The Truth About Motherhood – Oprah 4/6/09

            

Times have changed.  My mother raised 5 children in the 1950′s, without a nanny, cook, housecleaner, or babysitter.  When she was pregnant with me, she had 3 toddlers under the age of 5. Tired? There wasn’t a WORD for it according to my mother. She sat down one day at the table in the middle of the day with her mother and just started crying. Her mother was shocked, “What’s the matter?” My mother released, “Oh, I guess I am just tired, it all seems so overwhelming!” Of course my stoic grandmother came out with, “You dry up those tears. You have nothing to cry about. You have a house over your head, food on the table, a husband who doesn’t drink and run around with other women. You have nothing to cry about.” Ah yes, yet ANOTHER level of suppression.

Here we are in 2009, with programs allowing “voices to be heard.” My question is, by expressing one’s experience and focusing on the negative can this potentially keep people in the negative? Or is it therapeutic to ‘get it out’ and not keep it trapped in the body? I understand the rationalization of the expression is to ‘release’ the tension, ‘be heard,’ ‘allow one to vent,’ in order to move on. Yet on this particular show, “The Truth About Motherhood,” while there were funny moments throughout and interesting concepts to ponder, I wonder if we are setting up the women to get ready for the dysfunction before it might not happen?

Because I have not bore or raised children, most would say I am not one to even have an opinion.  For the past 22 years I’ve counseled, assisted and helped over 1,100 babies come into the world.  I speak not as your average woman without child. I am empathetic and have always encouraged my clients, friends and family members to ‘express themselves’ in order to release and move on. I don’t lie about the realities of ‘lack of sleep,’ needing to take care of oneself amidst the demands of the baby and/or their partner. I encourage coping tools, humor, support and expression to counter the extraordinary demands in this high paced society we live in today.

“The Truth About Motherhood” : Monday, April 6, 2009. http://www.oprah.com/article/oprahshow/20090311-tows-mom-truth

Longtime friends Trisha Ashworth and Amy Nobile set out on the motherhood journey together. They had perfect plans—Amy would stay at work after kids; Trisha would have three children, set exactly two years apart. But, like so many best-laid plans, things didn’t work out like they thought. Motherhood, they say, was more overwhelming than they expected. “It was like a bomb hit us,” Amy says. “I didn’t feel I had permission to talk about how hard motherhood really was.” Eventually, Trisha and Amy say they reached their breaking point, and they set out to see if other mothers shared their struggles. After interviewing hundreds of women, they say they’ve heard all the dirty little secrets of motherhood. Their first book, “I Was a Really Good Mom Before I Had Kids,” was based on their findings. 

One of the most poignant messages on the program that day from a, ‘Stay At Home Mom:”  

Dee-Dee is currently a stay-at-home mom, but she was a working mother once too. “The competition is there because we create it for ourselves,” she says. “There’s really no reason to compete, because [stay-at-home moms] are just as busy as the working mom. The working mom is just as busy as we are. We just tend to sometimes put the focus on the wrong things. We’re all busy 24/7. I consider myself an at-home working mother.” Amy says these wars arise out of our own uncertainties as mothers. “We’re insecure about the choices we’re making—that’s why we’re judging each other,” she says. “We need to give ourselves a collective break.” 

That is right everyone needs to give themselves a ‘collective break.’  People don’t these days, the ego runs rampant.  The oxygen mask goes on the mother last and unfortunately everyone around her as well as herself is dead because she didn’t put it on herself FIRST. So often women have lost themselves and their relationship with their partner, in the details of everyday life. Family and children come first, work next, life next, maybe partner and then themselves.  The last and most exhausted part of who they are. And so these women get sick. All the time they think they are being “strong” because they are able to “do it all.” This is not a reflection of strength, it is weakness.

