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Megan and Frances interview Karen about her new book, Why Mixed Feeding Matters, published by Pinter & Martin in September 2023.
The book is packed with useful information for different approaches to feeding your baby, including breastfeeding, expressing and using formula - and crucially covers how to manage using more than one method of feeding. With a guest chapter on mixed feeding twins and multiples by Janet Rimmer, and a chapter on mixed feeding premature or sick babies, it's a comprehensive guide for parents and health professionals.
Breastfeeding helplines:
NCT 0300 3300 700 option 1, open 8am-midnight, 365 days a year.
Association of Breastfeeding Mothers 0300 330 5453 (9.30am -10.30pm)
National Breastfeeding Helpline 0300 100 0212
La Leche League 0354 120 2918 8am-11pm
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Naomi Stadlen books: Why Grandmothers Matter, and What Mothers Do (Especially when it looks like nothing)
Papers:
Srisopa, P., Walsh, S., Amoo, T., Gyamfi, A., Henderson, W. A., & Lucas, R. (2022). Relationship Between Feeders and Exclusive Breastfeeding and Mixed Feeding During the First Month of Life. Advances in neonatal care : official journal of the National Association of Neonatal Nurses. https://doi.org/10.1097/ANC.0000000000001020
Davidson, E. L., & Ollerton, R. L. (2020). Partner behaviours improving breastfeeding outcomes: An integrative review. Women and Birth, 33(1), e15-e23. https://doi.org/https://doi.org/10.1016/j.wombi.2019.05.010
Atkinson, L., Silverio, S. A., Bick, D., & Fallon, V. (2021). Relationships between paternal attitudes, paternal involvement, and infant-feeding outcomes: Mixed-methods findings from a global on-line survey of English-speaking fathers. Maternal and Child Nutrition, 17, Article e13147. https://doi.org/10.1111/mcn.13147
Grassley, J., & Eschiti, V. (2008). Grandmother Breastfeeding Support: What Do Mothers Need and Want? Birth, 35(4), 329-335. https://doi.org/https://doi.org/10.1111/j.1523-536X.2008.00260.x
Lok, K. Y. W., Bai, D. L., & Tarrant, M. (2017). Family members’ infant feeding preferences, maternal breastfeeding exposures and exclusive breastfeeding intentions. Midwifery, 53, 49-54.
From DOI: 10.1111/mcn.12337
Rempel et al 2017
This is a list of things that have been found to always be helpful in terms of support from partners:
Table 1. Partner breastfeeding influence scale subscales
Responsiveness Cronbach’s alphas: men = 0.77, women = 0.76
Make it easy for your partner to breastfeed while entertaining company or visiting others.
Respond sensitively and positively to sexual issues.
Be patient and understanding of the time it takes to breastfeed and don’t get upset if the other housework is not done.
Show your comfort with breastfeeding in public and help her feel comfortable too.
Pay attention to how much and how your partner wants you to participate in breastfeeding.
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Fehlende Folgen?
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First steps nutrition website https://www.firststepsnutrition.org/
Tim Spector https://tim-spector.co.uk/
Emma Pickett’s book Breastfeeding Older Children
Chris van Tulleken’s book - Ultraprocessed people: why do we all eat stuff that isn’t food… and why can’t we stop
Kimberley Wilson book? - Unprocessed: how the food we eat is fueling the mental health crisis?
Bf and medication - BfN website https://www.breastfeedingnetwork.org.uk/drugs-factsheets/
https://breastfeeding-and-medication.co.uk/
NCT Feeding line 0300 33 00 700 option 1
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Karen, Frances and Megan discuss the new ABM Mastitis Protocol.
This is the protocol: https://www.bfmed.org/assets/ABM%20Protocol%20%2336.pdf
https://pubmed.ncbi.nlm.nih.gov/27820535/ (Cabbage leaves)
https://cks.nice.org.uk/topics/mastitis-breast-abscess/
https://sarahoakleylactation.co.uk/wp-content/uploads/2023/03/mastitis-1.pdf
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Featuring Kathryn Stagg IBCLC, author of Breastfeeding Twins and Triplets
https://www.aims.org.uk/journal/index/29/4
https://www.basisonline.org.uk/twins/
https://twinstrust.org/
https://breastfeedingtwinsandtriplets.co.uk/
https://www.facebook.com/BfTwinsUk
https://www.nice.org.uk/guidance/ng137
https://www.aims.org.uk/journal/item/youre-expecting-twins
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Brown, A. (2019) Informed is best. London: Pinter & Martin https://pinterandmartin.com/informed-is-best
Maxwell, C et al (2022) ‘Why have a bottle when you can have draught? Exploring bottle refusal by breastfed babies’ Matern Child Nutr. 2023;e13481. DOI: 10.1111/mcn.13481 Available from: https://onlinelibrary.wiley.com/doi/epdf/10.1111/mcn.13481
Flint, A et al (2016) ‘Cup feeding versus other forms of supplemental enteral feeding for newborn infants unable to fully breastfeed’ Cochrane Database of Systematic Reviews, 3, CD005092. Available at: https://doi.org/10.1002/14651858.CD005092.pub3
Chris van Tulleken youtube talk: https://www.youtube.com/watch?v=iLJrM3LALeU
https://www.youtube.com/watch?v=THRNOTDe2WM
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Basisonline, a website run by the University of Durham sleep lab containing evidence-based research on babies sleep - https://www.basisonline.org.uk/
The evidence on the effect of how a baby is fed and sleep - https://www.basisonline.org.uk/hcp-sleep-and-feeding-method/
Paced bottle feeding video:
https://www.emmapickettbreastfeedingsupport.com/twitter-and-blog/giving-a-breastfed-baby-their-first-bottle
Helplines
NCT - 0300 330 0700 option 1 8am - midnight
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Megan, Frances and Karen present a live talk at Breastival NI, entitled "Preparing for your new baby." Lots of tips and useful information for you if you're just getting started in parenthood!
