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Can you tell that I really want everyone to have access to this important
article???
Abstract:
Background: Most infant feeding studies present infant formula use as
"standard" practice, supporting perceptions of formula feeding as normative
and hindering translation of current research into counseling messages
supportive of exclusive breastfeeding. To promote optimal counseling, and to
challenge researchers to use exclusive breastfeeding as the standard, we
have reviewed the scientific literature on exclusive breastfeeding and
converted reported odds ratios to allow discussion of the "risks" of any
formula use.
Methods: Studies indexed in PubMed that investigated the association between
exclusive breastfeeding and otitis media, asthma, types 1 and 2 diabetes,
atopic dermatitis, and infant hospitalization secondary to lower respiratory
tract diseases were reviewed. Findings were reconstructed with exclusive
breastfeeding as the standard, and levels of significance calculated.
Results: When exclusive breastfeeding is set as the normative standard, the
re-calculated odds ratios communicate the risks of any formula use. For
example, any formula use in the first 6 months is significantly associated
with increased incidence of otitis media (OR: 1.78, 95% CI: 1.19, 2.70 and
OR: 4.55, 95% CI: 1.64, 12.50 in the available studies; pooled OR for any
formula in the first 3 mo: 2.00, 95% CI: 1.40, 2.78). Only shorter durations
of exclusive breastfeeding are available to use as standards for calculating
the effect of "any formula use" for type 1 diabetes, asthma, atopic
dermatitis, and hospitalization secondary to lower respiratory tract
infections.
Conclusions: Exclusive breastfeeding is an optimal practice, compared with
which other infant feeding practices carry risks. Further studies on the
influence of presenting exclusive breastfeeding as the standard in research
studies and counseling messages are recommended. (BIRTH 37:1 March 2010)
warmly,
Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI
craniosacral therapy practitioner
www.breastfeedingalwaysbest.com
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