OK, I've been back a whole week now from visiting the in-laws in Florida (yes, the issue of "Is Emma still nursing?" came up ... I just dodged with a "not very often ... sometimes not even to go to sleep" ... OK, dodged, lied ... it's all semantics ... saves me from a bit of grief) ... ANYWAY ... so I guess it's time for me to chime in ...

Regarding the WHO 4 (see below) ... I attended a seminar at a Regional LLL conference in September of 2002 ... in it Kay Hoover explained her 12 Steps to feed the baby, which I wrote up into an article for our Alaska Newsletter, "Leader Link" ... the reason I like her 12 steps is that infant formula doesn't come into play until Step 12!  (Not to mention the "12 step" tie-in that is so popular with all the self-help stuff in the U.S.)  I like this because it puts the importance of human milk at such great emphasis.  The order we were given in the seminar was:
1. Milk directly from the breast
2. Freshly expressed mother's own milk
3. Room temperature less than 1 hour
4. Room temperature less than 4 hours
5. Refrigerated less than 24 hours
6. Refrigerated less than 48 hours
7. Refrigerated 3 days
8. Frozen milk less than 3 months old
9. Frozen milk over 3 months old
10. Previously frozen milk stored in a refrigerator for less than 24 hours
11. Banked human milk
12. Artificial baby milk (formula)

I know this is far too much to be throwing at moms, but it can make an interesting conversation with other HCP's who think in terms of "baby won't latch on ... better get that bottle of formula."

So, there's my returning 2 cents!  Missed you guys ... glad to be back!

Heidi Koslo
Alaska USA
(Still working on that handout!)

  ----- Original Message ----- 
  Date:    Mon, 5 Jan 2004 13:03:18 EST
  From:    Judy Le Van Fram <[log in to unmask]>
  Subject: Re: risk of not breastfeeding

  In a message dated 01/05/2004 12:08:48 PM EST, [log in to unmask]
  writes:

  << >I wish that we would say "risks of infant formula" rather than "risks of
  not
   >breastfeeding."  I am very opinionated about this and I am not sure I will
   >ever understand the need to say in the same breath "risks" and
  "breastfeeding."
   >It may be the politically correct approach and yet I think its
  sophistication    
   >maybe its own undoing.
    >>

  It's more wordy, but something like the risk is "feeding your baby anything
  other than your milk,"  or "risks of anything other than your milk/mother's
  milk/human milk"... At times ( during a phone call where I realized the mother of
  a 6 month old wasn't talking about how she was weaning her baby from the
  breast to formula, but weaning from breastfeeding to simply solids) I actually
  reviewed the WHO Four: 1: breastfeeding . 2: breastmilk feeding of mom's own
  milk,  3: breastmilk feeding of another mother's milk ( via bank) and a distant
  4th: . appropriate and safely prepared and delivered formula. The first three
  are all related and a huge dividing line exists between first three and the last
  one, and that is where the risks come in.
  Judy LeVan Fram, Brooklyn, USA

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