Have there be cultural representations in various societies in history linking late breastfeeding with low...












7















In the song "Rich Folks Hoax", written by Sixto Rodriguez (of Searching for Sugar Man) in Detroit in 1970, the hoax is characterized in the following terms:




only late-breast-fed fools believe it




This line has made me curious. Is this just an idiosyncratic poetic riff on slow development, or have individuals(who shed light on their societies) or societies in history attributed late breastfeeding with low intelligence?










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    I'm voting to close this question as off-topic because If you're asking about folklore, this question should be on Mythology SE.

    – Spencer
    6 hours ago








  • 2





    @Spencer See my comment below Lars's answer. Clearly not a question of mythology but of folk wisdom (the term I should have used).

    – Luke Sawczak
    5 hours ago
















7















In the song "Rich Folks Hoax", written by Sixto Rodriguez (of Searching for Sugar Man) in Detroit in 1970, the hoax is characterized in the following terms:




only late-breast-fed fools believe it




This line has made me curious. Is this just an idiosyncratic poetic riff on slow development, or have individuals(who shed light on their societies) or societies in history attributed late breastfeeding with low intelligence?










share|improve this question




















  • 1





    I'm voting to close this question as off-topic because If you're asking about folklore, this question should be on Mythology SE.

    – Spencer
    6 hours ago








  • 2





    @Spencer See my comment below Lars's answer. Clearly not a question of mythology but of folk wisdom (the term I should have used).

    – Luke Sawczak
    5 hours ago














7












7








7


1






In the song "Rich Folks Hoax", written by Sixto Rodriguez (of Searching for Sugar Man) in Detroit in 1970, the hoax is characterized in the following terms:




only late-breast-fed fools believe it




This line has made me curious. Is this just an idiosyncratic poetic riff on slow development, or have individuals(who shed light on their societies) or societies in history attributed late breastfeeding with low intelligence?










share|improve this question
















In the song "Rich Folks Hoax", written by Sixto Rodriguez (of Searching for Sugar Man) in Detroit in 1970, the hoax is characterized in the following terms:




only late-breast-fed fools believe it




This line has made me curious. Is this just an idiosyncratic poetic riff on slow development, or have individuals(who shed light on their societies) or societies in history attributed late breastfeeding with low intelligence?







music folklore health






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edited 51 mins ago









Rohit

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Luke SawczakLuke Sawczak

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  • 1





    I'm voting to close this question as off-topic because If you're asking about folklore, this question should be on Mythology SE.

    – Spencer
    6 hours ago








  • 2





    @Spencer See my comment below Lars's answer. Clearly not a question of mythology but of folk wisdom (the term I should have used).

    – Luke Sawczak
    5 hours ago














  • 1





    I'm voting to close this question as off-topic because If you're asking about folklore, this question should be on Mythology SE.

    – Spencer
    6 hours ago








  • 2





    @Spencer See my comment below Lars's answer. Clearly not a question of mythology but of folk wisdom (the term I should have used).

    – Luke Sawczak
    5 hours ago








1




1





I'm voting to close this question as off-topic because If you're asking about folklore, this question should be on Mythology SE.

– Spencer
6 hours ago







I'm voting to close this question as off-topic because If you're asking about folklore, this question should be on Mythology SE.

– Spencer
6 hours ago






2




2





@Spencer See my comment below Lars's answer. Clearly not a question of mythology but of folk wisdom (the term I should have used).

– Luke Sawczak
5 hours ago





@Spencer See my comment below Lars's answer. Clearly not a question of mythology but of folk wisdom (the term I should have used).

– Luke Sawczak
5 hours ago










3 Answers
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6














However one interprets "late-breast-fed fools", Sixto Rodriguez is unlikely to be referring to any folklore, nor to any widely held belief. Poverty and / or class prejudice are more likely references.



In an article, The Folklore of Breastfeeding, Marie Walter cites Alexander Krappe:




The folklorist Alexander Krappe commented in his Science of Folklore,
published in 1929, that late weaning is a "common custom among the
lower orders of European society and the poor whites of the former
Slave states of the Union."




Krappe, who's book can be viewed here, makes no connection between this observation and low intelligence, and nor does Walter's article. There has, however,




long been speculation that extended breastfeeding adversely
impacts on maternal and child health. A note in the Lancet in 1842
records the case of a woman who breastfed her child for over 3 years
and then developed epilepsy.




Also, in their article Breast Feeding Beyond Six Months: Mothers' Perceptions of the Positive and Negative Consequences, authors S. B. Reamer & M. Sugarman noted that:




Over the past 100 years of American history,...the age acceptable for
weaning dropped dramatically, until the average weaning age was three
months in the 1970s. Friends and health professionals tended to
express disapproval when mothers nursed past this age....



...Because of social stigma, mothers successfully nursing children
over 6 months of age frequently hide their practice from all but very
supportive persons.




The authors also conducted a survey among mothers. Although it was not representative of the general population, the opinions expressed by those surveyed were overwhelmingly positive (and mostly related to emotional development); intelligence was not listed among either the negatives or the positives.





Sixto Rodriguez is noted for his political activism, penning lyrics against "the injustices faced by the inner-city poor". The official Rodriguez website, SugarMan.org refers to Rodriguez's "working class vitriol" in the lyrics of Rich Folks Hoax.





Actually, in folklore, late weaning is perhaps most notably associated with heroes and strength. Walter again:




In folktales we find that culture heroes and giants frequently had a
long suckling period: Beowulf, for instance. A man called Strong John
who appears in a number of English tales goes thrashing about
uprooting trees while he is still nursing.




It should be noted that, among Beowulf's many qualities, was intelligence.






share|improve this answer





















  • 1





    Indeed, by "folklore" I meant only "popular knowledge". Good answer!

    – Luke Sawczak
    14 hours ago



















3














I suspect it's just a poetic riff on the less well off in society.



I only did some cursory googling (searching for myths, misconceptions, etc.), but I failed to find the slightest trace of hints that breastfeeding until very late can lead to low development or anything of the sort. However, Lars's answer raises that late weaning was relatively common in less well off populations.



That being said, there was some crazy stuff out there in the late 19th century. For instance, Jacqueline Wolf, a historian of women's and childrens' health, notes in this interview on the history of the breastfeeding debate (webcache in case you disagree with Times' privacy policies) that:




There was a large group of doctors who feared that when girls were in school during the time they were going through puberty, their reproductive systems were competing with their brains for energy, and their brains were winning — the over-education of girls.




Also, there apparently are some (conflicting) studies on the topic of late leaning, with some of them apparently warning against it -- on the basis that it can introduce dietary deficiencies or increase the risk of getting food allergies. I've honestly no idea of what their merit are.






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  • This is not musical folklore but medical! And social! BF and weaning time is judged according to the fashions. Now we 'know' that noBF is 'bad' but we do not know the ideal time to wean. But that never stopped gurus to hand out guidelines – which are then followed more strictly by the upper classes, which tend to fare better in life (by fiscal inheritance) but produce a spurious correlation with intelligence; ie here: BF-morals.

    – LangLangC
    16 hours ago






  • 1





    @LangLangC: I take it you were commenting on the last paragraph. As an aside, another piece of interesting information that turned up while googling was a campaign group against the orthodoxy that breastfeeding is great (at all costs): fed is best.

    – Denis de Bernardy
    16 hours ago











  • Indeed. And if you add captialist industry (Mr Nestle) and the specific time of '70s' I'll stop writing my own answer and start feeding this A a bit more, but it's then bottle-only ;)

    – LangLangC
    16 hours ago






  • 2





    Hehe. Please don't forget to mention the Kennedy hearings in your answer if you discuss Nestlé. :-)

    – Denis de Bernardy
    16 hours ago



















2














We have to look at the time this song was written and where.



It is indeed a simple allusion to backwardness and lower class. In other words: there was a certain folklore associating late breastfeeding with low intelligence and/or gullibility.



Whether or not to breast feed, how and for how long is as much a medical problem to solve, plus of course a basic human necessity, as it is and was a marker of social difference.



Still during the seventies women were often advised and believed it better to wean babies as soon as possible. Not doing that was seen as excessively traditionalist or hillbillyness.



From personal contacts I was told by mothers of that era that during the seventies all "modern women" were expected to wean their babies after 6 weeks.




By the 1950s, the predominant attitude to breastfeeding was that it was something practiced by the uneducated and those of lower classes. The practice was considered old-fashioned and "a little disgusting" for those who could not afford infant formula and discouraged by medical practitioners and media of the time. (WP)




That changed. Again.




Breast milk is the optimal form of nutrition in infancy. Breastfeeding protects an infant from a wide array of infectious and noninfectious diseases. With very few exceptions, in the healthy term infant, breast milk alone (with vitamin D supplementation) meets all of the nutritional requirements up to six months of life. The Canadian Paediatric Society, Dietitians of Canada, and Health Canada recommend exclusive breastfeeding for at least the first four to six months of life, and continuing with complementary foods for up to two years and beyond (1). The World Health Organization recommends exclusive breastfeeding for the first six months of life in both developing and developed countries (2).[…]




That is our current, decidedly Western, common medical understanding of the issue of breast feeding and weaning. But this is a story with quite a ride in it, mainly during the late 19th and entire 20th century (or even earlier). The 'optimal' weaning time is still very much debated. This constant changing over and around of medical advice for this behaviour indicates quite strongly that it follows fashion rather than what all doctors and politicians (as we have to call them) thought of always at their respective time as science and scientific advice.




Durations of breastfeeding were generally longer in ancient times than in western society today. Aristotle stated that breastfeeding should continue for 12 to 18 months, or when menses restarted in the nursing mother. Mothers in Zulu societies have traditionally breastfed their infants until 12 to 18 months, at which point a new pregnancy would be anticipated. Ancient Hebrews completed weaning at about three years. Most children in traditional societies are completely weaned between two and four years of age.



Anthropological theories have recommended final weaning at the following points: when the infant acquires four times his birth weight; when the infant’s age is six times the length of gestation (ie, 4.5 years); or when the first molar erupts (6).



The inappropriate early introduction of mixed feedings began in early 19th century western society. Prominent physicians at that time, such as American Pediatric Society founders Dr Luther Emmett Holt and Dr Job Lewis Smith, recommended that weaning begin at around nine to 12 months of age, or when the canine teeth appeared (6). Smith recommended against weaning during the summer months because of the risk of ‘weanling diarrhea’. Unfortunately, as weaning began earlier and earlier in the 19th century, infant mortality increased. Introduction of weaning foods was an important cause of infant mortality in the 19th century. This increase in infant mortality, in part, spurred the development of paediatrics as a specialty in medicine (6).



In the early 20th century, mothers were encouraged by the medical community to raise their children scientifically or ‘by the book’. In the 1920s, the United States government published Infant Care, which at the time was referred to as the ‘good book’ and was read by women from all socioeconomic statuses. It recommended cod liver oil, orange juice and artificial feeding.



By 1940, the Honourable Paul Martin, Minister of National Health and Welfare, Ottawa, Ontario, published The Canadian Mother and Child (8th edn, 1949) written by Dr Ernest Couture. Over two million copies were distributed to new and expectant mothers before its first revision in 1949. Couture emphasized breast milk as the ideal form of nutrition for babies.



