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Date: | Tue, 21 Feb 2012 14:56:22 +0000 |
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Melissa Senf wrote:
> Attachment Parenting has a book with evidenced based information about breastfeeding and incidence of child abuse. I did a similar talk and focused on the link between mothering hormones and child abuse.
(sorry, don't know why my computer is formatting the quoted section so
poorly...)
I'm always highly dubious about this research as I don't see how it
would allow for reverse causality - i.e., a mother who is feeling
overwhelmed or poorly bonded is less likely to put the effort in to
breastfeed and also more likely to snap and abuse her child, so it seems
to me far more likely that it's the other internal and external stresses
that bring about both the non-breastfeeding and the abuse, rather than
breastfeeding itself being protective against abuse. (I suppose that's
technically not reverse causality, but I can't think of the correct name
for it - hopefully you get the point.)
To disentangle the two, I suppose what you'd need would be an RCT in
which a vulnerable, high-risk group of women were randomised to receive
either breastfeeding support and promotion, or an equal amount of time
spent on general discussion of parenting topics without breastfeeding
promotion, and the results compared. I'm curious as to whether anyone
knows of any such research? Or, alternatively, has any of the published
research showing a formula-feeding/child abuse association figured out a
clever way to allow for the possibility of the above confounder?
Best wishes,
Sarah Vaughan
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