SOAPY TASTE OF BREAST MILK: A CASE REPORT/ANNE SUTUNDE SABUNUMSU TAT: OLGU SUNUMU

• Published in: İstanbul Tıp Fakültesi dergisi = Journal of the Istanbul Faculty of Medicine Vol. 83; no. 1; p. 69
• Main Author: Karabayir, Nalan
• Format: Journal Article
• Language: English
• Published: AVES 01.03.2020
• Subjects: Breast feeding; Etiology (Medicine); Family; Infants; Lipase; Medical examination; Nursing
• ISSN: 1305-6433
• DOI: 10.26650/IUITFD.2018.0012

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. Keywords: Breastmilk, frozen milk, lipase, soapy taste Anne sütü reddinin birçok nedeni oldugu bilinmektedir. Dondurucuda saklanan anne sütlerinde ortaya çikan sabunumsu tadin bebeklerde emzirmeyi redde neden oldugu ldirilmistir. Anne sütündeki yüksek lipaz aktivitesinin bekletilmis sütte bu duruma neden olabilecegi ileri sürülmektedir. 4 aylik erkek bebegin son bir haftadir anne sütünü reddettigi ögrenildi. Ikiz esi olarak 31 haftalik, 2130 gr dogan bebek yalniz anne sütü ile beslenmekte olup, fizik muayenede özellik saptanmadi. Annenin yenidogan yogun bakim ünitesinde yatan ikiz kardesini emzirdigi, bu bebegin ise dondurulmus sütle beslendigi ögrenildi. Anne, dondurulmus çözülmüs sütünün tadinin sabunumsu oldugunu ifade etti. Dondurulmus anne sütündeki lipaz düzeyi 2345 U / l olarak saptandi. Anneye dondurulmus sütü ile sagilmis anne sütünü karistirarak vermesi önerildi. Bu sekilde bebegin anne sütünü reddetmedigi ögrenildi. Dondurulmus sütün reddi durumlarinda anne süütünün tadinin degisikligi akla gelmelidir. Yüksek lipaz aktivitesi ile iliskili oldugu düsünülen bu durumun etiyolojisini belirlemek için daha fazla arastirmaya ihtiyaç vardir. Anahtar Kelimeler: Anne sütü, dondorulmus süt, lipaz, sabunumsu tat