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To Breastfeed or Not To Breastfeed?

In honor of World Breastfeeding Week, we wanted to share a previous post from a guest blogger, Allison:

 

Guest Blog: Breastfeeding versus Bottle-feeding
By Allison Brooks

Photo Credit: nettsu via Compfight cc

Moms may differ in their opinions and or choice to breastfeed or bottle-feed. I personally think it should be the woman’s right to choose. Breastfeeding and bottle-feeding both have pros and cons. We hear the many pros of breastfeeding such as less illness, possible greater intelligence of the child and so on. Many organizations including the Academy of Nutrition and Dietetics (formerly known as the American Dietetic Association) promote breast-feeding here in the USA and abroad. However, I question whether this is always appropriate especially if the mother is deficient in micronutrients, deficient in essentially fatty acids, malnourished, stressed, had multiple births in a short period of time or perhaps is not the right choice for the mother. I was breast fed for 3 months and choose to bottle feed my children.

Below, guest blogger Allison Brooks shares her point of view at an international level. Allison studies biomedicalization in Bolivia. Here she presents an example of biomedicalization on breastfeeding versus bottle-feeding in third world countries. Allison shared with me that she too was bottle-fed.  Feel free to comment and share your opinions as well. All are welcome.

Biomedicalization of BreastFeeding: What is healthy here, might not be healthy for all

Biomedicalization is a term used to describe the way in which natural life processes, human conditions and problems are defined and treated as medical conditions. Aging, childbirth and breastfeeding are good examples of normal life processes which have come under the authority of doctors. Biomedicalization may bring benefits, but there are also costs. Philosopher Ivan Illich was one of the first to use the term “medicalization,” which he argued actually caused an increase in social and medical problems as a result of medical intervention. One example is the drive by manufacturers of baby formulas to supplant breastfeeding with formula.

When a mother dies in childbirth or cannot breastfeed for some reason, infant formula may be the only choice. However, in the underdeveloped nations of the world, breastfeeding serves a number of critical purposes. Breastfeeding protects babies from infection, provides them with near-perfect nutrition and acts as a natural birth control for the breastfeeding mother. Breastfed babies are less likely to develop diarrhea, bacterial meningitis, ear infections and respiratory infections than infants who are fed formula. Breastfeeding also triggers beneficial hormone secretion in the mother, and the milk changes in amount and constituents to meet the needs of the individual infant.

The Nestle baby formula promotion of the 1970s urged mothers in less-developed countries to forgo breastfeeding in favor of formula, stressing convenience and nutrition. Nestle used strategies such as sending a new mother home with free samples; once the samples ran out, the child was habituated to formula and the mother’s milk had dried up, so the family had to buy formula.

Problems with this sort of infant nutrition quickly became apparent. Formula must be mixed with water and water in poor countries is often contaminated. Mothers could not read the instructions on water sterilization, or did not have the means to boil the water. Formula-fed babies were much more likely to die of diarrhea or pneumonia as a result of infections. Poor mothers would often mix inadequate amounts of formula for each feeding to make the expensive formula last longer, resulting in malnourished babies.

Nestlé’s marketing activities were considered so unethical that a boycott was launched by a group called the Infant Formula Action Coalition. In 1981 the World health assembly adopted Resolution WHA34.22, which bans the promotions of breast milk substitutes. Although Nestle agreed to accept the code, in 1988, formula companies were accused of repeating the unethical tactics and the boycott, which was still in force as of 2011, was launched. Other companies such as Borden, Similac and Wyeth have come under similar criticism for marketing methods that imply formula and breast milk are nutritionally equal. Most physicians and international organizations such as WHO and UNICEF recommend now breast milk exclusively for the first six months of life.

But the effects of biomedicalization do go way beyond the idea of breastfeeding. Pharmaceutical companies push new rules on societies regardless of their cultures, everyday. This is easy to see in America, because we are the only country that allows pharmaceutical companies to run ads and develop an image for people to follow. Without regards to the culture, the environment and so on, sometimes these “better” medications/therapies can actually be harmful for the people. With new drugs entering the system to promote beauty or health, or a better life-expectancy for cancer, traditional practices are be dropped by the wayside, and people and cultures are being negatively affected.

 

About Guest Blogger Allison Brooks:

Allison says “I was bottle-fed too, that’s why I say what is healthy to you might not be healthy to others (cultural relativism). Thats why I don’t push my beliefs onto people, I state what I know and allow you to do what you please, with no judgment.”

