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Subject:
From:
Robert Cordes DO <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 25 Jun 1998 17:46:25 -0400
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Laura asked if a mom never had rotavirus would the antibodies
be in her breastmilk.
 As a theoretical question I'd say the answer is no.
You said youve never had rotavirus? I'd suspect either it was
a case you or mom didnt remember or you live in an air
tight bubble or you've been living on another planet. Rotavirus
is one of those infections that virtually all children get by age
3 years. I also suspect your child has had RSV inspite or youre
not recalling it. RSV is one of the infections that should
the protection of BF against respiratoy infections. It was done
by detecting serum antibodies in 3 year olds. These are the
child's antibodies by this age, not passed from mom. This
means they had the virus. However their personal history did
not give an example of severe infections meaning the RSV
was too mild to be remembered. I would assume this
could happen with flu and its been shown BF babies can
have asymtomatic rotavirus infection.

To answer Jennifer,
"will I reccommend Rotavirus vaccine before or after
babies wean"
The recommended schedule is 2,4, and 6 months. It's an
oral vaccine. For the typical American baby this means
starting while BF (responce is better anyway) and finishing
after being weaned.
However over the past year my patients seem to be BF
longer than about a year ago. Am I doing something right?

-Rob

PS I got to phone calls today about < 4 week old weaned
babies with multiple formula problems. Both moms got
informed concent about relactating. I dont think they have
real formula problems, formula babies are often gasy
and constipated and unhappy.

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