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Date: | Sat, 16 Jul 2005 15:42:39 -0400 |
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Some effects of starvation in infants:
Increased enterohepatic reuptake of bilirubin (more bilirubin re-enters
the bloodstream from the intestine, and has to be congugated again).
Decreased ability of the liver to keep up with producing albumin (blood
proteins which hold water in the bloodstream and keep it out of the
tissues, and carry bilirubin so that it is not free to enter the brain,
etc). This and the above make kernicturus more likely (with lifelong
severe cerebral palsy). With severe weight loss, babies get significant
liver dysfunction, because it's not getting the protein fuel it needs
to continue operations.
Reduction in energy provided to high energy need tissues, such as the
brain and heart. We are concerned about the ability of the brain to
handle calorie restriction in infancy without having a reduced capacity.
Stunting of growth due to shift of resources to the critical tissues.
Energy conservation mode decreases the baby's activity and interaction
with the environment, and reduces opportunities for learning.
We do all we can to help babies gain robustly. Remember that banked
human milk is a viable option for babies whose moms can't make enough
initially.
Catherine Watson Genna, IBCLC NYC
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