Tuesday, October 16, 2007

Article

Jeannie Babb Taylor: The problem with breastfeeding

10/03/07
Jeannie Babb Taylor

What if doctors discovered a substance so potent, it could prevent
dozens of diseases and even reduce the risk of cancer? What if these
benefits extended not only to those who partake of this amazing
substance, but also those who serve it? If a pharmaceutical company had
developed it, it would be a billion-dollar industry. Breast milk,
though, is free. Without a visible profit stream, it also lacks a
marketing team.

Numerous studies show that breastfeeding reduces cancer risks for both
givers and receivers --- yet the American Cancer Society (ACS) has no
campaign statement on the importance of breastfeeding. One huge study
(147,000 participants) found that American women could cut their breast
cancer risk by 33% by increasing the lifetime average of breastfeeding
from three months to thirty months, which is the worldwide average. The
ACS concluded that significantly increasing breastfeeding duration was
"unrealistic" and instead continues to focus on mammograms, cancer
prevention drugs and other methods that put money in the pockets of
physician groups and pharmaceutical companies.

Although breastfeeding has been shown to reduce sudden infant death
syndrome (SIDS) risk by as much as 55%, the National Institute for Child
Health (NICH) invests virtually nothing in breastfeeding education.
Instead, the NICH organized the "Back to Sleep" campaign encouraging
parents to put babies to bed on their backs. The first corporate sponsor
of the Back to Sleep campaign was Gerber, a formula and baby food
manufacturer. Is it any surprise there is no financial backing to
promote breastfeeding as a SIDS prevention tool?

Breastfeeding contributes significantly to child health. According to
the American Academy of Pediatrics (AAP) breastfeeding is "as important
to preventive pediatric health care as promoting immunizations, car seat
use, and proper infant sleep position." Yet a recent AAP survey found
that 45 percent of pediatricians who responded see formula-feeding and
breast-feeding as equally acceptable. Once again, we can follow the
money to understand this phenomenon. Doctors receive numerous samples,
perks, and gifts from formula companies --- a practice condemned by the
World Health Organization (WHO.)

Formula makers are forced to give lip service to the superiority of
breastfeeding. Yet these companies spend millions of dollars per year
tripping up new mothers. They have inroads at the obstetrician' s office,
the hospitals where babies are born, and the pediatrician' s office.
Formula makers ensure that every mother goes home with a couple of cans
of formula, so it will be available in the middle of the night when the
baby is crying, she is exhausted from lack of sleep and she is
vulnerable to the insecurities American society has pressed on her day
after day. The result? Even though 70% of mothers start breastfeeding,
within a few months the statistics have flipped. Only 11.3% of babies
are still exclusively breastfed at six months.

It is difficult to blame American mothers for the failure to breastfeed,
when everything is stacked against mothers from the start. Unlike women
in most other developed countries, American women receive no paid
maternity leave. Only those on welfare receive a stipend to carry them
through the first months of mothering. Women who support themselves are
forced to return to work, where it is often impossible to bring an
infant, and pumping opportunities may be few and far between, with
unsanitary conditions.

Rep Carolyn Maloney (D-NY) recently introduced the Breastfeeding
Promotion Act of 2007. The bill amends the Civil Rights Act of 1964 to
protect breastfeeding women from workplace discrimination. It also gives
employers a tax credit of up to $10,000 per year to provide employees
with equipment, dedicated space and consultation for pumping breast
milk. The bill establishes standards for breast pumps, and creates tax
breaks for women who purchase breast pumps in order to maintain employment.

Maloney says, "I have heard many horror stories of women who were fired
for trying to figure out a way to express milk at work. My bill
clarifies the Pregnancy Discrimination Act to protect breastfeeding
under federal civil rights law, ensuring that women cannot be fired or
discriminated against in the workplace for expressing (pumping) milk, or
breastfeeding during breaks or lunch time."

At least the welfare moms have the chance to stay home and breastfeed
--- after all, their babies comprise the most high-risk population of
infants in terms of health problems, asthma, failure to thrive and
learning disabilities. Yet the formula-makers find these mothers, too.
Government programs take away one of the incentives for breastfeeding by
shelling out $600 million per year to put low-income infants on the
bottle. Taxpayers also foot the bill for the increased healthcare cost
of these children.

The U.S. government has certainly been slow to recognize the fountain of
youth. Reagan and the first Bush both refused to ratify the World Health
Organization' s breastfeeding code, designed to protect new mothers from
formula makers' guerilla marketing tactics. The code was not recognized
by the U.S. until Clinton signed it in 1994, and it is still not enforced.

Recently, a handful of individual states sought to enforce the code.
They especially want to stop hospital formula marketing, because once a
baby receives a bottle, the mother and baby are confronted with a whole
host of problems including nipple confusion and inadequate milk supply.
If successful breastfeeding is not established within the first few
days, formula-makers are practically guaranteed a new customer.

