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25.01.2022 Can’t breastfeed yet because your baby is premature? There are many obstacles put in the way of breastfeeding premature babies. See also Can’t breastfeed becau...se you are taking medications? Posted July 24. The attached photo shows a premature baby born at 28 weeks gestation and breastfeeding at the age of 10 days. Myth #1: premature babies need to live in incubators. Premature babies are more stable skin to skin with the mother than in an incubator http://ibconline.ca/premature1/ In fact, the sicker the baby the more this is true because skin to skin is what supports the physiological function of every system in the baby's body. The link http://ibconline.ca/premature1/lists several articles how Kangaroo Mother Care supports the physiological function of every system in the baby's body. Breastfeeding is much more likely to work well when the baby is in Kangaroo Mother Care. Myth #2: premature babies cannot breastfeed until they are at least 34 weeks gestation. Many premature babies can latch on and breastfeed (and receive milk) even by 28 weeks gestation and most well before 34 weeks gestation http://ibconline.ca/premature2/ See the attached photo. Myth #3: non-nutritive sucking is a good way to teach premature babies to breastfeed How does this make sense? There seem to be two reasons for some neonatal special care units to ask mothers to empty their breasts and only then put the baby to the breast. 1. To prevent the baby from accidentally getting milk before he is ready to suck and swallow, and thus aspirating milk. Why is a baby more likely to aspirate at the breast than from a bottle or nasogastric tube? And 2. So that the staff can measure how much the baby gets from the breast. Oh, we love to measure, but this process often results in mothers and babies never really breastfeeding successfully. This notion also supports the notion that premature babies need to use pacifiers to learn to suck before they are ready to swallow. Myth #4: Breastfeeding tires out premature babies (the same is said about term babies and babies with cardiac problems) This notion seems to come from the idea that babies transfer milk. But babies do not transfer milk . Mothers transfer milk http://ibconline.ca/who-transfers/. But starting with the notion that babies transfer milk, essentially, that babies suck milk out of the breast, breastfeeding is felt to be hard work and babies fall asleep at the breast because they tire out. Babies tend to fall asleep at the breast when the flow of milk slows down. Myth #5: Premature babies need to learn how to bottle feed before they can breastfeed This one is still around. Never made sense and still doesn’t. The use of bottles in NICUs usually results in very few premature babies leaving hospital exclusively breastfeeding. Myth #6: Most premature babies need human milk fortifier. Human milk fortifier is misnamed and is formula milk, and makes many, even health professionals, think that it’s made from breastmilk. Most such products are made from cow’s milk. Human milk fortifier has been associated with an increased risk of necrotizing enterocolitis (NEC). If a premature baby needs extra nutrients and/or volume, these can be given with banked breastmilk, which is used more and more in some, but not all, special care units. Want more information on breastfeeding the premature baby? See our eBook "Breastfeeding: Empowering Parents". The eBook contains videos, links to scholarly articles and more: https://ibconline.ca/ebook/. New! An audiobook of my book Dr Jack Newman’s Guide to Breastfeeding. https://www.audible.ca//Dr-Jack-Newmans-Guide-/1515933490



22.01.2022 What !!!! This is not ok

22.01.2022 I don’t agree. That we can fill stadiums with fans to watch a ball be thrown... but Fathers are barred from appointments. I don’t agree that we can gather in gr...eat numbers at a pub...but not gather to celebrate birth. I don’t agree, that with the right self provided PPE, women can’t have their mothers, sisters, photographers, videographers or friends by their side as they journey into motherhood. Our bodies. Our journey. Our choice. Always. Defend it. Push for it. Make noise about it. Birth isn’t medical, it’s spiritual See more

21.01.2022 "It's not motherhood that's exhausting. What's exhausting is to nurture in a world that doesn't care for and support its mothers." ~ Mamá Kaur IG: @mama.kaur... Art by Tamara Adams Tamara Adams Art www.tamaraadamsart.com



19.01.2022 As midwives we are ethically and professionally bound to follow evidence https://www.midwives.org.au/node/637662

