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Bukan kali pertama media sekaliber Kompas mempublikasikan artikel yang tidak berimbang dan bahkan cenderung membodoh-bodohi masyarakat luas.
Kalau mau ditulis cukup banyak, namun yang mempunyai implikasi yang besar buat saya misalnya saya tulis disini "Kompas Bagaimana ini Pneumokokus menjadi Penyebab Utama Kematian Bayi dan Balita".
Bahkan, Kompas sudah berani "NGUNTIT" artikel yang bersumber dari BBC.
ASI Eksklusif 6 Bulan Digugat
Jumat, 14 Januari 2011 | 14:09 WIB
KOMPAS.com - Para ahli di Eropa menggugat manfaat pemberian ASI eksklusif kepada bayi selama enam bulan. Mereka menyatakan, memberikan asir susu ibu selama enam bulan tanpa ditambah dengan makanan padat justru dapat merugikan kesehatan bayi.
Seperti yang dimuat dalam Bristish Medical Journal, penelitian menyarankan agar masa pemberian ASI eksklusif lebih diperpendek. Riset yang dilakukan pakar dari University of London Institute of Child Health, Inggris itu mengindikasikan bahwa memberikan makanan padat dalam enam bulan pertama dapat memberi bayi perlindungan terhadap sejumlah penyakit seperti anaemia, alergi dan celiak (gangguan pencernaan akibat tidak dapat mengonsumsi protein jenis gluten yang banyak di temukan dalam gandum, roti, dan tepung.
Menurut peneliti, kurangnya pengenalan bayi pada makanan padat juga dapat memicu obesitas, di mana anak-anak menjadi tidak suka mengonsumsi makanan yang rasanya agak pahit seperti sayur-sayuran saat mereka menginjak dewasa.
Badan Kesehatan Dunia (World Health Organisation) sejak 2001 telah memberikan anjuran kepada para ibu di seluruh dunia untuk memberikan ASI eksklusif selama enam bulan penuh.
Tetapi para ahli merekomendasikan agar kebijakan ini ditinjau kembali, khususnya untuk negara-negara kawasan Eropa dan Amerika Serikat. “Banyak pakar kesehatan yang berbagi pendapat bahwa kebijakan ini harus ditinjau lagi,” ujar Dr Mary Fewtrell dokter anak dari University of London.
Fewtrell menilai, kebijakan WHO mengenai ASI eksklusif 6 bulan lebih pas ditujukan untuk negara-negara berkembang, di mana akses tehadap air bersih dan makanan yang aman masih terbatas. Keterbatasan akses inilah yang membuat risiko timbulnya penyakit dan angka kematian bayi menjadi sangat tinggi.
"Kebanyakan negara Barat termasuk 65 persen anggota Uni Eropa dan Amerika Serikat, tidak mengikuti rekomendasi ini secara penuh. Otoritas Keamanan Makanan di Eropa sendiri memberi anjuran yang sedikit bebeda dengan WHO. Anjuran ASI eksklusif kepada para ibu hanya untuk empat bulan saja.
Sumber : BBC
Artikel asli dari : Kompas
Padahal sumber aslinya BBC memberitakan :
14 January 2011 Last updated at 00:03 GMT
Weaning before six months ‘may help breastfed babies’
baby breastfeeding Breastfeeding is known to benefit babies
Relying purely on breastfeeding for the first six months might not be best for babies, experts in the UK have warned.
In the British Medical Journal, the team said breastfed babies may benefit from being given solid food earlier.
Current advice suggests weaning should occur at six months, but the UCL team say it could happen as early as four.
They suggest later weaning may increase food allergies and iron deficiency levels, but other experts backed the existing guidance.
Ten years ago, the World Health Organization published global advice advocating babies be exclusively breastfed for six months.
The research team, led by Dr Mary Fewtrell a paediatrician from the University of London Institute of Child Health, said it supported the recommendation for developing countries, where access to clean water and safe weaning foods is limited, and there is a high risk of infant death and illness.
But they added: "Many western countries, including 65% of European member states and the US, elected not to follow this recommendation fully, if at all.
