Renee Kam's Lactation Consultancy Service | Businesses

Renee Kam's Lactation Consultancy Service

Phone: +61 412 094 961

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25.01.2022 ABA is thrilled to be holding a LIVE online panel to discuss breastfeeding in the context of COVID-19 and considerations around the vaccine for women who are br...eastfeeding. This free event will be held on Wednesday, 3 February 2021 at 7:00pm AEST/8pm AEDT. Expert Panel includes Dr Karleen Gribble, Dr Nina Chad and Prof Lisa Amir MC Dr Nisha Khot, OB/GYN Register here https://aba.asn.au/covidpanel

24.01.2022 This provides a great visual of what feeding a baby according to need realistically looks like.

23.01.2022 Article about the important work the Australian Breastfeeding Association does in supporting breastfeeding women especially during these difficult times. https://www.news-medical.net//Breastfeeding-support-for-ne

21.01.2022 Great explanation about the fat concentration in breastmilk.

21.01.2022 This infographic is doing the rounds in some lactation social media circles. I have commented with the following twice in two different groups where it appeared, only to have the comment removed both times as it seems some dislike when the information they share or their ability to decipher what is opinion versus what is evidence based is questioned. Here is the paper being referred to I think https://www.cambridge.org//probiotics_in_human_milk_and_pr The relevant section ...says "Interestingly, antibiotics may also be a risk factor for developing mastitis: women who received antibiotics in the last trimester of pregnancy and peripartum have a 25-fold risk of developing mastitis during lactation compared with women who did not take antibiotics. Possibly, antibiotics eradicate the non-resistant bacteria in the mammary glands and milk ducts, sparing resistant and virulent strains and leaving the breast unprotected from other bacteria. This may be the reason why antibiotic therapy is not effective in some cases of mastitis(35). Antibiotic therapy may also break the resilience of normal breast milk and milk duct microbiota, increasing the risk of further deviations." Note that there is no reference provided for the comment about the increased risk of mastitis after antibiotic use in pregnancy or peripartum. Here is reference number 35 which is provided later in that paragraph http://e-lactancia.org//Probioticosmastitis-ClinInfecDis20 which does not provide evidence to support the claim. So, the paper referred to in this post is a review in which the authors provide an opinion about antibiotic use and mastitis without any evidence to back up that opinion. Unfortunately this isn't the first and won't be the last time opinion gets dressed up as fact. Hopefully this example serves to highlight the importance of finding the original source of a piece of information you read to determine if it's opinion or evidence based. Edited to add: At the end of the probiotic review paper in the 'Acknowledgements' section, it indicates that two of the authors were presenters at a HiPP Human milk workshop and that another author was commissioned by the same company. Have a look at what products this company sells https://hcp.hipp.com/products/ and https://hcp.hipp.com/products/hipp-milk-formula/combioticR/

20.01.2022 "Supporting breastfeeding for mothers in child protection and the justice system is not easy, but worth it. It would improve maternal health and reduce health and development disadvantage for the most vulnerable children. Evidence tells us it will also reduce reoffending, the cost of prisons, and foster care. Everyone wins....Breaking the cycle of disadvantage, child abuse and crime starts with helping vulnerable mothers provide "good enough care to their babies. Supporting breastfeeding is part of helping mothers to do this."

20.01.2022 Great information about infant sleep.

19.01.2022 Great article about how breastfeeding can reduce the risk of women with gestational diabetes developing type 2 diabetes. https://theconversation.com/had-gestational-diabetes-here-a

18.01.2022 Excellent information about baby sleep.

18.01.2022 Dr Pam Douglas podcast with neonatal paediatrician Dr Danielle Freeman, 'What's normal for breastfed babies in the first days of life, and when do we need to intervene?' https://player.captivate.fm//e1a6e7f6-3f07-4ab6-9dad-ee2c0

17.01.2022 Guidance around the COVID-19 Vaccination in Pregnant and Breastfeeding Women was released today by RANZCOG. I have included the salient points below. The COVI...D-19 vaccine......... The six major vaccines that have undergone clinical trials do not contain live virus and cannot transmit COVID-19. It is uncertain as to how effectively they prevent acquiring the disease or limit transmission, but initial data has demonstrated reduction in the length and severity of disease if a person becomes infected. The vaccine in pregnancy......... Based on data from other similar vaccines, it is unlikely that COVID-19 vaccines pose a risk to a pregnant woman or her fetus. However, as pregnant and breastfeeding women have not been included in initial trials, data is limited. Although the available data does not indicate any safety concern or harm to pregnancy, there is insufficient evidence to recommend routine use during pregnancy. However, if a pregnant woman is particularly vulnerable, then she should discuss the option of COVID-19 vaccination with her care provider. This includes women with: - Significant pre-existing medical conditions eg. diabetes - Solid organ transplants - Chronic respiratory conditions - Homozygous sickle cell disease - Conditions requiring immunosuppressive therapies sufficient to significantly increase risk of infection - Advanced chronic kidney disease or receiving dialysis - Significant congenital or acquired heart disease The vaccine and breastfeeding......... There is no data on the safety of COVID-19 vaccines in lactating women. These vaccines are not thought to be a risk to the breastfeeding infant. The vaccine preconception......... There is no evidence that women who become pregnant after receiving the vaccine are at increased risk of teratogenicity, miscarriage or maternal illness. Pregnancy need not be delayed after receiving the vaccine. General advice......... In the absence of evidence on the safety or efficacy of the COVID-19 vaccines in pregnant women, the decision to receive vaccination should be individualised and rests solely with the pregnant woman following informed consultation with her care provider.

17.01.2022 A whole lot of misinformation gets spread around about tongue ties and tongue ties causing sleep disordered breathing is an example of this. Dr David McIntosh in a world renowned paediatric ENT. Here is what he says...

11.01.2022 Our next open access article from the forthcoming February Issue on Ethics in Lactation has arrived! This next feature is courtesy of Lisa H Amir, Luke E. G...rzeskowiak, and Renee L. Kam : Ethical Issues in Use of Medications During Lactation https://journals.sagepub.com//full/10.1177/0890334419888156

11.01.2022 Have concerns about your baby's gut or wind? this article might help provide some reassurance. https://mumsandbabies.com.au/n/how-can-i-help-my-babys-gut/

09.01.2022 Please participate in this research if you're currently breastfeeding a baby under seven months of age. It will help researchers understand the impact of the covid pandemic so mothers can be better supported. https://redcap.link/uwa.covid19.wellbeing https://m.facebook.com/story.php?story_fbid=612252562601629&id=345524385941116

08.01.2022 Some insightful information about why babies don't really need to be burped. https://medium.com//you-dont-need-to-burp-a-baby-f9ab1c194

06.01.2022 Excellent podcast with Dr Howard Chilton: Baby on Board https://shebirths.com/she-births-show-podcast/

05.01.2022 Some answers to common breastfeeding questions from Dr Amy Brown

04.01.2022 Investing in breastfeeding matters.

03.01.2022 It's common for parents to have questions about their baby's poo. Here is some helpful information

03.01.2022 Some evidence-based information about timing of solids introduction https://academic.oup.com///10.1093/advances/nmz039/5506821

02.01.2022 Evidence based information about breastfeeding and safe infant sleep from Professor Jeanine Young.