This is absolutely, positively not true! It is perfectly safe to be on a diet and nurse. Hell, Weight Watchers even has instructions for nursing mothers. Did you mean women starving themselves to the degree of anorexia? I’m also not sure what “really lousy diet” means, but it’s hard to imagine a diet that is so bad in composition it would make nursing unsafe.
I hope people can leave behind the guilt, and realize that sometimes the “boobnazis” at LLL and such are perhaps just trying to give them correct information so they can make an informed decision, or keep breastfeeding if they want to. For instance, it is possible that the women referred to in this thread as having “watery” milk had oversupply, which can cause the baby to get only the lowest fat milk, especially when the baby is put on scheduled or curtailed feeding. I don’t doubt that there are extremely rare, fantastical cases where truly useless milk is produced, but it’s probably a lot rarer than people being hit by lightning.
The problem with doctors is that they have practically no training in breastfeeding. I trust a doctor to tell me if an infant is not gaining well, but I don’t trust the doctor to tell me that the milk is “bad” or what is going wrong with bfing, because they often have less information than the average LLL member, never mind a leader or IBCLC.
Again, so many people seem to believe they can’t nurse if they have a certain disease, take a certain drug, or hell, even if they eat onions or broccoli! The truth is that most medications introduce less risk than weaning would. I know there are some meds that are unsafe (lithium, chemotherapy), but doctors do tend to CYA, and also to forget that weaning introduces risk, so they are inclined to call for weaning. If the doc doesn’t consult Hale’s Medications and Mother’s Milk, I would investigate further before weaning to go on medication.
Maybe breastmilk didn’t boost her immunity, or maybe she would have been worse off, even dead, without breastmilk. There is no way to tell in the individual situation. But studies across populations do show that breastmilk decreases disease and mortality. (However, yes, in developed countries, it is the difference between a tiny number of deaths and a *teeny * tiny number of deaths.)
I know “crunchy” moms can be absolute fruitloops (there are not enough :rolleyes: for MDC and *Mothering *). However, there is a certain subset of people who embrace natural childbirth and breastfeeding because the scientific evidence shows they are less risky. Maybe we’re a tiny minority, but we exist. So please don’t assume I’m an anti-vax, homeopathic, newage screwball or a nipple nazi, just because I am willing to state the facts about these subjects, and I’m passionate about getting accurate information out there.
I do think it’s each person’s decision how to approach these topics, and I haven’t got a clue about the details of their lives. That baby drinking formula at the mall could be adopted, or her mom might have psychological issues that make her a better mother feeding formula than breastfeeding. There are hundreds of possibilities.
However, please excuse me if I go grrr, just inside my own head when I hear a story that goes something like this: “The doctor said the baby would be big, so he induced me at 38 weeks. Thank goodness for the epidural, because the pit was so awful! But after hours and hours in bed, I wasn’t progressing, and the baby’s heartrate was falling, so we had to have an emergency C-section. Thank goodness the baby was healthy. She had respiratory problems, and it was hard to keep her awake or get her to latch on, but we’re just thankful she’s OK. One of the nurses offered to feed her a bottle so I could rest, and the hospital LC had six patients before me, so we just went ahead and did the bottle. It was a good thing, too, because later we found that the baby’s latch was bad, and my milk wasn’t coming in. At home, I tried feeding her every three hours, but she just never seemed satisfied - I’m sure I didn’t have enough milk for her. The doctor said she was only in the 10th percentile for weight, so we should keep supplementing. Plus, I had PPD and they wanted me to go on Zoloft, so I wound up having to wean her after a couple weeks anyway.” Inside, my head explodes, but outside, I just say, “Wow, that must have been so hard for you!”