Published online October 2, 2006
PEDIATRICS Vol. 118 No. 4 October 2006, pp. 1803a-1804 (doi:10.1542/10.1542/peds.2006-2095)
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LETTER TO THE EDITOR

Breastfeeding During Infancy and Bed-wetting During Childhood

Hajime Kojima, MD
Department of Family Medicine
University of Pittsburgh
Pittsburgh, PA 15260

To the Editor.—

The research report on breastfeeding and bed-wetting by Barone et al1 could provide another good reason to encourage breastfeeding. Although I will not change my practice toward strong encouragement and promotion of breastfeeding, I hesitate to add this information to the prenatal and postpartum education about breastfeeding.

This information can cause parents to conclude that breastfeeding for <3 months could cause the children's enuresis, and this misinterpretation could create unnecessary guilt to the mothers who fail to breastfeed for any reason. As we know, enuresis is a significant psychological burden to both the patients and the family, and we know that enuresis can result in a high incidence of child abuse.2,3

Furthermore, because the study was retrospective, as the authors discuss, the results may lack reproducibility. Even if true, though, I am not convinced that using this information will provide more benefit than harm.

REFERENCES

  1. Barone JG, Ramasamy R, Farkas A, et al. Breastfeeding during infancy may protect against bed-wetting during childhood. Pediatrics. 2006;118 :254 –259[Abstract/Free Full Text]
  2. Can G, Topbas M, Okten A, Kizil M. Child abuse as a result of enuresis. Pediatr Int. 2004;46 :64 –66[CrossRef][Web of Science][Medline]
  3. Landgraf JM, Abidari J, Cilento BG Jr, Cooper CS, Schulman SL, Ortenberg J. Coping, commitment, and attitude: quantifying the everyday burden of enuresis on children and their families. Pediatrics. 2004;113 :334 –344[Abstract/Free Full Text]
PEDIATRICS (ISSN 1098-4275). ©2006 by the American Academy of Pediatrics

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This Article
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