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	<title>AlaskaBirth &#187; Newborns</title>
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		<title>Maternity Leave: How Much Time Off is Healthiest for Mothers and Babies?</title>
		<link>http://alaskabirthnetwork.org/archives/maternity-leave-how-must-time-off-is-healthiest-for-mothers-and-babies</link>
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		<pubDate>Tue, 27 Dec 2011 21:04:40 +0000</pubDate>
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		<description><![CDATA[Is 40 Weeks the Ideal Maternity Leave Length? Long leaves are good for both babies and mothers, but extra-long leaves may not be, and other surprising lessons from Europe. By Sharon Lerner&#124;Posted Thursday, Dec. 22, 2011, at 7:08 AM ET How long do working mothers stay home after having their first child? If you guessed [...]]]></description>
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<h2>Is 40 Weeks the Ideal Maternity Leave Length?</h2>
<h3>Long leaves are good for both babies and mothers, but extra-long leaves may not be, and other surprising lessons from Europe.</h3>
<p>By <a rel="author" href="http://www.slate.com/authors.sharon_lerner.html">Sharon Lerner</a>|Posted Thursday, Dec. 22, 2011, at 7:08 AM ET</p>
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<p>How long do working mothers stay home after having their first child?  If you guessed the answer might be 12 weeks (not an unreasonable  assumption, since that’s the amount of time allotted by our national  family leave law), you’d be sadly mistaken. According to recently  released <a href="https://mail.google.com/mail/?ui=2&amp;view=bsp&amp;ver=ohhl4rw8mbn4" target="_blank">census numbers</a>,  a majority of mothers who worked during pregnancy go back before that,  some way before. More than a quarter are at work within two months of  giving birth and one in 10—more than half a million women each year—go  back to their jobs in four weeks or less.</p>
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<p>Let’s take a moment to think about what’s going on just four weeks  after birth. Babies haven’t even cracked their first real smiles yet.  Mothers are still physically recovering from birth, particularly if  they’ve had C-sections. They’re both probably getting up several times  during the night to nurse. In fact, they’ve barely begun what’s supposed  to be half a year of exclusive breast-feeding, according to the  American Academy of Pediatrics.</p>
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<p>Yet going back to work in such a short amount of time isn’t just  tiring or unpleasant, new research demonstrates that it’s bad for both  women and children. We now have enough evidence to blame the short  amounts of time mothers have with newborns for developmental delays,  sickness, and even death. (I say mothers because, while most leave laws  apply to men and women, women are far more likely than men to take time  off and, thus, are the subjects of most research.)</p>
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<p>So leaving aside for a moment the <a href="http://www.washingtonpost.com/wp-dyn/content/article/2010/06/11/AR2010061103251.html" target="_blank">backward politics</a> in the United States that leave us without <em><em>any</em></em> paid time off, what does this growing body of knowledge tell us about  how much time would actually be optimal? Some of the results are  surprising. For one thing, there is some evidence that very long leaves  have an economic and professional downside for women, and at best a  neutral effect on children. So it’s not simply that more time off is  better. Rather, certain amounts of leave may give the biggest bang,  while longer periods of leave may yield diminishing returns, at best.</p>
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<p>By looking to Europe, which has meticulous data collection practices  and a history of paid leave stretching back to the 19th century,  researchers have been getting a better and better handle on the extent  to which varying amounts of paid leave can save kids’ lives. Two  studies, <a href="http://libres.uncg.edu/ir/uncg/f/C_Ruhm_Parental_2000.pdf" target="_blank">one</a> published in the <em><em>Economic Journal </em></em>in 2005 and <a href="http://papers.ssrn.com/sol3/papers.cfm?abstract_id=226287" target="_blank">another five years earlier</a><span style="text-decoration: underline;">,</span> examined the results of the steady climb in paid leave in 16 European  countries, starting in 1969. By charting death rates against those  historical changes, while controlling for health care spending, health  insurance, and wealth, the authors were able to attribute a 20 percent  dip in infant deaths to a 10-week extension in paid leave. The biggest  drop was in deaths of babies between 2 and 12 months, but deaths between  1 and 5 years also went down as paid leave went up. So what was the  optimal amount of time off, according to all this research? According to  Christopher Ruhm, the author of <a href="http://papers.ssrn.com/sol3/papers.cfm?abstract_id=226287" target="_blank">the first European study</a>,  paid leave of about 40 weeks saved the most lives. (After that point,  according to Ruhm, “there may even be some partial reversal of those  gains.”)</p>
