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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Breastfeeding and Food Sensitivities in BabyAugust 29, 2019

<^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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Breastfeeding and Food Sensitivities in BabyAugust 29, 2019

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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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Breastfeeding and Food Sensitivities in BabyAugust 29, 2019

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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Breastfeeding and Food Sensitivities in BabyAugust 29, 2019

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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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Breastfeeding and Food Sensitivities in BabyAugust 29, 2019

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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: dhhs.elementatfontiu1a@Nebraska.gov ^,

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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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Breastfeeding and Food Sensitivities in BabyAugust 29, 2019

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.

Breastfeeding and Food Sensitivities in BabyAugust 29, 2019

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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Breastfeeding and Food Sensitivities in BabyAugust 29, 2019

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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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Ingredients

Directions

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Breastfeeding and Food Sensitivities in BabyAugust 29, 2019 11

-T'Kf-;.-, >i\-.(^r

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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Breastfeeding and Food Sensitivities in BabyAugust 29, 2019 13