World Breastfeeding Week 1-7 August 2007

Posted with compliments of Worldbreastfeedingweek.org

Breastfeeding: The 1st Hour
Early initiation and exclusive breastfeeding for six months can
Save more than ONE million babies!

“It begins at birth. Our very first act after birth is to suck our mother’s…milk. This is an act of affection, of compassion. Without that act, we cannot survive. That’s clear…That’s the way of life. That’s reality.”
Dalai Lama and Howard C. Cutler, The Art of Happiness A Handbook for Living.1998

Objectives:

• To mobilise the world to the potential for saving ONE million babies starting with ONE simple action: allowing the baby to initiate breastfeeding in the first hour of life.


• To promote immediate skin-to-skin contact of the mother and baby and continuing with exclusive breastfeeding for six months .


• To encourage ministers of health and other authorities to include the initiation of breastfeeding in the first hour as a key indicator for preventive health.


• To ensure that families know how important a baby’s first hour is, so that they can make sure that their babies are given this opportunity.


• To support the newly revised and revitalised Baby Friendly Hospital Initiative (BFHI), with its emphasis on integration and expansion, and on the early initiation of breastfeeding.

In the first hour of life, a baby finds her mother’s breast. Together they can do it on their own, when we respect maternal/infant physiology as we provide expert maternal child care.
This is the beginning of a life-sustaining breastfeeding relationship between mother and child.
---

Visit http://breastcrawl.org/ to view the video

The Remarkable First Hour of Life
When healthy infants are placed skin-to-skin on their mother’s abdomen and chest immediately after birth, they exhibit remarkable capabilities. They are alert. They can crawl, stimulated by mother’s gentle touch, across her abdomen, reaching her breast.13 They begin to touch and massage the breast. This first gentle touch of a baby’s hand or head at the breast stimulates release of maternal oxytocin,9 thus beginning both the flow of milk and enhancing the feelings of love for the baby. Then the baby smells, mouths and licks the mother’s nipple. Finally, he or she attaches to the breast and feeds. This sequence of events is important for the survival of human young.

Optimal breastfeeding
The WHO/UNICEF Global Strategy for Infant and Young Child Feeding recommends that children breastfeed exclusively for the first 6 months of life, and then continue breastfeeding with adequate complementary food up to 2 years or beyond. Normal initiation of breastfeeding in the first minutes to first hours of life begins with skin-to-skin contact, and helps mothers and infants to achieve optimal breastfeeding. This is required in the BFHI, specifically in Step 4 of the WHO/UNICEF 10 Steps to Successful Breastfeeding.


Breastfeeding Rights
The Convention on the Rights of the Child recognises that every child has the inherent right to life and aims to ensure their survival and development. Breastfeeding within the first hour after delivery helps to ensure child survival. Women have a right to this knowledge and to receive the support that they need to initiate breastfeeding accordingly.

Why is skin-to-skin contact after birth and breastfeeding within the first hour of life so important?

1. The mother’s body helps to keep the baby appropriately warm, which is especially important for small and low birth weight babies.


2. The baby is less stressed, calmer and has steadier breathing and heart rates.


3. The baby is exposed first to the bacteria from the mother which are mostly harmless, or against which the mother’s milk contains protective factors. The mother’s bacteria colonise the baby’s gut and skin and compete with more harmful bacteria from health providers and the environment, and so prevent them from causing infection.


4. The baby receives colostrum for the first feeds – liquid gold, sometimes called the gift of life.


5. Colostrum is rich in immunologically active cells, antibodies and other protective proteins. Thus it serves as the baby’s first immunization. It protects against many infections. It helps to regulate the baby’s own developing immune system
   · It contains growth factors, which help the infant’s intestine to mature and function effectively. This makes it more difficult for micro-organisms and allergens to get into the baby’s body
   · It is rich in Vitamin A, which helps protect the eyes and reduce infection
   · It stimulates the baby to have bowel movements so that meconium is cleared quickly from the gut. This helps get rid of the substances in the baby's body that produce jaundice and therefore may help reduce it
   · It comes in small volumes, just right for the new baby.


6. Touching, mouthing and suckling at the breast stimulates oxytocin release – this is important for many reasons:
   · Oxytocin causes the uterus to contract. This may help delivery of the placenta and reduce maternal bleeding after the birth10
   · Oxytocin stimulates other hormones which cause a mother to feel calm, relaxed, and some would say “in love” with her baby 9
   · Oxytocin stimulates the flow of milk from the breast.


