01 December 2010

Editor's Note

Dear BMSG(S) Members,

Welcome to our new, digital Keeping Abreast! We have gone green and are now saving money and trees with each "printing" of our newly formatted newsletter. We hope you support this move, and of course as always we welcome your feedback! This issue of Keeping Abreast has some great articles in it...

Each issue in the parenting section, I try to highlight one issue which does not get much press because, like breastfeeding, it is not something that is usually marketable. You generally won't find information about it in the goodie bag from your hospital tours, or in new parent magazines. That's because there's generally no accessories or products to sample, and there is no money to be made from telling you about these topics – though they are important ones that matter to your baby and to our planet. This issue I have included the topic of Elimination Communication – a method of communicating with your very young child about their elimination needs. Lynnette Chan has composed a wonderful introductory article, and I hope you will be inspired by it.

Also, did you attend our WBW celebration this year? It was a great time for the whole family. We have reprinted the winning essay and hope that it touched you as it touched the judges. I think you will agree it is really an inspiring tale of overcoming breastfeeding challenges to do what is the best for your baby!

I hope you enjoy this issue! Feedback and comments are welcome.

Ruth Li
BMSG(S) Publications Editor

Breastfeeding-friendly Employer

The Credit-Suisse AG Way

One of Singapore's breastfeeding-friendly workplaces, Credit Suisse AG, answers some questions about what makes a breastfeeding-friendly place.

What do you think makes a breastfeeding-friendly place for nursing/breastfeeding moms?

In addition to having family-friendly policies to support working parents (e.g. family leave policy, flexible work options, etc), a breastfeeding- friendly workplace offers a nursing room with adequate facilities to support the needs of working mothers who wish to continue breastfeeding when they return to work. For us, we ensure that this nursing room is clean and private; has comfortable seats, electrical power points, refrigerator, tables, sterilising soap, paper towels/tissues, dustbin, etc.  Basically, everything a pumping mother would require to continue supplying breast milk for her baby at home!

What has your workplace done to help breastfeeding mums?
As part of the Credit Suisse’s ongoing effort to ensure sufficient nursing facilities are offered to our working mothers, several upgrades were carried out across our offices in Asia-Pacific including Singapore. These were based on the feedback received from users via email, feedback sessions and online surveys.

In Singapore, the improvements included the expansion of facilities to meet the demand, enhancement of privacy by installing curtains as partitions, comfortable sofas, bigger refrigerators, installation of more electrical outlets, sterilising soaps, notice boards and other aesthetic items to create a comfortable and relaxed atmosphere. We have in place a quality assurance process of surveying users on an annual basis to obtain feedback and ensure the nursing room facilities are meeting their requirements.


Also earlier this year, four units of Medela Pump-In-Style (Advanced) Electric Breast Pumps were installed in our Singapore office nursing room. This initiative has received very positive feedback so far and our working mothers appreciate not having to commute to work with their pump. As a result, Credit Suisse is currently looking at the possibility of including these breast pumps in all nursing rooms across Asia-Pacific.

In addition, the Bank’s Work Life Coaching Program as part of the Employee Assistance Program (EAP) service offers regular talks that educate staff on various work-life and parenting topics, for example, Achieving Work Life Integration through Effective Time Management, Key to Wellness, and Effective Parenting.

Why does your workplace encourage breastfeeding practices and support breastfeeding mums? Do you see any tangible / intangible benefits?
At Credit Suisse we strive to create an environment where people are respected, feel personally and professionally fulfilled, and look forward to coming to work. This includes an employee's ability to support his/her community, home life and working career.

Credit Suisse recognizes the valuable contribution of all employees, including women.  By providing nursing room facilities in the workplace, women are encouraged to return to work quicker and be better equipped and supported, to integrate their need to continue to breastfeed if they wish, for a period of time.
Credit Suisse is committed in providing an equal opportunity workplace that is inclusive of all and enables each employee to fully contribute. We believe that meeting the needs of staff with family responsibilities is a fundamental prerequisite and part of our overall focus on Work-Life@Credit Suisse.

