Categories
Pediatric Pregnancy & Child birth

Pregnancy Timeline

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Weeks 1-4
Fertilisation occurs and a ball of quickly multiplying cells embeds itself in the lining of the uterus.CLICK & SEE
In the UK pregnancy is calculated from the first day of the woman’s last period so for as much as three weeks of this first month she might not be actually pregnant. When fertilisation does occur the tiny mass of cells called a blastocyst at this stage embeds itself in the lining of the womb which is already thickening to support it.

Week 5
The mass of cells is developing fast and becomes an embryo. For many women the first sign of pregnancy is a missed period.
Shopbought tests are considered largely reliable so the mother-to-be does not have to have her pregnancy confirmed by her GP. If a first test is negative a second one a few days later may prove positive as hormone levels in the urine rise.....CLICK & SEE

Week 6
The embryo officially becomes a foetus. It is about the size of a baked bean and its spine and nervous system begin to form.
The foetus already has its own blood system and may be a different blood group from its mother. Blood vessels are forming in what will become the umbilical cord and tiny buds which will become limbs appear.

Week 7

The baby’s heart is beginning to develop. Morning sickness and other side effects of early pregnancy may take hold.
Around this time many women find they experience the side-effects of early pregnancy including needing to urinate more often nausea and vomiting and feeling a bit weepy and irritable. All medication including supplements need to be carefully checked as the foetus is undergoing vital development in the first 12 weeks. If the woman has not told her GP or community midwife she is pregnant yet now is a good time to do so.

Week 8

It is quite common to have a first scan at this stage if the woman has had a previous miscarriage or bleeding.
An early scan is often done through the vagina and is used to check the pregnancy is not ectopic. It should show up the baby´s heartbeat. The nervous system is also developing rapidly especially the brain. The head gets bigger and eyes form under the skin of the face. The foetus’ limbs are growing and look more like arms and legs. All internal organs are developing and becoming more complex.

Week 9
The foetus is about 5cm long with its head tucked onto its chest. It has most its major organs and eyes and ears are developing.

Week 10
A scan at 10-13 weeks is recommended to pin down the date of the pregnancy.

Week 11
The umbilical cord is fully formed providing nourishment and removing waste products. The foetus looks fully human now.

Week 12
By this week the threat of miscarriage is much reduced. Many women announce their pregnancy to friends and colleagues.
The foetus is growing in length much more quickly by now it is about eight cm long and weighs about 60 grams. The placenta is now wellformed though it’s not yet doing its full job it takes over fully in week 14. The mother is likely to have her first scan this week.

Week 13
The womans uterus is becoming larger and is starting to rise out of the pelvis. The foetus can move its head quite easily.

Week 14

Third of the way through. The average pregnancy lasts 266 days or 280 days from the first day of last period.

Week 15
Screening for Downs syndrome is offered about now. A simple blood test is carried out first then further tests may be offered.
On the basis of the blood test results the woman may opt for a Chorionic Villus sample or an amniocentesis which would diagnose Down’s syndrome or other chromosomal abnormalities. However these diagnostic tests have a small risk of subsequent miscarriage. An alternative to blood tests is a nuchal translucency scan a new scan offered by some larger hospitals. But again an amniocentisis would be required for firm diagnosis.

Week 16
The foetus now has toe and finger nails eyebrows and eyelashes. It is also covered with downy hair.
The hair that will cover the baby until the last week or so of pregnancy – called lanugo – starts to form. This hair is very fine more like down and it probably serves as some form of insulation and protection for the skin.

Week 17
The foetus can hear noises from the outside world. By this stage the mother is visibly pregnant and the uterus is rising.

Week 18
By this stage the foetus is moving around a lot – probably enough to be felt.

Week 19
The foetus is now about 15-20cm long and weighs about 300g. Milk teeth have formed in the gums.

week 20
Half way through pregnancy now. Almost all mothers are offered a routine scan. The foetus develops a waxy coating called vernix.
The scan can show the foetus in fine detail and often reveal if the baby is a boy or a girl. However not all hospitals offer to tell parents the sex of the child – and not all parents want to know.

