About Sara

My first child is due Feb. 8th 2012. As I wait with anticipation for my breastfeeding adventure to begin, I feel so lucky to be able to be a part of the breastfeeding blog world. For more about me read the About Us section of the blog! This blog is intended to be a place of inspiration and information. It is a place to share stories and ideas. I love hearing from you!

Momzelle Nursing News

Archive for the ‘Breastfeeding Advocacy’ Category

WABA Breastfeeding Photo Contest

Thursday, July 28th, 2011

World Breastfeeding Week is starting this Monday, August 1st.  The organizers held a photo contest and the results are in!   Here are a few of my favourite.  See the top ten winners here.  All the photos are copyright World Alliance for Breastfeeding Action (WABA) 2011.  Which photo is your favourite?

teaching breastfeeding

Teaching children about breastfeeding. Entry #123 photo by Edith Rojas

Nursing in Peru

I love how the whole family is involved and learning. Entry # 86 photo by Carmen Pfuyo Cahuantico

Multi-tasking

Multi-tasking! Entry # 74. photo by Jennifer Kiechner

 

Mother’s milk and safe milk sharing: Health Canada’s advisory lacks scientific basis

Thursday, December 9th, 2010

I think this answer is worth a read. INFACT Canada is the watchdog for the International Code for the marketing of breastmilk substitutes. Let me know what you think!

December 7, 2010

The recent media focus on the mothers’ movement Eats on Feets has resulted in a Health Canada advisory warning mothers against the use of another mother’s milk unless it comes from a donor milk bank.

Health Canada’s advisory raises some important questions about the lack of scientific basis for their claims regarding the “risks” of human milk sharing.

The Health Canada advisory flies in the face of the recommendations by both UNICEF and the World Health Organization, that when a mother is unable to provide her own breastmilk, the milk of another mother is safer than the use of an infant formula. These principles are outlined in the World Health Organization and UNICEF Global Strategy on Infant and Young Child Feeding and the Baby-Friendly Initiative. Although these initiatives were endorsed by Health Canada, why are these important principles now deemed “risky”?

Health Canada claims

There is a potential risk that the milk may be contaminated with viruses such as HIV or bacteria which can cause food poisoning, such as Staphylococcus aureus. In addition, traces of substances such as prescription and non-prescription drugs can be transmitted through human milk. Improper hygiene when extracting the milk, as well as improper storage and handling, could also cause the milk to spoil or be contaminated with bacteria and/or viruses that may cause illness.

When mothers need a breastmilk replacement how does Health Canada consider the use of commercial infant formula products to be safer that the use of peer-to-peer informed milk sharing?

INFACT Canada is concerned that the Health Canada warning will dissuade mothers from providing human milk for their infants and encourage the use of commercial infant formula. The other alternative when mothers need a replacement for their own milk is the use of commercially produced infant formula. The risks associated with the use of infant formula products have been well documented. Mothers aware of these risks do not wish to expose their infants to such risks. These include increased prevalence of a range of infectious diseases and health conditions – ear infections, gastrointestinal infections respiratory infections, necrotizing enterocolitis, sepsis, meningitis, diabetes, childhood cancers, obesity, allergies – formula fed infants grow and develop differently from breastmilk fed infants, including cognitive and neural development.

While implying that formula is a preferable alternative to shared human milk, Health Canada fails to inform mothers that the risk of contamination by lethal and dangerous bacteria may exist in all powdered infant formula currently marketed in Canada. Has Health Canada warned parents that tins of powdered infant formula are not sterile and may contain Enterobacter sakazakii, a virulent and highly pathogenic contaminant that can lead to serious infections causing meningitis, necrotizing enterocolitis, sepsis and even death? Has Health Canada mandated that infant formula labels have warnings about the lack of sterility and that products must be carefully reconstituted at 70 degrees C to destroy the lethal Enterobacter sakazakii as recommended by the World Health Organization?

Additionally the Health Canada warning does not address the presence of the bacterium Salmonella species, a major cause for gastrointestinal infections, present in powdered infant formula. Should parents not be informed of the rather frequent recalls of infant formula products – the most recent for the presence of beetle parts in the formula? Furthermore there are many industrial contaminants found in infant formula such as heavy metals, plasticizers, including the plastic BPS present in concentrated formula.

Infant formula does not have the immunological constituents to alleviate against the risk of the built-in microbiological contaminants and the bacterial and viral contaminants related to formula preparation, handling, storage and feeding.

Health Canada’s advisory does not provide mothers with the information needed about the safe peer-to-peer informed sharing of milk. Nor does Health Canada provide access for mothers to the donor milk from milk banks that it deems safe and acceptable.

Currently there is only one milk bank in Canada at the BC Women’s Hospital and Health Centre in Vancouver. Donor milk from the BC Milk Bank has very limited access and is available on prescription only for high needs infants.

Although Health Canada’s policy statements recommend that infants be exclusively breastfed for the first six months of life and sustained breastfeeding to two years and beyond, adequate support systems need to be in place for mothers to achieve optimal breastfeeding practices. Mothers need to be able to access supplementary human milk for their infants for the full recommended time that infants and young children require human milk for optimal health, growth and development. A variety of social, cultural, health or economic reasons may necessitate that mothers have access to human milk in order to achieve this.

Mothers who wish to provide only human milk for their infants have no other means to access human milk than to establish their own method of safe milk sharing. Eats on Feets is a community-based movement of mothers meeting the needs of their infants based on a health screened and informed decision making process. Importantly many women have more than enough milk and have a deep desire to share with mothers and infants needing their milk.

Conclusions

Assessing and analyzing the risks (see ANNEX) of peer-to-peer informed milk sharing demonstrates the risks to be negligible. Peer-to-peer informed milk sharing is by far the safer means to provide replacement feeding when mothers own milk is unavailable.

However the risks of feeding infant formula to infants are well documented. Many mothers do not wish to expose their infants to the increased risks of infectious diseases, chronic diseases and growth and development anomalies, which have lifelong implications.

INFACT Canada urges Health Canada to provide guidelines to address the need for mothers who wish to donate their life giving milk to mothers who know this to be critically important for the health and well-being of their infants. Health Canada must recognize that informed milk sharing is not “dangerous” and must recognize that the alternative of using infant formula comes with a long list of documented negative consequences.