More recently, according to Health Canada, in 1998/1999, 81.9% of children were breastfed for some time. Among those infants who were breastfed, 63.0% were still breastfeeding after three months. Breastfeeding duration rates vary depending on maternal age. While only 49.1% of breastfed infants of mothers 25 years or younger continue to breastfeed after three months, 74.9% of breastfed infants of mothers 35 years or older continue to breastfeed beyond three months (7). The most common reason mothers give for weaning is a perceived insufficient milk supply. Among women who breastfeed for longer than three months, one of the most important reasons for weaning is returning to work (8).



The Canadian breastfeeding statistics may continue to improve because many mothers can now delay returning to work until 12 months postpartum. This practice is facilitated by the federal government’s changes in employment insurance for new mothers which now allows them to take up to 12 months of paid maternity leave.



In the United States, rates of breastfeeding are lower. As of 1998, 64% of infants are breastfeeding at hospital discharge and 29% are still breastfeeding at six months (9).
Canadian Paediatric Society: "Weaning from the breast", Paediatr Child Health. 2004 Apr; 9(4): 249–253.




We see that while earlier the better off elites of society had a much higher chance of being breastfed by wet-nurses, and perhaps even their own mothers, with the rise of milk powder and formulas the better offs tended to be fed 'by the books', that is: weaned early.



These methods of feeding are not only 'modern' but also expensive. This leads to a very simple observation: This is not a musical folklore but an allusion to medical folklore! And social! Breast feeding and weaning time was and is judged according to the fashions. Now, we 'know' that not breast-feeding at all is 'bad' but and weaning too early is bad as well. But we do not know the 'ideal' time to wean. But that never stopped the gurus to hand out guidelines – which are then followed more strictly by the upper classes, and then those tend to fare better in life, mainly by fiscal inheritance, but this produces a spurious correlation with intelligence; ie here: breast feeding morals.



This chaotic pendulum circles over different centers at different times:




Nutritional deficiencies with increased morbidity (e.g., scurvy and rickets) appeared as breastfeeding diminished. Data from the US census of 1900-1910 revealed that children who were breastfed had a 40% lower mortality rate than did their formula-fed peers. Modern medicine adopted calorimetric methods for infant feeding and the concepts of bacteriology to help advance a ”clean milk campaign” that favored the advocacy of formula feeding. By 1950, pediatricians recommended the introduction of vegetables to the diet at age 4 months. Thus, the advent of commercial interests and the modern professional advice led to the decrease in the rate of breastfeeding in the twentieth century.
Yvette Piovanetti: "Breastfeeding Beyond 12 Months. An Historical Perspective", Pediatric Clinics Of North America
Volume 48 * Number 1 February 2001. DOI



Ironically, at the same time women in some deprived areas of the world are abandoning breastfeeding at an alarming rate because they believe it to be "low class" and "illiterate."
Marie Walter: "The Folklore Of Breastfeeding", Bul. N.Y. Acad. Med., Vol.51, No.7, July-August 1975.




Some back and forth in social aspects of what was seen as purely scientific or at least rational judgement:




This was the situation in the Workman home, where the wet nurse, dubbed "Irish Mary," retained her position in spite of serious problems. According to Workman, Mary never learned how to care for her suckling and, on one occasion, put the child in mortal danger. Workman had observed her standing in the middle of the street, holding the baby, and staring at a rapidly oncoming carriage. Workman's complaint about Mary's lack of knowledge echoed that of many physicians. Conflating immorality with ignorance, pediatrician Rowland Godfrey Freeman alleged that "unmarried mothers are women of a low grade of intelligences," and, as a result, they "cannot be trusted to care for the baby on account of ignorance or unreliability. "



A week after Mary's departure Workman found a replacement, a wet nurse she never referred to by name, but who might well have been called Irish Mary the Second. The woman resembled her predecessor in a number of ways, including her background, her adjudged lack of intelligence, and her concern for her own baby. The new employee claimed to be an Englishwoman but soon revealed her true origins when she opened her mouth and spoke in "broad Irish." Although the wet nurse was healthy, Workman found her appearance unattractive and referred to her face as having a "most heavy, unintelligent mould." Consequently, the wet nurse required constant observation.



What concerned Louise J. were obvious defects, not hidden diseases. She suspected that wet nurses lacked even "average mental or moral qualifications"; and the response she received supported her assumption. Wet nurses did not come from "the highly-intelligent classes" the expert attested, but added that few were "distinctly vicious." They were, however, women who had given birth out of wedlock. The reference to this fact by Louise J., who admitted at the outset that she intended to use wet nurses in the future, suggested that morality remained an intractable complaint - one that did not prevent a wet nurse from being hired, but one that also never ceased to cause concern. Like the drone of employers who complained about their lazy servants but could not live without them, the frequent references to the moral limits of wet nurses were overshadowed by the reality of their effectiveness. Both Louise J. and her respondent knew this.



The most active forum for scientific mothers, Babyhood magazine, was "Devoted Exclusively to the Care of Infants and Young Children, and the General Interests of the Nursery." It began publication in 1884, supplying expert advice to women who viewed child rearing as a highly demanding discipline. The magazine employed leading pediatricians to write articles and answer questions from readers. By 1885 it had earned an endorsement from the American Medical Association. One of its editors, Leroy M. Yale, was a physician and at one time, a lecturer on diseases of children at Bellevue Hospital Medical College in New York City. The other editor was the domestic writer Mary Terhune, who had denounced wet nurses in her book Eve's Daughters. The prolific author of twenty-five popular books on domestic matters, as well as twenty-five novels, Terhune (who published under the name Marion Harland) believed strongly in artificial feeding. Not unexpectedly, when subscribers opened the pages of Babyhood or similar publications, they found a plethora of advertisements for commercially manufactured infant foods bordering the many articles about infant feeding. Terhune herself penned the advertising booklet for Carnrick's Soluble Food. (p 162–165)



The founding in 1956 of the La Leche League, an organization dedicated to "the womanly art of breast feeding," and the resurgence of maternal nursing in the "baby bust" years that soon followed, suggest that a fundamental reconception of middle-class maternity was underway. According to the National Center for Health Statistics, the number of American women nursing their babies immediately after birth rose from 24.7 percent in 1971 to 55.3 percent in 1981. In many cases the duration of nursing proved very brief. Even so, the figures seem to indicate that women believed they should make an effort to breast-feed. In. 1982 maternal breast-feeding rates peaked at 61.9 percent, although by six months of age only 27.1 percent of babies were still being breast-fed. The latter figure was, nevertheless, five times higher than it had been in 1971, when the rate was only 5.4 percent.



The reasons for the recrudescence of maternal nursing are numerous and to some degree contradictory. They include a feminist and countercultural rejection of medical authoritarianism (also evident in the embrace of the natural-childbirth movement) and at the same time reflect the continuing influence of the earlier "baby boom" generation, which constructed motherhood as a vocation. Yet, motherhood was not women's only vocation in the 1970s. The growth in maternal nursing paralleled an increase in the labor force participation rate of women with young children. This points to another critical factor: growing rates of maternal nursing were not universal, but were class based. Middle-class mothers embraced breastfeeding at a time when low-income women continued the practice of bottle-feeding. The use of mothering style as a demarcation of class — evident in the nineteenth century when well-to-do women saw breast-feeding by lower-class women as animal like – obviously continued in the late twentieth century.
Janet Golden: "A social history of wet nursing in America. From breast to bottle", Cambridge History of Medicine, Cambridge University Press: Cambridge, New York, 1996, p204. DOI




It should be self-evident from the above (and really the question here in itself) that the song line didn't age so well, as the current fashion would suggest the opposite: longer feeding yields better outcomes in health in later life.




Comparison of the results from the four stable isotope studies to those of other published studies reveals that the modal age at the end of weaning was slightly lower in agricultural communities than hunter-gatherer communities, but the range of ages was similar. Weaning prior to the age of eighteen months was rare before the post-medieval period. It is argued that the gradual reduction in breastfeeding duration since the Neolithic, and the replacement of breastmilk with animal milk products, means that on the whole the development of agriculture probably served to increase infant morbidity and mortality.
Rachel Howcroft: "Weaned Upon A Time Studies of the infant diet in prehistory", Dissertation, Stockholm University, 2013. (PDF)




But maybe this line can still resonate in certain demographics or even more in mental pictures others have about them:




enter image description here
R J Harris: "Nutrition in the 21st century: what is going wrong", Arch Dis Child 2004;89:154–158. doi: 10.1136/adc.2003.019703 (PDF)







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  • 2





    Very nice sources. I don't think the last graph shows the particular groups Rodriguez had in mind but it's interesting to consider how it might be read today...

    – Luke Sawczak
    14 hours ago






  • 1





    @LukeSawczak Well, certainly not. But it illustrates nicely that the actual medical science behind this is much less important than the social marker of difference.

    – LangLangC
    14 hours ago






  • 1





    Ah, yeah. Good point.

    – Luke Sawczak
    14 hours ago












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6














However one interprets "late-breast-fed fools", Sixto Rodriguez is unlikely to be referring to any folklore, nor to any widely held belief. Poverty and / or class prejudice are more likely references.



In an article, The Folklore of Breastfeeding, Marie Walter cites Alexander Krappe:




The folklorist Alexander Krappe commented in his Science of Folklore,
published in 1929, that late weaning is a "common custom among the
lower orders of European society and the poor whites of the former
Slave states of the Union."




Krappe, who's book can be viewed here, makes no connection between this observation and low intelligence, and nor does Walter's article. There has, however,




long been speculation that extended breastfeeding adversely
impacts on maternal and child health. A note in the Lancet in 1842
records the case of a woman who breastfed her child for over 3 years
and then developed epilepsy.




Also, in their article Breast Feeding Beyond Six Months: Mothers' Perceptions of the Positive and Negative Consequences, authors S. B. Reamer & M. Sugarman noted that:




Over the past 100 years of American history,...the age acceptable for
weaning dropped dramatically, until the average weaning age was three
months in the 1970s. Friends and health professionals tended to
express disapproval when mothers nursed past this age....



...Because of social stigma, mothers successfully nursing children
over 6 months of age frequently hide their practice from all but very
supportive persons.




The authors also conducted a survey among mothers. Although it was not representative of the general population, the opinions expressed by those surveyed were overwhelmingly positive (and mostly related to emotional development); intelligence was not listed among either the negatives or the positives.





Sixto Rodriguez is noted for his political activism, penning lyrics against "the injustices faced by the inner-city poor". The official Rodriguez website, SugarMan.org refers to Rodriguez's "working class vitriol" in the lyrics of Rich Folks Hoax.





Actually, in folklore, late weaning is perhaps most notably associated with heroes and strength. Walter again:




In folktales we find that culture heroes and giants frequently had a
long suckling period: Beowulf, for instance. A man called Strong John
who appears in a number of English tales goes thrashing about
uprooting trees while he is still nursing.




It should be noted that, among Beowulf's many qualities, was intelligence.






share|improve this answer





















  • 1





    Indeed, by "folklore" I meant only "popular knowledge". Good answer!

    – Luke Sawczak
    14 hours ago
















6














However one interprets "late-breast-fed fools", Sixto Rodriguez is unlikely to be referring to any folklore, nor to any widely held belief. Poverty and / or class prejudice are more likely references.



