What parents are toldWhat is actually the caseThe risk this advice poses for parents
Delaying responses to your baby’s grizzles and cries and sleep routines teach baby to sleep better at night and is best for developmentSystematic reviews which analyse existing research show that sleep training approaches don’t decrease night wakingUnnecessary stress and anxiety for both parents and baby. Disrupts trust in the communication between parent and baby
Restricted oral connective tissue (in the absence of obvious, classic tongue-tie) causes breastfeeding problems, and frenotomy or bodywork or both is requiredIn the absence of a classic tongue-tie, there is no evidence that frenotomy or bodywork benefit breastfeeding or unsettled baby behaviourPain (particularly if laser) bleeding, oral aversion, severance of branches of the lingual nerve creating numbness of tongue
Losec will stop baby’s refluxing and stop baby’s painLosec doesn’t make babies who are fussy, backarching, and puking more settled. Baby refluxate is mostly close to pH neutral, not acidicSide-effects of proton pump inhibitor medications include increased risk of allergy, bone fracture, respiratory infection, and asthma
Eliminating dairy and other foods from a breastfeeding mother’s diet will stop baby’s fussinessDoes not decrease fussy behaviourIncreases baby’s risk of allergy down the track
Antifungals for persistent breastfeeding-related nipple painNo evidence to support long courses of antifungals and little evidence to support the use of antifungals at all in breastfeeding mothers with nipple pain; yeast is a normal part of the skin and human milk microbiomeDoes not address the underlying cause of persistent nipple pain. This is most commonly excessive mechanical loads on the nipple and breast tissue due to the way the baby is fitting into the mother’s breast, and can be helped with skillful fit and hold work.
Massage out the blockages if you are breastfeeding and have plugged ducts or mastitisMassaging breastfeeding-related lumps worsens breast inflammation, creating more lumps and worsened mastitisIncreases risk of abscess
Bring baby onto breast by squeezing breast and using cross-cradle hold, pointing baby nipple-to-nose and waiting for wide gapeThis approach is not consistent with the biomechanics of how baby’s suckIncrease nipple pain fourfold
Baby is fussing inside the house due to gut pain, overtiredness overstimulation, stay at home and get into good sleep routineBaby often unsettled inside the house because of need for richer environmental experience (that is, becomes bored)Baby becomes fussier inside the house, which is exhausting for the now socially isolated carer, increasing her risk of postnatal depression  
Burp your baby and hold him or her upright because air swallowing makes baby fussyBabies don’t swallow much air even when there are breastfeeding problemsBurping and holding upright for a period of time after feeds interrupts baby’s feed-associated calmness, and makes sleep harder
Babies need long blocks of sleep in quiet dark rooms during dayQuiet dark room during day conflicts with safe sleep guidelines, and disrupts the baby’s circadian clockWorsened night waking in time due to gradual disruption of the circadian clock
Dr Pamela Douglas – Possums & Co.