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#1 Jun 16 2006 at 12:20 PM Rating: Good
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or so the US government claims


edit to add looooooooooong article
Breast-Feed or Else
By RONI RABIN

Warning: Public health officials have determined that not breast-feeding may be hazardous to your baby's health.

There is no black-box label like that affixed to cans of infant formula or tucked into the corner of magazine advertisements, at least not yet. But that is the unambiguous message of a controversial government public health campaign encouraging new mothers to breast-feed for six months to protect their babies from colds, flu, ear infections, diarrhea and even obesity. In April, the World Health Organization, setting new international bench marks for children's growth, for the first time referred to breast-feeding as the biological norm.

"Just like it's risky to smoke during pregnancy, it's risky not to breast-feed after," said Suzanne Haynes, senior scientific adviser to the Office on Women's Health in the Department of Health and Human Services. "The whole notion of talking about risk is new in this field, but it's the only field of public health, except perhaps physical activity, where there is never talk about the risk."

A two-year national breast-feeding awareness campaign that culminated this spring ran television announcements showing a pregnant woman clutching her belly as she was thrown off a mechanical bull during ladies' night at a bar — and compared the behavior to failing to breast-feed.

"You wouldn't take risks before your baby's born," the advertisement says. "Why start after?"

Senator Tom Harkin, Democrat of Iowa, has proposed requiring warning labels, on cans of infant formula and in advertisements, similar to the those on cigarettes. They would say that the Department of Health and Human services has determined that "breast-feeding is the ideal method of feeding and nurturing infants" or that "breast milk is more beneficial to infants than infant formula."

Child-rearing experts have long pointed to the benefits of breast-feeding. But critics say the new campaign has taken things too far and will make mothers who cannot breast-feed, or choose not to, feel guilty and inadequate.

"I desperately wanted to breast-feed," said Karen Petrone, an associate professor of history at University of Kentucky in Lexington.

When her two babies failed to gain weight and her pediatrician insisted that she supplement her breast milk with formula, Ms. Petrone said, "I felt so guilty."

"I thought I was doing something wrong," she added. "Nobody ever told me that some women just can't produce enough milk."

Moreover, urging women to breast-feed exclusively is a tall order in a country where more than 60 percent of mothers of very young children work, federal law requires large companies to provide only 12 weeks' unpaid maternity leave and lactation leave is unheard of. Only a third of large companies provide a private, secure area where women can express breast milk during the workday, and only 7 percent offer on-site or near-site child care, according to a 2005 national study of employers by the nonprofit Families and Work Institute.

"I'm concerned about the guilt that mothers will feel," said Ellen Galinsky, president of the center. "It's hard enough going back to work."

Public health leaders say the weight of the scientific evidence for breast-feeding has grown so overwhelming that it is appropriate to recast their message to make clear that it is risky not to breast-feed.

Ample scientific evidence supports the contention that breast-fed babies are less vulnerable to acute infectious diseases, including respiratory and gastrointestinal infections, experts say. Some studies also suggest that breast-fed babies are at lower risk for sudden infant death syndrome and serious chronic diseases later in life, including asthma, diabetes, leukemia and some forms of lymphoma, according to the American Academy of Pediatrics.

Research on premature babies has even found that those given breast milk scored higher on I.Q. tests than those who were bottle-fed.

The goal of a government health initiative called Healthy People 2010 is to get half of all mothers to continue at least some breast-feeding until a baby is 6 months old. Though about 70 percent of new mothers start breast-feeding right after childbirth, just over a third are breast-feeding at 6 months and fewer than 20 percent are exclusively breast-feeding by that time, according to the 2004 National Immunization Survey. Breast-feeding increases with education, income and age; black women are less likely to breast-feed, while Hispanics have higher breast-feeding rates.

For women, breast-feeding can be an emotionally charged issue, and a very personal one. Even its most ardent supporters acknowledge that they have made sacrifices.

"It's a whole lifestyle," said Kymberlie Stefanski, a 34-year-old mother of three from Villa Park, Ill., who has not been apart from her children except for one night when she gave birth. "My life revolves around my kids, basically." Ms. Stefanski quit working when her first child was born almost six years ago, nursed that child until she was 4 years old, and is nursing an infant now.

She said she wanted to reduce the risk of breast cancer for herself and for her three daughters, referring to research indicating that extended breast-feeding may reduce the risk for both mother and daughters.

