On 28/04/10 12:10 PM, "Susan Burger" <[log in to unmask]> wrote:

> someone recently posted that we are not allowed to make recommendations about
> formula.
  

I can't see a specific proscription of making recommendations in any of the
relevant ethical codes.  BUT it would seem unethical to recommend a
particular product in the absence of any evidence that any of them is any
less harmful than any other.

>it seems to me that we have a responsibility and even an obligation to discuss
how to minimize risks when breast milk substitutes must be used.  One doesn't
need to recommend any specific formula to provide parents with the basic
evidence about risks of bacteria in the powder, hypo or hypernatremia if one
doesn't mix the powder properly, the risks of allergies to cow's milk AND soy
proteins, the fact that the DHA formulas are genetically modified, etc.  Once
can discuss balancing those risks generically while letting the parent discuss
the options with other health care practitioners and make their own decisions
about their best options.<

I think this is exactly what parents need and what many health professionals
are reluctant to discuss.
Nina Berry
Australia

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