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Date: | Fri, 12 Oct 2007 09:32:57 -0700 |
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There was an intriguing article in JHL a few years back:
Barbra Schach and Michael Haight. Colic and Food Allergy in the Breastfed
Infant: Is It Possible for an Exclusively Breastfed Infant to Suffer From
Food Allergy? J Hum Lact 2002; 18; 50-52.
Dr. Haight was using Pancrease in mothers to break down offending proteins
*before* they entered mother's milk. The advantage to his approach was that
if you didn't identify all the problem proteins, it didn't matter; they
seemed to be neutralized before they got to the baby. I haven't heard much
on this idea since then, but I surely find it interesting.
Below is a brand new one I just found looking at the effectiveness of
lactobacillus treatment. The best part was "breastfeeding cessation was not
needed in any infant...."
~Lisa
J Pediatr Gastroenterol Nutr. 2007 Aug;45(2):247-51. Links
Lack of effect of Lactobacillus GG in breast-fed infants with rectal
bleeding: a pilot double-blind randomized controlled trial.Szajewska H,
Gawronska A, Wos H, Banaszkiewicz A, Grzybowska-Chlebowczyk U.
Second Department of Pediatrics, Medical University of Warsaw, Warsaw,
Poland.
OBJECTIVES: For breast-fed infants with rectal bleeding, maternal
restriction of dietary protein such as cow's milk proteins is often
recommended; however, poor response to dietary protein restriction is of
concern. This pilot study was designed to assess the effectiveness of
Lactobacillus GG (LGG) in breast-fed infants with rectal bleeding. PATIENTS
AND METHODS: Breast-fed infants <6 months of age with rectal bleeding
(defined as the presence of visible specks or streaks of blood mixed with
mucus in the stool in otherwise healthy infants) were enrolled in a
double-blind randomized controlled trial in which they received LGG 3 x 10
colony-forming units (n = 14) or placebo (n = 15) twice daily for 4 weeks as
an adjunct to cow's milk restriction in the mother's diet. Analyses were
based on allocated treatment and included data from 26 infants. RESULTS:
Mean duration of rectal bleeding was similar in the LGG and control groups
(17.3 +/- 10.6 vs 15.4 +/- 11 days; mean difference -1.9 (95% confidence
interval [CI] -4 to 7). No difference was found in the number of infants
with clinical resolution of rectal bleeding within 72 hours and no relapse
afterward (2/11 vs 3/15, relative risk [RR] 0.9, 95% CI 0.2-3.9) and the
number of infants with clinical resolution of rectal bleeding within 72
hours followed by relapse of symptoms (5/11 vs 5/15, RR 1.4, 95% CI
0.5-3.5). Breast-feeding cessation was not needed in any infant.
CONCLUSIONS: These results do not support the use of LGG as an adjunct to
maternal cow's milk restriction in breast-fed infants with rectal bleeding.
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