A mother with complex feeding issues will be in Portland the next couple months, and it would be great if she could make some progress while there.You can answer me off-line if you have someone that you think really has "magic hands" and great understanding of feeding and gentle counseling skills.
Margaret Wills, IBCLC, Maryland, USA
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There are 8 messages totaling 311 lines in this issue. Topics of the day: 1. infant behavior in the first 24 hours 2. Differences between mothers from China and those from other countries 3. helpful prenatal education system 4. infant behaviors and Chinese mothers (2) 5. Infant feeding in 1st 24 hours 6. Domperidone and gassy baby 7. Femara (letrozole) Lactnet Archives are at: LACTNET Archives http://community.lsoft.com/archives/lactnet.html To Manage your Subscription, ie go nomail, index, etc, go to: http://community.lsoft.com/archives/lactnet.html Thanks! LACTNET Facilitators Kathleen B. Bruce RN, BSN, IBCLC Rachel Myr, midwife, IBCLC Kathy Koch PhD Linda Pohl Karleen Gribble PhD Norma Ritter, IBCLC Nina Berry PhD Questions to [log in to unmask] *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask]
lsoft.com COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome ---------------------------------------------------------------------- Date: Thu, 25 May 2017 06:48:25 -0400 From: Nikki Lee Subject: infant behavior in the first 24 hours Dear Lactnet Friends: Babies born in hospitals can't be considered to act normally. Like animals in zoos, they are not in their native habitat. Dr. Michel Odent had a study going in England, looking at 100 babies born at home. He never published it. One finding he did report at a conference was that one-third of babies born at home didn't loose any weight. It is not normal to give birth in a fishbowl, surrounded with people who are following rules and on guard for things going wrong, and acting to protect themselves from lawsuits, with a surgeon running t
heshow. Common and normal are not the same. warmly, -- Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC Reviews Editor,* Clinical Lactation* www.nikkileehealth.com https://www.facebook.com/nikkileehealth *Communications are confidential and meant only for whom they are addressed.* *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome ------------------------------ Date: Thu, 25 May 2017 06:56:00 -0400 From: Nikki Lee Subject: Differences between mothers from China and those from other countries Dear Lactnet Friends: In my city, the largest grou
p ofnon-native born mothers delivering at one large hospital, are Chinese. One-third of them will send their babies back to China. I don't know how those mothers feel about this practice. The attitude of "changing their mentality" implies that what Chinese mothers believe and do is wrong. Cultural humility is another approach. We can't use evidence to inform and expect change in a few days when cultural beliefs work well for them in their own country. How can a hospital nurse compete with her mother or mother-in-law? There is no easy answer to this situation. Our babies do best with a mammalian approach that calls for privacy in labor and birth, and continuous, uninterrupted and undisturbed close contact for a few days. Most cultures on earth, including ours, don't recognize or support this. It is amazing that there is as much breastfeeding in US hospitals as there is; a testimony to the power of change when polices and practices become more evidence-based. And we have to relax too.
For nearly 100 years, the medical and hospital systems have separated mothers and babies, and promoted bottle-feeding formula. That can't change for everyone in just a few years. warmly, -- Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC Reviews Editor,* Clinical Lactation* www.nikkileehealth.com https://www.facebook.com/nikkileehealth *Communications are confidential and meant only for whom they are addressed.* *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome ------------------------------ Date: Thu, 25 May 2017 06:57:53 -0400 From: Nikk
i Lee Subject: helpful prenatal education system Dear Lactnet Friends: This program is Baby-Friendly, and has both an app and color-coded handouts in English and Spanish. http://www.coffective.com warmly, -- Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC Reviews Editor,* Clinical Lactation* www.nikkileehealth.com https://www.facebook.com/nikkileehealth *Communications are confidential and meant only for whom they are addressed.* *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome ------------------------------ Date: Thu, 25 May 2017 08:34:1
3 -0400 From: DAVID GARRISON Subject: Re: infant behaviors and Chinese mothers Two comments: Ani - I have worked in a hospital setting for over 25 years and notice similar behaviors. Here is my take on what happens - baby is born typically with a medicated birth and often at least one intervention, e.g. internal monitoring. Baby is very alert, trying to take in all that is new. We strive to get baby skin-to-skin ASAP but I know there are nurses/doctors who are still having trouble going along with all procedures on the chest and delayed first weights. For discussion, let's say baby is skin-to-skin for the first hour and remains with mother until they are brought to the mother-baby unit. From then on, things get busy and in the first 24 hours the baby will be bathed, had a hearing test, have pictures, be examined by the pediatrician (examined twice if a med student is involved), had vitals taken several times, had visitors who all want to hold the baby, perhaps had glucose testing, et
