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Subject:
From:
"Barbara Wilson-Clay, Ibclc" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 16 Sep 1995 12:58:10 -0400
Content-Type:
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Sev. people have privately requested the ref. for the Fisher, Woolridge
article on lactose intol.  Here it is:

Woolridge,M and Fisher,C.  Colic, "Overfeeding," and Symptoms of Lactose
Malabsorption in the Breast-fed Baby:  A Possible Artifact of Feed
Management. LANCET, Aug. 13, 1988, 382-384.

..."The low fat content of the diet may cause rapid gastric emptying.  This
in turn may lead to lactose reaching the small bowel in concentrations that
may tax the infant's lactase potential, with resulting diarrhoea."...

An interesting article which may add insight on the colostrum issue is:

Wang,Y, Shen,Y Wang,J et al.  Preliminary study on the blood glucose level in
the exclusively breastfed newborn. J TROP PEDS, 1994, 40:187-88.

This paper has some info on newborn stomach capacity in the first two days of
life.  It is amazing how small it is and what a lock-and-key match it is for
the low vol. colostrum production which occurs in the mother.

On the issue of what brings in milk, the role of the delivery of the placenta
is critical.  Retained placental frag. will typically result in no
lactogenesis no matter how freq. or effectively mom pumps or puts baby to
breast.
Barbara Wilson-Clay, BSE,IBCLC Austin, Tx priv.pract.

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