Julia -

I wonder if she might meet criteria for donating her stored milk.  Even if
she is not comfortable giving it to her baby there may be other babies who
could benefit from a gift of mother's milk.  She could start by donating the
oldest milk first, and keeping enough for emergency situations.

If allergens are removed from the baby's intake for now, the baby may have
healed enough to be able to take the milk 6 months from now (if stored
properly, and if needed).  I would say to consult the doctor about whether
to give pumped milk that may have nut proteins in it - but it doesn't sound
like this doctor is that familiar with breastfed babies if Alimentum was the
solution offered.

If she is continuing to pump, she could start building up a nut-free stash
(labeling clearly!) from now on.  If baby is regularly taking pumped milk
(mom at work?) then she may need support to boost her pumping production now
to give them back the buffer they're losing by not using the previously
expressed milk.

-Rosemary
LLL Leader
Northampton, Massachusetts, USA

On Tue, May 25, 2010 at 9:07 AM, Julia Augur <[log in to unmask]> wrote:

> Permission to post. I have a mother who has a 5-month old baby who was
> recently diagnosed with a moderate to severe peanut and tree nut allergy.
> Mom has been exclusively breastfeeding baby. Baby has a few episodes of
> rash, hives, and fecal occult blood. Mom was told to start Alimentum by
> pedi, which I obviously advised against. She is terrified of baby's
> allergies and has completely cut out dairy, soy, and nuts. I advised her to
> resume normal foods (staying away from tree nuts) and keep an eye out for
> any other reactions in baby.
>
> Mom has an entire freezer of frozen BM. My question is this...Mom obviously
> doesn't know what her diet consisted of over the past 5 months, can the
> frozen BM still be given to baby? I was completely taken aback with this
> question. I cannot in good conscience tell mom to throw away all her hard
> work, but I know that reactions get more severe over time.
>
> Any advice would be greatly appreciated.
>
> Julia Augur IBCLC, RLC
>
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