7. Women experience incredible joy with this first meeting of their child! And fathers often share this delight. The process of bonding between mother and baby begins.
   

Overall, skin-to-skin contact and early feeds with colostrum are associated with reduced mortality in the first month of life. They are also associated with increased exclusive breastfeeding and longer duration of breastfeeding in the following months, leading to improved health and reduced mortality later on as well.

Is normal breastfeeding initiation in the first hour all that is needed to guarantee continued exclusive breastfeeding?
Absolutely not! Mothers need continued support to breastfeed exclusively for 6 months. The family, health workers, traditional healers and others in the community are all important contributors to their network of support. Health providers, health visitors and others need clinical training in assessment of breastfeeding, identification of problems, as well as knowledge and skills for helping the mother to resolve difficulties. Follow-up by a health worker within 48-72 hours after the birth, again after one week, and at appropriate times thereafter provides the opportunity to intervene early if there are problems, as well as to reassure the mother when things are going well.

Implementation of the newly revised and revitalised BFHI with its 10 Steps to Successful Breastfeeding along with adherence to The International Code of Marketing of Breast-milk Substitutes and Subsequent World Health Assembly Resolutions provide the support structure needed to protect, promote and support optimal breastfeeding.

The World Alliance for Breastfeeding Action (WABA) is a global network of individuals and organisations concerned with the protection, promotion and support of breastfeeding worldwide based on the Innocenti Declarations, the Ten Links for Nurturing the Future and the WHO/UNICEF Global Strategy for Infant and Young Child Feeding. Its core partners are International Baby Food Action Network (IBFAN), La Leche League International (LLLI), International Lactation Consultant Association (ILCA), Wellstart International and Academy of Breastfeeding Medicine (ABM). WABA is in consultative status with UNICEF and an NGO in Special Consultative Status with the Economic and Social Council of the United Nations (ECOSOC).

More Breastfeeding information:
http://www.waba.org.my/
http://www.worldbreastfeedingweek.org/
http://www.earthbabies.co.za/
http://www.kellymom.com/
http://breastfeeding.blog.motherwear.com/
http://www.lalecheleague.org/SouthAfrica.html

International Nestlé-Free Week

As you probably know, I support the boycott of Nestlé products.
According the the World Health Organisation Authority (WHO) 1.5 million babies die every year as a result of inappropriate feeding. Despite this Nestlé continues to push its baby milks in breach of international standards.
Monitoring by groups on the ground around the world shows Nestlé is responsible for more violations than any other company. That's why it is singled out for boycott action.
If you don't boycott Nestlé already, I ask that you consider looking at the evidence and giving up Nestlé products for one week, at least.
Boycott groups around the world have declared 2-8 July to be International Nestlé-Free Week.
The boycott has forced some changes from the company, but it is still a long way from complying. Campaigners are also working for laws. Nestlé can comply when it is given no choice. It is not being asked to do something that is impossible, but without pressure it continues to put its own profits before infant health and mothers' rights.
You can find out more information and look at the evidence yourself on the Baby Milk Action website at:
http://www.babymilkaction.org/resources/boycott/nestlefree.html
You can sign up there to support the boycott.
It is important to tell Nestlé you will be boycotting it, whether it is just for the week, or until it accepts and acts on the plan put to it by boycott groups for saving infant lives.
You can telephone Nestlé on the freephone number0800 00 00 30 (Not in SA), 086 009 6116 (SA number) or send a message via its websitehttp://www.nestle.com/

I'M THE MOST PRIVILEGED GRANNY!

by 'Glen'

