Two items to discuss this am. I'd like input on some ideas for working with a
local ped whose big focus is "selling" pumps from the office. I am meeting
with him to discuss why he needs a knowledgeable professional to see his moms
and advise what they need before it just becomes a big book keeping mess along
with a case of pumping instead of breastfeeding. (He was going to hire a "la
leeechy lady" to do this. ;-) His staff is NOT interested in this added
responsibility. I have had some excellent input from a good friend (Hi KSC!) who
worked for a Peds practice in GA for quite a while and did a great job for them.
I'd be interested in any other ideas or experiences that have helped or caused a
problem.
The Lactina/Classic discussion is helpful too, but Mary Jozwiak might have
been the person who posted about the cost and mother's perceptions.
OK, three items. The comment about pit and engorgement rang true as we see it
all the time. My thoughts are that it is also related to increased amounts of
IV fluid as I see this in C/S and Vag deliveries, especially epidurals or
inductions where mom gets mucho fluid. Jan Barger posted a while back with an
excellent description of how the fluid is trapped in cellular compartments (ok I
am simplifying but it's early in the morning here). Check the archives for
IVs, pitocin, epidurals or something like that. Unfortunately I also see that
first time moms have a difficult time with engorgement, sometimes they are the
ones who get this "mismanagment" and don't know about good latch, nursing
frequently and removal of fluid. They resist walking, they are in "Pain" and it
snowballs on day three, when they are going home. My fiasco of the week was this
scenario and she's having a hell of a time at home because her husband and
mother are telling her "to take care of herself" and they'll feed the baby. She
doesn't like pumping and doesn't do it often enough, was using heat for the
engorgement and baby couldn't latch to a softball! Resulting in sore and damaged
nipples. But she "really wants to breastfeed." Sigh....
Have a good day,
Mary Kay Smith, RN, IBCLC
Livonia MI - missing my Illinois friends

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html