Return-Path: <[log in to unmask]> Received: from rly-zb01.mx.aol.com (rly-zb01.mail.aol.com [172.31.41.1]) by air-zb01.mail.aol.com (v56.26) with SMTP; Wed, 03 Mar 1999 13:12:35 -0500 Received: from lists2.u.washington.edu (lists2.u.washington.edu [140.142.56.1]) by rly-zb01.mx.aol.com (8.8.8/8.8.5/AOL-4.0.0) with ESMTP id NAA08097; Wed, 3 Mar 1999 13:12:28 -0500 (EST) Received: from host ([log in to unmask] [140.142.56.13]) by lists2.u.washington.edu (8.9.3+UW99.02/8.9.3+UW99.01) with SMTP id KAA11168; Wed, 3 Mar 1999 10:12:22 -0800 Received: from mxu3.u.washington.edu (mxu3.u.washington.edu [140.142.33.7]) by lists.u.washington.edu (8.9.1+UW98.09/8.9.2+UW99.01) with ESMTP id GAA25696 for <[log in to unmask]>; Wed, 3 Mar 1999 06:04:24 -0800 Received: from pgate.hboc.net (pgate.hboc.net [193.128.238.133]) by mxu3.u.washington.edu (8.9.3+UW99.02/8.9.3+UW99.01) with ESMTP id GAA20101 for <[log in to unmask]>; Wed, 3 Mar 1999 06:04:09 -0800 Received: from hboc.thenhs.com (zgate.hw.uk.hboc.com.48.203.194.in-addr.arpa) by pgate.hboc.net (PMDF V5.1-9 #27577) with SMTP id <[log in to unmask]> for [log in to unmask]; Wed, 3 Mar 1999 13:55:31 +0000 (GMT) Received: from "/PRMD=NHS N THAMES/ADMD= /C=GB/" by hboc.thenhs.com (Route400-RFCGate); Wed, 03 Mar 1999 14:04:14 +0000 Message-Id: <"WIN2847-990303140501-5636*/G=Imogen/I=I/S=MORGAN/O=NHS BIRMINGHAM WOMENS Date: Wed, 03 Mar 1999 14:05:05 +0100 Reply-To: [log in to unmask] Sender: [log in to unmask] Precedence: bulk From: [log in to unmask] To: [log in to unmask] Subject: Peritoneal dialysis and milk X-Listprocessor-Version: 8.1 beta -- ListProcessor(tm) by CREN Mime-Version: 1.0 Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7bit Dear Netters,This is my first message using this service. Can anyone help with this problem? A lady with renal failure due to a variant of Alports syndrome is maintained on regular peritoneal dialysis.Having become pregnant,she has now been delivered of a 28 week infant now under my care,age 6 days.The reason for the early delivery was elective because of technical problems with CAPD and the enlarging uterus. She would like to express breast milk for her baby,and as far as I can see ,is not on any drugs which would preclude this.(ranitidine,titralac,iron,senna,1alpha,EPO) Her nephrologist has said to her that she should not breast feed because of the creatinine in the milk.I do not know of evidence that this would in fact be harmful,especially balanced against the benefits of own milk for a 29 weeker. Can anyone help or advise?I am a Consultant Neonatologist in Birmingham,England.Many thanks. Reply privately to [log in to unmask] .