Week 21
The mother may feel short of breath as her uterus pushes against her diaphragm leaving less space for the lungs.
The mother may be offered another ultrasound scan around this time. The scan can check the baby’s spine internal organs and growth are normal.

Week 22
Senses develop: taste buds have started to form on the tongue and the foetus starts to feel touch.

Week 23
The skeleton continues to develop and bones that form the skull begin to harden – but not fully.

Week 24
Antenatal checkup and scan to check the baby´s position. A baby born this early does sometimes survive.
A baby born at 24 weeks may possibly survive but it would have severe breathing difficulties as its lungs would not be strong enough to cope. It would also be very thin lightweight and susceptible to infections.

week 25

All organs are now in place and the rest of the pregnancy is for growth. Preeclampsia is a risk from here onwards.
This potentially fatal condition causes high blood pressure protein in the urine and swelling caused by fluid retention. The causes are unclear but research suggests it may be linked to an immune reaction to the foetus or the placenta. If the condition is serious women may be advised to take drugs to lower their blood pressure and in some cases an early caesarean or induction may be performed. Serious complications of pregnancy

Week 26
The foetus skin is gradually becoming more opaque than transparent.

Week 27
The foetus measures about 34cm and weighs about 800g.

Week 28
Routine checkup to test for preeclampsia. Women with Rhesus negative blood will also be tested for antibodies.
If the mother has Rh negative blood but the baby is Rh positive she can develop antibodies to her baby’s blood during labour. This is not a problem in the first birth but can affect subsequent pregnancies and result in stillbirth. Fortunately treatment is simple and effective. BBC Health: Ask the doctor – Rhesus disease

Week 29
Some women develop restless leg syndrome in their third trimester.
This is sensations such as crawling tingling or even cramps and burning inside the foot or leg – often in the evening and at night disturbing sleep and making the mother feel she needs to get up and walk around. No-one knows what causes this harmless but irritating condition.

Week 30
Braxton Hicks contractions may begin around now. They are practice contractions which dont usually hurt.
These are irregular, painless contractions which feel like a squeezing sensation near the top of the uterus. If contractions become painful or occur four times an hour or more, the woman should call a doctor as she may be in early labour.

Week 31
The foetus can see now and tell light from dark. The mother´s breasts start to produce colostrum about now
This high calorie milk is produced by the mother to feed the baby for the first few days after birth before normal milk starts.

Week 32
Another antenatal appointment. The foetus is about 42cm and weighs 2.2kg. A baby born now has a good chance of survival.

Week 33
From now the baby should become settled in a head downwards position. A midwife can help to move it if necessary.

Week 34
The mother may find it more difficult to eat full meals as the expanded uterus presses on her stomach.

Week 35
If the mother has been told she may need a planned caesarean, now is a good time to discuss it further.


Week 36

The baby’s head may engage in the pelvis any time now.

Week 37
The baby’s lungs are practically mature now and it can survive unaided. The final weeks in the womb are to put on weight.

Week 38
Babies born from this week onward are not considered early.

Week 39
Another ante-natal appointment. The mother has reached her full size and weight by now.

Week 40
In theory the baby should be born this week. The mother’s cervix prepares for the birth by softening.

Week 41
First babies are often up to a week late but if there are signs of distress to mother or child the birth will be induced.

CLICK TO SEE ALSO:->

PRE-NATAL
Minor complications
Serious complications

DURING LABOUR
Pain relief
Complications of labour

POST-NATAL
Breast vs bottle

RELATED INTERNET LINKS:
Childbirth.org
Family Planning Association 

Sources: BBC NEWS

Categories
News on Health & Science

Dark chocolate ‘not so healthy’

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For those of you tucking into dark chocolate this Christmas using the excuse it is good for you, think again.

Studies have suggested dark chocolate is good for the heart

CLICK & SEE

A top medical journal said any health claims about plain chocolate may be misleading.

