Newborn baby in hospital, hooked up to medical devices.

NICU Nurse Discloses Newborn Admission Rates From Breastfeeding Complications in BFHI Unit

Ella D.

I am a neonatal intensive care unit (NICU) nurse  and the hospital where I work delivers more than 2,000 babies annually, over half from high-risk pregnancies.  In our part of the country, “natural parenting” is widely embraced, and it is difficult to find a hospital that isn’t “Baby-Friendly.”  Our hospital administration views the Baby-Friendly Hospital Initiative (BFHI) designation as a marketing tool, hoping new parents will choose our hospital to deliver their babies. Any criticism of the BFHI risks a backlash.

COMPLICATIONS on the mother-baby unit

Since our hospital became BFHI certified, NICU admissions for acute starvation while exclusively breastfeeding have escalated to at least 4 admissions weekly. (It should be zero.) Fortunately, once the baby reaches the doors of the NICU, we are free from the BFHI protocol. We are not, however, free from all the indoctrination the parents have already received, and they’ve received an impressive and dangerous amount. We require verbal consent and a physician’s order for donor milk use, but only low birth weight babies qualify for that. We also require a physician’s or Neonatal Nurse Practitioner’s (NNP) order for formula milk use. It is not uncommon for parents to request IV fluids over formula supplementation. 

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Baby sleeping soundly in crib.

Dying for Milk: The Pam and Chaz Floyd’s Story

By Pam Floyd, Mother and Fed is Best Advocate

Twenty-five years ago, Chaz, the son of Pam Floyd, was born and developed hypernatremic dehydration from insufficient breast milk intake while exclusively breastfeeding. Chaz developed brain injury from dehydration and now lives disabled with cerebral palsy. Their story was published on the front page of the Wall Street Journal. She was subsequently interviewed on 20/20, which prompted a similar feature on ABC’s Prime Time Live. Pam contacted the Fed is Best Foundation to share her story again to warn mothers of the dangers of insufficient feeding.

Chaz develop hypernatremic dehydration from insufficient feeding while exclusively breastfeeding

“25 Year Anniversaries Should Be Celebrated Not Served As A Warning”

Twenty-five years ago my son almost died.  He was only six days old. I had chosen to breastfeed, as everyone around me kept reminding me that ‘breast is best.’  So I followed their advice, and I exclusively breastfed. Even though I felt like something wasn’t quite right those first few days, everyone assured me everything was fine.  The nurses in the maternity ward suggested that since I was a new mother, I wasn’t able to appreciate how much he was getting. The home health nurse that visited me, courtesy of my health insurance, the day after I left the hospital, reassured me that as long as he was getting six to seven wet diapers a day, then he was getting enough. And the nurses in my pediatrician’s office told me not to worry, that he was a big baby that he would eat when he got hungry. And my personal favorite, “the great thing about breast milk is that you never have to worry about how much or how little he’s getting. Because he’ll always get what he needs.” Well, that works great, if your milk comes in.  My colostrum wasn’t enough for my son, Chaz. And my body never produced enough milk to keep a 10 lb. 4 oz. baby boy healthy.

Then when my son’s eyes started rapidly zig-zagging back and forth on that sixth day of life and I called the pediatrician’s office to tell them he was having a seizure, they told me that I didn’t know what I was talking about and that sometimes newborn’s eyes do that as they often wander.  Well, the pediatrician finally agreed to see us. We were immediately sent to the emergency room. Then we were transferred to the children’s hospital. There, my son was put into a drug-induced coma until his seizures were under control. His diagnosis was a stroke due to hypernatremic dehydration.  Children’s Hospital had me use their hospital grade breast pumps those first few days. The most I ever pumped was 3 cc’s. About a teaspoon. Usually, I just came back with mist. Or what looked like spit. There was never milk. I never got engorged. I never leaked. There was never any milk.

I got mad about this.  Especially when I found out that it can and does happen regularly.  It didn’t show up in any of my baby books or videos. So I called our local newspaper, The Virginian Pilot, and asked them to write an article about it, they did, it was called, “Mother Knows Best.” That was later revived by a journalist from The Wall Street Journal in an article entitled, “Dying for Milk: Some Mothers, Trying In Vain to Breast-Feed, Starve Their Infants — `Yuppie Syndrome’ Among Well-Meaning Parents Stems From Bad Advice — A Generation of Perfectionists.”  We made the front page with that one. Of course, that set off a media frenzy.
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Mother bottle-feeding baby by window.

