Like Debra, I hardly ever saw TT in the first years I was the local LLLL. Looking back I think the babies were just switched to a bottle if mom had significant pain or baby wasn't gaining. As times changed and BFing became more important to families I began to see more. Luckily as an APN I can dx and refer. IBCLCs have to be very careful how they phrase what they see :-( who sees the babies having trouble the most ? I see babies early on who are destroying mom's nipples OR at several weeks when the baby is not gaining well or at all :-( About 25 years ago I did home visits in an area where mom/baby went home 24-30 hrs after delivery. If BFing was going well most babies were at birth weight or passing it by day 4 visit! This back to birth weight by 2 weeks is a huge red flag in my opinion (not so humble, LOL) PS: the moms weren't getting so many labor interventions either. Love Noel -Weiss's article on true birthweights.
Another opinion - so much of what we eat is processed/prepared...do all the ingredients added cause problems??? I have really enjoyed reading Michael Polan's book. One of his rules is don't buy anything with more than 5 ingredients or if you can't pronounce the ingredients. Pat in SNJ
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