My archives might be a little outdated especially the older blogs. My links above are all new and current.

I have only positive things to say about Permission to Mother, an autobiographical account of a thoughtful mother and clinician who courageously writes from her heart, soul, brain, and personal experience; who is open to change in her views and opinions and is not guided by the safety of rules of any group or the status quo; she is guided by love and openness to the experiences life brings her and her family. Her process benefits her and those around her and those who read her words. And to add to that, the writing style and story telling ability here make it a very enjoyable read speckled with both the humor and seriousness of life. ~Laura Keegan RN FNP, author of Breastfeeding with Comfort and Joy

I enjoy reading your feedback and Reviews (81!) on amazon. Kindle Version Available!

Please Join me on Facebook at Punger Family Medicine.

Friday, November 30, 2007

My Diet has Been Sugar-free for Two Months!!

At one time I thought it would be impossible to live without sugar. I am not diabetic. Why have I done this elimination diet? I was intrigued by the results my patients were getting on food sensitivity test by ALCAT labs. This is not an "allergy test." People suffer with sinus, diarrhea, ingestion, bloating, headaches. By finding out what foods they are sensitive to and avoiding them entirely. Bothersome symptoms have cleared up without masking the symptoms with pharmaceuticals.

I became curious to see what I was sensitive to. I had a few symptoms I didn't like: acne and cough. I had my blood drawn and I was floored to find out I was severely sensitive to cane sugar! A few preservatives ranked up there and olives and garlic (not as severe) and a few other foods.

I took the challenge to see if it was possible to eliminate cane sugar. It took me a few weeks to figure out how to read labels and eliminate these foods, and find replacements. I am happy to report my skin is clearer, my cough is better. Unexpectedly I never get ankle swelling anymore (I thought most women got a little swelling. ) and I've lost some weight. I don't get hypoglycemic anymore. Over the next few posts I'd like to share what I have learned and how it's helped me by doing this sugar elimination.

Thursday, November 29, 2007

Maternal Confidence and Subsequent Children

Wife of a Rockstar, posted about homecoming, bringing her older adopted kids home, and the lack of enthusiasm and interest among her social circle as compared to when a new baby is born. As I followed the comments, it was suggested that the lack of enthusiasm was more related to the number of children she has and not an adoption issue: less celebration for subsequent children

I only have three boys. That's a lot less than Rockstar and his wife and many of the families that replied to her. I noticed my first son was/is showered in gifts from everyone we know. My second son also tends to be showered, too (at his birth and subsequent birthdays and holidays). I did notice a major decrease in material gifts for the third son.

But my third son benefited in many intangible ways. Along the way, I became a more confident mother. My third son didn't have to deal with my new mother anxiety: should I hold him or will I spoil him. I was a confident breastfeeding mom, confident in co-sleeping and committed to babywearing.

My third son never had to put up with me doubting my own instincts, testing how long he could cry and being trained to be an independent sleeper. By the time I had my third son I knew not to let him cry. I knew to carry him. We had a family bed and didn't expect him to sleep through the night. My third son got the "best" pregnancy and birth. I was confident that ultrasound, amniocentesis, vag exams and other invasions of the womb were not the way to go. I was confident to stay home and birth. I was confident to surround myself with people who valued a non-materialistic pregnancy (doulas, midwife and friends) and provided me with emotional and spiritual support. By my third son I was more spiritual aware and concerned with passing on our heritage. He was my only son to be honored with a traditional welcoming ceremony to the Jewish community. After his birth, I didn't report to work for 7 months. And, he came with me when I finally did go to an office. I returned to work by 12 weeks with the first two.

My third son may not have had as many gifts, but he reaped the benefits of my prior maternal experience!

PS-He has plenty of toys because we never toss out anything and he may be the most appreciative.

