T he P ortland O bserver • J une 4, 1997 Debunking baby formula myths D e c id in g w h a t to fe e d a b ab y is o n e o f th e m o st im p o r ta n t d e ­ c is io n s a p a r e n t w ill m a k e . It ca n a ls o b e o n e o f th e m o st c o n f u s in g a n d o v e r w h e lm in g d e ­ c is io n It h a s lo n g b e e n a g r e e d th a t b re a s tm ilk is a b a b y ’s b e s t s o u rc e o f n u tr itio n as it c o n ta in s a ll th e n e c e s s a ry n u trie n ts fo r n o rm al g ro w th an d d e v e lo p m e n t. B r e a s tm ilk is w e ll to le r a te d a n d g e n tle . H o w e v e r, so m e new m om s c a n n o t o r c h o o s e n o t to b r e a s t f e e d , y e t th e y w a n t n o th in g b u t th e v e ry b e s t fo r th e ir b a b y . W ith th e m a n y ty p e s o f in fa n t fo rm u la a v a ila b le an d so m e o f th e m y th s th a t s u r f a c e r e g a r d in g in ­ fa n t n u tr itio n , p a r e n ts a re o fte n o v e r w h e lm e d a n d p e r p le x e d . A c o u p le o f th e c o m m o n m y th s in c lu d e : Myth 1: L a c to s e in to le r a n c e is c o m m o n in b a b ie s a n d s h o u ld b e s u s p e c te d if a b a b y tu rn s fu ssy d u r in g fe e d in g an d e s p e c ia lly if a p a r e n t is la c to s e in to le r a n t. T r u t h 1: A l t h o u g h a d u l t s m a y e x p e r ie n c e la c to s e in to l e r ­ a n c e b a b ie s a re u n lik e ly to s u f ­ fe r fro m it. M o st fu ll te rm b a b ie s a re b o rn w ith th e e n z y m e n e e d e d to d ig e s t la c to s e . It is e x tre m e ly ra re th a t a bab y la c k s th is e n z y m e . Doctor delivers important message fy . Lillian M. Beard touches on the value o f milk and good nutrition fo r babies during a visit to Portland In fa c t, fe w e r th a n 50 c a s e s h a v e e v e r b e e n re p o r te d . S h o u ld a b a b y g e t fu s s y from f e e d in g it c o u ld be th a t sh e is h a v in g d i f f i ­ c u lty to le r a tin g th e la rg e p r o te in s fo u n d in m o st b a b y fo rm u la s . Nurses must deal with assisted suicide issue Death and dying controversy affects professionals beyond the physician T he ethical and professional concerns o f nurses dealin g w ith assisted suicide w ill be the focus o f a m ajor panel discussion at the 23rd Biennial C onvention o f the N ational L eague for N u rsin g at the O regon C o n v e n tio n C e n te r June 11. Oregon is the only state permit- ting physician assisted suicide for the term inally ill. It w as established through the death With Dignity Act, passed by public referendum in 1994. L egal ch a lle n g es h av e de- layed im plem entation o f the stat- ute and assisted suicid e rem ains a highly controversial issue in the state. T he S up rem e C o u rt is ex- pected to issue rulings on assisted suicide laws in tw o states in early June, g en e ratin g in terest in the panel discussion. “ T he sessio n is p art o f the L ea g u e’s effo rts to co n tin u e to raise the salient issues o f assisted suicide as they affect health care professionals beyond the physi- c i a n ,” sa y s D r. S h e ila R y a n , P resident o f the N L N . A s s o c ia te D ean Jane K irschling o f the S chool o f N urs- ing at the U niversity o f R oches- ter will m oderate the panel. Dr. K irschling, a P rofessor o f N urs- ing at the O regon H ealth Sciences U niversity in P ortland from 1984 to 1996. served as a m em ber o f an O regon H ealth D ecisions and O re g o n H o s p ic e A s s o c ia tio n C om m ittee on assisted suicide in 1993_94 She also sat on the Oregon Medi- a ll th e n e c e s s a r y n u t r i e n t s fo r t h e i r b a b y ’s h e a l t h y d e v e l o p ­ m e n t,” B e ard sa y s. In fa n t fo rm u la s p a tte r n e d a f ­ te r b re a s t m ilk . It is th e o n ly r o u ­ tin e s ta rte r fo rm u la w ith th e p r o ­ te in sp e c ia lly b ro k e n d o w n in to s m a lle r p ie c e s. T h is sp e c ia l p r o ­ c e s s is d e s ig n e d to h e lp re d u c e th e c h a n c e fo r c o m m o n fe e d in g p r o b le m s a s s o c ia te d w ith la rg e p r o te in s to m a k e b a b ie s an d p a r ­ e n ts m u ch h a p p ie r. M y th 2 : Iro n f o r tif ie d f o r ­ m u la ca n c a u se fu s s in e s s in g e n ­ era l an d c o n s tip a tio n p a rtic u la r in b a b ie s. T r u t h 2: T h e re h a v e b ee n no c lin ic a l s tu d ie s th a t in d ic a te th a t iro n c a u se s fu s s in e s s o r c o n s tip a ­ tio n in b a b ie s. In fa c t, th e re is a la ck o f a d v e rs e r e a c tio n s to iron f o rtifie d fo rm u la In r e a lity , iro n is an e s s e n tia l n u tr ie n t in a b a b y ’ s d ie t. It is c r itic a l th a t in f a n ts re c e iv e a d ­ e q u a te a m o u n ts o f ir o n , e s p e ­ c ia lly in th e firs t 12 m o n th s . It is a d e v e lo p m e n t s ta g e th a t c a n n o t be r e c a p tu re d . S tu d ie s h av e sh o w n th a t iron is c ru c ia l to th e m e n ta l an d m o ­ to r d e v e lo p m e n t o f c h ild re n . T he A m e ric a n A c a d e m y o f p e d ia tr ic s s ta te s th a t th e “ o n ly a c c e p ta b le a lte r n a tiv e to b re a s t m ilk is iro n - f o rtifie d in fa n t fo rm u la ." Force, created in 1994 to recommend ways for the health care community to respond to the implementation