Holy cow is modern medicine still as smugly wrong as it’s always been. Every generation laughs at all the stupid stuff the previous generations believed, and then acts so confident that they’ve got it right this time.
And as a result you get unworthy nurses making moms feel intense shame for not “trying hard enough” to somehow magically produce milk.
And medical incompetence by staff, not doctors, is also awful. My brother hated reading. He got glasses, still hated reading, my mother wondered why he could be so disobedient in that regard. They said, well, the prescription is right, he can clearly see fine. Turns out two years later that the lenses were installed on opposite sides. Right lens on left eye, left lens on right eye. A simple mistake, but the consequences...
Breastfeeding is one of the worst things hoisted upon mothers who are told "you must try no matter what" - seemingly ignoring the mental and physical health of the mother and the father all the while.
I want recommendations and best practices to change as our understanding of things improve though. The alternative would mean that either no more research is being done, or doctors are just ignoring anything they didn't learn while in school.
Voltaire (1694-1778) wrote a satirical account of a medieval university's oral examination on medicine: the examiner asks why morphine puts people to sleep, and the student confidently replies that morphine has a "dormative essence". This is a bit like saying that things with an essence of gravity fall towards the earth, whereas things with an essence of levity float towards the sky. The examiner proudly accepts that answer and bestows upon the student the title of doctor.
This was very funny to anyone educated in the time Voltaire was writing, since they would have known that morphine puts people to sleep because... it has round molecules with no sharp edges...
Edit: correction below, thank you thaumasiotes.
I don’t understand. You can’t just go to the store and buy infant formula?
Stay away from mommy blogs/forums. Those are the most toxic cesspools I've ever witnessed. Things are changing, some of the newer ones are not nearly as bad, but man the judgement is super real.
Nurses are one thing, but personally, the worst is family members who think they know better and don't understand the data and that times have changed.
FORMULA IS PERFECTLY FINE.
(I realize after writing this out that being at the mercy of your hospital sounds draconian, but it can be really really great if you have a good nurse or midwife. They teach you how to bathe and swaddle the baby, how to nurse, how to rock them to sleep, etc. All skills you’ll need once you leave)
We had to worry about my wife dying because they wouldn’t suggest a C-section and we didn’t think to ask for one (her induction didn’t take for several days). We’re quite confident they’d have let her die before suggesting one. Thankfully, we thought better in time.
The other side is nursing is hard, and so it is easy to cheat and use formula when you could with a little effort nurse the baby just fine. (Nursing is generally slightly better for the baby, but the difference is tiny. Nursing is generally a lot better for the wallet though)
The training the she did is the possums program from Australia, if somebody wants to look it up I think some resources are available for free.
It was Molière (<1622 - 1673), who wrote a play that featured an apothecary (explaining the functioning of opium to laymen), but no examinations.
Really the advice given is simply ridiculous. I honestly think most men who's children have nursed can give better advice than the lactation consultants. One that always makes me roll my eyes is the idea that a breastfed child should eat for a few minutes and then be full for an hour or two. That is simply... Not how it works. Babies like eating and being with mom. Breastfeeding mothers should expect to be with their newborn all the time. We are lucky to know many breastfeeding mothers and I don't know any family where the baby is satiated after ten minutes. And yet... The professionals are convinced this is how it works
I once proved that my wife got the wrong prescription by just holding her old and new glasses up at arms length and seeing that things looked way different through them. The glasses place agreed.
Indeed. And not just in relation to parenting. The average doctor is constantly trying to emulate TV doctors, just like the average police detective is influenced by what they see on CSI, and every archaeologist wants to be Indiana Jones or Lara Croft. It would be hilarious, if it didn't have such disastrous consequences for regular people every day.
They had no care for my wife's ability to heal, rest, or anything, just subjecting us to the worst kind of institutionalized checklist torture. The medical system cares for nothing other than preventing lawsuits and providing a place for doctors to do their 1 hr of work on their 18 patients a day.
