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LETTERS.

OB GYN News

| February 15, 2001 | COPYRIGHT 2001 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

Let the Sun Shine on Babies?

My husband is the physician in the family, but I enjoy OB.GYN. NEWS as well. However, I found the article on rickets misleading ("Breast-Fed Infants Require Vitamin D Supplements," Dec. 15, 2000, p.5).

Dr. Susan S. Baker's broad and unconditional recommendation that all exclusively breast-fed infants should receive vitamin D supplementation to prevent rickets is ill supported.

According to the article, six infants in Georgia hospitalized for nutritional deficiencies "were consuming unfortified milk substitutes at the time of hospitalization." All of these children had been breast-fed for at least 7-19 months.

The 30 cases that were cited in North Carolina were all in African American children and 60% of them were diagnosed in the last 18 months. Are readers to assume there could be no other contributing factors and that dark skin pigmentation decreases the sun's affect, but only just recently?

I am delighted at the increase in the popularity of breast-feeding among new mothers and would hate to see a reversal of this trend because of misinformation and recommendations that the best sources of vitamin D for infants and toddlers are fortified foods or supplements instead of time spent out in the sun. Perhaps the article would have been better if it were entitled "Breast-Fed Infants Require Sun Exposure."

Sarah Powell

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