Confessions of a first-time BlogHer attendee

My first BlogHer experience is over with and I’m left wondering how it can already be done. While at times it seemed like the weekend would never end (or rather that I would never sleep again), it also seemed to go by in a blur. I already miss the women I got to know better over the weekend – women who are more than just blogging buddies, but who are friends. I decided to compile a list of sorts with some of the things from the conference that surprised me, made me smile, had me laughing out loud, saddened me and even made me cry. Without further ado, here are my BlogHer confessions.

Once my husband and kids dropped me off at the Denver airport Thursday afternoon for my trip to BlogHer ’09 in Chicago, I didn’t really have any anxiety the whole weekend. I did take 1/2 Xanax Thursday night, but only because, after lying in bed for hours, I could not fall asleep and I was hoping it would make me tired enough to finally crash. It did.

I don’t usually dress the way I did at BlogHer. I rarely accessorize, but I wore a necklace every day I was there – sometimes two different necklaces in one day. I bought nearly everything I wore there new (or second-hand) before the trip. I definitely used BlogHer as an excuse to get myself some new duds.

Thanks to Twitter, I found another BlogHer attendee to share a cab with to the Sheraton and, during the drive, discovered we had quite a bit in common.

Annie from PhDinParenting and me
Annie from PhDinParenting and me

My roommate Annie was much taller than I expected her to be. She was also very nice, considerate and quiet as a mouse when she woke up in the morning before me.

Allie from No Time for Flash Cards, Casey from The Beautiful Letdown and Jenni from Zrecommends
Allie from No Time for Flash Cards, Casey from The Beautiful Letdown and Jenni from Zrecommends

Three of the women I hung out with the most (other than my roomie) were Jenni, Allie and Melissa, although there were so many others that I met up with for a couple seconds, to a few minutes, to several hours. In other words, way too many names/blogs to list. Just know I enjoyed meeting every single one of you. I have no complaints!

I often felt torn on who I should spend my time with. There were so many fabulous women and so many places to go and only so many hours in the day/night that it was hard to pick where to go and who to hang with.

When “they” tell you you don’t have to go to every session and you should take time to just chill and relax during the conference, believe it. The weekend, while amazing, was incredibly exhausting and I wish I would have purposefully scheduled in a nap or two.

I confess I didn’t recognize some people who introduced themselves to me. However, upon going home and seeing their Twitter avatar or going to their blog, it then clicked who they were. A-ha! I think everyone should have their Twitter avatar on their name badge. It would make identification so much easier. :)

I approached a few women thinking I knew them, but it turned out I did not. It was fine though. I’d rather say, “Hi, do I know you?” than regret never asking.

I didn’t take nearly enough pictures, but I’m happy with the ones I did take.

Katja from Skimbaco Lifestyle and me at Bowlher
Katja from Skimbaco Lifestyle and me at Bowlher

I teared up after running into Katja on the elevator and then having a chat about our past struggles with anxiety in the hallway (after she teared up). Chatting with her was one of the highlights of my trip.

I dripped “juice” from my chicken sandwich down my shirt and into my cleavage while enjoying room service on my bed Friday night. Even though my bra had dried “juice” on it, I wore it on Saturday too.

I woke up with a killer headache and threw up once twice Saturday morning and didn’t emerge from my room until noon. I don’t see how I could have been hungover (since I only drank two and a half glasses of wine the night before), but I think the combination of getting very little sleep for several days, not eating the kinds of food I’m used to, and having so much going on just all caught up with me. Thankfully, once I got a little food to stay in my belly, I was fine the rest of the time.

Sommer from Green and Clean Mom and me
Sommer from Green and Clean Mom and me

I was surprised by how much fun I had with Sommer and Jennifer Friday night. They were both a riot! I laughed so hard my face hurt.

I was kind of disappointed by some of the breakout sessions I attended. I walked out of one of them (I felt the content was seriously lacking) and felt another one I went to was rather lacking too.

Inspiring green bloggers - Maryanne from MCMilker, Beth from Fake Plastic Fish, Lisa from Condo Blues, and Lynn from Organic Mania
Inspiring green bloggers - Maryanne from MCMilker, Beth from Fake Plastic Fish, Lisa from Condo Blues, and Lynn from Organic Mania

I surprised myself by raising my hand to talk into the microphone during the Green Blogging session. Public speaking didn’t kill me! (Though it did make my heart race for a few minutes.) I hope to write more about the green blogging session (which was easily my favorite) at a later time.

