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For any parent with elementary-aged children (and even younger), ADHD is a hot topic. The condition is so prevalent in modern American society that playground discussions frequently center on diagnoses, medications, and how the behavior affects Johnny’s grades in school.


For parents – especially parents of boys – any demonstration of hyperactivity, raucous behavior, or short attention spans automatically earns that boy an ADHD label, even before the official diagnosis comes from a medical professional.

As a mother to two boys, I can certainly tell you that they are FULL of energy. But isn’t that what the power of youth is all about? It seems that ADHD is on the rise, especially in young American boys, but is it really?

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When compared on a global level, ADHD diagnoses and treatments vary dramatically. For instance, the way France defines, treats, and prevents ADHD not only sheds light on how to better treat the condition here in America, but it also hints at elements in our society that could be causing other problems.

 

 

First things first: What is ADHD?

To really understand ADHD and why it appears more in American society, first let’s take a look at the actual definition of the disorder. It is important to note that it is not defined the same way globally.

France

French doctors define ADHD as a sociological disorder caused by social situations. French doctors do not use the DSM (Diagnostic and Statistical Manual of Mental Disorders). Rather, they rely on the Classification Française des Troubles Mentaux de L’Enfant et de L’Adolescent (or CFTMEA for short).

This manual was created by the French Federation of Psychiatry because French doctors wanted more than what the DSM-III offered. The CFTMEA “encourages psychiatrists to identify the underlying issues that cause a child’s symptoms and to address them using a psychopathological approach.”

This ideology shapes the entire way in which the French culture interacts with ADHD.

United States

According to the DSM, ADHD is a neurological disorder that stems from biological conditions.

Even though France and the United States define the causes of ADHD very differently, the main signs and symptoms do align:

  • Hyperactivity
  • Inattention
  • Impulsivity

Diagnoses around the world

Even though the two countries disagree on the causes and treatments for ADHD, the fact remains that ADHD exists and affects the quality of life of those afflicted.

France

Incredibly, only .5 percent of children in France are medicated for ADHD. That period is not a typo. I repeat, only .5 percent of children in France are medicated for ADHD.

This statistic has everything to do with their definition and treatment of ADHD.

United States

Contrasted with the near non-existence of children medicated for ADHD in France, American stats illustrate more of an epidemic. Depending on the source (CDC or APA), medicated cases in America range from nine to 15 percent of children.

The American Pediatric Association, however, believes that only five percent of those diagnosed are actually true sufferers.

Treatments

How a disorder is defined affects how the treatment course is planned, and ultimately makes a statement about our culture.

Because the diagnostic manual in France encourages doctors to look for an underlying cause, the treatments then focus on treating the cause, usually of an environmental nature. French doctors first take a holistic approach, using medication only as a last result when holistic approaches do not solve the problem. The most common treatments for ADHD in France are:

  • Cycling
  • Time spent outdoors
  • Diet changes

In the United States, ADHD is treated as a neurological disorder, which means that a heavy emphasis is placed on altering the child’s mental state through medication.

The .5 percent of medicated kids in France indicate that holistic approaches do not solve 100 percent of cases. Still, the vast majority of cases are successfully treated without medication. This is important to keep in mind when considering whether or not ADHD is spurred by social or neurological conditions.

Children in the UK who exhibit these symptoms are also typically listed as having a conduct disorder – not a neurological one.

Spending time outdoors

While French doctors routinely examine the quantity of a child’s time spent outdoors and its effect on mental health, American doctors are slowly beginning to examine the multitude of positive effects the outdoors can have on mental and emotional health.

It is well-known that being outdoors improves physical health and sleep patterns, but the effects on mental and emotional health are just as numerous. A study published in the “Applied Psychology: Health and Well-Being Journal” revealed that children (diagnosed with ADHD by a physician) who spent time outdoors reported a lessening of ADHD symptoms.

This validates what the French have known all along: Situations and environments can affect ADHD.

The diet factor

When examining how French doctors treat ADHD, it may seem surprising at first to see “diet changes” listed as an actual treatment plan. It’s actually more than just a treatment option; it is also a preventative measure. Why?

