自我增值﹣為成功餵哺母乳作準備

懷孕了嗎?想餵母乳?

能成功餵哺母乳的媽媽們,常見的共通點,就是有充份的學習及準備。

試想在今天以奶粉餵哺為主的社會,我們能認識多少個全母乳媽媽?你又有多少次親眼目睹餵母乳的情景?

我們大家都知道母乳餵哺對寶寶很重要,所以妳決心想餵母乳,但妳又會如何去學習?

在日常生活上,我們難以從身邊的親友學習到哺乳之道,坊間亦充斥著以母乳為名,賣奶粉廣告為實的母乳班。加上客觀環境不支援,媽媽們常遇困難。

既然充份學習是成功者的共通點,參加有質素的母乳課程,是為妳準備日後成功餵哺的第一步。

母乳餵哺是藝術也是科學,因此除了技術性知識,也要了解實際的哺乳生活。餵哺的藝術,總要透過多方面的了解及學習才能掌握。

參加工作坊自我增值

參加【全母乳工作坊】自選課程,除了能對母乳餵哺有詳盡及正確的認識,也可以了解哺乳生活的實況。課程分五個單元,可以因應自己的需要,報讀一個或多個單元。課程由哺乳專家「國際哺乳顧問IBCLC」主講,除了確保內容充實及正確,也能分享到多年來其他媽媽們的實際經驗,讓妳學習如何把母乳餵哺融入生活。

課程適合孕婦或新手媽媽參加,能與家人一起參加更好。

母乳餵哺對寶寶長遠健康及心智發展都有重大影響,所以必須作好準備。尤其在懷孕期間,是最佳時機去學習,現在報名,更有機會免費獲贈禮品,請立即參考【全母乳工作坊】自選課程的詳細資料。

新消息:免費母乳講座

為支持及推廣母乳餵哺,本中心將與不同機構合辦免費母乳講座。

如果妳懷孕或打算生育,都是好時機去了解及學習有關母乳餵哺的知識。在香港現今約有八成產婦在醫院都有嘗試餵母乳,但能持續全母乳餵哺的只有很少數,在一百個人當中,就只有不足三人能持續餵哺至一歲,妳又如何能擠身成為這少數成功之列?

母乳餵哺對寶寶及媽媽都很重要,不單有助短期及長期健康,更可加強親子關係,建立互信及安全感。為寶寶的成長奠定穩固基礎。

在三月份將有兩場免費講座,由「國際哺乳顧問IBCLC」林茵怡主講,而且所有講學不接受奶粉商贊助,與部份坊間的講座不同,確保內容正確獨立及專業。

講座題為:「母乳餵哺成功第一步﹣﹣產前準備」,適合孕婦,新手媽媽,及有興趣人士參加,費用全免。

詳情參考免費講座

南華早報文章:New mothers should seek help from professionals if they want to breastfeed – by Heidi Lam

星期日南華早報 (4 Mar 12) 刊登了Heidi Lam的一篇文章,回應之前報導有關餵母乳的困難。文章題為:New mothers should seek help from professionals if they want to breastfeed. Heidi 指出,儘管在香港餵哺母乳有不少阻力,但仍有很多成功餵哺母乳的例子,包括全職媽媽及上班媽媽,而她們都有一些共通的特徵,值得我們借鏡。詳情參閱文章剪報原文,或看以下的轉載。

本文章是回應一篇之前的報導,題為:Before babies hit the bottle — Despite good intentions, nursing mothers in Hong Kong are held back by a lack of support. 報導指很多媽媽都難於持續餵母乳。詳情參考原文

In response to an earlier report on breastfeeding obstacles, Sunday Morning Post (4 Mar 12) published an article by Heidi Lam, titled: New mothers should seek help from professionals if they want to breastfeed. Heidi said despite obstacles, there are many mothers who are successful in breastfeeding, including full time mothers and workings mothers.  And they have common traits. For details please see the article, original newspaper clipping, or the post below.

Heidi’s article is published in response to an earlier report titled: Before babies hit the bottle — Despite good intentions, nursing mothers in Hong Kong are held back by a lack of support. See the original report.

