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From: Lactation Information and Discussion
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Subject: LACTNET Digest - 10 Aug 2000 (#2000-951)
There are 3 messages totalling 97 lines in this issue.
Topics of the day:
1. How many lactation consultants
2. length of time
3. Rickets and Breastfeeding
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Date: Thu, 10 Aug 2000 23:34:31 -0700
From: Patricia Ellis <[log in to unmask]>
Subject: How many lactation consultants
I have heard that there is a suggested number of LCs who should be =
working in a hospital setting based on number of births per year. If =
anyone knows this number and the source of the information, I would =
appreciate an answer. Thanks, Patricia Ellis, RN, MA, IBCLC, New =
Jersey. [log in to unmask]
------------------------------
Date: Thu, 10 Aug 2000 23:43:26 EDT
From: Jay Gordon <[log in to unmask]>
Subject: length of time
A baby who nurses "perfectly" and goes side to side all through the first 24
hrs of life is probably getting only a few teaspoons of colostrum.
Therefore, a baby nursing not-so-well is being shortchanged very little in
the way of food, fuel and fluid.
There is absolutely NO medical/physiologic problem when a carefully observed
baby does not nurse well in the first day of life, except . . . we have
to
help the mom with lots of encouragement and coaching so that things don't
slip during the second 24 hours.
BUT, even in those second 24 hours of life, the quantity of actual milk a
baby drinks is very small and weight loss continues unabated . . . as it
should. This state of "need" triggers increased desire to suckle and leads
to optimal breastfeeding.
One of the most damaging aspects of those little bottles of water (or, worse
still, ABM) is the satisfaction they can produce as they discourage a baby
from wanting to nurse stronger and stronger.
Nurses and doctors who do not know these basic principles are unpardonably
ignorant. Let's deal with them.
Jay Gordon, MD, FAAP, IBCLC (forever!)
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Date: Thu, 10 Aug 2000 21:44:02 -0600
From: Nicole Bernshaw <[log in to unmask]>
Subject: Rickets and Breastfeeding
Dear all,
Have you seen the hair-raising article which appeared for public consumption
on RICKETS ON THE RISE - Disease affecting kids who get only breast milk. To
make things worse, the original article was published in the Journal of
Pediatrics.
To see the item now, visit HealthScout at
http://www.healthscout.com/cgi-bin/WebObjects/Af?id=100607&ap=43.
It is said that bad publicity is better than no publicity at all. Sometimes,
I wonder. I could not resist sending my comments:
To the editor:
This article is full of holes, as is the research if it has
been quoted correctly (I
have not read the original source of information yet).
First, I have never seen a mother breastfeed a baby
exclusively for 12 months. In addition,
Black mothers breastfeed statistically in lower numbers and
for shorter periods than any other
groups. Has there been any investigation of the kind of
subculture these women belong to, if
indeed they have been breastfeeding exclusively for so
long?
Second, if all these infants were "suffering from failure
to thrive" this means that they did not
have enough milk to thrive. Therefore they were not fed
breastmilk, they LACKED
breastmilk. A baby who is breastfed does not fail to
thrive. If these mothers had been given
adequate followup on breastfeeding matters, their babies
would not have developed rickets.
Third, all the professionals mentioned in the article pay
only lip service to breastfeeding.
They know nothing about breastfeeding and they do not
really believe in its health
promoting properties. Otherwise they would not have
permitted their names to be published
in this slanted article and they would not have overlooked
the obvious, that is #2 above. I
wonder who financed the research and the publication of
this inordinately biased Journal of
Pediatrics article.
Fourth, I will bet anything that the victims were all
living in poverty and that poverty and
ignorance of breastfeeding matters were much more
responsible for rickets than skin color.
Any mention of their social status in the article?
If you pride yourself in the quality of your publication,
and if your goal is to inform, I
suggest that you consult with experts before writing about
breastfeeding. Your inability to
read critically and the publication of this slanted article
will cause a lot of damage to your
readership.
Disappointedly yours,
Nicole Bernshaw, IBCLC (International Board Certified
Lactation Consultant )
------------------------------
End of LACTNET Digest - 10 Aug 2000 (#2000-951)
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