Hi Jennifer,
I always read through your postings carefully and applaud you for coming up
with suggestions that are not so obvious.
I must say... it makes me very nervous sometimes, to realize that there are
so many options I wouldn't have a clue about as for whether they caused the
problem I might see with a mom.
I have a question that may not be that easy to answer, but I'll pose it
nevertheless. What do you (and others!) feel should be the basic knowledge
of an lc, when it comes to nutrition?
We all have different fields of expertise, that develop over the years. Our
overall knowledge will expand when time goes by, but still we are not all
nutritionists (or psychologists or politicians or cst's or whatever other
discipline might be useful in addressing bf problems). We can recommend
books to each other on parenting or low supply or sucking skills, but what
would be a good book when we want to go a little deeper into how you can
assess nutritional problems in mom, that, by solving them, will help baby
heal? I look forward to your suggestion.
Bye,
Marianne Vanderveen IBCLC, Netherlands (and often chewing away on things,
thinking: "Oh o, if Jennifer would know..." ;o))
----- Original Message -----
From: "Jennifer Tow, IBCLC" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, May 15, 2009 6:31 AM
Subject: [LACTNET] Want input, slow-growing child, creamatocrit?
>
>
> Rachel,
> I think one of the biggest mistakes many LCs make is to think that they
> must normalize these kinds of
> scenarios as a way to defend breastfeeding. The fact that the family did
> not detect additional food
> allergies until after six months could account for the baby being behind
> the curve, so to speak. Often
> bleeding resolves with cow milk elimination, but other symptoms continue
> that are missed, such as
> abnormal stooling patterns, poor growth, eczema, ear infections, poor
> sleep patterns, hyper-sensitivity,
> "baby acne" and other rashes and of course little interest in solids.
>
> It is likely that this baby will continue to to develop further allergies
> unless both mom's and baby's guts
> are healed. This baby may well be deficient in fat-soluble vitamins and
> zinc as well. I would take a full
> history on mom and her nutritional profile (I do this with all of my
> clients anyway). I would be concerned
> about her milk, too, since it is likely that her own health is
> compromised. After all, the baby can only have
> the same antigens as the mother at birth. So, I always have moms increase
> anti-inflammatory nutrients,
> especially essential fatty acids, alkalinizing foods and certain vitamins
> and minerals.
>
> Heal the mother, you heal the baby.
>
> Jennifer Tow, IBCLC, CT, USA
> Intuitive Parenting Network, LLC
>
> Need input on a case for which I have permission to post, please reply to
> the list.
> The child is just over a year and a half, weight 8150 g, length 75 cm
> (just
> below 18 lb, and 30 inches). Exclusively BF for first six months by his
> mother, who has long and good experience breastfeeding her other children,
> singly and tandem. She went on dairy-free diet from seven weeks because
> of
> bloody stools in baby, which resolved and never returned. Weight gain at
> low end of normal until six months, thereafter about sixty grams/month
> (about two ounces). Rest of family (both parents and all siblings) are
> above average in size.
>
> He currently breastfeeds twelve to fourteen times a day.
>
> Specialists have checked for every possible condition that could be
> associated with failure to thrive (including lymphoma, leukemia, cystic
> fibrosis, metabolic disorders, endocrine disorders, anemia, celiac
> disease,
> all major organ functions, gut fat absorption), and there were no abnormal
> findings. Other food allergies were discovered so now mother and child
> are
> not eating dairy, egg, corn, wheat, soy, peanuts or anything containing
> gluten. Mother well informed about diet, prepares own food and child has
> good appetite. He is developmentally entirely normal, if not precocious,
> for example he is out of diapers. Has never had a GI illness since the
> bloody stools in the first few weeks of life, and has always breastfed
> without difficulty, no choking, gagging, spitting up, ever.
>
> During two periods, one year apart, since he began weaning foods, he
> reverted to exclusive or near-exclusive BF for some weeks. Both times, he
> gained more weight than he normally does on a diet including solids, and
> grew in length.
>
> His slow growth is the focus of concern from parents and his doctor.
> Since
> no pathology has been found in the child, and despite the fact that his
> growth has been noticeably more rapid during the two periods when he was
> getting more breastmilk than usual, the composition of her milk has come
> under suspicion, and the pediatrician is interested in measuring the fat
> content, if a place can be found to carry out such an analysis.
>
> I am not familiar with the procedure. How should the milk sample be
> collected? Should she collect one sample from each breast, or should they
> be pooled? Is there a time of day that is preferable, or should she
> perhaps
> collect several, at different times? And, does anyone know where one
> would
> have milk analyzed for carbohydrate and protein content, should this come
> up? Once the result is back, what are the reference values and limits of
> normal?
>
> And, if anyone has anything to add, some stone that has been left
> unturned,
> please post about that too. I am open to the possibility that we are
> dealing with a person whose growth rate is not mainly nutritionally
> determined, and I would hate to see a good diet be sacrificed in the name
> of
> boosting his weight for the sake of weight alone.
>
> Rachel Myr
> Kristiansand, Norway
>
>
>
>
>
>
>
>
>
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