I need some insight into a problem with one of my moms; permission to post.
She had gastric bypass surgery in 1999. Her daughter is now 4 months old,
gaining beautifully, happy and content, but is plagued with green/mucous
stools.
There is no indication of OMER. She always nurses on one-side only and
still uses breast compressions, so foremilk/hindmilk imbalance is not the
problem. In the archives there is a reference to 'low-fat' human milk in
moms who have had this type of surgery. While this theory seems logical to
me, on a certain level, in diagnosing the cause of the green/mucous
stooling pattern, it doesn’t fit with the overall picture of an otherwise
healthy, happy and thriving baby.
Mom has eliminated ALL sources of dairy for the last week and has seen no
signs of improvement. Yes, I know that the elimination diet is still in
the early stages but I usually note at least a subtle difference within
the first week.
Of course the pediatrician’s recommendation is to wean and feed the baby
Alimentum. Mom was very surprised to see that the main ingredient is
casein (no flies on this mom) and refuses to do so. Makes no sense to her.
I will suggest a RD to help maximize her protein/fat intake and suggest
B12 and calcium/magnesium supplements. I will also suggest the 'kiss the
baby' test to rule out CF. What am I missing here?
I tend to think that since the baby's weight gain is great and she is
contented and happy most of the time, mom should just continue with
breastfeeding and look past the green/mucous stools.
Thoughts?
Ellen Penchuk, IBCLC, RLC
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Date: Mon, 30 Jan 2006 11:50:22 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Sam <[log in to unmask]>
Subject: Re: non-nutritive
In-Reply-To: <[log in to unmask]>
I hate to sound really stupid... But, does the medication metabolize only in
the body, or does the metabolization continue after the medication leaves
the body?
If you have a mother who pumps 2 ounces of milk, after taking a
contraindicated medication with a half-life of 10 hours, does this 2 ounces
of milk become "safe" after 5 half-lives in the container, or is it only the
milk in the body that becomes "safe" after 5 half-lives?
If it continues to metabolize outside the body, then dumping the milk is
really unneccesary?
Best wishes,
Heather "Sam" Doak
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Date: Mon, 30 Jan 2006 12:02:52 -0500
Reply-To: Lactation Information and Discussion
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From: "Catherine Watson Genna, IBCLC" <[log in to unmask]>
Subject: Re: imprinting- nonnutrive sucking at 18 days old (Long)
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June,
It sounds like this baby might be very flow dependant. Sometimes low
energy babies are. Have you tried using the syringe to deliver milk
while you do the suck exam? It makes a very big difference. All that a
baby does on a finger is non-nutritive sucking. At first they may try
extra hard by using more pressure to see if they can get milk from the
finger. Then a baby who is tired or has low energy reserves due to a
cardiac, respiratory, neurologic disorder or just due to not getting as
much milk as he would like and being in "energy conservation mode", he
is more likely to not bother sucking well unless he is getting a good
flow for his effort.
This is the time that using a supply line or Lact-aid is ideal. It keeps
the flow strong, so the baby finds it worth his while to work at the breast.
Too bad mom is so overwhelmed. Perhaps encouraging her to keep pumping
for a few days and feed this baby in the easiest way will allow her to
remarshall her own energy, and perhaps be willing to try something else.
Catherine Watson Genna, IBCLC NYC
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Date: Mon, 30 Jan 2006 12:07:09 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: "Catherine Watson Genna, IBCLC" <[log in to unmask]>
Subject: Re: Two Maids
In-Reply-To: <[log in to unmask]>
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Read the Prolacta site. Prolacta Biosciences is a for-profit company.
Catherine Watson Genna, IBCLC NYC
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Date: Mon, 30 Jan 2006 16:34:44 +0200
Reply-To: Lactation Information and Discussion
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From: Jean Ridler <[log in to unmask]>
Subject: Re: Reflux
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GERD is also a fashionable diagnosis at present across the Atlantic from the
US. And .... it seems as if lactose intolerance is making a come-back.
Sigh!
Jean Ridler RN RM IBCLC
South Africa [log in to unmask]
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Date: Mon, 30 Jan 2006 16:45:47 +0200
Reply-To: Lactation Information and Discussion
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From: Jean Ridler <[log in to unmask]>
Subject: Re: excessive foremilk intake and digestive disturbances
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The foremilk/hindmilk story is a huge issue where I work. Mothers ask me
almost daily "how long must baby be on the breast to reach the hindmilk?" I
think that magazine articles and some breastfeeding books have
oversimplified this issue. There is a belief that the foremilk is not
nutritious and therefore does not really count! (Same with colostrum not
being "real" milk!) If the mother is encouraged to follow her baby's cues
then this is rarely an issue. Ellen raises an interesting point - is it
lactose overload caused by not enough fat slowing down the passage of milk
through the gut, or is it excessive intake and not enough lactase to deal
with the volume? The result and subsequent management are the same.
Jean Ridler RN RM IBCLC
South Africa [log in to unmask]
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Date: Mon, 30 Jan 2006 19:51:25 +0100
Reply-To: Lactation Information and Discussion
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From: Rachel Myr <[log in to unmask]>
Subject: Donor milk in the US
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Stacy's reply about how parents will not be required to pay for donor milk
supplied by Prolacta leaves me with some questions. Stacy, I don't know
what a 'carve out' is; I live and work in a country where absolutely nothing
is paid for out of pocket for any patient in hospitals as long as that
person is covered by a health care plan in the European Union or is a
registered asylum seeker or refugee, and there are no third-party payers
other than the national health. The cost of operating a donor milk system
for babies is part of the cost of running a hospital here. (Citizens of
non-EU countries must have insurance or pay for their medical care
themselves, and the costs are a fraction of what they are in the US, oddly,
since cost of living is supposedly so much higher here.)
If the cost of the milk is factored into the daily cost for the patient,
there must be some way of knowing what the cost is, and from my
understanding of the workings of hospitals in the US, someone will be
footing the bill. I guess what I am wondering is what the vendor, in this
case Prolacta, is charging whoever it is who is actually paying for it,
because I am making the possibly mistaken assumption that they will not be
giving it to hospitals for free.
I can report that we have figured out that the cost of one liter of donor
milk costs about $100 here, when you figure in how much it costs to supply
the mother with a pump and containers, transport the milk, and then to test
each batch for presence of bacteria. As many of you know we don't
pasteurize donor milk here in Norway, because so many of the vital
characteristics which make it such a life-saving thing are lost in heat
processing. We test the donors more stringently than blood donors, and each
batch of milk is tested as well.
Does anyone here know how much Prolacta's products will cost? Is it
possible to post that information to Lactnet?
Rachel Myr
Kristiansand, Norway
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Date: Mon, 30 Jan 2006 14:15:43 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Susan Burger <[log in to unmask]>
Subject: Re: Relactation certainly IS possible
I happen to beg to differ with the opinion that relactation is NOT possible during emergency
conditions. UNICEF has developed some pretty clear guidelines for the steps necessary to
determine which mothers to encourage and which steps to take. All one has to do was take a look
at one of the new photos of a forlorn mother in New Orleans with a 3 day old baby (my colleague
did the math to figure out how old the baby was from the article) with a nasty dirty bottle of
formula to know that it is a no brainer to tell that mother to just keep putting her baby to the
breast. That is quite different from the steps that one would take to relactate a mother of a six
month old. That is not going to work during the initial phases of an emergency and anyone who
has read any of the materials on management of infant feeding would realize that that is not what
is proporsed.
Moreover it is quite important to encourage CUP FEEDING under these circumstances rather than
bottle feeding. You can clean out a cup much better than a bottle.
Anyone involved in developing guidelines for emergency feeding protocols should first go to the
protocols that have already been published for developing countries and ADAPT these for use in
developed countries. Quite frankly the conditions in New Orleans are really not that dissimilar
from emergency conditions elsewhere. There is a track record. There are people who have done
the work on relactation and documents published by UNICEF and WHO and I'm sure La Leche
League has good documents as well. There is a sensible approach including one flow diagram
that I picked up that shows the decision points for choosing feeding methods. Of course, the
protocols can be fine tuned and improved upon as with anything in life.
If I were stuck in some stadium with no clean water I would have no hesitation going up to that
mom of the three day old and saying something along the lines of what Paula Meier's does with
her moms of premies - that this is life or death situation and if she hates breastfeeding she can
stop the instant she gets to someplace where the water is safe.
As for the pictures of the premie babies in the box, if I really could not have convinced the
emergencies workers to not separate mom and baby - I would have at least made one of the
emergency workers strip off his shirt and wrapped as many babies as possible around his body to
keep them warm.
Best regards, Susan Burger
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Date: Mon, 30 Jan 2006 11:24:46 -0800
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: MacBump <[log in to unmask]>
Subject: Re: roll your eyes moment
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Betsy Riedel said: "Relactation is not going to work in the event of
an emergency and it
certainly is not going to be instantaneous enough to be beneficial in an
emergency situation."
With all due respect, Betsy, I disagree. :-) No, relactation will
not work immediately and be instantaneous, in the event of a 12-hour
power outtage. But MANY MANY disasters end up being longer term than
that. In the case of 6 weeks of ice storm, low formula supplies, iffy
electricity, unclean shared living areas, I think relactation is a
very valid option to persue and offer to mothers.
Fio
BF volunteer.
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Date: Mon, 30 Jan 2006 11:39:55 -0800
Reply-To: Lactation Information and Discussion
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From: Seema Karki <[log in to unmask]>
Subject: Mixing powder formula
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Dear lactnetters,
I had posted my concern last week about mixing powder formula with breast Milk. Baby I was taking care of (33wk1513g preme), I asked mom to get hind milk. Started to feed hind milk. Baby was gaining well 20-30g/day. Doc on call had started mixing powder formula when I went back to work next time.
No labs were done to make sure the biochemical Markers are on normal limits. we don;t keep very many preme in our hospital so this kind of tests is not done here.
Question,
Eventhough baby is gaining weight well, acting good, everything looks ok,
do we need to get concerned about phosphorus,alkaline phosphatase,urea etc??
does baby really need extra stuff from formula??
I told my coworker physician why can;t we leave this baby on hindmilk. He said hind milk calorie is not enough for the baby. It could be lower than 20cal/oz. And Other stuff baby needs. I mentioned about lysozyme effect etc..
I was amazed.
Doesn;t hind milk have more cal? . and this mom;s hind milk definitly looked thick, rich.
how much all these minerals are in hind milk??phosphorus,alkaline phosphatase?
I do not have Riordan's book.
thank you,
Seema Karki,RN, Mother to 3
Nursing momma
New IBCLC
The only way to nurture your baby ....is .....breastfeeding.
---------------------------------
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Date: Mon, 30 Jan 2006 14:50:24 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Charity Pitcher-Cooper <[log in to unmask]>
Subject: Super IBCLC found!
Many thanks to everyone who replied so quickly to my plea!
This Mom and baby now have an appointment with Dr. Smilie this week and will follow up with one of
our own lactnetters, Betsy Riedel RNC, IBCLC, just one town over. My friend is once again, hopeful
that her breastfeeding pain can be resolved.
I forwarded all of your concerns (concurrent staph, diabetes, and selective carbohydrate diets) on to
her as well. She will talk about all of these possibilities with Dr. Smillie and Betsy and hopefully this
mother and baby will once again return to pain free nursing. We will let you all know how it turns
out.
I marvel, again, at Lactnet- so many helpful folks in just one online community. THANK YOU!
Warmly,
Charity M. Pitcher-Cooper BSN, RN
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Date: Tue, 31 Jan 2006 07:26:29 +1100
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Karleen Gribble <[log in to unmask]>
Subject: UK Lactnetters
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Does everyone know about this? I'd be interested in hearing about it =
from those who get to watch it.
Karleen Gribble
Australia
Extraordinary Breastfeeding
Channel 4, Wednesday 1 February, 9pm
Everyone knows that breast is best, but for how long? The World=20
Health Organisation recommends that all children are breastfed until=20
at least two years. In Britain we think that's downright weird. But=20
this forthright, revealing and heart-warming film meets a group of=20
women who believe in continuing to breastfeed for as long as their=20
children want.=20
=A9 channel 4
Veronika is still breastfeeding her seven-year-old daughter, while=20
her eldest has asked if she can be breastfed as a present for her=20
tenth birthday. Dolores is breastfeeding her son, who is nearly=20
four. Dolores and her husband are about to adopt a little girl from=20
China and her greatest wish is to breastfeed her adopted daughter.=20
Thirty-eight-year-old Sophie is tandem-feeding two-year-old twins=20
Zac and Molly on demand, and is feeling the strain. And Kirsty, who=20
works for an organisation that helps teach young mums how to=20
breastfeed, is breastfeeding her daughter at nearly two and is very=20
concerned that new laws could prevent breastfeeding in public places.
