I've often wondered about that too. New moms in the hospital don't have
access to boiling their equipment. I think plain ole washing with hot soapy
water once a day and rinsing after every use is adequate when both mom and
baby are home, unless there is a medical fragile baby involved.
Jacie in Albuquerque, New Mexico, with lots of rain and wet snow. But
next week it may be hot again! For those of you coming to the conference,
bring a coat for outside for just in case, don't bother with boots, and
bring a sweater for the meeting rooms.
=========================================================================
Date: Thu, 18 Mar 1999 09:28:50 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: S&J Sheperd <[log in to unmask]>
Subject: milk tastes yucky - reply
Mary Black wrote:
What I found nursing my second was that the breast that was nursed less, the
milk started to taste different - more salty. I think that the composition
does change and without a good throughput then there may indeed be a
difference in taste, and this might be what your son is picking up.
If he does feed less on that side Have you tried expressing on that side for
a while to see if you can change things?
*******
I think that is it! He hasn't complained at all today, after the non-picky
one nursed it alot yesterday. I have always nursed more on the other side
as well ever since I nursed so much in the sling (I prefer wearing it on one
side). Thanks for the reassurrance!
Janette
=========================================================================
Date: Thu, 18 Mar 1999 09:28:47 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Johnson, Martha (PHMG)" <[log in to unmask]>
Subject: Re: allergy to human milk
Comments: To: Alicia Dermer <[log in to unmask]>
Comments: cc: "[log in to unmask]" <[log in to unmask]>
MIME-Version: 1.0
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Dear Alicia and Lactnetters,
I have had a couple of clients with simillar case histories to the one you
are describing. In the first case, the baby nursed well, stooled
prodigiously, gained well for about two weeks, then went into failure to
thrive, and gradually developed bloody stools by about 6 weeks of age. Ped
put the baby into the hospital, and the poor mom was so freaked out that
altho she understood the idea of an elimination diet, she followed the ped.
gastroenterologist's recommendation and weaned her son to Nutramigen.
The second case I've had was a baby who had exzema and wheezing from very
early on, though he thrived well on exclusive bfdg. At around 5-6 months of
age, his mom ate a whole bowl of peanuts (while travelling and unable to
access other foods), the baby went into anaphylactic shock, was rushed to
the nearest ER, and succesfully resuscitated. Mom cont to nurse him until
over the age of 2, she had to give up a huge number of foods, and not eat in
restaurants at all.
This baby's allergist was skeptical that the baby could possibly be so
reactive to something in her milk, but tested the baby in his office, and is
now a believer. The mom says that one of her biggest frustrations has been
that there is NOTHING in the literature about these types of cases, and to
that end, she really wd like me to write this case up and get it published.
Care to collaborate?
I think your idea of using the frozen milk from the time mom was on an
elimination diet is a good one.
Good luck, and let us know how it goes. Perhaps (with advance permission
of course) we can get these mothers in touch with each other: mom to mom
support is so valuable, esp in unusual situations like this.
Martha Johnson RN IBCLC
Eugene, Oregon
> ----------
> From: Alicia Dermer[SMTP:[log in to unmask]]
> Sent: Wednesday, March 17, 1999 6:57 PM
> Subject: allergy to human milk
>
> Hi, everyone: I'm coming out of lurkdom to ask a few questions about a
> severely allergic baby whose gastroenterologist is now suggesting that the
> baby is allergic to her mother's milk and recommending Neocate [Before
> everybody jumps all over this guy, he has been *extremely* supportive of
> continued breastfeeding up until now]. To make a long story short, this
> baby (her mother has a history of severe cow's milk allergy) had been
> doing well until her older sister brought home a stomach virus about 6
> weeks ago. The baby developed severe chronic unremitting diarrhea with
> blood, which eventually responded to a severe restriction of
> the mother's diet (down to lamb, apple sauce and rice) for three weeks.
> At the doctor's recommendation, the mother started reintroducing foods,
> baby did fine when wheat was added, but relapsed when a few other foods
> were added. Baby has slowed down on her growth but staying in the
> 10-25%'ile. She is developmentally on target, and otherwise looking
> great.
>
> The mother had been losing so much weight on the severely restricted diet,
> that she couldn't go back to just lamb apple sauce and rice, so she had
> been sort of compromising. In the past week or so, the baby has
> had episodes of green stools with blood-tinged mucus and marked fussiness,
> which don't seem related to anything in particular in mother's diet. Baby
> has other signs of allergies including nasal congestion, and such extreme
> milk sensitivity that she developed an immediate rash on her cheek after
> her father (who had just eaten cereal with milk), had kissed her cheek.
>
> Other causes have been ruled out, including foremilk/hindmilk imbalance,
> baby is scheduled for a colonoscopy on Friday. Mother is extremely
> reluctant to wean her baby to Neocate. She did a Medline search about
> allergy to human milk and found only one reference, from the 1960's, I
> believe. Her questions to Lactnetters are as follows:
>
> 1. Is the incidence of actual allergy to human milk known or documented
> at all? If anyone knows whether or not this even exists as a condition,
> please come forward with the scientific references. [I personally believe
> that this couldn't be the case with this baby *even if* there was such a
> thing as allergy to human milk, because the baby had normal stools when
> mother was on just lamb and rice -- still, I promised her I would ask].
>
> 2. Are there any studies regarding long-term developmental and other
> effects of using Neocate? How long has Neocate been around, anyway?
>
> 3. Have any of you worked with moms who continued to breastfeed in this
> kind of situation? If so, what was the eventual outcome if a mother
> continued to breastfeed while baby was having bouts of bloody diarrhea?
>
> The mother has a huge supply of frozen milk from the days of the severely
> restricted diet. I had suggested that she start using that instead of
> Neocate, pump her breasts now and store the current milk for possible
> later use (once the baby is not as highly sensitive?). What do you folks
> think? Any other suggestions? TIA, Alicia Dermer, MD, IBCLC.
>
=========================================================================
Date: Thu, 18 Mar 1999 12:51:54 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: .....a baby step
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I got a call from a childbirth client. She has had two children and bottlefed
them both in spite of attending my childbirth classes and being exposed to my
BF enthusiasm.
Today this woman called inquiring about BF class! Seem her DOCTOR suggested
that she consider BF because of the decreased breast cancer risk. The woman
also has a friend who is battling breast cancer and is very open to the
suggestion.
Docs need to know how much their opinion matters when women decide how to feed
their babies and I wrote a lovely (if I do say so myself) note thanking him
for his support of BF.
.............one small step at a time..............
tina
=========================================================================
Date: Thu, 18 Mar 1999 10:58:46 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Linda Pohl <[log in to unmask]>
Subject: Re: SILICONE IMPLANTS
Comments: cc: [log in to unmask]
In-Reply-To: <[log in to unmask]>
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Dawn,
Recent study (do not have the reference in hand) found slightly more
silicone in the blood of babies nursed by mothers with implants than babies
whose mothers did not have implants. Study said difference in breastfed
babies clinically insignificant. Same study found many times more silicone
in the blood of babies given formula! Again, the best formula is more
dangerous the worst breast milk!
As for the Texas LC, makes you wonder a bit doesn't it?
Linda Pohl, IBCLC
Phoenix AZ
=========================================================================
Date: Thu, 18 Mar 1999 20:12:04 +0200
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Esther <[log in to unmask]>
Subject: feeding cues
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I am coming out of lurkdom because the discussion of cues and demand
made me want to share something with you.
I think the best way to help moms to understand the baby's feeding cues
is to let the baby show her.
For those of you who haven't heard me kvetch lately, I am the only LC (
part time) in a hospital that has 900 births a month. The only way I
have figured out to reach as many moms as possible ( there is fictional
Rooming In....maybe 6 rooms if at all), is to do a group session with
about 25-30 moms who come with their babies to the wonderful
breastfeeding room which the hospital built for me. It reminds me of
the old days when my living room was the venue for LLL meetings!
First I help the moms get all the babies who are awake latched on and
then do a 45 minute discussion giving all the important points of
breastfeeding. (BTW, if anyone has a better suggestion how to work in
such conditions, I would be happy to learn.)
I use babies to demonstrate everything! Luckily here in Israel I don't
need a signed permission form to handle someone's baby. I always have
a baby in my arms during the session, the best part of my job!!! And
everyone wants her baby to be the demo baby. I ask the moms to tell me
how they know the baby is hungry and the most common reply is " when
they cry, " to which I answer that there are other signs before that
and I ask the baby in my arms to show us. These moms are Hebrew
speaking, and the lecture is in Hebrew, but I can only speak to babies
in English so I say to the baby " ok, please smack your lips, or please
put your fist in your mouth, etc..." and of course they do it exactly
when I ask, which just further shows the mom that breastfed babies are
so smart!!
Like one mom said: " Babies speak sign language and we have to learn to
identify the signs! And crying means that we have missed them." I asked
everyone to try to think of the signs that older kids or husbands give
when they are hungry, before they say something.....that started a great
discussion. I got in trouble for the babies being returned to the
nursery late. They were all so happy in their mothers' arms. Oh well,
maybe one day I will fix that also. I keep telling the nursery nurses
that one day the space which is now the nursery will be a nice lounge
for the staff, because all the babies will be with their mothers. You
can't imagine the looks I get!
Anyway, I think you all are great and can't wait to meet everyone at the
conference in Arizona. Can we have a live Lactnet session one day? I
would love to put names to faces.
Happy Easter and Pesach to everyone from very warm and summery Tel Aviv.
Esther Grunis, IBCLC
Lis Maternity Hospital
Tel Aviv, Israel
mailto:[log in to unmask]
=========================================================================
Date: Thu, 18 Mar 1999 13:40:31 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: jk <[log in to unmask]>
Subject: Stupid reason file
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Is this one on the stupid reasons not to bf list yet, Dr. Jack?
Just this am, one of the bf mentor moms who works for me reported the
following:
A new mom called her, concerned about nursing. She had a fever and had
first talked to her OB about whether or not she could nurse. He told her
that HER MILK WOULD BE HOT AND WOULD SCALD THE BABY'S MOUTH! He told her to
express her milk into a cup and cool it down, and then give it to her baby!
AAAARRRRGGGHH!!!!
(And people question how my job could possibly be frustrating!)
Jennifer Kneuss, IBCLC
Isaiah 66:12b
=========================================================================
Date: Thu, 18 Mar 1999 13:53:31 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: newman <[log in to unmask]>
Subject: silicone implants
Comments: To: [log in to unmask]
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
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No need to test the milk. No need to worry about silicone in the milk.
Silicone is inert and does not get absorbed from the gi tract. Colic
medicine is often silicone.
Dr. Chet Berlin had an article in Pediatrics a few years ago on the benign
nature of silicone. I have it somewhere in my piles of paper, but can't
find it. It shouldn't be difficult to find with the above info.
The LC was way off base, if that is what she told the mother. We offer
advice, not commandments.
Jack Newman, MD, FRCPC
=========================================================================
Date: Thu, 18 Mar 1999 12:06:00 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jerry & Jacie Coryell <[log in to unmask]>
Subject: Rey yeast again
MIME-version: 1.0
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charset="iso-8859-1"
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Good news, the mom who was denied the Diflucan by the Indian Health Services
Hospital was able to get a
Rx from her midwife at the Univ hospital where she delivered (the Indian
hospital doesn't do deliveries) and Medicaid paid for the full 30 days of
meds. Yah!!!
But now we have a question, the pain is in one breast. It starts from
5-10 after the feeding and increases in intensity for 45-90 minutes. Mom is
on a maintenance dosage of ibuprofen and uses ice packs to lessen the pain.
She did try heat and that doesn't help. Our question is: how long after
starting the Rx before we can expect her pain to lessen? Go completely
away?
Jacie in Albuquerque, New Mexico, where I may have to break down and
turn the heat on, but no, I've got a delivery to make, so I'll be out of
here soon.
=========================================================================
Date: Thu, 18 Mar 1999 13:15:16 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jeanne Mitchell <[log in to unmask]>
Subject: Sharp Criticism of Lactnet?
MIME-Version: 1.0
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Kathleen Bruce wrote:
> In recent times, I have heard some very sharp criticism of Lactnet.
>
Oh, Kathleen! There are over 2,300 people who would answer any
criticism you have heard. I am on other lists off and and on. This is
the only one I will consistently read. This list has done more to
further the knowledge base of lactation worldwide than all the journals,
workshops, conferences and courses available. We share information with
a speed that is dizzying. We provide references, we are careful with
our tone, we enrich each other.
I am always grateful for the List-mothers' foresight and forebearance.
Thank you.
--
Jeanne Mitchell, Austin, TX
http://www.flash.net/~xanth/home.htm
mailto:[log in to unmask]
"You can tell the quality of a person by how
they treat people they don't need." My Dad
=========================================================================
Date: Thu, 18 Mar 1999 14:20:17 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Fritz & Sara Reuning <[log in to unmask]>
Subject: long-term breastfeeding
Comments: cc: [log in to unmask]
Mime-Version: 1.0
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A 31 yo woman with 2 children (4.5 yo & 2 yo), has been nursing for 4.5
yrs. She nursed through her second pregnancy & tandem nursed consistently
for 10 months after the birth of baby #2, stopped tandem nursing for 8
months, and now tandem nurses 1-2x/week on a prn basis--mom decides on the
times of need.
The younger son shows no signs of weaning, and the couple would like to
have a third child. Mom feels that it would be physiologically better for
her body if she waits for her second child to wean before becoming pregnant
again. A complication is that mom has osteoarthritis, and her second
pregancy was accompanied by a lot of hip pain.
She began taking glucosamine sulfate in Jan. 1998 (second son was almost 1
yo) and took it for about 6 months. She began to get some relief from pain
after about 3 months. About 4 months after stopping glocosamine sulfate,
she had recurrence of pain, which got progressively worse. Now, when she
gets up each morning, her right hip & knee hurt, and it takes about an hour
for her to comfortably walk. In addition, both wrists hurt throughout the day.
Her question is: Does a bf woman with known osteoarthritis benefit from
complete weaning between pregnancies? If so, for how long?
Thanks for your insights.
Sara Reuning in Bristol, TN
=========================================================================
Date: Thu, 18 Mar 1999 21:26:00 +0200
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Esther <[log in to unmask]>
Subject: site on cleft lip and palate
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Here is a site I have on cleft lip and palate:
http://www.widesmiles.org/gallery/cross.htm
Esther Grunis, IBCLC
Lis Maternity Hospital
Tel Aviv, Israel
mailto:[log in to unmask]
=========================================================================
Date: Thu, 18 Mar 1999 14:37:13 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Paul & Kathy Koch <[log in to unmask]>
Subject: Re: allergy to human milk
In-Reply-To: <[log in to unmask]>
MIME-Version: 1.0
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> The second case I've had was a baby who had exzema and wheezing from very
>early on, though he thrived well on exclusive bfdg. At around 5-6
>months of
>age, his mom ate a whole bowl of peanuts (while travelling and unable to
>access other foods), the baby went into anaphylactic shock, was rushed to
>the nearest ER, and succesfully resuscitated. Mom cont to nurse him until
>over the age of 2, she had to give up a huge number of foods, and
>not eat in restaurants at all.
I mentioned this child before on Lactnet, but I have a friend who ate lots
of peanuts during her pregnancy and early lactation. Her son was asthmatic
from a very early age, lots of respiratory symptoms, mucousy, etc. He
tested negative for cystic fibrosis. He self-weaned shortly before his
first birthday, symptoms improved once he was off the breast and he had a
severe reaction after eating the crust of a peanut butter sandwich on his
first birthday. It was the first time he had consume peanut products
directly. He is almost 6, remains far away from all peanut products. He has
low-functioning autism. Connection? I wonder.
Kathy
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Kathy Koch, BSEd, IBCLC
Great Mills, MD where we are having a touch of spring...
mailto:[log in to unmask]
http://www.erols.com/pakoch (designed by my 8 year old!)
=========================================================================
Date: Thu, 18 Mar 1999 13:44:39 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jeanne Mitchell <[log in to unmask]>
Subject: Re: SILICONE IMPLANTS
MIME-Version: 1.0
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> As for the Texas LC, makes you wonder a bit doesn't it?
>
ACK!! Makes you wonder WHAT??? Makes me wonder if it was Texas, and
also makes me wonder if it was an IBCLC. Also makes me wonder why we
keep training and training and training, and *still* hear such
misinformation!!
Tom Hale posted the following to Lactnet on December 30, 1998:
> I just ran across a paper on silicone transfer to breast milk from implants.
> Some of you may have seen it previously. Basically found none transferred
> over normal background levels.
>
> However, check out the cow's milk (10 times more) and formula (80 times
> more). Now those of us from cow country understand that cow's need lots of
> silica, silicone, and other minerals to grow.
>
> I posted the abstract on my web page, but the reference is :
>
> Semple JL, et.al. Breast Milk contamination and silicone implants:
> Preliminary results using silicon as a proxy measurement for silicone.
> Plast Reconstr Surg 1998 Aug;102(2):528-33
>
>
>
> Regards
>
> Tom Hale, R.Ph., Ph.D.
> Associate Professor of Pediatrics
>
> http://neonatal.ttuhsc.edu/lact/
>
I just checked out Tom's website - the annotated bib is still there.
Have a look.
--
Jeanne Mitchell, Austin, TX
http://www.flash.net/~xanth/home.htm
mailto:[log in to unmask]
"You can tell the quality of a person by how
they treat people they don't need." My Dad
=========================================================================
Date: Thu, 18 Mar 1999 23:20:41 +0200
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Pamela Morrison IBCLC <[log in to unmask]>
Subject: Re-used EBM: looking for address
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
I am looking for the email address of Rachel Brusseau who did the wonderful
study on the bacterial content of re-used EBM. If anyone knows how to
contact her could they email me privately please. Many thanks.
Pamela Morrison IBCLC, Zimbabwe
mailto:[log in to unmask]
=========================================================================
Date: Thu, 18 Mar 1999 16:23:02 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Sarah Barnett <[log in to unmask]>
Subject: Re: allergy to human milk
Comments: To: Karen Zeretzke <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
Mime-Version: 1.0
Content-Type: TEXT/PLAIN; charset=US-ASCII
Karen-
I am feeling dumb but I really don't understand what to do with the
diluted breastmilk. Is it to test for a response in the baby? If so
what might be the immediate signs that it is working?
Thanks for the clarification.
Sarah Friend Barnett LLLL, IBCLC
Bronx (New York City), NY - [log in to unmask]
" You are not obliged to finish the task,
neither are you free to neglect it." R. Tarfon
=========================================================================
Date: Thu, 18 Mar 1999 16:28:52 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: JMowatt <[log in to unmask]>
Subject: Re: Re-used EBM: looking for address
Comments: cc: "[log in to unmask]" <[log in to unmask]>
MIME-Version: 1.0
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http://pw1.netcom.com/~rbruss/family/thesis.html is the webpage that
had the study and this is at the bottom of it.
If you have questions or comments about this project please send them
to: [log in to unmask]
Jennifer
Nursing Mothers' Counselor
-----Original Message-----
From: Pamela Morrison IBCLC [SMTP:[log in to unmask]]
I am looking for the email address of Rachel Brusseau who did the
wonderful
study on the bacterial content of re-used EBM. If anyone knows how
to
contact her could they email me privately please. Many thanks.
Pamela Morrison IBCLC, Zimbabwe
mailto:[log in to unmask]
=========================================================================
Date: Thu, 18 Mar 1999 16:50:52 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Marie Davis, Rn, Clc" <[log in to unmask]>
Subject: JHL Review person
Mime-Version: 1.0
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I just bought a brand new book for nurses on care of the well newborn
(copyright 1999) and was dumbfounded when I read some of the
chapters--separation of mom and baby, first feeding at 3 hours-because that's
when the baby is ready (WHAT!!)
I only bought it because it seems to be a standard for neonatal nurses.
This is scary.
Does anyone know how to get in touch with the JHL review board so I can write
a formal review??
E-mail me privately
Marie Davis, RN, IBCLC
[log in to unmask]
=========================================================================
Date: Thu, 18 Mar 1999 15:36:37 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Linda Rosetti <[log in to unmask]>
Subject: Autistic child who only nurses
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
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To all you wise ones out there,
I have a different sort of problem...we gave a mother in our nursing mothers
support group who has two daughters she is presently tandem nursing. One is
about 5 months the other is 3 1/2. The older child has recently been
diagnosed as autistic. The older daughter won't take any fluid except
nursing and an occasional bottle of juice. The child will take finger foods
(very selective) She is a healthy child and weight is OK but the parents
have tried everything to help this little one. We thought she might try an
SNS and finger feed. Have any of our lactnet Drs. dealt with a situation
like this. How about web sites or listservs? She is taking her daughter to
our local pediatric OT who is very pro breastfeeding.
