{"id":8819,"date":"2020-05-18T10:00:08","date_gmt":"2020-05-18T08:00:08","guid":{"rendered":"https:\/\/www.sciencespo.fr\/research\/cogito\/home\/?p=8819"},"modified":"2021-07-01T14:48:45","modified_gmt":"2021-07-01T12:48:45","slug":"breastfeeding-policies-that-are-disconnected-from-reality","status":"publish","type":"post","link":"https:\/\/www.sciencespo.fr\/research\/cogito\/home\/breastfeeding-policies-that-are-disconnected-from-reality\/?lang=en","title":{"rendered":"Breastfeeding Policies Disconnected from Reality"},"content":{"rendered":"<p style=\"text-align: right;\"><em>by Marta Dominguez Folgueras, OSC*<\/em><\/p>\n<div id=\"attachment_8669\" style=\"width: 310px\" class=\"wp-caption alignleft\"><img aria-describedby=\"caption-attachment-8669\" decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-8669\" src=\"https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/640px-Breastfeeding_a_baby-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/640px-Breastfeeding_a_baby-300x200.jpg 300w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/640px-Breastfeeding_a_baby-219x146.jpg 219w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/640px-Breastfeeding_a_baby-50x33.jpg 50w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/640px-Breastfeeding_a_baby-113x75.jpg 113w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/640px-Breastfeeding_a_baby.jpg 640w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-8669\" class=\"wp-caption-text\">Cr\u00e9dit image : Anton Nossik., CC BY 3.0<\/p><\/div>\n<p>The World Health Organization (WHO) defines breastfeeding as \u201cthe best source of nourishment for infants and young children.\u201d The organization recommends breastfeeding for at least the first six months of an infant\u2019s life. Many countries have adapted the WHO\u2019s discourse on breastfeeding for their own national health programs. What are the bases of these recommendations and what are their effects? How do these recommendations take into account women\u2019s bodily autonomy? Social sciences, although rarely used, can provide illuminating responses.<\/p>\n<h4>The \u201cscientific\u201d discourse around breastfeeding<\/h4>\n<p>Pro-breastfeeding campaigns conducted by the WHO and other organizations underline the positive effect it has on a child\u2019s health. Breastfeeding is considered helpful in increasing a child\u2019s immunity as well as reducing risks for various health conditions, including obesity. Potential benefits for the mother\u2019s health are sometimes invoked, but are often relegated to the background. There are of course many reasons why a woman might choose to breastfeed &#8212; for her own pleasure, for example &#8212; but these arguments are rarely taken into account in medical discourse. Although research has shown that in poorer countries, the adverse effects of formula feeding is directly linked to a lack of potable water and insufficient access to appropriate quantities of high-quality formula, the recommendations for breastfeeding remain the same regardless of country.<\/p>\n<div id=\"attachment_8671\" style=\"width: 310px\" class=\"wp-caption alignright\"><img aria-describedby=\"caption-attachment-8671\" decoding=\"async\" loading=\"lazy\" class=\"wp-image-8671 size-medium\" src=\"https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/28984630027_9dd5ffcf88_w-300x200.jpg\" alt=\"Daniel Assefa, Head of the Bureau of Plan and Finance during UNICEF's 65th anniversary in Ethiopia, World Breastfeeding Week in Tigray, August 2018. \u00a9UNICEF Ethiopia\/2018\/Demissew Bizuwerk. CC BY-NC-ND 2.0\" width=\"300\" height=\"200\" srcset=\"https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/28984630027_9dd5ffcf88_w-300x200.jpg 