Breastfeeding and WIC

Today, I read this post, “Is WIC shooting the CDC in the foot when it comes to breastfeeding rates?” It was an interesting take on a couple of new studies that have been released: racial and ethnic disparities in breastfeeding, and how breastfeeding (yes, even in America,) could save over 900 babies’ lives per year, and reduce diseases and health-related costs. One thing the blogger pointed out is that women who sign up for WIC have lower rates of breastfeeding (initially, at 6 months and at 12 months) than women who are eligible for WIC but don’t sign up for it [and both WIC-eligible groups have lower rates of breastfeeding than women who are not eligible for WIC at all]. So, it appears that women who are in the lower socio-economic bracket are less likely to breastfeed than women who are in higher brackets (not eligible at all for WIC); but also that women who could get WIC (but don’t) have more success with breastfeeding than women who are on WIC. Taken at face value, it does appear possible that WIC may be undermining breastfeeding efforts. However, “face value” may be incorrect.

One of my friends who, among other things works with WIC doing lactation support, wrote a post on this article on her blog, citing some of the reasons why women who are on WIC have low breastfeeding rates, including among other things that they are more likely to have the low-income jobs such as working at a fast-food joint, and may not be able to pump enough to feed their babies, or face other such obstacles.

From the comments on the original blog, I learned more about what WIC does and how it operates. I had a vague idea, but since I had never “crossed paths” with it before, didn’t know much beyond that. One of my friends was on WIC during or right after her divorce, and I knew she got food as well as food stamps, but I didn’t know how much food she got just for herself and how much just for her children (and I’m not sure if she was breastfeeding still at the time). [There may be others in my acquaintance who are also on WIC, but it’s just not a topic of conversation; I know that some of my friends when I was younger were also on WIC, welfare, and/or food stamps, but it’s just not something I’ve ever had to deal with personally.] So, “the more you know, the more you realize you don’t know” — the comments on that post had some specifics for how much food a breastfeeding woman could expect to receive, and how much less (or perhaps even none at all) she would receive if she switched to formula-feeding (although she would receive free formula and/or coupons for it). It’s possible that I would have qualified for WIC (but I don’t know, since I never really even thought about applying). Had someone suggested it to me, I probably would have declined, because I wouldn’t have needed any formula, since I was planning on breastfeeding and staying at home, and not needing anything they had to offer.

I wonder how many other people have that same idea of WIC — that it’s a source for free or reduced formula — which would be a sort of “selection bias” that might skew the data about women who are eligible for WIC but choose not to be on it (or don’t realize they’re eligible), vs. women who get on WIC. To be honest, the researchers may have looked at this, but I didn’t read the whole report since it is quite lengthy. If they didn’t look at that, I think it would definitely skew the results, because more women who never intended on breastfeeding to start with, or who had less of a commitment to breastfeed, may have gotten on WIC at the outset, while WIC-eligible women who were planning on breastfeeding so “didn’t need anything WIC had to offer” (or so they thought, as I did, erroneously) stayed off it. Definitely food for thought.

Another possible skewing would be the barriers to breastfeeding that women who need WIC face, that women who are eligible for WIC but don’t get on it, may not face. For example, a stay-at-home mom who is making it on her husband’s income, though it’s tight, would not need to pump while at work; while a single mom would of necessity have to work (and pump, if she is to continue breastfeeding), which could cause moderate to severe difficulty with continuing to breastfeed.

In other words, there are reasons why there might be a difference in the women who are all eligible for WIC, with some getting on it while others don’t, and it might be this “self-selection” that causes the difference in WIC-eligible breastfeeding, rather than WIC “shooting the CDC in the foot” when it comes to breastfeeding support.

Human Milk for Human Babies — IdeaBlob

Someone left the following comment on my blog, and I like the idea. Considering that low-income women are the ones most likely to have health problems during pregnancy (which also tend to affect their babies, particularly making them more likely to be born early or at low weight, etc.), their babies stand to benefit the most from breastfeeding… but these women are also least likely to breastfeed, so their babies get a double-whammy, which costs everyone in society.

Hello!