But in 2003, a health minister said the UK would comply.
Parents ‘cannot win’
The WHO recommendation "rested largely" on a review of 16 studies, including seven from developing countries.
It concluded that babies just given breast milk for six months had fewer infections and experienced no growth problems.
Continue reading the main story
“Start Quote
There are a lot of babies being weaned before six months anyway”
End Quote Dr Mary Fewtrell Researcher
But another review of 33 studies found "no compelling evidence" not to introduce solids at four to six months, the experts said.
Some research has also shown that six months of breastfeeding does not give babies all the nutrition they need.
A US 2007 study found there was an increased risk of anaemia compared with those introduced to solids at four to six months.
Swedish research also found that the incidence of early onset coeliac disease increased after a recommendation to delay introduction of gluten until age six months, but fell back after the recommendation reverted to four months.
Dr Alan Lucas, director of the Institute of Health, said: "The WHO recommendation is very sensible for developing countries.
"But in the UK, it’s important we take a balanced look at the evidence."
Dr Fewtrell added: "When you look at the figures, there are a lot of babies being weaned before six months anyway - and that’s probably the most important thing in terms of hard evidence."
‘Inappropriate feeding’
But the Royal College of Paediatrics and Child Health and the National Childbirth Trust defended current advice.
And Janet Fyle, professional policy adviser at the Royal College of Midwives, said: "I really must challenge the suggestion that the UK should reconsider its current advice on exclusive breastfeeding for six months.
"I believe that this is a retrograde step and plays into the hands of the baby-food industry which has failed to support the six-month exclusive breastfeeding policy in the UK.
"There is evidence that some babies do die in developed countries from inappropriate young child feeding, such as the introduction of solid foods earlier before their swallowing mechanism is mature enough or they have fully developed the capability to cope with solid foods."
And a Department of Health spokeswoman said: "Breast milk provides all the nutrients a baby needs up to six months of age and we recommend exclusive breastfeeding for this time.
"Mothers who wish to introduce solids before six months should always talk to health professionals first."
The Scientific Advisory Committee on Nutrition is to review infant feeding and is due to report later this year.
What should I do? I have an exclusively breastfed 21 week old baby who I want to do the best for. This is extremely stressful as the evidence is so polarised. I have even received mixed messages from healthcare professionals thus far! Joanne Leaver-Cole, London
When I had my daughter 10 years ago I followed the breastfeeding recommendations religiously. I breastfed exclusively for six months before introducing solids. My daughter is now extremely fussy with what she eats and suffers from food allergies some of which are really rare, for example she is allergic to baked beans. She is also very small for her age. I honestly believe that complying with these guidelines has had a detrimental affect on my daughters health. Karon Grace, Derbyshire
My baby is 10-months-old now, so it’s too late to change my habits. I exclusively breastfed him for six months, so today’s report is not exactly music to my ears. I would like to add that he seemed perfectly happy not to be weaned any earlier, and he gained weight appropriately. He was born weighing 10 lbs 7.5 oz and continued steadily at the 75th percentile during that time. Jane Haynes, Harrogate, North Yorkshire
I am so tired of hearing health professionals, midwives and health visitors pontificate as to what is best for babies. Every baby is different and every situation is different. I started weaning my two children as soon as they showed an interest in reaching out for solid food. Both wanted solids at 4.5 months old and started on baby rice. Perhaps we should stop listening to blanket guidelines (which cannot possibly be completely correct since they are changed every five minutes) and listen to our babies instead! Joanna Scott, Basingstoke
I think breast feeding is best for the first six months but all babies differ and whilst I didn’t give my son solids before six months I did with my daughter so it does depend on the babies individual needs. In all cases of weaning you should consult your doctor or health care worker. Jude, Manchester
As a trained NCT volunteer Breastfeeding Peer Supporter I am meant to give others the information that exclusive breastfeeding for six months is best, but when I read that a newborn’s reserves of iron (which isn’t present in breastmilk) only last for six months, I decided to introduce solids at just over five months for my own daughter, as I was worried that if introduction took too long, she might become deficient. She continued breastfeeding as well as having solids, until she was a year old and I had to work away from home for a week, and has thrived. Helen, Essex
Source : http://www.bbc.co.uk/news/health-12180052
Dan juga dari sumber yang lain Telegraph.
