Dear Friends:
    Today, at the home of a mother of exclusively  breastfeeding 6-week old, 
she mentioned that her baby got sick and refused  to eat for a day after a 
dose of oral vitamins. The baby was in NICU for a few  days after the cesarean 
section.
    I am learning that most vitamin pills give me  reflux.
    Faith Ploude, a wonderful LC from Miami, used to  make residents drink a 
bottle of baby liquid vitamins as part of rounds. Those  young doctors got the 
point about awful and caustic and nausea!
    I am wondering if the vitamins added to human milk  substitutes are a 
contributing factor to reflux. I know that I never saw infant  reflux (GERD) as a 
nursing student and new nurse: I was licensed in 1971. Now I  see many babies 
with it; sometimes reflux can be a very serious medical  condition for a baby.
    Is it because of more birth technology? Inductions?  Epidurals? High use 
of human milk substitutes with more additives, as  companies keep trying to 
make it closer to the real thing?
    What do you all think?
    warmly,
 
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct  Faculty Union Institute and University
Film Reviews Editor, Journal of Human  Lactation
Support the WHO Code and the Mother-Friendly Childbirth  Initiative

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