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<p>Here in the United States, the few paid leave programs we have may be too small to make much of a difference, as the authors of <a href="http://www.bepress.com/bejeap/vol11/iss1/art43/" target="_blank">a study published this month</a> suggested after being unable to find any impact of state leave policies  on children’s health. Efforts to study paid leave in this country are  further complicated by the fact that those American parents who do get  paid time off often tend to be lucky in other ways, too. That recent  census report shows that only 18 percent of mothers with less than a  high school education got paid time off compared with 66 percent of  women with at least a bachelor&#8217;s degree. This makes it hard to know  whether differences between American families in which a parent was able  to stay home and families in which the mother went right back to work  might instead be attributable to poverty, education, or other factors.</p>
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<p>Turning our eyes back to Europe, there is evidence that leave—even  when it’s shorter than that apparently ideal 40-week span identified by  Ruhm—has not just health effects but measurable developmental and  behavioral benefits, too. One study tracked Norwegian children who were  born after 1977, when that country increased its paid leave from zero to  four months and its unpaid leave from three to 12 months, and found  that the kids born after the change had lower high school dropout rates.  Military draft data, moreover, tied lengthened leaves to increases in  male IQ (and height, too).</p>
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<p>It’s not entirely clear why having parents around would help babies  grow taller or smarter, or live long longer, but the research points to a  few potential advantages to kids whose mothers stay home for at least  three months. In <a href="http://papers.ssrn.com/sol3/papers.cfm?abstract_id=654829" target="_blank">another </a>study published in the<em><em> Economic Journal </em></em>in  2005, American babies whose mothers were back at work within 12 weeks  were less likely to get doctors’ visits and immunizations and be  breast-fed. All this makes intuitive sense, of course: Checkups can help  diagnose and treat illnesses, but they are hard to schedule when you’re  working. And while exclusive breast-feeding for at least six months has  been shown to prevent respiratory infections, bacterial meningitis, and  other illnesses, going back to work can make it difficult if not  impossible.</p>
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<p>In the developmental realm, the benefits of leave may be trickier to explain. That 2005 <em><em>Economic Journal</em></em> study of American women who returned to work within 12 weeks showed  that infants whose mothers went back even earlier were likely to have  more behavioral problems and lower cognitive test scores at age 4. The  authors speculated that the difference might have stemmed from the  superior care babies receive from parents, as opposed to other  caregivers. It might also have something to do with attunement, the  crucial developmental process through which parent and newborn adjust to  each other.</p>
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<p>But what about those parents—most of whom are mothers? What do we  know about what the ideal length of leave time might be for them? In  terms of American mothers’ mental health, the best answer for now may be  simply: more. <a href="http://www.nber.org/aginghealth/winter04/w10206.html" target="_blank">Numerous studies</a> have tied the lack of time off to depression in working mothers. Conversely, a 2004<a href="http://ideas.repec.org/p/nbr/nberwo/10206.html" target="_blank"> study</a> found that an increase of just one week of time off decreased the  number and frequency of symptoms of depression in American mothers.</p>
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<p>It’s easy to understand why an American woman going back to work just  four, eight, or even 12 weeks after birth might get  depressed—especially if she looks to Europe, where at least six months  of paid leave is the norm and several countries grant more than three  years.</p>
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<p>Maybe we American women can cheer ourselves with the several recent  studies that have failed to find benefits of such very long leaves. It  turns out that the increase from 12 to 15 months of paid leave—which  Sweden made back in 1988—doesn’t have a dramatic effect on kids. There  is even <a href="http://papers.ssrn.com/sol3/papers.cfm?abstract_id=267219" target="_blank">some evidence</a> that laws granting more than a year and a half off paid can hinder  women’s professional achievement. It may be cold comfort, but at least  this is one problem that we American mothers, facing the prospect of  caring for new babies while somehow holding onto our jobs, just don’t  have.</p>
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		<title>Protect your newborn from sickness:</title>