Scientists who study breast milk almost all speak of it in superlatives. Even the International Formula Council, a trade association, acknowledges that breast-feeding "offers specific child and maternal health benefits" and is the "preferred" method of infant feeding. The American Academy of Pediatrics states in its breast-feeding policy that human breast milk is "uniquely superior for infant feeding."

Dr. Haynes, of the Health and Human Services Department, said, "Our message is that breast milk is the gold standard, and anything less than that is inferior."

Formula "is not equivalent," she went on, adding, "Formula is not the gold standard. It's so far from it, it's not even close."

Formula manufacturers say infant formula is modeled on breast milk and emphasize that it is the only safe alternative recommended by pediatricians for mothers who cannot, or choose not to, breast-feed.

But while formula tastes the same way at every feeding, advocates of breast-feeding say, the smells and flavors of human breast milk change from day to day, from morning to evening, influenced by the mother's diet. Many nutritionists believe that exposing an infant to this bouquet of flavors early on may make for less fussy eaters who are more flexible about trying new foods and more likely to eat a healthy, varied diet.

"I think of human milk not just as food, but as a sophisticated and intricate infant support system that has evolved over millions of years to provide the infant with nutrition, protection and components of information," said Dr. E. Stephen Buescher, a professor of pediatrics at Eastern Virginia Medical School in Norfolk, who heads the inflammation section in the school's Center for Pediatric Research.

"It isn't just calories," Dr. Buescher said.

The protection that breast-feeding provides against acute infectious diseases — including meningitis, upper and lower respiratory infections, pneumonia, bowel infections, diarrhea and ear infections — has been among the most extensively studied of its benefits and is well documented, said Dr. Lawrence M. Gartner, chairman of the American Academy of Pediatrics' breast-feeding section.

Breast-fed babies have 50 percent to 95 percent fewer infections than other babies, Dr. Gartner said, adding, "It's pretty dramatic."

One reason for the reduction in the incidence and the severity of infections is the antibodies contained in the mother's milk. "A lot of this has to do with the mother and baby interacting," he explained. "Whatever the baby is exposed to, the mother is exposed to, and the mother will make antibodies within three to four days." The baby absorbs them through breast milk.

Breast milk also protects the baby through other mechanisms. For example, it contains agents that prevent bacteria and viruses from attaching to cells in the baby's body, so the foreign agents are expelled in the stool, Dr. Gartner said.

The protection is not ironclad, so breast-fed babies will often get a mild infection that does not make the baby sick but acts almost like a vaccine. "What we think is that human milk creates an environment where you get your immunity without the cost of an infection, the vomiting and the diarrhea," Dr. Buescher said. "That's a bargain."

Neonatologists are urging the mothers of their tiniest patients to express breast milk because premature and low-birth-weight babies are particularly vulnerable to infections. Studies have found that premature babies who get breast milk are discharged earlier from the hospital and are less likely to develop necrotizing enterocolitis, a potentially deadly disease.

Breast milk has also been shown to lift the cognitive development of premature babies, presumably because it contains certain fatty acids that aid brain development.

Experts say it is possible that human breast milk produces permanent changes in the immune system, in a sense "educating" the baby's immune system, Dr. Gartner suggested. That may explain why children who were breast-fed appear to be at lower risk for autoimmune diseases like Crohn's, asthma and juvenile diabetes. Several studies also indicate that breast-fed children are at reduced risk for the cancers lymphoma and leukemia.

Officials with the International Formula Council say there is not enough evidence to prove a relationship between early feeding and serious chronic diseases.

Dr. Myron Peterson, director of medical affairs for Cato Research, a private independent research organization which reviewed the literature on breast-feeding for the council, said that studies have found a link between nursing and health benefits but that they do not prove a causal relationship. "It's like the old statement about the rooster crowing making the sun come up," he said. "If you did an observational study on that, what would you say?"

An unpublished report the council commissioned from Cato says "it is not scientifically correct to conclude the lack of exclusive breast-feeding plays a causative role in the development of these diseases."

But scientists are so intrigued about the potential to protect children from juvenile diabetes that a large 10-year multinational study called Trigr (for Trial to Reduce Insulin-dependent diabetes mellitus in the Genetically at Risk) is under way to find out whether breast-feeding protects at-risk children from developing the disease.

