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Subject:
From:
Karen Gromada <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 16 Feb 2008 18:22:57 -0500
Content-Type:
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Not sure if this is what anyone is looking for but did find some info:

WHO ref:
http://www.who.int/water_sanitation_health/diseases/methaemoglob/en/index.html

2005 ref: http://healthvermont.gov/enviro/water/nitrates.aspx

2000 ref (scroll to last line in paragraph re: does nitrate exposure  cause
cancer): http://www.atsdr.cdc.gov/HAC/pha/pgandecomm/appf.pdf

Dusdieker LB<http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term=%22Dusdieker%20LB%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlusDrugs1>,
Stumbo PJ<http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term=%22Stumbo%20PJ%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlusDrugs1>,
Kross BC<http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term=%22Kross%20BC%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlusDrugs1>&
Dungy
CI<http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term=%22Dungy%20CI%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlusDrugs1>(1996).
Does increased nitrate ingestion elevate nitrate levels in human milk? *Arch
Pediatr Adolesc Med*, 150(3):311-314.

OBJECTIVE: To determine whether the nitrate content of human milk is
influenced by maternal ingestion of water containing elevated nitrate
levels. DESIGN: Prospective, nonrandomized, volunteer study. SETTING:
Clinical Research Center at the University of Iowa Hospitals and Clinics,
Iowa City. PATIENTS: Twenty healthy lactating women with infants older than
6 months. INTERVENTIONS: The mothers were asked to consume a minimum of 1500
mL of water containing 0 mg of nitrate per liter on day 1, 45 mg on day 2,
and 100 mg on day 3 in addition to consuming and recording their dietary
intake. Breast-feeding was permitted during days 1 and 2, but milk was
expressed on day 3 and the infants were given alternate food sources. After
each 24-hour study day, maternal urine and milk samples were collected and
frozen. A modified cadmium column reduction method was used to determine
spot urinary and milk nitrate content. RESULTS: The meant total nitrate
intake from diet and water on days 1,2, and 3, respectively, was 46.6, 168.1,
and 272.0 mg. Spot urine nitrate content on days 1, 2, and 3, respectively,
was 36.0, 66.0, and 84.0 mg. Nitrate concentration of human milk on days
1,2, and 3, respectively, was 4.4, 5.1 and 5.2 mg/L. CONCLUSION: Women who
consume water with a nitrate concentration of 100 mg/L or less do not
produce milk with elevated nitrate levels.



Karleen mentions
>
> High  levels of nitrates can impair the body's ability to absorb oxygen =
> in  blood, leading to serious health effects. Infants fed formula or =
> breast  milk high in nitrates can develop "blue baby syndrome," a =
> condition that  can lead to coma or death.>>
> *********************************************************************
> I have a very hard time believing there would be nitrates in  breastmilk
> high
> enough to cause a problem for the baby without there being a  problem for
> the
> mom.  It can occur in formula fed infants whose formula is  mixed with
> well
> water that comes from a well in which lots of nitrates seep into  the
> ground
> from fertilizers.   Another one of the reasons we recommend  that IF
> someone HAS
> to use formula, they either use ready to feed or mix with  distilled water
> which also will not upset the *careful* calibration (TIC) of  minerals the
> formula companies put in the formula.
>
> Jan Barger, RN, MA, IBCLC
>
>


-- 
Karen G (the Gromada one)
513-325-2550(C)
www.karengromada.com/

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