Subject: | |
From: | |
Reply To: | |
Date: | Mon, 9 Feb 2015 10:51:10 +0000 |
Content-Type: | text/plain |
Parts/Attachments: |
|
|
I'd like to thank everyone who was willing to add
their thoughts to the debate about the baby's
right to be breastfed - often at great length.
And for the nice, easy-going way in which you all
responded. This is a difficult topic, and I
appreciated your thoughts - so many of them - and
responses. I read each one very carefully, and I
continue to learn from you all. Thank you!
Julie asks for the link to Ruth Nduati's RCT,
which Danica has supplied at
<http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3372408/>http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3372408/
. It's also available here
<http://jama.ama-assn.org/cgi/reprint/283/9/1167>http://jama.ama-assn.org/cgi/reprint/283/9/1167
Before you quote from it though, it's important
to note that this study has been roundly
criticized by other researchers (Anna Coutsoudis
and Louise Kuhn). It's value in fact is how
hadly it was done! It's unlikely that any of the
babies were exclusively breastfed, and in fact a
large percentage from both the breastfeeding and
formula-feeding arms actually practised mixed
feeding. In addition, the researchers had to
make valiant efforts to keep the formula-fed
babies healthy in the conditions which pertained
in the Nairobi suburbs where the study was
undertaken. The interesting thing about it is
what Ruth Nduati herself says about the ethical
concerns of doing a randomised trial in such
conditions. And her remarks can be found in the
report of a 1998 WHO/UNICEF/UNAIDS meeting at
<http://www.unaids.org/sites/default/files/media_asset/jc180-hiv-infantfeeding-4_en_0.pdf>http://www.unaids.org/sites/default/files/media_asset/jc180-hiv-infantfeeding-4_en_0.pdf
You will note that I summarized them but I think
the intended meaning remains clear. The other
interesting thing is that it was Dr Nduati
herself who drafted the very first WHO HIV and Infant Feeding recommendations.
Pamela Morrison IBCLC
Rustington, England
-----------------------------
"Â But according
to Ruth Nduati, the Nairobi researcher who oversaw the only
randomised controllled trial ever conducted on breastfeeding vs
formula-feeding in the context of HIV, the ethical promotion of
infant feeding choice is only permissible in a balanced state of
ignorance."
Do you have a copy of this study? Preferably a link to it?
Thank you,Julie Tardos
---
This email has been checked for viruses by Avast antivirus software.
http://www.avast.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
|
|
|