Kids need to see that you are ‘real.’ One mother’s response to that realness was:

Now that Karen has learned the ropes of motherhood, she’s got some tricks she’s willing to share. “I think the best way to discipline is for your kid to think that you’re just a little bit crazy,” she says. “You’ve got to make them think that this might be the moment that Mom finally loses it.” Karen says she came up with her new method when she once threatened to take away all of her daughter’s toys. “Of course she didn’t believe me, so she [misbehaved] again and I didn’t even yell. … I went in and cleaned out her room. There wasn’t so much as a Lego left,” she says. A day later, Karen put the toys back, but she says those 24 hours did the trick. “Now, all I have to do is get that sort of wild I’m-gonna-take-all-your-toys-away look in my eye, and she straightens up.” 

Of course motherhood, with the baby on the outside, creates lessons of surrender:

Melinda Roberts, a mom of three, says she had to learn on her own that motherhood is like a 12-step program. “You’ve got to take it one day at a time sometimes,” she says. “You feel like: ‘If I can get out of bed and get breakfast on the table, I’ll be happy. If I can get them to school, I’ll be happy.’”One major motherhood realization that Melinda says she had with her first child was that she could no longer control everything in her life. “You can no longer choose your activities, your down time, when you get to sleep,” she says. “No matter what you do or where you go, you’re always tethered to this other human being in this unbreakable, incredibly fragile way. Anything you do will affect this child potentially for the rest of their life.” 

No program would be complete with out discussion of “Is there Sex after babies?”

One popular topic on Heather’s blog (http://www.dooce.com) is sex and how it changes when you are a mom. “It took seven months [before I had sex after giving birth]. No one had told me that it was going to take that long after what the baby did to me,” Heather says. “Any guy who wants to have unprotected sex? Seven months without it. Just think about that for a minute. Let that number circulate in your head for a little bit.” Karen says the definition of intimacy has changed for her marriage since her child was born. “Intimacy in our house nowadays is my husband and I touching ankles below my daughter’s sleeping form between us,” she says. “It’s really hard to get that loving feeling when you’ve got a 40-pound kid between you.” 

No wrong or right, good or bad, a forum for reflection, discussion and support.  Where do you stand in YOUR truth about motherhood?

Pica: Chalk Craving in Pregnant Women

~         pica2         pica-31       pica-1        ~

When a woman, pregnant or NOT desires or craves chalk, for taste or the sensation of crunching, there is an iron  deficiency in the woman and she is  anemic (more tired, need energy building foods). Once she gets the iron balanced in her system, she will NO LONGER have the craving for the chalk.

When one supplement’s their diet with iron pills, it is important to take the iron pills with something acidic, like orange juice, BECAUSE it helps to ENHANCE the absorption of iron in your body.

rolaids1When one takes rolaids, it is COUNTER PRODUCTIVE to the absorption of the iron in the body. Rolaids is an ANTACID, (not acidic) and you NEED acid to absorb the iron in your body. So, you are just canceling out the iron supplement each time a rolaid is taken.  It doesn’t matter if one takes one or ten…IT IS NOT GOOD!  Research shows if a pregnant woman has to choose between chalk and rolaids, the more favorable choice is the chalk.  It doesn’t have the antacid element to it.  STOP rolaids immediately if your doctor has suggested this as a solution away from the chalk.

Eating iron rich foods is imperative.  If one needs to find foods that will satisfy a need to CRUNCH try something like ALMONDS or other kinds of seeds or nuts rich in iron. Leafy green veggies are high in iron and so are dried apricots which are ALSO high in Vitamin C, (an acidic source).

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floradixFloradix is a liquid formula that will help to enhance the iron absorbtion in one’s body when eating iron rich foods.

Floradix Formula Iron (250mL) Brand: Flora

http://www.amazon.com/Floradix-Formula-Iron-250mLBrand/dp/B0002DUFKU/ref=sr_1_3?ie=UTF8&s=hpc&qid=1254578184&sr=8-3

Uses: Energy, Anemia etc. The absorption rate of Floradix (liquid iron gluconate) is twenty-five per cent compared solid iron tablets that have an absorption rate of two to ten per cent. Floradix provides maximum absorption by using the most highly absorbable form of iron, iron gluconate. Floradix also contains B vitamins and vitamin C to enhance absorption, herbal extracts to increase digestion, and fruit juices to ensure proper stomach acidity. A twenty milligram dose of Floradix satisfies the Recommended Daily Allowance (RDA) of fifteen milligrams of iron for women of child-bearing age.