SPONSORED LINKS Adoption baby International adoptions Adoption child =20
International adoption china International adoption guatemala =
International adoption resource =20
-------------------------------------------------------------------------=
-------
YAHOO! GROUPS LINKS=20
a.. Visit your group "ChinaAdoptionBreastfeeding" on the web.
=20
b.. To unsubscribe from this group, send an email to:
[log in to unmask]
=20
c.. Your use of Yahoo! Groups is subject to the Yahoo! Terms of =
Service.=20
-------------------------------------------------------------------------=
-------
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Date: Mon, 30 Jan 2006 12:27:18 -0800
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Seema Karki <[log in to unmask]>
Subject: Mixing EBm with sterile water
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One of the moms was instructed to mix EBM with sterile water. 2cc EBM with 20cc or Sterile water. Is ok to do that?? isn;t that too much plane water for newborn baby?
Thnx,
Seema Karki,RN, Mother to 3
Nursing momma
New IBCLC
The only way to nurture your baby ....is .....breastfeeding.
---------------------------------
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Date: Tue, 31 Jan 2006 07:47:22 +1100
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Karleen Gribble <[log in to unmask]>
Subject: Re: A "Roll your eyes" moment
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Renee,
Have you seen the FEMA and Red Cross brochure on emergency food and
water....this is the only thing it says about breastfeeding "Individuals
with special diets and allergies will need particular attention, as will
babies, toddlers, and the elderly. Nursing mothers may need liquid formula,
in case they are unable to nurse. Canned dietetic foods, juices, and soups
may be helpful for ill or elderly people. "
So you see it is breastfeeding that is unreliable and dangerous!
http://www.redcross.org/images/pdfs/preparedness/A5055.pdf
Karleen Gribble
Australia
> Today at church I had a "roll your eyes moment". We had a class on
> Emergency Preparedness and how to prepare for a major disaster. While
the gentleman
> who prepared and gave the power point talk had obviously done a lot of
> homework, and preparation, I was shocked (well not really), at his
information. He
> had broken the time lines of need into "Urgent, the first few hours"
> "Immediate, the first 48 hours" etc etc. The first Power Point was on
the "Urgent"
> phase. He listed the needs in this order, and I quote, "Gas in your car,
> Diapers, milk and formula" These were his TOP 3. No mention of
breastfeeding,
> etc.
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Date: Mon, 30 Jan 2006 22:50:57 +0200
Reply-To: Lactation Information and Discussion
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From: ellen shein <[log in to unmask]>
Subject: foremilk/hindmilk
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Hi all,
I agree with Jean about jumping to conclusions regarding =
foremilk/hindmilk. This issue is so overused, when in fact, the =
differences in the fat content in human milk was recorded when babies =
were FTT. If I am not mistaken, when the recommendation of many MD's and =
HCP's some 20-30 years ago were to feed the baby
only 10 minutes on both sides many babies did not get to the hindmilk =
and were therefore not gaining weight or even losing weight. Since this =
discovery, the recommendation automatically and categorically changed =
over to feeding baby on one side only in order to get this high fat =
content milk. It is as if they only heard half the story - and didn't =
bother listening to the rest. which had they taken the time to =
understand the rationale, then they would have heard, "feed the baby on =
the first side for as long as baby shows interest or desire - and =
thereafter offer the second breast". Our mothers hear this =
quasi-scientific explanation of foremilk/hindmilk and naturally get into =
a panic that they will starve their baby if they don't get the hindmilk. =
More pressure in an already pressurised situation. Seems pretty =
universal - I get this question daily as well. Recommendations exist - =
but who can ensure that HCP's will be giving out accurate, updated and =
non-conflicting information? Wish I knew.
Ellen Shein,
LLL, IBCLC
Tel Aviv
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Date: Mon, 30 Jan 2006 17:11:15 EST
Reply-To: Lactation Information and Discussion
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From: Renee Drake <[log in to unmask]>
Subject: Re: LACTNET Digest - 30 Jan 2006 - Special issue (#2006-104)
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In a message dated 1/30/2006 12:48:07 P.M. Pacific Standard Time,
[log in to unmask] writes:
. Nursing mothers may need liquid formula,
in case they are unable to nurse. Canned dietetic foods, juices, and soups
may be helpful for ill or elderly people. "
So you see it is breastfeeding that is unreliable and dangerous!
AARRRGGGHHHH!!!!!
Oh my goodness, I cannot BELIEVE that....well, this is America...I guess I
can lol. I believe it was Betsy who in another post also thought relactation
would be undesirable in an emergency. I understand that trying to relactate
a 6 mos old would be difficult and time consuming esp in an emergency
situation, I was of course relating to the early postpartum mothers who could easily
relactate. I also believe that if there is the difference between giving an
infant a dirty bottle of formula versus my neighbor in the next bunk who IS
breastfeeding and willing to feed my baby also, of course I would want her to
feed my baby. Most women do not realize that this would be a possibility.
During the stress and commotion, they would be franticly looking for anything
to feed their baby. Shouldn't that be a goal of Red Cross and FEMA, to
encourage milk sharing? An idea that may be foreign to the average mom may
become reassuring in an instance of despair. Meanwhile mom could/should be
encouraged to bring her baby to her own breast, if for no other reason than to
comfort both of them in their distress. I mean, if there is no water, formula
etc...then having a safe warm breast to suckle from (even if it is dry) would
be very comforting indeed.
We are going to be having an area wide seminar on emergency preparedness in
the near future. I would like to develop a plan, explaining the importance
of breast feeding/relactation in such an emergency, and ways to implement the
plan in a disaster allowing as many well fed babies in a scary situation as
possible. Any one have a model I could follow? Or ideas to put into it?
Sounds like this time I may actually be able to bring the point home.
Renee Drake RN CLC
(http://www.snugglepie.com/)
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Date: Mon, 30 Jan 2006 16:48:47 -0600
Reply-To: Lactation Information and Discussion
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From: "Julia R. Barrett" <[log in to unmask]>
Subject: roll your eyes moment (breastfeeding in emergencies)
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Betsy Riedel posted:
>To be perfectly honest, I think that breastfeeding mothers would already
>know that and I am not at all surprised that a man would not include that
>in his emergency preparedness presentation. He was merely covering all of
>his bases. The concept of berastfeeding really had absolutely nothing to
>do with his presentation.
>
>Relactation is not going to work in the event of an emergency and it
>certainly is not going to be instantaneous enough to be beneficial in an
>emergency situation.
When an emergency overtakes a population, odds are there will be newborns,
young infants, and recently weaned children among those affected. As long
as the mothers have survived relatively unscathed and have not been
separated from their children, beginning breastfeeding or relactating is
most certainly an option.
Yes, formula may be needed as the process gets started; however, the sooner
it starts, the better. It may not be possible to know how long an emergency
situation will last. How many moms headed to the N.O. Convention Center
thinking it would only be for a day or two? How many others were stranded
and thought rescue would come at any moment?
Further, I don't think there should be any assumption in an emergency of
what breastfeeding mothers know. Consider the myths that are rampant out
there. "Stress dries up a mother's milk" and "A mother lacking food for
herself cannot produce milk for her baby" are common ones. How many moms
have weaned their children due to erroneous information?
Following the Katrina disaster, LLL, the U.S. Breastfeeding Committee, the
Academy of Breastfeeding Medicine, and others disseminated a lot of
information, including appeals to emergency responders and medical
personnel to support and encourage breastfeeding in this and other
emergency situations. I apologize if others have already posted the
following links. (I don't mean to be repetitive. I'm just on digest and I
haven't seen them yet.)
WHO's guideline for feeding infants and young children in an emergency:
<http://whqlibdoc.who.int/hq/2004/9241546069.pdf>
Emergency Nutrition Network
<http://www.ennonline.net>
UNICEF website on emergencies and nutrition
<http://www.unicef.org/nutrition/index_emergencies.html>
International Lactation Consultant Association
<http://www.ilca.org/katrina/InfantFeeding-EmergPP.pdf>
La Leche League International
<http://www.lalecheleague.org/emergency.html>
Wellstart International
<http://www.wellstart.org/Infant_feeding_emergency.pdf>
Finally, a search of the Lactnet archives, especially in the weeks
following Katrina, will have a lot of information.
I'm glad Renee had the gumption to get up, say her piece, and say it
nicely. (Yeah, Renee!) Lack of breastfeeding knowledge among emergency
planners and responders can be a significant impediment to serving mothers
and their children in emergencies. They need to know.
regards,
Julia
Julia R. Barrett
Freelance Science Writer & Editor
Mom to Sean (5) and Kira (2)
Madison, Wisconsin
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Date: Mon, 30 Jan 2006 17:45:00 -0600
Reply-To: Lactation Information and Discussion
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Sender: Lactation Information and Discussion
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From: Anna Swisher <[log in to unmask]>
Subject: Re: mixing powdered formula
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Dear Seema,
The information your colleague was given about the caloric content, esp =
of
hindmilk, is overly simplistic. Jackie Kent, Leon Mitoulas and Ching Tat =
Lai
from Hartmann's group, have done great research in this area. Kent found
that the fat content varies so much that the foremilk of feedings spaced
closer together can be higher in fat than the content of hindmilk when
feedings are spaced farther apart. Lai found a lot of variance in =
caloric
content--one mom's milk was 46 cal/oz! Hartmann's group is trying to =
develop
viable "MOM" Mother's own milk human milk fortifier. These presentations
were made at the Amarillo Conference, which I recommend highly, and not =
just
because it's in Texas :-) WRT the increased mineral needs--the archives =
have
a lot of that information, especially from Dr. Nancy Wight.
HTH,
Anna Swisher, MBA, IBCLC
Abundant Blessings
Austin, TX
=A0
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Date: Mon, 30 Jan 2006 18:55:33 EST
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Cheryl Taylor White <[log in to unmask]>
Subject: Re: roll your eyes moment
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I am a huge proponent of breastfeeding of course, but I am not sure that
your information as you presented it was at all appropriate at that
particular point in time.
Betsy Riedel, RNC, IBCLC
I do see it as appropriate to be part of the discussion, and see no problem
with the presentation, and here's why.....
There could be people listening to the presentation that are parents but
going to have another, grandparents, young couples without children yet, that
hadn't really thought about the situation they would be left in if they chose to
feed ABM and were in such a catastrophe.
It could be one more piece of information that helps someone make the
decision to breastfeed when they have their child, or encourage their daughter to.
Just a few comments within the presentation that guides their thinking about
emergency situations. Just one more little weight on the decision making
scale.
Let me use a personal example. I was a new mother in 1985, the year of the
earthquake in Mexico. I sat nursing my then 4 mo old twins (I still wasn't
doing much else at 4 mo but nursing those preemies nonstop!) and watched
coverage of the disaster, having never once thought about what a mother that has
chosen to use ABM does in a situation like that. Just not a thought that had
ever crossed what I typically considered to be my over-prepared mind.
So I can definitely see the importance of addressing how choosing to
breastfeed your children is something that should be thought about in terms of a
potential disaster. If I were in a workshop like this in a place where people
knew me and knew that I worked with nursing moms, then I'd feel comfortable
raising my hand and briefly making a point. Would I then quietly fume (because
I was faced with yet another situation where ABM was considered normal)
while trying to keep a poker face on? Probably. :)
Cheryl Taylor White, CBE
_www.drjaygordon.com_ (http://www.drjaygordon.com)
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Date: Mon, 30 Jan 2006 18:56:51 -0500
Reply-To: Lactation Information and Discussion
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From: Marsha Glass <[log in to unmask]>
Subject: My New Grandchild
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Dear Friends,
I have been away for a while. I always think about how much I'm missing
when I have to go nomail! I had a lovely 3 week long vacation in Hawaii,
where my daughter gave birth to my grandson January 8th -two weeks late!!!
I am always amazed at how advanced we think we've become and in our
arrogance, make mothers worry over nothing. My daughter consistently
measured small for dates (a fact I hadn't been aware of. Obviously SHE
wasn't really worried) and delivered a perfectly normal 6lb 12oz baby boy 14
days after her due date. So they worried about the baby's size. Then they
worried that she was so overdue. And when the baby was born (minimal
vernix, skin not dry and weighing 8 oz more than his mother, who was one
week overdue), they worried about his size again. He was technically "SGA"
for a 42 weeker. What they should have done is what a different doctor has
done with my younger daughter, move her due date back a couple of weeks!
Anyway, my grandson is here and nursing, though with problems. He is 3
weeks old and gaining but my dd is dealing with yeast (after I asked the
midwife not to give her the abx just because she spiked a temp of 101
*once*, after 24 hours of not feeding her. Just don't even get me started!)
