Our dieticians really like to use breastmilk for kidney patients and one of 
the reasons is a lower solute load plus all the wonderful reasons that we 
all know about breastmilk.  They encourage breastfeeding.

I really think that this is a wonderful situation for the use of test 
weights and observation of vital signs while the baby is feeding.  Since we 
only know that this baby has "kidney problems" it is difficult to comment 
about this situation when the baby's condition is unknown.  Babies that are 
in kidney failure may lose their appetite and are difficult to feed by any 
method.  It is a struggle for them to gain weight.

I would also like to mention the literture about inants with congenital 
heart disease and breastfeeding.  Google those topics.  One of the authors 
(Marinelli ?) of 2 articles documents the stable vital signs and good oxygen 
saturations in these babies during breastfeeding.  As I remember these are 
full term babies. Some heart babies are good breastfeeders and if they can 
breastfeed without being stressed then surely a kidney patient can too.  
Sincerely, Rachel Wahl RN IBCLC



>
>------------------------------
>
>Date:    Fri, 15 Dec 2006 20:00:41 GMT
>From:    "[log in to unmask]" <[log in to unmask]>
>Subject: Re: Calories a baby uses to breastfeed
>
>Hi everyone,
>I've found the discussion on the energy 'toll' of breastfeeding fascinat=
>ing, but as to the original question of how to counter the doctor who or=
>dered formula.  How about addressing the other issue--that giving any ne=
>wborn with kidney problems formula is going to stress the kidneys even m=
>ore?  I know I've seen info about the stress on kidneys in dealing with =
>formula vs. breast milk.  Anyone know more?
>Marcia McCoy, who likes to check for back doors and side windows when th=
>e front door seems to be locked
>

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