Friday, September 7, 2007

Breastfeeding & Birth News This Week

Nicotine in Breast-milk Shortens Baby’s Naptimes

Hmm…another reason not to start smoking again after your baby is born. A study reported by Forbes showed that babies’ naps were reduced by 37% when mothers smoked cigarettes before breastfeeding. Apparently nicotine shows up in breast-milk after about 30 – 60 minutes and disappears after 3 hours so mothers could time when they smoke, but really, once you’ve stopped why start up again? The article mentions that more research needs to be done if nicotine affects the babies in any other ways.


Rickets on the Rise

The Toronto Star reported in July that cases of rickets, a childhood disease which causes deformations of bones, are on the rise again. Rickets was widespread from its first medical description in 1650 until its eradication from North America in the 1930s. Rickets is caused by Vitamin D deficiency and it seems that the rise in rickets cases comes from over cautious mothers. Vitamin D is added to milk, but families aren’t drinking as much milk as they once were. Vitamin D is absorbed by exposure to sunlight but we are covering our kids in sunscreen and clothing to guard against skin cancer. I’m sure tv and video games have also reduced the time that kids spend outdoors as well. And Vitamin D is not found in breast-milk so exclusively breastfeeding means infants may need a Vitamin D supplement. For a discussion on vitamin D for breastfed babies, check out Today’s Parent (featuring comments from Dr. Jack Newman). See also Breastfeeding and Other Foods or Some Breastfeeding Myths.

As the Star says: “The obesity crisis has brought to light the lack of outdoor activity in both adults and children. Mix this with fears about hormones in milk, skin cancer from sun exposure and mercury in fish such as salmon that contain plenty of vitamin D – and a deficit is created.”

The interesting point about the rise of rickets (for me anyway) is that rickets was a major reason for death in childbirth. Women who had suffered from rickets as children often had deformed pelvises and couldn’t birth their babies. The history of rickets is part of the reason for the still common diagnosis that some women are too small to deliver a large baby (resulting in planned cesarean births). I’m interested to see whether rickets does indeed become widespread again.

In any case, the article recommends living a balanced life: drinking milk, eating fish, spending time outdoors. Everything in moderation, including moderation.


Brace Yourselves

As I suspected last week, the report into the case of the homebirth death in Quebec has started a shit storm of reactions. The latest from today’s Vancouver Province had me so angry that I can’t even begin to formulate a response. I am sure it’s only the beginning too.

I invite everyone to write the Province cool-headed, well-informed letters with sources and suggestions of where to find more info on both the safety of home birth and the insanity of our current maternity system.

We need to find that middle ground where it’s not home OR hospital. What about birth centres? What about home for low risk birth and hospital for high risk birth? What about changing the hospital system so that people actually want to birth there????

My first suggestions, once I calm down, will be to have Ms. Lakritz read Born in the USA: How to Heal a Broken Maternity System by Marsden Wagner and the most recent issue of Mothering Magazine with its pieces on Cesarean Birth and on Homebirth in Holland. Hmm, maybe we should also get her started on Gentle Birth Choices by Barbara Harper and the classic, Immaculate Deception II by Suzanne Arms.

Please post your comments here on what you think of Ms. Lakritz’ commentary.



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