I packed way more clothes than I wore, but forgot to pack my toothbrush and razor. Thankfully, the front desk had both.

I didn’t have to pump the entire weekend, but I did manually express milk a couple times. Never got engorged – thank goodness.

I didn’t make it to either of the BlogHer sponsored cocktail parties.

I watched too much HGTV on the plane ride home and have all kinds of projects in mind for myself (and ones we will need to spend good $ on) on how to stage our home for selling next year. Just what I need – more projects!

I was surprised by how excited and crazed some women seemed to get about swag (free stuff). The consumption and waste I witnessed at times throughout the weekend saddened and frustrated me.

Although I rarely drink soda (pop), I had a Pepsi at lunch on Saturday to help me recovery from my headache and upset stomach. It was one of the only things that sounded good.

I was pleasantly surprised that a few women deliberately checked in on me to see how I was doing (with my anxiety and all). I thought that was super sweet of them.

I was also surprised that The Blog Frog wanted to do a short video interview with me.

I didn’t really truly miss my kids until I was on the plane ride home. Then I missed them terribly and couldn’t get home fast enough. (For the record, Jody and the kids did great without me.)

A small piece of me hoped my 2.5 year old son Julian might forget how to nurse while I was gone. He remembered and I was honestly relieved.

Jenni from Zrecommends, me, Ivy, Steph from Adventures in Babywearing, and Tara from Feels Like Home
Jenni from Zrecommends, me, Ivy, Steph from Adventures in Babywearing, and Tara from Feels Like Home

I was surprised by how many amazing, talented, funny, inspiring, sweet, eco-conscious, adorable blogging women (including several local bloggers from Colorado) I kept running into and yet I still left the conference with a long list (in my head) of more I never got to meet. (Next year, right?)

Annie - PhDinParenting, Jenni - Zrecommends, and I on the red carpet at Bowlher
Annie - PhDinParenting, Jenni - Zrecommends, and me on the red carpet at Bowlher

Someone told me that as soon as BlogHer ended this year, I would already be looking forward to doing it all over again next year. She was right. BlogHer ’10 is in New York City (be sure to register early so you get in before it’s sold out) and I’m already planning on being there.

For those of you looking for more pictures, check out my BlogHer09 flickr stream.

Lastly, thank you sooooo much to my sponsor Stonyfield Farm and their organic Oikos Greek Yogurt for helping me with my trip expenses. I really appreciate it! (And everyone I gave an Oikos Greek Yogurt coupon to was thrilled.) :)

Edited to add: Oops! One last thing! I got so many compliments on my photo cuff bracelet at BlogHer and I wanted to tell anyone who’s interested in getting one where you can buy them – Check out Smoy.net. Wonder if I can get them to sponsor me next year. Ya think? :)

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Future vaccine may prevent ear infections

A new vaccine that may someday prevent ear infections (otitis media) in children is currently in the works. The vaccine is still a ways out from being tested on children, but the results on chinchillas have been promising so far.

Photo courtesy Tandem Racer
Photo courtesy Tandem Racer

The needleless vaccine, developed by Dr. Lauren Bakaletz, a researcher at Nationwide Children’s hospital, is administered by way of a drop of liquid rubbed into the skin on the outside of the ear.

Dr. Bakaletz says it works by activating cells just under the surface of the skin, called dendritic cells. When this liquid touches the skin, it touches off a response throughout the body.

“These cells deliver it to the lymphoid organs where it can generate an immune response. So really harnessing a power that’s there all the time, but you’re doing it in a way that’s now directed toward a specific disease,” says Dr. Bakaletz.

It seems only natural that moms, especially those of young children, are having some strong reactions to the news of this possible future vaccine. Some of the those I’ve seen from moms thus far include excitement and curiosity, as well as disbelief, frustration and cynicism.

An anonymous commenter on News Anchor Mom said, “Don’t you think we should be looking into the CAUSES of these ear infections rather than just adding yet ANOTHER vaccine to the list? Neither one of my children have ever had an ear infection. They are now 4 and 2.”

Karissa, another commenter, said, “Wow! What an ingenious idea! I am always leery of giving more vaccines but ear infections are the worst! It seemed like for years one of my three kids always had one. The kids were miserable, and couldn’t sleep or eat. … I’m interested to see what happens with this.”

