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The Heartland Naturopathic Clinic Email Newsletter - September 2007  

The following are our email newsletters with helpful information on staying well and our practices. They include articles on home care, natural healing, cured cases, commentary on current issues in the field of health care and medicine and other interesting and useful information. If you are interested in receiving this newsletter simply send your email address, name and a request asking to be added to our email address list to: Staff@HeartlandNaturopathic.com


CONTENTS
* Breastfeeding, Politics and Health
* Recent Studies on Breast Cancer:
    Black Cohosh Shows Risk Reduction for Breast Cancer
    Cancer Risk Higher with Western Diet

BREASTFEEDING, POLITICS AND HEALTH
A recent article (08/31/07) on MSNBC.com from the Washington Post revealed that a few years ago the US Health and Human Services Department (HHS) had planned an attention getting ad campaign designed to convince mothers that their babies faced real health risks if they did not breastfeed.

Naturopathic doctors and conventional breastfeeding experts agree that the best recommendation we can make about breastfeeding and its effect on the health of both the mom and the baby is “exclusive breastfeeding” for the baby’s first six months of life. There are only rare medical conditions that create exceptions to this recommendation.

The MSNBC article revealed that HHS had planned an ad with striking photos of insulin syringes and asthma inhalers topped with rubber baby bottle nipples. The image and text of the ad linked the use of formula with increased risk of asthma and diabetes in children. This infuriated the politically powerful infant formula industry (part of the pharmaceutical industry) so they hired the former chairman of the Republican National Committee and a former top regulatory official to lobby HHS.

Soon after this lobbying effort HHS significantly watered-down the ad campaign promoting breastfeeding. What a surprise! The formula industry didn’t want moms to know how much risk they were putting their babies in by feeding formula products instead of breast milk. According to the formula industry’s own studies, following 2003 when this watered-down ad campaign began to run, the amount of breastfeeding in the US actually declined!

Why did HHS originally think it was important to emphasize the risks of formula over breastfeeding? The following are some of the known risks for both the mom and baby of not breastfeeding exclusively for the first 6 months of the baby’s life. In other words, here are some of the risks associated with feeding babies something other than what nature intended.

For babies not exclusively breastfed for the first six months, statistically there is:
* Triple the amount of severe respiratory tract illnesses.
* Greater risk of obesity.
* Greater risk of type I diabetes (40% greater!).
* More allergies.
* 9% lower IQ.
* More ear infections.
* More gastrointestinal infections.
* Higher rates of leukemia, asthma and sudden infant death syndrome.

For moms who do not breastfed their babies exclusively for the first six months of their babies’ life, statistically there is:
* More obesity and less weight loss following pregnancy.
* Greater risk of breast cancer.
* Greater risk of ovarian cancer.
* More postpartum depression.
* More anemia.
* Greater risk for unplanned pregnancy during the first six months postpartum.

So what does “exclusively breastfed” mean? The definition used in the research is the baby receives nothing but breast milk for the first six months of life. That means no water, no other liquids, no formula, no foods, no baby foods, no pacifiers -- nothing but breast milk! The research shows that this provides the greatest benefits. 

Of course, life circumstances can prevent this ideal from being achieved. In America today there are many obstacles to breastfeeding. It starts with the medical system and the hospital where the baby is born. It continues with subtle, or even overt, disapproval of breastfeeding by family, friends and society. Then on top of that there is little governmental or workplace safety net in place to allow moms to stay home with their newborn infants for those critical first six months. This would be understandable in a poor country - but in the richest country in the world? In Germany, the government pays families to assure that the mom can be home with her infant for the first year. Now that is truly a family friendly policy.  

Up until six months anytime breast milk is fed to a baby instead of something else there is a benefit, and breast milk is almost always better than whatever the alternative would have been. However, exclusive breastfeeding has many benefits for both mom and baby that are not available when partial breastfeeding is happening.

