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Tue, 2 Oct 2007 13:07:51 -0400 |
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Nikki-
I'm wondering if there is some confusion about the purpose of the Guide. The
Guide was written in order to help communities decide on the most effective
interventions to promote breastfeeding. Just as we ask doctors and midwives
to take evidenced based actions in their practices, it is important for us
to look at our practices and see which show evidence of their effectiveness.
Particularly when funds may be an issue, knowing how to get the most out of
our money is a valuable thing for state and local entities, as well as for
local volunteers.
The Guide does not propose getting rid of the code. Limited evidence means
exactly that- at this time there is limited evidence that using the WHO code
is an effective means of increasing breastfeeding rates. It is possible that
this is simply because more research is needed. It is possible that the lack
of any enforcement of the WHO code in the United States limits what using
the WHO code can acheive here. Please also note that "Although evidence of
effectiveness is limited for these interventions, CDC does not discourage
their implementation."
While it is easy to see government as the big, bad wolf I think we need to
keep in mind that there are many, many honorable government employees, who
believe in breastfeeding as much as anyone else on this list, and who are,
in fact, long term members of the Lactnet community.
Warmly,
Jennifer Morris, LLLL and eagerly awaiting Oct 19th
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