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 Ask LC Doris Fok

Got a breastfeeding/ lactation question?
Email info@motherneeds.com with "Ask LC Doris" as your subject heading.
Please limit your queries/questions to a maximum of 150 words.

Doris will select 2 letters to be answered every month. Selected letters published here win a S$20 gift certificate for purchases at our MotherNeeds online store.

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Doris Fok is the first International Board Certified Lactation Consultant (IBCLC) in Asia and Singapore. After setting up the KKH Lactation Services, Doris started her independent practice in 1998. She has worked with WHO and UNICEF, and various hospitals and international communities in the area of breastfeeding training and research. With over 25 years of clinical experience, and more importantly as a mother of two breastfed children, it is Doris' wish to help mothers achieve their natural ability to breastfeed successfully. Read more about Doris' breastfeeding experience and consultancy experience.

 

 

 

Question 1:
Dear Doris,

I recently came across an article (it was a recommendation by the American Academy of Pediatrics ("AAP")) that indicates that breastfed babies should be supplemented with Vitamin D (as much as 400IU) because we lack it in our diet.
I would like to know how I should introduce that into my baby’s diet. Are there Vitamin D drops we can buy on the market for infants? Or should I be supplementing my diet to ensure both my baby and I are getting enough of it? Is there any side effect to supplementing my baby with it?
Thank you very much.

 

Catherina Low

 

(You may also like to read this related article: New Guidelines Double the Amount of Recommended Vitamin D
    
Answer 1:
Dear Catherina,

Thank you for your question.  It shows how much you wish the best for your baby.  The American Academy of Pediatrics meant for this to be applied in America, where the percentage of exposure to sunshine is more limited the further up north anyone gets.  In Singapore, we have plenty of sunshine which helps us with getting our Vitamin D.  An average exposure of sunshine helps us with getting a day's portion of sunshine.  So far us, we really blessed with this natural resource.  With this natural gift, it is not necessary for us to supplement unless the doctor observes any particular concern with your child's physical development and milestone. 
Wishing you all the best.

Regards,
Doris Fok
    
        

Question 2:
Dear Doris,

 I am breastfeeding my 3-1/2 month-old daughter. She goes to bed at about 10:30pm and sleeps through the night until 7am the next day. She has since gained about 900g every month and appears alert and active. I am advised by various people to wake her up for a feed in teh middle of the night. Aside form the discomfort of fullness in my breasts by morning, do you think it is necessary to wake her for a feed?

Thank you.

Regards,
Sharifah
    

Answer 2:
Dear Sharifah,

Congratulations  on breastfeeding your daughter and she seems to have been growing well.  Please follow her cues.  If you do fill uncomfortable as a result of her not feeding at night, just wake up in the morning and express all out or just feed her. 
She'll go through different phases of growth in her life. As long as she's thriving, don't worry too much about her night feeds. Just enjoy the rest while you can. It may not last forever as the baby may "disturb" your sleep at other times.
All the best!

Doris Fok
    
        

- We regret that only 2 letters will be answered by Doris every month.

Neither the information nor any opinion expressed constitutes a medical consultation or prescription or treatment of a medical or health condition. This column is prepared for general viewing and is published for general information only. It does not have regard to the specific medical or health condition, and the particular needs of any specific person who may receive this information. Persons needing medical attention should seek advice from his/her healthcare practitioner regarding the appropriateness of information discussed or recommended in this column. Should you have a pressing question or issue concerning your medical or health condition, please consult your healthcare practitioner.

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