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Social Problems contributing to Lack of BF in US?  

post #1 of 21
Thread Starter 
Heya Lactivists!

I just wrote a great post here and it's lost somewhere in cyberspace. Grrrr....

Anyway, to make a long story short, I'm working on a paper for my sociology class on how low rates and short duration of BFing in the US is indicative of many social problems.

The ones I have in mind are:

--Breastfeeding empowers women and so the patriarchy
created formula to remove that power.
--BFing looks sexual to men, since breasts are
involved, and that is unacceptable because the man is not directly involved in that
expression of intimacy.
--Lack of breastfeeding keeps our nation less healthy and more
obese in the long run.
--Although BFing is free, less minority or impoverished women
nurse their babies than Caucasian women ... this reflects lack of quality education offered to minority or impoverished people, because lower quality education keeps them (and their children) "in their place."


So, do you disagree with any of these ideas?
Do you see any really obvious ideas I have not touched on, probably due to sleep deprivation and stress?

Any thoughts you can offer will be greatly appreciated.

This paper makes me nervous. I want to do an amazing job because I want to change the world to a place where all babies are given the very best start. And although my one little paper won't change the whole world, it might open a mind or two.

Many thanks!

PS -- PM if that makes you more comfortable!
post #2 of 21
I think it would also be good to include how poorly a postpartum woman is treated in our country. Our country does not value a new mother. It is our societal expectation that 6 weeks postpartum is an acceptable amount of time for a mom to be ready to be back to work full time, leaving baby in day care. Short and unpaid maternity leaves def contribute to lower breastfeeding initiation rates and success rates for women who do bf. Lack of workplace support for the bf woman is another one.
Compare our country w/ other countries, there are huge differences.
post #3 of 21
Waaay to early for me to be coherent about this, but also consider the impact of the agriculture industry. Artificial baby milk is made from the by-products of the dairy industry, a heavily subsidized industry in the US. IIRC, WIC is administered by the Dept. of Agriculture, hence all the ABM, cow's milk, and cheese that is included in the program. I think that breastfeeding is more a problem with the US Govt's need to kowtow to big business.

Good luck with your paper, I'd love to read it.
post #4 of 21
I think you have a point regarding social differences. Higher education = more breastfeeding.

I also agree (with another poster) that the short maternity leave is probably an important factor. In Norway we have a year, and almost everybody breastfeeds.

Also the corporations (?) have too much power in the US. Formula samples in hospitals should be illegal. People have an irrational faith in hospitals and the medical profession, so when they get formula in the hospital they will tend to believe that they might need it. The WHO says formula samples should be illegal, but the US prefers to let the formula manufacturers decide.

Breastfeeding is not always easy, so there needs to be an available support system. I don't know if you have that in the US?

Since the population has such a great faith in doctors, they have a big responsibility. If doctors and other health personel don't strongly recommend and help with breastfeeding, a lot of people won't understand how important it is.
post #5 of 21
I agree with the good points which have been made. While there are cultural issues which undermine breastfeeding, the lack of maternity leave, lack of professional postpartum support and an the overmedicalization of birth in this country (and lack of BF education among many OB's and pediatricians) are huge factors.
post #6 of 21
Thread Starter 
Thanks!

I totally spaced on the lack of support issue, which includes maternity leave.

And big business's involvement...how could I have missed that? I really don't get enough sleep anymore!

OK, gotta get to become coherent!
post #7 of 21
Sexual abuse. Not enough work has been done on identifying all the ways the high rate of sexual abuse has an impact on women's attitudes toward breastfeeding. A very good place to start though is When Survivors Give Birth: Understanding and Healing the Effects of Early Sexual Abuse on Childbearing Women by Penny Simkin and Phyllis Klaus. http://www.amazon.com/When-Survivors...3244042&sr=1-4 Also important is the work of Kathleen Kendall-Tackett, a clinical psychologist and IBCLC who is an extraordinary resource on trauma and breastfeeding. http://www.granitescientific.com/
post #8 of 21
I hope that you feel comfortable posting your paper here when you are finished writing it. I would be very interested to read it! And good luck. Sorry I don't have a vast wealth of knowledge to help you out... I am just me. :
post #9 of 21
Sick and NAK here, but here is my delirious contribution:

The sexual revolution and explosion of formula companies killed the idea that BF was the norm. With women getting out of the house and into the workplace there really wasn't as much BF support. Why stay tied to the home (BF) when you can work (Formula)?