It’s true.
When you are present at the birth of a baby, that baby steals a portion of your heart for life.
It’s so true!
Especially when that baby is your first grandchild! His heart is imprinted on your soul forever. Unconditional love with no option or choice, instantly!
My experience began with the ante-natal classes where I was the ‘dad’ for the duration of Angel’s pregnancy. These sessions were mind boggling (for me any way). I already had four babies of my own and assumed I knew it all. At thirty six I was about to become a Granny and I discovered I knew NOTHING about childbirth and new babies. I knew even less about epidurals, forceps, caesareans, breech babies, premature babies and so much more that the brain blows a fuse.
However, I did learn about daddy’s-to-be who felt squeamish at the mere sight of the implements in a text book. Many a daddy had to sit with his head between his knees in those classes. The educational movies on childbirth are filmed with a ‘full frontal’ view of the mother during the birthing process and that is hard on the eyes for anyone! Dads usually stand at the mother’s shoulder during the birthing process - well in my experience that is. I must say that I still can’t get my head around the epidural part for childbirth. I do not believe that the chemicals they use are of any advantage to the mother or the baby. But I digress.
The classes prepared us as well as possible for the pending happy event. As usual, our darling boy decided that midnight was a good time to start making it known that he was ready to see us all. D-day had finally arrived!!
Although my heart was torn between pity for my Angel and her pain, sadness that she had to go through all this at the tender age of seventeen, my heart still skips faster when I remember the birth of darling Damien. When the nurse connected the heart monitor and the labour pain monitor and I heard Damien’s little heart beat I cried. It was too awesome for words. When I heard his heart beat quicken with the intensity of each contraction I was blown away.
Angel was so brave. She was blessed by a quick labour for a first baby and the birth was relatively easy. She did it all the totally natural way as God created us to do (apart from which we could not afford the alternative choices). I can still see his little head of black hair emerging and then hear his cries of indignation at being exposed to the light and air! He was the most beautiful baby! Perfect.
My heart was lost.
Permanently.
Angel and Damien were the focus of all of us in the theatre. I have no idea what anybody else in that theatre looked like or what they were doing. All I had eyes for were Angel and baby Damien. He had lots of dark hair where my babies were all so fair and had very little hair until they were nearly two!
I was intrigued by what happened to our new born baby once he was born, because even after four of my own natural births I had never seen or thought about it. The suctioning, the wiping clean, the keeping warm, the weighing, the measuring, the checking of reflexes – let me tell you, new born babies are as hard to measure as a wriggling python! It amused me immensely to see them attempting to measure our squirming little Damien! Even then he was wiggling and squirming around!
Then off we went to the nursery where he was dressed and I had the huge honour of giving my first grandchild a bottle of some or other liquid to drink, to cuddle him and breathe in the amniotic smell of a new baby. That intimate smell only lasts for a short time (thereafter they smell like Elizabeth Anne babies!!).
My attention was drawn away from our little dark haired bundle to the smiling new fathers in the nursery. No, not smiling, BEAMING, shining, bursting with pride and joy! The sensation of excitement in the nursery was almost tangible. I finally dragged myself away from drooling over my precious Damien to telephone his ‘Grampa’ to fetch me. I fully grasp the reason why we always get the news of a new baby so long after the birth. When you are the father it feels like a matter of a few seconds before you get to call anyone.
I popped in to see how Angel was. I was so elated by my experience I could have done cartwheels in the corridor! Angel was fine, Damien was fine and I was buzzing with a current of joy, amazement and love for my little grandson. As usual Duck’s common sense prevailed and he dragged me away at five a.m. to get some rest. We were going to visit later after all!
Rest! With all that excitement in my heart and soul? Not easily I can assure you! I ran on adrenalin for the next few days.
I have never said thank you, dearest Angel-mine, for having me with you, for bestowing such an honour on me. Circumstances happened so that it panned out that way I know. It does not make me any less grateful for the privilege of sharing such a precious moment in time with you and your Damien. I am thankful to my Father above for blessing me with such an almighty experience.
Damien – thank you for your loving nature. Your beautiful brown eyes, warm smile and huge hugs give me so much joy! You have a very special piece of my heart. It’s the part with you imprinted on it, so please, be a good person, be cautious in your decisions and take good care of my piece of heart okay?

Also check out Angel's blog, this piece was written by her "mommy darling" as frequently refered to in her blog.

Cloth Nappies - the Modern Mothers Choice

By Joanne Austin

Why converting to cloth nappies is the modern mother's choice -
For the past 20 years 95% of mothers saw disposable nappies as an essential item. This is beginning to change as we become better informed about the negative effects, as well as a result of the revolutionary way in which cloth nappies are now made. No Longer are cloth nappies considered the “poor relation of nappies”.

Here are a few good reasons why more & more mothers are either fully or partially converting to the use of cloth nappies.


