Excellant approach Leanne. If we don't discuss formulas with those who are
going to use it anyway and give them safe good advice, we must consider
ourselves  guilty  if ignorance of the facts and risks causes the death of a
little one, if we were in a position to educate the mom and neglected to do
so.
From: Lynda Lilienfeld RN.RM. IBCLC.ICCE (South Africa)

----- Original Message -----
From: "Leanne Jewell RN-BC, IBCLC, LCCE,FACCE" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, August 01, 2010 4:28 PM
Subject: Teaching formula use


Hi Just had to add my perspective on the teaching of formula by IBCLCs. As
the head of the hospital Breastfeeding Committee I have made it an issue to
address how much we tell our Moms on Day 1 and 2 while in hospital and we
tell the new Moms to followup with the pedis usually in 48- 72 hours after
discharge so they can be guided by the docs recommendations.
We have a large diverse population usually Hispanics but we get a wonderful
cultural and ethnic mix of patients. We get a large group of WIC Moms and so
we need to address so many concerns and myths.
Even though we have approximately 90 % of all Moms declaring they are
breastfeeding we also have the ones who want a "just in case bottle". Our
goal is to focus on exclusivity but we need to make sure that the Moms who
are using formula understand the enormity of the importance on how to prep
formula.
They are told that it's not like making "hot chocolate" were they can add
just a little more to make it more nourishing. Also not to dilute it more
for a longer time of use.  In fact over the years I have seen infant deaths
from both errors.
That's when I add if your are breastfeeding its all premixed, ready to eat
and you don't have toimprove the
recipe".
We recently had WIC reps visit us and we now have the wonderful visual aid
of how much they get if they are exclusively breastfeeding as opposed to
doing both. It really is an impressive tool and we hve seen Moms then ask to
take back the formula.
This is only one view and Lord knows we have miles to go ...
Leanne Jewell

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