Re: Article touting studies that say its okay to start at 4 months.
I agree that this is one of the more things in the article. As far as I can tell, there's no citation on that "double may" assertion, which makes it a hypothesis or an opinion, not a theory. It's something the editors of the paper should have caught, and the authors should have been told "put a citation on that or take it out of the paper." Another thing that made me go was where the authors referred to the Belarus PROBIT study as observational- my understanding is that it was a prespective randomised controlled study, not a purely observational one.
Originally Posted by @llli*amysmom
But IDK- if we throw out the entire review paper based on one or two questionable statements, aren't we risking throwing out the baby with the bathwater? I mean, there's plenty in the paper that I was with- like this bit about iron status: "More recent data from 2007 raise further concerns on whether six months’ exclusive breast feeding would reliably meet iron requirements. US infants exclusively breast fed for six months, versus four to five months, were more likely to develop anaemia and low serum ferritin, which is of concern given irreversible long term adverse effects on motor, mental, and social development after iron deficiency.20 21 22 Such risks might be reduced by improving iron status in pregnancy, delaying umbilical cord clamping, and supplementing infants at risk (for example, those with low birth weight)." I mean, a lot of the brouhaha over whether or not breastmilk is "nutritionally adequate" is based on iron levels. And the authors are pointing out that improving prepartum care and delaying cord clamping- early clamping being standard in hospital births occurring in developed countries- could at least in part resolve the issue.
I don't think I'd defend this review as a whole- too much stuff that makes me go , IYKWIM- but to me it points out interesting directions for new research.
Last edited by @llli*mommal; January 16th, 2011 at 03:22 PM.
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