Showing posts with label breastfeeding. Show all posts
Showing posts with label breastfeeding. Show all posts

Sunday, 1 May 2011

Expatriate lunches and dinners, and why I loathe them

If there is one thing that I really dislike about expatriate life, it's all the lunches and dinners.  There are so many of them, at least one a week, and sometimes more.

So why do I continue to go, you ask?  Well, a few reasons.  First of all, there ain't much else to do in Antananarivo, Madagascar on a weekend, unless you leave the city to join nature.  There are no cinemas, no parks, no playgrounds, no museums that have had any upkeep in the past, oh, 30 years.  There are no outdoor cafés.  You can't even walk around town, because apart from the fact that you will be very quickly surrounded by street beggars on all sides, there are no sidewalks, the traffic is scary and the pollution is enough to give anyone instant asthma.

So we visit each other.  (And sometimes the "club olympique", which is just a campout with a swimming pool, tennis courts and some stables with horses - but we don't like the food there).

Visiting each other reduces our own boredom and especially the boredom of our children, who would be otherwise locked in our air conditioned houses watching dubbed Hannah Montana French satellite TV all day long.

Why don't I enjoy these lunches and dinners as much as I should?  It's not like I don't love our dear friends (bless their hearts).  It's just, well, me.

For one, I'm a vegetarian.  Almost.  I do eat beef and duck and lamb and poultry, so you could argue that I'm very far from being a vegetarian.  But I don't each shellfish or any sea creature that lives on the sea floor.  I also don't eat tuna.  I don't eat ham or pork.  I won't touch fois gras (goose or duck liver paté).  And I generally don't eat fish unless I am right next to the sea and the fish has been caught the same day (and it's not tuna, of course).

If I go through this laundry list with my hosts, they will inevitably give me this strange look and try to review each item to understand why I won't eat it.  Since I refuse to get into a long discussion about levels of mercury in tuna with someone who hasn't even read up on the issue, it's just easier to say that I'm a vegetarian.

The problem is when either I forget to tell them that I'm a vegetarian, or they forget that I am one, or (more often than not) they haven't forgotten but (quite understandably) they don't want to have to adapt their fantastic menu to my fastidious tastes.  The French can't imagine a meal without fois gras and the Americans can't imagine a meal without shrimp.  So I often end up just not eating half the stuff that is being served.

The second problem is with dinners - late dinners.  Well before motherhood, my brain was wired to go to bed no later than 10:30 pm.  At 11 pm, I'm a zombie.  Post-motherhood, I'm the same way, plus add the fact that I have an todder who, since birth, has woken me up at 5:30 every morning - for the day.

In Antananarivo, when someone invites you over to dinner, you arrive at 8, you talk for what seems like an eternity, and you start the meal at 10 pm.  At 10:30, I'm ready to hit the sack (keep in mind that I have been up since 5:30 am) but it would be rude to do so, as most people haven't even finished their main course by then (I have though, because I generally have only been able to eat the rice and vegetables).

"Well, then, why don't you explain to your hosts your problem", you ask.

You're right.  But I need to do this when I accept the dinner invitation, so that they are really forewarned.  This is what happened the last time I had to explain at the actual dinner  (I was solo that evening, as the Frenchman was in Paris on business):

Me: "Thank you so much for having me over.  I had a wonderful time."
Hostess:  "You're leaving already?  It's only a quarter past midnight."  (I am not kidding.  She considered a quarter past midnight on a Thursday night to be "early" for leaving a dinner party).
Me: "Well, yes.  My 18-month old son wakes me up at 5:30 every morning so I get tired pretty early.  And I have to get enough sleep in before tomorrow morning."
Hostess (who is French, by the way, which really does explain a lot): "5:30?  This is not acceptable.  Can't you just give him a bottle?"
I'd like to mention here that I don't understand how on earth a bottle solves the problem.  You want me to get out of bed and go to the kitchen and warm up a bottle of milk for my son?  At 5:30 in the morning?  Are you fricking kidding me? 

