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From: LACTNET automatic digest system <[log in to unmask]>
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Sent: Thu, 6 Mar 2008 9:01 pm
Subject: LACTNET Digest - 6 Mar 2008 (#2008-323)
There are 4 messages totalling 192 lines in this issue.
Topics of the day:
1. Please help:! Need JHL article
2. Suggestion for 'tough case'
3. tough case
4. dreadful new wave in US
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Date: Thu, 6 Mar 2008 16:39:46 -0800
From: dodie <[log in to unmask]>
Subject: Please help:! Need JHL article
If anyone has these JHLs in their library I would so
appreciate you checking on something. It is an
Editor's Note (first written piece in the volume) and
the topic was related to communicating with
colleagues, not ruffling any other discipline's
feathers, not acting as if we know everything, etc.
I believe this Ed.Note is in one of the following
JHLs:
Last issue of Vol. 18 (2002)
Last issue of Vol. 20 (2004)
First issue of Vol. 14 (1998)
Sorry to be vague but these are the journals I am
missing from my library and am kind of guessing based
on that.
If anyone can even give me the title of the Ed. Note
and especially the volume number and date I think I
can get our hospital librarian to get them or contact
Sage Pub. I would be so appreciative of any help. You
will need to email me
[log in to unmask]
Many thanks, Pam Bartholomew RN, IBCLC
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Date: Thu, 6 Mar 2008 21:35:59 -0500
From: Katherine Dettwyler <[log in to unmask]>
Subject: Suggestion for 'tough case'
Suggest an appropriate scan of her pituitary, check hormone levels in blood=
, get her a D&C for her retained placenta!!!!
=20
Sheesh.
=20
Kathy Dettwyler=
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Date: Thu, 6 Mar 2008 20:40:04 -0600
From: laurie wheeler <[log in to unmask]>
Subject: tough case
Indeed, this is one tough case.
Here are my suggestions:
Pick one way to feed baby, mom's choice. I would do paced bottle feeding
with slow flow nipple. But whatever mom wants is best. Then I would
recommend galactagogues for mom. Herbal or prescription or both. I would
recommend mom be seen by an endocrinologist. If she is obese, she may
possibly have insulin resistance and/or polycystic ovary syndrome. She
should also have retained placenta ruled out by ultrasound or I think they
can do Hcg levels? Pick a pump and a flange that mom likes. If she believes
she is getting more milk with the 27 mm flange and the lactina select, I
would go with that. She can always change to larger size if she feels she
needs to. Of course I would recommend continuous kangaroo care if possible.
The mother will likely need a supplementer at breast, but first I would try
to take the pressure off of trying to breastfeed, but allow baby exploration
and self attachment to whatever level he can accomplish.
She may also need some testing or scanning done to check her pituitary if
there is a history of a problem with that, but the endocrinologist can guide
her there too.
I would want the mother to make it clear and get a firm commitment from the
endocrinologist that he/she will support the mother's breastfeeding efforts.
Best of luck to this dyad.
Laurie Wheeler RN MN IBCLC
Mississippi USA
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Date: Thu, 6 Mar 2008 21:50:51 EST
From: Nikki Lee <[log in to unmask]>
Subject: dreadful new wave in US
Dear Friends:
A group of LC colleagues and I attended the screening of a new "Safe Sleep"
video aimed for parents and healthcare professionals. It was made by some
local MDs and the whole point of the video is to warn parents against the
dangers of having a baby in bed with a parent.
The recommendations include: put baby to sleep on its back, always alone in
crib, keep everything out of the crib except the baby (no crib bumpers,
pillows or stuffed animals), "don't keep the room too hot", dress baby in a
sleep
saque, and if a blanket is used, bring it up only as far as baby's chest, and
tuck it in at the foot and sides of the mattress.
Bed sharing is said to lead to SIDS "40% or greater chance of SIDS if baby
sleeps in adult bed or on sofa"...............
This wave has been building at least since 2006. To the purveyors of this
philosophy, there is no such thing as safe bed-sharing, and no such thing as
an Arm's Reach Co-Sleeper.
There is no group as strong as the pediatric trade union (that is backed by
various industry dollars: formula and juvenile furniture manufacturers). The
wonderful Academy of Breastfeeding Medicine with their lovely sensible,
evidence-supported bed-sharing protocol unfortunately doesn't have the power
and
clout of the AAP....at least not yet.
We LCs sat there watching this well-made video. We didn't have a chance to
ask a question. There was no discussion. The video was introduced, shown, and
then the various participants in its making gave each other awards and
celebrated their premiere.
stunned, and feeling helpless as the juggernaut rolls on............
Nikki Lee RN, BSN, MS, Mother of 2, IBCLC, CCE, CIMI
craniosacral therapy practitioner
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End of LACTNET Digest - 6 Mar 2008 (#2008-323)
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