Q&A WITH LUCINDA MILLER

The Baby Show 2019 | 18-20 October 2019 | Olympia | Q&A with Lucinder Miller
Lucinda Miller, a Naturopath and clinical lead of NatureDoc will be joining MyBaba Founder Leonora Bambford at The Baby Show Olympia on The First Three Months panel at the Live Talks. MyBaba caught up with Lucinda ahead of the show to share her top tips for the first moments with your baby. 
Should all babies be taking a probiotic from birth, and do you have any advice for C-section mums?
If a mum has had a fruit, salad and veg based diet and eaten lots of gut-friendly foods like yoghurt and kefir carrier this on through pregnancy - then the baby will probably not need a probiotic as they should have a pretty healthy microbiome. However, those babies who would benefit from probiotics all the way along are those whose parents suffer from an auto-immune condition; have a history of allergies, asthma and eczema; suffered from yeast infections or urinary tract infections during pregnancy; had a poor immune system whilst pregnant; have been on antibiotics during pregnancy or at the time of the birth; or has had a compromised diet due to sickness. It is also a good idea for premmie babies to take a probiotic once they are safely home and feeding has been well established.

I’m a breastfeeding mum - what should I do if I suspect my baby is intolerant to something in my milk? Is it always likely to be a dairy allergy?
The way the allergy specialists usually diagnose a cow’s milk allergy is by how loud and long the baby cries for rather than doing full-blown allergy tests. They usually default to assuming it is a cow’s milk allergy or intolerance as this is main food a baby is consuming whether it is via baby milk formula or via the mum’s diet through the breast milk. So, the advice is usually to swap to a hydrolysed milk protein powder such as Nutramigen or Neocate for the bottle-fed babies and for mum to cut out all dairy consumption if the baby is being breastfed. If this does not resolve things, then they look at other food allergens such as egg or gluten which may be in some baby formula and rich in most people’s diet.
 
If the skin is inflamed and itchy such as eczema or hives, a private paediatric allergy specialist will be able to arrange skin prick or blood tests. However, very few cases are positive as food allergies are complex and IgE, which is the type of reaction, is normally associated with allergy only accounts for a few of the cases.
 

What should I do if my baby gets a cold in the first three months?
There isn’t a huge amount you can do other than keeping the airways clear with little baby nasal sprays, special baby snuffle balms and a humidifier in the bedroom. Probiotics are one thing you can try and worth having some just in case even if they are not taking them regularly.
 

How do I keep my baby healthy if they’ve had to have antibiotics?
If you are breastfeeding, eat the healthiest diet you can full of a huge range of veggies, fruits, salads, pulses, nuts, seeds – aim to eat the rainbow of different natural foods every day. Add in live yoghurt and kefir too and take a probiotic as all the goodness does come through your breastmilk. Whether breast or bottle-fed I would also give the baby an infant probiotic such as Biogaia. Other specialist probiotics include specific breast and bottle-fed ones, by Proven probiotics. Always give probiotics for at least six weeks after the antibiotics course has finished.
 

What can mums be doing in terms of supplements and diets to help tackle the baby blues or even postnatal depression?
I would continue with your pregnancy multivitamin or pick up a really good breastfeeding formula like Wild Nutrition for the first three months - regardless of the type of birth you had or how you have chosen to feed your baby. These tend to contain zinc, folate and iron as well as other B vitamins which are important for maternal mental health and energy. I would also ensure you are taking a good quality omega 3 rich fish oil to help keep the baby blues at bay. Vitamin D is important too, especially at this time of year and the government advise we all take it from October to April anyway in the UK. Meat, poultry, eggs and dairy are the best sources of these vital nutrients and if you are veggie/vegan then eat masses of pulses, tofu, soya yoghurt, nuts and seeds.

What are your top three tips for new mums?
  • Make feeding yourself a top priority and say yes to anyone willing to cook you a meal or fill your freezer.
  • Continue with your pregnancy multivitamins, an omega 3 fish oil and vitamin D for at least three months following the birth.
  • Get some fresh air every day as soon as you are mobile enough as this will keep you and your baby in a healthier place mentally and physically.