A few nuggets from the “First Food” Forum

Two weeks ago I had the opportunity to attend “The First Food Forum: Growing a movement so all children thrive” sponsored by the WK Kellog Foundation.  It was a wonderful conference.  One of my primary goals during the event was to make sure everyone I spoke with understood that there IS a connection between a mother’s pregnancy and birth experience, and her infant feeding choices.  Too often the breastfeeding world, the birth world, the reproductive rights/reproductive justice worlds are separated. The reality is we are all fighting the same fight. We are fighting so that women… and no one else… have control over their personal bodies.  It doesn’t matter if your voice is around procreation, birth, or infant feeding choices, we have the same bottom line.  It’s a shame we don’t connect collectively more often.

Over the past year, I have learned a lot about breastfeeding that I never knew or didn’t completely understand.  Things about the culture and politics of breastfeeding,  the racism in breastfeeding certifications, the racism in breastfeeding politics and culture, the laws and payment structures of lactation and lactation support etc.  At each turn of lactation education, I was reminded that we really need to connect more.  One of my midwife mentors Shafia Monroe often talks about the Community Model of Care.  She reminds us that the Black Midwife and the tradition of Black Midwifery in this country included care of mother before, during, and after birth. AND it included care for the infant, and the family as a unit. Today we are so separate and fragmented we often work in silos.  It’s this fact that I believe is intricately linked erinatal disparities and the USA’s poor outcomes as a whole… but I digress.

Below, in no particular order, I share a few nuggets of wisdom and ideas that  I brought home with me from this breastfeeding forum.  I hope at least one of them can help you as you care for families during their childbearing years.

Nugget:   Above I mentioned the need for the breastfeeding, birth, and reproductive justice movements to work more collectively.  There is also a space to align ourselves with the pink ribbon and red dress movements.  As an aside… I am not particularly a fan of “pink washing” however I do understand that women who breastfeed are less like to get breast cancer.  That being said, as folks are sporting their pink ribbons and red dresses, as interviews are given, PSAs sent out, and articles are written, information should be shared not only about the breast cancer or heart disease, but included should be information about the link between breastfeeding and reduced risks of both.

Nugget: Have you heard about the mPINC survey? From the CDC website:  “Maternity Practices in Infant Nutrition and Care (mPINC) is a national survey of maternity care practices and policies that is conducted by the CDC every 2 years beginning in 2007. The survey is mailed to all facilities with registered maternity beds in the United States and Territories.”  These surveys create reports based on state and facility data.  They are not the same as actual report cards for a facility on breastfeeding but they certainly might be the catalyst for some facilities to change their practice. Let’s hope so.  Read more about the mPINC here.

Nugget:  Let’s talk about WIC.  Did you know WIC is the is the number one distributor of formula in our country?!?!  SERIOUSLY?? And the government pays for this formula that is doled out like candy to children on Halloween. And that’s a perfect way to describe it cause this is indeed scary.  There is so much to be said about the BILLION dollar formula industry that I will save it for anohter post but his revelation was like a slap in the face. And since were on the topic of WIC… what’s in a name?? We all know WIC stands for Women Infants and Children right?  Have you ever really thought about that name? Its mission talks about the health and well-being of women, infants, and children and yet it neglects to mention a KEY component to healthy babies and families is partner involvement.  In most families that partner is a Man. Men are excluded from the picture literally and figuratively.  The WIC office basically has a sign that says “women only.” In order to heal the family we have to include EVERY member of the family. Clearly there is some work to be done in this arena.

Nugget:  Speaking of men… One of the best break out sessions I attended was the session about including fathers in the conversations and advocacy work around breastfeeding. There is a model program in the Dallas area where men are encouraged to be breastfeeding champions… breastfeeding ambassadors.  Getting fathers on board with breastfeeding is an important factor in creating healthy breastfeeding communities.  The program in Dallas in run by Muswamba Mwamba who is a father of four, an MPH, CLC, and IBCLC just list a few of his credentials.  Are you interested in creating a successful male support program for breastfeeding in your community? Give him a call, he is knowledgeable, passionate, and personable. And most importantly, from what I learned during this session… he is a HE.

Nugget:  I posted this one on my facebook page the other day.  We have all heard the conversation about providing women with private, clean places to nurse their infants while they are out and about. The idea is that these places will help support mothers who want to breast feed “in public.” The question raised during a conversation at the form…… Does this help or hurt?? If we provide private spaces for moms does that put breastfeeding “in the closet”? If it’s in the closet, breastfeeding is still not “normalized” in our society. We certainly want to provide these spaces for moms who feel most comfortable there. But how do we walk the fine line. We don’t want these spaces to become the REQUIRED place where ALL moms HAVE to go to breastfeed. What do you think?

