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WakeMed Partners With Baby + Co


September 16, 2014

WakeMed is pleased to announce a new partnership with Baby+Company in the development of a stand-alone maternity center on Ashville Avenue in Cary.
While Baby+Company is new to this market, they are well established elsewhere and have significant experience with offering women an option for labor and delivery utilizing certified nurse midwives. Freestanding birthing centers are the fastest growing segment in maternity care nationwide, and while the number of women interested in an out-of-hospital birthing experience is still small, it too is growing.

When it opens in October, the Cary Baby+Company will be Wake County’s only freestanding birthing center. Plans are underway for additional sites in this area. Once in full operation, the Cary center is expected to accommodate approximately 380 deliveries annually.

Baby+Company’s staff of certified nurse midwives offer high-touch pre-conception, pre-natal, labor and delivery, postpartum and newborn care, and educational support. Medical direction will be provided by Lisa Grana, MD, of Triangle Physicians for Women. Birthing mothers will have the added security of being near Cary Hospital should the need for a higher level of care be required.

“Recognizing that women and their families want access to a wide range of quality birthing options, WakeMed looks forward to working closely with
Baby+Company as they build a presence in this area,” commented Donald Gintzig, president and CEO. “As you know, building partnerships is a key element in our new strategic plan. As Wake County’s leader in women’s health, this partnership provides a great opportunity for WakeMed to ensure that mothers-to-be who are interested in a birthing experience at a freestanding center receive high quality care. Baby+Company was already coming to this market and the value of WakeMed as a health system partner made sense as we continue to meet the needs of all families.”

Providing women with low-risk pregnancies access to this out-of-hospital alternative complements the extensive birthing options currently offered by WakeMed Raleigh Campus, Cary Hospital and soon North Hospital.“Delivery inside a hospital with access to neonatal services is always the safest option for mother and baby; however, women with select low-risk pregnancies deserve a safe alternative to traditional in-hospital delivery,” added James Perciaccante, MD, director, WakeMed Physician Practices – Neonatology. “We are pleased that Baby+Company and WakeMed have chosen to partner to make this the safest endeavor possible, and we are happy to offer our neonatal expertise.”

Dr. Lisa Grana, OB/GYN with Triangle Physicians for Women in Cary and medical director for Baby+Company adds, “By working closely with Triangle Physicians for Women and WakeMed, Baby+Company gives women the added security of a leading physician group and a hospital should the need arise.”

Baby+Co. is located at 226 Ashville Avenue in Cary. The center will accept all major insurance plans.

Breastfeeding News – Dec 9, 2013. THIS IS THE FINAL ISSUE



Hello all 630+ subscribers to Breastfeeding News

As with all things, an end comes one day.

I have been producing Breastfeeding News since 2002; it has been a delight to do but now I have decided to stop.


However, if you wish to set up your own system, please use the following paper which outlines the sources and processes I have been using to garner this information.

This is freely available at http://www.internationalbreastfeedingjournal.com/content/1/1/15#B4 (Please note that the last paragraph no longer applies)

Please feel free to share this with others.


Thank you for your support during these past years.

Have a wonderful festive season

Take care






The aim of the petition is to dissuade the Federal Government from scrapping the Advisory Panel on the Marketing of Infant Formula (APMAIF).

This will mean the formula manufacturers will have no national body to oversee their marketing behaviours which could well be a disaster to breastfeeding in Australia.

Please sign and share as widely as you can – via email, facebook and twitter.


For further information, please contact Jenni James (jenjam11@bigpond.com)



Speakers include:

Dr Alison Hazelbaker, Renee Kam, Dr David Todd

Dr Kathleen Kendall-Tackett, Jennifer Tow and Alison Baum.

Further details at http://abas.breastfeedingconferences.com.au/index.php


Evaluation Toolkit for Breastfeeding Programs and Projects

Developed under the auspices of the Australia’s National Breastfeeding strategy




The elixir of life




from the journals…


Exclusive Breastfeeding and Developmental and Behavioral Status in Early Childhood.

Jonsdottir OH, Thorsdottir I, Gunnlaugsson G, Fewtrell MS, Hibberd PL, Kleinman RE.

Nutrients. 2013 Nov 11;5(11):4414-4428.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24284608

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Secular Trends in Impact Factor of Breastfeeding Research Publications over a 20-Year Period.

Marom R, Lubetzky R, Mimouni FB, Ovental A, Mandel D, Cohen S.

