Vitamin B12 deficiency associated with low breast-milk vitamin B12 concentration in an infant following maternal gastric bypass surgery

Article Abstract:

Gastric bypass surgery in the mother may put her breastfed infant at risk for vitamin B12 deficiency. Vitamin B12 deficiency manifests as megaloblastic anemia and neurologic deterioration. Vitamin B12 is obtainable only by eating animal or microbial products. About one-third to one-half of patients who have gastric bypass ssurgery will develop vitamin B12 deficiency. A 12-month-old girl was referred for developmental delay. Her mother had exclusively breastfed her for 10 months. The mother sometimes supplemented her diet with iron and vitamins, but rarely consumed animal products. The child was eating fruits, vegetables, and grains. The child's blood levels of B12 were markedly below normal range. The mother's blood levels of B12 were at the low end of the normal range, but her breast milk levels were markedly below normal. The infant was given supplemental B12 and by 24 months, her development had nearly caught up to her chronological age.

Causes of, Risk factors, Surgery, Nutrition disorders, Breast milk, Stomach, Vitamin B deficiency

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The shaken infant: a military connection?

Article Abstract:

More hospital admissions of children with shaken baby syndrome injuries tend to be military dependents. Shaken baby syndrome refers to the range of severe injuries sustained by violently shaking an infant. Head injuries, such as skull fractures and internal bleeding, often result in death or disability. Researchers observed a number of admissions from military families and examined the records of 22 cases admitted to the pediatric intensive care unit with shaken baby syndrome. There were 14 civilian and 8 military families. Among 10 girls and 12 boys, one third died, one third suffered disabilities, and one third apparently recovered without ill effects. The type of injury and outcome did not differ between military and civilian dependents. Shaken infants were more than three times as likely to be military dependents.

Injuries, Children, Abused children, Military personnel, Children of military personnel

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Racial disparities in outcomes of military and civilian births in California

Article Abstract:

Eliminating financial barriers to prenatal care appears to reduce the disparity in outcomes between blacks and whites. Care is free to military families. Therefore researchers used birth and death certificates to compare outcomes between military hospitals and civilian hospitals in California from 1981 to 1986. Black women were less likely to begin prenatal care in the first trimester than white women, but military women were more likely to initiate care than civilian women. Although more black infants were low birth weight or died before or shortly after birth, the birth weight disparity was reduced among military women.

Usage, Birth weight, Low, Low birth weight, Infant health services, Military dependents

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