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Subject:
From:
Becky Lyons <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 10 Sep 2003 08:27:01 -0400
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Dear Lactnetters,
I need input/references to support breastfeeding or breastmilk for a baby
who has chronic infantile cholestasis.  A formula high in MCT oil has been
advised due to the fat malabsorption of this condition.  This pre-digested
formula is advised for optimal nutrition, per the doctor.  Please note that
this little one has been breastfeeding beautifully since birth (now 7 weeks
old)and I have been consulted to help mom with "drying up".  Weight gain
has not been great (but steady!) - obviously, due to the malabsorption of
fat. Baby was breastfeeding constantly, according to mom.  I have worked
with this dyad since birth to establish breastfeeding and know mom has
ample milk supply.  BTW - Baby was born with duodenal atresia - repaired
surgically. Any ideas out there?  Supplemental nurser with pre-digested
supplement? Limited breastfeeding?  Pump and save ebm for later use?
Thanks for all your wonderful advise and input!
Becky Lyons, LD, IBCLC
Children's hospital

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