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Subject:
From:
Morgan Gallagher <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 30 Jun 2009 18:44:47 +0100
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Code is very clear on this, and states that safe formula prep, 
out-lining the risks, and showing parents how to prepare as safely as 
possible, should be done one-to-one, after the need has been identified:

http://www.ibfan.org/site2005/Pages/article.php?art_id=52&iui=1 
<http://www.ibfan.org/site2005/Pages/article.php?art_id=52&iui=1>

4.2 Informational and educational materials, whether written, audio, or 
visual, dealing with the feeding of infants and intended to reach 
pregnant women and mothers of infants and young children, should include 
clear information on all the following points:


    1. the benefits and superiority of breastfeeding;

    2. maternal nutrition, and the preparation for and maintenance of
    breastfeeding;

    3. the negative effect on breastfeeding of introducing partial
    bottle feeding;

    4. the difficulty of reversing the decision not to breastfeed; and

    5. where needed, the proper use of infant formula, whether
    manufactured industrially or home prepared.


When such materials contain information about the use of infant formula, 
they should include the social and financial implications of its use; 
the health hazards of inappropriate foods or feeding methods; and, in 
particular, the health hazards of unnecessary or improper use of infant 
formula and other breastmilk substitutes. Such materials should not use 
any pictures or text which may idealise the use of breastmilk substitutes.

and:

6.5 Feeding with infant formula, whether manufactured or home prepared, 
should be demonstrated only by health workers, or other community 
workers if necessary; and only to the mothers or family members who need 
to use it; and the information given should include a clear explanation 
of the hazards of improper use.

and:

7.2 Information provided by manufacturers and distributors to health 
professionals regarding products within the scope of this Code should be 
restricted to scientific and factual matters, and such information 
should not imply or create a belief that bottle feeding is equivalent or 
superior to breastfeeding. It should also include the information 
specified in Article 4.2. <#42>

I think the key words here would be 'where needed'.  I'd suggest, and 
others more Code savvy than me might comment, that you can raise the 
issues of the risks of formula to a class as a whole, but should only 
demonstrate safe formula prep once need has been identified, one to 
one.  So that would be, I'd presume, to a mother stating that she is 
going to formula feed, or once a need for supplementation has been shown 
post-birth, and where there is no human milk available.

Teaching a class, en masse, to prepare formula safely, is, as I 
understand it, a breach of Code. 

I'm including the URL to the latest NHS 'prep' leaflet, in case it is of 
use:

<http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4123619>

Hope this helps.

Morgan Gallagher



Tina Revai wrote:
>  And we invite further, more 
> specific questions about ABM after the class.
> Does this breech Code?
> How do others address safer feeding practices given that many families give 
> ABM?
>   

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