I Want To Tell Mothers That Bottle Feeding Is Also Beautiful

 

Kristen Elise Umunna
Kristen joined the Fed Is Best Foundation’s Mental Health Advocacy Team to be a voice for mothers, especially mothers of color who are struggling to breastfeed and are experiencing shame for feeding their babies formula.
‘ I want to be a voice that tells every mother that bottle feeding is also beautiful and formula is the best nutrition for the babies who are being nourished by it.’

My story:

February 12, 2014. I was just 1 day postpartum after delivering my firstborn and I remember bawling my eyes out. The nurses at the time were assuring me that I was doing everything “wrong” in regards to feeding my daughter. They woke me out of my sleep at least 7 times in one night to feed my baby and they assured me she was getting enough to eat. One nurse told me to stop crying about breastfeeding pain as it is going to hurt! “If you want to build your supply, you have to keep going!” Never has I felt like more of a failure.

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Newborn baby's birth in operating room.

I Begged for Food for my Baby and I Begged for Nipple Relief at my BFHI Hospital

It was on December 13th at 2:30 in the morning. My water broke as I was sleeping. I woke my husband up and the panic set in. My son was a scheduled C-Section due to the fact he was breech and he was going to be a big baby according to all the scans. I was scheduled for the 18th, which was my birthday, but he decided to come early. My husband and I rushed to St. Joseph’s Hospital in Tacoma, WA. This hospital was a “Baby-Friendly” hospital, which meant they push things like exclusive breastfeeding, no pacifiers, and no nurseries. I didn’t think much of these things at the time, as I was a first-time mom and hadn’t pondered on them much. On paper, this all sounded great, and I was excited to go there. I had a simple birth plan: no circumcision and I wanted my husband in the operating room. That was it really. I trusted the doctors and nurses there to help me out.

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Abstract brain, glowing neural network.

Can Stem Cells From Breast Milk Be Found In The Brain Of Babies?

 

BY ALEXANDRIA FISCHER, PHD CANDIDATE AT THE RENSSELAER POLYTECHNIC INSTITUTE, STUDYING SYNTHETIC MICROBIAL COMMUNITIES

The long list of things that we are told breastmilk can do seems to be never ending. The newest addition to the list is that stem cells in breast milk can travel from the gut to the brain of a breastfeeding infant. The linked news article says stem cells in breast milk have been seen in the brains of babies. They go on to say that breastfed babies are known to have higher IQs than formula fed babies, a fact that is decidedly false when studies control for socioeconomic factors. There is then an implication of some sort of mechanism between stem cells in the brain and an increased intelligence.

But upon closer examination of the evidence, stem cells haven’t been seen in the brains of human babies, but rather the brains of mice pups.

I have examined this study and described the methods as well as the strengths and weaknesses of it below. This study sought to track cells in breast milk from a mouse to pups that she is nursing. To do this they used mice that have and have not been tagged with a protein called GFP. GFP is a protein originally found in jelly fish, that glows green under certain conditions. In this study tagged mice fed untagged mice, allowing the researchers to look for glowing in the brains of the baby mice, to see if cells from breastmilk travelled from the guts to the brains. First the researchers looked at fluorescence or glowing in breastmilk of tagged and untagged mice. They did show that only the tagged milk glowed, however, they did not determine cell types in the milk, meaning we cannot make the determination that it is stem cells that they are tracking. The researchers then claim to have found the stem cells from breastmilk in the brains via glowing in brain tissue samples from mice pups fed from GFP tagged mice. However, this study lacked a control group where fluorescence was measured in untagged pups fed by untagged mother mice, meaning we have no baseline “glow” to compare results too. However, without a negative control (brain samples from an untagged pup fed by an untagged mother) we cannot make a determination about this data being artifacts of auto-fluorescence (background noise). This lack of a control is very concerning in light of the STAP cell fiasco, when major claims were made based on auto-fluorescence of stressed cells, rather than fluorescence due to changes applied by the researchers.
This paper is highly technical, but deeply flawed in the methods. They have failed to show adequate proof that a delicate stem cell can survive the acidic environment of the stomach and travel to the brain. However, even if we accept these unproven claims of breastmilk stem cells in the brain, long term data shows that the point is moot, as cognitive outcomes are equivalent in breastfed and formula fed infants.

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