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Falling in Love: The chemistry of the first breastfeed
Written by Denise Fisher   
There are many different types of love: sexual, romantic, platonic, filial, maternal, paternal, spiritual, love of self, love of country, love of possessions to name a few. Love for our mother, our first love, could be the pivotal love around which we build our ability to love in every other way. This paper will look at the chemistry that is involved in the baby’s first opportunity to love at that crucial time surrounding birth and the consequences of denying that opportunity. Love is as important to the individual as it is to their society and our world.
Read more...
 
Mothers and babies and HIV: What is the risk of breastfeeding?
Written by Pamela Morrison   
Although early research appeared to show that breastfeeding increases the risk of mother-to-child transmission of HIV, recent studies which clearly define "breastfeeding" show no additional risk of MTCT of HIV through exclusive breastfeeding over not breastfeeding at all. In addition, there is no difference in the overall mortality rate at 2 years between children of HIV+ mothers randomized to breast or bottle feeding.
 
The Anatomy of Infant Sucking
Written by Michael Woolridge   
This paper by Michael Woolridge aims to present a simple account of the mechanisms by which a baby removes milk from the breast, gleaned from past and current literature, to counter the tendency for inaccurate descriptions of the mechanics of infant sucking to be reproduced.
 
When the Back of the Baby’s Head is Held to Attach the Baby to the Breast
Written by Robyn Noble   

When the Back of the Baby's Head is Held to Attach the Baby to the Breast:

  • the baby's automatic response may be to push his head backwards against the hand holding his head causing:
    • attachment problems
    • fussy feeding behaviour
    • breast refusal
  • three of the reflexes necessary to successful breastfeeding are overridden….
    • the rooting reflex
    • the gape reflex
    • the (tongue) extrusion reflex
  • the relative positions of the baby's anatomical features, crucial for his comfort during feeding, become sub-optimal. That is, when positioning is correct, the baby's hyoid bone and thyroid cartilage come forward in relation to his other oral anatomical structures. If the baby's head is inclined slightly backwards, this will be achieved.

However, when the back of the baby's head is held, his head will almost inevitably be inclined forwards...

  • the baby's attachment is nose first, chin last, which is entirely the reverse of optimal attachment
  • interference with baby's breathing may occur
  • Nose-first attachment results in the least optimal attachment for breastfeeding, with the least amount of breast in the baby's mouth, usually just the nipple.
  • The mother's experience of nose-first attachment is usually somewhere between discomfort and intense pain.

The mother needs to be taught to hold her baby with one of her hands supporting the baby's upper back and neck, and with no part of this hand higher on the back of the baby's head than the base of the skull. Even one of her fingers resting against the back of the baby's head (higher than the base of the skull) is enough to compromise good attachment.

Robyn Noble DMLT,BAppSc(MedSc),IBCLC
Anne Bovey BspThy
Bayside Breastfeeding Clinic, Manly West, Brisbane
Ph/Fax 3396 9718

 
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