And public health officials, excited about mounting evidence suggesting that children who were breast-fed are at lower risk of being obese, have been promoting breast-feeding as a strategy to combat alarming rates of childhood obesity.

The health benefits of breast-feeding may extend to mothers as well. According to the American College of Obstetricians and Gynecologists, extended breast-feeding reduces the risk of ovarian cancer and breast cancer. New studies have also found that women who breast-feed face a lower risk of adult-onset or Type 2 diabetes, and they seem to be at lower risk for osteoporosis later in life.

Immediately after childbirth, nursing accelerates healing by reducing the amount of bleeding and causing the uterus to contract more rapidly back to its normal size. Making milk burns up to 500 extra calories a day, so nursing mothers get help shedding extra pounds from pregnancy, experts say, especially if they nurse for an extended period.

Experts say lactation also seems to have a calming effect on the mother, which may be an adaptive mechanism to ease the transition to life with a new baby. Every time a mother nurses, she gets a spike in oxytocin, which may have an antianxiety effect and help promote bonding with the new baby, said Kathryn G. Dewey, a professor of nutrition at the University of California, Davis, and an expert on breast-feeding.

Nursing may even produce a euphoric feeling, she said.

Dr. Michael Kramer, a professor of pediatrics and of epidemiology and biostatistics at McGill University's medical school in Montreal who has been studying the health effects of breast-feeding among infants in Belarus, found a strong protective effect against gastrointestinal illnesses and a lesser protective effect against respiratory infections. Dr. Kramer is still analyzing data on obesity, I.Q., behavior and blood pressure.

"It can't do all of the things that are being claimed for it," Dr. Kramer said, injecting a note of caution into the debate. "But it probably does some of them."




I heard about this on talk radio yesterday and to be frank, I was appalled at how harsh the govt is being on women who use formula. Personally, I compltely agree that nursing is best. I nursed my son and plan on nursing my next child. But like the article pointed out, there are some cases where nursing is not a viable option, medically speaking. Not every woman can produce enough milk to keep their child healthy. From a personal standpoint, my family has a history of not being able to create enough milk to sustain their children and many of my family members, my mother included, were forced to use formula.

The other issue brought up is the amount of time the Us has for maternity leave before you have to come back to work. The United States allows for 12 weeks of maternity leave, a mere 3 months to breastfeed your child without having to worry about timing while at work. Compared to other countries around the world, we have one of the smaller leave times for mothers link to table of countries maternity leave
When you have 3 months for nursing thats great! But what happens when you're needed back at work full time? I know I had this problem with my first child. After carefully making sure I had expressed milk for my son, I went to work with pump in hand and realized, I didnt have time to pump as much as I needed to. Without warning my milk began to diminish. And the only safe place I had to pump was in the bathroom in between clients. I know other mothers have had the same problem. Whats a mother supposed to do? Leave her job for a minimum of 6 months with a very good chance of losing said job? Not an option, especially when the cost of living is so high.


My concern is the stigma that will be placed on the women who have no choice. Whether you can not create enough milk, or you do not have the ability to take more time off from your job in order to continue to make sufficient amount of milk for your child, the government has stated that if you do go to formula, you're a bad parent. You're just as bad as if you smoked during your pregnancy. So no matter which way you look at it, you're damned if you do or damned if you dont, unless you are a full time stay at home mom. And thats sad.

Edited, Jun 16th 2006 at 1:23pm EDT by DSD
#2 Jun 16 2006 at 12:23 PM Rating: Good
Ministry of Silly Cnuts
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Formula is KFC, Burger King & Krispy Kremes for the under 1's

Moms who don't breastfeed should have their children boiled in vinegar as a warning.

EDIT:

I agree that breastfeeding isn't an option for some mothers, but millions of dollars are spent by pharma-cos persuading Moms to use formula.

At least your Gubberment is giving a view to balance the aggressive marketing of formula (usually targeted at low income families).


Edited, Jun 16th 2006 at 1:28pm EDT by Nobby
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#3 Jun 16 2006 at 12:29 PM Rating: Good
Nobby wrote:
Formula is KFC, Burger King & Krispy Kremes for the under 1's

Moms who don't breastfeed should have their children boiled in vinegar as a warning.
Nub. Everyone know that it's easier to pickle a baby by feeding it whiskey. Smiley: rolleyes
#4 Jun 16 2006 at 12:29 PM Rating: Excellent
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I breastfed mine. Liquified chicken breast. That's good eatin'.

