Norma correctly wrote:
[quote]Article in Peds for Sept:
http://pediatrics.aappublications.org/cgi/content/full/116/3/e343
This should more properly be called, "Not-enough-breastfeeding-associated
hypernatremia." [unquote]
It still focusses on breastfeeding as being the problem - and the obvious
solution of course is to give formula in those early days. Sorry - but
that's easy logic.
I'd rather have the emphasis put onto the inability of some places to get
breastfeeding well established prior to discharge from hospital and then
the inadequate education of parents about how to recognise and what to do
when any one of the three major red flags are observed.
That takes the pressure off the mother who 'failed' to feed her infant
adequately, and puts it squarely on her support and education prior to
hospital discharge. In fact hospitals that publish studies like this should
feel acutely ashamed, because it reflects very badly on their care, and the
breastfeeding statistics in the area where this study was done are reported
(in the study) to be very low - therefore I assume their staff are not
experienced in breastfeeding support.
I'd like to see a similar study done in areas where the hospitals are
successfully and proactively Baby Friendly.
Denise
Health e-Learning
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