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Infant feeding

Get advice and support with infant feeding from other users here.

Bf baby - 10 months HV says give vitamins?

14 replies

Unrulysun · 18/03/2011 10:29

AIBU to think this is bollocks? I thought the only large scale scientific study on vitamins had to stop because people died?

I didn't go because I think they talk shit have a healthy scepticism about all things weighing/HV. But dh took her and the HV asked 'Can you rmemebr when she last had a breastfeed?' and when he said 'Yes ten minutes ago' looked all Biscuit and said they'd recommend vitamins? I am very confused. Are bottles better than breasts now?

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RamblingRosa · 18/03/2011 10:32

HVs recommended vitamins for DD too because she was breastfed and then vegetarian when she started solids.

I never bought into it either.

I thought breastmilk was a complete food and if your baby's weaned onto a healthy varied diet they shouldn't need manufactured vitamins.

Unrulysun · 18/03/2011 10:37

That's my understanding of how evolution has equipped us to feed our young. Apparently she particularly emphasised that she should be eating meat so that's obviously a bug bear too! She also kept saying to dh 'so you need to talk to your wife about this' (because babies are women's work and he was just there to supply the babydust) Fuckwits.

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RitaMorgan · 18/03/2011 10:37

Vitamin D is the only one that might be necessary I think, because of our less than sunny climate - more necessary if you or your baby has dark skin or stays indoors/covered up a lot.

Other than that, if she has a varied diet I wouldn't bother.

Unrulysun · 18/03/2011 10:40

But why are they recommending this for breastfed babies not all babies? To me that's a clear message - breastfed bad, bottle fed good.

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TittyBojangles · 18/03/2011 10:46

I think its because the formula already has the vitamins added, though I may be wrong. The bf group I go to is run by an excellent infant feeding specialist who is so pro-bf its actually refreshing. She recommends these vitamins.

gloyw · 18/03/2011 10:49

I was given multivit drops when (EBF) DS was 6 months, and told it was only recommended for BF babies.

I don't really understand why, althought I'm giving them to him.... Does formula have added vits, which breastmilk is deficient in, and is formula used as a vitamin 'benchmark'? Is it belt and braces after 6 months as babies start solids (aren't they getting all the vits they need from breastmilk after 6 months?)

I understand the iron issue (I think) - where yes, technically breastmilk is lower in iron than formula BUT the iron in breastmilk is used much more efficiently as it's only biologically available to your baby. Iron in formula isn't as efficiently absorbed (which is why there's more of it) and can also be used by hostile bacteria, which isn't ideal.

I'd love to know why it's only recommended for BF babies though.

Unrulysun · 18/03/2011 10:49

Really Titty? Great name btw! Grin

I just find it unlikely that breastmilk doesn't have everything she needs - bar maybe vitamin D?

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Unrulysun · 18/03/2011 10:53

Afaik the big study into vitamins saw more members of the study group dying than members of the control group and therefore got called off early on. Is this different for baby vitamins or is this just another example of recommending stuff without bothering with any actual science?

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tiktok · 18/03/2011 10:56

Vitamin D is in short supply in northern climates (eg the UK) and we don't live outside anything like as much as we did when we were evolving....it is not a comment on breastmilk to suggest vitamins (D is the only one worth worrying about) but a comment on lifestyles. Vitamin D is made from sunlight, and many of us simply don't get enough on our skins in the 21st century in the UK. After the age of 6 mths, there is perfectly respectable evidence that as a public health measure, in general, bf babies may well benefit from supps.

In Norway, everyone from newborn up, has supplements and breastfeeding is done by just about every mother.

Vitamin D supplements are added to formula so no need for ff babies to have the supps.

However, if you are sure to get outside on most days with your baby, so both you and the baby get the chance to use what little sunlight we have, and you don't cover up every bit of flesh, and you and your baby have foods with Vit D in, there is probably no reason to give supplements - the HV should have explained this, and they never do! It is not rocket science so I don't know why they don't.

RightUpMyRue · 18/03/2011 11:04

Vitamin drops are recommended for all babies, BF from 6 months and FF from 1. The reason is for the vit D. Most childrens vitamins also come with A,C,and E in them too but those aren't the focus of the recommendation, it's all about the vit D.

We get little vit D from our food but our bodies produce it when exposed to sunlight. When it's miserable weather we have lots of clothes and coats etc on when we're outside and therefore our skin is not exposed to sunlight. When it is sunny we use sunblock, stay in the shade and still cover up, particularly our babies. So we're not absorbing it then either.

There have a been quite few cases of rickets in recent years and this is what has prompted the recommendation.

It is just that though, a recommendation, it is your choice whether you choose to follow it or not. Your HV should have explained why it is recommended or otherwise it can give the message that formula is better than breast and breast is lacking. It isn't, we know that.

If you know spend lots of time outside, with your skin exposed and you eat a good healthy diet with lots of food that contains vit d, i.e fatty fish, eggs (yolks in particular), milk and cereals fortified with vitamins (Just some examples) then you'll probably have enough stores to pass onto to your baby through your milk. The darker your skin the more exposure to sunlight you'll need.

The HV is just passing on the recommendation from the DOH, it is her job, but she should always qualify the recommendation with the reason why, which is unfortunately lacking too often.

Unrulysun · 18/03/2011 11:16

OK thanks Tiktok and RUMR for clarifying that. I am quite cross because dh was definitely given the message that bfing is NOT ENOUGH and the reason I didn't go is because they were so bloody unsupportive of bfing in the past. How on earth do they think they're going to get rates up if they are so shit with basic messages?

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japhrimel · 18/03/2011 11:19

Having got the nurse to look it up in the NHS Birth to Five book at my (pretty useless) post-natal group, I believe the current recommendation is that breastfed babies should get vitamin D drops from 1 month if you didn't supplement vitamin D during pregnancy (a prenatal multivitamin would have covered this). And then all children should have some form of vitamin D supplement, whether in drops or a multi-supplement or formula with it added.

tiktok · 18/03/2011 14:59

www.nhs.uk/Planners/birthtofive/Pages/Vitamins.aspx seems to be more or less what you read in the book, japh.

HVs really, really should explain all this. It comes up once or twice a month on mumsnet, with a poster puzzled and undermined because they have understood that there must be something wrong with breastmilk.

foreverondiet · 18/03/2011 15:05

Up to you but FWIW DNeph was severely vit D and iron deficient at 18 months (still BF) but eating normal food including meat.

It came to light when he broke his leg despite not appearing to fall off anything.

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