We were fortunate to have Linda Smith speak at this month's LLL of
Colorado/Wyoming Area Conference and Health Care Professional
Seminar.  She, and a co-author whose name I can't recall at the
moment, have a new book coming out on just this subject: how birth
practices affect breastfeeding.  It promises to be a groundbreaker
and I for one am looking forward to reading it!  Linda talked a bit
about some of the research in this area (there is some!), and it is
fascinating.  Unfortunately it can be infuriating too, as we see how
detrimental is our standard (American) way of birth to breastfeeding.

Margaret
Longmont, CO

>
>What no one has raised in this discussion so far is the issue of how changes
>in obstetrical practice impact the early breastfeeding experience; and how
>this increases the workload for hospital LCs.  When I started my nursing



>The fact is that due to the increase of all these interventions, babies and
>mothers are having a harder time establishing breastfeeding now than they
>did fifteen years ago.  And amazingly no one is studying the impact of these
>interventions on initiation of breastfeeding!  Those of us who do research
>or have influence on someone who does, need to start getting studies funded,
>and published, not just in JHL, but in some of the major medical journals as
>well.  What if JAMA or the Green Journal (ACOG's journal) were to publish
>some research on these topics?  That alone could change practice enough to
>reduce the workload for hospital LCs.  And to whomever suggested getting
>moms into support groups prenatally, I completely agree.  Education for moms
>is crucial.  It would really help if they got info regarding the pitfalls of
>choosing to induce at 37-38 weeks.
>Thanks for listening;
>Martha Johnson RN IBCLC
>Eugene Oregon

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