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The Womanly Art of Breastfeeding (La Leche League International Book) (Englisch) Taschenbuch – 13. Juli 2010

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  • The Womanly Art of Breastfeeding (La Leche League International Book)
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Leseprobe. Abdruck erfolgt mit freundlicher Genehmigung der Rechteinhaber. Alle Rechte vorbehalten.

Chapter One

Nesting


"When I was two, my mother came home from the hospital cradling two mysterious bundles wrapped in soft blue blankets. One was my new baby brother. She handed me the other. Underneath the folds of that soft blanket was a beautiful doll, which my mother explained would be my special baby. My father followed her with a red wooden rocking chair that he placed near my mother's rocking chair. I vividly recall watching my mother breastfeed my brother, and I followed her every move to be sure that I was feeding my own baby properly, even though my breasts looked nothing like hers. My mother and baby brother gazed at each other adoringly during the feeding. I looked down at my own doll, whose eyes closed when she lay on her back. I wanted that lifeless doll to be real. I told myself, "I can't WAIT to grow up so I can feed my own baby!"

"Twenty--five years later I gave birth to my first child. The day I came home, I sat in our wooden rocking chair, and as I held my son close and nursed him, he opened his eyes to gaze at me. At once, an overpowering recollection of that early childhood memory returned, and tears began to flow as I realized, "THIS is what I have waited my whole life to do!" --Cathy, remembering 1981

WELCOME TO OUR "La Leche League meeting in a book"! At a real meeting, you'd see a mix of pregnant women, mothers with new babies, and moms with older babies or children. You'd hear questions from women at different stages of motherhood. Some of it would sound right to you, some of it would answer questions you didn't know you had, and some of it you'd shrug and leave behind. We hope you'll do the same with this book.

The cornerstone of La Leche League (LLL) meetings is addressing questions. While a book can never match sitting around with other mothers, we can address some of the typical questions at different stages, and tell you what mothers often share from their experience, along with the research behind it all.

This first chapter of our "meeting in a book" begins with the questions pregnant mothers often have about breastfeeding. Even if you've already had your baby, the answers to these questions should make you feel good about what you're doing and tell you more about why breastfeeding is such a great thing to do.

"The newborn baby has only three demands. They are warmth in the arms of [his] mother, food from her breasts, and security in the knowledge of her presence. Breastfeeding satisfies all three."

--Grantly Dick--Read, MD, from Childbirth Without Fear, 1955

Is Breastfeeding Right for Me?

The closer you are to meeting your new baby, the more you're probably thinking about what comes after birth. You're "nesting"--gathering the things your baby will need and making a place for him in your home. Those outfits are so cute! That changing table is precious! But while you're out shopping, your body is quietly preparing the real "nest" your baby will need--your breasts. They'll be all he really needs at first--his go--to place for warmth, security, comfort, love, and, yes, food. As cute as the outfits and decor are, what your baby will care most about is the way you and your body protect and nurture him.

Breastfeeding is far more than just a way to feed your baby. It's the way you're naturally designed to begin your mothering experience. So why doesn't it always come naturally? Some of your friends may have told you all about their tough experiences. Maybe your mother couldn't breastfeed and you wonder if you'll have trouble, too. The great news is that we've learned a lot since your mother tried. We've learned more about understanding and respecting the instincts that you and your baby both have. We've learned that the fewer interventions you have during birth, the easier these instincts will be to tap into. And La Leche League is always here to help you work through any issues that come up.

Maybe you want to breastfeed because you know it's best; science keeps finding new ways breastfeeding helps babies reach their potential and protect their mothers' health. Maybe you want to because it just feels right; every mother finds for herself all the little ways that breastfeeding brings her close to her children. Whether the urge comes from your head or your heart, breastfeeding is right for you. And it's definitely right for your baby.

How Important Is Breastfeeding, Really?

Extremely! There is almost nothing you can do for your child in his whole life that will affect him both emotionally and physically as profoundly as breastfeeding.

Breastfeeding is also important to our own bodies. We can't think of an aspect of your baby's health that isn't affected by breastfeeding, and it affects a surprising number of your own health issues as well. This would be a much longer book if we described all the ways that breastfeeding is valuable for you, your baby, and your family, but here are a few highlights.

Your Milk Is Your Baby's Normal Food

There's no formula that comes even close to the milk your body creates. Your milk has every vitamin, mineral, and other nutritional element that your baby's body needs, including many that haven't been discovered or named yet, and it changes subtly through the meal, day, and year, to match subtle changes in his requirements. Living cells that are unique to your milk inhibit the growth of harmful bacteria and viruses in his still--maturing system. And it's more than just living cells. For instance, interferon and interleukins are powerful anti--infectives. If you could buy them, they'd cost the moon. Your milk throws them in, free of charge. A squirt of your milk can even treat eye infections and speed the healing of skin problems!

