The Sentinel

Exposing misconceptions about infant nutrition for new moms

by Tim Ditman
OSF Healthcare

Photo: Jonathan Borba/PEXELS

DANVILLE - Bringing a new baby home raises the focus on their and mom’s well-being. Toward the top of the list: what and how the child is being fed.

Whether you choose to breastfeed or use formula, misconceptions about infant nutrition are everywhere. Xandra Anderson, a certified lactation consultant at OSF HealthCare, cuts through the noise.

Do I need to change what I put in my body while breastfeeding? This covers a lot of ground, from a mom’s diet to whether she should abstain from alcohol, caffeine, tobacco and medication.

Breastfeeding moms generally don't need to change their diet. Drinking a caffeine-heavy drink before breastfeeding may keep your baby awake longer than normal. After drinking alcohol, wait a few hours to nurse.
Moms can also generally stay on medication while breastfeeding. Talk to your health care provider if you have questions or if you have a medical procedure.
If you smoke, do so after breastfeeding. Then wait a few hours to nurse again.
Have breast milk you can't use in feeding? Use it on baby acne or in their bathwater.

Do I need to change what I put in my body while breastfeeding? This covers a lot of ground, from a mom’s diet to whether she should abstain from alcohol, caffeine, tobacco and medication.

Diet:

Healthy eating is always good. But Anderson says new moms generally don’t have to change their diet for breastfeeding. If your diet is heavy on certain things (like garlic or dairy) and you notice your baby is extra fussy, you can try changing your meals. A provider may also want to test your baby for allergies.

Alcohol and caffeine:

Drink these in moderation and with precise timing, Anderson says.

“Babies are very sensitive to caffeine. If you have a cup of coffee and nurse right away, the baby is going to be awake for a lot longer than normal,” Anderson explained.

“That doesn’t mean you have to not drink coffee. Just maybe not add three shots of espresso to your morning coffee,” she adds with a smirk.

For alcohol, Anderson says the drink will filter out of your breastmilk like it filters out of your blood. So after having a couple of alcoholic drinks, wait two to three hours before breastfeeding or pumping.

“The breastmilk isn’t ruined. You just need to give it time,” Anderson says.

But here’s a lifehack if mom feels full of breast milk and wants to pump right after having a drink: Go ahead and pump, and use the milk on your baby’s acne or in their bathwater. Just keep it away from their mouth.

“It’s antimicrobial. It’s antibacterial. It’s moisturizing,” Anderson says, singing the praises of breast milk. “Our babies are in the most perfect environment in the womb. Once they’re born, their world is cold, dark and dry. They can get dry skin, acne or cradle cap [greasy or flaky spots on the scalp]. Breast milk is a great way to prevent or heal those things.”

Medication and other health care issues:

Anderson says most medication is safe to use while breastfeeding. In fact, it’s important to stay the course – for example, with mental health medication – so you can be the best mom possible. Talk with your health care provider if you have questions.

If you have a medical procedure, also get advice from a professional. For example, Anderson says if you get a hepatobiliary iminodiacetic acid (HIDA) scan for a gallbladder concern, you’ll be radioactive for around 24 hours. Don’t breastfeed during that time. Or if your breasts feel full and you have to pump, dump the milk down the drain.

Tobacco:

Anderson admits it’s tough to kick the habit. But she reminds moms: infants are very sensitive to nicotine. It can disrupt the child’s sleep and feeding and even interfere with organ development. Secondhand smoke can increase the risk of a respiratory infection and sudden infant death syndrome (SIDS).

If you’re smoking with a new baby at home, do so after breastfeeding, then wait two to three hours before nursing again. Wear one jacket while smoking so you don’t get an odor or residue on a lot of your clothes or the baby.

New Year - New Diet: Be wary of fad diets on social media

by Tim Ditman
OSF Healthcare

SAVOY - Among the New Year’s resolutions worldwide, many people have pledged to find and stick with a healthy diet. But there’s a lot more to it than just grabbing every “reduced fat” item off the grocery store shelf.

Karen Whitehorn, MD, an OSF HealthCare internal medicine physician, hears questions all the time about diets. Her first question back is usually: what do you want out of your diet? Do you want to be healthy? Lose weight? Manage a medical condition? Sort through the details, and you’ll find the best option.

Exploring the popular options

U.S. News and World Report each year consults a panel of medical and nutrition experts to rank the best diets. The Mediterranean diet topped the list. Dr. Whitehorn says this diet is based on the eating habits of people who live near the Mediterranean Sea. It’s a plant-based diet, incorporating fruits, vegetables, whole grains, brown rice and seafood.

An added benefit: recent research shows the Mediterranean diet could reduce dementia risk.

Dr. Karen Whitehorn
OSF HealthCare Internal Medicine

“The Mediterranean diet is actually pretty easy to follow. But you need to make sure you have the right food in your home,” Dr. Whitehorn says. “It might be a little more difficult during the winter to get fresh fruits and vegetables. If you can’t, frozen is OK. Canned is OK. But we recommend you rinse the canned food first to decease some of the salt.”

Number two on the U.S News list is a plan Dr. Whitehorn recommends often: dietary approaches to stop hypertension, or the DASH diet. It recommends foods that are low in sodium and high in magnesium and potassium.

Some people may incorporate fasting into their diet. Dr. Whitehorn says fasting, when done in consultation with a medical expert, can work. But she’s hesitant to recommend it broadly.

“Our bodies need nutrients every couple hours. So to not eat anything for 12 hours can cause other problems,” Dr. Whitehorn says. “If you’re diabetic and don’t eat for 12 hours, your blood sugar could drop too low. Then when you eat, it could go too high.”

Avoid misinformation and fads

Watch out for fad diets on social media, Dr. Whitehorn says. Remember the saying: if it’s too good to be true, it probably is.

“Fad diets are not consistent. They’re not healthy. They don’t provide you the nutrients you need. If it requires you to take a pill or drastically reduce your calories, it’s not really a healthy diet. It can only be followed in the short term.”

On the contrary, working out a diet plan with your health care provider has a better chance of achieving long term results.

“A healthy diet gives you the energy you need to do everyday activities,” Dr. Whitehorn says. “It has been shown to increase your life expectancy. And it helps prevent chronic medical problems like high blood pressure, diabetes, cancer and heart disease.”