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	<title>Comments on: Nestle Answers: Using health care professionals as intermediaries</title>
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		<title>By: Follow-up questions for Nestle &#124; PhD in Parenting</title>
		<link>http://www.phdinparenting.com/2009/10/13/nestle-answers-using-health-care-professionals-as-intermediaries/#comment-24564</link>
		<dc:creator>Follow-up questions for Nestle &#124; PhD in Parenting</dc:creator>
		<pubDate>Mon, 09 Nov 2009 03:58:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.phdinparenting.com/?p=2923#comment-24564</guid>
		<description>[...] 8. You maintain that &#8220;Nestle does not provide mothers in the developing world with free samples of your infant formula products &#8211; in fact Nestle has no contact at all with mothers with regards to these&#8220;. Are samples provided to doctors? Is information about the &#8220;benefits&#8221; of your formula provided to doctors or other health professionals? ANSWER HERE [...]</description>
		<content:encoded><![CDATA[<p>[...] 8. You maintain that &#8220;Nestle does not provide mothers in the developing world with free samples of your infant formula products &#8211; in fact Nestle has no contact at all with mothers with regards to these&#8220;. Are samples provided to doctors? Is information about the &#8220;benefits&#8221; of your formula provided to doctors or other health professionals? ANSWER HERE [...]</p>
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		<title>By: This Week (26 October) At Se7en&#8230; &#124; se7en</title>
		<link>http://www.phdinparenting.com/2009/10/13/nestle-answers-using-health-care-professionals-as-intermediaries/#comment-22248</link>
		<dc:creator>This Week (26 October) At Se7en&#8230; &#124; se7en</dc:creator>
		<pubDate>Tue, 27 Oct 2009 08:16:52 +0000</pubDate>
		<guid isPermaLink="false">http://www.phdinparenting.com/?p=2923#comment-22248</guid>
		<description>[...] PhD in Parenting has been running a great series called Nestle Answers&#8230; if you are curious about this then take a look! Here is her post on the Nestle Boycott and this is my favorite post in the series: &#8220;Nestle Answers: Using Health Care Professionals as Intermediaries.&#8221; [...]</description>
		<content:encoded><![CDATA[<p>[...] PhD in Parenting has been running a great series called Nestle Answers&#8230; if you are curious about this then take a look! Here is her post on the Nestle Boycott and this is my favorite post in the series: &#8220;Nestle Answers: Using Health Care Professionals as Intermediaries.&#8221; [...]</p>
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		<title>By: Nestle Answers: Shifting Blame for Infant Deaths &#124; PhD in Parenting</title>
		<link>http://www.phdinparenting.com/2009/10/13/nestle-answers-using-health-care-professionals-as-intermediaries/#comment-21232</link>
		<dc:creator>Nestle Answers: Shifting Blame for Infant Deaths &#124; PhD in Parenting</dc:creator>
		<pubDate>Thu, 22 Oct 2009 04:06:27 +0000</pubDate>
		<guid isPermaLink="false">http://www.phdinparenting.com/?p=2923#comment-21232</guid>
		<description>[...] We need to ensure more Certified Lactation Consultant training for health workers, rather than more visits from formula company representatives to their offices. &#8220;It must also be underlined that the vast majority of women in developing countries [...]</description>
		<content:encoded><![CDATA[<p>[...] We need to ensure more Certified Lactation Consultant training for health workers, rather than more visits from formula company representatives to their offices. &#8220;It must also be underlined that the vast majority of women in developing countries [...]</p>
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		<title>By: Andrea</title>
		<link>http://www.phdinparenting.com/2009/10/13/nestle-answers-using-health-care-professionals-as-intermediaries/#comment-20311</link>
		<dc:creator>Andrea</dc:creator>
		<pubDate>Thu, 15 Oct 2009 13:12:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.phdinparenting.com/?p=2923#comment-20311</guid>
		<description>I think it&#039;s nice your doctor was honest that there is no &quot;superior&quot; formula, but, why the Enfamil posters at all? Without saying anything, her other patients likely get the message that she recommends Enfamil. And did she offer you any help in continuing to breastfeed once your son lost interest -- because generally, babies of this age go on strikes or get distracted, they don&#039;t really self-wean, and with the proper support, bf can continue. Sadly, so many doctors are quick to suggest weaning because they don&#039;t have the proper expertise.

