vgthorley <[log in to unmask]> wrote:

> I need a reference, urgently, that "follow-on" milks are unnecessary for
> artificially-fed infants. I thought there was a statement on this in one or
> more of the earlier reports from APMAIF (the Advisory Panel on Marketing in
> Australia of infant Formula), but I can't find it. Lactnet seemed the place
> to ask.

Queensland Health dietary recommendations for toddlers are here

http://www.health.qld.gov.au/ph/documents/saphs/hsil_toddlernutrit.pdf

Nowhere near enough mention of breastmilk, but they certainly don't
recommend "follow-on" milk and it's not in the example meal plan. They
recommend water and plain whole cow's milk for fluid intake.

NHMRC dietary guidelines (more BF-friendly!) are here. 

http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/n34.pdf 

Extracts:

"If for any reason breastmilk is discontinued before 12 months of age, a
commercial infant formula should be used-instead of cow's milk-as the
main source of milk [...]

Follow-on formulas

Breastmilk is the preferred milk for infants up to at least 12 months of
age and offers benefits beyond this time. When, for whatever reason,
breastmilk cannot be offered, a standard infant formula should form the
main milk component of the diet for infants up to 12 months of age. The
main advantage of 'follow-on formulas' lies in their iron content:
infants at this age should ideally be getting iron from a varied and
expanding range of solid foods, including meat- containing products.
But, although the iron fortification contained in follow-on formulas is
an advantage for infants who are receiving inadequate amounts of solid
food, other compositional changes in protein, fat, carbohydrate, sodium
and calcium have no clearly established superiority over ordinary
formula provided together with appropriate solid foods.
The Infant Feeding Guidelines for Health Workers provide more
information about infant formula. [...]

Standard formulas labelled 'suitable from birth' are for infants from
birth to 12 months. 'Follow-on' formulas labelled 'suitable only for
babies over 6 months' are for infants aged from 6 to 12 months, but
their use is not considered necessary for most and there have been no
studies showing advantages over the infant formula they are already
having. The American Academy of Pediatrics recommends that infants be
fed breast milk for the first 6 to 12 months and states that the only
acceptable alternative to breast milk is iron-fortified infant
formula. By 12 months of age infants should be eating a wide
variety of family foods, and cow's milk should be introduced at this
time."

Lara Hopkins

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