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Is Breast Best?: Taking on the Breastfeeding Experts and the New High Stakes of Motherhood (Biopolitics Series) [Hardcover]

Joan B. Wolf
3.5 out of 5 stars  See all reviews (11 customer reviews)

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Book Description

December 19, 2010 Biopolitics Series

Since the invention of dextri-maltose and the subsequent rise of Similac in the early twentieth century, parents with access to clean drinking water have had a safe alternative to breast-milk. Use of formula spiked between the 1950s and 1970s, with some reports showing that nearly 75 percent of the population relied on commercial formula to at least supplement a breastfeeding routine. So how is it that most of those bottle-fed babies grew up to believe that breast, and only breast, is best?

In Is Breast Best? Joan B. Wolf challenges the widespread belief that breastfeeding is medically superior to bottle-feeding. Despite the fact that breastfeeding has become the ultimate expression of maternal dedication, Wolf writes, the conviction that breastfeeding provides babies unique health benefits and that formula feeding is a risky substitute is unsubstantiated by the evidence. In accessible prose, Wolf argues that a public obsession with health and what she calls “total motherhood” has made breastfeeding a cause célèbre, and that public discussions of breastfeeding say more about infatuation with personal responsibility and perfect mothering in America than they do about the concrete benefits of the breast.

Why has breastfeeding re-asserted itself over the last twenty years, and why are the government, the scientific and medical communities, and so many mothers so invested in the idea? Parsing the rhetoric of expert advice, including the recent National Breastfeeding Awareness Campaign, and rigorously questioning the scientific evidence, Wolf uncovers a path by which a mother can feel informed and confident about how best to feed her thriving infant—whether flourishing by breast or by bottle.


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Editorial Reviews

From Booklist

This heavily footnoted defense of formula feeding will undoubtedly fan the fire between those who believe “breast is best” versus those who think manufactured food is just fine, thank you. Wolf, a political scientist, is on strongest ground when she discusses the history of this emotionally charged topic. Unfortunately, she seems out of her element when describing perceived flaws in medical studies of breast milk and talking about financial issues. Inexplicably, she fails to discuss the price of formula, which can easily run $1,000 to $2,000 a year. Instead, she talks about what she sees as the “exorbitant” costs of breastfeeding. (Presumably, she is referring to how it’s tricky for poor women to hold down a job and nurse their babies.) An expansion of a 2007 article Wolf wrote for the Journal of Health Politics, Policy and Law, this pro-formula book treatise would have benefited from a more nuanced argument. For a better book, see Dr. Naomi Baumslag’s Milk, Money, and Madness (1995). --Karen Springen

Review

“Beautifully written, powerfully argued. . . . Challenges the science prescription that all infants must be breastfed.”-Linda Blum,author of At the Breast: Ideologies of Breastfeeding and Motherhood in the Contemporary United St

"Instead of disputing the science about the chemical makeup of breast milk . . . she (Wolf) posits that the benefits most people associate with breast-feeding studies cannot be separated from the fact that mothers who breast-feed may be more attuned to health and may take more precautions about hygene . . . Wolf rightfully contends that in the government's and acvocate's zeal to increase the numbers of breast-fed babies, they have vastly discounted the harsh realities of breast-feeding in a modern world"-Tara A. Trower,Statesman.com

"Wolf confronts the stereotypes of ideal motherhood and explains how public health campaigns and advocacy groups have relied on flawed infant-feeding research to exaggerate any health risks associated with using infant formula."-Texas A&M University News,tamunews.tamu.edu

“It is the all-encompassing nature of breast-feeding that is the crux of the most interesting part of Wolf's book. She makes a compelling argument that we are a risk-averse culture that has lost all perspective when it comes to risk assessment and our health, and this tendency is particularly pervasive on the issue of breast-feeding… In her book, Wolf rightfully contends that in the government's and advocates' zeal to increase the numbers of breast-fed babies, they have vastly discounted the harsh realities of breast-feeding in a modern world.”
-Tara A. Trower,Statesmen.com

