Mime-Version: |
1.0 |
Content-Type: |
text/plain; charset="us-ascii" ; format="flowed" |
Date: |
Thu, 3 Feb 2011 09:10:54 +0000 |
Reply-To: |
|
Subject: |
|
From: |
|
In-Reply-To: |
|
Message-ID: |
<a06240825c9701f216fc5@[10.0.0.212]> |
Sender: |
|
Parts/Attachments: |
|
|
Laurie writes:
>Hi all,
>I know we talked recently about a "new study" which was really a
>review article that got caught up in the media. It started people
>talking about or advising to start solids at 4 months instead of 6
>months. I'm not at work now, but I followed the discussion and the
>letters to the editor etc. What I hear from a nurse today who sees our
>lead pediatrician (a bf advocate, typically) is that she is being
>advised of a change in peds practice to start solids at 4 months
>(cereal and meat) for the iron. Was this a part of the recommendations
>after that review?
The review - which was talking from a UK perspective only, as it
makes clear throughout - made no recommendations for a change in
practice at all.
Their 'suggestions' were these:
"We suggest three prerequisites for devising such a pervasive public
health recommendation in nutrition; similar to those adopted, for
example, in the development of policies in other areas such as
immunisation.
1) An evidence based approach to appraisal of the available
scientific data, after prior assessment of the adequacy of these data
to support change in practice.
2) A synthesis balancing the risks and benefits of the proposed
intervention, accounting for a range of plausible outcomes.
3) An auditing mechanism in place for detecting any adverse
population effects of the recommendation once implemented."
They go on to say that SACN (our scientific advisory body which
reports to the UK Department of Health) could commission a
review/assessment (in fact, SACN already has something underway).
This is the UNICEF statement on solids age:
http://www.babyfriendly.org.uk/items/item_detail.asp?item=680
See also this:
http://info.babymilkaction.org/node/321
Original BMJ article (see rapid responses for other views on it)
http://www.bmj.com/content/342/bmj.c5955
Good overview of media coverage:
http://www.nhs.uk/news/2011/01January/Pages/call-for-breastfeeding-advice-to-be-re-examined.aspx
Hope this helps.
Heather Welford Neil
NCT bfc, tutor, UK
--
http://www.heatherwelford.co.uk
http://heatherwelford.posterous.com
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
|
|