sensitivities in baby breastfeeding and food · breastfeeding and food sensitivities in baby jackie...

uBREASTFEEDING AND FOOD

SENSITIVITIES IN BABY

JACKIE MOUNE, BSN, RN, CLC

MATERNAL/ INFANT HEALTH PROGRAMCOORt>!NATOR

IMEBRASKA.

NEBRASKA DEPARTMENT OF HEALTHAND HUMAN SEftVICES

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Conflict of Interest:The activity's Nurse Planner has determined that !io one who has the abilityto control the content of this ONE activity - planning committee membersand presenters/authors/contem reviewers-has a conflict of interest.

Disclosures;Cnmmercin I Support: No Commercial Support provided.Joint Provider Statement: This activity does not have ajoint provider.

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BREASTFEED1NG AND FOODSENSITIVITIES IN BABY

DiFFERENCE BETWEEN FOOD SENSITIVITY AND FOODAUERGY

7 MOST COMMON FOOD INTOLERANCES

SIGNS AND SYMPTOMS

DiAGNOSES

TREATMENT

SOCtO - ECONOMIC

HEtPFUL HINTS / RESOURCES FOR AM ELIMINATION DIET

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Breastfeeding and Food Sensitivities in BabyAugust 29, 2019

DEFINITIONS:

A FOOD INTOLERANCE / SENSITIVITY

A FOOD ALLERGY

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RESEARCH SHOWS THAT AMOTHER'S MILK IS ONLY

SLIGHTLY AFFECTED BY THE

FOODS SHE EATS.

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CAN ATO

BABY BEBREAST

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ALLERGICMILK?

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<^1SEVEN MOST COMMON FOOD

ALLERGIES AND SENSITIVITIES

MILK

SOY i /EGGS }://' .:

WHEAT \^^ ^CORN

BEEF

NUTS/PEANUTS

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MILK SOY PROTEIN INTOLERANCE

^1MILK SOY PROTEIN INTOLERANCE

(MSPI)

A TEMPORARY INTOLERANCE TO THE PROTEINS IN MILK

AND SOY.

BOTH BREAST-FED AND FORMULA-FEO BABIES

PRESENTS BETWEEN 2 WEEKS AND EIGHT WEEKS OF AGE.

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MSPI:

WHY THE M!DWEST?

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DIAGNOSING

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MSPI

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^MSPI SYMPTOMS:

FUSSINESS (BEFORE, DURING, AND AFTER A FEEDING)

STOOLS MAY BE INFREQUENT, WATEiiY, MUCOUSY, OR BLOODY

REFLUX

SPITTING UP

NASAL CONGESTION

SKIN RASH, ECZEMA

WEIGHT LOSS

REPEATED VOMITING ^^IBID^K L/

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Greenish mucousy stool

Blood in Stool ^ J

^1HOW LONG DO SYMPTOMS LAST?

• THE BABY'S SYMPTOMS SHOUID IMPROVE WITHIN AS LiniE

AS THREE TO SEVEN DAYS AFTER REMOVING THE FOOD

INTOLERANT.

• IT MAY TAKE UP TO TWO WEEKS FOR THE BABY'S STOMACH

/ INTESTINES TO HEAL FROM ANY IRRITATION CAUSED BY THE

INTOLERANCE.

COW'S MILK PROTEIN CAN STAY IN MOM'S BODY FOR 1 Vi

TO 2 WEEKS, AND THEN IT MAY BE ANOTHER 1 '/2 TO 2

WEEKS FOR THE PROTEIN TO GET OUT OF THE BABY'S

SYSTEM.

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MSP1 TREATMENT:> THERE IS NO MEDICATION TO TREAT MSPI.

> SOME DOCTORS WANT TO DO A FORMULA CHALIENGE

^TREATMENT IS TO ELIMINATE THE FOOD INTOIERANCE.

• BREASTfEEDIN6BABY;

EtlMIMATION DIET FOR MOM

• FORMULA FED BABY:

SWffCHING TO AN EXPENSIVE DAIRY AND SOY FREE FORMULA.

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MSPI TREATMENT LENGTH

USUALLY UP TO 6 TO 1 2 MONTHS OF AGE OR

WHEN BABY IS ABLE TO TOLERATE THE DAIRY

OR SOY.

THE HEALTHCARE PROVIDER WILL

RECOMMEND A CHALLENGE OF SOY OR DAIRYFOR THE &ABY.

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'.^ RASH AFTER A MILKCHALLENGE.

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SOCIO - ECONOMIC FACTORS:

• COST OF EXPENSIVE FORMULA.

• COST OF FRESH FRUITS AND VEGETABLES, OR

NON PROCESSED FOODS.

• AVAILABILITY OF MILK AND SOY FREE FOODS.

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NEBRASKA ELEMENTAL FORMULA ^^ REIMBURSEMENT PROGRAM

http-//dhhs .ne .gov/Pages/Elemenlal-Fonnu I il-Rcimb ucseincnt-Progiam.as px

LB 254 Section3 -- DHHS to establish a program to provide amino acid-bascd

elemental formula for the diagnosis and treatment oflmmunoglobnlin Eandnon-

Ittimunoglobulin E mediated alluigics to multiple food protems.

ReimbluscmCTit for Ami no Acid-based formula

• Fiist come, first scrvied basis until funds are exhausted each jiKir.

- Application includes:• Form filled out by physician.• Completed application fomi

Insurance denial letter

If approi'ed, complete Reimbutscment Claim Fonns and attach i-our paid rcccipts.L/

Email questions to: [email protected] ^,

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MSPI ELIMINATION DIET:

SIMPLY ELIMINATE DAIRY AND SOY FROM YOUR DIET

• NO MILK

• NO ICE CREAM

• NO CHEESE

• NO SOY MIIK

• NO SOY SAUCE

EASY RIGHT????

