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Thursday, May 28, 2009

Breastmilk v. cancer

ABC News reports that an Englishman, Tim Browne, is using breastmilk to fight his cancer. His daughter is nursing her baby boy and sets aside a couple of ounces of milk for her dad. As cited in the article, the U.S. Food and Drug Administration's research indicate that breastmilk may prevent growth of cancer cells.

Researchers have identified a protein in human milk--human alpha-lactalbumin made lethal to tumors (HAMLET)--that induces apoptosis, or programmed cell death, in which cells, responding to environmental signals, self-destruct. Apoptosis, a relatively new study in biology, is the natural mechanism the body uses to recycle material that is not needed for functioning. When apoptosis is initiated, the cell's genetic material becomes shredded so that the cell cannot replicate itself. With cancer cells, apoptosis is inhibited, allowing rapid growth of dysfunctional cells. Haynes says that the isolation of HAMLET as a trigger for apoptosis in cancer cells could give further weight to evidence linking breast milk to reduced incidences of some cancers.

Several other benefits of breastfeeding have been previously reported but if breastmilk can indeed help fight cancer, this will be a very welcome development in cancer research studies. However, the article also cites an ABC News medical contributor saying that "there's no research to say those same proteins in human breast milk will benefit this man."

A lot of other uses and home remedies using breastmilk are available on the internet -- from curing earaches to sore eyes (there's even a recipe to make soap out of breastmilk Note, however, that these remedies are not scientifically and medically studied. In fact, one of the breastfeeding counselors I know discourages the use of breastmilk for sore eyes. My favorite and most practical use for breastmilk comes from my mother-in-law's elderly mah-jong friends. My husband (and daughter) has a high/deep hairline -- and my mommy's friends suggested that I spread breastmilk on their heads to encourage hair growth... :D I've been doing this (only when Stan is asleep) and hopefully, there will be happy results :)

More and more health benefits are being discovered as breastmilk research intensifies. On the local front, I was recently asked to donate some breastmilk, my and Naima's urine samples for a study conducted in UP. I've requested for a summary/abstract once this study is completed. This is a very interesting development and hopefully, will yield positive and helpful findings 0n the benefits and uses of breastmilk, particularly in the Philippine setting.

Monday, May 25, 2009

Breastfeeding is not easy but is definitely best for baby

Welcome to the Carnival of Breastfeeding for May!

The theme for May is "share your story". When I first gave birth, a lot of my friends were breastfeeding and made it sound so easy. However, it definitely was not easy for me and I shed a lot of tears to make it work. This is my story.

Please check out the contributing bloggers' posts linked at the bottom of this post.
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As a new parent, everyone wants to give the best for their baby. During my pregnancy, I was bombarded with information that "breast was best". Thus, even before Naima Clarisse was born, I was dead set on breastfeeding her. Naima Clarisse was born on 05 December 2007 and it was a fairly easy pitocin-induced delivery with epidural anesthesia. Within an hour after her birth, she had latched on and drinking up what little colostrum I was producing. During her first 24 hours, she had pooped out so much meconium that Stan was converted into a diaper-changing machine.

We were discharged on 07 December 2007 and the next 2 weeks were filled with sleepless breastfeeding days. On discharge day, Naima weighed 5 pounds and 10 ounces. However, as a breastfed baby, we were informed that was normal and she should regain her birth weight on her second week check-up. We went to our pediatrician on 19 December 2007 for her second week check-up. Naima weighed 6 pounds and 9 ounces which was 4 ounces more than her birth weight. We were very happy! However, we were eventually dismayed to find out that she was jaundiced and even more so when we were informed that it was breast milk jaundice!! (For more information on breast milk jaundice, please read this handout from Dr. Jack Newman. He explains that breast milk jaundice is normal and does not require treatment or supplementation as long as the baby is gaining weight well and having lots of bowel movements. As always you should consult your doctor for medical advice.)

The pediatrician recommended that she be given 1-2oz of formula after nursing. By then, Stan and I were so paranoid that we decided that I exclusively pump so we could measure how much she was getting. This was the beginning of my endless pumping and worries.. "will i have enough milk"? With the stress and sleepless nights, I wasn't pumping enough and we had to supplement with formula. Also, as first-time parents, we didn't know that there was an art to bottle-feeding the breastfed infant. So to force Naima to drink milk, Stan would pull on the bottle every time she stops sucking == end result?! Nipple confusion. Every time Naima would latch on to me, she would stay only for 5 minutes or less because she wanted faster flow and she was pulling on my breasts like it was a bottle nipple -- adding to my sore nipples and breasts. It was a vicious cycle. At this point, I was exclusively pumping and didn't know long I would last. I even rented a hospital-grade pump and bought another double pump.

I was really determined to continue breastfeeding. When Naima was about 7 weeks, I felt that my supply had increased so I again decided to go back to direct breastfeeding. I had been told that direct breastfeeding extends the breastfeeding relationship - as compared to exclusive pumping. Again, I was plagued with sore and cracked nipples. At this point, I was ready to throw in the towel. I kept thinking, I was a formula-fed baby, hubby was FF, my siblings and everyone else I knew were FFed and we were doing great!

