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Mother’s milk

November 12, 2018 Leave a Comment

Elaine Webster

breastfeedingWhen my baby was born I was astonished that nothing in the world had told me that birth is a miracle. Out of my body came this entirely new being: it seemed incredible, yet more real than anything, and entirely personal. And then I couldn’t believe how hard it was to take a baby into town, how so little in the culture supported mothering, how devalued its status. I could not reconcile my experience with the fact that all the billions of people who walk or ever walked the earth are only alive through the same miracle of the mother’s body, her fecundity and succour and work. I thought about the magnificence, vulnerability and ferocity of mothers, of how bodily and messy it all is. How it’s a result of sex but not very sexy. I thought about the hunger for the breast, about yearning and weaning, about how we all drink milk.

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Filed Under: Memoir, Midwifery, Nutrition, Paediatrics, Women's Health

Mothering: the ideals … and the real deal

October 29, 2018 Leave a Comment

Cushla McKinney

juggling womanAs a child of the 70s and 80s I was raised with the idea that women could (and did) do anything, and always eschewed the ‘traditional’ feminine trappings of makeup, skirts and heels. As I got older I became aware that this slogan was frequently understood to mean that women should do everything, including juggling work and family, but it was not until I started thinking about whether – and if – I wanted children that I fully realised the extent to which social attitudes towards motherhood remain among the most potent and pervasive constraints on female (and male) identity and freedom.

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Filed Under: Essay, Mental health, Midwifery, Paediatrics, Women's Health

Mind That Child: A Medical Memoir

October 15, 2018 1 Comment

Patricia Thwaites

Mind That ChildDuring her recent trip to the United Nations, New Zealand Prime Minister Jacinda Ardern used her speech to recommit the government to making New Zealand the “best place in the world to be a child”, ensuring that:

no matter where you are born in the world, your local school is the best school, there is food and a health system that you can rely on and perhaps most importantly that you are loved and that you are heard”.

Leading New Zealand paedriatrician Dr Simon Rowley would no doubt agree with those sentiments. The welfare of babies and children is at the heart of his recently published book, Mind That Child: A Medical Memoir. Few would be more qualified to provide some guidelines on how to improve on present conditions.

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Filed Under: Memoir, Paediatrics, Public health, Reading, Review, Women's Health

Breastfeeding: “a collective societal responsibility”

August 6, 2018 1 Comment

Tricia Thompson

breastfeedingThe 194 member states of the World Health Organisation (WHO) met recently in Geneva for the annual United Nations-affiliated World Health Assembly. The delegation from Ecuador proposed a global public health resolution to encourage breastfeeding. The resolution stated that research evidence convincingly shows that mothers’ milk is healthiest for children, and called on governments to “protect, promote and support breastfeeding” and to strive to limit inaccurate or misleading marketing of breastmilk substitutes (infant formula).

The resolution was unsurprising. It was in keeping with many others made over the past decades supporting breastfeeding and was expected to be approved quickly and easily. What did surprise was that the delegation from the United States of America demanded the resolution be watered down. When Ecuador declined to do this, the USA threatened to unleash a punishing trade war and withdraw military assistance. Under such pressure, the Ecuadorean delegation capitulated. When another sponsor for the resolution was sought, at least a dozen poor countries from Africa and Latin America also backed away, fearing similar retaliation from the USA. In negotiations, some American delegates even suggested that the USA might cut its financial contribution to WHO.

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Filed Under: Midwifery, Nursing, Paediatrics, Public health, Women's Health

Vitamin D deficiency rickets: a problem for our times

March 19, 2018 Leave a Comment

Ben Wheeler

bow legs, ricketsBone needs an adequate supply of calcium and phosphate to mineralise properly. Failure of this mineral supply (for any reason) results in defects like osteomalacia (impaired mineralisation of the bone matrix) and osteoporosis (overall low bone mass). In children, inadequate mineralisation causes rickets. There are multiple causes of rickets, but the main one is vitamin D deficiency.

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Filed Under: Nutrition, Paediatrics, Public health, Women's Health

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