300w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/28984630027_9dd5ffcf88_w-219x146.jpg 219w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/28984630027_9dd5ffcf88_w-50x33.jpg 50w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/28984630027_9dd5ffcf88_w-112x75.jpg 112w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/28984630027_9dd5ffcf88_w.jpg 400w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-8671\" class=\"wp-caption-text\">Daniel Assefa, Head of the Bureau of Plan and Finance during UNICEF&#8217;s 65th anniversary in Ethiopia, World Breastfeeding Week, 2018. \u00a9UNICEF, Demissew Bizuwerk. CC BY-NC-ND 2.0<\/p><\/div>\n<p>These recommendations are part of a broader public health discourse that focuses on individual choices to prevent health hazards<span class=\"footnote_referrer\"><a role=\"button\" tabindex=\"0\" onclick=\"footnote_moveToReference_8819_1('footnote_plugin_reference_8819_1_1');\" onkeypress=\"footnote_moveToReference_8819_1('footnote_plugin_reference_8819_1_1');\" ><sup id=\"footnote_plugin_tooltip_8819_1_1\" class=\"footnote_plugin_tooltip_text\">(1)<\/sup><\/a><span id=\"footnote_plugin_tooltip_text_8819_1_1\" class=\"footnote_tooltip\">Sarah Nettleton, \u201c<a href=\"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/026101839601604802\">Women and the new paradigm of health and medicine\u201d<\/a>. <i>Critical Social Policy, 1996<\/i> <\/span><\/span><script type=\"text\/javascript\"> jQuery('#footnote_plugin_tooltip_8819_1_1').tooltip({ tip: '#footnote_plugin_tooltip_text_8819_1_1', tipClass: 'footnote_tooltip', effect: 'fade', predelay: 0, fadeInSpeed: 200, delay: 400, fadeOutSpeed: 200, position: 'top right', relative: true, offset: [10, 10], });<\/script>. This approach puts the onus solely on mothers to ensure their children\u2019s health. These recommendations, aside from questions of health, are in part dictated by social norms around motherhood, the role of women, and the belief that a child\u2019s well-being should supersede a mother\u2019s.<\/p>\n<h4>Controversial empirical evidence<\/h4>\n<p>In industrialized countries, researchers have highlighted considerable methodological biases regarding the scientific evidence that these recommendations are based upon<span class=\"footnote_referrer\"><a role=\"button\" tabindex=\"0\" onclick=\"footnote_moveToReference_8819_1('footnote_plugin_reference_8819_1_2');\" onkeypress=\"footnote_moveToReference_8819_1('footnote_plugin_reference_8819_1_2');\" ><sup id=\"footnote_plugin_tooltip_8819_1_2\" class=\"footnote_plugin_tooltip_text\">(2)<\/sup><\/a><span id=\"footnote_plugin_tooltip_text_8819_1_2\" class=\"footnote_tooltip\">Emily Ostner &#8211; \u00ab Expecting better : Why the conventional pregnancy wisdom is wrong and what you need to know about it\u201d. Penguin Books, 2016 &#8211; Joan Wolff &#8211; \u201c<a href=\"https:\/\/nyupress.org\/9780814794814\/is-breast-best\/\">Is Breast Best?: Taking on the Breastfeeding Experts and the New High Stakes of Motherhood<\/a>\u201d. 2010, New York University Press<\/span><\/span><script type=\"text\/javascript\"> jQuery('#footnote_plugin_tooltip_8819_1_2').tooltip({ tip: '#footnote_plugin_tooltip_text_8819_1_2', tipClass: 'footnote_tooltip', effect: 'fade', predelay: 0, fadeInSpeed: 200, delay: 400, fadeOutSpeed: 200, position: 'top right', relative: true, offset: [10, 10], });<\/script>. So-called epidemiological studies that back-up breastfeeding\u2019s effectiveness compare the health of children who were breastfed versus those who were given formula. However, as breastfeeding is a choice made by individual mothers, the decision and desire to breastfeed are often socially determined. Mothers from affluent backgrounds are more likely to breastfeed. Many different factors should be taken into account when comparing the health of children from different socio-economic backgrounds, environmental ones for example, and not simply a diet of breast milk versus formula. In order to determine the benefits of breastfeeding, the children studied should be assigned either a breastmilk or formula regimen at random.