In an article, The Folklore of Breastfeeding, Marie Walter cites Alexander Krappe:




The folklorist Alexander Krappe commented in his Science of Folklore,
published in 1929, that late weaning is a "common custom among the
lower orders of European society and the poor whites of the former
Slave states of the Union."




Krappe, who's book can be viewed here, makes no connection between this observation and low intelligence, and nor does Walter's article. There has, however,




long been speculation that extended breastfeeding adversely
impacts on maternal and child health. A note in the Lancet in 1842
records the case of a woman who breastfed her child for over 3 years
and then developed epilepsy.




Also, in their article Breast Feeding Beyond Six Months: Mothers' Perceptions of the Positive and Negative Consequences, authors S. B. Reamer & M. Sugarman noted that:




Over the past 100 years of American history,...the age acceptable for
weaning dropped dramatically, until the average weaning age was three
months in the 1970s. Friends and health professionals tended to
express disapproval when mothers nursed past this age....



...Because of social stigma, mothers successfully nursing children
over 6 months of age frequently hide their practice from all but very
supportive persons.




The authors also conducted a survey among mothers. Although it was not representative of the general population, the opinions expressed by those surveyed were overwhelmingly positive (and mostly related to emotional development); intelligence was not listed among either the negatives or the positives.





Sixto Rodriguez is noted for his political activism, penning lyrics against "the injustices faced by the inner-city poor". The official Rodriguez website, SugarMan.org refers to Rodriguez's "working class vitriol" in the lyrics of Rich Folks Hoax.





Actually, in folklore, late weaning is perhaps most notably associated with heroes and strength. Walter again:




In folktales we find that culture heroes and giants frequently had a
long suckling period: Beowulf, for instance. A man called Strong John
who appears in a number of English tales goes thrashing about
uprooting trees while he is still nursing.




It should be noted that, among Beowulf's many qualities, was intelligence.






share|improve this answer





















  • 1





    Indeed, by "folklore" I meant only "popular knowledge". Good answer!

    – Luke Sawczak
    14 hours ago














6












6








6







However one interprets "late-breast-fed fools", Sixto Rodriguez is unlikely to be referring to any folklore, nor to any widely held belief. Poverty and / or class prejudice are more likely references.



In an article, The Folklore of Breastfeeding, Marie Walter cites Alexander Krappe:




The folklorist Alexander Krappe commented in his Science of Folklore,
published in 1929, that late weaning is a "common custom among the
lower orders of European society and the poor whites of the former
Slave states of the Union."




Krappe, who's book can be viewed here, makes no connection between this observation and low intelligence, and nor does Walter's article. There has, however,




long been speculation that extended breastfeeding adversely
impacts on maternal and child health. A note in the Lancet in 1842
records the case of a woman who breastfed her child for over 3 years
and then developed epilepsy.




Also, in their article Breast Feeding Beyond Six Months: Mothers' Perceptions of the Positive and Negative Consequences, authors S. B. Reamer & M. Sugarman noted that:




Over the past 100 years of American history,...the age acceptable for
weaning dropped dramatically, until the average weaning age was three
months in the 1970s. Friends and health professionals tended to
express disapproval when mothers nursed past this age....



...Because of social stigma, mothers successfully nursing children
over 6 months of age frequently hide their practice from all but very
supportive persons.




The authors also conducted a survey among mothers. Although it was not representative of the general population, the opinions expressed by those surveyed were overwhelmingly positive (and mostly related to emotional development); intelligence was not listed among either the negatives or the positives.





Sixto Rodriguez is noted for his political activism, penning lyrics against "the injustices faced by the inner-city poor". The official Rodriguez website, SugarMan.org refers to Rodriguez's "working class vitriol" in the lyrics of Rich Folks Hoax.





Actually, in folklore, late weaning is perhaps most notably associated with heroes and strength. Walter again:




In folktales we find that culture heroes and giants frequently had a
long suckling period: Beowulf, for instance. A man called Strong John
who appears in a number of English tales goes thrashing about
uprooting trees while he is still nursing.




It should be noted that, among Beowulf's many qualities, was intelligence.






share|improve this answer















However one interprets "late-breast-fed fools", Sixto Rodriguez is unlikely to be referring to any folklore, nor to any widely held belief. Poverty and / or class prejudice are more likely references.



In an article, The Folklore of Breastfeeding, Marie Walter cites Alexander Krappe:




The folklorist Alexander Krappe commented in his Science of Folklore,
published in 1929, that late weaning is a "common custom among the
lower orders of European society and the poor whites of the former
Slave states of the Union."




Krappe, who's book can be viewed here, makes no connection between this observation and low intelligence, and nor does Walter's article. There has, however,




long been speculation that extended breastfeeding adversely
impacts on maternal and child health. A note in the Lancet in 1842
records the case of a woman who breastfed her child for over 3 years
and then developed epilepsy.




Also, in their article Breast Feeding Beyond Six Months: Mothers' Perceptions of the Positive and Negative Consequences, authors S. B. Reamer & M. Sugarman noted that:




Over the past 100 years of American history,...the age acceptable for
weaning dropped dramatically, until the average weaning age was three
months in the 1970s. Friends and health professionals tended to
express disapproval when mothers nursed past this age....



...Because of social stigma, mothers successfully nursing children
over 6 months of age frequently hide their practice from all but very
supportive persons.




The authors also conducted a survey among mothers. Although it was not representative of the general population, the opinions expressed by those surveyed were overwhelmingly positive (and mostly related to emotional development); intelligence was not listed among either the negatives or the positives.





Sixto Rodriguez is noted for his political activism, penning lyrics against "the injustices faced by the inner-city poor". The official Rodriguez website, SugarMan.org refers to Rodriguez's "working class vitriol" in the lyrics of Rich Folks Hoax.





Actually, in folklore, late weaning is perhaps most notably associated with heroes and strength. Walter again:




In folktales we find that culture heroes and giants frequently had a
long suckling period: Beowulf, for instance. A man called Strong John
who appears in a number of English tales goes thrashing about
uprooting trees while he is still nursing.




It should be noted that, among Beowulf's many qualities, was intelligence.







share|improve this answer














share|improve this answer



share|improve this answer








edited 2 mins ago

























answered 18 hours ago









Lars BosteenLars Bosteen

44.1k9204272




44.1k9204272








  • 1





    Indeed, by "folklore" I meant only "popular knowledge". Good answer!

    – Luke Sawczak
    14 hours ago














  • 1





    Indeed, by "folklore" I meant only "popular knowledge". Good answer!

    – Luke Sawczak
    14 hours ago








1




1





Indeed, by "folklore" I meant only "popular knowledge". Good answer!

– Luke Sawczak
14 hours ago





Indeed, by "folklore" I meant only "popular knowledge". Good answer!

– Luke Sawczak
14 hours ago











3














I suspect it's just a poetic riff on the less well off in society.



I only did some cursory googling (searching for myths, misconceptions, etc.), but I failed to find the slightest trace of hints that breastfeeding until very late can lead to low development or anything of the sort. However, Lars's answer raises that late weaning was relatively common in less well off populations.



That being said, there was some crazy stuff out there in the late 19th century. For instance, Jacqueline Wolf, a historian of women's and childrens' health, notes in this interview on the history of the breastfeeding debate (webcache in case you disagree with Times' privacy policies) that:




There was a large group of doctors who feared that when girls were in school during the time they were going through puberty, their reproductive systems were competing with their brains for energy, and their brains were winning — the over-education of girls.




Also, there apparently are some (conflicting) studies on the topic of late leaning, with some of them apparently warning against it -- on the basis that it can introduce dietary deficiencies or increase the risk of getting food allergies. I've honestly no idea of what their merit are.






share|improve this answer


























  • This is not musical folklore but medical! And social! BF and weaning time is judged according to the fashions. Now we 'know' that noBF is 'bad' but we do not know the ideal time to wean. But that never stopped gurus to hand out guidelines – which are then followed more strictly by the upper classes, which tend to fare better in life (by fiscal inheritance) but produce a spurious correlation with intelligence; ie here: BF-morals.

    – LangLangC
    16 hours ago






  • 1





    @LangLangC: I take it you were commenting on the last paragraph. As an aside, another piece of interesting information that turned up while googling was a campaign group against the orthodoxy that breastfeeding is great (at all costs): fed is best.

    – Denis de Bernardy
    16 hours ago











  • Indeed. And if you add captialist industry (Mr Nestle) and the specific time of '70s' I'll stop writing my own answer and start feeding this A a bit more, but it's then bottle-only ;)

    – LangLangC
    16 hours ago






  • 2





    Hehe. Please don't forget to mention the Kennedy hearings in your answer if you discuss Nestlé. :-)

    – Denis de Bernardy
    16 hours ago
















3














I suspect it's just a poetic riff on the less well off in society.



I only did some cursory googling (searching for myths, misconceptions, etc.), but I failed to find the slightest trace of hints that breastfeeding until very late can lead to low development or anything of the sort. However, Lars's answer raises that late weaning was relatively common in less well off populations.



That being said, there was some crazy stuff out there in the late 19th century. For instance, Jacqueline Wolf, a historian of women's and childrens' health, notes in this interview on the history of the breastfeeding debate (webcache in case you disagree with Times' privacy policies) that:




There was a large group of doctors who feared that when girls were in school during the time they were going through puberty, their reproductive systems were competing with their brains for energy, and their brains were winning — the over-education of girls.




Also, there apparently are some (conflicting) studies on the topic of late leaning, with some of them apparently warning against it -- on the basis that it can introduce dietary deficiencies or increase the risk of getting food allergies. I've honestly no idea of what their merit are.






share|improve this answer


























  • This is not musical folklore but medical! And social! BF and weaning time is judged according to the fashions. Now we 'know' that noBF is 'bad' but we do not know the ideal time to wean. But that never stopped gurus to hand out guidelines – which are then followed more strictly by the upper classes, which tend to fare better in life (by fiscal inheritance) but produce a spurious correlation with intelligence; ie here: BF-morals.

    – LangLangC
    16 hours ago






  • 1





    @LangLangC: I take it you were commenting on the last paragraph. As an aside, another piece of interesting information that turned up while googling was a campaign group against the orthodoxy that breastfeeding is great (at all costs): fed is best.

    – Denis de Bernardy
    16 hours ago











  • Indeed. And if you add captialist industry (Mr Nestle) and the specific time of '70s' I'll stop writing my own answer and start feeding this A a bit more, but it's then bottle-only ;)

    – LangLangC
    16 hours ago






  • 2





    Hehe. Please don't forget to mention the Kennedy hearings in your answer if you discuss Nestlé. :-)

    – Denis de Bernardy
    16 hours ago














3












3








3







I suspect it's just a poetic riff on the less well off in society.



I only did some cursory googling (searching for myths, misconceptions, etc.), but I failed to find the slightest trace of hints that breastfeeding until very late can lead to low development or anything of the sort. However, Lars's answer raises that late weaning was relatively common in less well off populations.



That being said, there was some crazy stuff out there in the late 19th century. For instance, Jacqueline Wolf, a historian of women's and childrens' health, notes in this interview on the history of the breastfeeding debate (webcache in case you disagree with Times' privacy policies) that:




There was a large group of doctors who feared that when girls were in school during the time they were going through puberty, their reproductive systems were competing with their brains for energy, and their brains were winning — the over-education of girls.