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		<pubDate>Sun, 25 Oct 2009 08:01:35 +0000</pubDate>
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		<description><![CDATA[Newborn immune systems are undeveloped and need antibodies from their mother’s milk to stay healthy. Studies have shown that artificially fed babies are up to 15 times more likely to be hospitalized in their first year. Breastfed babies receive a whole arsenal of immune components while formula fed babies receive none.  So how to do make [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignleft size-full wp-image-237" title="breastfeeding_mother_baby" src="http://alaskabirthnetwork.org/wp-content/uploads/2009/10/breastfeeding_mother_baby1.jpg" alt="breastfeeding_mother_baby" width="161" height="225" /> Newborn immune systems are undeveloped and need antibodies from their mother’s milk to stay healthy. Studies have shown that artificially fed babies are up to <span style="text-decoration: underline;">15 times</span> more likely to be hospitalized in their first year. Breastfed babies receive a whole arsenal of immune components while formula fed babies receive none.  So how to do make sure that you will be able to breastfeed?  We commonly hear from mothers share that &#8220;I didn&#8217;t have enough milk&#8221; or &#8220;My baby liked  the bottle better&#8221;, etc.   Lacation experts say the one reason women have troubles breastfeeding is lack of support and education. Follow these steps to make sure you reach your breastfeeding goals:</p>
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<li><strong>Get good information:</strong> Go to a breastfeeding class and bring your partner, family members and other care givers. It’s important they learn the basics so they can help you and won’t unintentionally sabotage your efforts. Read a breastfeeding book like “Breastfeeding Made Simple” or “The Womanly Art of Breastfeeding”. Check out <a href="http://www.breastfeeding.com">www.breastfeeding.com</a> for great articles and advice.</li>
<li><strong>Connect with nursing moms: </strong>Spend time and befriend women who successfully breastfed. Don’t take advice from people who didn’t. (I know it sounds obvious, but I made that mistake!)  Look for a mother to mother support group or La Leche League meeting.  Make these connections before you have your baby.</li>
<li><strong>Choose your birth location carefully:</strong> Deliver at a “Baby Friendly” hospital, birthing center or at home. Ask the hospital if they have lactation consultants to help you. Some staff nurses don’t have much lactation training and/or have never breastfed themselves. We were told by a mom recently that when she asked for help  at an Anchorage hospital they gave her a bottle instead. Not good.  And don&#8217;t keep any formula samples you get in the mail or from the hospital.  It&#8217;s too tempting to have it in the house.</li>
<li><strong>Plan a drug free, normal birth:</strong> IVs, epidurals, c-sections and narcotic drugs in labor all make breastfeeding harder. The more drugs, fluids and painful incisions you have, the harder it will be for the baby to latch on and the longer it will take for you to produce milk. Choose midwife or obstetrician that supports natural birth. Learn about and practice mental and spiritual techniques like non-focused awareness, prayer, hypnobirthing, and visualization.  Take a childbirth education class that focuses on natural birth. Find out if you will have access to a birthing tub, shower, birthing ball, food during labor, etc.  Hire a doula.  If you do need pain medications, ask for the lowest dosage.</li>
<li><strong> If you have concerns, get professional lactation support immediately:</strong> WIC offers free breastfeeding support for their clients. Some pediatric offices have lactation consultants on staff . You can call the hospital where you delivered and get phone help. Most home birth and birthing center midwives will visit you in your home. ANMC has a program where they will come to your house and help you as well. LLL leaders and members are another great resource. Don’t wait to get help if things aren’t going well. Pick up the phone instead of a bottle.</li>
<li><strong>Pediatrician or nurse practitioner:</strong> Find a provider that not only supports breastfeeding but that can give you specific help and advice. Some medical schools offer ZERO lactation education. Other pediatricians have done extensive training and have breastfed their own children. Ask about their training, experience and philosophy.  Consider using a nurse practicioner or naturopathic physician.</li>
<li><strong>Plan for pumping at work:</strong> Delay returning to work as long as possible.  Try to arrange for job sharing, part-time, work from home or creative scheduling.  Nurse your baby at night to make up for lost nursing and cuddle time. Make sure to find a place to pump before you take maternity leave. We know women who have left their jobs to go to others that were more  breastfeeding friendly.<br />
Going back to work and maintaining milk supply is a major challenge for women.  Remember that even a little breastmilk is valuable and better than none at all.  With enough support, you can do it!</li>
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