For the vast majority of babies, the exclusive consumption of breast milk for those first six months is the healthiest thing that you can do for that babies’ long-term health. In a number of studies the benefits of breastfeeding are shown to extend into adulthood. There is no lifestyle choice that has been shown to have such a long-term health benefit.

Moms who are breastfeeding exclusively over the 24-hour day have a pregnancy rate lower than any known form of birth control (less than 0.5%). Once a mom starts skipping feedings (e.g., lets dad feed the baby in the middle of the night) she is breaking the endocrine feedback loop that protects her from starting to ovulate. Plus studies show that mom’s who breastfeed tend to experience life’s difficulties as less stressful.

Exclusive breastfeeding also leads to the greatest weight loss following pregnancy. Show me a mom who didn’t lose her pregnancy related weight gain following a pregnancy and odds are it is a mom who did not exclusively breastfeed for six months.

Of course, nature intended babies to breastfeed much longer then six months. It is now believed that it is appropriate for some breastfeeding to continue for years, even up to ages three to seven. But the health benefits of exclusive breastfeeding for those first 6 months are the most significant. 

Some time after six months the baby will be ready for the introduction of other baby foods. Ideally, breastfeeding continues while these foods gradually grow to be a larger part of the baby’s diet. Because of the slow maturity of the digestive tract, we still recommend against any milk or milk products until at least a year old (that includes milk-based formula).

The experts say that the first feeding is really so important that nothing short of an medical emergency should stop the baby from being put skin to skin on the mom’s belly immediately following birth. In many cases the baby will immediately start to look for the breast and try to suckle. This stimulates oxytocin and helps to expel the placenta, shrink the uterus and stop bleeding as well as stimulating milk production. This should be done even before the umbilical cord is cut or the baby is cleaned.

Anything that is given to the baby before six months other than the breast can postpone breastfeeding and that can impact the success of breastfeeding (this includes water and pacifiers). Breastfeeding on demand has the highest likelihood of leading to a successful nursing experience for both mom and baby. It gives the baby his or her perfect food and maximizes the potential that both the mom and baby will get the health benefits of exclusive breastfeeding.

For more information:
For the article on the politics of breastfeeding see www.msnbc.msn.com and search for “breastfeeding.”
For more information on breastfeeding: www.llli.org (La Leche League International) and www.babyfriendlyusa.org (note: Methodist Hospital is the only certified “Baby Friendly” hospital in Nebraska).

RECENT STUDIES ON BREAST CANCER:
Black Cohosh Study Shows Risk Reduction for Breast Cancer
A study recently published in the International Journal of Cancer (Int. J. Cancer 2007 April 1;120:1523-8) showed that the use of the herb black cohosh was associated with a 61% reduction in the risk of breast cancer. Black cohosh is most commonly used to help control hot flashes during menopause.

Commentary: The conventional medical approach to controlling hot flashes during menopause is still hormone replacement therapy (HRT). This is despite the studies showing HRT significantly increases the risk for breast cancer. The alternative is obviously a better first choice. Not only does black cohosh have a significant track record for helping control hot flashes, it is now clear that it also protects against breast cancer.

Cancer Risk Higher Risk Higher with Western Diet
A study recently published in Cancer Epidemiology (Cancer Epidemiol Biomarkers Prev. 2007 Jul;16(7):1443-8) showed in Chinese women that a Western-like diet increased risk for breast cancer over the traditional Chinese diet. The risky diet consisted of meat, fish, milk, desserts, sweets and bread. The non-risky diet also had meat and fish but in lower quantities along with soy and lots of vegetables. The highest risk was in women who were overweight with a high waist to hip ratio - what we call the “apple” abdominal weight gain pattern associated with insulin resistance (see our website for more info: http://www.heartlandnaturopathic.com/nutrition.htm). 

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Copyright ă 2012 R. S. Bradley, N.D. All rights reserved. Staff@HeartlandNaturopathic.com

Heartland Naturopathic Clinic
7701 Pacific St., Suite 207
Omaha, NE 68114
(402) 391-6714