My name is Leslie Ott & I am a certified lactation educator, pursuing my ongoing education and hours to become an IBCLC. I currently provide breastfeeding education to women in my community but I am actively pursing a different venture to begin a non profit organization to provide breastfeeding education, resources, lactation consultant services & support, breast pumps and supplies at little or no cost for low income & disadvantaged mothers. Our goal is to raise & extend the incidence of breastfeeding in the socioeconomic group with the lowest rates by providing everything to ensure breastfeeding success.

I have submitted my idea to the popular website http://www.ideablob.com who gives away $10,000 to the idea with the most votes that month.

You can view my idea at http://ideablob.com/ideas/5227-Human-Milk-for-Human-Babies

Would your blog allow the promotion of my idea to solicit as many votes as possible??

Any promotion would be appreciated!!

Thank You,
Leslie Ott

Go vote! 🙂

“Breastfeeding with Comfort and Joy” — a review

Wonderful!

Beautiful photography!

Excellent advice!

It’s hard to top the words of praise Dr. Christiane Northrup and others — both doctors Laura Keegan has worked with and mothers she has helped — have given:

like having a wise and loving grandmother show you exactly how to nurse your baby… Laura has created a manual of wisdom and celebration… what you need to know to get started in establishing a comfortable breastfeeding relationship and to solve problems should they occur… Before this experience, I never would have believed that learning the correct latch in this book meant that I would spend less time nursing my twins than I did nursing my firstborn and without the pain of sore nipples…

Plus there are many, many more in the opening pages of the book — a variety of mothers who had difficulties nursing for many different stated reasons (one mother was told that her baby had an “abnormal suck”, one baby was slow to gain weight, several mothers had cracked nipples), who resolved all those difficulties with the techniques brought forth and beautifully illustrated in this book.

Once you go past the introductory words of praise and the table of contents (which you can see by going to BreastfeedingwithComfortandJoy.com and clicking on “click here for excerpts”), there are beautiful photographs on every two-page spread — usually one large picture on the left-hand page with explanatory text on the right-hand page, but frequently a series of smaller pictures (for instance, several photos taken just seconds apart showing a baby properly latching onto the breast). These pictures show a variety of babies, from the tiny, still-wrinkly newborns to those oh-so-chubby babies of several months old, with several “milk-drunk” babies who have fallen asleep while nursing, and smile that sweet, satisfied smile. The pictures primarily show good latches and good positioning, with only one “what not to do” picture — this is important, because it is much better to show what to do rather than what not to do. In this way, women get strong and repeated correct images of how to properly breastfeed.

One thing that struck me the strongest while reading this book is the statement she made about how that women in this country often “automatically hold their babies and their breasts in ways that work for bottle-feeding since that is what most of us have imprinted in our minds” — as opposed to women growing up in cultures where breastfeeding is the norm. And it is this “incorrect imprinting” that is the root of so many problems with breastfeeding.

I remember my Daddy kind of poking fun at organizations like La Leche League, or wondering out loud why it was that women should have such problems with nursing their babies when animals don’t have that problem. To be honest, I never had any problems with nursing either. The only times it hurt were when my children got to that stage (about 6 months old?) where they are easily distractable and frequently turn to see what made that noise without letting go of the breast first; and also a couple of times when I was pregnant and nursing, my 10-month-old son would occasionally latch on incorrectly (I don’t know why — we’d obviously been nursing for quite some time), and it would hurt, so I would take him off and start him again (and I couldn’t tell you what was the difference), and it wouldn’t hurt the second time. And sometimes when I hear stories of women who have had just dreadful pain while nursing — like my sister-in-law whose nipples cracked and bled the whole time she nursed her oldest child, and she had terrible pain with every feeding (I give her full kudos for sticking with it for 11 months — I think I’d’ve given up much sooner!) — when I’d hear stories like that, I’d sometimes wonder why it is so hard for some women, when it was so easy for me. Now, I think I know most if not all of the answer.

