On 27/11/2006, at 5:49, Karleen Gribble wrote:

> I was very surprised a few weeks ago by a conversation I had with  
> an Indian
> paediatrician about the knowledge of doctors in India about  
> breastfeeding.
> This doctor, who was very knowedgeable about breastfeeding, told me  
> that he
> knew of paediatricians in India who did not know what normal  
> breastfed baby
> poos looked like which would result in the following  
> scenario....healthy
> baby diagnosed with diarrhea, mother told to use infant formula, baby
> becomes ill, baby fails to thrive, baby develops kwashiorkor....all  
> because
> of lack of knowledge of normal stooling.

It seems to me there are not one, but two very important areas of  
knowledge lacking in the scenario described. Firstly knowledge of  
normal stooling, as we've discussed. Secondly, knowledge of best  
practice management of diarrhoea. When an infant gets gastroenteritis  
(surely the cause of well over 95% of cases of infant diarrhoea in  
India), the absolute key management point is to keep breastfeeding as  
much as possible.

Lara Hopkins

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