Medway Maritime Hospital's neonatal unit recognised with award
A hospital's neonatal unit has been recognised for improving the care of mothers and babies and helping to increase breastfeeding rates.The Oliver Fisher Neonatal Unit in Gillingham's Medway Maritime Hospital has been awarded level three accreditation by Unicef's Baby Friendly Initiative (BFI).The award comes after a visit to the unit in January 2024 and recognises its work to support women around the importance of breastfeeding.Sarah Clarke, matron at the neonatal unit, said she was "extremely proud of the whole team", and that the reward reflects their "ongoing commitment to increase breastfeeding rates and improve care for all mothers and babies on the unit".
The initiative is part of a partnership between Unicef and the World Health Organization which works with public services in the UK.Claire Dawson, part of the infant feeding team at Medway Maritime Hospital, said: "Breastfeeding protects babies against a wide range of serious illnesses, including gastroenteritis and respiratory infections in infancy, as well as cardiovascular disease, asthma, diabetes and obesity later in life."We also know that breastfeeding reduces the mother's risk of some cancers, and that it supports the mental health of both mother and baby."On the unit, we make every effort to support families to form a close and loving relationship, whatever their choice of feeding method, as this is the best start for every baby."The neonatal unit, which was awarded level two accreditation in 2022, will be re-assessed every two years to ensure standards.
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Postmenopausal women are affected differently to premenopausal women when it comes to breast cancer risk. Scientists are still trying to determine why that is. 'It might just be a fact of age, because as you age, your cells have more of a chance to divide and mutate, leading to cancer,' says Dr Rumgay. 'But postmenopausal women also have different amounts of hormones in their systems. For these women, drinking alcohol could be more likely to cause breast cancer, because the increase in oestrogen that comes with drinking alcohol causes more cell proliferation, where your body's cells divide to produce more of themselves. Whenever this happens, there is the risk that one of those cells will mutate and become cancerous.' Fourteen units of alcohol a week Women who drink 14 units of alcohol a week are at a 22 per cent greater risk of developing breast cancer than women who don't drink, says Dr Rumgay. 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Instead it's likely based more on issues like liver damage, and is a combination of what the health research suggests is sensible and what people are already doing in a specific country.' Canada has recently introduced alcohol guidelines that explain the increased risk of cancer with the number of units that you consume. 'I'd love to see the UK bring this in instead, just so that people can be aware,' says Prof Stordal. 'I certainly didn't know about the extent of the risk for a long time.' According to Alcohol Change UK, just one drink per day (1.25 units) can increase your breast cancer risk by 7 per cent. Smoking, either regularly or occasionally, leads to a 7 per cent increased risk of breast cancer, and of 100 women that currently smoke, 12 will develop breast cancer over the course of their lives. 'Smoking is worse for your health for a huge number of reasons, however, so I wouldn't want people to think that it's safer to smoke than to drink,' says Dr Rumgay. A small glass of wine with dinner every day Women who drink a small glass of wine every day, equivalent to around 10 units a week, are at a 15 per cent greater risk of developing breast cancer than women who don't drink, says Dr Rumgay. Of 100 women who have a small glass of wine every day, around 13 would develop breast cancer over the course of their lives, not taking into account factors like weight, genetic risk and whether or not they smoke. Much alcohol risk research looks at everyday drinking. The facts are in: having a single drink a day, four times or more each week, can lead to a 20 per cent greater risk of early death. When it comes to breast cancer, the risks escalate further. A report by the American Institute for Cancer Research found in 2017 that one glass of wine a day increased the risk of cancer by 9 per cent in postmenopausal women, and by 5 per cent in premenopausal women. Studies such as this tend to use the WHO's definition of a standard drink: a drink containing 10g of pure alcohol, equivalent to a small glass of wine. So having just one tiny glass a day could be having a big impact on your health, and while it may keep you from being too tipsy, 'there's not enough evidence to say whether having food with your wine is any better for your cancer risk, though this is something that research could tell us in the future,' says Dr Rumgay. Only drinking at the weekend Women who drink eight double-shot cocktails or