Breastfeeding, Part 2

After posting on my experiences of breastfeeding in Ghana, I got many comments. Most of them were long and very informative, so I thought I’d share with you some of the issues that came up. Here is Breastfeeding in Ghana and elsewhere, Part 2.

Nsoromma described breastfeeding as something very natural when growing up in a Ghanaian community in London:

As common as drinking water, women would whip out their breasts and feed a baby that needed feeding. There was no shame and it was not sexualised. When I grew up slightly and saw more White English families I realised it was Not The Done Thing. I remember being surprised to hear quite openly negative remarks about how disgusting it was for women to breastfeed…particularly outside of the home! This view pervades British society to such an extent that in my current job I often hear that raising breastfeeding rates (initiation, through to 6 months) is a massive public health priority.

So going back to Ghanaian women (at least in th UK), I think its a misguided case of copying what the ‘West’ do.

I think Nsoromma’s story is a good illustration of that attitudes vary and that they matter. Maybe sexualizing babies’ food/ breastfeeding has much more to do with the issue than I first thought…

Fiona Leonard stressed that pumping and bottle-feeding is possible, but that your workplace needs to be supportive.

Going back to work certainly makes it hard. I went back to work at four months and was exclusively breast feeding which meant I had to express, including at work. To be able to do that you need a very accommodating workplace. It’s not impossible though. I continued breast feeding (not exclusively) through to twelve months.

I can imagine expressing/pumping daily is a chore! I invested in a simple but high-end pump and have used it a total of three times…many parts to wash, pumping for 10-15 minutes (now I know why baby is sweating while eating) and I have been lucky to be able to stay at home until now which means I just bring baby with me instead of the pump!

My Intercultural Communication’s professor Pam wrote a long comment that I am too proud to cut down in any way. She also shared a link to a historic so-called usenet group FAQ that she had put together on the topic back in 1996! Still worth a read, though!

This is a fascinating article not only on cross-cultural attitudes about breastfeeding but also about how these attitudes are changing (and not always in good ways). Here in the US when I was breastfeeding nearly 20 years ago, I would discreetly breastfeed in public (restaurants, benches), and although many people found it odd, few if any people criticized me for it. However, now, I cannot remember the last time I saw a breastfeeding mother in public. And apparently there has been much controversy about it: see this article: http://abcnews.go.com/Health/kasey-kahne-target-nurse-ins-public-breast-feeding/story.

Where I found much more dissension was in breastfeeding my child after he was a year old. Very few American mothers continue to breastfeed older infants and toddlers and tend to wean them rather young. I continued until my son naturally weaned himself, which happened about 18-20 months. This was back in the very early days of the internet (before the WorldWide Web and I was a participant in a great support group called misc.kids via usenet groups. In fact, I just located the archives of the FAQ I compiled on this topic at http://www.faqs.org/faqs/misc-kids/breastfeeding/toddlers/. Enjoy!

I find it interesting that when breastfeeding in public is “breaking the norm” – actually nothing much happens if one does!

Maya Mame suggested that the comments I have gotten when breastfeeding in Ghana are more class related than anything else:

  I was going to raise a point, but realised mentioned it later in your piece. I doubt the surprise at you breastfeeding has to do with your colour, I think it is mainly something that you don’t see “affluent” people doing in Ghana. (I too received many “you’ve done well” comments and there’s nothing white about me! ;-)

The same commenter also shared some particulars for Ghanaian mothers that makes breastfeeding more difficult that it need to be:

In addition to that, as you and Fiona mentioned, going back to work (and here, let’s remember, as I was harshly informed, there are extremely limited part time jobs in Ghana, so going back to work means full time, with approximately 45 minutes journey in and out) means most women will be away from home for 10-12 hours a day. It is practically impossible to pump enough to feed a baby for those hours.

In addition, what I noticed we lack in Ghana is advice on breastfeeding and stimulating milk production. Unless you get traditional tips from aunties (eat groundnuts with their skin on, or drink palm nut soup, there’s not much advice or places to go to for advice if your milk production were to slow down. I, who’ve somehow become the breast milk guru among friends, managed to help two friend who would most likely have stopped completely, if not given the tips I learned at the Swedish child care centre.

