I have been reading with interest the letters on ABM reps and
literature. It is interesting that the rep visited me for the first time
in over a year last week. He was hot to show me his latest booklet , the
one you are all discussing. Oh gosh! Here we go again and the struggle
continues. I'm tired.
Not only are we competing with these marketing techniques but messages
are now being sent out (with all good intentions and not even a thought
about the message) by our local Hallmark shop. She is giving freebies to
our new moms in the form or cute pencils with pacifiers attached and even
more colorful is the bottle and nipple filled with either blue and white
jelly beans or pink and white jelly beans!! Also cute boxes of either
pink or blue wrapped chocolate cigars are included in the gift
selection! Oh gosh again!! How can we fight marketing or better yet how
can we market without looking like a bunch of nuts or soapbox speakers??
Oh gosh....Marie Nadeau in little Alpena Michigan. > >There are 14 messages
totalling 428 lines in this issue. > >Topics in this special issue:
>
> 1. Need Help
> 2. Question to all lactnetters- World Breastfeeding Week Info and input
> requested
> 3. LC Pay
> 4. No milk transfer
> 5. relaxation cassette
> 6. ABM Booklet
> 7. LACTNET Digest - 4 Jun 1996 - Special issue
> 8. Update on "my" moms
> 9. Mom with milk without baby??
> 10. Pay Scale for Hospital LC's
> 11. ABM companies' "support" for bf
> 12. abm breastfeeding info
> 13. Metoclopramide & ----
> 14. ABM/RUGS...
>
>To post to the subscribers of LACTNET, send your note to
>[log in to unmask]
>To change your subscription options as in those listed below, send commands
>in e-mail to: [log in to unmask]
>Note that LISTSERV is a *computer program,* not a human, so don't add punctu-
>ation or words like "please." Here are some commonly-used *commands*:
> To leave LACTNET, write: SIGNOFF LACTNET
> To temporarily stop your subscription, write: SET LACTNET NOMAIL
> For information on other commands, write: HELP
> LACTNET WWW site: http://www.mcs.com/~auerbach/lactation.html
> LACTNET archives on WWW: http://library.ummed.edu/lsv/archives/lactnet.html
>
>
>
>----------------------------------------------------------------------
>
>Date: Thu, 6 Jun 1996 00:02:22 -0400
>From: Ellen Nuechterlein La Leche League Leader <[log in to unmask]>
>Subject: Need Help
>
>Susan (Hilton) - You mentioned that the six-week-old baby had "large" green
>stools. I'm interpreting that as meaning they are solid and not the common,
>runny breastmilk stools. If that's the case, I have my own unproven but
>"been there, done that" theory! My first question of the mother at this
>point would be to ask if she is taking pre-natal vitamins with iron or any
>other type of iron supplement. If she says yes, I would next ask if she is
>anemic (sp?). If she indicates that she isn't then I would suggest she stop
>taking the iron. My 2nd son had thick, green stools, occassionally slightly
>bloody, and *classic colic* symptoms. I went through all sorts of
>elimination dieting - dairy, eggs, etc. to no avail. Once I realized that if
>the prenatal vitamins which I was instructed to continue taking as long as I
>was brfdg were giving ME terrible discomfort and constipation (which they
>were), then perhaps they were also the cause of HIS trouble! I first cut
>back to 1/2 a vit. a day, then 1/2 every-other-day. I noticed improvements
>in his overall health and disposition each day. I decided it WAS the iron,
>and quit taking them altogether. Matthew's *colic* disappeared! As an LLL
>Leader I have had this situation come up nearly a dozen times over the past
>5-1/2 years of working w/moms and in each case (albeit a small sampling) the
>elimination of iron supplements has been the key. Good luck!
>Ellen - mother of Joel, Matthew & Joshua in rainy, cold Wisconsin (Is it
>spring anywhere out there??)
>
>------------------------------
>
>Date: Thu, 6 Jun 1996 01:44:09 -0400
>From: "Anne F. Norton-Krawciw RPh, IBCLC" <[log in to unmask]>
>Subject: Question to all lactnetters- World Breastfeeding Week Info and input
> requested
>
>hello:
>
>I am trying to reach out to lactnet subscribers to gather information on what
>you or your organization is doing or has done for world breastfeeding week
> (all input would be very helpful and welcomed).