INFACT Canada urges Health Canada to facilitate a milk banking system across Canada that will provide full access for all mothers who wish to donate their milk and to mothers who need to make use of donated milk beyond the current limited “on prescription only.”

INFACT Canada urges Health Canada to establish centres where mothers can go to have their milk screened so they can feel comfortable and confident sharing their milk. As well Health Canada should review the capacity of blood banks to also screen human milk.

INFACT Canada urges Health Canada to provide the necessary funding and programme leadership to improve support systems for the establishment of lactation in the early weeks and months to help mothers overcome difficulties they may encounter.

Mothers need effective support systems to achieve the Health Canada recommendations for exclusive and sustained breastfeeding to ensure the highest attainable standard of health for their children. We will all benefit.

Elisabeth Sterken, MSc, RD
Executive Director
INFACT Canada
esterken@infactcanada.ca

With thanks to:
Jennifer Abbass Dick RN, BNSc, MN, PhD student, IBCLC, RLC
Linda Smith, BSE, FACCE, IBCLC, FILCA for their helpful comments.

ANNEX

It is important to compare the perceived risks and dangers of peer-to-peers informed milk sharing to the risks of providing infant formula as a replacement for a mothers own milk.

Peer-to-peer informed milk sharing

Viral and microbiological risks

  • Mothers are screened and share their health data.
  • The numbers of Canadian women of child bearing age who are HIV+ are few.
  • The probability of an HIV+ mother, who has given birth, breastfeeds and donates her milk, is highly improbable. Moreover HIV+ mothers receive anti-retro-virals which significantly reduce the viral count.
  • Human milk contains a multitude of complex antiviral and immune substances demonstrated to inactivate viruses such as HIV and reduce microbiological contaminants.
  • Providing human milk exclusively is the best protection against viral and bacterial contaminants passing via the infant gut. Human milk provides a protective layer in the infant gut. It is in fact the introduction of infant formula into the infant gut that creates the risk of transmission. Mixed feeding of formula and human milk has been shown to be the greatest risk for viral transmission. The cow’s milk proteins in infant formula are a cause of gut damage providing a passage for viral (HIV, hepatitis B and C, HTLV 1 and 2, syphilus) and bacterial contaminants.
  • Mothers can flash pasteurize donated milk to ensure that there are no viral or bacterial contaminants.(ref: Israel-Ballard K, Donovan R, Chantry C, Coutsoudis A, Sheppard H, Sibeko L, Abrams B. (2007). Flash-heat inactivation of HIV-1 in human milk: a potential method to reduce postnatal transmission in developing countries. J Acquir Immun Defic Syndr. 45: 318-23.)

Passage of prescription and non prescription drugs

  • Eats on Feets advises mothers to screens donors for prescription and non prescription substances.
  • There are very few drugs that are contra-indicated during lactation. Most drugs do not enter her milk.
  • If a mother is breastfeeding her own child she will be aware of any contra-indicated substances. If her milk is safe for her own child it will be safe for the child she is donating her milk to.

Improper hygiene, storage and handling

  • Human milk is the most effective and efficient protection against microbial contaminants. It contains, IgA, IgM, IgG, IgE, IgD factors, lactoferrins, lysozymes, oligosaccharides, immunoglobulins, interferon, mucins, bifidus factors, to name a few and many as yet undiscovered factors. It takes a lot to “spoil” human milk.
  • Mothers are aware of the normal principles of hygiene, storage and handling.
Donate buttonHelp INFACT Canada to promote, protect and support breastfeeding. Click this button to donate any amount you wish.

Loving this Hip British Breastfeeding Calendar (2011)

Friday, December 3rd, 2010

Oooh, I like this: a very hip British breastfeeding calendar, featuring mothers nursing in public settings. It would be great in a doctor or nurse’s office (or mine!). This is the charity project of a Hereford and Worcester photographer, who will be giving all profits to breastfeeding support groups in her region. What a great idea! I especially like her blog, where you can find “behind the scenes” pictures and explanations for the choice of the settings (some local businesses, playgrounds, parks). She really focuses on the importance for moms of going to breastfeeding-friendly places and of having breastfeeding support groups. I can’t agree with her more. From what I understand, you can also order this 2011 calendar in the United States. I’ll let you go visit her blog to find out how.

Have a wonderful day!

Another image from the breastfeeding calendar. Copyright 2010 Egg in the Nest Photography.

Another image from the breastfeeding calendar. Copyright 2010 Egg in the Nest Photography.

Copyright 2010 Egg in the Nest Photography.

Copyright 2010 Egg in the Nest Photography.

2011 Hereford, Worcester Breastfeeding Calendar

2011 Hereford, Worcester Breastfeeding Calendar

Breastfeeding on the news – L’allaitement dans les nouvelles

Thursday, November 11th, 2010

Un énorme merci à tous ceux qui nous montrent leur soutien. Je l’apprécie au delà de ce qu’il est possible de dire. Avoir sa page d’entreprise fermée par Facebook pour motif d’obscénité (le “crime”: montrer des mères qui allaitent), c’est choquant et déstabilisant. La nudité qu’implique l’allaitement n’a rien de pornographique, rien d’obscène. J’espère que la couverture médiatique que cet événement déplorable obtient contribuera à valoriser l’allaitement en public. Les mères qui allaitent ne doivent pas être victimes de discrimination. Au Canada, le droit des mères à allaiter en public est protégé, mais l’opinion publique ne vas pas toujours dans le sens du droit. J’espère que toutes les mentions de soutien qu’obtient Momzelle en ce moment donneront confiance aux mères et qu’elles se sentiront fières d’allaiter leur enfant, pas juste dans la sphère privée, mais aussi dans les espaces publics. Un énorme merci.

Rebecca, from the blog Playground Confidential, was the first to cover the story of  the Momzelle facebook page being shut down by Facebook.  You can read it here:

http://playgroundconfidential.com/2010/11/10/facebook-deletes-nursing-wear-page/

I have created a new page for Momzelle, you can now become a fan (or “like” the page), here. Instead of “Momzelle Breastfeeding Apparel”, it is now Momzelle – Breastfeeding in public, naturally.

Yesterday afternoon was spent sending press releases to various media. I was hopeful that it would make waves and educate some people about breastfeeding! I guess I can say it’s working. The story is making the news. #1 Breastfeeding story on Twitter, on Salut, bonjour morning show, Cyberpresse, etc.

