If the doc does not respect the WHO, there are a few lines in Lawrence
that state that breastmilk is not dehydrating, and a baby who is
vomiting or has diarrhea should be maintained on the breast.

Here is a tiny snippet of a short article I recently wrote for Medela's
faq section that might be helpful:

   If baby becomes dehydrated and the doctor recommends oral electrolyte
maintenance solutions or oral rehydration, the World Health Organization
recommends continuing to breastfeeding during and after rehydration
therapy. (link to http://whqlibdoc.who.int/hq/1995/WHO_CDR_95.3.pdf)
Babies who continue to breastfeed during diarrhea recover faster,
continue to gain weight better, and have fewer, smaller stools during
the illness.  Research shows no advantage to using lactose free formulas
or diluted feeds in a breastfed infant with diarrhea (Wan, Huffman).

Huffman SL, Combest C. Role of breast-feeding in the prevention and
treatment of diarrhoea.
J Diarrhoeal Dis Res. 1990 Sep;8(3):68-81.


Wan C, Phillips MR, Dibley MJ, Liu Z. Randomised trial of different
rates of feeding in acute diarrhoea.
Arch Dis Child. 1999 Dec;81(6):487-91.

World Health Organization  The Treatment of Diarrhoea. A manual for
physicians and other senior health workers WHO/CDR/95.3 10/95 Division
of Diarrhoeal and Acute Respiratory Disease Control

--
Catherine Watson Genna, IBCLC  New York City  mailto:[log in to unmask]

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