Cathy,
Thank you for sharing your thoughts. It does allow us to each reflect on  
our personal motivations and assumptions. I appreciate this. I also wonder, 
in  response to your last paragraph, if the ever increasing need for these 
products  is not at least in some ways, a result of the  marketing practices.
IF there were not teats and bottles available whose manufacturers were  
spending cartloads of money "selling" to us, the general public, and the  
mothers.... MIGHT we not have more employers willing to discuss extended family  
leave, on site care centers, accompanying babies? If the options were 
different,  would the expectations and common practices be different? If the 
perceived  options were different, would the perceived solutions be different?
 
Even IF all assembly line, chicken plant, canning factory....  workers 
truly NEEDED these items, (and there is at least one apple packing  plant in the 
Northwest USA which has proven this is not the case). How many of  the 
managers in other industries and offices are not really insidiously  creating 
barriers for breastfeeding mothers but are really acting in response to  this 
marketing?
IF there are teats and bottles so perfectly matched to the situation, why  
should I allow an employee to bring her baby to the workplace? Why should I 
need  to make any accommodations - especially if they cost me or I perceive 
a  cost? 
 
My sister has a jejunostomy tube (a J tube). Although I  frequently see 
catheters and other ostomy products advertised on TV (here in the  USA), I have 
yet to see a j tube commercial... (although with the increase in  bariatric 
surgeries, I am sure we will one day)...but my parents have the option  of 
choosing from several manufacturers. The fact that they are not marketed to  
them directly does not eliminate their choice.... We do not receive free 
samples  in the mail, we do not see many choices in glossy photos on 
magazines, there are  not warm and fuzzy videos explaining how wonderful these 
options are, or why we  might choose one over the other... but we know they are 
there. We (with the  assistance and input of her hcp) have tried several and 
chosen the one with  which we get the best results. We do not find this to be 
 patronizing.
 
So, no, I do not think we should change the code. I think this may even  
prove why the code is important.
 
Laura Goodwin-Wright
Mississippi, USA
 
------------------------------

Date:    Sun, 13 Feb 2011  16:32:41 +0800
From:    Cathy Fetherston  <[log in to unmask]>
Subject: industry funded research


Much is often said about “code violations” in regard to the advertising  of
bottle and teats for the administration of EBM. Given the ever  increasing
numbers of women needing to use these aids to give their babies  breastmilk
(esp mothers returning to work) should we consider changing this  part of 
the
code? I have seen the view that business shouldn’t be allowed to  advertise
directly to mothers for this purpose and that they could advertise  to us
only, who would then make the decisions about what is best for a mother  to
choose. This struck me as being very paternalistic, I would be interested  
to
hear what others have to say on this.

Warm regards
Cathy  Fetherston  RM PhD IBCLC

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