Lactation Vitamin Supplementation

Aka: Lactation Vitamin Supplementation, Vitamin Supplement in Breast Feeding

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II. General

  1. No supplementation needed in most infants <6 months
    1. Exception is Vitamin D Supplement in exclusively Breast fed infants

III. Management: Specific Vitamins

  1. Vitamin D (needs 400 IU/day per AAP as of 2008)
    1. Supplement 400 IU/day
      1. See Vitamin D Supplementation
      2. Indications
        1. Exclusively Breast fed infants
        2. Inadequate sunlight exposure
        3. Northern latitudes
        4. Dark skin
    2. Sunlight exposure
      1. Wearing only a diaper for 30 minutes per week
      2. Fully clothed with no hat for two hours per week
  2. Vitamin K
    1. Prevents Hemorrhagic Disease of the Newborn
    2. Single 0.5 to 1 mg IM at birth
  3. Iron
    1. Iron-fortified foods needed by 6 months of age
  4. Vitamin B12
    1. Supplementation if strictly Vegetarian mother
    2. Supplement: 0.3 to 0.5 mcg/day
  5. Fluoride Supplementation
    1. See indications for older than 6 month infant

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