>Regarding the BMJ article on effects of volunteer breastfeeding
>support, suggested by Heather:
>
><http://bmj.com/cgi/content/full/328/7430/0-d?etoc>http://bmj.com/cgi/content/full/328/7430/0-d?etoc
>
>Among the interesting responses, was a response by the primary
>author of the study, which said:
>
><We had realized that poor weight gain in breastfed babies in our
>practice was related to poor feeding patterns e.g. prolonged feeds,
>often using only one breast at a feed, and an irregular feeding
>pattern. The weight gain improved enormously when these patterns
>were improved. A regular stable pattern (approximately 3 hourly
>during the day, often longer gaps at night) using both breasts at
>each feed, approximately 10 minutes each side, much improved weight
>gain. We now see babies who gain up to 1lb (and sometimes more than
>this) a week in the early weeks. >


Jean, just to correct you here.

This response was not from one of the authors of the study - and in
fact this response is, I would argue, as poor a 'recipe' for bf
success as the poor feeding patterns the author of the response
outlines.

We do have a continued issue with confused HCPs *still* ordering one
breast only per feed, and others ordering the opposite, as if any
'one size fits all'.

Heather Welford Neil

NCT bfc, UK

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