Battling the Bulge from Birth

This is the time of year when everyone is thinking about eating lots of good food with family. Then in a few weeks, we will all make new and not-to-be kept resolutions about losing the weight gained by eating those same meals and many others throughout the past year.

But to really battle the bulge, not just for ourselves but for our children, we have to start early, avoid empty promises and face the facts.

Now, for the most part we black women love our curves and really have no use for the latest crash diets. The way we walk, talk, and dress says "I am bold and beautiful, love it or leave it!" But at as fabulous as we think we are, obesity is still a prominent issue in the black community.

I have heard every excuse from "My family is big- boned" to "queen- sized" and my favorite "That just means there's more of me to love!" And, while these statements and mantras seem to scream I am confident and love my body, we need to address why statistics show that six out of every ten African American women are overweight and four out of every ten is morbidly obese. There is a huge difference between having a little belly or being a little hippy and packing on 30 to 100 extra pounds or more. 50 percent of African-American women are obese compared to only 40 percent of Mexican-American women and only 30 percent of White women.

While we already know that the high rates of obesity in our community is linked to the prevalence of diseases such as heart disease, diabetes, high blood pressure, stroke, arthritis and cancer. We don't see too many people addressing prevention strategies for all of these diseases that start at birth. If we really want to curb the obesity epidemic in our community we have to start well before childhood. We can start as soon as the baby is born.

Breast-feeding helps us lose the weight we gained during pregnancy and has many other health benefits for us too.

Breastfeeding is proven to reduce your baby's chance of being obese. The breastfeeding-obesity link is now recognized by key government agencies and professional groups, Including the U.S. Centers for Disease Control and Prevention and the American Academy of Pediatrics. Experts at the CDC in Atlanta estimate that 15 percent to 20 percent of obesity could be prevented through breastfeeding. Here are some of the reasons why:

• Breastfed infants may be better at self-regulating their intake. Mothers cannot see how much milk their child is drinking, so they must rely on their infant's behavior, not an empty bottle, to signal when their infant is full. Thus, breastfed babies might be better able to eat only as much as they need.
  
  
• Breastfed infants are more likely than formula-fed infants to try and accept new foods. Acceptance of new foods is important because a healthy diet should include a wide variety of foods, especially fruits and vegetables. Because breast milk contains flavors from foods eaten by mothers, breastfed infants are exposed to a variety of tastes early in life. In contrast, artificial baby milk (formula) always tastes the same.
  
  
• Breastfeeding has different effects than formula feeding on infant's metabolism and hormones such as insulin, which tells the body to store fat. Formula-fed infants tend to be fatter than breastfed infants at 12 months of age.
  
  
• For us to make a real impact on obesity in our community, we have to start at birth. It's really that simple. Resolving to breastfeed more and support any breastfeeding mother you know, is a real resolution for change.

Want Happy Holidays? Avoid the Holiday Spending Hangover

It always strikes me how the holidays are supposed to be so merry, but they seem to always end up being so stressful. Moms and dads want to create the "perfect" Christmas, everyone is trying out out-do the other and the whole thing turns into a mess. A lot of the holiday stress is around money, or the lack thereof. And the holidays are often the time when many families take on more credit card debt, blow their budget and avoid paying bills just to find money to buy presents. And in these tough times, overspending can be more dangerous than ever before. It has been estimated that one out of every three African American families is at the risk of falling out of the middle class due to job loss, overspending, unexpected financial crises or other issues.

Even though our spending power exceeds $920 billion the average net wealth of black families is merely $15,000. In fact, Black people disproportionately represent a major portion of Americans in debt:

• Right out the gate more Black college grads are left with more debt than white students, and the average American takes about 10 years just to pay off their student loans.

• Over 90% of African-American families earning between $10,000 and $24,999 are in credit card debt.

• 26% of Americans said that they do not pay all of their bills on time. Among African-Americans, this number is 51%.

This year, I'm imploring all families to be mindful of their budget. Avoid taking on undue stress by digging yourself deeper into debt, and strongly consider going back to basics and remembering the true spirit of the holidays. Family. Togetherness. As moms we play a critical role in setting the tone for the holidays and we also bear the brunt of cleaning up any financial messes we create. As part of my personal gift to you, I also found these great tips that I wanted to share with all women and heads of households, so that you can have a merry holiday without the holiday hangover. That never feels good.

1. Minimize all gifting and expenditures to your immediate family (You and your Kids, and husband/significant other)

2. Make a list of your income and all of your expenses.

3. After you have a very clear picture of where your money has to go you can see where you have room to wiggle room! Give yourself a very specific credit card budget and don't go beyond that.

4. Instead of buying 3 or 4 expensive gifts buy more inexpensive gifts.

5. Start early and use layaway programs for your must-have items.

6. Make this holiday season about family bonding. Check your local papers and websites for free events that will be great for you and your family.

