tenterfield / granite belt bulletin tenterfield/ granite belt group bulletin group leader & breastfeeding counsellor Michelle C (Severnlea) 07 4683 5131 breastfeeding counsellor & breastpump hire Anita (Ruby Creek) 07 4686 1162 breastfeeding counsellor Leah (Broadwater) 07 4683 6252 www.granitenet.com.au/ groups/women/aba january – june 2013 group leader welcome We have had a really great group over the past year, it’s grown by leaps and bounds. Having two meetings a month in Stanthorpe has really increased our numbers, and we have a lovely bunch of regulars. New mums are always M welcomed. a y Some of the topics we covered in the past few months have been very — interesting & educational, including baby ? 2 0 0 9 quick calendar For full calendar see the back page of the bulletin. january 2013 no meetings february Thursday 14th Thursday 28th march Thursday 14th Thursday 28th april Thursday 25th may Thursday 9th Thursday 23rd june Thursday 13th safety, introducing solids, baby massage, diet & exercise, and returning to work. A discussion of the age old question on when to introduce solids is on page 6. In October we found out that we were successful in a grant that was applied for earlier in the year. This grant will be used to help deliver breastfeeding education to health professionals in the Darling Downs/South West region. Thanks to Michelle M for all the hard work on this grant application. If you are a health professional (doctor, midwife, child health nurse or in training for any of the above) and would like to learn more about breastfeeding to support your clients, please turn to page 2 for more information on the grant and how you could benefit from the grant. The national raffle will be run once again from Valentines Day to Mothers Day (heart to heart). Please help us sell tickets or buy some for yourself— there are fantastic prizes on offer. Michelle M is taking 6 months leave from counselling. Thank you to all who are involved in our group. Everyone in our group and in the ABA is a volunteer with children, and we really appreciate the time you give to supporting our group and other mums. help: 1800 mum 2 mum 1800 6 8 6 2 6 8 info & e-counselling: www.breastfeeding.asn.au shop www.mothersdirect.com.au 13HEALTH: 13 43 25 84 24h/7days For those of you reading this who've never been to an Australian Breastfeeding Association meeting, we'd like to invite you to come along (see the back of this bulletin for dates, venues and topics). Pregnant mums, new mums, mums of older babies and children, breastfeeding or not; you are most welcome. Yours in mothering, Michelle Conkas Group Leader Volunteer Breastfeeding Counsellor Page 1 january—june 2013 tenterfield / granite belt bulletin 10 1 great reasons to come along to a local group meeting Chance to meet and share experiences with other mothers in your area. You might make a new friend or establish a network. 2 Access to up-to-date information. 3 Gets you & your baby out of the house for a morning. 4 Get to know your local breastfeeding counsellor. Some mums feel more confident ringing us when they can put a face to a voice. 5 Talk to a trained breastfeeding counsellor available at all group meetings. If you like, they can watch you feed or answer questions during the discussion or in private afterwards. 6 Borrow books from our breastfeeding and parenting library. 7 Everyone is welcome – mums, dads, partners, grandparents, friends, babies and children of all ages. We sometimes have family activities. grant Thanks to Michelle M’s hard work, we were lucky to receive a grant for over $25000 for our group. The main intention of the grant is to further develop and expand the medical student training that Anita has been working on the past few years. We plan to work with several medical professionals and medical students throughout the Darling Downs to expand their breastfeeding knowledge, and to therefore benefit local mothers with that knowledge. Many thanks to the Queensland Gambling Community Benefit Fund for granting us these funds. Training package includes: Breastfeeding Management for Medical Practitioners workshop, Brisbane 6 March 2013 Breastfeeding: from Science to Skills Seminar, Brisbane 7 March 2013 Travel & accommodation costs for workshop and seminar Breastfeeding Management in Australia , Edited by Wendy Brodribb AM MBBS IBCLC PhD FABM, 2012 edition ABA Subscription (includes Essence magazine) Lactation Resource Centre Subscription (includes Breastfeeding Review journal ) As many health professionals will be funded as funds permit. Please contact one of our counsellors if you are interested in benefiting from this grant. 8 View a range of ABA booklets & other items from Mothers Direct catalogue. 9 Watch babies of various ages & get a ‘preview’ of the next stage. 