Breastfeed Med. 2013 Nov 27;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24283959

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Maternal Age and Breastfeeding at 1 Month After Delivery at a Japanese Hospital.

Suzuki S.

Breastfeed Med. 2013 Nov 27;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24283958

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Compliance with the International Code of Marketing of Breast-milk Substitutes: An Observational Study of Pediatricians’ Waiting Rooms.

Dodgson JE, Watkins AL, Bond AB, Kintaro-Tagaloa C, Arellano A, Allred PA.

Breastfeed Med. 2013 Nov 27;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24283957

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Frequencies and demographic determinants of breastfeeding and DHA supplementation in a nationwide sample of mothers in Germany.

Libuda L, Stimming M, Mesch C, Warschburger P, Kalhoff H, Koletzko BV, Kersting M.

Eur J Nutr. 2013 Dec 1;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24292819

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Oxytocin administered during labor and breastfeeding: A retrospective cohort study.

García-Fortea P, González-Mesa E, Blasco M, Cazorla O, Delgado M, González-Valenzuela MJ.

J Matern Fetal Neonatal Med. 2013 Dec 2;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24289796

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Do the different reasons for lactation discontinuation have similar impact on future breast problems?

Ghadiri F, Iranpour N, Yunesian M, Shadlou Z, Kaviani A.

Asian Pac J Cancer Prev. 2013;14(10):6147-50.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24289543

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Breast Milk and Gut Microbiota in African Mothers and Infants from an Area of High HIV Prevalence.

González R, Mandomando I, Fumadó V, Sacoor C, Macete E, Alonso PL, Menendez C.

PLoS One. 2013 Nov 26;8(11):e80299.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24303004

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Effects of Promoting Longer Term and Exclusive Breastfeeding on Cardiometabolic Risk Factors at Age 11.5 Years: A Cluster-Randomized, Controlled Trial.

Martin RM, Patel R, Kramer MS, Vilchuck K, Bogdanovich N, Sergeichick N, Gusina N, Foo Y, Palmer T, Thompson J, Gillman MW, Davey Smith G, Oken E.

Circulation. 2013 Dec 3;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24300437

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Breastfeeding and Cardiometabolic Profile in Childhood: How Infant Feeding, Preterm Birth, Socio-Economic Status, and Obesity May Fit into the Puzzle.

Kuklina EV.

Circulation. 2013 Dec 3;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24300436

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Human Milk Oligosaccharide Composition Differs between Donor Milk and Mother’s Own Milk in the NICU.

Marx C, Bridge R, Wolf AK, Rich W, Kim JH, Bode L.

J Hum Lact. 2013 Nov 26;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24282194

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The Association between Maternal Perception of Obstetric and Pediatric Care Providers’ Attitudes and Exclusive Breastfeeding Outcomes.

Ramakrishnan R, Oberg CN, Kirby RS.

J Hum Lact. 2013 Nov 26;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24282193

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The Impact of Community Health Professional Contact Postpartum on Breastfeeding at 3 Months: A Cross-Sectional Retrospective Study.

Brodribb WE, Miller YD.

Matern Child Health J. 2013 Nov 27;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24281850

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Family History of Breast Cancer Predicts Breastmilk Protein Expression.

Qin W, Zhang K, Clarke K, Sauter ER.

Breastfeed Med. 2013 Nov 26;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24279332

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Predictors of Breastfeeding Exclusivity in Three Cities of China.

Zhu X, Tian J, Chen G, Christensson K.

Breastfeed Med. 2013 Nov 26;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24279312

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Influence of breastfeeding on blood-cell transcript-based biomarkers of health in children.

Priego T, Sánchez J, Picó C, Ahrens W, Bammann K, De Henauw S, Fraterman A, Iacoviello L, Lissner L, Molnár D, Moreno LA, Siani A, Tornaritis M, Veidebaum T, Palou A.

Pediatr Obes. 2013 Nov 26;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24277691

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Compliance with the Baby-Friendly Hospital Initiative and impact on breastfeeding rates.

Hawkins SS, Stern AD, Baum CF, Gillman MW.

Arch Dis Child Fetal Neonatal Ed. 2013 Nov 25;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24277661

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Improving the New Zealand dairy industry’s contribution to local and global wellbeing: the case of infant formula exports

Judith A Galtry



Commentary on ‘Women’s intentions to breastfeed: a population-based cohort study’.

Stuebe AM.

BJOG. 2013 Nov;120(12):1499.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24273779

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Breastfeeding, Parenting, and Early Cognitive Development.

Gibbs BG, Forste R.

