I think it's a bit like the Schandler study - the intention may have been 
very good and entirely honorable, but the interpretation is what counts. 
For those who are not confident in breastfeeding supervision and management 
and who read articles like this, their only way to feel confident that this 
devastating condition won't occur to a baby in their care is to tell the 
mother to give formula until past the danger period.
The title even calls it "Breastfeeding-Associated Hypernatremia" - the 
reader is already set-up to see this as a problem of breastfeeding - and I 
can just imagine how the press would interpret it should they decide to 
file an article on it.

If it had been titled, 'Inadequate breastfeeding knowledge and skills of 
health care providers can cause devastating problem' at least then the 
cause would be located where it should be, and the call to action in the 
conclusion would be something like, 'Health care providers in maternity 
units must improve their breastfeeding management skills if are to prevent 
this serious problem in babies.'

Denise

At 09:48 AM 5/09/2005 -0400, Vaishali Kute wrote:
>With all due respect, I do not find anything wrong with this study.
>Nowhere does it blame breastfeeding as the problem but inadequate
>management mostly on the physician's part in assessing and addressing poor
>milk transfer. The researcher recommends judicious use of expressed breast
>milk and or formula. Nowhere does he suggest formula as the solution to
>this devastating problem. The conclusion is "Increased efforts are
>required to establish successful breastfeeding." Who amongst us would
>disagree with that?
>
>
>Vaishali Kute, MD, FAAP, anxiously awaiting the results of IBCLC exam.

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html