-----Original Message----- From: LACTNET automatic digest system <[log in to unmask]> To: [log in to unmask] Sent: Thu, 6 Mar 2008 9:01 pm Subject: LACTNET Digest - 6 Mar 2008 (#2008-323) There are 4 messages totalling 192 lines in this issue. Topics of the day: 1. Please help:! Need JHL article 2. Suggestion for 'tough case' 3. tough case 4. dreadful new wave in US Lactnet Archives are at: LACTNET Archives http://community.lsoft.com/archives/lactnet.html To Manage your Subscription, ie go nomail, index, etc, go to: http://community.lsoft.com/archives/lactnet.html Thanks- Kathleen Bruce, Kathy Koch, Rachel Myr, Karleen Gribble, Linda Pohl, LACTNET Facilitators Questions to [log in to unmask] *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome ---------------------------------------------------------------------- Date: Thu, 6 Mar 2008 16:39:46 -0800 From: dodie <[log in to unmask]> Subject: Please help:! Need JHL article If anyone has these JHLs in their library I would so appreciate you checking on something. It is an Editor's Note (first written piece in the volume) and the topic was related to communicating with colleagues, not ruffling any other discipline's feathers, not acting as if we know everything, etc. I believe this Ed.Note is in one of the following JHLs: Last issue of Vol. 18 (2002) Last issue of Vol. 20 (2004) First issue of Vol. 14 (1998) Sorry to be vague but these are the journals I am missing from my library and am kind of guessing based on that. If anyone can even give me the title of the Ed. Note and especially the volume number and date I think I can get our hospital librarian to get them or contact Sage Pub. I would be so appreciative of any help. You will need to email me [log in to unmask] Many thanks, Pam Bartholomew RN, IBCLC ____________________________________________________________________________________ Never miss a thing. Make Yahoo your home page. http://www.yahoo.com/r/hs *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome ------------------------------ Date: Thu, 6 Mar 2008 21:35:59 -0500 From: Katherine Dettwyler <[log in to unmask]> Subject: Suggestion for 'tough case' Suggest an appropriate scan of her pituitary, check hormone levels in blood= , get her a D&C for her retained placenta!!!! =20 Sheesh. =20 Kathy Dettwyler= *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome ------------------------------ Date: Thu, 6 Mar 2008 20:40:04 -0600 From: laurie wheeler <[log in to unmask]> Subject: tough case Indeed, this is one tough case. Here are my suggestions: Pick one way to feed baby, mom's choice. I would do paced bottle feeding with slow flow nipple. But whatever mom wants is best. Then I would recommend galactagogues for mom. Herbal or prescription or both. I would recommend mom be seen by an endocrinologist. If she is obese, she may possibly have insulin resistance and/or polycystic ovary syndrome. She should also have retained placenta ruled out by ultrasound or I think they can do Hcg levels? Pick a pump and a flange that mom likes. If she believes she is getting more milk with the 27 mm flange and the lactina select, I would go with that. She can always change to larger size if she feels she needs to. Of course I would recommend continuous kangaroo care if possible. The mother will likely need a supplementer at breast, but first I would try to take the pressure off of trying to breastfeed, but allow baby exploration and self attachment to whatever level he can accomplish. She may also need some testing or scanning done to check her pituitary if there is a history of a problem with that, but the endocrinologist can guide her there too. I would want the mother to make it clear and get a firm commitment from the endocrinologist that he/she will support the mother's breastfeeding efforts. Best of luck to this dyad. Laurie Wheeler RN MN IBCLC Mississippi USA *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome ------------------------------ Date: Thu, 6 Mar 2008 21:50:51 EST From: Nikki Lee <[log in to unmask]> Subject: dreadful new wave in US Dear Friends: A group of LC colleagues and I attended the screening of a new "Safe Sleep" video aimed for parents and healthcare professionals. It was made by some local MDs and the whole point of the video is to warn parents against the dangers of having a baby in bed with a parent. The recommendations include: put baby to sleep on its back, always alone in crib, keep everything out of the crib except the baby (no crib bumpers, pillows or stuffed animals), "don't keep the room too hot", dress baby in a sleep saque, and if a blanket is used, bring it up only as far as baby's chest, and tuck it in at the foot and sides of the mattress. Bed sharing is said to lead to SIDS "40% or greater chance of SIDS if baby sleeps in adult bed or on sofa"............... This wave has been building at least since 2006. To the purveyors of this philosophy, there is no such thing as safe bed-sharing, and no such thing as an Arm's Reach Co-Sleeper. There is no group as strong as the pediatric trade union (that is backed by various industry dollars: formula and juvenile furniture manufacturers). The wonderful Academy of Breastfeeding Medicine with their lovely sensible, evidence-supported bed-sharing protocol unfortunately doesn't have the power and clout of the AAP....at least not yet. We LCs sat there watching this well-made video. We didn't have a chance to ask a question. There was no discussion. The video was introduced, shown, and then the various participants in its making gave each other awards and celebrated their premiere. stunned, and feeling helpless as the juggernaut rolls on............ Nikki Lee RN, BSN, MS, Mother of 2, IBCLC, CCE, CIMI craniosacral therapy practitioner _www.myspace.com/adonicalee _ (http://www.myspace/adonicalee) **************It's Tax Time! Get tips, forms, and advice on AOL Money & Finance. (http://money.aol.com/tax?NCID=aolprf00030000000001) *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome ------------------------------ End of LACTNET Digest - 6 Mar 2008 (#2008-323) ********************************************** *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome