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Infant feeding

Get advice and support with infant feeding from other users here.

"Breast is best" message under fire - and I agree, really

112 replies

hunkermunker · 22/02/2008 00:20

Interesting, I think

"Current promotional and educational programs which describe breastfeeding as 'best' are undermining women?s capacity to make informed decisions about infant feeding, according to an article published by a University of Wollongong doctoral student in the latest issue of Maternal and Child Nutrition.

Ms Nina Berry from UOW?s Centre for Health Initiatives was joint author of a report with Karleen Gribble from the University of Western Sydney called ?Breast is no longer best: promoting normal infant feeding?. Breastfeeding is not 'best', say the authors, it is simply the normal way to feed human infants.

The article suggested that breastfeeding promotion and education programs should abandon the ?breast is best? message because it is misleading and fails to communicate the importance of breastfeeding.

?In fact, these messages may have obscured the importance of breastfeeding to infant and maternal health and the well-established risks associated with early weaning from breastfeeding,? Ms Berry said. "To say that 'breast is best' is to suggest that what breastfeeding offers is a handful of optional bonuses and that formula-fed infants are the normal standard for comparison. In fact, human babies were designed to be fed human milk."

?Research has found that while most people accept that breastfed babies are healthier, they do not understand that this means that formula-fed babies are likely to be sicker. Because formula feeding is viewed as harmless, women are not getting the support they need to continue breastfeeding and to make informed choices about infant feeding. This misunderstanding demonstrates the failure of the ?breast is best? message and the need to rethink breastfeeding promotion?, she said.

The paper in Maternal and Child Nutrition also illuminates an important addition to the body of evidence pointing to the significance of using breastfed babies as the control group when conducting research.

The World Health Organisation (WHO)?s Multicenter Growth Reference study found that the growth of formula- fed babies deviated from that of breastfed babies and that using growth charts based on formula-fed babies could be contributing to the current obesity epidemic.

The use of formula-fed babies in control groups makes it difficult for readers to see that formula-fed babies are at increased risk of adverse health outcomes, Ms Berry said.

The WHO recommends that children are breastfed for up to two years or more and that they should not be given any food or drink other than breast milk for the first six months of their lives.

?It takes a great deal of support for mothers to reach these goals. However, mothers are not being provided with adequate support because the risks associated with early introduction of foods other than human milk are not well understood by health professionals. Furthermore, many health professionals are reluctant to talk to mothers about risks because they do not want to make mothers feel guilty. This is not about guilt. It is about a mother?s right to have all the information she needs to make an informed choice about how she should feed her baby ? it is about ensuring that mothers have the support they need,? Ms Berry said.

By Bernie Goldie"

OP posts:
tiktok · 22/02/2008 11:22

grouphug - there is no upper limit to 'normal'. Why state a year?

tiktok · 22/02/2008 11:23

Sorry - I get what you are saying now

JODIEhavingababy · 22/02/2008 11:57

Morning ladies,

I've just found this post and is quite good to read. Just to let you know my story. My DS was born with jaundice, not uncommon I know, but he just WOULDN'T feed, he kept falling asleep after about 30 seconds (lazy boy!) and then waking about 45 mins later to do it all again, this was morning noon and night! Anyway, the hospital (was a midwif led unit) kept me in for a week until he had the hang of it, brill, or so I thought...... I struggled and struggled when I got home, got so stressed that my milk stopped, and DS started to shake uncontrollably as he wasn't getting any nutrients, as he was just having that first bit all the time. I was advised to try him on formula for 24 hours to give myself a break, during this time I expressed. Unfortunatly there was no going back for my, my nips were cracked and sore and I just couldn't take it anymore. I had never felt so guilty before in my life! But I did what I thought was best for my baby, and ultimatly best for me....

I am pregnant again now, due in July, and I'm so frightened of BF after that horrible horrible fortnight I had with DS, I just don't know what to do......

Most of my friends were (and still are) successful Breast feeders, and I hated going for coffee with them, I felt useless when I got out my bottle! I would have been much 'prouder' to get out my 'nawks!!!