Let's make smart decisions to close out this year that won't leave us stressed out next year.

Formula Fed? Not For My Baby: One Mom's Story

According to my Random House dictionary, definition No. 6 for the word "formula" is a mixture of milk and other ingredients for feeding a baby. I can deal with the milk; it's the other ingredients that concern me. The word "formula" immediately makes me think of mad scientists hovering over test tubes in a laboratory. It also makes me think of experimenting and trial and error. Why "formulate" something to feed your baby when God has equipped most women's bodies to produce milk after they give birth. Breast milk has exactly the right amount of fat, sugar, water, and protein that a baby needs.

I once heard that humans are the only mammals that intentionally feed their young something other than their own milk. That, among many other factors, helped me decide not to give my baby formula. When breastfeeding is an option, I think Black mothers owe it to themselves and their babies to breastfeed for as long as possible. Other than women with illnesses that prevent them from breastfeeding, new moms should at least make an attempt to give their babies the considerable health advantages that breast milk has been proven to provide.

Extended breastfeeding has been credited with protecting babies from various illnesses. It is said to increase a child's intelligence and it may also help to prevent obesity. Breastfeeding may offer protection from SIDS (Sudden Infant Death Syndrome). Some research has even linked the failure to breastfeed to intestinal issues experienced later in life. Breastfeeding exclusively for the first six months seems to offer babies significant health protection.

Moms benefit just as much from extended breastfeeding as their babies do. Breastfeeding moms are often free of a menstrual cycle for a longer period of time after giving birth. Breast, uterine, ovarian, and endometrial cancer risks are lower in women that practice extended breastfeeding. Diabetes is a disease that is prominent in the Black community. According to some studies, breastfeeding may lower insulin needs in diabetic women (http://breastfeeding.about.com/od/problemssolutions/a/diabetes.htm). Weight loss is another incentive for extended breastfeeding. In my case, about three months into breastfeeding I weighed less than I weighed prior to my pregnancy.

Along with the health benefits, extended breastfeeding provides an opportunity to bond with your baby in a way that no one else can. I can't put into words the joy I felt cradling my baby knowing that I was created by God to be able to nourish her. Mothers and babies are physically connected for 40 weeks during the baby's development. For breastfeeding mothers and babies extended nursing is a continued physical, emotional, and spiritual link.


Tangela Walker-Craft is the creator of Go Pillow! a patented, multipurpose childcare item that allows moms hands-free breastfeeding with comfort and president of Simply Necessary Inc. After nursing her own daughter for two years, Walker-Craft, realized that there was not a product on the market that allowed mothers to have nursing privacy and cradling comfort when others were present. Existing nursing pillows were too bulky and cumbersome for travel and cover-ups on the market required too much manipulation. The GoPillow! satisfies the needs of both breast feeding and bottle feeding mothers and caregivers. Learn more at http://www.simplynecessary.com/

New study: 400,000 infants born to depressed mothers. What can we do?

Pregnancy is supposed to be a happy time. Those glossy pregnancy magazines would make you think every pregnant woman is running through green meadows with unmitigated joy.

But we all know the real deal. Broken relationships, economic hardships, thwarted life plans or just bad timing can create so much anxiety during pregnancy and can crowd out any joy you may want to feel. We'd like to think this sadder side of pregnancy is the exception to most experiences, but a new study says otherwise.

A recent report by American Academy of Pediatrics says every year, more than 400,000 infants are born to mothers who are depressed, which makes perinatal depression the most under-diagnosed obstetric complication in America.

That's big news.

With so many babies being born to depressed mothers, what does that mean for the level of early bonding and care that they receive? When you're depressed you are probably less likely to breastfeed, especially when it can be very physically and emotionally demanding in the early days and months. And what about the moms? How healthy are their eating habits, also linked to their likelihood to breastfeed, if they are depressed?

The point is, sad moms are even sadder news for babies.

What can be done? For one, there needs to be a broader dialogue about depression during pregnancy and post partum. It would be great if we didn't only portray one pregnancy experience as the "right" pregnancy experience, doing so keeps moms in the closet about their real feelings and prevents them from getting the help they need.

In our community, we need to do more talking. Black people are socialized not to air dirty laundry, so to speak, so we are often reluctant to share our problems, particularly with strangers. But talk to your doctor, a friend or trusted relative. If this is difficult, call an anonymous hotline, if you must. Just don't try to face depression alone.

If you're depressed, take off the strong black woman superhero outfit and pack it away. If your belief system says, I'm strong and I should be able to handle all situations, when the occasion inevitably arises that you can't do these things, you think of yourself as a failure. Those feelings can only lead to deeper depression.

