Strollerderby

They Say: Breastfeed Or We’ll Ignore You

Posted by jeannesager on July 15th, 2009 at 10:31 am

bottlefeeding 300x300 They Say: Breastfeed Or Well Ignore YouThe breast is best message is getting out, but researchers have found the backlash against bottlefeeding isn’t just on the front lines of mommy wars. It’s inside the hospitals, where medical professionals are ignoring bottlefeeding moms in favor of women willing to whip out a nipple to their newborn.

The study which appeared this week in the Archives of Disease in Childhood journal originated in England and was meant to address the issues bottlefed babies can encounter . . . specifically when bottlefeeding is not done correctly. Because believe it or not, breastfeeding isn’t the only confusing way to go.

Bottlefeeders need to know – fast flow or slow flow nipple? Milk-based formula or soy? Are they eating too little? Too much? Does the bottle have to be cold? Too warm? Is bacteria breeding in that bottle?

Mothers are reporting hospital staff spent less time with them than their breastfeeding counterparts, and bottlefeeders reported getting less of an education in the art of bottlefeeding. And that, in turn, the research shows, has had a long-term affect on the health of the babies.

I’m going to make a giant leap here – but could this perhaps be the source of some of the disparities between breast and bottle studies? I’m all for breastfeeding, but with my own very unscientific look at bottlefed kids vs. breastfed kids, I can tell you the numbers quoted all the time hardly apply to all. Breastfed babies are healthier? Tell that to the mom who breastfed for a year and whose son constantly has double ear infections . . . and the mom who bottlefed from two weeks on and has never taken her daughter to a pediatrician for a non-well-care visit.

There’s no doubt breastfeeding has immense benefits, but this study goes far in pointing that some of those poor outcomes touted in studies of the bottlefed could have a root far from the formula itself.

Of course, I’ll come back to what I’ve always said about the bottle vs. breast debate: is anyone going to know which kid was which when a bottle-starter sits next to a breast-starter in kindergarten? Would it matter?

We all want to give our kids the best start at life . . . it would be nice if healthcare professionals would step and assist.

Image: OneStepAhead

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17 Comments

I’ve found the pedi’s to be useless as far as breastfeeding information. Why on earth would they be any better a source for bottlefeeding? In a perfect world, they’d do both. It may not be ignoring so much as they don’t do well with either, really.

PlumbLucky commented on Jul 15 09 at 11:51 am

I’d been bombarded with info on formula, but I had to hunt down info on nursing. Med students don’t get good information on nutrition and eating, period, which probably contributes to any number of problems.

zaksmom commented on Jul 15 09 at 12:13 pm

That was my thought too – I received oodles and oodles of (advertising) information on formula too, just nothing from doctors.

PlumbLucky commented on Jul 15 09 at 12:21 pm

zaksmom – “Med students don’t get good information on nutrition and eating, period”. Is that really true? I am not a doctor, but I used to work with them and they tell me that nutrition has been a part of medical school for years. (Maybe not specific to breastfeeding/bottle feeding, though.)

Where I live (San Francisco), we are bombarded with breastfeeding information, although it is not necessarily valuable. I did breastfeed my son, but he had a really hard time latching on, and all I got from the lactation consultants was eye-rolling and comments about how most moms get it by now.

The few moms I know who bottle fed their babies were treated like social outcasts.

Jeanne, you talk about kids who are bottle-fed sometimes being healthier than kids who are breastfed. The differences that breastfeeding advocates cite are not as large as people think. That is, it is not like a baby who is bottle-fed will be twice as likely to get sick. It is a small percentage. This is more of an issue of public health than an individual child. You won’t see differences in small groups of children.

I support whatever decision a parent makes.

laure68 commented on Jul 15 09 at 12:41 pm

After my friend gave birth to a preemie I was in the room with the dad, the unconcious mom, and two nurses. The nurse handed the 4 pound baby to the dad and gave him this HUGE bottle and told the first time parent to feed the sluggish infant and then walked out! I had to show him how to hold the baby, open her tiny mouth and coax out a few drops from the enormous nipple. Later, they roused the mom from her sleep and tried to get her to breastfeed the still super sluggish baby. Naturally it was a no go but the same two nurses spent a good 20 minutes workign with her to try to get her to nurse and then they left again! Once again, the dad and I tried to get the baby to use another bottle that I, not a nurse, had prepared. This guy was so clueless he pulled a ginat pacifier straight from the package and tried to put it in the baby’s mouth. I jerked it out of his hand and nicely said he needed to sterilize it first. That poor guy was so confused. The nurses never even told him he needed to sterilize the nipples and bottles for this fragile baby. Once the grandmother showed up, I filled her in on the poor nursing staff and left the car wreck in her capable hands.