Yet another commenter, Emily from Randomability said, “This sounds promising and it doesn’t go into the ear either. My only concern would be long term side effects.”

Catherine Morgan shares a lot of the same thoughts and concerns that I have regarding this vaccine and vaccines in general and wonders how many is too many.

I wonder how many pharmaceutical companies are bothering to invest in research to actually cure diseases that kill children? Because, why should they bother wasting money on cures for drugs that only a small fraction of children will ever need (buy), when they can make billions on new vaccines for non-life threatening illnesses that can be sold to every child?

Regardless of how you feel about autism, food allergies, or processed foods…When it comes right down to it, pharmaceutical companies are making vaccines that they believe can be most profitable for their companies. I think there comes a time when we (the parents and the consumers) need to decide that we don’t need to vaccinate every child for every illness that they may or may not get.

The thing is our immune systems need to develop by actually fighting off these infections, viruses and diseases on their own. We are already becoming a society with more and more people suffering with auto-immune diseases (like MS, Lupus, Diabetes, Crohn’s Disease, Arthritis, Celiac Disease, just to name a few). Personally, I would rather risk my child coming down with the flu, the chicken pox or an ear infection and fighting it off now, than risk their immune system failing them when they really need it later.

Is there a vaccine that we would ever say no to?

A vaccine to end conjunctivitis (pink eye)?
A vaccine to prevent poison ivy?
A vaccine to prevent runny noses or sore throats?
A vaccine to end diaper rash?

Where do we draw the line? How many vaccines is too many?

Interestingly enough, I first learned about this vaccine via an email that was sent to me from a media relations specialist (MRS). She mentioned that she could put me in touch with Dr. Bakaletz so I took her up on her offer and sent her a list of questions that I and other women (both bloggers and non-bloggers) came up with. Some of the questions included:

  • What are the possible side effects of the vaccine? – asked by Beth of The Natural Mommy
  • Who will be the manufacturer of this vaccine?
  • What are the ingredients?
  • Could this vaccine create resistant strains like antibiotics do? – also asked by Beth of The Natural Mommy
  • What are you trying to prevent with the ear infection vaccine – ear infections, the number of children who need tubes in their ears or deafness? – asked by Kayris of Great Walls of Baltimore and Kate

The response I got from the MRS was that the questions were “a bit too detailed for Dr. Bakaletz to answer given where she’s at in the development of her vaccine at this point.” However, she encouraged me to submit some more general questions, so I said:

  • I’d love to know how long the vaccine will be tested (on animals and humans) before it is deemed safe for public use and/or if she knows what the possible side effects are.
  • What prompted her to pursue making an ear infection vaccine?

Again, I was told, “Unfortunately Dr. Bakaletz couldn’t answer your specific questions.” However, she did forward on to me some general information from Dr. Bakaletz. This response left me a bit frustrated and wondering why I was told I could be put in touch with the doctor in the first place.

Whether you are excited about the prospect of this vaccine or not, it will not likely be available any time soon. Dr. Bakaletz notes, “most vaccines have taken 25-30 years from discovery to development, so I can’t really predict how soon the transcutaneous vaccine would be available since we’re still so early in terms of our experience with this vaccination approach.”

In the meantime, children will continue to get ear infections and treating them with antibiotics is not always (in fact, not usually) the best course of treatment. According to this recent Health News article, “Repeated use of antibiotics to treat acute ear infections in young children increases the risk of recurrent ear infections by 20 percent, according to researchers in the Netherlands who called for more prudent use of antibiotics in young children. … Antibiotics may reduce the length and severity of the initial ear infection, but may also result in a higher number of recurrent infections and antibiotic resistance, the researchers stated. Because of this, they said, doctors need to be careful in their use of antibiotics in children with ear infections.” You can read the American Academy of Pediatrics guidelines for treating ear infections here, which include:

  • Minimize antibiotic side effects by giving parents of select children the option of fighting the infection on their own for 48-72 hours, then starting antibiotics if they do not improve.
  • Encourage families to prevent AOM (acute otitis media) by reducing risk factors. For babies and infants these include breastfeeding for at least six months, avoiding “bottle propping,” and eliminating exposure to passive tobacco smoke.

SafBaby also suggests parents of children who suffer from ear infections might want to look into chiropractic care as an alternative to antibiotics.

Cross-posted at BlogHer.

Like. Dislike*. Love.

I dislike that I resort to putting my daughter in front of the TV whenever I’m trying to get my son down for a nap.

