In Reply.—The diversity of verbal and written responses (and abuse) we have received concerning our case reports of critically malnourished breast-fed babies (Am J Dis Child 132:885-887, 1978) is well illustrated by the letters from Jacobs, Waletzky and Martin, Kutnik, and Labbock. The comments of many pediatricians appear to support the contention that inadequate weight gain by breast-feeding babies is more common than is generally recognized. At the same time—and this we also wished to emphasize—successful breast-feeding requires careful instruction and support by medical and paramedical personnel, and early follow-up for primiparous mothers is particularly important. The point of our article was that parents, nurses, and physicians should not be lulled into assuming that simply because a baby is breast-feeding, he or she is receiving sufficient nourishment.
We are not sure why the babies reported in our series failed to receive enough breast milk. We doubt that the small
ROWLAND TW, GILMORE HE. Breast-feeding and Malnutrition-Reply. Am J Dis Child. 1979;133(7):757. doi:10.1001/archpedi.1979.02130070092028
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