Response to query today.

I heard at a conference this wkd that the AAP is going to issue a revised
policy statement on the issue soon.  I also saw a presentation arguing
that routine supplementation is needed for BF babies, but it had a serious
flaw in that they assumed that because some rickets cases were in S
Carolina that sun exposure was NOT protective, without actually
ascertaining how much sun exposure the children got(Vit D is converted to the
more active form in the skin).  I talked to clinicians from the same area
of S Carolina as the researchers who said that LACK of sun exposure DOES
seem to be the problem, rather than BF per se, as cases were only in
muslims who stayed shrouded.  Also, children should have adequate stores
from their mothers until about 4 months, unless the mom in nutritionally
deficient, which would not be the case if she took prenatal (or any
multiple vitamin) during birth, and wouldn't be the case for most women
regardless of vitamin supplements.  Again, it's in the best interest of
moms and babies to focus supplements on the MOM, if they are needed, not
to problematize the milk.

*********************************************************************
MaryAnn O'Hara, MD, MSt
Robert Wood Johnson Clinical Scholars Program
University of Washington
1959 NE Pacific, Rm H-220 Health Sciences Center, Box 357183
Seattle, WA 98195-7183
(office)         # 206-616-8724
(home office)      206-329-6870
(fax)              206-685-2473
e-mail: [log in to unmask]
*********************************************************************

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