Jennifer Lincoln, MD, IBCLC, Board Certified OB/GYN • January 2, 2019 • 5 min read
1. You can do it!
Let’s face it: you are probably going to need to get out and about after baby comes, and sometimes your infant’s feeding time may come before you can make it home. For some moms, this is a scary thought! Whether you are comfortable breastfeeding without a cover in public or you prefer more coverage, it is your right to care for your child, no matter where you are. From what you wear to the timing of your feeds, here are some ways to make your first forays into breastfeeding in public a little bit smoother and more comfortable.
2. Practice makes it easier
If you are worried about how you will look or what it will be like when you breastfeed in public, try practicing at home in front of a mirror first. This will allow you to see how little skin will be exposed to those around you and give you the chance to see what strategies are right for you. You may even find that since you aren’t as exposed as you expected, you even prefer to nurse without a cover.
3. Dress for the occasion
Especially if you are concerned about showing too much skin while breastfeeding in public, you will probably find that nursing bras and shirts are lifesavers. These types of clothing make it easier to prepare for a feeding, since they simply unlatch or unbutton to expose just one breast, allowing you to keep your mid-section and other breast covered. You can use a nursing tank, which simply latches to your bra strap, to layer your outfit with a button-up shirt or whatever you will feel most comfortable feeding in.
4. Don’t push it
Fear of breastfeeding in public drives some moms to push the limits to get their little ones home before feeding them. Unfortunately, this plan can backfire and make breastfeeding in public somewhat traumatic; if your little one melts into a starving, screaming baby, you may face the added difficulty of problems with latching. Instead, it is best to just feed when your infant begins to show signs of being hungry, so that things are more likely to go well.
5. Do what is comfortable for you
If nursing in front of strangers leaves you feeling vulnerable and exposed, you may find it helpful to use a nursing cover or blanket. It is your right to feed without one, but you should do what is best for you. You may even find that your infant is easily distracted in the commotion of a public place, making it necessary to use a burp cloth or cover to create a more private space for him or her. If you prefer the coverage, be sure to keep your cover, cloth, or blanket in your diaper bag for easy access.
6. Take baby steps
When you are just starting out with feeding in public, try starting out somewhere that is quiet and semi-private, like your backyard or a fitting room. Starting somewhere less busy will allow you to see what the experience is like without the nervous feeling that all eyes are on you and will give you the chance to see how your baby behaves when feeding in a new place. Once you are comfortable, you will feel more prepared to tackle feeding in locations with more hustle and bustle.
7. Focus on the task at hand
Many women feel anxious about breastfeeding in public when they are starting out because they worry that others will watch. Try not to look at the people around you and, instead, focus on your baby during the feeding. You may feel like all eyes are on you, but the odds are that most people won’t even realize what is going on, let alone stare.
8. Keep trying!
Do you have a breastfeeding in public horror story? One where you and/or your baby were totally frustrated by the end of the ordeal and you just had to give up? Especially if your infant was very young at the time, you may have faced some challenges. It may not sound like the best idea, but trying again (and maybe again after that) will give you the practice you need to get the hang of things. Also, once your baby is a little bit older and better at latching and feeding, the process will become easier. Breastfeeding in any case can be difficult, so it is OK to need a few tries to find what works for you.
9. It’s your right
Despite the fact that you are protected by the law when you breastfeed in public, someone may ask you to cover up while nursing or leave the establishment. It is best to be prepared for this situation by knowing your rights and how you might want to respond. You may choose to confront the person by explaining your rights under your state’s laws, or you may choose to accommodate the request, while informing the establishment of your rights at a later time. Either way, if you already have a plan for this situation and know your rights ahead of time, it might help things go a little bit smoother.
10. Laugh a little!
At some point, your infant may pull the nursing cover away and expose your nipple or spray milk across the table. The truth is, every mom who nurses in public will likely end up with a story to tell, so try to keep your sense of humor in these situations! Laugh, and try not to dwell on the moment or feel too embarrassed because other moms have likely shared the same experience.
