OMG!  I am so excited!  I finally found where I had read about the cow milk
protein passing thru mothers milk and ALSO about trying the pancreatic
enzyme and the guidelines for use!

It is in La Leche Leagues Answer Book!  (3rd edition, page 442 and 443)

 

"Cow's milk seems to be a common source of food sensitivity and fussiness in
babies, perhaps because many women are encouraged to drink a lot of milk
during pregnancy and lactation, which can sensitize a baby before birth.
Research has found that cow's milk antibodies in the form of protein pass
into a mothers' milk and if the baby is sensitive to these, it can cause
fussiness.  One study found that mothers with colicky babies had higher
levels of this cow's milk protein in their milk than mothers whose babies
were not colicky(Clyne and Kulczycki 1992). Eliminating all cows' milk
protein from a breastfeeding mother's diet has been found to decrease
colicky symptoms for many babies (Hill 1995). In one study, 35 out of 66
mothers of colicky babies reported a decrease in  their babies' fussiness
when they eliminated milk and milk products from their diets (Jakobsson and
Lindberg 1983).  It may take ten days to two weeks to eliminate cow's milk
protein from the mothers' system, so if the mother wants to try eliminating
milk and milk products from her diet, encourage her to allow the full two
weeks before gauging the results."

 

"Protein foods are among the most common foods that cause sensitivity in
babies.  After milk, other foods to consider are soy, egg white, pea nuts,
fish, especially cod (Vonlanthen 1998), wheat, nuts and Kola nuts, corn,
citrus fruits, tomatoes, and spices (Riordan and Auerbach, p. 657)."

 

"Research has documented that food proteins can pass whole into human milk.
Cow's milk (Sorva 1994; Clyne and Kulczycki 1991), egg (Casas 2000), and
peanut (Vadas 2001) allergens have all been isolated in human milk."

 

"Although an elimination diet helps in many cases, it can be difficult, as a
mother may need to restrict her diet severely to get results.  As an
alternative, some doctors recommend that mothers stop breastfeeding and feed
their babies hydrolyzed or elemental cow's milk formulas.  A new, simpler
treatment is now available when allergic breastfeeding babies react to foods
in the mother's diet.  Using a digestive enzyme taken by people with cystic
fibrosis to help break down fats, proteins, and carbohydrates, the mother
takes two prescribed Pancrease MT4-strength tablets with each meal and one
with each snack (Schach and Haight 2002; Repucci 1999).  The effect is to
break down food more thoroughly than the mother's digestive system, so that
the offending food is less likely to pass intact into the milk.

 

 

Linda Hill RN, IBCLC

Austin, TX


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