I dislike being around smokers when I have my kids in tow.

I dislike muddy paw prints in my house.

I dislike that I haven’t been the blogger that I want to be lately.

I like the smell of autumn.

I like the sound of a gentle rain.

I love seeing and hearing my kids laugh hysterically at each other.

I dislike it when I yell at my kids.

I love growing food in my backyard.

I dislike that my backyard doesn’t get enough sun to have a big garden.

I like that my backyard has so much shade I don’t have to worry about my kids getting sunburned.

I love the looks on my kids’ faces when they discover something for the first time.

I like the feeling of sand between my toes.

I like that now (after more than 11 years) I have a bike to ride again.

I dislike that sometimes marriage seems like so much work.

I dislike not having the answers to all of my questions.

I love living in Colorado.

I love Michigan (my home state), but only in the summer and fall.

I love that my sister and I have such a close relationship.

I dislike that talking to my parents isn’t easy.

I like that my parents and I are slowly but surely working on our relationships.

I like that I know how to make my kids laugh.

I like educating others.

I like writing.

I dislike that I don’t always feel motivated to write.

I dislike blatant consumerism.

I love watching my kids play.

I dislike early mornings.

I love to sleep.

I love that I’ve been able to breastfeed both of my kids.

I dislike ignorance.

I dislike that sometimes I am ignorant.

*I dislike the word hate, which is why I used “dislike” instead of it.

I love that my husband believes in parenting the same way that I do.

I love that my husband is a wonderful father.

I dislike my cluttered house.

I dislike addiction.

I love feeling like I’ve made a difference.

I love that I have a supportive group of friends.

I dislike that there’s so much suffering in the world.

I love that my children willingly eat so many foods that I was never exposed to until I was an adult.

I like that I’m allowing myself to feel for the first time in a while.

I dislike the way that those feelings sometimes make me feel.

I dislike fear.

I love that I’m learning to overcome my fears.

And I love that my kids make everything that seems difficult, or even impossible, worth the effort.

This feels rather meme-like, so I invite you to feel free to do this on your own blog if you feel so inclined. I found it to be a very enlightening, fun, and educational exercise. It’s especially interesting to see how many likes, dislikes and loves you come up with at the end. If you do this on your blog and want to link back to me, I’d appreciate it, but please don’t feel obligated. :)

Breastfeeding? Scheduled for a biopsy? Read this and pass it on.

Today I have a guest post from Tanya of Motherwear Breastfeeding Blog. She’s trying to spread the word about this valuable research and I’m happy to do my small part by passing it along to you. The original post is here and it is copied and pasted (with permission) below.

Picture this: You’re breastfeeding.  You notice a lump.  First maybe you think it’s a plugged duct.  But then it doesn’t go away, after many, many feedings.  You’re worried about it, so you make an appointment with your doctor, who doesn’t think it’s related to breastfeeding.  She sends you for a mammogram, but you’re told that you’ll have to have weaned for six months before the test can be done.  What do you do?*

I’ve mentioned before that I’m involved in a powerful research project based at the University of Massachusetts, and supported by the Love/Avon Army of Women breast cancer project.

I’d like to explain more about it now, and ask for your help in recruiting participants for it.

It’s probably news to most of us (it was to me) that when you make milk, cells from your milk ducts are exfoliated off in the process.  These are called epithelial cells, and they’re detectable in your milk.

Past research has demonstrated that long before we notice a lump, those epithelial cells start changing in ways that are precursors to the development of breast cancer.

Dr. Kathleen Arcaro, a UMass professor who studies breastfeeding and breast cancer risk wants to analyze those cells.  She’s been nice enough to visit a breastfeeding group I run, and answer questions about breastfeeding and breast cancer.

The primary goal of her research is to determine if it’s possible to create a non-invasive, early way of assessing our breast cancer risk through our breastmilk.  If it’s successful, it would also establish ‘molecular biomarkers’ for breast cancer risk.

An additional benefit to breastfeeding mothers is that we would not be told, as some are, to wean before a mammogram or biopsy can be done.  No more choosing between breastfeeding and a breast cancer test.  It could be as simple and sending in a milk sample to a lab!

In order to conduct this research, Dr. Kathleen Arcaro needs to find 250 women who are both lactating and scheduled for a biopsy.  To participate, you’d overnight milk samples to her lab, at no cost to you.

