First, I'd like to just introduce myself.  I am an RN in CT and pursueing my 
IBCLC in 2009.  I am very interested in PP and hope to gain some insight from 
the group.  Looking forward to discussions.  

This morning on the Today Show, NBC, there was a segment about new 
recommendations to supplement not only breastfeeding infants, but toddlers 
and older children with 400iu of VitD daily.  

This has been a long time discussion for me.  In my studies I was been taught 
to encourage women to get outside and expose their' babies to the sun.  I 
was taught that with adequate exposure, babies do not need supplement and 
that giving the supplement was implying to the mother that somehow her 
breastmilk was not adequate.  I was always confused by the AAP position on 
supplementing.  I really researched and found that yes, the synthesis of 
Vitamin D exposure would be adequate allowing their' location in respect to 
the equator, season they are born, etc.  I am still confused.  I also found in 
some studies that women who are already taking a prenatal vitamin while 
breastfeeding have increased amount of VitD than women who are not, so this 
is the information I give to my patients.  

Many of the local pediatricians put their' babies on Trivisol, which is full of 
everything, not just VitD.  My recommendations for mothers it to continue 
taking prenatal vitamins and be sure to expose their' infants to at least 30 
minutes of direct sunlight daily, in warm months, on a blanket, in a diaper.  I 
also give them articles to forward to their' pediatrician for discussion.  

What are your recommendations?  Should babies be supplemented?  I'm 
getting mixed opinions from IBCLC's around the world.

Thank you,
Laura Miller, RN

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