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Date: | Fri, 31 Oct 1997 08:48:26 -0500 |
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>Date: Fri, 31 Oct 1997 08:38:16 -0500
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>Date: Fri, 31 Oct 1997 08:37:51 -0500
>To: [log in to unmask]
>From: Jim & Pardee Hinson <[log in to unmask]>
>Subject: student question re: weaning advice
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>To the nursing student who asked about weaning advice given in lactation
>practice:
>
>At our lactation center we do not advise a specific time to wean. We
>suggest that the weaning time is a health decision that the family makes
>for itself. We provide information to help the family make the best
>decision for themselves.
>
>Our discussion generally revolves around two points.
>1) How interesting it is that what our culture teaches and what the
>research shows are so very, very different.
>
>The mother is given the old AAP recommendation (mother's milk or commercial
>baby milk to be the main food for the first 12 months) since we do not yet
>have the updated version; she is given the WHO recommendation (exclusive
>for first 6 months and continued for 2 + years);
>she is given information from anthropology demonstrating normal weaning age
>between 2 1/2 & 7 years; and she is given information from studies
>demonstrating that mother's milk is always health promotion/disease
>prevention at its finest at whatever the age of the child.
>
>2) Mother's feelings....what she really wants to do.
>
>She is reminded that even a small amount of her milk is good for her child
>and informed about what a nursing child is like in comparision to a nursing
>baby. In general, we try to normalize normal breastfeeding a bit so that
>she can relax and make the best decision for her baby and herself.
>
>I always avoid anything personal and strongly encourage other IBCLCs to do
>the same. The length of time I nursed my children is totally unrelated to
>the mother in question when the lactation practice is research based.
>Since we are hospital based and rely on referrals from physicians, we must
>be research based. This simple concept is particularly difficult for many
>folks.
>
>Pardee Hinson, MPH, IBCLC
>Carolinas Lactation Center
>Charlotte, NC
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