<\/p>\n<div id=\"attachment_8673\" style=\"width: 310px\" class=\"wp-caption alignleft\"><img aria-describedby=\"caption-attachment-8673\" decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-8673\" src=\"https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/jens-johnsson-DHJ71drt-ug-unsplash-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/jens-johnsson-DHJ71drt-ug-unsplash-300x200.jpg 300w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/jens-johnsson-DHJ71drt-ug-unsplash-768x512.jpg 768w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/jens-johnsson-DHJ71drt-ug-unsplash-1024x683.jpg 1024w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/jens-johnsson-DHJ71drt-ug-unsplash-219x146.jpg 219w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/jens-johnsson-DHJ71drt-ug-unsplash-50x33.jpg 50w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/jens-johnsson-DHJ71drt-ug-unsplash-112x75.jpg 112w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-8673\" class=\"wp-caption-text\">Photo by Jens Johnsson on Unsplash<\/p><\/div>\n<p>However this sort of evaluation cannot be conducted because mothers\u2019 feeding preferences would not be honored. Consequently, the evidence that bolsters a pro-breast milk stance is not scientifically reliable. The relationship between health and breastfeeding is influenced by a multitude of characteristics of the mothers, including their socio-economic background and material wealth. Most of these studies do not include this data. We can imagine that breastfeeding would be an easier undertaking for more affluent mothers, who have more autonomy over their schedules and more resources for support than their less affluent counterparts. Breastfeeding is more difficult when a woman has greater pressure from her family to keep the household running, and may have a work schedule that won\u2019t allow for it. What\u2019s more, local cultures and family structures add an element that is not taken into consideration. This discourse largely ignores various cultural specificities women can experience.<\/p>\n<p>What\u2019s more, certain studies conducted by the WHO<span class=\"footnote_referrer\"><a role=\"button\" tabindex=\"0\" onclick=\"footnote_moveToReference_8819_1('footnote_plugin_reference_8819_1_3');\" onkeypress=\"footnote_moveToReference_8819_1('footnote_plugin_reference_8819_1_3');\" ><sup id=\"footnote_plugin_tooltip_8819_1_3\" class=\"footnote_plugin_tooltip_text\">(3)<\/sup><\/a><span id=\"footnote_plugin_tooltip_text_8819_1_3\" class=\"footnote_tooltip\">Fernando Horta, Victora.Cesar G. \u201cLong-term effects of breastfeeding. A systematic review\u201d, <em>World Health Organisation<\/em>, 2013<\/span><\/span><script type=\"text\/javascript\"> jQuery('#footnote_plugin_tooltip_8819_1_3').tooltip({ tip: '#footnote_plugin_tooltip_text_8819_1_3', tipClass: 'footnote_tooltip', effect: 'fade', predelay: 0, fadeInSpeed: 200, delay: 400, fadeOutSpeed: 200, position: 'top right', relative: true, offset: [10, 10], });<\/script> have called into question the effect that breastfeeding has on developing diabetes, cholesterol or arterial pressure in the years after infancy. However, these methodological problems have not influenced medical authorities in modifying their recommendations concerning children\u2019s health and their future.