
Dr. Judith Roepke, R.D., Ph.D., has answered many of your
questions about nutrition and dieting. Dr. Roepke is a perinatal
nutritionist, researcher and member of the Breastfeeding.com
medical advisory board. Look for more Q&A forums with Dr. Roepke
in the future.


Worried that my diet is compromising my breastmilk
| NAME: |
Melissa |
| BABY'S NAME: |
Elizabeth |
| BABY'S AGE: |
15 weeks |
| BIRTH WEIGHT: |
9lb 4oz |
|
CURRENT WEIGHT: |
16lb. Not sure, have not been to
the doctor since the 2-month check-up |
I am often concerned because at times, I feel I am not eating
healthy enough for a breastfeeding mom. I am taking
prenatals, but my biggest problem is forgetting to eat, then,
when I do eat, sometimes I am not probably eating what I should.
For example, lunch today was a piece of ham rolled up with a
piece of cheese and a left over cantaloupe slice from my 3 year
old's lunch. Other than that and his cold scrambled eggs
left over from breakfast, I have just had water. Supper is
in the crock pot, so I am planning on scarfing something down
between now and bedtime. My milk production is high, but
what I am curious about is whether or not the quality of the
vitamins and nutrients in my breast milk is compromised by my hit
and miss diet?
Thanks so much!

Based on the information that you shared, I am more concerned
about you than about Elizabeth. You say that your milk
production is high and Elizabeth is gaining weight, so her
nutritional status is probably not compromised by your
hit-and-miss diet
Diet does have dome effect on the nutrient quality of the
milk, especially that of the water soluble vitamins and certain
minerals. However, you indicated you are still taking your
"prenatals." If this is a balanced vitamin and mineral
supplement for pregnant women, it will provide considerable
protection to the milk and to you.
I am concerned that people like me not say a mother "should and
should not" do this or that - because a lot of shoulds create
barriers! It does make sense that what we eat will affect
our health and that of our babies, whether a mother is pregnant
or lactating, so I think it is wise to be careful about food
choices. However, I am especially concerned about the effect of
this diet on your own nutritional status. It appears that
you are eating nutritious foods, but that the quantity of foods
isn't sufficient for a breastfeeding mother of an almost 4-month
old. An average size woman should consume at least 1,500 -
1,600 calories each day to maintain a normal weight. With
the diet that you described, you are probably not getting this
many calories. Overtime, if your caloric intake is
compromised and you lose weight too quickly in the postpartum
period, your milk supply could be affected. So, for your sake and
Elizabeth's, I would suggest looking closely at your diet and
making some changes to boost your caloric intake.
To comment on your diet more specifically, I would need more
information on your pre-pregnancy weight, your current weight,
and your height. However, I will make a couple of general
comments. First, I don't see that you mention drinking any
milk. Sufficient calcium intake is important for all women,
and you are advised to drink about three 8-ounce glasses of milk
each day, or getting the equivalent in other calcium rich foods
(e.g. yogurt, cheese) or calcium enriched products (i.e. calcium
enriched soy milk and fruit juice). Second, remember that
you are a role model for Elizabeth and your 3-year-old child.
Your children will learn what and how to eat by watching you, so
it is very important to set a good example of a healthy, balanced
diet early on. I know that this can be difficult with two
young children, but you might try because this is likely to be
the most important issue in the long run!
I suggest that mothers look at the food pyramid for ideas:
breads and cereals on the bottom should be the foundation of all
snacks and meals as a vehicle for other foods such as peanut and
others nut butters, cheese, meats, and fish as sandwiches, which
can be eaten at any time of day, including breakfast. Next
are fruits and vegetables. These can be eaten raw, cooked,
or as juices. I enjoy the mixture of fruit with yogurt and
milk. It makes a delicious and nourishing beverage, which
when consumed with a nut butter sandwich would be a fast and
nourishing breakfast.
It sounds as though you have a very busy and active schedule
with two small children. Remember, though that the time you take
for yourself can be time for your children too. You can eat
with them, modeling appropriate table behavior and you can have
them "read to you" while you eat.

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