Do you see any difference in the work ethics/practices of breastfeeding mums vs non-breastfeeding moms? Do you find they are any less productive? 
No, we don’t see any difference in the work ethics/practices of breastfeeding mothers.  In fact research shows that breastfed babies are healthier and so working parents are less likely to need time off to care for sick children. Our feedback shows that employees are very happy with being given these facilities and it helps them transition quicker back to work.  Providing employees with the ability to integrate their work-life responsibilities; in this case the choice of mothers to continue to breastfeeding whilst returning to work has increased the morale and productivity, minimizing disruption to their work responsibilities.


Do you have any guidelines for pumping at the workplace? 

Information on breastfeeding in the workplace and nursing facilities is marketed via intranet, Country specific Employee Handbooks as well as part of our new hire On-boarding program.
We do not have a specific breastfeeding policy in the workplace. However, we do have user guidelines for the nursing facilities to ensure everyone maintains the cleanliness of the room and respects the needs of other users. This is communicated through the intranet site.

Do share about any other practices or opinions that you have. We would really love to hear from you and share with other employers the forward-thinking ways of your company!
The Bank has recently launched a new Work-Life @ Credit Suisse campaign across Asia Pacific including Singapore. This campaign aims to showcase and foster a better understanding of our existing flexible work policies and leave options, benefits and technology tools available.

The Flexible Work Guide is first in the series of “how to” guides launched as part of the campaign in June 2010. This guide promotes the Bank’s various flexible working options with tips for employees and managers on the steps involved in ensuring an effective outcome. The next in the series of “how to” guides will be a new Parental Leave Guide which is targeted to launch in August 2010. This new guide will outline information for employees pertaining to planning their leave and returning to work, entitlements and benefits, as well as practical advice to help them manage their career while enjoying the rewards of parenthood.

Making More Milk

by Catherine Ho, Volunteer Counsellor


This was the catchy topic that caught the eye of many-a-mum whose burning question is: “How can I make more milk?”

According to BMSG statistics, the number one reason moms call the counselling helpline is to find out how to increase milk supply. With that in mind, the BMSG invited Ms West – in between her flight home from KL to the USA - for a one-morning only lunch session on 8th October, 2010.


As early as 9am, participants started streaming in to collect their free copy of the “The Breastfeeding Mother’s Guide to Making More Milk” and having it autographed by Ms West herself. By 10am, 70 participants packed the café and restaurant at Rochester Park to hear Ms Diana West, an IBCLC, and author of several breastfeeding books including The Womanly Art of Breastfeeding, 8th Edition, speak on the hot topic, “Making More Milk”. Most of them were mums, some were medical staff members, and one was even a new dad, sent by the wife who was unable to attend!


This was not a workshop that dealt with the basics of breastfeeding but focused specifically on how to increase milk supply, especially during the early weeks of lactation. Her power point presentation was clear. Some of the research-based facts were explained in a hilarious way. Many of them were enlightened by some of the ideas presented. Some, according to Diana, were ‘wacky’ ones but were tried and tested; like expressing colostrum before baby is born. Some other suggestions included expressing milk 6 times a day in the first 3 days postpartum, which should increase the milk production by 45%; and also practical steps like delaying bathing after birth for both mum and baby. The preferred method of expression in the early days (before the milk comes in) is by hand.



Mum could also explore options like acupuncture or massaging the acupressure points to increase milk supply and proceeded to demonstrate on a mom, much to the mom’s delight at the free massage! Diana was also aware of the stress and fatigue mums faced with endless cycles of pumping. Her remedy: Take a rest as and when necessary and when all else seems to fails, REST! The basic premise is simple, that panic and stress do little to help with milk production and fighting the issue only leads to further panic and stress. Therefore, rest.

Diana also touched on some possible reasons behind insufficient milk – such as hormonal issues like thyroid problems, PCOS, etc. Seeking medical advice and taking medication in these situations would be helpful.

Towards the end of the talk, Diana fielded questions from the audience. Her sensitive replies put many mums at ease. A buffet lunch was served and each participant also received a goodie bag, kindly sponsored by Philips Avent. The 2-hour session was indeed a fruitful session for all of us.

From the President’s Desk

We’ve gone digital! In keeping with the times, the changing profiles of our members and the need to save costs (and the earth), we have decided to take the bold step of dispensing with the hard copy of Keeping Abreast.

Our rationale is simple. Besides saving the earth, we will be saving our coffers by shaving off almost $10,000 annually on design, printing and postage, not to mention the volunteer labour involved in stamp pasting and lugging hundreds of copies to the post office. Often it included involving members’ children!