Food may contribute a great deal to ADHD, or at least ADHD symptoms. Studies show that there are at least nine food additives that affect ADHD and/or mimic its symptoms. These foods additives include:

  1. Red no. 40: The most commonly used dye, used in everything from packaged cake desserts to frosting to chips to yogurt, and even oatmeal products.
  2. Red no. 3: Listed as Carmoisine, this dye is used in candy and cake icings.
  3. Green no. 3.
  4. Yellow no. 5: The second most used dye, it appears in chips, waffles, cheese dips, puddings, and mac and cheese.
  5. Yellow no. 6: Used in the same products as Yellow no. 5.
  6. Blue no. 1: Frequently used in brightly colored cereals, ice cream, hard candies, certain yogurts, and chips.
  7. Blue no. 2: Used in pet foods and sugary, brightly colored cereals.
  8. Sodium benzoate: A preservative used in pickles and carbonated beverages.
  9. Orange B: Used in the casings of sausages.

According to a report from ABC News, these additives are banned in many European countries, including France. This fact alone speaks volumes about the disparity between the number of cases in these two countries.

It also begs the question: If American diets were revolutionized, would ADHD cases dwindle?

What does this say about our culture?

None of these facts should be used to devalue someone’s (especially a child’s) experience with ADHD. As the pop culture saying goes, “The struggle is real.” For those diagnosed with ADHD, their symptoms are real.

However, in the spirit of expanding how we think about mental disorders, what if we did question the status quo and follow the lead of the more holistic doctors around the globe? What if these children didn’t need to suffer anymore because we decided to implement some of the holistic treatment options used in France?

Looking more closely at the relationship between the food we eat and it’s effect on our brain, the quality and quantity of outdoor time, and our overall social environment could make a world of difference for children suffering from ADHD.

While mental disorders are nothing to take lightly, as a country, we should embrace a more holistic approach to our daily lives. Perhaps other treatment options could help minimize the need for medication.

My comparisons between French and American cases are not to dismiss the disorder as purely American. Indeed, ADHD occurs globally. A study from “World Psychiatry” pointed out that 19 percent of children who lived near Chernobyl were later diagnosed with ADHD. (But even this statistic begs the question regarding environmental causes of ADHD.)

What is the takeaway?

While conflicting reports of the number of diagnosed cases, varying definitions, and radically different treatment options may be enough to make a parent’s head spin, there’s a light at the end of the tunnel.

A diagnosis is not a defining characteristic of a child’s personality. A diagnosis means that considering a range of treatment options makes sense, and implementing some holistic practices regardless can improve a child’s emotional and physical well-being – not to mention the well-being of the whole family.

Reexamining how you define ADHD – as well as what effect a label has on a child – will make you better equipped to help your child through a diagnosis. If nothing more, questioning the status quo will make you more confident in any decision or treatment plan that you make.

 

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Creating your baby registry is one of the most exciting getting-ready-for-baby tasks a mama takes part in (other than, you know, growing a life). But even though sorting through adorably teeny this and itsy bitsy that can be loads of fun, that doesn't change the fact that there are SO many products from which to choose—not to mention slight variations in version for each. And how do parents know if you even need that *very specific* item to begin with, since each baby's likes are so different? It helps to have an expert guiding you through the what's-actually-worth-it process, whether it's veteran parents in your life who will likely offer up suggestions, or stores like buybuy BABY that handpick the must-have options and make registry building super easy for you.

From strollers to car seats and swings (because you'll definitely be needing a swing at some point), here are our top picks for first-time parents of the items you'll be glad you put on your baby registry, trust us.

UPPAbaby VISTA stroller

UPPAbaby VISTA stroller

The best recommendation is the one from someone you trust and if you ask around, it won't take long for you to learn that UPPAbaby® is one of the most beloved stroller brands by new and seasoned moms alike. The VISTA is their crème de la crème, and it comes with all sorts of high quality features (think an ultra-sturdy frame and all-wheel suspension to help absorb all those bumps on the road) that will keep your babe comfortable no matter where your walk takes you. Plus, it comes in a bunch of great colors and transitions to a double as your family grows.

$959.99

Chicco KeyFit 30 infant car seat

ChiccoKeyFitcarseat

When it comes to keeping your little one safe, a car seat is probably the most important piece of gear you'll buy. While you'll hopefully never need to test it out, the KeyFit® seat keeps your little peanut extra secure with things like side impact protection—plus, thanks to handy bubble indicators, installing it correctly doesn't require a rocket scientist[JS9] . It's all about making your life easier while helping you breathe easier, too!

