The Various Supplements Breastfed Babies May Require


Vitamin D Supplementation to Improve the Vitamin D Status of Breast-fed Infants

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To prevent vitamin D deficiency and bone problems, the American Academy of Pediatrics (AAP) recommends a supplement for all breastfed babies. Starting on the first day of life, vitamin D is given in liquid drops at the recommended dose is 400 IU a day. 2.

Iron helps make hemoglobin, which carries oxygen throughout the body to all your baby’s cells. Plus, iron is needed for your baby’s brain development and growth. Premature infants who breast-feed may need iron supplements.

Born early, these babies had less time to. Whether soyor sunflower-based, lecithin supplements can be used to help milk flow, and it is “considered safe through pregnancy and postpartum,” Goodman says. Just like.

A supplement is anything in addition to what your baby receives from your breast while breastfeeding. Babies can be supplemented with: Mom’s own pumped milk (if baby is not removing her milk well enough) Donor milk (from a milk bank or from another breastfeeding/pumping parent) Formula. You may need or want to supplement your baby’s feedings with formula for any number of reasons, some of which may be recommended by your pediatrician. your breastfed baby on a. Baby not gaining weight.

Up to 7% weight loss in the first few days is considered normal. But if your baby is not gaining weight within the normal range after this time, he may need more food. Your baby may become more and more sleepy and is in danger of becoming very weak, dehydrated or unresponsive unless he gets enough to eat. Vitamin D is needed to support healthy bone development and to prevent rickets, a condition that causes weak or deformed bones. Vitamin D deficiency rickets among breastfed infants is rare, but it can occur if an infant does not receive additional vitamin D from foods, a vitamin D supplement, or adequate exposure to sunlight.

Most nutrient needs in the first 6 months are met by human milk or infant formula. Breastfed infants need a vitamin D supplement and possibly an iron supplement; formula-fed infants and breastfed infants may need fluoride supplements after 6 months of age. Infants usually receive enough water from the human milk or infant formula they drink.. If your baby is exclusively or partially breastfed: He or she receive 400 IU of supplemental vitamin D daily, beginning in the first few days of life.

Supplementation should continue until he or she is weaned to at least 1 qt (1 L) of whole milk per day. Whole milk should not be used until after 12 months of age. In conclusion, in healthy, breastfed infants of well-nourished mothers, there is little risk for vitamin deficiencies and the need for vitamin supplementation is rare.

The exceptions to this are a need for vitamin K in the immediate newborn period and vitamin D in breastfed infants with dark skin or inadequate sunlight exposure.

List of related literature:

The AAP (Wagner, Greer, American Academy of Pediatrics Section on Breastfeeding, and others, 2008) recommends that all infants (including those exclusively breastfed) receive a daily supplement of 400 IU of vitamin D beginning in the first few days of life to prevent rickets and vitamin D deficiency.

“Wong's Essentials of Pediatric Nursing9: Wong's Essentials of Pediatric Nursing” by Marilyn J. Hockenberry, David Wilson, Donna L. Wong
from Wong’s Essentials of Pediatric Nursing9: Wong’s Essentials of Pediatric Nursing
by Marilyn J. Hockenberry, David Wilson, Donna L. Wong
Elsevier/Mosby, 2013

For the breastfed preterm TCU graduate, similar supplementation should be given but, as all formulas are now supplemented, it is doubtful whether additional vitamins and iron are required for bottle-fed babies.

“Rennie & Roberton's Textbook of Neonatology E-Book” by Janet M. Rennie
from Rennie & Roberton’s Textbook of Neonatology E-Book
by Janet M. Rennie
Elsevier Health Sciences, 2012

recommends that exclusively breast-fed infants receive a supplement of vitamin D,6 and the American Academy of Pediatrics guidelines support supplementation of breastfeeding infants with vitamin D (Gartner and Greer, 2003).

“Dietary Reference Intakes for Calcium and Vitamin D” by Institute of Medicine, Food and Nutrition Board, Committee to Review Dietary Reference Intakes for Vitamin D and Calcium, Heather B. Del Valle, Ann L. Yaktine, Christine L. Taylor, A. Catharine Ross
from Dietary Reference Intakes for Calcium and Vitamin D
by Institute of Medicine, Food and Nutrition Board, et. al.
National Academies Press, 2011

Breast-fed babies are often prescribed a supplement for vitamin D, however, not all pediatricians and parents agree that it’s necessary.

“Dad's Guide to Pregnancy For Dummies” by Matthew M. F. Miller, Sharon Perkins
from Dad’s Guide to Pregnancy For Dummies
by Matthew M. F. Miller, Sharon Perkins
Wiley, 2010

However, as adequate sunlight exposure is difficult to assess, AAP recommends a supplement of 200 international units/day for all breastfed infants, until they are weaned to at least 500ml/day of vitamin D–fortified milk (Gartner & Greer, 2003).

“Comprehensive Neonatal Care: An Interdisciplinary Approach” by Carole Kenner, Judy Wright Lott
from Comprehensive Neonatal Care: An Interdisciplinary Approach
by Carole Kenner, Judy Wright Lott
Saunders Elsevier, 2007

Breast-fed babies are often prescribed a supplement for vitamin D, but not all pediatricians and parents agree that it’s necessary.

“Dad's Guide To Pregnancy For Dummies” by Mathew Miller, Sharon Perkins
from Dad’s Guide To Pregnancy For Dummies
by Mathew Miller, Sharon Perkins
Wiley, 2014

If the child is breastfed, record nursing frequency and duration, any supplements (vitamin, iron, fluoride, bottles), family support for breast feeding and age and method of weaning.