I too was kept another night in hospital when my first wouldn&#039;t latch -- but I guess they needed the bed the next night, because I was discharged still feeding my baby ebm through a tube. After much stress and conflicting info from the nurses each shift change, I even asked &quot;isn&#039;t there an expert in this hospital?&quot; (I had heard there was, but sadly hadn&#039;t done my own research thoroughly enough) and it was not until I was on my way out the door a nurse gave me a card for an LC that worked with Dr. Newman. Not one nurse actually mentioned that Dr. Newman, at that time, HAD A CLINIC IN THE HOSPITAL! Instead I paid for a home visit from that LC (well worth it) or I never would have stuck with it.

IMHO, any medical professional that works with infants should also be an LC or at least have extensive training in lactation.</description>
		<content:encoded><![CDATA[<p>I think it&#8217;s nice your doctor was honest that there is no &#8220;superior&#8221; formula, but, why the Enfamil posters at all? Without saying anything, her other patients likely get the message that she recommends Enfamil. And did she offer you any help in continuing to breastfeed once your son lost interest &#8212; because generally, babies of this age go on strikes or get distracted, they don&#8217;t really self-wean, and with the proper support, bf can continue. Sadly, so many doctors are quick to suggest weaning because they don&#8217;t have the proper expertise.</p>
<p>I too was kept another night in hospital when my first wouldn&#8217;t latch &#8212; but I guess they needed the bed the next night, because I was discharged still feeding my baby ebm through a tube. After much stress and conflicting info from the nurses each shift change, I even asked &#8220;isn&#8217;t there an expert in this hospital?&#8221; (I had heard there was, but sadly hadn&#8217;t done my own research thoroughly enough) and it was not until I was on my way out the door a nurse gave me a card for an LC that worked with Dr. Newman. Not one nurse actually mentioned that Dr. Newman, at that time, HAD A CLINIC IN THE HOSPITAL! Instead I paid for a home visit from that LC (well worth it) or I never would have stuck with it.</p>
<p>IMHO, any medical professional that works with infants should also be an LC or at least have extensive training in lactation.</p>
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		<title>By: Mama in the City</title>
		<link>http://www.phdinparenting.com/2009/10/13/nestle-answers-using-health-care-professionals-as-intermediaries/#comment-20233</link>
		<dc:creator>Mama in the City</dc:creator>
		<pubDate>Wed, 14 Oct 2009 22:20:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.phdinparenting.com/?p=2923#comment-20233</guid>
		<description>I just wanted to reply to this part, &quot;Health care professionals may be smart, but they are also human, overworked, and expected to know a lot about everything. Unfortunately, there are many reasons why health care professionals are more likely to promote formula than breastfeeding if a mom runs into trouble.&quot;

So, I am a hospital nurse who promotes breastfeeding. Sometimes we have crying exhausted parents who just want a moments rest and so...they ask for formula and we educate and inform and allow them to make a decision. They will end up deciding on formula, &#039;just this one time..or maybe a second time&#039;.

Sometimes we have jaundiced babies who are dropping ounces more than 10% of their body weight and so.. we give them formula top ups on top of their breastfeeding. We feel uncomfortable that babies drop weight but we know that when the milk comes in they will regain their weight.

There is no great conclusion and some nurses will work hard to try and educate and support and be present to help with breastfeeding BUT sometimes there are not enough BF advocates and instead of educating and supporting some HCP just want to see calories go into the baby and so they give formula no problem. 

We don&#039;t have a LC in our hospital and so sometimes we get babes that are difficult to latch and, since we might be short on time or have too many, babies will breastfeed and get a formula top up. Not my favorite practice  but I see it on every single shift that I work. Of course the baby has an incredibly full stomach and sleeps for 2-3 hours and the parents are so very pleased that the formula &#039;did the trick! hooray&#039;. 