(以下是Heidi的文章。Below is the article by Heidi.)

**********************************************************************

Published in Sunday Morning Post on Mar 04, 2012

New mothers should seek help from professionals if they want to breastfeed

I am writing refer to the article by Vanessa Yung (“Before babies hit the

bottle”, February 26).

Many mothers in Hong Kong experience difficulties with breastfeeding,

and even though most of them try to breastfeed in hospital after giving

birth, most fail to continue. The article rightly mentions a number of

obstacles. But how about those who are successful, how can they do it?

In my years of counselling mothers (as a certified lactation consultant), I

have seen many cases of successful breastfeeding. There are full-time

mothers, working mothers and those who work part-time who are all

breastfeeding. Those who have to work will pump their milk during

separation and nurse when they are back home.

These successful mothers have common traits.

First of all, they are determined and they never gave up.

They did their homework before giving birth to learn more about

breastfeeding and so they were knowledgeable. They attended classes,

joined meetings and talked to other breastfeeding mothers so they could

understand real-life situations.

Also, whenever they faced challenges they asked for help.

Breastfeeding problems can often be fixed if you ask for help from

experienced counsellors or professionals. There are volunteers who are

willing to help and lactation consultants who are professionals.

I would like to stress the importance of learning breastfeeding and

getting well prepared before birth. In Hong Kong, bottle-feeding

dominates and the breastfeeding culture is weak, so how can new

mothers be expected to know how to breastfeed and look after a

breastfed baby if they never see anyone doing it?

How many times do readers see a mother breastfeeding in Hong Kong?

New mothers should learn from reliable sources and get to know

breastfeeding mothers.

They should avoid breastfeeding seminars run by formula companies,

which lure mothers with free gifts. Not only is that against the

International Code of Marketing of Breastmilk Substitutes, their purpose

is to get women to bottle-feed.

Before we can get more maternity leave, nursing rooms, and better

support, it is up to mothers to improve the breastfeeding rate. If they are

determined they can make a change.

Heidi Lam, Discovery Bay

Copyright © 2012 South China Morning Post Publishers Ltd. All right reserved

自然哺育新技巧研討會

林茵怡將應邀出席「香港母乳育嬰協會」之會員活動,主講「自然哺育新技巧研討會」。

哺乳類動物世界裹,小動物出世後都懂得自己去哺乳,那我們的寶寶出生後,又是否可以自然地哺乳?我們過去學習過不同的哺乳姿勢,含乳方法,多數以媽媽為主導,但最新研究發現有一些姿勢與哺乳方式,可以令母嬰自然地展開母乳餵哺,使母乳餵哺更順利。本研討旨在與您探討最新的哺乳技巧,以及如何把哺乳看成為很自然的事,讓媽媽寶寶可以享受哺乳之樂,加強親子關係。

日期: 2012年4月28日(星期六)
時間: 下午2:00-4:00(研討會) 下午4:00-5:00(周年大會)

地點: 北角 福蔭道 7號 銅鑼灣社區會堂 會議室﹝近炮台山地鐵站﹞

研討會主講: 國際哺乳顧問﹝IBCLC﹞林茵怡女士
研討會內容:

  • 產前產後如何令母乳餵哺自然發生
  • 最新哺乳姿勢及方式
  • 討論:母乳餵哺如何有助親子?
  • 問答時間

本活動歡迎香港母乳育嬰協會之會員參加。詳情參考網該會網站

Heidi接受電台訪問詳談母乳餵哺

母乳餵哺本來是自然的事,且對媽媽寶寶的健康尤為重要,但很多媽媽都感到不容易,究竟如何能成功餵哺?母乳餵哺又有多重要?對親子關係上、靈性上,又有甚麼啟發?