Nugget:  My favorite presentation of the event was without a doubt the closing session key note with Kimberly Seals-Allers founder and creator of The Mocha Manual as well as Black Breastfeeding 360. If you don’t’ know about her… you should. Her presentation was passionate, personal and right on! Two of my favorites points from her  ONE:  Never let the circumstances or the conditions in a Black woman’s life determine what you believe about her character.  TWO:  As we discuss African American women and breastfeeding, let’s not romanticize wet nursing. It was NOT a romantic event and we cannot comment on wet nursing without also recognizing the historical trauma that continues to affect Black families as a result of this practice.  I’m not giving you direct quotes.  I was too engaged while she spoke to take actual notes. What I can certainly say is this.  If anyone left the room uninspired after hearing Kimberly speak… they clearly were not awake.

Welp that’s it for now. I wish these Nuggets were real gold for you. But alas they are not. They are simply ideas, concepts and conversation starters about mother’s milk ~ That life giving substance that some call Liquid Gold.  Will any of these Nuggets help you in your work? Did any of them make you say “hmmmmm?”  If so… tell me about it!

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Returning Power to Birth ~ The 2012 Black Midwives & Healers Conference

Back in October 2012, I had the pleasure to attend the ICTC 8th International Black Midwives and Healers Conference.  If you were there… WHAT??!! You already know :-)

If you weren’t there… well… as is often the case with my blogging, I had plans to blog about the conference as we went along and blog again once I got home. Welp… that never happend. Ya just get kinda caught up in the moment of things.  Fortunately for me/for us… My Sista Midwife Walidah Muhammad is expanding her skill set beyond the birthing bed to documentary creation. I LOVE it!!! Soooo with that said… take a look at the videos below. There is no way these clips can bring you the full energy of what we shared, did, learned, and felt during this conference. But perhaps they will give you a glimpse and help you understand what a gem the International Center for Traditional Childbearing is for all of us!

We… who believe in freedom cannot rest

Medication in Pregnancy: Doing Without Knowing

I just finished reading a short article about the use of Odansetron (Zofran), a medication often given to pregnant women to help them when they have nausea and vomiting. While this medication has been WIDELY prescribed for nausea and vomiting in pregnancy it is NOT approved for this purpose. 

Zofran (Odansetron) IS approved by the FDA for the prevention of nausea and vomiting associated with cancer chemotherapy and for the prevention/treatment of nausea and vomiting after surgery.  What this means is using Zofran for pregnant women is an “off label” use.  Off label usage of medication is nothing new and it happens all the time. While I do understand this, I believe that we need to be MUCH more cautious and careful when working with pregnant women.  We need to do better about understanding the risks profile of a medication before putting it widely into practice.  Doing without knowing is NOT okay.

From the article “Although most often used as an antiemetic following chemotherapy, ondansetron frequently is used off-label to treat nausea and vomiting during pregnancy. However, few studies have assessed the safety of ondansetron when used for this indication. A report in the New England Journal of Medicine [1] used Danish national data to determine the impact of ondansetron on risk for spontaneous abortion, stillbirth, major birth defects, and other perinatal outcomes.”

After reading this article, I couldn’t help but think about the horrors of thalidomide.  Sold in the late 50’s/early 60’s, thalidomide was given to pregnant women in off label use for morning sickness. It was untested and after a few YEARS of use and massive birth defects were noted, it was pulled from the market. This was all in the name of stopping nausea and vomiting, which BTW is a NORMAL part of early pregnancy and can even be normal throughout pregnancy if weight gain and fetal growth are appropriate.  But I digress and that’s a topic for another post. My point today… Doing without knowing is NOT okay.

We introduced the electronic fetal monitor (EFM) in the 1960’s in the name of preventing birth defects. The use of the fetal monitor quickly became widely used nation wide without research. It is the number one intervention on labor and delivery units today even though it is common knowledge among birth professionals that EFM has not and does not create better birth outcomes. And in the face of research that shows continuous EFM increases c/sections and intermittent monitoring is safe and effective at detecting fetal distress we continue to use electronic fetal monitors nation wide! In this case we initially did without knowing. Now we know better but since EFM has become such a part of our maternity culture that we still do even though we shouldn’t.

Honestly, this is really is just a little rant. Reading the first part of the article irritated me.  I’m continuously like… SERIUOSLY?!?!  When will we stop experimenting with women and our unborn children.  This article goes on to say that the researchers found no increase in birth defects, miscarriage or still birth. This article highlights however that we still casually do without knowing and this is NOT okay. Doctors and midwives prescribe medications and procedures all the time either without full knowledge of the risks or without full disclosure of the risks. It’s not fair to women and its NOT okay.

