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Breastfeeding
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Problem 10
Breastfeeding
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14. Nutrition: Pregnancy Through Infancy / Breastfeeding / Problem 4
Problem 4
Why are iron requirements lower for breastfeeding mothers compared with pregnant women?
A
Breastfeeding mothers have increased iron absorption from the gut due to prolactin-mediated upregulation of enterocyte iron transporters, raising requirements to levels higher than during pregnancy.
B
Iron requirements decrease because breast milk is loaded with maternal ferritin and transferrin that fully compensate for maternal iron needs and allow menstrual cycles to continue with increased iron recycling.
C
Breast milk contains relatively little iron and lactational amenorrhea commonly suppresses menstrual blood loss, so maternal iron losses are reduced and dietary needs fall to about 9 mg/day.
D
Breastfeeding mothers lose significant iron through milk, so the RDA is increased rather than decreased; the decrease in recommended intake is primarily a historical artifact with no physiological basis.
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