I agree! This is a great opportunity. In February of this year the AAP revised their statement on breastfeeding and the use of human milk. The policy statement can be found here: http://pediatrics.aappublications.org/content/early/2012/02/22/peds.2011-3552.full.pdf+html. The old statement said exclusive breastfeeding for 4-6 months before introducing solids, the new statement emphasizes waiting until 6 months of exclusive breastfeeding to initiate solids. This is in line with the WHO recommendation to wait until 6 months available here: http://whqlibdoc.who.int/hq/2001/WHO_NHD_01.08.pdf and here: http://www.who.int/mediacentre/news/statements/2011/breastfeeding_20110115/en/index.html. And the Academy of Nutrition and Dietetics (formerly American Dietetic Association) recommends waiting until 6 months to introduce solid foods as well, available here: http://www.eatright.org/About/Content.aspx?id=8377. In my breastfeeding classes and in counseling sessions at WIC I have been emphasizing this fact. It would be nice to get "everyone on the same page" regarding exclusive breastfeeding recommendations, and this course is a great opportunity to pass on the knowledge!
This is my first post here, I just signed up last week and I am enjoying this opportunity for communication on breastfeeding! My goal is to sit for the IBCLC exam next July (2013), and I am in grad school as well with my thesis centered around breastfeeding and the Registered Dietitian. I have a feeling this listserv is going to be a wealth of information for me! Thanks.
Angie
Angela Brekken, RD, LD, CLEC
Bemidji, MN USA
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Date: Sat, 17 Mar 2012 18:47:51 -0400
From: [log in to unmask]
Subject: Re: breastfeeding in a pediatric dysphagia course
Hello all,
What a great opportunity. I've been working very closely with a local SLT for the past few weeks concerning 2 different babies - one a 4 month old, the other 8 months old. This woman is dedicated and supportive of breastfeeding and has years of experience, but we are finding that we often have very different views on many things. Today we discussed the differences in what we view as normal feeding "sizes": example, I tell moms that a baby may be perfectly happy and grow well on 2.5 to 4 oz per feed, after 6 weeks until they get into solids a bit ( using Marsha Walker's info), whereas the SLT felt that every baby should be able to drink 6 oz from a bottle within 5 minutes by the time they are 4 months old. Her mentor, an expert in OralMotor Function at Columbia ( who I took one class from during my own graduate work there, at the time having nothing to do with normal feeding ( breastfeeding)), also strongly promotes this a a norm. Another issue is the idea that every baby should being experiencing spoon feeding by the end of three months. Her idea was that it should be 3 small teaspoons as sort of tests to make sure that the baby can begin the transition to solids without a problem as they get older and not wanting to figure this out when a baby is already 6 months old and should be eating solids. I listened, I want to hear her perspective. I also shared the new AAP statement and WHO/UNICEF guidelines that say exclusive breastfeeding til "about 6 months". She was shocked and said she would need to bring this to her mentor at Columbia. I don't think our disciplines cross as much as the should. We both said we liked hearing each other's perspectives, and the chance to learn more as we work
together. But it is kind of amazing how different our views are on many things.
Hope this is helpful.
Peace,
Judy
Judy LeVan Fram, PT, IBCLC, LLLL
Brooklyn, NY, USA
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