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Subject:
From:
Patricia Gima <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 27 Jul 2003 13:54:49 -0500
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Well folks, below is the summary of our brainstorming which, of course, is
the energy behind all  studies or research. Someone has to question what
has been proclaimed before as fact, or has to make a leap of hypothesizing,
or use her repeated experience as a stimulus for further study.  So we here
are planting the seeds of some profound research based on our ponderings.

In case you missed the original post, I was wondering why there is an
increase in reflux (the severly painful kind) in infants in the U.S. I
asked for the experience and ideas of others.

My original "loose ideas" were:

Sleeping on the back.
ibuprofen use in the first 2 weeks
Ultrasounds in-utero
Caffeine use by mother
Car seat use throughout the day
High parental stress/fear

Lactnetters sent the following either to the list or to me privately:

Over-abundant milk supply
Post partum iron supplementation in mother
Sleeping on back
Cow's milk protein allergy
Other food sensitivities/allergies
Birth experiences--induction, augmentation, etc
Caffeine use, including chocolate
Large, infrequent feedings
Too tight diapering
Too much isolation/separation from mother (stress inducing)
Antibiotic use in the perinatal period
Several generations of artificial feeding
        increasing the tendency to allergy
        decreasing instinctual mothering

Many of the respondents had personal experiences to relate along with
actions that reduced their infants' distress. Many have seen, over the last
10 years or so, the increase of painful reflux in their clientele.

I found the sharing most enlightening.  Maybe someone will be interested
enough to study some of these possibilities.  Maybe no one will, but we all
will benifit from the openness of the contributors.

Thank you,

Pat Gima, IBCLC
Milwaukee, Wisconsin

P.S. Consumer Reports Magazine had an article on reflux (heartburn) last
year.  Treatment recommendations from their medical advisors were:

Diet: Avoid alcohol, caffeinated or carbonated beverages, chocolate,
garlic,onions peppermint, fatty foods, acidic foods.

Eat small, frequent meals.

Avoid tight waistbands.

Stay upright after eating; don't lie on your back.

Lie on your left side, positioning the opening to the stomach so as to
prevent contents from refluxing.





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