Thats one of the problems imo, and I'm having a hard time getting what I think out of my head, so its a very incomplete thought.
post #10 of 21
Quote:
Originally Posted by Kiyomi View Post
So, do you disagree with any of these ideas?
Not at all. I think you're doing a wonderful thing by getting these thoughts out there. Especially good to hear that I'm not alone in feeling this way.

And to clarify: formula can be a lifesaver in some situations (like mine, because I physically cannot produce enough milk for my baby due to hypoplasia and breast surgeries). However, the promotion of formula to tired postpartum (and therefore, impressionable) moms is definitely the patriarchal status quo at work. The message is: "You can't breastfeed. We, the formula companies, will save you." It's downright condescending, but it works or they wouldn't do it. Ideally, there would be no marketing of formula. Everyone knows it's there if they need it; it's no secret. But having it shoved in your face when you're tired and just gave birth... That's just too good to pass up for a lot of people (especially if they're lied to about the damage it does to give in to the temptation to supplement unnecessarily).

Breastfeeding is empowering (natural childbirth is empowering, too, and it's not entirely unrelated to breastfeeding). It's a very threatening thing to the status quo, the true empowerment of women.
post #11 of 21
I'll just play devil's advocate on one point. Do men see bf as sexual? There have been threads recently on this forum about how it seems to usually be a woman complaining about a NIP'er. Men tend to look away and ignore it. Has anyone here felt ogled by a man while nursing? (I haven't, I haven't seen it come up on MDC boards, but I know that doesn't mean it doesn't happen) Personally, I wouldn't make this point unless I had some research to back it up (Sorry, I have no idea whether is is or isn't any research).
post #12 of 21
Quote:
Originally Posted by lara1828 View Post
I'll just play devil's advocate on one point. Do men see bf as sexual? There have been threads recently on this forum about how it seems to usually be a woman complaining about a NIP'er. Men tend to look away and ignore it. Has anyone here felt ogled by a man while nursing? (I haven't, I haven't seen it come up on MDC boards, but I know that doesn't mean it doesn't happen) Personally, I wouldn't make this point unless I had some research to back it up (Sorry, I have no idea whether is is or isn't any research).
I think the point is that both men and women see BREASTS as exclusively sexual.

I have often seen in discussions about public breastfeeding that men complain that the breasts that they get to see that way, are ugly - i.e. they have visible veins and generally don't look like the ones they see on covers of magazines.

I think it is fairly obvious that our society have an excessive focus on the decorative and sexual functions of breasts?
post #13 of 21
Quote:
Originally Posted by lara1828 View Post
I'll just play devil's advocate on one point. Do men see bf as sexual? There have been threads recently on this forum about how it seems to usually be a woman complaining about a NIP'er. Men tend to look away and ignore it. Has anyone here felt ogled by a man while nursing? (I haven't, I haven't seen it come up on MDC boards, but I know that doesn't mean it doesn't happen) Personally, I wouldn't make this point unless I had some research to back it up (Sorry, I have no idea whether is is or isn't any research).
I agree, plus I don't think breastfeeding is perceived as a "powerful" act and therefore threatening to men. It's more likely to keep women housebound and tied down with fewer job prospects (since pumping at work is still a battle being hard fought), and we all know that respect and power in our society is related to your work, not your child-rearing or breastfeeding ability.
post #14 of 21
Quote:
Originally Posted by gcgirl View Post
I agree, plus I don't think breastfeeding is perceived as a "powerful" act and therefore threatening to men. It's more likely to keep women housebound and tied down with fewer job prospects (since pumping at work is still a battle being hard fought), and we all know that respect and power in our society is related to your work, not your child-rearing or breastfeeding ability.
You mention the pumping-at-work battle... That's actually an area that is seen as threatening to people in general... This idea or perception among people that pumping time is seen as "extra" and not as "normal" the way it should be. A lot of people see giving women pumping time at work to be "special treatment." That's definitely a societal problem, and I'm not sure which gender that leans most heavily on, so I won't make a judgment there, but I'm sure the less likely you are to ever pump (i.e., if you're male), it's probably not likely you'll be able to understand why someone would need that time.
post #15 of 21
Quote:
Originally Posted by MamaBear1976 View Post
This idea or perception among people that pumping time is seen as "extra" and not as "normal" the way it should be. A lot of people see giving women pumping time at work to be "special treatment." That's definitely a societal problem, and I'm not sure which gender that leans most heavily on, so I won't make a judgment there, but I'm sure the less likely you are to ever pump (i.e., if you're male), it's probably not likely you'll be able to understand why someone would need that time.
That's a good point. In Norway a working mother who nurses, regardless of the age of the child (she only has to provide a statement from a doctor or nurse that breastfeeding is good for the child's health), has the right to one to two hours "breastfeeding time off" every day. That means she can come to work later in the morning, or leave earlier, or go home to breastfeed during work hours, or have someone bring the child into the office so she can nurse there - or spend twenty minutes pumping three times a day - it's up to her how she wants to use the time.