TotalChaos · 22/02/2008 12:05

Jodie - I had a very similar experience to you with bfing. Did they give your baby lots of formula top ups when you were on the ward?

tiktok · 22/02/2008 12:08

Jodie - what a sad story

You were horribly let down - your baby was clearly not feeding effectively, and someone should have spotted that, but instead you were told all was well. Being stressed would not stop your milk like that, but of course a baby not feeding properly becomes ill.

I would bet my bottom dollar that he was not pooing much and his weight was either not monitored properly or was static

This time round, things could go much better as you will know more clearly what to watch for.

Hope you get better support.

JODIEhavingababy · 22/02/2008 12:09

Yes they did, but only by pipette (sp?) Do you think that made a difference???

I was so adament to BF that I hadn't bought anything like bottles..... so naive of me!

PhDlifeNeedsaNewLife · 22/02/2008 12:10

jodie maybe you could start now to find a good bfc, someone you like who can be there for you? better than looking for help when you're stressed ime

JODIEhavingababy · 22/02/2008 12:12

No he wasn't pooing much, but he didn't drop from hs birth weight (mind you he didn't get weighed again until we got home, so he was about 12 days old)

Once he went on bottles he started sleeping 5 hours at a time, which after only 45 mins at a time, was heaven! Which is probably why I didn't go back, I was exhasted

TotalChaos · 22/02/2008 12:12

I think the formula top up does affect feeding as it reduces your supply - so that they shouldn't just discharge you and have you cut out the top=ups immediately, but taper it off more gradually, to give your body the chance to adjust and increase production. I agree with Tiktok - that it sounds more likely to have been supply problems because of baby struggling to feed than stress.

TotalChaos · 22/02/2008 12:14

btw I didn't notice much difference in sleep patterns when DS swapped to formula.

JODIEhavingababy · 22/02/2008 12:16

Thats a good point that I'd never thought of (about the supply).... I'll certainly bear that in mind!

I'm so glad I found this thread as I was on the verge of giving up before I had even started.......

Will ask Midwife when I next see her about joining the BFC, and I'll talk her through my previous problems, my old community midwife is on maternity so this ones new! (and alot nicer!)

tiktok · 22/02/2008 12:22

Jodie - you had classic signs of baby not transferring milk, and when this happens, someone should notice and take action.

Not pooing much is a red flag for poor milk transfer.

And no weighing until 12 days with a baby in clear difficulties - very, very poor practice.

I really hope you get help from people who know what they're doing this time round.

What happened to you was disgraceful.

callmeovercautious · 22/02/2008 12:23

A really good article. I find it strange that the natural way of feeding is so obviously percieved by our society as the alternative way of feeding.

JODIEhavingababy - I really hope you manage to BF your new Baby, the others are right; get thee to a BF Councellor now

PhDlifeNeedsaNewLife · 22/02/2008 12:24

also I have had two dr's recently ask me when I was planning to stop - ds is 10m!

VictorianSqualor · 22/02/2008 12:28

I too dislike the 'Breast is best' slogan, it's all fine and dandy to be used as a quick caption to encapsulate everythign that is true regarding breastfeeding, for example a friend from school is pg, I asked her whether she was planning breast or bottle and her reply was 'Breats is best!' which in that situation, fine, we both know the score and it was just an easy way for ehr to answer my question.

But the context in which it is used more commonly is particularly insulting IMO and devoid of any real information to mothers considering how to feed their babies.

It's all about the formula though isn't it really? We can say breast is best because it is better than formula milk but as soon as someone tries to get the real information about the risks of formula milk out there they are gagged with a guilt order.

grouphug · 22/02/2008 14:49

What would be great is if a celebrity mum would breastfeed on tv or in one of the magazines like ok/hello. Unfortunately not many breastfeed but I think Charlotte Church is and would be a great face to represent breastfeeding to new mums. It would help in this celebrity obsessed world rather than the usual articles about them being size o again which for any bf mum to read and lose weight and do lots of exercise would actually compromise their milk supply.