Without his normal food, a baby is at higher risk of ear infections, intestinal upsets, and respiratory problems. Allergies and dental problems are more common. Vision, nerves, and intestines don't develop fully. Because of all these differences (and many others not listed here), a formula--fed baby has a different metabolism and a different development, and gains weight differently during his first year. His kidneys and liver work harder to process the waste products from formula. He needs more of any medication to get the same effect. His immune system's response to vaccinations is less effective. The risk of SIDS (sudden infant death syndrome or crib death) and infant death from many other causes is higher if a baby isn't breastfed.

As an older child or adult, he is at a greater risk of Crohn's disease, ulcerative colitis, type 1 diabetes, heart disease, and certain cancers. He responds to stress more negatively and has higher blood pressure, both as an infant and in later life. There's a higher risk of obesity, type 2 diabetes, heart disease, and osteoporosis in later years. There are numerous IQ studies showing deficits in children who didn't breastfeed, or who didn't breastfeed for long.

Colostrum, the milk you produce in small amounts in the first couple of days after your baby is born (and which you started producing during your pregnancy), has concentrated immunological properties that are your baby's first protection against all the germs he is suddenly exposed to. This "first milk" contains high concentrations of secretory immunoglobulin A, or SIgA, an anti--infective agent that coats his intestines to protect against the passage of germs and foreign proteins that could create allergic sensitivities. Scientists have also recently discovered a new ingredient in human milk called pancreatic secretory trypsin inhibitor (PSTI), which protects and repairs the infant intestine. It's present in all human milk, but it's seven times higher in colostrum, providing extra protection to that delicate and vulnerable newborn intestine. Think of colostrum as a complex paint designed to seal those brand--new intestinal walls...

Über den Autor und weitere Mitwirkende

Since 1955, when La Leche League started in the Chicago suburbs with seven women intent on spreading information about the benefits of breastfeeding, it has grown into the leading breastfeeding advocacy organization in the world. La Leche League International regularly holds seminars and workshops for health-care professionals and parents, and publishes more than twenty books on child care.


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Format: Taschenbuch Verifizierter Kauf
I really love this book. It is such a vast amount of topics that it covers. Already long before I was ever pregnant I got in touch with La Leche League, and had meetings with their leaders in different countries and continents. When I finally fell pregnant with my son this book felt like my bible, something I innately feel and know, and yet from which I can learn so much more. After the birth of my son it was my rescue. I had huge problems with breastfeeding in the beginning, since I hadn't got enough milk. With the help of this book we found our way back to peace, to accept all ways that help the baby be fed. We managed within 3 weeks to get to fully breastfeed, and solved within the next 3 years so much more difficulties. I think it is one of those books I would always take with me. Yes, especially onto a lonley island.
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Gerade als Erstgebärdende kann das Stillen am Anfang mit Verunsicherung, Schmerzen, Ängsten verbunden sein. Dieses Buch gibt viele wertvolle Tipps und Hilfeleistung, wenn man Beschwerden hat. Ausserdem viel Bestärkung, wenn man verunsichert wird durch kritische Bemerkungen anderer...
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Die hilfreichsten Kundenrezensionen auf Amazon.com (beta)

Amazon.com: 4.5 von 5 Sternen 804 Rezensionen
309 von 347 Kunden fanden die folgende Rezension hilfreich
3.0 von 5 Sternen Far too judgmental. 20. Januar 2012
Von Stephanie R. Roberts - Veröffentlicht auf Amazon.com
Format: Taschenbuch Verifizierter Kauf
This book is well-intentioned, and it does contain some very good information about breastfeeding. But the tone is extremely judgmental about women who choose ANYTHING other than a completely natural childbirth, exclusive breastfeeding, cosleeping, etc. The message is this: You'd better love it. It's a blissful experience. If it's not, you're doing something wrong - and your baby will suffer for it. Not every mom is lucky enough to have that experience, and for those mothers, this book imparts huge amounts of fear and guilt.

My labor had to be induced three weeks early due to a pregnancy-related liver condition that put my baby at risk. So there's strike one - labor inducing drugs. I ended up getting an epidural (the only part of the experience that I could have avoided if I'd been strong enough to take the pitocin-induced contractions without it.). Strike two - more drugs. My baby had to be delivered by forceps and was not placed on my chest immediately after birth, but was taken to the incubator to be evaluated. Strike three - we missed that initial bonding. He nursed a bit before we left the delivery room, but later had breathing trouble and had to remain in the NICU. While he was there, he got some of my colostrum and milk but was supplemented with formula. Strike four. If I took this book to heart (which I did), my bond with my brand new son would always be inferior.

