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