The decision to go digital was not made on a whim and a fancy whilst the committee was sitting around having a cuppa. It has been hotly debated for a few years and whilst there are the die-hards who want hard copy (frankly, me included!) editions, the argument for cost and space savings was more compelling. Ok, to elaborate further. We print 1000 copies per issue yet only 400 get sent out. So yes, we will be saving space too!

The trade-off to this move is that new members who join no longer have a hard-copy print of the KA as a benefit. But we figured that if we had good stuff to share, why not share it with all moms! We are very happy if you feel like passing on your KA Digital to your friends but I do hope that when you do so, please consider the volunteers who spend time and effort to put every issue together. A small donation to help us along will be most greatly appreciated.

Before we close off the year, we would like to share a little of what BMSG has done for the year and are continuing to do. We held 2 events, namely World Breastfeeding Week 2010 and Diana West’s “Making More Milk” lunch workshop. They were 2 hugely successful events and we are very happy for the support shown. Behind the scenes, BMSG has been quietly working to train confinement nannies from 2 agencies, so that confinement nannies are better able to support moms. We have also been working with various agencies, such as Health Promotion Board (HPB) and NTUC to help promote breastfeeding in the community.

Within BMSG, we had updated and printed our new bilingual English – Chinese edition of the free Breastfeed booklets and almost all 10,000 copies were distributed to various hospitals, clinics and some retail merchants. We are hoping to revamp Practical Hints to Breastfeeding and will likely work with a publisher to bring this to fruition in the next few years. Then there is our website which we are in the process of revamping. We also provide articles for various journalists, who come around asking for information.

We had plans to reach all gynaecologists in Singapore with a tear-sheet project where each antenatal mom would receive an information sheet on breastfeeding. We shelved this because the HPB would be introducing exciting stuff from next year, and we did not want to duplicate effort.

Our workshops continue to run every quarter and this year, we introduced Robert to our participants. Robert is one of our members’ husband and he shares about the important role of fathers in breastfeeding. We were very heartened to know that fathers perked up during his segment and were happy to hear what he had to share. In addition, we also conduct workshops for other agencies as and when required.

We also have the daily administrative matters to deal with. As you all know by now, we no longer have a staff. To give you an idea, we will need to set aside a minimum of $25,000 to $35,000 in staff cost if we take on a staff. With funds barely trickling in from members of the public, we can ill afford to be blasé about hiring. Realistically speaking, the person who sits in the office has to be someone who is looking more for self-achievement and is truly passionate. Otherwise, there are tons more jobs out there that pay much much better and it wouldn’t be long before another job calleth.

Hiring has to be a measured decision. And that was the sole reason why the bulk of the administrative work currently falls on me although I have taken on this task most willingly.

Going forward, we are looking for volunteers to help in these particular areas of work:
  1. Administrative
  2. Pump Demonstrations
  3. Workshop coordinating
If you feel the passion within you to help take some of the burden off my shoulders so that I can continue to look at the macro development of BMSG, then I really urge you to email me at office@breastfeeding.org.sg  Just do remember that it’s about helping moms because you’ve been there and done that and you are now paying it forward!

We are also looking for volunteers who really feel the passion to join us in 3 committees:
  1. WBW 2011 (August)
  2. Flag Day 2011 (August)
  3. Exco (March)
Again, there’s nothing like planning ahead of time. If we start to plan early, we will have a much easier time looking for sponsors and funds. We can also spread out the work over months so that it is not a concentrated time of mayhem! Therefore, I do ask for volunteers now to step up to the plate to help us move forward with new ideas and new plans!

Well, that’s all from me for now. You will of course hear from me every so often in emails and I hope that you will continue to support us.

Till the next time, Happy Holidays!

Warmest Regards

Angeline Wee-Yew

My Maiden Volunteer Encounter

It was a partly cloudy day on 29th August 2010 as I excitedly made my way to the City Square Mall. I did not know what to expect as this was my first “real” volunteering position. It was hardly what I imagined a volunteer would do but I was a volunteer model for the modeling segment of the World Breastfeeding Week event that day!

Looking around at the breastfeeding mothers gathered in front of the stage, I was reminded of the special feelings I had when I was nursing my now 4 year old boy and 2-1/2 year old girl.