Back to the conversation:
Me: "Well, I do nurse him when he wakes up but he stays awake after that.  His day starts then.  He's just wired that way."
Hostess, with look of shock in her eyes: "You're still breastfeeding him?  But isn't he is too old for that."
Me, shrugging my shoulders: "er, I don't know.  People don't seem to think that he's too old for a bottle, and breastfeeding is the normal way to feed a baby..."
Another guest, now listening in on the conversation pipes in to say: "So you're a militante."
Me, shrugging shoulders again and trying to smile: "I don't know what that means.  In any event, it's not the nursing that causes my son to wake up.  My six-year old also wakes up at 5:30.  Fortunately, she's capable of taking care of herself.  It's just the way our brains are wired in our family.  And of course, the 18-month old needs to be looked after once he's awake."   
Understand that I don't generally mind being questioned about nursing my 18-month old.  After all, what better way to educate people?  But when I've just told you that I have to go because I am extremely short on sleep, why are we having this conversation?  I told you that i had to go.  I told you my reason.  Why are you now launching a discussion about the fact that I "still" breastfeed my son?

The third problem that I have with lunch and dinner parties is that the conversation generally bores me.  There.  I said it.  I find about 90 percent of the discussion during lunch and dinner parties dreadfully boring.

Am I the only one?  I don't know.  I'll be the first to admit that I'm borderline Asperger's when it comes to small talk - it's not just that it bores me - I am incapable of participating in it.  I have no idea what to say.  And the problem is that most stuff for me is small talk.  I care very little about the hotel you stayed in when you went to Toliar (in the south of Madagascar) last year and certainly not enough to listen to you talk about it for half an hour.  I care not much more about the cute little restaurant that you discovered while you were there.  I'll be happy to talk to you more about that should I ever decide to book a trip to Toliar (which is unlikely ever to happen), but I have no desire to hear all about it for twenty minutes now.  I'm happy to talk about that little boutique you discovered up last week for about, oh,  thirty seconds and then I will try to change the subject.  I don't give a rat's ass about where to buy great shrimp, not least because I don't eat it.

I would love to talk about politics (especially French or US politics) but apparently I'm not allowed to.  Religion is another topic that fascinates me but apparently that's taboo, too.  I'm always happy to talk about someone's kid of whatever age, even if the "kids" in question are already adults.  "What grade?  What school?  What does she plan to do when she graduates this year?" "Where do they live now?"
Fortunately, people are always happy to give forth when it comes to talking about their kids and I never get bored by it, but I can only milk that topic so much.

As an expatriate and a mom of bicultural children, the topic of schools and education fascinates me, but I have the impression that many people aren't so interested in that subject.  Most French people accept that their kids go to the French school, wherever they live, without thinking much about alternatives, and most American people accept the American school in the same way.

I love to talk about the ins and outs of people's businesses.  Give me a factory or store owner anyday and I will ask about how they select their inventory, how hard it is to get and train staff, and who designed their products.  It's not often you get to meet this kind of person though, and when you do, even if he or she is keen to discuss the business in detail, others around the table don't understand why you keep bringing up questions about the nitty gritty of running some store or factory at a dinner party.

Yep, just say it.  I've got Asperger's.  Or I'm just too academic about things.

My saving grace is the Bambino.  He is often present for lunches at people's houses, and I therefore often have to excuse myself from the table because he needs some attention for whatever reason.  It's a great way to escape! If there are other bigger kids hanging around, I like to talk to them too.  At a lunch a few weeks ago, I had a great bunch of French kids asking me all kinds of questions about bilingualism and trying out their English on me.  It was much more interesting than the discussion among the adults about that hotel in Toliar....

Thursday, 10 February 2011

Formula marketing again.

Seen in our local Jumbo store:  this sign in the infant formula section.




The manager at the Jumbo store doesn't seem to think it's a problem.  After all, the sign is just there to tell people where the infant formula is.

And what about the cute little white baby sucking down the bottle of formula?  What kind of message is that sending?

The International Code on the Marketing of Breastmilk Substitutes says:

There should be no advertising or other form of promotion to the general public of products within the scope of this Code.


and

there should be no point- of-sale advertising, giving of samples, or any other promotion device to induce sales directly to the consumer at the retail level, such as special displays, discount coupons, premiums, special sales, loss-leaders and tie-in sales, for products within the scope of this Code. 

Interestingly, Article 9.2 of the Code also specifies that:

Neither the container nor the label should have pictures of infants, nor should they have other pictures or text which may idealize the use of infant formula.

I would argue that this sign is a "special display" and that, given that the Code prohibits photos on the containers of the cans, a display sign with a warm and fuzzy photo of the mother with a baby drinking from a bottle should also be considered a "promotional device to induce sales" of the infant formula at Jumbo.

