大誤會!母乳沒有好處?

文:  林茵怡 B.So.Sci. (Hon), IBCLC 國際哺乳顧問

難以致信,此話何解?

我們常常聽到母乳最好,Breast is Best的言論,人所共知。但有否想到這原來是一個大誤會?

好像我們每天都要呼吸清新空氣聞,並不是因為空氣最好,我們才去吸,這只是基本需要,理所當然的事情。

我們會說,吸煙危害健康,我們又會監測空氣汚染指數,因為大家都知道,缺乏了清新空氣是不得了的事情。

所以清新空氣是正常的標準,污染的空氣是標準以下,是差的。如果把清新空氣定為最好,汚染空氣定為正常,那可沒有道理了。

母乳餵哺亦然, 寶寶天生是要吃母乳的,不是因為母乳好,而只是正常的事情。試問大自然界的動物們,是否因為母乳最好才餵自己的母乳,而不餵其他動物的奶?

如果把母乳餵哺宣傳成最好的、超級的, 無形中,奶粉奶瓶便成為了正常及尚可以的位置了。這真是個大誤會!

再者,有誰能常常做到最好?得到最好的事物?我和您都是普通人,又不是超人,那麼,普普通通餵奶粉也可以了吧!又一個大誤會!

母乳餵哺正常化

看!母乳餵哺不是最好,這只是正常的餵哺方式。而奶瓶及奶粉餵哺都是不正常,而且會帶來害處,是差的。說出來真的很難聽,但這卻是事實。

母乳餵哺要普及,需重新定位:母乳餵哺是正常和必須的。

我們要了解的,不是母乳的好處,而是母乳的重要性。因為缺乏母乳餵哺會帶來各種害處,對母親對嬰孩都有負面影響。

所以,如果您想推動母乳餵哺,請齊來把母乳餵哺正常化,把母乳餵哺看成自然的事,日常生活的一部份。餵母乳不需要超級媽媽,任何一位普通媽媽都可以餵母乳的!因為我們都是哺乳類動物啊!

© Copyright 2013 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]

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十月、 十一月免費母乳餵哺講座

很多新手媽媽對餵哺母乳的心態,都是餵到就餵,亦即是說,餵不到就餵奶粉了。

那甚麼是餵到?甚麼是餵不到?

現今全母乳餵哺的人都是少數,我們既然都是哺乳類動動,為甚麼會出現餵不到的情況?

是否真的是餵到和餵不到?還是肯去餵和不肯去餵?或是選擇尋求支援還是放棄了事?

母乳餵哺的重要性往往比妳想像中更大,可是大眾對母乳餵哺認識往往很淺,對奶粉的害處亦全然不知。

如果妳想知道更多母乳餵哺,請即參加「全母乳免費講座」。

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

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]

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