10 Learn from other mums. library list online Our library collection list is online at: www.librarything.com/catalog.php?view=aba_gb_tent Page 2 january—june 2013 tenterfield / granite belt bulletin subscribe Australian Breastfeeding Association Subscription Form PO Box 4000, GLEN IRIS VIC. 3146 Telephone (03) 9885 0855 Facsimile (03) 9885 0866 or online www.breastfeeding.asn.au Title: ___________ First Name: ____________________________ Surname: ______________________________________________ Street: _________________________________________________ Suburb: __________________State: _______ Postcode: ______ Tel: (____) ____________________________________ Fax: (____) _______________________________________ e-mail: _________________________________________________ Birthdate: ___________________ Subscription prices 1 January 2013 to 31 December 2013. New subscription includes a free copy of 'Breastfeeding ... naturally' 2 year new $100.00 1 year renewal $65.00 2 year renewal $100.00 1 year new $65.00 Concession [No.___________________________] 1 year $50.00 Total Mothers Direct is your one stop shop for products for pregnancy, breastfeeding, expressing and early parenting. Shop from home securely online or visit our retail store in Brisbane. 10% discount for ABA subscribers! www.mothersdirect.com.au $_____________ Enclosed is my cheque/money order (payable to Australian Breastfeeding Association) OR Please charge my Visa/Mastercard Card Expiry Date____/____ Card Holder’s Name: ___________________________________ Signature: __________________________________ I am a new subscriber to the Australian Breastfeeding Association local group email list Please send an email to When you join you will receive a copy of the Association’s comprehensive and invaluable book on breastfeeding, Breastfeeding … naturally. This book usually retails at $34.95. Please tick this box if you do NOT want to receive a copy [email protected] if you would like to be added to our email notification list. We send out reminders about upcoming meetings and local ABA events, usually one or two emails a month. YOUR PRIVACY IS IMPORTANT TO US The Australian Breastfeeding Association collects names, addresses and payment information for the purpose of providing Association services. Your personal details will not be given to any other party unless legally required to do so. Our privacy policy can be viewed at www.breastfeeding.asn.au or obtained by calling 03 9885 0855 during business hours. Your personal details may be used for internal fundraising purposes. Should you prefer not to receive these requests, please contact us. ABN 64 005 081 523 Tenterfield/Granite Belt Group Page 3 january—june 2013 tenterfield / granite belt bulletin feeding cues group directory group leader, breastfeeding counsellor Michelle C 07 4683 5131 Babies instinctively let us know when they need to be fed. This article will help you to recognise when your baby needs to be fed. This can help to make breastfeeding work well for both of you. breastfeeding counsellors Leah 07 4683 6252 Anita 07 4686 1162 publicity Leah library Sally medical students presentations Anita breastpump hire Anita antenatal talks Michelle C, Anita ‘Not yet Mum!’ In most cases, healthy, thriving newborns will wake on their own accord for feeds and so get all the milk they need. However, there are some reasons why a newborn may be extra sleepy. It may be necessary to wake the baby for feeds to ensure he gets the milk he needs. Treasurer Samantha bulletin & graniteNet web site Michelle C. group project This lovely set of six greeting cards featuring breastfeeding Goddesses is now available. Group projects raise funds for our group for resources such as library books and DVDs, breastpumps and to assist trainees & counsellors attending conferences and training events. The set is $12 and can be purchased by contacting Michelle [email protected] or 4683 5131 or online at www.granitenet.com.au/ groups/women/aba/cards ‘I’m ready for a feed now Mum’ Feeding now: keeps your milk supply up satisfies your baby's hunger and thirst lets your baby know you are there when he needs you. 'Oops mum!' When a baby is crying, it is harder to: get her to have a good feed get her on the breast easily avoid sore nipples. Page 4 january—june 2013 tenterfield / granite belt bulletin ABA helpline benefits of subscribing Breastfeeding is a learned skill, so it’s normal to need some support along the way… Becoming a member of the Australian Breastfeeding Association (ABA) can help you gain confidence in breastfeeding and parenting. In addition to the complimentary services ABA offers, Individual Membership includes: Book – Our welcome gift to you! Usually $34.95, you'll receive a complimentary copy of our book Breastfeeding...naturally (fully revised and updated in 2011). Breastfeeding education antenatal classes – Our