Of course, given that there is no real government or law enforcement agency here in Madagascar these days, I doubt that much if anything will be done about this infraction.

Thursday, 14 October 2010

Nestlé at it again

I have been meaning to post on this story for quite some time.   I have already written how Nestlé's Nido is harming African babies. Now I see that it's not just the Nido that's the problem.

A few months ago, I walked into a store that happens to be the official distributor for Nestlé products here in Tana.  I saw this display.


The idea was obviously to display ALL Nestlé products together.  The first thing that struck me was that the Nido had, once again, been placed in close proximity to the baby formula, Guigoz 1 and 2, but at least this time they were on different shelves.

Encircling the products was a yellow ribbon with a teddy bear decoration throughout and the following message:

 "Nestlé - pour une croissance saine".  

Translation: Nestlé: for healthy growth.   

Apart from Nido, Guigoz formula and baby cereal, the display contained Kit Kat, Choco Crunch cereal, and Quik chocolate powder.  All these products are supposed to be for "healthy growth".  Surely they must be joking.

Behind the cashiers was a posterboard clearly intended for employees of the store.  The posterboard had the Nestlé Nutrition logo on it and showed what employees are not allowed to do under the International Code on the Marketing of Breastmilk Substitutes.  No promotions.  No point of sale advertising.  No special displays.  There were diagrams indicating all these prohibitions but the writing was all in English.  Have I mentioned that Madagascar is a francophone country?

I asked to speak to the manager of the store.  I was led to his office.  He was a pretty nice French guy.  I had a friendly conversation with him and then said "I see that you are making an effort to adhere to the International Code for the Marketing of Breastmilk Substitutes."

I then explained that the display was in contravention of this Code.  He expressed surprise and said that he would contact Nestlé immediately, as it was they who put up the display.

I thanked the manager, went to purchase my things, and left.

The next week, lo and behold, I got a call from Nestlé Nutrition.

"We would be interested in knowing why you think the display contravenes the Code.  We are not marketing breastmilk substitutes.  We are marketing all Nestlé products together."

He wasn't joking.  This was his argument.

"Listen", I said.  "If you are going to follow Nestlé's own watered-down interpretation of the Code, you will, at a minimum, remove the Nestlé Guigoz first stage infant formula from the display. And if you are going to follow my interpretation of the Code, you will remove the first and second stage Guigoz from the display."

He still didn't understand what was wrong with keeping them in the display.

"It's advertising", I said.

"But it's not advertising the formula in particular", he replied.

"That doesn't matter", I countered.  "Putting baby formula in a display that says 'for healthy growth' is advertising the formula, whether or not you put a KitKat bar and breakfast cereal beside it."

He said he would like to meet me so that I could show him the relevant portions of the Code and he could explain to his superiors.   I agreed and we met up the following week.   By that time, the Nestlé Nutrition man had already faxed a photo of the display to his superiors in Kenya and Mauritius and asked for their opinion.

His superiors agreed with me and told him that either the milk had to be removed from the display or the ribbon had to be removed.  He removed the ribbon.

I told him that he should also put the Nido milk with the other powdered milk being sold in the store rather than in the same area as the infant formula.  He refused.  He said that he wanted to keep the Nestlé products all together.

"But you know", he said to me, when we were back in his office at Nestlé Nutrition, "we don't really focus on stores.  The stores are already informed and are generally compliant, with the odd exception now and then.  Our main job is to inform hospitals about the Code, when we deliver them our infant formula for newborns".

Now ain't that a wolf in sheep's clothing.

Thursday, 16 September 2010

6 Things Every Globetrotter Parent Should Know

A couple of years back, PhD in Parenting posted on 10 Things All New Parents Should Know.  I thought her advice was really helpful and I even sent the link to a newly pregnant friend just last week.

As I pondered PhD in Parenting's post, I thought of my own globetrotter version.  People tend to rely on their relatives, friends and doctors for advice on coping with parenting questions.  Not all the information they get is accurate and some of it is harmful.  So here is my top 6 list ('cause 10 would be way too long!) of what all parents trying to raise their children in a global culture should know:

6 Things Every Globetrotter Parent Should Know:

1.  Baby care norms differ radically from one continent and even country to the next one.

Moreover, what's considered the norm where YOU live is not necessarily the objectively right way.