To me it was a miracle that I even breastfed at all. Till today, my friends just cannot never imagine that I could do it… maybe it was the image they had of me. But breastfed I did with the help of BMSG!

I went for antenatal classes before my first child arrived, just like most parents would, but it did not in any way prepare me for the actual experience at all! When finally I had my baby in my arms, I simply could not grasp why something which is meant to be so natural could be so difficult for me.

Fortunately for me, I had met a BMSG volunteer by chance during my pregnancy and we exchanged numbers. It was this lady who gave me the encouragement and push at the point when I was ready to give up.  I will never forget the panic I must have given her when I called her, close to midnight, from the hospital in tears!

One year after weaning my second child and missing the special time we shared, I remembered this volunteer who had helped me so much four years earlier. I felt bad that I had forgotten her name but she would forever by an angel to me. The help she had rendered to me was the reason I decided to volunteer with BMSG. At the lowest point in my breastfeeding journey, her help and support was what kept me going for years and now I just want to help other mothers.
And it all began….

With an email to BMSG. Angeline replied my queries about volunteering most efficiently. It happened that the World Breastfeeding Week was coming up the next week! Wow, I was happy to be immediately involved and went down to the BMSG office two days before the actual event to help pack the goodie bags to be distributed during the event.

Angeline and Lena made me feel at home immediately and I felt completely involved in the whole event even though I just joined them at the end stage of all the preparations. Due to the shortage of volunteers, Angeline and Lena suggested perhaps I could help model some nursing and breastfeeding clothes during the mass breastfeeding event.
On the actual day, I went down to the venue in excitement. Backstage, other volunteers were happily preparing for the catwalk and chatting about what was happening outside. Before we knew it the event started and it was a fun experience walking the stage with a fake belly for the maternity wear.

From my viewpoint, I felt that the event was a success with more than 120 moms participating in the mass breastfeeding! Not to mention the pregnant mommies who had registered for a free goodie bag. It was indeed an experience volunteering because I realized how many volunteers are required to ensure an event like this runs smoothly and yet, it was probably the hardest thing to organize… volunteers!

Angeline, Lena and the other regular volunteers welcomed me warmly and I hope to be able to offer more help on a regular basis.

Mommy Modelling

by Grace Ding, New Maternity

“Can you do a modeling segment for World Breastfeeding Week?”

It was a simple question and the simple answer was yes. However, that started a rush of activities that culminated in our mommies modeling onstage at BMSG’s annual World Breastfeeding Week 2010 event held at the Fountain Square, City Square Mall on 29th August, 2010.

The behind-the-scenes work that ends up with the models onstage is often time consuming and at times trying. We had to prepare the script for the emcee, the music for our models and look for the models, which proved to be the bigger challenge!


It was a hot sunny morning as we geared up, all ready for our maiden volunteer "job," to stage New Maternity's catwalk modeling show. It was indeed our honour to help out.

The morning did not start off so well unfortunately. We received a last minute notice from one of our models that she could not turn up for the show. These are things that are the stuff of nightmares! With hours to go before the event, it really left us all in a bind. What were to do? All the modeling choreography was done and everyone had a part to play.

You can tell a lot about a person from the way (s)he rises to challenges and it was a godsend that our managing partner, Jean stepped up to the plate and volunteered to fill in the empty slot, even though she was not entirely comfortable being in the forefront. Then again, all the models were amatuers and had little or no modelling experience. So we simply reminded each other that this was meant to be in the name of fun and that we would not take ourselves so seriously. So what if we tripped up? At least we could say we did a catwalk show!

Everyone took turns to have breakfast and hair done by Angie, our professional hairstylist.

We only started our first rehearsal at 12pm and everyone was just not sure what to do since no one had actually done this before. Finally, we managed to get the choreography moving along and after a few rounds, the “models” were getting more comfortable with their moves and routines. However, we did not get much practice as mums started trickling in an hour before showtime and we had to retreat backstage.

Despite little hiccups here and there, we managed to pull off the event and everyone was delighted with their new found modelling skills. We had a great sense of achievement with this catwalk event and felt that this had brought a new level to our business.

This event had certainly shown us that with supportive people around us, we can achieve many things. We were able to successfully put up the catwalk event with help from various people including family and friends who pitched in any way they could, be it hairstyling, stage management and even baby caregivers.

In much the same way, we were able to breastfeed successfully because of the love and support of our families and friends.

