BMJ 1999;318:1303-1304 ( 15 May )

Editorials

Breast feeding reduces morbidity

The risk of HIV transmission requires risk assessment---not a shift to formula feeds

Papers p   1316

The first 150 words of the full text of this article appear below.

It is time that doctors, and everyone else, accepted breast feeding as the biological norm, in terms of both feeding and caring for human infants. Exclusive breast feeding for six months provides the newborn with all the essential nutrients for health and growth and anti-infective properties not present in breastmilk substitutes.1 The American Academy of Pediatrics recently stated, "The breast fed infant is the reference or normative model against which all alternative feeding methods must be measured."2 Therefore our vocabulary needs to change,3 and we should be saying that formula fed babies have more diseases and poorer psychological development than normal babies, rather than that breast fed babies have less disease and higher intelligence. This longstanding view is, however, under threat from the fact that HIV may be transmitted from mother to child through breast milk.

For several decades we have known that artificially fed infants have much higher rates . . . [Full text of this article]


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Relevant Article

Impact of breast feeding on admission for pneumonia during postneonatal period in Brazil: nested case-control study
Juraci A César, Cesar G Victora, Fernando C Barros, Iná S Santos, and José A Flores
BMJ 1999 318: 1316-1320. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

  • Shankar, A. V., Sastry, J., Erande, A., Joshi, A., Suryawanshi, N., Phadke, M. A., Bollinger, R. C. (2005). Making the Choice: the Translation of Global HIV and Infant Feeding Policy to Local Practice among Mothers in Pune, India. J. Nutr. 135: 960-965 [Abstract] [Full text]  
  • Sachs, M., Buchanan, P., Broadfoot, M., Greiner, T. (2000). Infant feeding and HIV study does not support Minerva's view. BMJ 321: 303a-303 [Full text]  
  • Latham, M. C, Preble, E. A, Zwi, K., Söderlund, N. (2000). Appropriate feeding methods for infants of HIV infected mothers in sub-Saharan Africa Commentary: The feeding debate is still unresolved and of secondary importance. BMJ 320: 1656-1660 [Full text]  
  • GALTRY, J. (2000). EXTENDING THE "BRIGHT LINE": Feminism, Breastfeeding, and the Workplace in the United States. Gender Society 14: 295-317 [Abstract]  

Rapid Responses:

Read all Rapid Responses

Practice what you preach!
Ginny Brinkley
bmj.com, 19 May 1999 [Full text]
Is the glass half full or half empty ?
Mary E Black
bmj.com, 25 May 1999 [Full text]



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