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• W4283706304 abstract "Breastfeeding MedicineVol. 17, No. 7 EditorialFree AccessThe Danger of the Politicization of Breastfeeding PolicyArthur I. EidelmanArthur I. Eidelman—Arthur I. Eidelman, MD, FABM, Editor-in-Chief, Breastfeeding MedicineSearch for more papers by this authorPublished Online:12 Jul 2022https://doi.org/10.1089/bfm.2022.29215.aieAboutSectionsPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail One of the tragedies in the United States of the COVID-19 pandemic, beyond the actual mortality of >1,000,00 deaths and the untoward short- and long-term morbidity of millions more has been the politization of the public heath policy process and the increasing distrust by large segments of the population of the established government and academic scientific authorities. This has been most manifest in the debates as to mask policy and to what degree there should be closures of public spaces, but, has included the specifics of vaccination recommendations.Driving the public's reluctance if not outright refusal to be vaccinated despite the explicit recommendations of the CDC and approval of the FDA has been the dissemination of misinformation, myths, and or conspiracy theories related to safety and efficacy of the newly developed messenger RNA COVID-19 vaccinations.1In particular, this reluctance and adamant refusal to be vaccinated has been a phenomenon of woman who are pregnant and or who intend to become pregnant and women who wish to breastfeed their infants, resulting in lower rates as opposed to the matched general public's vaccination rate. This phenomenon is striking given the well-documented increased risk and severity of COVID-19 disease in pregnant women with subsequent increased adverse outcomes for both mother and infant (including increased risk of preterm births and still birth).2This situation was highlighted in the results of a recently released survey study of the Kaiser Family Foundation.3 The findings were as follows: Nearly a quarter (24%) incorrectly believe pregnant women should not get a COVID-19 vaccine; another 37% have heard the misinformation and are not sure whether it is true.In total, 17% wrongly believe it is unsafe for women who are breastfeeding to get a vaccine; another 36% have heard the misinformation and are not sure whether it is true.In total, 16% wrongly believe that the COVID-19 vaccines have been shown to cause infertility; another 44% have heard the misinformation and are not sure whether it is true.Most disturbing is that >70 of the surveyed women heard at least one of misinformation/myths and either said that it is true or are unsure whether it is true. Not surprising, willingness to accept as true this unsubstantiated information correlated with degree of education wherein women with a college education were more reluctant to believe the myths than women who only had a high school education. However, the data as to the correlations of beliefs of the misinformation and myths with political identification were even more striking. In response to a question as to one's belief in the safety of vaccination, the response was as follows:Party IDIs it safe for adultsIs it safe for people who are pregnant or trying to become pregnantDemocrats70%40%Independents41%21%Republicans23%10%Specific data as to correlation of political party identification and belief as to safety or risk of vaccination while breastfeeding were lacking but extrapolation from the data regarding safety during pregnancy suggests that this too may be a factor in a mothers choice to breastfeed or to vaccinate. While additional data related to this potential dilemma (to vaccinate or to breastfeed) are needed, to date there is sufficient evidence that the administration of a COVID-19 vaccine is safe and poses no additional risk to either the breastfeeding woman or the breastfed baby.4 Unfortunately, the Kaiser report confirms that scientific proof and objectively collected data may not be sufficient in view of the politicization of attitudes toward vaccine administration.References1. Pietrasanta C, Ronchi A, Crippa BL, et al. Coronavirus disease 2019 vaccination during pregnancy and breastfeeding: A review of evidence and current recommendations in Europe, North America, and Australasia. Front Pediatr 2022;10:883953. Crossref, Medline, Google Scholar2. Wang X, Chen X, Zhang K. Maternal infection with COVID-19 and increased risk of adverse pregnancy outcomes: A meta-analysis. J Matern Fetal Neonatal Med 2022;35:1–8. Medline, Google Scholar3. KFF COVID-19 Vaccine Monitor: Pregnancy Misinformation—May 2022 Available at https://www.kff.org/coronavirus-covid-19/poll-finding/kff-covid-19-vaccine-monitor-pregnancy-misinformation-may-2022 (accessed June 6, 2022). Google Scholar4. Muyldermans J, De Weerdt L, De Brabandere L, et al. The effects of COVID-19 vaccination on lactating women: A systematic review of the literature. Front Immunol 2022;13:852928. Crossref, Medline, Google ScholarFiguresReferencesRelatedDetails Volume 17Issue 7Jul 2022 InformationCopyright 2022, Mary Ann Liebert, Inc., publishersTo cite this article:Arthur I. Eidelman.The Danger of the Politicization of Breastfeeding Policy.Breastfeeding Medicine.Jul 2022.551-552.http://doi.org/10.1089/bfm.2022.29215.aiePublished in Volume: 17 Issue 7: July 12, 2022Online Ahead of Print:June 28, 2022PDF download" @default.
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