With all due respect, I do not find anything wrong with this study. 
Nowhere does it blame breastfeeding as the problem but inadequate 
management mostly on the physician's part in assessing and addressing poor 
milk transfer. The researcher recommends judicious use of expressed breast 
milk and or formula. Nowhere does he suggest formula as the solution to 
this devastating problem. The conclusion is "Increased efforts are 
required to establish successful breastfeeding." Who amongst us would 
disagree with that? 


Vaishali Kute, MD, FAAP, anxiously awaiting the results of IBCLC exam.

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