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Your Breastfeeding Questions Answered



Dr. Jane Morton, Clinical Professor of Pediatrics at Stanford University School of Medicine, is an expert on nursing premature infants as well as a member of the Breastfeeding.com medical advisory board. Dr. Morton has answered many of your breastfeeding questions.

Dr. Morton works one-on-one with new mothers at the Lucile Packard Children's Hospital at Stanford University, teaching moms how to breastfeed successfully.  In 1997, Focus Magazine named Dr. Morton one of the "Best Doctors in the Bay Area," and she was again selected by her peers as one of "Silicon Valley's Best Physicians" as reported in The Sane Jose Magazine in 1999.






Will formula cause allergies later in life?

NAME: Sylvia
BABY'S NAME: Tom 
BABY'S AGE: 4 1/2 months
BIRTH WEIGHT: 3450 gr
CURRENT WEIGHT: 7500 gr

Hi. I have a very desperate question.  I am currently breastfeeding my son. Because of allergies (eczema) I would like to give him breastmilk only until he is 6 months old, but since about 1 month he is becoming more hungry - asking for food about every two hours, also at night.  Needles to say, I am exhausted!  I have asked for help and it was suggested that I pump the milk and try to get him back on feeding every four hours.  Now here is my problem, I pumped milk and only got 50 ml. total out of my breasts, so probably he is really hungry!  So now it was suggested that I give him some formula next to the breastmilk, but I am so worried about doing this!  I am in desperate need of some rest, but I would also want to do what is right for him.  Could giving him some formula cause him to have allergic problems later in life?  Or is it really OK to give him this right now, so we can both get some rest and so that I can get my supply back up?  I hope you can help me!  Thank you.





Dear Sylvia,

I understand your concern and I would take all of the reasonable measures to augment your production.  But, the most important thing is to make sure that Tom is getting the calories that he needs.  If you are concerned about allergies, this might be helpful.  The most allergenic formulas are the cow's protein formulas - namely Enfamil, Similac, and SMA.  One step less allergenic would be the soy-based formulas, such as Isomil, Soyalac, Prosoybe, etc.  Then, still one step less allergenic would be Good Start formula.  Finally, the least allergenic formulas are Nutramigen, Alimentum, and Pregestamil.  These last three are expensive, not easy to find, and smell like wallpaper glue.  Most babies older than three months don't like the taste.  But, you could try.  (Goats milk is not a safe option as it contains too little folate).  Another possibility is to begin low allergenic foods, such as rice cereal.  In Tom's case, I would definitely defer introducing the most allergenic foods until he is 12 months or older.  These would include dairy product such as yogurt, chocolate, peanuts (peanut butter), citrus (including tomatoes), fish (particularly shell fish), egg whites, and berries. The older the baby the more capable he will be of handling large allergenic proteins.  Usually, by one year even babies with parents with allergies will be more likely to handle these allergenic foods without difficulty. But you are absolutely right, eczema can be a sign of intolerance to a food and can be worsened by early introduction of allergenic foods.  Hope this is helpful.




 

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