La Leche League GB Profile picture
Nov 24 22 tweets 15 min read
For the first session today @DrKarleenG is speaking about Effective communication: the importance of sexed language. 2022 paper Effective Communication About Pregnancy, Birth, Lactation, Breastfeeding and Newborn Care frontiersin.org/articles/10.33… #bfconf Screenshot of the title screen of Karleen Gribble's presenta
.@DrKarleenG has done work in child protection cases, and cases of adoption, foster care, asylum seekers where language has been used to marginalise mothers. Through her work on lactation for adoptive mothers she has also worked with surrogate mothers #bfconf
@DrKarleenG .@DrKarleenG "when the rights of the mother are undermined, so are the rights of the child" #bfconf
.@DrKarleenG during the covid19 pandemic mothers and babies were separated on a scale never seen before. Paper published early on nutrition.bmj.com/content/early/…. Babies much less likely to be exclusively breastfed when separated #bfconf
.@DrKarleenG what is the cost of that separation? #NigelRollins who spoke yesterday published thelancet.com/journals/langl… estimating 188-273k infant deaths due to lack of breastfeeding from separation for covid19, nearly 100x deaths than from covid #bfconf
@DrKarleenG .@DrKarleenG Established sexed meanings: Woman = female person, Mother = female parent. New gendered meanings: Woman = person with a gender identity of woman, Mother = parent with a gender identity of woman #bfconf
.@DrKarleenG: principles of communication about sex: Sex should be made visible when relevant. When not relevant (ex don't have to be male to work in construction), gendered language should be avoided. This is to avoid sex stereotyping & ensure sex-based needs are not overlooked
@DrKarleenG .@DrKarleenG When we replaced breastfeeding with lactation the focus as bf as relational & requiring accomodation for maternal-infant proximity is lost. Society might only support mothers to express, not keep babies & mothers together #bfconf
@DrKarleenG .@DrKarleenG other issues: people are included who should be excluded (ex. fathers, other family members are not breastfeeding) & facilitates errors, imprecision and confusion (ex. too many people captured in less precise definitions) #bfconf
@DrKarleenG .@DrKarleenG: it's important to give inclusivity statements ex those of @scotgov's Woman's Health Plan & @NICEComms guidelines for Postnatal Care #bfconf
.@DrKarleenG Desexed language holds same pattern as language used to marginilise "unworthy" mothers: by removing mother altogether, by inserting a qualifying term, by referring to body parts or processes #bfconf
.@DrKarleenG Women's breastfeeding rights can be obscured. Women and children have breastfeeding rights, need support. By using the word families we may be overlooking the fact that families often hinder breastfeeding #bfconf
@DrKarleenG .@DrKarleenG Conclusions: different approaches to describing women & mothers may be applicable in different contexts & for different purposes. Clarity in terminology, clear communication & avoiding confusion of terms is important. When sex is meant refer to sex...
@DrKarleenG .@DrKarleenG conclusions cont. When gendered expectation of the sexes is meant, use gender and define it clearly. When gender identity is mean, ensure it is distinguished from both gendered expectations of the sexes and sex itself #bfconf
.@DrKarleenG the paper from the start frontiersin.org/articles/10.33… is full of examples. Know why you are using the language you are using. How can you be clear? How can you avoid dehumanising language? #bfconf
@DrKarleenG .@DrKarleenG How can you include the people who should be included and exclude the ones who should be excluded? How can you ensure that people understand what is being meant & can see themselves? When should compromises be made & how can you mitigate against downsides? #bfconf
@DrKarleenG .@DrKarleenG
is available to chat on Twitter & email. "We can only find solutions if we have conversations" #bfconf
LLLGB live tweeted @DrKarleenG's session in the same way as we did for other #bfconf sessions This is not an endorsement of the content of this session We use inclusive language & support all mothers & parents however they identify We are sorry that our tweets have caused offence
@DrKarleenG This is our Equity and Representation Policy laleche.org.uk/equity-and-rep…
@DrKarleenG This is the @lalecheleague international policy around language llli.org/about/policies…
LLLGB live tweeted @DrKarleenG's session in the same way as we did for other #bfconf sessions This is not an endorsement of the content of this session We use inclusive language & support all mothers & parents however they identify We are sorry that our tweets have caused offence