Not everybody gets paid for those hours, but it still helps. I'm sure the support or lack of support from the work environment makes a difference regarding breastfeeding frequency.
post #16 of 21
Thread Starter 
Quote:
Originally Posted by rabbitmum View Post
I think the point is that both men and women see BREASTS as exclusively sexual.

I have often seen in discussions about public breastfeeding that men complain that the breasts that they get to see that way, are ugly - i.e. they have visible veins and generally don't look like the ones they see on covers of magazines.

I think it is fairly obvious that our society have an excessive focus on the decorative and sexual functions of breasts?
That's the point I was trying to get at...that US society sees breasts as exclusively sexual...this has certainly been reinforced by the decades where women really weren't BFing in great numbers, in or out of the home, and so people never saw their siblings being nursed and just had no exposure to breasts as they perform their biological function.

And for someone to complain about how nursing breasts are unattractive?!? If that doesn't take the most natural act and turn it into someone's sefish perception of beauty and a whine of "How dare they show those boobs! They aren't even attractive!" So many people don't have a clue what attractiveness looks like nowadays unless it is airbrushed. Grrrrr!!!

Thanks for helping me toss these ideas around. I am presently having trouble finding data to support my BF is lower in the US statement. I can't find studies where they have stats for both US and other industrialized countries BF rates and duration. I'm shocked to find that this is so difficult. I thought I would spend my time writing, not doing stat research! So if anyone is in the know as to where I can find some decent research that includes US and other nations that SPECIFICALLY are high income, plus includes the BFpercentages at intervals (at, say, 6 mos, 12 mos, 18 mos)... please share.

Many thanks!
post #17 of 21
Quote:
Originally Posted by Kiyomi View Post
That's the point I was trying to get at...that US society sees breasts as exclusively sexual...this has certainly been reinforced by the decades where women really weren't BFing in great numbers, in or out of the home, and so people never saw their siblings being nursed and just had no exposure to breasts as they perform their biological function.

And for someone to complain about how nursing breasts are unattractive?!? If that doesn't take the most natural act and turn it into someone's sefish perception of beauty and a whine of "How dare they show those boobs! They aren't even attractive!" So many people don't have a clue what attractiveness looks like nowadays unless it is airbrushed. Grrrrr!!!

Thanks for helping me toss these ideas around. I am presently having trouble finding data to support my BF is lower in the US statement. I can't find studies where they have stats for both US and other industrialized countries BF rates and duration. I'm shocked to find that this is so difficult. I thought I would spend my time writing, not doing stat research! So if anyone is in the know as to where I can find some decent research that includes US and other nations that SPECIFICALLY are high income, plus includes the BFpercentages at intervals (at, say, 6 mos, 12 mos, 18 mos)... please share.

Many thanks!
It is VERY hard to get precisely the sort of statistics you need, isn't it? I've run into this roadblock in several different research attempts; it's so ...

I don't know if this will help you, but sometimes the International Breastfeeding Journal has interesting articles: http://www.internationalbreastfeedingjournal.com/.