Breastfeeding and Birth Control

This is an excerpt from Permission to Mother:

Barbara’s breastfeeding is going well. Her OB wants to insert an IUD at her six week check-up. Susan said her OB will only give her the mini-pill. Rhonda said her OB wanted to give her a shot of Depo right after her baby was born. For women who exclusively breastfeed and have not resumed having a menstrual period, breastfeeding is an excellent form of birth control for the first six months of a new baby’s life. However, women are often not presented with this option. I can remember being told in my training, “Breastfeeding is good birth control for the population, but not for the individual.” Over and over women are indoctrinated, “If you don’t use prescription birth control you will get pregnant.” As a result, physicians give “individuals” birth control out of fear that another pregnancy may occur. Birth control is not without side effects including potential compromise to milk supply. Amenorrhea is a pleasant benefit for many exclusively breastfeeding mother. The hurry to make a non-cycling women cycle without careful counseling is disturbing. I have never understood the rush for OB’s to prescribe birth control. Birth is good for their business!

Ecologic breastfeeding is good birth control for women who are instructed properly. I also find that women who enjoy breastfeeding usually enjoy mothering more and want more babies eventually. I encourage women to learn more about lactational amenorrhea, child spacing, and natural family planning. The Couple to Couple League International offers information, books and classes.

Tuesday, November 27, 2007

Late November Book Update

I am still working out final details in the design of the book. "The Book" is written, but it sure is tedious getting the layout details done. To top off the interior formatting, if there is any blank pages, I am going to resubmit it, to add more photos! There will be over 65 photos of a variety of women showing lots of bf (of course), doula support at birth, breech birth, pregnancy, babywearing, cloth diapers, and more.

I was really hoping to get the book done by the holidays. I think it may be done by the end of the year, but I don't think it will be done within the next few weeks for ordering holiday gifts.

However, print-on-demand publishing is quick. You never never know. Once I give the OK, the printing part my be real quick. I am sure you will hear a big cyber-hurrah when the book is finally published.

Thursday, November 22, 2007

My Thoughts on The Business of Being Born Documentary by Ricki Lake

This is a letter I wrote my friend who missed the movie:

The documentary successfully conveys the theme, "You're going to be transformed by your birth like it or not; it might as well change you for the good."

I didn't count, but I guess about 30 or more women and two men came to the viewing on Sunday. About 2/3's I knew.The documentary showed excellent coverage of a few natural births purposely filmed for this project including Ricki Lake's birth, a midwife's reflection on her own birth, and others. These births with low profile midwives in attendance really emphasized the ecstasy and joy a mother feels after an unmedicated birth and connecting with the new baby. And it showed previously recorded segments of clips of Marsden Wagner, Ina May, Michael Odent, Robbie Davis-Floyd, and more all speaking on the problems with birth in American hospitals. It showed clippings and photos of the history of hospital birth: stirrups, scopolamine affect, tying women down to keep them in control. Showed segments of residents on rounds (which could have been in any hospital I've been in residency) totally clueless how to meet the needs of their laboring women. It was quick and fast moving, emotional and funny.

The Filmer, Abby Epstein, was pregnant during the making of this documentary. She was under an OB's care, until the 35 week check-up when she told him she was going with the homebirth midwife. On this day it shows Ricki Lake commenting on her small gravid abdomen. The very next day she went in to labor with a breech. The midwife transferred to the hospital and her OB did a C. The audience seem to conclude that sometimes "you need a hospital." Abby herself said, something like everything was wrong, preterm labor, breech, cord around the neck, IUGR-- the typical things a women says after a C. One of the reasons I took advantage of the second showing is that I wanted to follow the dialogue of her pregnancy better. It was apparent to me after a second viewing that chronic maternal malnourishment was the problem(not a last minute freak accident) and it was passed onto the baby and the birth outcome. Necessarily and sadly it showed the disruption in bonding and breastfeeding of this birth. I also saw a different attitude with Abby at the beginning than the other women, "this movie one of Ricki's crazy ideas." I don't think at first she fully appreciated what "Birth" means. I think she does now, but I don't think she did when she was pregnant. Not unlike most American women. Kudos to her for being brave to show all this in her movie.

