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Subject:
From:
"Ana Rita Guzmán, LLL Leader" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 29 Jul 1997 23:08:48 -0400
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In a message dated 97-07-27 00:06:38 EDT, Bonnie Jones writes:

<< I have seen babies refuse the breast after circumcision and encourage
parents
 to delay circumcision until the baby is breastfeeding well.

 A physician is questioning this observation.  I can't find anything in
 writing to support this.  Am I right or wrong?  Where are the references or
 research?>>

Bonnie, I only have one reference, and you've probably gotten it from someone
else by now, but here goes.  This is from Facts About Breastfeeding 1995,
published by LLLI (No. 545g):

*Maternal choices can impact breastfeeding success.*

The observed deterioration in male infants' ability to breastfeed after
circumcision may potentially contribute to breastfeeding failure: some
neonates required formula supplementation because of maternal frustration
with attempts at breastfeeding or because the neonate was judged unable to
breastfeed postoperatively.  Early formula supplementation is associated with
decreased breastfeeding duration.

Howard, C. et al.  Acetaminophen analgesia in neonatal circumcision: the
effect on pain.  Pediatrics 1994; 93(4): 641-46.

I haven't read the study, so I can't tell you whether they concluded that
acetaminophen helped or not.

Best wishes,
Rita
LLL of Menlo Park/Palo Alto, California

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