The study that suggested that kids whose moms had implants had esophageal
and gut motility probs. was debunked a long time ago. There is lit (esp.
nice article by Chet Berlin, MD) about implants and safety in bfg. That ref
is:
Berlin,C. Silicone breast implants and breastfeeding. Pediatrics 1994,
94(4):547-49.
Another study failed to find an association between breast implants and a
number of connective-tissue diseases and other types of disorders. That ref
is:
Gabriel,S. et al. Risk of connective tissue disease and other disorders
after breast implantation. N Eng. J Med 1994, 330(24):1697-702. This
article looked at many more issues than breastfeeding.
I don't know if there is much newer stuff because I haven't had reason to
look. If I did have a reason to look, I could call or email the Center for
Breastfeeding Information (the CBI) at La Leche League International, which
is a huge data bank of bfg info. Or, Nursing Mothers Assoc. of Australia
has an amazing and wonderful library of such data that people can access by
contacting them. There are fees for this sort of search, but if the client
needs the info perhaps you can discuss them reimbursing you or paying you a
research fee.
If a person wanted to research themselves, a Med-line search would work. I
spent about $10 US to subscribe for a year to a large med. lib. data base,
and there are lots of other such services. If you want to see the full
text or abstract of an article that you know exists, you can go (for free)
to the on-line journal/archives of the major med. journals. I had to look
up something from a 1954 issue of Pediatrics last week. I went to
Pediatrics.org, accessed the journal, looked in their archives, and pulled
up the article I needed. Took about 5 min to find it.
I really like to support the people who are careful enough about their work
to want to have it be evidence based. It IS a good idea to look at the
clinical literature before making statements to clients. It is also impt.
that each of us develop skills to do the reseasch ourselves (or at least
know where to go to access people whose job it is to do that for us). That
way no one is dependant on others to do this work for them.
I'd love to see conf. sessions at our educational offerings on basic
How-To's of accessing research.
I learned to do this when I worked in the Professional Liaison Dept. of
LLLI. I was taught to create a file folder for each topic I accumulated
info on. So today, I have huge filing cabinets that start with A: AAP
Statement, AIDS, Allergies, Auto-immune disorders, , etc. B: Bonding,
Breast Cancer, Breast Surgery, etc. If I down-load an article, or someone
shares a reprint, or I tear something out of the paper, it goes into a
specific folder. Then I can find it easily when I need it. I know of many
who do this and it essentially creates a ref. lib. for you and in your
community where it serves others.
Barbara Wilson-Clay BSEd, IBCLC
Austin Lactation Associates
http://www.lactnews.com
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