I don't know if everyone noticed, but I noticed that the starring midwife did not wear gloves at the births (some water, some squatting). I am not sure what most Americans would think viewing this or would they even observe this detail. Other midwifes wore gloves, though. An out-of-town midwife at the second showing I went to, pointed out that this would probably be something the midwife and couple would have to discuss before hand.

Two women in the movie were squatting/standing when they delivered their baby. It reminded me of you standing/breastfeeding and holding newborn Tobias. Definitely not what you see everyday. Two women, one in water and one of these women squatting were so internally focused (and not screaming) when the midwife asked the moms to reach down for their baby and pull him to their chest, I don't think the women even realized the baby came out. Beautiful births! All these ecstatic outcomes brought me back to my emotions with Scott and David being brought to my chest.

The first audience had women who wanted to be there, some NEEDED to be there. A tissue box was passed around the room. It was nice to be in a group with so many pregnant wanting this info and babies being held in slings and laps and not in containers. Tammy Osborne, me, and an Acupuncturist were the "panel." Most questions were directed towards Tammy. She did a great job answering questions. I really enjoyed the discussion I had at last nights showing. It was a quiet and intimate group and I knew I had questions on my mind I wanted to ask about. The out-of-town midwife had a lot of insight to my probing.

I almost feel envious of the women who are pregnant who will have such a wonderful experience in the near future.

Who's Cooking at Your House?

I am glad its NOT me! I hate cooking, but I do like eating healthy.
Don't tell the boys there is no cane sugar or perservatives in any of this food because they might not eat it if they know it's good for them.
It's all fresh!



David LOVES cooking. He loves helping. I am so glad that someone in this house likes doing this kind of stuff. He's so proud that he can break eggs by himself.
(He's a great assistant. We don't usuallylet him use knives. He's just so proud of himself for helping, I had to let him cut a little bit up.)

Tuesday, November 20, 2007

My Waiting Room

Most people don't know how much I can learn about a new mother/baby pair by just keeping an eye on what goes on in my waiting room. I purposely take notice because there are things I want to observe.

Is the baby being worn in a sling? Is the sling being worn correctly? Does the mother have a hand in contact with the baby in the sling (ei, rubbing the baby's back)? Does the mother confidently breastfeed in the sling?

Or, is the baby sleeping in a car seat? Covered by a blanket over the whole carrier? With a foot of a parent rocking the baby? Or worse, is the baby crying in the car seat, rocked by the foot of the mother, with a pacifier stuck into its mouth? And no human interaction? Is she looking at our big selection of birth and breastfeeding books? Or totally disinterested?

Observing these scenarios gives me lots of clues about if this pair is being seen for latch issues. Which scenario do you think is more likely to have latch issues? You have to be in contact with your baby to breastfeed. You can't spoil a baby too much by holding her.

Other things I note: Is there bottles in the pocket of the diaper bag? Is there a pacifier attached to the car seat? Is the diaper bag a freebie from a formula company? (did you even know how undermining the diaper bag-freebies are?) Is the baby being fed a bottle (prior to a lactation visit)? Or is breastfeeding hidden behind a blanket?

Fortunately most mothers (at least from the selection of moms who make the effort to come in for a consult) want to be told its OK to hold the baby. Many mothers do not want to give a pacifier, but nobody has ever told them other ways to console a baby (skin-to-skin, sling, co-bath, co-sleep, rocking). Its no wonder babies won't latch! Many of "my" mothers are so glad to verbally receive permission to mother. Many of the mothers I see who come in "with a baby hidden under the blanket" do leave confidently with a baby latched in a sling!

"We mistakenly say that a baby rejects the breast. How did I get the baby to latch? Babies want to latch. Even after a less then optimal birth and poor feeding start, they WANT TO LATCH. They are just waiting for the opportunity. Don't wait to long to provide them the opportunity. In my exam room with a comfortable chair for my mom, footstool, back and elbow support, naked baby (no mittens!), and proper positioning in a quiet atmosphere with no distraction, a hungry baby under the age of two months old usually latches. They were really just waiting for the opportunity.

