I'd put my money on dairy in the mom's diet! As we know, different babies
tolerate different things in mom's diet, so while I agree 100% that we'd
like to think that women don't have to fuss around with their diets while
bfing, sometimes they do. Tofu is a good non-dairy source of calcium. Don't
dark leafy greens & broccoli contribute, & dried beans? If she eats meat,
tuna & salmon & other fine-boned fish are good sources. If she's eating a
diet that's "mainly dairy", she's probably also getting a higher-than-needed
amt. of protein; because of the bioavailability & interactions in the diet,
if she cuts down the protein she won't need as much calcium. (Note: not rec.
that she deprive herself of protein! But most of us in western world get way
more than we need, and it drives up Ca requirements - plays into the Fe
bioavailability too.) I don't tolerate much dairy (sometimes absolutely
none, for months at a stretch) - I use Ca-fortified rice milk (on cereal,
for example), and soy milk has a lot of Ca if you can stand it. Can I be
heretical, just for minute? In North America, at least, we're going through
a period of a lot of focused attention on Ca needs of women right now, and
that's all very beneficial, but I suspect that for the short period of time
that this mom may need to cut her dairy intake, she won't be doing herself
any real harm.
Does mom take in a lot of soda, and or caffeine? Remember that carbonated
drinks (even no-caf. ones) effectively leach Ca from the diet. (If you/she
are worrying about Ca.) And we all know what caffeine can do - I'm sure
you've already investigated that one with her. How about nicotine? I don't
really have any direct experience with lact-aid drops, but I'm sure that
others here do. I know that they don't help me a bit (protein vs. lactose).
Poor baby! Poor mama! I know, some babies just have such a hard time in
those early weeks!
Cathy Bargar, RN, IBCLC Ithaca NY
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