Even once we got home, we struggled with breastfeeding for the first few months. He was never given formula again, but I felt horrible that I wasn't blissfully enjoying the experience, that it wasn't super easy for him, and that at times I wanted to give up. I had an oversupply and an overactive letdown that made it stressful for both of us, despite measures to correct it, and I know I was lucky that that was our biggest problem! Perhaps if I hadn't been sleep deprived and full of postpartum hormones, I wouldn't have taken so much of the book to heart. But that is going to be the case for the majority of the audience this book is targeting.

My son is now six months old and exclusively breastfed. It's much easier now than it was at the beginning. I pump for him at work and he hasn't had a drop of formula since we left the hospital. He and I have bonded perfectly and I adore him more than I dreamed possible. He's perfectly healthy and at the top of the growth charts. Yet I still cannot think of this book without feeling the guilt.

I'm giving it three stars because it does have very helpful information, and it is backed up by research. I would, however, encourage moms to get the full story on the research if you can. It is very easy to manipulate statistics to support an opinion. I'm not saying the authors did this, just that there is often more to the story than a simple "more likely." A 5/100,000 chance vs. a 1/100,000 chance of complications is "more likely", but the overall risk is still negligible. Again, I'm not saying the authors are being untruthful, just that it helps to have the complete picture when making a decision.

Please, if you read it, realize that many, many people's labor and delivery, and postpartum experience, does not follow their textbook. And that is OK. Your relationship with your baby will be fine. If you can't breastfeed for some reason, your child is not doomed to a life of poor health and low IQ. And despite what the authors of the book would have you believe, there really ARE women who can't breastfeed, many for reasons that consultations with a lactation consultant wouldn't change.

The most crucial thing is the unconditional love and affection that you give your baby. If they are held and loved and know they are secure in the arms of their parents, then you are doing your job.
208 von 233 Kunden fanden die folgende Rezension hilfreich
4.0 von 5 Sternen Great information provided, but pretty judgemental 13. Dezember 2010
Von MamaDurk - Veröffentlicht auf Amazon.com
Format: Taschenbuch Verifizierter Kauf
I'm not bf'ing yet, but as an expectant mother I wanted to get some info before trying to deal with it once the baby's here. The book has made me feel very confident. It has all the info you need.

However, even though there are chapters about pumping for going back to work, the authors really push their agenda that you're not doing your baby any favors if you don't stay home with him. One section had me in tears (and I do blame the hormones, not the book) saying that "if you plan on going back to work, it's ok because you might change your mind once you get there." I felt like in many different sections they go on and on about how it's so hard to leave your baby and the baby will have so much stress if you take it to a baby sitter or day care.

I would love to find a good breast feeding book that gives all the info found in this one without sentimental judgements. I am going back to work, and I think today it should actually be expected that most working mothers will return. This is the best I've found towards making it seem like it's going to be ok, that I will be able to do this, but I really with they would have left their personal opinions on how bad it is to leave your child to go to work out of it.

Edited to add: I'm now going strong at exclusive breastfeeding to a 20 week old, 18 lb baby boy. And that includes pumping 3 times a day for the past 9 weeks that I've been back to work. Although I do attribute this book towards helping with that, talking to other bf'ing moms on websites like The Bump and [...] is key! Also, and although I get flack for this from my ff'ing friends, the best advice I got was that if I was 100% dedicated to bf'ing, don't look at formula as an acceptable option. I never even kept any in my house. BF'ing was so, so hard the first 4 weeks (then again at weeks 7-8 when he had a cold and couldn't latch, so I was cracked and bleeding) but I was 100% dedicated to doing this, and stuck with it. If you are ok with going to formula if it doesn't work out for you, it might be harder to stick with it if it gets painful and it seems like they nurse for HOURS at a time! Good luck to all the mommies who are going to give it a try. It's amazing when you finally get it all figured out!!