Nursing Bra Humor

Today I was reminded of the time I purchased my first nursing bra. I remember thinking, "Why buy one, can't I just wear my regular bra for the short time I need one, instead of spending all that money on something I won't need very long?" Three children and eleven year later I am still wearing the same style bra 24/7 ... I've bought new nursing bras many times over. (I carry Medela styles in my store, too!)

Now, I bought my first nursing bra after I had my baby. I would have liked to be more prepared and wished I bought it before he was born (and not be trying them on with a baby in my arms). One time I recommended to someone that she should put nursing bras on her list of things she should get before the birth. She looked at me weird and asked, "Do I really need a nursing bra?"

"OK, OK, just wear your regular bra." I gave in.

I made a poor assumption.

She never wore bras.

Monday, November 19, 2007

ICAN Birth Videos

Why your birth matters...




Don't be fooled by CPD...


Positive Affirmations. This should be watched daily by anyone pregnant...

FAQ: Burping your Breastfed Baby

A: You do not need to wake a peacefully, sleeping breastfed baby just to burp. If they need to burp, they will on their own. Enjoy the joy that comes from watching your baby fall asleep at your breast without disturbing them.

Friday, November 16, 2007

Book Progress and my Busy Day

After waiting and waiting, I got both my interior proof of the book back today and draft of my cover design. (I'm down to the final details in both cases.) It gets really stressful proofreading & making sure I communicate the changes that I need done in the proper format. I wonder who does all the proofreading (after editing and interior design) of all the books that are out. I can hardly picture that many authors taking the time to mull over details like I do.

I am also encouraged by my busy day. It is really slow getting other physicians to refer for breastfeeding consults. This week I had three new mother/baby pairs referred by local physicians. This is a BIG change. I've also had two new families come to me, referred by friends because they were discharged from the pediatricians practice for being "non-compliant." One was a family that refused to give the baby Zantac (see post below). The other was over vaccinations. I really like being able to offer other options.

So I am suppose to be proofreading and I'm blogging instead.....

Thursday, November 15, 2007

Introducing Our Newest Drummer David...

(...with a half eaten bagel on his lap.)

Wednesday, November 14, 2007

Zantac, Breastfeeding, Reflux

Do we really need Zantac? Things come in spurts and these past few weeks, it seems I've seen an increase in breastfed babies being treated for reflux with pharmaceuticals like Zantac, Axid, and Propulsid.

As far back, as I can remember working in hospital nurseries, babies have always been treated with Zantac. Zantac and head elevation has been the first line of treatment for reflux and regurgitation in young babies. It's just that now it seems like more mothers are questioning this treatment. Not until I got involved with breastfeeding did I learn that reflux and vomiting in an otherwise thriving breastfed baby can often be corrected with simple changes in hold, positions, and patterns of breastfeeding. If the baby is getting formula supplements, eliminating the formula is the first thing to do. NEVER was that mentioned in my earlier nursery days. But other things to consider are oversupply and fast let-down (more common than you would think) and sensitivities to something in the mother's diet. Zantac and these other medications just cover the problem! They do not resolve the underlying issue.

I've had breastfeeding moms come to me in various stages of "awareness." Those that know the prescription doesn't work and want other options. And moms convinced that the baby has serious medical problems and it is almost a challenge to reassure them that simple breastfeeding techniques can control the problem.

I imagine many babies on diets of formula unfortunately may need Zantac when breastmilk isn't an option. There are many babies in a Pediatrician's practice on formula, so the doctor is 'comfortable' with using Zantac. I am not.

Babies loosing weight may have other issues to consider (latch and transfer). But in the thriving breastfed baby, prescription medication should never be the first line of treatment for reflux and regurgitation.

