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Subject:
From:
Diane Wiessinger <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 31 Jul 1998 04:40:54 -0500
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<<what I found disturbing is the following categories of people that
he
 feels *do* need supplementation:  pregnant and lactating women, the elderly,
 and
 **children who are breast-fed**(sic)  About breastfed children Dr. Caballero
 states:  ".....should receive supplementation of vitamins A, C, and D, and
 there is a preparation called Trivisol that is the standard issue to these
 babies". >>

This is yet another case where the new AAP guidelines can come to our aid,
at least for the 1st 6 months.  Here's the text, with supporting
references:

In the first 6 months, water, juice, and other foods are generally
unnecessary for breastfed infants.105,106 Vitamin D and iron may need to be
given before 6 months of age in selected groups of infants (vitamin D for
infants whose mothers are vitamin D-deficient or those infants not exposed
to adequate sunlight; iron for those who have low iron stores or
anemia).107-109 Fluoride should not be administered to infants during the
first 6 months after birth, whether they are breast- or formula-fed.

107. American Academy of Pediatrics, Committee on Fetus and Newborn, and
American College
        of Obstetricians and Gynecologists. Maternal and newborn nutrition.
In: Guidelines for          Perinatal Care. 4th ed. Washington, DC: ACOG,
AAP; 1997
108. Pisacane A, De Visia B, Valiante A, et al. Iron status in breast-fed
infants. J Pediatr.
        1995;127:429-431
109. American Academy of Pediatrics, Committee on Nutrition. Vitamin and
mineral supplement
        needs in normal children in the United States.  Pediatrics.
1980;66:1015-1021

Diane Wiessinger, MS, IBCLC, LLLL  Ithaca, NY

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