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Related Experiment Videos

Breast feeding in IMD.

A MacDonald1, E Depondt, S Evans

  • 1Birmingham Children's Hospital, Birmingham, UK. anita.macdonald@bch.nhs.uk

Journal of Inherited Metabolic Disease
|June 10, 2006
PubMed
Summary
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Breastfeeding can be successful for infants with certain inherited metabolic disorders (IMDs), like MSUD and tyrosinaemia type I, when combined with specialized formulas. However, success varies, and more research is needed for feeding guidelines.

Area of Science:

  • Metabolic Disorders
  • Pediatric Nutrition
  • Clinical Dietetics

Background:

  • Breastfeeding offers known advantages for infants, including those with inherited metabolic disorders (IMDs).
  • Limited data exists on breastfeeding experiences for IMDs beyond phenylketonuria.
  • Established dietary management for IMDs involves specialized infant formulas.

Purpose of the Study:

  • To investigate the feasibility and outcomes of breastfeeding in infants diagnosed with various inherited metabolic disorders.
  • To gather data on current breastfeeding practices and challenges in IMD management.
  • To identify specific IMDs where breastfeeding is successfully implemented.

Main Methods:

  • A global survey was distributed to dietitians and clinicians at 27 Inherited Metabolic Disorders (IMD) centers across 15 countries.

Related Experiment Videos

  • The questionnaire collected data on breastfeeding experiences for over 8000 IMD patients managed with diet.
  • Data focused on successful breastfeeding, feeding protocols, and duration.
  • Main Results:

    • Successful demand breastfeeding, supplemented with precursor-free infant amino acid formula, was reported in infants with Maple Syrup Urine Disease (MSUD), tyrosinaemia type I, and homocystinuria.
    • 89% of these infants remained breastfed at 16 weeks.
    • Fewer infants with organic acidaemias (propionic, methylmalonic, isovaleric) and urea cycle disorders (CPS deficiency) were successfully demand breastfed, often requiring complementary protein-free or precursor-free formulas.

    Conclusions:

    • Demand breastfeeding, alongside specific formulas, is achievable for some infants with IMDs like MSUD and tyrosinaemia type I.
    • Breastfeeding success is less consistent in infants with organic acidaemias and urea cycle disorders.
    • Further research is essential to develop comprehensive feeding guidelines and monitoring protocols for breastfed infants with IMDs.