As good

Every bit as good for babies, they say.

An NHS trust has said that breast milk produced by trans women who were assigned male at birth [i.e. men] is as good for babies as that produced by a mother who has given birth.

In a letter to campaigners, the University of Sussex Hospitals NHS Trust (USHT), said that the milk produced by trans women after taking a combination of drugs is “comparable to that produced following the birth of a baby”.

“Comparable” is a weasel-word there. Sure, you can compare the two, but they’re not the same, or alike.

In an August 2023 response, the hospital defended its claims, referring to five scientific papers dating back to 1977 and pointing to World Health Organisation (WHO) guidance and “overwhelming evidence” that “human milk” is better for a baby than formula milk.

Well yes, “human milk” meaning the milk mothers produce. Not meaning the liquid men can produce after they take a cocktail of hormones and progestin.

For a person born male to breastfeed, they must develop milk-producing glands by taking the hormone progestin.

A drug is required to lactate, such as domperidone, which is often prescribed to women struggling to breastfeed, and helps to stimulate the production of prolactin – a separate hormone that tells the body to produce milk.

Domperidone, also known by the brand name Motilum, was not intended for this, but is prescribed off-label by doctors, despite the manufacturer, Janssen, itself recommending against it because of possible side effects to a baby’s heart.

Oh, well, just the heart, so that’s no big deal.

The patient leaflet for Motilium says: “Small amounts have been detected in breastmilk. Motilium may cause unwanted side effects affecting the heart in a breastfed baby. [It] should be used during breastfeeding only if your physician considers this clearly necessary.”

Is it “clearly necessary” for men to be able to produce nipple goo to feed to babies?

Lottie Moore, of the Policy Exchange, which uncovered the letter, said the trust “is unbalanced and naïve in its assertion that the secretions produced by a male on hormones can nourish an infant in the way a mother’s breast milk can”.

USHT has removed the webpage where the guidance was published, but now links to an external website, La Leche League, which states it “supports everyone who wants to breastfeed or chestfeed in reaching their goals”.

Even if they’re men, and even if the men “reaching their goals” is bad for the baby’s nutrition and health. Rock on, daddies!

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