網上電台House of Light @ Radiodada特別訪問了國際哺乳顧問Heidi,詳談母乳餵哺。節目主持人是House of Light 創辦人及心靈治療師Shirley Kuo,以及Raidodada之producer Boey。Shirley 本身也是母乳媽媽,所以對這次訪問特別有心得,分享了很多母乳餵哺的經驗,也探討了母乳餵哺的種種問題。

很值得懷孕媽媽及哺乳媽媽收聽。

立即收聽:http://www.radiodada.hk/#archive/light_20120223

Shirley(左), Heidi, Boey 於 Radiodada

天然樂活GoNaturalLife: 刊載林茵怡新網誌

天然樂活網站加入了新博客林茵怡,並刊載了第一篇網誌「不要放棄妳的乳房!」。

請參考天然樂活最新網誌

 

 

Risks of Informal Breastmilk Sharing versus Formula Feeding

當妳遇到哺乳上的困難,需要補奶的時,根據世界衛生組織的指引,首選是媽媽自己擠出來的母乳,其次是別人的母乳,亦即古時候的奶媽,最後是才是奶粉。但最近有些討論,私下捐贈的母乳有風險,但奶粉亦有很多風險,那如何選擇?

以下這篇文章有詳細分折。

無論如何,當遇上哺乳困難,最重要尋求協助,而在使用補奶之時,同時要有返回乳房餵哺的方案,才可讓媽媽們成功餵哺自己的孩子。

展望將來,政府應設立母乳庫,好像血庫一般,幫助有需要的寶寶。

Risks of Informal Breastmilk Sharing versus Formula Feeding.

奶粉原來不可以賣廣告

文:  林茵怡 B.So.Sci. (Hon), IBCLC  國際哺乳顧問

有沒有想過, 假如有一天,所有奶粉廣告都消失了,由報章到電視,由戶內到戶外,再沒有人向你說,吃了奶粉寶寶如何健康活潑精靈。

假如有一天,所有奶粉商贊助之宣傳活動都取消了,再沒有講座、展銷、產前班,以講母乳為名,宣傳奶粉為實。

還有奶粉商之BB會也沒有了,不再向媽媽們派樣本及贈品,不再聯絡媽媽們提議她們餵奶粉。

那一天會在哪時出現?

其實那一天, 本來早應該在三十年前出現。

原來三十年前,為保護及推廣母乳餵哺,早已禁止了奶粉賣廣告和宣傳。在1981年, 世界衞生組織和聯合國兒童基金會頒佈了《國際母乳代用品銷售守則》,規條包括:

  •  禁止向公眾作廣告宣傳母乳代用品、奶瓶及奶嘴;
  • 禁止向媽媽們提供免費樣品;
  • 禁止在醫療保健機構中推銷這些產品;
  • 禁止公司派員向媽媽們直接推銷這些產品;
  • 禁止向醫療保健工作者贈送禮品或樣品,醫療保健工作者亦不可將樣品轉送予媽媽們。

可是三十年來香港政府遟遟沒有立法執行有關《守則》,亦沒有監管,業界沒有遵守,形同虛設。所以才有今天成行成市的奶粉廣告。

有時候奶粉商辯稱,廣告只推銷6個月後的大仔奶粉,沒有違規,其實這是大話,第一,大仔奶粉例如2號、3號,包裝設計跟初生裝幾乎全完一樣,令到無論那一款廣告,都對品牌全線起推銷作用。第二,世界衛生組織清楚訂明,純母乳餵哺6個月,之後加固體食物,持續餵母乳至兩歲及以後。如此,這期間所有取締母乳的食品或飲品,包括所謂2號、3號奶粉,都成了母乳代用品,皆受規管。

其實除了奶粉,也包括所有母乳代用品,例如奶瓶奶咀,嬰兒食物及飲品,都是不容許賣廣告及作宣傳和派發樣本的。

可幸是衛生署已成立「香港母乳代用品銷售守則專責小組」,正討論如何在香港落實《守則》,可望日後情況得以改善。

我們雖然不能低估廣告的威力,但最重要,是社會大眾對母乳餵哺的支持。新手媽媽學習正確知識,相信自己作為媽媽是有哺乳本能,若遇到困難第一時間找專家協助解決。

傳媒機構,商戶網站,為支持母乳餵哺,應拒絕為母乳代用品作宣傳。

社會人士,公司機構,應鼓勵母乳餵哺,方便哺乳媽媽。

母乳不只是食物,還有很多抗體等保障成份,也是寶寶的最大安撫。母乳餵哺是孕育寶寶成長所必須的,缺乏母乳餵哺對母子皆帶來長遠健康風險,造成沉重的醫療開支負擔。

假如有一天,當所有奶粉廣告都消失了,換來了支持母乳餵哺的廣告,相信會是新一代的最大福氣。

參考資料:

