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Jack Newman
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“Although mothers are rarely told this, there is no question that some of the medication used in epidurals does get to the baby. One study measured the levels of epidural medication in newborns’ umbilical cords after birth; the longer the mother had had the epidural in place, the higher the level of medication in the cord (and therefore the baby). A study looking at the effects of epidural using Fentanyl (a narcotic) on the baby showed definite negative effects on his ability to breastfeed, especially at higher doses. Those women who had the higher doses were much more likely to have stopped breastfeeding by six weeks after birth, even though all the mothers in the study had successfully breastfed a previous baby for at least six weeks. Studies that evaluated the way the baby breastfed have found that, after being exposed to the epidural medications during the labour, the baby was less able to latch on well and suckle effectively. Some studies have seen subtle effects of epidurals that lasted up to a month.”
― Dr. Jack Newman's Guide to Breastfeeding: updated edition
― Dr. Jack Newman's Guide to Breastfeeding: updated edition
“Research by anthropologist Kathy Dettwyler suggests that the natural age of weaning for humans is somewhere between two years and seven years. Breastfeeding for this length of time seems to promote optimum brain development and good development of the baby’s teeth and jaw, and to reduce the incidence and severity of many illnesses and allergies; it also results in these children having strong self-esteem and feeling secure, self-confident and independent.”
― Dr. Jack Newman's Guide to Breastfeeding: updated edition
― Dr. Jack Newman's Guide to Breastfeeding: updated edition
“Many pediatricians and other physicians believe that breastmilk causes higher levels of bilirubin in the first few days of life. Not true. But the reason that some breastfed babies are more jaundiced is that they are not breastfeeding well and are not getting enough breastmilk. That means the baby will also not have substantial enough bowel movements to remove the bilirubin in his intestine and prevent it from being absorbed back into the body. The answer is not to give formula, but to help the mother with the latching on of the baby and making sure he is breastfeeding well (see how this is done earlier in the chapter). Then he will poop more (because colostrum is a laxative) and the bilirubin will decrease. In most cases no supplementation is needed; if it does become necessary it should be given by a lactation aid at the breast, in this order of preference: 1. The mother’s own expressed breastmilk. 2. Banked breastmilk. 3. The mother’s own expressed breastmilk with added 5% glucose so that there is enough volume. 4. Formula. This should be used only if we cannot get the baby breastfeeding well and the first choices do not work. There are other causes of higher-than-average bilirubin levels in the first few days, but none require the mother to stop breastfeeding. Phototherapy”
― Dr. Jack Newman's Guide to Breastfeeding: updated edition
― Dr. Jack Newman's Guide to Breastfeeding: updated edition
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