Breastfeeding is valuable and worth protecting, promoting, and supporting. Yet, social welfare in the United States does not take it into consideration.
Mother's milk nourishes perfectly; it is a miraculous substance. Formula is a poor substitute which causes short and long-term disability and infections, chronic diseases, plus other health effects for both mother and infant, including death. There are also troubling psychosocial consequences of formula use, including lower intelligence, poorer maternal-infant attachment, and possibly increased child abuse.
The excess costs associated with formula-feeding average $400 per child. This means as much as $3B a year is spent unnecessarily annually nationwide on formula, illness, and special education. The value of the lives of infants who die due to formula-related illnesses can also be calculated.
Although rates of exclusive formula-feeding are falling, they are still at 30% overall. Aggressive marketing tactics by formula companies are likely to blame for even higher prevalence among low-income, less educated, and minority families.
State and federal bodies and laws protect breastfeeding. For example, breastfeeding is allowed on any Federal property a mother may be. Some states have laws which include a right to breastfeed anywhere, the right to take breaks at work to breastfeed or pump, and the right to breastfeed immediately at birth. More are needed.
Many policy areas could use improvement, such as in maternity hospitals, where formula marketing still takes place, and low maternal-newborn contact is still the norm. Medical and government policy should support family cosleeping and put an end to circumcision, both of which would increase breastfeeding success.
The American Academy of Pediatrics and other professional groups, some corporations, and ethicists have breastfeeding-supportive policies. But the National Association of Social Workers, and the National Association of Perinatal Social Workers, do not.
Child welfare and family support policies need to change to support breastfeeding. An analysis using CDC's Pregnancy Risk Assessment Monitoring System (PRAMS) to determine whether the Temporary Assistance for Needy Families program (TANF) caused a rise in formula-feeding was inconclusive, but other evidence suggests that it did. Exemption from TANF work requirements should be granted for breastfeeding. This policy would reward healthy breastfeeding behavior in the mothers who most need our support and encouragement.
|Advisor:||Runyan, William McKinley|
|School:||University of California, Berkeley|
|School Location:||United States -- California|
|Source:||DAI-A 68/08, Dissertation Abstracts International|
|Subjects:||Social work, Public administration, Welfare|
|Keywords:||Breastfeeding policy, Formula feeding, Public policy, Social welfare policy|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be