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Subject:
From:
LuAnn Smith <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 22 Jan 2003 17:50:36 -0500
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Hi Everyone,

Got a copy of this which is a summary of a Nestle Sposored Conference at
Johns Hopkins (5th Annual National Conference on Advances in Pediatric
Nutrition. Chairman of Neonatology forwarded it. Cover states article on
"maintaning breastfeeding" - no such article inside. Editor notes the
"benefits of breastfeeding" and how it is "the best way to feed a baby".
HA, HA, HA!

Once you get to the articles however, it is anything but breastfeeding
positive. I encourage all of you to get a copy if you can, because it truly
is an outrage. I know this will have and is having an affect on how
physicians will manage near term breastfed infants. When physicians are fed
this information, in this way and by these people, NO WONDER ( yes I am
yelling!) we see the amount of formula use that we do, as I had recently
posted about.

I apologize in advance for the length of this post but I wanted to share
with you comments from an article contained in the publication who is a
Chief of Perinatal-Neonatal Medicine at a New York Hospital.

LIMITATION OF HUMAN MILK
"Human milk is not always available....not all mothers can produce
enough...even with the best lactation support.... But the major concern with
breastmilk is that the nutrient content is insufficient for the premature
infant.
VARIABLE COMPOSITION....Human varies from day to day, even in the same
women, In particular fat content....therefore calories....is extremely
variable. Composition changes over the course of the day and even changes
from he beginning to the end of a single milk
expression....
LOW NUTRIENT CONTENT......levels of certain nutrients, most significantly
calcium or phosphorus are too low in breast mik to supply the needs of the
premature infant......increased chance of rickets......and high serum
alkaline phosphtase is associated with linear growth delays.
Other nutrients are affected by how the breast milk is handled.....
vitamins....can be destroyed by exposure to air or light, fat can be
affected by being passed through feeding tubes.. or by being transferred
from one container to another. Sodium levels decline as breastfeeding
increase....premature infants who are fed breast mik can be at risk for
hyponatremia.
FEEDING AFTER DISCHARGE:WHAT THE STUDIES SHOW
...by 18 months post birth breastfed babies remained smaller than either of
the formula groups...Breastfed babies were also smaller at 9 months of age
raising the possiblity that breastfed postdischarge preterm infants may
require nutritonal supplementation.......more data are needed to understand
what is optimal growth in the post discharge period." (AMEN!)

Truly amazing that some of the unique properites of human milk, can be
discussed in a way to make them seem scary, unsafe and downright hazardous
and certainly adding to the epidemic of thinness in our society (TIC). But
then why should I expect anything different! Again, I understand that at
times high calorie formula MAY be needed, but the author did not  give
enough discussion as to exactly under what conditions they might be.

If I were a physician "scanning" the article I would get the message that
ANY preterm infant should have this wonderful stuff out of a can, that is so
much more reliable and appropraite than mothers own. Yes, the more things
change, the more they stay the same.

Thank you for allowing me a soapbox moment!

Again the publication ----
Freedman M, Nugent J, Nutritional Insights: Advances in pediatric nutrition.
Nestle USA/Rogers Media. December 2002.

Letters of interest could go to:
Rogers Media
261 Fifth Avenue 8th floor
New York, NY 10016






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