For those of us who didn't get an instruction manual with our babies and for whom parenting hasn't always gone as planned. On a more serious note this blog is about supporting a woman's ability to make her own choices about parenting including the choice, for whatever reason, to bottle feed her babies formula.

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Sunday, January 13, 2008

Breastfeeding and Allergies

One of the qualities that I most admire in people is the ability to see both sides of an argument, even when someone supports one side. I try to live by that myself, and I like to know both sides of even the arguments on which I have the strongest views. I feel like I truly can make the best decisions when I know all the facts. Knowing all the facts, doesn't mean that I will align with one side or another, but I like that I can make my own decision.

One of my reasons for starting this blog was to promote the idea that women (and men) can take all the facts out there and make the best decisions for their families regardless of what alternatives may be better for other families. For example, I have always been a strong proponent of breastfeeding, and I found it enormously painful to be unable to breastfeed my boys. After I calmed down and came out of my black hole of gloom for not being able to breastfeed, I realized that formula is an adequate form of nutrition for babies (with adequate meaning sufficient, meaning it gets the job done) and is not rat poison. I remain a proponent of breastfeeding, but I believe (and have lived) the fact that it does not work for all families.

There are still some specific points of argument in the baby feeding debate that I believed only have one side. For example, one of the many reasons that I was upset that I couldn't breastfeed was that I knew that that breastfeeding helps to prevent allergies. With my "zoo", I was concerned for the boys as well as my pets. Then one day I had a realization while I was munching on a peanut butter and jelly sandwich and relishing the fact that I could eat whatever I wanted, unlike a few of my friends who had breastfeeding-related dietary restrictions. No matter how many peanut butter and jelly sandwiches, pieces of broccoli, onions, tomatoes, and chocolate I ate, my diet had no effect on my son's diet. His food was constant. I would still choose breastfeeding over formula, if I could, but since so few things in life are 100% problem-free, I wondered if any bad things do come through breastmilk.

Today I received a call from my friend Suzanne alerting me to an op-ed piece by Nora Ephron in the New York Times called "The Chicken Soup Chronicles". In a paragraph discussing the fervor of some breastfeeding advocates, she poses some interesting questions about allergies.

"...children today are far more allergic than they were when I was growing up, when far fewer women breast-fed their children. I mean, what is it with all these children dropping dead from sniffing a peanut? This is new, friends, it’s brand-new new, and don’t believe anyone who says otherwise. So: is it possible that breast-feeding causes allergies?"

Ms. Ephron doesn't provide any actual evidence that breastfeeding is harmful, and the overall tone of most of the piece is tongue-in-cheek. However, I find it interesting that except for the study in Australia that argues that breastfeeding does not reduce children's allergies in the long-run, this is the first time that I've seen something that questions breastfeeding.

As someone who is very pro-breastfeeding, part of me wonders if we should even bother wasting time, energy, and money studying something that has been found time and time again to be the best way to feed children. Does it really matter if there are some negative aspects to breastfeeding if they are so minor? Certainly there are a lot more important subjects to research. Would further research really change anything? Maybe not. However, it is kind of curious that little media attention has been given to the Australian study, and Ms. Ephron's question does highlight a health trend that does seem inconsistent with current research. Whenever I see a headline around children's health issues, I want to know what that study says. This doesn't cause me to question my belief that breastfeeding is generally better than formula, but it reinforces my belief that different approaches to feeding are better for different families.

A. Elliot's Lesson Learned: Knowledge is power, particularly when that knowledge is about how to best feed your children.

Labels: , ,

posted by Alex Elliot @ 6:48 PM   14 comments
14 Comments:
  • At 1/13/2008 10:40 PM, Blogger Suzanne said…

    Very thoughtful post on a difficult topic, as usual. When I read it, all I could think about was the protests that La Leche League are probably organizing outside Ephron's home at this very instant. Some people hate debate or intellectual curiosity. Usually those people are conservative Republicans or crazy religious fanatics, but not always. :)

     
  • At 1/14/2008 12:03 AM, Anonymous Erin - ExpectingExecutive said…

    Have I told you lately how much I appreciate you and your blog? No? Well, I do. You are calm, thoughtful, helpful, comforting and encouraging. If Nora Ephron isn't reading your blog already,I am sure would appreciate and support your words.

     
  • At 1/14/2008 8:12 AM, Blogger Amy said…

    This is funny. I have a friend who pretty much exclusively breastfed her first born. She's not a zealot by any means, but she made it the whole year. Her second child is six months old and still being breastfed, but is getting three bottles of formula a day. We live pretty far apart, but when we visited over New Years I teased her about the "baby poison" she was giving her daughter (she knew how much grief I'd been given about not being able to breastfeed, so she was in on the joke.)

    But her situation does go to show that even in the same family, it doesn't always work out the same for every child.

     
  • At 1/14/2008 8:43 AM, OpenID cablegirl said…

    What an interesting and thought provoking post.

    I'd think, however, that Ephron is taking her thoughts a little beyond the realm of logic. Why on earth would the natural way to feed a child make him or her allergic to foods. Interesting speculation and yes, it does seem that there are a lot of highly allergic kids out there, but to blame nature? I think not.

