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Jay Gordon, MD

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Gisele Bundchen, Nutrition Expert?

Posted: 08/09/10 03:17 AM ET

Yes!

In a recent magazine article, Ms. Bundchen was quoted saying that breastfeeding should be the legal norm for all babies for the first six months of life.

Of course, this generated a storm of protest about "feeding choices" and whether or not we should listen to someone with her lack of credentials. Lost in the fabricated drama and controversy is the fact the we must listen if her advice and high profile can save babies' lives. I'm sure that this one famous mother's words will be heard and heeded by more mothers than we pediatricians can possibly reach. (Ms. Bundchen's statement that post partum weight loss is faster because of breastfeeding is very much in line with current medical literature and will certainly appeal to most new mothers.)

It's easy to misinterpret a forceful metaphorical statement about "chemical food"--infant formula--and the crucial lifesaving value of breastfeeding for six months. And, that's exactly what pundits did to turn this into an "us against them" issue. "How dare she . . . "

While it is tragic that a supermodel-mom dispenses better advice than many doctors and most governmental agencies, it's impossible to misinterpret what the World Health Organization says about these artificial (chemical) feeding options:

The protection, promotion and support of breastfeeding rank among the most effective interventions to improve child survival. It is estimated that high coverage of optimal breastfeeding practices could avert 13 percent of the 10.6 million deaths of children under five years occurring globally every year. Exclusive breastfeeding in the first six months of life is particularly beneficial, and infants who are not breastfed in the first month of life may be as much as 25 times more likely to die than infants who are exclusively breastfed."

...
There is a common misconception that in emergencies, many mothers can no longer breastfeed adequately due to stress or inadequate nutrition, and hence the need to provide infant formula and other milk products. Stress can temporarily interfere with the flow of breast milk; however, it is not likely to inhibit breast-milk production, provided mothers and infants remain together and are adequately supported to initiate and continue breastfeeding. Mothers who lack food or who are malnourished can still breastfeed adequately, hence extra fluids and foods for them will help to protect their health and well-being.

If supplies of infant formula and/or powdered milks are widely available, mothers who might otherwise breastfeed might needlessly start giving artificial feeds. This exposes many infants and young children to increased risk of disease and death, especially from diarrhea when clean water is scarce. The use of feeding bottles only adds further to the risk of infection as they are difficult to clean properly."

Moreover, not breastfeeding has been found to double the risk of SIDS (Sudden Infant Death Syndrome)

Read just one sentence above aloud:

"Infants who are not breastfed in the first month of life may be as much as 25 times more likely to die than infants who are exclusively breastfed."

No parent in America is allowed to let their infant travel in a car in the "second best" way possible: Car seats are the law in all 50 states. A breastfeeding law will not be passed soon, but there is a moral, ethical and medical imperative to get this nutrition information to mothers and families any way we can. Hyperbole is easy to ridicule but, in this case, the hyperbole will prevent the deaths of many, many babies worldwide.

The World Health Organization estimates that one-and-a-half million babies die from lack of breast milk each year. 1,500,000.

If Gisele Bundchen's magazine interview, comments and the resultant furor cause more mothers in developing nations to breastfeed, thousands and perhaps tens of thousands of babies will be alive a year, two years or five years from now who might otherwise have succumbed to diseases caused or fatally exacerbated by lack of mother's milk.

I certainly wish that this legal proposal/metaphor had been issued by the government, health insurers or the American Academy of Pediatrics. In lieu of those recommendations, the very intelligent suggestion of a really smart mom will have to do.

 
 
 

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Yes! In a recent magazine article, Ms. Bundchen was quoted saying that breastfeeding should be the legal norm for all babies for the first six months of life. Of course, this generated a storm o...
Yes! In a recent magazine article, Ms. Bundchen was quoted saying that breastfeeding should be the legal norm for all babies for the first six months of life. Of course, this generated a storm o...
 