Allie went to the University of Mississippi. She earned her degree in biomedical anthropology and  is now studying in the field to finish an ethnography on the effects of biomedicalization on Bolivian cultures, but as it relates on other societies as well. She loves to guest blog on her time off to past time and spread the word. When she is not at her computer, Allie enjoys riding her  horse, Lilly and playing with her ducks, Alvin and Shirley.

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One Mom's Story on Breastfeeding

In honor of World Breastfeeding Week, we wanted to share a post from a guest blogger, Rachel:

Breastfeeding May Be “Natural,” but That Doesn’t Make It Easy
By Rachel Lipson

Like so many other pregnant woman, I spent the months leading up to my son’s arrival planning, reading, decorating the nursery, and educating myself about childbirth, breastfeeding, and raising a newborn. I took classes, read books, talked to lots of moms and moms to be to get more tips. Everyone told me that breastfeeding would be difficult, but I couldn’t believe it would be difficult for me. I couldn’t imagine that a practice passed down over so many generations, a practice that nourished newborns since the beginning of time, could be all that challenging. The pain of unmedicated childbirth should have given me a clue that just because something has been done countless times before doesn’t mean it’s easy. I took breastfeeding classes, read books, talked to anyone who would give me tips, and prepared myself for any issue that could come up with nursing.

 

When my son came out last November, rooting and ready to latch, it still seemed like the most natural, carefree experience a mom and baby could share. How amazing that he came out knowing just what to do! Then he latched on and I was in excruciating pain! I was breathing through every suckle like it was another contraction. The nurse told me to toughen up (ironic since this was following a thirty-hour labor, an unmedicated birth, and two very severe post-partum hemorrhages that led to massive medical interventions and two blood transfusions). I had just been through quite a lot but was feeling stronger and more capable than ever. So, I persevered. The nurses at the hospital fancied themselves lactation consultants but dished out the worst advice. It turned out, following a visit to the pediatrician after we got home, that my son was tongue-tied. I thought that sounded like a figure of speech and not a diagnosis, but as it turned out, his tongue was too attached to the bottom of his mouth and that’s what caused the painful latch. We were referred to an ENT and had it corrected when Max was five days old. We were told he would cry for a moment and then nurse painlessly immediately after. He did only cry for a few moments, but when he tried to latch, he couldn’t figure out what to do with his tongue! After two visits with a lactation consultant, we were partially able to nurse with a nipple shield. Then, at the next doctor’s visit, it turned out Max was losing too much weight. We were advised to supplement with formula, but instead I supplemented with my own pumped milk in bottles after every feed.  Max’s latch was still incorrect, and it turned out he wasn’t efficiently nursing. I continued to nurse and pump and bottle feed…I was exhausted!

 

All of that pumping helped him to return to his birth weight but led to a massive oversupply of breast milk. Max would drink for a few moments and pop off screaming as milk squirted into his mouth. This was just getting harder and harder. I should say here that I’m the type of person who is extra motivated and somewhat of a perfectionist. It’s harder for me to give up than it is to persevere. Still, I thought about giving up, and when Max became colicky at three weeks old, I was ready to throw in the towel. I was exhausted, the latch problems were still there, and the nursing, pumping, and bottle-feeding took up way too much time and energy. That’s when things really got tricky. Max’s colic got worse and worse. He would cry and fuss from 7:00 p.m. or so until 2:00 a.m. every single night. My husband and I were losing our minds. The doctor suggested giving up dairy in my diet to see if it helped his colic. She gave us a can of hypoallergenic formula to try as well in case we wanted to see results even faster. Within just a few days, Max was a different baby. He no longer seemed to be in such intense discomfort, and the crying at night subsided. It turned out that Max had a milk protein intolerance. Problem solved!  But wait! A few days later, his reflux started. He was spitting up left and right and crying out in discomfort. The doctor suggested giving up soy as well. I gave up soy, and his reflux started to improve to some extent. The hypoallergenic formula made his reflux much worse. We tried multiple other hypoallergenic formulas (to supplement), and every single one made him absolutely miserable and unable to keep any food down.