Kellymom has great evidence-based lactation resources, too: http://www.kellymom.com/

I've compiled a bunch of breastfeeding/lactation links here, if those can help you (it may yield nothing, but it's worth taking a look): http://www.breastfeedingsymbol.org/links/

Wish I could be more helpful.
post #18 of 21
Quote:
Originally Posted by Kiyomi View Post
That's the point I was trying to get at...that US society sees breasts as exclusively sexual...this has certainly been reinforced by the decades where women really weren't BFing in great numbers, in or out of the home, and so people never saw their siblings being nursed and just had no exposure to breasts as they perform their biological function.
for more information read chapter 7 "Beauty and The Breast: The Cultural Context of Breast Feeding in the US" in this book:
http://www.amazon.com/dp/0202011925/
http://findarticles.com/p/articles/m...10/ai_n8747885

Quote:
I am presently having trouble finding data to support my BF is lower in the US statement. I can't find studies where they have stats for both US and other industrialized countries BF rates and duration. I'm shocked to find that this is so difficult. I thought I would spend my time writing, not doing stat research! So if anyone is in the know as to where I can find some decent research that includes US and other nations that SPECIFICALLY are high income, plus includes the BFpercentages at intervals (at, say, 6 mos, 12 mos, 18 mos)... please share.
something like this?
http://www.who.int/research/iycf/bfcf/bfcf.asp?menu=00
http://www.llli.org//cbi/bfstats03.html
http://www.childinfo.org/eddb/brfeed/test/database.htm
http://www.childinfo.org/areas/breas...ountrydata.php
post #19 of 21
Thread Starter 

It's done!

Thanks to everyone for all the help!

Here's what I submitted. I am not really satisfied with it, but I was only allowed 2-3 pages (I submitted 4), which just isn't enough to even scratch the surface with this issue. I'll leave this up for the weekend, then remove for my peace of mind and privacy.

Here you go, if you feel like reading:

Breast is Best, Unless You're an American
Low Rates of Breastfeeding as an Indication of Social Problems


Mother’s milk is the perfect food. The milk produced by a baby’s mother is perfectly tailored to the needs of that particular infant. It contains antibodies to germs to which the child has been exposed. It is easily digestible by an immature digestive tract. Breast milk-fed children have been found to have notably higher IQs and better academic performances than their formula-fed peers (American Academy of Pediatrics, 1998). Breast milk contributes to better functioning of the child’s immune system and provides added lifelong protection against certain diseases and medical conditions, including but not limited to heart disease, certain cancers and Types I and II diabetes. Research has indicated that a breastfed infant is less likely to grow into an overweight child or an obese adult, which is especially noteworthy when we live in a country where 97 million adults (54.9% of the adult population) are considered either overweight or obese (National Institutes of Health, 1998). Breastfeeding promotes positive emotional bonding between mother and child which is thought to lead to a greater sense of security in adulthood. Nursing one's baby causes the release of the hormones oxytocin and prolactin in the mother, which add to her desire to nurture her baby, and can help prevent or lessen the severity of postpartum depression. Breastfeeding mothers experience long term health benefits, such as a lowered risk of certain cancers and osteoporosis. Breast milk is free and always ready to feed the child, unlike formula, which is not only an added financial expenditure, but also requires time-consuming preparation and cleanup.

With this seemingly endless list of benefits to mother and child, why do so many American women choose to feed their child the clearly substandard nutrition that is formula?

The rate of breastfeeding in the US is much lower than in other high income countries and worldwide. According to La Leche League, 81.98% of women in a random sampling of high income countries initiate breastfeeding but only 70.1% of American women do the same (La Leche League, 2003). Additionally, when American women do choose to breastfeed, the duration of breastfeeding is substantially shorter than in other countries. The worldwide average age of weaning is 4.2 years (National Association for Children, 2005). In the US, only 27% of women are still breastfeeding at 6 months postpartum, and a mere 12.3% are still nursing at the time of their child's first birthday (Pediatrics, 2003).

Why does the US have these markedly lower numbers? Although many explanations have been offered in the past, I believe that this low rate of breastfeeding is an indication of much larger social problems. Although I believe that many social problems contribute to these low percentages, I believe that the main culprit in this situation is the inherent inequality found in our capitalist, post-industrial society.