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Homeopathic remedies to help get your minerals balanced in one’s body are:

ferrous-phosphate1.  Ferrous Phosphate:  6X or 12X strength, take 1-4 times per day, 4 pellets. This very useful cell salt is known as the “oxygen carrier”. It has the ability to carry oxygen to all the cells of the body for use in conversion to energy.

2,  Bio-chemic Tissue Salts:  take 5/6 of these COMBINATION  3-4X’s per day. 

rocksalt2-150x150The 12 Tissue/Cell Salt Combination As the name implies, this is a combination of all 12 salts in a single tablet. This combination can be used daily in much the same way as you would take a vitamin or supplement. To treat specific conditions, however, select one of the single salts listed above. RECOMMENDED POTENCY – 6X is the most widely used potency. These are all the different MINERALS combined into the 12 Tissue/Cell Salts.Calcarea Fluoricum Calcarea Phosphoricum Calcarea Sulphuricum Ferrum Phosphoricum Kali Muriaticum Kali Phosphoricum Kali Sulphuricum Magnesia Phosphoricum Natrum Muriaticum Natrum Phosphoricum Natrum Sulphuricum Silicea (Silica)

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How Much Iron?
The recommendation increases to 27 mg for pregnant women.

http://www.healthcastle.com/iron.shtml
Iron Rich Foods containing Heme Iron (Iron found in animal protein):
Excellent Sources               Good Sources
Clams                                       Beef
Pork Liver                                Shrimp
Oysters                                     Sardines
Chicken Liver                           Turkey
Mussels
Beef Liver

Excellent and Good Sources of Iron Rich Foods containing Non-Heme Iron:

Enriched breakfast cereals
Canned beans
Cooked beans and lentils
Baked potato with skin
Pumpkin seeds
Enriched pasta
Blackstrap Molasses
Canned asparagus

Warning: Pregnant women should not eat liver because of its very high Vitamin A content. Large amounts of Vitamin A can be harmful to the baby.

The absorption of Non-heme iron can be improved when a source of heme iron is consumed in the same meal. In addition, the iron absorption-enhancing foods can also increase the absorption of non-heme iron. While some food items can enhance iron absorption, some can inhibit or interfere iron absorption. Avoid eating them with the iron-rich foods to maximize iron absorption.

Iron Absorption Enhancers  (GOOD to eat)
Meat/fish/poultry
Fruits: Orange, Orange Juice, cantaloupe, strawberries, grapefruit etc
Vegetables: Broccoli, brussels sprouts, tomato, tomato juice, potato, green & red peppers
White wine

Iron Absorption Inhibitors  (BAD to eat)
Red Wine, Coffee & Tea
Vegetables: Spinach, chard, beet greens, rhubarb and sweet potato
Whole grains and bran
Soy products

Is Spinach a good source of Iron? Written by Gloria Tsang, RD
Published in May 2006 (HealthCastle.com)

Spinach and Iron has been a highly discussed topic in our free nutrition forum. Many readers know that spinach is a source of iron. However they are confused that spinach is said to contain an iron absorption inhibitor as mentioned in our Iron Rich Foods article.

Spinach – a source of Iron
spinach
Spinach is a source of non-heme iron, which is usually found in vegetable sources. Unlike heme iron found in animal products, non-heme iron is not as bioavailable to the body.

According to the USDA National Nutrient Database, one cup of cooked spinach provides ~3.5mg of iron whereas a cup of raw spinach only contains 1 mg of iron.

Spinach – also inhibits (stops) iron absorption.
Spinach also contains oxalic acid (sometimes referred as oxalate). Oxalic acid binds with iron, hence inhibiting its absorption.