Linda Rosetti RN, IBCLC
Clarkston, Wa
=========================================================================
Date: Thu, 18 Mar 1999 18:54:02 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Jan Barger RN, IBCLC" <[log in to unmask]>
Subject: Ezzo & AAP
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
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Camille asks,
<< I have attempted to search the archives this a.m. with out any results.
I'm
in desperate need for the web site to obtain the statement made by the
American Academy of Pediatrics concerning the book Baby Wise. Thank you >>
It isn't online. It's in the November 1998 AAP News.
Jan Barger -- just home from 6 days in PA
=========================================================================
Date: Thu, 18 Mar 1999 19:06:56 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: newman <[log in to unmask]>
Subject: hot lips
Comments: To: [log in to unmask]
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit
It's up there in the top 10 for sure.
Jack Newman, MD, FRCPC
=========================================================================
Date: Thu, 18 Mar 1999 19:47:28 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Judy LeVan Fram <[log in to unmask]>
Subject: more stupid reasons not to nurse, comment
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
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In a message dated 3/18/99 5:58:24 PM Central Standard Time,
[log in to unmask] writes:
<< A new mom called her, concerned about nursing. She had a fever and had
first talked to her OB about whether or not she could nurse. He told her
that HER MILK WOULD BE HOT AND WOULD SCALD THE BABY'S MOUTH! He told her to
express her milk into a cup and cool it down, and then give it to her baby!
>>
My twelve year old son heard me read this aloud , and said "phoeey, and THESE
are supposed to be the experts in their field??" Hmmm, well-said, my son...
:)
Judy LeVan Fram, Brooklyn, NY
=========================================================================
Date: Thu, 18 Mar 1999 20:04:36 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Elaine Mazgelis <[log in to unmask]>
Subject: SELF magazine article
MIME-Version: 1.0
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The March 1999 SELF magazine issue (3 pp.) describes (in mom's own words)
how her daugter was diagnosed at age 5 weeks with "human-milk induced
colitis" - you can probably guess the rest of story, but the amazing
thing is that she managed to squeeze this horror story into an article
which at first glance attempts to extol the benefits of breastfeeding.
I'm sorry I don't have the address to write to the magazine, but it's
QUITE AN ARTICLE.
=========================================================================
Date: Thu, 18 Mar 1999 19:13:02 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: royce anderson <[log in to unmask]>
Subject: Why, why, why?
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A one year old on our ped unit was kept from breastfeeding because he
has Rotavirus. Then one of our Neonatologists said another babe (term
baby with R/O sepsis) could no longer nurse because Mom has an infected
C/S incision. Why is that?
Royce Anderson, RN, IBCLC in Oklahoma City
--
mailto:[log in to unmask]
=========================================================================
Date: Thu, 18 Mar 1999 20:21:49 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Judy LeVan Fram <[log in to unmask]>
Subject: baby who clicks at breast
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In a message dated 3/15/99 12:58:39 PM Central Standard Time,
[log in to unmask] writes:
Hi Lactnetters,
This are some thoughts from Cathy Genna, IBCLC, and my guru and friend where
suck is concerned...
Judy LeVan Fram, Brooklyn, NY<< Yup, I have thoughts....
Baby sounds like it is keeping the nipple in the front of the mouth,
destabilizing the tongue and neccesitating greater compression to
extract milk/ keep the breast in the mouth. She might like to try firm
pressure with a finger to the anterior hard palate right behind the
alveolar ridge right before latching on to desentize the baby's gag
reflex. I'd also look for tongue tie or tongue tip elevation to
stabilize the airway (usually occurs if the baby is low tone or has a
mild increased effort of respiration.) >>
Sorry for the delay...
JLF
=========================================================================
Date: Thu, 18 Mar 1999 20:24:28 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Cheryl L. Tompkins CLC" <[log in to unmask]>
Subject: Re: sterilizing pump equip
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Anne,
The main reason I have heard to sterilize pump parts fresh out of the
packaging (unless it is marked as sterile packaging) is- ' The parts come from
the manufacturer clean but not sterile. Its unknown what kind of airborne
pollutant may have been in the factory that day or who may have sneezed as the
parts were going along the conveyor belt.'
In my mind to myself I also wonder if factory worker X washed his/her hands
after leaving the restroom before returning to handle those parts. And did
factory worker Y's child come home from daycare with Chickenpox or strep??
I rarely sterilized my own parts after I had commenced pumping but you can bet
the farm I sterilized the heck out of them before the first time I used them.
Cheryl L Tompkins CLC
Phoenix AZ USA
=========================================================================
Date: Thu, 18 Mar 1999 20:33:36 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Fritz & Sara Reuning <[log in to unmask]>
Subject: Ezzo conference
Comments: cc: [log in to unmask]
Mime-Version: 1.0
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Just received a notice about a "Growing Kids God's Way" conference at a
church in Johnson City, TN, May 7-8. I am a Christian, and reading this
title makes me cringe. I guess I got on the mailing list because I was
looking for a source for updated Preparation for Parenting materials to see
what changes they might have made in their bf "orders". The speakers are
none other than the Ezzos themselves. A ped in JC is a big supporter,
recommends their programs, and has written to AAP defending them. Yikes. A
fellow LLLL says she wants to go and hear first-hand what they say. She has
a stronger stomach than I.
Sara Reuning in Bristol, TN, with that sinking feeling which comes from
thinking of this.
=========================================================================
Date: Thu, 18 Mar 1999 20:33:25 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: autistic child who only nurses
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she doesn't only nurse if she eats finger foods, right? i don't understand the
problem. do they want to wean her? why? if she is autistic, wouldn't this be a
good form of communication with another human? why would they finger feed?
carol brussel IBCLC
=========================================================================
Date: Thu, 18 Mar 1999 20:47:34 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Cheryl L. Tompkins CLC" <[log in to unmask]>
Subject: Re: SILICONE IMPLANTS
Mime-Version: 1.0
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Dawn,
Marsha Walker posted re: the silicon levels in breastmilk of mothers with and
without implants and the levels in formula. The post is dated 10/29/98.
If you cannot access it in the archives please e-mail me privately and I will
try to send it to you as an attachment. (If this blankety-blank-blank piece
of machinery decides to cooperate with me)
=========================================================================
Date: Thu, 18 Mar 1999 22:20:27 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathleen Bruce <[log in to unmask]>
Subject: 2447 subscribers
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
just FYI. there are now 2447 Lactnet subscribers.
Kathleen
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont
mailto:[log in to unmask]
LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
=========================================================================
Date: Thu, 18 Mar 1999 22:19:51 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: Re: steriziliing pump parts in hosp.
MIME-Version: 1.0
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Actually colostrum is fairly sticky/fatty. It needs a hot soap and water
wash and rinse after each use. At least that has been my observation and
practice with hospitalized moms. Sincerely, Pat in SNJ
=========================================================================
Date: Thu, 18 Mar 1999 22:23:17 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: Re: feeding cues
MIME-Version: 1.0
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This one is great. I love it.
> Like one mom said: " Babies speak sign language and we have to learn to
> identify the signs! And crying means that we have missed them."
=========================================================================
Date: Thu, 18 Mar 1999 22:35:53 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: Re: Autistic child who only nurses
MIME-Version: 1.0
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Dear Linda, I don't want to sound flip, but what is the problem? I think
it is great that she manages to relate in this way (BF) and who cares how
she gets her fluids? Sincerely, Pat in SNJ
=========================================================================
Date: Thu, 18 Mar 1999 22:44:29 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: Re: sterilizing pump equip
MIME-Version: 1.0
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If I remember correctly AND things haven't changed, the hospital packs are
sterile from Medela. Anyone know about Egnell and others? Sincerely, Pat
in SNJ
=========================================================================
Date: Thu, 18 Mar 1999 22:43:34 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: sterilizing pump equip
Comments: To: [log in to unmask]
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I have a question regarding this discussion on sterilizing pump equipment.
Why
does a mom need to boil the equipment from a sealed brand new package before
she can use it? I know the companies will state this in their instructions.
But why? What is on this equipment that would be harmfull to the baby?
I have had 2 cases recently where I recommended the mom start pumping, to
boost their supply and to use their EBM for the sup instead of that horrible
formula. When I call the moms I find they are still in the process of boiling
the pump pieces, a time consuming job and a day goes by before they start the
care plan. >>
Ann,
When I visited a major breastpump company, I saw them packing the pumps. The
workers were using their bare hands and touching all the parts. So you are
potentially exposing the baby and the mom to whatever germs were on those
workers hands. Would you risk that?
If you are providing the mother with a brand new sealed unsterile kit, it is
just that . . . . "unsterile". You have no idea what germs may be on it. The
only way to be sure the kit is germ free is to buy sterile kits. Some LCs do
not realize that even if they are not working in a hospital they can buy the
sterile kits. I use them in my home visits and consults with those moms who
need to pump immediately. They cost more and I charge the mom more for them.
When it takes families so long to get their kit sterilized, I think you have
to wonder what it means to them, because if it was a high priority they would
get it done. Also new families do move in slow motion and need help and
suggestions as to how to get things done.
Jane Bradshaw RN, BSN, IBCLC
Lynchburg, VA
=========================================================================
Date: Thu, 18 Mar 1999 23:07:21 -0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Peter and Anne Stiller <[log in to unmask]>
Subject: Thanks for references on "Just One Bottle" and a rant
MIME-Version: 1.0
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Thanks to all of you who responded to my request for references on
problems that can be caused by giving abm when it is not needed. The
hospital librarian is still looking up some of the articles for me. I typed
up the one page "Just One Bottle" article which I think summarizes a number
of potential problems very well. My partners and I copied the article for a
Mother/Baby and Admissions Nursery educational bulletin board; before we
put it up, our boss saw it and said it is "controversial" and she wants us
to have a forum to discuss how comfortable/uncomfortable the staff nurses
are with the info before we circulate that information. (We were not
planning to give it to parents; just to staff). :-( {How do you spell
Aaarrrrgggg!?}
One of the M/B nurses (an experienced nicu nurse) is very much
concerned that our taking a strong line to avoid abm unless ordered for
medical reasons will result in many dehydrated babies. She says some nurses
will just give bottles without recording it (we know of one case where this
happened) if we keep trying to keep tabs on the abm that is given. (Making
a "big deal" of it.) She says she'll get the pediatricians to order "may
bottle or finger-feed at night" or something similar whenever she feels it
is advisable.
We are keeping a list of the moms who call back with babies who have
been supplemented in the hospital and are having problems at the breast
once they get home. Don't know if those statistics will help show people
more of the big picture. We also give every BF family a log sheet to record
feeds, wet diapers and stools from discharge until the 1st wt check at the
peds office, and are explaining the importance of being sure the baby is
getting milk.This issue is causing a great deal of stress on the job for
all of us. Does anyone have any ideas about helping to solve this? Our
lactation program is 1 yr old, and has been very well received by families,
and for the most part by the staff nurses until now.
I'm sure many of you have been in a similar place. How do we know
which battles to fight, and in what order?? Some fear we will undo the good
our program has accomplished if we make too much of this issue. I'd
appreciate any words of wisdom. Thank you all again!
Anne Stiller, RNC, IBCLC
=========================================================================
Date: Thu, 18 Mar 1999 20:11:12 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Chris Hafner-Eaton <[log in to unmask]>
Subject: cue or demand feeding sleepy/drugged babies
Mime-Version: 1.0
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Now, I'm going to sound like I'm recanting, but "cue-feeding" or "go-with
the flow", or "command feeding" is ideal, however... After re-reading my
post about all the rules and stipulations we put on the schedule thing, I
talked to yet another mom whose baby was obviously drugged out of its mind
and body. The sleepy or drugged babies need their mothers to trust their
instincts and feed them when the mom starts to feel her own cues (like
leaking, fullness, a mental "click" that it's time). This is after all, a
two way street--the dance of bf.
Chris Hafner-Eaton, PhD, MPH, CHES, IBCLC email: [log in to unmask]
HSR & Health Educational Consultant
=========================================================================
Date: Thu, 18 Mar 1999 20:14:55 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Chris Hafner-Eaton <[log in to unmask]>
Subject: involution of breast tissue
Comments: cc: [log in to unmask]
Mime-Version: 1.0
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Michelle: There is such a thing as "involution of breast tissue", which
may be permanent. If the mom experienced trauma or severe, prolonged
engorgement without relief on that side, the body can trigger this
involution. In some cases it may be impossible to fully regain the same
capacity. However, many women nurse off one side exclusively either
because of a medical problem (mastectomy) or because of needing to work
while wearing their babies (slings have a tendency to be worn so that the
mother's dominant hand is free).
Chris
Chris Hafner-Eaton, PhD, MPH, CHES, IBCLC email: [log in to unmask]
HSR & Health Educational Consultant
=========================================================================
Date: Thu, 18 Mar 1999 22:47:08 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: green breastmilk
Mime-Version: 1.0
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A mother pumped dark bile colored first milk today. We did not feed it to
the baby and the health care provider ordered for it to be cultured. This
looked almost like meconium. Has anyone seen milk like this? The following
pumpings were the same color. This came from the right breast. The milk from
the left breast was dark rust-colored -which may be from blood?
Thank you for your information.
Evelyn L.
=========================================================================
Date: Thu, 18 Mar 1999 20:21:34 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Chris Hafner-Eaton <[log in to unmask]>
Subject: silcone implants
Comments: cc: [log in to unmask]
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Dawn: I think LLLI has a position statement on this. You can ask your
local LLLL to get it either through her APL or LLLI.
Chris
Chris Hafner-Eaton, PhD, MPH, CHES, IBCLC email: [log in to unmask]
HSR & Health Educational Consultant
=========================================================================
Date: Thu, 18 Mar 1999 20:35:22 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Chris Hafner-Eaton <[log in to unmask]>
Subject: titrations of b milk/homeopathy
Comments: cc: [log in to unmask]
Mime-Version: 1.0
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I'm not the one who suggested the titrated dilutions, but it was a great
idea. The concept is an old one--and is the basis for homeopathy. It is
not to TEST for allergy, but rather to desensitize and help the body help
itself.
Chris
Chris Hafner-Eaton, PhD, MPH, CHES, IBCLC email: [log in to unmask]
HSR & Health Educational Consultant
=========================================================================
Date: Thu, 18 Mar 1999 23:41:57 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Karen Hoffman <[log in to unmask]>
Subject: ear infection
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I have a mom who would like to know exactly why breasted children get
fewer ear infections than bottle fed children.
What if a child is getting breast milk from a bottle? Is it the
immunolgical factors that help to prevent the infection or does it have
something to do with positioning or perhaps the power behind the suck?
Or is it a combination of several factors?
I did a thorough archive search and can find bits and pieces but cannot
get a complete answer. Would someone out there please enlighten me.
Thanks in advance!
Karen Hoffman (NMN Counselor in PA)
=========================================================================
Date: Fri, 19 Mar 1999 00:07:07 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Karen Hoffman <[log in to unmask]>
Subject: funny bf story
MIME-Version: 1.0
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Just a funny story - A good friend of mine has a 4 month old who is
exclusively bf. My friend is 39 years old, a lawyer (on leave, but
works part-time as needed) and also the mother of a 2.5 year old
(obviously her schedule is pretty full - and fulfilling). My friend
has wanted to go to a Rolling Stones concert for 25 years. So, her
wonderful husband got tickets and they went. She devotedly pumped in
the rest room during the intermission! This is the kind of
multi-tasking I enjoy hearing about!
We thought it kind of funny (in a sick, cynical sort of way) that anyone
else spending that much time in the bathroom at a Rolling Stones concert
was probably using illegal drugs. (What a dichotomy!)
It's midnight here so forgive me!
Karen Hoffman (NMN Counselor in PA)
=========================================================================
Date: Fri, 19 Mar 1999 00:12:05 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Karen Hoffman <[log in to unmask]>
Subject: oops!
MIME-Version: 1.0
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In reference to :
"I have a mom who would like to know exactly why breasted children get
fewer ear infections than bottle fed children."...
Obviously I meant to write "breast fed". Sorry, but it's very late
here!
Karen Hoffman (NMN Counselor in PA)
=========================================================================
Date: Fri, 19 Mar 1999 00:21:45 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: just one bottle
Mime-Version: 1.0
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anne, just think of your pathetic story this way. a parable. you put up an
article on the bulletin board that points out that using a substitute for
human blood causes all sorts of terrible problems. before you put up this
article, everyone has just assumed that all those people died and were sick
and so forth because of "other reasons." they never connected the use of
artificial blood with the results.
no one has ever bothered to get real blood because the blood bank is in
another city and they would have had to call on the phone and educate the
doctors so that they would write a prescription for it, and besides, it is
expensive and difficult to administer (after all, it takes some skill to set
up the iv to give "real" blood and the artificial blood could just be poured
in the person's mouth, so guess what looks best from the efficiency point of
view?).
and no one wants to have a blood bank right there in your institution because,
well, you would have to test it, and it's a bodily fluid, and maybe a little
icky to consider where it comes from, and what if you can't test it and "know"
everything about what's in it, and gosh, people's blood varies a bit and you
have to have the right kind. sounds awfully difficult, and besides, we've been
using that artificial blood for a long time and everything is okay, so this
article you put up to read must be exaggerating or something. surely the
artificial blood is okay because "most" people survive it's use.
and heck, after the patients go home, most of them would probably opt for
using artificial blood, because it is easier and it's an awful lot to ask for
people to learn how to use the real thing. and the nurses don't want to make
anyone feel guilty, especially after grandma died because she just couldn't
tolerate the fake blood, she must have been too sick and would have died
anyway. and just because someone's cousin has a chronic sickness that will
last the rest of his life, well, some people get those and we just don't know
why.
and besides, the nurses have been giving out the fake stuff for years without
paying any attention to the research that has been appearing for a long time
pointing out the difficulties. they have a much nicer time eating pizza and
cake and enjoying the goodies the artificial blood sales rep brings them. it
gets tedious sometimes and a little party really livens things up. articles
attacking the status quo make everyone uncomfortable and are NOT a party to
look at. especially when changes might be needed.
and here is a real life story to go with this (since i am blathering on and
on). i was in a nicu lot around new year's and one nurse actually was
interested in talking to me about the info that i had circulated about the
donor milk. my client was only the second mom to use donor milk ever in that
nicu, despite the fact that the milk bank can be SEEN out of the window of the
nicu (well, the hospital that houses it can be seen). she wanted to know if
her lifelong problem with colitis might have been prevented if she had been
breastfed. couldn't tolerate any formula and was sick from infancy. see? even
she suspected that there was a connection, but had never made the connection
in her professional life.
just think of what it took to get doctors to wash their hands. hey, didn't
women die from childbed fever "naturally"? couldn't be connected to the
hands, right?
which battle do you want to fight? it depends on how you define your
professional self. me, i don't go for the artificial blood.
carol brussel IBCLC
probably still being talked about in that nicu
=========================================================================
Date: Fri, 19 Mar 1999 01:18:16 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Jeanette F. Panchula" <[log in to unmask]>
Subject: Lactnet
Comments: To: Kathleen Bruce <[log in to unmask]>,
lc kathleen auerbach <[log in to unmask]>
MIME-Version: 1.0
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Kathleens,
I can't imagine what my life would be like without Lactnet. With the
frequent moving and isolation I felt when we first moved to Puerto Rico -=
and the distance from any lactation enrichment courses. Only Lactnet kept=
me up to date enough to be able to pass the boards again in '96.
Your work is immeasurable in its value. And when anyone criticizes -
remember there are hundreds of us to balance every negative comment. =
We agree, we disagree, we agree to disagree! What fun to know so many
people all over the world - someday I hope to visit some of you. But for=
now, I have friends all over - and I don't have to get dressed up to visi=
t
with them
Jeanette Panchula, BSW, RN, IBCLC, LLLL
Vacaville, CA
mailto:[log in to unmask]
=========================================================================
Date: Fri, 19 Mar 1999 01:55:46 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: re green breastmilk
Mime-Version: 1.0
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Possible explanation for this (hypothesis on my part)
If she has rusty milk on one side, suggesting "rusty pipes" and this milk is
tinged w/ blood, the other side w/ greenish black milk could be this color
from the breakdown of hemoglobin.
When blood breaks down, the hemoglobin molecule (a fragile one) decomposes and
the color becomes greenish black.
Just an idea.....
Marge Collier, MA, MT(ASCP), IBCLC
=========================================================================
Date: Fri, 19 Mar 1999 20:10:31 +1100
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Amir <[log in to unmask]>
Subject: Re: blocked ducts
Comments: To: Kirkham <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
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>I saw a mother this past winter who had lots of recurring blocked ducts in
>both breasts..... Other weird stuff: when she had
>these flare ups of blockages she also got mouth sores.