"Wolf looks at the breast-feeding studies much like ones that ask whether race matters in the way people vote. She scrutinizes the design of the research and how it's been executed and 'then how it's been reported, both to scientists and to the public'"-University of Chicago Magazine,

Product Details

  • Hardcover: 258 pages
  • Publisher: NYU Press (December 19, 2010)
  • Language: English
  • ISBN-10: 0814794815
  • ISBN-13: 978-0814794814
  • Product Dimensions: 6.4 x 0.9 x 9.3 inches
  • Shipping Weight: 1.2 pounds (View shipping rates and policies)
  • Average Customer Review: 3.5 out of 5 stars  See all reviews (11 customer reviews)
  • Amazon Best Sellers Rank: #510,935 in Books (See Top 100 in Books)

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Customer Reviews

3.5 out of 5 stars
(11)
3.5 out of 5 stars
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Most Helpful Customer Reviews
51 of 60 people found the following review helpful
4.0 out of 5 stars Nuanced Look at Breastfeeding, Disregard Biased Reviews February 24, 2011
Format:Hardcover|Amazon Verified Purchase
As a trained researcher with experience across several disciplines and a mother of three (yes, I breastfeed them all ) I've followed the breastfeeding literature (including academic journals) for more than a decade from before I became pregnant and have come to a similar conclusion as Joan - basically the evidence for breastfeeding is less conclusive, the benefits smaller and most likely more short-term than the pediatric community has led parents to believe. Having spent nearly twenty-years immersed in research I found Wolf's discussion of the scientific evidence nuanced despite the biased Booklist reviewer's comment Wolf was "out of her element" discussing it. Wolf's one of the few to question the evidence in print. Health authorities are quick to talk about the assorted benefits without discussing the limitations of the research, one of the most problematic being a lack of accounting for the differences between mothers who do and those who don't breastfeed (that may ultimately explain the "benefits"). This is not merely a "perceived" flaw as Booklist reviewer Karen Springen snarkily writes but a very real and from an empirical perspective, serious limitation making any causal relationship between breastfeeding and its benefits purely speculative. That's Research 101, not a figment of Dr. Wolf's imagination. Nor is this book "a defense of formula" or "a pro-formula book treatise" as Springen alleges - it is, however, a detailed socio-cultural (and evidence-based) examination of breastfeeding, a sorely needed one for people who care about the actual scientific evidence. Not surprising, the book this reviewer finds more compelling and cites in the review turns out to be a rather aggressive pro-breastfeeding book. Don't let the unflattering Booklist review deter you from picking up Wolf's book especially if you prefer actual evidence to opinion and hype.
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43 of 51 people found the following review helpful
4.0 out of 5 stars It's about time someone said it February 24, 2011
By Ah Baby
Format:Hardcover|Amazon Verified Purchase
I have a master's degree in engineering, and at the time of my first child's birth, I'd had more than a dozen years of engineering experience, much of it spent designing, conducting and interpreting tests. I was well aware of the difficulties inherent in quantifying even the most straightforward differences between groups, and also well aware of how ambiguous test results can be and how they can sometimes be manipulated to support an experimenter's agenda. And yet somehow it had never occurred to me not to trust everything I'd heard or read about breastfeeding. Like Joan Wolf, I waded into the published studies just looking for clarification (How many fewer infections will my baby have, and how much more intelligent will she be if I keep this up?). I was stunned by what I found. Many tests are poorly designed, in terms of how they differentiate between breastfed and non-breastfed infants, or how they collect data and control for confounders. Of the better-designed tests, for every one that shows an advantage for breastfeeding, another concludes that the difference doesn't exist at all or is wholly explained by other variables. Some actually suggest a possible disadvantage to breastfeeding, such as a link between exclusive breastfeeding and allergies. Frequently, the results of studies are phrased with an undisguised bias for breastfeeding, and misrepresented by the media.

