Showing posts with label breastfeeding studies. Show all posts
Showing posts with label breastfeeding studies. Show all posts

Monday, March 21, 2011

The Social Network



I’ve raved before about Brain, Child magazine. I really love it when it shows up in my mailbox and I usually sit down immediately and read it from cover to cover. This month there was an excellent in the magazine entitled, “The Village: How other parents influence your parenting.” As you may suspect, the influence of our communities is huge. Although many of us would like to believe that the way we raise our children is based on our own instincts, values and perhaps research and trial and error, you can’t deny that you are part of certain “networks” and that what is expected of you and your behavior can shift depending on which network you’re currently in.

The author of the piece, Jennifer Niesslein (who is also an editor of Brain, Child) talks about how we are all products of our villages, in part because we’ve chosen them (think about the neighborhood you live in, the church or synagogue you attend, the school you send your kids to) and in part because our friends and relatives have a lot of influence over how we think and behave. She uses a great example to underscore this idea, Lisa Whelchel. You remember when Lisa (Blair from The Facts of Life) wrote a parenting book that encouraged what she called “hot saucing,” or placing a few drops of hot sauce on your child’s tongue as punishment for things like talking back. In her conservative Christian network, this kind of discipline is perfectly acceptable. This is why that mother from Alaska felt comfortable going on the Dr. Phil show, where footage showed her hot saucing her children, and was shocked when she was subsequently charged with child abuse. While to those of outside this network this is obvious abuse, to those inside the network, it’s simply an authoritarian style of parenting, which is a good thing.

What about breastfeeding?

The entire time I was reading this fascinating article, I was thinking about breastfeeding and our advocacy efforts and how and when they are truly effective. Think about programs like the WIC Breastfeeding Peer Counselors, which has shown time and again to drastically increase breastfeeding initiation and duration rates. It is obviously very powerful when a woman within your own network, especially if you are marginalized, has been successful at breastfeeding and can talk to you about the hows and whys. I was thrilled that when Niesslein spoke to social scientist Nicholas Christakis, co-author of Connected: The Surpising Power of Our Social Networks and How They Shape Our Lives, she specifically asked about how our views of breastfeeding have changed pretty drastically, in a fairly short period of time. Christakis confirms what breastfeeding advocates have been saying for a while: if your friends and family are breastfeeding, and you see it around you, you are more likely to do it yourself. This is why breastfeeding advocates encourage nursing in public, preferably without a cover, in order to normalize the act.

Interestingly, Christakis points out that top-down messages can work, but they really need the influence of friends to take off. So for example, you may read an article in the paper about a study that says breastfeeding is healthier for moms and babies or your pediatrician or even Oprah may convey the same message. However, you’re much more likely to pay attention to the message if a friend says, “Hey did you know recent research shows breastfeeding is best?”

Those of us with what social scientists call “high transitivity” are what social media folks call “influencers.” And if you’re the influencer in your network, if you breastfeed and talk about the joys of breastfeeding and nurse in front of your friends and family, they are much more likely to breastfeed too.


Negativity about breastfeeding online

As we already know, many women are living in communities separate from their family and long-time friends. In this day and age, a lot of women turn to the internet to find information and support, particularly on personal blogs and parenting websites. Although there are personal bloggers with a decent amount of “trust capital” and influence online, the websites with the most influence and high transitivity tend to be the major parenting sites. And a quick scan of them shows that most are much more likely to paint breastfeeding in a negative light than in a positive one.

Of course there will always be women for whom breastfeeding was not a good experience, and those women’s voices and stories are valid. But what happens to our breastfeeding advocacy efforts when the women who have a wonderful breastfeeding experience are made to feel like an anomaly and quickly learn to keep quiet lest they make anyone else feel bad, and the stories that get the most airplay are about how difficult breastfeeding can be? Today alone I found an article on Yahoo!’s Shine parenting website entitled, "Six Things No One Tells You About Breastfeeding.” The six things include “clogged ducts might haunt you” and “your body will not know how much milk to make.” That is reassuring.