$199.99

4moms mamaRoo classic infant seat

4momsmamaRooswing

All hail the infant swing 🙌. Whether your cute new bundle is generally calm or has more of a defiant streak, chances are there'll be a time when you need some hands-free soothing. Enter the mamaRoo, a beyond useful swing that looks as cozy as it is. Strap the nugget in, choose one of five distinct motion patterns, and let yourself enjoy that moment of solitude on the couch (without leaving baby unsupervised, of course).

$219.19

HALO Bassinest premier series swivel sleeper

HALOsleeper

Being a new mom is all about snuggles and, if we're being honest, surviving those sleepless nights. And since the American Association of Pediatrics' current recommendation is to have your baby sleep in your room for at least the first 6 months of life anyway, why not have your little one spend his or her early nights snoozing in a bedside bassinet to save some time in the middle of the night? The HALO Bassinest is designed to nuzzle right up next to your bed, too, so you won't even have to get out from under the comforter during those 3am feedings.

Graco Table2Table premier fold 7-in1 convertible high chair

Gracohighchair

Spoiler alert: Your little babe is going to grow up fast. While it may seem like they'll be in that just-learning-how-to-eat phase forever, they'll outgrow the full-fledged high chair in a blink. While you can definitely buy a variety of different seating apparatuses for them, you can also buy one that'll last with your growing baby. With seven different configurations ranging from an infant reclining high chair to a toddler table and little chair, this is the only one you'll ever need.

$169.99

Fisher-Price 4-in-1 sling 'n seat bath tub

Fisher-Pricebath

Bath time is arguably one of the cutest elements of parenthood. So rather than concentrating on holding your slippery little baby safely in the sink while also, you know, washing them, do yourself a favor and invest in an infant tub with an adjustable sling. It'll help make the bonding time fun of bath time more secure so you can focus on enjoying those beautiful sudsy moments.

$39.99

Hatch Baby Rest sound machine night light + time-to-rise

HatchBabyRestsoundmachine

Technology has brought us a lot of advantages, but one of the best? The ability to comfort your little one without ever leaving bed. The Hatch Baby Rest offers sound- and light-control from your smartphone so you can use the power of noise to help them back to sleep if they fuss in the middle of the night without requiring you to drag your tired self out of bed. Plus, when the toddler years come around, it doubles as a time-to-rise clock so that ball of energy knows when it's appropriate to barrel into your room.

$59.99

Fridababy baby basics kit

fridababybasics

Fridababy has made a name for itself with its cheeky (but incredibly practical) products like the congestion-fighting NoseFrida® and the less-than-pleasant Windi. With this basics bundle, you can get four of their most popular—for nose, behind, scalp and nails—in one convenient package. It's not glamorous, mamas, but it's parenting at its finest.

$39.99

Graco 4Ever all-in-one convertible car seat

Gracocarseat

Whether or not you choose to purchase an infant car seat for the first months, you will eventually need a convertible car seat as your kiddo gets bigger, and the best options will grow with them. The Graco® 4Ever All-in-1 accommodates children up to 40 pounds facing backwards and up to 65 pounds facing forward. Plus, it can be used as a booster seat up through the age of 10. One less thing to buy until then, mama!

Skip*Hop explore + more 3-stage activity center

Skip*Hopactivitycenter

Insider parenting tip: Invest in a few great toys that serve as a great way to help your baby learn and explore and stay safe (read: unable to crawl away when you turn your head for a split second). An activity center serves both of those purposes—keeps them entertained and contained fabulously. Even better, the SKIP*HOP® Explore & More 3-Stage has an extra-long shelf life as it converts to an activity table when they outgrow the harness. Plus, there's a snack bowl attachment, and as every mama knows, snacks mean victory.

$129.99

This article was sponsored by buybuy BABY. Thank you for supporting the brands that support mamas and Motherly.

Our Partners

The holiday season always makes me a bit sentimental. I especially think of my mother-in-law, who left us way too early and way too fast, because she loved the holidays. She passed away when I was only three months pregnant with our first child two years ago and I always had this gut feeling that she was at peace because she knew her two boys were taken care of and on their way to creating their own families. But that doesn't mean I don't selfishly wish she were here to see the amazing dad her son has become.

I knew from the beginning my husband was good with kids. Way before we even planned a life together and while casually dating in New York City, I knew. He cares a lot, he listens a lot and he remembers everything. Those three things make him the most thoughtful and loving person I've ever met. Add to the mix that he has an insane imagination and a great sense of humor and he is legit the center of attention whenever there are children around. The first time I saw him hold our friend's newborn, my ovaries twinkled and I knew he would be the father of my children.