She gave it to her anyway. We also have some suck issues, but he is
beautiful and because of him, I got to see most of Oahu and bask in the
warmth a week longer than planned. Despite cytotec and an induction (gee, I
wonder why that baby just wasn't ready to come!) and an argument between the
doctor (who stepped in for several hours when the midwife got sick) and me,
who tried very hard to be pleasant, yet protective of my daughter's
experience, my dd labored with minimal Pit and NO pain medication! I was so
proud of her and my sil, who couldn't have done a better job! But why oh
why can't an LC's dd have a problem free breastfeeding experience?! The
hardest part for me (besides coming back when the baby was a week old) was
that I needed all my tools there, but didn't have any with me. I had some
names for resources, but when it came down to it and we needed help on the
holiday weekend, it was not to be found. Very frustrating. Thanks to Cathy
Genna, for her input and help. His suck is an issue we are still dealing
with. Friends, when my dd looked up at me during a really painful
contraction and said, "mom, don't make me do this", I just wilted, but we
talked her through it anyway and she was glad we did. It took all of us,
the midwife, her husband and myself. All of us got her through it. I'm not
sure she'd have made it without medication if any one of the three of us
were not there. In my job as a labor and delivery nurse, I have assisted
many women through labor, but none drained me like this one. Of course,
none exhilarated me as much either. It was my gift to her. One generation
to the next. Now, that is how it should be. Welcome to the world Christian
Anthony Tomasello!
Marsha, also now known as "Mimi", who has to remind herself when helping
mothers now that I can't kiss the baby!
~~~~~~~~~~~~~~~~~Marsha Glass RN, BSN, IBCLC~~~~~~~~~~~~~~~~~~~~~
Mothers have as powerful an influence over the welfare of future generations
as all other earthly causes combined.
~~~~~~~~~~~~~~~~~~~~~~~~~John S. C. Abbot~~~~~~~~~~~~~~~~~~~~~~~~~
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Date: Mon, 30 Jan 2006 19:01:16 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
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From: Pat Young <[log in to unmask]>
Subject: Re: Mixing EBm with sterile water
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Why was she instructed to do this? Pat in SNJ
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Date: Mon, 30 Jan 2006 19:12:12 EST
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Cheryl Taylor White <[log in to unmask]>
Subject: Re: Gastric Bypass
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=20
<<<<Mom has eliminated ALL sources of dairy for the last week and has seen=20
no=20
signs of improvement. Yes, I know that the elimination diet is still in=20
the early stages but I usually note at least a subtle difference within=20
the first week.=20
=20
=20
Thoughts?
Ellen Penchuk, IBCLC, RLC>>>>
=20
A few thoughts....
=20
First, yes it is early. I've seen it take as long as three to four weeks=20
before there was improvement. Many moms do see improvement in that first w=
eek,=20
but with some it's the second or third week at least. They are often=20
children that end up truly allergic to dairy and not just intolerant of the=
size of=20
the protein until the gut closes. Makes sense that they would be that=20
reactive to even small amounts left in mom's system then.=20
=20
Secondly, the malabsorption could be due to something else or something in =20
addition to the dairy. Wheat, egg, peanut and soy are pretty common culpri=
ts=20
when you're addressing food allergies beyond the dairy protein digestion=20
issue. The more moms I help figure out what it is in their diet that their=
baby=20
is reacting to, the more I am keenly aware that nothing is really impossibl=
e=20
for them to react to. I don't eliminate anything in the running. Yes, you=
=20
see dairy most then follows the wheat, egg, peanut, soy, highly acidic frui=
ts=20
and veggies and shellfish. But I've also seen chicken, oats and carrots fo=
r=20
example. =20
=20
A food diary is helpful....tracking what mom is eating in one column and an=
y=20
reactions noted in baby in the other. If that doesn't solve it easily, and=
=20
dairy has already been eliminated for at least two weeks, I usually recomme=
nd=20
backing out to fruits and veggies with nothing acidic for 3 - 7 days and se=
e=20
if the symptoms go away. Then slowly adding back in one item at a time and=
=20
testing each item. =20
=20
<<<<There is no indication of OMER. She always nurses on one-side only and=20
still uses breast compressions, so foremilk/hindmilk imbalance is not the=20
problem. In the archives there is a reference to 'low-fat' human milk in=20
moms who have had this type of surgery. While this theory seems logical to=20
me, on a certain level, in diagnosing the cause of the green/mucous=20
stooling pattern, it doesn=E2=80=99t fit with the overall picture of an oth=
erwise=20
healthy, happy and thriving baby. >>>>
If she's actually got "low fat" milk due to the surgery, and that is the =20
cause, she's compensating for it with quantity if baby is gaining well and =20
developing well. I tend to agree with you IF this is the final conclusion,=20=
that=20
the healthy, happy, thriving baby belies it being the typical concern that =20=
the=20
imbalance would be. =20
=20
<<<<Of course the pediatrician=E2=80=99s recommendation is to wean and feed=
the baby=20
Alimentum. Mom was very surprised to see that the main ingredient is=20
casein (no flies on this mom) and refuses to do so. Makes no sense to her.=20
>>>>
Good thing this mom is smart and there was no battle over not switching to =20
Alimentum. =20
=20
Cheryl Taylor White, CBE
_www.drjaygordon.com_ (http://www.drjaygordon.com)=20
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Date: Tue, 31 Jan 2006 00:08:39 +0000
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Pamela Morrison <[log in to unmask]>
Subject: Banked milk in Norway
In-Reply-To: <[log in to unmask]>
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Rachel
How fascinating! I've just been looking at HIV testing methods for blood,
breast milk and cervical secretions, and it certainly sounds like a highly
complex process. Would you have any idea of the specific test (eg Amplicor
Version 1.5, or Gen-Probe, whatever?) which is used in to test donor milk
for HIV? And how sensitive it might be (number of viral copies that could
be identified?) The reason I ask is that it looks as if not all tests are
primed for all sub-types of HIV, and in fact, certainly until very
recently, most were set to identify sub-type B HIV (found mostly in the
US), which is not a common strain worldwide. A 2002 paper suggests that
breast milk is slightly trickier than plasma and a pilot study established
that the Gen-Probe was found to be sensitive and specific for the genetic
strains of HIV-1 circulating worldwide, but there were recommendations
about the quantity of milk to be used, and some of the problems (Panteleef
2002). I'd expect that milk banks that dispense unpasteurized milk would
be pretty clued up about this. Would you be able to let me know?
Pamela Morrison IBCLC
WABA HIV & Infant Feeding Co-Coordinator
[log in to unmask]
At 18:57 30/01/2006, you wrote:
>As many of you know we don't
>pasteurize donor milk here in Norway, because so many of the vital
>characteristics which make it such a life-saving thing are lost in heat
>processing. We test the donors more stringently than blood donors, and each
>batch of milk is tested as well.
>
>Does anyone here know how much Prolacta's products will cost? Is it
>possible to post that information to Lactnet?
>
>Rachel Myr
>Kristiansand, Norway
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Date: Tue, 31 Jan 2006 00:46:37 +0000
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: heather <[log in to unmask]>
Subject: Re: UK Lactnetters
In-Reply-To: <003501c625db$74903070$0801a8c0@Karleen>
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>Does everyone know about this? I'd be interested=20
>in hearing about it from those who get to watch=20
>it.
>Karleen Gribble
>Australia
>
>
>
>Extraordinary Breastfeeding
>Channel 4, Wednesday 1 February, 9pm
>
>Everyone knows that breast is best, but for how long? The World
>Health Organisation recommends that all children are breastfed until
>at least two years. In Britain we think that's downright weird. But
>this forthright, revealing and heart-warming film meets a group of
>women who believe in continuing to breastfeed for as long as their
>children want.
>
>=A9 channel 4
We're all waiting for this programme a little=20
nervously.....is it going to be some sort of=20
sensationalist gawping, we wonder???
BTW, it's named 'Extreme Breastfeeding', I think, which might give a clue...=
=2E
Heather Welford Neil
NCT bfc, tutor
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Date: Tue, 31 Jan 2006 14:05:47 +1100
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Karleen Gribble <[log in to unmask]>
Subject: emergency preparedness
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Hi Renee,
Promoting breastfeeding fits right in with emergency preparedness because if
women are breastfeeding they do not need to do anything to prepare
specifically for their babies' wellbeing except look after themselves and
adults are much less vulnerable than babies. An adult can keep hydrating on
coke if nothing else is available but not so babies. What I found quite
amazing with the situation in New Orleans was that practices did not change
even as the disaster unfolded. Right up until Katrina hit, women and their
babies continued to be discharged from maternity hospitals not
breastfeeding. In spite of what had become clear in the days immediately
following Katrina (ie formula fed babies dying or becoming very ill because
they did not have food), when Hurricane Rita hit Texas weeks later, many
more babies were put at risk as artificial feeding remained the norm. WHY??
I think you can safely say in your seminar that if people do not want their
babies to be put at risk if there is an emergency then they will breastfeed
because in any emergency artifically fed babies are in a very precarious
situation.
Karleen Gribble
Australia
We are going to be having an area wide seminar on emergency preparedness in
> the near future. I would like to develop a plan, explaining the
importance
> of breast feeding/relactation in such an emergency, and ways to implement
the
> plan in a disaster allowing as many well fed babies in a scary situation
as
> possible. Any one have a model I could follow? Or ideas to put into it?
> Sounds like this time I may actually be able to bring the point home.
>
> Renee Drake RN CLC
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Date: Mon, 30 Jan 2006 21:46:57 -0600
Reply-To: Lactation Information and Discussion
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From: Janice Reynolds <[log in to unmask]>
Subject: CBC National News - Watch Tonight
Comments: To: [log in to unmask], [log in to unmask]
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WATCH TONIGHT
Expose on medical system talks about Nestle and Mead Johnson formula studies that were fudged.
I'll post more when I find out more. I watching now at exactly 1/2 past the hour (9:30)
Involves:
(no real study done, authors of study had little to do with it - fabricated research results - involves Nestle and Mead Johnson, hypoallergenic formula, published in British Medical Journal, Dr. Chandra ???, scientific fraud, whistleblowers)
Please someone tape if possible.
CBC National News
Janice Reynolds
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Date: Mon, 30 Jan 2006 22:29:54 -0600
Reply-To: Lactation Information and Discussion
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From: Janice Reynolds <[log in to unmask]>
Subject: Re: CBC National News - Watch Tonight
Comments: To: [log in to unmask], Saskatoon Breastfeeding Matters
<[log in to unmask]>,
[log in to unmask], [log in to unmask],
[log in to unmask], [log in to unmask]
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YOU MUST READ THIS!
Here is the link to the full transcript on tonight's show:
http://www.cbc.ca/national/news/chandra/
There is a Part 2 that will be aired on Tuesday night.
Summary (provided by Maureen Fjeld):
CBC The National (on CBC or the news network) - exposes the research work
done by Dr. Chandra from Nfld - and how without data and research, he has
published in several key journals and is known as an international speaker
on allergy and immunology - basically funded by Nestle and Mead Johnson to
do research to substantiate the term hypoallergenic formula for marketing
purposes. Academic fraud that could not be proven but CBC has essentially
exposed this issue - quite amazing!! Will be on again on the National CBC
news tonight, and Part II is tomorrow night - Tuesday Jan 31
(BTW, my husband has always thought I was being a bit of a conspiracy
theorist about this stuff. He really believes in science and process of
publishing research. After watching this tonight, he admitted that the CBC
was saying all the things that I've been trying to tell him all along, and
that he would have to eat some crow!
Janice Reynolds)
Partial Excerpt (see link above for full transcipt)
Chandra's research nurse at the time was Marilyn Harvey. It would be her job
to find 288 newborns whose parents were prone to allergies who were willing
to take part in the Ross study. Finding that many allergy-prone babies in a
city the size of St. John's was not easy.
"It took basically all my time," Harvey says. "If I worked 40 hours a week,
it would also take my time in the evening and sometimes at night, like I
always felt I was on call for 24-7 for two years or even more."
Around the same time, food giant Nestle introduced the new formula Good
Start to the North American market. The product was supposed to help reduce
the risk to some infants of developing allergies.
The company was under increasing pressure from the U.S. Food and Drug
Administration to prove those claims. Nestle had hired Chandra to
scientifically test their product, but as the pressure on the company
mounted in late 1988, Chandra was just in the early stages of conducting
that study.
By the following summer, Harvey had recruited only a handful of subjects, so
she was shocked when she came across the already published results of the
Nestle study.
"I would say there was only probably one-quarter of the patients even
recruited in this study," Harvey says. "And he had all of the data analyzed
and published even before we had even had the data collected!"