 

From that moment on, I knew that all I had done to continue to breastfeed my son had been worth it. I had a child who couldn’t tolerate any food other than my breast milk (as long as it was milk and soy free). We had all sorts of other ups and downs, Reynaud’s phenomenon, mastitis, etc. I constantly wished I could stop, but I knew that this wasn’t an issue of what I felt was best for my son…there was nothing else for him to eat! What would we have done if I hadn’t kept it up all those weeks before? By six months, he was thriving and loving life. The reflux started to subside, and with the help of the amazing Brooke from Sleepy on Hudson, Max started sleeping through the night. I tried every hypoallergenic formula out there once again and found that there was one ready-to-feed version (one that had failed us miserably early on) that he was able to drink and keep down. When he was seven months old, he had given up nursing (his choice) for the most part and was exclusively bottle-fed (still mostly breast milk). I knew I had given him what he really needed…food and sustenance during a time when he couldn’t tolerate anything else. I was ready to eat dairy and soy again, ready to stop pumping 4–6 times a day, and completely weaned him by the time he was eight months old. Now he’s nine months old and as happy and healthy as can be.

 

Pregnancy was challenging at times, childbirth was excruciatingly painful beyond words, but breastfeeding was hands down the hardest thing I’d ever done in my life. It wasn’t always the amazing bonding experience I had envisioned, but I am grateful that I had the willpower and perseverance to stick with it when my son really needed me the most. I can’t believe I thought it would be easy! Of course, I’m sure it couldn’t be that hard the second time around…right?

 

About Guest Blogger Rachel Lipson:

Rachel Lipson is the founder and director of Blue Balloon Songwriting for Small People in Brooklyn, NY.

Posted on

Formula Fed—Me and My Boys

Formula Fed—Me and My Boys
Not every mom must breast-feed.
By Laura Cipullo RD CED CEDRD CDN 

Photo Credit: nerissa’s ring via Compfight cc

I know as a registered dietitian I am supposed to encourage breast-feeding, but there are enough dietitians indoctrinating “breast-feed only.”  I am here to share the flip side. I don’t want moms to feel guilty for not breastfeeding because they cannot or simply because they choose not to. I have formula fed both of my sons, who are now ages five and seven. Neither have food allergies, and neither have been on antibiotics (recently, however, it was necessary for the eldest to take them). I, too, was formula fed and am a healthy individual. Opining for formula is based on my personal experience and not science.

 

But it can be heartbreaking to want to breast-feed your child and be unable to do so. Moms, please don’t feel guilty. Formula feeding is not to the detriment of your child. You can still bond, and you can still provide your child with nutrition. As a matter of fact, the first six months post birth are important, but our job as mothers is even more important as our babies get older. Providing pure nutrition goes beyond the breast and the bottle. How we feed the baby, what we feed them as their first foods, and the relationship between us and our food—and our child and his/her food—is a lifelong balancing act that is more crucial than breastfeeding.

 

There are also other times when it may be to the mom’s or the baby’s advantage to choose formula rather than breast-milk.

Photo Credit: nerissa’s ring via Compfight cc

Why it may not always be better to breast-feed:

  1. Mom may be malnourished and unlikely to give baby adequate nutrition.
  2. Mom may be decreasing her bone density, sacrificing her health in order to give baby enough calcium.
  3. Mom may not be eating fish, and therefore baby is not getting enough DHA, the essential fatty acid obtained through eating fish.
  4. Mom may be drinking diet soda and eating diet foods to lose the baby weight. (But do you want to bottle-feed artificial sugar to your baby? Is this different healthier than sugar in formula?)
  5. Pump and dump?? Let’s face it, many moms imbibe in drinks such as wine, while others even smoke tobacco and proceed to breast-feed!
  6. Baby may not be getting enough nutrition, and formula may be better choice.

 

Consider, are you doing this to benefit baby or yourself? If you do breast-feed, make sure you take a multivitamin with minerals, drink enough water, and eat enough real, wholesome food. If you choose formula, know your baby is getting calcium, DHA, and the necessary macronutrients. The sugar in formula is not ideal, but remember milk is a form of carbohydrate, which is sugar. The focus for you and all moms and dads can and should be on what you feed your child for the rest of his/her young adult life rather than on the first year alone.