The take home message:  Please remember ALL substances that you take, whether it’s a vitamin or hard drugs and everything in between… ALL of them DO in some way, and in some amount, cross the placenta and get to your baby.  Whenever you are prescribed a medication… ask a question. Find out if there is a better/different option. Ask about waiting until later in pregnancy. Ask. Ask. ASK.  Don’t assume everything they give you is necessarily safe, or that it is even necessary.  What medications did you take during pregnancy? Would you take it again?  Share your experiences…

In Birth and Love
Nicole (Dont forget to follow me on twitter @SistaMidwife)

The VBAC Decision – Were you in a fog??

I recently read an article** that looked at a number of studies examining the way women felt about making the decision to either schedule a repeat cesarean section or plan for a vaginal birth after cesarean (VBAC).

As health care providers and birth workers, we should all know, and be comfortable teaching that VBAC is a safe and viable option for many women.  If given the opportunity for a trial of labor, 60-80% of women with previous cesarean sections will VBAC successfully.  In spite of the overwhelming evidence of the safety of VBAC, and even in the face of the 2010 NIH Consensus Statement suggesting that VBAC is safe, many women still are not given full and clear information about the option for VBAC.  The article that I read pointed out that women often feel like they are in a fog as it relates to the decision they have to make regarding whether to have a VBAC or a repeat c/section.

“The main results from our study shows that experiences of VBAC is like groping through the fog, where decision-making and information from the health care system and professionals, both during pregnancy and the birth, is unclear and contrasting. These findings are in line with Endozien’s statement that there is an unmet need for clinicians to provide sufficient information to women, so that the woman’s choice can be an informed one”

This is such a travesty.  The evidence exists.  Why isn’t the evidence being shared with women? Why do women feel like they are walking around in a fog?? We have to do better!! This is unfair, unnecessary, and an unfortunate reality of our complicated obstetrical system.

Did you have or want the opportunity to VBAC? What was that decision like for you? Did you feel like you were “groping through the fog?” I would love to hear your story….

** Groping Through the Fog -  A Metasynthesis of Women’s Experiences on VBAC (Vaginal Birth After Caesarean Section).  Ingela Lundgren, Cecily Begley, Mechthild M Gross, Terese Bondas - BMC Pregnancy Childbirth. 2012;12(85)

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Wordless Wednesday: Birth Herstory Conference – Get Registered!!

Birth Herstory Conference

Monday Musing – The Universe Conspires

“When you want something, all the universe conspires in helping you to achieve it.”
~
Paulo Coelho ~ The Alchemist

yes, Yes, YES…. I love it when the universe conspires in my favor! I think it happens more times than not for most of us and yet we don’t receive it because we shift the universal energy in another direction and before the blessing can fall from the sky, we send our lives on a detour away from our dreams without even knowing it. Let me tell you what I mean.

The other day I was texting with a friend a number of wonderful things happening in my life right now.  One of the texts I sent said… “The universe is conspiring in my favor and knowing that the window only stays open for so long I know I have to slide through it while it is open…”  While that IS the text that I sent, what I was about to send was a text that said… “The universe is forcing my hand…” Fortunately, before I could send that message, I realized that THIS statement/text  could have, in an instant, blocked my blessings for many years. This same type of blocking, self sabotage may be happening to you.  Why was I saying “forcing my hand?”  The things happening in my life are wonderful things I have wanted, envisioned, prayed about and meditated on… and now I wanna say I’m being forced?? Seriously??  The nerve of me!! LOL

I am certainly not a “Secret” guru nor a great student of the Law of Attraction but let me say this… No one,  and I mean NOBODY can prove to me that the laws of the universe, including the Law of Attraction are not in affect for us, ALL of us, all the time. The Universe does, and will continue to conspire for us in our favor bringing to us what we ask for and affirm, no matter if its “the Universe is conspiring in my favor”  OR  “the Universe is forcing my hand.” The latter sounds a lot less pleasant sending a message to the universe that I don’t like it and don’t want it.

“I remember the point in labor when I knew I just had to LET GO…”
I hear this all the time. Women who are having an empowering un-medicated birth often will say in that moment of realization, when they let go of  controlling the outcome, and shift to having faith in things happening the way they have envisioned it… That’s a beautiful space to be in and that’s when Birth… Magic… Blessings happen.

Whew… I’m happy I changed that text message :-) .  It can be a scary, revealing, empowering, exciting, spiritual, transformational, thing to experience the truth of the Universe….  When we Let Go and Let God… things happen in our lives and we move into the space to “Birth Something Beautiful”

Wanna know what has me so excited right now?? Check out this information about the upcoming Birth Herstory (#BirthHerStory) conference.

From the official website: “Birth Herstory is a FREE online annual conference uniting women of colour in celebration of Black History Month.  Join us on the Full Moon Monday February 25th 2013 and be inspired to grow and learn from one another in the area of pregnancy, childbirth, breastfeeding and motherhood!

