{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:50:25Z","timestamp":1777852225478,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,4,23]],"date-time":"2019-04-23T00:00:00Z","timestamp":1555977600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>When an exclusively breastfed infant develops hematochezia, the pediatrician may recommend elimination of dairy and soy products from a mother\u2019s diet, but there is limited scientific evidence to indicate that altering the maternal diet will lead to resolution of the problem.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research aim:<\/jats:title>\n                    <jats:p>To estimate the likelihood that maternal dairy and soy avoidance will resolve rectal bleeding in an exclusively breastfed infant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This was a prospective, longitudinal, one-group pre\/post study involving mothers of exclusively breastfed infants at least 2 weeks but less than 6 months of age with a positive stool guaiac test in the absence of an intestinal lesion or other explanation for the blood. Participants agreed to follow a dairy and soy elimination\/rechallenge protocol, maintain a food diary, and have their infant re-tested at 3-week intervals to determine the outcome of the dietary changes. One participant was lost to follow-up, leaving a final sample size of\n                      <jats:italic>N<\/jats:italic>\n                      = 19.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>All infants continued to test positive for blood in the stool after their mothers eliminated foods containing dairy or soy. Therefore, 0% (0\/19) of infants responded to their mother\u2019s restricted diet, 95% confidence interval (one-sided [0%, 15%]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Given these results, we must call into question the rationale for advising breastfeeding mothers to eliminate dairy and soy from their diet in response to their infant\u2019s unexplained rectal bleeding.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0890334419838476","type":"journal-article","created":{"date-parts":[[2019,4,23]],"date-time":"2019-04-23T15:34:52Z","timestamp":1556033692000},"page":"168-172","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Maternal Dairy Consumption and Hematochezia in Exclusively Breastfed Infants"],"prefix":"10.1177","volume":"36","author":[{"given":"Farrah B.","family":"Lazare","sequence":"first","affiliation":[{"name":"Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, NYU Winthrop Hospital, Mineola, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1096-9125","authenticated-orcid":false,"given":"Donald A.","family":"Brand","sequence":"additional","affiliation":[{"name":"Office of Health Outcomes Research, NYU Winthrop Hospital, Mineola, NY, USA"},{"name":"Department of Preventive Medicine, Stony Brook University School of Medicine, Stony Brook, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa J.","family":"Fazzari","sequence":"additional","affiliation":[{"name":"Department of Population Health, Albert Einstein College of Medicine, Bronx, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asif","family":"Noor","sequence":"additional","affiliation":[{"name":"Division of Pediatric Infectious Disease, Department of Pediatrics, NYU Winthrop Hospital, Mineola, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fredric","family":"Daum","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, NYU Winthrop Hospital, Mineola, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,4,23]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1414850"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/0471445428"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1983.03330370053031"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1203\/00006450-200010000-00007"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/cea.12228"},{"key":"e_1_3_3_7_1","volume-title":"Walker\u2019s Pediatric Gastrointestinal Disease","author":"Kleinman R. E.","year":"2018","unstructured":"Kleinman R. E., Goulet O. J., Mieli-Vergani G., Sanderson I. R., Sherman P. M., Shneider B. L. (2018). Walker\u2019s Pediatric Gastrointestinal Disease (6th ed.). Raleigh, NC: People\u2019s Medical Publishing House.","edition":"6"},{"key":"e_1_3_3_8_1","first-page":"CD000133","article-title":"Maternal dietary antigen avoidance during pregnancy or lactation, or both, for preventing or treating atopic disease in the child","volume":"9","author":"Kramer M. S.","year":"2012","unstructured":"Kramer M. S., Kakuma R. (2012). Maternal dietary antigen avoidance during pregnancy or lactation, or both, for preventing or treating atopic disease in the child. 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