Booby Traps

How refreshing! I just finished reading the following article, ‘Talk breastfeeding with your OB’, that I came across online, written by an MD, who is not afraid to put up his hands and admit that his knowledge surrounding lactation is limited. Good for him, I say. In my book, there is no shame in admitting your own limitations. I believe it only makes you a stronger person. If only more people were able to do this. This only came to light when his wife decided she wanted to obtain her IBCLC (International Board Certified Lactation Consultant) certification. He admitted that he only remembers 2 lectures from medical school on lactation physiology, which he completed 27 YEARS AGO, in 1984!!

How much does your OB know about the physiology of breastfeeding or the best way to support nursing mamas? Who will you turn to if you need support?

Breastfeeding isn’t as easy as those glossy pictures on the cover of mothering magazines would have us believe. Breastfeeding is natural, but it is a skill that takes time to develop for both mom and baby. It takes a lot of dedication and determination, but however bumpy the journey, it is well worth the ride. It’s well documented that in addition to containing all the vitamins and nutrients your baby needs in the first 6 months of life, breast milk helps protect your baby from a long list of chronic and acute illnesses, including ear infections, diarrhea, pneumonia, diabetes, and sudden infant death syndrome (SIDS). Every day really does count, in terms of the benefits of breastfeeding, not just for the baby, but for mom too.

With breastfeeding promotion and awareness on the rise, I can’t help but feel our mamas are being set up for a fall. Many women start out breastfeeding, but give up sooner than they had planned, even though breastfeeding is medically, nutritionally, and emotionally the absolute best thing you can do for your baby. ‘Many women struggle to breastfeed for as long as they might otherwise like, and many don’t receive the support that might make a difference‘ (Maria Quigley, National Perinatal Epidemiology Unit, Oxford University). According to the CDC (Centers for Disease Control & Prevention) statistics, 3 out of 4 women initiate breastfeeding, suggesting that most women want to breastfeed. However rates at 3, 6 and 12 months remain stagnant and low. The CDC reports that just 43% of infants are still breastfeeding at 6 months of age, and only 13% are breastfeeding exclusively, nowhere near the recommendations from the World Health Organization (the WHO also recommend breastfeeding continues in addition to solids foods for at least the first year of life). These figures illustrate the struggle mothers continue to face with breastfeeding and that our support systems are failing our moms. Breastfeeding is an important public health issue and should be given a higher priority within our society. Parents of today are raising the future generation. How can we expect them to succeed when postpartum support within our maternity system is so poor? 50+ years ago, families stayed in the same towns they grew up in, extended family members all lived under one roof, and the women of the village supported each other when it came to childbirth, but in today’s world where family members are spread across different countries and continents, who do moms turn too? I think that women today are lacking a very important network of women in their lives.

We know that a mother’s decision whether or not to breastfeed, can be hugely influenced by her care provider, and hospitals and maternity units set a powerful example to new moms and families. The Baby Friendly Initiative (BFI) is a global program sponsored by UNICEF and the World Health Organization (WHO), to ensure that all maternity units become centers for breastfeeding support. The BFI Initiative awards, encourages and supports birthing facilities that offer optimal levels of care for lactation, based on the UNICEF ‘10 Steps to Successful Breastfeeding’. Any birthing facility, no matter how big or small, or how many births it supports, can apply for BFI status. The facility has to undergo external evaluation to demonstrate that the facility meets all of the ‘10 Steps’ requirements. However, in America today, only 4% of all babies are born in a BFI accredited facility.

If women in America were given the support they deserve, or even the same amount of postpartum support other women around the world receive, we would see a dramatic change in our breastfeeding rates, not only at birth, but rates at 3, 6 and 12 months would be significantly higher.

As the MD of the above article writes,

‘the best situation is one which all care providers are familiar with one another and are willing to work together on the patient’s behalf’.

Doing the Dirty

We all know, even though we would like to, sometimes we can’t always buy 100% organic. Either our purse-strings can’t stretch that far, or organic foods are not readily available. But, do not fear, you can still dramatically reduce exposure to toxins and chemicals by following these simple guidelines. The Environmental Working Group (EWG), whose mission is to ‘use the power of public information and knowledge to protect the public… and those most vulnerable’, have come up with a ‘Shopper’s Guide to Pesticides’. They have compiled a list of 49 fruits and vegetables and ranked them based on their pesticide level. The analysis found customers could cut their pesticide exposure by nearly 80% by simply avoiding the fruits and vegetables found to be highest in pesticides the ‘Dirty Dozen’, and instead, choosing items from the ‘Clean 15’ list. The guide helps consumers make informed choices to lower their dietary pesticide load. The top ten worst fruits and veg, or the ‘Dirty Dozen’ i.e. loaded with pesticides are: celery (the worst), peaches, strawberries, apples, blueberries, nectarines, sweet bell peppers, spinach, kale, cherries, potatoes and imported grapes. Those with the lowest level of pesticides are: onions (the best), avocados, sweet corn, pineapple, mangoes, sweet peas, asparagus, kiwi, cabbage, eggplant, cantaloupe melon, watermelon, grapefruit, sweet potato and honeydew melon.