So if you, or someone you know, is both breastfeeding and scheduled for a biopsy, please ask them to email either me, Dr. Arcaro, or Dr. Sarah Lennington as soon as possible.  You can visit the project’s website to learn more.

If you write a blog or are in contact with lots of moms on a forum, please pass this link around!

And if you haven’t done it yet, register for the Love/Avon Army of Women.  You’ll join one million women volunteering to become part of a rich pool of women researchers can use to find the causes and prevention of breast cancer.  You can see other participating studies on the site.  Here’s a recent Today Show clip on the project.

* Mammograms can be done on lactating breasts, but they are viewed as less accurate than on non-lactating breasts.  Some doctors will do them, others require mothers to wean first.  Some send mothers for ultrasounds.

Overcoming jaundice, nipple confusion and other interruptions in early breastfeeding relationships

If you live in the Western world, you’ve no doubt heard the catch phrases “Babies were born to be breastfed” and “Breast is Best.” Many women start out with the best of intentions for breastfeeding their new bundles of joy, but sometimes circumstances beyond their control can cause interruptions in early breastfeeding relationships. Talk of jaundice, biliruben levels and supplementing with formula are not things many parents are prepared to be confronted with just days after their child’s birth. So what should you do if you find yourself suddenly dealing with the unexpected?

After experiencing a labor and birth with my daughter that was unlike anything I had anticipated, breastfeeding seemed to be the one thing that was going in our favor. Ava came into the world as they say, born to breastfeed. Although I had a little trouble with her latch initially, with some help from a nurse we soon seemed to be well on our way. She would eagerly latch on and spend 30 to 45 minutes on each breast, nursing contentedly. Then a pediatrician (not her’s, but one in her pediatrician’s practice) told us that she was jaundice and not only did he recommend that she go under the bilirubin lights (in the form of a bili-blanket, thankfully in my hospital room), he also wanted me to supplement with formula to help flush the jaundice out of her system. Formula? But, but, but, I’m exclusively breastfeeding. We even had a note on her bassinet in the hospital saying, “I’m a breastfed baby. No artificial nipples or bottles please.” I had every intention of breastfeeding her exclusively and now it seemed that even that wouldn’t happen. Not knowing what else to do, I acquiesced and allowed my husband Jody and/or a nurse to feed her formula from a bottle, while I continued to nurse her ’round the clock. I absolutely did not want to give her a bottle myself because I wanted to avoid confusing her. I wanted Ava to know I was the one with the breasts and that those breasts were the only way she was getting nourishment from me. (Kellymom states: “If your baby is less than 3-4 weeks old, it is best to avoid the use of a bottle for a couple of reasons: regular use of a bottle instead of breastfeeding can interfere with mom’s efforts to establish a good milk supply; bottle use also increases baby’s risk of nipple confusion or flow preference.”) Little did I know that I could have given the formula to her myself actually from my breast and avoided a bottle all together had anyone at the hospital told me about something called a Supplemental Nursing System (SNS) or lactation aid. “A lactation aid consists of a container for the supplement — usually a feeding bottle with an enlarged nipple hole — and a long, thin tube leading from this container.” The tube is taped onto the woman’s breast, allowing the baby to nurse at the breast and receive expressed breast milk, formula, glucose water, etc. at the same time. So why wasn’t an SNS mentioned to me – a mother who wanted to breastfeed exclusively and obviously wanted to avoid nipple confusion that could come from introducing a bottle so early? Are other hospitals recommending SNS to breastfeeding moms?

Thankfully, Ava did not suffer from nipple confusion and took to the breast well every time (and, if you are familiar with my previous posts you know she ended up breastfeeding for a long time), but that’s not the case for everyone. Many babies who are offered a bottle before they are ready to differentiate between mom’s breast and a rubber nipple have trouble with their latch or will refuse to latch onto the breast at all.

Nell who blogs at Casual Friday Everyday gave birth to her third son Dash just two weeks ago. When her pediatrician (note: not her usual pediatrician) determined that Dash had jaundice – which was not unexpected since her other two sons had it as well – she was told he needed to go to the NICU. That news, however, came out of left field and was completely unexpected. Neither of her other kids received any special treatment for jaundice.

I almost couldn’t process what was being said. Like it wasn’t really sinking in. We walked down to the NICU with our tiny little baby – a place with a few other babies with jaundice also. They removed his clothing and began hooking him up to everything.