My Breastfeeding Experience

Winning Entry for World Breastfeeding Week 2010 Essay Contest
(edited for print)
by D

I am a 36-year old mother of a now 22- month old boy, named J. (Names have been changed to protect the identities of the family concerned.)

On 10th Oct 2008 at 1:30am, my waters broke and initially I told my doctor I would like to try for a natural delivery. However, after 10 hours of pain and struggle, the doctor declared that I could not go on with the natural birth because my son’s heartbeat was weak. As a result, I ended up with a caesarean operation.

Afterwards, with a weak body, painful wound, and bloated stomach, I could not get up from bed. I did not even get to see my son because the nurses refused to bring him to my room. When I told a doctor (not my personal doctor) who visited me on the 2nd day that I needed to breastfeed my son, his response was simply that I needed to get the gas out from my stomach first. I was stunned. At that time, there were 3 other mothers together with me in the same ward, but none of them were breastfeeding. I suspected then that that the nurses and doctors were not very supportive of breastfeeding. Apparently, it was not something they saw as being crucial.

Finally, on the 3rd day, I told myself I had to stand up and walk to see my newborn. With my husband's help we walked slowly to the nursery. That was the first time I laid eyes on my son since his birth! I held him in my arms and felt very blessed. It was at that moment that my own doctor came to the room to check on the babies. I quickly took the opportunity to tell her I was eager to breastfeed my baby and she was glad to hear my request because as I was told, none of the 8 babies in that room was drinking breast milk. She was very helpful; she told me to sit down and got the nurse to put my baby in my arms. She helped me to correct my position and guided my baby’s mouth to latch onto my breast. After that, she instructed the nurse to put a breastfeeding sign at my son’s bed that no formula was allowed for my son. I was taken aback and worried that I would not produce enough milk for my son. She looked at me and told me confidently, “You can do it!” To me, that was like an incredible force that coursed through my head. Yes, I had to be sure that I could do it.

From then on, when feeding time came, the nurse helped me walk to my baby to feed him. I was very lucky, J latched very well after the 3rd time. I could tell he really loved latching on, because when his little mouth latched on, he would start suckling and peacefully closed his eyes and looked so very content.

I left the hospital on the 4th day. I breastfed J directly, without the help of a breast pump. As I had to return to work after 2 months of rest, I started to learn how to use the breast pump 3 weeks before I started work. In the beginning, things were not very smooth as I had no idea how to store milk and how much or how often to pump. I felt very depressed when I tried to handle the breast pump; one of the parts was not properly attached and I could not express my milk smoothly. My ever-supportive husband figured out the various parts and trained me a few times until I got used to it. When we started to search online for more information on breastfeeding, we found BMSG and from that point on, all our questions on milk storage were answered!

Just when I thought it was going to be smooth sailing, a challenge came just one week before I resumed working. The caregiver I had hired to take care of my baby decided to back out. I was devastated, and it came to a point where I worried so much, I could not eat or sleep. Finally, one of my aunts offered to help, but the challenge was commuting daily to Johor Bahru where she resides! With no other viable alternative in sight at that moment, we made a painful decision to leave our son in JB whilst we would commute daily to deliver breast milk to him. With such a daunting daily routine, my family members were less than encouraging and told me to give up breastfeeding.

I was very sad at that point of time. I thought I was a very proud mother who was able to breast feed my baby confidently. “Do I really need to give up just because I need to be separated from my son?” That was the question that I kept asking myself. I turned to BMSG again for help and attended their Back-to-Work workshops designed for mothers who are returning to work. It was a very short and simple workshop but when I left, I felt my heart lighten up with hope again, and that all was not as hopeless as I had felt. I knew I could continue breastfeeding my son.

That day, I told my husband that I would freeze the expressed breast milk and bring it to JB every day. When I think about it, I realise that it is a tiring task. As it is, breastfeeding at home is exhausting enough, especially when one goes back to work. Now, I had the additional routine of crossing the packed causeway every day to deliver breast milk. I am indeed fortunate and blessed to have a very supportive husband who then went around Singapore looking for a suitable cooler bag for me!