J Pediatr. 2013 Nov 21;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24268637

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Trends of breastfeeding rate in Korea (1994-2012): comparison with OECD and other countries.

Chung SH, Kim HR, Choi YS, Bae CW.

J Korean Med Sci. 2013 Nov;28(11):1573-80.

PMID: 24265518 [PubMed – in process]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24265518

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An unexpected temporary suppression of lactation after a local corticosteroid injection for tenosynovitis.

Babwah TJ, Nunes P, Maharaj RG.

Eur J Gen Pract. 2013 Dec;19(4):248-50.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24261425

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Learning from the design and implementation of large-scale programs to improve infant and young child feeding.

Baker J, Sanghvi T, Hajeebhoy N, Abrha TH.

Food Nutr Bull. 2013 Sep;34(3 Suppl):S226-30.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24261079

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Bringing rigor to evaluations of large-scale programs to improve infant and young child feeding and nutrition: the evaluation designs for the Alive & Thrive initiative.

Menon P, Rawat R, Ruel M.

Food Nutr Bull. 2013 Sep;34(3 Suppl):S195-211.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24261077

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Strengthening systems to support mothers in infant and young child feeding at scale.

Sanghvi T, Martin L, Hajeebhoy N, Abrha TH, Abebe Y, Haque R, Tran HT, Roy S.

Food Nutr Bull. 2013 Sep;34(3 Suppl):S156-68.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24261074

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Using an evidence-based approach to design large-scale programs to improve infant and young child feeding.

Baker J, Sanghvi T, Hajeebhoy N, Martin L, Lapping K.

Food Nutr Bull. 2013 Sep;34(3 Suppl):S146-55.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24261073

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Documenting large-scale programs to improve infant and young child feeding is key to facilitating progress in child nutrition.

Piwoz E, Baker J, Frongillo EA.

Food Nutr Bull. 2013 Sep;34(3 Suppl):S143-5.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24261072

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Knowledge, attitude and practice related to infant feeding among women in rural Papua New Guinea: a descriptive, mixed method study.

Kuzma J.

Int Breastfeed J. 2013 Nov 21;8(1):16. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24257483

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Breast-feeding and human immunodeficiency virus infection: Assessment of knowledge among clinicians in Kenya.

Murila F, Obimbo MM, Musoke R, Tsikhutsu I, Migiro S, Ogeng’o J.

Int J Nurs Pract. 2013 Nov 21;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24256108

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Maternal accounts of their breast-feeding intent and early challenges after caesarean childbirth.

Tully KP, Ball HL.

Midwifery. 2013 Oct 26;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24252711

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Randomised controlled trial of early frenotomy in breastfed infants with mild-moderate tongue-tie.

Emond A, Ingram J, Johnson D, Blair P, Whitelaw A, Copeland M, Sutcliffe A.

Arch Dis Child Fetal Neonatal Ed. 2013 Nov 18;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24249695

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Prevalence and outcomes of breast milk expressing in women with healthy term infants: a systematic review.

Johns HM, Forster DA, Amir LH, McLachlan HL.

BMC Pregnancy Childbirth. 2013 Nov 19;13(1):212. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24246046

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Realities, difficulties, and outcomes for mothers choosing to breastfeed: Primigravid mothers experiences in the early postpartum period (6-8 weeks).

Hinsliff-Smith K, Spencer R, Walsh D.

Midwifery. 2013 Oct 9;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24238980

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‘The midwives aren’t allowed to tell you’: Perceived infant feeding policy restrictions in a formula feeding culture – The Feeding Your Baby Study.

Lagan BM, Symon A, Dalzell J, Whitford H.

Midwifery. 2013 Oct 28;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24238979

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Infant-feeding among low-income women: the social context that shapes their perspectives and experiences.

Newhook JT, Ludlow V, Newhook LA, Bonia K, Goodridge JM, Twells L.

Can J Nurs Res. 2013 Sep;45(3):28-49.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24236370

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Breastfeeding and Its Prospective Association with Components of the GH-IGF-Axis, Insulin Resistance and Body Adiposity Measures in Young Adulthood – Insights from Linear and Quantile Regression Analysis.

Günther AL, Walz H, Kroke A, Wudy SA, Riedel C, von Kries R, Joslowski G, Remer T, Cheng G, Buyken AE.

PLoS One. 2013 Nov 13;8(11):e79436.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24236134

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Resembling breast milk: influence of polyamine-supplemented formula on neonatal BALB/cOlaHsd mouse microbiota.

