Pacifier restriction and exclusive breastfeeding.

Objective: We tested the hypothesis that removing pacifiers from routine distribution in our mother-baby unit (MBU) would be associated with greater breastfeeding initiation or exclusivity during the birth hospitalization.

Methods: We retrospectively compared exclusive breastfeeding, breastfeeding plus supplemental formula feeding, and exclusive formula feeding rates for 2249 infants admitted to the MBU at our university teaching hospital during the 5 months before and 8 months after restriction of routine pacifier distribution. Formula supplementation, if not medically indicated, was discouraged per standard practice, but access to formula was not restricted.

Carotenemia in Normal-weight Bulimia: A Finding Unrelated to Other Physical Manifestations of the Syndrome.

Carotenemia, well described in eating disorders, is considered a marker for one or another pathophysiologic process occurring during the disease. We studied 17 adolescent, normal-weight women with bulimia, 11 of whom were determined clinically to be candidates for outpatient treatment, and 6 of whom were recommended for hospitalization. The outpatient group had an elevated serum carotene level (mean = 309.