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Date: Mon, 30 Jan 2006 23:25:34 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: Congratulations Marsha
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Dear Friends:
Thank you for writing to us about your feelings and thoughts during this
exciting time in your life. Thank goodness your new grandson and your dd
have you in their lives!
warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct Faculty Union Institute and University
Film Reviews Editor, Journal of Human Lactation
www.breastfeedingalwaysbest.com
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Date: Mon, 30 Jan 2006 23:21:21 -0700
Reply-To: Lactation Information and Discussion
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From: Kermaline Cotterman <[log in to unmask]>
Subject: Movies and Breastfeeding
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Perhaps the thread is old. I am behind on my LN digests due to vacation. Bu=
t
I thought this worth sharing. In the February issue of St. Anthony
Messenger, on the letters to the editor page, is a very interesting
exchange. A reader was incensed by the review of the movie "Millions" as a
family-friendly movie due to a scene with a teen bringing up a pornography
website. The reviewer, a nun, disagreed with her and explained her
reasoning. The scene concerns two brothers, whose mother had died several
years earlier. The 7 year-old was too young at the time of her death to
remember his mother, and is still trying to come to terms with this. The
teen did in fact bring a porn site on to his screen, showing breasts (in a
bra). His 7 year old brother saw the picture, and asked "What are those, an=
d
what are they for?" The brother told him they were breasts, and they were
for feeding babies, whereupon, the younger brother asked "Did my mom feed m=
e
that way?" Upon finding out that she indeed breastfed him, he was very
comforted to realize she had used her very own body to show her love for
him. And this was why the nun decided to rate it as family friendly.
Jean
**********
K. Jean Cotterman RNC, IBCLC
Dayton, OH USA
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Date: Tue, 31 Jan 2006 17:40:03 +1100
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Karleen Gribble <[log in to unmask]>
Subject: Re: UK Lactnetters
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Well lets hope it's good!
The promoing for the current affairs segment on my toddler+ bf study that
was boradcast last year was really sensationalist ("school children
breastfeeding etc) but the actual program was pretty damn good. I too was
very very nervous (and in fact didn't watch it live, I waited until it had
finished and called someone to find out the worst before I watched it),
maybe things are changing a bit?? The current affairs program involved is
known for it's sensationalist approach...
I'll be very interested to hear about it. I tend to think that any press is
good and already I've had requests for info about adoptive breastfeeding
from the UK.
Karleen Gribble
Australia
>
> We're all waiting for this programme a little=20
> nervously.....is it going to be some sort of=20
> sensationalist gawping, we wonder???
>
> BTW, it's named 'Extreme Breastfeeding', I think, which might give a
clue...=
> =2E
>
> Heather Welford Neil
> NCT bfc, tutor
>
> ***********************************************
>
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>
> ------------------------------
>
> Date: Tue, 31 Jan 2006 14:05:47 +1100
> From: Karleen Gribble <[log in to unmask]>
> Subject: emergency preparedness
>
> Hi Renee,
> Promoting breastfeeding fits right in with emergency preparedness because
if
> women are breastfeeding they do not need to do anything to prepare
> specifically for their babies' wellbeing except look after themselves and
> adults are much less vulnerable than babies. An adult can keep hydrating
on
> coke if nothing else is available but not so babies. What I found quite
> amazing with the situation in New Orleans was that practices did not
change
> even as the disaster unfolded. Right up until Katrina hit, women and their
> babies continued to be discharged from maternity hospitals not
> breastfeeding. In spite of what had become clear in the days immediately
> following Katrina (ie formula fed babies dying or becoming very ill
because
> they did not have food), when Hurricane Rita hit Texas weeks later, many
> more babies were put at risk as artificial feeding remained the norm.
WHY??
> I think you can safely say in your seminar that if people do not want
their
> babies to be put at risk if there is an emergency then they will
breastfeed
> because in any emergency artifically fed babies are in a very precarious
> situation.
> Karleen Gribble
> Australia
>
>
> We are going to be having an area wide seminar on emergency preparedness
in
> > the near future. I would like to develop a plan, explaining the
> importance
> > of breast feeding/relactation in such an emergency, and ways to
implement
> the
> > plan in a disaster allowing as many well fed babies in a scary
situation
> as
> > possible. Any one have a model I could follow? Or ideas to put into
it?
> > Sounds like this time I may actually be able to bring the point home.
> >
> > Renee Drake RN CLC
>
> ***********************************************
>
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>
> ------------------------------
>
> Date: Mon, 30 Jan 2006 21:46:57 -0600
> From: Janice Reynolds <[log in to unmask]>
> Subject: CBC National News - Watch Tonight
>
> WATCH TONIGHT
>
> Expose on medical system talks about Nestle and Mead Johnson formula
studies that were fudged.
> I'll post more when I find out more. I watching now at exactly 1/2 past
the hour (9:30)
> Involves:
> (no real study done, authors of study had little to do with it -
fabricated research results - involves Nestle and Mead Johnson,
hypoallergenic formula, published in British Medical Journal, Dr. Chandra
???, scientific fraud, whistleblowers)
>
> Please someone tape if possible.
>
> CBC National News
>
> Janice Reynolds
>
> ***********************************************
>
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>
> ------------------------------
>
> Date: Mon, 30 Jan 2006 22:29:54 -0600
> From: Janice Reynolds <[log in to unmask]>
> Subject: Re: CBC National News - Watch Tonight
>
> YOU MUST READ THIS!
>
> Here is the link to the full transcript on tonight's show:
> http://www.cbc.ca/national/news/chandra/
>
> There is a Part 2 that will be aired on Tuesday night.
>
> Summary (provided by Maureen Fjeld):
>
> CBC The National (on CBC or the news network) - exposes the research work
> done by Dr. Chandra from Nfld - and how without data and research, he has
> published in several key journals and is known as an international speaker
> on allergy and immunology - basically funded by Nestle and Mead Johnson to
> do research to substantiate the term hypoallergenic formula for marketing
> purposes. Academic fraud that could not be proven but CBC has essentially
> exposed this issue - quite amazing!! Will be on again on the National CBC
> news tonight, and Part II is tomorrow night - Tuesday Jan 31
>
>
> (BTW, my husband has always thought I was being a bit of a conspiracy
> theorist about this stuff. He really believes in science and process of
> publishing research. After watching this tonight, he admitted that the
CBC
> was saying all the things that I've been trying to tell him all along, and
> that he would have to eat some crow!
> Janice Reynolds)
>
>
>
>
> Partial Excerpt (see link above for full transcipt)
>
> Chandra's research nurse at the time was Marilyn Harvey. It would be her
job
> to find 288 newborns whose parents were prone to allergies who were
willing
> to take part in the Ross study. Finding that many allergy-prone babies in
a
> city the size of St. John's was not easy.
>
> "It took basically all my time," Harvey says. "If I worked 40 hours a
week,
> it would also take my time in the evening and sometimes at night, like I
> always felt I was on call for 24-7 for two years or even more."
>
> Around the same time, food giant Nestle introduced the new formula Good
> Start to the North American market. The product was supposed to help
reduce
> the risk to some infants of developing allergies.
>
> The company was under increasing pressure from the U.S. Food and Drug
> Administration to prove those claims. Nestle had hired Chandra to
> scientifically test their product, but as the pressure on the company
> mounted in late 1988, Chandra was just in the early stages of conducting
> that study.
>
> By the following summer, Harvey had recruited only a handful of subjects,
so
> she was shocked when she came across the already published results of the
> Nestle study.
>
> "I would say there was only probably one-quarter of the patients even
> recruited in this study," Harvey says. "And he had all of the data
analyzed
> and published even before we had even had the data collected!"
>
> ***********************************************
>
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> ------------------------------
>
> End of LACTNET Digest - 30 Jan 2006 - Special issue (#2006-106)
> ***************************************************************
>
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Date: Mon, 30 Jan 2006 23:03:52 -0800
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: gonneke van veldhuizen <[log in to unmask]>
Subject: Re: GERD
In-Reply-To: <[log in to unmask]>
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I didn't count, but I, too, have seen a serious increase of problems of various kinds since the Dutch varant of the back to sleep campaign and the successive ''not ever in the parents' bed'' campaign. GERD with medical treatment or at least certain carbohydrates (don't know the english name of Johannesbroodboompitmeel, brought to us by Numico <ABM producer> under the name Nutriton, which is only one verb away from Nutrilon, the ABM) to thicken the stomach contents, stretching of feeeding intervals ''to rest the stomach''. But also ''restlessness'' in the poor baby's lying on their backs in their own beds (often in their own rooms), that are said to keep themselves awake by ''puposely' waving their arms (which ofcourse really is a kind of Moro Reflex of an infant in distress) which in an increasing number is treated with tight straight (all joints straight) swaddling.
Moms think it helps (baby doesn't move a muscle and keeps very low profile), I see babies that are flacid, non-moving when awake and unswaddled. I am awaiting a rise in hip problems.
Perhaps people more educated in psycology can explain my fears for severe psychological effects of this extreme swaddling in combination with elongated periods of separation.
I agree, Ellen, babies need tummytime, as well as mommy time and freedom to mover their limbs.
Warmly,
Gonneke,
IBCLC, LLLL, MOM in bright, crispy-cold southern Netherlands
"Ellen Penchuk, IBCLC" <[log in to unmask]> wrote: I have seen a tenfold increase in "GERD" since the back to sleep/SIDS
program began. We all would have stomach problems if we layed on our backs
after eating a meal! Babies NEED tummy time!!
Met vriendelijke groet,
Gonneke van Veldhuizen, IBCLC
vrijgevestigd lactatiekundige
lactatiekundig docent
* * * * * * *
EUROLAC
praktijk voor lactatiekunde
centrum voor borstvoeding informatie en educatie
* * * * * * *
---------------------------------
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Date: Tue, 31 Jan 2006 00:20:34 -0800
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: gonneke van veldhuizen <[log in to unmask]>
Subject: Re: foremilk/hindmilk
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Just a quick input on the foremilk-hindmilk discussion:
Ofcourse the whole foremilk-hindmilk issue isn't an issue when babies would be fed accordingly to nature's design: often and in small amounts. Fat will not have a chance to adhere to the milkduct walls is feeding occurs frequent and there will be nop low-fat foremilk.
Warmly,
Gonneke,
IBCLC, LLLL, MOM in southern Netherlands
Met vriendelijke groet,
Gonneke van Veldhuizen, IBCLC
vrijgevestigd lactatiekundige
lactatiekundig docent
* * * * * * *
EUROLAC
praktijk voor lactatiekunde
centrum voor borstvoeding informatie en educatie
* * * * * * *
---------------------------------
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Date: Tue, 31 Jan 2006 09:53:42 +0100
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
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From: Rachel Myr <[log in to unmask]>
Subject: Donor human milk in Norway
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Pam asks how milk is tested for HIV. It isn't, to my knowledge, nor is it
tested for any other viruses. If I am mistaken on this I will let you know.
Milk is cultured for bacteria. Donors are tested for evidence of various
viral infections, current or past. Women with no evidence of CMV infection
are in demand as donors for the smallest, most premature babies, because
they are only given banked milk from CMV-negative donors. If their own
mothers test CMV-positive, the babies can still have their own mothers'
milk. CMV isn't such a concern for babies of higher gestational age.
I recently encountered a Somali woman whose baby was born at 33 weeks by
emergency CS for cord prolapse. She vehemently refused to allow her baby to
get donor milk when approached about it in the recovery area after her
surgery under general anesthesia. She requested a clean container and
promptly expressed enough colostrum to feed the baby then and there, and
continued to do so from then on. I removed her staples on day 5 and asked
her then about her attitude to donor milk, because I was curious. She
explained that a woman who provides milk for a baby, becomes its mother, and
her baby already had a mother, namely herself. "One baby, two mothers, not
good!" was her explanation. "If I die, and of course I hope that I don't,
insh'allah, then my baby would need another mother. But I am alive." Then
she added as an afterthought, "Some men want to have two wives. I don't
like that either."
I have to say it is a lot more fun caring for immigrant women when we can
converse about things, not to mention how much more I can learn from them
under such circumstances.
Our practice with regard to testing of donor milk reflects several things
about Norway: the low prevalence of many serious viral infections in the
childbearing population, the easy availability of testing for potential
donors, and the high prevalence of lactation, making it possible for us to
be choosy about whose milk is accepted for use by premature or ill babies.
If this were a country with high prevalence of HIV infection, or even
Hepatitis B and C, we would likely have different policies. Current policy
here is to give HIV-positive women cabergoline when the baby is born and the
option of breastfeeding is not considered for one moment.