Can you lighten your load? Cut down on your chores, errands for others, and other stressful activities. Try to do more things that will help you relax and regroup.

And there's nothing wrong with a little couch time with a culturally competent therapist--one who understands the complexities of a black woman's life.

Our babies have enough challenges in this world, let's do our part to make sure our children are born to moms who are as happy and mentally healthy as possible.

The I.R.S Says No Tax Break For Breastfeeding Moms. Acne Sufferers Get OK.

This week, the good folks over at the Internal Revenue Service ruled that while people will be able to write off pimple creams and denture adhesives when the new tax sheltered health accounts kick in this January, women will not be able to write off the expense of breast pumps and other breastfeeding supplies.

A breast pump and various accessories can run about $500 to $1,000 for most mothers a year. Such costs, including nursing bras and other nursing friendly wear and gear are one of the many barriers for getting more women, and especially black women, to breastfeed longer.

The reason breastfeeding supplies didn't make the cut, is that the Internal Revenue Service has ruled that breast-feeding does not have enough health benefits to qualify as a form of medical care. Only as good nutrition, not as preventative care.

Seriously? I mean, aren't we past that conversation yet. And I'm sorry when did the IRS become a medical clearance board?

While breast-feeding supplies weren't allowed under the old regulations either, one major goal of the health care overhaul was to control medical costs by encouraging preventive procedures like immunizations and screenings, and what could be more preventative in infant health than breastfeeding?

Despite a growing body of research indicating that the antibodies passed from mother to child in breast milk could reduce disease among infants--including one recent study that found it could prevent the premature death of 900 babies a year--the I.R.S. has denied a request from the American Academy of Pediatrics to reclassify breast-feeding costs as a medical care expense, The New York Times reported.

I.R.S. officials say they consider breast milk a food that can promote good health, the same way that eating citrus fruit can prevent scurvy. But because the I.R.S. code considers nutrition a necessity rather than a medical condition, the agency's analysts view the cost of breast pumps, bottles and pads as no more deserving of a tax break than an orange juicer, the article continued.

I'm not even sure what to say about that.

Despite all the progress made in getting the medical field, Congress and even the First Lady to acknowledge the benefits of breastfeeding, it looks like the IRS did not get the memo. Or catch the video.

Meanwhile, a study released this year by Harvard Medical School concluded that if 90 percent of mothers followed the standard medical advice of feeding infants only breast milk for their first six months, the United States could save $13 billion a year in health care costs and prevent the premature deaths of 900 infants each year from respiratory illness and other infections.

But to continue breastfeeding beyond maternity leave requires a pump. And good breast pumps aren't cheap. Nobody is asking for a handout here, just a well deserved tax break. Like the one given to zit creams.

As with any tax code, there will always be ways to work loopholes. Some consultants say mothers may ask their pediatricians for a note that says breastfeeding is medically necessary. But to have working moms jump through even more hoops for something that should be so easy seems insane. And given that, allegedly, the whole idea of health care reform, is to make things better, the insanity of it all is just a little too much to bear.

Talking Midwives in Midtown: an Aha! Moment

Yesterday, I met an old friend for breakfast. We met at Norma's in Le Parker Meridien hotel. As we noshed on a delicious breakfast, pondered who has actually ordered the $1,000 caviar breakfast item, we had a ground shaking conversation about the role of midwives in changing the landscape for maternal health.

My fellow diner was my good friend Shirley McAlpine, a beautifully statuesque British woman. She became my friend when I lived in London and is now doing some amazing work in the U.K and U.S. about prenatal education and natural childbirth through her popular Birthwise DVD http://birthwisedvd.com/us/ and consulting work. The tagline for Birthwise is "Your Creation. Your Choice." I love that.

Shirley had just returned from the Midwives Alliance of North American conference in the Nashville, Tenn., area and she was buzzing. Her energy was infectious. And while we are both involved with maternal health issues across the board, as two black women we are also particularly concerned about the issues in our community. So the questions began to roll. Could midwives be key to helping reduce the high pre-term birth and low birth-weight baby rate that continue to plague black women of all socioeconomic levels? Could midwives help reverse the high exceptionally C-section rates among black women and reduce the shamefully rising maternal mortality rates among black women?

Shirley and I are convinced, yes. And birth center models like The Birth Place, http://thebirthplace.org an unique midwifery and women's health center in Winter Garden, Florida run by Jenni Joseph, show impressive results in reducing pre –term births.

But, why? The answer, as it unfolded before us, was in the education that midwives provide. Expecting moms who work with midwives are more informed about the birth process than women who work with doctors only. We all know that most doctors prefer that you know less, and trust them more, so that they can do what works best for them and not deal with any pesky little questions about your own life that you may have.

After all knowledge is power.