Gómez-Gallego C, Collado MC, Pérez G, Ilo T, Jaakkola UM, Bernal MJ, Periago MJ, Frias R, Ros G, Salminen S.

Br J Nutr. 2013 Nov 11;:1-9. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24229796

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Breast-fed infants and their later cardiovascular health: a prospective study from birth to age 32 years.

Pirilä S, Taskinen M, Viljakainen H, Mäkitie O, Kajosaari M, Saarinen-Pihkala UM, Turanlahti M.

Br J Nutr. 2013 Nov 8;:1-8. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24229506

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Health, nutrition, and cost outcomes of human milk feedings for very low birthweight infants.

Meier PP, Bode L.

Adv Nutr. 2013 Nov 6;4(6):670-1.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24228197

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Breastmilk cell and fat contents respond similarly to removal of breastmilk by the infant.

Hassiotou F, Hepworth AR, Williams TM, Twigger AJ, Perrella S, Lai CT, Filgueira L, Geddes DT, Hartmann PE.

PLoS One. 2013 Nov 6;8(11):e78232.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24223141

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Trial will test whether shopping vouchers encourage breast feeding.

Hives-Wood S.

BMJ. 2013 Nov 12;347:f6807.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24222657

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Effect of immediate and continuous mother-infant skin-to-skin contact on breastfeeding self-efficacy of primiparous women: A randomised control trial.

Aghdas K, Talat K, Sepideh B.

Women Birth. 2013 Nov 8;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24216342

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=24216342


Re-assessment of selected baby-friendly maternity facilities in Accra, Ghana.

Aryeetey RN, Antwi CL.

Int Breastfeed J. 2013 Nov 11;8(1):15. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24216173

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A study to promote breast feeding in the Helsinki Metropolitan area in Finland.

Hannula LS, Kaunonen ME, Puukka PJ.

Midwifery. 2013 Oct 16;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24210842

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The determination of perfluoroalkyl substances, brominated flame retardants and their metabolites in human breast milk and infant formula.

Lankova D, Lacina O, Pulkrabova J, Hajslova J.

Talanta. 2013 Dec 15;117C:318-325.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24209347

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=24209347


Variation in outcomes of The Melbourne Infant, Feeding, Activity and Nutrition Trial (InFANT) Program according to maternal education and age.

Cameron AJ, Ball K, Hesketh KD, McNaughton SA, Salmon J, Crawford DA, Lioret S, Campbell KJ.

Prev Med. 2013 Nov 4;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24201090

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Association of Family and Health Care Provider Opinion on Infant Feeding with Mother’s Breastfeeding Decision.

Odom EC, Li R, Scanlon KS, Perrine CG, Grummer-Strawn L.

J Acad Nutr Diet. 2013 Nov 5;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24200653

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=24200653


Exclusive breastfeeding prenatal intentions among HIV-positive mothers in Blantyre, Malawi: a correlation study.

Kafulafula UK, Hutchinson MK, Gennaro S, Guttmacher S, Kumitawa A.

BMC Pregnancy Childbirth. 2013 Nov 7;13(1):203. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=24195765

Related Articles: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=24195765

  All the best

 Professor Ellen McIntyre OAM

Primary Health Care Research & Information Service (PHCRIS)
Discipline of General Practice

Level 3, Health Sciences Building, Registry Road

Flinders University, GPO Box 2100, Adelaide  SA  5001

t 08 7221 8536 | f 08 7221 8544 | m 0417 089 007| w phcris.org.au

PHCRIS Assist 1800 025 882 Connect phcris.org.au/social-media/

 PHCRIS excels in sharing information and knowledge to support Australian primary health care to improve health outcomes.

PHCRIS has a new look! Our new logo places PHCRIS on the global horizon, emphasising our international reach in knowledge exchange and research synthesis, while keeping our focus on Australian primary health care.


How far is Nestle willing to go to destroy populations?

Boycott Nestle


Nestlé is draining developing countries’ groundwater to make its Pure Life bottled water, destroying countries’ natural resources before forcing its people to buy their own water back.

Now Nestlé is moving into Pakistan and sucking up the local water supply, rendering entire areas uninhabitable in order to sell mineral-enriched water to the upper class as well as people in the US and EU. Meanwhile the poor watch their wells run dry and their children fall ill from dirty water.

Tell Nestlé to stop making Pakistan’s villages uninhabitable by stealing their water.

