Pediatrician and Other Physician Views on the Baby-Friendly Hospital Initiative

Pediatricians and other physicians are publishing and presenting their views about the ethical problems and safety issues of the Baby-Friendly Hospital Initiative and the World Health Organization breastfeeding policies in news media, peer-reviewed journals and national pediatric conferences. Here are a few examples.

The Baby Friendly Hospital Initiative and the ten steps for successful breastfeeding. a critical review of the literature

Enrique Gomez-Pomar & Robert Blubaugh Journal of Perinatology, Volume 38, pages 623–632 (2018) There is no doubt regarding the multiple benefits of breastfeeding for infants and society in general. Therefore, the World Health Organization (WHO) in a conjoint effort with United Nations International Children’s Emergency Fund (UNICEF) developed the “Ten Steps to Successful Breastfeeding” in 1992, which … Continue reading The Baby Friendly Hospital Initiative and the ten steps for successful breastfeeding. a critical review of the literature

Unintended Consequences of Current Breastfeeding Initiatives

By Pediatricians, Joel Bass, M.D., Tina Gartley, M.D. and Ronald Kleinman, M.D. “While breastfeeding exclusivity (step 6) and 24-hour rooming in (step 7) have demonstrated ben- efits in the postpartum period, these practices may also engender risk. An overly rigid insistence on these steps in order to comply with Baby-Friendly Hospital Initia- tive criteria may … Continue reading Unintended Consequences of Current Breastfeeding Initiatives

Breastfeeding Improvement Initiatives May Increase Risk of Newborn Falls

Pediatrician, Clay Jones, M.D. on January 11, 2019 Newborn falls during the postpartum period are a serious potential adverse event and are almost always a result of maternal fatigue. There is reason to be concerned that well-meaning but overzealous promotion of breastfeeding may increase the risk. “In 2016, I wrote a post on the risk … Continue reading Breastfeeding Improvement Initiatives May Increase Risk of Newborn Falls

Efforts to Encourage Breastfeeding Like the Baby-Friendly Hospital Initiative (BFHI) May Have Unintended Consequences

Harriet Hall on August 30, 2016 “Breast is best,” but current efforts to increase the rate of breastfeeding may be misguided. A recent article in JAMA Pediatrics by pediatricians Joel Bass, Tina Gartley, and Ronald Kleinman is titled “Unintended Consequences of Current Breastfeeding Initiatives.” They criticize the Baby-Friendly Hospital Initiative (BFHI), saying “there is now … Continue reading Efforts to Encourage Breastfeeding Like the Baby-Friendly Hospital Initiative (BFHI) May Have Unintended Consequences

Interventions Intended to Support Breastfeeding: Updated Assessment of Benefits and Harms

Valerie Flaherman, MD, MPH1; Isabelle Von Kohorn, MD, PhD “Counseling mothers to avoid giving infants any food or drink other than breast milk during the newborn period is step 6 of the BFHI and one of the primary care interventions most commonly used to support breastfeeding. Three randomized trials have specifically examined the effectiveness of … Continue reading Interventions Intended to Support Breastfeeding: Updated Assessment of Benefits and Harms

Closing Newborn Nurseries Isn’t Good for Babies or Moms

By Dr. Amy Tuteur, Obstetrician-Gynecologist February 11, 2016 I’m deeply disappointed to learn that the hospitals in my state, Massachusetts, are closing their newborn nurseries. It’s a submission to the entreaties of breastfeeding activists (lactivists), and doesn’t accomplish its stated aim. Most importantly, it’s unsafe. The Boston Globe explains that women can no longer leave … Continue reading Closing Newborn Nurseries Isn’t Good for Babies or Moms

Commentary: Safety issues with skin-to-skin care must be acknowledged

Joel L. Bass, M.D., FAAP and Tina Gartley, M.D., FAAP The AAP report also sheds light on the serious issue of newborn falls in the hospital related to maternal sleeping during bed-sharing. The common link between SUPC events and newborn hospital falls is their association with mother-baby co-sleeping in the prone position. The potential relationship … Continue reading Commentary: Safety issues with skin-to-skin care must be acknowledged

“Is Baby-Friendly Baby Safe?,” Fetus & Newborn Conference 2018

Video of Full Presentation available at Contemporary Forums on Demand. Las Vegas, Nevada — On September 6, 2018, the national neonatology conference, “The Fetus and Newborn Conference” was held in Las Vegas, Nevada. Among the speakers was Jay Goldsmith, M.D., Neonatologist and Professor of Pediatrics at Tulane University, Member of the American Academy of Pediatrics … Continue reading “Is Baby-Friendly Baby Safe?,” Fetus & Newborn Conference 2018

Breastfeeding increases the risk of newborn readmission. Now what do we do?

The Pediatric Insider 2019 Roy Benaroch, MD An August 2018 paper in Academic Pediatrics found an unsettling conclusion: breast-fed newborns have about double the risk of needing to be hospitalized in their first month of life, compared to babies who were formula-fed. The numbers are solid, and they jibe with the real-life experience of many … Continue reading Breastfeeding increases the risk of newborn readmission. Now what do we do?

Are Breastfeeding Messages Actually Hurting Mothers?

By Jamie Wells, M.D. — May 7, 2018 “At all costs” breastfeeding messages are a consistent refrain from policymakers to activist organizations. I would argue when they exclude discussion of formula, concomitant disease, realistic personal and infant challenges along with what is in the best interest of the family such well-intentioned directives are routinely misguided, … Continue reading Are Breastfeeding Messages Actually Hurting Mothers?

Telluride Mid-Winter Conference on Women’s and Children’s Healthcare 2019

Telluride, CO—On January 26, 2019, Dr. Christie del Castillo-Hegyi had the honor of presenting and participating in a panel discussion on breastfeeding at the Mid-Winter Conference on Women’s and Children’s Healthcare in Telluride, Colorado. In attendance were approximately 50 pediatricians, obstetricians, nurses and other health professionals in the field of maternal and infant health. It … Continue reading Telluride Mid-Winter Conference on Women’s and Children’s Healthcare 2019

Perspective on World Health Assembly Resolution Opposition by Pediatricians Alma Golden and Brett Giroir

By Pediatricians Brett Giroir, M.D. and Alma Golden, M.D. July 20, 2018 | 7:56pm Breastfeeding wasn’t in dispute in Geneva. Rather, we raised objections to an early draft of the resolution we eventually supported, which made references to a controversial 2016 guidance document. The underlying policy goal of this guidance is unsupported by US nutrition guidelines … Continue reading Perspective on World Health Assembly Resolution Opposition by Pediatricians Alma Golden and Brett Giroir