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Date: | Sun, 28 Jan 2007 18:13:02 +0200 |
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Dear Lactnetters!
I have been asked to give a lecture at a conference for the Midwifes
Assosiation of Finland. The subject is how to support mothers to breastfeed
with supplementation
ie. partial breastfeeding. I have been planning my lecture for a while and I
would appreciate feedback and suggestions from this community .
My target is to give information about partial breastfeeding and why mothers
end up with supplementing, and also on how to breastfeed while supplementing
and ways on how to do it. Most of the audience is likely to be hospital
based midwives at delivery rooms and post partum wards where supplementation
is still far too common. I would like to be able to affect the decision
making of midwives at the hospital so that they would not supplement so
freely.
I would like to see also that if the supplementation at the hospital is
needed, the mothers would go home with specific instructions on how to
gradually stop supplementing when the milk comes in and how a mother may
determine at home if the baby is getting enough milk and that adequate
follow-up is received. In Finland all mothers and babies do get follow-up at
local health care centers, but HCPs there are not too well educated about
breastfeeding.
I would cover up these things first and then tell about how to supplement
while breastfeeding if it is needed and how to support mother. The recent
discussion about bottles has been very helpful for me! Thank you all who
have been writing about it! In Finland the majority of families who
breastfeed partially choose to supplement with bottles so I would speak
about things that need to be considered when choosing a method and paced
bottlefeeding if bottles are used.
In Finland the majority of women plan to breastfeed "according to the
official nutritional recommendation" but end up supplementing in the first 6
weeks. According to a survey done in 2000-2001, as many as 79% of the
newborns got supplements at the hospital. In 2005 a national survey about
breastfeeding was done and 60% of 1 month old babies were exclusively
breastfed, at 3
months only 34% and at 6 months 40% mothers had quit
breastfeeding altogether. The main reasons in my opinion are the
supplementation given at the hospital and the HCPs lack of knowledge on how
to solve even basic breastfeeding difficulties during the firts weeks. The
mothers
don't get enough information about living with the breastfed baby
antenatally, so they don't know what to expect. Then they get not so
adequate information from HCPs and start giving bottles. Well, that would
hopefully
change at least a little since Imetyksen tuki (Breastfeding Support
Association) got two different grants for the next years from Finlands
Health and Social Ministry to develop antenatal education for the families
and to develop peer support programs and education in Finland.
The resources I have include Riordan: Breastfeeding and human lactation,
Wilson-Clay & Hoover: Breastfeeding Atlas, Mochrbacher &
Stock:Breastfeeding Answer Book and Newman: Latch. I also have internet
access to Pediatrics and British Medical Journal etc. What I would need is
your input
and suggestions and especially more references!
I would be very grateful for any input! I am a little bit nervous since this
is my first lecture for HCPs and the audience is quite big... I have been
speaking for HCPs before, but that has always been about our association and
peer support, not breastfeeding itself.
Sincerely,
Pia Ruohotie, RN, breastfeeding counsellor and Breastfeeding educator,
Imetyksen tuki ry
from Helsinki, Finland, Europe
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