Plain chocolate is naturally rich in flavanols, plant chemicals that are believed to protect the heart.

But an editorial in the Lancet points out that many manufacturers remove flavanols because of their bitter taste.

Instead, many products may just be abundant in fat and sugar – both of which are harmful to the heart and arteries, the journal reported.

Previous studies have suggested that plain chocolate can help protect the heart, lower blood pressure and aid tiredness.

But the Lancet said: “Dark chocolate can be deceptive.

When chocolate manufacturers make confectionery, the natural cocoa solids can be darkened and the flavanols, which are bitter, removed, so even a dark-looking chocolate can have no flavanol.

“Consumers are also kept in the dark about the flavanol content of chocolate because manufacturers rarely label their products with this information.”

And the journal also pointed out that even with flavanols present, chocolate-lovers should be mindful of the other contents.

“The devil in the dark chocolate is the fat, sugar and calories it also contains.

“To gain any health benefit, those who eat a moderate amount of flavanol-rich dark chocolate will have to balance the calories by reducing their intake of other foods – a tricky job for even the most ardent calorie counter.

“So, with the holiday season upon us, it might be worth getting familiar with the calories in a bar of dark chocolate versus a mince pie and having a calculator at hand.”

Click to see:-
Chocolate ‘lowers’ blood pressure
03 Jul ’07 |BBC NEWS , Health

Chocolate ‘cuts blood clot risk’
15 Nov ’06 |BBC NEWS , Health

Chocolate trial on heart patients
10 Apr ’06 |BBC NEWS , Health

Chocolate ‘has health benefits’
22 Mar ’05 |BBC NEWS , Health

Chocolate may cut heart disease
20 Dec 05 | BBC NEWS, Health

Dark chocolate may be healthier
27 Aug 03 |BBC NEWS, Health

Chocolate ‘is good for you’
06 Aug 99 |BBC NEWS, Health

Sources: BBC NEWS ,25th. Dec’07

Categories
Ailmemts & Remedies

Perickly Heat (Miliaria)

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Prickly Heat or Miliaria (miliaria rubra, sweat rash ) is a skin disease marked by small and itchy rashes. Miliaria is a common ailment in hot and humid conditions, such as in the tropics and during the summer season. Although it affects people of all ages, it is especially common in children and infants due to their underdeveloped sweat glands.

CLICK & SEE THE PICTURES

It is a skin rash caused by trapped sweat under the skin. Sweat can become trapped when the narrow ducts through which sweat travels to the surface become clogged. Prickly heat tends to be more common in warmer, more humid climates. The condition usually appears on the torso and thighs.
Pathology
Miliaria (Prickly Heat) occurs when the sweat gland ducts get plugged due to dead skin cells or bacteria such as Staphylococcus epidermidis, a common bacterium that occurs on the skin which is also associated with acne. The trapped sweat leads to irritation (prickling), itching and to a rash of very small blisters, usually in a localized area of the skin.

Prickly heat develops when the narrow ducts carrying sweat to the skin surface get clogged. The trapped sweat causes inflammation, which produces irritation (prickling), itching, and a rash of very tiny blisters. Prickly heat also can appear as large, reddened areas of skin.
Prickly heat results when sweat glands are blocked and ruptured, and sweat is trapped below the skin.

Clinical features:
Symptoms of miliaria include small red rashes, called papules, which may itch or more often cause an intense ‘pins-and-needles’ prickling sensation. These rashes may simultaneously occur at a number of areas on a sufferer’s body, the most common including the face, neck, under the breasts and under the scrotum. Other areas include skin folds, areas of the body that may rub against clothing, such as the back, chest, and stomach, etc. A related and sometimes simultaneous condition is folliculitis, where hair follicles become plugged with foreign matter, resulting in inflammation.

The following are the most common symptoms of prickly heat. However, each individual may experience symptoms differently:

*itching
*irritation (prickling)
*small blisters
*large, red areas on skin
The symptoms of prickly heart may resemble other dermatologic conditions. Consult a physician for diagnosis.

