>Date: Fri, 11 Apr 1997 08:47:59
>To: [log in to unmask]
>From: Carolyn Lawlor-Smith <[log in to unmask]>
>Subject: F.T.T after gastric bypass
>
>I am looking after a mother who had a gastric bypass in 92. for obesity.
Her baby at 4weeks is 4080 gms, 120 below birthweight.She appears to be
producing lots of milk,he feeds 8 x in 24 hours and is having lots of wet
nappies. I have an article from PEDIATRICS Vol86 No. 5 Nov 1990 ,Martens W,
Martin L, Berlin C, "Failure of a nursing infant to thrive after the
Mother's Gastric Bypass for Morbid Obesity" that describes a mother who fed
her first three children without a problem then had a gastric bypass. Her
4th child had FTT. The authers found that the woman had 30% less fat content
in her milk.{they measured it using the method described by Lucas British
Med. J. 1978}  I am having the mother's milk tested by Bob Gibson today. Has
anyone else had experience with this problem?
>The mother was found to have B12 deficiency at 30weeks pregnancy and she
has been on B12 injections since {B12 deficiency is common after gastric
bypass}       Carolyn Lawlor-Smith GP/LC South Australia
>