I wish I could reply individually to all the new people who have joined the new Momzelle Facebook page to show their support. This is amazing. In less than 24 hours, we already have  over 1000 fans.

Go breastfeeding moms!

—-

Breastfeeding Challenge 2010

Tuesday, September 21st, 2010

Do you know what the breastfeeding challenge is? It is a friendly competition between cities to see who can get the most babies latched on at the breast at the same time, on the same day. Created by the Quintessence Foundation, the purpose of the challenge is to celebrate breastfeeding and get people together. Sounds pretty good to me.

Last year, the challenge happened at 246 different sites in 21 countries. Over 4000 children were breastfed at the same time!

Breastfeeding Challenge in Toronto (Dundas/Dufferin)

I’m happy to announce that Momzelle is organizing a breastfeeding challenge in Toronto on Saturday October 2nd 2010. Come join us at the Lula Lounge (1585 Dundas Street West, www.lulalounge.ca for directions) to celebrate breastfeeding. The doors will open at 9:30AM and the latch on will be at 11:00AM. It is a nice big space that is stroller-friendly. Bring a friend, arrive early to register for the event (every nursing mom needs to sign in), and enjoy! Food and drinks will be available for purchase, and there will be a draw for Momzelle nursing tops.

Any questions, concerns or comments can be directed to me (christine@momzelle.com). 647-746-7731.

You don’t have to reserve your spot in advance, but I’d love to get an idea of how many people will come. Are you planning on participating? If you’re not in Toronto, do you plan on registering your own site or participate to an existing challenge?

Breastfeeding Challenge 2010. An initiative by the Quintessence Foundation.

Breastfeeding Challenge 2010. An initiative by the Quintessence Foundation.

New breastfeeding stats are out for the US

Tuesday, September 14th, 2010

The US Breastfeeding report card is out for 2010. Stats fanatics, have fun  reading it!

Look at what your own state can do to improve its breastfeeding rates. I find it quite impressive to see the wide variation between the states. How did yours do?

Taken straight from the Centre for Disease and Prevention Centre’s website, here is the report:

Breastfeeding Report Card—United States, 2010

Background

Improving the health of mothers and their children is a primary goal of the Centers for Disease Control and Prevention (CDC). Protecting, promoting, and supporting breastfeeding, with its many known benefits for infants, children, and mothers, is a key strategy toward this goal.

There are many different ways that communities support mothers and babies to breastfeed, and everyone plays a role. The CDC Breastfeeding Report Card provides state-by-state data so that health professionals, legislators, employers, business owners, community advocates and family members can work together to protect, promote, and support breastfeeding. The Report Card indicators measure types of support in key community settings as well as the most current data on the breastfeeding goals outlined in Healthy People 2010.

The Report Card brings together all of this information to help tell the story of breastfeeding practices in your state. It condenses many types of data so that community partners can monitor progress, celebrate state successes, and identify opportunities for growth and improvement.

What’s new this year?

The most recent CDC data show that 3 out of every 4 new mothers in the U.S. now starts out breastfeeding. The U.S. has now met the Healthy People 2010 national objective for breastfeeding initiation. However, rates of breastfeeding at 6 and 12 months as well as rates of exclusive breastfeeding at 3 and 6 months remain stagnant and low.

More babies in the U.S. are now born at Baby-Friendly™ facilities than ever before. However, these births still represent less than 4% of all U.S. births. Further, the CDC mPINC survey of all birth facilities in the U.S. shows that the average score for facilities nationwide is only 65 out of 100, and only 2 states’ facilities scored 80 or more points.

A greater number of people are now working on improving how states support mothers and babies to breastfeed.  Nationwide, health departments now dedicate nearly 97 full-time equivalents (FTEs) to supporting breastfeeding mothers and babies in their states. However, this still represents less than 2 FTEs per state dedicated to a health issue that is clearly recognized as a national priority.

What do the numbers tell us?

High breastfeeding initiation rates show that most mothers in the U.S. want to breastfeed and are trying to do so. However, even from the very start, mothers may not be getting the breastfeeding support they need.  Low breastfeeding rates at 3, 6, and 12 months illustrate that mothers continue to face multiple barriers to breastfeeding.

Across the U.S., the average level of support that birth facilities provide to mothers and babies as they get started with breastfeeding is inadequate, and hospital practices and policies that interfere with breastfeeding remain common. In the U.S., too few hospitals participate in the global program to recognize best practices in supporting breastfeeding mothers and babies, known as the Baby-Friendly Hospital Initiative.

What can states do to improve breastfeeding rates?

Use the Breastfeeding Report Card to identify your state’s needs, develop solutions, and work together within your community to better protect, promote, and support breastfeeding statewide.

Percent of Children Who Are Breastfed at 6 Months of Age, Among Children Born in 2007 (Provisional)
Percent of Children Who Are Breastfed at 6 Months of Age, Among Children Born in 2007 (Provisional)
Source: National Immunization Survey, Centers for Disease Control and Prevention, Department of Health and Human Services

This data is also available in table form.

Breastfeeding Report Card Indicators – 2010

Each indicator is measured in every state, allowing easy state-by-state comparisons.

Outcome Indicators

Five indicators profile the extent to which infants in a state are breastfed.  These are derived from the breastfeeding goals outlined in Healthy People 2010, a description of the nation’s health priorities.

For more, see Breastfeeding Report Card, United States: Outcome Indicators.

Process Indicators

Elements of breastfeeding-friendly communities are measured in nine more indicators, measuring support from birth facilities, health professionals, state legislation, and public infrastructure (public facilities and services).

For more, see Breastfeeding Report Card, United States: Process Indicators.

Healthy People 2010 Targets
Objective 16-19 – Increase the proportion of mothers who breastfeed their babies:

  • In early postpartum to 75%
  • At 6 months to 50%
  • At 12 months to 25%
  • Exclusively through 3 months to 40%
  • Exclusively through 6 months to 17%

Birth Facility Support

  • State Maternity Practices in Infant Nutrition and Care (mPINC) score
  • Percent of live births occurring at facilities identified as part of the Baby-Friendly Hospital Initiative
  • Percentage of breastfed infants receiving formula before 2 days of age

Birth facility policies and practices significantly impact whether a woman chooses to start breastfeeding and how long she continues to breastfeed. Several specific policies and practices, in combination, determine how much overall support for breastfeeding a woman birthing in a given facility is likely to receive and how likely her baby is to receive formula in the first 2 days.