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Megan, Karen and Frances explore questions around what affects the quality and composition of breastmilk, and whether redheads can breastfeed.
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Your rights when you return to work: https://maternityaction.org.uk/advice/continuing-to-breastfeed-when-you-return-to-work/
HSE website: https://www.hse.gov.uk/mothers/employer/rest-breastfeeding-at-work.htm
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In this episode, we’re talking about the subject of feeding older babies, with former chair of the Association of Breastfeeding Mothers, Emma Pickett
Emma’s book Supporting Breastfeeding Past the First Six Months and Beyond Is available now for pre-order, and will be published on 21st April 2022, and her publisher Jessica Kingsley Publishers are currently offering a discount using the code TBSEP15% 28th March to 31st July on their website jkp.com
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What to do if your baby is choking: https://www.youtube.com/watch?v=oswDpwzbAV8
What does gagging look like: https://youtu.be/uRrbZuP-pjk
Start4Life Introducing Solid Foods booklet [pdf]: https://www.unicef.org.uk/babyfriendly/wp-content/uploads/sites/2/2008/02/Start4Life-Introducing-Solid-Foods-2015.pdf
First Steps Nutrition - Eating well: the first year A guide to introducing solids and eating well up to baby's first birthday [pdf]: https://www.firststepsnutrition.org/s/Eating_well_the_first_year_June_20_for_web.pdf
NCT Introducing Solids Workshop: https://www.nct.org.uk/courses-workshops/nct-introducing-solid-foods-workshop
NCT Baby First Aid Course: https://www.nct.org.uk/local-activities-meet-ups/baby-first-aid
Gill Rapley Baby Led Weaning website: http://www.rapleyweaning.com/
Book: Why Starting Solids Matters, by Amy Brown: https://www.pinterandmartin.com/why-starting-solids-matters
Book: Complementary Feeding: Nutrition, Culture and Politics, by Gabrielle Palmer: https://www.pinterandmartin.com/complementary-feeding
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Oral Anomalies In Newborns: An Observational Cross-Sectional Study. de Oliveira AJ, Duarte DA, Diniz M 2018 https://www.researchgate.net/publication/339688830_Oral_Anomalies_In_Newborns_An_Observational_Cross-Sectional_Study
Association of Tongue Tie Practitioners https://www.tongue-tie.org.uk/
Jill Shepherd’s website http://www.horshambreastfeeding.co.uk/
Priya Mistry: Tongue Tie, Airway and TMJ Disorders https://m.youtube.com/watch?v=ezmCHs2rf9s&t=9s
Paced bottle feeding video https://www.emmapickettbreastfeedingsupport.com/twitter-and-blog/giving-a-breastfed-baby-their-first-bottle
Book: Why Tongue Tie Matters, by Sarah Oakley. Available from pinterandmartin.com
HELPLINES:
NCT: 0300 3300 700 option 1 https://www.nct.org.uk/baby-toddler/feeding/early-days/support-breastfeeding-or-bottle-feeding-our-infant-feeding-line
Association of Breastfeeding Mothers https://abm.me.uk/get-breastfeeding-support/ Breastfeeding Network https://www.breastfeedingnetwork.org.uk/breastfeeding-support/ La Leche League https://www.laleche.org.uk/get-support/
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The baby sleep info source: https://www.basisonline.org.uk/
Rudzik, A., & Ball, H. L. (2016). Exploring Maternal Perceptions of Infant Sleep and Feeding Method Among Mothers in the United Kingdom: A Qualitative Focus Group Study. Maternal and child health journal, 20(1), 33–40: https://pubmed.ncbi.nlm.nih.gov/26156828/
What is normal infant sleep? https://www.youtube.com/watch?v=g5fOogsUpIk
The Lullaby Trust: Safer sleep for babies: https://www.lullabytrust.org.uk/
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How to collect colostrum: https://www.facebook.com/watch/?v=242126123722025
Books: Breastfeeding Special Care Babies, by Sandra Lang Impact of birthing practices on breastfeeding: protecting the mother and baby continuum, by Mary Kroeger and Linda Smith
BRAIN: https://www.facebook.com/BreastfeedingCounsellors/photos/a.107592537253600/429880865024764/
Nice Guidelines: Induction https://www.nice.org.uk/guidance/ng207 Gestational Diabetes https://www.nice.org.uk/guidance/ng3