Or how about a recent post on Babble’s Strollerderby blog, “I Quit Breastfeeding After Doing it in Public. Once” which describes a baby who “wouldn’t latch” for a mom who “had very little milk” (yet somehow still managed to get mastitis). This mom stopped breastfeeding and went to exclusive pumping for 4 months after a bad experience trying to nurse in public (no one harassed her, the baby just couldn’t latch on right and was crying). Every major parenting site, from Mom Logic to Parent Dish, has their own version of these horror stories and because they elicit such a huge response, they get run again and again.

Even the rare time when you find a positive article about breastfeeding, the comments section will almost immediately be derailed with a chorus of “not everyone can breastfeed!” and “I was unable to make any milk” or “all of my friends who breastfed have sick kids, mine have all been formula fed from the start and are the healthiest in the bunch!” The comments are so consistent that it’s almost eerie and the feeling you get is that no one wants to hear about how wonderful breastfeeding is.
So how can we, as breastfeeding advocates, combat the negativity? Is the online network becoming more influential than our real-life networks? And what happens when we’re getting polar opposite messages from our networks? As Niesslein states in the article, “It’s a little scary to think that decisions we consider our own can be swayed by people we don’t even know, especially when those decisions affect our children.” And what happens if we’re swayed to do things that aren’t best for our children, based on someone else’s bad experiences?




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Thursday, March 17, 2011

Breastfeeding & Work Research Study



Florida International University, located near me in Miami, FL, is conducting a study on the impact of workplace support, job attitudes and well-being of women who are breastfeeding or pumping at work.


The study consists of two surveys completed one month apart. Moms who work in the United States and breastfeed or pump at work are asked about their perceptions of workplace support, their job attitudes and behaviors. If possible, the researchers would also like to ask a coworker about his/her perceptions of policies for the breastfeeding mom.
Participants will be compensated with a $20 Target gift card for each of the two questionnaires (a total of $40 in gift cards). Coworkers will receive a $10 Target gift card.


Questionnaires are completed online and take approximately 25 minutes to complete. To get started, just click on this link.


Please feel free to forward this message to other moms who are breastfeeding/pumping at work. If you have any questions, you may email Dr. Valentina Bruk-Lee at Breastfeeding_research@fiu.edu.



Update:  I spoke to Dr. Bruk-Lee this morning. She said the response to the study has been so overwhelming that she and her staff haven't had a chance yet to get confirmations sent out to everyone. She said in the survey it said a confirmation can take up to 3 weeks, but that they're working hard to get confirmations sent out to those who completed the survey within two weeks. Don't fret, it's not a scam! She also said if you are concerned, to feel free to email her. I was able to get through to her email address but you can also try momspump@fiu.edu. 

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Sunday, June 20, 2010

Men's Attitudes Toward Breastfeeding

Happy Father's Day! I recently read about a study published in the Maternal & Child Health Journal about men's attitudes toward breastfeeding. The study used the Texas sample of the 2007 Behavior Risk Surveillance System to examine whether men's attitudes toward breastfeeding would vary by race, ethnicity, socioeconomic status, and education level.

Some of the study findings weren't very surprising. For example, Spanish-speaking Hispanic men were found to be the most likely to agree that breastfeeding interfered with having a social life for mothers, yet they were also more likely to view images of public breastfeeding as acceptable. In addition, men born in the US were less likely to think employers should accommodate nursing mothers than foreign-born men.

I was surprised to find just how supportive of breastfeeding the men in the study seemed to be. So what did the study reveal? Eighty-four percent of men disagreed or strongly disagreed that mothers should only breastfeed in their homes and 80% disagreed or strongly disagreed that a mother cannot breastfeed and work outside of the home. Only 21% of men felt embarrassed by a woman they didn't know nursing in front of them. Some of the results seemed to be split down the middle, with 48% of men agreeing or strongly agreeing that it was appropriate to show a mom breastfeeding on the cover of a magazine. Similarly, 46% agreed or strongly agreed that it was appropriate to show a mom breastfeeding on a TV show. The men most in favor of breastfeeding in the media? Spanish-speaking Hispanic men.

