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Subject:
From:
Pat Young <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 19 Sep 2003 07:49:40 -0400
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My first question is about a breast feeding mother’s energy requirements.
Doran and Evers (1997) stated that the quality of breast milk is seldom
affected by inadequate intake. Most often, the mother’s body is stripped of
energy and nutrients to feed the baby. Low income mothers are mostly at risk
for undernourishment of this sort. It also stated that there are few studies
on the effects of inadequate intake on the mother. I would like to know what
experienced health care professionals have seen. How does this situation
play out?

Of course a good, healthy diet is ideal, but you can nurse a baby just fine
even if you mostly eat burgers, fries and junk food.  The typical US diet
contains MORE than enough calories.  The problem point is micronutrients.  I
encourage moms to continue to take their daily prenatal vitamins.

It is defeating to tell a mom you must drink x amount of milk and eat x
amount of fruits and veggies, if this isn't in her realm of reality.  She'll
just decide to formula feed if she thinks her diet can never be good enough
:-(  Don't get the idea that I don't rec a good diet, I do. I'm interested
in healthy eating and spend a great deal of time at most office visits
telling moms why they need to improve the whole family's diet because the
kid's BMI is 29 and mom's is who knows what!!!

In other situations in other places, calories and micronutrients, are really
the issue and need to be approached in ways that  fit into their cultures.
(I work in the inner city and would compare it to a Third World country in
many ways, but sadly # of calories isn't our problem-nutrition is the
problem and there are NO resources to address teaching nutrition:-(.
Sincerely, Pat in SNJ

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