Tuesday, November 13, 2007

David's Quote of the Day

Four-year-old David: "I'm so excited because I am going to have another birthday when I get older."

Sunday, November 11, 2007

Am I still Unschooling?

William (5th grade) has been busy this school year! He is enrolled in keyboarding at flvs.net. It was suggested by our annual evaluator that we transition with an elective before diving into required classes, since we have never followed a curriculum. William has done very well. I have become aware that I am a "hunt and peck" kind of keyboarder (despite taking typing on an old-fashion typewriter in highschoool) , but my son has learn how to type properly! He has learned how to format memos, letters, and reports. And he has to write the contents of each, also. I find this gives him the opportunity to be very creative! The virtual class involves written and oral exam (by telephone call). It also involves interaction with teacher and classmates, dispelling the myth that virtual classes leads to isolation. Several of his virtual classmates have joined his friends lists on other virtual communities. And several of his real life friend are enrolled in flvs.


William has joined a stock market club at this online campus. The club meets each Tuesday night... and the members IM and TALK to each other through the computer! They really talk!

Both school activities are recommended for 6th grade and above.

William is also in Karate twice a week. He takes drum lessons once a week. He is in Hebrew/religious school ( a Tuesday night/Sunday morning curriculum). A teacher in the congregation often tells William that if he went to school he'd be better at arts and crafts. How awful for a teacher to talk this way! How silly to put someone in school just so they can color better. His "art" is his photography. He should tell his teacher he is a published photographer which he true. We all have our own talents. I want to know, since they do crafts in her Jewish History class, why doesn't SHE help him improve?

He is finally reading novels this year. We discovered the beautiful FAU University campus a mile away is also a county library. This is a very convenient resource. He knows how to request books online and we go pick them up when they are ready. He likes scary stories and books by Lauren Myracle. (Her books are written in IM and text messaging conversation.)

He's got quite a load of work to do right now. Is this unschooling? Some days we have so much to do, I feel like it isn't. But my common sense tells me it is, because this is what's working right now and I can change course any time I want with no pressure to conform.

In our homeschool, he was never forced into learning (and burn-out) and was always allowed to follow his interests through.
This is his favorite recent photo of himself. He is bored of all the photos I take that make him look like a little boy. His personality is emerging!

Now, the neighborhood kids are banging on the front door looking for him....

Saturday, November 10, 2007

It must be fun to be a mother these days....


A senior patient was looking at the photos in my exam room--mothers and babies--similar to what is on my blog. She exclaimed, "How much fun it must be to be a mother these days. In my day we had to hide everything. We weren't encouraged at all to be mothers."

Honestly has anything changed? Women are embarrassed to nurse in public, they are embarrassed to tell anyone they are STILL breastfeeding, embarrassed to tell anyone they fell asleep with the baby or even just admit how good it feels to hold your baby. I can't say that I blame anyone. Images are all around us of unhealthy mothering and products that promote separation. These images define "normal" for many mothers.

I explained this to the lady and said that is why I hang up photos to create an encouraging atmosphere of what should be normal. I hope mothers can become more consciously aware of how modern values (often driven by consumerism and big industry) inhibit our instincts to nurture.

Friday, November 9, 2007

Does Breastfeeding Hurt?

My new medical assistant student, who was grossed-out by breastfeeding, told me that she would never breastfeed again, because with her first child--it hurt too much.

She assisted me with a new mom who came into the office 4 days postpartum with sore nipples and swollen, red engorged breasts. Her nipples were cracked. She had mastitis on both sides. With empathy, I agreed, "Breastfeeding can hurt." My student stayed in the room and busied herself while I talked with my patient, examined her, obtained milk for culture, and formed a treatment plan with antibiotics, antifungals, and topicals. I showed her the positions and holds she could breastfeed in to minimize the pain. Our patient was better in two days.

