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Subject:
From:
Karleen Gribble <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 17 Oct 2008 07:49:19 +1100
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Hi Pat,
What was the definition of exclusive breastfeeding?? The levels reported in
the abstract seem very high.
Karleen Gribble
Australia
----- Original Message -----
From: "Pat Young" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, October 16, 2008 10:54 PM
Subject: Supplement to Pediatrics on Infant Feeding


120 pages to slog thru :-(  up to page 63 :-)

Read so far: Study Design, Infant Feeding and Transitions During First Year
of Life; Effects of Maternity-Care Practices on Breastfeeding;
Characteristics of Breastfeeding Practices Among US Mothers; BF and
Employment.

To read : Prevalence of Breast Milk Expression; Why Mothers Stop BF;
Association of BF Intensity and Bottle-emptying Behaviors at Early Infancy
With Infants' Risk for Excessive Weight at Late Infancy; Infant
Formula-Handling Education and Safety; Selected Complementary Feeding
Practices and Their Association with Maternal Education; Sources of
Supplemental Iron Among Breastfed Infants During the First Year of Life;
Maternally Reported Food Allergies and Other Food Related Health Problems in
Infants; Infant Sleeping arrangements and Practices Durig the First Year of
Life. Whew!

The abstracts are available at www.pediatrics.org  Be sure and go read the
conclusions!

Positives
No formula sponsorship that I have seen so far!  All DHHS, CDC,DofAg etc.
They spell breastfeed, breastfeeding correctly :-)
Key phrases pop up regularly (exclusive, baby friendly, continue
breastfeeding as long as mutually desired by mother and infant)
Breastfeeding baby at work increases duration, pumping at work increases
duration- just not as much, doing neither results in weaning earlier [of
course!]

Causes for concern:
almost half of breastfed infants were supplemented with formula in the
hospital.
41% of infants receiving solid foods before 4 mo. (risk factor for early
cessation of BF)
increased consumption of sugary, fatty foods by age 1 (lousy US nutrition
and advertising)
Cereal universal first food.  Meats begun late (8 mo) altho babies can use
them earlier. ("Pureed meats have shown to be well tolerated by infants as a
first complimentary food")
Large sample, but  skewed.  Minorities under rep.  Ed level higher than
national average.  Self selection - sort of, moms had to answer a monthly
questionnaire for 1
year.
Most US hospitals only use a few of baby friendly policies.  Increased # of
policies = increased duration of babies BF.

Nearly half of moms said they BF less than 8 x per day and for shorter
amounts of time.  Do we need to  look at common advice (8-12 x/day; 10-15
min each side each feed) Neat comment "The physiology of human lactation is
extremely complex[duh], but effective lactation is not determined by
frequency, duration, intervals, and pairing of feedings." (numerous ref.)
"Instead, it is influenced by interactions among 4 major elements:
(1)characteristics of how mother's body makes and stores milk that may vary
by time of day; (2) how completely the child empties the breast at an
individual feeding; (3) variations across 24 hours in the child's need for
breastfeeding; (4) which breast the child feeds from first-the breast that
is dominant or non dominant milk-producing breast.  Because none of these
elements are related to the themes of common breastfeeding advice, some
mothers whose infants' behaviors fail to match up to specific expectations
inherent in common breastfeeding advice may unnecessarily (and prematurely)
stop breastfeeding as a result of misinterpretation of a benign variation as
a problem."

Reading on...Pat in SNJ


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