B. infantis and human milk oligosaccharides create a feedback loop that encourages the formation of a robust immune system during a critical period [1]. Some formulas contain b. infantis, and some contain 2'FL, the HMO present in breastmilk. The most robust strain is EVC001, which has been shown to be present at a year after 21 days of supplementation. In an observational study, it reduced the diagnosis of necrotizing enterocolitis in very low birth rate infants by 73% [2].
I wish this was common knowledge, but most formulas do not contain these (often they contain other pre and probiotics) and babies are missing out on the specific sugars and bacteria that we know impact the development of the immune system.
1. https://www.cell.com/cell/fulltext/S0092-8674(21)00660-7 2. https://pubmed.ncbi.nlm.nih.gov/35032555/
There are way too many instances of infants "failing to thrive" because their mothers are bullied into relying on breast milk which they simply aren't producing enough of.
I have not seen result like this obtained in a randomized, controlled trial, and it is almost certainly false as stated: you're almost certainly exaggerating for effect, but doing that in scientific context is bad intellectual hygiene.
All results of this sort that I have seen have been purely correlational, and as such suffer from selection bias. This might be true, but the evidence is far from conclusive, and if such consensus exists among medical professionals, it only shows how susceptible they are to groupthink and parroting the stuff they heard from the cathedra.
https://web.archive.org/web/20101218031844/http://www.medsch...
People will probably find it offensive but it does explain a lot about why the stuff being taught is almost always not questioned.
This post in particular:
https://web.archive.org/web/20101211180021/http://www.medsch...
It also has some similar pitfalls, as they are not necessarily specialists and it's still hard to disagree or do something else even if in your own home in the face of the supposed expert.
I've been there with my wife and I'm only the husband.
Everything you say is true, but by saying this and in this manner, you lack empathy. You sound just like the mommy blogs and their followers that I'm speaking against who spout facts with no room for life's situations. My wife sincerely believed she was less of a mother because of people like this.
I say it again: Formula is _perfectly_ fine. Use it a little or as a total replacement. You're not a lesser mother/parent for it.
I've been as the husband there and are all your facts don't allow for people's situations.
Formula is perfectly fine.
Acknowledging that formula is a safe alternative and that you don't need to stress.
That's your assumption.
You're missing the point, which is that you can supplement formula with both 2'FL and b. infantis and get immune system outcomes that are more similar to those that occur while breastfeeding [1]. The fact that milk typically faciliates a cascade of changes that lay the foundation for a healthy immune system is not at odds with formula feeding. Formula is adequate macronutrition, but if we cannot be honest about the ways in which it is not on par with breastmilk, we will never close the gaps.
1. https://www.nutraingredients.com/Article/2023/05/18/Abbott-s...
Oh do correct me if I'm wrong. I'd love to hear your personal experience. Anyway...
How can you close the gaps when the mother isn't producing milk?
I'm actually confused because you keep telling me it's better, with links and everything, but... It's simply non existent for a lot of mothers. Non producing or a bad latch is enough to put a newborn baby at risk after one week.
It's like you don't believe it's possible.
That's why you're just like the mommy blogs. "You must feed 'em breast milk. It's soooooo important"
We can close the gaps by subsidizing Evivo's EVC001 b. infantis and making it a standard that every formula contains 2'FL. Individuals can choose these formulas and purchase b. infantis already. If we were to make it so that all babies, not just NICU babies at hospitals aware of the research, get these two things, public health outcomes (especially those related to autoimmune conditions) should be better than if we continue allowing formula that is not as analogous with breastmilk. We can have better lactation support that is current and evidence based (such as that from ABM contributor Katrina Mitchell https://physicianguidetobreastfeeding.org).
Another reason mom blogs are toxic is because people read past others points when issues are really emotionally charged for them. Really sorry your wife struggled. Formula is fine, but there are reasons breastmilk is pushed, especially since milk is supply and demand and it's hard to identify those with true low supply and those whose bodies just haven't ramped up production yet. Hopefully as a model of immune system response and the impact of b. infantis and HMOs gains more awareness, there will be less pressure since we are assured babies are getting many of the same benefits.
When you get a car engine rebuilt, do they just diagnose, replace parts and then never start the engine themselves to verify it actually works?