 
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02:33 PM on 08/15/2010
I am an outspoken breastfeeding advocate who writes about breastfeeding (her preschooler!) on her blog, Dagmar's momsense, and here is my response to Gisele Bundchen's call for a breastfeeding law:

http://dagmarbleasdale.com/2010/08/gisele-bundchen-we-dont-need-a-breastfeeding-law-moms-need-resources-and-encouragement/

Enjoy!
Dagmar
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Annie VerSteeg
11:15 PM on 08/12/2010
There is another great article on Breastfeeding on the LIVING page.. Check it out. It is from CBS This Morning in honor of National Breastfeeding Awareness Month.
01:28 PM on 08/12/2010
continued...Breastfeeding has been a long hard jounrney, but it has given back to my son and I what we did not get in the beginning, time. It has created a bond and been something that I CAN do for him, in a time when I could do nothing for him. I am not into guilting any mom into breastfeeding, even though I do believe it is the best thing for a baby. I also know living in the NICU some moms truly can't breastfeed or simply do not want to, and thats ok you are still a wonderful mommy, I know the deep feelings of guilt and how hard that can be, and more so after having a child when your body and mind is out of wack as it is. Six months after my sons birth my health was still uncertain, thankfully I only have hypoglycemia, and manage that with diet and exercise. I am thankful for breastfeeding and the closeness it has given my baby and I, and at 7 1/2 months we are still going strong...I was determined ( I had to pump after every feed for the first 10 weeks, then still continued to use the preemie nipple shield for 4 months) At 4 months things began to get easyer...now at 7 1/2 months things are a breeze...I also LOVE the family bed, so thanks dr. Jay! Last note...above all else your baby needs LOVE! :-)
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LaurieAnn
Charity is NOT a substitute for justice.
04:09 PM on 08/12/2010
THank you for your lovely post OPM. Breastfeeding was not easy for my son and I at the beginning but I am so glad that we persevered. The closeness that we shared during that time was for me the highlight of motherhood. As my son grew I noticed that our deep bond was lessening and I grew concerned. After a few years of seeing various professionals my son was diagnosed with autism and had almost withdrawn from contact with others. I treasure the breastfeeding years as a time of intimacy that will never return to my relationship with my son in any form.

That said I will strongly support a woman's choice and legal right to breastfeed but will never condemn a woman for not doing so. Our society is not breastfeeding friendly and for some women this creates too many roadblocks for breastfeeding to work.

