Archive for 2016

Natural Family Planning: Ecological Breastfeeding and Bedsharing

Sunday, May 8th, 2016

Probably the most controversial aspect of Ecological Breastfeeding are the Fourth and Fifth Standards involving sleeping with your baby.  I understand the fears because I had those fears until I lay down for a short nap with my baby one afternoon on top of the bed.  Three hours later I woke up.  My baby was still latched on; my fears vanished.  Then I understood better why mothers around the world have shared sleep with their babies.   There are many benefits for bedsharing.

Bedsharing supports good breastfeeding.

Bedsharing is extremely important for breastfeeding amenorrhea and thus natural child spacing.  Babies nurse frequently and longer during the night when near mother.  You can’t get this pattern of nighttime breastfeeding when baby is not present to the mother.

Mothers and fathers get more rest with bedsharing, and babies benefit from the skin-to-skin contact with either parent during the night.

Babies are more settled and cry less with bedsharing.

Bedsharing helps to regulate baby’s temperature and breathing.  Think of mother’s breathing being like a “pacemaker” for her baby’s breathing.

Mothers are well rested in the morning due to bedsharing.  Breastfeeding is one job a mother can do well in her sleep.  Nor does she or the father have to get up at all.  I thoroughly enjoyed this benefit of feeling rested in the morning as a nursing mother.

Dr. Abraham B. Bergman, the original SIDS researcher who made SIDS known to the American public and was the first president of the National SIDS Foundation, says baby bedsharing is not dangerous. (October 2014)

Breastfeeding protects against SIDS, and breastfeeding babies usually end up sleeping on their backs during the night.  Lest we forget, SIDS was formerly called “crib death.”

IMPORTANT:  For safety guidelines on bedsharing, see “links” at the NFPI website.

Sheila Kippley
The Seven Standards of Ecological Breastfeeding

Breastfeeding Research: November to December 2015

Sunday, May 1st, 2016

Saint John Paul II endorsed the UNICEF recommendation that mothers breastfeed their children “up to the second year of life or beyond” because “the overwhelming body of research is in favor of natural feeding rather than its substitutes.” (May 12, 1995)

The scientific evidence indicated that breastfeeding can protect against dental caries in early childhood. (Public Library of Science, November 2015)

This study discussed the various health benefits of breastfeeding. Some of the benefits were: higher rates of mortality among infants never breastfed compared to those exclusively breastfed in the first six months of life and receiving continued breastfeeding beyond. Otitis media occurs nearly twice as frequently among those not exclusively breastfed in the first six months. Many of the benefits of breastfeeding are experienced after breastfeeding is stopped. Children who were breastfed have a lower risk of obesity, higher intelligence quotients, reduced malocclusion and less asthma. Breastfeeding mothers likewise benefit from having breastfed, with lower rates of breast cancer, ovarian cancer, type II diabetes and postpartum depression. These multiple benefits of breastfeeding demonstrate the contribution and relevance of breastfeeding as a global public health issue, for low- and high-income populations alike.  (Acta Paediatrics, online November 4, 2015)

This study was carried out on more than 1000 children who were studied from birth until they were 10 years old.  Those not breastfed gained weight and stayed heavier than breastfed children right up to age 10.  The conclusion was that babies should not be given cow’s milk as their main drink before the age of 12 months. (American Journal of Clinical Nutrition, November 12, 2015)

Breastfeeding benefits include less risk for eye problems in premature babies. The lead researcher of this study involving preterm infants said: “Theoretically, exclusive human milk feeding could potentially prevent 8 percent (160,000) very preterm infants from severe retinopathy of prematurity globally. That is an enormous influence and prevents thousands of preterm infants from blindness or visual impairment.” (The Journal of Pediatrics, online November 16, 2015)

Lactation may prevent diabetes mellitus after gestational diabetes mellitus delivery. (Annals of Internal Medicine, November 24, 2015)

This study aimed to assess optimal breastfeeding practices of 0–6 month infants using breastfeeding performance index (BPI) and its association with childhood illness in Ethiopia.  More than 80 % of the infants did not receive optimal breastfeeding practices based on the Breastfeeding Performance Index. Lower BPI was statistically associated with diarrhea, fever and short and rapid breaths illness in the last 2 weeks of this study dealing with infants up to six months of age.  This study implicates the importance of optimal breastfeeding to reduce childhood illness.  (International Breastfeeding Journal, November 27, 2015)

A team from the University of Manitoba studied 334,553 deliveries over a 24-year period. A total of 60,088 of the births were to mothers from indigenous communities, where rates of gestational diabetes are up to three times higher than among non-indigenous mothers. Breastfeeding was recorded in 56% of indigenous mothers and 83% of non-indigenous mothers.
The researchers found that breastfeeding was associated with a 14% reduced risk of type 2 diabetes among indigenous mothers, and a 23% reduced risk among non-indigenous mothers.
Overall, they found a 18% lower risk among all children, regardless of ethnicity. (World Diabetes Congress, Vancouver, December 2015)