<\/p>\n<h4>Pro-breastfeeding initiatives<\/h4>\n<div id=\"attachment_8675\" style=\"width: 235px\" class=\"wp-caption alignright\"><img aria-describedby=\"caption-attachment-8675\" decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-8675\" src=\"https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/Screenshot_2020-04-22-african-woman-852546_960_720-webp-Image-WEBP-540-\u00d7-720-pixels-Redimensionn\u00e9e-83-225x300.png\" alt=\"\" width=\"225\" height=\"300\" srcset=\"https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/Screenshot_2020-04-22-african-woman-852546_960_720-webp-Image-WEBP-540-\u00d7-720-pixels-Redimensionn\u00e9e-83-225x300.png 225w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/Screenshot_2020-04-22-african-woman-852546_960_720-webp-Image-WEBP-540-\u00d7-720-pixels-Redimensionn\u00e9e-83-110x146.png 110w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/Screenshot_2020-04-22-african-woman-852546_960_720-webp-Image-WEBP-540-\u00d7-720-pixels-Redimensionn\u00e9e-83-38x50.png 38w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/Screenshot_2020-04-22-african-woman-852546_960_720-webp-Image-WEBP-540-\u00d7-720-pixels-Redimensionn\u00e9e-83-56x75.png 56w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/Screenshot_2020-04-22-african-woman-852546_960_720-webp-Image-WEBP-540-\u00d7-720-pixels-Redimensionn\u00e9e-83.png 453w\" sizes=\"(max-width: 225px) 100vw, 225px\" \/><p id=\"caption-attachment-8675\" class=\"wp-caption-text\">Cr\u00e9dits image : Valeria Rodrigues, Pixabay License<\/p><\/div>\n<p>Many initiatives have been developed in Europe to support breastfeeding. The WHO\u2019s recommendations are communicated to pregnant women, in publications targeted to parents, and within the medical community. This scientific discourse, backed up with medical arguments, minimizes the difficulties that women can encounter<span class=\"footnote_referrer\"><a role=\"button\" tabindex=\"0\" onclick=\"footnote_moveToReference_8819_1('footnote_plugin_reference_8819_1_4');\" onkeypress=\"footnote_moveToReference_8819_1('footnote_plugin_reference_8819_1_4');\" ><sup id=\"footnote_plugin_tooltip_8819_1_4\" class=\"footnote_plugin_tooltip_text\">(4)<\/sup><\/a><span id=\"footnote_plugin_tooltip_text_8819_1_4\" class=\"footnote_tooltip\"> S\u00e9verine Gojard &#8211; &#8220;<a href=\"https:\/\/journals.openedition.org\/lectures\/5735\" target=\"_blank\" rel=\"noopener noreferrer\">Le m\u00e9tier de m\u00e8re<\/a>&#8220;, 2010, La Dispute<\/span><\/span><script type=\"text\/javascript\"> jQuery('#footnote_plugin_tooltip_8819_1_4').tooltip({ tip: '#footnote_plugin_tooltip_text_8819_1_4', tipClass: 'footnote_tooltip', effect: 'fade', predelay: 0, fadeInSpeed: 200, delay: 400, fadeOutSpeed: 200, position: 'top right', relative: true, offset: [10, 10], });<\/script>. Many maternity wards follow the \u201cBaby Friendly Hospital\u201d guidelines supported by the WHO. The program aims to diminish the medicalization of childbirth and it includes a series of initiatives dedicated to breastfeeding. Mothers who do not wish to breastfeed are nonetheless strongly encouraged to participate in information sessions on breastfeeding. For mothers who have expressed the desire to use formula, hospital staff are discouraged from offering any baby formula &#8212; even though it is available for free in maternity wards&#8211; unless the mothers explicitly ask for it. This strategy discourages the \u201cmix\u201d method of feeding. These measures are the hospitals responsibilities and are not always communicated fully to the mothers.<\/p>\n<p>A complimentary measure to promote breastfeeding concerns the commercialization of baby formula for newborns aged 0 to 4 months. Applying the recommendations of the WHO, France\u2019s consumer protection code (Article L122-12 to 16) forbids advertising and promoting newborn formula, as well as all sampling initiatives. The objective of this is to promote breastfeeding. Newborn baby formula has similar regulation as products that are considered to be health hazards.