Obstetrics Book


Lactation Vitamin Supplementation

Aka: Lactation Vitamin Supplementation, Vitamin Supplement in Breast Feeding
  1. See Also
    1. Infant Feeding
    2. Infant Nutritional Sources
    3. Infant Nutrition Components
    4. Breast Feeding
    5. Breast Feeding Technique
    6. Lactation Vitamin Supplementation
    7. Medications in Lactation
    8. Breast Feeding Problems for the Mother
    9. Nipple Soreness in Lactation
    10. Lactation Problems for the Infant
    11. Lactation for Infant with Cleft Lip or Palate
    12. Lactation for the Premature Infant
    13. Lactation Resources
  2. General
    1. No supplementation needed in most infants <6 months
      1. Exception is Vitamin D supplement in exclusively Breast fed infants
  3. 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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