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ILCA Conference Speaker Highlight: Nils Bergman

During the weeks leading up to the 2013 ILCA Conference, we will be highlighting a number of conference speakers.  Watch this space every Thursday for more profiles.

nilsWe are so pleased to have Dr. Nils Bergman as one of the speakers at our conference in Melbourne in just a few short weeks.

Dr. Bergman calls himself a Public Health Physician, and currently promotes and researches skin-to-skin contact on a fulltime basis. He is an Honorary Senior Lecturer at the University of Cape Town, South Africa, and a research affiliate of the South African Medical Research Council.

Dr. Bergman was born in Sweden and raised in Zimbabwe, where he also later worked as a mission doctor. He received his medical degree (MB ChB) at the University of Cape Town, and later a Masters in Public Health at the University of the Western Cape. During his years in Zimbabwe, he completed a doctoral dissertation (MD, equivalent to PhD) on scorpion stings. He has worked in rural South Africa, Zimbabwe and Sweden, and his last posting was Senior Medical Superintendent of Mowbray Maternity Hospital in Cape Town, overseeing 18000 births per year.

He enjoys sharing the wildlife of Africa with his wife and three youngsters.

Dr. Bergman will be presenting two plenary sessions at this year’s conference. At 9:00am on Friday, July 26, he will share with us about “The Neuroscience of Birth and Breastfeeding”. In addition, at 3:00pm on Sunday, July 28, he will help us wrap up our conference with a session entitled “The Neuroscience of the Global Public Health Imperative”.

He will also be presenting two sessions where he encourages attendees to focus on the most basic of baby’s needs. Plan now to attend the following sessions:

Clinical Best Practice Workshop on Thursday, July 25

  • 8:00am: Practical Aspects of Skin-to-skin Contact and Breastfeeding

Concurrent Session on Friday, July 26

  • 4:00pm: Theory on Feeding Frequency

For more information about our upcoming conference and to register, please visit the Conference Page on our website.


Parental Proximity: A Vital Aspect of Our Message

By Marianne Vanderveen-Kolkena, IBCLC 

In the year 1994, our third daughter was born. It was a beautiful home birth and we all felt blessed to be safely together. After a few days, however, I fell seriously ill with an old-fashioned disease: puerperal fever. It brought me to the hospital and I entered a world I had never been in before: the delivery ward. My stay awakened an awareness in me that has grown ever since: mothers should be central in the care of their infants, and healthcare providers ought to refrain from interfering with the essential process of secure attachment.

Skin to SkinStarted in 1994, my work as a volunteer breastfeeding counselor evolved to the private practice I have now as an International Board Certified Lactation Consultant in Assen, in the north of the Netherlands. As an ardent reader, my notion of “breastfeeding” has broadened immensely over the years. Breastfeeding is a dyadic, relation-building process of which a baby latching properly and taking in enough breastmilk is only a small part. This notion made me decide to take up a couple of translation projects besides my consultations. Many parents are desperate for good information, information that helps them to make choices that match their family values. Many parents intuitively know that being close to their infants is something they will all benefit from. Western societal habits, however, often hardly allow for that much needed proximity of primary attachment figures. Talking with parents, seeing how they are moved when I address the issue of how much their baby needs them and how much they have to offer, is very inspiring. My Dutch translation of Sleeping With Your Baby, written by James J. McKenna, led to beautiful responses from parents in the Netherlands: “Wonderful, to have this book now! I always knew it was a good thing to sleep together!” Mid April, the Dutch translation of Jill and Nils Bergman’s book Hold Your Prem will be published.

We all need a place where we can feel safe, so that we can develop physical and psychological stability in life. We do not only need that as a baby, but also as parents, in order to take care of our babies. I feel privileged to be able to professionally contribute in different ways to that sense of security!

