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Thursday, May 29, 2025

Poop is back in the news

by

Dr David Bratt
674 days ago
20230724
Dr David Bratt

Dr David Bratt

Allan Ganpat

Breast­feed­ing week is up­on us and the usu­al neg­a­tive ar­ti­cles slic­ing away at breast­feed­ing con­fi­dence, sly­ly sug­gest­ing it ain’t as good as we think, are be­ing pub­lished, as hap­pens every June/Ju­ly.

It’s like elec­tions in T&T but an­nu­al­ly. As soon as you see work­ers mys­te­ri­ous­ly ap­pear, clean­ing up the side­walks, pulling grass and pil­ing it up in very neat lit­tle clumps at the side of the road to dis­ap­pear when rain falls, you know elec­tions are not far off. It’s the same with an­ti-breast­feed­ing ar­ti­cles.

And just like our coun­cil work­ers who work quite well, neat up their mess, then leave it at the side of the road for some­one to clean up, the au­thors of these neg­a­tive breast­feed­ing ar­ti­cles sound very rea­son­able, are well-trained psy­cho­log­i­cal­ly and leave a neat lit­tle mess of doubt in our minds: “3.56 per cent of moth­ers in Su­dan can­not breast­feed be­cause of un­der­nu­tri­tion and one won­ders what the per­cent­age re­al­ly is in Mex­i­can mi­grant work­ers in Val­ley View, Neva­da.” Huh? They then move on to the next cheque.

In the 1970s these same peo­ple claimed that clas­si­cal breast­feed­ing stools, a wa­tery, cur­ry-coloured pas­tiche that might oc­cur five to six times a day in a well-fed ba­by, were ab­nor­mal. Healthy breast­fed ba­bies would be re­ferred to the var­i­ous gas­tro wards in the coun­try and treat­ed for gas­tro.

That would en­tail, sep­a­rat­ing the ba­by from the moth­er, stop­ping breast­feed­ing, tak­ing blood and stool sam­ples, start­ing an in­tra­venous drip, starv­ing the ba­by for sev­er­al days and giv­ing poi­so­nous cock­tails of med­i­cines con­tain­ing bis­muth, bel­ladon­na and codeine, the in­fa­mous BBC syrup, prob­a­bly more re­spon­si­ble for be­ing as­so­ci­at­ed with deaths, than taint­ed cough syrups in In­done­sia and the Gam­bia.

Breast­feed­ing and stools, “poop” as the Amer­i­cans like to call it, is as ug­ly a word as one could imag­ine when you could call it in our ba­by Tri­ni speech, “poo poo”. It’s like the harsh “butt”, used in­stead of our soft­er and fem­i­nine, “bum­sie”.  Or “sum­mer di­ar­rhoea” in­stead of “man­go gas­tro”.

But poop is back in the news. Good poop!

We have known for some years that trans­fer­ring good “poop” (in cap­sule form) from peo­ple with healthy in­testi­nal bac­te­ria in­to the in­tes­tine of peo­ple with cer­tain in­testi­nal dis­eases due to the pres­ence of ab­nor­mal bac­te­ria, im­proves their in­testi­nal health and helps re­lieve di­ar­rhoea, gas, cramps and bleed­ing.

Now comes news that the moth­er’s “poop­ing” dur­ing birth is good for the new­born ba­by.  Some of us have known this for the last 20 years.

At that time I thought it a dif­fi­cult top­ic to write about since fae­ces was a bad word and the idea of “clean­li­ness” be­ing bi­o­log­i­cal­ly im­por­tant was still up­per­most in peo­ple’s minds. To­day, de­spite the best ef­forts of the Covid po­lice, and liv­ing as we do, sur­round­ed by filth, the idea that dirt can’t be too harm­ful, is fair­ly well ac­cept­ed.

This is the idea that there are ben­e­fi­cial germs. There are more ben­e­fi­cial germs than there are harm­ful ones. In­side us, there are ten ben­e­fi­cial mi­croor­gan­isms for every hu­man cell. Every one of us is host to about 100 tril­lion good bac­te­ria.

There are so many bac­te­ria in­side of us that one has to won­der what we re­al­ly are. They are es­sen­tial for good health. They as­sist in di­ges­tion, pro­mote the de­vel­op­ment of the im­mune sys­tem and they detox­i­fy harm­ful chem­i­cals.

Giv­ing birth has al­ways been a messy process. Glo­ri­ous­ly messy, dirty and even filthy. Apart from the blood and se­cre­tions, it’s com­mon for the moth­er to defe­cate as she ex­pels the ba­by. Some ob­ste­tri­cians give the moth­er an en­e­ma so as not to soil their lily-white hands. There’s a rea­son why this is not a good idea.

It turns out that, as the ba­by is born, face down, its nose and mouth are tucked in­to the moth­er’s bot­tom and this is the very first time it comes in con­tact with bac­te­ria out­side the womb and vagi­na.

As it takes its first lick, it in­gests ben­e­fi­cial bac­te­ria from the moth­er’s “poo poo” and this is ex­act­ly what the ba­by needs to de­vel­op a strong im­mune sys­tem.

The more of the moth­er’s fae­ces there is dur­ing birth, the more like­ly the ba­by is go­ing to get a good swal­low and in do­ing so the greater the like­li­hood that the moth­er’s ben­e­fi­cial bac­te­ria will reach and colonise the ba­by’s gut. This is sci­en­tif­i­cal­ly called “feed­ing and seed­ing” of the ba­by’s gut bac­te­ria and this plays a piv­otal role in de­vel­op­ing the ba­by’s im­mune sys­tem and there­fore fu­ture health.

And as if to com­plete the cy­cle, breast­milk pro­vides spe­cial in­di­gestible sug­ars, called HMOS, that specif­i­cal­ly feed those ben­e­fi­cial mi­crobes com­ing from the moth­er. Hon­est­ly, we should be cel­e­brat­ing defe­ca­tion dur­ing birth.

columnist


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