OBJECTIVE To compare the effect of traditional and "baby-led" breastfeeding advice on early infant weight gain and exclusive breastfeeding rates. DESIGN Longitudinal cohort study: part prospective, part retrospective. SETTING One UK general practice. PARTICIPANTS 63 exclusively breastfed infants in two cohorts: 32 babies born before and 31 babies born after a change in breastfeeding advic...

OBJECTIVE To define the range of neonatal weight loss in a population relative to feeding method. DESIGN Prospective observational cohort study. SETTING Maternity service providing geographically defined, community based newborn follow up. PARTICIPANTS 971 consecutive term newborns of birth weight > or = 2500 g during the first 2-3 weeks of life; 34 excluded (inadequate data). 937 include...

Dilated cardiomyopathy, which mostly has an idiopathic etiology or is caused by genetic inheritance or infection, can cause irreversible congestive heart failure. Hypocalcemia is a rare etiology of reversible dilated cardiomyopathy. Here we report the case of a two-month-old girl with congestive heart failure who was diagnosed as having dilated cardiomyopathy secondary to hypocalcemia. After ca...

The pH of the stool and the amount of reducing substances present were observed in 51 normal neonates aged 5 to 8 days. A stool pH of 5 or less was found in 6, 4 of whom were exclusively breast fed. Reducing substances, 0-5% or more, were found in the stools of 16. Stool chromatography in 13 showed lactose, glucose, galactose, or a variable combination of these sugars--that is, a pattern consis...

A two-month old male infant initially presented with cutaneous candidiasis. He is the second child of nonconsanguineous healthy parents whose first born is a bright six year old school girl. This boy was born at term following an uncomplicated antenatal period with a birth weight of 2.9 kg. He was exclusively breast fed for six months. Initial tests for immunodeficiency including full blood cou...

UNLABELLED A case of neonatal rectal prolapse during Shigella diarrhea is described. A 10 days neonate exclusively breast fed, whose 2 years old brother has had the same process 2 weeks ago. Medical treatment with intravenous ceftriaxone resolved rectal prolapse in 48 hours. Stool cultures showed the presence of Shigella flexneri II resistant to amoxicillin; blood and cerebrospinal fluid, cultu...

A 2-month-old preterm boy who developed symptomatic zinc deficiency while being exclusively breast fed is described. Oral zinc supplements induced a complete remission but mucosal 65Zn uptake studies and metabolic balances conducted before and after withdrawal of the supplements excluded the diagnosis of acrodermatitis enteropathica. By age 12 months the boy was well and no longer required zinc...

Background: Allergic proctocolitis (APC) is caused by food proteins, often but not exclusively of cow milk, transferred through lactation. The objective is to assess if patch tests can detect subgroups of patients requiring an aminoacid-based formula (AAF) due to multiple food allergy. Cases presentation: We have prospectively enrolled 14 exclusively breast-fed infants with APC refractory to ma...

1Educational Development Centre, Meshed University of Medical Sciences, Meshad, Islamic Republic of Iran. 2Department of Social Medicine, Shaheed Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran. Received 29/11/01; accepted 21/07/02 ABSTRACT A cohort study was conducted in the Islamic Republic of Iran between January 1997 and February 1998 to compare the growth and morb...