Updated 5.4.14
My second son was born in August of 2012, and although I ended up breast feeding my first for 15 months, I was unable to bf my second. He was born at 24 weeks, and never learned a sufficient suck/swallow pattern. He is tube fed, and I exclusively pumped for 20 months to be able to provide him with breastmilk. For some, pumping is the only option, so I fully stand by my first review of the book.
14 von 14 Kunden fanden die folgende Rezension hilfreich
1.0 von 5 Sternen Opinion Piece disguised as a reference book 22. Dezember 2015
Von Erin P - Veröffentlicht auf Amazon.com
Format: Taschenbuch Verifizierter Kauf
I am on my second baby and I have finally made up my mind about this book: there are much better breastfeeding books out there. The problem is that most of the book is really spent trying to make you believe that natural birth and breastfeeding is best instead of giving you usable information about breastfeeding. To be fair, there are reasons, supported by good research, that the book should touch on natural birth and its relation to breastfeeding. While I actually agree that natural birth and breastfeeding are best (I did both), I don't appreciate how this book handles these issues. The first half of the book is spent freaking you out about the dangers of not having a natural birth and how evil hospitals are. After the actual chapters dedicated to these topics, the author constantly feels the need to remind you (and shame you) in unrelated sections. The second half of the book switches to the demonization of formula and follows the same pattern of constant shaming. The main problem is that among all the shaming, the book has no room for helpful information. For example, the chapter on weaning does not explain how to wean. Instead, it just tries to convince you to breastfeed until your kid is 5. In the returning to work section, they suggest you quit your job rather than provide real advice about what to do if your milk dwindles due to pumping. In the section about what to do with a baby who wants to nurse all night, they suggest nursing all night...even if you have to work during the day and have other kids to take care of! I began to find the book completely anti-feminist and adding to the constant mom shaming in our society. At best, the book is in need of updating due to additional new reasearch about formula and breastfeeding, as well as natural birth. The truth is that formula is not the poison that this book makes it out to be, nor will a medicated birth harm your child. I believe that women should be given the true facts so they can make a fully informed decision, not one based on misleading information. I knew the facts, and I still choose natural birth and breastfeeding, so I don't know why the authors can't just be fair about theses issues. I bought this book originally because I had heard of la leche league and because it was recommended by my Bradley Method class. If you are going to buy the book for these reasons, don't do it - get something else. No mom needs to hear all this shaming, even if they do what the book suggests.
42 von 49 Kunden fanden die folgende Rezension hilfreich
5.0 von 5 Sternen Could I give it 4 and 3/4? Nearly perfect, but one potential snag... 8. Januar 2011
Von Jennifer - Veröffentlicht auf Amazon.com
Format: Taschenbuch Verifizierter Kauf
I LOVE this book! Really. The info within is great. Another reviewer or two complained about the fact that the book frequently tells you to call your local LLL chapter- but personally I think they missed a major message. The point of reminding the reader, frequently, to go to LLL is to offer community- a live person to help you when you're worrying. All parents fret, and if it's a first time experience then you're twice as likely to fret. Calling someone and having a local support network will make all the difference when you're experiencing uncertainty. The advice is excellent, and the book is well organized. It's written in a way that's engaging, and includes excerpts from other mothers. I think the book is nearly five star- here's my only hesitation... I think the book, the No Cry Sleep Solution is also excellent, and when it comes to getting your baby to sleep better this book is frequently a bit at odds with that one. This book recommends not giving sleep patterns a thought, allowing the baby to fall asleep at the breast, and/or fall asleep in arms all the time. I agree that these things are wonderful for bonding, but... you need to mix it up, so to speak. Once in a while (as explained in No Cry Sleep Solution) you need to take the baby away from your breast and put them down before they fall completely asleep or your baby will think the only way they Can sleep is at your breast or in your arms. Lets be realistic, as much as we love our children (and I agree wholeheartedly with attachment parenting) we cannot Always sleep with our babies. I believe in co-bedding, and I believe that a baby under 4mo should be going no more than 4hrs without nursing... but as they get comfortable and start to nod off, gently remove the nipple - lay them down near you... or you'll be 18mo down the road still waking every two hours. I recommend the two books together, so that you don't accidentally 'overdo' the nurture thing. No, you canNot spoil a baby at this age- I agree! and you should respond to All of their needs quickly and lovingly- but you can teach them good sleep habits without relying on clocks, crying it out, or other things that are harsh. You can nurture your baby and still teach them gently. This book doesn't chastise such methods, it just doesn't mention that there are gentle methods to gain more sleep while still seeing your little angel prosper. Anyone can survive the first 4mo of weird sleep- but after a year you'll be near tears, and that won't help your baby. The breast feeding advise and the rest of the book are Top Notch- but do yourself a favor and pick up The No-Cry Sleep Solution: Gentle Ways to Help Your Baby Sleep Through the Night as its companion.
65 von 83 Kunden fanden die folgende Rezension hilfreich
2.0 von 5 Sternen Not what I was looking for 23. August 2011
Von Agata - Veröffentlicht auf Amazon.com
Format: Taschenbuch Verifizierter Kauf
This is a great book for convincing new mothers to breastfeed. But that's not why I bought it... I was looking for information about HOW to breastfeed, what the typical problems are and how to deal with them. All of this takes up maybe one chapter in this book - the rest talks about how breastfeeding is great for getting your child to sleep etc. If you're looking for a how-to on breastfeeding, this really isn't it.
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