Dear Pat,
I am quite concerned about your impression that I am being dogmatic, which
is of course the antithesis of what I believe in. Perhaps the medium of
email has again done us in, with it's tendency to try to be brief and get to
the point. I adore Jan, and would never dismiss her research.
The sub-optimal issue was not terminology that I originated, but a quote
(noted in quote marks in my post) from Hamosh. It is in the title of her
paper. Hamosh is a very dedicated researcher who loves bfg and would be
surprised as I am to find her work being held up to suggest that breast milk
is dangerous. What is dangerous may be storing milk too long at too high
temperatures, with stipulations (as I thought I was making) when the milk is
going to sick babies or prematures. I was asked to review the storage
research, and Hamosh's was well done and more recent. It provides
guidelines that are cited by others (Lawrence, etc)
and provides evidence to back up a practice. What can we draw from if not
well-done research?
Just as a question for someone from dairy country, (and I ask this
sincerely, not as a rude snipe) how long would a farmer be comfortable
holding fresh cow milk at 77 degrees? I certainly don't mean to impugn
breast milk. To me it is simply a question of food handling. It would be
fine with me to have someone do another study, but the methodology of the
Hamosh study is considered to be awfully good, from what I could discover.
I guess my choice to reference that study might qualify as an opinion, but I
tried really hard to make a thorough review and to cite what the lit said.
Hopefully this will open up discussion that will reveal whether someone has
some better, more authoritative references on this issue. If they can be
found, I would gladly revise these guidelines next time they are printed,
which is about every 3 months.
I will certainly consider your criticism of my posts when next I
communicate. It pains me to think that my efforts to be a helpful teacher
and to refrain from opinion when research is available is taken as a
conversation stopper. As I say almost every time I lecture, there is more
than one way to be right.
Thanks for taking the time as a friend to point out your concerns.
Barbara Wilson-Clay, BS, IBCLC
Austin Lactation Associates
LactNews Press
www.lactnews.com
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