Also, there apparently are some (conflicting) studies on the topic of late leaning, with some of them apparently warning against it -- on the basis that it can introduce dietary deficiencies or increase the risk of getting food allergies. I've honestly no idea of what their merit are.






share|improve this answer















I suspect it's just a poetic riff on the less well off in society.



I only did some cursory googling (searching for myths, misconceptions, etc.), but I failed to find the slightest trace of hints that breastfeeding until very late can lead to low development or anything of the sort. However, Lars's answer raises that late weaning was relatively common in less well off populations.



That being said, there was some crazy stuff out there in the late 19th century. For instance, Jacqueline Wolf, a historian of women's and childrens' health, notes in this interview on the history of the breastfeeding debate (webcache in case you disagree with Times' privacy policies) that:




There was a large group of doctors who feared that when girls were in school during the time they were going through puberty, their reproductive systems were competing with their brains for energy, and their brains were winning — the over-education of girls.




Also, there apparently are some (conflicting) studies on the topic of late leaning, with some of them apparently warning against it -- on the basis that it can introduce dietary deficiencies or increase the risk of getting food allergies. I've honestly no idea of what their merit are.







share|improve this answer














share|improve this answer



share|improve this answer








edited 16 hours ago

























answered 18 hours ago









Denis de BernardyDenis de Bernardy

14.3k24655




14.3k24655













  • This is not musical folklore but medical! And social! BF and weaning time is judged according to the fashions. Now we 'know' that noBF is 'bad' but we do not know the ideal time to wean. But that never stopped gurus to hand out guidelines – which are then followed more strictly by the upper classes, which tend to fare better in life (by fiscal inheritance) but produce a spurious correlation with intelligence; ie here: BF-morals.

    – LangLangC
    16 hours ago






  • 1





    @LangLangC: I take it you were commenting on the last paragraph. As an aside, another piece of interesting information that turned up while googling was a campaign group against the orthodoxy that breastfeeding is great (at all costs): fed is best.

    – Denis de Bernardy
    16 hours ago











  • Indeed. And if you add captialist industry (Mr Nestle) and the specific time of '70s' I'll stop writing my own answer and start feeding this A a bit more, but it's then bottle-only ;)

    – LangLangC
    16 hours ago






  • 2





    Hehe. Please don't forget to mention the Kennedy hearings in your answer if you discuss Nestlé. :-)

    – Denis de Bernardy
    16 hours ago



















  • This is not musical folklore but medical! And social! BF and weaning time is judged according to the fashions. Now we 'know' that noBF is 'bad' but we do not know the ideal time to wean. But that never stopped gurus to hand out guidelines – which are then followed more strictly by the upper classes, which tend to fare better in life (by fiscal inheritance) but produce a spurious correlation with intelligence; ie here: BF-morals.

    – LangLangC
    16 hours ago






  • 1





    @LangLangC: I take it you were commenting on the last paragraph. As an aside, another piece of interesting information that turned up while googling was a campaign group against the orthodoxy that breastfeeding is great (at all costs): fed is best.

    – Denis de Bernardy
    16 hours ago











  • Indeed. And if you add captialist industry (Mr Nestle) and the specific time of '70s' I'll stop writing my own answer and start feeding this A a bit more, but it's then bottle-only ;)

    – LangLangC
    16 hours ago






  • 2





    Hehe. Please don't forget to mention the Kennedy hearings in your answer if you discuss Nestlé. :-)

    – Denis de Bernardy
    16 hours ago

















This is not musical folklore but medical! And social! BF and weaning time is judged according to the fashions. Now we 'know' that noBF is 'bad' but we do not know the ideal time to wean. But that never stopped gurus to hand out guidelines – which are then followed more strictly by the upper classes, which tend to fare better in life (by fiscal inheritance) but produce a spurious correlation with intelligence; ie here: BF-morals.

– LangLangC
16 hours ago





This is not musical folklore but medical! And social! BF and weaning time is judged according to the fashions. Now we 'know' that noBF is 'bad' but we do not know the ideal time to wean. But that never stopped gurus to hand out guidelines – which are then followed more strictly by the upper classes, which tend to fare better in life (by fiscal inheritance) but produce a spurious correlation with intelligence; ie here: BF-morals.

– LangLangC
16 hours ago




1




1





@LangLangC: I take it you were commenting on the last paragraph. As an aside, another piece of interesting information that turned up while googling was a campaign group against the orthodoxy that breastfeeding is great (at all costs): fed is best.

– Denis de Bernardy
16 hours ago





@LangLangC: I take it you were commenting on the last paragraph. As an aside, another piece of interesting information that turned up while googling was a campaign group against the orthodoxy that breastfeeding is great (at all costs): fed is best.

– Denis de Bernardy
16 hours ago













Indeed. And if you add captialist industry (Mr Nestle) and the specific time of '70s' I'll stop writing my own answer and start feeding this A a bit more, but it's then bottle-only ;)

– LangLangC
16 hours ago





Indeed. And if you add captialist industry (Mr Nestle) and the specific time of '70s' I'll stop writing my own answer and start feeding this A a bit more, but it's then bottle-only ;)

– LangLangC
16 hours ago




2




2





Hehe. Please don't forget to mention the Kennedy hearings in your answer if you discuss Nestlé. :-)

– Denis de Bernardy
16 hours ago





Hehe. Please don't forget to mention the Kennedy hearings in your answer if you discuss Nestlé. :-)

– Denis de Bernardy
16 hours ago











2














We have to look at the time this song was written and where.



It is indeed a simple allusion to backwardness and lower class. In other words: there was a certain folklore associating late breastfeeding with low intelligence and/or gullibility.



Whether or not to breast feed, how and for how long is as much a medical problem to solve, plus of course a basic human necessity, as it is and was a marker of social difference.



Still during the seventies women were often advised and believed it better to wean babies as soon as possible. Not doing that was seen as excessively traditionalist or hillbillyness.



From personal contacts I was told by mothers of that era that during the seventies all "modern women" were expected to wean their babies after 6 weeks.




By the 1950s, the predominant attitude to breastfeeding was that it was something practiced by the uneducated and those of lower classes. The practice was considered old-fashioned and "a little disgusting" for those who could not afford infant formula and discouraged by medical practitioners and media of the time. (WP)




That changed. Again.




Breast milk is the optimal form of nutrition in infancy. Breastfeeding protects an infant from a wide array of infectious and noninfectious diseases. With very few exceptions, in the healthy term infant, breast milk alone (with vitamin D supplementation) meets all of the nutritional requirements up to six months of life. The Canadian Paediatric Society, Dietitians of Canada, and Health Canada recommend exclusive breastfeeding for at least the first four to six months of life, and continuing with complementary foods for up to two years and beyond (1). The World Health Organization recommends exclusive breastfeeding for the first six months of life in both developing and developed countries (2).[…]




That is our current, decidedly Western, common medical understanding of the issue of breast feeding and weaning. But this is a story with quite a ride in it, mainly during the late 19th and entire 20th century (or even earlier). The 'optimal' weaning time is still very much debated. This constant changing over and around of medical advice for this behaviour indicates quite strongly that it follows fashion rather than what all doctors and politicians (as we have to call them) thought of always at their respective time as science and scientific advice.




Durations of breastfeeding were generally longer in ancient times than in western society today. Aristotle stated that breastfeeding should continue for 12 to 18 months, or when menses restarted in the nursing mother. Mothers in Zulu societies have traditionally breastfed their infants until 12 to 18 months, at which point a new pregnancy would be anticipated. Ancient Hebrews completed weaning at about three years. Most children in traditional societies are completely weaned between two and four years of age.



Anthropological theories have recommended final weaning at the following points: when the infant acquires four times his birth weight; when the infant’s age is six times the length of gestation (ie, 4.5 years); or when the first molar erupts (6).



The inappropriate early introduction of mixed feedings began in early 19th century western society. Prominent physicians at that time, such as American Pediatric Society founders Dr Luther Emmett Holt and Dr Job Lewis Smith, recommended that weaning begin at around nine to 12 months of age, or when the canine teeth appeared (6). Smith recommended against weaning during the summer months because of the risk of ‘weanling diarrhea’. Unfortunately, as weaning began earlier and earlier in the 19th century, infant mortality increased. Introduction of weaning foods was an important cause of infant mortality in the 19th century. This increase in infant mortality, in part, spurred the development of paediatrics as a specialty in medicine (6).



In the early 20th century, mothers were encouraged by the medical community to raise their children scientifically or ‘by the book’. In the 1920s, the United States government published Infant Care, which at the time was referred to as the ‘good book’ and was read by women from all socioeconomic statuses. It recommended cod liver oil, orange juice and artificial feeding.



By 1940, the Honourable Paul Martin, Minister of National Health and Welfare, Ottawa, Ontario, published The Canadian Mother and Child (8th edn, 1949) written by Dr Ernest Couture. Over two million copies were distributed to new and expectant mothers before its first revision in 1949. Couture emphasized breast milk as the ideal form of nutrition for babies.



More recently, according to Health Canada, in 1998/1999, 81.9% of children were breastfed for some time. Among those infants who were breastfed, 63.0% were still breastfeeding after three months. Breastfeeding duration rates vary depending on maternal age. While only 49.1% of breastfed infants of mothers 25 years or younger continue to breastfeed after three months, 74.9% of breastfed infants of mothers 35 years or older continue to breastfeed beyond three months (7). The most common reason mothers give for weaning is a perceived insufficient milk supply. Among women who breastfeed for longer than three months, one of the most important reasons for weaning is returning to work (8).



The Canadian breastfeeding statistics may continue to improve because many mothers can now delay returning to work until 12 months postpartum. This practice is facilitated by the federal government’s changes in employment insurance for new mothers which now allows them to take up to 12 months of paid maternity leave.



In the United States, rates of breastfeeding are lower. As of 1998, 64% of infants are breastfeeding at hospital discharge and 29% are still breastfeeding at six months (9).
Canadian Paediatric Society: "Weaning from the breast", Paediatr Child Health. 2004 Apr; 9(4): 249–253.




We see that while earlier the better off elites of society had a much higher chance of being breastfed by wet-nurses, and perhaps even their own mothers, with the rise of milk powder and formulas the better offs tended to be fed 'by the books', that is: weaned early.



These methods of feeding are not only 'modern' but also expensive. This leads to a very simple observation: This is not a musical folklore but an allusion to medical folklore! And social! Breast feeding and weaning time was and is judged according to the fashions. Now, we 'know' that not breast-feeding at all is 'bad' but and weaning too early is bad as well. But we do not know the 'ideal' time to wean. But that never stopped the gurus to hand out guidelines – which are then followed more strictly by the upper classes, and then those tend to fare better in life, mainly by fiscal inheritance, but this produces a spurious correlation with intelligence; ie here: breast feeding morals.



