As the main principle in management of MPA is to avoid
allergens while maintaining a balanced, nutritious diet for infants and mothers, breastfeeding a baby with
Cow Milk Allergy generally can be continued although it is difficult.
It is a statement derived from a
clinical review on Milk
Protein Allergy in infants, recently published in the scientific journal Canadian Family Physician.
A breastfeeding mother must avoid milk allergens, sequentially eliminating all cow’s milk protein from her diet, then all bovine protein (milk and meat), and occasionally other protein sources such as soy. in the elimination diet, consultation with a dietitian is essential for the mother who continues breastfeeding; particular attention must be paid to adequate calcium intake.
For formula-fed infants,
amino acid–based formulas, created from constituent amino acids, have demonstrated
efficacy of approximately 99% among babies with Cow Milk Protein Allergy, compared to the efficacy of extensively hydrolyzed protein formulas of approximately 90%. So, Amino acid–based formulas can be considered as an immediate or secondary alternative to extensively hydrolyzed protein formulas.
Source: Canadian Family Physician