Ali commented on Jul 15 09 at 12:47 pm

Although I work as a breastfeeding advocate, I completely agree with the point that many of the problems with bottle feeding is bottle feeding incorrectly. And beyond the safety issues of bottle feeding, beyond the inferiority of formula to breastmilk, bottle fed babies do not get the extra hands on of breastfed babies. How many times have you seen a bottle propped in a carseat (my personal pet peeve) or a child carrying around a bottle?

But the point about not telling the difference between breast and bottle fed children at kidnegarten . . . maybe you can’t tell the difference then, but I wonder at 50, when chronic health conditions such as diabetes, heart disease, etc start to set in . . . maybe that’s when one can tell a breastfed child from the bottle fed child, all other factors being the same.

Nutritionist commented on Jul 15 09 at 1:25 pm

Nutritionist: I’d posit that the bottle propping issue is evidence of the failure of education to bottlefeeding parents. HOWEVER, I will note that a fair amount of breastfeeding mothers I know pump and have their children hold the bottle or prop it . . . and a fair amount of non-breastfeeders are EXTREMELY hands on. Believe it or not, I know some bottlefeeders who would otherwise be described as attachment parents!
That kind of generalization that breastfed babies are somehow better cared for by their moms is what pushes this breast vs. bottle war forward unnecessarily.

jeannesager commented on Jul 15 09 at 1:43 pm

Nutritionist…I completely agree with your assessment of these children 50 years from now. I think a HUGE part of the explosion of diseases like cancer (and I am one of the ones that has it), diabetes, heart disease, etc. has to do entirely with processed food…starting with formula. I think that time will tell with this sadly to say.

Spiff commented on Jul 15 09 at 2:51 pm

I agree with jeannesager. I’ve met my fair share of moms who breastfeed who aren’t spending time bonding with their children, as well as bottlefed babies who get plenty of mom time with mom talking to them and looking into their baby’s eyes. After failing at breastfeeding, I would still do skin to skin when feeding my babies.

Women who cannot or choose not to breastfeed are not evil or uninformed and many many of them are terrific mothers.

Some chronic health conditions are also genetic too. So I should blame my mom’s lack of breast feeding for that too??? Strange, but my grandfather had type 2 diabetes and he was breastfed, yet my dad (his son) was not breastfed and hasn’t had it. His sister (breastfed) has it.

Nutritionist, you might have gotten a college degree in your major, but you really need to go back to school to learn some “bedside manner”. I hope our paths never cross should I need information concerning nutrition for my family or children. I think I’d trust Dr. Google more, and Dr. Google doesn’t judge.

Sheri commented on Jul 15 09 at 2:59 pm

I really do not understand why moms give so much importance to other peoples’ opinions about the decisions they make for their kids. I breastfed my son for one year and heard all kinds of crap from people that only made me laugh. We need to make well informed decisions, search information, talk to your obgyn and if they do not listen, reach out to a group, talk to your mom, use common sense, but in the end, make your own decision and when you finally make one, stick to it no matter what people think because in the end we are their mothers and 95% of the time, our own intincts are going to be right.

Rosana commented on Jul 15 09 at 4:21 pm

Actually I would argue the opposite of this article. Rather then being bias towards breastfeeding there is a bias against it. That bias being that breastfeeding could not possibly provide enough nutrition to an infant naturally, so parents must be careful to check every BM, chart every second a mom breast feeds and the color of every ounce of breast milk pumped. Also even if they are spending more time, is that time quality time? Sure I saw a lactation consultant in the hospital and the nurses questioned how often my daughter was feeding, came into tell me when I should wake her up to nurse etc, but most of that information was false and made me insecure about breastfeeding. Yet 15 minutes with my midwife when she was checking me out of the hospital helped me more then the hours spent with nurses and even my lactation consultant. My midwife went over the basics, really made sure my daughter was latching on correctly and that I was comfortable breastfeeding.

Brooke commented on Jul 15 09 at 11:23 pm

I am currently studying to become a lactation consultant. At the clinic where I am observing, most breastfeeding moms have received a lot of outdated and conflicting information, as well as formula samples (often before their babies were born) and a real lack of support. One of my mentors has said that it’s kind of like putting in all kinds of time and energy into the wedding (the birth) when it’s the marriage (parenting in general, and breastfeeding in particular) that requires the most attention. Lots of women initiate breastfeeding, but fewer and fewer are able to continue, mainly because they are not receiving consistent and competent support and validation.
Yes, the “breast is best” message is out there loud and clear, but we as a society are not backing it up with the tools that women need to breastfeed successfully. The message is then just lipservice and a means to judge women for having to make tough choices when it comes to feeding their babies.

mlb commented on Jul 16 09 at 9:21 am

mlb, maybe you can do something to make it better!!! Good luck to you!!!