I wish the best to you and your family.
12:46 AM on 08/19/2010
Breastfeeding is not a "choice." It's the biological norm. Instead of "supporting" women who choose to deny their babies the normal food their bodies needs, let's work on changing our society, supporting those women, and tearing down the roadblocks that make breastfeeding seem like a worse option than the chemical food which the World Health Organization calls the fourth choice for feeding an infant. And let's make milk banks an affordable, widely available option for those babies whose mothers are physically unable to breastfeed or unavailable to do so.
01:21 PM on 08/12/2010
First off let me say I LOVE BREASTFEEDING. Let me also say Its not easy and no mom should be put thru guilt for not breastfeeding. During my pregnancy I developed a number of problems. My son stopped growing at around 28 weeks (IUGR) I developed Lupus in my pregnancy, PIH( pregnancy induced hypertension) and Preeclampsia. I lived on hospital bedrest from Christmas morning (2009) until January 3rd 2010 when I delivered via Emergency C-section my 32 weeker ( 8 weeks early) who weighed only 2 pounds 14 ounces, 16 inches long. Let me tell you none of this was ideal for me. I was a healthy 22 year old, active, and no health problems. In the blink of an eye everything changed, my dreams of a natural childbirth ended, and I was not even awake for the c-section. I did not meet my son until he was over 2 days old, and even then spent little time with him because I was so sick. I remember asking the doctors after his birth, when my body was going nuts " Am I going to die?" They could not answer me. I am thankful every single day for my life and my baby. I had to pump for him and he was tube fed. He spend 3 weeks in the NICU where I pumped and worked with him at the breast. Breastfeeding has been a long hard jounrney...
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William J Unverferth Sr
Snark attack.
10:02 AM on 08/12/2010
For medical reasons and production reasons we couldn't breast feed our children. Listening as new parents to lactation consultants caused one of our children to become dehydrated. I don't minds those who promote breast feeding and I don't mind those who don't. I do mind those who try to guilt moms who are not breast feeding as many of them would if they could and a whole bunch have strong guilt over the matter and you self righteous asses (you know who you are) just make them feel worse.
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Annie VerSteeg
10:35 AM on 08/12/2010
My comment to people I meet who tell me of their breastfeeding experiences is always the same. If everything worked out and they were able to get good help if needed, I say "Good for you". If things didn't work out the way they were hoping and they had to quit for whatever reason I say,"I am sure you did what was best for you and your family. Good for you. I am sorry you had a tough time". If they never wanted to breastfeed in the first place, I say, "I understand, it is not for everyone". Some people tell me they were only able to breastfeed for 3 days or 3 weeks or whatever and I compliment them on their effort.
The posts I have made here are merely facts. Not meant to incite guilt, just putting the truth out there. I am NOT the enemy of people who don't breastfeed. I AM the person who will use formula when it is needed.
The name calling seems a bit high-schoolish. And I certainly DIDN'T realized I needed to be 30 pounds lighter to have a valid opinion or be "fertilized".
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William J Unverferth Sr
Snark attack.
12:10 PM on 08/12/2010
Sorry was just venting in general not specific. It's a touchy subject because of all that we went though with our kids.

It's more of a commentary on how judgemental people can be. For example:
My wife was looking for pipecleaners (to clean the straws of sippy cups). First of all 90% of all pipecleaners now come pre glittered for crafting so all of them our out. Second of all nobody carries them any more, walmart, kmart, drugstores. As my wife was asking for plain pipecleaners many started lecturing her on smoking due to the fact that she had 1-2 kids with her. That she didn't smoke or didn't care if there were even pipes in the world went over the head of those people. She just wanted a product and was judged for it.
03:15 PM on 08/12/2010
Thank you for clarifying yourself in this and your other posts.
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12:30 PM on 08/13/2010
I really think some of those lactation consultants are not qualified for the job, as far as I know they do not have to have a license in TX, and the ones that saw my daughter after my grandson was born were worthless.

Between my experience, and reading articles on the net, we figured out what was wrong, but it took a week after they came home from the hospital to get the baby to properly latch on and nurse
01:40 AM on 08/12/2010
This is an irresponsible and insensitive article.

As a physician, Jay Gordon knows that there are a host of medical reasons why a woman would be advised against breast feeding. They don't account for why so few women breastfeed, but there is still a significant portion of women for whom breastfeeding is not a reasonable options.

Yes, WHO says "Infants who are not breastfed in the first month of life may be as much as 25 times more likely to die than infants who are exclusively breastfed." But that is a worldwide statistic and one of the benefits of breastfeeding is that it can protect infants from water borne illnesses. This isn't an issue in the developed world where clean water is easily available, but it is reason why it is so disgusting that formula companies have pushed hard in the developing world. Not only do children miss out on the health benefits of breast milk, they are exposed to additional risks in areas where there water borne illness are an issue.

