Just got this reply from LaLecheLeague

Dear Sharon,
Vitamin D supplements for breastfeeding babies is becoming a hot topic! The
AAP is revising their 1997 Statement, and this is one of the reasons. It's
sad, but many babies are not getting outside, especially those in daycare.
When mothers are deficient, it does affect their milk. Perhaps this
Pediatrician is aware of the increasing numbers of exclusively breastfed
babies who have developed Rickets recently?

The present AAP Statement, point number 7 does specify that Vitamin D
supplements may be necessary for babies whose mothers are deficient, for
those not exposed to adequate sunlight. We would add other babies at risk
who are kept well covered up, or infants of color, or those who live in the
far Northern hemisphere where there is less sunlight.

What recommendation does the Pediatrician make when the mother doesn't drink
milk?
It would be necessary to increase her Vitamin D in alternate ways:
supplements for herself, time spent in the sun, increasing her own dietary
intake of Vitamin D. We usually encourage mothers to eat more leafy green
vegetables, sesame seeds, canned salmon with bones in (blended very smooth)
and Vitamin D supplemented-cereals. It is important that mothers not ingest
more than the required daily allowance of Vitamin D, as potentially toxic
amounts could accumulate in human milk. Also, it is my understanding that
2% or skim milk has the same amount of vitamins and minerals (just less fat)
as whole milk.

If you have additional questions, please write (or call 847-519-7730 x 245).

Please let me know if I can help you further.

Sincerely, Carol Huotari IBCLC, Manager
Center for Breastfeeding Information

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