TY  - JOUR
T1  - BReast-feeding and malnutrition
AU  - WALETZKY LR, MARTIN E
Y1  - 1979/07/01
N1  - 10.1001/archpedi.1979.02130070092027
JO  - American Journal of Diseases of Children
SP  - 756
EP  - 757
VL  - 133
IS  - 7
N2  - Sir.—The recent report "Critical Malnutrition in Breast-fed Infants" (Journal 132:885-887, 1978) presented three cases of severe malnutrition in breast-fed infants. The authors implied that these cases represent primary inadequacy of lactation, while they have understated the more likely causes.In case 1, the probable factor responsible for undernutrition was the initial four-hour feeding interval. Breast milk has a finer curd than formula and is absorbed faster, indicating that breast-fed babies should nurse at least every three hours for proper nutrition.1.2In case 2, insufficient nutrition was probably due to the accumulative effects of the combination of oxycodone, aspirin, phenacetin, and caffeine (Percodan) in the breast milk, which caused sleepiness, lack of crying, and decreased vigor of nursing. A review of drugs in breast milk by one of us (L.W.) showed that there is no information on this drug in breast milk.3 However, this case would make us
SN  - 0002-922X
M3  - doi: 10.1001/archpedi.1979.02130070092027
UR  - http://dx.doi.org/10.1001/archpedi.1979.02130070092027
ER  -