Hi Anne,
Sometimes sores in the mouth can be thrush. Adults don't usually get the
white-coated tongue appearance that we see in babies. They can have just a
sore tongue, or throat, or ulcers. Cracks in the corner of the mouth
(angular cheilitis) are not uncommon also.
Lisa Amir
GP / IBCLC in Melbourne, Australia
=========================================================================
Date: Fri, 19 Mar 1999 09:52:27 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: heather <[log in to unmask]>
Subject: autistic child
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
"She is a healthy child and weight is OK"
So this is not really a nutritional 'problem' then? Especially if she will
eat finger foods, even if selectively.
Seems to me a real shame if she is made to wean when the bf may be an
important (the only?) form of relationship which she responds to....mothers
of autistic children go through a lot of grief because they can't *connect*
with their kids....here, bf is that connection.
Heather Welford Neil
NCT bfc Newcastle upon Tyne UK
=========================================================================
Date: Fri, 19 Mar 1999 05:14:00 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: newman <[log in to unmask]>
Subject: why?
Comments: To: [log in to unmask]
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Because many physicians don't care about breastfeeding, and don't want to
know. And they don't do the best for their patients. And they don't "allow"
them to make an informed choice. They are lousy doctors.
Jack Newman, MD, FRCPC
=========================================================================
Date: Fri, 19 Mar 1999 05:25:20 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: newman <[log in to unmask]>
Subject: ear infections
Comments: To: [log in to unmask]
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Breastfed babies get fewer ear infections for a combination of reasons:
1. The antibodies in breastmilk line the mucosa of the respiratory tract and
prevent invasion and multiplication of possibly infectious bacteria, and
viruses. Cultures of the throats and noses of babies who are breastfed show
fewer cultures of non typable H. Influenza, probably still the most common
bacterial cause of ear infections, along with pneumococci, which are also
less found in the nasopharynx of the breastfed baby. Breastmilk fed babies
who have cleft palates, have fewer infections than formula fed babies who
have cleft palates, which suggests it is not just the bottle.
2. The positioning of the baby may have an influence, which is different in
breastfed babies.
3. Breastfeeding mothers have more confidence in themselves and surer of
their babies. They take their babies to doctors less, I would bet. Don't
take a baby to the doctor for a cold or fever, and you don't get a diagnosis
of ear infection. (Being cynical again, but a lot of ear infections are
actually *some* physicians' way of not having to explain why the child's
problem is a viral infection which will probably get better all on it's
own).
Jack Newman, MD, FRCPC
=========================================================================
Date: Fri, 19 Mar 1999 05:57:32 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathleen Bruce <[log in to unmask]>
Subject: because because because because because!!!!!!!
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Dear Royce....This is because the professionals involved don't know what
they are talking about, I think.
Snort.
Correct me if I am wrong, Jack. I can take it like a woman. : D
Kathleen
From: royce anderson <[log in to unmask]>
Subject: Why, why, why?
A one year old on our ped unit was kept from breastfeeding because he
has Rotavirus. Then one of our Neonatologists said another babe (term
baby with R/O sepsis) could no longer nurse because Mom has an infected
C/S incision. Why is that?
Royce Anderson, RN, IBCLC in Oklahoma City
--
mailto:[log in to unmask]
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont
mailto:[log in to unmask]
LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
=========================================================================
Date: Fri, 19 Mar 1999 01:30:16 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Steve Salop and Judith Gelman <[log in to unmask]>
Subject: PROLONGED BREASTFEEDING IN AN AUTISTIC CHILD
Comments: To: [log in to unmask]
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Dear Linda,
Here is my experience with a breastfeeding autistic preschooler. I hope
it can be helpful in this case.
There was a wonderful and very dedicated mother with professional
expereince with special needs children who was my League group. Her son
was diagnosed as PPD at about 2 y.o. and then as autistic at about 3
y.o. I was in close contact with her as she took her non-speaking son
from specialist to specialist.
THe child nursed very frequently, by any standard. It was his comfort,
his escape and almost his only source of nutrition. He was a very big
child and spent a lot of time on the breast. I think that this is
fairly typical of autistic children who take to breadtfeeding. THese
children make transitions very slowly and they are not on the same
developmental calendar as most children.
In this case, his nursing at age 2 and 3 years and way beyond made the
professionals very uncomfortable. THeir goal was to shape the cild's
behavior to what they saw as age appropriate behavior and that did not
include nursing. Also they thought that all the nursing was interfering
with his speech development (although, given the diagnosis, that was a
bit farfetched, it seemed to me.)
The county's early intervention team wanted this child to leave MOm at
the age of 2 1/2 years and take a school bus to an early intervention
site where he was get therapy and intervention from 9 AM-4 PM 5 days a
week. THey wanted him weaned because nursing was something that they
didn't know how to accomodate and they didn't count the interaction as a
positive one.
Eventually, this mother found a psychiatrist who was not only a
recognized expert in the field but also the father of an autistic child.
He backed her up. She kept her son home and did a Lovaas Program with
him. Not forcing the separate was as important--maybe more
important--than the breastfeeding. Actually, sSHe found that in order to
carry out the program, she needed to limit the breastfeeding to some
extent. THis was ok with her--the constant day and night nursing
something she was ready to limit, although she didn't want to forceably
wean him.
He did transition to other foods, but slowly and he was an very very
picky eater. I think that he went to sippy cups--he couldn't "do"
bottles at all. She watched his output carefully for dehydration, but
mostly it was other calories he needed as he curtailed the breastfeeding
somewhat, not fluids.
Whenever a child has special needs, everything in the parents' parenting
style is put under a microscope. Specialists want to know every detail
and of course many are uncomfortable with the family bed, prolonged
breastfeeding, etc. For the mother, this just adds to the guilt and the
feelings of inadequacy.
THere may or may not be valid reasons to get this little girl to take
fluids aside from the breast. As an LC, you can help the mother
separate out a number of issues:
1.what is "normal" breastfeding and eating behavior for preschoolers who
nurse and how far from the norm is this child's behavior?
2.what does the mother want/need (tandem nursing and having a special
needs child can be stressful--she has 2 babies dependent on her)--is
partially weaning this child important to her?
3.what are the real issues the OT and others are trying to address by
getting her to take fluids other ways?
4.how important are those goals relative to other ones--can this partial
weaning goal be put on hold?
5. what are the realistic possibilities --if any--for accomplishing the
goal of getting this child to take fluids other ways at this time?
I hope this helps.
Warmly--
Judy Gelman, IBCLC
Washington, DC
=========================================================================
Date: Fri, 19 Mar 1999 07:44:02 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Jan Barger RN, IBCLC" <[log in to unmask]>
Subject: new pump kits
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Regarding pump kits, Jane commented:
<< If you are providing the mother with a brand new sealed unsterile kit, it
is
just that . . . . "unsterile". You have no idea what germs may be on it.
The
only way to be sure the kit is germ free is to buy sterile kits >>
Not all hospitals buy sterile kits, and you can bet the farm they aren't
sterilizing them before they give them to patients.
If she washes the pump parts in HOT soapy water (using a good dish detergent)
and a bottle brush, and does NOT wash the tubing (or put them in boiling
water), just washes the outside, you will get them as clean as they need to
be.
Sterilization is NOT necessary. Cleanliness is. And if she does it the way
I've suggested, the stuff won't grow bacteria. It is quicker than boiling,
and I've done the kitchen table research to demonstrate that this will be as
effective as boiling.
Jan Barger
=========================================================================
Date: Fri, 19 Mar 1999 20:54:00 +0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: Nebulizers and breastfeeding
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I have a good friend who has a 10 day old and a 3 year old. The 3
year old has bad asthma at the moment and is requiring regular
nebulizers which she will only let her mum give her. some of these
have to be given whilst breastfeeding the newborn, does anyone
have any feelings on wether or not this is safe practice. Ventolin is
the solution being used.
Val in Busselton, Western Australia
RN RM IBCLC
=========================================================================
Date: Fri, 19 Mar 1999 07:51:23 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: Re: ear infection
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I think it is both, properties in the milk and position/sucking action. It
physiological. Of course it was designed to cause less problems. how
would we have survived as a people if it hadn't been designed this way?
Now I must go to work! Sincerely, Pat in SNJ
=========================================================================
Date: Fri, 19 Mar 1999 07:53:32 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: Fw: hospital/responsibilities and negligence
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----------
> From:
> To: lactnet <[log in to unmask]>
> Subject: hospital/responsibilities and negligence
> Date: Friday, March 19, 1999 7:52 AM
>
> {How do you spell
> > Aaarrrrgggg!?}
>
> Depends on how upset you are. Personally I always use all caps!
>
> >She says she'll get the pediatricians to order "may
> > bottle or finger-feed at night" or something similar whenever she feels
> it
> > is advisable.
>
> The main cue here is whenever SHE FEELS. Can she document the need, not
> the feelings?
>
> We are keeping a list of the moms who call back with babies who have
> > been supplemented in the hospital and are having problems at the breast
> > once they get home.
>
> Excellent idea. You also need a column for the ones who are supp and
have
> no problems. They are sort of the control group.
> You need to be able to say x % had problems because of hosp supps. (Like
> 50 babies supp this mo. 35 called with problems = 70 % having problems
> after being supp.)
>
> We also give every BF family a log sheet to record
> > feeds, wet diapers and stools from discharge until the 1st wt check at
> the
> > peds office, and are explaining the importance of being sure the baby
is
> > getting milk.This issue is causing a great deal of stress on the job
for
> > all of us.
>
> The issue of intake and output is key and crucial. Sorry it upsets the
> staff! But it is absolutely essential and I personally feel the hospital
> is NEGLIGENT if a mom goes home NOT knowing how to assess this. We can't
> turn these new moms out in 24-48 hours and not give them tools to use.
> Parents need to know that intake and output is essential to their baby's
> survival.
> Remember Chris Mulford's list of what mom needs to know.
> 1. How to get baby on and off so it doesn't hurt.
> 2. How to know if baby is getting enough.
> 3. Who to call if you have ANY questions about 1 & 2.
>
> Unfortunately in the US we are not set up for prompt follow-up for all
> sorts of stupid reasons (mostly concerning insurance and money). Babies
DO
> NOT need to be sacrificed on these particular altars of ignorance.
Please
> feel free to share what I have written with your supervisors. Sincerely,
> Pat in SNJ
>
> P.S. giving supp without documentation is presecutable. Certainly reason
> for dismissal.
>
=========================================================================
Date: Fri, 19 Mar 1999 07:15:25 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Maurenne griese <[log in to unmask]>
Subject: widesmiles Web Site
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First, thanks everyone for the wonderful ideas you sent to me on cleft
lip/palate. I have gleaned much from your collective knowledge and I thank
you!
I did take a look at the website, www.widesmiles.com. There was an article
about breastfeeding a cleft lip/palate baby that basically said none of
these babies can breastfeed. They can have breastmilk in a bottle but
cannot feed at the breast. I knew that simply wasn't true in some cases.
Again, thanks!
Maurenne Griese, RNC, BSN, CCE, CBE
Birth and Breastfeeding Resources http://www.childbirth.org/bbfr
Manhattan, KS USA
[log in to unmask]
=========================================================================
Date: Fri, 19 Mar 1999 07:05:07 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathy Dettwyler <[log in to unmask]>
Subject: ear infections and breastfeeding
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To Dr. Jack's list I would add that a breastfed baby has a NORMAL immune
system, which is good at fighting off infections, while a bottle/formula-fed
baby has an abnormal immune system which is not as good at fighting off
infections.
In the anecdotal category, my youngest had three unilateral ear infections,
all on the side that was "up" when he nursed (he only liked to nurse from my
right breast, lying on his left side, and the infections were all in his
right ear). This suggests that breast milk in the ear canals kills bacteria.
Kathy Dettwyler
=========================================================================
Date: Fri, 19 Mar 1999 07:15:19 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathy Dettwyler <[log in to unmask]>
Subject: Good media news about breastfeeding
Mime-Version: 1.0
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From the ABC News Site
http://onhealth.com/ch1/briefs/abstract/item,37745.asp
M a r c h 1 8 , 1 9 9 9
Hormone Lowers Moms' Blood Pressure
A new study shows increased levels of a hormone produced while nursing can
lower mothers' blood pressure. The findings, presented Wednesday at the American
Psychosomatic Society Annual Meeting in Vancouver, British Columbia, may
explain why many mothers claim to feel relaxed after nursing their babies.
Researchers at the University of North Carolina at Chapel Hill studied 26
mothers of infants, 14 of whom breast-fed and the remaining 12 bottle-fed
their babies. Blood pressure and blood levels of the hormone oxytocin were
measured before, during and after women were asked to discuss recent
stressful events in their lives.
Study results showed the breast-feeding mothers showed a blood pressure
response during the stressful event, but their blood pressure was lower than
the bottle-feeding moms before and after the event.
The researchers also found that when the study participants were monitored
24 hours a day at home, blood pressure levels of high oxytocin reactors were
10 points lower than the bottle-feeding moms one hour after nursing and six
to nine points lower during sleep.
"Oxytocin is most commonly known for its role in the letdown of milk during
breast-feeding, but also has effects on brain areas involved in emotion and
stress responses," says researcher Dr. Kathleen Light.
=========================================================================
Date: Fri, 19 Mar 1999 07:28:44 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: CKoehler <[log in to unmask]>
Subject: Re: steriziliing pump parts in hosp.
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In the hopspital, what do most use to clean the pump parts after use? We've
been told to use the triclosan hand soap from the wall dispensers in the
rooms-- it doesn't seem to clean well and has lotion in it, seems a poor
choice. I thought about keeping dish soap in my locker, but was told not
to... any thoughts?
Cyndi in WI
>Actually colostrum is fairly sticky/fatty. It needs a hot soap and water
>wash and rinse after each use. At least that has been my observation and
>practice with hospitalized moms. Sincerely, Pat in SNJ
=========================================================================
Date: Fri, 19 Mar 1999 09:04:12 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Susan Keith-Hergert <[log in to unmask]>
Subject: just one bottle
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Dear Anne,
How frustrating for you! In my opinion there is only one person you need
to convince...your nurse manager. Until you get her on your side you
have little recourse.
What are her qualifications anyway? If she is a Women's Health
specialist or a Neonatal specialist, she has no business telling you
what you are doing is controversial. It is not controversial.
Her management approach is what is controversial. Does she care about
the health of women and children or not? Is it time to do some peer
review for her? Maybe someone who reviews her needs to know how outdated
her knowledge is.
Susan Keith-Hergert RN, MS, CPN, IBCLC
=========================================================================
Date: Fri, 19 Mar 1999 08:59:10 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Judy LeVan Fram <[log in to unmask]>
Subject: feeding cues
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In a message dated 3/18/99 10:17:27 PM Central Standard Time,
[log in to unmask] writes:
<< Now, I'm going to sound like I'm recanting, but "cue-feeding" or "go-with
the flow", or "command feeding" is ideal, however... After re-reading my
post about all the rules and stipulations we put on the schedule thing, I
talked to yet another mom whose baby was obviously drugged out of its mind
and body. The sleepy or drugged babies need their mothers to trust their
instincts and feed them when the mom starts to feel her own cues (like
leaking, fullness, a mental "click" that it's time). This is after all, a
two way street--the dance of bf. >>
No, no recant going on here Chris. You are right - we do need to remember that
most healthy babies who are birthed without drugs and not interfered with by
ferocious procedures or people, will cue their moms well. But the truth is
that not all babies can be "trusted" to know what is best for them in the
first days after their births, for any number of reasons, although most are
iatrogenic in nature...In these instances, mom is the "grown-up", mom helps
set the stage, using her own cues as well, and yes, even the dreaded clock
when it's helpful as a tool, { :) } This is all preparation for the dance
being truly a cooperative activity.
Judy LeVan Fram, Brooklyn, NY
=========================================================================
Date: Fri, 19 Mar 1999 09:07:51 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jane and Fred Squires <[log in to unmask]>
Subject: Ezzo
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My daughter attends an independent bible church in Hedgesville, WV. I
attended one service, and noticed in their bulletin board that the E--o's
will be speaking here as well. I have contacted the newspaper, and have
given them all the information I have about them, including the Wash. Post
article from several weeks ago. They will be speaking on April 23 and 24.
As relating to breastfeeding: I have gone to several homes in the past year
with this book on the coffeetable. It is very scary. I just want to be
sure that our (non E--o) side is heard at the same time. I hope the
newspaper will do a story.
By the way if any one has any suggestions as to what to say to the reporter
please send them to me.
Jane Squires
Martinsburg, WV
=========================================================================
Date: Thu, 18 Mar 1999 21:31:06 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Carla D'Anna <[log in to unmask]>
Subject: lactnet cleft request
Comments: To: [log in to unmask]
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Maurenne,
#1 prepare her to pump and protect the milk supply. Consider having
some human milk from milk bank on hand in case infant needs early
supplementation in addition to mother's own colostrum. These babies get
lots of ear infections and human milk is critical and exclusive is
always better.
#2 know that exclusive direct breastfeeding with cleft of palate is not
often realistic. Cleft of lip only is much easier to work with. With
lip defect only position so breast or mom's finger can fill the defect.
#3 Medela has a great little booklet "Give us a littel more time" or
something like that with good pictures. Written by the Swiss who
apparently use obturators much more than the US so may not be totally
applicable if her cleft team is of the "obturators don't work"
mentality.
#4 Sara Danner also has good stuff on clefts. She has published a
booklet and is speaking next week at the Clefts, Clips and Cups
conference in New Mexico. Maybe tapes will be available???
#5 have a Haberman for supplementing on hand if it is a palate defect,
they have been the only thing to allow comfortable feeding for the few
babies I have worked with. They also look "normal" which is important
for parents suffering from the emotional impact of a different looking
infant - thanks to Barbara Clay for that excellant point made recently
in Atlanta conference (I'm in midst of listening to the audiotape while
driving now). BSC did this conference, maybe audio tapes are still
available. Great tape so far ...
#6 Feeding tube devices like SNS or jerry rigged immitations can also be
used to supplement at the breast.
#7 Finger feeding is also good (but "odd" looking in public or to
already upset parents"
#8 Jack's breast compression may also help
#9 www.widesmiles.org has some breastfeeding information - go to main
page then to feeding link
Best Wishes, Carla
=========================================================================
Date: Thu, 18 Mar 1999 21:38:45 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Carla D'Anna <[log in to unmask]>
Subject: steriziling pump parts
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Medela pump kits available in my hospital are packaged sterile. I feel
comfortable using them with no further innitial treatment. Those
available in my community (purchased outside of hospital) are packaged
as "clean". It is difficult as a practitioner outside of hospital to
obtain the sterile kits and they are more expenisve. In the case of the
"clean" kit, I feel the instructions to boil first are best followed.
In the case of the sterile kit I feel perfectly comfortable telling the
mom the innitial boiling step called for in the instructions can be
disregarded. Note the same instruction manual comes in both types of
kit packages.
Carla (hospital based LC, in Maryland)
=========================================================================
Date: Fri, 19 Mar 1999 09:38:10 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Andrea Eastman <[log in to unmask]>
Subject: Publicity on blood pressure, etc. & breastfeeding...
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The abstracts that are quoted in the media can be found at the American
Psycosomatic Society website in their info on their Annual Meeting:
http://www.psychosomatic.org/meeting.html
Look under the accepted abstracts sections. I found at least 4
abstracts about breastfeeding.
Sincerely,
Andrea
--
Andrea Eastman, MA, CCE, IBCLC
Granville, Ohio -- mailto:[log in to unmask]
Gentle Birth Alternatives
http://www.geocities.com/HotSprings/8978
http://www.breastfeeding.com/andrea_eastman.html
=========================================================================
Date: Fri, 19 Mar 1999 08:49:42 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Karen Zeretzke <[log in to unmask]>
Subject: Re: Bf in Yellow Pages Alert
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My yellow page rep called me last week to announce that in this region,
which includes LA, MS, AL, GA, KY, TN, NC, SC and FL, the heading in the
yellow pages "breastfeeding" is being eliminated b/c it is ''too
specific''. She thinks my business would fit best in "medical services" or
"surgical supplies". HUH????? Hey, most of my income is from hands-on bf
consults!
If you live in one of these areas, and feel you would like to protect that
heading, NOW is the time to contact your local yellow page representative
and protest.
This decision was apparently made by someone (I haven't been able to get
the name) in Birmingham, AL.
Karen Zeretzke, MEd, IBCLC in private practice in
Baton Rouge, Louisiana, where roadblocks come in all sizes and shapes.....
