Mr. Jeffrey Gandell
March 9, 2015
Part One: Program and Topic
My program of study is nursing and my topic is about breastfeeding. I choose this topic based on my experience in the postpartum unit and also the importance and long lasting protection of breast milk for the neonate.
Part Three: Textual Research Notes
E.Perry, Shannon. Maternal Child Nursing Care in Canada. Toronto: Elsevier Canada, 2013.
- This book is being taught as the main book in second year of nursing program in Dawson. It is a reference for all my practices in placement sittings and also for my class tests and final OIIQ test to get my RN licence. This book contains most of the essential information for my article and also is really easy to read and understand even for a person who has no background in nursing care.
Nix, Staci. Williams’ Basic Nutrition and Diet Therapy. Toronto: Elsevier Canada, 2013.
- I would like to use this book because one of the main questions of new mother is “what kind of food can increase my breast milk?” or “what kind of diet prevents gaining weight while I need to eat and drink more to have breast milk ready for my baby?” Therefore, having a proper diet during pregnancy and breastfeeding period could save the mothers’ shape and also provide the essential nutrients for new mother and baby. I found the Canada’s Food Guide booklet with its details in this book for the first time that is really interesting and simple to follow to ensure that minimal recommendations for all nutrients are met.
I.Eidelman, Arthur. “American Academy of Pediatrics.” 27 02 2012. http://pediatrics.aappublications.org. 2015 http://pediatrics.aappublications.org/content/129/3/e827.full.pdf+html
- I find this article interesting because it reveals that breastfeeding results in improving infant and maternal health outcomes. This article talks about all unique nutritional and non-nutritional benefits to infants and mothers and in turn, optimizes infant, child, and adult health as well as child growth and development.
E.Svenssin, Kristin. “International Breastfeeding Journal.” 11 03 2013.
- This article contains the latch-on aspect of breastfeeding. I would use this article for the sake of showing the effect of latch-on problem on early termination of breastfeeding. Teaching and assessing the new mother is really important and can encourage mom to continue breastfeeding for at least six months.
Ludwick, Ruth. “The Online Journal of Issues in Nursing.” n.d. http://www.nursingworld.org. http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/Columns/Ethics/CulturalValuesandEthicalConflicts.html>
- As a nursing student, I am observing and caring many mothers with different ages, cultures, ethics and values. Different cultures have different ways for hospitalization and consequently, a nurse must respect to all cultural and religious concerns of patient and their families. Breastfeeding and its consequences are strongly affected by believes. Therefore, I find this article interesting that is mainly about cultural values and ethical conflicts that can have a huge impact on breastfeeding processes.
Wolf, Joan. “babble.” 2011. http://www.babble.com.
Collazo, Julie Schwietert. “STIR.” 2014. http://www.stirjournal.com. 2015 http://www.stirjournal.com/2014/10/13/i-didnt-breastfeed-and-my-kids-are-healthy-and-happy/>
- Both number 6 and 7 are about the mothers that choose not to breastfeed as well as their proposed reasons. As I said before, choosing breast milk or bottle milk is a personal choice and no one should judge a mother’s decision. For me, it is really interesting to read and know about the reasons and I am sure that knowing them can be a valuable light in the way of teaching and encouraging mothers for breastfeeding.
“Protecting, Promoting and Supporting Breastfeeding.” May 2014. http://www.pharmacists.ca. 2015
- I like this governmental article that sheds a light on strategies that give mothers sense of protection and support from her family members and society. Identify barriers and explore solutions for mothers who breastfeed can encourage more women to choose breast milk rather than bottle.
Linda Folden Palmer. “The Baby Bond.” July 2013. http://babyreference.com. http://babyreference.com/nursing-its-more-than-breastfeeding-and-every-mother-can-do-it/>.
- This article talks more about bonding aspect of breastfeeding and skin-to-skin effect. Cuddling with baby during breastfeeding can make really strong connections between mothers and babies and also effects on baby’s developmental stage and milestone. I would like talk about bonding because the very first action after delivery is to put baby on mother’s breast and ask the father to take off his t-shirt and tried to keep his baby in his arms which makes a really nice and effective connection at the first minute of the baby’s life.
“What To Expect.” 2014. http://www.whattoexpect.com.