Pretending that the WHO quote is about Western women breastfeeding as a way to guilt women into breastfeeding is disgusting.
05:40 PM on 08/19/2010
Ah but did you think about the powdered formulas that *ALL* contain some bacterial contamination? Heres more info from the WHO website about formula
http://www.who.int/foodsafety/publications/micro/en/qa2.pdf
so much for 1st world countries with clean water, when the infant food itself is contaminated.

to conclude: Breast is not best, it is NORMAL!!!
giving your babies bovine breast milk is not normal, well, actually it is if you are a four hoofed, multi-stomached ruminate, but last I checked we are from the homo sapian line and our goal is not 1000's of lbs of growth in a short time span.
10:54 PM on 08/11/2010
Gisele should have her chemicial body burden tested first. Acquired chemicals concentrate in breast milk, resulting in some breastfed babies having significant chemical burdens as a result of relieving their mothers of theirs. This is seen in the wild as well. It's been documented in killer whale populations, where the young and males have higher toxic levels than maternal females....
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LaurieAnn
Charity is NOT a substitute for justice.
04:14 PM on 08/12/2010
I do agree with you and wish that my doctor (14 years ago) had suggested I do this. I became pregnant with my son at age 35 and was not nearly as aware of chemical toxins as I am now. Because of my age I think it's quite conceivable that my body stored toxic chemicals which may be a contributing factor in my son's autism. At the time I did see my doctor before I planned to conceive and asked what I should be doing before hand to get my body ready. She just said, eat right and exercise which is of course good advice, but a chemical burden test would have been a potential godsend.
05:22 PM on 08/12/2010
So sorry to hear about your son & hope he's doing well. I was the same (polluted) age w my first... dyslexic and severe asthma resulting in medication-related issues down the road. Breastfeeding advocates tend to be, shall we say, a bit fanatical.... to the point of near-total denial about this very real problem. I say this because you, LaurieAnn, are the first ever not to take me to task.... in several outings w this message.
Thus, fanned.
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12:33 PM on 08/13/2010
My daughter was being treated for depression before she became pregnant, and her Psychiatrist
had a reference book that she used to look up which medicines were safe for pregnancy and for breastfeeding.
01:00 PM on 08/11/2010
Part I

How about the perspective of a health care professional -who happens to be male? How’s that for provocative? Anyway, I have worked in the medical field at the master's level in a primary care setting for 20 years with a special interest in preventative medicine and pediatrics. I am also a husband and a co-parent of two young children. BTW, I think my wife and women are awesome. What only a woman can do (create life!); carry, nourish and grow a human being for 9 months; then give birth; and then nourish that infant postpartum (breastfeed), etc. -- leaves me frequently in awe.

1) Although I am of course a vigorous advocate of the health benefits of breastfeeding for both baby and mom, I think a law making breastfeeding mandatory is ludicrous. But, I don’t think Gisele meant what she said in that regard literally. Still, it was insensitive to those moms who can not breastfeed, for whatever reason.

2) I certainly do not and will not criticize any mother who cannot or decides not to breastfeed. There are just too many reasons why breastfeeding is not realistic for many moms (especially working moms). Some moms cannot breastfeed for a variety of reasons: the type of work they do; a hostile boss at work; or a hostile or unsupportive boss, management, or even other employees at work; illness; medications a mother may be on postpartum; inverted nipples; etc.
01:14 PM on 08/11/2010
Part II

3) That said, mother’s milk is the ultimate source of nutrition for newborns and infants. In addition, mother’s milk provides --profound-- immunological support for newborns and infants (formula does not). Those are simple facts. (Please check-out the links below, including two from the CDC.) Thus, if possible, breastfeeding should be attempted and actively supported by the mother's support team. But, no mother should be shamed or criticized for not breastfeeding (or stopping "early" or “supplementing” with formula, etc.). As for us (health care professionals), our job should be to simply supply the facts (and provide support when needed). Then, mothers make the decision.