Two initiatives, one national and one global, provide informative measures of birth facility support. The mPINC Survey initiated by CDC, in collaboration with the Battelle Centers for Public Health Research and Evaluation in 2007, measures breastfeeding-related maternity care practices at intrapartum care facilities across the U.S. and compares the extent to which these practices vary by state. Thus, the state mPINC score represents the extent to which each state’s birth facilities provide maternity care that supports breastfeeding.

The Baby-Friendly Hospital Initiative (BFHI) is a global program sponsored by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) to encourage and recognize hospitals and birthing centers that offer an optimal level of care for lactation based on the WHO/UNICEF Ten Steps to Successful Breastfeeding for Hospitals.

To be designated as “Baby-Friendly,” facilities undergo external evaluation to demonstrate that the facility meets all of the Ten Steps requirements. All types and sizes of birth facilities can seek the Baby-Friendly designation. Some states have several small Baby-Friendly facilities, others have only one or two large ones, and still others have none at all. Because facilities vary in size and the number of births, measuring their impact on public health requires more than just counting the number of Baby-Friendly facilities per state. The best way to measure their impact is to look at the proportion of births in a given state occurring at facilities that have earned the Baby-Friendly distinction.

Professional Support

  • Number of International Board Certified Lactation Consultants (IBCLCs) per 1,000 live births

IBCLCs are health professionals who specialize in the clinical management of breastfeeding.  IBCLCs work in many health care settings, such as hospitals, birth centers, physicians’ offices, public health clinics, and their own offices. A strong statewide group of professional breastfeeding experts (IBCLCs) is needed to assist the mother-infant pair, create and administer lactation programs, and educate other health professionals about breastfeeding. Much of an IBCLC’s work is done one-on-one; therefore, only a rough estimate can be made of their availability to provide professional support within a state. The best measure is the ratio of IBCLCs to the number of live births.

Legislation

  • Laws protecting breastfeeding in public
  • Laws mandating support for breastfeeding mothers who return to work

Most states now have some form of legislation (laws) protecting the basic human right to breastfeed. Unfortunately, despite protective laws, mothers and babies who breastfeed in public still face obstacles and negative reactions.  Legislation reflects social acceptance of breastfeeding as a normal activity, concern for the health and well-being of children, and the importance of breastfeeding as a public health issue.

Laws mandating support for breastfeeding mothers who return to work encourage mothers to continue breastfeeding after returning to work by requiring a minimum level of breastfeeding support from the employer. Such laws support the economic goals of employers and employees as well as the well-being of mothers and children.

Infrastructure

  • Number of state health department full-time equivalents (FTEs) responsible for breastfeeding
  • Statewide breastfeeding coalitions with public Web sites

State health departments are the central state agencies responsible for the public health and welfare of women and children. Among their many responsibilities, employees in these agencies help ensure appropriate consideration of breastfeeding in public programs and services. FTEs dedicated to the protection, promotion, and support of breastfeeding are needed to develop, implement, monitor, and maintain breastfeeding interventions.

A statewide coalition dedicated to breastfeeding represents a basic level of community support for breastfeeding.  Though these coalitions differ in terms of what they do and how they do it, they share a commitment to empower community members to be local change agents. Coalition members make the case to their community for the importance of breastfeeding.

State coalitions with publicly available Web sites have an effective way to communicate. On their Web site, coalition members can share information with existing members and also recruit new members interested in breastfeeding issues. Coalition Web sites are also an excellent way to reach community members who want quality breastfeeding information and online support.

Support in Child Care Settings

  • Number of states with child care center regulations that support breastfeeding

In the U.S., nearly two thirds of infants are routinely cared for by someone other than a parent. About half of these infants attend child care centers; the other half spend time in a variety of home-based settings including licensed family child care homes or the home of a family member, friend, or neighbor. Thus, child care facilities – both family child care homes and child care centers – play an important role in promoting breastfeeding among mothers whose infants are cared for in these facilities. States that lack regulations that support breastfeeding at child care facilities are encouraged to meet best-practice national standards set by Caring for Our Children.

Data Sources

  1. Breastfeeding outcome indicators – Ever Breastfed, Breastfeeding at 6 months, Breastfeeding at 12 months, Exclusive breastfeeding at 3 months, Exclusive breastfeeding at 6 months
  2. Breastfeeding process indicators
    • Average mPINC Score
      Source: 2009 CDC Maternity Practices in Infant Nutrition and Care (mPINC) Survey.
    • Modes of support per live births by state
      Source: Total live birth information:  Hamilton BE, Martin JA, Ventura SJ. Births: Preliminary data for 2007. National vital statistics reports, Web release; vol 58 no 16. Hyattsville, MD: National Center for Health Statistics. Released April 6, 2010. Available at http://www.cdc.gov/nchs/data/nvsr/nvsr58/nvsr58_16.pdf Adobe PDF file [PDF-312k]
      Accessed 7/20/2010.

      • Percent of live births at facilities designated as Baby Friendly (BFHI)
        Source: Baby Friendly USA. Baby-Friendly Hospitals and Birth Centers as of July 2010. Available at http://www.babyfriendlyusa.org/eng/03.htmlExternal Web Site Icon

        • Hospital annual birth census information:  American Hospital Association Annual Survey Database for Fiscal Year 2007.
        • Birth center annual birth census information:  2009 CDC Maternity Practices in Infant Nutrition and Care (mPINC) Survey and personal communication.
      • Number of IBCLCs per 1,000 live birth
        Source: International Board of Lactation Consultant Examiners.  Facts and Figures about IBCLCs in the Americas and Israel. Available at http://www.americas.iblce.org/upload/Facts_Figures_AMS.pdf Adobe PDF file [PDF-93k]
        External Web Site Icon
        Accessed 7/10/2010.
      • Number of states with child care regulations that support breastfeeding
        Source: Benjamin SE, Taveras EM, Cradock AL, Walker EM, Slining MM, Gillman MW. State and regional variation in regulations related to feeding infants in child care. Pediatrics. 2009;124:e104-e111. (following publication, authors updated data to Feb 2009 for use in the Breastfeeding Report Card). Available at http://pediatrics.aappublications.org/cgi/content/abstract/124/1/e104
        External Web Site Icon
        Accessed 7/20/2010.
    • Number of state health dept FTEs dedicated to breastfeeding
      Source: Personal communication with State WIC Breastfeeding Coordinators and other state employees in each state
    • State legislation about breastfeeding
      • Breastfeeding in public places
      • Lactation and employment
        Sources: National Conference of State Legislatures: Breastfeeding Laws, updated March 2010. Available at http://www.ncsl.org/programs/health/breast50
        External Web Site Icon
        Accessed 7/21/2010.
    • State breastfeeding coalitions

Super video!