There are 4 key reasons how re-usable nappies can benefit families and the world at large:

1. Environment / Reduce Waste:
One baby uses an average of 5000 nappies (or 5.4 nappy changes per day). Due to the plastic content disposables are not bio-degradable. One just needs to visualize the mountain of dirty disposables ending up on a land-fill site for every child in disposables over the past 20years to get the bigger picture. Can we really afford another 20/ 30/40/ 100 years of the same?
Just 20-24 re-usable nappies are needed. Washing them at 60C in an energy efficient washing machine helps reduce the global warming impact.
The "poo" in nappies mixed together with household waste lets off a gas called methane; which contributes to global warming.

Sanitary landfill sites are not designed or permitted to contain faeces and therefore have no solution to the growing number of dirty disposable nappies ending up at the dump. Basically "poo" belongs in the "loo"; which then goes through the sewerage system for downstream treatment.

In South Africa it is known that whole families live around landfill sites. Dirty disposables add to the risk of disease spreading to these vulnerable communities. There is also a risk of ground water contamination when the contents of the disposables seep through the earth.

Cape Town is currently facing a major landfill airspace crisis. Two years ago 6 landfills were operational, and a few months from now we will have only 3 operational. Of the 3 landfills, Bellville will close in approximately 2013, Coastal Park approximately 2022 and Vissershok in about 2017. Household waste is increasing by a rate 4 - 5% higher than the growing population rate in the Cape. The more affluent an area becomes the greater the amount of waste disposed in that area. Affluent areas generally use more disposable nappies and our supermarkets are reporting record sales in disposables. There are some smaller municipalities in the Western Cape with even bigger problems than Cape Town. Some will be closing in approximately 6 months time with no alternative solution.

The Johannesburg City area also has a crisis at hand.

Ten top tips to help the environment when using cloth nappies (WEN, UK):·
o Use an energy efficient washing machine.
o Wash soiled nappies at 60 degrees c.
o Wash wet nappies and waterproof covers at lower temperatures along with the rest of your laundry.
o Avoid tumble drying – hang nappies out to dry.
o Avoid soaking – store wet nappies dry in a lidded bucket.
o Avoid using unnecessary chemicals such as conditioners and sanitizers Useaneco-detergent.
o Never iron nappies (or covers).
o Extend the life of your nappies - reuse them on another baby, or give/sell them to someone else.
o Use washable liners.


2. A Healthier Choice
Disposable nappies contain paper pulp, plastic, absorbent gels, chemical additives and perfumes. All these materials impact on the health of your child as well as the environment.

The absorbing gel in nappies (sodium polyacrylate) has not been tested for long term effects on reproductive organs from 24-hour exposure. This chemical has been banned in the use of tampons because of a link to toxic shock syndrome.

Studies at University of Kiel in Germany have raised concerns about the rise in male infertility, which they link to the use of disposable nappies. Disposable nappies have been found to maintain testicles at higher temperatures, a potential cause of lower sperm counts.

There is a misconception that disposables reduce nappy rash. In fact, research studies at Bristol University, Britain indicate that the type of nappy has no bearing on nappy rash. Frequency of change and length of exposure to ammonia in urine are the factors affecting nappy rash. Any nappy left on for too long will result in irritation to baby’s delicate skin.


3. Save Money
By washing nappies at home families could save around R7,000.00 per child (add another R10 000 if the same nappies are used on the next child). Even by incorporating cloth nappies into one’s disposable nappy system families could save thousands. Hospitals can save money too by using reusable nappies on wards where disposables incur clinical waste charges. Municipal authorities save on waste disposal expenses.


4. Modern Cloth Nappies are Trendy & User-friendly
Modern reusables have advanced considerably over the years. They are shaped and fitted and fastened without the need for pins. They come in a variety of trendy styles and patterns. Colourful or natural, plain or patterned, organic cotton or bamboo, fleece or wool - there is such a range of reusable nappies that you are bound to find something to suit your taste, budget and lifestyle.
By using the advances in technology in fabrics such as breathable waterproofing, highly absorbent and natural bamboo toweling and light-weight fabrics, reusables function better than ever. A flushable & biodegradable liner can be used inside the nappy and this can be removed so that the contents are flushed down the toilet.