>
>As a member of MALC (Michigan Association of Lactation Consultants) I have
>been asked by a number of people what is going on during WBW in our area and
>others (possibly to coordinate, addtional press coverage). I would also like
>to try and get people with like ideas to put their heads together. Maybe if
>we help get smaller groups to band together we will be able to make a larger
>impact.
>
>Our group (malc) is working with the oakland co health dept breastfeedinig
>task force to put together a resource book that will be distributed through
>out the state. The book will be distributed during WBW. LLL groups in our
>area are planning to join in the breastfeeding walk during this time. A
>large local baby store has asked to have a meet the experts/information
>morning the first sat of WBW. Our goal is to get the local health dept / wic
>peer group to have a table, a private practice group of IBCLC's, and 2 of
>our local LLL groups (perhaps with a number breastfeeding couplets available
>to answer real mom to mom questions.) So what are the rest of you up to ?
>
>I know that lots of places celebrate this week at different times, but that's
>ok, your input would be very helpful. Malc is not on lactnet as of yet. If
>you have any info (no project is too small or too large) please send them via
>private e-mail to MALC [log in to unmask] and don't forget to cc or forward a copy
>of your ideas to lactnet, I'm sure the rest of the group would like to know
>whats coming up.
>
>Thanks in advance (TIA)
>
>Anne Norton-Krawciw, RPh, IBCLC, Membership chair, MALC
>(the lc-pharmacist)
>
>PS on another note if you are a malc member on line, the correct address to
>send mail to is MALC [log in to unmask] NOT [log in to unmask], sorry about the typo in
>the newsletter.
>
>If you are on line in michigan or the windsor please drop malc a note so we
>can put you in our address book to keep you up to date on what's happening in
>our area.
>
>------------------------------
>
>Date: Thu, 6 Jun 1996 02:36:25 -0400
>From: "Bonnie Jones, R.N., I.C.C.E., I.B.C.L.C." <[log in to unmask]>
>Subject: LC Pay
>
>I am an IBCLC at a community hospital in the southwestern US. I had worked
>as a staff RN for 3 years and childbirth education coordinator for 1 year
>when I passed my test. I do staff inservices, head up the breastfeeding task
>force, help breastfeeding moms on my regular shifts and occassionally get
>called in to do a consult. I get my regular staff RN salary for all of this.
> The hospital reimbursed me the IBCLC exam rate and pays the conference fees
>for some of the conferences I attend. Since I am not on salary as an LC I do
>have the advantage of being able to make overtime pay. Bonnie
>
>------------------------------
>
>Date: Thu, 6 Jun 1996 05:13:54 -0400
>From: Elizabeth Puzar <[log in to unmask]>
>Subject: No milk transfer
>
>In the past few months I've been called in to evaluate three different
>infants who look like perfect little breastfeeders--but there's no (or
>minimal) milk transfer. I saw two of these babies after they'd seen other
>lactation specialists. One baby was at MINUS 2 grams after what appeared to
>be an excellent 20 minute feed.
>
>These moms have been able to pump milk. All anatomy WNL.
>
>The babies all appear to go readily and hungrily to the breast. The gape is
>wide, tongue down. No clicking. No tongue-tie. A normal
>suck/swallow/breathe pattern. It definitely looks like a textbook nutritive
>suck. Mom's nipples are fine. One baby did have a "soft" suck and a bit of
>a flutter, but when the milk started to flow, she looked perfect. The other
>two looked great from the beginning.
>
>We're stumped. Is it in the water? One was a completely unmedicated birth.
> The baby with the flutter suck had APGARs of 9/9. We've been helping
>mothers breastfeed for a combined total of nearly 45 years. We're ready to
>turn in our credentials!!!
>
>We've reviewed Marmet's Suck Training, significant portions of Riordan and
>Auerbach, and the Neonatal Motor Assessment Scale. Any words of wisdom? Any
>one of you learn something in New Mexico you feel might help us?
>
>Bewildered in San Jose, but with great company...
>
>Elizabeth Puzar, IBCLC and friends
>
>------------------------------
>
>Date: Thu, 6 Jun 1996 19:14:53 +1000
>From: Lisa Amir <[log in to unmask]>
>Subject: relaxation cassette
>
>RE: Rose Marie's client who:
>>was tense at home. In my office the baby latched right on - no problems.