Inequality is a lack of equality, as of opportunity, treatment or class (American Heritage Dictionary). Inequality asserts itself in the issue of breastfeeding on a multitude of levels. The sexual inequality of women makes breastfeeding a threatening process to a patriarchal society. After all, a man could not give birth to another living creature and then sustain that life with only his own body, a bit of food, and a source of water, the way a mother can. This unique empowerment enjoyed by the second-class female citizen on some level must disturb hierarchical thinking. Since the elite status of men in a patriarchy might feel threatened by a potential female uprising, it follows suit that the elite class would do what it could to prevent even the beginnings of that revolution. Hence, the creation of “formula,” initially marketed to women as a perfectly equal substitute for breast milk which saves women from the “hardships” of nursing, and also serves to keep the capitalist system in place by offering another “needful” product to consume. Although it is now well known that breast is best, formula companies have devised new ways to keep women from knowing the empowerment of breastfeeding (and buying their product): free formula samples. A newly postpartum mother, upon leaving the hospital, will no doubt find herself the recipient of a complimentary “new baby bag,” which includes a few pamphlets, a baby bottle or two, and a multitude of formula samples. These free samples are insidious; even the most determined mother may sway from her decision to breastfeed at 2 am when she's sleep deprived, bewildered and desperate to ease the discomfort of her crying child. What Mom might forget is that although this quick fix might satiate Junior's immediate hunger and save her from the pain of being unable to immediately calm him, the exposure to the passive ease of drinking from a bottle might deter Junior from ever learning to latch correctly. Thus has the formula company achieved its dual goals: it has sabotaged the nursing relationship, ensuring that the mother and child never experience all the benefits thereof, and it has created another customer who will repeatedly buy their product for at least the next 6 months. This tactic, it should be noted, is the same one notoriously employed by drug dealers in acquiring new customers.

Another aspect of inequality that decreases breastfeeding is racial and ethnic inequality. Despite being the least financially successful socio-economic group, minority women are the most likely to purchase formula rather than opt for free breast milk (US Department of Health and Human Services, 2003). Most American children, unless breastfed themselves, grow up with the notion that bottle feeding is the norm in infant care. Media rarely portrays a child being breastfed, and children are likely to spend time watching television at some point during their childhood, which affects their worldview. I daresay that most women, no matter her race or ethnicity, learn about the benefits of breastfeeding through higher education. Here is where racial inequality steps in: a minority woman (who is statistically more likely to be impoverished, as both a woman and a minority) is less likely to achieve education beyond public high school. The public high school attended was more likely to be in a lower socio-economic area; hence the education afforded in such areas is frequently sub-par. It can be gleaned that a woman who has not attended college has been witness to those media portrayals of bottle feeding, and may not even realize that there is a better option. Women of color are frequently offered lesser medical care, so perhaps her harried and overworked care provider has not taken the time to advise her of all the good she can do her child by breastfeeding. Thus, the minority mother may reflect on what she “learned” about baby care on TV and choose formula. Additionally, a minority mother is less likely to be able to afford to take a long maternity leave that establishes and supports the new breastfeeding relationship, or to have a job where she is allowed time to pump her breast milk for later feedings. Thus, society once again keeps racial inequality in place, oppressing the minority and providing a lower quality of life...for both mother and child. In the long run, the minority child, having been offered perhaps-adequate-but-not-perfect nutrition as an infant, is immediately disadvantaged, compared to his breast fed peers, on an intellectual level and in lifelong physical health, which will most likely result in him remaining oppressed by a system that devalues whole groups of people based on the color of their skin and the numbers on their W-2s.

These are but two examples of how the low rates of breastfeeding in the US are directly related to the social problem of inequality. Babies will continue to be done a disservice if this oppression of certain groups continues. In my mind, there are two possible solutions, one immediate and the other long term. The long term solution is to begin to truly educate people about oppression and inequality. People need to be spoken to on a level they understand and shown facts, statistics and real life examples of inequality at work. Once educated about the inhumanity of inequality, the beginnings of hope for an equal society can begin. The immediate solution, which may be the natural end result of my long term solution, is the destruction of capitalist society, to be replaced by a political framework based on equality, where all people share the resources and the work. Once we are all on equal footing, only then can we begin to dismantle the machine that is oppression. Once higher education is available to all, women will be more likely to breastfeed their babies, and within a generation or two, all of society will be able to enjoy the benefits of the best start in life: better health, greater intelligence, and a sense of emotional security less likely to be shaken to the point of needing to discriminate against another.
post #20 of 21
Very nice work, Kiyomi... You offer much food for thought...
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