Commenting on the Environment Agency report suggesting disposables and “real” nappies had a similar environmental impact. Elizabeth Hartigan of Women’s Environmental Network said “Supporters remain convinced of the benefits of washable nappies. Parents can save money and reduce waste and reduce harm to the environment. The only way parents can reduce the environmental impact when using disposable nappies is to use fewer nappies and that’s not a good idea. Using real nappies puts parents in control. All you need is a sensible washing routine to really make a difference.”

As a company Mother Nature Products aim to give parents an informed choice in an effort to minimise waste and encourage natural-style health benefits. We invest heavily on the quality and performance of our products yet maintain affordable retail prices. Our service is centered on customer care and addressing our customer’s needs. Our customers are parents and their babies from all walks of life, from all over the world.

PO box 95
Kalk Bay
7990

Tel/Fax: 021 788 9117
http://www.mothernatureproducts.co.za/

Absolute Joy, Unbearable Loss

By Jacqui Thomas

My labour started at 7.15am in the morning and I slowly made my way to St Georges Hospital in Port Elizabeth. By 9.00am dilation was at 6.5cm and twin A had settled neatly into my pelvis, ready to be born, despite the fact that (purely for safety reasons) I had elected to have a caesarian section. A spinal block was administered and the girls were delivered by caesarian section at 10.15am and 10.16am respectively, weighing 2.4 and 2.6 kilograms (quite a healthy weight for twins). The operation itself was uneventful, both girls were 9/10 on their apgars and it took my Gynae/Obstetrician longer to close the incision than to deliver both my babies! By 11.30am I was tucked safely into bed and waiting for the spinal block to wear off so I could see my daughters and nurse them for the first time.

Once the spinal block had worn off and I was able to get around, I excitedly made my way to the nursery. As I reached the nursery doors, there were a number of tearful people milling around the entrance. Not one to interfere or make a scene, I made my way through them to collect my gorgeous daughters and wheel them back to my ward. As I wheeled their bassinet out of the nursery, a chilling silence fell over the people waiting outside and I sensed what I can only describe as a feeling of hostility. It was some 24 hours later that I learned that they were anxiously awaiting news on a relative's newborn, who was in the NICU. Apparently the little one was born with only a partial brain, and had been on life support since delivery. And so it happened that, for the next 48 hours, every time I wheeled my healthy, full term babies down to the nursery for a bath or so that I could take a nap, I had to pass around or through this group of people.

Despite my joy at the delivery of my babies, I couldn't help but feel an overwhelming sense of guilt, every time I visited the nursery. According to a nursing sister that I chatted to, the little one was not expected to survive and the doctors and staff had done all they could to keep him comfortable and pain free until he passed away. She said that they were bound to prolonging his life and that all that remained was the parents' decision as to how long they would keep him on life support, as he wasn't even able to breathe by himself. I believe the parents made a decision late that night.

The following day, as I rode the lift down to the ground floor, on my way home with my girls, the mother of the little one who had passed away stepped into the lift on the 2nd floor. Instinctively, we embraced each other and I whispered to her that I really had no words for her, but that my thoughts were with her and her family. We left the lift together, both of us in tears, me on my way home to begin a new life with my girls and she on her way home, to an empty nursery.

What happened that day changed me in so many ways. It gave me a new reason to be grateful for every day I have with my children, and re-instilled in me a capacity for empathy and selflessness that I thought I had lost.

To that mommy: If you ever read this, know that you, your son and your family are still in my thoughts and heart, even now that my girls are almost eight years old. It seems like only yesterday that we rode that lift together, a short journey that would lead us to the rest of our lives. Wherever you are, God bless and take care.

Earth Babies

By Sally Cameron

I fell pregnant while we were living in England so I started to look for information on homebirths and natural products in the UK. This led me to discover wonderful natural parenting products available overseas. Rachel was later born at home in Pretoria, South Africa. When I looked for products similar to those that I had seen in the UK, I couldn’t find anything, and yet I was sure that there must be other parents in South Africa who were also interested in the kind of products I was looking for.

I met Barbara at antenatal classes and when we spent time together after the birth of our children, she saw that I was using cloth nappies that I had brought back home from England. She was interested in them and in the other ideas that I had, and so we decided to start the company Earth Babies to provide these products here in South Africa.