It is so common that milk production slows down, whether due to lack of sleep, stress or change in diet, and it is sad that something that can easily be increased would completely end, because people don’t know where to get advice from. Looking at those around me, ALL the mothers I know had the intention to breastfeed, but sadly, probably more than half stopped by three months, due to slow production or work commitments.

When I read the comment, I thought of Amningshjälpen, a Swedish breastfeeding support organization, and how it might be much needed globally.

Kinnatold her story of breastfeeding in Ghana and concluded that motivation to breastfeed might be lacking in Ghana.

Having lived most of my adult life in the US where breastfeeding is a problem for working mothers, I took full advantage of being back home to breastfeed my second son well past 12 months. Yeah, I got the “you’ve done well” and “isn’t it time to wean” talk but I just refused to do it any other way except the way that I had chosen. Of course, I have an accommodating workplace but nonetheless, I pumped and all that to make it work. It seems in Ghana that most parents, working or not, affluent or not, just don’t want to make time for the children that no one forced them to have. And the non-breastfeeding issue is a part of that.

Swedish blogger Nina Ruthström saw similarities in the Ghanaian breastfeeding situation to attitudes prevailing in Sweden in the 1970-1980s. She also shared her personal feeling on breastfeeding in public.

Gällande det sexuella så skulle jag vilja slänga fram tutten precis som om den vore en termos, men det vågar jag inte. Jag är alldeles för pryd för det. Och indoktrinerad bröst=sexuellt. Jag skulle gärna hjälpa till att avsexualisera brösten. Men jag är diskret.

(Concering the sexual, I would like to put forward the boob as was it a thermos, but I do not dare to. I am way too much of a prude. And indoctrinated that breast=sexual. I would like to help de-sexualizing breasts, but I am discreet).

Swedish friend Maria who have lived many years in the US also too interest in the debate. She commented on the need to cover up when breastfeeding in the US and said she prefer the more “relaxed” attitude to breastfeeding in Sweden.
 Vet inte riktigt var denna trend kommit fran i U.S.A. men tror kanske att det delvis har att gora med den i ibland bara tva veckor langa mamma ledigheten men ocksa i en oversexualisering av brost och i feluppfattningen att modersmjolksersattning ar nyttigare for barnet. Mycket intressant amne!
(I do not quite know where this US trend has come from, but think it is partly due to the sometimes only two week long maternity leave, but also a sexualization of breast and the misconception of that formula is healthier for the baby. Very interesting topic!)

I must say I was surprised at the interest my blog post on breastfeeding generated, but I am happy and grateful to have learned so much from my readers on the topic. Recently a reader of Nina’s blog , Sofia, suggested blogging is the womens’ forum of our time. I thought it was a bold and alluring statement. However, the discussion above seems to be the perfect illustration of its validity.

 

 

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Breastfeeding in Ghana: Statistics, Misconceptions and Formula

Beautiful mural from my neighborhood of a breastfeeding woman.

Since I returned to Ghana with our daughter, I have gotten many comments about me breastfeeding her. Most often, I am met with surprise, raised eyebrows and reassuring comments such as “you have done well!” Many of these reactions seem to come out of the misconception that “white people do not breastfeed”. Nothing could be more wrong!

In my native Sweden, there is extensive education on breastfeeding both for parents-to-be in preparatory courses and at the hospital when your infant is just born. Breastfeeding is highly encouraged, and initially 97% of mothers breastfeed. When the baby is 2 months 88% breastfeed partially and 69% exclusively. At 6 months the share of breastfeeding mothers is at 65% (Statistics from Swedish national board for health and welfare for children born 2009. Additionally, there is stats for babies’ breastfeeding of 9 months as well as 12 months!)