愛嬰醫院香港協會, http://www.babyfriendly.org.hk/

Spatz D, Lessen R, Risk of Not Breastfeeding, ILCA, USA, 2011

(updated: Jan 2012)

© Copyright 2012 By Lam Yan Yee Heidi, B.So.Sci.(Hon), IBCLC. All Rights Reserved. 版權所有。  [Web: http://www.heidi.hk]  [Facebook: http://www.facebook.com/ibclcHeidi%5D  [Email: ibclcHeidi@gmail.com]  [Tel: (852) 93016381]

無限次添飲

文:  林茵怡 B.So.Sci. (Hon), IBCLC

記得以前,有一些餐廳,當你叫了一杯咖啡或是檸檬茶,便可以免費添飲,一杯飲完了,又重新添滿。如是者坐足一日,不斷添飲,你大可以飲足十杯八杯!

我常常跟媽媽們作比喻,餵母乳也好像免費添飲的道理!

很多時候,媽媽不清楚造奶的過程,向我訴說:已經又飲魚湯,又飲多奶茶,又找人按摩,又睡覺休息,但奶量仍然很少。

於是我問:「那妳一天共餵了多少次母乳?」

回答說:「那也怕有三四餐吧!」

乳房造奶的快慢與多少,就好像那拿著大壺咖啡的仕應一樣,如果你的咖啡一口氣飲完,便會立即添滿,如果你的咖啡仍是滿滿的,那即使你等足一天,也得不到更多咖啡。

當寶寶吃了母乳,乳房清了,又會再造奶,新造的奶吃完了,又會再造,於是乳房又滿了,那不就好像是無限次添飲?

但如果乳房愈脹,或長時間沒有餵哺,便會減慢造奶速度和產量。因為母乳內有一種稱為FIL的乳清蛋白(Feedback Inhibitor of Lactation),作用是減慢造奶的速度,當乳房積存大量母乳時,FIL 的數目多,造奶便更慢,相反乳房愈空,FIL的數目少,造奶便更快。

此外乳房內造奶的細胞是需要有泌乳激素(prolactin)來造奶的。可是乳房愈滿愈膨脹,泌乳激素愈難進入造奶的細胞,於是便會減少造奶。

因此要增加奶量,最重要是頻密地餵哺,把乳房的奶清走,如不能餵哺便要頻密擠奶。所有其他方法,魚湯也好,多奶茶也好,都只是輔助性質。

寶寶吃奶,媽媽無限次添飲,大自然原來是那麼豐足的!

(updated: Jan 2012)

© Copyright 2012 By Lam Yan Yee Heidi, B.So.Sci.(Hon), IBCLC. All Rights Reserved.  Web: http://www.heidi.hk  Email: ibclcHeidi@gmail.com Tel: (852) 93016381

【簡易母乳餵哺】之簡易帶養

文:  林茵怡 B.So.Sci. (Hon), IBCLC  國際哺乳顧問

當你的母乳寶寶在日常生活的表現,與其他奶瓶餵哺的寶寶有不同時候,可能令你感到很疑惑。因為奶瓶及奶粉餵哺很常見,一般都是按時間表定量餵哺,與母乳餵哺按寶寶需求是不同的,可是在日常生活中我們很少能夠觀察到母乳寶寶的表現。如果可以,最佳方法是接觸其他母乳媽媽,分享經驗,以下是一些帶養母乳寶寶的小貼士,與大家分享。

(一)看寶寶、不看鐘

我們常常聽到,要按寶寶的需要來餵,究竟如何去做?有些寶寶會吃得很密,有些吃得較疏,有的吃得較定時,有的時疏時密,所以餵哺母乳不能按時間去餵,而是看著寶寶,按其需要去餵。

