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SOAPY TASTE OF BREAST MILK: A CASE REPORT

Year 2020, Volume: 83 Issue: 1, 69 - 70, 13.01.2020
https://doi.org/10.26650/IUITFD.2018.0012

Abstract

It is known that refusing to breastfeed is a situation which can occur  for many reasons. Some studies have reported that the soapy taste of frozen milk causes refusal to breastfeed in infants. Higher levels of lipase in breast milk can cause a soapy taste after having been stored. This study focuses on a 4 months old boy who refused breast milk for a week. He was born with his twin at 31 weeks and his birthweight was 2130 grams. The weight of the baby, who was only fed with breast milk, was 6200 grams. There were no pathological findings during the physical examination and no changes in the environment or the daily routine of his family. His mother was nursing his twin sibling in the NICU and our patient was fed frozen-thawed milk. The mother noticed that her frozen-thawed milk had a soapy taste. The lipase activity in frozen breast milk was found to be 2345 U/l. The mother was advised to mix freshly expressed breast milk with the stored milk. It was discovered that the baby did not reject the breast milk. The soapy taste in breast milk should be considered when babies are intolerant to the frozen milk of mothers. More research is needed to determine the etiology of the soapy taste in breast milk which is especially associated with higher lipase activity. 

References

  • 1. Lawrence RA, Lawrence RM. (2016). Breastfeeding: A Guide for the Medical Profession (8th ed). Philadelphia, PA: Elsevier Mosby.
  • 2. Neville MC, Waxman LJ, Jensen D, Eckel RH. Lipoprotein lipase in human milk: compartmentalization and effect of fasting,insulin, and glucose. J Lipid Res 1991;32:251-7.
  • 3. Spitzer J, Klos K, Buettner A. Monitoring aroma changes during human milk storage at +4C by sensory and quantification experiments. Clin Nutr 2013;32:1036-42.
  • 4. Sandgruber S, Much D, Amann-Gassner U, et al. Sensory and molecular characterisation of the protective effect of storage at -80C on the odour profiles of human milk. Food Chem 2012;130:236-42.
  • 5. Lawrence R, Veazie P, Zhang V, Dozier A. Sour milk: Is lipase the culprit ? ABM Congress 2015, USA, abstract book page 2.
  • 6. Eglash A, Simon L. ABM Clinical Protocol #8:Human Milk Storage Information for Home Use for Full-Term Infants, Revised 2017. Breastfeed Med 2017;12:390-5.

ANNE SÜTÜNDE SABUNUMSU TAT: OLGU SUNUMU

Year 2020, Volume: 83 Issue: 1, 69 - 70, 13.01.2020
https://doi.org/10.26650/IUITFD.2018.0012

Abstract

Anne sütü reddinin birçok nedeni olduğu bilinmektedir. Dondurucuda saklanan anne sütlerinde ortaya çıkan sabunumsu tadın bebeklerde emzirmeyi redde neden olduğu ldirilmiştir. Anne sütündeki yüksek lipaz aktivitesinin bekletilmiş sütte bu duruma neden olabileceği ileri sürülmektedir. 4 aylık erkek bebeğin son bir haftadır anne sütünü reddettiği öğrenildi. İkiz eşi olarak 31 haftalık, 2130 gr doğan bebek yalnız anne sütü ile beslenmekte olup, fizik muayenede özellik saptanmadı. Annenin yenidoğan yoğun bakım ünitesinde yatan ikiz kardeşini emzirdiği, bu bebeğin ise dondurulmuş sütle beslendiği öğrenildi. Anne, dondurulmuş çözülmüş sütünün tadının sabunumsu olduğunu ifade etti. Dondurulmuş anne sütündeki lipaz düzeyi 2345 U / l olarak saptandı. Anneye dondurulmuş sütü ile sağılmış anne sütünü karıştırarak vermesi önerildi. Bu şekilde bebeğin anne sütünü reddetmediği öğrenildi. Dondurulmuş sütün reddi durumlarında anne süütünün tadının değişikliği akla gelmelidir. Yüksek lipaz aktivitesi ile ilişkili olduğu düşünülen bu durumun etiyolojisini belirlemek için daha fazla araştırmaya ihtiyaç vardır.

References

  • 1. Lawrence RA, Lawrence RM. (2016). Breastfeeding: A Guide for the Medical Profession (8th ed). Philadelphia, PA: Elsevier Mosby.
  • 2. Neville MC, Waxman LJ, Jensen D, Eckel RH. Lipoprotein lipase in human milk: compartmentalization and effect of fasting,insulin, and glucose. J Lipid Res 1991;32:251-7.
  • 3. Spitzer J, Klos K, Buettner A. Monitoring aroma changes during human milk storage at +4C by sensory and quantification experiments. Clin Nutr 2013;32:1036-42.
  • 4. Sandgruber S, Much D, Amann-Gassner U, et al. Sensory and molecular characterisation of the protective effect of storage at -80C on the odour profiles of human milk. Food Chem 2012;130:236-42.
  • 5. Lawrence R, Veazie P, Zhang V, Dozier A. Sour milk: Is lipase the culprit ? ABM Congress 2015, USA, abstract book page 2.
  • 6. Eglash A, Simon L. ABM Clinical Protocol #8:Human Milk Storage Information for Home Use for Full-Term Infants, Revised 2017. Breastfeed Med 2017;12:390-5.
There are 6 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Reports
Authors

Nalan Karabayır 0000-0002-8003-1952

Publication Date January 13, 2020
Submission Date September 1, 2018
Published in Issue Year 2020 Volume: 83 Issue: 1

Cite

APA Karabayır, N. (2020). SOAPY TASTE OF BREAST MILK: A CASE REPORT. Journal of Istanbul Faculty of Medicine, 83(1), 69-70. https://doi.org/10.26650/IUITFD.2018.0012
AMA Karabayır N. SOAPY TASTE OF BREAST MILK: A CASE REPORT. İst Tıp Fak Derg. January 2020;83(1):69-70. doi:10.26650/IUITFD.2018.0012
Chicago Karabayır, Nalan. “SOAPY TASTE OF BREAST MILK: A CASE REPORT”. Journal of Istanbul Faculty of Medicine 83, no. 1 (January 2020): 69-70. https://doi.org/10.26650/IUITFD.2018.0012.
EndNote Karabayır N (January 1, 2020) SOAPY TASTE OF BREAST MILK: A CASE REPORT. Journal of Istanbul Faculty of Medicine 83 1 69–70.
IEEE N. Karabayır, “SOAPY TASTE OF BREAST MILK: A CASE REPORT”, İst Tıp Fak Derg, vol. 83, no. 1, pp. 69–70, 2020, doi: 10.26650/IUITFD.2018.0012.
ISNAD Karabayır, Nalan. “SOAPY TASTE OF BREAST MILK: A CASE REPORT”. Journal of Istanbul Faculty of Medicine 83/1 (January 2020), 69-70. https://doi.org/10.26650/IUITFD.2018.0012.
JAMA Karabayır N. SOAPY TASTE OF BREAST MILK: A CASE REPORT. İst Tıp Fak Derg. 2020;83:69–70.
MLA Karabayır, Nalan. “SOAPY TASTE OF BREAST MILK: A CASE REPORT”. Journal of Istanbul Faculty of Medicine, vol. 83, no. 1, 2020, pp. 69-70, doi:10.26650/IUITFD.2018.0012.
Vancouver Karabayır N. SOAPY TASTE OF BREAST MILK: A CASE REPORT. İst Tıp Fak Derg. 2020;83(1):69-70.

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