Wow--this mom had the cards stacked against her first time around!  Too bad
the blame is misplaced.

This probably isn't news to you, but if she's worried about this baby having
the same allergies as her first, I don't think there's a formula on the
market that would be free of all of those allergens.  Human milk can be
altered for an allergic baby by mom's eliminations (and gut improvement, of
course!)

Anecdotally, having two food-allergic children myself (non-IgE mediated,
however), I would load up on probiotic foods (real sauerkraut, kefired
juices, etc.) and invest in an excellent probiotic supplement during a
subsequent pregnancy.  I would also move heaven and earth for a VBAC if I
were in this mom's position.

More importantly, I think, is that mom knows how to *really* do an
elimination diet and what allergic symptoms look like in the newborn.  It
can be much more subtle than blood in the stool.  My dd#2 was spitting up on
day one of life, I cut all dairy immediately and voila! no more spit-up.  I
was watching her like a hawk, however, and my definition of "normal" doesn't
include spitting up.

I can't find the full articles, but these two would be interesting to look
at:

Maternal and Perinatal Characteristics and the Risk of Cow's Milk Allergy in
Infants up to 2 Years of Age: A Case-Control Study Nested in the Finnish
PopulationAm. J. Epidemiol. (2010) 171(12): 1310-1316 first published
online May 14, 2010

Allergy. 2009 Jun;64(6):884-9. Epub 2009 Feb 12.
The impact of caesarean delivery and type of feeding on cow's milk allergy
in infants and subsequent development of allergic march in childhood.

Sánchez-Valverde
F<http://www.ncbi.nlm.nih.gov/pubmed?term=%22S%C3%A1nchez-Valverde%20F%22%5BAuthor%5D>
, Gil F <http://www.ncbi.nlm.nih.gov/pubmed?term=%22Gil%20F%22%5BAuthor%5D>
, Martinez D<http://www.ncbi.nlm.nih.gov/pubmed?term=%22Martinez%20D%22%5BAuthor%5D>
, Fernandez B<http://www.ncbi.nlm.nih.gov/pubmed?term=%22Fernandez%20B%22%5BAuthor%5D>
, Aznal E<http://www.ncbi.nlm.nih.gov/pubmed?term=%22Aznal%20E%22%5BAuthor%5D>
, Oscoz M<http://www.ncbi.nlm.nih.gov/pubmed?term=%22Oscoz%20M%22%5BAuthor%5D>
, Olivera JE<http://www.ncbi.nlm.nih.gov/pubmed?term=%22Olivera%20JE%22%5BAuthor%5D>
.


Also, if you type in "peanuts allergy pregnancy" into pubmed there are some
interesting articles as well.


Jessica Claire

LLLL in Los Angeles

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