要滿足寶寶的需要,確保吃得足及得到安撫,便要多抱寶寶,常常在一起,隨時留意著,寶寶一出現索食訊息,或需要安撫,便立即去餵,即使5分鐘前已餵過,也可以再餵。每個寶寶都有自己的個性,就只有媽媽自己才最清楚知道寶寶的需要。

(二)不知道入,卻知道出

寶寶在乳房吃奶,怎知道吃了多少,是否足夠?有些媽媽因此擠奶出來,放在奶瓶吃,看看吃多少。原來要看寶寶是否吃得足,不是看吃了多少奶,而是要看有多少大小便。有入,便有出!就是這麼簡單!觀察大小便片的數量,加上每月有適量增重,便可確保吃得足。只要按需求餵哺,寶寶能調節他所需要的食量。

(三)食完不一定會瞓

很多媽媽會因為寶寶吃完不睡,或常哭鬧,便以為自己奶量不足,因而不必要地加了奶粉。「吃飽就瞓、瞓飽就吃」是個不設實際的預期。奶粉因為難消化,有些寶寶會因此好像睡多了,其實是浪費了太多能量去消化這些難消化的食物,這並不是健康的。而母乳易消化易吸收,寶寶有充足能量,自然比較活躍精靈。

(四)沒有必要戒夜奶

這只是奶瓶餵哺的副產品。寶寶在頭一年發育相當快,尤其是腦部發育,在一歲時腦部比出生時重一倍,所以常常都要補充能量,而且母乳易消化易吸收,夜奶能夠讓寶寶吃得足,確保健康發育。不要看輕夜奶,這期間食量可以是全日的百份之二十。

(五)寶寶哭啼不一定是餓

當然,寶寶餓了總會是哭個不停,但除了因為肚子餓,其他無數原因都會令寶寶哭。例如太冷太熱、太嘈太靜、受驚、不舒服、寂寞、想媽媽抱等等。父母經過一些時間,慢慢便明白哭聲背後的意思。因為寶寶的哭聲是他與別人溝通的語言,是寶寶獨特的語言。他以哭聲來說話,父母以行動來回應,便是學習人與人之間互相溝通的第一課。

(updated: Jan 2012)

© Copyright 2012 By Lam Yan Yee Heidi, B.So.Sci.(Hon), IBCLC. All Rights Reserved.  Web: http://www.heidi.hk  Email: ibclcHeidi@gmail.com Tel: (852) 93016381

【產前全母乳工作坊】由Lactation Consultant主講

如果妳正懷孕,現在是最佳時機學習母乳餵哺的知識,十足準備,百份百份母乳。

很多新手媽媽都想餵母乳,但到寶寶出生後,才發覺面對種種難題,在醫院得不到足夠支援,開始餵母乳時不順利,回到家後更困難。

加上今時今日,我們的身邊沒有太多親友是全母乳餵哺,很難親眼看到全母乳餵哺的生活是怎樣的,令到支援缺乏。

這個課程由「國際哺乳顧問IBCLC」(Lactation Consultant)林茵怡主講,以互動形式,全面講解母乳餵哺的正確及最新知識,並有充份實習。林茵怡是哺乳專家,本身亦是全母乳餵哺的媽媽,育有兩名女兒,同時是「國際母乳會」的「哺乳輔導」,多年來協助無數媽媽餵哺母乳。

【產前全母乳工作坊】特別加設分享環節,邀請其他全母乳媽媽們親自分享餵母乳心得,學員可以與媽媽們交流,深入了解餵母乳的實況。

工作坊以小組形式上課,歡迎孕婦連同丈夫或家人參加,共三堂9小時,是城中最詳盡的母乳餵哺產前班。課程將於2012年1月21日(星期六)開課。有關課程內容請參考產前班

報名:2815 9900

母乳餵哺講座:【為成功餵哺母乳作準備】

母乳餵哺講座:【為成功餵哺母乳作準備】

如妳正懷孕,或計劃生育,這個講座有助妳踏出成功餵哺第一步。
如妳是經驗媽媽,也歡迎參加,可以在討論環節分享妳的經驗。
母乳餵哺文化在香港仍未普及,我們身邊沒有太多全母乳餵哺的親友可以分享經驗。所以希望透過本講座,來推動母乳餵哺。
成功餵哺母乳是需要作準備的,歡迎媽媽們帶丈夫或家人一同參與。講座加設討論環節,探討有關母乳餵哺似是而非的問題,為大家解開疑團。請即報名參加!

