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Subject:
From:
Maureen MINCHIN <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 3 Apr 2019 16:50:57 +1100
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Bigger numbers designed badly is worse than smaller numbers designed well. 

So for example, a small study of truly EBF from birth, nothing else given,  is better than a larger population experiment where say, not more than one bottle is allowed for the child to be designated EBF months later. Where exclusive breastfeeding is concerned, there are almost no good studies because even if the hospital records are searched, there is not the attention to detail that would disclose the fact that baby was apart from mum for long enough for some nurse to give the kid something she thinks harmless and useful, even prophylactic…. and that happens. I still quote the Danish study (Milk Matters, pp.96-7)

By the mid-1980s, infant formula was accepted in most hospitals. One centre in Denmark
set up a study of allergy that provides information about comp feeds. It was a prospective
study of 1749 newborns. In this 1985 Danish cohort, none of 210 children who were truly
exclusively breastfed in hospital developed cows’ milk allergy under twelve months, and all
of the thirty-nine partially breastfed children who did develop allergy under twelve months
had been comp-fed ‘significantly more often in the first month of life’ than others in the
study. The full study also revealed that only nine of that thirty-nine developed symptoms
while still solely breastfed after discharge: in the other thirty, symptoms emerged after
 other foods were introduced. And scandalously, only one of those nine mothers was aware
that her child had been comp fed in hospital. The amount fed in hospital ranged from 40
to 830 ml, or eight teaspoons to most of a litre, which makes it hard to posit any safe or
beneficial level of exposure! 299
However, note that even here, only 210 of 1749 babies escaped hospital without being
exposed to cows’ milk protein, i.e., were probably exclusively breastfed from birth.
Thankfully, only thirty-nine of the 1539 breastfed infants exposed to bovine milk in the
first month went on to develop the particular symptoms that in this study defined allergy,
a low rate compared with later studies, perhaps because of the intergenerational effects of
their mother’s feeding. Thirty of the thirty-nine developed allergy only after foods other
than breastmilk were fed. But it is physiologically certain that the other 1500 who did not
develop certified allergy or intolerance did develop an altered microbiome, and may have
had other health problems to deal with as a result. No one assessed the timing of onset or
severity of colic, or reflux, or abnormal behaviour, or otitis media, or unexpected infant
death, for example.



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