Always follow the money. Always.
-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Nikki Lee
Sent: Wednesday, November 18, 2015 1:51 PM
Subject: Re: early supplementation and other morning thoughts HISTORY
Dear Lactnet Friends:
In the week before Similac launched their "formula for supplementation", Pediatrics published this article:
Effect of Early Limited Formula on Duration and Exclusivity of Breastfeeding in At-Risk Infants: An RCT Valerie J. Flaherman, MD, MPH , , Janelle Aby, MD , Anthony E. Burgos, MD, MPH , Kathryn A. Lee, RN, PhD , Michael D. Cabana, MD, MPH , , and Thomas B.
Newman, MD, MPH ,
Abstract
BACKGROUND AND OBJECTIVES: Recent public health efforts focus on reducing formula use for breastfed infants during the birth hospitalization. No previous randomized trials report the effects of brief early formula use.
The objective of the study was to determine if small formula volumes before the onset of mature milk production might reduce formula use at 1 week and improve breastfeeding at 3 months for newborns at risk for breastfeeding problems.
METHODS: We randomly assigned 40 exclusively breastfeeding term infants, 24 to 48 hours old, who had lost ≥5% birth weight to early limited formula (ELF) intervention (10 mL formula by syringe after each breastfeeding and discontinued when mature milk production began) or control (continued exclusive breastfeeding). Our outcomes were breastfeeding and formula use at 1 week and 1, 2, and 3 months.
RESULTS: Among infants randomly assigned to ELF during the birth hospitalization, 2 (10%) of 20 used formula at
1 week of age, compared with 9 (47%) of 19 control infants assigned during the birth hospitalization to continue exclusive breastfeeding (P = .01). At 3 months, 15 (79%) of 19 infants assigned to ELF during the birth hospitalization were breastfeeding exclusively, compared with 8 (42%) of 19 controls (P = .02).
CONCLUSIONS: Early limited formula may reduce longer-term formula use at 1 week and increase breastfeeding at
3 months for some infants. ELF may be a successful temporary coping strategy for mothers to support breastfeeding
11/18/2015 Effect of Early Limited Formula on Duration and Exclusivity of Breastfeeding in At-Risk Infants: An RCT | Pediatrics
http://pediatrics.aappublications.org/content/131/6/1059.full
How was 5% decided to be the cut off for weight loss? Giving formula in the hospital has been shown to undermine exclusive breastfeeding (a public health goal in the US), and to undermine breastfeeding once the dyad goes home.
The answer lies in the disclaimer, where one of the authors of this dreadful article was a paid consultant to two different formula companies.
sigh. . ..
warmly,
--
Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC
Author:* Complementary and Alternative Medicine in Breastfeeding Therapy* www.nikkileehealth.com https://www.facebook.com/nikkileehealth
*Get my FREE webinar series*
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