講座內容:
﹣ 分娩過程對母乳餵哺的影響
﹣ 產前如何準備母乳餵哺
﹣ 討論:母乳餵哺之謬誤與事實
﹣ 問答時間

If you are pregnant or planning for a baby, this talk leads you a step forward to successful breastfeeding.
Breastfeeding mothers are also welcomed to share your experiences during discussion.
In Hong Kong, breastfeeding culture is limited and we can hardly have too many friends and relatives that are exclusive breastfeeding. Through this talk, we aim to promote breastfeeding and to provide useful information.
We understand that successful breastfeeding need preparation. Please bring along your husband or family who will be a great support for mothers. Beside a presentation, we also have a discussion session which will talk about the myths and facts of breastfeeding. Seats limited so please register now.

Content of Talk:
– The influence of birth on breastfeeding
– How to prepare for breastfeeding antenatally
– Discussion: Myths and facts of breastfeeding
– Questions and Answer

詳情及報名:

日期:2011年12月17日 (星期六)
時間:2:00-4:00pm (2小時)
費用:每位收費$100 (接受到場付款)
地點:香港上環文咸東街135 號1905室,黃偉德自然醫學中心

報名留座:電郵info@gentlemedicine(請留下姓名,聯絡電話)
或 致電 2815 9900 (無人接聽,請即留言)

Baby’s Journey from Sterile to Germs

By Heidi Lam, B.So.Sci(Hon), IBCLC

We are living in a world full of microorganism like bacteria, virus and fungi. Even varies part of the human body have bacteria, like the skin, gut, and mucosal membranes.  They are needed for a normal life.  When we look closely into the immunology of breast milk, we will be amazed how Mother Nature intends to protect our offsprings to sustain a world full of bacteria.

 Born Naturally from Sterile to Germs

Baby lives in a sterile environment inside the mother’s womb, well nourished, protected and germs free. Suddenly, one day, the baby is born right next to mother’s anus, where you will expect plenty of bacteria.

Then the baby is put on to the mother’s body for skin-to-skin contact.  He touches and licks the mother’s skin, contacting bacteria there.

So what would happen to all those germs?

These are actually normal bacteria that will colonized the baby’s skin, gut and varies mucosal membranes, namely microflora.  The microflora will prevent the growth of dangerous bacteria by competing them for nutrients and space.

In the baby’s gut, the normal bacteria flora will compose of more “good” bacteria like Bifidobacteria and Lactobacilli, and less “bad” ones such as E. coli and Staphylococcus aureus.

However, babies are born very immature comparing to other mammals.  All their body systems are still developing.  The epithelium lining of infant’s gut is not yet intact, meaning germs and antigens may get through the “holes” of the “leaky gut” and goes into the blood stream and body tissues.

If that happens, a war will rise between the bacteria and the baby’s still immature immune system! The baby will defense his body against the “invader” and starts a series of reaction, namely infection.  This will cause inflammation, tissue damage, clinical symptoms and high energy cost.

To put it plainly, the baby gets sick.

He needs to use a lot of his energy to fight the war, and normal growth and development is compromised.

Breast Milk Defenses

This sounds a bit scary. So let’s go back to the newborn at the mother’s chest after birth.

He moves and searches and touches his mother’s nipple by his tiny hand.  After some efforts his mouth finds the nipple!  He latches on easily and gets colostrum in reward.

As you can see now, having contact with all the germs right after birth, the baby has a far greater need for immunological protection than for nutrition in the early days.

Mother nature is well aware of this too! The quantity of colostrum is low, but it has a high concentration of a major protein component called SlgA antibodies.

SlgA antibodies in breast milk are specific to mother’s bacteria in the gut. Can you see now how lucky that baby is born next to mother’s anus, so that he gets the same bacteria of his mother, which the SlgA antibodies are targeting to.