members -only classes are designed for expectant parents to prepare for the vital days, weeks and months after your baby's birth. Essence magazine – Share in the stories of other mums and gain up-to-date information on a range of breastfeeding and early parenting topics with our member magazine Essence. E-newsletter – Have the latest news, information and special offers from the Australian Breastfeeding Association emailed directly to you every month. Read about current activities and be connected to resources to support you in your breastfeeding and parenting journey. My Savings* - With discounts from many retailers such as Woolworths, Coles and Big W, the average family can save $1,500 a year. *Only available to eligible members joining or renewing on or after January 1st 2012 Mothers Direct - As an ABA member, you will enjoy a 10% discount on all your purchases from our retailer Mothers Direct. Mothers Direct specialises in useful, quality products for breastfeeding, expressing and early parenting. www.mothersdirect.com.au Half price breast pump hire Members save 50% when they hire a breast pump through our retailer Mothers Direct or their local group. Join the ABA family – As a not-for -profit organisation, the Australian Breastfeeding Association is funded primarily by members. Your membership enables us to continue our services in supporting and educating parents, health professionals and the community about breastfeeding. The 1800 MUM 2 MUM (1800 686 2 68) breastfeeding helpline operates 24 hours a day, 7 days a week. Over 7000 calls from around Australia are taken each month, over 80 000 calls a year. Have you ever wondered how the Breastfeeding Helpline works? The Breastfeeding Helpline is very different to most phone helplines, in that the counsellors are not sitting working in a call centre. Volunteer breastfeeding counsellors are at home (or on their mobile) and are rostered on for 4 hours at a time. When you call 1800 MUM 2 MUM, the phone system automatically routes your call to the first available counsellor, wherever in the country she might be. The average time of a breastfeeding helpline call is 12 minutes, though some calls are longer and some are shorter. what is a breastfeeding counsellor? Australian Breastfeeding Association breastfeeding counsellors are trained volunteers offering breastfeeding information and mother-tomother support. Breastfeeding counsellors: are volunteers offering their services free of charge have breastfed at least one baby hold a nationally-recognised Certificate IV in Breastfeeding Education (Counselling)(or equivalent) continually update their breastfeeding knowledge and skills through ongoing training. Breastfeeding counsellors are not medically trained and cannot give medical advice. If you have a medical issue they will need to refer you to your medical advisor. Their area of expertise is breastfeeding management. training to be a breastfeeding counsellor 10006NAT Certificate IV in Breastfeeding Education (Counselling) covers the skills and knowledge required to work as a volunteer breastfeeding counsellor with the Australian Breastfeeding Association. The course content includes: in-depth breastfeeding knowledge communication skills counselling skills administration of a volunteer group team leadership conflict management The training programs offered by ABA are designed to support learners to finish within 12 months, however most trainees complete the course part-time and take up to 18 months. This course is offered only to members of the Australian Breastfeeding Association who commit to working for the Association as a volunteer breastfeeding counsellor for a set period of time. If you are interested in training to become a breastfeeding counsellor, please speak to one of our counsellors for more information. Page 5 january—june 2013 tenterfield / granite belt bulletin confused about introducing solids? FREE breastfeeding e-book How often should I feed my baby? How can I tell if they are getting enough milk? Learn the basics about breastfeeding quickly and easily with our free 34-page e-book: Breastfeeding Confidence For your free copy go to www.breastfeeding.asn.au And look for the following image: by Joy Anderson, Accredited Practising Dietitian, International Board Certified Lactation Consultant and Breastfeeding Counsellor. Many mothers are confused about introducing solids as they get different advice from different authorities and health professionals. This article is designed to help explain why there is conflicting advice. Basically we don't really know for sure what is best with regards to allergies and the introduction of solids. We used to think we knew how to reduce the risk of allergy but recent research studies have cast doubt on what were the accepted guidelines. The number of children