My favourite example:  In Canada and the States, the health industry tells us not to share a bed with our infant, because it can lead to smothering, SIDS, baby falling off the bed, etc.

Yet, here in Madagascar, most moms sleep with their baby.  They don't do cribs here.  And I don't ever hear or read about any babies dying of SIDS or getting smothered here.  Funny that.

The point is, never assume that information from doctors and well-meaning friends where you live right or even mostly right.  Indeed, there are a lot of things not right about modern conventional western parenting ideas.  Babies have not always drunk cow's milk (whether or not adapted into formula), and still don't in many places in the world.  Newborns are not wired to sleep in little cages far away from their moms, and don't in many (most) places in the world.  Most baby boys in the world do not get the tips of their penises cut off.  The list goes on...

2.  Contrary to what many "granola" mamas seems to think, Europeans are not necessarily more into "natural family living" than North Americans.  If you've ever been on the discussion forums of mothering.com, you'll know what I mean.  "I wish I lived in Europe.  The breastfeeding rate is much higher there.  And everyone gives birth with a midwife.  And you get one year's maternity leave!"

Allow me to set the record straight about Europe:

Europe is not a monolith.  When you hear granola moms going on about how much more enlightened Europeans are, they're usually talking about Scandinavians.   The Dutch and the Germans are nearly as "crunchy" but only in certain respects.  Maternity leave is only about 12 to 16 weeks long in Germany, for example.

As for the French, well, don't be surprised to see a French maman smoking and drinking during pregnancy, formula feeding by choice (40 percent do) and sending her baby to daycare at the age of three months without so much as wincing because "baby needs to learn to become autonomous".

The Italians have a higher neonatal breastfeeding rate but 90 percent have weaned by the time baby is four months old.  Italians typically start baby on solids consisting of pasta and parmesan cheese at the age of four months.

As for the midwives, they are a highly medicalized profession in Europe.  In France, they even have to attend medical school for a year.  Most European midwives will not allow you to birth in anything but the gynecological position, i.e., lying flat on your back with your legs in stirrups so that they can perform  a routine episiotomy.  You might as well have an OB.

And forget about home birth (except in the Netherlands, and the home birth rate is dropping there).  The home birth rates in European countries hover at around one percent.

3. Your child will not become confused or speech-delayed because you speak to him in another language.  I've already written about this but let me reiterate: there is no evidence whatsoever that bilingual children have a higher rate of speech/language delay or any other speech or language disorder than monolingual children.

4.  Bilingualism is not an automatic fact resulting from a parent who speaks another language.  It takes work.  Yep.  The fact that you speak English or Spanish or French does not automatically mean that your little one will grow up speaking it.  In fact, your child will need about 24 hours per week of exposure to your language in order to speak it like a native.

5.  There are NO required vaccines for international travel - other than yellow fever in some countries in central Africa.  Polio is not a required vaccine for travel in any part of the world, neither is the vaccine against typhoid, tuberculosis, or any other disease.

6.  A global child starts with the parents who have a global mindset.   Children learn from the attitudes of their parents.  Open-minded parents who are interested in learning about other cultures, who are willing to try speaking the foreign language that they're a little rusty in, and who like meeting and talking to people from other parts of the world are more likely to have children with a similar mindset.

On the other hand, it's hard to expect a child to be interested in learning French or Spanish when the parent won't even consider watching a foreign film.

Wednesday, 2 June 2010

Guest-posting on Infant Formula Marketing in Madagascar

Hey everybody, I'm guess posting on Blacktating this week on the subject of infant formula marketing in Madagascar - Nestlé and Blédina say they don't do it but they do!

Monday, 4 January 2010

Car Seats and Baobabs

We spent the end of the year in Morondava.  Morondava is southwest of Antananarivo (that's the capital, where we live), on the coast.


This is a photo of the Frenchman and the Bambino.
We were taking a large van from our hotel in Morondava to some baobab trees approximately 25 km away (that's about one hour's drive on the roads we had). 
Note that:

- there are no seatbelts;
- there is a big bar at the top of each seat, which baby can bang his head into in the event of a crash;
- don't even ask about the possibility of a carseat.