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More from @LLLGB

Nov 24
.@sallygm1 is speaking now about Breastfeeding and #ClimateChange – Yorkshire and Humber @nifn Special Interest Group, which is a group of Infant Feeding Leads who are passionate about bf and about learning more and sharing the positive impact bf has on the environment #bfconf Screenshot of the title sli...
.@sallygm1 the group wants to raise awareness, empower and inform the public and local & national leaders how breastfeeding positively impacts climate change. It also helps with the issue of #FoodSecurity #bfconf
@sallygm1 .@sallygm1 children around the world and here in the UK are affected by extreme weather events & food insecurity. The pandemic has affected provision of breastfeeding support and forced us all to adapt #bfconf
Read 10 tweets
Nov 24
.@MeghanAzad from @umanitoba & @CHILDSTUDY is speaking now about Breastfeeding and its association with lower blood pressure in the child #bfconf Screenshot of the title sli...
@MeghanAzad @umanitoba @CHILDSTUDY .@MeghanAzad quote from Cesar Victoria et al. from the 2016 @TheLancet Breastfeeding Series "Human breastmilk is not only a perfectly adapted nutritional supply for the infant, but probably the most specific personalised medicine that he or she is likely to receive...." #bfconf
@MeghanAzad @umanitoba @CHILDSTUDY @TheLancet "... given at a time when gene expression is being fine tuned for life." #bfconf
Read 13 tweets
Nov 24
#HelenBall from @durham_uni & @BasisOnline1 is speaking now to give us an Update on sleep messaging: Sleep Baby and You. Newest guidance launched in 2019 in England & 2022 in Scotland has switched to a more nuanced approach, consisttent w @NICEComms guidance #SIDS #SUDI #bfconf
@durham_uni @BasisOnline1 @NICEComms #HelenBall: guidance aims to be responsive to parents' concerns and help them understand the REASONS for the guidance, and prioritise avoidance of the most hazaradous sleep practices #bfconf Screenshot from Helen Ball's presentation outlining the aims
@durham_uni @BasisOnline1 @NICEComms #HelenBall Leaflet for England can be found on the @LullabyTrust website lullabytrust.org.uk/wp-content/upl… and the leaflet for Scotland can be found on the @scotgov website gov.scot/publications/s… #bfconf
Read 14 tweets
Nov 24
.@sheena_byrom midwife and director of @all4maternity is speaking now about Compassionate care: Compassionate leadership #bfconf screenshot of Sheena Byrom's title slide from her presentati
@sheena_byrom @all4maternity .@sheena_byrom mentioned the @TheLancet series Beyond too little, too late and too much, too soon: a pathway towards evidence-based, respectful maternity care worldwide thelancet.com/journals/lance…
@sheena_byrom @all4maternity @TheLancet .@sheena_byrom Gamble et al. 2002 found around 30% of women find some aspect of their birth traumatic ncbi.nlm.nih.gov/books/NBK68962/ she suspects that number is higher #bconf
Read 12 tweets
Nov 24
#SarahJaneArchibald @JacintaCordwell are speaking now about Neonatal access restrictions during the pandemic: Implications for infant, parental and staff wellbeing. They will cover the neonatal context, covid restrictions & what has been learned #bfconf Screenshot of title screen of Sarah-Jane Archibald and Jacin
.@JacintaCordwell: over 90000 neonatal admissions per year (about 1 in 7 babie born), 47% are born at 37+ weeks but may be admitted for maternal health reasons, need for surgery, jaundice, HIE etc. #bfconf
.@JacintaCordwell the challenges for babies, parents & staff are many. Babies are seprated, have mutiple caregivers. Levels of trauma, anxiety & depression are much higher for these families. Staff have less time & capacity to provide psychological support than they would like Screenshot of Jacinta Cordwell & Sarah-Jane Archibald listin
Read 16 tweets
Nov 23
.@UptySciChick is speaking now to answer the question "Is it ever too late for baby’s brain development?" short answer: No!

Early toxic stress can cause lifelong problems with physical & mental health. People can overcome this. There is hope #bfconf screenshot of the title slide of Kathleen Kendall-Tackett's
@UptySciChick .@UptySciChick: babies' brain development can be affected in utero by mother's mental health (cortisol & inflammatio, increased risk of preterm birth), exposure to substances #bfconf
@UptySciChick .@UptySciChick: babies have an innate drive to develop, postpartum they don't need products, they need the basics: safe & adequate feeding, shelter, responsive care #bfconf
Read 16 tweets

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