Surviving Life in Sweden blog (written by an American in Sweden) has some experience on breastfeeding and is surprised how openly Swedish mothers feed their children:

“In Sweden, the attitude toward the boob is different. Seriously, they are everywhere – in often very non-sexual ways – and it’s not a big deal. You will be stared at if you wear a nursing burka USA style. If you are shy and your child will oblige lay a small cloth over your shoulder/baby – but nothing dramatic. And no – it’s not because Swedish ladies want the world to see their boobs, it’s because they just wanted to keep their baby fed and not be chained to the house all day.”

I guess this goes to say that when it comes to attitudes on breastfeeding, there are also differences in the Global north.

Moving onto the attitudes to breastfeeding in Ghana: some of the Ghanaians I have talked to about this topic have informed me of a new trend in Ghana where Ghanaian mothers do not breastfeed their children. Some not at all, some very briefly.

I was surprised when I heard this, had I not seen many mothers feeding their children in Ghana? When water security is a problem, why not breastfeed? I decided to do some research and realized this is not a new trend, but a major health problem for Ghana. The Linkages Project summarizes the situation like this:

“Nearly all mothers initiate breastfeeding in Ghana. However, sub-optimal breastfeeding practices begin on the first day. Only 25 percent of women initiate breastfeeding within the first hour after birth. Approximately 20 percent of mothers nationwide practice exclusive breastfeeding for the recommended period of the first six months. The low rate of exclusive breastfeeding is largely due to the introduction of water and other liquids at an early age. The Ghana Health Service estimates that sub-optimal breastfeeding practices contribute to about eight percent of infant deaths or about 3,300 infant deaths each year.”

Only 20% of mothers breastfeed exclusively? I continued my search and found some more assuring data. According to World Bank data the rate of mothers practicing exclusive breastfeeding to children under six months is 62,8%. However, considering that this number likely comes from health providers and the indicator on children under 5 seeing a health practitioner is only half the population or 51%, the 20% stated above might sadly be about accurate.

The good news is that education really seem to help. The Linkages Project reports big jumps in numbers of breastfeeding mothers after sensitization.The Breastfeeding Week (!) might also help bring awareness. So education seems to be step one.

But one friend was insisting that also well-educated Ghanaians refrain from breastfeeding. Can an explanation to this behavior can be found in the relatively short Ghanaian maternity leave of three months? Compare with the recommended breastfeeding time of 6 months and you see the discrepancy.

Or are there other reasons? Vanity (“I do not want stretched out breasts”), corporate miseducation (“formula is better”) or something else?

What do you think?

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Ghana Housing Market: My Housing Career

As announced in an earlier post, I want to write on housing in Ghana. I believe it is important to my family, and likely to many more Ghanaians. And what better place to start than my own experiences.

Here is my housing career in Ghana:

 

 

 

 

 

 

 

 

 

2007

I move to Ghana in April and into my mother-in-laws small house in Tema. Except for my husband (-to-be at the time) and myself, five other adults and three children and some chickens also shared a house of four small bedrooms, one toilet, one shower and kitchen.

 

 

 

 

 

 

 

 

 

 

2008

We rent our own place, with the savings I brought from Sweden and a loan from my husbands employer, we can afford a four bedroom house (in anticipation of our wedding and the Swedish guests) that even has a small indoor pool! Without a filter, the pool is merely a big bathtub, we discover. We also discover we have a slightly different taste in home decor. In Ghana, the normal procedure is to pay a two or three year advance. We pay for two years.

 

 

 

 

 

 

 

 

 

2010

The two years is up and our landlord want to switch from charging us in Ghana Cedis to US Dollars. In reality, that is a 50% increase in rent and we decide to move. I look at what feels like 100 houses with numerable agents and finally find a house after 3-4 months of looking constantly. I drive a hard bargain and get a three bedroom (minus “pool” plus bats) to a 20% increase from two years earlier. We pay for two years in Ghana Cedis.

 

 

 

 

 

 

 

 

 

 

2012

After two years, the rent is up again. We have done some saving, checked up on mortgages and with two salaries we qualify for a loan to 13,5% (!) interest rate. We ask the landlady if the house we live in is for sale. It is not. Later, the Tema Development Cooperation values the house (in US Dollars) and it goes on the market for about twice our budget. Time to move again. This time every house both for rent and sale is on the market in US Dollars and we realize that with the budget that we have we cannot afford to stay in our neighborhood. As of now, I estimate that housing prices is up by 100% from my house searching in 2009/10.