>
>I've found sometimes in this situation the mother does better when someone
>is with her during the feed. They say " I wish all feeds were like this!"
>Obviously we can't be with everyone at every feed! This is what gave me the
>idea for an audio-casette for women to listen to while feeding. Some one is
>talking to them and reassuring them and affirming their ability to
>breastfeed, accompanied by relaxing music and visualisations.
>The cassette was produced by Nursing Mothers Association of Australia and is
>called "Softly, Softly, Relaxing to Breastfeed".
>It was reviewed in JHL a year (or so??) ago.
>(Any profit from the cassette goes to NMAA, not to me, in case you were
>wondering!)
>Lisa Amir
>GP / LC in Melbourne, Australia
>
>------------------------------
>
>Date: Thu, 6 Jun 1996 08:25:32 -0400
>From: "Marsha Walker, RN, IBCLC" <[log in to unmask]>
>Subject: ABM Booklet
>
>I have been following the discussion about ABM companies, their literature on
>breastfeeding, and the use of discharge packs by hospitals (some of my
>favorite topics!). Discharge packs are used in hospitals because they
>represent a time-proven effective method of marketing ABM. Many hospitals
>have a contract with an ABM company which states that breastfeeding mothers
>are to receive discharge packs. In return, the company gives the hospital
>cash ($50,000 is not unusual) to use the free formula, give out discharge
>packs, accept equipment, etc. You and your patients will never see any of
>that money. It is administered by the Chief of Pediatrics or Obstetrics and
>used for "educational" purposes, not in direct patient care. If you are
>frustrated about your hospital gicing out these discharge packs ask your
>purchasing department iof they have such a contract. In New York and
>Massachusetts, the perinatal regulations state that breastfeeding mothers are
>not to receive these discharge packs unless the mother requests them or the
>physician prescribes them. So---we see the little cards in the OB offices
>reminding mothers to ask their hospital for a free gift or we see physicians
>ordering these packs to appease formula reps.
>
>Literature written by IBCLCs has a powerful purpose. It is done to improve
>the corporate image. By aligning themselves with breastfeeding supporters the
>companies hope some of the supporters credibility will rub off on them.
>Industry hopes professionals and consumers will lose the capacity to
>distinguish corporate interest from public interest. If the companies can
>make themselves shine they feel it will take our minds off the otitis media,
>diarrhea, allergies, and suboptimal brain development that their products
>contribut to.
>
>Industry purchases the silence of those who are supposed to be looking out
>for the health of infants and their mothers. Reading these formula company
>produced pamphlets dulls our critical thinking, neutralizes our messages and
>is designed to cultivate good will.
>
>This is marketing pure and simple. No company invests that amount of money
>into something without expecting a significant return on their investment.
>These booklets are still filled with strategic omissions, superficiality, and
>oversimplification. And they have accomplished exactly what they were
>intended to do. Make us think that the companies are good guys after all and
>that we should condone the use of this literature. IBCLC after the authors'
>names is the way industry fools us into thinking that they have accomplished
>some type of public service and are now "green." Do not be pulled into the
>marketing arm of industry.
>
>ABM company marketing encourages families to feed their babies in ways that
>can undermine children and women's health. It is time to stop falling for
>this and start asking our hospitals why they insist on giving out discharge
>packs.
>
>------------------------------
>
>Date: Thu, 6 Jun 1996 08:46:50 -0400
>From: "Patricia B. Drazin, IBCLC" <[log in to unmask]>
>Subject: Re: LACTNET Digest - 4 Jun 1996 - Special issue
>
>Jeanette:
>
> sometimes what the baby will do with a finger is TOTALLY different than
>what happens when there is fluid.... if the "powers" that be would allow
>could you.... get baby latched to mom and eyedropper or syringe milk into his
>mouth until he starts to suckle... i think then you would be in a better
>position to evaluate what he can do....