c. A littleboy may also have been circumcised in that time. That's a lot of activity for a baby who came from a dark, warm, quiet, left alone environment. I notice that they withdraw and are hard to rouse. Like you, I encourage skin-to-skin throughout the stay. Because I know the baby will be much more active that night when all the activity slows down and its darker and calmer, I also give out the "Baby's Second Night" information and discuss how they can manage through the night when the baby will be happiest in arms and not in the bed. I focus on helping the parents look at this logically and objectively. I remind them that their baby is unique and may not follow the pattern outlined in a book for a generic baby. That their baby loves them and wants to recreate the womb by being close to their voices, heart beats and breathing sounds that are familiar to them and which cannot be found in the crib. There's lots written regarding skin-to-skin and the "magic hour" but little about th
is first 24-48 hours stage. Chinese mothers - Using my experience of over 25 years as an IBCLC in a hospital setting, I have learned to go with any non-US mother's cultural preferences/mindset so that we can have a good working relationship. I do inform them of the value of the first milk and encourage them to always offer breast first so baby can "practice" for when there is more milk. I will also say that, just like a grown-up learning a new skill, they may need to practice frequently, even if it is just a short time in between, and that this will help build more milk faster. I also compare what their baby is going through to what they may have experienced when they left their native country to come to the US. No matter how much a person may prepare, learning about the country and learning the language, there is still much that will surprise and confuse them. Their baby doesn't know the customs or the language and will adapt best if they are with their parents who can guide them an
d teach them both the cultural knowledge and what they will learn being in the US. Couples - and grandmothers -seem to accept the idea of "practicing" better than calling it feeding. Cindy Garrison BS IBCLC practicing in Pittsburgh, PA USA>*********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome ------------------------------ Date: Thu, 25 May 2017 09:45:20 -0400 From: Stephanie George Subject: Infant feeding in 1st 24 hours Sagoli: This is a topic at the birthing centre in which I work. It is hotly contested around here. I was born in 1971 - we were routinely n
ot given anything by mouth for 24 hours. It was standard at that time. Not that it was good science, mind :P I can't imagine the blood sugars!! Dr Bergman recently released a paper that said babies, when skin to skin for first 24 hours afterbirth may eat hourly and get very small amounts. I need to read the full paper (once I can find it again). I don't see this at all, and our moms/babies don't have any medications on board at all. The compromise the midwives and I are working on is: skin to skin after birth, until baby has good first feed. Since our midwives don't push for babies to remain skin to skin (I know, I know) for their 6 hour stay here, we agreed that after the first long sleep, hand expressing may be done and given to the baby, particularly since the babies are swaddled (I know, I know). In my prenatal breastfeeding classes, I talk about skin to skin being medicine for the baby, that there is no need to swaddle baby for days, that if there is an issue, hand express, but
to trust the process, trust the baby and make decisions for the best of baby, not grandparents. One baby listened very well in my class haha Mom told family that no one was to come in the room until after the birth and after baby has his first good feed. Baby finally got there 3 hours later hehehe My daughter took 4 hours to nurse. They were fine :) I am eagerly watching this thread :) Steph Oneida Nation, Canada *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome ------------------------------ Date: Thu, 25 May 2017 09:53:25 -0400 From: Patricia Young Subj
ect: Re: infant behaviors and Chinese mothers Gee Cindy that was pretty profound....article for JHL??? Pat in SNJ *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome ------------------------------ Date: Thu, 25 May 2017 14:54:39 -0400 From: Maureen Lopina Subject: Domperidone and gassy baby Anyone have experience with baby experiencing painful gas and stools when mom is on Domperidone? Mom can't think of anything else that has changed. Thanks Maureen Lopina, IBCLC Washington, DC *********************************************** Archives: http://community.lsof
t.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnetnomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome ------------------------------ Date: Thu, 25 May 2017 16:30:45 -0400 From: Kira Kim Subject: Femara (letrozole) Hi everyone, I'm having a hard time finding information on Femara (letrozole). Mother has PCOS and is being prescribed it to induce ovulation for IUI. She is nursing her 18 month old sporadically aND doesn't want to wean completely. Any help from the new Hale's or experience? Thanks Kira *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management
commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensivelist of rules and directions: get lactnet welcome ------------------------------ End of LACTNET Digest - 24 May 2017 to 25 May 2017 (#2017-142) **************************************************************
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