Even if some of the health claims are real - and the most convincing one is that breastfeeding reduces episodes of diarrhea - does that really justify pressuring a woman who hates breastfeeding or has tremendous difficulty with it to continue miserably for the "sake of her baby?" If cloth diapering were shown to reduce diaper rash and speed potty training, would a national campaign be launched to discourage parents from choosing the convenience of disposables over their baby's well-being? Or do diapers just not inspire the same passion as breasts?

The decision to breastfeed or bottlefeed affects nearly every aspect of a woman's life, including what she eats, how she relates to her husband and other children, and how able she is to maintain employment. It's obvious to me that every new mother has a right to information that is completely truthful and balanced to help her make the best decision for her particular situation. Given this assumption, I'm baffled as to why breastfeeding advocacy has attracted so many overzealous supporters. So I was excited to find Ms. Wolf's book. Let me first say that I agree with pretty much every point she makes, and I applaud her for speaking out against the politically correct and endlessly repeated message that breastfeeding is the clear best choice for everyone. However, this book is written in such a scholarly, vocabulary-rich way that I'm afraid its message will not reach many women. Ms. Wolf laments that "much of the health information that people encounter requires proficiency skills that only 12 percent of Americans possess." I think it's a pity that the same can probably be said about her book.
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27 of 33 people found the following review helpful
5.0 out of 5 stars Fascinating read; don't judge a book by its cover February 7, 2011
Format:Hardcover
There is far more to this eloquent, well-researched book than the media surrounding it would have you believe. Wolf's argument is not so much that breastfeeding isn't worth it; it's more that moral imperatives have colored the science. She makes some valid and interesting points regarding how we perceive risk in our culture, and the main thesis - Total Motherhood - extends far beyond breastfeeding.

It is disturbing that people are so unwilling to question the science behind breastfeeding, when every other aspect of parenting has been dissected ad nauseum. You don't see people going after Po Bronson ("NutureShock") with the same scathing tone, do you? Wolf never says that breastfeeding isn't worthwhile or good; she is merely arguing that the weight we've put on it may be undeserved.

She manages to deal with some rather heady topics in ways that can be understood by the layperson; I think this should be required reading for anyone wanting to engage in the debate over breastfeeding.
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Most Recent Customer Reviews
1.0 out of 5 stars Breastfeeding is Normal!
All mammals breastfeed, humans are no differnt. There can never be an ethically randomized trial to breastfeed or not. Read more
Published 2 months ago by ma2one
5.0 out of 5 stars Excellent Book!
This is an excellent book. From a scientific standpoint, the research is very well done, the analysis spot on, and the conclusions clear. Read more
Published 8 months ago by JDoe
5.0 out of 5 stars Excellent resource on breastfeeding AND on how to analyze a study
I think this is a great read for any mother wishing to explore something beyond the current "Breast is best" thinking. Read more
Published 15 months ago by Aleah
1.0 out of 5 stars Not very compelling
The author exaggerates how hard it is to breastfeed a baby. She makes it seem like a mother cannot have a job and breastfeed as well. Read more
Published 19 months ago by A. Ramirez
5.0 out of 5 stars Finally, someone has said it!!
For years i've been saying all these breastfeeding studies are full of crap... I'm so glad someone finally wrote about it!! Read more
Published 20 months ago by AJK
4.0 out of 5 stars good points but repetitive
Intelligently written and thoroughly researched. This book really shows that there is no scientific evidence that breast feeding is superior to formula feeding and that each... Read more
Published 23 months ago by Felicia
2.0 out of 5 stars Wolf huffed, and puffed, and blew off research
According to Joan Wolf in the preface, her book is about what she calls a "'risk culture,' broadly speaking. Read more
Published on March 11, 2011 by S. Teichner
2.0 out of 5 stars Unimpressed with her research capabilities
I picked this up and from reading the back thought, "Okay, I breastfed, and loved it, but any unbiased look at research is something that interests me. Read more
Published on February 2, 2011 by LiveNLetLive
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