For the midwifery practitioners on this list I received this email 
questionnaire through Marianne Mead.  Some of you might be able to help 
this French colleague.
Happy New Year and all the very best for 1999!
Edwin R. van Teijlingen
Department of Public Health
Medical School
University of Aberdeen
ABERDEEN   AB25 2ZD

tel: +44 (0) 1224 663123 ext 52491
fax: +44 (0) 1224 662994
email: [log in to unmask]
Web: http://www.abdn.ac.uk/public_health

-----Original Message-----

PLEASE REPLY TO Marie-Noëlle Babel-Remy at <[log in to unmask]> 
Message received from:
Marie-Noëlle Babel-Remy
La Tour - Place des Cloîtriers
F- 26100 Romans
Tel : 00 33 4 75 02 99 07
Fax :00 33 4 75 72 64 31
E Mail : [log in to unmask]


Dear colleague,
I need your help for a congress which take place next March about the new 
French perinatality decree.
I have to present there the organisation in maternity wards in other 
European countries about the distribution of mother milk substitutes.  This 
come because of the new decree voted last July who makes an obligation to 
buy all the breast milk substitutes to suit the international  code for 
marketing. And I know in most of European countries this is already the 
case for a long time. I just would like to explain how it works, how you 
cope with this law and how it profits to breast feeding.  I thank you for 
your answer, at least the 30th of January. As I have to give my text for 
the 10th of February, the sooner I get your answers, the better !
Questions A-  Country :
B-  Name of the hospital :
C-  Number of deliveries in one year :
D-  Rate of mothers breast feeding their babies in the maternity ward :
a- at birth b- If you know the rate         after three months : after six 
months :
- (if different, rate of breast feeding in the country : ) E- Does the ward 
(or the hospital) buy the artificial milk for the bottle fed babies ? :
Does the ward (or the hospital) buy the additional fluids for breast fed 
babies ? :
F- Who takes the decision to give additional fluids to breast fed babies :
a- the midwife : b-  the nurse : c-  the doctor : d-  auxiliary nurse : e- 
other :
G- When does the mother get information about breast feeding (and bottle
feeding) :
a- at ante natal classes :
b-  during prenatal consultations :
c-  during special classes :
d-  other
* Who gives this information :
a- the midwife : b-  the nurse : c-  the doctor : d-  auxiliary nurse : e- 
other :
H - Do you give the commercial name of the breast milk substitute on a 
medical prescription :
* Who writes the prescription : the midwife : a- the midwife : b-  the 
doctor : c- other:

I- Cost of the substitutes for the ward by year :       currency

J- Price of one day hospitalisation (mother and baby) :         currency


K- Mean duration of  hospitalisation after birth :
L- Is there a possible contact for the mother when she goes home :
a- the midwife : b- the nurse : c- an association: d- social worker: f- 
  other :
* Is this contact organised from the hospital or by the family, or from the 
social station :

L- Is this contact systematically proposed to the mother ? :
M- Who pay for this service ? :
a- the family : b- insurance : c- other :
N- Ward organisation :
a- how many nurses :
b- how many auxiliaries
c- how many midwives
d- how many daily visits with :
* the obstetrician
* the midwife
* the paediatrician :
or how many time does the paediatrician visit the baby during the stay at 
the hospital ; thank you to be precise.) e- do you routinely weigh the baby 
daily ?

If you wish and ask for it, I will send you the paper I shall write on the 
basis of all the information you will be so kind to send me. I thank you 
one more time so much for your help and participation.  Please receive my 
best wishes for the New Year.



Marie-Noëlle Babel-Remy





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