We both had very small babies at this point but slowly we managed to resource fabric and design patterns for our products. After our first few strange looking nappies, we came up with a design that we liked and started making cloth nappies to sell, usually at night once our babies were asleep. This was very time consuming and involved many late night hours at the sewing machine. Husbands were even called in to help sew when times were busy. We gradually added more designs and products to our range but as we grew we realised that we could not keep up with making the nappies ourselves. We now have a small CMT factory in Pretoria helping us and it has really lifted an enormous burden.

We decided that our company should be an internet-based site so that it could be accessed by parents around the country, and products could be posted countrywide. It also helped to keep out overheads low. We followed the treads of similar types of companies in USA and UK where natural parenting Internet companies are prolific. South Africa is catching up fast with regards to Internet usage and e-commerce so we feel that we have positioned ourselves in an emerging market. Since we started our company, quite a few cloth nappy companies have come onto the market in South Africa.

We did not however want our company to focus purely on our products. We really wanted a large part of what we did to be about supporting mothers and giving them information about more natural approaches to parenting. It was only through other people sharing their ideas with us that we learnt about things like cloth nappies, elimination communication, extended breastfeeding, natural and home births. We, in turn, wanted to make the information available to others and so a large part of our Internet site is dedicated to articles and information about these topics. We also made a forum available on our website where parents can chat to each other, share ideas, and support one another in pregnancy, birth and parenting.

Barbara and I both want to be work at home moms. It is not always easy to balance working and mothering, but we just have to keep evaluating what our initial goals were and stick to that. The temptation to try and compete with larger companies and to grow too fast has been there, but this would mean a lot less time with our children, who remain our number one focus.

Barbara – “ I have always dreamed of being a mom, the reality of which has been more wonderful, more challenging and more time consuming than I could ever have imagined. I hope that Earth Babies can reach other moms on this amazing journey and somehow make it a little easier for them."

Sally - “I always knew that my dream job was out there and that I just had not found it yet. Who would have known that it would be owning my own company and being able to help other parents. Barbara and I joke now that we should have studied business and computers to do this job but I know that my background in nursing and midwifery has helped us, as has Barbara’s experience in the restaurant industry as an administrator and personal assistant. We feel like quite small fish is the big ocean but we will be the best most colourful fish we can be.”

Co-Sleeping in comfort

by Annie Austin

I have always been pro sharing sleep, my first son spent the first six months of his life in my bed and first year in my room - at the time I was newly widowed and spent so much time away from my son during the day while I was at work that I hated to be parted from him when I didn't have to - including while we slept.

After marrying a wonderful man and finding happiness in a marriage that I thought I would never find again, I was expecting my second child. We looked at cots and bassinets and started putting together a nursery for him, but somehow it just didn't feel right. The more I read parenting info the more the attachment parenting mindset made sense to me. I started reading forums and magazines like Mothering and realised that I agreed with the shared sleep philosophy and all it entailed. Now to convince my huband of this... unlike me he had a traditional South African upbringing and all the ideas that go with it. Anyhow I shared some of the info I had read and realised very quickly that my wonderful husband would prove to be even more wonderful, he agreed with my ideas and was happy to have our baby share our bed. I even convinced him that giving birth to our baby at home was the best option for us, even though we live on a farm and are some distance from the nearest hospital, but that is another story alltogether.

Our youngest is now a year old has slept with us from the begining and we just love having him in our bed. Though even with a king-size bed things were getting a bit cramped as he tends to stretch out across the bed. I then got the idea of putting a single bed next to our bed. We are fortunate in that we live in a really old farm house and the rooms are huge, so this is an option. I adjusted the legs of the bed so that the beds would be the same height and made a fitted sheet that fits over both beds. The single bed is now in the corner of the room, so that my son cannot fall off during the night - he learned how to get off the bed without falling off about two months ago, but I still worry he may fall off while asleep. I now sleep in the middle of the bed and no longer have a bedside table - which will take some getting used to, but there is now enough space for all of us - even my oldest (he sometimes sits on the bed with us and watches a movie) and the really great thing is that should we be fortunate enough to have another baby while this one still sleeps with us, there will be enough room for everyone to sleep safely. Now if I could just convince my body it is ready for the next one, but with Ryan still breast-feeding who knows when this will happen?