Rachel Myr
Kristiansand, Norway
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Date: Tue, 31 Jan 2006 09:49:39 +0100
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
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From: =?ISO-8859-1?Q?Fran=E7oise_Railhet?= <[log in to unmask]>
Subject: Chikungunya
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Hello
I have a call from La Reunion, from a mother breastfeeding a 7 months=20
old. She has Chikungunya since 2 days. Actually, she suffer only from=20
fever, no other symptoms.
And guess, the doctor tell her to stop breastfeeding immediatly.
Have found some cases of neonatal transmission, when mother get it just=20
a few days before labour. But seems that there is no inter human other=20
cases of transmission ever seen.
Have someone better knowledges ?
Thank you a lot
--=20
Fran=E7oise Railhet
Manager of the LLL France Medical Associates Program
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Date: Tue, 31 Jan 2006 12:12:01 +0200
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Nan Jolly <[log in to unmask]>
Subject: Re: Gastric Bypass
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> I tend to think that since the baby's weight gain is great and she is
> contented and happy most of the time, mom should just continue with
> breastfeeding and look past the green/mucous stools.
> Ellen Penchuk, IBCLC, RLC
I agree with you. Watch, and investigate or change something if another
symptom or ominous sign appears.
Nan Jolly M.B. B.Ch. LLLL
Port Elizabeth, South Africa
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Date: Tue, 31 Jan 2006 06:36:17 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Pat Young <[log in to unmask]>
Subject: Re: Chikungunya
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Francoise, can you give us some sort of translation on what "chikungunya"
is? What are symptoms etc? Thanks, Pat in SNJ
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Date: Tue, 31 Jan 2006 06:59:55 EST
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Nikki Lee <[log in to unmask]>
Subject: GERD incidence
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In a message dated 1/31/2006 2:04:36 AM Eastern Standard Time,
[log in to unmask] writes:
I didn't count, but I, too, have seen a serious increase of problems of
various kinds since the Dutch varant of the back to sleep campaign and the
successive ''not ever in the parents' bed'' campaign.
Dear Friends:
This is very interesting.
I was thinking that GERD had increased before the 'Back to Sleep'
campaign, with the rise in epidural use and inductions.
We are all probably correct: all these factors that disturb the normal
process have some negative impact on babies.
Perhaps 'back to sleep' is only healthy when the mother is in bed with
the baby; if the baby is sleeping alone, perhaps 'back to sleep' has side
effects?
The only diagnosis that I know is connected to the 'back to sleep'
attitudes, where parents leave their babies supine all of the time, is
plagiocephaly, where the skull becomes misshapen and babies are put into shaping helmets.
warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct Faculty Union Institute and University
Film Reviews Editor, Journal of Human Lactation
www.breastfeedingalwaysbest.com
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Date: Tue, 31 Jan 2006 06:45:29 -0700
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From: Phyllis Adamson <[log in to unmask]>
Subject: Re: GERD incidence
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Could it have anything to do with baby spending most of the day in the car
seat (aka: baby bucket)? These car seats seem to force baby into a curled,
tummy-cramming position. Quite different from the straight-backed Infant
Seat we used in the home way back in the '60's and '70's. The Infant Seat
was not the same thing as the baby car seat. It was rather unstable and not
currently being sold.
Phyllis
Phyllis Adamson, IBCLC, RLC
Glendale, AZ
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Date: Tue, 31 Jan 2006 08:54:29 -0500
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From: "Betsy Riedel,RNC,IBCLC" <[log in to unmask]>
Subject: relactation
I don't believe that I said that relactation would be undesirable in an
emergency. I did say that relactating takes time and is a slow process. It
is not a quick fix.
Relactation takes time and that the subject of doing so was not what the
gentleman presenting the seminar on emergency preparedness was not his
focus. No one would expect it to be.
I said that I didn't feel that the poster's presentation on breastfeeding
was an appropriate part of that specific presentation. That's all.
Betsy Riedel RNC, IBCLC
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Date: Tue, 31 Jan 2006 09:00:14 -0500
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From: Leslie Ashton <[log in to unmask]>
Organization: home
Subject: breastfed toddler & 'constipation'
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I have searched the archives, but did not find anything for the =
following scenario (did find constipation could be an indicator of an =
allergy).
I have permission to post.
29 month old referred to gastro consult for suspected reflux - *not* =
referred for constipation.
This toddler had been receiving a Tums at bedtime, which was helpful.
Gastro "feels like he does not have enough motility in his intestine, =
since he was a bit full, and that this is causing his tummy to push up =
the acid causing the reflux. The four things he thought we should do to =
increase motility, was a sticker reward for more poops, stool softener, =
diet changes including weaning since it's constipating and warm baths". =
Mom is preparing a letter for the specialist and is looking for =
references that breastmilk is not constipating. Mom already has a lot =
of references, but specific to newborns/infants/babies, not toddlers. =20
This mother found it very disappointing for a pediatric specialist to =
suggest weaning since his belief is that human milk is constipating.
Of you have any references or suggestions I could pass on to this =
mother, it would be appreciated.
Leslie Ashton, RN, BSc
Policy & Political Action Network Officer
Childbirth Nurses Interest Group
Registered Nurses' Association of Ontario
Ottawa Breastfeeding Buddies Volunteer
Ottawa, Ontario, Canada
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Date: Tue, 31 Jan 2006 13:59:30 +0000
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From: Pamela Morrison <[log in to unmask]>
Subject: Canadian Expose
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Fascinating to read about the Chandra expose. Thanks to Janice for sending
in the website address so we could read all about it! I did, and was so
intrigued that I looked up some of this man's work. He was certainly
prolific. But I wonder if there's more to this than meets the eye. He was
also very positive about breastfeeding compared to formula feeding in what
looks like his area of expertise, atopic disease. Pasting below a few
abstracts, so everyone can judge for themselves.
Pamela Morrison IBCLC
---------------
BMJ. 1989 Jul 22;299(6693):228-30.
Influence of maternal diet during lactation and use of formula feeds on
development of atopic eczema in high risk infants.
Chandra RK, Puri S, Hamed A.
Memorial University of Newfoundland, Janeway Child Health Centre, Canada.
OBJECTIVE--To examine the effects of maternal diet during lactation and the
use of formula feeds on the development of atopic eczema in infants at
risk. DESIGN--Mothers who planned to breast feed exclusively were randomly
allocated to either a restricted diet (avoiding milk and other dairy
products, eggs, fish, peanuts, and soybeans) or a diet without
restrictions. Mothers who did not plan to breast feed were randomly
allocated to using one of three formula feeds. SETTING--Child health centre
in Canada. SUBJECTS--97 Mothers who chose to breast feed and 124 mothers
who did not. INTERVENTIONS--Restricted diet for 49 mothers who breast fed.
Casein hydrolysate formula, soy milk formula, or cows' milk formula for
infants not breast fed. MAIN OUTCOME MEASURE--Development of eczema in
babies. RESULTS--Infants were followed up over 18 months and examined for
eczema. Eczema was less common and milder in babies who were breast fed and
whose mothers were on a restricted diet (11/49 (22%) v 21/48 (48%)). In
infants fed casein hydrolysate, soy milk, or cows' milk 9/43 (21%), 26/41
(63%), and 28/40 (70%), respectively, developed atopic eczema.
CONCLUSIONS--In families with a history of atopic disease [corrected]
mothers who breast feed should avoid common allergenic foods during
lactation. If they choose not to breast feed a hydrolysate formula should
be used.
PIP: To examine the effects of maternal diet during lactation and the use
of formula feeds on the development of atopic eczema in infants at
high-risk, a group of 97 mothers who chose to breastfeed and 124 mothers
who did not were examined at a child health center in Canada. Mothers who
chose to breastfeed exclusively were randomly allocated to either a
restricted diet (avoiding milk and other dairy products, eggs, fish,
peanuts, and soybeans) or a diet without restrictions. Mothers who did not
plan to breastfeed were randomly allocated to the use of 1 of 3 formula
feeds. Their choices were either casein hydrolysate formula, soy milk
formula, or cows' milk formula. Infants were followed for over 18 months
and examined for eczema. Eczema was less common and milder in babies who
were breastfed and whose mothers were on a restricted diet (11 of 49 [22%]
vs 21 of 48 [48%]). In infants fed the casein hydrolysate formula, soy
milk, or cows' milk, 9 of 43 (21%), 26 of 41 (63%), and 28 of 40 (70%),
respectively, developed atopic eczema. In families with a history of atopic
eczema, mothers who breastfed should avoid common allergenic foods during
lactation. If they choose not to breastfeed, a hydrolysate formula should
be used. author's modified
-----------------------
J Pediatr Gastroenterol Nutr. 1997 Apr;24(4):380-8.
Five-year follow-up of high-risk infants with family history of allergy who
were exclusively breast-fed or fed partial whey hydrolysate, soy, and
conventional cow's milk formulas.
Chandra RK.
BACKGROUND: Allergy is a common cause of illness. The effect of feeding
different infant formulas on the incidence of atopic disease and food
allergy was assessed in a prospective randomized double-blind study of
high-risk infants with a family history of atopy. METHODS: 216 high-risk
infants whose mothers had elected not to breast-feed were randomized to
receive exclusively a partial whey hydrolysate formula or a conventional
cow's milk formula or a soy formula until 6 months of age. Seventy-two high
risk infants breast-fed for > or = 4 months were also studied. RESULTS:
Follow-up until 5 years of age showed a significant lowering in the
cumulative incidence of atopic disease in the breast-fed (odds ratio 0.422
[0.200-0.891]) and the whey hydrolysate (odds ratio 0.322 [0.159-0.653)
groups, compared with the conventional cow's milk group. Soy formula was
not effective (odds ratio 0.759 [0.384-1.501]). The occurrence of both
eczema and asthma was lowest in the breast-fed and whey hydrolysate groups
and was comparable in the cow's milk and soy groups. Similar significant
differences were noted in the 18-60 month period prevalence of eczema and
asthma. Eczema was less severe in the whey hydrolysate group compared with
the other groups. Double-blind placebo-controlled food challenges showed a
lower prevalence of food allergy in the whey hydrolysate group compared
with the other formula groups. CONCLUSIONS: Exclusive breast-feeding or
feeding with a partial whey hydrolysate formula is associated with lower
incidence of atopic disease and food allergy. This is a cost-effective
approach to the prevention of allergic disease in children.
----------------
Clin Allergy. 1986 Nov;16(6):563-9.
Influence of maternal food antigen avoidance during pregnancy and lactation
on incidence of atopic eczema in infants.
Chandra RK, Puri S, Suraiya C, Cheema PS.
One hundred and twenty-one women with history of a previous child with
atopic disease were randomly allocated during the next pregnancy to antigen
avoidance or control groups. Dietary advice consisted of almost complete
exclusion of milk and dairy products, egg, fish, beef and peanut throughout
pregnancy and lactation. A total of 109 completed the study. Maternal
antigen avoidance was associated with reduced occurrence of atopic eczema
and the skin involvement was less extensive and milder. The beneficial
effect was observed mainly in the breast-fed group. Among the fifty-five
who completed the trial of antigen avoidance, seventeen infants developed
atopic eczema, five out of thirty-five who were breast-fed and twelve out
of twenty who were formula-fed. Among the offspring of fifty-four control
mothers given no dietary restriction, eczema was observed in twenty-four
infants, eleven out of thirty-six breast-fed and thirteen of eighteen
formula-fed. Avoidance of common dietary allergens during pregnancy and
lactation enhanced the preventive beneficial effect of exclusive breast
feeding on the incidence of atopic eczema among infants at high risk.
----------------------
Ann Allergy. 1991 Aug;67(2 Pt 1):129-32.
Cumulative incidence of atopic disorders in high risk infants fed whey
hydrolysate, soy, and conventional cow milk formulas.
Chandra RK, Hamed A.
A recent increase in the prevalence of atopic disorders and the enormous
costs of management of atopic patients have prompted attempts at
prevention. We have examined the effect of exclusive breast feeding and of
feeding different infant formulas on incidence of atopic disease in a
prospective randomized controlled study. Seventy-two infants were recruited
into each of the following groups: cow milk whey hydrolysate formula
(NAN/HA) conventional cow milk formula (Similac), soy-based formula
(Isomil), and exclusive breast feeding for greater than 4 months. The
cumulative incidence of atopic eczema, recurrent wheezing, rhinitis,
gastrointestinal symptoms, and colic were noted. Skin prick tests and
radioallergosorbent tests for IgE antibodies to milk and soy were
performed. At 12 and 18 months of age, the incidence of atopic eczema as
also that of all atopic symptoms was significantly lower and similar in the
breast-fed and whey hydrolysate groups, compared with the cow milk and soy
formula groups. IgE antibodies were detected more often in the cow milk and
soy formula groups, especially the former. Among symptomatic infants, fewer
skin positive prick tests were seen in the soy group compared with the cow
milk group. Our observations show that among infants at high risk of
developing atopic disease because of positive family history, exclusive
breast feeding or whey hydrolysate formula is associated with a lower
incidence and thus a delay in the occurrence of allergic disorders compared
with groups fed conventional cow milk or soy formulas.