What do we do? Where do we move? Should we continue renting or is it time to buy?

In the next parts of this blogging series I will touch on the different options for housing and their pros and cons.

Please add you comments below or on Twitter under the hashtag #GHhousing .

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Ghana Housing Market

It is a new year, but many things remain the same. Since some time, my little family has been preparing to relocate. After soon 5 years of renting, we believe we are now ready to purchase a house.

However, the housing market in Ghana (that I have covered earlier under the tag Housing in Ghana) is all other than transparent and easy to grasp, hence I thought I would share what I have learned in a blogging series.

But before I start my stories on renting, contracts, agents, real estate developers, plot purchasing, my dream house and other related topics, let me listen to you, my readers – what do you want to read about in connection to the Ghana housing market?

Answer in a comment below or on Twitter using the hashtag #GHhousing . Thanks!

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My Blogging Year 2011

Photo: Mattias Wiggberg

It is getting late. The year is almost ending. The time has come for bloggers to summarize the year. We all do it differently; I enjoyed  MsAfropolitan’s love letter, the book lists that hyper-readers Accra Books and things and A Fork in the Road shared and Africa Is A Country’s West African club hits!

My summary of the blogging year 2011 might not be possible to dance to, still here it is:

The year started out on a strong note. In January, I learned about Free and Open Source Software for Academics and analysed the Ghanaian “happiness culture“.

During February, I realized  in Swedish media Ghana is often portrayed like a success, economically, democratically and technologically. A more recent text buttressing my point is the top African success stories 2011 at Connected Africa.  This month I also celebrated my 30th birthday and my 500th blog post!

In March, I was inspired by DUST magazine and wrote my own You Know You Are In Accra When – jokes.

April was the month I got more serious and wrote about the mental health crisis in Ghana, sexual harassment and the unrest in Ivory Coast.

On Mother’s day I announced I was becoming a mother myself. At that point in May, my belly was so big everyone who saw me IRL knew. It was not like you needed to be an investigative journalist…  really is there just one investigative journalist in Ghana?

In June, I left Ghana for Europe. First stop was Marseille.  Then it was time for debating homosexuality. A debate that also made it to Global Voices.

In July, our daughter was born. What an experience! What a miracle! What a sweet soul!

In August, she was Virtually Outdoored. So was the Ashesi Berekuso Campus.

In September and October I was spending every hour of the day with our baby in Sweden. Taking walks, breastfeeding and blogging only sporadically.

Second week of November, I returned south and my daughter saw the green leaves and red soil of Ghana for the first time. And the green hoopoe!

In December, we had no water and I wrote about the EU Blue Card. And that was my 2011 year of blogging!

I am sure in the days to come, we will see many more chronicles of 2011 at Ghanablogging.com (soon to change name to BloggingGhana, but that is a story for 2012!)

Gott Nytt År! Afehyia pa! Happy New Year!

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Top 3 Swedish Xmas Blogs

Ok, so the xmas spirit is not quite making its way to tropical Ghana. Here it is more banana, dust and business-as-usual than apple, snow and special holiday cheer.  Hence I tend to rely on the Internet for feeling.

Here are my top three Swedish xmas feel providers:

1. Nina

How much more Christmassy can you get? Answer: A little more than 100% as Nina, a professional photographer, not only covers Swedish xmas, but the Gotlandic one too (that is we come from the same island, Gotland, in Sweden). She posts xmas deluxe with lovely xmas “pyssel” (the English “craft” does not cover the entire meaning of “pyssel”), delicious and beautiful xmas treats and views of a frosty island – just like in my childhood dreams.

 

 

 

 

 

 

 

 

 

2. Underbara Clara

Sweden’s best professional blogger. From a cottage in northern Sweden she produces pure xmas spirit and a little jävlarannamma.