Breastfeeding after caesarean birth: https://www.nct.org.uk/baby-toddler/feeding/early-days/breastfeeding-after-caesarean-birth
Pain relief after birth: https://www.breastfeedingnetwork.org.uk/analgesics/
Jaundice: https://www.laleche.org.uk/jaundice/ https://www.nice.org.uk/guidance/cg98
Paced bottle feeding: https://www.emmapickettbreastfeedingsupport.com/twitter-and-blog/giving-a-breastfed-baby-their-first-bottle
HELPLINES: Association of Breastfeeding Mothers https://abm.me.uk/get-breastfeeding-support/ Breastfeeding Network https://www.breastfeedingnetwork.org.uk/breastfeeding-support/ La Leche League https://www.laleche.org.uk/get-support/
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Breastfeeding Network on alcohol and breastfeeding: https://www.breastfeedingnetwork.org.uk/alcohol/
The Amazing Wendy Jones: https://breastfeeding-and-medication.co.uk/about-me
NHS Breastfeeding pages: https://www.nhs.uk/conditions/baby/breastfeeding-and-bottle-feeding/
The saliva backwash system: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4556682/
Foremilk and hindmilk: http://thefunnyshapedwoman.blogspot.com/2011/05/foremilk-and-hindmilk-in-quest-of.html
Baby Sleep Information Source: https://www.basisonline.org.uk/
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Breastfeeding support from NCT: https://www.nct.org.uk/baby-toddler/feeding/early-days/breastfeeding-support-nct
Association of Breastfeeding Mothers: https://abm.me.uk/
La Leche League: https://www.laleche.org.uk/
Lactation Consultants of Great Britain: https://lcgb.org/
Association of Tongue Tie Practitioners: https://www.tongue-tie.org.uk/
Breastfeeding Network: https://www.breastfeedingnetwork.org.uk/
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Frances, Karen and Megan talk about the most common breastfeeding challenges that they encounter in their role as Breastfeeding Counsellors, and what self-help measures mothers/breastfeeding parents can take.
In this episode:
Babies who don't latch, or who latch but don't feed
Milk Supply
Painful feeding
Tongue Tie
Mastitis
Engorgement, blocked ducts and blebs
Oversupply and fast letdown
Don't forget you can talk to a Breastfeeding Counsellor on 0300 3300 700, option 1, 365 days a year, 8am-midnight.
Exaggerated latch technique: https://www.youtube.com/watch?reload=9&v=41fC0fQs1P8
Association of Tongue-Tie Practitioners: https://www.tongue-tie.org.uk/
UK Human Milk Bank: https://ukamb.org/
Informal milk sharing at Human Milk 4 Human Babies: https://www.facebook.com/HM4HBUK/
NHS page on mastitis: https://www.nhs.uk/conditions/mastitis/
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Frances, Karen and Megan delve into why people express milk, how it might work in different situations, and some of the logistical queries that new parents often have. Drawing on their years of experience supporting new parents, this friendly chat aims to demystify the question of expressing, and help parents to make decisions about feeding their baby.
Some useful links:
NCT page on expressing milk: https://www.nct.org.uk/baby-toddler/feeding/practical-tips/expressed-milk-your-questions-answered
ABM page, particularly for storage/handling guidelines: https://abm.me.uk/breastfeeding-information/expressing-breast-milk/
Paced bottle feeding: https://www.emmapickettbreastfeedingsupport.com/twitter-and-blog/giving-a-breastfed-baby-their-first-bottle
NCT feeding line 0300 3300 700 option 1, 8am-midnight, 365 days a year
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This podcast is for anyone with an interest in feeding babies, whether they’re exclusively breastfeeding, chestfeeding, mixed feeding, expressing, still waiting for their baby to arrive, or thinking about stopping.
In this episode we look at how new mothers/parents can establish a good supply of milk for their babies, the role of hormones, and the importance of frequent, effective feeding.
We know that breastfeeding is not just a physiological process, and this comes up in our discussion of how mothers'/parents' confidence in breastfeeding is so often undermined in our culture.
If you're having difficulties or doubts, please do call the NCT Feeding Line to speak to us or our colleagues, on 0300 3300 700 option 1.
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