Sharing sleep or co-sleeping really is an amazing way for both parents to bond with baby, and I find nothing easier than just feeding my baby when he is hungry during the night without having to leave my bed. While this is not an option that will work for all families I stronly recommend that it is something that is considered by future parents as an option. While many may say it is not safe to sleep with your baby in your bed, there is a lot of research out there that shows, that as long as a few simple rules are followed, it is a truly safe and rewarding experience for the whole family.

After all babies have only been sleeping apart from their parents in recent history, a few hundred years ago nobody had even heard of cots...

Recommended reading:


Get the book





~Three in a Bed: the benefits of sleeping with your baby by Deborah Jackson Mothering.com article Three in a Bed by Deborah Jackson
~Safe Co-Sleeping article by Elizabeth Pantley (author of The No-Cry Sleep Solution)

Bosom Buddies

By Mel Novitzkas



When I trained to be a Doula, I needed as much practical experience as possible. I did births at Mowbray Maternity, Stellenbosch Provincial Hospital, Hottentots Holland Hospital, Tygerberg Hospital, and the very swanky Vergelegen Medi-clinic.

I was horrified at the ridiculous difference between state and private.

At the state hospitals woman arrive in a taxi all alone, often in labour, mostly in pain, and always afraid. They birth alone, nameless except for the general title of “Mama”. There is no privacy, no dignity. At one state hospital they are all given morphine although not consulted or informed of risks to baby. Epidurals are non-existent. Even gas is no where to be seen except the scar on the wall where it was once in use. No birth balls, no water, no choice. And then they leave with their infant and often nothing else, not even clothes or a blanket, in the crowded taxi back to the townships.

At the private hospital mothers receive a nappy bag filled with goodies they don’t actually need. And the state moms? Nothing! This will just not do!

And so the non-profit, Bosom Buddies was ‘born’.

Bosom Buddies aims to have all mothers with their newborns, who birth at a State Hospital , to experience a warm & caring welcome into the world. No newborn will go home without being warmly dressed and wrapped snuggly in a blanket.

So what can you do to help?

Not too much about their birthing experience yet. But, we do make gorgeous nappy bags for the moms and their newborns. We fill them with a Babygro, vest, booties, warm knitted jersey and a cosy hat. We throw in a blanket, sanitary pads and a few disposables. When funds allow we include toweling nappies, a snappi and waterproofs. (I hope to have this in every bag soon) We also include a baby product such as Vaseline or powder and sometimes toothpaste and toothbrush for mom. We attach a beautiful handcrafted card to the bag and the gift is ready.Just before we hand out the bags we pop in a packet of crunchies or muffins. Sadly the hospital we visit is high risk so we often have stillbirths. We make sure we have a plain bag filled with pads and toiletries and something pretty for the mom. We attach a sympathy card and just sit and hold them a while. We also take care of the mothers of the prem babies who kangacare for their tiny ones for weeks or months till they are strong enough.

The following resources are needed:

• Fabric for the bags
• Fleece fabric for the blankets
• Wool for the jerseys
• Babygros and vests in newborn & 0-3 months size
• Disposable nappies
• 4 Terricloth nappies with 1 snappi and 2 waterproofs per bag, 1 pkt nappy liners
• Surgical spirits and cotton buds for cord care
• Baby products such as Vaseline, aqueous cream, powder & shampoo
• Sanitary pads for the mother (one of our biggest needs)
• Suitable snacks and beverages for the kangacare mothers who stay in the hospital for extended periods with their premature infants
• Financial sponsorship to make all this possible

We rely solely on volunteers to run the operation and visit the mothers. The beauty of the project is that the needs are specific and unique so everyone has something to offer in the running of BB.

The following are areas where you can commit your time, skills & energy:

• Sewing of the bags (material is provided)
• Knitting jerseys, hats & booties
• Packing of the bags (done weekly once a week)
• Baking of suitable goods for the bags
• Collection of infant clothing & other goods from suppliers & sponsors
• Attending hospital visits (Mondays or Thursdays at 9.00am)
• Marketing BB to potential sponsors and obtaining funding
• Praying for BB and the mothers and babies
• Making cards

When we have enough practical help and financial & product sponsorship we will be able to cover each mother as well as get the project started in other areas. This is our hope.

For further information, please contact Mel
Check out Mel's blog: www.bosombuddies.typepad.com