This chaotic pendulum circles over different centers at different times:




Nutritional deficiencies with increased morbidity (e.g., scurvy and rickets) appeared as breastfeeding diminished. Data from the US census of 1900-1910 revealed that children who were breastfed had a 40% lower mortality rate than did their formula-fed peers. Modern medicine adopted calorimetric methods for infant feeding and the concepts of bacteriology to help advance a ”clean milk campaign” that favored the advocacy of formula feeding. By 1950, pediatricians recommended the introduction of vegetables to the diet at age 4 months. Thus, the advent of commercial interests and the modern professional advice led to the decrease in the rate of breastfeeding in the twentieth century.
Yvette Piovanetti: "Breastfeeding Beyond 12 Months. An Historical Perspective", Pediatric Clinics Of North America
Volume 48 * Number 1 February 2001. DOI



Ironically, at the same time women in some deprived areas of the world are abandoning breastfeeding at an alarming rate because they believe it to be "low class" and "illiterate."
Marie Walter: "The Folklore Of Breastfeeding", Bul. N.Y. Acad. Med., Vol.51, No.7, July-August 1975.




Some back and forth in social aspects of what was seen as purely scientific or at least rational judgement:




This was the situation in the Workman home, where the wet nurse, dubbed "Irish Mary," retained her position in spite of serious problems. According to Workman, Mary never learned how to care for her suckling and, on one occasion, put the child in mortal danger. Workman had observed her standing in the middle of the street, holding the baby, and staring at a rapidly oncoming carriage. Workman's complaint about Mary's lack of knowledge echoed that of many physicians. Conflating immorality with ignorance, pediatrician Rowland Godfrey Freeman alleged that "unmarried mothers are women of a low grade of intelligences," and, as a result, they "cannot be trusted to care for the baby on account of ignorance or unreliability. "



A week after Mary's departure Workman found a replacement, a wet nurse she never referred to by name, but who might well have been called Irish Mary the Second. The woman resembled her predecessor in a number of ways, including her background, her adjudged lack of intelligence, and her concern for her own baby. The new employee claimed to be an Englishwoman but soon revealed her true origins when she opened her mouth and spoke in "broad Irish." Although the wet nurse was healthy, Workman found her appearance unattractive and referred to her face as having a "most heavy, unintelligent mould." Consequently, the wet nurse required constant observation.



What concerned Louise J. were obvious defects, not hidden diseases. She suspected that wet nurses lacked even "average mental or moral qualifications"; and the response she received supported her assumption. Wet nurses did not come from "the highly-intelligent classes" the expert attested, but added that few were "distinctly vicious." They were, however, women who had given birth out of wedlock. The reference to this fact by Louise J., who admitted at the outset that she intended to use wet nurses in the future, suggested that morality remained an intractable complaint - one that did not prevent a wet nurse from being hired, but one that also never ceased to cause concern. Like the drone of employers who complained about their lazy servants but could not live without them, the frequent references to the moral limits of wet nurses were overshadowed by the reality of their effectiveness. Both Louise J. and her respondent knew this.



The most active forum for scientific mothers, Babyhood magazine, was "Devoted Exclusively to the Care of Infants and Young Children, and the General Interests of the Nursery." It began publication in 1884, supplying expert advice to women who viewed child rearing as a highly demanding discipline. The magazine employed leading pediatricians to write articles and answer questions from readers. By 1885 it had earned an endorsement from the American Medical Association. One of its editors, Leroy M. Yale, was a physician and at one time, a lecturer on diseases of children at Bellevue Hospital Medical College in New York City. The other editor was the domestic writer Mary Terhune, who had denounced wet nurses in her book Eve's Daughters. The prolific author of twenty-five popular books on domestic matters, as well as twenty-five novels, Terhune (who published under the name Marion Harland) believed strongly in artificial feeding. Not unexpectedly, when subscribers opened the pages of Babyhood or similar publications, they found a plethora of advertisements for commercially manufactured infant foods bordering the many articles about infant feeding. Terhune herself penned the advertising booklet for Carnrick's Soluble Food. (p 162–165)



The founding in 1956 of the La Leche League, an organization dedicated to "the womanly art of breast feeding," and the resurgence of maternal nursing in the "baby bust" years that soon followed, suggest that a fundamental reconception of middle-class maternity was underway. According to the National Center for Health Statistics, the number of American women nursing their babies immediately after birth rose from 24.7 percent in 1971 to 55.3 percent in 1981. In many cases the duration of nursing proved very brief. Even so, the figures seem to indicate that women believed they should make an effort to breast-feed. In. 1982 maternal breast-feeding rates peaked at 61.9 percent, although by six months of age only 27.1 percent of babies were still being breast-fed. The latter figure was, nevertheless, five times higher than it had been in 1971, when the rate was only 5.4 percent.



The reasons for the recrudescence of maternal nursing are numerous and to some degree contradictory. They include a feminist and countercultural rejection of medical authoritarianism (also evident in the embrace of the natural-childbirth movement) and at the same time reflect the continuing influence of the earlier "baby boom" generation, which constructed motherhood as a vocation. Yet, motherhood was not women's only vocation in the 1970s. The growth in maternal nursing paralleled an increase in the labor force participation rate of women with young children. This points to another critical factor: growing rates of maternal nursing were not universal, but were class based. Middle-class mothers embraced breastfeeding at a time when low-income women continued the practice of bottle-feeding. The use of mothering style as a demarcation of class — evident in the nineteenth century when well-to-do women saw breast-feeding by lower-class women as animal like – obviously continued in the late twentieth century.
Janet Golden: "A social history of wet nursing in America. From breast to bottle", Cambridge History of Medicine, Cambridge University Press: Cambridge, New York, 1996, p204. DOI




It should be self-evident from the above (and really the question here in itself) that the song line didn't age so well, as the current fashion would suggest the opposite: longer feeding yields better outcomes in health in later life.




Comparison of the results from the four stable isotope studies to those of other published studies reveals that the modal age at the end of weaning was slightly lower in agricultural communities than hunter-gatherer communities, but the range of ages was similar. Weaning prior to the age of eighteen months was rare before the post-medieval period. It is argued that the gradual reduction in breastfeeding duration since the Neolithic, and the replacement of breastmilk with animal milk products, means that on the whole the development of agriculture probably served to increase infant morbidity and mortality.
Rachel Howcroft: "Weaned Upon A Time Studies of the infant diet in prehistory", Dissertation, Stockholm University, 2013. (PDF)




But maybe this line can still resonate in certain demographics or even more in mental pictures others have about them:




enter image description here
R J Harris: "Nutrition in the 21st century: what is going wrong", Arch Dis Child 2004;89:154–158. doi: 10.1136/adc.2003.019703 (PDF)







share|improve this answer





















  • 2





    Very nice sources. I don't think the last graph shows the particular groups Rodriguez had in mind but it's interesting to consider how it might be read today...

    – Luke Sawczak
    14 hours ago






  • 1





    @LukeSawczak Well, certainly not. But it illustrates nicely that the actual medical science behind this is much less important than the social marker of difference.

    – LangLangC
    14 hours ago






  • 1





    Ah, yeah. Good point.

    – Luke Sawczak
    14 hours ago
















2














We have to look at the time this song was written and where.



It is indeed a simple allusion to backwardness and lower class. In other words: there was a certain folklore associating late breastfeeding with low intelligence and/or gullibility.



Whether or not to breast feed, how and for how long is as much a medical problem to solve, plus of course a basic human necessity, as it is and was a marker of social difference.



Still during the seventies women were often advised and believed it better to wean babies as soon as possible. Not doing that was seen as excessively traditionalist or hillbillyness.



From personal contacts I was told by mothers of that era that during the seventies all "modern women" were expected to wean their babies after 6 weeks.




By the 1950s, the predominant attitude to breastfeeding was that it was something practiced by the uneducated and those of lower classes. The practice was considered old-fashioned and "a little disgusting" for those who could not afford infant formula and discouraged by medical practitioners and media of the time. (WP)




That changed. Again.




Breast milk is the optimal form of nutrition in infancy. Breastfeeding protects an infant from a wide array of infectious and noninfectious diseases. With very few exceptions, in the healthy term infant, breast milk alone (with vitamin D supplementation) meets all of the nutritional requirements up to six months of life. The Canadian Paediatric Society, Dietitians of Canada, and Health Canada recommend exclusive breastfeeding for at least the first four to six months of life, and continuing with complementary foods for up to two years and beyond (1). The World Health Organization recommends exclusive breastfeeding for the first six months of life in both developing and developed countries (2).[…]




That is our current, decidedly Western, common medical understanding of the issue of breast feeding and weaning. But this is a story with quite a ride in it, mainly during the late 19th and entire 20th century (or even earlier). The 'optimal' weaning time is still very much debated. This constant changing over and around of medical advice for this behaviour indicates quite strongly that it follows fashion rather than what all doctors and politicians (as we have to call them) thought of always at their respective time as science and scientific advice.




Durations of breastfeeding were generally longer in ancient times than in western society today. Aristotle stated that breastfeeding should continue for 12 to 18 months, or when menses restarted in the nursing mother. Mothers in Zulu societies have traditionally breastfed their infants until 12 to 18 months, at which point a new pregnancy would be anticipated. Ancient Hebrews completed weaning at about three years. Most children in traditional societies are completely weaned between two and four years of age.



Anthropological theories have recommended final weaning at the following points: when the infant acquires four times his birth weight; when the infant’s age is six times the length of gestation (ie, 4.5 years); or when the first molar erupts (6).



The inappropriate early introduction of mixed feedings began in early 19th century western society. Prominent physicians at that time, such as American Pediatric Society founders Dr Luther Emmett Holt and Dr Job Lewis Smith, recommended that weaning begin at around nine to 12 months of age, or when the canine teeth appeared (6). Smith recommended against weaning during the summer months because of the risk of ‘weanling diarrhea’. Unfortunately, as weaning began earlier and earlier in the 19th century, infant mortality increased. Introduction of weaning foods was an important cause of infant mortality in the 19th century. This increase in infant mortality, in part, spurred the development of paediatrics as a specialty in medicine (6).



In the early 20th century, mothers were encouraged by the medical community to raise their children scientifically or ‘by the book’. In the 1920s, the United States government published Infant Care, which at the time was referred to as the ‘good book’ and was read by women from all socioeconomic statuses. It recommended cod liver oil, orange juice and artificial feeding.



By 1940, the Honourable Paul Martin, Minister of National Health and Welfare, Ottawa, Ontario, published The Canadian Mother and Child (8th edn, 1949) written by Dr Ernest Couture. Over two million copies were distributed to new and expectant mothers before its first revision in 1949. Couture emphasized breast milk as the ideal form of nutrition for babies.



More recently, according to Health Canada, in 1998/1999, 81.9% of children were breastfed for some time. Among those infants who were breastfed, 63.0% were still breastfeeding after three months. Breastfeeding duration rates vary depending on maternal age. While only 49.1% of breastfed infants of mothers 25 years or younger continue to breastfeed after three months, 74.9% of breastfed infants of mothers 35 years or older continue to breastfeed beyond three months (7). The most common reason mothers give for weaning is a perceived insufficient milk supply. Among women who breastfeed for longer than three months, one of the most important reasons for weaning is returning to work (8).



The Canadian breastfeeding statistics may continue to improve because many mothers can now delay returning to work until 12 months postpartum. This practice is facilitated by the federal government’s changes in employment insurance for new mothers which now allows them to take up to 12 months of paid maternity leave.



In the United States, rates of breastfeeding are lower. As of 1998, 64% of infants are breastfeeding at hospital discharge and 29% are still breastfeeding at six months (9).
Canadian Paediatric Society: "Weaning from the breast", Paediatr Child Health. 2004 Apr; 9(4): 249–253.




