Hi Joy,

I share your sentiments on breastfeeding entirely.

Regards,  Tracy Starling



----- Original Message -----
From: "Johnston" <[EMAIL PROTECTED]>
To: "ozmidwifery" <[EMAIL PROTECTED]>
Sent: Sunday, June 02, 2002 6:03 PM
Subject: RE: Melbourne's Child article


> Dear Liz
> While I agree wholeheartedly with most of the discussion on this, and I
> have seen the article in question, I feel I need to make a comment about
> your statement :
> <
> The 'baby friendly initiative' I believe, was aimed at developing
countries
> whose children were dying of diarrhoeal disease through contaminated
water,
> incorrect formula and lack of hygiene. >
> This is a not uncommon response, and it worries me greatly - I believe
it's
> wrong.  I was involved in both the Victorian and the national BFHI set-up.
>  I am not actively involved in it now, but I support the underlying
> principles wholeheartedly.
>
> I know of no reason why every maternity service in Australia should not
> implement the '10 steps to successful breastfeeding', and seek external
> assessment through the Baby Friendly Hospital accreditation process.  This
> has very little to do with dirty water - babies die unnecessarily in
> Australia too because they are not breastfed.  The reasons for failure of
> breastfeeding (most are willing to initiate breastfeeding, but the
drop-off
> rates are alarming) are many.  There is reliable evidence that practices
> which have for many years been common in maternity services across the
> developed world, such as separation of mother and baby, timing of feeds,
> use of artificial supplements, use of dummies and teats, advertising of
> alternatives to breastfeeding ... all contribute to early weaning.  These
> are the issues that are dealt with in the global Baby Friendly Hospital
> Initiative.  Sally's comments about babies who are brought into this world
> doped up to their eyeballs in narcotics are also relevant here. These
> babies and their mothers require special skilled support, and it can all
be
> done within the baby friendly process. There's nothing daunting, or
> excessively focused on technique in the baby friendly initiative that I
> know about.  (I'm a realist - not everyone gets it right all the time, but
> that's life!)
>
> Finally, we all agree that most mothers, most of the time, want what's
best
> for their babies.  Midwives who seek to provide woman centred care will do
> all that they can to support the mother-baby bond, working with the
natural
> process, and only interfering when we have a good reason.  That's being
> mother-friendly too.
>
> Protecting, promoting and supporting breastfeeding doesn't come easily.
>  There are many deterrents in our society.  Our work should be underpinned
> by reliable evidence, and I would ask anyone who knows of evidence
contrary
> to the BFHI '10 steps' to speak up now.
>
> With my best wishes
> Joy Johnston
>
>
>
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