Showing posts with label formula. Show all posts
Showing posts with label formula. Show all posts

Wednesday, August 27, 2008

decolonize our breasts: breastmilk vs. formula in the Philippines

For my doula class I have to write a final paper on a topic that interests me: "extended" breastfeeding. I'm already trying to figure out a new term for breastfeeding beyond the age of one because the term extended breatfeeding makes people think that you're going beyond a norm when I think it should be the norm.

Part of my research is to look into breastfeeding practices in the Philippines and I found some interesting statistics on the UNICEF website:
* Out of almost 7 million children (below 5 years old), 87% were ever breastfed. This figure however includes infants whose breastfeeding may have lasted for only one hour, one day, or one week only.
* In fact, nearly 3.4 million children (49%) were given liquid or food other than breastmilk within three days after being born.
* For children below 3 years old at the time of the survey, barely 6% were exclusively breastfed. Bottlefeeding was common for almost half of these children.
* Although 80% of children started breastfeeding within 1 day of birth, 54% were also given any liquid other than breast milk.
* Exclusive breastfeeding lasts only for an average of 24 days.
This is totally different from my original assumptions. I actually thought that breastfeeding WAS the norm in the Philippines and became less common for women who immigrated to the United States.

There has been an ongoing campaign in the Philippines to make breastfeeding more popular. In 2006 the City of Manila, Children for Breastfeeding (an organization that promotes family support for pregnant and breastfeeding mothers) and the Department of Health, with support from UNICEF organized an event where almost 4,000 mothers in the Philippines set a new world record for simultaneous breast-feeding.

Beyond the promotional event, there has also been organizing done to limit the advertisements of formula companies. Nestle, Mead Johnson, Abbot and other milk powder companies spend nearly US$90 million per year in the Philippines on advertising and end up with a sales revenue of around US$470 million. While the Philippines has a National Milk Code that limits the advertisement, promotion or marketing for breast milk substitutes intended particularly in medical offices and by health practicioners, formula companies have been working to challenge the code in court and many health offices are out of compliance. (Yes, one more reason to boycott Nestle!)

Check out this documentary "Formula for Disaster" about how misinformation of breastfeeding and agressive advertising has led to a decline in breastfeding, health problems for babies and an unneeded economic burden for families in the Philippines.

Part 2 Part 3 Part 4 Part 5

All I gotta say is: F*ck Capitalism. Decolonize your boobies and give babies milk! I need to figure out a new FilsGlobe Chant for breastmilk. Any thoughts?

Seriously though, breastfeeding gives babies the healthiest start in life. Why give in to the cultural or marketing pressure to give them less AND pay for it??!

Sunday, June 22, 2008

breastfeeding ain't easy...

I heart breastfeeding. It wasn't always this way. Before Soluna’s birth day, I had taken a breastfeeding class with Kaiser, read through all the paperwork and read all the information provided to me in various baby books. But when Soluna was finally in my arms, I was at a loss of what to do. The nurses tried to prepare me before I left the hospital. I had flat nipples that became sore nipples and then bleeding nipples. I got thrush and plugged ducts. And, throughout the whole process, after each feeding for the first 2 months or so, I seemed to get an unexplained, undiagnosed pain that shot through both breasts.

I bought The Womanly Art of Breastfeeding by La Leche League, scoured the internet, attended a La Leche Meeting (where I was surprised to find no Latino women), and I went in to see a Kaiser Lactation Consultant about 6-7 times. Luckily, I had the will to continue and, unfortunately, became a self-proclaimed nipple martyr before I got a hang of things. All of this, I know now, was probably unnecessary. I lacked the proper education and support to prepare me to breastfeed correctly.

After 6 months of breastfeeding, when I hear of mamas who are having trouble breastfeeding, I want to offer some advice and support in all ways that I can. Because once you get a hang of things, looking down at your baby as they drink from your breast is so beautiful. Those days when Soluna looks up at me and smiles as she drinks, I know I have done something good. Here are my top 10 pointers on making breastfeeding work:

#1: The first 6 weeks: breastfeed! breastfeed! breastfeed. Breastfeed on cue, meaning whenever your baby shows signs of hunger and know in advance that this might mean your baby is at your breast 12+ hours a day. Your babies sucking will trigger the production of milk and the awakening of milk producing glands. The more your baby sucks, the more milk you make. The first 6 weeks will establish your ability to have enough milk for the long term.

#2: For at least 6 weeks: Keep the bottles away & keep the pacifier away! Bottles and pacifiers can lead to nipple confusion. Ouch. You want your baby to know how to latch on properly. The use of pacifiers might fool your baby into eating less than he/she needs because he/she may get most sucking needs satisfied in another way.

#3: Keep the formula a way! Mamas always seem to worry that their baby is not getting enough milk, especially when you can't see the amount that they eat. It can be a quick relief to see a baby gobble up a certain number of ounces of formula from the bottle. If you skip a feeding and give formula instead, you are telling your body you need less feedings and your body will respond by producing less milk. Therefore, even if you were producing enough milk, giving formula because you thought you weren't may actually cause the problem you were worried about.... Does that make sense?

#4: Seek expert support! Ask your lactation consultant, midwife or doula to help you if there are any problems. If you are in any pain, don't keep it to yourself. Fix the problem as soon as possible.

#5: Learn your baby's cues and trust yourself. You have incredible mama hormones that will make you more sensitive to your babies needs. Trust your heart and learn your baby. Most babies make very obvious cues when they are hungry: clicking their tongue, opening and closing their mouth, bringing their hands to their mouth. Feed them when they show these early signs of hunger and do not wait until they are crying. It can be more difficult to get your baby to latch properly if they are anxious. Babies will also tell you when they are done eating by delatching or falling aleep and letting the nipple fall out of their mouth.

#6: Know that breastfeeding is not just about feeding your baby, but comforting and socializing with him/her. Enjoy this time with you baby! Babies may cue to you that they are hungry right after they eat. You may think, "She/He's not hungry! I just fed him/her!" Or you might worry that he/she didn't get enough milk. In actuality, the baby might not be hungry, but they are cueing to let you know that they want you and they want to be in your arms. Babies have sucking needs. Do not worry about over-eating. Breastfed babies cannot over-eat and they will change their style of sucking for comfort, for eating or for getting mamas breasts to let-down milk.

#7: Get through the first 6 weeks! Do all you can to get past the sore nipples or early problems. By 6 weeks, you'll probably be lifting your shirt, unclipping your bra and having the baby latch in record time.

#8: Prepare! Prepare! Prepare! Read-up on breastfeeding, take a class and get all breastfeeding supplies before you have your baby. You will need some breastfeeding bras, breast pads and clothes that allow for easy booby access.

#9: Do not listen to moms who had their babies in the 70s or 80s, especially if they were unsuccessful breastfeeding or didn't breastfeed for longer than 6 months. You can get all kinds of wrong information. This is from my experience with my mother-in-law and mom. At the time when they had their kids, formula was just becoming popular and they were fed with so much misinformation on how to properly breastfeed.

#10: Get some support!! Make sure that your husband/partner/friend are there to help you in the early weeks. They can bring you drinks, extra food, a magazine to read, or chat with you while you breastfeed!

BONUS: Don't forget to eat... a lot & well!!