The primary reason why newborns experience starvation-related complications every single day as a result of the Baby-Friendly protocol is because the complications associated with the protocol are hidden from mothers who seek to breastfeed. The primary objective of the Baby-Friendly Hospital Initiative is high exclusive breastfeeding at discharge. Unfortunately, because the rates of insufficient breast milk and delayed lactogenesis II are high among mothers, the necessary consequences of hospital policies that seek high EBF at discharge rates are higher starvation-related complications like hyperbilirubinemia, hypernatremia, dehydration and hypoglycemia, all of which can cause newborn brain injury and permanent disability. Below is an example of the way mothers are made to fear formula supplementation while the risks of NOT supplementing are hidden. This is a waiver form published on the California Department of Public Health Website
to provide an example of a model formula waiver form for hospitals.
Here are examples of FEAR not FACTS contained in formula feeding waiver forms that Baby-Friendly hospitals require moms to sign before they allow a newborn to be formula-fed.
1. FEAR: Supplementation CAUSES delayed milk production.
FACT: The known risk factors for delayed milk production include being a first-time mom, cesarean delivery, flat or inverted nipples, higher BMI > 27, prolonged stage II of delivery (when a mom pushes to deliver), having a large baby, excessive blood loss, being an older mom > 30, PCOS, diabetes, hypothyroidism, insufficient glandular tissue, retained placenta to name a few. While supplementation may be ASSOCIATED with delayed milk production, supplementation is in fact a REFLECTION of the need to supplement a baby who is being underfed due to delayed copious milk production. (Pediatrics 2003, 112 (3 Pt 1):
2. FEAR: Not exclusively breastfeeding puts my child at risk of jaundice.
FACT: Exclusive breastfeeding is among the highest risk factors for excessive jaundice requiring phototherapy admissions according to the American Academy of Pediatrics and 10-18% of exclusively breastfed newborns experience starvation jaundice from insufficient milk intake according to the Academy of Breastfeeding Medicine. Exclusively breastfed newborns are at higher risk of jaundice than supplemented and formula-fed newborns due to the smaller volumes of milk they receive as milk helps the baby pass bilirubin into the stool. In fact one of the ways jaundice is treated and prevented is through supplemental milk feeding.
Pediatrics, July 2004, VOLUME 114 / ISSUE 1,
BREASTFEEDING MEDICINE, Volume 5, Number 2, 2010
3. FEAR: Not exclusively breastfeeding will cause my baby to be underfed
FACTS: In the largest studies of supplemented/formula-fed vs. exclusively breastfed healthy, term newborns from a large Baby-Friendly Hospital system, the exclusively breastfed babies lost almost twice as much as the supplemented/formula-fed babies. 10% of vaginally-delivered and 25% of cesarean-delivered EBF newborns lost excessive weight of >10% while NONE of the formula-fed newborns experienced this complication. In fact, exclusive breastfeeding at discharge is associated with an 11-fold higher risk of rehospitalization for dehydration and underfeeding.
Early Weight Loss Nomogram of Formula-Fed Newborns. Hospital Pediatrics May 2015, VOLUME 5 / ISSUE 5
Early Weight Loss Nomogram of Exclusively Breastfed Newborns. Pediatrics January 2015, VOLUME 135 / ISSUE 1
Rehospitalization for Newborn Dehydration. Arch Pediatr Adolesc Med. 2002;156:155-161
4: FEAR: Supplementing will CAUSE low blood sugar and colostrum protects my baby from it.
FACT: In a study of newborns fed antenatally expressed colostrum along with direct latch feeding of colostrum when compared to those who did not receive expressed colostrum, the babies fed expressed colostrum in fact had higher rates of hypoglycemia requiring admission. Lancet 2017, 389: 2204-2213
So NO, colostrum does not protect against hypoglycemia. In fact in the most recent study of EBF newborns, 10% had blood glucose levels low enough to increase risk of lower long-term academic achievement. An even older study on low blood sugar in EBF newborns, 53 out of 200 or 26.5% developed low blood sugar within the first 6 hours of life. What protects against hypoglycemia is providing a child their full caloric requirement, which is 100-120 Cal/kg/day to prevent them from running out of caloric reserve.
Study of Asymptomatic Hypoglycemia in Full Term Exclusively Breastfed Neonates in First 48 Hours of Life
Journal of Clinical and Diagnostic Research. 2015 Sep, Vol-9(9): SC07-SC10
Association Between Transient Newborn Hypoglycemia and Fourth-Grade Achievement Test Proficiency: A Population-Based Study
JAMA Pediatr. 2015;169(10):913-921.
Nutritional management of newborn infants: Practical Guidelines. World J Gastroenterol 2008 October 28; 14(40): 6133-6139
5. FEAR: Introduction of cow’s milk will lead to cow milk protein allergy.
FACT: In a study of over 13,000 children, earlier introduction within the first 2 weeks of life of cow’s milk REDUCED their risk of cow milk protein allergy by 19-fold.
Early exposure to cow’s milk protein is protective against IgE-mediated cow’s milk protein allergy. J Allergy Clin Immunol.
6. FEAR: Exclusive breastfeeding is the ideal way of feeding every baby and there are no risks associated it, only risks of NOT doing it.
FACT: The most significant risks to a newborn’s life and brain come from the fasting conditions imposed by exclusive breastfeeding before full milk production and these risks are hidden from mothers to gain compliance with exclusive breastfeeding.
A review of 116 cases of breastfeeding-associated hypernatremia in rural area of central Turkey. J Trop Pediatr.
2007 Oct;53(5):347-50. Epub 2007 May 12.
Term Infants: Retrospective Evaluation of 159 Cases. Breastfeed Med.
Long-Term Neurodevelopmental Outcome of Neonates with Hypernatremic
Dehydration. Breastfeed Med.
Of Goldilocks and Neonatal Hypernatremia.
Academy of Breastfeeding Medicine Blog.
7. FEAR: Just one bottle will ruin my child’s future health.
FACT: Just one bottle can save a child’s life and save them from a lifetime of disability.
Letter to doctors and parents about the dangers of insufficient exclusive breastfeeding