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Subject:
From:
"Mary Ann Dever, RN, CLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 16 Jan 1997 10:12:43 -0500
Content-Type:
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Dear Lactnetters:
This is incredibly exciting for me to have access to such a resource.
 Anyway, I have been approached by a friend of mine who is employed as a
nurse practioner concerning a question concerning Vitamin supplementation
while breastfeeding.  Please allow me to explain:  She works at an inner city
clinic here in Michigan which services mainly a Hispanic population and
people of color.  They have a very low breastfeeding initiation rate, so when
a mom does bf, my friend does everything she can to encourage them.  Well,
apparently this clinic has had a couple of reported cases of rickets in the
babies being breastfed.  As you may be aware, here in Michigan we see very
direct sunlight due to lake effect from Lake Michigan.  The
physicians and nurse clinicians  want to get more information on this.  What
is the current recommendation on supplementing bf infants with Vitamin D as
well as when to initiation fluoride drops?  I have re-read these topics in
Lawrence and Auerbach, but wondered if there's anything else.  I'd appreciate
seeing any responses you might have.  Thanks so much!
          Mary Ann

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