Thursday, January 12, 2006

Breastfeeding Rights and Attitudes

Today's Tennessean has a piece titled "Breast-feeding in public may get protections." Stemming from publicity surrounding an incident in which a Williamson County mother encountered problems breastfeeding in the local recreation center, County officials have apparently stated that the activity will be allowed in any public buildings. At the state level, Republican Reps. Susan Lynn and Glen Casada are planning to introduce a breastfeeding bill in the next general session that would cover public spaces statewide (not private buildings and businesses). The article, in a review of some locations' policies, mentions that Calypso Cafe in Cool Springs accepts breastfeeding - kudos to them, and manager Matt Whitford! Also in the piece:
Says Michelle Collins, a certified nurse midwife at Vanderbilt University Medical Center, said she found it ludicrous that legislation was needed to protect a woman's right to breast-feed in public. "In our country there's this phobia about breast-feeding, but you can wear a shirt that shows more," Collins said. "In other countries women breast-feed where and when they want and it's not a big deal."
The Tennessean article has an associated comment board where users can post their opinions, with mixed opinions thus far. Nashville Knucklehead and Enclave also have posts on the story. Still waiting on comment from Franklin Circus, who previously called the mother who wanted to breastfeed in view of others at the rec center, "a spoiled kid who was never told no or spanked when she was young." Classy, right?

Some breastfeeding information:
  • Easy Guide to Breastfeeding (PDF file - National Women's Health Information Center)
  • Coping With Breastfeeding Challenges (NWHIC)
  • GotMom.org (Breastfeeding info from the American College of Nurse-Midwives)
  • Breastfeeding and the Law (La Leche League)
  • La Leche League International, and Tennessee LLL groups

    La Leche League has a particularly helpful page on breastfeeding in public and handling others' comments. In addition to general advice for mothers, they provide a list of comebacks for the harrassed breastfeeder:

    "You can't do that here."
    "Please show me a copy of the regulation against feeding my baby."

    "You have to do that in the bathroom."
    "I thought it was against health regulations to serve food in a restroom."

    "Wouldn't you be more comfortable elsewhere?"
    "I'm fine here. Thank you for your concern!"

    Technorati Tags:
    MeSH Tags: Breast Feeding
  • Tuesday, January 10, 2006

    Sex Drive and the Pill

    The New York Times today published an article titled "When the Pill Arouses That Urge for Abstinence." The piece discusses the possibility that the use of oral contraceptives can reduce sex drive in women, inspired by a recent study in the Journal of Sexual Medicine which suggested that women on the pill may experience reduced sexual desire even a few months after they stop taking it, due to increased levels of a protein that inhibits testosterone, thereby inhibiting the woman's interest in sex. The article indicates that women have reported this side effect for some time to their doctors, yet women are often not informed of this possibility when prescribed the drug. According to the NYT article, "...some doctors who prescribe oral contraceptives said that if they were to discuss sexual dysfunction, they might influence patients' expectations, setting off the problem." In my opinion, this statement is insulting to the intelligence of women, and violates their right to informed consent. If physicians are aware of potential problems with a medication, these should be disclosed to the woman so she can make an educated choice about whether she wishes to take the pill.

    The topic is somewhat controversial, as researchers don't agree about the mechanism or cause of decreased desire, and there have been a limited number of studies on the problem. The studies I found on the issue were very few, and seemed to disagree on the scope and nature of the problem. It seems that given the length of time oral contraceptives have been in use, a more definitive answer should be available to women. The folks over at Feministing also have something to say on the issue.

    Technorati Tags: ; ;
    MeSH Tags: Contraceptives, Oral/adverse effects; Libido/drug effects; Sexual Behavior/drug effects; Sexual Dysfunction, Physiological/chemically induced

    Monday, January 9, 2006

    January is National [blank] Month

    According to a website of 2006 National Health Observances, January is National Cervical Cancer Awareness Month, Glaucoma Awareness Month, Thyroid Awareness Month, Birth Defects Prevention Month, and Blood Donor Month.