The other good news included that 75% of the men believed employers should make the necessary accommodations for nursing mothers, including flexible schedules and a private place to nurse or express milk.  Positive attitudes towards breastfeeding and images of breastfeeding were more likely to be found in men under the age of 30, men who were college educated and men who were Spanish-speaking. This makes sense when we think about who has one of the highest rates of breastfeeding in this country: Hispanic women!

Since we all know how influential fathers can be when it comes to whether or not women breastfeed, it's great to see that there seems to be a lot of men who support nursing in public, breastfeeding imagery and continuing to breastfeed while working outside of the home. Let's give some extra props to the dads this year who support their wives, girlfriends and baby mamas to breastfeed.

Is the man in your life supportive? Give him a shout out in the comments!





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Monday, April 5, 2010

Study: Lack of Breastfeeding Costs Lives, Billions of Dollars

A new study says that 900 babies and billions of dollars could be saved every year if 90% of mothers in the US were to breastfeed. The study, which was published in the journal Pediatrics and appeared online today, analyzed the prevalence of 10 common childhood illnesses and the costs of treating these diseases, which can include hospitalization. According to an economist's calculation, the US could save $13 billion per year if we could raise breastfeeding rates. It can be argued that this estimate, astounding as it is, could even be considered conservative because the study only took into account the "gold standard" of exclusive breastfeeding for the first 6 months. We know that breastfeeding continues to provide health benefits for babies (and mom!) well beyond the first 6 months and into toddlerhood if the baby is fortunate enough to nurse for that long.

Lead author of the study, Dr. Melissa Bartick, says that breastfeeding is a public health issue and I think it's obvious that this is true. For so long, whether or not to breastfeed has been couched as a "parenting choice," a message reinforced by the formula companies. Infant formula marketing has been usurping the feminist ideal of choice for forever, as if deciding to use formula was akin to picking the safari print over the froggies for the nursery. If anything, says Dr. Bartick, the benefits of breastfeeding have been underappreciated and hopefully this research study and the coverage it's been getting will finally hammer that point home.

Some people will continue to deny the importance of breastfeeding, though, and of course the detractors are already speaking up. One of those people is Dr. Lillian Beard, who like Hannah Rosin, wants us to instead focus on the "costs" of breastfeeding. She spoke to ABC News and is quoted as saying, "The biggest barrier to mothers continuing to breastfeed seems to be the fact that more mothers are in the workplace. It's a very impressive number," she said of the $13 billion estimate, "but I want to know: Did the study take into account the cost for breastfeeding mothers?"

Oh, yes, THAT's what's important here, right? The relative cost to breastfeeding mothers, not the lives that could be saved or the billions that could be put to better use?  "I think this report puts an unfair slant on it," Beard said. "It's not taking into account that for almost two thirds of U.S. families, women are either the co-breadwinner or the breadwinner. Returning to work is germane for the survival of the family."

While I agree that returning to work is definitely a huge barrier to breastfeeding, I also think that hospital supplementation with formula and formula freebies play a huge role as well. For an excellent analysis and break down of the fallacies of the ABC article, please read this blog post by Bettina of Best for Babes.

Funny that Dr. Beard didn't mention these things, right? A quick Google search shows that maybe Dr. Beard has more of a stake in this issue than she'd like to admit. See, Dr. Beard is a member of the "Nestle Family"! She serves on their board and answers questions about infant nutrition for their Nestle and Gerber web sites. This is a woman who has been quoted as saying that Nestle's infant formula is almost as digestible as breast milk. I wonder why ABC left that part out? She's credited as a professor at both George Washington University and Howard University, no mention of Nestle.

If you want to try and spin the story into something else, at least speak to someone who can even pretend to be neutral. At this point, I'd prefer to hear from Hannah Rosin again. At least she doesn't profit off of the sale of infant formula and doesn't have "M.D." at the end of her name.


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Wednesday, February 4, 2009

Participate in a breastfeeding study

Are you currently a breastfeeding mother? Would you like to participate in a breastfeeding study? The Motherwear Breastfeeding Blog lists several research studies involving nursing moms, including a study of induced lactation, herbs as milk supply boosters and moms of preemies who have low milk supply.





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