Deb's Note: I think it's about time breastfeeding becomes the norm. This article is from MedicineNet.com.
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By Amanda Gardner
HealthDay Reporter
THURSDAY, Aug. 13 (HealthDay News) -- With breastfeeding
rates still not at the levels health-care providers and policymakers
would like, two U.S. health agencies have decided it's time to take
action.
Latest Womens Health News
Representatives of the U.S. Centers for Disease Control and Prevention and the Office of Women's Health, which is part of the Department of Health and Human Services, are spending much of Thursday at CDC headquarters in Atlanta listening to breastfeeding experts tell them what needs to be done to get more women to breastfeed.
Then,
by the middle of next year, the agencies say, they plan to issue a
"Call to Action" -- a federal document that recommends specific
policies and activities to address what they refer to as "an urgent public health priority."
"Helping
women breastfeed is a no-brainer in the health and well-being of mother
and baby," said Dr. Sheela R. Geraghty, medical director of the Center
for Breastfeeding Medicine at Cincinnati Children's Hospital Medical
Center. "It's a completely cost-effective mechanism to improve maternal
and infant health in the U.S. And, it's an economic benefit, with less formula costs, less bottles."
"Everybody
welcomes this," Geraghty said of the government's efforts. "Basically,
they are trying to gather information to identify the need. We know
moms in lower socioeconomic categories don't breastfeed as often as
other moms and that the workplace environment [can be a hindrance]."
In
the decade since the federal government issued a "Blueprint for Action
on Breastfeeding," some gains have been made but not nearly enough, say
many experts.
According to CDC statistics, about 68 percent of
women in 1999 breastfed in the days right after birth, increasing to
about 74 percent in the 2005-2006 period.
By the time their
babies were 6 months old, only 32 percent of women were still
breastfeeding in 1999, compared with 43 percent in 2005-06. And by the
time the babies were 1 year old, the number had declined even further:
to 15 percent in 1999 and 22 percent in 2005-06.
"We have come a long way in helping moms start," Geraghty said, but "those are still pathetic numbers."
The American Academy of Pediatrics and the World Health Organization
recommend that mothers exclusively breastfeed their infants for the
first six months of life and then continue the practice with other nutrition thereafter.
But
just 12.3 percent of mothers exclusively breastfed their babies for the
first six months of life in 2005, according to the CDC.
Breastfeeding has been shown to benefit both babies and mothers. Breastfed babies, for instance, have a lower risk for sudden infant death syndrome, diabetes, obesity and asthma. And by breastfeeding, women can reduce their risk for ovarian and breast cancer along with hip fractures and osteoporosis later in life.
But
there are obstacles to getting more women to breastfeed. A big one,
according to Geraghty, is the American "culture of maternal-infant
separation," which she said is partly driven by women working and going
to school. Also, many hospitals separate mothers and babies.
"If
you want to be successful with breastfeeding, you need to keep the
mother and baby together as much as possible," said Dr. Michael
Giuliano, director of neonatology at Hackensack University Medical Center in New Jersey. "There are routines in hospitals that do not do that very well."
Most
women of childbearing age in the United States now work, and some women
return to their jobs as early as six weeks after their baby is born.
That can interfere with breastfeeding, Geraghty said, because "it can
take a month to six weeks just to establish breastfeeding."
To deal with this, women sometimes "pump" their own breast milk so their babies can be given breast milk while they are at work, but this can be difficult for some.
"Pumps are expensive, and often people don't have a place to pump at work," Geraghty said.
In
addition, many women becoming mothers today were not breastfed as
babies, nor did they see their mothers breastfeeding siblings, so they
have few role models. "Women are just starting from scratch, and that's
very hard," Geraghty said. "You add all of that together, and women are
having such a challenging time."
Giuliano seemed to agree. "Lots
of moms have difficulties breastfeeding, and most don't have three
generations of family members around to help them," he said. "We've
found that lots of mothers need support, and that takes lots of time
and specialized training. Our institution has just hired another lactation specialist."
The goal, Geraghty said, is for "moms to breastfeed as long as they can and ... to have a good experience."
SOURCES:
Sheela R. Geraghty, M.D., medical director, Center for Breastfeeding
Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati;
Michael Giuliano, M.D., chief, neonatology, Hackensack University
Medical Center, Hackensack, N.J.; American Academy of Pediatrics, Elk
Grove Village, Ill.
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