Subject: | |
From: | |
Reply To: | |
Date: | Wed, 19 May 2010 08:32:18 -0500 |
Content-Type: | text/plain |
Parts/Attachments: |
|
|
In Woolridge's study of milk transfer with a shield in babies who were
good nursers, the babies transferred 25% less milk...29.9ml with a
shield, and 38.6ml without a shield. He may say it is not significantly
different, but I think 25% less transfer can be the tip of an iceberg in
this study. Obviously he didn't do several transfers over time, and
daily weights to compare growth. But I don't think it is prudent to
ignore a 25% decrease in milk transfer, until more vigorous studies are
done to prove nipple shield safety.
It is important to remember that nipple shields are interventions, like
drugs on the market. We want to prove their safety first before regular
use, and we haven't with the studies done thus far. We don't want to
assume they are fine until proven unsafe, like we've had to do with
formula. I realize that many people posting on this listserv have
expressed that lactation services are an art, and that creative use of
nipple shields can be helpful. I agree that medicine is an art in some
respects in that there is no substitution for experience and intuition.
However, evidence-based medicine is also necessary to reign in practices
that are dominated by opinion and individual practice, in order to
provide safe and cost-effective care to people.
Anne
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
|
|