Mary, thanks for posting. The thing about this situation with your doctor
recommending formula feeds early on is that the burden of finding a
reference is with those who wish to institute this policy, not with you. The
AAP statement, 1997, clearly defines this position, I believe. Go
tohttp://www.aap.org/policy/re9729.html and print out the entire statement
that is referenced : Number #4 states:
"No supplements (water, glucose water, formula, and so forth) should be
given to breastfeeding newborns unless a medical indication
exists.92-95 With sound breastfeeding knowledge and practices, supplements
rarely are needed. Supplements and pacifiers should be avoided whenever
possible and, if used at all, only after breastfeeding is well
established.93-98 "
___________
Date: Thu, 10 Aug 2000 13:10:22 -0400
From: Mary McMullen <[log in to unmask]>
Subject: references needed re: length of time before nursing after birth
Hi to all! I am a new lactation specialist in Arizona and am needing some
help finding research to support my argument with a local pediatrician's
policy of supplementing EVERY breastfed newborn with formula if the baby
does not nurse within a)three hours of birth, and/or b)three hours of the
last nursing in the hospital (ridiculous, I know!). I have searched the
ARCHIVES unsuccessfully and am wondering if any of you have articles on the
medically accepted length of time one should allow a newborn to go
a)without nursing immediately after birth (if the child does so
unsuccessfully or is too sleepy), and
b) between the first or second feeds of life and subsequent feedings on the
GEESH. I won't say what I'm thinking about such a policy as this. The first
thing to do is to fix the latch, and if supplementation is necessary in RARE
cases, then do it with mother's own milk. This policy uncovers a glaring
lack of breastfeeding knowledge..... Refer the person to the AAP's own
statement on breastfeeding, and to Ruth Lawrence MD's book, and also to the
Academy of Breastfeeding Medicine. http://www.bfmed.org/
Kathleen
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet, Indep. Consultant
mailto:[log in to unmask]
http://homepages.together.net/~kbruce/kbblact.html
LACTNET Archives http://peach.ease.lsoft.com/archives/lactnet.html
"Each day is a gift. That's why it's called the present."
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