 

 

 

 

 

 

 

 

 

 

3. Linnea

For my everyday-life-in-Sweden-fix, I turn to former school mate cum professional mother Linnea. She writes about buying environmental xmasgifts, worrying about slippery roads and posting pics of her adorable child and here her belly with child number two. Ahhh, Sweden!

 

 

 

 

 

 

 

 

 

I am so thankful to you for helping me get onboard the xmas train! This afternoon, I am forcing the xmas spirit to arrive by putting on a xmas CD, baking some ginger cookies and packing my bags for tomorrow.

Christmas eve will be celebrated in 30 degrees celcius, but among Scandinavian friends and with some of the foods, treats and presents!

Merry xmas! God jul!

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Back in Ghana and Green Wood Hoohoe

Saturday, Selma and I returned from the cold north to the warm south. Waiting here in Ghana were Selma’s father, her paternal grandparents and our big extended family including many good friends. Some of them we have seen the last couple of days, other we are still to meet this weekend.

Coming back always entails thawing aka getting used to the heat. First night is almost always fine, the second I woke up panting for air. The third day, I woke up to empty taps. I think I am halfway thawed so far…(Selma seems fine. Babies take this much better!)

Much is like I remember around our house, but plants have grown a lot in six months and our house was repainted by Selma’s father to welcome us home!

This afternoon, Selma and I sat outside admiring our newly painted house. But that wasn’t the only thing new! This beautiful tropical bird with an orange-red beak and long tail (called Green Wood Hoopoe I have deduced after some googling of “red beak and long tail”) also jumped around our backyard. Seemingly looking for insects to munch on. Smiling in the sun.

Picture borrowed from Wikipedia.

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What to Bring from Sweden

I have been quiet here for a while, mainly because I am starting to say goodbye to life here in Sweden. As a part of that process, I have to decide what to take with me from Sweden to Ghana.

My first year in Ghana, that list was quite long. Edibles like kaviar, nyponsoppa, knäckebröd, and then loads of books formed a substantial part of my luggage. With time, the list has grown leaner both because I have learned to live without certain items (kaviar, nyponsoppa), but also because many items can now be bought in Ghana (knäckebröd, for instance – I buy the Ryvita bread at any supermarket).

This time, I am traveling with a Kindle in my bag, so most of the books I’d like to read carry no physical weight. (I’m still in awe, isn’t this amazing?)

This year, I think the list is down to:

  • Cheese and Coffee – the amounts and qualities I need cannot be found within my budget in Ghana
  • Swedish candy (Although, now I can apparently order it from Candy from Sweden)
  • Swedish Home Decor magazines (with that special blend of Scandinavian design and IKEA).

But of course, what I most want to take with me, I can’t. In my case – my Swedish family and then the bandwidth…

What do you have to bring from home when you travel?

Pic from Candy from Sweden

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My Experience of 9/11 2001 in the US (and a Book)

Book cover for "Life After Sept 11th, 10 stories from New York" by Marianne Lentz

Some time ago, my Rotary Scholarship mate from my year in the US, got in touch. We met in 2001 at Reinhardt College in Georgia, US. She is now a journalist and was doing research for a book about the aftermath of September 11th 2001. She wanted me to tell her what I remembered from that day. This is the text I sent her:

“I woke up in my dorm room in the morning of 9/11. It was an ordinary day and after taking a shower I reviewed my Spanish homework. As I was sitting on my bed doing that, I suddenly hear my roommate Michele screaming and run over to her. She has the TV on and screams as she points to the set. As we are watching we see the smoke coming out from the first of the two World Trade Center towers and a distraught speaker voice talks about a second plane and we watch in amazement as that plane hits the second tower.

She has already her phone in hand and calls her mother in Uruguay and hostfamily – the hostfather works in the WTC…I run back into my room as I hear my phone ring, its my hostdad. I dont remember if he is trying to calm me or himself down, but  he is letting me know he believes “it is Bin Laden who is behind all this”. It is the first time I hear the name.