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I found out I was pregnant with our son because of my mother-in-law. We were on our honeymoon and I dreamt that she was in the hospital and I told her, "I have a little secret to share, you're going to be a grandma again!" I woke up sobbing and didn't have the guts to tell my husband about my dream because I was mortified about having dreamt about her in a hospital, but also so sad because I thought I would never be able to say those words out loud to her.

We flew back home and as soon as we landed my husband got the call that she was in the hospital. My heart skipped a beat. Off he went to see her and the second he stepped outside of the house, I peed on a stick—it was positive.

Shortly after finding out I went to visit her in hospice and at barely 6 weeks pregnant I shared the good news. At some point she told all the nurses there and whenever I came to visit they would let me nap on the bed next to her. She spent the rest of her days coming up with name suggestions for us.

My husband always said that me being pregnant during the hardest time of his life made him see the light at the end of the tunnel. He was losing the woman who gave him life while I was growing the life we created together.

After her passing and my delivery, we found ourselves talking about how we never knew how hard it is to really be a parent. We made sure to tell our three other parents how grateful we are that they changed diapers, cleaned bottles and stayed up at night while we were tiny. I so wish I could tell her that, but I can't.

We talk about my mother-in-law to my son all the time, just like we do about his other grandparents. We share what she used to like—cooking apple pie, being in nature, playing with her dog. But we also slowly introduce the concept of her not being physically with us. Every time my son sees the photo we have framed of her after hiking Mount Katahdin in her 70s—something I can't even imagine doing now in my mid-30s—he squeals her name in excitement letting us know he recognizes her, despite never having met her.

And my heart breaks because I wish she could be here to teach him about nature and go bird watching together in Maine, something they are both weirdly into despite the generational gap they have.

Today, while our now 2-year-old napped and I loafed with my very pregnant belly, my husband decided it would be a great idea to make a house out of a cardboard box for our son to play with. Hours later we, as a family, were having the times of our lives playing with the house and I couldn't help but sob quietly as my two dudes passed a basketball through the window, wishing that she could see this with her own eyes.

I truly would not be able to do this whole being a parent thing without my husband.

When I stress, he calms me down.

When I'm out of ideas for entertainment, he invents a new game for all of us to play.

When I can't change a diaper because my current pregnancy has me constantly gagging, he makes a new rule that he will change all poopy diapers until the new babies come.

He's the love of my life, he's my son's hero, and I know a big part of that is because of who raised him.

I see my mother-in-law in my husband. I see her in my son. And I hope to see her in our two little girls.

I just wish I could see her seeing them because I know she'd be so proud.


Life

Let it be noted that my love language is not gift-giving. If you are the gift-giver extraordinaire and/or like nothing more than to receive the perfect something, then this tradition might not be for you. But it saved our Christmas and our bank account and for us, it's the gift that really keeps on giving.

For years we operated under the standard gift-giving and gift-receiving protocol. I paid much less attention to this before I was married of course, giving little to no thought on presents, because when you are young, say before 25, you are the present. Your mere presence is a treat enough, or so you think. My gifts in those years looked suspiciously like things you would buy in airport gift shops—hoodies and paperback bestsellers and fudge of every flavor.

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But marriage changed the rules on holidays. Suddenly, I was one-half of a couple and had received china and a roasting pan and hand-blown glass vases for my wedding. Per decorum, I should know what good gift-giving looks like.

And of course there were two Christmases now, one with my family and one with the in-laws, and I wanted to get it right. So, over the years, I developed this debilitating pattern: In the moleskin journal I keep in my purse for grocery lists, I had a second list of the names of immediate family. This was a running list that lasted all year.

If say, my mom mentioned that Pandora opened up a store in the nearest mall and then jangled her charm bracelet at me, I surreptitiously noted it in the book. If my brother's kids switched schools, I wrote down the new colors of allegiance and kept an eye out for this color scheme in all athletic and academic apparel.

I got good at gifts, great even, over the years. But … it was breaking the bank and sucking the life out of the holidays. Come November a fog of anxiety drifted into our house and didn't leave until New Year's.

This is not a way to live. And I must not have been the only one sinking under the pressure, because not too long ago my sister-in-law looked at me over a bowl of pad thai during my birthday dinner in the first week of December and said, "why don't we just do Secret Santa for the adults?"

I could have kissed her.

You do it for work parties all the time, so why not family? It would turn gifts into a kind of game and who doesn't like games? It was genius.