Wednesday, August 25th, 2010

I love this! For breastfeeding month (August), celebrities share the words they use to talk about their breasts: boobs, boobies, rack, the girls… It’s very well done, fun to watch, and inspiring!

Nursing moms in the GTA wanted for a book project

Tuesday, August 10th, 2010

Call for nursing moms in the Greater Toronto Area

Two photographers, neighbours of mine, have this great project for a book and are looking for nursing mothers to share their nursing story and have their portraits taken.  I thought I’d share this here, as you may be interested!

Are you a breastfeeding mother?
We are two breastfeeding mothers who want to create a contemporary children’s book featuring portraits of breastfeeding moms and their children. Would you like to have your portrait taken and tell your nursing story?

We are looking for nursing mothers who have a variety of breastfeeding experiences–mothers who are nursing infants, toddlers, (or both), mothers who nurse in public places, at work or in the comfort of your home, mothers from a variety of cultures, communities and language groups.

If you are in the Toronto area and would like to participate, please do get in touch with Martha and Kathryn:

info@solomonpalmateer.com

http://solomonpalmateer.com

What an amazing speech

Wednesday, July 14th, 2010

In this speech, Michelle Obama addresses the black community and the specific problems they face with regards to childhood obesity. Did you know that 40% of black babies are not breastfed at all, not even right after birth? The part about breastfeeding is not nearly as long as the one about exercise or access to food (I never knew that 23 million Americans do not have access to a grocery store… how can you cook proper food without that?), but it is there (I put it in bold letters). Enjoy!

THE WHITE HOUSE

Office of the First Lady
___________________________________________________________
For Immediate Release July 12, 2010

REMARKS BY THE FIRST LADY
TO THE NAACP NATIONAL CONVENTION

Kansas City convention Center
Kansas City, Missouri

11:38 A.M. CDT

MRS. OBAMA: Wow. Oh, my goodness. (Applause.) Thank you all. Thank you so, so much. Everyone, please, please, please take your seats.

Thank you so much. It is such a pleasure and it is an honor to be here today for the 101st NAACP Convention. Yes! (Applause.)

I want to start by thanking Chairman Roslyn Brock, beautiful woman, for that very kind introduction. (Applause.) And I mentioned to her, I said, her mother’s hot. She’s gorgeous. Good genes. (Laughter.)

I also want to thank both her and your President and CEO Ben Jealous for their inspired leadership of this organization. Give them a round of applause. (Applause.)

I want to thank a few other people as well who are here. I want to thank Governor Nixon and the First Lady, Georgeanne Nixon, who are here. (Applause.) I want to thank Senator McCaskill, who was here, who’s no longer here, but I wanted to say hello to her. Representatives Cleaver, Moore and Scott, who are here. (Applause.) And Mayor Funkhouser for all the outstanding work that all of you are doing for the people of this city and for this great state and for taking time to join us today. So let’s give them all a round of applause. (Applause.)

And finally, I want to thank all of you. I want to thank you for a few things. First of all, thank you for being here today and thank you for the outstanding work that you’ve done in making this a great American institution. And also, I have to thank you for your prayers, for your support. I cannot tell you how much that means to me and my girls and my mom, and then my husband as well. (Applause.) Thank you all so, so much. It really keeps us going, and I am just thrilled to be here.

One hundred and one years ago, the NAACP was established in pursuit of a simple goal, and that was to spur this nation to live up to the founding ideals, to secure those blessings of liberty, to fulfill that promise of equality.

And since then, the work of this organization has been guided by a simple belief: that while we might not fully live out that promise or those blessings for ourselves, if we worked hard enough, and fought long enough, and believed strongly enough, that we could secure them for our children and for our grandchildren, and give them opportunities that we never dreamed of for ourselves. (Applause.)

So, for more than a century, the men and women of the NAACP have marched and protested. You have lobbied Presidents and fought unjust laws. You’ve stood up and sat in and risked life and limb so that African Americans could take their rightful places not just at lunch counters and on buses, but at universities and on battlefields — (applause) — and in hospitals and boardrooms; in Congress, the Supreme Court; and, yes, even the White House. (Applause.) Think about it — even the White House.

So I know that I stand here today, and I know that my husband stands where he is today, because of this organization — (applause) — and because of the struggles and the sacrifices of all those who came before us.

But I also know that their legacy isn’t an entitlement to be taken for granted. And I know it is not simply a gift to be enjoyed. Instead, it is an obligation to be fulfilled.

And when so many of our children still attend crumbling schools, and a black child is still far more likely to go to prison than a white child, I think the founders of this organization would agree that our work is not yet done. (Applause.)

When African American communities are still hit harder than just about anywhere by this economic downturn, and so many families are just barely scraping by, I think the founders would tell us that now is not the time to rest on our laurels.

When stubborn inequalities still persist — in education and health, in income and wealth — I think those founders would urge us to increase our intensity, and to increase our discipline and our focus and keep fighting for a better future for our children and our grandchildren. (Applause.)

And that’s why I really wanted to come here today — because I wanted to talk with you about an issue that I believe cries out for our attention — one that is of particular concern to me, not just as First Lady, but as a mother who believes that we owe it to our kids to prepare them for the challenges that we know lie ahead. And that issue is the epidemic of childhood obesity in America today.

Now, right now in America, one in three children is overweight or obese, putting them at greater risk of obesity-related conditions like diabetes and cancer, heart disease, asthma.

And we’re already spending billions of dollars in this country a year to treat these conditions, and that number is only going to go up when these unhealthy children reach adulthood.

But it’s important to be clear that this issue isn’t about how our kids look. It’s not about that. It’s about how our kids feel. It’s about their health and the health of our nation and the health of our economy.

And there’s no doubt that this is a serious problem. It’s one that is affecting every community across this country. But just like with so many other challenges that we face as a nation, the African American community is being hit even harder by this issue. (Applause.)

We are living today in a time where we’re decades beyond slavery, we are decades beyond Jim Crow; when one of the greatest risks to our children’s future is their own health.

