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Breastfeeding USA is honored to stand with — and learn from — the strong women leading Black Breastfeeding Week. (#BBW15) Supporting Black Breastfeeding Week means we support a cultural shift in the African American community to view breastfeeding as the cultural norm. We invite you to learn more about the culture surrounding black breastfeeding. The theme, “Lift Every Baby” captures the hope and determination behind breastfeeding as a way to nurture the next generation. Get involved in Black Breastfeeding Week activities in your area!
Let us remember and honor this Mother’s Day, those at the trailhead of their mothering journey with questions and doubts and those who have traveled down the path many times, confident and wise. Let us remember and honor all those in our lives who nurture, love, cherish and mother the children of the world.
We thank you for your continuing support and participation in the work of Breastfeeding USA. With your help, we have been able to educate and assist many mothers as they breastfeed their children. We treasure the diversity of voices that have joined us, and salute you all as you celebrate the day.
The Greater Western Massachusetts Chapter of Breastfeeding USA will begin to host a monthly peer-to-peer breastfeeding support group at The Belchertown Family Center. Meetings will be the second Friday of each month at 6:30 pm, with the first meeting starting April 10. The Belchertown Family Center is located at 720 Franklin St (Route 181). The mission of Breastfeeding USA, a national non-profit organization, is to provide evidence-based breastfeeding information and support, and to promote breastfeeding as the biological and cultural norm. Kate Nadeau, of Belchertown, was accredited as a Breastfeeding USA Counselor in May 2013. The Greater Western MA Chapter is the first in the state, and as such the meeting on April 10 is the first meeting of Breastfeeding USA state-wide. All meetings and breastfeeding support services are provided free of charge.
There are approximately 100 Chapters or Breastfeeding USA Nationwide. Lori Allen, director of The Belchertown Family Center says “We fully support the mission of Breastfeeding USA, and we are excited to offer this resource to our parents, their children and the community”. All pregnant and breastfeeding families are invited to our first meeting in Massachusetts, and look forward to seeing Breastfeeding USA expand beyond Belchertown. For more information about The Belchertown Family Center: https://www.facebook.com/belchertownfamilycenter and additional information about The Greater Western MA Chapter of Breastfeeding USA: https://www.facebook.com/greaterwesternmabfusa
Contact: Kate Nadeau at 413-213-0843 or firstname.lastname@example.org
A baby cannot feed at the breast, but her mother knows that human milk offers protection from infection and is easy for her baby’s fragile system to digest. Another mother struggles with her infant’s latch for weeks, despite the support she’s received from lactation specialists, wincing through pain and aware of how slowly the baby is gaining weight. These women want to provide the biologically normal food for their babies; exclusively pumping, either short-term or long-term, enables them and many other women to provide their milk when faced with illness, separation, or other challenges or choices that would otherwise result in partial or complete weaning to formula.
Sometimes a mother makes the decision to exclusively pump right from the start. Mothers with a history of sexual trauma or a discomfort with the idea of breastfeeding, as well as mothers who have experienced a premature or multiple birth or whose baby has been born with a cleft lip or palate, may move straight to exclusive pumping. Other moms turn to exclusive pumping after several weeks of struggling with nursing at the breast. The reasons for exclusively pumping are unique and sensitive to each mother.
“Mothers who choose to exclusively pump are very dedicated mothers - determined to do the best they can for their...babies, and they deserve respect and support.” www.kellymom.com
Pumping milk in place of nursing often leads to mixed emotions for moms - relief or joy to still be able to provide human milk for their babies if nursing isn’t possible for them; perhaps a sense of failure that they could not fulfill their vision of easy, pleasant feeding at the breast, or disappointment that periodic pumping breaks are required to provide enough milk for their babies and maintain their milk production. Some exclusively pumping moms are proud of their efforts and commitments to their babies, while others feel ashamed to bring out a bottle, feeling the need to explain to everyone that they are using pumped breast milk. This may be especially true when they are with other moms who are feeding at the breast.
