Hello,

I'm a lactation student in Philadelphia and am hoping you all can
point me toward some useful studies.

The issue is this: Ever since learning about the incredible research
of people like Lori Feldman-Winter on the lasting damage that any
amount of formula does to a newborn's GI tract, I feel some
hopelessness when I run into families who have already supplemented
with formula (sometimes out of medical necessity, sometimes not), or
who are going to be dependent on formula supplements for the
foreseeable future. It is difficult for me to get revved up to cheer
them on about the benefits of providing any amount of breastmilk to
their baby, when I know that in at least one significant way, the
'damage is done.'

I'd like to get in a better mindset about this, and Kay Hoover is
letting me use this as a research topic. Can any of you point me
toward evidence-based research (the studies or meta-analyses
themselves, not book chapters that summarize them) that would help me
build my knowledge on the following two questions?

1. Which benefits of breastfeeding remain when an infant is being
*non-exclusively* breastfed? Which benefits decline significantly when
exclusivity is lost?

2. On a similar note, which benefits of breastfeeding remain when a
baby is being fed human milk via bottle? Which benefits are lost when
feeding does not take place at the breast?

Thanks for any works you can point me towards.

April

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