GOP doctors criticize CDC guidance on ‘chestfeeding’ infants, demand scientific evidence.
Controversial CDC Guidance on Transgender Breastfeeding Questioned by GOP Doctors
The U.S. Centers for Disease Control (CDC) is facing scrutiny from GOP doctors in the Senate over its contentious guidance regarding transgender individuals and breastfeeding. The CDC’s guidance suggests that transgender people can breastfeed children and even recommends medication for lactation.
According to the CDC, transgender and non-binary individuals “may give birth and breastfeed or feed at the chest (chestfeed).” The agency has also published information stating that transgender individuals can take medication to induce lactation in order to breastfeed infants. On July 13, Senators Roger Marshall (R-Kans.) and Bill Cassidy (R-La.) expressed their concerns in a letter, criticizing the CDC’s “chestfeeding” guidance.
“I am writing to you with serious concern about the Centers for Disease Control and Prevention’s (CDC) guidance for biological men who identify as women (transgender individuals) who wish to breastfeed,” said the senators, both of whom hold a doctor of medicine (M.D.) certification.
The letter, addressed to CDC director Mandy Cohen, highlights that the U.S. Food and Drug Administration (FDA) has not approved any medication to increase breast milk supply. The two drugs commonly used for this purpose, metoclopramide and domperidone, come with significant risks and side effects.
Metoclopramide and domperidone are actually intended for other health conditions and are used off-label to boost milk supply. However, the FDA has warned about serious risks associated with using metoclopramide, as it can pass into breast milk and harm the baby. Similarly, the FDA has explicitly warned against using domperidone for raising milk supply due to safety concerns since 2004.
In addition to potentially harming the baby, these drugs also have side effects that can be harmful to the person consuming them. The senators find it shocking that the CDC would recommend the use of an unapproved drug without providing any context about its dangers.
The letter requests the CDC director to provide a scientific basis for its guidance on chestfeeding and lactation drug intake. This includes submitting peer-reviewed studies on transgender individuals breastfeeding, data comparing the nutritional benefits of breast milk from biological women versus transgender individuals, and data evaluating the long-term health risks for infants breastfed by transgender individuals who have undergone hormonal therapy for gender transition.
It is crucial for the CDC to provide evidence-based guidance and not recommend drugs that are not approved in the U.S., especially when it contradicts the FDA’s role in reviewing the safety and effectiveness of drugs.
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