>
> patricia
>
>------------------------------
>
>Date: Thu, 6 Jun 1996 09:00:48 -0400
>From: Jan Barger <[log in to unmask]>
>Subject: Re: Update on "my" moms
>
>Hi all,
>
>Well, just to update you on the two moms I posted on last week (one had
>terribly excoriated, weeping areola the other had a baby that absolutely
>refused to latch on): Baby number 2 we took off breast totally for 24 hours,
>tried a lot of skin to skin, and when mom tried to put her back on, she did
>the same thing -- screamed & cried. Mom not willing to go any further, is
>slowing down on her pumping (didn't want to rent a good double pump, so was
>only using a mini-electric) to 4-5 times a day, and will probably quit post
>haste. (Another example of "if you can't fix it this minute, I'm bagging it
>-- after all, the baby does SO well on formula! Next time I'll use Maureen's
>post of, "I'm so glad the baby seems to be doing so well on the formula. It
>generally takes about two weeks for any sensitization to show up. Perhaps
>you'd like to continue pumping for that length of time, just in case...)
>
>Anyway, fortunately, the other problem ended up slightly more positively:
> Mom rubbed a bit of the Nystatin cream in her elbow (Thank you Marie Davis
>-- I think it was you that suggested it -- if not, thanks, to whomever....).
> Within 8 hours she had broken out in that area, was itchy, bumpy & rashy.
> I'm going to call the drug manufacturer today to report it and see if we can
>find out which preservative she is most likely sensitive to so she can stay
>away from it -- it could be the Nystatin, but isn't as likely as something
>else in the cream). Mom's nipples/areola are healing, and she is ecstatic to
>find the cause of the problem. Me too!
>
>Did someone post awhile back about how you could find a chiropractor that is
>experienced in doing cranial-sacral therapy on babies in a particular area?
> I have a baby that I think may need such help -- shoulder dystocia in a
>C/Section!! Really traumatic birth, and baby is having trouble sucking at
>all -- can't latch on for squat.
>
>Jan Barger, who is having one of her "I think I'll open a bookstore" days.
>
>------------------------------
>
>Date: Thu, 6 Jun 1996 08:59:58 -0400
>From: Yanet Olivares de Saiz <[log in to unmask]>
>Subject: Mom with milk without baby??
>
>Dany:
>What I mean is that this lady is producing milk but she doesn't have
>babies, she has not been married, she even has not boy friend. My co-leader
>talked with her again and now she said about an accident when she was three
>months but never was seen by a doctor and she has learning problems too.
>Any other idea?
>
>Yanet
>
>
>
>Yanet Olivares de Saiz, LLL Leader, Mom to Miguelito (12-25-90) and Michele
>(09-27-95) in Dominican Republic. <[log in to unmask]>
>
>------------------------------
>
>Date: Thu, 6 Jun 1996 09:17:04 -0400
>From: "Pardee Hinson, MPH, IBCLC" <[log in to unmask]>
>Subject: Re: Pay Scale for Hospital LC's
>
>Lumping LCs in with RNs in regards to pay is one of the difficulties experienced
>by RNs who are also IBCLCs. I work as an IBCLC in a small community hospital,
>but as a non-RN there is no confusion over duties or pay. The LC pay scale is
>entirely separate from the RN scale and is the same as the NNP since both NNP
>and IBCLC are specialty services. I'll be happy to discuss this privately and
>in detail with anyone who is interested.
>
>Pardee H. Hinson, MPH, IBCLC
>704-543-2239
>[log in to unmask]
>Charlotte, NC
>
>------------------------------
>
>Date: Thu, 6 Jun 1996 09:19:59 -0400
>From: "Margery Wilson IBCLC (Margery Wilson)" <[log in to unmask]>
>Subject: ABM companies' "support" for bf
>
>Marsha Walker wrote about ABM companies aligning
>themselves as supporters of breastfeeding:
>
>"If the companies can make themselves shine they feel it will
>take our minds off the otitis media, diarrhea, allergies, and
>suboptimal brain development that their products contribute
>to."
>
>Yes...and don't forget: the same companies that
>manufacture ABM are often the same ones who manufacture
>the medicines used in treating otitis media, diarrhea,
>allergies...
>
>------------------------------
>
>Date: Thu, 6 Jun 1996 09:16:41 -0500
>From: Marie Schulte <[log in to unmask]>
>Subject: Re: abm breastfeeding info
>
>> If the abm packs and written info are not substantive
>>marketing, why would they go to the expense and time of producing them?
>Mary Lofton(Loftus?) at LLLI told me once that ABM companies "promote" bf
>because studies have shown that people who start out bf tend to be more
>health conscious and use abm significantly longer than those who start
>out on abm and go to straight cow's milk or other foods sooner. They
>certainly are not doing it out of the goodness of their hearts. They
>reinforce the idea that only tiny newborns breastfeed and then use ABM
>into late infancy or even toddlerhood. ABM companies never talk about the
>benefits of long term nusring - do they?