Nestlé’s aggressive water grab is already descending like a plague on parts of Pakistan. In the small village of Bhati Dilwan, villagers have watched their water table sink hundreds of feet since Nestlé moved in. Children are getting sick from the foul-smelling sludge they’re forced to choke down. Meanwhile, Nestlé spends millions marketing “Pure Life” to wealthy Americans, Europeans, and Pakistanis who can afford to watch their kids grow up healthy. This scenario is played out again and again in countries around the globe. But this is where we say: enough!

Dirty water kills more children around the world than AIDS, malaria, war, and traffic accidents combined — and Nestlé has a big hand in it.

At the World Water Forum in 2000, Nestlé led the way in fighting against defining access to water a universal right. Nestlé and other big corporations won out, and government officials around the globe officially downgraded water’s classification to a “need” instead, meaning it could be captured, commoditized, and exploited by major corporations without regard for local populations. 

Tell Nestlé: Water is a human right. Stop stealing it from communities around the world.

When the company’s Canadian subsidiary pushed to keep draining millions of liters of fresh water from the water table in a time of drought, we joined our friends at the Council of Canadians, Wellington Water Watchers, and Ecojustice challenging Nestlé in court — and we won!Just this month, after additional pressure from thousands of SumOfUs members, Nestlé decided to drop its appeal — a huge win for the public.

If we expose Nestlé’s disgusting game plan for Pakistan, the company will scale back its water-draining facilities to avoid a damaging global backlash. But if we ignore what’s happening there, Nestlé and other major corporations will suck up more and more the world’s water — and that’s not good news for anyone.

Join us in standing up to corporations like Nestlé that suck up essential natural resources.

Thanks for all that you do,
Taren, Claiborne and the rest of us

P.S. Nestlé’s current chairman and former CEO was caught on tape arguing that water is “not a right”, and while the clip is shocking, the reality is even worse. Nestlé’s aggressive policies are depriving thousands of people around the planet of the basic water they need to survive, all to pump up the company’s bottom line. Please get word out about Nestlé’s horrific practices by sharing this campaign on Facebook.

More Information:

The Global Search For Liquid Gold, Urban Times, 11 June 2013
Bottled Life: The Story, Bottled Life, 1 January 2012
Water Facts, Food and Water Watch


Revised AAP breastfeeding policy

A lot to like in the revised AAP breastfeeding policy

The American Academy of Pediatrics released its revised breastfeeding policy yesterday, updating the prior policy published in six years ago, and there are a number of changes which reflect recent research and policy developments. 

Read article that breaks down the important points-The Motherwear Breastfeeding Blog

Quite a gift, this World Breastfeeding Week: Breastfeeding support and pump rentals to be covered by insurance, with no co-pay


The U.S. Department of Health and Human Services adopted the recent recommendation of the Institute of Medicine, to require insurers to provide breastfeeding support and pump rentals, free of co-pays and other cost-sharing.

The guidelines state that the following must be covered by private insurance:  “Comprehensive lactation support and counseling, by a trained provider during pregnancy and/or in the postpartum period, and costs for renting breastfeeding equipment.”

The Department’s press release on the new policy says that “New health plans will need to include these services without cost sharing for insurance policies with plan years beginning on or after August 1, 2012.”

Not a bad way to celebrate World Breastfeeding Week!

From The Motherwear Breastfeeding Blog

The First Human Milk Bank in Costa Rica

The first human milk bank is now a reality for Costa Ricans and it is located in the Hospital Carlos Luis Valverde Vega of San Ramón, Alajuela. It was inaugurated on the 6 of this month. This initiative aims to support the health of children whose mothers cannot breastfeed them, and thus reduce infant mortality. In addition, from there it is expected they will evaluate the creation of a network of such centers. In this bank, a professional team caters to mothers who are able and willing to donate their milk to be distributed later among children in need. In this bank, milk is analyzed and pasteurized, and this is offered to hospitalized children with special needs. The project, in which ¢ 25 million has already been invested, is made possible by cooperation between the Ministries of Health of Costa Rica and Brazil since 2010.  More Info

WakeMed Pursuing Baby Friendly Hospital Designation

Source: WakeMed Voices

WakeMed Discontinuing Pacifier Availability and Formula Sample Distribution on Mother’s Day

This Mother’s Day, Sunday, WakeMed Women’s Pavilion & Birthplaces – Raleigh and Cary are taking major steps to become a Baby Friendly hospital as defined by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF).  WakeMed is the first hospital in the region to pursue this designation, and conform to the standards outlined in the Ten Steps to Breastfeeding.