     
  • At 1/14/2008 9:05 AM, Blogger Tracey said…

    Hmmm. I would have to say that the significant rise in childhood allergies(and other diseases/afflictions) is probably related more to other factors than to the moderate rise in breastfeeding in the US. It's not like b.f. is a new thing that just started in these past 15 years. I'd make a wildly uneducated guess that the culprit would be more in the line of antibiotics, antibacterial soaps/etc., and a world that may be trying to heal itself by trying to get rid of some of its inhabitants (morbid thought, I know. Just a wild, esoteric idea of mine.)

     
  • At 1/14/2008 9:21 AM, Blogger Alex Elliot said…

    Thank you all for your comments. I don't believe that Ms. Ephron argued that anyone is actually allergic to breastmilk. (I certainly don't believe in any breastmilk allergy.) My guess, with the key word being "guess", is that what she is talking about is the argument that increased allergies are caused by our increasingly toxic environment and our increased consumption of processed foods over past generations. With processed foods, there can be a risk of cross-contamination (bread being exposed to nuts for example) so that when a mom consumes, for example a piece of bread, she is also eating traces of nuts at the same time which can then be passed on to her baby. Again, not a reason not to breastfeed. Just food for thought so to speak.

     
  • At 1/14/2008 10:45 AM, Anonymous Anonymous said…

    When I breastfed Alex many years ago, we were told that whatever went through our bodies went into our baby. Therefore, we were told to avoid caffeine and certain allergen producing products. Are Moms still being told this today? It seems logical to me that if a mom ate a lot of peanut butter, that her infant just might be exposed to something inside the peanuts that could trigger an allergy later. I don't think Nora Ephron was questioning breast feeding. She was just wondering why so many more children have allergies. I have often wondered the same thing. Rather than shoot the messenger, wouldn't it be better to see what is passing through the breast milk?

     
  • At 1/14/2008 10:48 AM, Blogger Alex Elliot said…

    Hi Anonymous,
    I absolutely agree. Thanks for commenting.

     
  • At 1/14/2008 3:25 PM, Blogger Heather said…

    People have always looked at me funny when I've said I can't eat tree nuts when I'm pregnant or breastfeeding. It's really hard when you're craving nuts too.

    I've always wondered why people care so much how I'm feeding my baby. I don't really care how anyone else chooses to feed their children. If I ask if a mom is nursing it is only because I'm making them supper and want to make sure to make something non-spicy, etc.

    I remember feeling like I needed to clarify that is was breastmilk in the bottles I was giving my daughter. I was crushed that she wouldn't nurse. So much so that I pumped my milk for 6 months before I finally gave up.

    Thankfully my second child nursed easily and for more than a year.

    We'll see what #3 wants to do.

     
  • At 1/14/2008 4:05 PM, Anonymous jennifer said…

    I love this! As Erin said, I love that you can be so coherent and calm on such a hot button topic.

     
  • At 1/14/2008 4:52 PM, Blogger Jen of A2eatwrite said…

    I wasn't able to breastfeed my son, either, and it was heartbreaking to me at the time. He's grown up strong and healthy, though, and he doesn't have any of the allergies his dad does or that I do.

    I'm not saying this to support Ephron. I do feel that she was being tongue in cheek and was really commenting on all the "special stuff" we do these days as parents, along with the fact that we all survived our less coddled childhoods. For example, my mother was encouraged, by her obstetrician to have a martini a day so that she'd have a relaxed, calm pregnancy. He also didn't think that the fact that she smoked was an issue. Does she wish she hadn't done either of those things? Of course! But I didn't have foetal alcohol syndrome and so far haven't developed lung cancer (knock on wood).

    I really enjoyed your post. While breast is best, aren't we lucky to have some alternatives that our ancestors didn't. Without a wet nurse, your sons and mine wouldn't have survived. Horrible thought, isn't it?

     
  • At 1/15/2008 6:14 PM, Blogger Chantelle said…

    Another insightful and interesting post on these issues. I am interested in the study. I hadn't heard anything about it.

     
  • At 1/16/2008 9:00 AM, Blogger Tracee said…

    When I read the title on Blogher (yay Blogher) I hopped on over to talk about MY allergies and breastfeeding.

    My baby had allergies (not food allergies, pollen allergies) from the minute he was born, by the way, and I did breastfeed. He inherited them from me. I never had them as a child, but I have them as an adult.

    My doctor told me to take benadryl for them when I was pregnant because it's safe for the baby in utero.

    But, he did NOT tell me that benadryl would DRY UP my breast milk. So for 3 months I struggled to keep breastfeeding a starving baby.

    First the milk wouldn't come in though I tried everything including beer (advice in a 1970s Le Leche League manual).

    I would sit with the pump on my breasts for the majority of the day trying to revive my milk.

    When the OB/GYN's nurse told me to stop the benadryl I started taking Zertek for allergies and it didn't help. It was spring and I HAD to take something. All the fenigreek in the world wouldn't make my milk come back.

    By 4 months I gave up. The baby has allergies - but he had them when I was breastfeeding. He had them genetically from birth.

    But, I'm still furious at that doctor for robbing me of my year of breast feeding and causing so much stress at the beginning by telling me to keep taking the benedryl.

     
  • At 1/16/2008 4:42 PM, Blogger Sally HP said…

    J and I were just talking about the allergy issue, and he said that it's also due in large to the fact that parents are so paranoid about their kids' environments and they never get exposed to anything...in the good ole days before formula, they didn't have these extreme allergies either, but mom's didn't restrict their diet for breastfeeding then either. It's a tough call, but I'm glad that people are addressing the fact that there are, dare I say positives?! to formula. Good blog!

     
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Name:Alex Elliot
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