new recommendations from the aap (hooray)

[lerlerler]

http://www.aap.org/advocacy/releases...astfeeding.htm

For Release: February 7, 2005, 12:01 am (ET)


CHICAGO - A long-time advocate of breastfeeding, the American Academy of Pediatrics (AAP) is issuing a revised policy statement on "Breastfeeding and the Use of Human Milk" to replace its existing policy developed in 1997. The new recommendations reflect new research on the importance of breastfeeding.

[Mavournin]

Awesome!

Mother and infant should sleep in proximity to each other to facilitate breastfeeding

That's probably my favorite part. So, can I shove this in my ped's face the next time he makes a snarky comment about co-sleeping?

[lerlerler]

you have my blessing

[boingo82]

I hoped it would be RE: circ, but that really's pretty good!

[bellee]

Oh goodie, some progress!!

[TiredX2]

Some progress, a couple steps back, overall good though.

[Irishmommy]

Moving this to Breastfeeding Support and Advocacy...

[sg784]

Awesome except for

"A pediatrician or other knowledgeable and experienced health care professional should evaluate a newborn breastfed infant at 3 to 5 days of age and again at 2 to 3 weeks of age to be sure the infant is feeding and growing well."

and the idiot Drs will say Oh she/he isnt gaining like she/he should be,....you better supplement with formula............

Sorry....I cant count the number of times I have heard that...

All in all, I liked it.

[tangozulu]

Originally Posted by sg784

and the idiot Drs will say Oh she/he isnt gaining like she/he should be,....you better supplement with formula............

Sorry....I cant count the number of times I have heard that...

Sad...I thought the exact same thing...

[hubris]

Thanks for posting this! I started a thread on my mainstreamy pregnancy board...gotta bring the info to the masses. I included a note about seeking another opinion if your doc suggests supplementation, along with a LLL link.

[stayathomecristi]

"A pediatrician or other knowledgeable and experienced health care professional should evaluate a newborn breastfed infant at 3 to 5 days of age and again at 2 to 3 weeks of age to be sure the infant is feeding and growing well."

I wonder what the "recommendation" is for bottle-fed babies....

Also, along with pp's I have heard soooo many times about how "I'm not making enough milk, so we HAD to supplement".

[didelphus]

I'm so excited about this! I did wonder about the evaluations at 3 days, too. Now if we could only get the pediatricians properly trained we might get somewhere. All-in-all, though, I was very impressed that the AAP actually outed with this, though!
Laura

[Satori]

Originally Posted by sg784

"A pediatrician or other knowledgeable and experienced health care professional should evaluate a newborn breastfed infant at 3 to 5 days of age and again at 2 to 3 weeks of age to be sure the infant is feeding and growing well."

and the idiot Drs will say Oh she/he isnt gaining like she/he should be,....you better supplement with formula............

Sorry....I cant count the number of times I have heard that...

All in all, I liked it.

Sometimes its good though to get that check, my dd only weighed 5 lbs and lost a pound the first week due to BF problems, thankfully I had a BF friendly ped who told me to either go next store and buy a PIS and pump and bottle feed or use mom in a can but something had to be done. I miss that guy, he was a trip, old guy, beer belly, wore overalls and a bright tye dye T shirt every day and had a long hill billy beard. He used to do home births but they threatened to yank his license in this state if he did so he stopped

[Jlcampbellkidz]

One of the doulas from a yahoo doula group that I belong too posted this too. It was good to see that they are recamending these changes. Now to see if the changes will actualy be made and in what kind of timely mannor.

I have a good ped. that is very breastfeeding friendly. Unfortunetly so many peds are not. Many woman that I talk too say that the ped warns that with breastfeeding they can't know how much milk the baby is getting. So I learned a trick at a LLL meeting that I have shared with many of my clients. Weigh the baby right before breastfeeding and weigh again right after. If you have an accurate scale you should be able to see how much they took in, IN ounces. I do this occationally with my daughter. Her early morning feeding was like 10 oz. and then other feedings during the day were between 2 and 6 oz. She is 6 months and feeds often still so I understand why her intake varies so much. Specially since she comfort nurses a lot.

[christeenybeany]

What were the changes? I wasn't familiar with it before. So were all the bulleted points new? Please educate me.

[mommycaroline]

There are many changes, most of them are for the best, and a few are borderline. The post partum checks I think are mostly good. Those of us that know what we're doing might be really irritated by them, but remember, all of us were first time moms at one point, and if you don't have adequate breastfeeding support near you, have never seen a woman breastfeed, and just don't know what to expect, then another pair of eyes is a good thing, provided those eyes are knowledgable about breastfeeding. Hopefully this means that the AAP will insure that doctors become more educated about breastfeeding as well, so they can have a better idea of what to look for, and not just "baby hasn't doubled their weight by 2 weeks, so you must formula feed" or some other ridiculous statement.

I have a word doc that contains a chart with the comparisons. I tried pasting it in to a post, but it just looks like a bunch of gobbleedeegook. If anyone has a place it can be posted, I'd be happy to PM it to you so everyone can read it. I don't get a lot of time to post, though, so I can't PM it to everyone that asks (unless the volume is low) I think it might be easier to just post it somewhere so people can check it out easily. Is there a place to post files on MDC? It's a six page Word doc, and I'm pretty sure it's public domain.

[mom2tig99Nroo03]

Originally Posted by stayathomecristi

"A pediatrician or other knowledgeable and experienced health care professional should evaluate a newborn breastfed infant at 3 to 5 days of age and again at 2 to 3 weeks of age to be sure the infant is feeding and growing well."

I wonder what the "recommendation" is for bottle-fed babies....

i would think it would stay the same.. 2 weeks .

[mom2tig99Nroo03]

Originally Posted by christeenybeany

What were the changes? I wasn't familiar with it before. So were all the bulleted points new? Please educate me.

if you want to see all the changes, go here:

http://www.aap.org/healthtopics/breastfeeding.cfm

then click on the third item from the top, (breastfeeding and human milk) -

http://aappolicy.aappublications.org...ics;100/6/1035

.. hth