We set the ground rules:

  1. Everyone draws a name out of a hat.
  2. If you get your spouse, you draw again.
  3. There's a maximum spending limit so not one outdoes anyone else.
  4. No one leaks the name of who they got. (This last one never stands. I have managed to figure out every single person every single year.)

Christmas day has turned magical again.

It begins with a brunch that lasts all day until someone in early evening looks at the hardening cinnamon rolls and pigs-in-a-blanket and decides we need to order pizza. And we drink mimosas and toast each other and one-by-one step forward bearing the single gift we have brought. It's a single moment that doesn't get swallowed in the chaos of the day.

While the kids tear through reams of paper until all the adults are yelling "slow down!" so we don't actually lose the gifts under the debris, we have our one gift to hold on to and enjoy.

It has saved our Christmas so we can pay attention to the things that matter: the happy kids hopped up on sugar cookies and monkey bread, the family all together in one place for a day, Elvis singing his "Blue Christmas" in the background. We have ever so slowly taken back the day and focused it on the people, not the things.

If you or your family are on the fence about giving up the gift extravaganza, take in through the four psychological checkpoints (mental, physical, emotional, and spiritual health) and see if the Secret Santa trade-off doesn't make you feel better.

Life

There are less just two weeks left until the end of the month—and the decade. We're in shock here at Motherly and we're sure you are too. It feels like it just snuck up on us this year!

Well we're with you on the endless to-do list that usually pops up at this time of year (or, let's be honest—any time of year when you're a parent). It's a lot, but trust us when we say you've got this, mama.

If you've been missing the news this week while you run around trying to get everything done don't worry...we're keeping an eye on all the headlines you need to see.

Take a moment for yourself today and check out the headlines that are making us smile this week:

This mama edited her deployed husband into her Christmas card 

Danielle Cobo is a mama to twin boys and a proud military spouse. Her husband is currently serving overseas on a year-long deployment. He wasn't home for this year's Christmas card photo shoot, so Cobo's photographer, Shannon Sturgeon, did some photoshop magic to get the whole family in frame and the resulting picture is going viral.

"I am extremely proud of him and grateful for what he's doing because I think there's a purpose greater than our own," Cobo told Tampa NBC affiliate WFLA. "This year's deployment has been the toughest. By the time he returns, my husband will have missed half of our twins' lives. With that said, I wouldn't change a thing. I'm so proud of him."

When the card went viral, Cobo started getting messages from all over the United States from people who could relate to how she is feeling this holiday season. "I love the holidays," Cobo told WTVT. "I love Christmas cards. I save Christmas cards. It's just a way of showing people that though we are apart, we are a family."

Baby girl goes viral for adorable 'mean-mugging' photos 

Newborn photos are supposed to be adorable but this baby is looking adorably angry in hers. Baby Luna is taking over the internet thanks to the hilarious expression captured during her professional photoshoot.

"She's been mean-mugging since day one," Luna's dad Christian Musa told Good Morning America. "She's either mean-mugging non-stop, or just unimpressed."

Photographer Justine Tuhy says that while Luna (who was born November 15) was totally content during their photo session, "She just gave me the stare down the entire time as well."

This mom went viral for loving Christmas (and Wawa) too much

Mary Katherine Backstrom is the mom and writer behind MomBabble's website and social media accounts, and this week she went viral for the most hilarious reason.

Going live from her car in the parking lot of a Wawa gas station, Backstrom cry-laughed into her phone's camera as she explained how embarrassingly carried away with the holiday spirit she'd become. She was in the Wawa and saw the woman in line next to her only had a ginger ale, so she offered to pay for it to pay the Christmas spirit forward. Then, she came out of the gas station and saw a man washing her car's windshield.

"'This is my favorite part of humanity! I love Christmas so much, thank you for doing this,'" Backstrom recalls saying to the guy. "And I gave him a hug."

The problem? It wasn't her car. It was that dude's car. She just hugged and thanked him for cleaning his own car. 😂

She was so embarrassed that she just walked to her own car and pretended like nothing happened, then recorded her video and now the whole world knows about it.

Keep spreading the holiday magic Mary Katherine! You're hilarious.

Viral PSA reminds us to be kind to retail workers this time of year 

Whitney Fleming is the mom and writer behind "Playdates on Friday" and this week she's going viral for reminding the world to be nice to retail workers this time of year.

In a post that has been shared over 10,000 times, Fleming recalls a recent trip to Target. While chatting with her cashier she learned he'd had a pretty rough shift, as some moms who were stressed out during their Christmas shopping had taken it out on him.