Maybe those die-hard breastfeeding advocates really got to me - I decided to continue giving Naima breast milk and go back to exclusive pumping. I guess I was also a masochist because after 2 days, when my nipples had healed, I again tried to do direct breastfeeding. And suddenly, everything became easier. Her latch had improved. There was still some pain on my right breast but it was tolerable. And I started thinking that I could do this! I continued direct breastfeeding for 2 weeks, not giving her any bottle for fear of a nipple confusion relapse. This meant I couldn't go out without her and I couldn't go out often since my mom wouldn't let me take the baby out.

Then plugged ducts hit! I had been pumping and freezing breast milk when we had to go to Cebu. In Cebu, I didn't bring my pump and failed to do my regular 3 pumps a day (in addition to nursing) -- resulting in engorgement! Plus, the fact that we were staying in hotels and had to fulfill some familial duties probably added to my stress ending in plugged ducts! So upon going back to Manila, I went to see an ob-gyne who was a lactation consultant and had her prick my nipple to free up the plugged duct! Boy did it hurt and for 2 succeeding days, it hurt every time Naima fed on my right breast! I was determined not to quit and my right nipple did heal.

Naima is almost 18 months and is still drinking breastmilk. I have gone back to full-time work when she was 7 months and have been expressing milk while we are separated. With hard work and determination, I'm able to pump enough milk for her daily needs and still have some excess to donate. Conservatively, I'm hoping we make it to 24 months. Then after that, we'll see how it goes. I just hope that I'm up to facing the challenges that breastfeeding will bring.

Check out the posts of the other Carnival participants:
Amber @ Strocel.com - The Story of Hannah's Weaning
Laura's Blog - Weaning a Toddler
Stepping Off the Spaceship - Life, Death and Nourishment
So Fawned - Sticking with it: Our Breastfeeding Story
Mommy News & Views - How Breastfeeding Changed My Life
And All That Sazz - Flying Breast Milk
Grudgemom - Breastfeeding Failures and Success
Baby Carriers Down Under - Kandy
Massachusets Friends of Midwives - Ben's Story: The best breastfeeding advice from the least likely source
Breastfeeding 1-2-3: The "I Told You So"
Breastfeeding Mums Blog: Breastfeeding made me the mother I am
Motherwear's Breastfeeding Blog: They said the latch was fine
Breastfeeding Moms Unite: Can Early Public Breastfeeding Sightings Shape One's Future Breastfeeding Practices?
Zen Mommy: Celebrating my chest in honour of breastfeeding
The Towells: For women in my situation (breastfeeding after breast reduction)
Blacktating: Nursing in Public
Crystal Gold: A Found Memory

Friday, May 22, 2009

Of Pools and Milk

I have been reading several stories of moms being banned from breastfeeding in or around swimming pools. The most recent is that of a mom in Nottingham, England who was asked to stop breastfeeding at the pool because she was violating the pool’s rule on no food or drink near the water.
Prior to that, there were also other incidents involving breastfeeding in swimming pools in Canada – 2 in Ontario (Scarborough and Newmarket) and another one in Calgary. Because of these incidents, protests were organized which resulted in changes in rules of the local councils and/or public apologies. Public awareness of breastfeeding in public also heightened.
I initially felt that there is a difference between breastfeeding in the pool or near/around the pool. Breastfeeding near or around the pool is perfectly acceptable to me, but I felt that breastmilk, being a bodily fluid, is something I don’t think the public would appreciate being added to the swimming pool water.
After some research, I got to this FAQ page on breastfeeding and swimming pools. FAQ No. 9 thoroughly discussed the “no drink and food” rule in connection with breastfeeding – breastfeeding is not just food but comfort and comfort certainly is not prohibited in the pool. A scientific paper is also discussed, which debunked the argument that breastmilk would deactivate the chlorine or may contain bacteria/viruses that could infect other swimmers.
Although we haven’t nursed in the swimming pool, I have nursed here in a public beach in Davao City. Personally, I wouldn’t want to nurse Naima in the swimming pool. I feel it is not hygienic. The pool waters are not clean and even if I am wearing a bathing suit, my breasts still came in contact with the icky water. I don’t want Naima swallowing pool water – nor would I want her to come in contact with something that was soaked in the pool water. But that’s just me.
I realize that breastfeeding is much like the law – there are always 2 sides and you could argue about it until you are blue in the face – but still not find a resolution. Information, biases, culture and influences all shape the perception in the face of nursing in public.

*The cartoon on this page is by Heather Cushman-Dowdee, creator of Hathor the Cow Goddess, a comics focused on breastfeeding and attachment parenting.