Naga-naganya ada sebuah ‘kekuatan’ yang sistematis berusaha untuk menutupi fakta yang sebenarnya, sehingga sampai detik inipun Draft RPP Pemberian ASI belum jelas juntrungannya.
Berikut tanggapan dari babymilkaction.
WHO breastfeeding recommendations under attack from industry-funded scientists.
14 January, 2011 - 11:57 — Patti
WHO breastfeeding recommendations under attack from industry-funded scientists.
Press release 14 January 2011
The BBC, the Guardian and other media are carrying stories about a comment piece from four authors published in the British Medical Journal today. This is not a new scientific study - it is a review of existing research selected by the authors and has been published in the ‘Comment’ section of the BMJ. Three of the four authors of the piece, Mary Fewtrell, Alan Lucas and David Wilson, receive funding from the baby food industry. Prof Lucas in particular plays a key role in advising the UK baby food industry, and has opposed the WHO recommendation for many years. In 2003 he went so far as to appear for the defence when one of the largest baby food companies, SMA Wyeth was successfully prosecuted for illegal advertising by Trading Standards.
www.babymilkaction.org/press/press31july03.html
http://www.babymilkaction.org/update/update33.html#2
http://www.babymilkaction.org/www.babymilkaction.org/update/update29.html#2
http://www.babymilkaction.org/www.babymilkaction.org/update/update23.html#11
Baby Milk Action expects this comment piece and the media coverage it is generating to be used by companies in their attempt to weaken national policies and legislation requiring complementary foods to be labelled for use from 6 months. In the UK, baby food companies are already labelling complementary foods for use from 4 months of age despite Government policy recommending 6 months exclusive breastfeeding or formula feeding.
When looking at the authors’ comment piece, the following points should be borne in mind:
* The four authors are not attacking the recommendation that breastfeeding continue alongside complementary foods or the WHO recommendation of breastfeeding into the second year of life and beyond. Baby Milk Action is concerned about misreporting of the paper, with headlines such as, “Breastfeeding ‘not always best’” or “Recommendation to breastfeed for 6 months challenged”. Please post examples as comments to this articles, with links if possible.
* This is not a new scientific study - it is a review of existing research selected by the authors and has been published in the ‘Comment’ section of the BMJ.
* WHO’s policy arose from a systematic review of 3,000 studies on infant feeding. See The optimal duration of exclusive breastfeeding and Guiding principles for complementary feeding of the breastfed child. WHO has issued a statement today (14 January 2011):
WHO’s global public health recommendation is for infants to be exclusively breastfed for the first 6 months of life to achieve optimal growth, development and health. Thereafter, infants should be given nutritious complementary foods and continue breastfeeding up to the age of 2 years or beyond.
WHO closely follows new research findings in this area and has a process for periodically re-examining recommendations. Systematic reviews accompanied by an assessment of the quality of evidence are used to review guidelines in a process that is designed to ensure that the recommendations are based on the best available evidence and free from conflicts of interest.
The paper in this week’s BMJ is not the result of a systematic review. The latest systematic review on this issue available in the Cochrane Library was published in 2009 (”Optimal duration of exclusive breastfeeding (Review)”, Kramer MS, Kakuma R. The Cochrane Library 2009, Issue 4). It included studies in developed and developing countries and its findings are supportive of the current WHO recommendations. It found that the results of two controlled trials and 18 other studies suggest that exclusive breastfeeding (which means that the infant should have only breast milk, and no other foods or liquids) for 6 months has several advantages over exclusive breastfeeding for 3-4 months followed by mixed breastfeeding. These advantages include a lower risk of gastrointestinal infection for the baby, more rapid maternal weight loss after birth, and delayed return of menstrual periods. No reduced risks of other infections or of allergic diseases have been demonstrated. No adverse effects on growth have been documented with exclusive breastfeeding for 6 months, but a reduced level of iron has been observed in developing-country settings.