“Jarvis's Physical Examination and Health Assessment E-Book” by Helen Forbes, Elizabeth Watt
from Jarvis’s Physical Examination and Health Assessment E-Book
by Helen Forbes, Elizabeth Watt
Elsevier Health Sciences, 2011

The only supplements these babies may need are fluoride (which is present in only small amounts in breast milk) and an iron supplement after 4 to 6 months of age.

“Pharmacology for the Primary Care Provider E-Book” by Marilyn Winterton Edmunds, Maren Stewart Mayhew
from Pharmacology for the Primary Care Provider E-Book
by Marilyn Winterton Edmunds, Maren Stewart Mayhew
Elsevier Health Sciences, 2008

Supplements may lessen the success of breastfeeding because they decrease feeding from the breast and decrease milk production (AAP & ACOG, 2012).

“Foundations of Maternal-Newborn and Women's Health Nursing E-Book” by Sharon Smith Murray, Emily Slone McKinney
from Foundations of Maternal-Newborn and Women’s Health Nursing E-Book
by Sharon Smith Murray, Emily Slone McKinney
Elsevier Health Sciences, 2017

Choices for supplementation depend on the age of the infant, and include soy products, sprouts, seed, nut, and sprout milks, and animal products, which are discussed a little later.

“Healing with Whole Foods: Asian Traditions and Modern Nutrition” by Paul Pitchford
from Healing with Whole Foods: Asian Traditions and Modern Nutrition
by Paul Pitchford
North Atlantic Books, 2002

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

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  • we had a similar experience! thank you for sharing! they like oh its clusterfeeding+ he is peeing ok, but baby was losing weight and cried.. finally with supplement it helped!

  • Thank you for this information! My baby’s pediatrician had suggested vitamin D drops, but then next visit said if I made sure I was getting enough myself it’d probably be fine. So I am thankful for this video to clarify this for me!!

  • Historically human have been suffering from lots of vitamin D deficiencies from newborn baby.

    The representative evidence is yourself Mr.

    Your skin is white, the white skin is the result of vitamin D deficiency.
    Your ancestors lived in the Northen area there is not enough sunlight shining.
    In that circumstance, white skin is much effective to consume the UV.
    The white man survived that environment.

    vitamin D deficiency is quite fatal.
    so this kind of cull has occurred.

    Still, there is a lot of vitamin D deficient Mother around us in modern society.

    Your speech could be misunderstood that there is no need to vitamin D for the baby.

    The American Academy of Pediatrics’s vitamin-D recommendation is not too much.
    I think the guidelines are a safe and sure way.

  • When I came home from the hospital the following day my baby did not pee or poo for 4 days and I was exclusively breastfeeding but apparently he wasn’t getting enough because he lost weight and became jaundice his eyes got yellow and all of his body. I feel bad that i didn’t supplement with formula it would’ve avoid him being pocked on his tiny foot for jaundice testing ����. Now he is 6 weeks and I give him a 2 once bottle of formula a day just to top it off like you said and it gives me a break as well. Thank you so much for this video. If I ever have another baby I will surely have some formula just Incase because i find that many times when babies cry is because they are hungry and some women don’t struggle with breastfeeding and that is great for them but for those that struggle like me it’s not our fault and we shouldn’t feel horrible for feeding them formula we are doing what is best for our child:)

  • This happened to me:( my heart was set on breastfeeding. But my baby lost weight she went from 8pounds 3oz to 7pounds 8oz and then she gained 3oz in the hospital. We went home and I was still constantly feeding her. We had to go to walk in weigh ins ever day to see if she was gaining weight. Then she was stuck at 7pounds 14oz and she just was not gaining weight and constantly crying. And finally I had a little formula from a sample box and I used it after she nursed and I’ve never had such a happy baby. About 1month old she finally hit 8 pounds 3oz back to birth weight. I literally cried every time I supplemented but in my heart I was doing what was best for my baby because I obviously was not giving her enough food. She’s almost 2months and I’m still breastfeeding but I’m still having to supplement she’ll take in about 1oz to 2oz of formula each feeding. But I’m pumping a lot more trying to build up my supply. I might not be able to produce enough milk for my baby but I’m still trying ❤️ thank you for this video!

  • That’s so crazy! My hospital gave us donor milk right away once my baby hadn’t fed in 24hrs. He would latch but could not stay awake to feed. He was 37weeks gestation so super sleepy. Then when we went home I hadn’t started producing yet and they sent us home with a ton of formula just in case to get us by till my milk came in or until I could buy more! I’m sorry you had to go through that ��
    I will say though clear is not abnormal for colostrum mine was clear for days as well but it did slowly come in more and more then when the milk came in it was a goldish colour ����

  • As a mom of a 32 y/o (given infant vit drops as baby) and a 26 yr newborn nurse, I’m enjoying this video immensely. The science changes so much over the years. Always have a healthy bit of scepticism, no matter what the experts say. You were so right!

  • Stephanie, go to my site and watch the videos under breastfeeding and pumping and comment there with any questions, I am wishing you all the best with your 2nd! xo melissa

  • Hi sir. I just had my 1st daughter this Christmas doctor tell us to use d3 vitamin when I was using today I accidentally put a little too much direction say one drop a day I assumed I accendently put 5 drops. Is my baby in harm? What should I do is that really bad I’m scared rightnow what i just did to my little princess. Pls give me advice. Thx in advance