We set up a time that I’d be back to nurse him and my husband and I left; left our newborn baby all alone, under lights, with strangers. I cry just writing about this.

I walked back up to our floor empty handed and broken-hearted. My heart felt like it had been shattered. Like part of me was missing – well, because it was. Every single part of me wanted to run back into the NICU, grab him and run out of the hospital.

Dash also received formula from a bottle to help treat the jaundice, and Nell believes, the combination of him being taken to the NICU and use of the bottle contributed to the nipple confusion they are now trying to overcome.

This has been a particularly difficult thing for Nell because she struggled with breastfeeding issues like tongue-tie and thrush with her first two children and was determined that this time, with Dash, the breastfeeding relationship would be different.

This baby was going to be different. I was determined not to introduce a bottle to him. To avoid the nipple confusion. To nurse well into his first year, if not longer. And then unexpectedly he was put into the NICU and supplemented with a bottle. Had I been offered the option of an SNS I would have taken it in a heart beat.

Again, why wasn’t a SNS (lactation aid) offered to this breastfeeding mom? And was it really necessary for them to take a jaundice baby to the NICU?

Since leaving the hospital, Nell and Dash have also developed thrush, but she is determined to make breastfeeding work this time around and is reaching out for help.

I’m not ready to give up even though this has turned into the most difficult experience of all three.

I have reached out to the local LLL gals in my area for help. I’ve explained my problems via email and asked for a phone call. I’m going to attend the meetings for one on one help. And I’m going to try some Thrush remedies that don’t require a doctor to prescribe them.

I think Nell did one of the most important things a woman who find herself in these situations can do – reach out for help. Call another breastfeeding mom, call La Leche League, call a lactation consultant (International Board Certified Lactation Consultant). Call or email someone who can point you in the right direction of the resources and support you need to help you succeed.

Carina of Greetings from the Jet Set had a difficult time getting a good breastfeeding relationship started with her son after a fill-in pediatrician, concerned that her two-day-old son was jaundiced, recommended she supplement her nursing with an ounce of formula after each feeding. The supplementation took place via bottle, her son suffered from nipple confusion and her supply dropped a great deal. After her son’s two week appointment, she sought out a lactation consultant and was able to figure out a good latch and taught how to use a SNS. “After a few weeks of that, my supply righted itself and we went on our way.” She told me on Twitter, “I tell everyone that while they are short term WORK, they yield long term results. 1-2 wks of SNS yielded 2.5 years.” That is to say that she used the SNS for one to two weeks and, as a result of the reestablished breastfeeding relationship, she was able to nurse her son for 2 1/2 years.

Carina, a self-described lactivist, also responded to a woman’s question on Yahoo on this very topic. The woman wrote, “Doctor told me that my breast milk is increasing his jaundice level, so I was told to give him formula milk and breast milk alternatively.” She asked, “how long will I be asked to give him formula milk? When will he be switched completely to breast milk?”

Carina replied, “your doctor gave you outdated advice. It is NO LONGER advised for you to stop breastfeeding and give formula.” She then quoted several articles that support her claim. The first is from Dr. Jack Newman.

Breastmilk jaundice peaks at 10-21 days, but may last for two or three months. Breastmilk jaundice is normal. Rarely, if ever, does breastfeeding need to be discontinued even for a short time. Only very occasionally is any treatment, such as phototherapy, necessary. There is not one bit of evidence that this jaundice causes any problem at all for the baby. Breastfeeding should not be discontinued “in order to make a diagnosis”. If the baby is truly doing well on breast only, there is no reason, none, to stop breastfeeding or supplement with a lactation aid, for that matter. The notion that there is something wrong with the baby being jaundiced comes from the assumption that the formula feeding baby is the standard by which we should determine how the breastfed baby should be. This manner of thinking, almost universal amongst health professionals, truly turns logic upside down. Thus, the formula feeding baby is rarely jaundiced after the first week of life, and when he is, there is usually something wrong. Therefore, the baby with so called breastmilk jaundice is a concern and “something must be done”. However, in our experience, most exclusively breastfed babies who are perfectly healthy and gaining weight well are still jaundiced at five to six weeks of life and even later. The question, in fact, should be whether or not it is normal not to be jaundiced and is this absence of jaundice something we should worry about? Do not stop breastfeeding for “breastmilk” jaundice.

