I just noticed a big typo in my message. On my second conclusion, I meant to
say that breastfed babies should only supplement if tests show a deficiency.
It was also pointed out to me (and I had forgotten) that just the mother
could receive the supplement and baby gets it through milk.

Renata

On Mon, Oct 13, 2008 at 12:57 PM, Renata Oliveira Mangrum <
[log in to unmask]> wrote:

>
> So given what I have learned so far, I have come to these initial
> conclusions:
>
>
>    - Vitamin D in breastmilk is adequate if the mother has adequate
>    vitamin D levels.
>    - Breastfed babies should only supplement if tests show they are
>    sufficient in Vitamin D
>    - People who live in certain areas where there is little sun to skin
>    exposure during the winter, should consider screening or supplementation.
>    Checking vitamin D levels first would be advisable, as well as follow up.
>
> Oh and then there is the whole issue of the proper vitamin D test
> (screening) and the proper supplements...)
>
> My thoughts are not yet set in stone. I have definitely not critically
> reviewed all the studies out there like the AAP and other groups have. And
> I'd like to add that I am not a huge proponent of supplementation in
> general. However, I do think there is a place for it and as evidence appears
> to support it, I will consider it as well. I hope others on this list can
> contribute so that we can provide the best care.
>
> All the best,
>
> Renata Mangrum, MPH, RD.
> http://nurturingnotes.blogspot.com
> http://infantfeedinghistory.blogspot.com
> http://www.linkedin.com/in/renatamangrum
>
>
> On Mon, Oct 13, 2008 at 8:21 AM, Laura Miller, RN <[log in to unmask]>wrote:
>
>> First, I'd like to just introduce myself.  I am an RN in CT and pursueing
>> my
>> IBCLC in 2009.  I am very interested in PP and hope to gain some insight
>> from
>> the group.  Looking forward to discussions.
>>
>> This morning on the Today Show, NBC, there was a segment about new
>> recommendations to supplement not only breastfeeding infants, but toddlers
>> and older children with 400iu of VitD daily.
>>
>> This has been a long time discussion for me.  In my studies I was been
>> taught
>> to encourage women to get outside and expose their' babies to the sun.  I
>> was taught that with adequate exposure, babies do not need supplement and
>> that giving the supplement was implying to the mother that somehow her
>> breastmilk was not adequate.  I was always confused by the AAP position on
>> supplementing.  I really researched and found that yes, the synthesis of
>> Vitamin D exposure would be adequate allowing their' location in respect
>> to
>> the equator, season they are born, etc.  I am still confused.  I also
>> found in
>> some studies that women who are already taking a prenatal vitamin while
>> breastfeeding have increased amount of VitD than women who are not, so
>> this
>> is the information I give to my patients.
>>
>> Many of the local pediatricians put their' babies on Trivisol, which is
>> full of
>> everything, not just VitD.  My recommendations for mothers it to continue
>> taking prenatal vitamins and be sure to expose their' infants to at least
>> 30
>> minutes of direct sunlight daily, in warm months, on a blanket, in a
>> diaper.  I
>> also give them articles to forward to their' pediatrician for discussion.
>>
>> What are your recommendations?  Should babies be supplemented?  I'm
>> getting mixed opinions from IBCLC's around the world.
>>
>> Thank you,
>> Laura Miller, RN
>>
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>


-- 
Renata Mangrum, MPH, RD.
http://nurturingnotes.blogspot.com
http://infantfeedinghistory.blogspot.com
http://www.linkedin.com/in/renatamangrum

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