There is "evidence" and then there is "experience".  There may not be any
research to date that supports experience in many issues, but that doesn't mean
it isn't so.  Many babies who receive iron fortified formula are constipated.
You should hear a WIC nutritionist try to convince a classroom of mothers
"those are normal stools."  But, the truth is breastmilk creates normal stools and
those formed feces of a formula fed baby are hardly normal.  Many mothers on
iron supplements become constipated.  I often hear from breastfeeding mothers
taking the pharmaceutical prescription based iron/prenatal supplements that
their babies are fussy.  When they stop, so does the fussiness.  Research based,
maybe not.

Quite often I wonder if the world of evidence based medicine needs a dose of
normal vs common. Most of our child behavior information is based on formula
fed crib sleeping babies. Even research on birth does not even look at
biological norms to base data on.  They are not looking at what would and likely
should be occurring in birth to determine what infant behavior at birth should be.
For instance, today pitocin induced epidural deliveries are so common, the
behavior of the baby is considered normal.  Common, yes.  Normal, no.  And this
is the problem with evidence based medicine.  All "they" see is what is common
with very little exposure to normal.  Therefore, their concept of normal
indeed becomes only that which is common.   I wonder how many ob's have ever even
seen a woman give birth without intervention and technology. I wonder how many
peds have seen babies in tact from normal birth who are exclusively
breastfeeding from birth with zero supplementation and zero maternal infant separation.
 I would say not many in my area.  This is not common and those who parent
this way rarely birth in hospitals or even visit "mainstream" physicians.

Best,
Pam MazzellaDiBosco


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