I've been closely following Lactnet discussions about what is and 
what isn't allowed in US Baby-Friendly hospitals.  And, on a slightly 
tangential coincidence today I needed to look up whether 
Baby-Friendly USA was compliant with the Code. I came to a very 
helpful and clear document called  Baby-Friendly USA: Guidelines and 
Evaluation Criteria for Facilities Seeking Baby-Friendly Designation. 
Sandwich, MA: Baby-Friendly USA, 2010. (Revised 28 Nov 
2011)  available at 
<http://assets.bfusa.s3.amazonaws.com/cms/files/289/files/original/2010_Guidelines_Criteria_Rev_11_28_11.pdf>http://assets.bfusa.s3.amazonaws.com/cms/files/289/files/original/2010_Guidelines_Criteria_Rev_11_28_11.pdf 


Firstly, the provisions of the Code are coming through loud and 
clear. But, while I was looking (as one does ....!) at the section on 
medical justifications for _not_ breastfeeding, I was rather 
disheartened to see that maternal HIV infection is mentioned flagged 
up as one of them.  But the language used is rather 
olde-worlde....  Sure enough, the reference given is a WHO 
recommendation which is a whole seven years out of date.  And the 
nice shiny new AAP revised position paper on HIV and breastfeeding is 
conspicuous by its absence.  I've drafted what I hope is a friendly 
and polite rationale for an update.  But instead of just sending it 
to info at US Baby Friendly where it risks being buried and 
forgotten, I'm wondering whether I could expand the list of 
addressees to include any baby-friendly colleagues who might be 
involved in a US BF Coalition or something which provides input into 
this important initiative?   If so, please could you let me know who 
they might be, and how to contact them?

Many thanks if you can help.

Pamela Morrison IBCLC
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