4) I think employers should --actively-- support breastfeeding in the workplace. And I think it is, generally speaking, and albeit slowly in some quarters. Where it is not happening, it needs to change. As a man/husband/parent, I call on male bosses and males in general, to be more supportive of workplace policies that promote breastfeeding!

http://www.motheringfromtheheart.com/Benefits.htm
http://www.cdc.gov/breastfeeding/
http://www.womenshealth.gov/Breastfeeding/index.cfm?page=227
01:20 PM on 08/11/2010
Part III

As someone who has been immersed in the world of medicine for a long time (40+ years), the evolution in thinking in medicine re. breastfeeding has been fascinating to watch. In the 1950s and 1960s breastfeeding was viewed by almost all MDs as 'old-fashioned' or 'backwards.' Formula was ‘modern.’ It is interesting to note that the vast majority of MDs at that time were male; including primary care physicians, pediatricians, and OB/GYNs (not a good thing!). Anyway, it is now well established that breastfeeding provides profound health benefits to the infant --and interestingly-- to the mother.

http://www.aap.org/breastfeeding/
http://www.aafp.org/online/en/home/policy/policies/b/breastfeedingpositionpaper.html
http://www.bfmed.org/
http://www.huffingtonpost.com/2010/04/05/breastfeeding-study-on-be_n_525180.html

The health benefits of breastfeeding are so significant/profound that ALL relevant national heath organizations have in recent decades publicly declared --vigorous-- support for breastfeeding: The American Academy of Family Physicians (AAFP); the American Academy of Pediatrics (AAP); the American College of Obstetricians and Gynecologists (ACOG); the Academy of Breastfeeding Medicine (ABM); and the Surgeon General of the United States, Regina M. Benjamin, MD (who is a woman).
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Brooklyn73
11:00 AM on 08/11/2010
Breastfeeding is wonderful but for the slew of women out there who didn't have milk or cannot breastfeed my heart is with you for I know what your pain feels like. My aunt and uncle had a child at a time when money was sparse. They raised my baby cousin on cow's milk because they were too proud for WIC or food stamps. The baby grew up to adulthood with no illnesses and just finished a Master's degree in guidance counseling. So while breastmilk is best, there are alternatives that will not harm your child.
10:53 AM on 08/11/2010
I WISH all babies were fed breastmilk for their first 6months, unless there was no other alternative. So part of me agrees, thinking of all those babies receiving human-milk; women, babies and society in general becoming healthier as a result. If nothing else, the fact that the manufacturers of infant products make money by undermining women's efforts and instincts from the time she conceives disgusts me :-(

BUT - I still say: No, breastfeeding should NOT be made law. The cost would be too high. A woman's body belongs to HER. Not to her husband, not to her children, not to the state. TO HER. SHE decides what she will do with it.

If breastfeeding was genuinely very distressing for a mother - survivor of abuse? - who are you, or Gisele, or the state or ANYONE to tell her what to do with her body? If a woman couldn't produce enough milk (I know it's rare) what then? Presumably she is "allowed" milk from a milk bank, or a prescription for formula... So who would police that, and how? And how very easy to abuse the system, when the prospect of a baby literally starving would be hanging over the conscience of whoever was in the position of deciding...

