Ha!  Looked in my card-index box (very old..... ) under Diarrhoea, 
instead of ORS, and found the little piece of info I thought I'd 
lost, about 600ml/day of breastmilk being enough.

See Breastfeeding: a neglected household-level weaning-food resource.
Author: Bradley J; Baldwin S; Armstrong H
Source: In: UNICEF 1987 with SIDA and International Development 
Research Centre, Canada. Improving young child feeding in eastern and 
southern Africa. Household-level food technology. Proceedings of a 
workshop held in Nairobi, Kenya, 12-16 October 1987, edited by D. 
Alnwick, S. Moses and O.G. Schmidt. Ottawa, Canada, International 
Development Research Centre, 1988. 7-33. (IDRC-265e)
Full-text of workshop available at
<http://idl-bnc.idrc.ca/dspace/bitstream/10625/17651/1/28523_p7-33.pdf>http://idl-bnc.idrc.ca/dspace/bitstream/10625/17651/1/28523_p7-33.pdf 


Quoting from page 20.....
Roy et al. (1984) are among those researchers who have verified
that, with substantial continued breastfeeding (about 600 mL/day)
during oral rehydration therapy, no additional water is needed by
children aged 12-17 months. Nutritionists are aware, as many health
workers may not be, that every water feed from birth onward displaces
a more nourishing feed that contains nutrients needed for growth.
During diarrheal illnesses, feeding with water instead of with
nutrient-rich breast milk may lead to greater weight loss than is
necessary.
Ref given for this section:
Roy, S.K., Rabbani, G.H., Black, R.E. 1984. Oral rehydration
solution safely used in breast-fed children without additional
water. Journal of Tropical Medicine and Hygiene, 87, 11-13.

[Me again]  This whole workshop report is quite fascinating as a 
historical record, and it certainly shows that a whole lot of 
research on breastfeeding was done in the 1980s as Susan suggests.  I 
agree that it would be hard to know whether a baby was taking 600ml a 
day, but there are estimates in the document about how much 
breastmilk an exclusively breastfed baby would receive in a day, and 
how much an older still-breastfeeding child would consume.  The point 
of the article is that breastmilk itself can comprise a large and 
important part of the young child's nutrition well into the second 
and third years.

Hope this helps.

Pamela Morrison IBCLC
Rustington, England



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