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Is Performing a C-Section Better Than Inducing Labour, when it comes to giving birth, usually the preferred option is to let labour proceed naturally. However, there are times when it is not in the mother or baby’s interest for this to happen. When the health of either is at risk, or if gestation has exceeded [41 weeks duration,](https://nabtahealth.com/articles/doctor-tips-weeks-27-40/) then it is highly probable that an alternative strategy will need to be implemented. There are two options available, [inducing labour](../) or performing a [C-section](../). With an induction, the [uterus](https://nabtahealth.com/glossary/uterus/) is artificially stimulated to contract, and it is then hoped that labour will proceed as per a natural delivery. In contrast, a C-section is a surgical procedure, whereby a cut is made in the abdomen and the baby is removed that way, rather than via the [vagina](https://nabtahealth.com/glossary/vagina/). Sometimes the only safe option is to perform a C-section, for example if the baby is breach, or when an emergency situation arises. However, there are other times when you may be presented with a choice and if this happens, what is the correct answer? Unfortunately there is no definitive right answer. An induction can be at least as safe as spontaneous labour and, if performed in the week prior to the [due date](https://nabtahealth.com/glossary/due-date/), it is thought to reduce [the risk of](https://nabtahealth.com/articles/what-is-preeclampsia/) [preeclampsia](https://nabtahealth.com/glossary/preeclampsia/) in the mother and respiratory distress in the child, possibly as a result of the [placenta](https://nabtahealth.com/glossary/placenta/) remaining fully functional. Unlike C-sections, inductions are not surgical procedures and thus, if all goes to plan, the recovery period is shorter. It is however, a big ‘IF’. [Induced labours](https://nabtahealth.com/articles/induction-of-labour/) are typically more painful, meaning more women will request stronger pain relief including epidurals, and there is a greater likelihood of assisted delivery, such as the use of forceps or ventouse. There is also an increased [risk of hyperstimulation](https://nabtahealth.com/articles/what-is-ovarian-drilling/) of the [uterus](https://nabtahealth.com/glossary/uterus/)., Uterine hyperstimulation causes more frequent, longer [contractions](https://nabtahealth.com/glossary/contraction/), which can [lead](https://nabtahealth.com/glossary/lead/) to complications such as foetal heart rate abnormalities and, in rare cases, uterine rupture. In a significant number of women, induction does not work and a C-section becomes necessary. The advent of the C-section was undoubtedly a medical revolution, instantly saving the lives of millions of women and children. However, C-sections bring with them all the risks of regular surgery, including blood clots, wound infection and bleeding. The recovery period is typically longer after a C-section than after a natural birth, driving restrictions are enforced and a scar remains, although this will fade over time. Whilst current guidelines stipulate that an induction should only be performed when [the risks of continuing the pregnancy](https://nabtahealth.com/articles/complications-during-pregnancy-polyhydramnios/) outweighs the benefits, with more women than ever requesting elective C-sections, the World Health Organisation has highlighted an urgent need for medical assessment efforts to address the risks of induced labour compared to elective C-section. Until such work is undertaken, it becomes a matter of individual circumstance, personal choice and ultimately weighing up what is best for you and your baby. **Sources:** * Grobman, W A, et al. “Labor Induction versus Expectant Management in Low-Risk Nulliparous Women.” _The New England Journal of Medicine_, vol. 379, no. 6, 9 Aug. 2018, pp. 513–523., doi:10.1056/NEJMoa1800566. * WHO Recommendations for Induction of Labour. World Health Organisation, [http://apps.who.int/iris/bitstream/handle/10665/44531/9789241501156\_eng.pdf?sequence=1](http://apps.who.int/iris/bitstream/handle/10665/44531/9789241501156_eng.pdf?sequence=1). Accessed on 23/01/2019. * _Inducing Labour. Clinical Guideline \[CG70\]_. NICE (National Institute for Care and Health Excellence), July 2008, www.nice.org.uk/guidance/cg70/chapter/Introduction. Accessed on 23/01/2019

Sushi is considered a healthy eating option and its popularity is growing in the US. Many parents wonder if it is safe for their young child to eat sushi and when they can safely introduce it in the diet. According to the American Academy of Pediatrics (AAP), there is no need to delay the introduction of fish or shellfish beyond [4-6 months](https://nabtahealth.com/articles/when-can-your-child-eat-sushi-and-raw-fish/) of age in healthy, low food allergy risk children. Specifics about whether the fish is cooked or raw are not made, and the assumption is that this stance reflects cooked fish and shellfish. The Food and Drug Administration ([FDA](https://nabtahealth.com/glossary/fda-2/)) specifies that no raw fish or shellfish should be given to high-risk groups, highlighting very young children as one such group. At what age is a child no longer considered at high-risk? --------------------------------------------------------- A [child’s immune system](https://nabtahealth.com/articles/when-can-your-child-eat-sushi-and-raw-fish/) development is slow and steady during the first 2-3 years of life, and by age 4-6 years old, adult levels of immunity are seen. Your [child’s immune](https://nabtahealth.com/articles/can-daycare-build-your-childs-immune-system/) system continues to develop throughout [puberty](https://nabtahealth.com/glossary/puberty/). Given this information, waiting until 5-6 years of age to introduce raw fish and uncooked sushi is the best way. This will ensure your child is defended against potentially harmful substances. Bacterial contamination is a threat to any temperature sensitive food and cannot be seen, smelled or tasted. [Food poisoning](https://nabtahealth.com/articles/how-to-avoid-food-poisoning-during-pregnancy/) symptoms are similar to the stomach flu, so they may be hard to detect. Asking questions about the quality of food and how it is prepared is good. However, taking care to eat at reputable restaurants that you trust can help prevent adverse reactions to contaminated sushi. US restaurants are required to use sushi that has been properly frozen and/or cooked to eliminate parasitic contamination. ##### Food allergies The [Food Allergy](https://nabtahealth.com/articles/4-ways-to-know-if-your-child-has-a-food-allergy/) and Anaphylaxis Network states that about 7 million people in the US have a reported seafood allergy. In addition to seafood allergy risk, Asian cuisine can often contain other allergens such as peanut, egg, tree nut, and soy ingredients. Raw or cooked sushi is typically assembled into a firm, round food. Sashimi is a raw piece of fish set atop a small amount of rice; it has a slippery texture. Both sushi and sashimi may present a choking hazard, especially for young toddlers. A child to eat sushi may also have a sticky texture that may be foreign to the child. Cutting cooked sushi into small pieces before serving it to your toddler can minimize the risk of choking. When it comes to raw sushi or sashimi, it may be best to leave it out of your child’s diet as they are young and building a strong immune system. However, there is no reason why your toddler can’t safely enjoy cooked or vegetarian Asian cuisine, with special attention paid to its ingredients. If you enjoy sushi and other Asian cuisines and want to pass this along to your child, think about alternatives to raw fish such as: Vegetable rolls ##### **Those containing only cooked fish and/or shellfish** * Rice bowls * Tempura * Soups * Salads * Stir-fry * Teriyaki The truth is that while food safety, allergies, and choking hazards should always be considered. There really is no consensus on an exact age that is appropriate to give a young child raw fish. By 5-6 years old, a healthy [child’s immune system](https://nabtahealth.com/articles/can-daycare-build-your-childs-immune-system/) should be strong enough to graduate to raw sushi with the rest of the family. No magical age, grade level, or number of exposures to sushi will prevent the occurrence of an illness from contaminated food. Good judgment and necessary precautions should always be in place. **Sources:** * U.S * Food & Drug Administration * Fresh and Frozen Seafood: Selecting and Serving it Safely. KidsSafe Seafood. Food Allergy and Anaphylactic Network. Powered by Bundoo®

Food-borne illnesses do not discriminate — anyone can become sick. Raw oysters have earned a reputation as a potentially dangerous food. Also, some groups of people have a [greater risk of serious illness](https://nabtahealth.com/articles/is-fish-oil-safe-for-children/) than others, including children. Eating raw oysters comes with the risk of being exposed to Vibrio vulnificus, a potentially life-threatening bacteria. Young children, those under 5 years of age, are more susceptible to food-borne illness because their immunity isn’t fully developed. Here are some facts you should know before you give your young child raw oysters: ##### What will happen if my child eats a contaminated oyster? In reality, allowing your [child to eat](https://nabtahealth.com/articles/is-it-safe-for-toddlers-and-children-to-eat-raw-oysters/) raw oysters might have zero consequences, no matter how many he or she eats. Unlike other bacteria, V. vulnificus cannot be smelled, seen, or tasted. There is no way to determine if the raw oyster is safe to eat. V. vulnificus cannot be killed by a lot of hot sauce, nor are you guaranteed safety by letting your child just try one or two oysters. If your [child eats a raw oyster](https://nabtahealth.com/articles/is-it-safe-for-toddlers-and-children-to-eat-raw-oysters/) that is contaminated with V. vulnificus, it is important to be familiar with the signs and symptoms of food poisoning. In generally healthy people, V. vulnificus can cause vomiting, diarrhea, and abdominal pain. In some cases, it can become worse and infect the blood (invasive septicemia) resulting in fever, chills, and septic shock. V. vulnificus is a serious cause for concern because about half of people who contract the blood infection die. If you are suspicious of food poisoning and/or your child has symptoms, get in touch with your healthcare provider, or even head to the ER. ##### What should I do? To be safe, you may want to hold off on feeding your child raw oysters for a few years, or at least until he or she is five years of age. If oysters are a staple in your household, or a special treat here and there, make sure to thoroughly cook a few for your little one to try. Cooking (prolonged exposure to high heat) is the only way to kill the bacteria and make sure you and your family will be safe. Get yourself a [coach](https://nabtahealth.com/product/conscious-motherhood-coaching-session/) and learn more. **Sources:** * Food & Drug Administration * Raw Oyster Myths. Powered by Bundoo®