Such a confusing situation for everyone. More education! For everyone! For new parents and for HCP too.</description>
		<content:encoded><![CDATA[<p>I just wanted to reply to this part, &#8220;Health care professionals may be smart, but they are also human, overworked, and expected to know a lot about everything. Unfortunately, there are many reasons why health care professionals are more likely to promote formula than breastfeeding if a mom runs into trouble.&#8221;</p>
<p>So, I am a hospital nurse who promotes breastfeeding. Sometimes we have crying exhausted parents who just want a moments rest and so&#8230;they ask for formula and we educate and inform and allow them to make a decision. They will end up deciding on formula, &#8216;just this one time..or maybe a second time&#8217;.</p>
<p>Sometimes we have jaundiced babies who are dropping ounces more than 10% of their body weight and so.. we give them formula top ups on top of their breastfeeding. We feel uncomfortable that babies drop weight but we know that when the milk comes in they will regain their weight.</p>
<p>There is no great conclusion and some nurses will work hard to try and educate and support and be present to help with breastfeeding BUT sometimes there are not enough BF advocates and instead of educating and supporting some HCP just want to see calories go into the baby and so they give formula no problem. </p>
<p>We don&#8217;t have a LC in our hospital and so sometimes we get babes that are difficult to latch and, since we might be short on time or have too many, babies will breastfeed and get a formula top up. Not my favorite practice  but I see it on every single shift that I work. Of course the baby has an incredibly full stomach and sleeps for 2-3 hours and the parents are so very pleased that the formula &#8216;did the trick! hooray&#8217;. </p>
<p>Such a confusing situation for everyone. More education! For everyone! For new parents and for HCP too.</p>
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		<title>By: Mama in the City</title>
		<link>http://www.phdinparenting.com/2009/10/13/nestle-answers-using-health-care-professionals-as-intermediaries/#comment-20231</link>
		<dc:creator>Mama in the City</dc:creator>
		<pubDate>Wed, 14 Oct 2009 21:59:17 +0000</pubDate>
		<guid isPermaLink="false">http://www.phdinparenting.com/?p=2923#comment-20231</guid>
		<description>Interesting post and a good read.
I find myself constantly butting heads all the time when I work in postpartum as a RN. There are SO many mixed messages about breastfeeding. I find working some cultures tend to lean towards formula feeding because, &#039;there is no milk!&#039;. There is much education to be done and I think it is great to start with people who will be interacting with parents. Understanding the normal behavior of newborns, the actual nutritional needs and that breastfeeding CAN be hard but CAN get easier. I feel like a record player at work when I have to continually repeat, &#039;the babies stomach is the size of a chick pea. There is the perfect amount of colostrum to feed the baby. The baby does not need 60 cc of formula as a second feeding. No, the baby does not need water.&quot;

Keep up the supportive breastfeeding posts.</description>
		<content:encoded><![CDATA[<p>Interesting post and a good read.<br />
I find myself constantly butting heads all the time when I work in postpartum as a RN. There are SO many mixed messages about breastfeeding. I find working some cultures tend to lean towards formula feeding because, &#8216;there is no milk!&#8217;. There is much education to be done and I think it is great to start with people who will be interacting with parents. Understanding the normal behavior of newborns, the actual nutritional needs and that breastfeeding CAN be hard but CAN get easier. I feel like a record player at work when I have to continually repeat, &#8216;the babies stomach is the size of a chick pea. There is the perfect amount of colostrum to feed the baby. The baby does not need 60 cc of formula as a second feeding. No, the baby does not need water.&#8221;</p>
<p>Keep up the supportive breastfeeding posts.</p>
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		<title>By: Claire</title>
		<link>http://www.phdinparenting.com/2009/10/13/nestle-answers-using-health-care-professionals-as-intermediaries/#comment-20210</link>
		<dc:creator>Claire</dc:creator>
		<pubDate>Wed, 14 Oct 2009 19:46:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.phdinparenting.com/?p=2923#comment-20210</guid>
		<description>That article quoting Russell  is beyond horrible. This part:

&quot;“So there are lots of things that can come up,” Russell points out.  And if those issues arise, then it’s time to supplement with formula.&quot;

No mention of actually advising women how to seek help with breastfeeding. I have to wonder how much Dr. Russell makes in kickbacks from Nestle, how many lunches with them she&#039;s been on. She sounds like she&#039;s on their payroll. Truly disgusting that a pediatrician can be &quot;bought&quot; in that way.</description>
		<content:encoded><![CDATA[<p>That article quoting Russell  is beyond horrible. This part:</p>
<p>&#8220;“So there are lots of things that can come up,” Russell points out.  And if those issues arise, then it’s time to supplement with formula.&#8221;</p>
<p>No mention of actually advising women how to seek help with breastfeeding. I have to wonder how much Dr. Russell makes in kickbacks from Nestle, how many lunches with them she&#8217;s been on. She sounds like she&#8217;s on their payroll. Truly disgusting that a pediatrician can be &#8220;bought&#8221; in that way.</p>
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		<title>By: Stephanie</title>
		<link>http://www.phdinparenting.com/2009/10/13/nestle-answers-using-health-care-professionals-as-intermediaries/#comment-20207</link>
		<dc:creator>Stephanie</dc:creator>
		<pubDate>Wed, 14 Oct 2009 19:22:19 +0000</pubDate>
		<guid isPermaLink="false">http://www.phdinparenting.com/?p=2923#comment-20207</guid>
		<description>I&#039;ve been lucky enough to have generally supportive health care professionals. My son got one bottle of formula after he was born while I recovered from the C-section, but fortunately that didn&#039;t impact breastfeeding and the hospitals always had lactation consultants available for free.

On the other hand, every time we&#039;ve gotten the bag with all the formula marketing garbage. I&#039;ve never used any of it.</description>
		<content:encoded><![CDATA[<p>I&#8217;ve been lucky enough to have generally supportive health care professionals. My son got one bottle of formula after he was born while I recovered from the C-section, but fortunately that didn&#8217;t impact breastfeeding and the hospitals always had lactation consultants available for free.</p>
<p>On the other hand, every time we&#8217;ve gotten the bag with all the formula marketing garbage. I&#8217;ve never used any of it.</p>
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		<title>By: phdinparenting</title>
		<link>http://www.phdinparenting.com/2009/10/13/nestle-answers-using-health-care-professionals-as-intermediaries/#comment-20203</link>
		<dc:creator>phdinparenting</dc:creator>
		<pubDate>Wed, 14 Oct 2009 19:03:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.phdinparenting.com/?p=2923#comment-20203</guid>
		<description>&lt;strong&gt;@Laura:&lt;/strong&gt; I agree, it does depend on the context. I think the point is that if the doctor is surprised to hear about someone breastfeeding &quot;that long&quot;, then that probably means that doctor doesn&#039;t have a very good track record in terms of encouraging breastfeeding and providing support for breastfeeding.</description>
		<content:encoded><![CDATA[<p><strong>@Laura:</strong> I agree, it does depend on the context. I think the point is that if the doctor is surprised to hear about someone breastfeeding &#8220;that long&#8221;, then that probably means that doctor doesn&#8217;t have a very good track record in terms of encouraging breastfeeding and providing support for breastfeeding.</p>
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		<title>By: Roxanne Beckford Hoge</title>
		<link>http://www.phdinparenting.com/2009/10/13/nestle-answers-using-health-care-professionals-as-intermediaries/#comment-20200</link>
		<dc:creator>Roxanne Beckford Hoge</dc:creator>
		<pubDate>Wed, 14 Oct 2009 18:33:12 +0000</pubDate>
		<guid isPermaLink="false">http://www.phdinparenting.com/?p=2923#comment-20200</guid>
		<description>Ah, Nestle. I&#039;m from Jamaica and my mum remembers the &quot;baby nurses&quot; that came to weigh me at her home!! I want to reiterate how much money is involved in formula and the marketing thereof. I have four kids, including twins, and exclusively bf all of them for over 2 years. I was inspired to start One Hot Mama in 1998 with hot nursingwear I designed myself. Back then, there was an Association of Nursingwear Manufacturers that I contacted to see if we could work together to promote breastfeeding, but they were on the way out. I called my local &quot;very best&quot; hospital, Cedars Sinai, where I delivered, to see what it would take to include One Hot Mama info in the diaper bags they give away (as I remember, the bags are filled with formula coupons, but the actual formula cans were mailed to my home. I trashed them.) The marketing person laughed and me and said no way would I have enough money. I think if was over a quarter million dollars to be included in the packets for a year, not counting what I&#039;d have to spend on the giveaway materials.