It never rains but pours. Challenge after challenge befell me. When I reported to work on the first day, my boss told me he was transferring me from the office to a retail outlet. With this latest move, I knew that pumping was going to be a challenge at the workplace. At least at the office, I could pump in the pantry and store my milk in the fridge. But in the outlet, there was no such facility available. When I spoke to my boss about my desire to continue breastfeeding, their comment was to stop breastfeeding because: I would not be able to express milk in the shop for the sake of the company’s image.

My lady boss who worked full time in a hospital told me there was no strong proof that breast milk was the best for baby. With technological advancements, formula was equally good if not better than breast milk. They doubted I could cope with the stress of commuting to JB daily just to deliver milk to my son and wondered aloud if that would affect my job performance.

One of them even made the effort to get my brother to speak to me, following which my brother and sister- in-law did come to my house, bringing with them a book about “what to do when breastfeeding is not favourable”. They told me they brought up their son with formula milk and that he was smart.

To me, this was the most challenging problem I faced. I became depressed because I needed to continue working for our family and could not afford to leave my job. Yet, the bosses were not encouraging at all. Not even my own flesh and blood was taking my side. When my husband came home that night and found out what had happened, he was livid!

He made a proclamation so strong, that I will never ever forget it in my life:
"No one has the right to decide for my son what milk he drinks. He is our son and we choose what to feed him. He has only one chance in his life to enjoy breast milk, ONLY ONCE in his life! Even we as his parents have no right to take away his RIGHT!"
I could not stop crying when my husband told me that. My tears were tears of joy and tears of hope. I knew my husband was going to support me and walk with me through this journey. From that night on, our resolve was even greater that come hell or high water, we would continue to offer our son the best start – breast milk.

I started to wake up early in the morning to express milk before I went to work. And I tried to eat a quick lunch so I could use my lunch break to express milk in the public toilet. I knew it was not the best place to express milk but that was the only place I had if I wanted to continue offering breast milk. I was very blessed because a few weeks later, the owner at the shop next door offered her fridge for me to freeze my milk. And then, one of the toilet cleaners actually guided me to a cleaner public toilet where I could express my milk.

Every day after work, I would express one more time before I headed for the bus back to JB. Initially my husband and I were aiming to feed our son for 6 months, but in the end we managed to continue until he was 11 months old.

That was our victory! It may be a very ordinary story for many people who breeze through breastfeeding or for whom breastfeeding is not a big deal, but for me and my husband, we are always very proud when we share our story with others. It is really our VICTORY! WE MADE IT, YES!

Last but not least, to all mothers-to-be, I wish to share that your baby only has breast milk once in his lifetime. Therefore, try harder!

President’s Note: This story won the vote for the judges because it amplified a very positive mindset of the parents to come through the difficult times. From the birth through confronting the daily struggles of a working mom, D showed immense resilience and determination. Above all, we were most touched by the proclamation of her husband whose support can only be described as stellar! We wish for all moms to have equally supportive husbands, families, friends and bosses.

Potty Training – the Natural Way

by Lynnette Chan, Volunteer Counsellor

In the days of old, parents simply brought their babies to the potty regularly from a young age. The advent of disposable diapers signaled a whole new way of potty training, or should I safely say, the lack of potty training! Now parents could rely on the diaper to catch the contents of nature’s call. Over time, the Western concept of “potty readiness” became the more popular alternative to potty training.

What is Elimination Control?
In an attempt to go back to the natural way, Elimination Communication (EC), which is also known as Infant Potty Training or Natural Infant Hygiene, requires that the caregiver reads and responds to signals regarding the baby’s need to eliminate. During the process, the caregiver also provides the baby with cues (e.g. the “sss” sound) and associations to places for elimination (e.g. a potty, sink or toilet bowl). All these can be achieved with or without the use of diapers. Now, do you remember seeing your grandmother doing this?

In the article “Natural Parenting – Back to Basics in Infant Care,” published in the journal Evolutionary Psychology in 2007, the authors state that “most infants signal in some way immediately prior to, during, or right after urinating and defecating.” However, when infants do not get a response to their signals, they begin to lose this awareness of their elimination functions and are conditioned to ignore them instead. This can happen after a few months of full-time diapering.