When an exclusively pumping mom, or a mom who is considering exclusively pumping, seeks support from a Breastfeeding Counselor, we start by listening to her feelings and respecting her experience. We empathize with her concerns and use open-ended questions to explore her feelings of sadness, anger, relief, joy, or uncertainty. We help her define or redefine her goals for breastfeeding. Finally, we provide evidence-based information, including potential health and developmental differences between feeding at the breast and feeding breast milk by bottle 1, 2, 3, 4, and resources that help her attain her goals, supporting and encouraging her commitment to providing her own milk for her baby.
For example, a mom may ask for a Breastfeeding Counselor's (BC’s) help with scaling back her goal to provide milk for a year. We can affirm her new goal and support her decision by providing resources on weaning and healthy infant feeding. Another mom may find that exclusive pumping allows her to provide her milk longer than she expected, and she needs help to continue pumping for several more months. We can support her commitment to providing her milk and offer resources to help her maintain her supply. After taking a break from stressful latching or milk transfer problems, a mom may wish to try to re-establish feeding at the breast; a BC can can share information about re-establishing direct breastfeeding and then connect her with an IBCLC (International Board Certified Lactation Consultant) who can assist with that transition.
The type of information Breastfeeding Counselors provide to exclusively pumping moms depends on the moms’ goals and stage of breastfeeding. Moms who will exclusively pump from the start, or moms of newborns who may not be able to nurse at the breast, require help in establishing their milk production. The following links provide information on establishing and maintaining milk production when pumping.
Resources from the Breastfeeding USA website:
- Choosing a Breast Pump
- Expressing Milk Before Birth: A Tool for Use in Special Circumstances
- To Pump More Milk, Use Hands-on Pumping
- Breast Versus Bottle: How Much Milk Should Baby Take?
- Facts Every Employed Breastfeeding Mother Needs to Know
- Hand Expression
- From Best For Babes: Booby Traps Series: Exclusively pumping moms face unique Booby Traps
- AMB Protocol Milk storage guidelines
- MOBI: Motherhood International Overcoming breastfeeding difficulties
In addition to the above information, moms who are exclusively pumping often need help maintaining a manageable pumping routine. The Exclusive Pumping Facebook page is a good source of tips as are www.Kellymom.com and Stanford School of Medicine.
They can also benefit from resources on Baby-led Bottle Feeding and understanding how much expressed breastmilk a baby needs
The book, Exclusively Pumping Breast Milk by Stephanie Casemore, is a comprehensive guide to exclusive pumping, including the decision to pump, the fundamentals of pumping, and overcoming difficulties. For mothers who previously were not able to meet their breastfeeding goals, another book by Stephanie Casemore, Breastfeeding, Take Two: Successful Breastfeeding the Second Time Around, examines reasons why some women experience breastfeeding challenges and how they may be able to have a better experience the next time.
The following is a list of additional resources:
- 1. Galan-Gonzalez, A.F., Aznar-Martin, T., Cabrera-Dominguez, M.E., et al. Do Breastfeeding and Bottle Feeding Influence Occlusal Parameters? (2013). Breastfeed Med;8:1-5.
- 2. Labbok, M.H., Hendershot, G.E. Does Breast-feeding Protect Against Malocclusion? An Analysis of the 1981 Child Health Supplement to the National Health Interview Survey. (1987) Am J Prev Med;3(4):227-232.
- 3. Li, R., Fein, S.B., Grummer-Strawn, L.M. Do Infants Fed From Bottles Lack Self-regulation of Milk Intake Compared With Directly Breastfed Infants? (2010). Pediatrics;125:e1386-e1393.
- 4. Li, R., Magadia, J., Fein, S.B., et al. . Risk of Bottle-feeding for Rapid Weight Gain During the First Year of Life. (2012) Arch Pediatric Adolescent Med;166(5):431-436.