VictorianSqualor · 22/02/2008 15:02

Grouphug if you look at Hunkers blog you'll see a list of all the sleb mums that breastfed, many more than you might expect and some have had their pictures taken whilst doing it.
Unfortunately it isn't the best selling article type for sleb mags so they don't tend to mention it.

VictorianSqualor · 22/02/2008 15:04

sleb feeders

grouphug · 22/02/2008 15:23

So nice to see the pictures, makes me feel human as I'm the only one bf in my baby group.

ronshar · 22/02/2008 15:47

I only managed 4 months with first DD and 6 with DD2. I had to return to work both times and it was not feasable to carry on. No where to express or store at the hospital!
I am expecting again in October and would love to get past that mental barrier of 6months. By then I begin to feel a little resentful that I cant go out on my own etc!
I will try much harder to introduce a bottle earlier this time.

I shall look for you all for support. Support that sadly wasnt there 8 years ago.

Poohbah · 22/02/2008 20:31

I agree with harpischord carrier's BMJ article. It is a practical skill and most practical skills are not learnt in one session but over a period of time with support of someone who can teach the skill well. My friend was my apprentice and she said that she couldn't have done it alone.

bb99 · 22/02/2008 21:00

Just read post - very interesting!

I think the slogan also adds to the guilt if bfing doesn't work out - you're only second best / you're not best if you use formula etc, without giving the true picture and information (agree with VS)

Slogans aside, I think the apprentice thing would work well and is a brilliant idea (as I agree it is a skill where mum and bubs need to work together) as women would be more aware of how bfing works, and what to expect (including sleepless nights etc), plus how to make it work.

SIL was suprised that DC needed to feed so much at first (as I was with dc!), especially as most older lady wisdom around us is from the 70's (my dad still says - are you STILL feeding) so the 4 hourly feed mantra is prevalant. Her HV encouraged her to go onto formula as she was finding not sleeping really tough. It has worked for her, but left her feeling really awful and guilty - I don't BF around her now, but goto another room etc.

Lot of problems are skill and support related IMO (cracked nipples are often caused by difficult latching position?) even to the point of not necessarily having family/friends near to help out in the early days after birth with basic household chores etc.

Just making bfing 'normal' (maybe even use the word satisfactory?) would promote it more IMO, but suppose I should be more forward about feeding in public if I really want to make it more acceptable and normal!

Human milk for human babies?

MrsBadger · 22/02/2008 21:07

I like that bb9:
'Human milk for human babies'

I think it's sad that the phrase 'baby milk' means 'formula'.

how about 'Mother's milk for every mother's child'?

chankins · 22/02/2008 21:11

I think its true that bf is seen as alternative, ; i got to 7 months with my 3rd dc, which is longer than I got with the other two, but as all my friends and family had ff, they kept asked me, are you STILL bf ?! I felt like a freak. Proud to have got past 6 mo, but miss it now. If I have a 4th I will have the guts and determinations to tell them all to fuck off and bf to a year or longer. I think it would help if mothers in soaps were seen bf more. You hardly ever see it. It would make it seem more normal and acceptable.

LardyMardyDaisyBoo · 22/02/2008 21:13

great thread hunker

as a quick aside to jodie; I struggled to BF my DS five years ago due to poor support from HCPs (my HVs solution to my latching problems was to hold DS in a vice like grip behind his head and force him onto my boob ). I lasted five and a half weeks of pain, tears, raw emotion, and a very unhappy baby (and mum). When I was pregnant with my DD this time last year, I was being very pragmatic and decided to give it a go, but I wouldn't beat myself up about it if things didn't go to plan. Then I started reading threads on here and talking to women who had had issues previously, but managed to work their way through them in subsequent pregnancies and it steeled my resolve to give it my best shot.

thanks to this I'm still going strong at 8.5 months, inspite of more than a few difficulties. the difference this time is that I've had great support; from my community midwife, the PN midwives, my DH who looked after No1 while I had two weeks of babymoon, and a great bunch of ladies on here.

Sorry hunker; that got a bit long-winded

hi-jack over!