I'm wondering if there is some confusion about the purpose of the  Guide. The 
Guide was written in order to help communities decide on the most  effective 
interventions to promote breastfeeding.  Just as we ask  doctors and midwives 
to take evidenced based actions in their practices, it  is important for us 
to look at our practices and see which show evidence of  their effectiveness. 
Particularly when funds may be an issue, knowing how to  get the most out of 
our money is a valuable thing for state and local  entities, as well as for 
local volunteers.

The Guide does not propose  getting rid of the code. Limited evidence means 
exactly that- at this time  there is limited evidence that using the WHO code 
is an effective means of  increasing breastfeeding rates. It is possible that 
this is simply because  more research is needed. It is possible that the lack 
of any enforcement of  the WHO code in the United States limits what using 
the WHO code can acheive  here. Please also note that "Although evidence of 
effectiveness is limited  for these interventions, CDC does not discourage 
their  implementation."


Dear Friends:
    Jennifer writes well............and reminds me of the progress we've made 
 in the US since I started working with mothers and babies in 1975. There is  
still far to go, too!
    warmly,


Nikki Lee RN, MS, Mother of 2, IBCLC, CCE, CIMI
_www.breastfeedingalwaysbest.com_ (http://www.breastfeedingalwaysbest.com/) 
www.myspace/AdonicaLee



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