Download the Shopper’s Guide, click here

See where they rank. To see the full list of fruits and vegetables, click here

Go Organic to Increase Childhood IQ

What better way to celebrate Earth Day 2011, than by supporting our local farmers. Here is yet another reason to add to the stack for eating locally grown organic fruits and veg.

Over recent years, there has been increased awareness and considerable concern regarding the potential health effects from the use of organophosphate (OPs) pesticides. OP pesticides are neurotoxic to the body, meaning they have a poisonous effect on the nervous system. Neurotoxic substances damage nerve cells and disrupt nerve impulses to and from the brain. Symptoms include obsessive or uncontrollable behavior, cognitive and behavioral problems, and are linked to degenerative diseases such as Alzheimer’s and Parkinson’s disease. New research published yesterday in the Journal of Environmental Health Perspectives, reveals an association between prenatal exposure to pesticides and reduced IQ in children aged 7. The findings of this study held true even after taking in to account maternal education, family income and exposure to other toxins, adding even more validity to the results. Considering the extensive use of pesticides on commercially grown crops in America, this research is highly significant. A comprehensive study of more than 13,000 Americans, conducted by the US Center for Disease Control and Prevention, found widespread evidence of pesticides in the bodies of everyone tested. Finding the body of an average American contained 13 of these toxic chemicals. This is worrying as despite the increased popularity and consumption of organic foods, these chemicals are still finding their way in to our bodies via our food and the environment. With childhood learning and behavioral conditions such as ADHD and autism, chronic allergies and asthma, all of which on the rise, it makes you wonder whether extensive pesticide use on our farms could be a contributing factor.

Researchers and nutrition consultants recommend reducing exposure to these chemicals by buying fresh organic foods where possible (see, ‘The Dirty Dozen‘), and thoroughly washing all fruits and vegetables using a soft brush. It is important for pregnant women to eat a diet rich in fruits and vegetables in order to gain all the vitamins and minerals required to grow a healthy baby. Organically grown crops are at least 50% higher in vitamin and mineral content than non-organic commercially grown crops. However, although eating organic is important, it is not the only piece of the puzzle. Even organically grown produce can be sprayed with pesticides and chemicals if imported from other countries. Strict import regulations require products to be sprayed with chemicals on entering the country or crossing borders, in order to prevent cross contamination. Even when food is labeled as organic, it may not be ‘fully organic’, we may still be exposed to many nasty chemicals. That is why eating locally produced fruits and vegetables or even growing your own, is the way forward! So go ahead and support your local farmers!

One World Birth: How it Works

Connect. Inspire. Change.

www.oneworldbirth.com

Ideas for Life

Following on from my previous post, (Bottled Water Industry Hung out to Dry), and rising public health concerns surrounding the use of BPA in infant feeding bottles, I have come across an innovate, safe, eco-friendly alternative. Life Factory glass baby bottles.

These fun intelligently designed reusable glass bottles are free from BPA, phthalates, PVC, polycarbonate, lead and latex. The modern silicone sleeve helps prevent breakages, making them durable, and in addition, also offers a non-slip gripping surface, even for small hands. All products including the sleeve are dishwasher safe, making cleaning easy. The baby bottles come in 4oz and 9oz sizes with the choice of teats, ‘sippy cup’ tops, or regular caps, all of which are inter-changeable.

What I like about Life Factory is that it was started by Pam Marcus, a pediatric physical therapist and feeding specialist, who observed a niche in the market for healthy, eco-friendly, well designed developmental products.

So if you are looking to give plastic the boot, maybe this could be your solution. 

Bottled Water Industry Hung Out to Dry-

After recently watching the eye-opening and informative documentary, ‘Tapped’, which focuses on the high health and environmental costs the bottled water industry is having on our modern lives, it made me consider the inherent trust we put in to the array of plastic children’s toys and parenting products available on the market, that we so willingly hand to our children everyday. Have you ever considered the number of plastic products you have in your baby’s nursery? Baby bottles, artificial teats, soothers, pacifiers, teethers, sippy cups, feeding bottles, toys just to name a few.