We see that while earlier the better off elites of society had a much higher chance of being breastfed by wet-nurses, and perhaps even their own mothers, with the rise of milk powder and formulas the better offs tended to be fed 'by the books', that is: weaned early.



These methods of feeding are not only 'modern' but also expensive. This leads to a very simple observation: This is not a musical folklore but an allusion to medical folklore! And social! Breast feeding and weaning time was and is judged according to the fashions. Now, we 'know' that not breast-feeding at all is 'bad' but and weaning too early is bad as well. But we do not know the 'ideal' time to wean. But that never stopped the gurus to hand out guidelines – which are then followed more strictly by the upper classes, and then those tend to fare better in life, mainly by fiscal inheritance, but this produces a spurious correlation with intelligence; ie here: breast feeding morals.



This chaotic pendulum circles over different centers at different times:




Nutritional deficiencies with increased morbidity (e.g., scurvy and rickets) appeared as breastfeeding diminished. Data from the US census of 1900-1910 revealed that children who were breastfed had a 40% lower mortality rate than did their formula-fed peers. Modern medicine adopted calorimetric methods for infant feeding and the concepts of bacteriology to help advance a ”clean milk campaign” that favored the advocacy of formula feeding. By 1950, pediatricians recommended the introduction of vegetables to the diet at age 4 months. Thus, the advent of commercial interests and the modern professional advice led to the decrease in the rate of breastfeeding in the twentieth century.
Yvette Piovanetti: "Breastfeeding Beyond 12 Months. An Historical Perspective", Pediatric Clinics Of North America
Volume 48 * Number 1 February 2001. DOI



Ironically, at the same time women in some deprived areas of the world are abandoning breastfeeding at an alarming rate because they believe it to be "low class" and "illiterate."
Marie Walter: "The Folklore Of Breastfeeding", Bul. N.Y. Acad. Med., Vol.51, No.7, July-August 1975.




Some back and forth in social aspects of what was seen as purely scientific or at least rational judgement:




This was the situation in the Workman home, where the wet nurse, dubbed "Irish Mary," retained her position in spite of serious problems. According to Workman, Mary never learned how to care for her suckling and, on one occasion, put the child in mortal danger. Workman had observed her standing in the middle of the street, holding the baby, and staring at a rapidly oncoming carriage. Workman's complaint about Mary's lack of knowledge echoed that of many physicians. Conflating immorality with ignorance, pediatrician Rowland Godfrey Freeman alleged that "unmarried mothers are women of a low grade of intelligences," and, as a result, they "cannot be trusted to care for the baby on account of ignorance or unreliability. "



A week after Mary's departure Workman found a replacement, a wet nurse she never referred to by name, but who might well have been called Irish Mary the Second. The woman resembled her predecessor in a number of ways, including her background, her adjudged lack of intelligence, and her concern for her own baby. The new employee claimed to be an Englishwoman but soon revealed her true origins when she opened her mouth and spoke in "broad Irish." Although the wet nurse was healthy, Workman found her appearance unattractive and referred to her face as having a "most heavy, unintelligent mould." Consequently, the wet nurse required constant observation.



What concerned Louise J. were obvious defects, not hidden diseases. She suspected that wet nurses lacked even "average mental or moral qualifications"; and the response she received supported her assumption. Wet nurses did not come from "the highly-intelligent classes" the expert attested, but added that few were "distinctly vicious." They were, however, women who had given birth out of wedlock. The reference to this fact by Louise J., who admitted at the outset that she intended to use wet nurses in the future, suggested that morality remained an intractable complaint - one that did not prevent a wet nurse from being hired, but one that also never ceased to cause concern. Like the drone of employers who complained about their lazy servants but could not live without them, the frequent references to the moral limits of wet nurses were overshadowed by the reality of their effectiveness. Both Louise J. and her respondent knew this.



The most active forum for scientific mothers, Babyhood magazine, was "Devoted Exclusively to the Care of Infants and Young Children, and the General Interests of the Nursery." It began publication in 1884, supplying expert advice to women who viewed child rearing as a highly demanding discipline. The magazine employed leading pediatricians to write articles and answer questions from readers. By 1885 it had earned an endorsement from the American Medical Association. One of its editors, Leroy M. Yale, was a physician and at one time, a lecturer on diseases of children at Bellevue Hospital Medical College in New York City. The other editor was the domestic writer Mary Terhune, who had denounced wet nurses in her book Eve's Daughters. The prolific author of twenty-five popular books on domestic matters, as well as twenty-five novels, Terhune (who published under the name Marion Harland) believed strongly in artificial feeding. Not unexpectedly, when subscribers opened the pages of Babyhood or similar publications, they found a plethora of advertisements for commercially manufactured infant foods bordering the many articles about infant feeding. Terhune herself penned the advertising booklet for Carnrick's Soluble Food. (p 162–165)



The founding in 1956 of the La Leche League, an organization dedicated to "the womanly art of breast feeding," and the resurgence of maternal nursing in the "baby bust" years that soon followed, suggest that a fundamental reconception of middle-class maternity was underway. According to the National Center for Health Statistics, the number of American women nursing their babies immediately after birth rose from 24.7 percent in 1971 to 55.3 percent in 1981. In many cases the duration of nursing proved very brief. Even so, the figures seem to indicate that women believed they should make an effort to breast-feed. In. 1982 maternal breast-feeding rates peaked at 61.9 percent, although by six months of age only 27.1 percent of babies were still being breast-fed. The latter figure was, nevertheless, five times higher than it had been in 1971, when the rate was only 5.4 percent.



The reasons for the recrudescence of maternal nursing are numerous and to some degree contradictory. They include a feminist and countercultural rejection of medical authoritarianism (also evident in the embrace of the natural-childbirth movement) and at the same time reflect the continuing influence of the earlier "baby boom" generation, which constructed motherhood as a vocation. Yet, motherhood was not women's only vocation in the 1970s. The growth in maternal nursing paralleled an increase in the labor force participation rate of women with young children. This points to another critical factor: growing rates of maternal nursing were not universal, but were class based. Middle-class mothers embraced breastfeeding at a time when low-income women continued the practice of bottle-feeding. The use of mothering style as a demarcation of class — evident in the nineteenth century when well-to-do women saw breast-feeding by lower-class women as animal like – obviously continued in the late twentieth century.
Janet Golden: "A social history of wet nursing in America. From breast to bottle", Cambridge History of Medicine, Cambridge University Press: Cambridge, New York, 1996, p204. DOI




It should be self-evident from the above (and really the question here in itself) that the song line didn't age so well, as the current fashion would suggest the opposite: longer feeding yields better outcomes in health in later life.




Comparison of the results from the four stable isotope studies to those of other published studies reveals that the modal age at the end of weaning was slightly lower in agricultural communities than hunter-gatherer communities, but the range of ages was similar. Weaning prior to the age of eighteen months was rare before the post-medieval period. It is argued that the gradual reduction in breastfeeding duration since the Neolithic, and the replacement of breastmilk with animal milk products, means that on the whole the development of agriculture probably served to increase infant morbidity and mortality.
Rachel Howcroft: "Weaned Upon A Time Studies of the infant diet in prehistory", Dissertation, Stockholm University, 2013. (PDF)




But maybe this line can still resonate in certain demographics or even more in mental pictures others have about them:




enter image description here
R J Harris: "Nutrition in the 21st century: what is going wrong", Arch Dis Child 2004;89:154–158. doi: 10.1136/adc.2003.019703 (PDF)







share|improve this answer





















  • 2





    Very nice sources. I don't think the last graph shows the particular groups Rodriguez had in mind but it's interesting to consider how it might be read today...

    – Luke Sawczak
    14 hours ago






  • 1





    @LukeSawczak Well, certainly not. But it illustrates nicely that the actual medical science behind this is much less important than the social marker of difference.

    – LangLangC
    14 hours ago






  • 1





    Ah, yeah. Good point.

    – Luke Sawczak
    14 hours ago














2












2








2







We have to look at the time this song was written and where.



It is indeed a simple allusion to backwardness and lower class. In other words: there was a certain folklore associating late breastfeeding with low intelligence and/or gullibility.



Whether or not to breast feed, how and for how long is as much a medical problem to solve, plus of course a basic human necessity, as it is and was a marker of social difference.



Still during the seventies women were often advised and believed it better to wean babies as soon as possible. Not doing that was seen as excessively traditionalist or hillbillyness.



From personal contacts I was told by mothers of that era that during the seventies all "modern women" were expected to wean their babies after 6 weeks.




By the 1950s, the predominant attitude to breastfeeding was that it was something practiced by the uneducated and those of lower classes. The practice was considered old-fashioned and "a little disgusting" for those who could not afford infant formula and discouraged by medical practitioners and media of the time. (WP)




That changed. Again.




Breast milk is the optimal form of nutrition in infancy. Breastfeeding protects an infant from a wide array of infectious and noninfectious diseases. With very few exceptions, in the healthy term infant, breast milk alone (with vitamin D supplementation) meets all of the nutritional requirements up to six months of life. The Canadian Paediatric Society, Dietitians of Canada, and Health Canada recommend exclusive breastfeeding for at least the first four to six months of life, and continuing with complementary foods for up to two years and beyond (1). The World Health Organization recommends exclusive breastfeeding for the first six months of life in both developing and developed countries (2).[…]




That is our current, decidedly Western, common medical understanding of the issue of breast feeding and weaning. But this is a story with quite a ride in it, mainly during the late 19th and entire 20th century (or even earlier). The 'optimal' weaning time is still very much debated. This constant changing over and around of medical advice for this behaviour indicates quite strongly that it follows fashion rather than what all doctors and politicians (as we have to call them) thought of always at their respective time as science and scientific advice.




Durations of breastfeeding were generally longer in ancient times than in western society today. Aristotle stated that breastfeeding should continue for 12 to 18 months, or when menses restarted in the nursing mother. Mothers in Zulu societies have traditionally breastfed their infants until 12 to 18 months, at which point a new pregnancy would be anticipated. Ancient Hebrews completed weaning at about three years. Most children in traditional societies are completely weaned between two and four years of age.



Anthropological theories have recommended final weaning at the following points: when the infant acquires four times his birth weight; when the infant’s age is six times the length of gestation (ie, 4.5 years); or when the first molar erupts (6).



The inappropriate early introduction of mixed feedings began in early 19th century western society. Prominent physicians at that time, such as American Pediatric Society founders Dr Luther Emmett Holt and Dr Job Lewis Smith, recommended that weaning begin at around nine to 12 months of age, or when the canine teeth appeared (6). Smith recommended against weaning during the summer months because of the risk of ‘weanling diarrhea’. Unfortunately, as weaning began earlier and earlier in the 19th century, infant mortality increased. Introduction of weaning foods was an important cause of infant mortality in the 19th century. This increase in infant mortality, in part, spurred the development of paediatrics as a specialty in medicine (6).



In the early 20th century, mothers were encouraged by the medical community to raise their children scientifically or ‘by the book’. In the 1920s, the United States government published Infant Care, which at the time was referred to as the ‘good book’ and was read by women from all socioeconomic statuses. It recommended cod liver oil, orange juice and artificial feeding.