The symptoms relating to miliaria should not be confused with shingles as they can be very similar. Shingles will restrict itself to one side of the body but also has a rash-like appearance. It is also accompanied by a prickling sensation and pain throughout the region. Those who suspect they have shingles and not miliaria should seek medical advice immediately as the sooner antivirals are taken, the better.

Other types of miliaria:
In a similar mild condition called miliaria crystallina, instead of small rashes, there are tiny blisters that look like beads of perspiration. miliaria profunda, sometimes referred to as Wildfire due to the rapid spread and severe burning sensations, is a severe form of miliaria caused by a complication due to repeated outbreaks of miliaria rubra, the sweat ducts are completely blocked. This inability to sweat may cause the patient to be prone to heat exhaustion. Once triggered, a severe attack of miliaria commonly lasts 5-6 weeks because the plugs which form in the sweat duct openings can only be cast off by the outward growth of the sweat duct cells.

The most severe forms of prickly heat have very similar symptoms to severe burns. The term Wildfire is used because the generation of excess heat and the inability to expel the heat can lead to a cascade effect where the trapped sweat causes blisters to break, the immune system, adrenal system, and patient psychological response to the pain and panic response to the rapidly spreading rash causes additional biological activities and heat and the entire system cascades (or breaks down). The rash can be visually seen to progress rapidly similar to scenes from various horror movies, accompanied by the associated pain which will become quite severe.

Prevention:
Prickly heat can be prevented by avoiding activities that induce sweating, using air conditioning to cool the environment, wearing light clothing and in general, avoiding hot and humid weather. If that is not possible, and especially if air conditioning is unavailable or unaffordable, then taking multiple showers throughout the day (and night as well if needed) to unplug and clean the sweat glands is the best defense against it.


Treatment:

The condition usually clears up when sweating is avoided. Other treatment may include:

  • keeping the skin cool and dry
  • corticosteroid lotions

There is currently little in the way of specific medical treatment, but in most cases the rashes disappear by themselves. Severe infections can last weeks. Early and continuous treatment of minor infections can effect recovery within a matter of days. Staying in an air-conditioned environment to avoid sweating will speed-up the healing process and lessen symptoms. Anti-itch lotions, such as calamine and topical steroid creams can be used to sooth and control the itching. Use caution however as anything which blocks the release of sweat and heat and in particular oil based products block the glands and slow the defoliation process and should be avoided. Antibiotics and topical antiseptics are used to prevent bacterial blooms, reducing the chances of the sweat glands being plugged and causing inflammations. In some cases, vitamin A and C supplements can help shorten the duration and severity of the symptoms. Prickly heat powders, using antibacterial agents and ingredients like menthol and camphor with mild analgesic and cooling properties, can be applied to the affected areas to relieve the itching and discomfort. Healing takes time even when bacteria are reduced as new sweat gland cells need time to regrow as the damaged cells defoliate.

Instead of medicating, it is usually best to simply keep the skin clean by taking multiple showers to keep affected areas clean and sweat free. Stay calm and stay cold. Dunking in cold water is effective. Mild antibacterial soaps may be helpful as well to slow spread and prevent future outbreaks. In most cases, these simple steps alone will make the rashes disappear naturally in a few days. If they persist, it may be advisable to consult a doctor in case a more serious infection is occurring.

In the cases where the rash has caused open blisters to form a doctor should be consulted immediately as the open sores are almost certain to infect and cause secondary problems without preventative measures.

Homeopathy :
To prevent heat rash, take a 30C dose of Sol three times a day for up to three weeks, writes Andrew Lockie, M.D., in his book The Family Guide to Homeopathy. If you do develop a rash, Dr. Lockie recommends trying a 30C dose of Apis as soon as the prickling or itching sensation starts. Take this remedy every two hours for up to ten doses, he says, and repeat this routine daily, if necessary.
Sol and Apis are available in many health food stores. To purchase homeopathic remedies by mail, refer to the resource list on page 637.