One important function of SlgA is to protect against the “bad” bacteria that colonized the newborn’s gut.  SlgA antibodies will bind the specific microorganism, so that they cannot attach to baby’s mucosal membrane, thus avoiding infection.  SlgA also support the development of baby’s own immune system.

 Varies components works together

Other breast milk protein components also work together with SlgA to protect the baby.  Lactoferrin kills bacteria, virus and fungi, while Lysozyme, working with Lactoferrin and SlgA will attack E. coli.

Moreover, carbohydrates call oligosaccharides will act as food for the “good” bacteria and enhance the growth of bifidobacteria and lactoobacilli.  More “good” bacteria in the gut means less space and food the “bad” pathogenic bacteria to grow.  Oligosaccharides will also catch and sweep the bacteria from the intestine and urinary tract and get excreted.

Now, what a good news to the baby’s still mature immune system.  Mother’s breast milk defenses.  Breast milk get rids of the enemies before they can go into the blood stream and tissue.  Infection is avoided and the baby does not need to react with inflammation, tissue damage, clinical symptoms, nor to lose energy.  War is relieved!

 Importance of normal gut bacteria

This first contact of mother’s bacteria, together with the defense of breast milk, is a good education for the baby’s immune system. The normal bacterial colonization in baby’s gut significantly stimulates the growth of his immune system.  It learns how to defend the baby from infection. It also learns not to react to normal substance such as food or pollen, which may otherwise induce allergic reactions.

These lessons are learned in a safe and energy saving way.  Now the baby can use his energy for optimal growth and development.

What a happy and healthy breast-fed baby mother nature has intended!

 Risk when against the nature

Now lets consider another scenario.

Baby was born via cesarean section.  He did not contact mother’s gut flora near the anus. He was then separated with mother for hospital procedures while mother being sewed up.  The baby was handled by varies hospital staffs, other than his mother and father.  He came in contact with the bacteria of other people’s skin and hospital environment.

After two hours, baby was brought to the mother to nurse. However, the most alert timing for the baby after birth is passed, and he seemed to be very sleepy.  He latched briefly and went to sleep.  Mother was in pain and baby was kept in the nursery.  Every 3-4 hours the nurse would bring the baby to the mother but breastfeeding did not go smoothly.  After trying for a few times, the baby started formula.

Since baby did not develop the normal gut and skin flora as his mother did, he had a different bacterial colonization.   He also contacted germs of other people, which he may not have those specific SlgA antibodies from colostrum to fight for.  With early start of artificial feeding, he do not have the supply of necessary SlgA and other factors to promote a growth of “good” bacteria in the gut, nor to help killing and blocking out pathogenic bacteria.  Since his immune system was still immature, when some bacteria was able to attach to the mucosa in the gut or urinary tract, so unfortunately, infection occured.

The baby then had to fight a war between his immature immune system and the germs. He had inflammation, tissue damage, energy loss and clinical symptoms.

He was then prescribed antibiotic.  However antibiotic treatment has a strong effect on the gut microflora.  It promotes the growth of some “bad” bacteria like Klebsiella and Enterobacter, risking for more serious illness. Antibiotic may also suppress the growth of some “good” bacteria, risking the colonization of disease causing bacteria.

Furthermore, cows milk protein is a common allergen.  It may, leak through the immature “leaky gut” and goes into the blood stream, which then cause a series of allergic reaction.

This tragic condition does sound very familar!  How many times we see baby get sick early on and having allergic reactions?

By looking into the different scenarios, we can see breastfeeding is a natural way to protect our babies and allow him to have a normal and healthy growth and development.

Starts skin-to-skin contact with baby after birth and goes on to breastfeeding is the key!

{End}

Reference:

Hanson Lars A., Immunobiology of Human Milk: How Breastfeeding Protects Babies, 2004, Sweden, Pharmasoft Publishing.