Breastfeeding between pregnancies is a natural, economic and simple way to manage a mother’s weight which can help lower the risk of stillbirth and infant death. (New Zealand Breastfeeding Alliance, December 3, 2015)

Full breastfeeding at 3 months postpartum appeared to be negatively associated with postnatal depressive symptoms for mothers residing in Sabah, Malaysia. (Journal of Human Lactation, online December 7, 2015)

Breastfeeding for 6-12 months significantly reduced the risk of severe hand, foot, and mouth disease, as did breastfeeding for more than 12 months. (The Pediatric Infectious Disease Journal, online December 8, 2015)

Breastfeeding is potentially inversely associated with thyroid cancer risk. Also longer duration of breastfeeding may further decrease thyroid cancer risk.  (Clinical Nutrition, online December 17, 2015)

Kangaroo mother care (KMC), an intervention that facilitates skin-to-skin contact between newborn and mother, can substantially reduce mortality in low-birth-weight newborns. KMC can decrease the risk of neonatal sepsis, hypothermia, hypoglycemia, hospital readmission, and increase the likelihood of exclusive breast-feeding. (Pediatrics, online December 23, 2015)

Sheila Kippley
The Seven Standards of Ecological Breastfeeding: The Frequency Factor

Breastfeeding Research August to October 2015

Sunday, April 24th, 2016

Saint John Paul II endorsed the UNICEF recommendation that mothers breastfeed their children “up to the second year of life or beyond” because “the overwhelming body of research is in favor of natural feeding rather than its substitutes.” (May 12, 1995)

Breastfeeding protects against acute otitis media (AOM) until 2 years of age, but protection is greater for exclusive breastfeeding and breastfeeding of longer duration. Exclusive breastfeeding during the first 6 months was associated with around a 43% reduction in ever having AOM in the first 2 years of life. (Acta Paediatrica, online August 2015)

Lactation may have long-term benefits that lower cardiovascular disease risk in women.  The researchers found that the less time a woman breastfed, the thicker her carotid arteries. (Obstetrics & Gynecology, August 2015)

Indigenous infants in Canada experience gastrointestinal infection, lower-respiratory infections (such as pneumonia) and ear infections “in excess frequency” and are “disproportionately affected” by sudden infant death syndrome.  These infections could be reduced if these babies were breastfed.  For example, the Inuit babies suffered fewer infections after they were breastfed by their mothers. Hospitalization cases also underwent a sharp decline after the babies got their mother’s milk.  This was what nature and nurture had meant for them to have. It was their birthright. Nature is never wrong. It is we who transgress against its rules and thus cause our own ruination.
The following comment was found in this research:  “Everybody knows that there is no bond greater than the mother-infant symbiosis. And it is exemplified in the act of breastfeeding. The child also acquires its language in a primitive and primordial way. That is through the mother’s milk. It is no coincidence that the word for mother in all languages starts with an “m”. That is because that is the sound an infant makes while suckling at its mother’s breast.  The little baby gets its identity as a human being via intimate bonding with its mother. And the benefits of immunity from infectious diseases is just one of the payoffs.”  (Canadian Journal of Public Health, August 17, 2015)

Women with multiple sclerosis who breastfeed exclusively should be supported to do so since it does not increase the risk of postpartum relapse. Relapse in the first six months postpartum may be diminished by exclusive breastfeeding.   (JAMA Neutrology, August 31, 2015)

Breastfeeding was found to be inversely associated with pediatric cancer in our study. (Pediatric Hematology and Oncology, online August 13, 2015; published Sept. 2015)

Breastfeeding is associated with a lower risk of rheumatoid arthritis, no matter if breastfeeding time is longer or shorter than 12 months. (The Journal of Rheumatology, September 1, 2015)

African Americans have lower breastfeeding rates and high obesity rates higher compared to other ethnicities in the United States.  Current research suggests a protective effect of breastfeeding against childhood obesity in this high-risk population. Primary care providers and other healthcare workers need to address breastfeeding benefits  to African American women. (American Journal of Maternal Child Nursing, Sept-Oct 2015)

We have 162 million people worldwide under the age of 5 years who are chronically malnourished and stunted. Six million of these children die every year.  Breastfeeding is one answer to the problem.  Mothers need to breastfeed their babies and to have breastfeeding be socially acceptable in their country. (Breastfeeding Medicine, October 2, 2015)

Ankylosing spondylitis (AS) is a chronic inflammatory disease affecting the spine and pelvis of young adults. This study suggests a breastfeeding-induced protective effect on the occurrence of AS. (Annals of Rheumatic Diseases, online October 12, 2015)

The risk of all-cause mortality was lower for women who had children versus those women who never had children and for those who had breastfed versus those who had never breastfed. (BMC Medicine, October 30, 2015)

Sheila Kippley
The Seven Standards of Ecological Breastfeeding: The Frequency Factor