SONY DSCMarianne Vanderveen-Kolkena started her breastfeeding work in 1994 with the Dutch breastfeeding association VBN. She became an IBCLC in 2008 and runs her private practice in Assen, the north of the Netherlands, Borstvoedingscentrum Panta Rhei. She still works with the VBN as editor for the brochure committee and gives presentations in different settings. She contributed to the Dutch national guideline on dealing with excessively crying babies, making a warm plea for responsive parenting, and was one of the two final editors of the Dutch National breastfeeding guideline. Marianne is a coworker of the biggest Dutch breastfeeding website,, advisor of ‘Het OuderSchap’, a Dutch organisation for parents (to be) and and an ILCA member.  All her practice and advocacy work focuses on the normalcy of breastfeeding, the importance of the mother-child relationship, the value of parental proximity in the early years and on language use that supports these aspects. She is preparing to study Anthropology at the University.


How Breastfeeding Saves Lives…and How You Can Help

Editor’s Note:  While Lactation Matters typically publishes original material, occasionally we encounter a blog post that we feel especially deserves to be read by all IBCLCs and breastfeeding supporters.  This is just such a post.  It was originally published by Annie Urban on her blog, PhD in Parenting. We appreciate her permission to repost it here.

830,000 newborn deaths could be prevented if babies were breastfed within the first hour.

1.4 million child deaths could be prevented if optimal breastfeeding practices were followed (exclusive breastfeeding for the first 6 months and continued breastfeeding until at least 2 years).

Vilma, 20, breastfeeds her youngest child, Alderico (10 months), in their one room home in an urban slum in Paranaque City, Metro Manila, The Philippines on 18 January 2013. Vilma had raised her first 3 children on formula and had to cut down on food for her family to afford it. Both John Ashley, 4, and Justin, 3, are malnourished and stunted, and after losing one of her children, she now breastfeeds her youngest, Alderico. Image Credit: Suzanne Lee / Save the Children (Used With Permission).

Overcoming Barriers to Breastfeeding Will Save Children’s Lives

Source: Save the Children, Superfood for Babies — How Overcoming Barriers to Breastfeeding Will Save Children’s Lives (2013).A new research report released by Save the Children today underscores the importance of breastfeeding in saving babies’ lives.

In developing countries, malnutrition is still a significant problem — it was the cause of one third of the 7 million child deaths in 2010. According to the Save the Children report, breastfeeding is “the closest thing there is to a ‘silver bullet’ in the fight against malnutrition and newborn deaths.” Although child mortality rates are decreasing overall, a greater proportion of deaths now occur during the first month.

The Save the Children report points out that breastfeeding could prevent a higher proportion of child deaths than any other intervention, including mosquito nets, vitamins, vaccines, clean delivery, water and sanitation, and more.  

Yet breastfeeding rates globally have remained stagnantly below 40% for the last 20 years. While progress has been made in some countries, there are other areas (especially in east Asia and the Pacific) where the rates are starting to fall with potentially disastrous consequences for babies’ lives.

Why aren’t more babies breastfed globally?

The report by Save the Children identifies four main barries to breastfeeding globally (which align well with the types of barriers and challenges I’ve spoken about on this blog over the years). They are:

  1. Community and Cultural Pressures: Bad advice, denying newborn colustrum or giving other foods or liquids before starting breastfeeding, pressure from other family members (many women are not free to make their own decisions about how to feed their child).
  2. Health Worker Shortage: One third of infants are born without a skilled birth attendant present, making it difficult to ensure mothers have good breastfeeding support in the first hours after birth.
  3. Lack of Maternity Legislation: Mothers often need to return to work  shortly after giving birth, cannot take their children with them, and do not have breastfeeding / pumping friendly workplaces.
  4. Big Formula: The marketing activities of formula companies continue to violate the WHO Code of Marketing of Breastmilk Substitutes, resulting in unnecessary and improper use of formula.  Legislation doesn’t exist or isn’t enforced, leaving mothers and babies vulnerable to predatory marketing practices.

What Needs to Change?

