Hi all,

While we're on the topic, I'm curious.  What do some of these mothers with
gastric bypass weigh?  Do they have *any* body fat to draw on?  Are they
malnourished?  It's my understanding that a mother who is in famine
conditions can produce enough breast milk for a while, until she herself
gets to the point of extreme malnutrition.
Are there hormonal issues going on that led to the bypass surgery in the
first place?


quote from LLLI's website
<http://www.lalecheleague.org/llleaderweb/LV/LVJunJul03p62.html>:
"Research from developing countries and other parts of the world indicates
that even mothers who are mildly malnourished produce an adequate supply of
good quality milk for their babies and that only when a mother is in famine
or near famine conditions for weeks or months will her milk supply or the
composition of her milk be affected (Perez-Escamilla 1995; Prentice 1994).
Even in famine conditions, milk production may be only slightly affected if
the mother has body stores from which to draw energy for milk production
(Smith 1947). However, if a breastfeeding mother is in famine conditions
and her milk supply is at risk, providing food supplements for the mother
is a less costly and healthier strategy than providing formula supplements
to the baby. No link has been found between fluid intake and milk supply."


-Claire Bloodgood, IBCLC

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