Before I am off to class, the news reaches us that also Pentagon in Washington DC has been hit. As I have a friend living in DC, I want to hear she’s alright. I phone her, but cannot get through. A few moments later the news presenters on TV urges the public to stop calling friends and relatives to allow for the phone lines to be used by emergency workers. I feel pretty stupid.

In Spanish class, we talk about what happened and in a later class we stand in a circle holding hands in silence. I channel my confusion and sadness over the events by walking around campus taking pictures of the nature. (I can look for the pics if you think they would be interesting for you, but I dont think thery were very special) During the day, we realize that also Atlanta, a mere 45 minutes away, and its headquarters for CNN and Center of Disease Control are possible targets. The threat creeps closer.

Already the same afternoon, American flags are hanging out from many windows. Over the next weeks, we will fear that our drinking water has been poisoned, that antrax can be sent to our mailboxes and that the terror can strike at any time again. At this time, I had spent only one month in the US, but could still clearly feel that this day had changed everything.”

Today Marianne Lentz’s book is out. It ended up being an interview book with 10 New Yorkers, their memories of that dreadful day and how it impacted on their lives. It’s currently only available in her native Danish, but hopefully soon in English too. I’m proud of you, Marianne!

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What Do You Do with a Baby All Day?

What shall we do?

Yesterday, I got the question:

– But what do you do with your baby all day?

The short answer is sleep, eat (her mostly, me in the space between) and play.

The long answer is this:

02.00 She wakes up with a wiggle and a yawn. I manage to give her my left breast before she screams or even opens her eyes.

05.30 She wakes up with a smile. I give her my right breast and when she has eaten (drunk?) decide it is time for a diaper change. After playing in the baby gym and saying some nursery rhymes, putting on a new outfit we go back to bed.

08.32 Grandma comes to take her before dashing off to work. I go back to sleep.

09.00 Grandpa brings her back. She is hungry.

11-ish We wake up and do the diaper-thing. I decide to dress her in an outfit that matches mine.

11.30 I have breakfast and read a wonderful blogpost about tossing the hunt for productivity out while grandpa tries to get her to sleep.

15.15 We go out for a walk after she has slept and ate. During the walk she sleeps.

16.12 We enter a café. She wakes up. She looks around the place in amazement. I hurry to order coffee and gulp it down before feeding her again.

17.14 We visit my brother. She screams until I pick her up and then she burps. I need to remember that babies (almost) always cry for a reason.

18.40 Back home. We play for a while. She looks at things, that is I say “What are you looking at? A flower? The sun rays?” Then she is suddenly hungry and after that needs a diaper change. I optimistically put on her pajama. She is all smiles at the changing table.

19.30 Still trying to get her to sleep. As soon as I sit down she cries. I put her in the BabyBjörn and start to sing. When she is asleep, I have dinner.

20.55 She is up again. Can she really be hungry? She sits with my parents and “talks” to them before coming back to me. I feed her to sleep.

23.00 Time to blog!

The second question I got was,

– Is it fun?

Well, it is a different tempo, a changed way of life, an exhausting and at the same time relaxing task, many times it is scary, but also exciting and yes, maybe even fun!

 

 

 

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When Did You Last Learn Something New?

LEARN from Rick Mereki on Vimeo.

Came across this beautiful movie called LEARN created by three guys who traveled the world (on the expense of a travel agency). Out of their trip came three separate and wonderful short films, except for the LEARN film above also MOVE and EAT.

But even though I love traveling and eating, I realize after watching this film there is nothing that compares with learning something new!

Which is your favorite?

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Is There a Universal Baby Language?

These days, I am spending most my time getting to know my baby and trying to understand what she wants.

In this process, I suddenly remembered watching an Oprah episode a few years back, where a woman claimed to have deciphered the universal “baby language”. According to her, babies have five “words” – they ARE trying to tell you what they want!

Yesterday, I found the clip and tried to watch it. Ironically, my child was trying to “communicate” at that very moment, making it impossible to watch the whole clip. Today, I had better luck.

I’d like to share the clip with you (see above) and know your opinion. Parents, does this seem right? Is there a universal baby language?

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