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The Informed Parent

What’s Up Doc?

by John H. Samson, M.D., F.A.A.P.
Published on Dec. 16, 2013

Intussusception After Rotavirus Vaccines Reported To US VAERS, 2006-2012

Penina Haber, MPH, Manish Patel, MD, Yi Pan, PhD, James Baggs, PhD, Michael Haber, PhD, Oidda Museru, MPH, Xin Yue, MS, Paige Lewis, MSPH, Frank DeStefano, MD, MPH, and Umesh D. Parashar, MBBS, MPH; PEDIATRICS, Vol 131, Nu 6, June 2013 pg 1042

The first rotavirus vaccine was plagued with an unacceptable occurrence of intussusception after the vaccine was given. The current vaccine is not associated with these side effects. This article supports the safety of the current vaccine.

It shows an incidence of 0.8 cases /100,000 vaccines of intussusception 3-6 days after receiving the vaccine. This risk is insignificant when compared to the huge number of infants that were admitted with rotavirus, diarrhea, and dehydration in the past.

This cause of severe diarrhea which led to many hospital admissions for IV fluids has essentially been eliminated from my own practice, thanks to this oral vaccine.

Effect Of Early Limited Formula On Duration And Exclusivitiy Of Breastfeeding In At-Risk Infants: An RCT

Valerie J. Flaherman, MD, MPH, Janelle Aby, MD, Anthony  E. Burgos, MD, MPH, Kathryn A. Lee, RN, PhD, Michael D. Cabana MD, MPH, and Thomas B. Newman, MD, MPH; PEDIATRICS, Vol. 131, Nu. 6, June 2013, Pg.1059

This article gives support to the pediatrician’s advice for a small amount of formula intake for newborns until the mother’s breast milk “comes in”.

I have found resistance on the part of the lactation specialists toward this advice. This practice protects against neonatal weight loss, aggravated jaundice and neonatal irritability.

I must add, for this to foster breastfeeding, the formula can never be given alone. It must always be followed after both breasts are offered. In other words, the mother has”3 breasts” during the limited time formula supplementation is used. In fact, the article shows increased success in long term breastfeeding when the need for this supplementation appears and is compensated for.

Most babies do not need this, but those that do benefit greatly from adequate feeding volumes in the immediate postpartum time.

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