becoming allergic to foods has risen sharply in recent years in Western countries. Finding out what we are doing wrong is the aim of current research in several parts of the world, including UK and Australia. There are two questions: What age should a baby be introduced to solids? What foods should be offered and when? The World Health Organization (WHO) the National Health and Medical Research Council (NHMRC) and ABA all currently recommend 6 months of exclusive breastfeeding and then the introduction of solids while breastfeeding continues. Exclusive breastfeeding means no other food or drink. Authorities in several Western countries 1, 2 recommend that solids should not be introduced before 4 months and should be offered no later than 6 months. This does not mean every baby should begin at 4 months, rather at some point in between these two ages, when the baby shows readiness. The Australian Society for Clinical Immunology and Allergy (ASCIA) supports this and has influenced many health professionals' recommendations. In the food allergy articles in the November 2012 issue of Community Paediatric Review, two paediatric allergists from the Royal Children's Hospital in Melbourne recommend introducing solids around 6 months. The advice to begin solids before 6 months is based on several recent population studies, mostly from Europe.3 These have suggested that introduction and frequent exposure to food allergens from 4-6 months reduce the risk of allergies rather than increase it. This is opposite to what the old guidelines assumed. No study has shown that delaying allergenic foods beyond 6 months results is a lower risk of allergy - rather the opposite. However, there have been no studies where babies were exclusively breastfed for 6 months and then introduced to solids. The population studies looked at normal families and put the babies into categories according to when the parents said they started solids, so there were babies given artificial baby milks in all categories. In addition, allergy risk is not the only factor in deciding when to introduce solids.3 There are also nutrition, risk of illness and risk of the baby receiving too little breastmilk. Iron and zinc are two minerals needed from solids from about 6 months but this varies between babies. Because we don't know which babies are in most need, we usually aim to start giving all babies solids containing these minerals from this age. Iron-fortified cereals are often used in Australia but Page 6 january—june 2013 tenterfield / granite belt bulletin Breastfeeding… naturally The ABA’s Breastfeeding...naturally has been fully revised and updated in 2011, and is now available in full colour. Usually $34.95, new subscribers receive a FREE copy! Breastfeeding...naturally can help answer the questions every parent has about breastfeeding. It covers topics from preparing for breastfeeding, to solving problems and managing the changing needs of your growing baby. these do not contain zinc. The best foods for these two minerals are meats and their vegetarian alternatives. Many people think that risk of illness from artificial feeding or dirty solids is only a significant problem in poor countries. However, there are many studies showing that breastfeeding protects babies from illness in Western countries as well.3 This supports keeping the timing for exclusive breastfeeding to 6 months. The older guidelines also recommended further delay of certain foods such as cows' milk, nuts, wheat, egg and fish, which was thought to reduce the risk of allergy to these foods by allowing the baby's system to mature. The population studies have disproved this. It is now thought that once they start solids, normal babies should be given a variety of foods and the type and order do not matter. A gap of 2-3 days between each new food should be enough, in case there is some reaction. Parents with a baby who has symptoms of allergy already should seek advice from a health professional about introducing solids. Nut allergies are a common concern. Studies so far have suggested that nuts pose no more risk of allergy to normal babies than any other foods. There is a large study being done in UK that will run until 2014 to see if early introduction of peanut products increases or decreases peanut allergies. Until that research is finished, no one can say for sure when is the best time to introduce nuts. Note that this is distinct from the choking risk of whole nuts, which should be avoided until children are about 5 years of age. A similar study looking at egg allergy is being done in Australia. my savings Regardless of the age your baby starts solids, breastfeeding should continue during the process of introducing new foods. Research suggests that this reduces the risk of allergies and coeliac disease.4 It can be challenging balancing the