>
>~~~~~~~~~~~~~~~~~~~~~~~~~~~
>Marie Schulte LLLL & MOM
>from the computer known as
>[log in to unmask] ;-)
>Visit the
>La Leche League of Madison web page at:
>http://www.terracom.net/~mjstoy/
>~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
>
>------------------------------
>
>Date: Thu, 6 Jun 1996 10:16:43 -0400
>From: "Lisa Marasco, IBCLC" <[log in to unmask]>
>Subject: Re: Metoclopramide & ----
>
>>>As for current studies, I'm not aware of any. As for the other "unknown"
>herbal substances, who's to know what these things are.<<
>
>Tom, is there any word on Motilium? As I recall from previous discussions, it
>was in the process of being reviewed by the FDA was supposed to be released
>sometime mid-year '96. Its actual indicated use is for post-op nausea, but
>it is also supposed to be much more effective as a galactogue than
>metoclopramide and with fewer side effects. If anyone has word on this, I'm
>waiting!
>
>-Lisa Marasco, LLLL, IBCLC [log in to unmask]
>Santa Maria, CA
>
>------------------------------
>
>Date: Thu, 6 Jun 1996 10:36:35 EDT
>From: "Melissa L. Brancho" <[log in to unmask]>
>Subject: ABM/RUGS...
>
>Well, I am standing here looking at my living room rug which doubles its
>function as a play room most of the time. Yes, it does need cleaned again this
>year! But only because it got dirty in the everyday use of my family. In the
>years passed, I have had to clean rugs 3 times a year because a few of my
>children were fed FORMULA! And there was trails of formula stains throughout it
>(this is a great room so it is alot of carpet!)
>
> Someone (maybe I will do it) should make up a pamphlet of what to expect when
>you choose not to breastfeed (from a house cleaning point of view). It could
>include:
>
>Scrubbing rugs at least 2 times a year because formula fed babies always are
>spitting the foul smelling stuff back up stinking up your rugs
>
>Your dog or cat will often beat you to the stain and lick it up before you get
>to clean it up (hopefully they won't puke it up too!)
>
>Your shirts will be hopelessly stained in the back and shoulder areas to remind
>you that you paid for the formula that your baby threw up and then ruined your
>$20, $30, or more shirt too!
>
>Your couch and chairs will need to be cleaned if they get puked on which usually
>always happens right after you've cleaned them anyway!
>
>You'll unpack your old baby clothes to use them for your new baby and still will
>be able to smell that "formula smell" in them! Provided any survive the pukey
>staining.
>
>Half of your attic will be covered in boxes of bottles, rubber nipples,
>pacifiers, bottle washing equipment, bottle warmers, cloth diapers for "pukey
>cloths" and other various formula feeding necessities!
>
>You'll be so happy when your baby reaches a year old so that you can quit buying
>formula and save money and finally get to clean those rugs for the last time!
>
>This is my house after four children (2 exclusively formula fed, one half and
>ha;f and one exclusively breastfed). I haven't even begun yet! I still have
>constipation, vitamins, baby food, travel disasters, allergies, asthma, eczema,
>ear tubes, ear infections, sinus infections and lots more to go! Been there
>done formula and not afraid to tell you how much it s--ks! (Sorry, I am in a
>great mood, MOM IS COMING! All I will hear all day is "Jennie ought to be old
>enough to stop breastfeeding now. You have to let her grow up sometime!
>(Jennie is only 19 months old!))
>
>Another thought:
>
>I agree that ABM (although it is a habit to use those initials of mine also), is
>a misrepresentation of what the stuff really is. How about these ones instead:
>
>FORMULA
>BMS-breast milk substitute
>PBMS-poor breast milk substitute
>YBMS-yucky breast milk substitute
>CEBMS-chemically engineeered breast milk substitute
>GARBAGE-self explain
>
>Feeling like the day is going to be a LONG one, Jan, a book store is sounding
>like a great plan to me too these days!
>Melissa Brancho
>Who also agrees that IBCLC has no business working with formula companies
>regardless of their reasons!
>
>------------------------------
>
>End of LACTNET Digest - 5 Jun 1996 to 6 Jun 1996 - Special issue
>****************************************************************
>
>
|