Actually Joph Jr was formula fed. The ex just couldn't get him to latch on and she wasn't getting much of anything from pumping, either. We even had some La Leche League ***** come to the house to teach her how to breastfeed but no dice. Joph Jr. wasn't gaining weight, cried constantly and was obviously suffering for lack of food. When we tried formula, it was a night & day difference with him gaining weight and sleeping soundly.

Should I have another child, I'd certainly want him to breastfed but sometimes you need to pick what's going to practically work.
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Wow. Regular ol' Joph fan club in here.
#5 Jun 16 2006 at 12:30 PM Rating: Decent
+1 being breat fed!
#6 Jun 16 2006 at 12:30 PM Rating: Good
I'm still breastfed.
#7 Jun 16 2006 at 12:32 PM Rating: Excellent
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Nobby wrote:
I agree that breastfeeding isn't an option for some mothers, but millions of dollars are spent by pharma-cos persuading Moms to use formula.
When my sister was born (back in 1971), my father told my mother that he wanted her bottlefed because breastfeeding was unnatural Smiley: dubious
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Wow. Regular ol' Joph fan club in here.
#8 Jun 16 2006 at 12:34 PM Rating: Excellent
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I have no problem with getting the information out there that breast feeding is healthier. I have no problem with labels on formula.

I have a little bit of a problem with the whole guilt machine, though. Women who can't breast feed for whatever reason should not be made to feel as though they'd made a deliberate choice, such as smoking or drinking during pregnancy, that could have a measurable negative impact on their child's health.

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#9 Jun 16 2006 at 12:35 PM Rating: Default
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My soon to be wife won't be able to breast-feed due to her breast reduction about four years ago.

Quote:
Breast-fed babies have 50 percent to 95 percent fewer infections than other babies,



Doesn't sound too good to me.

Edit: I mean that it doesn't sound too good to me because of the situation my wife and I will be in.


Edited, Jun 16th 2006 at 1:37pm EDT by Hatamaz
#10 Jun 16 2006 at 12:35 PM Rating: Good
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Jophiel wrote:
Nobby wrote:
I agree that breastfeeding isn't an option for some mothers, but millions of dollars are spent by pharma-cos persuading Moms to use formula.
When my sister was born (back in 1971), my father told my mother that he wanted her bottlefed because breastfeeding was unnatural Smiley: dubious
QFT

WHO figures show that where Nestle mass-marketed formula in the 3rd world, Breastfeeding is becoming less popular, and childhood immune systems are collapsing. Smiley: oyvey
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#11 Jun 16 2006 at 12:37 PM Rating: Decent
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Long enough eh?

I have no idea as to the benefits/disadvantages to breastfeeding vs. formula, but that's a pretty radical view.
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#12 Jun 16 2006 at 12:37 PM Rating: Good
Our son is formula fed. Wifey had planned to breast feed, but she was very anemic due to blood loss from surgery and did not get a good let down of milk. Is it the end of the world? No. He'll grow up just fine.
#13 Jun 16 2006 at 12:38 PM Rating: Good
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thats exactly the issue I have with this, Sam. And unfortunately, there are enough La Leche ***** out there who will grab onto this and have no problems confronting women who do use formula and berate them. It's hard enough as it is to raise a health happy child, and every mother fears that she may ***** up. This is just emphasizing an area that is already touchy as it is. And comparing it to smoking??? I dont think theyre even in the same ball park
#14 Jun 16 2006 at 12:39 PM Rating: Good
The One and Only Frakkor wrote:
Our son is formula fed. Wifey had planned to breast feed, but she was very anemic due to blood loss from surgery and did not get a good let down of milk. Is it the end of the world? No. He'll grow up just fine.
Right. Tell the truth, you just keep stealing all baby's milk. Big meanie!
#15 Jun 16 2006 at 12:40 PM Rating: Good
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DSD wrote:
And comparing it to smoking??? I dont think theyre even in the same ball park
I know eminent epidemiologists who believe it's a comparable risk factor.

Conflicting evidence as usual, but breastfeeding (where it's a viable option for Mom) has a huge impact on immunity, thriving and later-life CV health.
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#16 Jun 16 2006 at 12:43 PM Rating: Good
They had us believing that if we supplemented with the bottle even just once, that Aedyn would never go to the breast again. The first night home she was screaming because my wife's milk hadn't come in yet, so we said ***** it and gave her a bottle.