So when a woman who has had a midwife is told she needs to be induced. She knows she can ask why, if the baby's heart rate is fine and other measures she's been educated on are still ok.

When a woman whose water has broken is told that she must be induced, a woman with a midwife may have been taught that actually unless other indicators show otherwise a baby can be fine for up to 24 hours after the water breaks. It is Hollywood that has told us otherwise, and turned the water breaking into the mad dash to the hospital event that makes for great cinema but woefully misinformed moms to be.

And when a woman has a true (not Hollywood or doctor-friendly) understanding of how long the labor process can be, she won't stand for being told that a C section is necessary because it's been five hours and she hasn't dilated. She will also have been educated on the real signs of labor, so she won't go the hospital too soon where labor can be stunted by laying in a bed and you are more likely to be given unnecessary medical interventions.

These are key pieces to the puzzle. As we know, the answer is not in the prenatal care. Women are getting that. But that hasn't improved matters. The key is in the education--an education that often does not happen in its full measure at a traditional doctor's office. And that midwives can provide.

And that nuanced understanding of how black women end up on the operating table more and remain six times more likely to die from pregnancy-related complication is worth more the $1,000 caviar.

Breastfeeding On My Time

By Tangela Walker-Craft
WeNews guest blogger

I decided to breastfeed my daughter until she was 2 years old. I was the first person in my family to practice what is called extended breastfeeding since the introduction of baby formula.

I thought this was a personal decision, between me and my husband and my child, but boy was I wrong.

I taught her a few baby signs by the time she was about 9 months old, so she knew how to tell me when she wanted to be nursed. During the first year she was exclusively breastfed. By the second year she had a diet consisting of breast milk and toddler appropriate foods. During her second year, she breastfed less than the year before.

Unfortunately, unwanted and unwelcomed advice on when I should wean her came from everywhere. People that have never breastfed a day in their lives will offer their advice about when's the best time to wean YOUR baby. Even people that have never had a child will somehow know when you've breastfed long enough. Unbelievable!

If you resist their unsolicited advice, people may even switch from asking when you plan to wean to trying to scare you into weaning.

You'll likely hear, "If you don't wean her soon, you won't be able to do it." You may even get the, "She's going to start biting you when she gets teeth," threat. It's funny how most people accept that a baby will start to walk when he or she is ready, and talk when he or she is ready, but they think that there is a magic age when all babies should stop being breastfed.

Once threats don't manage to scare you into submission, the attempts to shame you into weaning may begin. You'll get the loaded, "You STILL breastfeeding that child? How old is she?"

Family members and people that feel that they can will make snide remarks about how your
child might be driving, married, or doing something else that's totally ridiculous before you wean him or her.

Things were particularly challenging because breastfeeding, especially extended breastfeeding, is not necessarily encouraged in Black families.

Like many breastfed babies, my daughter lacked the "baby bloat" that frequently occurs in formula fed babies. My well-meaning grandmother asked me dozens of times if I was sure my baby was getting enough to eat. She'd ask me, "Are you sure you're making enough milk?"

She and other members of my family refused to believe that my baby could survive on just breast milk. I was constantly guarding against my family's threats to give my daughter "real food". formula.

After breastfeeding six children of her own out of necessity, my 85-year-old grandmother seemed to view my decision to voluntarily breast feed as something out-dated or odd.

I think that moms that do not practice extended breastfeeding sometimes secretly resent moms that do. There is a competitive spirit that makes women want other women to make the same child care decisions that they've made. Women that do not, or did not practice extended breastfeeding, may feel that moms that do are judging them for their choice.

Contrary to the warnings, weaning for me was easy. Taking natural cues from my daughter during that second year, I breast fed less and less during the day time. Breastfeeding became more of a bonding and comfort activity for us at night. When I sensed that she was ready, I began telling her that mommy wouldn't have any more milk soon. My breast naturally responded by producing less milk because of the less frequent feedings.

My daughter's nursing slowed down to a few minutes only at bed time.

Over a three day period I cut the feedings down to quick bouts, which culminated in the end of what was one of the best experiences of my life. I am glad I never succumbed to the pressure to wean before we were ready, but it bothers me that such pressure exists.

Why are we so uncomfortable with extended breastfeeding?

Tanglela Walker-Craft is the creator of Go Pillow! a patented, multipurpose childcare item that allows moms hands-free breastfeeding with comfort and president of Simply Necessary Inc. After nursing her own daughter for two years, Walker-Craft, realized that there was not a product on the market that allowed mothers to have nursing privacy and cradling comfort when others were present. Existing nursing pillows were too bulky and cumbersome for travel and cover-ups on the market required too much manipulation. The GoPillow! satisfies the needs of both breast feeding and bottle feeding mothers and caregivers.


Learn more at:
http://www.simplynecessary.com/