One of the first steps in the journey to encourage breastfeeding is to discontinue the distribution of the formula samples and diaper bags provided for free by the formula companies. While WakeMed will provide formula to infants for feeding when it is requested by the parent or guardian, the hospital will no longer distribute formula samples. WakeMed will also no longer have pacifiers available on demand in the Women’s Pavilion & Birthplace. These changes will go in to effect on Mother’s Day, Sunday, May 8.

By reviewing where the hospital stands and adapting these ten steps, WakeMed is confirming its belief that breast milk is the best form of nutrition for infants. Currently, the Women’s Pavilion & Birthplace – Cary has a 98 percent breastfeeding rate, and the Women’s Pavilion & Birthplace – Raleigh has a 72 percent breastfeeding rate, both of which are well above the national average. With the ten step process, the hospital can continue to improve these rates, and give mothers the support and confidence they need to commit to breastfeeding,

“The staffs at both WakeMed Raleigh Campus and Cary Hospital are working closely with the lactation consultants so they can offer new mothers the information and support they need. Our hope is that mothers le

ave WakeMed with the confidence and knowledge they need to continue breastfeeding their babies,” commented Elizabeth Rice, director, Women’s Pavilion & Birthplace.  “Of course, we will continue to provide support and education equally to those who chose to bottle feed their newborns.”

Ten Steps to Successful Breastfeeding
1. Have a written breastfeeding policy that is routinely communicated to all health care staff.
2. Train all health care staff in skills necessary to implement this policy.
3. Inform all pregnant women about the benefits and management of breastfeeding.
4. Help mothers initiate breastfeeding within one hour of birth.
5. Show mothers how to breastfeed and how to maintain lactation even if they should be separated from their infants.
6. Give newborn infants no food or drink other than breastmilk, unless medically indicated.
7. Practice rooming-in — allow mothers and infants to remain together – 24 hours a day.
8. Encourage breastfeeding on demand.
9. Give no artificial teats or pacifiers to breastfeeding infants.
10. Foster the establishment of breast-feeding support groups and refer mothers to them on discharge from the hospital or clinic.

Click here if you would like additional information on the Baby-Friendly Hospital Initiative.


Related Articles to read on this subject







Breastfeeding Study Raises Doubts Over Guidelines

LONDON (AFP) – Breastfeeding exclusively for the first six months is not necessarily best for a baby’s health, British researchers said Friday, calling into question advice given to new mothers.

The team led by a paediatrician from University College London said babies fed only breast milk could suffer iron deficiency and may be more prone to allergies.

The study says babies could start to be weaned on to solids as early as four months, although other experts advised sticking to the existing guidelines.

Ten years ago, the World Health Organisation (WHO) recommended that infants should be exclusively breastfed for six months.

“Many Western countries, including 65 percent of European member states and the United States, elected not to follow this recommendation fully, or at all,” the authors said, although Britain did.

The WHO recommendation “rested largely” on a review of 16 studies, including seven from developing countries.

It concluded that babies given only breast milk for six months had fewer infections and experienced no growth problems.

But another review of 33 studies found “no compelling evidence” not to introduce solids at four to six months, the experts said.

Some studies have also shown that breastfeeding for six months fails to give babies all the nutrition they need.

One US study from 2007 found that babies exclusively breastfed for six months were more likely to develop anaemia than those introduced to solids at four to six months.

On the issue of allergies, the British study said researchers in Sweden found that the incidence of early onset coeliac disease increased after a recommendation to delay introduction of gluten until age six months, “and it fell to previous levels after the recommendation reverted to four months”.

The authors said however that exclusively breastfeeding for six months remains the best recommendation for developing countries, which have higher death rates from infection.

But in developed countries, it could lead to adverse health outcomes and may “reduce the window for introducing new tastes”.

“Bitter tastes, in particular, may be important in the later acceptance of green leafy vegetables, which may potentially affect later food preferences with influence on health outcomes such as obesity.”

The researchers said the European Food Safety Authority’s panel on dietetic products, nutrition and allergies has concluded that for infants across the EU, complementary foods may be introduced safely between four to six months.

Experts in Britain challenged the findings of the new study.

Janet Fyle, professional policy adviser at the Royal College of Midwives, said: “I really must challenge the suggestion from the review that the UK should reconsider its current advice on exclusive breastfeeding for six months.

“I believe that this is a retrograde step and plays into the hands of the baby food industry which has failed to support the six-month exclusive breastfeeding policy in the UK.”