Food Therapy
To get over heat rash more quickly, increase your intake of essential fatty acids,   advises Julian Whitaker, M.D., founder and president of the Whitaker Wellness Center in Newport Beach, California. “Salmon and other cold water fish (such as herring and mackerel) are excellent sources of these fatty acids, as are flaxseed oil and dark green leafy vegetables such as spinach.” Flaxseed oil is available in most health food stores.

Hydrotherapy :
Take an alkaline bath to soak away heat rash, suggests medical pathologist Agatha Thrash, M.D., co-founder and co-director of Uchee Pines Institute, a natural healing center in Seale, Alabama. Add one cup of baking soda to a tub filled with lukewarm water (94 to 98°F; you can use a regular thermometer to check) and soak for 30 to 60 minutes, using a cup to pour the water over any part of the body that isn’t submerged in the bath. Pat dry.

HOME REMEDY FOR PRICKLY HEAT

Ayurvedic Treatment for Prickly Heat

Simple Remedy for Prickly Heat

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose

Resources:
http://en.wikipedia.org/wiki/Prickly_heat
http://www.umm.edu/dermatology-info/prickly.htm
http://www.mothernature.com/Library/Bookshelf/Books/21/126.cfm
http://www.merck.com/mmhe/print/sec18/ch206/ch206b.html

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Categories
News on Health & Science

SID and SAD

Death is the end of life, when all brain activity ceases permanently. We all expect to die. But in Nature, the old die before the young, parents before their children. A disruption of this normal sequence results in distress, depression and an inability to cope.

CLICK & SEE....>…...SIDS………..SAD

SAD victims who simply drop dead in the middle of action may have unrecognized underlying risk factors

The unexpected death of a healthy child can be the result of SIDS (Sudden Infant Death Syndrome), also known as  cot death or  crib death  It occurs in a seemingly normal child, usually a male, under the age of one year, who goes to sleep in the night and fails to wake up in the morning.

The immature brains of children do not regulate the heart rate or breathing very efficiently, especially at night. This may be further compromised by exposure to cigarette smoke. Also, the child may be accidentally smothered when parents roll over in their sleep, or it could be that its nose and mouth get blocked by soft, fluffy sheets or pillows.

Parents are, therefore, advised to avoid sleeping in the same bed as the child and to always place the child on the back instead of the stomach. These measures appear to significantly reduce the number of SIDs.

Death in healthy young adults between the ages of 16 and 60 years may be due to accidents or violence. Some like the SIDS infants just  drop dead  or die during their sleep. Their death is sudden, unexpected, tragic and inexplicable.

These unexplained deaths have been grouped together and given the expressive acronym SAD (Sudden Adult Death). More men than women die this way. Some families are even considered cursed, with many economically productive young men in the family dying in the prime of their life.

Autopsies on SAD victims have shown that some of them actually did have unrecognized underlying risk factors. This is particularly true in India where we have many young undiagnosed diabetics and others with metabolic abnormalities of syndrome X (insulin resistance, hypertension, lipid abnormalities). Despite their youth, some had coronary arteries partially blocked with fatty deposits and plaques. In others, the vessels supplying the muscles of the heart arose from abnormal locations. The congenital heart diseases may have been mild enough to remain unrecognized and undiagnosed until it was too late. The efficient functioning of the heart may have been affected by a group of diseases called cardiomyopathies. Infection of the heart muscle (myocardium) with viruses and bacteria may have caused myocarditis. The infection can trigger arrhythmia and death. Some prescription drugs like terfenadine can also set off similar fatal reactions. Unfortunately, as such people appeared healthy and had no symptoms, they were never investigated for risk factors prior to the sudden death.

SAD has been in the news recently because of the discovery that many affected individuals had a  long QT  in their ECG (electrocardiograph). Even if the initial resting ECG is normal, the abnormality shows up on an ECG taken after exercise. These ECG changes are caused by disturbances in the electrical conduction currents of the heart and are inherited. The genetic defects causing this are of various types. The percentage of genetic carriers in the population is probably around 5 to 10 for 100,000 persons. This has lead to speculation that SID and SAD are two spectrums of the same disease.

