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Subject:
From:
Jeanette Panchula <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 5 Jan 2006 12:39:32 -0800
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I know this is "beating a dead horse" (pacifier use), but I've been asked to address two questions that I would like to have your input on, as it relates to Baby Friendly Hospital requirements:
   
  1. In California, by law, EVERY baby must be offered a hearing test.  Most parents agree, and it is done away from mother using headphones.  The quieter the baby, the quicker the test - so they use pacifiers to keep the baby quiet and complete the test as quickly and effectively as possible.
   
  2. Most circumcisions in our state are done in the hospital, as the insurance will often cover it at that time, but not once discharged.  Again, a pacifier is used (this time dipped in sugar water).  
   
  So how can these two uses of the pacifier be addressed when trying to meet the requirements of Baby Friendly's #9 (no bottles or pacifiers)?  
   
  Would having a handout explaining the reasons for this very limited use of the pacifier  and recommending avoiding its use at least for the first 4 weeks (PLEASE let's not get into the new AAP recommendations - I had to address those already!) qualify as "giving information on the risks associated with pacifier use"?
  
Also...PLEASE  - I don't want to get into a pro/anti-circumcision debate...
   
  Thanks for your input!
   
  Jeanette Panchula, BSW, RN, PHN, IBCLC
  California, USA
   
   
   

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