Our patient later reflected on the mismanagement that lead up to her problems:

"After my daughter was born, I asked to breastfeed her. The were sewing me up and said I’d have time later, "When you get to your new room then you can try." I was so numb from the epidural I couldn't move in my bed for 6 hours. When we finally got to our new room, my husband fell asleep on his cot and our baby started crying in her bassinet that they had her in at the foot of my bed. I tried to wake my husband up, but when he’s out, he's down for the night. I could not get out of bed; I was so numb. I paged a nurse and said I want to hold my baby and nurse her. She said, “You really need to rest. She’ll be fine.” I told her that I wanted my baby with me and she said, “Are you sure, you’ll have plenty of time to hold her after you rest.” My breasts eventually became engorged because of the delay in nursing. My baby had trouble latching on swollen nipples and they became cracked and it was downhill from there."

My student was amazed. She thought what she had suffered was normal breastfeeding. Now she realized she had the same: mastitis, thrush, and cracked nipples. She learned that mismanagement and infection hurt. My assistant did nurse her next baby without pain.

Thursday, November 8, 2007

Wear Your Baby


The last time I wore David in a sling was on a day trip to Savannah, Georgia when he was almost three. There is lots of walking and climbing on uneven cobblestone and pavement. It’s not easy to have a stroller downtown or on the River Walk. It felt so good to have him up high, not dragging behind and calling, “C’mon David, Don’t touch that. C’mon, vamos” In his simple innocence of youth, I overheard a boy about David’s age ask, “Daddy, please carry me like that little, boy.” I felt so good knowing I was meeting David’s needs.

My profile photo shows me wearing David in a five-yard-long wrap (that I made!) I carried David around in Savannah in a non-padded ring sling (like in the photo with this post). Both my doulas sew ring slings so I especially liked wearing slings made just for me by my special friends. In the office I teach moms how to wear a non-padded ring sling. A ring sling is the quickest to explain how to use in a busy office. I keep photos on a my bulletin board of different slings and let mom's know there are more styles of carriers and many resources to learn how to use all the different styles. A wrap is popular in my area. It takes too much time in the office for me to pull out and demonstrate.

I have never used an Mei Tei. I wish I tried it. I used a padded sling, but I didn't care for the bulk and I did not feel like there was enough flexibility in length to accomodate my change in size through pregnancy, postpartum weight loss, and next pregnancy..., I do not like the pouch. I know a lot of people do and is worth looking into. I've tried various department store carriers. Those carriers discouraged me and looking back I felt like I lost time "wearing my baby." If I had another baby to start over with, I would have a non-padded ring sling (from my doula friends), my wrap, and a mei tei from the start.

I love the Babywearing CD-ROM.

I also like this site: wearyourbaby.com

I have more on my sling musings on my main website.


Self-publishing, getting started...

In response to my previous post, I have received this question from another blogger:

I have often thought of writing a book. I often wonder how things are done. I have given birth both in the hospital and in our home, I've bottlefed and nursed and I've adopted older children and now we will be adopting a young child. Mixed in all of this is one heck of a story I would love to tell. Are there any websites that you can point me too?

I started by merging all my articles, letters, and previous posts, into one document. A blog is actually a great place to accumulate your writings (and photos and illustrations). It's a great place to learn what your readers are interested in and what to elaborate on.

First, Write, write, write. Get it all down.

There are several print-on-demand companies. I went with outskirts press. I signed with outskirts before I even finished writing because I was committed and needed the BIG push. Before I turned in a final manuscript, I hired an editor. Outskirtspress has editors available, I just happened to stumble on one privately who met my needs. She is not taking new clients right now, but suggested WritersWeekly.com newsletter as a good source of information. Another source I found is Parapublishing.

I went back in forth with my editor three times. 1st she organized and made ((many)) grammar suggestions, and then sent it back to me. With an updated and neat manuscript, I easily wrote some more and then she took it again for a few weeks. After she returned the second round, I continued to fill in more gaps and she specifically edited the new sections only.