Thursday, May 21, 2009

Much ado about a nursing toddler

A hospital in Manchester is being criticized for releasing posters of a toddler breastfeeding her doll in their efforts to promote and increase breastfeeding rates. Reports state that some hospital visitors/employees find that this is not normal and pressure mothers to breastfeed instead of supporting them.
My toddler, who is still nursing, also breastfeeds and babywears her dolls! I think she finds it normal to feed her babies (dolls) with mommy's (her) milk instead of giving them the bottle. When I'm there and playing with her dolls, she lets her dolls nurse from me.
Personally, I'd rather see her try to breastfeed her doll than bottle feed it. I believe that by learning that breastfeeding is natural at an early age, she will be part of the "new generation" who will have no hang-ups about breastfeeding. Hopefully, when she becomes a mother later on, she will also find that breastfeeding her baby is the most natural or "normal" thing to do.

Wednesday, May 20, 2009

Reintroducing the US Breastfeeding Promotion Act

The last time a lactivist event happened in Manila was in June 2007 when Filipino breastfeeding advocates trooped to the Supreme Court and bared their breasts just before the oral arguments in connection with the Milk Code. I was 3 months pregnant with Naima then -- in the midst of all-day sickness -- and not even contemplating breastfeeding yet. The Revised Implementing Rules and Regulations on the Milk Code has been partially upheld by the Supreme Court and what is currently pending is a bill sponsored by Sen. Pia Cayetano entitled "Expanded Breastfeeding Act of 2007".
In the US, the Breastfeeding Promotion Act will be reintroduced on June 3, 2009 and an email (copy pasted below) has been circulating asking for lactivist presence during the presscon on that day. An essential point in the US bill which is not in the Philippine bill would be the performance standard for breastpump equipment.
In Sen. Pia's bill, she proposes the establishment of lactation stations and lactation periods (e.g. lactation break). Tax breaks had been previously granted under "The Rooming-In and Breastfeeding Act of 1992." However, even if the law (and incentive) has been in existence for more than 15 years, lactation programs are not yet well-established in majority of workplaces (private or government). Here's hoping that Sen. Pia's bill will pass into law and lactation programs (particularly in my workplace :D) will shortly be established.


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To all breastfeeding activists/lactivists/concerned citizens!

Rep. Carolyn Maloney is going to reintroduce the Breastfeeding Promotion Act to Congress in June. With a change in leadership in both Houses and a White House that is attuned to work/life balance issues, this year we need to push hard for passage! The Breastfeeding Promotion Act will:
* Add breastfeeding mothers in the workplace as a protected class under the Civil Rights Act of 1964
* Provide incentives for employers to have private lactation areas for workers
* Create a performance standard for breastpump equipment
* Create tax deductions for pumping equipment

Rep. Maloney and other co-sponsors will hold a press conference on June 3rd at 11:30am on the Cannon Terrace at the Cannon Building on Capitol Hill. Once again we are gathering as large a presence as we can to attend the press conference in support of the bill.

Here is what we need from all who care about this issue:

First, we need you to contact your Rep. in the Congress (find him or her here http://www.house.gov/ ), this week, and ask them to sign on as a cosponsor of the Breastfeeding Promotion Act. The more cosponsors a bill has, the more attention and support it garners. We need all 435 Representatives to know how important this bill is to the 70% of mothers who work and may desire to breastfeed once they go back to work. So call AND email your Representative and ask to speak to a legislative aide today.

Second, we need anyone within driving distance of Washington, D.C. to make plans to join us on June 3rd at 11:30 am on the Cannon Terrace at the Cannon Office Building,Independence Avenue and 1st Street, SE, Washington, DC 20003. You can drive in if you are willing to come early enough to hunt for parking spot south of the Cannon Bldg. or take Metro to the Capitol South station on the Blue/Orange lines. This link shows a picture of the terrace where we will meet.

We need pregnant and nursing mother, their supportive partners, grandparents and all your cute little nurslings and toddlers to join us that day for the press conference. At previous introductions of the bill we have had between 100-200 attendees at the press conference. We would like an even bigger showing this year. It is very important that you RSVP to wchappel@myexcel.com with the number of adults/babies/children attending so we can be prepared (and have enough kid friendly snacks/drinks on hand). And so that I can email final details to all the night before the event.

Third, we need everyone who attends to plan on visiting the offices of their Representative in Congress immediately after the press conference, to personally appeal to them to throw their support behind the bill and sign on as an original co-sponsor. Don't let the opportunity to have face to face interaction with your legislators pass you by. Last time I went I had a very spirited conversation with a young female legislative aide who clearly didn't understand why her boss should care about this bill. The House of Representatives link above will give you the address of their Washington office. All of the legislative office buildings are clustered near Cannon Office Building. If you call ahead you can make an appointment (I would suggest you make an after lunch appt. time and go get some lunch with your kids after the press conference) to speak to someone.

Lastly, if you have a workplace lactation discrimination story you would like to share at the press conference please email wchappel@myexcel.com immediately. The speakers lineup is being put together now and some mothers may be invited to talk about their own stories.

This is the year to get this done! Please forward this message to every breastfeeding, parenting, working parent list and group to which you belong, just keep the contact info intact.

Thanks all,

Lorrie Leigh, AAHCC
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