© Copyright Breastfeeding USA 2014. All rights are reserved.
Communications Committee workgroups build public awareness of the mission and work of Breastfeeding USA through the use of print, digital, and social media, and other means, and coordinate our collaborative advocacy efforts.
Publicity & Marketing Workgroup
Builds public awareness of the mission and work of Breastfeeding USA via public appearances, exhibits, media, and other means.
To volunteer, contact email@example.com.
Social Media Workgroup
Builds public awareness of the work of Breastfeeding USA while providing evidence-based breastfeeding information and facilitating mother-to-mother support via social media outlets.
To volunteer, contact SocialNetworking@breastfeedingusa.org.
Editorial Review Board Workgroup
Reviews all Breastfeeding USA publications to ensure that they meet editorial standards and provide evidence-based information.
To volunteer, contact firstname.lastname@example.org.
Writes, distributes, and publishes to the website the online member newsletter, Breastfeeding USA Horizons, which serves as inspiration for members with information about breastfeeding in the United States and updates on breastfeeding research.
To volunteer, contact email@example.com.
Publications-Web Articles Workgroup
The following book reviews were written by Breastfeeding USA Counselors. We thank them for their many contributions that enable us to provide evidence-based information and support.
Audelo, L. (2013). The Virtual Breastfeeding Culture: Seeking mother-to-mother support in the digital age. Amarillo, Texas: Praeclarus Press, LLC. 200.
Being a breastfeeding mother in a technology-driven world can be overwhelming. The phrase, “Google it,” comes up in about every conversation you have where there is limited knowledge. Using the Internet to search for information can be timesaving, if you know where to look and what to look for.
In the book, The Virtual Breastfeeding Culture, Lara Audelo delivers those exact details. Not only does she explain where and what, but she shares the stories of mothers who have “BTDT” (been there done that) and found that technology was key to their breastfeeding experiences. The stories she shares cover a range of topics, including returning to work, unexpected childbirth experiences, and even losing a baby. Audelo shares a variety of resources that provide evidence-based breastfeeding information.
The author enlisted the help of a breastfeeding professional to show how health-care providers can use technology to deliver sound advice and debunk the myths and outright bad information that are being circulated. The Virtual Breastfeeding Culture is a valuable tool that can enrich a mother's breastfeeding journey. The mothers’ stories, along with the recommended resources, make this book a “must have” for any expecting or breastfeeding mother who is part of the online community. I am positive they will be able to relate to at least one of the situations in the book.
Casemore, S. (2014). Exclusively Pumping Breast Milk (2nd ed.). Napanee, Ontario, Canada, Gray Lion Publishing. 282 Pages.
The author, Stephanie Casemore, wrote this book, Exclusively Pumping Breast Milk, for pregnant and breastfeeding mothers. She intended to provide a resource for women who couldn’t breastfeed or chose not to for whatever reason. While she was exclusively pumping (EP) for her son, she noticed there was very little literature to support pumping exclusively and wished to provide support for other women who have made a similar decision to provide their own milk for their child by exclusively pumping.
The author clearly states in the introduction, “I am not a medical professional or lactation consultant, but I did exclusively pump for one year and had to research and educate myself about lactation and pumping in order to pump long term” 1(Casemore, 2014, p.15-16).
Topics in the book include making the decision to EP, how to do it, overcoming difficulties, maintaining family relationships, and weaning. The information is accurate and well cited. Casemore provides resources that are up-to-date and credible for further study. She refers to the Academy of Breastfeeding Medicine and several reputable medical journals to lend credence to her information. Many resources are listed at the end of the book by Chapter for ease in finding.
I do not see any conflicts of interest in Casemore’s book. The author refers often to the World Health Organization International Code of Marketing of Breastmilk Substitutes and includes no conflicting advice for breastfeeding mothers. Her suggestions and information are factual, and she often refers to the importance of meeting with breastfeeding professionals for guidance and support.