o f assisted suicide. Beginning at 11 AM, the session consists o f presentations on threesepa- rate aspects o f assisted suicide and an open discussion o f the subject. Panel- ists will include Dr. Barbara a May, an Associate Professor at the Linfield College School ofNursing in Portland, Dr. May examines the N LN ’s re­ cently issued white paper on assisted suicide, titled “ L ife-T erm in atin g Choices: A Framework for Nursing Decision Making,” she served on a task force that produced the study, Dr. Bonnie Reagan, a Portland physician who is also a Registered Nurse, speaks on assisted suicide is- sues o f concern to doctors. Kelly T. Hagan, Esq., an attorney with Cooney & Crew o f Portland, addresses legal and legislative battles over the state’s Death With Dignity Act and the status o f the Supreme Court’s consideration o f assisted suicide laws, None o f the panelists have taken strong positions for or against assisted suicide. The session is one o f the featured programs at the five-day NLN Con­ vention, which runs from June 7 to II. O th e r h ig h li g h ts in c lu d e d e m o n s tr a tio n on h e a lth c a re te c h n o lo g y by d ig ita l E q u ip - m e n t c o r p o r a tio n an d p re s e n - ta tio n o f a s p e c ia l a w a r d to M a ria h T a y lo r, a f o rm e r w el- fa re r e c ip ie n t w h o f o u n d e d th e N o rth P o rtla n d N u rs e P ra c ti- t i o n e r s C o m m u n i t y H e a lth C lin ic , k n o w n as “ T h e C lin ic “ It is im p o rta n t fo r p a re n ts to r e m e m b e r th a t, fo r th e firs t few m o n th s , th e d ig e s tiv e sy ste m o f a n e w b o rn is s till im m a tu re an d d e lic a te . W h e n s e l e c t i n g f ro m th e Good nutrition is so very critical to a baby’s life, fh e message is being delivered by Dr. Lillian Beard during a visit last week to the Portland Ob­ server Beard has dedicated her life to the care, health and safety o f infants, chil­ dren and adolescents. She is a practic­ ing pediatrician from Washington,. D C ., who is currently on a public ser­ vice and promotional campaign across the country , sponsored by Carnation. The greatest opportunity for de­ velopment occurs during the first 12 months o f life, she said. For example, development o f in­ tellect occurs during this period, as the brain doubles in size. It is widely rec­ ognized that a good start for babies begins w itli the nutrition obtained from milk. Beard says the milk from a baby’s mother is the most important food for a newborn. Carnation makes it products come as close as it can to the nutritional quali­ ties o f the milk mother nature in­ tended , she explained. Beard says Carnation wants to help in the health o f newborns and can offer a very important and nutri­ tional substitute when it is needed As part o f the public service cam­ paign, C arnation is launching a website on the internet for parents. “CamationBaby.com” provides com­ prehensive information to help alle­ viate fears and support couples as they proceed down the road o f parenting, Beard said. The site will be available starting in August. "Pregnancy and the arrival o f a new baby in a family are truly an ex­ citing and special time, however many parents feel unsure about he many different aspects o f pregnancy and caring for a new child," Beard said. The Carnation baby website is another vehicle for parents to find the information they want and need as they prepare for and start caring for a baby and will help ease their worries m a n y in fa n t f o rm u la s a v a ila b le t o d a y ,” s a y s D r. L illia n B e a rd , p r a c tic in g p e d ia tric ia n a n d A s s o ­ c ia te C lin ic a l P ro fe s s o r o f P e d i­ a tric s at th e G e o rg e W a sh in g to n U n iv e r s ity S c h o o l o f M e d ic in e an d H e a lth S c ie n c e s. “ It m a k es se n se for p a re n ts to c h o o s e a fo rm u la th at is p a tte rn e d a fte r th e g o ld s ta n d a rd , b r e a s t m i l k , is g e n t l e o n t h e ir b a b y ’s tu m m y , an d still p ro v id e s Enjoying the Good, Old Summertime fro lic a n d a fre n z y o f o u td o o r a c ­ tiv itie s fo r c h ild r e n a n d a d o le s ­ c e n ts. A s sc h o o l e n d s , i t ’s tim e to James L. Phillips, M.D. r e m in d c h ild r e n , a n d o u r s e lv e s , Baylor College of Medicine ab o u t su m m ertim e hazard s. Houston, Texas A s a p e d ia tric ia n a t B a y lo r C o l­ le g e o f M e d ic in e in H o u sto n , I see S u m m e r v a c a tio n m e a n s fu n , an in c re a se in a c c id e n ts in v o lv in g p o o l a n d h o w th e lif e g u a r d s a re tr a in e d . A lso , c o n s id e r e n r o llin g y o u r c h ild re n in sw im m in g le sso n s if th e y d o n ’t k n o w h o w to sw im o r are n ot stro n g sw im m ers. C h ild ren betw een th e ag es o f 1 and 5 a re th e m o st c o m m o n v ic tim s o f y o u n g p e o p le d u rin g th e su m m er. T h e start o f v ac atio n is a g o o d tim e fo r p a re n ts to ta k e a few p r e c a u ­ tio n s a n d to g o o v e r s a fe ty ru le s w ith ch ild ren . V isit n e ig h b o rh o o d p o o ls th a t are lik e ly to b e u se d by y o u r c h ild re n . F in d o u t if th e re is su p e rv isio n at the d ro w n in g . 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