eight medium glasses of wine over the course of a weekend are at a 24 per cent greater risk of developing breast cancer than women who don't drink, says Dr Rumgay. Of 100 women who have eight drinks of this size every weekend, around 14 would develop breast cancer over the course of their lives, not taking into account factors such as weight, genetic risk and whether or not they smoke. Women who drink four of these drinks over the course of a weekend, meanwhile, are at a 12 per cent greater risk of developing breast cancer than women who don't drink. Of 100 women who have four drinks of this size every weekend, around 13 would develop breast cancer over the course of their lives. While having alcohol-free days can improve your health, there are added dangers to drinking large amounts of alcohol in one sitting, says Dr Rumgay. One study she worked on in the past found that 'the risk of breast cancer was increased by 40 per cent in women that had had any occasion of heavy episodic drinking in the year leading up to the research,' she says. We might not think of it as such, but the WHO classes 'heavy episodic drinking' or binge drinking as consuming 60g of pure alcohol or more in a single drinking session. That's equivalent to just over two large glasses of wine. Research into the effects of weekend-only drinking is still ongoing, but 'premenopausal women who binge drink seem to be twice as likely to develop breast cancer,' says Prof Stordal. 'There is some confidence in the notion that having this carcinogenic compound in your system in high concentrations after a weekend of drinking could be more dangerous compared with having the same quantity over the course of a longer period.' One drink a few times a week Women who have one drink three times a week are at a 9 per cent greater risk of developing breast cancer than women who don't drink, says Dr Rumgay. Of 100 women who have one drink three times a week, around 12 would develop breast cancer over the course of their lives, not including other factors like genetic risk, weight and whether or not they smoke. Having a break between the days that you visit the pub or have a glass of wine with your dinner is certainly good for your health, says Dr Rumgay. 'Drinking frequently can lead to systemic inflammation of the body,' she explains. 'If you cut the number of days that you drink, or spread them out, then it's possible that your body has more time to recover from this inflammatory state, which could potentially avoid increasing your risk of cancer.' Even this amount of alcohol can increase your cancer risk, however. Another study that Dr Rumgay worked on found that 'having just half a standard drink every day increases breast cancer risk by 4 per cent,' she says. One drink once a week Women who have one drink once a week are at a 3 per cent greater risk of developing breast cancer than women who don't drink, says Dr Rumgay. Of 100 women who have one drink a week, around 11 would develop breast cancer at some point in their lives, not taking into account other factors like genetic risk, weight and whether or not they smoke. The same amount of non-drinking women will develop breast cancer at some point in their lives More than 40 per cent of women in Britain drink at least once a week. The effects of having one drink each week are hard to study, however, as 'most people either drink more than once a week or don't drink at all,' says Dr Rumgay. The numbers still show that even this much alcohol consumption can increase your risk of breast cancer – though you might see a 3 per cent increased risk as something you're willing to tolerate. One drink a few times a month Women who have one drink every other week are at a 2 per cent greater risk of developing breast cancer than women who don't drink, says Dr Rumgay. Of 100 women who have one drink a few times a month, around would develop breast cancer at some point in their lives, not taking into account other factors such as genetic risk, weight and whether or not they smoke. Again, there isn't a lot of research into this pattern of drinking, though 'any amount of alcohol still increases your risk of breast cancer,' says Dr Rumgay. 'The simple advice I always give is reduction,' says Prof Stordal. 'Whether that's cutting down to once a week or once every few weeks, whatever you can do will benefit you.' One drink every few months Women who have fewer than six drinks over the course of a whole year are 0.3 per cent more likely to develop breast cancer than women who don't drink. Of 100 women who have one drink fewer than six times a year, 11 would develop breast cancer at some point in their lives, not taking into account other factors like genetic risk, weight and whether or not they smoke. So while no amount of drinking is completely safe, you may be pleased to know that you can celebrate with a drink a few times a year and only increase your risk of breast cancer marginally, 'though the general consensus is that anything more than zero does raise your risk,' says Dr Rumgay.