The defects are commoner in Southeast Asia than in the western countries. The syndrome even has local names bangungutin the Philippines,  pokkuri in Japan and  lai tai in Thailand. It has been known for many centuries, although the precise defect was identified only recently.

About 60 per cent of people with hereditary long QT syndrome has non-specific symptoms like fainting spells or seizures during childhood and adolescence. Around 40 per cent has no symptoms at all and the condition may just present itself with sudden death. Many die in front of family and friends. Unfortunately, from the time the heart stops beating, irreversible brain damage occurs in three to six minutes, followed by coma and death. Cardio-pulmonary resuscitation (CPR) may have saved the lives of a few of these people. However, most people do not learn CPR, and others are too stunned by the occurrences to initiate it in time.

Once the long QT is picked up on an ECG, measures can be taken to prevent sudden death. Medications belonging to the beta-blocker group can be started. Certain prescription drugs that prolong the QT can be avoided. Potassium levels in blood need to be monitored as low levels can precipitate death. Some patients may need pacemakers.

Symptoms in persons with a long QT syndrome can be precipitated by physical exertion. The long QT has been implicated in the sudden death of trained Olympic-level athletes. Competitive sports, therefore, are risky and better avoided.

Exercise is good for health, well being, diabetic control and lipid abnormalities, but vigorous action should be undertaken only after medical advice in those with risk factors.

Source: The Telegraph (Kolkata, India)

Categories
Pediatric

Breastfeeding infants for at least six months is best!

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We know that  breast  feeding is best,   but what is the bottom line for nursing mothers? What length of time provides maximum health benefits for infants? The American Academy of Pediatrics (AAP) recommends that breastfeeding continue for at least twelve months. But not all women are able or willing to reach the twelve-month goal. According to the International Lactation Consultant Association (ILCA), approximately 70% of women in the United States breastfeed alone or in combination with formula at the time of hospital discharge. The rate drops to about 33% at six months, with even lower rates for low-income and African-American families. Parenting guides and books suggest that breastfeeding longer is better. Doctors tell mothers that breastfeeding for a few weeks is better than not breastfeeding at all.

But how long is long enough? In 2001, the World Health Organization (WHO) changed its recommendation from exclusive breastfeeding for four to six months of age to exclusive breast feeding for at least six months. The term “exclusive breast feeding” means exactly that: the infant receives only breastmilk. No supplemental formula, water, other liquids or solid foods are provided.

Of course, vitamins, minerals or necessary medicines are included in this guideline.

Even after the WHO released its recommendation, there was still some lingering debate and confusion regarding the optimal length of breastfeeding. This confusion arose in part from the lack of information about the comparative health gains of different breastfeeding time frames. Most research studies were not specifically designed to clarify whether breastfeeding for three versus four or even six months really mattered.

Breastfeeding Duration Is Important

New findings support growing evidence that the length of time is important. The WHO recommendation is correct   six months seems to be the magic number.

Researchers from the University of Califonia-Davis Children’s Hospital, the University of Rochester and the American Academy of Pediatrics Center for Child Health Research studied a nationally representative sample of 2,277 babies.

These scientists compared five groups of infants. The first group included formula-only babies. The other groups of infants were fully breastfed (using formula on a less-than-daily basis) for different lengths of time: less than one month, one to four months, four to less than six months and six months or more. Infants fully breastfed for six months or more were less likely to suffer from pneumonia, ear infections, and colds than infants breastfed for four months. These health gains continued throughout the infants’ second year.

Researchers in 2003 reached similar conclusions regarding breastfeeding duration effects. They compared the benefits of three and six months of exclusive breastfeeding in a sample of 3,483 infants. Babies exclusively breastfed for six months had a lower risk of developing gastrointestinal infections. In addition, exclusive breastfeeding did not cause any negative side effects such as iron deficiency during the first year of life.