---------------------
Ann Allergy. 1989 Aug;63(2):102-6.
Effect of feeding whey hydrolysate, soy and conventional cow milk formulas
on incidence of atopic disease in high risk infants.
Chandra RK, Singh G, Shridhara B.
The effect of feeding different infant formulas on incidence of atopic
disease was assessed in a prospective double-blind randomized controlled
trial among "high risk" infants with family history of atopy among
first-degree relatives. The incidence of atopic eczema, wheezing, rhinitis,
gastrointestinal symptoms, and colic was noted and serum IgE antibodies to
milk were estimated. Seventy-two infants were recruited into each of the
following groups: cow milk whey hydrolysate formula (NAN/HA), conventional
cow milk formula (Similac), soy-based formula (Isomil), and exclusive
breast feeding for greater than or equal to 4 months. The number of infants
who exited for reasons other than atopy and were excluded from analysis
were 4, 5, 4, and 12 in the four groups, respectively. The incidence of one
or more symptoms of possible allergic etiology was five of 68 infants fed
NAN/HA, 24 of 67 infants fed Similac, 25 of 68 infants fed Isomil, and 12
of 60 breast-fed infants. Among symptomatic infants, skin prick test to
milk proteins was positive in four out of five infants fed NAN/HA, 16 of 24
fed Similac, 2 of 25 fed Isomil, and 7 of 12 breast-fed. IgE antibodies to
milk were found in 2 of 68, 9 of 67, 0 of 68, and 6 of 60 infants in the
four groups, respectively. It is concluded that exclusive breast feeding
for more than 4 months is partially protective against the development of
atopic disease among high risk infants.(ABSTRACT TRUNCATED AT 250 WORDS)
--------------------
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Date: Tue, 31 Jan 2006 14:03:27 +0000
Reply-To: Lactation Information and Discussion
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From: Pamela Morrison <[log in to unmask]>
Subject: Re: Donor human milk in Norway
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Rachel
Thank you very much for replying with info about the Norwegian donor milk
policy and practice. Wonderful story about the Somali mother! Thanks for
explaining. I see now - mothers are screened for HIV at birth - so that it
would not be possible for an HIV+ mother to provide breastmilk without
having been screened - rather than testing the milk itself for that
particular virus. Makes sense.
What a wonderful system you describe. I'm green with envy!
Pamela
At 08:53 31/01/2006, Rachel Myr wrote:
>Pam asks how milk is tested for HIV. It isn't, to my knowledge, nor is it
>tested for any other viruses. If I am mistaken on this I will let you know.
>Milk is cultured for bacteria. Donors are tested for evidence of various
>viral infections, current or past. Women with no evidence of CMV infection
>are in demand as donors for the smallest, most premature babies, because
>they are only given banked milk from CMV-negative donors. If their own
>mothers test CMV-positive, the babies can still have their own mothers'
>milk. CMV isn't such a concern for babies of higher gestational age.
>
>I recently encountered a Somali woman whose baby was born at 33 weeks by
>emergency CS for cord prolapse. She vehemently refused to allow her baby to
>get donor milk when approached about it in the recovery area after her
>surgery under general anesthesia. She requested a clean container and
>promptly expressed enough colostrum to feed the baby then and there, and
>continued to do so from then on. I removed her staples on day 5 and asked
>her then about her attitude to donor milk, because I was curious. She
>explained that a woman who provides milk for a baby, becomes its mother, and
>her baby already had a mother, namely herself. "One baby, two mothers, not
>good!" was her explanation. "If I die, and of course I hope that I don't,
>insh'allah, then my baby would need another mother. But I am alive." Then
>she added as an afterthought, "Some men want to have two wives. I don't
>like that either."
>
>I have to say it is a lot more fun caring for immigrant women when we can
>converse about things, not to mention how much more I can learn from them
>under such circumstances.
>
>Our practice with regard to testing of donor milk reflects several things
>about Norway: the low prevalence of many serious viral infections in the
>childbearing population, the easy availability of testing for potential
>donors, and the high prevalence of lactation, making it possible for us to
>be choosy about whose milk is accepted for use by premature or ill babies.
>If this were a country with high prevalence of HIV infection, or even
>Hepatitis B and C, we would likely have different policies. Current policy
>here is to give HIV-positive women cabergoline when the baby is born and the
>option of breastfeeding is not considered for one moment.
>
>Rachel Myr
>Kristiansand, Norway
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Date: Tue, 31 Jan 2006 13:06:41 +0100
Reply-To: Lactation Information and Discussion
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From: Heleen en Harmen <[log in to unmask]>
Subject: Re: Chikungunya
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On 31 Jan 2006 at 6:36, Pat Young wrote:
> Francoise, can you give us some sort of translation on what
> "chikungunya" is? What are symptoms etc?
I had never heard of it, but Google does know, it is a viral
infection: http://www.cbwinfo.com/Biological/Pathogens/CHIK.html
--
Heleen Hayes
www.xs4all.nl/~hhayes
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Date: Tue, 31 Jan 2006 09:20:07 -0500
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From: "D. McCallister" <[log in to unmask]>
Subject: GERD
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Hi -- I'm a Lactnet Lurker and not a breastfeeding professional, but wanted
to comment on the posts about GERD. This is at least indirectly/possibly
related to infants.
In doing some research on health issues pertaining to an elderly family
member, I came across some interesting information. To learn more, anyone
can to a simple search of the internet for "proton pump inhibitors" (in the
US, Nexium, or Prilosec) and "pneumonia" and "B 12" to find concerns over
potential health risks of long term usage (= or > 6 months) of medications
that block acid production in the stomach.
There is a concern that when acid levels in the stomach are inadequate,
bacteria that would not normally survive in the stomach can be regurgitated
and aspirated, leading to pneumonia. There is also the possibility of an
increase in the incidence of community acquired c. dif infections, as well
as "traveler's diarrhea" and other causes of lower GI problems, again from
bacteria not being killed by stomach acid. Higher rates of infection were
seen with concurrent use of antibiotics, which are known to change gut
flora. Further, because of the action of stomach acid in digesting
proteins, there is an increased risk of B 12 deficiency resulting in anemia.
No studies included infants, breastfed or otherwise. However, I hear of
babies being given medications for GERD. I'd love to have found a study on
pneumonia in infants with GERD.
I also find myself wondering if the tendency for parents who are
formula-feeding to "over-stuff" a baby in an attempt to extend the time
between feedings would be more likely to seek treatment for GERD, for a
double-whammy on the baby.
Deb McCallister
Louisville, KY
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Date: Tue, 31 Jan 2006 15:25:25 +0100
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From: =?ISO-8859-1?Q?Fran=E7oise_Railhet?= <[log in to unmask]>
Subject: Chikungunya
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Francoise, can you give us some sort of translation on what=20
"chikungunya" is? What are symptoms etc? Thanks, Pat in SNJ
Hello Pat,
Chikungunya is a rare viral infection transmitted by the bite of an=20
infected mosquito. It is characterized by a rash, fever, and severe=20
joint pain (arthralgias) that usually lasts for three to seven days.=20
Because of its effect on the joints, Chikungunya has been classified=20
among the Arthritic Viruses. It primarily occurs in tropical areas of=20
the world.
We have actually an outbreak at La Reunion.
Kindly
--=20
Fran=E7oise Railhet
Manager of the LLL France Medical Associates program
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Date: Tue, 31 Jan 2006 06:33:43 -0800
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From: Seema Karki <[log in to unmask]>
Subject: Congratualtion Marsha
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COngratulation Marsha for beign Grandma.
Regards,
Seema
Seema Karki,RN, Mother to 3
Nursing momma
New IBCLC
The only way to nurture your baby ....is .....breastfeeding.
---------------------------------
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Date: Tue, 31 Jan 2006 17:14:28 +0200
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From: Nan Jolly <[log in to unmask]>
Subject: Re: breastfed toddler & 'constipation'
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I'm sure this paed gastro simply doesn't know about breastmilk. Probably he
knows that generally milk (cow milk) is constipating, and like most of the
world, thinks milk is milk....
Perhaps the mom could just say something like - "oh but he's breastfed, so
that's not contributing to constipation - you must have thought he is
bottlefed!" Or ask him for references to studies that show breastmilk to be
constipating, since as far as she knows, it's the reverse.
Nan Jolly M.B. B.Ch. LLLL
Port Elizabeth, South Africa
<Mom is preparing a letter for the specialist and is looking for references
that breastmilk is not constipating. Mom already has a lot of references,
but specific to newborns/infants/babies, not toddlers.
This mother found it very disappointing for a pediatric specialist to
suggest weaning since his belief is that human milk is constipating.
Leslie Ashton, RN, BSc
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Date: Tue, 31 Jan 2006 09:39:05 -0600
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From: Kathy <[log in to unmask]>
Subject: human milk as constipating
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Leslie writes:
<<Mom is preparing a letter for the specialist and is looking for references
that breastmilk is not constipating. Mom already has a lot of references,
but specific to newborns/infants/babies, not toddlers.
This mother found it very disappointing for a pediatric specialist to
suggest weaning since his belief is that human milk is constipating.
Of you have any references or suggestions I could pass on to this mother,
it would be appreciated.>>
I would turn it around, and ask the specialist for his scientific data that
human milk is constipating in a 29 month old!! He doesn't know what he is
talking about.
I know next to nothing about this particular case, but have the parents
tried completely eliminating COW's milk from the kid's diet?? (and mom's,
at least for a while)
Kathy Leeper, MD, IBCLC
MilkWorks- Lincoln, NE
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Date: Tue, 31 Jan 2006 11:10:02 EST
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
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From: Renee Drake <[log in to unmask]>
Subject: Re: LACTNET Digest - 31 Jan 2006 - Special issue (#2006-109)
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In a message dated 1/31/2006 6:00:53 A.M. Pacific Standard Time,
[log in to unmask] writes:
I said that I didn't feel that the poster's presentation on breastfeeding
was an appropriate part of that specific presentation. That's all.
I am sorry you felt that way Betsy, but after learning all I did in here
post Katrina, I believe it was a very appropriate part of the presentation. I
for one was horribly upset to see the mother on the cover of one of the
magazines who was holding a empty dirty bottle and had a screaming infant who was
obviously in the newborn phase and the idea to put the baby to breast seemed
to never cross the woman's mind. With my education that would have been my
first response, however many women had no idea that they could get their milk
back in a relatively short period of time, compared to how long those people
waited for relief in the Superdome. The option HAS got to be a vital role in
emergency preparedness presentations. The word MUST get out. Even as
unpopular an idea as it is. There will probably come a day when a volcano will
erupt, an earthquake will quake, when a tornado will hit, when another hurricane
will blow. This isn't a "maybe" this is reality. One that must be
addressed and prepared for. I for one will not sit idly by and let others continue
misinformation, when I know a better way that may save a baby down the road.
And if my knowledge saves just one baby, then it is all worth while.
Renee Drake RN CLC
(http://www.1shoppingcart.com/app/?af=337966)
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Date: Tue, 31 Jan 2006 11:13:39 -0500
Reply-To: Lactation Information and Discussion
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From: Katherine Lilleskov <[log in to unmask]>
Subject: colonoscopy prep meds
I have a mom who is successfully breastfeeding a two month old baby. Mom
has been advised to have a colonscopy for rectal bleeding, suspicion is
hemorrhoids, but they are ruling out anything more serious. Her
gastroenterolgist has advised her to stop breastfeeding for 24 hours
because of the prep she will be taking - HalfLytely and Biscodyl Tablet
(PEG-3350, sodium chloride, sodium bicarb. and potassium chloride). Does
anyone have experience with this med? I've searched the archives and Hale
and can't find it. If it is not safe, does anyone have a safe alternative?
Mom would like to avoid interrupting BFing if possible.
Thanks,
Kathy Lilleskov RN IBCLC
Brooklyn
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Date: Tue, 31 Jan 2006 11:10:01 -0600
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Sheena & Jason Carnes <[log in to unmask]>
Subject: Re: colonoscopy prep meds
In-Reply-To: <[log in to unmask]>
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I'm just going by personal experience, but I also had a colonoscopy after
the birth of my first daughter. Ended up being internal hemorrhoids, but
with colon cancer in the family; doctor and I felt I should have the test
done. I did not interrupt breastfeeding and I didn't have any problems with
milk supply. Again, this is my personal experience, if anything she might
just feel really tired and will need to make sure she eats and drinks well.