<\/p>\n<h4>A satisfactory policy?<\/h4>\n<p>It is difficult to challenge pro-breastfeeding arguments, because they are based on the idea of protecting children\u2019s health. However these recommendations place the responsibility of a child\u2019s health &#8211; and their future- on young mothers and their bodies. Cloaked in scientific rhetoric, these recommendations can take on a moralizing tone, so much so that some researchers describe breastfeeding as a \u201cmoral imperative\u201d <span class=\"footnote_referrer\"><a role=\"button\" tabindex=\"0\" onclick=\"footnote_moveToReference_8819_1('footnote_plugin_reference_8819_1_5');\" onkeypress=\"footnote_moveToReference_8819_1('footnote_plugin_reference_8819_1_5');\" ><sup id=\"footnote_plugin_tooltip_8819_1_5\" class=\"footnote_plugin_tooltip_text\">(5)<\/sup><\/a><span id=\"footnote_plugin_tooltip_text_8819_1_5\" class=\"footnote_tooltip\">Ellie Lee &#8211; &#8220;<a href=\"https:\/\/blogs.kent.ac.uk\/parentingculturestudies\/files\/2011\/02\/CPCS-Briefing-on-feeding-babies-FINAL-revised1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Feeding babies and the problems of policy<\/a>&#8220;, <em>Center for Parenting Culture Studies Briefings<\/em>, 2011<\/span><\/span><script type=\"text\/javascript\"> jQuery('#footnote_plugin_tooltip_8819_1_5').tooltip({ tip: '#footnote_plugin_tooltip_text_8819_1_5', tipClass: 'footnote_tooltip', effect: 'fade', predelay: 0, fadeInSpeed: 200, delay: 400, fadeOutSpeed: 200, position: 'top right', relative: true, offset: [10, 10], });<\/script>. This discourse can stigmatize mothers who do not breastfeed, painting them as bad parents.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignleft wp-image-8678 size-medium\" src=\"https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/8479058035_a53edb820e_h-300x200.jpg\" alt=\"Cr\u00e9dit image : Gwena\u00ebl Piaser on Visualhunt CC BY-NC-SA\" width=\"300\" height=\"200\" srcset=\"https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/8479058035_a53edb820e_h-300x200.jpg 300w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/8479058035_a53edb820e_h-768x511.jpg 768w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/8479058035_a53edb820e_h-1024x682.jpg 1024w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/8479058035_a53edb820e_h-219x146.jpg 219w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/8479058035_a53edb820e_h-50x33.jpg 50w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/8479058035_a53edb820e_h-113x75.jpg 113w, https:\/\/www.sciencespo.fr\/research\/cogito\/wp-content\/uploads\/2020\/04\/8479058035_a53edb820e_h.jpg 1600w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>Breastfeeding is often depicted as easy and enjoyable. Young mothers who encounter difficulties breastfeeding can internalize guilt and feelings of inadequacy during an already difficult, pivotal time in a woman\u2019s life. These feelings can degrade the relationship women might have with health professionals<span class=\"footnote_referrer\"><a role=\"button\" tabindex=\"0\" onclick=\"footnote_moveToReference_8819_1('footnote_plugin_reference_8819_1_6');\" onkeypress=\"footnote_moveToReference_8819_1('footnote_plugin_reference_8819_1_6');\" ><sup id=\"footnote_plugin_tooltip_8819_1_6\" class=\"footnote_plugin_tooltip_text\">(6)<\/sup><\/a><span id=\"footnote_plugin_tooltip_text_8819_1_6\" class=\"footnote_tooltip\">Ellie Lee &#8211;<a href=\"https:\/\/blogs.kent.ac.uk\/parentingculturestudies\/files\/2011\/02\/CPCS-Briefing-on-feeding-babies-FINAL-revised1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">&#8221; Feeding babies and the