Additional Benefits

These two recent studies complement the large body of evidence indicating that breastfeeding has important benefits for children, mothers, and society. Besides protection from upper respiratory and gastrointestinal effects, the benefits of breastfeeding for infants include:

* Fewer infectious and non-infectious diseases

* Reduced risk for chronic diseases such as diabetes, cancer, allergies and asthma

*Reduced likelihood of becoming overweight and obese children

*Lower incidence of skin disorders

Mothers who breastfeed also experience positive health effects such as less postpartum bleeding, an earlier return to pre-pregnancy weight, and a reduced risk of ovarian and pre-menopausal breast cancers. Families with breastfed infants save thousands of dollars on formula and medical care. Society benefits, too. Fewer trips to physicians and hospitals reduce overall healthcare expenditures. Reduced rates of absenteeism and increased morale can translate into huge savings for large corporations as well as small businesses.

Breastfeeding Barriers

Given the overwhelming amount of research pointing to the benefits of breastfeeding, why do only one-third of American women continue to nurse their infants for six months? Certain characteristics are associated with breastfeeding. Women who fully breastfeed tend to be older and more educated. Mothers who smoke, are single and do not participate in childbirth education classes are less likely to exclusively breastfeed.

The most commonly reported reasons for bottlefeeding are:

* Father’s negative attitude toward breastfeeding

*Uncertainty regarding how much breastmilk is consumed by the nursing infant

* Return to work

Other factors influencing rates of breastfeeding include:

*Negative attitudes of healthcare professionals

* Ready availability of formula

*Nipple pain and irritation

* Time constraints

* Embarrassment

* Lack of confidence

* Concerns about dietary or health practices

Mothers indicate that receiving more information from prenatal classes, TV, magazines, and books would increase the likelihood of initiating and maintaining breastfeeding. According to lactation specialist Charlotte Burnett, BSN IBCLC from Truman Medical Center Lakewood (Kansas City, MO), much of the educational process targets dispelling common myths about breastfeeding.

For example, many women believe that they are completely unable to eat beans, spicy foods, chocolate, junk food or drink soda while breastfeeding. Other women  seem to think they should not even start to breastfeed if they are planning on returning to work or school in six weeks,   says Burnett.

Obtaining more family support would also help increase rates of breastfeeding. If a mother or sister didn’t or couldn”t breastfeed, a new mother may have less confidence and desire to breastfeed, reports Burnett. Even if a mother chooses to nurse, detrimental family comments an undermine this decision. Burnett”s clients have heard comments such as,  Just give him a little real milk or She wants to breastfeed so much. Are you sure you shouldn”t just give her a bottle?

To complement education and family support, the International Lactation Consultant Association states that supportive, breastfeeding-friendly communities are imperative to increase national rates of breastfeeding.

This may be one of the most difficult hurdles to overcome. A huge barrier is the free formula that companies give away. We are trying to change a culture,  reports Patricia Lindsey-Salvo, a lactation specialist who runs the Breastfeeding Center at Beth Israel Medical Center in Manhattan.

In 2001, the Department of Health and Human Services released a   Blueprint for Action on Breastfeeding   as part of the Healthy People 2010 initiative. This document detailed a comprehensive national breastfeeding policy with a goal of increasing the number of new mothers who breastfeed to 75%. The document also calls for expanding the proportion of women breastfeeding at six months to fifty percent, and twenty-five percent at twelve months.

So What Should a Mother Do?

So what does all of this research and information mean for a mother? Get as much information as you can before deciding to breast or bottle-feed. Discuss problems or concerns that are likely to affect your breastfeeding goals with a lactation consultant or sympathetic pediatrician. Share information with your family and friends, and surround yourself with encouraging and supportive voices. Nurse your infant as long as possible, aiming for at least six months. “The evidence is rolling in every day about the benefits of breastfeeding,” reports Lindsey-Salvo.

Source:www.kidsgrowth.com

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