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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:
JODIEhavingababy · 22/02/2008 21:15

I agree with seeing more celebs and people on soaps doing it more, people are more celeb obsessed now and if there had been pictures ofHRH Victoria Beckham doing it, then maybe more people would try to emulate that bit, rather than getting back in shape before you leave the hospital!! What a sad world we live in!

JODIEhavingababy · 22/02/2008 21:17

Crossed post - thanks Ladymardy - thats sucha nice thing to know, I think after all the support I have recieved from this thread I feel ALOT more positive, andf a few things have been explained that should have made sense along time ago!!! I love MN!

Thanks ladies!!

margoandjerry · 22/02/2008 21:17

I do see the point but I think public health messages are always lowest common denominator if you know what I mean (and I don't mean that to sound rude).

It's just the message in the text you have reproduced is quite complex and carries its own problems (in terms of upsetting mothers who are formula feeding for one reason or another, which no one wants to do). So I'm not sure how the NHS could put the more sophisticated message about without alienating a lot of vulnerable people.

Also, it's important that public health messages aren't scary (remember that scary AIDs campaign that just terrified everyone but didn't really achieve anything) otherwise you risk people switching off. And telling all and sundry that ff babies are sicker is scary (albeit true), so I can understand why "breast is best" has taken hold - because it's sort of friendly and catchy. I do see the problem with it but it's hard to know how to make the point without upsetting and alienating people.

I like "human milk for human babies" though

BabiesEverywhere · 22/02/2008 21:29

I don't think any slogon could help breastfeeding rates. However proper training for NHS staff, especially those currently paid to supposedly support breastfeeding would help a lot. Especially as judging by the Mumsnet boards very few HP actually manage to successfully support breastfeeding mothers at the moment.

I suppose, I see little point in trying to encourage mothers who currently not wishing to breastfeed to do so, when there is so little support out there for them. Not that I have a solution, it is just a bit depressing.

Trolleydolly71 · 22/02/2008 21:31

Message withdrawn

pistachio · 22/02/2008 21:36

This reply has been deleted

Message withdrawn at poster's request.

Caz10 · 22/02/2008 21:55

actually, re the human milk re cows milk thing...i have heard more than a few people say eeeuuwww at "human milk" like it is an unsavoury bodily fluid....whereas cows milk is nice and fresh and clean, comes in cartons, good for our health etc.
not my view you understand, but i think the "human milk" thing might turn some people off?

pistachio · 22/02/2008 21:57

This reply has been deleted

Message withdrawn at poster's request.

Caz10 · 22/02/2008 22:02

exactly! like the kids i teach who think chicken burgers etc are a separate product...one boy came back from spain saying they ate "real" chickens there, cos he'd seen an actual bird in the shop. Cows milk comes from a carton, no cows involved apparently!

MrsBadger · 22/02/2008 22:03

[disclaimer - have had wine]

caz you are right, and the thought of it makes me want to bang mmy head on the wall

readytopop · 22/02/2008 22:10

but then why not 'mummy's milk'? that is how I am currently preparing my dd whenever she comments on mummy's boobs (with that faraway I'm sure these are supposed to mean something to me but I can't remember how or why expression in her eyes)

I think it's the husbands/partners who's support is as essential as the HCPs. My dh only did it to me on one occasion, when my eldest at 5do had a 6hr feeding frenzy, but he soon shut up when ds was weighed the next morning and the mw commented on how much weight he'd put on, it must be gold top in there, without knowing about dh's comment the previous night. Must be very demoralising for women to have that drip drip all the time from dh/mil/mother.

readytopop · 22/02/2008 22:11

sorry, sleep deprived, meant to say preparing dd for the arrival of the bump

BabiesEverywhere · 22/02/2008 22:15

My DH was a totaly godsend. Sadly I had a lot of trouble at the start and he would cuddle and pass me DD just woken up from a nap saying 'she needs a feed' I was in so much pain (bad latch, nipple cracks, thrush etc ) and literally wanted to crawl away and never feed her again. He would remind me, that I told him, X, Y, Z facts about breastfeeding and how much I wanted to feed her. If he had suggested a bottle I would of cried and snatched his hand off. Yes, husband support is essential.

