Official Journal of the United States Lactation ... - Clinical Lactation

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Ball, H. L. (2007). Bed-sharing practices of initially breastfed infants in the first 6 months of life. Infant & Child Development, 16, 387- 401. Blair, P. S., Heron, J., & Fleming, P. J. (2010). Relationship between bed sharing and breastfeeding: Longitudinal, population-based analysis. Pediatrics, 126(5), e1119-e1126. Canadian Paediatric Society, & Committee, C. P. (2004/2011). Recommendations for safe sleeping environments for infants and children. Retrieved from http://www.cps.ca/english/statements/cp/cp04-02.htm#Recommendations Kendall-Tackett, K. A., Cong, Z., & Hale, T. W. (2010). Motherinfant sleep locations and nighttime feeding behavior: U.S. data from the Survey of Mothers’ Sleep and Fatigue. Clinical Lactation, 1(1), 27-30. McKenna, J. J., & McDade, T. W. (2005). Why babies should never sleep alone: A review of the co-sleeping controversy in relation to SIDS, bedsharing, and breastfeeding. Paediatric Respiratory Reviews, 6, 134-152. McKenna, J. J., & Volpe, L. E. (2007). Sleeping with baby: An internet-based sampling of parental experiences, choices, perceptions, and interpretations in a Western Industrialized context. Infant & Child Development, 16, 359-386. Vennemann, M. M., Bajanowski, T., Brinkmann, B., Jorch, G., Yucesan, K., Sauerland, C.,...the GeSID Study Group. (2009). Does breastfeeding reduce the risk of sudden infant death syndrome. Pediatrics, 123, e406-e410. Vennemann, M. M., Hense, H.-W., Bajanowski, T., Blair, P. S., Complojer, C., Moon, R. Y., & Kiechl-Kohlendorfer, U. (2012). Bedsharing and the risk of sudden infant death syndrome: Can we resolve the debate Journal of Pediatrics, 160, 44-48. New WHO Report on Reducing Maternal and Newborn Deaths The World Health Organization (WHO) has just released its document, Essential Interventions, Commodities and Guidelines for Reproductive, Maternal, Newborn and Child Health. This global consensus outlines 56 essential interventions to be used by health care workers and communities to significantly reduce the risk for death of mothers, infants, and children. Among the recommendations on essential interventions for newborns, skin-to-skin care and breastfeeding in the first hour are listed at the top. Although the primary target audience for this study is decision-makers in low- and middleincome countries, the recommendations are best practices suitable for all communities. This new document is another excellent reference for IBCLCs and other health professionals seeking to build and retain lactation services in hospital, clinic, and community settings. The document can be at http://www.who.int/pmnch/topics/part_publications/201112_essential_interventions/en/index.html 12 Clinical Lactation 2012, Vol. 3-1
Working with Families of Different Cultures I Lessons Learned Share this: Jeanette Panchula BSW, RN, PHN, IBCLC, RLC 1 The Code of Professional Conduct for IBCLCs states that an IBCLC must “Provide care to meet clients’ individual needs that is culturally appropriate and informed by the best available evidence.” IBCLCs must not only have knowledge that will help a mother breastfeed. They must also have the skill to help her to discern the best solution for her situation. The ability to communicate with clients does not necessarily mean learning “everything there is to know” about their culture. Rather, it means learning the basis for the mothers’ beliefs and actions. Keywords: Breastfeeding support, ethnic-group differences, cultural competence Clinical Lactation, 2012, Vol. 3-1, 13-15 Looking back on 26 years as an IBCLC, and 36 years as a La Leche League Leader, I cannot imagine a more exciting, awe-inspiring, frustrating, and worthwhile career. I was raised in a multigenerational, bicultural, and bilingual household and city, San Juan, Puerto Rico. In San Juan, people of many different socioeconomic groups mixed in the market, the stores, and schools. As a result, I have always been comfortable with a variety of accents, beliefs, and ways of life. The concept that there is only one way—the way “I” was raised—was truly never expressed or taught to me. In fact, as a small child, I asked a nice man who was walking right by my porch: “¿Por qué tu eres tan negro” [Why are you so black]. Without missing a beat, he answered: “Porque estoy mucho al sol.” [Because I am in the sun a lot.] That was the only education I received about race or skin color, as my parents did not believe it was an issue that I needed to be concerned with. It was only when a TV arrived in my home, and I saw horrible actions of others in the southern areas of the U.S. that I learned why my father would not move back to the U.S. with his dark-skinned Puerto Rican wife, and very light‐skinned (unless I spent a lot of time in the sun) daughter. When I lived in St. Louis in the 80s with my own children, husband, and mother (she lived with us for 25 years)—I did experience how sales clerks and others “assumed” my mother was my maid. This preface is an explanation of why and how I arrived at the philosophy 1 jeanette.panchula@sbcglobal.net that I continue to practice today: All humans are different. All humans have their own story to tell. You cannot look at them and assume you know anything about them. You have to ask. Assumption: Father is not involved/ interested. You go into a hospital room, and you see a mother in the bed trying to breastfeed. She has a scarf over her head, keeping the hair out of her eyes as she works, and works at trying to get the baby on “right.” She is frustrated and worried. Her husband is on the other side of the curtain, at times reading a book, at times speaking to her, urging her to “try this” or “try that.” Then he goes back to reading. Fact: Mom and dad are practicing orthodox Jews. Her head is covered as she should during the period that she is bleeding. She is untouchable at this time, and her husband is following strictly the instructions that he must not look at his wife’s body during this time. Actions: I stand in a location that allows both mother and father to see me. I use a doll to demonstrate positioning to both (this is prior to Biological Nurturing®). We then discuss how the father can help his wife by identifying where she can sit and be comfortable, what pillows she may need, what foods are comforting to her, and how to burp and change the baby. He was so relieved to know that he could do something instead of being vilified as an uninterested or demanding jerk. How did we get there By my asking: Can you tell me what you need What are your concerns What help will © 2012 United States Lactation Consultant Association 13
Page 1 and 2: March 2012, Vol. 3, Issue 1 Print I
Page 3 and 4: International Lactation Consultant
Page 5 and 6: Table of Contents 9 “Don’t Slee
Page 7 and 8: Editor-in-Chief Kathleen Kendall-Ta
Page 9 and 10: “Don’t Sleep with Big Knives”
Page 11: precisely the point. There needs to
Page 15 and 16: primarily Hispanic mothers had excl
Page 17 and 18: through a variety of experiences. I
Page 19 and 20: time to really listen, think the so
Page 21 and 22: The Nutritional Adequacy of Infant
Page 23 and 24: now categorise food in terms of its
Page 25 and 26: So long as feeding with infant form
Page 27 and 28: three weeks, two months, and four m
Page 29 and 30: Diane Powers, BA, IBCLC, RLC, is a
Page 31 and 32: anyway. But those who are dependent
Page 33 and 34: Rats are often used to study how ma
Page 35 and 36: For Further Reading Blum, D. (2002)
Page 37 and 38: the American Academy of Pediatrics
Page 39 and 40: Marketing via the Web and Social Me
Page 41 and 42: The California Maternal Quality Car
Page 43 and 44: To see more of our books and order

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