Here is another study that reports 5 cases in Chicago. All were deficient in
sunlight. Again the recommendation targets at risk mothers and their babies.
I am not a researcher but it seems to me that these studies show:
1.Rickets does occur
2.It occurs in low numbers.
3. There are risk factors associated with rickets that are identifiable--low
sun exposure, slow weight gain, dark skin, and maybe mother's awareness
and/or parenting information.
So it seems to me that MD's should do an assessment of the risk factors and
base their recommendations on those findings.
Am I missing something here?
Barb Whitehead, BS, IBCL, RLC
( PS -- I don't know how closely this reflects the health care system in our
society but I am still under the care of a orthopedic surgeon whose average
office visit is 3 minutes including his dictation time. I time each visit and
the last visit was 2 min and 32 seconds. The previous visit was 90 seconds.
He had scheduled 60 patients from 1 pm to 5 pm that day. So how much time
does MD's allocate to assessment, treatment and education? And for those
wondering---it is $75 a visit. He schedules surgery in the AM)
Here's the Chicago study:
Vitamin D deficiency in pregnant and breast-feeding women and their infants.
Daaboul J, Sanderson S, Kristensen K, Kitson H.
Northwestern University Medical School, Division of Endocrinology, Children's
Memorial Hospital, Chicago, Ill, USA.
We describe the cases of five consecutive infants with symptomatic vitamin D
deficiency and their mothers. Four of the infants were light skinned, all had
poor sunlight exposure, and all were breast-fed or had diets low in vitamin
D. All mothers had vitamin D deficiency. Regardless of race, infants with
poor sunlight exposure and diets lacking in vitamin D are at risk for vitamin
D deficiency. Mothers of these infants should be evaluated for vitamin D
deficiency. Vitamin D supplementation of the breast-feeding mother at risk
and her infant is recommended.
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