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Subject:
From:
Debra Swank <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 16 Oct 2016 21:32:26 -0400
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In response to this post from Mary Westra, RN IBCLC, under the subject heading of Ridiculous Reasons to Wean:  "Here is one I heard this week from an M.D. Wean because it will help lower your blood pressure."

It must be a job requirement for IBCLCs and other specialists in human lactation and infant feeding to collect numerous puzzling statements of "medical" advice to wean, although I have great faith that these unfortunate statements will become fewer in number as accurate medical education continues to reach more and more members of the medical community.  I know that the Academy of Breastfeeding Medicine and the American Academy of Pediatrics does a world of good in so many ways.  

Here is a link as well as the abstract for a new, pertinent, and interesting study (I do not have access to full text):

https://www.ncbi.nlm.nih.gov/pubmed/27378766

Title:  Parity, breastfeeding and risk of coronary heart disease: A pan-European case-cohort study.

In: European Journal of Preventive Cardiology 2016 Nov;23(16):1755-1765. Epub 2016 Jul 4.

Abstract
OBJECTIVE:
There is uncertainty about the direction and magnitude of the associations between parity, breastfeeding and the risk of coronary heart disease (CHD). We examined the separate and combined associations of parity and breastfeeding practices with the incidence of CHD later in life among women in a large, pan-European cohort study.
METHODS:
Data were used from European Prospective Investigation into Cancer and Nutrition (EPIC)-CVD, a case-cohort study nested within the EPIC prospective study of 520,000 participants from 10 countries. Information on reproductive history was available for 14,917 women, including 5138 incident cases of CHD. Using Prentice-weighted Cox regression separately for each country followed by a random-effects meta-analysis, we calculated hazard ratios (HRs) and 95% confidence intervals (CIs) for CHD, after adjustment for age, study centre and several socioeconomic and biological risk factors.
RESULTS:
Compared with nulliparous women, the adjusted HR was 1.19 (95% CI: 1.01-1.41) among parous women; HRs were higher among women with more children (e.g., adjusted HR: 1.95 (95% CI: 1.19-3.20) for women with five or more children). Compared with women who did not breastfeed, the adjusted HR was 0.71 (95% CI: 0.52-0.98) among women who breastfed. For childbearing women who never breastfed, the adjusted HR was 1.58 (95% CI: 1.09-2.30) compared with nulliparous women, whereas for childbearing women who breastfed, the adjusted HR was 1.19 (95% CI: 0.99-1.43).
CONCLUSION:
Having more children was associated with a higher risk of CHD later in life, whereas breastfeeding was associated with a lower CHD risk. Women who both had children and breastfed did have a non-significantly higher risk of CHD.
© The European Society of Cardiology 2016.

KEYWORDS:
Parity; Women; breastfeeding; coronary heart disease
PMID: 27378766 DOI: 10.1177/2047487316658571
[PubMed - in process]
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Study authors: Peters SA1, van der Schouw YT2, Wood AM3, Sweeting MJ4, Moons KG2, Weiderpass E5, Arriola L6, Benetou V7, Boeing H8, Bonnet F9, Butt ST10, Clavel-Chapelon F11, Drake I12, Gavrila D13, Key TJ14, Klinaki E15, Krogh V16, Kühn T17, Lassale C18, Masala G19, Matullo G20, Merritt M18, Molina-Portillo E21, Moreno-Iribas C22, Nøst TH23, Olsen A24, Onland-Moret NC2, Overvad K25, Panico S26, Redondo ML27, Tjønneland A24, Trichopoulou A7, Tumino R28, Turzanski-Fortner R17, Tzoulaki I18, Wennberg P29, Winkvist A30, Thompson SG3, Di Angelantonio E4, Riboli E17, Wareham NJ31, Danesh J32, Butterworth AS3.

Author information
1The George Institute for Global Health, University of Oxford, Oxford, UK Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands [log in to unmask]
2Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
3Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, UK The National Institute for Health Research Blood and Transplant Unit (NIHR BTRU) in Donor Health and Genomics at the University of Cambridge, UK.
4Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, UK.
5Department of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway Department of Research, Cancer Registry of Norway, Institute of Population-Based Cancer Research, Oslo, Norway Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden Genetic Epidemiology Group, Folkhälsan Research Center, Helsinki, Finland.
6Public Health Division of Gipuzkoa, Instituto Bio-Donostia, Basque Government, CIBERESP, Spain.
7WHO Collaborating Center for Nutrition and Health, Unit of Nutritional Epidemiology and Nutrition in Public Health, Department of Hygiene, Epidemiology and Medical Statistics, University of Athens Medical School, Athens, Greece Hellenic Health Foundation, Athens, Greece.
8Department of Epidemiology, German Institute of Human Nutrition (DIfE), Potsdam-Rehbrücke, Germany.
9Centre Hospitalier Universitaire Rennes, University of Rennes, Villejuif, France.
10Department of Surgery, Clinical Sciences, Lund University, Skåne University Hospital, Malmö, Sweden.
11INSERM, Centre for Research in Epidemiology and Population Health (CESP), U1018, Nutrition, Hormones, and Women's Health Team, Institut Gustave Roussy, Villejuif, France.
12Department of Clinical Science, Lund University, Malmö, Sweden.
13Department of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, Murcia, Spain CIBER Epidemiología y Salud Pública (CIBERESP), Spain.
14Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, UK.
15Hellenic Health Foundation, Athens, Greece.
16Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
17German Cancer Research Center (DKFZ), Division of Cancer Epidemiology, Heidelberg, Germany.
18Department of Epidemiology and Biostatistics, Imperial College London, London, UK.
19Molecular and Nutritional Epidemiology Unit, Cancer Research and Prevention Institute - ISPO, Florence, Italy.
20Human Genetics Foundation, Turin, Italy Department of Medical Sciences, University of Turin, Italy.
21CIBER Epidemiología y Salud Pública (CIBERESP), Spain Escuela Andaluza de Salud Pública, Instituto de Investigación Biosanitaria ibs.GRANADA, Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain.
22Public Health Institute of Navarra, Pamplona, Spain Red de Investigación en Servicios de Salud en Enfermedades Crónicas, Madrid, Spain.
23Department of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.
24Diet, Genes and Environment, Danish Cancer Society Research Center, Copenhagen, Denmark.
25Department of Public Health, Section for Epidemiology, Aarhus University, Aarhus, Denmark Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark.
26Dipartimento di Medicina Clinica e Chirurgia, Federico II University, Naples, Italy.
27Public Health Directorate, Asturias, Spain.
28Cancer Registry and Histopathology Unit, Civic - M.P. Arezzo Hospital, ASP Ragusa, Italy.
29Department of Public Health and Clinical Medicine, Family Medicine, Umeå University, Umeå, Sweden.
30Nutritional Research, Umeå University, Umeå, Sweden Department of Internal Medicine and Clinical Nutrition, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
31Medical Research Council Epidemiology Unit, University of Cambridge, Cambridge, UK.
32Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, UK The National Institute for Health Research Blood and Transplant Unit (NIHR BTRU) in Donor Health and Genomics at the University of Cambridge, UK Public Health Division of Gipuzkoa, Instituto Bio-Donostia, Basque Government, CIBERESP, Spain.

Happily submitted by:

Debra Swank, RN BSN IBCLC
Ocala, Florida USA
More Than Reflexes Education
http://www.MoreThanReflexes.org

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