And to add to what Phyllis said, isn't the whole SIDS-reducing aspect of
pacifiers that baby sucks them *during* sleep and doesn't fall into the deep
sleep associated with SIDS?  So advising not to replace one that's fallen
out of a sleeping baby's mouth wouldn't do much for SIDS, no?

Amy West, CLC

On Thu, Dec 2, 2010 at 7:59 PM, Phyllis Adamson IBCLC <[log in to unmask]>wrote:

> Went browsing thru the Healthy People 2020 website and found this:
>
> "Is it OK to nurse my baby to sleep?"
>
> "Nursing your baby to sleep can become problematic as your little one gets
> older because he or she may need to nurse to take a nap or go to bed at
> night. It helps to wean your baby off of sucking for comfort and make
> breastfeeding sessions about nourishment not pacifying."
>
> "Also try to put your baby down for naps and bedtime slightly awake so your
> little one will get used to falling asleep without having to nurse."
>
> "Instead of nursing, you may want to offer your baby his or her thumb or
> hand to suck on. You also could consider giving your little one a pacifier.
> In fact, the American Academy of Pediatrics (AAP) now recommends giving
> babies under a year pacifiers at naptime and bedtime to reduce the risk of
> SIDS. However, babies who are not interested in pacifiers should not be
> forced to take them, and pacifiers should not be put back in if they fall
> out once the baby falls asleep."
>
> Me again: this is just a portion of the page. How is it bad for baby's
> health for him to fall asleep at the breast? How does it improve baby's
> health to put him down in bed while still awake? How does it improve baby's
> health to nurse only for nourishment but never for comfort? Wouldn't
> dentists have something to say about not just encouraging thumb sucking, but
> actually teaching baby to do it?
>
> IMO: this is another example of giving parenting advice (orders?) in the
> guise of Health Care. But this time, it comes from the government. I hope we
> are not going to be mandated to teach this as part of the Healthy People
> 2020 program.
>
> Phyllis
>
>
> ---- [log in to unmask] wrote:
>
> =============
> Today the new Healthy People 2020 health goals for the United States were
> released with strong support for breastfeeding. The new target for
> breastfeeding initiation is 81.9% and three new goals have been added;
> increase the proportion of employers that have worksite lactation support
> programs, reduce the proportion of breastfed newborns who receive formula
> supplementation within the first 2 days of life, and increase the proportion
> of live births that occur in facilities that provide recommended care for
> lactating mothers and their babies (a big boost for the Baby Friendly
> Hospital Initiative). The Healthy People initiative sets national objectives
> with a monitoring process to motivate action. In the last decade,
> preliminary analyses indicate that the country has either progressed toward
> or met 71 percent of its Healthy People targets. This is certainly true of
> breastfeeding initiation which met the 75% goal of Health People 2010. Now
> is the time to renew our efforts and use these goals as tools to improve the
> health of our mothers and babies.
>
> http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicid=26
>
>
>
> Marsha Walker, RN, IBCLC
> Weston, MA
>
>
>
>
>
>
>
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> --
> Phyllis Adamson, BA, IBCLC
> Glendale, AZ.
> [log in to unmask]
>
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