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From:
Ingrid Tilstra <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 18 Sep 2010 09:05:26 -0700
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Except that breastfeeding can be so much more than the milk.  Not to mention
the entire issue of bottle preference, which would of course be 'bad or
detrimental to the breastfeeding relationship'.

I always have to wonder why people even have children if their first
question is about how soon they can get away from them.  Not that I'd say
that to a mom, but I do encourage women to see and understand their baby's
intense need for their presence, regardless of how they are fed.

Ingrid
LLLL, IBCLC


-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Mary-Jane Sackett
Sent: Saturday, September 18, 2010 7:24 AM
To: [log in to unmask]
Subject: "Exclusively Breastfed" and getting a bottle of breastmilk

Dear Lactnetters,
 
The baby Nina talks about whose mother decided to use a new type of nipple, 
 would still meet "my" definition of exclusively breastfed, as long as 
there was  only mama's milk in said bottle. Yes, the baby is no longer fed 
exclusively "at  the breast," but I think getting breastmilk only in a
bottle 
would keep him in  the "exclusively breastfed" category that researchers
should 
be looking at  when one is trying to study or evaluate the health of 
babies, in  relationship to their diet. The Joint Commission Perinatal Core 
Measure for  Exclusive Breastfeeding indicates that those babies who receive

mama's milk via  alternate feeding methods are still counted as exclusive 
breastfeeders.
 
I really don't think that it is really bad or detrimental to the  
breastfeeding relationship when a mother is willing to express her  milk,
put it in a 
bottle of any kind, and let someone else feed the baby, if  this her wish. 
It is a fact of modern life that many, many women want to do  this, and many

have to do it when they do not have a standard paid  maternity leave in the 
US and they must them to return to work earlier  than they would like. I 
think mothers should be supported. Of course giving  mothers evidence-based 
education to make their decisions is always the correct  and ethical thing
for 
IBCLC's to do. But I am saddened when a  mother feels breastfeeding must be 
an "all or nothing" situation. I  routinely tell mothers that one does not 
have to be a martyr to nurse a baby.  They can have a life too! So many 
mothers have so much misinformation about the  do's and don'ts of
breastfeeding, 
that some won't even consider it because they  feel they can't "have a life 
and nurse." Giving this "anticipatory  guidance" type of information to 
mothers when I interact with them in the  hospital, I believe, is the right 
thing to do. Most have already asked me when  is a good time to begin to 
pump/express, before I even can provide  this guidance to them!
 
As far as the marketing of this new teat goes, we all know that this  
company is a Code violator. Why would we expect anything different?
 
Mary-Jane Sackett, RN, IBCLC, RLC
Pittsfield, MA
(in the beautiful Berkshire Hills of western  Massachusetts)

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