Sunday, May 10, 2009

Where Can I Get A Doctors Note In Toronto



preparation for breast-feeding - even in the best childbirth class!

extract from Documentation of 2008, the Council for Natural childbirth and parenting eV, www.haeberlstrasse-17.de

that adequate preparation for breastfeeding is reasonable can be seen studies indicating that the very first time of a breastfeeding can have a decisive influence on the duration and success. Nevertheless, the breastfeeding relationship, especially in her very first time is particularly susceptible to interference and is limited by several factors, primarily through the staff shortages in the maternity hospitals in Munich and supported here by the lack of follow-midwives, unfortunately not always sufficient and professional manner. Too often, mothers complaining that either no one has helped them or that they were given conflicting instructions by changing personnel. Also is all too often, as shown by surveys to conduct so-called breastfeeding problems fall back on things which have been proved and shorten the lactation a .
Here are excerpts from a report of the German Nutrition Society 2 under the title: mothers are highly motivated - Breastfeeding, however, often prematurely terminated "decide in the first days and weeks whether breastfeeding is successful or not . According to Nutrition of the DGE report is therefore to be regretted, if a nursing mother's consent because of preventable Problems breastfeeding gives up. ... During the stay, occurred in the maternity hospital at 40% of the surveyed mothers breastfeeding problems such as sore nipples, to too little milk, engorgement, drinking problems and chest infections. After discharge from the hospital had even 60% of mothers in the first two weeks of the child's feeding problems. Most of these difficulties, however, would have avoided or corrected by a competent information and advice. "After all these difficulties are not the cause but events have been proven to a series of wrong advice and nursing practices by qualified personnel. Although there is corrective recommendations Nationalen Stillkommission vor, doch bisher werden diese nur in einem “Babyfreundlichen Krankenhaus” konsequent umgesetzt (erkennbar an ihrer Plakette). Diese Empfehlungen bestehen aus einem Bündel von sehr einfachen Maßnahmen, die Mütter erfolgreich unterstützen in ihrem Wunsch, ihr Neugeborenes problemlos zu stillen. „Mutter und Kind können sich z.B. am besten aufeinander einstimmen und kennen lernen, wenn sie Tag und Nacht im selben Zimmer verbringen. Dieses ´Tag-und-Nacht-Rooming-In´ wird bislang zu selten praktiziert. Auch sollten Sauger, Brusthütchen oder Schnuller in den ersten Lebenswochen bei gestillten Kindern nach Möglichkeit nicht gegeben werden. Wöchnerinnen sollten bei Bedarf außerdem be taught more in alternative Zufütterungsmethoden such as cups, finger or spoon feeding ... In previous generations, mothers were instructed by their mothers and other women experienced it. But today, many grandmothers who have no nursing experience. It is therefore instrumental in that and how the pregnant women in childbirth, are led to the birth in the hospital and at home, "the DGE. One of the unfortunate consequences of this lack of implementation of the recommendations of the National Breastfeeding Committee, "highly motivated to start the lying-in women: 91% of women try after birth, her child to nurse. But the motivation is replaced in the next few Days some damper. Upon discharge from the hospital, the percentage of exclusively breast-feeding mothers have returned to 73%. After 14 days, only 60% breastfeed exclusively, towards the end of the second month 42% and the end of the 6th Month shall be satisfied only 10% of infants exclusively. "
Here in Munich we offer in the counseling center for natural birth and parenting is now a short seminar eV to prepare for breastfeeding at (1 evening) at which my colleague Petra Schwaiger, breastfeeding and lactation consultant IBCLC, very competent guides: "Breastfeeding from the first hour of life." In her very informative script tells as "William, a small baby," from his exciting young life. It begins: "I would like in the first few days quite often suck and drink small amounts of the delicious colostrum. It tastes good, and my little immature stomach can slowly get used to the increase in milk yield. I also need no more liquid, and then I will not drink from a bottle, that's Baa "
a SuSe Study 1997/1998,! Bavarian Still Survey 2007
2 http://www.dge. de / modules.php? name = News & file = article & sid = 136