Panadam, LLL Leader Paraguay, LLLPCPA
training specialist
Whn a grop o IBCLCs got togthr in Malaysia
thy askd thmslvs how thy cold incras
th contrys brastding rats. To do this, thy
lt that thy ndd traind pr conslors to
rn mothr-to-mothr spport grops.
Thy lookd at varios pr conslor crricla
and wr intrstd in th La Lch Lag
program. Nor Kamariah o ssib.com maild
m and I pt hr in toch with Kathy Bakr, th
Training Administrator or th LLL Pr Conslor
Program (PCP). Soon th thr o s had
discssd th bnts o ac-to-ac training.
Th proposal thy mad to uNICeF Malaysia was
accptd and ld to a six-day training cors o
th LLL Pr Conslor Program Administrator
(PCPA) and LLL PCP.
NIntn womn, many o whom wr still nrsing
thir childrn, participatd activly, discovring
intrsting ways to rach womn and amilis in
th art o brastding spport. Thir plan is to
train pr conslors in dirnt rgions o th
contry.
As a Malaysian who has mad Paragay hr
hom or th past 16 yars, this has bn a vry
hmbling xprinc or m. Bing with ths
wondrl womn, who ar ll o nrgy, agr
to larn and shar xprincs with a vision or
Malaysia, mad m think o or LLL Fondrs.
Mor than 53 yars ago, thy saw a nd andtook a simpl action to spport and shar p-to-
dat inormation to hlp mothrs brastding.
Sch action is ar-raching.
La Leche Ligasterreich (LLL Austria)
LLL Astrias conrnc this yar taks plac
in edtho in ebn (Salzbrg) rom May 21st
to 23rd 2010. Onc again on or thr will
b many intrsting talks and workshops on
brastding and th work o brastding
spportrs. Th conrnc program will b
availabl on th hom pag , whr it will also
b possibl, or th rst tim, to rgistr or th
conrnc onlin.
LLL Ireland
At th Annal Conrnc on March, 17, Mik
Brady o Baby Milk Action gav a talk on Whats
yor milk worth? For th txt and PowrPoint
prsntation visit http://ino.babymilkaction.org/
nws/campaignblog070310
LLLI
In Fbrary LLLI lanchd llli-nws bringing
Ladrs pdats and inormation via mail rom
th LLLI oc.
Send notification of your countrys
LLL news, events and resources to
editorbt@llli.org
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025
LLL New
Toda
Whenmothersbecome
grand-mothers...Grandarnts
arund t wrld
nw av an onlinemagan and
wbst just r tm!
GRAND s rct r grandarntsw want t... Sar tr valus and wsdm wt t
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La Lc Lagu intrnatnal s a GRANDpartnrr Grandarnts TM. Subscrb tday wt scal cdLLpRA1 and GRAND wll dnat $2 t surtLLLis mssn buldng altr amls.
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tu pgesjust like mgzie
Ejoy zzlig pgeswith vieo, pocsts
so much moe
sve ticles, e-mil to fies o pit out
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Books will ship after July 13, 2010
PaPerbaCk
The Womanly ArtoBreasteeding
Pre-Order...NOW throgh J 18, 2010
NEw8th
Edition
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028
Whats Cooking
Today Issue 1 2010 | llli.org
Kheema KofteGood nutrition means eating a well-balancedand varied diet of foods in as close to theirnatural state as possible.
Eath Yasmin, Mumbai, India
Indias rich divrsity o cltr, langags and rligions is also dpictd in thcontrys divrsity o cisin. Thr is no singl standard or homognos Indiancisin, which varis according to th local prodc, livstock, cltral infncand rligios blis. Among many dirnt cisins, sch as Bngali, Goan,Gjarati, Kashmiri, Marathi, Pnjabi, Rajasthani and Soth Indian ood is Mghlaicisin, which coms rom th kitchns o th ancint Moghl emprors. Mghlaicisin is known or its richnss and th xotic s o spics, drid rit and nts.This cisin is rom th north o India.
Khma Kot ar qick to prpar and can b stord in th rzr or ovra month bor rying. I yo intnd to stor thm, do so atr stp 3. Highlyntritios, bing rich in protin, at, calcim, iron and B vitamins, ths Kot ara hot avorit or toddlrs and yong childrn.
*garbanzo bans, chick pas
DIReCTIONS:
Step 1: Grind all ingrdints togthr coarsly in a mixr or a ood procssor.Step 2: Mak small rond balls o th grond mat with spics.Step 3: Boil 1 larg glass o watr in a wok and slip in th mincd
mat balls. Boil ntil th watr has all gon.Step 4: Dp or shallow ry th Kot ntil goldn brown.
Step 5: Srv hot with chtny as a startr or with ric.
Effath Yasmin is mother to Zaara and an LLL Leader in Mumbai, India. In the virtual
Group La Leche League Pan-India, or mothers all around India, she helps keep Group
members in touch by regular emails. Any mother can join by clicking on the ollowing
link. http://groups.to/lllpanindia
Whats Cooking is edited by LLL LeaderLesley Robinson. She lives in Ottawa, Canadawith husband, Mark. Her three grownchildren have flown the nest.
Please send stories and photos to editorbt@llli.org
GIvEtheGIFToThe Womanly Art o Breasteeding!
neW 8th editiOn
Help a new mother and
baby get the best start
together by giving the gift
of The Womanly Art o
Breasteedingtoday and
be a part of LLLI history!
CliCk here tO
learn mOre!
INGReDIeNTS:
250 g mincd bonlss lamb
100 g split roastd Bngal gram*
2 mdim sizd onions
1 grn chili
1 dry rd chili
1 grn cardamom
1 Inch cinnamon stick
2 clovs
1 mdim sizd tomato
8 garlic pods
1 Inch gingr
1 bnch o coriandr
lavs salt to tast
Photo: shutterstock.com
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llli.org | 2010 Issue 1
LANACare Organic WoolNursing Pads
The Nursing Pads Women LOVE!Soothingly Soft Merino Wool absorbs moisture,
keeping skin dry. Beneficial with vasospasms &many common breastfeeding problems. Only 2
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For information on the benefits of co-sleepingplease go to www.armsreach.com(800) 954-9353or (805) 278-2559
ARMS REACH CONCEPTS, I NC2004 Arm's ReachConc epts,Inc. ARM'S REACH,CO-SLEEPER,Mother&Child Logo and allo thertrademarks arestringently protected.Allrightsreserved.
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Baby sleeps snugly and safelyalongside adult bed
Converts to free-standing bassinet or changing table
I am pleased to recommend Arms Reachas a wonderful nighttime attachment tool.
Dr. Wm. P. Sears,Author The Baby Book: Nighttime Parenting
Award-winFit Pregna
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