Spinach is not the only food containing high levels of oxalic acid. Whole grains such as buckwheat and amaranth, other vegetables such as chard and rhubarb, as well as beans and nuts all contain significant levels of oxalic acid.

So Should you or Should you not eat Spinach?
You do not need to give it up if you are a spinach lover! Simply eat spinach with any foods containing iron absorption enhancers. Here are some examples:

Iron Absorption Enhancers  (Good to eat)
Meat, fish, or poultry
Fruits: Orange, Orange Juice, cantaloupe, strawberries, grapefruit and other Vitamin-C rich fruits
Vegetables: Broccoli, brussels sprouts, tomato, tomato juice, potato, green & red peppers
White wine

Flu and Breastfeeding: Flu-Free Pregnancy With Alternative Preventative Measures

~       sleep-pg-woman2         raw-foods1        hand-wash       ~

Whether you are pregnant, a medical or non medical caregiver, post partum doula, baby nurse or teacher, you know that immune systems are compromised during the winter months. Flu pandemics are valid concerns. Pregnant women are more vulnerable because their immune systems are suppressed during pregnancy so that their bodies don’t reject the baby.

The following piece is from Midwife: Gloria Lemay with her research on the H1N1 vaccine as well as preventative suggestions:

h1n1-vaccine1“The publicity for the H1N1 vaccine is pervasive.  Pregnant women are being focused on as a group that should be first in line to receive the vaccine.  The fact that the vaccine is highly experimental and contains mercury (thimerosol preservative) has not escaped pregnant women and childbirth workers.” (I, Judith, coordinator of this blog, have read on some sites one can request to have the vaccine WITHOUT the thimerosol preservatve in it.  They may not have it at your clinic or doctor’s office.)

“When the public is polled about who will take the H1N1 vaccine, almost half the population say they will refuse it. Thanks to the internet and other people-centered media, the experts who disagree with this mass population vaccine program have gotten the message out that the vaccine is far more dangerous than the disease.

What can a pregnant woman do to protect herself from H1N1 if she refuses the vaccine program?

Again, the media suggestions of sneezing into your sleeve and washing your hands with toxic sanitizers don’t get to the heart of the issue. We all need to take charge of having the best immune response possible so these suggestions, although directed at pregnant women in the fall of 2009, are good lifestyle advice for everyone.

1. Go to bed at 10 pm or earlier in a very dark room. Healthy sleep is important. Get rid of lighting in the bedroom (nightlights, electronic clocks, etc.)

2. Change your bedding and towels once a week.

3. Eat foods high in Vitamin C. Grapefruit, oranges, kiwi fruit and red peppers. Get used to these fruits as dessert.

4. Eliminate white sugar and flour from your diet.

5. Eliminate caffeine (coffee, tea, colas, chocolate).

6. Buy a wool scarf and mittens and be sure to bundle up warmly when you go out into the cold.  Scarves help maintain your body heat and can be unwrapped and stuffed into your pocket when you go into a store or office building to adjust your warmth level.

7. If you feel the first tickle of a cold or sore throat, cancel everything and go straight to bed with hot herbal tea and a bag of grapefruit.  Nip it in the bud with rest, Vitamin C and inner warmth.

8. Here’s a link to herbs that are safe in pregnancy.  Learn to love your herb teas.

9. Slow down and enjoy your pregnancy.  This is a special time in your life.  Say “no” to overbooking yourself and consider quitting work earlier than you planned.

10. Keep your partner healthy, too.

Your baby will thank you for adopting these measures and you’ll have more energy, too.  The first 3 days are the hardest and, then, you’ll love this routine.  I’m sure the comments will have lots more tips, too, read on.”