- Some women just cannot breastfeed their babies due to breast reduction surgery, illness and some conditions such as HIV, drug abuse and etc. Therefore, I will talk about these barriers that should be noted when we are talking and encouraging a new mother about breastfeeding.
Mr. Jeffrey Gandell
April 1, 2015
I interviewed with Pamela Mercer-Walsh, nursing professor in the Dawson College. She is a nurse for more than 20 years and she has experiences in the paediatric community, prenatal and postnatal classes and community with non-profit organization. This interview had been done in person during her office hour after 2 weeks of communication with her to set a good time for her due to her responsibilities in faculty and lack of free time. She is my teacher in both rotation in Obstetric and paediatric and our connection during this semester made a very friendly atmosphere during our interview which was more like a friendly conversation. I prepared my list of questions beforehand and the interview didn’t veer off in a different direction from what I had planned.
As I said, I knew her from the begging of the semester and her personality is well known among all students as a kind, hard worker and patient person. She is about 50 years old with a very bright and always smiling face. She really understands our situation as a nursing student and has skills to make you feel empathy with her behaviours.
Based on her limited time I tried to ask the questions that I had asked by people and actually were my queries before I entered to this program and get their answers. So, getting the answers for them could be considering as the successful question. Here are my most successful and interesting questions with their answers that I asked during my interview:
- What do you think about is the most significant barrier for the mother who wants to breastfeed her baby?
Lack of knowledge; most women know that breast milk is the best nutrition for baby but they actually don’t know about its specific benefits and are unable to cite the risks associated with using other kind of milk. Lactation problem and the problems with breastfeeding include sore nipples, engorged breasts, mastitis, pain, and failure to latch on by the infant. Lack of support could be a hug and biggest barrier, negative attitudes of family and friends can pose a barrier to breastfeeding.
- If breastfeeding becomes a struggle, what is your advice?
Should explore what struggle might be. First of all, it should be ensured if the baby is doing well by gaining weight and then looking for the strategies to decrease the stress of mother about breastfeeding and its problems. Women who breast feed their babies should trust their body.
- How do you feel about people who never breastfeed?
Little sad (with smile) because they are losing special time with their babies but we can’t push them for breastfeeding and is all about missing the good education during the prenatal classes.
- What type of bad advice do women tend to get about breastfeeding?
The biggest misconception is that it is supposed to hurt but if everything is going well and mother learned about the latch on position and tricks in prenatal classes, it doesn’t hurt. The other one is it is “easy”, but is not easy at least for the first baby. The first few weeks are hard and if the mother doesn’t give up and asks for help in the hard moments, it would go well.
- Is there anything that could encourage women to breast feed more?
Education and excellent prenatal care with discussions about breastfeeding from first visit will encourage women to breastfeed more. Also linking people with support systems such as the LLLC (La Leche League Canada) could be an effective way to increase breastfeeding among mothers.
- How long do you think women should try for breastfeeding before looking at other alternatives? (I mean formula)
They should try to solve the existing problems not by looking for alternatives. Formula can be the last solution.
- There are a lot of brochures and leaflets about ‘Breast is Best’ and explaining the downfalls of formula milk. There are also many charities that advocate breast milk, so why do you think that women and medical staff still over use formula?
Rush. They don’t have enough time and also they don’t want to push women to breast feed their babies. Also, they think that babies not gaining properly, so formula bring in as a rescue. In Montréal the public clinic such as Royal Victoria and St. Mary’s are advocating breastfeeding and encouraging women for feeding babies with breast milk but I am not sure about private clinical.
- If you could only give one piece of advice to a working mother, what would it be?
In Canada, mothers have a year as maternity leave and they have fewer problems to manage. If they live near their work place they would be able to take nursing breaks to feed their babies. They can keep up their milk supply by using the breast pump to express milk during the workday and keep it in the refrigerator and give the babies bottles of their expressed breast milk. As the second option, they can gradually replace daytime feedings with formula while they’re still at home but continue to nurse during night and in the early morning.
- Most of mothers have fear about gaining weight and also want to eat more to have more milk, what is your advice about post pregnancy diet?
In general, it is easier to lose weight while mother is nursing than when she is formula feeding. During the first 3 months, mothers don’t ne necessarily loss weight but after that reducing weight is significant if mother continue breastfeeding. Should avoid crash diet and they can still produce plenty of nutritious milk for their baby while following a sensible diet program. Beside the good diet, exercise can help to lose weight while breastfeeding.