When I was satisfied that I wrote everything I wanted to include, I sent it to outskirts for interior design. I am on my second round with outskirtspress. I am expecting it to be ready to go to print after this. A friend from my college is designing my cover. I am waiting on final proofs from her too.

Looking back, I probably didn't need to sign with outskirts so fast. I needed to finish writing more first. I would have sent it to an editor sooner (and stop wasting time dwelling on it).

I merged all my articles into one document on Jan 1 2007 and signed with outskirts shortly after. I hired an editor around March. I wrote my first article in 2002, not realizing how much more I would continue to write. That gives you an idea of my time-line.

It sounds like you have a lot to share! I am glad you asked.

Wednesday, November 7, 2007

My Original Articles


If you're new here, please be sure you check my website for my original birth, co-sleeping, and babywearing articles. These first articles start my mothering journey and the challenges I face (and may be similar to the obstacles we all have). My articles (and letters from breastfeeding mothers) form the foundation of Permission to Mother. I merged these articles together, hired a great editor, and then filled in the gaps with more writing and over sixty photos. I am grateful to the woman who have allowed me to share their stories, so we can all go on and enjoy our births and breastfeeding more.

Monday, November 5, 2007

How books get to bookstores...

I am self-publishing with a print-on-demand publisher.

Book distribution is set in the price. I will set the price and royalty when I get the final page count. Book store distribution means a higher price so that they get royalties or I take less out of a set price. I'd like to keep the price down.

Book store distribution also means I pay "insurance" annually to my printer so that the book stores may return unsold books to the printer. (I pay and there is still no guarantee bookstores will want it.)

Distribution through amazon.com and bn.com (and others) is a part of the contract with outskirtspress. That's definite.

Through this process I have learned that more specialty books are sold online. Bookstores are for coffee, socializing, and NY Times Best Sellers. And since I set the price/royalty distibution now, it's really a just a gamble. (It also gives me some insight why there are some really good birth/bf and other specialty books out there, we never find in book stores and we continue to see some crappy books in the book store despite reader protests.)

I am going to make a decision soon, so if anyone has anything else I should consider this is definitely the time. I probably won't opt for book store distribution... and at least now you can understand the "politics" behind it. If you don't see my book in the bookstore, you will know why.

There are many on-line marketing opportunities: my groups and forums, websites, e-mail lists. I will send for LLL approval and others. I will send it for book reviews to appropriate magazines or specialty book stores...

A traditional published book may have other ways of getting into book stores. Other printers may do it differently, but this is how it works for me.


Learn more about outskirtspress.com

Thursday, November 1, 2007

Information off the Internet

I often have new breastfeeding mothers ask me about information they read on the Internet.
Two things (I can think of right now) to watch out for:

1. If the information is surrounded by ads in violation of the WHO code (bottles and formula) the information is probably not going to be helpful in your attempts to breastfeed-- the articles and ads probably reinforce each others purpose to sell you formula.

2. If an informative article or post does not use the authors real name or identity (ei... many popular forums use decorative factitious signatures), take it for entertainment. Why not sign with your real name if the information or opinion is valid?

What is "home-centered parenting?"

In the foreword to my book, Bernadette Clark RN CD (DONA) contributes, "The classic you are about to read will take you along Dr. Punger’s personal journey from medical school training to home-centered parenting."

I absolutely love this descriptive phrase "home-centered parenting." I'm not a stay-at-home- mom, a phrase that implies children are the priority. I could not think of a word that seemed to fit my parenting style. I don't believe that all stay-at-home mothers are home-centered. I did take 1 1/2 years off from reporting to work around one son's birth. Although I was a "SAHM," I still didn't feel like "SAHM" suited me then. Conversely, working out of the home does not necessarily mean you aren't centered on your kids. Since I've had children, I have tried to maximize the efficiency of my time in the office and find creative ways to bring home the work that could be done at home (like write about my kids!). I love how my efforts are summarized in this short phrase Bernadette included in the beautiful foreword she composed. I love how "home-centered" includes a variety of lifestyle/parenting styles.

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