I had to be on liquids the night before and then NPO after midnight.
Sheena Carnes, RN LLL Leader
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Date: Tue, 31 Jan 2006 13:06:52 -0500
Reply-To: Lactation Information and Discussion
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From: Kevin & Mimi O'Donnell <[log in to unmask]>
Subject: looking for article
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I am looking for an article about the mom (I think in TX) that was asked not
to nurse her baby in a restaurant. The particular article on the subject has
an interview with the owner who states it's his (private) property and he
can refuse service to anyone he wants. Or something to that effect. Anyone
know where I can find it?
Thanks
Mimi O'Donnell, RN, IBCLC
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Date: Tue, 31 Jan 2006 13:49:13 EST
Reply-To: Lactation Information and Discussion
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From: Nikki Lee <[log in to unmask]>
Subject: chikungunya
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Dear Friends:
I had to look this up.........seems like it is compatible with
breastfeeding.
----------------------------------------------------
"Chikungunya virus is highly infective and disabling but is not transmissible
between people. It would most likely be dispensed as an aerosol or by the
release of infected mosquitos. The disabling joint pain and fever, the lack of
a suitable animal reservoir in Western countries and its lack of lethality
make it a very "clean" weapon that could be used against key civilian
installations. The name comes from the Swahili for "that which bends up" that is a
reference to the positions that victims take to relieve the joint pain."
warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct Faculty Union Institute and University
Film Reviews Editor, Journal of Human Lactation
www.breastfeedingalwaysbest.com
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Date: Tue, 31 Jan 2006 14:32:30 EST
Reply-To: Lactation Information and Discussion
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From: "Nancy Williams, MA, MFT, CCE, IBCLC" <[log in to unmask]>
Subject: constipated toddler
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I have to say that virtually without exception in a breastfeeding kid who
has severe constipation with the introduction of foods, there is also some
sensory integration issue. SI can affect gut motility. I'd have the kid checked
out by an OT.
Nancy
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Date: Tue, 31 Jan 2006 11:51:52 -0800
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From: "Vicki.Ryan" <[log in to unmask]>
Subject: did anyone's email to "Sleep Trainer" get read on air Sunday?
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(on Sunday Jan 29, H. Davis RN posted "Hurry! Fox News Doing Story on "12
Hours Sleep in 12 Week Olds"
Hurry! I am on Eastern time and Fox News Weekend show is about to do a story
on a 'sleep trainer' who claims she can get a 12 week old to sleep 12 hours.
They read e-mails ON AIR. Please e-mail them asap....")
*************************************
I read Lactnet too late that morning but was wondering if any Lactnetters
were able to email the show and if their emails were read on air? or if
anyone knows of a link to the transcript or video of the show?
Last November Lactnetter Cindi Zimbo RN IBCLC (see, I've been searching
the archives) forewarned us that this woman's book was coming out beginning
of 2006, so I too checked out the babycoach.net website. "Suzy was featured
on Good Morning America on Saturday 11/26. Please click here to read the
full story" (http://abcnews.go.com/GMA/Health/story?id=1347557) I watched
the video of that GMA host who hired the sleep coach (for $60/hr) and was
again amazed at what is "normal"- baby was tightly swaddled in a bassinette
next to mom's bed or in a crib in her own room by herself. whenever baby
woke up, mom reported "it's a whole hour of feeding, diapering, burping, you
know the drill." video footage showed her changing the diaper in a brightly
lit room, walking down the lighted hall to sit in a rocking chair next to a
lighted lamp in a seperate room to breastfeed, etc, going through the whole
routine that of course would take an hour and of course would keep mom &
baby awake, all those bright lights! she reported that the way the sleep
coach would "teach baby to stretch 2-3hour chunks of sleep into a full 12
hours" was: "those middle of the night feedings would slowly disappear."
have any of you encountered new parents trying out this *method* (they
said she has alot of clients in the DC area)?
I would just like to invite that GMA host to my house in Feb or March,
to set up a video camera at the foot of our king sized bed- in which I will
be sleeping with a new baby (who does not yet have a crib and whose "room"
is currently our treadmill/scrapbooking/"junk room" and it will be until we
move in June/July), and maybe hubby &/or one or both big brothers too
(safely co-sleeping on dad's side of the bed of course). they can record how
much sleep I get, when I just roll over and offer a breast at his first
feeding cue.... how I change a diaper in the dark...how I won't be able to
tell you in the morning how many times he woke up or nursed because I
probably wasn't awake for several of them....doing everything that if was
*normal,* would put a "sleep trainer" out of business!
Vicki Hayes RN IBCLC, thankfully still pregnant (34 1/2 weeks), looking
forward to actually getting some sleep at night by just nursing instead of
using the toilet every 20-30minutes!
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Date: Tue, 31 Jan 2006 15:16:34 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
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From: "Beth Sargent, IBCLC" <[log in to unmask]>
Subject: depression while pumping
I have mom's permission to post, and am looking for some way to help her.
When I searched the archives, I found Sharon Knorr's post from April,
2005, re: nausea and vomiting while breastfeeding, that referred to some
of the less pleasant side effects experienced during breastfeeding,
including depression. Sharon's post indicated a relationship betwen
oxytocin release and these effects.
The mother I am working with is a second-time mom, twins this time. She is
exclusively pumping and giving EBM. She reported experiencing "a really
depressed feeling while pumping", every time she pumps (8-9 x day). She
recalls a similar, but less intense feeling of depression when she
breastfed her first (singleton)child, who is currently 15 months old. She
feels that she can not continue to try to deal with the depressive side
effect of pumping, it feels overwhelming to her. She wondered if cutting
the pumping episodes in half, or at least cutting down to 6 a day would
help her to eliminate the depression. We discussed the effect this would
have on her milk supply. She understands that it could have a negative
effect on her overall milk supply, but feels that she can't continue at
her current level and still care for her 3 babies.
She sounded so sad & teary--she's at the point where I think she will just
stop completely, if she can't get some relief. I would really like to help
her get through this.
Thanks so much for all your help,
Beth Sargent, IBCLC
Needham, MA
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Date: Tue, 31 Jan 2006 15:56:55 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: "[log in to unmask]" <[log in to unmask]>
Subject: Re: breastfed toddler and constipation
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I am not looking at it right at this moment, but doesn't LLL have a
relatively new information sheet that addresses diarrhea, constipation,
etc=2E all in the nursing toddler=3F Try the LLL International website fo=
r
reference to this sheet (the info sheets always contain references to
scientific literature as well)=2E
Heidi Koslo
IBCLC, RLC
hkoslo@mtaonline=2Enet
--------------------------------------------------------------------
mail2web - Check your email from the web at
http://mail2web=2Ecom/ =2E
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Date: Tue, 31 Jan 2006 16:08:40 -0600
Reply-To: Lactation Information and Discussion
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From: Janice Reynolds <[log in to unmask]>
Subject: Baby Blues great once again
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"Baby Blues" cartoon is great, again.
http://seattletimes.nwsource.com/cgi-bin/comics/archive.pl
(go to January 30, 2006, in the "select another date" box on lower right hand side.)
Janice Reynolds
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Date: Tue, 31 Jan 2006 14:07:42 -0800
Reply-To: Lactation Information and Discussion
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From: Becky Flora-Waterman <[log in to unmask]>
Subject: very wierd, bad looking nipples; any ideas?
Comments: cc: LACTNET automatic digest system <[log in to unmask]>
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I have a mother with 4 month old baby girl. She has been exclusively pumping with a Pump In Style Advanced Traveler since day one (NOT my recommendation). For over 3 months she has had severe nipple pain bilaterally with pumping. She cannot stand anything to brush up against the nipples. She emailed me several times, refusing a consult. She was treated with Diflucan for several weeks and used Lotrimin topically with no improvement, except for a very little initially which she now thinks was just her *wanting* the treatment to work. She has seen a dermatologist who prescribed a steroid with no improvement. She has used lanolin. FINALLY, she agreed to come in and see me. I have never seen nipples look like this in over 9 years of practice. The entire nipple surface is covered with a yellowish-whitish covering. No signs of any cracks or fissures. Around the yellow, they are very red. No deep breast pain.
Due to the long-term treatment with Diflucan (a while back) and since she had seen a dermatologist (some time ago) I recommended salt water soaks several times a day with APNO applied after every pumping session. She also started a round of Keflex since the appearance of the nipples was pus-like in color although there was no obvious drainage. Normally, I would NOT recommend systemic antibiotic but with the duration of these symptoms, her treatment with an antifungal and a steroid, it seemed logical. She was told to pump on min suction. I have checked her nipple size with pump shield size and there is a good fit. The nipples are passing freely through the nipple tunnel of the breastshield.
She started the ABX and APNO Friday evening. Today I called to follow-up. While there is SOME noticeable difference in the amount of pain she experiences with pumping, the appearance of the nipples remains unchanged.
Oh, I wish you could see them! What do you think this is?? Does she need to go back to the dermatologist? Go back to yeast treatment? Is this something so different that it's none of these?
I should say that I saw her nipples a long time after her last pumping session so this was not vasospasm. They look like they are covered with huge blisters on the entire nipple surface and then directly behind this at the base is a very red, raw area--same on both sides. There does not seem to be fluid in the covering like a blister, however, and due to their size, they do not appear to be nipple blebs. They are yellow in color.
Thanks for your input!
Becky Flora-Waterman, IBCLC, RLC
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Date: Tue, 31 Jan 2006 18:24:08 -0500
Reply-To: Lactation Information and Discussion
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From: "Becky Flora, IBCLC, RLC" <[log in to unmask]>
Subject: very wierd, bad-looking nipples!
I have a mother with 4 month old baby girl. She has been exclusively
pumping with a Pump In Style Advanced Traveler since day one (NOT my
recommendation). For over 3 months she has had severe nipple pain
bilaterally with pumping. She cannot stand anything to brush up
against the nipples. She emailed me several times, refusing a
consult. She was treated with Diflucan for several weeks and used
Lotrimin topically with no improvement, except for a very little
initially which she now thinks was just her *wanting* the treatment
to work. She has seen a dermatologist who prescribed a steroid with
no improvement. She has used lanolin. FINALLY, she agreed to come in
and see me. I have never seen nipples look like this in over 9 years
of practice. The entire nipple surface is covered with a yellowish-
whitish covering. No signs of any cracks or fissures. Around the
yellow, they are very red. No deep breast pain.
Due to the long-term treatment with Diflucan (a while back) and
since she had seen a dermatologist (some time ago) I recommended
salt water soaks several times a day with APNO applied after every
pumping session. She also started a round of Keflex since the
appearance of the nipples was pus-like in color although there was
no obvious drainage. Normally, I would NOT recommend systemic
antibiotic but with the duration of these symptoms, her treatment
with an antifungal and a steroid, it seemed logical. She was told to
pump on min suction. I have checked her nipple size with pump shield
size and there is a good fit. The nipples are passing freely through
the nipple tunnel of the breastshield.
She started the ABX and APNO Friday evening. Today I called to
follow-up. While there is SOME noticeable difference in the amount
of pain she experiences with pumping, the appearance of the nipples
remains unchanged.
Oh, I wish you could see them! What do you think this is?? Does she
need to go back to the dermatologist? Go back to yeast treatment? Is
this something so different that it's none of these?
I should say that I saw her nipples a long time after her last
pumping session so this was not vasospasm. They look like they are
covered with huge blisters on the entire nipple surface and then
directly behind this at the base is a very red, raw area--same on
both sides. There does not seem to be fluid in the covering like a
blister, however, and due to their size, they do not appear to be
nipple blebs. They are yellow in color.
Thanks for your input!
Becky Flora-Waterman, IBCLC, RLC
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Date: Tue, 31 Jan 2006 18:54:13 -0500
Reply-To: Lactation Information and Discussion
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From: Pat Young <[log in to unmask]>
Subject: Re: Chikungunya
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Mom would be making antibodies the whole time she is coming down with the
virus, so even if baby gets virus, it should be milder. If the virus is in
the breast milk, perhaps stomach acids will kill it :-) Pat in SNJ
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Date: Tue, 31 Jan 2006 18:31:47 -0600
Reply-To: Lactation Information and Discussion
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From: Anna Swisher <[log in to unmask]>
Subject: Re: looking for article
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Hi, Mimi,
That happened here in our fair city (Round Rock is just north of =
Austin). I
found this link for you:
http://www.kvue.com/news/tuma/stories/110904kvue2Breastfeed-eh.3e378599.h=
tml
Here=92s a reprint of a follow up article our local paper did:
http://www.nurseatstarbucks.com/donotcoverup.html. This reporter did a =
super
job. She interviewed me, and although there aren=92t any quotes, I was =
very
happy that she included the bit about:
=93But experts say the cleavage clashes with a culture that worships =
sex, such
as the breast buffet at Hooter's or TV characters who flash with maximum
exposure. That's a deviation from the strait-laced Victorian age, when =
it
wasn't unusual to see a photo of a breast-feeding mother showcased above =
the
fireplace.=94 =20
I had shared Milk, Money and Madness with her, and this Victorian =
photograph
of a mother nursing her older baby=97breast bared, but ankles modestly
covered.=20
This lovely Victorian picture is available from Sierra Lactation (no
financial interest) which exhibits at a lot of bf conferences, btw.