The next several pages go into detail (in words and in pictures) about the differences between both maternal and baby positioning with breastfeeding vs. bottle-feeding. And it is this that makes all the difference in the world. When the breast and baby are not in proper alignment, the nipple is subjected to abuse which causes pain initially, and if not changed, can lead to cracked and bleeding nipples. I’ve not had that, but I can imagine it to be not fun in the slightest. Yet, often women are told that even when they are in pain that there is nothing wrong — that happened to my sister-in-law I just mentioned. (Just for background, she didn’t tell me about her problem with breastfeeding until well after she had weaned her daughter — she first mentioned it a couple of weeks after I had my first son, when she asked if I was having any problems with pain, cracking, or bleeding. I think she was a little jealous and quite astounded when I said ‘no.’ She may have been a little perturbed at her “bad luck,” but I don’t think “luck” was the problem.) Anyway, when she was in the hospital after having had her baby, the nurse told her that she was doing everything right — despite the pain she was feeling. Because this “authority figure” (I believe she called her a “lactation consultant,” but I’ve heard that sometimes nurses are given that appellation or a similar one when they’ve had little or no training in breastfeeding, but they may be the only L&D nurse with breastfeeding experience, so they are the “go-to person” whenever a mom has a problem) told her that there wasn’t a problem, she persisted with an incorrect latch through months of pain and bleeding. It shouldn’t happen.

There are other sections (see the table of contents in the excerpts of the book) that deal with several other common problems or areas of concern — including many, many pictures of mothers breastfeeding twins, showing different positions for the babies to be in — as well as skin-to-skin contact, kangaroo care, colic, engorgement, etc.

Again, the pictures are just beautiful and both pictures and text are quite informative. It’s a must-have for any woman who has problems with nursing, or anyone who has contact with such women (midwives, doulas, nurses, childbirth educators…). I’m going to loan my copy to a woman at my church who is expecting her first baby any day now. I hope I get it back!

“Permission to Mother” give-away

Dr. Punger at Permission to Mother is giving away three copies of her book Permission to Mother for the holidays. The information is below.

I’d like to give three Permission to Mother books away before the holidays. There are three drawings and three blog posts to respond to.

The first way is simply to answer the question below in order to have your name entered into a drawing to win.

I’ll enter every one’s name who answered the question into a drawing and announce the winner on my blog next Thursday, December 10th. Comments need to be received before Wednesday, December 11 at 11:00 pm. I’ll mail it to you if you are outside my county, otherwise I’ll hold it for you at the office. Everyone is eligible, even if you already own a copy, and entered before and even if you won before.

My book makes a good present for the holidays, birthday, or new baby. You need to be available on Thursday to give me delivery information if you are out of town. I am offering the book at $20.00 in the office and on my store through December 15th to guarantee Holiday delivery.

A very easy Question (which may be redundant for some of you):

How did you first hear about my book?

The second way to enter this give-away is repost the give-away information on your blog, facebook, myspace, digg, etc…. The way you enter this contest is by letting me know that you’ve re-posted in the comment section of this post.

I’ll enter every one’s name who reposts and lets me know in the comment section of this post and announce the winner on my blog next Thursday, December 10th.

Comments need to be received before Wednesday, December 11 at 11:00 pm. I’ll mail it to you if you are outside my county, otherwise I’ll hold it for you at the office. Everyone is eligible, even if you already own a copy, and entered before and even if you won before. My book makes a good present for the holidays, birthday, or new baby. You need to be available on Thursday to give me delivery information if you are out of town.

I am offering the book at $20.00 in the office and on my store through December 15th to guarantee Holiday delivery.

The third give-away is in appreciation of my readers that have posted a review of Permision to Mother on amazon.com.

I really appreciate the reviews and feedback that get posted on-line. At amazon it keeps my book from falling to the bottom of cyberspace pile of books. I enjoy reading your reviews. Other readers, followers, and potential readers also benefit from your thoughts and like to know how the book helped you. (Right?)

The way to enter this give-away is to let me know in the comments section that you have posted a review. Of course, I probably know that, but it lets me know you want to enter to enter. It’s not to late to enter your review now. If for some reason you don’t want to enter the give-away, but want to post a review by all means post.

You do need to have an active amazon account to post at amazon. You also must have read the book to post a review.