"First milk" does not make babies addicted experts call for breastfeeding

On June 16, CCTV revealed that some nurses of Obstetrics and gynecology in Tianjin accepted bribes from enterprises to feed infants with "doumeizi" milk powder, trying to make infants rely on and become addicted to certain brands of milk powder through "the first milk", arousing social concern In response to the problem of infant feeding, experts say that "first milk" will not make infants addicted, but it is best to breastfeed In response to the incident, the health and Family Planning Commission and the Tianjin Municipal Health Bureau said that it was strictly prohibited for medical institutions and their personnel to promote breast milk substitutes, and strictly investigated and punished the illegal behaviors of relevant medical personnel After the health and Family Planning Commission and Tianjin Municipal Health Bureau exposed the event of "the first taste milk" of commercial bribery of milk powder, Tianjin Municipal Health Bureau held a special meeting to establish a special investigation team led by the discipline inspection department to investigate, verify and obtain evidence one by one At the same time, it is deployed throughout the system to conduct in-depth investigation and self-examination and self correction The health and Family Planning Commission issued a notice on the 17th, requiring strict implementation of the "mother and child health care law" and its implementation measures, the "management measures for the sale of breast milk substitutes", forbidding medical institutions and their personnel to promote the promotion of breast milk substitutes, and strictly investigating and punishing those institutions and personnel who violate the regulations in accordance with the relevant provisions According to the notice, it is strictly prohibited for medical institutions to accept gifts and sponsorship from breast milk substitutes producers and sellers, and to receive kickbacks and obtain benefits It is strictly prohibited for producers and sellers of breast milk substitutes to do various forms of marketing and publicity in medical institutions, post advertisements or distribute relevant materials, and display and promote breast milk substitutes It is strictly prohibited for medical institutions and their personnel to promote breast milk substitutes to pregnant women and infant families, and to provide breast milk substitutes to pregnant women and their families According to the notice, if the medical institutions and their personnel violate the relevant provisions, they shall be strictly investigated and punished in accordance with the Interim Measures for investigation and handling of violations of discipline and rules by medical institutions and the code of conduct for employees of medical institutions and other relevant provisions If the circumstances are serious, the number of medical institution reviews shall be reduced and relevant responsibilities shall be investigated Medical institutions and their personnel involved in commercial bribery shall be investigated for criminal responsibility "First milk" will not lead to milk powder addiction, but breast milk is conducive to the establishment of probiotics in infants' intestines If a baby eats milk powder first, will it lead to milk powder addiction and dependence? Niu Yajuan, deputy director of Clinical Department II of Beijing Huilongguan Hospital, who has been studying addiction for a long time, pointed out that for infants, choosing formula for the first mouthful of milk will be more tasteful than breast milk, and infants may prefer to drink milk powder But this taste preference and addiction are different concepts, and also different from the formation mechanism of addiction, such as tobacco, alcohol, drugs and so on Because milk powder does not contain psychoactive substances, and will not produce the potential of dependence, it is not "addiction" naturally Wang Xingguo, director of Nutrition Department of Dalian Central Hospital, told reporters that in clinical practice, addiction or dependence has a clear definition, such as alcohol addiction and drug addiction (dependence) Obviously, no matter children or adults, milk powder will not cause similar addiction or dependence "After the first few times of feeding milk powder to the baby, it may affect the sucking of breast milk This is mainly because he likes the taste of milk powder, or feels that sucking breast milk is not as labor-saving as eating a milk bottle (formula milk) But there is no evidence that babies are addicted or dependent on formula Wang Xingguo said that although it is not as good as breast milk, the first milk powder (a small amount of formula in the first few days) is not terrible, which will not lead to addiction or dependence of milk powder, nor damage the baby's development The vast majority of babies can still be breast fed Wang Danhua, chief pediatrician of Peking Union Medical College Hospital, said that for newborns, the intestinal tract is a sterile environment If the first bite of milk is breast milk, it is easy to establish probiotics, such as bifidobacteria, Lactobacillus and other bacteria to promote digestion and absorption And if you eat milk powder, it's not as good as the bacteria formed by breast milk Therefore, children who eat breast milk have stronger immunity than those who eat milk powder However, milk powder does not damage the immune function of infants, but does not contain some components of breast milk In China, the rate of exclusive breastfeeding is only 27.8% Experts call for breastfeeding as a pediatrician, and Wang Danhua recommends breastfeeding "For newborns, it's best to breastfeed If breast milk can not meet the needs of infants, mixed feeding can be carried out to meet the needs of growth; if there is no breast milk, only milk powder can be selected for feeding Because formula, no matter how improved, is not the same as human milk " Wang Xingguo introduced that in the first few days of a baby's birth, the puerpera, especially the puerpera undergoing cesarean section, often has no or very little milk For most healthy babies, you can survive a difficult few days without any food or just water However, for some special cases, such as premature infants, mothers suffering from gestational diabetes, etc., it is reasonable for medical staff to feed the baby several times with glucose water, a small amount of formula, etc., which is also in line with the practice Under normal circumstances, the formula provided by the hospital should not display brand information, or let the mother prepare milk powder by herself It is understood that the overall level of breast-feeding rate in China is relatively low According to the data released by the health and Family Planning Commission recently, the pure breastfeeding rate of 0-6 month old children in China is 27.8%, including 15.8% in urban areas and 30.3% in rural areas, which is far lower than the 50% feeding rate target set in the China children's development program "It's hoped that breastfeeding will become a fashion." According to Yu Song, deputy director of Obstetrics of Beijing Maternity Hospital Affiliated to Capital Medical University, breast milk is rich in nutrition and fully meets the needs of children's growth and development at all stages Breast milk contains many immune substances and anti pathogenic bacteria infection components, which can enhance children's immune function No matter how high the quality of milk powder is, it is all from different kinds of milk Different kinds of protein may bring problems such as allergy and nutrition deficiency The protein in breast milk is the same kind of protein for children, and its sensitivity is very low For mothers, breastfeeding strengthens uterine contractions and helps ovarian recovery Zhong Kai, a deputy researcher at the national food safety risk assessment center, believes that to re-establish a scientific way of parenting that "breastfeeding is good" is not to blindly crack down on and reject infant milk powder, but to use it according to the doctor's instructions "I hope that the enterprise will be more disciplined, doctors will be more professional, young parents will be more rational, and Chinese babies will grow healthily and happily." Who recommends breastfeeding (link) 1 Pure breastfeeding within the first six months is recommended Breastfeeding begins in the first hour of life 2 Breast milk can provide all nutrition needed for infant development, and contains antibodies that can help infant resist common diseases 3 Breast feeding can reduce the risk of breast cancer and ovarian cancer of the mother and help to recover to the pre pregnancy weight 4 Breastfeeding (of children) is good for maintaining good health for life 5 The formula does not contain antibodies in human milk 6 Mothers infected with HIV should receive antiretroviral treatment when breastfeeding 7 The sale of breast milk substitutes should be regulated For example, breast milk substitutes shall not be promoted; samples of substitutes shall not be provided free of charge 8 Breastfeeding needs learning and health institutions can provide advice to new mothers 9 The mother needs to breastfeed in a safe, clean and private place at or near the workplace 10 When solid food is added, breastfeeding should not be reduced.