"As the young man handed me my receipt, I handed over the gift card. 'Have a frappuccino on me. It's for dealing with all of us crazy, stressed-out moms.'

'Oh, no, ma'am. I'm sorry, I shouldn't have said anything,' he stammered. You could see he was nervous about getting in trouble.

'No, I'm sorry, I told him. 'Have a great holiday.'"

Thanks for the reminder, Whitney.

News

There was a time when giving birth in a hospital meant little chance for skin-to-skin contact and breastfeeding. Decades ago, babies were whisked away to nurseries and given formula (and moms were often given samples of formula to take home). If you wanted to breastfeed your baby, these hospital policies and routines could make it difficult.

That's why in the early 1990s the World Health Organization (WHO) and the United Nations Children's Fund began championing the Baby-Friendly Hospital Initiative (BFHI), "a global effort to implement practices that protect, promote and support breastfeeding." In recent years more and more hospitals in the United States have adopted the principles of BFHI in order to increase breastfeeding rates.

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The goal was laudable, but 30 years in, new research published in The Journal of Pediatrics suggests BFHI isn't having a positive impact on breastfeeding rates, and some argue it is having a negative impact on new moms. Specifically, "Statewide breastfeeding initiation rates were positively associated with targeted breastfeeding outcomes. Similar associations were not found for Baby-Friendly hospital designation penetrance."

A core tenant of BFHI is "rooming in"—babies and mothers are supposed to be kept together 24 hours a day. In theory, this is supposed to increase breastfeeding rates and bonding, but some moms and doctors say leaving infants solely in the care of exhausted people can be dangerous. Mothers can end up falling asleep while caring for the baby.

Dr. Colleen Hughes Driscoll of the University of Maryland School of Medicine in Baltimore was the lead author of a study published earlier this year that examined the number of infant falls at a hospital that was implementing practices to encourage breastfeeding in order to receive the baby-friendly designation.

"We found that as we improved our ability to support mothers with successful breastfeeding there was a surge in newborn falls," Driscoll told Reuters. "This suggests that we may be adding to the burden of maternal fatigue, and increasing the risk of newborn falls."

According to Driscoll, the old school practice of taking babies to the nursery were a barrier to successful breastfeeding, but also provided time for mothers to rest and recover. And it isn't just exhaustion, but also the intense pressure to breastfeed that has some advocates worried that baby-friendly hospitals aren't very mother-friendly.

Sarah Christopherson is the Policy Advocacy Director for the National Women's Health Network and had her own experience with BFHI. A mom multiple times over, Christopherson had previous experience with birth and infant feeding by the time she had a C-section in a baby-friendly hospital. With her previous babies she'd successfully supplemented her breastmilk with formula in the hospital, but this time, when she asked for a bottle she was met with criticism from hospital staff, she writes.

"The nurse was stern and disapproving," Christopherson writes, noting that the nurse implied that giving formula would be "giv[ing] up" on breastfeeding and that she would have to sign a waiver "acknowledging all of the risks associated with my terrible choice."

She continues: "'Reasons for supplementation' listed on the form include "'mothers who are critically ill,' have 'intolerable pain during feeding unrelieved by interventions,' or have 'breast pathology.' For mothers who simply choose to supplement, the form makes clear: 'The American Academy of Pediatrics says that routine supplements of formula for breastfed newborns should not be used.'"

Christopherson says the form made her doubt herself, and she tried to exclusively breastfeed. In the end, her daughter ended up dehydrated and jaundiced and was fed the formula that her mother had wanted in the first place.

Christopherson and others suggest that the problem with BFHI is that it is removing mothers' needs and voices from the equation.

The new research published in The Journal of Pediatrics suggests BFHI isn't having a positive impact on breastfeeding rates, but Baby-Friendly USA, Inc. (BFUSA) disputes the research. BFUSA, the "accrediting body and national authority for the BFHI in the United States...responsible for coordinating and conducting all activities necessary to confer the prestigious Baby-Friendly® designation and to ensure the widespread adoption of the BFHI in the United States," says the research was flawed and came to "damaging conclusions from incomplete data."

Critics of BFHI and BFUSA disagree on methodology but agree that mothers should be respected and have the information they need when making their own decisions about infant feeding.

That is, after all, why BHFI came about. Perhaps it is time for hospitals to worry less about adhering to strict policies and more about listening to mothers.

News
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