EllieG · 22/02/2008 22:20

Haven't read all thread sorry but just wanted to make an observation - I am expecting first and really want to bf for first 6 months, and ideally to a year - am going back to work after tha so will be too tricky for me to continue after I think (plus want to do that baby led weaning thing as am lazy and can't be bothered to puree stuff )

I've had a combination of reactions from people when I tell them - interestingly though none of them have been indifference, i.e that what am planning is the 'norm'. People have either been very impressed, or clearly think am a bit weird for wanting to carry on up to a year, or have gone on and on about how had bf is and how I may need to give up etc etc. (Now that may be, but I would like to try!). I don't feel that I am doing something amazing, but that it is ordinary, easier than faffing around with formula and sterilizing things all the time and seems obvious to me that we are designed that way. However, even the positive messages I am getting from people seem to be tinged with the idea that I am Doing Something Different.
MD told me there was a 'special cafe' where bf mum's could get together. WTF? It hadn't even occured to me that I wouldn't do it anywhere - that it wasn't a normal thing to do.
Sorry for rambling. Am feeling a bit militant at feeling like I have to justify something that I feel is just ordinary, or qualify it by saying 'Of course I realise that I may not be able to' because it is SUCH a feat.

MrsBadger · 22/02/2008 22:24

(NB the 'special cafe' may be a Baby Cafe, which is a bit more than just a coffee shop)

VeniVidiVickiQV · 22/02/2008 22:27

Ditto everything hunker said.

EllieG · 22/02/2008 22:29

You were right! I stand corrected on the special cafe. It appears there is a baby cafe just up the road from me, which is very nice

VeniVidiVickiQV · 22/02/2008 22:30

Arrgggh! She says as news report about Kings College Hospital shows picture of a mum bottlefeeding her baby, then cue shot of "new baby" cards with a picture of a used and now empty bottle next to it

Normalising is very much what is required.

MrsBadger · 22/02/2008 22:35

Well, if it's the one pictured in the 'visiting a baby cafe' section I may well see you there

EllieG · 22/02/2008 22:41

Nope, is the Jersey one - I didn't know we had one - we're normally really crap for services. Mind you, I only found out yesterday that there was branch of NCT over here, so have clearly been walking around with eyes closed.

OracleInaCoracle · 22/02/2008 22:57

I love these threads. I wish that i had bf ds. I no longer feel guilty about it, it wasnt my fault, but i am sad. and i agree that changing the public perception that ff is "normal" would make a huge difference.

sil was talked out of even considering bf by family and friends, and was even told by her mw that "fm is just as good as bm" and, as much as i love her, i cant understand how an intelligent, independant woman who is such a fab mum would not research, or even consider bf.

its sad, but there isnt enough support for most women, and for many ff seems like the normal and easy option.

it would help if soaps showed new mums bf (been said before, but its true) and more highstreet shops (topshop, red herring) bought out nursing tops.

a lot of women find feeding in public uncomfortable and they should be able to buy a nursing top that doesnt have ditzy flowers on them

my bf's dw is expecting their first baby in september and when i was talking to her about it i didnt even consider that she would ff. told her that i had an unused breast pump and a couple of nursing tops that she could have.

of course i could be talking out of my arse, if so i apologise!

OracleInaCoracle · 22/02/2008 22:58

I love these threads. I wish that i had bf ds. I no longer feel guilty about it, it wasnt my fault, but i am sad. and i agree that changing the public perception that ff is "normal" would make a huge difference.

sil was talked out of even considering bf by family and friends, and was even told by her mw that "fm is just as good as bm" and, as much as i love her, i cant understand how an intelligent, independant woman who is such a fab mum would not research, or even consider bf.

its sad, but there isnt enough support for most women, and for many ff seems like the normal and easy option.

it would help if soaps showed new mums bf (been said before, but its true) and more highstreet shops (topshop, red herring) bought out nursing tops.

a lot of women find feeding in public uncomfortable and they should be able to buy a nursing top that doesnt have ditzy flowers on them

my bf's dw is expecting their first baby in september and when i was talking to her about it i didnt even consider that she would ff. told her that i had an unused breast pump and a couple of nursing tops that she could have.

of course i could be talking out of my arse, if so i apologise!

OracleInaCoracle · 22/02/2008 22:59

sorry, first time post didnt show.

hunkermunker · 23/02/2008 00:35

Just found this - "Normal" Is A Very Scary Word

OP posts:
harpsichordcarrier · 23/02/2008 00:46

that is a scary thing to read
I often quote the "13,000 studies" figure
I don't know anyone who mentions the SIDS risk