    Birth Defects
  • Birth Defects and Genetic Conditions (March of Dimes Foundation)
  • MedlinePlus: Birth Defects (National Library of Medicine)

    Blood Donation
  • Blood Donation Eligibility Guidelines (American Red Cross)
  • What to Expect When Donating Blood (American Red Cross)
  • GiveLife - find out where to give blood (American Red Cross)

    Cervical Cancer
  • What You Need to Know About Cancer of the Cervix (National Cancer Institute)
  • Cervical Cancer Risk Questionnaire (Harvard Center for Cancer Prevention)
  • Pap Tests & Cervical Health - A Healthy Habit for You (National Cancer Institute)

    Glaucoma
  • Glaucoma: What You Should Know (National Eye Institute)
  • About Glacoma (The Glaucoma Foundation)

    Thyroid
  • MedlinePlus: Thyroid Diseases (National Library of Medicine)
  • Patient Resources (American Thyroid Association)

    Technorati Tags: ; ; ; ;
    MeSH Tags: Abnormalities; Blood Donors; Glaucoma; Thyroid Diseases; Uterine Cervical Neoplasms
  • Alito Hearings Begin

    As you probably already know, confirmation hearings for Supreme Court nominee Samuel Alito began today. Abortion is expected to be a prominent issue in the discussions. You can watch video of the hearings via the C-SPAN website; also linked from the C-SPAN homepage is a special discussing how the Court has dealt with the issue of abortion is the past.
    Technorati Tags: ; ;
    MeSH Tags: Abortion, Induced/legislation and jurisprudence; Supreme Court Decisions

    Sunday, January 8, 2006

    Dueling Kates on Meet the Press

    Meet the Press this morning featured debate on feminism and abortion, featuring Kate Michelman, author of, "With Liberty and Justice for All: A Life Spent Protecting the Right to Choose" and Kate O'Beirne, author of "Women Who Make the World Worse and How Their Radical Feminist Assault Is Ruining Our Schools, Families, Military, and Sports." There was not much new here, but it was a lively conversation and you can download the video from the Meet the Press website after 2:30.
    Technorati Tags: ; ;
    MeSH Tags: Abortion, Induced/legislation and jurisprudence; Feminism

    An Interesting Piece on Prophylactic Mastectomy

    Sue of the Women's Bioethics Blog has an interesting post on prophylactic mastectomy, inspired by this article in the New York Times. She examines the topic of whether women with genetic risk factors for breast cancer could be required to have this procedure, or risk having insurance plans refuse to pay for care if the patient develops cancer or even drop the person's coverage preemptively. Says Sue:
    As we move more and more toward a "personal responsibility" view of healthcare in the United States, we need to remain cognizant of the bigger picture. Today, the view that people are responsible for the unhealthy choices they make (smoking, drinking, using drugs, etc.) and should bear the burdens of their decisions is becoming more and more popular. It may turn out that when we began to think about this issue in terms of "health problems you choose for yourself," we may unwittingly have opened the door to such ideas as mandatory (if you want to stay insured) mastectomy.
    Check out the rest of the post - it's an intriguing take on a women's health rights issue that I don't know to have arisen, but the possibilities are worth noting.
    Technorati Tags: ; ; ;
    MeSH Tags: Bioethics; Genes, BRCA1 OR Genes, BRCA2; Insurance, Health/ethics

    Indiana Representative Introduces Bill to Ban Abortion

    Indiana State Representative Troy Woodruff (R) has introduced HB 1096, which would ban abortion in the state except those "necessary to prevent a substantial permanent impairment of the life or physical health of the pregnant woman." The full text of the bill is available here. It also makes performing abortions except in these cases a Class C felony for the provider; according to Indiana code, "A person who commits a Class C felony shall be imprisoned for a fixed term of between two (2) and eight (8) years, with the advisory sentence being four (4) years. In addition, the person may be fined not more than ten thousand dollars ($10,000)." According to the Evansville Courier & Press, "Woodruff said he filed the bill in part because there will be a new U.S. Supreme Court and a state must pass a law and then appeal it to the highest court to see if the Roe v. Wade ruling will stand." If you have an opinion for Representative Woodruff, you may contact him online here.
    Technorati Tags: ; ; ;
    MeSH Tags: Abortion, Induced/legislation and jurisprudence