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One commenter who worked with twins said this, “I work with a lot of twins who are usually preemies and so the parents tend to be extremely concerned about germs and have had the vaccine pushed on them by their doctors. I have had a bad vaccine reaction in the past as an adult and so don’t get vaccinations but what I do is to take the homeopathic version of the vaccine which is called Influenzinum. It changes every year according to the new strain of the virus and this year also includes the homeopathic version of the H1N1 vaccine. I take it once a week October through June and am rarely sick even though I do not get good sleep. (I work mostly nights.) To get it just call your local homeopath (you won’t need a consultation) or you can order it online here:

http://drfeder.com/index.php?page=shop&action=viewProduct&itemID=124

This is where I get mine. When I tell my clients I am doing this they have all been fine with it. I think they just want to know I am being proactive about my and therefore their children’s health.”

influenziumInfluenzium: Winter Tonic is a homeopathic combination of flu types from 1918 to  the present. The combination of flu types is then combined with ingredients that  help strengthen the immune system during the cold and flu season.  Winter Tonic  (4 pellets) can be taken once a week during the cold and flu season.  For children a  and adults.  Contains: Influenzinum; Otitis; Sinusitisitum; Grippe;  (All 6C)  4 dram  bottle, 400 pellets  Produced by NHP

Check out Dr Feder’s website at: www.dr.feder.com in general for his information on alternative immune booster suggestions.  He also has an interesting article on H1N1 (Swine) Flu:

http://drfeder.com/index.php?page=articles&action=viewArticle&articleID=295

Three things that can’t hurt and may well help: Vitamin D-*3*, up to 10,000 IUs a day if the flu is coming on. Otherwise, 2,000 – 4,000 daily as a preventative. Vitamin D is not given in milligrams, but in IUs, which is a much smaller dosage. 250mcg or micrograms is equal to 50 IUs or international units. A microgram is 1/1000 of a milligram. The normal dosage of Vitamin D is about 2000 IUs.

vit-cVitamin C, which most people are already taking in their prenatal vitamins, but maybe a  larger dose of 2,000-5,000 mgs. per day.  Vitamin C is water soluable so you will pee  out whatever is too much for the system.  Also, if you are taking too much your body  will let you know through loose stools.  Do not take anymore that day if this happens.  Or, give your body a break and take some later during the day or night.

Resveratrol (that’s the good stuff in red wine) at about 250 a day.

THere is also another vital vitamin to take a look at and integrate into your supplements this season: Vitamin D Theory  (Taken from www.foodconsumer.org)

“…Cannell has reported on Sept 16 in his newsletter that two physicians, one in Wisconsin and the other in Georgia, suggested that vitamin D supplementation can be the key to H1N1 flu prevention.”

images2

“Norris Glick, M.D. of Central Wisconsin Center in Madison, Told Cannell in his email that the 274 residents at his health care facility took vitamin D supplements and where monitored regularly for their plasma vitamin D levels; as a result, only two residents developed influenza-like illness and had positive tests for H1N1 during a period of observation. This compares to 103 of 800 staff members during the same period who were not required for the supplementation. This huge difference may be due likely to use of vitamin D supplements.

images-14Dr. Ellie Campbell, who also responded to Cannell’s vitamin D theory, told Dr. Cannell in an email of a similar observation.   She said she told her patients to take 2,000 to 5,000 IU of vitamin D regularly and monitored their serum levels to make sure her patients had sufficient Vitamin D in their blood.  Campbell shared office with another physician. Her office mate did not do the same thing to his patients.  When H1N1 hit George, none of her patients came to see her for H1N1 virus infection while the other physician was seeing one to 10 cases per week of influenza-like illness.”

hand sanitizerNot to be too obsessive about this, there’s also hand sanitizer, which is a really good idea. A little bottle in your purse, and then use it whenever you’ve been out anywhere. Most drug stores have the little bottles right by the check-out counter.