African American children are significantly more likely to be obese than are white children. Nearly half of African American children will develop diabetes at some point in their lives. People, that’s half of our children.

And if we don’t do something to reverse this trend right now, our kids won’t be in any shape to continue the work begun by the founders of this great organization. (Applause.) They won’t be in any condition to confront all those challenges that we know still remain.

So we need to take this issue seriously, as seriously as improving under-achieving schools, as seriously as eliminating youth violence or stopping the spread of HIV/AIDS or any of the other issues that we know are devastating our communities.

But in order to address this challenge, we also need to be honest with ourselves about how we got here, because we know that it wasn’t always like this for our kids and our communities.

The way we live today is very different from even when I was growing up. And I like to tell my kids I’m not that old. (Laughter.) They don’t agree. (Laughter.)

Many of you probably grew up like I did — in a community that wasn’t rich, not even middle class, but where people knew their neighbors, and they looked out for each other’s kids.

In these kind of strong African American communities, we went to neighborhood schools around the corner. So many of us had to walk to and from school every day, rain or shine. I know you’ve told that story. (Laughter.) And in Chicago, where I was raised, we did it in the dead of winter. (Laughter.) No shoes on our feet — it was hard, but we walked! (Applause.)

And in school, we had recess twice a day and gym class twice a week, like it or not. (Applause.) And then when we got home in the afternoon, after school or in the summer, there was no way we’d be allowed to lie around the house watching TV. (Applause.) First of all, there wasn’t that many channels. (Laughter.)

Our parents made us get up and play outside. Had to get up, get out, didn’t have to — just couldn’t be inside. And we would spend hours riding bikes, playing softball, freeze tag, jumping double-dutch. Kids nowadays don’t even know how to jump double-dutch! (Laughter and applause.)

We were constantly on the move, only stopping to eat or what? When the streetlights came on, right? (Applause.)

And eating was a totally different experience back then. In my house, we rarely ate out — rarely. Even when both parents worked outside of the home, most families in my neighborhood sat down at the table together as a family for a meal. (Applause.) And in my house, Marian Robinson’s house, we ate what we were served. (Laughter and applause.) My mother never cared whether me or my brother liked what was on our plates. (Laughter.) We either ate what was there or we didn’t eat. It was as simple as that. (Laughter.)

We never ate anything fancy, but the portion sizes were reasonable and there were rarely seconds — maybe for your father, but not for you. (Laughter.) And there was always a vegetable on the plate. (Applause.)

And many of our grandparents tended their own gardens or they relied on, as my father told me, “The Vegetable Man” who brought fresh produce. That was how people got by back then — they had fresh fruits and vegetables in their own backyards, and in jars in their cellar during the winter. And that wasn’t just being thrifty — that was healthy too, little did we know.

And unless it was Sunday, or somebody’s birthday, there was no expectation of dessert after our meals. And we didn’t dream of asking for soda or pop. That was for special occasions.

Now, if you were lucky, you might get a quarter or two to take to the corner store and get some penny candy. But you did not eat it all at once because you never knew when you’d see another piece of candy. (Laughter.) So you saved it in that little brown bag under your bed. (Laughter and applause.) That bag would be all worn out and sweaty. (Laughter.) You’d hold on to that bag, take out a half a piece of candy every other day. (Laughter.)

Back then, without any expert advice and without spending too much money, we managed to lead pretty healthy lives. But things are a little different today, and many kids these days aren’t so fortunate.

So many kids can’t attend neighborhood schools or don’t, so instead of walking to school, they ride in a car or they’re in a bus. And in too many schools, recess and gym class have been slashed because of budget cuts.
Fears about safety mean that those afternoons outside have been replaced by afternoons inside with TV, video games, the Internet.

In fact, studies have found that African American children spend an average of nearly six hours a day watching TV — and that every extra hour of TV they watch is associated with the consumption of an additional 167 calories.

For many folks, those nutritious family meals are a thing of the past, because a lot of people today are living in communities without a single grocery store, so they have to take two, three buses, a taxi, walk for miles just to buy a head of lettuce for a salad or to get some fresh fruit for their kids.

Most folks don’t grow their own food the way many of our parents and grandparents did. A lot of folks also just don’t have the time to cook at home on a regular basis. So instead, they wind up grabbing fast food or something from the corner store or the mini-mart — places that have few, if any, healthy options.

And we’ve seen how kids in our communities regularly stop by these stores on their way to school — buying themselves sodas and pop and chips for breakfast. And we’ve seen how they come right back to those same stores after school to buy their afternoon snack of candy and sugary drinks.

According to one study, on average, a trip to the corner store, a child will walk out of that store with more than 350 calories worth of food and beverage — this is on average. So if they’re going two and three times a day, that can really add up.

And taken together, all of these things have made for a perfect storm of bad habits and unhealthy choices — a lifestyle that’s dooming too many of our children to a lifetime of poor health and undermining our best efforts to build them a better future.

See, we can build our kids the best schools on earth, but if they don’t have the basic nutrition they need to concentrate, they’re still going to have a challenge learning. (Applause.) And we can create the best jobs in the world — we must — but that won’t mean that folks will have the energy and the stamina to actually do those jobs.

We can offer people the best health care money can buy, but if they’re still leading unhealthy lives, then we’ll still just be treating those diseases and conditions once they’ve developed rather than keeping people from getting sick in the first place. (Applause.)

See, and the thing is, is that none of us wants that kind of future for our kids or for our country.

And surely the men and women of the NAACP haven’t spent a century organizing and advocating and working day and night only to raise the first generation in history that might be on track to live shorter lives than their parents.

And that’s why I’ve made improving the quality of our children’s health one of my top priorities.

As many of you may know, my efforts began with the planting of a garden on the South Lawn of the White House. (Applause.) But it’s important to understand that this garden symbolizes so much more than just watching beautiful things grow. It’s become a way to spark a broader conversation about the health and well-being not just of our kids but of our communities.

And in an effort to elevate that conversation nationally, we launched “Let’s Move.” It’s a nationwide campaign to rally this country around a single, ambitious goal, and that is to solve childhood obesity in a generation so that children born today reach adulthood at a healthy weight.

And through this initiative, we are bringing together governors and mayors, businesses and community groups, educators, parents, athletes, health professionals, you name it, because it is going to take all of us, working together, to help our kids lead healthier lives right from the beginning.

“Let’s Move,” the campaign, has four components.

