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Date: | Tue, 8 Jul 1997 07:42:02 -0500 |
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Re: using lactose - free milk during/after diarrheal illness - no one
(except perhaps the manufacturer) recommends the use of this product. The
American Academy of Pediatrics has a practice parameter on diarrheal
illness - they recommend breastfeeding during and after the illness, and
using regular formula if the baby is not breastfed. Research has shown no
decrease in duration or severity of illness when the infant takes human
milk, or even artificial formula.
following from the syllabus for my standard one-hour breastfeeding lecture
to doctors:
Incidence of diarrhea in children under three years of age is estimated
to be 1.3 to 2.3 episodes per child per year. "Infants fed human milk can
be nursed safely during episodes of diarrhea." Ad libitum breastfeeding,
alternating if necessary with oral rehydration solution, is recommended.
from: American Academy of Pediatrics. Practice Parameter: The Management
of Acute Gastroenteritis in Young Children, Provisional. Committee on
Quality Improvement, Subcomm. on Acute Gastroenteritis, Pediatrics 1996,
97(3):424-435.
Early feeding did not increase stool volume or dehydration.
Brown KH, Gastanaduy AS et al. Effect of continued oral feeding on
clinical and nutritional outcomes of acute diarrhea in children. J
Pediatrics 1988;112:191-200.
Unrestricted breastfeeding did not prolong the course of illness or
increase stool output.
Margolis PA. Litteer T, Hare N, Pichichero M. Effects of unrestricted
diet on infantile diarrhea. A practice-based study. Am J Dis Child
1990;144:162-4.
Julie Graves Moy, MD, MPH
Austin, Texas
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