problems of policy&#8221;<\/a>, <em>Center for Parenting Culture Studies Briefings<\/em>, 2011<\/span><\/span><script type=\"text\/javascript\"> jQuery('#footnote_plugin_tooltip_8819_1_6').tooltip({ tip: '#footnote_plugin_tooltip_text_8819_1_6', tipClass: 'footnote_tooltip', effect: 'fade', predelay: 0, fadeInSpeed: 200, delay: 400, fadeOutSpeed: 200, position: 'top right', relative: true, offset: [10, 10], });<\/script>, as certain women feel judged. Women who resist feeling stigmatized must practice active resilience. This can explain why in France, the promotion of breastfeeding is judged as inefficient by the WHO. The recommendations for the promotion of breastfeeding are founded on a discourse that can negatively impact a mother&#8217;s well-being and her bodily autonomy as well as her relationship towards medical professionals. Research on this topic shows that pro-breastfeeding policy has two major drawbacks: a moralizing discourse that can lead to feelings of guilt and shame; and empirical evidence that should be relativized for populations who have ample access to quality formula and potable water.<\/p>\n<pre><a href=\"https:\/\/www.sciencespo.fr\/osc\/fr\/content\/marta-dominguez-folgueras\">Marta Dominguez Folgueras<\/a> is an Associate Professor at Sciences Po Observatoire sociologique des changements. Her work focuses on family sociology, schedules, and gender. Her current research is on how couples are formed, and family behavior, with an emphasis on the division of domestic labor, and childrearing- taking gender inequalities into account.<\/pre>\n<p><b><div class=\"idea_box\"><div class=\"icon\"><i class=\"icon-lamp\"><\/i><\/div><div class=\"desc\"><b class=\"b4\">To <\/b><b class=\"b5\">go<\/b><b class=\"b4\"> further<\/b><\/b><\/p>\n<ul>\n<li>Nettleton, 1996. \u201c<a href=\"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/026101839601604802\">Women and the new paradigm of health and medicine\u201d<\/a>. <i>Critical Social Policy, 1996<\/i><\/li>\n<li>Ostner, Emily. 2016. \u00ab\u00a0<a href=\"https:\/\/www.penguinrandomhouse.ca\/books\/310896\/expecting-better-by-emily-oster\/9780143125709\">Expecting better\u00a0: Why the conventional pregnancy wisdom is wrong and what you need to know about it\u201d<\/a>. Penguin Books<\/li>\n<li>Wolff, Joan. \u201c<a href=\"https:\/\/nyupress.org\/9780814794814\/is-breast-best\/\">Is Breast Best?: Taking on the Breastfeeding Experts and the New High Stakes of Motherhood<\/a>\u201d. 2010, New York University Press.<b><\/div><\/div>\n<\/b><\/li>\n<\/ul>\n<p style=\"text-align: right;\">Translation from French by <a class=\"Oux49\"><span data-tooltip=\"\" data-tooltip-position=\"top\">Samantha Fields<\/span><\/a><\/p>\n<div class=\"speaker-mute footnotes_reference_container\"> <div class=\"footnote_container_prepare\"><p><span role=\"button\" tabindex=\"0\" class=\"footnote_reference_container_label pointer\" onclick=\"footnote_expand_collapse_reference_container_8819_1();\">Notes<\/span><span role=\"button\" tabindex=\"0\" class=\"footnote_reference_container_collapse_button\" style=\"display: none;\" onclick=\"footnote_expand_collapse_reference_container_8819_1();\">[<a id=\"footnote_reference_container_collapse_button_8819_1\">+<\/a>]<\/span><\/p><\/div> <div id=\"footnote_references_container_8819_1\" style=\"\"><table class=\"footnotes_table footnote-reference-container\"><caption class=\"accessibility\">Notes<\/caption> <tbody> \r\n\r\n<tr class=\"footnotes_plugin_reference_row\"> <th scope=\"row\" class=\"footnote_plugin_index_combi pointer\"  onclick=\"footnote_moveToAnchor_8819_1('footnote_plugin_tooltip_8819_1_1');\"><a id=\"footnote_plugin_reference_8819_1_1\" class=\"footnote_backlink\"><span class=\"footnote_index_arrow\">&#8593;<\/span>1<\/a><\/th> <td