>Dear Heather:
>I understand and appreciate much of your rationale for individual
>teaching of bottle feeding. Nevertheless, I have trouble with some
>of your analogies.
>
>First, I actually NEVER recommend making powdered formula. It has
>nothing to recommend it in terms of benefits over liquid ready to
>feed and it has many more risks. When there is an option between
>one item with no known benefits and with high risks than an already
>risk product - the choice is clear - use the product with the lower
>risks. The only possible reason I can think of for choosing powder
>over liquid ready to feed would be if there was no liquid ready to
>feed available at all.
That's the case in many parts of the UK - large supermarkets usually
have a couple of brands, but in the small neighbourhood high street
near me, for instance, you can't get it. The price differential in
the UK is *huge*. Guidance in the UK from the dept of health is that
if available, liquid formula is preferred for v. young or vulnerable
babies, but the standard is to teach mixing powdered formula to ff
parents, because that is what the vast majority of parents will use
95 per cent of the time.
All the points you make about powdered formula are well known, and it
is very important that anyone using PIF makes it up safely.
That's why antenatal teaching in a group, weeks or months before the
info is needed, is unsafe and should be avoided. Watching something,
and then doing it under supervision, is safer. My point was that
watching alone, and weeks/months before the info is needed, is
useless and dangerous. I was not saying people don't need to watch -
of course they do! I was saying they need to watch and then do -
individually, with individual supervision :)
Heather Welford Neil
NCT bfc, tutor, UK
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