[log in to unmask]
http://www.prairienet.org/laleche/bfcost.html
=========================================================================
Date: Fri, 19 Mar 1999 09:47:28 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: newman <[log in to unmask]>
Subject: nebulizers
Comments: To: [log in to unmask]
MIME-Version: 1.0
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I am not sure from your note who exactly is getting the nebulizers, but
salbutamol (albuterol in the US) is used for tiny babies in huge amounts.
Children tolerate salbutamol in much larger doses than adults. Nevertheless,
even if some gets into the air, the amount the baby will inhale will be very
limited. Most of what gets inhaled doesn't get absorbed anyway.
Jack Newman MD, FRCPC
=========================================================================
Date: Thu, 18 Mar 1999 22:24:02 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Carla D'Anna <[log in to unmask]>
Subject: diflucan, long half life implications
Comments: To: [log in to unmask], [log in to unmask]
MIME-Version: 1.0
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Tom and Jack and anyone else on lactnet knowledable on this,
One of the CNMs I work with has returned from a pharmacology workshop
with the impression that diflucan has such a long half life that it need
only be given every 68 hours or so. What are your thoughts on this?
Carla
=========================================================================
Date: Fri, 19 Mar 1999 11:07:55 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: newman <[log in to unmask]>
Subject: Re: diflucan, long half life implications
Comments: To: Carla D'Anna <[log in to unmask]>
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It may be possible to maintain reasonable blood levels with infrequent
dosages. But unfortunately, Candida seems to be becoming much more resistant
to fluconazole. Five years ago, I treated mothers with 100 mg once daily for
10 days. Almost all were cured and relapse was uncommon. Now, even with
undoubted Candida infection, and treating with 400 mg loading and 200 mg
daily until pain is gone for a week, many women (perhaps 25-40%) do not
respond well or relapse frequently.
Larger doses and more frequent dosing, as above, will give higher blood
levels more quickly. The infrequent dosaging is a loser approach, in my
opinion. One reason why so much resistance seems to be occuring is the one
dose treatment for vaginal yeast.
Jack Newman, MD, FRCPC
=========================================================================
Date: Fri, 19 Mar 1999 08:13:30 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Donna Hansen <[log in to unmask]>
Subject: feeding cues
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I've been following the discussion about feeding cues and how sleepy
babies may not ask to be fed as often as they need to be. When I talk to
mums with babies like this, they are frustrated because they watch the
clock and try to wake the baby up at the pre-arranged interval, only to
have a really hard time waking baby, and then having a really hard time
keeping him awake at the breast. I try to combine watching the clock and
watching the baby. Most mums have already noticed their baby has periods
of lighter sleep and show behaviours such as fluttering eyelids and
squirming. It's WAY easier to wake the baby then. So keep an eye on the
clock, but watch the baby for those wakeful cues. Another good reason to
have the baby close to you instead of off in another room.
Donna Hansen
Burnaby, British Columbia (wow, is it ever sunny today!)
mailto:[log in to unmask]
=========================================================================
Date: Fri, 19 Mar 1999 11:17:25 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathy Dettwyler <[log in to unmask]>
Subject: Pamphlet on breastfeeding and cleft palate
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In 1997, I corresonded with Jaclyn Miller, one of the authors of a pamphlet,
available for $5 (Canadian) titled, THE CONTROVERSIAL ISSUE OF BREASTFEEDING
FOR INFANTS WITH CLEFT PALATE, copyright 1997.
Her email is:
[log in to unmask]
Other contact information is:
Jacalyn Miller
RR#3, Innisfail, AB, Canada
T4G 1T8
ph(403)227-5641 fax (403)227-2929
=========================================================================
Date: Fri, 19 Mar 1999 12:32:46 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: /Kathleen Reo <[log in to unmask]>
Subject: Re: "Breast is Best video" by INFACT Canada
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HI, Does anyone have the video "Breast is Best" by INFACT Canada? Would you be
willing to loan it out to me. I need to preview it for a FNP project and
INFACT Canada cannot send it out to me for a couple of weeks. You may email me
privately at [log in to unmask] Thanks, Kathy Reo
=========================================================================
Date: Fri, 19 Mar 1999 09:52:05 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Chris Hafner-Eaton <[log in to unmask]>
Subject: infection and bf
Comments: cc: [log in to unmask]
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Royce: If an infected c/s site precluded bf, none of my three kids would
have been bf (and the running total of years SO FAR is 3 yrs, 3.5 yrs, and
11 mo). All three have been far ahead of developmental scales (for what
that's worth) and are exceptionally healthy, well attached kids. Harumph!
I, on the other hand, was not bf and have the immune system of a flea
(although I've done lots to build it--I haven't started consuming
breastmilk).
Chris
Chris Hafner-Eaton, PhD, MPH, CHES, IBCLC email: [log in to unmask]
HSR & Health Educational Consultant
=========================================================================
Date: Fri, 19 Mar 1999 09:57:34 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Chris Hafner-Eaton <[log in to unmask]>
Subject: mask nebulizers & spacers
Comments: cc: [log in to unmask]
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Val: Has the family tried using a mask nebulizer set up? These can be
used with relatively little supervision. If that is too costly, the
standard procedure here is to use a "spacer". The best one for kids is
called "Inspir-ease" because it has an accordian-like spacer that collapses
has the vapor is inhaled. The child can take her time and do it in a few
breaths.
Chris
Chris Hafner-Eaton, PhD, MPH, CHES, IBCLC email: [log in to unmask]
HSR & Health Educational Consultant
=========================================================================
Date: Fri, 19 Mar 1999 18:48:49 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: - <[log in to unmask]>
Subject: green milk
MIME-Version: 1.0
I have seen milk of every hue, including green and almost black. These
Mums were expressing because they had babies in NICU. We gave the babies
the milk anyway. We reckoned that if the babies had been feeding from
the breast we wouldn't know that the milk looked odd. All the babies
have been fine.
Heather - is it O.K. now?
Regards,
Carolyn Westcott RN IBCLC Southampton UK
mailto:[log in to unmask]
=========================================================================
Date: Fri, 19 Mar 1999 18:25:58 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: - <[log in to unmask]>
Subject: demand feeding
MIME-Version: 1.0
In my neck of the woods we refer to baby-led feeding. Sounds much softer
somehow, and trips off the tongue nicely.
Carolyn Westcott RN IBCLC Southampton UK
mailto:[log in to unmask]
=========================================================================
Date: Fri, 19 Mar 1999 14:50:20 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Lisa Jones <[log in to unmask]>
Subject: cleft lip and palate
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You may want to contact the Cleft Palate Foundation, in the US:
1-800-24-CLEFT, email: [log in to unmask], website: www.cleft.com
My friend's baby has a full, deep cleft palate and a cleft lip (never picked
up on ultrasound, of which she had many for 20 wk loss of twin, etc). She is
mostly breastmilk feeding him with specially made bottles - he has *no*
suction now at all - which the Cleft Palate Foundation helped her to locate.
Also, the Breastfeeding Answer Book has a good section on bf a baby with a
cleft.
HOpe this helps.
Lisa Jones, LLLL in Wellington sunny south FL
=========================================================================
Date: Fri, 19 Mar 1999 13:06:38 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Linda <[log in to unmask]>
Organization: Home Sweet Home
Subject: dance of breastfeeding
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Hi All!
I haven't posted in a while, I'm Linda Zeiner, RN, currently SAHM at
least for a while (yay! I like being home with my little boy!). I have
worked in Level III NICUs where we told Moms that Baby has to be
bottling all feeds before breast can be attempted, (also had my own son
in a Level II NICU where the neos ordered gavage or breast, no
artificial nipples of any kind for any reason -- I got to chop up a
vanilla pacifier that an unknown nurse had given him and put the cut
pieces into my bra so he'd agree to BF again); I've worked in Newborn
Nursery, and PostPartum. I'm also the "Lactation Consultant" at my
Church--word has gotten around that I think Babies need to have their
Mommy's milk; I'm NOT an LC--I am always having to correct people,
saying "I'm just a nurse who knows a little bit about breastfeeding.
How can I help you?"
The thing about watching the clock has always pestered me--you want the
Mom to learn how to watch the baby, but sometimes the clock has a say,
too, as with a sleepy baby, a premie, a baby or Mom with any kind of
"not quite optimally normal" thing going on, whether it is temporary or
permanent.
Maybe the clock could be thought of as the music. When dancing, if the
music changes, so does the dance. It may change only a little bit, or
it may change dramatically. If the baby needs 8 feeds in 24 hours
(roughly every 3 hour feedings), and it has been 2 hours, the music has
changed a little bit. Work on waking the baby gently, offer the breast
to a still sleepy baby, whatever works for that Mom and Baby. If it has
been 5 hours, the music has changed dramatically. Someone has to lead
in the changing of the dance steps, getting the baby to nurse, or at
least EAT!
This analogy might work better if I actually knew anything about
dancing...
Thanks for Lactnet! I learn bunches from you all!
Linda in Dallas mailto:[log in to unmask]
=========================================================================
Date: Fri, 19 Mar 1999 15:40:19 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Judy LeVan Fram <[log in to unmask]>
Subject: rusty or green milk
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In a message dated 3/19/99 6:11:48 AM Central Standard Time,
[log in to unmask] writes:
<< Possible explanation for this (hypothesis on my part)
If she has rusty milk on one side, suggesting "rusty pipes" and this milk is
tinged w/ blood, the other side w/ greenish black milk could be this color
from the breakdown of hemoglobin.
When blood breaks down, the hemoglobin molecule (a fragile one) decomposes
and
the color becomes greenish black.
Just an idea.....
>>
Marge,
This sounds plausible as the reason, but what would cause something like
this? Damage from prolonged engorgement? Liver function problems? Just
wondering...
Judy LeVan Fram, Brooklyn, NY
=========================================================================
Date: Fri, 19 Mar 1999 15:54:07 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: Re: autistic child
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Judy, thanks for that long and interesting story about the bf autistic child
you worked with.
I (sorry) don't remember who originally posted this question, but it was
striking to me that most of the responses have talked about why it would be
best not to stop nursing, why nursing was a positive interaction, etc.
Because they were treating the questions as "bf or don't," they all (of
course!) came down on the side of continuing to bf.
Certainly we all know that parents of bf children, especially older children,
and most especially older special needs children, get a lot of dumb orders to
wean.
However, my impression of the original question was that it was about
**expanding** rather than about limiting the range of this little one's social
and occupational abilities -- not about ceasing to bf but about using bf
skills to help the child get used to new fluids, get used to new ways to take
food and fluids, etc.
I would tend to think that, say, drinking from a cup sometimes would be a
valuable social skill, aside from any nutritional issue.
And even a mom who **chooses** to be with her toddler almost all the time
might still like to know that her child has the necessary skills to be
nourished and hydrated appropriately if she should need to be away for a
morning, or a day, sometime --- whether for reasons psychological (it is
indeed a hard thing to be the only caretaker of two babies 24-7) medical (what
if mom gets ill in a way that might make her need to take a break from bf,
even temporarily?), or logistical. I once handed the baby to my husband for a
minute while I went upstairs to the bathroom -- and then got stuck in the
elevator for 4 hours. Made me happy that there was pumped milk in the
freezer! But this autistic child might be thirsty, as well as sad, by the
time the elevator repairman arrived.
Judy Gellman's response was the most interesting to me because it did
helpfully list the issues that might make this desirable, and also those that
might make it very hard to accomplish.
But what interested me about the original question was the search for tactics.
So -- whether or not this was the original question -- let me ask it this way:
How can this special needs toddler piggyback his valuable bf skills to gain
other, social and nutritional, eating and drinking skills which it is
desirable for him to have as well?
Thoughts?
=========================================================================
Date: Fri, 19 Mar 1999 15:17:13 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathy Dettwyler <[log in to unmask]>
Subject: Request for stories
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Dear LactNetters,
I am doing a presentation for the LLLI Physician's Conference in
Orlando this July about various *techniques* the infant formula companies
use to market their products. I can search the LactNet archives for the
many and varied ways that they get pregnant women's names and addresses in
order to send formula and "baby club" info. Diane Wiessinger has shared
with me her list of incentives and gifts and food and trips that hospital
and doctor's office personnel get in exchange for handing out gift bags,
etc. If anyone has "stories to tell" I would love to receive them, by
private email. Specifics of the context such as type of hospital or clinic
or doctor's office, or whatever, which department, which personnel (health
care professionals only or receptionists, etc.), what techniques were used,
what size community, etc. will also be very helpful. I will not identify
anyone or any place by name. Thanks.
Kathy Dettwyler
=========================================================================
Date: Fri, 19 Mar 1999 16:22:21 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: newman <[log in to unmask]>
Subject: questions
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Does anybody know about this stuff?
Hypericum Perforatum 300mg w/ Inositol Hexanicotinate 5mg, one tablet twice
a day. Is it dangerous for the mother?
Jack Newman, MD, FRCPC
=========================================================================
Date: Fri, 19 Mar 1999 13:44:53 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Rhoda Taylor <[log in to unmask]>
Subject: green milk
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2 comments:
1. I have seen several shades of green in milk, from extremely dark
to light lime green. Unless you have pumped the milk you wouldn't know the
colour so in most cases I think it is a variation of normal. Diet seems to
play a part especially large doses of b vitamin suppliments and guacamole
(cups of it!). In all situations we have observed the baby and followed its
cues, at no time have we recommended weaning. I DO understand, and may have
in the most elderly of my files, records of a rare bacterial infection
leading to green milk. I can't remember the details, sorry.
2. Probably not pertinent to this particular situation but related.
Anecdotally, several friends and myself, who nursed for extended periods
(think several years with several children) can, more than a decade after
weaning, express droplets of green ranging to almost black 'milk' especially
at a specific part of our monthly cycle. My ob/gyn has remarked it may also
be a sign of fibrocystic breasts. It is certainly not something we do
routinely but had heard of it and were curious.
Please let us know the lab results.
Rhoda Taylor, B.A., I.B.C.L.C., Vancouver Island, Canada
Help celebrate the 50th Anniversary of the Universal Declaration of Human
Rights.
Visit www.amnesty.ca
=========================================================================
Date: Fri, 19 Mar 1999 15:13:50 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Gladys Mason <[log in to unmask]>
Subject: email address change
Comments: To: [log in to unmask], [log in to unmask],
[log in to unmask], [log in to unmask],
[log in to unmask], [log in to unmask],
[log in to unmask], [log in to unmask],
[log in to unmask], [log in to unmask],
[log in to unmask], [log in to unmask],
[log in to unmask], [log in to unmask],
[log in to unmask], [log in to unmask],
[log in to unmask], [log in to unmask], [log in to unmask],
[log in to unmask], [log in to unmask],
[log in to unmask], [log in to unmask],
[log in to unmask], [log in to unmask], [log in to unmask],
[log in to unmask], [log in to unmask],
[log in to unmask], [log in to unmask],
[log in to unmask], [log in to unmask], [log in to unmask],
[log in to unmask], [log in to unmask]
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This is to inform you that my email address is changed as of 3/22/99.
It will be [log in to unmask]
I am sorry for any inconvenience this will cause.
Gladys Mason
NCDHHS DMCH Nutrition Services
P O Box 10008
Raleighn NC 27605
919/715-0645
=========================================================================
Date: Fri, 19 Mar 1999 17:46:36 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Sue Debelack <[log in to unmask]>
Subject: Re: LACTNET Digest - 18 Mar 1999 - Special issue
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unsubsribe
[log in to unmask]
=========================================================================
Date: Fri, 19 Mar 1999 18:05:09 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathleen Bruce <[log in to unmask]>
Subject: one person's opinion on autism...
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This from one of our subscribers...
" I wanted to comment on the autistic child and
breastfeeding. I believe it is imperative that the child continue to
breastfeed, from the child's point of view.
I have an autism spectrum disorder and physical contact for me can be
very difficult. I wasn't breastfed and didn't have a lot of touch
while growing up, because of my family situation, not because of me.
I can hold my babies in large part because I am breastfeeding them and
that has enabled me to make a physical connection from the beginning
of their lives. They also aren't a "threat".
Autistic people can shut out disturbing stimuli but they should learn
to do it by reaching out to people, not just retreating.
I only post this anonymously because there is still a lot of
misunderstanding on what autism is, and what it entails. Some of us
are verbal, but with limitations on that. "
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont
mailto:[log in to unmask]
LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
=========================================================================
Date: Fri, 19 Mar 1999 18:11:26 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: Re: Serotril
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Any Canadians familiar with the diet product Serotril (containing hypericum
perforatum, inosontol hexanicotinate and pantothenic acid)? I was contacted
by a concerned grandmother. Mother breastfeeding a 4 week old and taking this
diet product along with a low fat, no carbo diet. Hx of multiple allergies in
family, infant has already had intestinal surgery.
Counseled the g'ma on adequate caloric intake to maintain lactation, etc. But
cannot find info on inosontol hexanicontinate anywhere. (Dr. Jack and Tom
Hale have been contacted by g'ma also.)
TIA,
Kathy Parkes, RN, IBCLC
San Antonio, TX
=========================================================================
Date: Fri, 19 Mar 1999 15:45:32 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Johnson, Martha (PHMG)" <[log in to unmask]>
Subject: BFDG legislation for Oregon
Comments: cc: "[log in to unmask]" <[log in to unmask]>
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Dear Lactnetters,
I am SO EXCITED!!!!!!! Oregon has two pieces of breastfeeding legislation
that have both been referred to committee. SB 743 deals with bfdg in the
workplace. It is similar to the Maloney bill, tho not quite as
comprehensive. Includes basic provisions for unpaid break time and a
private place to nurse or pump (other than the bathroom). SB 743 states a
woman has the right to nurse her child in public. SB743 will have its first
hearing Monday 3/22 at 0800 in Salem, and we need people to testify. I you
live in OR, PLEASE contact your state Senator ASAP (you can find out who
s/he is by calling your County Elections Division, if you don't know). Tell
them to support this ESSENTIAL legislation.
I am enclosing a file with my <<Letter to Ed for SB 743 and 744>> letter
to the editor in support of these bills. Please modify, edit, and send to
your own local Oregon paper.
Ifyou want to get on the email list for further Oregon legislative alerts,
email to [[log in to unmask]].
Thanks From
Martha johnson RN IBCLC
In SUNNY! Eugene, Oregon
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------_=_NextPart_000_01BE7262.94633566--
=========================================================================
Date: Fri, 19 Mar 1999 18:55:38 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathy Dettwyler <[log in to unmask]>
Subject: autism and breastfeeding
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
I have posted privately to the original poster about a good friend of mine
who is a special education specialist and the mother of a 12 year old
autistic son who breastfed for many many years. He is not verbal, but does
allow and even welcome physical interaction -- probably because of the years
of breastfeeding.
I was also delighted to see the post from one of our fellow LactNetters who
has a form of autism. "Autism" as a term can refer to a wide range of
outcomes, from people who are non-verbal like my friend's son, to people
like Dr. Temple Grandin. Dr. Grandin is a professor of animal science at
Colorado State, does research on designing cattle-holding and moving
facilities for slaughterhouses, and is the author of several wonderful books
on autism. My personal favorite is "Thinking in Pictures: Stories of My
Life With Autism." I highly recommend it to anyone, both because it is a
rare glimpse into the mind of a differently-brilliant person and because it
helps explain some of the many wonderful ways that our brains work. On the
continuum from completely abstract/thinking-in-words to completely
concrete/thinking-in-pictures, I am way over on the "thinking in pictures"
side, and this book helped me understand both how I think (in pictures and
videotapes) and that other people don't necessarily think like this. I had
the opportunity to meet Dr. Grandin last year and hear her speak, once to
parents of "handicapped" children and again about "different ways of thinking."
Kathy Dettwyler
=========================================================================
Date: Fri, 19 Mar 1999 21:31:54 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: G Hertz <[log in to unmask]>
Subject: Re: Because & AAARRRGGGHH!
MIME-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
Content-Transfer-Encoding: 7bit
Hang in there... I'm working on it - (teaching doctors about breastfeeding,
that is)
Gail
[rose colored glasses and bucket in hand]
Gail S. Hertz, MD, IBCLC
Resident, Dept. of Pediatrics
PSGHS Children's Hospital
Hershey PA
[log in to unmask]
=========================================================================
Date: Fri, 19 Mar 1999 22:15:45 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: PrMechell Roberts Turner <[log in to unmask]>
Subject: Re: LACTNET Digest - 19 Mar 1999 - Special issue
MIME-Version: 1.0
Content-Transfer-Encoding: 7bit
Content-Type: text/plain; boundary="----------------------------";
charset="iso-8859-1"
for all ; hypericum perferatum is st. john's wort. inositol is most likely
an amino acid as it is included in b complex vitamins ( found it in a 1994
PDR) with these. should be fine for mom to take. 10 mg is a low dose next to
what is in the vitamin dosages.
