Why is feeding babies made so hard?

Generally I think that introducing food to babies shouldn't be so tricky but it seems confusing even the second time around. The Age ran an article on their front page this weekend titled "Who knows best in the battle of the breast?". It covers some new research around links between the age of starting solids and allergies.

The first thing that struck me was that this was front page news - really? Is this all you've got (accepting that it was a slow news Sunday). Surely this only interests a teeny tiny portion of the population.

The second thing that struck me is that they'd somehow managed to make the article about breastfeeding - what sensationalist journalism! The research in the article suggests that there may be benefits in introducing a wider range of foods between 4 to 6 months, rather than waiting until after 6 months or longer, to prevent allergies. This really has NOTHING to do with breastfeeding - it's about introducing babies to food. However, they'd managed to get an (almost entirely irrelevant) quote from a lactation lady saying that the introduction of solids might reduce the level of breastfeeding - based on no evidence. The quote was used to suggest that if you feed solids slightly earlier you will deprive babies of breastmilk whereas I think most mothers would totally understand that you still offer plenty of milk when starting solids (give us some credit - the breast is best message is very loud).

The advice around when to start babies on solids seems to change each year from 4-6 months to after 6 months and then back again and really there is no concrete evidence on which to base your decision - which is later acknowledged in the article. While of course I think the media has a role to play in promoting new research in this space, I think there is no reason to add a controversial angle to it and further confuse what should be a relatively straightforward decision.

Most of the sane advice that I have read suggests to start kids on some basic foods (fruit, vegies, baby cereals) when they show interest and have reasonable head control and to seek medical advice if you have a family history of food allergies. Breastmilk or formula should still be a central source of nutrition for the next few months after introducing solids. It should be that simple! Let's not add an element of guilt (am I depriving my baby of precious breastmilk) to this normal developmental stage.

If you want some reliable advice on introducing solids, I think the Victorian Govt's Better Health Channel is a good enough place to start - http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Baby_care_weaning?open

Booze and boobs - can I have a glass of wine now?

Drinking when pregnant and breastfeeding is one of the most confusing issues to get straight and partly this is because there aren't controlled experiments in this space (i.e. you can't ask a randomised group of women to chug beers while pregnant/nursing and see what happens). I should say up front that I have no strong views on this one - I really feel like this is every woman's choice about what they are going to do - especially considering that the science behind it is not clear cut. My interest really just stems from me trying to work out what I should do while I am continuing to express all the milk for baby number two.

After some recent reading, I realised that the periods of pregnancy and nursing are pretty different in terms of what gets passed on to the baby and finally got some answers on what you should consider when working out whether or not to have a drink when breastfeeding. So, thought I should share what I found.

It may seem obvious to some but I only just learnt that alcohol doesn't stay in breastmilk so if you wait long enough the booze won't even reach the baby. This is clearly different than pregnancy where whatever is in your blood stream is getting channeled straight through. Basically breast milk holds about the same amount of alcohol as your blood stream so if you think you could blow a 0.0 on a breathaliser, you probably don't have any alcohol in your milk either. This means, you're best to do your drinking well before feeding, i.e. directly after a feed/express is probably going to be the best time. The general rule seems to be that women clear 1 standard drink in about 2 hours.

There is some suggestion that you shouldn't drink at all until your baby is either one month or three months (I was admittedly a little surprised when one of the ladies in the hospital was encouraging me to have some wine two days after giving birth). This seems to be based on when the babies' liver has developed enough to process alcohol but surely this is less relevant if you generally aim to clear your milk of alcohol before feeding.

I've also read that alcohol both encourages and inhibits milk production so I think you can probably deduce that neither of these is based on strong science.

Basically everyone seems to agree that it is possible to have a drink or two while breastfeeding as long as you plan it right - I'm off to get a glass of red to celebrate!

If you want to read some more yourself - here are the articles I looked at:
https://www.breastfeeding.asn.au/bf-info/safe-when-breastfeeding/alcohol-and-breastfeeding
http://www.kidspot.com.au/familyhealth/family-health-healthy-living-how-much-can-i-drink-when-breastfeeding+2780+190+article.htm
http://newbornbaby.com.au/newborn/baby-feeding/breastfeeding/breastfeeding-and-alcohol/
http://au.lifestyle.yahoo.com/practical-parenting/article/-/7412792/breastfeeding-alcohol-the-facts/
http://www.health.gov.au/internet/alcohol/publishing.nsf/Content/guide-breastbr
http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/alcohol