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Subject:
From:
Liz Brooks <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 17 Jan 2001 21:50:17 -0500
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Riordan & Auerbach's 2nd edition has a nice section on breastfeeding the ill
child.

At page 639 they write, "If the baby is willing to take anything by mouth,
it should be breastmilk.... *1*  In the past, many health professionals
advised that even BF infants should be taken off milk products in the event
of vomiting and diarrhea; however, this is no longer thought to be true, nor
is human milk part of, or identical to, cow's milk and other dairy products.
  Because infants digest breastmilk rapidly, even one who is vomiting
regularly will absorb some of the nutrient and fluids of the milk before it
is regurgitated. The most appropriate management includes continued BF with
or without solids, as determined by the child's willingness to eat.  Only a
formula-fed infant requires a reduction or elimination of milk feedings if
the diarrhea persists or worsens. *2*

*1*  Ruuska T:  Occurrence of acute diarrhea in atopic and nonatopic
infants:  the role of prolonged breastfeeding.  J. Pediatr Gastroenterol
Nutr 14:27-33, 1992.

*2*  Brown, KH:  Dietary management of acute childhood diarrhea: optimal
timing of feeding and appropriate use of milks and mixed diets.  J Pediatr
118:S92-8, 1991.

Liz Brooks, JD, IBCLC
Wyndmoor, PA, USA

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