Mechell Turner. M.Ed. IBCLC, CCE, student nurse
-----Original Message-----
From: Automatic digest processor <[log in to unmask]>
To: Recipients of LACTNET digests <[log in to unmask]>
Date: Friday, March 19, 1999 6:54 PM
Subject: LACTNET Digest - 19 Mar 1999 - Special issue
=========================================================================
Date: Fri, 19 Mar 1999 22:39:11 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: lorri <[log in to unmask]>
Subject: Re: Bf in Yellow Pages Alert
Comments: To: Karen Zeretzke <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit
This was also done in Southern Maine but no one contacted those folks
advertising under that category that this was bring done. Nice, huh?
> -----Original Message-----
> From: Karen Zeretzke [mailto:[log in to unmask]]
> Sent: Friday, March 19, 1999 9:50 AM
> Subject: Re: Bf in Yellow Pages Alert
>
>
> My yellow page rep called me last week to announce that in this region,
> which includes LA, MS, AL, GA, KY, TN, NC, SC and FL, the heading in the
> yellow pages "breastfeeding" is being eliminated b/c it is ''too
> specific''. She thinks my business would fit best in "medical
> services" or
> "surgical supplies". HUH????? Hey, most of my income is from hands-on bf
> consults!
>
> If you live in one of these areas, and feel you would like to protect that
> heading, NOW is the time to contact your local yellow page representative
> and protest.
>
> This decision was apparently made by someone (I haven't been able to get
> the name) in Birmingham, AL.
>
> Karen Zeretzke, MEd, IBCLC in private practice in
> Baton Rouge, Louisiana, where roadblocks come in all sizes and shapes.....
> [log in to unmask]
> http://www.prairienet.org/laleche/bfcost.html
>
=========================================================================
Date: Fri, 19 Mar 1999 19:46:35 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathleen Huggins <[log in to unmask]>
Subject: Echinacea
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Good evening! A mother wrote to me asking about the safety of echinacea
while breastfeeding because she had read that it could be a problem. When
I asked her where she had seen this she replied, "There was a small article
in the recent issue of Mothering magazine that said, "New studies reported
in JAMA show that they (pregnant or nursing women) should avoid echinacea,
senna, goldenseal, comfrey, and licorice." It was on page 31 called Herb
Alert."
Has any one else seen this? Sort of hard to imagine!
Kathleen Huggins
=========================================================================
Date: Fri, 19 Mar 1999 21:51:45 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jeanne Mitchell <[log in to unmask]>
Subject: Re: Bf in Yellow Pages Alert
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit
I would fight back hard on this one. The Yellow Pages expect quite a
lot of money and *you* are the client. You can remove your business
from their domain. Refuse to be placed where your clients will not find
you.
Do they intend to remove Childbirth Education, Birth Centers and
Midwives as well? Our area yellow pages has a category for each of
these AND for Breastfeeding.
Sounds to me like someone just doesn't like the "B" word! Remember, you
are the consumer.
--
Jeanne Mitchell, Austin, TX
http://www.flash.net/~xanth/home.htm
mailto:[log in to unmask]
"You can tell the quality of a person by how
they treat people they don't need." My Dad
=========================================================================
Date: Fri, 19 Mar 1999 21:06:16 PST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: laurie wheeler <[log in to unmask]>
Subject: song and dance on supplementation
Mime-Version: 1.0
Content-type: text/plain
Lactnuts
In my part of the world this wish to breast and formula feed from day
one is fairly common. If the family has come to a prenatal class this is
usually not a desire as they have been educated about the undesirability
of this. I go thru the whole spiel about exclusive bf, consequences of
suppl. etc. when I meet the mom in labor if she has had no prenatal
prep. We have an infant feeding preference card which they fill out
prenatally (check off if you want no water given, no pacifiers, no free
samples, or you do want that given) and this card gives a very brief
paragraph on advantages and disadvantages of all of this. I do not find
this is adequate at all. I try to help with whatever difficulty the mom
is having and I go thru the whole song and dance when on day 2 she says
she wants to breast/bottle feed.
What I am asking is this: is there a written booklet, handout sheet,
whatever that deals with this? What I am ready to do is say here, read
this and let me know your decision (because I have already gone thru it
all with her). We do not have signed, informed consent - yet - altho one
of our mgrs has talked about this after she went to a bf conference.
Any suggestions? Can you tell I had a bad week with lots of
mismanagement to fix and bf challenges? Oh well, I know that's what I'm
there for!
Laurie Wheeler, RN, MN, IBCLC
Violet Louisiana, USA
mailto:[log in to unmask]
Get Your Private, Free Email at http://www.hotmail.com
=========================================================================
Date: Sat, 20 Mar 1999 00:24:51 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: Re: oral thrush
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit
Lisa/Anne:
A very close adult friend fo mine had oral thrush... white coated
uncomfortable and painful.
Patricia
=========================================================================
Date: Sat, 20 Mar 1999 03:14:36 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: jon&nola westphal <[log in to unmask]>
Subject: labor analgesia
MIME-Version: 1.0
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To MD's practicing OB
I've searched but can't find anything comparing different labor analgesia
and bf outcomes. Specifically fentanyl vs. nubain. It seems as if the
moms that receive nubain have more problems with infant latch on and
sleepiness, than those who receive fentanyl during labor. In your
experience, are any better or worse?
Nola Westphal, MD
=========================================================================
Date: Fri, 19 Mar 1999 23:45:05 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jerry & Jacie Coryell <[log in to unmask]>
Subject: Re: Ezzo
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A dear friend of mine, retired LLL Leader and now a midwife, went to the
pastor of her church and flat out told him about the Ezzo method and said
that she and her large and very involved family would leave the church if
they even considered using it. The pastor, a youngish man with a
breastfeeding wife, assured her that it would never come into his church. I
do have to say that this is the most breastfeeding friendly church I've ever
been in, the sounds of slurping babies competes with the choir!
Jacie in Albuquerque, New Mexico, where we had another snow storm last
night and today it was warm enough to go without a sweater.
=========================================================================
Date: Sat, 20 Mar 1999 03:36:38 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cindy Neary RN <[log in to unmask]>
Subject: Re: breastfeeding causing enterocolitis (long)
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I may be well behind the information curve on this one, but I remember someone
posting recently that a pediatric GI specialist had told a mother that her
baby's colitis was being caused by her breastmilk.
At the time I was incredulous, but today I just finished reading the Academy
of Breastfeeding Medicine newsletter Vol. 4 #4 (great issue by the way) and
they had a very interesting article on Breastfeeding and allergic disease
which cited research references for atopic dermatitis and enterocolitis caused
by breastfeeding!
Two possible pathways were hypothesized: 1) "derangements in the types of
polyunsaturated fatty acids" in the breastmilk ; and 2) the presence of
dietary food allergens in the breastmilk. (I think most people can agree to
#2)
I had never heard of the first theory and it is briefly mentioned that
children with atopic dermatitis improved with oral supplements to baby of
primrose oil that contains a mixture of polyunsaturated fatty acids. No dose
was given. *
After re-reading the article I'm not sure if the authors were regarding the
atopic dermatitis and enterocolitis as being part of the same allergic
manifestation or different manifestations of allergic response with different
suggested pathways. Maybe someone else on Lactnet can clarify?
The specific references cited for theory 1 * are: (15 references are cited
in all)
1. Goldman AS, Kantak AG, Ham Pong A. Food hypersensitivities: Historical
perspectives, diagnosis and clinical presentations. In: Brostoff J,
Challacome
SJ, eds, Food Allergy and Intolerance, 2nd ed. United Kingdom: Bailliere-
Tindall, W.B. Saunders Publ. 1999; in press.
2. Hanson LA, Breastfeeding provides passive and likely long-lasting active
immunity. Ann Allergy Asthma Immunol. 1998:81-523-537
3. Hattevig G, Kjellman B, Sigurs N, et al Effect of maternal avoidance of
eggs, cow's milk and fish during lactation upon allergic manifestations in
infants. Clin Exp Allergy, 1989:19:27-32
4. Isolauri K, Tahvanainen A, Peltola T, Arvola T, Breast-feeding of allergic
infants. J. Pediatr. 1999;134:27-32
5 Hansen AE, Knott EM, Wiest HF, Shaperman E, McQuarrie I. Eczemz and
essential fatty acids. Am J Dis Child 1947;73:1-18
6. Biagi PL, Bordoni A, Masi M, Ricci G, Panelli C, Patrizi A, Ceccolini E.
A long term study on the use of evening primrose oil (Efamol) in atopic
children. Drugs Under Exptl Clin Res. 1988;14:285-290.
Cindy Neary RN
=========================================================================
Date: Sat, 20 Mar 1999 08:45:21 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: heather <[log in to unmask]>
Subject: prenatal preference card
Comments: cc: laurie wheeler <[log in to unmask]>
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Laurie Wheeler writes:
"We have an infant feeding preference card which they fill out
prenatally (check off if you want no water given, no pacifiers, no free
samples, or you do want that given) and this card gives a very brief
paragraph on advantages and disadvantages of all of this. I do not find
this is adequate at all. "
I am sure you don't, Laurie!
Now I am curious: *what* advantages does the card list for water, pacifiers
and free samples???
Heather Welford Neil
NCT bfc Newcastle upon Tyne UK
=========================================================================
Date: Sat, 20 Mar 1999 06:45:46 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Esther Wiles <[log in to unmask]>
Subject: Another reason not to use formula
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News release from Flatrock, Michigan.
3/19 Two people arrested for stealing $1200 dollars worth of powdered
formula. They were using it to cut the strength of cocaine for street
use.
Enough said. Esther RN, IBCLC. from Michigan
=========================================================================
Date: Sat, 20 Mar 1999 07:32:11 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Richard Weston <[log in to unmask]>
Subject: Sterilzation of Breastpump Parts
Comments: To: DebrA kURTZ <[log in to unmask]>,
Brian Silver <[log in to unmask]>
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Hi everyone
I've been nomail for a while and just picking up the information on
sterilization. This is a very interesting subject and we have been
discussing this for years. The instructions that we include with Breastpu=
mp
kits are very conservative. The reason for this is that we don't know whe=
re
geograhically our kits will be used. We also don't know for what conditio=
ns
they will be used for. For example the kit may be used for a premature
infant, perhaps with an immune system that is compromised. Another exampl=
e
might be that the kit is being used in an area that does not have a safe
water supply. =
Safety is our primary concern so we must set the bar high to insure safe
usage in ALL situations. The manufacturers instructions should be used in=
most cases. You might want to check with your infection control departmen=
t
or local health department and make sure to record or get written
information that you can keep on file as a reference for deviations from
these standards.
Richard Weston, Sales Mgr.
Medela Inc. USA
=========================================================================
Date: Sat, 20 Mar 1999 08:20:24 -0500
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From: Lori McIrvin <[log in to unmask]>
Subject: We can all make a difference!
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I've seen this one a couple of times and it's always
worth sharing. Esp with anyone who can make an impact
on a young persons life.
> LITTLE TEDDY STODDARD
>
> There is a story many years ago of an elementary
teacher. Her name was Mrs. Thompson. She stood in
front of her 5th grade class on the very first day
of school, and told the children a lie. Like most
teachers, she looked at her students and said that
she loved them all the same. But that was
impossible, because there in the front row, slumped
in his seat, was a little boy named Teddy Stoddard.
Mrs. Thompson had watched Teddy the year before and
noticed that he didn't play well with the other
children, that his
clothes were messy and that he constantly needed a
bath. And Teddy could be unpleasant. It got to the
point where Mrs. Thompson would actually take delight
in marking his papers with a broad red pen, making
bold X's and then putting a big "F" at the top of his
papers.
>
At the school where Mrs. Thompson taught, she was
required to review each child's past records and she
put Teddy's off until last. However, when she
reviewed his file, she was in for a surprise.
Teddy's first grade teacher wrote, "Teddy is a bright
child
with a ready laugh. He does his work neatly and has
good manners...he is a joy to be around."
>
His second grade teacher wrote, "Teddy is an
excellent student, well liked by his classmates, but
he is troubled because his mother has a terminal
illness and life at home must be a struggle."
>
His third grade teacher wrote, "His mother's death
has been hard on him. He tries to do his best but
his father doesn't show much interest and his home
life will soon affect him if some steps aren't taken."
>
Teddy's fourth grade teacher wrote, "Teddy is
withdrawn and doesn't show much interest in school.
He doesn't have many friends and sometimes sleeps in
class."
>
By now, Mrs. Thompson realized the problem and she
was ashamed of herself. She felt even worse when her
students brought her Christmas presents, wrapped in
beautiful ribbons and bright paper, except for
Teddy's. His present which was clumsily wrapped in
the heavy, brown paper that he got from a grocery
bag. Mrs. Thompson took pains to open it in the
middle of the other presents. Some of the children
started to laugh when she found a rhinestone bracelet
with some of the stones missing, and a bottle that
was one quarter full of perfume. But she stifled the
children's laughter
when she exclaimed how pretty the bracelet was,
putting it on, and dabbing some of the perfume on her
wrist.
> Teddy Stoddard stayed after school that day just
long enough to say, "Mrs. Thompson, today you smelled
just like my Mom used to." After the children left
she cried for at least an hour.
On that very day, she quit teaching reading, and
writing, and arithmetic.
Instead, she began to teach children. Mrs. Thompson
paid particular attention to Teddy. As she
worked with him, his mind seemed to come alive. The
more she encouraged him, the faster he responded. By
the end of the year, Teddy had become one of the
smartest children in the class and, despite her lie
that she would love all the children the same, Teddy
became her favorite.
>
A year later, she found a note under her door, from
Teddy, telling her that she was the best teacher he
ever had in his whole life.
Six years went by before she got another note from
Teddy. He then wrote that he had finished high
school, third in his class, and she was still the
best teacher he ever had in his whole life.
Four years after that, she got another letter, saying
that while things had been tough at times, he'd
stayed in school, had stuck with it, and would soon
graduate from college with the highest of honors. He
assured
Mrs. Thompson that she was still the best and
favorite teacher he ever had in his whole life.
>
Then four more years passed and yet another letter
came. This time he explained that after he got his
bachelor's degree, he decided to go a little further.
The letter explained that she was still the best and
favorite teacher he ever had. But now his name was a
little longer-the letter was signed, Theodore F.
Stoddard, M.D.
>
The story doesn't end there. You see, there was yet
another letter that spring. Teddy said he'd met this
girl and was going to be married. He explained that
his father had died a couple of years ago and he was
wondering if Mrs. Thompson might agree to sit in the
place at the wedding that was usually reserved for
the mother of the groom.
>
Of course, Mrs. Thompson did. And guess what? She
wore that bracelet, the one with several rhinestones
missing. And she made sure she was wearing the
perfume that Teddy remembered his mother wearing on
their
last Christmas together.
>
They hugged each other, and Dr. Stoddard whispered in
Mrs. Thompson's ear,"Thank you, Mrs. Thompson for
believing in me. Thank you so much for making me feel
important and showing me that I could make a
difference."
>
> Mrs. Thompson, with tears in her eyes, whispered
back. She said, "Teddy, you have it all wrong. You
were the one who taught me that I could make a
difference. I didn't know how to teach until I met
you."
_________________________________________________________
DO YOU YAHOO!?
Get your free @yahoo.com address at http://mail.yahoo.com
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=========================================================================
Date: Sat, 20 Mar 1999 08:14:06 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: Re: Ezzo/church
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I took the pre-emptive position and gave each of our 4 pastors a copy of
Dr. Aney's packet. Figured it would be better to never let it get in than
to try and play catch-up after it snuck in! So all of them are aware. I
also sent it to my Bishop. The United Methodist Church is having a big
campaign about children in poverty. I hope I can get permission to
distribute the info at annual conference. Sincerely, Pat in SNJ
=========================================================================
Date: Sat, 20 Mar 1999 08:41:43 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: Re: Yellow Pages Ads
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In a message dated 3/19/99 9:08:38 PM Pacific Standard Time, Jeanne Mitchell
writes:
<< I would fight back hard on this one. The Yellow Pages expect quite a
lot of money and *you* are the client. You can remove your business
from their domain. Refuse to be placed where your clients will not find
you. >>
And in my area, there are two colums of ads under the breastfeeding category.
That would mean a loss of at least $500 PER MONTH for the Yellow Pages people.
Money speaks volumes.
Kathy Parkes, RN, IBCLC
San Antonio, TX
=========================================================================
Date: Sat, 20 Mar 1999 10:12:48 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: Re: Echinacea
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Kathleen:
Anne Eglash said today at the conference in wisc. that echinacea is ok. when
bf...
Patricia
=========================================================================
Date: Sat, 20 Mar 1999 10:38:39 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathleen Bruce <[log in to unmask]>
Subject: urban legends
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Although many of these urgan legend internet stories are worth reading, they
are not appropriate for LACTNET. Private email is much more appropriate then
sending it to a list of 2400. Thank you for your understanding. This also
applies to notices of internet viruses.
Many thanks,
Kathleen
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont
mailto:[log in to unmask]
LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
=========================================================================
Date: Sat, 20 Mar 1999 11:09:55 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Joyce Blangiardo <[log in to unmask]>
Subject: Re: Echinacea
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Kathleen,
You asked about a Mothering magazine article that reported on a JAMA study
showing that pregnant or nursing women should avoid echinacea, senna,
goldenseal, comfrey, and licorice.....
Goldenseal is something pregnant women are asked to steer clear of since
berberine has been shown to stimulate uterine contractions in some animal
studies.....and the use of it in pregnancy could potentially cause
miscarriage. Many echinacea preparations include goldenseal. So its the
goldenseal, not the echinacea, that should be avoided.
Joyce Blangiardo RN, LCCE, FACCE, IBCLC
LamazeLady+AEA-msn.com
Long Island, NY
=========================================================================
Date: Sat, 20 Mar 1999 11:52:49 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Purnell, Samantha" <[log in to unmask]>
Subject: Good cleft palate information/Intro
MIME-Version: 1.0
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Hi all! I'm fairly new to LactNet, I guess a lurker!, so let me introduce
myself.
My name is Samantha Purnell, I'm a registered nurse currently doing
telephone triage for the largest hospital system in Delaware (USA), a
wanna-be lactation consultant (the breastfeeding calls I answer are often
frustrating - I'd like to do it more hands on), and already totally addicted
to this list!!
I'm a couple of days behind on my mail, but Maureen had posted about info on
cleft palates and the widesmiles website. I recently searched for info on
this topic as follow-up for a call I had. Most of the information regarding
clefts and breastfeeding was fairly negative and disappointing, but I did
find some really good info at www.cleft.org. Now this is a hospital's web
page - kind of advertising their services, but it sounds wonderful. Go
under "after repair" and at the bottom there is a button specifically for
breastfeeding (that's how I found it anyway). This hospital is doing very
early cleft repairs and talks about how the soft breast is flexible and
ideal for the baby's mouth and that breastmilk is the optimal choice for
feeding a cleft lip/palate baby b/c it is non-irritating to the mucous
membranes if it leaks into the nose, etc. Anyway I think it's worth a
look!! :>)
Samantha Purnell, RN
(nursing mom to Kayla 17 months and aspiring lactation consultant - private
e-mail would be appreciated if anyone has words of wisdom on pursuing
this!!)
[log in to unmask]
=========================================================================
Date: Sat, 20 Mar 1999 18:11:00 +0100
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: =?iso-8859-1?Q?Fran=E7oise_Railhet?= <[log in to unmask]>
Subject: questions
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Dear Jack
Hypericum perforatum is St John's Wort. Used for light depression and as
vasodilatator.
I don't know what is exactly inositol hexanicotinate. Inositol is used as a
peripheric vasodilatator, nicotinate too. But we have here no speciality
with the two together...
Kindly
Françoise Railhet
Manager of the LLL France Medical Associates Program
[log in to unmask]
=========================================================================
Date: Sat, 20 Mar 1999 13:04:41 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathleen Bruce <[log in to unmask]>
Subject: Article "The Critical Importance Of Mothering"
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Does anyone have a copy of "The Critical Importance of Mothering," ? This
was from LLL many years ago.
Email privately. Thank you. Kathleen
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont
mailto:[log in to unmask]
LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
=========================================================================
Date: Sat, 20 Mar 1999 13:17:30 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Katie Allison Granju <[log in to unmask]>
Subject: H*lp! Mom fighting insurance company to pay for donor milk for
very sick baby.
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Anyone know of any likely resources here? Please reply directly to the mom at
[log in to unmask]
Thanks--
Katie
Subj: Hi! I'm a mom fighting to use donor milk for my very sick baby...