The first, we’re working to give parents the information they need to make healthy decisions for their families.

For example, we’re working with the FDA and the food industry to provide better labeling, something simple, so folks don’t have to spend hours squinting at labels, trying to figure out whether the food they’re buying is healthy or not.

Our new health care legislation requires chain restaurants to post the calories in the food they serve so that parents have the information they need to make healthy choices for their kids in restaurants. (Applause.)

And we’re working with doctors and pediatricians to ensure that they routinely screen our children for obesity. And I can personally attest to the value of these screenings based on my own personal experiences, because it wasn’t that long ago when the Obamas weren’t exactly eating as healthy as we should have been. And it was our daughters’ pediatrician who actually pulled us aside and suggested that I think about making some changes to our family’s diet. And it made a world of differences.

But we also know that giving better information to parents is not enough, because with 31 million American children participating in federal school meal programs, many of our kids are consuming as many as half their daily calories at school.

That’s why the second part of “Let’s Move” is to get healthier food into our schools. (Applause.)

And we’re working to reauthorize our child nutrition legislation that will make significant new investments to revamp our school meals and improve the food that we offer in those school vending machines, so that we’re serving our kids less sugar, salt and fat, and more vegetables, fruits and whole grains.

This is bipartisan legislation and it is critically important for the health and success of our children, and we are hoping that Congress will act swiftly to get this passed. (Applause.)

But we also know that healthy eating is only half the battle. Experts recommend at least 60 minutes a day of activity. That’s at least the bare minimum, and many of our kids aren’t even close.

So the third part of “Let’s Move” is to help our kids get moving, to find new ways for them to get and stay active and fit. And we’re working to get more kids participating in daily physical education classes and to get more schools offering recess for their students.

We’ve set a goal of increasing the number of kids who walk or ride their bikes to school by 50 percent in the next five years.

And we’ve recruited professional athletes — they’ve been fantastic — from different sports leagues to inspire our kids to get up off that couch and to get moving.

But we know that even if we offer the most nutritious school meals, and we give kids every opportunity to be fit, and we give parents the information they need to prepare healthy food for their families, all that won’t mean much if our families still live in communities where that healthy food simply isn’t available in the first place.

And that brings me to the fourth and final component of the campaign, and that is to ensure that all families have access to fresh, affordable food in their communities where they live. (Applause.)

And one of the most shocking statistics for me in all of this is that right now, 23.5 million Americans, including 6.5 million children, live in what we call “food deserts” — areas without a single supermarket.
This is particularly serious in African American communities where folks wind up buying their groceries at places like gas stations and bodegas and corner stores where they often pay higher prices for lower-quality food. (Applause.)

But the good news is that we know that this trend is reversible, because when healthier options are available in our community, we know that folks will actually take advantage of those options.

One study found that African Americans ate 32 percent more fruits and vegetables for each additional supermarket in their community. So we know the kind of difference that we can make with some changes. We know that when we provide the right incentives — things like grants and tax credits, and help securing permits and zoning — businesses are willing to invest and lay down roots in our communities.

And many grocers are finding that when they set up shop in high-need areas, they can actually make a decent profit. They’re learning that they can do well by doing good.

So as part of “Let’s Move,” we’ve proposed a Healthy Food Financing Initiative — a $400 million a year fund that we’ll use to attract hundreds of millions of more dollars from the private and non-profit sectors to bring grocery stores and other healthy food retailers to underserved areas across the country.

And our goal is ambitious — we want to eliminate food deserts in this country within seven years, and create jobs and revitalize neighborhoods along the way. (Applause.)

So, I know these goals are ambitious, and there are many, many more. And as First Lady, I am going to do everything that I can to ensure that we meet them.

But I also know that at the end of the day, government can only do so much.

I have spoken to so many experts about this issue, and not a single one of them said that the solution is to have government tell people what to do. It’s not going to work. Instead, this is about families taking responsibility and making manageable changes that fit with their budgets and their needs and their tastes. That’s the only way it’s going to work.

It’s about making those little changes that can really add up — simple things like taking the stairs instead of the elevator, walking instead of riding in a car or bus, even something as simple as turning on the radio and dancing with your children in the middle of your living room for hours. That will work up a sweat. (Applause.)

How about replacing all of that soda and those sugary drinks with water? (Applause.) Kids won’t like it at first, trust me. But they’ll grow to like it. Or deciding that they don’t get dessert with every meal. As I tell my kids, dessert is not a right. (Laughter.) Or they don’t get it every day.

Or just being more thoughtful about how we prepare our food — baking instead of frying. I know. (Laughter.) Don’t shoot me. (Applause.) And cutting back on those portion sizes.

Look, no one wants to give up Sunday meal. No one wants to say goodbye to mac and cheese and fried chicken and mashed potatoes — oh, I’m getting hungry — (laughter) — forever. No one wants to do that. Not even the Obamas, trust me.

But chefs across the country are showing us that with a few simple changes and substitutions, we can find healthy, creative solutions that work for our families and our communities.

And that’s why I am excited about our new “Let’s Cook” video series, which we’re launching on our “Let’s Move” website at letsmove.gov.

This is a great series featuring Sam Kass, who a lot of people think is cute — I don’t know if that helps. (Laughter.) But this series features some of the country’s top chefs, who will be demonstrating how folks can prepare simple, affordable, nutritious meals for their families.

The first guest chef is a guy by the names of Marvin Woods, who’s known for his cuisine based in North Africa, the Caribbean, South America, the Low Country. He’s demonstrating how to prepare a week of healthy and tasty dinners for a family of four on a tight budget. And he provides recipes, shopping lists, so that folks can do it all themselves at home.

And finally, it’s one thing we can think about, is working to make sure that our kids get a healthy start from the beginning, by promoting breastfeeding in our communities. (Applause.) One thing we do know is that babies that are breastfed are less likely to be obese as children, but 40 percent of African American babies are never breastfed at all, not even during the first weeks of their lives.

And we know this isn’t possible or practical for some moms, but we’ve got a WIC program that’s providing new support to low-income moms who want to try so that they get the support they need.

And under the new health care legislation, businesses will now have to accommodate mothers who want to continue breastfeeding once they get back to work. (Applause.) Now, the men, you may not understand how important that is. (Laughter.) But trust me, it’s important to have a place to go.