By 1940, the Honourable Paul Martin, Minister of National Health and Welfare, Ottawa, Ontario, published The Canadian Mother and Child (8th edn, 1949) written by Dr Ernest Couture. Over two million copies were distributed to new and expectant mothers before its first revision in 1949. Couture emphasized breast milk as the ideal form of nutrition for babies.



More recently, according to Health Canada, in 1998/1999, 81.9% of children were breastfed for some time. Among those infants who were breastfed, 63.0% were still breastfeeding after three months. Breastfeeding duration rates vary depending on maternal age. While only 49.1% of breastfed infants of mothers 25 years or younger continue to breastfeed after three months, 74.9% of breastfed infants of mothers 35 years or older continue to breastfeed beyond three months (7). The most common reason mothers give for weaning is a perceived insufficient milk supply. Among women who breastfeed for longer than three months, one of the most important reasons for weaning is returning to work (8).



The Canadian breastfeeding statistics may continue to improve because many mothers can now delay returning to work until 12 months postpartum. This practice is facilitated by the federal government’s changes in employment insurance for new mothers which now allows them to take up to 12 months of paid maternity leave.



In the United States, rates of breastfeeding are lower. As of 1998, 64% of infants are breastfeeding at hospital discharge and 29% are still breastfeeding at six months (9).
Canadian Paediatric Society: "Weaning from the breast", Paediatr Child Health. 2004 Apr; 9(4): 249–253.




We see that while earlier the better off elites of society had a much higher chance of being breastfed by wet-nurses, and perhaps even their own mothers, with the rise of milk powder and formulas the better offs tended to be fed 'by the books', that is: weaned early.



These methods of feeding are not only 'modern' but also expensive. This leads to a very simple observation: This is not a musical folklore but an allusion to medical folklore! And social! Breast feeding and weaning time was and is judged according to the fashions. Now, we 'know' that not breast-feeding at all is 'bad' but and weaning too early is bad as well. But we do not know the 'ideal' time to wean. But that never stopped the gurus to hand out guidelines – which are then followed more strictly by the upper classes, and then those tend to fare better in life, mainly by fiscal inheritance, but this produces a spurious correlation with intelligence; ie here: breast feeding morals.



This chaotic pendulum circles over different centers at different times:




Nutritional deficiencies with increased morbidity (e.g., scurvy and rickets) appeared as breastfeeding diminished. Data from the US census of 1900-1910 revealed that children who were breastfed had a 40% lower mortality rate than did their formula-fed peers. Modern medicine adopted calorimetric methods for infant feeding and the concepts of bacteriology to help advance a ”clean milk campaign” that favored the advocacy of formula feeding. By 1950, pediatricians recommended the introduction of vegetables to the diet at age 4 months. Thus, the advent of commercial interests and the modern professional advice led to the decrease in the rate of breastfeeding in the twentieth century.
Yvette Piovanetti: "Breastfeeding Beyond 12 Months. An Historical Perspective", Pediatric Clinics Of North America
Volume 48 * Number 1 February 2001. DOI



Ironically, at the same time women in some deprived areas of the world are abandoning breastfeeding at an alarming rate because they believe it to be "low class" and "illiterate."
Marie Walter: "The Folklore Of Breastfeeding", Bul. N.Y. Acad. Med., Vol.51, No.7, July-August 1975.




Some back and forth in social aspects of what was seen as purely scientific or at least rational judgement:




This was the situation in the Workman home, where the wet nurse, dubbed "Irish Mary," retained her position in spite of serious problems. According to Workman, Mary never learned how to care for her suckling and, on one occasion, put the child in mortal danger. Workman had observed her standing in the middle of the street, holding the baby, and staring at a rapidly oncoming carriage. Workman's complaint about Mary's lack of knowledge echoed that of many physicians. Conflating immorality with ignorance, pediatrician Rowland Godfrey Freeman alleged that "unmarried mothers are women of a low grade of intelligences," and, as a result, they "cannot be trusted to care for the baby on account of ignorance or unreliability. "



A week after Mary's departure Workman found a replacement, a wet nurse she never referred to by name, but who might well have been called Irish Mary the Second. The woman resembled her predecessor in a number of ways, including her background, her adjudged lack of intelligence, and her concern for her own baby. The new employee claimed to be an Englishwoman but soon revealed her true origins when she opened her mouth and spoke in "broad Irish." Although the wet nurse was healthy, Workman found her appearance unattractive and referred to her face as having a "most heavy, unintelligent mould." Consequently, the wet nurse required constant observation.



What concerned Louise J. were obvious defects, not hidden diseases. She suspected that wet nurses lacked even "average mental or moral qualifications"; and the response she received supported her assumption. Wet nurses did not come from "the highly-intelligent classes" the expert attested, but added that few were "distinctly vicious." They were, however, women who had given birth out of wedlock. The reference to this fact by Louise J., who admitted at the outset that she intended to use wet nurses in the future, suggested that morality remained an intractable complaint - one that did not prevent a wet nurse from being hired, but one that also never ceased to cause concern. Like the drone of employers who complained about their lazy servants but could not live without them, the frequent references to the moral limits of wet nurses were overshadowed by the reality of their effectiveness. Both Louise J. and her respondent knew this.



The most active forum for scientific mothers, Babyhood magazine, was "Devoted Exclusively to the Care of Infants and Young Children, and the General Interests of the Nursery." It began publication in 1884, supplying expert advice to women who viewed child rearing as a highly demanding discipline. The magazine employed leading pediatricians to write articles and answer questions from readers. By 1885 it had earned an endorsement from the American Medical Association. One of its editors, Leroy M. Yale, was a physician and at one time, a lecturer on diseases of children at Bellevue Hospital Medical College in New York City. The other editor was the domestic writer Mary Terhune, who had denounced wet nurses in her book Eve's Daughters. The prolific author of twenty-five popular books on domestic matters, as well as twenty-five novels, Terhune (who published under the name Marion Harland) believed strongly in artificial feeding. Not unexpectedly, when subscribers opened the pages of Babyhood or similar publications, they found a plethora of advertisements for commercially manufactured infant foods bordering the many articles about infant feeding. Terhune herself penned the advertising booklet for Carnrick's Soluble Food. (p 162–165)



The founding in 1956 of the La Leche League, an organization dedicated to "the womanly art of breast feeding," and the resurgence of maternal nursing in the "baby bust" years that soon followed, suggest that a fundamental reconception of middle-class maternity was underway. According to the National Center for Health Statistics, the number of American women nursing their babies immediately after birth rose from 24.7 percent in 1971 to 55.3 percent in 1981. In many cases the duration of nursing proved very brief. Even so, the figures seem to indicate that women believed they should make an effort to breast-feed. In. 1982 maternal breast-feeding rates peaked at 61.9 percent, although by six months of age only 27.1 percent of babies were still being breast-fed. The latter figure was, nevertheless, five times higher than it had been in 1971, when the rate was only 5.4 percent.



The reasons for the recrudescence of maternal nursing are numerous and to some degree contradictory. They include a feminist and countercultural rejection of medical authoritarianism (also evident in the embrace of the natural-childbirth movement) and at the same time reflect the continuing influence of the earlier "baby boom" generation, which constructed motherhood as a vocation. Yet, motherhood was not women's only vocation in the 1970s. The growth in maternal nursing paralleled an increase in the labor force participation rate of women with young children. This points to another critical factor: growing rates of maternal nursing were not universal, but were class based. Middle-class mothers embraced breastfeeding at a time when low-income women continued the practice of bottle-feeding. The use of mothering style as a demarcation of class — evident in the nineteenth century when well-to-do women saw breast-feeding by lower-class women as animal like – obviously continued in the late twentieth century.
Janet Golden: "A social history of wet nursing in America. From breast to bottle", Cambridge History of Medicine, Cambridge University Press: Cambridge, New York, 1996, p204. DOI




It should be self-evident from the above (and really the question here in itself) that the song line didn't age so well, as the current fashion would suggest the opposite: longer feeding yields better outcomes in health in later life.




Comparison of the results from the four stable isotope studies to those of other published studies reveals that the modal age at the end of weaning was slightly lower in agricultural communities than hunter-gatherer communities, but the range of ages was similar. Weaning prior to the age of eighteen months was rare before the post-medieval period. It is argued that the gradual reduction in breastfeeding duration since the Neolithic, and the replacement of breastmilk with animal milk products, means that on the whole the development of agriculture probably served to increase infant morbidity and mortality.
Rachel Howcroft: "Weaned Upon A Time Studies of the infant diet in prehistory", Dissertation, Stockholm University, 2013. (PDF)




But maybe this line can still resonate in certain demographics or even more in mental pictures others have about them:




enter image description here
R J Harris: "Nutrition in the 21st century: what is going wrong", Arch Dis Child 2004;89:154–158. doi: 10.1136/adc.2003.019703 (PDF)







share|improve this answer















We have to look at the time this song was written and where.



It is indeed a simple allusion to backwardness and lower class. In other words: there was a certain folklore associating late breastfeeding with low intelligence and/or gullibility.



Whether or not to breast feed, how and for how long is as much a medical problem to solve, plus of course a basic human necessity, as it is and was a marker of social difference.



Still during the seventies women were often advised and believed it better to wean babies as soon as possible. Not doing that was seen as excessively traditionalist or hillbillyness.



From personal contacts I was told by mothers of that era that during the seventies all "modern women" were expected to wean their babies after 6 weeks.




By the 1950s, the predominant attitude to breastfeeding was that it was something practiced by the uneducated and those of lower classes. The practice was considered old-fashioned and "a little disgusting" for those who could not afford infant formula and discouraged by medical practitioners and media of the time. (WP)




That changed. Again.




Breast milk is the optimal form of nutrition in infancy. Breastfeeding protects an infant from a wide array of infectious and noninfectious diseases. With very few exceptions, in the healthy term infant, breast milk alone (with vitamin D supplementation) meets all of the nutritional requirements up to six months of life. The Canadian Paediatric Society, Dietitians of Canada, and Health Canada recommend exclusive breastfeeding for at least the first four to six months of life, and continuing with complementary foods for up to two years and beyond (1). The World Health Organization recommends exclusive breastfeeding for the first six months of life in both developing and developed countries (2).[…]




That is our current, decidedly Western, common medical understanding of the issue of breast feeding and weaning. But this is a story with quite a ride in it, mainly during the late 19th and entire 20th century (or even earlier). The 'optimal' weaning time is still very much debated. This constant changing over and around of medical advice for this behaviour indicates quite strongly that it follows fashion rather than what all doctors and politicians (as we have to call them) thought of always at their respective time as science and scientific advice.




Durations of breastfeeding were generally longer in ancient times than in western society today. Aristotle stated that breastfeeding should continue for 12 to 18 months, or when menses restarted in the nursing mother. Mothers in Zulu societies have traditionally breastfed their infants until 12 to 18 months, at which point a new pregnancy would be anticipated. Ancient Hebrews completed weaning at about three years. Most children in traditional societies are completely weaned between two and four years of age.



Anthropological theories have recommended final weaning at the following points: when the infant acquires four times his birth weight; when the infant’s age is six times the length of gestation (ie, 4.5 years); or when the first molar erupts (6).