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HELPFUL HINTS:;

ASK FOR HELP!

A FOOD ELIMINATION DIET CAN BEOVERWHELMING.

• FAMILY ANO FRIENDS CAN HELP WITH HOUSEHOLD CHORES AND

COOKING (AS LONG AS !T IS M5PI FRIENDLY).

* FEELING OVERWHELMED, ANXfOUS, OR STRUGGLiNG

EMOTIONALLY,

• SUPPORT GROUP.

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VISIT WITH A D1ETICIANDIRECT YOU TO CERTAIN FOOD ITEMS ANO BRANDS THAT ARE MILK

AND SOY FREE,

H£U> FIND HiODEN SOURCES Of OAIBY AND SOY [N FOOD5

/MKE SUBE YOU ARE GETTING 7H6 NUTRIEhFIS 1HAT IS HEEDED WHHEMEASTFEEDING

SUGGEST NON.OAIIiY FOOD SOURCES OF UiLCIUW.

TAKE A FAMHY MEMBER OR f BEND 50 THEY CAN COOK TOO!

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KEEP A FOOD LOG!

• EVERYTHING YOU EAT AND DRINK ALONG WITH

FUSSINESS AND SYMPTOMS THE BA8Y HAS,

• IT MAY TAKE A FEW DAYS TO SEE A SYMPTOM

• LOOK BACK FOR ANY NEW ITEM YOU ATE OR D8ANK TOLOCATE THE CAUSE OF THE SYMPTO/AS.


READ ALL LABELS

FOOD LABELS ARE REQUIRED TO STATE IF THEPRODUCT CONTAINS ONE OF THE EIGHTMAJOR FOOD ALLERGENS

PRODUCTS MAY CHANGE WITHOUTNOTICE.

SNEAKY INGREDIENT NAMES

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^iNSflEoiEfns- SUOAH; <EGET*BLE on. (COKW eunEn, PALM,;HONMTMU(;CORN

s»nu'p suuos; tfiniCHEtt WHEAT fLflUn (n.oun. MUON,Finnous suiFXre, ffluww MONONIIHAIE, WBOFiAvin, ANBrouc ACID); uut MT; fiwwa HTDROCEHA1ED VEBETABIE 1X1

IS »OR LESS Of;COCOA PBOCESSED WITHAUtAH WHO (WUi); CHOCOUTE; SfffUtlTHlN; HBH FRUCIOSE CTftH SKRUP; SOOWH BIURBOWnE;SALT; WWW. *HD MtTlflCUU. FUTOB; TODttPtlEflOLS^ WMAINTAIft FflESHNESS; PGm, EJHUSIflEfl; UUUUJEL UN.OR.® 0JUlEBGr IHFOnWVIICN: fUNUFAC'nifiEB OH IME SAMEEOUFUENITHAr PHOUSSES ALMONDS,

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^USE THE SHOPWELL APP.^

• SHOWS A PERSONALIZED FOOD

SCORE BASED ON YOUR NEEDS.

• IT'S FREE.

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• PUT IN THE FOODS YOU CAN'T EAT. [DAIRY, SOY)

• SCAN THE BARCODE OF THE ITEM.

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• RESULTS ARE COLOR CODED, SHOWS GREEN FOR GOOD,

RED TO AVOID,

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<^WHEN EATING OUT;

• PLAN AHEAD

• CHECK THE RESTAURANT'S ALLERGY MENUS ON THEIR

WE8SITE

• CALL THE MANAGER / CHEF TO INQUIRE HOW DISHESARE PREPARED.

• ASK TO SEE THE INGREDIENTS ON THE PACKAGING.

• WHEN ORDERING, BE SPECIFIC ON WHAT YOU WANT

AND HOW YOU WANT YOUR ITEMS COOKED.

• TALK TO THE WAIT-STAFF AND THE CHEF ABOUT MSPI"

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Breastfeeding and Food Sensitivities in BabyAugust 29, 2019 10

^WHAT CAN I EAT?

LOTS OF THINGS

fRESH FRUITS AND VEGGIES

RECIPES MADE FROM SCRATCH BY USING MILK AND SOY FREE PRODUCTS

SPICES - GARIIC, ONION POWDER, SALT, PEPPER (READ THE LABEL)

All MEATS (NOT PROCESSED)

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Select-

> Healtli and Wellness> Breastfecding?• Resources:

> Breast Milk Sensitivity

> To Learn more aboutBreast feeding

> Select Breast MilkSensitivity and MSPIbox

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"HELPFUL RESOURCES:>-/

MSPI Mama

Pintcrcst:

Hy-Vfs; Websites: lists ofalleigen recipes

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Yuuunly.com: recipe wcbsitc that)'ou can select i'ouraltcigics forrccipes for milt;

and soy free recipes.

Bob s Red Mill -select recipe tab and dietaiy nwds tab for different catagoriss

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HELPFUL RESOURCES:

Shop™ll App - scan or search for an item and tlic app tells you

or sensitivities )liu listed vAiea setting up the app.

MilkwoAs.oig

Lincoln Pediatric Group:.!lll. ;:.HL..!ll; ;J .•,,.H|.L,.,H 1,.I I II II' I I. 1.1,...1.1..- Ir

Complelc Children's Health:;|1L. ,'."-. 1'., .,l|.l.l.-tl;ll.ll,n ll,.ll,li," . • MM'1

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if it has any of the allcigcns

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HELPFUL RESOURCES:

Kellimom.com

Foodallcigyorg

American Academy afAllcigy Aslhma & Inuinmology

GastroKids: Children's digcstivi; licalth information for kids and parents

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HOW EASY IS IT?

QUESTIONS

•COMMENTS

•THOUGHTS

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