Date: 3/20/99 12:19:06 PM Eastern Standard Time
From: [log in to unmask] (emtech)
Reply-to: <A HREF="mailto:[log in to unmask]">[log in to unmask]</A>
To: [log in to unmask]
and meeting a ton of resistance from the insurance company. My daughter
has Krabbe's disease, which is a genetic disorder that demyelinates the
brain. She is one of the first to receive a cord blood transplant, and
so far the only child with early onset and rapid progression to survive
the procedure.
We are seven months out from transplant, and my milk supply has run very
low. Julia's brain needs to remyelinate, the main component of myelin
being fats, only one type of which is found in formulas. We are in the
process of trying to convince the insurance company to pay the
processing fee ($1500/month) for donor milk as opposed to formula. Can
you direct us to ANY research on breastmilk as it benefits myelin
growth? Thank you for any help you can give us.
~Wendy
PS, we have a website on Julia's situation at
http://www.krabbes.com/juliasjourney.shtml
=========================================================================
Date: Sat, 20 Mar 1999 13:25:47 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: April 1999 issue
Comments: To: [log in to unmask]
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Dear Editor,
I would like to compliment you on the positive article on breastfeeding,
entitled "Decent Exposure" by Paula Spencer.
The article is very balanced and points out so many of the advantages of
breastfeeding.
I work as a pediatric nurse practitioner in an area that has few breastfed
babies. It is so sad to see the poor health results of not being
breastfed, the skin rashes, ear aches and asthma. I wish my little
patients' mothers would breastfeed and for a long time, at least a year, as
the American Academy of Pediatrics advises. Breastfeeding and bottle
feeding aren't simply interchangeable. Bottle feeding costs more than just
the formula and bottles. A healthy breastfed baby is a pleasure to care
for and live with. A baby who itches, hurts, or wheezes all the time isn't
much fun to have at home. They require a lot of care and so many more
doctors visits and medicines.
I wish mothers got good breastfeeding information from the hospital and
their health care providers. Thank you for helping to fill the void by
giving mothers good information in this article.
Sincerely, Patricia Young, RN, MSN, CPNP, IBCLC
=========================================================================
Date: Sat, 20 Mar 1999 13:54:52 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathleen Bruce <[log in to unmask]>
Subject: critical impt.
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I have located a copy of the Critical Impt. of Mothering. Thank you in advance.
Kathleen
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont
mailto:[log in to unmask]
LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
=========================================================================
Date: Sat, 20 Mar 1999 11:38:17 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Chris Hafner-Eaton <[log in to unmask]>
Subject: Re: diflucan, long half life implications
Comments: To: Carla D'Anna <[log in to unmask]>
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Carla: Yes, it does have a long half life, but one needs a critical level
to build up; thus, the use of a 400 mg loading dose, with a minimum of 2
weeks daily use of 200mg. The therapeutic effect is not achieved for quite
some time--many patients need more than a week before they even see any
effect if the yeast is deep in the ducts. I would strongly stress that they
not go with a once every 36 hours UNLESS the yeasties have been beaten down
and this is a maintence dose at low levels.
Chris>
=========================================================================
Date: Sat, 20 Mar 1999 13:43:14 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: ruxbunch <[log in to unmask]>
Subject: Standards of Care
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The hospital I work at is up dating it's nursing "Standards of Care". I
have a copy of the current L.C. standards from ILCA, but does anyone out
there have a reference for breastfeeding standards of care for the
hospital staff nurse? Or are you just using a feeding policy? If you
have any standards that you would be willing to share please e-mail me
privately.
Thanks,
Cindy Rux RN, IBCLC e-mail to: [log in to unmask]
Milwaukee, Wisconsin USA
=========================================================================
Date: Sat, 20 Mar 1999 11:48:55 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Chris Hafner-Eaton <[log in to unmask]>
Subject: Re: questions
Comments: To: newman <[log in to unmask]>
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Okay Jack, is this a trick question to test us? Hypericum is just St.
John's Wort, and yes it is considered "safe" for bf unless it's contaminated
with pesticides or fungicides. Inositol Hexnicotinate is a B vitamin part
of the B-complex (and that's a very small dose). Should be no problem.
They are frequently used in combo--although I usually say St. John's/Joan's
wort and B-Complex when I recommend them for depression or anxiety.
Chris
>
=========================================================================
Date: Sat, 20 Mar 1999 11:55:17 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Chris Hafner-Eaton <[log in to unmask]>
Subject: Re: Echinacea, senna, goldenseal, comfrey and licorice
Comments: To: Kathleen Huggins <[log in to unmask]>
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Kathleen: Of Echinacea, senna, goldenseal, comfrey and licorice, echinacea
is the LEAST likely to cause problems! Senna and licorice can cause
diarrhea and dehydration, whereas goldenseal and comfrey can be toxic in
moderate doses because of the way the liver metabolizes them (and immature
livers are more susceptible). One should not continuously take echinacea on
a continuous basis.
Chris
=========================================================================
Date: Sat, 20 Mar 1999 15:07:07 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Robert Cordes DO <[log in to unmask]>
Subject: stupid reasons file
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"A new mom called her, concerned about nursing. She had a fever and had
first talked to her OB about whether or not she could nurse. He told her
that HER MILK WOULD BE HOT AND WOULD SCALD THE BABY'S MOUTH! He told her to
express her milk into a cup and cool it down, and then give it to her baby!
AAAARRRRGGGHH!!!!"
Why did this mom ask an OB about what her child is being fed? Did she ask
the OB about when to start solids?
Get my point?
Come to think of it I did once see a baby for the 2 week well visit and
first question I was asked was how soon the parents could have intercourse
again.
Since everyone probably will ask me, I said "its usually about 6 weeks but
you should ask the OB" to which mom and dad just looked at each other.
-Rob
Rob Cordes, DO, FAAP, FACOP
Wilkes Barre PA
mailto:[log in to unmask]
=========================================================================
Date: Sat, 20 Mar 1999 15:20:45 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Nikki Lee <[log in to unmask]>
Subject: Ghosts from the Nursery
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Dear Friends:
This is a new favorite book of mine, written by Robin Karr-Morse and Meredith
S. Wiley. The subtitle is Tracing the Roots of Violence. Atlantic Monthly
Press, 1997.
In the analysis that goes on to try and figure out the big WHY after a young
child (case in point: "a 4 year old who climbed into a crib in his
grandmother's day care center and stomped an eight-week-old baby to death") or
teen goes wild and kills people, there is a piece left out: the first 33
months after conception, which are a critical element in the development of a
person. Trauma and neglect and abuse during this time are not the only reason
very young children kill; however, they are implicated as part of the cause.
Fascinating and horrifying reading. Warmly, Nikki Lee
=========================================================================
Date: Sat, 20 Mar 1999 15:32:16 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Robert Cordes DO <[log in to unmask]>
Subject: E
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Is "Ezzo" pronounced with a long E or short E ?
-Rob
=========================================================================
Date: Sat, 20 Mar 1999 14:30:50 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jeanne Mitchell <[log in to unmask]>
Subject: Re: E
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Short E. Ezzo as is Eggs.
--
Jeanne Mitchell, Austin, TX
http://www.flash.net/~xanth/home.htm
mailto:[log in to unmask]
"You can tell the quality of a person by how
they treat people they don't need." My Dad
=========================================================================
Date: Sat, 20 Mar 1999 14:34:05 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jeanne Mitchell <[log in to unmask]>
Subject: Re: stupid reasons file
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> I was asked was how soon the parents could have intercourse
> again.
>
<chuckle> I haven't known too many couples who waited until their doctor
gave them permission. When my doc said it was okay to resume
intercourse at my six-week postpartum check, I just blushed becomingly
and said, "okay".
--
Jeanne Mitchell, Austin, TX
http://www.flash.net/~xanth/home.htm
mailto:[log in to unmask]
"You can tell the quality of a person by how
they treat people they don't need." My Dad
=========================================================================
Date: Sat, 20 Mar 1999 15:50:21 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Maurenne griese <[log in to unmask]>
Subject: Telephone Business Ads
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In my area, there are two telephone directories. One had the option to use
Lactation Services or Breastfeeding as a heading (surprisingly it was
SWBYPs), the other did not. Guess which one I chose to advertise in two
years ago? I also sent a letter stating specifically why I did not place
an ad in the one that did not have this option. Would you believe they
were calling me AGAIN this year wanting to advertise in their directory. I
told them no and I told them why AGAIN. Some people just don't listen.
Maurenne Griese, RNC, BSN, CCE, CBE
Birth and Breastfeeding Resources http://www.childbirth.org/bbfr
Manhattan, KS USA
[log in to unmask]
=========================================================================
Date: Sat, 20 Mar 1999 16:48:26 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: newman <[log in to unmask]>
Subject: children in poverty
Comments: To: Patricia Young <[log in to unmask]>
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Pat,
Maybe it would be good to remind them of how important breastfeeding is when
children live in poverty.
Jack Newman, MD, FRCPC
=========================================================================
Date: Sat, 20 Mar 1999 16:53:26 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Janet Vandenberg <[log in to unmask]>
Subject: Cat ate it
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I had a new variation on "The dog ate my homework" today. A mum
called the postpartum floor while I was doing my LC rounds. She has
been using a feeding tube to supplement her 10 day old at the breast
and she wanted to know where to get another tube because "the cat
ate the tube".
Not funny really, but unusual. Of course I strongly encouraged her
to come in to the clinic and get the baby assessed, consider herbs
or meds to increase her milk etcetera. She had been given the
feeding tube at the Peds for "not enough milk" and no further
follow-up. Baby is getting 8 oz. of ABM per day at the breast. She
thinks she saw an LC at the Peds office but just the one visit.
Yikes. Hope she comes in but we'll see.
--
Janet Vandenberg, RN, BScN, IBCLC
Newmarket, Ontario, Canada
[log in to unmask]
=========================================================================
Date: Sat, 20 Mar 1999 17:18:41 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: The Ekins <[log in to unmask]>
Subject: Columbus OH billboard
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Was in downtown Columbus a couple weeks ago and saw the OLCA billboard
about feed your baby anytime, anywhere. It's terriffic!!
I'd like to talk with someone who worked on that project - can that
billboard graphic be purchased somewhere?
Polly Ekin
[log in to unmask]
=========================================================================
Date: Sat, 20 Mar 1999 14:14:43 PST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: laurie wheeler <[log in to unmask]>
Subject: infant feeding preference card (long)
Comments: To: [log in to unmask]
Mime-Version: 1.0
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Heather
I will summarize the paragraphs:
BF - advantages (perfect nutrient, resists infection, matures gut,
asists digetstion, reduces allergy; oxytocin helps uterus; helps use fat
stores; free, no preparation, stools no odor and don't stain, many
mothers find bf relaxing and rewarding)
BF - disadvantages (some nipple tenderness, leaking, babies normally
feed more often than formula fed, cannot see how much they are getting
and must rely on other means to measure; there are NO known disadv. to
infant).
BF w/ suppl - advantages (allows baby to receive nutrients if he is
unable to nurse or if mother is separated from baby; {now, wouldn't this
make you want to check this option?? you wouldnt want your baby to
starve if he couldnt bf?? To me this equates formula suppl with ebm fdg
and that is not right! LW}
BF w/ suppl - disadv (engorgement, reduced milk supply, baby does not
nurse well, nipple conf., poss allergic reactions)
Formula - adv (nutrients as close to br milk as poss, others can feed
baby, some mothers find it less inhibiting or embarrasing, can see the
amt given, feed less often, )
Formula - disadv (LACK substances to help infection, mature gut, aid
digestion, etc; expensive; bottle prep, sanitation, etc; stools have
odor; engorgement and leaking can still occur)
The categories to check are: br. milk only; br. milk w/ water; br. milk
w/ glucose water; br. milk w/ formula; formula only. You can also check
pacifier or not, and formula sample or not.
Heather, you can see that they really do not get into the water, formula
samples or pacifier issues at all. How frustrating! I was asking my boss
to completely revise these, but I think I will ask can we just toss them
out.
Laurie Wheeler, RN, MN, IBCLC
Violet Louisiana, USA
mailto:[log in to unmask]
Get Your Private, Free Email at http://www.hotmail.com
=========================================================================
Date: Sun, 21 Mar 1999 01:08:24 +0200
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Pamela Morrison IBCLC <[log in to unmask]>
Subject: Katies message re. donor breastmilk
Mime-Version: 1.0
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Regarding the mom who is fighting the insurance company to get donor
breastmilk for her very needy daughter - has she not considered building up
her *own* milk supply? If her supply has "run very low", perhaps it can be
re-stimulated. The benefits the baby would receive from having her *own*
mother's (age-appropriate, antibody-specific) milk, and the stress her mom
would unload by *not* needing to fight with the insurance company, would be
worth the time and effort, would it not?
Pamela Morrison IBCLC, Zimbabwe
mailto:[log in to unmask]
=========================================================================
Date: Sat, 20 Mar 1999 18:11:52 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: breastfeeding an autistic child
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Although I missed the original post, I have been reading with great interest
the Lactnetters comments on the autistic child. My son was diagnosed as
autistic at two years of age. At that time, he was 'still' nursing; it was
the only way we could communicate. He could not speak, could not control his
behavior, and could not make eye contact. Yet the doctors recommended I wean
him immediately. They couldn't tell me why, only that because nursing 'wasn't
helping the situation'. I resisted; how could I take away the only thing that
he truly enjoyed, the only way he could tell me that he loved me, and that I
loved him?
To make a long story short, William self-weaned two years ago, on his fourth
birthday, when he patted my breast and announced "all done". He is a loving,
affectionate child, speaks a few words now, makes eye contact, and is learning
new things everyday. There are so many times when mothering an autistic child
can be such a lonely, sad, and exhausting experience. All I can say is that
mom should keep nursing as long as she and her baby want to. I don't think
William or I would have survived if we hadn't.
Barbara Ash, MA, IBCLC
Burke, VA
=========================================================================
Date: Sat, 20 Mar 1999 18:20:00 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: Re: echinacea - new studies?
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Haven't seen the Mothering magazine article but this is indeed curious -
"New studies reported
in JAMA show that they (pregnant or nursing women) should avoid echinacea,
senna, goldenseal, comfrey, and licorice."
Regarding these herbs: would very much like to know more about these "new
studies" or even old studies, or even old animal studies.
A review is not a "new study" - it is not even an anecdotal report/case
history. Still waiting for new studies about herbs and lactation but only
animal studies, and they are very very few and far between.
Sheila Humphrey
BSc RN IBCLC
[log in to unmask]
=========================================================================
Date: Sat, 20 Mar 1999 18:21:03 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: Re: April 1999 issue
Comments: To: Theresa Chmiel <[log in to unmask]>
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Oh well, I just thought you'd all see the address I send it to -
wrong............Parenting <gasp!> April 1999
P.S. the mag has changed alot. Maybe has something to do with Dr Sears
being a big contributor to their content!
Sincerely, Pat in SNJ
=========================================================================
Date: Sat, 20 Mar 1999 18:24:19 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: busy day
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Can you all tell I've been cleaning my house and doing my income tax today
? :-) Nighty, night. Pat in SNJ
=========================================================================
Date: Sat, 20 Mar 1999 19:29:32 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Pearl Shifer <[log in to unmask]>
Subject: Re: autism, not lactation related(info request on ABA treatment)
is anyone who is familiar with autism also familiar with the ABA behavior
mod treatment? Please email me privately.
thanks.
Pearl Shifer, IBCLC
NYC
mailto:[log in to unmask]
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Date: Sat, 20 Mar 1999 19:36:43 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Cyndi Egbert, ICCE" <[log in to unmask]>
Subject: Ezzo Again
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In a message dated 3/20/99 3:05:09 PM Eastern Standard Time,
[log in to unmask] writes:
> I took the pre-emptive position and gave each of our 4 pastors a copy of
> Dr. Aney's packet. Figured it would be better to never let it get in than
> to try and play catch-up after it snuck in! So all of them are aware. I
> also sent it to my Bishop. The United Methodist Church is having a big
> campaign about children in poverty. I hope I can get permission to
> distribute the info at annual conference. Sincerely, Pat in SNJ
Wanted to let y'all know that there is a new anti-Ezzo resource that I found
very helpful. It's at
http://www.geocities.com/Heartland/Ridge/1989/gfi/warning.html if anyone is
interested in checking it out.
Cyndi Egbert, ICCE
Lamentations 4:3,4 Even the jackals present their breasts to nurse their
young; But the daughter of my people has become cruel, like ostriches in the
wilderness. The tongue of the infant clings to the roof of its mouth for
thirst...
Breastfeeding Bible Study- http://members.aol.com/davdme/bfbible.htm
=========================================================================
Date: Sat, 20 Mar 1999 22:17:08 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: G Hertz <[log in to unmask]>
Subject: nipples - another reeason not to give formula packs, etc.
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Our hospital is now looking at a policy of recording all formula lot
numbers on "dispensed" formula - to be able to contact moms when a recall
occurs. There was also a quick article in one of the peds journals about
reusing those disposable nipples [you know like the formula companies and
hospitals give to parents] Apparently, a mom had reused one of these
nipples and a piece broke off and after a choking spell, they couldn't find
it. after xray and bronchoscopy they didn't find it - they then did
endoscopy and retrieved the nipple piece from the 3 month old's esophagus.
we're thinking of obtaining signed informed consent regarding handing out
the "formula advertising packs" between the formula recalls and the nipple
problem...
Archives of Pediatrics and Adolescent Medicine
vol.153 March 1999
page 312
Gail
Gail S. Hertz, MD, IBCLC
Resident, Dept. of Pediatrics
PSGHS Children's Hospital
Hershey PA
[log in to unmask]
=========================================================================
Date: Sat, 20 Mar 1999 22:30:35 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: G Hertz <[log in to unmask]>
Subject: nice nipple story
MIME-Version: 1.0
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With the last snow in PA we actually had enough to build a life size snow
person - so of course my 5 year old and I were outside in the snowstorm
building a snowmom. I put B cup size "nursies" [my daughter's term for
breasts] on the snowmom and turned around to find my daughter putting tiny
snow balls on the breasts. I asked what she was doing and she said in an
impatient voice "Mom, nipples are important!"
It snowed so hard that by dark the snowmom was a D-cup and by bed time an E
cup.
Alas, the next day it was in the high 40's - we'll build again next year!
Gail
Gail S. Hertz, MD, IBCLC
Resident, Dept. of Pediatrics
PSGHS Children's Hospital
Hershey PA
[log in to unmask]
=========================================================================
Date: Sat, 20 Mar 1999 22:42:15 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Amanda Copeland, IBCLC" <[log in to unmask]>
Subject: bf on tv
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I was reading my Lactnet posts tonight with my television on in the
background. It was tuned in to MSNBC and the show "Time and Again" was on.
It is a program that shows many past interviews (done by NBC personalities) of
the person in the spotlight. Tonight the subject of the show was Gwyneth
Paltrow. Her mom is Blythe Danner ( you non-U.S. citizens may not even know
these people). They were showing an interview that Gene Shallot had done with
Blythe Danner in April, 1979. They were discussing how Ms. Danner had really
upset the crew of her most recent film by insisting on keeping her babe
(Gwyneth) with her so she could listen and watch for her feeding/hunger cues.
Mr. Shallot commented on how some of the crew were aghast that she was still
BFing a ONE YEAR OLD (how dare she !) and then stated that she had caused
somewhat of a controversy and were there truly any benefits at that age.
To my delight, Ms. Danner just smiled and her eyes lit up as she briefly
described the incredible bonding that goes on with BFing AND how healthy and
independent her baby was becoming. She also stated how babies continue to
need mom even AFTER that one yr. birthday. This is not incredibly earth-
shattering, but it really made my evening! Glad I just happened to have my
t.v. on when they showed that!
Amanda Copeland, IBCLC
Griffin, GA
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Date: Sat, 20 Mar 1999 23:01:12 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kirkham <[log in to unmask]>
Subject: Cat ate it
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Janet , I couldn't resist laughing. This is one of my favorite lines when
summing up a visit with a mom needing this device. "I'll give you an extra
one in case the cat gets it or something. I'd like to see you later this
week (or I'll call)... No, you can't buy them in drugstores. If you are
needing the tube by next week then you really need to see someone to help
you work on the breastfeeding anyway, right?"
The other one I use is: "here's an extra in case it falls into the toilet or
something" This is more likely to happen in the middle of the night, believe me!
Anne Kirkham
Toronto
=========================================================================
Date: Sat, 20 Mar 1999 23:35:31 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cindy Curtis <[log in to unmask]>
Subject: Looking for Article
MIME-Version: 1.0
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Hello,
I am looking for Mothering" summer of 1988 page 68 "Herbal
Remedies and The Breastfeeding Mother". Does anyone happen to have this
article or can anyone tell me how to get in contact with Mothering Mag?
thanks!
