Hi,my name is Marie-Josee Santerre and I am a leader and an AAPL. I live in= =20 Quebec, Canada. My first language is french so please excuse me if my=20 english is not so good. I have 3 children (5,3 and 18 month). I would like to ask for your help in a subjet that seems not documented. I= =20 had two questions recently about spina-bifida. One of them was from a leader= =20 to wich a mother ask infomation about breastfeeeding an infant with=20 spina-bifida. The other was from a leader who was supporting a mother who was actualy=20 breasfeeding a baby who has a spina-bifida. This case is more complicated=20 because the baby also has hydrocephalia and he's blind. The baby has a=20 drainage tube in his brain,but the liquide doesn't seem to flow out. That=20 causes brain pressure. The baby is 11 montht and weights 15 pounds, he has a= =20 low tonus. Becaus the mother is also breasfeeding her older boy, her milk=20 volume is ok. This tandem nursing seems to have help the baby gainning ok.= =20 The baby only took antibiotique once, in prevention of his old brother=20 infection. This baby can't eat any solid because he chokes on them. For how= =20 long can he thrive only on his mother milk only? I would appreciate any information you have on breasfeeding and= spina-bifida. Thank you. Marie Daniel Lacroix Marie-Jos=E9e Santerre