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Date: | Mon, 29 Jun 2009 09:24:50 -0400 |
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I think it is sometimes difficult to sort out the difference between
the need or use of a product relative to how it is marketed. The Code
does not prohibit us from using, selling, or talking about pumps,
bottles, and nipples. Breast pumps are not covered by the Code. Our
first duty is to the mothers and infants we serve. The Code aims to
assure that marketing strategies from companies making or distributing
products within the scope of the Code do not affect health
professional's unequivocal support of breastfeeding nor persuade
mothers that infant formula is equivalent to breastmilk. The Code works
to protect breastfeeding from unfair competition from infant formula,
bottles, and artificial nipples. Teaching about the use of breastpumps,
bottles, and nipples in a class for mothers returning to work does not
violate the Code. The Code specifies teaching mothers about the safe
use of formula if it is necessary. What the Code aims to do is make
sure that health care providers are not unduly influenced by industry
such that there is a conflict of interest between unequivocal support
of breastfeeding and the use of a product covered under the scope of
the Code. Explaining how slow flow nipples work, mentioning the names
of various brands, teaching how to use bottles is not prohibited by the
Code. Marketing the products in a manner that implies the nipples are
just like mother or a bottles works similar to the breast violates the
Code. Stating facts about various products helps mothers decide which
to use. Promoting the product covered under the Code is a violation.
Medela continues to market products covered by the Code - feeding
bottles and nipples - in a manner that does not meet its obligations
under the Code. Ameda and Evenflo both meet their obligations under the
Code. Liz Brooks and I will be presenting a plenary session on Code
issues at the ILCA conference in July.
Marsha Walker, RN, IBCLC
Executive Director, National Alliance for Breastfeeding Advocacy
The IBFAN organization that monitors the Code in the US
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