To help overcome these barriers and ensure that more mothers are able to breastfeed their babies, Save the Children is asking world leaders, international institutions and multinational companies to implement the following four recommendations:

  1. Fund projects that will help overcome harmful practices and tackle breastfeeding taboos by focusing on changing the power and gender dynamics so that young women are empowered to make their own decisions about how to feed their babies.
  2. Ensure sufficient resources and infrastructure are in place to allow a skilled health worker to be present  at every birth.
  3. Governments should introduce nationwide breastfeeding-friendly policies and legislation focused on maternity leave, financial protection for mothers on maternity leave, and employer support of breastfeeding women in the workplace.
  4. Improving breast-milk substitute industry (primarily the infant formula industry) practices through a combination of changes within the industry and better national regulation of marketing practices.

Image credit: Caroline Trutmann / Save the Children (Used With Permission).

The First Hour

What struck me the post reading the report were the figures on the estimated deaths that could be prevented through breastfeeding within an hour of birth. I’ve long known that it is a best practice, but looking at the significance of that seemingly little factor compared with all other interventions, amazed me.

Here is what the research said (from page 4 of the Save the Children report) :

Save the Children estimates that 830,000 infant deaths in developing countries could be prevented if every baby were given breast milk, and only breast milk, in the first hour. Using two studies from Ghana and Nepal, we calculated the effect that increasing the current rate of early initiation to 100% would have if all other factors remained the same. Infants who are not breastfed within an hour are 86.5% more likely to die during the neonatal period – the first 28 days of life – than those who are breastfed.

The study in Ghana found that 16% of neonatal deaths could be prevented if all infants were breastfed within 24 hours of birth, and 22% if breastfeeding started within the first hour of life. The study in Nepal found that an infant given breast milk within an hour of birth is up to three times more likely to survive than one breastfed a day later. Infants who are not breastfed until they are two days old are more than four times more likely to die.

My son wasn’t breastfed within the first hour. I don’t remember exactly when I first nursed him, but it certainly wasn’t immediately and once I did, he didn’t latch. He was born at 7:30am and I didn’t get to see a lactation consultant until sometime the next afternoon (i.e. around 32 hours later) despite the fact that he wasn’t latching on at all. If I could change one thing about hospital practices here in Canada, it would be to ensure that all moms who are planning to breastfeed are encouraged to nurse in that first hour and that they are referred to a lactation consultant immediately if things are not working. I shouldn’t have had to wait that long to get professional help. I shouldn’t have had nurses with insufficient training in lactation pushing formula on my child before I’d had a chance to see a lactation consultant. I shouldn’t have had to see the pediatrician (who only did her rounds once per day) before getting a referral to the lactation consultant.

Globally, if I could change one thing it would be to ensure that all mothers have access to a skilled birth attendant who is trained in breastfeeding best practices, whether they are delivering their baby at home, at a birth centre, or at a hospital.

As I’ve said before, moms don’t need more pressure to breastfeed. But they do to be empowered and supported in their feeding choices. At the moment, that still isn’t happening. In some cases, that means moms cannot meet their own breastfeeding goals. In other cases, especially in the developing world, it is still an issue of life or death.

What Can You Do To Help?

If you want to help save babies lives and ensure mothers are empowered in their feeding choices, you can:

  • Sign the petition calling on Nestlé and Danone to change the way they market infant formulato comply with the WHO Code of Marketing of Breastmilk Substitutes.
  • Donate to Save the Children’s No Child Born to Die campaign to help tackle malnutrition and overcome the global shortage of health workers.
  • Write to your local hospital, member of provincial parliament, and health minister, asking them to ensure that all mothers who are planning to breastfeed are encouraged to breastfeed within the first hour of birth and that they have immediate access to lactation consultants if they are having any difficulty.
  • Read the Save the Children report to educate yourself and so that you can educate others about the issue of breastfeeding globally. Some of the statistics on breastfeeding in countries around the world are staggering and fascinating.
  • Encourage companies you work for or buy from to sign on to the C.A.R.E-WHO Alliancecoordinated by Best for Babes, demonstrating their committment to caring about moms and babies and complying with the WHO Code.
  • Blog, Tweet, Facebook or otherwise share the Save the Children report or this blog post.

What do you think needs to change to increase breastfeeding rates globally?


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