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Date: | Mon, 23 Oct 2006 11:20:06 -0400 |
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On Fri, 20 Oct 2006 15:23:46 -0400, Jennifer Tow wrote:
Yes, there is one subscriber among us who feels that it is
physiologically abnormal for any human being, including an infant, not
to have regular bowel movements (this would mean--for all humans, one
bm per meal per day--for an infant that is many!). That would, of
course be me who is adamant on this topic. Heather makes the argument
that since there is a consensus among the rest of you that it is fine
for babies to have guts that do not function, then it must be so. Well,
there is a consensus in the West among docs that AIM is just as good as
human milk and a few docs who disagree. Perhaps the consensus among the
majority makes them correct? There are many similar issues when it
comes to infants--there used to be a consensus that all babies needed
fluoride and now that they all need vit D. These beliefs often turn out
to be ill-informed and seriously harmful. Perhaps we should at least
let mothers know that there is disagreement on this topic. Perhaps what
we are seeing is a reflection of the very poor gut health of so many
mothers causing disbyosis in their babies and maybe even beginning with
cellular migration from the gut of the mother during gestation. Maybe
this is the reason we see less differentiation between AF and breastfed
babies when it comes to IQ--after all brain health begins with gut
health and the enteric nervous system is literally located in the gut.
Jennifer, I also think that we need to pay attention to gut motility as it
is caused by peristalsis. Many babies do not have regular BMs because they
are not sucking correctly and the peristalsis does not get started properly
in the tongue; therefore, it cannot travel through the GI tract. I have
worked with several babies who were having BMs every 5-10 days; after suck
retraining, they would have 3 or more BMs in as many hours of a
consultation. The mother would continue the suck exercises and the lack of
BMs would change to several in one day.
Do I have research to back this up? No. I only have 32 years of seeing it
happen. This could be an item for research that would help our profession
and that of pediatrics, not to mention the babies and moms who would be
relieved (in more ways than one). :-)
Lee Galasso, MS, IBCLC, RLC
Lactation Specialist
Lactation Center of Westchester/Putnam
Westchester County in NYS
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