How can I tell when it’s time to go?
The first question asked by caregivers commencing EC would be, “How can I tell when my baby needs to eliminate?” Some strategies include:
  1. Reading baby’s signals
    • Stops nursing or refusing to nurse
    • Fusses or cries
    • Turns quiet momentarily, stays very still or loses interest in activity
    • Passing gas prior to defecating
    • Turning red in the face, straining or grunting immediately prior to or during defecation
  2. Familiarization of baby’s patterns of elimination
    •  Babies usually need to pass urine soon after waking up first thing in the morning, or after a long nap
    • Some babies have “regular” defecation patterns, e.g. after the first feed of the day
    • Newborns may need to pass urine 5 to 15 minutes after a feed while a slightly older baby may do so about 30 minutes later. Some babies may need to pass urine more frequently than others.
  3. Intuition
    • If the caregiver suddenly thinks that baby might need to go, he or she may be right. So act on it rather than ignore it! According to Laurie Bourke, author of Infant Potty Training, if the caregiver has been relying on intuition to assist in baby’s elimination, he or she can try to supplement that using other strategies like those mentioned above.
Benefits of EC
Some benefits of EC include preventing diaper rash, reducing the risk of urinary tract infections, cost savings on disposable diapers, being environmentally friendly and the completion of potty training at a relatively early age of around 24 months.


This method of handling baby’s elimination needs, practiced in Asia, Africa and South America, is still commonly seen in some parts of Asia and Africa. Even here in Singapore, ask an elderly grandmother and chances are, she’ll be able to explain how she handled her children’s hygiene needs without the use of disposable diapers and full-time diapering. After all, disposable diapers are a modern day convenience, having only been invented in the 1940s.


Common excuses for not trying EC
Unfortunately, there are some misconceptions about EC that may prevent caregivers from attempting to try it.
  1. Practicing EC is messy or dirty as baby eliminates wherever he wishes. Contrary to belief, caregivers who practice EC do not leave their baby bare-bottomed all the time. Most caregivers will use some sort of “back-up” like a disposable diaper or cloth diaper.
  2. “I can’t practice EC because I am a full-time working mum”. According to Bourke, part-time use of EC on a “fairly consistent basis” will help baby to retain his instinctive awareness of elimination functions. Part-time EC-ing is more likely to succeed if it is done as regularly as possible. This means sticking to one (or more) sessions a day, and at the same time. For example, EC baby every morning immediately upon baby’s waking and before bed at night.
  3. “I’m bad at EC, I’m still not able to know when baby has to eliminate 100% of the time” Until baby is potty trained, somewhere around the age of 24 months, it is to be expected that the caregiver will “miss” a number of baby’s eliminations. There may be days when not a single elimination is “caught”. Even after the child is potty trained, there might be times when an “accident” happens and the child soils himself.
Unlike conventional potty training methods, EC does not involve rewards, punishments or coercion. Elimination Communication is described by Boucke as a “gentle, natural and loving method of communication and toilet learning.” It also allows other caregivers like Daddy and grandparents to communicate and bond with baby if baby is breastfed. Bourke encourages caregivers to give EC a try for at least a few weeks before assessing if it should be continued.

References
  1. Schole, R. A. and Silven, M. 2007. Parenting – Back to Basics in Infant Care. Evolutionary Psychology.
  2. Infant Potty Training (2002) by Laurie Boucke

Just 10 Steps - World Breastfeeding Week 2010


In our last printed issue of Keeping Abreast, we had featured the 10 steps to the Baby-Friendly Way and what they entailed.

There is much that hospitals and the community can do to help moms recapture the moment, as it were, with their babies from the moment they are born. From the bonding process  to the breastfeeding.

Of course, the BMSG focussed on the 10 Steps as it specifically relates to breastfeeding. Whilst the event was meant to be for families, one highlight of the month’s event was a contest which aim was to encourage as many mothers as possible to share about their breastfeeding experiences in the hospitals in which they delivered.

We received almost 50 entries from moms sharing about the start of their breastfeeding journeys in the hospitals. Some were hilarious, some were painful to read about and still others had the judges reduced to tears. In the end, we had 3 winning entries each chosen for a specific reason and 10 consolation prizes

First Prize Winner:
  • DL
Second Prize Winner:
  • Brina Ho  
Third Prize Winner:
  • Priscilla Kek
Consolation Prize Winners:
  • Elaine Chai
  • Carine Ng Shu Fen
  • Charlotte Yong
  • Corrinne Schmidt
  • Evvanna Chua
  • Angie Koh
  • Amy Lai
  • Juliet Chan
  • Cheryl Ann Low
  • Julie Ong