13 amazing women have committed to sharing their expertise in a wide range of subjects all centered around mothering the beautiful woman of colour! Hear speakers such as Shafia Monroe, Nicole Deggins, Darline Turner, Kimberly Seals Allers and Latham Thomas share their best secrets to empower you to create the journey to motherhood of your dreams!

If you want to feel inspired, get information your care provider may not provide, feel like you are understood, and be part of this amazing community…then sister you’ve got to join us!”

This type of conference… featuring Black women talking about birth, sharing wisdom, and giving birth love…. I always knew there was someone else who saw the same vision I saw and Tanya is her!! I’m so excited about this conference and I hope you will join it. While the conference is free you must register.

You can’t force birth. You can’t force the timing of your dreams, desires, and blessings.  All we can do is speak it, believe it, scratch that….  KNOW it and then put in the work towards it and when it is time… we have to take a step back, Let Go and Let Birth and in that space… magic happens.

Celebrating Black Fatherhood

Last week in my great city of New Orleans we hosted this football game they call the Super Bowl.  Here in my space, we had what some might call a Super Bowl Party. It was a small family affair and as such there were children, babies, and of course since this was super bowl… there were FATHERS.

I took what I thought was a great pic and posted it as my Wordless Wednesday last week. To me it was a perfect pic to set up today’s Blog Post which is the first of many guest posts that I will be sharing on my blog this year.  That pic was a celebration of Black fatherhood and today’s guest post is a celebration of Black fatherhood.  Something we need to celebrate more often. Stop eating the stale cookies they keep cooking and feeding yall.  There are many Black men who love, cherish, and care for their children.  Below you will find the words of one of them.  He’s one of my tweeps @CoachKJMD2be

Celebrating Black Fatherhood…

This post is dedicated to an amazing man, my father figure and mentor, Dr. Ray Bignall.  Dr. Ray holds me accountable as a pre-med student and is one of the many voices encouraging me throughout my journey. For this, I am forever grateful.

Fatherhood is not something one is born into.  It is an ever evolving learning experience. It is a lifestyle choice that many men enjoy adding to their legacy. The influence of fathers is often discounted but there are many Black Men who are responsible fathers. If you walk into baby stores, you’ll find most products are geared towards mothers. This could be due to the notion that only mothers can be nurturing.

Images of Black fathers are usually riddled with stereotypes of absenteeism, irresponsibility, and listlessness. My brothers and I came together to share our experience as fathers from a Black Man’s perspective on Mr. Baggage, a blog for men. This is our way of eradicating the negative stereotypes linked to Black Men. My experience with fatherhood happens to be a joyful one.

10 years ago, the most beautiful moment happened in my life.  I became a father to a healthy baby boy. When I saw his face, I immediately knew that my life would drastically change. I was young but I knew I would always have an active role in his life.

My son came into this world 9lbs 7oz. He was beautiful aesthetically and his presence still creates a sense of calm in my life to this day. He was breastfed but his mother pumped milk and froze it to last for months so I could feed him alone. She had that skin to skin contact that baby’s need when they’re born. She experienced the mommy brain that connects a baby to mother immediately after delivery. This is where many men feel helpless. I challenge new fathers to get creative. Talk to your child in calm tones, share some things that you’d like to do with them in the future, hold your child to your chest. He or she can recognize you by your scent. This time will not only boost your morale but also helps your baby feel secure.

I valued these moments of alone time with my son. We shared a bond over cartoons (we still watch them together) and his mother’s pumped breast milk. I was there for his first doctor’s appointments. I saw his cord fall off. Watching him develop from newborn to toddler was amazing. I had never been that close to a baby before. This love I had for him was something I had never experienced in my own life. His face lit up when he heard my voice. He had heard it since he was in the womb.

This is something many Black Men don’t get to experience. I cherish this opportunity. I am grateful that his mama allows me to still have an active role in his life. If I could talk to a young father today, I would tell him to do what works for him. If you only have your child for the weekend, do as much as you can in this time. If your child asks you to watch them do something, stop what you’re doing and watch intently. Fatherhood has uncovered the following character traits for me: patience, determination, loyalty, and resilience.

Don’t lose sight of your chance to enjoy fatherhood engaging in polemics. Take care of your health, your child(ren) need you here in optimal health. If you come from a home void of stability, take the necessary steps you need to heal and start a new tradition. Effective parenting means many things to people. 10 years later, I’m still learning about myself through my son’s eyes. Remember, father’s day is every day. Celebrate!

Share some things you could never learn from a book about parenting below.

~ Kaleb ”Coach KJ” Hill is the CEO and founder of FitnessFleet, a health and wellness company. For more information, visit FitnessFleet online and on Twitter follow Kaleb at CoachKJMD2Be.