18.01.2022 Jessie is a fantastic midwifery educator Birth classes via zoom

17.01.2022 "The Alice Books, full of illogical thoughts, words, and contradictions, were unrivaled entertainment until the publication of the medical literature promoting ...electronic fetal monitoring (EFM) for every pregnancy. The modern-day EFM advocates acknowledge EFM’s decades long failure but simultaneously recommend EFM use for lawsuit protection and because the profession has used EFM for every pregnancy for fifty years, therefore, it must be efficacious. These self-indulgent, illogical rationalizations ignore the half century of evidence-based scientific research proving that EFM is a complete failure as well as ignoring the fact that continued EFM use violates the fundamental principles of modern bioethics." (Sartwelle et al 2020) This quote is from the introduction to the latest article from Sartwelle et al (2020), which is called, "Electronic fetal monitoring in the twenty-first century: Language, logic and Lewis Carroll." It is published in Clinical Ethics. Sartwelle and colleagues have written several papers highlighting the lack of evidence to underpin the routine use of continuous electronic fetal monitoring and the logical fallacies which are used to justify its continued use. If you'd like to know more about their work, I have highlighted several of their papers on www.sarawickham.com and you can see their current paper at https://journals.sagepub.com//full/10.1177/1477750920971800 #midwife #midwifery #pregnancy #birth #doula #childbirth #childbirtheducation #birtheducator #birthdecisions #studentmidwife #childbirtheducator #informedconsent #informedchoice #whatsrightforme #quotes #drsarawickham #evidenceinformedmidwifery #electronicfetalmonitoring #birthevidence See more



17.01.2022 Book any HypnoBirthing group class commencing in April and not only will you be informed, empowered and FULLY supported on your journey to birth you baby but, y...ou will save $100. ALL HypnoBirthing group classes in April will be via live video conferencing. I can guarantee that they will be fun, you will learn so much information, have tools for you and your support person come birthing day Book NOW as spaces are limited to ensure personal attention. Be sure to use the discount code "beinformed" when booking at https://www.newbeginningsbirth.com.au/group-classes/

15.01.2022 Women often ask why they feel uncomfortable - this is why

15.01.2022 The data indicate that there is strong SARS-CoV-2 immune response in the majority of human milk samples collected after infection. Study leader, Rebecca Powell ...of The Icahn School of Medicine at Mount Sinai in New York, Nursing mothers who are infected with the novel coronavirus should continue to breastfeed throughout their COVID-19 illness and beyond, because (other researchers) have shown transmission does not occur via milk, and we have determined that antibodies are almost certainly there, and may protect their babies from infection. A link to the research: https://www.medrxiv.org/cont/10.1101/2020.05.04.20089995v1

14.01.2022 Same stats in Australia

13.01.2022 What's your nighttime routine? Does it look something like this?!



13.01.2022 Full time job !!

12.01.2022 https://www.susannereinhold.ca//tight-calves-and-the-pelvi

12.01.2022 If you have been using infants friend

10.01.2022 Amanda does beautiful BF mini shoots Book her soon

07.01.2022 Anyone in Canberra - Amanda is amazing, great photographer and also a very cool person

06.01.2022 While some maternity services in the UK have reacted to the Covid-19 crisis by centralising services, other UK regions and countries including the Netherlands, Canada, and Iceland have done the opposite and found creative solutions to keep community services open or even to expand birth centre or homebirth facilities.

04.01.2022 Keep breast feeding if positive for covid 19; but wear a mask

04.01.2022 Do you know what controls birth? No it's not your uterus, it's not your vagina, it's HORMONES. We often laugh off the impact of hormones, but we can't afford to do that. Hormones control birth. They can start it, and they can stop it as well. Who's had a stalled labour? ...Continue reading

04.01.2022 Not surprising to find continuity of care with a midwife came out on top, in all areas looked at in this study Great research !!

03.01.2022 "There are sometimes really good reasons for recommending induction of labour. But sometimes it's offered routinely, without thought for the individual, or for ...convenience. One size doesn't fit all." That's a quote from today's blog post, an updated version of "How to cancel an induction." Because if you're happy to have an induction date, that's great. But too many women are being given dates for induction that they don't want. Available at: https://www.sarawickham.com//how-to-cancel-a-labour-induc/

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