Most women don't NEED this law. They love their babies, know what they need and want to provide it. What they need is support, not the state telling them what to do.
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bruinlover09
06:51 PM on 08/11/2010
thank you. The comparison between the child safety seat law and a potential breastfeeding law based on faulty logic. There is no other way to guarantee the safe travel of a child besides a child safety seat which is the reason why there are laws requiring child safety seats. The charities and governments give away free child safety seats to parents who can't afford them. If a breastfeeding law is passed, who will provide breast milk to children whose mother's don't produce enough or the children who are allergic to animal milk. The primary function of breast milk to nourish the child and there are alternatives that filled that function. Albeit without the extra health benefits
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betweenextremes
08:33 AM on 08/11/2010
Breastfeeding was a tremendous struggle for me with my now 22 year old daughter. The experience was neither enjoyable nor fascinating and after some initial guilt, my husband and I agreed to switch to soy-based formula. I made the same decision 5 years later with my younger daughter. Both have grown into healthy, slim, intelligent young adults. My two nieces, on the other hand, were breastfed for nearly two years and over the years have suffered from numerous respiratory illnesses. While I do agree that breastmilk is best, especially in thirld world countries where clean water is not readily available, a child's health depends on so much more than simply six months of breastfeeding. Let Ms. Buendchen raise her child for the next 20 years and see how things turn out. She is hardly an expert after raising a child for only a few months. To all the new moms out there who are struggeling with this issue and feeling the pressure from their families and doctors, I say follow your own gut and do what's best for you. If you're happy with your choice, you will be better equipped to raise and enjoy your baby.
10:15 AM on 08/11/2010
I totally agree with you. While I breastfed both of my sons, I have several close friends who had an extremely difficult time with breastfeeding and were physically and emotionally miserable. While Mister Doctor may be correct in listing the benefits of breastfeeding the controversy is not about
Gisele promoting breastfeeding but rather suggesting that breastfeeding should be mandatory by law. Such a declaration shows her lack of knowledge and/or experience with other mothers who have struggled with it or simply cannot do it to have a thriving baby.
07:10 AM on 08/11/2010
Gisele is smarter than I thought!
07:10 AM on 08/11/2010
Gisele
10:45 AM on 08/10/2010
I decided to breastfeed my child and did so even after going back to work after 6 weeks. It takes commitment and isn't easy at first, but I came to enjoy the time with my baby, the convenience (getting stuck in an airport, it was priceless), the comfort it gave him. As a bonus, I lost weight very quickly, and kept up healthy habits like drinking lots of water. I'm very happy with my decision, but I can't agree with making it mandatory. I kind of feel sorry for women who don't at least try breastfeeding, as it's a fascinating experience. I understand why some don't, but I'm glad I made the effort and stayed with it.
09:57 AM on 08/10/2010
What disturbs me again and again in these discussions is reading/hearing that doctors advised women that they couldn't/shouldn't/were unable to breast feed. Do people realize how little (as in NONE for most) training doctors receive about breast feeding? I am a pediatrician who trained at one of the top residency programs in the nation and my "education" about breast feeding consisted of a couple of noon time lectures sponsored by a formula company. Through my own efforts, I am now quite educated about breast feeding and the advice I hear women have been given by their own or their children's doctors appalls me. Most of it is just factually wrong. I know people tend to think that doctors are THE source of health information and I don't believe anyone is purposefully providing false information but .... If you are having breast feeding issues or even general questions about breast feeding, seek out someone who really knows, please.
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06:36 PM on 08/10/2010
Thanks for sharing. Beyond asking if I was breastfeeding, my daughter's pediatrician had nothing to say on the subject -- she referred me to lactation specialists who luckily were not as hostile as some..... Without those specialists, I had no idea where to turn -- my ob? the ped? my family dr? No one (from the US) in my mother's generation breastfed (my mother-in-law from Europe did) ....I'm luckly to live in a very large metropolitan area with a lot of resources but do not think breastfeeding specialists are available in all areas.
07:14 PM on 08/10/2010
If any new moms are experiencing difficulty with breastfeeding (which is common!), PLEASE seek out a La Leche League mom/leader in your town/area. They can be a fantastic source of support and advice (and can be found by following the first link below).

http://www.llli.org/WebUS.html
http://www.llli.org/mission.html?m=1,0,2
http://www.llli.org/purpose.html?m=1,0,4
http://www.llli.org/philosophy.html?m=1,0,1


Also, many La Leche League groups have listings in the white or yellow pages. Some are also listed in the free "blue" pages for nonprofit organizations, as well. If there is no listing under "La Leche League," look under headings labeled "breastfeeding" or "lactation." In some places La Leche League will be listed under "community resources" or "women's health."

(I am a parent and a heath care professional with a special interest in preventative health and pediatrics.)
06:57 PM on 08/10/2010
Yes, it's true. The training MDs receive about breastfeeding is shockingly lacking/sparse. And yes it can consist of only a few seminars sponsored by a formula company. So true!