Is there any evidence that aspiration of mother's own milk causes infection?
Nina Berry
Australia
-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Jeanne Cygnus, IBCLC, RLC
Sent: Sunday, March 09, 2008 1:44 PM
To: [log in to unmask]
Subject: article references for cows milk allergy/ thickening
Dear Wise Ones,
I'm trying to find reference articles to provide to a local
cardiologist. In a nutshell, I'm helping a family whose baby was born with
a severe heart defect. The baby has had the first of a series of
reconstructive surgeries, and is doing relatively well, but still in very
serious condition... however they are now facing two hurdles:
1) Baby has been diagnosed with cows milk protein allergy (has been a
long process, and this appears to be an accurate dx) Baby suffers
intestinal bleeds when exposed to even small amounts in breastmilk, and due
to his very serious condition, these bleeds are very dangerous for him.
2) swallow studies have shown that he does aspirate during feeds (EBM
via bottle -- he's not been able to go directly to breast -- another battle
we've been fighting, but that's a whole 'nother long post!).
His doctors have "Taken him off breastmilk", and started him on hydrolized
formula. They say that the risk of intestinal bleeds is too great, even if
mom goes on a dairy elimination diet... and they claim that thickening
breastmilk to prevent aspiration is too difficult with rice cereal (there
are other agents, such as Simply Thick, but parents have wished to avoid
this -- again, that's another long post).
Parents desperately want him back on breastmilk, and mom is willing to begin
elimination diet for dairy... but before the cardiologist will even consider
'allowing' this, he wants research documentation on the length of time dairy
proteins could still be present in her milk -- again, wants no risk of
intestinal bleeds.
I've also discussed the use of pancreatic enzymes... but cannot seem to
locate a good research article regarding their use either.
What about the thickening to prevent aspiration... any good research that
anyone knows of on this? Any thoughts on parents' desire to only use rice
cereal to accomplish this?
Thanks so much for any information / references that you can provide!!
Best wishes,
Jeanne Cygnus, IBCLC
in-still-much-too-cold-Illinois, USA
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