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Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 17 Mar 2012 18:47:51 -0400
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Hello all,
 
What a great opportunity. I've been working very  closely with a local SLT 
for the past few weeks concerning 2 different babies -  one a 4 month old, 
the other 8 months old. This woman is dedicated and  supportive of 
breastfeeding and has years of experience, but we are finding  that we often have very 
different views on many things. Today we discussed the  differences in what 
we view as normal feeding "sizes": example, I tell moms that  a baby may be 
perfectly happy and grow well on 2.5 to 4 oz per feed, after 6  weeks until 
they get into solids a bit ( using Marsha Walker's info), whereas  the SLT 
felt that every baby should be able to drink 6 oz from a bottle within 5  
minutes by the time they are 4 months old. Her mentor, an expert in  OralMotor 
Function at Columbia ( who I took one class from during my  own graduate 
work there, at the time having nothing to do with  normal feeding ( 
breastfeeding)), also strongly promotes this a a  norm. Another issue is the idea that 
every baby should being experiencing spoon  feeding by the end of three 
months. Her idea was that it should be 3 small  teaspoons as sort of tests to 
make sure that the baby can begin the transition  to solids without a problem 
as they get older and not wanting to figure this out  when a baby is 
already 6 months old and should be eating solids. I  listened, I want to hear her 
perspective. I also shared the new  AAP statement and WHO/UNICEF guidelines 
that say exclusive  breastfeeding til "about 6 months". She was shocked and 
said she would need  to bring this to her mentor at Columbia. I don't think 
our  disciplines cross as much as the should. We both said we  liked hearing 
each other's perspectives, and the chance to learn more as we  work 
together. But it is kind of amazing how different our views are on  many things.    
Hope this is helpful.
 
Peace,
Judy   

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA
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