(updated: Nov 2011)

© Copyright 2011 Lam Yan Yee Heidi.  All rights reserved. No reprint or upload in any format and in any media without permission. Enquiries or reprint permission contact Heidi. Email: ibclcHeidi@gmail.com Tel:(852) 9301 6381

全母乳餵養簡易計劃

懷孕了!全完明白全母乳的重要性,下決心要成功餵哺!那就來一個簡易計劃。

 (一)全母乳Friends

學習母乳餵哺最佳的方法,就是盡早開始接觸全母乳餵哺的親友,分享經驗,互相鼓勵,使母乳餵哺成為生活的一部份,對母乳餵哺有符合現實的預期。

 (二)在醫院有個好開始

產後立即皮膚接觸,開始餵哺,之後頻密餵哺,全母乳而不加奶粉。

 (三)出院後按寶寶的需要頻密地餵

 (四)遇上難題愈早找支援,愈容易處理

母乳餵哺是簡單自然的事,寶寶天生就會吃奶,媽媽亦有照顧寶寶的本能。但如果從沒有見過別人餵母乳,身邊沒有全母乳親友,那真有點困難。這時候做做功課,參加母乳班或閱讀母乳資訊,必有所得益。

全母乳顧問中心」的網站陸續有資訊更新,可以作一站式支援,有「產前全母乳工作坊」,「母乳餵哺諮詢服務」,及母乳資訊等,成就妳當母乳媽媽。

文:林茵怡B.So.Sci.(Hon), IBCLC

(updated: Nov 2011)

© Copyright 2011 By Lam Yan Yee Heidi, B.So.Sci.(Hon), IBCLC. All Rights Reserved.  Web: http://www.heidi.hk  Email: ibclcHeidi@gmail.com Tel: (852) 93016381

奶粉與香煙?

文:林茵怡  B.So.Sci.(Hon), IBCLC  國際哺乳顧問

我們常聽到把母乳跟奶粉作比較,母乳怎樣怎樣好,奶粉如何如何差。

原來問題的焦點都放錯了!當兩件事物相差太遠時,互相比較已失去意義。

今天我們轉一個角度看問題,比一比奶粉與香煙,看看有甚麼相似,有甚麼不同。作了比較,竟然有意外發現!

先看主要不同之處:

香煙不能維持生命。

而當媽媽不能餵母乳、不能擠奶、沒有奶媽、沒有捐贈者的母乳時,奶粉是僅能維持生命及成長的最後選擇。

相似之處:

(一)危害健康

吸煙危害健康:引致十種癌症,四種心血管病,兩種呼吸道病、嬰幼兒及青年呼吸道病,不育等等(1)。

奶粉危害健康:增加嬰兒死亡率及發病率,多種感染,過重、癌症、較低IQ等等、增加母親短期及長期健康風險如高血壓、糖尿病、乳癌等等(2)。

(二)公眾衛生課題

兩者都是影响公眾健康,增加疾病,引致龐大醫療開支。

(三)被禁止賣廣告

根據1982年《 吸 煙 ( 公 眾 衞 生 ) 條 例 》 ( 第 371 章 ),香港禁止煙草廣告。

根據1981年「世界衛生組織」及「聯合國兒童基金會」頒佈的《國際母乳代用品銷售守則》,禁止母乳代用品向公眾作廣告宣傳。但可惜香港政府沒有執行。

(四)長期依賴

吸煙會上癮,不容易戒、長期依賴。

奶粉雖然不會上癮,但容易愈吃愈多,不容易戒、長期依賴。

(五)二手影响

二手煙同樣危害他人健康。

寶寶吃奶粉,媽媽缺乏餵哺母乳,同樣增加健康風險。

(六)生金蛋的商品

不用解釋吧!這些種種問題,都可歸納為一個字:錢。

當下次看到奶粉廣告的甜言蜜語時,會否聯想到奶粉與香煙的關係?

<完>

參考:

(1) 2004 Surgeon General’s Report—The Health Consequences of Smoking

(2) Spatz D, Lessen R, Risk of Not Breastfeeding, ILCA, USA, 2011

(updated: Nov 2011)

© Copyright 2011 By Lam Yan Yee Heidi, B.So.Sci.(Hon), IBCLC. All Rights Reserved.  Web: http://www.heidi.hk  Email: ibclcHeidi@gmail.com Tel: (852) 93016381

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