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OU doc talks about dangers of outsourced breastfeeding

 
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By Meghan Montgomery
Athens NEWS Campus Reporter
Monday, May 7th, 2007

A professor from the Ohio University College of Osteopathic Medicine offered her expertise about the risks of outsourced breastfeeding on NBC's "Today" show last month.

"When the mother is not breastfeeding the baby but a paid wet nurse is, we are talking about a really perilous situation here," said Dr. Jacqueline Wolf, associate professor of social medicine at OU-COM.

Outsourcing breastfeeding includes wet nursing and cross nursing. Time magazine's issue two weeks ago covered this hot topic, which according to Wolf started a buzz and drove the "Today" show's April 26 program. According to Wolf, the issue of outsource breastfeeding resurfaced in the media because many speculate that it is making a comeback. Wolf said she supports cross nursing, but is alarmed by the reported rise in wet nursing.

"I am absolutely not in favor of paid wet nursing at all," said Wolf. She said "wet nursing" is the term traditionally used to describe a woman breastfeeding a baby who is not her own. In today's terminology, she added, wet nursing also implies that the woman is paid.

Wolf is concerned about paid wet nursing for several reasons. "I worry about exploitation of poor women in paid wet nursing," said Wolf. "I worry about the wet nurse's own baby. Where is that baby? Is that baby getting enough human milk? And is that baby being taken care of?"

According to Wolf, the history of wet nursing is a "terrible" one. Wet nurses in the past were harshly abused by families because mothers would get very jealous of wet nurses, said Wolf. Additionally, Wolf said that wet nurses in the past were not allowed to bring their own babies to work with them, and therefore the death rate of wet nurse babies about 100 years ago was 90 percent.

"Essentially, a poor baby died so a wealthy baby could live," said Wolf. "The fact that this is becoming an institution again concerns me very much, and I think that the same abuses can certainly happen today that happened a hundred years ago."

In contrast to her opinions about wet nursing, Wolf said she supports cross nursing. According to Wolf, the term "cross nursing" is relatively new, but it's an old practice. Cross nursing is unpaid, informal and done between very close women on few occasions. "Maybe it's a friend or a relative, and they both happen to be lactating," explained Wolf. "If they happen to be taking care of each other's babies, and the baby is upset, the other mother might just say 'Oh well, go ahead and breast feed him if he's upset,' or 'If he won't take a bottle, it's OK if you breastfeed him.'"

Although Wolf said it's great when women help each other out by cross nursing, she cited one concern: "The warning I have is - if women are going to nurse each other's babies, then you better know the woman and know about her health as closely as you would know about the health of a sexual partner," said Wolf. Viruses such as HIV and Hepatitis A can be transmitted in breast milk, she added.

If risks are involved, then why is outsourcing breastfeeding supposedly on the rise? Wolf attributed this supposed increase to several factors, such as the newly established "wet-nurse agencies" on the West coast. "The discovery of the increase in wet nursing is probably because the wet-nurse agencies are popping up. Otherwise I can't image any other evidence," said Wolf.

She said women who want to hire a wet nurse can go to this agency, where the minimum rate for a wet nurse is $1,000 per week. Therefore, these agencies are only affordable to wealthy women, said Wolf.

On the other hand, Wolf said the supposed rise in cross nursing has occurred for other reasons. "The cross nursing I think is more interesting," said Wolf. "I think it is something that has come to light only because women are talking about it, and frankly I think it has always gone on."

Wolf added that women might be helping each other out more through cross nursing because of their busy work schedules. According to Wolf, more than half of the mothers with babies under the age of 1 are full-time workers. "If you want to breastfeed your baby and you are a full-time worker, then it makes total sense to me that women are getting friends and relatives to help out in a pinch if necessary," she said.

According to Wolf, mothers' increased awareness about recommendations from the American Academy of Pediatrics is probably why many women try to avoid formula altogether, and instead ask close friends and family members for help. "Women should be breastfeeding their own babies, but I think it is really cool that women are helping each other out in a pinch."
 
 
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Last updated: 08/21/2012