I'm trying to think what the righteous ladies on the "Family Safety" board at MotheringdotCommunity would say to all of this but of course their advice would be surreal in this context.  If you have ever read their discussions about the merits of the Britax carseat, or why you shouldn't get a Maxi-Cosi, or how long your baby should stay rear-facing, you'll know what I mean.  Travel in Africa makes you realise that if your only decision is whether to buy a MaxiCosi or a Britax, your child is already very fortunate.  Most small children here, if their family owns a vehicle at all, will be in a parent's arms in an old and completely unsafe car (or worse - on a motor bike) with not much for seatbelts and nothing in way of carseats or airbags.  (Oh, and their lungs will be black from the pollution that their car and all the other cars on their road produce).

The Frenchman held the Bambino's head forcefully against his chest and we all made the journey in one piece.  Here are photos of us and the baobabs.  They're amazing trees.  Their fruit has more vitamin C than an orange and more calcium than cow's milk.  Who knew?  Some baobab trees are thought to be thousands of years old.  Six baobab species are unique to Madagascar.

 
And finally, to mollify the ladies at MotheringdotCommunity, here is proof that a globetrotter mom really can nurse anywhere in the world that she finds herself with her baby.


Friday, 27 November 2009

Nestlé's new way of harming African babies

This globetrotter parent has noticed that if there is one thing that pervades the world, it's the Nestlé brand.  And if there is one thing that Nestlé like to sell, it's infant formula.

Nestlé and other infant formula manufacturers have, or so they say, committed themselves not to market their infant formula for babies under the age of six months.  Now, in my opinion, if they really wanted to adhere to the International Code of Marketing of Breastmilk Substitutes, they wouldn't market their infant formula at all (including the formula for babies 6 months and up) and it would be available exclusively in pharmacies and not in grocery stores.  But I digress. 

Knowing full well that they are unable to advertise their infant formula for younger babies, Nestlé advertise other products instead.  Here in Tananarive, they advertise their powdered whole milk, called Nido.  Note that "Nido" means "nest" in Italian and is very close to the French word for nest as well ("nid"). So not surprisingly, the Malagasy people (most of whom speak French) tend to think of Nido as milk that is meant for babies

But it's not.  Nestle Nido is just plain old whole milk in powder form with some vitamins added to it.  It has not been adapted for babies.

Yet the other day, I asked our driver, as we passed by a huge wall ad for Nido, "Is Nido milk for babies?"

"Yes", he replied.  "You give it to babies if you can't breastfeed."

Then I asked our cook, "Do the Malagasy give Nestlé Nido to their babies when breastmilk is not available?"

"yes, yes", she replied.
I explained to her that Nestlé Nido was, in fact, whole milk, and not infant formula.  She was very surprised and kept asking, "Are you sure?".

Then I said to our nanny, "Would you give Nestlé Nido to a baby?"  She gave me an unequivocal yes and was also surprised when I told her that Nido was not infant formula.

Nestlé don't appear to be doing much to correct this mistaken belief about their product.  They of course do not expressly state anywhere in their advertising that Nido is for babies and to their credit, their advertising portrays a glass of milk on it, not a baby bottle.  BUT (1) a can of Nestlé Nido looks just like a can of infant formula for babies (same 400 gram metal can with plastic top), (2) the name "NIDO" is suggestive of babies and (3) they don't say anywhere on the packaging or in their advertising that it is NOT for babies, except in the FAQ of Nestlé Nido's internet site

Worse, in the shops here in Tana, Nestlé Nido is placed on the shelf right alongside infant formulas.**

And as the Nido whole milk powder also happens to be cheaper than real infant formula (in the shop where this photo was taken, the Nido cost 14000 Ariary whereas the Nestle Guigoz 2ème age cost 18,000 Ariary), people have no hesitation in buying Nestlé Nido for their infant.

One final anecdote from my friend Natasha, an American here in Tana who has a nine-month old baby.  One day, Natasha was telling someone that before arriving here in Tana, she had purchased a year's worth of infant formula in Switzerland and had it shipped here.  She didn't want to be stuck purchasing infant formula in Madagascar, as she had no idea where the formula that is sold here might have been manufactured (much of it comes from Kenya or China, I am told). 

The person responded, "Oh well, if you ever run out, you can always buy some Nido."  Dooooooh!

** Funnily enough, in the large grocery stores in Tana such as Jumbo and Leader Price, where Europeans tend to do their grocery shopping, Nestlé Nido can be found in a separate aisle from the infant formula, alongside other whole milk powders.