The inappropriate early introduction of mixed feedings began in early 19th century western society. Prominent physicians at that time, such as American Pediatric Society founders Dr Luther Emmett Holt and Dr Job Lewis Smith, recommended that weaning begin at around nine to 12 months of age, or when the canine teeth appeared (6). Smith recommended against weaning during the summer months because of the risk of ‘weanling diarrhea’. Unfortunately, as weaning began earlier and earlier in the 19th century, infant mortality increased. Introduction of weaning foods was an important cause of infant mortality in the 19th century. This increase in infant mortality, in part, spurred the development of paediatrics as a specialty in medicine (6).



In the early 20th century, mothers were encouraged by the medical community to raise their children scientifically or ‘by the book’. In the 1920s, the United States government published Infant Care, which at the time was referred to as the ‘good book’ and was read by women from all socioeconomic statuses. It recommended cod liver oil, orange juice and artificial feeding.



By 1940, the Honourable Paul Martin, Minister of National Health and Welfare, Ottawa, Ontario, published The Canadian Mother and Child (8th edn, 1949) written by Dr Ernest Couture. Over two million copies were distributed to new and expectant mothers before its first revision in 1949. Couture emphasized breast milk as the ideal form of nutrition for babies.



More recently, according to Health Canada, in 1998/1999, 81.9% of children were breastfed for some time. Among those infants who were breastfed, 63.0% were still breastfeeding after three months. Breastfeeding duration rates vary depending on maternal age. While only 49.1% of breastfed infants of mothers 25 years or younger continue to breastfeed after three months, 74.9% of breastfed infants of mothers 35 years or older continue to breastfeed beyond three months (7). The most common reason mothers give for weaning is a perceived insufficient milk supply. Among women who breastfeed for longer than three months, one of the most important reasons for weaning is returning to work (8).



The Canadian breastfeeding statistics may continue to improve because many mothers can now delay returning to work until 12 months postpartum. This practice is facilitated by the federal government’s changes in employment insurance for new mothers which now allows them to take up to 12 months of paid maternity leave.



In the United States, rates of breastfeeding are lower. As of 1998, 64% of infants are breastfeeding at hospital discharge and 29% are still breastfeeding at six months (9).
Canadian Paediatric Society: "Weaning from the breast", Paediatr Child Health. 2004 Apr; 9(4): 249–253.




We see that while earlier the better off elites of society had a much higher chance of being breastfed by wet-nurses, and perhaps even their own mothers, with the rise of milk powder and formulas the better offs tended to be fed 'by the books', that is: weaned early.



These methods of feeding are not only 'modern' but also expensive. This leads to a very simple observation: This is not a musical folklore but an allusion to medical folklore! And social! Breast feeding and weaning time was and is judged according to the fashions. Now, we 'know' that not breast-feeding at all is 'bad' but and weaning too early is bad as well. But we do not know the 'ideal' time to wean. But that never stopped the gurus to hand out guidelines – which are then followed more strictly by the upper classes, and then those tend to fare better in life, mainly by fiscal inheritance, but this produces a spurious correlation with intelligence; ie here: breast feeding morals.



This chaotic pendulum circles over different centers at different times:




Nutritional deficiencies with increased morbidity (e.g., scurvy and rickets) appeared as breastfeeding diminished. Data from the US census of 1900-1910 revealed that children who were breastfed had a 40% lower mortality rate than did their formula-fed peers. Modern medicine adopted calorimetric methods for infant feeding and the concepts of bacteriology to help advance a ”clean milk campaign” that favored the advocacy of formula feeding. By 1950, pediatricians recommended the introduction of vegetables to the diet at age 4 months. Thus, the advent of commercial interests and the modern professional advice led to the decrease in the rate of breastfeeding in the twentieth century.
Yvette Piovanetti: "Breastfeeding Beyond 12 Months. An Historical Perspective", Pediatric Clinics Of North America
Volume 48 * Number 1 February 2001. DOI



Ironically, at the same time women in some deprived areas of the world are abandoning breastfeeding at an alarming rate because they believe it to be "low class" and "illiterate."
Marie Walter: "The Folklore Of Breastfeeding", Bul. N.Y. Acad. Med., Vol.51, No.7, July-August 1975.




Some back and forth in social aspects of what was seen as purely scientific or at least rational judgement:




This was the situation in the Workman home, where the wet nurse, dubbed "Irish Mary," retained her position in spite of serious problems. According to Workman, Mary never learned how to care for her suckling and, on one occasion, put the child in mortal danger. Workman had observed her standing in the middle of the street, holding the baby, and staring at a rapidly oncoming carriage. Workman's complaint about Mary's lack of knowledge echoed that of many physicians. Conflating immorality with ignorance, pediatrician Rowland Godfrey Freeman alleged that "unmarried mothers are women of a low grade of intelligences," and, as a result, they "cannot be trusted to care for the baby on account of ignorance or unreliability. "



A week after Mary's departure Workman found a replacement, a wet nurse she never referred to by name, but who might well have been called Irish Mary the Second. The woman resembled her predecessor in a number of ways, including her background, her adjudged lack of intelligence, and her concern for her own baby. The new employee claimed to be an Englishwoman but soon revealed her true origins when she opened her mouth and spoke in "broad Irish." Although the wet nurse was healthy, Workman found her appearance unattractive and referred to her face as having a "most heavy, unintelligent mould." Consequently, the wet nurse required constant observation.



What concerned Louise J. were obvious defects, not hidden diseases. She suspected that wet nurses lacked even "average mental or moral qualifications"; and the response she received supported her assumption. Wet nurses did not come from "the highly-intelligent classes" the expert attested, but added that few were "distinctly vicious." They were, however, women who had given birth out of wedlock. The reference to this fact by Louise J., who admitted at the outset that she intended to use wet nurses in the future, suggested that morality remained an intractable complaint - one that did not prevent a wet nurse from being hired, but one that also never ceased to cause concern. Like the drone of employers who complained about their lazy servants but could not live without them, the frequent references to the moral limits of wet nurses were overshadowed by the reality of their effectiveness. Both Louise J. and her respondent knew this.



The most active forum for scientific mothers, Babyhood magazine, was "Devoted Exclusively to the Care of Infants and Young Children, and the General Interests of the Nursery." It began publication in 1884, supplying expert advice to women who viewed child rearing as a highly demanding discipline. The magazine employed leading pediatricians to write articles and answer questions from readers. By 1885 it had earned an endorsement from the American Medical Association. One of its editors, Leroy M. Yale, was a physician and at one time, a lecturer on diseases of children at Bellevue Hospital Medical College in New York City. The other editor was the domestic writer Mary Terhune, who had denounced wet nurses in her book Eve's Daughters. The prolific author of twenty-five popular books on domestic matters, as well as twenty-five novels, Terhune (who published under the name Marion Harland) believed strongly in artificial feeding. Not unexpectedly, when subscribers opened the pages of Babyhood or similar publications, they found a plethora of advertisements for commercially manufactured infant foods bordering the many articles about infant feeding. Terhune herself penned the advertising booklet for Carnrick's Soluble Food. (p 162–165)



The founding in 1956 of the La Leche League, an organization dedicated to "the womanly art of breast feeding," and the resurgence of maternal nursing in the "baby bust" years that soon followed, suggest that a fundamental reconception of middle-class maternity was underway. According to the National Center for Health Statistics, the number of American women nursing their babies immediately after birth rose from 24.7 percent in 1971 to 55.3 percent in 1981. In many cases the duration of nursing proved very brief. Even so, the figures seem to indicate that women believed they should make an effort to breast-feed. In. 1982 maternal breast-feeding rates peaked at 61.9 percent, although by six months of age only 27.1 percent of babies were still being breast-fed. The latter figure was, nevertheless, five times higher than it had been in 1971, when the rate was only 5.4 percent.



The reasons for the recrudescence of maternal nursing are numerous and to some degree contradictory. They include a feminist and countercultural rejection of medical authoritarianism (also evident in the embrace of the natural-childbirth movement) and at the same time reflect the continuing influence of the earlier "baby boom" generation, which constructed motherhood as a vocation. Yet, motherhood was not women's only vocation in the 1970s. The growth in maternal nursing paralleled an increase in the labor force participation rate of women with young children. This points to another critical factor: growing rates of maternal nursing were not universal, but were class based. Middle-class mothers embraced breastfeeding at a time when low-income women continued the practice of bottle-feeding. The use of mothering style as a demarcation of class — evident in the nineteenth century when well-to-do women saw breast-feeding by lower-class women as animal like – obviously continued in the late twentieth century.
Janet Golden: "A social history of wet nursing in America. From breast to bottle", Cambridge History of Medicine, Cambridge University Press: Cambridge, New York, 1996, p204. DOI




It should be self-evident from the above (and really the question here in itself) that the song line didn't age so well, as the current fashion would suggest the opposite: longer feeding yields better outcomes in health in later life.




Comparison of the results from the four stable isotope studies to those of other published studies reveals that the modal age at the end of weaning was slightly lower in agricultural communities than hunter-gatherer communities, but the range of ages was similar. Weaning prior to the age of eighteen months was rare before the post-medieval period. It is argued that the gradual reduction in breastfeeding duration since the Neolithic, and the replacement of breastmilk with animal milk products, means that on the whole the development of agriculture probably served to increase infant morbidity and mortality.
Rachel Howcroft: "Weaned Upon A Time Studies of the infant diet in prehistory", Dissertation, Stockholm University, 2013. (PDF)




But maybe this line can still resonate in certain demographics or even more in mental pictures others have about them:




enter image description here
R J Harris: "Nutrition in the 21st century: what is going wrong", Arch Dis Child 2004;89:154–158. doi: 10.1136/adc.2003.019703 (PDF)








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edited 9 hours ago

























answered 15 hours ago









LangLangCLangLangC

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  • 2





    Very nice sources. I don't think the last graph shows the particular groups Rodriguez had in mind but it's interesting to consider how it might be read today...

    – Luke Sawczak
    14 hours ago






  • 1





    @LukeSawczak Well, certainly not. But it illustrates nicely that the actual medical science behind this is much less important than the social marker of difference.

    – LangLangC
    14 hours ago






  • 1





    Ah, yeah. Good point.

    – Luke Sawczak
    14 hours ago














  • 2





    Very nice sources. I don't think the last graph shows the particular groups Rodriguez had in mind but it's interesting to consider how it might be read today...

    – Luke Sawczak
    14 hours ago






  • 1





    @LukeSawczak Well, certainly not. But it illustrates nicely that the actual medical science behind this is much less important than the social marker of difference.

    – LangLangC
    14 hours ago






  • 1





    Ah, yeah. Good point.

    – Luke Sawczak
    14 hours ago








2




2





Very nice sources. I don't think the last graph shows the particular groups Rodriguez had in mind but it's interesting to consider how it might be read today...

– Luke Sawczak
14 hours ago





Very nice sources. I don't think the last graph shows the particular groups Rodriguez had in mind but it's interesting to consider how it might be read today...

– Luke Sawczak
14 hours ago




1




1





@LukeSawczak Well, certainly not. But it illustrates nicely that the actual medical science behind this is much less important than the social marker of difference.

– LangLangC
14 hours ago





@LukeSawczak Well, certainly not. But it illustrates nicely that the actual medical science behind this is much less important than the social marker of difference.

– LangLangC
14 hours ago




1




1





Ah, yeah. Good point.

– Luke Sawczak
14 hours ago





Ah, yeah. Good point.

– Luke Sawczak
14 hours ago


















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