But let’s be clear, this isn’t just about changing what our kids are eating and the lifestyles they’re leading — it’s also about changing our own habits as well. Because believe it or not, if you’re obese, there’s a 40 percent chance that your kids will be obese as well. And if you both you and the child’s other parent are obese, that number jumps to 80 percent.

And this is more than just genetics at work. The fact is, we all know we are our children’s first and best teachers and role models. We teach them healthy habits not just by what we say but by how we live. Shoot, I can’t tell Malia and Sasha to eat their vegetables if I’m sitting around eating French fries — trust me, they will not let that happen. And I can’t tell them to go run around outside if I’m spending all my free time on the couch watching TV.

And this isn’t just about the example that we set as individuals and as families, but about the lifestyle we’re promoting in our communities as well.

It’s about the example we set in our schools. It’s about schools like the Kelly Edwards Elementary School in Williston, South Carolina. It’s a Bronze Award winner in our USDA Healthier U.S. School Challenge. This is a school where students have planted their own garden so that they can taste all kinds of fresh vegetables, they can stay active because they’ve got their own dance team.

And it’s about establishing strong community partnerships that involve folks from every sector and every background.

There’s a Fresh Food Financing Initiative in Pennsylvania — it’s a great example. This initiative is a collaboration between business, non-profit and government that’s funded more than 80 supermarket projects, bringing nutritious food to hundreds of thousands of people in underserved communities.

These are just a couple of the thousands of programs and projects that are making a difference in communities across the country already.

So if there’s anybody here, after all this talking I’ve done, who feels a little overwhelmed by this challenge — because it can be overwhelming — if there is anyone here who might even already be losing hope thinking about how hard it will be to get going, or giving up, I just want you to take a look around at all the things that are already being accomplished, because I want folks to learn from each other and to be inspired by each other, because that’s what we’ve always done.

That is exactly what happened here in this city half a century ago. See, because back in 1958, folks right here in Kansas City saw what folks down in Montgomery had achieved with their bus boycott. So they were inspired by all those men and women who walked miles — walked miles home each day on aching feet because they knew there was a principle at stake.

So folks here organized their own boycott of department stores that refused to serve African Americans. (Applause.) Handbills publicizing their meetings stated, and this is a quote: “They stopped riding in Montgomery, so let’s stop buying in Kansas City.” (Applause.)

A local music teacher even composed a song that became the anthem for their efforts. It was entitled “Let’s take the walk that counts.”

And then, as you know, a few years later, in April of 1964, folks turned out in droves to pass a public accommodations law mandating that all residents, regardless of their skin color, be served in restaurants, hotels and other public places. Even folks who were too sick to walk showed up to vote. (Applause.)

One organizer recalled that they used wheelchairs to get people to the polls and even brought one man in on a stretcher. So think about that — being carried to the ballot box on a stretcher. (Applause.) Those folks didn’t do all that just for themselves. They did it because they wanted something better for their children and for their grandchildren. That’s why they did it.

And in the end, that’s what has driven this organization since its founding.

It is why Daisy Bates endured hate mail and death threats to guide those nine young men and women who would walk through those schoolhouse doors in Little Rock.

It is why Thurgood Marshall fought so hard to ensure that children like Linda Brown, and children like my daughters and your sons and daughters, would never again know the cruel inequality of separate but equal.

It is why so many men and women — legends and icons and ordinary folks — have faced down their doubts, their cynicism and their fears, and they’ve taken that walk that counts.

So we owe it to all those who’ve come before us to ensure that all those who come after us — our children and our grandchildren — that they have the strength and the energy and the enduring good health that they need to continue and complete that journey. (Applause.)

So I’m asking you, NAACP, will you move with me? (Applause.) Let’s move! I’m going to need you, NAACP. (Applause.) This is not an endeavor that I can do by myself. We cannot change the health of our community alone. I’m going to need each and every single one of you to work together for this campaign for our children’s future. If we do this together, we can change the way our children think about their health forever.

So I want to thank you all in advance, again, for your prayers and your thoughts and your support. The struggle continues.

Thank you all. God bless you, God bless this organization, and God bless America. Thank you all so much. (Applause.)

END 12:13 P.M. CDT

michelle-obama

What would you do if you (or someone you know) were asked to leave a public place because you are breastfeeding?

Monday, July 12th, 2010

This is the question INFACT Canada asks on their website and I believe it is a good one to pounder before it happens (and hopefully it won’t!). Knowing your rights will empower you to act if you or someone you know is asked to leave a public place because of breastfeeding.

So, what would you do if you (or someone you know) were asked to leave a public place because you are breastfeeding? Here are the answers provided by INFACT Canada

What are your rights? At INFACT Canada we receive calls every month from women who find themselves in this situation. A public place can be defined as anywhere you go that does not require a personal invitation. If this happens to you there are several possible courses of action. You can:

  • Stand your ground and refuse to leave. Calmly but confidently state your right to feed your infant without discrimination. Unfortunately many new mothers feel intimidated in such situations, and it is often after they have had time to think about what has happened that they wish to respond in some way
  • Lodge a formal complaint with your provincial Human Rights Commission
  • Write to your local community newspapers about the incident
  • Let your local councilor, school trustee, MP and MPP know. Choose the government official connected with the actual place where the incident occurred, for example if you are asked to leave a school setting it would be best to go to the local school trustee with your complaint. If you are unsure start with local councilors and MPPs
  • Contact your local public health unit. They can provide you with suggestions on how to proceed and can probably put you in touch with local breastfeeding networks or coalitions
  • Let INFACT Canada know info@infactcanada.ca. Phone: 416-595-9819
  • Boycott the place where the incident occurred and encourage friends and family to do the same. It is a good idea to let the facility know what you are doing and why

So far, every mother that has lodge a formal complaint has won her case (the cases get publicity and raise the public’s awareness of mothers’ rights, which is really good!).

As the organization says, “one of the obstacles to breastfeeding continues to be concern over whether or not it is acceptable to do so in public. Some women fear offending others if they breastfeed in public places”. My two cents: wearing a nursing top may make you feel a lot more confident when nursing in public. The fear of offending others disappears when you wear one, that’s for sure! If more women felt confident enough to nurse in public, I am convinced that it would have a positive impact on the population in general and that would be less discrimination against nursing mothers. Get out there and nurse in public, ladies! Wear a nursing top to calm your fear (founded or not) of offending others or to feel pretty. Stand your ground, ’cause breastfeeding is a beautiful thing.

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