I have tried to search the archives for this information with little
success. As a hospital based IBCLC I have been asked to give documentation
for my statements that abm supplementation can do damage and should be used
only if medically necessary for BF babies. I am looking for articles about
changes in the intestinal flora caused by one feeding of abm, allergy
factors, juvenile diabetes, or any other information that will "prove" why
it is not "perfectly OK" to supplement so mom can sleep, to be sure baby
doesn't dehydrate while milk is coming in, because baby fusses at the
breast, because dad wants to feed the baby, etc. We have finally made some
headway in convincing the powers that be about the problem of nipple
preference, but now find many nurses who are giving supplemental feeds and
believing it is OK since they are using the SNS, fingerfeeding or the cup
rather than a bottle.
        Thanks in advance for all your help.
Anne Stiller, RNC, IBCLC