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Date: | Thu, 14 Sep 1995 22:11:13 EDT |
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Hello. I am a new subscriber and am thrilled and overwhelmed by the
activities of this group; I hope I can keep up with all this
mail/news. I am a pediatric nutritionist at a children's hospital in
Atlanta, Ga. I am also an IBCLC. Because we have no deliveries at
this facility; my clientele may be a little different. I see patients
who may be admitted for breastfeeding failure or are breastfeeding and
must be admitted for some other reason. I get to work closely with
other disciplines, such as nursing, OT's, PT's, ST's, etc. I also
work with outpatients; so the specialists here may call on me to see
patients in a wide variety of settings. I assist with modified barium
swallow studies; I help new mothers of infants undergoing gut surgery
learn how to express milk. I see babies with inborn errors of
metabolism, congenital anomalies, and neurologic deficits. It's vary
exciting, but sometimes it's nice to see a "plain, old, successful
breastfeeder" like our employees.
I'd like to respond to the earlier message of the infant w/bloody
stools. It sounds similar to a couple of cases we have had
here. One of the pediatric gastroenterologists had an
infant with what seemed to be idiopathic bloody diarrhea and
FTT. Many tests were performed. Mother had planned to wean
her child just prior to the illness; because allergic
response was considered a possible diagnosis, mother chose
to continue to nurse for comfort and nutrition to the child.
I thought this was a good idea and instructed mother on the
elimination of potential allergens from her diet. This diet
is very restrictive and unsafe for mother, so it should not
be followed longterm. From RAST, we found the child to be
allergic to most foods. The end diagnosis was Eosinophilic
gastroenteritis. The patient recovered with parenteral
nutrition and steroid therapy. It is also suspected that
breastfeeding due to the large amount of lactose provided
may have lengthened this patient's illness. Mother did not
want to discontinue nursing; I wish I had thought of single
breast nursing at the time.
As for lactose as brain food, I believe that lactose is broken down to
single sugars before it ever reaches an infants brain, as stated
earlier by a member. Please correct me if I am wrong.
My response to a pregnant women who wishes to lose weight or
reduce during this time is DON'T! This is a time for growth
for an unborn child. This woman may feel more comfortable
if a qualified health professional assesses her prepregnant
weight and weight gain and provides her with safe exercises
for health and toning. Once she is lactating, she can be
given nutrition and exercise advice for this special period
in her life. Plus! Lactation assists in hip size reduction
after delivery. (hint, hint) Reduction creams don't work.
I will enjoy hearing more.
Susan
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