budget with a young family. With our My Savings program you can save where it counts - on items like food, groceries and fuel that you buy every week (as well as things like gifts, travel and movie tickets). Note that this discussion is about preventing allergy in children. If a baby or child already has a food allergy, they and their breastfeeding mother should avoid those foods. Also, studies have shown that avoiding allergens during pregnancy makes no difference to the risk of allergy development in the child. With discounts from many retailers such as Woolworths, Coles and Big W, the average family can save $1,500 a year. My Savings is available to eligible members joining or renewing on or after January 1st 2012 . In answer to these questions: 1. 2. What age should a baby be introduced to solids? Currently the WHO recommendation of 6 months for introduction of solids is current and backed up by research. What foods should be offered and when? A wide variety of foods when the baby shows readiness, starting at about 6 months. References 1. ESPGHAN Committee on Nutrition: Agostoni C, Decsi T, Fewtrell M, Goulet O, Kolacek S, Koletzko B, Fleischer Michaelsen K, Moreno L, Punti J, Rigo J, Shamir R, Szajewska H, Turck D, van Goudoever J 2008, Complementary feeding: a commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr46(1): 99-110. (Available at www.espghan.med.up.pt/position_papers/con_28.pdf). 2. Greer FR, Sicherer SH, Burks AW, the Committee on Nutrition and Section on Allergy and Immunology 2008, Effects of early nutritional interventions on the development of atopic disease in infants and children: the role of maternal dietary restriction, breastfeeding, timing of introduction of complementary foods, and hydrolysed formulas. Pediatrics 121(1): 183-191. (Available ataappolicy.aappublications.org/cgi/content/full/pediatrics;121/1/183). 3. Anderson J, Malley K, Snell R, 2009, Is 6 months still the best for exclusive breastfeeding and introduction of solids? A literature review with consideration to the risk of the development of allergies, Breastfeeding Review 17(2): 23-31. (Note that this article covers the various criteria and research used to advise on the timing of solids introduction.). 4. Ivarsson A, Hernell O, Stenlund H, Persson LA 2002, Breast-feeding protects against celiac disease. Am J Clin Nutr 75: 914-921. (Available atwww.ajcn.org/cgi/content/full/75/5/914). © Australian Breastfeeding Association Reviewed December 2012 Page 7 january—june 2013 tenterfield / granite belt bulletin australian breastfeeding association diary dates january—june 2013 Everyone is welcome at meetings– mothers, pregnant women, fathers, partners, grandparents, friends, babies, and older children. Women who are not breastfeeding are also welcome. A plate of food to share is appreciated if you are having a good day. Our get togethers are relaxed, friendly, and enjoyable. A Breastfeeding Counsellor is available at all ABA get togethers. All venues are baby and toddler friendly. Contact [email protected] to be added to our email list. Check the ABA web page on GraniteNet for updates: www.granitenet.com.au/groups jan No meetings in January due to school holidays. february march Thurs 14th 9.30am developmental milestones Ages and stages of baby development, including The Wonder Weeks, an alternative view to “growth spurts.” Baptist Church Hall Corner Railway and Hillcrest Streets Stanthorpe Thurs 28th 9.30am chat and play Relaxed get together with other mums, bubs and toddlers. Baptist Church Hall Corner Railway and Hillcrest Streets Stanthorpe Thurs 14th 9.30am when breastfeeding doesn’t work out It doesn’t always work out the way you planned or thought it would. Baptist Church Hall Corner Railway and Hillcrest Streets Stanthorpe Thurs 28th 9.30am chat and play Relaxed get together with other mums, bubs and toddlers. Baptist Church Hall Corner Railway and Hillcrest Streets Stanthorpe Only one meeting this month due to Easter holidays. april may june Thurs 25th 9.30am attachment parenting Find out about this style of parenting and how it might work in your family. Baptist Church Hall Corner Railway and Hillcrest Streets Stanthorpe Thurs 9th 9.30am breastfeeding through pregnancy and beyond How does breastfeeding change if you become pregnant again when your baby is not ready to give up? Baptist Church Hall Corner Railway and Hillcrest Streets Stanthorpe Thurs 23rd 9.30am chat and play Relaxed get together with other mums, bubs and toddlers. Baptist Church Hall Corner Railway and Hillcrest Streets Stanthorpe Thurs 13th 9.30am sleep Share sleep tips and stories. Baptist Church Hall Corner Railway and Hillcrest Streets Stanthorpe school holidays No chat & play this month due to school holidays. Page 8 january—june 2013
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