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Date: | Thu, 26 Jan 2006 22:24:54 -0700 |
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>Where can I find a study that reveals the importance of breastmilk as the
>primary source of nutrtion, to be offered before complimentary foods in the
>first year of life? I have searched the AAP pages but have not
>found anything
The WHO materials for World BF Week 2005, theme "Breastfeeding and
Family Foods", may be helpful. See
http://www.waba.org.my/wbw/wbw05/wbw2005.html and particularly the
action folder http://www.waba.org.my/wbw/wbw05/actionfolder.pdf
I do have one serious concern with the action folder. It makes the
statement, "On average, breastfed babies of 6-8 months obtain around
70% of their energy needs from breastmilk, this falls to around 55%
at 9-11 months, and 40% at 12-23 months."
It is tempting to read these numbers as "shoulds". BUT -- these
numbers are NOT recommendations, rather statements of what has been
determined to occur among breastfed babies in the US, and I believe
they reflect less-than-optimal breastfeeding practices. They come
from the following publication: Food and Nutrition Bulletin. 2003,
24 (1) Special
Issue Based on World Health Organization Expert Consultation On
Complementary Feeding.
http://www.who.int/mip/2003/other_documents/en/FNB_24-1_WHO.pdf
[warning: it's 144 pages] The percentages appear to be calculated
from the information in Table 2, which is on page 7 of the pdf. The
data came from a study in which mothers in the US breastfed their
babies exclusively for at least 4 months, then did whatever they
wanted with complementary foods. Certainly many if not most of these
mothers were influenced by the ubiquitous non-Code compliant
marketing practices of baby food companies in the US. The feeding
practices of this population cannot be used as a recommendation for
what breastfed babies SHOULD be doing.
Other than that little caveat, I have only praise for the WHO WBW
documents. They contain a lot of great information about the
particulars of feeding solids to breastfed babies, and are
well-referenced.
Warmly,
Margaret
Longmont, CO
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