Sheri commented on Jul 16 09 at 10:08 am

I’m more for fighting for adequate paid leave for new parents. Without that option, all the choice in the world will make way for convenience.

Mistress_Scorpio commented on Jul 16 09 at 12:14 pm

“I’m all for breastfeeding, but with my own very unscientific look at bottlefed kids vs. breastfed kids, I can tell you the numbers quoted all the time hardly apply to all. Breastfed babies are healthier? Tell that to the mom who breastfed for a year and whose son constantly has double ear infections . . . and the mom who bottlefed from two weeks on and has never taken her daughter to a pediatrician for a non-well-care visit.”

Please, stop spreading this statistical nonsense! Of course these are individual differences in health. Not every individual breastfed baby is healthier than every single bottlefed baby. But the science is very clear — ON AVERAGE, breastfed babies are healthier than bottlefed babies. This means that the health of most babies is improved by breastfeeding, whether that baby is naturally quite healthy either way, or naturally quite unhealthy compared to other children. These individual stories of examples of a breastfed baby who is less healthy that a bottlefed baby seem compelling on an anecdotal level, but in no way constitute scientific evidence.

“Breastfeeding promotes health, helps prevent infant and childhood disease, and saves health care costs, especially important in managed care. Potential health care cost savings from breastfeeding in four medical diagnoses were analyzed. Results showed the following potential savings in health care costs: Infant diarrhea, $630 million; respiratory syncytial virus, $31 million; insulin-dependent diabetes mellitus, $72 million; and otitis media, $660 million for a total of $1.3 billion potential saving in health care costs using only 4 medical diagnoses. Breastfeeding also improves intellectual development of children according to new medical research studies. The benefits of more intelligent children on society is enormous even though it cannot be directly measured in terms of dollars. Finally, it was calculated that if WIC mothers breastfeed, yearly cost savings for basic food packages would be $2,665,715. Breastfeeding education and support should be an integral part of health care especially in managed care where rewards are for preventing health problems and not using health services.” Abstract of a paper submitted for publication by Janice M. Riordan EdD, RN. Associate Professor, School of Nursing Wichita State University.

ldb commented on Jul 22 09 at 11:43 am

I am in medical school, and have been taught a great deal about human metabolism, the basics about medical feeding through various tubes, and the basics of counseling for tobacco use (which has somethings in common with counseling about nutrition). A one-hour clinical observation of a lactation consultation was optional and untested, as was a one-hour “complementary and alternative medicine” seminar on nutrition. Otherwise, I haven’t been taught anything about nutrition for people of any age, although I’ve completed all my required core courses except my emergency room rotation. My hospital routinely leaves nipples, bottles of formula, and “new mother packages” of promotional literature and swag in the rooms of new mothers, and will not provide a lactation consultation until a mother has tried breastfeeding for at least 24 hours and is judged by the staff to be “failing”. From my experience, it does seem that medical students don’t get good information–or actually, much information of any kind–about nutrition. And although I think the implicit message at my hospital is that breastfeeding is less preferred than bottle feeding, I am sure no doctor on staff would agree with that as a statement. This is confusing, and makes it hard for us to learn to support patients well no matter what their feeding options and choices.

beep commented on Jul 22 09 at 4:24 pm

There’s a complete lack of information from doctors and pediatricians when it comes to breast and formula feeding. And I must stress that BOTTLE feeding does not mean formula feeding. And formula need not be fed with a bottle, that is not the optimal feeding method for formula.

And while I agree doctors should have a lot more training in this, and if they don’t/didn’t get it in medical school they should learn in their own time; it is ultimately the parent’s responsibility.

Why do moms spend their whole pregnancy preparing for the birth, and giving very little thought on how to care for a baby. In fact far more time is spent focusing on the birth than even on the pregnancy itself. The same thing is true of marriages -its all about the wedding, almost no one plans for the actual marriage.

The information is out there, if you have questions get the answers. If moms bothered to know that powdered infant formula is NOT sterile and is unsafe then formula companies would make it sterile, they have the technology but since moms don’t know they won’t make formula more expensive.

Certainly the industry that makes bottles and the gazillions of nipples that you are going to go through as they wear out, or to find one your baby is going to take isn’t going to mention that its not the best feeding method. Paladais and other feeding cups do not wear out as frequently. Of course you can’t prop a feeding cup using a bottle sling, stuffed toy, or other device.

Maybe moms shouldn’t be required to know about casein/whey ratios, healthy fats for babies, calorie counts, etc. But you can’t expect the government to make all your healthy eating choices for you -not at any age. And certainly there is no “one rule fits all” for babies.

mystic_eye_cda commented on Oct 26 09 at 12:24 pm

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