Why does The Lancet use an optimal C-section rate that has been debunked? Truthiness!

I’ve written many times about the obstetric lie that will not die: the unsubstantiated “optimal” C-section rate of less than 15%. It was fabricated from whole cloth in 1985, apparently ...

95181408-B348-4D82-A181-ED0DE338BAF4

The American Academy of Pediatrics and the Trumpification of breastfeeding research

Politicians lie. That fact is as old as the oldest forms of government, but recently there’s been a new innovation, Trumpification. It used to be then when caught in a ...

Breast is best … except when it’s not!

Kudos to the Journal of Human Lactation for publishing a paper that challenges a central lactivist assumption. The paper is Breast Is Best . . . Except When It’s Not ...

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Shared decision making is the only outcome that matters in evidence based medicine

Over the years I’ve made a variety of arguments about contemporary midwifery ...

Who said it: anti-abortion activist or a breastfeeding advocate?

Imagine if an anti-abortion protester wrote: If you believed some you would ...

5 reasons to ignore epigenetic claims about breastfeeding

Most contemporary breastfeeding research is deeply suspect because researchers start with the ...

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Why does The Lancet use an optimal C-section rate that has been debunked? Truthiness!

I’ve written many times about the obstetric lie that will not die: the unsubstantiated “optimal” C-section rate of less than 15%. It was fabricated from whole cloth in 1985, apparently to suit the prejudices of the man behind it. There was never any evidence to support it. It was officially debunked in 2015 when it […]

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95181408-B348-4D82-A181-ED0DE338BAF4

The American Academy of Pediatrics and the Trumpification of breastfeeding research

Politicians lie. That fact is as old as the oldest forms of government, but recently there’s been a new innovation, Trumpification. It used to be then when caught in a lie, politicians either walked back the lie or apologized for it. Trumpification calls for those caught in lies to double down on them. The current […]

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Breast is best … except when it’s not!

Kudos to the Journal of Human Lactation for publishing a paper that challenges a central lactivist assumption. The paper is Breast Is Best . . . Except When It’s Not by Lynne M. McIntyre, MSW, Adrienne Marks Griffen, MPP, Karlynn BrintzenhofeSzoc, PhD. Each woman suffered postpartum depression: We come to the intersection of PMADs [perinatal […]

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Shared decision making is the only outcome that matters in evidence based medicine

Over the years I’ve made a variety of arguments about contemporary midwifery and lactivist philosophies: 1. They subvert science by exaggerating benefits of favored treatment options (unmedicated vaginal birth and breastfeeding). 2. They threaten safety by ignoring risks of favored treatment options. 3. They falsely declare favored treatments save money but neglect to include costs. […]

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Who said it: anti-abortion activist or a breastfeeding advocate?

Imagine if an anti-abortion protester wrote: If you believed some you would think that for women choosing to terminate a pregnancy continuing it instead is bad for women’s mental health. But pregnancy does not damage maternal mental health. In fact, pregnancy can do marvellous things for women’s well-being. Alongside reducing risk of reproductive cancers like […]

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5 reasons to ignore epigenetic claims about breastfeeding

Most contemporary breastfeeding research is deeply suspect because researchers start with the conclusions — breastfeeding must be best! — and work backward to support it. As one after another of claimed benefits of breastfeeding have melted away when studies are corrected for maternal education and socio-economic status, breastfeeding researchers have become ever more creative in […]

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The history of natural childbirth, from Grantly Dick-Read to Ina May Gaskin, is a history of misogyny

UK midwives are tricking women out of epidurals: A forum post that asked mothers “anyone else tricked out of epidural?” attracted 1,000 replies in under two weeks. For example: Vanessa Murphy still remembers the pain. “I was so traumatized,” the 39-year-old compliance officer says. “I remember repeatedly saying I wanted to die.” When Murphy entered […]

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Natural parenting embodies twin fears of industrial modernity: pollution and alienation

The conceit of natural parenting is that it recapitulates the way that children were parented in nature. The reality is that the mythical past to which natural parenting advocates hark back never existed. Natural parenting is actually a thoroughly contemporary movement reflecting thoroughly contemporary fears of the modern industrialized society: pollution and alienation. Suprisingly, the […]

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“Artisanal obstetrics” is deadly folly

At the turn of the 20th Century, obstetricians were deeply concerned about the inherent dangers of childbirth. Both infant and maternal mortality were approximately 10X higher than they are today. Obstetrics Prof. Joseph De Lee thought that preventive care was the answer and recommended routine use of forceps. The result of that hubris was disaster. […]

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Mothers who intended to breastfeed had infants with better health outcomes even if they DIDN’T breastfeed!

Hold the guilt! A new study shows — once again — that the purported benefits of breastfeeding are actually benefits of privilege. Breastmilk has little if anything to do with it. That was already demonstrated powerfully in the 2014 Colen study, Is Breast Truly Best? Estimating the Effects of Breastfeeding on Long-term Child Health and […]

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