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Subject:
From:
Kika Baeza <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 12 Dec 2008 14:10:46 +0100
Content-Type:
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Hi everyone,

I have a patient who has been diagnosed with otosclerosis (a genetic disease
of the ear which causes progressive deafness). The ENT has told her to stop
breastfeeding her three month old inmediately beause it will worsen her
condition.

 In many medical texts it says that pregnancy and breastfeeding are a risk
factor for and can speed up and worsen the disease. However, I cannot find
any studies to support this.

The only thing I have found is a study by Lippy and his group that says
precisely the opposite:
* *Laryngoscope.
<javascript:AL_get(this,%20'jour',%20'Laryngoscope.');>2005
Oct;115(10):1833-6.
<javascript:PopUpMenu2_Set(Menu16222205);>*Does pregnancy affect
otosclerosis?**Lippy
WH*<http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term=%22Lippy%20WH%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstract>,
*Berenholz LP*<http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term=%22Berenholz%20LP%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstract>,
*Schuring AG*<http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term=%22Schuring%20AG%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstract>,
*Burkey JM*<http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term=%22Burkey%20JM%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstract>
.
Were it says that ninety-four women (47 with children and 47 without) were
evaluated. Because many of the women had bilateral otosclerosis, the total
number of ears studied was 128. There was no difference in discrimination
scores between groups. Within the group with children, no significant
correlation was found between number of children and hearing loss. Also, no
correlation was found between breastfeeding and the amount of hearing loss.

I have no access to the whole article, so I cannot know how long the
breastfeeding was, wether it was exclusive etc etc.

Actually, Lippy says in another article that the relationship between
otoseclerosis and pregnancy was a Nazi "plot" to promote racial purity -
that is, a way to scare women with otosclerosis into not having children and
therefore not passing on the defect.

Any way, can anyone out there shed any true scientific light on this issue?

Thanks in advance,

Kika
-- 
Dra. Carmela Baeza
Médico de Familia
Consultora Certificada en Lactancia Materna IBCLC
www.centroraices.com
Comprometida con el Derecho a Vivir
http://derechoavivir.org

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