In Massachusetts, it was Governor Mitt Romney who struck down a ban on
hospital marketing. Less than two weeks later, Romney announced that he
had secured the construction of a $66 million pharmaceutical plant in
Devens, Massachusetts. The plant is owned by Bristol-Myers Squibb, the
largest formula manufacturer in the world.

Outside the U.S., things are no better. Nestle actually targets babies
in developing countries, where breastfeeding has the greatest potential
for good. Babies are routinely hooked on formula in third world
hospitals and sent home without ever establishing breastfeeding. Back in
the village, families soon discover that the cost of buying formula is
higher than their entire wage.

As a result of Nestle's tactics, sub-Saharan Africa has a breastfeeding
rate of only 32%; Asia, 35%; Indonesia, 39%, Vietnam, 19%, and Thailand,
5%. According to WHO and UNICEF, approximately 1.5 million babies die
each year because they were started on formula instead of breast milk.

American women who breastfeed should expect resistance from a society
that depicts over-sized breasts on magazine covers and billboards, yet
rejects the breast's highest function. Numerous polls show that the
majority of Americans are comfortable seeing women breastfeed in public;
yet, a few shrill voices continue to insist that it is improper.

American women have been harassed or thrown out of libraries,
restaurants and public parks for the simple act of breastfeeding. One
woman was even expelled from a Vermont Delta Freedom flight for
breastfeeding her child, resulting in nurse-ins at Delta counters across
the nation.

Most recently, comedian Bill Maher praised Appleby's for discriminating
against a nursing mother, asserting that women who breastfeed in public
are lazy and narcissistic. Maher's other comments, which are too crude
to be printed in the county paper, illustrate that what bothers some
people about breastfeeding isn't that it is perceived as sexual, but
rather that it is not. Hooters, wet T-shirt contests and Playboy
magazines are just fine with people like Maher, who believe that breasts
are not for babies, but for men.

Although doctors agree that "breast is best," their own licensing board
does not follow their recommendations. Breastfeeding mother and aspiring
doctor Sophie Currier had to sue the National Board of Medical Examiners
for the right to take pumping breaks during her nine-hour licensing
exam. In typical anti-feminist fashion, the judge told Sophie she would
just have to take the exam when her child was older and finished
breastfeeding. She would have lost her residency in clinical pathology
at Massachusetts General Hospital and derailed her career. Sophie
appealed the decision, and won.

The "problem" with breastfeeding is that it lacks a corporate profit
stream. It profits mothers and babies tremendously. It profits families,
the government and taxpayers. The USDA estimates that $3.6 million in
healthcare costs could be saved if more U.S. babies were breastfed.
Unfortunately, nothing much happens in America unless it lines the
pocket of a corporation. WHO cares about breastfeeding, but corporate
America never will.

We live in a culture that despises human bodily fluids --- even as we
feed our children cow's milk and use pregnant mare urine (Premarin) to
balance menopausal hormones. Canadian researchers are even developing
medicines based on genetically- engineered pig semen. The market for
animal fluids continues to grow, because there is a profit stream
associated with it. If formula companies maintain control of doctors and
legislators, a day may come when humans are no longer classified as
mammals. Mammals, after all, are defined as animals that have hair and
suckle their young.

Jeannie Babb Taylor is a local business leader and author. She also
teaches Sunday school, educates her children at home, and engages in
Georgia politics. Jeannie may be contacted at jeannie@babb. com, or you
can leave a public comment on her blog OntheOtherHandColum n.blogspot. com.


[Non-text portions of this message have been removed]

Saturday, April 07, 2007

More couples opt for natural births at home

More couples opt for natural births at home

By Diana North
Correspondent

Published March 11, 2007

Babies are born every day. But birth is far from commonplace to
expectant parents or the people who help them through the challenging-
yet-joyful process of guiding a baby into the world. While doctors in
hospitals deliver the majority of U.S. babies, some parents, such as
Todd Johnson and Stephanie Politte of Friendswood, choose a midwife
to assist their planned homebirth.

The expectant couple are repeat clients of Friendswood resident
Christine Messarra, a certified professional midwife who helped
deliver their 18-month-old daughter, Aryanna. The soon-to-be-born
baby is a girl, already named Aaralyn. Johnson and Politte are
appreciative of the support Messarra provides and confident in their
choice of midwife-assisted homebirth.

"The joy of a midwife is that she is all yours," Politte said. "And
everything is so much more calm."

Although Johnson admits he was "a little bit nervous" about homebirth
initially, he liked being able to be more helpful and involved
throughout Aryanna's birth.

"It feels more special and it feels less clinical," Johnson
said. "It's much more personal because you develop this relationship
with the midwife and she actually comes to the house and spends time."

