Norma correctly wrote:
[quote]Article in Peds for Sept:
http://pediatrics.aappublications.org/cgi/content/full/116/3/e343

This should more properly be called, "Not-enough-breastfeeding-associated 
hypernatremia." [unquote]

It still focusses on breastfeeding as being the problem - and the obvious 
solution of course is to give formula in those early days. Sorry - but 
that's easy logic.
I'd rather have the emphasis put onto the inability of some places to get 
breastfeeding well established prior to discharge from hospital and then 
the inadequate education of parents about how to recognise and what to do 
when any one of the three major red flags are observed.

That takes the pressure off the mother who 'failed' to feed her infant 
adequately, and puts it squarely on her support and education prior to 
hospital discharge. In fact hospitals that publish studies like this should 
feel acutely ashamed, because it reflects very badly on their care, and the 
breastfeeding statistics in the area where this study was done are reported 
(in the study) to be very low - therefore I assume their staff are not 
experienced in breastfeeding support.

I'd like to see a similar study done in areas where the hospitals are 
successfully and proactively Baby Friendly.

Denise
Health e-Learning

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

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