HTH,
Anna Swisher, MBA, IBCLC
Abundant Blessings
Austin, TX
=A0
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Date: Tue, 31 Jan 2006 19:51:41 -0500
Reply-To: Lactation Information and Discussion
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From: A Gentle Start <[log in to unmask]>
Organization: A Gentle Start Chilbirth Services
Subject: Thyroid Issues
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Can you steer me toward good info on thyroid and breastfeeding? I have a
birth doula client with hypothyroidism and an enlarged, lumpy thyroid. Her
levels are just outside of normal and she is on synthroid. She breastfed
her first child but the baby was very slow to gain and had very sporatic and
horribly smelly bowel movements. We figure the thyroid may have started
acting up in early postpartum. Mom had ppd. This pregnancy is uneventful
and her thyroid condition is being monitored. Her levels are still a little
high, but overall her practitioner has been pleased. I'm unfamiliar with how
thyroid issues really effect breastfeeding, so I'm wondering if you can help
me become more informed on the issue. I have hashimoto's myself, and this
woman's history is not unlike my own. If I were ever to become pregnant
again, I would want all the info. My hashimoto's came on after #3 and I'm
just having my thyroid meds regulated now.
Thanks
Angela Leonard, IBCLC (West Chester, PA)
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Date: Tue, 31 Jan 2006 19:29:08 -0600
Reply-To: Lactation Information and Discussion
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From: Kathy <[log in to unmask]>
Subject: feeling overwhelming depressino during pumping
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yes---decrasing pumping should help decrease the number of episodes per day,
but will probably not decrease their intensity. SOunds like a strange
response to her oxytocin release. I don't think you said how old the babies
are...these situations do tend to improve with time, but it may take a few
months.
I would refer her to a mental health specialist to determine the degree of
her depression. She would likely benefit from some medication and
counseling. I would imagine she has some degree of underlying depression,
and now has TWINS to deal with, as well as the guilt of decreasing her
pumping.
Kathy Leeper, MD, IBCLC
MilkWorks- Lincoln, NE
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Date: Tue, 31 Jan 2006 19:33:52 -0600
Reply-To: Lactation Information and Discussion
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From: Kathy <[log in to unmask]>
Subject: strange nipples
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without seeing them it is very difficult to make a suggestion.
Is the "covering" moist or dry? little superficial cracks in it? raised?
If moist, could very well be eczema with yeast...would do gentian violet QD
X 5-7 days and continue APNO.
If dry and cracked and raised, sounds like psoriasis, which would need a
potent steroid...could also have yeast associated with it, so gentian violet
worth a try.
Let us know what works--
Kathy Leeper, MD, IBCLC
MilkWorks- Lincoln, NE
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Date: Tue, 31 Jan 2006 20:55:31 -0500
Reply-To: Lactation Information and Discussion
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From: Leslie Cree <[log in to unmask]>
Subject: constipated toddler
Interesting that the specialist is blaming breastmilk for the
constipation, since many mothers I know report the opposite experience.
Breastmilk is laxative at any age! Your post doesn't mention if this
particular child is 1. chronically constipated, for instance since the
introduction of solids, 2. weaning, and therefore getting less breastmilk
and perhaps a higher proporttion of cow's milk instead 3. has other
allergy symptoms 4. just learning to toilet and holding on to bm's--so
this would be more behavioral. Can you provide any more details?
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Date: Tue, 31 Jan 2006 21:20:27 -0500
Reply-To: Lactation Information and Discussion
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From: "Jennifer Tow, IBCLC" <[log in to unmask]>
Subject: Re: bad looking nipples
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Date: Tue, 31 Jan 2006 14:07:42 -0800
From: Becky Flora-Waterman <[log in to unmask]>
Subject: very wierd, bad looking nipples; any ideas?
Becky,
Has Paget's Disease been ruled out by the dermatologist?
Jennifer Tow, IBCLC, RLC, CT, USA
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Date: Tue, 31 Jan 2006 21:43:32 EST
Reply-To: Lactation Information and Discussion
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From: Cheryl Taylor White <[log in to unmask]>
Subject: Re: Depression while pumping
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The mother I am working with is a second-time mom, twins this time. She is
exclusively pumping and giving EBM. She reported experiencing "a really
depressed feeling while pumping", every time she pumps (8-9 x day). She
recalls a similar, but less intense feeling of depression when she
breastfed her first (singleton)child, who is currently 15 months old. She
feels that she can not continue to try to deal with the depressive side
effect of pumping, it feels overwhelming to her. She wondered if cutting
the pumping episodes in half, or at least cutting down to 6 a day would
help her to eliminate the depression. We discussed the effect this would
have on her milk supply. She understands that it could have a negative
effect on her overall milk supply, but feels that she can't continue at
her current level and still care for her 3 babies.
Beth Sargent, IBCLC
As a mom who has nursed twins, I cannot imagine trying to take care of
newborn twins and pumping enough of a supply for them. Is there some reason why
she won't nurse them?
Honestly, the exhaustion of caring for an infant, much less three, is very
akin to depression. Hate to ask such a simple question but.....Is she getting
enough sleep? Is she napping to catch up? Is she able at any point to turn
the babies over to someone else for even an hour or two of uninterrupted
sleep knowing someone else is responsibly taking care of them?
Cheryl Taylor White, CBE
_www.drjaygordon.com_ (http://www.drjaygordon.com)
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Date: Tue, 31 Jan 2006 22:48:05 EST
Reply-To: Lactation Information and Discussion
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From: Chris Betzold <[log in to unmask]>
Subject: Sore nipples
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I concur that this sounds like bacterial infection. I would have cultured
them but since you have already started therapy its probably too late. The
important thing is that the pain has improved. Most likely it will take a week
before they look better. I usually don't treat this with keflex as I have found
too many times the bacteria culture from it are resistant staph. Cleocin or
bactrim are better choices. Teh APNO is perfect however. Chris
In a message dated 1/31/2006 4:32:30 PM Pacific Standard Time,
[log in to unmask] writes:
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Christine Betzold NP IBCLC MSN
www.theBFclinic.com
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Date: Tue, 31 Jan 2006 22:53:59 EST
Reply-To: Lactation Information and Discussion
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From: Chris Betzold <[log in to unmask]>
Subject: Depression while pumping
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I guarantee you that if you question her further you will find that she is
having anxiety/stress and/or other depressive symptoms (irritable, fatigue,
angry) as well and not associated with pumping. The pumping "causing" depression
is a red herring. She likely experiencing postpartum depression and
antidepressants should be offered irrespective of the diagnosis. Decreasing pumping
will lower her supply and may even increase her depression if prolactin levels
are helping her. On the other hand, weaning may improve her mood because she
will feel more in control and will be able to seperate more from her infants.
Is that what she wants? Maybe, I often wonder if this is the case when moms
choose to pump and bottlefeed vs. work on breastfeeding. Chris
In a message dated 1/31/2006 4:32:30 PM Pacific Standard Time,
[log in to unmask] writes:
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Christine Betzold NP IBCLC MSN
www.theBFclinic.com
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Date: Tue, 31 Jan 2006 22:27:58 -0600
Reply-To: Lactation Information and Discussion
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From: Janice Reynolds <[log in to unmask]>
Subject: CBC News /Chandra formula study Expose
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The expose of Dr. Chandra, who committed academic fraud in many studies that
he published (including many formula studies for Nestle and Mead Johnson)
continues on Canada's CBC news tonight, with Part 2.
The link to the transcript of Part 2, that aired Tuesday night (Jan 31) is
at:
http://www.cbc.ca/national/news/chandra/part2.html
I also see that the video clips are available for Part 1, and Part 2 at
their respective links:
Part 1 http://www.cbc.ca/national/news/chandra/index.html
Part 2 http://www.cbc.ca/national/news/chandra/part2.html
So you can now view the pieces as they aired on CBC.
There is a Part 3 scheduled for Feb 1, I anticipate that the transcripts and
video will be available tomorrow night.
THE STUDIES INVOLVED:
I have obtained a partial list of the studies that Chandra has published.
Pamela Morrison (of Lactnet) compiled a partial list (she had limited time)
and even this list of abstracts is 19 pages long. If you would like to see
it, please email me and I will send it.
Janice Reynolds
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Date: Wed, 1 Feb 2006 06:37:37 +0200
Reply-To: Lactation Information and Discussion
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From: EDG <[log in to unmask]>
Subject: sleep trainer
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I just watched the video clip on the sleep trainer. Is anyone going to
go on that show and discuss normal infant sleep patterns?? How waking
protects against SIDS??
Aaaaargh, as Jack would scream. I always quote Jim McKenna's lecture
where he says that only in the West are parents obsessed with sleep,
talking about it, and hiring people to "train" their babies and that is
obviously because their babies are sleeping in boxes in a different room
as far from the parents as possible. Poor babies. I can understand
needing help when your older babies are still waking up 12 times a
night, and now in Israel we have Elizabeth Pantley's No cry Sleep
Solution translated in Hebrew. That is the only method that is not
cruel and I only recommend it for babies over a year and a half.
Esther Grunis, IBCLC who is excitedly awaiting the arrival of Cathy
Genna in Israel to enlighten us all
Lis Maternity Hospital
Tel Aviv, Israel
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Date: Tue, 31 Jan 2006 19:29:32 -0800
Reply-To: Lactation Information and Discussion
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From: Renee Hefti <[log in to unmask]>
Subject: PUPPS and breastfeeding
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----- Original Message -----
From: "Renee Hefti" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, January 31, 2006 1:41 PM
> Greeting to fellow breastfeeding supporters,
>
> My name is Renee Hefti - Graham from Vancouver, Canada. I have been an RN
> and LC for a long time but have never posted on Lactnet. I am pleased to
> recognize many of your names and some of you may recognize my name. In
> the 90's, I managed the WABA Breastfeeding Booth at the ILCA Conferences.
> I spent 2 1/2 years working in the United Arab Emirates - was hired to
> implement the BFHI which was a wonderful experience. Presently I teach
> prenatal bf classes (hospital) work casually as an LC (2 hospitals) and
> have a private bf practice in the Vancouver community. I have never
> advertised my private practic (just word of mouth) as I don't want to get
> too busy as I provide free telelphone follow-up to my clients (the
> volunteer part of my job!)
>
> A client gives me permission to post:
>
> Severe PUPPS (pueperal urticaria of pregnancy) that started during the
> last 2 - 3 weeks of pregnancy. The rash, that left scars on her ankles,
> was treated with steroid creams.
>
> Usually PUPPS disappears with delivery. In the case of my client, it did
> subside but returned 2 weeks later. She is now 3 weeks postpartum with
> severe discomfort from the itchy, hot rash over most of her body including
> the palms of her hands.
>
> She has tried all the usual suggestions: loose cool cotton clothing,
> oatmeal baths, cool cloths and increasting fluids. She has seen a skin
> specialist who has ordered antihistamines, and steroid creams but nothing
> is helping. She has been told the PUPPS is because of bf hormones.
>
> Anyone have any suggestions? There is lots posted on PUPPS prenatally but
> not much info for the post-partum woman. I am encouraging her to have
> blood work done to rule out possible other causes.
>
> Sorry for the long first email, Renee
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Date: Tue, 31 Jan 2006 22:48:39 -0600
Reply-To: Lactation Information and Discussion
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From: Janice Reynolds <[log in to unmask]>
Subject: South African milk bank for AIDS orphans and sick kids
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Mother's milk enlisted in South Africa AIDS fight
27 Jan 2006
http://www.alertnet.org/thenews/newsdesk/L26749102.htm
DURBAN, South Africa, Jan 27 (Reuters) - Six-month-old Matthew Coetzer bounces on his mother's knee. The bubbly blond and blue-eyed child is ready for his next meal of breast milk.
But Matthew's mother is not just feeding her own son.
In the family refrigerator are bottles of frozen milk, donations for a "bank" designed to bring the benefits of mothers' milk to orphans and sick children caught up in South Africa's devastating HIV/AIDS epidemic.
(see link for full article)
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