class=\"footnote_plugin_text\">Sarah Nettleton, \u201c<a href=\"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/026101839601604802\">Women and the new paradigm of health and medicine\u201d<\/a>. <i>Critical Social Policy, 1996<\/i> <\/td><\/tr>\r\n\r\n<tr class=\"footnotes_plugin_reference_row\"> <th scope=\"row\" class=\"footnote_plugin_index_combi pointer\"  onclick=\"footnote_moveToAnchor_8819_1('footnote_plugin_tooltip_8819_1_2');\"><a id=\"footnote_plugin_reference_8819_1_2\" class=\"footnote_backlink\"><span class=\"footnote_index_arrow\">&#8593;<\/span>2<\/a><\/th> <td class=\"footnote_plugin_text\">Emily Ostner &#8211; \u00ab Expecting better : Why the conventional pregnancy wisdom is wrong and what you need to know about it\u201d. Penguin Books, 2016 &#8211; Joan Wolff &#8211; \u201c<a href=\"https:\/\/nyupress.org\/9780814794814\/is-breast-best\/\">Is Breast Best?: Taking on the Breastfeeding Experts and the New High Stakes of Motherhood<\/a>\u201d. 2010, New York University Press<\/td><\/tr>\r\n\r\n<tr class=\"footnotes_plugin_reference_row\"> <th scope=\"row\" class=\"footnote_plugin_index_combi pointer\"  onclick=\"footnote_moveToAnchor_8819_1('footnote_plugin_tooltip_8819_1_3');\"><a id=\"footnote_plugin_reference_8819_1_3\" class=\"footnote_backlink\"><span class=\"footnote_index_arrow\">&#8593;<\/span>3<\/a><\/th> <td class=\"footnote_plugin_text\">Fernando Horta, Victora.Cesar G. \u201cLong-term effects of breastfeeding. A systematic review\u201d, <em>World Health Organisation<\/em>, 2013<\/td><\/tr>\r\n\r\n<tr class=\"footnotes_plugin_reference_row\"> <th scope=\"row\" class=\"footnote_plugin_index_combi pointer\"  onclick=\"footnote_moveToAnchor_8819_1('footnote_plugin_tooltip_8819_1_4');\"><a id=\"footnote_plugin_reference_8819_1_4\" class=\"footnote_backlink\"><span class=\"footnote_index_arrow\">&#8593;<\/span>4<\/a><\/th> <td class=\"footnote_plugin_text\"> S\u00e9verine Gojard &#8211; &#8220;<a href=\"https:\/\/journals.openedition.org\/lectures\/5735\" target=\"_blank\" rel=\"noopener noreferrer\">Le m\u00e9tier de m\u00e8re<\/a>&#8220;, 2010, La Dispute<\/td><\/tr>\r\n\r\n<tr class=\"footnotes_plugin_reference_row\"> <th scope=\"row\" class=\"footnote_plugin_index_combi pointer\"  onclick=\"footnote_moveToAnchor_8819_1('footnote_plugin_tooltip_8819_1_5');\"><a id=\"footnote_plugin_reference_8819_1_5\" class=\"footnote_backlink\"><span class=\"footnote_index_arrow\">&#8593;<\/span>5<\/a><\/th> <td class=\"footnote_plugin_text\">Ellie Lee &#8211; &#8220;<a href=\"https:\/\/blogs.kent.ac.uk\/parentingculturestudies\/files\/2011\/02\/CPCS-Briefing-on-feeding-babies-FINAL-revised1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Feeding babies and the problems of policy<\/a>&#8220;, <em>Center for Parenting Culture Studies Briefings<\/em>, 2011<\/td><\/tr>\r\n\r\n<tr class=\"footnotes_plugin_reference_row\"> <th scope=\"row\" class=\"footnote_plugin_index_combi pointer\"  onclick=\"footnote_moveToAnchor_8819_1('footnote_plugin_tooltip_8819_1_6');\"><a id=\"footnote_plugin_reference_8819_1_6\" class=\"footnote_backlink\"><span class=\"footnote_index_arrow\">&#8593;<\/span>6<\/a><\/th> <td class=\"footnote_plugin_text\">Ellie Lee &#8211;<a href=\"https:\/\/blogs.kent.ac.uk\/parentingculturestudies\/files\/2011\/02\/CPCS-Briefing-on-feeding-babies-FINAL-revised1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">&#8221; Feeding babies and the problems of policy&#8221;<\/a>, <em>Center for Parenting Culture Studies Briefings<\/em>, 2011<\/td><\/tr>\r\n\r\n <\/tbody> <\/table> <\/div><\/div><script type=\"text\/javascript\"> function footnote_expand_reference_container_8819_1() { jQuery('#footnote_references_container_8819_1').show(); 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