Follow up articles on other blogs

The Motherwear Breastfeeding Blog

Mama Knows Breast

July Breastfeeding Journal Articles and Abstracts

Prolonged and Exclusive Breastfeeding Reduces the Risk of Infectious Diseases in Infancy


the study:http://pediatrics.aappublications.org/cgi/content/abstract/peds.2008-3256v1

The Burden of Suboptimal Breastfeeding in the United States: A Pediatric Cost Analysis


Probiotics in Breast Milk Ease Intestinal Pain



Protecting the Next Generation — Eliminating Perinatal HIV-1 Infection


Breastfeeding in Australia:


from the journals…

Prolonged and Exclusive Breastfeeding Reduces the Risk of Infectious Diseases in Infancy
Liesbeth Duijts, Vincent W. V. Jaddoe, Albert Hofman, and Henriette A. Moll
Pediatrics. published 21 June 2010, 10.1542/peds.2008-3256

Factors associated with weaning practices in term infants: a prospective observational study in Ireland.

Tarrant RC, Younger KM, Sheridan-Pereira M, White MJ, Kearney JM.

Br J Nutr. 2010 Jul 5;:1-11. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20598218

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Factors affecting intention to breastfeed among Syrian and Jordanian mothers: a comparative cross-sectional study.

Al-Akour NA, Khassawneh MY, Khader YS, Ababneh AA, Haddad AM.

Int Breastfeed J. 2010 Jul 2;5(1):6. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20598137

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Breastfeeding Intentions of Female Physicians.

Sattari M, Levine D, Bertram A, Serwint JR.

Breastfeed Med. 2010 Jun 24;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20575714

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Do Breastfeeding Intentions of Pregnant Inner-City Teens and Adult Women Differ?

Alexander A, O’Riordan MA, Furman L.

Breastfeed Med. 2010 Jun 24;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20575713

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Preferences for labor and delivery practices between pregnant immigrants and U.S.-born patients: a comparative prospective antenatal survey study.

Ogunleye O, Shelton JA, Ireland A, Glick M, Yeh J.

J Natl Med Assoc. 2010 Jun;102(6):481-4.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20575212

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Paternal Smoking and Breastfeeding in Xinjiang, PR China.

Xu F, Binns C, Zhang H, Yang G, Zhao Y.

J Hum Lact. 2010 Jun 23;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20574109

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Delayed onset of lactogenesis among first-time mothers is related to maternal obesity and factors associated with ineffective breastfeeding.

Nommsen-Rivers LA, Chantry CJ, Peerson JM, Cohen RJ, Dewey KG.

Am J Clin Nutr. 2010 Jun 23;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20573792

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Many factors can determine whether a woman continues to breastfeed: knowing that breastfeeding is good for the baby is important to mothers but breastfeeding in public continues to be a negative experience for some.

McFadden A.

Evid Based Nurs. 2010 Jun 14;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20547740

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Babies bringing up feeds. What about breastfed babies?

Walshe CE.

BMJ. 2010 May 25;340:c2759.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20501564

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Effectiveness of planned teaching programme on knowledge and attitude about complementary feeding among mothers of infants.

Dsouza A, Valsaraj BP, Priyadarshini S.

Nurs J India. 2009 Nov;100(11):246-7.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20481344

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Recent Evidence of the Effectiveness of Educational Interventions for Improving Complementary Feeding Practices in Developing Countries.

Shi L, Zhang J.

J Trop Pediatr. 2010 Jun 17;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20558381

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Factors influencing the infant feeding decision for socioeconomically deprived pregnant teenagers: the moral dimension.

Dyson L, Green JM, Renfrew MJ, McMillan B, Woolridge M.

Birth. 2010 Jun;37(2):141-9.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20557537

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Managing breastfeeding and work: a Foucauldian secondary analysis.

Payne D, Nicholls DA.

J Adv Nurs. 2010 Jun 16;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20557398

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Antiretroviral regimens in pregnancy and breast-feeding in Botswana.

Shapiro RL, Hughes MD, Ogwu A, Kitch D, Lockman S, Moffat C, Makhema J, Moyo S, Thior I, McIntosh K, van Widenfelt E, Leidner J, Powis K, Asmelash A, Tumbare E, Zwerski S, Sharma U, Handelsman E, Mburu K, Jayeoba O, Moko E, Souda S, Lubega E, Akhtar M, Wester C, Tuomola R, Snowden W, Martinez-Tristani M, Mazhani L, Essex M.

N Engl J Med. 2010 Jun 17;362(24):2282-94.

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20554983

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Evaluation of leptin in breast milk, lactating mothers and their infants.