defaultAnother thing to do that can help to keep you healthy is nasal gavage.  Use a Neti Pot  once  a day – every day.  If you are around someone ill  go home and use it.  Many  doctor’s  particularly ENT’s for eye, ear, nose surgery comment, if all their patients  used this  every day they would be out of business.  It helps to rinse all the allergens  and germs  out of your nasal passage. Learn about it at a local health food store or here online:
neti-demoIt works great!  But one caution – you need to use 1/4 t. of sea salt and 1/4 t. baking soda.  If you don’t use the baking soda it burns like crazy – the baking soda acts as a buffer. Clean your nostrils at least once every day with warm salt water. Not everybody may be good at Jala Neti or Sutra Neti (very good Yoga asanas to clean nasal cavities), but blowing the nose hard once a day and swabbing both nostrils with cotton buds dipped in warm salt water is very effective in bringing down viral population.  sinus-rinseOther ‘nasal washes’ you might look into are:  NeiMed Sinus Rinse which one of my pregnant woman says is inexpensive and she uses it in the shower.  Get it at a local drug store or online at:
Another, more sophisticated way to keep one’s nasal passages irrigated:  Naväge Nasal Hygiene System,  the world’s only nasal rinser using controlled light suction to gently wash the nasal passages.  Devices like the neti pot and squeeze bottle push saline through the nose. Doctor recommended Naväge makes the innovative leap to light, powered suction and gently pulls saline through the nasal cavity. The result is an elegant new way to keep your nose clean. It’s easy to use, convenient, comfortable and safe.  And it doesn’t make a mess!  Please join us on the road to better nasal health starting today, and begin to enjoyimmediate sinus relief along with the lifelong benefits of superior nasal hygiene.navage2
Other suggestions to help prevent the spread of infection:
coughsneeze– Wash your hands frequently.
– Cover your mouth and nose with a tissue if you sneeze or cough.
– If you eat pork, cook your it thoroughly.
– Avoid travel. If you have any symptoms, stay home.
– If your symptoms are severe, immediately contact your healthcare  professional.
– The following is a piece on You Tube entitled, ”Doctor Admits Vaccine Is More Deadly Than Swine Flue Itself and Will Not Give It To His Kids”: http://www.youtube.com/watch?v=E1z7KSEnyxw&feature=player_embedded
This is another email to read for futher research on the subject, extensively backed up by studies and research:  ”The Deadly Flu! The Vaccination Game!  A Users Guide”  October 2009: http://archive.constantcontact.com/fs028/1101543244270/archive/1102738308154.html
This is a link to Dr. Oz and his feedback on the flu vaccine, “The Dr. Oz Bait for Vaccines: Why Did He Do It,” Posted by: Dr. Mercola October 13, 2009: http://articles.mercola.com/sites/articles/archive/2009/10/13/Dr-Oz-Helps-Shill-the-Flu-Vaccine.aspx#
“Woman Says Flue Shot Triggered Rare Disorder,”  (WUSA9.com): http://www.wusa9.com/news/local/story.aspx?storyid=92345&catid=158
“The H1N1 Primer for Pregnant Women”    by Maryl Smith
© 2009 Midwifery Today, Inc. All rights reserved.
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Advice regarding breastfeeding for mothers with possible H1N1 infection

Ruth A. Lawrence, M.D., FAAP and John S. Bradley, M.D., FAAP  Published on October 13, 2009 AAP News 2009, doi:aapnews.20091012-1 © 2009 American Academy of Pediatrics: http://aapnews.aappublications.org/cgi/content/long/aapnews.20091012-1v1

breast-2Neonates and infants younger than 6 months of age are at risk for complications from seasonal influenza and presumably 2009 H1N1 influenza (swine flu), although the morbidity and mortality from this new virus have not yet been described.

While the advantages of breastfeeding are well-known, this close interaction of mother and newborn also can facilitate transmission of influenza virus. The benefits and the risks of close contact must be considered carefully.

To protect the infant from possible serious infection while allowing essential and encouraged mother-infant bonding to occur, a compromise is required until more data are available. The following precautions are suggested to minimize the risk of infection to the infant, particularly while still in the hospital and while the mother is symptomatic with fever and coryza:

