I know I am not competent to advise mothers on how to get their baby 
unconstipated when it is fed on breastmilk substitutes, apart from how to 
relactate.  I'm a breastfeeding specialist, not a breastmilk substitute feeding 
specialist.  My knowledge of breastmilk substitutes as they play a role in the 
care of some breastfed children is sufficient for that purpose.  It is not 
sufficient for the purposes of dealing with constipation in a baby who is not 
breastfed at all.  I am not even sure I can tell the difference between the 
normal state of the gut of a non-breastfed baby, and constipation - so how 
would I know how to fix it and why would I expect any expert on 
breastfeeding to know either?

I object when manufacturers of breastmilk substitutes give advice on 
breastfeeding, because it is not their area of expertise.  Should we not simply 
let a mother know that one approach might be to relactate, and that we can 
certainly help her with that, but for other questions about problems arising 
from breastmilk substitutes she should contact whatever part of the health 
services that *is* advising her on the child's feeding?  

Rachel Myr
Kristiansand, Norway

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