 

More on breast-feeding: 
Posted on

Guest Blog: Breastfeeding versus Bottle-feeding

Photo Credit: nettsu via Compfight cc

Moms may differ in their opinions and or choice to breastfeed or bottle-feed. I personally think it should be the woman’s right to choose. Breastfeeding and bottle-feeding both have pros and cons. We hear the many pros of breastfeeding such as less illness, possible greater intelligence of the child and so on. Many organizations including the Academy of Nutrition and Dietetics (formerly known as the American Dietetic Association) promote breast-feeding here in the USA and abroad. However, I question whether this is always appropriate especially if the mother is deficient in micronutrients, deficient in essentially fatty acids, malnourished, stressed, had multiple births in a short period of time or perhaps is not the right choice for the mother. I was breast fed for 3 months and choose to bottle feed my children.

Below, guest blogger Allison Brooks shares her point of view at an international level. Allison studies biomedicalization in Bolivia. Here she presents an example of biomedicalization on breastfeeding versus bottle-feeding in third world countries. Allison shared with me that she too was bottle-fed.  Feel free to comment and share your opinions as well. All are welcome.

Biomedicalization of BreastFeeding: What is healthy here, might not be healthy for all

Biomedicalization is a term used to describe the way in which natural life processes, human conditions and problems are defined and treated as medical conditions. Aging, childbirth and breastfeeding are good examples of normal life processes which have come under the authority of doctors. Biomedicalization may bring benefits, but there are also costs. Philosopher Ivan Illich was one of the first to use the term “medicalization,” which he argued actually caused an increase in social and medical problems as a result of medical intervention. One example is the drive by manufacturers of baby formulas to supplant breastfeeding with formula.

When a mother dies in childbirth or cannot breastfeed for some reason, infant formula may be the only choice. However, in the underdeveloped nations of the world, breastfeeding serves a number of critical purposes. Breastfeeding protects babies from infection, provides them with near-perfect nutrition and acts as a natural birth control for the breastfeeding mother. Breastfed babies are less likely to develop diarrhea, bacterial meningitis, ear infections and respiratory infections than infants who are fed formula. Breastfeeding also triggers beneficial hormone secretion in the mother, and the milk changes in amount and constituents to meet the needs of the individual infant.

The Nestle baby formula promotion of the 1970s urged mothers in less-developed countries to forgo breastfeeding in favor of formula, stressing convenience and nutrition. Nestle used strategies such as sending a new mother home with free samples; once the samples ran out, the child was habituated to formula and the mother’s milk had dried up, so the family had to buy formula.

Problems with this sort of infant nutrition quickly became apparent. Formula must be mixed with water and water in poor countries is often contaminated. Mothers could not read the instructions on water sterilization, or did not have the means to boil the water. Formula-fed babies were much more likely to die of diarrhea or pneumonia as a result of infections. Poor mothers would often mix inadequate amounts of formula for each feeding to make the expensive formula last longer, resulting in malnourished babies.

Nestlé’s marketing activities were considered so unethical that a boycott was launched by a group called the Infant Formula Action Coalition. In 1981 the World health assembly adopted Resolution WHA34.22, which bans the promotions of breast milk substitutes. Although Nestle agreed to accept the code, in 1988, formula companies were accused of repeating the unethical tactics and the boycott, which was still in force as of 2011, was launched. Other companies such as Borden, Similac and Wyeth have come under similar criticism for marketing methods that imply formula and breast milk are nutritionally equal. Most physicians and international organizations such as WHO and UNICEF recommend now breast milk exclusively for the first six months of life.

But the effects of biomedicalization do go way beyond the idea of breastfeeding. Pharmaceutical companies push new rules on societies regardless of their cultures, everyday. This is easy to see in America, because we are the only country that allows pharmaceutical companies to run ads and develop an image for people to follow. Without regards to the culture, the environment and so on, sometimes these “better” medications/therapies can actually be harmful for the people. With new drugs entering the system to promote beauty or health, or a better life-expectancy for cancer, traditional practices are be dropped by the wayside, and people and cultures are being negatively affected.

 

About Guest Blogger Allison Brooks:

Allison says “I was bottle-fed too, that’s why I say what is healthy to you might not be healthy to others (cultural relativism). Thats why I don’t push my beliefs onto people, I state what I know and allow you to do what you please, with no judgment.”

Allie went to the University of Mississippi. She earned her degree in biomedical anthropology and  is now studying in the field to finish an ethnography on the effects of biomedicalization on Bolivian cultures, but as it relates on other societies as well. She loves to guest blog on her time off to past time and spread the word. When she is not at her computer, Allie enjoys riding her  horse, Lilly and playing with her ducks, Alvin and Shirley.