‘‘So what’s the big deal?’ I hear you asking. BPA, or Bisphenol A, is an industrial chemical building block used to make polycarbonate plastics and resins, commonly found in plastic water bottles and cups, infant feeding bottles, water coolers, reusable storage containers, lining of food cans and cartons (including infant formulas), water pipes, dental sealants and even in our cash register receipts. In the US more than 2.3 billion pounds of the stuff is manufactured annually. Polycarbonate plastic is generally considered shatterproof, which is one of its major benefits within the industry. However, over recent years, concerns regarding its potential health risks have continued to rise, despite the FDA’s initial approval of the endocrine-disrupting chemical, which alters the function of our body’s natural hormones. Research has linked the chemical to obesity, type II diabetes, liver, heart, ovarian and uterine disease, abnormal development of reproductive organs, miscarriage, reduced birth weight, reduced sperm count, increase in hormonally influenced cancers such as breast and prostate cancer, brain development and behavioral problems such as ADHD and autism. The list is endless! Frederick Vom Saal of the University of  Missouri-Columbia, who has contributed a decade of research in to low dose BPA exposure, states that this type of plastic ‘maybe one of the most potent, toxic chemicals known to man’. He believes that the effects of BPA exposure can occur even at very low levels. He tested a dose 25,000 times lower than anyone had ever tested before, and found that even these levels ‘profoundly damaged every single part of the male developing mouse reproductive system’. According to a study published in the Journal of the American Medical Association by Vom Saal and Peterson Myers, the average American is exposed to more than the 50 micrograms per kilogram daily dose of BPA that federal environmental regulators consider safe, and that there are particular concerns for unborn and newborn babies. Vom Saal warns that babies likely face the highest exposure in human populations because both baby bottles and infant formula cans leech BPA. The chemical leeches in to our food when exposed to hard use, repeated scrubbing, washing either by hand or dishwasher, boiling, or by introducing hot foods or liquids. When exposed to hot foods or liquids BPA leeches out 55 times faster than it does under normal conditions, according to Scott Belcher, University of Cincinnati. Just think over its lifetime, how many times you boil and sterilize your baby bottles. In 2008, Canada became the first nation to announce it would ban polycarbonate baby bottles over BPA related health concerns. In 2009 Denmark also banned the use of this substance in baby bottles, and now within the States Connecticut, Massachusetts, the city of Chicago, Wisconsin, Washington and New York have also followed their lead, having passed legislation outlawing the chemical from being used in food and drinks containers. The FDA states it will not issue a ban on this substance, despite admitting that it has ‘some concerns’ regarding the effects on brain development in children and babies. For years the FDA has dragged its heels and denied the effects of BPA, despite mounting evidence, which indicates that the chemical leeches in to our food. The chemical industry argues that unless BPA is proved to have ill effects, it should continue to be manufactured and used, as it is cheap, lightweight and shatterproof. However, the FDA did not look at studies from independent sources, it looked at 2 studies put forward from the chemical industry itself and based its opinion solely on this data. The National Institute of Health reviewed 700 peer review published studies on BPA and 38 internationally recognized scientists issued a consensus statement in the Journal of Reproductive Toxicology, stating their extreme concerns regarding the impact of this chemical on human health. Many manufacturers have taken their own initiative and have responded to the publics’ outcry over BPA concerns, by removing the chemical from their products, and noting on their labels, ‘BPA-Free’. Wal-Mart have already removed BPA from their packaging, and Eden Foods have started using BPA free cans. Many scientists are now advising that if clear bottles or canned foods are a must, they should never be micro-waved, used to store heated liquids or foods or washed in hot water either by hand or by machine. To avoid plastics labeled with numbers 1, 2, 4 and 5 and 7 on the bottom, and that a safe alternative to polycarbonate plastics water bottles or baby bottles are stainless steel, porcelain or glass.

To read other related articles, click on the links below…

FDA’s current perspective on BPA

Plastic (not) fantastic:Food containers leech a potentially harmful chemical-Scientific American

BPA may inhibit pregnancy-Discovery News

BPA exposure may be associated with wheezing in children-Science Daily

Chemical in plastic bottles raises some concern-Science Daily

Endocrine inhibitors: Babies absorb the most Bisphenol A-Science Daily

A warning by key researcher on risks of BPA in our life-Environment 360 interview

New warning about chemical in plastic-The Telegraph

BPA ban in EU baby bottles in 2011-FDA Lawyers Blog

Pushed

Even as a Midwife this opened my eyes. A very empowering read…

‘Pushed: The painful truth about childbirth and modern maternity care‘, By Jennifer Block.

“No woman who is pregnant, has been pregnant, or plans to be pregnant should set foot inside the office of her OB/GYN before reading”

Women’s Review of Books

Click here to read Jennifer Block’s take on early Elective Births

Childbirth: #1 Reason for Hospital Admission for U.S Women

 

A recent article on the LA Times reported that childbirth is the number 1 reason for hospital admission for US women! How is this possible? This statistic is both shocking and disgraceful! There are so many things wrong with the US maternity system, yet the majority of women know nothing about it. Unfortunately, we are seeing more and more statistics like this hitting the headlines in the States, so why aren’t more women asking questions and demanding answers?

‘85% of all births in the U.S are considered traumatic for both mother and child’, Christiane Northrup, MD, author of ‘Mother-Daughter Wisdom

‘The U.S ranks 41st among industrialized nations in maternal mortality’, Jennifer Block, author of ‘Pushed: The painful true about childbirth and modern maternity care’

 

It is not only our lives, but also our children’s lives, we are putting on the line.

Is it worth the risk?

Read more about the LA Times story.