The next day we met with the lactation consultant at our pediatrician's office, who was a very sensable lady. She explained that you can supplement with formula, and gave us some hints on how to get breastfeeding going. Aedyn breast fed for 3 months, as soon as my wife went back to work and had to pump it was a downhill slide on having enough milk.

I don't think formula is evil, we breast fed for those 3 months and formula for the other 9 and Aedyn is doing just fine.
#17 Jun 16 2006 at 12:49 PM Rating: Good
I was fully formula fed, and I am completely healthy. I don't believe everything I read either.
#18 Jun 16 2006 at 12:53 PM Rating: Good
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I plan to breast-feed, and if I couldn't, I suppose I would feel like I let my kid down. My mother is a nurse and she always stressed that she passed on her antibodies to us thru breastfeeding, and that's why we weren't asthmatic, migraine-racked, allergy-ridden weakling like my cousins, who were all forumla-fed.
That said, I would hope that no one would go out of their way to condemn me for something I had tried to do but just couldn't.
#19 Jun 16 2006 at 12:55 PM Rating: Good
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I breastfeed my girls, because I was too lazy to wash bottles and liked the lighter diaperbag.

I think the warning is being marketed to low income girls who then to think of their babies as a new toy. With all the bottles filling the diaperbags and their large barely folded stollers, they take up to 3 seats on the bus. Then they have a fit when told they need to make room for the 5 old folk who get on at the bus stop infront of the senior center, while giving me and my cane the evil eye.
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#20 Jun 16 2006 at 1:02 PM Rating: Good
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Wow, that article sure tries to lay the guilt trip on mothers/parents... Hell, they even admit in the article that it is only 3 months of paid leave from work as required by law... so you're supposed to go have a HIGH chance of loosing said job for a more healthy kid? Doesn't seem like a fair trade to me, especially if you're in a good job. Frankly, I think a better solution then putting the "warning labels" on formula and such would be to increase the minimum leave to around 6 months. Ya, it is a long time, but hey THEY* are the ones saying it is best.

*well ok, they technically are just scientists and not the govt... but still, there are other ways then the "warning labels" that could be put into to effect to help this situation out that would be a LOT more effective.
#21 Jun 16 2006 at 1:02 PM Rating: Good
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Right on, Elne. Washing bottles sucks.
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#22 Jun 16 2006 at 1:04 PM Rating: Good
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Princess Tare wrote:
Right on, Elne. Washing bottles sucks.
True, but less painful than boiling your nipples.

Hygiene is soooo important though
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#23 Jun 16 2006 at 1:10 PM Rating: Good
I think Nobby has a flesh boiling fetish.
#24 Jun 16 2006 at 1:11 PM Rating: Good
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Nobby wrote:
Princess Tare wrote:
Right on, Elne. Washing bottles sucks.
True, but less painful than boiling your nipples.

Hygiene is soooo important though


Why do I get the feeling you have experiance with that...
#25 Jun 16 2006 at 1:11 PM Rating: Good
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What is forumla anyway? Regurgitated forum spittle?

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#26 Jun 16 2006 at 1:14 PM Rating: Good
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Wint wrote:
They had us believing that if we supplemented with the bottle even just once, that Aedyn would never go to the breast again. The first night home she was screaming because my wife's milk hadn't come in yet, so we said ***** it and gave her a bottle.

The next day we met with the lactation consultant at our pediatrician's office, who was a very sensable lady. She explained that you can supplement with formula, and gave us some hints on how to get breastfeeding going. Aedyn breast fed for 3 months, as soon as my wife went back to work and had to pump it was a downhill slide on having enough milk.

I don't think formula is evil, we breast fed for those 3 months and formula for the other 9 and Aedyn is doing just fine.


I was told the same thing initially. But then, if you have expressed milk and someone else is there to feed baby, what are they supposed to do? Use a bottle, duh. My son was fed both by nursing and with bottles breast milk for 3 months solid. He never once had a problem going from one to another.

And TOmec, you hit it on the head. If they're going to lay blame on women who formula feed esp after the three month unpaid maternity leave is done, then they may want to look to their own policy and change the maternity leave to merge with this "finding".

But again, what about those poor women who physically can not produce enough milk to keep their child satiated? Right off the bat, without doing anything wrong they are being condemned.


And Flea, Bob forbid you meet a La Leche if you are forced to use a bottle.
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