Hi Lisa ~
We humans are a strange species! It doth boggle the mind that someone,
perhaps an educated someone, could think that unnecessarily depriving the
infant gut/other systems of the higher levels of sIgA and other
immunoglobulins, lyzozyme, lactoferrin, growth factors, anti-inflammatory
properties, etc. in colostrum may ever be appropriate! Further, the mind
boggles that anyone would suggest it appropriate to deprive the mother of
the benefit of the uterine contractions inherent in effective breastfeeding
during the immediate postpartum when most at risk for hemorrhage. And to
deprive both of the opportunity to share the closeness resulting in release
of bonding-enhancing oxytocin and beta-endorphins is beyond absurd. And all
because of a some theoretical risk that does not appear to be evidence
based - an issue that might be just as likely, if not more so - to occur
without some milk removal?
Re: the person who brought this to your attention -- did that person
provide research evidence that the action of some breastfeeding has been
found to result in severe engorgement (in mothers who plan only a few days
to weeks of breastfeeding)? Or, even if it could be provided, is it
ethically appropriate to ask you and your colleagues to fail to provide
info so a mother can make an informed choice re: role of colostrum and some
early breastfeeding for both newborn and mother, especially when discussing
a theoretical risk for some issue that may be just as likely to occur
anyway! (And is an issue that can be and is dealt with?) When weighing the
benefits vs. risks for newborn and mother, it seems a no-brainer!
Hope you keep us posted on how this plays out...
K
> Date: Mon, 30 Jan 2012 09:35:01 -0500
> From: Lisa Paul <[log in to unmask]>
> Subject: Re: short term breastfeeding
>
>
> Thank you for the replies I have received so far.
>
> For some clarification, the issue of short term breastfeeding is not for
> medical reasons, or problems with breastfeeding. It is purely for the
> purpose of feeding colostrum to the baby and for a mom to "try"
> breastfeeding. I work with a low-income rural population and only 15% of
> our moms breastfeed for more than a month. For many of our moms, long term
> breastfeeding is not part of their goals, but they may be willing to give
> it a go for 3 days - 2 weeks, supplementing with bottles all the way.
>
>
> It has been brought to my attention that perhaps this is not a
> beneficial teaching, and may be causing other issues postpartum, like
> increased engorgement. As I researched, I wondered if short term
> breastfeeding would be a *solution* to postpartum engorgement in women with
> no goals for breastfeeding. Is there a place in our prenatal education for
> 3 days to 2 weeks of breastfeeding?=20=20
>
> I liked Pat's story about the doctor who insisted moms breastfeed in the
> hospital. I wonder how she advised them to wean. So many of the moms I
> work with have a hard time getting milk established, it is hard for me
> to imagine that short term breastfeeding would be difficult to stop!
>
>
> Again thank you for your input.
> Lisa Paul, ICCE
> Breastfeeding Peer Counselor
>
> ***********************************************
>
--
Karen Gromada
www.karengromada.com/
***********************************************
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