1. Casemore, S. (2014). Exclusively Pumping Breast Milk (2nd ed.). Napanee, Ontario, Canada, Gray Lion Publishing.
Copyright Breastfeeding USA. All rights reserved. October 2014
Wolf, L., & Glass, R., (1992). Feeding and Swallowing Disorders in Infancy: Assessment and Management. Austin, Texas: Hammill Institute on Disabilities. 475 pages.
Feeding and Swallowing Disorders in Infancy: Assessment and Management reads as a graduate school textbook intended for any professional who may qualify as a feeding specialist (i.e., occupational, physical, or speech therapist; nurses in inpatient or outpatient settings; physicians). The text was written by two pediatric occupational therapists who were certified in neurodevelopmental therapy (NDT) by the Neuro-Developmental Treatment Association, Inc. Both authors took advanced NDT courses in feeding and infant treatment and have presented regularly on various aspects of feeding and swallowing in infancy.
The text began with a discussion of the cornerstones of infant feeding--suck, swallow, and breathing--with a review of the anatomy, physiology, and the inter-relationship associated with those functions. The authors’ claim “the close proximity of these structures, the interrelated nature of their functions, and the dual role some structures play in providing oxygen and nourishment to the body often underlie the feeding problems of infants” (Wolf & Glass, 1992). Frequent references to this triad were made through further discussions on diagnostics, assessment, and therapeutic treatments.
Emphasis was placed on a Comprehensive, Multidisciplinary Assessment for Infant Feeding. There were outlines of various assessment models focusing on specific feeding problems (i.e., feeding-related apnea, feeding problem, respiratory compromise, and poor weight gain). All eight chapters conclude with a list of references, and the text contains a comprehensive index at the end. Case examples and lists of strengths and limitations were available for the different assessments, assessment tools, and alternative feeding methods. There were limited breastfeeding references in most chapters, with the exception of a few case examples from breastfeeding dyads.
Chapter Eight has 24 pages devoted to breastfeeding information for the non-hospitalized and hospitalized infant. Articles cited within this chapter were published up to 34 years prior to the publication of this text. Despite the lack of current research, the information provided was relevant today and compliant with the International Code of Marketing of Breastmilk Substitutes. The chapter opened with a quote from the World Health Organization, “Breastfeeding is an integral part of the reproductive process, the natural and ideal way of feeding the infant, and a unique biological and emotional basis for child development” (Houston, 1981). Throughout the chapter, there was a strong emphasis on the benefits of breastfeeding, especially for children with unique medical concerns. The authors cautioned that each alternative feeding method described (i.e., use of Supplemental Nursing System) should be used under the guidance of an IBCLC.
As I read the text while wearing my speech-language pathologist hat, I appreciated the focus placed on conducting multidisciplinary assessment and treatment of swallowing and feeding disorders, as well as the interrelationship of sucking, swallowing, and breathing. This book would nicely compliment a course on pediatric feeding and swallowing disorders.
As I read the text while wearing my Breastfeeding Counselor hat, I believe use of this text would be limited to professionals with extensive background in human anatomy and physiology, pediatric development, and pediatric conditions as they adversely impact feeding and swallowing. For those with that background, this text would be a helpful overview of all aspects of feeding and swallowing disorders. Breastfeeding Counselors will likely encounter a breastfeeding dyad who has experienced one or more of the assessment and management techniques described in this text.
Respectfully Submitted by,
Rebecca Dean, MS. CCC-SLP
Breastfeeding USA Counselor
1. Houston, M. J. (1981). Breast-feeding: Success of failure. Journal of Advanced Nursing, 6, 447-54.
2. Wolf, L., & Glass, R., (1992). Feeding and Swallowing Disorders in Infancy: Assessment and
Management. Austin, Texas: Hammill Institute on Disabilities. 475 pages
Copyright Breastfeeding USA. All rights reserved. October 2014