* Keeping recommendations under review is good practice and randomised controlled trials are also in progress; the four authors are pre-empting the results of these and do not refer to the 2009 review published by the Cochrane Library.
* The four authors imply that delayed introduction of solid foods may be linked to increased obesity - this is total conflict with the studies which show that early introduction - particularly of sugary foods is an important factor behind the obesity epidemic. Breastfeeding may actually help in the development of taste receptors.
* The argument to introduce solids at 4 months to prevent coeliac disease and allergies was summarised by ESPGHAN in late 2009 and was considered by many to be flawed. see our press release: http://www.babymilkaction.org/press/press23dec09.html
* The UK Scientific Committee on Nutrition (SACN) and the Committee on Toxicity (COT) are reviewing the evidence on solid foods and coeliac disease. The draft opinion is NOT FINAL BUT Is on the SACN website with the Agenda papers for next week’s SACN meeting. See paper SMCN/11/01 downloadable from http://www.sacn.gov.uk/meetings/sub_groups/maternal_child_nutrition/19012011.html
* SACN use international growth charts to describe the optimal pattern of infant growth in the UK (UK-WHO charts). These are based on studies of babies in 7 countries around the world and no significant difference was found between their growth profiles. The proposal from the four scientists that babies are treated differently depending on where they live conflicts with this research evidence. The mean age at introduction of solids to this cohort of breastfed infants in the WHO studies was 5.4 months (or “..about 6-months”).
* The UK policy is to introduce complementary foods at around 6-months and progress responsively, in line with individual babies’ progress and acceptance. Not all babies need solids at the same time: in every aspect of infant development there is a wide range of normal. Very importantly the introduction of the new policy in 2003 has been associated with a marked reduction in the numbers of mothers giving solids very early (i.e. before 4-months). Since it is widely accepted that very early introduction carries greater risk (particularly of coeliac disease), the UK policy could be considered from this perspective a success.
* The practice of ‘baby-led weaning’ is becoming more widespread, where babies are allowed to play with appropriately prepared solid foods and decide for themselves when to eat. Experience in this area suggests that babies naturally start to ingest complementary foods at around 6 months of age, when various developmental factors (hand-eye coordination, mastication ability etc) come together. This may be an evolved natural behaviour that has been lost through the practice of spoon feeding prepared paps. Further research is required in this area.
* Marianne Monie, Chair of the nationwide Breastfeeding Network, made an important point about the risk of swine flu: “The evidence supports introducing food when a baby is developmentally ready at around 6 months. Introducing food or infant formula before that time increases the risk of infections. Questioning the wisdom of the six-month guideline at a time when babies are at risk of catching swine flu is unfortunate, because exclusive breastfeeding reduces the risk of secondary infections that can be serious enough to need hospital admission. Parents should not feel pressured into rushing their baby onto solid food. Waiting until around six months gives another two valuable months of additional protection against chest and stomach infection.”
Response from Joanna Moorhead:
http://www.guardian.co.uk/lifeandstyle/2011/jan/14/breastfeeding-comment-joanna-moorhead
Response from UNICEF UK:
http://www.babyfriendly.org.uk/pdfs/unicef_uk_response_to_BMJ_article_140111.pdf
Blog from Miriam Labbock, Professor, Department of Maternal and Child Health, Director, Carolina Global Breastfeeding Institute (CGBI)
http://www.breastfeeding4health.com/
Blog from Chief Scientist at the Food Standards Agency:
http://blogs.food.gov.uk/science/entry/what_s_behind_the_development
This is rather good - the analytical armadillo
http://www.analyticalarmadillo.co.uk/2011/01/starting-solids-facts-behind-todays.html
Source : http://info.babymilkaction.org/news/policyblog140111
Dugaan saya media lokal akan mempublikasikan berita yang sama, dan ironisnya terkadang mereka hanya main copy paste saja, contoh :
Suara Pembaharuan , Tempo dan mungkin akan segera menyusul yang lain.
Salam ASI
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