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Holly Newman demonstrates how small a new born babies stomach is Thursday. Newman is a Lactation Consultant in Lodi. (Brian Feulner/News-Sentinel)

Lactation consultant shares nursing tips

By Pam Bauserman
News-Sentinel Staff Writer
Sunday, June 1, 2008 10:34 PM PDT

Holly Newman enjoys helping mothers bond with their children. She became interested in the bonding experience, breastfeeding, while in nursing school. A mother of five, she found it to be a wonderful experience. Since then, she has been helping other moms learn how to breastfeed, for many years as a volunteer.

Recently, Newman became a certified lactation consultant. She now visits her clients' homes, giving them professional advice. It is rewarding to her, she said, for moms to come to her months later and say they wouldn't have kept breastfeeding if it hadn't been for her.

"It's a wonderful profession. You don't have to sell breastfeeding, the baby does that," she said.

Q: What are the benefits of breastfeeding?

A: A lot of people don't realize the benefits of moms breastfeeding. It reduces the risk of breast cancer and other diseases, and it can help moms return to pre-pregnancy weight. In children, for three months of breastfeeding they can have an eight to 10 point higher IQ and it reduces the risk of leukemia. As an adult, there is less (risk of) obesity, high blood pressure and diabetes.

Q: How can a spouse be a part of the process?

A: I find fathers are a part of the decision-making process before the baby is born. A father can do everything except for breastfeed. If he can encourage her to do this and be reassuring, it can really help her to follow through on her decision.

Q: What does a breastfeeding consultant do?

A: Part of what I do is just encourage people. It is mostly first-time moms. I just received a phone call from this mom who just had a question, but I won't see her. I also do home consulting and help with confidence level and help with issues such as soreness, the baby not gaining weight and the mother not feeling like she has adequate milk supply.

Q: What supplies are needed to breastfeed?

A: There are really no supplies needed. Breast pumps are handy if you are going out or going back to work, and there are a lot of tools that I use to help.

Q: How long should breastfeeding be done?

A: The American Academy of Pediatrics recommends six months of breastfeeding with no supplement. Then one year with iron-rich foods. This is because the iron stores that the baby developed in utero begin to be used up by this age. Although world-wide weaning age is three, most Americans find that kind of over-the-top.

Q: What do you have to do to become a consultant?

A: It's a relatively new profession. It started in 1986. I'm a registered nurse and have a bachelor's degree. I also took 90 hours of courses. I have 2,500 clinical hours in lactation. After that, you take an exam, the International Board Certified Lactation Consultant Exam (IBLCE). If you pass that, you get to be a lactation consultant. People come in from other paths. Some are registered dietitians. It depends on their educational background.

Q: What is one of the most common questions you are asked?

A: Probably, "How do I know if the baby is getting enough?" The best measurement is output. Count how many dirty diapers there are. The second most common question is how to tell if they are latched properly.

Q: What can you do to remedy low milk production?

A: The best remedy is making sure the baby is latched properly. It should be done eight times a day and up to 12. If you're breastfeeding every day then it won't be a problem with milk supply. We tell the mother to pump after breastfeeding to keep it going because the body always replenishes what is taken out.

Q: What do you tell people who are on medication and can't breastfeed?

A: There is very few medicines that aren't compatible with breastfeeding. There are a few things like chemo. Most medicines are compatible or there's one that's very similar that can be. Most doctors will recommend you stop if they are unsure, which is unfortunate because you're losing something very valuable. Generally, I give the mother information in my book and she can ask the doctor if she can change it.

Q: What do you do if a baby is premature?

A: If the baby is premature, breast feeding is very important. Premature babies are more likely to get Necrotizing Enterocolitis (NEC), which is where the gut rots, if fed with formula versus breastfeeding.

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