Savino F, Liguori SA, Petrucci E, Lupica MM, Fissore MF, Oggero R, Silvestro L.

Eur J Clin Nutr. 2010 Jun 30;. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20588294

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Lifetime health outcomes of breast-feeding: a comparison of the policy documents of five European countries.

Martin-Bautista E, Gage H, von Rosen-von Hoewel J, Jakobik V, Laitinen K, Schmid M, Morgan J, Williams P, Decsi T, Campoy C, Koletzko B, Raats M.

Public Health Nutr. 2010 Jun 29;:1-10. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20587117

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Infant feeding practices among HIV-positive women in Dar es Salaam, Tanzania, indicate a need for more intensive infant feeding counselling.

Young SL, Israel-Ballard KA, Dantzer EA, Ngonyani MM, Nyambo MT, Ash DM, Chantry CJ.

Public Health Nutr. 2010 Jun 29;:1-7. [Epub ahead of print]

Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20587116

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Collection of Breastfeeding News Abstracts For Week Of May 24,2010

Factors that positively influence breastfeeding duration to 6 months: A literature review
Shahla Meedya, Kathleen Fahy, Ashley Kable
Women and Birth, 17 March 2010

Saudi Mothers’ Expected Intentions and Attitudes Toward Breast-Feeding
Maha Al-Madani, Vasso Vydelingum, and Judy LawrenceICAN: Infant, Child,  Adolescent Nutrition 2010;2 187-198

Breastfeeding the Vulnerable Toddler
Patricia Novak
ICAN: Infant, Child,  Adolescent Nutrition 2010;2 152-157

Focusing on Feeding Skills: Evaluating Inadequate Weight Gain in Late Preterm Infants
Debbie Gearner Thompson
ICAN: Infant, Child,  Adolescent Nutrition 2010;2 147-151

Initiating and Maintaining the Ketogenic Diet in Breastfed Infants
Nancy W. Cole, Heidi H. Pfeifer, and Elizabeth A. Thiele
ICAN: Infant, Child,  Adolescent Nutrition 2010;2 177-180

Factors Influencing the Infant Feeding Decision for Socioeconomically Deprived Pregnant Teenagers: The Moral Dimension
Lisa Dyson, Josephine M. Green, Mary J. Renfrew, Brian McMillan, Mike Woolridge
Published Online: 18 May 2010
DOI 10.1111/j.1523-536X.2010.00394.x

Infant and young child feeding indicators across nine East and Southeast Asian countries: an analysis of National Survey Data 2000-2005.
Dibley MJ, Senarath U, Agho KE.
Public Health Nutr. 2010 May 4;:1-8. [Epub ahead of print]
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20441662
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Interactions between breast, bone, and brain regulate mineral and skeletal metabolism during lactation.
Wysolmerski JJ.
Ann N Y Acad Sci. 2010 Mar;1192(1):161-9.
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20392232
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Donor human milk in preterm infant feeding: evidence and recommendations.
Arslanoglu S, Ziegler EE, Moro GE.
J Perinat Med. 2010 May 5;.
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20443660
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Attitudes to infant feeding decision-making–a mixed-methods study of Australian medical students and GP registrars.
Brodribb W, Fallon T, Jackson C, Hegney D.
Breastfeed Rev. 2010 Mar;18(1):5-13.
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20443434
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Do Infants Fed From Bottles Lack Self-regulation of Milk Intake Compared With Directly Breastfed Infants?
Li R, Fein SB, Grummer-Strawn LM.
Pediatrics. 2010 May 10;. [Epub ahead of print]
Link: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&dopt=Abstract&db=PubMed&list_uids=20457676
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Breastfeeding patterns of mothers with type 1 diabetes: results from an infant feeding trial.
Sorkio S, Cuthbertson D, Bärlund S, Reunanen A, Nucci AM, Berseth CL, Koski K, Ormisson A, Savilahti E, Uusitalo U, Ludvigsson J, Becker DJ, Dupré J, Krischer JP, Knip M, Akerblom HK, Virtanen SM.
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A case of dysphoric milk ejection reflex (D-MER).
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The relation of serum ghrelin, leptin and insulin levels to the growth patterns and feeding characteristics in breast-fed versus formula-fed infants.
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Factors associated with breastfeeding initiation time in a Baby-Friendly Hospital.
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Lactation-associated postpartum weight changes among HIV-infected women in Zambia.
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Assessment of knowledge, attitudes and practices of infant feeding in the context of HIV: A case study from western Kenya.
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