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Subject:
From:
Morgan Gallagher <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 2 Nov 2007 23:34:39 +0000
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The short answer is: nowhere.

The long answer is that it is refered to, and inferred, across several 
documents, which have slightly different contexts.  The most obvious one 
is the Child and Infant Global Feeding Strategy, which discusses this 
hierachy over a couple of pages. It also states that wet-nursing is as 
good as banked human milk if the wet-nurse is healthy.  Wet-nursing also 
appears in the hierarchy on Infant Feeding in Emergencies, and states 
that if the mother is dead, a wet-nurse should be found, even is this 
involves re-lactation.

http://www.who.int/child-adolescent-health/New_Publications/NUTRITION/gs_iycf.pdf   
top of page 17

http://whqlibdoc.who.int/hq/2004/9241546069.pdf  from page 20

I spent several days doing this search, with help from other 
breastfeeding supporters, some months ago - there is also a No 5 to your 
list below - which is animal milk.  So it runs as....

1) Mother's milk from breast
2)  Mother's milk given in another way - syringe/cup etc
3)  Wet-nurse from healthy woman or banked human milk
4)  Formula - breast milk substitute
5)  Animal milk

But, as far as I am aware, there is no codified, clearly laid out 
hierarchy in one single place, in terms of a 'list'.  More than happy to 
get the cite of one if there is one!

Morgan Gallagher



David Sulman and Anne Altshuler wrote:
> Where can I find the reference or source for the statement that the 
> World Health Organization recommends this priority of infant feeding 
> choices: #1 - mother's own milk directly from the breast, #2 - 
> mother's own milk fed by an alternate method  #3 - banked human milk 
> (when a mother is not able to provide her own milk for her baby), and 
> #4 - artificial baby milk substitutes?  I want to cite it in a letter 
> to the editor of our local newspaper
>
> I know I have seen it mentioned on Lactnet before, but I can't find 
> it, or when searching the WHO web site.

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