Cindy
Cindy Curtis,RN,IBCLC
mailto:[log in to unmask]
http://www.erols.com/cindyrn
=========================================================================
Date: Sat, 20 Mar 1999 23:39:23 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cindy Curtis <[log in to unmask]>
Subject: breastfeeding after breast cancer
MIME-Version: 1.0
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I am in search of some articles to share with some of my colleagues about
breastfeeding after breast cancer. I recently had a mom with a right
mastectomy with reconstruction and a left breast with a saline implant. My
colleagues say that she should NOT nurse at the left breast because this can
cause the regrowth of cancer cells. This isnt even the breast she had cancer
in, shes not nursing that side at all because it has no mammary tissue left.
The archive search didn't turn up anything about this I need actual
references, preferably articles to supply these nurses with, please help if
you can!!!!!! TIA!!!
Cindy
Cindy Curtis,RN,IBCLC
mailto:[log in to unmask]
http://www.erols.com/cindyrn
=========================================================================
Date: Sun, 21 Mar 1999 00:46:37 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: newman <[log in to unmask]>
Subject: breastfeeding after breast cancer
Comments: To: Cindy Curtis <[log in to unmask]>
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Oh, where are their studies to show that breastfeeding makes a breast cancer
more likely to recur? Give me a break.
Jack Newman, MD, FRCPC
=========================================================================
Date: Sun, 21 Mar 1999 00:07:49 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Theresa Chmiel <[log in to unmask]>
Subject: Re: nice nipple story
Comments: To: G Hertz <[log in to unmask]>
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I LOVE IT! Aren't kids wonderful? Mine sure help remind me of the
important things. Like my 6 yo son when his 3 week old sister was
impatiently fussing at the breast and I was having difficulty latching her
on. He said (matter-of-factly like "duh"), "Mom, just wait till she opens
REAL WIDE and stick it in!" Thanks, bud, I forgot! :-)
Theresa Chmiel
Pensacola, FL
P.S. my two-yo son breastfeeds his "babies" with excellent technique, but
only when he's being the mommy 'cuz daddys don't feed the babies
=========================================================================
Date: Sun, 21 Mar 1999 04:14:07 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Helen M. Woodman" <[log in to unmask]>
Subject: New Book
Comments: To: [log in to unmask]
Mime-Version: 1.0
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Have in my hands, hot off the press, a new book called 'Feeding Our Babies' by
Priya Vincent. It explores the traditions of breastfeeding around the world.
I am nomail at the moment, contact me privately if you want more info.
Helen Woodman, Storrington, West Sussex UK
mailto:[log in to unmask]
=========================================================================
Date: Sun, 21 Mar 1999 09:14:03 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: heather <[log in to unmask]>
Subject: feeding preference card
Comments: cc: laurie wheeler <[log in to unmask]>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Yes, Laurie, I can certainly see why you feel the wastebin is the best
place for this...
Heather Welford Neil
NCT bfc Newcastle upon Tyne UK
=========================================================================
Date: Sun, 21 Mar 1999 07:26:41 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: Re: breastfeeding after breast cancer
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Dear Cindy, as far as I know the reason not to nurse on the affected side
(if no mastectomy-as this mom had) would be because radiation would have
changed the internal structure of the breast and the affected side is then
more likely to get plugged ducts and/or mastitis. I had a mom who had
lumpectomy on one side with radiation. She used that breast when nursing
her first baby and found it made less milk and the mastitis did become
problematic. so she basically weaned from the affected side and nursed
with her remaining, non cancerous breast. She didn't have the problem of
the saline implant, which may or may not cause decreased supply r/t the
implant. If supply is Ok I say go for it.
I think what the nurses are referring to is the higher chance that she will
get br ca in the remaining breast. But I believe the nursing would be
protective. The fact that this woman has premenopausal br ca is the big
problem, not that she is breastfeeding. Premenopausal br ca seems to be
more aggressive and frequently reoccurs or shows up elsewhere.
I learned all this at a conf at Mt. Sinai in NYC. Sorry I can't remember
the breast surgeon's name or find my conf notes. Maybe someone else can
help.
Sincerely, Pat in SNJ
=========================================================================
Date: Sun, 21 Mar 1999 07:29:02 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: Re: bf on tv
MIME-Version: 1.0
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I believe breastfed Gwyneth is up for an Oscar tonight! Sincerely, Pat in
SNJ
=========================================================================
Date: Sun, 21 Mar 1999 07:45:30 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathleen Bruce <[log in to unmask]>
Subject: cost of formula feeding
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Oh Gail....This note makes me wanna shriek. (nothing personal, of course).
I cannot help but think that the cost of recording the lot numbers, doing
the procedures necessary to recover the piece of teat, etc, would have the
hospital administrators SCREAMING in the halls of the hospital......
How come Diflucan is too expensive for a breastfeeding mother, but the
complex system of formula recall with its FINANCIAL COST AND POTENTIAL
RISKS, is not too expensive? Why not just not give it out?
See,..? It isn't that things are too expensive, or whatever. It is that
breastfeeding is not viewed as important. Some will go to great lengths to
promote and defend their own faulty beliefs, prejudices, and stupidity.
Kathleen
Date: Sat, 20 Mar 1999 22:17:08 -0500
From: G Hertz <[log in to unmask]>
Subject: nipples - another reeason not to give formula packs, etc.
Our hospital is now looking at a policy of recording all formula lot
numbers on "dispensed" formula - to be able to contact moms when a recall
occurs. There was also a quick article in one of the peds journals about
reusing those disposable nipples [you know like the formula companies and
hospitals give to parents] Apparently, a mom had reused one of these
nipples and a piece broke off and after a choking spell, they couldn't find
it. after xray and bronchoscopy they didn't find it - they then did
endoscopy and retrieved the nipple piece from the 3 month old's esophagus.
we're thinking of obtaining signed informed consent regarding handing out
the "formula advertising packs" between the formula recalls and the nipple
problem...
Archives of Pediatrics and Adolescent Medicine
vol.153 March 1999
page 312
Gail
Gail S. Hertz, MD, IBCLC
Resident, Dept. of Pediatrics
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont
mailto:[log in to unmask]
LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
=========================================================================
Date: Sun, 21 Mar 1999 07:55:31 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathleen Bruce <[log in to unmask]>
Subject: breast cancer
Mime-Version: 1.0
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Cindy, while I think it is great to see if there is literature on the
subject of nursing after a mastectomy.....etc,...I would like to know if
your nursing colleagues have research backing up their recommendations to
NOT bf on the remaining side.
I am sick of medical colleagues making proclamations when they have NO
backup whatsoever, or poorly documented "research," that supports a weak
argument. Evidence-based is good only if the research is done well. From
what I have seen, people throw research studies around to support arguments,
not knowing if the studies are good, bad, or ugly. Evidence-Based research
is only good if the study is actually accurately measuring what we are
describing. This is dubious in MANY cases.
Getting really short tempered in my older age.
If I had breast cancer, a mastectomy, and a baby after *that* ordeal, I'd
probably punch someone out if they suggested I not nurse on the remaining
breast. (Now, it might be that bf after this might cause a problem, I DON'T
KNOW for sure)..but bf might be one joy after that ordeal, and I would be
hard pressed NOT TO have that joy. Life is too short.
Geesh. I guess I'm interested in the research too, but I cannot STAND
people in authority deciding FOR mothers based on just their opinion. ACK
ACK ACK ACK.
This is not personal Cindy. : ) I guess your note touched a hot button for
me. Aren't you glad you asked?
: )
Kathleen
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont
mailto:[log in to unmask]
LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
=========================================================================
Date: Sun, 21 Mar 1999 08:47:28 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Susan Horein <[log in to unmask]>
Subject: hot flashes during *weaning*
Comments: To: Pat Gima <[log in to unmask]>
Mime-Version: 1.0
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This is a question came to me from a friend of mine.
M- is perhaps in her mid-forties.
S- turned 2 in December (a high need baby who taught these great parents a
lot). (First child is about 7.5, also nursed for several years.)
>...Lately M- has started to wean S- and has had some problems.
> She's asked me to ask you about hot flashes. Do you know of
> a relationship between hot flashes and nursing? As M- started
> cutting back on nursing, she experienced hot flashes. The
> flashes were interrupting her sleep and making for a grumpy mommy.
I tried searching the archives, and I found discussions of hot flashes with
MER and other similar discussions, but none related to hot flashes at
weaning. I realize she might be experiencing early symptoms of menopause,
but is there any connection with her weaning?
TIA,
Susan
Susan Horein
Wisconsin, USA
mailto:[log in to unmask]
=========================================================================
Date: Sun, 21 Mar 1999 17:01:54 +0100
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "A. Bon" <[log in to unmask]>
Subject: Re: Traditional societies and breastfeeding difficulties AND
antibiotics
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Pat wrote: <<<Dear Kathy, don't you think the infrequent use of antibiotics
has something
to do with it? Antibiotics have become so generally used in the perinatal
period for mother and/or baby in US that I think it is no surprise that we
are seeing universal problems with thrush. >>>
Hi Pat, it may be a contributor, but it surely isn't the only thing. In The
Netherlands antibiotics aren't given that much. Esp not during pregnancy and
delivery. Still we see very often thrush..
Annelies Bon
bf counsellor fo the Dutch bf organization "Borstvoeding Natuurlijk"
=========================================================================
Date: Sun, 21 Mar 1999 07:49:11 PST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: laurie wheeler <[log in to unmask]>
Subject: billboard
Mime-Version: 1.0
Content-type: text/plain
Please share with the list, anyone who has done a billboard. Our local
ilca affiliate is considering this as well.
Laurie Wheeler, RN, MN, IBCLC
Louisiana Breastfeeding MediaWatch Campaign
Violet Louisiana, USA
mailto:[log in to unmask]
Get Your Private, Free Email at http://www.hotmail.com
=========================================================================
Date: Sun, 21 Mar 1999 11:08:47 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Robert Cordes DO <[log in to unmask]>
Subject: stupid reasons file / waiting post partum
Mime-Version: 1.0
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"<chuckle> I haven't known too many couples who waited until their doctor
gave them permission. When my doc said it was okay to resume
intercourse at my six-week postpartum check, I just blushed becomingly
and said, "okay"."
Jeanne,
I thought the way it when was the mom goes for her 6 week post partum check
and the doc says its OK to resume intercourse. Mom then goes home and tells
her husband "The doctor said to wait another 6 weeks."
-Rob
=========================================================================
Date: Sun, 21 Mar 1999 11:27:51 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Linda L. Shaw MD" <[log in to unmask]>
Subject: Hepatitis C
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There has recently been posted on the pedtalk list a concern about
breastfeeding with Hepatitic C. I know it's been discussed previously on
lactnet. I posted that the risk of transmission was very low and that the
conservative recommendation would be to breastfeed. One of the other MDs
cited one study done in 1993 which estimated the risk of transmission as 1/7
which in his mind would make "artificial milk prepared in sanitary conditions"
as serious recommendation.
Does anyone have other data on Hep C that's more recent?
Linda L. Shaw MD FAAP
=========================================================================
Date: Sun, 21 Mar 1999 11:26:39 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jeanne Mitchell <[log in to unmask]>
Subject: Re: waiting post partum
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> Mom then goes home and tells
> her husband "The doctor said to wait another 6 weeks."
>
I think that only happens to husbands who haven't been helping with the
housework and are in other ways inconsiderate. :-D
--
Jeanne Mitchell, Austin, TX
=========================================================================
Date: Sun, 21 Mar 1999 13:04:25 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: Re: LACTNET Digest - 20 Mar 1999
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Hi Cindy,
You can get in touch with Mothering by email <@mothering.com>, fax # is
505-984-8335, phone # for advertising, newstand , and editorial inquiries is
505-984-8116.
Judy Gutowski, IBCLC
=========================================================================
Date: Sun, 21 Mar 1999 13:08:15 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: (no subject)
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Dear Lactnetters,
I am working with my second case as a new private practice LC (after 10 years
as a LLL leader) and already I am stumped. I have a first-time mom who still
has no milk, only colostrum on day 8. She is pumping 25-30 ml about every 2
hours. The baby was breastfeeding well day 1 and 2, but things went steadily
downhill from there. Baby has a weak suck, was very sleepy and is presently
hospitalized on IV and testing. Mom has been double pumping every 2 hours (
not total compliance, but pretty good) since day 6. I find nothing in the
books about milk coming in this late. I was thinking about having her
prolactin level tested. We called the midwife about retained placenta and
midwife assured her there was none. No HX of breast injury or surgery, no back
problems. Also, would Reglan bring in the milk? I would appreciate your very
knowledgeable and much more experienced opinions. Please email me privately.
Judy Gutowski, IBCLC
=========================================================================
Date: Sun, 21 Mar 1999 13:13:15 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: newman <[log in to unmask]>
Subject: Hepatitis C
Comments: To: [log in to unmask]
MIME-Version: 1.0
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If it's 1/7, it's the same as it is with formula feeding under sanitary
conditions. That's what the data state, though the studies are based on
small numbers of mothers and babies. Nancy Wight has written about this on
her website.
http://www.breastfeeding.org/articles.htm
Jack Newman, MD, FRCPC
=========================================================================
Date: Sun, 21 Mar 1999 13:16:57 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Alicia Dermer <[log in to unmask]>
Subject: Re: Hepatitis C
In-Reply-To: <[log in to unmask]>
MIME-Version: 1.0
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Linda: The actual transmission of hepatitis C was no higher in breastfed
than bottle-fed babies. Check out the following:
Lin HH, Kao JH, Hsu HY, et al. Absence of infection in breast-fed infants
born to hepatitis C virus-infected mothers. Journal of Pediatrics. 1995
Apr;126(4):589-91.
Paccagnini S, et al. Perinatal transmission and manifestation of
hepatitis C virus infection in a high risk population. Pediatr Infect Dis
J 1995;14(3):195-99.
Zanetti AR, Tanzi E, Paccagnini, et al. Mother-to-infant transmission of
hepatitis C virus. Lancet Feb. 4, 1995;345:289-91.
Best regards, Alicia Dermer, MD, IBCLC.
=========================================================================
Date: Sun, 21 Mar 1999 13:25:17 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: newman <[log in to unmask]>
Subject: Ped Chat
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Hello all,
Tomorrow I will lead a discussion about drugs and breastfeeding. 9:00 p.m.,
21:00 New York Time (Actually it's Toronto Time). Come one, come all.
Easiest way to get on is to use this url:
http://education.pedschat.org:81/eshare/server?action=61
If you have never been before, then log on a few minutes early so that you
can register.
Jack Newman, MD, FRCPC
=========================================================================
Date: Sun, 21 Mar 1999 13:30:30 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Alicia Dermer <[log in to unmask]>
Subject: Re: breastfeeding after breast cancer
Comments: To: Cindy Curtis <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
MIME-Version: 1.0
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Cindy: There have been a couple of articles about women who breastfed
after lumpectomy and radiation. I don't have the references handy, but
a significant proportion had very little milk on the affected side
(although some did actually produce enough milk), but there was no problem
breastfeeding on the opposite side.
The physician's concern that breastfeeding will promote cancer in the
remaining breast is not based on good physiologic reasoning. High
estrogen states (such as pregnancy, HRT) may promote the growth of cancer,
but breastfeeding is a *low* estrogen state. Therefore, one would not
expect breastfeeding to increase the risk. One would hope that
breastfeeding may even decrease her risk, although from my reading of the
literature on breast cancer risk reduction from breastfeeding, it's most
likely effective when practiced during earlier years. I would imagine
(though I don't really know), that once a woman has a cancer,
breastfeeding will have little impact on further breast cancer reduction.
Still, at the very least it is neutral in its effect and may be
protective.
The main concern has to do with surveillance for a new cancer in the
remaining breast. Regardless of how this mother feeds her baby, she is
already at increased risk of breast cancer in that breast. It is common
practice to do regular mammograms and exams for early detection. Although
mammograms can certainly be done in a woman who is lactating, they are
harder to interpret and possibly more likely to yield a false negative
result. This is a situation in which normal nursing for 3 to 4 years may
not be advisable, and abbreviated nursing of only 6 to maybe 12 months may
be more prudent, although this should be the mother's choice, presented
with the above information.
Hope this helps, Regards, Alicia Dermer, MD, IBCLC.
=========================================================================
Date: Sun, 21 Mar 1999 13:29:30 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Linda J. Inglis" <[log in to unmask]>
Subject: Billboards
Mime-Version: 1.0
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The "Loving Support" campaign has wonderful billboards for Anglo, Hispanic and
Native American populations. One of the boards is in Spanish. They reflect
the message of importance of supporting the breastfeeding family. For
information on those boards call Best Start in Tampa.
Linda Inglis, BS, IBCLC
Breastfeeding Coordinator
Best Start Social Marketing
Tampa, FL
1-800-277-4975
=========================================================================
Date: Sun, 21 Mar 1999 13:47:13 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Lisa Jones <[log in to unmask]>
Subject: nipple shields
Mime-Version: 1.0
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I am counseling a mom with a six week old baby. Mom is overwhelmed with new
motherhood in general, but is extra frustrated by having to use a nipple
shield. She received the shield in the hospital (very long story but short
frenulum was observed, and nipple shield was given very much as a last resort
by the LC in hospital to get baby anywhere near the breast. I can't second-
guess why the shield would be helpful in a baby with a short frenulum because
I wasn't there to see what all else was going on, nor would it be appropriate
for me to do so).
I had not seen a mom using a nipple shield in a long time. The last one was
probably five years ago and I definitely recall that the shield had an
*opening* at the end and the mom's nipple came out of it when baby nursed. In
fact, I believe that the baby's tongue cupped well under the bottom of the
shield, reaching past the shield's bottom rim.
This shield that I saw yesterday was the silicone variety - and it is *no
wonder* that the baby is very unhappy on his mother's breast without it!! It
is essentially a bottle nipple, no other way to describe it. Baby's output
and weight gain are still adequate but I worry about both the longer the
shield is used. I just don't see how the baby can milk the breast very
effectively at all - he is mostly "milking" the nipple and a small amount of
areola while mom uses breast compression to make the milk come for him.
Essentially, she is manually expressing into the nipple shield, then baby
sucks it down. It is an exhausting procedure to watch, but much improved (for
the mom and dad) over pumping and finger or syringe feeding the baby.
I have been reading Lactnet for 2.5years and have followed all the discussions
about shield use, but now it has become real for me (*and* for this mom!) I
encouraged her to work with our local wonderful IBCLC (hi margie) who has a
much larger bag of tricks than I do, while giving her what info that I do have
about nipple confusion and transitioning from the shield.
I learn something every day - thanks for listening.
Lisa Jones, LLLL in Wellington FL
=========================================================================
Date: Sun, 21 Mar 1999 12:44:34 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathy Dettwyler <[log in to unmask]>
Subject: breastfeeding and fetal alcohol syndrome
Mime-Version: 1.0
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If anyone has any information, please respond directly to Cathie Wilson at
[log in to unmask] Thanks. Kathy D.
>From: "Cathie & Dean Wilson" <[log in to unmask]>
>To: <[log in to unmask]>
>Date: Sat, 20 Mar 1999 06:52:00 -0800
>X-MSMail-Priority: Normal
>X-MimeOLE: Produced By Microsoft MimeOLE V4.72.3110.3
>
>I work as an outreach worker at The Family Place in Port Hardy, BC. We run
>into many moms who have Fetal Alcohol Syndrome (FAS, and/or have parents who
>have FAS, and/or have children with FAS, and/or at risk of having children.
>
>Have you done any work in the field of positive effects of breastfeeding for
>the further development of the damaged brain?
>
>Thank you for your time in considering this inquiry.
>
>Cathie Wilson
>
>
=========================================================================
Date: Sun, 21 Mar 1999 12:44:41 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathy Dettwyler <[log in to unmask]>
Subject: resuming intercourse after childbirth
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Dr. Rob wrote:
>> Mom then goes home and tells
>> her husband "The doctor said to wait another 6 weeks."
Jeanne responded:
>I think that only happens to husbands who haven't been helping with the
>housework and are in other ways inconsiderate. :-D
I must say I think Dr. Rob is right on the money, and it has a whole lot to
do with how stressful and difficult the pregnancy and labor and post-partum
recovery were, and how tired mom is, and little or nothing to do with
husband helping with the housework. It also says a lot about our culture,
where the wife's wishes are not often heeded by the husband, but the
doctor's orders carry great weight.
