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Niki:

I really don't see the attacks. And we all really do try to help women as best

we can. So please don't assume that we don't in our own ways try to help women

with their diets in ways that they find doable. We're listening, but please

also listen to us and don't asssume that our intent is to attack you. It is very

easy to read far more into written comments than is attended.

And also don't assume that we are all in favor of medicalization either. Quite

frankly, I no longer understand what people mean by the term medicalization. I

think probably what is meant is something else. Among the things that private

practice IBCLCs have to cope with are:

1) iatrogenically induced problems from routine hospital procedures that

interfere with breastfeeding. Here I have to say that the nurse who tells the

mother that she'll take the baby to the nursery at night so mom can get some

rest is JUST AS destructive to the breastfeeding relationship as the surgical

delivery. So, is taking the baby a " medical " procedure? Not really. It is an

anachronistic HOSPITAL procedure from a past that did not recognize either the

essential nature of contact between mothers and babies and the nature of feeding

from the breast.

2) culturally induced problems from the segregation of activities in women's

lives. In the US, women USED to be able to achieve their economically

productive, reproduction, and caregiving activities in the SAME environment.

Men USED to be around as well. Then MEN moved into factories and offices and

stopped observing how hard women were working -- and therefore no longer valued

those activities. Some low income women also struggled when they also moved

into factories --- I think of the shirt waist factories. There women couldn't

spend time with their babies as long as needed and so babies were fed all sorts

of concoctions and the death rates skyrocketed. One of the studies that I

vaguely remember and I think was in Chicago showed infant death rates of 300 per

1000. So, now we have made it very difficult for families to feed their

children well because economically productive work requires travel to a separate

environment from the caregiving environment.

3) the nutrification of foods. Along with prematurely assuming we had wiped out

infections diseases with sanitation and antibiotics, we preamaturely assumed we

could manufacture better foods than we could grow. In an environment where

keeping a home had become devalued as trivial work (when in fact it actually is

very important) women were more than welcome to consider short cuts like

hamburger helper. I remember my mother struggling with cookbooks. She had the

usual Betty Crocker augmented by this huge library of meals from A to Z. My

mother made everything by hand -- but not quite as far as plucking chickens.

When she went to work when I was 11, she deteriorated in her ability to make

meals. Hamburger helper became her salvation. And in so doing, the many

" housewives " who were told they were of no value by both men AND the early

feminists moved into the workforce and away from cooking which could be replaced

by manufactured meals.

I've seen lots of changes in public health programs over the years, but having a

long timeline is really helpful. I AM encouraged by changes in New York City.

Our " Nanny " mayor as some like to call him has just gone even further to remove

" promotional samples " of formula from hospitals. I saw " promotional " because I

was just called by a reporter who asked me about the " promotional " samples

rather than the " free " samples. That may seem like a minor word changes, but in

the conceptual framework in which parents think about breastfeeding, this is

huge. Not that many years ago, Peyser of the NY Post was talking about

the " Free Formula " that fed a generation and got really pissed off at me because

I pointed out it wasn't free and I sent her the article showing the increase in

death rates for formula fed infants. She also wasn't pleased because I outed

her on the fact that she MADE UP a quote from a psychiatrist. The NY Post never

retracted her made up quote. So now I was able to talk to a reporter who

UNDERSTOOD that promotional samples are costly.

Please don't be so angry with us. We are not angry with you, we are merely

trying to share and understand. And I DO appreciate the reading assignment.

I've had my mind opened up to lots of new ideas when I follow through on reading

new info.

Again, Peace Off

E Burger, MHS, PhD, IBCLC

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I just wanted add that I never read any posts on this list and hear criticism or

judgement - I hear women exchanging ideas and experiences in an honest effort to

help one another. I love this list, I've learned so much from everyone on it

and it's really great that we do come from so many different backgrounds and

work in such different sub-cultures.

with much admiration and gratitude,

McCormick, IBCLC, LLL

Shelburne, Vermont, US

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, Thank you for sharing the term *promotional samples.*Yes, this does more accurately reflect the nature of the beast! I will be using that from now on.normaNorma Ritter, IBCLC, RLC

Breastfeeding Matters in the Capital Regionwww.NormaRitter.comJoin us on Facebook for the latest birthing and breastfeeding news and views:http://tinyurl.com/BMCRonFB

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