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Family Medicine vitamin D survey: 400 IU for infants, but many prefer supplementing mom – April 2014

Vitamin D and the breastfed infant: family physicians’ recommendations (118.5)

The FASEB Journal, vol. 28 no. 1 Supplement 118.5
Elizabeth Cozine 1, Puja Umaretiya 2, Tom Thacher 1, Julie Maxson 1 and Sara Oberhelman 1
1Family Medicine Mayo Clinic Rochester MN United States
2Mayo Medical School Mayo Clinic Rochester MN United States

The American Academy of Pediatrics (AAP) recommends that all breastfed infants be supplemented with 400 IU of vitamin D daily, beginning soon after birth. We surveyed all Family Medicine providers at a single, academic medical institution regarding their perceptions and practices of infant vitamin D supplementation.
Of 99 surveys solicited, 56 (57%) responded.
Respondents were aware of the AAP recommendation with 52 (93%) correctly identifying the AAP’s recommended dose.
The self-reported median (interquartile range) proportion of visits in which the provider recommended supplementation to exclusively or partially breastfed infants were 80% (50 - 97%) and 50% (25 - 80%), respectively. The most common reason (82%) for recommending supplementation was “to follow the AAP recommendations.” Thirty (54%) reported recommending vitamin D supplementation within the first two weeks of life. Of all respondents, 49 (88%) recommend infant vitamin D drops as the route of supplementation. Finally, 49 (88%) respondents would prefer to supplement the mother instead of the infant or offer the parents a choice if this were an adequate and safe option for vitamin D supplementation, and 17 (30%) would prefer monthly to daily supplementation.
In conclusion, Family Medicine providers are aware of current AAP recommendations, but vary in their practices; they are open to maternal vitamin D supplementation as an alternative option.

See also VitaminDWiki