breast-4– Pay careful attention to handwashing prior to any contact.
– Prior to breastfeeding, wash the breast with mild soap and water; rinse well.
– The mother should wear a surgical mask to prevent nasal secretions and the spontaneous cough or sneeze from inoculating the infant.
– Use clean blankets and burp cloths for each contact.
– Monitor the maternal-infant interaction on perinatal floors for compliance with the above precautions.
– Gargle twice a day with warm salt water (use Listerine if you don’t trust salt). *H1N1 takes 2-3 days after initial infection in the throat/ nasal cavity to proliferate and show characteristic symptoms. Simple gargling prevents proliferation. In a way, gargling with salt water has the same effect on a healthy individual that Tamiflu has on an infected one. Don’t underestimate this simple, inexpensive and powerful preventative method.
– Drink as much of warm liquids (tea, coffee, etc) as you can. *Drinking warm liquids has the same effect as gargling, but in the reverse direction. They wash off proliferating viruses from the throat into the stomach where they cannot survive, proliferate or do any harm.

These precautions are designed to minimize the risk of transmission until mother’s immune response to H1N1 influenza is established, and increased, specific immune protection may be provided by breast milk. Note that influenza virus does not pass through breast milk.

breast-3Although the most effective way to prevent influenza transmission is complete separation from her infant when a mother is receiving antiviral treatment, separation may create more long-term problems in breastfeeding success and mother-infant bonding than any potential benefit achieved from avoiding infection in the newborn infant.

For any mother with H1N1 influenza infection who presents in labor to a health care institution, testing and empirically starting therapy for influenza with an antiviral is suggested. Oseltamivir (Tamiflu) or zanamivir (Relenza) will hasten resolution of symptoms and infectivity, particularly if treatment is started within 48 hours of onset of illness. Neonatal exposure to oseltamivir (Tamiflu) excreted in breast milk is extremely low.

Immediately following delivery, the precautions listed above should be instituted as the newborn infant is first placed into mother’s arms. These precautions should be followed until mother’s illness is resolved, i.e., no fever, as measured without antipyretics, for 24 hours.

breast-1While no data exist to support these suggestions, it is believed that these represent an appropriate balance between the benefits of mother-infant interaction and the risks of serious neonatal infection. Institutions may wish to modify of these suggestions to address their needs and medical practices.

Dr. Lawrence is chair of the AAP Section on Breastfeeding executive committee. Dr. Bradley is a member of the AAP Committee on Infectious Diseases.

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It is very important that you do your own research.  Don’t let anyone tell you what to do.  This is your body, your life, your children and it is important what ever you choose to do, not to judge someone else for their choice.  We are here to learn to agree to disagree.  Everyone’s level of development, fear, trust and preventative abilities is different.  Don’t just do something bacause someone says it’s the best thing to do. Assume your power by gathering knowledge, going inside and making an informed choice.
Know the Difference between Cold and H1N1 Flu Symptoms

Symptom

Cold

H1N1 Flu

Fever

Fever is rare with a cold.

Fever is usually present with the flu in up to 80% of all flu cases. A temperature of 100°F or higher for 3 to 4 days is associated with the flu.

Coughing

A hacking, productive (mucus- producing) cough is often present with a cold.

A non-productive (non-mucus producing) cough is usually present with the flu (sometimes referred to as dry cough).

Aches

Slight body aches and pains can be part of a cold.

Severe aches and pains are common with the flu.

Stuffy Nose

Stuffy nose is commonly present with a cold and typically resolves spontaneously within a week.

Stuffy nose is not commonly present with the flu.

Chills

Chills are uncommon with a cold.

60% of people who have the flu experience chills.

Tiredness

Tiredness is fairly mild with a cold.

Tiredness is moderate to severe with the flu.

Sneezing

Sneezing is commonly present with a cold.

Sneezing is not common with the flu.

Sudden Symptoms

Cold symptoms tend to develop over a few days.

The flu has a rapid onset within 3-6 hours. The flu hits hard and includes sudden symptoms like high fever, aches and pains.

Headache

A headache is fairly uncommon with a cold.

A headache is very common with the flu, present in 80% of flu cases.

Sore Throat

Sore throat is commonly present with a cold.

Sore throat is not commonly present with the flu.

Chest Discomfort

Chest discomfort is mild to moderate with a cold.

Chest discomfort is often severe with the flu.