There is no profit in breastfeeding -- except healthier babies, more fulfilled moms etc etc. We happen to sell nursing clothes, but I tell anyone who&#039;ll listen that you don&#039;t actually need a single extra possession to nurse your baby. It breaks my heart that people spend nearly a thousand bucks on a stroller, but won&#039;t shell out for a lactation consultant out of pocket.

I get despondent that &quot;our&quot; side doesn&#039;t have the big bucks to promote breastfeeding. But guess what, no-one spends money on promoting real legs over prosthetics, either. We just know that real is better. The only weapon we have is to nurse our kiddie early and often, and in public (and yes, I think it&#039;s better to be a wee bit discreet because we are fighting a battle here; no point in giving ammunition to the morons who equate nursing with a face full of boob!) -- let your friends and family see your happy healthy baby and it wil be seen as normal (so funny that we have to work on a natural thing being seen as natural). Best part of this dreadful economy? More people will run the numbers and nurse just because it&#039;s free. I hope. :)</description>
		<content:encoded><![CDATA[<p>Ah, Nestle. I&#8217;m from Jamaica and my mum remembers the &#8220;baby nurses&#8221; that came to weigh me at her home!! I want to reiterate how much money is involved in formula and the marketing thereof. I have four kids, including twins, and exclusively bf all of them for over 2 years. I was inspired to start One Hot Mama in 1998 with hot nursingwear I designed myself. Back then, there was an Association of Nursingwear Manufacturers that I contacted to see if we could work together to promote breastfeeding, but they were on the way out. I called my local &#8220;very best&#8221; hospital, Cedars Sinai, where I delivered, to see what it would take to include One Hot Mama info in the diaper bags they give away (as I remember, the bags are filled with formula coupons, but the actual formula cans were mailed to my home. I trashed them.) The marketing person laughed and me and said no way would I have enough money. I think if was over a quarter million dollars to be included in the packets for a year, not counting what I&#8217;d have to spend on the giveaway materials.</p>
<p>There is no profit in breastfeeding &#8212; except healthier babies, more fulfilled moms etc etc. We happen to sell nursing clothes, but I tell anyone who&#8217;ll listen that you don&#8217;t actually need a single extra possession to nurse your baby. It breaks my heart that people spend nearly a thousand bucks on a stroller, but won&#8217;t shell out for a lactation consultant out of pocket.</p>
<p>I get despondent that &#8220;our&#8221; side doesn&#8217;t have the big bucks to promote breastfeeding. But guess what, no-one spends money on promoting real legs over prosthetics, either. We just know that real is better. The only weapon we have is to nurse our kiddie early and often, and in public (and yes, I think it&#8217;s better to be a wee bit discreet because we are fighting a battle here; no point in giving ammunition to the morons who equate nursing with a face full of boob!) &#8212; let your friends and family see your happy healthy baby and it wil be seen as normal (so funny that we have to work on a natural thing being seen as natural). Best part of this dreadful economy? More people will run the numbers and nurse just because it&#8217;s free. I hope. <img src='http://www.phdinparenting.com/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
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