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Date: | Tue, 7 Feb 2006 15:19:55 EST |
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Ellen asked about the infant formula studies where babies who had negative
reactions were simply dropped from the study. That was probably something I
said (or would have said)! I think I had mentioned this in a NABA publication or
on the NABA website at _www.naba-breastfeeding.org_
(http://www.naba-breastfeeding.org) . In looking at a number of the studies that evaluated differing
amounts and sources of DHA/ARA , there seemed to be a very high attrition
rate of infants (like 30%) with no explanation of why they were not reported on.
Many of the studies then concluded that were no side effects or adverse
outcomes in infants fed the study formula. Well, of course there weren't--they
were dropped from the study! There miraculously seemed to be no side effects in
any of the babies that were left! This reminds me of the phrase on
sweatshirts the engineering students wear in college - "When all else
fails...manipulate the data." Talk about manipulating the data!
NABA continues to receive several reports a week from nurses and lactation
consultants about newborns reacting to the DHA/ARA supplemented formulas. The
reaction is generally explosive diarrhea or a large watery meconium stool that
seems to go on forever. A large watery stool of 240 cc was the latest
report. That's almost 8 ounces. We discussed previously on Lactnet how difficult it
is to determine if a breastfed baby is getting enough breast milk when even
small amounts of supplementation with the DHA/ARA formula is resulting in
frequent loose stools. How would we tell over the phone if the frequent stooling
was a sign of sufficient breast milk or diarrhea from formula supplements?
Between falsified research from Dr. Chandra, Enterobacter sakazakii bacteria
in powdered infant formula, and diarrhea from DHA/ARA supplemented formula,
what's a baby supposed to do? Maybe breastfeed?!
Marsha Walker, RN, IBCLC
Weston, MA
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