According to Breastfeeding Basics:

In most cases, jaundice is a normal, possibly even beneficial process that can be managed without interrupting breastfeeding. The treatment for physiologic jaundice is more breastfeeding rather than less, and sick babies with pathologic jaundice need breastmilk even more than healthy babies. Even in rare cases where the jaundice is caused by the breastfeeding, there is no reason to wean and every reason to continue giving your baby the best possible nourishment – mother’s milk. In most cases, jaundice is a normal, possibly even beneficial process that can be managed without interrupting breastfeeding. The treatment for physiologic jaundice is more breastfeeding rather than less, and sick babies with pathologic jaundice need breastmilk even more than healthy babies. Even in rare cases where the jaundice is caused by the breastfeeding, there is no reason to wean and every reason to continue giving your baby the best possible nourishment – mother’s milk.

According to a La Leche League article:

In an article in the November 1990 issue of BREASTFEEDING ABSTRACTS, Kathi Kemper, MD, MPH, suggests that prolonged hospitalization, phototherapy, and the interruption of breastfeeding may be unnecessary and even harmful for the mother and for the infant with normal neonatal jaundice. She writes, “In the case of healthy term infants who are jaundiced, the treatment could be worse than the disease.”

So what is going on here? Why are hospitals treating jaundice this way if it’s a “normal, possibly even beneficial process?” Is the real problem that pediatricians attitudes about breastfeeding are deteriorating?

I think educating one’s self is always a good thing. Of course, it’s impossible to prepare for every possible scenario, but if a woman knows in advance that breastfeeding jaundice is a normal occurrence and isn’t always a cause for concern, then perhaps she can make better informed choices with regard to her child’s care. If she and her doctor decide that supplementation is necessary, then knowing about a SNS/lactation aid and asking for the help of a lactation consultant could be invaluable. And then, if a woman finds herself in a situation where, for whatever reason, she has trouble with breastfeeding, knowing where to look for help at the first sign of trouble is key. It’s also helpful for family and friends to know what to do (and not to do) to support a breastfeeding mother.

Lastly, there’s an eye-opening article that ties into this topic nicely on Today’s Parent called “Nursing Confidential: Breastfeeding can be one of the biggest challenges of new motherhood. Now 7,000 Today’s Parent readers tell us why.”

What was your early breastfeeding relationship like? Did you have to overcome any obstacles? How did you do it?

Cross-posted on BlogHer

20/20’s Extreme Motherhood falls short, disappoints

As I found myself watching and live Tweeting the 20/20 episode on Extreme Motherhood on ABC Friday night, I felt disappointed that once again mainstream media had let me down. It didn’t come as a complete surprise, but I really had hoped for better from them.

The show, for those of you who were occupying your time with better things (wise choice), consisted of segments on Orgasmic Birth, fake babies – women who buy Reborn dolls and treat them very much like real babies (um, yes, it was more than a little freaky), long-term (extended) breastfeeding – including a mention of 2 1/2 yr old twins still nursing (uh, what’s extreme about that?) as well as a few older children, serial surrogates, and home birth. The majority of the time seemed to be spent on the fake babies and the serial surrogates, with lesser amounts devoted to the rest. The least amount of time (and what I felt should have received the most) went to home birth.

The home birth segment had very brief interviews with Ricki Lake and Abbie Epstein (producers of Business of Being Born) and Laura Shanley (author of Unassisted Childbirth). There were no interviews with any midwives. There was no talk of the training midwives go through or the preparation that women who choose unassisted birth generally undertake. It all seemed very much focused on fear rather than offering up real information. The AMA says blah, blah, blah – nothing we haven’t heard before.

One of my main issues with the show was that it was not objective journalism at all. The correspondents spewed a lot of shock value comments instead of asking intelligent, thought-provoking questions. Maybe I’m naive to expect better from them.

twitter fail whale for 20/20Overall, I have to say I’m sorry I wasted my time watching it. I felt it was very exploitative. 20/20 gets a big ol’ Twitter Fail Whale from me. I don’t feel the show gave much, if any, useful information, except maybe some women will seek out Business of Being Born or Orgasmic Birth (which has a lot more to it than the name implies) after watching 20/20.

For those of you who are looking for some real information, you might be interested in reading my thoughts (and others’ thoughts) on orgasmic birth – Giving Birth can be good, ecstatic and even orgasmic or long-term breastfeeding Breastfeeding until age 3, 4 or 5 – more common than you think? – including a list of moms who have breastfed older children. I’ve also written about planning for a home birth and my home birth story.