Midwives have a long and well-respected history and continue to
assist at births all across the world. In Texas, two types of
midwives are legally authorized to practice — certified nurse
midwives and certified professional midwives. While the path to
certification differs, the goal of all midwives is the same — safe
passage for the baby and physical and emotional support for the
mother.

Jackie Griggs of Harris County has been a midwife for 16 years. She
has also trained other area midwives and provides her services to
families in surrounding counties. Griggs said expectant mothers
should read and educate themselves about the benefits of midwife-
assisted birth.

"The personal care you get from midwives makes a real difference,"
Griggs said.

Griggs said there are about 350 certified nurse midwives and 150
certified professional midwives currently authorized to practice in
Texas.

CNMs receive their degree as registered nurses and then complete
graduate work in a midwifery program. CPMs take direct-entry courses
and get hands-on training through apprenticeship. All midwives must
pass the North American Registry of Midwives exam.

The Texas Department of Health Statement for 1990-2000 states, in
part, "that birth with midwives in Texas has always been a
statistically safer option than birth with either a medical doctor or
doctor of osteopathy."

In addition, the American Public Health Association "supports the
expansion of midwifery to improve access to care, increase health
options and improve birth outcomes."

Even so, most physicians are unwilling to provide support services
for midwives attending births at home.

Dr. Larry Milner, an obstetrician and gynecologist with the Bayshore
Medical Center in Pasadena, said he is the only physician on staff
who provides availability-based back-up care for clients of area
midwives doing homebirths. He says insurance and malpractice concerns
are the reason most physicians steer clear.

"I'm here to take care of the complicated cases," Milner said. "Any
trained person can take care of babies in a normal pregnancy."

Milner said the midwives he supports show good judgment and provide a
service to clients willing to weigh the risks that can sometimes be
associated with homebirth. Also, Milner said the midwives he knows
are more thorough and adept at providing counseling and nutritional
information than obstetricians, who are often extremely busy.

Midwife services typically include all prenatal care. The first visit
is a two-way interview with the couple during which the midwife does
a risk assessment, since only low-risk women willing to take charge
of their health make good candidates for homebirth. Basic lab work is
ordered as needed.

Midwives meet with their clients once per month until the woman is 30
weeks pregnant, every other week until 36 weeks and weekly until the
baby is born. Each meeting lasts about one hour and allows midwives
time to establish rapport with the family and address any concerns.

Parents may make visits to a midwife's home or office or even choose
home visits, which are often more convenient for those with children.
Some insurance plans pay for midwifery services.

The onset of labor means a phone call to Messarra during which she
assesses how the client is doing. She provides constant support for
the labor and birth with the help of her apprentice and another
midwife. The women remain on duty until three to four hours after the
baby is born.

While midwives are trained to care for infants, every family is
instructed to have their baby examined by a pediatrician within 48 to
72 hours after the birth. Messarra checks in on new mothers and
babies weekly for the first two weeks and again during the final
visit at six weeks postpartum.

Safety of mother and baby are of utmost concern to parents and birth
service providers. A recent study by the British Medical Journal
followed more than 5,400 low-risk women who had planned homebirths
attended by professional midwives. The study showed substantially
lower rates of interventions when compared to similar low-risk
hospital births.

One difference between hospital births and homebirths is that
midwives rely less on painkilling drugs, which can result in fewer
interventions and complications.

Birthing at home allows women freedom of movement, access to food and
drink and support of loved ones, as well as privacy. Messarra also
provides a large, deep tub of warm water she calls an "Aqua-dural" to
keep laboring mothers as comfortable as possible.

"The secret about childbirth is not that childbirth is painful, it's
that women are strong," Messarra said. "For women who have had
natural childbirth, the euphoria that they feel is so much greater
than the women who have had epidurals because their senses have not
been blocked."

Statistics show planned homebirths also result in far fewer Cesarean
sections, or surgical births. Texas Cesarean rates are at 30.2
percent of all births, according to the Department of State Health
Services. Griggs said that, nationwide, about one in three babies is
born by C- section.

While C-section birth is sometimes necessary, it carries the same
risks associated with any surgery or use of anesthesia. The National
Center for Health Statistics Web site supports the one-in-three ratio
and states, "some health care providers believe that many Cesareans
are medically unnecessary."

Messarra said she thinks midwife-assisted homebirth empowers women by
giving them more choices and allowing them to give birth in a
comfortable and supportive environment.

"It's so gratifying to see a family come together," Messarra
said. "This is really all about them."

Monday, March 26, 2007

A Midwife

A neat story about a homebirth midwife...there are labor pictures with zero nudity. Neat little clip!!! :)

http://oak.cats.ohiou.edu/~tm322203/Midwife/