After almost bleeding to death and tearing badly during the emergency D&C
postpartum, and the stress of a baby with health problems, not to mention
moving to another state and starting my first teaching job, I wasn't up for
intercourse for MONTHS after my second delivery. I suspect most women, even
after normal deliveries, are not up for intercourse for more than six weeks
post delivery. In many traditional societies, mother doesn't have
intercourse again until the child is weaned, whether that be one year, two
years, or as long as 5 or 6 years.
Kathy Dettwyler
=========================================================================
Date: Sun, 21 Mar 1999 13:55:01 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "---Lisa Papas, LLL Leader" <[log in to unmask]>
Subject: Re: Hot Flashes and weaning
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I would be very interested in any information on this as well. Last week I got
back my first menstrual cycle since I gave birth to Athina on July 4th 1997. I
have also been tandem nursing her and her older sister Kristina who will be 4
on March 29th. Kristina is close to weaning and Athina is just now beginning
to eat more solid food. I have been having lots of hot flashes and then I will
be extremely cold. I am not sick, and my hot flashes will come even if it is
65 degrees in the house or I will be cold even though I have turned up the
thermostat to 75! It has been truly bizarre. I have 4 kids, and this is my
third tandem nursing episode and weaning, and I do not remember having these
hot flashes before. I am only 32 and I can't imagine that I would be hitting
menopause yet! So my story is only anecdotal but I would love to see any
documentation for this. I'm hoping it will go away!!!!!!!!!!!!!!!!!!!
Soon!!!!!!!!!!!!!!!!!!!! Lisa Papas in Michigan where it is starting to
look like spring!
=========================================================================
Date: Sun, 21 Mar 1999 14:17:50 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Nikki Lee <[log in to unmask]>
Subject: Hepatitis C
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Dear Folks:
In response to Linda Shaw's question about hepatitis C, why not try the
pediatric "Red Book" to validate that bf with hep A, B and C are okay? Also
the CDC and the AAP? Hep A and B require other interventions, such as
immunization and/or gamma globulin. Lawrence Gartner is a great source of
information on this. Hepatitis C DNA has never been recovered from human milk.
Warmly, Nikki Lee
=========================================================================
Date: Sun, 21 Mar 1999 14:51:55 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Janet Vandenberg <[log in to unmask]>
Subject: Breast Cancer and Lactation
Comments: To: Cindy Curtis <[log in to unmask]>
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This information might be helpful to share with the nurses who were
concerned that breastfeeding would increase the incidence of tumour
recurrance in the untreated breast after unilateral mastectomy.
This is from a full text Medscape article at:
http://www.medscape.com/Medscape/WomensHealth/journal/1997/v02.n10/wh3104.difronzo/wh3104.difronzo.html
Diagnosing and Treating Breast Cancer in the Pregnant Woman
Authors: L. Andrew DiFronzo, MD, & Theodore X. O'Connell,
MD, FACS,
"In patients cured of their disease by primary treatment, pregnancy
should have no effect, since there is no residual tumor to be
stimulated. In women
whose cancer is not eradicated but is estrogen receptor negative,
the tumor cells are not responsive to hormonal stimulation;
therefore, a subsequent pregnancy should have no real effect on the
disease process. Only in women with estrogen receptor-positive
tumors who are not cured of their disease may a subsequent pregnancy
have a potentially detrimental effect.[34]
Although women can be reassured that pregnancy following breast
cancer is not harmful, the chance of future recurrence of the breast
cancer should be addressed before recommending subsequent pregnancy.
The possibility of future metastatic disease may alter an
individual's desire to consider pregnancy. It appears that breast
cancer recurrence is most common within 2 years of initial
treatment. Donegan[35] studied 892 women treated with mastectomy
during a 21-year period and observed that recurrence peaked at 2
years and subsequently dropped to lower levels. Accordingly, the
clinician caring for a woman who is entertaining the idea of
pregnancy following breast cancer should recommend a 2-year waiting
period, to allow for the potential manifestation of distant
metastases. "
Breast cancer during pregnancy and lactation
by Hoover HC
Surgical Clinics of North America 70(5): 1151-1163, 1990.
http://www.meb.uni-bonn.de/cgi-bin/mycite?ExtRef=MEDL/91019801
" There is no evidence to implicate pregnancy or lactation in either
the etiology or the progression of breast cancer."
References for the possibility of reduced supply if remaining breast
was treated with radiation therapy:
Neifert M, Breastfeeding after breast surgical procedure or breast
cancer.
NAACOGS Clin Issu Perinat Womens Health Nurs,
3(4):673-82 1992
Abstract:
http://www.medscape.com/server-java/MedPage?med90-92+900433+('Neifert,M':AU+and+cancer)
Tralins, A., Lactation after conservative breast surgery combined
with
radiation therapy. Am J Clin Oncol, 18(1):40-3 1995 Feb
Abstract:
http://www.medscape.com/server-java/MedPage?med95-97+9960+('Tralins,A':AU+and+cancer)
Higgins S; Haffty BG, Pregnancy and lactation after
breast-conserving
therapy for early stage breast cancer. Cancer, 73(8):2175-80
1994 Apr 15
Abstract:
http://www.medscape.com/server-java/MedPage?med93-94+244663+('Higgins,S':AU+and+cancer)
--
Janet Vandenberg, RN, BScN, IBCLC
Newmarket, Ontario, Canada
mailto:[log in to unmask]
=========================================================================
Date: Sun, 21 Mar 1999 15:16:35 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: nipple shields
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dear lisa and all,
why don't you get her on a better nipple shield as a transitional device?
using it to get the baby actually nursing at the breast might be the necessary
first step. of course, you should first just try to see if you can get him on
without anything. at this age, he might well do so.
carol brussel IBCLC
=========================================================================
Date: Sun, 21 Mar 1999 15:38:27 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Judy LeVan Fram <[log in to unmask]>
Subject: 'disadvantage' of breastfeeding'
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In a message dated 3/20/99 6:39:11 PM Central Standard Time,
[log in to unmask] writes:
<< BF - disadvantages (some nipple tenderness, leaking, babies normally
feed more often than formula fed, cannot see how much they are getting
and must rely on other means to measure; there are NO known disadv. to
infant). >>
I have recently started to hate this idea that breastfeeding is hard because
we "cannot see how much they are getting" ... many moms are never told that
there is any way to know how much their breastfed baby is getting. They are
terrified and at a loss. I have begun to tell moms that it is not difficult at
all to tell how a baby is doing, as long as we look at "both ends of the
baby", at what goes in, ( nursing at breast at least 10-12/24, and what comes
out ( wets/stools ), and that is some ways this is much easier, although
different than bottlefeeding moms are used to. Moms bottlefeeding AIM may
think they know what their babies are getting, but because there is so much
energy spent by the body trying to digest the stuff, and the fact that babies
often spit it back up, there is really no way to know exactly how many usable
calories the baby is getting...
Judy LeVan Fram, Brooklyn, NY
=========================================================================
Date: Sun, 21 Mar 1999 12:39:35 PST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Teresa Myers <[log in to unmask]>
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I am new here and wanted to introduce myself and then go back to lurk mod=
e. I
am Teresa, SAHM to Mariah and Emily. I am a Peer Breastfeeding Counselor =
for
WIC and a volunteer for Nursing Mothers Counsel. I am not as educated as =
you
all at the medical side of things and appreciate being able to come here =
and
learn from you all. I will be teaching childbirth classes this fall and a=
m
keeping track of my volunteer hours to someday use toward being licensed =
as a
LC. =
I have a reply for Cindy, who is looking for Mothering Magazine info. Whe=
n I
was looking for a specific article from the magazine I called the local
library. They couldn't give me the actual issue to keep but I was able to=
check it out and makes copies of the article I needed. Is this something =
that
could work for you? Our library keeps archives for many years of Motherin=
g and
if you can't find it I'd be more than happy to get copies for you.
Teresa Myers
____________________________________________________________________
Get free e-mail and a permanent address at http://www.netaddress.com/?N=3D=
1
=========================================================================
Date: Sun, 21 Mar 1999 22:52:15 +0200
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Leibovich <[log in to unmask]>
Subject: Slow gaining 11 month old - short update
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Thank you all for the many responses you sent me privately and to lactnet.
I passed the suggestions to the mother.
When I talked to her she told me she had decided to continue nursing
(hurray!). She started to take care offer more food, instead of just
nursing, and to her surprise the baby is eating more. She also decided to
give a bottle of formula + cereal every morning before nursing, and the
baby is taking this too.
I will let you know about weight gain.
Dr. Mira
mailto:[log in to unmask]
=========================================================================
Date: Sun, 21 Mar 1999 16:37:41 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: sleepy newborn
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I am a CBE with an interest in helping BF moms. I would like your input.
Baby is 60 hours old and extremely sleepy. He has only been to breast
successfully once and that was at birth. He responds only marginally to cold
washcloths, foot "tickling" , "scratching" his back and lowering his head
quickly to stimulate a "falling" reflex. In short, this kid was way too
mellow! Baby will not suckle at the breast even after stimulating the nipple
by twirling or cool cloth to become firm. Baby, at best, will latch and then
sleep with only a few sucks.
He will suck at a pacifier briefly and will suck at a finger, but will sleep
quickly.
Baby weighed in at 9'6" and has lost 9ounces since birth. His birth was
remarkable in that he had an internal monitor, epidural, 2 1/2 hours total
pushing, vacuum extraction and use of forceps (only to reposition the head).
He has a small bruise on his head from the forcep. Baby does not appear
dehydrated or jaundiced.
Mom has protruding nipples and is producing a little milk. He was given the
bottle within the last hour and took around an ounce after being at breast for
35-40 minutes. Mom and dad committed to BF and I'll follow up with her
tomorrow at home.
Give me some suggestions, tips, words of encouragement. I hope the big guy
wakes up tomorrow and gets on with feeding.
tina
ohio
=========================================================================
Date: Wed, 6 Jan 1999 16:53:13 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Pam Wiggins <[log in to unmask]>
Subject: Doctor's orders
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Hi all,
Women DO take doctors' orders as gospel. Not to get too personal here, but
my dear daughter-in-law told me her ped told her to start my 6 month old
grandson on solids and to start with "yellow" vegetables. When I tried to
tactfully ask her if she had read about offering solids in any books, (mine
included), she just said, "I think I'll just follow the doctor's orders!"
No more discussion. He's now on carrots. Next week it's squash.
Pam Wiggins, venting in Va.
=========================================================================
Date: Sun, 21 Mar 1999 16:55:03 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: Re: sleepy newborn
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Get her pumping, get it in baby. After one or two feeds he will wake up
and "smell the roses", I hope. In my experience, baby boys who have been
thru this sort of traumatic birth can be difficult, but remember rule #1 -
FEED the BABY! Sincerely, Pat in SNJ
=========================================================================
Date: Sun, 21 Mar 1999 17:25:42 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Lisa Jones <[log in to unmask]>
Subject: Re: hepatitis C
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The Breastfeeding Answer Book, page 460, gives references as recent as 1996:
"According to the medical literature to date, the incidence of hepatitis C
infection in breastfed infants is the same as that in artificially fed infants
born to hepatitis C carrier mothers (Gartner 1996)" There are several other
studies mentioned including one that could be interpreted as "1 in 7" babies
acquired the virus thru breastfeeding- and I noted that it was 1 in a study of
7 infants, not 100 out of 700 or 1000 out of 7000.
Lisa Jones, LLLL in Wellington FL
=========================================================================
Date: Sun, 21 Mar 1999 16:23:25 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "[log in to unmask]" <[log in to unmask]>
Subject: Re: hot flashes during *weaning*
In-Reply-To: <v015305cfb31aa4f636f1@[206.155.31.66]>
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Susan, I believe that the flashes could certainly be related to the
weaning. There is a hormonal adjustment at that time.
I began having flashes when my second baby was born and I was 32. I began
taking vitamin E gel caps--100 IU. That put a stop to the flashes for a
few years, then when they began again, I increased the E to 200 IU. I
continued this periodic increase until I did go through menopause in my
50s. I reached 500 IU dosage at that time. I felt that I had a very
smooth menopause experience and give the E a lot of the credit.
I have since discovered that it is protecting my heart too.
I would suggest that she get some E. It will not be an instant relief, but
I feel certain that it will work in a few weeks time.
Pat
mailto:[log in to unmask]
=========================================================================
Date: Sun, 21 Mar 1999 16:26:32 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jill Lund <[log in to unmask]>
Subject: Dovetail Billboards
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To add to Linda's message, the billboards from Best Start say: "Give a
breastfeeding mom your loving support" (with 1. a picture of a family of
your choice -- African American also available in addition to the other
groups Linda listed 2. the logo with the heart - loving support makes
breastfeeding work & 3. for more information call WIC -- hopefully that
could be modified for your group if you wanted)
The Kansas City area did get a grant and used the Best Start billboards,
t.v. ads, etc., and they received positive comments. We show the
breastfeeding t.v. ads to our WIC moms -- those who have chosen formula as
well as those who have chosen breastfeeding. The ads go over very well as
the baby is speaking.
One of the t.v. ad babies says: "If you need a little privacy, you can
cover me up with a blanket." "And don't feel funny about breastfeeding me
anywhere -- when we babies are hungry, we gotta eat!" The t.v. ads are so
CUTE!! (if I won the lottery, I'd pay to get these ads on t.v. everyday!!)
We've asked our formula feeding moms to support breastfeeding in the
community. It is neat to see their attitudes change from yuck about
breastfeeding to ...yes, I'll support my friend, but I'm not going to do
it....to okay I'll think about it....to why didn't you make me do this last
time - I really like this!!! (and all other opinions in between).
Jill Lund, RD, MS
St. Louis, Missouri WIC
=========================================================================
Date: Sun, 21 Mar 1999 19:29:24 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: Re: billboards
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In a message dated 3/21/1999 12:08:03 PM Central Standard Time,
[log in to unmask] writes:
<< Subject: billboard
Please share with the list, anyone who has done a billboard. Our local
ilca affiliate is considering this as well.
>>
Hi, Laurie! I've done billboards on the Mississippi Gulf Coast since 1993 or
94. I usually design them and do them on the computer, the advertising
company donates space, and a local hospital pays for the paper (around $175
this past year; if you do something fancier with a photo it costs more). The
advertising company usually leaves the billboards up for the whole month of
August (for Breastfeeding Awareness Month). Sometimes there's space for me to
do them twice a year and I'll try to run one in February. Since the casinos
came to the Coast the billboards are pretty full most of the time. The
advertising company would rather have a public service announcement up for
free than to have a billboard remain empty any time. Mississippi WIC did them
statewide last year, but they paid for them and they were fancier. I did my
free one in October since theirs were up in August and September.
I've learned a bit each year. Keep it very simple, a message that can be read
in 3 seconds max. I have pictures of all of the ones I've done. When I get
my scanner working again I'll be happy to send you pics, or I can make black
and white copies of the pics and send them sooner.
Keitha Whitaker, BS, IBCLC
WIC Breastfeeding Program Coordinator
Mississippi Gulf Coast District
=========================================================================
Date: Sun, 21 Mar 1999 20:24:38 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: Re: proclamations
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K;
can we add people to speak athoritatively who infact have only read the
abstracts!
<< I am sick of medical colleagues making proclamations when they have NO
backup whatsoever, or poorly documented "research," that supports a weak
argument. >>
Patricia
=========================================================================
Date: Sun, 21 Mar 1999 19:27:45 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "[log in to unmask]" <[log in to unmask]>
Subject: Breastfeeding is Risky
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I'd better get my disclaimer in, up front, before someone thinks that this
is *my* opinion. I'm just trying to reflect on why many HCPs in the US are
so eager to find reasons for a woman to *not* breastfeed.
You should probably not breastfeed:
after cancer.
when taking Diflucan or...
if you are poor.
if you exercise vigorously.
if you have twins.
if you are over 40.
if your are under 20.
through newborn jaundice.
if there has been smoke in the house.
if you get a perm.
if you ate tainted food.
if you have been bitten by a spider.
if you are going to have an X-ray.
if your baby is tiny. Or large.
Why take Diflucan at all, with its risks to the liver? Or its high cost?
Why do a frenotomy to enable baby to breastfeed?
Breastfeeding is RISKY and unnecessary, and should not be considered safe
under *any* circumstance that adds *further* risk to mother and baby. Women
who are "choosing" to breastfeed are outside the norm and they and their
babies must be monitored closely. The risk/benefit ratio is skewed
*against* breastfeeding in most circumstances. Acceptance is tenuous and
dependent on no unexpected challenges.
We on Lactnet are always asking, "WHY...?" I think that the deep-seated
feeling that breastfeeding comes with unknowns and unmeasurables, and is
unstudied, and variable just throws most HCPs into a spin. It just doesn't
fit the medical model that they spent years internalizing. It may fit the
Health model, but not the Medical model.
Most HCPs feel much safer with what they know, and that, unfortunately, is
artificial feeding. They will not be convinced of the extensive advantages
of breastfeeding because they don't *want* it to be so. Research into the
"risks" of breastfeeding will continue to make the journals and these HCPs
will lunge eagerly at every study. And any "proof" that breastfeeding is
superior will quickly be refuted by the next study.
So long as we see breastfeeding as a medical "problem" medical schools will
have to be the beginning of change in the view of breastfeeding as risky.
Patricia Gima, IBCLC
Milwaukee, Wisconsin, USA, where I did a hospital visit today to work with
a newborn, reminding me why I am glad that I don't work there. I'm always
amazed!
mailto:[log in to unmask]
=========================================================================
Date: Sun, 21 Mar 1999 19:33:21 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "[log in to unmask]" <[log in to unmask]>
Subject: Re: billboards
In-Reply-To: <[log in to unmask]>
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Keitha, thank you for your post of a positive, growing outcome for the
mothers you work with. I needed to read something like that after the day
I've had.
I like the way that you invited the bottle feeding mothers to see the ads
too. It is so respectful of them, instead of "protecting" them with that
old "guilt" excuse. You are treating them as if they can learn and act on
what they learn.
That's great!
Patricia Gima, IBCLC
Milwaukee, Wisconsin, USA
mailto:[log in to unmask]
=========================================================================
Date: Mon, 22 Mar 1999 12:37:32 +1000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jan Cornfoot <[log in to unmask]>
Subject: Conference abstracts
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We've got a Call for Abstracts out for an international conference, The
Passage to Motherhood II, to be held in Brisbane, Australia 7-9 April 2000.
Speakers will include Jack Newman, Tom Hale and Gabrielle Palmer.
If you'd like more details, please email me privately.
Jan Cornfoot [log in to unmask]
Editor, Birth Issues Journal
Brisbane, Australia
=========================================================================
Date: Sun, 21 Mar 1999 22:36:25 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cheryl Moody <[log in to unmask]>
Subject: Teen moms breastfeeding class
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This weekend I had the pleasure of spending quality time with a
15-year-old nursing mom. She was very knowledgable about breastfeeding.
When I told her how impressed I was with her knowledge, she sai
that the school she attends for pregnant teens and teen moms offers a
breastfeeding class for which they receive 1 hour of academic credit itf
they attend. They are also allowed to feed their babies during class. Of
the mothers who have had their babies, she says 19 of 20 are
breastfeeding.
While she was in the hospital, a student nurse suggested she give the
baby a pacifier. The 15-year-old informed the student nurse that
breastfed babies should not have pacifiers or bottles in the first month
and that they don't ever really need them. I will address the student
nurse/breastfeeding education issue with the instructor, but this was a
good sign that culture is slowly but surely changing in the right
direction.
Cheryl Bean-Moody,BS,IBCLC
Waterville, Maine
=========================================================================
Date: Sun, 21 Mar 1999 23:44:24 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cheryl Kissling <[log in to unmask]>
Subject: Re: LACTNET Digest - 21 Mar 1999 - Special issue
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Two things:
In response to bottlefeeding parents "knowing how much the baby's taken". Our
home visit nurses found that this is not exactly true. When asked, "How much
is your baby taking?" They usually reply, "I don't know exactly."...because
they truly don't depend on the amount, they feed the baby till he's full per
body language cues. If he takes his usual amount and still "acts" hungry, they
feed him some more. So, it seems to boil down to a myth or misperception or
excuse. I'm guessing only formula-feeding parents of babies in special
situations need to and do watch "how much" goes in.
The Linn County Breastfeeding Task Force has included a billboard in our World
Breastfeeding Week activities for about the past six years. The advertiser has
consistently given us a good rate ($250) and either the hospital or WIC has
allotted financial support for it. Our first billboards consisted of a
mother/baby graphic and our WWBW theme message. Later, we sponsored an art
contest and used the winners art as the graphic. It has been difficult to
measure the impact, but people do look at billboards. Another very economical
and lengthy exposure to our message was ads on every city bus. Last time we
checked they were still there...about three years after initiation!