Ann:
Iron in brast milk is far better absorbed than iron in any other source.
Solid foods can interfere with iron absorption from breast milk (there is a
study from Oski in Pediatrics about pears, some years ago. Many other
foods, including vegetables, fruits and eggs, can inhibit iron absorption
from breast milk or other sources). In a recent study in Italy (J Pediatr
1995;127:429), infants starting solids after 7 months had less anemia than
those starting solids at 6 months.
If a breastfed baby has iron deficiency anemia, he should receive medicinal
iron and keep breastfeeding (iron rich foods are not for treatment, but for
prevention). Diminishing his best iron source (breast milk) seems to me
quite unwise. May be this baby is nursing more and rejecting other foods
because he needs more iron.
Carlos Gonzalez, MD.
ACPAM, Barcelona, SPAIN
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