I really need to stop participating in mommy groups on Facebook for the sake of my own mental health. In these groups are two local individuals who seem to be the "go-to" women for lactation consulting and childbirth classes/doula services. Both of them, of course, advertise themselves as supportive of mothers and their personal preferences. And both of them need to shut their dang mouths.
I had nothing against the doula until last night. A friend in one of these groups asked about VBAC versus RCS. The doula actually said that the risk of uterine rupture is no higher for VBAC than it is for first-time mothers! For the record, the risk of uterine rupture for VBAC is estimated to be between 0.5 and 1 per 100 births. I don't know about primips specifically, but the rate of uterine rupture in an unscarred uterus is 0.7 per 10,000 deliveries, or 100 times as rare as during VBAC. (Source: http://www.uptodate.com/contents/rupture-of-the-unscarred-uterus)
The LC, however, is a real nasty piece of work. She was recommended to me when I specifically asked for recommendations for an LC who is supportive of combo-feeding. Thank G-d I didn't hire her because, as far as she's concerned, combo-feeding and supplementation are terrible for the baby's health. Oh, and women should be forced to have vaginal deliveries when at all possible.
According to the LC:
1. Supplementing ruins the microbiome in the baby's gut;
2. Formula feeding can lead to chronic health problems later in life;
3. The WHO's recommendations are applicable for developed countries.
So let's take these claims one by one.
1. Formula supplementation *does* change the microbiome in the gut. However, there's no evidence whatsoever that this difference is at all meaningful. How do I know this? Because:
2. There are no proven long-term health benefits to breastfeeding. Every single study that supposedly shows a difference either failed to control for confounding factors or the difference disappeared as soon as those factors were controlled for. Basically, most breastfeeding studies haven't proven that breastfed babies grow up to be healthier; they've shown that wealthy women breastfeed and poor women don't.
3. I'm not sure why natural fallacy types think the WHO was founded. In any event, the WHO does not maintain separate medical recommendations for developed countries because they discovered that developing countries don't trust you when you do that. This is a matter of historical fact. Formula feeding in the West isn't dangerous just because there are many impoverished countries with no clean water and no regulations for the production of formula.
And since ethics are just as important as science here, let's all take a brief moment to be shocked (SHOCKED!) that a woman who makes a living telling other women how to use their bodies to feed their babies also thinks she has the right to tell a woman how she ought to give birth.
I had nothing against the doula until last night. A friend in one of these groups asked about VBAC versus RCS. The doula actually said that the risk of uterine rupture is no higher for VBAC than it is for first-time mothers! For the record, the risk of uterine rupture for VBAC is estimated to be between 0.5 and 1 per 100 births. I don't know about primips specifically, but the rate of uterine rupture in an unscarred uterus is 0.7 per 10,000 deliveries, or 100 times as rare as during VBAC. (Source: http://www.uptodate.com/contents/rupture-of-the-unscarred-uterus)
The LC, however, is a real nasty piece of work. She was recommended to me when I specifically asked for recommendations for an LC who is supportive of combo-feeding. Thank G-d I didn't hire her because, as far as she's concerned, combo-feeding and supplementation are terrible for the baby's health. Oh, and women should be forced to have vaginal deliveries when at all possible.
According to the LC:
1. Supplementing ruins the microbiome in the baby's gut;
2. Formula feeding can lead to chronic health problems later in life;
3. The WHO's recommendations are applicable for developed countries.
So let's take these claims one by one.
1. Formula supplementation *does* change the microbiome in the gut. However, there's no evidence whatsoever that this difference is at all meaningful. How do I know this? Because:
2. There are no proven long-term health benefits to breastfeeding. Every single study that supposedly shows a difference either failed to control for confounding factors or the difference disappeared as soon as those factors were controlled for. Basically, most breastfeeding studies haven't proven that breastfed babies grow up to be healthier; they've shown that wealthy women breastfeed and poor women don't.
3. I'm not sure why natural fallacy types think the WHO was founded. In any event, the WHO does not maintain separate medical recommendations for developed countries because they discovered that developing countries don't trust you when you do that. This is a matter of historical fact. Formula feeding in the West isn't dangerous just because there are many impoverished countries with no clean water and no regulations for the production of formula.
And since ethics are just as important as science here, let's all take a brief moment to be shocked (SHOCKED!) that a woman who makes a living telling other women how to use their bodies to feed their babies also thinks she has the right to tell a woman how she ought to give birth.